CANALCATORCE — broadcast
20261012 173000 UTC
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[00:00:00] to help you. This
[00:00:04] From an unexpected cramp to weakness that makes it difficult to walk
[00:00:08] or lift objects, muscle disorders can affect
[00:00:11] our daily lives in different ways. Today we are going to learn
[00:00:15] about the symptoms, causes, and medical attention for
[00:00:19] so-called muscle disorders. I am Ana Luisa Guerrero and I welcome you
[00:00:22] to Consulta Directa.
[00:00:24] Let's begin.
[00:00:40] And on this occasion, I am very pleased to welcome the
[00:00:44] specialists who are with us. From the
[00:00:47] General Hospital of Mexico Eduardo Leciaga, we have Dr. Gabriel
[00:00:51] Medrano Ramírez, who is head of the rheumatology
[00:00:54] service. Welcome, thank you very much, doctor, thank you for the invitation.
[00:00:58] We also welcome licensed Dafne García Pérez, who is
[00:01:02] don't know, the benches, as I was telling you, a rehabilitator from the Physical Medicine and Rehabilitation
[00:01:04] Service. Thank you very much for joining us. Thank
[00:01:08] cramps are, of course, one of the you very much. Well, today we are going to talk about an interesting
[00:01:11] topic. At some point in our lives, we have all experienced some muscular
[00:01:15] discomfort, and I don't know, the specialists will tell us now if with the passage
[00:01:19] of time these discomforts can
[00:01:21] increase and even incapacitate us in our daily lives,
[00:01:25] so well, this topic will give us a lot to talk about,
[00:01:29] so let's start with
[00:01:32] people, which can of muscle or tendon a segment we have prepared and then we'll come back to
[00:01:33] discuss it.
[00:01:36] Walking, climbing stairs, carrying groceries, or
[00:01:40] simply getting out of bed are movements we make
[00:01:43] almost without thinking, until pain,
[00:01:47] stiffness, weakness, or difficulty moving appears.
[00:01:50] A cramp that wakes you up during the night, a muscle that contracts,
[00:01:54] these can be occasional discomforts, but when they
[00:01:57] become frequent or interfere with daily life, everyday
[00:02:02] such as extensor tendon injuries or tasks can become a real challenge. Muscle
[00:02:04] disorders can manifest in different
[00:02:07] ways: pain, stiffness, weakness,
[00:02:11] tremors, spasms, or
[00:02:13] brief pause and upon returning we are going to start involuntary contractions. Among them are muscle
[00:02:16] cramps that cause sudden and painful
[00:02:19] contractions, tetany that can cause contractions and
[00:02:22] stiffness, dystonias, which generate involuntary
[00:02:26] movements and abnormal postures, and restless
[00:02:29] legs syndrome, characterized by a
[00:02:32] difficult-to-control urge to move the
[00:02:35] doubt, the risk of not complying with legs, primarily during rest. The
[00:02:38] causes are diverse: physical exertion,
[00:02:41] dehydration, some medications, or mineral
[00:02:45] imbalances can trigger certain discomforts.
[00:02:48] Others may be related to metabolic or neurological
[00:02:52] diseases. Additionally, in Mexico,
[00:02:55] musculoskeletal disorders are among the main causes of
[00:02:58] principales causas de...
[00:03:00] important it is to be aware of disability. That's why you shouldn't get used to living with
[00:03:03] pain, weakness, or involuntary movements.
[00:03:07] Timely medical evaluation can help identify their
[00:03:10] origin and find the appropriate
[00:03:14] age. Precisely that's what treatment.
[00:03:17] Well, we generally saw what the main muscle discomforts are,
[00:03:21] these conditions that
[00:03:24] can appear at any
[00:03:28] indicating to us when time and are related to our physical activity, to our daily life. And precisely, as
[00:03:33] Possess elementary notions of I said in the introduction, I would like, doctor, to discuss how frequent
[00:03:37] it is that these appear as we age, or what
[00:03:40] are the circumstances associated with their
[00:03:44] permanence? Very good. Well, talking about musculoskeletal
[00:03:48] problems is talking about an endless number of diseases. In fact,
[00:03:51] it is practically a highly prevalent entity.
[00:03:55] It is not specifically inherent to elderly people; in fact, there can
[00:03:58] be very young people with manifestations or musculoskeletal
[00:04:02] problems. However, evidently, the age
[00:04:05] group of patients also influences it, perhaps to
[00:04:09] have more risk, precisely because their
[00:04:12] muscles, if they are not
[00:04:15] is immobility. That is trained, are weakened muscles. They are people who are perhaps using
[00:04:19] polypharmacy, diuretic use, in short,
[00:04:22] other entities that can practically affect the
[00:04:26] locomotor system,
[00:04:28] which occasionally, at the end of the day, manifests as pain.
[00:04:32] I speak of the musculoskeletal term because this
[00:04:35] influences or includes many structures, from muscles,
[00:04:39] ligaments, tendons, the periarticular issues,
[00:04:42] etc., and in different parts or groups of the
[00:04:46] body that can be affected. Without a doubt, well,
[00:04:49] we've all talked about cramps, and maybe we have them
[00:04:52] identified, but what are the main conditions that occur, Dafne,
[00:04:56] in these sets, as the doctor said, musculoskeletal,
[00:04:59] and how frequently
[00:05:03] do they appear? Well, as the doctor mentioned, it's not necessarily
[00:05:07] avoid the death of what in adulthood; it can be from youth. Nowadays, there
[00:05:10] are countless diseases that entail
[00:05:13] this, no, pain, a muscle spasm, it can be
[00:05:16] just a contracture or something due to posture, that we end up
[00:05:20] hurting our spine; it also appears there. It can
[00:05:24] be, as the doctor says,
[00:05:27] hereditary, it can be rheumatic, it can be from the
[00:05:30] system, it's always a whole, but in the area of
[00:05:34] rehabilitation, the way we approach it, we do the
[00:05:37] consultation and determine a rehabilitative diagnosis. Of
[00:05:40] course, we rely on the specialties and from
[00:05:44] there they direct the patient to the approach, depending on the
[00:05:48] pathology, we can use tank therapy, well,
[00:05:52] hydrotherapy, we can use
[00:05:54] electrotherapy depending on the
[00:05:57] origin, either due to a pathology or a mechanopostural
[00:06:00] injury. It can be those two, of course. Well,
[00:06:04] uh, we said at the beginning, any of us could
[00:06:07] be exposed to this type of injury. I would like
[00:06:11] us to be able to identify them, doctor, because
[00:06:14] precisely, to know
[00:06:18] that it could be a discomfort that we might be feeling
[00:06:22] on a daily basis and that gradually worsens or that appears suddenly.
[00:06:26] How do we identify them
[00:06:29] in order to treat them? All right, well,
[00:06:32] first, talking about these musculoskeletal diseases
[00:06:36] is talking about everything and nothing because there are countless
[00:06:39] diseases that can cause some manifestation
[00:06:44] affliction. How to identify them is very important. The
[00:06:48] interview to be able to identify where the
[00:06:51] clinical manifestation comes from. It is relevant to mention
[00:06:54] that the specific approach for this type of disease does not
[00:06:58] only concern one area; in fact, it is an
[00:07:01] entity that may require a multidisciplinary intervention
[00:07:05] such as neurologists, rheumatologists,
[00:07:07] orthopedists, rehabilitators. From
[00:07:11] here, then, it is very important to consider that
[00:07:14] these muscle alterations can be
[00:07:17] caused by mechanical injuries, they can be caused by
[00:07:21] metabolic diseases such
[00:07:24] caused by electrolyte deficiency, they can be
[00:07:27] caused by inflammatory autoimmune
[00:07:30] processes, potentially they can also be caused
[00:07:33] by neurological problems that secondarily affect the
[00:07:37] muscle, so in general, what I wanted to encompass
[00:07:40] right now is that talking about a
[00:07:42] musculoskeletal disease can be an endless number of
[00:07:46] diseases that it is our job as doctors to identify
[00:07:50] in order to classify it, and by classifying
[00:07:53] I mean naming it, for example, inflammatory myopathies, for example,
[00:07:57] fibromyalgia, for example, mitochondrial
[00:07:59] myopathies, uh, complex regional
[00:08:03] painful syndromes that have several subclassifications,
[00:08:07] uh, or a simple muscle tear injury,
[00:08:10] low back pain that can have different origins.
[00:08:14] Yes, the range is wide, and it all depends, it's very wide. In fact,
[00:08:18] pain is practically one of the main reasons for
[00:08:21] medical attention requests from all people, at any
[00:08:27] I wanted to focus on. When
[00:08:30] the patient starts to feel pain, because that's the first, I imagine, the first symptom.
[00:08:34] But what are other symptoms, Dafne, that could be
[00:08:37] related and that could be
[00:08:41] it's time to seek rehabilitation? In this case, as the
[00:08:44] doctor says, pain primarily. From there, that pain will make my
[00:08:47] daily activities difficult, even bathing. It gets to the point where the
[00:08:51] pain in my shoulders is so great that I can't even lift my arm.
[00:08:55] I can't walk. My pain becomes so great that it will
[00:08:59] make it difficult for me to get dressed, bathe, which are daily
[00:09:02] living activities, even work. At that moment, I think it's already a very,
[00:09:06] very great pain. We should have already gone. Don't wait for a
[00:09:10] level 10 pain. The moment I have a level two or three pain, something that
[00:09:14] prevents me from doing an activity, is the time to be able to
[00:09:17] consult the specialist. It's
[00:09:20] an important topic because, at the end of the day, not all
[00:09:23] patients go immediately to the specialist, right?
[00:09:27] So, the medical evaluation comes later,
[00:09:31] when several weeks have passed
[00:09:34] and they have already
[00:09:37] used painkillers.
[00:09:40] Well, in these cases, when so much time is allowed to pass, what
[00:09:44] are the main consequences, Dr. Gabriel? I think that to be able
[00:09:48] to answer this question, I will take a very
[00:09:51] particular example of an entity. I will talk about
[00:09:54] idiopathic inflammatory myopathies, of which there are several, which is an
[00:09:58] autoimmune muscle disease,
[00:10:00] which evidently affects what is the striated muscle, which is the muscle with which
[00:10:04] we move. If a
[00:10:07] patient comes to receive early attention, they will have a good
[00:10:10] prognosis because we will work on the
[00:10:14] appropriate treatment. This practically helps to
[00:10:19] are the muscle cells. However,
[00:10:22] in clinical experience, we have had patients
[00:10:26] who have arrived many months or even years after
[00:10:29] having this disease, and practically when they come to
[00:10:32] us, they already have a great muscle injury that
[00:10:36] is practically irreversible. With this, what I want to
[00:10:39] comment or clarify is that early attention is very important.
[00:10:43] If a patient has any muscle
[00:10:47] discomfort, muscle weakness,
[00:10:51] they should go to their primary care doctors,
[00:10:54] family doctors, general practitioners, or perhaps internal medicine if
[00:10:58] they need hospitalization. Later, according
[00:11:01] to the physical examination and medical history that
[00:11:05] is taken, they will consult the specialty that
[00:11:09] will practically follow up on this, which will be neurology,
[00:11:12] rheumatology, orthopedics, and
[00:11:15] as I have commented on several occasions, very closely
[00:11:18] with the rehabilitation service, since the rehabilitation
[00:11:21] service will help in a non-medical way, but concomitantly
[00:11:25] within another group of specific treatments to
[00:11:29] help improve the patient's functionality.
[00:11:32] Yes, it is relevant what you say, Dr.
[00:11:35] Gabriel, that precisely when a medical evaluation is carried out,
[00:11:39] of course, according to the diagnosis that is made,
[00:11:43] a series of recommendations are given, most people use, well, of course, the
[00:11:47] medications and these things that they prescribe. How frequent is it,
[00:11:50] Dafne, I would like you to answer, that when they are sent to
[00:11:53] rehabilitation, they may attend the first few consultations
[00:11:56] and then they start suspending the treatment
[00:12:00] precisely because they feel that the discomfort has decreased. How
[00:12:03] frequent is this? Yes, it is frequent. In fact, when
[00:12:07] they come for a consultation, they are always told the number of sessions.
[00:12:10] There are people who may have five, 10, 15, well, five sessions or 10
[00:12:14] sessions. For people who only have a certain level, as
[00:12:18] the doctor says, if we divide the pathologies and according to the
[00:12:21] need, that's how they will take their rehabilitation.
[00:12:25] There are those who say, "I have level five pain, I feel perfect after
[00:12:28] three sessions, I won't go again," but that patient
[00:12:31] will come back in the future, and the pain they had will no longer be level
[00:12:35] three. We'll be at a high pain level, and there will already be
[00:12:38] effects, for example, in the trapezius, now it will
[00:12:41] go to the back, now it will go to the spine. Skeletal compensations
[00:12:45] begin to occur to maintain that pain, but yes, it is
[00:12:48] frequent. There are people who adhere and truly have the
[00:12:51] commitment to the therapy and finish their sessions.
[00:12:55] They go to their consultation and sometimes they come back again. Yes, without a
[00:13:00] them, well, it can further affect the health condition of
[00:13:04] each of the patients. We are going to take a short break, and when we return, we will
[00:13:07] begin to answer the questions you send us regarding
[00:13:11] our topic of the day. We are talking about muscle disorders,
[00:13:15] so I invite you to write to us. Our contact information is appearing on screen.
[00:13:19] Here are our specialists to answer each
[00:13:22] of your questions. We'll be right back.
[00:13:27] Direct consultation,
[00:13:29] continued.
[00:13:33] This Monday at 12:30 p.m. on "How do I do it,"
[00:13:37] let's learn everything we need to deal with any emergency
[00:13:41] with first aid. First aid are therapeutic
[00:13:44] procedures that we can apply to victims of
[00:13:48] an accident or sudden illness. They are intended
[00:13:51] to preserve the patient's life, not to improve their
[00:13:54] health condition.
[00:13:58] medical techniques on channel
[00:14:01] 14. This ingenious young woman has arrived in the
[00:14:04] city to turn it
[00:14:06] upside down.
[00:14:09] Where are you going? Don't be scared, buddy, I'm here to work.
[00:14:11] Here,
[00:14:17] well, my love, I'm leaving. I hope she doesn't come. She's already
[00:14:21] here. Cinema 14 presents
[00:14:24] Paquita's packages, Monday 2:25
[00:14:28] p.m. Hi, I'm Maria Teresa Priego. This
[00:14:32] week on Abiertamente, I invite you to talk with anthropologist
[00:14:36] Ed Hernández, author of the book La Esperanza. You
[00:14:39] talk about poverty and racialization. When I talk
[00:14:42] about racialized territories, it means that you have regions in the
[00:14:46] mountains of Guerrero, for example, where there are no hospitals, where prosecutor's offices are
[00:14:50] very far away, and in these same regions you have
[00:14:53] a very strong concentration of violence.
[00:14:57] Abiertamente, Monday, 5:00
[00:15:00] p.m.
[00:15:07] Don't miss this week's "Te Emigrante" which will feature a talk with the
[00:15:11] Mexican ambassador to the United States, Roberto
[00:15:14] Latzeri, with whom we will discuss how the protection of
[00:15:18] Mexicans in the United States has been, the legal route, but also
[00:15:21] what the advances are and where Mexico stands in the
[00:15:25] T-MEC review process. Don't miss
[00:15:26] it!
[00:15:33] Direct consultation,
[00:15:34] we return.
[00:15:39] We're back! Thank you for tuning into Channel
[00:15:42] 14. We are in this space, Consulta Directa, which
[00:15:46] is designed for you, so I invite you to send
[00:15:50] us all your suggestions regarding health topics that you
[00:15:54] would like us to address. Our contact information is appearing on screen.
[00:15:57] That's where we receive each of your proposals. You can
[00:16:01] find us at @ canal14mx, on
[00:16:03] Facebook, X, and YouTube, or
[00:16:07] send us a WhatsApp message at 5513
[00:16:10] 56 60 25. This is the
[00:16:13] space where we listen to each of your proposals.
[00:16:16] And precisely because we love to know
[00:16:19] what you think, what your main concerns are, we
[00:16:23] went out to the city streets and asked our audience
[00:16:27] what their main questions are regarding our
[00:16:31] topic of the day: muscle disorders. Let's listen to some of
[00:16:34] them so we can answer them. Hello, my
[00:16:37] name is Geraldín and my question for the experts is what can
[00:16:41] cause a cramp? Yes,
[00:16:45] most common discomforts
[00:16:48] that occur most frequently among the population.
[00:16:51] I would like, Dr. Gabriel, to precisely
[00:16:55] describe what a cramp is and what its causes are. Well,
[00:16:58] okay, I think cramps are perhaps the most frequently described
[00:17:02] alterations in the population, perhaps more
[00:17:05] frequent in elderly
[00:17:09] be caused by muscle atrophy, by
[00:17:13] disuse, and when patients suddenly start using a limb again,
[00:17:17] by temperature changes, electrolyte deficiency in patients
[00:17:20] who are chronic users of diuretics,
[00:17:24] for example. So this practically causes a muscle
[00:17:27] spasm that generates pain. It's really not
[00:17:30] serious but it is highly annoying. So
[00:17:33] here it is very important: patient education, practically
[00:17:37] questioning what factors have led to
[00:17:41] the development of cramps, and sometimes when they are very frequent,
[00:17:45] yes, sending them to rehabilitation so that they practically help them establish a
[00:17:49] therapy and reduce the frequency of these if they don't have
[00:17:52] electrolyte deficiencies,
[00:17:56] for example, that we as doctors can
[00:18:00] control. Yes, well, they are common and very frequent, as you
[00:18:03] said, the causes are many, but when we talk about
[00:18:06] the population when they already have a health condition, I think, for example, of
[00:18:10] patients with diabetes who in some cases
[00:18:13] also experience cramps in a
[00:18:16] frequent manner and that can be very annoying. Yes, well, in
[00:18:20] diabetic people, other factors are added,
[00:18:23] especially in poorly managed diabetic
[00:18:26] people, the development of neuropathies that lead
[00:18:30] to generating intense pain
[00:18:32] on a permanent basis at the musculoskeletal
[00:18:36] level, but primarily caused more than anything
[00:18:39] by a truly neurological alteration
[00:18:43] called diabetic neuropathy. Okay.
[00:18:46] So here are certain factors that come
[00:18:49] together. Yes, of course. In this case, in these patients,
[00:18:53] I would like to know if there is a particular rehabilitation, what is the main recommendation
[00:18:57] you give them from the area of physiotherapy? In particular, not
[00:19:00] as neuropathy. We can use if there is
[00:19:04] a, as the doctor says, we have first the diagnosis,
[00:19:08] which is a neuropathy, the cause, and everything. What happens in neuropathies?
[00:19:11] They lose some sensitivity. We can
[00:19:14] work on sensitivity, we can work on textures, we can work on
[00:19:18] temperatures, but mainly what we see is that bad
[00:19:21] posture when the diabetic patient, already
[00:19:24] diagnosed with advanced diabetes and as the doctor says, who did not
[00:19:27] take care of themselves, begins to present painful postures. They do
[00:19:31] not move, they stop moving, they say, "I already have, I lie down, I stay
[00:19:35] seated." No, everything that does not move is atrophy. What do we see in
[00:19:38] rehabilitation? Lack of mobility, they cannot
[00:19:41] achieve movements, steps, walking, sitting, standing,
[00:19:45] difficulties,
[00:19:47] rather than diabetes giving it to you, it
[00:19:53] what we work on in these types of patients. Yes, the main recommendation for this type of
[00:19:56] patients, what a precise comment. Let's see another question to
[00:20:00] answer it. Hello, my name is April and my question for
[00:20:04] the experts is if some muscle disorders can be
[00:20:07] prevented. Yes, well, considering that the range of
[00:20:11] these disorders is broad, well, there will be some
[00:20:14] recommendation, Dr. Gabriel, precisely as a preventative
[00:20:17] measure. Yes, in fact, based on that question,
[00:20:21] which I think is a question that could
[00:20:24] lead to a very broad answer, it all depends on the
[00:20:27] pathology. For example, with autoimmune
[00:20:30] diseases, there is really nothing that helps
[00:20:34] prevent them, but it is practically about giving
[00:20:37] timely treatment. That's why public education is so important.
[00:20:41] Now, to prevent other types of musculoskeletal
[00:20:44] injuries, then having well-trained
[00:20:47] muscles, doing frequent exercise
[00:20:50] to have good muscle tone, would practically help reduce the
[00:20:54] risk of simple musculoskeletal injuries
[00:20:57] such as tears, tendon injuries,
[00:21:01] also some alterations for younger people who go to the
[00:21:04] gym, well, obviously having perhaps an instructor to give
[00:21:08] them adequate training to avoid a muscle
[00:21:11] injury. This is talking about musculoskeletal
[00:21:15] injuries, potentially traumatic ones,
[00:21:19] these could indeed be
[00:21:21] preventable. So,
[00:21:25] uh, I think those would be the two important answers. Of course,
[00:21:29] in your area of preventable, in fact, since childhood, I'll
[00:21:33] go further, nowadays, how you carry your backpack,
[00:21:36] the children in the classroom, how ergonomically
[00:21:39] they are seated. There is an area of rehabilitation that is part of
[00:21:42] ergonomics, which is responsible for verifying that all
[00:21:46] the furniture or the furniture that we work with. I
[00:21:52] in school, are suitable for children, that we plant our
[00:21:55] feet well, that we are not hunched over, that I sit straight, that the weight of my
[00:21:59] backpack is adequate so as not to generate that overload of
[00:22:03] weight in children. Nowadays, video games, telephones
[00:22:06] cause injuries at the thumb level. Yes, there are things that
[00:22:10] we can prevent, by improving
[00:22:13] posture, strengthening, exercising, having a more active
[00:22:16] life, this, I think that basically is how we can prevent
[00:22:20] it nowadays. That's right. Go ahead. There are even
[00:22:23] other types of diseases that are
[00:22:26] occupational diseases that can cause musculoskeletal
[00:22:30] problems that potentially some
[00:22:33] people would imagine that by
[00:22:37] working nothing would happen to them. Well,
[00:22:39] simply the use of the mouse, simply the use of keyboards,
[00:22:42] simply having screens in the wrong position can
[00:22:46] cause significant musculoskeletal symptoms,
[00:22:52] neurological injuries such as carpal tunnel syndrome or
[00:22:56] injuries in the cervical spine.
[00:22:59] So it is very important to work on workplace
[00:23:01] ergonomics to reduce this type of
[00:23:05] risks that are highly frequent in office
[00:23:08] workers, which we sometimes overlook. Of course, what
[00:23:12] the doctor says is true, we have a specialist doctor at the hospital, Dr. Óscar,
[00:23:16] you had him as a guest one day, who specialized in the field of
[00:23:19] ergonomics. And in our area, in the rehabilitation area, we have
[00:23:23] two hygiene programs, it's called spinal hygiene, where
[00:23:26] the patient is given training, they are
[00:23:29] taught what the correct postures are to stand up, to lie down,
[00:23:33] to lift objects, for housewives, how to mop,
[00:23:37] how to sweep, how to wring out even a rag, which can cause
[00:23:41] a wrist level injury, yes, well, the
[00:23:45] the panorama is very broad, so we are going to eh resolve each of these doubts, but how
[00:23:50] the posture we also have because that will allow
[00:23:54] us to avoid any future injury, let's see another question
[00:23:58] to answer, hello, my name is Leonardo Mejía and my
[00:24:01] question for the experts is what importance
[00:24:04] does hydration have for the prevention of cramps,
[00:24:07] well there is another question
[00:24:10] you also mentioned the electrolytes also this
[00:24:14] doctor, the way our body is, how much
[00:24:17] it influences that it is directly related to the... question, in
[00:24:20] fact, I would now give a very classic
[00:24:24] example, long-distance runners,
[00:24:28] okay, these long-distance runners require quite
[00:24:31] appropriate hydration and electrolytes are extremely
[00:24:34] important in muscle function, the deficiency of
[00:24:37] them in a poorly hydrated person can
[00:24:40] secondarily lead to the development of quite
[00:24:43] severe cramps, so athletes, speaking only
[00:24:47] of the group of these people,
[00:24:51] eh have an important element eh of education especially
[00:24:55] if they are going to dedicate themselves to this for the
[00:24:58] adequate consumption of liquids
[00:25:00] to maintain
[00:25:02] eh with an adequate electrolyte intake, yes
[00:25:06] well there eh eh the preparation of course forms an important
[00:25:09] part when it comes to an activity that already implies a
[00:25:13] wear and tear and eh well
[00:25:17] eh so to speak that they already dedicate themselves professionally there is already
[00:25:20] a, but for example, if we talk about people who dedicate themselves
[00:25:23] in an amateur way for pleasure, as a recreational
[00:25:27] activity, how important is this recommendation and if there is a
[00:25:30] parameter of what is the adequate or minimum
[00:25:33] intake of electrolytes, in the same way the answer
[00:25:36] would be the same, whether professional or amateur,
[00:25:40] practically the intake of
[00:25:42] liquids and the use of electrolytes is highly
[00:25:46] recommended, much more in amateur people because practically...
[00:25:50] these people could do exercises occasionally
[00:25:54] and would be more subject to the
[00:25:58] risk of musculoskeletal injuries by not doing them
[00:26:01] so frequently and potentially sometimes not trained
[00:26:04] so it is very important eh the
[00:26:08] evaluation by eh even
[00:26:10] physical therapists or groups of trainers who give them the
[00:26:14] precise instructions to try to minimize or reduce
[00:26:17] these risks, yes, without a doubt it is very frequent that cases of
[00:26:21] these reach rehabilitation, Dafna, well in fact the area of
[00:26:24] rehabilitation is also divided into a sports area, so as a sports
[00:26:28] rehabilitation area, yes based on the
[00:26:32] population we are talking about now, yes there are injuries, but
[00:26:35] basically due to electrolytes, the exchange, water consumption not so much,
[00:26:39] but due to a bad, that is, they ran and got injured and
[00:26:42] did not have that prevention of tearing and we have to
[00:26:46] treat it if not, I hope, it's only at that point that
[00:26:50] rehabilitation comes to address by educating the
[00:26:54] patient on how to take care of the joint areas,
[00:26:57] that if there is a discharge after a workout so that the muscle
[00:27:00] returns to being calm and well, hydration, recommend
[00:27:04] hydration, of course, well, let's see one more question to be able
[00:27:07] to answer it, hello, my name is Alina Ruiz and
[00:27:11] my question for the experts is should
[00:27:14] I suspect a muscle disorder
[00:27:18] if my baby doesn't walk at one
[00:27:20] year old, well that's an
[00:27:24] interesting question, what can we tell the doctor,
[00:27:26] indeed, eh, this comment is
[00:27:30] extremely relevant because it forces us to
[00:27:33] look for some type of
[00:27:37] disease that could potentially affect the muscle, in
[00:27:41] the case of if this child is very small and does not move,
[00:27:44] we would have to look for eh perhaps muscular dystrophies of which
[00:27:48] there are several and in this regard then here the interconsultation with
[00:27:51] neurology would be relevant because in that age group dystrophies
[00:27:55] is what we think of, is what we think of in a child who does not
[00:27:58] move, of course it is an important issue that...
[00:28:02] must be seen with the specialist in the first instance,
[00:28:05] well seen with the pediatrician and he will be in charge of
[00:28:09] guiding him to the area of the specialty that corresponds, we are going to make a
[00:28:15] answering the questions that you send us regarding our topic
[00:28:19] of the day, we are talking about muscular disorders, so I invite you to
[00:28:22] write to us, find us at @ canal14mx on
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[00:28:30] 551356 60:25 we'll be
[00:28:33] right back.
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[00:28:40] we continue.
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[00:30:58] musculares, y antes de irnos.