{"id":3488,"date":"2026-03-17T12:02:39","date_gmt":"2026-03-17T18:02:39","guid":{"rendered":"https:\/\/www.drestebancastro.com\/blog\/?p=3488"},"modified":"2026-07-02T05:12:40","modified_gmt":"2026-07-02T11:12:40","slug":"que-medico-trata-el-dolor-de-rodilla","status":"publish","type":"post","link":"https:\/\/www.drestebancastro.com\/blog\/que-medico-trata-el-dolor-de-rodilla\/","title":{"rendered":"\u00bfQu\u00e9 m\u00e9dico trata el dolor de rodilla?"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\">Los medicos de&nbsp; primer contacto para valorar el dolor de rodilla, suelen ser los m\u00e9dicos de atenci\u00f3n primaria (medicina familiar\/internista\/traumat\u00f3logo), quienes realizan una historia cl\u00ednica, exploraci\u00f3n, radiograf\u00edas iniciales si son necesarias y decide derivaciones seg\u00fan hallazgos y signos de alarma. En mayores de 45\u201350 a\u00f1os con sospecha de artrosis, la atenci\u00f3n primaria lidera el manejo escalonado y coordina derivaci\u00f3n si fracasa el tratamiento conservador.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\">\u00bf<em><em>Cu\u00e1ndo derivar y a qui\u00e9n?<\/em><\/em><\/h3>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Ortopedia\/Traumatolog\u00eda o Medicina del Deporte: sospecha de lesi\u00f3n interna (menisco\/ligamentos), bloqueo, inestabilidad, derrame traum\u00e1tico, fracaso de manejo conservador o consideraci\u00f3n quir\u00fargica. Ya sea por un franco inicio traum\u00e1tico as\u00ed como por persistencia de s\u00edntomas en manejo conservador.<\/li>\n<\/ul>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Reumatolog\u00eda: signos de artritis inflamatoria (rigidez prolongada, m\u00faltiples articulaciones, fiebre, marcadores sist\u00e9micos), o sospecha de espondiloartritis; las gu\u00edas recomiendan derivaci\u00f3n temprana para confirmar e iniciar tratamiento, as\u00ed como por presenter antecedentes de familiares con enfermedades diagnosticadas y en tratamiento.<\/li>\n<\/ul>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Fisioterapia: muchos casos (p. ej., artrosis, dolor patelofemoral) se benefician de rutas de atenci\u00f3n con fisioterapia y control en atenci\u00f3n primaria; derivar a especialista cuando el curso no es el esperado. Habitualmente se emplea el uso de fisioterapia cuando se ha confirmado el diagn\u00f3stico de la causa de dolor y se emplea la fisioterapia como medida de tratamiento dirigido a una enfermedad o lesion. No obstante, la fisioterapia se ha vuelto un \u00e1rea de atenci\u00f3n m\u00e9dica de primer contacto en nuestro pa\u00eds.<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\"><em>Tips pr\u00e1cticos para saber qu\u00e9 hacer:<\/em><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">En la mayor\u00eda de los pacientes, la historia y la exploraci\u00f3n bien hechas orientan el diagn\u00f3stico; la radiograf\u00eda\/eco son primera l\u00ednea seg\u00fan el contexto, reservando la Resonancia Magn\u00e9tica para dudas o sospecha de lesi\u00f3n interna, en dado caso, enviar a Ortopedista \/Traumat\u00f3logo en caso de si existen dudas cuando la atenci\u00f3n inicial llega a otro m\u00e9dico.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Pedir Resonancia Magn\u00e9tica de forma indiscriminada desde los niveles de atenci\u00f3n primaria en mayores de 40 a\u00f1os, aporta poco y aumenta derivaciones o tratamientos innecesarios; priorizar radiograf\u00eda en carga y examen f\u00edsico antes de RM.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Como conclusi\u00f3n: comienza con atenci\u00f3n primaria; seg\u00fan los hallazgos, se deriva a ortopedia\/medicina del deporte para patolog\u00eda mec\u00e1nica\/quir\u00fargica o a reumatolog\u00eda si se sospecha inflamaci\u00f3n sist\u00e9mica, siguiendo rutas de atenci\u00f3n ya establecidas para optimizar tiempos y recursos.&nbsp;<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><em>Fuentes consultadas<\/em><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">[1] Natalie Farha, Abby Spencer, &amp; Megan McGervey (2021).<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Outpatient Evaluation of Knee Pain. The Medical clinics of North America.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/33246514\" target=\"_blank\" rel=\"noopener\">https:\/\/pubmed.ncbi.nlm.nih.gov\/33246514<\/a><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">[2] Maxime Jaren, Kevin Do Nascimento, Alexandre Dumusc, &amp; Silva Auer (2024).<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">[Knee pain in primary care medicine : diagnostic and therapeutic approach]. Revue medicale suisse.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/39506473\" target=\"_blank\" rel=\"noopener\">https:\/\/pubmed.ncbi.nlm.nih.gov\/39506473<\/a><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">[3] Cody Sasek (2015).<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">An update on primary care management of knee osteoarthritis. JAAPA : official journal of the American Academy of Physician Assistants.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/25486500\" target=\"_blank\" rel=\"noopener\">https:\/\/pubmed.ncbi.nlm.nih.gov\/25486500<\/a><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">[4] M Porcheret, K Jordan, &amp; P Croft (2007).<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Treatment of knee pain in older adults in primary care: development of an evidence-based model of care. Rheumatology (Oxford, England).<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/17062646\" target=\"_blank\" rel=\"noopener\">https:\/\/pubmed.ncbi.nlm.nih.gov\/17062646<\/a><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">[5] Jeffrey R Brown, &amp; Thomas H Trojian (2004).<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Anterior and posterior cruciate ligament injuries. Primary care.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/15544828\" target=\"_blank\" rel=\"noopener\">https:\/\/pubmed.ncbi.nlm.nih.gov\/15544828<\/a><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">[6] Joseph E Allen, &amp; Kenneth S Taylor (2004).<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Physical examination of the knee. Primary care.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/15544826\" target=\"_blank\" rel=\"noopener\">https:\/\/pubmed.ncbi.nlm.nih.gov\/15544826<\/a><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">[7] Jenna Wong, Karen Tu, Sasha Bernatsky, Liisa Jaakkimainen, J Carter Thorne, Vandana Ahluwalia, J Michael Paterson, &amp; Jessica Widdifield (2019).<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Quality and continuity of information between primary care physicians and rheumatologists. BMC rheumatology.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/31149655\" target=\"_blank\" rel=\"noopener\">https:\/\/pubmed.ncbi.nlm.nih.gov\/31149655<\/a><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">[8] NICE (2025).<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Spondyloarthritis. Quality statement 1: Referral. nice.org.uk.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/www.nice.org.uk\/guidance\/qs170\/chapter\/Quality-statement-1-Referral\" target=\"_blank\" rel=\"noopener\">https:\/\/www.nice.org.uk\/guidance\/qs170\/chapter\/Quality-statement-1-Referral<\/a><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">[9] Hunter Hsu, &amp; Ryan M. Siwiec (2023).<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Knee Osteoarthritis. StatPearls Publishing.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/books\/n\/statpearls\/article-41509\" target=\"_blank\" rel=\"noopener\">https:\/\/www.ncbi.nlm.nih.gov\/books\/n\/statpearls\/article-41509<\/a><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">[10] Kate Button, Fiona Morgan, Alison Lesley Weightman, &amp; Stephen Jones (2019).<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Musculoskeletal care pathways for adults with hip and knee pain referred for specialist opinion: a systematic review. BMJ open.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/31488471\" target=\"_blank\" rel=\"noopener\">https:\/\/pubmed.ncbi.nlm.nih.gov\/31488471<\/a><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">[11] E Robinson, B Rajayogeswaran, &amp; E Walton (2023).<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Changing primary care requesting practices for MRI knee: A quality improvement project. Radiography (London, England : 1995).<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/36907026\" target=\"_blank\" rel=\"noopener\">https:\/\/pubmed.ncbi.nlm.nih.gov\/36907026<\/a><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">[12] David J Petron, Patrick E Greis, Stephen K Aoki, Stuart Black, Derek Krete, Kinjal B Sohagia, &amp; Robert Burks (2010).<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Use of knee magnetic resonance imaging by primary care physicians in patients aged 40 years and older. Sports health.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/23015964\" target=\"_blank\" rel=\"noopener\">https:\/\/pubmed.ncbi.nlm.nih.gov\/23015964<\/a><\/p>\n\n\n\n<div class=\"wp-block-buttons is-layout-flex wp-block-buttons-is-layout-flex\">\n<div class=\"wp-block-button has-custom-width wp-block-button__width-100 is-style-fill\"><a class=\"wp-block-button__link has-white-color has-text-color has-background has-medium-font-size has-custom-font-size wp-element-button\" href=\"https:\/\/www.doctoralia.com.mx\/esteban-castro-contreras-2\/ortopedista-traumatologo\/tlajomulco-de-zuniga?utm_source=widget-doctor-63351&amp;utm_medium=certificate&amp;utm_campaign=&amp;utm_content=#highlight-calendar\" style=\"background-color:#00c3a5\" target=\"_blank\" rel=\"noreferrer noopener\"> Agenda una cita <\/a><\/div>\n\n\n\n<div class=\"wp-block-button has-custom-width wp-block-button__width-100 is-style-fill\"><a class=\"wp-block-button__link has-background wp-element-button\" href=\"https:\/\/www.drestebancastro.com\/blog\/\" style=\"background-color:#0798bc\" target=\"_blank\" rel=\"noreferrer noopener\"> Conoce m\u00e1s <\/a><\/div>\n\n\n\n<div class=\"wp-block-button has-custom-width wp-block-button__width-50 is-style-outline is-style-outline--1\"><a class=\"wp-block-button__link has-text-color wp-element-button\" href=\"https:\/\/www.facebook.com\/Dr-Esteban-Castro-Contreras-Traumat%C3%B3logo-y-Ortopedista-121291695221565\/\" style=\"color:#0798bc\" target=\"_blank\" rel=\"noreferrer noopener\"> Facebook<\/a><\/div>\n\n\n\n<div class=\"wp-block-button has-custom-width wp-block-button__width-50 is-style-outline is-style-outline--2\"><a class=\"wp-block-button__link has-white-background-color has-text-color has-background wp-element-button\" href=\"https:\/\/www.instagram.com\/drestebancastrotrauma\/\" style=\"color:#0798bc\" target=\"_blank\" rel=\"noreferrer noopener\"> Instagram<\/a><\/div>\n<\/div>\n\n\n\n<script type=\"application\/ld+json\">\n{\n  \"@context\": \"https:\/\/schema.org\",\n  \"@graph\": [\n    {\n      \"@type\": \"Physician\",\n      \"@id\": \"https:\/\/www.drestebancastro.com\/blog\/que-medico-trata-el-dolor-de-rodilla\/#doctor\",\n      \"name\": \"Dr. Esteban Castro Contreras\",\n      \"image\": \"https:\/\/drestebancastro.com\/img\/inicio\/dr-esteban-castro-traumatologo-ortopedista-guadalajara-004.webp\",\n      \"jobTitle\": \"M\u00e9dico Especialista en Traumatolog\u00eda y Ortopedia\",\n      \"telephone\": \"+523310259669\",\n      \"priceRange\": \"$$$\",\n      \"url\": \"https:\/\/www.drestebancastro.com\/blog\/que-medico-trata-el-dolor-de-rodilla\/\",\n      \"medicalSpecialty\": {\n        \"@type\": \"MedicalSpecialty\",\n        \"name\": \"Traumatolog\u00eda y Ortopedia\"\n      },\n      \"address\": {\n        \"@type\": \"PostalAddress\",\n        \"streetAddress\": \"C. 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El traumat\u00f3logo est\u00e1 especializado en el diagn\u00f3stico y tratamiento de lesiones deportivas como esguinces, desgarros musculares, lesiones de ligamentos, problemas de rodilla, hombro o tobillo.\"\n          }\n        },\n        {\n          \"@type\": \"Question\",\n          \"@id\": \"https:\/\/www.drestebancastro.com\/blog\/que-medico-trata-el-dolor-de-rodilla\/#cirugia\",\n          \"name\": \"\u00bfTodos los problemas ortop\u00e9dicos requieren cirug\u00eda?\",\n          \"keywords\": [\"cirug\u00eda ortop\u00e9dica\", \"tratamiento conservador\", \"rehabilitaci\u00f3n\"],\n          \"acceptedAnswer\": {\n            \"@type\": \"Answer\",\n            \"text\": \"No. Muchos problemas musculoesquel\u00e9ticos pueden tratarse con medicamentos, reposo, fisioterapia o infiltraciones. La cirug\u00eda se indica solo cuando los tratamientos conservadores no resuelven el problema.\"\n          }\n        },\n        {\n          \"@type\": \"Question\",\n          \"@id\": \"https:\/\/www.drestebancastro.com\/blog\/que-medico-trata-el-dolor-de-rodilla\/#consulta\",\n          \"name\": \"\u00bfQu\u00e9 incluye una consulta con el traumat\u00f3logo?\",\n          \"keywords\": [\"consulta traumatolog\u00eda\", \"diagn\u00f3stico ortop\u00e9dico\"],\n          \"acceptedAnswer\": {\n            \"@type\": \"Answer\",\n            \"text\": \"La consulta incluye valoraci\u00f3n cl\u00ednica, exploraci\u00f3n f\u00edsica del sistema musculoesquel\u00e9tico, revisi\u00f3n de estudios de imagen como radiograf\u00edas o resonancias y la indicaci\u00f3n de un plan de tratamiento personalizado.\"\n          }\n        },\n        {\n          \"@type\": \"Question\",\n          \"@id\": \"https:\/\/www.drestebancastro.com\/blog\/que-medico-trata-el-dolor-de-rodilla\/#fractura\",\n          \"name\": \"\u00bfCu\u00e1nto tiempo tarda en sanar una fractura?\",\n          \"keywords\": [\"fractura\", \"tiempo de recuperaci\u00f3n\", \"hueso roto\"],\n          \"acceptedAnswer\": {\n            \"@type\": \"Answer\",\n            \"text\": \"El tiempo de recuperaci\u00f3n depende del tipo de fractura, la edad del paciente y el hueso afectado. 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primer contacto para valorar el dolor de rodilla, suelen ser los m\u00e9dicos de atenci\u00f3n primaria (medicina familiar\/internista\/traumat\u00f3logo), quienes realizan una historia cl\u00ednica, exploraci\u00f3n, radiograf\u00edas iniciales si son necesarias y decide derivaciones seg\u00fan hallazgos y signos de alarma. En mayores de 45\u201350 a\u00f1os con sospecha de artrosis, la atenci\u00f3n primaria lidera el manejo [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"inline_featured_image":false,"_breakdance_hide_in_design_set":false,"_breakdance_tags":"","footnotes":""},"categories":[57],"tags":[],"class_list":["post-3488","post","type-post","status-publish","format-standard","hentry","category-rodilla"],"_links":{"self":[{"href":"https:\/\/www.drestebancastro.com\/blog\/wp-json\/wp\/v2\/posts\/3488","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.drestebancastro.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.drestebancastro.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.drestebancastro.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.drestebancastro.com\/blog\/wp-json\/wp\/v2\/comments?post=3488"}],"version-history":[{"count":5,"href":"https:\/\/www.drestebancastro.com\/blog\/wp-json\/wp\/v2\/posts\/3488\/revisions"}],"predecessor-version":[{"id":3969,"href":"https:\/\/www.drestebancastro.com\/blog\/wp-json\/wp\/v2\/posts\/3488\/revisions\/3969"}],"wp:attachment":[{"href":"https:\/\/www.drestebancastro.com\/blog\/wp-json\/wp\/v2\/media?parent=3488"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.drestebancastro.com\/blog\/wp-json\/wp\/v2\/categories?post=3488"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.drestebancastro.com\/blog\/wp-json\/wp\/v2\/tags?post=3488"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}