{"id":3800,"date":"2026-06-04T12:16:53","date_gmt":"2026-06-04T18:16:53","guid":{"rendered":"https:\/\/www.drestebancastro.com\/blog\/?p=3800"},"modified":"2026-06-04T12:29:12","modified_gmt":"2026-06-04T18:29:12","slug":"por-que-me-duele-la-columna-lumbar-y-como-se-si-es-grave","status":"publish","type":"post","link":"https:\/\/www.drestebancastro.com\/blog\/por-que-me-duele-la-columna-lumbar-y-como-se-si-es-grave\/","title":{"rendered":"\u00bfPor qu\u00e9 me duele la columna lumbar y c\u00f3mo s\u00e9 si es grave?"},"content":{"rendered":"\n<style>\n    @import url(\"https:\/\/fonts.googleapis.com\/css2?family=Playfair+Display:wght@700;800&family=Source+Serif+4:ital,wght@0,300;0,400;0,600;1,400&family=DM+Sans:wght@400;500;600;700&display=swap\");\n\n\/* ============================================================\n   DESIGN SYSTEM \u2014 M\u00e9dico Moderno \u00b7 Cuaderno de Apuntes\n   Est\u00e9tica: azul cl\u00ednico profundo + ocre c\u00e1lido + papel marfil\n   Tipograf\u00eda: Playfair (t\u00edtulos) + Source Serif 4 (cuerpo) + DM Sans (UI)\n============================================================ *\/\n:root {\n  --azul:       #0d3554;\n  --azul-mid:   #1a5276;\n  --azul-claro: #2e86c1;\n  --azul-tint:  #eaf4fb;\n  --azul-soft:  #d6eaf8;\n  --verde:      #1e7e4e;\n  --verde-tint: #e8f8f0;\n  --rojo:       #b03a2e;\n  --rojo-tint:  #fdedec;\n  --naranja:    #d4681a;\n  --naranja-tint:#fdf0e8;\n  --ocre:       #b7860b;\n  --ocre-tint:  #fefce8;\n  --papel:      #fdfbf6;\n  --linea:      #c8d8e4;\n  --texto:      #1a2a35;\n  --texto-suave:#4a6278;\n  --borde:      #dde6ee;\n  --radio:      14px;\n  --radio-lg:   22px;\n  --sombra:     0 2px 16px rgba(13,53,84,.08);\n  --sombra-hover:0 8px 32px rgba(13,53,84,.15);\n}\n\n.drcastro-columna-guia,\n.drcastro-columna-guia *,\n.drcastro-columna-guia *::before,\n.drcastro-columna-guia *::after { box-sizing: border-box; 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}\n.step-num {\n  background: var(--azul);\n  color: #fff;\n  border-radius: 50%;\n  width: 32px; height: 32px;\n  display: flex; align-items: center; justify-content: center;\n  font-family: 'DM Sans', sans-serif;\n  font-weight: 700; font-size: .9rem;\n  flex-shrink: 0; margin-top: 2px;\n}\n.step-body strong {\n  display: block;\n  font-family: 'DM Sans', sans-serif;\n  color: var(--azul);\n  margin-bottom: 4px;\n  font-size: .95rem;\n}\n.step-body p { font-size: .91rem; margin: 0; }\n\n\/* \u2500\u2500 DONUT \u2500\u2500 *\/\n.donut-wrap {\n  display: flex; align-items: center; gap: 24px;\n  flex-wrap: wrap; margin: 20px 0;\n}\n.donut-label {\n  font-family: 'DM Sans', sans-serif;\n  font-size: .82rem;\n  color: var(--texto-suave);\n  max-width: 140px;\n  margin-top: 6px;\n}\n\n\/* \u2500\u2500 REFERENCES \u2500\u2500 *\/\n.refs {\n  background: #f4f7fa;\n  border-radius: var(--radio);\n  padding: 22px 26px;\n  margin-top: 30px;\n  border: 1px solid var(--borde);\n}\n.refs h4 {\n  font-family: 'DM Sans', sans-serif;\n  font-size: .72rem;\n  font-weight: 700;\n  letter-spacing: 2px;\n  text-transform: uppercase;\n  color: var(--texto-suave);\n  margin-bottom: 14px;\n}\n.refs ol { padding-left: 20px; 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font-size: 1rem; }\n.ftr small { display: block; margin-top: 12px; opacity: .55; font-size: .74rem; }\n\n\/* \u2500\u2500 RESPONSIVE \u2500\u2500 *\/\n@media (max-width: 640px) {\n  .qcard-body { padding: 22px; }\n  .qcard-head { padding: 22px; }\n  .bar-label  { width: 105px; font-size: .77rem; }\n  .two-col    { grid-template-columns: 1fr; }\n  .notebook   { padding-left: 40px; }\n}\n\n\n\/* Compatibilidad Bloque 1 *\/\n.question-card,.question-header,.question-body,.question-number{display:revert}\n.stat-number{font-family:'Playfair Display',serif;font-size:2rem;font-weight:800;color:var(--azul);display:block;line-height:1.1}\n.references{background:#f4f7fa;border-radius:var(--radio);padding:22px 26px;margin-top:30px;border:1px solid var(--borde)}\n.references h4{font-family:'DM Sans',sans-serif;font-size:.72rem;font-weight:700;letter-spacing:2px;text-transform:uppercase;color:var(--texto-suave);margin-bottom:14px}\n.references ol{padding-left:20px}\n.references li{font-family:'DM Sans',sans-serif;font-size:.8rem;color:var(--texto-suave);margin-bottom:8px;line-height:1.55}\n.illustration-wrapper{margin:28px 0}\n.illustration-title{font-family:'DM Sans',sans-serif;font-size:.7rem;font-weight:700;letter-spacing:1.5px;text-transform:uppercase;color:var(--texto-suave);margin-bottom:8px}\n.spine-svg{width:100%;max-width:320px;display:block;margin:0 auto}\n.price-card{background:var(--papel);border:2px solid var(--borde);border-radius:var(--radio-lg);padding:22px 26px;margin:20px 0}\n.price-card.highlight{border-color:var(--azul-claro);background:var(--azul-tint)}\n.price-card h4{font-family:'DM Sans',sans-serif;font-size:.9rem;font-weight:700;color:var(--azul);margin-bottom:12px}\n.price-range{font-family:'Playfair Display',serif;font-size:1.6rem;font-weight:800;color:var(--azul);line-height:1}\n.price-sub{font-family:'DM Sans',sans-serif;font-size:.78rem;color:var(--texto-suave);margin-top:4px}\n.checklist{margin:18px 0}\n.check-item{display:flex;gap:10px;padding:10px 0;border-bottom:1px solid var(--borde);font-family:'DM Sans',sans-serif;font-size:.92rem;align-items:flex-start}\n.check-item:last-child{border-bottom:none}\n.check-icon{flex-shrink:0;margin-top:2px;font-size:1rem}\n.col-card.blue{background:var(--azul-tint);border:1px solid var(--azul-soft)}\n\n\/* Enlace a gu\u00eda de 30 preguntas *\/\n.guia-link-wrap{max-width:920px;margin:0 auto 24px;padding:0 20px;text-align:center}\n.guia-link{font-family:'DM Sans',sans-serif;font-size:.9rem;color:var(--azul-claro);text-decoration:none;display:inline-flex;align-items:center;gap:6px;padding:10px 18px;border:1px solid var(--azul-soft);border-radius:30px;background:var(--papel);transition:background .2s,color .2s}\n.guia-link:hover{background:var(--azul-tint);color:var(--azul)}\n<\/style>\n<div class=\"drcastro-columna-guia\">\n\n<header class=\"hdr\">\n  <div class=\"hdr-deco\"><\/div>\n  <div class=\"hdr-badge\">Columna vertebral \u00b7 Pregunta 1 de 30 \u00b7 Guadalajara 2026<\/div>\n  <h1>\u00bfPor qu\u00e9 me duele la columna lumbar y c\u00f3mo s\u00e9 si es grave?<\/h1>\n  <p>Dr. Esteban Castro Contreras \u00b7 Traumatolog\u00eda, Ortopedia y Cirug\u00eda Articular<\/p>\n<\/header>\n\n<div class=\"guia-link-wrap\">\n  <a class=\"guia-link\" href=\"https:\/\/www.drestebancastro.com\/blog\/las-30-preguntas-mas-buscadas-sobre-salud-de-la-columna-respuestas-claras-de-un-especialista\/\">\u2190 Ver las 30 preguntas sobre columna<\/a>\n<\/div>\n\n<main class=\"container\">\n\n<article class=\"qcard visible\" id=\"q1\">\n  <div class=\"qcard-head\" data-num=\"1\">\n    <div class=\"q-topic\">Pregunta 01 \u00b7 Dolor Lumbar<\/div>\n    <h2>\u00bfPor qu\u00e9 me duele la columna lumbar y c\u00f3mo s\u00e9 si es grave?<\/h2>\n  <\/div>\n  <div class=\"qcard-body\">\n\n    \n\n    <!-- STATS -->\n    <div class=\"stat-grid\">\n      <div class=\"stat-card\">\n        <span class=\"stat-num\">7\/10<\/span>\n        <div class=\"stat-label\">mexicanos tendr\u00e1n dolor lumbar al menos una vez en su vida<\/div>\n      <\/div>\n      <div class=\"stat-card\">\n        <span class=\"stat-num\">85%<\/span>\n        <div class=\"stat-label\">de los casos mejoran solos en 2 a 3 semanas<\/div>\n      <\/div>\n      <div class=\"stat-card\">\n        <span class=\"stat-num\">#2<\/span>\n        <div class=\"stat-label\">causa m\u00e1s com\u00fan de consulta m\u00e9dica en M\u00e9xico (IMSS)<\/div>\n      <\/div>\n    <\/div>\n\n    <h3>\u00bfPor qu\u00e9 duele la zona baja de la espalda?<\/h3>\n\n    <p>La columna lumbar carga pr\u00e1cticamente todo el peso del cuerpo cada vez que te pones de pie, caminas o te sientas. Son cinco v\u00e9rtebras enormes \u2014las m\u00e1s grandes de toda la columna\u2014 separadas por unos amortiguadores llamados <strong>discos intervertebrales<\/strong>. Cuando algo en ese sistema falla, el dolor aparece casi de inmediato.<\/p>\n\n    <p>Las causas m\u00e1s frecuentes son cosas del d\u00eda a d\u00eda: cargar objetos pesados con mala t\u00e9cnica, pasar muchas horas sentado frente a la computadora, dormir en una postura forzada o simplemente el desgaste acumulado de a\u00f1os. Pero tambi\u00e9n puede haber causas m\u00e1s espec\u00edficas como una hernia de disco, contracturas musculares profundas, artritis de las peque\u00f1as articulaciones o, en menor medida, problemas que vienen de los ri\u00f1ones o del sistema digestivo.<\/p>\n\n    <!-- NOTEBOOK ILLUSTRATION: Columna Lumbar -->\n    <div class=\"illus-wrap\">\n      <div class=\"illus-label\">\ud83d\udcd6 Cuaderno M\u00e9dico \u2014 Anatom\u00eda de la Columna Lumbar<\/div>\n      <div class=\"notebook\">\n        <svg class=\"spine-svg\" viewBox=\"0 0 300 420\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" aria-label=\"Diagrama de columna lumbar con v\u00e9rtebras L1-L5\">\n          <!-- Background -->\n          <rect width=\"300\" height=\"420\" fill=\"transparent\"><\/rect>\n          <!-- Title -->\n          <text x=\"150\" y=\"24\" text-anchor=\"middle\" font-family=\"'Courier New', monospace\" font-size=\"13\" font-weight=\"bold\" fill=\"#1a4f7a\">COLUMNA LUMBAR \u2014 Vista Lateral<\/text>\n\n          <!-- Spinal cord line -->\n          <path d=\"M 150 45 Q 148 120 150 200 Q 152 280 150 360\" stroke=\"#ff8c94\" stroke-width=\"5\" fill=\"none\" stroke-dasharray=\"6,3\" opacity=\"0.7\"><\/path>\n          <text x=\"185\" y=\"205\" font-family=\"'Courier New', monospace\" font-size=\"9\" fill=\"#c0392b\">\u2190 m\u00e9dula\/<\/text>\n          <text x=\"185\" y=\"217\" font-family=\"'Courier New', monospace\" font-size=\"9\" fill=\"#c0392b\">  nervios<\/text>\n\n          <!-- Vertebrae L1-L5 (simplified rectangles with rounded corners) -->\n          <!-- L1 -->\n          <rect x=\"90\" y=\"48\" width=\"120\" height=\"38\" rx=\"6\" fill=\"#d4e8f7\" stroke=\"#1a4f7a\" stroke-width=\"1.5\"><\/rect>\n          <text x=\"84\" y=\"72\" font-family=\"'Courier New', monospace\" font-size=\"11\" font-weight=\"bold\" fill=\"#1a4f7a\" text-anchor=\"end\">L1<\/text>\n          <!-- Disc L1-L2 (animated) -->\n          <rect x=\"95\" y=\"87\" width=\"110\" height=\"16\" rx=\"8\" fill=\"#f9a825\" stroke=\"#f57f17\" stroke-width=\"1\">\n            <animate attributeName=\"ry\" values=\"8;6;8\" dur=\"3s\" repeatCount=\"indefinite\"><\/animate>\n          <\/rect>\n          <text x=\"220\" y=\"98\" font-family=\"'Courier New', monospace\" font-size=\"8\" fill=\"#795548\">\u25c0 disco<\/text>\n\n          <!-- L2 -->\n          <rect x=\"90\" y=\"104\" width=\"120\" height=\"38\" rx=\"6\" fill=\"#d4e8f7\" stroke=\"#1a4f7a\" stroke-width=\"1.5\"><\/rect>\n          <text x=\"84\" y=\"128\" font-family=\"'Courier New', monospace\" font-size=\"11\" font-weight=\"bold\" fill=\"#1a4f7a\" text-anchor=\"end\">L2<\/text>\n          <!-- Disc L2-L3 -->\n          <rect x=\"95\" y=\"143\" width=\"110\" height=\"16\" rx=\"8\" fill=\"#f9a825\" stroke=\"#f57f17\" stroke-width=\"1\">\n            <animate attributeName=\"ry\" values=\"8;5;8\" dur=\"3.5s\" repeatCount=\"indefinite\"><\/animate>\n          <\/rect>\n\n          <!-- L3 -->\n          <rect x=\"90\" y=\"160\" width=\"120\" height=\"38\" rx=\"6\" fill=\"#d4e8f7\" stroke=\"#1a4f7a\" stroke-width=\"1.5\"><\/rect>\n          <text x=\"84\" y=\"184\" font-family=\"'Courier New', monospace\" font-size=\"11\" font-weight=\"bold\" fill=\"#1a4f7a\" text-anchor=\"end\">L3<\/text>\n          <!-- Disc L3-L4 -->\n          <rect x=\"95\" y=\"199\" width=\"110\" height=\"16\" rx=\"8\" fill=\"#f9a825\" stroke=\"#f57f17\" stroke-width=\"1\">\n            <animate attributeName=\"ry\" values=\"8;6;8\" dur=\"4s\" repeatCount=\"indefinite\"><\/animate>\n          <\/rect>\n\n          <!-- L4 \u2014 highlighted as most common -->\n          <rect x=\"85\" y=\"216\" width=\"130\" height=\"42\" rx=\"6\" fill=\"#b3d4f0\" stroke=\"#1565c0\" stroke-width=\"2.5\"><\/rect>\n          <text x=\"84\" y=\"242\" font-family=\"'Courier New', monospace\" font-size=\"11\" font-weight=\"bold\" fill=\"#1565c0\" text-anchor=\"end\">L4<\/text>\n          <text x=\"230\" y=\"230\" font-family=\"'Courier New', monospace\" font-size=\"8\" fill=\"#c0392b\">\u2605 m\u00e1s<\/text>\n          <text x=\"230\" y=\"241\" font-family=\"'Courier New', monospace\" font-size=\"8\" fill=\"#c0392b\">  afectada<\/text>\n          <!-- Disc L4-L5 -->\n          <rect x=\"95\" y=\"259\" width=\"110\" height=\"18\" rx=\"9\" fill=\"#ef9a9a\" stroke=\"#c62828\" stroke-width=\"1.5\">\n            <animate attributeName=\"ry\" values=\"9;5;9\" dur=\"2.8s\" repeatCount=\"indefinite\"><\/animate>\n          <\/rect>\n          <text x=\"220\" y=\"271\" font-family=\"'Courier New', monospace\" font-size=\"8\" fill=\"#c0392b\">\u2190 hernia<\/text>\n\n          <!-- L5 -->\n          <rect x=\"85\" y=\"278\" width=\"130\" height=\"42\" rx=\"6\" fill=\"#b3d4f0\" stroke=\"#1565c0\" stroke-width=\"2.5\"><\/rect>\n          <text x=\"84\" y=\"304\" font-family=\"'Courier New', monospace\" font-size=\"11\" font-weight=\"bold\" fill=\"#1565c0\" text-anchor=\"end\">L5<\/text>\n\n          <!-- Sacrum -->\n          <path d=\"M 90 322 Q 150 350 210 322 L 205 370 Q 150 390 95 370 Z\" fill=\"#e8d5b7\" stroke=\"#8d6e63\" stroke-width=\"1.5\"><\/path>\n          <text x=\"150\" y=\"355\" text-anchor=\"middle\" font-family=\"'Courier New', monospace\" font-size=\"10\" fill=\"#5d4037\">sacro<\/text>\n\n          <!-- Legend -->\n          <rect x=\"20\" y=\"380\" width=\"14\" height=\"10\" rx=\"2\" fill=\"#d4e8f7\" stroke=\"#1a4f7a\" stroke-width=\"1\"><\/rect>\n          <text x=\"38\" y=\"390\" font-family=\"'Courier New', monospace\" font-size=\"9\" fill=\"#555\">v\u00e9rtebra<\/text>\n          <rect x=\"100\" y=\"380\" width=\"14\" height=\"10\" rx=\"5\" fill=\"#f9a825\" stroke=\"#f57f17\" stroke-width=\"1\"><\/rect>\n          <text x=\"118\" y=\"390\" font-family=\"'Courier New', monospace\" font-size=\"9\" fill=\"#555\">disco<\/text>\n          <rect x=\"160\" y=\"380\" width=\"14\" height=\"10\" rx=\"5\" fill=\"#ef9a9a\" stroke=\"#c62828\" stroke-width=\"1.5\"><\/rect>\n          <text x=\"178\" y=\"390\" font-family=\"'Courier New', monospace\" font-size=\"9\" fill=\"#c0392b\">hernia<\/text>\n          <path d=\"M 238 380 Q 242 390 246 380\" stroke=\"#ff8c94\" stroke-width=\"3\" fill=\"none\"><\/path>\n          <text x=\"250\" y=\"390\" font-family=\"'Courier New', monospace\" font-size=\"9\" fill=\"#c0392b\">nervio<\/text>\n        <\/svg>\n        <p style=\"font-size:0.82rem;color:#777;text-align:center;margin-top:8px;font-family:'Courier New',monospace;\">\n          \u2191 Las v\u00e9rtebras L4\u2013L5 son las m\u00e1s frecuentemente afectadas por hernias de disco\n        <\/p>\n      <\/div>\n    <\/div>\n\n    <h3>\u00bfCu\u00e1ndo el dolor de espalda baja es una se\u00f1al de alarma?<\/h3>\n\n    <p>La gran mayor\u00eda de los dolores lumbares \u2014alrededor del 85 por ciento\u2014 mejoran solos en dos o tres semanas con reposo relativo y algo de antiinflamatorio. Sin embargo, hay se\u00f1ales que nunca hay que ignorar:<\/p>\n\n    <ul>\n      <li><strong>Hormigueo, adormecimiento o debilidad<\/strong> que baja por la pierna o el pie (puede indicar un nervio comprimido)<\/li>\n      <li><strong>P\u00e9rdida repentina del control de la vejiga o del intestino<\/strong> (urgencia m\u00e9dica)<\/li>\n      <li>Dolor que empeora de noche o cuando est\u00e1s acostado, sin que cambie con el movimiento<\/li>\n      <li>Fiebre alta junto con el dolor (posible infecci\u00f3n o absceso)<\/li>\n      <li>Dolor despu\u00e9s de un accidente o una ca\u00edda importante<\/li>\n      <li>P\u00e9rdida de peso sin raz\u00f3n aparente<\/li>\n    <\/ul>\n\n    <!-- Bar chart: causas del dolor lumbar -->\n    <h3>\u00bfQu\u00e9 tan comunes son las distintas causas?<\/h3>\n    <div class=\"bar-chart\" aria-label=\"Frecuencia de causas de dolor lumbar\">\n      <div class=\"bar-row\">\n        <div class=\"bar-label\">Muscular \/ postural<\/div>\n        <div class=\"bar-track\"><div class=\"bar-fill\" style=\"width:68%;background:linear-gradient(90deg,#2d7ab8,#5ab3e8)\">68%<\/div><\/div>\n      <\/div>\n      <div class=\"bar-row\">\n        <div class=\"bar-label\">Hernia de disco<\/div>\n        <div class=\"bar-track\"><div class=\"bar-fill\" style=\"width:18%;background:linear-gradient(90deg,#e67e22,#f5b942)\">18%<\/div><\/div>\n      <\/div>\n      <div class=\"bar-row\">\n        <div class=\"bar-label\">Artritis \/ desgaste<\/div>\n        <div class=\"bar-track\"><div class=\"bar-fill\" style=\"width:9%;background:linear-gradient(90deg,#8e44ad,#bb8fce)\">9%<\/div><\/div>\n      <\/div>\n      <div class=\"bar-row\">\n        <div class=\"bar-label\">Otras causas<\/div>\n        <div class=\"bar-track\"><div class=\"bar-fill\" style=\"width:5%;background:linear-gradient(90deg,#7f8c8d,#b0bec5)\">5%<\/div><\/div>\n      <\/div>\n    <\/div>\n\n    <div class=\"alert alert-blue\">\n      <strong>\ud83d\udcca Dato para M\u00e9xico<\/strong>\n      Seg\u00fan datos del IMSS, el dolor lumbar es la <strong>primera causa de incapacidad laboral temporal<\/strong> en poblaci\u00f3n de 20 a 50 a\u00f1os. Se calcula que 7 de cada 10 mexicanos lo experimentar\u00e1n al menos una vez en su vida.\n    <\/div>\n\n    <h3>\u00bfC\u00f3mo se diagnostica la causa?<\/h3>\n    <p>Un especialista en columna evaluar\u00e1 tu caso con preguntas precisas sobre cu\u00e1ndo empez\u00f3 el dolor, qu\u00e9 lo mejora, qu\u00e9 lo empeora, y si tienes s\u00edntomas acompa\u00f1antes. Seg\u00fan lo que encuentre en la exploraci\u00f3n f\u00edsica, decidir\u00e1 si necesitas estudios de imagen como una radiograf\u00eda, una resonancia magn\u00e9tica o una tomograf\u00eda. <strong>No todos los dolores lumbares necesitan estudios de inmediato.<\/strong><\/p>\n\n    <h3>\u00bfQu\u00e9 puedo hacer mientras llego al m\u00e9dico?<\/h3>\n    <ul>\n      <li>Aplica calor local durante 15 a 20 minutos en la zona dolorosa<\/li>\n      <li>Evita el reposo absoluto \u2014 caminar despacio ayuda m\u00e1s que quedarte en cama todo el d\u00eda<\/li>\n      <li>Usa un antiinflamatorio de venta libre si no tienes contraindicaciones<\/li>\n      <li>Evita levantar objetos pesados y los movimientos bruscos de flexi\u00f3n<\/li>\n    <\/ul>\n\n    <div class=\"alert alert-green\">\n      <strong>\u2705 \u00bfCu\u00e1ndo buscar a un especialista en columna?<\/strong>\n      Si el dolor dura m\u00e1s de dos semanas sin mejor\u00eda, si aparecen s\u00edntomas en la pierna o pie, o si el dolor regresa con frecuencia, es el momento de buscar a un m\u00e9dico especialista en columna vertebral. Un diagn\u00f3stico temprano puede evitar que un problema menor se convierta en una cirug\u00eda.\n    <\/div>\n\n    <!-- GMB -->\n    \n\n    <!-- REFERENCES -->\n    <div class=\"refs\">\n      <h4>Referencias bibliogr\u00e1ficas<\/h4>\n      <ol>\n        <li>Casazza, B. A. (2012). Diagnosis and treatment of acute low back pain. <em>American Family Physician, 85<\/em>(4), 343\u2013350.<\/li>\n        <li>Hoy, D., Bain, C., Williams, G., March, L., Brooks, P., Blyth, F., &amp; Buchbinder, R. (2012). A systematic review of the global prevalence of low back pain. <em>Arthritis &amp; Rheumatism, 64<\/em>(6), 2028\u20132037.<\/li>\n        <li>Instituto Mexicano del Seguro Social. (2019). <em>Gu\u00eda de pr\u00e1ctica cl\u00ednica: Diagn\u00f3stico y tratamiento del dolor lumbar agudo y cr\u00f3nico.<\/em> IMSS.<\/li>\n        <li>Maher, C., Underwood, M., &amp; Buchbinder, R. (2017). Non-specific low back pain. <em>The Lancet, 389<\/em>(10070), 736\u2013747.<\/li>\n        <li>Vlaeyen, J. W., Maher, C. G., Wiech, K., Van Zundert, J., Meloto, C. B., Diatchenko, L., &amp; Linton, S. J. (2018). Low back pain. <em>Nature Reviews Disease Primers, 4<\/em>(1), 52.<\/li>\n        <li>Organizaci\u00f3n Mundial de la Salud. (2023). <em>Musculoskeletal health: Low back pain fact sheet.<\/em> WHO. https:\/\/www.who.int\/news-room\/fact-sheets\/detail\/low-back-pain<\/li>\n      <\/ol>\n    <\/div>\n  <\/div>\n<\/article>\n\n<\/main>\n\n<footer class=\"ftr\">\n  <strong>Dr. Esteban Castro Contreras<\/strong>\n  <p>Traumatolog\u00eda \u00b7 Ortopedia \u00b7 Cirug\u00eda Articular \u00b7 Columna Vertebral<\/p>\n  <p>Guadalajara, Jalisco, M\u00e9xico \u00b7 2026<\/p>\n  <small>Contenido educativo. No sustituye la consulta m\u00e9dica personalizada.<\/small>\n<\/footer>\n\n<\/div>\n\n\n\n<!-- \u00bfPor qu\u00e9 me duele la columna lumbar y c\u00f3mo s\u00e9 si es grave? | Dr. Esteban Castro Contreras | WordPress -->\n<script type=\"application\/ld+json\">\n{\n  \"@context\": \"https:\/\/schema.org\",\n  \"@type\": \"MedicalWebPage\",\n  \"name\": \"\u00bfPor qu\u00e9 me duele la columna lumbar y c\u00f3mo s\u00e9 si es grave?\",\n  \"description\": \"El dolor lumbar se origina cuando los m\u00fasculos, ligamentos, discos o nervios de la zona baja de la espalda se irritan o lesionan. Es grave cuando aparec...\",\n  \"url\": \"https:\/\/www.drestebancastro.com\/blog\/por-que-me-duele-la-columna-lumbar-y-como-se-si-es-grave\/\",\n  \"author\": {\n    \"@type\": \"Physician\",\n    \"name\": \"Dr. Esteban Castro Contreras\",\n    \"description\": \"Especialista en Traumatolog\u00eda, Ortopedia y Cirug\u00eda Articular\",\n    \"knowsAbout\": [\n      \"Cirug\u00eda de Columna Vertebral\",\n      \"Hernia de Disco\",\n      \"Cirug\u00eda M\u00ednimamente Invasiva\",\n      \"Cirug\u00eda Endosc\u00f3pica de Columna\",\n      \"Estenosis Espinal\",\n      \"Escoliosis\",\n      \"Ci\u00e1tica y Lumbociatalgia\"\n    ],\n    \"medicalSpecialty\": \"Orthopedic Surgery\"\n  },\n  \"datePublished\": \"2026-06-04\",\n  \"dateModified\": \"2026-06-04\",\n  \"inLanguage\": \"es-MX\",\n  \"medicalAudience\": \"Patient\",\n  \"about\": [\n    {\n      \"@type\": \"MedicalCondition\",\n      \"name\": \"Enfermedades de la columna vertebral\"\n    }\n  ],\n  \"mainEntity\": {\n    \"@type\": \"FAQPage\",\n    \"mainEntity\": [\n      {\n        \"@type\": \"Question\",\n        \"name\": \"\u00bfPor qu\u00e9 me duele la columna lumbar y c\u00f3mo s\u00e9 si es grave?\",\n        \"acceptedAnswer\": {\n          \"@type\": \"Answer\",\n          \"text\": \"El dolor lumbar se origina cuando los m\u00fasculos, ligamentos, discos o nervios de la zona baja de la espalda se irritan o lesionan. Es grave cuando aparece junto con debilidad en las piernas, p\u00e9rdida del control de vejiga o intestino, fiebre alta o dolor despu\u00e9s de un golpe fuerte.\"\n        }\n      }\n    ]\n  }\n}\n<\/script>\n","protected":false},"excerpt":{"rendered":"<p>Columna vertebral \u00b7 Pregunta 1 de 30 \u00b7 Guadalajara 2026 \u00bfPor qu\u00e9 me duele la columna lumbar y c\u00f3mo s\u00e9 si es grave? Dr. Esteban Castro Contreras \u00b7 Traumatolog\u00eda, Ortopedia y Cirug\u00eda Articular \u2190 Ver las 30 preguntas sobre columna Pregunta 01 \u00b7 Dolor Lumbar \u00bfPor qu\u00e9 me duele la columna lumbar y c\u00f3mo s\u00e9 [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_et_pb_use_builder":"off","_et_pb_old_content":"","_et_gb_content_width":"","footnotes":""},"categories":[36],"tags":[],"class_list":["post-3800","post","type-post","status-publish","format-standard","hentry","category-columna"],"_links":{"self":[{"href":"https:\/\/www.drestebancastro.com\/blog\/wp-json\/wp\/v2\/posts\/3800","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=3800"}],"version-history":[{"count":3,"href":"https:\/\/www.drestebancastro.com\/blog\/wp-json\/wp\/v2\/posts\/3800\/revisions"}],"predecessor-version":[{"id":3803,"href":"https:\/\/www.drestebancastro.com\/blog\/wp-json\/wp\/v2\/posts\/3800\/revisions\/3803"}],"wp:attachment":[{"href":"https:\/\/www.drestebancastro.com\/blog\/wp-json\/wp\/v2\/media?parent=3800"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.drestebancastro.com\/blog\/wp-json\/wp\/v2\/categories?post=3800"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.drestebancastro.com\/blog\/wp-json\/wp\/v2\/tags?post=3800"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}