{"id":12077,"date":"2025-06-05T15:47:36","date_gmt":"2025-06-05T13:47:36","guid":{"rendered":"https:\/\/www.wheeleo.eu\/pijn-en-lopen-een-vaak-genegeerde-link\/"},"modified":"2025-06-19T12:17:54","modified_gmt":"2025-06-19T10:17:54","slug":"pijn-en-lopen-een-vaak-genegeerde-link","status":"publish","type":"post","link":"https:\/\/www.wheeleo.eu\/nl\/pijn-en-lopen-een-vaak-genegeerde-link\/","title":{"rendered":"Pijn en lopen: een vaak genegeerde link?"},"content":{"rendered":"\n<p>Sommige pijnloze loopmanieren zijn bekend, bijna karikaturaal: duidelijk manken, wegvliegende steun, beschermende houding&#8230; Maar andere zijn <strong>subtieler<\/strong>, minder opvallend. En wanneer <strong>de pijn zich niet uit<\/strong>, wordt het verband tussen de verandering in de loop en een pijnlijke oorsprong moeilijk vast te stellen. <\/p>\n\n<p>En toch is dit verband <strong>essentieel<\/strong> om te identificeren.<\/p>\n\n<h2 class=\"wp-block-heading\">Wanneer de pijn niet wordt gezegd, maar gezien<\/h2>\n\n<p>Bij pijn \u2013 of de angst ervoor \u2013 reageert het lichaam. Het past zich aan. De pati\u00ebnt verandert natuurlijk zijn houding, zijn steunpunten, zijn manier van lopen. Hij zet <strong>pijncompensaties<\/strong> in werking.   <\/p>\n\n<p>Deze aanpassingen zijn soms zo effectief dat de pijn verdwijnt. Of tenminste, <strong>het wordt niet meer waargenomen<\/strong>. In sommige gevallen heeft de pati\u00ebnt <strong>nooit geklaagd<\/strong> over pijn&#8230; en toch is zijn looppatroon veranderd.  <\/p>\n\n<p>Resultaat: tijdens het consult zien we een verandering in de loop <strong>zonder klachten<\/strong> of herinnering aan pijn. De link vervaagt. En daarmee onze klinische redenering.  <\/p>\n\n<h2 class=\"wp-block-heading\">De valkuil van de schijn<\/h2>\n\n<p>Als we niet aan pijn denken als mogelijke oorzaak, lopen we het risico om:<\/p>\n\n<ul class=\"wp-block-list\">\n<li><strong>Een andere oorzaak te zoeken<\/strong>: motorische beperking, evenwichtsstoornis, gewrichtsstijfheid&#8230;<\/li>\n\n\n\n<li><strong>Oefeningen voor te schrijven<\/strong> om de loop te corrigeren&#8230; zonder effect, omdat <strong>de oorzaak niet wordt behandeld<\/strong>.<\/li>\n\n\n\n<li><strong>Onbedoeld het compensatiepatroon te versterken<\/strong>, door naast het echte probleem te handelen.<\/li>\n<\/ul>\n\n<h2 class=\"wp-block-heading\">Fysiotherapeuten, laten we alert blijven<\/h2>\n\n<p>Als bewegingsprofessionals is het ook onze rol om detective te zijn. Een veranderde loop <strong>zonder pijnklachten betekent niet dat er geen pijn is<\/strong>. <\/p>\n\n<p><strong>Alert blijven op zwakke signalen<\/strong>, de geschiedenis van de pati\u00ebnt verkennen, vragen naar hun angsten, observeren van uitlokkende contexten: dit alles kan een verborgen pijn onthullen.<\/p>\n\n<p>En vooral: <strong>de oorzaak behandelen<\/strong> om de compensatie op te heffen.<\/p>\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n<p><strong>Om te onthouden:<\/strong><\/p>\n\n<ul class=\"wp-block-list\">\n<li>Pijn kan het lopen ingrijpend veranderen, <strong>zelfs zonder klachten<\/strong>.<\/li>\n\n\n\n<li>Sommige pijnloze looppatronen zijn <strong>moeilijk te herkennen<\/strong>.<\/li>\n\n\n\n<li><strong>Het identificeren van pijn<\/strong> (of de herinnering eraan) is essentieel om de revalidatie te sturen.<\/li>\n<\/ul>\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n<p>De compensatie is soms zo succesvol&#8230; dat we de oorzaak over het hoofd zien.<\/p>\n<div class=\"jet-woo-product-gallery blocks-jet-woo-product-gallery-grid\" data-gallery-settings=\"{&quot;enableGallery&quot;:false,&quot;enableZoom&quot;:false,&quot;zoomMagnify&quot;:1,&quot;caption&quot;:true,&quot;zoom&quot;:true,&quot;fullscreen&quot;:true,&quot;share&quot;:true,&quot;counter&quot;:true,&quot;arrows&quot;:true,&quot;hasVideo&quot;:false,&quot;videoType&quot;:&quot;&quot;,&quot;videoIn&quot;:&quot;content&quot;,&quot;videoAutoplay&quot;:false,&quot;videoLoop&quot;:false,&quot;videoFirst&quot;:false}\" data-is-block=\"jet-gallery\/gallery-grid\">\n<div class=\"jet-woo-product-gallery__content jet-woo-product-gallery__trigger--top-right jet-woo-product-gallery-grid-primary-\" data-featured-image=\"\">\n\t<div class=\"jet-woo-product-gallery-grid grid-col-desk-4 grid-col-tab-2 grid-col-mob-1\">\n\t\t\n\t\t\t\n<div class=\"jet-woo-product-gallery__image-item\">\n\t<div class=\"jet-woo-product-gallery__image\">\n\t\t<a 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rel=\"prettyPhoto[jet-gallery]\" data-e-disable-page-transition=\"\"><img decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/www.wheeleo.eu\/wp-content\/uploads\/2025\/06\/02-150x150.png\" class=\"wp-post-gallery\" alt=\"\" title=\"02\" data-caption=\"\" data-src=\"https:\/\/www.wheeleo.eu\/wp-content\/uploads\/2025\/06\/02.png\" data-large_image=\"https:\/\/www.wheeleo.eu\/wp-content\/uploads\/2025\/06\/02.png\" data-large_image_width=\"1080\" data-large_image_height=\"1350\" \/><\/a>\t<\/div>\n<\/div>\n<div class=\"jet-woo-product-gallery__image-item\">\n\t<div class=\"jet-woo-product-gallery__image\">\n\t\t<a class=\"jet-woo-product-gallery__image-link\" href=\"https:\/\/www.wheeleo.eu\/wp-content\/uploads\/2025\/06\/03.png\" itemprop=\"image\" title=\"03\" rel=\"prettyPhoto[jet-gallery]\" data-e-disable-page-transition=\"\"><img decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/www.wheeleo.eu\/wp-content\/uploads\/2025\/06\/03-150x150.png\" 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data-large_image=\"https:\/\/www.wheeleo.eu\/wp-content\/uploads\/2025\/06\/04.png\" data-large_image_width=\"1080\" data-large_image_height=\"1350\" \/><a class=\"jet-woo-product-gallery__image-overlay\"><span>+ 4 More Images<\/span><\/a><\/a>\t<\/div>\n<\/div>\n<div class=\"jet-woo-product-gallery__image-item item-hidden\">\n\t<div class=\"jet-woo-product-gallery__image\">\n\t\t<a class=\"jet-woo-product-gallery__image-link\" href=\"https:\/\/www.wheeleo.eu\/wp-content\/uploads\/2025\/06\/05.png\" itemprop=\"image\" title=\"05\" rel=\"prettyPhoto[jet-gallery]\" data-e-disable-page-transition=\"\"><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/www.wheeleo.eu\/wp-content\/uploads\/2025\/06\/05-150x150.png\" class=\"wp-post-gallery\" alt=\"\" title=\"05\" data-caption=\"\" data-src=\"https:\/\/www.wheeleo.eu\/wp-content\/uploads\/2025\/06\/05.png\" data-large_image=\"https:\/\/www.wheeleo.eu\/wp-content\/uploads\/2025\/06\/05.png\" data-large_image_width=\"1080\" data-large_image_height=\"1350\" \/><\/a>\t<\/div>\n<\/div>\n<div class=\"jet-woo-product-gallery__image-item item-hidden\">\n\t<div class=\"jet-woo-product-gallery__image\">\n\t\t<a class=\"jet-woo-product-gallery__image-link\" href=\"https:\/\/www.wheeleo.eu\/wp-content\/uploads\/2025\/06\/06.png\" itemprop=\"image\" title=\"06\" rel=\"prettyPhoto[jet-gallery]\" data-e-disable-page-transition=\"\"><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/www.wheeleo.eu\/wp-content\/uploads\/2025\/06\/06-150x150.png\" class=\"wp-post-gallery\" alt=\"\" title=\"06\" data-caption=\"\" data-src=\"https:\/\/www.wheeleo.eu\/wp-content\/uploads\/2025\/06\/06.png\" data-large_image=\"https:\/\/www.wheeleo.eu\/wp-content\/uploads\/2025\/06\/06.png\" data-large_image_width=\"1080\" data-large_image_height=\"1350\" \/><\/a>\t<\/div>\n<\/div>\n<div class=\"jet-woo-product-gallery__image-item item-hidden\">\n\t<div class=\"jet-woo-product-gallery__image\">\n\t\t<a class=\"jet-woo-product-gallery__image-link\" href=\"https:\/\/www.wheeleo.eu\/wp-content\/uploads\/2025\/06\/07.png\" itemprop=\"image\" title=\"07\" rel=\"prettyPhoto[jet-gallery]\" data-e-disable-page-transition=\"\"><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/www.wheeleo.eu\/wp-content\/uploads\/2025\/06\/07-150x150.png\" class=\"wp-post-gallery\" alt=\"\" title=\"07\" data-caption=\"\" data-src=\"https:\/\/www.wheeleo.eu\/wp-content\/uploads\/2025\/06\/07.png\" data-large_image=\"https:\/\/www.wheeleo.eu\/wp-content\/uploads\/2025\/06\/07.png\" data-large_image_width=\"1080\" data-large_image_height=\"1350\" \/><\/a>\t<\/div>\n<\/div>\n<div class=\"jet-woo-product-gallery__image-item item-hidden\">\n\t<div class=\"jet-woo-product-gallery__image\">\n\t\t<a class=\"jet-woo-product-gallery__image-link\" href=\"https:\/\/www.wheeleo.eu\/wp-content\/uploads\/2025\/06\/08.png\" itemprop=\"image\" title=\"08\" rel=\"prettyPhoto[jet-gallery]\" data-e-disable-page-transition=\"\"><img loading=\"lazy\" decoding=\"async\" width=\"150\" height=\"150\" src=\"https:\/\/www.wheeleo.eu\/wp-content\/uploads\/2025\/06\/08-150x150.png\" class=\"wp-post-gallery\" alt=\"\" title=\"08\" data-caption=\"\" data-src=\"https:\/\/www.wheeleo.eu\/wp-content\/uploads\/2025\/06\/08.png\" data-large_image=\"https:\/\/www.wheeleo.eu\/wp-content\/uploads\/2025\/06\/08.png\" data-large_image_width=\"1080\" data-large_image_height=\"1350\" \/><\/a>\t<\/div>\n<\/div>\n\t\t\t<\/div>\n<\/div><\/div>","protected":false},"excerpt":{"rendered":"<p>Sommige pijnloze loopmanieren zijn bekend, bijna karikaturaal: duidelijk manken, wegvliegende steun, beschermende houding&#8230; Maar andere zijn subtieler, minder opvallend. En wanneer de pijn zich niet uit, wordt het verband tussen de verandering in de loop en een pijnlijke oorsprong moeilijk vast te stellen. En toch is dit verband essentieel om te identificeren. Wanneer de pijn [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":12048,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[110],"tags":[],"profils-type":[],"expertise":[],"situation":[332],"profils-et-pathologies":[],"class_list":["post-12077","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-artikel","situation-andere-artikelen-zorgprofessional"],"_links":{"self":[{"href":"https:\/\/www.wheeleo.eu\/nl\/wp-json\/wp\/v2\/posts\/12077","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.wheeleo.eu\/nl\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.wheeleo.eu\/nl\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.wheeleo.eu\/nl\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.wheeleo.eu\/nl\/wp-json\/wp\/v2\/comments?post=12077"}],"version-history":[{"count":1,"href":"https:\/\/www.wheeleo.eu\/nl\/wp-json\/wp\/v2\/posts\/12077\/revisions"}],"predecessor-version":[{"id":12078,"href":"https:\/\/www.wheeleo.eu\/nl\/wp-json\/wp\/v2\/posts\/12077\/revisions\/12078"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.wheeleo.eu\/nl\/wp-json\/wp\/v2\/media\/12048"}],"wp:attachment":[{"href":"https:\/\/www.wheeleo.eu\/nl\/wp-json\/wp\/v2\/media?parent=12077"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.wheeleo.eu\/nl\/wp-json\/wp\/v2\/categories?post=12077"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.wheeleo.eu\/nl\/wp-json\/wp\/v2\/tags?post=12077"},{"taxonomy":"profils-type","embeddable":true,"href":"https:\/\/www.wheeleo.eu\/nl\/wp-json\/wp\/v2\/profils-type?post=12077"},{"taxonomy":"expertise","embeddable":true,"href":"https:\/\/www.wheeleo.eu\/nl\/wp-json\/wp\/v2\/expertise?post=12077"},{"taxonomy":"situation","embeddable":true,"href":"https:\/\/www.wheeleo.eu\/nl\/wp-json\/wp\/v2\/situation?post=12077"},{"taxonomy":"profils-et-pathologies","embeddable":true,"href":"https:\/\/www.wheeleo.eu\/nl\/wp-json\/wp\/v2\/profils-et-pathologies?post=12077"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}