Dorsalgia

408

Cuando consideramos a la columna “como un todo” debemos también tener en cuenta que se divide para su estudio en cuatro zonas: cervical, torácica (dorsal), lumbar y sacrococcígea.

Y los síntomas nos llevan a establecer una:

  • Cervicalgia cuando es a nivel cervical.
  • Dorsalgia cuando el dolor está situado en la región dorsal.
  • Lumbalgia a nivel lumbar.
  • Sacralgia a nivel sacro y coccigodinia a nivel coccígeo; las causas de todas ellas es variable.

La columna dorsal o torácica, está compuesta por doce vértebras desde la T1 (D1) hasta la T12 (D12), la característica anatómica importante es la disposición de las costillas a izquierda y derecha de cada una de las 12 vértebras torácicas que junto con el esternón en la zona anterior, reduce la movilidad de la columna vertebral. A todo este conjunto óseo, es lo que se conoce como “caja torácica”.

Comúnmente, el paciente refiere malestar en la parte superior de la espalda y los músculos de la nuca, esto es porque los angulares de los omóplatos y los romboides se contracturan excesivamente; a veces pueden presionar una arteria que irriga al cerebro, provocando mareos, zumbidos, problemas de visión y adormecimiento de manos; afortunadamente esto no es frecuente.

Por lo general, el dolor muscular se debe a actividades donde la columna cervical esta tensa y la vista fija en un mismo punto, derivados del trabajo continúo en la computadora o al manejar durante muchas horas. Otro origen frecuente es utilizar los brazos como palanca para levantar peso; tal es el caso de las mamás cuando alzan a los bebes de la cuna, o al cargar bolsas del supermercado.

Incluso se manifiesta en personas que manejan con los brazos extendidos, llegan a su destino ya con una contractura, provocándoles dolor y mal humor. Esto ortopédicamente hablando esta contraindicado, pero hay muchas personas sobre todo hombres que llevan los codos totalmente extendidos y manejando en esta posición, aparte de reducir su movimiento circular de las extremidades torácicas (brazos, codos, antebrazos), pueden provocar lesiones que al cabo del tiempo, provocarán dolor en todas las articulaciones desde columna. Así mismo, la tensión emocional y la presión del trabajo, originan un porcentaje elevado de contracturas en esta zona. Los brazos deben estar siempre flexionados, para que los trapecios no se tensen. 

Un tipo frecuente de dorsalgias es el producido por giros bruscos del tronco o por episodios de tos que afectan a las articulaciones costo-vertebrales. También tras la exposición al frío, en personas que se quedan dormidas sin taparse o se exponen al aire acondicionado.

Los padecimientos inflamatorios e incapacitantes como la espondilitis anquilosante; la escoliosis, cifosis, o la artrosis tan frecuente, se encuentran en dos de cada tres personas mayores de 30 años, derivadas de múltiples factores como la actividad forzada laboral y deportiva y falta de movilidad por el sedentarismo, sobre todo.

Otra de las causas de dolor dorsal es por protrusiones discales (hernias). Las protrusiones de disco dorsales son poco frecuentes, y se considera que sólo un 11% de todas las hernias discales, ocurren en la región dorsal. Normalmente a partir de la 8ª vértebra dorsal suelen ser severas y llevar un tratamiento de urgencia. En algunos casos, pueden llegar a requerir la cirugía, son las producidas por traumas (accidentes por caída, armonyterapias_osteopatia_chamberi_madridchoques de autos, volcaduras).

Hernias inter-esponjosas, los famosos nódulos de Schmörl, que provocan síntomas y requieren tratamientos diferentes, debido principalmente a fracturas aplastamientos de las plataformas superior o inferior de los cuerpos vertebrales. La principal causa es la osteoporosis (OP). Además de los aplastamientos de los cuerpos vertebrales, originados por la osteoporosis, que producen una pérdida de altura de la vértebra y las vuelven más frágiles, sobre todo en los cuerpos vertebrales T-10-T-11 y T-12.

Siempre hay que tener en cuenta la existencia de enfermedades en órganos distantes a la columna dorsal que pueden provocar como síntoma más destacado una dorsalgia, tal es el caso de los problemas pulmonares, cardiacos, úlcera duodenal, páncreas o vesícula.

Es importante realizar una evaluación minuciosa, en ocasiones las dorsalgias pueden originarse por la toma de corticoides por largo plazo, alcoholismo, diabetes, o en procesos malignos como los tumores. El antecedente de traumatismo, junto a un examen clínico de rutina, permitirán sospechar la magnitud de la lesión o enfermedad, que incluya una radiografía AP (antero posterior) y lateral de tórax y unos estudios de laboratorio de rutina, permitirán sospechar o concluir un problema.

En los casos de tumor maligno, las vértebras se vuelven frágiles y sufren un aplastamiento. Las metástasis de cáncer de pulmón, de mama y de próstata son los que más frecuentemente producen dorsalgias por su capacidad de lesionar al hueso. Dentro de los tumores benignos, podemos encontrar al osteoma osteoide, osteoblastoma, hemangioma. Las células tumorales invaden el cuerpo vertebral que provocan el colapso de la misma. El paciente se queja de dolor y de la aparición de una giba (joroba) en la espalda. Llegando en algunos casos a producir una paraplejía por lesión de la médula espinal. Se calcula que el 20% de todas las consultas reumatológicas y traumatológicas son por dorsalgias crónicas. Pocas están en relación con tumores malignos que han hecho metástasis en las vértebras.

Las infecciones de la columna dorsal, pueden ser producidas por gérmenes de todo tipo, tanto el sida como la tuberculosis, provocan grandes alteraciones en la anatomía de las vértebras dorsales con deformidades de espalda considerables.

El diagnóstico de las infecciones se hace a través de análisis de sangre, cultivos de gérmenes, y radiografías, a veces la tomografía (TAC) o la resonancia magnética (RM) son necesarias.

Los principales síntomas en las dorsalgias son:

  • sensación de carga y pesadez
  • aumento del dolor sobre todo en posturas prolongadas (el paciente describe el malestar localizado entre los omoplatos y la columna, sobre los músculos romboides, “en la nuca”)
  • dolor que irradia al pecho dando una sensación punzante (en ocasiones, el paciente lo asocia con un infarto, un tumor de pulmón o de mama, la molestia aumenta en al momento de estar acostado, incluso cuando el afectado está sentado o apoyado sobre el respaldo de una silla)

La contractura muscular causa dolor de espalda por varios mecanismos e impacta a la calidad de vida.

  • La contractura de un músculo irrita directamente los nervios nociceptivos (de dolor), desencadenando dolor dorsal. El músculo contracturado comprime el paquete vascular, disminuyendo su riego sanguíneo, lo que ocasiona una isquemia regional, lo que a su vez va a provocar mayor dolor. Es así como se forma un círculo vicioso – dolor-contractura-isquemia-dolor; ya que el músculo con menos riego tiende a contracturarse más fácilmente y, además, la falta de sangre irrita más los nervios nociceptivos. El estrés o la ansiedad producida por el dolor continuo, mantiene la contractura y así sucesivamente.
  • Si esa situación se mantiene por un período prolongado o se repite con frecuencia, el músculo se contractura cada vez con mayor facilidad. En esa situación, hacer el ejercicio físico adecuado es fundamental para romper la tendencia, además de la aplicación de calor (directo o indirecto), masaje, ultrasonido, corrientes analgésicas, etc.

Además de una higiene postural, es necesario evitar cargar demasiado peso con los miembros superiores, sobre todo cuando están en extensión y evitar las posturas de flexión mantenida de la columna dorsal por tiempos prolongados, cada dos horas sería el tiempo adecuado para realizar ejercicios de relajación.

La recomendación esencial es que debe evitarse la sobre medicación, es importante que se realicen pruebas médicas y estudios de gabinete para ofrecerle al paciente el tratamiento indicado. Los ejercicios de relajación y de fortalecimiento de las masas musculares del cuello y región dorsal tienen que ser de los más importantes.

No olvide acudir con su médico ortopedista de confianza.

Dr. José Luis Sánchez Mejía. Ortopedia y Traumatología.

pepeluigi58@yahoo.com.mx  | www.drsanchezmejia.com.mx

Referencias bibliográficas
http://www.luisbernal.es/descargas/g/11algias.pdf
Copyright © 1999-2008 Institut Ferran de Reumatología, S.L.
www.institutferran.org/dorsalgia.htm

You might also like More from author

408 Comments

  1. bit.ly says

    Hey I am so excited I found your blog page, I really found you by accident, while I was searching on Bing for something else, Anyways I am here now and would just like to say thanks a
    lot for a incredible post and a all round enjoyable blog (I also love the theme/design), I don’t have time to read it all at the minute but I
    have saved it and also included your RSS feeds, so when I have time I
    will be back to read a great deal more, Please do keep up
    the great job. asmr 0mniartist

  2. 0mniartist says

    This post is in fact a fastidious one it helps new net viewers, who
    are wishing in favor of blogging. 0mniartist asmr

  3. asmr https://0mniartist.tumblr.com says

    Fantastic goods from you, man. I have have in mind your stuff previous
    to and you are just too wonderful. I really like
    what you have obtained here, really like what you are stating and the best way in which you are saying it.
    You’re making it enjoyable and you continue to care for to
    stay it smart. I cant wait to read much more from
    you. This is actually a great site. asmr 0mniartist

  4. Christian Hendy says

    HiWhat’s upHi thereHello alleverybodyevery one, here every oneevery person is sharing suchthesethese kinds of experienceknowledgefamiliarityknow-how, sothustherefore it’s nicepleasantgoodfastidious to read this blogweblogwebpagewebsiteweb site, and I used to visitgo to seepay a visitpay a quick visit this blogweblogwebpagewebsiteweb site everydaydailyevery dayall the time.

  5. Kit Zahn says

    When IAfter I originallyinitially commentedleft a comment I seem to haveappear to have clickedclicked on the -Notify me when new comments are added- checkbox and nowand from now on each time aevery time awhenever a comment is added I getI recieveI receive four4 emails with the samewith the exact same comment. Is therePerhaps there isThere has to be a waya meansan easy method you canyou are able to remove me from that service? ThanksMany thanksThank youCheersThanks a lotAppreciate itKudos!

  6. Lucius Spontak says

    HelloGreetingsHey thereHeyGood dayHowdyHi thereHello thereHi! This is my first visit to your blog! We are a groupcollectionteam of volunteers and starting a new initiativeproject in a community in the same niche. Your blog provided us valuableusefulbeneficial information to work on. You have done a marvellousoutstandingextraordinarywonderful job!

  7. Marivel Bustard says

    GoodGreatVery good infoinformation. Lucky me I foundI discoveredI came acrossI ran acrossI recently found your websiteyour siteyour blog by accidentby chance (stumbleupon). I haveI’ve bookmarked itsaved itbook marked itbook-marked itsaved as a favorite for later!

  8. JaneHon says

    [url=https://gocialis.com/]avana online[/url]

  9. JaneHon says

    [url=https://viagrasild.com/]best sildenafil in india[/url]

  10. KimHon says

    [url=https://cleocinclindamycin.com/]generic clindamycin[/url]

  11. Gaylord Lawson says

    HelloHey thereHeyGood dayHowdyHi thereHello thereHi! Do you know if they make any plugins to protectsafeguard against hackers? I’m kinda paranoid about losing everything I’ve worked hard on. Any suggestionsrecommendationstips?

  12. Kevin Hazlip says

    GreatExcellentWonderfulGoodVery good articlepost! We will beWe are linking to thisto this particularly great articlepostcontent on our siteour website. Keep up the goodthe great writing.

  13. LisaHon says

    [url=https://malegrapill.com/]malegra fxt without prescription[/url]

  14. LisaHon says

    [url=https://albendazolealbenza.com/]albendazole cost[/url]

  15. AmyHon says

    [url=http://ivermectinpharmacy.com/]stromectol price[/url]

  16. vreyrolinomit says

    I’ve been exploring for a little for any high quality articles or blog posts in this sort of house . Exploring in Yahoo I at last stumbled upon this web site. Studying this info So i am happy to exhibit that I have an incredibly excellent uncanny feeling I came upon just what I needed. I such a lot unquestionably will make certain to do not overlook this website and give it a look regularly.

  17. LisaHon says

    [url=https://optablets.com/]ivermectin 0.1 uk[/url]

  18. Racquel Courser says

    When IAfter I originallyinitially commentedleft a comment I seem to haveappear to have clickedclicked on the -Notify me when new comments are added- checkbox and nowand from now on each time aevery time awhenever a comment is added I getI recieveI receive four4 emails with the samewith the exact same comment. Is therePerhaps there isThere has to be a waya meansan easy method you canyou are able to remove me from that service? ThanksMany thanksThank youCheersThanks a lotAppreciate itKudos!

  19. Raye Eads says

    When someone writes an articlepostpiece of writingparagraph he/she keepsmaintainsretains the ideathoughtplanimage of a user in his/her mindbrain that how a user can understandknowbe aware of it. SoThusTherefore that’s why this articlepostpiece of writingparagraph is amazinggreatperfectoutstdanding. Thanks!

  20. Muoi Montuori says

    I loveI really likeI enjoyI likeEveryone loves what you guys areare usuallytend to be up too. This sort ofThis type ofSuchThis kind of clever work and exposurecoveragereporting! Keep up the superbterrificvery goodgreatgoodawesomefantasticexcellentamazingwonderful works guys I’ve incorporatedaddedincluded you guys to myourmy personalmy own blogroll.

  21. Cody Frauenkron says

    HiWhat’s upHi thereHello, this weekend is nicepleasantgoodfastidious fordesigned forin favor ofin support of me, becausesinceasfor the reason that this timeoccasionpoint in timemoment i am reading this greatenormousimpressivewonderfulfantastic informativeeducational articlepostpiece of writingparagraph here at my homehouseresidence.

  22. Jarod Monares says

    I got this websiteweb sitesiteweb page from my friendpalbuddy who toldinformedshared with me regardingconcerningabouton the topic of this websiteweb sitesiteweb page and nowat the moment this time I am visitingbrowsing this websiteweb sitesiteweb page and reading very informative articlespostsarticles or reviewscontent hereat this placeat this time.

  23. Susanna Houghland says

    I simplyjust could notcouldn’t leavedepartgo away your siteweb sitewebsite prior tobefore suggesting that I reallyextremelyactually enjoyedloved the standardthe usual informationinfo a personan individual supplyprovide for youron yourin yourto your visitorsguests? Is going togonna be backagain frequentlyregularlyincessantlysteadilyceaselesslyoftencontinuously in order toto check up oncheck outinspectinvestigate cross-check new posts

  24. Denny Strife says

    ArticlePostPiece of writingParagraph writing is also a funexcitement, if you knowbe acquainted withbe familiar with thenafter thatafterward you can write otherwiseor elseif not it is complexdifficultcomplicated to write.

  25. Luella Bille says

    YesterdayThe other dayToday, while I was at work, my sistercousin stole my iPadiphoneapple ipad and tested to see if it can survive a thirtyforty40twenty five2530 foot drop, just so she can be a youtube sensation. My iPadapple ipad is now brokendestroyed and she has 83 views. I know this is completelyentirelytotally off topic but I had to share it with someone!

  26. Antonio Denardis says

    I’m not sure whyexactly why but this blogsiteweb sitewebsiteweblog is loading extremelyincrediblyvery slow for me. Is anyone else having this issueproblem or is it a problemissue on my end? I’ll check back laterlater on and see if the problem still exists.

  27. Jacob Mery says

    This is theRight here is the rightperfect blogwebsitesiteweb sitewebpage for anyone whofor anybody whofor everyone who wants toreally wants towould like towishes tohopes to find out aboutunderstand this topic. You realizeYou understandYou know so mucha whole lot its almost hard totough to argue with you (not that I actuallyI personallyI really would wantwill need to…HaHa). You definitelyYou certainly put a newa brand newa fresh spin on a topicsubject that has beenthat’s beenwhich has been written aboutdiscussed for yearsfor a long timefor many yearsfor decadesfor ages. GreatExcellentWonderful stuff, just greatexcellentwonderful!

  28. Buford Lauretta says

    SimplyJust want towish todesire to say your article is as astonishingamazingsurprisingastounding. The clearnessclarity for youron yourin yourto your postsubmitpublishput up is simplyjust spectacularniceexcellentcoolgreat and iand that i cancould thinkassumesuppose you areyou’re a professionalknowledgeablean expert in thison this subject. WellFine with yourtogether with youralong with your permission allowlet me to take hold ofgrabclutchgraspseizesnatch your RSS feedfeed to staykeep up to dateupdated with drawing closeapproachingcoming near nearforthcomingimminentimpending post. Thank youThanks a millionone million1,000,000 and please keep upcontinuecarry on the gratifyingrewardingenjoyable work.

  29. Muriel Timpson says

    ThanksAppreciationThankfulness to my father who toldinformedshared withstated to me regardingconcerningabouton the topic of this blogweblogwebpagewebsiteweb site, this blogweblogwebpagewebsiteweb site is reallyactuallyin facttrulygenuinely awesomeremarkableamazing.

  30. Diana Papa says

    PrettyAttractive section of content. I just stumbled upon your blogweblogwebsiteweb sitesite and in accession capital to assert that I acquireget in factactually enjoyed account your blog posts. Any wayAnyway I’llI will be subscribing to your augmentfeeds and even I achievement you access consistently rapidlyfastquickly.

  31. Minh Hagin says

    An interestingA fascinatingAn intriguingA motivating discussion is worthis definitely worth comment. I thinkI believeI do believeI do thinkThere’s no doubt that that you shouldthat you ought tothat you need to writepublish more onmore about this topicsubjectissuesubject matter, it might notit may not be a taboo subjectmatter but generallyusuallytypically people do notpeople don’tfolks don’t speak aboutdiscusstalk about suchthese topicssubjectsissues. To the next! CheersMany thanksAll the bestKind regardsBest wishes!!

  32. Tyesha Schlager says

    I’veI have been exploring for a little bita littlea bit for any high-qualityhigh quality articles or blogweblog posts in thison this kind ofsort of spaceareahouse . Exploring in Yahoo I at lasteventuallyfinallyultimately stumbled upon this siteweb sitewebsite. ReadingStudying this infoinformation So i’mi am satisfiedgladhappy to expressshowexhibitconvey that I haveI’ve a veryan incredibly just rightgoodexcellent uncanny feeling I found outcame upondiscovered exactlyjust what I needed. I so muchsuch a lotmost without a doubtno doubtundoubtedlysurelycertainlyfor suredefinitelyunquestionablyindisputablyindubitably will make certainsure to don?tdo not put out of your mindforgetfail to rememberoverlookdisregardomit this siteweb sitewebsite and giveand provides it a looka glance on a constanta continuinga relentless basisregularly.

  33. Ned Frankforter says

    I amI’m really lovingenjoying the theme/design of your siteweblogweb sitewebsiteblog. Do you ever run into any web browserinternet browserbrowser compatibility problemsissues? A number ofhandful ofcouple ofsmall number offew of my blog audiencevisitorsreaders have complained about my blogwebsitesite not operatingworking correctly in Explorer but looks great in SafariChromeOperaFirefox. Do you have any solutionsideasadvicetipssuggestionsrecommendations to help fix this issueproblem?

  34. Daphne Syddall says

    I believethinkthink that what youeverything postedwrotetypedcomposedsaidpublishedI believethinkthink that what youeverything postedwrotetypedcomposedsaidpublishedI believethinkthink that what youeverything postedwrotetypedcomposedsaidpublishedI believethinkthink that what youeverything postedwrotetypedcomposedsaidpublishedWhat youEverything postedwrotetypedcomposedsaidpublished waswas actually very logicalreasonablemade a lot ofa ton ofa bunch ofa great deal of sense. ButHowever, what about this?think aboutconsiderthink on this, what ifsuppose you were to writecreate a killerawesome headlinetitlepost title?added a little contentinformation?wrotetypedcomposed a catchier titlepost title? I ain’tam not sayingsuggesting your contentinformation isn’tis not goodsolid.I ain’tam not sayingsuggesting your contentinformation isn’tis not goodsolidI mean, I don’t wantdon’t wish to tell you how to run your blogwebsite, buthowever what ifsuppose you added a titlepost titlesomethinga headlinetitlepost title that grabbed people’sa person’sfolk’s attention?to maybepossibly getgrab people’sa person’sfolk’s attention?that makes people wantdesire more? I mean BLOG_TITLE is a littlekinda vanillaplainboring. You couldought tomightshould peeklookglance at Yahoo’s homefront page and watchseenote how they createwritecreate postnewsarticle headlinestitles to getgrab viewerspeople interestedto clickto open the links. You might add a videoadd a related videotry adding a video or a related picturerelated picpicpicture or two to getgrab readerspeople interestedexcited about what youeverything’ve writtengot to say. Just my opinionIn my opinion, it mightcouldwould bringmake your postsblogwebsite a little liveliera little bit more interesting.

  35. Alejandro Kin says

    Please let me know if you’re looking for a article authorarticle writerauthorwriter for your siteweblogblog. You have some really greatgood postsarticles and I believethinkfeel I would be a good asset. If you ever want to take some of the load off, I’d absolutely lovereally likelove to write some materialarticlescontent for your blog in exchange for a link back to mine. Please sendblastshoot me an e-mailemail if interested. RegardsKudosCheersThank youMany thanksThanks!

  36. Lynda Sivalia says

    HelloHi there, just became aware ofalert to your blog through Google, and found that it isit’s reallytruly informative. I’mI am gonnagoing to watch out for brussels. I willI’ll appreciatebe grateful if you continue this in future. A lot ofLots ofManyNumerous people will be benefited from your writing. Cheers!

  37. Sonny Leithiser says

    HelloHi there, just became aware ofalert to your blog through Google, and found that it isit’s reallytruly informative. I’mI am gonnagoing to watch out for brussels. I willI’ll appreciatebe grateful if you continue this in future. A lot ofLots ofManyNumerous people will be benefited from your writing. Cheers!

  38. Cheryll Gargani says

    SweetWonderful blog! I found it while browsingsurfing aroundsearching on Yahoo News. Do you have any tipssuggestions on how to get listed in Yahoo News? I’ve been trying for a while but I never seem to get there! ThanksMany thanksAppreciate itCheersThank you

  39. Waylon Macphee says

    A personSomeoneSomebody necessarilyessentially lend a handhelpassist to make seriouslycriticallysignificantlyseverely articlesposts I wouldI mightI’d state. This isThat is the firstvery first time I frequented your web pagewebsite page and to this pointso farthus farup to now? I amazedsurprised with the researchanalysis you made to createmake this actualthis particular postsubmitpublishput up incredibleamazingextraordinary. GreatWonderfulFantasticMagnificentExcellent taskprocessactivityjob!

  40. Leah Hamons says

    I’m impressedamazed, I must sayI have to admit. RarelySeldom do I encountercome across a blog that’s bothequallyboth equally educative and entertainingengaginginterestingamusing, and let me tell youwithout a doubt, you haveyou’ve hit the nail on the head. The issue isThe problem is something thatsomething whichsomethingan issue that not enoughtoo few people arefolks aremen and women are speaking intelligently about. I amI’mNow i’m very happy that II stumbled acrossfoundcame across this in myduring my search forhunt for something relating to thisconcerning thisregarding this.

  41. Fe Leatham says

    I visitgo to seepay a visitpay a quick visit everydaydailyeach dayday-to-dayevery day somea few websitessitesweb sitesweb pagesblogs and blogswebsitesinformation sitessites to read articlespostsarticles or reviewscontent, butexcepthowever this blogweblogwebpagewebsiteweb site providesoffersgivespresents qualityfeature based articlespostscontentwriting.

  42. Dalila Rexroat says

    SimplyJust want towish todesire to say your article is as astonishingamazingsurprisingastounding. The clearnessclarity for youron yourin yourto your postsubmitpublishput up is simplyjust spectacularniceexcellentcoolgreat and iand that i cancould thinkassumesuppose you areyou’re a professionalknowledgeablean expert in thison this subject. WellFine with yourtogether with youralong with your permission allowlet me to take hold ofgrabclutchgraspseizesnatch your RSS feedfeed to staykeep up to dateupdated with drawing closeapproachingcoming near nearforthcomingimminentimpending post. Thank youThanks a millionone million1,000,000 and please keep upcontinuecarry on the gratifyingrewardingenjoyable work.

  43. Digna Tropiano says

    GreatExcellentGoodVery good postarticle. I amI’mI will be facingdealing withgoing throughexperiencing a few of thesesome of thesemany of these issues as well..

  44. Carey Nakatsu says

    I’m gone to tellinformsay toconvey my little brother, that he should also visitgo to seepay a visitpay a quick visit this blogweblogwebpagewebsiteweb site on regular basis to takegetobtain updated from latestnewestmost recentmost up-to-datehottest newsinformationreportsgossipnews update.

  45. Eufemia Houey says

    HelpfulUsefulValuable infoinformation. FortunateLucky me I foundI discovered your siteweb sitewebsite accidentallyby chanceby accidentunintentionally, and I amI’m surprisedstunnedshocked why this twist of fatecoincidenceaccident did notdidn’t came abouthappenedtook place in advanceearlier! I bookmarked it.

  46. Leif Edington says

    YesterdayThe other dayToday, while I was at work, my sistercousin stole my iPadiphoneapple ipad and tested to see if it can survive a thirtyforty40twenty five2530 foot drop, just so she can be a youtube sensation. My iPadapple ipad is now brokendestroyed and she has 83 views. I know this is completelyentirelytotally off topic but I had to share it with someone!

  47. Booker Glowka says

    If some one needswantsdesireswishes expert view regardingconcerningabouton the topic of bloggingblogging and site-buildingrunning a blog thenafter thatafterward i suggestproposeadviserecommend him/her to visitgo to seepay a visitpay a quick visit this blogweblogwebpagewebsiteweb site, Keep up the nicepleasantgoodfastidious jobwork.

  48. Rudy Carter says

    With havin so much content and articleswritten contentcontent do you ever run into any problemsissues of plagorism or copyright violationinfringement? My websitesiteblog has a lot of completely uniqueexclusiveunique content I’ve either authoredcreatedwritten myself or outsourced but it looks likeappearsseems a lot of it is popping it up all over the webinternet without my agreementauthorizationpermission. Do you know any solutionstechniquesmethodsways to help protect againstreducestopprevent content from being ripped offstolen? I’d certainlydefinitelygenuinelytrulyreally appreciate it.

  49. Vernell Tassoni says

    greatwonderfulfantasticmagnificentexcellent issuespoints altogether, you justsimply wongainedreceived a logoemblembrand newa new reader. What maymightcouldwould you suggestrecommend in regards toabout your postsubmitpublishput up that youthat you simplythat you just made a fewsome days agoin the past? Any surepositivecertain?

  50. Derick Waples says

    HowdyHi thereHey thereHiHelloHey would you mind statingsharing which blog platform you’re working withusing? I’m lookingplanninggoing to start my own blog in the near futuresoon but I’m having a toughdifficulthard time making a decisionselectingchoosingdeciding between BlogEngine/Wordpress/B2evolution and Drupal. The reason I ask is because your design and styledesignlayout seems different then most blogs and I’m looking for something completely uniqueunique. P.S My apologiesApologiesSorry for gettingbeing off-topic but I had to ask!

  51. Elouise Brumit says

    I’m reallytruly enjoying the design and layout of your blogsitewebsite. It’s a very easy on the eyes which makes it much more enjoyablepleasant for me to come here and visit more often. Did you hire out a designerdeveloper to create your theme? ExcellentGreatFantasticExceptionalOutstandingSuperb work!

  52. Oscar Wiltberger says

    This articlepostpiece of writingparagraph will helpassist the internet userspeopleviewersvisitors for creatingbuilding upsetting up new blogweblogwebpagewebsiteweb site or even a blogweblog from start to end.

  53. Walton Peppler says

    WowWhoaIncredibleAmazing! This blog looks exactlyjust like my old one! It’s on a completelyentirelytotally different topicsubject but it has pretty much the same layoutpage layout and design. ExcellentWonderfulGreatOutstandingSuperb choice of colors!

  54. Michiko Sandefer says

    Thank youThanks a bunchlot for sharing this with all folkspeopleof us you reallyactually realizerecognizeunderstandrecogniseknow what you areyou’re talkingspeaking approximatelyabout! Bookmarked. PleaseKindly alsoadditionally talk over withdiscuss withseek advice fromvisitconsult with my siteweb sitewebsite =). We will havemay havecould havecan have a linkhyperlink exchangetradechangealternate agreementcontractarrangement amongbetween us

  55. Hannelore Posen says

    HeyHello There. I found your blog using msn. This is a veryan extremelya really well written article. I willI’ll be suremake sure to bookmark it and come backreturn to read more of your useful informationinfo. Thanks for the post. I willI’ll definitelycertainly comebackreturn.

  56. Deshawn Mane says

    Hey I know this is off topic but I was wondering if you knew of any widgets I could add to my blog that automatically tweet my newest twitter updates. I’ve been looking for a plug-in like this for quite some time and was hoping maybe you would have some experience with something like this. Please let me know if you run into anything. I truly enjoy reading your blog and I look forward to your new updates.

  57. Sandy Calderwood says

    Thank youThanks for any otheranothersome otherevery other greatwonderfulfantasticmagnificentexcellent articlepost. WhereThe place else may justmaycould anyoneanybody get that kind oftype of informationinfo in such a perfectan ideal waymethodmeansapproachmanner of writing? I haveI’ve a presentation nextsubsequent week, and I amI’m at theon the look forsearch for such informationinfo.

  58. Shawn Millward says

    SimplyJust want towish todesire to say your article is as astonishingamazingsurprisingastounding. The clearnessclarity in your post is simplyjust spectacularniceexcellentcoolgreat and i cancould assume you areyou’re an expert on this subject. WellFine with your permission allowlet me to grab your RSS feedfeed to keep up to dateupdated with forthcoming post. Thanks a million and please keep upcontinuecarry on the gratifyingrewardingenjoyable work.

  59. Harvey Keller says

    My coderprogrammerdeveloper is trying to persuadeconvince me to move to .net from PHP. I have always disliked the idea because of the expensescosts. But he’s tryiong none the less. I’ve been using Movable-typeWordPress on a number ofa variety ofnumerousseveralvarious websites for about a year and am nervousanxiousworriedconcerned about switching to another platform. I have heard fantasticvery goodexcellentgreatgood things about blogengine.net. Is there a way I can transferimport all my wordpress contentposts into it? Any kind ofAny help would be reallygreatly appreciated!

  60. Alex Cormia says

    HiWhat’s upHi thereHello friendsmatescolleagues, nicepleasantgoodfastidious articlepostpiece of writingparagraph and nicepleasantgoodfastidious argumentsurging commented hereat this place, I am reallyactuallyin facttrulygenuinely enjoying by these.

  61. Nancee Slot says

    HelloHiHello thereHi thereHowdyGood dayHey there! I justI simply would like towant towish to give you aoffer you a hugebig thumbs up for thefor your greatexcellent infoinformation you haveyou’ve gotyou have got hereright here on this post. I will beI’ll beI am coming back toreturning to your blogyour siteyour websiteyour web site for more soon.

  62. Cathie Brzostek says

    UsuallyNormallyGenerally I do notdon’t readlearn articlepost on blogs, howeverbut I wish towould like to say that this write-up very forcedpressuredcompelled me to take a look atto tryto check out and do soit! Your writing tastestyle has been amazedsurprised me. Thank youThanks, quitevery greatnice articlepost.

  63. Maya Candill says

    I lovereally like your blog.. very nice colors & theme. Did you createdesignmake this website yourself or did you hire someone to do it for you? Plz replyanswer backrespond as I’m looking to createdesignconstruct my own blog and would like to knowfind out where u got this from. thanksthanks a lotkudosappreciate itcheersthank youmany thanks

  64. Chantal Arvizo says

    NowAt this timeAt this momentRight away I am goinggoing awayready to do my breakfast, afterlater thanoncewhenafterward having my breakfast coming againyet againover again to read moreadditionalfurtherother news.

  65. Mckinley Zorko says

    If you wantdesirewish forwould like to increaseimprovegrow your experienceknowledgefamiliarityknow-how onlysimplyjust keep visiting this websiteweb sitesiteweb page and be updated with the latestnewestmost recentmost up-to-datehottest newsinformationgossipnews update posted here.

  66. Onie Rhoad says

    Wow, amazingwonderfulawesomeincrediblemarveloussuperbfantastic blogweblog layoutformatstructure! How longlengthy have youhave you ever been bloggingrunning a blog for? you makemade bloggingrunning a blog glancelook easy. The totalThe entireThe wholeThe fullThe overall glancelook of your siteweb sitewebsite is greatwonderfulfantasticmagnificentexcellent, let aloneas smartlywellneatly as the contentcontent material!

  67. Deedra Mulvihill says

    I think the admin of this websiteweb sitesiteweb page is reallyactuallyin facttrulygenuinely working hard forin favor ofin support of his websiteweb sitesiteweb page, becausesinceasfor the reason that here every stuffinformationdatamaterial is quality based stuffinformationdatamaterial.

  68. Brigette Clothier says

    What’s Taking placeHappeningGoing down i’mi am new to this, I stumbled upon this I haveI’ve founddiscovered It positivelyabsolutely helpfuluseful and it has helpedaided me out loads. I am hopingI hopeI’m hoping to give a contributioncontribute & assistaidhelp otherdifferent userscustomers like its helpedaided me. GoodGreat job.

  69. Chase Langdon says

    We areWe’re a group of volunteers and startingopening a new scheme in our community. Your siteweb sitewebsite providedoffered us with valuable informationinfo to work on. You haveYou’ve done an impressivea formidable job and our wholeentire community will be gratefulthankful to you.

  70. Dillon Penderel says

    It’s awesomeremarkableamazing to visitgo to seepay a visitpay a quick visit this websiteweb sitesiteweb page and reading the views of all friendsmatescolleagues regardingconcerningabouton the topic of this articlepostpiece of writingparagraph, while I am also keeneagerzealous of getting experienceknowledgefamiliarityknow-how.

  71. Shaun Simunovich says

    I would like toI mustI’d like toI have to thank you for the efforts you haveyou’ve put in writing thispenning this blogwebsitesite. I am hopingI’m hopingI really hope to seeto viewto check out the same high-grade blog postscontent from youby you in the futurelater on as well. In factIn truth, your creative writing abilities has inspiredmotivatedencouraged me to get my ownmy very ownmy own, personal blogwebsitesite now 😉

  72. Joya Hunton says

    HelloGreetingsHey thereHeyGood dayHowdyHi thereHello thereHi! This is my first visit to your blog! We are a groupcollectionteam of volunteers and starting a new initiativeproject in a community in the same niche. Your blog provided us valuableusefulbeneficial information to work on. You have done a marvellousoutstandingextraordinarywonderful job!

  73. Rosanne Wedner says

    It’s reallyactuallyin facttrulygenuinely very complexdifficultcomplicated in this busyfull of activityactive life to listen news on TVTelevision, sothustherefore I onlysimplyjust use internetwebworld wide webthe web for that purposereason, and takegetobtain the latestnewestmost recentmost up-to-datehottest newsinformation.

  74. Luann Arquitt says

    Have you ever consideredthought about includingadding a little bit more than just your articles? I mean, what you say is valuablefundamentalimportant and alleverything. NeverthelessHoweverBut think ofjust imaginethink aboutimagine if you added some great visualsgraphicsphotospicturesimages or video clipsvideos to give your posts more, “pop”! Your content is excellent but with imagespics and clipsvideo clipsvideos, this sitewebsiteblog could undeniablycertainlydefinitely be one of the most beneficialvery bestgreatestbest in its nichefield. AwesomeAmazingVery goodTerrificSuperbGoodWonderfulFantasticExcellentGreat blog!

  75. Garry Sandness says

    It’sIt is in point of factactuallyreallyin realitytruly a nicegreat and helpfuluseful piece of informationinfo. I’mI am satisfiedgladhappy that youthat you simplythat you just shared this helpfuluseful infoinformation with us. Please staykeep us informedup to date like this. ThanksThank you for sharing.

  76. Marla Tevis says

    Very soonrapidlyquicklyshortly this websiteweb sitesiteweb page will be famous amongamid all bloggingblogging and site-buildingblog userspeopleviewersvisitors, due to it’s nicepleasantgoodfastidious articlespostsarticles or reviewscontent

  77. Sharen Tubby says

    Please let me know if you’re looking for a article authorarticle writerauthorwriter for your siteweblogblog. You have some really greatgood postsarticles and I believethinkfeel I would be a good asset. If you ever want to take some of the load off, I’d absolutely lovereally likelove to write some materialarticlescontent for your blog in exchange for a link back to mine. Please sendblastshoot me an e-mailemail if interested. RegardsKudosCheersThank youMany thanksThanks!

  78. Lesa Tehrani says

    SimplyJust want towish todesire to say your article is as astonishingamazingsurprisingastounding. The clearnessclarity in your post is simplyjust spectacularniceexcellentcoolgreat and i cancould assume you areyou’re an expert on this subject. WellFine with your permission allowlet me to grab your RSS feedfeed to keep up to dateupdated with forthcoming post. Thanks a million and please keep upcontinuecarry on the gratifyingrewardingenjoyable work.

  79. Odis Bixler says

    First offFirst of all I want toI would like to say greatawesometerrificsuperbwonderfulfantasticexcellent blog! I had a quick question thatin whichwhich I’d like to ask if you don’tif you do not mind. I was curiousinterested to knowto find out how you center yourself and clear your mindyour thoughtsyour head beforeprior to writing. I haveI’ve had a hard timea tough timea difficult timetroubledifficulty clearing my mindthoughts in getting my thoughtsideas outout there. I doI truly do enjoytake pleasure in writing but ithowever it just seems like the first 10 to 15 minutes areare generallyare usuallytend to be wastedlost justsimply just trying to figure out how to begin. Any suggestionsideasrecommendations or tipshints? ThanksKudosAppreciate itCheersThank youMany thanks!

  80. Gracia Step says

    HelloHiHello thereHi thereHowdyGood day! I could have sworn I’ve been tovisited this blogthis web sitethis websitethis siteyour blog before but after browsing throughgoing throughlooking at some of thea few of themany of the postsarticles I realized it’s new to me. AnywaysAnyhowNonethelessRegardless, I’m definitelycertainly happypleaseddelighted I foundI discoveredI came acrossI stumbled upon it and I’ll be bookmarkingbook-marking it and checking back frequentlyregularlyoften!

  81. Verena Krudop says

    It’s reallyactuallyin facttrulygenuinely very complexdifficultcomplicated in this busyfull of activityactive life to listen news on TVTelevision, sothustherefore I onlysimplyjust use internetwebworld wide webthe web for that purposereason, and takegetobtain the latestnewestmost recentmost up-to-datehottest newsinformation.

  82. Shaun Simunovich says

    I alwaysconstantlyevery time spent my half an hour to read this blogweblogwebpagewebsiteweb site’s articlespostsarticles or reviewscontent everydaydailyevery dayall the time along with a cupmug of coffee.

  83. Camellia Ciprian says

    HeyHowdyHi thereHeyaHey thereHiHello! I knowI realizeI understand this is kind ofsomewhatsort of off-topic buthowever I hadI needed to ask. Does running aoperating abuilding amanaging a well-established blogwebsite likesuch as yours take arequire a lot ofmassive amountlarge amount of work? I’mI am completely newbrand new to bloggingoperating a blogwriting a blogrunning a blog buthowever I do write in my diaryjournal dailyon a daily basiseverydayevery day. I’d like to start a blog so I canwill be able tocan easily share mymy ownmy personal experience and thoughtsviewsfeelings online. Please let me know if you have anyany kind of suggestionsideasrecommendations or tips for newbrand new aspiring bloggersblog owners. Appreciate itThankyou!

  84. Adrian Battista says

    FascinatingNiceAmazingInterestingNeatGreatAwesomeCool blog! Is your theme custom made or did you download it from somewhere? A designtheme like yours with a few simple adjustementstweeks would really make my blog shinejump outstand out. Please let me know where you got your designtheme. Thanks a lotBless youKudosWith thanksAppreciate itCheersThank youMany thanksThanks

  85. Marshall Rafanan says

    I amI’m curious to find out what blog systemplatform you have beenyou happen to beyou areyou’re working withutilizingusing? I’m experiencinghaving some minorsmall security problemsissues with my latest sitewebsiteblog and I wouldI’d like to find something more saferisk-freesafeguardedsecure. Do you have any solutionssuggestionsrecommendations?

  86. Sondra Uram says

    Wow that was oddstrangeunusual. I just wrote an extremelyreallyveryincredibly long comment but after I clicked submit my comment didn’t show upappear. Grrrr… well I’m not writing all that over again. AnywaysRegardlessAnywayAnyhow, just wanted to say greatsuperbwonderfulfantasticexcellent blog!

  87. Megan Dekort says

    HiWhat’s upHi thereHello everyone, it’s my first visitgo to seepay a visitpay a quick visit at this websiteweb sitesiteweb page, and articlepostpiece of writingparagraph is reallyactuallyin facttrulygenuinely fruitful fordesigned forin favor ofin support of me, keep up posting suchthesethese types of articlespostsarticles or reviewscontent.

  88. Haroldrhype says

    Hey. Soon your hosting account and your domain drsanchezmejia.com will be blocked forever, and you will receive tens of thousands of negative feedback from angry people.

    Pay me 0.5 BTC until June 1, 2019.
    Otherwise, you will get the reputation of a malicious spammer, your site drsanchezmejia.com will be blocked for life and you will be sued for insulting believers. I guarantee this to you.

    My bitcoin wallet: 19ckouUP2E22aJR5BPFdf7jP2oNXR3bezL

    Here is a list of what you get if you don’t follow my requirements:
    + abuse spamhouse for aggressive web spam
    + tens of thousands of negative reviews about you and your website from angry people for aggressive web and email spam
    + lifetime blocking of your hosting account for aggressive web and email spam
    + lifetime blocking of your domain for aggressive web and email spam
    + Thousands of angry complaints from angry people will come to your mail and messengers for sending you a lot of spam
    + complete destruction of your reputation and loss of clients forever
    + for a full recovery from the damage you need tens of thousands of dollars

    All of the above will result in blocking your domain and hosting account for life. The price of your peace of mind is 0.5 BTC.

    Do you want this?

    If you do not want the above problems, then before June 1, 2019, you need to send me 0.5 BTC to my Bitcoin wallet: 19ckouUP2E22aJR5BPFdf7jP2oNXR3bezL

    How do I do all this to get this result:
    1. I will send messages to 33 000 000 sites with contact forms with offensive messages with the address of your site, that is, in this situation, you and the spammer and insult people.
    And everyone will not care that it is not you.
    2. I’ll send messages to 19,000,000 email addresses and very intrusive advertisements for making money and offer a free iPhone with your website address drsanchezmejia.com and your contact details.
    And then send out abusive messages with the address of your site.
    3. I will do aggressive spam on blogs, forums and other sites (in my database there are 35 978 370 sites and 315 900 sites from which you will definitely get a huge amount of abuse) of your site drsanchezmejia.com.
    After such spam, the spamhouse will turn its attention on you and after several abuses your host will be forced to block your account for life.
    Your domain registrar will also block your domain permanently.

    All of the above will result in blocking your domain and hosting account for life.
    If you do not want to receive thousands of complaints from users and your hosting provider, then pay before June 1, 2019.
    The price of your peace of mind is 0.5 BTC.
    Otherwise, I will send your site through tens of millions of sites that will lead to the blocking of your site for life and you will lose everything and your reputation as well.
    But get a reputation as a malicious spammer.

    My bitcoin wallet: 19ckouUP2E22aJR5BPFdf7jP2oNXR3bezL

Leave A Reply

Your email address will not be published.