Pasi Pasi Pain
Back Clinic Lower Back Pain Chiropractic Team. Kupfuura 80% yevanhu vanotambura nemarwadzo ekudzokera shure pane imwe nguva muupenyu hwavo. Zviitiko zvakawanda zvinogona kubatanidzwa kune zvinowanzoitika zvikonzero: kushungurudzika kwemisungo, kukuvara, kana kushandisa zvakanyanya. Asi inogonawo kuverengerwa kune chaiyo mamiriro emuzongoza: Herniated Disc, Degenerative Disc Disease, Spondylolisthesis, Spinal Stenosis, uye Osteoarthritis. Mamiriro mashoma akajairika ndeye sacroiliac joint dysfunction, spinal tumors, fibromyalgia, uye piriformis syndrome.
Marwadzo anokonzerwa nekukuvara kana kukuvara kumisungo nemarunda ekumusana. Dr. Alex Jimenez akanyora zvinyorwa zvinotsanangura kukosha kwekunzwisisa zvikonzero nemigumisiro yechiratidzo ichi chisingafadzi. Chiropractic inotarisa kudzorera simba remunhu uye kushanduka kwekubatsira kuvandudza zviratidzo zvekurwadziwa kwepashure.
by Dr Alex Jimenez Chiropractic , Pasi Pasi Pain
Vanhu vanogona kuwana bundu, bundu, kana nodule pasi peganda rakatenderedza kuzasi kwavo, mahudyu, uye sacrum izvo zvinogona kukonzera marwadzo nekumanikidza tsinga uye kukuvadza iyo fascia. Kuziva mamiriro akabatana navo uye zviratidzo zvavo kunobatsira varapi vehutano kuona kuongororwa uye kugadzira hurongwa hwekurapa hunoshanda hwekuona?
Mapundu Anorwadza, Nodules Around Low Back, Hips, uye Sacrum
Marwadzo anorwadza mukati nekutenderera muhudyu, the sacrum , uye kuzasi mabundu emafuta kana kuti lipomas, matishu ane fibrous, kana mamwe marudzi emapundu anofamba kana akadzvanywa. Vamwe vatapi vehutano uye chiropractors, kunyanya, vanoshandisa izwi risiri rekurapa musana mbeva (Muna 1937, izwi iri raishandiswa kurondedzera mapundu akabatana ne episacroiliac lipoma) kutsanangura mapundu. Vamwe vashandi vehutano vanopokana nekudaidza mbeva dzakawanda nekuti hazvina kujeka uye zvinogona kutungamira mukusaziva kana kurapwa zvisirizvo.
Zvizhinji zvinoratidzira munzvimbo yezasi uye muhudyu.
Mune zvimwe zviitiko, ivo vanobuda kana herniate kuburikidza ne lumbodorsal fascia kana network yekubatanidza tishu inovhara yakadzika tsandanyama dzezasi nepakati kumashure.
Mamwe mapundu anogona kukura munyama iri pasi peganda.
Nhasi, mamiriro mazhinji akabatana nemapundu emakonzo, anosanganisira:
Iliac crest pain syndrome
Multifidus Triangle syndrome
Lumbar fascial mafuta herniation
Lumbosacral (sacrum) mafuta herniation
Episacral lipoma
Related Conditions
Iliac Crest Pain Syndrome
Iyo inozivikanwawo se iliolumbar syndrome, iliac crest pain syndrome inokura apo kubvaruka mu ligament kunoitika.
Iyo ligament band inobatanidza yechina neyechishanu lumbar vertebrae neilium kune rimwe divi. (Dąbrowski, K. Ciszek, B. 2023 )
Zvikonzero zvinosanganisira :Kubvarura ligament kubva pakudzokorora kukotama nekumonyoroka.
Kushungurudzika kana kuputsika kweilium bone kunokonzerwa nekudonha kana kudhumhana kwemotokari.
Multifidus Triangle Syndrome
Multifidus triangle syndrome inokura apo mhasuru dzemultifidus dziri pedyo nemuzongoza dzinopera simba uye dzinoderedza basa kana kugona.
Idzi tsandanyama dzinogona atrophy, uye intramuscular fatty tissue inogona kutsiva tsandanyama.
Atrophied muscles inoderedza kugadzikana kwemusana uye inogona kukonzera kurwadza kwemusana. (Seyedhoseinpoor, T. et al., 2022 )
Lumbar Facial Fat Herniation
Lumbodorsal fascia itambo yakatetepa ine fibrous membrane inovhara musana wakadzika mhasuru.
Lumbar fascial fat herniation inorwadza kuwanda kwemafuta anobuda kana kuti hernia kuburikidza ne membrane, anobatwa uye kupisa, uye anokonzera kurwadziwa.
Zvikonzero zverudzi urwu rweherniation parizvino hazvizivikanwe.
Lumbosacral (Sacrum) Fat Herniation
Lumbosacral inotsanangura apo lumbar spine inosangana ne sacrum.
Lumbosacral mafuta herniation inorwadza misa senge lumbar facial herniation mune imwe nzvimbo yakatenderedza sacrum.
Zvikonzero zverudzi urwu rweherniation parizvino hazvizivikanwe.
Episacral Lipoma
Episacral lipoma idiki diki rinorwadza pasi peganda iro rinonyanya kukura pamusoro pekumusoro kwekunze kwefupa repelvic. Aya mapundu anoitika kana chikamu chedorsal mafuta pad chichibuda nekubvarura muthoracodorsal fascia, iyo inobatana tishu inobatsira kubata mhasuru dzekumusana panzvimbo. (Erdem, HR et al., 2013 ) Murapi wezvehutano anogona kuendesa munhu kuna chiremba wemapfupa kana mabhonzo nezve lipoma iyi. Munhu anogonawo kuwana zororo rekurwadziwa kubva kune massage therapist anoziva mamiriro acho. (Erdem, HR et al., 2013 )
zviratidzo
Mapundu ekumashure anowanzoonekwa pasi peganda. Ivo vanowanzo nyoro pakubata uye vanogona kuita kuti kugara pachigaro kana kurara kumashure kuome, sezvavanowanzo kuoneka pamapfupa ehudyu uye nzvimbo yesacroiliac. (Bicket, MC et al., 2016 ) Manodule anogona:
Iva akasimba kana kuti akasimba.
Iva nekunzwa elastic.
Famba pasi peganda kana wakamanikidzwa.
Kukonzera kurwadziwa kwakanyanya, kwakanyanya.
Marwadzo anokonzerwa nekumanikidzwa pabundu, iyo inomanikidza tsinga.
Kukuvadza kune pasi pe fascia kunogona kukonzera zviratidzo zvinorwadza.
kuongorora chirwere
Vamwe vanhu havazive kuti vane zvipundu kana mapundu kutozosvikira dzvinyiriro yaiswa. Chiropractors uye masaja therapists vanowanzovawana panguva yekurapa asi havatarise kukura kwemafuta asina kujairika. Chiropractor kana masaja therapist anoendesa murwere kune ane hunyanzvi dermatologist kana nyanzvi yekurapa anogona kuita zvidzidzo zvekufungidzira uye biopsy. Kuona kuti mapundu acho ndeapi anogona kunetsa nekuti haana kujeka. Varapi vezvehutano dzimwe nguva vanoongorora machundu nekuabaya jekiseni neanotindivadza emunharaunda. (Bicket, MC et al., 2016 )
Kusiyanisa Kuziva
Iwo mafuta anoiswa anogona kuve chero nhamba yezvinhu, uye zvakafanana zvinoshanda kune masosi ekurwadziwa kwetsinga. Mutariri wehutano anogona kuwedzera kuongorora nekutonga zvimwe zvikonzero, izvo zvinogona kusanganisira:
Sebaceous Cysts
A benign, fluid-filled capsule pakati pezvikamu zveganda.
Subcutaneous Abscess
Muunganidzwa we pus pasi peganda.
Kazhinji zvinorwadza.
Inogona kupisa.
Sciatica
Kupisa marwadzo etsinga pasi rimwe kana makumbo ose anokonzerwa ne disc herniated, bone spur, kana spasming muscles muzasi kumashure.
Liposarcoma
Mamota akaipa dzimwe nguva anogona kuoneka sekukura kwemafuta mumamhasuru.
Liposarcoma inowanzoonekwa nebiopsy, apo imwe matishu inobviswa kubva paguvhu uye inoongororwa masero egomarara. (Johns Hopkins Medicine. 2024)
MRI kana CT scan inogonawo kuitwa kuti ione nzvimbo chaiyo ye nodule.
Painful lipomas inobatanidzwawo ne fibromyalgia.
mabatiro
Manodule ekumashure anowanzo kuve asina kunaka, saka hapana chikonzero chekuabvisa kunze kwekunge ari kukonzera marwadzo kana matambudziko ekufamba (American Academy of Orthopedic Surgeons: OrthoInfo. 2023 ) Zvisinei, vanofanirwa kuongororwa kuti havazi gomarara. Kurapa kunowanzo sanganisira jekiseni reanesthetics, senge lidocaine kana corticosteroids, pamwe chete nepamusoro-the-counter zvinoderedza marwadzo seNSAIDs.
Surgery
Kana kurwadziwa kwakanyanya, kubviswa kwekuvhiya kunogona kukurudzirwa. Izvi zvinosanganisira kucheka misa uye kugadzirisa iyo fascia yekuzorodzwa kusingaperi. Nekudaro, kubvisa kunogona kusakurudzirwa kana paine machuru mazhinji, sezvo vamwe vanhu vachigona kuva nemazana. Liposuction inogona kushanda kana mapundu ari madiki, akawedzera, uye aine mvura yakawanda. (Chiremba wemhuri yeAmerica. 2002 ) Matambudziko ekuvhiya kubviswa anogona kusanganisira:
Scarring
Kudzora
Zvisina kuenzana zveganda
Kurwara
Kuwedzera uye Kumwe Kurapa
Complimentary uye Alternative Medicine marapirwo senge acupuncture, yakaoma needling, uye spinal manipulation inogona kubatsira. Vanachiropractors vazhinji vanotenda kuti mazamu ekumashure anogona kurapwa zvinobudirira nekuwedzera uye mamwe marapirwo. Nzira yakajairika inoshandisa acupuncture uye spinal manipulation musanganiswa. Imwe nyaya yekuongorora yakashuma kuti jekiseni reanesthetic rinoteverwa nekuoma kunoda, kwakafanana neacupuncture, kunatsiridza marwadzo. (Bicket, MC et al., 2016 )
Injury Medical Chiropractic uye Functional Medicine Clinic inyanzvi mukufambira mberi kwekurapa uye maitiro ekugadzirisa maitiro anotarisana nekudzorera mabasa emuviri akajairwa mushure mekukuvadzwa uye kukuvara kwenyama yakapfava uye kupora kwakazara. Nzvimbo dzedu dzekudzidzira dzinosanganisira Wellness & Nutrition, Chronic Pain, Personal Injury, Auto Accident Care, Work Injury, Back Injury, Low Back Pain, Neck Pain, Migraine Headaches, Sports Injuries, Severe Sciatica, Scoliosis, Complex Herniated Discs, Fibromyalgia, Chronic Marwadzo, Kukuvara Kwakaoma, Stress Management, Functional Medicine Kurapa, uye in-scope care protocol. Kana munhu wacho achida kumwe kurapwa, achaendeswa kukiriniki kana chiremba anonyatsokodzera mamiriro avo ezvinhu, sezvo Dr. Jimenez akabatana nevanovhiya vepamusoro, nyanzvi dzemakiriniki, vatsvakurudzi vezvokurapa, varapi, vadzidzisi, uye premiere rehabilitation providers.
Beyod the Surface
VIDEO
References
Dąbrowski, K., & Ciszek, B. (2023). Anatomy uye morphology ye iliolumbar ligament. Kuvhiya uye radiologic anatomy: SRA, 45 (2), 169-173. doi.org/10.1007/s00276-022-03070-y
Seyedhoseinpoor, T., Taghipour, M., Dadgoo, M., Sanjari, MA, Takamjani, IE, Kazemnejad, A., Khoshamooz, Y., & Hides, J. (2022). Kushandurwa kwe lumbar muscle morphology uye kuumbwa maererano nekurwadziwa kwepashure: kuongorora kwakarongeka uye meta-analysis. The spine magazine: yepamutemo magazini yeNorth American Spine Society, 22 (4), 660-676. doi.org/10.1016/j.spinee.2021.10.018
Erdem, HR, Nacır, B., Özeri, Z., & Karagöz, A. (2013). Episakral lipoma: Bel ağrısının tedavi edilebilir bir nedeni [Episacral lipoma: chikonzero chinorapika chemarwadzo emusana]. Agri : Agri (Algoloji) Dernegi'nin Yayin organidir = Chinyorwa cheTurkey Society of Algology, 25(2), 83–86. doi.org/10.5505/agri.2013.63626
Bicket, MC, Simmons, C., & Zheng, Y. (2016). Izvo Zvirongwa Zvakanakisisa-Zvakarongwa zve "Kumashure Mice" uye Varume: Nyaya Yenyaya uye Mabhuku Ongororo yeEpisacroiliac Lipoma. Chiremba wemarwadzo, 19 (3), 181-188.
Johns Hopkins Mushonga. (2024). Liposarcoma. www.hopkinsmedicine.org/health/conditions-and-diseases/sarcoma/liposarcoma
American Academy of Orthopedic Surgeons: OrthoInfo. (2023). Lipoma. orthoinfo.aaos.org/en/diseases-conditions/lipoma
Chiremba wemhuri yeAmerica. (2002). Lipoma excision. Chiremba wemhuri yeAmerica, 65(5), 901-905. www.aafp.org/pubs/afp/issues/2002/0301/p901.html
by Dr Alex Jimenez Foot Orthotics , Pasi Pasi Pain
Shangu dzinogona kukonzera kurwadziwa kumashure uye matambudziko kune vamwe vanhu. Kunzwisisa kuwirirana pakati peshangu uye matambudziko ekumusana kunogona kubatsira vanhu kuwana shangu dzakakodzera kuchengetedza hutano hwemusana uye kubvisa marwadzo?
Footwear Back Pain
Musana unopa simba rekuita zvemuviri. Kurwadziwa shure kunokanganisa hupenyu hwezuva nezuva uye kunogona kuva nezvikonzero zvakasiyana-siyana. Mamiriro asina kunaka, kufamba, kumonyoroka, kutendeuka, kukotama, uye kusvika zvinogona kukonzera matambudziko ekumusana anokonzera kurwadziwa. Maererano neCDC, 39% yevanhu vakuru vanotaura kurarama nemarwadzo ekudzokera shure (Centers yeChirwere Kudzivirira uye Kudzivirira, 2019 ). Zvipfeko zvisina kukodzera zvinogonawo kukonzera kurwadziwa shure. Kunyatsosarudza shangu kunogona kubatsira kuunza marwadzo uye kubatsira kuchengetedza hutano hwemusana. Vanhu vanogona kunakidzwa nekurwadziwa kushoma uye kugadzirisa zviratidzo nekusarudza shangu dzinochengetedza musana uye kudzivirira tsoka kubva pakukanganisa.
Kunzwisisa Back Pain-Footwear Connection
Zvipfeko zvisina kukodzera zvinogona kuva chikonzero chekurwadziwa kwepazasi. Chii chinokanganisa mapfupa ari pasi peiyo neuromusculoskeletal system inopenya kumusoro uye inokanganisa musana uye musana nemhasuru. Ndezvipi shangu dzinoshandiswa dzinofamba dzichikwira, dzichikanganisa kufamba, kumira, kurongeka kwemusana, nezvimwe. Kana matambudziko ekumusana anobva kutsoka, idzi inyaya dzebiomechanical. Biomechanics inoreva mashandiro anoita mapfupa, majoini, uye tsandanyama kushanda pamwe chete uye kuti shanduko mumasimba ekunze anokanganisa sei muviri.
mufambo
Kana tsoka dzichirova pasi, ndiwo magumo ekutanga kutora kuvhunduka kwemuviri wese. Vanhu vachatanga kufamba zvakasiyana kana vane dambudziko kana kuchinja mutsoka dzavo. Kupfeka shangu nerutsigiro rusina kufanira kunogona kuwedzera kupfeka uye kubvarura pamamhasuru nemajoini, zvichiita kuti zvisafambe zvakanaka uye zvisingaite. Semuenzaniso, funga musiyano uripo pakati pekumira pane zvitsitsinho mune zvitsitsinho zvakakwirira uye yepanyama flat-footed state. Shangu dzakasungirirwa zvakanaka dzinobatsira kutora maitiro uye kuderedza marwadzo ekunzwa. Izvo zvinodzvinyirira pane imwe neimwe yezvibatanidza zvinoshandura kuenzana, izvo zvinokonzera kusagadzikana matambudziko nekuderera kuderera kune vamwe uye kune vamwe. Izvi zvinogadzira kusaenzana kunotungamirira kumarwadzo uye majoini mamiriro.
Musoro
Kuchengeta chimiro chine hutano chimwe chinhu mukudzivirira kana kuderedza marwadzo ekudzokera shure. Neshangu dzakakodzera, muviri unogona kuchengetedza hutano hwakanaka uye curvature chaiyo mumusana wese, uye inobatsira kugovera huremu zvakaenzana. Izvi zvinoguma nekuderera kwekunetseka pamarunda, tsandanyama, uye majoini. (Harvard Health Publishing. 2014 ) Zvinokurudzirwa kuona chiremba wemapfupa kuti usvike pamudzi wemamiriro emunhu. Kune vamwe, herniated disc, sciatica, kudhumhana kwemotokari, kudonha, ergonomics isina kunaka, kana kusanganiswa, pamwe chete nezvimwe zvinokonzeresa, zvinogona kunge zvichikonzera kurwadziwa kwavo kumashure.
Shangu dzakasiyana-siyana dzinokanganisa sei kumira, zvinogona kukonzera kana kubvisa kurwadziwa shure.
Gogo
Zvitsitsinho zvepamusoro zvinogona kunyatsoita kuti pave nemarwadzo ekudzokera shure. Vanoshandura chimiro chemuviri, zvichiita kuti domino iite pamusana. Kurema kwemuviri kunoshandurwa kuti kuwedzere kudzvinyirira pamabhora etsoka, uye kurongeka kwemusana kunoshandurwa. Zvitsitsinho zvepamusoro zvinokanganisawo kuti zvitsitsinho, mabvi, uye chiuno zvinofamba sei kana uchifamba, kuenzanisa, uye kuti misumbu yemusana inoshanda sei, iyo yose inogona kuwedzera marwadzo ekudzokera shure.
Flat Shoes
Flat shangu inogona kunge isiri iyo yakanakisa sarudzo yehutano hwemusana. Kana vakashaya arch rutsigiro, vanogona kukonzera tsoka kukungurukira mukati, inozivikanwa se pronation. Izvi zvinogona kukonzera kukanganisa, izvo zvinogona kukanganisa mabvi, mahudyu, uye kuderera shure. Nekudaro, ivo vanogona kuve sarudzo yakanaka kana vakapa arch rutsigiro. Paunenge uchipfeka shangu dzakadzika nerutsigiro rwehutano, uremu hunogoverwa zvakaenzana pamakumbo uye musana. Izvi zvinobatsira kuchengetedza kumira kwakanaka, izvo zvinogona kubatsira kudzivirira uye / kana kuderedza marwadzo ekudzokera shure.
Sneakers, Tennis, uye Athletic Shoes
Sneakers, tenisi, uye shangu dzemitambo inogona kuderedza marwadzo ekudzokera shure nekunyatso simudza uye kutsigirwa. Kusarudza zvakarurama kunosanganisira kuona basa richaitwa mazviri. Kune tenisi, kumhanya, basketball, pickleball, shangu dzeskating nezvimwe. Tsvakurudza kuti ndezvipi zvinodikanwa pamutambo kana chiitiko. Izvi zvinogona kusanganisira:
Zvitsitsinho makapu
Insole cushioning
Wide base
Zvimwe zvinhu zvinosangana netsoka dzega dzega.
Zvinokurudzirwa kuti shangu dzemitambo dzishandurwe makiromita ose e300 kusvika ku500 ekufamba kana kumhanya kana nezviratidzo zvekusaenzana pazvinenge zvakaiswa panzvimbo yakadzikama, sezvo mazamu akasakara uye zvinhu zvakasvibiswa zvinogona kuwedzera njodzi yekukuvara uye kurwadziwa shure. (American Academy yePodiatric Sports Medicine, 2024 ). Kana vamwe vaviri vakaisa makumbo, zviuno, kana kuti zviziso zvemakumbo munzvimbo isiri yomuzvarirwo kana kuti vachidzivisa kufamba kwenguva dzose, ingava nguva yokuvatsiva.
Kusarudza Shangu Dzakanaka
Mhinduro yakakodzera yekusarudza kupfeka shangu ndeyokuwana gait kuongororwa uye kuongororwa kwekufamba uye kumhanya. Vashandi vehutano vakasiyana-siyana vanogona kupa sevhisi iyi kuti igadzirise kutsvaga kwemunhu wega shangu dzakakodzera dzemarwadzo ekumusana. Mukuongorora gait, vanhu vanokumbirwa kumhanya uye kufamba, dzimwe nguva pakhamera, nepo nyanzvi inocherekedza maitiro emuviri, senge tsoka painorova pasi uye kana ichikunguruka mukati kana kunze. Izvi zvinopa data pamusoro pezvakakanganiswa posture, kufamba, marwadzo mazinga, yakawanda sei arch arch inodiwa, uye rudzii rwekupfeka kubatsira kudzivirira kurwadziwa shure. Kana iyo ongororo yapera, ichakutungamira pane yekutarisa, senge ndeipi nhanho yekutsigira arch, kureba chitsitsinho, kana zvinhu zvakakunakira iwe.
Injury Medical Chiropractic uye Functional Medicine Clinic inonyanya kufambira mberi, yekucheka-kumucheto marapirwo uye maitiro ekugadzirisa maitiro akatarisana nekiriniki physiology, hutano hwakakwana, inoshanda kudzidziswa kwesimba, uye kugadzirisa kwakakwana. Isu tinotarisa pakudzoreredza mabasa emuviri akajairwa mushure mekukuvadzwa uye kukuvara kwematishu akapfava. Isu tinoshandisa Specialized Chiropractic Protocols, Wellness Programs, Functional and integrative Nutrition, Agility uye mobility Fitness Training, uye Rehabilitation Systems kune mazera ose. Zvirongwa zvedu ndezvemuzvarirwo uye zvinoshandisa kugona kwemuviri kuzadzisa zvinangwa zvakayerwa pane kuunza makemikari anokuvadza, zvinonetsa kutsiva mahormone, maoparesheni asingadiwe, kana zvinodhaka zvinopinda muropa. Takabatana nevakuru veguta vanachiremba, varapi, uye varairidzi kuti vape marapiro emhando yepamusoro anopa varwere vedu simba rekuchengetedza mararamiro ane hutano uye kurarama hupenyu hunoshanda hune simba rakawanda, mafungiro akanaka, kurara zviri nani, uye kurwadziwa kushoma. .
Zvakanakira Kushandisa Custom Foot Orthotics
VIDEO
References
Centers for Disease Control and Prevention. (2019). Kumashure, nhengo dzezasi, uye kurwadziwa kwepamusoro pakati pevakuru veUS, 2019. Yakadzorerwa kubva www.cdc.gov/nchs/products/databriefs/db415.htm
Harvard Health Publishing. (2014). Mamiriro uye musana utano. Harvard Health Dzidzo. www.health.harvard.edu/pain/posture-and-back-health
American Academy yePodiatric Sports Medicine. Ayne Furman, DF, AAPSM. (2024). Ndinoziva sei kana yave nguva yekutsiva shangu dzangu dzemitambo?
by Dr Alex Jimenez Kudzorera Pain , Chiropractic , chisingaperi Pain , Pasi Pasi Pain , Spinal Decompression Treatments , Mishonga , Viscerosomatic Reflex
Vanhu vane lumbar spinal stenosis vanogona here kushandisa spinal decompression kuderedza kurwadza kwemusana uye kudzoreredza kufamba?
ziviso
Vanhu vazhinji pasi rese vakasangana nekurwadziwa kwemusana pane imwe nguva muhupenyu hwavo izvo zvakakanganisa kufamba kwavo uye zvakakanganisa maitiro avo. Zvakawanda zvezvakatipoteredza zvinogona kutungamira mukudzika kwemarwadzo ekudzokera shure, sekusimudza zvinorema zvisina kufanira, kusamira zvakanaka, kukuvara kunoshungurudza, uye tsaona dzinogona kukanganisa tsandanyama dzakatenderedza, musana, uye nerve midzi. Kana izvi zvikaitika, zvinogona kutungamira kune lumbar spinal stenosis uye kukonzeresa kuwanda kwengozi profiles inoenderana nekurwadziwa kwemusana. Kana vanhu vachibata lumbar spinal stenosis, vanogona kunge vachifunga kuti marwadzo avo ari muzasi. Kusvika ipapo, vanhu vazhinji vanotsvaga kurapwa kwete kungoderedza marwadzo ekudzokera shure asiwo kuderedza mhedzisiro ye lumbar spinal stenosis. Mamwe marapirwo, senge spinal decompression, iyo isiri yekuvhiya kurapwa, inogona kubatsira kudzoreredza kufamba kumuviri. Nyaya yanhasi inotarisa kuti lumbar spinal stenosis inobata sei kuzasi kwemashure uye kuongororwa kwayo paunenge uchitarisa kuti kuora kwemusana kunogona sei kupa zororo kumunhu uye kuva nemigumisiro yakanaka mukudzorera kufamba. Isu tinotaura nevarapi vane hunyanzvi vanosimbisa ruzivo rwevarwere vedu kuti vaone kuti lumbar spinal stenosis inopindirana sei nekurwadziwa kwemusana, zvichikonzera nyaya dzekufamba. Isu tinozivisawo uye kutungamira varwere nezvekuti spinal decompression inzira yakanaka yekurapa iyo inogona kusanganiswa nemamwe marapirwo. Tinokurudzira varwere vedu kuti vabvunze avo vanobatana navo vezvokurapa mibvunzo yakaoma uye yakakosha pamusoro pekubatanidza decompression therapy kuti ibvise marwadzo anokonzerwa nelumbar stenosis apo kuderedza marwadzo anoputika sekurwadziwa kwepazasi kuti awanezve kufamba kwemunhu. Dr. Jimenez, DC, anosanganisira ruzivo urwu sebasa rezvidzidzo. Disclaimer .
Maitiro eLumbar Spinal Stenosis Inobata Kuzasi Kumashure
Iwe unonzwa kurira kwekunzwa kumashure kwemakumbo ako kunokanganisa kugona kwako kufamba-famba? Kana kuti kuzasi kwako kunonzwa kushoma kufambisa kupfuura zvayaijaira? Kana vanhu vazhinji vachinzwa kurwadziwa kwakadzika kumashure munguva yehupenyu hwavo, inogona kuwirirana ne lumbar spinal stenosis. Lumbar spinal stenosis inowanzoitika apo musana wemuzongoza uri muzasi musana unova wakamanikana, zvichitungamirira kukuchinja kwekuchinja. Kana musana wemusana ukatanga kutetepa mumusana, unogona kukonzera kusagadzikana kukuru, kukanganisa mabasa ezuva nezuva, uye zvinogona kukonzera kuremara kunofambira mberi kune vanhu vakawanda. ( Munakomi et al., 2024 ) Zviratidzo zvinokonzerwa nelumbar spinal stenosis kubva kune zvinyoro kusvika kune zvakanyanya, uye pane izvo zvakatipoteredza zvinoenderana nenyaya yacho. Panguva imwecheteyo, lumbar spinal stenosis inoratidzwa nezviratidzo zvakadai sekurwadziwa kwepamusoro kunogona kukonzera shanduko ye spondylotic iyo inokonzera kurwadziwa kwepashure kunogona kukanganisa hupenyu hwemunhu. ( Ogon et al., 2022 ) Izvi zvinoita kuti vanhu vakawanda vaende kune vanachiremba vavo vekutanga kuti vawane chirwere uye vadzidze kugadzirisa marwadzo ane chokuita nelumbar spinal stenosis.
Kuongororwa kweLumbar Spinal Stenosis
Kana zvasvika pakuongorora lumbar spinal stenosis, vatapi vehutano vakawanda vachabatanidza kuongorora kwakazara, kunosanganisira kuongorora kwepanyama kuti uone kuti musana wemunhu uri kufamba sei uye kuongorora kwekufungidzira seMRIs uye CT scans kuti vaone mutsara wepelinha uye kuongorora kukura kweiyo. kuderedza kunokonzera marwadzo mumucheto wezasi. Izvi zvinodaro nekuti kana vanhu vachibata lumbar spinal stenosis, inogona kuratidza neurogenic claudication mumigumo yepasi, kunyanya kana munhu akamira kana kugara. Marwadzo anodzikira kana chinzvimbo chavo chashandurwa. ( Sobanski et al., 2023 ) Uyezve, lumbar spinal stenosis ndechimwe chezvinowanzoonekwa zvirwere zvemusana izvo vazhinji vehutano hwehutano vanoongorora uye vanoongorora. Kana pane kuderera mumusana wepelinha, zvichiita kuti pave nekugadzirwa kwelumbar spinal, kufamba kwakajeka sekufamba kunogona kuwedzera zviratidzo kusvika kumucheto wezasi uye kuwedzera okisijeni mumutsipa wepelinha, iyo inogona kudarika ropa rinowanikwa rinoyerera kusvika kumagumo. ( Deer et al., 2019 ) Kusvika panguva iyoyo, marapirwo akaita sepinal decompression anogona kubatsira kuderedza marwadzo ekumusana ane chokuita nelumbar spinal stenosis.
Nzira Isiri Yekuvhiya Kuhutano- Vhidhiyo
VIDEO
Nzira Yekununura Uchishandisa Spinal Decompression
Kana zvasvika kune vanhu vari kusangana nemarwadzo anokonzerwa nelumbar spinal stenosis, vanhu vazhinji vanogona kutsvaga marapirwo asiri ekuvhiya senge spinal decompression kuti abvise marwadzo ekumusana. Kuora kwemusana kwakabuda sechinhu chisingaiti, chinoshanda chekurapa sarudzo ye lumbar spinal stenosis. Inoshandisa zvinyoro-nyoro mechanical traction pamusana kuti itambanudzwe, isunungure tsinga dzemusana nekugadzira nzvimbo yakawanda mukati memusana wemusana. Spinal decompression inoderedza kuderera kwemaitiro apo mhasuru dzakatenderedza dzakatambanudzwa zvinyoro nyoro, uye iyo spinal disc kureba kunowedzera nekuda kwekumanikidza kwakashata. ( Kang et al., 2016 )
Mabhenefiti eSpinal Decompression & Kudzoreredza Mobility
Pamusoro pezvo, iyo nyoro inodhonza kubva kumusana decompression inobatsira kukwidziridza kuyerera kwezvinovaka muviri uye okisijeni kudzokera kune yakakanganiswa spinal discs uye musana kusimudzira iri nani kuporesa nharaunda yemuviri. Sezvo kupera kwepelinha kunogona kusanganiswa nemamwe marapirwo asiri ekuvhiya, sekurapa kwemuviri uye kugadzirwa kwepelinha, inogona kupa mhedzisiro yakanaka yenguva refu kune vanhu vane lumbar spinal stenosis. ( Ammendolia et al., 2022 ) Mimwe yemigumisiro inobatsira yemusana decompression inosanganisira:
Kunyaradza marwadzo nekuderedza kumanikidzwa kubva kumusana wetsinga kuderedza marwadzo uye kusagadzikana mumucheto wezasi zvakanyanya. Kufambiswa kwakanaka kunobvumira munhu kuti adzokere kumabasa avo ezuva nezuva zviri nyore.
Vanhu vazhinji vanogona kubatsirwa nemusana wekudzikisa kuderedza migumisiro ye lumbar spinal stenosis uye kuva nekufamba kwavo kwepasi kudzorerwa shure kwezvikamu zvakatevedzana kuderedza mikana yemarwadzo kubva pakudzoka. Nekufunga zvakanyanya nezvehutano hwavo uye hutano, vanhu vazhinji vanogona kuita diki diki shanduko mumabasa avo kuderedza marwadzo uye kuramba vachifambisa muhupenyu hwavo hwese. Izvi zvinovabvumira kuti vave nepfungwa yetariro yekuvasunungura kubva mukurwadziwa kwavanga vari pasi.
References
Ammendolia, C., Hofkirchner, C., Plener, J., Bussieres, A., Schneider, MJ, Young, JJ, Furlan, AD, Stuber, K., Ahmed, A., Cancelliere, C., Adeboyejo, A ., & Ornelas, J. (2022). Kusashanda kurapwa kwe lumbar spinal stenosis neurogenic claudication: yakagadziridzwa yakarongeka ongororo. BMJ Open , 12 (1), e057724. doi.org/10.1136/bmjopen-2021-057724
Deer, T., Sayed, D., Michels, J., Josephson, Y., Li, S., & Calodney, AK (2019). Ongororo yeLumbar Spinal Stenosis neIntermittent Neurogenic Claudication: Chirwere uye Kuongororwa. Pain Med , 20 (Suppl 2), S32-S44. doi.org/10.1093/pm/pnz161
Kang, JI, Jeong, DK, & Choi, H. (2016). Mhedzisiro yepelinha decompression pane lumbar muscle basa uye disk urefu kune varwere vane herniated intervertebral disk. Zvinyorwa zvePhysical Therapy Science , 28 (11), 3125-3130. doi.org/10.1589/jpts.28.3125
Munakomi, S., Foris, LA, & Varacallo, M. (2024). Spinal Stenosis uye Neurogenic Claudication. In StatPearls . www.ncbi.nlm.nih.gov/pubmed/28613622
Ogon, I., Teramoto, A., Takashima, H., Terashima, Y., Yoshimoto, M., Emori, M., Iba, K., Takebayashi, T., & Yamashita, T. (2022). Zvinhu zvinosanganiswa nemarwadzo ekudzokera shure kune varwere vane lumbar spinal stenosis: chidzidzo chemuchinjikwa. BMC Musculoskelet Disord , 23 (1), 552. doi.org/10.1186/s12891-022-05483-7
Sobanski, D., Staszkiewicz, R., Stachura, M., Gadzielinski, M., & Grabarek, BO (2023). Mharidzo, Kuongororwa, uye Kutungamirirwa kwePain Back Pain Inobatanidza neSpinal Stenosis: Ongororo Yenyaya. Med Sci Monit , 29 , e939237. doi.org/10.12659/MSM.939237
Disclaimer
by Dr Alex Jimenez Hip Pain & Dambudziko , Pasi Pasi Pain
Kune vanhu vari kusangana nesacroiliac joint/SIJ kusagadzikana uye kurwadziwa, kushandisa kinesiology tepi kunogona kubatsira kuunza zororo uye kugadzirisa zviratidzo?
Kinesiology Tape For Sacroiliac Joint Pain
Chirwere chepasi chemusana chinowanzoitika panguva yekuzvitakura. Marwadzo acho anowanzo kune rimwe kana mativi ese ekumusana, pamusoro pemagaro, anouya uye anoenda uye anogona kudzikisira kugona kukotama, kugara, uye kuita zvakasiyana siyana zvemuviri. (Moayad Al-Subahi et al., 2017 ) Therapeutic tepi inopa rubatsiro paunenge uchibvumira kufamba uye inogona kubatsira kubata nekugadzirisa sacroiliac joint / SIJ kurwadziwa ne:
Kuderera kwetsandanyama.
Kufambisa basa retsandanyama.
Kuwedzera kutenderera kweropa kune uye kutenderedza nzvimbo yekurwadziwa.
Kuderera kwemhasuru trigger points.
Mechanism
Zvimwe zvidzidzo zvakawana kuti kubata iyo SI yakabatana ine zvikomborero zvinosanganisira:
Imwe dzidziso inobatsira kusimudza uye kubata matishu akafukidzira kubva pamubatanidzwa weSI, izvo zvinobatsira kuderedza kumanikidza kwakaitenderedza.
Imwe dzidziso ndeyokuti kusimudza matishu kunobatsira kugadzira kudzvanywa kwakasiyana pasi pe tepi, sekunge kusiri-kuvhiya decompression, zvichibvumira kuwedzera kutenderera kune tishu dzakatenderedza sacroiliac joint.
Izvi zvinofashamira nzvimbo neropa uye zvinovaka muviri, zvichigadzira nzvimbo yakakwana yekuporesa.
kunyoresa
Sacroiliac joint kurudyi nekuruboshwe mativi inobatanidza pelvis kune sacrum kana kuti yakaderera chikamu musana. Kuti uise tepi ye kinesiology nenzira kwayo, tsvaga chikamu chakaderera cheshure mukati menzvimbo yepelvic. (Francisco Selva et al., 2019 ) Kumbira shamwari kana nhengo yemhuri kuti ikubatsire kana usingakwanisi kusvika kwaunogara.
Cheka mitsetse mitatu ye tepi, imwe neimwe 4 kusvika ku6 inches kureba.
Gara pachigaro wokotamisa muviri zvishoma mberi.
Kana mumwe munhu ari kubatsira, iwe unogona kumira uye zvishoma kukotama mberi.
Bvisa mutsara wekusimudza pakati uye tambanudza tepi kuti uise pachena masendimita akawanda, uchisiya migumo yakavharwa.
Isa tepi yakafumurwa pakona pamusoro peiyo SI yakabatana, sekugadzira mutsara wekutanga weX, pamusoro pemagaro, nekutambanudza kwakazara patepi.
Dhonza zvimedu zvekusimudza kubva kumagumo uye uzvibatanidze pasina kutambanudza.
Dzokorora matanho ekushandisa nekamwe kechipiri, kunamatira pa45-degree angle kune yekutanga tambo, uchiita X pamusoro pejoint ye sacroiliac.
Dzokorora izvi netambo yekupedzisira yakachinjika kuyambuka X yakagadzirwa kubva pazvidimbu zviviri zvekutanga.
Panofanira kunge paine tepi pateni yechimiro chenyeredzi pamusoro pejoint ye sacroiliac.
Kinesiology tepi inogona kugara pamusoro pejoint sacroiliac kwemazuva matatu kusvika mashanu.
Tarisa zviratidzo zvekushatirwa zvakatenderedza tepi.
Bvisa tepi kana ganda rikatsamwa, uye bvunza mutarisiri wako wekutanga wehutano, murapi wepanyama, kana chiropractor kune dzimwe nzira dzekurapa.
Vamwe vanhu vane mamiriro chaiwo havafanire kushandisa tepi uye kuwana simbiso yekuti haina njodzi.
Vanhu vane kurwadziwa kwakanyanya kwesacroiliac uko kuzvitonga kusiri kushanda vanofanirwa kuona mupi wehutano, murapi wepanyama, uye kana chiropractor kuti aongororwe uye kudzidza maitiro ekurapa uye. kurapa kubatsira kugadzirisa mamiriro acho.
Sciatica Panguva Yepamuviri
VIDEO
References
Al-Subahi, M., Alayat, M., Alshehri, MA, Helal, O., Alhasan, H., Alalawi, A., Takrouni, A., & Alfaqeh, A. (2017). Kubudirira kwe physiotherapy kupindira kwe sacroiliac joint dysfunction: kuongorora kwakarongeka. Nyaya yePhysical Therapy Sayenzi, 29 (9), 1689-1694. doi.org/10.1589/jpts.29.1689
Do-Yun Shin naJu-Young Heo. (2017). Mhedzisiro yeKinesiotaping Inoshandiswa paErector Spinae uye Sacroiliac Joint paLumbar Flexibility. The Journal of Korean Physical Therapy, 307-315. doi.org/https://doi.org/10.18857/jkpt.2017.29.6.307
Selva, F., Pardo, A., Aguado, X., Montava, I., Gil-Santos, L., & Barrios, C. (2019). Chidzidzo chekuberekazve kwe kinesiology tepi application: ongororo, kuvimbika uye chokwadi. BMC musculoskeletal kusagadzikana, 20 (1), 153. doi.org/10.1186/s12891-019-2533-0
by Dr Alex Jimenez Kudzorera Pain , chisingaperi Pain , Electroacupuncture Therapy , Gut uye Utachiona Utano , Pasi Pasi Pain , Mishonga , Viscerosomatic Reflex
Vanhu vari kubata nekuzvimba kwemudumbu vangazorodzwa neelectroacupuncture kuti vaderedze zviratidzo zvekurwadza kwemusana & kugadzirisa ura hunoita?
ziviso
Kana zvasvika kumuviri, iyo gut system ine hukama hunonakidza kumapoka akasiyana emuviri. Iyo gut system inoshanda nepakati tsinga, immune system, uye musculoskeletal system sezvo ichibatsira kudzivirira muviri kubva kumabhakitiriya anokuvadza uchidzora kuzvimba. Nekudaro, kana zvinhu zvezvakatipoteredza zvatanga kukanganisa muviri uye kuita kuti gut system iende haywire, zvinogona kukonzera nyaya dzakawanda dzekurwadziwa uye kusagadzikana kumuviri. Imwe yenyaya iyo ura inogona kukanganisa ndeye musculoskeletal system, zvichikonzera marwadzo ekumusana ane chekuita nekuzvimba kwematumbo. Nekudaro, marapirwo mazhinji anogona kubatsira kuderedza mhedzisiro yekuzvimba kwematumbo izvo zviri kukonzera kurwadziwa shure. Chinyorwa chanhasi chinotarisa kubatanidzwa kwehutumbu-kumashure kurwadziwa, kuti electroacupuncture inogona kubatanidzwa sei sekurapa, uye kuti inogona kuderedza kuzvimba. Tinotaura nevarapi vane hunyanzvi vanosanganisa ruzivo rwevarwere vedu kuti vaone kuti kuzvimba kwematumbo kunokanganisa sei miviri yavo, zvichikonzera kurwadziwa kwemusana. Isu tinozivisawo uye kutungamira varwere nezve nzira iyo electroacupuncture therapy inogona kubatsira kuderedza kuzvimba zvinokonzeresa ura uye kumashure nyaya uye kudzoreredza ura kushanda. Tinokurudzira varwere vedu kuti vabvunze avo vanobatana navo vekurapa mibvunzo yakaoma uye yakakosha nezve kubatanidza akasiyana-siyana asiri ekuvhiya marapirwo kuderedza kuzvimba kwematumbo kunoenderana nemarwadzo ekumusana. Dr. Jimenez, DC, anosanganisira ruzivo urwu sebasa rezvidzidzo. Disclaimer .
The Gut-Back Pain Connection
Iwe unonzwa tsandanyama aches kana kurwadziwa muura mako kana kuzasi kumashure? Zvakadini nokupisa kupisa munzvimbo dzakasiyana-siyana dzomuviri wako? Kana kuti wakambosangana nechero nguva shoma-yesimba muzuva rako rese? Nepo hutumbu huchizivikanwa sehuropi hwechipiri sezvo huchishanda ne immune system, rimwe rematanho akakosha kudzora immune system yemuviri. Izvi zvinodaro nekuti gut microbiome inogara matiririyoni ebhakitiriya kugaya chikafu uye kudzivirira muviri kubva kuhutachiona hwakashata. Kana zvinhu zvakatipoteredza zvatanga kukanganisa hutachiona hwemukati, zvinogona kutungamira immune system kuita hyperactive, zvichiita kuti ma cytokines awedzere kuburitsa, uye mhedzisiro iyi inogona kutekeshera mumuviri wese, zvichiratidza zviratidzo nemamiriro akasiyana-siyana anorwadza, kusanganisira. kurwadziwa kwemusana. Sezvo kuzvimba kuri kuzvidzivirira kwemuviri kune kukuvara kana hutachiona, kunobvisa nyaya inokuvadza munzvimbo yakakanganiswa uye inobatsira kupora. Saka kana ma cytokines ekuzvimba anotanga kuwanda kuburitsa nekuda kwekuzvimba kwemudumbu, anogona kukanganisa gut system, achibvumira chepfu uye mabhakitiriya kupinda muropa uye kuenda kunzvimbo dzakasiyana dzemuviri, zvichikonzera kurwadziwa. Ikozvino, izvi zvinokonzerwa neakasiyana siyana ezvakatipoteredza izvo zvinotungamira mukukura kwemarwadzo ekumusana. Kana mabhakitiriya anokuvadza kubva mukuzvimba anotanga kukonzera kurwadziwa shure, anogona kuzvibatanidza uye kukanganisa intervertebral disc homeostasis, zvichiita kuti immune system irwise intervertebral disc uye kukonzera kurwadziwa shure. ( Yao et al., 2023 ) Izvi zvinokonzerwa nekubatana kwehutu uye kumashure kuburikidza nenzira dzakaoma dzetsinga dzinotumira ruzivo kubva muhutu kusvika kumusana uye kusvika kuuropi.
Saka, kana kuzvimba kukatanga kukonzera nyaya mumuviri, zvinogona kutungamira kumatambudziko emusculoskeletal sekurwadziwa kwemusana. Gut kuzvimba kunogona kukonzera kusaenzana pakati pekuumbwa kwesymbiont uye pathobiont kuderedza kutendeseka uye kushanda kwemukati wematumbo zvipingamupinyi, kukonzera marwadzo, uye kuwedzera mamorekuru anopisa. ( Ratna et al., 2023 ) Mamolekemu anopisa anogona kuwedzera marwadzo ekugamuchira uye kushushikana kwemasuru, zvichiita kuti kusagadzikana uye kurwadziwa muzasi. Sezvineiwo, zvinhu zvezvakatipoteredza zvakaita sekusamira zvakanaka, kusaita zvemuviri, uye kusadya zvakanaka maitiro zvinogona kukonzera kuti gut system iite kuzvimba kwemhasuru dzekumusana. Kana paine dysbiosis mugut microbiota, zvinokonzeresa zvinokonzeresa zvinogona kusanganiswa zvisina kunanga nekurwadziwa kwevisceral uye central nervous systemic functioning kushandura muviri uye kuita kuti ive mune inopfuurira mamiriro ekusingaperi systemic kuzvimba kukonzeresa kurwadziwa shure. ( Dekker Nitert et al., 2020 ) Nekudaro, kune akawanda asiri ekuvhiya marapirwo uye akazara nzira dzekudzikisa kuzvimba kwematumbo uye kudzoreredza kurwadziwa shure.
Kubatanidza Electroacupuncture SeKurapa
Kana vanhu vachinzwa kurwadziwa nekumusana kwakabatana nekuzvimba kwematumbo, vanoenda kuna chiremba wavo wekutanga wehutano uye vanotsanangura mamiriro acho. Tichifunga nezvekubatana pakati pekuzvimba kweura uye kurwadziwa kwemusana, nekugadzirisa zvakatipoteredza izvo zvinokonzeresa mafambiro enjodzi aya, vanachiremba vazhinji vanogona kushanda nenyanzvi dzemarwadzo kuderedza kuzvimba kwematumbo uye kurwadziwa kwemusana. Nyanzvi dzemarwadzo dzakaita sechiropractors, acupuncturists, uye masaja therapists anogona kubatsira kusimbisa mhasuru dzakakanganisika dziri kukonzera kurwadziwa kwemusana uye nekupa nzira dzakakwana senge anti-kuzvimba mavhitamini uye ma supplements ekudzikisa kuzvimba kwematumbo. Imwe yemishonga yekare isiri yekuvhiya inogona kuita ese ndeye electroacupuncture. Electroacupuncture inosanganisa echinyakare Chinese therapy uye tekinoroji yemazuva ano inoshandisa kurudziro yemagetsi uye tsono dzakatetepa dzakasimba kuti dzipinzwe muacupoint yemuviri kuti iwane qi kana simba. Izvi zvinoita izvi ndezvekuti zvinopa kukurudzira kwemagetsi uye anti-kuzvimba mhedzisiro yekukurudzira cholinergic reflexes muura uye HPA axis. ( Yang et al., 2024 ) Electroacupuncture inogonawo kusanganiswa nemamwe marapirwo kuti kuderedze migumisiro yekuputika inobatanidza nemarwadzo ekudzokera shure.
Electroacupuncture Inoderedza Sei Kuzvimba kweGut
Sezvo electroacupuncture inogona kuderedza kuzvimba kwematumbo kunokonzera kurwadza kwemusana, inogona kubatsira kudzora maruva emudumbu nekusimudzira intestinal motility uye kuvhara masaini emarwadzo kubva pakukanganisa mhasuru dzekumusana. ( An et al., 2022 ) Izvi zvinodaro nekuti electroacupuncture inogona kubatsira kuzorodza tsandanyama dzakasimba dzinokonzera kurwadziwa kwemusana. Pamusoro pezvo, kana vanhu vasvika pakurapwa uku, vanenge vachitungamirwa nevanodzidzira acupuncturist vanogona kupinza tsono nenzira kwayo uku vachigadzira electroacupuncture therapy zvinoenderana nezvinodiwa nemunhu uye kurwadziwa. Sezvo electroacupuncture inogona kusanganiswa nemamwe marapirwo, inogona kunyatso kudzikisa huremu hwemuviri uye kudzoreredza kugayiwa uye kunyura kuumba gut microbiota. ( Xia et al., 2022 ) Izvi zvinobvumira vanhu kuita shanduko diki kumaitiro avo uye kudzivirira kuzvimba kwematumbo kubva pakukanganisa muviri uye kukonzera kurwadziwa kumashure. Vanogona kuvandudza hupenyu hwavo nekubatanidza electroacupuncture sechikamu chehutano hwavo uye hutano hwekurapa.
Kuvhura Zvakavanzika Zvekuzvimba-Vhidhiyo
VIDEO
References
An, J., Wang, L., Song, S., Tian, L., Liu, Q., Mei, M., Li, W., & Liu, S. (2022). Electroacupuncture inoderedza shuga yeropa nekudzora maruva emudumbu murudzi rwechipiri rwechirwere cheshuga. J Diabetes , 14 (10), 695-710. doi.org/10.1111/1753-0407.13323
Dekker Nitert, M., Mousa, A., Barrett, HL, Naderpoor, N., & de Courten, B. (2020). Yakashandurwa Gut Microbiota Kuumbwa Kwakabatana NeKurwadziwa Kwekumashure muKuwedzeredza uye Kufutisa Vanhu. Front Endocrinol (Lausanne) , 11 , 605. doi.org/10.3389/fendo.2020.00605
Ratna, HVK, Jeyaraman, M., Yadav, S., Jeyaraman, N., & Nallakumarasamy, A. (2023). Dysbiotic Gut ndiyo Chikonzero cheKurwadza Kwekudzokera? Cureus , 15 (7), e42496. doi.org/10.7759/cureus.42496
Xia, X., Xie, Y., Gong, Y., Zhan, M., He, Y., Liang, X., Jin, Y., Yang, Y., & Ding, W. (2022). Electroacupuncture yakasimudzira defensins yematumbo uye yakanunura iyo dysbiotic cecal microbiota yemafuta akanyanya kudya-induced obese mice. Upenyu Sci , 309 , 120961. doi.org/10.1016/j.lfs.2022.120961
Yang, Y., Pang, F., Zhou, M., Guo, X., Yang, Y., Qiu, W., Liao, C., Chen, Y., & Tang, C. (2024). Electroacupuncture Inoderedza Chirwere Chinokonzera Chirwere muMakonzo Akanyanya neKushandisa Nrf2 / HO-1 Kuratidzira Nzira uye Kugadzirisa Intestinal Barrier. Chirwere cheshuga Metab Syndr Obes , 17 , 435-452. doi.org/10.2147/DMSO.S449112
Yao, B., Cai, Y., Wang, W., Deng, J., Zhao, L., Han, Z., & Wan, L. (2023). Mhedzisiro yeGut Microbiota paKufambira mberi kweIntervertebral Disc Degeneration. Orthopedic Kuvhiya , 15 (3), 858-867. doi.org/10.1111/os.13626
Disclaimer
by Dr Alex Jimenez Pasi Pasi Pain , Kukuvara Kwevanhu
Kune vanhu vane kurwadziwa kwepazasi kumashure vanogona kunzwisisa anatomy uye basa remultifidus tsandanyama rubatsiro mukudzivirira kukuvara uye mukuvandudza chirongwa chekurapa chakanyanya kushanda?
Multifidus Muscle
Iyo multifidus mhasuru dzakareba uye dzakamanikana kune rumwe rutivi rwepinini mbiru, iyo inobatsira kudzikamisa nzvimbo yakaderera yemuzongoza kana lumbar spine. (Maryse Fortin, Luciana Gazzi Macedo 2013 ) Kugara zvakanyanya, kuita maitiro asina kunaka, uye kusava nekufamba kunogona kufambira mberi kune multifidus muscle kupera simba kana atrophy, izvo zvinogona kutungamirira kumusana usina kugadzikana, vertebral compression, uye kurwadziwa shure. (Paul W. Hodges, Lieven Danneels 2019 )
Anatomy
Inozivikanwa sechidzitiro chakadzika, ndiyo yemukati-kati yezvikamu zvitatu zvetsandanyama zvemusana uye inodzora kufamba kwemusana. Mamwe maviri akaturikidzana, anozivikanwa seyemukati uye epamusoro, ane mutoro weiyo thoracic cage / mbabvu cage uye kufamba kwepfudzi. (Anouk Agten et al., 2020 ) Iyo multifidus ine mapoinzi ekunamatira pa:
The thoracic musana wepakati kumashure.
The lumbar musana wezasi musana.
The iliac spine - mujinga mebapiro-akaita mapapiro iliac bone yepelvis.
Sacrum - nhevedzano yemapfupa ari pazasi pemusana akabatana nemuswe.
Paunenge wakamira kana kufamba, iyo multifidus muscle inoshanda ne transversus abdominus uye pelvic floor muscles kuti igadzikane lumbar spine. (Christine Lynders 2019 )
Basa retsandanyama
Basa guru nderokudzikamisa pasi kumashure, asi inobatsirawo kuwedzera musana wepasi pose paunosvika kana kutambanudza. (Jennifer Padwal et al., 2020 ) Nemhaka yokuti mhasuru ine mapeji akawanda ekubatanidza uye inoshandiswa neimwe bazi retsinga rinozivikanwa se posterior rami, inobvumira vertebra imwe neimwe kushanda yega uye zvakanyanya.
Izvi zvinodzivirira kubva pakuora kwemusana uye kukura kweArthritis. (Jeffrey J Hebert et al., 2015 )
Iyo multifidus tsandanyama inoshanda nemamwe maviri akadzika mhasuru mapoka kuti agadzikane uye kufambisa musana. (Jeffrey J Hebert et al., 2015 )
Iyo rotatores tsandanyama inogonesa unilateral kutenderera, kutendeuka kubva kune rimwe divi kuenda kune rimwe divi, uye bilateral kuwedzera kana kukotama kumashure uye kumberi.
Iyo semispinalis muscle pamusoro pe multifidus inobvumira kuwedzera uye kutenderera kwemusoro, mutsipa, uye kumusoro kumashure.
Iyo multifidus muscle inochengetedza simba remusana nokuti ine zvakawanda zvakasungirirwa kumusana pane mamwe mapeji, izvo zvinoderedza kushanduka kwemusana uye kutenderera asi kunowedzera simba uye kugadzikana. (Anouk Agten et al., 2020 )
Pasi Pasi Pain
Iyo isina simba multifidus tsandanyama inodzikamisa musana uye inopa shoma rutsigiro kune vertebra. Izvi zvinowedzera kudzvanywa pamhasuru uye matishu anobatanidza pakati uye ari padyo nepinal column, zvichiwedzera njodzi yezviratidzo zvekurwadziwa kumashure. (Paul W. Hodges, Lieven Danneels 2019 ) Kurasikirwa kwesimba remhasuru uye kugadzikana kunogona kukonzera atrophy kana kupera. Izvi zvinogona kukonzera compression uye mamwe matambudziko kumashure. (Paul W. Hodges et al., 2015 ) Matambudziko ekudzokera shure ane chokuita ne multifidus muscle deterioration anosanganisira (Paul W. Hodges, Lieven Danneels 2019 )
Herniated discs - zvakare anoputika kana akatsvedza madhisiki.
Nerve entrapment kana compression pinched nerve.
Sciatica
Referred pain - kurwadziwa kwetsinga kunobva kumusana kwakanzwika kune dzimwe nzvimbo.
Osteoarthritis - kupfeka-uye-kubvarura arthritis
Spinal osteophytes - bone spurs
Mudumbu usina simba kana pelvic pasi tsandanyama zvinogona kukanganisa musimboti, zvichiwedzera njodzi yekusingaperi kurwadziwa kwemusana uye kukuvara.
Vanhu vanokurudzirwa kubvunza chiremba wepanyama uye chiropractor vanogona kubatsira kukudziridza zvakakodzera mabatiro , kugadzirisa, nekusimbisa chirongwa chinobva pazera, kukuvara, mamiriro epasi, uye kugona kwemuviri.
Ko Core Exercises Inogona Kubatsira Nekurwadza Kwekumashure?
VIDEO
References
Fortin, M., & Macedo, LG (2013). Multifidus uye paraspinal muscle boka rinoyambuka-sectional nzvimbo dzevarwere vane marwadzo ekudzokera shure uye kudzora varwere: kuongorora kwakarongeka nekutarisa pakupofumadza. Physical therapy, 93 (7), 873-888. doi.org/10.2522/ptj.20120457
Hodges, PW, & Danneels, L. (2019). Shanduko muChimiro uye Basa reKumashure Muscles muLow Back Pain: Yakasiyana Nguva Mapoinzi, Observation, uye Mechanisms. The Journal of orthopedic uye mitambo yekurapa kwepanyama, 49 (6), 464-476. doi.org/10.2519/jospt.2019.8827
Agten, A., Stevens, S., Verbrughe, J., Eijnde, BO, Timmermans, A., & Vandenabeele, F. (2020). Iyo lumbar multifidus inoratidzwa nemhando yakakura I muscle fibers kana ichienzaniswa ne erector spinae. Anatomy & cell biology, 53(2), 143–150. doi.org/10.5115/acb.20.009
Lynders C. (2019). Iro Rinokosha Basa Rekuvandudza kweTransversus Abdominis mukudzivirira uye Kurapa kweLow Back Pain. HSS magazini: the musculoskeletal magazine yeChipatara cheSpecial Surgery, 15(3), 214–220. doi.org/10.1007/s11420-019-09717-8
Padwal, J., Berry, DB, Hubbard, JC, Zlomislic, V., Allen, RT, Garfin, SR, Ward, SR, & Shahidi, B. (2020). Misiyano yedunhu pakati pepamusoro uye yakadzika lumbar multifidus mune varwere vane chisingaperi lumbar spine pathology. BMC musculoskeletal kusagadzikana, 21 (1), 764. doi.org/10.1186/s12891-020-03791-4
Hebert, JJ, Koppenhaver, SL, Teyhen, DS, Walker, BF, & Fritz, JM (2015). Kuongororwa kwe lumbar multifidus muscle basa kuburikidza ne palpation: kuvimbika uye kutendeseka kwehutano hutsva hwekliniki. The spine magazine: yepamutemo magazini yeNorth American Spine Society, 15 (6), 1196-1202. doi.org/10.1016/j.spinee.2013.08.056
Hodges, PW, James, G., Blomster, L., Hall, L., Schmid, A., Shu, C., Little, C., & Melrose, J. (2015). Multifidus Muscle Changes Mushure mekukuvadzwa Kwekumashure Inoratidzwa neKugadziriswa Kwemaitiro eMuscle, Adipose uye Connective Tissue, asi Kwete Muscle Atrophy: Molecular and Morphological Evidence. Muzongoza, 40(14), 1057–1071. doi.org/10.1097/BRS.0000000000000972
by Dr Alex Jimenez Kudzorera Pain , chisingaperi Pain , Electroacupuncture Therapy , Pasi Pasi Pain , Mishonga , Viscerosomatic Reflex
Vanhu vane kurwadziwa kwepashure vanogona here kushandisa electroacupuncture therapy kuderedza marwadzo uye kudzoreredza kufamba kudzokera kumiviri yavo?
ziviso
Vanhu vazhinji pasi rose vakabata nemarwadzo ekudzokera shure kubva kune zvakawanda zvinhu uye kukuvara kunorwadza kunogona kukonzera marwadzo-sezviratidzo zvakatenderedza spinal discs, tsandanyama, ligaments, uye nerve midzi. Izvi zvinodaro nekuti muviri unofamba uchidzokororwa izvo zvinoita kuti mhasuru dzakatenderedza nemarunda awedzere uye akasimba, achiwedzera tsinga midzi uye kukonzera marwadzo anotaurwa. Kana kuti inogona kuva kukuvadzwa kunorwadza kunobata ma spinal discs munharaunda ye lumbar iyo inogona kuva herniated kana kuderera kuti iwedzere midzi yetsinga uye inotungamirira kumarwadzo ekuderera. Pasinei nemhedzisiro, kurwadziwa kwepashure idambudziko rakajairika musculoskeletal, uye vanhu vazhinji vanowanzotsvaga kurapwa kuti vaderedze marwadzo-semhedzisiro uye kubatsira vanhu vazhinji kuti vadzorerwe kufamba kwavo. Chinyorwa chanhasi chinoongorora kuti nei kurwadziwa kwepazasi inyaya yepasi rose, kuti electroacupuncture inogona kubatsira sei kudzikisira, uye kuti ingadzoke sei kufamba. Isu tinotaura nevarapi vane hunyanzvi vanosimbisa ruzivo rwevarwere vedu kuti vanzwisise zviri nani kuti sei kurwadziwa kwakaderera kumashure iri nyaya mumiviri yavo. Isu tinozivisawo uye kutungamira varwere nezve nzira iyo electroacupuncture therapy inogona kubatsira kuderedza yakaderera musana uye kunyange kubatsira nekudzorera kufamba kwemuviri. Tinokurudzira varwere vedu kuti vabvunze avo vanobatana navo vezvokurapa mibvunzo yakaoma uye yakakosha pamusoro pekuderedza kukanganiswa kwemarwadzo ekudzokera shure uye kuwana marapirwo akasiyana-siyana ekubatanidza. Dr. Jimenez, DC, anosanganisira ruzivo urwu sebasa rezvidzidzo. Disclaimer .
Sei Kurwadziwa Kwekudzokera Kuri Inyaya Yepasirese?
Unonzwa kuoma muzasi mako mushure mekutakura kana kusimudza chinhu chinorema here? Unonzwa marwadzo anopenya achifamba achidzika kumakumbo ako? Kana kuti unonzwa tsandanyama kurwadza kumusana kwako kubva pakuvhima kwenguva yakareba? Zvizhinji zveizvi zvinorwadza-senge nyaya zvine chekuita nemamiriro ekunze izvo zvinogona kuita kuti muviri uwedzere kurwadziwa kwemusana. Kana zvasvika pakurwadziwa kwemusana, inyaya yemagariro nehupfumi inobata pasi rose vanhu vazhinji, kunyanya vanoshanda. Kana vanhu vazhinji vachiita mafambiro akasiyana siyana kana kuita mabasa, mafambiro aya anogona kusunungura zvishoma nezvishoma matsinga ekuzasi. Izvi zvinoita kuti muviri unzwe kuti chimwe chinhu chakashata nechepasi uye zvivako zvakakosha zvemuzongoza, nokudaro kutora dzimwe nzira dzekuchengetedza kugadzikana kwemusana. ( Hauser et al., 2022 )
Uyezve, zviratidzo zvakawanda zvemarwadzo ekudzokera shure hazvina kujeka, uye kufamba kwekusimudza kunorema, kukotama, kupeta, uye kudengenyeka kwemuviri wose ibasa rengozi zvinhu zvinotungamirira mukukura kwemarwadzo ekudzokera shure. ( Becker & Childress, 2019 ) Izvi zvinokonzera vanhu vakawanda vane kurwadziwa kwepashure kuti vatarise mutoro wekushayikwa kwebasa kana kuti kuisa maitiro avo ezuva nezuva. Kana izvi zvikaitika, vanhu vazhinji vanotanga kutsvaga kurapwa kuti vaderedze zviratidzo zvinokonzerwa nekurwadziwa kwemusana.
Kuzarura Relief-Vhidhiyo
VIDEO
Electroacupuncture For Low Back Pain
Kana zvasvika pakuderedza marwadzo ekumusana, vanhu vazhinji vanoenda kumarapi akasiyana siyana kuti vabvise marwadzo ekuzasi kwavo uye nezviratidzo zvavo zvakabatana. Saka, ndosaka marapirwo asiri ekuvhiya senge electroacupuncture achigona kubatsira kudzikamisa marwadzo ekumusana uye kubatsira matinji kuti atangezve kufamba. Electroacupuncture imwe nzira yeacupuncture inoshandisa kurudziro yemagetsi pane acupoints emuviri kudzivirira zviratidzo zvinorwadza. Electroacupuncture yakashandiswa zvakanyanya pazvirwere zvemusculoskeletal, kusanganisira kurwadziwa kwemusana, sezvo yakashandiswa senzira yekurapa kuderedza kushandiswa kwemishonga apo iri sarudzo inoshanda kana yasanganiswa nemamwe marapirwo. ( Sung et al., 2021 )
Pamusoro pezvo, electroacupuncture inoitwa nenyanzvi dzakadzidziswa uye, kana ichishandiswa kurapa kurwadziwa kwakadzika kumashure, inobvumira kukurudzira munzvimbo dzakakura dzemuviri dzakatenderedza acupoint kubvumira paramita zvinosanganisira kusimba, nguva, uye kuwanda kuti marwadzo aenderere mberi. nzvimbo ichazivikanwa nenyanzvi dzehutano. ( Francescato Torres et al., 2019 ) Electroacupuncture inogona kubatsira kuderedza marwadzo ekuzasi uye kutsigira vanhu vakawanda kuburikidza nemaitiro akasiyana-siyana ekudzorera kufamba. ( Kong, 2020 )
Electroacupuncture Kudzorera Kufamba
Kana uchidzoreredza kufamba kwemuviri kubva kumarwadzo ekumusana, electroacupuncture inogona kupa kurapa mhedzisiro nekuvhara masaini ekurwadziwa, zvichiita kuti muviri usafambe, uye uchibvumira mhasuru kuzorora. ( Sheng et al., 2021 ) Electroacupuncture yakasanganiswa nemamwe marapirwo akaita sekurapa kwepanyama kunogona kubatsira kutambanudza uye kusimbisa mhasuru dzakatenderedza kumashure nemarunda kuti kuderedze marwadzo anowedzera anokanganisa kufamba uye kuita kuti vanhu vazhinji vafunge kuti ndezvipi mafambiro ari kukonzera marwadzo kumashure. Kana vanhu vatanga kuita shanduko diki kana hombe kuhutano hwavo uye hutano, ivo vanozotanga kuona mabatiro avanozviita ivo vachidzivirira zvakafanana kudzokorora mafambiro ari kukonzera kuzasi kwavo nyaya uye kurarama hupenyu hune hutano.
References
Becker, BA, & Childress, MA (2019). Nonspecific Low Back Pain uye Dzokera Kubasa. American Family Physician , 100 (11), 697-703. www.ncbi.nlm.nih.gov/pubmed/31790184
www.aafp.org/pubs/afp/issues/2019/1201/p697.pdf
Francescato Torres, S., Brandt de Macedo, AC, Dias Antunes, M., Merllin Batista de Souza, I., Dimitre Rodrigo Pereira Santos, F., de Sousa do Espirito Santo, A., Ribeiro Jacob, F., Torres Cruz, A., de Oliveira Januario, P., & Pasqual Marques, A. (2019). Migumisiro ye electroacupuncture frequencies pamarwadzo asingagumi ekudzokera shure kune vakwegura vakuru: katatu-mapofu, 12-months protocol yekuedza kurongeka. miedzo , 20 (1), 762. doi.org/10.1186/s13063-019-3813-6
Hauser, RA, Matias, D., Woznica, D., Rawlings, B., & Woldin, BA (2022). Kusagadzikana kweLumbar se etiology yemarwadzo ekudzokera shure uye kurapwa kwayo neprolotherapy: Ongororo. J Back Musculoskelet Rehabil , 35 (4), 701-712. doi.org/10.3233/BMR-210097
Kong, JT (2020). Electroacupuncture yeKurapa Kurwara Kwekudzokera Kweshure Kusingaperi: Preliminary Research Results. Med Acupunct , 32 (6), 396-397. doi.org/10.1089/acu.2020.1495
Sheng, X., Yue, H., Zhang, Q., Chen, D., Qiu, W., Tang, J., Fan, T., Gu, J., Jiang, B., Qiu, M., & Chen, L. (2021). Kubudirira kwe electroacupuncture muvarwere vane vakakundikana shure kwekuvhiyiwa syndrome: kudzidza protocol ye randomized controlled trial. miedzo , 22 (1), 702. doi.org/10.1186/s13063-021-05652-4
Sung, WS, Park, JR, Park, K., Youn, I., Yeum, HW, Kim, S., Choi, J., Cho, Y., Hong, Y., Park, Y., Kim, EJ , & Nam, D. (2021). Kubudirira uye kuchengetedzwa kwe electroacupuncture kune nonspecific isingaperi kurwadziwa kwepashure: A protocol yekuongorora kwakarongeka uye / kana meta-analysis. Mushonga (Baltimore) , 100 (4), e24281. doi.org/10.1097/MD.0000000000024281
Disclaimer
Mhando dzeShangu uye Mabatiro Adzo Kumusana
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