Dzose Kudzorera Painini
Back Clinic Chronic Back Pain Team. Kurwadziswa kwemusana kusingagumi kune mhedzisiro inosvika kure kune akawanda maitiro emuviri. Dr. Jimenez anoratidza misoro uye nyaya dzinobata varwere vake. Kunzwisisa marwadzo kwakakosha pakurapwa kwayo. Saka pano tinotanga maitiro evarwere vedu murwendo rwekupora.
Anenge anenge munhu wose anonzwa kurwadziwa nguva nenguva. Paunochera mumwe wako kana kutora musimba, kurwadziwa inzira yemuviri wako yekukuudza chimwe chinhu chakashata. Kana kakuvara uku kuchiporesa, iwe unorega kukuvadza.
Utano husingaperi hwakasiyana. Muviri wako unoramba uchikuvadza vhiki, mwedzi, kana kunyange makore mushure mekukuvara. Vanachiremba vanowanzofananidza kurwadziwa kusingaperi sekurwadziwa kupi uko kunotora 3 kumwedzi 6 kana kupfuura.
Kurwara kunorwadza shure kunogona kuva nemigumisiro chaiyo pahupenyu hwako hwezuva nezuva uye hutano hwako hwepfungwa. Asi iwe nachiremba wako munogona kushanda pamwe chete kuti murape.
Danai kwatiri kuti tibatsire iwe. Isu tinonzwisisa dambudziko risingafaniri kutorwa zvishoma.
by Dr Alex Jimenez Kudzorera Pain , Dzose Kudzorera Painini , chisingaperi Pain , Electroacupuncture Therapy , Sciatica , Sciatica Nerve Pain , Mishonga , Viscerosomatic Reflex
Migumisiro ye electroacupuncture inogona kuderedza sciatica kune vanhu vanobata nemarwadzo ekudzokera shure kuti vadzorere kufamba kwavo?
ziviso
Kana vanhu vazhinji vatanga kushandisa zvakanyanya tsandanyama dzavo muzasi quadrants, zvinogona kutungamira kune dzakawanda nyaya dzinokonzera marwadzo uye kusagadzikana. Imwe yematambudziko anowanzo marwadzo muzasi quadrants ye musculoskeletal system is sciatica, iyo inobatanidza nekurwadziwa kwepashure. Iyi marwadzo duo inogona kukanganisa maitiro emunhu ezuva nezuva uye inotungamirira kumarwadzo nekusagadzikana. Ichi chirwere chemusculoskeletal chinowanzoitika, uye kana chinokanganisa rimwe remakumbo uye nechepasi shure, vanhu vazhinji vanotaura kuti imarwadzo ekupfura anopenya asingaendi kwechinguva. Sezvineiwo, kune marapiro akaita se electroacupuncture kuderedza sciatica yakabatana nekurwadziwa kwemusana. Nyaya yanhasi inotarisa sciatica-low-back connection, kuti electroacupuncture inoderedza sei marwadzo aya, uye kuti electroacupuncture inogona sei kudzorera kufamba kumunhu. Isu tinotaura nevanopihwa zvekurapa vanosimbisa ruzivo rwevarwere kuti vaongorore nzira yekudzikisa sciatica-low-back connection ne electroacupuncture. Isu tinozivisawo uye kutungamira varwere nezve nzira iyo electroacupuncture therapy inogona kusanganiswa nemamwe marapirwo kudzorera kufamba kumuviri. Tinokurudzira varwere vedu kuti vabvunze avo vanobatana navo vezvokurapa mibvunzo yakaoma uye yakakosha pamusoro pekubatanidza electroacupuncture therapy sechikamu chemaitiro avo ekuderedza sciatica inobatanidza nekurwadziwa kwepamusoro. Dr. Jimenez, DC, anosanganisira ruzivo urwu sebasa rezvidzidzo. Disclaimer .
The Sciatica & Low Back Connection
Iwe unonzwa tsandanyama aches kana kurwadziwa kuzasi kwako kumashure kana makumbo ako? Iwe unonzwa kupenya, kuputika kurwadziwa mumakumbo ako kunokanganisa kukwanisa kwako kufamba? Kana kuti wakamboona here kuti makumbo ako nemusana wako zvinorwadza zvakanyanya paunenge wakatakura chinhu chinorema? Zvizhinji zvezviitiko izvi zvinosanganiswa ne sciatica, iyo inopindirana nekurwadziwa kwepashure. Iye zvino, sciatica inowanzoonekwa nekurwadziwa kunowedzera kunofamba ne sciatic nerve kubva kumucheto kumashure, kukanganisa hupenyu hwemunhu. Mumusculoskeletal system, sciatic nerve inoita basa rinokosha nekupa motokari basa kumakumbo. ( Davis et al., 2024 ) Ikozvino, kana sciatic nerve, nharaunda yelumbar ine basa rakakosha. Iyo lumbar dunhu munharaunda yemusculoskeletal inewo basa rakakosha mukupa rutsigiro, simba, uye kuchinjika kumuviri. Zvisinei, zvose zviri zviviri sciatic nerve uye lumbar spinal region zvinowanzoita kushungurudzika uye kukuvara kubva mukukuvara kwekukuvara uye zvakatipoteredza zvinogona kukanganisa lumbar spinal discs uye sciatic nerve.
Kudzokorora mafambiro, kufutisa, kusimudza zvisina kunaka, kuderera kwemusana, uye musculoskeletal mamiriro ezvinhu ndezvikonzero zvishomanana uye njodzi dzinokonzera kukura kwe sciatica inobatanidza nechepasi kumashure. Chii chinozoitika ndechekuti mvura yemukati uye kuderera kunoramba kuripo kweproteoglycans ye spinal discs inoputsika pakati pe vertebrae uye inobuda kunze kuti itsigire pane sciatic nerve, iyo inogona kushatirwa uye kukonzera kutaurwa kunopisa marwadzo mumakumbo uye kuzasi musana. . ( Zhou et al., 2021 ) Iko kusanganiswa kwesciatica uye kurwadziwa kwepashure kunogona kuva nyaya yehupfumi hwevanhu zvichienderana nekuoma kwemarwadzo ayo sciatic nerve inokonzera uye inogona kuita kuti vanhu varasikirwe pane chero mabasa avari kuita. Siddiq et al., 2020 ) Nepo sciatica-senge zviratidzo zvinowanzoenderana nenharaunda yelumbar, vanhu vazhinji vanogona kuwana zororo ravari kutsvaga kuburikidza nekurapa kwakasiyana.
Sciatica Zvinokonzera- Vhidhiyo
VIDEO
Electroacupuncture Kuderedza The Sciatica-Low Back Connection
Kana zvasvika pakudzikisa sciatic-low-back connection, vanhu vazhinji vanotsvaga kurapwa kunokwanisika uye kunoshanda mukuderedza marwadzo-senge nyaya. Mishonga isiri-yekuvhiya senge electroacupuncture inogona kubatsira kune vanhu vazhinji vari kunzwa sciatica marwadzo anoenderana nechepasi musana. Electroacupuncture imwe nzira yechinyakare acupuncture therapy inotangira kuChina. Vakadzidziswa zvakanyanya ma acupuncturists vanotevera iwo akafanana acupuncture misimboti nekuisa yakasimba tsinga dzakatetepa pamaacupoints akasiyana mumuviri kudzorera qui kana chi (simba rekuyerera). Electroacupuncture inobatanidza tsono uye electrostimulation kuti kuderedze marwadzo epakati-anogadzirisa maitiro anokonzera kuderera kwemarwadzo ekudzokera shure uye sciatica nekuvhara zviratidzo zvinorwadza uye kupa zororo rekurwadziwa. ( Kong, 2020 ) Panguva imwecheteyo, electroacupuncture inopa analgesic properties kukurudzira endorphins uye kuderedza marwadzo ekurwadziwa kwemarwadzo emusana zvakachengeteka. ( Sung et al., 2021 )
Electroacupuncture Kudzorera Kufamba
Apo makumbo ezasi ari kusangana nekufamba zvishoma nekuda kwe sciatica inobatanidza nekurwadziwa kwepashure, electroacupuncture inogona kubatsira kuzorora mamhasuru ari kuwedzera sciatic nerve uye kunyange kubatsira kuvandudza kuyerera kweropa kune lumbar tsandanyama. Izvi zvinodaro nekuti electroacupuncture inogona kukurudzira chaiwo matunhu emuviri kuderedza somato-vagal-adrenal reflexes kusunungura uye kudzoreredza kufamba kune yakaderera migumo. ( Liu et al., 2021 ) Uyezve, electroacupuncture inogona kusanganiswa nemamwe maitiro asina kuvhiyiwa kuti abatsire kusimbisa nheyo uye mutsara wepamusoro, zvichiita kuti vanhu vanyatsofunga kuti ndezvipi zvinokonzera sciatica uye kurwadziwa kwepashure. Nokuita izvi, vanhu vazhinji vari kurwisana ne sciatica yakabatana nemarwadzo ekudzokera shure vanogona kusanganisira electroacupuncture sechikamu chepurogiramu yavo yekurapa pamwe chete nemaitiro akazara ekuvandudza mararamiro avo uye kupa nzira yekuvandudza kufamba kwavo.
References
Davis, D., Maini, K., Taqi, M., & Vasudevan, A. (2024). Sciatica. In StatPearls . www.ncbi.nlm.nih.gov/pubmed/29939685
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
Liu, S., Wang, Z., Su, Y., Qi, L., Yang, W., Fu, M., Jing, X., Wang, Y., & Ma, Q. (2021). A neuroanatomical hwaro hwe electroacupuncture kutyaira iyo vagal-adrenal axis. muzvarirwo , 598 (7882), 641-645. doi.org/10.1038/s41586-021-04001-4
Siddiq, MAB, Clegg, D., Hasan, SA, & Rasker, JJ (2020). Extra-spinal sciatica uye sciatica mimics: kuongorora kwekuongorora. Korean J Pain , 33 (4), 305-317. doi.org/10.3344/kjp.2020.33.4.305
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
Zhou, J., Mi, J., Peng, Y., Han, H., & Liu, Z. (2021). Causal Associations of Obesity neIntervertebral Degeneration, Low Back Pain, uye Sciatica: A Two-Sample Mendelian Randomization Study. Front Endocrinol (Lausanne) , 12 , 740200. doi.org/10.3389/fendo.2021.740200
Disclaimer
by Dr Alex Jimenez Dzose Kudzorera Painini , chisingaperi Pain , Electroacupuncture Therapy , Mishonga , Viscerosomatic Reflex
Vanhu vari kubata neakasiyana-siyana marwadzo emusculoskeletal vanogona kubatanidza izvo zvakanaka zve electroacupuncture kudzorera basa?
ziviso
Sezvo nyika inochinja uye vanhu vazhinji vachiedza kuita shanduko diki kuhutano hwavo uye kugara zvakanaka, havazonzwa kurwadziwa kana kusagadzikana. Mishonga yakawanda inobatsira vanhu vazhinji vanobata nemarwadzo akasiyana-siyana emusculoskeletal ayo akabatana nemamiriro ekunze. Muviri wemunhu une akawanda mamhasuru mapoka ari kumusoro uye nechepasi zvikamu zvemuviri zvinodzivirira musana uye nhengo dzinokosha. Kana zvakatipoteredza zvichibatana nekurwadziwa uye kusagadzikana, zvinogona kukanganisa zvakanyanya maitiro emunhu ezuva nezuva. Panguva imwecheteyo, kurwadziwa kwemusculoskeletal kunogona kutungamirira kumarwadzo-sezviratidzo izvo vanhu vazhinji vari kurwadziwa munzvimbo mbiri dzakasiyana dzemuviri. Nekudaro, kana kurwadziwa kwacho kuchinge kusingatsungirike, vazhinji vanotsvaga nzira dzakasiyana dzekurapa kuti dzisangoderedza marwadzo asiwo kudzoreredza kushanda kwemuviri. Chinyorwa chanhasi chinotarisa zvinhu zvakawanda zvemarwadzo emusculoskeletal, marapiro akaita se electroacupuncture inoderedza kurwadziwa kwetsandanyama, uye mabhenefiti eelectroacupuncture. Isu tinotaura nevarapi vane hunyanzvi vanosanganisa ruzivo rwevarwere vedu kuti vaone kuti zvinhu zvakasiyana zvingaite sei mukurwadziwa kwemusculoskeletal mumuviri. Isu tinozivisawo uye kutungamira varwere kuti electroacupuncture therapy inogona kubatsira sei kuderedza marwadzo ekurwadziwa kwemusculoskeletal uye kubatsira kuvandudza kushanda kwemuviri. Isu tinokurudzira varwere vedu kuti vabvunze avo vanobatana navo vekurapa mibvunzo yakaoma uye yakakosha nezve nzira yekudzikisa kukanganiswa kwemarwadzo emusculoskeletal. Dr. Jimenez, DC, anosanganisira ruzivo urwu sebasa rezvidzidzo. Disclaimer .
Izvo Zvakasiyana Zvinhu Zvinoenderana neMusculoskeletal Pain
Wanga uchitarisana nenzvimbo dzekunyunyuta mukati memutsipa wako, mapepa, kana kumashure mushure mezuva refu? Unonzwa chiveve kana kurira mumigumo yako yepamusoro nepasi? Kana kuti wakambonzwa kurwadziwa kwemhasuru uye kwemajoini izvo zvinoita kuti zviome kuita muitiro wako wezuva nezuva? Kana zvasvika kune vanhu vazhinji vane kurwadziwa kwemusculoskeletal mumiviri yavo vanogona kuderedza zuva ravo nekuda kwekurwadziwa kwavanenge vari mukati. Marwadzo emusculoskeletal ndeye multifactorial mamiriro anosanganisira zvakasiyana-siyana zvezvakatipoteredza izvo vanhu vazhinji munzanga vakawana. ( Caneiro et al., 2021 ) Marwadzo emusculoskeletal anogona kuve asingaperi kana akanyanya zvichienderana nemamiriro ekunze kana kukuvadzwa kunoitwa nemuviri uye kunogona kukanganisa kwete tsandanyama chete asiwo mapfupa, ligaments, tendon, uye nerve midzi inopa sensory-motor mabasa anoita muviri. mobile.
Zvimwe zvezvakatipoteredza zvinokonzera kukura kwemarwadzo emusculoskeletal zvinosanganisira:
Kugara/kumira zvakanyanya Fractures Murombo kumira Joint dislocation kushushikana kufutisa Kudzokorora kufamba
Pamusoro pezvo, vanhu vazhinji vanobata nemarwadzo emusculoskeletal vanogona kunetsa kana kurwadziwa uye zvirwere zvisingaperi zvinogona kufanorongwa, zvichikonzera vanhu vazhinji kubata necomorbidities, nokudaro vachiwedzera mikana yavo yekuve nyaya. ( Dzakpasu et al., 2021 ) Uyezve, kana vanhu vachirwara nemarwadzo emusculoskeletal, zvinogona kusiyana kubva kumunhu kusvika kumunhu uye zvinogona kuva nemhedzisiro yakaipa pahutano hwavo hwepfungwa. ( Welsh et al., 2020 ) Izvi ndezvokuti vanhu vazhinji vari kutarisana nemarwadzo anotaurwa uye zviratidzo zvavo zvinosangana nemarwadzo-sezvo izvo vachaedza mishonga yemusha kuderedza marwadzo emusculoskeletal kwenguva pfupi vasati vaita kudzokorora kudzokorora zvakare uye kuva mumarwadzo akawanda. Kusvika ipapo, vanhu vazhinji vanowanzo tsvaga kurapwa kwakasiyana-siyana kuti vabvise marwadzo emusculoskeletal uye kudzoreredza kushanda kwemuviri wavo.
Gadzirisa Hutano Hwako- Vhidhiyo
VIDEO
Zvakanakira zveElectroacupuncture
Kana zvasvika pakudzikisa nekurapa kurwadziwa kwemusculoskeletal, vanhu vazhinji vanotsvaga marapirwo asiri ekuvhiya kuti abvise zviratidzo zvinorwadza. Mishonga isiri-yekuvhiya yakanakira kurwadziwa kwetsandanyama sezvo ichigona kuve yakasarudzika kumarwadzo emunhu uye inogona kudhura-inoshanda. Mishonga isiri-yekuvhiya inotangira kubva kuchiropractic kuchengetedza kusvika kune acupuncture. Imwe yemhando dzakasiyana dzekusavhiya kurapwa ndeye electroacupuncture therapy. Electroacupuncture therapy inobatanidza kushandiswa kwemagetsi uye acupuncture stimulation kuti ibvise kurwadziwa kwakanyanya kana kusingagumi musculoskeletal. ( Lee et al., 2020 ) Mushonga uyu unogona kushandura makemikari ebioactive uye kuvhara zviratidzo zvemarwadzo kubva pakukanganisa muviri.
Pamusoro pezvo, electroacupuncture inogona kushanda uye kubatsira muviri nekudzikisa marwadzo europathic ane chekuita nemusculoskeletal. Electroacupuncture inopa mamwe mabhenefiti kuburikidza nekukurudzira neurotransmitters kubva pakati penheyo system kuti kuderedze marwadzo enociceptive anokonzerwa nemarwadzo emusculoskeletal. ( Xue et al., 2020 )
Electroacupuncture Therapy Inoderedza Marwadzo eMusculoskeletal
Saka, maererano nekurwadziwa kwemusculoskeletal, electroacupuncture inogona kunge iri mhinduro yekudzikisa macomorbidities ayo. Kana munhu ari kurwadziwa musculoskeletal, nzvimbo dzakakanganisika uko marwadzo aripo anogona kupiswa. Saka kana maacupuncturist akadzidziswa zvakanyanya akawana acupoints emuviri uye nekushandisa electroacupuncture, simba rekusimudzira rinosiyana kubva pamunhu nemunhu. High-intensity stimulation inomutsa inonzwira tsitsi tsinga, nepo kuderera-kusimba kukurudzira kunomutsa parasympathetic tsinga system. ( Ulloa, 2021 ) Electroacupuncture inogona kutobatsira kuvandudza kushanda kwemhasuru mumasculoskeletal extremities nekubvisa marwadzo uye kugadzirisa zvinhu zvebiomechanical kuti zvivandudze kurongeka kwemajoini. ( Shi et al., 2020 ) Kana vanhu vachifunga nezvehutano hwavo, vanogona kufunga nezve electroacupuncture sechikamu chehutano hwavo uye kugara zvakanaka maitiro ekuvandudza kushanda kwemuviri uye kurarama hupenyu husina kurwadziwa.
References
Caneiro, JP, Bunzli, S., & O'Sullivan, P. (2021). Zvinotendwa nezvemuviri uye kurwadziwa: iyo yakakosha basa musculoskeletal kurwadziwa manejimendi. Braz J Phys Ther , 25 (1), 17-29. doi.org/10.1016/j.bjpt.2020.06.003
Dzakpasu, FQS, Carver, A., Brakenridge, CJ, Cicuttini, F., Urquhart, DM, Owen, N., & Dunstan, DW (2021). Marwadzo emusculoskeletal uye mufambiro wekugara mumabasa uye asiri emabasa ekugadzirisa: kuongorora kwakarongeka nemeta-analysis. Int J Behav Nutr Phys Mutambo , 18 (1), 159. doi.org/10.1186/s12966-021-01191-y
Lee, YJ, Han, CH, Jeon, JH, Kim, E., Kim, JY, Park, KH, Kim, AR, Lee, EJ, & Kim, YI (2020). Kubudirira uye kuchengeteka kwepolydioxanone thread-embedding acupuncture (TEA) uye electroacupuncture (EA) kurapwa kwebvi osteoarthritis (KOA) varwere vane kurwadziwa kwepashure: Muongorori-akapofumadzwa, randomized, controlled pilot trial. Mushonga (Baltimore) , 99 (30), e21184. doi.org/10.1097/MD.0000000000021184
Shi, X., Yu, W., Wang, T., Battulga, O., Wang, C., Shu, Q., Yang, X., Liu, C., & Guo, C. (2020). Electroacupuncture inoderedza kuparara kwecartilage: Kuvandudzwa kwecartilage biomechanics kuburikidza nekuzorodza marwadzo uye kukwanisa kwemhasuru kushanda mumuenzaniso wetsuro yemabvi osteoarthritis. Biomed Pharmacother , 123 , 109724. doi.org/10.1016/j.biopha.2019.109724
Ulloa, L. (2021). Electroacupuncture inomisa neurons kudzima kuzvimba. muzvarirwo , 598 (7882), 573-574. doi.org/10.1038/d41586-021-02714-0
Welsh, TP, Yang, AE, & Makris, UE (2020). Musculoskeletal Pain muVakuru Vakuru: A Clinical Ongororo. Med Clin North Am , 104 (5), 855-872. doi.org/10.1016/j.mcna.2020.05.002
Xue, M., Zuva, YL, Xia, YY, Huang, ZH, Huang, C., & Xing, GG (2020). Electroacupuncture Modulates Spinal BDNF/TrkappaB Signaling Pathway uye Inosimudzira Sensitization yeDorsal Horn WDR Neurons muSpared Nerve Injury Rats. Int J Mol Sci , 21 (18). doi.org/10.3390/ijms21186524
Disclaimer
by Dr Alex Jimenez Kudzorera Pain , Chiropractic , Dzose Kudzorera Painini , chisingaperi Pain , Pasi Pasi Pain , Spinal Decompression Treatments , Mishonga , Viscerosomatic Reflex
Nzira dzekurapa dzisina kuvhiyiwa dzinogona kubatsira vanhu vane kurwadziwa kwakanyanya kwemusana kuwana zororo ravari kutsvaga kudzorera kushanda kwemuviri?
ziviso
Pakati pepamusoro, yepakati, uye yakaderera kumashure zvikamu zvemusculoskeletal system, vanhu vazhinji vakakundwa nekukuvadzwa kunorwadza, kudzokorora mafambiro, uye kupindirana kwenjodzi yezvakatipoteredza izvo zvinokonzeresa kurwadziwa nekuremara, zvichikanganisa maitiro avo ezuva nezuva. Seimwe yemamiriro ezvinhu akajairika ebasa, kurwadziwa shure kunogona kuita kuti vanhu vatarise mitoro yemagariro nehupfumi uye inogona kubva kubva kune yakaoma kusvika kune isingaperi, zvichienderana nekukuvara uye zvinhu zvinoenderana nenyaya iyi. Sechikamu chemusculoskeletal system, musana une misumbu yakasiyana-siyana mumatatu matatu anotsigira kumusoro uye pasi uye ane hukama hunoshamisa nemusana sezvo boka rega rega remhasuru rinokomberedza musana uye rinodzivirira musana. Kana zvinhu zvakatipoteredza uye kukuvadzwa kunotyisa kunotanga kukonzera kurwadziwa-kufanana nezviratidzo kumashure, zvinogona kuisa munhu mukurwadziwa kwakanyanya, saka nei vazhinji vachitsvaga kurapwa kusina kuvhiyiwa kuderedza marwadzo-semigumisiro yemarwadzo ekudzokera shure uye kuwana zororo ravari. kutsvaka. Chinyorwa chemazuva ano chinotarisa kukanganiswa kwemarwadzo asingagumi emusana uye kuti kurapa kusina kuvhiyiwa kunogona kukanganisa sei vanhu vane chirwere chisingaperi chisingarware shure. Tinotaura nevarapi vane hunyanzvi vanosimbisa ruzivo rwevarwere vedu kuti vape nzira dzakawanda dzekurapa dzisiri dzekuvhiya kuti kuderedze kurwadziwa kusingaperi kwemusana kunobata migumo yavo. Isu tinozivisawo uye kutungamira varwere kuti kurapa kwakasiyana-siyana kusiri kwekuvhiya kunogona kubatsira sei hutano hwavo uye kugara zvakanaka sezvo vachigona kubatsira kuderedza musculoskeletal mamiriro senge kusingaperi kurwadziwa kwemusana. Tinokurudzira varwere vedu kuti vabvunze avo vanobatana navo vezvokurapa mibvunzo yakaoma uye yakakosha pamusoro pemarwadzo avo asingagumi ekudzokera shure uye kuti ndezvipi shanduko duku dzavanogona kubatanidza kuderedza zviratidzo zvayo zvinorwadza. Dr. Jimenez, DC, anosanganisira ruzivo urwu sebasa rezvidzidzo. Disclaimer .
Mhedzisiro Yechisingaperi Low Back Pain
Iwe unogara uchinzwa zvakakomba tsandanyama aches kana marwadzo kumashure kwako mushure menguva yakaoma yezuva rekushanda? Unonzwa kuneta kwetsandanyama kubva kumusana kusvika kumakumbo ako mushure mekutakura chinhu chinorema here? Kana kuti wakamboona here kuti kumonyorora kana kutenderedza mafambiro kunorerutsa musana wako kwenguva pfupi, wotowedzera kuipa mushure mechinguva? Kazhinji, mazhinji ezviitiko izvi zvinorwadza-sezvinoita zvine chekuita nekurwadziwa kusingaperi kwemusana, uye zvinogona kuve nekuda kwezvikonzero zvakasiyana-siyana zvinoenderana neichi chinowanzoitika musculoskeletal mamiriro. Kana zvasvika kune mamiriro emusculoskeletal ane chekuita nekusingaperi kuderera kwemarwadzo ekudzokera shure, iwo akapararira apo maitiro avo ari kupararira. Kusvika ipapo, vanobata vanhu vazhinji sezvo vari ivo nhamba yekutanga inonyanya kukonzera kurwadziwa kwakanyanya kwenguva refu uye kuremara kwemuviri. ( Woolf naPfleger, 2003 ) Sezvo marwadzo ekudzokera shure achigona kunge akanyanya kana asingaperi, anogona kuve akawanda semamwe akawanda zviratidzo zvinorwadza zvinowanzokonzera kupindirana kwengozi profiles mumuviri. Mhedzisiro yemarwadzo asingagumi ekudzokera shure ane zvikonzero zvinokonzera pathological izvo zvisina kunyatsotsanangurwa asi zvinogona kuenderana nekusagadzikana kwepfungwa. ( Andersson, 1999 )
Uyezve, kuchinja kunopera mukati memusana kunogonawo kukonzera kukanganisa pakukura kwemarwadzo asingagumi emusana. Zvinhu zvine njodzi izvo zvinokonzeresa kuwanda kwengozi profiles zvinogona kubva pakuputa uye kufutisa kuenda kumabasa akasiyana siyana anoda mafambiro akawandisa. ( Atkinson, 2004 ) Kana izvozvo zvikaitika, zvinoita kuti vanhu vazvidye mwoyo zvisina basa izvo zvinokanganisa upenyu hwavo uye zvinovashungurudza. Apa ndipo apo vanhu vazhinji vanotanga kutsvaga kurapwa kuti vaderedze mhedzisiro yekusingaperi marwadzo emusana uye kuderedza mikana yekutsvaga kupindira kwekuvhiya.
Basa ReChiropractic Care Pakuvandudza Utano Hwako- Vhidhiyo
VIDEO
Kurapa Kusina Kuvhiya Kwekurwara Kwemusana Kusingaperi
Kana vanhu vachibata nemarwadzo asingagumi emusana, vazhinji havawanzozivi kuti kufamba kwakasiyana-siyana, makore, uye pathologies zvinogona kushandura musana, zvichiita kuti spinal discs iende kuburikidza nekuchinja kunopera kunoenderana nekuvandudzwa kwekusingaperi kunorwadza shure. ( Benoist, 2003 ) Kana shanduko dzakaipa dzichitanga kukonzera marwadzo-sezviratidzo kumashure, vazhinji vanozotanga kutsvaga kurapwa kunokwanisika uye kunoshanda. Nokudaro, ichi ndicho chikonzero kurapa kusiri kwekuvhiya kunogona kubatsira kuderedza marwadzo-sezviratidzo zvekusingaperi marwadzo emusana uye kubatsira kudzorera kufamba kwemuviri. Mishonga isiri-yekuvhiya inoitirwa marwadzo emunhu uye inotangira paacupuncture kuenda ku massage therapy uye spinal decompression. Mishonga isiri-yekuvhiya zvakare inokwanisika uye inobatsira kudzikisa kupindirana kwenjodzi profiles yekusingaperi kurwadza kwemusana uku ichideredza mamiriro ayo akabatana.
Spinal Decompression Effects Pane Chronic Low Back Pain
Spinal decompression, sezvakambotaurwa, inzira yekurapa kusiri kwekuvhiya kunosanganisira mechanical zvinyoro traction pamusana kuti uderedze kusingaperi marwadzo ekudzokera shure uye anogona kuderedza marwadzo-sezviratidzo zvinosangana nazvo. Spinal decompression inobatsira kuderedza kukweshera kwemhasuru dzemudumbu, zvichikanganisa lumbar spine asi inopawo marwadzo uye basa remuviri. ( Choi et al., 2022 ) Spinal decompression yakachengeteka uchiri munyoro pamuzongoza, wakasanganiswa nekudzikamisa maekisesaizi ekusimudzira intra-abdominal pressure uye musana wemuzongoza kune lumbar. ( Hlaing et al., 2021 ) Kana munhu achibatanidza kuora kwepelinha sechikamu cherwendo rwavo rwehutano uye hutano hwakanaka, kurwadziwa kwavo nekuremara kunoderera nekufamba kwenguva apo kusimbisa mhasuru dzisina simba dzakabatwa nekusingaperi kunorwadza shure. Kubatanidza kurapa kusina kuvhiyiwa uku kunogona kubatsira munhu kuti anyatsofunga nezvezvakatipoteredza zvaari kuita pamisana yavo uye kurarama hupenyu huri nani uye hune hutano.
References
Andersson, GB (1999). Epidemiological features of chronic low-back pain. Lancet , 354 (9178), 581-585. doi.org/10.1016/S0140-6736(99)01312-4
Atkinson, JH (2004). Kurwara kwemusana kusingagumi: kutsvaga zvikonzero uye kurapa. J Rheumatol , 31 (12), 2323-2325. www.ncbi.nlm.nih.gov/pubmed/15570628
www.jrheum.org/content/jrheum/31/12/2323.full.pdf
Benoist, M. (2003). Natural nhoroondo yekukwegura musana. Eur Spine J , 12 Suppl 2 (Zviwedzerwa 2), S86-89. doi.org/10.1007/s00586-003-0593-0
Choi, E., Gil, HY, Ju, J., Han, WK, Nahm, FS, & Lee, PB (2022). Mhedzisiro yeNonsurgical Spinal Decompression paKusimba Kwemarwadzo uye Herniated Disc Volume muSubacute Lumbar Herniated Disc. International Journal of Clinical Practice , 2022 , 6343837. doi.org/10.1155/2022/6343837
Hlaing, S. S., Puntumetakul, R., Khine, E. E., & Boucaut, R. (2021). Migumisiro ye core stabilization exercise uye kusimbisa kurovedza muviri pa proprioception, kuenzanisa, mhasuru uye marwadzo ane chokuita nemigumisiro kune varwere vane subacute nonspecific low back pain: a randomized controlled trial. BMC Musculoskelet Disord , 22 (1), 998. doi.org/10.1186/s12891-021-04858-6
Woolf, AD, & Pfleger, B. (2003). Mutoro wemamiriro makuru emusculoskeletal. Bull World Health Organ , 81 (9), 646-656. www.ncbi.nlm.nih.gov/pubmed/14710506
www.ncbi.nlm.nih.gov/pmc/articles/PMC2572542/pdf/14710506.pdf
Disclaimer
by Dr Alex Jimenez Dzose Kudzorera Painini , Sciatica Nerve Pain
Kune vanhu vane chirwere chisingaperi sciatica, apo kurwadziwa uye zvimwe zviratidzo zvinonyanya kukanganisa mabasa ezuva nezuva uye kukwanisa kufamba, musuloskeletal healthcare provider ingabatsira here kugadzirisa uye kugadzirisa zviratidzo kuburikidza nehurongwa hwekurapa huzhinji?
Chronic Sciatica
Sciatica inowanzoitika iyo inokonzerwa nekumanikidzika kwe sciatic nerve muzasi kumashure kana gumbo. Chronic sciatica inoitika apo zviratidzo zvinogara kwemwedzi ye12 kana kupfuura.
Advanced Sciatica Zviratidzo
Advanced kana chronic sciatica inowanzobudisa marwadzo anopenya kana kufamba achidzika kumashure kwegumbo. Kwenguva refu sciatic nerve compression inogona kukonzera:
Kurwadziwa kwegumbo
Numbness
Tingling
Magetsi kana kupisa kunzwa
Kushaya simba
Kushaya simba
Kusagadzikana kwemakumbo, izvo zvinogona kukanganisa kukwanisa kufamba.
Kutsikirirwa kwetsinga kwakanyanya kunogona kufambira mberi kusvika kumakumbo emakumbo kana tsinga yakakuvadzwa zvakanyanya kubva mukumanikidzwa kusingaperi. (Antonio L Aguilar-Shea, et al., 2022 )
Sciatica inogona kufambira mberi kusvika pakukuvadzwa kwetsinga dzetsinga diki uye kufamba mumakumbo netsoka. Kukuvara kwetsinga/neuropathy kunogona kukonzera kurwadziwa, kurira, uye kurasikirwa kwekunzwa. (Jacob Wycher Bosma, et al., 2014 )
Kudzivisa Sciatica Kurapa Sarudzo
Apo sciatica inova inoremadza, inokanganisa kukwanisa kwemunhu kufamba, zvakanyanya kubatanidzwa kurapwa kunodiwa kuunza zororo. Zviitiko zvakawanda zvechisingaperi uye chinokanganisa sciatica zvinokonzerwa nezvinetso ne lumbar spine. Kudzvinyirirwa kwetsinga midzi inoumba sciatic nerve inogona kuitika kubva kune bulging kana herniated discs kana spinal stenosis. Kana zviratidzo zve sciatica zvichiramba zvichipfuura mwedzi ye12 nekusununguka kuduku kana kusina kubva pakurapa kwepanyama, kusina kuvhiyiwa mechanical decompression, kutambanudza uye maitiro, kana maitiro ekugadzirisa marwadzo, maitiro ekuvhiya angadiwa. (Lucy Dove, et al., 2023 )
Kuvhiyiwa kweLumbar decompression kunosanganisira maitiro akati wandei ekugadzira nzvimbo yakawanda mu lumbar spine uye kusunungura tsinga. Lumbar decompression kuvhiyiwa kunogona kusanganisira: (Mayfield Clinic. 2021 )
Discectomy
Iyi nzira inobvisa chikamu chedhisiki yakakanganisika pakati pe vertebrae kuti ideredze midzi yekumanikidza kubva kune bulging kana herniated disc.
Laminectomy
Iyi nzira inobvisa lamina, chikamu che vertebrae chinokonzera kudzvinyirirwa kwetsinga, kunyanya kana pane pfupa rinoputika nekuda kweArthritic uye kuderera kwekuchinja mumusana.
Foraminotomy
Iyi nzira inowedzera foramina, mazaru ari muvertebrae uko midzi yetsinga inobuda kuti ibvise kudzvanywa.
Spinal Fusion
Iyi nzira inotora maviri kana anopfuura vertebrae achiabatanidza pamwechete nesimbi tsvimbo uye screws kuti agadzikane.
Iyo nzira inogona kuitwa kana:
Dhisiki rose rinobviswa.
Multiple laminectomies yakaitwa.
Imwe vertebra yakatsvedza mberi pane imwe.
Daily Relief Management yeAdvanced Sciatica
Kuwana zororo kubva kune advanced sciatica zviratidzo kumba kunogona kusanganisira kugara uchidzidzira nzira dzakadai sekutora bhati inopisa kana yekugezesa yekugezera, uye kushandisa pedhi yekudziya kuzasi kumashure kana glutes kuti uzorodze mhasuru dzakasimba kubatsira kuburitsa kusimba kwakatenderedza sciatic nerve.
Kugadzirisa kana kurapa maekisesaizi senge sciatic nerve glides inogona kubatsira kuderedza kushushikana pamwe netsinga ukuwo kudzika-kumashure maekisesaizi anofambisa musana kuenda kumberi kana kumashure kukotama kunogona kuderedza compression. (Witold Golonka, et al., 2021 )
Mishonga yakaita senonsteroidal anti-inflammatory drugs/NSAIDs, muscle relaxants, kana nerve-pain mishonga inogona kukurudzirwa. (Antonio L Aguilar-Shea, et al., 2022 )
Advanced sciatica inogona kunge isingaite seyakagadziriswa nzira dzekurapa dzekuchengetedza, sezvo kukuvara kwakamira uye tsinga uye matishu akapoteredza zvakave zvakanyanya kudziviswa.
Zviratidzo zveSciatica zvinogara kwenguva yakareba kupfuura mwedzi ye12 zvinoda kunyanya kubatanidzwa kurapwa semajekiseni kana kuvhiyiwa kugadzirisa zviratidzo zvinobudirira. (Antonio L Aguilar-Shea, et al., 2022 )
Kuporesa Chronic Sciatica
Kana chikonzero chinokonzera chinogona kurapwa zvinobudirira saka chronic sciatica inogona kuporeswa. Chronic sciatica inowanzoguma kubva kumamiriro emusana senge herniated discs kana lumbar spinal stenosis. Aya mamiriro anopfupisa nzvimbo yakatenderedza tsinga midzi inobuda kubva mumuzongoza uye inobatanidza kuumba sciatica nerve. Kuvhiya kunoitwa kuvhura nzvimbo mumusana. (Mayfield Clinic. 2021 ) Dzimwe nguva sciatica inounzwa nezvikonzero zvishoma zvinowanzoitika sebundu kana chirwere chemusana. Muzviitiko izvi, zviratidzo hazvigadzirike kusvikira chikonzero chikuru chagadziriswa. Mabundu angangoda kuvhiyiwa kubviswa apo hutachiona hunoda maantibioti ane hasha kudzivirira kupararira kune dzimwe nzvimbo dzemuviri. (Hospital for Special Surgery. 2023 )
Pain Specialist Treatment Plan Development
Marwadzo anoenderera mberi, chiveve, kurira, uye kushaya simba zviratidzo zvese zvinofanirwa kugadziriswa nemupi wehutano. Nyanzvi yemarwadzo inogona kubatsira kugadzira chirongwa chekurapa chinosanganisira: (Hospital for Special Surgery. 2023 )
Physical therapy
Kurapa kurapa
Chiropractic kudzvinyirira uye kugadziriswa kwemusana
Targeted stretches uye maekisesaizi
Referrals kune nyanzvi dzehutano vanopa
Injections
Mishonga
Sciatica Zvinokonzera uye Kurapa
VIDEO
References
Aguilar-Shea, AL, Gallardo-Mayo, C., Sanz-González, R., & Paredes, I. (2022). Sciatica. Kutarisira vanachiremba vemhuri. Nyaya yemishonga yemhuri uye kunyanya kutarisira, 11 (8), 4174-4179. doi.org/10.4103/jfmpc.jfmpc_1061_21
Bosma, JW, Wijntjes, J., Hilgevoord, TA, & Veenstra, J. (2014). Yakakomba yakasarudzika sciatic neuropathy nekuda kwekugadziriswa lotus chinzvimbo. World Journal of Clinical Cases, 2(2), 39–41. doi.org/10.12998/wjcc.v2.i2.39
Dove, L., Jones, G., Kelsey, LA, Cairns, MC, & Schmid, AB (2023). Inobatsira sei physiotherapy kupindira mukurapa vanhu vane sciatica? Ongororo yakarongeka uye meta-analysis. European spine magazine: kuburitswa kwepamutemo kweEuropean Spine Society, European Spinal Deformity Society, uye Chikamu cheEuropean cheCervical Spine Research Society, 32 (2), 517-533. doi.org/10.1007/s00586-022-07356-y
Mayfield Clinic. (2021). Spinal decompression laminectomy & foraminotomy .
Golonka, W., Raschka, C., Harandi, VM, Domokos, B., Alfredson, H., Alfen, FM, & Spang, C. (2021). Isolated Lumbar Extension Resistance Exercise in Limited Range of Motion yeVarwere vane Lumbar Radiculopathy uye Disk Herniation-Clinical Outcome uye Influencing Factors. Chinyorwa chemushonga wekiriniki, 10 (11), 2430. doi.org/10.3390/jcm10112430
Hospital for Special Surgery. (2023). Sciatica .
Hospital for Special Surgery. (2023). Pain management .
by Dr Alex Jimenez Kudzorera Pain , Chiropractic , Dzose Kudzorera Painini , chisingaperi Pain , Pasi Pasi Pain , Spinal Decompression Treatments , Spine Care , Mishonga , Viscerosomatic Reflex
Kune vanhu vane marwadzo ekumusana, varapi vehutano vangabatanidza sei zvigadziriso zvisiri zvekuvhiya kuderedza marwadzo emusana?
ziviso
Muzongoza ndechimwe chezvimiro zvakakosha mumuviri wemunhu, zvichipa mauto ekufamba uye kugadzikana kana vertical pressure iri kudzvanya pane spinal chimiro. Muzongoza wakakomberedzwa nemhasuru dzakasiyana siyana, ligaments, uye matishu anobatsira kutsigira kumusoro nepasi zvikamu zvemuviri uye magumo. Kana zvinhu zvakajairika senge kusimudza kusimudza, zvimiro zvisina kufanira, kufutisa, kana mamiriro akange aripo atanga kukanganisa muviri, zvinogona kukonzera musana wemuzongoza kuti ukonzerese zvisingadiwe zvinotungamira kumashure, mutsipa, uye kurwadziwa kwepfudzi. Kana uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchi . Izvi pazvinoitika, vanhu vakawanda vanotanga kurovha basa kana kuita zvinhu zvezuva nezuva izvo zvingavaparira nhamo, uye vanotoedza kutsvaka nzira dzakasiyana-siyana dzokupedza marwadzo avari kusangana nawo. Chinyorwa chanhasi chinotarisa imwe yeakajairika marwadzo emuviri sekurwadziwa kwemusana uye kuti angakonzeresa sei nyaya dzakawanda dzinokanganisa kugona kwemunhu kuita basa, uye kuti mhinduro dzisiri dzekuvhiya dzinogona sei kuderedza marwadzo senge mhedzisiro asiwo dzinopa zororo rinodikanwa. vanhu vazhinji vanokodzera murwendo rwavo rwehutano uye hutano. Tinotaura nevarapi vane hunyanzvi vanosanganisa ruzivo rwevarwere vedu kupa zvirongwa zvakawanda zvekurapa kudzikamisa marwadzo-senge zviratidzo zvine chekuita nemusana nenyaya dzinokonzera kurwadziwa kwemusana. Isu tinozivisawo varwere vedu kuti kune zvisiri zvekuvhiya sarudzo dzekudzikisa idzi marwadzo-senyaya uye kudzorera musana wekufamba kumuviri. Tinokurudzira varwere vedu kubvunza mibvunzo yakaoma uye inodzidzisa kune vatinosanganisirwa varapi vekurapa nezve kurwadziwa-kufanana nezviratidzo zvavari kusangana nazvo zvinoenderana nechepasi musana. Dr. Alex Jimenez, DC, anoshandisa ruzivo urwu sebasa rezvidzidzo. Disclaimer .
Kurwadza Kwemusana Kunobata Muzongoza
Iwe unowanzo sangana nemarwadzo anopenya mumusana wako wepasi izvo zvinokonzera zviratidzo zvekunzwa kana kurira kwekunzwa kusvika kumakumbo ako netsoka? Iwe unonzwa kuoma kwemhasuru mangwanani paunenge uchimuka, uchingonyangarika zvishoma nezvishoma zuva rose? Kana kuti unonzwa zviratidzo zvetsandanyama aches uye kurwadziwa kana wakatakura chinhu chinorema kubva kune imwe nzvimbo kuenda kune imwe? Vanhu vazhinji, kazhinji pane kwete, vakabata nemarwadzo ekudzokera shure ane chokuita nezvinhu zvakasiyana-siyana. Nekurwadziwa kwemusana kuve mumatambudziko matatu epamusoro akajairika muvashandi, vanhu vazhinji vakabata nedambudziko rakajairika munzira dzakawanda. Kubva pakusimudza zvinorema zvisina kufanira kusvika pakugara zvakanyanya padhesiki, kurwadziwa kwemusana kunogona kukonzera nyaya dzemusculoskeletal dziri kuyedza kuwana zororo. Kurwadziwa kwepazasi kumashure kunogona kuve kwakanyanya kana kusingaperi, zvichienderana nekuomarara. Inogona kutungamirira kuhutano hwekufamba mukati me thoracic, lumbar, uye sacroiliac spinal regions, zvichiita kuti marwadzo anotaurwa kumucheto wezasi. Inogona kutungamira kuhupenyu hwekukanganiswa pasina chero zviratidzo kana zviratidzo zvehutano hwakakomba kana hwepfungwa mamiriro ane chekuita nemamiriro ekunze. ( Delitto et al., 2012 ) Marwadzo ekudzokera shure anobatanidzwawo nemamiriro emusana sekuputika, asymmetric loading, uye kushungurudzika kwemisungo, izvo zvinogona kuita kuti zvivako zvemusana zviomerwe, zvichiita kuti disc herniations. ( Zemková & Zapletalová, 2021 )
Pamusoro pezvo, kurwadziwa kwemusana ndeye multifactorial musculoskeletal mamiriro ayo anoita kuti vanhu vazhinji vange vari mumamiriro ehupfumi nehupfumi izvo zvinogona kuderedza hupenyu hwavo. Mienzaniso yakawanda yemarwadzo ekudzokera shure inopindirana nekushandurwa kwemotokari mukati memusana erector muscles iyo inokonzera kukanganisa proprioception mumuzongoza. ( Fagundes Loss et al., 2020 ) Kana izvi zvikaitika kuvanhu vakawanda, vanowanzoona chipingamupinyi chekudzikama kwechiuno, kugadzikana kwemuviri, kumira, uye kudzora kwemashure. Panguva imwecheteyo, apo vanhu vakawanda vanoshanda vane kurwadziwa kwakanyanya kwemusana kunobatanidza nezvinhu zvezuva nezuva, kuwanda kwemarwadzo avanenge vari mukati kunogona kuchinja chikumbaridzo che mechanoreceptors ari kutumira zviratidzo zvinorwadza kuburikidza nemutsipa wepelinha. Kusvika panguva ino, marwadzo ekudzokera shure anogona kukanganisa mhinduro yeuromuscular uye inokanganisa hutano hwemusculoskeletal. Sezvineiwo, kurapwa kwakawanda kunogona kubatsira kuderedza marwadzo ekudzokera shure uye kupa zororo kumarwadzo emusana ari kubata vanhu vazhinji.
Basa ReChiropractic Care- Vhidhiyo
VIDEO
Kangani pazuva iwe unonzwa kurwadziwa shure kunobatanidza nekuoma, general aches, kana marwadzo ari kukanganisa kukwanisa kwako kushanda? Iwe unoona iwe uchivhima zvakanyanya kana uchifamba kubva kune imwe nzvimbo uchienda kune imwe? Kana kuti unonzwa aches uye kurwadziwa shure kwako mushure mekutambanudza mangwanani? Vanhu vazhinji vanobata neaya akajairika ezvakatipoteredza zvinhu vanobatana zvakanyanya nekurwadziwa kwemusana. Marwadzo ekudzokera kumashure ari mumatambudziko matatu epamusoro anowanzoonekwa nevanhu vazhinji pane imwe nguva muhupenyu hwavo. Kazhinji kazhinji, vanhu vazhinji vakabata nemarwadzo ekudzokera shure nekushandisa mishonga yemusha kuderedza marwadzo-semigumisiro. Nekudaro, ongororo dzetsvakiridzo dzinoratidza kuti kana vanhu vazhinji vakatanga kufuratira marwadzo, zvinogona kuvatungamira kuhupenyu hwekuremara uye kukonzera kuwanda kwekutambudzika kana vasina kurapwa ipapo. ( Parker et al., 2015 ) Nokudaro, kurapwa kusina kuvhiyiwa hakugoni kuderedza marwadzo ane chokuita nemarwadzo ekudzokera shure asiwo kubatsira kudzorera kufamba kwemusana. Mishonga isiri-yekuvhiya senge chiropractic kuchengetedza inosanganisira spinal manipulation, iyo inogona kukanganisa musana. ( Koes et al., 1996 ) Zvinoitwa nechiropractic ndezvokuti zvinosanganisira mechanical uye manual manipulation techniques kutambanudza misumbu yakaoma uye kuderedza trigger points kubva pakugadzirisa. Vhidhiyo iri pamusoro inoratidza kuti chiropractic kuchengetedza inogona sei kukanganisa munhu paanenge ari chikamu chehutano uye hutano rwendo rwekuderedza marwadzo ekudzokera shure.
Non-Surgical Spinal Decompression For Back Pain
Kungofanana nekuchengetwa kwechiropractic, kuparara kwepelinha ndiko kumwe kurapwa kusiri kwekuvhiya kunoshandisa kudhonza zvinyoronyoro kukweva uye kutambanudza musana kuti uderedze akamanikidzwa spinal discs ane chekuita nekurwadziwa kwemusana uye kubatsira kutambanudza mhasuru dzakasimba. Apo vanhu vazhinji vanotanga kubatanidza kupera kwepelinha sechikamu chemaitiro avo, vanozoona kuti kupera kwemusana kunogona kuderedza intradiscal pressure mukati mehutano husina kunaka. ( Ramos, 2004 ) Zvinoita izvi ndezvekuti kana ma spinal discs ari kudhonzwa nekudhonza zvinyoro, zvese zvinwiwa uye zvinovaka muviri izvo zvanga zvisiri hydrating disc inoyerera ichidzoka uye inobatsira kickstart yemuviri kuporesa maitiro. Kana vanhu vazhinji vachitanga kushandisa spinal decompression nekuda kwemarwadzo avo ekumusana, vanozoona kuderera kukuru kwemarwadzo avo mushure mezvikamu zvishoma zvakatevedzana. ( Crisp et al., 1955 ) Apo vanhu vakawanda vanotanga kusanganisa mamwe maitiro akasiyana-siyana asina kuvhiyiwa nemusana wekuparara, ivo vachakwanisa kudzorera kufamba kwavo kwemusana pavanenge vachinyanya kufunga nezvezvipi zvakatipoteredza zvinokanganisa musana wavo uye kwete kudzokorora nyaya yacho kubvumira marwadzo ekudzokera shure kudzoka.
References
Crisp, EJ, Cyriax, JH, & Christie, BG (1955). Hurukuro pamusoro pekurapa kwemusana nekudhonza. Proc R Soc Med , 48 (10), 805-814. www.ncbi.nlm.nih.gov/pubmed/13266831
www.ncbi.nlm.nih.gov/pmc/articles/PMC1919242/pdf/procrsmed00390-0081.pdf
Delitto, A., George, SZ, Van Dillen, L., Whitman, JM, Sowa, G., Shekelle, P., Denninger, TR, & Godges, JJ (2012). Low Back Pain. Zvinyorwa zveOrthopedic & Sports Kurapa Kwemuviri , 42 (4), A1-A57. doi.org/10.2519/jospt.2012.42.4.a1
Fagundes Loss, J., de Souza da Silva, L., Ferreira Miranda, I., Groisman, S., Santiago Wagner Neto, E., Souza, C., & Tarrago Candotti, C. (2020). Mhedzisiro yepakarepo ye lumbar spine manipulation pakurwadziwa senitivity uye postural control kune vanhu vane nonspecific yakaderera kurwadziwa shure: a randomized controlled trial. Chiropr Man Therap , 28 (1), 25. doi.org/10.1186/s12998-020-00316-7
Koes, BW, Assendelft, WJ, van der Heijden, GJ, & Bouter, LM (1996). Spinal manipulation for low back pain. Ongororo yakagadziridzwa yakarongeka yezviyedzo zvekiriniki zvisingaite. Pine (Phila Pa 1976) , 21 (24), 2860-2871; hurukuro 2872-2863. doi.org/10.1097/00007632-199612150-00013
Parker, SL, Mendenhall, SK, Godil, SS, Sivasubramanian, P., Cahill, K., Ziewacz, J., & McGirt, MJ (2015). Chiitiko cheKurwadza Kwepashure Mushure meLumbar Discectomy yeHerniated Disc uye Mhedzisiro Yayo paMigumisiro Yakataurwa neMurwere. Clin Orthop Relat Res , 473 (6), 1988-1999. doi.org/10.1007/s11999-015-4193-1
Ramos, G. (2004). Kubudirira kwe vertebral axial decompression pane kusingaperi kurwadziwa kwepashure: kudzidza dosage regimen. Neurol Res , 26 (3), 320-324. doi.org/10.1179/016164104225014030
Zemková, E., & Zapletalová, L. (2021). Matambudziko Ekumashure: Pros uye Cons yeCore Kusimbisa Maekisesaizi sechikamu cheVatambi Kudzidziswa. Runyorwa Rwenyika Dzese rwekutsvagisa kwezvakatipoteredza uye Hutano hwevanhu , 18 (10), 5400. doi.org/10.3390/ijerph18105400
Disclaimer
by Dr Alex Jimenez Kudzorera Pain , Chiropractic , Dzose Kudzorera Painini , chisingaperi Pain , Pasi Pasi Pain , Spinal Decompression Treatments , Mishonga , Viscerosomatic Reflex
Vanokwanisa here vashandi vehutano kupa akanakisa asiri ekuvhiya ekurapa maitiro kune vanhu vane kusingaperi kurwadziwa kwemusana?
ziviso
Kurwara kunorwadza kumashure kunogona kuitika kune vanhu vazhinji, zvichikanganisa maitiro avo ezuva nezuva uye kuita kuti vapotsa zviitiko zvakakosha zvehupenyu. Nenyika inogara ichichinja, vanhu vazhinji, kunyanya vanhu vanoshanda, vanozonzwa kurwadziwa kusingaperi kwemusana pane imwe nguva nekuda kwekunetseka kusingagoneki kunoratidzika kunge kunokanganisa tsandanyama dzakapoteredza dzinodzivirira lumbar spine. Izvi zvinokonzeresa kuti vanhu vazhinji vawedzere kana kupfupisa tsandanyama dziri kukonzera kurwadza kwemusana, izvo zvinogona kunge zviri kukonzera mukukura kwemarwadzo ekumusana. Panguva imwecheteyo, kana vanhu vachitambura nekurwadziwa kwemusana, zvinogona kuiswa semutengo wakakura wehupfumi kunzanga. (Pai & Sundaram, 2004 ) Izvi zvinokonzeresa kuti vanhu vakawanda vashaye basa uye varemerwe nemari sezvo mari yekurapa isingaperi yemarwadzo ekumusana yakakwira. Zvisinei, nzira dzakawanda dzekurapa dzinodhura, dzakachengeteka, uye dzinoshanda mukuderedza marwadzo asingagumi emusana. Nhepfenyuro yanhasi inotarisa mhedzisiro yekusingaperi kurwadziwa kwemusana uye kuti vangani vanhu vanogona kutarisa zvakasiyana-siyana zvisiri zvekuvhiya zvingashandiswa nevanhu vazhinji kuderedza kusingaperi marwadzo ekudzokera shure. Sezvineiwo, tinotaurirana nevanopihwa zvekurapa vane ruzivo vanobatanidza ruzivo rwevarwere vedu kuti vape zvirongwa zvakasiyana-siyana zvekurapa kuderedza kusingaperi marwadzo ekudzokera shure. Isu tinovazivisawo kuti kune nzira dzisiri dzekuvhiya dzekudzikisa marwadzo-senge zviratidzo zvine chekuita nezvinhu zvinokonzeresa kusingaperi marwadzo emusana. Tinokurudzira varwere vedu kubvunza mibvunzo inoshamisa yedzidzo kune vatinosanganisirwa vapepi vekurapa nezvezviratidzo zvavo zvinoenderana nekurwadziwa kwemuviri munzvimbo yakachengeteka uye yakanaka. Dr. Alex Jimenez, DC, anobatanidza ruzivo urwu sebasa rezvidzidzo. Disclaimer
Mhedzisiro Yechisingaperi Low Back Pain
Wanga uchitarisana nekurwadziwa kusingaperi kunoputika muzasi kwako shure kwezuva rakaoma rekushanda? Unonzwa tsandanyama kurwadza kana marwadzo asingazvisunungure pashure pezuva rokuzorora here? Kana kuti iwe nevadiwa vako munotora chero mushonga kuti umborerutsira marwadzo ako ekumusana, kuti udzoke mushure memaawa mashoma? Vanhu vazhinji vane chirwere chisingaperi chisingarware shure vanonzwa zviratidzo zvekuoma, tsandanyama aches, uye marwadzo anopenya achifamba kusvika kumucheto wavo. Kana kurwadziwa kwakanyanya kwepashure kwakabatana nemamiriro emusculoskeletal, zvinogona kukanganisa maitiro avo ezuva nezuva. Kusvika ipapo, kusagadzikana kwemusculoskeletal kunoenderana nekusingaperi kurwadziwa kwepashure kunogona kusanganisa huwandu hwemamiriro uye kuwedzera zvakasikwa nekufamba kwenguva. (Woolf naPfleger, 2003 ) Kana vanhu vazhinji vachirwara nekurwadziwa kusingaperi kwemusana, zvinogona kuve mutoro wemagariro nehupfumi unotungamira mukuremara. (Andersson, 1999 ) Zvisinei, pane zvakawanda zvingasarudzwa kune vanhu vane marwadzo asingagumi emusana vanogona kuwana zororo ravanoda kuti vaderedze migumisiro yaro uye vachakwanisa kudzokera kumararamiro avo ezuva nezuva.
Kunzwisisa Kukuvara Kwenguva refu- Vhidhiyo
VIDEO
Chirwere chisingaperi chinorwadza shure ndechekuti kurwadziwa shure kunotora nguva yakareba kupfuura mavhiki mashomanana uye ndeimwe yezvinetso zvinowanzosangana nevanhu vakawanda. Paunenge uchiwana zororo rekurwadziwa kusingaperi kwemusana, vanhu vazhinji vanoedza mishonga yekumba kuderedza marwadzo. Nekudaro, inogona kudzoreredza nyaya yacho kwenguva pfupi uye kuvhara zviratidzo. Kana vanhu vachiona chiremba wavo wekutanga wekurwadziwa kusingaperi kwemusana, vazhinji vanotsvaga hurongwa hwemunhu kuti vaderedze kusingaperi kurwadziwa kwemusana uye zviratidzo zvakabatana nazvo. Paunenge uchibvisa marwadzo asingagumi ekudzokera shure, marwadzo akazara ekugadzirisa marwadzo anowanzovimba nekurapa kwepanyama, nzira dzakasiyana-siyana, uye nzira dzisiri dzekuvhiya kuderedza kusingaperi marwadzo ekudzokera shure. (Grabois, 2005 ) Kana uchinzwisisa kuti munhu wacho ane chirwere chisingaperi chisingarware shure, zvakakosha kuziva zvikonzero uye kuti zvinogona sei kukonzera kukuvadzwa kwehupenyu hwose kunogona kukura mukuremara. Kana vanachiremba vekutanga vatanga kushandisa marapirwo asiri ekuvhiya mumaitiro avo, vanhu vazhinji vanogona kuwana mabhenefiti ekurapa kusiri-kuvhiya sezvo iwo achidhura, akachengetedzeka, uye akapfava pamusana nenharaunda yelumbar uye anogona kunge ari ega nevarapi vanobatana navo. kuderedza marwadzo-sezviratidzo zvinoenderana nekusingaperi kurwadziwa kwepashure. Tarisa vhidhiyo iri pamusoro kuti udzidze zvakawanda nezvekuti kurapa kusiri kwekuvhiya kunogona kubatsira sei kuderedza kusingaperi kurwadziwa kwemusana uye kubatsira kumutsiridza muviri wemunhu kuburikidza neurongwa hwekurapa hwemunhu.
Zvisiri Zvokuvhiya Sarudzo Kune Chisingaperi Low Back Pain
Paunenge uchirapa marwadzo asingagumi emusana, kurapa kusina kuvhiyiwa kunobatsira kubvisa marwadzo uye kudzorera kufamba kumusana. Mishonga isiri-yekuvhiya inogona kurongedzerwa kune kusimba kwemarwadzo emunhu asi ichidhura-inoshanda. Kana vanhu vachiongororwa kuti vane marwadzo asingagumi emusana, vanopiwa vatapi vehutano vakawanda kuti vaderedze marwadzo-sezviratidzo zvinokonzerwa nekusingaperi kunorwadza shure. (Atlas & Deyo, 2001 ) Vanhu vazhinji vachabatanidza nzira dzakasiyana dzekurapa dzakadai se:
zviitwa Kugadzikana kwepamuviri Chiropractic care Massage Therapy Acupuncture
Mazhinji ekurapa aya haasi ekuvhiya uye anosanganisira akasiyana mechanical uye manual manipulation techniques kutambanudza nekusimbisa mhasuru dzisina kusimba dzekumusana, kurebesa musana kuburikidza nekugadzirisa, uye kubatsira kudzoreredza kufamba uku uchideredza zviratidzo muzasi. Kana vanhu vakabatanidza kurapwa kusiri kwekuvhiya zvakateerana, vanova nechiitiko chakanaka uye vanonzwa zvirinani mukufamba kwenguva. (Koes et al., 1996 )
References
Andersson, GB (1999). Epidemiological features of chronic low-back pain. Lancet , 354 (9178), 581-585. doi.org/10.1016/S0140-6736(99)01312-4
Atlas, SJ, & Deyo, RA (2001). Kuongorora uye kugadzirisa acute low back pain in the primary care setting. J Gen Intern Med , 16 (2), 120-131. doi.org/10.1111/j.1525-1497.2001.91141.x
Grabois, M. (2005). Kutungamirirwa kwechirwere chisingaperi chisingarware shure. Ndiri J Phys Med Rehabil , 84 (3 Suppl), S29-41. www.ncbi.nlm.nih.gov/pubmed/15722781
Koes, BW, Assendelft, WJ, van der Heijden, GJ, & Bouter, LM (1996). Spinal manipulation for low back pain. Ongororo yakagadziridzwa yakarongeka yezviyedzo zvekiriniki zvisingaite. Pine (Phila Pa 1976) , 21 (24), 2860-2871; hurukuro 2872-2863. doi.org/10.1097/00007632-199612150-00013
Pai, S., & Sundaram, LJ (2004). Kurwadziwa kwepashure: kuongororwa kwehupfumi muUnited States. Orthop Clin North Am , 35 (1), 1-5. doi.org/10.1016/S0030-5898(03)00101-9
Woolf, AD, & Pfleger, B. (2003). Mutoro wemamiriro makuru emusculoskeletal. Bull World Health Organ , 81 (9), 646-656. www.ncbi.nlm.nih.gov/pubmed/14710506
www.ncbi.nlm.nih.gov/pmc/articles/PMC2572542/pdf/14710506.pdf
Disclaimer
by Dr Alex Jimenez Kudzorera Pain , Chiropractic , Dzose Kudzorera Painini , chisingaperi Pain , Spinal Decompression Treatments , Mishonga , Viscerosomatic Reflex
Kuora kwemusana kunogona kubata vanhu vane marwadzo asingagumi ekudzokera shure kuderedza majoini arthritis uye kusimbisa mhasuru dzakatenderedza kudzorera lumbar kufamba?
ziviso
Kana vanhu vazhinji vari kubata nemarwadzo munharaunda yavo yechiuno, kazhinji pane kwete, vanotenda kuti ndiyo mhasuru dzakatenderedza dzinodzivirira musana uri kukanganiswa. Zvisinei, iyo inongova hafu yechinetso chacho. Iwe kana vadiwa vako vanowanzonzwa kunzwa kunodziya mukati memusana wako wezasi, mahudyu, uye mabvi anobudisa marwadzo mukati memajoini ako? Zvakanaka, kurwadziwa kwemajoini kunogona kuenderana nekurwadziwa kwemusana muchimiro chayo chisingaperi. Sezvo muviri nemuzongoza zvichidzikira nekufamba kwenguva, zvinogona kuita kuti majoini apfeke uye kubvaruka paanenge achikweshana, zvichiita kuti joint arthritis iite. Kana kurwadziwa kweArthritic kwakabatana nekusingaperi kurwadza kwemusana, kunogona kutungamira kune yakawandisa njodzi profiles izvo zvinogona kutungamirira kuhupenyu hwekuremara uye kuita kuti munhu ashungurudzike. Marwadzo mazhinji-akaita sezviratidzo anobatana neasingaperi kurwadziwa kwepashure kunogona kukura nekufamba kwenguva uye kukonzera kufamba uye kugadzikana matambudziko mukati memuviri. Sezvineiwo, kurapwa kwakawanda kusiri kwekuvhiya kunogona kuderedza kufambira mberi kwejoint arthritis uye kuderedza kusingaperi kurwadziwa kwemusana. Zvinyorwa zvemazuva ano zvinoongorora kuwirirana pakati pejoint arthritis uye kusingaperi marwadzo ekudzokera shure apo uchitarisa kuti kurapa kusina-invasive semusana wemusana haugoni kuderedza marwadzo asingagumi anokonzerwa nejoint arthritis asiwo kudzorera lumbar kufamba. Pamusoro pezvo, isu tinoshanda takabatana-ne-maoko nevarapi vane hunyanzvi vanosanganisa ruzivo rwemurwere wedu kurapa uye kuderedza kufambira mberi kwejoint arthritis inoenderana nekurwadziwa kwemusana. Isu tinovazivisa zvakare kuti spinal decompression inogona kubatsira kudzoreredza lumbar kufamba uku uchiwedzera simba retsandanyama kudzokera kunharaunda yelumbar. Tinokurudzira varwere vedu kuti vabvunze mibvunzo yakadzama pavanenge vachitsvaga dzidzo kubva kune vatinoshanda navo vekurapa nezvematambudziko avo-sekurwadziwa. Dr. Alex Jimenez, DC, anobatanidza ruzivo urwu sebasa rekudzidzisa. Disclaimer
Joint Arthritis & Chronic Low Back Pain
Iwe unowanzosangana nekuoma mangwanani kunoratidzika sekuenda mushure memaawa mashomanana here? Iwe unonzwa aches uye marwadzo kubasa, kana padhesiki kana kunoda zvinhu zvinorema? Kana kuti unonzwa majoini ako achirwadza nguva dzose kuti hausi kurara zvakakwana usiku? Izvi zvinorwadza-sezvinoitika zvinosanganisirwa nejoint arthritis, iyo inogona kukura kuita isingaperi kurwadziwa kwemusana. Vanhu vazhinji vanoziva kuti musana wemapuranga uye mazamu ezasi achasangana nepamusoro-soro mechanical stress kana muviri uri panzvimbo yakarurama pasina kurwadziwa. Sezvo lumbar spine uye mazamu ezasi anotanga kupinda nekudzokororazve nekufamba kwenguva, izvo zvinogona kuita kuti mitsipa nemisungo yakapoteredza ive nemisodzi ye microtrauma, zvichiita kuti pave nekugadzirwa kwejoint arthritis, iyo inogona kutungamirira kumigumisiro yekuputika. (Xiong et al., 2022 ) Ikozvino kuzvimba mumuviri kunobatsira uye kunokuvadza zvichienderana nekuoma mukati menzvimbo yakakanganiswa. Joint arthritis, kunyanya spondylarthritis, chikamu chezvirwere zvinoputika zvinokanganisa majoini uye musana uye zvinogona kuva nezviratidzo zvakasiyana-siyana zvekliniki. (Sharip & Kunz, 2020 ) Zviratidzo zvejoint arthritis zvinosanganisira kurwadziwa kwekuputika munzvimbo yakakanganiswa, kuoma kwemajoini uye kuzvimba, uye kupera simba kwemhasuru. Paunenge uchibata nekuzvimba zvinokonzeresa zvine chekuita nejoint arthritis, zvinogona kuvakonzeresa kuve nehupenyu hwakaderera, kuwedzera kufa, uye kuve mutoro wehupfumi. (Walsh naMagrey, 2021 )
Zvino arthritis yejoint inobatanidzwa sei nekurwadziwa kwemusana? Apo vanhu vanotanga kuita kudzokorora mafambiro kune lumbar spine yavo, zvinogona kutungamirira kukuchinja kusina kujairika kune intervertebral discs. Kana kumanikidzwa kusingadiwi kunotanga kudzvinyirira intervertebral disc nguva dzose, inogona kukonzera kupfeka uye kubvarura pa diski, zvichiita kuti iparadze uye ichibvumira annular nociceptors kuti iwedzere kukurudzirwa. (Weinstein, Claverie, & Gibson, 1988 ) Iyo dhisiki yakakanganiswa inobva yawedzera midzi yetsinga dzakapoteredza uye mhasuru, zvichikonzera kurwadziwa kwepashure. Kana vanhu vachiita zvavo zvemazuva ese, zvinhu zvinokonzeresa shanduko kune intervertebral discs zvinogona kutungamirira kumarwadzo asingaperi emusana. (Vernon-Roberts naPirie, 1977 ) Kusvika ipapo, marwadzo asingagumi emusana ane chokuita nejoint arthritis anogona kuva nyaya isingaperi kana isina kurapwa pakarepo.
Arthritis Inotsanangurwa- Vhidhiyo
VIDEO
Pakudzikisa mhedzisiro yekurwadziwa kwakadzika kwemusana kwakabatana nejoint arthritis, vanhu vazhinji vanotsvaga marapirwo ekuzorodza nzvimbo dzavo dzine marwadzo nemhedzisiro yakanaka. Mishonga isina-kuvhiya inogona kuva mhinduro, yakabatanidzwa nemamwe marapirwo ekuderedza marwadzo asingagumi emusana. (Kizhakkeveettil, Rose, & Kadar, 2014 ) Mishonga isina kuvhiyiwa inogona kugadzirika kumarwadzo emunhu asi isingadhuri. Vanhu vazhinji vane majoini eArthritic vanogona kubatsirwa nekurapa kusiri kwekuvhiya sezvo nyanzvi dzemarwadzo senge masaja therapists uye chiropractors vanogona kushandisa nzira dzakasiyana kutambanudza tsandanyama dzakakanganisika, kuwedzera majoini's ROM (kusiyana kwekufamba) uye kugadzirisa muviri kubva mukusarongeka kusimudzira kupora kwemuviri kwepanyama. Vhidhiyo iri pamusoro apa inopa mucherechedzo wekuti arthritis inogona kukanganisa sei majoini, inobatanidza nekurwadziwa kwemusana, uye kuti marapirwo aya anogona sei kuderedza zviratidzo zvayo kuburikidza nemaitiro akasiyana-siyana.
Spinal Decompression & Chronic Low Back Pain
Spinal decompression ndeye isiri-yekuvhiya kurapa kurapa iyo inogona kubatsira vanhu vazhinji vane kusingaperi kurwadziwa kwemusana. Spinal decompression inoshandisa zvinyoro traction pa lumbar spine kudhonza musana, zvichibvumira zvinwiwa uye zvinovaka muviri kuti zvifashamire kudzokera kunzvimbo yakakanganisika uye kubatsira muviri kuti uzviporese wega. Kana vanhu vatanga kuisa spinal decompression nekuda kwekurwadziwa kwavo kwakaderera kumashure, vanozonzwa kumanikidzwa kubva kumaspinal discs avo. (Ramos, 2004 ) Kana vanhu vatanga kunzwa kuvandudzwa munharaunda yavo yelumbar mushure mekurapa kunotevera kwakatevedzana, vanozotanga kudzoreredza kufamba kwavo.
Spinal Decompression Kudzorera Lumbar Mobility
Spinal decompression inogona kuderedza mhedzisiro yekusingaperi kurwadziwa kwemusana uye kudzorera lumbar kufamba kumusana. Sezvo kupera kwepelinha kunoshandisa zvinyoro traction pamuzongoza, iyo intervertebral disc ichadzokera kunzvimbo yayo yepakutanga, nepo musana wepelinha unowedzera disc kureba. Kusvika ipapo, kupera kwemusana kunogona kuita kuti vanhu vavandudze kufamba uye kuvaita kuti vadzokere kumabasa avo ezuva nezuva, sezvo inopindirana zvakasimba nekuderedza marwadzo. (Gose, Naguszewski, & Naguszewski, 1998 ) Nekubatanidza kupera kwemusana sechikamu chemaitiro, vanhu vazhinji vanogona kudzorera hutano hwavo pasina kubata nemarwadzo-sezviratidzo.
References
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