Hip Pain & Dambudziko
Back Clinic Hip Pain & Disorders Team. Aya marudzi ekuvhiringidzika anowanzoitika zvichemo zvinogona kukonzerwa nemhando dzakasiyana dzezvinetso. Nzvimbo chaiyo yemarwadzo ehudyu yako inogona kupa ruzivo rwakawanda pamusoro pechikonzero chinokonzera. Kubatana kwehudyu pachayo kunowanzokonzera kurwadziwa mukati mehudyu yako kana nzvimbo yekugomera. Marwadzo kunze, chidya chepamusoro, kana chigadziko chekunze chinowanzokonzerwa nezvirwere / matambudziko ane mhasuru, ligaments, tendon, uye zvinyoro zvinyoro zvakakomberedza mubatanidzwa wehudyu. Kurwadza kwehudyu kunogonawo kukonzerwa nezvirwere uye mamiriro mune dzimwe nzvimbo dzemuviri wako, kureva kuzasi. Chinhu chekutanga kuziva kuti marwadzo ari kubva kupi.
Chinhu chinonyanya kukosha chekusiyanisa ndechekuona kana chiuno chiri chikonzero chekurwadziwa. Kana kurwadziwa kwehudyu kuchibva kumhasuru, tendon, kana kukuvara kwe ligament, zvinowanzobva mukunyanya kushandisa kana Kudzokorora Kunetseka (RSI) . Izvi zvinobva pakunyanya kushandisa tsandanyama dzehudyu mumuviri kureva iliopsoas tendinitis. Izvi zvinogona kubva kune tendon uye ligament irritations, iyo inowanzobatanidzwa mukuputika hip syndrome. Inogona kubva mukati memubatanidzwa iyo inonyanya hunhu hwehudyu osteoarthritis. Imwe neimwe yemhando idzi dzemarwadzo inozviratidza munzira dzakasiyana, inova iyo inonyanya kukosha pakuongorora kuti chii chinokonzera.
by Dr Alex Jimenez Hip Pain & Dambudziko , Mitambo Injodzi
Vatambi uye vanhu vakagwinya vanotora chikamu mumitambo, maekisesaizi, uye mitambo inosanganisira kukava, kutenderera, uye/kana kushandura mafambiro vanogona kukudziridza pelvis yakanyanyisa kukuvara kwe pubic symphysis/join kumberi kwepelvis inozivikanwa se osteitis pubis. Kuziva zviratidzo uye zvinokonzera rubatsiro mukurapa nekudzivirira?
Osteitis Pubis Kukuvara
Osteitis pubis ndiko kuzvimba kwejoinhi rinobatanidza mapfupa epelvic, rinonzi pelvic symphysis, uye zvimiro zvakaripoteredza. The pubic symphysis ijoint pamberi nepasi pedundira. Inobata mativi maviri emboro pamwe chete kumberi. Iyo pubis symphysis ine zvishoma zvishoma kufamba, asi kana kusagadzikana kana kuenderera mberi kunetseka kunoiswa pajoinhi, groin uye kurwadziwa kwepelvic kunogona kuratidza. Kukuvara kwe osteitis pubis kunowanzo kuvadza zvakanyanya muvanhu vakagwinya uye vatambi asi zvinogonawo kuitika semhedzisiro yekukuvara kwemuviri, nhumbu, uye / kana kuzvara mwana.
zviratidzo
Chiratidzo chinonyanyozivikanwa marwadzo pamusoro pepamberi pechiuno. Marwadzo anowanzonzwika pakati, asi rimwe divi rinogona kurwadza kupfuura rimwe. Marwadzo acho anowanzo penya / anopararira kunze. Zvimwe zviratidzo nezviratidzo zvinosanganisira: (VaPatrick Gomella, VaPatrick Mufarrij. 2017 )
Kurwadza kwepazasi kwedumbu pakati pechiuno
Limping
Hip uye / kana gumbo kupera simba
Kuoma kukwira matanho
Marwadzo kana uchifamba, uchimhanya, uye/kana uchichinja nzira
Kudzvanya kana kubuda ruzha nekufamba kana pakuchinja mafambiro
Marwadzo kana akarara pasi nedivi
Marwadzo pakuhotsira kana kukosora
Osteitis pubis inogona kuvhiringika nekumwe kukuvadzwa, kusanganisira groin strain / groin pull, a direct inguinal hernia, ilioinguinal neuralgia, kana kuputsika kwepelvic stress.
Zvinokonzera
Osteitis pubis kukuvara kunowanzoitika apo symphysis joint inoratidzirwa kune yakawandisa, inoenderera mberi, inotungamira kushungurudzika uye kushandiswa zvakanyanya kwehudyu nemakumbo emakumbo. Zvikonzero zvinosanganisira: (VaPatrick Gomella, VaPatrick Mufarrij. 2017 )
Mabasa emutambo
Kuratidza
Mimba uye kubereka mwana
Kukuvara kwePelvic sekudonha kwakanyanya
kuongorora chirwere
Kukuvara kunowanikwa zvichienderana nekuongorora kwepanyama uye kuongororwa kwekufungidzira. Mimwe bvunzo inogona kushandiswa kutonga kunze kwezvimwe zvinokonzeresa.
Kuongororwa kwemuviri kunosanganisira kushandura hudyu kuti uise kushushikana pane rectus abdominis trunk muscle uye adductor chidya tsandanyama mapoka.
Marwadzo panguva yekushandiswa chiratidzo chinowanzoitika chemamiriro acho.
Vanhu vanogona kukumbirwa kufamba kuti vatarise zvisizvo mumatanho ekufamba kana kuona kana zviratidzo zvichiitika nemamwe mafambiro.
X-rays inowanzoratidza kusawirirana kwejoints pamwe nesclerosis / thickening ye pubic symphysis.
Magnetic resonance imaging - MRI inogona kuratidza kubatana uye kutenderedza pfupa kuzvimba.
Zvimwe zviitiko hazvizoratidze zviratidzo zvekukuvara pa X-ray kana MRI.
mabatiro
Kurapa kunoshanda kunogona kutora mwedzi yakawanda kana kupfuura. Nekuti kuzvimba ndicho chikonzero chinokonzera zviratidzo, kurapwa kunowanzo kusanganisira: (Tricia Beatty. 2012 )
Zorora
Inobvumira kupisa kwakanyanya kuderera.
Panguva yekupora, kurara kumusana kunogona kukurudzirwa kuderedza marwadzo.
Ice uye Kupisa Zvikumbiro
Ice packs inobatsira kuderedza kuzvimba.
Kupisa kunobatsira kurerutsa marwadzo mushure mekunge kuzvimba kwekutanga kwadzika.
Therapy Therapy
Anti-kuzvimba Mushonga
Over-the-counter nonsteroidal anti-inflammatory drugs - NSAIDs senge ibuprofen uye naproxen inogona kuderedza marwadzo uye kuzvimba.
Zvishandiso zveAssistive Walking
Kana zviratidzo zvakanyanya, madondoro kana tsvimbo inogona kukurudzirwa kuderedza kushushikana pane pelvis .
Cortisone
Pakave nekuedza kurapa mamiriro nemajekiseni e-cortisone, asi humbowo hunotsigira kushandiswa kwayo hushoma uye hunoda kumwe kutsvakurudza. (Alessio Giai Via, et al., 2019 )
Prognosis
Kana yangoonekwa, kufungidzira kwekupora kuzere kwakanaka asi kunogona kutora nguva. Zvinogona kutora vamwe vanhu mwedzi mitanhatu kana kupfuura kuti vadzokere kune pre-kukuvara danho rekushanda, asi vazhinji vanodzoka mushure memwedzi mitatu. Kana kurapwa kwechinyakare kukatadza kupa zororo mushure memwedzi mitanhatu, kuvhiyiwa kunogona kukurudzirwa. (Michael Dirkx, Christopher Vitale. 2023 )
Makuvara Emitambo Kuvandudza
VIDEO
References
Gomella, P., & Mufarrij, P. (2017). Osteitis pubis: Chikonzero chisingawaniki chekurwadziwa kwe suprapubic. Ongororo muurology, 19 (3), 156-163. doi.org/10.3909/riu0767
Beatty T. (2012). Osteitis pubis muvatambi. Mishumo yezvino yemishonga yemitambo, 11 (2), 96-98. doi.org/10.1249/JSR.0b013e318249c32b
Via, AG, Frizziero, A., Finotti, P., Oliva, F., Randelli, F., & Maffulli, N. (2018). Kutungamirirwa kwe osteitis pubis muvatambi: kugadziriswa uye kudzokera kukudzidzira - kuongororwa kwezvinyorwa zvemazuva ano. Vhura bhuku rekushandisa remishonga yemitambo, 10, 1-10. doi.org/10.2147/OAJSM.S155077
Dirkx M, Vitale C. Osteitis Pubis. [Yakavandudzwa 2022 Zvita 11]. Mu: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023 Jan-. Inowanikwa kubva: www.yori.nlm.nih.gov/books/NBK556168/
by Dr Alex Jimenez Hip Pain & Dambudziko , Pasi Pasi Pain , Viscerosomatic Reflex
Kune vakadzi vane kurwadziwa kwepazasi uye pelvic, kunzwisisa zviratidzo zvinogona kubatsira muchirongwa chekuongorora, nzira dzekurapa, nekudzivirira?
Kurwadziwa Kwepazasi uye Pelvic Muvakadzi
Muvakadzi, kurwadza kwemusana nechiuno kunopenya kunzvimbo yepelvis yepamberi kunogona kuva nezvikonzero zvakasiyana-siyana. Marwadzo acho anogona kunzwa kupera simba, kupinza, kana kupisa. Zvikonzero zvikuru zvekurwadziwa kwemusana uye pelvic muvakadzi zvinowira muzvikamu zviviri. (William S. Richardson, et al., 2009 )
Musculoskeletal uye nervous system
Zvinokonzera marwadzo zvinokanganisa mafambiro anoita tsandanyama dzako, tsinga, ligaments, majoini uye mapfupa.
Mienzaniso inosanganisira sciatica, arthritis, uye kukuvara.
Imwe nhengo system-yakavakirwa
Zvikonzero zvinogona kubva kune zvinotevera:
Acute/chronic conditions kana zvirwere
Itsvo - matombo, utachiona, uye zvimwe zvirwere kana mamiriro.
Reproductive system - senge maovari.
Gastrointestinal system - inguinal hernias kana appendix.
Musculoskeletal uye Nervous System Zvinokonzera
Musculoskeletal uye nervous system-zvine chekuita nezvikonzero zvinogona kubva mukukuvadzwa sekudonha kana kuita maitiro asina kunaka.
Kunyanya Kukuvara uye Kukuvara
Kugara uchishandiswa uye kudzokorora mafambiro kunogona kutungamira mukukuvadza zvakanyanya kumisungo, ligaments, uye majoini. :
Maekisesaizi, mitambo, uye zviitwa zvemuviri zvinoda kudzokorora uye kukotama.
Kusimudza, kutakura, nekuisa zvinhu zvinoda mafambiro anodzokororwa nguva nenguva.
Kukuvara kubva pakudhumhana kwemotokari, tsaona, kudonha, kana tsaona dzemitambo zvinogona kukuvadza zvakanyanya uye zvisingaperi mumuviri, senge tsandanyama dzakadzvinyirirwa kana mapfupa akatyoka.
Zvichienderana nerudzi rwekukuvara, kupora uye kupora nguva uye kurapwa kunosiyana.
Mhando mbiri dzekukuvadzwa dzinogona kukonzeresa chiveve, kurira, kurwadziwa, kuoma, kubuda manzwiro, uye / kana kushaya simba mumakumbo.
Matambudziko Ekufamba
Nokufamba kwenguva, kuderera kwekufamba uye kufamba mumasumbu nemajoini kunogona kukonzera kusagadzikana uye kurwadziwa. Zvikonzero zvinosanganisira:
Nguva yakareba yenguva yakashandiswa munzvimbo imwechete.
Kugara kwenguva yakareba.
Marwadzo acho anowanzonzwa asina kusimba, achy, uye akaomarara.
Inogonawo kutungamirira kumasumbu emusuru anoratidzirwa nezvikamu zvinokurumidza zvekurwadziwa kwakapinza uye kwakanyanya.
Musoro
Chimiro paunenge wakagara, wakamira, uye uchifamba unokanganisa mafambiro emuviri.
Inogona kukanganisa tsinga uye kutenderera kweropa kumusana uye nharaunda yepelvic.
Kugara kwenguva refu kusina kunaka kunogona kuita kuti marwadzo ekumusana uye kuomerwa kwemhasuru.
Zviratidzo zvine chokuita nemaitiro zvinogona kunzwa achy uye kuoma uye zvinotungamirira kune zvikamu zvinokurumidza zvekurwadziwa kwakanyanya kana kwakanyanya, zvichienderana nechinzvimbo.
Sciatica uye Nerve Compression
A bulging kana herniating vertebral disc inowanzokonzera sciatica uye yakatsikirirwa kana kumanikidzwa tsinga.
Manzwiro anogona kuve akapinza, kupisa, magetsi, uye / kana kupenya marwadzo munzira yetsinga.
chirwere chemumajoini
Kuzvimba kweArthritis kunokonzera kuzvimba, kuoma, kurwadziwa, uye kuparara kwecartilage inomisa majoini.
Hip arthritis inokonzera marwadzo ekugomera anogona kupenya kumusana uye anowedzera kusimba kana akamira kana kufamba.
Thoracic uye lumbar spine arthritis, kana degenerative disc chirwere, zvimwe zvinowanzokonzera kurwadziwa kwemusana.
Sacroiliac Joint Dysfunction
Majoini e sacroiliac anobatanidza musana wepasi uye pelvis.Daisuke Kurosawa, Eiichi Murakami, Toshimi Aizawa. 2017 )
Renal uye Urinary Zvinokonzera
Kidyo Matombo
Matombo eitsvo ndiko kuumbwa kwezvicherwa nemunyu, izvo zvinoumba matombo akaoma muitsvo.
Apo dombo reitsvo rinotanga kuenda kune dundira, zviratidzo zvinorwadza zvichavapo.
Inogona kukonzera kurwadziwa kwakanyanya kumashure uye kudivi kunopenya kunharaunda yepelvic.
Zvimwe zviratidzo zvinosanganisira - kushanduka kweruvara rweweti, kurwadziwa paunenge uchiita weti, kusvotwa, uye kurutsa.
Kidney Infection uye Urinary Tract Infections
Urinary turakiti uye kutapukira kweitsvo ndizvowo zvikonzero zvekurwadza kwezasi uye pelvic muvakadzi.
Vanokonzera fivha, kupfuurira kuita weti, uye kuita weti kunorwadza.
Gynecological Zvikonzero
Pelvic Inflammatory Disease
Utachiona, hunozivikanwa sepelvic inflammatory disease, hunoitika apo utachiona hwepabonde hunopararira kuburikidza nemukati, mudumbu, fallopian tubes, kana maovari. Zviratidzo zvinosanganisira:
Marwadzo panguva yekusangana.
Kubuda ropa pakati pekutevera.
Kubuda kwevaginal.
Marwadzo mudumbu rezasi kana groin.
Kupindwa nechando.
Ovarian Cysts
Iyo cyst inogona kuva yakasimba kana yakazadzwa-mvura sac pamusoro kana mukati meiyo ovary.
Madiki ovarian cysts haafanire kukonzera marwadzo.
Mahombe cysts kana ayo anotsemuka anogona kukonzera nyoro kusvika kurwadza kwakanyanya.
Marwadzo anogona kuitika panguva yekuenda kumwedzi kana kusangana uye aripo zvakanyanya kumashure, pelvis, kana pasi pedumbu.
Panguva Yepamuviri
Kurwadziwa shure uye kusagadzikana munzvimbo yepelvis zvinowanzoitika.
Sezvo muviri uchigadzirisa, mapfupa nemarunda akatenderera muchiuno anofamba uye anotambanudza, izvo zvinogona kukonzera kusagadzikana.
Zviratidzo zvinowanzoitika asi zvinofanirwa kukurukurwa nevarapi vehutano panguva yekuongororwa.
Marwadzo muzasi uye groin inogona kuva chiratidzo chekubva pamuviri kana kubereka - kusanganisira preterm labour.
Utachiona hwepabonde
Zvirwere zvepabonde, senge chlamydia kana gonorrhea, zvinogona kukonzera marwadzo ezasi uye chiuno.
Zvimwe zviratidzo zvinogona kusanganisira – kurwadza kweweti, kubuda muchibereko, kurwadziwa pabonde, uye kubuda ropa pakati pekutevera.
mbiriso Infection
Chirwere chembiriso - kuwandisa kwefungus candidiasis.
Chirwere chemukadzi chinowanikwa nezviratidzo zvinosanganisira - kukwenya, kuzvimba, kushatirwa, uye kurwadziwa kwepelvic.
Zvimwe Zvinokonzera
Appendicitis
Apo appendix inovharika, utachiona, uye kupisa.
Muzviitiko zvakawanda, chiratidzo chikuru marwadzo anotanga pedyo kana kumativi eguvhu.
Mune zvimwe zviitiko, inogona kutanga muzasi kumashure uye ichipenya kurudyi rwenzvimbo yepelvic. (Johns Hopkins Mushonga. 2023 )
Marwadzo akabatana anogona kuwedzera nekufamba kwenguva kana pakukosora, kufamba, kana kutora kufema kwakadzika.
Zvimwe zviratidzo zvinosanganisira:
Kushungurudza mudumbu
Nausea
Kudzora
Kufirwa kwechido
chimhepo
Chills
Ura husina kujairika - kuvimbiswa uye/kana manyoka. (Johns Hopkins Mushonga. 2023 )
Inguinal Hernia
Chidziyo hernia inotaurwa kune inguinal hernia.
Inosanganisira nyama yakapfava uye chikamu cheura, ichisunda nepakati pezvidya zvisina simba.
Marwadzo anouya mudumbu, kuzasi kumashure, kana pelvis, kunyanya pakukotama kana kusimudza zvinhu.
Pancreatitis
Kuzvimba pancreas.
Utachiona, bile matombo, kana doro zvinogona kukonzera.
Chimwe chiratidzo marwadzo emudumbu anopenya kumusana.
Marwadzo anowedzera panguva uye mushure mekudya.
Zvimwe zviratidzo zvinosanganisira kuda kurutsa, kurutsa, nefivha.
Yakawedzera Lymph Nodes
Lymph nodes inorara munzvimbo dzemukati nekunze dzeiriac artery mupelvis.
Izvi zvinogona kukura nehutachiona, kukuvara, uye, muzviitiko zvisingawanzo, kenza.
Zviratidzo zvinosanganisira kurwadziwa, kuzvimba, kutsvuka, kushatirwa kweganda, uye fivha.
Spleen Yakakura
Spleen iri kuseri kweruboshwe rwembabvu.
Inosefa ropa uye inotsigira kugadzirwa kwemasero matsva eropa.
Utachiona uye zvirwere zvinogona kuita kuti spleen iwedzere.
Spleen yakakura - chirwere chinozivikanwa se splenomegaly - chinokonzera marwadzo kumusoro kwekuruboshwe kweguvhu uye dzimwe nguva bendekete rekuruboshwe nepamusoro kumashure.
Nekudaro, vamwe vanhu vane spleen yakawedzera vanoona zviratidzo zvemudumbu - kusakwanisa kudya pasina kusagadzikana. (Gomo reSinai. 2023 )
kuongorora chirwere
Zvichienderana nechikonzero chekurwadziwa kwako, mupi wehutano anogona kukwanisa kuzviongorora nekuongorora kwemuviri uye nekubvunza mibvunzo nezvehutano hwako.
Mimwe miedzo inogona kudiwa kuti uwane chikonzero, kunyanya kushanda kweropa uye imaging (X-ray kana magnetic resonance imaging).
mabatiro
Kurapa kwezviratidzo kunoenderana nechikonzero.
Kana kuongororwa kwaitwa, chirongwa chekurapa chinoshanda chinogadzirwa uye chine musanganiswa wekurapa:
Mararamiro Ekugadzirisa
Nekukuvadzwa kunokonzerwa nemasumbu emasumbu, majoini sprains, kunyanyisa, uye madiki traumas, kurwadziwa kunogona kugadziriswa ne:
Zorora
Ice kurapa
Pamusoro pe-the-counter pain relievers - acetaminophen kana ibuprofen.
Braces kana compression wraps inogona kubatsira kutsigira muviri uye kuderedza zviratidzo panguva yekuporesa uye kupora.
Maekisesaizi ekuvandudza chimiro
Kuteerera kuumbwa paunenge uchisimudza zvinhu
Kutambanudza kunogona kubatsira kuderedza marwadzo.
Mishonga
Mishonga inogona kushandiswa nenzira dzakasiyana-siyana kubatsira mukurapa kwepasi uye kurwadziwa kwepelvic. Kana hutachiona huri chikonzero, mishonga inopihwa kubvisa hutachiona uye kugadzirisa zviratidzo, izvo zvinogona kusanganisira:
Antibiotics
Antifungals
Mishonga inorwisa utachiona
Mishonga inogonawo kurongerwa kubatsira kubata zviratidzo zvekurwadziwa uye inogona kusanganisira:
Mushonga wekubvisa marwadzo etsinga
Tsvina dzinozorodza
Steroids
Therapy Therapy
Murapi wepanyama anogona kubatsira kugadzirisa matambudziko ne:
Musoro
Kuderedzwa kwekufamba
Kufamba gait
Kusimbisa
Murapi wepanyama achapa maekisesaizi ekubatsira kuwedzera nekuchengetedza simba, huwandu hwekufamba, uye kuchinjika.
Pelvic Floor Therapy
Uku ndiko kurapa kwemuviri kunotarisa pamamhasuru, ligaments, uye matishu anobatana muchiuno.
Inobatsira nekurwadziwa, kushaya simba, uye kusagadzikana munzvimbo yepelvic.
Chirongwa chekurapa chichagadzirwa kuti chibatsire nesimba uye huwandu hwekufamba mu mhasuru .
Chiropractic Care
Surgery
Mamwe mamiriro akaomarara angada kuvhiyiwa.
Ovarian cysts, hernias, uye zvimwe zvirwere dzimwe nguva zvinoda kuvhiyiwa kubvisa utachiona kana husina hutano - kuputika kwe ovarian cysts kana appendicitis.
Kuvhiya kunokurudzirwa kunogona kusanganisira:
Kugadzirisa hernia.
Hip replacement.
Kubvisa gallbladder kudzivirira kudzokorora pancreatitis.
dziviriro
Haasi ese mamiriro uye zvirwere zvinokonzeresa kuzasi uye kurwadziwa kwepelvic. Zviratidzo zvinogona kudzivirirwa uye kuderedzwa nekutora mararamiro ekuchinja. Mazano ekudzivirira anogona kusanganisira:
Kuramba uine hydrated.
Kushandisa nzira dzakakodzera dzekukotamisa uye kusimudza.
Kudya zvokudya zvine utano.
Kugara uchiita imwe nzira yekurovedza muviri - kufamba, kushambira, yoga, kuchovha bhasikoro, kana kudzidzisa simba.
Kuchengeta huremu hune hutano.
Kubata uye Sciatica
VIDEO
References
Richardson, WS, Jones, DG, Winters, JC, & McQueen, MA (2009). Kurapa kwekurwadza kwe inguinal. Ochsner jenari, 9(1), 11–13.
Kurosawa, D., Murakami, E., & Aizawa, T. (2017). Kurwadziwa kweGroin kwakabatana nesacroiliac joint dysfunction uye lumbar kusagadzikana. Clinical neurology uye neurosurgery, 161, 104-109. doi.org/10.1016/j.clineuro.2017.08.018
Johns Hopkins Mushonga. Appendicitis .
Gomo reSinai. Splenomegaly .
Santilli, V., Beghi, E., & Finucci, S. (2006). Chiropractic manipulation mukurapa kurwadziwa kwakanyanya kumashure uye sciatica ne disc protrusion: a randomized double-blind clinical trial of active and simulated spinal manipulations. The spine magazine: yepamutemo magazini yeNorth American Spine Society, 6 (2), 131-137. doi.org/10.1016/j.spinee.2005.08.001
by Dr Alex Jimenez Kukanganiswa kwakakomba , Hip Pain & Dambudziko
Vanhu vanotambura nehudyu, chidya, uye/kana kurwadza kwegomarara vanogona kunge vachisangana neiliopsoas syndrome. Kuziva zviratidzo nezvinokonzeresa kungabatsira here pakuongorora nekurapwa?
Iliopsoas Syndrome
Iliopsoas syndrome inosanganisira mamiriro akati wandei anokanganisa mukati mehudyu tsandanyama uye anogona kukonzera kurwadziwa kwehudyu nechidya. Tsandanyama inobatsira kukotamisa gumbo rakananga kumuviri.
Mamiriro acho anowanzokonzerwa nekukuvadzwa kwepamusoro uye anowanzobata vanhu vanodzokorora maitiro ehudyu, semabhasikoro, gymnasts, vatambi, vanomhanya, uye vatambi venhabvu. (Liran Lifshitz, et al., 2020 )
Izwi rinowanzoshandiswa zvakasiyana ne psoas syndrome, iliopsoas tendonitis, snapping hip syndrome, uye iliopsoas bursitis. Zvisinei, kune misiyano yekiriniki.
zviratidzo
Zviratidzo zvinosanganisira: (American Association yeHip uye Knee Surgeons . 2020)
Kunyorova munzvimbo yehudyu uye mugomba.
Hip kana groin kudzvanya kana kubvuta zvinonzwika uye/kana kunzwika panguva yekufamba.
Marwadzo uye/kana kuoma muhudyu nechidya.
Marwadzo anowedzera pakukotama hudyu - kufamba, kukwira masitepisi, kuputika, kugara.
Kufambisa kunosanganisira kuunza ibvi kuchipfuva kunogona kuwedzera marwadzo.
Zvinokonzera
Iyo iliopsoas mhasuru imhasuru dzehudyu dziri kumberi kwehudyu. Ivo vakagadzirwa ne psoas huru, psoas minor, uye iliacus . Madiki, masaga akazara-mvura-mabhegi ari mukati memubatanidzwa wehudyu pakati pemapfupa uye matishu akapfava. Iyo bursae inoderedza kukweshera uye inopa cushioning kubatsira tendon, tsandanyama, uye zvimwe zvimiro kufamba zvakanaka pamusoro pemabhonzo akakurumbira.
Iliopsoas bursitis inoitika kana iyo bursa, iyo iri pakati peiliopsoas tendon uye mukati mejojo rehudyu, inoputika uye inogumburwa.
Iliopsoas tendonitis/hip tendonitis inoitika kana iyo tendon iyo inonamira bhonzo rechidya kune iliopsoas tsandanyama inozvimba uye kushatirwa.
Iliopsoas bursitis uye tendonitis zvinowanzokonzerwa nekukuvara kwakanyanya uye zviitiko zvakanyanya sekuchovha bhasikoro, kumhanya, kukwasva, kana kudzidziswa simba.
kuongorora chirwere
Vashandi vehutano vanogona kuongorora iliopsoas syndrome zvichienderana nechiratidzo chenhoroondo uye kuongororwa kwehudyu.
Imaging tests - MRI uye X-rays inogona kushandiswa kutonga kunze kwekumwe kukuvadzwa kana mamiriro akaita semisodzi yemhasuru. (Paul Walker, et al., 2021 )
mabatiro
Zvizhinji zvinyoro zviitiko zvehudyu bursitis uye hip tendonitis zvinogona kutarisirwa uchishandisa nzira yeRICE (American Association of Orthopedic Surgeons. 2020 )
Zorora
Dzivisa kuisa uremu pahudyu kwemazuva mashoma mushure mekukuvara.
chando
Isa ice pakarepo mushure mekukuvara kuti uunze kuzvimba pasi.
Shandisa inotonhora paki kwemaminitsi makumi maviri panguva, kakawanda pazuva.
Usaisa ice zvakananga paganda.
Kudzvinyirira
Putira nzvimbo yacho mubhandiji rakapfava kana shandisa kabudura kapfupi kudzivirira kuwedzera kuzvimba.
Elevation
Zorora kakawanda sezvinobvira negumbo rakasimudzwa kupfuura mwoyo.
Kurapa Kwekurapa
Non-steroidal anti-inflammatory drugs senge ibuprofen uye naproxen sodium inogona kuderedza marwadzo uye kuderedza kuzvimba. (Paul Walker, et al., 2021 )
Majekiseni eSteroid anogona kushandiswa kana zviratidzo zvikaenderera mberi kana kudzoka nemamwe majekiseni akaiswa sezvinodiwa. (Paul Walker, et al., 2021 )
Mushure mekurwadziwa uye kuzvimba zvapera, physically therapy inogona kukurudzirwa, pamwe nekudzidzira zvinyoro zvishoma nezvishoma kuvandudza simba rehudyu uye kushanduka. (Paul Walker, et al., 2021 )
Mumwe mupi wehutano anogona kukurudzira kuvhiyiwa mumamiriro ezvinhu akaoma apo marwadzo anopfuurira, uye kurapa kwekuchengetedza hakupi rubatsiro rwakakwana.
Nekudaro, izvi hazviwanzo nekuda kwekushaya simba kwetsandanyama uye njodzi dzekukuvara kwetsinga. (Paul Walker, et al., 2021 )
Hip Labral Tear - Chiropractic Treatment
VIDEO
References
Lifshitz, L., Bar Sela, S., Gal, N., Martin, R., & Fleitman Klar, M. (2020). Iliopsoas Iyo Yakavanzika Muscle: Anatomy, Diagnosis, uye Kurapa. Mishumo yezvino yemishonga yemitambo, 19 (6), 235-243. doi.org/10.1249/JSR.0000000000000723
American Association yeHip uye Knee Surgeons. Iliopsoas tendonitis/bursitis .
Walker, P., Ellis, E., Scofield, J., Kongchum, T., Sherman, WF, & Kaye, AD (2021). Snapping Hip Syndrome: A Comprehensive Update. Ongororo dzeOrthopedic, 13(2), 25088. doi.org/10.52965/001c.25088
American Association of Orthopedic Surgeons. OrthoInfo. Hip strains .
by Dr Alex Jimenez Chiropractic , chisingaperi Pain , Hip Pain & Dambudziko , Spinal Decompression Treatments , Mishonga , Viscerosomatic Reflex
Kune vanhu vane kurwadziwa kwepelvic, nzira dzekurapa dzeMET dzinoderedza sei kushaya simba kwemhasuru munzvimbo yehudyu?
ziviso
Basa guru remboro nderekuona kuti huremu hwemunhu hwagovaniswa zvakaenzana pakufamba kwemazuva ese mukati memuviri wepamusoro nepasi. Panguva imwecheteyo, mhasuru dzepakati, ligaments, uye majoini anotenderedza skeletal chimiro chepelivha, iyo inopa yakajairika basa panguva yekudzivirira iyo yakakosha masystem system mukati meiyo pelvic. Kana zvinhu zvakajairika kana zvinoshungurudza zvinotanga kukanganisa nzvimbo yepelvic yemuviri, vanhu vazhinji vanowanzo kanganisa marwadzo ekurwadziwa kwemusana, uye mhasuru dzepakati dzakatenderedza bhonzo repelvic dzinogona kupera simba zvokonzera kurwadziwa kwepelvic. Panguva imwecheteyo, zvinhu zvakajairwa senge kusamira zvakanaka zvinogona kukonzera anterior pelvic tilt uye kukura mune mamwe masculoskeletal kusagadzikana ane anowandira enjodzi profiles. Kana kurwadziwa kwepelvic kuchikanganisa magumo ezasi, zvinogonawo kutungamirira kune nyaya dzekubereka dzinogona kukonzera kunyanya kunetseka kumunhu. Sezvineiwo, vanhu vazhinji vanosarudza kurapwa kusiri kwekuvhiya kuti vaderedze marwadzo epelvic uye ayo ane hukama musculoskeletal mamiriro nekusimbisa iyo isina simba yepakati tsandanyama uye kuderedza kushaya simba kwemhasuru. Chinyorwa chanhasi chinoongorora kuti zviratidzo zvinorwadza zvinokanganisa sei pelvis uye kuti kurapa kusiri kwekuvhiya senge MET therapy kunogona kuderedza kushaya simba kwetsandanyama kunoenderana nekurwadziwa kwepelvic. Pamusoro pezvo, tinotaurirana nevarapi vane hunyanzvi vanosanganisa ruzivo rwemurwere wedu kuti vaderedze kushaya simba kwetsandanyama kunoenderana nekurwadziwa kwepelvic. Isu tinovazivisawo kuti kurapwa kweMET kunogona kubatsira kuderedza marwadzo anotaurwa-sezviratidzo zvine chekuita nekurwadziwa kwepelvic. Isu tinokurudzira varwere vedu kuti vabvunze inoshamisa mibvunzo yedzidzo yevanosanganisirwa varapi vedu nezve kurwadziwa kwavo kwepelvic. Dr. Jimenez, DC, anobatanidza ruzivo urwu sebasa rekudzidzisa. Disclaimer
Referred Pain Symptoms Anobata Pelvis
Wakamboona here kuti uri kutora nzendo dzakawanda kuenda kuchimbuzi uye dundira rako richiri kunzwa rakazara? Iwe unonzwa kuomarara kwemhasuru mukati memuzasi kumashure kana nharaunda yepelvic kubva pakugara zvakanyanya padhesiki rako panguva yebasa? Kana kuti unoona here kuti uri kusangana nemasimba asina simba epakati anokanganisa maitiro ako ekurovedza muviri? Zviitiko izvi zvine chekuita nekurwadziwa kwepelvic uye zvinogona kukonzera nyaya mukati memuviri wezasi, zvichikanganisa mashandiro emunhu kana achiita mabasa akajairika. Kurwadziwa kwepelvic is a multifactorial musculoskeletal disorder inogona kukanganisa masisitimu emuviri anowirirana kuti akonzerese kurwadziwa. (Grinberg, Sela, & Nissanholtz-Gannot, 2020 ) Marwadzo epelvic anogona kukonzera marwadzo anotaurwa kune gastrointestinal, pelvic musculoskeletal, uye nervous system, izvo zvinozoita kuti anatomic kusashanda zvakanaka kune pelvic floor tsandanyama. Kurwadza kwepelvic kunogona kuve nyore kukanganisa nekurwadziwa kwemusana sezvo lumbar spine ichigadzira zvinoshungurudza zvemhasuru dzakatenderedza pelvis.
Kana iyo pelvis inobatwa ne mechanical stressors inobatanidza ne lumbar spine, inogona kukonzera kusagadzikana kwepelvic uye inokonzera kuti munhu asave akaenzana kana achifamba. Panguva imwecheteyo, zvimiro zvetsandanyama yepelvic zvichange zvakanyanyisa kushanda, zvichiita kuti hudyu uye kugadzikana kwemajoini, zvichiita kuti vave vasina simba. (Lee et al., 2016 ) Kana zvimiro zvetsandanyama yepelvic zvichitanga kukanganisa, zvinogona kutungamirira kune sciatic nerve entrapment kusvika kumucheto wezasi, izvo zvinotungamirira kune kupindirana kwengozi yehutano hwe musculoskeletal disorders. Kana mhasuru dzepelvic dzakatenderedza dzinotanga kubata tsinga dzepelvic zvichikonzera marwadzo anopenya pasi pemakumbo. (Kale et al., 2021 ) Zvisinei, kune nzira dzokuderedza marwadzo anotaurwa anokanganisa nzvimbo yepelvic uye kudzorera simba remhasuru.
Sciatica, Zvinokonzera, Zviratidzo, & Mazano- Vhidhiyo
VIDEO
Sezvo marwadzo epelvic ari multifactorial musculoskeletal disorder iyo inogona kutungamirira kukurudzirwa kwemarwadzo anotaurwa kumucheto wezasi, vanhu vazhinji vanowanzofunga kuti inorwadza shure kana sciatica. Marwadzo anorehwa ndeapo marwadzo anokanganisa nzvimbo yemuviri pane kuti kwakabva kupi. Kusarapwa nekukasika kunokonzeresa kubatwa kwetsinga, kushaya simba kwetsandanyama, uye kurwadziwa kusingaperi mukati menhengo dzekubereka uye weti. Vanhu vazhinji vanotsvaga marapirwo asiri ekuvhiya kuti aderedze marwadzo uye kudzoreredza simba retsandanyama munzvimbo yepelvic yemuviri. Mishonga isiri-yekuvhiya senge MET (mhasuru simba hunyanzvi) inogona kubatsira kudzoreredza simba remhasuru kune pelvis kuburikidza neakapfava tishu kutambanudza. Nyanzvi dzemarwadzo dzinonyanya kurapa MET, sechiropractors uye masaja therapists, vanoshandisa maoko-pamaneuvers kuzorora, kurebesa, kutambanudza, uye kukwiza mhasuru dzakakanganisika uye kuderedza chero manyoro angave akagadzirwa nekufamba kwenguva. (Grinberg et al., 2019 ) Kurapa kweMET kunogona kubatsira kutambanudza mapepa ekudzikamisa mhasuru. Inogona kusanganiswa nekurapa kwepanyama uye chiropractic kuchengetedza kugadzirisa muviri uye kuderedza kusungwa kwetsinga kunokonzerwa nekurwadziwa kwepelvic. Tarisa vhidhiyo iri pamusoro apa kuti udzidze zvakawanda pamusoro pezvinokonzeresa sciatica uye kuti kurapwa kusiri kwekuvhiya kungave mhinduro yekuderedza marwadzo.
MET Kurapa Strategies For Pelvic Pain
Kurapa kweMET kunogona kuderedza migumisiro yekurwadziwa kwepelvic nekubatanidza nzira dzakapfava dzekushandisa kushandisa inodzorwa isometric uye isotonic contraction kuti ivandudze yakajairika physiologic basa reyakapoteredza tsandanyama yepelvic uye kuderedza marwadzo uye kubatsira kudzikamisa maitiro anochinjana mukati menharaunda yepelvic. (Sarkar, Goyal, naSamuel, 2021 ) Kurapa kweMET kunogonawo kukurudzira kuzvidzora kwemaitiro ekuderedza marwadzo mukati menharaunda yepelinha, zvichiita kuti pave nehuwandu hwekufamba. (Chaitow, 2009 )
MET Kurapa Kuderedza Kusimba Kwetsandanyama
Kurapa kweMET kunogona zvakare kuve chikamu cheurongwa hwehutano hwemunhu hunogona kubatsira kudzoreredza simba remhasuru mukati uye kudzikamisa tsandanyama mukati mepelvis. Izvo zvakanaka zvinokonzerwa nekubatanidzwa kweMET therapy uye kurovedza muviri, inogona kuva yakakosha mukuderedza marwadzo nekuvandudza basa remuviri. (Hu et al., 2020 ) Izvi zvinobvumira pelvis kuti igadzirise pachayo uye kubatsira kutambanudza mhasuru dzakapfupikiswa. Kurapa kweMET kunogona kubatsira kudzoreredza basa rakaderera uye kuvandudza hupenyu hwemunhu. (Danazumi et al., 2021 ) MET therapy inzira yakanakisisa yekutambanudza misumbu yakaneta uye kudzorera kushanda kwepelinha, sezvo inogona kuita kuti vanhu vanyanye kufunga nezvemiviri yavo asi vachideredza mikana yekurwadziwa kwepelinha inobatanidza ne musculoskeletal disorders inodzoka zvakare mumucheto wezasi.
References
Chaitow, L. (2009). Ligaments uye positional release techniques? J Bodyw Mov Ther , 13 (2), 115-116. doi.org/10.1016/j.jbmt.2009.01.001
Danazumi, MS, Yakasai, AM, Ibrahim, AA, Shehu, UT, & Ibrahim, SU (2021). Mhedzisiro yekubatanidza neuromuscular inhibition technique ichienzaniswa neyakagadziriswa nzira yekuburitsa mukutarisira piriformis syndrome. J Osteopath Med , 121 (8), 693-703. doi.org/10.1515/jom-2020-0327
Grinberg, K., Sela, Y., & Nissanholtz-Gannot, R. (2020). Maonero matsva nezve Chronic Pelvic Pain Syndrome (CPPS). Int J Maererano neHurumende yeHurumende , 17 (9). doi.org/10.3390/ijerph17093005
Grinberg, K., Weissman-Fogel, I., Lowenstein, L., Abramov, L., & Granot, M. (2019). Myofascial Physical Therapy Inoderedza Sei Marwadzo muChisingaperi Pelvic Pain Syndrome? Pain Res Management , 2019 , 6091257. doi.org/10.1155/2019/6091257
Hu, X., Ma, M., Zhao, X., Zuva, W., Liu, Y., Zheng, Z., & Xu, L. (2020). Mhedzisiro yekurapa kwekurovedza muviri kune nhumbu-inoenderana nekurwadziwa kwepashure uye kurwadziwa kwepelvic: A protocol for systematic review uye meta-analysis. Mushonga (Baltimore) , 99 (3), e17318. doi.org/10.1097/MD.0000000000017318
Kale, A., Basol, G., Topcu, AC, Gundogdu, EC, Usta, T., & Demirhan, R. (2021). Intrapelvic Nerve Entrapment Syndrome Inokonzerwa Nekusiyana kweIntrapelvic Piriformis Muscle uye Abnormal Varicose Vessels: Nyaya Yenyaya. Int Neurourol J , 25 (2), 177-180. doi.org/10.5213/inj.2040232.116
Lee, DW, Lim, CH, Han, JY, & Kim, WM (2016). Kurwadza kwepelvic kusingaperi kunobva mukusashanda kudzikamisa tsandanyama dzejojo rehudyu uye pelvis. Iyo Korean Journal yePain , 29 (4), 274-276. doi.org/10.3344/kjp.2016.29.4.274
Sarkar, M., Goyal, M., & Samuel, AJ (2021). Kuenzanisa Kubudirira kweMuscle Energy Technique uye Kinesiotaping muMechanical Sacroiliac Joint Dysfunction: A Non-blinded, Two-Group, Pretest-Posttest Randomized Clinical Trial Protocol. Asian Spine Journal , 15 (1), 54-63. doi.org/10.31616/asj.2019.0300
Disclaimer
by Dr Alex Jimenez Chiropractic , chisingaperi Pain , Hip Pain & Dambudziko , Spinal Decompression Treatments , Mishonga , Viscerosomatic Reflex
ziviso
Ko marapirwo asiri ekuvhiya anofananidzwa sei nemishonga yechinyakare yekuvhiya kuti uvandudze kufamba kwevanhu vakakuvara hamstring? Iyo hamstrings imhasuru mumucheto wezasi inopa mafambiro kumakumbo uye kudzikamisa chiuno. Vatambi vazhinji vanotsamira pamakumbo avo kuti vaite zviito zvakasimba zvakadai sekumhanya, kusvetuka, squatting, uye kukanda panguva yemitambo. Nekudaro, iyo hamstrings zvakare yakanyanya kukuvara. Vatambi vanoramba vachitambanudza hamstrings yavo vanogona kusangana nemhasuru kuomarara kusvika misodzi isingaonekwi yaumba, izvo zvinowanzoitika. Saizvozvo, vanhu vanogara kwenguva yakareba vanogona zvakare kusangana nematambudziko ehanzu. Kana vanhu vasingashande, manyundo avo anogona kupera simba uye kupfupikiswa, zvichitungamira kune zviratidzo zvakaita sekurwadziwa kwemhasuru, mapoinzi ekutanga, uye kunetsa pamhasuru dzinowanikwa. Kukuvara kweHamstring kunogonawo kukonzera dzimwe nyaya dzinobata nhengo dzezasi dzemuviri. Ichi chinyorwa chichaongorora kuti kukuvara kwehamstring kunokanganisa sei kufamba uye kuti kurapwa kusiri kwekuvhiya kunobatsira sei vanhu kuti vatangezve kufamba. Isu tinoshanda nevarapi vane hunyanzvi vanoshandisa ruzivo rwakakosha rwevarwere kurapa vanhu vakakuvara nekuvazivisa nezvekurapa kusiri kwekuvhiya kuti vatangezve kufamba. Tinokurudzira varwere kubvunza mibvunzo yakakosha uye kutsvaga dzidzo kubva kune vanobatana navo vekurapa nezve mamiriro avo. Dr. Jimenez, DC, anopa ruzivo urwu sebasa rekudzidzisa. Disclaimer
Hamstring Kukuvara Kuita Dzimwe Nyaya
Unonzwa kuoma kumashure kwezvidya zvako paunenge uchidziya usati waita maekisesaizi? Iwe urikunzwa kurwadziwa kunopenya kubva parutivi rwehudyu yako uye glutes nekuda kwekugara kwenguva refu? Kana kuti unowanzokamhina, zvichikanganisa kufamba kwako nekufamba? Vanhu vazhinji havazivi kuti vari kunyanya kushandisa hamstrings, izvo zvinogona kukonzera marwadzo. Avo vanoita zvemitambo kana kushanda mabasa ekugara vanogona kudarika kana kushandisa pasi tambo dzavo, zvichikanganisa kushanduka kwavo uye kufamba kusvika kumucheto. Maererano ne tsvakurudzo zvidzidzo , kukuvara kwehando ndiyo inonyanya kukuvadza kusingabatanidzi musuru kunokonzerwa nemaitiro maviri ekukuvadzwa: kutambanudza-mhando uye sprint-type. Kukuvara kweSprint-type kunobatanidza ne hamstrings kunoitika apo misumbu inenge yakanyanyisa nekuda kwehukuru kana huri pedyo-hukuru hwekuita, zvichiita kuti musuru kuneta. Kusvika panguva iyoyo, kukuvara kwehamstring kunogonawo kukanganisa kufamba kwemunhu.
Kumhanya pasina kudziya zvakanaka hamstring muscle kunogona kukonzera kuneta kwetsandanyama. Kukuvara kwerudzi rwekutambanudza kunobatanidza nemhasuru ye hamstring kunosanganisira kusanganisa mafambiro anosanganisira kunyanyisa kwehudyu uye kuwedzera kwemabvi. Izvi zvinokuvadza zvinogonawo kutevedzera sciatica, zvichiita kuti vanhu vatende kuti sciatic nerve yavo iri kushanda. Zvisinei, marapirwo anowanikwa anogona kubatsira kuderedza marwadzo ane chokuita nekukuvara kwehamstring uye kurebesa tsandanyama yakapfupika kuderedza marwadzo.
Zvakanakisa Zvezasi Muviri Kutambanudza Kuti Uwedzere Kuchinja-Vhidhiyo
VIDEO
Kana iwe uchida kuderedza marwadzo ane chokuita nekukuvara kwe hamstring, kusanganisira RICE inogona kubatsira kudzivirira kuti irege kuramba isingagumi. Izvi zvinosanganisira zvinyoronyoro kutambanudza tsandanyama yakakanganisika kuti udzivise cramps uye kurwadziwa uchiwedzera kushanduka. Kukuvara kweHamstring kunogonawo kubatanidzwa kune dzimwe nyaya dzisingaperi, izvo zvinogona kukonzera kuzvimba mumasumbu akapoteredza. Studies inoratidza kuti mamiriro akaita sepiriformis syndrome anogona kukonzera kusungwa kwetsinga mu hamstrings, zvichiita kuti marwadzo anopisa pasi pegumbo anotevedzera marwadzo ekudzokera shure uye sciatica. Sezvambotaurwa, kukuvara kwehamstring kunogona kudzikamisa kufamba uye kwakabatana nemamiriro asingaperi. Nechemumoyo, kurapwa kusiri kwekuvhiya kunogona kubatsira kuderedza marwadzo uye kupa zororo. Tarisa vhidhiyo iri pamusoro kuti udzidze kutambanudza kwakasiyana kunogona kubatsira kuderedza marwadzo mumuviri wezasi uye kuwedzera kushanduka.
Kurapa Kudzorera Kufamba
Kana kuzorora, chando, kudzvanya, uye kutambanudza zvinyoro kusingapi zororo, kubatanidza marapirwo ekukuvara kwehamstring kudzorera kufamba kunogona kubatsira vanhu vazhinji. Kutsvaga rubatsiro rwenyanzvi yemarwadzo, yakadai semassage therapist kana chiropractor, kugadzira hurongwa / chirongwa chakasarudzika chinokurudzirwa. Kune nzira dzakasiyana siyana dzinogona kushandiswa nenyanzvi dzemarwadzo kudzorera kufamba uye kurapa kukuvara kwehamstring.
MET Therapy
Vazhinji chiropractors uye massage therapists vanosanganisira MET (muscle energy techniques) kurapa kutambanudza zvinyoronyoro kupfupisa hamstring tsandanyama uye kubatsira kudzorera majoini kufamba muzasi migumo. Mu "Clinical Applications of Neuromuscular Techniques," yakanyorwa naLeon Chaitow, ND, DO, uye Judith Walker DeLany, LMT, yakataura kuti MET inokosha pakutambanudza nekusimbisa mhasuru dze hamstring kuburikidza nekuputika kweisometric. Panguva imwe, tsvakurudzo dzekuwedzera dzinoratidza iyo nzira yeMET inobvumira kuti hamstrings ive nekuwedzera kukuru kwehudyu flexion ranges. MET therapy inobatsirawo kusimbisa mhasuru dzekuwedzera dzakatenderedza hamstrings kudzorera kufamba.
Kugadzikana kwepamuviri
Kana kukuvadzwa kwe hamstring kunokonzerwa nekuputika kwetsinga, ipapo kuedza kuparara kwepelinha kunogona kubatsira kudzorera kufamba muhudyu uye pasi. Maererano ne "The Ultimate Spinal Decompression," yakanyorwa naDr. Eric Kaplan, DC, FIAMA, uye Dr. Perry Bard, DC, yakataura kuti kupera kwemusana kwakachengeteka uye kwakapfava pamuzongoza sezvo kunopa kupfava kunyoro pane spinal disc kuderedza. kurwadziwa uye kuwedzera disc kureba. Kana kukuvadzwa kwenyundo kunobatanidza nekupindwa kwetsinga, zvinogona kubva kune disc herniated iyo inowedzera nerve midzi uye inokonzera marwadzo anotaurwa kune hamstrings. Kushandisa zvinyoronyoro traction pamuzongoza kunogona kubatsira kuderedza marwadzo anokonzerwa neiyo aggravating nerve uye kuderedza marwadzo muhamstrings. Vanhu vazhinji vanogona kubatanidza marapirwo aya kuti vaderedze kukuvara kwehamstring uye vadzore kufamba kwavo kudzokera kumakumbo avo.
References
Chaitow, L., & Delany, J. (2002). Clinical kushandiswa kwemaitiro neuromuscular. Vol. 2, Muviri wepasi . Churchill Livingstone.
Gunn, LJ, Stewart, JC, Morgan, B., Metts, ST, Magnuson, JM, Iglowski, NJ, Fritz, SL, & Arnot, C. (2018). Instrument-inobatsira zvinyoro zvinyoro kuunganidza uye proprioceptive neuromuscular facilitation maitiro anovandudza hamstring flexibility zviri nani pane static kutambanudza chete: a randomized clinical trial. Chinyorwa cheManual & Manipulative Therapy , 27 (1), 15–23. doi.org/10.1080/10669817.2018.1475693
Huygaerts, S., Cos, F., Cohen, DD, Calleja-González, J., Guitart, M., Blazevich, AJ, & Alcaraz, PE (2020). Nzira dzeHamstring Strain Injury: Kudyidzana pakati peKuneta, Muscle Activation uye Basa. Mitambo (Basel, Switzerland) , 8 (5), 65. doi.org/10.3390/sports8050065
Kaplan, E., & Bard, P. (2023). Iyo Ulitimate Spinal Decompression . JETLAUNCH.
Vij, N., Kiernan, H., Bisht, R., Singleton, I., Cornett, EM, Kaye, AD, Imani, F., Varrassi, G., Pourbahri, M., Viswanath, O., & Urits , I. (2021). Kuvhiya uye Kusina Kuvhiya Kurapa Zvisarudzo zvePiriformis Syndrome: Ongororo Yezvinyorwa. Anesthesiology uye Pain Medicine , 11 (1). doi.org/10.5812/aapm.112825
Disclaimer
by Dr Alex Jimenez Kungoerekana Kungoerekana Kungoitika , Hip Pain & Dambudziko
Seimwe yemajoini anotakura mutoro zvakanyanya mumuviri, mahudyu anenge akanganisa mafambiro ese. Kana mubatanidzwa wehudyu wakabatanidzwa mukuputsika kwemotokari, nzvimbo iri mujojo / hip capsule inogona kuzadza nemvura, zvichiita kuti kuputika kwemajoini kana kuzvimba, kuzvimba, kusuruvara-immobilizing marwadzo, uye kuoma. Kurwadziwa kwehudyu chiratidzo chekukuvara chinowanzoitika mushure mekuparara kwemotokari. Marwadzo aya anogona kubva pakupfava kusvika kune akanyanya uye anogona kunge ari enguva pfupi kana kupera kwemwedzi. Pasinei nehuwandu hwemarwadzo ari kuitika, chiito chinofanira kutorwa nokukurumidza kudzivisa kukanganisa kwenguva refu. Vanhu vanoda zvemhando yepamusoro, kutariswa kwakatarisana nemurwere kubva kunyanzvi dzine ruzivo nekukurumidza kuti vapinde munzira yekupora.
Vehicle Crash Hip Injury
Majoini ehudyu anofanirwa kuve ane hutano uye anoshanda zvinobudirira sezvinobvira kuti arambe achishanda. Arthritis, kuputika kwechiuno, bursitis, tendonitis, kukuvara kubva pakudonha, uye kudhumhana kwemotokari ndizvo zvinowanzokonzera kurwadziwa kwehudyu kusingaperi. Zvichienderana nerudzi rwekukuvara, vanhu vanogona kunzwa zviratidzo zvinorwadza muhudyu, kugomera, mukati mejojo rehudyu, kana matako.
Kushamwaridzana Nekukuvara
Kukuvara kwakanyanya kunokonzera kurwadziwa muhudyu mushure mekudhumhana kunosanganisira:
Hip Ligament Sprains kana Strains
A hip ligament sprain kana strain inokonzerwa nemarunda akawandisa kana kubvaruka.
Aya matishu anosungira mapfupa kune mamwe mapfupa uye anopa kugadzikana kune majoini.
Kukuvara uku kungangoda kuzorora uye ice kuti apore, zvichienderana nekuoma.
Chiropractic, decompression, uye physio massage therapies zvingave zvakakosha pakugadzirisa zvakare uye kuchengetedza mhasuru dzichichinjika uye dzakasununguka.
Bursitis
Bursitis kuzvimba kwebursa, kana sag-yakazadzwa nemvura inopa cushioning / zvinhu pakati pemapfupa nemamhasuru.
Ndicho chimwe chezvikonzero zvikuru zvekurwadziwa kwehudyu mushure mekudhumhana kwemotokari uye zvinoda kurapwa nekukurumidza.
Tendonitis
Tendonitis imhando yekukuvara inobata zvinyoro zvinyoro senge tendon uye ligaments, zvinopesana nefupa uye tsandanyama.
Tendonitis inogona kukonzera kurwadziwa kusingaperi uye zviratidzo zvakasiyana-siyana zvekusagadzikana mukati uye kumativi ehudyu nzvimbo kana isina kusiyiwa.
Hip Labral Tear
A hip labral tear imhando yekukuvadzwa kwemajoini umo nyoro/labrum inovhara socket yehudyu inobvaruka.
Iyo matishu inovimbisa kuti musoro wehudyu unofamba zvakanaka mukati memubatanidzwa.
Kukuvadza kune labrum kunogona kutungamirira kune zviratidzo zvinorwadza zvakanyanya uye kukanganisa kufamba.
Hip Kubvisa
Kutsemuka kwehudyu zvinoreva kuti bhora remukadzi rabuda musocket, zvichiita kuti bhonzo repamusoro regumbo ritsvedze kubva panzvimbo.
Hip dislocation inogona kukonzera avascular necrosis , kunova kufa kwenyama yemapfupa kubva pakuvharika muropa.
Hip Fractures
Mapfupa ehudyu anogona kuputsika kuita zvikamu zvitatu:
Tsoka
Pubis
Ischium
Kutyoka kwehudyu, kana kutsemuka kwehudyu, kunoitika pese apo kuputika, kutsemuka, kana kupwanyika kunoitika kune chero ipi zvayo yezvikamu izvi zvehudyu.
Acetabular Kutsemuka
Kutyoka kweacetabular kutsemuka kana kutsemuka kuri kunze kwechigadziko chehudyu chinobata mapfupa ehudyu nechidya pamwechete.
Kutyoka kwechikamu chemuviri ichi hakuna kufanana nekuda kwenzvimbo.
Simba rakakosha uye kukanganisa kunowanzodikanwa kukonzera rudzi urwu rwekutsemuka.
zviratidzo
Kana chimwe chezviratidzo zvinotevera mushure mekuparara kwemotokari kwakaitika, inogona kuva kukuvara kwehudyu uye inofanira kuongororwa nenyanzvi yezvokurapa. Izvi zvinosanganisira:
Kurwadziwa kana kupfava panzvimbo yekukuvara.
Kutuka.
Kuzvimba.
Kunetsa kufambisa hudyu/s.
Kurwadziwa kwakanyanya pakufamba.
Kukamhina.
Kupera simba remhasuru.
Marwadzo emudumbu.
Kurwadza kwebvi.
Kurwadza kwegoro.
Kurapa uye Rehabilitation
Chiremba kana nyanzvi inofanirwa kugara ichiongorora matambudziko ehudyu uye zviratidzo zvinorwadza. Nerubatsiro rwekuongorora kwemuviri uye kuongororwa senge X-rays, CT Scans, kana MRI, chiremba anogona kuongorora uye kukurudzira nzira dzekurapa. Kurapa mushure mekuparara kwemotokari kunoenderana nekuoma kwekukuvara. Semuyenzaniso , Kutyoka kwehudyu kunowanzoda kuvhiyiwa nokukurumidza, asi kumwe kukuvadzwa kungangoda mishonga, kuzorora, nekugadzirisa. Zvirongwa zvekurapa zvinogona kusanganisira:
Zorora
Marwadzo, mhasuru zvinozorodza, uye anti-kuzvimba mishonga.
Physical therapy
Massage therapy
Chiropractic kugadzirisa
Spinal decompression
Dzidzira kurapa
Steroid jekiseni Kuvhiya - mushure mekuvhiyiwa, murapi wepanyama anogona kubatsira kutambanudza uye kushanda pamhasuru dzakatenderedza hudyu kuti awane kufamba uye kusununguka kwekupora zvachose.
Yese yehudyu kutsiva
Chikwata chedu chinoshanda pamwe nenyanzvi dzinodiwa kuti dzipe hutano hwakakwana hunodiwa kuti uwane kupora kuzere uye kuporeswa kwekuzorodzwa kwenguva refu. Chikwata chichashanda pamwe chete kugadzira chirongwa chakazara chekurapa kusimbisa mhasuru dzehudyu kuitira kutsigirwa zviri nani uye kuwedzera kwekufamba.
Movement seMushonga
VIDEO
References
Cooper, Joseph, nevamwe. "Hip dislocation uye kukuvara kwakafanana mukubonderana kwemotokari." Kukuvara vol. 49,7 (2018): 1297-1301. doi:10.1016/j.injury.2018.04.023
Fadl, Shaimaa A, naClaire K Sandstrom. "Pattern Recognition: Iyo Mechanism-yakavakirwa Nzira yeKukuvadza Kuonekwa mushure meMota Kudhumhana." Radiographics: wongororo yakadhindwa yeRadiological Society yeNorth America, Inc vol. 39,3 (2019): 857-876. doi:10.1148/rg.2019180063
Frank, CJ nevamwe. "Acetabular fractures." The Nebraska medical journal vol. 80,5 (1995): 118-23.
Masiewicz, Spencer, et al. "Posterior Hip Dislocation." StatPearls, StatPearls Publishing, 22 Kubvumbi 2023.
Monma, H, uye T Sugita. "Iyo nzira yekushungurudza kumashure kwehudyu kukuvara kwebrake pedal pane kukuvara kwedashboard?." Kukuvara vol. 32,3 (2001): 221-2. doi:10.1016/s0020-1383(00)00183-2
Patel, Vijal, nevamwe. "Kushamwaridzana pakati pemabvi airbag deployment uye ibvi-chidya-hudyu kuputika ngozi yekukuvara mukukonana kwemotokari: Chidzidzo cheboka rakafanana." Accident; Analysis and Prevention vol. 50 (2013): 964-7. doi:10.1016/j.aap.2012.07.023
by Dr Alex Jimenez Chiropractic , chisingaperi Pain , utano , Hip Pain & Dambudziko , Kufamba & Kuchinja , Mishonga , Viscerosomatic Reflex , Wellness
ziviso
The hips kuita basa rakakosha kuchengetedza kugadzikana uye kufamba mumuviri. Zvisinei, zviito zvisiri izvo zvinogona kutungamirira kune kusarongeka uye kurwadziwa mukati mhasuru dzehudyu , zvichikonzera kusagadzikana uye kukanganisa vamwe tsandanyama nemajoini . Ichi chinyorwa chinotarisa pamusoro pehudyu flexor muscles uye kuti kuvaongorora sei neMET therapy kunogona kuderedza marwadzo uye kudzorera hudyu kufamba. Isu tinoshandisa uye tinobatanidza ruzivo rwakakosha pamusoro pevarwere vedu kune vane certified vatapi vezvekurapa vachishandisa MET therapy kuti ibvise kurwadziwa kusingaperi kwemasuru kunobatanidza nehudyu flexor muscles. Tinokurudzira nekuendesa varwere kune vanobatana navo varapi zvichienderana nezvavakawana tichitsigira kuti dzidzo inzira inoshamisa uye inoshamisa yekubvunza vapepi vedu mibvunzo yakakosha pamvumo yemurwere. Dr. Alex Jimenez, DC, anosanganisira ruzivo urwu sebasa rekudzidzisa. Disclaimer
Chii chinonzi Hip Flexor Muscles?
Une kurwadziwa muhudyu here? Kushandura uremu hwako kubva kune rumwe rutivi kuenda kune rumwe kunobatsira kubvisa marwadzo here? Unonzwa kurwadziwa kupfura kubva muhudyu kuenda kumakumbo ako here? Zviratidzo izvi zvinogona kunge zvichikonzerwa nekurwadziwa muhudyu yako inoshanduka-shanduka. Zvidzidzo zvekutsvaga zvinoratidza kuti mhasuru idzi dzinotsigira mamwe mapoka emhasuru sehudyu nemakumbo, zvichibvumira kuita kwakaringana tsandanyama paunenge uchisimudza makumbo ako zvakananga panguva yekuedzwa kwehudyu nechiuno. Hudyu inopfakanyika muhudyu yako ine mhasuru nhanhatu dzinobatsira mukugadzikana uye kufamba:
Psoas Major Iliacus Rectus femoris Sartorius Adductor Longus Tensor Fasciae Latae
Zvimwe zvidzidzo zvakaratidza kuti hudyu flexor muscle yakakosha pakutsigira pasi kumashure uye kuchengetedza kugadzikana. Aya mamhasuru matanhatu anobatsira mukufamba kwehudyu sekudzika kwakadzika, kukwidziridzwa, uye kutenderera kwekunze, pakati pemamwe mabasa. Ukama huri pakati pehudyu flexors uye lumbar spine inonyanya kusimba. Nekudaro, kana mhasuru idzi dzikave dzakasimba, zvinogona kukanganisa kushanda uye kutungamirira kune dzimwe nyaya.
Hudyu Marwadzo Akabatana neMusculoskeletal System
Marwadzo ehudyu anogona kukonzerwa neakasimba hip flexor tsandanyama, izvo zvinogona kukanganiswa nezvinhu zvakasiyana senge nyaya dzehutano, kukuvara, kana zvakatipoteredza. Zvidzidzo zvekutsvaga zvakaratidza kuti kukuvadzwa kwepasi kunogona kuderedza kushanda uye kukonzera marwadzo-sezviratidzo zvinosanganiswa ne musculoskeletal system. Tight hip flexors inogona kukonzerwa nekugara kwenguva refu, kusimudza zvisirizvo, kana kudzokorora zviito, zvinotungamira kune yakatambanudzwa kana kupfupikiswa tsandanyama uye kuvandudzwa kwemanodule. Izvi zvinogona kuita kuti musculoskeletal kusagadzikana uye hudyu dzisina kuenzana. Kurapa kwakasiyana-siyana kunowanikwa kugadzirisa muviri uye kusimbisa hudyu flexor muscles.
Kwete-Kuvhiya Solution: Chiropractic Care- Vhidhiyo
VIDEO
Iwe unonetseka nekusagadzikana paunenge uchifamba kana kuzviwana uchizendamira zvakanyanya pane rimwe gumbo pane rimwe? Zvichida unogara uchirwadziwa muhudyu. Kukanganisa muhudyu kunokonzerwa nemamiriro ezvinhu ezvakatipoteredza kunogona kukonzera kusagadzikana uye marwadzo-sezviratidzo zvinosanganiswa netight hip flexor muscles. Idzi nyaya dzinogona kukonzeresa musculoskeletal kusagadzikana izvo zvinopindirana uye zvinokonzeresa musana subluxation. Zvidzidzo zvekutsvaga zvakataurwa kuti zvingava zvakaoma kuongorora marwadzo ehudyu nokuti zvinowanzoratidza sekurwadziwa kunobva ku lumbar spine kana mabvi akabatanidzwa. Izvi zvinoreva kuti mahudyu asina kuenzana kana akasimba anogona kukonzera kudzika kumashure kana kurwadziwa kwemabvi. Mishonga inowanikwa kuderedza marwadzo ehudyu uye zvinyoronyoro kutambanudza flexor muscles. Vhidhiyo iri pamusoro inoratidza kuti chiropractic kuchengetedza inogona kupa sei mhinduro dzisiri dzekuvhiya kugadzirisa muviri uye kubvisa kushushikana mumhasuru dzakapoteredza.
Kuongorora Hip Flexors NeMET Therapy
Kana iwe uri kusangana nekuoma kana kurwadziwa muhudyu yako nekuda kwekusimba kwehudyu flexors, unogona kuvandudza mafambiro ako uye kudzivirira nyaya dzemangwana munzira dzinoverengeka. Zvidzidzo zvakaratidza kuti kurapa kwemuviri kunosanganisira RICE (kuzorora, ice, kudzvanya, uye kukwirira) kunogona kubatsira kudzorera simba remhasuru uye huwandu hwekufamba. Kurapa kwetishu yakapfava yakasanganiswa nekurapa kwemuviri kunogona zvakare kushanda mukudzoreredza hudyu kufamba. Mubhuku ravo "Clinical Application of Neuromuscular Techniques," Dr. Judith Walker DeLany, LMT, uye Dr. Leon Chaitow, ND, DO vanotsanangura kuti Muscle Energy Techniques (MET) inogona kutambanudza zvinyoronyoro hip flexor muscles uye kudzorera kufamba uye mararamiro ekufamba. muhudyu yakabatana. Kurapa kweMET kunogona kurebesa hudyu flexor tsandanyama, kuderedza marwadzo anotaurwa, uye kugadzirisa hudyu.
mhedziso
Apo mahudyu nemisungo yakavapoteredza inotanga kukonzera marwadzo anopararira kune muviri wose, zvinogona kutungamirira kune zviratidzo zvisingafadzi zvinoita kuti vanhu vashandure uremu hwavo kuti vatsigire marwadzo. Izvi zvinogona kuitika nekuda kwezvakatipoteredza zvakaita sekugara kwenguva yakareba kana kutambanudza tsandanyama, izvo zvinoita kuti hudyu inyunguduke uye inogona kukonzera marwadzo muhudyu uye kuzasi. Nekudaro, kurapwa kwemuviri kwakasanganiswa nemhasuru simba maitiro (MET) kunogona kubatsira kubvisa marwadzo uye kugadzirisa chiuno nemuviri. Mishonga iyi inoita kuti muviri uporese mhasuru dzakakanganisika kuitira kuti vanhu vasarwadze.
References
Ahuja, Vanita, et al. "Chisingaperi Hip Pain muVakuru: Ruzivo Rwazvino uye Remangwana Remangwana." Chinyorwa cheAnaesthesiology, Clinical Pharmacology , 2020, www.ncbi.nlm.nih.gov/pmc/articles/PMC8022067/.
Chaitow, Leon, uye Judith Walker DeLany. Clinical Applications yeNeuromuscular Techniques . Churchill Livingstone, 2003.
Konrad, Andreas, nevamwe. "Kupesvedzera kweKutambanudza Hip Flexor Muscle pane Performance Parameters. Ongororo Yakarongeka neMeta-Analysis. " Runyorwa Rwenyika Dzese rwekutsvagisa kwezvakatipoteredza uye Hutano hwevanhu , 17 Kukadzi 2021, www.ncbi.nlm.nih.gov/pmc/articles/PMC7922112/.
Mills, Mateo, nevamwe. "Maitiro eKureba kweHip Flexor Muscle Kureba paHip Extensor Muscle Chiitiko uye Lower Extremity Biomechanics muCollege-Aged Female Soccer Players." International Journal of Sports Physical Therapy , Zvita 2015, www.ncbi.nlm.nih.gov/pmc/articles/PMC4675195/.
Tyler, Timothy F, et al. "Kudzoreredzwa Kwekunyorova KweTissue Kukuvara kweHip uye Pelvis." International Journal of Sports Physical Therapy , Mbudzi 2014, www.ncbi.nlm.nih.gov/pmc/articles/PMC4223288/.
Yamane, Masahiro, et al. "Kunzwisisa Maitiro Ekuita Kwetsandanyama yeHip Flexors panguva Yakatwasuka Gumbo Kurera muZvinhu Zvine Hutano." Kufambira mberi muRehabilitation Medicine , 16 Kukadzi 2019, www.ncbi.nlm.nih.gov/pmc/articles/PMC7365227.
Disclaimer
