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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.


The Complete Guide to Dislocated Hip: Zvinokonzera uye Solutions

The Complete Guide to Dislocated Hip: Zvinokonzera uye Solutions

Kuziva nzira dzekurapa dzehudyu yakatsemuka kunobatsira vanhu kukurumidza kudzoreredza uye kupora?

The Complete Guide to Dislocated Hip: Zvinokonzera uye Solutions

Dislocated Hip

Kutsemuka kwehudyu kukuvara kusingawanzoitiki asi kunogona kuitika nekuda kwekushungurudzika kana kutevera hudyu kutsiva kuvhiyiwa. Inowanzoitika mushure mekushungurudzika kwakanyanya, kusanganisira kubonderana kwemotokari, inowira, uye dzimwe nguva kukuvara kwemitambo. (Caylyne Arnold et al., 2017) Hudyu yakabviswa inogonawo kuitika mushure mekuvhiyiwa kwehudyu. Kumwe kukuvadzwa senge ligament misodzi, kukuvadzwa kwecartilage, uye kuputsika kwepfupa kunogona kuitika padivi peiyo dislocation. Mazhinji kuputika kwehudyu kunobatwa nemaitiro ekuderedza akabatana anodzosera bhora musocket. Inowanzoitwa ne sedation kana general anesthesia. Rehabilitation inotora nguva uye inogona kuva mwedzi mishomanana isati yakwana. Kurapa kwepanyama kunogona kubatsira kudzorera kufamba uye simba muhudyu.

Chii ichochi?

Kana hudyu ichingobviswa zvishoma, inonzi hip subluxation. Kana izvi zvikaitika, musoro wehudyu wehudyu unongobuda zvishoma kubva pachigadziko. Hudyu yakatsemuka inguva apo musoro kana bhora rejoinhi rinochinja kana kubuda musocket. Nekuti hudyu yekugadzira inosiyana neyakajairwa hudyu yakabatana, njodzi yekusagadzikana inowedzera mushure mekutsiviwa kwemajoini. Ongororo yakawana kuti inosvika 2% yevanhu vanodzoserwa hudyu zvachose vachaona kuputika kwehudyu mukati megore, nengozi yekuwedzera inowedzera neinosvika 1% mumakore mashanu. (Jens Dargel et al., 2014) Zvisinei, michina mitsva yeprosthetics uye nzira dzokuvhiya dziri kuita kuti izvi zvisanyanya kuwanda.

Hip Anatomy

  • Hudyu bhora-ne-socket joint inonzi femoroacetabular joint.
  • Iyo socket inonzi acetabulum.
  • Bhora rinonzi musoro wechikadzi.

Bony anatomy nemarunda akasimba, tsandanyama, uye tendon zvinobatsira kugadzira kubatana kwakagadzikana. Simba rakakosha rinofanira kushandiswa pajojo kuti kuputika kwehudyu kuitike. Vamwe vanhu vanotaura kunzwa kubatwa-batwa kwehudyu. Izvi kazhinji hazvisi kuputika kwechiuno asi zvinoratidza chirwere chakasiyana chinonzi snapping hip syndrome. (Paul Walker et al., 2021)

Posterior Hip Dislocation

  • Around 90% yehudyu dislocations ari kumashure.
  • Mumhando iyi, bhora rinosundirwa kumashure kubva pasocket.
  • Posterior dislocations inogona kukonzera kukuvara kana kutsamwa kune sciatic nerve. (R Cornwall, TE Radomisli 2000)

Anterior Hip Dislocation

  • Anterior dislocations ishoma.
  • Murudzi urwu rwekukuvara, bhora rinosundirwa kunze kwesocket.

Hip Subluxation

  • A hip subluxation inoitika apo bhora rekubatana kwehudyu rinotanga kubuda kubva pachigadziko zvishoma.
  • Iyo inozivikanwawo sechikamu chechidimbu, inogona kushanduka kuita chidimbu chehudyu chakanyatsoputika kana chisingabvumirwi kupora zvakanaka.

zviratidzo

Zviratidzo zvinogona kusanganisira:

  • Gumbo riri panzvimbo isina kujairika.
  • Kutadza kufamba.
  • Kurwadza kwehudyu kwakanyanya.
  • Kusakwanisa kutakura uremu.
  • Mechanical kurwadza kwepashure kunogona kukonzeresa kuvhiringidzika pakuita kuongororwa kwakakodzera.
  • Nekudzongonyedzwa kwemashure, ibvi netsoka zvinotenderedzwa zvakananga pakati pemuviri.
  • An anterior dislocation inotenderedza ibvi netsoka kure nepakati. (American Academy yeOrthopedic Surgeons. 2021)

Zvinokonzera

Dislocation inogona kukonzera kukanganisa kune zvimiro zvinobata bhora musocket uye zvinogona kusanganisira:

  • Cartilage kukuvadzwa kwejoint -
  • Misodzi mulabrum nemarunda.
  • Kutsemuka kwebhonzo pajoini.
  • Kukuvadza kumidziyo inopa ropa kunogona kutungamirira kune avascular necrosis kana osteonecrosis yehudyu. (Patrick Kellam, Robert F. Ostrum 2016)
  • Kubviswa kwehudyu kunowedzera njodzi yekubatana nearthritis mushure mekukuvadzwa uye inogona kusimudza njodzi yekuda kuchinjwa hudyu gare gare muupenyu. (Hsuan-Hsiao Ma et al., 2020)

Developmental Dislocation yeHip

  • Vamwe vana vanozvarwa vaine kukura kwehudyu kana kuti DDH.
  • Vana vane DDH vane majoini ehudyu asina kuumbwa zvakanaka panguva yekukura.
  • Izvi zvinokonzeresa kusununguka kunokwana musocket.
  • Mune zvimwe zviitiko, mubatanidzwa wehudyu unobviswa zvachose.
  • Mune dzimwe, zvinowanzoita kubviswa.
  • Muzviitiko zvakapfava, mubatanidzwa wacho wakasununguka asi hausi nyore kutsemuka. (American Academy yeOrthopedic Surgeons. 2022)

mabatiro

Joint reduction ndiyo nzira yakajairika yekurapa hudyu yakatsemuka. Iyo nzira inodzosera bhora kumashure musocket uye inowanzoitwa ne sedation kana pasi peanesthesia. Kuisazve hudyu kunoda simba guru. Kubviswa kwehudyu kunoonekwa sechimbichimbi, uye kuderedzwa kunofanirwa kuitwa nekukurumidza mushure mekudzungaira kudzivirira matambudziko echigarire uye kurapwa. (Caylyne Arnold et al., 2017)

  • Kana bhora richinge radzoka muhomwe, mupi wehutano achatsvaga kukuvara kwemapfupa, cartilage, uye ligament.
  • Zvichienderana nezvinowanikwa nemupi wehutano, kumwe kurapwa kunogona kudiwa.
  • Mabhonzo akatyoka kana akatyoka angada kugadziriswa kuti bhora rirambe riri mukati me socket.
  • Cartilage yakakuvadzwa inogona kubviswa.

Surgery

Kuvhiyiwa kungave kuri madikanwa kudzorera fundo panzvimbo yaro yenguva dzose. Hip arthroscopy inogona kuderedza kupindira kwemamwe maitiro. Chiremba anovhiya anopinza kamera ine microscopic mujoint yehudyu kubatsira muvhiyi kugadzirisa kukuvara achishandisa zviridzwa zvinoiswa kuburikidza nezvimwe zvidiki.

Kuvhiyiwa kwehudyu kunotsiva bhora nesoketi, nzira yakajairika uye inobudirira yemapfupa ekuvhiya. Kuvhiyiwa uku kunogona kuitwa nekuda kwezvikonzero zvakasiyana-siyana, kusanganisira kushungurudzika kana arthritis, sezvinowanzoita kutanga arthritis yehudyu mushure merudzi urwu rwekutambudzika. Ichi ndicho chikonzero vazhinji vane dislocation pakupedzisira vanoda hip replacement operation. Senzira huru yekuvhiya, haisi pasina njodzi. Zvinetso zvinobvira zvinosanganisira:

  • Kurwara
  • Aseptic kusunungura (kusunungurwa kwejoint pasina utachiona)
  • Hip kubviswa

kupora

Kupora kubva pakubviswa kwehudyu inguva refu. Vanhu vanozoda kufamba nemadondoro kana zvimwe zvishandiso pakutanga kupora. Kurapa kwepanyama kuchavandudza huwandu hwekufamba uye kusimbisa misumbu yakatenderedza hudyu. Nguva yekupora ichaenderana nekuti kumwe kukuvadzwa, sekutsemuka kana misodzi, kuripo. Kana mubatanidzwa wehudyu wakadzikiswa uye pakanga pasina kumwe kukuvadzwa, zvinogona kutora mavhiki matanhatu kusvika gumi kuti adzoke kusvika pakuremera kunogona kuiswa pagumbo. Inogona kuva pakati pemwedzi miviri kusvika mitatu yekupora zvakakwana. Kuchengeta uremu kubva pagumbo kunokosha kusvikira chiremba kana chiremba wepanyama anopa zvose-zvakajeka. Injury Medical Chiropractic uye Functional Medicine Clinic ichashanda nemunhu mukuru wehutano hwehutano uye vamwe vanachiremba kana nyanzvi kuti vagadzire chirongwa chekurapa chemunhu.


Chiropractic Solutions yeOsteoarthritis


References

Arnold, C., Fayos, Z., Bruner, D., Arnold, D., Gupta, N., & Nusbaum, J. (2017). Kugadzirisa kutsemuka kwehudyu, ibvi, uye ankle mudhipatimendi rekukurumidzira [digest]. Emergency mushonga tsika, 19(12 Suppl Points & Maparera), 1–2.

Dargel, J., Oppermann, J., Brüggemann, GP, & Eysel, P. (2014). Dislocation zvichitevera kuchinjwa kwehudyu yose. Deutsches Arzteblatt international, 111(51-52), 884–890. doi.org/10.3238/arztebl.2014.0884

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

Cornwall, R., & Radomisli, TE (2000). Kukuvadzwa kwetsinga mukushungurudzika kuparadzaniswa kwehudyu. Clinical orthopedics uye tsvakurudzo yakabatana, (377), 84-91. doi.org/10.1097/00003086-200008000-00012

American Academy yeOrthopedic Surgeons. (2021). Hip dislocation. orthoinfo.aaos.org/en/diseases-conditions/hip-dislocation

Kellam, P., & Ostrum, RF (2016). Kuongorora Kwakarongeka uye Meta-Kuongorora kweAvascular Necrosis uye Posttraumatic Arthritis Mushure meKushungurudza Hip Dislocation. Chinyorwa chekukuvara kwemapfupa, 30 (1), 10-16. doi.org/10.1097/BOT.0000000000000419

Ma, HH, Huang, CC, Pai, FY, Chang, MC, Chen, WM, & Huang, TF (2020). Migumisiro yenguva refu kune varwere vane kushungurudzika kwehudyu fracture-dislocation: Zvakakosha kufungidzira zvinhu. Nyaya yeChinese Medical Association : JCMA, ​​83 (7), 686-689. doi.org/10.1097/JCMA.0000000000000366

American Academy yeOrthopedic Surgeons. (2022). Developmental dislocation (dysplasia) yehudyu (DDH). orthoinfo.aaos.org/en/diseases-conditions/developmental-dislocation-dysplasia-of-the-hip-ddh/

Kinesiology Tape yeSacroiliac Joint Pain: Relief uye Management

Kinesiology Tape yeSacroiliac Joint Pain: Relief uye Management

Kune vanhu vari kusangana nesacroiliac joint/SIJ kusagadzikana uye kurwadziwa, kushandisa kinesiology tepi kunogona kubatsira kuunza zororo uye kugadzirisa zviratidzo?

Kinesiology Tape yeSacroiliac Joint Pain: Relief uye Management

Kinesiology Tape For Sacroiliac Joint Pain

Chirwere chepasi chemusana chinowanzoitika panguva yekuzvitakura. Marwadzo acho anowanzo kune rimwe kana mativi ese ekumusana, pamusoro pemagaro, anouya uye anoenda uye anogona kudzikisira kugona kukotama, kugara, uye kuita zvakasiyana siyana zvemuviri. (Moayad Al-Subahi et al., 2017) Therapeutic tepi inopa rubatsiro paunenge uchibvumira kufamba uye inogona kubatsira kubata nekugadzirisa sacroiliac joint / SIJ kurwadziwa ne:

  • Kuderera kwetsandanyama.
  • Kufambisa basa retsandanyama.
  • Kuwedzera kutenderera kweropa kune uye kutenderedza nzvimbo yekurwadziwa.
  • Kuderera kwemhasuru trigger points.

Mechanism

Zvimwe zvidzidzo zvakawana kuti kubata iyo SI yakabatana ine zvikomborero zvinosanganisira:

  1. Imwe dzidziso inobatsira kusimudza uye kubata matishu akafukidzira kubva pamubatanidzwa weSI, izvo zvinobatsira kuderedza kumanikidza kwakaitenderedza.
  2. Imwe dzidziso ndeyokuti kusimudza matishu kunobatsira kugadzira kudzvanywa kwakasiyana pasi pe tepi, sekunge kusiri-kuvhiya decompression, zvichibvumira kuwedzera kutenderera kune tishu dzakatenderedza sacroiliac joint.
  3. Izvi zvinofashamira nzvimbo neropa uye zvinovaka muviri, zvichigadzira nzvimbo yakakwana yekuporesa.

kunyoresa

Sacroiliac joint kurudyi nekuruboshwe mativi inobatanidza pelvis kune sacrum kana kuti yakaderera chikamu musana. Kuti uise tepi ye kinesiology nenzira kwayo, tsvaga chikamu chakaderera cheshure mukati menzvimbo yepelvic. (Francisco Selva et al., 2019) Kumbira shamwari kana nhengo yemhuri kuti ikubatsire kana usingakwanisi kusvika kwaunogara.

Blog Image Kurapa Sacroiliac DhigraphTaping matanho:

  • Cheka mitsetse mitatu ye tepi, imwe neimwe 4 kusvika ku6 inches kureba.
  • Gara pachigaro wokotamisa muviri zvishoma mberi.
  • Kana mumwe munhu ari kubatsira, iwe unogona kumira uye zvishoma kukotama mberi.
  • Bvisa mutsara wekusimudza pakati uye tambanudza tepi kuti uise pachena masendimita akawanda, uchisiya migumo yakavharwa.
  • Isa tepi yakafumurwa pakona pamusoro peiyo SI yakabatana, sekugadzira mutsara wekutanga weX, pamusoro pemagaro, nekutambanudza kwakazara patepi.
  • Dhonza zvimedu zvekusimudza kubva kumagumo uye uzvibatanidze pasina kutambanudza.
  • Dzokorora matanho ekushandisa nekamwe kechipiri, kunamatira pa45-degree angle kune yekutanga tambo, uchiita X pamusoro pejoint ye sacroiliac.
  • Dzokorora izvi netambo yekupedzisira yakachinjika kuyambuka X yakagadzirwa kubva pazvidimbu zviviri zvekutanga.
  • Panofanira kunge paine tepi pateni yechimiro chenyeredzi pamusoro pejoint ye sacroiliac.
  1. Kinesiology tepi inogona kugara pamusoro pejoint sacroiliac kwemazuva matatu kusvika mashanu.
  2. Tarisa zviratidzo zvekushatirwa zvakatenderedza tepi.
  3. Bvisa tepi kana ganda rikatsamwa, uye bvunza mutarisiri wako wekutanga wehutano, murapi wepanyama, kana chiropractor kune dzimwe nzira dzekurapa.
  4. Vamwe vanhu vane mamiriro chaiwo havafanire kushandisa tepi uye kuwana simbiso yekuti haina njodzi.
  5. Vanhu vane kurwadziwa kwakanyanya kwesacroiliac uko kuzvitonga kusiri kushanda vanofanirwa kuona mupi wehutano, murapi wepanyama, uye kana chiropractor kuti aongororwe uye kudzidza maitiro ekurapa uye. kurapa kubatsira kugadzirisa mamiriro acho.

Sciatica Panguva Yepamuviri


References

Al-Subahi, M., Alayat, M., Alshehri, MA, Helal, O., Alhasan, H., Alalawi, A., Takrouni, A., & Alfaqeh, A. (2017). Kubudirira kwe physiotherapy kupindira kwe sacroiliac joint dysfunction: kuongorora kwakarongeka. Nyaya yePhysical Therapy Sayenzi, 29 (9), 1689-1694. doi.org/10.1589/jpts.29.1689

Do-Yun Shin naJu-Young Heo. (2017). Mhedzisiro yeKinesiotaping Inoshandiswa paErector Spinae uye Sacroiliac Joint paLumbar Flexibility. The Journal of Korean Physical Therapy, 307-315. doi.org/https://doi.org/10.18857/jkpt.2017.29.6.307

Selva, F., Pardo, A., Aguado, X., Montava, I., Gil-Santos, L., & Barrios, C. (2019). Chidzidzo chekuberekazve kwe kinesiology tepi application: ongororo, kuvimbika uye chokwadi. BMC musculoskeletal kusagadzikana, 20 (1), 153. doi.org/10.1186/s12891-019-2533-0

Tsvaga Nonsurgical Solutions dzeHip Pain uye Plantar Fasciitis

Tsvaga Nonsurgical Solutions dzeHip Pain uye Plantar Fasciitis

Varwere veplantar fasciitis vanogona kubatanidza kurapwa kusiri kwekuvhiya kuderedza marwadzo ehudyu uye kudzoreredza kufamba?

ziviso

Wese munhu ari patsoka dzake nguva dzose sezvo zvichibatsira vanhu kuti vagare vachifambisa uye vachivabvumira kubva kune imwe nzvimbo kuenda kune imwe. Vanhu vazhinji vanogara vari patsoka dzavo kubva pauduku kusvika pakukura. Izvi zvinodaro nekuti tsoka dziri chikamu chepasi musculoskeletal extremities inodzikamisa hudyu uye inobvumira sensory-motor basa kumakumbo, zvidya, uye mhuru. Tsoka dzinewo mhasuru dzakasiyana-siyana, tendon, uye marunda akatenderedza skeletal chimiro kudzivirira marwadzo uye kusagadzikana. Nekudaro, kana kudzokorora mafambiro kana kukuvadzwa kunotanga kukanganisa tsoka, zvinogona kutungamirira kune plantar fasciitis uye, nekufamba kwenguva, kukonzera kupindirana kwengozi profiles inotungamirira kumarwadzo ehudyu. Kana vanhu vachinge vachisangana nekurwadziwa-semamiriro ezvinhu, zvinogona kukanganisa zvakanyanya mabasa avo ezuva nezuva uye hupenyu hwese hwese. Kana izvi zvikaitika, vanhu vazhinji vanotsvaga marapirwo akasiyana-siyana kuti vaderedze marwadzo-sezviratidzo zvinokonzerwa neplantar fasciitis uye kudzorera hudyu kufamba. Nyaya yanhasi inotarisa kuti plantar fasciitis inopindirana sei nemarwadzo ehudyu, kuwirirana pakati petsoka uye mahudyu, uye kuti kune nzira dzisiri dzekuvhiya kuderedza plantar fasciitis. Isu tinotaura nevarapi vane hunyanzvi vanosimbisa ruzivo rwevarwere vedu kuti vaongorore maitiro ekuderedza plantar fasciitis uye kudzorera hudyu kufamba. Isu tinozivisawo uye kutungamira varwere kuti akawanda sei asiri ekuvhiya marapirwo anogona kubatsira kusimbisa mhasuru dzisina simba dzakabatanidzwa ne plantar fasciitis uye kubatsira nekudzorera kugadzikana kubva mukurwadziwa kwehudyu. Tinokurudzira varwere vedu kubvunza avo vanobatana navo vezvokurapa mibvunzo yakaoma uye yakakosha pamusoro pekubatanidza shanduko diki kuderedza marwadzo-semhedzisiro inokonzerwa neplantar fasciitis. Dr. Jimenez, DC, anosanganisira ruzivo urwu sebasa rezvidzidzo. Disclaimer.

 

Sei Plantar Fasciitis Inopindirana neHip Pain

Iwe unonzwa kurwadziwa muzvitsitsinho zvako nguva dzose mushure mekufamba kwenguva refu here? Iwe unonzwa kuoma muhudyu yako paunenge uchitambanudza? Kana kuti unonzwa shangu dzako dziri kukonzera kukakavara uye kurwadziwa mutsoka dzako nemhuru? Kazhinji, mazhinji ezviitiko izvi zvinorwadza-sezvinoita nekuda kwevanhu vanobata plantar fasciitis, inoratidzwa nekurwadza kwechitsitsinho nekuda kwekuzvimba kana kushatirwa kweiyo plantar fascia, bhendi rematishu akakora ari kumhanya nechepazasi petsoka uye akabatana kune iyo. chitsitsinho pfupa kune zvigunwe mumucheto wezasi. Iri bhendi rematishu rinoita basa rakakosha mumuviri, richipa yakajairwa biomechanics kutsoka ichitsigira arch uye ichibatsira nekuvhunduka kubatwa. (Buchanan et al., 2024) Plantar fasciitis inogona kukanganisa kugadzikana kwemakumbo ezasi sezvo kurwadziwa kunobata tsoka uye kunokonzera kurwadziwa kwehudyu.

 

 

Saka, plantar fasciitis ingabatana sei nekurwadziwa kwehudyu? Ne plantar fasciitis, vanhu vazhinji vari kurwadziwa mutsoka dzavo. Inogona kutungamirira kune chimiro chetsoka chisina kujairika, kushaya simba kwepamuviri kwepasi, uye kushungurudzika kwemisimba kunogona kuderedza kugadzikana kwemakumbo uye mhasuru dzehudyu. (Lee et al., 2022) Nekurwadziwa kwehudyu, vanhu vazhinji vanogona kusangana nekusashanda kwegait kunokonzera kushaya simba kwemhasuru muzasi uye kunokonzera mhasuru dzekugonesa kuita mabasa ekutanga mhasuru. Kusvika ipapo, izvi zvinomanikidza vanhu kuti vaparadze pasi kana vachifamba. (Ahuja et al., 2020) Izvi zvinodaro nokuti mamiriro ezvinhu akadai sekukwegura kwepanyama, kunyanya kushandiswa kwemhasuru, kana kushungurudzika kunogona kukonzera marwadzo-sezviratidzo kuhudyu, kusanganisira kusagadzikana pazvidya, kugomera, uye nzvimbo yebuto, kuoma kwekubatana, uye kuderedzwa kwekufamba. Marwadzo ehudyu anogona kukonzera kupindirana kwengozi profiles izvo zvinogona kusanganisira kudzokorora kunetseka patsoka, zvichizotungamira kune zviratidzo zvekupinza kusvika kugomarara aches pachitsitsinho.

 

Kubatana Kwetsoka Nemahudyu

Izvo zvakakosha kuti unzwisise kuti matambudziko etsoka senge plantar fasciitis anogona kukanganisa mahudyu uye zvakasiyana, sezvo ese ari maviri matunhu emuviri ane hukama hwakanaka mukati memusculoskeletal system. Plantar fasciitis patsoka dzavo inogona kuchinja basa ravo rekufamba, izvo zvinogona kutungamirira kumarwadzo ehudyu nekufamba kwenguva. Izvi zvinokonzerwa nezvakawanda zvezvakatipoteredza zvinogona kukanganisa hudyu netsoka nekufamba kwenguva, zvichiita kuti plantar fasciitis iwirirane nemarwadzo ehudyu. Kubva pamabasa akawandisa ekuremerwa kusvika kune microtrauma muhudyu kana plantar fascia, vanhu vazhinji vanowanzotsvaga kurapwa kuti vaderedze migumisiro ye plantar fasciitis yakabatana nemarwadzo ehudyu nekugadzirisa kuti mararamiro avo ari kukanganisa sei plantarflexion uye mutoro wavo pane simba. -kubvisa zvimiro zvepasi pevhu zvinogona kunge zvakanaka zvekutangira mukudzivirira uye kurapwa kweplantar fasciitis yakabatana nekurwadziwa kwehudyu. (Hamstra-Wright et al., 2021)

 


Chii chinonzi Plantar Fasciitis? -Vhidhiyo


Kwete-Kuvhiya Solutions Kuderedza Plantar Fasciitis

Kana zvasvika pakuderedza plantar fasciitis mumuviri, vanhu vazhinji vanotsvaga kurapwa kusiri kwekuvhiya kunogona kuderedza marwadzo kubva kuplantar fascia. Mishonga isiri-yekuvhiya inodhura uye inogona kuderedza marwadzo kubva kuplantar fasciitis uye zviratidzo zvayo zvinosanganiswa, sekurwadziwa kwehudyu. Zvimwe zvezvibatsiro zveasina-kuvhiya marapirwo ari kuvimbisa, sezvo vane njodzi yakaderera yezvipingamupinyi, kusvikika kwakanaka, uye kunyange nehupamhi hwekurerutsa mutoro wema mechanical pa plantar fascia pavanenge vachiita mabasa enguva dzose. (Schuitema et al., 2020) Mamwe ekurapa asiri ekuvhiya anogona kusanganisirwa nevanhu vazhinji anosanganisira:

  • Kutarisa maitiro
  • Orthotic zvishandiso
  • Chiropractic care
  • Massage therapy
  • Acupuncture/electroacupuncture
  • Spinal decompression

 

Aya marapirwo asiri ekuvhiya haangobatsiri kuderedza plantar fasciitis asiwo anobatsira kuderedza kurwadziwa kwehudyu. Semuenzaniso, kupera kwepelinha kunogona kubatsira kudzoreredza hudyu kufamba nekutambanudza lumbar musana uye kusunungura migumo yepasi kubva pakushaya chiveve uchisimbisa mhasuru dzakasimba. (Takagi et al., 2023) Electroacupuncture inogona kukurudzira acupoints emuviri kuburitsa endorphins kubva kumucheto wezasi kuderedza kuzvimba kweplantar fascia. (Wang et al., 2019) Apo vanhu vanotanga kuita shanduko duku mumararamiro avo, sekupfeka shangu dzakakodzera uye kusatakura kana kusimudza zvinhu zvinorema zvinorema, zvinogona kufamba nenzira yakareba kudzivirira plantar fasciitis uye kurwadziwa kwehudyu kubva pakudzoka zvakare kunogona kuenda kure. Kuve nehurongwa hwekurapa hwemunhu hunogona kuita kuti vanhu vazhinji vari kutsvaga marapirwo asiri ekuvhiya vave nemhedzisiro iri nani pahutano hwavo uye kufamba uku vachidzivirira matambudziko enguva refu. 

 


References

Ahuja, V., Thapa, D., Patial, S., Chander, A., & Ahuja, A. (2020). Chirwere chehudyu kurwadziwa muvakuru: ruzivo rwezvino uye ramangwana rinotarisira. J Anaesthesiol Clin Pharmacol, 36(4), 450-457. doi.org/10.4103/joacp.JOACP_170_19

Buchanan, BK, Sina, RE, & Kushner, D. (2024). Plantar Fasciitis. In StatPearls. www.ncbi.nlm.nih.gov/pubmed/28613727

Hamstra-Wright, KL, Huxel Bliven, KC, Bay, RC, & Aydemir, B. (2021). Njodzi Zvinokonzera Plantar Fasciitis muPhysically Active Individuals: A Systematic Ongororo uye Meta-analysis. Mitambo Hutano, 13(3), 296-303. doi.org/10.1177/1941738120970976

Lee, JH, Shin, KH, Jung, TS, & Jang, WY (2022). Lower Extremity Muscle Performance uye Foot Pressure muVarwere Vane Plantar Fasciitis vane uye vasina Flat Foot Posture. Int J Maererano neHurumende yeHurumende, 20(1). doi.org/10.3390/ijerph20010087

Schuitema, D., Greve, C., Postema, K., Dekker, R., & Hijmans, JM (2020). Kubudirira kweMechanical Kurapa kwePlantar Fasciitis: Ongororo Yakarongeka. J Sport Rehabil, 29(5), 657-674. doi.org/10.1123/jsr.2019-0036

Takagi, Y., Yamada, H., Ebara, H., Hayashi, H., Inatani, H., Toyooka, K., Mori, A., Kitano, Y., Nakanami, A., Kagechika, K., Yahata, T., & Tsuchiya, H. (2023). Decompression ye lumbar spinal stenosis pane intrathecal catheter yekuisa nzvimbo panguva ye intrathecal baclofen therapy: nyaya yenyaya. J Med Case Rep, 17(1), 239. doi.org/10.1186/s13256-023-03959-1

Wang, W., Liu, Y., Zhao, J., Jiao, R., & Liu, Z. (2019). Electroacupuncture versus manual acupuncture mukurapa plantar chitsitsinho kurwadziwa syndrome: kudzidza protocol kune inouya randomized controlled trial. BMJ Open, 9(4), e026147. doi.org/10.1136/bmjopen-2018-026147

Disclaimer

Mabhenefiti ekushandisa Electroacupuncture yeOsteoarthritis

Mabhenefiti ekushandisa Electroacupuncture yeOsteoarthritis

Vanhu vane osteoarthritis vanogona kuwana zororo ravanofanirwa kuburikidza ne electroacupuncture kudzoreredza kufamba kwebvi uye hudyu?

ziviso

Iyo yakaderera migumo inopa kufamba uye kugadzikana kumuviri, zvichibvumira vanhu kuti vafambe. Hudyu, kudzika kumashure, mabvi, uye tsoka chimwe nechimwe chine basa rekuita, uye kana nyaya dzinoshungurudza dzichitanga kukanganisa maumbirwo emusana, zvinogona kukonzera zviratidzo zvakawanda kubuda uye kukonzera marwadzo-senge zviratidzo. Uyezve, zvikonzero zvinosvibisa ndezvechisikigo kune majoini emakumbo ezasi sezvo vanhu vazhinji vanoita kudzokorora kutenderera kumitumbi yavo inotungamirira kukugadzirisa. Imwe yematambudziko anowanzo kuderera ayo anokanganisa mativi ezasi ndeye osteoarthritis, iyo inogona kuita kuti vanhu vazhinji vanzwe kusuwa. Chinyorwa chanhasi chinotarisa mabatiro anoita osteoarthritis kuzasi uye kuti marapiro akaita se electroacupuncture anoderedza kuzvimba zvine chekuita neosteoarthritis uye kudzoreredza ibvi uye kufamba kwehudyu. Isu tinotaura nevarapi vane hunyanzvi vanobatanidza ruzivo rwevarwere vedu kuti vanzwisise zviri nani kuti osteoarthritis inokanganisa sei mativi avo ezasi. Isu tinozivisawo uye kutungamira varwere kuti electroacupuncture therapy inogona kubatsira sei kuderedza kuzvimba kweosteoarthritis inobata mahudyu nemabvi. Tinokurudzira varwere vedu kuti vabvunze avo vanobatana navo vekurapa mibvunzo yakaoma uye yakakosha pamusoro pekudzikisa kufambira mberi kweosteoarthritis kuburikidza nekusavhiya kurapwa. Dr. Jimenez, DC, anosanganisira ruzivo urwu sebasa rezvidzidzo. Disclaimer.

Osteoarthritis Inobata The Lower Extremities

Wanga uchitarisana nekuoma mumabvi ako, mahudyu, uye kuderera shure mangwanani? Iwe unonzwa sekunge uri kuzununguka zvishoma kana uchifamba? Kana kuti iwe unofunga kupisa kupisa uye kuzvimba mumabvi ako? Kana vanhu vachinge vaona idzi marwadzo ekuzvimba mumajoini avo, imhaka yeosteoarthritis, chirwere chinodzikira chejoini chinokanganisa shwashwa pakati pemapfupa uye matishu akatenderedza majoini. Osteoarthritis is multifactorial, zvichireva kuti inogona kunge iri idiopathic kana yechipiri ichikanganiswa nemararamiro enhaka. (Bliddal, 2020) Nzvimbo dzinowanzoonekwa nevanhu vanosangana neosteoarthritis ndiyo yakaderera musana, ruoko, mahudyu, uye, kazhinji, mabvi. Zvimwe zvezvakakura zvezvakatipoteredza zvinokonzeresa kukura kweosteoarthritis zvinosanganisira:

  • kufutisa
  • zera
  • Kudzokorora
  • Nhoroondo yemhuri
  • Kukuvara

Kana vanhu vachibata neosteoarthritis, zvinhu zvezvakatipoteredza zvinogona kukonzera kuremerwa pamajoini, izvo zvinoguma nekumanikidza uye kuzvimba. (Nedunchezhiyan et al., 2022

 

 

Kana kuzvimba kwakabatana neosteoarthritis, zvinogona kukonzera majoini uye akatenderedza tsandanyama tishu kuzvimba uye kunzwa kupisa kune kubata. Panguva imwecheteyo, osteoarthritis ndeimwe yezvikonzero zvinotungamira zvekuremara izvo zvinogona kuve nyaya yemagariro nehupfumi kune vanhu vazhinji. (Yao et al., 2023) Izvi zvinodaro nekuti vanhu vazhinji vane osteoarthritis vane comorbidities iyo inosanganiswa nemhedzisiro yekuzvimba ma cytokines, izvo zvinogona kuita kuti vasaite muviri uye vashungurudzike. (Katz et al., 2021) Zvisinei, kune nzira dzakasiyana-siyana dzokuderedza kufambira mberi kweosteoarthritis uye kuderedza migumisiro yekuputika pamajoini. 

 

Electroacupuncture Kuderedza Kuzvimba Kwakabatana neOsteoarthritis

Kana zvasvika pakudzikisira kuzvimba kwakabatana neosteoarthritis, vanhu vazhinji vanotsvaga marapirwo ekuvhiya uye asiri ekuvhiya anogona kubatsira kuderedza kufambira mberi kwechirwere ichi chinodzikira. Vanhu vazhinji vanozoita aqua therapy kuti vabvise kumanikidzwa kubva pamajoini uye kugadzirisa kufamba kwavo. Panguva imwecheteyo, vamwe vanoshandisa spinal decompression kugadzira kudzvinyirira kwakashata panzvimbo yejoint. Nekudaro, vanhu vazhinji vakawana kuti electroacupuncture inogona kubatsira kuderedza kuzvimba mhedzisiro yeosteoarthritis. Electroacupuncture inosanganisa yemagetsi nerve stimulation uye acupuncture nenyanzvi dzakanyatsodzidziswa izvo zvinogona kubatsira kudzikisa kurwadziwa kwakanyanya mumajoini uye kupa kushanda. (Wu et al., 2020) Uyezve, sezvo osteoarthritis yakabatana nekuzvimba, electroacupuncture inogona kukurudzira kutenderera kweropa uye kugadzirisa kushushikana kwemhasuru pamajoini, nekuvandudza kufamba. (Zhang et al., 2023)

 

Electroacupuncture Kudzorera Mabvi & Hip Mobility

Electroacupuncture inogona kubatsira nekufamba kwehudyu nemabvi sezvo iyi isiri-yekuvhiya kurapwa inobatsira kusimudzira marwadzo uye muscular atrophy kubva kubiomechanical overloading, nokudaro kuvandudza cartilage viscoelasticity. (Shi et al., 2020) Izvi zvinobvumira majoini kuchengetedza kufamba muhudyu, mabvi, uye kuderera shure. Kana vanhu vachipfuura nekutevera kurapwa kweosteoporosis, vanogona kudzoreredza simba remhasuru yavo nekufamba kwenguva kuti vadzore kufamba kwavo uye kuderedza kufambira mberi kweosteoarthritis. (Xu et al., 2020) Nokuita kudaro, vanhu vakawanda vanogona kuwana zororo ravari kutsvaga ne electroacupuncture, iyo inogona kuvaita kuti vaite shanduko duku mumararamiro avo ezuva nezuva kuti vave nechokwadi chokuti vanogona kushanda zuva rose. 


Chiropractic Kuchengeta Kwegumbo Kusagadzikana- Vhidhiyo


References

Bliddal, H. (2020). [Tsanangudzo, pathology uye pathogenesis yeosteoarthritis]. Ugeskr Laeger, 182(42). www.ncbi.nlm.nih.gov/pubmed/33046193

Katz, JN, Arant, KR, & Loeser, RF (2021). Kuongororwa uye Kurapa kweHip uye Knee Osteoarthritis: Ongororo. JAMA, 325(6), 568-578. doi.org/10.1001/jama.2020.22171

Nedunchezhiyan, U., Varughese, I., Sun, AR, Wu, X., Crawford, R., & Prasadam, I. (2022). Kufutisa, Kuzvimba, uye Immune System muOsteoarthritis. Pamberi Immunol, 13, 907750. doi.org/10.3389/fimmu.2022.907750

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

Wu, SY, Lin, CH, Chang, NJ, Hu, WL, Hung, YC, Tsao, Y., & Kuo, CA (2020). Yakasanganiswa mhedzisiro yelaser acupuncture uye electroacupuncture mumabvi osteoarthritis varwere: A protocol ye randomized controlled trial. Mushonga (Baltimore), 99(12), e19541. doi.org/10.1097/MD.0000000000019541

Xu, H., Kang, B., Li, Y., Xie, J., Zuva, S., Zhong, S., Gao, C., Xu, X., Zhao, C., Qiu, G., & Xiao, L. (2020). Kushandisa electroacupuncture kuti udzore simba remhasuru kune varwere vane knee osteoarthritis mushure mekuzara kwemabvi arthroplasty: chirongwa chekudzidza chechipiri-mapofu, randomized, uye placebo-controlled controlled. miedzo, 21(1), 705. doi.org/10.1186/s13063-020-04601-x

Yao, Q., Wu, X., Tao, C., Gong, W., Chen, M., Qu, M., Zhong, Y., He, T., Chen, S., & Xiao, G. (2023). Osteoarthritis: pathogenic zviratidzo nzira uye zvinangwa zvekurapa. Signal Transduct Target Ther, 8(1), 56. doi.org/10.1038/s41392-023-01330-w

Zhang, W., Zhang, L., Yang, S., Wen, B., Chen, J., & Chang, J. (2023). Electroacupuncture inosimbisa mabvi osteoarthritis mumakonzo kuburikidza nekudzivisa NLRP3 inflammasome uye kuderedza pyroptosis. Mol Pain, 19, 17448069221147792. doi.org/10.1177/17448069221147792

Disclaimer

Spinal Decompression: Maitiro ekubvisa Hip Pain zviri nyore

Spinal Decompression: Maitiro ekubvisa Hip Pain zviri nyore

Vanhu vari kubata nemarwadzo ehudyu vanogona kuwana zororo ravari kutsvaga kubva kumusana decompression kuderedza marwadzo avo esciatica?

ziviso

Kana zvasvika kune vanhu vari kuita mafambiro emazuva ese, muviri unogona kunge uri munzvimbo dzinoshamisa pasina kurwadziwa kana kusagadzikana. Nokudaro, vanhu vanogona kumira kana kugara kwenguva yakareba uye kunzwa zvakanaka pavanenge vachiita mabasa akaoma. Zvisinei, sezvo muviri uchikura, mhasuru dzakapoteredzwa nemarunda anogona kupera simba uye akasimba, nepo majoini emusana nemadhisiki anotanga kumanikidzwa uye kubvaruka. Izvi zvinodaro nekuti vanhu vazhinji vanoita kudzokorora mafambiro pamiviri yavo izvo zvinokonzeresa marwadzo-sezviratidzo kumashure, muhudyu, mutsipa, uye magumo emuviri, zvichitungamira kune kutaurwa marwadzo munzvimbo dzakasiyana dzemuviri. Kana vanhu vachinzwa kurwadziwa kwemusculoskeletal mumiviri yavo, zvinogona kukonzera kuwanda kwengozi profiles izvo zvinogona kutadzisa munhu uye kuita kuti vasuwa. Uyezve, kana vanhu vachinzwa kurwadziwa kwemusculoskeletal mumiviri yavo, vazhinji vanotsvaga kurapwa kuti vaderedze marwadzo anotaurwa-sezviratidzo zvine chekuita nekurwadziwa kwemusculoskeletal. Nyaya yanhasi ichaongorora imwe mhando yemarwadzo emusculoskeletal pahudyu, kuti inogona sei kukonzera sciatica marwadzo-sematambudziko, uye kuti marapirwo akaita sedecompression anogona kuderedza sei marwadzo-semigumisiro yehudyu inowirirana ne sciatica. Isu tinotaura nevanopihwa vanorapa vanosimbisa ruzivo rwevarwere vedu kuti vape akawanda marapirwo ekubvisa marwadzo ehudyu ane chekuita nesciatica. Isu tinozivisawo uye tinotungamira varwere kuti decompression inogona kubatsira sei kuderedza marwadzo-sezviratidzo se sciatica uye kudzorera hudyu kufamba. Tinokurudzira varwere vedu kuti vabvunze avo vanobatana navo vezvokurapa mibvunzo yakaoma uye yakakosha pamusoro pemarwadzo-sezviratidzo zvavari kusangana nazvo kubva mukurwadziwa kwehudyu. Dr. Jimenez, DC, anobatanidza ruzivo urwu sebasa rezvidzidzo. Disclaimer.

 

Hip Pain Yakabatana neSciatica

Iwe unowanzo sangana nekuoma muzasi mako uye muhudyu mushure mekugara pasi kwenguva yakawandisa here? Zvakadini nekunzwa marwadzo anopenya achidzika kubva kuzasi kusvika kumakumbo ako? Kana kuti iwe unofunga kuti mhasuru dzako dzehudyu nechidya dzinova dzakasimba uye dzisina simba, izvo zviri kukanganisa kugadzikana kwako? Vanhu vazhinji vari kusangana nematambudziko aya-sekurwadziwa vari kurwadziwa nechiuno, uye inogona kuve nyaya kana ikasarapwa nekufamba kwenguva. Sezvo marwadzo ehudyu ari akajairika uye anoremadza mamiriro ezvinhu akaoma kuongorora, vanhu vazhinji vanowanzoratidza marwadzo emunharaunda mune imwe yenzvimbo nhatu dzeanatomic: anterior, posterior, uye lateral hip zvikamu. (Wilson naFurukawa, 2014) Apo vanhu vari kutarisana nemarwadzo ehudyu, vanozonzwawo marwadzo anotaurwa mumashure avo ezasi, izvo zvinoita kuti vave mukutambudzika uye kusuruvara. Panguva imwecheteyo, mafambiro akapusa sekugara kana kumira anogona kukanganisa tsandanyama nemarunda akatenderedza hudyu uye anogona kukuvadza. Izvi zvinogona kukonzera marwadzo ehudyu kuti atumirwe kubva kune lumbar spine uye musana nematambudziko, izvo zvino zvinokonzeresa musculoskeletal nyaya muzasi. (Lee et al., 2018

 

 

Saka, kurwadziwa kwehudyu kwaizobatanidzwa sei ne sciatica uye kukonzera marwadzo mumakumbo akawanda ezasi? Nzvimbo dzehudyu musculoskeletal system dzine mhasuru dzakawanda dzakatenderedza pelvic bone nzvimbo inogona kusimba uye isina simba, zvichikonzera kurwadziwa kwemusculoskeletal kubva kune intrapelvic uye gynecologic nyaya. (Chamberlain, 2021) Izvi zvinoreva kuti zvirwere zvemusculoskeletal zvakadai sepiriformis syndromes inosangana nemarwadzo ehudyu inogona kutungamirira kune sciatica. Iyo sciatic nerve inofamba ichidzika kubva munharaunda yelumbar uye mabheti uye kuseri kwegumbo. Kana munhu ari kutarisana ne sciatica uye ari kuenda kuna chiremba wavo wekutanga kuti arapwe marwadzo, vanachiremba vavo vachaongorora muviri kuti vaone kuti ndezvipi zvinokonzera marwadzo. Zvimwe zvezvinowanikwa zvakawanikwa panguva yekuongororwa kwemuviri zvaive zvinyoro uye palpation yehukuru sciatic notch uye kuberekana kwemarwadzo muhudyu. (Mwanakomana naLee, 2022) Izvi zvinokonzeresa zviratidzo zvakabatana zvinobatana ne sciatica uye kurwadziwa kwehudyu, kusanganisira:

  • Kunzva/kunzwa chiveve
  • Nyoro nyoro
  • Marwadzo agere kana kumira
  • Kusagadzikana

 


Ndiwo Motion Kiyi Yekuporeswa- Vhidhiyo


Spinal Decompression Kuderedza Hip Pain

Zvisinei, vanhu vakawanda vachawana mishonga isiri-yekuvhiya kubatsira kuderedza sciatica inobatanidza nemarwadzo ehudyu. Mishonga isiri-yekuvhiya inogadziridzwa kumarwadzo emunhu uye inodhura-inoshanda uku ari munyoro pamuzongoza. Spinal decompression inogona kubatsira kuderedza marwadzo ehudyu anoenderana nesciatica. Decompression pamuzongoza inobvumira kudhonza zvinyoro kutambanudza mhasuru dzisina kusimba pamwe nechepazasi kumashure uye muhudyu apo spinal discs iri kusangana nekumanikidza kwakashata. Kana munhu ari kutarisana nemarwadzo e-sciatica anosangana nekurwadziwa kwehudyu uye kuedza kuora mwoyo kwekutanga, vanopiwa rubatsiro rwakakodzera. (Crisp et al., 1955)

 

 

Pamusoro pezvo, vanhu vazhinji vanosanganisira decompression yekurwadziwa kwehudyu yavo vanogona kutanga kunzwa mhedzisiro yayo sezvo ichibatsira kuvandudza kuyerera kweropa kutenderera kumashure kusvika muhudyu kuti vatange kupora kwechisikigo. (Hua et al., 2019) Apo vanhu vanotanga kuisa decompression nokuda kwemarwadzo ehudyu, vanogona kusununguka sezvavanonzwa marwadzo avo ose uye kurwadziwa zvishoma nezvishoma kunopera sezvo kufamba uye kutenderera kunodzokera kumucheto wezasi.

 


References

Chamberlain, R. (2021). Hip Pain muVakuru: Kuongorora uye Kusiyanisa Kuongororwa. American Family Physician, 103(2), 81-89. www.ncbi.nlm.nih.gov/pubmed/33448767

www.aafp.org/pubs/afp/issues/2021/0115/p81.pdf

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

Hua, KC, Yang, XG, Feng, JT, Wang, F., Yang, L., Zhang, H., & Hu, YC (2019). Kubudirira uye kuchengetedzwa kweiyo core decompression kurapwa kwechikadzi musoro necrosis: kuongorora kwakarongeka uye meta-analysis. J Orthop Surg Res, 14(1), 306. doi.org/10.1186/s13018-019-1359-7

Lee, YJ, Kim, SH, Chung, SW, Lee, YK, & Koo, KH (2018). Zvikonzero zveChirwere Chisingaperi cheHip Pain Chisingaonekwi kana Kusaongororwa neVarapi Vekutanga muVarwere Vechidiki Vakwegura: Chidzidzo Chinotsanangura Chidzidzo. J Korean Med Sci, 33(52), e339. doi.org/10.3346/jkms.2018.33.e339

Mwanakomana, BC, & Lee, C. (2022). Piriformis Syndrome (Sciatic Nerve Entrapment) Inobatanidza neRudzi C Sciatic Nerve Variation: Mushumo Wezviitiko Zviviri uye Mabhuku Ongororo. Korean J Neurotrauma, 18(2), 434-443. doi.org/10.13004/kjnt.2022.18.e29

Wilson, JJ, & Furukawa, M. (2014). Kuongororwa kwemurwere ane kurwadziwa kwehudyu. American Family Physician, 89(1), 27-34. www.ncbi.nlm.nih.gov/pubmed/24444505

www.aafp.org/pubs/afp/issues/2014/0101/p27.pdf

 

Disclaimer

Mabhenefiti eAcupuncture yePelvic Pain Relief

Mabhenefiti eAcupuncture yePelvic Pain Relief

Kune vanhu vari kunzwa kurwadziwa kwepelvic, kubatanidza acupuncture kunogona kubatsira kuderedza uye kuderedza marwadzo ekudzokera shure?

ziviso

Mumusculoskeletal system, chikamu chepamusoro nechepazasi chemuviri chine mabasa ekubvumidza muenzi kuti afambe. Zvikamu zvakaderera zvemuviri zvinopa kugadzikana uye kuchengetedza kumira kwakakodzera, izvo zvinogona kubatsira misumbu yakapoteredza kuva yakasimba uye kudzivirira nhengo dzinokosha. Majoini eskeletal mumuviri anobatsira kuona kuti uremu hwemuviri wemunhu hwakagoverwa zvakaenzana. Kune musculoskeletal system, nzvimbo yepelvic muchikamu chezasi chemuviri inobatsira nekudzikamisa uye inopa yakajairika weti basa kumuviri. Nekudaro, kana zvakajairwa uye zvinoshungurudza zvinhu zvinotanga kukanganisa zvikamu zvepasi zvemuviri, zvinogona kutungamirira kumarwadzo-senyaya dzinogona kukonzera mamwe mavisceral anotaurwa marwadzo kuzasi kumashure, uye zvinogona kuita kuti vanhu vazhinji vafunge kuti vari kunzwa kurwadziwa kwepazasi. , inova imwe yezviratidzo zvinosangana nekurwadziwa kwepelvic. Kana vanhu vazhinji vachinzwa kurwadziwa kwepelvic kwakabatana nekurwadziwa kwemusana, vazhinji vanosarudza kutsvaga kurapwa kuti vaderedze marwadzo-sezviratidzo uye kudzoreredza kushanda kwemuviri wavo. Chinyorwa chanhasi chinotarisa kuti kurwadziwa kwepelvic kwakabatana sei nekurwadziwa kwemusana uye kuti marapirwo akaita seacupuncture anogona kubatsira sei kuderedza marwadzo epelvic ane chekuita nekurwadziwa kwemusana uye kupa zororo. Isu tinotaura nevarapi vane hunyanzvi vanosanganisa ruzivo rwevarwere vedu kuti vape marapirwo akasiyana siyana ekurerutsira marwadzo ekudzokera kumashure anoenderana nekurwadziwa kwepelvic. Isu tinozivisawo varwere kuti kurapa kusiri kwekuvhiya senge acupuncture kunogona kubatsira kuderedza mhedzisiro yekurwadziwa kwepelvic. Tinokurudzira varwere vedu kuti vabvunze mibvunzo yakaoma kune vatinosanganisirwa navo vezvokurapa nezvemarwadzo-sezviratidzo zvavari kusangana nazvo zvinoenderana nekurwadziwa kwepelvic izvo zviri kukonzerawo nyaya muzasi mavo. Dr. Alex Jimenez, D.C., anoshandisa ruzivo urwu sebasa rezvidzidzo. Disclaimer.

 

Marwadzo ePelvic Anobatanidzwa Sei NeKurwadza Kwekudzokera?

Wakambonzwa kurwadziwa kunorwadza kubva pakugara zvakanyanya izvo zviri kukonzera marwadzo muzasi mako kana nharaunda yepelvic? Iwe unonzwa kuoma munzvimbo yako yezasi uye yepelvic nekuda kwekutadza kumira? Kana kuti urikunzwa kudzvanya kwakasimba kwakatenderedza nzvimbo yako yepelvic? Kana vanhu vazhinji vari kubata nenyaya idzi dzakaita sekurwadziwa, zvine hukama nekurwadziwa kwepelvic. Iye zvino, kurwadziwa kwepelvic kunowanzo, kuremadza, kurwadziwa kunoramba kuripo kunobatanidza necomorbidities iyo yakawanda uye inowanzorwadza pakati. (Dydyk naGupta, 2023) Panguva imwecheteyo, kurwadziwa kwepelvic kunonetsa kuongorora nekuda kwekuve multifactorial uye kugovera midzi yakawanda yetsinga inopararira uye yakabatana nenharaunda yelumbar. Kusvika panguva ino, izvi zvinokonzeresa marwadzo anotaurwa kuzasi kumashure uye zvinoita kuti vanhu vazhinji vafunge kuti vari kurwadziwa nechepazasi kumashure apo, pachokwadi, vari kubata nekurwadziwa kwepelvic. Izvi zvinokonzerwa nekuti mhasuru dzepelvic dzikava kushaya simba, izvo zvinogona kukonzera kuti vanhu vazhinji vatange kusamira zvakanaka, zvichikonzera kurwadziwa kwemusana nekufamba kwenguva.

 

Uyezve, kana nzvimbo yepelinha yakarongedzerwa zvisizvo nekuda kwekudzokorora mafambiro anokonzera marwadzo ekudzokera shure, zvinogona kuita kuti mhasuru dzakapoteredzwa dziwedzere uye dzisununguke dzakapoteredza majoini e sacroiliac. (Mutaguchi et al., 2022) Kana izvi zvikaitika, mhasuru dzakapoteredza dzakakomberedza hudyu uye kuzasi kumashure dzinogona kupera simba, zvichiita kuti anterior pelvic tilt uye kukonzera kuchinja kune lumbopelvic nzvimbo. 

 

Sezvo nzvimbo ye lumbopelvic iri muzvikamu zvemuviri wepasi, inogona kukonzera kuchinjwa kwechimiro chemuviri chemuviri, zvichiita kuti marwadzo ekudzokera shure. Kana nhamba inowedzera yevanhu inobata nekuremara kwepelinha, vanozochengetedza nzvimbo yakamira vachidzivirira simba ravo repakati kuti rirege kufambira mberi nekushandisa mhasuru dzavo dzepelvic kubhadhara uremu hwavo. (Murata et al., 2023) Kana izvi zvikaitika, zvinoita kuti mhasuru dzepakati dzakatenderedza uye mhasuru dzekumusana dziwedzere, izvo zvinobva zvaita kuti mhasuru dzinowanikwa dzibudise simba rakawanda uye kuita mabasa ekutanga emhasuru. Izvi zvinokonzeresa weti uye tsandanyama nyaya dzinokonzeresa tomato-visceral inorwadza musculoskeletal system. Nekudaro, kune nzira dzakawanda dzekudzikisa marwadzo epelvic ane chekuita nekurwadziwa kwepashure uchidzoreredza basa repelvic uye kudzoreredza simba remhasuru kune yakatenderedza tsandanyama munharaunda yepelvic.

 


Ndiyo Motion Kiyi Kupora- Vhidhiyo

Wanga uchisangana nekuomarara kwetsandanyama pahudyu yako, kuzasi kumashure, kana nzvimbo yepelvic? Iwe unonzwa uine mashoma mashoma ekufamba mangwanani, chete kuti unzwe zviri nani muswere wese? Kana kuti urikusangana nenyaya dzedundira dzine hukama nekurwadziwa kwemusana? Zvizhinji zvezviitiko zvakadai sekurwadziwa zvine chekuita nekurwadziwa kwepelvic uye zvinogona kukonzera zvakajairika marwadzo ekumusana izvo zvinoita kuti vanhu vazhinji vavhingwe uye kugara vachirwadziwa. Sezvo kurwadziwa kwepelvic kuri multifactorial musculoskeletal disorder, inogona kusanganiswa ne comorbidities inogona kukonzera nyaya kune lumbar nzvimbo yemuzongoza uye inokanganisa kufamba kwemuviri. Nekudaro, kurapwa kwakawanda kunogona kuderedza mhedzisiro yekurwadziwa kwepelvic uye kudzoreredza kuderera kwekufamba kumuviri. Kana zvasvika pakutsvaga marapirwo, vanhu vazhinji vanozotsvaga marapiro asingadhure uye anogona kubatsira kuderedza marwadzo anotaurwa ane chekuita nekudzika kumashure uye kurwadziwa kwepelvic. Vhidhiyo iri pamusoro inoratidza kuti kurapa kusiri kwekuvhiya kunogona kubatsira sei kudzorera kufamba kune yakaderera.


Acupuncture YePelvic & Low Back Pain

Kana zvasvika pakurapwa kusiri kwekuvhiya, vanhu vazhinji vanotsvaga marapirwo anodhura. Kurapa senge chiropractic care, spinal decompression, uye massage therapy inogona kubatsira kuderedza kurwadza kwemusana, asi nekurwadziwa kwepelvic, vanhu vazhinji vanozotsvaga acupuncture. Acupuncture inzira yekurapa inoitwa nenyanzvi yakadzidziswa zvikuru iyo inoshandisa tsono dzakasimba asi dzakatetepa munzvimbo dzakatarwa dzemuviri. Saka, kune vanhu vanobata nekurwadziwa kwepelvic, acupuncture inogona kubatsira kudzorera kuenzana kwesimba rinosanganiswa nenhengo dzomukati dziri kukonzera marwadzo. (Yang et al., 2022) Acupuncture inogona kubatsira kudzoreredza simba kunharaunda yepelvic nekudzorera simba kumuviri uye kubatsira kuderedza kukanganiswa uye kusashanda zvakanaka. (Pan et al., 2023) Acupuncture inogona kuderedza marwadzo ekudzokera shure nekusarudza dzimwe pfungwa dzinokonzera dzinogona kukanganisa nzvimbo dziri pakati pehudyu uye kumashure kuti dzisunungure kutenderera kumashure kumashure. (Sudhakaran, 2021) Kana vanhu vazhinji vatanga kubatanidza acupuncture sechikamu cheurongwa hwavo hwekurapa, vanogona kuishandisa pamwe nemamwe marapirwo kuti vanzwe zviri nani nekuvandudza hutano hwavo.

 


References

Dydyk, A. M., & Gupta, N. (2023). Kurwara KwePelvic Kusingaperi. In StatPearls. www.ncbi.nlm.nih.gov/pubmed/32119472

Murata, S., Hashizume, H., Tsutsui, S., Oka, H., Teraguchi, M., Ishomoto, Y., Nagata, K., Takami, M., Iwasaki, H., Minamide, A., Nakagawa, Y., Tanaka, S., Yoshimura, N., Yoshida, M., & Yamada, H. (2023). Kubhadhara kwepelvic kunoenderana nekusagadzikana kwepelinha uye zvinhu zvine chekuita nemarwadzo kumashure muhuwandu hwevanhu: iyo Wakayama musana kudzidza. Sci Rep, 13(1), 11862. doi.org/10.1038/s41598-023-39044-2

Mutaguchi, M., Murayama, R., Takeishi, Y., Kawajiri, M., Yoshida, A., Nakamura, Y., Yoshizawa, T., & Yoshida, M. (2022). Ukama pakati pemarwadzo ekudzokera shure uye kushungurudzika urinary incontinence pamwedzi we3 mushure mekusununguka. Drug Discover Ther, 16(1), 23-29. doi.org/10.5582/ddt.2022.01015

Pan, J., Jin, S., Xie, Q., Wang, Y., Wu, Z., Zuva, J., Guo, T. P., & Zhang, D. (2023). Acupuncture yeChronic Prostatitis kana Chronic Pelvic Pain Syndrome: An Updated Systematic Ongororo uye Meta-Analysis. Pain Res Management, 2023, 7754876. doi.org/10.1155/2023/7754876

Sudhakaran, P. (2021). Acupuncture yeLow-Back Pain. Med Acupunct, 33(3), 219-225. doi.org/10.1089/acu.2020.1499

Yang, J., Wang, Y., Xu, J., Ou, Z., Yue, T., Mao, Z., Lin, Y., Wang, T., Shen, Z., & Dong, W. (2022). Acupuncture yepasi kumashure uye / kana kurwadziwa kwepelvic panguva yekuzvitakura: kuongororwa kwakarongeka uye meta-kuongororwa kwemiedzo yakarongeka. BMJ Open, 12(12), e056878. doi.org/10.1136/bmjopen-2021-056878

Disclaimer

Zvaunoda Kuziva Nezve Gluteus Minimus Muscle

Zvaunoda Kuziva Nezve Gluteus Minimus Muscle

Kune vanhu vane gluteus minimus kurwadziwa uye vasina chokwadi chekutangira kubata nazvo, chiremba wepanyama, chiropractor, kana general practitioner angabatsira kuongorora kurwadziwa kwepazasi uye kugadzira chirongwa chakakodzera chekurapa?

 

Zvaunoda Kuziva Nezve Gluteus Minimus Muscle

Gluteus Minimus Muscles

Iyo gluteus minimus ndiyo mhasuru diki pane gluteal tsandanyama. Yakasanganiswa ne gluteus maximus uye gluteus medius, mhasuru idzi dzinogadzira glutes. Iyo glutes inobatsira kugadzira matako chimiro, kudzikamisa mahudyu, kutenderedza makumbo, uye kusimudza zvidya. Iyo gluteus minimus uye medius inonyatso tsigira kugona kwe gluteus maximus kusimudza gumbo parutivi uye kutenderedza chidya mukati. (ScienceDirect. 2011)

Anatomy

  • The gluteus minimus tsandanyama vane triangular uye vanorara pasi pe gluteus medius pedyo nema rotator emajoini ehudyu. Mamhasuru anotanga munzvimbo yakaderera ilium, nzvimbo yepamusoro uye yakakura yepfupa rehudyu rinogadzira pelvis uye rinonamira kune femur/chidya bhonzo.
  • Mafiibhi ekumusoro kwemhasuru akakora uye akatsikirira, ukuwo shinda dzezasi dzakati sandarara uye dzakapararira.
  • Iyo yepamusoro-soro tsinga uye tsinga dzeropa dzinoparadzanisa gluteus minimus uye medius.
  • The gluteus medius tsandanyama tanga panzvimbo yepamusoro ilium, iyo inovhara gluteus minimus muscle zvachose. Nzvimbo ye gluteus minimus muscles inovhara sciatic notch kana nzvimbo iri muchiuno inogara piriformis muscle, yepamusoro gluteal vein, uye yepamusoro-soro arteri, iyo inopa humwe huwandu hwekudzivirira.

basa

Kufamba kunoenderana nenzvimbo yefemur. Basa re gluteus minimus muscle nderokuti:

  1. Flex
  2. Shanduka
  3. Simbisa
  • Kana chidya chawedzerwa, chinobatsira kubvuta kana kudzura gumbo kure nemuviri.
  • Apo mapfupa ehudyu akashandurwa, gluteus minimus inotenderera chidya mukati nerubatsiro rwe gluteus medius.
  • Mafambiro acho anoitwa nerutsigiro rwetsandanyama fibers, dzinoita chibvumirano chekufambisa chidya kumativi ose. (ScienceDirect. 2011)
  • Iyo gluteus minimus uye medius zvakare inodzikamisa chiuno nechiuno panguva yekufamba uye kana uchizorora.

Associated Conditions

Imwe yeanonyanya kukuvara ndeyekupfeka tsandanyama uye kubvaruka, izvo zvinogona kukonzera marwadzo pamusoro nekutenderedza trochanter yakakura. Izvi zvinozivikanwa se yakakura trochanteric pain syndrome kana GTPS, mamiriro ezvinhu anowanzokonzerwa ne gluteus medius kana minimus tendinopathy, iyo inogona kusanganisira kuputika kwebursae yakapoteredza. (Diane Reid. 2016) Nokuda kwe gluteus minimus kubvarura, marwadzo / manzwiro achanzwika kunze kwehudyu, kunyanya pakukunguruka kana kushandisa uremu padivi rakakanganiswa. Kusvimha misodzi kunogona kuitika kamwe kamwe pasina chimwe chiitiko chinoita kuti kubvaruka kuitike padivi pekushandiswa kwakajairwa uye kushushikana pamusumbu. Zviitwa zvemuviri zvakaita sekufamba zvinogona kurwadza.

Rehabilitation

Kurapa kunoenderana nekuoma kwemamiriro acho. Kazhinji, kuzorora, ice, uye-over-the-counter mishonga inogona kubatsira kuderedza kuzvimba uye kurwadziwa zviratidzo. Kune zviratidzo zvinorwadza zvisingadzikire, zvinokurudzirwa kuona mupi wehutano anogona kumhanyisa MRI kana X-ray kuti aone mamiriro etsandanyama uye abvise zvimwe zvinokonzeresa kurwadziwa. Murapi wezvehutano achaendesa murwere kune a kurapa kwechikwata timu iyo inogona kuongorora simba re gluteus minimus uye kupa runyoro rwekudzidzira uye kutambanudza kubatsira kugadzirisa musuru paunenge uchigadzirisa mhasuru dzakapoteredzwa. (SportsRec. 2017) Zvichienderana nehuwandu hwemarwadzo, dzimwe nguva mupi wehutano achanyora jekiseni re cortisone kune gluteus minimus muscle pamwe chete nekurapa kwepanyama. Izvi zvichabatsira kuderedza marwadzo kuitira kuti kurovedza muviri kwekurapa kuitwe zvakanaka, zvichibvumira iyo gluteus maximus tsandanyama kupora nemazvo uye kusimbisa. (Julie M. Labrosse et al., 2010)


Sayenzi yeMotion Chiropractic Care


References

ScienceDirect. (2011). Gluteus minimus muscle.

Reid D. (2016). Kutungamirirwa kwehukuru hwetrochanteric pain syndrome: kuongorora mabhuku akarongeka. Journal of orthopaedics, 13 (1), 15-28. doi.org/10.1016/j.jor.2015.12.006

SportsRec. (2017). Physical therapy maekisesaizi eiyo gluteus minimus.

Labrosse, JM, Cardinal, E., Leduc, BE, Duranceau, J., Rémillard, J., Bureau, NJ, Belblidia, A., & Brassard, P. (2010). Kubudirira kweiyo ultrasound-inotungamirwa corticosteroid jekiseni pakurapa gluteus medius tendinopathy. AJR. Magazini yeAmerica ye roentgenology, 194 (1), 202-206. doi.org/10.2214/AJR.08.1215