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 , Neuropathy
Kune vanhu vari kunzwa kurwadziwa kwepelvic, inogona kunge iri kusagadzikana kwepudendal nerve inozivikanwa se pudendal neuropathy kana neuralgia inotungamirira kumarwadzo asingagumi. Mamiriro acho anogona kukonzerwa nepudendal nerve entrapment, uko nerve inomanikidzwa kana kukuvadzwa. Kuziva zviratidzo kungabatsira here varapi vehutano kunyatsoongorora mamiriro acho uye kugadzira chirongwa chekurapa chinoshanda?
Pudendal Neuropathy
Iyo pudendal nerve ndiyo tsinga huru inoshandira perineum, iyo inzvimbo iri pakati pe anus ne genitalia - scrotum muvarume uye vulva muvakadzi. Iyo pudendal nerve inomhanya nepakati pe gluteus tsandanyama / matako uye ichipinda mu perineum. Inotakura ruzivo rwekunzwa kubva kune ekunze genitalia uye ganda rakatenderedza anus uye perineum uye inotumira mota / mafambiro masaini kune akasiyana mhasuru dzepelvic. (Origoni, M. et al., 2014 ) Pudendal neuralgia, inonziwo pudendal neuropathy, chirwere chepudendal nerve chinogona kutungamirira kumarwadzo asingagumi epelvic.
Zvinokonzera
Kurwara kwepelvic kusingagumi kubva pudendal neuropathy kunogona kukonzerwa nechero ipi inotevera (Kaur J. et al., 2024 )
Kunyanya kugara panzvimbo dzakaoma, zvigaro, zvigaro zvebhasikoro, nezvimwewo. Vatyairi vemabhasikoro vanowanzoita pudendal nerve entrapment.
Trauma kumagaro kana pelvis.
Kuberekwa.
Diabetes neuropathy.
Maumbirwo emapfupa anosundidzira tsinga dzepudendal.
Kukobvura kwemarunda akapoteredza pudendal nerve.
zviratidzo
Pudendal nerve pain inogona kurondedzerwa sekubaya, kupwanya, kupisa, kusanzwa, kana mapini netsono uye inogona kupa (Kaur J. et al., 2024 )
Mu perineum.
Munzvimbo yekumashure.
Muvarume, kurwadziwa muscrotum kana peni.
Muvakadzi, kurwadziwa mu labia kana vulva.
Panguva yebonde.
Pakuita weti.
Panguva yekufamba ura.
Pakugara nekuenda mushure mekusimuka.
Nemhaka yokuti zviratidzo zvinowanzooma kusiyanisa, pudendal neuropathy inogona kuoma kusiyanisa kubva kune mamwe marudzi ekurwadziwa kwepelvic kusingaperi.
Cyclist's Syndrome
Kugara kwenguva refu pachigaro chebhasikoro kunogona kukonzera pelvic nerve compression, izvo zvinogona kutungamirira kumarwadzo asingagumi epelvic. Kuwanda kwepudendal neuropathy (kurwadza kwepelvic kusingaperi kunokonzerwa nekupinda kana kumanikidzika kwepudendal nerve) inowanzonzi Cyclist's Syndrome. Kugara pane zvimwe zvigaro zvebhasikoro kwenguva refu kunoisa dzvinyiriro huru pane pudendal nerve. Kudzvinyirira kunogona kukonzera kuzvimba kwakatenderedza tsinga, izvo zvinokonzeresa marwadzo uye, nekufamba kwenguva, zvinogona kutungamirira kune nerve trauma. Kudzvinyirirwa kwetsinga uye kuzvimba kunogona kukonzera marwadzo anotsanangurwa sekupisa, kuruma, kana mapini netsono. (Durante, JA, uye Macintyre, IG 2010 ) Kune vanhu vane pudendal neuropathy inokonzerwa nekuchovha bhasikoro, zviratidzo zvinogona kuoneka mushure mekuchovha bhasikoro kwenguva refu uye dzimwe nguva mwedzi kana makore gare gare.
Cyclist's Syndrome Prevention
Ongororo yezvidzidzo yakapa mazano anotevera ekudzivirira Cyclist's Syndrome (Chiaramonte, R., Pavone, P., Vecchio, M. 2021 )
Zorora
Tora kuzorora zvishoma 20-30 masekonzi mushure memaminitsi makumi maviri ega ega ekutasva.
Paunenge uchikwira, shandura nzvimbo kakawanda.
Simuka kutsika nguva nenguva.
Tora nguva yekuzorora pakati pezvikamu zvekutasva uye mijaho yekuzorora uye kuzorodza pelvic nerve. Kuzorora kwemazuva 3-10 kunogona kubatsira mukupora. (Durante, JA, uye Macintyre, IG 2010 )
Kana zviratidzo zvekurwadziwa kwepelvic zvisati zvatanga kukura, zorora uye ona mutapi wehutano kana nyanzvi kuti aongororwe.
chigaro
Shandisa chigaro chakapfava, chakafara nemhuno pfupi.
Iva nenzvimbo yechigaro kana kurerekera kumberi zvishoma.
Zvigaro zvine maburi ekucheka zvinoisa zvakanyanya kumanikidza pane perineum.
Kana chiveve kana kurwadziwa kuripo, edza chigaro chisina maburi.
Bike Fitting
Rongedza hurefu hwechigaro kuitira kuti ibvi rakakotama zvishoma pazasi pedeal stroke.
Huremu hwemuviri hunofanira kugara pamapfupa akagara/ischial tuberosities.
Kuchengeta mubato kureba pasi pechigaro kunogona kuderedza kudzvanywa.
Iyo Triathlon bhasikoro yakanyanyisa-mberi chinzvimbo inofanira kudzivirirwa.
Kuwedzera kurongeka kuri nani.
Mabhasikoro emakomo akave akabatanidzwa nehuwandu hwengozi ye erectile dysfunction kupfuura mabhasikoro emugwagwa.
zvikabudura
Pfeka zvikabudura zvebhasikoro.
Mishonga
Mutariri wehutano anogona kushandisa musanganiswa wekurapa.
Iyo neuropathy inogona kurapwa nekuzorora kana chikonzero chakanyanya kugara kana kuchovha bhasikoro.
Pelvic floor physical therapy inogona kubatsira kuzorora uye kurebesa tsandanyama.Zvirongwa zvekuvandudza muviri, kusanganisira kutambanudza uye kurovedza muviri kwakanangwa, zvinogona kusunungura tsinga.
Chiropractic kugadzirisa kunogona kugadzirisa musana uye pelvis.
Iyo inoshanda yekuburitsa tekinoroji / ART inosanganisira kushandisa kumanikidza kune tsandanyama munzvimbo iyi uchitambanudza uye uchisimbisa. (Chiaramonte, R., Pavone, P., Vecchio, M. 2021 )
Nerve blocks inogona kubatsira kubvisa marwadzo anokonzerwa netsinga entrapment. (Kaur J. et al., 2024 )
Zvimwe zvinozorodza tsandanyama, antidepressants, uye anticonvulsants zvinogona kurairwa, dzimwe nguva pamwe chete.
Kuvhiyiwa kwetsinga kunogona kukurudzirwa kana mishonga yose inochengetedza yakapera. (Durante, JA, uye Macintyre, IG 2010 )
Injury Medical Chiropractic uye Functional Medicine Clinic zvirongwa zvekutarisira uye masevhisi ekiriniki ane hunyanzvi uye akatarisana nekukuvara uye kudzoreredza kwakazara maitiro. Nzvimbo dzedu dzekudzidzira dzinosanganisira Wellness uye kudya kunovaka muviri, Kurwara Kusingaperi, Kukuvara Kwemunhu, Auto Accident Care, Kukuvara Kwebasa, Kukuvara Kwemusana, Kurwadziwa Kwepashure, Kurwadziwa Kwemutsipa, Migraine Headaches, Kukuvara Kwemitambo, Yakaoma sciatica, Scoliosis, Complex Herniated Discs, Fibromyalgia, Chronic. Marwadzo, Kukuvara Kwakaoma, Stress Management, uye Functional Medicine Kurapa. Kana munhu wacho achida kumwe kurapwa, achaendeswa kukiriniki kana chiremba anonyatsokodzera mamiriro avo ezvinhu, sezvo Dr. Jimenez akabatana nevanovhiya vepamusoro, nyanzvi dzemakiriniki, vatsvakurudzi vezvokurapa, varapi, vadzidzisi, uye premiere rehabilitation providers.
Kubata uye Sciatica
VIDEO
References
Origoni, M., Leone Roberti Maggiore, U., Salvatore, S., & Candiani, M. (2014). Neurobiological nzira dzekurwadziwa kwepelvic. BioMed tsvagiridzo yenyika, 2014, 903848. doi.org/10.1155/2014/903848
Kaur, J., Leslie, SW, & Singh, P. (2024). Pudendal Nerve Entrapment Syndrome. MuStatPearls. www.ncbi.nlm.nih.gov/pubmed/31334992
Durante, JA, & Macintyre, IG (2010). Pudendal nerve entrapment mune Ironman mutambi: nyaya yenyaya. The Journal of the Canadian Chiropractic Association, 54 (4), 276-281.
Chiaramonte, R., Pavone, P., & Vecchio, M. (2021). Kuongororwa, Kugadzirisa uye Kudzivirira Matanho ePudendal Neuropathy muCyclists, A Systematic Review. Nyaya yekushanda morphology uye kinesiology, 6 (2), 42. doi.org/10.3390/jfmk6020042
by Dr Alex Jimenez Hip Pain & Dambudziko , Injury Care
Kuziva nzira dzekurapa dzehudyu yakatsemuka kunobatsira vanhu kukurumidza kudzoreredza uye kupora?
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
VIDEO
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/
by Dr Alex Jimenez Hip Pain & Dambudziko , Pasi Pasi Pain
Kune vanhu vari kusangana nesacroiliac joint/SIJ kusagadzikana uye kurwadziwa, kushandisa kinesiology tepi kunogona kubatsira kuunza zororo uye kugadzirisa zviratidzo?
Kinesiology Tape For Sacroiliac Joint Pain
Chirwere chepasi chemusana chinowanzoitika panguva yekuzvitakura. Marwadzo acho anowanzo kune rimwe kana mativi ese ekumusana, pamusoro pemagaro, anouya uye anoenda uye anogona kudzikisira kugona kukotama, kugara, uye kuita zvakasiyana siyana zvemuviri. (Moayad Al-Subahi et al., 2017 ) Therapeutic tepi inopa rubatsiro paunenge uchibvumira kufamba uye inogona kubatsira kubata nekugadzirisa sacroiliac joint / SIJ kurwadziwa ne:
Kuderera kwetsandanyama.
Kufambisa basa retsandanyama.
Kuwedzera kutenderera kweropa kune uye kutenderedza nzvimbo yekurwadziwa.
Kuderera kwemhasuru trigger points.
Mechanism
Zvimwe zvidzidzo zvakawana kuti kubata iyo SI yakabatana ine zvikomborero zvinosanganisira:
Imwe dzidziso inobatsira kusimudza uye kubata matishu akafukidzira kubva pamubatanidzwa weSI, izvo zvinobatsira kuderedza kumanikidza kwakaitenderedza.
Imwe dzidziso ndeyokuti kusimudza matishu kunobatsira kugadzira kudzvanywa kwakasiyana pasi pe tepi, sekunge kusiri-kuvhiya decompression, zvichibvumira kuwedzera kutenderera kune tishu dzakatenderedza sacroiliac joint.
Izvi zvinofashamira nzvimbo neropa uye zvinovaka muviri, zvichigadzira nzvimbo yakakwana yekuporesa.
kunyoresa
Sacroiliac joint kurudyi nekuruboshwe mativi inobatanidza pelvis kune sacrum kana kuti yakaderera chikamu musana. Kuti uise tepi ye kinesiology nenzira kwayo, tsvaga chikamu chakaderera cheshure mukati menzvimbo yepelvic. (Francisco Selva et al., 2019 ) Kumbira shamwari kana nhengo yemhuri kuti ikubatsire kana usingakwanisi kusvika kwaunogara.
Cheka mitsetse mitatu ye tepi, imwe neimwe 4 kusvika ku6 inches kureba.
Gara pachigaro wokotamisa muviri zvishoma mberi.
Kana mumwe munhu ari kubatsira, iwe unogona kumira uye zvishoma kukotama mberi.
Bvisa mutsara wekusimudza pakati uye tambanudza tepi kuti uise pachena masendimita akawanda, uchisiya migumo yakavharwa.
Isa tepi yakafumurwa pakona pamusoro peiyo SI yakabatana, sekugadzira mutsara wekutanga weX, pamusoro pemagaro, nekutambanudza kwakazara patepi.
Dhonza zvimedu zvekusimudza kubva kumagumo uye uzvibatanidze pasina kutambanudza.
Dzokorora matanho ekushandisa nekamwe kechipiri, kunamatira pa45-degree angle kune yekutanga tambo, uchiita X pamusoro pejoint ye sacroiliac.
Dzokorora izvi netambo yekupedzisira yakachinjika kuyambuka X yakagadzirwa kubva pazvidimbu zviviri zvekutanga.
Panofanira kunge paine tepi pateni yechimiro chenyeredzi pamusoro pejoint ye sacroiliac.
Kinesiology tepi inogona kugara pamusoro pejoint sacroiliac kwemazuva matatu kusvika mashanu.
Tarisa zviratidzo zvekushatirwa zvakatenderedza tepi.
Bvisa tepi kana ganda rikatsamwa, uye bvunza mutarisiri wako wekutanga wehutano, murapi wepanyama, kana chiropractor kune dzimwe nzira dzekurapa.
Vamwe vanhu vane mamiriro chaiwo havafanire kushandisa tepi uye kuwana simbiso yekuti haina njodzi.
Vanhu vane kurwadziwa kwakanyanya kwesacroiliac uko kuzvitonga kusiri kushanda vanofanirwa kuona mupi wehutano, murapi wepanyama, uye kana chiropractor kuti aongororwe uye kudzidza maitiro ekurapa uye. kurapa kubatsira kugadzirisa mamiriro acho.
Sciatica Panguva Yepamuviri
VIDEO
References
Al-Subahi, M., Alayat, M., Alshehri, MA, Helal, O., Alhasan, H., Alalawi, A., Takrouni, A., & Alfaqeh, A. (2017). Kubudirira kwe physiotherapy kupindira kwe sacroiliac joint dysfunction: kuongorora kwakarongeka. Nyaya yePhysical Therapy Sayenzi, 29 (9), 1689-1694. doi.org/10.1589/jpts.29.1689
Do-Yun Shin naJu-Young Heo. (2017). Mhedzisiro yeKinesiotaping Inoshandiswa paErector Spinae uye Sacroiliac Joint paLumbar Flexibility. The Journal of Korean Physical Therapy, 307-315. doi.org/https://doi.org/10.18857/jkpt.2017.29.6.307
Selva, F., Pardo, A., Aguado, X., Montava, I., Gil-Santos, L., & Barrios, C. (2019). Chidzidzo chekuberekazve kwe kinesiology tepi application: ongororo, kuvimbika uye chokwadi. BMC musculoskeletal kusagadzikana, 20 (1), 153. doi.org/10.1186/s12891-019-2533-0
by Dr Alex Jimenez Chiropractic , chisingaperi Pain , Foot Orthotics , Hip Pain & Dambudziko , Mishonga , Viscerosomatic Reflex
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
VIDEO
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
by Dr Alex Jimenez chisingaperi Pain , Electroacupuncture Therapy , Hip Pain & Dambudziko , Mishonga , Viscerosomatic Reflex
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
VIDEO
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
by Dr Alex Jimenez Chiropractic , chisingaperi Pain , Hip Pain & Dambudziko , Sciatica , Sciatica Nerve Pain , Spinal Decompression Treatments , Mishonga , Viscerosomatic Reflex
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
VIDEO
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
by Dr Alex Jimenez Kugadzirira Therap , utano , Hip Pain & Dambudziko , Mishonga , Viscerosomatic Reflex
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
VIDEO
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
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