Sciatica
Back Clinic Sciatica Chiropractic Team. Dr. Alex Jimenez akaronga zvinyorwa zvakasiyana-siyana zvezvinyorwa zvakabatanidzwa ne sciatica, zvinowanzoonekwa uye zvinowanzotaurwa nezvezviratidzo zvinobata ruzhinji rwevanhu. Sciatica kurwadziwa kunogona kusiyana zvakanyanya. Inogona kunzwa senge kugwinha nyoro, kurwadza kwakadzika, kana kunzwa kupisa. Mune zvimwe zviitiko, kurwadziwa kwakanyanya zvokuti munhu haakwanisi kufamba. Marwadzo anowanzoitika kune rumwe rutivi.
Sciatica inoitika kana paine kumanikidzwa kana kukuvadzwa kune sciatic nerve. Iyi tsinga inotangira kuzasi kumashure uye ichidzika kuseri kwegumbo rega rega sezvo ichidzora mhasuru dzekuseri kwebvi negumbo rezasi. Inopawo kunzwa kuseri kwehudyu, chikamu chegumbo rezasi, uye pasi petsoka. Dr. Jimenez anotsanangura kuti sciatica uye zviratidzo zvayo zvinogona sei kusunungurwa kuburikidza nekushandiswa kwechiropractic kurapwa. Kuti uwane rumwe ruzivo, ndapota inzwa wakasununguka kuti utaure nesu pa (915) 850-0900 kana mameseji kufonera Dr. Jimenez pachezvangu pa (915) 540-8444.
by Dr Alex Jimenez Nerve Injury , Sciatica
Kana sciatica kana mamwe marwadzo etsinga anouya, kudzidza kusiyanisa pakati pemarwadzo etsinga nemhando dzakasiyana dzemarwadzo kubatsira vanhu kuziva kana musana wetsinga midzi inotsamwiswa kana kumanikidzwa kana mamwe matambudziko akakomba anoda kurapwa?
Spinal Nerve Roots uye Dermatomes
Mamiriro emusana akadai semadhisiki e-herniated uye stenosis anogona kutungamirira kumarwadzo anopenya anofamba pasi ruoko rumwe kana gumbo. Zvimwe zviratidzo zvinosanganisira kupera simba, chiveve, uye/kana kupfura kana kupisa kunzwa kwemagetsi. Izwi rekurapa repinched nerve zviratidzo ndeye radiculopathy (National Institutes of Health: National Institute of Neurological Disorders uye Stroke. 2020 ) Dermatomes inogona kukonzeresa kutsamwiswa mumusana, uko midzi yetsinga inokonzera zviratidzo kumashure nemakumbo.
Anatomy
Muzongoza une zvikamu makumi matatu nerimwe.
Chikamu chega chega chine nerve midzi kurudyi nekuruboshwe iyo inopa mota uye seya mabasa kumakumbo.
Matavi epamberi uye kumashure anotaurirana anobatana kuti aumbe tsinga dzemuzongoza dzinobuda mugero re vertebral.
Iwo 31 musana zvikamu zvinoguma 31 musana tsinga.
Imwe neimwe inotumira sensory nerve yekupinda kubva kune chaiyo ganda dunhu kudivi iro uye nzvimbo yemuviri.
Nzvimbo idzi dzinonzi dermatomes.
Kunze kweyekutanga cervical spinal nerve, dermatomes iripo kune yega yega musana.
Mitsipa yemusana uye dermatomes yakabatana nayo inoumba network mumuviri wese.
Dermatomes Chinangwa
Dermatomes inzvimbo yemuviri / yeganda ine yekunzwa yekupinza inopihwa kune yega musana tsinga. Imwe neimwe tsinga ine dermatome yakabatana, uye matavi akasiyana-siyana anopa dermatome imwe neimwe kubva kune imwechete nerve mudzi. Dermatomes inzira dzekuti ruzivo rwesensational muganda rinoendesa masaini kuenda nekubva kupakati tsinga system. Manzwiro anonzwa mumuviri, senge kudzvanywa uye tembiricha, anoendeswa kune yepakati tsinga system. Kana musana wetsinga midzi inomanikidzwa kana kutsamwiswa, kazhinji nekuti inosangana nechimwe chimiro, inoguma neradiculopathy. (National Institutes of Health: National Institute of Neurological Disorders uye Stroke. 2020 ).
Radiculopathy
Radiculopathy inotsanangura zviratidzo zvinokonzerwa nepinched nerve padyo nemuzongoza. Zviratidzo uye manzwiro zvinoenderana nekuti tsinga yakapinirwa kupi uye nehukuru hwekumanikidza.
Cervical
Ichi chirwere chekurwadziwa uye / kana sensorimotor kushomeka kana tsinga midzi mumutsipa yakamanikidzwa.
Inowanzo ratidza kurwadziwa kunodzika neruoko rumwe.
Vanhu vanogona zvakare kunzwa kunzwa kwemagetsi semapini netsono, kuvhunduka, uye kunzwa kupisa, pamwe nezviratidzo zvemota senge kushaya simba uye chiveve.
Lumbar
Iyi radiculopathy inokonzerwa nekumanikidzwa, kuzvimba, kana kukuvara kumusana wetsinga muzasi kumashure.
Manzwiro ekurwadziwa, kusanzwa, kurira, magetsi kana kupisa manzwiro, uye zviratidzo zvemotokari sekushaya simba kunofamba negumbo rimwe zvakajairika.
kuongorora chirwere
Chikamu cheradiculopathy chekuongorora chemuviri chiri kuyedza iyo dermatome yekunzwa. Murapi achashandisa bvunzo dzemanyorero kuti aone nhanho yemuzongoza kubva kunobva zviratidzo. Kuongororwa kwemaoko kunowanzo kuperekedzwa nekuongorora kufungidzira bvunzo seMRI, iyo inogona kuratidza kusagadzikana mumusana wetsinga midzi. Kuongororwa kwakakwana kwemuviri kuchaona kana musana wetsinga midzi ndiko kunobva zviratidzo.
Kurapa Zvikonzero Zvikuru
Zvirwere zvakawanda zvemusana zvinogona kurapwa nemishonga inochengetedza kuti ipe rubatsiro rwekurwadziwa. Kune herniated disk, semuenzaniso, vanhu vanogona kukurudzirwa kuzorora uye kutora nonsteroidal anti-inflammatory medication. Acupuncture, kurapa kwepanyama, chiropractic, kwete-kuvhiya traction, kana decompression therapies inogonawo kunyorerwa. Nekurwadziwa kwakanyanya, vanhu vanogona kupihwa jekiseni re epidural steroid iro rinogona kupa zororo rekurwadziwa nekuderedza kuzvimba. (American Academy of Orthopedic Surgeons: OrthoInfo. 2022 ) Kune spinal stenosis, mupi anogona kutanga atarisa pakurapa kwemuviri kuti avandudze kusimba kwese, kusimbisa madumbu uye kumashure mamhasuru, uye kuchengetedza kufamba mumuzongoza. Mishonga inobvisa marwadzo, kusanganisira NSAIDs uye majekiseni e corticosteroid, inogona kuderedza kuzvimba uye kubvisa marwadzo. (American College yeRheumatology. 2023 ) Varapi vepanyama vanopa marapirwo akasiyana siyana ekudzikisa zviratidzo, zvinosanganisira manyore uye mechanical decompression uye traction. Kuvhiya kunogona kukurudzirwa kune zviitiko zve radiculopathy iyo isingapinduri kune kurapa kwekuchengetedza.
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 & Nutrition, Chronic Pain, Personal Injury, Auto Accident Care, Work Injury, Back Injury, Low Back Pain, Neck Pain, Migraine Headaches, Sports Injuries, Severe Sciatica, Scoliosis, Complex Herniated Discs, Fibromyalgia, Chronic Marwadzo, Kukuvara Kwakaoma, Stress Management, Functional Medicine Kurapa, uye in-scope care protocol. Isu tinotarisa kudzoreredza mabasa emuviri akajairwa mushure mekukuvadzwa uye kukuvara kwematishu akapfava tichishandisa Specialized Chiropractic Protocols, Wellness Programs, Functional and integrative Nutrition, Agility, uye mobility Fitness Training, uye Rehabilitation Systems kwemazera ose. Kana munhu wacho achida kumwe kurapwa, anozoendeswa kukiriniki kana chiremba anonyatsokodzera mamiriro avo. Dr. Jimenez akabatana nevarapi vepamusoro, nyanzvi dzemakiriniki, vatsvakurudzi vezvokurapa, varapi, vadzidzisi, uye premiere rehabilitation providers kuti vauye neEl Paso, mishonga yepamusoro yekiriniki, kunharaunda yedu.
Dzorera Kufamba Kwako: Chiropractic Care For Sciatica Recovery
VIDEO
References
National Institutes of Health: National Institute of Neurological Disorders uye Stroke. (2020). Low back pain fact sheet. Zvakatorwa kubva www.ninds.nih.gov/sites/default/files/migrate-documents/low_back_pain_20-ns-5161_march_2020_508c.pdf
American Academy of Orthopedic Surgeons: OrthoInfo. (2022). Herniated disk muzasi kumashure. orthoinfo.aaos.org/en/diseases-conditions/herniated-disk-in-the-lower-back/
American College yeRheumatology. (2023). Spinal stenosis. rheumatology.org/patients/spinal-stenosis
by Dr Alex Jimenez Sciatica , Spinal Decompression Treatments
Kune vanhu vari kusangana kana kubata marwadzo ekudzokera shure uye / kana sciatica, lumbar traction therapy inogona kubatsira kupa zororo risingaperi?
Lumbar Kudhonza
Lumbar traction therapy yemarwadzo ekumusana uye sciatica inogona kuva nzira yekurapa kubatsira kudzoreredza kufamba uye kushanduka uye kutsigira zvakachengeteka kudzoka kwemunhu kune imwe nhanho yebasa. Inowanzobatanidzwa nechinangwa chekurapa kurovedza muviri. (Yu-Hsuan Cheng, et al., 2020 ) Iyo nzira inotambanudza nzvimbo pakati pe vertebrae muzasi musana, kubvisa marwadzo ekumusana.
Lumbar kana yakaderera kumashure traction inobatsira kuparadzanisa nzvimbo pakati pe vertebrae.
Kuparadzanisa mapfupa kunodzoreredza kutenderera uye kunobatsira kudzoreredza kudzvanywa kwetsinga dzakatsikirirwa senge sciatic nerve, kuderedza marwadzo nekuvandudza kufamba.
tsvakurudzo
Vatsvagiri vanoti lumbar traction nekuita maekisesaizi haina kuvandudza mhedzisiro yemunhu kana ichienzaniswa nekurapa kwemuviri maekisesaizi ega.Anne Thackeray et al., 2016 ) Chidzidzo chacho chakaongorora vatori vechikamu 120 vane marwadzo ekudzokera shure uye nerve root impingement avo vakasarudzwa zvisina kurongwa kuti vapinde lumbar traction nemitambo kana maitiro akareruka ekurwadziwa. Extension-based exercises akatarisana nekupeta musana kumashure. Kufamba uku kunoonekwa sekushanda kune vanhu vane kurwadziwa shure uye pinched nerves. Zvigumisiro zvakaratidza kuti kuwedzera lumbar traction kumitambo yekurapa kwepanyama haina kupa zvikomborero zvakakosha pamusoro pekuwedzera-based exercise chete nokuda kwemarwadzo ekudzokera shure. (Anne Thackeray et al., 2016 )
Chidzidzo che2022 chakawana kuti lumbar traction inobatsira kune vanhu vane marwadzo ekumusana. Chidzidzo chacho chakaongorora maitiro maviri akasiyana-siyana ekufambisa uye akawana kuti kushanduka-simba lumbar traction uye high-force lumbar traction yakabatsira kuderedza marwadzo ekudzokera shure. High-force lumbar traction yakawanikwa zvakare kuderedza kuremara kwekushanda. (Zahra Masood et al., 202 2) Imwe ongororo yakawana lumbar traction inovandudza huwandu hwekufamba mune yakatwasuka gumbo simudza bvunzo. Chidzidzo chacho chakaongorora masimba akasiyana-siyana ekudhonza pane herniated discs. Matanho ese akavandudza mafambiro evanhu, asi hafu yehafu yemuviri-yekuremera traction yekumisikidza yakabatana nekunyanya kukosha kwekuzorodza. (Anita Kumari et al., 2021 )
mabatiro
Kune vanhu vane kurwadziwa kwepashure chete, kurovedza muviri, uye kururamiswa kwemashure kungave zvese zvinodikanwa kupa zororo. Tsvagiridzo inosimbisa kurovedza muviri kurapa kunogona kubatsira kuderedza marwadzo uye kuvandudza kufamba (Anita Slomski 2020 ) Imwe ongororo yakaratidza kukosha kwekuisa pakati sciatic zviratidzo panguva yekudzokorora mafambiro. Centralization iri kufambisa marwadzo kumashure kumusana, icho chiratidzo chakanaka chokuti tsinga uye discs zviri kuporesa uye zvinoitika panguva yekurapa maitiro. (Hanne B. Albert et al., 2012 ) Chiropractor uye chikwata chekurapa kwepanyama chinogona kudzidzisa varwere nezvekudzivirira marwadzo ekudzokera shure. Chiropractors uye varapi vemuviri inyanzvi dzekufamba kwemuviri dzinogona kuratidza kuti ndeapi maekisesaizi akanakira mamiriro ako. Kutanga chirongwa chekurovedza muviri chinoisa pakati zviratidzo zvinogona kubatsira vanhu kuti vadzokere kumararamiro avo akajairwa nekukurumidza uye zvakachengeteka. Bvunza mupi wehutano usati watanga chero chirongwa chekurovedza muviri chekurwadziwa kwemusana.
Movement Medicine: Chiropractic
VIDEO
References
Cheng, YH, Hsu, CY, & Lin, YN (2020). Mhedzisiro ye mechanical traction pamarwadzo ekudzokera shure kune varwere vane herniated intervertebral disks: a systemic review uye meta-analysis. Kugadziriswa kwekiriniki, 34 (1), 13-22. doi.org/10.1177/0269215519872528
Thackeray, A., Fritz, JM, Vana, JD, & Brennan, GP (2016). Kubudirira kweMechanical Traction Pakati peZvikamu zveVarwere Vane Marwadzo Akaderera uye Marwadzo Emakumbo: Chiedzo Chisina Kurongeka. The Journal of orthopedic uye mitambo yekurapa kwepanyama, 46 (3), 144-154. doi.org/10.2519/jospt.2016.6238
Masood, Z., Khan, AA, Ayyub, A., & Shakeel, R. (2022). Mhedzisiro ye lumbar traction pane discogenic yakaderera kumashure kurwadziwa uchishandisa akasiyana masimba. JPMA. Chinyorwa chePakistan Medical Association, 72 (3), 483-486. doi.org/10.47391/JPMA.453
Kumari, A., Quddus, N., Meena, PR, Alghadir, AH, & Khan, M. (2021). Migumisiro yeChishanu-Yechishanu, Imwe-Yetatu, uye Imwe-Hafu yeMuviri WeLumbar Traction paRight Leg Simudza Test uye Marwadzo muProlapsed Intervertebral Disc Patients: A Randomized Controlled Trial. BioMed tsvagiridzo yenyika, 2021, 2561502. doi.org/10.1155/2021/2561502
Slomski A. (2020). Early Physical Therapy Inobvisa Sciatica Kuremara uye Marwadzo. JAMA, 324(24), 2476. doi.org/10.1001/jama.2020.24673
Albert, HB, Hauge, E., & Manniche, C. (2012). Centralization muvarwere vane sciatica: imarwadzo anopindurwa kune kudzokorora kufamba uye kumira kwakabatana nemigumisiro kana marudzi ezvipembenene zve disc ?. European spine magazine: kuburitswa kwepamutemo kweEuropean Spine Society, European Spinal Deformity Society, uye Chikamu cheEuropean cheCervical Spine Research Society, 21 (4), 630-636. doi.org/10.1007/s00586-011-2018-9
by Dr Alex Jimenez Kugadzirira Therap , Chiropractic , Sciatica , Sciatica Nerve Pain , Spinal Decompression Treatments , Mishonga , Viscerosomatic Reflex
Ko marapirwo asiri ekuvhiya senge acupuncture uye spinal decompression anogona kupa zororo kune vanhu vanobata sciatica?
ziviso
Apo vanhu vazhinji vanotanga kunzwa marwadzo achidzika nemakumbo avo mushure mezuva refu rezviitwa, zvinovaita kuti vasave nekufamba uye kunetseka kuwana nzvimbo yekuzorora. Vanhu vazhinji vanofunga kuti vari kungotarisana nemarwadzo emakumbo, asi inogona kuva nyaya yakawanda sezvavanoziva kuti haisi kurwadza kwegumbo chete kwavari asi sciatica. Nepo iyi tsinga refu ichibva kuzasi kumashure uye inofamba ichidzika kumakumbo, inogona kukundwa nekurwadziwa uye kusagadzikana kana herniated discs kana tsandanyama compress uye kuwedzera tsinga. Kana izvi zvikaitika, zvinogona kukanganisa kufamba kwemunhu uye hupenyu hwehupenyu, zvichiita kuti vatsvake kurapwa kuderedza marwadzo kubva sciatica. Sezvineiwo, mamwe marapirwo akaita seacupuncture uye spinal decompression akashandiswa kwete chete kuderedza sciatic marwadzo asiwo kupa mhedzisiro, inobatsira. Nyaya yemazuva ano inotarisa sciatica, kuti musana wepinal decompression uye acupuncture unogona sei kubvisa sciatica, uye kuti kubatanidza idzi mbiri dzisina kuvhiyiwa kurapa kunogona kutungamirira kumigumisiro inobatsira. Isu tinotaura nevanopihwa zvekurapa vane ruzivo vanosimbisa ruzivo rwevarwere vedu kuti vaone kuti sciatica inogona kukanganisa zvakanyanya kugara kwemunhu uye hupenyu hwehupenyu. Isu tinozivisawo uye kutungamira varwere kuti kubatanidza acupuncture therapy uye spinal decompression inogona sei kuderedza sciatica. Isu tinokurudzira varwere vedu kuti vabvunze avo vanobatana navo vezvokurapa mibvunzo yakaoma uye yakakosha pamusoro pekubatanidza kurapa kusiri-kuvhiya muhutano hwekugadzirisa sciatica uye zviratidzo zvayo zvinorehwa. Dr. Jimenez, DC, anosanganisira ruzivo urwu sebasa rezvidzidzo. Disclaimer .
Kunzwisisa Sciatica
Iwe unowanzosangana nechiveve kana kurira kwekunzwa kubva kuzasi kumashure kusvika kumakumbo ako? Iwe unonzwa sekunge kufamba kwako kuri kunzwa kusiri kuenzanisa here? Kana kuti wakatambanudza makumbo ako pashure pokunge wagara kwenguva yakati, izvo zvinopa zororo rechinguvana here? Nepo sciatic nerve ichiita basa rakakosha mukushanda kwemota mumakumbo, kana zvinhu zvakasiyana, senge herniated discs uye kunyangwe nhumbu, zvinotanga kuwedzera tsinga, zvinogona kukonzera marwadzo. Sciatica idambudziko remaune rinowanzonyorwa zvisirizvo sekurwadziwa kwemusana kana kurwadza kwegumbo nekuda kweaya maviri emusculoskeletal mamiriro. Aya macomorbidities uye anogona kuwedzeredzwa nekumonyorora kuri nyore uye kutendeuka. ( Davis et al., 2024 )
Uyezve, apo vanhu vazhinji vari kuita kudzokorora mafambiro kana kutarisana nekushanduka kwekuchinja mumusana, maspinal discs anowanzoita herniation. Vanogona kudzvanya tsinga dzemusana, zvichiita kuti masaini euron akumbire marwadzo uye kusagadzikana muzasi. ( Zhou et al., 2021 ) Panguva imwecheteyo, sciatica inogona kunge iri miviri yemusana uye yakawedzera-muzongoza munzvimbo ye lumbar spinal, izvo zvinoita kuti vanhu vakawanda vagare vachirwadziwa uye vachitsvaga zororo. ( Siddiq et al., 2020 ) Apo kurwadziwa kwesciatica kunotanga kukanganisa nhengo dzezasi dzemunhu, zvichikonzera nyaya dzekufamba, vanhu vazhinji vanotsvaka marapirwo ekuderedza marwadzo-semigumisiro ye sciatica.
Sayenzi Yekufamba-Vhidhiyo
VIDEO
Acupuncture Yekuderedza Sciatica Pain
Kana zvasvika pakurapa sciatica, vanhu vazhinji vanogona kutarisa mune zvisiri zvekuvhiya marapirwo nekuda kwekugona kwayo uye kubudirira mukuderedza sciatica uye inosanganisirwa marwadzo-sezviratidzo. Mishonga isina kuvhiyiwa inogona kugadziridzwa kumarwadzo emunhu uye kubatanidzwa kudzorera hupenyu hwemunhu. Mishonga miviri isiri yekuvhiya inogona kubatsira kuderedza sciatica ndeye acupuncture uye spinal decompression. Acupuncture ine nhoroondo refu yekupa zvakakosha zvinokonzeresa pakudzikisa sciatic marwadzo nekuvandudza hupenyu hwemunhu. ( Yuan et al., 2020 ) Nyanzvi dzakadzidziswa zvakanyanya kubva kuChina dzinoshandisa acupuncture uye dzinobatanidza tsono diki dzakasimba kuti dzipe zororo rekukurumidza kubva kune sciatica zviratidzo zvine chekuita. Izvi zvinodaro nekuti acupuncture ine analgesic mhedzisiro nekudzora microglia activation, inhibiting maitiro emuviri ekuzvimba, uye modulating receptors munzira inorwadza mutsinga system. ( Zhang et al., 2023 ) Kusvika panguva ino, acupuncture inogona kuita kuti acupoints yomuviri idzore dzikamo.
Mhedzisiro yeAcupuncture
Imwe yemigumisiro yeacupuncture yekubvisa sciatica ndeyokuti inogona kuderedza marwadzo ekunyanya nekushandura maitiro ehuropi hwekuita apo marwadzo ekugamuchira marwadzo anovhiringidzika. ( Yu et al., 2022 ) Uyezve, apo acupuncturists vanotanga kukurudzira tsinga dziri mumhasuru uye matishu, vanosunungura endorphins uye zvimwe neurohumoral zvinhu zvinobatsira kuchinja marwadzo mutsinga. Acupuncture inobatsira kuderedza kuzvimba uku ichivandudza kuomarara kwemhasuru uye kufamba kwemajoini kuburikidza nekuwedzera microcirculation kuderedza kuzvimba uku ichivharira sciatica marwadzo kubva pakubata pasi.
Spinal Decompression Yekubvisa Sciatica Pain
Imwe nzira yekurapa isina kuvhiyiwa ndeyekuora kwemusana, uye inogona kubatsira kuderedza migumisiro ye sciatica uye zviratidzo zvayo zvinorwadza zvinosangana. Spinal decompression inoshandisa tafura yekukwevera kutambanudza zvinyoro nyoro musana kuti ugadzire kudzvanywa kwakashata mukati mespinal disc uye kusunungura tsinga dzakabatwa. Kune vanhu vane sciatica, iyi isiri-yekuvhiya kurapa inobvisa sciatic nerve sezvo kuderedzwa kwepelinha kunobatsira kuderedza marwadzo ekurwadziwa uye kunatsiridza kufamba kwekufamba muzasi. ( Choi et al., 2022 ) Chinangwa chikuru chekuora kwepelinha ndechekugadzira nzvimbo mukati memusana wemusana uye neural structures kuti isunungure sciatic nerve yakawedzera kubva pakukonzera marwadzo akawanda. ( Burkhard et al., 2022 )
Mhedzisiro yeSpinal Decompression
Vanhu vazhinji vanogona kutanga kunzwa kurerukirwa kubva pakuisa musana wekuora mukurapa kwavo kwehutano. Iyi isiri-yekuvhiya kurapwa inosimudzira zvinwiwa uye zvinovaka muviri kune spinal disc kuti kick-kutanga emuviri kuporesa maitiro. Kana musana wacho uchitambanudzwa zvinyoronyoro, pane zvishoma kudzvinyirira kune sciatic nerve, iyo inogona kuderedza marwadzo nekuvandudza kufamba. Pamusoro pezvo, vanhu vazhinji vanozonzwa kuchinjika uye kufamba kwavo kumashure munzvimbo yavo yelumbar.
Kubatanidza Acupuncture uye Spinal Decompression Yekununura
Saka, apo vanhu vazhinji vanotanga kubatanidza kupera kwemusana uye acupuncture senzira yakazara uye isiri yekuvhiya yekubvisa sciatica, migumisiro uye zvikomborero zvakanaka. Nepo kupera kwepelinha kunonangidzira kupora kwemuchina wespinal disc uye kuderedza tsinga, acupuncture inotarisa pakubvisa marwadzo uye kuderedza kuzvimba pane systemic level. Izvi zvinowedzera kupora kwemuviri uye zvinopa synergistic mhedzisiro yekuvandudza kurapwa. Mishonga isiri-yekuvhiya senge acupuncture uye spinal decompression inogona kupa tarisiro yemhedzisiro kune vanhu vazhinji vari kutsvaga zororo kubva kune avo sciatic kurwadziwa pasina kushandisa nzira dzekuvhiya. Mishonga iyi inobvumira munhu wacho kuti adzokezve kufamba mumakumbo avo ezasi, kuderedza marwadzo, nekuvandudza hupenyu hwavo nekuita kuti vanhu vafunge nezvemiviri yavo uye kuderedza mikana ye sciatica kubva pakudzoka. Nekuita izvi, vanhu vazhinji vanogona kurarama hupenyu hune hutano uye husina kurwadziwa.
References
Burkhard, MD, Farshad, M., Suter, D., Cornaz, F., Leoty, L., Furnstahl, P., & Spirig, JM (2022). Spinal decompression ine murwere-akananga madhairekitori. Spine J , 22 (7), 1160-1168. doi.org/10.1016/j.spinee.2022.01.002
Choi, E., Gil, HY, Ju, J., Han, WK, Nahm, FS, & Lee, PB (2022). Mhedzisiro yeNonsurgical Spinal Decompression paKusimba Kwemarwadzo uye Herniated Disc Volume muSubacute Lumbar Herniated Disc. International Journal of Clinical Practice , 2022 , 6343837. doi.org/10.1155/2022/6343837
Davis, D., Maini, K., Taqi, M., & Vasudevan, A. (2024). Sciatica. In StatPearls . www.ncbi.nlm.nih.gov/pubmed/29939685
Siddiq, MAB, Clegg, D., Hasan, SA, & Rasker, JJ (2020). Extra-spinal sciatica uye sciatica mimics: kuongorora kwekuongorora. Korean J Pain , 33 (4), 305-317. doi.org/10.3344/kjp.2020.33.4.305
Yu, FT, Liu, CZ, Ni, GX, Cai, GW, Liu, ZS, Zhou, XQ, Ma, CY, Meng, XL, Tu, JF, Li, HW, Yang, JW, Yan, SY, Fu, HY, Xu, WT, Li, J., Xiang, HC, Zuva, TH, Zhang, B., Li, MH, . . . Wang, LQ (2022). Acupuncture for chronic sciatica: protocol ye multicenter randomized controlled trial. BMJ Open , 12 (5), e054566. doi.org/10.1136/bmjopen-2021-054566
Yuan, S., Huang, C., Xu, Y., Chen, D., & Chen, L. (2020). Acupuncture ye lumbar disc herniation: Protocol yekuongorora kwakarongeka uye meta-analysis. Mushonga (Baltimore) , 99 (9), e19117. doi.org/10.1097/MD.0000000000019117
Zhang, Z., Hu, T., Huang, P., Yang, M., Huang, Z., Xia, Y., Zhang, X., Zhang, X., & Ni, G. (2023). Kubudirira uye kuchengetedzeka kweacupuncture therapy ye sciatica: Kuongorora kwakarongeka uye meta-kuongorora kwemaitiro akadzora nzira. Front Neurosci , 17 , 1097830. doi.org/10.3389/fnins.2023.1097830
Zhou, J., Mi, J., Peng, Y., Han, H., & Liu, Z. (2021). Causal Associations of Obesity neIntervertebral Degeneration, Low Back Pain, uye Sciatica: A Two-Sample Mendelian Randomization Study. Front Endocrinol (Lausanne) , 12 , 740200. doi.org/10.3389/fendo.2021.740200
Disclaimer
by Dr Alex Jimenez Chiropractic , Nerve Injury , Sciatica
Vanhu vari kupfurwa, kurwadziwa kunorwadza mumigumo yezasi, uye marwadzo emakumbo epakati anogona kunge achitambura neurogenic claudication. Kuziva zviratidzo kungabatsira here vatapi vehutano kugadzira chirongwa chekurapa chinoshanda?
Neurogenic Claudication
Neurogenic claudication inoitika kana tsinga dzemuzongoza dzichimanikidzwa muchiuno kana pasi pemusana, zvichikonzera kurwadziwa kwemakumbo. Mitsipa yakamanikidzwa mulumbar spine inogona kukonzera marwadzo emakumbo uye makumbo. Marwadzo acho anowanzo wedzera nemafambiro chaiwo kana zviitiko zvakaita sekugara, kumira, kana kukotama kumashure. Inozivikanwawo se pseudo-claudication apo nzvimbo mukati me lumbar spine inotetepa. Chirwere chinozivikanwa se lumbar spinal stenosis. Zvisinei, neurogenic claudication is syndrome kana boka rezviratidzo zvinokonzerwa nepinched spinal nerve, nepo spinal stenosis inotsanangura kuderera kwemashure emusana.
zviratidzo
Neurogenic claudication zviratidzo zvinogona kusanganisira:
Gumbo cramping.
Chiveve, kurira, kana kunzwa kupisa.
Gumbo kuneta uye kushaya simba.
Kunzwa kurema mugumbo/s.
Yakapinza, kupfura, kana kurwadziwa kunorwadza kunosvika kuzasi, kazhinji mumakumbo ese.
Panogonawo kuva nemarwadzo muzasi kana matako.
Neurogenic claudication yakasiyana nemamwe marudzi emarwadzo emakumbo, sezvo marwadzo anochinja-kumira uye kutanga zvisizvo uye kuwedzera nekufamba kwakananga kana mabasa. Kumira, kufamba, kudzika masitepisi, kana kupenengura kumashure kunogona kukonzera marwadzo, ukagara, uchikwira masitepisi, kana kuzembera mberi kunoderedza marwadzo. Zvisinei, nyaya imwe neimwe yakasiyana. Nokufamba kwenguva, neurogenic claudication inogona kukanganisa kufamba sevanhu vanoedza kudzivisa mabasa anokonzera marwadzo, kusanganisira kurovedza muviri, kusimudza zvinhu, uye kufamba kwenguva refu. Muzviitiko zvakakomba, neurogenic claudication inogona kuita kuti kurara kuve kwakaoma.
Neurogenic claudication uye sciatica hazvina kufanana. Neurogenic claudication inosanganisira kudzvinyirira kwetsinga mukati memugero we lumbar spine, zvichikonzera marwadzo mumakumbo ose. Sciatica inosanganisira kudzvinyirirwa kwetsinga midzi inobuda kubva kumativi e-lumbar spine, zvichikonzera marwadzo mune rimwe gumbo. (Carlo Ammendolia, 2014 )
Zvinokonzera
Neneurogenic claudication, yakamanikidzwa spinal nerve ndiyo inokonzera marwadzo emakumbo. Muzviitiko zvakawanda, lumber spinal stenosis - LSS ndiyo inokonzera pinched nerve. Kune marudzi maviri e lumbar spinal stenosis.
Central stenosis ndiyo inonyanya kukonzera neurogenic claudication. Nemhando iyi, iyo yepakati canal ye lumbar spine, iyo inogara mutsara wemusana, inotetepa, ichikonzera marwadzo mumakumbo ose.
Lumbar spinal stenosis inogona kuwanikwa uye kukura gare gare muhupenyu nekuda kwekuderera kwemusana.
Congenital zvinoreva kuti munhu anozvarwa aine chirwere ichi.
Zvose zviri zviviri zvinogona kutungamirira kune neurogenic claudication nenzira dzakasiyana.
Foramen stenosis imwe mhando ye lumbar spinal stenosis inokonzera kutetepa kwenzvimbo kune rumwe rutivi rwe lumbar spine uko nerve midzi inobuda kubva kumusana. Marwadzo akabatanidzwa akasiyana pakuti angave ari mugumbo rerudyi kana kuruboshwe.
Marwadzo acho anoenderana nedivi remuzongoza uko tsinga dziri kudzvanywa.
Inowanikwa Lumbar Spinal Stenosis
Lumbar spinal stenosis inowanzowanikwa nekuda kwekuderera kwe lumbar spine uye inowanzobata vanhu vakwegura. Zvikonzero zvekuputika kweganda zvinogona kusanganisira:
Spinal trauma, senge kubva pakudhumhana kwemotokari, basa, kana kukuvara kwemitambo.
Disc herniation.
Spinal osteoporosis - kupfeka-uye-kubvarura arthritis.
Ankylosing spondylitis - rudzi rwechirwere chearthritis chinokanganisa musana.
Osteophytes - bone spurs.
Spinal tumors - kwete-kenza uye kenza.
Congenital Lumbar Spinal Stenosis
Congenital lumbar spinal stenosis zvinoreva kuti munhu anozvarwa aine hurema hwemuzongoza hunogona kusaoneka pakuzvarwa. Nokuti nzvimbo iri mukati memugero wepelinha yatove yakamanikana, musana wemuzongoza uri panjodzi kune chero shanduko sezera remunhu. Kunyange vanhu vane arthritis yakapfava vanogona kuona zviratidzo zveneurogenic claudication kutanga uye kutanga zviratidzo mu30s uye 40s yavo pane yavo 60s uye 70s.
kuongorora chirwere
Kuongororwa kweurogenic claudication kunonyanya kuenderana nenhoroondo yezvehutano hwemunhu, kuongororwa kwemuviri, uye kufungidzira. Kuongororwa kwemuviri uye kuongorora kunoratidza kuti marwadzo arikupi uye riinhi. Mutariri wehutano anogona kubvunza:
Pane nhoroondo yemarwadzo ekumusana here?
Kurwadza kwegumbo rimwe chete here kana kuti ose?
Kutambudzika kunogara kuripo here?
Marwadzo anouya oenda here?
Kurwadza kunowedzera here kana kuwedzera kana wakamira kana kugara?
Ko kufamba kana kuita zvinokonzeresa zviratidzo zvinorwadza uye manzwiro?
Pane chero manzwiro akajairika paunenge uchifamba?
mabatiro
Kurapa kunogona kusanganisira kurapwa kwemuviri, spinal steroid jekiseni, uye marwadzo meds. Kuvhiya inzira yekupedzisira apo mamwe marapirwo ese asingakwanisi kupa rubatsiro runoshanda.
Therapy Therapy
A kurapwa kuronga ichasanganisira kurapa kwemuviri kunosanganisira:
Zuva nezuva kutambanudza
Kusimbisa
Aerobic kurovedza
Izvi zvichabatsira kuvandudza uye kudzikamisa mhasuru dzepazasi uye kugadzirisa matambudziko ekumira.
Occupational therapy ichakurudzira kuchinja kwemabasa kunokonzera zviratidzo zvinorwadza.
Izvi zvinosanganisira ma mechanics akakodzera emuviri, kuchengetedza simba, uye kuziva zviratidzo zvinorwadza.
Mabhandi ekumashure kana mabhandi anogonawo kukurudzirwa.
Spinal Steroid Majekiseni
Vashandi vehutano vanogona kukurudzira epidural steroid majekiseni.
Izvi zvinopa cortisone steroid kune chikamu chekunze chemuzongoza kana epidural space.
Majekiseni anogona kupa zororo rekurwadziwa kwemwedzi mitatu kusvika kumakore matatu. (Sunil Munakomi et al., 2024 )
Kurwadziwa Medhi
Mishonga yemarwadzo inoshandiswa kurapa intermittent neurogenic claudication. Izvi zvinosanganisira:
Pamusoro-the-counter analgesics seacetaminophen.
Nonsteroidal anti-inflammatory drugs kana NSAIDs senge ibuprofen kana naproxen.
Mishonga yeNSAID inogona kunyorerwa kana ichidiwa.
NSAIDs dzinoshandiswa nekusingaperi neurogenic kurwadziwa uye inofanira kushandiswa chete kana ichidiwa.
Kushandiswa kwenguva refu kweNSAIDs kunogona kuwedzera njodzi yezvironda zvemudumbu, uye kunyanya kushandiswa kweacetaminophen kunogona kutungamirira kuhutu hwechiropa uye kukanganisa kwechiropa.
Surgery
Kana kurapa kwekuchengetedza kusingakwanisi kupa rubatsiro runoshanda uye kufamba uye / kana hupenyu hwehupenyu hunokanganiswa, kuvhiyiwa kunozivikanwa se laminectomy kunogona kukurudzirwa kuti decompress lumbar spine. Iyo nzira inogona kuitwa:
Laparoscopically - ine diki incisions, scopes, uye yekuvhiya chiridzwa.
Kuvhiya kwekuvhura - ne scalpel uye sutures.
Munguva yekuita, zvikamu zve vertebra zvinobviswa zvishoma kana zvachose.
Kuti ape kugadzikana, mapfupa dzimwe nguva anosanganiswa ne screws, ndiro, kana tsvimbo.
Mitemo yekubudirira yezvose zviri zviviri kana zvishoma zvakafanana.
Pakati pe85% uye 90% yevanhu vari kuvhiyiwa vanowana kwenguva refu uye / kana kusingaperi kurwadziwa. (Xin-Long Ma et al., 2017 )
Movement Medicine: Chiropractic Care
VIDEO
References
Ammendolia C. (2014). Degenerative lumbar spinal stenosis uye vanyengeri vayo: nyaya nhatu dzezvidzidzo. The Journal of the Canadian Chiropractic Association, 58 (3), 312-319.
Munakomi S, Foris LA, Varacallo M. (2024). Spinal Stenosis uye Neurogenic Claudication. [Yakagadziridzwa 2023 Aug 13]. Mu: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024 Jan-. Inowanikwa kubva: www.yori.nlm.nih.gov/books/NBK430872/
Ma, XL, Zhao, XW, Ma, JX, Li, F., Wang, Y., & Lu, B. (2017). Kubudirira kwekuvhiya kunopesana nekuchengetedza kurapwa kwe lumbar spinal stenosis: A system review uye meta-analysis ye randomized controlled trials. International magazini yekuvhiya (London, England), 44, 329-338. doi.org/10.1016/j.ijsu.2017.07.032
by Dr Alex Jimenez Kukanganiswa kwakakomba , Sciatica
Ko mapuroteni ekurapa ekurapa ane chinangwa chekuvandudza huwandu hwekufamba uye kuchinjika kwakatenderedza muhudyu uye kubvisa kuzvimba kwakatenderedza sciatic nerve kubatsira vanhu vari kurwadziwa zvakadzama matako kana piriformis syndrome?
Deep Buttock Pain
Piriformis syndrome, ak .a. kurwadziwa kwakadzika kwebutto, kunotsanangurwa se sciatic nerve irritation kubva pamusumbu wepiriformis.
Iyo piriformis imhasuru diki kuseri kwejojo rehudyu mumagaro.
Inenge centimita imwe mudhayamita uye inoshanda mukutenderera kwekunze kwehudyu kana kutenderera kunze.
Iyo piriformis muscle uye tendon iri pedyo ne sciatic nerve, iyo inopa mazamu ezasi ane motokari uye manzwiro.
Zvichienderana nekusiyana kwemunhu anatomic yemhasuru uye tendon:
Izvo zviviri zvinoyambuka, pasi, kana kuburikidza nemumwe kuseri kwejojo rehudyu muzasi kwakadzika.
Ukama uhwu hunofungidzirwa kutsamwisa tsinga, zvichiita kuti sciatica zviratidzo.
Piriformis Syndrome
Kana ukaonekwa kuti une piriformis syndrome, inofungidzirwa kuti musuru uye tendon inosunga uye / kana spasm yakakomberedza tsinga, zvichikonzera kutsamwa uye zviratidzo zvinorwadza.
Dzidziso inotsigirwa ndeyokuti apo piriformis muscle uye tendon yayo inoomesa, sciatic nerve inova yakamanikidzwa kana kupiniwa. Izvi zvinoderedza kutenderera kweropa uye zvinotsamwisa tsinga kubva mukumanikidzwa. (Shane P. Cass 2015 )
zviratidzo
Zviratidzo uye zviratidzo zvinowanzoitika zvinosanganisira: (Shane P. Cass 2015 )
Unyoro nekumanikidza pamusumbu wepiriformis.
Kusagadzikana kumashure kwechidya.
Kurwadza kwemagaro kwakadzika kuseri kwehudyu.
Manzwiro emagetsi, kuvhunduka, uye marwadzo zvinofamba zvichidzika kumashure kwechikamu chepasi.
Chiveve kumucheto wezasi.
Vamwe vanhu vanotanga zviratidzo zvekuerekana, nepo vamwe vachiwedzera zvishoma nezvishoma.
kuongorora chirwere
Vanachiremba vanozoraira X-rays, MRIs, uye nerve conduction zvidzidzo, izvo zvakajairika.
Nemhaka yokuti piriformis syndrome inogona kuva yakaoma kuongorora, vamwe vanhu vane marwadzo maduku ehudyu vanogona kugamuchira piriformis syndrome kuongororwa kunyange kana vasina chirwere. (Shane P. Cass 2015 )
Iyo dzimwe nguva inonzi yakadzika bhutu kurwadziwa. Zvimwe zvikonzero zverudzi urwu rwemarwadzo zvinosanganisira kumashure uye musana uye musana senge:
Herniated discs
Spinal stenosis
Radiculopathy - sciatica
Hip bursitis
A piriformis syndrome kuongororwa inowanzopiwa apo izvi zvimwe zvikonzero zvinobviswa.
Kana kuongororwa kusinganyatsozivikanwi, jekiseni rinoshandiswa munzvimbo yepiriformis muscle. (Danilo Jankovic et al., 2013 )
Mishonga yakasiyana inogona kushandiswa, asi jekiseni pachayo rinoshandiswa kubatsira kuziva nzvimbo chaiyo yekusagadzikana.
Apo jekiseni rinopiwa mupiriformis muscle kana tendon, inowanzotungamirirwa nehutungamiri hwe ultrasound kuti uone kuti tsono inopa mishonga kunzvimbo yakarurama. (Elizabeth A. Bardowski, JW Thomas Byrd 2019 )
mabatiro
Mishonga yakajairika inosanganisira zvinotevera. (Danilo Jankovic et al., 2013 )
Zorora
Kudzivisa mabasa anokonzera zviratidzo kwemavhiki mashoma.
Therapy Therapy
Simbisa kutambanudza uye kusimbisa hudyu rotator tsandanyama.
Non-Surgical Decompression
Zvinyoro zvinodhonza musana kuti usunungure chero kudzvanywa, zvichibvumira optimal rehydration uye kutenderera uye kutora kumanikidza kubva kune sciatic nerve.
Therapeutic Massage Techniques
Kuzorodza uye kusunungura kushushikana kwemhasuru uye kuwedzera kutenderera.
Acupuncture
Kubatsira kuzorora piriformis muscle , sciatic nerve, uye nzvimbo yakapoteredza.
Deredza marwadzo.
Chiropractic Adjustments
Realignment inogadzirisa musana uye musculoskeletal system kuderedza marwadzo.
Anti-Inflammatory Medication
Kuderedza kuzvimba kwakatenderedza tendon.
Cortisone Majekiseni
Majekiseni anoshandiswa kuderedza kuzvimba uye kuzvimba.
Botulinum Toxin Jekiseni
Majekiseni emuchetura we botulinum anoomesa tsandanyama kuti abvise marwadzo.
Surgery
Kuvhiya kunogona kuitwa muzviitiko zvisingawanzoitiki kusunungura piriformis tendon, inozivikanwa sepiriformis release. (Shane P. Cass 2015 )
Kuvhiya inzira yekupedzisira apo kurapwa kwekuchengetedza kwakaedzwa kweinenge mwedzi mitanhatu pasina zororo.
Kupora kunogona kutora mwedzi yakati wandei.
Sciatica Zvinokonzera uye Kurapa
VIDEO
References
Cass SP (2015). Piriformis syndrome: chikonzero che nondiscogenic sciatica. Mishumo yezvino yemishonga yemitambo, 14 (1), 41-44. doi.org/10.1249/JSR.0000000000000110
Jankovic, D., Peng, P., & van Zundert, A. (2013). Ongororo pfupi: piriformis syndrome: etiology, kuongororwa, uye manejimendi. Canadian magazine of anesthesia = Journal canadien d'anesthesie, 60(10), 1003–1012. doi.org/10.1007/s12630-013-0009-5
Bardowski, EA, & Byrd, JWT (2019). Piriformis Injection: An Ultrasound-Guided Technique. Arthroscopy maitiro, 8(12), e1457-e1461. doi.org/10.1016/j.eats.2019.07.033
by Dr Alex Jimenez Kugadzirira Therap , Sciatica
Kune vanhu vari kufunga nezve acupuncture yekuyamura sciatica uye manejimendi, kuziva kuti inoshanda sei uye chii chekutarisira panguva yechikamu kubatsira mukuita sarudzo?
Acupuncture Sciatica Treatment Session
Acupuncture ye sciatica yakachengeteka uye inoshanda yekurapa kurapa kunyaradza uye kugadzirisa zviratidzo zvinorwadza. Zvidzidzo zvinoratidza kuti inoshanda sedzimwe nzira dzekurapa uye inokonzeresa kushomeka kwemhedzisiro. (Zhihui Zhang et al., 2023 ) Kuwanda kweacupuncture kubvisa marwadzo esciatica kunoenderana nekuoma kwemamiriro acho uye kukuvara, asi vazhinji vanorondedzera kuvandudzwa mukati memavhiki maviri kusvika matatu. (Fang-Ting Yu nevamwe, 2022 )
Kuiswa kwetsono
Matambudziko ekutenderera anogona kuita kuti simba remuviri rimire mune imwe kana anopfuura meridians / chiteshi, zvichikonzera marwadzo mukati nekutenderedza nharaunda. (Wei-Bo Zhang et al., 2018 )
Chinangwa cheacupuncture ndechekudzoreredza kutenderera kwakaringana nekukurudzira mapoinzi chaiwo mumuviri anonzi acupoints.
Tsono dzakatetepa, dzisina mbereko dzinokurudzira maacupoints kuti avhure kugona kwemuviri kupora uye kubvisa marwadzo. (Heming Zhu 2014 )
Vamwe vashandi vanoshandisa electroacupuncture - nyoro, nyoro yemagetsi ikozvino inoshandiswa kune tsono uye inopfuura nepakati pematishu kuti iite hurongwa hwemagetsi. (Ruixin Zhang et al., 2014 )
Acupoints
Acupuncture sciatica kurapwa kunosanganisira chaiwo acupoints pamwe chete bladder uye gallbladder meridians.
Bladder Meridian – BL
Iyo dundira meridian / BL inomhanya ichidzika kumashure ichitevedza musana, mahudyu, nemakumbo. Iyo acupoints mukati memeridian ye sciatica inosanganisira: (Fang-Ting Yu nevamwe, 2022 )
BL 23 -Shenshu - Nzvimbo kuzasi kumashure, pedyo neitsvo.
BL 25 - Dachangshu - Nzvimbo pazasi kumashure.
BL 36 - Chengfu - Nzvimbo kuseri kwechidya, pazasi pemagaro.
BL 40 - Weizhong - Nzvimbo kuseri kwebvi.
Gallbladder Meridian - GB
Iyo gallbladder meridian/GB inomhanya ichitevedza mativi kubva pakona yeziso kuenda kuchigunwe chepinky. (Thomas Perreault et al., 2021 ) Iyo acupoints ye sciatica mukati memeridian iyi inosanganisira: (Zhihui Zhang et al., 2023 )
GB 30 - Huantiao - Nzvimbo kuseri, uko matako anosangana nehudyu.
GB 34 - Yanglingquan - Nzvimbo iri kunze kwegumbo, pasi pebvi.
GB 33 - Xiyangguan - Nzvimbo yakatarisana nebvi, padivi.
Kukurudzira acupoints mune idzi meridians kunowedzera kuyerera kweropa kunzvimbo, kunoderedza kuzvimba, uye kuburitsa endorphins uye mamwe marwadzo-anobvisa neurochemicals kuti abvise zviratidzo. (Ningcen Li et al., 2021 ) Iwo chaiwo acupoints anosiyana zvichienderana nezviratidzo uye chinokonzera. (Tiaw-Kee Lim et al., 2018 )
Muenzaniso Murwere
An muenzaniso we acupuncture sciatica kurapwa musangano : Murwere anoramba achirwadza kupfura achidzika kumusana nekudivi regumbo. A standard treatment ine zvinotevera:
Iyo acupuncturist inonyatsoenda pamusoro penhoroondo yekurapa yemurwere uye zviratidzo uye inoita kuti murwere anongedze panowanikwa marwadzo.
Zvadaro, vanobata-bata uye vachitenderedza nzvimbo yacho kuti vawane panowedzera kurwadziwa nekudzikira, vachitaurirana nemurwere pavanenge vachifamba.
Zvichienderana nenzvimbo uye kuoma, vanogona kutanga kuisa tsono pazasi kumashure, vachitarisa panzvimbo yekukuvara.
Dzimwe nguva, sacrum inobatanidzwa, saka acupuncturist ichaisa tsono pane iyo acupoints.
Vanobva vaenda kuseri kwegumbo vopinza tsono.
Iyo tsono inochengeterwa 20-30 maminitsi.
Iyo acupuncturist inobuda mukamuri kana nzvimbo yekurapa asi inogara ichitarisa mukati.
Murwere anogona kunzwa kudziya, kurira, kana kuremerwa zvishoma, zvinova zvakajairika. Apa ndipo apo varwere vanorondedzera kudzikamisa maitiro. (Shilpadevi Patil et al., 2016 )
Tsono dzinonyatsobviswa.
Murwere anogona kunzwa kurerukirwa zvakanyanya uye anozopihwa zano kuti asimuke zvishoma nezvishoma kudzivirira dzungu.
Panogona kunge paine kuvava, kutsvuka, kana mavanga panzvimbo inopinza tsono, zvinova zvakajairika uye zvinofanirwa kugadziriswa nekukurumidza.
Murwere achapihwa kurudziro yekudzivisa kuita basa rakaoma, kunyorovesa mvura, uye kuita zvinyoro nyoro.
Acupuncture Benefits
Acupuncture yakaratidzwa kuva yekuwedzera kurapa kwekuzorodza marwadzo uye manejimendi. Zvakanakira acupuncture:
Inovandudza Circulation
Acupuncture inokurudzira kutenderera kweropa, iyo inodyisa tsinga dzakakuvadzwa kana kushatirwa uye inosimudzira kupora.
Izvi zvinobatsira kubvisa sciatica zviratidzo, senge chiveve, kurira, uye kurwadziwa. (Song-Yi Kim et al., 2016 )
Inoburitsa Endorphins
Acupuncture inokonzera kusunungurwa kwe endorphins uye mamwe makemikari echisikigo anobvisa marwadzo, ayo anobatsira kubvisa marwadzo. (Shilpadevi Patil et al., 2016 )
Inogadzirisa Nervous System
Acupuncture inogadzirisa mhinduro dzetsitsi uye parasympathetic, izvo zvinoderedza kushushikana, kushushikana, uye kurwadziwa. (Xin Ma et al., 2022 )
Inozorodza Mimhasuru
Kurwadziwa kwetsinga kazhinji kunoperekedza kushushikana kwetsandanyama uye spasms.
Acupuncture inozorodza tsandanyama dzakasimba, kuderedza kumanikidza uye kupa zororo. (Zhihui Zhang et al., 2023 )
Kubva Zviratidzo kusvika Kugadziriswa
VIDEO
References
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Zhang, WB, Jia, DX, Li, HY, Wei, YL, Yan, H., Zhao, PN, Gu, FF, Wang, GJ, & Wang, YP (2018). Kunzwisisa Qi Kumhanya muMeridians seInterstitial Fluid Inoyerera kuburikidza neInterstitial Space yeLow Hydraulic Resistance. Chinese magazini yemishonga inobatanidza, 24 (4), 304-307. doi.org/10.1007/s11655-017-2791-3
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Lim, TK, Ma, Y., Berger, F., & Litscher, G. (2018). Acupuncture uye Neural Mechanism muKutarisira kweLow Back Pain-An Update. Mishonga (Basel, Switzerland), 5(3), 63. doi.org/10.3390/medicines5030063
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by Dr Alex Jimenez Kudzorera Pain , Dzose Kudzorera Painini , chisingaperi Pain , Electroacupuncture Therapy , Sciatica , Sciatica Nerve Pain , Mishonga , Viscerosomatic Reflex
Migumisiro ye electroacupuncture inogona kuderedza sciatica kune vanhu vanobata nemarwadzo ekudzokera shure kuti vadzorere kufamba kwavo?
ziviso
Kana vanhu vazhinji vatanga kushandisa zvakanyanya tsandanyama dzavo muzasi quadrants, zvinogona kutungamira kune dzakawanda nyaya dzinokonzera marwadzo uye kusagadzikana. Imwe yematambudziko anowanzo marwadzo muzasi quadrants ye musculoskeletal system is sciatica, iyo inobatanidza nekurwadziwa kwepashure. Iyi marwadzo duo inogona kukanganisa maitiro emunhu ezuva nezuva uye inotungamirira kumarwadzo nekusagadzikana. Ichi chirwere chemusculoskeletal chinowanzoitika, uye kana chinokanganisa rimwe remakumbo uye nechepasi shure, vanhu vazhinji vanotaura kuti imarwadzo ekupfura anopenya asingaendi kwechinguva. Sezvineiwo, kune marapiro akaita se electroacupuncture kuderedza sciatica yakabatana nekurwadziwa kwemusana. Nyaya yanhasi inotarisa sciatica-low-back connection, kuti electroacupuncture inoderedza sei marwadzo aya, uye kuti electroacupuncture inogona sei kudzorera kufamba kumunhu. Isu tinotaura nevanopihwa zvekurapa vanosimbisa ruzivo rwevarwere kuti vaongorore nzira yekudzikisa sciatica-low-back connection ne electroacupuncture. Isu tinozivisawo uye kutungamira varwere nezve nzira iyo electroacupuncture therapy inogona kusanganiswa nemamwe marapirwo kudzorera kufamba kumuviri. Tinokurudzira varwere vedu kuti vabvunze avo vanobatana navo vezvokurapa mibvunzo yakaoma uye yakakosha pamusoro pekubatanidza electroacupuncture therapy sechikamu chemaitiro avo ekuderedza sciatica inobatanidza nekurwadziwa kwepamusoro. Dr. Jimenez, DC, anosanganisira ruzivo urwu sebasa rezvidzidzo. Disclaimer .
The Sciatica & Low Back Connection
Iwe unonzwa tsandanyama aches kana kurwadziwa kuzasi kwako kumashure kana makumbo ako? Iwe unonzwa kupenya, kuputika kurwadziwa mumakumbo ako kunokanganisa kukwanisa kwako kufamba? Kana kuti wakamboona here kuti makumbo ako nemusana wako zvinorwadza zvakanyanya paunenge wakatakura chinhu chinorema? Zvizhinji zvezviitiko izvi zvinosanganiswa ne sciatica, iyo inopindirana nekurwadziwa kwepashure. Iye zvino, sciatica inowanzoonekwa nekurwadziwa kunowedzera kunofamba ne sciatic nerve kubva kumucheto kumashure, kukanganisa hupenyu hwemunhu. Mumusculoskeletal system, sciatic nerve inoita basa rinokosha nekupa motokari basa kumakumbo. ( Davis et al., 2024 ) Ikozvino, kana sciatic nerve, nharaunda yelumbar ine basa rakakosha. Iyo lumbar dunhu munharaunda yemusculoskeletal inewo basa rakakosha mukupa rutsigiro, simba, uye kuchinjika kumuviri. Zvisinei, zvose zviri zviviri sciatic nerve uye lumbar spinal region zvinowanzoita kushungurudzika uye kukuvara kubva mukukuvara kwekukuvara uye zvakatipoteredza zvinogona kukanganisa lumbar spinal discs uye sciatic nerve.
Kudzokorora mafambiro, kufutisa, kusimudza zvisina kunaka, kuderera kwemusana, uye musculoskeletal mamiriro ezvinhu ndezvikonzero zvishomanana uye njodzi dzinokonzera kukura kwe sciatica inobatanidza nechepasi kumashure. Chii chinozoitika ndechekuti mvura yemukati uye kuderera kunoramba kuripo kweproteoglycans ye spinal discs inoputsika pakati pe vertebrae uye inobuda kunze kuti itsigire pane sciatic nerve, iyo inogona kushatirwa uye kukonzera kutaurwa kunopisa marwadzo mumakumbo uye kuzasi musana. . ( Zhou et al., 2021 ) Iko kusanganiswa kwesciatica uye kurwadziwa kwepashure kunogona kuva nyaya yehupfumi hwevanhu zvichienderana nekuoma kwemarwadzo ayo sciatic nerve inokonzera uye inogona kuita kuti vanhu varasikirwe pane chero mabasa avari kuita. Siddiq et al., 2020 ) Nepo sciatica-senge zviratidzo zvinowanzoenderana nenharaunda yelumbar, vanhu vazhinji vanogona kuwana zororo ravari kutsvaga kuburikidza nekurapa kwakasiyana.
Sciatica Zvinokonzera- Vhidhiyo
VIDEO
Electroacupuncture Kuderedza The Sciatica-Low Back Connection
Kana zvasvika pakudzikisa sciatic-low-back connection, vanhu vazhinji vanotsvaga kurapwa kunokwanisika uye kunoshanda mukuderedza marwadzo-senge nyaya. Mishonga isiri-yekuvhiya senge electroacupuncture inogona kubatsira kune vanhu vazhinji vari kunzwa sciatica marwadzo anoenderana nechepasi musana. Electroacupuncture imwe nzira yechinyakare acupuncture therapy inotangira kuChina. Vakadzidziswa zvakanyanya ma acupuncturists vanotevera iwo akafanana acupuncture misimboti nekuisa yakasimba tsinga dzakatetepa pamaacupoints akasiyana mumuviri kudzorera qui kana chi (simba rekuyerera). Electroacupuncture inobatanidza tsono uye electrostimulation kuti kuderedze marwadzo epakati-anogadzirisa maitiro anokonzera kuderera kwemarwadzo ekudzokera shure uye sciatica nekuvhara zviratidzo zvinorwadza uye kupa zororo rekurwadziwa. ( Kong, 2020 ) Panguva imwecheteyo, electroacupuncture inopa analgesic properties kukurudzira endorphins uye kuderedza marwadzo ekurwadziwa kwemarwadzo emusana zvakachengeteka. ( Sung et al., 2021 )
Electroacupuncture Kudzorera Kufamba
Apo makumbo ezasi ari kusangana nekufamba zvishoma nekuda kwe sciatica inobatanidza nekurwadziwa kwepashure, electroacupuncture inogona kubatsira kuzorora mamhasuru ari kuwedzera sciatic nerve uye kunyange kubatsira kuvandudza kuyerera kweropa kune lumbar tsandanyama. Izvi zvinodaro nekuti electroacupuncture inogona kukurudzira chaiwo matunhu emuviri kuderedza somato-vagal-adrenal reflexes kusunungura uye kudzoreredza kufamba kune yakaderera migumo. ( Liu et al., 2021 ) Uyezve, electroacupuncture inogona kusanganiswa nemamwe maitiro asina kuvhiyiwa kuti abatsire kusimbisa nheyo uye mutsara wepamusoro, zvichiita kuti vanhu vanyatsofunga kuti ndezvipi zvinokonzera sciatica uye kurwadziwa kwepashure. Nokuita izvi, vanhu vazhinji vari kurwisana ne sciatica yakabatana nemarwadzo ekudzokera shure vanogona kusanganisira electroacupuncture sechikamu chepurogiramu yavo yekurapa pamwe chete nemaitiro akazara ekuvandudza mararamiro avo uye kupa nzira yekuvandudza kufamba kwavo.
References
Davis, D., Maini, K., Taqi, M., & Vasudevan, A. (2024). Sciatica. In StatPearls . www.ncbi.nlm.nih.gov/pubmed/29939685
Kong, JT (2020). Electroacupuncture yeKurapa Kurwara Kwekudzokera Kweshure Kusingaperi: Preliminary Research Results. Med Acupunct , 32 (6), 396-397. doi.org/10.1089/acu.2020.1495
Liu, S., Wang, Z., Su, Y., Qi, L., Yang, W., Fu, M., Jing, X., Wang, Y., & Ma, Q. (2021). A neuroanatomical hwaro hwe electroacupuncture kutyaira iyo vagal-adrenal axis. muzvarirwo , 598 (7882), 641-645. doi.org/10.1038/s41586-021-04001-4
Siddiq, MAB, Clegg, D., Hasan, SA, & Rasker, JJ (2020). Extra-spinal sciatica uye sciatica mimics: kuongorora kwekuongorora. Korean J Pain , 33 (4), 305-317. doi.org/10.3344/kjp.2020.33.4.305
Sung, WS, Park, JR, Park, K., Youn, I., Yeum, HW, Kim, S., Choi, J., Cho, Y., Hong, Y., Park, Y., Kim, EJ , & Nam, D. (2021). Kubudirira uye kuchengetedzwa kwe electroacupuncture kune nonspecific isingaperi kurwadziwa kwepashure: A protocol yekuongorora kwakarongeka uye / kana meta-analysis. Mushonga (Baltimore) , 100 (4), e24281. doi.org/10.1097/MD.0000000000024281
Zhou, J., Mi, J., Peng, Y., Han, H., & Liu, Z. (2021). Causal Associations of Obesity neIntervertebral Degeneration, Low Back Pain, uye Sciatica: A Two-Sample Mendelian Randomization Study. Front Endocrinol (Lausanne) , 12 , 740200. doi.org/10.3389/fendo.2021.740200
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