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 Sciatica , Spine Care
Vanhu vakapfuura nekuvhiyiwa kwakaderera kumashure, senge lumbar laminectomy uye discectomy, vangabatsirwa here nekurapa kwepanyama kuti vadzore zvizere? (Johns Hopkins Mushonga. 2008 )
Rehabilitation Exercise Program
A lumbar laminectomy uye discectomy inzira yekuvhiya inoitwa nachiremba wemapfupa kana neurologic kuti abatsire kuderedza marwadzo, kubvisa zviratidzo zvinosanganiswa uye manzwiro, nekuvandudza kushanduka uye kufamba. Maitiro acho anosanganisira kucheka kure disc uye bhonzo zvinhu zvinomanikidza, zvinogumbura, uye zvinokuvadza musana wetsinga. (Johns Hopkins Mushonga. 2023 )
Mushure mekuvhiyiwa
Murapi achashanda nemunhu kuti agadzire chirongwa chekudzorerazve. Chinangwa chechirongwa chekuvandudza muviri ndechekubatsira munhu:
Zorora tsandanyama dzavo kudzivirira kusimba kwetsandanyama uye kuva vakanyanya kungwarira
Dzorerazve huwandu hwakazara hwekufamba
Simbisa musana wavo
Dzivirira kukuvara
Nhungamiro yezvaunofanira kutarisira mukurapa kwemuviri.
Postural Retraining
Mushure mekuvhiyiwa kumashure, vanhu vanofanirwa kushanda kuti vachengetedze chimiro chakakodzera kana vakagara uye vakamira. (Johns Hopkins Mushonga. 2008 )
Kudzora kwemashure kunokosha kuti udzidze sezvo ichichengetedza yakadzika kumashure munzvimbo yakakwana yekudzivirira uye kukurumidza kuporeswa kwe lumbar discs uye tsandanyama.
Murapi wepanyama anodzidzisa munhu kugara nechimiro chakakodzera uye kushandisa lumbar rutsigiro.
Kuwana uye kuchengetedza kumira kwakaringana ndechimwe chezvinhu zvakakosha kubatsira kudzivirira musana uye kudzivirira matambudziko ekumashure.
Kuekisesaiza Kufamba
Kufamba ndeimwe yeakanakisa maekisesaizi mushure mekuvhiyiwa lumbar. (Johns Hopkins Mushonga. 2008 )
Kufamba kunobatsira kuvandudza hutano hwemwoyo uye kutenderera kweropa mumuviri wese.
Izvi zvinobatsira kupa okisijeni yakawedzerwa uye zvinovaka muviri kumitsipa yemuzongoza uye matishu pavanenge vachipora.
Icho chiito chakarurama chinoisa musana munzvimbo yechisikigo, iyo inobatsira kuchengetedza ma discs.
Murapi anozobatsira kumisa chirongwa chinoenderana nemamiriro emunhu.
Prone Press Up
Imwe yezviitwa zvekudzivirira kumashure uye lumbar discs inowanzoitika press-ups. (Johns Hopkins Mushonga. 2008 ) Ichi chiito chinobatsira kuchengetedza spinal discs iri panzvimbo yakakodzera. Inobatsirawo kuvandudza kugona kupfugama kumashure mukuwedzera kwe lumbar.
Kuita kurovedza muviri:
Rara wakatarisa pasi payoga / meti yekurovedza muviri uye isa maoko ese ari maviri pasi pasi pemapfudzi.
Chengeta musana uye mahudyu akasununguka.
Shandisa mawoko kudzvanya chikamu chepamusoro chemuviri kumusoro uchibvumira kuzasi kuti kurambe kwakatarisana nepasi.
Panofanira kunge paine kakudzvanya kuzasi kumashure uchidzvanya kumusoro.
Bata iyo yekudzvanya-kumusoro kwemasekonzi maviri.
Zvishoma nezvishoma dzika kumashure kusvika panzvimbo yekutanga.
Dzokorora kwe10 kusvika ku15 kudzokorora.
Sciatic Nerve Gliding
Vanhu vaiva nemarwadzo emakumbo kubva kumashure vasati vavhiyiwa vanogona kunge vakaonekwa kuti vane sciatica kana kutsamwa kwe sciatic nerve. Mushure mekuvhiyiwa, vanhu vanogona kuona kuti gumbo ravo rinonzwa rakasimba pese pavanoritwasanudza munzira yese. Ichi chinogona kunge chiri chiratidzo chekunamatira / kubatwa sciatic nerve midzi, dambudziko rinowanzoitika ne sciatica.
Mushure me lumbar laminectomy uye kuvhiyiwa kwe discectomy, murapi wepanyama anonyora maekisesaizi anonangwa anonzi sciatic nerve glides kutambanudza uye kugadzirisa mafambiro etsinga. (Richard F. Ellis, Wayne A. Hing, Peter J. McNair. 2012 )
Nerve glides inogona kubatsira kusunungura yakanamatira nerve midzi uye kubvumira kufamba kwakajairika.
Kuita kurovedza muviri:
Rara nemanhede wokotamisa ibvi rimwe mudenga.
Bata pasi pebvi nemaoko.
Rongedza ibvi uchiritsigira nemaoko.
Kana ibvi ranyatsotwasuka, shandura uye wedzera chidzitiro kanenge ka5.
Dzokera kunzvimbo yekutanga.
Dzokorora sciatic nerve glide ka10.
Iwo maekisesaizi anogona kuitwa kakati wandei kubatsira kuvandudza mafambiro etsinga uye kutsvedza muzasi kumashure uye gumbo.
Supine Lumbar Flexion
Mushure mekuvhiyiwa, zvinyoro-nyoro kumashure flexion maekisesaizi anogona kubatsira zvakachengeteka kutambanudza yakaderera-kumashure tsandanyama uye zvinyoro nyoro kutambanudza mavanga mavanga kubva pakuvhiya incision. Supine lumbar flexion ndeimwe yezviitwa zviri nyore zvekuvandudza lumbar flexion range yekufamba.
Kuita kurovedza muviri:
Rara nemusana wakakotama mabvi.
Zvishoma nezvishoma simudza mabvi akakotama uchienda kuchipfuva uye ubate mabvi nemaoko maviri.
Dhonza zvinyoronyoro mabvi akananga kuchipfuva.
Bata nzvimbo ye1 kana 2 seconds.
Zvishoma nezvishoma kuderedza mabvi kudzokera kunzvimbo yekutanga.
Ita kwekudzokorora gumi.
Rega kurovedza muviri kana uine kuwedzera kwemarwadzo muzasi kumashure, matako, kana makumbo.
Hip uye Core Kusimbisa
Kana yacheneswa, vanhu vanogona kufambira mberi kune abdominal uye yepakati yekusimbisa chirongwa. Izvi zvinosanganisira kuita mafambiro chaiwo ehudyu nemakumbo uchichengeta pelvic isina kwayakarerekera. Maekisesaizi ekusimbisa hudyu epamusoro anobatsira kuburitsa simba uye kugadzikana mumamhasuru anotenderedza nzvimbo yepelvic nekudzika kumashure. Murapi wepanyama anogona kubatsira kusarudza kuti ndeapi maekisesaizi anokurudzirwa kune chaiwo mamiriro.
Kudzokera-ku-Kubasa uye Kuita Zvenyama
Kana vanhu vachinge vawana yakagadziridzwa lumbar yekufamba, hip, uye core simba, chiremba wavo uye murapi anogona kukurudzira kushanda pane chaiwo mabasa kuti avabatsire kudzokera kune yavo yapfuura nhanho yebasa nekutandara. Zvichienderana nebasa rebasa, vanhu vangangoda:
Shanda pamaitiro akakodzera ekusimudza.
Inoda kuongororwa kweergonomic kana vakapedza nguva vakagara padhesiki kana nzvimbo yebasa.
Vamwe vanachiremba vanovhiya vangave nemiganhu yekuti munhu anogona kukotama, kusimudza, uye kumonyoroka kubva masvondo maviri kusvika matanhatu mushure mekuvhiyiwa.
Kuvhiyiwa kwepasi-shure kunogona kuve kwakaoma kudzorera zvakanaka. Kushanda nemupi wehutano uye physician therapist , vanhu vanogona kuva nechokwadi chekuvandudza mararamiro avo, simba, uye kufamba kwekushanda kuti vadzokere kuhutano hwavo hwekare hwekushanda nokukurumidza uye zvakachengeteka.
Sciatica, Zvinokonzera, Zviratidzo uye Mazano
VIDEO
References
Johns Hopkins Mushonga. (2008). Nzira yekupora mushure mekuvhiyiwa kwe lumbar spine .
Johns Hopkins Mushonga. (2023). Zvishoma Zvinopisa Lumbar Discectomy .
Ellis, RF, Hing, WA, & McNair, PJ (2012). Kuenzanisa kwelongitudinal sciatic nerve movement nemaitiro akasiyana ekusimudzira: in vivo kudzidza uchishandisa ultrasound imaging. The Journal of orthopedic uye mitambo yekurapa kwepanyama, 42 (8), 667-675. doi.org/10.2519/jospt.2012.3854
by Dr Alex Jimenez Nerve Injury , Sciatica
Vanhu vari kunzwa kurira kana mapini uye kunzwa tsono kunobata maoko kana makumbo vanogona kunge vachisangana neparesthesia, iyo inoitika kana tsinga yakadzvanywa kana kukuvara. Kuziva zviratidzo uye zvikonzero zvingabatsira here mukuongororwa uye kurapwa?
Paresthesia Muviri Sensations
Kunzwa chiveve kana kurira kana ruoko, gumbo, kana tsoka yarara haisi nyaya yekutenderera kweropa asi kushanda kwetsinga.
Paresthesia imanzwiro asina kujairika anonzwa mumuviri nekuda kwekudzvanywa kana kushatirwa kwetsinga.
Inogona kuve yekukonzeresa senge yakamanikidzwa / pinched nerve.
Kana kuti zvinogona kunge zvichikonzerwa nekurwara, kukuvara, kana kurwara.
zviratidzo
Paresthesia inogona kukonzera zviratidzo zvakasiyana-siyana. Zviratidzo izvi zvinogona kubva pane zvakapfava kusvika kune zvakanyanya uye zvinogona kuva zvenguva pfupi kana kwenguva refu. Zviratidzo zvinogona kusanganisira: (National Institute of Neurological Disorders uye Stroke. 2023 )
Tingling
Pini uye nesipo sensations
Kunzwa kuti ruoko kana gumbo rabatwa nehope.
Numbness
Itching.
Kunzwa kutsva.
Kunetsa kubata mamhasuru.
Kunetseka kushandisa ruoko kana gumbo rabatwa.
Zviratidzo zvinowanzogara kwemaminitsi makumi matatu kana pasi.
Kudzungudza nhengo yakabatwa kazhinji kunobvisa manzwiro.
Paresthesia inowanzobata ruoko rumwe chete kana gumbo panguva.
Zvisinei, zvose maoko nemakumbo zvinogona kukanganiswa, zvichienderana nechikonzero.
Bvunza varapi vehutano kana zviratidzo zvikapera kweanopfuura maminetsi makumi matatu. Kurapa kunogona kudiwa kana paresthesia body sensations inounzwa nechikonzero chakakomba chinokonzera.
Zvinokonzera
Kugara nemaitiro asina kunaka uye asina kunaka anogona kudzvanya tsinga uye kuburitsa zviratidzo. Nekudaro, zvimwe zvikonzero zvinonyanya kunetseka uye zvinogona kusanganisira:
Kutsvaga Rubatsiro Kuchipatara
Kana zviratidzo zvikasapera mushure memaminitsi makumi matatu kana kuramba uchidzoka nekuda kwezvikonzero zvisingazivikanwe, fonera varapi vehutano kuti vazive kuti chii chiri kukonzera kusanzwa zvakanaka. Mhosva iri kuwedzera inofanira kutariswa nemupi wehutano.
kuongorora chirwere
Mutariri wehutano achashanda nemunhu kuti anzwisise zviratidzo uye aite ongororo yakakodzera yekuongorora kuti aone chikonzero. Mutariri wehutano achasarudza bvunzo zvichienderana nekuongororwa kwemuviri. Maitiro akajairika ekuongororwa anosanganisira: (Merck Manual Professional Version. 2022 )
Magnetic resonance imaging - MRI yemuzongoza, uropi, kana magumo.
X-ray kuti ibvise kukanganisa kwemapfupa, sekutyoka.
Kuongororwa kweropa.
Electromyography - EMG zvidzidzo.
Nerve conduction velocity - NCV bvunzo.
Kana paresthesia ichiperekedzwa nemarwadzo ekumusana kana emutsipa, mupi wehutano anogona kufungidzira tsinga yakamanikidzwa / yakatsikirirwa.
Kana munhu wacho ane nhoroondo yechirwere cheshuga chisingadzoreki zvakanaka, vanogona kufungidzira peripheral neuropathy.
mabatiro
Kurapa kweparesthesia kunoenderana nekuongororwa. Mutariri wehutano anogona kubatsira kuona yakanakisa nzira yekuita kune chaiyo mamiriro.
huta System
Kana zviratidzo zvikakonzereswa nepakati tsinga mamiriro akaita seMS, vanhu vanozoshanda padhuze nemutarisiri wavo wehutano kuti vawane kurapwa kwakakodzera.
Physical therapy inogona kukurudzirwa kubatsira kuvandudza kufamba kwese kushanda. (Nazanin Razazian, et al., 2016 )
Spinal Nurve
Kana paresthesia inokonzerwa nekumanikidzwa kwetsinga yemuzongoza, senge sciatica, vanhu vanogona kutumirwa kune chiropractor uye timu yekurapa kwemuviri kusunungura tsinga nekumanikidza. (Julie M. Fritz, nevamwe, 2021 )
Murapi wepanyama anogona kuraira maekisesaizi emuzongoza kuti abvise kudzvanywa kwetsinga uye kudzoreredza kunzwa kwakajairika uye kufamba.
Kusimbisa maitiro ekudzorera kushanduka uye kufamba kunogona kurongerwa kana kushaya simba kuripo pamwe chete neparesthesia body sensations.
Herniated Disc
Kana herniated disc iri kukonzera manzwiro asina kujairika, uye hapana kuve nekuvandudzwa nematanho ekuchengetedza, mupi wehutano anogona kupa zano rekuvhiyiwa kuti abvise kumanikidzwa patsinga / s. (American Association yeNeurological Surgeons. 2023 )
Mukuvhiya senge laminectomy kana discectomy, chinangwa ndechekudzoreredza basa retsinga.
Mushure mekuvhiyiwa, vanhu vanogona kukurudzirwa kuna chiremba wepanyama kuti vabatsire kuwanazve kufamba.
Peripheral Neuropathy
Chii chinonzi Plantar Fasciitis?
VIDEO
References
National Institute of Neurological Disorders uye Stroke. (2023) Paresthesia .
American Association yeNeurological Surgeons. (2023) Herniated disc .
National Institute of Diabetes uye Digestive uye Kidney Zvirwere. (2018) Peripheral neuropathy .
Merck Manual Professional Version. (2022) Numbness .
Razazian, N., Yavari, Z., Farnia, V., Azizi, A., Kordavani, L., Bahmani, DS, Holsboer-Trachsler, E., & Brand, S. (2016). Kushandisa Maitiro Pakuneta, Kushungurudzika, uye Paresthesia muVarwere vechikadzi vane Multiple Sclerosis. Mushonga nesainzi mumitambo uye kurovedza muviri, 48 (5), 796-803. doi.org/10.1249/MSS.0000000000000834
Fritz, JM, Lane, E., McFadden, M., Brennan, G., Magel, JS, Thackeray, A., Minick, K., Meier, W., & Greene, T. (2021). Physical Therapy Referral From Primary Care for Acute Back Pain With Sciatica: A Randomized Controlled Trial. Annals yemishonga yemukati, 174 (1), 8-17. doi.org/10.7326/M20-4187
by Dr Alex Jimenez Kukanganiswa kwakakomba , Sciatica
Kubatanidza kurapwa kwechiropractic neakajairika marapirwo emushonga, kurovedza muviri, uye / kana kurapa kwemuviri kunobatsira kubvisa sciatic endometriosis kurwadziwa zviratidzo?
Sciatic Endometriosis
Sciatic endometriosis imamiriro ekuti masero eendometrial (tishu inofanana neranza rechibereko) inokura kunze kweiyo uterine lining uye nekumanikidza sciatic nerve. Izvi zvinoisa kushushikana uye kudzvanywa patsinga inokonzera musana, pelvic, muhudyu, uye kurwadziwa kwemakumbo, kunyanya pamberi uye panguva yekuenda kumwedzi. Inogonawo kukonzera marwadzo, nguva dzisina kujairika, uye kushaya mbereko. (IAmerican College yeObstetricians uye Gynecologists. 2021 )
Idzi nzvimbo dze endometrial tissue kukura dzinozivikanwawo semaronda kana ma implants.
Vakadzi vane sciatic endometriosis vanowanzonzwa kurwadziwa kwemakumbo uye kupera simba mukati menguva yavo yekuenda kumwedzi. (Lena Marie Seegers, et al., 2023 )
Sciatic endometriosis inogonawo kukonzera marwadzo kana weti, panguva yekufamba ura, panguva yebonde, uye kuneta, uye kubuda ropa kusingaenzaniswi.
Iyo Sciatic Nerve
Kazhinji, maronda e endometrial anokura uye anonamira kumaovari, fallopian chubhu, dundira, matumbu, rectum, kana peritoneum/abdominal cavity lining. (IAmerican College yeObstetricians uye Gynecologists. 2021 )
Kukura kusina kujairika kunogona kukonzerwa nepamusoro-kupfuura-yakajairika mazinga eestrogen.
Vatsvakurudzi vanotenda kuti endometriosis ine hukama nekudzoka kumwedzi, izvo zvinoita kuti ropa rekuenda kumwedzi riyerere richidzokera muchiuno panzvimbo yekubuda nemukati memukadzi. (Sangano Rinoona nezve Utano Pasi pose. 2023 )
Dzimwe nguva, masero anokura munzvimbo yepelvis kumusoro kwe sciatic nerve. (Adaya Yahaya, et al., 2021 )
Iyo sciatic nerve ndiyo tsinga refu kwazvo mumuviri uye inofamba ichidzika kumashure kwegumbo rega rega. (Johns Hopkins Mushonga. 2023 )
Kana maronda e endometrial achiisa kudzvanywa pane sciatic nerve, anogona kukonzera kushatirwa uye kuzvimba kunotungamira kurwadziwa kwakanyanya kwepelvic, izvo zvinoita kuti zviome kubata pamuviri. (Liang Yanchun, et al., 2019 )
zviratidzo
Vamwe vakadzi vane endometriosis havaone zviratidzo kana kududzira zvisizvo zviratidzo senge premenstrual syndrome/PMS zviratidzo. Zviratidzo zvinowanzoonekwa uye zviratidzo zve sciatic endometriosis zvinosanganisira:
Kutadza kufamba kana kumira.
Kurasikirwa kwekunzwa, kushaya simba kwetsandanyama, uye kuchinja kwereflex.
Kukamhina.
Matanho epakati.
Kuzvimba uye kusvotwa.
Kuzvimbirwa kana kuita manyoka pamberi kana mushure mekutevera.
Zvinorwadza, zvinorema, uye/kana nguva dzisina kujairika.
Kubuda ropa pakati pekutevera.
Marwadzo panguva yebonde, weti, uye ura.
Marwadzo mudumbu, pelvis, kuzasi musana, chiuno, uye magaro. (MedlinePlus. 2022 )
Kushaya simba, kuita chiveve, kurira, kupisa, kana kusanzwa kurwadza kwemusana kwegumbo rimwe chete kana ose.
Kudonha kwetsoka kana dambudziko rekusimudza pamberi petsoka. (Center for Endometriosis Care. 2023 )
Kushaya mbereko.
Kuneta.
Kuora mwoyo uye kuzvidya mwoyo.
kuongorora chirwere
Endometriosis, kusanganisira sciatic endometriosis, kazhinji haigone kuongororwa nepelvic bvunzo kana Ultrasound pachayo. Mupi wehutano angangoda kuita biopsy achishandisa laparoscopy uye kukurukura kutenderera kwekuenda kumwedzi, zviratidzo, uye nhoroondo yekurapa.
Iyo laparoscopy maitiro inosanganisira kuita diki diki uye kutora matishu sampu ine maturusi akasungirirwa pachubhu yakatetepa ine kamera. (MedlinePlus. 2022 )
Miedzo yekufungidzira, senge magineti resonance imaging/MRI, uye computed tomography/CT scans, inogona kubatsira kupa ruzivo rwakakosha nezvenzvimbo uye saizi yechero maronda eendometrial. (IAmerican College yeObstetricians uye Gynecologists. 2021 )
mabatiro
Zviratidzo zvinogona dzimwe nguva kudzoreredzwa kwenguva pfupi ne-over-the-counter/OTC zvinoderedza marwadzo. Zvichienderana nemamiriro uye kuoma kwehutano mupi wehutano anogona kuraira kurapwa kwehomoni kudzivirira matsva endometrial implants kubva pakukura. Izvi zvinogona kusanganisira:
Hormonal birth control.
Progestin - chimiro chekugadzira cheprogesterone.
Gonadotropin-inoburitsa hormone - GnRH agonists.
Kana kurwadziwa kukaramba kuchienderera kana kuwedzera, vanhu vangangoda kuvhiyiwa kuti vabvise nyama.
Muzviitiko zvakanyanya, hysterectomy kana kuvhiyiwa kubviswa kwechibereko kunogona kukurudzirwa. (IAmerican College yeObstetricians uye Gynecologists. 2021 )
Physical therapy , kurovedza muviri kwakapfava, uye kushandisa kupisa kana kutonhora kunzvimbo yakakanganisika kunogonawo kubatsira. (Johns Hopkins Mushonga. 2023 )
Sciatica Pakadzika
VIDEO
References
IAmerican College yeObstetricians uye Gynecologists. Endometriosis.
Seegers, LM, DeFaria Yeh, D., Yonetsu, T., Sugiyama, T., Minami, Y., Soeda, T., Araki, M., Nakajima, A., Yuki, H., Kinoshita, D., Suzuki, K., Niida, T., Lee, H., McNulty, I., Nakamura, S., Kakuta, T., Fuster, V., & Jang, IK (2023). Zvepabonde Kusiyana muCoronary Atherosclerotic Phenotype uye Kuporesa Pateni paOptical Coherence Tomography Imaging. Kutenderera. Cardiovascular imaging, 16(8), e015227. doi.org/10.1161/CIRCIMAGING.123.015227
Sangano Rinoona nezve Utano Pasi pose. Endometriosis.
Yahaya, A., Chauhan, G., Idowu, A., Sumathi, V., Botchu, R., & Evans, S. (2021). Carcinoma inomuka mukati me sciatic nerve endometriosis: nyaya yenyaya. Nyaya yekuvhiya nyaya mishumo, 2021(12), rjab512. doi.org/10.1093/jscr/rjab512
Johns Hopkins Mushonga. Sciatica.
Yanchun, L., Yunhe, Z., Meng, X., Shuqin, C., Qingtang, Z., & Shuzhong, Y. (2019). Kubviswa kwe endometrioma ichipfuura nekuruboshwe hukuru sciatic foramen vachishandisa concomitant laparoscopic uye transgluteal approach: case report. BMC hutano hwevakadzi, 19(1), 95. doi.org/10.1186/s12905-019-0796-0
MedlinePlus. Endometriosis.
Center for Endometriosis Care. Sciatic endometriosis.
Chen, S., Xie, W., Strong, JA, Jiang, J., & Zhang, JM (2016). Sciatic endometriosis induces mechanic hypersensitivity, segmental nerve kukuvara, uye kuzvimba kwakasimba kwenzvimbo mumakonzo. European Journal of pain (London, England), 20 (7), 1044-1057. doi.org/10.1002/ejp.827
Siquara de Sousa, AC, Capek, S., Howe, BM, Jentoft, ME, Amrami, KK, & Spinner, RJ (2015). Magnetic resonance imaging uchapupu hwekupararira kweperineural ye endometriosis kune lumbosacral plexus: chirevo chezviitiko zviviri. Neurosurgical focus, 2(39), E3. doi.org/10.3171/2015.6.FOCUS15208
by Dr Alex Jimenez Sciatica , Spine Care
The lumbosacral plexus iri pane posterolateral wall ye chiuno chidiki , pedyo ne lumbar spine. A plexus network ye intersecting nerves inogovera midzi, matavi, uye mabasa. Iyo sacral plexus inetiweki inobuda kubva kuzasi kwemusana. Iyo plexus inozozvipinza mukati me psoas hombe tsandanyama uye inobuda muchiuno. Idzi tsinga dzinopa kutonga kwemota uye kugamuchira ruzivo rwekunzwa kubva kune zvikamu zvepelvis negumbo. Sacral nerve kusagadzikana zviratidzo, chiveve, kana mamwe manzwiro uye kurwadziwa zvinogona kukonzerwa nekukuvadzwa, kunyanya kana tsinga midzi yakamanikidzwa, yakabatana, ichikwizwa, uye yakatsamwiswa. Izvi zvinogona kukonzera zviratidzo zvakaita sekurwadziwa kwemusana, kurwadziwa kumashure uye mativi emakumbo, nyaya dzekunzwa dzinokanganisa groin nemagaro, uye dundira kana ura matambudziko. Injury Medical Chiropractic uye Functional Medicine Clinic inogona kugadzira hurongwa hwekurapa hwemunhu kuti ubvise zviratidzo, kusunungura tsinga, kuzorodza tsandanyama, uye kudzoreredza basa.
Sacral Plexus
Anatomy
Iyo sacral plexus inoumbwa ne lumbar spinal tsinga, L4 uye L5, uye sacral tsinga S1 kuburikidza S4.
Masanganiswa akati wandei eiyi spinal nerves anosangana pamwechete obva apatsanuka kuita matavi e sacral plexus.
Wese munhu ane maviri sacral plexi - Kuwanda kweplexus - imwe kudivi rekurudyi uye kuruboshwe iyo inofananidzwa muchimiro uye basa.
mamiriro
Kune akati wandei plexi mumuviri wese. Iyo sacral plexus inovhara nzvimbo yakakura yemuviri maererano nemota uye sensory nerve basa.
Spinal nerves L4 uye L5 inoumba lumbosacral trunk, uye anterior rami ye sacral spinal nerves S1, S2, S3, uye S4 inobatana ne lumbosacral trunk kuti iite sacral plexus.
pashure rami ndiwo mapazi etsinga akananga kumberi kwespinal cord/ kumberi kwemuviri.
Pane imwe neimwe nhanho yemusana, anterior motor midzi uye posterior sensory midzi inobatana kuti iite musana wetsinga.
Imwe neimwe tsinga yemuzongoza inobva yapatsanuka mune anterior - ventral - uye posterior - dorsal - rami chikamu.Imwe neimwe inogona kuve nemota uye / kana mabasa ekunzwa.
The sacral plexus inopatsanurwa kuita matavi akati wandei , zvinosanganisira:
Superior gluteal nerve - L4, L5, uye S1.
Inferior gluteal nerve - L5, S1, uye S2.
The sciatic nerve - ndiyo tsinga huru yesacral plexus uye pakati petsinga huru mumuviri - L4, L5, S1, S2, uye S3
The common fibular nerve - L4 kuburikidza neS2, uye tibial nerves - L4 kuburikidza neS3 matavi e-sciatic nerve.
Posterior femoral cutaneous nerve - S1, S2, uye S3.
Pudendal nerve - S2, S3, uye S4.
Iyo tsinga kune quadratus femoris muscle inoumbwa neL4, L5, uye S1.
Iyo obturator internus muscle nerve - L5, S1, uye S2.
Iyo piriformis muscle nerve - S1 uye S2.
basa
Iyo sacral plexus ine basa rakakura mukati mechiuno nemakumbo. Matavi anopa nerve stimulation kune akati wandei mamhasuru. Iwo sacral plexus nerve matavi anogamuchirawo mameseji ekunzwa kubva paganda, majoini, uye zvimiro zvepelvis nemakumbo.
motokari
Mota tsinga dzesacral plexus dzinogamuchira masaini kubva kuuropi dzinofamba dzichidzika nembiru yemuzongoza, kunze kune mota tsinga matavi eiyo sacral plexus kukurudzira kuputika kwemhasuru uye kufamba. Mota tsinga dzesacral plexus dzinosanganisira:
Superior Gluteal Nerve
Iyi tsinga inopa kukurudzira kune gluteus minimus, gluteus medius, uye tensor fascia lata , ari mamhasuru anobatsira kufambisa hudyu kure nepakati pemuviri.
Inferior Gluteal Nerve
Iyi tsinga inopa kukurudzira kune gluteus maximus, mhasuru huru inofambisa hudyu nechemberi.
Sayenzi Nerve
Iyo sciatic nerve ine tibial chikamu uye yakajairika fibular chikamu, iyo ine mota uye inonzwa mabasa.
Chikamu chetibial chinokurudzira chikamu chemukati chehudyu uye chinoshandisa misumbu kumashure kwegumbo uye pasi petsoka.
Iyo inowanikwa fibular chikamu che sciatic nerve inokurudzira uye inofambisa chidya nemabvi.
The common fibular nerve inomutsa tsandanyama pamberi nemativi emakumbo uye inotambanudza zvigunwe kuti zvitwasanuke.
Pudendal Nerve
Iyo pudendal nerve inewo mabasa ekunzwa anokurudzira tsandanyama dze urethral sphincter kudzora weti uye tsandanyama dzeanal sphincter kudzora defecation.
Tsinga kune quadratus femoris inomutsa tsandanyama kufambisa chidya.
Iyo tsinga kune obturator internus muscle inokurudzira musuru kutenderedza mahudyu uye kudzikamisa muviri kana uchifamba.
Nhunga kumusana wepiriformis inokurudzira musuru kutamisa chidya kure nemuviri.
Conditions
Iyo sacral plexus, kana nzvimbo dzeplexus, dzinogona kukanganiswa nechirwere, kukuvara kwekukuvara, kana cancer. Nekuti nerve network ine matavi mazhinji uye zvikamu, zviratidzo zvinogona kuvhiringa . Vanhu vanogona kunzwa kurasikirwa kwekunzwa kana kurwadziwa munzvimbo dzepelvis negumbo, kana pasina kushaya simba kwemhasuru. Mamiriro ezvinhu anokanganisa sacral plexus anosanganisira:
gumo
Kukuvara kunorwadza kwepelvis kunogona kutambanudza, kubvarura, kana kukuvadza sacral plexus nerves.
Kubuda ropa kunogona kupisa nekumanikidza tsinga, zvichikonzera kusashanda zvakanaka.
Neuropathy
Kukanganiswa kwetsinga kunogona kukanganisa sacral plexus kana zvikamu zvayo.
Neuropathy inogona kubva kune:
chirwere cheshuga
Vitamini B12 kukwana
Mimwe mishonga - chemotherapeutic meds
Chepfu semutobvu
Doro
Metabolic zvirwere
Kurwara
Utachiona hwemusana kana nharaunda yepelvic inogona kupararira kune sacral plexus nerve kana kuburitsa abscess, zvichikonzera zviratidzo zvekukanganiswa kwetsinga, kurwadziwa, kupfava, uye manzwiro akatenderedza nharaunda ine hutachiona.
kenza
Gomarara richikura muchiuno kana kupararira kuchiuno kubva kumwe kunhu rinogona kumanikidza kana kutapurira sacral plexus nerves.
Kurapa kweChirwere Chiri Chimiro Chekurapa
Rehabilitation inotanga nekurapa kwehutano hwepamusoro hunokonzera matambudziko etsinga.
Kurapa kenza - kuvhiyiwa, chemotherapy, uye / kana radiation.
Mishonga inorwisa mabhakitiriya yezvirwere.
Kurapa kweuropathy kunogona kuve kwakaoma nekuti chikonzero chinogona kunge chisina kujeka, uye munhu anogona kusangana nezvikonzero zvakati zveuropathy panguva imwe chete.
Kukuvara kukuru kwepelvic sekudhumhana kwemotokari kunogona kutora mwedzi, kunyanya kana paine mabhonzo akawanda akatyoka.
Mota uye Sensory Recovery
Zvinetso zvekunzwa zvinogona kukanganisa kufamba, kumira, uye kugara.
Kujairana nekusakwana kwekunzwa chikamu chakakosha chekurapa, kudzoreredza, uye kupora.
Chiropractic, kudzvinyirira , masaja, uye kurapa kwemuviri kunogona kubvisa zviratidzo, kudzoreredza simba, kushanda, uye kudzora mota.
Sciatica Zvakavanzika Zvakazarurwa
VIDEO
References
Dujardin, Franck et al. "Yakawedzerwa anterolateral transiliac nzira kune sacral plexus." Orthopedics & traumatology, kuvhiyiwa & tsvagiridzo: OTSR vol. 106,5 (2020): 841-844. doi:10.1016/j.otsr.2020.04.011
Eggleton JS, Cunha B. Anatomy, Dumbu uye Pelvis, Pelvic Outlet. [Yakagadziridzwa 2022 Aug 22]. Mu: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023 Jan-. Inowanikwa kubva: www.yori.nlm.nih.gov/books/NBK557602/
Garozzo, Debora et al. "Mukukuvara kwe lumbosacral plexus tinogona kuona zviratidzo zvinofanotaura kupora kwega kana kudiwa kwekuvhiyiwa? Mhedzisiro kubva kuongororo yekiriniki pavarwere makumi manomwe nevaviri. " Chinyorwa chebrachial plexus uye peripheral nervekukuvara vol. 72 9,1. 1 Jan. 11, doi:2014/10.1186-1749-7221-9
Gasparotti R, Shah L. Brachial uye Lumbosacral Plexus uye Peripheral Nerves. 2020 Feb 15. Muna: Hodler J, Kubik-Huch RA, von Schulthess GK, vapepeti. Zvirwere zveBrain, Musoro uye Mutsipa, Spine 2020-2023: Diagnostic Imaging [Internet]. Cham (CH): Springer; 2020. Chitsauko 20. Inowanikwa kubva: www.yori.nlm.nih.gov/books/NBK554335/ doi: 10.1007/978-3-030-38490-6_20
Norderval, Stig, et al. "Sacral nerve stimulation." Tidsskrift for den Norske laegeforening : tidsskrift for praktisk medicin, ny raekke vol. 131,12 (2011): 1190-3. doi:10.4045/tidsskr.10.1417
Neufeld, Ethan A et al. "MR Kufungidzira kweLumbosacral Plexus: Ongororo yeMatekiniki uye Pathologies." Chinyorwa cheNeuroimaging: chinyorwa chepamutemo cheAmerican Society of Neuroimaging vol. 25,5 (2015): 691-703. doi:10.1111/jon.12253
Vashandi, Nathan P, naAnthony J Windebank. "Peripheral neuropathy nekuda kwekushomeka kwevhitamini, chepfu, uye mishonga." Continuum (Minneapolis, Minn.) vol. 20,5 Peripheral Nervous System Disorders (2014): 1293-306. doi:10.1212/01.CON.0000455880.06675.5a
Yin, Gang, et al. "Obturator Nerve Transfer kuBazi reTibial Nerve Innervating Gastrocnemius Muscle yeKurapa kweSacral Plexus Nerve Injury." Neurosurgery vol. 78,4 (2016): 546-51. doi:10.1227/NEU.0000000000001166
by Dr Alex Jimenez Mamiriro Ekutongwa , Sciatica , Kurara Utano
Kurara pasi pamubhedha kana pamubhedha apo gumbo rezasi rinobata nekunzwa kwakanyanya uye kurwadziwa kusingamire, uye tsandanyama inogona kunetsa kubata. Paunenge uchiedza kufambisa gumbo, unonzwa wakaoma mitezo. Nhepfenyuro dzemakumbo dzeusiku, dzinonzi mhasuru dzemhasuru kana Charley mabhiza , zvinoitika kana tsandanyama dzegumbo rimwe chete kana kupfuura dzakaomesa zvisingaite. Vanhu vanogona kunge vakasvinura kana kuti vakarara kana gumbo rarova. Chiropractic kurapwa, kudzvinyirira , uye kukwiza kurapa kunogona kubatsira kubvisa zviratidzo, kutambanudza uye kuzorodza tsandanyama, uye kudzorera kushanda uye hutano.
Nhepfenyuro Yegumbo reusiku
Nhepfenyuro dzemakumbo dzemasikati dzinowanzokanganisa gastrocnemius / mhuru yemhuru. Nekudaro, ivo vanogona zvakare kukanganisa mamhasuru ari pamberi pehudyu / quadriceps uye kumashure kwehudyu / hamstrings.
Kazhinji, mhasuru yakasimba inozorora mukati memaminitsi asingasviki gumi.
Gumbo nenzvimbo inogona kunzwa kurwadza uye kunyorova mushure.
Kugara kwemhuru usiku kunogona kukonzera matambudziko ekurara.
Nhepfenyuro dzemakumbo dzemasikati dzinowanzoonekwa pakati pevakadzi nevakuru vakuru.
Zvinokonzera
Iko hakuna kunozivikanwa chikonzero chaicho, zvichiita kuti nyaya zhinji dzive idiopathic. Nekudaro, pane zvinozivikanwa zvinhu zvinogona kuwedzera njodzi. Izvi zvinogona kusanganisira:
Kugara Kwenguva Nenzvimbo
Kugara wakachinjika makumbo kana zvigunwe zvakanongedza kwenguva yakareba zvinopfupisa/kukweva tsandanyama dzemhuru, izvo zvinogona kukonzera kukandira.
Kumira Nekumira Kwenguva refu
Vanhu vakamira kwenguva yakareba vane mukana wekusangana nemarwadzo ehusiku kubva kumamhasuru akatsikirirwa.
Muscle Overexertion
Kurovedza muviri kwakanyanyisa kunogona kugadzira tsandanyama yakawandisa uye kunogona kuita kuti ma cramps.
Nerve Activity Abnormalities
Kushaikwa Kwekuita Kwemuviri / Kurovedza muviri
Tsandanyama dzinoda kugara dzakatambanudzwa kuti dzishande nemazvo.
Kusaita basa remuviri kwenguva refu kunopedza tsandanyama, zvichiita kuti ive nyore kukuvara.
Kupfupisa The Tendons
Marunda, anobatanidza tsandanyama nemapfupa, anopfupika zvawo nekufamba kwenguva.
Pasina kutambanudza, izvi zvinogona kukonzera cramping.
Makumbo anogona kuenderana nenzvimbo yetsoka kana akarara, tsoka nezvigunwe zvichienda kure nemuviri, inozivikanwa se plantar flexion .
Izvi zvinopfupisa tsandanyama dzemhuru, zvichiita kuti dzinyanye kubatwa nekupwanya.
Makumbo emakumbo usiku haakwanisi kuva chiratidzo chehutano hwakanyanya, asi hunobatanidzwa nemamiriro anotevera:
Musculoskeletal disorders.
Mamiriro ezvinhu - tsoka dzakadzika kana spinal stenosis.
Metabolic disorders sechirwere cheshuga.
Kuberekwa.
Mishonga - statins uye diuretics.
Neurological kusagadzikana, senge mota neuron chirwere kana peripheral neuropathy.
Neurodegenerative disorders.
Chiropa, itsvo, uye thyroid mamiriro.
Mamiriro emwoyo.
Chiropractic uye Physical Therapy
Kudzoreredzwa nechiropractic, masaja, uye kurapwa kwemuviri zvinoenderana nekuoma kwekukuvara uye mamiriro. A chiropractic chirongwa chekurapa chinogona kusanganisira zvinotevera:
Mhuru dzemhuru dzichitambanudza.
Targeted Stretch Exercises.
Progressive mhuru inotambanudza maekisesaizi - chirongwa chenguva dzose chekutambanudza uye kushanduka chichawedzera huwandu hwekufamba uye kudzivirira kukuvara kwemhuru mune ramangwana.
Foam rolling - kunyorova kuzvimesa nefuro roller kunogona kubatsira kuderedza spasms uye kunatsiridza kutenderera kweropa.
Percussive massage.
Mitsipa yekusimbisa tsandanyama inovaka simba remhasuru uye kurongeka kudzivirira kukuvara kwedambudziko remangwana.
Kurapa kumba kunogona kusanganisira:
Chengetedza Hydration
Fluids inobvumira kushanda kwemhasuru.
Vanhu vangangoda kugadzirisa kuti yakawanda sei mvura inonwiwa zvichienderana nemamiriro ekunze, zera, chiitiko chebasa, uye mishonga.
Chinja Position yekurara
Vanhu vanofanira kudzivisa kurara munzvimbo iyo tsoka dziri kunongedzera pasi.
Edza kurara nemanhede nepiro kuseri kwemabvi.
Self Massage
Kukwiza tsandanyama dzinenge dzabatwa kunobatsira kuti vazorore.
Shandisa ruoko rumwe kana maviri kana pfuti yekukwiza kukanya nekusunungura tsandanyama zvinyoro nyoro.
Stretching
Kutambanudza kwakasiyana-siyana kunochengetedza kurapwa, kubatsira kuchengetedza mhasuru uye kudzorera tsandanyama.
Stationary Cycle
Maminitsi mashomanana ekufambisa nyore nyore anogona kubatsira kusunungura mitsipa yemakumbo asati avata.
Kufamba paZvitsitsinho
Izvi zvichaita kuti mhasuru dziri kune rumwe rutivi rwemhuru dzishande, zvichiita kuti mhuru dzizorore.
Kutsigira Footwear
Shangu dzisina kunaka dzinogona kuwedzera nyaya netsinga nemamhasuru mutsoka nemakumbo. Orthotics inogona kubatsira.
Heat Application
Kupisa kunogona kunyaradza mhasuru dzakasimba uye kunowedzera kuyerera kweropa kunzvimbo.
Isa tauro rinopisa, bhodhoro remvura, pad yekudziya, kana tsandanyama topical cream kunzvimbo yakabatwa.
Bhati rinodziya kana shawa (kana iripo, shower massage setting) inogonawo kubatsira.
Sciatica Zvakavanzika Zvakazarurwa
VIDEO
References
Allen, Richard E, naKarl A Kirby. "Nusiku dzegumbo cramps." Chiremba wemhuri yeAmerica vol. 86,4 (2012): 350-5.
Butler, JV nevamwe. "Husiku hwemakumbo emakumbo muvanhu vakuru." Postgraduate medical journal vol. 78,924 (2002): 596-8. doi:10.1136/pmj.78.924.596
Garrison, Scott R et al. "Magnesium ye skeletal tsandanyama cramps." Iyo Cochrane Database yekuongorora kwakarongeka vol. 2012,9 CD009402. Sep 12, 2012, doi:10.1002/14651858.CD009402.pub2
Giuffre BA, Black AC, Jeanmod R. Anatomy, Sciatic Nerve. [Yakagadziridzwa 2023 Chivabvu 4]. Mu: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023 Jan-. Inowanikwa kubva: www.yori.nlm.nih.gov/books/NBK482431/
Handa, Junichi, et al. "Nocturnal Leg Cramps uye Lumbar Spinal Stenosis: A Cross-Sectional Study muNharaunda." International Journal of general medicine vol. 15 7985-7993. Nov 1 2022, doi:10.2147/IJGM.S383425
Hsu D, Chang KV. Gastrocnemius Strain. [Yakagadziridzwa 2022 Aug 22]. Mu: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023 Jan-. Inowanikwa kubva: www.yori.nlm.nih.gov/books/NBK534766/
Vashandi veMayo Clinic. (2019). Night gumbo cramps. mayoclinic.org/symptoms/night-leg-cramps/basics/causes/sym-20050813
Monderer, Renee S et al. "Nusiku dzegumbo cramps." Current Neurology uye Neuroscience report vol. 10,1 (2010): 53-9. doi:10.1007/s11910-009-0079-5
by Dr Alex Jimenez Kukanganiswa kwakakomba , Sciatica
Iyo piriformis imhasuru yakakura uye ine simba iri pasi pe gluteal / buttocks tsandanyama. Inomhanya kubva pasi pe sacrum, apo nheyo yemusana uye pelvis inopindirana kusvika kumusoro kwechikadzi. Iyi tsandanyama inoita basa rakakosha mukumhanya kufamba; inobatsira kunze kutenderedza chiuno uye gumbo repamusoro kunze, inopa kushanduka kwehudyu uye kugadzikana, uye inogadzirisa chiuno. Iyo sciatic nerve inopfuura pedyo, pamusoro, pasi, kana kuburikidza nepiriformis muscle. Apo piriformis zvibvumirano kana spasms, zvinogona kutsamwisa, kubatwa uye kudzvinyirira nerve, zvichiita zviratidzo zvinorwadza. Izvi zvinogona kukonzera matambudziko akasiyana uye sei piriformis syndrome inoitika.
Kumhanya Piriformis Syndrome
Basa rakakodzera repiriformis muscle inokosha kune vatambi vanobatanidzwa mukumhanya mitambo. Zviitiko zvekudzokorora, sekumhanya, zvinogona kunetesa tsandanyama uye kushatirisa nekupisa tsinga.
zviratidzo
Piriformis syndrome inogona kuva yakaoma kuongorora nokuti inogona kuvhiringidzika kune herniated disc, sciatica, a proximal hamstring strain / high hamstring tendinitis, kana matambudziko emusana. Zvimwe zviratidzo zvinogona kubatsira kuziva kana piriformis ndiyo chikonzero zvinosanganisira:
Kugara, Masitepisi, Squatting Kusagadzikana kana Marwadzo
Vanhu havawanzosangana nekusagadzikana pavanenge vachimhanya.
Pane kudaro, yakagara, kukwira masitepisi, uye squatting apo zviratidzo zvinorwadza zviripo.
Marwadzo paunenge uchimhanya, kunyanya manzwiro akatambanudzwa kana uchikwira mugomo kana kuwedzera kukurumidza, zvinonyanya kubatanidzwa neproximal hamstring strain.
Tenderness
Nzvimbo yakapoteredza piriformis ine nyoro.
Kushandisa kumanikidza kunogona kukonzera kusagadzikana kana kurwadziwa kwakapoteredza nzvimbo uye kupenya pasi pegumbo.
Pakati Pain
Piriformis syndrome inowanzonzwika pakati pe glutes.
A proximal hamstring strain inowanzokonzera marwadzo asina kupenya pazasi pe glutes, apo hamstrings inobatana nepelvis.
Zvinokonzera
Pelvic misalignment.
Pelvic misalignments yakagadzirwa nemamwe mamiriro ezvinhu, kufanana nemakumbo akarereka, kushanda kwegumbo-kureba kusawirirana, kana kuita maitiro asina kunaka, inoita kuti piriformis ishande zvakaoma kubhadhara, izvo zvinotungamirira kusimba uye / kana spasms.
Kuwedzera kamwe kamwe kure kana kusimba kwekushanda kunogona kukuvadza chero kushaya simba mupiriformis uye mamwe masumbu akazara.
Kuramba uchimhanya, izvo zvinogoneka, zvinogona kuwedzera uye kuwedzera mamiriro acho.
Paunenge uchimhanya, masaini emhasuru ekufambisa anokanganiswa nekuzvimba uye/kana kudzvanywa uye haakwanise kuwiriranisa.
Mhedzisiro ndeyekutadza kumirisana nekudzokorora kudzokororwa kwekumhanya.
Kwete kudziyisa pamwe glute-activation exercises kunowedzera njodzi yekushanda piriformis syndrome.
Chiropractic Treatment
Kuzorora kunogona kunge kusina kukwana kuderedza piriformis syndrome . Izvi zvinonyanya kuitika kana dambudziko rinosanganisira musana uye pelvic misalignment. Chiropractic inogona kupa zororo rakakura kubva kumhanya piriformis syndrome. Kusanganiswa kwemusana, pelvic, uye magumo ekugadzirisa, kurapa massage, MET, decompression, stretches, uye anti-inflammatory kudya kunobvisa kudzvinyirira kunzvimbo dzakanyanya kuoma, kugadzirisa muviri, uye kuchengetedza nervous system kushanda. .
Fomu yekumhanya yaigona kuongororwa nekutariswa kusawirirana kwegumbo-kureba uye kusaenzana kwemhasuru-simba.
Kumhanya kunogona kuenderera mberi kana munhu wacho achigona kudaro pasina kurwadziwa kana zviratidzo.
Asi zvinokurudzirwa kudzivirira nzvimbo dzakatenuka, izvo zvinowedzera njodzi yepelvic misalignment.
Dzivisa kumhanya kwenguva refu, izvo zvinowedzera mukana wekuremerwa uye kuneta.
Chinangwa ndechekuzorora uye kusunungura piriformis.
Kana iri kukanganisa sciatic nerve, kusunungura uye kusunungura tsandanyama kunoderedza zvakanyanya marwadzo ekupenya.
Orthotics inogona kukurudzirwa kuwedzeredza zvakanyanya kana kufamba kwemukati kwetsoka pakumhara.
Mamwe marapirwo ekumisa piriformis spasms.
Ice uye kutora-the-counter anti-inflammatory mishonga inogona kushandiswa panguva dzakaoma zvikamu apo nzvimbo yacho ine nyoro.
Shanda nzvimbo dzakasimba uchishandisa foam roller kana percussive massager.
Kutambanudza uye kusunungura mhasuru isati yatanga uye mushure mekumhanya kunogona kuibatsira kuzorodza uye kuwedzera kuyerera kweropa.
Anotambanudza senge pigeon pose uye kumira nhamba yechina uye maekisesaizi akadai mapuranga emativi ane gumbo rinosimudza zvinokurudzirwa.
Kuvaka Muviri Wakasimba
VIDEO
References
Ahmad Siraj, Sidra, naRagini Dadgal. "Physiotherapy yePiriformis Syndrome Uchishandisa Sciatic Nerve Mobilization uye Piriformis Release." Cureus vol. 14,12 e32952. 26 Zvita 2022, doi:10.7759/cureus.32952
Chang A, Ly N, Varacallo M. Piriformis Jekiseni. [Yakagadziridzwa 2022 Sep 4]. Mu: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023 Jan-.
Heiderscheit, Bryan, uye Shane McClinton. "Kuongorora uye Kutungamira kweHip uye Pelvis Kukuvara." Physical Medicine uye makiriniki ekuvandudza eNorth America vol. 27,1 (2016): 1-29. doi:10.1016/j.pmr.2015.08.003
Julsrud, M E. “Piriformis syndrome.” Chinyorwa cheAmerican Podiatric Medical Association vol. 79,3 (1989): 128-31. doi:10.7547/87507315-79-3-128
Kraus, Emily, nevamwe. "Piriformis Syndrome Ine Variant Sciatic Nerve Anatomy: Nyaya Yenyaya." PM & R: The Journal of Injury, Function, and Rehabilitation vol. 8,2 (2016): 176-9. doi:10.1016/j.pmrj.2015.09.005
Lenhart, Rachel, nevamwe. "Hip tsandanyama inoremerwa panguva yekumhanya pamatanho akasiyana." Iyo Journal yeOrthopedic uye mitambo yekurapa kwemuviri vol. 44,10 (2014): 766-74, A1-4. doi:10.2519/jospt.2014.5575
Sulowska-Daszyk, Iwona, and Agnieszka Skiba. "Kupesvedzera kweSelf-Myofascial Release pane Muscle Flexibility muLong-Distance Runners." International Journal yekutsvagisa kwezvakatipoteredza uye hutano hweveruzhinji vol. 19,1 457. Jan 1, 2022, doi:10.3390/ijerph19010457
by Dr Alex Jimenez Nerve Injury , Sciatica
Hazvishamisi kuti vamhanyi vanzwe kurira, mapini netsono, uye chiveve mutsoka dzavo pavanenge vachimhanya. Kumhanya chiveve chetsoka idambudziko rinowanzoitika kune vanomhanya uye rinogona kugadziriswa nyore. Chiveve chichava mune chimwe chikamu chetsoka kana zvigunwe chete. Dzimwe nguva inogona kupararira mutsoka yose. Zvikonzero zvakasiyana, zvizhinji zvacho zvisina kukomba, zvinogona kugadziriswa nyore nyore. Zvikonzero zvakakomba zvinogona kurapwa nechiropractic, masaja, decompression therapy, uye inoshanda mushonga.
Running Foot Numbness
Zvikonzero, nei tsoka dzichinzwa kunzwa chiveve kana uchimhanya, zvinosanganisira:
Shangu dzisina kunaka.
Laces dzakasungwa zvakanyanya.
Foot strike pattern.
Chimiro chetsoka.
Purogiramu yekudzidzisa.
Tsandanyama tightness.
Compressed nerve.
Medical mamiriro akafanana neuromas kana peripheral neuropathy.
Footwear
Chikonzero chinowanzoita kuti tsoka iite chiveve kuva neshangu dzakasimba zvakanyanya dzinoisa tsinga dzakawedzerwa.
Kana ichi chingava chikonzero, mushonga wacho ndewekutora shangu itsva.
Edza kutsvaga chitoro chinoshanda shangu dzekumhanya uye kumbira rubatsiro.
Nyanzvi dzeshangu dzinotarisa kukura kwetsoka, chimiro, uye kumhanya mhanya.
Semuenzaniso, vanhu vane tsoka yakakura vanogona kuda chimiro chine yakakura / yakakura toebox kana kumberi kweshangu inogara kumberi. Wana peya inokwana hafu kusvika ku size yakazara yakakura pane yakajairika saizi yeshangu yemazuva ese.
Izvi zvinodaro nekuti pakumhanya, tsoka dzinozvimba, kunyanya mukupisa nekunyorova kwekunze.
Kukwira hafu kana saizi yakazara inogashira masokisi akakora kune vanhu vanomhanya mukutonhora kwemamiriro ekunze.
Dzimwe nguva chiveve chinogona kubva kune biomechanical nyaya dzinogona kugadziriswa neshangu chaiyo.
Tight Laces
Dzimwe nguva hadzisi bhutsu asi tambo dzakanyanya kusimba.
Kudhonza matinji kuti uwane kusimba kutenderedza chiziso zvakajairika, asi izvi zvinogona kubata tsinga dziri pamusoro petsoka pachiziso/anterior tarsal tunnel , yakafanana neye carpal mugero muchanza.
Izvi zvinogona kuva dambudziko kune vanhu vane yakakwirira matare .
Kusunungura tambo kunokurudzirwa.
Zvisinei, vamhanyi vanganzwa vasina kuchengeteka netambo dzakasununguka.
Kuedza zvakasiyana lacing matekiniki inokurudzirwa kuwana imwe inochengetedza shangu dzakasununguka pasina kugadzira kudzvinyirira kusina kufanira pamusoro petsoka.
kushandisa padding pasi perurimi rweshangu inogona kubatsira.
Foot Fall Pattern
Dzimwe nguva kumhanya fomu kunogona kuisa kudzvanywa patsinga izvo, zvinotungamira kune chiveve.
Overstriding Kugadzirisa nyaya iyi kunogona kuwanikwa nekupfupisa nhanho uye kutarisa pakumhara pane midsole.
Nenzira iyi, tsoka dzichamhara zvakananga pasi pemuviri.
Kumhanya sekutsika marasha anopisa kunokurudzirwa, kuchengetedza mafambiro akareruka uye nekukurumidza.
Kugadzirisa overstriding inochengetedza simba uye inoderedza njodzi yeshin splints.
Chiropractor yemitambo, murapi wepanyama, kana murairidzi anomhanya anogona kubatsira kunyatso-tune fomu kune yakananga nhungamiro.
Chimiro chetsoka
Iyo anatomy yetsoka, kunyanya maarches, inogona kubatsira mukumhanya kwetsoka kupera simba.
Tsoka dzakati sandarara zvinoreva kuti pasi pese petsoka imwe neimwe yasangana nepasi kana isina shangu.
Tsoka dzakanyanya kuchinjika dzine mukana wekusangana netsinga.
Izvi zvinogona kugadziriswa neshangu orthotic inoisa.
Over-the-counter orthotics inogona kushanda, asi tsika orthotics imwe sarudzo kana ikasadaro.
Muscle Tightness
Misimba yakaoma, isingachinjiki inogona kutungamirira kune anatomical mamiriro ayo anounza nerve pressure.
Maekisesaizi ekudziya asati amhanya achaita kuti tsandanyama dzisununguke uye dzigadzirire.
Kutambanudza kwakakosha zvikuru pamberi uye mushure mekumhanya.
Vanhu vane tsika yekuomesa tsandanyama vanofanirwa kusanganisira maekisesaizi ekuchinja.
Yoga inogona kuvandudza kushanduka uye kurongeka kwemuviri.
Foam rollers uye mamwe maturusi emassage anozogadzira kinks munzvimbo dzinoomesa uye dzinokanganisa tsinga, senge quadriceps, mhuru, hamstrings, uye IT band.
Nguva dzose mitambo yemassage uye chiropractic inogona kubatsira kuchengetedza muviri kuchinjika.
Sciatic Nerve Issues
Nhunga dzakamanikidzwa dzinokonzera kudzikira kwekunzwa kunzvimbo dzinopihwa nerve.
Chiveve chetsoka, kunyanya kutenderedza chitsitsinho kana pachete, chinogona kukonzerwa nekutsikirira tsinga.
Marwadzo anobva kusciatica anogona kubva kumusana asi anogona kupedzisira akonzera kusanzwa mutsoka uye/kana zvigunwe.
Kusagadzikana kwemaitiro, misumbu yakasimba yepiriformis, kana kumwe kukuvadzwa kwemusana kunogona kukonzera sciatica.
Chiropractor kana murapi wepanyama anogona kupa decompression therapy, MET inotambanudza, uye kurovedza muviri.
dziviriro
Kazhinji yenguva, kumhanya kwetsoka kusanzwa kunogona kurapwa nekugadzirisa shangu kana maitiro. Heano mazano mashoma ekudzivirira kukuvara:
Ongorora Shangu
Kutanga, iva nechokwadi chokuti tambo dzeshangu hadzina kunyanya kusimba.
Kana shangu dzisina kugadzikana paunenge uchimhanya, tsvaga imwe seti uye uwane tsika yekukodzera.
Running Form
Dzivisa kuwandisa nekutarisa pakumhara pane midsole pane chitsitsinho.
Izvi zvichabvisa kumanikidzwa kwetsoka.
Foot Orthotics
Vanhu vane tsoka dzakati sandara, arches akakwirira, kana tsoka dzinochinjika zvakanyanya vanofanirwa kufunga nezve orthotics.
Dzivisa Kunyanyorovedza
Kushanda mazuva ekuzorora muchirongwa chekudzidziswa uye zvishoma nezvishoma kuvaka kudzivirira kukuvara zvakanyanya.
Chiropractic uye Physical Therapy
Kana zviratidzo zvikasachinja, ona chiremba, podiatrist, kana chiropractor kuitira kuti vabvise mamiriro uye kugadzira kurapwa kwemunhu ronga.
Mabhenefiti eCustom Foot Orthotics
VIDEO
References
Aldridge, Tracy. "Kuona kurwadziwa kwetsitsinho muvakuru." Chiremba wemhuri yeAmerica vol. 70,2 (2004): 332-8.
Atik, Aziz, uye Selahattin Ozyurek. "Flexible flatfoot." Makiriniki eMaodzanyemba eIstanbul vol. 1,1 57-64. 3 Aug. 2014, doi:10.14744/nci.2014.29292
Jackson, DL, uye BL Haglund. "Tarsal tunnel syndrome mune vanomhanya." Mushonga wemitambo (Auckland, NZ) vol. 13,2 (1992): 146-9. doi:10.2165/00007256-199213020-00010
Souza, Richard B. "An Evidence-based Videotaped Running Biomechanics Analysis." Physical Medicine uye makiriniki ekuvandudza eNorth America vol. 27,1 (2016): 217-36. doi:10.1016/j.pmr.2015.08.006
Sridhara, CR, uye KL Izzo. "Terminal sensory mapazi epamusoro peroneal nerve: an entrapment syndrome." Zvinyorwa zvemishonga yepanyama uye Rehabilitation vol. 66,11 (1985): 789-91.
