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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.


Mvura Aerobics yeSimba uye Cardiovascular Health

Mvura Aerobics yeSimba uye Cardiovascular Health

Kune vanhu vanorarama nemarwadzo asingaperi uye zvirwere zvakasiyana-siyana seParkinson, arthritis, uye chirwere cheshuga, mvura aerobics inogona kubatsira here?

Mvura Aerobics yeSimba uye Cardiovascular Health

Mvura Aerobics

Water aerobics maekisesaizi asina simba-shoma anowanzoitwa mumadziva ekutuhwina. Inzira yakanaka yekurovedza muviri kuti ushande-muviri wakazara, kurovedza muviri kwakaderera pasina kushanda zvakanyanya majoini nemhasuru dzemuviri. Mamwe mazita anoshandiswa anosanganisira:

  • aquafitness
  • aqua aerobics
  • Aquarobics

Mhando dzakawanda dzinogona kuenderana nezvinodiwa nemunhu, kukuvara, uye / kana mamiriro. Iwo maekisesaizi ane akasiyana mabhenefiti ehutano, kunyanya kune avo vasingakwanise kuita mafambisirwo epamusoro.

Ainoita

Mvura aerobics inosanganisira kuita mamwe mafambiro anodzorwa senzira yekurovedza muviri. Mhando dzakasiyana dzinotarisa munzvimbo dzakasiyana dzehutano, kusanganisira (Harvard Health Publishing Harvard Medical School, 2023)

  • Strength training
  • Mwoyo
  • Nguva yekudzidziswa

Vanhu vanogonawo kuita mvura aerobics kana vachiziva mafambiro anobatanidzwa. (Harvard Health Publishing Harvard Medical School, 2023)

Zvakanakira Pool Exercises

Pane zvakawanda zvinobatsira zvinosanganiswa nemvura aerobics.

Nekuda kweiyo yakaderera-inokanganisa uye yakazara-muviri chimiro chezviitwa, vanhu vanogona kutarisira kuona kuvandudzwa (Pereira Neiva, H. et al., 2018) (Harvard Health Publishing Harvard Medical School, 2023)

Utano hwakabatana

  • Mvura aerobics yakapfava pamajoini uye kudiki strain.

Mwoyo

  • Kuramba kwemvura panguva yekurovedza muviri kunogona kuvandudza hutano hwemoyo pasina kusundidzira.
  • Zvidzidzo zvakaratidza kuti zvinogonawo kubatsira kudzora BP.

simba

  • Nekuda kwekudzivirira kubva mumvura, mamhasuru anoshanda zvakanyanya.

Kuonda

  • Iwo ekudzivirira mvura maexercises anopisa macalorie akawanda kupfuura ayo ari kunze kwemvura, izvo zvinogona kutungamira mukurasikirwa kwakawanda nekufamba kwenguva.

Mamiriro Ehutano Anogona Kubatsira

Mamwe ehutano mamiriro anogona kubatsira kubva mumvura aerobics anosanganisira (Harvard Health Publishing Harvard Medical School, 2023)

  • Kurwara kwenguva refu
  • chirwere chemumajoini
  • kufutisa
  • Hutano hwemwoyo
  • Ropa rinodzvinyirira
  • Kushungurudzika uye Kufunganya

midziyo

Vanhu vari kutora chikamu mumvura aerobics vachada sutu yekugezera, tauro, magirazi uye kepisi yekushambira kudzivirira maziso avo kana bvudzi kubva mumvura ine chlorine. Vanhu havadi zvimwe midziyo yakakosha pavanenge vachirovedza muviri sezvo mvura ichiita sekuwedzera kuramba. Foam dumbbells kana paddles anogona kushandiswa kuwedzera kuramba. Zvimwe zvingasarudzwa zvekushandisa zvinosanganisira: (Plunge San Diego, 2024) (Harvard Health Publishing Harvard Medical School, 2023)

  • Kickboards
  • Wrist uye zvitsitsinho zvinorema
  • Mabhandi ekumhanya-mhanya kwemvura
  • Bhawa rekushambira

Pool Exercises

Kune mhando dzakawanda dzemaekisesaizi edziva kubatsira kusvika pahutano uye kugwinya zvinangwa. Zvinosanganisira:

Kufamba Kwemvura

  • Chiito chekutanga chekufamba mumvura inzira yakanaka yekuwana muviri wakakwana.
  • Tanga nekumira mumvura yakadzika muchiuno netsoka dzakasimwa pasi pedziva.
  • Rebesa musana nekuunza mapendekete kumusoro uye kumashure uye kuenzanisa mapendekete nemahudyu nemabvi.
  • Pane imwe nzvimbo yakanaka yekutanga, famba mumvura, uchiisa chitsitsinho chekutanga uye zvigunwe, sekufamba kubva mumvura, uchitenderedza maoko kumashure uye mberi mumvura.
  • Ichi chiito chinogona kuitwa kwemaminitsi mashanu kusvika gumi.
  • Mamhasuru anozonyanya kutariswa ndiwo maoko, musimboti, uye muviri wepasi.

Arm Lifts

  • Simuka kusvika pamapfudzi mumvura.
  • Matinji akatarisa mudenga, dhonza magokora mudumbu uchisimudza maoko kumberi kwemuviri kumusoro kwemvura.
  • Kana wava pamusoro, tenderedza zvanza kuti zvitarise pasi uye zvishoma nezvishoma fambisa maoko kumashure pasi pasi kumativi.
  • Kuti uwedzere kuramba, chiitiko ichi chinogona zvakare kuitwa uchishandisa foam dumbbells.
  • Dzokorora chiito 10-15 nguva kune imwe kusvika kumatatu seti.
  • Mamhasuru anonangwa ndiwo musimboti nemhasuru dzemaoko.

Kusvetuka Jacks

  • Kuramba kwemvura kunoita kuti kusvetuka jack mumvura kuome zvakanyanya kupfuura pasi.
  • Kuti uite, tanga nekumira mumvura yechipfuva-yepamusoro makumbo ako pamwe chete uye maoko ako akananga pasi kumativi.
  • Kana wava panzvimbo, tanga panguva imwe chete uchitenderedza makumbo kudivi uye maoko pamusoro pemusoro usati wadzokera kunzvimbo yekutanga.
  • Tsandanyama dzakanangwa dzinosanganisira muviri wese uye hurongwa hwemoyo.
  • Wedzera zviyereso zvemaoko kana zviziso zvemakumbo kuti uwedzere kuramba uye kuita kuti chiitwa chinyanye kunetsa.

Mabviro Akakwirira-Kusimudza

  • Kuwedzerwa kwepamusoro-soro kwebvi kunoitwa wakamira mumvura yakadzika chiuno.
  • Kuti uite basa racho, shandisa core uye simudza gumbo rimwe munzvimbo yakakotama kusvikira yakwana nepamusoro pemvura.
  • Bata nzvimbo yacho kwemasekondi mashomanana, wobva wawedzera gumbo mberi uye ubatisise zvakare.
  • Mushure menguva yekubata, fambisa gumbo kumashure pasi nemumvura kusvika panzvimbo yekutanga apo uchirichengetedza uye uchishandura tsoka.
  • Dzokorora pamakumbo maviri maviri kusvika matatu seti ye15 reps pagumbo.
  • Shandisa zviyereso pamakumbo kuti uwedzere kupikisa.
  • Iwo mamhasuru anonangwa anosanganisira core, glutes, uye pasi pemuviri.

ngozi

Paunenge uchidzidzira mumvura, vanhu vangasacherechedza kuti vakadikitira zvakadini. Izvi zvinogona kuita kuti zviite sekuti kurovedza muviri hakuna kuoma uye kunogona kukonzera kupera simba. Vanhu vanofanirwa kugara vaine hydrate pamberi uye mushure mekudziva kurovedza muviri. Vanhu vasingakwanisi kushambira zvakanaka vanofanira kudzivisa maekisesaizi asingade mudziyo wekutsenga. Dzimwe nguva madziva anopisa, saka kusarudza imwe 90 madhigirii F kana pasi inokurudzirwa kuti muviri urege kupisa zvakanyanya paunenge uchisimbisa muviri.

Stop Pool Exercises Pakarepo

Kuita maekisesaizi edziva kunogona kuita sekunge kuri nyore kupfuura zvavari, zvichiita kuti ushande zvakanyanya. Rega kurovedza muviri nekukurumidza kana uchinzwa:

  • Marwadzo mune chero nzvimbo yemuviri
  • Kupfupika kwemhepo
  • Nauseated
  • Kufenda
  • Dzungu
  • Dzvinyiriro pamuviri wepamusoro kana chipfuva

Mamwe Mamiriro Ehutano Anobatsira

Mvura aerobics inokurudzirwa kune vanhu vazhinji, vane hutano hwakakwana kana vane chirwere chisingaperi. Avo vane chirwere chisingaperi vakaratidzwa kuti vanobatsirwa nemaitiro akaderera. (Faíl, LB et al., 2022Chimwe chidzidzo chakatarisa vanhu vane hutano hwakasiyana-siyana, nemigumisiro inoratidza kuti mamiriro ezvinhu anotevera akaona kuvandudzwa mushure memavhiki e12 ekudzidzira mvura nguva dzose (Faíl, LB et al., 2022)

  • chirwere cheshuga
  • chirwere chemumajoini
  • Fibromyalgia
  • Zvirwere zvepfupa
  • High blood pressure
  • Coronary artery disease
  • Kurohwa
  • Multiple sclerosis (MS)
  • Chirwere chePalinson

Nepo zvakanakira mvura maekisesaizi dzakadzidzwa uye dzakaratidzwa kuti dzinoshanda, vanhu vanofanirwa kucheneswa nenyanzvi yezvehutano vasati vatanga chero chirongwa chitsva chekurovedza muviri. Injury Medical Chiropractic uye Functional Medicine Clinic inoshanda nevarapi vekutanga vehutano uye nyanzvi kuti vagadzirise hutano hwakakwana uye hutano mhinduro kuburikidza nenzira yakabatanidzwa yekurapa kukuvara uye kusingaperi kurwadziwa syndromes, kuvandudza kuchinjika, kufamba, uye agility zvirongwa zvekubvisa marwadzo uye kubatsira vanhu kudzokera normal. Vapepi vedu vanogadzira zvirongwa zvekuchengetedza zvemunhu zvemurwere wega wega. Kana mamwe marapirwo achidiwa, Dr. Jimenez akabatana nevarapi vepamusoro, nyanzvi dzekiriniki, vatsvakurudzi vezvokurapa, uye vagadziri vekugadzirisa kuti vape mishonga inobatsira zvikuru.


Chiropractic uye Integrative Healthcare


References

Harvard Health Publishing Harvard Medical School. (2023). Mhando dzekutanga dzemvura-based exercises. HealthBeat. www.health.harvard.edu/healthbeat/basic-types-of-water-based-exercise

Pereira Neiva, H., Brandão Faíl, L., Izquierdo, M., Marques, MC, & Marinho, DA (2018). Mhedzisiro yemavhiki e12 emvura-aerobics pahutano hwehutano uye kusimba kwemuviri: maitiro ezvakatipoteredza. PloS imwe, 13(5), e0198319. doi.org/10.1371/journal.pone.0198319

Harvard Health Publishing Harvard Medical School. (2024). Zvakanakira mvura-based exercise. HealthBeat. www.health.harvard.edu/healthbeat/advantages-of-water-based-exercise

Plunge San Diego. (2024). 5 inofanira-iine zvimedu zvekushandisa zvemumvura zvekushandisa zvemvura aerobics. Plunge San Diego. plungesandiego.com/what-equipment-needed-water-aerobics-shoes/

Faíl, LB, Marinho, DA, Marques, EA, Costa, MJ, Santos, CC, Marques, MC, Izquierdo, M., & Neiva, HP (2022). Mabhenefiti ekurovedza muviri mumvura muvakuru vane uye vasina chirwere chisingaperi-Kuongorora kwakarongeka nemeta-analysis. Scandinavian magazini yemishonga & sainzi mumitambo, 32(3), 465-486. doi.org/10.1111/sms.14112

Kubudirira Kusina Kuvhiya Kurapa kweSciatica

Kubudirira Kusina Kuvhiya Kurapa kweSciatica

Kune vanhu vanobata sciatica, kurapwa kusiri kwekuvhiya senge chiropractic kuchengetedza uye acupuncture kunoderedza marwadzo nekudzorera basa?

ziviso

Muviri wemunhu muchina wakaoma unobvumira muenzi kuti afambe uye agadzikane paanenge achizorora. Nezvikwata zvakasiyana-siyana zvemhasuru munzvimbo dzepamusoro nedzezasi dzemuviri, mhasuru dzakatenderedza, mhasuru, tsinga, uye tsinga dzinoshanda chinangwa chemuviri sezvo vese vane mabasa chaiwo ekuchengetedza muenzi achishanda. Nekudaro, vanhu vazhinji vakagadzira maitiro akasiyana-siyana anokonzeresa zviitwa zvinonetsa izvo zvinokonzeresa kudzokorora mafambiro kumamhasuru avo uye tsinga uye kukanganisa musculoskeletal system yavo. Imwe yetsinga iyo vanhu vazhinji vanga vachibata nekurwadziwa ndeye sciatic nerve, iyo inokonzera nyaya dzakawanda muzasi kwemuviri migumo uye, kana isina kurapwa ipapo, inotungamirira kumarwadzo nekuremara. Sezvineiwo, vanhu vazhinji vakatsvaga kurapwa kusiri-kuvhiya kuderedza sciatica uye kudzorera basa remuviri kumunhu. Nyaya yanhasi inotarisa pakunzwisisa sciatica uye kuti kurapa kusiri kwekuvhiya senge chiropractic kuchengetedza uye acupuncture kunogona kubatsira kuderedza sciatic marwadzo-sezvinoita izvo zviri kukonzera kupindirana kwengozi profiles muzasi kwemuviri migumo. Isu tinokurukurirana nevazivisi vezvokurapa vane ruzivo vanobatana neruzivo rwevarwere kuti vaongorore kuti sciatica inowanzoenderana sei nemamiriro ezvinhu ezvakatipoteredza anokonzera kusagadzikana mumuviri. Isu tinozivisawo uye kutungamira varwere kuti kurapa kwakasiyana-siyana kusiri kwekuvhiya kunogona kubatsira sei kuderedza sciatica uye zviratidzo zvayo zvinowirirana. Isu tinokurudzirawo varwere vedu kuti vabvunze avo vanobatana navo vezvokurapa mibvunzo yakawanda yakaoma uye yakakosha nezve kubatanidza dzakasiyana siyana dzisiri dzekuvhiya marapirwo sechikamu che maitiro avo ezuva nezuva kuderedza mikana nemigumisiro ye sciatica kubva pakudzoka. Dr. Jimenez, DC, anosanganisira ruzivo urwu sebasa rezvidzidzo. Disclaimer.

 

Kunzwisisa Sciatica

Iwe unowanzonzwa kurwadziwa kunopenya kunofamba pasi rimwe kana makumbo ose kana wakagara pasi kwenguva yakareba here? Kangani iwe wakamboona tingling sensations zvinoita kuti iwe uzununguse gumbo kuti uderedze mhedzisiro? Kana kuti wakacherechedza here kuti kutambanudza makumbo ako kunokonzera kusununguka kwenguva pfupi? Kunyange zvazvo zviratidzo izvi zvinoputika zvinogona kukanganisa mazamu ezasi, vanhu vazhinji vanogona kufunga kuti inorwadza shure, asi chaizvoizvo, sciatica. Sciatica inowanzoitika musculoskeletal condition inobata vanhu vakawanda pasi rose nekukonzera marwadzo kune sciatic nerve uye inopenya kusvika kumakumbo. Iyo sciatic nerve yakakosha mukupa yakananga uye isina kunanga mota basa kumamhasuru emakumbo. (Davis et al., 2024) Kana sciatic nerve yakamanikidzwa, vanhu vazhinji vanotaura kuti marwadzo anogona kusiyanisa zvakanyanya, achiperekedzwa nezviratidzo zvakadai sekurira, kupera simba, uye kushaya simba kwetsandanyama zvinogona kukanganisa kukwanisa kwemunhu kufamba nekushanda. 

 

 

Zvisinei, zvimwe zvezvikonzero zvinokonzera kukura kwe sciatica zvinogona kutamba muchinhu chinokonzera marwadzo mumakumbo ezasi. Zvizhinji zvemukati uye zvakatipoteredza zvinhu zvinowanzobatanidzwa ne sciatica, zvichikonzera lumbar nerve root compression pane sciatic nerve. Zvinhu zvakadai sehutano husina kunaka, kushungurudzika kwemuviri, uye basa rekushanda zvakabatana nekuvandudzwa kwesciatica uye zvinogona kukanganisa maitiro emunhu. (Gimenez-Campos et al., 2022) Uyezve, zvimwe zvezvikonzero zvinokonzera sciatica zvinogona kusanganisira mamiriro emusculoskeletal akafanana ne-herniated discs, bone spurs, kana spinal stenosis, iyo inogona kuwirirana nezvinhu izvi zvakasikwa uye zvakatipoteredza zvinogona kuderedza vanhu vakawanda 'motility uye hupenyu hwehupenyu. (Zhou et al., 2021) Izvi zvinoita kuti vanhu vazhinji vatsvage marapiro ekubvisa sciatica marwadzo uye zviratidzo zvayo zvinowirirana. Kunyange zvazvo kurwadziwa kunokonzerwa ne sciatica kunogona kusiyana, vanhu vakawanda vanowanzotsvaga kurapwa kusina kuvhiyiwa kuti vaderedze kusagadzikana kwavo uye kurwadziwa kubva kune sciatica. Izvi zvinovabvumira kuti vaise mhinduro dzinoshanda dzekugadzirisa sciatica. 

 


Beyond Adjustments: Chiropractic & Integrative Healthcare- Vhidhiyo


Chiropractic Care For Sciatica

Kana zvasvika pakutsvaga mishonga isina kuvhiyiwa kuderedza sciatica, kurapa kusina kuvhiyiwa kunogona kuderedza marwadzo-semigumisiro apo ichibatsira kudzorera kushanda kwemuviri uye kufamba. Panguva imwecheteyo, kurapa kusiri kwekuvhiya kunogadziriswa kumarwadzo emunhu uye kunogona kuiswa mumuitiro wemunhu. Mamwe marapirwo asiri ekuvhiya senge chiropractic kuchengetedza akanakisa mukuderedza sciatica uye zviratidzo zvayo zvinorwadza. Chiropractic kuchengetedza imhando yeasina-kuvhiya kurapa iyo inotarisa kudzorera muviri musana wekufamba uchivandudza basa remuviri. Chiropractic kuchengetedza inoshandisa mechanical uye manual maitiro e sciatica kugadzirisa musana uye kubatsira muviri kupora zvakasununguka pasina kuvhiyiwa kana mishonga. Chiropractic kuchengetedza inogona kubatsira kuderedza intradiscal pressure, kuwedzera intervertebral disc nzvimbo kureba, uye kuvandudza mararamiro ekufamba mumucheto wezasi. (Gudavalli et al., 2016) Paunenge uchibata ne sciatica, chiropractic kuchengetedza inogona kuderedza kumanikidzika kusingadikanwi pane sciatic nerve uye kubatsira kuderedza dambudziko rekudzoka zvakare kuburikidza nemishonga inotevedzana. 

 

Migumisiro yeChiropractic Care For Sciatica

Mimwe yemigumisiro yechiropractic kuchengetedza yekuderedza sciatica inogona kupa ruzivo kumunhu sezvo chiropractors vanoshanda pamwe chete nevanorapa vatapi vezvehutano kuti vagadzire chirongwa chemunhu kuti abvise marwadzo-sezviratidzo. Vanhu vazhinji vanoshandisa chiropractic kuchengetedza kuderedza mhedzisiro ye sciatica inogona kusanganisira kurapwa kwemuviri kusimbisa mhasuru dzisina simba. iyo yakapoteredza iyo yakaderera kumashure, tambanudza kuti uvandudze kushanduka uye uwedzere kurangarira kuti ndezvipi zvinhu zviri kukonzera sciatic kurwadziwa mumigumo yavo yepasi. Chiropractic kuchengetedza inogona kutungamirira vanhu vakawanda pane zvakakodzera poster ergonomics, uye maitiro akasiyana-siyana ekuderedza mikana ye sciatica kudzoka apo ichipa maitiro akanaka kumuviri wezasi.

 

Acupuncture yeSciatica

Imwe nzira yekusavhiya kurapwa iyo inogona kubatsira kuderedza marwadzo-semhedzisiro ye sciatica ndeye acupuncture. Sechikamu chakakosha mumishonga yechivanhu yechiChinese, acupuncture therapy inosanganisira nyanzvi dzinoisa tsono dzakatetepa, dzakasimba panzvimbo dzakatarwa pamuviri. Kana zvasvika kune kuderedza sciatica, acupuncture therapy inogona kuita analgesic mhedzisiro paacupoints yemuviri, gadzirisa iyo microglia, uye modulate mamwe mareceptor munzira yemarwadzo kune tsinga system. (Zhang et al., 2023) Acupuncture therapy inotarisa kudzoreredza kuyerera kwesimba remuviri kana Qi kukurudzira kuporeswa.

 

Mhedzisiro yeAcupuncture yeSciatica

 Nezvemigumisiro yeacupuncture therapy pakuderedza sciatica, acupuncture therapy inogona kubatsira kuderedza zviratidzo zvinorwadza izvo sciatica inogadzira kuburikidza nekushandura chiratidzo cheuropi uye kudzorera motokari inoenderana kana kuvhiringidzika kwekunzwa kwenharaunda yakakanganiswa. (Yu et al., 2022) Uyezve, acupuncture therapy inogona kubatsira kupa marwadzo nekusunungura endorphins, marwadzo epanyama emuviri, kune chaiyo acupoint inopindirana ne sciatic nerve, kuderedza kuzvimba kwakakomberedza sciatic nerve, nokudaro kuderedza kudzvinyirira uye kurwadziwa uye kubatsira kuvandudza tsinga. Zvose chiropractic kuchengetedza uye acupuncture zvinopa zvakakosha zvisiri zvekuvhiya zvingasarudzwa zvinogona kupa rubatsiro mukugadzirisa uye kuderedza marwadzo anokonzerwa nesciatica. Apo vanhu vazhinji vari kutarisana ne sciatica uye vachitsvaga mhinduro dzakawanda dzekuderedza marwadzo-semigumisiro, idzi mbiri dzisina-kuvhiya marapirwo dzinogona kubatsira vanhu vakawanda kugadzirisa zvinokonzera sciatica, kuwedzera maitiro ekuporesa kwemuviri, uye kubatsira kupa rubatsiro rukuru kubva. kurwadziwa.

 


References

Davis, D., Maini, K., Taqi, M., & Vasudevan, A. (2024). Sciatica. In StatPearls. www.ncbi.nlm.nih.gov/pubmed/29939685

Gimenez-Campos, MS, Pimenta-Fermisson-Ramos, P., Diaz-Cambronero, JI, Carbonell-Sanchis, R., Lopez-Briz, E., & Ruiz-Garcia, V. (2022). Kuongororwa kwakarongeka uye meta-kuongorora kwekubudirira uye zviitiko zvakashata zve gabapentin uye pregabalin nokuda kwekurwadziwa kwesciatica. Aten Primaria, 54(1), 102144. doi.org/10.1016/j.aprim.2021.102144

Gudavalli, MR, Olding, K., Joachim, G., & Cox, JM (2016). Chiropractic Distraction Spinal Manipulation paPostsurgical Inopfuurira Kuderera Kudzoka uye Radicular Pain Varwere: A Retrospective Case Series. J Chiropr Med, 15(2), 121-128. doi.org/10.1016/j.jcm.2016.04.004

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

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

Demystifying Spinal Nerve Roots uye Zvavanoita Pahutano

Demystifying Spinal Nerve Roots uye Zvavanoita Pahutano

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?

Demystifying Spinal Nerve Roots uye Zvavanoita Pahutano

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


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

Lumbar Traction: Kudzorera Kufamba uye Kubvisa Kurwadziwa Kwepazasi

Lumbar Traction: Kudzorera Kufamba uye Kubvisa Kurwadziwa Kwepazasi

Kune vanhu vari kusangana kana kubata marwadzo ekudzokera shure uye / kana sciatica, lumbar traction therapy inogona kubatsira kupa zororo risingaperi?

Lumbar Traction: Kudzorera Kufamba uye Kubvisa Kurwadziwa Kwepazasi

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., 2022) 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


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

Tsvaga Inonyanya Kushanda Kusina-kuvhiya Kurapa kweSciatica

Tsvaga Inonyanya Kushanda Kusina-kuvhiya Kurapa kweSciatica

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


 

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

Rubatsiro kubva kuNeurogenic Claudication: Kurapa Sarudzo

Rubatsiro kubva kuNeurogenic Claudication: Kurapa Sarudzo

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?

Rubatsiro kubva kuNeurogenic Claudication: Kurapa Sarudzo

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


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

Kunzwisisa Deep Buttock Pain: Zvaunoda Kuziva

Kunzwisisa Deep Buttock Pain: Zvaunoda Kuziva

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?

Kunzwisisa Deep Buttock Pain: Zvaunoda Kuziva

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:
  1. Herniated discs
  2. Spinal stenosis
  3. Radiculopathy - sciatica
  4. Hip bursitis
  5. 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


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