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.

Kusunungura Kubatana Pakati peElectroacupuncture & Sciatica Pain

by Dr Alex Jimenez | Kudzorera Pain, Dzose Kudzorera Painini, chisingaperi Pain, Electroacupuncture Therapy, Sciatica, Sciatica Nerve Pain, Mishonga, Viscerosomatic Reflex

Migumisiro ye electroacupuncture inogona kuderedza sciatica kune vanhu vanobata nemarwadzo ekudzokera shure kuti vadzorere kufamba kwavo?

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Kana vanhu vazhinji vatanga kushandisa zvakanyanya tsandanyama dzavo muzasi quadrants, zvinogona kutungamira kune dzakawanda nyaya dzinokonzera marwadzo uye kusagadzikana. Imwe yematambudziko anowanzo marwadzo muzasi quadrants ye musculoskeletal system is sciatica, iyo inobatanidza nekurwadziwa kwepashure. Iyi marwadzo duo inogona kukanganisa maitiro emunhu ezuva nezuva uye inotungamirira kumarwadzo nekusagadzikana. Ichi chirwere chemusculoskeletal chinowanzoitika, uye kana chinokanganisa rimwe remakumbo uye nechepasi shure, vanhu vazhinji vanotaura kuti imarwadzo ekupfura anopenya asingaendi kwechinguva. Sezvineiwo, kune marapiro akaita se electroacupuncture kuderedza sciatica yakabatana nekurwadziwa kwemusana. Nyaya yanhasi inotarisa sciatica-low-back connection, kuti electroacupuncture inoderedza sei marwadzo aya, uye kuti electroacupuncture inogona sei kudzorera kufamba kumunhu. Isu tinotaura nevanopihwa zvekurapa vanosimbisa ruzivo rwevarwere kuti vaongorore nzira yekudzikisa sciatica-low-back connection ne electroacupuncture. Isu tinozivisawo uye kutungamira varwere nezve nzira iyo electroacupuncture therapy inogona kusanganiswa nemamwe marapirwo kudzorera kufamba kumuviri. Tinokurudzira varwere vedu kuti vabvunze avo vanobatana navo vezvokurapa mibvunzo yakaoma uye yakakosha pamusoro pekubatanidza electroacupuncture therapy sechikamu chemaitiro avo ekuderedza sciatica inobatanidza nekurwadziwa kwepamusoro. Dr. Jimenez, DC, anosanganisira ruzivo urwu sebasa rezvidzidzo. Disclaimer.

The Sciatica & Low Back Connection

Iwe unonzwa tsandanyama aches kana kurwadziwa kuzasi kwako kumashure kana makumbo ako? Iwe unonzwa kupenya, kuputika kurwadziwa mumakumbo ako kunokanganisa kukwanisa kwako kufamba? Kana kuti wakamboona here kuti makumbo ako nemusana wako zvinorwadza zvakanyanya paunenge wakatakura chinhu chinorema? Zvizhinji zvezviitiko izvi zvinosanganiswa ne sciatica, iyo inopindirana nekurwadziwa kwepashure. Iye zvino, sciatica inowanzoonekwa nekurwadziwa kunowedzera kunofamba ne sciatic nerve kubva kumucheto kumashure, kukanganisa hupenyu hwemunhu. Mumusculoskeletal system, sciatic nerve inoita basa rinokosha nekupa motokari basa kumakumbo. (Davis et al., 2024) Ikozvino, kana sciatic nerve, nharaunda yelumbar ine basa rakakosha. Iyo lumbar dunhu munharaunda yemusculoskeletal inewo basa rakakosha mukupa rutsigiro, simba, uye kuchinjika kumuviri. Zvisinei, zvose zviri zviviri sciatic nerve uye lumbar spinal region zvinowanzoita kushungurudzika uye kukuvara kubva mukukuvara kwekukuvara uye zvakatipoteredza zvinogona kukanganisa lumbar spinal discs uye sciatic nerve.

Kudzokorora mafambiro, kufutisa, kusimudza zvisina kunaka, kuderera kwemusana, uye musculoskeletal mamiriro ezvinhu ndezvikonzero zvishomanana uye njodzi dzinokonzera kukura kwe sciatica inobatanidza nechepasi kumashure. Chii chinozoitika ndechekuti mvura yemukati uye kuderera kunoramba kuripo kweproteoglycans ye spinal discs inoputsika pakati pe vertebrae uye inobuda kunze kuti itsigire pane sciatic nerve, iyo inogona kushatirwa uye kukonzera kutaurwa kunopisa marwadzo mumakumbo uye kuzasi musana. . (Zhou et al., 2021) Iko kusanganiswa kwesciatica uye kurwadziwa kwepashure kunogona kuva nyaya yehupfumi hwevanhu zvichienderana nekuoma kwemarwadzo ayo sciatic nerve inokonzera uye inogona kuita kuti vanhu varasikirwe pane chero mabasa avari kuita.Siddiq et al., 2020) Nepo sciatica-senge zviratidzo zvinowanzoenderana nenharaunda yelumbar, vanhu vazhinji vanogona kuwana zororo ravari kutsvaga kuburikidza nekurapa kwakasiyana.

Sciatica Zvinokonzera- Vhidhiyo

Electroacupuncture Kuderedza The Sciatica-Low Back Connection

Kana zvasvika pakudzikisa sciatic-low-back connection, vanhu vazhinji vanotsvaga kurapwa kunokwanisika uye kunoshanda mukuderedza marwadzo-senge nyaya. Mishonga isiri-yekuvhiya senge electroacupuncture inogona kubatsira kune vanhu vazhinji vari kunzwa sciatica marwadzo anoenderana nechepasi musana. Electroacupuncture imwe nzira yechinyakare acupuncture therapy inotangira kuChina. Vakadzidziswa zvakanyanya ma acupuncturists vanotevera iwo akafanana acupuncture misimboti nekuisa yakasimba tsinga dzakatetepa pamaacupoints akasiyana mumuviri kudzorera qui kana chi (simba rekuyerera). Electroacupuncture inobatanidza tsono uye electrostimulation kuti kuderedze marwadzo epakati-anogadzirisa maitiro anokonzera kuderera kwemarwadzo ekudzokera shure uye sciatica nekuvhara zviratidzo zvinorwadza uye kupa zororo rekurwadziwa. (Kong, 2020) Panguva imwecheteyo, electroacupuncture inopa analgesic properties kukurudzira endorphins uye kuderedza marwadzo ekurwadziwa kwemarwadzo emusana zvakachengeteka. (Sung et al., 2021)

Electroacupuncture Kudzorera Kufamba

Apo makumbo ezasi ari kusangana nekufamba zvishoma nekuda kwe sciatica inobatanidza nekurwadziwa kwepashure, electroacupuncture inogona kubatsira kuzorora mamhasuru ari kuwedzera sciatic nerve uye kunyange kubatsira kuvandudza kuyerera kweropa kune lumbar tsandanyama. Izvi zvinodaro nekuti electroacupuncture inogona kukurudzira chaiwo matunhu emuviri kuderedza somato-vagal-adrenal reflexes kusunungura uye kudzoreredza kufamba kune yakaderera migumo. (Liu et al., 2021) Uyezve, electroacupuncture inogona kusanganiswa nemamwe maitiro asina kuvhiyiwa kuti abatsire kusimbisa nheyo uye mutsara wepamusoro, zvichiita kuti vanhu vanyatsofunga kuti ndezvipi zvinokonzera sciatica uye kurwadziwa kwepashure. Nokuita izvi, vanhu vazhinji vari kurwisana ne sciatica yakabatana nemarwadzo ekudzokera shure vanogona kusanganisira electroacupuncture sechikamu chepurogiramu yavo yekurapa pamwe chete nemaitiro akazara ekuvandudza mararamiro avo uye kupa nzira yekuvandudza kufamba kwavo.

References

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

Kong, JT (2020). Electroacupuncture yeKurapa Kurwara Kwekudzokera Kweshure Kusingaperi: Preliminary Research Results. Med Acupunct, 32(6), 396-397. doi.org/10.1089/acu.2020.1495

Liu, S., Wang, Z., Su, Y., Qi, L., Yang, W., Fu, M., Jing, X., Wang, Y., & Ma, Q. (2021). A neuroanatomical hwaro hwe electroacupuncture kutyaira iyo vagal-adrenal axis. muzvarirwo, 598(7882), 641-645. doi.org/10.1038/s41586-021-04001-4

Siddiq, MAB, Clegg, D., Hasan, SA, & Rasker, JJ (2020). Extra-spinal sciatica uye sciatica mimics: kuongorora kwekuongorora. Korean J Pain, 33(4), 305-317. doi.org/10.3344/kjp.2020.33.4.305

Sung, WS, Park, JR, Park, K., Youn, I., Yeum, HW, Kim, S., Choi, J., Cho, Y., Hong, Y., Park, Y., Kim, EJ , & Nam, D. (2021). Kubudirira uye kuchengetedzwa kwe electroacupuncture kune nonspecific isingaperi kurwadziwa kwepashure: A protocol yekuongorora kwakarongeka uye / kana meta-analysis. Mushonga (Baltimore), 100(4), e24281. doi.org/10.1097/MD.0000000000024281

Zhou, J., Mi, J., Peng, Y., Han, H., & Liu, Z. (2021). Causal Associations of Obesity neIntervertebral Degeneration, Low Back Pain, uye Sciatica: A Two-Sample Mendelian Randomization Study. Front Endocrinol (Lausanne), 12, 740200. doi.org/10.3389/fendo.2021.740200

Disclaimer

Simba reAcupuncture yePiriformis Syndrome

by Dr Alex Jimenez | Kugadzirira Therap, chisingaperi Pain, Sciatica, Sciatica Nerve Pain, Mishonga, Viscerosomatic Reflex

Vanhu vane piriformis syndrome vanogona here kubatanidza acupuncture nemishonga yakasiyana-siyana kuderedza sciatic nerve pain nezvimwe zviratidzo?

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Sezvo vanhu vazhinji vanofamba-famba kubva kune imwe nzvimbo kuenda kune imwe nekuda kuzasi kwemuviri, mhasuru dzakatenderedza, ligaments, tsinga midzi, uye matissue anobatsira kuita basa rekunzwa-motor yehudyu, makumbo, matako, uye tsoka. Mapoka ese aya emhasuru anoita kuti ave nechokwadi chekuti anogona kufambisa pasina mhedzisiro yemarwadzo kana kusagadzikana. Nekudaro, zvinhu zvakawanda uye nyaya dzinogona kukonzera tsandanyama dzakatenderedza kukudziridza matambudziko emusculoskeletal nekufamba kwenguva, zvichikanganisa kufamba kwemunhu. Imwe yemhasuru inobatsira kugovera mutoro wekufamba kune hudyu uye mabheti ndeye piriformis muscle, iyo inowanzoregererwa apo kukuvara kwakasiyana-siyana kana kudzokorora kunotanga kukanganisa kukwanisa kwemunhu kufamba. Nyaya yemazuva ano inotarisa kuti piriformis syndrome inobata sei kufamba, kuti sciatic pain correlates sei nepiriformis syndrome, uye kuti marapirwo akaita seacupuncture anogona kubatsira sei kuderedza piriformis syndrome. Tinotaura nevarapi vane hunyanzvi vanosimbisa ruzivo rwevarwere vedu kuti vape marapirwo mazhinji ekuderedza piriformis syndrome inokanganisa kufamba kwemunhu. Isu tinozivisawo uye kutungamira varwere kuti marapirwo akaita seacupuncture anogona kubatsira sei kuderedza sciatic nerve pain inoenderana nepiriformis syndrome. Tinokurudzira varwere vedu kuti vabvunze avo vanobatana navo vezvokurapa mibvunzo yakaoma uye inokosha pamusoro pemarwadzo anotaurwa-sezviratidzo zvavari kusangana nazvo kubva kupiriformis syndrome iyo inokanganisa kukwanisa kwavo kufamba. Dr. Jimenez, DC, anobatanidza ruzivo urwu sebasa rezvidzidzo. Disclaimer.

Piriformis Syndrome Inokanganisa Kufamba

Wanga uchinetsekana nemhasuru muhudyu yako kana nharaunda yebuttock, zvichikanganisa kugona kwako kufamba? Unonzwa here manzwiro echiveve, kurira, kana kupisa kurwadziwa kunofamba kusvika kumabvi ako netsoka? Kana kuti, pashure pezuva refu rebasa, unonzwa kurwadziwa paunenge wakagara pasi here? Zvizhinji zvezviratidzo izvi zvinowanzoenderana nepiriformis syndrome. Misumbu mitanhatu yakapoteredza yakakomberedza nzvimbo ye gluteal yezvidya uye mahudyu ose anoshanda pamwe chete kuti ape kufamba kwepasi kwemuviri paunenge uchidzikamisa mahudyu uye kutenderedza zvidya. Mutsara wepiriformis imhasuru diki, yakati sandara, yakaita peya inomhanya pamusoro pe sciatic nerve. Piriformis syndrome ikiriniki musculoskeletal mamiriro ayo anokonzeresa sciatic nerve entrapment izvo zvinoita kuti vanhu vazhinji vataure kupfura uye kupisa kurwadziwa kudzika kunharaunda yavo yemagaro. (Hicks et al., 2024) Izvi zvinoita kuti vanhu vakawanda vafunge kuti vari kutarisana nemarwadzo ekudzokera shure ane sciatica. Kana munhu ari kutarisana nepiriformis syndrome, achasangana nekufamba zvishoma muhudyu yavo, iyo, nekufamba kwenguva, kana isina kurapwa, inokanganisa mahudyu nemakumbo.

Sciatic Nerve Pain inobatana sei nePiriformis Syndrome?

Pamusoro pezvo, sezvo piriformis syndrome yakabatana nekurwadziwa kwetsinga, zvimwe zviwanikwa zvekiriniki zvinokonzeresa kuwanda kwengozi profiles zvinosanganisira kurambidzwa kunze kwehudyu kutenderera uye kusimba kwemhasuru ye lumbosacral tsandanyama. Zvimwe zviwanikwa zvekiriniki zvinobva pakurwadziwa kwepalpation pamusoro peiyo sciatic notch yakakura kusvika kune yakawedzera kurwadziwa munzvimbo yakagara. (Sharma et al., 2023) Sezvo sciatic nerve entrapment yakabatana nepiriformis syndrome, ichiri kuonekwa sechinhu chisingaiti-discogenic chinokonzera sciatica. (Mwanakomana naLee, 2022) Kana iyo sciatic nerve inobatwa mukati mepiriformis muscle, vanhu vazhinji vachanzwa kupera, kurira kwekunzwa, uye maitiro akafanana emarwadzo mumakumbo, sezvinongoita sciatica; zvisinei, apo vanhu vari kutsvaga marapirwo ekuderedza sciatic nerve pain uye kuvandudza piriformis muscle.

Acupuncture Therapy Inoderedza Piriformis Syndrome

Apo vanhu vari kutsvaga marapirwo ekuderedza sciatic nerve pain correlated nepiriformis syndrome, vari kutsvaga marapirwo asingakwanisi uye anogona kuderedza marwadzo kuburikidza nezvikamu zvakatevedzana. Acupuncture therapy inogona kubatsira kuderedza migumisiro yepiriformis syndrome. Acupuncture inoenderana uye imwe nzira yekurapa kubva kuChina iyo inoshandisa yakasimba, yakatetepa tsono kuti iiswe pane acupoints mumuviri. Uyezve, vadzidzisi vakanyatsodzidziswa vanogona kusanganisira nzira dzakasiyana-siyana dze acupuncture kurapa uye kuderedza migumisiro yepiriformis syndrome. (He et al., 2023) Panguva imwecheteyo, kana munhu ari kurapwa nokuda kwepiriformis syndrome, acupuncturist anoshandisa nzira dzinotungamirirwa ne ultrasound kubvumira kuiswa kwetsono kwakarurama mukati memisumbu yakadzika kuti ipe mhinduro yekurapa inoshanda. (Fusco et al., 2018) Izvi zvinobvumira iyo yakakanganiswa yakapoteredza tsandanyama kuzorora uye kuderedza sciatic nerve pain.

Acupuncture Inoderedza Sciatic Nerve Pain

Sezvo sciatic nerve pain uye piriformis syndrome ine kuputika kwengozi profiles, inogonawo kusanganiswa nemamwe mamiriro ekurwadziwa kwemusculoskeletal anogona kukanganisa kufamba kwemunhu. Acupuncture inogona kubatsira kudzikisira masaini masaini achikonzera mota kana kusagadzikana kwekunzwa mukati mepelvic uye muhudyu. (Kvorning et al., 2004) Acupuncture ndiyo imwe yemhando dzekare dzekare dzisina kuvhiyiwa kurapa kunogona kusanganiswa nemamwe marapirwo akasiyana-siyana kuti abatsire kudzorera mahudyu uye kuderedza marwadzo anokanganisa sciatic nerve paunenge uchipa rubatsiro. (Vij et al., 2021) Nokubatanidza acupuncture sechikamu chehutano hwemunhu uye hutano hwehutano hwehutano, ivo vachatanga zvishoma nezvishoma kugadzirisa zviratidzo zvinosanganiswa uye kuderedza mikana yepiriformis syndrome kubva pakudzoka kunokonzera sciatic nerve pain muzasi. Izvi zvinobvumira vanhu kuti vanyanye kufunga uye kubatsira kudzoreredza kupora kwemuviri nekufamba kwenguva.

Dzorera Kufamba Kwako- Vhidhiyo

References

Fusco, P., Di Carlo, S., Scimia, P., Degan, G., Petrucci, E., & Marinangeli, F. (2018). Ultrasound-inotungamirirwa Dry Needling Kurapa kweMyofascial Trigger Points yePiriformis Syndrome Management: A Case Series. J Chiropr Med, 17(3), 198-200. doi.org/10.1016/j.jcm.2018.04.002

Iye, Y., Miao, F., Fan, Y., Zhang, F., Yang, P., Zhao, X., Wang, M., He, C., & He, J. (2023). Acupuncture Methods for Piriformis Syndrome: A Protocol for Systematic Review uye Network Meta-Analysis. J Pain Res, 16, 2357-2364. doi.org/10.2147/JPR.S417211

Hicks, BL, Lam, JC, & Varacallo, M. (2024). Piriformis Syndrome. In StatPearls. www.ncbi.nlm.nih.gov/pubmed/28846222

Kvorning, N., Holmberg, C., Grennert, L., Aberg, A., & Akeson, J. (2004). Acupuncture inobvisa kurwadza kwepelvic uye kwakaderera-musana munguva yekupedzisira yekuzvitakura. Acta Obstet Gynecol Scand, 83(3), 246-250. doi.org/10.1111/j.0001-6349.2004.0215.x

Sharma, S., Kaur, H., Verma, N., & Adhya, B. (2023). Kutarisa kunze kwePiriformis Syndrome: Ndiyo Chaizvoizvo Piriformis? Hip Pelvis, 35(1), 1-5. doi.org/10.5371/hp.2023.35.1.1

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

Vij, N., Kiernan, H., Bisht, R., Singleton, I., Cornett, EM, Kaye, AD, Imani, F., Varrassi, G., Pourbahri, M., Viswanath, O., & Urits , I. (2021). Kuvhiya uye Kusina Kuvhiya Kurapa Zvisarudzo zvePiriformis Syndrome: Ongororo Yezvinyorwa. Anesth Pain Med, 11(1), e112825. doi.org/10.5812/aapm.112825

Disclaimer

Easy Sciatica Pain Relief neAcupuncture Techniques

by Dr Alex Jimenez | Kugadzirira Therap, chisingaperi Pain, Sciatica, Sciatica Nerve Pain, Mishonga, Viscerosomatic Reflex

Vanhu vari kubata nemarwadzo esciatica vanogona kuwana zororo ravanoda kubva kuacupuncture kuti vadzorere yakaderera kumashure kufamba?

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Nhengo dzepazasi dzemuviri dzinopa kugadzikana uye kufamba kumunhu paanenge achifamba kubva kune imwe nzvimbo kuenda kune imwe pasina kurwadziwa kana kusagadzikana. Migumo yepasi inosanganisira hudyu, pasi shure, makumbo, zvidya, pelvis, mabvi, uye tsoka; imwe neimwe ine mhasuru dzakasiyana-siyana, midzi yetsinga, uye marunda ane basa chairo kune yega tsandanyama quadrant. Mushonga wepelinha musculoskeletal system unobatsira kupa chimiro chakakodzera uchidzivirira musana kubva mukukuvadzwa. Zvisinei, kakawanda pane kwete, mazamu ezasi anogona kukundwa nekukuvara sezvo vanhu vakawanda vachibatanidza kudzokorora kufamba kunogona kudzvinyirira midzi yetsinga inopararira kusvika kumucheto wezasi, iyo inogona kukumbira marwadzo. Marwadzo anowanzoita senge anokanganisa kuzasi kumashure nemakumbo ndeye sciatica, uye kana isina kurapwa, inogona kukonzera kupindirana kwengozi profiles kuzasi. Nyaya yemazuva ano inoongorora kuti sciatica inopindirana sei nechepasi shure uye kuti kurapa kusina kuvhiyiwa kunogona kubatsira sei kuderedza migumisiro yemarwadzo e-sciatic. Isu tinotaura nevanopihwa vanorapa vanosimbisa ruzivo rwevarwere vedu kuti vape akawanda marapirwo ekubvisa sciatica marwadzo anokanganisa kuzasi kwavo. Isu tinozivisawo uye tinotungamira varwere kuti kurapa kusiri-kuvhiya kunogona kubatsira sei kuderedza sciatica marwadzo kubva kuzasi musculoskeletal migumo. Tinokurudzira varwere vedu kuti vabvunze avo vanobatana navo vezvokurapa mibvunzo yakaoma uye yakakosha pamusoro pemarwadzo-sezviratidzo zvavari kuona kubva kune sciatica izvo zviri kuvakonzera kurwadziwa. Dr. Jimenez, DC, anobatanidza ruzivo urwu sebasa rezvidzidzo. Disclaimer.

Sciatica Inoenderana Sei Neiyo Yezasi Kumashure?

Iwe unowanzosangana nekunzwa kwechiveve kana kurira kunodzika negumbo rako izvo zvinoita kuti gumbo kana tsoka yako irasikirwe nekunzwa kwenguva pfupi? Iwe unonzwa kupfura kurwadziwa muzasi kwako shure mushure mekugara zvakanyanya padhesiki rako? Kana kuti unoona kuti kutambanudza makumbo ako kana musana wako kwenguva pfupi kunoderedza marwadzo, bedzi kuti adzoke? Vanhu vazhinji vari kurwadziwa nekupfura vachidzika nemakumbo avo vari kubata sciatica. Kana zvasvika kumucheto wezasi musculoskeletal system, vanhu vazhinji vanoita kudzokorora mafambiro pamusana wavo izvo zvinogona kuita kuti spinal discs ive yakamanikidzwa uye herniated pasi pekumanikidzwa. Kana iyo spinal disc iine herniated mu lumbar spine, iyo disc inotanga kudzvanya pane yakapoteredza tsinga midzi, nokudaro kutumira marwadzo anopenya pasi pemakumbo. Sciatica inotsanangurwa senge apo vanhu vari kunzwa kurwadziwa kunobva ku lumbosacral nerve midzi uye zvichikonzera kupisa, kuremerwa, kana kusimba kunzwa. (Aguilar-Shea et al., 2022) Sciatica inogona kubva kubva kunyoro kusvika kune yakaoma, ichimanikidza vanhu vakawanda kuti vafunge kuti tsoka yavo yakarara. Nekudaro, iyo sciatic nerve midzi inodzvanywa, yakabatwa, yakanamatira, kana kudzvanywa, izvo zvinokonzeresa mhasuru mukati mezasi kumashure, buttock, kana makumbo. Nekudaro, vanhu vazhinji vanozotsanangura kuti varikunzwa kurwadziwa kwakadzika kumashure kana gumbo kana iri sciatica.

Sezvo sciatic nerve iri refu, tsinga yakakora mumuviri wemunhu, inofamba kubva kunharaunda yelumbar ichidzika kusvika kumabvi uye ichibatanidza kune dzimwe tsinga kuti isvike kutsoka. Sciatica kurwadziwa kunogona kuva mamiriro maviri ane marwadzo akafanana-sechiratidzo chemigumisiro inozivikanwa seyechokwadi kana sciatica-semamiriro ezvinhu. Chokwadi sciatica ndiko kukuvara kuri kukanganisa zvakananga sciatic nerve. Izvi zvinogona kuenderana nedhisiki yakatsvedza inokonzerwa nemamiriro ekunze sekusimudza chinhu chinorema, kuwedzera sciatic nerve mudzi, uye kukonzera marwadzo anowedzera. (Siddiq et al., 2020) Nezve sciatica-semamiriro ezvinhu, apa ndipo apo mamwe masculoskeletal mamiriro ari kukonzera sciatic marwadzo-sezviratidzo pazasi. Musculoskeletal mamiriro akaita sepiriformis syndrome inogona kukonzera sciatica kurwadziwa-kufanana nezviratidzo apo piriformis tsandanyama inotsamwiswa kana kupisa, ichimanikidza sciatic nerve, izvo zvinoita kuti vanhu vazhinji vataure marwadzo pamwe ne gluteal region iyo inogona kupfura kupisa, kurwadza kwekunzwa pasi kumusana makumbo. (Hicks et al., 2024) Zvisinei, kune nzira dzekurapa sciatica uye kuderedza marwadzo-semigumisiro inokonzera nyaya dzekufamba.

Sciatica, Zvinokonzera, Zviratidzo uye Mazano- Vhidhiyo

Name: El Paso Back Clinic | Spine Specialists - El Paso, TX
Price range: $$

Kusina-kuvhiya Kurapa KweSciatica

Kana zvasvika pakuderedza marwadzo esciatica, vanhu vazhinji vanozotsvaga kurapwa kusingadhuri uye kwakagadzirirwa marwadzo emunhu. Mamwe marapirwo, senge neural mobilization, anogona kushandisa masimba emagetsi kumidzi yetsinga kudzoreredza kufamba kune hutano kumakumbo uye kuzasi. (Peacock et al., 2023) Mamwe marapirwo, senge spinal decompression, shandisa zvinyoro traction pa spinal disc kuti uise kure kumanikidza kune sciatic nerve kuti ipe zororo. Mishonga isiri-yekuvhiya inofarirwa nevanhu vazhinji nekuda kwekutengeka kwayo uye yakasarudzika kumarwadzo emunhu sezvo ichibatsira kuderedza marwadzo nekuremara. (Liu et al., 2023) Sezvineiwo, imwe nzira yekurapa isina kuvhiyiwa inogona kubatsira kubvisa sciatica uye inobatana nemarwadzo-sezviratidzo.

Acupuncture Inobvisa Sciatic Pain

Acupuncture ndeimwe yemhando dzekare dzekurapa kusiri kwekuvhiya umo nyanzvi dzakadzidziswa dzinoshandisa tsono dzakatetepa, dzakasimba kuti dzipinzwe uye dziiswe panzvimbo yakabatwa, zvichikonzera marwadzo. Acupuncture inogona kubatsira kuderedza kukanganiswa kweiyo yakakanganiswa nerve midzi, uye yemuno inoputika cytokines yakabatana ne sciatica. (Yu et al., 2021) Zvinoitwa izvi ndezvekuti zvinojairisa masaini euron kusvika kune default mode kubva pakuwedzera mhasuru dzakatenderedza fiber uye kudzika marwadzo. Uyezve, acupuncture inogona kubatsira kudzorera qi kana simba remuviri nekuderedza marwadzo nekuisa tsono pane acupoint yenhengo dzinokosha dzinogoverana hukama ne sciatic nerve. (Yu et al., 2022) Izvi zvinozivikanwa se somato-visceral, apo nhengo dzakakosha dzinogona kunge dziri nzvimbo yakakanganisika, zvichikonzera kupindirana kwemhasuru uye tsinga dzengozi. Acupuncture inzira yakanakisa yekurapa kusiri-kuvhiya kunogona kusanganiswa nemamwe marapirwo akasiyana-siyana kuti abatsire kudzoreredza muviri kuporesa kwechisikigo chinhu uye kubvumira vanhu kuti vanyanye kufunga nezvekuchengeta miviri yavo zviri nyore kudzivirira sciatica kurwadziwa-kufanana nezviratidzo kubva. arising.

References

Aguilar-Shea, AL, Gallardo-Mayo, C., Sanz-Gonzalez, R., & Paredes, I. (2022). Sciatica. Kutarisira vanachiremba vemhuri. J Mhuri Med Prim Kutarisirwa, 11(8), 4174-4179. doi.org/10.4103/jfmpc.jfmpc_1061_21

Hicks, BL, Lam, JC, & Varacallo, M. (2024). Piriformis Syndrome. In StatPearls. www.ncbi.nlm.nih.gov/pubmed/28846222

Liu, C., Ferreira, GE, Abdel Shaheed, C., Chen, Q., Harris, IA, Bailey, CS, Peul, WC, Koes, B., & Lin, CC (2023). Kuvhiya kunopesana nekusavhiyiwa kurapwa kwe sciatica: kurongeka kwekuongorora uye meta-kuongororwa kwemiedzo yakarongedzwa. BMJ, 381, e070730. doi.org/10.1136/bmj-2022-070730

Peacock, M., Douglas, S., & Nair, P. (2023). Neural mobilization in low back and radicular pain: a systematic review. J Man Manip Ther, 31(1), 4-12. doi.org/10.1080/10669817.2022.2065599

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

Yu, FT, Ni, GX, Cai, GW, Wan, WJ, Zhou, XQ, Meng, XL, Li, JL, Tu, JF, Wang, LQ, Yang, JW, Fu, HY, Zhang, XC, Li, J., Wang, YF, Zhang, B., Zhang, XH, Zhang, HL, Shi, GX, & Liu, CZ (2021). Kubudirira kweacupuncture ye sciatica: yekudzidza protocol ye randomized controlled controlled pilot trial. miedzo, 22(1), 34. doi.org/10.1186/s13063-020-04961-4

Disclaimer

Spinal Decompression: Maitiro ekubvisa Hip Pain zviri nyore

by Dr Alex Jimenez | Chiropractic, chisingaperi Pain, Hip Pain & Dambudziko, Sciatica, Sciatica Nerve Pain, Spinal Decompression Treatments, Mishonga, Viscerosomatic Reflex

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

ziviso

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

Hip Pain Yakabatana neSciatica

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

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

Kunzva/kunzwa chiveve
Nyoro nyoro
Marwadzo agere kana kumira
Kusagadzikana

Ndiwo Motion Kiyi Yekuporeswa- Vhidhiyo

Spinal Decompression Kuderedza Hip Pain

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

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

References

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

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

Crisp, EJ, Cyriax, JH, & Christie, BG (1955). Hurukuro pamusoro pekurapa kwemusana nekudhonza. Proc R Soc Med, 48(10), 805-814. www.ncbi.nlm.nih.gov/pubmed/13266831

www.ncbi.nlm.nih.gov/pmc/articles/PMC1919242/pdf/procrsmed00390-0081.pdf

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

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

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

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

Disclaimer

Spinal Stenosis uye Physical Therapy: Kugadzirisa Zviratidzo

by Dr Alex Jimenez | Mamiriro Ekutongwa, Sciatica

Ko spinal stenosis kurapa kwemuviri kunogona kuvandudza hupenyu uye kuderedza zviratidzo zvinorwadza kune vanhu vari kubata nemamiriro ekuderera?

Spinal Stenosis Physical Therapy

Spinal stenosis inokonzera kutetepa kwekuvhura kwe vertebrae. Mazaru akakanganisika ndeaya:

Iyo yepakati spinal canal - panogara tambo yemuzongoza.
Foramen - maburi madiki ari kumativi ega ega vertebra apo midzi yetsinga inobuda kubva kumusana.
Spinal stenosis inowanzoitika mu lumbar spine / kuzasi kumashure.
Inogonawo kuitika mumutsipa wekervical spine / mutsipa. (Jon Lurie, Christy Tomkins-Lane 2016)

Madhisiki ari pakati pemusana we vertebrae anopa cushioning uye kuvhunduka kubatwa mumuzongoza uye nemuviri wese. Degenerative shanduko kuma discs inotendwa kuva kutanga kwespinal stenosis. Kana ma discs asina kukwana hydration / mvura uye dhisiki kureba kunoderera nekufamba kwenguva, iyo cushioning uye kuvhunduka kutorwa kunova kushoma uye kushoma. Iyo vertebrae inogona kubva yamanikidzwa, zvichikonzera kupesana. Degenerative spinal stenosis inogonawo kukura kubva kune yakawandisa scar tissue uye bone spurs (kukura kunokura pamucheto webhonzo) iyo inogona kuumba mushure mekukuvara kana kuvhiyiwa kwemusana.

Kuongorora

Chiremba achaita kuongororwa kwespinal stenosis. Chiremba achatora mufananidzo wemuzongoza kuti aone nzvimbo chaiyo yekuora uye kuyera kuti mazaruro akatetepa sei. Marwadzo, kuoma, kufamba zvishoma, uye kurasikirwa kwehuwandu hwekufamba kunowanzovapo. Kana spinal stenosis yakonzera kutsinga kwetsinga, panogonawo kuva nemarwadzo, chiveve, kurira, kana kupera simba mumagaro (sciatica), zvidya, uye makumbo ezasi. Murapi wepanyama anozoona dhigirii nekuongorora zvinotevera:

Vertebrae mobility - kuti musana unokotama uye unomonyoroka munzira dzakasiyana.
Kugona kushandura nzvimbo.
Kusimba kwepakati, musana, uye tsandanyama dzehudyu.
musaridzwa
Musoro
Gait pattern
Nerve compression kuona kana pane zviratidzo mumakumbo.
Mhosva dzakapfava kazhinji hadzibatanidzi kudzvanywa kwetsinga, sezvo kuomarara kwemusana kunowanzoitika.
Mune zvimwe zviitiko zvakanyanya, panogona kuva nekurwadziwa kukuru, kufamba kuduku, uye kudzvinyirira kwetsinga, zvichiita kuti gumbo riore.

Chiratidzo chinowanzoitika chespinal stenosis kuwedzera marwadzo nekukotama kumashure kana kuwedzera kwe lumbar spine. Izvi zvinosanganisira nzvimbo dzinowedzera musana, zvakadai sokumira, kufamba, uye kurara padumbu. Zviratidzo zvinowanzovandudza kana uchikotama kumberi uye kana musana wakamira zvakanyanya munzvimbo yakachinjika kana yakabhenda, senge wakagara uye wakatsamira. Nzvimbo dzemuviri idzi dzinovhura nzvimbo dzepakati pepinal canal.

Surgery

Spinal stenosis ndicho chikonzero chinowanzoitika chekuvhiyiwa muvakuru 65 uye vakuru. Zvisinei, kuvhiyiwa kunowanzoitwa sechisarudzo chekupedzisira kana marwadzo, zviratidzo, uye kuremara zvichiramba mushure mekuedza kurapa kwekuchengetedza, kusanganisira chiropractic, kusagadzikana kwekusavhiya, uye kurapwa kwemuviri, kwemwedzi kana makore. Kuoma kwezviratidzo uye hutano huripo huno huchasarudza kana chiremba achakurudzira kuvhiyiwa. (Zhuomao Mo, et al., 2018) Matanho ekuchengetedza anogona kuve akachengeteka uye anobudirira. Ongororo yakarongeka kana ongororo yakavakirwa pane zvese zviripo zvekutanga tsvagiridzo yakawana kuti kurapwa kwemuviri uye kurovedza muviri kwakaguma nemhedzisiro yakafanana pakuvhiya kwekuvandudza marwadzo nekuremara. (Zhuomao Mo, et al., 2018) Kunze kwezviitiko zvakakomba, kuvhiyiwa kazhinji hakudiwi.

Physical Therapy yeSpinal Stenosis

Chinangwa chePhysical Therapy chinosanganisira:

Kuderedza marwadzo uye kuoma kwemajoini.
Kubvisa kudzvanywa kwetsinga.
Kuderedza kusimba mumasumbu akapoteredza.
Kuvandudza huwandu hwekufamba.
Kuvandudza postural alignment.
Kusimbisa mhasuru dzepakati.
Kuvandudza simba remakumbo kubatsira nekuenzanisa uye basa rose.

Kutambanudza kwetsandanyama dzeshure, kusanganisira izvo zvinomhanya zvakadzika pamwe chete nemuzongoza uye izvo zvinomhanya diagonally kubva pachiuno kusvika kune lumbar spine, zvinobatsira kubvisa kuoma kwemhasuru uye kurwadziwa uye zvinogona kuvandudza kufamba kwese uye mararamiro ekufamba kwelumbar spine.
Kutambanudza mhasuru dzehudyu, kusanganisira hip flexors mberi, piriformis kumashure, uye nyundo dzinomhanya kubva kumashure kwehudyu ichidzika negumbo kusvika kumabvi, inokoshawo sezvo misumbu iyi yakasungirirwa pachiuno, iyo inobatanidza zvakananga kune musana.
Maekisesaizi ekusimbisa abdominal core muscles, kusanganisira mamhasuru ari muhunde, pelvis, kuzasi kumashure, muhudyu, uye dumbu, anobatsira kudzikamisa musana uye kuudzivirira kubva pakufamba zvakanyanya uye kumanikidza masimba.
Ne spinal stenosis, mhasuru dzepakati dzinowanzova dzisina simba uye dzisingashande uye dzisingakwanisi kuita basa radzo kutsigira musana. Maekisesaizi emukati anowanzotanga nekuita kuti tsandanyama dzedumbu dzakadzika dzakarara wakarara nemabvi akabhenda.
Maekisesaizi anozofambira mberi sezvo munhu achiwana simba rakawanda uye kutonga sezvo musana unodzikama.
Spinal stenosis kurapa kwemuviri kunosanganisirawo kuenzanisa kudzidziswa uye glute maekisesaizi ekusimbisa gumbo tsandanyama.

dziviriro

Kushanda nemushonga wepanyama kunogona kubatsira kudzivirira matambudziko emangwana nekuchengetedza kufamba kwepelinha, kuchengetedza munhu ari kushanda, uye kurovedza muviri kuchengetedza simba uye kugadzikana kupa nheyo yakasimba yekutsigira pasi pasi uye kudzivirira zviratidzo kubva pakuwedzera.

Yakanyanya Spinal Stenosis Physical Therapy

Physical therapy inowanzobatanidza kuita kutambanudzwa kwezasi kumashure, mahudyu, uye makumbo, maekisesaizi ekufamba, uye core kusimbisa maekisesaizi kuvandudza musana uye kuderedza marwadzo. Mishonga senge kupisa kana kurudziro yemagetsi inogonawo kushandiswa pane imwe nyaya-ne-kesi hwaro kana paine marwadzo akanyanya kana kusimba mumhasuru dzekumusana. Nekudaro, hapana humbowo hwakakwana hwekiriniki hwekutsigira kuti kune mamwe mabhenefiti. (Luciana Gazzi Macedo, et al., 2013) Kubudirira kwehutano hwepanyama kwakakwirira nokuti kuvhiyiwa chete hakugoni kusimbisa misumbu inodzikamisa musana, kuwedzera kufamba kana kushanduka kwemisungo yakapoteredza, uye kugadzirisa postural alignment.

Zvikonzero Zvinokonzera Spinal Stenosis

References

Lurie, J., & Tomkins-Lane, C. (2016). Kutungamirirwa kwe lumbar spinal stenosis. BMJ (Clinical research ed.), 352, h6234. doi.org/10.1136/bmj.h6234

Mo, Z., Zhang, R., Chang, M., & Tang, S. (2018). Exercise therapy inopesana nekuvhiyiwa kwe lumbar spinal stenosis: kuongorora kwakarongeka uye meta-analysis. Pakistan magazini yezvekurapa sainzi, 34 (4), 879-885. doi.org/10.12669/pjms.344.14349

Macedo, L. G., Hum, A., Kuleba, L., Mo, J., Truong, L., Yeung, M., & Battié, M. C. (2013). Physical therapy inopindira kune degenerative lumbar spinal stenosis: kuongorora kwakarongeka. Physical therapy, 93 (12), 1646-1660. doi.org/10.2522/ptj.20120379

Kunzwisisa Spinal Synovial Cysts: Mhedziso

by Dr Alex Jimenez | Chiropractic Examination, Sciatica

Vanhu vakapfuura nekukuvara kwemusana vanogona kugadzira synovial spinal cyst senzira yekudzivirira musana unogona kukonzera zviratidzo zvinorwadza uye manzwiro. Kuziva zviratidzo kunobatsira here vatapi vehutano kugadzira chirongwa chekurapa chakakwana kuti vabvise marwadzo, kudzivirira kuwedzera kwemamiriro ezvinhu uye mamwe mamiriro emusana?

Spinal Synovial Cysts

Spinal synovial cysts ibhenign fluid-filled sacs inokura mumajoini emusana. Vanoumba nekuda kwekuderera kwemusana kana kukuvara. Ma cysts anogona kuumba chero kupi muzongoza, asi mazhinji anoitika munzvimbo yelumbar/kuzasi kumashure. Ivo vanowanzokura mumajoini kana majoini anochengeta vertebrae / musana mapfupa akabatana.

zviratidzo

Muzviitiko zvakawanda, synovial cysts haikonzeri zviratidzo. Nekudaro, chiremba kana nyanzvi ichada kutarisa zviratidzo zve degenerative disc chirwere, spinal stenosis, kana cauda equina syndrome. Kana zviratidzo zviripo, zvinowanzokonzera radiculopathy kana nerve compression, izvo zvinogona kukonzera kurwadziwa shure, kushaya simba, kupera simba, uye kupenya kunorwadza kunokonzerwa nekutsamwa. Kuoma kwezviratidzo kunoenderana nekukura uye nzvimbo ye cyst. Synovial cysts inogona kukanganisa rumwe rutivi rwemusana kana maviri uye inogona kuumba pane imwe musana kana pamazinga akawanda.

Migumisiro Inogona Kusanganisira

Radiculopathy zviratidzo zvinogona kukura kana cyst kana kuzvimba kunokonzerwa ne cyst kukasangana nemusana wetsinga midzi. Izvi zvinogona kukonzera sciatica, kushaya simba, kupera simba, kana kuoma kudzora mamwe mamhasuru.
Neurogenic claudication/impingement uye kuzvimba kwespinal nerves zvinogona kukonzera cramping, kurwadziwa, uye/kana kurira muzasi musana, makumbo, mahudyu, nemagaro. (Martin J. Wilby et al., 2009)
Kana musana wemusana wakabatanidzwa, zvinogona kukonzera myelopathy /Kutsikirira kwakakomba kwepinal cord kunogona kukonzera chiveve, kushaya simba, uye kuenzanisa matambudziko. (Dong Shin Kim et al., 2014)
Zviratidzo zvine chokuita necauda equina, kusanganisira matambudziko ehutu uye / kana dundira, kushaya simba kwegumbo, uye chigaro anesthesia / kurasikirwa kwekunzwa muhudyu, matako, uye perineum, zvinogona kuuya asi zvisingawanzoitiki, sezvakaita synovial cysts pakati nepakati nemutsipa. Kana thoracic uye cervical synovial cysts ikakura, inogona kukonzera zviratidzo senge chiveve, kurira, kurwadziwa, kana kushaya simba munzvimbo yakabatwa.

Zvinokonzera

Spinal synovial cysts inowanzokonzerwa nekuchinja kwekuchinja senge osteoarthritis inokura mumubatanidzwa nekufamba kwenguva. Nekugara uchipfeka uye kubvaruka, facet joint cartilage / zvinhu zviri mujointi zvinopa dziviriro, nzvimbo yakatsetseka, kuderedza kukweshera, uye kubatwa nekutya kunotanga kupera. Sezvo maitiro acho achienderera mberi, synovium inogona kugadzira cyst.

Matambudziko, makuru uye madiki, ane kuzvimba uye kuderera mhedzisiro pamajoini anogona kukonzera kuumbwa kwe cyst.
Inenge chikamu chimwe muzvitatu chevanhu vane spinal synovial cyst vanewo spondylolisthesis.
Ichi chiitiko ndechekuti vertebrae inotsvedza kubva panzvimbo kana kubva pakurongeka ichienda kune vertebra iri pasi.
Icho chiratidzo chekusagadzikana kwemusana.
Kusagadzikana kunogona kuitika munzvimbo ipi neipi yemuzongoza, asi L4-5 ndiyo mazinga akajairika.
Ichi chikamu chemuzongoza chinotora huremu hwepamusoro hwemuviri.
Kana kusagadzikana kuchiitika, cyst inogona kukura.
Zvisinei, cysts inogona kuumba pasina kusagadzikana.

kuongorora chirwere

Cysts inowanzoonekwa kuburikidza neMRI. (Nancy E, Epstein, Jamie Baisden. 2012)
Dzimwe nguva vanogona kuonekwa ne ultrasound, X-ray, kana CT scans.

mabatiro

Mamwe ma cysts anoramba ari madiki uye anokonzera mashoma kana asina zviratidzo. Cyst inoda kurapwa chete kana ichikonzera zviratidzo. (Nancy E, Epstein, Jamie Baisden. 2012)

Mararamiro Ekugadzirisa

Nyanzvi yezvehutano inokurudzira kudzivirira zvimwe zviitiko zvinowedzera zviratidzo.
Vanhu vanogona kurairwa kuti vatange kutambanudza uye kunonangwa zviitwa.
Physical therapy kana occupational therapy inogonawo kukurudzirwa.
Kushandiswa kwenguva nenguva kwe-over-the-counter nonsteroidal anti-inflammatories/NSAIDs senge ibuprofen nenaproxen kunogona kubatsira kubvisa marwadzo pano neapo.

Maitirwo Evarwere Vepanze

Kune ma cysts anokonzera kurwadziwa kwakanyanya, chiveve, kushaya simba, uye zvimwe zvinhu, maitiro ekubvisa mvura / aspiration kubva mucyst anogona kukurudzirwa.
Imwe ongororo yakawana kuti huwandu hwebudiriro hunotangira pa0 kusvika pa50 muzana.
Vanhu vanoenda kuburikidza neshuviro vanowanzoda maitiro ekudzokorora kana fluid kuvaka-up ikadzoka. (Nancy E, Epstein, Jamie Baisden. 2012)
Epidural corticosteroid jekiseni inogona kuderedza kuzvimba uye inogona kuva sarudzo yekubvisa marwadzo.
Varwere vanokurudzirwa kugamuchira majekiseni asingapfuuri matatu pagore.

Nzira dzekuvhiya

Pamatambudziko akaoma kana anoramba aripo, chiremba anogona kukurudzira kuvhiyiwa kwedecompression kubvisa cyst uye pfupa rakakomberedza kuti abvise kudzvinyirira pamidzi yetsinga. Sarudzo dzekuvhiya dzinotangira kubva kudiki invasive endoscopic maitiro kusvika kuhombe, maoparesheni akavhurika. Iyo yakanakisa yekuvhiya sarudzo inosiyana zvichienderana nekuoma kwemamiriro ezvinhu uye kana kusagadzikana kwakabatana kuripo. Sarudzo dzekuvhiya dzinosanganisira:

Laminectomy - Kubviswa kwebhoni chimiro chinodzivirira uye chinovhara musana canal / lamina.
Hemilaminectomy - Yakagadziridzwa laminectomy apo chikamu chidiki chelamina chinobviswa.
Facetectomy -Kubviswa kwechikamu chechikamu chakakanganisika chejoint apo synovial cyst iripo, kazhinji ichitevera laminectomy kana hemilaminectomy.
Fusion yezvikamu zvezvikamu uye vertebra - Inoderedza vertebral kufamba munzvimbo yakakuvara.

Vanhu vazhinji vanonzwa kurwadziwa nekukurumidza mushure me laminectomy kana hemilaminectomy.
Fusion inogona kutora mwedzi mitanhatu kusvika mipfumbamwe kupora zvachose.
Kana kuvhiyiwa kukaitwa pasina kusanganiswa kwakatangira cyst, marwadzo anogona kudzoka, uye imwe cyst inogona kuumbwa mukati memakore maviri.
Kuvhiya Matambudziko anosanganisira kutapukirwa, kubuda ropa, uye kukuvara kumusana kana nerve midzi.

Mawaniro Andakaita Kufamba Kwangu Kudzoka NeChiropractic

References

Wilby, MJ, Fraser, RD, Vernon-Roberts, B., & Moore, RJ (2009). Kuwanda uye pathogenesis ye synovial cysts mukati me ligamentum flavum mune varwere vane lumbar spinal stenosis uye radiculopathy. Muzongoza, 34(23), 2518–2524. doi.org/10.1097/BRS.0b013e3181b22bd0

Kim, DS, Yang, JS, Cho, YJ, & Kang, SH (2014). Acute myelopathy inokonzerwa necervical synovial cyst. Nyaya yeKorea Neurosurgical Society, 56 (1), 55-57. doi.org/10.3340/jkns.2014.56.1.55

Epstein, NE, & Baisden, J. (2012). Kuongororwa uye manejimendi e synovial cysts: Kubudirira kwekuvhiya kunopesana necyst aspiration. Kuvhiya tsinga dzepasi rose, 3(Suppl 3), S157–S166. doi.org/10.4103/2152-7806.98576

Dzorerazve Simba Rako: Rehabilitation Exercise Program Guide

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.