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Injury Care

Back Clinic Injury Care Chiropractic uye Physical Therapy Team. Pane nzira mbiri dzekukuvara kwekukuvara. Ivo vari kushingaira uye pusa kurapwa. Nepo zvese zviri zviviri zvichikwanisa kuendesa varwere munzira yekunaya, kurapwa chete ndiko kune simba-refu uye kunoita kuti varwere vafambe.

Isu tinotarisa pakurapa kukuvadzwa kunowanikwa mutsaona dzemotokari, kukuvara kwemunhu, kukuvara kwebasa, uye kukuvara kwemitambo uye tinopa masevhisi ekugadzirisa marwadzo ekupindira uye zvirongwa zvekurapa. Zvese kubva kumapundu nemavanga kusvika kutemwa nemarunda uye kurwadza kwemusana.

Passive Injury Care

Chiremba kana murapi wepanyama anowanzo kupa rubatsiro rwekungokuvara. Zvinosanganisira:

  • Acupuncture
  • Kushandisa kupisa / mazaya kuti aore maronda
  • Pain medication

Ndiyo nzira yakanaka yekutanga kubatsira kubatsira kuderedza marwadzo, asi kusagadzikana kwekukuvara kwakanyanya hakusi kurapa kwakanyanya. Kunyange zvazvo iyo inobatsira munhu akuvadzwa kunzwa zviri nani munguva iyo, rubatsiro harugari. Murwere haazogadziri zvakakwana mukukuvara kunze kwokunge achishanda nesimba kuti adzokere kumararamiro avo.

Kushingaira Kukuvara Kutarisira

Kurapa kwakasimba kunoitwa nachiremba kana murapi wepanyama kunoenderana nekuzvipira kwemunhu akuvara pabasa. Kana varwere vachitora varidzi vehutano hwavo, iyo inoshanda yekuchengeta kukuvara maitiro inova yakanyanyisa uye inobudirira. Urongwa hwekuita hwakagadziridzwa huchabatsira munhu akakuvara achinje kuita basa rakazara uye kugadzirisa hutano hwavo hwese hwepanyama uye hwepfungwa.

  • Musana, mutsipa, uye musana
  • Headaches
  • Mabvi, mapfudzi, uye mawoko
  • Torn ligaments
  • Kukuvara kwemaviri yakasimba (musuru inomarara uye inopera)

Chii chinonzi kubatwa nekukuvara kunosanganisira?

Urongwa hwekurapa hunoshanda hunoita kuti muviri urambe wakasimba uye uchichinjika sezvinobvira kuburikidza neakasarudzika basa / chirongwa chekuchinja, chinodzikamisa maitiro enguva refu uye chinobatsira varwere vakakuvara kushandira kukurumidza kupora. Semuenzaniso, mukukuvadzwa kweMedical & Chiropractic kliniki yekukuvara, chiremba achashanda nemurwere kuti anzwisise chikonzero chekukuvara, obva agadzira chirongwa chekugadzirisa chinochengetedza murwere uye chinovadzosa kuhutano hwakanaka pasina nguva.

Kuti uwane mhinduro kumibvunzo ipi neipi yaungave unayo, ndapota fonera Dr. Jimenez pa915-850-0900


Kuongorora Inonakidza Bone: Nerve Kukuvara uye Kurapa

Kuongorora Inonakidza Bone: Nerve Kukuvara uye Kurapa

Kunzwisisa nzvimbo yebhonzo rinosekesa uye kuti kurwadziwa kunogona kugadziriswa sei mushure mekukuvara kunobatsira kukurumidza kupora nekudzivirira kune vanhu vakarova pfupa ravo rinosetsa?

Kuongorora Inonakidza Bone: Nerve Kukuvara uye Kurapa

Elbow Funny Bone Nerve Injury

Kuseri kwegokora kune nzvimbo inozivikanwa se "funny bone," uko ulnar nerve ine matishu mashoma uye kudzivirira kwemapfupa. Apa ndipo panopfuura chikamu cheurnar nerve ichitenderedza kumashure kwegokora. Nekuti matishu mashoma uye bhonzo zvinodzivirira tsinga munzvimbo ino, kutora kurova sekurovera mune chimwe chinhu kunogona kukonzera kuvhunduka kwemagetsi-kunge kurwadziwa uye kurira kudzika pasi peruoko uye kune zvigunwe zvekunze zvinowanzoitika tsinga yakatsamwa. Kukuvara kwakawanda kune inosekesa bone bone kunogadzirisa nekukurumidza, uye kurwadziwa kunonyangarika mushure memasekondi mashoma kana maminetsi, asi dzimwe nguva, ulnar tsinga kukuvara kunogona kutungamirira kune zvinoramba zvichiratidza zviratidzo.

Anatomy

Iro bhonzo rinosetsa harisi bhonzo asi tsinga yeulnar. Tsinga inodzika neruoko, ichipfuura nekuseri kwegokora. (Dimitrova, A. et al., 2019) Nemhaka yokuti tsinga yeurnar iri pamusoro pegokora uye pane cushion ine mafuta shoma, kubhuroka zvishoma panzvimbo iyi kunogona kukonzera marwadzo uye kurira kwekunzwa pasi peruoko. Mapfupa matatu anosanganisira kusangana kwegokora kunosanganisira:

  • Humerus - pfupa reruoko
  • Ulna uye radius - forearm mapfupa

Iyo humerus ine groove inodzivirira uye inobata ulnar nerve sezvainopfuura kuseri kwejoinhi. Apa ndipo panogona kukuvara tsinga kana kushatirwa kana tsinga ikarohwa kana kudzvanywa kumucheto kwebhonzo, zvichikonzera kurwadziwa kwebhonzo kunonakidza.

Electrical Pain Sensation

Kana uchirova ulnar tsinga kana kusetsa bhonzo uko ulnar tsinga inopa kunzwa, kurwadziwa, uye magetsi / tingling sensations inowanikwa kubva kumberi kusvika kune yekunze zvigunwe. Ichi chikamu cheruoko neruoko chinonzi ulnar nerve distribution. (American Academy yeOrthopedic Surgeons. 2024) The ulnar nerve inopa kunzwa mune yakawanda yepinky finger uye inenge hafu yemhete yemunwe. Dzimwe tsinga, kusanganisira yepakati uye radial nerve, inopa kunzwa kune rumwe ruoko rwasara.

mabatiro

Kazhinji, jolt yakapinza kugokora inokurumidza kugadzirisa. Mamwe mazano ekubatsira zviratidzo kukurumidza kukurumidza anosanganisira:

  • Vachizunza zunza ruoko.
  • Kutwasanudza nekukotamisa gokora kutambanudza tsinga.
  • Kuderera kwekufamba kwegokora.
  • Kuisa ice panzvimbo.
  • Kutora anti-inflammatory drugs.

Kurapa Marwadzo Akareba

Muzviitiko zvisingawanzoitiki, kukuvadzwa kune ulnar nerve kunogona kukonzera zviratidzo zvinoramba zvichiitika, chirwere chinonzi cubital tunnel syndrome. Cubital tunnel syndrome inogona kuitika mushure mekukuvara kana kubva kugokora zvakanyanya. Vanhu vane cubital tunnel syndrome vanogona kubatsirwa nekupfeka splint husiku. Yakajairwa-saizi splints inogona kuodha pamhepo, asi mazhinji anogadzirwa neanoshanda kana ruoko therapist. Kana zviratidzo zvikava zvinogara kwenguva refu, kuvhiyiwa kunogona kukurudzirwa kuti kuderedze kudzvinyirira uye kushushikana pamutsipa weurnar (American Academy yeOrthopedic Surgeons, 2024) Iyo nzira inobvisa tsinga nekubvisa chero zvimisikidzo zvakarikomberedza uye nekuzvisunungura. Muzviitiko zvakakomba, tsinga inodzoserwa kune imwe nzvimbo isingaisi zvakanyanya kumanikidza patsinga, inozivikanwa seulnar nerve transposition.

Kukuvara Kwechiremba Chiropractic uye Functional Medicine Clinic inoshanda nevarapi vehutano hwekutanga uye nyanzvi kugadzira hutano hwakakwana uye hutano mhinduro inobatsira vanhu kuti vadzokere kune zvakajairwa. Vatapi vedu vanogadzira zvirongwa zvekuchengetedza zvepamunhu zvemurwere wega wega, kusanganisira Functional Medicine, Acupuncture, Electro-Acupuncture, uye Mishonga yeMishonga misimboti kuburikidza nenzira yakabatanidzwa yekurapa kukuvara uye kusingaperi kurwadziwa syndromes kuvandudza kugona kuburikidza nekuchinjika, kufamba, uye agility zvirongwa zvekubvisa marwadzo. Kana kumwe kurapwa kuchidiwa, Dr. Jimenez akabatana nevanovhiya vepamusoro, nyanzvi dzekiriniki, vatsvakurudzi vezvokurapa, uye vagadziri vekugadzirisa kuti vape kurapa kwakanyanya.


Chiropractic Treatment For Carpal Tunnel Syndrome


References

Dimitrova, A., Murchison, C., & Oken, B. (2019). Mhedzisiro yemunharaunda yeacupuncture pane yepakati uye ulnar nerve muvarwere vane carpal tunnel syndrome: mutyairi mechanistic kudzidza protocol. Miedzo, 20(1), 8. doi.org/10.1186/s13063-018-3094-5

American Academy yeOrthopedic Surgeons. (2024). Ulnar nerve entrapment pagokora. orthoinfo.aaos.org/en/diseases-conditions/ulnar-nerve-entrapment-at-the-elbow-cubital-tunnel-syndrome/

Kubata Nemunwe Wakajamirwa: Zviratidzo uye Kudzoreredza

Kubata Nemunwe Wakajamirwa: Zviratidzo uye Kudzoreredza

Vanhu vanotambura nechigunwe chakamisikidzwa: Kuziva zviratidzo nezviratidzo zvemunwe usina kutyoka kana kubviswa zvinobvumira kurapwa kumba uye nguva yekuona mupi wehutano?

Kubata Nemunwe Wakajamirwa: Zviratidzo uye Kudzoreredza

Jammed Finger Injury

Chigunwe chakajairirwa, chinozivikanwawo sechigunwe chakatsemuka, kukuvara kunowanzoitika kana muromo wemunwe ukasundirwa kuruoko zvine simba, zvichiita kuti chibatanidza chiomerwe. Izvi zvinogona kukonzera marwadzo uye kuzvimba mune imwe kana kupfuura zvigunwe kana majoini emunwe uye kukonzera ligaments kutambanudza, kuputika, kana kubvarura. (American Society for Surgery of the Hand. 2015) Chigunwe chakajairirwa chinowanzopora nechando, kuzorora, uye kutepa. Izvi zvinowanzokwana kuti zvibvumire kupora muvhiki kana maviri kana pasina mafractures kana dislocation aripo. (Carruthers, KH et al., 2016) Kunyange ichirwadza, inofanira kukwanisa kufamba. Zvisinei, kana chigunwe chisingakwanisi kuzununguka, chinogona kutyoka kana kutsemuka uye chinoda X-rays, sezvo chigunwe chakatyoka kana kutsemuka kwemajoini kunogona kutora mwedzi kuti apore.

mabatiro

Kurapa kunosanganisira icing, kuyedzwa, kutepa, kuzorora, kuona chiropractor kana osteopath, uye kufambira mberi kwekushandisa nguva nenguva kuti uwanezve simba uye kugona.

chando

  • Danho rekutanga kupinza kukuvara nekuichengeta yakakwira.
  • Shandisa ice pack kana bhegi remiriwo yakaoma yakaputirwa netauro.
  • Isai chigunwe mukati memaminitsi gumi nemashanu.
  • Bvisa chando uye mirira kusvikira chigunwe chadzokera kune yakajairika tembiricha usati waisazve icing.
  • Usaite ice chigunwe chakajamirwa kweanopfuura matatu maminetsi gumi nemashanu muawa imwe chete.

Edza Kufambisa The Affected Finger

  • Kana munwe wakajamirwa usingafambi nyore kana kuti kurwadziwa kunowedzera paunenge uchiedza kuifambisa, unoda kuona mupi wehutano uye une X-ray kutarisa kuputsika kwepfupa kana kuparadzaniswa. (American Society for Surgery of the Hand. 2015)
  • Edza kutamisa munwe zvishoma mushure mekuputika, uye kurwadziwa kunopera.
  • Kana kukuvara kuri kunyoro, munwe unofanirwa kufamba nekusagadzikana kudiki kwenguva pfupi.

Tape uye Zorora

  • Kana chigunwe chakakanyiwa chisina kutyoka kana kutsemuka, chinogona kusungirirwa kumunwe uri padivi pacho kuti usafambe, unozivikanwa sebuddy taping. (Won SH et al., 2014)
  • Medical-giredhi tepi uye gauze pakati peminwe inofanira kushandiswa kudzivirira mablister uye unyoro paunenge uchipora.
  • Mumwe murapi wezvehutano anogona kupa zano rekuti chigunwe chisungirirwe kuti chigunwe chakamira chakabatana nemimwe minwe.
  • A splint inogonawo kubatsira kudzivirira chigunwe chakamira kubva pakukuvara zvakare.

Kuzorora uye Kuporeswa

  • Chigunwe chakamisikidzwa chinofanira kuchengetedzwa chichiri kupora pakutanga, asi pakupedzisira, chinoda kufamba uye kuchinjika kuvaka simba uye kushanduka.
  • Targeted physical therapy exercises inogona kubatsira pakupora.
  • Mutariri wepamusoro anogona kukwanisa kutumira murapi wepanyama kuti ave nechokwadi chekuti chigunwe chine hutano hwekufamba uye kutenderera pazvinopora.
  • Chiropractor kana osteopath inogonawo kupa mazano ekubatsira kugadzirisa chigunwe, ruoko, uye ruoko kune zvakajairika basa.

Kurerutsa Chigunwe Kudzokera kune Zvakajairika

  • Zvichienderana nekuwanda kwekukuvara, munwe uye ruoko zvinogona kurwadza uye kuzvimba kwemazuva mashoma kana mavhiki.
  • Zvinogona kutora nguva kuti utange kunzwa zvakanaka.
  • Kana kupora kwatanga, vanhu vanozoda kudzoka pakuishandisa zvakajairika.
  • Kudzivisa kushandisa jammed chigunwe ichaita kuti ishaye simba, iyo inogona, nekufamba kwenguva, ichiwedzera simba uye kuwedzera njodzi yekukuvara zvakare.

Kana marwadzo uye kuzvimba zvikaramba zviripo, ona mutarisiri wehutano kuti atariswe kuti angangotyoka, kutsemuka, kana kumwe kunetsa nekukurumidza, sezvo kukuvara uku kwakaoma kurapa kana munhu akamirira kwenguva refu. (Yunivhesiti yeUtah Hutano, 2021)

PaInjury Medical Chiropractic uye Functional Medicine Clinic, isu tinonyanya kutarisa pakurapa kukuvara kwevarwere uye kusingaperi kurwadziwa syndromes uye kuvandudza kugona kuburikidza nekuchinjika, kufamba, uye agility zvirongwa zvinoenderana nemunhu. Vapeji vedu vanoshandisa nzira yakabatanidzwa kugadzira zvirongwa zvekuchengetedza zvemunhu zvinosanganisira Functional Medicine, Acupuncture, Electro-Acupuncture, uye Sports Medicine protocol. Chinangwa chedu ndechekubvisa marwadzo nemasikirwo nekudzorera hutano uye kushanda kumuviri. Kana munhu wacho achida kumwe kurapwa, anozoendeswa kukiriniki kana chiremba anonyatsovakodzera. Dr. Jimenez akabatana nevarapi vepamusoro, nyanzvi dzemakiriniki, vatsvakurudzi vezvokurapa, uye vatapi vekutanga vekugadzirisa kuti vape mishonga inobatsira zvikuru.


Kurapa kweCarpal Tunnel Syndrome


References

American Society for Surgery of the Hand. (2015). Jammed chigunwe. www.assh.org/handcare/condition/jammed-finger

Carruthers, KH, Skie, M., & Jain, M. (2016). Jam Kukuvara kweChigunwe: Kuongororwa uye Kutungamirirwa Kwekukuvara kune Interphalangeal Joints Pakati peMitambo Yakawanda uye Mazinga eChiitiko. Hutano hwemitambo, 8(5), 469–478. doi.org/10.1177/1941738116658643

Won, SH, Lee, S., Chung, CY, Lee, KM, Sung, KH, Kim, TG, Choi, Y., Lee, SH, Kwon, DG, Ha, JH, Lee, SY, & Park, MS (2014). Buddy taping: inzira yakachengeteka yekurapa kukuvara kwemunwe uye zvigunwe? Makiriniki mukuvhiya kwemapfupa, 6 (1), 26-31. doi.org/10.4055/cios.2014.6.1.26

Yunivhesiti yeUtah Health. (2021). Yunivhesiti yeUtah Health. Ndinofanira kunetseka nezvechigunwe chakamira here? Yunivhesiti yeUtah Health. healthcare.utah.edu/the-scope/all/2021/03/should-i-worry-about-jammed-finger

The Complete Guide to Dislocated Hip: Zvinokonzera uye Solutions

The Complete Guide to Dislocated Hip: Zvinokonzera uye Solutions

Kuziva nzira dzekurapa dzehudyu yakatsemuka kunobatsira vanhu kukurumidza kudzoreredza uye kupora?

The Complete Guide to Dislocated Hip: Zvinokonzera uye Solutions

Dislocated Hip

Kutsemuka kwehudyu kukuvara kusingawanzoitiki asi kunogona kuitika nekuda kwekushungurudzika kana kutevera hudyu kutsiva kuvhiyiwa. Inowanzoitika mushure mekushungurudzika kwakanyanya, kusanganisira kubonderana kwemotokari, inowira, uye dzimwe nguva kukuvara kwemitambo. (Caylyne Arnold et al., 2017) Hudyu yakabviswa inogonawo kuitika mushure mekuvhiyiwa kwehudyu. Kumwe kukuvadzwa senge ligament misodzi, kukuvadzwa kwecartilage, uye kuputsika kwepfupa kunogona kuitika padivi peiyo dislocation. Mazhinji kuputika kwehudyu kunobatwa nemaitiro ekuderedza akabatana anodzosera bhora musocket. Inowanzoitwa ne sedation kana general anesthesia. Rehabilitation inotora nguva uye inogona kuva mwedzi mishomanana isati yakwana. Kurapa kwepanyama kunogona kubatsira kudzorera kufamba uye simba muhudyu.

Chii ichochi?

Kana hudyu ichingobviswa zvishoma, inonzi hip subluxation. Kana izvi zvikaitika, musoro wehudyu wehudyu unongobuda zvishoma kubva pachigadziko. Hudyu yakatsemuka inguva apo musoro kana bhora rejoinhi rinochinja kana kubuda musocket. Nekuti hudyu yekugadzira inosiyana neyakajairwa hudyu yakabatana, njodzi yekusagadzikana inowedzera mushure mekutsiviwa kwemajoini. Ongororo yakawana kuti inosvika 2% yevanhu vanodzoserwa hudyu zvachose vachaona kuputika kwehudyu mukati megore, nengozi yekuwedzera inowedzera neinosvika 1% mumakore mashanu. (Jens Dargel et al., 2014) Zvisinei, michina mitsva yeprosthetics uye nzira dzokuvhiya dziri kuita kuti izvi zvisanyanya kuwanda.

Hip Anatomy

  • Hudyu bhora-ne-socket joint inonzi femoroacetabular joint.
  • Iyo socket inonzi acetabulum.
  • Bhora rinonzi musoro wechikadzi.

Bony anatomy nemarunda akasimba, tsandanyama, uye tendon zvinobatsira kugadzira kubatana kwakagadzikana. Simba rakakosha rinofanira kushandiswa pajojo kuti kuputika kwehudyu kuitike. Vamwe vanhu vanotaura kunzwa kubatwa-batwa kwehudyu. Izvi kazhinji hazvisi kuputika kwechiuno asi zvinoratidza chirwere chakasiyana chinonzi snapping hip syndrome. (Paul Walker et al., 2021)

Posterior Hip Dislocation

  • Around 90% yehudyu dislocations ari kumashure.
  • Mumhando iyi, bhora rinosundirwa kumashure kubva pasocket.
  • Posterior dislocations inogona kukonzera kukuvara kana kutsamwa kune sciatic nerve. (R Cornwall, TE Radomisli 2000)

Anterior Hip Dislocation

  • Anterior dislocations ishoma.
  • Murudzi urwu rwekukuvara, bhora rinosundirwa kunze kwesocket.

Hip Subluxation

  • A hip subluxation inoitika apo bhora rekubatana kwehudyu rinotanga kubuda kubva pachigadziko zvishoma.
  • Iyo inozivikanwawo sechikamu chechidimbu, inogona kushanduka kuita chidimbu chehudyu chakanyatsoputika kana chisingabvumirwi kupora zvakanaka.

zviratidzo

Zviratidzo zvinogona kusanganisira:

  • Gumbo riri panzvimbo isina kujairika.
  • Kutadza kufamba.
  • Kurwadza kwehudyu kwakanyanya.
  • Kusakwanisa kutakura uremu.
  • Mechanical kurwadza kwepashure kunogona kukonzeresa kuvhiringidzika pakuita kuongororwa kwakakodzera.
  • Nekudzongonyedzwa kwemashure, ibvi netsoka zvinotenderedzwa zvakananga pakati pemuviri.
  • An anterior dislocation inotenderedza ibvi netsoka kure nepakati. (American Academy yeOrthopedic Surgeons. 2021)

Zvinokonzera

Dislocation inogona kukonzera kukanganisa kune zvimiro zvinobata bhora musocket uye zvinogona kusanganisira:

  • Cartilage kukuvadzwa kwejoint -
  • Misodzi mulabrum nemarunda.
  • Kutsemuka kwebhonzo pajoini.
  • Kukuvadza kumidziyo inopa ropa kunogona kutungamirira kune avascular necrosis kana osteonecrosis yehudyu. (Patrick Kellam, Robert F. Ostrum 2016)
  • Kubviswa kwehudyu kunowedzera njodzi yekubatana nearthritis mushure mekukuvadzwa uye inogona kusimudza njodzi yekuda kuchinjwa hudyu gare gare muupenyu. (Hsuan-Hsiao Ma et al., 2020)

Developmental Dislocation yeHip

  • Vamwe vana vanozvarwa vaine kukura kwehudyu kana kuti DDH.
  • Vana vane DDH vane majoini ehudyu asina kuumbwa zvakanaka panguva yekukura.
  • Izvi zvinokonzeresa kusununguka kunokwana musocket.
  • Mune zvimwe zviitiko, mubatanidzwa wehudyu unobviswa zvachose.
  • Mune dzimwe, zvinowanzoita kubviswa.
  • Muzviitiko zvakapfava, mubatanidzwa wacho wakasununguka asi hausi nyore kutsemuka. (American Academy yeOrthopedic Surgeons. 2022)

mabatiro

Joint reduction ndiyo nzira yakajairika yekurapa hudyu yakatsemuka. Iyo nzira inodzosera bhora kumashure musocket uye inowanzoitwa ne sedation kana pasi peanesthesia. Kuisazve hudyu kunoda simba guru. Kubviswa kwehudyu kunoonekwa sechimbichimbi, uye kuderedzwa kunofanirwa kuitwa nekukurumidza mushure mekudzungaira kudzivirira matambudziko echigarire uye kurapwa. (Caylyne Arnold et al., 2017)

  • Kana bhora richinge radzoka muhomwe, mupi wehutano achatsvaga kukuvara kwemapfupa, cartilage, uye ligament.
  • Zvichienderana nezvinowanikwa nemupi wehutano, kumwe kurapwa kunogona kudiwa.
  • Mabhonzo akatyoka kana akatyoka angada kugadziriswa kuti bhora rirambe riri mukati me socket.
  • Cartilage yakakuvadzwa inogona kubviswa.

Surgery

Kuvhiyiwa kungave kuri madikanwa kudzorera fundo panzvimbo yaro yenguva dzose. Hip arthroscopy inogona kuderedza kupindira kwemamwe maitiro. Chiremba anovhiya anopinza kamera ine microscopic mujoint yehudyu kubatsira muvhiyi kugadzirisa kukuvara achishandisa zviridzwa zvinoiswa kuburikidza nezvimwe zvidiki.

Kuvhiyiwa kwehudyu kunotsiva bhora nesoketi, nzira yakajairika uye inobudirira yemapfupa ekuvhiya. Kuvhiyiwa uku kunogona kuitwa nekuda kwezvikonzero zvakasiyana-siyana, kusanganisira kushungurudzika kana arthritis, sezvinowanzoita kutanga arthritis yehudyu mushure merudzi urwu rwekutambudzika. Ichi ndicho chikonzero vazhinji vane dislocation pakupedzisira vanoda hip replacement operation. Senzira huru yekuvhiya, haisi pasina njodzi. Zvinetso zvinobvira zvinosanganisira:

  • Kurwara
  • Aseptic kusunungura (kusunungurwa kwejoint pasina utachiona)
  • Hip kubviswa

kupora

Kupora kubva pakubviswa kwehudyu inguva refu. Vanhu vanozoda kufamba nemadondoro kana zvimwe zvishandiso pakutanga kupora. Kurapa kwepanyama kuchavandudza huwandu hwekufamba uye kusimbisa misumbu yakatenderedza hudyu. Nguva yekupora ichaenderana nekuti kumwe kukuvadzwa, sekutsemuka kana misodzi, kuripo. Kana mubatanidzwa wehudyu wakadzikiswa uye pakanga pasina kumwe kukuvadzwa, zvinogona kutora mavhiki matanhatu kusvika gumi kuti adzoke kusvika pakuremera kunogona kuiswa pagumbo. Inogona kuva pakati pemwedzi miviri kusvika mitatu yekupora zvakakwana. Kuchengeta uremu kubva pagumbo kunokosha kusvikira chiremba kana chiremba wepanyama anopa zvose-zvakajeka. Injury Medical Chiropractic uye Functional Medicine Clinic ichashanda nemunhu mukuru wehutano hwehutano uye vamwe vanachiremba kana nyanzvi kuti vagadzire chirongwa chekurapa chemunhu.


Chiropractic Solutions yeOsteoarthritis


References

Arnold, C., Fayos, Z., Bruner, D., Arnold, D., Gupta, N., & Nusbaum, J. (2017). Kugadzirisa kutsemuka kwehudyu, ibvi, uye ankle mudhipatimendi rekukurumidzira [digest]. Emergency mushonga tsika, 19(12 Suppl Points & Maparera), 1–2.

Dargel, J., Oppermann, J., Brüggemann, GP, & Eysel, P. (2014). Dislocation zvichitevera kuchinjwa kwehudyu yose. Deutsches Arzteblatt international, 111(51-52), 884–890. doi.org/10.3238/arztebl.2014.0884

Walker, P., Ellis, E., Scofield, J., Kongchum, T., Sherman, WF, & Kaye, AD (2021). Snapping Hip Syndrome: A Comprehensive Update. Ongororo dzeOrthopedic, 13(2), 25088. doi.org/10.52965/001c.25088

Cornwall, R., & Radomisli, TE (2000). Kukuvadzwa kwetsinga mukushungurudzika kuparadzaniswa kwehudyu. Clinical orthopedics uye tsvakurudzo yakabatana, (377), 84-91. doi.org/10.1097/00003086-200008000-00012

American Academy yeOrthopedic Surgeons. (2021). Hip dislocation. orthoinfo.aaos.org/en/diseases-conditions/hip-dislocation

Kellam, P., & Ostrum, RF (2016). Kuongorora Kwakarongeka uye Meta-Kuongorora kweAvascular Necrosis uye Posttraumatic Arthritis Mushure meKushungurudza Hip Dislocation. Chinyorwa chekukuvara kwemapfupa, 30 (1), 10-16. doi.org/10.1097/BOT.0000000000000419

Ma, HH, Huang, CC, Pai, FY, Chang, MC, Chen, WM, & Huang, TF (2020). Migumisiro yenguva refu kune varwere vane kushungurudzika kwehudyu fracture-dislocation: Zvakakosha kufungidzira zvinhu. Nyaya yeChinese Medical Association : JCMA, ​​83 (7), 686-689. doi.org/10.1097/JCMA.0000000000000366

American Academy yeOrthopedic Surgeons. (2022). Developmental dislocation (dysplasia) yehudyu (DDH). orthoinfo.aaos.org/en/diseases-conditions/developmental-dislocation-dysplasia-of-the-hip-ddh/

Kudzivirirwa Wrist: Maitiro ekudzivirira Kukuvara Kana Uchisimudza Uremu

Kudzivirirwa Wrist: Maitiro ekudzivirira Kukuvara Kana Uchisimudza Uremu

Kune vanhu vanosimudza masimbi, pane nzira dzekudzivirira maoko nekudzivirira kukuvara kana uchisimudza masimbi?

Kudzivirirwa Wrist: Maitiro ekudzivirira Kukuvara Kana Uchisimudza Uremu

Wrist Protection

Iwo mawoko majoini akaoma kunzwisisa. Maoko anobatsira zvakanyanya mukugadzikana uye kufamba kana uchiita mabasa kana kusimudza masimbi. Vanopa mafambiro ekufamba vachishandisa maoko uye kugadzikana kutakura nekusimudza zvinhu zvakachengeteka uye zvakachengeteka (National Library yeMishonga, 2024) Kusimudza simbi kunowanzoitwa kusimbisa uye kudzikamisa maoko; zvisinei, kufamba uku kunogona kukonzera kurwadziwa kwemaoko uye kutungamirira mukukuvadzwa kana kusina kuitwa nemazvo. Kudzivirirwa kweWrist kunogona kuita kuti mawoko arambe akasimba uye ane hutano uye ndicho chinhu chakakosha kudzivirira matambudziko nekukuvara.

Wrist Strength

Majoini emaoko akaiswa pakati peruoko nemapfupa epamberi. Wrists akabatana mumitsara miviri yesere kana mapfumbamwe yakazara mapfupa madiki / carpal mapfupa uye akabatana neruoko uye ruoko mapfupa nemarunda, nepo tendon achibatanidza mhasuru dzakatenderedza kumapfupa. Majoini eWrist ari condyloid kana yakagadziridzwa bhora uye masokisi majoini ayo anobatsira nekuchinjika, kuwedzera, kubira, uye adduction mafambiro. (National Library of Medicine. 2024) Izvi zvinoreva kuti maoko anogona kufamba mundege dzese dzekufamba:

  • Side to side
  • Kumusoro nekudzika
  • Shanduka

Izvi zvinopa huwandu hwakawanda hwekufamba asi zvinogona kukonzera kupfeka zvakanyanya uye kubvarura uye kuwedzera njodzi yekunetseka uye kukuvara. Mamhasuru ari paruoko uye neruoko kudzora munwe kufamba kunodiwa kuti ubate. Aya mamhasuru nemarunda nemarunda anosanganisirwa anomhanya nepachanza. Kusimbisa mawoko kuchaita kuti vafambe, kubatsira kudzivirira kukuvara, uye kuwedzera nekuchengetedza simba rekubata. Mukuongorora pamusoro pezviremera uye simbalifters izvo zvakaongorora marudzi ekukuvadzwa kwavanoita, kukuvadzwa kwemaoko kwaiva kwakajairika, nekukuvara kwemhasuru uye tendon ndiko kwakajairika pakati pezviremera. (Ulrika Aasa et al., 2017)

Kuchengetedza Maoko

Kudzivirirwa kwemaoko kunogona kushandisa nzira yakawanda, iyo inosanganisira kugara uchiwedzera simba, kufamba, uye kushanduka kwekuvandudza hutano nekudzivirira kukuvara. Vasati vasimudza kana kuita chero kurovedza muviri kutsva, vanhu vanofanirwa kubvunza mutarisiri wavo wekutanga wehutano, murapi wepanyama, mudzidzisi, nyanzvi yezvekurapa, kana chiropractor yemitambo kuti vaone kuti ndeapi maekisesaizi akachengeteka uye anopa mabhenefiti kubva munhoroondo yekukuvara uye nhanho yazvino yehutano..

Wedzera Kufamba

Mobility inobvumira mawrists kuti ave nehuwandu hwakazara hwekufamba uchichengeta kugadzikana kunodiwa kune simba uye kusimba. Kushaikwa kwekufamba mumubatanidzwa wewrist kunogona kukonzera kuoma uye kurwadziwa. Kuchinjika kwakabatana nekufamba, asi kuve wakanyanya kuchinjika uye kushaya kugadzikana kunogona kukonzera kukuvara. Kuti uwedzere kufamba kwemaoko, ita maekisesaizi kanenge kaviri kana katatu pasvondo kuti uvandudze huwandu hwekufamba nekutonga uye kugadzikana. Zvakare, kutora nguva dzekuzorora mukati mezuva rese kutenderera uye kutenderedza maoko uye zvinyoro nyoro kudzoreredza zvigunwe kuti zvitambanudzire zvichabatsira kubvisa kushushikana uye kuoma izvo zvinogona kukonzera matambudziko ekufamba.

Dziisa

Usati watanga kushanda, dziya maoko nemuviri wese usati washanda. Tanga nechiedza chemwoyo kuti uwane synovial fluid mumajoini anotenderera kuti aise majoini, achibvumira kufamba kwakanaka. Semuenzaniso, vanhu vanogona kugadzira zvibhakera, kutenderedza maoko avo, kuita maekisesaizi ekufamba, kupfakanyika uye kutambanudza maoko, uye kushandisa ruoko rumwe kudhonzera kumashure zvigunwe zvinyoro. Around 25% yekukuvara kwemitambo kunosanganisira ruoko kana wrist. Izvi zvinosanganisira hyperextension kukuvara, ligament misodzi, pamberi-mukati kana thumb-side wrist kurwadziwa kubva mukukuvadzwa zvakanyanya, kukuvara kweextensor, nezvimwe. (Daniel M. Avery 3rd et al., 2016)

Kusimbisa Mazivo

Maoko akasimba akasimba zvakanyanya, uye kuasimbisa kunogona kupa kudzivirira kwechanza. Maekisesaizi anonatsiridza simba remaoko anosanganisira kudhonza-ups, deadlifts, loaded carries, uye Zottman curls. Simba rekubata rakakosha pakuita mabasa ezuva nezuva, kuchembera kune hutano, uye nekuenderera mberi nekubudirira nekusimudza uremu. (Richard W. Bohannon 2019) Semuenzaniso, vanhu vanoomerwa nekuwedzera huremu pazvikwiriso zvavo nekuti simbi inotsvedza kubva mumaoko avo inogona kunge isina simba rakakwana reruoko uye kubata.

Wraps

Wrist wraps kana grip-assisting products zvakakodzera kufunga nezveavo vane wrist issues kana zvinonetsa. Vanogona kupa kuwedzera kugadzikana kwekunze pavanenge vachisimudza, kuderedza kubata kuneta uye kushungurudza pamarunda uye tendons. Zvisinei, zvinokurudzirwa kuti usavimbe nemaputi sechirapa-yese chiyero uye kuisa pfungwa pakuvandudza simba rega rega, kufamba, uye kugadzikana. Chidzidzo chevatambi vane kukuvara kwemaoko chakaratidza kuti kukuvara kuchiri kuitika kunyangwe kuputira kuri kupfekwa 34% yenguva isati yakuvadzwa. Nemhaka yokuti vatambi vakawanda vakakuvadzwa havana kushandisa wraps, izvi zvakanongedza matanho ekudzivirira, asi nyanzvi dzakabvumirana tsvakurudzo yakawanda inodiwa. (Amr Tawfik et al., 2021)

Kudzivirira Kunyanya Kukuvara

Kana imwe nzvimbo yemuviri ikaita zvekudzokorodza zvakawandisa pasina kuzorora kwakakodzera, inosakara, kudhonzwa, kana kupisa nekukurumidza, zvichikonzera kukuvara zvakanyanya. Zvikonzero zvekukuvadzwa zvakanyanya zvakasiyana asi zvinosanganisira kusasiyana-siyana kurovedza muviri zvakakwana kuzorora mhasuru uye kudzivirira kunetsa. Ongororo yekutsvagisa pamusoro pekuwanda kwekukuvara muweightlifters yakawana kuti 25% yaive nekuda kwekunyanya kukuvara kwetendon. (Ulrika Aasa et al., 2017) Kudzivirira kushandisa zvakanyanya kunogona kubatsira kudzivirira matambudziko anogona kuitika emaoko.

Fomu Yakakodzera

Kuziva maitiro ekuita mafambiro nemazvo uye kushandisa fomu rakakodzera panguva yega yega yekurovedza / yekudzidzira chikamu chakakosha pakudzivirira kukuvara. Mudzidzisi wega, physiotherapist yemitambo, kana murapi wepanyama anogona kudzidzisa kugadzirisa kubata kana kuchengetedza fomu chairo.

Iva nechokwadi chekuona mupi wako wekupa mvumo usati wasimudza kana kutanga chirongwa chekurovedza muviri. Kukuvadza Medical Chiropractic uye Functional Medicine Clinic inogona kuraira nezve kudzidziswa uye prehabilitation kana kutumira kana ichidikanwa.


Fitness Health


References

Erwin, J., & Varacallo, M. (2024). Anatomy, Shoulder uye Yekumusoro Limb, Wrist Joint. MuStatPearls. www.ncbi.nlm.nih.gov/pubmed/30521200

Aasa, U., Svartholm, I., Andersson, F., & Berglund, L. (2017). Kukuvadza pakati pe weightlifters uye powerlifters: kuongorora kwakarongeka. Magazini yeBritish yemishonga yemitambo, 51 (4), 211-219. doi.org/10.1136/bjsports-2016-096037

Avery, DM, 3rd, Rodner, CM, & Edgar, CM (2016). Mitambo-yakabatana wrist uye kukuvara kwemaoko: wongororo. Nyaya yekuvhiyiwa kwemapfupa uye tsvagiridzo, 11(1), 99. doi.org/10.1186/s13018-016-0432-8

Bohannon RW (2019). Kubata Simba: Iyo Inonyanya Kukosha Biomarker Kune Vakuru Vakuru. Kupindira kwekiriniki mukukwegura, 14, 1681-1691. doi.org/10.2147/CIA.S194543

Tawfik, A., Katt, BM, Sirch, F., Simon, ME, Padua, F., Fletcher, D., Beredjiklian, P., & Nakashian, M. (2021). Chidzidzo pamusoro peChiitiko cheKukuvadzwa Kwemaoko kana Wrist muCrossFit Athletes. Cureus, 13(3), e13818. doi.org/10.7759/cureus.13818

Kupora kubva kuTriceps Tear: Zvekutarisira

Kupora kubva kuTriceps Tear: Zvekutarisira

Kune vatambi uye vanofarira zvemitambo, triceps yakabvaruka inogona kuva kukuvara kwakakomba. Kuziva zviratidzo zvavo, zvinokonzeresa, njodzi, uye zvinogona kunetsa zvinogona kubatsira varapi vehutano kugadzira chirongwa chekurapa chinoshanda?

Kupora kubva kuTriceps Tear: Zvekutarisira

Kubvaruka Triceps Kukuvara

Triceps imhasuru yekuseri kweruoko rwepamusoro inoita kuti gokora ritwasanuke. Nenzira yakanaka, triceps misodzi haina kujairika, asi inogona kuva yakakomba. Kukuvara kunobata varume kakawanda kupfuura vakadzi uye kunowanzoitika kubva mukushungurudzika, mitambo, uye / kana mabasa ekurovedza muviri. Zvichienderana nehukuru uye kuoma kwekukuvara, kukuvara kwetriceps kwakabvaruka kunogona kuda kuputika, kurapwa kwemuviri, uye pamwe kuvhiyiwa kuti udzore kufamba uye simba. Kupora mushure mekubvaruka kwetriceps kunowanzotora mwedzi mitanhatu. (Iyo Ohio State University Wexner Medical Center. 2021)

Anatomy

The triceps brachii tsandanyama, kana triceps, inomhanya nekuseri kweruoko rwepamusoro. Inonzi tri- nekuti ine misoro mitatu - iyo yakareba, yepakati, uye yekumusoro musoro. (Sendic G. 2023) Triceps inotangira pabendekete uye inonamira pabendekete/scapula uye kumusoro kweruoko bhonzo/humerus. Nechepasi, inonamira panoperera gokora. Iri ibhonzo riri papinky side ye forearm, inozivikanwa se ulna. Iyo triceps inokonzera kufamba pabendekete uye pagokora. Pabendekete, inoita kuwedzera kana kufambisa kumashure kweruoko uye kukwidza kana kufambisa ruoko kuenda kumuviri. Basa guru remusuru uyu riri pagokora, apo rinoita kuwedzera kana kutwasanudza kwegokora. Iyo triceps inoshanda zvakapesana nemhasuru yebiceps kumberi kweruoko rwepamusoro, iyo inofambisa kuchinjika kana kukotama kwegokora.

Triceps Tear

Misodzi inogona kuitika chero kureba kwemhasuru kana tendon, inova chimiro chinonamira tsandanyama kumapfupa. Triceps misodzi inowanzoitika mutendon inobatanidza triceps kumashure kwegokora. Misodzi uye tendon misodzi inoiswa kubva ku1 kusvika ku3 zvichienderana nekuoma. (Alberto Grassi et al., 2016)

Grade 1 Munyoro

  • Iyi misodzi midiki inokonzera kurwadziwa kunowedzera nekufamba.
  • Pane kumwe kuzvimba, mavanga, uye kushomeka kwekuita basa.

Grade 2 Zvine mwero

  • Misodzi iyi yakakura uye ine kuzvimba kuri pakati nepakati uye nemavanga.
  • Fibers dzakabvaruka zvishoma uye dzakatambanudzwa.
  • Kusvikira ku50% kurasikirwa kwebasa.

Grade 3 Zvakaoma

  • Iyi ndiyo yakaipisisa rudzi rwekubvarura, apo tsandanyama kana tendon yakabvaruka zvachose.
  • Kukuvara uku kunokonzera kurwadziwa kwakanyanya uye kuremara.

zviratidzo

Misodzi yeTriceps inokonzera kurwadziwa pakarepo kumashure kwegokora uye ruoko rwepamusoro iyo inowedzera kana uchiedza kufambisa gokora. Vanhu vanogonawo kunzwa uye/kana kunzwa kubuda kana kubvarura kunzwa. Pachave nekuzvimba, uye ganda rinogona kunge rakatsvuka uye / kana kukuvara. Nekubvarura zvishoma, ruoko runonzwa kupera simba. Kana paine kubvarura kwakakwana, pachava nekushaya simba kukuru pakutwasanura gokora. Vanhu vanogonawo kuona bundu kuseri kweruoko rwavo apo tsandanyama dzakabatana uye dzakabatanidzwa pamwechete.

Zvinokonzera

Triceps misodzi inowanzoitika panguva yekushungurudzika, apo tsandanyama inobatwa uye simba rekunze rinosunda gokora munzvimbo yakakotama. (Kyle Casadei et al., 2020) Chimwe chezvinonyanya kukonzera kudonha neruoko rwakatambanudzwa. Triceps misodzi inoitikawo panguva yemitambo senge:

  • Kukanda baseball
  • Kuvharira mumutambo wenhabvu
  • Gymnastics
  • Boxing
  • Kana mutambi akadonha achimhara paruoko rwake.
  • Misodzi inogonawo kuitika kana uchishandisa zvinorema zvinorema panguva ye triceps-yakananga maekisesaizi, senge bhenji press.
  • Misodzi inogonawo kuitika kubva mukushungurudzika kwakananga kune tsandanyama, senge tsaona yemotokari, asi haina kuwanda.

Nguva refu

Triceps misodzi inogona kukura nekufamba kwenguva semhedzisiro ye tendonitis. Ichi chiitiko chinowanzoitika kubva pakudzokorora kushandiswa kwe triceps tsandanyama panguva yezviitiko zvakaita sebasa remaoko kana kurovedza muviri. Triceps tendonitis dzimwe nguva inonzi inonzi weightlifter's elbow. (Orthopedic & Spine Center. ND) Kudhonzwa kwemarunda kunokonzera tumisodzi tunoporeswa nomuviri. Nekudaro, kana kuomeswa kwakawanda kuchiiswa pane tendon kupfuura iyo inogona kuramba ichikwira, iyo diki misodzi inogona kutanga kukura.

Risk Factors

Zvinhu zvine njodzi zvinogona kuwedzera njodzi ye triceps kubvaruka. Pasi pemamiriro ekurapa anogona kunetesa tendon, kuwedzera njodzi yekukuvara, uye inogona kusanganisira: (Tony Mangano et al., 2015)

  • chirwere cheshuga
  • Rheumatoid chearthritis
  • Hyperparathyroidism
  • Lupus
  • Xanthoma - mafuta anoisa cholesterol pasi peganda.
  • Hemangioendothelioma - kenza yekenza kana isina kenza inokonzerwa nekukura kusina kujairika kwemasero emidziyo yeropa.
  • Kusashanda zvakanaka kweitsvo
  • Chronic tendonitis kana bursitis mugokora.
  • Vanhu vane cortisone shots mutendon.
  • Vanhu vari kushandisa vanabolic steroids.

Triceps misodzi inowanzoitika muvarume vari pakati pe30 ne50.Ortho Bullets. 2022) Izvi zvinobva mukuita zvinhu zvakaita senhabvu, kusimudzira uremu, kuvaka muviri, uye basa remaoko, izvo zvinowedzerawo njodzi yekukuvara.

mabatiro

Kurapa kunoenderana nechikamu chipi che triceps chinobatwa uye kuwanda kwekukuvara. Zvingangoda kuzorora kwemavhiki mashoma, kurapwa kwemuviri, kana kuti zvinoda kuvhiyiwa.

Nonsological

Misodzi isina kukwana mu triceps inosanganisira pasi pe50% yetendon inogona kurapwa pasina kuvhiyiwa. (Mehmet Demirhan, Ali Ersen 2016) Kurapa kwekutanga kunosanganisira:

  • Kutsemura gokora nekukotama zvishoma kwemavhiki mana kusvika matanhatu kunoita kuti nyama yakakuvara ipore. (Ortho Bullets. 2022)
  • Munguva iyi, chando chinogona kuiswa munzvimbo ye15 kusvika kumaminitsi e20 kakawanda zuva rega rega kubatsira kuderedza marwadzo uye kuzvimba.
  • Non-steroidal anti-inflammatory drugs/NSAIDs - Aleve, Advil, uye Bayer inogona kubatsira kuderedza kuzvimba.
  • Mimwe mishonga ye-over-the-counter seTylenol inogona kubatsira kuderedza marwadzo.
  • Kana iyo splint yabviswa, kurapwa kwepanyama kuchabatsira kudzorera kufamba uye simba mugokora.
  • Kufamba kwakazara kunotarisirwa kudzoka mukati memavhiki e12, asi simba rakazara harizodzoki kusvika mwedzi mitanhatu kusvika mipfumbamwe mushure mekukuvara. (Mehmet Demirhan, Ali Ersen 2016)

Surgery

Triceps tendon misodzi inosanganisira zvinopfuura 50% yetendon inoda kuvhiyiwa. Mune zvimwe zviitiko, zvisinei, kuvhiyiwa kungave kuchiri kukurudzirwa nokuda kwemisodzi iduku kudarika 50% kana munhu wacho ane basa rinoda muviri kana kuronga kutangazve kutamba mitambo padanho repamusoro. Misodzi mudumbu remhasuru kana nzvimbo inojoinwa tsandanyama netendon zvinowanzosonerwa pamwe chete. Kana iyo tendon isisiri kubatanidzwa kune pfupa, inoputirwa zvakare. Kudzoreredza uye kurapwa kwemuviri mushure mekuvhiyiwa kunoenderana neakavhiyiwa maprotocol. Kazhinji, vanhu vanopedza mavhiki mashoma vari mubhurashi. Masvondo mana mushure mekuvhiyiwa, vanhu vanozokwanisa kutanga kufambisa gokora zvakare. Zvisinei, havazokwanisi kutanga kuita basa rekusimudza zvinorema kwemwedzi mina kusvika mitanhatu. (Ortho Bullets. 2022) (Mehmet Demirhan, Ali Ersen 2016)

Matambudziko

Matambudziko anogona kuitika mushure mekugadzirisa triceps, kungave kwakavhiyiwa kana kwete. Somuenzaniso, vanhu vamwe navamwe vangava nezvinetso zvokuwanazve zvizere gokora kuwedzera kana kutwasanudza. Ivo zvakare vari panjodzi huru yekutsemukazve kana vakaedza kushandisa ruoko rusati rwanyatsopora. (Mehmet Demirhan, Ali Ersen 2016)


Chiropractic Care for Healing After Trauma


References

Iyo Ohio State University Wexner Medical Center. (2021). Distal triceps kugadzirisa: kiriniki yekuchengetedza gwara. (Mushonga, nyaya. medicine.osu.edu/-/media/files/medicine/departments/sports-medicine/medical-professionals/shoulder-and-elbow/distaltricepsrepair.pdf?

Sendic G. Kenhub. (2023). Triceps brachii tsandanyama Kenhub. www.kenhub.com/en/library/anatomy/triceps-brachii-muscle

Grassi, A., Quaglia, A., Canata, GL, & Zaffagnini, S. (2016). Chigadziro pamusoro pekugadzika kwekukuvara kwemhasuru: ongororo yerondedzero kubva kukiriniki kusvika kune yakazara masisitimu. Majoini, 4(1), 39–46. doi.org/10.11138/jts/2016.4.1.039

Casadei, K., Kiel, J., & Freidl, M. (2020). Triceps Tendon Kukuvara. Mishumo yazvino yemishonga yemitambo, 19 (9), 367-372. doi.org/10.1249/JSR.0000000000000749

Orthopedic & Spine Center. (ND). Triceps tendonitis kana weightlifter's elbow. Resource Center. www.osc-ortho.com/resources/elbow-pain/triceps-tendonitis-or-weightlifters-elbow/

Mangano, T., Cerruti, P., Repetto, I., Trentini, R., Giovale, M., & Franchin, F. (2015). Chronic Tendonopathy sechikonzero chakasiyana cheNon Traumatic Triceps Tendon Rupture mu (Risk Factors Free) Bodybuilder: Nyaya Yenyaya. Chinyorwa chemishumo yemabhonzo, 5 (1), 58-61. doi.org/10.13107/jocr.2250-0685.257

Ortho Bullets. (2022). Triceps kuputika www.orthobullets.com/shoulder-and-elbow/3071/triceps-rupture

Demirhan, M., & Ersen, A. (2017). Distal triceps inoputika. EFORT yakavhurika wongororo, 1(6), 255–259. doi.org/10.1302/2058-5241.1.000038

Simba reInstrument-Assisted Soft Tissue Mobilization

Simba reInstrument-Assisted Soft Tissue Mobilization

Kurapa kwemuviri nechiridzwa-chinobatsira matishu akapfava ekuunganidza kana IASTM kuvandudza kufamba, kushanduka, uye hutano kune vanhu vane kukuvara kwetsandanyama kana zvirwere?

Simba reInstrument-Assisted Soft Tissue Mobilization

Chiridzwa Chinobatsira Soft Tissue Mobilization

Instrument-inobatsira zvinyoro zvinyoro zvekuunganidza kana IASTM inozivikanwawo seGraston maitiro. Iyo myofascial kuburitsa uye masaja maitiro anoshandiswa mukurapa kwepanyama apo murapi anoshandisa simbi kana epurasitiki maturusi kuvandudza nyoro kufamba kwenyama mumuviri. Iyo ergonomically shaped tool inokweshwa zvinyoro nyoro kana zvine simba uye nekukweshwa munzvimbo yakakuvara kana inorwadza. Iko kukwesha kunoshandiswa kutsvaga uye kusunungura kusimba mufascia / collagen inovhara mhasuru nematendon. Izvi zvinobatsira kuderedza marwadzo nekuvandudza kufamba.

Massage uye Myofascial Release

Instrument-yakabatsirwa soft tissue mobilization rehabilitation inobatsira:

  • Kuvandudza kufamba kwenyama yakapfava.
  • Kuburitswa kwezvirambidzo mune tight fascia.
  • Deredza tsinga dzetsandanyama.
  • Vandudza kuchinjika.
  • Kuwedzera kutenderera kune tishu.
  • Bvisa marwadzo. (Fahimeh Kamali et al., 2014)

Vanhu vanowanzoita kusimba kwematishu kana zvirambidzo mumamhasuru uye fascia mushure mekukuvara. Izvi zvirambidzo zvakapfava zvinogona kudzikisira huwandu hwekufamba - ROM uye inogona kukonzeresa zviratidzo zvinorwadza. (Kim J, Sung DJ, Lee J. 2017)

History

Maitiro eGraston echiridzwa-akabatsira matishu akapfava akagadzirwa nemumhanyi akagadzira zviridzwa zvavo kurapa kukuvara kwetishu. Chiitiko ichi chakakura neruzivo kubva kunyanzvi dzekurapa, varairidzi, vaongorori, uye varapi.

  • Varapi vepanyama vanoshandisa mhando dzakasiyana dzematurusi kuita IASTM.
  • izvi masaja zviridzwa inosanganisira mhando dzakasiyana dzemasaji chaiwo uye kusunungurwa.
  • Kambani yeGraston inogadzira zvimwe zvezvishandiso.
  • Mamwe makambani ane vhezheni yavo yesimbi kana yepurasitiki yekukwesha nekukwesha maturusi.
  • Chinangwa ndechekubatsira kuburitsa zvinyoro zvinyoro uye zvirambidzo zvemyofascial kuvandudza kufamba kwemuviri. (Kim J, Sung DJ, Lee J. 2017)

Ainoita

  • Dzidziso ndeyokuti kukwenya matishu kunokonzeresa microtrauma kunzvimbo yakakanganisika, kumisa mhinduro yemuviri yekuzvimba. (Kim J, Sung DJ, Lee J. 2017)
  • Muviri unoita kuti utorezve iyo yakasimbiswa kana mavanga, zvichikonzera kurambidzwa.
  • Murapi anogona kubva atambanudza adhesions kuti aderedze marwadzo nekuvandudza kufamba.

mabatiro

Mamwe mamiriro ezvinhu anopindura zvakanaka kune chiridzwa-chinobatsira nyoro matishu kuunganidza, kusanganisira (Kim J, Sung DJ, Lee J. 2017)

  • Kufamba zvishoma
  • Kuderera kwekutsvaga kwemhasuru
  • Kurasikirwa kwemhando yekufamba - ROM
  • Marwadzo nekufamba
  • Kunyanya kuumbwa kwetishu

Yakawedzerwa zvinyoro zvinyoro zvekuunganidza kana ASTM matekiniki anogona kurapa kumwe kukuvara uye mamiriro ekurapa anosanganisira:

  • Musculoskeletal kusaenzana/s
  • Ligament sprains
  • Plantar fasciitis
  • Myofascial pain
  • Tendonitis uye tendinopathy
  • Scar tissue kubva pakuvhiyiwa kana kushungurudzika (Morad Chughtai et al., 2019)

Benefits uye Side Effects

Benefits zvinosanganisira: (Kim J, Sung DJ, Lee J. 2017)

  • Kuvandudzwa kwemhando yekufamba
  • Kuwedzera kushanduka kwetishu
  • Kuvandudzwa kwesero basa panzvimbo yekukuvara
  • Kuderedza kurwadziwa
  • Yakaderedzwa mavanga mavanga

Migumisiro inogona kusanganisira:

tsvakurudzo

  • Ongororo yakaenzanisa maoko-pane myofascial kusunungurwa kune chiridzwa myofascial kusunungurwa kwekusingaperi kunorwadza shure. (Williams M. 2017)
  • Musiyano muduku wakawanikwa pakati pemaitiro maviri ekugadzirisa marwadzo.
  • Imwe wongororo yakaenzanisa IASTM nedzimwe nzira dzekurapa marwadzo uye kurasikirwa nebasa. (Matthew Lambert et al., 2017)
  • Vatsvakurudzi vakagumisa kuti IASTM inogona kukanganisa kutenderera kweropa uye kushanduka kwetishu uye kuderedza marwadzo.
  • Imwe ongororo yakaongorora kushandiswa kweIASTM, pseudo-fake ultrasound therapy, uye spinal manipulation kune varwere vane thoracic / yekumusoro musana. (Amy L. Crothers et al., 2016)
  • Mapoka ese akavandudzwa nekufamba kwenguva pasina zviitiko zvakakosha zvakashata.
  • Vatsvakurudzi vakagumisa kuti chiridzwa-chinobatsira chinyoro chinyoro chekuunganidza hachina kana kuti chinoshanda kudarika spinal manipulation kana pseudo-ultrasound therapy ye thoracic back pain.

Mhosva dzese dzakasiyana, uye mamiriro emusculoskeletal anopindura zvakasiyana kune akasiyana kurapa. Kune chero mibvunzo kana zvinonetsa, taura nemupi wako wepamusoro wehutano kuti uone kana IASTM iri kurapwa kwakakodzera kunogona kubatsira.


Kubva Kukuvara Kusvika Pakupora


References

Kamali, F., Panahi, F., Ebrahimi, S., & Abbasi, L. (2014). Kuenzanisa pakati pemassage uye routine physical therapy muvakadzi vane sub acute uye vasingaperi nonspecific low back pain. Nyaya yekudzokera shure uye musculoskeletal rehabilitation, 27 (4), 475-480. doi.org/10.3233/BMR-140468

Kim, J., Sung, DJ, & Lee, J. (2017). Kubudirira kwekurapa kwechiridzwa-chinobatsira zvinyoro zvinyoro zvekuunganidza kukuvara kwetishu dzakapfava: nzira uye inoshanda inoshanda. Nyaya yekudzidzira kugadzirisa, 13 (1), 12-22. doi.org/10.12965/jer.1732824.412

Chughtai, M., Newman, JM, Sultan, AA, Samuel, LT, Rabin, J., Khlopas, A., Bhave, A., & Mont, MA (2019). Astym® kurapwa: kuongororwa kwakarongeka. Annals yemushonga wekushandura, 7(4), 70. doi.org/10.21037/atm.2018.11.49

Williams M. (2017). Kuenzanisa marwadzo nekuremara kwemigumisiro yezviridzwa zvinopesana nemaoko-pane myofascial kusunungurwa kune vanhu vane chirwere chisingaperi chisingarware shure: meta-analysis. Chiremba dissertation, California State University, Fresno. repository.library.fresnostate.edu/bitstream/handle/10211.3/192491/Williams_csu_6050D_10390.pdf?sequence=1

Matthew Lambert, Rebecca Hitchcock, Kelly Lavallee, Eric Hayford, Russ Morazzini, Amber Wallace, Dakota Conroy & Josh Cleland (2017) Mhedzisiro yezviridzwa-yakabatsira zvinyoro zvinyoro zvekuunganidza zvichienzaniswa nekumwe kupindira pakurwadziwa nebasa: kuongororwa kwakarongeka, Physical Therapy. Wongororo, 22:1-2, 76-85, DOI: 10.1080/10833196.2017.1304184

Crothers, AL, French, SD, Hebert, JJ, & Walker, BF (2016). Spinal manipulative therapy, Graston technique® uye placebo kune isina-yakananga thoracic musana marwadzo: a randomized controlled trial. Chiropractic & manual therapies, 24, 16. doi.org/10.1186/s12998-016-0096-9

Sei Acupuncture Inogona Kubatsira Kuderedza Kurwadziwa Kwemabvi

Sei Acupuncture Inogona Kubatsira Kuderedza Kurwadziwa Kwemabvi

Kune vanhu vari kubata nezviratidzo zvekurwadziwa kwemabvi kubva mukukuvara uye / kana arthritis, inogona kusanganisira chirongwa chekurapa acupuncture uye / kana electroacupuncture kubatsira mukuzorodza marwadzo uye manejimendi?

Sei Acupuncture Inogona Kubatsira Kuderedza Kurwadziwa Kwemabvi

Acupuncture For Knee Pain

Acupuncture inosanganisira kuisa tsono dzakatetepa muganda pane chaiwo acupoints pamuviri. Zvinobva pane fungidziro yekuti tsono dzinodzoreredza kuyerera kwesimba remuviri kuita uye kukurudzira kuporeswa, kubvisa marwadzo, uye kubatsira muviri kuzorora.

  • Acupuncture inogona kubatsira kugadzirisa hutano hwakasiyana, kusanganisira kurwadziwa kwemabvi kunokonzerwa nearthritis kana kukuvara.
  • Zvichienderana nerudzi uye kuoma kwemarwadzo, marapirwo anogona kubatsira kuderedza marwadzo kwemazuva kana mavhiki.
  • Acupuncture inowanzoshandiswa seyekuwedzera kurapa - kurapwa mukuwedzera kune mamwe marapirwo kana nzira dzekurapa senge masaja uye chiropractic.

Acupuncture Benefits

Kurwadziwa kwebvi kunokonzerwa neosteoarthritis kana kukuvara kunogona kuderedza kushanduka, kufamba, uye hupenyu hwehupenyu. Acupuncture inogona kubatsira kubatsira.

Kana tsono dzeacupuncture dzichiiswa pamuviri, chiratidzo chinotumirwa pamwe nemutsipa wepelinha kuenda kuuropi, izvo zvinokonzeresa kuburitswa kweendorphins / marwadzo mahormone. Vatsvakurudzi vezvokurapa vanotenda kuti izvi zvinobatsira kuderedza marwadzo. (Qian-Qian Li et al., 2013) Acupuncture inobatsirawo kuderedza kugadzirwa kwecortisol, hormone inobatsira kudzora kuzvimba. (Qian-Qian Li et al., 2013) Nekunzwa kunorwadza kwakaderedzwa uye kushoma kuzvimba mushure mekurapa kweacupuncture, kushanda kwemabvi uye kufamba kunogona kuvandudzwa.

  • Zvinhu zvakasiyana-siyana zvinoita basa mukunyaradza kurwadziwa kunowanikwa kubva kuacupuncture. Humwe humbowo hunoratidza kuti zvinotarisirwa nemunhu zvinogona kukanganisa mhedzisiro yekurapwa acupuncture. (Stephanie L. Prady et al., 2015)
  • Vatsvagiri parizvino vari kuongorora kana tarisiro yekuti acupuncture inobatsira inopa mhedzisiro iri nani mushure mekurapwa. (Zuoqin Yang et al., 2021)
  • Muna 2019, acupuncture yakakurudzirwa kurapa mabvi osteoarthritis muAmerican College yeRheumatology/Arthritis Foundation nhungamiro yeruoko, chiuno, uye ibvi osteoarthritis marwadzo ekudzora. (Sharon L. Kolasinski et al., 2020)

tsvakurudzo

  • Zvidzidzo zvekiriniki zvakasiyana zvinotsigira kugona kweacupuncture kubatsira mukuzorodza marwadzo emabvi uye manejimendi.
  • Imwe ongororo yakawana kuti acupuncture inobatsira kubata akasiyana mamiriro anokonzera kurwadziwa kusingaperi. (Andrew J. Vickers et al., 2012)
  • Ongororo yezvesayenzi yakaongorora zvidzidzo zvekare pamusoro pekugadzirisa marwadzo mushure mekuvhiyiwa kwemabvi uye yakawana uchapupu hunotsigira hwokuti marapirwo akanonoka uye akaderedza kushandiswa kwemishonga yekubvisa marwadzo mushure mekuvhiyiwa. (Dario Tedesco et al., 2017)

Osteoarthritis

  • Ongororo yakarongeka yakaongorora zvidzidzo zvekudzora zvisingaite kuti zvione kana acupuncture yakaderedza marwadzo uye yakagadziridzwa basa rekubatana muvanhu vane chisingaperi osteoarthritis ibvi kurwadziwa. (Xianfeng Lin et al., 2016)
  • Vanhu vakagamuchira matanhatu kusvika makumi maviri nematatu evhiki nevhiki acupuncture masesheni kwemavhiki matatu kusvika makumi matatu nematanhatu.
  • Ongororo yakaratidza kuti acupuncture inogona kuvandudza kushanda kwemuviri kwenguva pfupi uye kwenguva refu uye kufamba uye kupa kusvika kumavhiki e13 ekuzorodza marwadzo kune vanhu vane marwadzo asingagumi emabvi anokonzerwa neosteoarthritis.

Rheumatoid Arthritis

  • Rheumatoid arthritis chirwere chisingaperi chinokanganisa majoini, kusanganisira mabvi akabatanidzwa, zvichikonzera marwadzo uye kuoma.
  • Acupuncture inobatsira pakurapa rheumatoid arthritis/RA.
  • Ongororo yakawana kuti acupuncture yega uye pamwe chete nedzimwe nzira dzekurapa zvinobatsira vanhu vane RA. (Pei-Chi, Chou Heng-Yi Chu 2018)
  • Acupuncture inofungidzirwa kuti ine anti-inflammatory uye antioxidant mhedzisiro yekubatsira kudzora immune system kushanda.

Kurwara Kwemabvi Kusingaperi

  • Mamiriro ezvinhu akasiyana-siyana uye kukuvadzwa kunogona kukonzera marwadzo asingagumi emabvi, zvichiita kuti kufamba kuve kwakaoma.
  • Vanhu vane kurwadziwa kwemajoini vanowanzotendeukira kumishonga inowirirana yekudzora marwadzo, neacupuncture iri imwe yenzira dzakakurumbira. (Michael Frass et al., 2012)
  • Chidzidzo chakaratidza kuvandudzwa kwakadzikama mukuzorodza kurwadziwa pamasvondo e12. (Rana S. Hinman et al., 2014)
  • Acupuncture yakakonzera kuvandudzwa zvine mwero mukufamba uye kushanda pamavhiki e12.

chengetedzo

Migumisiro Yechiri

  • Maside effects anogona kusanganisira kuvava, mavanga, kana kubuda ropa panzvimbo yekupinzwa tsono uye dzungu.
  • Zvishoma zvinowanzoitika zvinosanganisira kupera simba, kuwedzera kurwadziwa, uye kusvotwa. (Harvard Medical School. 2023)
  • Kushanda nemunhu ane rezinesi, nyanzvi acupuncture practitioner kunogona kuderedza njodzi yezvisingadiwi mhedzisiro uye matambudziko.

Types

Dzimwe sarudzo dzeacupuncture dzinogona kupihwa dzinosanganisira:

Electroacupuncture

  • Chimiro chakagadziridzwa cheacupuncture apo magetsi akapfava anopfuura nepakati petsono, achipa kuwedzera kukurudzira kune acupoints.
  • Mune imwe tsvakurudzo yekutsvakurudza, vanhu vane knee osteoarthritis vakashuma kuvandudzwa kukuru mukurwadziwa kwavo, kuoma, uye kushanda kwemuviri mushure mekurapa electroacupuncture. (Ziyong Ju et al., 2015)

Handset

  • Auricular kana ear acupuncture inoshanda pane acupoints munzeve inoenderana nenhengo dzemuviri dzakasiyana.
  • Ongororo yekutsvakurudza yakaongorora zvidzidzo zvakawanda pamusoro peauricular acupuncture yekuzorodza marwadzo uye yakawana kuti inogona kupa zororo mukati memaawa 48 ekurwadziwa kwekutanga. (M. Murakami et al., 2017)

Battlefield Acupuncture

  • Zvivakwa zvekuchengetedza hutano zvemauto uye veteran zvinoshandisa yakasarudzika fomu yeauricular acupuncture yekudzora marwadzo.
  • Zvidzidzo zvinoratidza kuti zvinobudirira pakupa rubatsiro rwekukurumidza marwadzo, asi tsvakurudzo yakawanda inodiwa kuti uone kushanda kwenguva refu kwekurwadziwa. (Anna Denee Montgomery, Ronovan Ottenbacher 2020)

asati kuedza acupuncture, bvunza nyanzvi yezvehutano kuti itungamirirwe, sezvo inogona kusanganiswa nemamwe marapirwo uye kugadzirisa mararamiro.


Kukunda ACL Injury


References

Li, QQ, Shi, GX, Xu, Q., Wang, J., Liu, CZ, & Wang, LP (2013). Acupuncture effect uye yepakati autonomic regulation. Evidence-based complementary and alternative medicine: eCAM, 2013, 267959. doi.org/10.1155/2013/267959

Prady, SL, Burch, J., Vanderbloemen, L., Crouch, S., & MacPherson, H. (2015). Kuyera zvinotarisirwa zvekubatsirwa kubva mukurapwa mune acupuncture miedzo: kuongororwa kwakarongeka. Kuwedzera kurapwa mukurapa, 23 (2), 185-199. doi.org/10.1016/j.ctim.2015.01.007

Yang, Z., Li, Y., Zou, Z., Zhao, Y., Zhang, W., Jiang, H., Hou, Y., Li, Y., & Zheng, Q. (2021). Ko tarisiro yemurwere inobatsira kurapwa kweacupuncture here?: A protocol yekuongorora kwakarongeka uye meta-analysis. Mushonga, 100(1), e24178. doi.org/10.1097/MD.0000000000024178

Kolasinski, SL, Neogi, T., Hochberg, MC, Oatis, C., Guyatt, G., Block, J., Callahan, L., Copenhaver, C., Dodge, C., Felson, D., Gellar, K., Harvey, WF, Hawker, G., Herzig, E., Kwoh, CK, Nelson, AE, Samuels, J., Scanzello, C., White, D., Wise, B., … Reston, J. (2020). 2019 American College yeRheumatology/Arthritis Foundation Nhungamiro Yekutungamira kweOsteoarthritis yeRuoko, Hip, uye Knee. Kuchengetwa kweArthritis & tsvakurudzo, 72 (2), 149-162. doi.org/10.1002/acr.24131

Vickers, AJ, Cronin, AM, Maschino, AC, Lewith, G., MacPherson, H., Foster, NE, Sherman, KJ, Witt, CM, Linde, K., & Acupuncture Trialists' Collaboration (2012). Acupuncture yekurwadziwa kusingaperi: mumwe murwere data meta-analysis. Zvinyorwa zvemishonga yemukati, 172 (19), 1444-1453. doi.org/10.1001/archinternmed.2012.3654

Tedesco, D., Gori, D., Desai, KR, Asch, S., Carroll, IR, Curtin, C., McDonald, KM, Fantini, MP, & Hernandez-Boussard, T. (2017). Kupindira Kusina Mishonga Kuderedza Marwadzo kana Opioid Kushandiswa Pashure Pese Knee Arthroplasty: Kuongorora Kwakarongeka uye Meta-analysis. JAMA kuvhiyiwa, 152(10), e172872. doi.org/10.1001/jamasurg.2017.2872

Lin, X., Huang, K., Zhu, G., Huang, Z., Qin, A., & Fan, S. (2016). Mhedzisiro yeAcupuncture pane Chronic Knee Pain Nekuda kweOsteoarthritis: Meta-Analysis. The Journal of bone uye joint operation. Voriyamu yeAmerica, 98(18), 1578–1585. doi.org/10.2106/JBJS.15.00620

Chou, PC, & Chu, HY (2018). Clinical Efficacy yeAcupuncture paRheumatoid Arthritis uye Associated Mechanisms: A Systemic Ongororo. Evidence-based complementary and alternative medicine: eCAM, 2018, 8596918. doi.org/10.1155/2018/8596918

Frass, M., Strassl, RP, Friehs, H., Müllner, M., Kundi, M., & Kaye, AD (2012). Kushandisa uye kugamuchirwa kwemishonga inowirirana uye yakasiyana pakati pehuwandu hwevanhu uye vashandi vezvokurapa: kuongorora kwakarongeka. Ochsner jenari, 12(1), 45–56.

Hinman, RS, McCrory, P., Pirotta, M., Relf, ​​I., Forbes, A., Crossley, KM, Williamson, E., Kyriakides, M., Novy, K., Metcalf, BR, Harris, A ., Reddy, P., Conaghan, PG, & Bennell, KL (2014). Acupuncture yemarwadzo asingagumi emabvi: a randomized clinical trial. JAMA, 312(13), 1313–1322. doi.org/10.1001/jama.2014.12660

National Center for Complementary uye Integrative Health. (2022). Acupuncture zvakadzama. National Center for Complementary uye Integrative Health. www.nccih.nih.gov/health/acupuncture-what-you-need-to-know

Harvard Medical School. (2023). Acupuncture: chii ichocho? Harvard Health Publishing Harvard Medical School Blog. www.health.harvard.edu/a_to_z/acupuncture-a-to-z#:~:text=The%20most%20common%20side%20effects,injury%20to%20an%20internal%20organ.

Ju, Z., Guo, X., Jiang, X., Wang, X., Liu, S., He, J., Cui, H., & Wang, K. (2015). Electroacupuncture ine simba rakasiyana razvino rekurapa mabvi osteoarthritis: chidzidzo chakapofumadzwa chinodzora. International Journal yekiriniki uye yekuedza mushonga, 8 (10), 18981-18989.

Murakami, M., Fox, L., & Dijkers, MP (2017). Nzeve Acupuncture Yekukurumidza Kubvisa Pain-Kuongorora Kwakarongeka uye Meta-Kuongorora kweRandomized Controlled Trials. Mushonga wemarwadzo (Malden, Mass.), 18 (3), 551-564. doi.org/10.1093/pm/pnw215

Montgomery, AD, & Ottenbacher, R. (2020). Battlefield Acupuncture for Chronic Pain Management muVarwere pane Yakareba-Term Opioid Therapy. Medical acupuncture, 32(1), 38–44. doi.org/10.1089/acu.2019.1382