Spinal Decompression Treatments
Dr. Alex Jmenez, Chiropractor Inotaura nezve: Spinal Decompression Therapies, Protocols, Rehabilitation uye Advance Treatments Care Plans
Kumahofisi edu, tinopa kuchengetedza kuchengetedza mamiriro emusana, kusanganisira nzira dzakawanda dzekurapa. Nokudaro, kudhonza kunosiyanisa sezvo kunogona kuita kuti muviri udzivirire proprioceptive mhinduro yekuvhiringidza, kuderedza intradiscal pressure uye kuderedza zviratidzo zvechipiri kune disc herniation uye axial kurwadziwa.
Kuchengetedza kuchengetedza kwepakati kusvika kwenguva refu kuderera kwemusana mamiriro ane axial uye irradiated kurwadziwa kunowanzobatanidza kurapwa kwemishonga, kugadzirisa muviri, kana jekiseni. Mechanical traction inzira yekare yekurapa, iyo yakaderedzwa mukushandiswa yakatarisana nemamwe matekinoroji echizvino-zvino kana kushandiswa musanganiswa nedzimwe nzira dzekurapa, senge manual therapy, maekisesaizi, kupisa, kana electrotherapy. Isu, zvakare, tinopa mashopu epamusoro ekurapa musana uye misasa yebhutsu kubatsira kudzidzisa varwere nezvesimba rehutsanana hwemusana.
Varwere vedu vanorapwa kwenguva refu radicular axial spinal kurwadziwa. Uku ndiko kurwadziwa kunotaurwa mumusana axial skeleton uye inonzi syndrome ine zvose nociceptive uye neuropathic pain components. Varwere vanorondedzera kuvandudzwa kwezviratidzo nekuderedzwa kweaxial mutoro mumusana.
Kana iwe uchitsvaga mhinduro isiri yekuvhiya yekuramba uchirwadza musana kana gumbo, ungangoda kuedza spinal decompression therapy. Kusiyana nekuvhiyiwa kunopisa kana laparoscopic, kupera kwemusana hakudi kuti murwere aende pasi pebanga. Pane kudaro, musana wemurwere wakatambanudzwa kuti usunungure kurwadziwa kwemusana nemakumbo. Chinangwa chemusana wekuora mwoyo ndechekugadzira nzvimbo yakanaka yekuporesa kune nzvimbo dzakakanganiswa.
Kurapa uku kunonyanya kushandiswa kune:
Tifonere nhasi kuronga yako yekutanga kusangana! Boka redu muEl Paso rinofara kubatsira.
by Dr Alex Jimenez Sciatica , Spinal Decompression Treatments
Kune vanhu vari kusangana kana kubata marwadzo ekudzokera shure uye / kana sciatica, lumbar traction therapy inogona kubatsira kupa zororo risingaperi?
Lumbar Kudhonza
Lumbar traction therapy yemarwadzo ekumusana uye sciatica inogona kuva nzira yekurapa kubatsira kudzoreredza kufamba uye kushanduka uye kutsigira zvakachengeteka kudzoka kwemunhu kune imwe nhanho yebasa. Inowanzobatanidzwa nechinangwa chekurapa kurovedza muviri. (Yu-Hsuan Cheng, et al., 2020 ) Iyo nzira inotambanudza nzvimbo pakati pe vertebrae muzasi musana, kubvisa marwadzo ekumusana.
Lumbar kana yakaderera kumashure traction inobatsira kuparadzanisa nzvimbo pakati pe vertebrae.
Kuparadzanisa mapfupa kunodzoreredza kutenderera uye kunobatsira kudzoreredza kudzvanywa kwetsinga dzakatsikirirwa senge sciatic nerve, kuderedza marwadzo nekuvandudza kufamba.
tsvakurudzo
Vatsvagiri vanoti lumbar traction nekuita maekisesaizi haina kuvandudza mhedzisiro yemunhu kana ichienzaniswa nekurapa kwemuviri maekisesaizi ega.Anne Thackeray et al., 2016 ) Chidzidzo chacho chakaongorora vatori vechikamu 120 vane marwadzo ekudzokera shure uye nerve root impingement avo vakasarudzwa zvisina kurongwa kuti vapinde lumbar traction nemitambo kana maitiro akareruka ekurwadziwa. Extension-based exercises akatarisana nekupeta musana kumashure. Kufamba uku kunoonekwa sekushanda kune vanhu vane kurwadziwa shure uye pinched nerves. Zvigumisiro zvakaratidza kuti kuwedzera lumbar traction kumitambo yekurapa kwepanyama haina kupa zvikomborero zvakakosha pamusoro pekuwedzera-based exercise chete nokuda kwemarwadzo ekudzokera shure. (Anne Thackeray et al., 2016 )
Chidzidzo che2022 chakawana kuti lumbar traction inobatsira kune vanhu vane marwadzo ekumusana. Chidzidzo chacho chakaongorora maitiro maviri akasiyana-siyana ekufambisa uye akawana kuti kushanduka-simba lumbar traction uye high-force lumbar traction yakabatsira kuderedza marwadzo ekudzokera shure. High-force lumbar traction yakawanikwa zvakare kuderedza kuremara kwekushanda. (Zahra Masood et al., 202 2) Imwe ongororo yakawana lumbar traction inovandudza huwandu hwekufamba mune yakatwasuka gumbo simudza bvunzo. Chidzidzo chacho chakaongorora masimba akasiyana-siyana ekudhonza pane herniated discs. Matanho ese akavandudza mafambiro evanhu, asi hafu yehafu yemuviri-yekuremera traction yekumisikidza yakabatana nekunyanya kukosha kwekuzorodza. (Anita Kumari et al., 2021 )
mabatiro
Kune vanhu vane kurwadziwa kwepashure chete, kurovedza muviri, uye kururamiswa kwemashure kungave zvese zvinodikanwa kupa zororo. Tsvagiridzo inosimbisa kurovedza muviri kurapa kunogona kubatsira kuderedza marwadzo uye kuvandudza kufamba (Anita Slomski 2020 ) Imwe ongororo yakaratidza kukosha kwekuisa pakati sciatic zviratidzo panguva yekudzokorora mafambiro. Centralization iri kufambisa marwadzo kumashure kumusana, icho chiratidzo chakanaka chokuti tsinga uye discs zviri kuporesa uye zvinoitika panguva yekurapa maitiro. (Hanne B. Albert et al., 2012 ) Chiropractor uye chikwata chekurapa kwepanyama chinogona kudzidzisa varwere nezvekudzivirira marwadzo ekudzokera shure. Chiropractors uye varapi vemuviri inyanzvi dzekufamba kwemuviri dzinogona kuratidza kuti ndeapi maekisesaizi akanakira mamiriro ako. Kutanga chirongwa chekurovedza muviri chinoisa pakati zviratidzo zvinogona kubatsira vanhu kuti vadzokere kumararamiro avo akajairwa nekukurumidza uye zvakachengeteka. Bvunza mupi wehutano usati watanga chero chirongwa chekurovedza muviri chekurwadziwa kwemusana.
Movement Medicine: Chiropractic
VIDEO
References
Cheng, YH, Hsu, CY, & Lin, YN (2020). Mhedzisiro ye mechanical traction pamarwadzo ekudzokera shure kune varwere vane herniated intervertebral disks: a systemic review uye meta-analysis. Kugadziriswa kwekiriniki, 34 (1), 13-22. doi.org/10.1177/0269215519872528
Thackeray, A., Fritz, JM, Vana, JD, & Brennan, GP (2016). Kubudirira kweMechanical Traction Pakati peZvikamu zveVarwere Vane Marwadzo Akaderera uye Marwadzo Emakumbo: Chiedzo Chisina Kurongeka. The Journal of orthopedic uye mitambo yekurapa kwepanyama, 46 (3), 144-154. doi.org/10.2519/jospt.2016.6238
Masood, Z., Khan, AA, Ayyub, A., & Shakeel, R. (2022). Mhedzisiro ye lumbar traction pane discogenic yakaderera kumashure kurwadziwa uchishandisa akasiyana masimba. JPMA. Chinyorwa chePakistan Medical Association, 72 (3), 483-486. doi.org/10.47391/JPMA.453
Kumari, A., Quddus, N., Meena, PR, Alghadir, AH, & Khan, M. (2021). Migumisiro yeChishanu-Yechishanu, Imwe-Yetatu, uye Imwe-Hafu yeMuviri WeLumbar Traction paRight Leg Simudza Test uye Marwadzo muProlapsed Intervertebral Disc Patients: A Randomized Controlled Trial. BioMed tsvagiridzo yenyika, 2021, 2561502. doi.org/10.1155/2021/2561502
Slomski A. (2020). Early Physical Therapy Inobvisa Sciatica Kuremara uye Marwadzo. JAMA, 324(24), 2476. doi.org/10.1001/jama.2020.24673
Albert, HB, Hauge, E., & Manniche, C. (2012). Centralization muvarwere vane sciatica: imarwadzo anopindurwa kune kudzokorora kufamba uye kumira kwakabatana nemigumisiro kana marudzi ezvipembenene zve disc ?. European spine magazine: kuburitswa kwepamutemo kweEuropean Spine Society, European Spinal Deformity Society, uye Chikamu cheEuropean cheCervical Spine Research Society, 21 (4), 630-636. doi.org/10.1007/s00586-011-2018-9
by Dr Alex Jimenez Chiropractic , chisingaperi Pain , Herniated Disc , Spinal Decompression Treatments , Spine Care , Mishonga , Viscerosomatic Reflex
Ko vanhu vane herniated disc vanogona kuwana zororo ravari kutsvaga kubva mukurapa traction kana decompression kupa zororo rekurwadziwa?
ziviso
Muzongoza unobvumira munhu kuti afambe uye achinjike asinganzwi kurwadziwa uye kusagadzikana kana munhu ari kufamba. Izvi zvinodaro nekuti musana chikamu chemusculoskeletal system inosanganisira tsandanyama, tendon, ligaments, musana, uye spinal discs. Izvi zvikamu zvakakomberedza musana uye zvine matunhu matatu kuti abvumire kumusoro uye kuzasi migumo kuita mabasa avo. Zvisinei, musana unochemberawo apo muviri unotanga kuchembera zvawo. Kufamba kwakawanda kana zviito zvenguva dzose zvinogona kuita kuti muviri uome uye, nekufamba kwenguva, zvinogona kuita kuti spinal disc iite herniate. Kana izvi zvikaitika, herniated disc inogona kutungamirira kumarwadzo uye kusagadzikana mumigumo, zvichiita kuti vanhu vabatane nekuderedzwa kwehupenyu uye kurwadziwa munzvimbo nhatu dzepelinha. Sezvineiwo, kune akawanda marapirwo, senge traction therapy uye decompression, kuderedza marwadzo uye kusagadzikana kunobatanidza ne herniated discs. Nyaya yanhasi inotarisa kuti sei herniated discs inokonzera nyaya mumusana uye migumisiro yekuti marapirwo maviri aya angabatsira sei kuderedza herniated discs. Isu tinotaura nevarapi vane hunyanzvi vanosimbisa ruzivo rwevarwere vedu kuti vaone kuti herniated disc mumusana ingave iri nyaya inokonzera kurwadziwa kwetsandanyama. Isu tinozivisawo uye kutungamira varwere nezvekuti kubatanidza spinal decompression uye traction therapy inogona kubatsira kugadzirisa musana uye kuderedza disc herniation iri kukonzera musana. Tinokurudzira varwere vedu kuti vabvunze avo vanobatana navo vezvokurapa mibvunzo yakaoma uye yakakosha pamusoro pekubatanidza kurapa kusiri kwekuvhiya sechikamu chemaitiro avo kuderedza marwadzo uye kusagadzikana mumiviri yavo. Dr. Jimenez, DC, anosanganisira ruzivo urwu sebasa rezvidzidzo. Disclaimer .
Sei Herniated Discs Inokonzera Matambudziko Mumusana?
Wanga uchingogara uchinzwa kusagadzikana mumutsipa wako kana kumashure izvo zvisingakubvumire kuti uzorore? Iwe unonzwa kurira kwekunzwa kumusoro uye kuzasi migumo, kuita kubata zvinhu kana kufamba kwakaoma? Kana kuti wakaona here kuti uri kuzembera padhesiki rako kana kuti wakamira uye kuti kutambanudza kunokonzera marwadzo? Sezvo musana uchichengeta muviri wakatwasuka, zvikamu zvawo zvikuru zvinosanganisira vertebrae inofambiswa, nerve root fibers, uye spinal discs kubatsira kutumira masaini neuron kuuropi kubvumira kufamba, kuvharira masimba anokatyamadza pamuzongoza, uye kuve anochinjika. Iyo musana inobvumira munhu kuita mabasa akasiyana-siyana pasina kurwadziwa uye kusagadzikana kuburikidza nekudzokorora mafambiro. Zvisinei, kana muviri uchinge wakwegura, zvinogona kutungamirira kukuchinja kwehutano mumusana, zvichiita kuti spinal disc iite herniate nekufamba kwenguva. A herniated disc inowanzoitika inokanganisa musculoskeletal mamiriro ayo anoita kuti nucleus pulposus iparadze chero nharaunda isina simba yeannulus fibrosus uye kudzvinyirira midzi yetsinga yakatenderedza. ( Ge et al., 2019 Dzimwe nguva, kana kudzokorora kunotanga kukonzeresa dhisiki yeherniated, chikamu chemukati che disc chinogona kuve chakashongedzwa uye brittle. Kusiyana neizvi, chikamu chekunze chinowedzera fibrotic uye zvishoma elastic, zvichiita kuti diski iwedzere uye ive yakamanikana. A herniated disc inogona kukanganisa vechidiki nevakuru vevanhu sezvo vachigona kuva nemupiro wezvakawanda unokonzera proinflammatory shanduko kumuviri. ( Wu et al., 2020 )
Apo vanhu vazhinji vari kutarisana nekurwadziwa kunobatanidza ne disc herniated, diski pachayo inopinda kuburikidza nekuchinja kwe morphological kuburikidza nekufananidzwa kwe disc kuva chikamu chekukuvara, iyo inoteverwa nekutamiswa uye kuvharwa kwechikamu chemukati disc mu vertebral canal kuti compress. musana wetsinga midzi. ( Diaconu et al., 2021 ) Izvi zvinokonzeresa zviratidzo zvemarwadzo, chiveve, uye kupera simba munzvimbo dzepamusoro nedzezasi dzemuviri kuburikidza nekupinza tsinga. Saka nei, vanhu vazhinji vari kubata nezviratidzo zvinorwadza kubva mumaoko nemakumbo avo ari kupenya marwadzo. Kana kudzvinyirirwa kwetsinga kunobatanidza ne-herniated discs kunotanga kukonzera marwadzo uye kusagadzikana, vanhu vazhinji vanotanga kutsvaga kurapwa kuti vaderedze marwadzo ayo herniated disc ari kukonzera kupa zororo kumitumbi yavo.
Spinal Decompression In Depth-Vhidhiyo
VIDEO
Migumisiro YeTraction Therapy Mukuderedza Herniated Disc
Vanhu vazhinji vari kutambura nekurwadziwa kuri kukanganiswa ne herniated discs mumusana wavo vanogona kutsvaga marapirwo senge traction therapy kuderedza marwadzo. Traction therapy kurapwa kusiri kwekuvhiya kunotambanudza uye kuunganidza musana. Traction therapy inogona kuitwa nemuchina kana nemaoko nenyanzvi yemarwadzo kana nerubatsiro rwemichina michina. Mhedzisiro ye traction therapy inogona kuderedza simba rekumanikidza pa spinal disc apo ichideredza nerve root compression nekuwedzera disc kureba mukati memusana. ( Wang et al., 2022 ) Izvi zvinobvumira majoini akapoteredza mukati memuzongoza kuti ave mobile uye anokanganisa zvakanaka musana. Ne traction therapy, inopindirana kana yakatsiga tension masimba anobatsira kutambanudza musana, kuderedza marwadzo, nekuvandudza mashandiro anoita. ( Kuligowski et al., 2021 )
Migumisiro Yekuora Kwemusana Mukuderedza Herniated Disc
Imwe nzira yekurapa isiri-yekuvhiya ndeye spinal decompression, yakaomesesa vhezheni yekudhonza iyo inoshandisa tekinoroji yekombuta kuti ibatsire kushandisa inodzorwa, zvinyoro zvinodhonza masimba kumusana. Spinal decompression inoita ndeyokuti inogona kubatsira kuderedza mutsara wepelinha uye kubatsira kudhonza herniated disc kudzokera kunzvimbo yayo yepakutanga apo ichidzikamisa musana uye kuchengetedza mapfupa anokosha uye zvinyoro zvinyoro zvakachengeteka. ( Zhang et al., 2022 ) Uyezve, kupera kwepelinha kunogona kugadzira kudzvinyirira kwakashata pamusana wekubvumira kuyerera kwemvura inovaka muviri uye ropa reokisijeni kudzokera kumadhisiki paunenge uchigadzira hukama hunopesana apo kushushikana kwehutano kunotangwa. ( Ramos naMartin, 1994 ) Zvose zvinokonzerwa nemusana uye traction therapy zvinogona kupa nzira dzakawanda dzokurapa kuti dzipe zororo kune vanhu vakawanda vanobata herniated discs. Zvichienderana nekuoma kwakaita herniated disc yakakonzera nyaya kumusana wemunhu, vazhinji vanogona kuvimba nemishonga isiri-yekuvhiya nekuda kweurongwa hwayo hunogadziriswa hunoenderana nekurwadziwa kwemunhu uye hunogona kusanganiswa nemamwe marapirwo ekusimbisa tsandanyama dzakapoteredza. Nekuita izvi, vanhu vazhinji vanogona kunge vasina kurwadziwa nekufamba kwenguva vachifunga nezvemiviri yavo.
References
Diaconu, GS, Mihalache, CG, Popescu, G., Man, GM, Rusu, RG, Toader, C., Ciucurel, C., Stocheci, CM, Mitroi, G., & Georgescu, LI (2021). Clinical uye pathological kufunga mu lumbar herniated disc inobatanidza nekuputika kwezvironda. Rom J Morphol Embryol , 62 (4), 951-960. doi.org/10.47162/RJME.62.4.07
Ge, CY, Hao, DJ, Yan, L., Shan, LQ, Zhao, QP, He, BR, & Hui, H. (2019). Intradural Lumbar Disc Herniation: Nyaya Yenyaya uye Mabhuku Ongororo. Clin Interv Kuchembera , 14 , 2295-2299. doi.org/10.2147/CIA.S228717
Kuligowski, T., Skrzek, A., & Cieslik, B. (2021). Manual Therapy muCervical uye Lumbar Radiculopathy: Ongororo Yakarongeka yeMabhuku. Int J Maererano neHurumende yeHurumende , 18 (11). doi.org/10.3390/ijerph18116176
Ramos, G., & Martin, W. (1994). Migumisiro ye vertebral axial decompression pane intradiscal pressure. J Neurosurg , 81 (3), 350-353. doi.org/10.3171/jns.1994.81.3.0350
Wang, W., Long, F., Wu, X., Li, S., & Lin, J. (2022). Clinical Efficacy yeMechanical Traction sePhysical Therapy yeLumbar Disc Herniation: Meta-Analysis. Comput Math Nzira Med , 2022 , 5670303. doi.org/10.1155/2022/5670303
Wu, PH, Kim, HS, & Jang, IT (2020). Intervertebral Disc Diseases CHIKAMU 2: Ongororo Yezvino Yekuongorora uye Kurapa Matanho eIntervertebral Disc Disease. Int J Mol Sci , 21 (6). doi.org/10.3390/ijms21062135
Zhang, Y., Wei, FL, Liu, ZX, Zhou, CP, Du, MR, Quan, J., & Wang, YP (2022). Kuenzanisa kwemashure ekudzikisa maitiro uye yakajairika laminectomy ye lumbar spinal stenosis. Front Surg , 9 , 997973. doi.org/10.3389/fsurg.2022.997973
Disclaimer
by Dr Alex Jimenez Chiropractic , chisingaperi Pain , Herniated Disc , Kufamba & Kuchinja , Spinal Decompression Treatments , Spine Care , Mishonga , Viscerosomatic Reflex
Vanhu vane kurwadziwa kwemusana mumitsipa uye kumashure vanogona kushandisa decompression therapy kudzoreredza spinal disc kureba uye kuwana zororo?
ziviso
Vanhu vazhinji havazivi kuti sezvo muviri uchikura, ndizvo zvinoitawo musana. Iyo musana chikamu chemusculoskeletal system inopa tsigiro yemuviri kumuviri nekuichengeta wakatwasuka. Misungo yakakomberedza, ligaments, uye matishu akakomberedza musana anobatsira nekugadzikana uye kufamba, nepo spinal disc uye majoini zvinopa kuvhunduka kutorwa kubva kune sheer vertical uremu. Kana munhu ari kufamba nemabasa avo ezuva nezuva, musana unogona kubvumira munhu kuti afambe pasina kurwadziwa kana kusagadzikana. Zvisinei, nekufamba kwenguva, musana unoenda kuburikidza nekushanduka kwekuchinja kunogona kukonzera marwadzo uye kusagadzikana kumuviri, nokudaro zvichisiya munhu wacho achitarisana nepamusoro pehuwandu hwehutachiona hunogona kukanganisa mitsipa yavo nemusana. Kusvika ipapo, vanhu vazhinji vanotsvaga marapirwo ekudzikisa marwadzo anokanganisa musana wavo uye kudzorera dhisiki kureba mumiviri yavo. Chinyorwa chanhasi chinotarisa kuti marwadzo emuzongoza anokanganisa sei mutsipa uye musana wemunhu uye kuti marapirwo akaita semusana decompression anogona kuderedza marwadzo emusana uye kudzorera disc kureba. Tinotaura nevarapi vane hunyanzvi vanosimbisa ruzivo rwevarwere vedu kuti vaone kuti kurwadziwa kwemusana kunogona kukanganisa zvakanyanya kugara kwemunhu uye hupenyu hwemiviri yavo. Isu tinozivisawo uye kutungamira varwere nezvekuti kubatanidza musana decompression inogona kubatsira kuderedza marwadzo emusana uye kudzorera spinal disc kureba. Tinokurudzira varwere vedu kuti vabvunze avo vanobatana navo vezvokurapa mibvunzo yakaoma uye yakakosha pamusoro pekubatanidza marapirwo asiri ekuvhiya muhutano uye hutano hwekuita kuti vabvise marwadzo emusana uye kuwanazve hupenyu hwavo. Dr. Jimenez, DC, anosanganisira ruzivo urwu sebasa rezvidzidzo. Disclaimer .
Marwadzo eMuzongoza Anobata Sei Mutsipa WeMunhu & Kumusana
Iwe unonzwa nguva dzose tsandanyama aches uye marwadzo mumutsipa wako uye musana? Wakambosangana nekuoma uye kushomeka kwekufamba paunenge uchimonyoroka nekutendeuka? Kana kuti zvinhu zvinorema zvinokonzeresa kuomarara kwetsandanyama kana uchifamba uchibva pane imwe nzvimbo uchienda kune imwe? Vanhu vazhinji vachange vari kufamba uye vari munzvimbo dzinoshamisa vasinganzwe kurwadziwa uye kusagadzikana kana zvasvika kumusana. Izvi zvinokonzerwa nemhasuru dzakapoteredzwa uye matishu ari kutambanudzwa uye spinal discs inotora kune yakatwasuka kudzvanywa pamuzongoza. Zvisinei, apo mamiriro ezvakatipoteredza, kukuvadzwa kunorwadza, kana kuchembera kwepanyama kunotanga kukanganisa musana, zvinogona kutungamirira kukurudzirwa kwemarwadzo emusana. Izvi zvinodaro nekuti chikamu chekunze che spinal disc chakasimba, uye chikamu chemukati che disc chiri kukanganiswa. Kana kusagadzikana kusinganzwisisike kunotanga kuderedza kunwa kwemvura mukati me diski, inogona mukati kukurudzira marwadzo ekugamuchira pasina zviratidzo zvetsinga mukati me disc. ( Zhang et al., 2009 ) Izvi zvinoita kuti vanhu vazhinji vatarise kurwadziwa kwemutsipa nemusana mumiviri yavo uye kunoderedza hupenyu hwavo.
Marwadzo emuzongoza anogona kutungamira kune anowandikira njodzi profiles izvo zvinokonzeresa vanhu vazhinji kubata nekurwadziwa kwakadzika kumashure uye kurwadziwa kwemutsipa, izvo zvinozoita kuti tsandanyama dzakatenderedza dzisasimba, kusimba, uye kuwanda. Panguva imwecheteyo, iyo yakakomberedza midzi midzi inobatwawo sezvo tsinga dzetsinga dzakakomberedza kunze uye mukati mezvikamu zvespinal disc, iyo inokonzera nociceptive marwadzo ehupfumi kumutsipa uye kumashure uye inotungamirira kumarwadzo e discogenic. ( Coppes et al., 1997 ) Apo vanhu vazhinji vari kutarisana nemarwadzo emusuru anoenderana nespinal discs, inokonzera marwadzo-spasm-pain cycle inogona kukanganisa miviri yavo nekuda kwekusafamba zvakakwana uye kunokonzera kurwadza kwemisimba mitambo pavanenge vachiedza kufamba. ( Roland, 1986 ) Kana munhu aine mafambiro mashoma anokonzera kuti ari kurwadziwa nemuzongoza, kureba kwavo kwechisikigo kunoderera zvishoma nezvishoma, zvichikonzera nyaya dzakawanda kumiviri yavo uye mitoro yemagariro. Neraki, apo vanhu vazhinji vari kubata nemarwadzo emusana, kurapwa kwakawanda kunogona kuderedza marwadzo emusana uye kudzoreredza dhisiki yavo kureba.
Movement Medicine- Vhidhiyo
VIDEO
Iyo Spinal Decompression Inoderedza Spinal Marwadzo
Kana vanhu vachitsvaga marapirwo ekurwadziwa kwemusana, vazhinji vanotsvaga marapirwo ekuvhiya kuti vaderedze marwadzo avo, asi zvichave zvishoma. Nekudaro, vanhu vazhinji vanozosarudza kurapwa kusiri kwekuvhiya nekuda kwekugona kwavo. Mishonga isiri-yekuvhiya inodhura uye inogoneka kumarwadzo emunhu nekusagadzikana. Kubva pakurapwa kwechiropractic kusvika kuacupuncture, zvichienderana nekuoma kwemarwadzo emunhu, vazhinji vachawana zororo ravanotsvaka. Imwe yemishonga ine hunyanzvi yekuderedza marwadzo emusana ndeyekuora kwemusana. Spinal decompression inobvumira munhu kusungirirwa mutafura yekudhonza. Izvi zvinodaro nekuti inodhonza zvinyoro nyoro kumusana kuti igadzirise iyo spinal disc nekudzikisa kudzvanywa kumusana kushevedzera kupora kwemuviri kudzikamisa marwadzo. ( Ramos naMartin, 1994 ) Uyezve, apo vanhu vakawanda vari kushandisa musana wemusana, kufambisa kunyoro kunopa motokari kuvhiringidza kumusana kunogona kukonzera kuchinja kwemuviri kune spinal disc uye kubatsira kudzorera mararamiro emunhu, kushanduka, uye kufamba. ( Amjad et al., 2022 )
Spinal Decompression Kudzorera Spinal Disc Height
Kana munhu achinge akasungirirwa mumuchina wepinal decompression machine, kupfava kunobatsira kuti spinal disc idzokere kumusana, ichibvumira mvura uye zvinovaka muviri kuti zvidzore mvura yemuzongoza, zvichiwedzera kureba kwemusana. Izvi zvinodaro nekuti musana wemuzongoza unogadzira kudzvinyirira kwakashata pamuzongoza, zvichiita kuti spinal disc idzokere kuhupamhi hwayo hwepakutanga uye kupa zororo. Uyezve, chinhu chinoshamisa chinoitwa nepelinha decompression ndechekuti inogona kusanganiswa nekurapa kwepanyama kubatsira kutambanudza uye kusimbisa mhasuru dzakapoteredza pedyo nemuzongoza kuti upe kugadzikana uye kushanduka. ( Vanti et al., 2023 ) Izvi zvinobvumira munhu wacho kuti anyatsofunga nezvemiviri yavo uye atange kusanganisira kuchinja kwetsika kuduku kuderedza marwadzo kubva pakudzoka. Apo vanhu vazhinji vanotanga kufunga nezvehutano hwavo uye hutano nekuenda kunorapwa, vanozowanazve hupenyu hwavo uye kudzokera kumararamiro avo ezuva nezuva pasina nyaya dzinokanganisa musana wavo.
References
Amjad, F., Mohseni-Bandpei, MA, Gilani, SA, Ahmad, A., & Hanif, A. (2022). Migumisiro yekusavhiyiwa kwekugadzirisa kurapa mukuwedzera kune nguva dzose kurapwa kwepanyama pamarwadzo, mararamiro ekufamba, kutsungirira, kuremara kwekushanda uye hupenyu hwehupenyu hunopesana nemaitiro ekugadzirisa muviri chete kune varwere vane lumbar radiculopathy; muedzo unodzorwa zvisina mwero. BMC Musculoskelet Disord , 23 (1), 255. doi.org/10.1186/s12891-022-05196-x
Coppes, MH, Marani, E., Thomeer, RT, & Groen, GJ (1997). Innervation ye "zvinorwadza" lumbar discs. Pine (Phila Pa 1976) , 22 (20), 2342-2349; hurukuro 2349-2350. doi.org/10.1097/00007632-199710150-00005
Ramos, G., & Martin, W. (1994). Migumisiro ye vertebral axial decompression pane intradiscal pressure. J Neurosurg , 81 (3), 350-353. doi.org/10.3171/jns.1994.81.3.0350
Roland, MO (1986). Kuongororwa kwakakosha kwehuchapupu hwekurwadziwa-spasm-pain cycle mumatambudziko emusana. Clin Biomech (Bristol, Avon) , 1 (2), 102-109. doi.org/10.1016/0268-0033(86)90085-9
Vanti, C., Saccardo, K., Panizzolo, A., Turone, L., Guccione, AA, & Pillastrini, P. (2023). Mhedzisiro yekuwedzera kwe mechanical traction kune kurapa kwepanyama pamarwadzo ekudzokera shure? Ongororo yakarongeka ine meta-analysis. Acta Orthop Traumatol Turc , 57 (1), 3-16. doi.org/10.5152/j.aott.2023.21323
Zhang, YG, Guo, TM, Guo, X., & Wu, SX (2009). Clinical diagnostic ye discogenic low back pain. Int J Biol Sci , 5 (7), 647-658. doi.org/10.7150/ijbs.5.647
Disclaimer
by Dr Alex Jimenez Kugadzirira Therap , Chiropractic , Sciatica , Sciatica Nerve Pain , Spinal Decompression Treatments , Mishonga , Viscerosomatic Reflex
Ko marapirwo asiri ekuvhiya senge acupuncture uye spinal decompression anogona kupa zororo kune vanhu vanobata sciatica?
ziviso
Apo vanhu vazhinji vanotanga kunzwa marwadzo achidzika nemakumbo avo mushure mezuva refu rezviitwa, zvinovaita kuti vasave nekufamba uye kunetseka kuwana nzvimbo yekuzorora. Vanhu vazhinji vanofunga kuti vari kungotarisana nemarwadzo emakumbo, asi inogona kuva nyaya yakawanda sezvavanoziva kuti haisi kurwadza kwegumbo chete kwavari asi sciatica. Nepo iyi tsinga refu ichibva kuzasi kumashure uye inofamba ichidzika kumakumbo, inogona kukundwa nekurwadziwa uye kusagadzikana kana herniated discs kana tsandanyama compress uye kuwedzera tsinga. Kana izvi zvikaitika, zvinogona kukanganisa kufamba kwemunhu uye hupenyu hwehupenyu, zvichiita kuti vatsvake kurapwa kuderedza marwadzo kubva sciatica. Sezvineiwo, mamwe marapirwo akaita seacupuncture uye spinal decompression akashandiswa kwete chete kuderedza sciatic marwadzo asiwo kupa mhedzisiro, inobatsira. Nyaya yemazuva ano inotarisa sciatica, kuti musana wepinal decompression uye acupuncture unogona sei kubvisa sciatica, uye kuti kubatanidza idzi mbiri dzisina kuvhiyiwa kurapa kunogona kutungamirira kumigumisiro inobatsira. Isu tinotaura nevanopihwa zvekurapa vane ruzivo vanosimbisa ruzivo rwevarwere vedu kuti vaone kuti sciatica inogona kukanganisa zvakanyanya kugara kwemunhu uye hupenyu hwehupenyu. Isu tinozivisawo uye kutungamira varwere kuti kubatanidza acupuncture therapy uye spinal decompression inogona sei kuderedza sciatica. Isu tinokurudzira varwere vedu kuti vabvunze avo vanobatana navo vezvokurapa mibvunzo yakaoma uye yakakosha pamusoro pekubatanidza kurapa kusiri-kuvhiya muhutano hwekugadzirisa sciatica uye zviratidzo zvayo zvinorehwa. Dr. Jimenez, DC, anosanganisira ruzivo urwu sebasa rezvidzidzo. Disclaimer .
Kunzwisisa Sciatica
Iwe unowanzosangana nechiveve kana kurira kwekunzwa kubva kuzasi kumashure kusvika kumakumbo ako? Iwe unonzwa sekunge kufamba kwako kuri kunzwa kusiri kuenzanisa here? Kana kuti wakatambanudza makumbo ako pashure pokunge wagara kwenguva yakati, izvo zvinopa zororo rechinguvana here? Nepo sciatic nerve ichiita basa rakakosha mukushanda kwemota mumakumbo, kana zvinhu zvakasiyana, senge herniated discs uye kunyangwe nhumbu, zvinotanga kuwedzera tsinga, zvinogona kukonzera marwadzo. Sciatica idambudziko remaune rinowanzonyorwa zvisirizvo sekurwadziwa kwemusana kana kurwadza kwegumbo nekuda kweaya maviri emusculoskeletal mamiriro. Aya macomorbidities uye anogona kuwedzeredzwa nekumonyorora kuri nyore uye kutendeuka. ( Davis et al., 2024 )
Uyezve, apo vanhu vazhinji vari kuita kudzokorora mafambiro kana kutarisana nekushanduka kwekuchinja mumusana, maspinal discs anowanzoita herniation. Vanogona kudzvanya tsinga dzemusana, zvichiita kuti masaini euron akumbire marwadzo uye kusagadzikana muzasi. ( Zhou et al., 2021 ) Panguva imwecheteyo, sciatica inogona kunge iri miviri yemusana uye yakawedzera-muzongoza munzvimbo ye lumbar spinal, izvo zvinoita kuti vanhu vakawanda vagare vachirwadziwa uye vachitsvaga zororo. ( Siddiq et al., 2020 ) Apo kurwadziwa kwesciatica kunotanga kukanganisa nhengo dzezasi dzemunhu, zvichikonzera nyaya dzekufamba, vanhu vazhinji vanotsvaka marapirwo ekuderedza marwadzo-semigumisiro ye sciatica.
Sayenzi Yekufamba-Vhidhiyo
VIDEO
Acupuncture Yekuderedza Sciatica Pain
Kana zvasvika pakurapa sciatica, vanhu vazhinji vanogona kutarisa mune zvisiri zvekuvhiya marapirwo nekuda kwekugona kwayo uye kubudirira mukuderedza sciatica uye inosanganisirwa marwadzo-sezviratidzo. Mishonga isina kuvhiyiwa inogona kugadziridzwa kumarwadzo emunhu uye kubatanidzwa kudzorera hupenyu hwemunhu. Mishonga miviri isiri yekuvhiya inogona kubatsira kuderedza sciatica ndeye acupuncture uye spinal decompression. Acupuncture ine nhoroondo refu yekupa zvakakosha zvinokonzeresa pakudzikisa sciatic marwadzo nekuvandudza hupenyu hwemunhu. ( Yuan et al., 2020 ) Nyanzvi dzakadzidziswa zvakanyanya kubva kuChina dzinoshandisa acupuncture uye dzinobatanidza tsono diki dzakasimba kuti dzipe zororo rekukurumidza kubva kune sciatica zviratidzo zvine chekuita. Izvi zvinodaro nekuti acupuncture ine analgesic mhedzisiro nekudzora microglia activation, inhibiting maitiro emuviri ekuzvimba, uye modulating receptors munzira inorwadza mutsinga system. ( Zhang et al., 2023 ) Kusvika panguva ino, acupuncture inogona kuita kuti acupoints yomuviri idzore dzikamo.
Mhedzisiro yeAcupuncture
Imwe yemigumisiro yeacupuncture yekubvisa sciatica ndeyokuti inogona kuderedza marwadzo ekunyanya nekushandura maitiro ehuropi hwekuita apo marwadzo ekugamuchira marwadzo anovhiringidzika. ( Yu et al., 2022 ) Uyezve, apo acupuncturists vanotanga kukurudzira tsinga dziri mumhasuru uye matishu, vanosunungura endorphins uye zvimwe neurohumoral zvinhu zvinobatsira kuchinja marwadzo mutsinga. Acupuncture inobatsira kuderedza kuzvimba uku ichivandudza kuomarara kwemhasuru uye kufamba kwemajoini kuburikidza nekuwedzera microcirculation kuderedza kuzvimba uku ichivharira sciatica marwadzo kubva pakubata pasi.
Spinal Decompression Yekubvisa Sciatica Pain
Imwe nzira yekurapa isina kuvhiyiwa ndeyekuora kwemusana, uye inogona kubatsira kuderedza migumisiro ye sciatica uye zviratidzo zvayo zvinorwadza zvinosangana. Spinal decompression inoshandisa tafura yekukwevera kutambanudza zvinyoro nyoro musana kuti ugadzire kudzvanywa kwakashata mukati mespinal disc uye kusunungura tsinga dzakabatwa. Kune vanhu vane sciatica, iyi isiri-yekuvhiya kurapa inobvisa sciatic nerve sezvo kuderedzwa kwepelinha kunobatsira kuderedza marwadzo ekurwadziwa uye kunatsiridza kufamba kwekufamba muzasi. ( Choi et al., 2022 ) Chinangwa chikuru chekuora kwepelinha ndechekugadzira nzvimbo mukati memusana wemusana uye neural structures kuti isunungure sciatic nerve yakawedzera kubva pakukonzera marwadzo akawanda. ( Burkhard et al., 2022 )
Mhedzisiro yeSpinal Decompression
Vanhu vazhinji vanogona kutanga kunzwa kurerukirwa kubva pakuisa musana wekuora mukurapa kwavo kwehutano. Iyi isiri-yekuvhiya kurapwa inosimudzira zvinwiwa uye zvinovaka muviri kune spinal disc kuti kick-kutanga emuviri kuporesa maitiro. Kana musana wacho uchitambanudzwa zvinyoronyoro, pane zvishoma kudzvinyirira kune sciatic nerve, iyo inogona kuderedza marwadzo nekuvandudza kufamba. Pamusoro pezvo, vanhu vazhinji vanozonzwa kuchinjika uye kufamba kwavo kumashure munzvimbo yavo yelumbar.
Kubatanidza Acupuncture uye Spinal Decompression Yekununura
Saka, apo vanhu vazhinji vanotanga kubatanidza kupera kwemusana uye acupuncture senzira yakazara uye isiri yekuvhiya yekubvisa sciatica, migumisiro uye zvikomborero zvakanaka. Nepo kupera kwepelinha kunonangidzira kupora kwemuchina wespinal disc uye kuderedza tsinga, acupuncture inotarisa pakubvisa marwadzo uye kuderedza kuzvimba pane systemic level. Izvi zvinowedzera kupora kwemuviri uye zvinopa synergistic mhedzisiro yekuvandudza kurapwa. Mishonga isiri-yekuvhiya senge acupuncture uye spinal decompression inogona kupa tarisiro yemhedzisiro kune vanhu vazhinji vari kutsvaga zororo kubva kune avo sciatic kurwadziwa pasina kushandisa nzira dzekuvhiya. Mishonga iyi inobvumira munhu wacho kuti adzokezve kufamba mumakumbo avo ezasi, kuderedza marwadzo, nekuvandudza hupenyu hwavo nekuita kuti vanhu vafunge nezvemiviri yavo uye kuderedza mikana ye sciatica kubva pakudzoka. Nekuita izvi, vanhu vazhinji vanogona kurarama hupenyu hune hutano uye husina kurwadziwa.
References
Burkhard, MD, Farshad, M., Suter, D., Cornaz, F., Leoty, L., Furnstahl, P., & Spirig, JM (2022). Spinal decompression ine murwere-akananga madhairekitori. Spine J , 22 (7), 1160-1168. doi.org/10.1016/j.spinee.2022.01.002
Choi, E., Gil, HY, Ju, J., Han, WK, Nahm, FS, & Lee, PB (2022). Mhedzisiro yeNonsurgical Spinal Decompression paKusimba Kwemarwadzo uye Herniated Disc Volume muSubacute Lumbar Herniated Disc. International Journal of Clinical Practice , 2022 , 6343837. doi.org/10.1155/2022/6343837
Davis, D., Maini, K., Taqi, M., & Vasudevan, A. (2024). Sciatica. In StatPearls . www.ncbi.nlm.nih.gov/pubmed/29939685
Siddiq, MAB, Clegg, D., Hasan, SA, & Rasker, JJ (2020). Extra-spinal sciatica uye sciatica mimics: kuongorora kwekuongorora. Korean J Pain , 33 (4), 305-317. doi.org/10.3344/kjp.2020.33.4.305
Yu, FT, Liu, CZ, Ni, GX, Cai, GW, Liu, ZS, Zhou, XQ, Ma, CY, Meng, XL, Tu, JF, Li, HW, Yang, JW, Yan, SY, Fu, HY, Xu, WT, Li, J., Xiang, HC, Zuva, TH, Zhang, B., Li, MH, . . . Wang, LQ (2022). Acupuncture for chronic sciatica: protocol ye multicenter randomized controlled trial. BMJ Open , 12 (5), e054566. doi.org/10.1136/bmjopen-2021-054566
Yuan, S., Huang, C., Xu, Y., Chen, D., & Chen, L. (2020). Acupuncture ye lumbar disc herniation: Protocol yekuongorora kwakarongeka uye meta-analysis. Mushonga (Baltimore) , 99 (9), e19117. doi.org/10.1097/MD.0000000000019117
Zhang, Z., Hu, T., Huang, P., Yang, M., Huang, Z., Xia, Y., Zhang, X., Zhang, X., & Ni, G. (2023). Kubudirira uye kuchengetedzeka kweacupuncture therapy ye sciatica: Kuongorora kwakarongeka uye meta-kuongorora kwemaitiro akadzora nzira. Front Neurosci , 17 , 1097830. doi.org/10.3389/fnins.2023.1097830
Zhou, J., Mi, J., Peng, Y., Han, H., & Liu, Z. (2021). Causal Associations of Obesity neIntervertebral Degeneration, Low Back Pain, uye Sciatica: A Two-Sample Mendelian Randomization Study. Front Endocrinol (Lausanne) , 12 , 740200. doi.org/10.3389/fendo.2021.740200
Disclaimer
by Dr Alex Jimenez Kudzorera Pain , Chiropractic , chisingaperi Pain , Pasi Pasi Pain , Spinal Decompression Treatments , Mishonga , Viscerosomatic Reflex
Vanhu vane lumbar spinal stenosis vanogona here kushandisa spinal decompression kuderedza kurwadza kwemusana uye kudzoreredza kufamba?
ziviso
Vanhu vazhinji pasi rese vakasangana nekurwadziwa kwemusana pane imwe nguva muhupenyu hwavo izvo zvakakanganisa kufamba kwavo uye zvakakanganisa maitiro avo. Zvakawanda zvezvakatipoteredza zvinogona kutungamira mukudzika kwemarwadzo ekudzokera shure, sekusimudza zvinorema zvisina kufanira, kusamira zvakanaka, kukuvara kunoshungurudza, uye tsaona dzinogona kukanganisa tsandanyama dzakatenderedza, musana, uye nerve midzi. Kana izvi zvikaitika, zvinogona kutungamira kune lumbar spinal stenosis uye kukonzeresa kuwanda kwengozi profiles inoenderana nekurwadziwa kwemusana. Kana vanhu vachibata lumbar spinal stenosis, vanogona kunge vachifunga kuti marwadzo avo ari muzasi. Kusvika ipapo, vanhu vazhinji vanotsvaga kurapwa kwete kungoderedza marwadzo ekudzokera shure asiwo kuderedza mhedzisiro ye lumbar spinal stenosis. Mamwe marapirwo, senge spinal decompression, iyo isiri yekuvhiya kurapwa, inogona kubatsira kudzoreredza kufamba kumuviri. Nyaya yanhasi inotarisa kuti lumbar spinal stenosis inobata sei kuzasi kwemashure uye kuongororwa kwayo paunenge uchitarisa kuti kuora kwemusana kunogona sei kupa zororo kumunhu uye kuva nemigumisiro yakanaka mukudzorera kufamba. Isu tinotaura nevarapi vane hunyanzvi vanosimbisa ruzivo rwevarwere vedu kuti vaone kuti lumbar spinal stenosis inopindirana sei nekurwadziwa kwemusana, zvichikonzera nyaya dzekufamba. Isu tinozivisawo uye kutungamira varwere nezvekuti spinal decompression inzira yakanaka yekurapa iyo inogona kusanganiswa nemamwe marapirwo. Tinokurudzira varwere vedu kuti vabvunze avo vanobatana navo vezvokurapa mibvunzo yakaoma uye yakakosha pamusoro pekubatanidza decompression therapy kuti ibvise marwadzo anokonzerwa nelumbar stenosis apo kuderedza marwadzo anoputika sekurwadziwa kwepazasi kuti awanezve kufamba kwemunhu. Dr. Jimenez, DC, anosanganisira ruzivo urwu sebasa rezvidzidzo. Disclaimer .
Maitiro eLumbar Spinal Stenosis Inobata Kuzasi Kumashure
Iwe unonzwa kurira kwekunzwa kumashure kwemakumbo ako kunokanganisa kugona kwako kufamba-famba? Kana kuti kuzasi kwako kunonzwa kushoma kufambisa kupfuura zvayaijaira? Kana vanhu vazhinji vachinzwa kurwadziwa kwakadzika kumashure munguva yehupenyu hwavo, inogona kuwirirana ne lumbar spinal stenosis. Lumbar spinal stenosis inowanzoitika apo musana wemuzongoza uri muzasi musana unova wakamanikana, zvichitungamirira kukuchinja kwekuchinja. Kana musana wemusana ukatanga kutetepa mumusana, unogona kukonzera kusagadzikana kukuru, kukanganisa mabasa ezuva nezuva, uye zvinogona kukonzera kuremara kunofambira mberi kune vanhu vakawanda. ( Munakomi et al., 2024 ) Zviratidzo zvinokonzerwa nelumbar spinal stenosis kubva kune zvinyoro kusvika kune zvakanyanya, uye pane izvo zvakatipoteredza zvinoenderana nenyaya yacho. Panguva imwecheteyo, lumbar spinal stenosis inoratidzwa nezviratidzo zvakadai sekurwadziwa kwepamusoro kunogona kukonzera shanduko ye spondylotic iyo inokonzera kurwadziwa kwepashure kunogona kukanganisa hupenyu hwemunhu. ( Ogon et al., 2022 ) Izvi zvinoita kuti vanhu vakawanda vaende kune vanachiremba vavo vekutanga kuti vawane chirwere uye vadzidze kugadzirisa marwadzo ane chokuita nelumbar spinal stenosis.
Kuongororwa kweLumbar Spinal Stenosis
Kana zvasvika pakuongorora lumbar spinal stenosis, vatapi vehutano vakawanda vachabatanidza kuongorora kwakazara, kunosanganisira kuongorora kwepanyama kuti uone kuti musana wemunhu uri kufamba sei uye kuongorora kwekufungidzira seMRIs uye CT scans kuti vaone mutsara wepelinha uye kuongorora kukura kweiyo. kuderedza kunokonzera marwadzo mumucheto wezasi. Izvi zvinodaro nekuti kana vanhu vachibata lumbar spinal stenosis, inogona kuratidza neurogenic claudication mumigumo yepasi, kunyanya kana munhu akamira kana kugara. Marwadzo anodzikira kana chinzvimbo chavo chashandurwa. ( Sobanski et al., 2023 ) Uyezve, lumbar spinal stenosis ndechimwe chezvinowanzoonekwa zvirwere zvemusana izvo vazhinji vehutano hwehutano vanoongorora uye vanoongorora. Kana pane kuderera mumusana wepelinha, zvichiita kuti pave nekugadzirwa kwelumbar spinal, kufamba kwakajeka sekufamba kunogona kuwedzera zviratidzo kusvika kumucheto wezasi uye kuwedzera okisijeni mumutsipa wepelinha, iyo inogona kudarika ropa rinowanikwa rinoyerera kusvika kumagumo. ( Deer et al., 2019 ) Kusvika panguva iyoyo, marapirwo akaita sepinal decompression anogona kubatsira kuderedza marwadzo ekumusana ane chokuita nelumbar spinal stenosis.
Nzira Isiri Yekuvhiya Kuhutano- Vhidhiyo
VIDEO
Nzira Yekununura Uchishandisa Spinal Decompression
Kana zvasvika kune vanhu vari kusangana nemarwadzo anokonzerwa nelumbar spinal stenosis, vanhu vazhinji vanogona kutsvaga marapirwo asiri ekuvhiya senge spinal decompression kuti abvise marwadzo ekumusana. Kuora kwemusana kwakabuda sechinhu chisingaiti, chinoshanda chekurapa sarudzo ye lumbar spinal stenosis. Inoshandisa zvinyoro-nyoro mechanical traction pamusana kuti itambanudzwe, isunungure tsinga dzemusana nekugadzira nzvimbo yakawanda mukati memusana wemusana. Spinal decompression inoderedza kuderera kwemaitiro apo mhasuru dzakatenderedza dzakatambanudzwa zvinyoro nyoro, uye iyo spinal disc kureba kunowedzera nekuda kwekumanikidza kwakashata. ( Kang et al., 2016 )
Mabhenefiti eSpinal Decompression & Kudzoreredza Mobility
Pamusoro pezvo, iyo nyoro inodhonza kubva kumusana decompression inobatsira kukwidziridza kuyerera kwezvinovaka muviri uye okisijeni kudzokera kune yakakanganiswa spinal discs uye musana kusimudzira iri nani kuporesa nharaunda yemuviri. Sezvo kupera kwepelinha kunogona kusanganiswa nemamwe marapirwo asiri ekuvhiya, sekurapa kwemuviri uye kugadzirwa kwepelinha, inogona kupa mhedzisiro yakanaka yenguva refu kune vanhu vane lumbar spinal stenosis. ( Ammendolia et al., 2022 ) Mimwe yemigumisiro inobatsira yemusana decompression inosanganisira:
Kunyaradza marwadzo nekuderedza kumanikidzwa kubva kumusana wetsinga kuderedza marwadzo uye kusagadzikana mumucheto wezasi zvakanyanya. Kufambiswa kwakanaka kunobvumira munhu kuti adzokere kumabasa avo ezuva nezuva zviri nyore.
Vanhu vazhinji vanogona kubatsirwa nemusana wekudzikisa kuderedza migumisiro ye lumbar spinal stenosis uye kuva nekufamba kwavo kwepasi kudzorerwa shure kwezvikamu zvakatevedzana kuderedza mikana yemarwadzo kubva pakudzoka. Nekufunga zvakanyanya nezvehutano hwavo uye hutano, vanhu vazhinji vanogona kuita diki diki shanduko mumabasa avo kuderedza marwadzo uye kuramba vachifambisa muhupenyu hwavo hwese. Izvi zvinovabvumira kuti vave nepfungwa yetariro yekuvasunungura kubva mukurwadziwa kwavanga vari pasi.
References
Ammendolia, C., Hofkirchner, C., Plener, J., Bussieres, A., Schneider, MJ, Young, JJ, Furlan, AD, Stuber, K., Ahmed, A., Cancelliere, C., Adeboyejo, A ., & Ornelas, J. (2022). Kusashanda kurapwa kwe lumbar spinal stenosis neurogenic claudication: yakagadziridzwa yakarongeka ongororo. BMJ Open , 12 (1), e057724. doi.org/10.1136/bmjopen-2021-057724
Deer, T., Sayed, D., Michels, J., Josephson, Y., Li, S., & Calodney, AK (2019). Ongororo yeLumbar Spinal Stenosis neIntermittent Neurogenic Claudication: Chirwere uye Kuongororwa. Pain Med , 20 (Suppl 2), S32-S44. doi.org/10.1093/pm/pnz161
Kang, JI, Jeong, DK, & Choi, H. (2016). Mhedzisiro yepelinha decompression pane lumbar muscle basa uye disk urefu kune varwere vane herniated intervertebral disk. Zvinyorwa zvePhysical Therapy Science , 28 (11), 3125-3130. doi.org/10.1589/jpts.28.3125
Munakomi, S., Foris, LA, & Varacallo, M. (2024). Spinal Stenosis uye Neurogenic Claudication. In StatPearls . www.ncbi.nlm.nih.gov/pubmed/28613622
Ogon, I., Teramoto, A., Takashima, H., Terashima, Y., Yoshimoto, M., Emori, M., Iba, K., Takebayashi, T., & Yamashita, T. (2022). Zvinhu zvinosanganiswa nemarwadzo ekudzokera shure kune varwere vane lumbar spinal stenosis: chidzidzo chemuchinjikwa. BMC Musculoskelet Disord , 23 (1), 552. doi.org/10.1186/s12891-022-05483-7
Sobanski, D., Staszkiewicz, R., Stachura, M., Gadzielinski, M., & Grabarek, BO (2023). Mharidzo, Kuongororwa, uye Kutungamirirwa kwePain Back Pain Inobatanidza neSpinal Stenosis: Ongororo Yenyaya. Med Sci Monit , 29 , e939237. doi.org/10.12659/MSM.939237
Disclaimer
by Dr Alex Jimenez Chiropractic , Neck Pain , Neck Pain Treatments , Spinal Decompression Treatments , Mishonga , Viscerosomatic Reflex
Ko vanhu vane cervical spinal pain vanogona kubatanidza spinal decompression therapy kuderedza marwadzo emutsipa uye misoro?
ziviso
Vanhu vazhinji vanobata nemarwadzo emutsipa pane imwe nguva, zvichitungamira kune dzakawanda nyaya dzinogona kukanganisa hupenyu hwavo hwezuva nezuva. Munoona, mutsipa chikamu chenharaunda yekervical ye musculoskeletal system. Iyo yakakomberedzwa nemhasuru, zvinyoro zvinyoro, uye ligaments inodzivirira mutsipa wepelinha ichibvumira musoro kuti ufambe. Kufanana nemarwadzo ekudzokera shure, kurwadziwa kwemutsipa inyaya yakajairika inokonzera marwadzo uye kusagadzikana kubva kune zvakabatana zvakatipoteredza zvinhu uye kukuvara kunorwadza. Kana munhu achirwara nemarwadzo emutsipa, ivo vari kubatawo necomorbidities izvo zvinokonzeresa kuwanda kwengozi profiles semusoro uye migraines. Zvisinei, marapirwo akaita semusana decompression anogona kubatsira kuderedza cervical spinal marwadzo anokanganisa mutsipa uye kuderedza zvinorwadza zvinokonzerwa nemusoro uye migraines. Chinyorwa chanhasi chinotarisa kukanganiswa kwemarwadzo emutsipa wechibereko uye kutemwa nemusoro, kuti musana wemuzongoza unogona sei kuderedza marwadzo emuzongoza wechibereko, uye kuti zvinobatsira sei mukuderedza kutemwa nemusoro. Isu tinotaura nevanopihwa vanorapa vanosimbisa ruzivo rwevarwere vedu kuti vaongorore nzira yekudzikisa marwadzo emutsipa wekervical kubva mumutsipa. Isu tinozivisawo uye tinotungamira varwere kuti kuderedzwa kwemusana kunogona kubatsira sei kuderedza misoro inokonzerwa nekervical spinal kurwadziwa. Tinokurudzira varwere vedu kuti vabvunze avo vanobatana navo vezvokurapa mibvunzo yakaoma uye inokosha pamusoro pekubatanidza chirwere chepinal decompression therapy sechikamu chemaitiro avo ekuderedza misoro uye migraines inobatanidza nemutsipa. Dr. Jimenez, DC, anosanganisira ruzivo urwu sebasa rezvidzidzo. Disclaimer .
Mhedzisiro YeCervical Pain & Headaches
Iwe unonzwa kuoma pamativi ose emutsipa wako izvo zvinokukonzera kuderera kwekufamba paunoshandura mutsipa wako? Wakambosangana nekurwadziwa nguva dzose mutembere dzako here? Kana kuti unonzwa tsandanyama kurwadza pamutsipa wako uye pamapfudzi kubva pakuvhima pakombuta kwenguva yakareba? Vanhu vazhinji vari kubata neizvi-sekurwadziwa-senge nyaya vanogona kunge vachirarama nekurwadziwa kwekervical spinal. Zvikonzero zvakasiyana-siyana zvinogona kutungamirira kukukura kwemarwadzo emusana wekervical zvinosanganisira herniated discs, pinched nerves, spinal stenosis, uye kushungurudzika kwemisumbu kunobva munharaunda yemutsipa. Izvi ndezvokuti kurwadziwa kwepervical spinal kunogona kusanganiswa nemamiriro ezvinhu ezvakatipoteredza zvinogona kukonzera marwadzo uye kusagadzikana, kuremara, uye kukanganiswa kwehupenyu hwehupenyu sezvo mitsipa yemutsipa yakapoteredza yakanyanyisa uye yakasimba. ( Ben Ayed et al., 2019 ) Apo vanhu vari kutarisana nemarwadzo emusana wekervical, chimwe chezviratidzo zvinosanganiswa nemusoro. Izvi zvinodaro nekuti nzira dzakaomesesa dzetsinga dzakabatana kumutsipa nemusoro. Kana cervical spinal kurwadziwa kuri kukonzera nyaya idzi, zvinogona kukanganisa zvakanyanya basa remunhu zuva nezuva sezvo marwadzo ari kufamba achikwira.
Panguva imwecheteyo, kurwadziwa kwemutsipa chirwere chemultifactorial chinogona kuva nyaya huru munyika yose. Kufanana nemarwadzo ekudzokera shure, zvakawanda zvengozi zvinogona kukonzera kukura kwayo. ( Kazeminasab et al., 2022 ) Zvimwe zvinhu zvine njodzi, sekushandisa zvakanyanya foni, zvinokonzeresa kurebesa mutsipa kumutsipa nemapfudzi, zvichikonzera static muscular loading nekushayikwa kwekutsigirwa kumucheto wepamusoro. ( Al-Hadidi et al., 2019 ) Kusvika pari zvino, njodzi yezvakatipoteredza yakaita sekushandiswa kwakanyanya kwefoni kunogona kuita kuti vanhu vagadzire nzvimbo yakatsiga mumitsipa yavo iyo inogona kudzvanya spinal disc munharaunda yecervical uye kuwedzera tsinga midzi kuti iite kutemwa nemusoro uye kurwadziwa. Nekudaro, vanhu vazhinji vakawana nzira dzekudzikisa cervical spinal kurwadziwa uye kuwana zororo rekurwadziwa kubva mumusoro wavo.
Maekisesaizi Epamba eKunyaradza Marwadzo-Vhidhiyo
VIDEO
Iyo Spinal Decompression Inoderedza sei Cervical Spinal Pain
Kana zvasvika pakuderedza marwadzo emutsipa wepelinha, vanhu vazhinji vakaona kuti kupera kwemusana kunogona kubatsira kuderedza migumisiro yemarwadzo emutsipa. Spinal decompression yakawedzera kuzivikanwa seyakanaka isiri-yekuvhiya kurapa kana zvasvika pakuderedza marwadzo emutsipa wepelinha. Chii chinonzi spinal decompression ndechekuti inobvumira kudzvinyirira kwakashata pamutsipa wekervical kusunungura chero herniated disc ye aggravated nerve midzi uye kubatsira kuvandudza zviratidzo zvetsinga. ( Kang et al., 2016 ) Izvi zvinokonzerwa nekuti munhu anenge akasungirirwa zvakanaka pamushini wekukweva unotambanudza zvinyoro nyoro nekuwodza musana wemusana. Pamusoro pezvo, mamwe mabhenefiti emusana decompression yekurwadziwa kwemutsipa wepelinha anosanganisira:
Yakavandudzwa kurongeka kwepelinha kuti kuderedze kushushikana kwemhasuru pamitsipa yemutsipa uye majoini. Kuwedzera kuporeswa kwemuviri nekuwedzera kuyerera kweropa uye kuchinjana kwekudya kunovaka muviri. Kuwedzera kwekufamba kwemutsipa nekuderedza kuoma kwemhasuru. Kuderedza marwadzo mazinga ari kukonzera kurwadza kwemusoro.
Zvakanakira Spinal Decompression For Headaches
Uyezve, kuora kwemusana kunogona kubatsira kuderedza misoro inobatanidza nemarwadzo emusana wepervical decompression inogona kusanganiswa nemamwe marapirwo akaita seacupuncture uye kurapa kwepanyama kuti asunungure dhizi remusana uye kugadzikana mukati me annulus nekureba kwemusana. ( Van Der Heijden et al., 1995 ) Izvi zvinokonzerwa nekubata zvinyoro pamutsipa izvo zviri kuita kuti dhisiki yakawedzera kuti igadzirise pachayo painodzorera disc kureba kuti kuderedze kudzvanywa kwetsinga. ( Amjad et al., 2022 ) Kana munhu achiita chirwere chepinal decompression therapy zvakatevedzana, marwadzo-semigumisiro yemarwadzo emutsipa wepelinha uye misoro inobatanidzwa inotanga kuderera nekufamba kwenguva, uye vanhu vazhinji vachatanga kuona kuti maitiro avo ari kuwirirana nemarwadzo avo. Nokubatanidza chirwere chepinal decompression therapy sechikamu chekurapa kwavo, vanhu vazhinji vanogona kuita shanduko duku mumararamiro avo uye vanonyanya kufunga nezvemiviri yavo kudzivirira kufambira mberi kwemarwadzo emusana wekervical kudzoka.
References
Al-Hadidi, F., Bsisu, I., AlRyalat, SA, Al-Zu'bi, B., Bsisu, R., Hamdan, M., Kanaan, T., Yasin, M., & Samarah, O. (2019). Kushamwaridzana pakati pekushandisa mbozhanhare uye kurwadziwa kwemutsipa muvadzidzi veyunivhesiti: Chidzidzo chemuchinjika uchishandisa nhamba yekuyera chiyero chekuongorora kurwadziwa kwemutsipa. PLOS ONE , 14 (5), e0217231. doi.org/10.1371/journal.pone.0217231
Amjad, F., Mohseni-Bandpei, MA, Gilani, SA, Ahmad, A., & Hanif, A. (2022). Migumisiro yekusavhiyiwa kwekugadzirisa kurapa mukuwedzera kune nguva dzose kurapwa kwepanyama pamarwadzo, mararamiro ekufamba, kutsungirira, kuremara kwekushanda uye hupenyu hwehupenyu hunopesana nemaitiro ekugadzirisa muviri chete kune varwere vane lumbar radiculopathy; muedzo unodzorwa zvisina mwero. BMC Musculoskelet Disord , 23 (1), 255. doi.org/10.1186/s12891-022-05196-x
Ben Ayed, H., Yaich, S., Trigui, M., Ben Hmida, M., Ben Jemaa, M., Ammar, A., Jedidi, J., Karray, R., Feki, H., Mejdoub, Y., Kasis, M., & Damak, J. (2019). Kuwanda, Njodzi uye Migumisiro Yemutsipa, Mafudzi uye Low-Back Pain muSekondari-Chikoro Vana. J Res Health Sci , 19 (1), e00440. www.ncbi.nlm.nih.gov/pubmed/31133629
www.ncbi.nlm.nih.gov/pmc/articles/PMC6941626/pdf/jrhs-19-e00440.pdf
Kang, J.-I., Jeong, D.-K., & Choi, H. (2016). Mhedzisiro yepelinha decompression pane lumbar muscle basa uye disk urefu kune varwere vane herniated intervertebral disk. Zvinyorwa zvePhysical Therapy Science , 28 (11), 3125-3130. doi.org/10.1589/jpts.28.3125
Kazeminasab, S., Nejadghaderi, SA, Amiri, P., Pourfathi, H., Araj-Khodaei, M., Sullman, MJM, Kolahi, AA, & Safiri, S. (2022). Kurwadziwa kwemutsipa: epidemiology yepasi rose, maitiro uye njodzi zvinhu. BMC Musculoskelet Disord , 23 (1), 26. doi.org/10.1186/s12891-021-04957-4
Van Der Heijden, GJ, Beurskens, AJ, Koes, BW, Assendelft, WJ, De Vet, HC, & Bouter, LM (1995). Iko Kubudirira Kwekudhonza Kwekumashure uye Neck Pain: Yakarongeka, Yakapofumadzwa Ongororo yeRandomized Clinical Trial Methods. Therapy Therapy , 75 (2), 93-104. doi.org/10.1093/ptj/75.2.93
Disclaimer
by Dr Alex Jimenez Kudzorera Pain , Chiropractic , Dzose Kudzorera Painini , chisingaperi Pain , Pasi Pasi Pain , Spinal Decompression Treatments , Mishonga , Viscerosomatic Reflex
Nzira dzekurapa dzisina kuvhiyiwa dzinogona kubatsira vanhu vane kurwadziwa kwakanyanya kwemusana kuwana zororo ravari kutsvaga kudzorera kushanda kwemuviri?
ziviso
Pakati pepamusoro, yepakati, uye yakaderera kumashure zvikamu zvemusculoskeletal system, vanhu vazhinji vakakundwa nekukuvadzwa kunorwadza, kudzokorora mafambiro, uye kupindirana kwenjodzi yezvakatipoteredza izvo zvinokonzeresa kurwadziwa nekuremara, zvichikanganisa maitiro avo ezuva nezuva. Seimwe yemamiriro ezvinhu akajairika ebasa, kurwadziwa shure kunogona kuita kuti vanhu vatarise mitoro yemagariro nehupfumi uye inogona kubva kubva kune yakaoma kusvika kune isingaperi, zvichienderana nekukuvara uye zvinhu zvinoenderana nenyaya iyi. Sechikamu chemusculoskeletal system, musana une misumbu yakasiyana-siyana mumatatu matatu anotsigira kumusoro uye pasi uye ane hukama hunoshamisa nemusana sezvo boka rega rega remhasuru rinokomberedza musana uye rinodzivirira musana. Kana zvinhu zvakatipoteredza uye kukuvadzwa kunotyisa kunotanga kukonzera kurwadziwa-kufanana nezviratidzo kumashure, zvinogona kuisa munhu mukurwadziwa kwakanyanya, saka nei vazhinji vachitsvaga kurapwa kusina kuvhiyiwa kuderedza marwadzo-semigumisiro yemarwadzo ekudzokera shure uye kuwana zororo ravari. kutsvaka. Chinyorwa chemazuva ano chinotarisa kukanganiswa kwemarwadzo asingagumi emusana uye kuti kurapa kusina kuvhiyiwa kunogona kukanganisa sei vanhu vane chirwere chisingaperi chisingarware shure. Tinotaura nevarapi vane hunyanzvi vanosimbisa ruzivo rwevarwere vedu kuti vape nzira dzakawanda dzekurapa dzisiri dzekuvhiya kuti kuderedze kurwadziwa kusingaperi kwemusana kunobata migumo yavo. Isu tinozivisawo uye kutungamira varwere kuti kurapa kwakasiyana-siyana kusiri kwekuvhiya kunogona kubatsira sei hutano hwavo uye kugara zvakanaka sezvo vachigona kubatsira kuderedza musculoskeletal mamiriro senge kusingaperi kurwadziwa kwemusana. Tinokurudzira varwere vedu kuti vabvunze avo vanobatana navo vezvokurapa mibvunzo yakaoma uye yakakosha pamusoro pemarwadzo avo asingagumi ekudzokera shure uye kuti ndezvipi shanduko duku dzavanogona kubatanidza kuderedza zviratidzo zvayo zvinorwadza. Dr. Jimenez, DC, anosanganisira ruzivo urwu sebasa rezvidzidzo. Disclaimer .
Mhedzisiro Yechisingaperi Low Back Pain
Iwe unogara uchinzwa zvakakomba tsandanyama aches kana marwadzo kumashure kwako mushure menguva yakaoma yezuva rekushanda? Unonzwa kuneta kwetsandanyama kubva kumusana kusvika kumakumbo ako mushure mekutakura chinhu chinorema here? Kana kuti wakamboona here kuti kumonyorora kana kutenderedza mafambiro kunorerutsa musana wako kwenguva pfupi, wotowedzera kuipa mushure mechinguva? Kazhinji, mazhinji ezviitiko izvi zvinorwadza-sezvinoita zvine chekuita nekurwadziwa kusingaperi kwemusana, uye zvinogona kuve nekuda kwezvikonzero zvakasiyana-siyana zvinoenderana neichi chinowanzoitika musculoskeletal mamiriro. Kana zvasvika kune mamiriro emusculoskeletal ane chekuita nekusingaperi kuderera kwemarwadzo ekudzokera shure, iwo akapararira apo maitiro avo ari kupararira. Kusvika ipapo, vanobata vanhu vazhinji sezvo vari ivo nhamba yekutanga inonyanya kukonzera kurwadziwa kwakanyanya kwenguva refu uye kuremara kwemuviri. ( Woolf naPfleger, 2003 ) Sezvo marwadzo ekudzokera shure achigona kunge akanyanya kana asingaperi, anogona kuve akawanda semamwe akawanda zviratidzo zvinorwadza zvinowanzokonzera kupindirana kwengozi profiles mumuviri. Mhedzisiro yemarwadzo asingagumi ekudzokera shure ane zvikonzero zvinokonzera pathological izvo zvisina kunyatsotsanangurwa asi zvinogona kuenderana nekusagadzikana kwepfungwa. ( Andersson, 1999 )
Uyezve, kuchinja kunopera mukati memusana kunogonawo kukonzera kukanganisa pakukura kwemarwadzo asingagumi emusana. Zvinhu zvine njodzi izvo zvinokonzeresa kuwanda kwengozi profiles zvinogona kubva pakuputa uye kufutisa kuenda kumabasa akasiyana siyana anoda mafambiro akawandisa. ( Atkinson, 2004 ) Kana izvozvo zvikaitika, zvinoita kuti vanhu vazvidye mwoyo zvisina basa izvo zvinokanganisa upenyu hwavo uye zvinovashungurudza. Apa ndipo apo vanhu vazhinji vanotanga kutsvaga kurapwa kuti vaderedze mhedzisiro yekusingaperi marwadzo emusana uye kuderedza mikana yekutsvaga kupindira kwekuvhiya.
Basa ReChiropractic Care Pakuvandudza Utano Hwako- Vhidhiyo
VIDEO
Kurapa Kusina Kuvhiya Kwekurwara Kwemusana Kusingaperi
Kana vanhu vachibata nemarwadzo asingagumi emusana, vazhinji havawanzozivi kuti kufamba kwakasiyana-siyana, makore, uye pathologies zvinogona kushandura musana, zvichiita kuti spinal discs iende kuburikidza nekuchinja kunopera kunoenderana nekuvandudzwa kwekusingaperi kunorwadza shure. ( Benoist, 2003 ) Kana shanduko dzakaipa dzichitanga kukonzera marwadzo-sezviratidzo kumashure, vazhinji vanozotanga kutsvaga kurapwa kunokwanisika uye kunoshanda. Nokudaro, ichi ndicho chikonzero kurapa kusiri kwekuvhiya kunogona kubatsira kuderedza marwadzo-sezviratidzo zvekusingaperi marwadzo emusana uye kubatsira kudzorera kufamba kwemuviri. Mishonga isiri-yekuvhiya inoitirwa marwadzo emunhu uye inotangira paacupuncture kuenda ku massage therapy uye spinal decompression. Mishonga isiri-yekuvhiya zvakare inokwanisika uye inobatsira kudzikisa kupindirana kwenjodzi profiles yekusingaperi kurwadza kwemusana uku ichideredza mamiriro ayo akabatana.
Spinal Decompression Effects Pane Chronic Low Back Pain
Spinal decompression, sezvakambotaurwa, inzira yekurapa kusiri kwekuvhiya kunosanganisira mechanical zvinyoro traction pamusana kuti uderedze kusingaperi marwadzo ekudzokera shure uye anogona kuderedza marwadzo-sezviratidzo zvinosangana nazvo. Spinal decompression inobatsira kuderedza kukweshera kwemhasuru dzemudumbu, zvichikanganisa lumbar spine asi inopawo marwadzo uye basa remuviri. ( Choi et al., 2022 ) Spinal decompression yakachengeteka uchiri munyoro pamuzongoza, wakasanganiswa nekudzikamisa maekisesaizi ekusimudzira intra-abdominal pressure uye musana wemuzongoza kune lumbar. ( Hlaing et al., 2021 ) Kana munhu achibatanidza kuora kwepelinha sechikamu cherwendo rwavo rwehutano uye hutano hwakanaka, kurwadziwa kwavo nekuremara kunoderera nekufamba kwenguva apo kusimbisa mhasuru dzisina simba dzakabatwa nekusingaperi kunorwadza shure. Kubatanidza kurapa kusina kuvhiyiwa uku kunogona kubatsira munhu kuti anyatsofunga nezvezvakatipoteredza zvaari kuita pamisana yavo uye kurarama hupenyu huri nani uye hune hutano.
References
Andersson, GB (1999). Epidemiological features of chronic low-back pain. Lancet , 354 (9178), 581-585. doi.org/10.1016/S0140-6736(99)01312-4
Atkinson, JH (2004). Kurwara kwemusana kusingagumi: kutsvaga zvikonzero uye kurapa. J Rheumatol , 31 (12), 2323-2325. www.ncbi.nlm.nih.gov/pubmed/15570628
www.jrheum.org/content/jrheum/31/12/2323.full.pdf
Benoist, M. (2003). Natural nhoroondo yekukwegura musana. Eur Spine J , 12 Suppl 2 (Zviwedzerwa 2), S86-89. doi.org/10.1007/s00586-003-0593-0
Choi, E., Gil, HY, Ju, J., Han, WK, Nahm, FS, & Lee, PB (2022). Mhedzisiro yeNonsurgical Spinal Decompression paKusimba Kwemarwadzo uye Herniated Disc Volume muSubacute Lumbar Herniated Disc. International Journal of Clinical Practice , 2022 , 6343837. doi.org/10.1155/2022/6343837
Hlaing, S. S., Puntumetakul, R., Khine, E. E., & Boucaut, R. (2021). Migumisiro ye core stabilization exercise uye kusimbisa kurovedza muviri pa proprioception, kuenzanisa, mhasuru uye marwadzo ane chokuita nemigumisiro kune varwere vane subacute nonspecific low back pain: a randomized controlled trial. BMC Musculoskelet Disord , 22 (1), 998. doi.org/10.1186/s12891-021-04858-6
Woolf, AD, & Pfleger, B. (2003). Mutoro wemamiriro makuru emusculoskeletal. Bull World Health Organ , 81 (9), 646-656. www.ncbi.nlm.nih.gov/pubmed/14710506
www.ncbi.nlm.nih.gov/pmc/articles/PMC2572542/pdf/14710506.pdf
Disclaimer
