Mitambo Injodzi
Back Clinic Sports Injuries Chiropractic uye Physical Therapy Team. Vatambi vanobva mumitambo yose vanogona kubatsirwa nechiropractic kurapwa. Kugadziridza kunogona kubatsira kurapa kukuvara kwemitambo ine chekuita zvakanyanya kureva mutsimba, nhabvu, uye hockey. Vatambi vanowana zvigadziriso zvenguva dzose vanogona kuona kuvandudzwa kwemitambo yemitambo, kuvandudzwa kwekufamba pamwe chete nekushanduka-shanduka, uye kuwedzerwa kweropa. Nokuti kugadziriswa kwepelinha kunoderedza kushatirwa kwemidzi yetsinga pakati pe vertebrae, nguva yekuporesa kubva mukukuvara kuduku inogona kupfupiswa, iyo inovandudza kushanda. Vatambi vepamusoro-soro uye vashoma-vatambi vanogona kubatsirwa kubva kune dzimwe nguva kugadziriswa kwemusana.
Kuvatambi vepamusoro-soro, inowedzera kuita uye kushanduka uye inoderedza njodzi yekukuvara kwevatambi vane simba shoma kureva vatambi vetenisi, makombi, uye gorofu. Chiropractic inzira yepanyama yekurapa nekudzivirira kukuvara kwakasiyana uye mamiriro anokanganisa vatambi. Maererano naDr. Jimenez, kurovedza zvakanyanya kana gear isina kukodzera, pakati pezvimwe zvikonzero, zvinowanzokonzera kukuvara. Dr. Jimenez anopfupisa zvikonzero zvakasiyana-siyana nemigumisiro yekukuvara kwemitambo pamutambi pamwe chete nekutsanangura marudzi ekurapa uye nzira dzekugadzirisa dzinogona kubatsira kuvandudza mamiriro emutambi. Kuti uwane rumwe ruzivo, ndapota inzwa wakasununguka kuti utaure nesu pa (915) 850-0900 kana mameseji kufonera Dr. Jimenez pachezvangu pa (915) 540-8444.
by Dr Alex Jimenez chirwere chemumajoini , Kukanganiswa kwakakomba , Mitambo Injodzi
Kunzwisisa here kuti ndezvipi bvunzo dzemabvi dzinoshandiswa kubatsira mupi wehutano kuona chikonzero chevanhu vari kurwadziwa nemabvi?
Knee Pain Tests
Kuongororwa kwemabvi ndiyo danho rokutanga pakuziva chikonzero chekurwadziwa kwemabvi. Kuongororwa kwemabvi kwakasiyana kunogona kuitwa panguva yebvunzo kubatsira mupi wehutano kuwana chikonzero uye kugadzira hurongwa hwekurapa hwakakwana. Iyi miedzo inoongorora basa remabvi uye mararamiro ekufamba uye kutarisa mamiriro uye kukuvara kwakadai seArthritis, meniscus misodzi, ACL misodzi, kumwe kukuvara kwe ligament, uye nyaya dzemabvi.
Kutarisa Kana Mumabvi Muine Fluid
Vanhu vazhinji vanoziva kana ibvi ravo rakazvimba, sezvavanogona kuona kana kunzwa kuzvimba. Nekudaro, kana paine mvura yakawandisa mumabvi akabatanidzwa, mupi wehutano anogona kumanikidza iyo joint kuti inzwe kune yakawandisa mvura. Fluid inowanzoonekwa pamusoro pemabvi uye inogona kuomeswa munzvimbo iyi. Fluid inogonawo kuonekwa kumashure kwebvi, inonzi Baker's cyst kana mvura yaungana kuita sumbu. (Frush TJ, & Noyes FR 2015 )
Miedzo yeArthritis
Zvimwe zvakawanikwa zvinowanikwa zvinogona kuona ibvi chirwere chemumajoini :
Crepitus
Crepitus ndiko kunzwa kana shwashwa kana kuti bhonzo riri pachena richikwesha kana ibvi rakakotama. (Lo GH et al., 2018 )
Muongorori achanzwa uye anoteerera kukuya sezvo ibvi rakakotama kumashure uye mberi.
Kuremara
Sezvo cartilage yemabvi inopera, mabvi anogona kugogodza-mabvi zvishoma nezvishoma kana kupfugama-makumbo.
Limited Motion
Kana arthritis, bone spurs, uye kuzvimba zvichidzivirira kufamba kwakajairika, mafambiro emabvi anowanzova mashoma.
Yakabvaruka Meniscus Miedzo
Miedzo inoshandiswa kuona kana kune meniscus misodzi inosanganisira:
Joint Line Hunyoro
Joint line tenderness ndiyo isiri-yakananga bvunzo umo nzvimbo ye meniscus inonzwa. Inonzi muedzo wakanaka kana pane marwadzo munharaunda iyi.
Muedzo waMcMurray
Muedzo uyu unoitwa murwere akazvambarara. Muongorori anokotama ibvi uye anotenderedza shin bone.
Kudzvanya kunogona kunzwika pamusoro pekubvarura sezvo ibvi rinounzwa kubva kuzere kuchinjika kusvika kuzere kuwedzeredzwa. (Gupta Y., Mahara D., & Lamichhane A. 2016 )
Ege's Muedzo
Muedzo uyu unoitwa murwere achigwara.
Muedzo unoitwa negumbo rakazara kunze kutenderedzwa kana mukati kutenderera, zvichienderana nekuti iyo lateral kana medial meniscus iri kuedzwa.
Kudzvanya kunonzwika kana kunzwikwa pamusoro penzvimbo yekubvarura.
ACL Misodzi Miedzo
Iyi miedzo yemarwadzo emabvi ndeye anterior cruciate ligament (ACL) kubvarura:
Lachman Test
Muedzo weLachman ndeimwe yeakanyanya kuvimbika kuongorora ACL misodzi.
Nebvi rakakotama zvishoma, muongorori anodzikamisa chidya achikwevera shin mberi.
Iyo shin inoenda kure kumberi neiyo ACL yakabvaruka.
Anterior Drawer Test
Muedzo uyu unoitwa murwere akazvambarara.
Ibvi rakakotama 90 madhigirii, uye ipapo shin inodhonzwa kumberi kutarisa kugadzikana kwe ACL.
Pivot Shift Muedzo
Muedzo wepivot shift unogona kuoma, kunyanya kana murwere ari kusangana nekusagadzikana uye asingakwanisi kuzorodza ibvi.
Uyu muedzo unoisa kushushikana pamabvi akabatanidzwa uye unoongorora kugadzikana kwekutenderera kweAACL.
Zvimwe Kukuvara KweLigament
Nokuda kwekufungidzirwa kukuvara kune mamwe marunda, kusanganisira iyo posterior cruciate ligament (PCL) , medial collateral ligament (MCL) , uye lateral collateral ligament (LCL) , bvunzo dzinotevera dzinogona kushandiswa:
Posterior Drawer Test
Iyo dhirowa yepashure inoitwa zvakafanana neye anterior dhirowa bvunzo, umo murwere anorara akatambarara.
Ibvi rakakotama 90 degrees; iyo shin inosundirwa kumashure kuti iongorore kugadzikana uye kushanda uye kuona kana posterior cruciate ligament (PCL) yakakuvadzwa.
Collateral Ligament Kugadzikana
Side-to-side kugadzikana kwemabvi kunoona matambudziko neMCL neLCL.
Iyo shin inochinjirwa kune rumwe rutivi, murwere akarara pasi uye ibvi rakakotama zvishoma.
Kukuvadzwa kweLCL kana MCL kunokonzera kuti ibvi rivhure zvakanyanya, chirwere chinozivikanwa se varus (LCL) or valgus (MCL) kusagadzikana. (Ohori T. et al., 2017 )
Kneecap Tests
Miedzo yenyaya dze kneecap inosanganisira:
Patellar Gaya
Mukuedza uku, kunonziwo chiratidzo chaClarke, murwere anorara nemanhede gumbo rakawedzerwa.
Muongorori anosundidzira pfumo pasi kuti abereke marwadzo emabvi apo murwere anoshandura mhasuru dzechidya.
Cartilage yakakuvadzwa inogona kukonzera kunzwa kwekukuya / crepitus.
Patellar Hunyoro
Muongorori anogona kusimudza zvishoma kneecap uye kuisa zvakananga kumanikidziro pane zvikamu zvepasi.
Muongorori anotarisa nzvimbo dzekunzwa kana kurwadziwa.
Patellar Kutya
Uyu muedzo unoratidza kneecap isina kugadzikana.
Muongorori anoisa kumanikidza pa kneecap mune imwe nzira, uye murwere anganzwa sokuti kneecap ichabuda.
Kukuvadza Chiremba Chiropractic uye Inoshanda Mushonga Kliniki
Kuongororwa kwemarwadzo emabvi kunowanzo tarisa huwandu hwekufamba, zviratidzo zvisingafadzi, uye manzwi anogona kuratidza rudzi rwakati rwekukuvara kwemabvi. Injury Medical Chiropractic uye Functional Medicine Clinic inoshanda nevarapi vehutano hwekutanga uye nyanzvi kugadzira hutano hwakakwana uye hutano mhinduro. Isu tinotarisa pane izvo zvinoshanda kwauri kuti ubvise marwadzo, kudzoreredza basa, uye kudzivirira kukuvara. Nezve marwadzo emusculoskeletal, nyanzvi dzakaita sechiropractors, acupuncturists, uye masaja therapists vanogona kubatsira kudzikisira marwadzo kuburikidza nekuchinja kwemusana kunobatsira muviri kuzvigadzirisa. Vanogonawo kushanda nevamwe vashandi vezvokurapa kuti vabatanidze chirongwa chekurapa kugadzirisa nyaya dzemusculoskeletal.
Kukunda ACL Injury
VIDEO
References
Frush, TJ, & Noyes, FR (2015). Baker's Cyst: Diagnostic uye Kuvhiya Kufunga. Hutano hwemitambo, 7(4), 359–365. doi.org/10.1177/1941738113520130
Lo, GH, Strayhorn, MT, Driban, JB, Mutengo, LL, Eaton, CB, & Mcalindon, TE (2018). Subjective Crepitus seRisk Factor yeIncident Symptomatic Knee Osteoarthritis: Data Kubva kuOsteoarthritis Initiative. Kuchengetwa kweArthritis & tsvakurudzo, 70 (1), 53-60. doi.org/10.1002/acr.23246
Gupta, Y., Mahara, D., & Lamichhane, A. (2016). Muedzo waMcMurray uye Joint Line Tenderness yeMedical Meniscus Tear: Dzakakwana Here? Chinyorwa cheEthiopiya chehutano sainzi, 26 (6), 567-572. doi.org/10.4314/ejhs.v26i6.10
Ohori, T., Mae, T., Shino, K., Tachibana, Y., Fujie, H., Yoshikawa, H., & Nakata, K. (2017). Varus-valgus kusagadzikana mune anterior cruciate ligament-deficient knee: mhedzisiro ye posterior tibial load. Chinyorwa chekuedza orthopaedics, 4 (1), 24. doi.org/10.1186/s40634-017-0087-3
by Dr Alex Jimenez vatambi , Mitambo Injodzi
Yips ndeye involuntary wrist muscle spasms inobata vatambi. Zvinowanzobatanidzwa negorofu, baseball, uye mitambo inosanganisira kusvetuka uye kukanda mafambiro, akadai se bowling, darts, cricket, nezvimwe. Kunzwisisa ruzivo uye zvinokonzeresa kubatsira kuongorora uye kuwana kurapa kwakakodzera kana kudzidziswa?
Yips
Yips ndeyekuzvidira wrist spasms iyo vatambi vanoona. Izwi iri rinoshandiswa zvakare kureva kushushikana kwekuita pasina spasms yemuviri. Vatsvakurudzi vanotenda kuti zvinokonzerwa nekunyanya kushandiswa kwemhasuru kunotungamirira kudystonia (mamiriro ezvinhu anoita kuti tsandanyama dzibatane zvisina kufanira), uye pamwe chete nezvinhu zvepfungwa zvakadai sekushanda kunetseka uye kunyanya kufunga, zvinogona kuita kuti zviwedzere. (Beacon Health Systems, 2024 )
Types
Vatsvakurudzi vakaona marudzi matatu emayips anobata vatambi (Clarke P. Sheffield D. uye Akehurst S., 2020 )
Type I
Tsvina dzemuviri
Kunyura/kukachidzwa
Type II
Kushushikana kwekuita
Zviratidzo zvepfungwa
Type III
Tsvina dzemuviri
Kushushikana kwekuita
Ongororo yevatambi vanopfuura zana vane ruzivo yakawana kuti inoda kusvika 68% yevanopfura miseve uye 40% yevatambi vegorofu vakawana yips. (Clarke P., Sheffield D. uye Akehurst S. 2020 )
zviratidzo
Chiratidzo chinonyanyozivikanwa ndechekupwanya kwetsandanyama, kazhinji mumaoko nemaoko. Ndosaka iri iyo inonyanya kuzivikanwa pakati pevatambi vanotamba mitambo inoda kunyatso fambisa ruoko uye wrist movement. Yips inokanganisa hunyanzvi hwemotokari. (Aoyama, T. et al., 2021 Kuwedzera kune tsandanyama spasms, zviratidzo zvinogona zvakare kusanganisira: (Beacon Health Systems, 2024 )
Twitching
Kutuka
Kutonhora kumusoro
Kushungurudzika mupfungwa
Zvinokonzera
Vatariri vehutano, varairidzi, varairidzi, uye vaongorori vanoziva kuti zvepfungwa nezvemuviri zvinokonzeresa yips. Zvikonzero zvemuviri zvinosanganisira kushandisa zvakanyanya wrist tsandanyama, izvo zvinotungamira kune dystonia kana kusazvidira tsandanyama kufamba. Iyo inozivikanwawo se-task-specific dystonia, inogona zvakare kukanganisa vanhu vanodzokorodza kufambisa tsandanyama, sevashandi vefekitori uye gungano, mabharani ezvitoro, vaimbi, nezvimwe.Clarke P., Sheffield D. , uye Akehurst S. 2020 ) Kushushikana kwekuita uye kushushikana kwepfungwa kunogona kuwedzera dystonia. (Aoyama, T. et al., 2021 ) Vamhanyi vanogona kuisa pfungwa dzavo pamafambiro avo zvekuti vanonyanya kufunga nezvezvavanenge vaita uye voita zvakanyanya. Vanhu vane kushushikana, kuzvidzora, kana kushushikana nezvemutambo kana mutambo vanowanzoona kuti manyawi avo emaoko akanyanya kuipa. (Clarke P., Sheffield D. uye Akehurst S. 2020 )
Kuwedzera Ngozi
Yips inonyanya kuwanda kune vatambi vanoshandisa maoko avo nemaoko kumutambo wavo uye vanogona kukanganisa vane ruzivo, vanokwikwidza, uye vatambi vakura. (Beacon Health Systems, 2024 ) Zvinonyanya kuwanikwa muvatambi vakatarisa pakufamba kudiki kana madaro mapfupi. Semuyenzaniso, vatambi vegorofu vanowanzosangana nekusazvibata wrist spasms pavanenge vachiisa, uye vatambi vebaseball vanonyanya kuzviona kana vachikanda zvisingasviki mamita makumi maviri. (Clarke P., Sheffield D. uye Akehurst S. 2020 )
kuongorora chirwere
Iko hakuna pamutemo kuongororwa kweyips. Nekudaro, mudzidzisi, mudzidzisi wemitambo, vanachiremba vemitambo, uye vamwe vanogona kuona maitiro ezviratidzo uye maitiro uye kupa ruzivo rwekuziva.
mabatiro
Kuziva zvinokonzeresa kwakakosha sezvo yips inogona kukonzereswa ne: (Aoyama, T. et al., 2021 )
Kushungurudzika kwepfungwa - kunetseka uye / kana kutya
Abnormal sensations
Zviratidzo zvekusagadzikana uye kurwadziwa
Mechanical kufamba / kufambisa kugadzirisa kana shanduko
Kana zvinokonzeresa/s zvaonekwa, zvinogona kugadziriswa. Mishonga inogona kubatsira inosanganisira: (Beacon Health Systems, 2024 )
Alternate Ruoko Positions
Izvi zvinogona kupa zororo kubva kudystonia uye kunyanya kufunga.
Kushandisa Yakasiyana Equipment kana Stabilizers
Izvi zvinobvumira immobilization yemamwe mamhasuru uye kushandiswa kwemhasuru dzakasiyana.
Kufungisisa
Kuderedza kuzvidya mwoyo uye kushungurudzika kunogona kubatsira kuzorodza muviri.
Kudzidzira kungwarira pamberi pemitambo kana makwikwi kunogona kubatsira kuderedza zvinokonzeresa pfungwa.
Botox Majekiseni
Majekiseni eBotox anogona kurapa mamwe marudzi e dystonia.
Sports Psychology
Nyanzvi yezvepfungwa dzemitambo mupi wehutano anodzidza kuita kwevatambi vega ega uye kuti zvinokanganisa sei pfungwa dzavo nehunyanzvi.
Nyanzvi yezvepfungwa dzemitambo inogona kubatsira vanhu kugadzira chirongwa chinoderedza kushushikana kana kufunganya kumativi emitambo uye kuita.
Kukuvadza Chiremba Chiropractic uye Inoshanda Mushonga Kliniki
Yips inowanzoitika pakati pevatambi. Zvakakosha kugadzirisa zvikamu zvemuviri uye zvepfungwa kurapa mamiriro acho. Kutaura nemurairidzi kana nyanzvi yezvepfungwa dzemitambo, vamwe vatambi, uye vashandi vanotsigira sevarairidzi vanogona kukubatsira kuwana mhinduro. Injury Medical Chiropractic uye Functional Medicine Clinic inoshanda nevarapi vehutano hwekutanga uye nyanzvi kugadzira hutano hwakakwana uye hutano mhinduro. Isu tinotarisa pane izvo zvinoshanda kwauri kuti ubvise marwadzo, kudzoreredza basa, uye kudzivirira kukuvara. Nezve marwadzo emusculoskeletal, nyanzvi dzakaita sechiropractors, acupuncturists, uye masaja therapists vanogona kubatsira kudzikisira marwadzo kuburikidza nekuchinja kwemusana kunobatsira muviri kuzvigadzirisa. Vanogonawo kushanda nevamwe vashandi vezvokurapa kuti vabatanidze chirongwa chekurapa kugadzirisa nyaya dzemusculoskeletal.
Mitambo Injodzi
VIDEO
References
Beacon Health Systems. (2024). Yips. www.beaconhealthsystem.org/library/diseases-and-conditions/yips/
Clarke, P., Sheffield, D., & Akehurst, S. (2020). Hunhu Predictors yeYips uye Choking Susceptibility. Frontiers mune psychology, 10, 2784. doi.org/10.3389/fpsyg.2019.02784
Aoyama, T., Ae, K., Souma, H., Miyata, K., Kajita, K., Kawamura, T., & Iwai, K. (2021). Musiyano muUnhu Hunhu uye Chiratidzo Kusimba Zvinoenderana neiyo Trigger-Yakavakirwa Kurongeka yekukanda Yips muBaseball Vatambi. Miganho mumitambo uye kurarama kunoshanda, 3, 652792. doi.org/10.3389/fspor.2021.652792
by Dr Alex Jimenez Mamiriro Ekutongwa , Mitambo Injodzi , Basa Rakafanana Kukuvara
Kurwadziwa kwegorofu kubva pakusimudza chiratidzo chinowanzoitika pakati pevanhu vanosimudza masimbi, zvinhu zvinorema, vana, mabhegi ezvitoro, nezvimwewo Zvichienderana nechikonzero chinokonzera, kurapwa kwekuchengetedza kunogona kugadzirisa uye kuporesa marwadzo emagokora here?
Kurwadza Kwegokora Kunokonzerwa Nekusimudzwa
Marwadzo egokora kubva pakusimudza anogona kubva pakudzidziswa uremu, kudzokorora mabasa ezuva nezuva, kana mabasa ebasa sekusimudza vana vadiki kana zvinhu zvinorema. Marwadzo anogona kuratidzira pamativi kana kumberi kwegokora. Zvizhinji zvekukuvara zvidiki zvinogona kurapwa nechando, kuzorora, uye nemishonga kumba. Zvisinei, kurwadziwa mushure mekusimudza kunogonawo kuva chiratidzo chekukuvara kwakakomba, zvakadai setendon kuputika / kubvarura.
Marwadzo Madiki Kubva Kusimudza
Kusimudza kunoisa dzvinyiriro pamatendon anobatanidza wrist uye ruoko rwepamusoro kumapfupa ari mujoini regokora. Marwadzo madiki egokora anogona kuitika kubva mukuzvimba kwechinguva mune chero yezvivakwa izvi mushure mekusimudza chinhu. Tendonitis inoitika kana tendon inozvimba, kazhinji kubva pakushandisa zvakanyanya kana kusimudza chimwe chinhu chinorema, uye inotangira kubva kune yakapfava kusvika kune yakanyanya. Nyoro tendonitis inowanzokonzera marwadzo panguva yebasa uye inovandudza nekuzorora. (American Academy yeOrthopedic Surgeons, 2020 Maitiro akajairika etendonitis anosanganisira:
Kuzvitarisira
Kuzvitarisira kunogona kubatsira kuderedza kurwadziwa kwegorofu mushure mekusimudza uye kunosanganisira: (American Academy yeOrthopedic Surgeons, 2020 )
chando
Wedzera ice kunzvimbo yakakanganiswa kusvika kumaminitsi e20 zuva rega rega kuderedza marwadzo emagokora.
Zorora
Dzivisa kusimudza zvinhu zvinorema zvakanyanya sezvinobvira kana marwadzo aripo.
Kupfeka Brace
Kana marwadzo ari pamatendon ari mukati kana kunze kwegokora rako, edza kupfeka simbi yeruoko kuti udzikise kushandiswa kwemhasuru dzako dzechanza dzinobatana nenzvimbo iyi.
Stretching
Kutambanudza zvinyoro nyoro mawrist flexors uye extensors zvinogona kubatsira kuderedza marwadzo egokora mushure mekusimudza. Kutambanudza kunogona kuitwa kakawanda zuva nezuva, kunyangwe zviratidzo zvagadziriswa. (American Academy yeOrthopedic Surgeons, 2024 )
Bata ruoko rwuri kumberi nechanza pasi. Chengeta gokora rakatwasuka.
Konda ruoko pasi kuti zvigunwe zvitarise pasi.
Nerumwe ruoko, zvinyoronyoro dhonza wrist zvichidzika kusvika kutambanudza kwanzwika kuseri kweruoko.
Bata chinzvimbo ichi kwemasekondi gumi nemashanu.
Dzokorora kashanu.
Tevere, kotamisa ruoko kumusoro kuitira kuti zvigunwe zvinongedzere padenga.
Uchishandisa rumwe ruoko, zvinyoronyoro dhonza ruoko kumashure kusvika kutambanudza kwanzwika kumberi kweruoko.
Tora 15 seconds.
Dzokorora kashanu.
Mishonga
Over-the-counter nonsteroidal anti-inflammatory drugs (NSAIDs) inogona kubatsira kugadzirisa marwadzo egorofu anokonzerwa nekusimudza uye anosanganisira:American Academy yeOrthopedic Surgeons, 2023 )
Advil/Motrin - ibuprofen
Aleve - naproxen
Bayer - aspirin
Tylenol - acetaminophen
Kuporesa
Mhosva dzakapfava dzinogona kuvandudzwa mushure memazuva mashoma ekuzvitarisira, nepo zviratidzo zvegokora zvinogona kutora mavhiki akati wandei, mwedzi, kana kunyange gore. (Kheiran A. Pandey, A. & Pandey R. 2021 ) Kana kuzvitarisira kusingashande, kurapwa kwemuviri kunogona kukurudzirwa. Chikwata chekurapa kwemuviri chinogona kushandisa nzira dzakasiyana uye marapirwo kubatsira kuderedza marwadzo uye kuzvimba kubva mukukuvara kwegokora. The therapy inogona kusanganisira yakanangwa maekisesaizi kusimbisa mhasuru dzisina kusimba uye kutambanudza mhasuru dzakasimba dzinogona kubatsira kumamiriro ezvinhu. Pamusoro pezvo, timu yekurapa ichabatsira vanhu kugadzirisa nzira yavo yekusimudza kuti vabatsire kudzivirira kumwe kukuvara.
Marwadzo ari pakati nepakati kusvika kuMagokora
Pamusoro pekupinza, kurwadziwa kwakanyanya, kurwadziwa kwakanyanya kwegokora kunokonzerwa nekusimudza kune zviratidzo zvakasiyana, zvinosanganisira: (American Academy yeOrthopedic Surgeons, 2022 )
Kudzora
Kuzvimba
Gokora kupera simba kunoerekana kwaitika.
A biceps tendon kuputika chinhu chisingawanzo asi kukuvara kwakakomba kunowanzo kukonzerwa nekusimudzwa. Pamusoro pezvimwe zviratidzo zvinoonekwa zvekukuvadzwa, pachava nebundu kumusoro kweruoko rwepamusoro nokuti mhasuru dzinotukana sezvo dzisisabatike pagokora. (American Academy yeOrthopedic Surgeons, 2022 ) Vanhu vanogona kunzwa kurira kunonzwika kana gokora regokora kana tendon ikabvaruka paunenge uchisimudza. (Johns Hopkins Mushonga, 2024 )
mabatiro
Kurapa kunoenderana nekuoma kwekukuvara, asi zviitiko zvakawanda zvinogadzirisa pachavo nekuzorora uye, kana zvichidikanwa, kurapwa kwemuviri. Mamiriro ezvinhu anokonzera kurwadziwa kwakanyanya anoda nyanzvi yekuvhiya mabhonzo. Vanachiremba ava vanonyanya kurapa kukuvara kwemusculoskeletal system. Imaging yakadai seX-rays, MRIs, kana CT scans inowanzoshandiswa kuona kukura kwekukuvara. Vanhu vane tendon kana ligament misodzi mugokora vangada kuvhiyiwa kuti vadzore huwandu hwakazara hwekufamba uye simba mune yavo. ruoko . Mushure mekuvhiyiwa, kurapwa kwepanyama kuchabatsira kudzorera basa.
Kukuvadza Chiremba Chiropractic uye Inoshanda Mushonga Kliniki
Injury Medical Chiropractic uye Functional Medicine Clinic inoshanda nevarapi vehutano hwekutanga uye nyanzvi kugadzira hutano hwakakwana uye hutano mhinduro. Isu tinotarisa pane izvo zvinoshanda kwauri kuti ubvise marwadzo, kudzoreredza basa, uye kudzivirira kukuvara. Nezve marwadzo emusculoskeletal, nyanzvi dzakaita sechiropractors, acupuncturists, uye masaja therapists vanogona kubatsira kudzikisira marwadzo kuburikidza nekuchinja kwemusana kunobatsira muviri kuzvigadzirisa. Vanogona zvakare kushanda nevamwe vanobatanidza nyanzvi dzekurapa kubatanidza chirongwa chekurapa kuvandudza kushanduka kwemuviri uye kufamba uye kugadzirisa nyaya dzemusculoskeletal.
Pain Pain Chiropractic Treatment
VIDEO
References
American Academy yeOrthopedic Surgeons. (2020). Sprains, strains, uye kumwe kukuvadzwa kwenyama yakapfava. orthoinfo.aaos.org/en/diseases-conditions/sprains-strains-and-other-soft-tissue-injuries/
Kheiran, A., Pandey, A., & Pandey, R. (2021). Kazhinji tendinopathies kumativi egokora; umbowo huripo hunoti kudii?. Nyaya yekiriniki orthopedics uye kushungurudzika, 19, 216-223. doi.org/10.1016/j.jcot.2021.05.021
American Academy yeOrthopedic Surgeons. (2024). Therapeutic exercise programme ye epicondylitis (tennis elbow/golfer's elbow). orthoinfo.aaos.org/globalassets/pdfs/2024-therapeutic-exercise-program-for-lateral-and-medial-epicondylitis.pdf
American Academy yeOrthopedic Surgeons. (2023). Chii chinonzi NSAIDs? orthoinfo.aaos.org/en/treatment/what-are-nsaids/
American Academy yeOrthopedic Surgeons. (2022). Biceps tendon inobvaruka pagokora. orthoinfo.aaos.org/en/diseases-conditions/biceps-tendon-tear-at-the-elbow
Johns Hopkins Mushonga. (2024). Ulnar collateral ligament. www.hopkinsmedicine.org/health/conditions-and-diseases/ulnar-collateral-ligament-ucl-injuries-of-the-elbow
by Dr Alex Jimenez Injury Care , Mitambo Injodzi
Kune vanhu vanobata nekukuvara kwemunwe, izvo zvinogona kuitika kubva kune zvikonzero zvakasiyana-siyana, zvinosanganisira kunyanyisa, mabasa, mitambo, nezvimwe, kuziva chikonzero chekurwadziwa kweminwe kunobatsira vatapi vehutano kuti vaone matanho api ekutora kurapwa?
Kukuvara Kweminwe
Kukuvara kweminwe kunowanzoitika uye kunogona kubva kune zviduku kusvika kune zvakakomba. (van Veenendaal LM et al., 2014 ) Zviratidzo zvinogona kuitika kubva mukukuvadzwa kwakanyanya, kusanganisira zvigunwe zvakaputsika uye sprains, kana zvirwere zvisingaperi seArthritis.
Fractures
Kutyoka kweminwe kunogona kusiyana uye kunogona kuve kwakakomba uye kunotungamirira kukukuvadzwa zvachose, kuremara, uye kurasikirwa kwebasa kana kusina kurapwa zvakanaka. Chinokosha ndechekuti mafractures anoongororwa zvakakodzera saka chirongwa chakakodzera chekurapa chinogona kutangwa. Zvizhinji zvekutyoka kwemunwe zvinogona kugadziriswa nekurapa kuri nyore, nepo vamwe vangada kuvhiyiwa. (Oetgen ME, uye Dodds SD 2008 )
Sprain uye Dislocation
Sprains uye dislocation zvakajairika kukuvara kwemunwe. (Prucz RB naFriedrich JB 2015 ) Ose anokuvadza matsimba anotsigira majoini emunwe. Mukukuvadzwa kwakanyanya, kuputika kunogona kuitika, zvichiita kuti chigunwe chidzoserwe panzvimbo kana kuderedzwa. Vanhu vane sprain kana dislocation vanowanzoona kuzvimba kwemunwe kana kuoma kwemwedzi mushure mekukuvara.
Ligament Damage
Vamwe vanodana ichi chigunwe chekukuvara skier's kana gamekeeper's, izvo zvinokonzeresa kubva kune imwe mhando yegumbo dislocation. Pano, iyo ulnar collateral ligament yechigunwe yakakuvadzwa. Iyi ligament inobatsira kuchengetedza chigunwe chakagadzikana uye inotsigira kubata uye simba remaoko. Zvisinei, rudzi urwu rwekukuvara kwe ligament rinowanzoda kuvhiyiwa. (Christensen T. et al., 2016 )
chirwere chemumajoini
Arthritis inokonzera kukuvadzwa kunzvimbo dzakajairwa dzakabatana apo mapfupa maviri anouya pamwechete. Zvigunwe ndeimwe yenzvimbo dzinowanzo itika arthritis. (Vasori CK et al., 2018 ) Mhando mbiri dzearthritis dzinowanzobata zvigunwe: osteoarthritis uye rheumatoid arthritis.
Arthritis yeChigunwe
Arthritis yechigunwe inowanzoitika pajoini apo chigunwe chinosangana nechanza. Iri mubatanidzwa rinonzi carpometacarpal/CMC joint, rinobatsira nekubata nekutsikirira. Thumb arthritis inowanzoonekwa muvakadzi kupfuura varume uye inowedzera muhuwandu kupfuura 40.Deveza LA et al., 2017 )
Trigger Finger
Kukonzera munwe kana stenosing tenosynovitis , kukuvara kunowanzoitika kunokonzeresa marwadzo uye kutsemuka kwematinji ezvigunwe, zvichikonzera kunzwa kwekukiya kana kubata kana uchikotama nekutwasanudza madigit. (Makkouk AH et al., 2008 ) Zvimwe zviratidzo zvinosanganisira kurwadziwa nekuoma kwezvigunwe nechigunwe. Mishonga inogona kusiyana kubva pakuona, kuzorora, kutsemuka, majekiseni, uye kuvhiyiwa.
Tendon Kukuvara
Mallet chigunwe
Chigunwe chemhunga kukuvara kumuromo wemunwe. Kazhinji, zvinoitika kana kuguma kwemunwe wakatwasuka kana chigunwe chikarohwa, kurovera chigunwe. Mushure mekukuvadzwa, munhu wacho anogona kuona kuti haakwanisi kururamisa zvakakwana muromo wemunwe. Kurapa kunenge nguva dzose kunoshandisa splint iyo inofanirwa kugara kwemavhiki matanhatu isina kubviswa. (Alla, SR, Deal, ND, uye Dempsey, IJ 2014 ) Kashoma kuvhiyiwa kunodiwa.
Jersey Finger
Uku kukuvadzwa kumunwe flexor tendon. Iyo flexor tendon inokwevera chigunwe muchanza kana ichibatira mhasuru dzefodya. Kukuvara kunoitika pamucheto wemunwe; kazhinji, tendon inodzokera kumashure kwemunwe kana muchanza.
Ring Kukuvara
Kukuvara kumunwe paunenge wakapfeka mabhandi emuchato kana zvimwe zvishongo zvemunwe zvinogona kutungamirira kumatambudziko makuru. Kunyange kukuvadzwa kuduku kunogona kuva nezvinetso zvinoparadza kana kuoma kwekukuvara kusingazivikanwe uye kugadziriswa. Kana kukuvara kukaitika paunenge wakapfeka zvishongo uye paine kukuvara kwenyama yakapfava, kusanganisira kutenderera kweropa kuri kugurwa, kurapwa nekukurumidza kunodiwa.
Zvimwe Kukuvara
Inotyisa
Kukuvadzwa kwemunwe kwakanyanya kunokonzerwa nekukuvara kwakananga kune ganda uye tsandanyama. Zviratidzo zvinosanganisira kurwadziwa, kuzvimba, kupfava, uye kushanduka kweganda.
Zvichekwa uye Scrapes
Izvi zvinogona kubva padiki kusvika kune zvakakomba zvakanyanya, sekukuvara kunocheka netsinga dzeropa, tsinga, uye tendon.
Kukuvadza Chiremba Chiropractic uye Inoshanda Mushonga Kliniki
Mushure mekunge kuzvimba kwekutanga nekuzvimba kwapera, chiremba anozokurudzira chirongwa chekurapa icho chinowanzobatanidza kurapa kwemuviri, kuzviitira kugadzirisa muviri, kana kutariswa nemurapi wepanyama kana timu. PaInjury Medical Chiropractic uye Functional Medicine Clinic, nzvimbo dzedu dzekudzidzira dzinosanganisira Chronic Pain, Kukuvadza Kwemunhu, Auto Accident Care, Kukuvara Kwebasa, Kukuvara Kwekudzokera, Kurwadziwa Kwepashure, Kurwadziwa Kwemutsipa, Migraine Headaches, Kukuvara Kwemitambo, Severe Sciatica, Scoliosis, Complex Herniated. Discs, Fibromyalgia, Chronic Pain, Complex Injuries, Stress Management, Wellness & Nutrition, Functional Medicine Treatments, uye in-scope care protocols. Isu tinotarisa pane izvo zvinoshanda kwauri kuti ubvise marwadzo uye kudzoreredza basa. Kana kumwe kurapwa kuchidiwa, vanhu vanozoendeswa kukiriniki kana chiremba anonyatsokodzera kukuvara kwavo, mamiriro, uye / kana hurwere.
Mitambo Injodzi Rehabilitation
VIDEO
References
van Veenendaal, LM, de Klerk, G., & van der Velde, D. (2014). Chigunwe chinorwadza sechiratidzo chekutanga chechirwere. Kuvhiyiwa kweGeriatric orthopedic & rehabilitation, 5 (1), 18-20. doi.org/10.1177/2151458514522125
Oetgen, ME, & Dodds, SD (2008). Kusashanda kurapwa kwekukuvadzwa kweminwe. Ikozvino wongororo musculoskeletal mushonga, 1 (2), 97-102. doi.org/10.1007/s12178-007-9014-z
Prucz, RB, & Friedrich, JB (2015). Kukuvara kwemajoini emunwe. Makiriniki mumishonga yemitambo, 34 (1), 99-116. doi.org/10.1016/j.csm.2014.09.002
Christensen, T., Sarfani, S., Shin, AY, & Kakar, S. (2016). Nguva Yakareba Migumisiro Yekutanga Kugadziriswa kweChigunwe Chisingaperi Ulnar Collateral Ligament Injuries. Ruoko (New York, NY), 11(3), 303–309. doi.org/10.1177/1558944716628482
Vasori, CK, Langer, M., Hahn, P., Müller, LP, & Unglaub, F. (2018). Kurapa kwePrimary Arthritis yeFinger and Thumb Joint. Deutsches Arzteblatt international, 115(16), 269–275. doi.org/10.3238/arztebl.2018.0269
Deveza, LA, Hunter, DJ, Wajon, A., Bennell, KL, Vicenzino, B., Hodges, P., Eyles, JP, Jongs, R., Riordan, EA, Duong, V., Min Oo, W. , O'Connell, R., & Meneses, SR (2017). Kubudirira kwezvakasanganiswa zvekuchengetedza marapirwo pamigumisiro yekliniki kune varwere vane thumb base osteoarthritis: protocol for a randomised, controlled trial (COMBO). BMJ yakavhurika, 7(1), e014498. doi.org/10.1136/bmjopen-2016-014498
Makkouk, AH, Oetgen, ME, Swigart, CR, & Dodds, SD (2008). Trigger chigunwe: etiology, kuongorora, uye kurapwa. Ikozvino wongororo musculoskeletal mushonga, 1 (2), 92-96. doi.org/10.1007/s12178-007-9012-1
Alla, SR, Deal, ND, & Dempsey, IJ (2014). Zvino pfungwa: mallet chigunwe. Ruoko (New York, NY), 9(2), 138–144. doi.org/10.1007/s11552-014-9609-y
by Dr Alex Jimenez Mamiriro Ekutongwa , Mitambo Injodzi
Kune vanhu uye vatambi vane gluteal contusion nekupwanya kwakanyanya, mupi wehutano anogona kuona kana paine kumwe kukuvadzwa kune zvimiro zvepasi, kusanganisira tsandanyama kana tendon misodzi?
Gluteal Contusion
A gluteal contusion kukuvara, mune iyi kesi, kukuvadzwa kumagadziko 'gluteal tsandanyama kunokonzerwa nekukuvadzwa kwetsandanyama fiber uye tsinga dzeropa. Kukuvara kwemagadziko kunokonzerwa nekukanganiswa kwemuviri wakananga, kazhinji kubva pakudonha, kubonderana kwemotokari, tsaona, kudhumhana nechimwe chinhu, kana kurohwa nechinhu kana munhu. Kufanana nemavanga ose, gluteal bruise inowanzokonzera marwadzo uye kuoneka kuoneka kweganda panzvimbo yekukuvara, kusiyanisa mukuoma kubva kugiredhi I kusvika kugiredhi III, ine mavanga epamusoro anoda nguva yakawanda yekuporesa. Maronda mazhinji emagaro anogona kupora ega nenguva nekuzorora, asi kana maronda akanyanya, vanhu vangangoda kurapwa kwemuviri kuti vadzorere zvizere mhasuru kushanda.
zviratidzo
A contusion kukuvara kwetsandanyama kunogona kukanganisa tsandanyama dzemapfupa emuviri. A gluteal contusion inogona kurwadza, ine dema uye bhuruu chiratidzo chinoshandura ruvara nekufamba kwenguva. Zvimwe zviratidzo zvinogona kusanganisira: (Gomo reSinai, 2024 )
Hunyoro hwekubata pamusoro penzvimbo yekukuvara
Kuwedzera kurwadziwa pamwe nekuputika kweglutes
Kuzvimba
Kusagadzikana nekugara
Zvinokonzera
Kuvhiringidzika kunoitika kubva mukukuvadzwa kwakananga uye kukanganisa kwakasimba pamhasuru dze gluteal, zvichikonzera kukuvadzwa kwetsinga dzeropa, tsandanyama, uye dzimwe nguva pfupa, zvichikonzera kubuda ropa pasi peganda. (MedlinePlus, 2016 ) Kukanganisa kwakananga kune gluteal tsandanyama izvo zvinogona kukonzera kusagadzikana kunosanganisira:
kana
Tsaona dzemotokari
Kurova kwakananga kumagaro kubva pachidimbu chemidziyo yemitambo kana munhu.
Kudhumhana nefenicha, gonhi, kana kaunda.
Intramuscular jekiseni mu gluteal tsandanyama.
Vanhu vanotora mishonga inoderedza ropa kana anticoagulant vane njodzi yakawedzera yekukuvadzwa kubva mukukuvadzwa kwakananga.
kuongorora chirwere
A gluteal contusion inowanzoongororwa kuburikidza nekuongororwa kwepanyama uye inowanzojeka kuongororwa zvichienderana nechitarisiko chemuviri, zviratidzo, uye rudzi rwekukuvara. Contusions inogona kuverengerwa zvichienderana nekuomarara zvichienderana neanotevera maitiro (Fernandes, TL et al., 2015 )
Bhuku I
Kukuvara kunobata zvishoma chete zvetsandanyama fibers, zvichikonzera kurwadziwa kushoma, kupfava, uye kugoneka kuzvimba.
Zvinokonzeresa kushoma kana kusarasikirwa kwesimba mumhasuru yakakanganiswa kana huwandu hwekugumira kwekufamba.
Kushandisa tsandanyama kazhinji hakuna kukanganiswa.
Bhuku II
Kukuvara kunokonzeresa kukuvadzwa kukuru kwetsandanyama fibers, zvichikonzera kuwedzera marwadzo uye kukanganiswa kwetsandanyama contraction.
Chirema chidiki chemhasuru chinogona kunzwika kusvika pakubata.
Discoloration inowedzera pamusoro pemazuva mashoma ekutanga mushure mekukuvara.
Giredhi III
Kukuvara kunosanganisira kukuvara kwakakura kwemhasuru fiber uye kubuda ropa munzvimbo yese yetsandanyama izvo zvinoguma nekurema, uye dzimwe nguva zvachose, kurasikirwa kwetsandanyama basa.
Zvinokonzera kurwadziwa kwakanyanya uye kushanduka kukuru kweganda.
Kana mavhiringi akakura, akadzika, uye anosanganisira kusanganiswa kweropa uye kuzvimba, anonzi hematomas.
Kana kukuvadzwa kwakanyanya, diagnostic ultrasound, CT scan, kana MRI inogona kushandiswa kuona kana chero zvivako zvepasi zvakakuvadzwa.
mabatiro
Contusions kazhinji kukuvara kwakapfava. Kurapa kunowanzobatanidza kuzorora kubvumira tsandanyama kuporeswa kubva pakubuda ropa uye maronda apera.
Kushandisa ice panzvimbo yekukuvara kunogona kubatsira kubvisa marwadzo uye kuzvimba.
Kana maronda akanyanya, kuita kwakakosha kwekuita semitambo, kutamba, kumhanya, kusvetuka, uye kusimudza uremu kunofanirwa kudzivirirwa kusvika tsandanyama dzapora. (Gomo reSinai, 2024 )
Nekupwanya kwakanyanya, kuputika uye kutambanudza kweglutes kunorwadza uye kunogona kutora nguva yakareba yekuporesa uye kupora nguva.
Physical therapy rehabilitation inogona kudiwa kune zvakanyanya kukuvadza zvakanyanya kudzorera kushanda kwemhasuru.
Prognosis
Kukuvara kwakapfava kunowanzo pora pachayo nenguva nekuzorora. Kukuvara kwakakosha kunotora nguva yakareba kupora uye kungada kurapwa kwemuviri kuvaka simba uye huwandu hwekufamba kana tsandanyama ikabatwa.
Nguva Yekuporesa uye Kupora
Nguva yekuporesa uye yekudzorera ye gluteal contusions inosiyana zvichienderana nekuoma kwekukuvara (Fernandes TL et al., 2015 )
Bhuku I
Kukuvara kudiki kunokonzera kusagadzikana kudiki kunowanzo pora zvizere mumazuva mashanu kusvika kumavhiki maviri.
Bhuku II
Pakati pemazuva maviri kusvika matatu ekutanga, contusions inokura, kuwedzera kushanduka pasi peganda, uye kupora kwakakwana kunogona kutora mavhiki maviri kusvika matatu.
Kudzokera kumitambo kunowanzotangwazve mushure memwedzi.
Giredhi III
Contusions inogona kutora kusvika kumasvondo mana kusvika matanhatu kuti apore, kazhinji ichida kudzoreredzwa kudzoreredza musimba simba uye huwandu hwekufamba.
Kukuvadza Chiremba Chiropractic uye Inoshanda Mushonga Kliniki
PaInjury Medical Chiropractic uye Functional Medicine Clinic, isu tinoshuvira zvakanyanya pakurapa kukuvara kwevarwere uye kusingaperi kurwadziwa syndromes. Isu tinotarisa pakuvandudza kugona kuburikidza nekuchinjika, kufamba, uye agility zvirongwa zvakagadzirirwa kumunhu. Isu tinoshandisa mu-munhu uye chaiyo yehutano kudzidzisa uye yakazara hurongwa hwekutarisira kuve nechokwadi chega chega kutarisirwa kwemurwere uye hutano hwakanaka. Vapeji vedu vanoshandisa nzira yakabatanidzwa kugadzira zvirongwa zvekuchengetedza zvemunhu zvinosanganisira Functional Medicine, Acupuncture, Electro-Acupuncture, uye Mitambo yeMishonga misimboti. Chinangwa chedu ndechekubvisa marwadzo nemasikirwo nekudzorera hutano uye kushanda kumuviri. Kana achinzwa kuti munhu wacho anoda kumwe kurapwa, vanozoendeswa kukiriniki kana chiremba anonyatsokodzera kwavari sezvo Dr. Jimenez akabatana nevanovhiya vepamusoro, nyanzvi dzemakiriniki, vatsvakurudzi vezvokurapa, uye vatapi vekutanga vekudzorera kuti vape mharaunda yedu. kurapa kwakanaka kwekiriniki.
Kuvaka Muviri Wakasimba
VIDEO
References
Gomo reSinai. (2024). Bruise. www.mountsinai.org/health-library/injury/bruise
MedlinePlus. (2016). Maronda. Zvakatorwa kubva medlineplus.gov/bruises.html
Fernandes, TL, Pedrinelli, A., & Hernandez, AJ (2015). MUSCLE INJURY - PHYSIOPATTHOLOGY, DIAGNOSIS, RAPA UYE CLINICAL PRESENTATION. Revista brasileira de ortopedia, 46(3), 247–255. doi.org/10.1016/S2255-4971(15)30190-7
by Dr Alex Jimenez vatambi , Mitambo Injodzi
Vanhu vanoita zvemitambo uye zviitiko zvemuviri zvinosanganisira kupuruzira kumberi vachimhanya kana kusvetuka vanogona kuchengetedza kukuvara kwemhasuru ye planttaris. Kunzwisisa anatomy yekuseri kwegumbo uye zviratidzo zvinobatsira kuongorora nekurapa kukuvara kwetsandanyama?
Plantaris Muscle
Tsandanyama yeplantaris imhasuru refu, nhete mumhuru inomhanya nekuseri kwegumbo. Icho chikamu cheTriceps Surae, boka remhasuru mumhuru iyo, pamwe chete ne gastrocnemius uye soleus tsandanyama, inoumba yakawanda kumashure kwegumbo. Inowanikwa muchikamu chepamusoro chemashure chegumbo. Matambudziko kana misodzi yemhasuru yeplantaris kumashure kwegumbo inogona kukonzera marwadzo uye kuzvimba, zvakafanana nemhuru strain kana Achilles tendon kubvarura. Vanhu vanogona kunzwa kurwadziwa nekukurumidza, kuputika, uye zvimwe zviratidzo.
Anatomy
Iyo gastrocnemius uye soleus tsandanyama ndiwo mhasuru huru, ine soleus iri mukati megumbo. Pamwe chete, vanogadzira tendon yeAchilles, iyo inobatanidza kuita tendon kumashure kwechitsitsinho uye inonamatira kune chitsitsinho bone / calcaneus. Kana tsandanyama dzemhuru dzichibatana, dzinonongedza tsoka pasi, dzichiendesa muviri mberi pakufamba, kumhanya, uye kumhanya. The planttaris muscle uye tendon zvinogara zvishoma kana zvishoma pakati pemhuru, pakati pemisoro miviri ye gastrocnemius. Inenge 7% kusvika 20% yevanhu vanozvarwa vasina plantaris tsandanyama. Kune misiyano, yakadai sekuva nekaviri- kana katatu-musoro-soro planttaris muscle. (Olewnik Ł. nevamwe, 2020 ) Zvisinei, vanhu vasina musuru kana kuti vane mutsauko havana kuratidzwa kuti vanokanganisa kufamba kwenguva refu kana kwenguva pfupi.
zviratidzo
Plantaris tsandanyama kuputika ndiyo inowanzoitika kukuvara uye inowanzoitika panguva yekumhanya kana kusvetuka. (Spang C. et al., 2016 ) Vakawanda vanoramba vachikuvadzwa uku vatambi vanofanira kusvetukira mberi. Zviratidzo zvakajairika zvinosanganisira:
Kamwe kamwe kurwadziwa kuseri kwemhuru.
Kuzvimba kwemhasuru yemhuru.
Tsandanyama mapfundo kana myofascial trigger mapoinzi yemhasuru yemhuru.
Kuzvimba nekupwanya kuseri kwenzvimbo yemhuru.
Kupwanya mhasuru yemhuru.
Spasm sensations yemhasuru yemhuru.
Zviratidzo zvekutambudzika kwetsandanyama yeplantaris hazvina kusimba, uye zviratidzo zvakajairika kuve kusimba uye kurwadziwa panguva uye mushure mekuita basa remuviri.
kuongorora chirwere
Plantaris tsandanyama misodzi inosiyana neAchilles tendon misodzi nekuti tsoka inogona kunanga pasi zvichitevera kuputika, nepo Achilles kubvarura haigone. Plantaris inoputika inogonawo kuvhiringika nekuvharwa kweropa mutsinga huru dzemhuru, inonzi deep vein thrombosis/DVT. (Rohilla S. et al., 2013 ) Miedzo yakaita seMRI kana ultrasound inogona kuitwa kusimbisa kana kusabvisa kuputika kweplantaris. Ose ari maviri anogona kubatsira pakuona kuti kukuvara kuri kunetsa here kana kubvaruka uye kuona zvimwe zvinokonzeresa kurwadziwa kwemhuru.
mabatiro
Kurapa kazhinji hakusi kuvhiya. Nepo kukuvara kwacho kuchigona kukonzera marwadzo nekuremara, zviratidzo zvacho zvinenge zvagara zvinogadzirisa nekuchengetedza nekurapa. Zororo, chando, kudzvanya, uye kukwidziridzwa ndiwo mutsara wekutanga kushandiswa uye unogona kunge uri zvese zvinodikanwa pakuita tsandanyama. Kushandiswa kwenguva pfupi kweNSAIDs kunogona kukurudzirwa kune dambudziko kana kubvarura kuderedza marwadzo uye kuzvimba. (Morelli KM et al., 2018 ) Kana kurwadziwa kwakadzika kana kune kubvarura, varwere vangada immobilization yenguva pfupi kana kushandiswa kwetsvimbo kuti marwadzo aende. Nerubatsiro rwemurapi wepanyama, chiropractor yemitambo, uye mudzidzisi wemitambo, kuwedzera zvishoma nezvishoma mukufamba uye simba zvinogona kuwanikwa. Zviratidzo zvinowanzopera zvishoma nezvishoma kwemavhiki akawanda. Kupora zvakakwana kunogona kutora mavhiki masere, zvichienderana nekuoma kwekukuvara.
Injury Medical Chiropractic uye Functional Medicine Clinic inoshanda nevarapi vekutanga vehutano uye nyanzvi kuti vagadzire zvirongwa zvekurapa zvakagadziriswa kuburikidza nenzira yakabatanidzwa yekurapa kukuvara uye kusingaperi kurwadziwa kwechirwere syndromes, kunatsiridza kuchinjika, kufamba, uye agility, kubvisa marwadzo, uye kubatsira vanhu kudzokera kumabasa enguva dzose. Kana mamwe marapirwo achidiwa, Dr. Jimenez akabatana nevarapi vepamusoro, nyanzvi dzekiriniki, vatsvakurudzi vezvokurapa, uye vagadziri vekugadzirisa kuti vape mishonga inobatsira zvikuru.
Kudzora Kufamba Kwetsoka neCustom Orthotics
VIDEO
References
Olewnik, Ł., Zielinska, N., Karauda, P., Tubbs, RS, & Polguj, M. (2020). Mutsara une misoro mitatu plantaris: humbowo hwekuti plantaris haisi mhasuru yevastigi? Kuvhiya uye radiologic anatomy: SRA, 42 (10), 1189-1193. doi.org/10.1007/s00276-020-02478-8
Spang, C., Alfredson, H., Docking, SI, Masci, L., & Andersson, G. (2016). The plantaris tendon: ongororo inorondedzera inotarisa pane anatomical maficha uye kukosha kwekiriniki. The bone & joint journal, 98-B(10), 1312–1319. doi.org/10.1302/0301-620X.98B10.37939
Rohilla, S., Jain, N., & Yadav, R. (2013). Plantaris kuputika: nei zvakakosha? BMJ nyaya mishumo, 2013, bcr2012007840. doi.org/10.1136/bcr-2012-007840
Morelli, KM, Brown, LB, & Warren, GL (2018). Mhedzisiro yeNSAID paKudzoreredza Kubva Kukuvadza KweSkeletal Muscle Injury: Kuongorora Kwakarongeka uye Meta-analysis. Magazini yeAmerica yemishonga yemitambo, 46 (1), 224-233. doi.org/10.1177/0363546517697957
by Dr Alex Jimenez Chiropractic , chisingaperi Pain , Mitambo Injodzi , Mitambo Injodzi , Mishonga , Viscerosomatic Reflex
Vanhu vemitambo vane kukuvara kwe ACL vanogona kuwana zororo kuburikidza nemishonga isiri-yekuvhiya kudzorera kufamba kwemabvi?
ziviso
Kudzika kwemuviri kunobatsira vanhu kuti vafambe asi zvakare vanobatsira kudzikamisa huremu hwepamusoro hwemuviri. Kubva muhudyu kusvika kutsoka, vanhu vazhinji vari patsoka dzavo uye vachishandisa boka rega retsandanyama kubvumira kushanda. Vatambi vemitambo vanoshandisa mativi avo ezasi kuita zviitwa zvakasiyana-siyana zvemuviri uye vanogona kukuvara. Kukuvara kweAACL ndeimwe yekukuvara kwakanyanya uye kunotyisa kunogona kukanganisa kuita kwemunhu wemitambo. Aya marudzi ekukuvadzwa anokanganisa mabvi omunhu uye anogona kuita kuti munhu anzwe kusuruvara. Zvisinei, mishonga yakawanda yekuvhiya uye isiri-yekuvhiya inogona kubatsira kugadzirisa kwekukuvara kweAACL apo kubatsira munhu wacho kudzorera kufamba kwavo kumucheto wavo wezasi. Nyaya yanhasi inotarisa kuti kukuvara kwe ACL chii, kunobata sei mabvi, uye kuti kurapa kusina kuvhiyiwa kunogona kubatsira sei kudzorera kufamba kwemabvi kubva mukukuvara kweAACL. Isu tinokurukurirana nevanozivikanwa vanobatana nevanorapa vanosimbisa ruzivo rwevarwere vedu kuti vaongorore kukuvara kweAACL kunokanganisa kufamba kwavo. Isu tinozivisawo nekutungamira varwere tichibvunza avo vanosanganisirwa navo murapi mibvunzo yakaoma kuti ibatanidze uye nekuvapa akawanda asiri ekuvhiya marapiro kuti abatanidzwe muchirongwa chavo chemunhu. Dr. Jimenez, DC, anosanganisira ruzivo urwu sebasa rezvidzidzo. Disclaimer .
Chii chinonzi ACL Injury?
Iwe unonzwa aches kana marwadzo kumativi emabvi ako mushure menguva refu yekurovedza muviri hurumende? Iwe unonzwa kana kunzwa ruzha ruchibuda mumabvi ako here? Kana kuti unonzwa kurwadziwa uye kuzvimba zvichikanganisa kugona kwako kufambisa? Zvizhinji zvezviitiko izvi zvinorwadza-zvakaita zvinoenderana nekukuvara kweAACL, iyo iri pakati pekukuvara kwakanyanya uye kunotyisa kune vanhu vemitambo uye vasiri vatambi. Zvisinei, tinofanira kutarisa ACL pachayo kuti tinzwisise zviri nani kukuvara kweAACL. Iyo ACL (anterior cruciate ligament) inoita basa rakakosha sezvo ichibatsira nekudzikamisa kwemabvi, inodzivirira mafambiro emberi zvakanyanya kubva kune tibia (shin bone), uye inomisa kutenderera kwemabvi kufamba. ( Yoo naMarappa-Ganeshan, 2024 ) Iyi ligament ndeimwe yezvivakwa zvakanyanya kukuvadzwa zvinokanganisa kuita kwemitambo. Kukuvara kweAACL uye misodzi zvinogona kutungamirira kune vanhu vakawanda vane kusagadzikana kwemabvi uye kuwedzera kwengozi yemangwana osteoarthritis. ( Atik, 2024 ) Izvi zvinodaro nekuti kukuvara kwe ACL kunowanzoitika panguva yezviitwa zvemuviri zvinosanganisira kumira kamwe kamwe, kusvetuka, kana kutungamira kumabvi.
Inobata Sei Mabvi?
Saka, kukuvara kweAACL kunobata sei mabvi emunhu? Sezvambotaurwa, iyo ACL isimba rakakosha rinodzikamisa mabvi akabatanidzwa panguva yekufamba. Kana iyo ligament ikakuvadzwa, inogona kukonzera marwadzo-senge zviratidzo senge:
Pain Chikamu chisina kukwana chekufamba Kusagadzikana kwebvi Yakashandurwa biomechanics
Izvi zvinoita kuti vanhu vazhinji vaderedze nhanho dzekuita zvemuviri, izvo zvinogona kuve mutoro mukuru wehupfumi kumaitiro avo ezuva nezuva. ( Wang et al., 2020 ) Paunenge uchitarisana nekukuvara kweAACL, inogonawo kukanganisa meniscus mumabvi sezvo kuputika kwekarati kunowanzo kukurumidza uye kunogona kutungamirira kukutanga osteoarthritis, iyo inopindirana nekukuvara kweAACL. (Kiyi et al., 2022 ) Zvisinei, kana munhu ari kutarisana nekukuvara kweAACL, kune mishonga yakawanda yekuderedza marwadzo-sezviratidzo zvinokonzerwa nekukuvara kweAACL uye kubatsira kudzorera kufamba kwemabvi.
Kukunda An ACL Injury-Vhidhiyo
VIDEO
Kurapa Kusina Kuvhiya Kune ACL Kukuvara
Paunenge uchiwana kurapwa kwakakodzera kwekukuvara kwe ACL, vanhu vazhinji vanogona kubatanidza marapirwo asiri ekuvhiya sechikamu chehurongwa hwavo hwekurapa. Mishonga isiri-yekuvhiya inogona kusiyana uye inogona kunge yakakodzera kune vanhu vane chikamu che ACL misodzi uye kusagadzikana kwemabvi uye vanga vachibatanidzwa mumitambo yakaderera. Apo vanhu vanoita zvemitambo vari kutarisana nekukuvara kweAACL, nekubatanidza kurapa kusina kuvhiyiwa, vanogona kugadzirisa kukanganisa, kuwana kugadzikana kwekushanda, uye kudzokera zvakachengeteka kumabasa avo epanyama pavanenge vachivandudza neuromuscular system kuti vawane kushanda kwemabvi kugadzikana. ( Diermeier et al., 2020 ) Mishonga isiri-yekuvhiya inogona kuita zvakanaka vanhu vazhinji nekubvisa marwadzo ari pamusoro-senyaya dzinobata mabvi uye kuoma kwekukuvara kwe ACL.
Chiropractic Care
Chiropractic kuchengetedza ndeimwe yeakawanda asiri ekuvhiya marapirwo anogona kubatsira vanhu vanobata nekukuvara kweAACL. Chiropractic kuchengetedza inosanganisira mechanical uye manual manipulation kuongorora nekurapa chero nyaya dzemusculoskeletal dzine chokuita nekukuvara kweAACL uye inosimbisa kukwanisa kwemuviri kuzvirapa. Kune vakawanda vanoita zvemitambo uye vasiri vatambi vane kukuvara kweAACL, chiropractic kuchengetedza inogona kupa zvikomborero zvakawanda:
Pain management Kuwedzera kufamba uye kushanduka Kuvandudza mwero Kusimbisa tsandanyama dzinotsigira
Chiropractic kuchengetedza inogona kubatsira vanhu kuburikidza nekutambanudza nekusimbisa mhasuru dzisina simba uye zvinyoro zvinyoro zvinogona kubatsira kuputsa mavanga angave akakomberedza mabvi apo achivandudza kubuda kweropa kunzvimbo yakakuvadzwa. Chiropractors inogonawo kusanganisira maitiro ekugadzirisa maitiro uye kurapa kwepanyama kumunhu, achitarisa kusimba, kushanduka, uye kugadzikana mumabvi nemisungo yakapoteredza.
Therapy Therapy
Imwe nzira yekusavhiya kurapwa ndeyekurapwa kwemuviri. Kurapa kwepanyama kunogona kubatsira vanhu vakawanda vane kukuvara kwe ACL kuburikidza nekudzidzira simba, kuenzanisa, uye mararamiro emitambo yekufambisa iyo inogadzirirwa kusimbisa mhasuru dzakapoteredza uye kubatsira kuchengetedza kugadzikana kwemabvi, kushanduka, uye kufamba. Maekisesaizi ekutambanudza sePilates naTai Chi akanakira kudzoreredza ACL sezvo akakosha pamhedzisiro yekushanda uye kugadzikana kwe ACL. ( Giummarra et al., 2022 ) Uyezve, vanhu vakawanda vanogona kushandisa bhandi remabvi rinoshanda kuti vape rubatsiro rwakawedzerwa kumabvi pavanenge vachiita chero kurapa kwepanyama, sezvo vanogona kubatsira kudzikamisa mabvi uye kudzivirira kufamba kusingadikanwi kunogona kuwedzera kukuvara kweAACL. Nepo kukuvara kwe ACL kwakakomba, kurapa kusiri kwekuvhiya kunopa dzimwe nzira dzinoshanda kune vakawanda vatambi. Vanhu vanogona kunyatsogadzirisa kukuvara kwavo uye kutungamira hupenyu, hunogutsa nekuisa pfungwa pakurapa kwemuviri, kushandisa mabhureki anotsigira, uye kutora mararamiro ekuchinja.
References
Atik, OS (2024). Izvo zvinokonzera njodzi kune yechipiri anterior cruciate ligament (ACL) kubvarura mushure mekugadzirisa ACL. Jt Dis Relat Surg , 35 (2), 255-256. doi.org/10.52312/jdrs.2024.57920
Diermeier, T., Rothrauff, BB, Engebretsen, L., Lynch, AD, Ayeni, OR, Paterno, MV, Xerogeanes, JW, Fu, FH, Karlsson, J., Musahl, V., Svantesson, E., Hamrin Senorski, E., Rauer, T., Meredith, SJ, & Panther Symposium, ACLTCG (2020). Kurapa mushure mekukuvara kweanterior cruciate ligament: Panther Symposium ACL Treatment Consensus Group. Knee Surg Sports Sports Traumatol Arthrosc , 28 (8), 2390-2402. doi.org/10.1007/s00167-020-06012-6
Giummarra, M., Vocale, L., & King, M. (2022). Kubudirira kweasina-kuvhiya manejimendi uye inoshanda mhedzisiro yechikamu che ACL misodzi. Ongororo yakarongeka yemiedzo isina kujairika. BMC Musculoskelet Disord , 23 (1), 332. doi.org/10.1186/s12891-022-05278-w
Key, S., Baygin, M., Demir, S., Dogan, S., & Tuncer, T. (2022). Meniscal Tear uye ACL Injury Detection Model Yakavakirwa paAlexNet uye Iterative ReliefF. J Digit Imaging , 35 (2), 200-212. doi.org/10.1007/s10278-022-00581-3
Wang, LJ, Zeng, N., Yan, ZP, Li, JT, & Ni, GX (2020). Post-traumatic osteoarthritis inotevera ACL kukuvara. Arthritis Res Ther , 22 (1), 57. doi.org/10.1186/s13075-020-02156-5
Yoo, H., & Marappa-Ganeshan, R. (2024). Anatomy, Bony Pelvis uye Lower Limb, Knee Anterior Cruciate Ligament. In StatPearls . www.ncbi.nlm.nih.gov/pubmed/32644659
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