Foot Orthotics
Back Clinic Foot orthotics Aya ndiwo mapikisi eshangu ayo akagadzirwa-akagadzirwa kune zvakatemwa zvekurapa. Tsika-yakagadzirwa orthotics inoonekwa seyakanyanya kushanda uye yakagadzirwa yemhando yepamusoro kupfuura pre-yakagadzirwa orthotics.
Nzira dzakagadzirwa nemaitiro dzinogona:
Ruramisa kufamba kusina kujairika kana gwara Deredza marwadzo Kudzivirira uye kuchengetedza tsoka / tsoka kupera Kugadzirisa zviri nani Bvisa kushamiswa kwetsoka / tsoka Kuvandudza ma mechanics etsoka
Kutambudzika kwetsoka kunogona kubva mukukuvara, chirwere, kana chimiro, asi chinokonzera kurwadziwa kwetsoka ndizvo izvo chiremba anoda kuziva kuti anoziva rudzi rweiwo maitiro ekugadzira. Iyo inowanikwa inogadzirwa nokutora pfungwa yetsoka / tsoka kune 3-D scan.
Kutambura kubva mukurwadziwa kwetsoka, izvo zvinogona kutungamirira kumakumbo, chiuno, uye zvinetso zvepona, ipapo nhengo dzinogona kubata kiyi yehutano hwakanaka. Nokutangira kubva pasi kusvika kumusoro netsoka dzinogona kudzivirira matambudziko ose / nyaya uye kugadzirisa marwadzo ose. Icho chisarudzo chokufungidzirwa uye chinofanirwa kukurukurwa nachiremba wako.
by Dr Alex Jimenez Foot Orthotics , Kufamba & Kuchinja
Vanhu vane plantar fasciitis vanogona kusangana nekupisa-ups. Kuziva zvikonzero zvingabatsira here kuwana zororo remarwadzo?
Plantar Fasciitis Flare-Up
Plantar fasciitis chikonzero chinowanzokonzera chitsitsinho uye kurwadziwa kwetsoka. The plantar fascia ibhande retishu rinomhanya nechepasi petsoka uye rinopisa. Zvimwe zvinhu zvinogona kukonzera plantar fasciitis flare-ups, kusanganisira:
Kuwedzera kwemaitiro ekuita muviri.
Kwete kutambanudza nguva dzose.
Kupfeka shangu pasina kutsigirwa kwakakodzera.
Kuwedzera kwehuwandu.
Zvinokonzera
A plantar fasciitis flare-up inowanzokonzerwa nekuita muviri. (MedlinePlus. US National Library yeMishonga. 2022 ) Inogonawo kuunzwa nemamiriro ezvinhu, sekuwedzera kwehuremu hwemuviri, arthritis, kana chimiro chetsoka. (Johns Hopkins Mushonga. 2023 ) Pasinei nechikonzero chikuru, pane zviitiko uye zviitiko zvinogona kukonzera uye / kana kuipa mamiriro acho ezvinhu.
Itsva Yekuita Maekisesaizi
Kuve wakagwinya zvakanyanya kunogona kuwedzera plantar fasciitis zviratidzo.
A plantar fasciitis flare-up inogona kuitika mushure mekuwedzera kamwe kamwe mukuita, sekutanga chirongwa chitsva chekurovedza muviri kana kuwedzera maekisesaizi matsva kumaitiro. (MedlinePlus. US National Library yeMishonga. 2022 )
Kufamba kana kumhanya panzvimbo dzisina kuenzana kana kudzika pasi zvinogona kukonzeresa. (Johns Hopkins Mushonga. 2023 )
Kuderedza kushanda kwemuviri uye kumira kwenguva kunogona kubatsira.
Kana izvi zvisingaite, kupfeka shangu dzakasungirirwa nerutsigiro rwearch kunogona kubatsira kuderedza marwadzo. (Johns Hopkins Mushonga. 2023 )
Weight Gain
Vanhu vane huremu hwemuviri hunowedzera kana kuwedzera vanowedzera kumanikidza kutsoka dzavo, vachivaisa panjodzi huru ye plantar fasciitis. (MedlinePlus. US National Library yeMishonga. 2022 )
Kana uchisangana neyakagadzikana flare-ups, mutengesi wehutano anogona kupa zano rakakodzera uremu chirongwa chakasanganiswa nehurongwa hwekurapa.
Kuberekwa
Bhutsu Pasina Tsigiro
Kupfeka shangu pasina arch kutsigirwa kunogona kukonzera kurwadziwa kwetsoka uye plantar flare-ups.
Vanhu vanofanirwa kupfeka shangu dzine zvakawanda zvekusimudza uye arch rutsigiro, senge sneakers. (Ortho Info. Academy of Orthopedic Surgeons. 2022 )
Shangu dzisina kukurudzirwa dzinosanganisira :Mafiripi
Shangu dzakati sandara.
High heels, bhutsu, kana shangu dzinosimudza chitsitsinho pamusoro pezvigunwe.
Shangu dzakasakara seshangu dzekurovedza muviri.
Kusatwasanuka Kwakanaka kana Kutombo
Mhuru dzakasimba dzinogona kuwedzera kumanikidza pane plantar fascia.
Kutambanudza mhuru, Achilles tendon / chitsitsinho, uye pasi petsoka zvinokurudzirwa zvikuru kubatsira kurapa nekudzivirira mamiriro acho. (Johns Hopkins Mushonga. 2023 )
Kusatambanudzira zvakakwana kana kusvetuka-svetuka kunogona kuwedzera zviratidzo.
Vanhu vane plantar fasciitis vanokurudzirwa kutambanudza vasati uye mushure mekuita mabasa emuviri, kurovedza muviri, vasati vaenda kunorara, uye mushure mokumuka.
Kushanda Nokurwadziwa
Vanhu vanogona kuedza kuenderera mberi nemitambo yemuviri panguva yekuputika.
Izvi hazvikurudzirwe sezvo kuita izvi kunogona kukonzera kurwadziwa kwakanyanya uye kuwedzera mamiriro acho.
Kana kurwadziwa kuchivapo, zvinokurudzirwa kuti: Rega mabasa ese anonetsa tsoka
Gara kure netsoka kweinenge vhiki.
Kubvarura Plantar Fascia
Iyo plantar fascia haiwanzo kubvarura zvachose kubva pakudzokororwa kunetseka kunozivikanwa se plantar fascia rupture.
Kana izvi zvikaitika, kurwadziwa kwakangoerekana kwaitika uye vanhu vanorairwa kufonera mutarisiri wavo wehutano. (Stephanie C. Pascoe, Timothy J. Mazzola. 2016 )
Zvisinei, vanhu vanogona kupora nokukurumidza, uye kurwadziwa kunopera nokukurumidza.
Vanhu vane misodzi vanozokurudzirwa kupfeka tsoka orthotic sezvo tsoka ingangove yakatambarara zvakanyanya.
Risk Factors
Plantar fasciitis inogona kuitika kune chero munhu, asi vanhu vane zvinotevera hunhu vari panjodzi yakawedzera: (Ortho Info. Academy of Orthopedic Surgeons. 2022 )
A high-foot arch.
Mabasa kana mafaro nzvimbo iyo yakawedzera kunetseka patsoka.
Tsandanyama dzemhuru dzakasimba.
Kuwedzera kamwe kamwe mubasa remuviri.
A new exercise regimen.
Kuwedzera uremu hwemuviri.
Kuwedzera kurema kwakangoerekana kwaita panguva yekuzvitakura.
Kupisa Kunogara Kwenguva Yakadii?
mabatiro
Pamusoro pekuzorora kurapwa kweplantar fasciitis kunogona kusanganisira: (Ortho Info. Academy of Orthopedic Surgeons. 2022 )
chando
Icing pasi petsoka kwemaminitsi gumi nemashanu zvishoma pazuva kunoderedza kuzvimba.
Nonsteroidal anti-inflammatory drugs - NSAIDs
Over-the-counter NSAIDs senge ibuprofen uye naproxen, inogona kuderedza marwadzo uye kuzvimba.
Zvinokurudzirwa kubvunza mupi wehutano hwekushandisa kwenguva pfupi uye dosage.
Shangu Dzakanaka
Shangu dzine arch inotsigira zvinokurudzirwa zvikuru.
Mupi wehutano anogona kuodha tsika orthotics kune rumwe rutsigiro.
Stretching
Kutambanudza kwakakosha pakurapwa.
Kutambanudza mhuru uye pasi petsoka zuva nezuva kuchaita kuti nyama igare yakasununguka.
Massages
Kukwiza nzvimbo ne therapeutic massage bhora kunonyaradza matissue.
Kushandisa percussive massager kunogona kuwedzera kutenderera.
Chii chinonzi Plantar Fasciitis?
VIDEO
References
MedlinePlus. National Library of Medicine. (2022) US Plantar fasciitis .
Johns Hopkins Mushonga. (2023) Plantar fasciitis .
Chipatara chevana cheBoston. (2023) Plantar fasciitis .
Ortho Info. Academy of Orthopedic Surgeons. (2022) Plantar fasciitis uye bone spurs .
Pascoe, SC, & Mazzola, TJ (2016). Acute Medial Plantar Fascia Tear. The Journal of orthopedic uye mitambo yekurapa kwemuviri, 46 (6), 495. doi.org/10.2519/jospt.2016.0409
by Dr Alex Jimenez Mamiriro Ekutongwa , Foot Orthotics
Vanhu vanonzwa kurwadziwa kwetsinga mutsoka kunogona kukonzerwa nehuwandu hwemamiriro akasiyana-siyana, kuziva zvikonzero zvinowanzoitika kunobatsira mukugadzira chirongwa chekurapa chinoshanda here?
Marwadzo Etsinga Mutsoka
Manzwiro aya anogona kunzwa sekupisa, kupfura, magetsi, kana kurwadza kwekubaya uye zvinogona kuitika uchifamba kana kuzorora. Inogona kuitika pamusoro petsoka kana kuburikidza nearch. Nzvimbo iri padyo netsinga inogona kunzwisiswa nekubata. Mamiriro ezvinhu akasiyana-siyana anogona kukonzera kurwadziwa kwetsinga mutsoka, kusanganisira:
Morton's neuroma
Pinched nerve
Tarsal tunnel syndrome
Chirwere cheshuga chepamhepo neuropathy
Herniated disc
Morton's Neuroma
Morton's neuroma inosanganisira tsinga inomhanya pakati pechigunwe chechitatu nechina, asi dzimwe nguva inogona kuitika pakati pechipiri nechetatu zvigunwe zvichiwedzera. Zviratidzo zvinowanzobatanidza kupisa kana kupfura marwadzo munzvimbo, kazhinji pakufamba. (Nikolaos Gougoulias, et al., 2019 ) Chimwe chiratidzo chinowanzoitika kunzwa kwekumanikidzwa pasi pezvigunwe sesokisi rakasungirirwa pasi. Mishonga inogona kusanganisira:
Arch inotsigira
Cortisone jekiseni kuderedza kuzvimba
Kugadziridzwa kweshangu - kunogona kusanganisira kusimudza, orthotics yakasanganiswa ne metatarsal pads, uye rocker soles, kupa cushion painoda.
Zvinhu zvinowedzera njodzi yekuvandudza mamiriro acho zvinosanganisira:
Nguva dzose kupfeka zvitsitsinho zvepamusoro - mamiriro acho anoitika kakawanda muvakadzi.
Shangu dzakanyanya kusimba.
Kutora chikamu mumitambo yemhando yepamusoro sekumhanya.
Kuva netsoka dzakati sandara, mabheti akakwirira, mabhuni, kana sando.
Pinched Nerve
Tsinga yakatsikirirwa inogona kunzwa sekupfura kana kupisa kurwadziwa. Nerve entrapment inogona kuitika munzvimbo dzakasiyana dzetsoka kana nzvimbo iri pamusoro petsoka inogona kunzwa kunzwa. Zvikonzero zvinogona kukonzerwa ne: (Basavaraj Chari, Eugene McNally. 2018 )
Trauma inokonzera kuzvimba.
Blunt impact.
Tight bhutsu.
Kurapa kunogona kusanganisira:
masaja
Physical therapy
Zorora
Kugadziriswa kweshangu
Anti-kuzvimba.
Zvinhu zvinowedzera njodzi yekugadzira pinched nerve mutsoka zvinosanganisira:
Shangu dzisina kunaka.
Kudzokorora kushungurudza kukuvara.
Trauma kutsoka.
Kuwedzera muviri.
Rheumatoid arthritis.
Tarsal Tunnel Syndrome
Imwe mhando yetsinga entrapment ndeye tarsal tunnel syndrome. Tarsal tunnel syndrome "chero chinhu chinoburitsa kudzvanya pa posterior tibial nerve." (American College yetsoka uye Ankle Surgeons. 2019 ) The tibial nerve iri pedyo nechitsitsinho. Zviratidzo zvinosanganisira chiveve uye makumbo emakumbo, kupisa, kurira, kana kupfura manzwiro anowanzo penya kubva ku instep / arch. Ose ari maviri anogona kuipisisa tsoka ichizorora, senge pakugara kana kurara. Kurapa kunogona kusanganisira:
Kuisa padding mubhutsu uko tsoka iri kudzvanywa kuti ibvise marwadzo.
Tsika tsoka orthotics.
Cortisone shots kana mamwe anti-inflammatory treatments.
Kuvhiya kungave kuri madikanwa kusunungura tsinga.
Mamiriro ezvinhu anomanikidza tibial nerve uye anogona kutungamirira kune tarsal tunnel syndrome anosanganisira:
Dzakamira tsoka
Akawira maberere
Ankle sprain
chirwere cheshuga
chirwere chemumajoini
Varicose veins
Bhubu rinoputika
Diabetic Peripheral Neuropathy
Kureba kwenguva yakareba shuga yeropa / glucose yakabatana nechirwere cheshuga inogona kutungamirira kune imwe nzira yekukuvara kwetsinga inozivikanwa se peripheral neuropathy. (Centers for Disease Control and Prevention. 2022 ) Marwadzo europathy anonzwa sekupisa kana kupfura kurwadziwa, kana kunzwa kwekufamba pabubble wrap iyo inowanzo ratidza husiku. Marwadzo anogona kuuya uye kuenda pamwe nekurasikirwa zvishoma nezvishoma kwekunzwa mumakumbo anotanga muzvigunwe uye achikwira kumusoro kwetsoka. Inofungidzirwa kuti inenge hafu yevanhu vane chirwere cheshuga vanozopedzisira vaita neuropathy. (Eva L. Feldman, et al., 2019 ) Kurapa kunogona kusanganisira:
Physical therapy massage kuwedzera kutenderera.
Kurapa kwepamusoro ne capsaicin.
Vhitamini B.
Kutarisira shuga yeropa.
Alpha lipoic acid.
Mishonga.
Vanhu vane chirwere cheshuga vane njodzi yakawedzera yekuvandudza peripheral neuropathy kana:
Shuga yeropa haina kudzorwa zvakanaka.
Chirwere cheshuga chave chiripo kwemakore akawanda.
Chirwere cheitsvo.
Utsi.
Kufutisa kana kufutisa.
Herniated Disc
Kurwadza kwetsinga mutsoka kunogona kukonzerwa nenyaya dzemusana. A herniated disc muzasi kumashure inogona kutsamwisa uye kudzvinyirira tsinga, zvichikonzera marwadzo anopenya pasi pegumbo netsoka. Zvimwe zviratidzo zvinowanzobatanidza kushaya simba kwemhasuru mumakumbo uye/kana chiveve uye kurira. Madhisiki mazhinji eherniated haadi kuvhiyiwa uye anova nani neanochengetedza kurapwa. (Wai Weng Yoon, Jonathan Koch. 2021 ) Kana zviratidzo zvikasavandudza kana kuwedzera, mupi wehutano anogona kukurudzira kuvhiyiwa. Herniated discs inowanzoitika kune vechidiki uye vezera repakati. Kuwedzera mikana yekugadzira herniated disc inogona kubva:
Degenerative shanduko mumusana kubva pazera rinowanzopfeka uye kubvaruka.
Basa rinoda muviri.
Kusimudza zvisirizvo.
Kufutisa kana kufutisa.
Genetic predisposition - nhoroondo yemhuri ye herniated discs.
Spinal Stenosis
Spinal stenosis inoitika apo nzvimbo dzemuzongoza dzinotanga kutetepa, zvichigadzira kudzvanywa pamutsipa wepelinha uye nerve midzi. Inowanzokonzerwa nekupfeka uye kubvarura pamusana apo muviri unokwegura. Stenosis muzasi kumashure inogona kukonzera kupisa kurwadziwa mumagadziko negumbo. Pazvinoenderera mberi marwadzo anogona kupenya mutsoka pamwe chete nechiveve uye kurira. Conservative kurapa kunosanganisira kurovedza muviri kurapa uye kwete-steroidal anti-kuzvimba mishonga/NSAIDs. (Jon Lurie, Christy Tomkins-Lane. 2016 ) Majekiseni eCortisone anogona kubatsira uye kana mamiriro acho akawedzera, kuvhiyiwa kunogona kuve sarudzo. Risk factors zvinosanganisira:
Age 50 kana kupfuura.
Mugero wakamanikana wemusana.
Kukuvara kwapfuura.
Kuvhiyiwa kwemusana kwapfuura.
Osteoarthritis inokanganisa musana.
Zvimwe Zvikonzero Zvingabvira
Mamwe mamiriro anogona kukonzera kukuvara kwetsinga uye zviratidzo zvinorwadza uye manzwiro. Mienzaniso inosanganisira: (Nathan P. Staff, Anthony J. Windebank. 2014 )
Vitamin kushomeka (Nathan P. Staff, Anthony J. Windebank. 2014 )
Kushungurudzika Kwemuviri - mushure mekuvhiyiwa kana tsaona yemotokari kana yemitambo.
Imwe kenza, antiviral mishonga, kana antibiotics.
Complex regional pain syndrome.
Mamota anotsamwisa uye/kana kudzvanya tsinga.
Chiropa kana chirwere cheitsvo.
Zvirwere zvinotapukira - Zvinetso zvechirwere cheLyme kana hutachiona hwehutachiona.
Kurwadziwa kwetsinga mutsoka zvirokwazvo chikonzero chekuona mupi wehutano. Kukurumidza kuongororwa kunogona kubatsira kudzivirira kufambira mberi kwechiratidzo uye matambudziko emangwana. Kana chikonzero chemarwadzo chaonekwa, boka rehutano rinogona kushanda pamwe chete kugadzira chirongwa chemunhu oga chekurapa kusunungura compressed nerve uye kudzorera kufamba uye kushanda. Ona mupi wehutano pakarepo kana marwadzo nezviratidzo zvinowedzera, kana kana pane zvakaoma kumira kana kufamba.
Chiropractic Mushure meNjodzi uye Kukuvara
VIDEO
References
Gougoulias, N., Lampridis, V., & Sakellariou, A. (2019). Morton's interdigital neuroma: kuongorora kwekudzidzisa. EFORT yakavhurika wongororo, 4(1), 14–24. doi.org/10.1302/2058-5241.4.180025
Chari, B., & McNally, E. (2018). Nerve Entrapment muAnkle netsoka: Ultrasound Imaging. Semina musculoskeletal radiology, 22 (3), 354-363. doi.org/10.1055/s-0038-1648252
American College yetsoka uye Ankle Surgeons. Tarsal tunnel syndrome .
Nzvimbo dzeDaase Control uye Kudzivirira. Chirwere cheshuga uye kukuvara kwetsinga .
Feldman, EL, Callaghan, BC, Pop-Busui, R., Zochodne, DW, Wright, DE, Bennett, DL, Bril, V., Russell, JW, & Viswanathan, V. (2019). Diabetes neuropathy. Ongororo yezvakasikwa. Zvirwere zvekutanga, 5(1), 42. doi.org/10.1038/s41572-019-0097-9
Yoon, WW, & Koch, J. (2021). Herniated discs: kuvhiyiwa kunodiwa rini? EFORT yakavhurika wongororo, 6(6), 526–530. doi.org/10.1302/2058-5241.6.210020
Lurie, J., & Tomkins-Lane, C. (2016). Kutungamirirwa kwe lumbar spinal stenosis. BMJ (Clinical research ed.), 352, h6234. doi.org/10.1136/bmj.h6234
Vashandi, NP, & Windebank, AJ (2014). Peripheral neuropathy nekuda kwekushaikwa kwevhitamini, chepfu, uye mishonga. Continuum (Minneapolis, Minn.), 20 (5 Peripheral Nervous System Disorders), 1293–1306. doi.org/10.1212/01.CON.0000455880.06675.5a
by Dr Alex Jimenez Dzose Kudzorera Painini , Foot Orthotics
Vanhu vari pamakumbo avo zuva rose vanogara vachisangana nematambudziko ekudzokera shure uye zviratidzo zvekusagadzikana. Kupfeka shangu dzisina kugadzikana dzakatsetseka dzisina arch tsigiro ine zvishoma kana kusatya kunyura kana mhando isina kunaka yeshangu yekufamba inogona kukonzera biomechanical nyaya dzinogona kukonzera kusagadzikana kumashure uye kutungamirira kumarwadzo asingaperi emusana. Athletic running shoes anokurudzirwa kurwadza kwepazasi kumashure nekuti akanyatsonamisikidzwa uye akagadzirirwa kubatsira kubata kukanganiswa kwekufamba kana kumhanya. Ivo zvakare vane arch yakakodzera uye ankle rutsigiro kuchengetedza tsoka yechimiro chakakodzera. Chii chekutsvaga mukumhanya shangu kubatsira kubvisa marwadzo ekudzokera shure uye kuchengetedza musana kukuvara?
Bhutsu dzisina kukwana cushioning dzinogona kukonzera kuzvimba mumhasuru dzekumusana kubva pakushaikwa kwekunyura. The best athletic running shoes nokuti marwadzo ekudzokera shure akaoma, anotsigira, uye akanyatsogadziriswa. Pakusarudza shangu dzemarwadzo ekumusana, zvinhu zvinonyanya kukosha zvekufunga ndezvi:
Kuoma kwega.
Tsigiro yemhando uye cushioning.
Yakakodzera uye yakasununguka kukwana.
Shoe Type
Athletic running shoes anowanikwa mumhando dzakasiyana siyana dzerutsigiro rwemhando dzese dzetsoka.
Funga nezvekugadzirwa kwetsoka uye kufamba paunenge uchisarudza shangu.
Tsoka dzakadzika uye dzakakwirira-arched dzinogona kukonzera kusaenzana kwemhasuru, izvo zvinowedzera kumanikidza kumashure, mahudyu, makumbo, mabvi, makumbo, uye tsoka.
funga kufamba-kudzora shangu nokuda kwetsoka dzakati sandara kana kuti overpronation.
Kutsigira kweArch
Kutsigira kwakakodzera kwearch kunovimbisa kuti tsoka dzinogara dzakagadzikana uye dzinotora kumanikidzwa kubva pamabvi, mahudyu, uye kumashure, kuderedza njodzi yekuzvimba.
Tarisa shangu ine imwechete yakasimba uye yakasimba chitsitsinho kapu ye optimal tsoka uye ankle rutsigiro.
Ita shuwa kuti shangu inokodzera tsoka yega uye gait mhando.
Kana iwe ukakwanisa kumonyanisa shangu kana kupeta shangu muhafu, pane tsigiro isina kukwana muarch.
Semuyenzaniso, overpronation zvinoda kugadzikana nekuwedzera medial rutsigiro kudzivirira arch kudonha.
Cushioning
Shoe cushioning:
Inobvisa kuvhunduka uye kudedera.
Inoderedza kukanganisa kwedanho rega rega.
Inobatsira kuderedza musana.
Shangu yakanyatsogadziriswa inopa kunyaradza uye kutsigirwa.
Kupfeka shangu pasina kukwana kwakakwana kunoita kuti mhasuru dzekumashure dzitore kuvhunduka nguva dzese tsoka inotora nhanho.
Yakakodzera Fit
Shangu dzakakodzera dzinoda kunyatsokwana.
Bhutsu dzakanyanya kusimba dzinogona kukonzera kurwadza kwekukwesha uye mablisters etsoka.
Kutsamwiswa kunogona kumanikidza kufamba kusingafadzi uye kusingafadzi, kuchiwedzera kushungurudza kumashure uye kurwadziwa.
Bhutsu dzakakura kwazvo dzinogona kuita kuti tsoka dzitsvedze uye dzitsvedze, zvichiwedzera njodzi yekukuvara.
Bhutsu dzine bhokisi rakakura rezvigunwe kana muhukuru hwakakura inogona kuve sarudzo yekudzivirira yakamanikana zvigunwe.
Kukodzera kwakakodzera kuchaita kuti tsoka dzive dzakanyatsoenderana uye kudzivirira kukuvara.
Traction
Bhutsu dzine kukweva kwakanakisa dzinoita kuti muviri urambe wakagadzikana uye kudzivirira kutsvedza.
Tsvaga grip rubber outsoles ane textured pattern .
Iyo grooves uye mapatani anowedzera kukakavara uye anopa kubata kumunhu paanenge achifamba kana kumhanya.
mukurumari
Kupfeka bhutsu dzakasakara dziine cushion isina kukwana uye kubatwa nekuvhunduka kunogona kuwedzera njodzi back back problems .
Zvichienderana nekushandiswa, shangu dzinogona kupera mumwedzi mitatu kana pasi.
Zvakakosha kutsiva shangu apo cushioning inopera.
Tarisa zvemhando yepamusoro zvinhu izvo hazvikurumidzi kupera.
Kuvandudza Hutano-Muviri Wese
VIDEO
References
Anderson, Jennifer, et al. "Ongororo yenyaya yezvinetso zvemusculoskeletal zvepazasi kumucheto uye kumashure zvine chekuita nekubatana pakati pebasa rebasa, tsoka, shangu, uye pasi." Musculoskeletal care vol. 15,4 (2017): 304-315. doi:10.1002/msc.1174
American Podiatric Medical Association. Ndeipi Shoe Yekumhanya Yakakodzera Iwe?
Hong, Wei-Hsien, nevamwe. "Maitiro ehurefu hwechitsitsinho cheshangu uye yakazara-yekubata kuisa pakurodha tsandanyama uye kugadzikana kwetsoka uchifamba." Foot & ankle international vol. 34,2 (2013): 273-81. doi:10.1177/1071100712465817
National Institute of Arthritis uye Musculoskeletal uye Skin Zvirwere. Kurwadza Kwekudzokera: Kuongororwa, Kurapa, uye Matanho Ekutora.
National Institute of Neurological Disorders uye Stroke. Low Back Pain Fact Sheet.
by Dr Alex Jimenez Chiropractic , chisingaperi Pain , Mamiriro Ekutongwa , Foot Orthotics , utano , Hip Pain & Dambudziko , Kufamba & Kuchinja , Mishonga , Viscerosomatic Reflex , Wellness
ziviso
Munhu wese pasi rose anoziva kuti tsoka dzakakosha. Tsoka dzinobvumira vanhu vazhinji kuita manya , kufamba, kana kumhanya kwenguva refu usinganzwi kurwadziwa kwenguva ine mwero. Kusvika panguva iyoyo, mhasuru dzakasiyana-siyana uye tendons dzakapoteredza rutsoka kupa muviri wakazara kuchinjika, kuwedzera, uye kugadzikana. Kunyangwe zviri nyore kwazvo kupinda muhuwandu hwakakurudzirwa hwenhanho dzekuva mutano, vanosvika makumi manomwe neshanu muzana vevanhu vanozorwadziwa netsoka izvo zvinogona kukanganisa kugona kwavo kufamba. Imwe yemarwadzo etsoka anowanzoitika ndeye plantar fasciitis , iyo inogona kuva chirwere chetsoka chinorwadza kana chikasarapwa nokukurumidza. Chinyorwa chanhasi chinotarisa plantar fasciitis, zviratidzo zvayo, kuti mapoinzi anowirirana sei, uye marapirwo ayo. Isu tinotumira varwere kune vanopa vane certified vanosanganisira matekiniki uye marapirwo kune vanhu vanobata plantar fasciitis. Nekutsvaga kuti zvinokonzeresa zvinobva kupi, nyanzvi dzakawanda dzemarwadzo dzinogona kugadzira chirongwa chekurapa kuderedza mhedzisiro iyo plantar fasciitis iri kukonzera patsoka. Tinokurudzira uye tinokoshesa murwere wega wega nekuvaendesa kune vanobatana navo varapi zvichienderana nekuongororwa kwavo kana zvakakodzera. Isu tinonzwisisa kuti dzidzo inzira inotyisa kana tichibvunza vatinopa mibvunzo yakaoma pakukumbira nekunzwisisa kwemurwere. Dr. Jimenez, DC, anongoshandisa ruzivo urwu sebasa rekudzidzisa. Disclaimer
Chii chinonzi Plantar Fasciitis?
Wanga uchitarisana nemarwadzo echitsitsinho nguva dzose here? Unonzwa kurwadziwa kupfura gumbo rako paunotsika kana kufamba? Kana kuti unonzwa kubaiwa nebanga pachitsitsinho chako? Mazhinji eiyi nyaya inorwadza vanhu vari kubata nayo correlate ne plantar fasciitis. Zvidzidzo zvinoratidza kuti plantar fasciitis inokonzerwa nekushatirwa kwechirwere pa plantar fascia nemarunda ayo. Izvi zvinoita kuti tsinga dzetsandanyama dzizvimbe, dzizvimbe uye dzishaye simba izvo zvinozoita kuti pasi petsoka kana chitsitsinho chirwadze kana munhu achifamba kana kumira. Kusvika panguva iyoyo, kana pane kudzokorora kudzokorora pamakumbo, kunokonzera microtears mu plantar fascia. Iyo plantar fascia mutsoka inoita basa rakakosha sezvo iine zvikamu zvitatu zvinotsigira medial arch uye kuvhunduka kutorwa kana uchidzika pasi. Sechimwe chezvikonzero zvinowanzokonzera kurwadziwa kwetsitsinho, kurwadziwa kwakasara kubva kuplantar fasciitis kunowanzova kupinza, kubaya kunzwa. Plantar fasciitis inonyanya kuzivikanwa muvanhu vepakati-kati. Zvakadaro, chero munhu pazera ripi neripi anogona kugadzira plantar fasciitis, kunyanya kana aine mabasa echibharo anoda kuti vagare vari patsoka dzavo.
Zviratidzo zve Plantar Fasciitis
Sezvo vanenge mamirioni maviri vekuAmerica vanogona kukudziridza plantar fasciitis, zvakakosha kuziva kuti kana munhu akagara netsoka, pachava nekuzvimba pamwe nematishu mutsoka. Vanhu vazhinji vane hupenyu hwakabatikana hunoda kuti vange vakamira netsoka kazhinji kazhinji vanoregeredza kurwadziwa kana kusagadzikana. Zvimwe zvezviratidzo zvinokonzeresa plantar fasciitis zvinosanganisira zvinotevera:
Kurwadziwa pazasi pechitsitsinho Marwadzo mu arch Marwadzo anowanzowedzera pakumuka Marwadzo anowedzera nemwedzi Kuzvimba pazasi pechitsitsinho
Nekudaro, kana marwadzo acho achiwedzera, vanhu vazhinji vanowanzofunga kuti vane tsoka dzinorwadza kana kuderera kwemusana kubva pakunyanya kuneta kubva kubasa, pasi pekunetsekana nguva dzose, kana kuwedzeredza miviri yavo. Kana izvi zvikaitika, vazhinji vangafunga kuti kurwadziwa kwacho kunopera mumazuva mashoma mushure mekuzorora kwenguva pfupi.
Trigger Points Yakabatana nePlantar Fasciitis
Iye zvino vanhu vazhinji vangangofunga kuti plantar fasciitis inongobata zvitsitsinho chete, zvisinei, inogona kukanganisa chero chikamu chechimiro chetsoka sezvo ese akatenderedza tsandanyama tishu ari panjodzi yekuzvimba. Kana vanhu vatanga kufuratira marwadzo uye kusagadzikana kuri kukonzeresa plantar fasciitis patsoka, inogona kupindirana uye kugadzira mapoinzi ekutanga mune dzimwe nzvimbo dzemuviri:
Ankles Knees Hips Dzokera kumashure
Zvidzidzo zvinoratidza izvo zvinokonzeresa mapoinzi kana myofascial pain syndrome yakaoma, discrete, madiki madiki ari padivi petaut musculoskeletal bhendi inokonzera nyaya dzakawanda senge kuzvimba, hypersensitivity, uye kurwadziwa kumapoka emhasuru akanganiswa mumuviri. Maererano ne "Myofascial Pain and Dysfunction" yakanyorwa naDkt Travell, MD, inotaura kuti kana yakadzika yemukati misumbu inoshanda ne plantar fascia inobatwa ne-trigger points, inogona kukonzera zviratidzo zvekushaya simba uye kunzwa kwekuzvimba mutsoka. Izvi zvinokonzera kuti vanhu vakawanda vave nekufamba zvishoma uye vane kurwadziwa kwakanyanya pavanenge vachifamba, izvo zvinogona kukanganisa mararamiro avo.
Mhedziso yePlantar Fasciitis- Vhidhiyo
VIDEO
Wanga uchibata netsoka dzinorwadza here? Iwe unonzwa marwadzo akapinza, anopenya mutsoka dzako here? Kana kuti unonetseka nekufamba? Vazhinji vanowanzofunga kuti vari kubata tsoka dzinorwadza kana zvimwe zvinhu zvinovakonzera kurwadziwa. Inenge 75% yevaAmerica vanowanzova nemarwadzo etsoka anokanganisa kukwanisa kwavo kufamba, uye imwe yacho inonzi plantar fasciitis. Vhidhiyo iri pamusoro inotsanangura plantar fasciitis uye kuti inogona kukanganisa sei tsoka. Kana iyo plantar fascia tendon ikashandiswa zvakanyanya, inokonzera micro-misodzi mumarunda emhasuru. Kana yakawedzerwa simba rekumanikidza rinotanga kusundira kune chitsitsinho boner, inogona kutungamirira kune pathological state iyo iyo plantar fascia inoderera uye inogadzira kusagadzikana uye kurwadziwa. Kana izvi zvikaitika, zvinogona kutungamira kune mamwe mamiriro senge trigger point pain pamwe nemhasuru fiber mutsoka. Marwadzo uye hunyoro hunokonzerwa nezvinokonzeresa mapoinzi mumhasuru dzezvirimwa zvinogona kufukidza se plantar fasciitis. Kusvika ipapo, kana plantar fasciitis ikava nyaya uye ichikonzera kuti munhu arwadziwe zvakanyanya, zvinogona kunetsa. Sezvo rombo rakanaka, marapiro aripo ekudzikisa marwadzo kubva kuplantar fasciitis.
Kurapa Kwe Plantar Fasciitis
Paunenge uchirapa plantar fasciitis, mishonga yakawanda iripo inogona kuderedza migumisiro yekuputika muchitsitsinho uye kudzivirira mapeji ekutanga kubva pakudzoka. Imwe yemishonga iripo ndeye chiropractic kuchengetedza. Chiropractic kuchengetedza ndiyo imwe nzira yekurapa yekudzivirira, kuongorora, uye kurapa kukuvadzwa kwakawanda uye mamiriro ane chekuita nemusana, kunyanya subluxations kana spinal misalignments. Chiropractic inotarisa kudzoreredza uye kuchengetedza hutano hwese uye hutano hwemusculoskeletal uye nervous system kuburikidza nemusana manipulation uye kugadzirisa. A chiropractor anogona kunyatsogadzirisa musana, kuvandudza simba remurwere, kufamba, uye kuchinjika. Nezve plantar fasciitis, chiropractic kuchengetedza inogona kushanda nemamwe marapirwo, kusanganisira kurapa kwemuviri, masaja, uye kunyangwe injections , kugadzirisa marwadzo uye kurapa mamiriro acho. Kunyange zvazvo plantar fasciitis inotora mwedzi yakawanda kuti aporese, chiropractic kuchengetedza inogona kusanganisira nzira chaiyo inosanganisira kugadziriswa kwetsoka, zvitsitsinho, uye kurongeka kwepelinha. Izvi zvinopa zvikomborero zvakawanda, izvo zvinosanganisira zvinotevera:
Inoderedza Kushungurudzika mu Plantar Fascia Inokurudzira Kuporesa Inopa Kubudirira Kwekutambudzika Inoderedza Dambudziko Rokuwedzera Kukuvara
mhedziso
Sezvo vanhu vakawanda pasi rose vari kufamba netsoka nguva dzose, kurwadziwa kwetsoka kunogona kutadzisa munhu kufamba. Imwe yemarwadzo etsoka anowanzo itwa plantar fasciitis iyo inogona kuenderana neinokonzeresa mapoinzi pamwe neakasiyana mhasuru dzetsoka. Plantar fasciitis inokonzerwa nekutsamwa kunopera pa plantar fascia nemarunda ayo, izvo zvinokonzera kupinza, kubaya marwadzo pachitsitsinho. Kana izvi zvikaitika, zvinogona kuita kuti chitsitsinho chive nekuputika, kuzvimba, uye kupera simba. Kusvika panguva iyoyo, inokonzera kusagadzikana uye kurwadziwa pakufamba. Nekudaro, plantar fasciitis inogona kurapwa kana ikabatwa nekukurumidza kuburikidza nekurapa kwakasiyana senge chiropractic kuchengetedza. Chiropractic kuchengetedza inogona kuderedza kushungurudzika mu plantar fascia uye kubatsira kuderedza dambudziko rekuwedzera kukuvara. Kusanganiswa nemamwe marapirwo, vanhu vazhinji vanogona kushanda zvakanaka uye kuwanazve kugona kwavo kufamba pasina kurwadziwa.
References
Buchanan, Benjamin K, naDonald Kushner. "Plantar Fasciitis - StatPearls - NCBI Booksherufu." Mu: StatPearls [Internet]. Treasure Island (FL) , StatPearls Publishing, 30 Chivabvu 2022, www.yori.nlm.nih.gov/books/NBK431073/ .
Petrofsky, Jerrold, nevamwe. "Kupisa Kwenzvimbo yeTrigger Points kunoderedza Mitsipa uye Plantar Fascia Pain." Chinyorwa cheKudzokera neMusculoskeletal Refundation , US National Raibhurari yeMishonga, 2020, pubmed.ncbi.nlm.nih.gov/31594202/ .
Shah, Jay P, nevamwe. "Myofascial Trigger Points Zvino uye Zvino: Nhoroondo uye Sainzi Maonero." PM & R: Chinyorwa cheKukuvadza, Basa, uye Rehabilitation , US National Raibhurari yeMishonga, Chikunguru 2015, www.ncbi.nlm.nih.gov/pmc/articles/PMC4508225/ .
Travell, JG, nevamwe. Myofascial Pain uye Dysfunction: The Trigger Point Manual: Vol. 2:Kudzika Kunoperera . Williams & Wilkins, 1999.
Disclaimer
by Dr Alex Jimenez Foot Orthotics , Sciatica
Hazvina kuitika kubasa, kuchikoro, kana kurovedza muviri, uye hakuna kumbove nenzendo uye / kana kudonha, asi haugone kuona kuti chii chiri kukonzera kusagadzikana kwetsoka netsoka uye manzwiro. Zvisinei, chikonzero chacho chinogona kunge chiri kubva munharaunda ye lumbar spinal. Sciatica iboka rezviratidzo rinoreva kurwadziwa, kupera, uye kurira kunopenya pasi pegumbo kubva kumucheto kumashure, kunobata makumbo, mahudyu, matako, uye tsoka. Injury Medical Chiropractic uye Functional Medicine Clinic inogona kusunungura tsinga yakamanikidzwa, kutenderera kwemassage kudzoka mutsinga, uye kudzoreredza kufamba uye kushanda.
Sciatica Foot uye Ankle
Sciatic nerve sensations inogona kumhanya ichidzika kumashure kwegumbo ichidzika mutsoka.
Kumanikidza kana kushatirwa kune chero nerve midzi inogona kuratidza zviratidzo muhudyu, chidya, mhuru, uye tsoka.
Sciatica tsoka uye ankle zviratidzo zvinogona kuperekedza chiveve uye kushaya simba kwemhasuru.
Sciatic nerve irritation kazhinji inokonzera zviratidzo kunze kwetsoka asi inogona kupararira kune dzimwe nzvimbo.
Nerve Roots
Imwe kana yakawanda yezasi musana's sciatic nerve midzi iri kudzvanywa kana kudzvanywa. Nzvimbo yezviratidzo zvetsoka zvinoenderana nekuti ndeupi nerve midzi inobatwa.
Kana iyo S1 mudzi inobatwa, zviratidzo zvichapenya kune yega uye parutivi rwetsoka.
Kana L5 ikabatwa, zviratidzo zvichapenya kusvika kumusoro kwetsoka uye chigunwe chikuru.
Kana iyo L4 midzi yakakanganiswa, zviratidzo zvinogona kupenya kusvika kune yepakati kana mukati memakumbo emakumbo.
Chiropractic Care uye Rubatsiro
Tsoka Massage
Kukwizwa kwetsoka kunogona kubatsira.
Murapi wemameseji anowana mapoinzi akatenderedza zviziso zvinyoro.
Hunyoro hunoratidza kuvharika kwelymphatic kana kushushikana kwemhasuru kunoda kugadziriswa.
Ivo vanozoisa tsinhiro dzakasiyana-siyana kukwiza tsandanyama uye kuita kuti kutenderera kuyerera.
Murapi anosunungura tarsal uye metatarsal mapfupa kusunungura mhasuru netsinga.
Kufambisa mapfupa kunodzosera majoini, kunomanikidza kunze kwekuzvimba metabolic tsvina, kunovhura nzvimbo yetsinga, uye kunobvumira yakagadziridzwa lymphatic drainage uye kuyerera kweropa kukurumidza kupora.
Tsinga Kubhururuka
Nerve flossing exercises
A chiropractor achaita uye kudzidzisa munhu pane zvakanangwa zvakatambanudzwa kune Achilles tendon uye plantar fascia.
Vachatambanudza, kusunungura, uye kuzarura chidzitiro uye sciatic nerve.
Injections
Jekiseni re cortisone uko nerve inobatwa inogona kubatsira mune zvimwe zviitiko.
Majekiseni a corticosteroid , mushonga unopesana nekuputika, unogona kupa rubatsiro kusvika kumwedzi mitatu uye unopiwa pasi peanesthesia yemunharaunda.
Mushonga unoderedza kuzvimba uye kuzvimba kwakatenderedza nerve midzi.
Foot Orthotics
Tsika tsoka orthotics inogona kubatsira kutsigira postural tsoka kana ankle dambudziko.
Kuwedzeredza ndiko kudonha kwemakumbo mukati, izvo zvinogadzira kusaenzana kwehurefu hwemakumbo hunokanganisa hudyu, pelvis, uye musana.
Orthotics inogona kubatsira kupa zororo rechiratidzo.
udyo
Chikamu chechirongwa chekurapa chinozosanganisira chirongwa chinorwisa-kuzvimba uye antioxidant chikafu chekudya.
Nyanzvi yezvokudya zvinovaka muviri ichapa mazano zvichienderana nemamiriro emunhu.
Magnesium -rich foods inowanzokurudzirwa sciatica sechikafu ichi inobatsira muviri kusunungura majoini etsandanyama .99 muzana ye<em>magnesium yomuviri inochengetwa mumapfupa, tsandanyama, uye matishu akapfava, ne1 muzana bedzi yakanangidzirwa muropa.
Zvokudya zvakapfuma mu magnesium zvinosanganisira:
Kuchengetedza
mabhanana
Apricots
Mbeu dzenhanga dzakaomeswa
dheri
Chocolate tsvuku
Maonde akaomeswa
Black bean
Brown rice
hove
sipinachi
Swiss chard
Yogurt
Mabhenefiti eCustom Foot Orthotics
VIDEO
References
Davis, David, nevamwe. "Sciatica." StatPearls, StatPearls Publishing, 6 Chivabvu 2022.
Ge, Phillip S et al. "Iatrogenic pseudoaneurysm yepamusoro-soro gluteal artery inoratidzira senge pelvic mass ine tsoka inodonha uye sciatica: nyaya yenyaya uye kuongororwa kwemabhuku." Vascular uye endovascular surgery vol. 44,1 (2010): 64-8. doi:10.1177/1538574409351990
Hughes, Michael S et al. "Post-traumatic catamenial sciatica." Orthopedics vol. 31,4 (2008): 400. doi:10.3928/01477447-20080401-15
Mayo Clinic. "Sciatica." www.mayoclinic.org/diseases-conditions/sciatica/symptoms-causes/syc-20377435?p=1
National Institutes of Health. "Sciatica." medlineplus.gov/sciatica.html
Pan, Hung-Chuan, et al. "Magnesium yekuwedzera inosimudzira sciatic nerve patsva uye pasi-inogadzirisa kuzvimba mhinduro." Magnesium research vol. 24,2 (2011): 54-70. doi:10.1684/mrh.2011.0280
by Dr Alex Jimenez Foot Orthotics , Injury Care
Zvitsitsinho zvinopa basa rinokosha mukushanda kwemuviri wose. Vanoshanda sehurongwa hwakaoma mukati metsoka kutakura uremu hwemuviri uye kutsigira kufamba. Chero kusaenzana kunogona kukonzera kusagadzikana kwechikwama kunogona kuita kuti dzimwe nzvimbo dzemuviri dzibude kunze. Izvi zvinonyanya kukonzerwa nekukuvadzwa, sechidzitiro chegumbo. Kana isina kunyatsogadziriswa, inogona kutungamirira kune kusagadzikana kusingaperi uye hutano hurefu kwenguva refu musculoskeletal system . Chiropractic kurapwa inogona kugadzirisa kukuvara kwechikwama, kusimbisa misumbu kudzivirira kusagadzikana.
neketani kusagadzikana
Muviri wese ihurongwa hwakakura, hwakaoma, uye hwakabatana. Chikamu chese chinopesvedzera chinotevera sezvo vanhu vari kuita maitiro avo ezuva nezuva. Kusaenzana kunogona kuitika mumusana, muhudyu, makumbo, uye mabvi, zvichiita kuti pave nekukamhina, marwadzo emakumbo, kana kukuvara. Zvinonyanya kukonzera kusagadzikana kweankle zvinosanganisira:
Michina yetsoka kana yemakumbo asina kunaka
Kusaenzana kwebvi kana hudyu
Ankle sprains
Muswe kutambudzika
Tendonitis
chirwere chemumajoini
Fractures
Kuzvimba kwenguva refu kubva kuhurwere kana kukuvara.
Kutsvaga The Imbalances
Kunzwisisa kuti kusaenzana kuri kupi uye kuagadzirisa zvine hungwaru ndiyo nzira inokurudzirwa yekuita. Kana kukuvara kwegumbo kuripo, zviratidzo zvepanzvimbo uye kusagadzikana zvinoda kugadziriswa. Nekudaro, zvakakosha kuongorora dzimwe nzvimbo dzemuviri kuona kuti chero mamwe madhiri anogadziriswa zvakare. Izvi zvinodzivirira kukuvadza zvakare kusingakoshi, kuwedzera, uye mamwe matambudziko.
Chiropractic
Imwe kana mamwe maitiro ekurapa achashandiswa kupora kwakaringana pakubata nekusagadzikana kwechitsitsinho.
Kugadziriswa kwakabatana kwemuviri wezasi uye musana kutsigira tsinga uye kutenderera kweropa.
Tsoka uye ankle compression wraps .Ultrasound.
Kukurudzira kwemagetsi.
Therapeutic massage yevakakuvara uye ronda matishu.
Zvinokurudzira zvekugadzirisa basa kudzivirira kuwedzera kusingakoshi uye kuwedzera kugadzikana.
Kudzidzira muviri uye kutambanudza.
Kudzidziswa kwehutano pane anti-inflammatory diet uye chikafu chekusimudzira kupora .
Chiropractic inokurudzirwa kuti ione chero kusaenzana kwemuviri kunoda kugadziriswa nepamusoro-soro yekutsvakurudza-based care uye inogona kukurumidza kugadzirisa.
Mutumbi Muumbi
VIDEO
Compression Nguo uye Masokisi
Aya aingoshandiswa kurapa vanhu vane dambudziko rekutenderera kweropa asi ave kuwanikwa kune veruzhinji. Kupora ndezvekupa muviri mukana wekuzorora, kupora, uye kupora kubva mukuzvimba, nechinangwa chekuti utangezve kuita zvemuviri. Nguo dzekumanikidza dzinouya muhembe, bhurugwa, maoko, uye masokisi. Izvo zvipfeko uye masokisi zvinoshandiswa kukurumidza kupora nguva, kuvandudzwa kutenderera uye kuendesa oksijeni kumisungo, uye kuderedza. lactic acid kuwedzera .
References
Anguish, Ben, naMichelle A Sandrey. "Zvirongwa zviviri zve4-Vhiki Kuyerekana-Kudzidzisa Kwekusagadzikana KweAnkle Kusagadzikana." Journal of athletic training vol. 53,7 (2018): 662-671. doi:10.4085/1062-6050-555-16
Czajka, Cory M et al. "Ankle sprains uye kusagadzikana." The Medical Clinics yekuNorth America vol. 98,2 (2014): 313-29. doi:10.1016/j.mcna.2013.11.003
Gribble, Phillip A. "Kuongorora uye Kusiyanisa Kusagadzikana kweAnkle." Journal of athletic training vol. 54,6 (2019): 617-627. doi:10.4085/1062-6050-484-17
Lubbe, Danella et al. "Manipulative therapy uye kugadziriswa kwechidzitiro chemakumbo chisingaperi nekusagadzikana kwebasa: yenguva pfupi, muongorori-mapofu, boka rakafanana-randomized muedzo." Journal of manipulative uye physiological Therapeutics vol. 38,1 (2015): 22-34. doi:10.1016/j.jmpt.2014.10.001
by Dr Alex Jimenez Mamiriro Ekutongwa , Foot Orthotics
A Trendelenburg gait inzira isina kujairika yekufamba inokonzerwa nekuremara kana kupera simba hip abductor. Iyo gluteal musculature ndiyo yekutanga musculature inosanganisira gluteus medius uye gluteus minimus tsandanyama. Kushaya simba kwemhasuru idzi kunokonzera kuregeredza/kudonha kwechiuno kune rimwe divi uchifamba. Pachave nekuonekwa kudivi-ku-kudivi mafambiro kana glutes yakanyanya kusimba kutsigira uremu hwemuviri pakufamba. Zvinogona kuita sekunge munhu ari kukamhina kana kupotsa nhanho. Vanhu vanogona kuderedza mhedzisiro netsoka orthotics, kusimbisa kwepakati, chiropractic, uye kurapwa kwemuviri.
Trendelenburg Gait Zvinokonzera
Kufamba uku kunowanzo konzerwa nekudzvanya mhasuru dzehudyu panguva yekurovedza muviri. Maekisesaizi akanangana nekugwinya kunoitwa zvisina kunaka ndicho chikonzero chinowanzoitika. Kana fomu remaekisesaizi risina kufanira riri chikonzero, kufamba kusina kujairika kunowanzoenda sezvo kuzvimba kwemhasuru kunopera. Iyo gait inogonawo kuuya mushure mekuvhiyiwa kwehudyu kutsiva, sezvo nzira yacho inoda incisions mu gluteus medius muscle. Izvi zvinogona kunetesa tsandanyama zvichikonzera kufamba kusina kujairika. Kushaya simba mumamhasuru aya kunogonawo kukonzerwa ne:
Kukuvara kwetsinga kana kusashanda zvakanaka mutsinga dzinofamba nepakati pe gluteal minimus uye medius tsandanyama.Osteoarthritis imhando yearthritis inoitika apo shwashwa remajoini parinotanga kupera.Muscular dystrophy Chirwere chinokonzera kuti nyama nemabhonzo zvishaye simba nekufamba kwenguva.Poliomyelitis Cleidocranial dysostosis
zviratidzo
Kufamba kwekufamba kunoumbwa nezvikamu zviviri:
famba – Kana gumbo rimwe richienda mberi.Stance - Rimwe gumbo rinoramba rakanyarara uye rinochengetedza kuenzanisa.
Chiratidzo chikuru cheTendelenburg gait chinogona kuonekwa kana rimwe gumbo richitenderera mberi uye hudyu inodonha pasi uye ichienda kunze. Izvi zvinodaro nekuti mubvudzi wehudyu werimwe gumbo haana kusimba kutsigira uremu. Vanhu vanogona kusendama kumashure kana kudivi zvishoma pavanenge vachifamba kuti varambe vakagadzikana, kana vanogona kusimudza tsoka kumusoro kubva pasi nenhanho imwe neimwe kuti vadzivise kurasikirwa nechiyero kana kugumburwa sezvo pelvis inoshanduka zvisina kufanana.
kuongorora chirwere
Kufamba kwehudyu zvisina kujairika panguva yekuzungunuka kwegumbo rimwe chete kana ese ari maviri kunogona kupa chiremba humbowo hwakakwana hwekuongorora kufamba kweTendelenburg. Chiremba anocherechedza mafambiro emunhu mberi neshure kuti anyatsoona. Chiremba achashandisawo Trendelenburg bvunzo X-ray yehudyu ichashandiswa kuona chero zvikonzero zvekushaya simba mu gluteus minimus kana medius. .
Treatment Options
Nzira dzekurapa dzinoenderana nekuoma uye chikonzero chekufamba.
Mishonga
Kana kufamba kuri kukonzera marwadzo, over-the-counter nonsteroidal anti-inflammatory NSAIDs, senge ibuprofen kana acetaminophen, ichabatsira kurerutsa zviratidzo.
Muzviitiko zvakanyanya, chiremba anogona kupa cortisone jekiseni kubatsira kuderedza marwadzo.
Foot Orthotics
Chiremba anogonawo kukurudzira kushandisa tsoka orthotic mune imwe kana shangu mbiri kutsiva hudyu abductor tsandanyama kushaya simba.
Chiropractic, Physical Therapy, uye Exercise
Chiropractic uye kurapa kwemuviri kunogona kubatsira kugadzirisa, kugadzirisa, uye kusimbisa mhasuru kuti udzore kutonga kweTendelenburg gait. Chiropractor kana chiremba wepanyama achafambisa makumbo mumativi akasiyana-siyana kuti abatsire majoini kuti awedzere kujaira kufamba mune dzimwe nzira uye kuwedzera simba remhasuru uye kuramba. Zviitwa zvinogona kusimbisa hudyu abductor tsandanyama dzinosanganisira :
Rara padivi uye wedzera gumbo rakananga kunze.
Rara pasi uye fambisa rimwe gumbo kumusoro, pamusoro peimwe, uye shure kune rimwe divi.
Enda padivi uye uende panzvimbo yakakwirira, wozodzokera pasi zvakare.
Taura nachiremba kana chiropractor usati watanga chero maitiro matsva ekuita maekisesaizi kuitira kuti vagone kukurudzira maekisesaizi chaiwo uye kudzidzisa pane fomu rakakodzera.
Matambudziko
Kana ikasiiwa isina kurapwa, ine mwero-kusvika-yakakomba nyaya dzeTendelenburg gait dzinogona kupera simba, zvichitungamira kumatambudziko akaomarara. Idzi dzinosanganisira:
Pinched tsinga.
Sciatica.
Marwadzo, kuoma, kana kugaya muhudyu.
Kurasikirwa kwehuwandu hwekufamba muhudyu uye kufamba.
Kutadza kufamba, izvo zvingada kushandiswa kwemufambi kana wiricheya.
Kuoma mitezo yemuviri wezasi.
Osteonecrosis
Trendelenburg gait inorapika neshangu dzakakosha, orthotics, uye maekisesaizi akagadzirirwa kusimbisa hudyu abductor tsandanyama. Chiropractic uye kurapwa kwepanyama inogona kubatsira kuderedza kukanganisa kwemamiriro ehutano hwemuviri, kukwanisa kufamba, uye kuderedza njodzi yematambudziko.
Mutumbi Muumbi
VIDEO
Mwoyo-Utano Zvokudya
Citrus
Michero inopenya uye inopenya yakazara nemavhitamini uye yakasarudzika chirimwa makomisheni anozivikanwa sepolyphenols anogona kubatsira kudzika kweropa zvakasununguka.
Zvisinei, zvakakosha kuziva kuti mazambiringa uye muto wemuzambiringa unogona kuwirirana nemimwe mishonga yemishonga.
Bhinzi nenyemba
Zvokudya zvine magnesium, potassium, uye fiber zvinogona kubatsira kuchengetedza hutano hweropa.
Apa ndipo panopinda bhinzi nenyemba sezvazviri yakakwirira mu fiber, potassium, uye magnesium .
Vanhu vaichinjanisa bhinzi nenyemba vakaona kuderera kweBP, vangave vakaonekwa vaine hypertension kana kuti kwete.
Dzungu Mbeu
Mbeu idzi dzakazadzwa ne potassium, magnesium, uye arginine .Arginine iamino acid inoshandiswa kugadzira nitric oxide, iyo inobatsira tsinga dzeropa kuti dzisununguke uye dziwedzere, zvichiita kuti ropa riderere.
A kudzidza vakawana kuti vakadzi vepashure avo vakatora magiramu matatu emafuta emunhanga zuva nezuva kwemavhiki matanhatu vakaona kuderera kwakanyanya musimba ravo re systolic.
Garlic
Garlic ine nitric oxide, iyo yakaratidza kuzorodza tsinga dzeropa. Kyolic garlic
References
Feyh, Andrew et al. "Basa reZvikamu Zvekudya muModulating Hypertension." Journal of Clinical & experimental cardiology vol. 7,4 (2016): 433. doi:10.4172/2155-9880.1000433
Gait abnormalities. (nd).stanfordmedicine25.stanford.edu/the25/gait.html
Gandbhir, Viraj N., et al. "Trendelenburg Gait." StatPearls, StatPearls Publishing, 19 Nyamavhuvhu 2021.
Giangarra CE, et al. (2018). Clinical orthopedic rehabilitation: A team approach.sciencedirect.com/science/book/9780323393706
Gilliss AC, nevamwe. (2010). Kushandiswa kweosteopathic manipulative kurapa kubata kwakabhadharwa Trendelenburg gait inokonzerwa nesacroiliac somatic dysfunction.
Maricelli JW, et al. (2016). Trendelenburg-yakaita sekufamba, kusagadzikana uye kuchinjika nhanho mapatani mune yembeva modhi yemakumbo-girdle tsandanyama dystrophy 2i. DOI:
Vashandi veMayo Clinic. (2017). Osteoarthritis.mayoclinic.org/diseases-conditions/osteoarthritis/home/ovc-20198248
Michalopolous N, nevamwe. (2016). Yakasarudzika yekutarisa uye yekurudziro sisitimu yekinetic dysfunctions: Iyo Trendelenburg gait. DOI: 10.1145/3003733.3003786
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