Kunzwisisa Deep Buttock Pain: Zvaunoda Kuziva

Ko mapuroteni ekurapa ekurapa ane chinangwa chekuvandudza huwandu hwekufamba uye kuchinjika kwakatenderedza muhudyu uye kubvisa kuzvimba kwakatenderedza sciatic nerve kubatsira vanhu vari kurwadziwa zvakadzama matako kana piriformis syndrome?

Deep Buttock Pain

• Piriformis syndrome, ak .a. kurwadziwa kwakadzika kwebutto, kunotsanangurwa se sciatic nerve irritation kubva pamusumbu wepiriformis.
• Iyo piriformis imhasuru diki kuseri kwejojo ​​rehudyu mumagaro.
• Inenge centimita imwe mudhayamita uye inoshanda mukutenderera kwekunze kwehudyu kana kutenderera kunze.
• Iyo piriformis muscle uye tendon iri pedyo ne sciatic nerve, iyo inopa mazamu ezasi ane motokari uye manzwiro.
• Zvichienderana nekusiyana kwemunhu anatomic yemhasuru uye tendon:
• Izvo zviviri zvinoyambuka, pasi, kana kuburikidza nemumwe kuseri kwejojo ​​rehudyu muzasi kwakadzika.
• Ukama uhwu hunofungidzirwa kutsamwisa tsinga, zvichiita kuti sciatica zviratidzo.

Piriformis Syndrome

• Kana ukaonekwa kuti une piriformis syndrome, inofungidzirwa kuti musuru uye tendon inosunga uye / kana spasm yakakomberedza tsinga, zvichikonzera kutsamwa uye zviratidzo zvinorwadza.
• Dzidziso inotsigirwa ndeyokuti apo piriformis muscle uye tendon yayo inoomesa, sciatic nerve inova yakamanikidzwa kana kupiniwa. Izvi zvinoderedza kutenderera kweropa uye zvinotsamwisa tsinga kubva mukumanikidzwa. (Shane P. Cass 2015)

zviratidzo

Zviratidzo uye zviratidzo zvinowanzoitika zvinosanganisira: (Shane P. Cass 2015)

• Unyoro nekumanikidza pamusumbu wepiriformis.
• Kusagadzikana kumashure kwechidya.
• Kurwadza kwemagaro kwakadzika kuseri kwehudyu.
• Manzwiro emagetsi, kuvhunduka, uye marwadzo zvinofamba zvichidzika kumashure kwechikamu chepasi.
• Chiveve kumucheto wezasi.
• Vamwe vanhu vanotanga zviratidzo zvekuerekana, nepo vamwe vachiwedzera zvishoma nezvishoma.

kuongorora chirwere

• Vanachiremba vanozoraira X-rays, MRIs, uye nerve conduction zvidzidzo, izvo zvakajairika.
• Nemhaka yokuti piriformis syndrome inogona kuva yakaoma kuongorora, vamwe vanhu vane marwadzo maduku ehudyu vanogona kugamuchira piriformis syndrome kuongororwa kunyange kana vasina chirwere. (Shane P. Cass 2015)
• Iyo dzimwe nguva inonzi yakadzika bhutu kurwadziwa. Zvimwe zvikonzero zverudzi urwu rwemarwadzo zvinosanganisira kumashure uye musana uye musana senge:

1. Herniated discs
2. Spinal stenosis
3. Radiculopathy - sciatica
4. Hip bursitis
5. A piriformis syndrome kuongororwa inowanzopiwa apo izvi zvimwe zvikonzero zvinobviswa.

• Kana kuongororwa kusinganyatsozivikanwi, jekiseni rinoshandiswa munzvimbo yepiriformis muscle. (Danilo Jankovic et al., 2013)
• Mishonga yakasiyana inogona kushandiswa, asi jekiseni pachayo rinoshandiswa kubatsira kuziva nzvimbo chaiyo yekusagadzikana.
• Apo jekiseni rinopiwa mupiriformis muscle kana tendon, inowanzotungamirirwa nehutungamiri hwe ultrasound kuti uone kuti tsono inopa mishonga kunzvimbo yakarurama. (Elizabeth A. Bardowski, JW Thomas Byrd 2019)

mabatiro

Mishonga yakajairika inosanganisira zvinotevera. (Danilo Jankovic et al., 2013)

Zorora

• Kudzivisa mabasa anokonzera zviratidzo kwemavhiki mashoma.

Therapy Therapy

• Simbisa kutambanudza uye kusimbisa hudyu rotator tsandanyama.

Non-Surgical Decompression

• Zvinyoro zvinodhonza musana kuti usunungure chero kudzvanywa, zvichibvumira optimal rehydration uye kutenderera uye kutora kumanikidza kubva kune sciatic nerve.

Therapeutic Massage Techniques

• Kuzorodza uye kusunungura kushushikana kwemhasuru uye kuwedzera kutenderera.

Acupuncture

• Kubatsira kuzorora piriformis muscle, sciatic nerve, uye nzvimbo yakapoteredza.
• Deredza marwadzo.

Chiropractic Adjustments

• Realignment inogadzirisa musana uye musculoskeletal system kuderedza marwadzo.

Anti-Inflammatory Medication

• Kuderedza kuzvimba kwakatenderedza tendon.

Cortisone Majekiseni

• Majekiseni anoshandiswa kuderedza kuzvimba uye kuzvimba.

Botulinum Toxin Jekiseni

• Majekiseni emuchetura we botulinum anoomesa tsandanyama kuti abvise marwadzo.

Surgery

• Kuvhiya kunogona kuitwa muzviitiko zvisingawanzoitiki kusunungura piriformis tendon, inozivikanwa sepiriformis release. (Shane P. Cass 2015)
• Kuvhiya inzira yekupedzisira apo kurapwa kwekuchengetedza kwakaedzwa kweinenge mwedzi mitanhatu pasina zororo.
• Kupora kunogona kutora mwedzi yakati wandei.

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Sciatica Zvinokonzera uye Kurapa

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References

Cass SP (2015). Piriformis syndrome: chikonzero che nondiscogenic sciatica. Mishumo yezvino yemishonga yemitambo, 14 (1), 41-44. doi.org/10.1249/JSR.0000000000000110

Jankovic, D., Peng, P., & van Zundert, A. (2013). Ongororo pfupi: piriformis syndrome: etiology, kuongororwa, uye manejimendi. Canadian magazine of anesthesia = Journal canadien d'anesthesie, 60(10), 1003–1012. doi.org/10.1007/s12630-013-0009-5

Bardowski, EA, & Byrd, JWT (2019). Piriformis Injection: An Ultrasound-Guided Technique. Arthroscopy maitiro, 8(12), e1457-e1461. doi.org/10.1016/j.eats.2019.07.033