Iintlungu zeLumbago kunye neGluteus Medius Trigger Pain

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Abantu abaninzi basebenzisa isiqingatha esisezantsi semizimba yabo ukuya kwiindawo ezahlukeneyo kwaye basebenzise izihlunu ezahlukeneyo ezingqongileyo ezinika uzinzo ikhefu kwaye ephantsi ngelixa uxhasa ubunzima bomzimba ongaphezulu. Ngaphantsi komqolo osezantsi ngummandla we-buttock, apho imisipha ye-gluteal inceda ukuzinzisa i-pelvis, wandise isinqe, kwaye ujikeleze amathanga. Izihlunu ze-gluteal zikwanceda ukumila kunye nokuxhasa umqolo kwaye ube ne-posture eqondileyo emzimbeni. Esinye sezihlunu ze-gluteal ezixhasa umzimba ophantsi yi-gluteus medius, enokuthi ihlasele ukulimala kunye noxinzelelo xa isetyenziswe ngokugqithiseleyo okanye igxininisekile. Oku kukhokelela ekuphuhliseni amanqaku e-trigger anokubangela imiba eyahlukeneyo kwiindawo ezisezantsi kwaye kukhokelela kwiimeko ezingapheliyo ezihambelanayo. Inqaku lanamhlanje lijolise kwimisipha ye-gluteus medius, indlela i-lumbago ehambelana ngayo ne-gluteus medius trigger pain, kunye neendlela ezahlukeneyo zokulawula amanqaku e-trigger kunye ne-gluteus medius muscle. Sithumela izigulane kubaboneleli abaqinisekisiweyo ababandakanya iindlela ezininzi kwiindawo ezisezantsi zomzimba, njenge-butt kunye neyeza zonyango zentlungu ephantsi ezinxulumene ne-trigger points, ukunceda abantu abajongene neempawu zentlungu kunye ne-gluteus medius muscles kufuphi kunye neendawo ezijikelezayo zomzimba. Siyazikhuthaza kwaye siyazixabisa izigulana ngokuzithumela kubaboneleli bezonyango abanxulumeneyo ngokusekelwe kuxilongo lwabo, ngakumbi xa kufanelekile. Siyaqonda ukuba imfundo sisisombululo esihle kakhulu sokubuza ababoneleli bethu imibuzo entsonkothileyo ngokwesicelo sesigulana. UDkt Jimenez, DC, usebenzisa olu lwazi njengenkonzo yemfundo kuphela. isikhanyeli

Yintoni iGluteus Medius?

Ngaba ukhe waziva iintlungu kufutshane nempundu kunye nomqolo ongezantsi? Ngaba ubuziva ungazinzanga xa uhamba? Kuthekani ngokuva intlungu kumsila wakho obangela ukuba unganyamezeleki ukuhlala phantsi? Ininzi yale miba ihambelana neentlungu ezibhekiswayo ezibangelwa ngamanqaku e-trigger achaphazela i-gluteus medius. Njengenxalenye yommandla we-gluteal muscle, i gluteus medius ilele phakathi kwe-gluteus maximus kunye ne-minimus yi-flat, i-muscle ye-triangular kwaye iyona nto ibamba i-hip abductor. I-gluteus medius kunye ne-minimus isebenzisana kunye nokujikeleza kwangaphakathi kwamathanga kunye nokujikeleza kwecala emadolweni xa zandiswa. Imisipha ye-gluteus medius nayo inceda ukuzinzisa i-pelvis, ngelixa i-trunk igcina indawo ethe tye xa imilenze ihamba. Uphando lutyhila ukuba i-gluteus medius yinto ephambili ye-hip ye-lateral muscle ehambelana nomsebenzi we-muscle kunye namanye amaqela e-muscle afana ne-quadriceps kunye nezihlunu zesisu. Xa ukulimala okanye ukungasebenzi kwemisipha ye-gluteal rhoqo, imiba eyahlukeneyo yemisipha inokubangela iingxaki kwimisipha ye-gluteus medius. 

I-Lumbago edibene neGluteus Medius Trigger Pain

Ukungasebenzi kakuhle ezinqeni kunokukhokelela kwimiba eyahlukeneyo enokuthi ibe yinto ebukhali okanye engapheliyo, kuxhomekeke kwindlela izihlunu eziye zasetyenziswa ngayo okanye zonzakala kakhulu. Uphando lutyhila ukuba iintlungu ezisezantsi zichongiwe njengegalelo eliphambili lokukhubazeka kwaye xa kukho ukungasebenzi kwi-lumbopelvic-hip complex, ebangela ukunciphisa amandla e-gluteus medius. Xa imisipha ye-gluteus medius iye yasetyenziswa ngokugqithiseleyo okanye yenzakala ngenxa yokulimala, inokuphuhlisa amanqaku e-trigger kwi-muscle ebangela imiba yentlungu ephantsi. Xa amanqaku e-trigger echaphazela i-gluteus medius, izifundo ezongezelelweyo zityhila ukuba i-latent trigger points ecaleni kwemisipha ye-gluteus medius inokubangela ukulinganiselwa kwentshukumo edibeneyo ngelixa ibangela ukugqithisa ngokuchaphazela ukusebenza kwemisipha ukusuka ezinqeni.

Ngokutsho kukaDkt Janet G. Travell, incwadi ye-MD, "I-Myofascial Pain and Dysfunction: The Trigger Point Manual," izigulane ezineengongoma ezisebenzayo ezihamba kunye ne-gluteus medius zikhalaza ngeentlungu xa zenza izenzo eziqhelekileyo njengokuhamba okanye ukuhlala. Uxinzelelo oluvela kumanqaku e-trigger ecaleni kwe-gluteus medius kubangela ukuba umntu abe kwindawo edibeneyo, ebangela ukuba bangakhathazeki. Oku kubangela ukungazinzi ezinqeni nakwiziphelo zomzimba ezisezantsi, nto leyo eyenza abantu abaninzi babe lusizi. Le ncwadi iphinda ichaze ukuba iipatheni ezibhekiselele kwiintlungu ezibangelwa yi-gluteus medius trigger points ziyakwazi ukugubungela ezinye iimeko ezingapheliyo ezifana nokungasebenzi kakuhle kwe-sacroiliac, intlungu ephantsi, kunye nokuvuvukala kwe-subgluteus medius bursa.

Inqaku le-Trigger yeVeki: Gluteus Medius- Ividiyo

Ngaba ujongene neentlungu ze-hip? Ngaba uziva iintlungu ezingathandekiyo xa uhamba okanye uhleli phantsi? Okanye ngaba uziva ukuqina kwezihlunu okanye ukuthamba kufutshane nomsila wakho rhoqo? Ukuba uye wafumana ezi zimpawu zibuhlungu rhoqo kumqolo wakho ophantsi okanye ezinqeni zakho, kunokuba ngenxa yemisipha yakho ye-gluteus medius echaphazelekayo ngamanqaku e-trigger. Le vidiyo ingentla ijonga indawo ye-gluteus medius kunye nendlela i-trigger points okanye i-myofascial pain syndrome ibangela intlungu echazwe kumqolo ophantsi kunye nasezinqeni. Xa i-trigger points ichaphazela i-gluteus medius, intlungu ebhekiswe kuyo inokugqithela kwaye idibanise nentlungu ephantsi kunye ne-hip, ngaloo ndlela ibangele imiba eyahlukeneyo kwiimisipha ezijikeleze umqolo ophantsi kunye nommandla we-buttock. Ngokumalunga ne-trigger points ezichaphazela i-gluteus medius, zinokunyangeka ngeendlela ezininzi ezithe ngqo kumqolo ophantsi, ezinqeni, nasezinqeni.

Iindlela ezahlukeneyo zokuLawula iintlungu zeTrigger ecaleni kweGluteus Medius

Xa imiba yeentlungu ezisezantsi okanye ze-hip ziqala ukubangela ingxaki kwiindawo ezisezantsi, imisipha ye-gluteus inokucela iimpawu ezinjengeentlungu kwimimandla echaphazelekayo yemisipha, ngaloo ndlela iphuhlisa i-trigger points. Nangona amanqaku e-trigger enobuqili bokuxilonga, banokunyangwa ngeendlela ezahlukeneyo abantu abaninzi abanokuzibandakanya kubomi babo bemihla ngemihla. Imithambo efana uqeqesho lokuxhatshazwa kwi-gluteus medius inokunceda ukuphucula ukusebenza kwe-hip abductor kunye nokwandisa amandla e-gluteus medius. Ukulawula amanqaku e-trigger ecaleni kwe-gluteus medius, abantu abaninzi kufuneka benze ezi zenzo zokulungiswa ukunciphisa intlungu enokuthi ibangele i-glutes yabo. Xa abantu bebeka ibhulukhwe, kukulungele ukuhlala phantsi baze bafake iibhulukhwe zabo ukukhusela ukuxhatshazwa kwemisipha ezinqeni zabo kunye ne-gluteus medius. Esinye isenzo sokulungisa kukujikeleza emva kokuhlala phantsi ixesha elide ukuphepha intlungu ebangelwa ukuphuhliswa. Ezi zenzo zokulungisa kunye nobuchule bunokunceda ukuqinisa iziphelo zomzimba ezisezantsi kunye nokuphucula ukuhamba kwe-hip. 

isiphelo

Njengenxalenye yommandla we-gluteal muscle, i-gluteus medius ilele phakathi kwe-gluteus maximus kunye ne-minimus ngokuba yi-primary hip abductor. I-gluteus medius inceda ngokuzinza kwe-pelvic kwaye inceda i-trunk igcine indawo ethe tye xa imilenze ihamba. Xa izinto eziqhelekileyo okanye ezibuhlungu zichaphazela i-gluteus medius, inokuphuhlisa amanqaku e-trigger kwi-fibers ye-muscle, ebangela intlungu echazwe kwi-hip and back back. Amanqaku e-Trigger ecaleni kwe-gluteus medius alawulwa ngeendlela ezahlukeneyo abantu abangazisebenzisa ukukhusela i-hip kunye ne-back back issues. Ezi ndlela zinokunciphisa amanqaku e-trigger kwaye zomeleze imisipha ye-gluteus medius kwi-glutes.

Ucaphulo

Bagcier, Fatih, et al. "Ubudlelwane phakathi kweGluteus Medius Latent Trigger Point kunye namandla emisipha kwiZifundo eziphilileyo." Umbhalo we-Bodywork and Movement Therapies, ILayibrari yeSizwe yezeMithi yase-US, uJanuwari 2022, yentshutshiso.ncbi.nlm.nih.gov/35248262/.

Sadler, Sean, et al. "I-Gluteus Medius Muscle Function in People with and without Low Back Pain: Ukuphononongwa okuCwangcisiweyo." Iingxaki ze-BMC zeMisculoskeletal, BioMed Central, 22 Okt. 2019, www.ncbi.nlm.nih.gov/pmc/articles/PMC6805550/.

UShah, uAashin, noBruno Bordoni. "I-Anatomy, iBony Pelvis kunye neLungu elisezantsi, iGluteus Medius Muscle." Ku: StatPearls [Internet]. Isiqithi saseTreasure (FL), StatPearls Publishing, 25 Jan. 2022, www.ncbi.nlm.nih.gov/books/NBK557509/.

Stastny, Petr, et al. "Ukomeleza i-Gluteus Medius usebenzisa i-Bodyweight eyahlukeneyo kunye neMizobo yokuNzalela." Ijenali yamandla kunye ne-Conditioning, Ijenali yamandla kunye ne-Conditioning, ngoJuni 2016, www.ncbi.nlm.nih.gov/pmc/articles/PMC4890828/.

Travell, JG, et al. Iintlungu ze-Myofascial kunye nokungasebenzi kakuhle: I-Trigger Point Manual: Vol. 2:Iindawo ezisezantsi. Williams & Wilkins, ngo-1999.

U-Auther, uLisa, kunye nabanye. "I-Gluteus Medius kunye ne-Minimus Muscle Structure, Amandla, kunye noMsebenzi Kubantu Abadala Abanempilo: Ingxelo emfutshane." IPhysiotherapy eCanada. IPhysiotherapie eKhanada, IYunivesithi yaseToronto Press, 2017, www.ncbi.nlm.nih.gov/pmc/articles/PMC5963550/.

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