I-Acute, engapheliyo, i-Alternating, kunye ne-Bilateral Sciatica Back Clinic

I-Sciatica iqhelekile kwaye ichaphazela ukuya kuthi ga kwi-40% yabantu bonke. Iindidi ezahlukeneyo ziquka sciatica ebukhali, engapheliyo, etshintshanayo, kunye ne-bilateral. I-nerve ye-sciatic ibandakanya iingcambu ze-nerve ezithathu kumqolo ongezantsi. Iimbilini ezintathu zivela kwi-L4 kunye ne-L5 vertebrae kunye ne-sacrum, ngaphantsi kwe-vertebrae. I-nerve ke ihluma kwaye ibaleke ngasemva kwethanga ngalinye. Ukwenzakala, ukunyanzeliswa, okanye ukucaphuka kwezi mithambo-luvo kunokubangela ezahlukeneyo iimpawu, kubandakanywa ukuphazamiseka, ukubetha, intlungu yokudubula kombane, kunye nemisipha yemisipha kumqolo ophantsi, umlenze, kunye nonyawo. Ukunyamekela kweChiropractic kunokulungelelanisa umqolo, ukukhulula izihlunu, ukukhulula uxinzelelo kunye nokunciphisa i-sciatica.

I-Acute, engapheliyo, i-Alternating, kunye ne-Bilateral Sciatica

Efanelekileyo

• Iintlungu ezibuhlungu zinokuziswa ngokucaphuka ngesiquphe kwimithambo-luvo ethe yacuthwa, yacinezelwa, okanye yadityaniswa.
• Ibangela ukuvutha rhoqo okanye ukuvutha kokudubula kumqolo ophantsi, iimpundu, ezantsi emlenzeni, kunye nokungakhululeki kwe-hip.
• Iba worse xa uhleli.
• Inokubangela intlungu ngokukhawuleza kunye nexesha elifutshane elihlala kwiiveki ze-1-2.

Ezingapheliyo

• I-sciatica engapheliyo inokuhlala iinyanga okanye iminyaka kwaye ivaliwe okanye ngokuqhubekayo.
• Inokubangelwa okanye ibe mandundu ngenxa yeemeko ezivuthayo ezifana ne-rheumatoid arthritis, ukulimala, usulelo, kunye nemiba yokungahambi kakuhle komgogodla.
• Inokusombulula kodwa iya kubuya ngaphandle konyango okanye indlela yokuphila kunye nohlengahlengiso lomsebenzi.

Isibambiso

• I-Sciatica ngokuqhelekileyo iyenzeka emlenzeni omnye; Iyaziwa ngokuba yi-bilateral kwaye inamava kuyo yomibini imilenze.
• Olu hlobo lwe-sciatica lunqabile kodwa inokuvela kwiinguqu eziguqukayo kwi-vertebrae kunye / okanye iidiski kumanqanaba amaninzi omgogodla.
• Ukuba kukho iintlungu kwimilenze yomibini, kunokwenzeka hayi i-herniation kodwa utshintsho oluwohlokayo olunje isisu somthambo.
• Iimpawu zisenokuhluka ukusuka kokungaqhelekanga ukuya ekucaphukiseni ukuya kubukhali kwaye buthathaka.
• Inokuba luphawu lweflegi ebomvu I-cauda equina syndrome.
• Ubuthathaka bunokuvakala emlenzeni nasenyaweni, okanye ukuva ubunzima, okwenza kube nzima ukuphakamisa unyawo phantsi.

Iyatshintsha

• Ukutshintsha i-sciatica kuchaphazela imilenze yomibini ngokutshintshana. Ngokuqhelekileyo idibene ne-bilateral sciatica etshintsha amacala.
• Olu hlobo lunqabile kwaye lunokubangelwa iingxaki eziphazamisayo kwi inhlanganisela ye-sacroiliac, umdibaniso odibanisa umqolo ukuya esinqeni, okanye sacroiliac samathambo.

Imithombo yoMnqopho

I-Sciatica yenzeka xa i-L4, i-L5, kunye / okanye i-S1 iingcambu ze-nerve zichaphazelekayo.

L4 Ingcambu yeNgcambu

• Ubuhlungu kwi-hip, ithanga, iindawo zangaphakathi zangaphakathi okanye idolo, kunye nethole.
• Ubuthathaka kwimisipha yethanga kunye ne-hip.
• Ukunciphisa i-knee-jerk reflex.
• Ukulahlekelwa yimvakalelo ejikeleze ithole.

L5 Ingcambu yeNgcambu

• Intlungu kwimpundu kunye nommandla ongaphandle wethanga.
• Ubuthathaka kwimpundu kunye nezihlunu zomlenze.
• Ubunzima bokuhambisa iqatha kunye nokuphakamisa iinzwane ezinkulu phezulu.
• Ukulahlekelwa yimvakalelo phakathi konyawo olukhulu kunye nozwane wesibini.

Ingcambu yeNerve S1

• Eyaziwa ngokuba yi-classic sciatica.
• Iintlungu empundwini, emva kwethole, nasecaleni lonyawo.
• Ukudinwa kwimisipha yempundu kunye neenyawo.
• Ubunzima kunye nokukhathazeka ukuphakamisa isithende ukusuka emhlabeni okanye ukuhamba nge-tiptoes.
• Ukulahleka kwemvakalelo kwicala langaphandle lonyawo, kubandakanya neyesithathu, yesine, kunye neenzwane zesihlanu.
• Ncitshiswa i-ankle-jerk reflex.

Ukhathalelo lweChiropractic

Ukunyamekela kwe-Chiropractic kunokujongana ngqo nonobangela wengxaki, ukunyanga unobangela, nokunciphisa iimpawu. Ukunyangwa kweChiropractic kucetyiswa ngu Ikholeji yaseMerika yaseMagqirha njengomgca wokuqala wonyango lweentlungu zangasemva ngaphambi kokuba amayeza, iziphumlisi zemisipha, iinaliti kunye noqhaqho. Unyango lokujongana ne-sciatic nerve impingement:

Unyango lwe-Ice/Cold Therapy

• Ukunciphisa ukuvuvukala kunye nokudumba.
• Ilungiselela isigulane ukuthanjiswa kunye nohlengahlengiso.

I-Therapeutic Tissue Massage

• Olu nyango lukhuthaza ukuphumla kwemisipha kunye nokunciphisa i-muscle spasm / impendulo ye-recoil.

omoya

• Ubushushu obupholileyo obubangelwa ngamaza esandi bugqobhoza kwizihlunu, bunyuse ukujikeleza kwegazi, luze lukhulule izihlunu ukuze kuthomalalise amazamba, ukuqina, neentlungu.

IYunithi ye-Transcutaneous Electrical Nerve Stimulation/Tens Unit

• Umatshini wokuvuselela izihlunu usebenzisa iimpembelelo zombane ukukhulula izihlunu kunye nokukhulula amaqhina ezihlunu.

Ukunyanyiswa koMgcini

• Le nkqubo ilungisa umqolo ukuba uhambe ngokufanelekileyo kwaye ubuyisele impilo ye-vertebral.

Ukwazisa kunye nokuSebenza

• Oku kuqinisekisa ukuba unyango luya kuhlala xa unyango lufikelele okanye lufikelela esiphelweni.

Ukunciphisa Umzimba

• Ukutsala kunye nokwelula umzimba ukuba ukhulule nayiphi na ingcinezelo kwiingcambu zemithambo-luvo kwaye ifake ukujikeleza kwakhona kwiidiski.

Uxinzelelo luthatyathwa kwi-nerve ye-sciatic, kwaye uhlengahlengiso lwesiqhelo luya kuhlaziya izihlunu ukuze zigcine ukulungelelaniswa kwazo kwakhona. Ubude bexesha lonyango luya kuhluka ngokusekelwe kwingcambu ye-sciatica. Isicwangciso sonyango ngasinye silungiselelwe imeko yesigulane ngasinye.

I-Sciatica Syndromes enzima kunye neyinkimbinkimbi

Ucaphulo

UDavis D, uMaini K, uVasudevan A. Sciatica. [Ihlaziywe ngo-2022 ngoMeyi 6]. Ku: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022 Jan-. Ifumaneka kwi: www.ncbi.nlm.nih.gov/books/NBK507908/

Hernández CP, Sanchez N., Navarro-Siguero A., Saldaña MT (2013) Yintoni i-Sciatica kunye ne-Radicular Pain?. Ku: Laroche F., Perrot S. (eds) Ukulawula i-Sciatica kunye ne-Radicular Pain kwi-Primary Care Practice. Springer Healthcare, Tarporley. doi.org/10.1007/978-1-907673-56-6_1

Kumar, M. Epidemiology, i-pathophysiology kunye nonyango lweempawu ze-sciatica: Uphononongo. nt. J. Pharm. Ubomi. Arch. 2011, 2.

Ngnitewe Massa R, Mesfin FB. Herniation, Disc. [Ihlaziywe 2018 Oct 27]. Ku: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2019 Jan-. Ifumaneka kwi: www.ncbi.nlm.nih.gov/books/NBK441822/

I-Ombregt L. Ingqikelelo ye-dural. Ku: Inkqubo ye-Orthopedic Medicine. Elsevier; 2013: 447-472.e4. doi:10.1016/b978-0-7020-3145-8.00033-8

Witenko, Corey, et al. "Iingcinga zokusetyenziswa ngokufanelekileyo kwe-skeletal muscle relaxants ekulawuleni iintlungu ezibuhlungu ezisezantsi." I-P & T: ijenali ephononongwe ngoontanga yolawulo lwefomula vol. 39,6 (2014): 427-35.

Wright R, Inbody SB. I-Radiculopathy kunye ne-Degenerative Spine Disease. Ku: Iimfihlo zeNeurology. Elsevier; 2010:121-130. doi:10.1016/b978-0-323-05712-7.00007-6