I-High Hamstring Tendinopathy: I-El Paso Back Clinic

Imisipha ye-hamstring inamathele, ngokusebenzisa i-tendon ebizwa ngokuba yi-tendon ye-hamstring ehamba phambili, kwi-tuberosity ye-ischial, amathambo asetyenziselwa ukuhlala nzulu kwimisipha ye-buttock. Xa i-tendon ixhomekeke ekusebenziseni ngokugqithiseleyo / ukuphindaphinda uxinzelelo kunye noxinzelelo, isakhiwo sangaphakathi sinokuphazamiseka, okukhokelela kubuthathaka kunye neempawu zentlungu. Oku kwaziwa ngokuba proximal hamstring tendinopathy. I-Tendinopathy yokulimala ngokugqithisileyo apho i-tendon igxininiswe ngokuphindaphindiweyo kude kube yi-microscopic iinyembezi. Iqhelekile kwiimbaleki ezenza ixesha elininzi lokubaleka kodwa nakubantu abahlala ixesha elide. Ukuba ishiywe ingaphendulwanga, i-hamstring tendinopathy ephezulu ingakhokelela ekuhlaziyweni okuqhubekayo kwezicubu, ezikhokelela kubuthathaka obungapheliyo, intlungu kunye nokungasebenzi.

I-Hamstring Tendinopathy ephezulu

I-hamstrings liqela elinamandla le-muscle elinweba i-hip kwaye liguquguquke emadolweni. Bafumana uxinzelelo kunye noxinzelelo ngexesha lomsebenzi kunye nokungasebenzi / ukuhlala kwaye basengozini yokulimala. Iitendon zincamathelisa isihlunu kwithambo kwaye zenzelwe ukuba zithathe ezicinezelayo kunye nobunzima / imithwalo eyolulayo okanye ethambileyo. I-tendon yenziwe ngamathambo e-fibrous aqulethwe ngokuhlelekile uhlobo lwe-1 collagen. Imisipha ifumana igazi; nangona kunjalo, ukunikezelwa kuncinci apho i-tendon inamathele kwithambo kwaye iqhelekile apho i-tendinopathy yenzeke khona.

ukwenzakala

Ukulimala kwe-hamstring kubandakanya ukubetha, ukucaphuka, okanye ukukrazula i-tendon ye-hamstring okanye izicubu zomzimba. Ubunzima bunokususela kwi:

• IiMicrotears ezibangela ukuqina kunye neempawu zentlungu kodwa ziphilise ngokukhawuleza ngokwazo.
• Ukuqhekeka okukhulu okubangela intlungu ephazamisayo, ukungasebenzi kwaye kufuna ukungenelela kwonyango.

Ithenda incamathela kwi ischial tuberosity okanye ukuhlala empundu ithambo. Iitendon zinokuba ne-spasm-like reaction kutshintsho olukhawulezayo okanye olukhawulezayo. Ukutshintsha ngokukhawuleza kunokubangela utshintsho olubi kwi-tendon. Umthwalo omkhulu kwi-tendon ngaphaya kwamandla ayo okubuyisela kunokubangela ukuba isakhiwo sitshintshe kwaye i-collagen iphule / idilize njengentambo ekrazula kwaye ivule. I-tendonopathy ephezulu ye-hamstring yenzeke kwindawo ejikeleze i-hip kwaye ibonisa njengentlungu ye-buttock okanye i-higher ethangeni. Abantu babika iintlungu ezinzulu, ezibuhlungu, ezikhupha iimpundu ngexesha lokuhamba, ukubaleka, kunye nokuhlala ixesha elide okanye ukuqhuba. Ngamanye amaxesha i-nerve ye-sciatic inokucaphuka okanye ibanjwe yi-tendon echaphazelekayo yezicubu ezibomvu, ezibangela iimpawu ezifana ne-sciatica.

Amanqanaba e-Tendon Pathology

Isigaba esisebenzayo

• Okubangelwa kukugcwala okugqithisileyo kokusebenza komzimba okanye ukungasebenzi.
• Ithenda iya kutyeba okwethutyana ukunciphisa uxinzelelo; nangona kunjalo, akunakubakho ukudumba.
• I-tendon inokubuyela ngokuqhelekileyo ukuba umthwalo uyancitshiswa okanye ixesha elaneleyo lokubuyisela kunye nokulungiswa kuvunyelwe.

Ukonakala

• Ukugcwala ngokugqithisileyo.
• Ukuphiliswa okungaphumelelanga.
• Utshintsho lwe-tendon olubi ngakumbi lwenzeka.
• Ukubuyisela ukuguqulwa kunokwenzeka ngolawulo lomthwalo kunye nokuzivocavoca okujoliswe kuyo ukuvuselela i-tendon kunye nezicubu ezijikelezayo.

Isiduko

• Ukuqhubela phambili okuqhubekayo kweenguqu ze-tendon ezimbi.
• Ixhaphake ngakumbi kubantu abadala.
• Qhubeka nolawulo lomthwalo kunye noqeqesho lwamandla ukwandisa ukunyamezela kwe-tendon.

Unyango lweChiropractic

Iqela lonyango lwe-chiropractic liya kuphuhlisa inkqubo yonyango lomntu ngamnye ukuze kuphuculwe isakhiwo se-tendon kunye nokuqinisa i-hamstrings, i-gluteal, kunye nezihlunu zesisu. Baza kuqala nge-tendon-relieving massage massage ukukhulula izihlunu kwaye igazi lijikeleze, I-MET-targeted stretches ukwandisa imisipha, kunye nohlengahlengiso lomqolo kunye ne-pelvic ukulungelelanisa umzimba.

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Sciatica Ichazwe

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Ucaphulo

Buckley, uMark R et al. "Ukusasazwa kweentlobo ze-I, II kunye ne-III collagen ngommandla kwi-tendon ye-supraspinatus." Uphando lwethishu edibanisayo vol. 54,6 (2013): 374-9. doi:10.3109/03008207.2013.847096

Lempainen, Lasse, et al. "Uluvo lwengcaphephe: ukuxilongwa kunye nokunyangwa kwe-proximal hamstring tendinopathy." Izihlunu, imigqa, kunye nejenali yemisipha vol. 5,1 23-8. 27 Matshi 2015

Mattiussi, uGabriele, kunye noCarlos Moreno. "Unyango lwe-hamstring ehambelana ne-tendinopathy enxulumene ne-sciatic nerve entrapment: umboniso we-ultrasound ekhokelwa yi-"Intratissue Percutaneous Electrolysis" isicelo. Izihlunu, imigqa, kunye nejenali yemisipha vol. 6,2 248-252. 17 Septemba 2016, doi:10.11138/mltj/2016.6.2.248

Ono, T et al. "Uqikelelo lwamandla okuqina kwizihlunu ze-hamstring ngexesha lokubaleka komhlaba." Ijenali yeHlabathi yezamayeza ezemidlalo vol. 36,2 (2015): 163-8. doi:10.1055/s-0034-1385865

White, uKristin E. Ijenali yamayeza e-chiropractic vol. 3 (10,2): 2011-93. doi:9/j.jcm.10.1016

UWilson, uThomas J et al. "I-Sciatic Nerve Injury Emva kwe-Proximal Hamstring Avulsion kunye nokulungiswa." Ijenali yamathambo ezemidlalo vol. 5,7 2325967117713685. 3 Jul. 2017, doi:10.1177/2325967117713685