I-Piriformis Syndrome kunye ne-Myofascial Pain Syndrome

intshayelelo

The ummandla we-lumbar womqolo unezihlunu ezahlukeneyo kunye neengcambu zemithambo-luvo ezisebenza kunye neziphelo zomzimba ezisezantsi, njenge ikhefu, iimpundu, imilenze, amadolo, kunye neenyawo, ukuhamba kunye nomsebenzi wokuhamba. Izihlunu ezahlukahlukeneyo kummandla weempundu ziquka imisipha ye-gluteal. Banobudlelwane obuqhelekileyo kunye nezihlunu ze-hip njengoko besebenza kunye ukuhamba kwe-hip kunye nokumisa kuhamba kakuhle emzimbeni. Ezi zihlunu ezahlukahlukeneyo kunye neentsholongwane zibonelela ngomsebenzi we-sensory-motor ukuze imilenze ihambe kwaye ibonelele ukuhamba kwe-hip. I-piriformis yenye yezihlunu ezincedisa kwi-hip and buttock region. Xa le misipha isetyenziswe ngokugqithiseleyo, inokubangela imiba yokuhamba emilenzeni kwaye ichaphazele ukukwazi komntu ukuhamba. Inqaku lanamhlanje lijonga i-piriformis muscle, indlela amaphuzu e-trigger ahambelana ngayo ne-piriformis syndrome, kunye nendlela yokulawula i-piriformis syndrome ehambelana namanqaku okubangela. Sithumela izigulane kubaboneleli abaqinisekisiweyo ababandakanya iindlela ezininzi kwiindawo ezisezantsi zomzimba, njengentlungu ye-sciatic kunye ne-piriformis syndrome unyango oluhambelana namanqaku okuqalisa, ukunceda abantu abajongene neempawu zentlungu kunye ne-piriformis muscle. 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 iPiriformis Muscle?

Ngaba unengxaki yokuhamba ukusuka kwindawo ukuya kwenye? Ngaba uziva uxinene kwezihlunu ezinqeni okanye ezimpundu? Okanye ngaba ufumana iintlungu ezikhuphayo ezihamba emadolweni nasezinyaweni zakho? Ezi zimpawu zentlungu zihambelana namanqaku e-trigger achaphazela i-piriformis muscle. I piriformis sisihlunu esisicaba, esifana nepere, elinye lamaqela amathandathu amafutshane ajikelezayo kwizihlunu kummandla we-gluteal ezinqeni nasemathangeni. Amaqela emisipha ye-rotator aquka oku kulandelayo:

• Gemini
• Quadratus Femoris
• Obturator Internus
• Obturator yangaphandle

Le misipha ihambelana nemida yangasemva ye-gluteus medius kwaye inzulu kwi-gluteus maximus. Lo mzimba ubaluleke kakhulu kumzimba njengoko unikezela ukunyakaza komzimba ophantsi ngokuzinzisa i-joint hip kwaye unokuphakamisa nokujikeleza amathanga kude nomzimba. I imisipha ye-piriformis iphinde ijikeleze i-nerve ye-sciatic, njengoko le nzwa ende ihamba nzulu phantsi kwe-piriformis kwaye ingena kwingingqi ye-gluteal yangasemva. Xa umsipha we-piriformis usetyenziswa ngokugqithiseleyo okanye ubandezeleka ngenxa yezinto eziphazamisayo ezinxulumene nazo, zinokunyusa i-nerve ye-sciatic kwaye ide iphuhlise amaqhuqhuva amancinci aziwa ngokuba zii-trigger points, ezibangela imiba yokuhamba. 

Amanqaku e-Trigger aNxulunyaniswe nePiriformis Syndrome

Xa izinto ezingaqhelekanga zichaphazela imisipha ye-piriformis, ziyakwazi ukuphuhlisa zibe ngamanqaku e-trigger ahambelana ne-piriformis syndrome kwaye abangele imiba kwimimandla ye-pelvic kunye ne-hip yomzimba. Ngokutsho kukaDkt Janet G. Travell, MD, "Intlungu ye-Myofascial kunye nokungasebenzi," amanqaku aqalayo anokuthi asebenze xa ukunyanzeliswa okuphindaphindiweyo kuchaphazela i-piriformis muscle kwaye kubangela iimpawu zobuthathaka bemisipha kunye neentlungu ezinqeni. Oku kubangela imiba edibeneyo kwimisipha ejikelezileyo kunye ne-nerve ye-sciatic, okwenza ukuxilongwa kube nzima kumanqaku e-trigger. Uphando lutyhila oko kubangela iingongoma ezinxulumene nesifo se-piriformis kunokubangela ukuba i-muscle spasms okanye inkqubo yokuvuvukala ukucaphukisa i-nerve ye-sciatic enokuthi iboniswe njengefana ne-lumbar disk syndrome ngaphandle kokufunyanwa kwe-neurological. I-Trigger points ehambelana ne-piriformis syndrome inokulinganisa imiba engapheliyo njenge fibromyalgia. Nangona amanqaku e-trigger akhohlisayo ukukhomba uviwo olucokisekileyo, kukho iindlela ezahlukahlukeneyo zokunciphisa intlungu kunye nokukhusela amanqaku okubangela ukuchaphazela i-piriformis muscle ebangela intlungu ye-nerve ye-sciatic. 

I-Trigger Point yeVeki: I-Piriformis Muscle-Ividiyo

Ngaba ukhe wajongana neentlungu ze-sciatic nerve? Ngaba ukufumanisa kunzima ukuhamba ixeshana nje elifutshane? Okanye ngaba ujongene nokuthantamisa kwemisipha okanye ubuhlungu kwi-buttock okanye esinqeni sakho? Abantu abafumana ezi zimpawu banokujongana ne-piriformis syndrome ehambelana namanqaku e-trigger. I-piriformis yincinci, i-muscle efana ne-fan-shaped, enye yamaqela amathandathu amafutshane e-rotator muscle ancedisa ukuhamba kwe-hip kunye nethanga ngokuzinza. Izihlunu ze-piriformis nazo zijikeleze i-nerve ye-sciatic kwaye ziyakwazi ukutshatyalaliswa kwingozi. Xa imikhosi ephazamisayo ichaphazela i-hips kunye namathanga, i-piriformis muscle ivelisa ama-nodules aziwa ngokuba ngamanqaku e-trigger, ebangela ukuba i-muscle icaphukise i-nerve ye-sciatic kwaye ibangele intlungu emilenzeni. Ividiyo engentla ibonisa apho i-piriformis muscle ifumaneka khona kunye nendlela i-trigger points inokulinganisa ngayo intlungu ye-nerve ye-sciatic emlenzeni ngaphandle kokufunyanwa kwe-neurological. Uphando lutyhila loo manqaku aqalayo anokuba yintlukwano enqabileyo ye-anatomical enokuthi ihambelane ne-piriformis syndrome ehambelana ne-sciatica. Nangona kunjalo, kukho iindaba ezilungileyo, njengoko kukho iindlela zokulawula i-piriformis syndrome ehambelana namanqaku e-trigger.

Ukulawula iPiriformis Syndrome eNxulunyaniswe namanqaku e-Trigger

Iindlela ezahlukeneyo zobuchule zinokunceda ukulawula i-piriformis syndrome ehambelana namanqaku okuqalisa ukukhulula i-piriformis muscle. Uphando lutyhila ukuba i-Kinesio tape kwi-piriformis muscle inokunceda ukunciphisa intlungu kunye nokuphucula uluhlu lwabantu abaninzi be-hip joint motion. Ezinye iindlela ezifana nokwelula okanye i-massage ye-tissue enzulu inokunceda ukukhulula izihlunu eziqinileyo kunye nokunciphisa amanqaku okubangela ukuba enze i-piriformis. Kwiintlungu ze-sciatica ezinxulumene namanqaku e-trigger kunye ne-piriformis muscle, unyango lwe-decompression lunokunceda i-piriformis muscle ibeke uxinzelelo kwi-nerve ye-sciatic kunye nokunciphisa intlungu ebuhlungu. Ezi ndlela zobuchule zinokunceda ukuphucula ukuhamba ngokubambisana kwe-hip kunye nokwandisa uluhlu lokunyakaza ukuya ezinqeni kunye neendawo ezisezantsi.

isiphelo

I-piriformis sisihlunu esincinci esinika ukuhamba kwe-hip kunye nethanga. Esi sihlunu sincinci sijikeleze i-nerve ye-sciatic, enceda ukunika umsebenzi wemoto emilenzeni. Xa izinto ezibuhlungu zichaphazela i-piriformis muscle, inokuphuhlisa amanqaku e-trigger kwaye ibangele intlungu ye-sciatic ezinqeni. Oku kubangela imiba yokuhamba kunye neentlungu ezijikelezayo ezinqeni. Iintlobo ezahlukeneyo zonyango zibonelelwa ekuncedeni ukunciphisa amanqaku e-trigger kunye ne-piriformis muscle kunye nokunciphisa intlungu ye-nerve ye-sciatic ekubangeleni iingxaki ezininzi kwiinqumlo kunye nokuhamba kwemilenze.

Ucaphulo

Chang, uCarol, kunye nabanye. "I-Anatomy, iBony Pelvis kunye neLungu elisezantsi, iPiriformis Muscle." Ku: StatPearls [Internet]. Isiqithi saseTreasure (FL), Upapasho lwe-StatPearls, nge-3 Okt. 2022, www.ncbi.nlm.nih.gov/books/NBK519497/.

Pfeifer, T, kunye neWF Fitz. "[I-Piriformis Syndrome]." Zeitschrift Fur Orthopadie Und Ihre Grenzgebiete, ILayibrari yeSizwe ka-US yamayeza, 1989, yentshutshiso.ncbi.nlm.nih.gov/2618150/.

R;, Hashemirad F;Karimi N;Keshavarz. "Impembelelo ye-Kinesio Taping Technique kwi-Trigger Points ye-Piriformis Muscle." Umbhalo we-Bodywork and Movement Therapies, Ilayibrari yeSizwe yaMayeza yase-US, 8 Feb. 2016, yentshutshiso.ncbi.nlm.nih.gov/27814861/.

Ro, Tae Hoon, kunye noLance Edmonds. "Ukuxilongwa kunye noLawulo lwePiriformis Syndrome: I-Rare Anatomic Variant ehlalutywa yiMagnetic Resonance Imaging." Ijenali yeNzululwazi yoMfanekiso weKlinikhi, Medknow Publications & Media Pvt Ltd, 21 Feb. 2018, www.ncbi.nlm.nih.gov/pmc/articles/PMC5843966/.

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

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