Imiba yokuHamba ye-Spinal Stenosis: El Paso Back Clinic

Imiba yokuHamba yeSpinal Stenosis: Stenosis kuthetha ukucutha. I-Spinal stenosis ingenzeka nakweyiphi na indawo yomqolo, kodwa intamo kunye nomqolo osezantsi zezona ndawo zixhaphakileyo. Umgudu womgogodla uba mxinwa kwaye unokubangela ukuba imithambo-luvo ixinzelelwe, icinezelwe, kwaye icaphuke kwaye inokusuka kwi-lumbar spine ngokusebenzisa i-hips, i-buttocks, imilenze kunye neenyawo. Abantu abane-lumbar spinal stenosis banokuba nobunzima bokuhamba okubangelwa yimvakalelo yokungakhululeki njengokundindisholo, ukothuka kombane, kunye neentlungu, ezifuna isidingo sokuya phambili ukuthomalalisa uxinzelelo kunye neempawu. Ukongeza, iimpawu ziya kuba mandundu ngakumbi xa uhamba ixesha elide. Unyango lwe-Chiropractic lunokunyanga i-spinal stenosis kuba ilungisa kwaye iphinde ilungelelanise umqolo, ngaloo ndlela inciphisa uxinzelelo kwintambo yomgogodla, amajoyina kunye neengcambu zentsholongwane.

Imiba yokuHamba yoMnqonqo Stenosis

Umnqonqo wenziwe ngamathambo adibeneyo. Imimandla yomlomo wesibeleko, i-thoracic, i-lumbar, kunye namathambo e-sacral ane- ukuvulwa kweforamen. Ezi zivulo zenza itonela yokukhusela / i-spinal canal ejikeleze intambo yomgogodla. Umnqonqo liqela lemithambo-luvo ehamba etoneleni. I ukucutha kucutha imithambo-luvo enikezela ngeendawo ezisezantsi oko kunokuchaphazela umsebenzi wokuhamba.

iimpawu

Kusenokubakho akukho zimpawu kunye ne-lumbar spinal stenosis yokuqala. Uninzi lwabantu luvelisa iimpawu ngokuthe ngcembe kwaye banokuqala ukuzibona ngelixa behamba okanye bemile. Oku kunokubandakanya:

• Umva wengcinezelo esezantsi xa umile okanye uhamba.
• Ukuba ndindisholo komlenze, ukuntlitheka, ubuthathaka, ukutshisa, kunye/okanye ukukrwitsha.
• Ubuthathaka bemisipha.
• Iintlungu eziqhubekayo kumqolo, ezinqeni, ezinqeni, okanye emilenzeni ngelixa uhamba.
• Ubunzima bokuphakamisa indawo ephezulu yonyawo - eyaziwa ngokuba yi-drop foot.
• Ukulahlekelwa yimvakalelo ezinyaweni.
• Unyawo olubuthathaka oluwisayo/oluqhwabayo xa uhamba.
• Ukuphelelwa ngamandla ngokwesondo.
• Kwiimeko ezinzima ngakumbi, ukuba ndindisholo okukhulu, iingxaki zesinyi, nokungakwazi ukuma.

Abantu ngabanye baqala ukuthembela phambili xa iimpawu ziqala, ukuzisa isiqabu ngokunciphisa uxinzelelo kwimithambo-luvo. Nangona kunjalo, ukuxhomekeka rhoqo phambili kukhokelela kwezinye iingxaki zempilo kunye nempilo.

Ukuqondwa

Ugqirha okanye i-chiropractor uya kubuza imibuzo malunga neempawu kunye nembali yonyango kwaye enze uviwo olupheleleyo lomzimba ukuxilonga i-lumbar spinal stenosis. Ngexesha lovavanyo lomzimba, umboneleli wezempilo uya kukhangela iimpawu, ezifana nokulahlekelwa yimvakalelo, ubuthathaka, kunye ne-reflexes engaqhelekanga.

Uvavanyo:

• X-ray I-lumbar spine ingabonisa ukukhula kwamathambo okubizwa ngokuba yi-spurs etyhala kwimithambo yomqolo kunye / okanye ukucutha komjelo womqolo.
• Iimvavanyo zokucinga - I-CT okanye i-MRI scan inokubonelela ngokujonga ngokucacileyo kwi-spinal canal kunye nezakhiwo ze-nerve.
• Olunye uphononongo lubandakanya - ukuskena amathambo, myelogram, eyi-CT scan esebenzisa idayi yombala, kunye EMG, oluluvavanyo lombane lomsebenzi wemisipha.

Unyango lweChiropractic

Ukhathalelo lweChiropractic oludityaniswe nonyango lomzimba lunyango oluzanywayo nolwenyani lwe-spinal stenosis. Isicwangciso sonyango lwe-chiropractic sinokubandakanya iinkqubo ezijoliswe kuzo kunye neenkqubo zokuzilolonga. Ukuzivocavoca okujoliswe kuko kubandakanya ukuqinisa undoqo kunye nezihlunu zangasemva. Unyango olungazenzisiyo lubandakanya unyango olushushu kunye olubandayo, i-massage, Uxinzelelo, kunye nokuvuselela kombane. Injongo yonyango lwe-chiropractic kuku:

• Yomeleza izihlunu kumbindi kunye nemilenze
• Ukuma okuchanekileyo kunye nokulungisa umzimba.
• Ukuphucula ukuhamba.
• Gcina ukukwazi ukwenza imisebenzi yemihla ngemihla.
• Ncoma ukunwebeka.
• Fundisa ngendlela yokugcina umqolo kunye nezihlunu zangasemva zikhuselekile.
• Qeqesha usebenzisa izixhobo ezifana nebrace yangasemva, intonga, okanye isihambi ngokufanelekileyo.
• Cebisa malunga nokufakwa kwezihlangu kunye nezikhonkwane.
• Cebisa umsebenzi kunye nokuguqulwa kwendawo yasekhaya, njenge-ergonomics kunye ne-cushions.

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Uncedo lweChiropractic

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Ucaphulo

Conway, Justin, et al. "Uvavanyo lokuhamba kubantu abane-lumbar spinal stenosis: amandla, ukusebenza, kunye neendlela zokuzibika." Ijenali yomqolo: ijenali esemthethweni yaseMntla American Spine Society vol. 11,9 (2011): 816-23. doi:10.1016/j.spinee.2010.10.019

ULurie, uJon, kunye noChristy Tomkins-Lane. "Ulawulo lwe-lumbar spinal stenosis." BMJ (uphando lwezonyango) vol. 352 h6234. 4 Jan. 2016, doi:10.1136/bmj.h6234

UMacedo, uLuciana Gazzi, et al. "Ungenelelo lonyango lonyango lokunciphisa i-lumbar spinal stenosis: ukuphononongwa ngokuchanekileyo." Unyango lomzimba vol. 93,12 (2013): 1646-60. doi:10.2522/ptj.20120379

Tomkins-Lane, Christy C et al. "Iziqikelelo zokusebenza kokuhamba kunye nomthamo wokuhamba kubantu abane-lumbar spinal stenosis, iintlungu ezisezantsi, kunye nokulawulwa kwe-asymptomatic." Oovimba bezonyango bomzimba kunye nokubuyisela kwisimo sangaphambili vol. 93,4 (2012): 647-53. doi:10.1016/j.apmr.2011.09.023