Iintlungu zeenyawo, i-Plantar Fasciitis, kunye ne-Trigger Point Pain

intshayelelo

Izihlunu ezahlukeneyo kunye neetoni ezijikeleze unyawo zidlala indima ebalulekileyo njengoko zibonelela ngokuzinza kwiindawo eziphantsi zomzimba kwaye zivumela umntu ukuba ahambe kwaye adibanise iinyawo zakhe. Ezi zihlunu ezahlukeneyo kunye neetoni zinceda ukuxhasa amaqatha kunye nokuvumela intshukumo yomlenze. Abantu abaninzi baya kuba bemi ngeenyawo rhoqo njengoko ihlabathi lihamba kwaye ngamanye amaxesha kufuneka bajongane nemiba eyahlukeneyo echaphazela ukukwazi kwabo ukuhamba. Njengoko umzimba ukhula ngokwendalo, abantu abaninzi baya kuqalisa ukushukuma iinyawo zabo, nto leyo ebangela uxinzelelo kwimisipha yonyawo kwaye inokuchaphazela amathole kunye nemilenze ngokuhamba kwexesha. Ukuza kuthi ga ngoku, kunokukhokelela kwiintlungu zeenyawo kunye nezinye iimeko ezinokuchaphazela umntu. Eminye imiba enokuchaphazela iinyawo kunye nemisipha yayo ingaba izicathulo ezingalunganga, ukuba zinjani emi, okanye indlela abahamba ngayo. Xa oku kusenzeka, iimeko ezifana fasciitis kunye ne-trigger point pain inokuchaphazela iinyawo ngokwahlukileyo. Inqaku lanamhlanje ligxile kwimisipha yonyawo lwangaphakathi, ukuba amanqaku e-trigger kunye ne-plantar fasciitis ehambelana njani neentlungu zonyawo, kunye nendlela yokomeleza imisipha yonyawo. Sithumela izigulane kubaboneleli abaqinisekisiweyo ababandakanya iindlela zobugcisa kunye nonyango kwiindawo eziphantsi zomzimba ezithintekayo ezichaphazela iinyawo. Oku kunceda abantu abaninzi abaneempawu zentlungu ehambelana ne-plantar fasciitis ecaleni kwemisipha yonyawo lwangaphakathi. Sikhuthaza kwaye siyasixabisa isigulana ngasinye ngokusithumela kubaboneleli bezonyango abanxulumeneyo ngokusekwe kuxilongo lwaso xa kufanelekile. Siyaqonda ukuba imfundo yindlela eyoyikekayo xa ubuza ababoneleli bethu imibuzo entsonkothileyo ngokwesicelo sesigulana kunye nokuqonda kwakhe. UDkt Alex Jimenez, DC, usebenzisa le ngcaciso kuphela njengenkonzo yemfundo. isikhanyeli

I-Superficial Intrinsic Foot Muscles

 

Njengoko kushiwo ngaphambili, unyawo lunezihlunu ezahlukeneyo kunye neetoni ezivumela ukuzinza kumaqatha kunye nokuvumela ukunyakaza xa umntu ehamba. Unyawo lunamaqela amabini emisipha: imisipha yangaphandle kunye nengaphakathi. Namhlanje siza kujonga izihlunu zeenyawo zangaphakathi kunye nokuba zibaluleke kangakanani ezi zihlunu ezinyaweni. Uphando lutyhila ukuba imisipha yonyawo lwangaphakathi ibaluleke kakhulu njengoko iqulethwe kunyawo kwaye inegalelo ekuxhaseni i-arch longitudinal medial. I izihlunu zonyawo lwangaphakathi ziphezulu kwaye zinceda ukugcina iinzwane zithe tye ngelixa zibonelela ngokuguquguquka kunye nokwandiswa xa zishukuma. I unyawo inemisipha emalunga ne-29, kuquka i-10 ejikeleze unyawo kunye ne-ankle, ngelixa enye i-19 ingaphakathi kwaye ibonelela ngeendima zokuhamba kunye nokuma. Izihlunu ze-19 zangaphakathi zinokulandelayo:

• Abductor Hallucis
• Isityalo seSquare
• UFlexor Hallucis Brevis
• Flexor Digitorum Brevis
• Abductor Digiti Minimi
• I-Flexor Digiti Minimi
• Izihlunu ze-Interossei
• IiLumbricals

Ezi zihlunu zivumela abantu ukuba bahambe, babaleke, okanye babaleke ngaphandle kweentlungu. Nangona kunjalo, xa imisipha yangaphakathi iphazamiseka, izifundo zityhila ukuba ukusebenza kwemisipha yonyawo lwangaphakathi kunokudityaniswa neemeko ezahlukeneyo zeenyawo ezichaphazela isakhono somntu sokuhamba.

 

Ingaba iintlungu zeenyawo zinxulumana njani nePlantar Fasciitis kunye namanqaku e-Trigger?

Uphando lutyhila ukuba intlungu yonyawo ingabangela ukungathandeki kweemvakalelo kunye namava okuvakalelwa njengoko izinto ezininzi zinokuchaphazela indlela umntu ahamba ngayo kwaye kunokukhokelela kwimibandela eyahlukeneyo echaphazela ukuhamba kweendawo ezisezantsi. Xa imiba emininzi ichaphazela indlela umntu ahamba ngayo, isihlunu sangaphakathi kunye nezinye izihlunu ezijikeleze i-ankle kunye nonyawo lunokuba nzima kwaye ludibanise nezinye iimeko zeenyawo. Nini intlungu yonyawo ichaphazela imisipha yonyawo lwangaphakathi, ukukhubazeka kwemisipha ekhoyo kunokuchaphazela ukulungelelaniswa, ukunyakaza, ukusabalalisa umthwalo, kunye nokusebenza kwemisipha ebandakanya imilenze. Xa ezi zithintelo zibangela intlungu yonyawo, inokuthi ihambelane namanqaku e-trigger kunye neemeko ezifana ne-plantar fasciitis enokuchaphazela umntu ohambayo. Kodwa ubuhlungu beenyawo budibana njani ne-plantar fasciitis kunye namanqaku okubangela?

 

Ngokutsho kukaDkt Travell, incwadi ye-MD ethi "Intlungu ye-Myofascial kunye ne-Dysfunction," xa uxinzelelo luqala ukugqithisa unyawo, izihlunu zangaphakathi ziphuhlisa ama-nodules amancinci kwi-fibers ye-muscle kunye nokunciphisa amandla emisipha ye-arch medial. Ukuza kuthi ga ngoku, inokudilika kwaye ibangele ukuba unyawo luphuhlise ukuvuvukala okuhambelana nezenzo eziphindaphindiweyo ezibangela i-plantar fasciitis ezinyaweni. Xa oku kusenzeka, kunokuchaphazela ukukwazi komntu ukuhamba, ukubaleka, ukuma, nokuchaphazela ukuhamba kweendawo ezisezantsi. Ukuba ayiphathwa ngokukhawuleza, inokubangela intlungu ye-muscle kunye ne-joint in the hips, imilenze, amadolo, kunye nomqolo ophantsi.

 

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Isishwankathelo sevidiyo ye-Intrinsic Foot Muscles

Ngaba ukhe wajongana nemiba ezinyaweni zakho? Ngaba ukufumanisa kunzima ukuhla okanye ukuhamba? Okanye ngaba ubuhlikihla iinyawo zakho rhoqo ukunciphisa ubuhlungu ezinyaweni zakho? Uninzi lwale miba lunxibelelana namanqaku e-trigger achaphazela izihlunu zeenyawo zangaphakathi ezinokubangela imiba yeenyawo njenge-plantar fasciitis. Unyawo lunezihlunu ezahlukeneyo, ezifana nezihlunu zangaphakathi, ezivumela ukuhamba nokuzinza komzimba. Izinto ezininzi ezichaphazela izihlunu zeenyawo zangaphakathi zingakhokelela ekungazinzini, ukunyanzeliswa kwemisipha, uxinzelelo lwe-tendon, kunye nentlungu kunye nentlungu edibeneyo. Oku kunokuchaphazela indlela umntu ahamba ngayo imini yonke kunye nomgangatho wobomi bakhe. Ividiyo engentla ichaza ukuba ziphi izihlunu ezahlukeneyo, zeziphi ezingaphandle kunye nezangaphakathi, kunye nendlela imisipha nganye inceda ngayo umsebenzi weenyawo. Xa imiba eyahlukeneyo iqala ukuchaphazela unyawo kwaye ibangele imiba yokuhamba, iindlela ezininzi zikhoyo zokunceda ukuqinisa imisipha yeenyawo kunye nokukhusela iingxaki ezizayo ekuchaphazeleni iinyawo.

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Ukomeleza iZihlunu zeNyawo

 

Ngokubhekiselele kwiintlungu ze-trigger point ezichaphazela izihlunu zonyawo lwangaphakathi, iindlela ezahlukeneyo zobuchule zinokunciphisa iimpawu ezinjengeentlungu ze-trigger points kwaye zithintele imiba yeenyawo njenge-plantar fasciitis ukuba iphinde yenzeke. Uphando lutyhila ukuba imithambo ekhaphukhaphu, engathwaliyo ubunzima njengokukhwela ibhayisekile kunye nokuqubha kunokunciphisa ukugcwala kwezihlunu ezinyaweni. Ezinye iindlela zokuqinisa imisipha yonyawo lwangaphakathi kukwelula i-toe flexors ukunceda ukuphucula ukuzinza kunye nokuthintela ukunyanzeliswa kweenyawo. Olunye ubugcisa obunokunciphisa amanqaku okuqalisa kwimicu yezihlunu zonyawo luquka ukusebenzisa into eyicylindrical okanye engqukuva kunye nokuqengqeleka phantsi kwee-arches ukuphulula nokukhulula izihlunu eziqinileyo. Uninzi lwezi ndlela zinokunceda ukubuyisela ukusebenza kweenyawo kunye nokuzinza ngelixa unciphisa imiba yexesha elizayo njenge-plantar fasciitis ezinyaweni. Ukuza kuthi ga ngoku, vumela abantu ukuba bahambe ngaphandle kweentlungu kwakhona.

 

isiphelo

Unyawo lunemisipha ye-29, kubandakanywa nezihlunu ezilishumi zangaphandle ezijikeleze unyawo kunye ne-ankle kunye ne-29 ye-intrinsic muscles ezinyaweni. Izihlunu zangaphakathi zibaluleke kakhulu ekusebenzeni kweenyawo njengoko zingaphezulu kwaye zinegalelo ekuxhaseni i-arch longitudinal medial. Izihlunu zeenyawo zangaphakathi zikwanceda ukugcina iinzwane zithe tye kwaye zivumele ukuguquka kunye nokwandiswa xa uhamba. Ezi zihlunu zikwanceda umntu ukuba ahambe kwaye azinzise iqatha. Xa izinto ezahlukahlukeneyo zichaphazela amandla okuhamba komntu, kunokukhokelela ekuxinzeni kwemisipha kunye noxinzelelo lwe-tendon ezinyaweni, ezikhokelela ekuphuhlisweni kwamanqaku e-trigger kwi-intrinsic muscle fibers kunye nokubangela intlungu. Oku kunokubangela iimeko zeenyawo ezifana ne-plantar fasciitis kunye nezinye iziphazamiso ze-muscle ezikhoyo ezinokuthi zichaphazele ukuhamba kwemilenze ephantsi ngelixa kubangela intlungu kunye neentlungu ezidibeneyo ezinqeni, imilenze, amadolo, kunye nomqolo ophantsi. Ngethamsanqa kukho iindlela ezikhoyo ezinokunceda ukuphulula, ukunweba, kunye nokomeleza izihlunu zeenyawo zangaphakathi ngelixa unciphisa amanqaku e-trigger kunye neempawu zabo ezinxulumene nokuvela kwakhona. Ukuza kuthi ga ngelo xesha, obu buchule bunokuvumela abantu abaninzi ukuba bahambe bengeva zintlungu.

 

Ucaphulo

Ikhadi, uRyan K, kunye noBruno Bordoni. "I-Anatomy, iBony Pelvis kunye neLungu elisezantsi, izihlunu zeenyawo." Ku: StatPearls [Internet]. Isiqithi saseTreasure (FL), iStatPearls Publishing, 27 Feb. 2022, www.ncbi.nlm.nih.gov/books/NBK539705/.

Gooding, uThomas M, et al. "I-Intrinsic Foot Muscle Activation ngexesha lokuzilolonga okuKhethekileyo: Uphononongo lwe-T2 yeXesha leMagnetic Resonance Imaging." Ijenali yoQeqesho lweeMbaleki, ILayibrari yeSizwe yezeMithi yase-US, Agasti 2016, www.ncbi.nlm.nih.gov/pmc/articles/PMC5094843/.

Hawke, Fiona, kunye noJoshua Burns. "Ukuqonda iNdalo kunye neMechanism yeentlungu zeenyawo." Ijenali yoPhando lweNyawo kunye ne-Ankle, ILayibrari yeSizwe yaMayeza yase-US, nge-14 Jan. 2009, www.ncbi.nlm.nih.gov/pmc/articles/PMC2631512/.

Hayter, Mat. Kutheni le nto sifuna izihlunu zangaphakathi zonyawo? [Isikhokelo 2022]. I-Dynamic Podiatry, 2022, www.dynamicpodiatry.com.au/what-are-the-intrinsic-muscles-of-the-foot-guide-2019/#intrinsic.

Lim, Ang Tee, et al. "Ulawulo lwe-Plantar Fasciitis kwindawo yokubeka izigulane ngaphandle." Ijenali yezoNyango yaseSingapore, ILayibrari yeSizwe yezeMithi yaseMelika, ngo-Epreli 2016, www.ncbi.nlm.nih.gov/pmc/articles/PMC4853481/.

Soysa, Achini, et al. "Ukubaluleka kunye nemiceli mngeni yokulinganisa amandla emisipha yeenyawo." Ijenali yoPhando lweNyawo kunye ne-Ankle, Ilayibrari yeSizwe yaseMelika yoNyango, nge-26 kaNovemba 2012, www.ncbi.nlm.nih.gov/pmc/articles/PMC3544647/.

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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