Amanqaku e-Middle Back Trigger: El Paso Back Clinic

Intlungu engasentla naphakathi/embindi-mva kunye/okanye iintlungu phakathi kwamagxa amagxa zixhaphakile kubantu abachitha ixesha elide behleli okanye bemile. Uxinzelelo, uxinzelelo, kunye neentshukumo eziphinda-phindayo kunokubangela ukuba amanqaku aphakathi ngasemva aphuhle. Iimpawu zenzeka naphi na ukusuka entanyeni ukuya emazantsi eembambo. Uphuhliso lwamanqaku e-Trigger kunye nokuphindaphinda kunokuba negalelo kwintlungu engapheliyo ephezulu kunye nephakathi. I-Chiropractic yezoNyango ze-Chiropractic kunye ne-Functional Medicine Clinic inokukhulula, ikhulule kwaye incede ukukhusela amanqaku okuqalisa ngokusebenzisa iindlela ezahlukeneyo zonyango kunye nezicwangciso zonyango.

Amanqaku okubangela umva ngasemva

Iimbambo zinamathele kwi-sternum kwaye zibambelele kwaye zijikeleze ngasemva. Iintlungu kunye neempawu zokuva ziyakwazi ukugqithisa kwezinye iindawo apho i-nerve ihamba khona ukuba i-nerve kule ndawo igxininiswe, inomsindo, okanye yenzakele. Amaqela emisipha yommandla wesifuba nawo anendima ebalulekileyo ekuphuhlisweni kwenqaku eliphakathi kwe-back trigger. Uxinzelelo kwizihlunu zesifuba lunomthwalo ogqithileyo kwizihlunu zommandla ophakathi ngasemva, okubangela ukuqina. Oku kwenzeka kubantu abakhupha i-trigger points kwi-middle-back muscles kodwa bayasilela ukujongana namanqaku e-trigger kwimisipha yesifuba, okubangela ukuvuselelwa okunokuthi kubangele ukulimala. Amaqela amathathu emisipha anokubangela iintlungu ezibuhlungu phakathi kwamagxa egxalaba ziquka:

• Iirhomboids
• Umbindi weTrapezius
• IPectoralis enkulu

I-Rhomboid Trigger Points phakathi kwamaGxala amagxa

• Iqela le-Rhomboid muscle lifumaneka kwingingqi ephakathi, phakathi kwamagxa.
• Ezi zihlunu zincamathela ecaleni komnqonqo kwaye zibaleke nge-diagonally ezantsi ukuze zidibanise ngaphakathi kwi-blade blade.
• I-contraction ibangela ukuba amagxa amagxa arhoxe kwaye ajikeleze.
• Amanqaku e-trigger abangela intlungu kuphela kummandla weqela le-muscle.
• Zinokubangela ukuthamba kwingingqi kunye ne inkqubo spinous okanye incam yamathambo ephuma kwilamina okanye inxalenye enokuviwa xa ubamba umqolo.
• Intlungu idla ngokuchazwa njengokutshisa.

Iimpawu zeRhomboid Trigger

• Uphawu oluxhaphakileyo kukuqaqamba okungaphaya phakathi kweencakuba zamagxa abantu abazama ukuzihlikihla ngeminwe ukuze bafumane isiqabu.
• Intlungu ebuhlungu inokwandisa ukuya phezulu kwindawo yegxalaba ngaphezu kwe-blade kunye nendawo yentamo.
• Abantu ngabanye banokuva okanye bazive ukukrazula kunye nokukrazula njengoko behambisa iincakuba zamagxa.
• Ukuma kwegxalaba elijikelezileyo kunye nentloko-phambili yokuzingela iphantse ihlale ikhona kubantu abanala manqaku okubangela.

I-Middle Trapezius Trigger Points

• I-trapezius liqela elikhulu, elifana nedayimane le-muscle elenza isiseko sentamo kunye nomva ongaphezulu.
• Ineendawo zokuncamathela ezantsi kokakayi, ecaleni komqolo, ikhola, kunye negxalaba.
• Xa le misipha idibanisa, ihambisa i-shoulder blade.
• Ukunyakaza kunokuchaphazela intamo kunye nommandla wentloko.
• Amanqaku e-trigger kwisiqingatha esiphakathi kwesi sihlunu sibhekisa kwiintlungu phakathi kwamagxa kunye nomqolo.
• Amanqaku e-Trigger akhula ngenxa yezizathu ezininzi, kubandakanywa nokungahambi kakuhle, uxinzelelo, ukulimala, ukuwa, kunye neendawo zokulala.
• Ukongezelela, ukunyanzeliswa kunye nokongeza amanqaku e-trigger kwimisipha yesifuba kunokulayisha ngaphezulu kwe-Trapezius muscle fibers, okubangela ukuphuhliswa kwenqaku le-trigger.

Iimpawu zeTrapezius

• Kunokuba nzima ukuhlukanisa intlungu kwi-trapezius ephakathi kunye ne-rhomboid trigger points.
• Intlungu ephakathi kwe-trapezius ingaba nefuthe elivuthayo kwaye lihlala lihamba phezu kwe-thoracic spine.
• Ukuthunyelwa kweentlungu kumqolo kunokusebenzisa amanqaku esibini e-trigger kwimisipha ejikelezileyo.

Pectoralis Major Trigger Points

• Iqela le-Pectoralis Major muscle yizihlunu ezinkulu, ezisicaba kwindawo ephezulu yesifuba.
• Isihlunu sinamacandelwana amane adibanayo ancamathela kwiimbambo, ikholabone, ithambo lesifuba, kunye nengalo engaphezulu egxalabeni.
• Iqela lezihlunu liyavumelana xa lityhala ngeengalo phambi komzimba kwaye lijikelezisa iingalo ngaphakathi ukuya esiqwini.
• Amanqaku e-Trigger angakhupha iimpawu zentlungu kwisifuba, igxalaba, kunye nemimandla yamabele.
• Ubundisholo kunye/okanye iintlungu zinokuphuma ngaphakathi engalweni naseminweni.
• Amanqaku e-Trigger kweli qela le-muscle angenza i-triggers kumqolo ongaphezulu, obangela iimpawu zentlungu phakathi kwamagxa ehlombe.

Iimpawu eziphambili zePectoralis

• Abantu ngabanye baya kuba neentlungu zesifuba, iintlungu zegxalaba ngaphambili, kunye neentlungu ezihamba phantsi ngaphakathi kwengalo ukuya engqinibeni.
• Ukuba iintlungu ezidluliselweyo zenzeka kwicala lasekhohlo lomntu, zinokufana neentlungu zentliziyo.
• Qhagamshelana nogqirha wezifo zentliziyo ukuze alawule ukubandakanyeka kwentliziyo phambi kokuba aphande ngamanqaku okubangela.
• Intlungu iya kuqala ukuvela kwelinye icala lesifuba kodwa inokusasazeka kwelinye njengoko iqinisa.
• Kwabaninzi, intlungu ibonwa kuphela ngokuhamba kweengalo kwaye ihamba okanye iyancipha ngokuphumla.
• Intlungu edibeneyo phakathi kwe-back-back, phakathi kwamagxa ehlombe, iyenzeka rhoqo.
• Kwabasetyhini, kunokubakho ubuntununtunu bengono kunye neentlungu ebeleni.
• Ibele linokwandiswa ngenxa yoxinzelelo olubangela ukonakala Ukudonsa amanzi kwi-lymphatic.

Unyango lweChiropractic

I-Chiropractors iphatha ii-syndromes zentlungu ye-myofascial ezifana ne-myofascial trigger points okanye ukubambelela ngeendlela ezahlukeneyo zonyango. I-chiropractor iya kufumana amanqaku okuqalisa ngokucinezela izicubu ze-muscle okanye ngokulawula imicu ye-muscle. Nje ukuba amanqaku e-trigger afunyenwe, unyango lunokubandakanya:

• Ukuhlawula.
• I-Percussive Massage.
• MET ubuchule.
• Iindlela zokukhutshwa kweMyofascial.
• Uxinzelelo olusetyenziswayo ukunciphisa intlungu ngokuthe ngcembe.
• Uxinzelelo oluthe ngqo kwindawo yokuqalisa.
• Uhlengahlengiso lweChiropractic.
• Ukolula okujoliswe kuko.
• Ukuncipha.
• Uqeqesho lwezempilo.

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Ukulwa nokudumba ngokwemvelo

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Ucaphulo

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Bethers, uAmber H et al. "Unyango lokukhupha isithuba kunye ne-massage yonyango inciphisa i-muscle trigger kunye namanqaku ethenda." Ijenali yoMzimba kunye nonyango lwentshukumo vol. 28 (2021): 264-270. doi:10.1016/j.jbmt.2021.07.005

Birinci, Tansu, et al. "Ukuzivocavoca okudityanisiweyo kunye nokunyanzeliswa kwe-ischemic kwi-pectoralis encinci ye-muscle kunye namanqaku aqalayo: i-single-blind-blind, randomized, controlled pilot trial." Unyango olongezelelweyo kwiklinikhi yokusebenza vol. 38 (2020): 101080. doi:10.1016/j.ctcp.2019.101080

Farrell C, Kiel J. Anatomy, Umva, i-Rhomboid Muscles. [Ihlaziywe ngo-2023 ngoMeyi 16]. Ku: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023 Jan-. Ifumaneka kwi: www.ncbi.nlm.nih.gov/books/NBK534856/

UGupta, uLokesh, kunye noShri Prakash Singh. "I-ultrasound-Guided Trigger Point Injection ye-Myofascial Trigger Points kwi-Subscapularis kunye ne-Pectoralis Muscles." Ijenali yezonyango Yonsei vol. 57,2 (2016): 538. doi:10.3349/ymj.2016.57.2.538

Moraska, uAlbert F et al. "Ukuphendula kwamanqaku e-Myofascial Trigger kwindawo enye kunye ne-Multiple Trigger Point Release Massages: Uvavanyo oluLawulwe ngokungacwangciswanga, olulawulwa yi-Placebo." Ijenali yaseMelika yeyeza lomzimba kunye noHlengahlengiso vol. 96,9 (2017): 639-645. doi:10.1097/PHM.0000000000000728

Sadria, Golnaz, et al. "Ukuthelekiswa kwempembelelo yokukhululwa okusebenzayo kunye nobuchule bamandla emisipha kwiindawo ezifihlakeleyo ze-trapezius." Ijenali yomsebenzi womzimba kunye nonyango lwentshukumo vol. 21,4 (2017): 920-925. doi:10.1016/j.jbmt.2016.10.005

Tiric-Campara, Merita, et al. "I-syndrome yokusetyenziswa ngokugqithiseleyo emsebenzini (izifo zobuchwepheshe): i-carpal tunnel syndrome, igxalaba lempuku, isifo sentlungu yomlomo wesibeleko." Acta informatica medica : AIM : ijenali yoMbutho weInformatics yezoNyango yaseBosnia & Herzegovina : casopis Drustva za medicinsku informatiku BiH vol. 22,5 (2014): 333-40. doi:10.5455/aim.2014.22.333-340