Ubuhlungu Bokubuyisela
Iqela leChiropractic leChiropractic eNgemva eNgemva. Ngaphezulu kwe-80% yabemi babandezeleka ngenxa yentlungu emva kwexesha elithile ebomini babo. Uninzi lweemeko zinokudityaniswa nezona zizathu zixhaphakileyo: ubunzima bemisipha, ukulimala, okanye ukusetyenziswa kakubi. Kodwa inokuthi ifakwe kwimeko ethile yomqolo: i-Herniated Disc, i-Degenerative Disc Disease, i-Spondylolisthesis, i-Spinal Stenosis, kunye ne-Osteoarthritis. Iimeko eziqhelekileyo ezingaphantsi kwe-sacroiliac ukungasebenzi kakuhle, izicubu zomgogodla, i-fibromyalgia, kunye ne-piriformis syndrome.
Ubuhlungu bubangelwa ngumonakalo okanye ukulimala kwimisipha kunye nemigqa yomqolo. UDkt Alex Jimenez uqulunqe amanqaku achaza ukubaluleka kokuqonda izizathu kunye nemiphumo yolu phawu olungathandekiyo. I-Chiropractic igxile ekubuyiseleni amandla omntu kunye nokuguquguquka ekuncedeni ukuphucula iimpawu zentlungu ephantsi.
by UGqr Alex Jimenez Chiropractic , Ubuhlungu Bokubuyisela
Individuals may discover a lump, bump, or nodule under the skin around their lower back, hips, and sacrum that can cause pain by compressing nerves and damaging the fascia. Can knowing the conditions linked to them and their symptoms help healthcare providers determine a correct diagnosis and develop an effective treatment plan for experiencing?
Painful Bumps, Nodules Around Low Back, Hips, and Sacrum
Painful masses in and around the hips, the sacrum , and the lower back are lumps of fat or lipomas, fibrous tissue, or other types of nodules that move when pressed on. Some healthcare providers and chiropractors, in particular, use the non-medical term back mice (In 1937, the term was used to describe lumps associated with episacroiliac lipoma) to describe the bumps. Some healthcare professionals argue against calling the masses mice because it is not specific and could lead to misdiagnoses or incorrect treatment.
Most show up in the lower back and hip area.
In some cases, they protrude or herniate through the lumbodorsal fascia or the network of connective tissue that covers the deep muscles of the lower and middle back.
Other lumps can develop in the tissue under the skin.
Today, many conditions are associated with back mice lumps, including:
Iliac crest pain syndrome
Multifidus triangle syndrome
Lumbar fascial fat herniation
Lumbosacral (sacrum) fat herniation
Episacral lipoma
Iimeko ezinxulumeneyo
Iliac Crest Pain Syndrome
Also known as iliolumbar syndrome, iliac crest pain syndrome develops when a tear in the ligament occurs.
The ligament band connects the fourth and fifth lumbar vertebrae with the ilium on the same side. (Dąbrowski, K. Ciszek, B. 2023 )
Izizathu zibandakanyiwe :Tearing the ligament from repeated bending and twisting.
Trauma or fracture of the ilium bone caused by a fall or vehicle collision accident.
Multifidus Triangle Syndrome
Multifidus triangle syndrome develops when the multifidus muscles along the spine weaken and diminish function or ability.
These muscles can atrophy, and intramuscular fatty tissue can replace the muscle.
Atrophied muscles decrease the spine’s stability and can cause lower back pain. (Seyedhoseinpoor, T. et al., 2022 )
Lumbar Facial Fat Herniation
The lumbodorsal fascia is a thin fibrous membrane covering the back’s deep muscles.
Lumbar fascial fat herniation is a painful mass of fat that protrudes or herniates through the membrane, gets trapped and inflamed, and causes pain.
The causes of this type of herniation are currently unknown.
Lumbosacral (Sacrum) Fat Herniation
Lumbosacral describes where the lumbar spine meets the sacrum.
Lumbosacral fat herniation is a painful mass like lumbar facial herniation in a different location around the sacrum.
The causes of this type of herniation are currently unknown.
Episacral Lipoma
Episacral lipoma is a small painful nodule under the skin that primarily develops over the top outer edges of the pelvic bone. These lumps occur when a portion of the dorsal fat pad protrudes through a tear in the thoracodorsal fascia, the connective tissue that helps hold the back muscles in place. (Erdem, H. R. et al., 2013 ) A healthcare provider may refer an individual to an orthopedist or orthopedic surgeon for this lipoma. An individual may also find pain relief from a massage therapist familiar with the condition. (Erdem, H. R. et al., 2013 )
iimpawu
Back lumps can often be seen under the skin. They are typically tender to the touch and can make sitting in a chair or lying on the back difficult, as they often appear on the hip bones and sacroiliac region. (Bicket, M. C. et al., 2016 ) The nodules may:
Be firm or tight.
Have an elastic feel.
Move under the skin when pressed.
Cause intense, severe pain.
The pain results from pressure on the lump, which compresses the nerves.
Damage to the underlying fascia can also cause pain symptoms.
Ukuqondwa
Some individuals do not realize they have nodules or lumps until pressure is applied. Chiropractors and massage therapists often find them during treatments but do not diagnose the abnormal fatty growth. The chiropractor or massage therapist will refer the patient to a qualified dermatologist or medical professional who can perform imaging studies and a biopsy. Determining what the lumps are can be challenging because they are non-specific. Healthcare providers sometimes diagnose the nodules by injecting them with a local anesthetic. (Bicket, M. C. et al., 2016 )
Ukuxilongwa ngokungafani
The fatty deposits can be any number of things, and the same applies to the sources of nerve pain. A healthcare provider may further diagnose by ruling out other causes, which can include:
Sebaceous Cysts
A benign, fluid-filled capsule between the layers of skin.
Subcutaneous Abscess
A collection of pus beneath the skin.
Usually painful.
It can become inflamed.
Sciatica
Radiating nerve pain down one or both legs that is caused by a herniated disc, bone spur, or spasming muscles in the lower back.
Liposarcoma
Malignant tumors can sometimes appear as fatty growths in the muscles.
Liposarcoma is typically diagnosed by biopsy, where some tissue is removed from the nodule and examined for cancer cells. (Johns Hopkins Medicine. 2024)
An MRI or CT scan may also be performed to determine the exact location of the nodule.
Painful lipomas are also associated with fibromyalgia.
impatho
Back nodules are usually benign, so there’s no reason to remove them unless they’re causing pain or mobility problems (American Academy of Orthopedic Surgeons: OrthoInfo. 2023 ). However, they should be examined to make sure they are not cancerous. Treatment usually involves injected anesthetics, such as lidocaine or corticosteroids, as well as over-the-counter pain relievers like NSAIDs.
Ukuhlinzwa
If pain is severe, surgical removal may be recommended. This involves cutting out the mass and repairing the fascia for lasting relief. However, removal may not be recommended if there are many nodules, as some individuals can have hundreds. Liposuction may be effective if the lumps are smaller, more extensive, and comprise more fluid. (American Family Physician. 2002 ) Complications of surgical removal can include:
Scarring
Ukunyakaza
Ukungalingani kwesikhumba
Sulelo
Complementary and Alternative Treatment
Complimentary and Alternative Medicine treatments like acupuncture, dry needling, and spinal manipulation can help. Many chiropractors believe back nodules can be successfully treated with complementary and alternative therapies. A common approach uses acupuncture and spinal manipulation in combination. A case study reported that anesthetic injections followed by dry needling, which is similar to acupuncture, improved pain relief. (Bicket, M. C. et al., 2016 )
Injury Medical Chiropractic and Functional Medicine Clinic specializes in progressive therapies and functional rehabilitation procedures focused on restoring normal body functions after trauma and soft tissue injuries and the complete recovery process. Our areas of practice include Wellness & Nutrition, Chronic Pain, Personal Injury, Auto Accident Care, Work Injuries, Back Injury, Low Back Pain, Neck Pain, Migraine Headaches, Sports Injuries, Severe Sciatica, Scoliosis, Complex Herniated Discs, Fibromyalgia, Chronic Pain, Complex Injuries, Stress Management, Functional Medicine Treatments, and in-scope care protocols. If the individual requires other treatment, they will be referred to a clinic or physician best suited for their condition, as Dr. Jimenez has teamed with the top surgeons, clinical specialists, medical researchers, therapists, trainers, and premiere rehabilitation providers.
Ngaphaya koMphezulu
VIDEO
Ucaphulo
Dąbrowski, K., & Ciszek, B. (2023). Anatomy and morphology of iliolumbar ligament. Surgical and radiologic anatomy : SRA, 45(2), 169–173. doi.org/10.1007/s00276-022-03070-y
Seyedhoseinpoor, T., Taghipour, M., Dadgoo, M., Sanjari, M. A., Takamjani, I. E., Kazemnejad, A., Khoshamooz, Y., & Hides, J. (2022). Alteration of lumbar muscle morphology and composition in relation to low back pain: a systematic review and meta-analysis. The spine journal : official journal of the North American Spine Society, 22(4), 660–676. doi.org/10.1016/j.spinee.2021.10.018
Erdem, H. R., Nacır, B., Özeri, Z., & Karagöz, A. (2013). Episakral lipoma: Bel ağrısının tedavi edilebilir bir nedeni [Episacral lipoma: a treatable cause of low back pain]. Agri : Agri (Algoloji) Dernegi’nin Yayin organidir = The journal of the Turkish Society of Algology, 25(2), 83–86. doi.org/10.5505/agri.2013.63626
Bicket, M. C., Simmons, C., & Zheng, Y. (2016). The Best-Laid Plans of “Back Mice” and Men: A Case Report and Literature Review of Episacroiliac Lipoma. Pain physician, 19(3), 181–188.
Johns Hopkins Medicine. (2024). Liposarcoma. www.hopkinsmedicine.org/health/conditions-and-diseases/sarcoma/liposarcoma
American Academy of Orthopedic Surgeons: OrthoInfo. (2023). Lipoma. orthoinfo.aaos.org/en/diseases–conditions/lipoma
American Family Physician. (2002). Lipoma excision. American Family Physician, 65(5), 901-905. www.aafp.org/pubs/afp/issues/2002/0301/p901.html
by UGqr Alex Jimenez IiOthotics zeenyawo , Ubuhlungu Bokubuyisela
Izihlangu zinokubangela iintlungu ezisezantsi kunye neengxaki kwabanye abantu. Ngaba ukuqonda unxibelelwano phakathi kweengxaki zezihlangu kunye neengxaki zasemva kunokunceda abantu bafumane izihlangu ezifanelekileyo zokugcina impilo yangasemva kunye nokuphelisa iintlungu?
Isihlangu Umva Intlungu
Umqolo unika amandla emisebenzi yomzimba. Ubuhlungu obungasemva buchaphazela ubomi bemihla ngemihla kwaye bunokuba nezizathu ezahlukeneyo. Ukuma okungahambi kakuhle, ukuhamba, ukujija, ukujika, ukugoba, kunye nokufikelela kunokufaka isandla kwiingxaki zomqolo ezibangela intlungu. Ngokutsho kweCDC, i-39% yabantu abadala babika ukuba baphila ngentlungu emva (Amaziko oLawulo lweSifo kunye nokuThintela, i-2019 ). Izihlangu ezingafanelekanga nazo zinokuba negalelo kwiintlungu zomqolo. Ukukhetha izicathulo ngononophelo kunokunceda ukuzisa intlungu kunye nokunceda ukugcina impilo yomgogodla. Abantu ngabanye banokunandipha iintlungu ezincinci kunye nokulawula iimpawu ngokukhetha izicathulo ezigcina ukulungelelaniswa komgogodla kunye nokukhusela iinyawo kwimpembelelo engathandekiyo.
Ukuqonda i-Back Pain-Footwear Connection
Izihlangu ezingafanelekanga zinokuba ngunobangela weentlungu ezisezantsi. Yintoni echaphazela amathambo asezantsi kwenkqubo ye-neuromusculoskeletal ephuma phezulu kwaye ichaphazela umqolo kunye nezihlunu zangasemva. Ziziphi izihlangu ezisetyenzisiweyo zihamba phezulu, zichaphazela ukuhamba, ukuma, ukulungelelaniswa komgogodla, kunye nokunye. Xa iingxaki zangasemva zivela ezinyaweni, le yimiba ye-biomechanical. I-Biomechanics ithetha indlela amathambo, amalungu, kunye nezihlunu ezisebenzisana ngayo kunye nendlela utshintsho lwamandla angaphandle oluchaphazela ngayo umzimba.
intshukumo
Xa iinyawo zichaphazela umhlaba, ziziphelo zokuqala zokufunxa umothuko wonke umzimba. Abantu ngabanye baya kuqala ukuhamba ngokwahlukileyo ukuba unengxaki okanye utshintsho ezinyaweni zabo. Ukugqoka izicathulo ezinenkxaso engafanelekanga kunokunyusa ukunxiba kunye nokukrazula kwimisipha kunye namalungu, okukhokelela ekuhambeni okungahambi kakuhle kunye nokungaqhelekanga. Umzekelo, qwalasela umahluko phakathi kokuma kwiitiptoes kwizithende eziphakamileyo kunye nesimo sendalo esisicaba. Izihlangu ezigcinwe kakuhle zinceda ukufunxa impembelelo kunye nokunciphisa ukuvakalelwa kweentlungu. Uxinzelelo kwindawo nganye ye-joint shift balance, ebangela iingxaki zokungazinzi kunye noxinzelelo oluncinci kwabanye nangaphezulu kwabanye. Oku kudala ukungalingani okukhokelela kwiintlungu kunye neemeko ezidibeneyo.
Iimpawu
Ukugcina i-posture enempilo enye into ekuthinteleni okanye ekunciphiseni iintlungu zangasemva. Ngezihlangu ezifanelekileyo, umzimba unokugcina isimo esinempilo kunye ne-curvature efanelekileyo kuwo wonke umqolo, kwaye inceda ukusabalalisa ubunzima ngokulinganayo. Oku kubangela ukunciphisa uxinzelelo kwiigaments, izihlunu, kunye namalungu. (UPapasho lwezeMpilo lwaseHarvard. 2014 ) Kucetyiswa ukuba ubone ugqirha wamathambo ukuze ufike kwingcambu yemeko yomntu. Kwabanye, i-disc ye-herniated, i-sciatica, i-automobile collision, ukuwa, i-ergonomics engafanelekanga, okanye idibaniso, kunye neminye imiba ephantsi, ingaba negalelo kwintlungu yabo yangasemva.
Izihlangu ezahlukahlukeneyo zichaphazela njani ukuma, okunokubangela okanye ukukhulula intlungu yomqolo.
Izihlangu eziphezulu
Izithende eziphakamileyo ngokuqinisekileyo zinokufaka isandla kwiintlungu zangasemva. Batshintsha ukuma komzimba, kubangela umphumo we-domino kumqolo. Ubunzima bomzimba butshintshelwa ukwandisa uxinzelelo kwiibhola zeenyawo, kwaye ukulungelelaniswa komqolo kuya kuguqulwa. Izithende eziphakamileyo zichaphazela indlela ama-ankle, amadolo, kunye neenqumlo ezihamba ngayo xa uhamba, ukulinganisela, kunye nendlela imisipha yangemuva esebenza ngayo, yonke into enokuthi ibangele intlungu emva.
Flat Shoes
Izicathulo zeFlat azinakuba yiyona nto ikhethekileyo kwimpilo yomgogodla. Ukuba abanayo inkxaso ye-arch, banokubangela ukuba unyawo luqengqeleke ngaphakathi, olubizwa ngokuba yi-pronation. Oku kunokubangela ukungahambi kakuhle, okunokuthi kugxininise amadolo, ama-hips, kunye nomqolo ophantsi. Nangona kunjalo, banokuba lukhetho olufanelekileyo ukuba babonelela ngenkxaso ye-arch. Xa ugqoke izicathulo ezinqamlekileyo kunye nenkxaso enempilo, ubunzima busasazwa ngokulinganayo kwiinyawo kunye nomqolo. Oku kunceda ukugcina ukuma okuchanekileyo, okunokukunceda ukukhusela kunye / okanye ukunciphisa intlungu emva.
Izihlangu, iTennis, kunye nezihlangu zeembaleki
Izihlangu, tennis, kunye izihlangu zembaleki inokuphelisa iintlungu zomqolo ngokucokisa ngokucokisekileyo kunye nenkxaso. Ukukhetha ezifanelekileyo kuquka ukumisela umsebenzi oza kwenziwa kuzo. Kukho intenetya, ukubaleka, ibhola yomnyazi, ibhola ekhatywayo, izihlangu zokutyibiliza, nokunye. Phanda ngeempawu eziya kufuneka kumdlalo okanye umsebenzi. Oku kunokubandakanya:
Iikomityi zesithende
I-insole cushioning
Isiseko esibanzi
Ezinye iimpawu ukuhlangabezana neemfuno zonyawo lomntu.
Kunconywa ukuba izicathulo zezemidlalo zitshintshwe yonke i-300 ukuya kwii-500 zeekhilomitha zokuhamba okanye ukugijima okanye kunye naziphi na iimpawu zokungalingani xa zibekwe kwindawo ethe tyaba, njengoko iintambo ezigugileyo kunye nezinto ezithotyiweyo zinokunyusa umngcipheko wokulimala kunye neentlungu zangasemva. (I-American Academy ye-Podiatric Sports Medicine, ngo-2024 ). Ukuba isibini esithile sibeka imilenze, isinqe, okanye amaqatha kwindawo engeyoyamvelo okanye sithintela ukushukuma rhoqo, kusenokuba lixesha lokuwabuyisela.
Ukukhetha izihlangu eziLungileyo
Isisombululo esifanelekileyo sokukhetha ukugqoka izicathulo kukufumana uhlalutyo lwe-gait kunye nokuhlaziywa kwendlela ohamba ngayo kunye nokuqhuba. Iingcali ezahlukeneyo zezempilo zinokubonelela ngale nkonzo ukulungisa ukhangelo lomntu ngamnye kwizihlangu ezifanelekileyo kwiintlungu zangasemva. Kuhlalutyo lokuhamba, abantu bayacelwa ukuba babaleke kwaye bahambe, ngamanye amaxesha kwikhamera, ngelixa ingcali iphawula ukuthambekela komzimba, njengaxa unyawo lubetha emhlabeni nokuba luqengqelekela ngaphakathi okanye ngaphandle. Oku kunika idatha kwi-posture echaphazelekayo, ukunyakaza, amanqanaba eentlungu, ingakanani inkxaso ye-arch efunekayo, kunye noluphi uhlobo lokugqoka ukunceda ukukhusela intlungu emva. Emva kokuba uhlalutyo lugqityiwe, luya kukukhokela malunga nokuba ukhangele ntoni, njengokuthi yeyiphi inqanaba lenkxaso ye-arch, ukuphakama kwesithende, okanye izinto ezilungele wena.
I-Chiropractic yezoNyango ze-Chiropractic kunye ne-Functional Medicine Clinic igxile kwiinkqubo zonyango eziqhubekayo, ezinqamlekileyo kunye neenkqubo zokuvuselela ezisebenzayo ezijoliswe kwi-physiology yeklinikhi, impilo epheleleyo, uqeqesho olusebenzayo lwamandla, kunye nokulungiswa okupheleleyo. Sigxila ekubuyiseleni imisebenzi eqhelekileyo yomzimba emva kokwenzakala kunye nokulimala kwezicubu ezithambileyo. Sisebenzisa iiProtocol zeChiropractic eziKhethekileyo, iiNkqubo zeNtlalontle, iZondlo eziSebenzayo kunye nezidibeneyo, i-Agility kunye nokuhamba koQeqesho loQeqesho lokuQinisekisa, kunye neeNkqubo zoBuyiselo kuyo yonke iminyaka. Iinkqubo zethu zezendalo kwaye zisebenzisa amandla omzimba ukufezekisa iinjongo ezilinganisiweyo ezithile kunokwazisa iikhemikhali eziyingozi, ukutshintshwa kwehomoni ephikisanayo, utyando olungafunwayo, okanye iziyobisi ezikhobokisayo. Siye sasebenzisana noogqirha bedolophu, oogqirha, abanyangi, kunye nabaqeqeshi ukuba babonelele ngonyango oluphezulu oluxhobisa izigulane zethu ukugcina eyona ndlela iphilileyo yokuphila kwaye siphile ubomi obusebenzayo obunamandla, isimo sengqondo esifanelekileyo, ukulala okungcono, kunye neentlungu ezincinci. .
Iinzuzo zokusebenzisa i-Custom Foot Orthotics
VIDEO
Ucaphulo
Amaziko oLawulo noThintelo lweZifo. (2019). Umva, umlenze ongezantsi, kunye neentlungu eziphezulu phakathi kwabantu abadala base-US, 2019. Ifunyenwe kwi www.cdc.gov/nchs/products/databriefs/db415.htm
UPapasho lwezeMpilo lwaseHarvard. (2014). Ukuma kunye nempilo yomqolo. Imfundo yezeMpilo yaseHarvard. www.health.harvard.edu/pain/posture-and-back-health
I-American Academy ye-Podiatric Sports Medicine. Ayne Furman, DF, AAPSM. (2024). Ndazi njani xa ilixesha lokutshintsha izihlangu zam zembaleki?
by UGqr Alex Jimenez Umqolo obuhlungu , Chiropractic , Ubuhlungu obungapheliyo , Ubuhlungu Bokubuyisela , Unyango lokuthotywa koMnqonqo , Unyango , I-Viscerosomatic Reflex
Ngaba abantu abane-lumbar spinal stenosis banokusebenzisa i-spinal decompression ukunciphisa iintlungu ezisezantsi kunye nokubuyisela ukuhamba?
intshayelelo
Abantu abaninzi kwihlabathi jikelele baye bajongana neentlungu ezisezantsi ngaxa lithile ebomini babo eziye zachaphazela ukuhamba kwabo kwaye zachaphazela indlela yabo yesiqhelo. Izinto ezininzi zokusingqongileyo zingakhokelela ekuphuhlisweni kweentlungu ezisezantsi, njengokuphakanyiswa okungafanelekanga, ukungahambi kakuhle, ukulimala okubuhlungu, kunye neengozi ezinokuchaphazela imisipha ejikelezileyo, intambo yomgogodla kunye neengcambu zemithambo-luvo. Xa oku kusenzeka, kunokukhokelela kwi-lumbar spinal stenosis kwaye kubangele ukugqithiswa kweeprofayili zomngcipheko ezihambelana neentlungu ezisezantsi. Xa abantu bejongene ne-lumbar spinal stenosis, banokucinga ukuba intlungu yabo iphantsi. Ukuza kuthi ga ngoku, abantu abaninzi bafuna unyango ukuba bangagcini nje ukunciphisa intlungu ephantsi kodwa banciphise nemiphumo ye-lumbar spinal stenosis. Olunye unyango, olufana nokuthotywa komqolo, olulunyango olungasebenzisi utyando, lunokunceda ukubuyisela ukuhamba emzimbeni. Inqaku lanamhlanje lijonga indlela i-lumbar spinal stenosis echaphazela ngayo umva ophantsi kunye nokuxilongwa kwayo ngelixa ijonga indlela ukuchithwa komgogodla kunokubonelela ngayo umntu kwaye ibe neenzuzo ezintle ekubuyiseleni ukuhamba. Sithetha nababoneleli bezonyango abaqinisekisiweyo abadibanisa ulwazi lwezigulane zethu ukuvavanya indlela i-lumbar spinal stenosis ehambelana ngayo neentlungu ezisezantsi, ezibangela imiba yokuhamba. Sikwazisa kwaye sikhokela izigulane malunga nendlela i-spinal decompression yindlela egqwesileyo yonyango enokuthi idibaniswe nolunye unyango. Sikhuthaza izigulane zethu ukuba zibuze ababoneleli babo bezonyango abahambelanayo nemibuzo ebalulekileyo malunga nokubandakanya unyango lwe-decompression ukukhulula imiphumo yentlungu ebangelwa yi-lumbar stenosis ngelixa ukunciphisa imiphumo yeentlungu ezigqithisiweyo njengeentlungu ezisezantsi zokubuyisela ukuhamba komntu. UDkt Jimenez, DC, uquka olu lwazi njengenkonzo yezemfundo. isikhanyeli .
Indlela iLumbar Spinal Stenosis echaphazela ngayo umqolo osezantsi
Ngaba uziva ukuntyiloza ngasemva kwemilenze yakho echaphazela ukukwazi kwakho ukuhambahamba? Okanye ngaba umqolo wakho osezantsi uziva uphantsi kancinci kunokuba ubuqhele ukwenza? Xa abantu abaninzi beva iintlungu ezisezantsi ngexesha lokuphila kwabo, zinokuhlala zihambelana ne-lumbar spinal stenosis. I-Lumbar spinal stenosis ngokuqhelekileyo iyenzeka xa i-spinal canal kwi-back back iyancipha, ekhokelela kwiinguqu eziguqukayo. Xa umgudu womgogodla uqala ukucutheka kumqolo, unokubangela ukungoneliseki okukhulu, uphazamise imisebenzi yemihla ngemihla, kwaye unokubangela ukukhubazeka okuqhubekayo kubantu abaninzi. ( Munakomi et al., 2024 ) Iimpawu ezibangelwa yi-lumbar spinal stenosis zivela kwi-mild to severe, kwaye zeziphi iimeko zendalo ezihambelana nomcimbi. Ngelo xesha, i-lumbar spinal stenosis ibonakala ngeempawu ezinjengeentlungu ezisezantsi ezinokubangela utshintsho lwe-spondylotic olubangela intlungu ephantsi enokuthi ichaphazele kakubi umgangatho wobomi bomntu. ( Ogon et al., 2022 ) Oku kubangela ukuba abantu abaninzi baye koogqirha babo bokuqala ukuze bafumane ukuxilongwa kwaye bafunde indlela yokulawula intlungu ehambelana ne-lumbar spinal stenosis.
Ukuxilongwa kweLumbar Spinal Stenosis
Xa kuziwa ekuxilongeni i-lumbar spinal stenosis, abaninzi ababoneleli bezempilo baya kubandakanya uvavanyo olubanzi, olubandakanya ukuhlolwa ngokomzimba ukuze ubone indlela ehamba ngayo umva womntu kunye nokuhlolwa kwe-imaging njenge-MRIs kunye ne-CT scans ukuze babone umgudu womgogodla kunye nokuvavanya ubungakanani bomqolo. ukunciphisa okubangela intlungu kwiindawo ezisezantsi. Oku kungenxa yokuba xa abantu bejongana ne-lumbar spinal stenosis, inokubonakalisa nge-neurogenic claudication kwiindawo ezisezantsi, ngakumbi xa umntu emile okanye ehleli. Intlungu iyancipha xa isikhundla sabo sitshintshwa. ( Sobanski et al., 2023 ) Ukongezelela, i-lumbar spinal stenosis yenye yezona zinto zixhaphakileyo zokuxilongwa kwezifo zomgudu apho uninzi lwabasebenzi bezempilo bavavanya kwaye bavavanya. Xa kukho ukucutha kwi-spinal canal, ekhokelela ekuphuhlisweni kwe-lumbar spinal, ukunyakaza okulula njengokuhamba kunokunyusa iimpawu kwiindawo ezisezantsi kunye nokwandisa i-oksijini kwiimbilini zomgogodla, ezinokuthi zigqithise ukuhamba kwegazi okukhoyo ukuya kwiindawo ezisezantsi. ( I-Deer et al., ngo-2019 ) Ukuza kuthi ga ngelo xesha, unyango olufana ne-spinal decompression lunokunceda ukunciphisa iintlungu ezisezantsi ezinxulumene ne-lumbar spinal stenosis.
Indlela engeyiyo Utyando kwiMpilo-Video
VIDEO
Indlela yokuNceda ngokuSebenzisa ukuthotywa koMnqonqo
Xa kuziwa kubantu abafumana iintlungu ezibangelwa yi-lumbar spinal stenosis, abantu abaninzi banokufuna unyango olungasebenzisi utyando olunje ngoxinzelelo lomqolo ukuthoba iintlungu ezisezantsi. Ukunyanzeliswa komgogodla kuye kwavela njengento engabonakaliyo, inketho yonyango olusebenzayo kwi-lumbar spinal stenosis. Isebenzisa ukutsalwa okuthambileyo komatshini kumqolo ukuze wolulwe, ukukhulula imithambo yomqolo ngokudala indawo eyongezelelekileyo ngaphakathi kumngxuma womqolo. Ukunyanzeliswa komgogodla kunciphisa inkqubo yokunciphisa ngelixa izihlunu ezijikelezileyo zoluliwe ngobumnene, kwaye ukuphakama kwe-spinal disc kuyanda ngenxa yoxinzelelo olubi. ( Kang et al., 2016 )
IiNzuzo zokuDodobala koMnqonqo kunye nokuBuyisela ukuHamba
Ukongezelela, i-traction ethambileyo evela kwi-spinal decompression inceda ukunyusa ukuhamba kwemveliso yezondlo kunye ne-oksijini ukubuyela kwiidiski zomgogodla ezichaphazelekayo kunye nomqolo ukukhuthaza indawo engcono yokuphilisa umzimba. Ekubeni ukunyanzeliswa komgogodla kunokudibaniswa nolunye unyango olungelulo utyando, njengonyango lomzimba kunye nokuguqulwa komgogodla, kunokubonelela ngemiphumo emihle ehlala ixesha elide kubantu abane-lumbar spinal stenosis. ( U-Ammendolia et al., ngo-2022 ) Ezinye zeziphumo eziluncedo zokudodobala komqolo ziquka:
Ukunciphisa intlungu ngokunciphisa uxinzelelo kwi-spinal nerves ukunciphisa intlungu kunye nokungahambi kakuhle kwiindawo ezisezantsi kakhulu. Ukuhamba okuphuculweyo kuvumela umntu ukuba abuyele kwimisebenzi yakhe yemihla ngemihla ngokulula.
Abantu abaninzi banokuzuza kwi-spinal decompression ukuze banciphise imiphumo ye-lumbar spinal stenosis kunye nokuhamba kwabo okuphantsi kubuyiselwe emva kweeseshoni ezilandelelanayo zokunciphisa amathuba okuba intlungu ibuye. Ngokucinga ngakumbi malunga nempilo kunye nokuphila kakuhle, abantu abaninzi banokwenza utshintsho oluncinci kwimisebenzi yabo ukunciphisa intlungu kwaye bahlale behamba ubomi babo bonke. Oku kubavumela ukuba babe nethemba lokubakhulula kwintlungu abebephantsi kwayo.
Ucaphulo
Ammendolia, C., Hofkirchner, C., Plener, J., Bussieres, A., Schneider, MJ, Young, JJ, Furlan, AD, Stuber, K., Ahmed, A., Cancelliere, C., Adeboyejo, A ., & Ornelas, J. (2022). Unyango olungasebenziyo lwe-lumbar spinal stenosis kunye ne-neurogenic claudication: ukuhlaziywa okucwangcisiweyo okuhlaziyiweyo. BMJ Open , 12 (1), e057724. doi.org/10.1136/bmjopen-2021-057724
Deer, T., Sayed, D., Michels, J., Josephson, Y., Li, S., & Calodney, AK (2019). Ukuphononongwa kweLumbar Spinal Stenosis kunye ne-Intermittent Neurogenic Claudication: Izifo kunye nokuxilongwa. Iintlungu Med , 20 (Isihlomelo 2), S32-S44. doi.org/10.1093/pm/pnz161
Kang, JI, Jeong, DK, & Choi, H. (2016). Impembelelo ye-spinal decompression kumsebenzi we-lumbar muscle kunye nokuphakama kwediski kwizigulane ezine-disk intervertebral disk. Ijenali yoNyango lwezeMpilo , 28 (11), 3125-3130. doi.org/10.1589/jpts.28.3125
Munakomi, S., Foris, LA, & Varacallo, M. (2024). I-Spinal Stenosis kunye ne-Neurogenic Claudication. Kwi StatPearls . www.ncbi.nlm.nih.gov/pubmed/28613622
Ogon, I., Teramoto, A., Takashima, H., Terashima, Y., Yoshimoto, M., Emori, M., Iba, K., Takebayashi, T., & Yamashita, T. (2022). Izinto ezinxulumene neentlungu ezisezantsi kwizigulane ezine-lumbar spinal stenosis: isifundo esinqamlezayo. I-BMC Musculoskelet Disord , 23 (1), 552. doi.org/10.1186/s12891-022-05483-7
Sobanski, D., Staszkiewicz, R., Stachura, M., Gadzielinski, M., & Grabarek, BO (2023). Ukunikezelwa, ukuxilongwa, kunye noLawulo lweentlungu ezisezantsi eziNxulunyaniswe ne-Spinal Stenosis: Ukuphononongwa okuBalisayo. Inyanga yezeMed , 29 , e939237. doi.org/10.12659/MSM.939237
isikhanyeli
by UGqr Alex Jimenez I-Hip Pain kunye nokuphazamiseka , Ubuhlungu Bokubuyisela
Kubantu abafumana ukungasebenzi kakuhle kwe-sacroiliac joint/SIJ kunye neentlungu, ngaba ukusebenzisa i-kinesiology tape kunokunceda ukuzisa isiqabu nokulawula iimpawu?
I-Kinesiology Tape ye-Sacroiliac Joint Pain
Isifo esisezantsi esiqhelekileyo ngexesha lokukhulelwa. Iintlungu zihlala kwelinye okanye kumacala omabini omva, ngaphezulu nje kweempundu, eziza kwaye zihamba kwaye zinokunciphisa amandla okugoba, ukuhlala, kunye nokwenza imisebenzi eyahlukeneyo yomzimba. (UMoayad Al-Subahi et al., 2017 ) I-tape yonyango inikeza inkxaso ngelixa ivumela ukunyakaza kwaye inokunceda ukuphatha nokulawula intlungu ye-sacroiliac / SIJ nge:
Ukunciphisa imisipha yezihlunu.
Ukuququzelela ukusebenza kwemisipha.
Ukwandisa ukujikeleza kwegazi ukuya kunye nokujikeleza indawo yentlungu.
Ukunciphisa amanqaku e-muscle trigger.
Indlela
Olunye uphononongo lufumene ukuba ukucofa ngokudibeneyo kwe-SI kunezibonelelo ezibandakanya:
Enye ithiyori inceda ukuphakamisa kunye nokubamba izicubu ezingaphezulu kwi-SI edibeneyo, enceda ukunciphisa uxinzelelo olujikeleze kuyo.
Enye ithiyori kukuba ukuphakamisa izicubu kunceda ukudala ukuhluka koxinzelelo phantsi kwe-tape, njengokunganyanzelwa kokuhlinzwa, okuvumela ukwanda kokujikeleza kwizicubu ezijikeleze i-sacroiliac joint.
Oku kukhukula indawo ngegazi kunye nezondlo, ukudala indawo ephilileyo yokuphilisa.
isicelo
Umxube we-sacroiliac kwicala lasekunene nasekhohlo lidibanisa i-pelvis kwi-sacrum okanye inxalenye ephantsi yomqolo. Ukusebenzisa i-kinesiology tape ngokuchanekileyo, fumana indawo esezantsi ngasemva ngaphakathi kwendawo ye-pelvic. (UFrancisco Selva et al., 2019 ) Cela uncedo kumhlobo okanye ilungu losapho ukuba awukwazi ukufikelela kwindawo leyo.
Sika imicu emithathu ye-tape, nganye i-4 ukuya kwi-intshi ezi-6 ubude.
Hlala esitulweni kwaye ugobe umzimba phambili kancinci.
Ukuba kukho umntu oncedisayo, unokuma kwaye ugobe phambili.
Susa i-lift-off strip embindini kwaye wolule i-tape ukuveza i-intshi ezininzi, ushiye iziphelo zigqunyiwe.
Faka iteyiphu eveziweyo kwi-engile phezu kwejoyini ye-SI, njengokwenza umgca wokuqala ka-X, entla nje kweempundu, ngokunwenwa ngokupheleleyo kwiteyiphu.
I-Peel i-lift-off strips ukusuka ekupheleni kwaye ubambelele kuyo ngaphandle kokwelula.
Phinda ulandele amanyathelo esicelo kunye nomgca wesibini, unamathele kwi-angle ye-45-degree ukuya kumgca wokuqala, wenze i-X phezu kwe-joint sacroiliac.
Phinda oku ngomcu wokugqibela ngokuthe tye ku-X owenziwe kwiziqwenga ezibini zokuqala.
Kufuneka kubekho ipateni yeteyipu yesimo seenkwenkwezi phezu kwe-joint sacroiliac.
I-kinesiology tape inokuhlala phezu kwe-joint sacroiliac iintsuku ezintathu ukuya ezintlanu.
Jonga iimpawu zokucaphuka kwiteyiphu.
Susa i-tape ukuba ulusu luyacaphuka, kwaye udibane nomboneleli wakho wezempilo oyintloko, umgqirha womzimba, okanye i-chiropractor kwezinye iindlela zonyango.
Abanye abantu abaneemeko ezithile kufuneka bakuphephe ukusebenzisa iteyiphu kwaye bafumane isiqinisekiso sokuba ikhuselekile.
Abantu abaneentlungu ezibuhlungu ze-sacroiliac apho ukuzilawula kungasebenzi kufuneka babone umboneleli wezempilo, ugqirha womzimba, kunye okanye i-chiropractor ukuze bavavanye kwaye bafunde ukuzivocavoca kunye nonyango. unyango ukunceda ukulawula imeko.
Sciatica Ngexesha lokukhulelwa
VIDEO
Ucaphulo
Al-Subahi, M., Alayat, M., Alshehri, MA, Helal, O., Alhasan, H., Alalawi, A., Takrouni, A., & Alfaqeh, A. (2017). Ukusebenza kongenelelo lwe-physiotherapy yokungasebenzi kakuhle kwe-sacroiliac: uphononongo olucwangcisiweyo. Ijenali yesayensi yonyango lomzimba, 29 (9), 1689-1694. doi.org/10.1589/jpts.29.1689
Do-Yun Shin kunye noJu-Young Heo. (2017). Iimpembelelo zeKinesiotaping eziFakelwe kwi-Erector Spinae kunye neSacroiliac Joint kwiLumbar Flexibility. Ijenali yoNyango loNyango lwaseKorea, 307-315. doi.org/https://doi.org/10.18857/jkpt.2017.29.6.307
Selva, F., Pardo, A., Aguado, X., Montava, I., Gil-Santos, L., & Barrios, C. (2019). Uphononongo lokuphindaphinda kwezicelo ze-kinesiology tape: ukuphononongwa, ukuthembeka kunye nokunyaniseka. I-BMC ye-musculoskeletal disorders, i-20 (1), i-153. doi.org/10.1186/s12891-019-2533-0
by UGqr Alex Jimenez Umqolo obuhlungu , Ubuhlungu obungapheliyo , Electroacupuncture Therapy , I-Gut ne-Intestinal Health , Ubuhlungu Bokubuyisela , Unyango , I-Viscerosomatic Reflex
Ngaba abantu abajongene nokudumba kwamathumbu banokukhululeka nge-electroacupuncture ukunciphisa iimpawu zeentlungu ezisezantsi kunye nokuphucula ukusebenza kwamathumbu?
intshayelelo
Xa kuziwa kumzimba, inkqubo yamathumbu inobudlelwane obunomdla kakhulu kumaqela ahlukeneyo omzimba. Inkqubo yamathumbu isebenza kunye ne-nervous central, i-immune, kunye ne-musculoskeletal systems njengoko inceda ukukhusela umzimba kwiibhaktheriya ezinobungozi ngelixa ilawula ukuvutha. Nangona kunjalo, xa izinto zokusingqongileyo ziqala ukuchaphazela umzimba kwaye zibangele inkqubo yamathumbu ukuba ihambe i-haywire, inokubangela imiba emininzi yeentlungu kunye nokungonwabi emzimbeni. Enye yeengxaki ezinokuchaphazela amathumbu yinkqubo ye-musculoskeletal, ebangela imiba yeentlungu zangasemva ezinxulumene nokudumba kwamathumbu. Nangona kunjalo, unyango oluninzi lunokunceda ukunciphisa iziphumo zokudumba kwamathumbu okubangela iintlungu zangasemva. Inqaku lanamhlanje lijonga uxhulumaniso lweentlungu ze-gut-back, indlela i-electroacupuncture enokuhlanganiswa ngayo njengonyango, kunye nendlela enokunciphisa ngayo ukuvuvukala. Sithetha nababoneleli bezonyango abaqinisekisiweyo abadibanisa ulwazi lwezigulane zethu ukuvavanya ukuba ukuvutha kwamathumbu kuyichaphazela njani imizimba yabo, kubangela intlungu emva. Siyazisa kwaye sikhokela izigulana malunga nendlela unyango lwe-electroacupuncture olunokunceda ngayo ukunciphisa iziphumo zokudumba ezibangela imiba yamathumbu kunye nomqolo kunye nokubuyisela ukusebenza kwamathumbu. Sikhuthaza abaguli bethu ukuba babuze ababoneleli bezonyango abanxulumene nabo imibuzo entsonkothileyo kunye nebalulekileyo malunga nokubandakanya iindlela ezahlukeneyo zonyango ezingezizo utyando ukunciphisa ukudumba kwamathumbu okuhambelana neentlungu zangasemva. UDkt Jimenez, DC, uquka olu lwazi njengenkonzo yezemfundo. isikhanyeli .
UQhagamshelwano Lwentlungu Engasemva Kwamathumbu
Ngaba uziva uqaqanjelwa sisihlunu okanye iintlungu emathunjini okanye emazantsi emqolo? Kuthekani ngokusasaza ubushushu kwiindawo ezahlukeneyo zomzimba wakho? Okanye ngaba uye wafumana naliphi na ixesha eliphantsi lamandla kulo lonke usuku lwakho? Ngelixa amathumbu aziwa njengengqondo yesibini kuba isebenza kunye namajoni omzimba, enye yeendima zawo ezibalulekileyo kukulawula amajoni omzimba. Oku kungenxa yokuba i-gut microbiome igcina iitriliyoni zeebhaktheriya zokwetyisa ukutya kunye nokukhusela umzimba kwiibhaktheriya ezimbi. Xa izinto zokusingqongileyo ziqala ukuchaphazela inkqubo yendalo ethambileyo yamathumbu, inokukhokelela amajoni omzimba ukuba asebenze kakhulu, abangele ukuba ii-cytokines ezikralayo zivelise ubuninzi, kwaye esi siphumo sinokuguquguquka kuwo wonke umzimba, ngaloo ndlela sibonakalise kwiimpawu ezahlukeneyo ezifana neentlungu kunye neemeko, kubandakanya. umqolo obuhlungu. Ekubeni ukuvuvukala kuyindlela yokuzikhusela yomzimba kukwenzakala okanye usulelo, kususa umcimbi oyingozi kwindawo echaphazelekayo kwaye inceda ukuphilisa. Ke xa i-cytokines evuthayo iqala ukuvelisa ubuninzi ngenxa yokudumba kwamathumbu, inokubeka esichengeni inkqubo yamathumbu, ivumela i-toxins kunye neebhaktheriya ukuba zingene egazini kwaye zihambe kwiindawo ezahlukeneyo zomzimba, zibangela intlungu. Ngoku, oku kungenxa yezinto ezahlukeneyo zokusingqongileyo ezikhokelela ekuphuhlisweni kweentlungu zangasemva. Xa iibhaktheriya ezinobungozi ezivela ekudumbeni ziqala ukubangela intlungu emva, ziyakwazi ukuzibophelela kwaye zichaphazele i-intervertebral disc homeostasis, ebangela ukuba isistim somzimba sokuzivikela sihlasele i-disc intervertebral kwaye sibangele intlungu emva. ( Yao et al., 2023 ) Oku kubangelwa ukudibanisa kwamathumbu kunye nomva ngokusebenzisa iindlela eziyinkimbinkimbi ze-nerve ezithumela ulwazi olusuka emathunjini ukuya ngasemva kunye nokunyuka kwengqondo.
Ke, xa ukuvuvukala kuqala ukubangela imiba emzimbeni, kunokukhokelela kwiingxaki ze-musculoskelet njengentlungu yomqolo. Ukuvuvukala kwamathumbu kunokubangela ukungalingani phakathi kokubunjwa kwe-symbiont kunye ne-pathobiont ukunciphisa ingqibelelo kunye nomsebenzi wezithintelo zamathumbu emathunjini, ukubangela intlungu, kunye nokwandisa iimolekyuli ezivuthayo. ( Ratna et al., 2023 ) Iamolekyu ezivuthayo zinokunyusa i-receptors yentlungu kunye noxinzelelo lwemisipha, ekhokelela ekubandezelekeni kunye nentlungu kwi-back back. Ngokuzenzekelayo, izinto zokusingqongileyo ezifana nokuma kakubi, ukungasebenzi komzimba, kunye nemikhwa engafanelekanga yokutya kunokubangela ukuba inkqubo yamathumbu ibangele ukudumba kwemisipha yangasemva. Xa kukho i-dysbiosis kwi-gut microbiota, iziphumo ezivuthayo zinokudibaniswa ngokungangqalanga kunye neentlungu ze-visceral kunye nokusebenza kwenkqubo ye-nervous central ukuguqula umzimba kwaye kubangele ukuba ube kwimeko eqhubekayo yokuvuvukala kwenkqubo engapheliyo ukubangela intlungu emva. ( UDekker Nitert et al., 2020 ). Nangona kunjalo, zininzi iindlela zonyango ezingasebenzisi utyando kunye neendlela ezigqibeleleyo zokunciphisa ukudumba kwamathumbu kunye nokuphelisa iintlungu zangasemva.
Ukudibanisa i-Electroacupuncture njengoNyango
Xa abantu besiva iintlungu ezingasemva ezinxulunyaniswa nokudumba kwamathumbu, baya kugqirha wabo wezempilo kwaye bachaze imeko. Ukunika unxibelelwano phakathi kokudumba kwamathumbu kunye neentlungu zangasemva, ngokujongana nezinto ezisingqongileyo ezibangela ezi profayili zomngcipheko zidlulayo, oogqirha abaninzi banokusebenzisana neengcali zeentlungu ukunciphisa zombini ukudumba kwamathumbu kunye neentlungu zangasemva. Iingcali zentlungu ezifana ne-chiropractors, acupuncturists, kunye nee-massage therapists zinokunceda ukomeleza izihlunu ezichaphazelekayo ezibangela intlungu yomqolo kwaye zibonelele ngeendlela ezipheleleyo ezifana ne-anti-inflammatory vitamins kunye nezongezo zokunciphisa ukudumba kwamathumbu. Olunye lolona nyango ludala olungazenziyo utyando olunokwenza zombini yi-electroacupuncture. I-Electroacupuncture idibanisa unyango lwendabuko lwaseTshayina kunye nobuchwepheshe bale mihla obusebenzisa ukuvuselela umbane kunye neenaliti ezincinci eziqinileyo eziza kufakwa kwi-acupoint yomzimba ukufumana i-qi okanye amandla. Yintoni eyenzayo le nto kukuba ibonelela ngokuvuselela umbane kunye nemiphumo yokuchasana nokudumba ukukhuthaza i-cholinergic reflexes emathunjini kunye ne-HPA axis. ( Yang et al., 2024 ) I-Electroacupuncture inokudibaniswa kunye nezinye iindlela zokwelapha ukunciphisa imiphumo evuthayo ehambelana neentlungu zentlungu.
I-Electroacupuncture ikwehlisa njani ukudumba kwamathumbu
Kuba i-electroacupuncture inokunciphisa ukudumba kwamathumbu okubangela iintlungu zangasemva, inokunceda ukulawula iintyatyambo zamathumbu ngokukhuthaza ukuhamba kwamathumbu kunye nokuthintela imiqondiso yeentlungu ekuchaphazeleni izihlunu zangasemva. ( I-et al., 2022 ) Oku kungenxa yokuba i-electroacupuncture inokunceda ukukhulula izihlunu ezixineneyo ezibangela iintlungu zomqolo. Ukongezelela, xa abantu besondela kolu nyango, luphantsi kolwalathiso lwee-acupuncturists abaqeqeshwe kakhulu abanokufaka iinaliti ngokuchanekileyo ngelixa belungiselela unyango lwe-electroacupuncture kwiimfuno ezithile kunye neentlungu zomntu. Kuba i-electroacupuncture inokudityaniswa nolunye unyango, inokunciphisa ngokufanelekileyo ubunzima bomzimba kwaye ibuyisele ukugaya kunye nokufunxa ukubumba i-gut microbiota. ( I-Xia et al., 2022 ) Oku kuvumela abantu ukuba benze utshintsho oluncinci kwindlela yabo kwaye bathintele ukudumba kwamathumbu ekuchaphazeleni umzimba kwaye kubangele iintlungu zomqolo. Banokuphucula umgangatho wobomi babo ngokubandakanya i-electroacupuncture njengenxalenye yempilo yabo kunye nempilo yonyango.
Ukuvula iiMfihlo zoKudumba-Ividiyo
VIDEO
Ucaphulo
An, J., Wang, L., Ingoma, S., Tian, L., Liu, Q., Mei, M., Li, W., & Liu, S. (2022). I-Electroacupuncture inciphisa i-glucose yegazi ngokulawula i-intestinal flora kuhlobo lwe-2 yeempuku zeswekile. J Isifo seswekile , 14 (10), 695-710. doi.org/10.1111/1753-0407.13323
Dekker Nitert, M., Mousa, A., Barrett, HL, Naderpoor, N., & de Courten, B. (2020). Ukubunjwa kweGut Microbiota okutshintshiweyo kunxulunyaniswa nentlungu yomqolo kuBantu abaBonelekileyo nabatyebileyo. Front Endocrinol (Lausanne) , 11 , 605. doi.org/10.3389/fendo.2020.00605
Ratna, HVK, Jeyaraman, M., Yadav, S., Jeyaraman, N., & Nallakumarasamy, A. (2023). Ngaba i-Dysbiotic Gut ibangela iintlungu ezisezantsi? Cureus , 15 (7), e42496. doi.org/10.7759/cureus.42496
Xia, X., Xie, Y., Gong, Y., Zhan, M., He, Y., Liang, X., Jin, Y., Yang, Y., & Ding, W. (2022). I-Electroacupuncture ikhuthaze i-intestinal defensins kwaye yahlangula i-dysbiotic cecal microbiota yeempuku ezityebileyo ezinamafutha aphezulu. Life Sci , 309 , 120961. doi.org/10.1016/j.lfs.2022.120961
Yang, Y., Pang, F., Zhou, M., Guo, X., Yang, Y., Qiu, W., Liao, C., Chen, Y., & Tang, C. (2024). I-Electroacupuncture iNciphisa iSifo sokuDumba kwiiMice eziObese ngokuSebenza i-Nrf2 / HO-1 Iindlela zokuSayina kunye noLungiso lweSithintelo samathumbu. Seswekile Metab Syndr Obes , 17 , 435-452. doi.org/10.2147/DMSO.S449112
Yao, B., Cai, Y., Wang, W., Deng, J., Zhao, L., Han, Z., & Wan, L. (2023). Umphumo weGut Microbiota kwiNkqubela ye-Intervertebral Disc Degeneration. Unyango lwe-Orthopedic , 15 (3), 858-867. doi.org/10.1111/os.13626
isikhanyeli
by UGqr Alex Jimenez Ubuhlungu Bokubuyisela , Umenzakalo owehle kwisiqu
Kubantu abafumana iintlungu ezisezantsi banokuqonda i-anatomy kunye nomsebenzi we-multifidus muscle uncedo ekuthinteleni ukulimala kunye nophuhliso lwesicwangciso sonyango esisebenza kakhulu?
Imisipha ye-Multifidus
Izihlunu ze-multifidus zide kwaye zincinci ngapha nangapha kwekholamu yomgogodla, enceda ukuzinzisa ummandla ophantsi womqolo okanye i-lumbar spine. (UMaryse Fortin, uLuciana Gazzi Macedo 2013 ) Ukuhlala kakhulu, ukwenza i-postures engafanelekanga, kunye nokungabikho kokunyakaza kunokuqhubela phambili kwi-multifidus muscle buthathaka okanye i-atrophy, enokubangela ukungazinzi komgogodla, ukunyanzeliswa kwe-vertebral kunye nentlungu emva. (UPaul W. Hodges, uLieven Danneels 2019 )
Anatomy
Eyaziwa ngokuba ngumaleko onzulu, ngumaleko ongaphakathi wemisipha emithathu yomqolo kwaye ilawula ukuhamba komqolo. Eminye imigangatho emibini, eyaziwa ngokuba yi-intrinsic kunye ne-superficial, inoxanduva lwe-thoracic cage / i-rib cage kunye nokunyakaza kwamagxa. (U-Anouk Agten et al., 2020 ) I-multifidus ineendawo zokuncamathela apha:
Umqolo wethoracic womqolo ophakathi.
I-lumbar spine yomqolo osezantsi.
Umqolo we-iliac - isiseko sethambo le-pelvis enephiko.
I-Sacrum - uchungechunge lwamathambo kwisiseko somqolo oxhunywe kwi-tailbone.
Xa umile okanye uhamba, i-multifidus muscle isebenza kunye ne-transversus abdominus kunye nemisipha ye-pelvic floor ukuzinzisa i-lumbar spine. (UChristine Lynders 2019 )
Umsebenzi Wezihlunu
Umsebenzi oyintloko kukuzinzisa umqolo ongaphantsi, kodwa unceda ukwandisa umqolo ophantsi xa ufikelela okanye ukolula. (UJennifer Padwal et al., 2020 ) Ngenxa yokuba i-muscle inamanqaku amaninzi okunamathisela kwaye isetyenziswa lisebe elithile leentsholongwane ezibizwa ngokuba yi-ramior yangasemva, ivumela i-vertebra nganye ukuba isebenze ngokuzimeleyo nangaphezulu.
Oku kukhusela ukuwohloka komgogodla kunye nokuphuhliswa kwe-arthritis. (UJeffrey J Hebert et al., 2015 )
Imisipha ye-multifidus isebenza kunye namanye amaqela amabini e-muscle anzulu ukuzinza kunye nokuhambisa umqolo. (UJeffrey J Hebert et al., 2015 )
Imisipha ye-rotatores yenza ukujikeleza kwe-unilateral, ukujika ukusuka kwelinye icala ukuya kwelinye, kunye nokwandiswa kwamacala amabini okanye ukugoba ngasemva naphambili.
Imisipha ye-semispinalis ngaphezu kwe-multifidus ivumela ukwandiswa kunye nokujikeleza kwentloko, intamo, kunye nomva ongaphezulu.
I-multifidus muscle iqinisekisa amandla omgogodla ngenxa yokuba inamanqaku amaninzi okunamathisela kumqolo kunezinye iindawo, ezinciphisa ukuguquguquka komgogodla kunye nokujikeleza kodwa kwandisa amandla kunye nokuzinza. (U-Anouk Agten et al., 2020 )
Ubuhlungu Bokubuyisela
I-multifidus muscle ebuthakathaka iphazamisa umqolo kwaye inika inkxaso encinci kwi-vertebra. Oku kongeza uxinzelelo kwiimisipha kunye nezicubu ezixhamlayo phakathi kunye nakufuphi nekholamu yomgogodla, ukwandisa umngcipheko weempawu zentlungu ephantsi. (UPaul W. Hodges, uLieven Danneels 2019 ) Ukulahlekelwa kwamandla emisipha kunye nokuzinza kunokubangela i-atrophy okanye ilahleko. Oku kunokubangela uxinzelelo kunye nezinye iingxaki zomqolo. (UPaul W. Hodges et al., 2015 Iingxaki zangasemva ezinxulumene nokuwohloka kwemisipha ye-multifidus zibandakanya (UPaul W. Hodges, uLieven Danneels 2019 )
Iidiski zeHerniated - nazo ziqhuma okanye zityibilikile iidiski.
I-nerve entrapment okanye i-compression pinched nerve.
Sciatica
Intlungu ekubhekiselwa kuyo - iintlungu zemithambo-luvo ezivela kumqolo ovakala kwezinye iindawo.
I-Osteoarthritis - i-arthritis yokunxiba kunye nokukrazula
I-Spinal osteophytes - i-bone spurs
Izihlunu ezibuthathaka zesisu okanye ze-pelvic zingaphazamisa undoqo, ukwandisa umngcipheko weentlungu ezingapheliyo ezisezantsi kunye nokulimala.
Abantu ngabanye banconywa ukuba badibane nonyango lomzimba kunye ne-chiropractor onokukunceda ukuphuhlisa ezifanelekileyo impatho , isicwangciso sokubuyisela, kunye nokomeleza ngokusekelwe kwiminyaka yobudala, ukulimala, iimeko eziphantsi, kunye nobuchule bomzimba.
Ngaba i-Core Exercises iNceda ngeeNhlungu zoBumva?
VIDEO
Ucaphulo
Fortin, M., & Macedo, LG (2013). I-Multifidus kunye neqela le-muscle ye-paraspinal ye-cross-sectional areas yezigulane ezineentlungu ezisezantsi kunye nokulawula izigulane: ukuphononongwa okucwangcisiweyo okugxininise ekungabonini. Unyango lomzimba, 93 (7), 873-888. doi.org/10.2522/ptj.20120457
Hodges, PW, & Danneels, L. (2019). Utshintsho kwiSakhiwo kunye noMsebenzi weMihlunu yangasemva kwintlungu esezantsi: Amanqaku ahlukeneyo exesha, ukuqwalaselwa, kunye neendlela. Ijenali yonyango lwamathambo kunye nezemidlalo, 49 (6), 464-476. doi.org/10.2519/jospt.2019.8827
Agten, A., Stevens, S., Verbrughe, J., Eijnde, BO, Timmermans, A., & Vandenabeele, F. (2020). I-lumbar multifidus ibonakala ngohlobo olukhulu lwe-I muscle fibers xa kuthelekiswa ne-erector spinae. I-Anatomy & cell biology, 53 (2), 143-150. doi.org/10.5115/acb.20.009
Lynders C. (2019). Indima ebalulekileyo yoPhuhliso lwe-Transversus Abdominis ekuThintelweni kunye noNyango lwe-Low Back Pain. Ijenali ye-HSS : ijenali ye-musculoskeletal yeSibhedlele soTyando oluKhethekileyo, 15(3), 214–220. doi.org/10.1007/s11420-019-09717-8
Padwal, J., Berry, DB, Hubbard, JC, Zlomislic, V., Allen, RT, Garfin, SR, Ward, SR, & Shahidi, B. (2020). Umahluko wengingqi phakathi kwe-surficial and deep lumbar multifidus kwizigulane ezine-chronic lumbar spine pathology. I-BMC ye-musculoskeletal disorders, i-21 (1), i-764. doi.org/10.1186/s12891-020-03791-4
Hebert, JJ, Koppenhaver, SL, Teyhen, DS, Walker, BF, & Fritz, JM (2015). Uvavanyo lomsebenzi we-lumbar multifidus muscle nge-palpation: ukuthembeka kunye nokunyaniseka kovavanyo olutsha lweklinikhi. Ijenali yomqolo : ijenali esemthethweni yeNorth American Spine Society, 15 (6), 1196-1202. doi.org/10.1016/j.spinee.2013.08.056
Hodges, PW, James, G., Blomster, L., Hall, L., Schmid, A., Shu, C., Little, C., & Melrose, J. (2015). Utshintsho lwe-Muscle ye-Multifidus Emva kokulimala kwe-Back ibonakaliswe ngokuHlaziywa kweSakhiwo se-Muscle, i-Adipose kunye ne-Connective Tissue, kodwa kungekhona i-Muscle Atrophy: Ubungqina be-Molecular and Morphological. Umqolo, 40 (14), 1057-1071. doi.org/10.1097/BRS.0000000000000972
by UGqr Alex Jimenez Umqolo obuhlungu , Ubuhlungu obungapheliyo , Electroacupuncture Therapy , Ubuhlungu Bokubuyisela , Unyango , I-Viscerosomatic Reflex
Ngaba abantu abaneentlungu ezisezantsi bangasebenzisa unyango lwe-electroacupuncture ukunciphisa iintlungu kunye nokubuyisela ukuhamba kwakhona emizimbeni yabo?
intshayelelo
Abantu abaninzi emhlabeni jikelele baye bajongana neentlungu ezisezantsi ezivela kwizinto ezininzi kunye nokulimala okubuhlungu okunokubangela iimpawu ezinjengeentlungu ezijikeleze i-spinal discs, imisipha, iigaments kunye neengcambu ze-nerve. Oku kungenxa yokuba umzimba uhamba ngeendlela eziphindaphindiweyo ezibangela ukuba izihlunu ezijikelezileyo kunye neegaments zigqithiswe kwaye ziqine, zikhulise iingcambu ze-nerve kwaye zibangele intlungu echazwe. Okanye ingaba ukulimala okubuhlungu okuchaphazela i-spinal discs kwingingqi ye-lumbar enokuthi ibe yi-herniated okanye i-degenerate ukuze ikhulise iingcambu ze-nerve kwaye iholele kwintlungu ephantsi. Kungakhathaliseki ukuba yintoni umphumo, intlungu ephantsi ye-back back yingxaki eqhelekileyo ye-musculoskelet, kwaye abantu abaninzi baya kufuna unyango lokunciphisa imiphumo efana nentlungu kunye nokunceda abantu abaninzi babuyiselwe ukuhamba kwabo. Inqaku lanamhlanje liphonononga ukuba kutheni iintlungu ezisezantsi zingumba wehlabathi jikelele, ukuba i-electroacupuncture ingakunceda njani ukuyinciphisa, kwaye ingaphinda ikwazi ukuphinda ishukume. Sithetha nababoneleli bezonyango abaqinisekisiweyo abadibanisa ulwazi lwezigulane zethu ukuze baqonde ngcono ukuba kutheni iintlungu ezisezantsi ziyingxaki emizimbeni yabo. Siyazisa kwaye sikhokela izigulana malunga nendlela unyango lwe-electroacupuncture olunokunceda ngayo ukunciphisa iintlungu ezisezantsi kunye noncedo nokubuyisela ukuhamba komzimba. Sikhuthaza izigulane zethu ukuba zibuze ababoneleli babo bezonyango abahambelanayo nemibuzo ebalulekileyo malunga nokunciphisa impembelelo yeentlungu ezisezantsi kunye nokufumana iindlela ezahlukeneyo zonyango ezibandakanya. UDkt Jimenez, DC, uquka olu lwazi njengenkonzo yezemfundo. isikhanyeli .
Kutheni iintlungu ezisezantsi zinguMba wehlabathi jikelele?
Ngaba uziva uqina kumqolo wakho ongaphantsi emva kokuthwala okanye ukuphakamisa into enzima? Ngaba uziva iintlungu ezikhuphayo ezihla ziye emilenzeni yakho? Okanye ngaba uziva izihlunu ezibuhlungu kumqolo wakho ongaphantsi ekubeni uzingelwe ixesha elide? Uninzi lwale miba efana nentlungu ihambelana nezinto ezisingqongileyo ezinokubangela ukuba umzimba uphuhlise iintlungu ezisezantsi. Xa kuziwa kwiintlungu ezisezantsi, ngumba wentlalo-qoqosho ochaphazela abantu abaninzi kwihlabathi liphela, ngakumbi abantu abasebenzayo. Xa abantu abaninzi besenza iintshukumo ezahlukeneyo okanye besenza imisebenzi, ezi ntshukumo zinokukhulula ngokuthe ngcembe imithambo kumqolo ongezantsi. Oku kubangela ukuba umzimba uqonde ukuba kukho into engalunganga kumqolo ongaphantsi kunye nezakhiwo ezibalulekileyo zomqolo, ngaloo ndlela uthatha ezinye iindlela zokugcina uzinzo lomqolo. ( I-Hauser et al., 2022 )
Ukongeza, uninzi lweempawu zentlungu ezisezantsi azicacanga, kwaye iintshukumo zokuphakamisa okunzima, ukugoba, ukujija, kunye nokungcangcazela komzimba wonke zizinto ezinobungozi bomsebenzi ezikhokelela ekuphuhliseni iintlungu ezisezantsi. ( Becker & Childress, 2019 ) Oku kubangela ukuba abantu abaninzi abaneentlungu ezisezantsi bajongane nomthwalo wokulahleka komsebenzi okanye ukubamba indlela yabo yemihla ngemihla. Xa oku kusenzeka, abantu abaninzi baqala ukufuna unyango lokunciphisa iimpawu ezibangelwa ziintlungu ezisezantsi.
Ukuvula isiqabu seentlungu-Ividiyo
VIDEO
I-Electroacupuncture ye-Low Back Pain
Xa kuziwa ekunciphiseni iintlungu ezisezantsi, abantu abaninzi baya kunyango olwahlukeneyo ukuze banciphise iintlungu kumqolo ongaphantsi kunye neempawu ezinxulumene nazo. Kungenxa yoko le nto unyango olungasebenzisi tyando olunje nge-electroacupuncture lunokunceda ukunciphisa iintlungu ezisezantsi kwaye luncede imilenze engezantsi iphinde ikwazi ukuhamba. I-Electroacupuncture yolunye uhlobo lwe-acupuncture esebenzisa ukuvuselela umbane kwii-acupoints zomzimba ukuvala iimpawu zentlungu. I-Electroacupuncture isetyenziswe ngokubanzi kwiingxaki ze-musculoskeletal disorders, kubandakanywa neentlungu ezisezantsi, njengoko zisetyenziswe njengendlela yokwelapha ukunciphisa ukusetyenziswa kwamayeza ngelixa iyindlela efanelekileyo xa idibene nezinye iindlela zonyango. ( Sung et al., 2021 )
Ukongezelela, i-electroacupuncture yenziwa ngabaqeqeshi abaqeqeshwe kakhulu kwaye, xa isetyenziselwa ukunyanga iintlungu ezisezantsi, ivumela ukuvuselela kwiindawo ezinkulu zomzimba ezijikeleze i-acupoint ukuvumela iiparitha ezibandakanya ubunzulu, ubude, kunye nokuphindaphinda ukwenzela ukuba intlungu ihambe. indawo eza kuchongwa ngabasebenzi bezempilo. ( UFrancescato Torres et al., 2019 ) I-Electroacupuncture inokunceda ukunciphisa intlungu kumqolo ongaphantsi kunye nokuxhasa abantu abaninzi ngeendlela ezahlukeneyo zokubuyisela ukuhamba. ( Kong, 2020 )
Electroacupuncture Ukubuyisela Ukuhamba
Xa ubuyisela ukuhamba komzimba kwiintlungu ezisezantsi, i-electroacupuncture inokubonelela ngemiphumo yonyango ngokuthintela iimpawu zentlungu, ezibangela ukuba umzimba ungashukumi, kwaye uvumele imisipha ukuba iphumule. ( Sheng et al., 2021 ) I-Electroacupuncture edibeneyo kunye nolunye unyango olufana nonyango lomzimba lunokunceda ukolula kunye nokuqinisa imisipha ejikelezayo yangasemva kunye nemigqaliselo yokunciphisa intlungu ephazamisayo echaphazela ukuhamba kunye nokwenza abantu abaninzi bakhumbule ukuba zeziphi iintshukumo ezibangela intlungu ephantsi. Xa abantu beqala ukwenza utshintsho oluncinci okanye olukhulu kwimpilo yabo kunye nokuphila kakuhle, baya kuqala ukuqaphela indlela abaziphatha ngayo ngelixa benqanda ukuphindaphinda okufanayo okubangela imiba yabo ephantsi kunye nokuphila ubomi obunempilo.
Ucaphulo
Becker, BA, & Childress, MA (2019). Intlungu eNgasemva eNgenaNspecific kunye nokuBuyela emsebenzini. Ugqirha wezeMerika waseMerika , 100 (11), 697-703. www.ncbi.nlm.nih.gov/pubmed/31790184
www.aafp.org/pubs/afp/issues/2019/1201/p697.pdf
Francescato Torres, S., Brandt de Macedo, AC, Dias Antunes, M., Merllin Batista de Souza, I., Dimitre Rodrigo Pereira Santos, F., de Sousa do Espirito Santo, A., Ribeiro Jacob, F., Torres Cruz, A., de Oliveira Januario, P., & Pasqual Marques, A. (2019). Iimpembelelo ze-electroacupuncture frequencies kwiintlungu ezingapheliyo ezisezantsi kubantu abadala: iimfama ezintathu, iinyanga ze-12 zeprotocol yesilingo esilawulwa ngokungahleliwe. Zilingo , 20 (1), 762. doi.org/10.1186/s13063-019-3813-6
Hauser, RA, Matias, D., Woznica, D., Rawlings, B., & Woldin, BA (2022). Ukungazinzi kweLumbar njenge-etiology yeentlungu ezisezantsi kunye nonyango lwayo ngeprolotherapy: Uphononongo. J Ngasemva Musculoskelet Rehabil , 35 (4), 701-712. doi.org/10.3233/BMR-210097
Kong, JT (2020). I-Electroacupuncture yokuNyanga iiNzululwazi eziNgaphantsi eziNgapheliyo: Iziphumo zoPhando lwangaphambili. Med Acupunct , 32 (6), 396-397. doi.org/10.1089/acu.2020.1495
Sheng, X., Yue, H., Zhang, Q., Chen, D., Qiu, W., Tang, J., Fan, T., Gu, J., Jiang, B., Qiu, M., & Chen, L. (2021). Ukusebenza kwe-electroacupuncture kwizigulane ezine-syndrome engaphumeleli yokuhlinzwa emva kokuhlinzwa: iprotocol yokufunda yovavanyo olulawulwa ngokungahleliwe. Zilingo , 22 (1), 702. doi.org/10.1186/s13063-021-05652-4
Sung, WS, Park, JR, Park, K., Youn, I., Yeum, HW, Kim, S., Choi, J., Cho, Y., Hong, Y., Park, Y., Kim, EJ , & Nam, D. (2021). Ukusebenza kunye nokhuseleko lwe-electroacupuncture kwiintlungu ezingapheliyo ezingapheliyo ezingapheliyo: iprotocol yokuhlolwa okucwangcisiweyo kunye / okanye uhlalutyo lwe-meta. Iyeza (Baltimore) , 100 (4), e24281. doi.org/10.1097/MD.0000000000024281
isikhanyeli
Iindidi zezihlangu kunye nempembelelo yazo ngasemva
Ukucofa amanyathelo:
