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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.


Ukuphonononga indima ye-Thoracolumbar Fascia kwi-Back Pain

Ukuphonononga indima ye-Thoracolumbar Fascia kwi-Back Pain

Ngaba i-thoracolumbar fascia inokubangela okanye igalelo kwiintlungu ezisezantsi kunye nokuvuvukala?

Ukuphonononga indima ye-Thoracolumbar Fascia kwi-Back Pain

I-Thoracolumbar Fascia

I-tissue emva kwekholamu yomgogodla, ebekwe kumanqanaba amabini asezantsi kunye naphakathi, ixhunywe kwi-thoracolumbar fascia, ebizwa ngokuba yi-lumbodorsal fascia okanye i-LF. I-fascia sisihlunu esiqinileyo esigquma kwaye sixhasa zonke izihlunu zomzimba, amathambo, imisipha, iiligaments kunye namalungu. I-fascia iqulethe i-nociceptive nerve endings, eyaziwa ngokuba yi-nerve endings yamahhala, ephuma kwi-system ye-nervous central, oko kukuthi, ingqondo kunye nentambo yomgogodla, enokuthi ibe noxanduva lwezinye iintlobo zentlungu kunye nokuqina okubangelwa ukulimala okanye ukuvuvukala.

Anatomy

I-thoracolumbar fascia yohlulwe yangamacandelo amathathu:

  1. Umaleko ongemva okanye ongasemva.
  2. Umaleko ophakathi
  3. Umaleko wangaphambili okanye wangaphambili. (Willard, FH et al., 2012)

Uninzi lwemisipha yangemva inamathele kwi-thoracolumbar fascia. Iqela le-erector spinae muscle, elaziwa ngokuba yi-paraspinals, lihamba ixesha elide phantsi komqolo. Zifakwe kwi-thoracolumbar fascia kunye ne-bony spine. Inxalenye ye-lumbar ye-posterior layer ye-thoracolumbar fascia isuka kwintambo ephantsi ukuya phezulu kwithambo le-hip okanye i-iliac crest. Kwindlela efanayo, idibanisa ne-transverse abdominal muscle. Uxhumo lwe-thoracolumbar fascia lunceda ukudibanisa imisipha yangasemva kwimisipha yodonga lwesisu. I-latissimus dorsi, i-back muscle enkulu ethwala kwaye ihambisa ubunzima bomzimba ngeengalo kunye namagxa, iphinde idibaniswe ne-thoracolumbar fascia, kunye neentambo eziphuma ngaphandle kwi-fascia. Inxalenye engaphambili ye-thoracolumbar fascia, okanye i-anterior layer, igubungela isihlunu esibizwa ngokuba yi-quadratus lumborum. Esi sihlunu sigoba i-trunk ecaleni, inceda ukugcina i-posture enempilo, kwaye ihlala igxininisekile kwiintlungu ezisezantsi ezinxulumene nezihlunu.

Yintoni eyenziwa yiFascia

I-thoracolumbar fascia, ehlolwe ngasemva komzobo we-anatomical okanye umzobo, i-diamond-shaped. Ubume bayo, ubungakanani obukhulu, kunye nendawo esembindini iyibeka ngendlela ekhethekileyo ukudibanisa kunye nokulungelelanisa iintshukumo zomzimba ongasentla kunye nomzimba ongezantsi. Iintsinga ze-fascia zomelele kakhulu, zivumela i-tissue sheath ukuba iboleke inkxaso (Willard, FH et al., 2012). I-tissue nayo iguquguqukayo, ivumela ukuba incede ukujikeleza amandla okunyakaza kunye nokunyakaza kwe-contralateral njengoko i-back muscle contract kwaye iphumule. Umzekelo kukuhamba.

Umqolo obuhlungu

Izazinzulu kunye noogqirha abazi ngokuqinisekileyo, kodwa kunokwenzeka ukuba i-thoracolumbar fascia inokufaka isandla kwiintlungu ezisezantsi. Uphononongo lufumene ukuba i-fascia inokuvelisa iintlungu zangasemva ngokusekelwe kwi: (Wilke, J. et al., 2017)

  • Ukugcina i-micro-innjuries kunye / okanye ukuvuvukala, okuhlala kuhambelana, kunokubangela utshintsho lwesignali kwi-nerve endings kwi-fascia. Iziphelo zemithambo-luvo zifumana ulwazi kwiindawo ezingaphandle zomzimba, njengesikhumba kunye nenye i-fascia, kwaye ziyibuyisele kwinkqubo ye-nervous central. Ithiyori kukuba xa i-fascia isondele kwesikhumba yenzakala, yonakaliswe, kunye / okanye ixhaswa ngamachiza avuthayo kunye nezinto, idluliswa njengentlungu kunye nezinye iimvakalelo ezibuyela kwingqondo kunye nentambo yomgogodla.
  • Emva kokulimala komqolo, izicubu ziqinisa kwaye ziqine. Olunye uphononongo lwezigulane ezineentlungu zangemva ziphawule utshintsho kwi-thoracolumbar fascia yabo.
  • Ukulimala kudla ukuvuselela imithambo-luvo, nto leyo enokukhokelela ekwandeni kovakalelo.

I-Chiropractic yezoNyango zeChiropractic kunye ne-Functional Medicine Clinic igxininise kwaye iphatha ukulimala kunye neentlungu ezingapheliyo ngezicwangciso zokunakekelwa komntu eziphucula amandla ngokusebenzisa ukuguquguquka, ukuhamba, kunye neenkqubo zokunciphisa intlungu. Ababoneleli bethu basebenzisa indlela edibeneyo yokudala izicwangciso zokhathalelo lomntu ngamnye kwisigulane ngasinye, kubandakanywa ne-Functional Medicine, i-Acupuncture, Electro-Acupuncture, kunye nemigaqo yezoNyango zeMidlalo. Injongo yethu kukukhulula intlungu ngokwemvelo ngokubuyisela impilo kunye nokusebenza komzimba. Ukuba olunye unyango luyadingeka, uDkt Jimenez uye wadibanisa kunye noogqirha abaphezulu, iingcali zeklinikhi, abaphandi bezonyango, kunye nababoneleli bokubuyisela ukubonelela ngonyango olusebenzayo.


Sciatica, Iimbangela, Iimpawu, kunye neengcebiso


Ucaphulo

Willard, FH, Vleeming, A., Schuenke, MD, Danneels, L., & Schleip, R. (2012). I-thoracolumbar fascia: i-anatomy, umsebenzi kunye neengqwalasela zeklinikhi. Ijenali ye-anatomy, i-221 (6), i-507-536. doi.org/10.1111/j.1469-7580.2012.01511.x

UWilke, J., Schleip, R., Klingler, W., & Stecco, C. (2017). I-Lumbodorsal Fascia njengoMthombo onokuthi ube nguMthombo weentlungu ezisezantsi: ukuphononongwa kwenkcazo. Uphando lweBioMed lwamazwe ngamazwe, 2017, 5349620. doi.org/10.1155/2017/5349620

Ziimpuku zaBamva? Ukuqonda Amaqhuma Abuhlungu Ngasemva

Ziimpuku zaBamva? Ukuqonda Amaqhuma Abuhlungu Ngasemva

Abantu ngabanye banokufumanisa iqhuma, i-bump, okanye i-nodule phantsi kwesikhumba ejikeleze umqolo wabo ongezantsi, esinqeni, kunye ne-sacrum enokubangela intlungu ngokucinezela i-nerve kunye nokonakalisa i-fascia. Ngaba ukwazi iimeko ezidityaniswe nabo kunye neempawu zabo kunokunceda ababoneleli bezempilo bamisele uxilongo oluchanekileyo kwaye baphuhlise isicwangciso sonyango esisebenzayo kubo?

Ziimpuku zaBamva? Ukuqonda Amaqhuma Abuhlungu Ngasemva

Amaqhuqhuva abuhlungu, amaqhuqhuva ajikeleze ngasemva, iiHips, kunye neSacrum

Izihlwele ezibuhlungu ngaphakathi nasezinqeni ezijikeleze, i sacrum, yaye umqolo ongezantsi unamaqhuma anamafutha okanye ii<em>lipomas, ii<em>fibrous tissue, okanye ezinye iindidi zamaqhuqhuva ashukumayo xa ecinezelwe. Abanye ababoneleli bezempilo kunye nee-chiropractors, ngokukodwa, basebenzisa igama elingelona lezonyango iimpuku ezingasemva (Ngo-1937, eli gama lalisetyenziselwa ukuchaza amaqhuma ahambelana ne-episacroiliac lipoma) ukuchaza amaqhuma. Abanye abaqeqeshi bezempilo bayaphikisana ngokuchasene nokubiza iimpuku ezininzi kuba ayicacanga kwaye inokukhokelela ekuxilongeni kakubi okanye kunyango olungachanekanga.

  • Uninzi lubonakala kwindawo esezantsi kunye ne-hip.
  • Kwezinye iimeko, ziphuma okanye zikhuphe i-herniate nge-lumbodorsal fascia okanye inethiwekhi yezicubu ezidibeneyo ezigquma izihlunu ezinzulu zomqolo osezantsi kunye nombindi.
  • Amanye amaqhuma anokukhula kwithishu ephantsi kwesikhumba.

Namhlanje, iimeko ezininzi zinxulunyaniswa namaqhuma empuku, kubandakanya:

  • I-Iliac crest pain syndrome
  • I-Multifidus triangle syndrome
  • I-Lumbar fascial fat herniation
  • Lumbosacral (sacrum) i-fat herniation
  • Episacral lipoma

Iimeko ezinxulumeneyo

I-Iliac Crest Pain Syndrome

  • Eyaziwa nangokuthi i-iliolumbar syndrome, i-iliac crest pain syndrome ikhula xa ukukrazula kwi-ligament kwenzeka.
  • Ibhendi ye-ligament idibanisa i-vertebrae yesine neyesihlanu kunye ne-ilium kwicala elifanayo. (UDąbrowski, K. Ciszek, B. 2023)
  • Izizathu zibandakanyiwe:
  • Ukukrazula i-ligament ekugobeni ngokuphindaphindiweyo kunye nokujija.
  • Ukulimala okanye ukuphuka kwethambo ilium okubangelwa ukuwa okanye ingozi yemoto.

Multifidus Triangle Syndrome

  • I-Multifidus triangle syndrome ikhula xa imisipha ye-multifidus ecaleni komqolo iyancipha kwaye iyancipha umsebenzi okanye amandla.
  • Ezi zihlunu zinokuba ne-atrophy, kwaye izicubu ezinamafutha e-intramuscular zinokuthatha indawo yesihlunu.
  • Izihlunu ezineAtrophied zinciphisa ukuzinza komnqonqo kwaye zinokubangela iintlungu ezisezantsi. (Seyedhoseinpoor, T. et al., 2022)

Lumbar Facial Fat Herniation

  • I-lumbodorsal fascia yinwebu ebhityileyo ene-fibrous egquma izihlunu ezinzulu zomva.
  • I-Lumbar fascial fat herniation bubunzima obubuhlungu bamafutha aphuma okanye aphuma kwi-membrane, abanjwe kwaye adumbe, kwaye abangele intlungu.
  • Izizathu zolu hlobo lwe-herniation azikaziwa okwangoku.

Lumbosacral (Sacrum) I-Fat Herniation

  • I-Lumbosacral ichaza apho i-lumbar spine idibana ne-sacrum.
  • I-Lumbosacral fat herniation bubunzima obubuhlungu obufana ne-lumbar facial herniation kwindawo eyahlukileyo ejikeleze i-sacrum.
  • Izizathu zolu hlobo lwe-herniation azikaziwa okwangoku.

Episacral Lipoma

I-Episacral lipoma yiqhuqhuva elibuhlungu elincinane elingaphantsi kwesikhumba elithi liphuhle kuqala phezu kweencam eziphezulu zethambo le-pelvic. Ezi ziqhuma zenzeke xa inxalenye ye-dorsal fat pad iphuma ngokukrazula kwi-thoracodorsal fascia, i-tissue edibeneyo enceda ukubamba imisipha yangasemva. (Erdem, HR et al., 2013) Umboneleli wezempilo unokuthumela umntu kugqirha wamathambo okanye kugqirha wamathambo ukwenzela le lipoma. Umntu usenokufumana isiqabu kwiintlungu kwi-massage therapist eyaziyo imeko. (Erdem, HR et al., 2013)

iimpawu

Amaqhuma angasemva angabonwa rhoqo phantsi kwesikhumba. Ngokuqhelekileyo zithenda xa zibamba kwaye zinokwenza ukuhlala esitulweni okanye ukulala ngomqolo kube nzima, njengoko zihlala zivela kumathambo e-hip kunye nommandla we-sacroiliac. (Bicket, MC et al., 2016) Amaqhuqhuva anokuthi:

  • Qina okanye uqine.
  • Yiba nemvakalelo enwebekayo.
  • Hambisa phantsi kwesikhumba xa ucinezelekile.
  • Ibangela ubuhlungu obukhulu, ubuhlungu obukhulu.
  • Iintlungu zibangelwa kuxinzelelo kwintlama, ecinezela imithambo-luvo.
  • Umonakalo kwi-fascia engaphantsi kunokubangela iimpawu zentlungu.

Ukuqondwa

Abanye abantu abaqondi ukuba banamaqhuqhuva okanye amaqhuma de kufakwe uxinzelelo. I-Chiropractors kunye nee-massage therapists zihlala zibafumana ngexesha lonyango kodwa azixilonga ukukhula okungaqhelekanga kwamafutha. I-chiropractor okanye i-massage therapist iya kuthumela isigulane kwi-dermatologist eqeqeshiwe okanye ingcali yezonyango enokwenza izifundo ze-imaging kunye ne-biopsy. Ukufumanisa ukuba yintoni na amaqhuma kunokuba ngumceli mngeni ngenxa yokuba ayingqalanga. Ababoneleli bezempilo ngamanye amaxesha baxilonga amaqhuqhuva ngokuwatofa ngeyeza lokuthomalalisa lasekuhlaleni. (Bicket, MC et al., 2016)

Ukuxilongwa ngokungafani

I-fatty deposits ingaba nayiphi na inani lezinto, kwaye kuyafana nakwimithombo yentlungu ye-nerve. Umboneleli wezempilo unokuphinda axilonge ngokukhupha ezinye izizathu, ezinokubandakanya:

Izilonda zeSebaceous

  • I-capsule enobubele, ezaliswe lulwelo phakathi kwesikhumba.

Ithumba elingaphantsi kwesikhumba

  • Ingqokelela yobubovu phantsi kwesikhumba.
  • Ngokuqhelekileyo kubuhlungu.
  • Inokudumba.

Sciatica

  • Ukukhupha intlungu ye-nerve phantsi kwemilenze enye okanye yomibini ebangelwa yi-disc ye-herniated, i-bone spur, okanye i-spasming muscles kumqolo ophantsi.

Liposarcoma

  • Amathumba amabi ngamanye amaxesha anokuvela njengokukhula okunamafutha kwizihlunu.
  • I-Liposarcoma idla ngokufunyaniswa nge-biopsy, apho ezinye iithishu zisuswa kwiqhuqhuva kwaye zivavanyelwe iiseli zomhlaza. (Johns Hopkins Medicine. 2024)
  • I-MRI okanye i-CT scan nayo inokwenziwa ukufumanisa indawo echanekileyo yeqhuqhuva.
  • I-lipomas ezibuhlungu nazo zidibene ne-fibromyalgia.

impatho

Amaqhuqhuva angasemva aqhelekile, ngoko akukho sizathu sokuwasusa ngaphandle kokuba abangela intlungu okanye iingxaki zokuhamba (I-Akhademi yaseMelika yeeGqirha ze-Orthopedic: i-OrthoInfo. 2023). Nangona kunjalo, kufuneka bahlolwe ukuqinisekisa ukuba abanawo umhlaza. Unyango ludla ngokubandakanya ii-anesthetics ezitofwayo, ezifana ne-lidocaine okanye i-corticosteroids, kunye nezithomalalisi zeentlungu ezingaphaya kwe-counter ezifana nee-NSAID.

Ukuhlinzwa

Ukuba iintlungu zinzima, ukususwa ngotyando kunokucetyiswa. Oku kubandakanya ukusika ubunzima kunye nokulungisa i-fascia yokukhululeka okungapheliyo. Nangona kunjalo, ukususa kunokungacetyiswa ukuba kukho amaqhuqhuva amaninzi, njengoko abanye abantu benokuba namakhulu. I-Liposuction inokusebenza ukuba amaqhuma amancinci, abanzi kakhulu, kwaye aquka ulwelo oluninzi. (UGqirha woSapho waseMelika. 2002) Iingxaki zokususwa ngotyando zinokubandakanya:

  • Scarring
  • Ukunyakaza
  • Ukungalingani kwesikhumba
  • Sulelo

Unyango olongezelelweyo kunye nolunye unyango

Ukuthotyelwa kunye nonyango olulolunye olufana ne-acupuncture, i-acupuncture eyomileyo, kunye nokuphathwa kakubi komqolo kunokunceda. Uninzi lwee-chiropractors lukholelwa ukuba amaqhuqhuva angasemva anganyangwa ngempumelelo kunye nonyango olulolunye. Indlela eqhelekileyo isebenzisa i-acupuncture kunye ne-spinal manipulation ngokudibanisa. Uphononongo lwengxelo yachaza ukuba inaliti yokuthomalalisa ilandelwa yinaliti eyomileyo, efana ne-acupuncture, iphucula ukuthomalalisa iintlungu. (Bicket, MC et al., 2016)

I-Chiropractic yezoNyango ze-Chiropractic kunye ne-Functional Medicine Clinic igxile kwiinkqubo zonyango eziqhubekayo kunye neenkqubo zokuvuselela ezisebenzayo ezijoliswe ekubuyiseleni imisebenzi eqhelekileyo yomzimba emva kokulimala kunye nokulimala kwezicubu ezithambileyo kunye nenkqubo epheleleyo yokubuyisela. Imimandla yethu yokuziqhelanisa ibandakanya i-Wellness & Nutrition, Intlungu engapheliyo, ukwenzakala komntu, ukuKhathalelwa kweNgozi ye-Auto, ukwenzakala komsebenzi, ukwenzakala ngasemva, iintlungu ezisezantsi, iintlungu zentamo, iMigraine Headaches, i-Sciatica enzima, i-Scoliosis, i-Complex Herniated Discs, i-Fibromyalgia, i-Chronic Iintlungu, Ukwenzakala Okuntsonkothileyo, Ulawulo Loxinzelelo, Unyango Lwezonyango oluSebenzayo, kunye neeprothokholi zokhathalelo olukwi-scope. Ukuba umntu ufuna olunye unyango, baya kuthunyelwa kwiklinikhi okanye ugqirha ofaneleke kakhulu kwimeko yabo, njengoko uDkt Jimenez ehlangene noogqirha abaphezulu, iingcali zeklinikhi, abaphandi bezonyango, abaphengululi, abaqeqeshi, kunye nabanikezeli be-premiere rehabilitation.


Ngaphaya koMphezulu


Ucaphulo

Dąbrowski, K., & Ciszek, B. (2023). I-Anatomy kunye ne-morphology ye-iliolumbar ligament. Utyando kunye ne-radiologic anatomy: SRA, 45 (2), 169-173. doi.org/10.1007/s00276-022-03070-y

Seyedhoseinpoor, T., Taghipour, M., Dadgoo, M., Sanjari, MA, Takamjani, IE, Kazemnejad, A., Khoshamooz, Y., & Hides, J. (2022). Ukuguqulwa kwe-lumbar muscle morphology kunye nokubunjwa ngokumalunga neentlungu ezisezantsi: ukuphononongwa ngokuchanekileyo kunye nohlalutyo lwe-meta. Ijenali yomqolo : ijenali esemthethweni yeNorth American Spine Society, 22 (4), 660-676. doi.org/10.1016/j.spinee.2021.10.018

Erdem, HR, Nacır, B., Özeri, Z., & Karagöz, A. (2013). Episakral lipoma: Bel ağrısının tedavi edilebilir bir nedeni [Episacral lipoma: unobangela onokunyangeka weentlungu ezisezantsi]. Agri : Agri (Algoloji) Dernegi'nin Yayin organidir = Ijenali yoMbutho waseTurkey we-Algology, 25(2), 83–86. doi.org/10.5505/agri.2013.63626

I-Bicket, MC, Simmons, C., & Zheng, Y. (2016). Ezona ziCwangciso ziFanelweyo “zeempuku ezingasemva” kunye naMadoda: Ingxelo yeNgxelo kunye noPhononongo loNcwadi lwe-Episacroiliac Lipoma. Ugqirha weentlungu, i-19 (3), i-181-188.

Johns Hopkins Medicine. (2024). Liposarcoma. www.hopkinsmedicine.org/health/conditions-and-diseases/sarcoma/liposarcoma

I-Akhademi yaseMelika yeeGqirha ze-Orthopedic: i-OrthoInfo. (2023). Lipoma. orthoinfo.aaos.org/en/diseases–conditions/lipoma

UGqirha woSapho waseMelika. (2002). Ukukhutshwa kweLipoma. UGqirha weNtsapho waseMelika, 65 (5), 901-905. www.aafp.org/pubs/afp/issues/2002/0301/p901.html

Izihlangu zokuNceda iintlungu ezingemva: Ukukhetha izihlangu eziLungileyo

Izihlangu zokuNceda iintlungu ezingemva: Ukukhetha izihlangu eziLungileyo

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?

Izihlangu zokuNceda iintlungu ezingemva: Ukukhetha izihlangu eziLungileyo

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.

Iindidi zezihlangu kunye nempembelelo yazo ngasemva

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


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?

Iinketho zoNyango olusebenzayo lweLumbar Spinal Stenosis: Ukunyanzeliswa koMnqonqo

Iinketho zoNyango olusebenzayo lweLumbar Spinal Stenosis: Ukunyanzeliswa koMnqonqo

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


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

I-Kinesiology Tape ye-Sacroiliac Joint Pain: Uncedo kunye noLawulo

I-Kinesiology Tape ye-Sacroiliac Joint Pain: Uncedo kunye noLawulo

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: Uncedo kunye noLawulo

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:

  1. Enye ithiyori inceda ukuphakamisa kunye nokubamba izicubu ezingaphezulu kwi-SI edibeneyo, enceda ukunciphisa uxinzelelo olujikeleze kuyo.
  2. Enye ithiyori kukuba ukuphakamisa izicubu kunceda ukudala ukuhluka koxinzelelo phantsi kwe-tape, njengokunganyanzelwa kokuhlinzwa, okuvumela ukwanda kokujikeleza kwizicubu ezijikeleze i-sacroiliac joint.
  3. 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.

Imifanekiso yeBlog yokunyanga umzobo weS SacroiliacUkucofa amanyathelo:

  • 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.
  1. I-kinesiology tape inokuhlala phezu kwe-joint sacroiliac iintsuku ezintathu ukuya ezintlanu.
  2. Jonga iimpawu zokucaphuka kwiteyiphu.
  3. Susa i-tape ukuba ulusu luyacaphuka, kwaye udibane nomboneleli wakho wezempilo oyintloko, umgqirha womzimba, okanye i-chiropractor kwezinye iindlela zonyango.
  4. Abanye abantu abaneemeko ezithile kufuneka bakuphephe ukusebenzisa iteyiphu kwaye bafumane isiqinisekiso sokuba ikhuselekile.
  5. 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


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

Ukuqonda i-Electroacupuncture kunye nendlela ekhulula ngayo ukuvuvukala kwamathumbu

Ukuqonda i-Electroacupuncture kunye nendlela ekhulula ngayo ukuvuvukala kwamathumbu

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


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

Isikhokelo esigqibeleleyo sokuqinisa imisipha ye-Multifidus

Isikhokelo esigqibeleleyo sokuqinisa imisipha ye-Multifidus

Kubantu abafumana iintlungu ezisezantsi banokuqonda i-anatomy kunye nomsebenzi we-multifidus muscle uncedo ekuthinteleni ukulimala kunye nophuhliso lwesicwangciso sonyango esisebenza kakhulu?

Isikhokelo esigqibeleleyo sokuqinisa imisipha ye-Multifidus

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., 2015Iingxaki 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?


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