Sciatica
IQela leKliniki eNgemva leSciatica Chiropractic. UDkt Alex Jimenez uququzelele iintlobo ezahlukeneyo zokugcinwa kwamanqaku ahambelana ne-sciatica, uluhlu oluqhelekileyo kunye noluxelwa rhoqo lweempawu ezichaphazela uninzi lwabemi. Iintlungu ze-Sciatica zinokuhluka ngokubanzi. Isenokuvakala ngathi kukuntyiloza kancinci, iintlungu ezidakumbileyo, okanye imvakalelo etshisayo. Kwezinye iimeko, intlungu inzima ngokwaneleyo ukwenza umntu angakwazi ukuhamba. Iintlungu zihlala zivela kwicala elinye.
I-Sciatica iyenzeka xa kukho uxinzelelo okanye umonakalo kwi-nerve ye-sciatic. Le nerve iqala kumqolo osezantsi kwaye ibaleka ihla ngasemva komlenze ngamnye njengoko ilawula izihlunu zasemva kwedolo kunye nomlenze ongezantsi. Kwakhona kunika imvakalelo emva kwethanga, inxalenye yomlenze ongezantsi, kunye nonyawo lonyawo. UDkt Jimenez uchaza indlela i-sciatica kunye neempawu zayo ezinokukhululeka ngayo ngokusetyenziswa kwonyango lwe-chiropractic. Ngolwazi oluthe kratya, nceda ukhululeke ukunxibelelana nathi apha (915) 850-0900 okanye isicatshulwa ukubiza uGqirha Jimenez buqu (915) 540-8444.
by UGqr Alex Jimenez | Injury, Sciatica
Xa i-sciatica okanye ezinye iintlungu zemithambo-luvo ziveza, ngaba ukufunda ukwahlula phakathi kweentlungu zemithambo-luvo kunye neentlobo ezahlukeneyo zeentlungu kunokunceda abantu babone xa iingcambu zemithambo-luvo zicaphukile okanye zicinezelekile okanye iingxaki ezingakumbi ezifuna unyango?
Iingcambu zeNerve yoMnqongo kunye neDermatomes
Iimeko zomgogodla ezifana neediski ze-herniated kunye ne-stenosis zingakhokelela kwiintlungu ezikhuphayo ezihamba phantsi kwengalo enye okanye umlenze. Ezinye iimpawu ziquka ubuthathaka, ukuba ndindisholo, kunye/okanye ukudubula okanye ukuvutha kombane. Igama lezonyango kwiimpawu ze-nerve pinched yi-radiculopathy (AmaZiko eSizwe ezeMpilo: Iziko leSizwe leZiphazamiso zeNeurological kunye ne-Stroke. 2020). I-Dermatomes inokubangela ukucaphuka kwintambo yomgogodla, apho iingcambu zemithambo-luvo zibangela iimpawu kumqolo kunye nemilenze.
Anatomy
Umnqonqo unamacandelo angama-31.
- Icandelo ngalinye lineengcambu zemithambo-luvo ngasekunene nangasekhohlo ezibonelela ngemoto kunye nemisebenzi yeemvakalelo kumalungu.
- Amasebe angaphambili kunye nasemva anxibelelana adibanisa ukwenza i-nerve spinal ephuma kwi-vertebral canal.
- Amacandelo angama-31 omqolo abangela i-31 ye-spinal nerves.
- Ngamnye uhambisa igalelo le-nerve ye-sensory evela kwindawo ethile yesikhumba kweli cala kunye nommandla womzimba.
- Le mimandla ibizwa ngokuba ziidermatomes.
- Ngaphandle kwe-nerve yokuqala yomlomo wesibeleko, i-dermatomes ikhona kwi-nerve nganye yomgogodla.
- Imithambo yomqolo kunye needermatomes ezinxulumene nazo zenza inethiwekhi kuwo wonke umzimba.
Dermatomes Injongo
I-Dermatomes yimimandla yomzimba / yesikhumba kunye negalelo leemvakalelo ezinikezelwe kwimithambo-luvo yomqolo ngamnye. Ingcambu yemithambo-luvo nganye ine-dermatome ehambelana nayo, kwaye amasebe ahlukeneyo abonelela ngedermatome nganye kwingcambu yomthambo omnye. I-Dermatomes ziindlela apho ulwazi oluchukumisayo eluswini luthumela imiqondiso ukuya nokusuka kwinkqubo yemithambo-luvo. Iimvakalelo eziviwa ngokwasemzimbeni, njengoxinzelelo kunye nobushushu, zigqithiselwa kwinkqubo yemithambo-luvo. Xa ingcambu ye-nerve ye-spinal igxininiswe okanye inomsindo, ngokuqhelekileyo ngenxa yokuba idibana nesinye isakhiwo, ibangela i-radiculopathy. (AmaZiko eSizwe ezeMpilo: Iziko leSizwe leZiphazamiso zeNeurological kunye ne-Stroke. 2020).
Radiculopathy
I-Radiculopathy ichaza iimpawu ezibangelwa yi-nerve pinched kunye nomqolo. Iimpawu kunye neemvakalelo zixhomekeke apho i-nerve igxininiswe khona kunye nobukhulu boxinzelelo.
Umlomo wesibeleko
- Le yi-syndrome yentlungu kunye / okanye ukusilela kwe-sensorimotor xa iingcambu ze-nerve entanyeni zixinzelelwe.
- Idla ngokuba neentlungu ezehla ngengalo enye.
- Abantu ngabanye banokufumana imvakalelo yombane efana nezikhonkwane kunye neenaliti, ukothuka, kunye nokutshisa, kunye neempawu zemoto ezifana nokuba buthathaka kunye nokuba ndindisholo.
Lumbar
- Le radiculopathy ibangelwa ukunyanzeliswa, ukuvuvukala, okanye ukulimala kwi-nerve yomgogodla kwi-back back.
- Uvakalelo lwentlungu, ukuphazamiseka, ukubetha, ukuvakala kombane okanye ukutshisa, kunye neempawu zeemoto ezifana nobuthathaka obuhamba phantsi komlenze omnye ziqhelekileyo.
Ukuqondwa
Inxalenye yovavanyo lomzimba we-radiculopathy kukuvavanya i-dermatomes ukuva. Ugqirha uya kusebenzisa iimvavanyo ezithile zezandla ukufumanisa inqanaba lomgogodla apho iimpawu zivela khona. Iimviwo ezenziwa ngesandla zihlala zikhatshwa luvavanyo lokuxilonga olufana ne-MRI, enokubonisa izinto ezingaqhelekanga kwingcambu yemithambo-luvo. Uvavanyo olupheleleyo lomzimba luya kugqiba ukuba ingcambu ye-spinal nerve imvelaphi yeempawu.
Ukunyanga oonobangela
Uninzi lweengxaki zomqolo zinganyangwa ngonyango olulondolozayo ukubonelela ngokukhululeka kweentlungu. Kwidiski ye-herniated, umzekelo, abantu banokucetyiswa ukuba baphumle kwaye bathathe iyeza elichasene ne-nonsteroidal anti-inflammatory. I-acupuncture, unyango lomzimba, i-chiropractic, i-traction engeyiyo yokuhlinzwa, okanye unyango lokuthomalalisa inokumiselwa kwakhona. Kwiintlungu ezibuhlungu, abantu banokunikwa inaliti ye-epidural steroid enokubonelela ngesiqabu seentlungu ngokunciphisa ukudumba. (I-Akhademi yaseMelika yeeGqirha ze-Orthopedic: i-OrthoInfo. 2022) Kwi-spinal stenosis, umboneleli unokuqala ugxininise kunyango lomzimba ukuze kuphuculwe ukufaneleka okupheleleyo, ukuqinisa izibilini kunye nemisipha yangasemva, kunye nokugcina ukunyakaza kumqolo. Amayeza okuphelisa iintlungu, kuquka ii-NSAID kunye neenaliti ze-corticosteroid, anokunciphisa ukuvuvukala kunye nokunciphisa intlungu. (IKholeji yaseMelika yeRheumatology. 2023) Iingcali zonyango zibonelela ngeendlela ezahlukeneyo zonyango ukunciphisa iimpawu, kubandakanywa ukuchithwa kwe-manual kunye ne-mechanical kunye ne-traction. Utyando lunokucetyiswa kwiimeko ze-radiculopathy ezingaphenduliyo kunyango olulondolozayo.
Izicwangciso zokhathalelo lwezonyango lweChiropractic kunye neFunctional Medicine Clinic kunye neenkonzo zeklinikhi zikhethekileyo kwaye zijolise kukulimala kunye nenkqubo yokubuyisela ngokupheleleyo. 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. Sigxininise ekubuyiseleni imisebenzi eqhelekileyo yomzimba emva kokulimala kunye nokulimala kwezicubu ezithambileyo usebenzisa iiProtocol eziKhethekileyo zeChiropractic, iiNkqubo zoBulungisa, iZondlo eziSebenzayo kunye nokudibanisa, i-Agility, kunye nokuhamba koQeqesho lweFitness, kunye neeNkqubo zoBuyiselo kuyo yonke iminyaka. Ukuba umntu ufuna olunye unyango, uya kuthunyelwa kwiklinikhi okanye kugqirha oyilungeleyo imeko yakhe. UDkt Jimenez uye wabambisana noogqirha abaphezulu, iingcali zeklinikhi, abaphandi bezonyango, abaqeqeshi, abaqeqeshi, kunye nababoneleli bokuvuselela i-premiere ukuzisa u-El Paso, unyango oluphezulu lweklinikhi, kuluntu lwethu.
Buyisela ukuHamba kwakho: Ukhathalelo lweChiropractic yokuBuyisa iSciatica
Ucaphulo
AmaZiko eSizwe ezeMpilo: Iziko leSizwe leZiphazamiso zeNeurological kunye ne-Stroke. (2020). Iphepha lenyaniso leentlungu ezisezantsi. Ifunyenwe kwi www.ninds.nih.gov/sites/default/files/migrate-documents/low_back_pain_20-ns-5161_march_2020_508c.pdf
I-Akhademi yaseMelika yeeGqirha ze-Orthopedic: i-OrthoInfo. (2022). Idiski yeHerniated kumqolo osezantsi. orthoinfo.aaos.org/en/diseases-conditions/herniated-disk-in-the-lower-back/
IKholeji yaseMelika yeRheumatology. (2023). I-stenosis yomqolo. rheumatology.org/patients/spinal-stenosis
by UGqr Alex Jimenez | Sciatica, Unyango lokuthotywa koMnqonqo
Kubantu abafumana okanye abalawula iintlungu ezisezantsi kunye / okanye i-sciatica, ngaba unyango lwe-lumbar traction lunokunceda ukunika isiqabu esiqhubekayo?
Ukutsalwa kwe-Lumbar
I-Lumbar traction therapy ye-back back pain kunye ne-sciatica ingaba yindlela yokonyango yokunceda ukubuyisela ukuhamba kunye nokuguquguquka kunye nokuxhasa ngokukhuselekileyo ukubuyela komntu kwinqanaba eliphezulu lomsebenzi. Ihlala idibaniswa nomsebenzi ojoliswe kuwo wonyango. (Yu-Hsuan Cheng, et al., 2020) Ubuchwephesha bolula indawo phakathi kwe-vertebrae kumqolo ophantsi, ukukhulula iintlungu ezisezantsi.
- I-Lumbar okanye i-low back traction inceda ukwahlula izithuba phakathi kwe-vertebrae.
- Ukwahlula amathambo kubuyisela ukujikeleza kwaye kunceda ukukhulula uxinzelelo kwi-nerve pinched njenge-nerve ye-sciatic, ukunciphisa intlungu kunye nokuphucula ukuhamba.
Research
Abaphandi bathi i-lumbar traction kunye nokuzilolonga ayizange iphucule iziphumo zomntu ngamnye xa kuthelekiswa nokuzivocavoca ngokwenyama ngokwabo (U-Anne Thackeray et al., ngo-2016). Uphononongo luvavanye abathathi-nxaxheba be-120 abaneentlungu ze-back back kunye ne-nerve root impingement abaye bakhethwa ngokungakhethi ukuba baqhube i-lumbar traction kunye nokuzivocavoca okanye ukuzivocavoca okulula kwiintlungu. Imithambo esekwe ekwandisweni igxile ekugobeni umqolo umva. Le ntshukumo ithathwa njengesebenzayo kubantu abaneentlungu zangasemva kunye nemithambo-luvo. Iziphumo zibonise ukuba ukongeza i-lumbar traction kwi-exercises yonyango lomzimba aluzange lubonelele ngeenzuzo ezibalulekileyo ngaphezu kokuzivocavoca okusekelwe ekwandisweni kwedwa ngenxa yeentlungu zangasemva. (U-Anne Thackeray et al., ngo-2016)
Uphononongo luka-2022 lwafumanisa ukuba i-lumbar traction iluncedo kubantu abaneentlungu ezisezantsi. Uphononongo luphande iindlela ezimbini ezahlukeneyo ze-lumbar traction kwaye zafumanisa ukuba i-variable-force lumbar traction kunye ne-high-force lumbar traction yanceda ukukhulula iintlungu ezisezantsi. I-High-force lumbar traction nayo yafunyanwa ukunciphisa ukukhubazeka okusebenzayo. (Zahra Masood et al., 202I-2) Olunye uphando lufumene i-lumbar traction iphucula uluhlu lwentshukumo kuvavanyo lokuphakamisa umlenze othe ngqo. Uphononongo luhlolisise amandla ahlukeneyo e-traction kwiidiski ze-herniated. Onke amanqanaba aphucula uluhlu lwabantu ngabanye, kodwa umlinganiselo wesiqingatha sobunzima bomzimba wawunxulunyaniswa neyona ntlungu ibalulekileyo. (Anita Kumari et al., 2021)
impatho
Kubantu abaneentlungu ezisezantsi kuphela, ukuzilolonga, kunye nokulungiswa kwe-postural inokuba yiyo yonke into efunekayo ukunika isiqabu. Uphando luqinisekisa ukuzivocavoca umzimba kunokunceda ukunciphisa iintlungu kunye nokuphucula ukuhamba (Anita Slomski 2020). Olunye uphononongo luveze ukubaluleka kokubeka kwindawo enye iimpawu ze-sciatic ngexesha leentshukumo eziphindaphindiweyo. I-centralization ihambisa intlungu emva komqolo, oluluphawu oluhle lokuba ii-nerve kunye neediski ziyaphilisa kwaye zenzeke ngexesha lokusebenzisa unyango. (UHanne B. Albert et al., 2012) I-chiropractor kunye neqela lonyango lomzimba linokufundisa izigulane ekukhuseleni iintlungu zentlungu emva. Iingcali ze-Chiropractors kunye neengcali zonyango ziingcali zentshukumo yomzimba ezinokubonisa ukuba yeyiphi imithambo efanelekileyo kwimeko yakho. Ukuqala inkqubo yomthambo ebeka phakathi iimpawu kunokunceda abantu babuyele kubomi babo besiqhelo ngokukhawuleza nangokukhuselekileyo. Qhagamshelana nomboneleli wezempilo phambi kokuba uqalise nayiphi na inkqubo yokuzilolonga yeentlungu zomqolo.
Iyeza lokuhamba: IChiropractic
Ucaphulo
Cheng, YH, Hsu, CY, & Lin, YN (2020). Umphumo we-mechanical traction kwiintlungu ezisezantsi kwizigulane ezineediski ze-intervertebral herniated: ukuhlaziywa kwenkqubo kunye nohlalutyo lwe-meta. Ukuvuselelwa kweklinikhi, i-34 (1), i-13-22. doi.org/10.1177/0269215519872528
Thackeray, A., Fritz, JM, Childs, JD, & Brennan, GP (2016). Ukusebenza kwe-Mechanical Traction phakathi kwamaCandelwana ezigulane ezineentlungu ezisezantsi kunye neentlungu zomlenze: uvavanyo olungenammiselo. Ijenali yonyango lwamathambo kunye nezemidlalo, i-46 (3), i-144-154. doi.org/10.2519/jospt.2016.6238
Masood, Z., Khan, AA, Ayyub, A., & Shakeel, R. (2022). Impembelelo ye-lumbar traction kwi-discogenic low back pain usebenzisa amandla aguquguqukayo. JPMA. Ijenali yePakistan Medical Association, 72 (3), 483-486. doi.org/10.47391/JPMA.453
Kumari, A., Quddus, N., Meena, PR, Alghadir, AH, & Khan, M. (2021). Imiphumo ye-One-Fifth, One-Third, kunye ne-Half-Half of the Bodyweight Lumbar Traction kwi-Sight Leg Ukuphakamisa uvavanyo kunye nentlungu kwi-Prolapsed Intervertebral Disc Patients: Uvavanyo oluLawulwayo olungenammiselo. Uphando lweBioMed lwamazwe ngamazwe, 2021, 2561502. doi.org/10.1155/2021/2561502
Slomski A. (2020). Unyango lwangaphambili loMzimba lukhulula ukukhubazeka kwe-Sciatica kunye neentlungu. JAMA, 324(24), 2476. doi.org/10.1001/jama.2020.24673
Albert, HB, Hauge, E., & Manniche, C. (2012). I-Centralization kwizigulane ezine-sciatica: ngaba iimpendulo zentlungu kwiintshukumo eziphindaphindiweyo kunye nokumiswa okuhambelana nesiphumo okanye iintlobo zezilonda zediski? Iphephancwadi laseYurophu lomqolo : ukupapashwa ngokusemthethweni kwe-European Spine Society, i-European Spinal Deformity Society, kunye neCandelo laseYurophu leCervical Spine Research Society, i-21 (4), i-630-636. doi.org/10.1007/s00586-011-2018-9
by UGqr Alex Jimenez | Unyango lwe-Acupuncture, Chiropractic, Sciatica, Sciatica Nerve Pain, Unyango lokuthotywa koMnqonqo, Unyango, I-Viscerosomatic Reflex
Ngaba unyango olungasebenzisi utyando olufana ne-acupuncture kunye ne-spinal decompression lubonelela ngesiqabu kubantu abajongene ne-sciatica?
intshayelelo
Xa abantu abaninzi beqala ukuva iintlungu ezihla emilenzeni emva kosuku olude lwemisebenzi, oko kubangela ukuba bangakwazi ukuhamba kunye nobunzima bokufumana indawo yokuphumla. Abantu abaninzi bacinga ukuba bajongana neentlungu zomlenze, kodwa kunokuba ngumcimbi ngakumbi njengoko beqonda ukuba akusiyo nje intlungu yomlenze abayifumanayo kodwa yi-sciatica. Ngelixa le nzwa ende ivela kumqolo osezantsi kwaye ihamba ihla ukuya emilenzeni, inokuzithoba kwiintlungu kunye nokungahambi kakuhle xa iidiski ze-herniated okanye izihlunu zicinezela kwaye zikhulise i-nerve. Xa oku kwenzeka, kunokuchaphazela ukuhamba komntu kunye nomgangatho wobomi, ngaloo ndlela kubangele ukuba bafune unyango lokunciphisa intlungu kwi-sciatica. Ngethamsanqa, ezinye iindlela zonyango ezifana ne-acupuncture kunye ne-spinal decompression ziye zasetyenziselwa ukunciphisa intlungu ye-sciatic kuphela kodwa nokubonelela ngemiphumo emihle, enenzuzo. Inqaku lanamhlanje lijonga i-sciatica, indlela ukuchithwa komgogodla kunye ne-acupuncture kunokunciphisa i-sciatica, kunye nendlela ukudibanisa ezi zibini zonyango ezingezona utyando kunokukhokelela kwimiphumo enenzuzo. Sithetha nababoneleli bezonyango abaqinisekisiweyo abadibanisa ulwazi lwezigulane zethu ukuvavanya indlela i-sciatica inokuchaphazela ngayo kakhulu impilo yomntu kunye nomgangatho wobomi. Siyazisa kwaye sikhokela izigulane malunga nendlela yokudibanisa unyango lwe-acupuncture kunye noxinzelelo lomgogodla kunokunciphisa ngokuqinisekileyo i-sciatica. Sikhuthaza izigulane zethu ukuba zibuze ababoneleli bezonyango abanxulumene nabo imibuzo enzima kunye nebalulekileyo malunga nokubandakanya unyango olungenalo utyando kwi-wellness routine ukukhulula i-sciatica kunye neempawu ezithunyelweyo. UDkt Jimenez, DC, uquka olu lwazi njengenkonzo yezemfundo. isikhanyeli.
Ukuqonda iSciatica
Ngaba uhlala uziva ndindisholo okanye ukuntyiloza ukusuka emqolo ukuya emilenzeni yakho? Ngaba uziva ngathi ukuhamba kwakho kukwi-balance? Okanye ngaba uye wolula imilenze yakho emva kokuba uhleli ixeshana, nto leyo enikela isiqabu sokwexeshana? Ngelixa i-nerve ye-sciatic idlala indima ebalulekileyo ekusebenzeni kweemoto emilenzeni, xa izinto ezahlukeneyo, ezifana neediski ze-herniated kunye nokukhulelwa, ziqala ukunyusa i-nerve, kunokubangela intlungu. I-Sciatica yintlungu ebangelwa ngabom ehlala ibhalwa ngendlela engeyiyo njengeentlungu ezisezantsi okanye iintlungu zomlenze ngenxa yezi meko zimbini ze-musculoskelet. Ezi zi-comorbidities kwaye zinokongezwa ngokujija okulula kunye nokujika. (Davis et al., 2024)
Ukongezelela, xa abantu abaninzi benza ukunyakaza okuphindaphindiweyo okanye ukujongana neenguqu eziguqukayo kumqolo, i-spinal discs ixhomekeke kwi-herniation. Basenokucinezela kwimithambo yomqolo, ebangela ukuba imiqondiso ye-neuron ikhuphe iintlungu kunye nokungakhululeki kwiindawo ezisezantsi. (Zhou et al., 2021Ngexesha elifanayo, i-sciatica ingaba yimithombo yomgogodla kunye neyongezelelweyo ye-spinal kwingingqi ye-lumbar spinal, ebangela ukuba abantu abaninzi bahlale bebuhlungu kwaye bajonge ukukhululeka. (Siddiq et al., 2020) Xa intlungu ye-sciatica iqala ukuchaphazela iindawo eziphantsi zomntu, ezibangela imiba yokuhamba, abantu abaninzi bafuna unyango lokunciphisa iintlungu ezinjengeentlungu ze-sciatica.
INzululwazi yeVidiyo eshukumayo
I-acupuncture yokunciphisa iintlungu ze-Sciatica
Xa kuziwa ekuphatheni i-sciatica, abantu abaninzi banokujonga kunyango olungelulo utyando ngenxa yokufikeleleka kunye nokusebenza ngempumelelo ekunciphiseni i-sciatica kunye neempawu ezihambelana neentlungu. Unyango olungasebenzisi utyando lunokwenziwa ngokwezifiso kwiintlungu zomntu kwaye zidityaniswe ukubuyisela umgangatho wobomi bomntu. Izonyango ezimbini ezingezizo utyando ezinokunceda ukunciphisa i-sciatica yi-acupuncture kunye ne-spinal decompression. I-acupuncture inembali ende yokubonelela ngemiphumo emihle ebalulekileyo ekunciphiseni intlungu ye-sciatic kunye nokuphucula umgangatho wobomi bomntu. (Yuan et al., 2020) Iingcali eziqeqeshwe kakhulu ezivela eChina zisebenzisa i-acupuncture kwaye zibandakanya iinaliti ezincinci eziqinileyo ukubonelela ngokukhawuleza kwiimpawu ezinxulumene ne-sciatica. Oku kungenxa yokuba i-acupuncture yenza iziphumo ze-analgesic ngokulawula ukusebenza kwe-microglia, inqanda impendulo yendalo yomzimba, kunye ne-modulating receptors ecaleni kwendlela yentlungu kwinkqubo ye-nervous. (Zhang et al., 2023) Ukuza kuthi ga ngoku, i<em>acupuncture inokuvuselela i<em>acupoints yomzimba ukuze ibuyisele ulungelelwano.
Iziphumo zeAcupuncture
Enye yeempembelelo ze-acupuncture yokunciphisa i-sciatica kukuba inokunciphisa ubunzima beentlungu ngokuguqula iipatheni zokusebenza kwengqondo xa i-receptors yentlungu iphazamiseka. (Yu et al., 2022) Ukongezelela, xa i-acupuncturists iqala ukuvuselela imithambo-luvo kwimisipha kunye nezicubu, ikhulula i-endorphins kunye nezinye izinto ze-neurohumoral ezinceda ukutshintsha inkqubo yeentlungu kwinkqubo ye-nervous. I-acupuncture inceda ukunciphisa ukuvuvukala ngelixa iphucula ukuqina kwemisipha kunye nokuhamba ngokubambisana ngokunyusa i-microcirculation ukunciphisa ukuvuvukala ngelixa ivimbela intlungu ye-sciatica ekuchaphazeleni imilenze ephantsi.
Ukuthotywa koMnqonqo wokuNciphisa iintlungu zeSciatica
Olunye uhlobo lonyango olungenalo utyando luyi-decompression yomgogodla, kwaye inokunceda ukunciphisa imiphumo ye-sciatica kunye neempawu zayo ezibuhlungu ezihambelanayo. I-Spinal decompression isebenzisa itafile ye-traction ukuze yolule ngobunono umqolo ukwenza uxinzelelo olubi ngaphakathi kwe-spinal disc kunye nokukhulula i-nerve echaphazelekayo. Kubantu be-sciatica, olu nyango lungenalo utyando lukhulula i-nerve ye-sciatic njengoko ukunyanzeliswa komgogodla kunceda ukunciphisa ubunzima beentlungu kunye nokuphucula umsebenzi wokuhamba kwiindawo ezisezantsi. (I-Choi et al., 2022) Injongo ephambili ye-spinal decompression kukudala indawo ngaphakathi kwi-spinal canal kunye ne-neural structures ukukhulula i-nerve ye-sciatic eyingozi ekubangeleni intlungu. (Burkhard et al., 2022)
Iziphumo zokuDodobala koMnqonqo
Abantu abaninzi banokuqala ukuziva bekhululekile ekufakeni ukudodobala komqolo kunyango lwabo lwempilo. Olu nyango olungasebenzisi utyando lukhuthaza ulwelo kunye nezondlo kwidiski yomgogodla ukukhaba-ukuqala inkqubo yokuphilisa yendalo yomzimba. Xa umqolo utyhulwa ngobumnene, kukho uxinzelelo oluncinci kwi-nerve ye-sciatic, enokunciphisa intlungu kunye nokuphucula ukuhamba. Ukongeza, abantu abaninzi baya kuziva ukuguquguquka kwabo kunye nokuhamba emva kwindawo yabo ye-lumbar.
Ukudibanisa i-acupuncture kunye ne-Spinal Decompression yokuNceda
Ngoko ke, xa abantu abaninzi beqala ukudibanisa i-spinal decompression kunye ne-acupuncture njengendlela epheleleyo kunye nengekho yokuhlinzwa yokunciphisa i-sciatica, iziphumo kunye neenzuzo zilungile. Nangona i-spinal decompression ijolise ekuphulukisweni komatshini we-spinal disc kunye nokunciphisa uxinzelelo lwe-nerve, i-acupuncture igxile ekunciphiseni intlungu kunye nokunciphisa ukuvuvukala kwinqanaba le-systemic. Oku kwandisa inkqubo yokuphilisa yendalo yomzimba kwaye kunika umphumo we-synergistic ukuphucula iziphumo zonyango. Unyango olungazenzisiyo olufana ne-acupuncture kunye nokuthotywa komqolo kunokubonelela ngesiphumo esinethemba kubantu abaninzi abafuna isiqabu kwiintlungu zabo ze-sciatic ngaphandle kokubhenela kwiinkqubo zotyando. Olu nyango luvumela umntu ukuba aphinde aphinde ahambe kwiindawo eziphantsi, ukunciphisa intlungu, kunye nokuphucula umgangatho wobomi ngokwenza abantu bakhumbule imizimba yabo kunye nokunciphisa amathuba okuba i-sciatica ibuyele. Ngokwenza oko, abantu abaninzi banokuphila ubomi obusempilweni nobungenazintlungu.
Ucaphulo
Burkhard, MD, Farshad, M., Suter, D., Cornaz, F., Leoty, L., Furnstahl, P., & Spirig, JM (2022). Ukuthotywa komqolo kunye nezikhokelo ezithile zesigulane. Umqolo J, 22(7), 1160-1168. doi.org/10.1016/j.spinee.2022.01.002
Choi, E., Gil, HY, Ju, J., Han, WK, Nahm, FS, & Lee, PB (2022). Impembelelo ye-Nonsurgical Spinal Decompression kwi-Intensity of Pain kunye ne-Herniated Disc Volume kwi-Subacute Lumbar Herniated Disc. Ijenali yaMazwe ngaMazwe yoNyango lweKliniki, 2022, 6343837. doi.org/10.1155/2022/6343837
UDavis, D., Maini, K., Taqi, M., & Vasudevan, A. (2024). Sciatica. Kwi StatPearls. www.ncbi.nlm.nih.gov/pubmed/29939685
Siddiq, MAB, Clegg, D., Hasan, SA, & Rasker, JJ (2020). I-sciatica eyongezelelweyo yomgogodla kunye ne-sciatica ilinganisa: ukuphononongwa kwe-scoping. Korean J Intlungu, 33(4), 305-317. doi.org/10.3344/kjp.2020.33.4.305
Yu, FT, Liu, CZ, Ni, GX, Cai, GW, Liu, ZS, Zhou, XQ, Ma, CY, Meng, XL, Tu, JF, Li, HW, Yang, JW, Yan, SY, Fu, HY, Xu, WT, Li, J., Xiang, HC, Sun, TH, Zhang, B., Li, MH, . . . Wang, LQ (2022). I-acupuncture ye-sciatica engapheliyo: iprotocol yolingo olulawulwa ngokungahleliwe olune-multicenter. BMJ Open, 12(5), e054566. doi.org/10.1136/bmjopen-2021-054566
Yuan, S., Huang, C., Xu, Y., Chen, D., & Chen, L. (2020). I-acupuncture ye-lumbar disc herniation: iProtocol yokuhlaziywa okucwangcisiweyo kunye nohlalutyo lwemeta. Iyeza (Baltimore), 99(9), e19117. doi.org/10.1097/MD.0000000000019117
Zhang, Z., Hu, T., Huang, P., Yang, M., Huang, Z., Xia, Y., Zhang, X., Zhang, X., & Ni, G. (2023). Ukusebenza kunye nokhuseleko lwe-acupuncture therapy ye-sciatica: ukuphononongwa ngokuchanekileyo kunye nohlalutyo lwemeta yeendlela ezilawulwa ngokungahleliwe. Front Neurosci, 17, 1097830. doi.org/10.3389/fnin.2023.1097830
Zhou, J., Mi, J., Peng, Y., Han, H., & Liu, Z. (2021). Iintlangano ze-Causal of Obesity kunye ne-Intervertebral Degeneration, iintlungu ezisezantsi, kunye ne-Sciatica: iSampuli ezimbini zeMendelian zokuHlaziya. Front Endocrinol (Lausanne), 12, 740200. doi.org/10.3389/fendo.2021.740200
isikhanyeli
by UGqr Alex Jimenez | Chiropractic, Injury, Sciatica
Abantu abafumana ukudutyulwa, iintlungu ezibuhlungu kwiindawo ezisezantsi, kunye neentlungu ezingapheliyo zomlenze zinokuba nokuxhatshazwa kwe-neurogenic claudication. Ngaba ukwazi iimpawu kunokunceda ababoneleli bezempilo baphuhlise isicwangciso sonyango esisebenzayo?
Neurogenic Claudication
I-Neurogenic claudication iyenzeka xa i-spinal nerves ixinzeleleka kwi-lumbar okanye ezantsi kumqolo, okubangela intlungu yomlenze. Imithambo-luvo ecinezelekileyo kwi-lumbar spine inokubangela intlungu yomlenze kunye ne-cramps. Intlungu idla ngokuba mandundu ngeentshukumo ezithile okanye imisebenzi efana nokuhlala, ukuma, okanye ukugoba ngasemva. Ikwabizwa ngokuba ipseudo-claudication xa isithuba phakathi kwe-lumbar spine sincinci. Imeko eyaziwa ngokuba yi-lumbar spinal stenosis. Nangona kunjalo, i-neurogenic claudication yi-syndrome okanye iqela leempawu ezibangelwa yi-pinched nerve spinal, ngelixa i-spinal stenosis ichaza ukucutha kweendlela zomgogodla.
iimpawu
Iimpawu ze-Neurogenic claudication zinokubandakanya:
- Umlenze ukukrala.
- Ukuba ndindisholo, ukuntlitheka okanye ukutshisa.
- Ukukhathala komlenze kunye nobuthathaka.
- Ukuva ubunzima emlenzeni/imizu.
- Iintlungu ezibukhali, ezidubulayo, okanye ezibuhlungu ezifikelela kumazantsi, rhoqo kwimilenze yomibini.
- Kusenokubakho iintlungu kumqolo ongezantsi okanye ezimpundu.
I-Neurogenic claudication ihluke kwezinye iintlobo zentlungu yomlenze, njengoko intlungu itshintshana - ukuyeka kwaye iqale ngokungaqhelekanga kwaye ibe nzima ngakumbi ngeentshukumo ezithile okanye imisebenzi. Ukuma, ukuhamba, ukuhla ngezinyuko, okanye ukujikela ngasemva kunokubangela intlungu, ngelixa uhleli, ukunyuka izitebhisi, okanye ukuxhomekeka phambili kudla ukukhulula intlungu. Nangona kunjalo, zonke iimeko zahlukile. Ngokuhamba kwexesha, i-neurogenic claudication inokuchaphazela ukuhamba njengoko abantu bezama ukuphepha imisebenzi ebangela intlungu, kuquka ukuzivocavoca, ukuphakamisa izinto, kunye nokuhamba ixesha elide. Kwiimeko ezinzima, i-neurogenic claudication inokwenza ukulala kube nzima.
I-Neurogenic claudication kunye ne-sciatica ayifani. I-Neurogenic claudication ibandakanya ukunyanzeliswa kwe-nerve kwi-canal ephakathi kwe-lumbar spine, ebangela intlungu kwimilenze yomibini. I-Sciatica ibandakanya ukunyanzeliswa kweengcambu ze-nerve eziphuma emacaleni e-lumbar spine, kubangela intlungu emlenzeni omnye. (UCarlo Ammendolia, ngo-2014)
Izizathu
Nge-neurogenic claudication, i-spinal nerves egxininisiweyo yiyona nto ibangela intlungu yomlenze. Kwiimeko ezininzi, i-spinal stenosis yamaplanga - i-LSS yimbangela ye-nerve pinched. Kukho iintlobo ezimbini ze-lumbar spinal stenosis.
- I-Central stenosis yimbangela ephambili ye-neurogenic claudication. Ngolu hlobo, i-canal ephakathi ye-lumbar spine, ehlala intambo yomgogodla, iyancipha, ibangela intlungu kwimilenze yomibini.
- I-Lumbar spinal stenosis inokufunyanwa kwaye iphuhliswe kamva ebomini ngenxa yokuwohloka komqolo.
- Ukuzalwa kuthetha ukuba umntu uzalwa enaloo meko.
- Zombini zingakhokelela kwi-neurogenic claudication ngeendlela ezahlukeneyo.
- I-Foramen stenosis lolunye uhlobo lwe-lumbar spinal stenosis ebangela ukucuthwa kwezithuba ngapha nangapha kwe-lumbar spine apho iingcambu ze-nerve ziphuma kwintambo yomgogodla. Intlungu ehambelanayo iyahluka kuba ingaba kumlenze wasekunene okanye wasekhohlo.
- Intlungu ihambelana necala lomqolo apho imithambo-luvo icinezelwa.
Ufunyenwe Lumbar Spinal Stenosis
I-Lumbar spinal stenosis idla ngokufunyanwa ngenxa yokuncipha kwe-lumbar spine kwaye ivame ukuchaphazela abantu abadala. Izizathu zokunciphisa zingabandakanya:
- Ukwenzakala komqolo, okufana nokungqubana kwesithuthi, emsebenzini, okanye ukwenzakala kwezemidlalo.
- I-Disc herniation.
- I-Spinal osteoporosis-i-arthrosis yokunxiba kunye nokukrazula.
- I-Ankylosing spondylitis - uhlobo lwe-arthritis evuthayo echaphazela umqolo.
- I-Osteophytes - i-bone spurs.
- Izidumbu zomnqonqo - izicubu ezingenayo umhlaza kunye nomhlaza.
I-Congenital Lumbar Spinal Stenosis
I-Congenital lumbar spinal stenosis ithetha ukuba umntu uzalwa enezinto ezingaqhelekanga zomqolo ezinokuthi zingabonakali ekuzalweni. Ngenxa yokuba indawo engaphakathi kwi-spinal canal sele incinci, intambo yomgogodla isengozini kulo naluphi na utshintsho njengoko ubudala bomntu. Nabantu abane-arthritis ebuthathaka banokufumana iimpawu ze-neurogenic claudication kwangethuba kwaye bavelise iimpawu kwi-30s kunye ne-40 yabo endaweni ye-60s kunye ne-70s yabo.
Ukuqondwa
Ukuxilongwa kwe-neurogenic claudication kusekelwe kakhulu kwimbali yonyango yomntu, ukuhlolwa komzimba kunye nokucinga. Uvavanyo lomzimba kunye nokuphonononga ukuchonga apho intlungu ibonisa khona kwaye nini. Umboneleli wezempilo unokubuza:
- Ngaba kukho imbali yeentlungu ezisezantsi?
- Ngaba iintlungu kumlenze omnye okanye yomibini?
- Ngaba intlungu ihlala ihlala?
- Ngaba iintlungu ziyafika zidlule?
- Ngaba iintlungu ziba ngcono okanye zibe mbi ngakumbi xa umile okanye uhleli?
- Ngaba ukunyakaza okanye imisebenzi ibangela iimpawu zentlungu kunye nokuziva?
- Ngaba kukho ukuva okuqhelekileyo ngelixa uhamba?
impatho
Unyango lunokubandakanya unyango lomzimba, inaliti ye-spinal steroid, kunye neentlungu zentlungu. Utyando linyathelo lokugqibela xa zonke ezinye iindlela zonyango zingakwazi ukunika isiqabu esisebenzayo.
Ulungiso lwenyama
A Isicwangciso sonyango iya kubandakanya unyango lomzimba olubandakanya:
- Ukolula imihla ngemihla
- Ukuqiniswa
- Ukuzivocavoca kweAerobic
- Oku kuya kunceda ukuphucula kunye nokuzinzisa izihlunu ezisezantsi kunye nokulungisa iingxaki zokuma.
- Unyango lomsebenzi luya kuncoma ukuguqulwa komsebenzi obangela iimpawu zentlungu.
- Oku kubandakanya ubugcisa bomzimba obufanelekileyo, ukugcinwa kwamandla, kunye nokuqaphela iimpawu zentlungu.
- Iibrashi zasemva okanye iibhanti nazo zinokucetyiswa.
Spinal Steroid Injections
Ababoneleli ngezempilo banokucebisa iinaliti ze-epidural steroid.
- Oku kuzisa i-cortisone steroid kwindawo engaphandle yomqolo womqolo okanye isithuba se-epidural.
- Iinaliti zinokubonelela ngokukhululeka kwintlungu kwiinyanga ezintathu ukuya kwiminyaka emithathu. (Sunil Munakomi et al., 2024)
Iipilisi Zobunzima
Amayeza eentlungu asetyenziselwa ukunyanga i-neurogenic claudication engapheliyo. Ezi ziquka:
- Ii-analgesics ezingaphezulu kwe-counter njenge-acetaminophen.
- Amachiza achasene nokudumba okanye ii-NSAID ezifana ne-ibuprofen okanye i-naproxen.
- Ii-NSAID ezimiselweyo zinokumiselwa ukuba ziyimfuneko.
- Ii-NSAID zisetyenziselwa iintlungu ezingapheliyo ze-neurogenic kwaye kufuneka zisetyenziswe kuphela xa zifunwa.
- Ukusetyenziswa kwexesha elide le-NSAID kunokunyusa umngcipheko wezilonda zesisu, kwaye ukusetyenziswa ngokugqithiseleyo kwe-acetaminophen kunokukhokelela kwityhefu yesibindi kunye nokungaphumeleli kwesibindi.
Ukuhlinzwa
Ukuba unyango olulondolozayo alukwazi ukunika uncedo olusebenzayo kunye nokuhamba kunye / okanye umgangatho wobomi uchaphazelekayo, utyando olwaziwa ngokuba yi-laminectomy lunokucetyiswa ukuba lunciphise i-lumbar spine. Inkqubo inokwenziwa:
- I-Laparoscopically - kunye nezithintelo ezincinci, i-scopes, kunye nezixhobo zotyando.
- Utyando oluvulekileyo - nge-scalpel kunye ne-sutures.
- Ngexesha lenkqubo, iinkalo ze-vertebra zisuswe ngokuyinxenye okanye ngokupheleleyo.
- Ukubonelela uzinzo, ngamanye amaxesha amathambo adityaniswa kunye nezikrufu, iipleyiti, okanye iintonga.
- Amazinga empumelelo kuzo zombini ziyafana okanye ziyafana.
- Phakathi kwe-85% kunye ne-90% yabantu abenza utyando bafumana ixesha elide kunye / okanye ukukhululeka kweentlungu ezingapheliyo. (Xin-Long Ma et al., 2017)
Iyeza lokuhamba: Ukhathalelo lweChiropractic
Ucaphulo
U-Ammendolia C. (2014). I-Degenerative lumbar spinal stenosis kunye nabakhohlisi bayo: izifundo ezintathu. I-Journal ye-Canadian Chiropractic Association, i-58 (3), i-312-319.
Munakomi S, Foris LA, Varacallo M. (2024). I-Spinal Stenosis kunye ne-Neurogenic Claudication. [Ihlaziywe ngo-2023 ngo-Agasti 13]. Ku: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2024 Jan-. Ifumaneka kwi: www.ncbi.nlm.nih.gov/books/NBK430872/
Ma, XL, Zhao, XW, Ma, JX, Li, F., Wang, Y., & Lu, B. (2017). Ukusebenza kotyando ngokubhekiselele kunyango olulondolozayo lwe-lumbar spinal stenosis: ukuphononongwa kwenkqubo kunye nohlalutyo lwemeta yezilingo ezilawulwa ngokungahleliwe. Ijenali yamazwe ngamazwe yotyando (eLondon, eNgilani), 44, 329–338. doi.org/10.1016/j.ijsu.2017.07.032
by UGqr Alex Jimenez | Ukulimala koluhlu, Sciatica
Ngaba iiprothokholi zonyango zonyango ezijolise ekuphuculeni uluhlu lwentshukumo kunye nokuguquguquka kwi-hip kunye nokunciphisa ukuvuvukala okujikeleze i-nerve ye-sciatic kunokunceda abantu abafumana intlungu enzulu ye-buttock okanye i-piriformis syndrome?
Iintlungu eziNgqondo ezinzulu
- Isifo sePiriformis, ak. iintlungu ezinzulu zempundu, zichazwa njengokucaphuka kwe-nerve ye-sciatic ukusuka kwi-piriformis muscle.
- I-piriformis sisihlunu esincinci emva kwe-hip joint kwi-buttocks.
- Imalunga nesentimitha enye ububanzi kwaye isebenza kumjikelo wangaphandle we-hip joint okanye ukujikela ngaphandle.
- Imisipha ye-piriformis kunye ne-tendon isondele kwi-nerve ye-sciatic, enika iindawo ezisezantsi kunye nemisebenzi yemoto kunye neemvakalelo.
- Ngokuxhomekeke kukwahluka komntu kwi-anatomic ye-muscle kunye ne-tendon:
- Ezi zimbini ziwela, ngaphantsi, okanye enye kwenye emva kwe-hip joint kwi-buttock enzulu.
- Olu lwalamano lucatshangelwa ukuba luyacaphukisa i-nerve, ekhokelela kwiimpawu ze-sciatica.
Piriformis Syndrome
- Xa ufunyaniswa ukuba une-piriformis syndrome, kucingelwa ukuba i-muscle kunye ne-tendon ibophelela kunye / okanye i-spasm ejikeleze i-nerve, ebangela ukucaphuka kunye neempawu zentlungu.
- Ithiyori exhaswayo kukuba xa i-piriformis muscle kunye ne-tendon yayo iqina, i-nerve ye-sciatic iyaxinzelelwa okanye igxininiswe. Oku kunciphisa ukujikeleza kwegazi kwaye kucaphukisa i-nerve evela kuxinzelelo. (Shane P. Cass 2015)
iimpawu
Iimpawu eziqhelekileyo kunye neempawu ziquka: (Shane P. Cass 2015)
- Ubumnene ngoxinzelelo kwimisipha ye-piriformis.
- Ukungakhululeki emva kwethanga.
- Iintlungu ezinzulu zempundu emva kwesinqe.
- Ukuvakalelwa kombane, ukothuka, kunye neentlungu zihamba phantsi ngasemva kwendawo engezantsi.
- Ubundisholo kumda ongezantsi.
- Abanye abantu baba neempawu ngequbuliso, ngelixa abanye bekhula kancinci.
Ukuqondwa
- Oogqirha baya kuodola i-X-rays, i-MRIs, kunye nezifundo zokuqhuba i-nerve, okuqhelekileyo.
- Ngenxa yokuba i-piriformis syndrome ingaba ngumngeni ukuxilonga, abanye abantu abaneentlungu ezincinci ze-hip banokufumana ukuxilongwa kwe-piriformis syndrome nokuba abanayo imeko. (Shane P. Cass 2015)
- Ngamanye amaxesha kuthiwa yintlungu enzulu yempundu. Ezinye izizathu zolu hlobo lweentlungu ziquka umva kunye neengxaki zomqolo ezifana:
- Iidiski zeHerniated
- I stenosis
- I-Radiculopathy - i-sciatica
- I-Hip bursitis
- Ukuxilongwa kwe-piriformis syndrome ngokuqhelekileyo kunikwa xa ezi ezinye izizathu zipheliswa.
- Xa ukuxilongwa kungaqinisekanga, i-injection ilawulwa kwindawo ye-piriformis muscle. (UDanilo Jankovic et al., 2013)
- Amayeza ahlukeneyo angasetyenziswa, kodwa i-injection ngokwayo isetyenziselwa ukukunceda ukuchonga indawo ethile yokukhathazeka.
- Xa i-injection inikezelwa kwi-piriformis muscle okanye i-tendon, isoloko ilawulwa yi-ultrasound guided ukuqinisekisa ukuba inaliti ihambisa iyeza kwindawo echanekileyo. (Elizabeth A. Bardowski, JW Thomas Byrd 2019)
impatho
Unyango oluqhelekileyo lubandakanya oku kulandelayo. (UDanilo Jankovic et al., 2013)
Ukuphumla
- Ukuphepha imisebenzi ebangela iimpawu ubuncinane kwiiveki ezimbalwa.
Ulungiso lwenyama
- Gxininisa ukunweba kunye nokomeleza imisipha ye-hip rotator.
Ukuthotywa kwe-Non-Utyando
- Ukutsala ngobunono umqolo ukukhulula naluphi na uxinzelelo, ukuvumela ukubuyisela amanzi kunye nokujikeleza kunye nokuthatha uxinzelelo kwi-nerve ye-sciatic.
UbuChwephesha bokuMasa boNyango
- Ukuphumla kunye nokukhulula uxinzelelo lwemisipha kunye nokwandisa ukujikeleza.
Ukwenza i-Acupuncture
- Ukunceda ukuphumla i imisipha ye-piriformis, i-nerve ye-sciatic, kunye nommandla ojikelezileyo.
- Khulula iintlungu.
Ulungiso lweChiropractic
- Uhlengahlengiso lulungelelanisa umqolo kunye nenkqubo ye-musculoskeletal ukunciphisa intlungu.
Imithi echasayo
- Ukunciphisa ukuvuvukala kwi-tendon.
Izitofu zeCortisone
- Iinaliti zisetyenziselwa ukunciphisa ukudumba kunye nokudumba.
Isitofu seToxin yeBotulinum
- Izitofu zetyhefu ye-botulinum zikhubaza isihlunu ukuze kuthomalaliswe iintlungu.
Ukuhlinzwa
- Utyando lunokwenziwa kwiimeko ezinqabileyo ukukhulula i-piriformis tendon, eyaziwa ngokuba yi-piriformis release. (Shane P. Cass 2015)
- Utyando licebo lokugqibela xa unyango olulondolozayo luye lwazanywa ubuncinane iinyanga ezi-6 kungekho ncedo luncinci.
- Ukuchacha kunokuthatha iinyanga ezininzi.
Izizathu ze-Sciatica kunye noNyango
Ucaphulo
I-Cass SP (2015). I-Piriformis syndrome: imbangela ye-nondiscogenic sciatica. Iingxelo zangoku zamayeza ezemidlalo, 14(1), 41–44. doi.org/10.1249/JSR.0000000000000110
UJankovic, D., Peng, P., & van Zundert, A. (2013). Uphononongo olufutshane: i-piriformis syndrome: i-etiology, ukuxilongwa, kunye nokulawula. Ijenali yaseKhanada ye-anesthesia = Ijenali canadien d'anesthesie, 60(10), 1003–1012. doi.org/10.1007/s12630-013-0009-5
Bardowski, EA, & Byrd, JWT (2019). I-Piriformis Injection: I-Ultrasound-Guided Technique. Ubuchule be-arthroscopy, i-8 (12), e1457-e1461. doi.org/10.1016/j.eats.2019.07.033
by UGqr Alex Jimenez | Unyango lwe-Acupuncture, Sciatica
Kubantu abacinga nge-acupuncture yokunceda kunye nolawulo lwe-sciatica, ngaba ukwazi ukuba isebenza njani kwaye yintoni onokuyilindela ngexesha leseshoni kunceda ekwenzeni isigqibo?
Iseshoni yoNyango lwe-Acupuncture Sciatica
I-acupuncture ye-sciatica lunyango olukhuselekileyo nolusebenzayo lonyango lokunciphisa nokulawula iimpawu zentlungu. Uphononongo lucebisa ukuba lusebenza njengezinye iindlela zonyango kwaye lubangela iziphumo ebezingalindelekanga ezimbalwa. (UZhihui Zhang et al., 2023) Ukuphindaphinda kwe-acupuncture ukukhulula intlungu ye-sciatica kuxhomekeke kubunzima bemeko kunye nokulimala, kodwa abaninzi bachaza ukuphuculwa kweeveki ezimbini ukuya kwezintathu. (UFang-Ting Yu et al., 2022)
Ukubekwa kweNaliti
- Iingxaki zokujikeleza zingabangela amandla omzimba ukuba agxininise kwi-meridians / itshaneli enye okanye ngaphezulu, okukhokelela kwiintlungu kunye neendawo ezijikelezayo. (Wei-Bo Zhang et al., 2018)
- Injongo ye-acupuncture kukubuyisela ukujikeleza kwegazi ngokufanelekileyo ngokuvuselela amanqaku athile emzimbeni abizwa ngokuba zii-acupoints.
- Iinaliti ezibhityileyo, ezibhityileyo zivuselela ii-acupoints ukuze zivule amandla endalo okuphilisa umzimba kunye nokuphelisa iintlungu. (Heming Zhu 2014)
- Abanye oogqirha bayayisebenzisa i-electroacupuncture – umbane othambileyo, othambileyo usetyenziswa kwiinaliti kwaye udlula kwizicubu ukuze kusebenze inkqubo ye-nervous. (Ruixin Zhang et al., 2014)
Ii-Acupoints
Unyango lwe-acupuncture sciatica lubandakanya ii-acupoints ezithile ecaleni kwe-bladder kunye ne-gallbladder meridians.
I-Bladder Meridian – BL
I-bladder meridian / BL ibaleka ezantsi ngasemva kunye nomqolo, isinqe, kunye nemilenze. Ii-acupoints ngaphakathi kwe-meridian ye-sciatica ziquka:UFang-Ting Yu et al., 2022)
- BL 23 -Shenshu – Indawo kumqolo osezantsi, kufutshane nezintso.
- BL 25 - Dachangshu - Indawo kumqolo osezantsi.
- BL 36 – Chengfu – Indawo ngasemva kwethanga, ngaphantsi kweempundu.
- BL 40 – Weizhong – Indawo emva kwedolo.
I-Gallbladder Meridian - GB
I-gallbladder meridian/GB ibaleka emacaleni ukusuka kwikona yamehlo ukuya kuzwane olupinki. (UThomas Perreault et al., 2021I-acupoints ye-sciatica ngaphakathi kwale meridian ibandakanya: (UZhihui Zhang et al., 2023)
- GB 30 - Huantiao - Indawo ngasemva, apho iimpundu zidibana nezinqe.
- I-GB 34 - Yanglingquan - Indawo engaphandle komlenze, ngaphantsi kwedolo.
- GB 33 - Xiyangguan - Indawo esecaleni ukuya edolweni, ecaleni.
Ukuvuselela i-acupoints kule meridians kwandisa ukuhamba kwegazi kwindawo, kunciphisa ukuvutha, kunye nokukhupha i-endorphins kunye nezinye iikhemikhali ze-neurochemicals ezidambisa intlungu. (UNingcen Li et al., 2021) Ii-acupoints ezithile ziyahluka ngokuxhomekeke kwiimpawu kunye nonobangela. (Tiaw-Kee Lim et al., 2018)
Umzekelo Umonde
An umzekelo weseshoni yonyango ye-acupuncture sciatica: Isigulana esinentlungu yokudubula eqhubekayo isuka ezantsi ngasemva nangecala lomlenze. Unyango olusemgangathweni lubandakanya oku kulandelayo:
- I-acupuncturist ihamba ngokucokisekileyo kwimbali yonyango yesigulane kunye neempawu kwaye isigulane sikhomba apho intlungu ikhona khona.
- Emva koko, bahamba-hamba kwaye bajikeleze indawo ukuze bafumane apho intlungu iyancipha kwaye iyancipha, benxibelelana nesigulana njengoko behamba.
- Ngokuxhomekeke kwisiza kunye nobunzima, banokuqala ukubeka iinaliti kwi-back back, egxininisa kwindawo yokulimala.
- Ngamanye amaxesha, i-sacrum ibandakanyeka, ngoko i-acupuncturist iya kubeka iinaliti kwezo zi-acupoints.
- Emva koko bahamba baye emva komlenze baze bafake iinaliti.
- Iinaliti zigcinwa imizuzu engama-20-30.
- I-acupuncturist ishiya igumbi okanye indawo yonyango kodwa ihlola rhoqo.
- Isigulana sinokuziva sifudumala, ukuntyiloza, okanye ubunzima obuncinci, nto leyo yimpendulo eqhelekileyo. Kulapho izigulane zibika khona umphumo wokuthomalalisa. (Shilpadevi Patil et al., 2016)
- Iinaliti zisuswe ngononophelo.
- Isigulana sinokuziva sikhululekile ngokunzulu kwaye siya kucetyiswa ukuba siphakame ngokukhawuleza ukuphepha ukuba nesiyezi.
- Kusenokubakho ukuqaqamba, ububomvu, okanye ukugruzuka kwindawo yokufaka inaliti, into eqhelekileyo kwaye kufuneka isombulule ngokukhawuleza.
- Isigulana siya kunikwa iingcebiso malunga nokuphepha umsebenzi onzima, ukuhambisa amanzi ngokufanelekileyo, kunye nokwenza lula.
IiNzuzo zeAcupuncture
I-acupuncture ibonakaliswe njengonyango olongezelelweyo lokunciphisa intlungu kunye nokulawula. Iingenelo ze-acupuncture:
Ukuphucula ukuhamba
- I-acupuncture ivuselela ukujikeleza kwegazi, eyondla imithambo-luvo eyonakeleyo okanye enomsindo kwaye ikhuthaza ukuphilisa.
- Oku kunceda ukukhulula iimpawu ze-sciatica, ezifana nokuba ndindisholo, ukubetha, kunye neentlungu. (Ingoma-Yi Kim et al., 2016)
Ikhupha i-Endorphins
- I-acupuncture ibangela ukukhululwa kwee-endorphins kunye nezinye iikhemikhali zendalo ezidambisa iintlungu, ezinceda ukuthomalalisa iintlungu. (Shilpadevi Patil et al., 2016)
Ilawula iNervous System
- I-acupuncture ilungelelanisa iimpendulo zovelwano kunye ne-parasympathetic, ezinciphisa uxinzelelo, uxinzelelo kunye neentlungu. (Xin Ma et al., 2022)
Ukhulula Imisipha
- Iintlungu zemithambo-luvo zihlala zihamba noxinzelelo lwemisipha kunye ne-spasms.
- I-acupuncture ikhulula imisipha eqinile, inciphisa uxinzelelo kunye nokubonelela ngesiqabu. (UZhihui Zhang et al., 2023)
Ukusuka kwiiMpawu ukuya kwizisombululo
Ucaphulo
Zhang, Z., Hu, T., Huang, P., Yang, M., Huang, Z., Xia, Y., Zhang, X., Zhang, X., & Ni, G. (2023). Ukusebenza kunye nokhuseleko lwe-acupuncture therapy ye-sciatica: ukuphononongwa ngokuchanekileyo kunye nohlalutyo lwemeta yeendlela ezilawulwa ngokungahleliwe. Imida kwi-neuroscience, 17, 1097830. doi.org/10.3389/fnin.2023.1097830
Yu, FT, Liu, CZ, Ni, GX, Cai, GW, Liu, ZS, Zhou, XQ, Ma, CY, Meng, XL, Tu, JF, Li, HW, Yang, JW, Yan, SY, Fu, HY, Xu, WT, Li, J., Xiang, HC, Sun, TH, Zhang, B., Li, MH, Wan, WJ, ... Wang, LQ (2022). I-acupuncture ye-sciatica engapheliyo: iprotocol yolingo olulawulwa ngokungahleliwe olune-multicenter. BMJ vula, 12(5), e054566. doi.org/10.1136/bmjopen-2021-054566
Zhang, WB, Jia, DX, Li, HY, Wei, YL, Yan, H., Zhao, PN, Gu, FF, Wang, GJ, & Wang, YP (2018). Ukuqonda i-Qi ebalekayo kwi-Meridians njenge-Interstitial Fluid Fluid nge-Interstitial Space of Low Hydraulic Resistance. Ijenali yaseTshayina yonyango oludibeneyo, i-24 (4), i-304-307. doi.org/10.1007/s11655-017-2791-3
Zhu H. (2014). Ii-Acupoints ziqalisa inkqubo yokuphilisa. I-acupuncture yonyango, i-26 (5), i-264-270. doi.org/10.1089/acu.2014.1057
Zhang, R., Lao, L., Ren, K., & Berman, BM (2014). Iinkqubo ze-acupuncture-electroacupuncture kwiintlungu eziqhubekayo. I-Anesthesiology, i-120 (2), 482-503. doi.org/10.1097/ALN.0000000000000101
Perreault, T., Fernández-de-Las-Peñas, C., Cummings, M., & Gendron, BC (2021). I-Needling Interventions ye-Sciatica: Ukukhetha iindlela ezisekelwe kwi-Neuropathic Pain Mechanisms-Ukuphononongwa kwe-Scoping. Ijenali yezonyango zonyango, i-10 (10), i-2189. doi.org/10.3390/jcm10102189
Li, N., Guo, Y., Gong, Y., Zhang, Y., Fan, W., Yao, K., Chen, Z., Dou, B., Lin, X., Chen, B., Chen, Z., Xu, Z., & Lyu, Z. (2021). Izenzo ezichasene nokudumba kunye neeNkqubo ze-Acupuncture ukusuka kwi-Acupoint ukuya kumaziko ekujoliswe kuwo nge-Neuro-Immune Regulation. Ijenali yophando lokuvuvukala, 14, 7191-7224. doi.org/10.2147/JIR.S341581
Lim, TK, Ma, Y., Berger, F., & Litscher, G. (2018). I-acupuncture kunye ne-Neural Mechanism kuLawulo lweentlungu ezisezantsi-Uhlaziyo. Amayeza (Basel, Switzerland), 5(3), 63. doi.org/10.3390/medicines5030063
UKim, SY, Min, S., Lee, H., Cheon, S., Zhang, X., Park, JY, Ingoma, TJ, & Park, HJ (2016). Utshintsho lweGazi leNdawo ekuphenduleni kwi-Acupuncture Stimulation: Ukuphononongwa okuCwangcisiweyo. Ubungqina obusekelwe kubungqina obuxhasayo kunye nolunye unyango : eCAM, 2016, 9874207. doi.org/10.1155/2016/9874207
UPatil, S., Sen, S., Bral, M., Reddy, S., Bradley, KK, Cornett, EM, Fox, CJ, & Kaye, AD (2016). Indima ye-Acupuncture kuLawulo lweentlungu. Iintlungu zangoku kunye neengxelo zentloko, i-20 (4), i-22. doi.org/10.1007/s11916-016-0552-1
Ma, X., Chen, W., Yang, NN, Wang, L., Hao, XW, Tan, CX, Li, HP, & Liu, CZ (2022). Iindlela ezinokwenzeka ze-acupuncture kwiintlungu ze-neuropathic ezisekelwe kwinkqubo ye-somatosensory. Imida kwi-neuroscience, 16, 940343. doi.org/10.3389/fnin.2022.940343
by UGqr Alex Jimenez | Umqolo obuhlungu, Ubuhlungu obungapheliyo, Ubuhlungu obungapheliyo, Electroacupuncture Therapy, Sciatica, Sciatica Nerve Pain, Unyango, I-Viscerosomatic Reflex
Ngaba iimpembelelo ze-electroacupuncture zinganciphisa i-sciatica kubantu abajongene neentlungu ezisezantsi ukubuyisela ukuhamba kwabo?
intshayelelo
Xa abantu abaninzi beqala ukusebenzisa ngokugqithiseleyo izihlunu zabo kwii-quadrants ezisezantsi, kunokukhokelela kwimibandela emininzi ebangela intlungu kunye nokungahambi kakuhle. Enye yeengxaki eziqhelekileyo zentlungu kwi-quadrants ephantsi ye-musculoskeletal system yi-sciatica, ehambelana neentlungu ezisezantsi. Le duo yeentlungu inokuchaphazela inkqubo yomntu yemihla ngemihla kwaye ibakhokelele kwiintlungu kunye nokungakhululeki. Le meko ye-musculoskeletal ixhaphakile, kwaye xa ichaphazela enye yemilenze kunye nomqolo ophantsi, abantu abaninzi bathi yintlungu edubulayo ekhuphayo engapheli ixesha elide. Ngethamsanqa, kukho unyango olufana ne-electroacupuncture ukunciphisa i-sciatica ehambelana neentlungu ezisezantsi. Inqaku lanamhlanje lijonga uxhulumaniso lwe-sciatica-low-back, indlela i-electroacupuncture inciphisa ngayo uxhulumaniso lwentlungu, kunye nendlela i-electroacupuncture inokubuyisela ngayo ukuhamba komntu. Sithetha nababoneleli bezonyango abaqinisekisiweyo abadibanisa ulwazi lwezigulane zethu ukuvavanya indlela yokunciphisa i-sciatica-low-back connection kunye ne-electroacupuncture. Siyazisa kwaye sikhokela izigulane malunga nendlela unyango lwe-electroacupuncture olunokudibaniswa ngayo kunye nolunye unyango ukubuyisela ukuhamba emzimbeni. Sikhuthaza izigulane zethu ukuba zibuze ababoneleli babo bezonyango abahambelanayo nemibuzo ebalulekileyo malunga nokubandakanya unyango lwe-electroacupuncture njengenxalenye yendlela yabo yokunciphisa i-sciatica ehambelana neentlungu ezisezantsi. UDkt Jimenez, DC, uquka olu lwazi njengenkonzo yezemfundo. isikhanyeli.
I-Sciatica kunye ne-Low Back Connection
Ngaba uziva iintlungu zemisipha okanye iintlungu kumqolo ongaphantsi okanye emilenzeni yakho? Ngaba ufumana iintlungu ezikhanyayo, ezibethayo emilenzeni yakho echaphazela amandla akho okuhamba? Okanye ngaba uye waphawula ukuba imilenze yakho kunye nomqolo osezantsi uqaqamba ngakumbi xa uphethe into enzima? Uninzi lwezi meko zidibene ne-sciatica, ehambelana neentlungu ezisezantsi. Ngoku, i-sciatica ihlala ibonakaliswe ngeentlungu ezibuhlungu ezihamba kunye ne-nerve ye-sciatic ukusuka kummandla osezantsi, ukuphazamisa umgangatho wobomi bomntu. Kwinkqubo ye-musculoskeletal, i-nerve ye-sciatic idlala indima ebalulekileyo ngokubonelela nge-motor function kwimilenze. (Davis et al., 2024) Ngoku, xa i-nerve ye-sciatic, indawo ye-lumbar nayo inendima ebalulekileyo. Ummandla we-lumbar kwingingqi ye-musculoskeletal nayo inendima ebalulekileyo ekuboneleleni ngenkxaso, amandla, kunye nokuguquguquka komzimba. Nangona kunjalo, zombini i-nerve ye-sciatic kunye ne-lumbar spinal region ixhomekeke ngakumbi kuxinzelelo kunye nokulimala ngenxa yokulimala okubuhlungu kunye nezinto ezisingqongileyo ezinokuchaphazela i-lumbar spinal discs kunye ne-nerve ye-sciatic.
Ukuphindaphinda okuphindaphindiweyo, ukukhuluphala, ukunyuswa okungafanelekanga, imiba ephazamisayo yomgogodla, kunye neemeko ze-musculoskelet yizizathu ezimbalwa kunye nezinto ezinobungozi ezibangela ukuphuhliswa kwe-sciatica ehambelana nomqolo ongaphantsi. Oko kwenzekayo ekugqibeleni kukuba umxholo wamanzi kunye nokulahleka okuqhubekayo kweproteoglycans ye-spinal discs idiliza phakathi kwe-vertebrae kwaye ikhuphe ngaphandle ukuze icinezele i-nerve ye-sciatic, enokuthi icaphuke kwaye ibangele ubuhlungu obugqithisiweyo emilenzeni kunye nomqolo ophantsi. . (Zhou et al., 2021Ukudibanisa kwe-sciatica kunye neentlungu ezisezantsi zingaba ngumcimbi wentlalo-qoqosho ngokuxhomekeke kubunzima beentlungu ezibangelwa yi-nerve ye-sciatic kwaye zingenza abantu baphoswe kuyo nayiphi na imisebenzi abayithathayo.Siddiq et al., 2020Nangona iimpawu ze-sciatica ezifana neentlungu zihlala zihambelana nommandla we-lumbar, abantu abaninzi banokufumana ukukhululeka abakufunayo ngonyango olwahlukeneyo.
Iimbangela zeSciatica-Ividiyo
I-Electroacupuncture Ukunciphisa i-Sciatica-Low Back Connection
Xa kufikwa ekunciphiseni unxibelelwano lwe-sciatic-low-back, abantu abaninzi bafuna unyango olufikelelekayo kwaye olusebenzayo ekwehliseni imiba efana neentlungu. Unyango olungaphangeliyo olufana ne-electroacupuncture lunokuba luncedo kubantu abaninzi abafumana iintlungu ze-sciatica ezinxulumene nomqolo ongezantsi. I-Electroacupuncture lolunye uhlobo lonyango lwesintu lwe-acupuncture olusuka e-China. Ii-acupuncturists eziqeqeshwe kakhulu zilandela imigaqo efanayo ye-acupuncture ngokubeka iinaliti eziqinileyo eziqinileyo kwii-acupoints ezahlukeneyo emzimbeni ukubuyisela i-qui okanye i-chi (ukuhamba kwamandla). I-Electroacupuncture idibanisa iinaliti kunye ne-electrostimulation ukunciphisa iindlela zokulawula intlungu ephakathi ezibangela iintlungu ezisezantsi kunye ne-sciatica ngokuthintela iimpawu zentlungu kunye nokubonelela intlungu. (Kong, 2020) Ngelo xesha, i-electroacupuncture inikeza iipropati ze-analgesic ukuvuselela i-endorphins kunye nokunciphisa amayeza eentlungu kwiintlungu ezisezantsi ngokukhuselekileyo. (Sung et al., 2021)
Electroacupuncture Ukubuyisela Ukuhamba
Xa iziphelo ezisezantsi zifumana ukuhamba okulinganiselweyo ngenxa ye-sciatica ehambelana neentlungu ezisezantsi, i-electroacupuncture inokunceda ukukhulula izihlunu ezenza i-nerve ye-sciatic ibe nzima kwaye incedise ekuphuculeni ukuhamba kwegazi kwimisipha ye-lumbar. Kungenxa yokuba i-electroacupuncture inokuvuselela imimandla ethile yomzimba ukunciphisa i-somato-vagal-adrenal reflexes ukukhulula kunye nokubuyisela ukuhamba kwiindawo ezisezantsi. (Liu et al., 2021) Ukongezelela, i-electroacupuncture inokudibaniswa kunye nezinye iindlela zonyango ezingezona utyando ukunceda ukuqinisa i-core kunye ne-back back muscles, ukuvumela abantu ukuba bakhumbule ukuba zeziphi izinto ezibangela i-sciatica kunye neentlungu ezisezantsi. Ngokwenza oku, abantu abaninzi abalwa ne-sciatica ehambelana neentlungu ezisezantsi zingabandakanya i-electroacupuncture njengenxalenye yenkqubo yabo yonyango edibeneyo kunye neendlela ezipheleleyo zokuphucula umgangatho wobomi kunye nokubonelela indlela yokuphucula ukuhamba kwabo.
Ucaphulo
UDavis, D., Maini, K., Taqi, M., & Vasudevan, A. (2024). Sciatica. Kwi StatPearls. www.ncbi.nlm.nih.gov/pubmed/29939685
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
Liu, S., Wang, Z., Su, Y., Qi, L., Yang, W., Fu, M., Jing, X., Wang, Y., & Ma, Q. (2021). Isiseko se-neuroanatomical se-electroacupuncture ukuqhuba i-vagal-adrenal axis. indalo, 598(7882), 641-645. doi.org/10.1038/s41586-021-04001-4
Siddiq, MAB, Clegg, D., Hasan, SA, & Rasker, JJ (2020). I-sciatica eyongezelelweyo yomgogodla kunye ne-sciatica ilinganisa: ukuphononongwa kwe-scoping. Korean J Intlungu, 33(4), 305-317. doi.org/10.3344/kjp.2020.33.4.305
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
Zhou, J., Mi, J., Peng, Y., Han, H., & Liu, Z. (2021). Iintlangano ze-Causal of Obesity kunye ne-Intervertebral Degeneration, iintlungu ezisezantsi, kunye ne-Sciatica: iSampuli ezimbini zeMendelian zokuHlaziya. Front Endocrinol (Lausanne), 12, 740200. doi.org/10.3389/fendo.2021.740200
isikhanyeli
