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.

Ukukhupha umdibaniso phakathi kwe-Electroacupuncture kunye ne-Sciatica Pain

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

Amandla e-Acupuncture kwi-Piriformis Syndrome

by UGqr Alex Jimenez | Unyango lwe-Acupuncture, Ubuhlungu obungapheliyo, Sciatica, Sciatica Nerve Pain, Unyango, I-Viscerosomatic Reflex

Ngaba abantu abane-piriformis syndrome banokufaka i-acupuncture ngeendlela ezahlukeneyo zonyango ukunciphisa intlungu ye-nerve ye-sciatic kunye nezinye iimpawu?

intshayelelo

Njengoko abantu abaninzi bejikeleza besuka kwenye indawo besiya kwenye ngenxa yemilenze esezantsi, izihlunu ezijikelezileyo, iiligaments, iingcambu zemithambo-luvo, kunye nezicubu zinceda igalelo kumsebenzi we-sensory-motor of the hips, imilenze, iimpundu kunye neenyawo. Onke la maqela e-muscle afaka isandla ekuqinisekiseni ukuba ayakwazi ukuhamba ngaphandle kwemiphumo yeentlungu okanye ukungahambi kakuhle. Nangona kunjalo, izinto ezininzi kunye nemiba inokubangela ukuba imisipha ejikelezileyo iphuhlise iingxaki ze-musculoskelet ngokuhamba kwexesha, ezichaphazela ukuhamba komntu. Enye yezihlunu ezinceda ukwabelana ngoxanduva lokuhamba ezinqeni nasezinqeni yimisipha ye-piriformis, ehlala ihoywa xa ukulimala okuhlukeneyo okanye ukunyakaza okuphindaphindiweyo kuqala ukuchaphazela amandla omntu ukuhamba. Inqaku lanamhlanje lihlola indlela i-piriformis syndrome echaphazela ngayo ukuhamba, indlela intlungu ye-sciatic ehambelana ngayo ne-piriformis syndrome, kunye nendlela unyango olufana ne-acupuncture lunokunceda ukunciphisa i-piriformis syndrome. Sithetha nababoneleli bezonyango abaqinisekisiweyo abadibanisa ulwazi lwezigulane zethu ukubonelela ngeendlela ezininzi zonyango ukunciphisa i-piriformis syndrome echaphazela ukuhamba komntu. Siyazisa kwaye sikhokela izigulane malunga nendlela unyango olufana ne-acupuncture olunokunceda ngayo ukunciphisa intlungu ye-nerve ye-sciatic ehambelana ne-piriformis syndrome. Sikhuthaza izigulane zethu ukuba zibuze ababoneleli babo bezonyango abadibeneyo kunye nemibuzo ebalulekileyo malunga neempawu ezibhekiselele kwiintlungu ezibangelwa yi-piriformis syndrome echaphazela ukukwazi kwabo ukuhamba. UDkt Jimenez, DC, udibanisa le ngcaciso njengenkonzo yezemfundo. isikhanyeli.

I-Piriformis Syndrome echaphazela ukuHamba

Ngaba uye wafumana ukuqina kwemisipha kwindawo yakho okanye kwindawo ye-buttock, echaphazela amandla akho okuhamba? Ngaba uziva ukuba ndindisholo, ukuntlitheka, okanye iintlungu ezitshisayo ezihamba emadolweni nasezinyaweni zakho? Okanye, emva kosuku olude lomsebenzi, ngaba uziva iintlungu xa uhleli phantsi? Uninzi lwezi zibonakaliso zihlala zihambelana ne-piriformis syndrome. Izihlunu ezithandathu ezijikelezayo ezijikeleze ummandla we-gluteal wamathanga kunye nezinqe zonke zisebenza kunye ukuze zibonelele ukunyakaza komzimba ophantsi ngelixa uzinzisa umlenze kunye nokujikeleza amathanga. Isihlunu se-piriformis sisisipha esincinci, esisicaba, esine-pear esihamba phezu kwe-nerve ye-sciatic. I-Piriformis syndrome yimeko yeklinikhi ye-musculoskelet ebangela ukuba abantu abaninzi baxele ukudubula kunye neentlungu ezitshisayo ukuya kwindawo yabo yeempundu. (Hicks et al., 2024) Oku kubangela ukuba abantu abaninzi bacinge ukuba bajongene neentlungu ezisezantsi ezinxulumene ne-sciatica. Xa umntu ejongene ne-piriformis syndrome, baya kuba nokuhamba okulinganiselweyo ezinqeni zabo, okuthi, ekuhambeni kwexesha, ukuba kungaphathwanga, kuya kuchaphazela amathanga kunye nemilenze.

I-Sciatic Nerve Pain ihambelana njani nePiriformis Syndrome?

Ukongezelela, ekubeni i-piriformis syndrome ihambelana nentlungu ye-nerve ye-sciatic, ezinye iziphumo zeklinikhi ezibangela ukugqithiswa kweeprofayili zomngcipheko ziquka ukujikeleza kwe-hip yangaphandle kunye nokuqina kwemisipha ye-lumbosacral muscle. Ezinye iziphumo zeklinikhi zivela kwintlungu ye-palpatory ngaphezu kwe-notch enkulu ye-sciatic ukuya kwiintlungu ezibuhlungu kwindawo ehleliyo. (Sharma et al., 2023) Ekubeni i-nerve ye-sciatic entrapment ihambelana ne-piriformis syndrome, isathathwa njenge-non-discogenic imbangela ye-sciatica. (Unyana & Lee, 2022) Xa loo nerve ye-sciatic ibanjwe ngaphakathi kwe-piriformis muscle, abantu abaninzi baya kuba ne-numbness, i-sensations, kunye neepatheni ezifanayo zentlungu emilenzeni, njenge-sciatica; nangona kunjalo, xa abantu befuna unyango lokunciphisa intlungu ye-nerve ye-sciatic kunye nokuphucula imisipha ye-piriformis.

Unyango lwe-Acupuncture lunciphisa i-Piriformis Syndrome

Xa abantu befuna unyango lokunciphisa intlungu ye-nerve ye-sciatic ehambelana ne-piriformis syndrome, bafuna unyango olufikelelekayo kwaye lunokunciphisa intlungu ngeeseshoni ezilandelelanayo. Unyango lwe-acupuncture lunokunceda ukunciphisa imiphumo ye-piriformis syndrome. I-acupuncture lunyango olongezelelweyo kunye nolunye unyango oluvela e-China olusebenzisa iinaliti eziqinileyo, ezibhityileyo eziza kufakwa kwii-acupoints emzimbeni. Ukongezelela, iingcali eziqeqeshwe kakhulu zinokubandakanya iindlela ezahlukeneyo ze-acupuncture ukunyanga nokunciphisa imiphumo ye-piriformis syndrome. (U-et al., 2023) Ngexesha elifanayo, xa umntu ephathwa nge-piriformis syndrome, i-acupuncturist isebenzisa iindlela ezikhokelwa yi-ultrasound ukuvumela ukufakwa kwenaliti echanekileyo ngaphakathi kwemisipha enzulu ukubonelela ngempendulo yonyango olusebenzayo. (Fusco et al., 2018) Oku kuvumela izihlunu ezichaphazelekayo ukuba ziphumle kwaye zinciphise intlungu ye-nerve ye-sciatic.

I-Acupuncture yokunciphisa iintlungu zeNerve ye-Sciatic

Ekubeni intlungu ye-nerve ye-sciatic kunye ne-piriformis syndrome ineeprofayili ezinobungozi ezigqithisiweyo, zinokudibaniswa nezinye iimeko zentlungu ye-musculoskelet enokuchaphazela ukuhamba komntu. I-acupuncture inokunceda ukunciphisa iimpawu zentlungu ezibangela ukuphazamiseka kwemoto okanye kwi-sensory ngaphakathi kwe-pelvic kunye ne-hip. (Kvorning et al., 2004) I-acupuncture enye yeendlela zakudala zonyango olungaxutywanga olunokuthi ludityaniswe nezinye iindlela zokwelapha ezahlukeneyo zokunceda ukubuyisela umlenze kunye nokunciphisa intlungu echaphazela i-nerve ye-sciatic ngelixa inika uncedo. (Vij et al., 2021) Ngokubandakanya i-acupuncture njengenxalenye yesicwangciso sonyango lwezempilo kunye nokuphila kakuhle komntu, baya kuqala ukulawula ngokuthe ngcembe iimpawu ezihambelanayo kunye nokunciphisa amathuba e-piriformis syndrome ekubuyeleni kubangela intlungu ye-nerve ye-sciatic kwiindawo ezisezantsi. Oku kuvumela abantu ukuba bacinge ngakumbi kwaye bancede ukubuyisela inkqubo yokuphilisa yendalo yomzimba ngokuhamba kwexesha.

Banga kwakhona ukuHamba kwakho-Ividiyo

Ucaphulo

Fusco, P., Di Carlo, S., Scimia, P., Degan, G., Petrucci, E., & Marinangeli, F. (2018). I-Ultrasound-guided Dry Needling Treatment of Myofascial Trigger Points for Piriformis Syndrome Management: A Case Series. J Chiropr Med, 17(3), 198-200. doi.org/10.1016/j.jcm.2018.04.002

Yena, Y., Miao, F., Fan, Y., Zhang, F., Yang, P., Zhao, X., Wang, M., He, C., & He, J. (2023). Iindlela ze-Acupuncture ze-Piriformis Syndrome: iProtocol yokuHlola ngokuCwangcisiweyo kunye neNethiwekhi yeMeta-Analysis. J Iintlungu Res, 16, 2357-2364. doi.org/10.2147/JPR.S417211

Hicks, BL, Lam, JC, & Varacallo, M. (2024). I-Piriformis Syndrome. Kwi StatPearls. www.ncbi.nlm.nih.gov/pubmed/28846222

Kvorning, N., Holmberg, C., Grennert, L., Aberg, A., & Akeson, J. (2004). I-acupuncture ikhulula i-pelvic kunye neentlungu ezisezantsi ekukhulelweni kwexesha. I-Acta Obstet Gynecol Scand, 83(3), 246-250. doi.org/10.1111/j.0001-6349.2004.0215.x

Sharma, S., Kaur, H., Verma, N., & Adhya, B. (2023). Ukujonga ngaphaya kwePiriformis Syndrome: Ngaba ngokwenene yiPiriformis? Isifuba seHip, 35(1), 1-5. doi.org/10.5371/hp.2023.35.1.1

Unyana, BC, & Lee, C. (2022). I-Piriformis Syndrome (i-Sciatic Nerve Entrapment) Edityaniswa Nohlobo lwe-C Sciatic Nerve Variation: Ingxelo yeemeko ezimbini kunye nokuphononongwa koncwadi. Korean J Neurotrauma, 18(2), 434-443. doi.org/10.13004/kjnt.2022.18.e29

Vij, N., Kiernan, H., Bisht, R., Singleton, I., Cornett, EM, Kaye, AD, Imani, F., Varrassi, G., Pourbahri, M., Viswanath, O., & Urits , I. (2021). UKhetho loNyango loTyando kunye noluNgelulo utyando lwePiriformis Syndrome: Uphononongo loNcwadi. Anesth Pain Med, 11(1), e112825. doi.org/10.5812/aapm.112825

isikhanyeli

Uncedo lweentlungu eziLula ngeSciatica kunye neTekhnoloji ye-Acupuncture

by UGqr Alex Jimenez | Unyango lwe-Acupuncture, Ubuhlungu obungapheliyo, Sciatica, Sciatica Nerve Pain, Unyango, I-Viscerosomatic Reflex

Ngaba abantu abajongene neentlungu ze-sciatica banokulufumana uncedo abaludingayo kwi-acupuncture ukuze babuyisele ukuhamba okuphantsi?

intshayelelo

Iziphelo ezisezantsi zomzimba zibonelela ngokuzinza kunye nokunyakaza kumntu ngamnye njengoko behamba besuka kwenye indawo ukuya kwenye ngaphandle kwentlungu okanye ukungahambi kakuhle. Iziphelo ezisezantsi zibandakanya i-hips, i-back back, imilenze, amathanga, i-pelvis, amadolo kunye neenyawo; nganye inezihlunu ezahlukeneyo, iingcambu zemithambo-luvo, kunye nemigqaliselo enomsebenzi othile kwi-quadrant ye-muscle nganye. Ikholamu yomgogodla kwi-musculoskeletal system inceda ukubonelela ngokufanelekileyo ngokufanelekileyo ngelixa ukhusela intambo yomgogodla kukulimala. Nangona kunjalo, ngokuphindaphindiweyo, iziphelo ezisezantsi zinokunikezela kukulimala njengoko abantu abaninzi bebandakanya ukunyakaza okuphindaphindiweyo okunokuthi kucinezele iingcambu ze-nerve ezisasazwa kwiindawo ezisezantsi, ezinokuthi zifake intlungu. Intlungu eqhelekileyo ebonakala ichaphazela umva ophantsi kunye nemilenze yi-sciatica, kwaye xa ingaphathwa, inokubangela ukugqithiswa kweeprofayili ezinobungozi kwiindawo ezisezantsi. Inqaku lanamhlanje lihlola indlela i-sciatica ehambelana ngayo ne-back back kunye nendlela unyango olungenalo utyando lunokunceda ukunciphisa imiphumo yeentlungu ze-sciatic. Sithetha nababoneleli bezonyango abaqinisekisiweyo abadibanisa ulwazi lwezigulane zethu ukubonelela ngeendlela ezininzi zonyango ukukhulula intlungu ye-sciatica echaphazela iziphelo zabo ezisezantsi. Kwakhona siyazisa kwaye sikhokela izigulane malunga nendlela unyango olungenalo utyando lunokunceda ukunciphisa intlungu ye-sciatica ukusuka kwimida ephantsi ye-musculoskeletal. Sikhuthaza izigulane zethu ukuba zibuze ababoneleli babo bezonyango abadibeneyo kunye nemibuzo ebalulekileyo malunga neempawu ezinjengeentlungu ezihlangabezana nazo kwi-sciatica ezibangela intlungu. UDkt Jimenez, DC, udibanisa le ngcaciso njengenkonzo yezemfundo. isikhanyeli.

I-Sciatica ihambelana njani nomqolo osezantsi?

Ngaba udla ngokuba nama-numb okanye ukuntlontlozela okuhla emlenzeni wakho okubangela ukuba umlenze okanye unyawo lwakho lulahlekelwe yimvakalelo ngokufutshane? Ngaba uziva intlungu yokudubula kumqolo wakho ongaphantsi emva kokuhlala ngokugqithisileyo kwidesika yakho? Okanye ngaba ufumanisa ukuba ukolula imilenze yakho okanye umva kuyayithomalalisa okwexeshana intlungu, kuphela ukuba iphinde ibuye? Uninzi lwabantu abafumana iintlungu zokudutyulwa ezihla imilenze yabo bajongana ne-sciatica. Xa kuziwa kwiindawo ezisezantsi kwi-musculoskeletal system, abantu abaninzi benza ukunyakaza okuphindaphindiweyo kumqolo wabo onokubangela ukuba i-spinal discs ixinzelelwe kwaye ifakwe phantsi koxinzelelo. Xa i-disc ye-spinal i-herniated kwi-lumbar spine, loo diski iya kuqala ukucinezela kwiingcambu ze-nerve ezijikelezayo, ngaloo ndlela ithumela iintlungu ezikhuphayo phantsi kwemilenze. I-Sciatica ichazwa njengaxa abantu beva iintlungu ezivela kwingcambu ye-lumbosacral ye-nerve kwaye ibangela ukutshisa, ubunzima, okanye ukuva ubunzima. (UAguilar-Shea et al., 2022) I-Sciatica inokuvela kwi-mild to serious, iphoqa abantu abaninzi ukuba bacinge ukuba unyawo lwabo lulele. Nangona kunjalo, ingcambu ye-nerve ye-sciatic icinezelekile, ibanjwe, ibambelele, okanye igxininiswe, ebangela i-spasms ye-muscle ngaphakathi kwe-back back, i-buttock, okanye imilenze. Ngenxa yoko, abantu abaninzi baya kuchaza ukuba bafumana intlungu ephantsi okanye emilenzeni xa i-sciatica.

Ekubeni i-nerve ye-sciatic yi-nerve ende, enzima emzimbeni womntu, ihamba ukusuka kwindawo ye-lumbar ukuya edolweni kwaye idibanise kwezinye iintsholongwane ukuze ifike enyaweni. Iintlungu ze-Sciatica zinokuba ziimeko ezimbini ezineempembelelo ezifanayo zentlungu ezibizwa ngokuba yinyani okanye iimeko ezinjenge-sciatica. I-sciatica yokwenyani kulapho ukwenzakala kuchaphazela ngqo i-nerve ye-sciatic. Oku kunokuhambelana nediski etyibilikayo ebangelwa yimiba yokusingqongileyo efana nokuphakamisa into enzima, ukwenza mandundu ingcambu ye-nerve ye-sciatic, kwaye ibangele intlungu eyandayo. (Siddiq et al., 2020) Kwiimeko ezinjenge-sciatica, oku kulapho ezinye iimeko ze-musculoskelet zibangela iimpawu ze-sciatic ezifana neentlungu kwiindawo ezisezantsi. Iimeko ze-musculoskeletal ezifana ne-piriformis syndrome zingabangela iimpawu ezifana nentlungu ye-sciatica apho i-piriformis muscle icaphukile okanye ivutha, icinezela i-nerve ye-sciatic, ebangela ukuba abantu abaninzi bachaze intlungu kunye nommandla we-gluteal onokuthi udubule ukuvutha, ukuvakalelwa okubuhlungu phantsi komva imilenze. (Hicks et al., 2024) Nangona kunjalo, kukho iindlela zokunyanga i-sciatica kunye nokunciphisa imiphumo efana nentlungu ebangela imiba yokuhamba.

I-Sciatica, izizathu, iimpawu kunye neengcebiso-Ividiyo

Name: El Paso Back Clinic | Spine Specialists - El Paso, TX
Price range: $$

Unyango olungelulo utyando lwe-Sciatica

Xa kufikwa ekunciphiseni iintlungu ze-sciatica, abantu abaninzi baya kufuna unyango olunexabiso elisebenzayo kunye nolwenzelwe intlungu yomntu. Olunye unyango, olufana ne-neural mobilization, lunokusebenzisa amandla omatshini kwiingcambu zemithambo-luvo ukubuyisela intshukumo enempilo emilenzeni nakwiziphelo ezisezantsi. (Peacock et al., 2023) Olunye unyango, olufana nokuthotywa komgogodla, sebenzisa i-traction ethambileyo kwi-spinal disc ukubeka uxinzelelo kwi-nerve ye-sciatic ukunika uncedo. Unyango olungasebenzisi utyando luthandeka kubantu abaninzi ngenxa yokuba lufikeleleka kangakanani kwaye lulungiselelwe umntu kwiintlungu zomntu njengoko lunceda ekunciphiseni iintlungu nokukhubazeka. (Liu et al., 2023) Ngethamsanqa, uhlobo lonyango olungenalo utyando lunokunceda ukukhulula i-sciatica kunye neempawu ezihambelana nentlungu.

I-Acupuncture yokuphelisa iintlungu ze-Sciatic

I-acupuncture yenye yeendlela zakudala zonyango olungasebenzisiyo apho iingcali eziqeqeshiweyo zisebenzisa iinaliti ezincinci, eziqinileyo ukuba zifakwe kwaye zibekwe kwindawo echaphazelekayo, ebangela intlungu. I-acupuncture inokunceda ukunciphisa ukuphazamiseka kweengcambu ze-nerve ezichaphazelekayo, kunye nee-cytokines ezivuthayo zendawo ezihambelana ne-sciatica. (Yu et al., 2021) Yintoni le nto iyenzayo kukuba iqhelekile izibonakaliso ze-neuron kwimodi engagqibekanga ukusuka ekukhuliseni imicu ye-muscle ejikelezileyo kunye nokwehla kweentlungu. Ukongezelela, i-acupuncture inokunceda ukubuyisela i-qi yomzimba okanye amandla ngokunciphisa intlungu ngokubeka iinaliti kwi-acupoint yamalungu abalulekileyo abelana ngobudlelwane kunye ne-nerve ye-sciatic. (Yu et al., 2022) Oku kwaziwa ngokuba yi-somato-visceral, apho amalungu abalulekileyo anokuba yindawo echaphazelekayo, ebangela ukugqithelana kwemisipha kunye neeprofayili zomngcipheko we-nerve. I-acupuncture yindlela egqwesileyo yonyango olungasebenzisi utyando olunokuthi ludityaniswe nezinye iindlela zonyango ezahlukeneyo zokunceda ukubuyisela imeko yendalo yomzimba kwaye uvumele abantu ukuba bakhumbule ngakumbi indlela yokunyamekela imizimba yabo ngokulula ukukhusela iimpawu ezinjengeentlungu ze-sciatica. evelayo.

Ucaphulo

Aguilar-Shea, AL, Gallardo-Mayo, C., Sanz-Gonzalez, R., & Paredes, I. (2022). Sciatica. Ulawulo lwamagqirha eentsapho. J Ukhathalelo lwexesha elizayo lweSapho, 11(8), 4174-4179. doi.org/10.4103/jfmpc.jfmpc_1061_21

Hicks, BL, Lam, JC, & Varacallo, M. (2024). I-Piriformis Syndrome. Kwi StatPearls. www.ncbi.nlm.nih.gov/pubmed/28846222

Liu, C., Ferreira, GE, Abdel Shaheed, C., Chen, Q., Harris, IA, Bailey, CS, Peul, WC, Koes, B., & Lin, CC (2023). Utyando oluchasene nonyango olungenalo utyando lwe-sciatica: ukuphononongwa ngokuchanekileyo kunye nohlalutyo lwe-meta lwezilingo ezilawulwa ngokungahleliwe. BMJ, 381, e070730. doi.org/10.1136/bmj-2022-070730

IPacock, M., Douglas, S., & Nair, P. (2023). I-Neural mobilization kwi-low back and radicular pain: uphononongo olucwangcisiweyo. J Man Manip Ther, 31(1), 4-12. doi.org/10.1080/10669817.2022.2065599

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

Yu, FT, Ni, GX, Cai, GW, Wan, WJ, Zhou, XQ, Meng, XL, Li, JL, Tu, JF, Wang, LQ, Yang, JW, Fu, HY, Zhang, XC, Li, J., Wang, YF, Zhang, B., Zhang, XH, Zhang, HL, Shi, GX, & Liu, CZ (2021). Ukuphumelela kwe-acupuncture ye-sciatica: iprotocol yokufunda yovavanyo olulawulwa ngokungahleliwe. Zilingo, 22(1), 34. doi.org/10.1186/s13063-020-04961-4

isikhanyeli

Ukunyanzeliswa koMnqonqo: Indlela yokunciphisa iintlungu ze-Hip ngokulula

by UGqr Alex Jimenez | Chiropractic, Ubuhlungu obungapheliyo, I-Hip Pain kunye nokuphazamiseka, Sciatica, Sciatica Nerve Pain, Unyango lokuthotywa koMnqonqo, Unyango, I-Viscerosomatic Reflex

Ngaba abantu abajongana neentlungu ze-hip, banokufumana isiqabu abayifunayo kwi-spinal decompression ukuze banciphise iintlungu zabo ze-sciatica?

intshayelelo

Xa kuziwa kubantu abenza iintshukumo zemihla ngemihla, umzimba unokuba kwindawo ezingaqhelekanga ngaphandle kweentlungu okanye ukungakhululeki. Ngenxa yoko, abantu banokuma okanye bahlale ixesha elide kwaye bazive belungile xa besenza imisebenzi enzima. Nangona kunjalo, njengoko umzimba uguga, imisipha ejikelezileyo kunye nemigqa ingaba buthathaka kwaye iqinile, ngelixa i-spinal joints kunye ne-discs iqala ukuxinzezeleka kwaye igugile. Oku kungenxa yokuba abantu abaninzi benza ukunyakaza okuphindaphindiweyo emizimbeni yabo ebangela iimpawu ezinjengeentlungu emqolo, ezinqeni, entanyeni, nasezinqeni zomzimba, ezikhokelela kwiintlungu ezigqithisiweyo kwiindawo ezahlukeneyo zomzimba. Xa abantu besiva iintlungu ze-musculoskeletal emizimbeni yabo, kunokubangela ukugcwala kweeprofayili zomngcipheko ezinokuthi zithintele umntu kwaye zibangele ukuba bakhathazeke. Ukongezelela, xa abantu beva ubuhlungu be-musculoskelet emizimbeni yabo, abaninzi baya kufuna unyango lokunciphisa iimpawu ezigqithisiweyo ezifana neentlungu ezinxulumene nentlungu ye-musculoskeletal. Inqaku lanamhlanje liza kuhlolisisa uhlobo olulodwa lweentlungu ze-musculoskeletal ezinqeni, ukuba zingabangela njani iingxaki ezinjenge-sciatica, kunye nendlela unyango olufana nokunciphisa uxinzelelo lunokunciphisa iintlungu ezinjengeentlungu ze-hip ezihambelana ne-sciatica. Sithetha nababoneleli bezonyango abaqinisekisiweyo abadibanisa ulwazi lwezigulane zethu ukubonelela ngeendlela ezininzi zonyango ukukhulula intlungu ye-hip ehambelana ne-sciatica. Siyazisa kwaye sikhokela izigulane malunga nendlela ukuchithwa kwe-decompression kunokunceda ukunciphisa iimpawu ezinjengeentlungu ezifana ne-sciatica kunye nokubuyisela ukuhamba kwe-hip. Sikhuthaza izigulane zethu ukuba zibuze ababoneleli babo bezonyango abanxulumene nabo imibuzo enzima kunye nebalulekileyo malunga neempawu ezifana nentlungu abazifumanayo kwiintlungu ze-hip. UDkt Jimenez, DC, udibanisa le ngcaciso njengenkonzo yezemfundo. isikhanyeli.

Iintlungu ze-Hip ezinxulumene ne-Sciatica

Ngaba uhlala ufumana ukuqina kwi-back back and hips emva kokuhlala phantsi ixesha elide? Kuthekani ngokuziva iintlungu ezikhuphayo zihla ukusuka kumqolo wakho ongezantsi ukuya emilenzeni yakho? Okanye ngaba ucinga ukuba izihlunu zakho ze-hip kunye nethanga ziba nzima kwaye zibuthathaka, ezichaphazela ukuzinza kwakho? Abantu abaninzi abahlangabezana nale miba efana neentlungu bava iintlungu ze-hip, kwaye inokuba ngumba xa inganyangwa ngokuhamba kwexesha. Ekubeni intlungu ye-hip yinto eqhelekileyo kwaye ikhubaza imeko enzima ukuyixilonga, abantu abaninzi bahlala bevakalisa intlungu yendawo kwindawo enye yemimandla emithathu ye-anatomic: i-anterior, posterior, kunye ne-lateral hip section. (UWilson & Furukawa, ngo-2014) Xa abantu bejongene neentlungu ze-hip, baya kuba neentlungu ezigqithisiweyo kwi-back backs zabo, ezibangela ukuba babandezeleke kwaye bahlupheke. Kwangaxeshanye, ukunyakaza okuqhelekileyo okuqhelekileyo njengokuhlala okanye ukuma kunokuchaphazela izihlunu kunye nemigqa ejikeleze isinqe kwaye kunokuba yingozi. Oku kunokubangela ukuba intlungu ye-hip idluliselwe kwi-lumbar spine kunye neengxaki zomqolo, ezibangela ukuba imiba ye-musculoskeletal ifikelele kwiindawo ezisezantsi. (ULee et al., 2018)

Ngoko ke, intlungu ye-hip iya kudibaniswa njani ne-sciatica kwaye ibangele intlungu kwiindawo ezininzi ezisezantsi? Iindawo ze-hip kwi-musculoskeletal system zinezihlunu ezininzi ezijikeleze indawo yethambo le-pelvic enokuthi ibe qinile kwaye ibe buthathaka, ibangele intlungu ye-musculoskeletal evela kwimiba ye-intrapelvic kunye ne-gynecologic. (Chamberlain, 2021) Oku kuthetha ukuba ukuphazamiseka kwe-musculoskelet njenge-piriformis syndromes ehambelana neentlungu ze-hip kunokukhokelela kwi-sciatica. I-nerve ye-sciatic ihamba phantsi ukusuka kwingingqi ye-lumbar kunye neempundu kunye nasemva komlenze. Xa umntu ejongene ne-sciatica kwaye uya kugqirha wabo oyintloko ukuba aphathwe ngentlungu, oogqirha babo baya kwenza uviwo lomzimba ukuze babone ukuba zeziphi izinto ezibangela intlungu. Ezinye zezinto ezifunyenweyo eziqhelekileyo ngexesha lovavanyo lomzimba lwaluthamba kunye ne-palpation yenotshi enkulu ye-sciatic kunye nokuzala kweentlungu ezinqeni. (Unyana & Lee, 2022) Oku kubangela iimpawu ezihambelanayo ezihambelana ne-sciatica kunye neentlungu ze-hip, kuquka:

Ukurhawuzelela/ukuba nomsindo
Ukuthamba kwezihlunu
Iintlungu xa uhleli okanye umile
Ukungakhululeki

Ngaba intshukumo isitshixo sokuPhilisa-Ividiyo

Ukunyanzeliswa koMnqongo Ukunciphisa Ubuhlungu be-Hip

Nangona kunjalo, abantu abaninzi baya kufumana unyango olungasebenzisi utyando ukunceda ukunciphisa i-sciatica ehambelana neentlungu ze-hip. Unyango olungasebenzisi utyando lulolongelwe kwiintlungu zomntu kwaye luyonga iindleko ngelixa luthambile kumqolo. Ukunyanzeliswa komgogodla kunokunceda ukunciphisa intlungu ye-hip ehambelana ne-sciatica. I-Decompression kumqolo ivumela ukutsalwa okuthambileyo ukolule izihlunu ezibuthathaka ecaleni komqolo osezantsi kunye nesinqe ngelixa i-spinal discs ifumana uxinzelelo olubi. Xa umntu ejongene nentlungu ye-sciatica ehambelana nentlungu ye-hip kunye nokuzama ukuchithwa okokuqala, babonelelwa ngokukhululeka okufanelekileyo. (UCrisp et al., ngo-1955)

Ukongezelela, abantu abaninzi ababandakanya ukudakumba ngenxa yeentlungu zabo ze-hip banokuqala ukuva iziphumo zabo njengoko kunceda ekuphuculeni ukuhamba kwegazi ukubuyela ezinqeni ukuqala inkqubo yokuphilisa yendalo. (U-Hua et al., 2019) Xa abantu beqala ukubandakanya i-decompression ngenxa yeentlungu zabo ze-hip, banokukhululeka njengoko beva zonke iintlungu zabo kunye neentlungu ziphela ngokuthe ngcembe njengoko ukuhamba kunye nokujikeleza kubuyela kwiindawo ezisezantsi.

Ucaphulo

Chamberlain, R. (2021). Ubuhlungu be-Hip kubantu abadala: uVavanyo kunye neDifferential Diagnosis. Ugqirha wezeMerika waseMerika, 103(2), 81-89. www.ncbi.nlm.nih.gov/pubmed/33448767

www.aafp.org/pubs/afp/issues/2021/0115/p81.pdf

Crisp, EJ, Cyriax, JH, & Christie, BG (1955). Ingxoxo ngonyango lwe-backache ngokutsala. Proc R Soc Med, 48(10), 805-814. www.ncbi.nlm.nih.gov/pubmed/13266831

www.ncbi.nlm.nih.gov/pmc/articles/PMC1919242/pdf/procrsmed00390-0081.pdf

Hua, KC, Yang, XG, Feng, JT, Wang, F., Yang, L., Zhang, H., & Hu, YC (2019). Ukusebenza kunye nokhuseleko lwe-core decompression kunyango lwe-femoral head necrosis: ukuphononongwa ngokuchanekileyo kunye nohlalutyo lwe-meta. J Orthop Surg Res, 14(1), 306. doi.org/10.1186/s13018-019-1359-7

Lee, YJ, Kim, SH, Chung, SW, Lee, YK, & Koo, KH (2018). Iimbangela ze-Hip ezingapheliyo ze-Hip Pain Engafunyaniswanga okanye i-Misdiagnosed ngabaGqirha basePrayimari kwi-Young Adult Patients: i-Retrospective Descriptive Study. J isiKorea uMedi weSayensi, 33(52), e339. doi.org/10.3346/jkms.2018.33.e339

Wilson, JJ, & Furukawa, M. (2014). Ukuvavanywa kwesigulane ngentlungu ye-hip. Ugqirha wezeMerika waseMerika, 89(1), 27-34. www.ncbi.nlm.nih.gov/pubmed/24444505

www.aafp.org/pubs/afp/issues/2014/0101/p27.pdf

isikhanyeli

I-Spinal Stenosis kunye ne-Physical Therapy: Ukulawula Iimpawu

by UGqr Alex Jimenez | Iimeko eziPhathwayo, Sciatica

Ngaba unyango lwe-spinal stenosis lomzimba luphucula umgangatho wobomi kunye nokunciphisa iimpawu zentlungu kubantu abajongene nesimo esibuhlungu?

I-Spine Stenosis yoNyango loMzimba

I-Spinal stenosis ibangela ukucutheka kokuvuleka kwe-vertebrae. Izithuba ezichaphazelekayo zezi:

Umbhobho ophakathi womqolo - apho intambo yomgogodla ihlala khona.
I-Foramen - izithuba ezincinci kumacala e-vertebra nganye apho iingcambu ze-nerve ziphuma kwintambo yomgogodla.
I-Spinal stenosis ixhaphake kakhulu kwi-lumbar spine / low back.
Inokuthi yenzeke kumqolo wesibeleko / intamo. (Jon Lurie, Christy Tomkins-Lane 2016)

Iidiski phakathi kwe-vertebrae yomgogodla zibonelela ngokunyusa kunye nokufunxa ukothuka kumqolo kunye nawo wonke umzimba. Utshintsho oluphazamisayo kwiidiski lukholelwa ukuba luyisiqalo se-spinal stenosis. Xa iidiski zingenayo i-hydration eyaneleyo / amanzi kunye nokuphakama kwediski kuncipha ngokuhamba kwexesha, ukunyanzeliswa kwe-cushioning kunye ne-shock absorption iba ngaphantsi kwaye ingasebenzi kakuhle. Umqolo womqolo unokucinezeleka, ubangele ukukhuhlana. I-Degenerative spinal stenosis inokuphinda ikhule ukusuka kwizicubu ezibomvu ezigqithisileyo kunye ne-bone spurs (ukukhula okuphuhliswa kumda wethambo) onokuthi wenze emva kokulimala okanye utyando lomqolo.

U vavanyo

Ugqirha uya kwenza ukuxilongwa kwe-spinal stenosis. Ugqirha uya kuthatha i-imaging scan yomqolo ukuze anqume indawo echanekileyo yokutshatyalaliswa kunye nokulinganisa ukuba kuncinci kangakanani ukuvuleka. Ubuhlungu, ukuqina, ukuhamba okulinganiselweyo, kunye nokulahlekelwa koluhlu lokuhamba luhlala lukhona. Ukuba i-spinal stenosis ibangele ukuxinzezeleka kwemithambo-luvo, kusenokubakho iintlungu, ukuba ndindisholo, ukuntlontlozela, okanye ubuthathaka kwiimpundu (sciatica), amathanga, kunye namazantsi emilenze. Ugqirha womzimba uya kugqiba isidanga ngokuvavanya oku kulandelayo:

Ukuhamba kwe-Vertebrae - indlela umqolo ogoba ngayo kwaye ujike kwiindlela ezahlukeneyo.
Ukukwazi ukutshintsha izikhundla.
Ukomelela kombindi, umva, kunye nezihlunu zesinqe.
ibhalansi
Iimpawu
Ipatheni yeGait
Uxinzelelo lwe-nerve ukujonga ukuba kukho naziphi na iimpawu emilenzeni.
Iimeko ezibuthathaka azibandakanyi uxinzelelo lwemithambo-luvo, njengoko ukuqina komqolo kuxhaphake kakhulu.
Kwiimeko ezinzima kakhulu, kunokubakho intlungu ephawulekayo, ukuhamba okulinganiselweyo, kunye noxinzelelo lwe-nerve, okubangela ubuthathaka bomlenze.

Uphawu oluqhelekileyo lwe-spinal stenosis kukunyuka kweentlungu kunye nokugoba ngasemva okanye ukwandiswa kwe-lumbar spine. Oku kubandakanya izikhundla ezandisa umqolo, njengokuma, ukuhamba, nokulala ngesisu. Iimpawu zidla ngokuphucuka xa ugobela phambili kwaye xa umqolo ubekwe ngakumbi kwindawo egobileyo okanye egobileyo, njengaxa uhleli kwaye uhleli. Ezi zikhundla zomzimba zivula izithuba kumbindi womgudu womqolo.

Ukuhlinzwa

I-Spinal stenosis sesona sizathu siqhelekileyo sokwenza utyando kubantu abadala be-65 nangaphezulu. Nangona kunjalo, utyando luhlala lwenziwa njengendlela yokugqibela ukuba iintlungu, iimpawu kunye nokukhubazeka kuyaqhubeka emva kokuzama unyango olulondolozayo, kuquka i-chiropractic, ukuthotywa kwe-non-utyando, kunye nonyango lomzimba, iinyanga okanye iminyaka. Ubunzima beempawu kunye nemeko yempilo yangoku iya kugqiba ukuba ngaba ugqirha uya kuncoma utyando. (UZhuomao Mo, et al., 2018). Amanyathelo olondolozo angakhuseleka kwaye asebenze kanye. Uphononongo olucwangcisiweyo okanye uphononongo olusekelwe kulo lonke uphando olusisiseko olufumanekayo lufumene ukuba unyango lomzimba kunye nokuzivocavoca kubangele iziphumo ezifanayo kuqhaqho lokuphucula intlungu kunye nokukhubazeka. (UZhuomao Mo, et al., 2018). Ngaphandle kweemeko ezinzima, utyando alusoloko luyimfuneko.

Unyango loMzimba loMnqonqo Stenosis

Injongo yonyango lomzimba ibandakanya:

Ukunciphisa intlungu kunye nokuqina kwamalungu.
Ukunciphisa uxinzelelo lwe-nerve.
Ukunciphisa ukuqina kwimisipha ejikelezileyo.
Ukuphucula uluhlu lwentshukumo.
Ukuphucula ukulungelelaniswa kwe-postural.
Ukomeleza imisipha engundoqo.
Ukuphucula amandla omlenze ukunceda ngokulinganisela kunye nomsebenzi jikelele.

Ukolula kwezihlunu zangasemva, kubandakanywa nalabo bahamba ngokuthe nkqo kunye nomqolo kunye nalabo bahamba nge-diagonally ukusuka kwi-pelvis ukuya kwi-lumbar spine, inceda ukukhulula ukuqina kwemisipha kunye neentlungu kwaye inokuphucula ukuhamba ngokubanzi kunye noluhlu lokuhamba kwe-lumbar spine.
Ukolula imisipha yesinqe, kubandakanywa ne-hip flexors ngaphambili, i-piriformis ngasemva, kunye ne-hamstrings ehamba emva kwe-hip phantsi komlenze ukuya emadolweni, nayo ibalulekile njengoko ezi zihlunu zifakwe kwi-pelvis, edibanisa ngokuthe ngqo kwi-pelvis. umqolo.
Imithambo yokomeleza izihlunu ezingundoqo zesisu, kubandakanywa izihlunu kwi-trunk, i-pelvis, i-back back, i-hips, kunye nesisu, kunceda ukuzinzisa umqolo kunye nokukhusela ukunyakaza okugqithiseleyo kunye nemikhosi yoxinzelelo.
Nge-spinal stenosis, izihlunu eziphambili zihlala zibuthathaka kwaye zingasebenzi kwaye zingakwazi ukwenza umsebenzi wazo ukuxhasa umqolo. Umthambo ongundoqo udla ngokuqala ngokuvula izihlunu ezinzulu zesisu ngelixa ulele phantsi ngomqolo amadolo agobile.
Ukuzivocavoca kuya kuqhubela phambili njengoko umntu efumana amandla amaninzi kunye nokulawula njengoko umqolo uzinzile.
Ukunyangwa kwe-Spinal stenosis ngokomzimba kuya kubandakanya uqeqesho lokulinganisela kunye nokuzivocavoca kwe-glute ukuqinisa imisipha yomlenze.

uthintelo

Ukusebenza kunye nonyango lomzimba kunokunceda ukukhusela iingxaki ezizayo ngokugcina ukuhamba komgogodla, ukugcina umntu esebenzayo, kunye nokuzivocavoca ukugcina amandla kunye nokuzinza ukubonelela ngesiseko esiqinileyo sokuxhasa umqolo ophantsi kunye nokukhusela iimpawu ukuba zingabi nzima.

UNyango loNyango loMnqopho oluMandundu

Unyango lomzimba ngokuqhelekileyo lubandakanya ukwenza i-stretch kumqolo ongaphantsi, isinqe, kunye nemilenze, imithambo yokuhamba, kunye nemithambo eyomelezayo ekuphuculeni inkxaso yomgogodla kunye nokunciphisa iintlungu. Unyango olufana nobushushu okanye ukuvuselela umbane lunokusetyenziswa kwimeko-nye-imeko ukuba kukho intlungu ephawulekayo okanye ukuqina kwimisipha yangasemva. Nangona kunjalo, akukho bungqina bonyango obaneleyo bokuxhasa ukuba kukho iinzuzo ezongezelelweyo. (Luciana Gazzi Macedo, et al., 2013) Ukuphumelela kwonyango lomzimba kuphezulu ngenxa yokuba utyando lodwa alukwazi ukuqinisa imisipha yokuzinzisa umqolo, ukwandisa ukuhamba okanye ukuguquguquka kwemisipha ejikelezayo, kunye nokuphucula ukulungelelaniswa kwe-postural.

Iingcambu ezibangela i-Spinal Stenosis

Ucaphulo

ULurie, J., kunye noTomkins-Lane, C. (2016). Ukulawulwa kwe-lumbar spinal stenosis. I-BMJ (uphando lweKlinikhi ed.), 352, h6234. doi.org/10.1136/bmj.h6234

Mo, Z., Zhang, R., Chang, M., & Tang, S. (2018). Ukuzivocavoca ngonyango ngokuchasene nokuhlinzwa kwi-lumbar spinal stenosis: ukuphononongwa okucwangcisiweyo kunye nohlalutyo lwemeta. Ijenali yasePakistan yenzululwazi yezonyango, 34(4), 879–885. doi.org/10.12669/pjms.344.14349

Macedo, L. G., Hum, A., Kuleba, L., Mo, J., Truong, L., Yeung, M., & Battié, M. C. (2013). Ungenelelo lonyango lonyango lokunciphisa i-lumbar spinal stenosis: ukuphononongwa ngokuchanekileyo. Unyango lomzimba, 93 (12), 1646-1660. doi.org/10.2522/ptj.20120379

Ukuqonda i-Spinal Synovial Cysts: Isishwankathelo

by UGqr Alex Jimenez | Uvavanyo lweChiropractic, Sciatica

Abantu abaye bahamba ngokulimala kwangemva banokuhlakulela i-synovial spinal cyst njengendlela yokukhusela umqolo onokubangela iimpawu zentlungu kunye nokuziva. Ngaba ukwazi imiqondiso kunokunceda ababoneleli bezempilo baphuhlise isicwangciso sonyango esicokisekileyo ukuthomalalisa iintlungu, ukuthintela ukuwohloka kwemeko kunye nezinye iimeko zomqolo?

Umqolo Synovial Cysts

I-Spinal synovial cysts yi-benign fluid-ezaliswe ziingxowa ezikhula kumalungu omqolo. Benza ngenxa yokuguqulwa komgogodla okanye ukulimala. I-cysts inokwenza naphi na kumqolo, kodwa ininzi iyenzeka kwingingqi ye-lumbar / ezantsi. Ngokuqhelekileyo baphuhliswa kumalungu e-facet okanye i-junctions egcina i-vertebrae / amathambo omqolo adibeneyo.

iimpawu

Kwiimeko ezininzi, i-synovial cysts ayibangeli iimpawu. Nangona kunjalo, ugqirha okanye ingcali iya kufuna ukubeka iliso kwiimpawu ze-disc degenerative, i-spinal stenosis, okanye i-cauda equina syndrome. Xa iimpawu zikhona, ngokuqhelekileyo zibangela i-radiculopathy okanye i-nerve compression, enokubangela intlungu emva, ubuthathaka, ukuphazamiseka, kunye neentlungu ezikhuphayo ezibangelwa kukucaphuka. Ubunzima beempawu buxhomekeke kubukhulu kunye nendawo ye-cyst. I-Synovial cysts inokuchaphazela elinye icala lomgudu okanye zombini kwaye inokwenza kwinqanaba elinye lomgogodla okanye kumanqanaba amaninzi.

Iziphumo zingabandakanya

Iimpawu zeRadiculopathy zinokukhula ukuba i-cyst okanye ukudumba okubangelwa yi-cyst kudibana nengcambu yemithambo yomqolo. Oku kunokubangela i-sciatica, ubuthathaka, ukuphazamiseka, okanye ubunzima bokulawula imisipha ethile.
I-Neurogenic claudication / impingement kunye nokuvuvukala kwemithambo-luvo yomgogodla kunokubangela ukuphazamiseka, intlungu, kunye / okanye ukubetha kumqolo ongaphantsi, imilenze, isinqe, kunye neempundu. (UMartin J. Wilby et al., 2009)
Ukuba intambo yomgogodla ibandakanyeka, inokubangela myelopathy/ukunyanzeliswa komqolo okunzima okunokubangela ukuphazamiseka, ubuthathaka, kunye neengxaki zokulinganisela. (UDong Shin Kim et al., ngo-2014)
Iimpawu ezinxulumene ne-cauda equina, kubandakanywa iingxaki zesisu kunye / okanye i-bladder, ubuthathaka bomlenze, kunye ne-saddle anesthesia / ukulahlekelwa kwemvakalelo emathangeni, ezinqeni, kunye ne-perineum, zinokubonisa kodwa zinqabile, njenge-synovial cysts kumqolo ophakathi kunye nentamo. Ukuba i-cysts ye-thoracic kunye ne-cervical synovial cysts ikhula, inokubangela iimpawu ezinjenge-numbness, i-tingling, intlungu, okanye ubuthathaka kwindawo echaphazelekayo.

Izizathu

I-Spinal synovial cysts ibangelwa ngokubanzi utshintsho oluguquguqukayo njenge-osteoarthritis ephuhliswa ngokudibeneyo ngokuhamba kwexesha. Ngokunxitywa rhoqo kunye nokukrazula, i-facet joint cartilage / into edibeneyo enika ukhuseleko, indawo egudileyo, ukunciphisa ukungqubuzana, kunye nokufunxa ukothuka kuqala ukonakala. Njengoko inkqubo iqhubeka, i-synovium inokwenza i-cyst.

I-Traumas, enkulu kunye encinci, inefuthe elivuthayo kunye nelokunciphisa kumalungu angabangela ukubunjwa kwe-cyst.
Malunga nesithathu sabantu abane-spinal synovial cyst nabo bane-spondylolisthesis.
Le meko xa i-vertebrae iphuma kwindawo okanye ngaphandle kokulungelelaniswa kwi-vertebra engaphantsi.
Luphawu lokungazinzi komqolo.
Ukungazinzi kunokwenzeka kuyo nayiphi na indawo yomqolo, kodwa i-L4-5 yizona nqanaba eziqhelekileyo.
Eli candelo lomqolo lithatha uninzi lobunzima bomzimba obungaphezulu.
Ukuba ukungazinzi kwenzeka, i-cyst inokukhula.
Nangona kunjalo, ama-cysts angenza ngaphandle kokungazinzi.

Ukuqondwa

Iicysts zifunyaniswa ngokubanzi nge-MRI. (Nancy E, Epstein, Jamie Baisden. 2012)
Ngamanye amaxesha zinokubonwa nge-ultrasound, i-X-reyi, okanye i-CT scans.

impatho

Amanye ama-cysts ahlala emancinci kwaye abangela iimpawu ezimbalwa. I-cysts ifuna unyango kuphela ukuba ibangela iimpawu. (Nancy E, Epstein, Jamie Baisden. 2012)

Uhlengahlengiso kwindlela yokuphila

Ingcali yezempilo iya kucebisa ukuba iphephe imisebenzi ethile eyenza iimpawu zibe mandundu.
Abantu ngabanye banokucetyiswa ukuba baqalise ukuzolula kunye nokuzivocavoca okujoliswe kuyo.
Unyango lomzimba okanye unyango lomsebenzi lunokucetyiswa.
Ukusetyenziswa okwethutyana kwe-nonsteroidal anti-inflammatories/NSAIDs ezifana ne-ibuprofen kunye ne-naproxen kunokunceda ukuthomalalisa iintlungu ngamaxesha athile.

Iinkqubo zezigulana ezingaphandle

Kwii-cysts ezibangela intlungu enzulu, ukuphazamiseka, ubuthathaka, kunye neminye imiba, inkqubo yokukhupha ulwelo / i-aspiration kwi-cyst inokucetyiswa.
Olunye uphononongo lwafumanisa ukuba izinga lempumelelo lisukela kwi-0 ukuya kuma-50 ekhulwini.
Abantu abatyhubela ulangazelelo badla ngokufuna iinkqubo eziphindaphindiweyo ukuba ulwakhiwo lolwakhiwo luyabuya. (Nancy E, Epstein, Jamie Baisden. 2012)
Iinaliti ze-epidural corticosteroid zinokunciphisa ukudumba kwaye zinokuba lukhetho lokuthomalalisa iintlungu.
Izigulane zicetyiswa ukuba zingafumani iinaliti ezingaphezu kwesithathu ngonyaka.

Iinketho zoTyando

Kwiimeko ezinzima okanye eziqhubekayo, ugqirha unokuncoma utyando lwe-decompression ukususa i-cyst kunye nethambo elijikelezileyo ukukhulula uxinzelelo kwingcambu ye-nerve. Iinketho zotyando zisusela kwiinkqubo ze-endoscopic ezincinci ukuya kuqhaqho olukhulu, oluvulekileyo. Olona khetho lulungileyo lotyando luyahluka ngokusekwe kubunzima bemeko nokuba kukho ukuphazamiseka okunxulumene noko. Ukhetho lotyando lubandakanya:

Laminectomy – Ukususwa kwesakhiwo samathambo esikhusela kwaye sigubungele i-spinal canal / lamina.
IHemilaminectomy – I-laminectomy elungisiweyo apho inxalenye encinci ye-lamina isusiwe.
Ukususwa kweFacetectomy – Ukususwa kwenxalenye ye-facet joint echaphazelekayo apho i-cyst synovial ikhona, ngokuqhelekileyo ilandela i-laminectomy okanye i-hemilaminectomy.
Fusion i-facet joints kunye ne-vertebra – Ukunciphisa ukuhamba kwe-vertebral kwindawo yokulimala.

Uninzi lwabantu lufumana isiqabu ngokukhawuleza emva kwe-laminectomy okanye i-hemilaminectomy.
Ukudibanisa kunokuthatha iinyanga ezintandathu ukuya kwezilithoba ukuze kuphole ngokupheleleyo.
Ukuba utyando lwenziwa ngaphandle kokudityaniswa apho i-cyst yaqala khona, iintlungu zinokubuya, kwaye elinye i-cyst linokwakheka kwiminyaka emibini.
Uqhaqho Iingxaki ziquka usulelo, ukopha, kunye nokwenzakala kwintambo yomqolo okanye ingcambu yomthambo.

Indlela endiyifumene ngayo i-Mobility My back ngeChiropractic

Ucaphulo

UWilby, MJ, Fraser, RD, Vernon-Roberts, B., & Moore, RJ (2009). Ukuxhaphaka kunye ne-pathogenesis ye-synovial cysts ngaphakathi kwe-ligamentum flavum kwizigulane ezine-lumbar spinal stenosis kunye ne-radiculopathy. Umqolo, 34(23), 2518-2524. doi.org/10.1097/BRS.0b013e3181b22bd0

UKim, DS, Yang, JS, Cho, YJ, & Kang, SH (2014). I-myelopathy ebukhali ebangelwa yi-cyst ye-synovial yomlomo wesibeleko. Ijenali ye-Korean Neurosurgical Society, i-56 (1), i-55-57. doi.org/10.3340/jkns.2014.56.1.55

Epstein, NE, & Baisden, J. (2012). Ukuxilongwa kunye nokulawulwa kwe-synovial cysts: Ukusebenza kotyando ngokuchasene ne-cyst aspiration. Utyando lwe-neurology ngamazwe, 3 (Suppl 3), S157-S166. doi.org/10.4103/2152-7806.98576

Fumana kwakhona amandla akho: Isikhokelo seNkqubo yokuBuyiselwa kwiSimo sesiqhelo

by UGqr Alex Jimenez | Sciatica, Uncedo Lwezityalo

Abantu abaye bahamba ngotyando olusezantsi lwamva nje, njenge-lumbar laminectomy kunye ne-discectomy, ngaba banokuzuza kunyango lomzimba ukuze babuyiselwe ngokupheleleyo? (Johns Hopkins Medicine. 2008)

Inkqubo yokubuyisela kwisimo sesiqhelo

I-laminectomy ye-lumbar kunye ne-discectomy yinkqubo yokuhlinzwa eyenziwa yi-orthopedic okanye i-neurologic surgeon ukunceda ukunciphisa intlungu, ukukhulula iimpawu ezihambelanayo kunye neemvakalelo, kunye nokuphucula ukuguquguquka nokuhamba. Inkqubo ibandakanya ukusika i-disc kunye nethambo lezinto ezicinezelayo, ezicaphukisayo kwaye zonakalise imithambo yomqolo. (Johns Hopkins Medicine. 2023)

Emva koTyando

Ugqirha uya kusebenza nomntu ngamnye ukuphuhlisa inkqubo yokubuyisela ukubuyisela kwimeko yesiqhelo. Injongo yenkqubo yokubuyisela kwisimo sangaphambili kukunceda umntu ngamnye:

Khululeka izihlunu zabo ukuthintela ukuqina kwezihlunu kwaye balumke kakhulu
Buyisa uluhlu olupheleleyo lwentshukumo
Yomeleza umqolo wabo
Thintela ukwenzakala

Isikhokelo malunga nokuba ulindele ntoni kunyango lomzimba.

Ukuqeqeshwa kwakhona ngasemva

Emva kokuhlinzwa ngasemva, abantu kufuneka basebenze ukugcina ukuma okufanelekileyo xa behleli kwaye bemile. (Johns Hopkins Medicine. 2008)
Ukulawulwa kwe-Postural kubalulekile ukufunda njengoko igcina umva ophantsi kwindawo efanelekileyo yokukhusela nokukhawulezisa ukuphulukiswa kwe-lumbar discs kunye nezihlunu.
Umgulana womzimba uya kufundisa umntu ukuba ahlale njani ngokufanelekileyo kwaye asebenzise inkxaso ye-lumbar.
Ukufumana kunye nokugcina ukuma okufanelekileyo yenye yezona zinto zibalulekileyo zokunceda ukukhusela umva kunye nokuthintela iingxaki ezizayo.

Umthambo wokuhamba

Ukuhamba ngenye yezona ndlela zokuzivocavoca emva kokuhlinzwa kwe-lumbar. (Johns Hopkins Medicine. 2008)

Ukuhamba kunceda ukuphucula impilo ye-cardiovascular and circulation yegazi kuwo wonke umzimba.
Oku kunceda ukubonelela ngeoksijini eyongezelelweyo kunye nezondlo kwimisipha yomgogodla kunye nezicubu njengoko ziphilisa.
Ngumsebenzi othe tye obeka umqolo kwindawo yendalo, enceda ukukhusela iidiski.
Umgqirha uya kunceda ukuseka inkqubo elungiselelwe imeko yomntu ngamnye.

Prone Press Up

Enye yeendlela zokukhusela i-back and lumbar discs i-prone press-ups. (Johns Hopkins Medicine. 2008) Lo msebenzi unceda ukugcina i-spinal discs ibekwe kwindawo efanelekileyo. Kwakhona kunceda ukuphucula ukukwazi ukugoba emva kokwandiswa kwe-lumbar.

Ukwenza umthambo:

Lala ujonge phantsi kwi-yoga / i-mat yokuzilolonga kwaye ubeke izandla zozibini phantsi phantsi kwamagxa.
Gcina umva kunye nezinqe zikhululekile.
Sebenzisa iingalo ukucinezela indawo engaphezulu yomzimba phezulu ngelixa uvumela umqolo ongezantsi ukuba uhlale phantsi.
Kufuneka kubekho uxinzelelo oluncinci kumqolo osezantsi ngelixa ucinezela phezulu.
Bamba indawo yokucinezela imizuzwana emi-2.
Yehla kancinci umva ukuya kwindawo yokuqala.
Phinda uphinda-phinda kangangama-10 ukuya kuma-15.

I-Sciatic Nerve Gliding

Abantu ababenentlungu yomlenze evela ngasemva ngaphambi kokuhlinzwa banokufumanisa ukuba bane-sciatica okanye ukucaphuka kwe-nerve ye-sciatic. Emva kotyando, abantu banokubona ukuba umlenze wabo uziva uqinile xa bewulungisa yonke indlela. Oku kunokuba ngumqondiso wengcambu ye-sciatic ebambelele / ebanjwe, ingxaki eqhelekileyo kunye ne-sciatica.

Emva kwe-lumbar laminectomy kunye nokuhlinzwa kwe-discectomy, ugqirha womzimba uya kumisela ukuzivocavoca okujoliswe kuyo okubizwa ngokuba yi-sciatic nerve glides ukunweba nokuphucula indlela i-nerve ehamba ngayo. (URichard F. Ellis, uWayne A. Hing, uPeter J. McNair. 2012)
I-Nerve glides inokunceda ukukhulula ingcambu yemithambo-luvo kwaye ivumele intshukumo eqhelekileyo.

Ukwenza umthambo:

Lala ngomqolo ugobe elinye idolo phezulu.
Bamba ngaphantsi kwedolo ngezandla.
Qinisa idolo ngelixa ulixhasa ngezandla.
Emva kokuba idolo liqonde ngokupheleleyo, guqula kwaye wandise i-ankle malunga namaxesha angama-5.
Buyela kwindawo yokuqala.
Phinda i-sciatic nerve glide ngamaxesha angama-10.
Ukuzivocavoca kunokwenziwa amatyeli aliqela ukunceda ukuphucula indlela i-nerve ehamba ngayo kunye nokutyibilika kumqolo osezantsi kunye nomlenze.

Supine Lumbar Flexion

Emva kotyando, umthambo othambileyo wokuguquguqula umva unokunceda ukolula ngokukhuselekileyo izihlunu ezisezantsi kwaye wolule ngobunono izicubu ezibomvu ukusuka kuqhaqho lotyando. I-Supine lumbar flexion yenye yezona zinto zilula kakhulu zokuphucula i-lumbar flexion range of motion.

Ukwenza umthambo:

Lala ngomqolo ugobe amadolo.
Phakamisa kancinane amadolo agobileyo ngasesifubeni kwaye ubambe amadolo ngezandla zozibini.
Tsala ngobunono amadolo ngasesifubeni.
Bamba indawo ye-1 okanye i-2 imizuzwana.
Kancinci unciphise amadolo ubuyele kwindawo yokuqala.
Yenza uphindaphindo lwe-10.
Yeka umthambo ukuba ufumana ukwanda kweentlungu kwi-back back, i-buttocks, okanye imilenze.

I-Hip kunye ne-Core Strengthening

Nje ukuba kucocwe, abantu ngabanye banokuqhubela phambili ukuya kwinkqubo yokuqinisa isisu kunye nengundoqo. Oku kubandakanya ukwenza iintshukumo ezithile ezinqeni nasemilenzeni ngelixa ugcina indawo engathathi hlangothi ye-pelvic. Ukuzivocavoca okuphezulu kwe-hip kunceda ukuvelisa amandla kunye nokuzinza kwimisipha ejikeleze indawo ye-pelvic kunye nomqolo ophantsi. Ugqirha womzimba unokunceda ukugqiba ukuba yeyiphi imithambo ecetyiswayo kwimeko ethile.

Ukubuyela-eMsebenzini kunye neMisebenzi yoMzimba

Emva kokuba abantu befumene uluhlu oluphuculweyo lwe-lumbar yokunyakaza, i-hip, kunye namandla angundoqo, ugqirha wabo kunye nonyango unokuncoma ukusebenza kwimisebenzi ethile ukubanceda babuyele kwinqanaba labo langaphambili lomsebenzi kunye nokuzonwabisa. Ngokuxhomekeka emsebenzini, umntu ngamnye unokufuna:

Sebenza kwiindlela ezifanelekileyo zokuphakamisa.
Funa uvavanyo lwe-ergonomic ukuba bachitha ixesha behleli edesikeni okanye kwindawo yokusebenza.
Abanye oogqirha botyando banokuba nemida yokuba umntu unokugoba kangakanani na, aphakamise, aze ajije ukusuka kwiiveki ezimbini ukuya kwezintandathu emva kotyando.

Utyando olusezantsi lunokuba nzima ukulubuyisela ngokufanelekileyo. Ukusebenza nomboneleli wezempilo kunye yonyango, abantu ngabanye banokuqiniseka ukuba baphucula uluhlu lwabo lokunyakaza, amandla, kunye nokuhamba komsebenzi ukuze babuyele kwinqanaba labo langaphambili lomsebenzi ngokukhawuleza nangokukhuselekileyo.