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I-Hip Pain kunye nokuphazamiseka

Iqela leKlinikhi eNgemva leeNzululwazi zeHip kunye neZiphazamiso. Ezi ntlobo zokuphazamiseka zizikhalazo eziqhelekileyo ezinokubangelwa ziingxaki ezahlukeneyo. Indawo echanekileyo yentlungu yakho ye-hip inokunika ulwazi oluninzi malunga nesizathu esibangela. I-hip joint ngokwayo ithambekele ekubangeleni intlungu ngaphakathi kwe-hip okanye indawo ye-groin. Ubuhlungu obungaphandle, ithanga eliphezulu, okanye i-buttock yangaphandle ngokuqhelekileyo ibangelwa izifo / iingxaki kunye nemisipha, iigaments, i-tendon, kunye nezicubu ezithambileyo ezijikeleze i-hip joint. Iintlungu ze-Hip zinokubangelwa zizifo kunye neemeko kwezinye iindawo zomzimba wakho, oko kukuthi kumqolo ongezantsi. Into yokuqala kukuchonga apho intlungu ivela khona.

Eyona nto ibalulekileyo yokwahlula kukufumanisa ukuba i-hip yimbangela yentlungu. Xa iintlungu ze-hip zivela kwimisipha, i-tendon, okanye ukulimala kwe-ligament, ngokuqhelekileyo ivela ekusebenziseni ngokugqithiseleyo okanye Ukuphindaphinda Ukulimala (RSI). Oku kuvela ekusebenziseni ngokugqithisileyo izihlunu zenyonga emzimbeni okt iliopsoas tendinitis. Oku kunokuvela kwi-tendon kunye ne-ligament irritations, edla ngokubandakanyeka kwi-snapping hip syndrome. Inokuvela ngaphakathi kwilungu elibonakalisa ngakumbi i-hip osteoarthritis. Nganye kwezi ntlobo zentlungu iziveza ngeendlela ezahlukileyo, nto leyo ke ngoko eyeyona nxalenye ibalulekileyo ekuxilongeni ukuba yintoni unobangela.


Ukunciphisa i-Adductor Muscle Strain kunye nokuBandakanywa kwe-MET Therapy

Ukunciphisa i-Adductor Muscle Strain kunye nokuBandakanywa kwe-MET Therapy

Ngaba abantu bezemidlalo banokubandakanya i-MET (ubuchule be-muscle energy) unyango lokunciphisa iintlungu ezinjengeentlungu ze-adductor strain?

intshayelelo

Iziphelo ezisezantsi zomzimba zinendima ebalulekileyo njengoko zibonelela ngokuzinza kunye nokuhamba kumntu ngamnye. Iimbaleki ezininzi zisebenzisa imida yazo engezantsi ngokongeza amandla amaninzi okusebenzisa amandla okuphumelela imidlalo okanye ukhuphiswano. Izihlunu ezahlukeneyo, izicubu ezithambileyo, iiligaments, kunye namalungu anceda ukuxhasa ukwakheka kwamathambo omzimba kwaye anokoyiswa kumonzakalo wokuphindaphinda okanye iimeko zokusingqongileyo. Esinye sezihlunu ezinokuthi zichaphazeleke ngokuphindaphindiweyo ngokuphindaphindiweyo kunye nezinto ezisingqongileyo yimisipha ye-adductor, enokubangela ukuba abaninzi abagijimi babe neentlungu eziqhubekayo kwaye bachaphazele ukusebenza kwabo ngexesha lokhuphiswano. Ngethamsanqa, kukho ubuchule ukuba unyango oluninzi lunikezela ukunciphisa ubunzima be-muscle kwi-adductors kunye nokubonelela ngokukhululeka kwiindawo ezisezantsi. Inqaku lanamhlanje lijonga indlela i-adductor strain enokuthi ichaphazele ngayo abantu abaninzi, ukuba unyango lwe-MET lunokunceda njani ngoxinzelelo lwe-adductor, kunye nefuthe labo elihle kubantu bezemidlalo. Sixoxa nababoneleli bezonyango abaqinisekisiweyo abadibanisa ulwazi lwezigulane zethu ukuvavanya iintlungu ezinjengeentlungu ze-adductor strain kwimida ephantsi. Siyazisa kwaye sikhokela izigulane malunga nendlela unyango lwe-MET lunokunceda ngayo ukunweba kunye nokuqinisa imisipha eqinile ye-adductor ukunciphisa uxinzelelo kunye nokubonelela ngokukhululeka. Sikwakhuthaza izigulana zethu ukuba zibuze ababoneleli bezonyango abanxulumene nabo imibuzo emininzi entsonkothileyo kunye nebalulekileyo malunga nokubandakanya i-MET kunye nolunye unyango olungelulo utyando kwisicwangciso sabo sonyango lomntu ngamnye ukuze baphile impilo esempilweni. UDkt Jimenez, DC, uquka olu lwazi njengenkonzo yezemfundo. isikhanyeli.

 

Ngaba I-Adductor Strain ibachaphazela njani abantu ngabanye?

Ngaba uziva uxinene emathangeni nasemilenzeni yakho emva kosuku olude emsebenzini? Ngaba ufumana ukungazinzi xa uhamba ukusuka kwenye indawo ukuya kwenye? Okanye ngaba uziva intlungu xa wolula amathanga akho abangela isiqabu sokwexeshana? Abantu abaninzi abafumana iintlungu kumazantsi abo baya kuhlala becinga ukuba ziintlungu zenyonga, kodwa izihlunu zabo ze-adductor zinentlungu. Izihlunu ze-adductor ziquka izihlunu ezintathu ezinika i-torque kwiindawo ezisezantsi ngokuzivumela ukuba zihambe ngaphakathi xa umntu ehamba kwaye uncede ukugcina imisipha ye-trunk iqinile. Ke, xa iimbaleki ezininzi ziqala ukwenza iintshukumo eziphinda-phindayo ngelixa ziqhuba, kunokubangela imiba kubadibanisi. Njengokulimala okuqhelekileyo kubadlali abaninzi, ukunyanzeliswa kwe-adductor kunokubeka uxinzelelo olugqithisileyo kwi-tendon yangempela, ekhokelela kwizinto ezingaqhelekanga ze-biomechanical ezichaphazela inkqubo ye-musculoskeletal. (Kiel & Kaiser, 2024a) Kwakhona, xa abagijimi beqala ukusebenzisa ukunyakaza okuphindaphindiweyo ngexesha lokunyuka kwevolumu okanye ubuninzi bomsebenzi woqeqesho, kunokubangela uxinzelelo kwiindawo ezisezantsi. (Kiel & Kaiser, 2024b) Oku, kunokubangela ukuba abantu abaninzi bazive ngathi bafumana iintlungu zenyonga kunye ne-groin xa, inyaniso, Ukuqhekeka koxinzelelo kwimisipha ye-adductor ebangela intlungu ye-myofascial. 

 

 

Ngoko ke, kubantu bezemidlalo abajongene noxinzelelo lwe-adductor, oogqirha abaphambili kufuneka bahlule phakathi kwe-adductor strain kunye ne-muscle strain rhoqo kwiindawo ezisezantsi, njengoko iimpawu zentlungu ngamanye amaxesha zineeprofayili ezinobungozi ezigqithisiweyo kunye neempawu zentlungu ezibuhlungu ezinxulumene neendlela ezihlukeneyo zokulimala. (McHugh et al., 2023) Oku kungenxa yokuba xa abagijimi besebenzisa ngokugqithiseleyo imisipha yabo ye-adductor, kubangela intlungu, njengoko ukulimala okuninzi ngaphakathi kwee-adductors kuhambelana nomlenze kunye nommandla we-groin. (Koscso et al., 2022) Nangona kunjalo, kukho iindlela zembaleki zokufumana isiqabu abafuna ukunciphisa i-adductor strain kwaye babuyele kwindlela yabo yesiqhelo. 

 


Amayeza okunyakaza-Ividiyo


Indlela i-MET Therapy inceda ngayo ngoxinzelelo lwe-Adductor

Kubadlali kunye nabantu abenza umsebenzi womzimba, unyango lwe-MET lunokuba yinxalenye ebalulekileyo yenkqubo yokubuyisela i-adductor strain. I-MET (ubuchule be-muscle energy) unyango, uhlobo lonyango lwe-osteopathic manipulative, lusetyenziswa ziingcali zentlungu ezifana ne-chiropractors, i-massage therapists, kunye noogqirha bezemidlalo ukunciphisa iimpawu zentlungu kwi-musculoskeletal system. Ngokusebenzisa i-musculoskelet contractions ethambileyo, elawulwayo, ezi ngcali zinokuphucula umsebenzi we-musculoskelet ngokuhlanganisa amalunga, ukunweba imisipha eqinile kunye ne-fascia, kunye nokuphucula ukujikeleza kunye nokuhamba kwe-lymphatic. (Waxenbaum et al., 2024) Iingcali ezininzi zentlungu, ezibandakanya i-chiropractors kunye nee-massage therapists, zibandakanya unyango lwe-MET kwimisebenzi yabo ngenxa yokuphumelela kwayo ekujonganeni nokungalingani kwemisipha kunye nemiba yokulungelelanisa eyenza intlungu kunye nokuhamba okulinganiselwe kwiindawo ezisezantsi. 

 

Isiphumo esihle soNyango lwe-MET

Enye yemiphumo emihle yonyango lwe-MET ye-adductor strain kukuba xa abadlali kunye nabantu ngabanye beqala ukuyisebenzisa njengenxalenye yokubuyisela kwabo, intlungu yabo iyancitshiswa, kwaye ukuhamba kwemisipha kwanda kuba kukho utshintsho kwiipropati ze-viscoelastic kwizicubu ezithambileyo. (Thomas et al., 2019) Kwimisipha ye-adductor, unyango lwe-MET lunceda:

  • Ukwandisa ubude bezihlunu kunye nokuguquguquka
  • Ukunciphisa uxinzelelo kwimisipha
  • Ukuphucula ukuhamba kwegazi kunye nokukhuthaza ukuphilisa
  • Ukuphucula umsebenzi odibeneyo

Unyango lwe-MET, xa lufakwe kwintlungu yokunciphisa i-adductor strain, lunokubeka abantu abaninzi lula njengoko lugxininisa ngokuqhubekayo ekuphumleni kwemisipha, ukwandisa, kunye nokomeleza imisipha echaphazelekayo. Unyango lwe-MET lunokudityaniswa kunye nolunye unyango kwisicwangciso sonyango lomntu siqu sokuphucula ukuhamba, khumbula oko kubangela intlungu kunye nokungahambi kakuhle emizimbeni yabo, kwaye baphile ubomi obunempilo. 

 


Ucaphulo

Kiel, J., & Kaiser, K. (2024a). Uxinzelelo lweAdductor. Kwi StatPearls. www.ncbi.nlm.nih.gov/pubmed/29630218

Kiel, J., & Kaiser, K. (2024b). Ukusabela koxinzelelo kunye nokuqhekeka. Kwi StatPearls. www.ncbi.nlm.nih.gov/pubmed/29939612

Koscso, JM, McElheny, K., Carr, JB, 2nd, & Hippensteel, KJ (2022). Ukulimala kwezihlunu ezisezantsi kwi-Athlete ye-Overhead. Curr Rev Musculoskelet Med, 15(6), 500-512. doi.org/10.1007/s12178-022-09786-z

McHugh, MP, Nicholas, SJ, & Tyler, TF (2023). Uxinzelelo lweAdductor kwiimbaleki. I-Int J yezeMidlalo yoNyango, 18(2), 288-292. doi.org/10.26603/001c.72626

Thomas, E., Cavallaro, AR, Mani, D., Bianco, A., & Palma, A. (2019). Ukusebenza kweendlela zamandla e-muscle kwizifundo ezinempawu kunye ne-asymptomatic: ukuphononongwa ngokuchanekileyo. Unyango lweChiropr lomntu, 27, 35. doi.org/10.1186/s12998-019-0258-7

Waxenbaum, JA, Woo, MJ, & Lu, M. (2024). IPhysiology, Amandla eZihlunu. Kwi StatPearls. www.ncbi.nlm.nih.gov/pubmed/32644455

 

isikhanyeli

I-Pudendal Neuropathy: Ukutyhila Iintlungu Ezingapheliyo zePelvic

I-Pudendal Neuropathy: Ukutyhila Iintlungu Ezingapheliyo zePelvic

Kubantu abafumana iintlungu ze-pelvic, inokuba lukuphazamiseka kwemithambo-luvo eyaziwa ngokuba yi-pudendal neuropathy okanye i-neuralgia ekhokelela kwiintlungu ezingapheliyo. Imeko inokubangelwa yi-pudendal nerve entrapment, apho i-nerve iyancipha okanye yonakaliswe. Ngaba ukwazi iimpawu kunokunceda ababoneleli bezempilo bachonge ngokuchanekileyo imeko kwaye baphuhlise isicwangciso sonyango esisebenzayo?

I-Pudendal Neuropathy: Ukutyhila Iintlungu Ezingapheliyo zePelvic

I-Pudendal Neuropathy

I-pudendal nerve yi-nerve engundoqo ekhonza i-perineum, eyona ndawo phakathi kwe-anus kunye ne-genitalia - i-scrotum emadodeni kunye ne-vulva kubasetyhini. I-nerve ye-pudendal ihamba nge-gluteus muscles / buttocks kunye ne-perineum. Ithwala ulwazi oluvakalayo oluvela kwi-genitalia yangaphandle kunye nolusu olujikeleze i-anus kunye ne-perineum kwaye ihambisa izibonakaliso zemoto / zokuhamba kwiimisipha ezahlukeneyo ze-pelvic. (Origoni, M. et al., 2014) I-Pudendal neuralgia, ekwabizwa ngokuba yi-pudendal neuropathy, ukuphazamiseka kwentsholongwane ye-pudendal engakhokelela kwintlungu engapheliyo ye-pelvic.

Izizathu

Iintlungu ezingapheliyo ze-pelvic ezivela kwi-pudendal neuropathy zinokubangelwa yiyo nayiphi na kwezi zilandelayo (Kaur J. et al., 2024)

  • Ukuhlala ngokugqithisileyo kwiindawo eziqinileyo, izitulo, izihlalo zebhayisikile, njl.
  • Ukwenzakala kwiimpundu okanye kwi-pelvis.
  • Ukubeleka.
  • I-diabetes neuropathy.
  • Ukwakheka kwamathambo okutyhala kumthambo we-pudendal.
  • Ukujiya kwemigqa ejikeleze umthambo we-pudendal.

iimpawu

Iintlungu ze-Pudendal nerve zingachazwa njengokuhlatywa, ukunyanzeliswa, ukutshisa, ukuba ndindisholo, okanye izikhonkwane kunye neenaliti kwaye zinokubonisa (Kaur J. et al., 2024)

  • Kwi-perineum.
  • Kwingingqi yangasese.
  • Kumadoda, intlungu kwi-scrotum okanye kwilungu lobudoda.
  • Kwabasetyhini, intlungu kwi-labia okanye kwi-vulva.
  • Ngexesha lokwabelana ngesondo.
  • Xa uchama.
  • Ngexesha lokuhamba kwamathumbu.
  • Xa uhleli kwaye uhamba emva kokuma.

Ngenxa yokuba iimpawu zihlala zinzima ukwahlula, i-pudendal neuropathy inokuba nzima ukwahlula kwezinye iintlobo zeentlungu ezingapheliyo ze-pelvic.

Cyclist's Syndrome

Ukuhlala ixesha elide kwisihlalo sebhayisikili kunokubangela ukunyanzeliswa kwe-nerve ye-pelvic, oku kunokukhokelela kwiintlungu ezingapheliyo ze-pelvic. I-frequency ye-pudendal neuropathy (intlungu engapheliyo ye-pelvic ebangelwa ku-entrapment okanye ukunyanzeliswa kwe-nerve ye-pudendal) idla ngokubizwa ngokuba yi-Cyclist's Syndrome. Ukuhlala kwizihlalo ezithile zebhayisekile ixesha elide kubeka uxinzelelo olukhulu kwi-nerve ye-pudendal. Uxinzelelo lunokubangela ukuvuvukala okujikeleze i-nerve, okubangela intlungu kwaye, ngokuhamba kwexesha, kunokukhokelela kwi-nerve trauma. Uxinzelelo lwe-nerve kunye nokudumba kunokubangela intlungu echazwe njengokutshisa, ukuhlaba, okanye izikhonkwane kunye neenaliti. (Durante, JA, kunye ne Macintyre, IG 2010) Kubantu abane-pudendal neuropathy ebangelwa kukuqhuba ibhayisekile, iimpawu zinokuvela emva kokuhamba ngebhayisekile ixesha elide kwaye ngamanye amaxesha iinyanga okanye iminyaka kamva.

Cyclist's Syndrome Prevention

Uphononongo lwezifundo lunike ezi ngcebiso zilandelayo zokuthintela i-Cyclist's Syndrome (Chiaramonte, R., Pavone, P., Vecchio, M. 2021)

Ukuphumla

  • Thatha ikhefu ubuncinane imizuzwana engama-20-30 emva kwemizuzu engama-20 yokukhwela.
  • Ngelixa ukhwele, tshintsha izikhundla rhoqo.
  • Yima unyotywe ngamaxesha athile.
  • Thatha ixesha lokuphumla phakathi kweeseshoni zokukhwela kunye neentlanga ukuze uphumle kwaye uphumle imithambo-luvo ye-pelvic. Iintsuku ze-3-10 zekhefu zinokunceda ekubuyiseleni. (Durante, JA, kunye ne Macintyre, IG 2010)
  • Ukuba iimpawu zentlungu ye-pelvic ziqala ukukhula, phumla kwaye ubone umboneleli wezempilo okanye ingcali ukuze uhlolwe.

Sihlalo

  • Sebenzisa isitulo esithambileyo, esibanzi kunye nempumlo emfutshane.
  • Yiba nenqanaba lesihlalo okanye uthambekele phambili kancinci.
  • Izihlalo ezinemingxuma yokusika zibeka uxinzelelo olungakumbi kwiperineum.
  • Ukuba ndindisholo okanye iintlungu zikhona, zama isihlalo esingenamingxuma.

Ukufakwa kweBhayisekile

  • Lungisa ubude besihlalo ukuze idolo ligobe kancinci ezantsi kwe-pedal stroke.
  • Ubunzima bomzimba kufuneka bubekwe phezu kwamathambo ahleliyo/ischial tuberosities.
  • Ukugcina i-handlebar ukuphakama ngaphantsi kwesihlalo kunokunciphisa uxinzelelo.
  • Indawo yokuya phambili egqithileyo yebhayisekile ye-Triathlon kufuneka iphetshwe.
  • Ukuma okuthe tye ngakumbi.
  • Iibhayisikili zeentaba ziye zadibaniswa nomngcipheko okhulayo wokungasebenzi kakuhle kwe-erectile kunezibhayisikili zendlela.

Shorts

  • Nxiba iibhulukhwe ezimfutshane zebhayisekile.

Unyango

Umboneleli wezempilo unokusebenzisa indibaniselwano yonyango.

  • I-neuropathy inokunyangwa ngokuphumla ukuba unobangela kukuhlala kakhulu okanye ukukhwela ibhayisekile.
  • Unyango lomzimba lwePelvic floor inokunceda ukuphumla kunye nokwandisa imisipha.
  • Iinkqubo zokuvuselela umzimba, kubandakanywa ukuzolula kunye nokuzivocavoca okujoliswe kuyo, kunokukhulula i-nerve entrapment.
  • Uhlengahlengiso lweChiropractic lunokulungelelanisa umqolo kunye ne-pelvis.
  • Ubuchule bokukhupha obusebenzayo/i-ART ibandakanya ukufaka uxinzelelo kwizihlunu ezikuloo ndawo ngelixa usolula kwaye ugxininise. (Chiaramonte, R., Pavone, P., Vecchio, M. 2021)
  • Iibhloko zemithambo-luvo zinokunceda ukuthomalalisa iintlungu ezibangelwa kukubanjwa kwemithambo-luvo. (Kaur J. et al., 2024)
  • Ezinye iziphumlisi zemisipha, ii-antidepressants, kunye ne-anticonvulsants zinokumiselwa, ngamanye amaxesha zidibene.
  • Utyando lokuthotywa kwemithambo-luvo lunokucetyiswa ukuba zonke iindlela zonyango ezilondolozayo ziphelile. (Durante, JA, kunye ne Macintyre, IG 2010)

Izicwangciso zokhathalelo lwezonyango lweChiropractic kunye neFunctional Medicine Clinic kunye neenkonzo zeklinikhi zikhethekileyo kwaye zijolise kukulimala kunye nenkqubo yokubuyisela ngokupheleleyo. Imimandla yethu yokuziqhelanisa ibandakanya iMpilo kunye nesondlo, Ubuhlungu obungapheliyo, Ukulimala komntu, uLondolozo lweNgozi, ukuSebenza, ukulimala emva, iintlungu ezisezantsi, iintlungu zentamo, i-Migraine Headaches, i-Sciatica enzima, i-Scoliosis, i-Complex Herniated Discs, i-Fibromyalgia, i-Chronic Iintlungu, Ukulimala Okuyinkimbinkimbi, Ulawulo Loxinzelelo, kunye noNyango lweMicimbi eSebenzayo. Ukuba umntu ufuna olunye unyango, baya kuthunyelwa kwiklinikhi okanye ugqirha ofaneleke kakhulu kwimeko yabo, njengoko uDkt Jimenez ehlangene noogqirha abaphezulu, iingcali zeklinikhi, abaphandi bezonyango, abaphengululi, abaqeqeshi, kunye nabanikezeli be-premiere rehabilitation.


Ukukhulelwa kunye ne-Sciatica


Ucaphulo

Origoni, M., Leone Roberti Maggiore, U., Salvatore, S., & Candiani, M. (2014). Iinkqubo ze-Neurobiological zentlungu ye-pelvic. Uphando lweBioMed lwamazwe ngamazwe, 2014, 903848. doi.org/10.1155/2014/903848

Kaur, J., Leslie, SW, & Singh, P. (2024). I-Pudendal Nerve Entrapment Syndrome. KwiStatPearls. www.ncbi.nlm.nih.gov/pubmed/31334992

Durante, JA, & Macintyre, IG (2010). I-Pudendal nerve entrapment kwi-athlete ye-Ironman: ingxelo yecala. I-Journal ye-Canadian Chiropractic Association, i-54 (4), i-276-281.

Chiaramonte, R., Pavone, P., & Vecchio, M. (2021). Ukuxilongwa, uBuyiselo kunye noBuchule bokuKhusela i-Pudendal Neuropathy kwii-Cyclists, ukuPhononongwa okuCwangcisiweyo. Ijenali ye-morphology esebenzayo kunye ne-kinesiology, i-6 (2), i-42. doi.org/10.3390/jfmk6020042

ISikhokelo esipheleleyo se-Hip ekhutshweyo: Izizathu kunye nezisombululo

ISikhokelo esipheleleyo se-Hip ekhutshweyo: Izizathu kunye nezisombululo

Ngaba ukwazi iindlela zonyango ze-hip ekhutshiweyo kunokunceda abantu bakhawulezise ukubuyisela kunye nokubuyisela?

ISikhokelo esipheleleyo se-Hip ekhutshweyo: Izizathu kunye nezisombululo

I-Dilocated Hip

I-hip ekhutshiweyo yinzakalo engaqhelekanga kodwa ingenzeka ngenxa yokwenzakala okanye emva kotyando lokutshintshwa kwe-hip. Ngokuqhelekileyo kwenzeka emva kokwenzakala okukhulu, kuquka ukungqubana kwemoto, ukuwa, kwaye ngamanye amaxesha ukulimala kwezemidlalo. (UCaylyne Arnold et al., 2017) I-hip edibeneyo inokuthi yenzeke emva kokuhlinzwa kokutshintshwa kwe-hip. Okunye ukulimala okunje ngeenyembezi ze-ligament, umonakalo we-cartilage, kunye nokuphuka kwamathambo kunokwenzeka kunye nokuchithwa. Uninzi lwe-hip dislocations luphathwa ngenkqubo yokunciphisa edibeneyo ebuyisela ibhola kwi-socket. Ngokuqhelekileyo kwenziwa nge-sedation okanye i-anesthesia jikelele. Ukubuyisela kwisimo sangaphambili kuthatha ixesha kwaye kunokuba ziinyanga ezimbalwa ngaphambi kokuba uchache ngokupheleleyo. Unyango lomzimba lunokunceda ukubuyisela ukunyakaza kunye namandla kwi-hip.

Yintoni?

Ukuba i-hip isuswe ngokuyinxenye, ibizwa ngokuba yi-hip subluxation. Xa oku kwenzeka, intloko edibeneyo ye-hip iphuma kuphela kwi-socket. I-hip edibeneyo xa intloko okanye ibhola ye-joint shifts okanye iphuma kwi-socket. Ngenxa yokuba i-hip yokwenziwa ihluke kwi-joint hip eqhelekileyo, umngcipheko wokunyuka uyanda emva kokutshintshwa ngokubambisana. Uphononongo lufumanise ukuba malunga ne-2% yabantu abaye batshintsha i-hip endaweni yonke baya kuba ne-hip dislocation kwisithuba sonyaka, kunye nomngcipheko okhulayo malunga ne-1% kwiminyaka emihlanu. (UJens Dargel et al., 2014) Noko ke, ubuchwepheshe obutsha beprothetics kunye neendlela zotyando zenza ukuba oku kungaxhaphakanga.

Hip Anatomy

  • I-hip ball-and-socket joint ibizwa ngokuba yi-femoroacetabular joint.
  • Isokethi ibizwa ngokuba yi-acetabulum.
  • Ibhola ibizwa ngokuba yintloko yowesifazane.

I-bony anatomy kunye nemigqa eyomeleleyo, izihlunu, kunye nee-tendon zinceda ukudala umdibaniso ozinzile. Amandla abalulekileyo kufuneka asetyenziswe kwi-joint ukuze ukukhutshwa kwe-hip kwenzeke. Abanye abantu baxela ukuba baziva beva ukuvaleka kwe-hip. Oku ngokuqhelekileyo akuyiyo i-hip dislocation kodwa ibonisa ingxaki eyahlukileyo eyaziwa ngokuba yi-snapping hip syndrome. (UPaul Walker et al., 2021)

Ukuchithwa kwe-Hip yangasemva

  • Ngokumalunga ne-90% ye-hip dislocations ngasemva.
  • Kolu hlobo, ibhola ityhalelwa ngasemva ukusuka kwisokethi.
  • Ukukhutshwa ngasemva kunokubangela ukulimala okanye ukucaphuka kwi-nerve ye-sciatic. (R Cornwall, TE Radomisli 2000)

Ukuchithwa kwe-Anterior Hip

  • Ukukhutshwa kwangaphambili akuxhaphakanga kangako.
  • Kulo hlobo lokulimala, ibhola ikhutshwe kwi-socket.

I-Hip Subluxation

  • I-hip subluxation iyenzeka xa ibhola edibeneyo ye-hip iqala ukuphuma kwi-socket ngokuyinxenye.
  • Eyaziwa nangokuthi i-dislocation partial, inokujika ibe yinto edibeneyo ye-hip edibeneyo ukuba ayivunyelwe ukuphilisa ngokufanelekileyo.

iimpawu

Iimpawu zingabandakanya:

  • Umlenze ukwindawo engaqhelekanga.
  • Ubunzima bokuhambisa.
  • Iintlungu ezibuhlungu ze-hip.
  • Ukungakwazi ukuthwala ubunzima.
  • Iintlungu ezisezantsi zoomatshini zinokudala ukudideka xa uxilonga ngokufanelekileyo.
  • Ngokukhutshwa ngasemva, idolo kunye nonyawo luya kujikelezwa kumgca ophakathi womzimba.
  • I-dislocation yangaphambili iya kujikeleza idolo kunye nonyawo ukusuka kumgca ophakathi. (I-American Academy ye-Orthopedic Surgeons. 2021)

Izizathu

Ukukhutshwa kunokubangela umonakalo kwizakhiwo ezibambe ibhola kwisokethi kwaye kunokubandakanya:

  • Umonakalo weCartilage kwilungu -
  • Iinyembezi kwi-labrum kunye nemigqa.
  • Ukuqhekeka kwethambo kwindawo edibeneyo.
  • Ukulimala kwiinqanawa ezinikezela ngegazi kamva kunokukhokelela kwi-avascular necrosis okanye i-osteonecrosis ye-hip. (UPatrick Kellam, uRobert F. Ostrum ngo-2016)
  • Ukuchithwa kwe-hip kwandisa umngcipheko wokuphuhlisa i-arthritis edibeneyo emva kokulimala kwaye kunokunyusa umngcipheko wokufuna ukutshintshwa kwe-hip kamva ebomini. (Hsuan-Hsiao Ma et al., 2020)

Ukukhutshwa koPhuhliso lwe-Hip

  • Abanye abantwana bazalwa bene-dislocation yophuhliso lwe-hip okanye i-DDH.
  • Abantwana abane-DDH banamalungu e-hip angazange aqulunqwe ngokuchanekileyo ngexesha lophuhliso.
  • Oku kubangela ukulingana okuxekethileyo kwisokethi.
  • Kwezinye iimeko, i-hip joint is dislocated ngokupheleleyo.
  • Kwamanye, ithambekele ekubeni igxothwe.
  • Kwiimeko ezibuthathaka, umdibaniso ukhululekile kodwa awufuni ukuba ususwe. (I-American Academy ye-Orthopedic Surgeons. 2022)

impatho

Ukunciphisa ngokudibeneyo yindlela eqhelekileyo yokuphatha i-hip edibeneyo. Inkqubo ibeka kwakhona ibhola kwi-socket kwaye ngokuqhelekileyo yenziwa nge-sedation okanye phantsi kwe-anesthesia jikelele. Ukubuyisela i-hip kufuna amandla amakhulu. Ukuchithwa kwe-hip kuthathwa njengento engxamisekileyo, kwaye ukunciphisa kufuneka kwenziwe ngokukhawuleza emva kokutshatyalaliswa ukukhusela iingxaki ezisisigxina kunye nonyango olungenayo. (UCaylyne Arnold et al., 2017)

  • Emva kokuba ibhola ibuyele kwi-socket, umboneleli wezempilo uya kukhangela ithambo, i-cartilage, kunye nokulimala kwe-ligament.
  • Ngokuxhomekeke kwinto efunyenwe ngumboneleli wezempilo, unyango olongezelelweyo lunokuba yimfuneko.
  • Amathambo aphukileyo okanye aphukileyo anokufuna ukulungiswa ukugcina ibhola ngaphakathi kwesokethi.
  • Kusenokufuneka ukuba intlala eyonakeleyo isuswe.

Ukuhlinzwa

Utyando lunokuba yimfuneko ukubuyisela ilungu kwindawo yalo yesiqhelo. I-arthroscopy ye-Hip inokunciphisa ukuhlaselwa kweenkqubo ezithile. Ugqirha wotyando ufaka ikhamera ye-microscopic kwi-joint hip ukunceda ugqirha olungisa ukulimala usebenzisa izixhobo ezifakwe kwezinye izithintelo ezincinci.

Utyando lokutshintshwa kwe-Hip luthatha indawo yebhola kunye ne-socket, inkqubo eqhelekileyo kunye neyimpumelelo yotyando lwamathambo. Olu tyando lunokwenziwa ngezizathu ezahlukahlukeneyo, kubandakanywa ukuxhwaleka okanye i-arthritis, njengoko kuqhelekile ukuphuhlisa i-arthritis yokuqala ye-hip emva kolu hlobo lokuxhatshazwa. Kungenxa yoko le nto uninzi olune-dislocation ekugqibeleni lufuna utyando lokutshintshwa kwe-hip. Njengenkqubo enkulu yotyando, ayikho ngaphandle kweengozi. Iingxaki ezinokwenzeka ziquka:

  • Sulelo
  • Ukukhululeka kweAseptic (ukukhulula umdibaniso ngaphandle kosulelo)
  • Ukukhutshwa kwe-Hip

ukuchacha

Ukubuyisela kwi-hip dislocation yinkqubo ende. Abantu ngabanye kuya kufuneka bahambe ngeentonga okanye ezinye izixhobo kwangethuba bechacha. Unyango lomzimba luya kuphucula uluhlu lokunyakaza kunye nokuqinisa imisipha ejikeleze i-hip. Ixesha lokubuyisela liya kuxhomekeka ekubeni kukho ezinye iingozi, ezifana nokuphuka okanye iinyembezi. Ukuba umdibaniso we-hip wawuncitshisiwe kwaye akukho okunye ukulimala, kunokuthatha iiveki ezintandathu ukuya kwezilishumi ukubuyisela kwindawo apho ubunzima bunokubekwa emlenzeni. Inokuba phakathi kweenyanga ezimbini ukuya kwezintathu ukuze umntu achache ngokupheleleyo. Ukugcina ubunzima emlenzeni kubalulekile kuze kube yilapho ugqirha okanye umgqirha wenyama unika yonke into ecacileyo. I-Chiropractic yezoNyango zeChiropractic kunye ne-Functional Medicine Clinic iya kusebenza kunye nomboneleli wezempilo osisiseko womntu kunye nabanye oogqirha botyando okanye iingcaphephe ukuphuhlisa isicwangciso sonyango lomntu.


Izisombululo zeChiropractic kwi-Osteoarthritis


Ucaphulo

UArnold, C., Fayos, Z., Bruner, D., Arnold, D., Gupta, N., & Nusbaum, J. (2017). Ukulawula ukuchithwa kwe-hip, idolo, kunye ne-ankle kwisebe likaxakeka [digest]. Ukuziqhelanisa namayeza angxamisekileyo, i-19(12 Amanqaku e-Suppl & Pearls), 1–2.

Dargel, J., Oppermann, J., Brüggemann, GP, & Eysel, P. (2014). Ukukhutshwa emva kokutshintshwa kwe-hip epheleleyo. Deutsches Arzteblatt ngamazwe, 111(51-52), 884-890. doi.org/10.3238/arztebl.2014.0884

Walker, P., Ellis, E., Scofield, J., Kongchum, T., Sherman, WF, & Kaye, AD (2021). Snapping Hip Syndrome: Uhlaziyo oluBanzi. Uphononongo lwe-Orthopedic, i-13 (2), i-25088. doi.org/10.52965/001c.25088

Cornwall, R., & Radomisli, TE (2000). Ukulimala kwe-nerve kwi-traumatic dislocation ye-hip. I-orthopedics yeklinikhi kunye nophando oluhambelanayo, (377), 84-91. doi.org/10.1097/00003086-200008000-00012

I-American Academy ye-Orthopedic Surgeons. (2021). Ukukhutshwa kwe-Hip. orthoinfo.aaos.org/en/diseases-conditions/hip-dislocation

Kellam, P., & Ostrum, RF (2016). Ukuphononongwa okuCwangcisiweyo kunye nohlalutyo lwe-Meta ye-Avascular Necrosis kunye ne-Posttraumatic Arthritis Emva kokuchithwa kwe-Hip Traumatic. Ijenali ye-orthopedic trauma, i-30 (1), i-10-16. doi.org/10.1097/BOT.0000000000000419

Ma, HH, Huang, CC, Pai, FY, Chang, MC, Chen, WM, & Huang, TF (2020). Iziphumo zexesha elide kwizigulane ezine-hip-traumatic fracture-dislocation: izinto ezibalulekileyo ze-prognostic. Ijenali yoMbutho wezoNyango waseTshayina : JCMA, ​​83 (7), 686-689. doi.org/10.1097/JCMA.0000000000000366

I-American Academy ye-Orthopedic Surgeons. (2022). Ukuchithwa kophuhliso (dysplasia) ye-hip (DDH). orthoinfo.aaos.org/en/diseases-conditions/developmental-dislocation-dysplasia-of-the-hip-ddh/

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

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

Kubantu abafumana ukungasebenzi kakuhle kwe-sacroiliac joint/SIJ kunye neentlungu, ngaba ukusebenzisa i-kinesiology tape kunokunceda ukuzisa isiqabu nokulawula iimpawu?

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

I-Kinesiology Tape ye-Sacroiliac Joint Pain

Isifo esisezantsi esiqhelekileyo ngexesha lokukhulelwa. Iintlungu zihlala kwelinye okanye kumacala omabini omva, ngaphezulu nje kweempundu, eziza kwaye zihamba kwaye zinokunciphisa amandla okugoba, ukuhlala, kunye nokwenza imisebenzi eyahlukeneyo yomzimba. (UMoayad Al-Subahi et al., 2017) I-tape yonyango inikeza inkxaso ngelixa ivumela ukunyakaza kwaye inokunceda ukuphatha nokulawula intlungu ye-sacroiliac / SIJ nge:

  • Ukunciphisa imisipha yezihlunu.
  • Ukuququzelela ukusebenza kwemisipha.
  • Ukwandisa ukujikeleza kwegazi ukuya kunye nokujikeleza indawo yentlungu.
  • Ukunciphisa amanqaku e-muscle trigger.

Indlela

Olunye uphononongo lufumene ukuba ukucofa ngokudibeneyo kwe-SI kunezibonelelo ezibandakanya:

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

isicelo

Umxube we-sacroiliac kwicala lasekunene nasekhohlo lidibanisa i-pelvis kwi-sacrum okanye inxalenye ephantsi yomqolo. Ukusebenzisa i-kinesiology tape ngokuchanekileyo, fumana indawo esezantsi ngasemva ngaphakathi kwendawo ye-pelvic. (UFrancisco Selva et al., 2019) Cela uncedo kumhlobo okanye ilungu losapho ukuba awukwazi ukufikelela kwindawo leyo.

Imifanekiso yeBlog yokunyanga umzobo weS SacroiliacUkucofa amanyathelo:

  • Sika imicu emithathu ye-tape, nganye i-4 ukuya kwi-intshi ezi-6 ubude.
  • Hlala esitulweni kwaye ugobe umzimba phambili kancinci.
  • Ukuba kukho umntu oncedisayo, unokuma kwaye ugobe phambili.
  • Susa i-lift-off strip embindini kwaye wolule i-tape ukuveza i-intshi ezininzi, ushiye iziphelo zigqunyiwe.
  • Faka iteyiphu eveziweyo kwi-engile phezu kwejoyini ye-SI, njengokwenza umgca wokuqala ka-X, entla nje kweempundu, ngokunwenwa ngokupheleleyo kwiteyiphu.
  • I-Peel i-lift-off strips ukusuka ekupheleni kwaye ubambelele kuyo ngaphandle kokwelula.
  • Phinda ulandele amanyathelo esicelo kunye nomgca wesibini, unamathele kwi-angle ye-45-degree ukuya kumgca wokuqala, wenze i-X phezu kwe-joint sacroiliac.
  • Phinda oku ngomcu wokugqibela ngokuthe tye ku-X owenziwe kwiziqwenga ezibini zokuqala.
  • Kufuneka kubekho ipateni yeteyipu yesimo seenkwenkwezi phezu kwe-joint sacroiliac.
  1. I-kinesiology tape inokuhlala phezu kwe-joint sacroiliac iintsuku ezintathu ukuya ezintlanu.
  2. Jonga iimpawu zokucaphuka kwiteyiphu.
  3. Susa i-tape ukuba ulusu luyacaphuka, kwaye udibane nomboneleli wakho wezempilo oyintloko, umgqirha womzimba, okanye i-chiropractor kwezinye iindlela zonyango.
  4. Abanye abantu abaneemeko ezithile kufuneka bakuphephe ukusebenzisa iteyiphu kwaye bafumane isiqinisekiso sokuba ikhuselekile.
  5. Abantu abaneentlungu ezibuhlungu ze-sacroiliac apho ukuzilawula kungasebenzi kufuneka babone umboneleli wezempilo, ugqirha womzimba, kunye okanye i-chiropractor ukuze bavavanye kwaye bafunde ukuzivocavoca kunye nonyango. unyango ukunceda ukulawula imeko.

Sciatica Ngexesha lokukhulelwa


Ucaphulo

Al-Subahi, M., Alayat, M., Alshehri, MA, Helal, O., Alhasan, H., Alalawi, A., Takrouni, A., & Alfaqeh, A. (2017). Ukusebenza kongenelelo lwe-physiotherapy yokungasebenzi kakuhle kwe-sacroiliac: uphononongo olucwangcisiweyo. Ijenali yesayensi yonyango lomzimba, 29 (9), 1689-1694. doi.org/10.1589/jpts.29.1689

Do-Yun Shin kunye noJu-Young Heo. (2017). Iimpembelelo zeKinesiotaping eziFakelwe kwi-Erector Spinae kunye neSacroiliac Joint kwiLumbar Flexibility. Ijenali yoNyango loNyango lwaseKorea, 307-315. doi.org/https://doi.org/10.18857/jkpt.2017.29.6.307

Selva, F., Pardo, A., Aguado, X., Montava, I., Gil-Santos, L., & Barrios, C. (2019). Uphononongo lokuphindaphinda kwezicelo ze-kinesiology tape: ukuphononongwa, ukuthembeka kunye nokunyaniseka. I-BMC ye-musculoskeletal disorders, i-20 (1), i-153. doi.org/10.1186/s12891-019-2533-0

Fumanisa izisombululo ezingaqhawukiyo kwiintlungu ze-Hip kunye ne-Plantar Fasciitis

Fumanisa izisombululo ezingaqhawukiyo kwiintlungu ze-Hip kunye ne-Plantar Fasciitis

Ngaba izigulane ze-plantar fasciitis zingabandakanya unyango olungasebenzisiyo ukunciphisa intlungu ye-hip kunye nokubuyisela ukuhamba?

intshayelelo

Wonke umntu umi ngeenyawo rhoqo njengoko inceda abantu ukuba bahlale behamba kwaye ibavumela ukuba bahambe ukusuka kwenye indawo ukuya kwenye. Abantu abaninzi bahlala bemi ngeenyawo ukusuka ebuntwaneni ukuya ebudaleni. Oku kungenxa yokuba iinyawo ziyingxenye yemilenze ephantsi ye-musculoskeletal ezinzisa i-hips kwaye ivumela umsebenzi we-sensory-motor ukuya emilenzeni, emathangeni, kunye namathole. Iinyawo nazo zinemisipha eyahlukeneyo, i-tendon, kunye nemigqa ejikeleze isakhiwo samathambo ukukhusela intlungu kunye nokukhathazeka. Nangona kunjalo, xa ukunyakaza okuphindaphindiweyo okanye ukulimala kuqala ukuchaphazela iinyawo, kunokukhokelela kwi-plantar fasciitis kwaye, ngokuhamba kwexesha, kubangele ukugqithiswa kweeprofayili ezinobungozi ezikhokelela kwiintlungu ze-hip. Xa abantu befumana ezi meko ezinjengeentlungu, zinokuchaphazela kakhulu imisebenzi yabo yemihla ngemihla kunye nomgangatho wobomi ngokubanzi. Xa oku kusenzeka, abantu abaninzi bafuna unyango olwahlukeneyo ukuze banciphise iimpawu ezifana neentlungu ezibangelwa yi-plantar fasciitis kunye nokubuyisela ukuhamba kwe-hip. Inqaku lanamhlanje lijonga indlela i-fasciitis ye-plantar ehambelana ngayo nentlungu ye-hip, ukudibanisa phakathi kweenyawo kunye nezinqe, kunye nokuba kukho izisombululo ezingezizo zokuhlinzwa zokunciphisa i-plantar fasciitis. Sithetha nababoneleli bezonyango abaqinisekisiweyo abadibanisa ulwazi lwezigulane zethu ukuvavanya indlela yokunciphisa i-plantar fasciitis kunye nokubuyisela ukuhamba kwe-hip. Siyazisa kwaye sikhokela izigulane malunga nokuba zininzi kangakanani unyango olungenalo utyando olunokunceda ukuqinisa izihlunu ezibuthathaka ezinxulumene ne-plantar fasciitis kunye nokunceda ekubuyiseleni ukuzinza kwiintlungu ze-hip. Sikhuthaza izigulane zethu ukuba zibuze ababoneleli babo bezonyango abahambelanayo nemibuzo ebalulekileyo malunga nokubandakanya utshintsho oluncinci ukunciphisa iintlungu ezinjengeentlungu ezibangelwa yi-plantar fasciitis. UDkt Jimenez, DC, uquka olu lwazi njengenkonzo yezemfundo. isikhanyeli.

 

I-Plantar Fasciitis ihambelana njani neentlungu ze-Hip

Ngaba ufumana intlungu kwizithende zakho rhoqo emva kokuhamba ixesha elide? Ngaba uziva uqina ezinqeni zakho xa usolula? Okanye ngaba uziva ukuba izihlangu zakho zibangela uxinzelelo kunye neentlungu ezinyaweni zakho namathole? Ngokuqhelekileyo, uninzi lwezi meko ezinjengeentlungu zibangelwa ngabantu abajongene ne-plantar fasciitis, ebonakaliswa yintlungu yesithende ngenxa yokudumba okanye ukucaphuka okuwohlokayo kwe-plantar fascia, ibhande lezicubu ezingqindilili lihamba liwela emazantsi onyawo kwaye lixhuma kwi-fascia. ithambo lesithende kwiinzwane kwiindawo ezisezantsi. Le bhendi yezicubu idlala indima ebalulekileyo emzimbeni, inika i-biomechanics eqhelekileyo ezinyaweni ngelixa ixhasa i-arch kwaye inceda ngokufunxa ukothuka. (Buchanan et al., 2024) I-Plantar fasciitis inokuchaphazela ukuzinza kweendawo ezisezantsi kuba intlungu ichaphazela iinyawo kwaye ibangele intlungu ye-hip.

 

 

Ke, i-plantar fasciitis inganxulumana njani neentlungu ze-hip? Nge-plantar fasciitis, abantu abaninzi bafumana intlungu ezinyaweni zabo. Ingakhokelela ekumeni kweenyawo ezingaqhelekanga, ubuthathaka bemisipha ephantsi, kunye noxinzelelo lwemisipha enokunciphisa ukuzinza kwemilenze kunye nezihlunu ze-hip. (ULee et al., 2022) Ngentlungu ye-hip, abantu abaninzi banokufumana ukungasebenzi kakuhle kwe-gait okubangela ubuthathaka bemisipha kwiindawo ezisezantsi kwaye kubangela ukuba imisipha ye-accessory yenze imisebenzi ephambili yemisipha. Ukuza kuthi ga ngelo xesha, oku kunyanzela abantu ukuba bachithe umhlaba xa behamba. (Ahuja et al., 2020) Oku kungenxa yokuba iimeko eziqhelekileyo ezifana nokuguga kwendalo, ukuxhatshazwa kwemisipha, okanye ukuxhatshazwa kunokubangela iimpawu ezinjengeentlungu ezinqeni, kubandakanywa ukungahambi kakuhle emathangeni, kwi-groin, kunye nommandla we-buttock, ukuqina ngokubambisana, kunye nokunciphisa uluhlu lokunyakaza. Iintlungu ze-Hip zingabangela ukugqithiswa kweeprofayili ezinobungozi ezinokubandakanya ukuphindaphinda kweenyawo, oko kukhokelela kwiimpawu ezibukhali ezibuhlungu ezibuhlungu kwisithende.

 

Umdibaniso phakathi kweenyawo kunye neeHips

Kubalulekile ukuqonda ukuba iingxaki zeenyawo ezifana ne-plantar fasciitis zinokuchaphazela i-hips kunye ne-vice versa, njengoko zombini imimandla yomzimba inobudlelwane obuhle ngaphakathi kwenkqubo ye-musculoskeletal system. I-Plantar fasciitis ezinyaweni zabo inokuguqula umsebenzi wabo we-gait, enokuthi iholele kwiintlungu ze-hip ngokuhamba kwexesha. Oku kungenxa yezinto ezininzi zokusingqongileyo ezinokuchaphazela ama-hips kunye neenyawo ngokuhamba kwexesha, okukhokelela kwi-plantar fasciitis ehambelana nentlungu ye-hip. Ukusuka kwizinto ezithwala ubunzima obugqithisileyo ukuya kwi-microtrauma ezinqeni okanye kwi-plantar fascia, abantu abaninzi baya kuhlala befuna unyango lokunciphisa imiphumo ye-plantar fasciitis ehambelana nentlungu ye-hip ngokujongana nendlela uluhlu lwabo lokunyakaza oluchaphazela ngayo i-plantarflexion kunye nomthwalo wabo kumandla. -i-absorbing plantar surface structures ingaba yindawo efanelekileyo yokuqala ekukhuseleni kunye nonyango lwe-plantar fasciitis ehambelana neentlungu ze-hip. (Hamstra-Wright et al., 2021)

 


Yintoni i-Plantar Fasciitis?-Ividiyo


Izisombululo ezingezizo Utyando zokunciphisa i-Plantar Fasciitis

Xa kufikwa ekunciphiseni i-plantar fasciitis emzimbeni, abantu abaninzi baya kufuna unyango olungasebenzisi utyando olunokuthi luthomalalise iintlungu ezivela kwi-plantar fascia. Unyango olungasebenzisi utyando luyindleko kwaye lunokunciphisa intlungu kwi-plantar fasciitis kunye neempawu zayo ezihambelanayo, njengentlungu ye-hip. Ezinye zezibonelelo zonyango ezingezizo utyando zithembisa, njengoko zinomngcipheko ophantsi weengxaki, ukufikeleleka kakuhle, kunye nomthamo ophezulu wokukhulula umthwalo womatshini kwi-fascia plantar xa wenza imisebenzi eqhelekileyo. (Schuitema et al., 2020) Olunye unyango olungasebenzisi utyando olunokuthi lufakwe ngabantu abaninzi lubandakanya:

  • Ukuzilolonga
  • Izixhobo ze-Orthotic
  • Ukhathalelo lweChiropractic
  • Ukunyanga kwamayeza
  • I-acupuncture/electroacupuncture
  • Ukunyibilika komgogodla

 

Olu nyango lungenalo utyando aluncedi nje ukunciphisa i-plantar fasciitis kodwa lukwanceda ukunciphisa intlungu ye-hip. Ngokomzekelo, ukuchithwa kwe-spinal decompression kunokunceda ukubuyisela ukuhamba kwe-hip ngokwandisa i-lumbar spine kunye nokunciphisa iindawo ezisezantsi kwi-numbness ngelixa uqinisa imisipha eqinile. (Takagi et al., 2023). I-Electroacupuncture inokuvuselela i-acupoints yomzimba ukukhulula i-endorphins kwiindawo ezisezantsi zokunciphisa ukuvuvukala kwe-fascia plantar. (Wang et al., 2019) Xa abantu beqala ukwenza utshintsho oluncinci kwindlela yabo, njengokugqoka izicathulo ezifanelekileyo kunye nokungathwali okanye ukuphakamisa izinto ezinobunzima obunzima, kunokuhamba ixesha elide ukukhusela i-fasciitis ye-plantar kunye neentlungu ze-hip ezivela kwakhona zingahamba ixesha elide. Ukuba nesicwangciso sonyango lomntu siqu kunokuqinisekisa ukuba abantu abaninzi abafuna unyango olungasebenzisi lutyando baneziphumo ezingcono kwimpilo yabo kunye nokuhamba ngelixa bekhusela iingxaki zexesha elide. 

 


Ucaphulo

Ahuja, V., Thapa, D., Patial, S., Chander, A., & Ahuja, A. (2020). Iintlungu ezingapheliyo ze-hip kubantu abadala: ulwazi lwangoku kunye nekamva elizayo. J Anaesthesiol Clin Pharmacol, 36(4), 450-457. doi.org/10.4103/joacp.JOACP_170_19

Buchanan, BK, Sina, RE, & Kushner, D. (2024). I-Plantar Fasciitis. Kwi StatPearls. www.ncbi.nlm.nih.gov/pubmed/28613727

Hamstra-Wright, KL, Huxel Bliven, KC, Bay, RC, & Aydemir, B. (2021). Imiba yoMngcipheko we-Plantar Fasciitis kubantu abaSebenza ngoMzimba: Ukuphononongwa okuCwangcisiweyo kunye nohlalutyo lweMeta. Impilo yezemidlalo, 13(3), 296-303. doi.org/10.1177/1941738120970976

Lee, JH, Shin, KH, Jung, TS, & Jang, WY (2022). Ukusebenza kwe-Muscle okusezantsi kunye noxinzelelo lweenyawo kwizigulane ezine-Plantar Fasciitis kunye nangaphandle kwe-Flat Foot Posture. Int J Environ Res Impilo yoLuntu, 20(1). doi.org/10.3390/ijerph20010087

Schuitema, D., Greve, C., Postema, K., Dekker, R., & Hijmans, JM (2020). Ukuphumelela koNyango lweMechanical ye-Plantar Fasciitis: Ukuphononongwa okuCwangcisiweyo. J Ukuvuselela iMidlalo, 29(5), 657-674. doi.org/10.1123/jsr.2019-0036

Takagi, Y., Yamada, H., Ebara, H., Hayashi, H., Inatani, H., Toyooka, K., Mori, A., Kitano, Y., Nakanami, A., Kagechika, K., Yahata, T., & Tsuchiya, H. (2023). Ukunciphisa i-lumbar spinal stenosis kwindawo yokufaka i-catheter ye-intrathecal ngexesha lonyango lwe-baclofen ye-intrathecal: ingxelo yecala. J Med Case Rep, 17(1), 239. doi.org/10.1186/s13256-023-03959-1

Wang, W., Liu, Y., Zhao, J., Jiao, R., & Liu, Z. (2019). I-Electroacupuncture versus manual acupuncture kunyango lwe-plantar heel pain syndrome: iprotocol yokufunda yovavanyo oluzayo olulawulwa ngokungahleliwe. BMJ Open, 9(4), e026147. doi.org/10.1136/bmjopen-2018-026147

isikhanyeli

IiNzuzo zokusebenzisa i-Electroacupuncture kwi-Osteoarthritis

IiNzuzo zokusebenzisa i-Electroacupuncture kwi-Osteoarthritis

Ngaba abantu abane-osteoarthritis banokulufumana uncedo olulufaneleyo nge-electroacupuncture ukubuyisela ukuhamba kwedolo kunye ne-hip?

intshayelelo

Iziphelo ezisezantsi zibonelela ngokunyakaza kunye nokuzinza emzimbeni, okuvumela abantu ukuba bahambe. Izinqe, umva ophantsi, amadolo, kunye neenyawo nganye inomsebenzi wokuwenza, kwaye xa imiba ephazamisayo iqala ukuchaphazela izakhiwo zomgogodla, inokubangela ukuba iimpawu ezininzi zivele kwaye zibangele iimpawu ezinjengeentlungu. Ukongezelela, izinto eziphazamisayo ziyindalo kumalungu asezantsi njengoko abantu abaninzi benza ukunyakaza okuphindaphindiweyo kwimizimba yabo ekhokelela kwinkqubo yokunciphisa. Enye yezona zinto zixhaphakileyo ezichaphazela iziphelo ezisezantsi yi-osteoarthritis, enokwenza abantu abaninzi bazive bebuhlungu. Inqaku lanamhlanje lijonga indlela i-osteoarthritis echaphazela ngayo iziphelo ezisezantsi kunye nendlela unyango olufana ne-electroacupuncture lunciphisa ngayo ukuvuvukala okuhambelana ne-osteoarthritis kunye nokubuyisela ukuhamba kwedolo kunye ne-hip. Sithetha nababoneleli bezonyango abaqinisekisiweyo abadibanisa ulwazi lwezigulane zethu ukuze baqonde ngcono indlela i-osteoarthritis echaphazela ngayo iindawo zabo ezisezantsi. Siyazisa kwaye sikhokela izigulane malunga nendlela unyango lwe-electroacupuncture olunokunceda ngayo ukunciphisa imiphumo yokuvuvukala kwe-osteoarthritis echaphazela isinqe kunye namadolo. Sikhuthaza abaguli bethu ukuba babuze ababoneleli bezonyango abanxulumene nabo imibuzo entsonkothileyo kunye nebalulekileyo malunga nokunciphisa ukuqhubela phambili kwe-osteoarthritis ngonyango olungasebenzisi utyando. UDkt Jimenez, DC, uquka olu lwazi njengenkonzo yezemfundo. isikhanyeli.

I-Osteoarthritis Echaphazela Amanqaku Asezantsi

Ngaba uye wajongana nokuqina emadolweni akho, ezinqeni, kunye nomqolo osezantsi ekuseni? Ngaba uziva ngathi uyashukuma kakhulu xa uhamba? Okanye ngaba ucinga ukuba ubushushu obutshisayo kunye nokudumba emadolweni akho? Xa abantu befumana le miba yeentlungu ezivuthayo kumalungu abo, kungenxa ye-osteoarthritis, ingxaki yokudibanisa edibeneyo echaphazela i-cartilage phakathi kwamathambo kunye nezixhobo zezicubu ezijikeleze umdibaniselwano. I-Osteoarthritis i-multifactorial, oku kuthetha ukuba ingaba yi-idiopathic okanye yesibini ngelixa iphenjelelwa yimiba yofuzo. (Bliddal, 2020) Iindawo eziqhelekileyo apho abantu bafumana i-osteoarthritis yi-back back, isandla, i-hips, kwaye, ngokuqhelekileyo, amadolo. Ezinye zezinto eziphambili zokusingqongileyo ezinegalelo kuphuhliso lwe-osteoarthritis ziquka:

  • ukutyeba
  • ubudala
  • Ukuphindaphinda
  • Imbali yentsapho
  • Ukulimala

Xa abantu bejongene ne-osteoarthritis, izinto zokusingqongileyo zingakhokelela ekugqithiseni ubunzima kumalungu, okubangela ukunyanzeliswa kunye nokuvuvukala. (Nedunchezhiyan et al., 2022

 

 

Xa ukuvuvukala kuhambelana ne-osteoarthritis, kunokubangela ukuba amalunga kunye nezicubu ezijikelezayo ze-muscle zidumbe kwaye uzive ushushu ekuthinteni. Kwangaxeshanye, i-osteoarthritis sesinye sezizathu eziphambili zokukhubazeka onokuthi ube ngumba wentlalo-qoqosho kubantu abaninzi. (Yao et al., 2023) Oku kungenxa yokuba abantu abaninzi abane-osteoarthritis bane-comorbidities ehambelana nemiphumo ye-cytokines evuthayo, enokubangela ukuba bangasebenzi ngokomzimba kwaye bahlupheke. (Katz et al., 2021) Nangona kunjalo, kukho iindlela ezahlukeneyo zokunciphisa ukuqhubela phambili kwe-osteoarthritis kunye nokunciphisa imiphumo yokuvuvukala kumalungu. 

 

I-Electroacupuncture yokunciphisa ukuvuvukala ehambelana ne-Osteoarthritis

Xa kufikwa ekunciphiseni ukudumba okunxulumene ne-osteoarthritis, abantu abaninzi bafuna unyango lotyando kunye nolungalulo utyando olunokunceda ukunciphisa ukuqhubela phambili kwesi sifo esidibeneyo. Abantu abaninzi baya kwenza unyango lwe-aqua ukukhulula uxinzelelo kumalungu kunye nokuphucula ukuhamba kwabo. Ngelo xesha, abanye basebenzisa ukuchithwa komgogodla ukwenza uxinzelelo olubi kwindawo edibeneyo. Nangona kunjalo, abantu abaninzi baye bafumanisa ukuba i-electroacupuncture inokunceda ukunciphisa imiphumo yokuvuvukala kwe-osteoarthritis. I-Electroacupuncture idibanisa i-nerve nerve stimulation kunye ne-acupuncture ngamagcisa aqeqeshwe kakhulu anokunceda ukunciphisa ubuhlungu bentlungu kumalungu kunye nokubonelela ngokusebenza. (Wu et al., 2020) Ukongezelela, ekubeni i-osteoarthritis idibene nokuvuvukala, i-electroacupuncture inokukhuthaza ukujikeleza kwegazi kunye nokulungelelaniswa koxinzelelo lwe-muscle kumalungu, kunye nokuphucula ukuhamba. (Zhang et al., 2023)

 

I-Electroacupuncture yokubuyisela idolo kunye nokuhamba kwe-Hip

I-Electroacupuncture inokunceda ukuhamba kwe-hip kunye namadolo njengoko olu nyango lungenalo utyando lunceda ukukhuthaza ukulinganiselwa kweentlungu kunye ne-muscular atrophy ukusuka kwi-biomechanical overloading, ngaloo ndlela iphucula i-cartilage viscoelasticity. (Shi kunye nabanye, ngo-2020) Oku kuvumela amajoyina ukuba agcine ukuhamba kwi-hip, emadolweni, nangaphantsi. Xa abantu behamba ngonyango olulandelelanayo lwe-osteoporosis, banokuphinda bafumane amandla emisipha ngokuhamba kwexesha ukubuyisela ukuhamba kwabo kunye nokunciphisa ukuqhubeka kwe-osteoarthritis. (I-Xu et al., 2020) Ngokwenza njalo, abantu abaninzi banokufumana ukukhululeka abakufunayo nge-electroacupuncture, enokuthi ibenze benze utshintsho oluncinci kwindlela yabo yemihla ngemihla ukuqinisekisa ukuba banokusebenza yonke imini. 


Ukhathalelo lweChiropractic lokungazinzi komlenze-Ividiyo


Ucaphulo

Bliddal, H. (2020). [Inkcazo, i-pathology kunye ne-pathogenesis ye-osteoarthritis]. Ugeskr Laeger, 182(42). www.ncbi.nlm.nih.gov/pubmed/33046193

Katz, JN, Arant, KR, & Loeser, RF (2021). Ukuxilongwa kunye noNyango lwe-Hip kunye ne-Knee Osteoarthritis: Uphononongo. JAMA, 325(6), 568-578. doi.org/10.1001/jama.2020.22171

Nedunchezhiyan, U., Varughese, I., Sun, AR, Wu, X., Crawford, R., & Prasadam, I. (2022). Ukutyeba ngokugqithiseleyo, ukuvuvukala, kunye neSistim somzimba kwi-Osteoarthritis. I-Immunol yangaphambili, 13, 907750. doi.org/10.3389/fimmu.2022.907750

Shi, X., Yu, W., Wang, T., Battulga, O., Wang, C., Shu, Q., Yang, X., Liu, C., & Guo, C. (2020). I-Electroacupuncture inciphisa ukuthotywa kwe-cartilage: Ukuphuculwa kwe-cartilage biomechanics ngokukhululeka kweentlungu kunye nokunyanzeliswa komsebenzi we-muscle kumzekelo womvundla we-knee osteoarthritis. Utywala ngogqirha, 123, 109724. doi.org/10.1016/j.biopha.2019.109724

Wu, SY, Lin, CH, Chang, NJ, Hu, WL, Hung, YC, Tsao, Y., & Kuo, CA (2020). Impembelelo edibeneyo ye-laser acupuncture kunye ne-electroacupuncture kwizigulane ze-knee osteoarthritis: Iprothokholi yovavanyo olulawulwa ngokungahleliwe. Iyeza (Baltimore), 99(12), e19541. doi.org/10.1097/MD.0000000000019541

Xu, H., Kang, B., Li, Y., Xie, J., Sun, S., Zhong, S., Gao, C., Xu, X., Zhao, C., Qiu, G., & Xiao, L. (2020). Ukusebenzisa i-electroacupuncture ukubuyisela amandla e-muscle kwizigulane ezine-knee osteoarthritis emva kwe-knee arthroplasty: iprothokholi yokufunda yovavanyo oluyimfama oluphindwe kabini, olungahleliwe, kunye ne-placebo. Zilingo, 21(1), 705. doi.org/10.1186/s13063-020-04601-x

Yao, Q., Wu, X., Tao, C., Gong, W., Chen, M., Qu, M., Zhong, Y., He, T., Chen, S., & Xiao, G. (2023). I-Osteoarthritis: iindlela zokubonisa i-pathogenic kunye neethagethi zonyango. Ukuhanjiswa kweSignali ekuJoliswe kuyo, 8(1), 56. doi.org/10.1038/s41392-023-01330-w

Zhang, W., Zhang, L., Yang, S., Wen, B., Chen, J., & Chang, J. (2023). I-Electroacupuncture iphucula i-knee osteoarthritis kwiigundane ngokunqanda i-NLRP3 inflammasome kunye nokunciphisa i-pyroptosis. Iintlungu zeMol, 19, 17448069221147792. doi.org/10.1177/17448069221147792

isikhanyeli

Ukunyanzeliswa koMnqonqo: Indlela yokunciphisa iintlungu ze-Hip ngokulula

Ukunyanzeliswa koMnqonqo: Indlela yokunciphisa iintlungu ze-Hip ngokulula

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

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

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