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.
by UGqr Alex Jimenez | I-Hip Pain kunye nokuphazamiseka, Ukunyamekela
Ngaba ukwazi iindlela zonyango ze-hip ekhutshiweyo kunokunceda abantu bakhawulezise ukubuyisela kunye nokubuyisela?
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/
by UGqr Alex Jimenez | I-Hip Pain kunye nokuphazamiseka, Ubuhlungu Bokubuyisela
Kubantu abafumana ukungasebenzi kakuhle kwe-sacroiliac joint/SIJ kunye neentlungu, ngaba ukusebenzisa i-kinesiology tape kunokunceda ukuzisa isiqabu nokulawula iimpawu?
I-Kinesiology Tape ye-Sacroiliac Joint Pain
Isifo esisezantsi esiqhelekileyo ngexesha lokukhulelwa. Iintlungu zihlala kwelinye okanye kumacala omabini omva, ngaphezulu nje kweempundu, eziza kwaye zihamba kwaye zinokunciphisa amandla okugoba, ukuhlala, kunye nokwenza imisebenzi eyahlukeneyo yomzimba. (UMoayad Al-Subahi et al., 2017) I-tape yonyango inikeza inkxaso ngelixa ivumela ukunyakaza kwaye inokunceda ukuphatha nokulawula intlungu ye-sacroiliac / SIJ nge:
- Ukunciphisa imisipha yezihlunu.
- Ukuququzelela ukusebenza kwemisipha.
- Ukwandisa ukujikeleza kwegazi ukuya kunye nokujikeleza indawo yentlungu.
- Ukunciphisa amanqaku e-muscle trigger.
Indlela
Olunye uphononongo lufumene ukuba ukucofa ngokudibeneyo kwe-SI kunezibonelelo ezibandakanya:
- Enye ithiyori inceda ukuphakamisa kunye nokubamba izicubu ezingaphezulu kwi-SI edibeneyo, enceda ukunciphisa uxinzelelo olujikeleze kuyo.
- Enye ithiyori kukuba ukuphakamisa izicubu kunceda ukudala ukuhluka koxinzelelo phantsi kwe-tape, njengokunganyanzelwa kokuhlinzwa, okuvumela ukwanda kokujikeleza kwizicubu ezijikeleze i-sacroiliac joint.
- Oku kukhukula indawo ngegazi kunye nezondlo, ukudala indawo ephilileyo yokuphilisa.
isicelo
Umxube we-sacroiliac kwicala lasekunene nasekhohlo lidibanisa i-pelvis kwi-sacrum okanye inxalenye ephantsi yomqolo. Ukusebenzisa i-kinesiology tape ngokuchanekileyo, fumana indawo esezantsi ngasemva ngaphakathi kwendawo ye-pelvic. (UFrancisco Selva et al., 2019) Cela uncedo kumhlobo okanye ilungu losapho ukuba awukwazi ukufikelela kwindawo leyo.
Ukucofa 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.
- I-kinesiology tape inokuhlala phezu kwe-joint sacroiliac iintsuku ezintathu ukuya ezintlanu.
- Jonga iimpawu zokucaphuka kwiteyiphu.
- Susa i-tape ukuba ulusu luyacaphuka, kwaye udibane nomboneleli wakho wezempilo oyintloko, umgqirha womzimba, okanye i-chiropractor kwezinye iindlela zonyango.
- Abanye abantu abaneemeko ezithile kufuneka bakuphephe ukusebenzisa iteyiphu kwaye bafumane isiqinisekiso sokuba ikhuselekile.
- Abantu abaneentlungu ezibuhlungu ze-sacroiliac apho ukuzilawula kungasebenzi kufuneka babone umboneleli wezempilo, ugqirha womzimba, kunye okanye i-chiropractor ukuze bavavanye kwaye bafunde ukuzivocavoca kunye nonyango. unyango ukunceda ukulawula imeko.
Sciatica Ngexesha lokukhulelwa
Ucaphulo
Al-Subahi, M., Alayat, M., Alshehri, MA, Helal, O., Alhasan, H., Alalawi, A., Takrouni, A., & Alfaqeh, A. (2017). Ukusebenza kongenelelo lwe-physiotherapy yokungasebenzi kakuhle kwe-sacroiliac: uphononongo olucwangcisiweyo. Ijenali yesayensi yonyango lomzimba, 29 (9), 1689-1694. doi.org/10.1589/jpts.29.1689
Do-Yun Shin kunye noJu-Young Heo. (2017). Iimpembelelo zeKinesiotaping eziFakelwe kwi-Erector Spinae kunye neSacroiliac Joint kwiLumbar Flexibility. Ijenali yoNyango loNyango lwaseKorea, 307-315. doi.org/https://doi.org/10.18857/jkpt.2017.29.6.307
Selva, F., Pardo, A., Aguado, X., Montava, I., Gil-Santos, L., & Barrios, C. (2019). Uphononongo lokuphindaphinda kwezicelo ze-kinesiology tape: ukuphononongwa, ukuthembeka kunye nokunyaniseka. I-BMC ye-musculoskeletal disorders, i-20 (1), i-153. doi.org/10.1186/s12891-019-2533-0
by UGqr Alex Jimenez | Chiropractic, Ubuhlungu obungapheliyo, IiOthotics zeenyawo, I-Hip Pain kunye nokuphazamiseka, Unyango, I-Viscerosomatic Reflex
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
by UGqr Alex Jimenez | Ubuhlungu obungapheliyo, Electroacupuncture Therapy, I-Hip Pain kunye nokuphazamiseka, Unyango, I-Viscerosomatic Reflex
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
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
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
by UGqr Alex Jimenez | Unyango lwe-Acupuncture, impilo, I-Hip Pain kunye nokuphazamiseka, Unyango, I-Viscerosomatic Reflex
Kubantu abava iintlungu ze-pelvic, ngaba ukubandakanya i-acupuncture kunokunceda ukunciphisa kunye nokunciphisa iintlungu ezisezantsi?
intshayelelo
Kwinkqubo ye-musculoskeletal, iindawo eziphezulu kunye nezantsi zomzimba zinemisebenzi yokuvumela umphathi ukuba aqhube. Amacandelo omzimba aphantsi anika uzinzo kwaye agcine i-posture efanelekileyo, enokunceda izihlunu ezijikelezayo zibe namandla kwaye zikhusele izitho ezibalulekileyo. Amalungu amathambo emzimbeni anceda ukuqinisekisa ukuba ubunzima bomzimba womntu busasazwa ngokulinganayo. Kwinkqubo ye-musculoskeletal, ummandla we-pelvic kwinxalenye yomzimba ophantsi unceda ngokuzinza kwaye unikeze umsebenzi oqhelekileyo womchamo emzimbeni. Nangona kunjalo, xa izinto eziqhelekileyo kunye nezibuhlungu ziqala ukuchaphazela iindawo ezisezantsi zomzimba, kunokukhokelela kwimiba efana neentlungu ezinokubangela intlungu echazwe kwi-visceral kumqolo ongaphantsi, kwaye inokwenza abantu abaninzi bacinge ukuba bafumana intlungu ephantsi. , enye yeempawu ezinxulumene neentlungu ze-pelvic. Xa abantu abaninzi beva iintlungu ze-pelvic ezinxulumene neentlungu ezisezantsi, abaninzi baya kukhetha ukufuna unyango lokunciphisa iimpawu ezifana neentlungu kunye nokubuyisela ukusebenza komzimba wabo. Inqaku lanamhlanje lijonga indlela iintlungu ze-pelvic ezinxulunyaniswa ngayo neentlungu ezisezantsi kunye nendlela unyango olufana ne-acupuncture lunokunceda ngayo ukunciphisa iintlungu ze-pelvic ezinxulumene neentlungu ezisezantsi kunye nokubonelela ngesiqabu. Sithetha nababoneleli bezonyango abaqinisekisiweyo ababandakanya ulwazi lwezigulane zethu ukubonelela ngeendlela ezahlukeneyo zonyango zokunciphisa iintlungu ezisezantsi ezihambelana neentlungu ze-pelvic. Sikwaxelela izigulane ukuba iindlela zonyango ezingasebenzisi utyando ezifana ne-acupuncture zinokunceda njani ukunciphisa iintlungu ze-pelvic. Sikhuthaza izigulana zethu ukuba zibuze imibuzo enzima kubaboneleli bethu bezonyango abanxulumeneyo malunga neempawu ezinjengeentlungu abahlangabezana nazo ezihambelana neentlungu ze-pelvic ezibangela imiba kwimihlana yabo ephantsi. UDkt Alex Jimenez, D.C., usebenzisa olu lwazi njengenkonzo yezemfundo. isikhanyeli.
Iintlungu zePelvic zinxulunyaniswa njani neentlungu ezisezantsi?
Ngaba ukhe waziva iintlungu ezibuhlungu ngenxa yokuhlala ngokugqithisileyo okubangela iintlungu kumqolo wakho osezantsi okanye kwingingqi ye-pelvic? Ngaba uziva uqinile kumqolo wakho osezantsi kunye nommandla we-pelvic ngenxa yokuma kakubi? Okanye ngaba uziva uxinezeleke kakhulu kwindawo yakho ye-pelvic? Xa abantu abaninzi bejongana nale miba efana neentlungu, ihambelana neentlungu ze-pelvic. Ngoku, intlungu ye-pelvic yintlungu eqhelekileyo, ekhubazayo, eqhubekayo ehambelana ne-comorbidities ene-multifactorial kwaye idla ngokuba yintlungu ephakathi. (Dydyk & Gupta, 2023) Ngelo xesha, intlungu ye-pelvic ingumngeni wokuxilonga ngenxa ye-multifactorial kunye nokwabelana ngeengcambu ezininzi ze-nerve ezisasazwayo kwaye zidibene kunye nommandla we-lumbar. Ukuza kuthi ga ngoku, oku kubangela iintlungu ezigqithiselweyo kumqolo ongezantsi kwaye kubangela ukuba abantu abaninzi bacinge ukuba banentlungu esezantsi yomqolo xa, eneneni, bejongene neentlungu ze-pelvic. Oku kungenxa yokuba izihlunu zomgangatho we-pelvic ziba buthathaka, nto leyo enokubangela ukuba abantu abaninzi bakhule kakubi, okukhokelela kwiintlungu ezisezantsi emva kwexesha.
Ukongezelela, xa ummandla we-pelvic ungahambelani kakuhle ngenxa yokunyakaza okuphindaphindiweyo okubangela intlungu ephantsi, inokubangela ukuba izihlunu ezijikelezileyo zigqithise kwaye zikhululeke malunga neengqungquthela ze-sacroiliac. (Mutaguchi et al., 2022) Xa oku kwenzeka, izihlunu ezijikelezileyo ezijikeleze i-hips kunye ne-back back zinokuthi zibe buthathaka, ezikhokelela kwi-pelvic yangaphambili kwaye ibangele ukuguqulwa kwendawo ye-lumbopelvic.
Ekubeni indawo ye-lumbopelvic ikwiinxalenye zomzimba ezisezantsi, inokubangela ukuguqulwa kwesakhiwo samathambo omzimba, okukhokelela kwiintlungu ezisezantsi. Xa inani elikhulayo labantu lijongana nokukhubazeka komgogodla, baya kugcina indawo yokuma ngelixa bekhusela ubunzima babo obuphakathi ukuba baqhubele phambili ngokusebenzisa izihlunu zabo ze-pelvic ukuze bahlawule ubunzima babo. (Murata et al., 2023) Xa oku kwenzeka, kubangela ukuba imisipha engundoqo ejikelezileyo kunye nezihlunu zangasemva zigqithise, ezibangela ukuba izihlunu ze-accessory zivelise amandla amaninzi kwaye zenze imisebenzi yokuqala yemisipha. Oku kubangela imiba yomchamo kunye nezihlunu ezibangela iintlungu ezibhekiselele kwi-tomato-visceral kwi-musculoskeletal system. Nangona kunjalo, kukho iindlela ezininzi zokunciphisa intlungu ye-pelvic ehambelana neentlungu ezisezantsi ngelixa ubuyisela umsebenzi we-pelvic kunye nokubuyisela amandla emisipha kwimisipha engundoqo ejikelezayo kwingingqi ye-pelvic.
Ngaba sisitshixo sokuPhilisa-Ividiyo
Ngaba ukhe wafumana nakuphi na ukuqina kwezihlunu ezinqeni zakho, umva osezantsi, okanye ummandla we-pelvic? Ngaba uziva unoluhlu olulinganiselweyo lokunyakaza kusasa, kuphela ukuba uzive ungcono imini yonke? Okanye ngaba ufumana imiba yesinyi ehambelana neentlungu ezisezantsi? Uninzi lwezi meko ezinjengeentlungu zinxulunyaniswa neentlungu ze-pelvic kwaye zinokubangela imiba eqhelekileyo yeentlungu zangasemva ezibangela ukuba abantu abaninzi bazingele kwaye bahlale besezintlungwini. Ekubeni intlungu ye-pelvic i-multifactorial musculoskeletal disorder, inokudibaniswa ne-comorbidities enokubangela imiba kwingingqi ye-lumbar yomgogodla kwaye ichaphazele ukuhamba komzimba. Nangona kunjalo, unyango oluninzi lunokunciphisa imiphumo yeentlungu ze-pelvic kunye nokubuyisela ukuhamba okuphantsi komzimba. Xa kuziwa ekujongeni unyango, abantu abaninzi baya kukhangela unyango olungabizi kakhulu kwaye lunokunceda ekunciphiseni iintlungu ezidluliselweyo ezinxulumene neentlungu ezisezantsi kunye ne-pelvic. Ividiyo engentla ibonisa indlela unyango olungenalo utyando lunokunceda ukubuyisela ukuhamba kwiindawo ezisezantsi.
I-acupuncture yePelvic kunye neentlungu ezisezantsi
Xa kuziwa kunyango olungalulo utyando, abantu abaninzi baya kufuna unyango olungabizi kakhulu. Unyango olunje ngokhathalelo lwe-chiropractic, ukudodobala komqolo, kunye nonyango lwe-massage lunokunceda ukunciphisa iintlungu ezisezantsi, kodwa kwiintlungu ze-pelvic, abantu abaninzi baya kufuna i-acupuncture. I-acupuncture yindlela yonyango eyenziwa yingcali eqeqeshwe kakhulu esebenzisa iinaliti eziqinileyo kodwa ezincinci kwiindawo ezithile zomzimba. Ngoko ke, kubantu abajongene neentlungu ze-pelvic, i-acupuncture inokunceda ukubuyisela ibhalansi yamandla ehambelana nezitho zangaphakathi ezibangela intlungu. (Yang et al., 2022) I-acupuncture inokunceda ukubuyisela amandla kummandla we-pelvic ngokuhambisa amandla emzimbeni kunye nokunceda ukunciphisa ukukhubazeka kunye nokuphazamiseka kokusebenza. (I-Pan et al., 2023) I-acupuncture inokunciphisa iintlungu ezisezantsi ngokukhetha amanqaku athile anokuthi aphembelele iindawo phakathi kwezinqe kunye nomva ukuze uvule ukujikeleza kwi-muscle. (Sudhakaran, 2021) Xa abantu abaninzi beqala ukufaka i-acupuncture njengenxalenye yesicwangciso sabo sonyango, banokulusebenzisa kunye nolunye unyango ukuze bazive bengcono kwaye baphucule impilo yabo.
Ucaphulo
Dydyk, A. M., & Gupta, N. (2023). Iintlungu Ezingapheliyo zePelvic. Kwi StatPearls. www.ncbi.nlm.nih.gov/pubmed/32119472
Murata, S., Hashizume, H., Tsutsui, S., Oka, H., Teraguchi, M., Ishomoto, Y., Nagata, K., Takami, M., Iwasaki, H., Minamide, A., Nakagawa, Y., Tanaka, S., Yoshimura, N., Yoshida, M., & Yamada, H. (2023). Imbuyekezo ye-Pelvic ehamba kunye nokungahambi kakuhle komgogodla kunye nezinto ezinxulumene nentlungu emva kuluntu ngokubanzi: isifundo somqolo we-Wakayama. Sci Rep, 13(1), 11862. doi.org/10.1038/s41598-023-39044-2
Mutaguchi, M., Murayama, R., Takeishi, Y., Kawajiri, M., Yoshida, A., Nakamura, Y., Yoshizawa, T., & Yoshida, M. (2022). Ubudlelwane phakathi kweentlungu ezisezantsi kunye noxinzelelo lwe-urinary incontinence kwiinyanga ze-3 emva kokubeleka. Iziyobisi Discover Ther, 16(1), 23-29. doi.org/10.5582/ddt.2022.01015
Pan, J., Jin, S., Xie, Q., Wang, Y., Wu, Z., Sun, J., Guo, T. P., & Zhang, D. (2023). I-acupuncture ye-Chronic Prostatitis okanye i-Phronic Pelvic Pain Syndrome: Ukuhlaziywa kweNkqubo eHlaziyiweyo kunye nohlalutyo lweMeta. Ulawulo lwePain Res, 2023, 7754876. doi.org/10.1155/2023/7754876
Sudhakaran, P. (2021). I-acupuncture ngenxa yeentlungu ezisezantsi. Med Acupunct, 33(3), 219-225. doi.org/10.1089/acu.2020.1499
Yang, J., Wang, Y., Xu, J., Ou, Z., Yue, T., Mao, Z., Lin, Y., Wang, T., Shen, Z., & Dong, W. (2022). I-acupuncture ye-back back kunye / okanye intlungu ye-pelvic ngexesha lokukhulelwa: ukuphononongwa ngokuchanekileyo kunye nohlalutyo lwe-meta yezilingo ezilawulwa ngokungahleliwe. BMJ Open, 12(12), e056878. doi.org/10.1136/bmjopen-2021-056878
isikhanyeli
by UGqr Alex Jimenez | I-Hip Pain kunye nokuphazamiseka, Ubuhlungu Bokubuyisela
Kubantu abajongene nentlungu ye-gluteus minimus kwaye abaqinisekanga ukuba baqale phi ukujongana nayo, ngaba i-physical therapist, i-chiropractor, okanye ugqirha jikelele unokunceda ukuxilonga iintlungu ezisezantsi kunye nokuphuhlisa isicwangciso sonyango esifanelekileyo?
Izihlunu zeGluteus Minimus
I-gluteus minimus yimisipha encinci ye-gluteal muscle. Ukudibanisa ne-gluteus maximus kunye ne-gluteus medius, ezi zihlunu zenza i-glutes. I-glutes inceda ukwenza imilo yeempundu, izinze izinqe, ijikeleze imilenze, kwaye iphakamise amathanga. I-gluteus minimus kunye ne-medius ixhasa ngokukodwa i-gluteus maximus amandla okuphakamisa umlenze kwicala kwaye ujikeleze ithanga ngaphakathi. (ScienceDirect. 2011)
Anatomy
- The Izihlunu ze-gluteus minimus zingunxantathu kwaye zilala phantsi kwe-gluteus medius kufuphi ne-rotator yamalungu e-hip. Izihlunu ziqala kummandla ophantsi we-ilium, ummandla ophezulu kunye nowona mkhulu wethambo le-hip elenza i-pelvis kwaye linamathele kwi-femur / ithambo lethanga.
- Iintsinga ezikumphezulu wesihlunu zingqindilili kwaye zixinene, ngelixa iintsinga ezisezantsi zithe tyaba kwaye zinabile.
- Iimbilini eziphezulu ze-gluteal kunye nemithambo yegazi zihlukanisa i-gluteus minimus kunye ne-medius.
- The imisipha ye-gluteus medius qala kwindawo ephezulu ye-ilium, egubungela i-gluteus minimus muscle ngokupheleleyo. Indawo ye-gluteus minimus yezihlunu imvulophu inotshi ye-sciatic okanye indawo kwi-pelvis ehlala imisipha ye-piriformis, umthambo ophezulu we-gluteal, kunye nomthambo ophezulu we-gluteal, ezibonelela ngomlinganiselo othile wokhuseleko.
itheko
Ukuhamba kuxhomekeke kwindawo ye-femur. Umsebenzi we-gluteus minimus muscle kuku:
- lukwazi
- Jikela
- Ukuzinza
- Xa ithanga landiswa, inceda ukuxhwila okanye ukujiwuzisa umlenze ngaphandle komzimba.
- Xa amathambo e-hip eguquguqukayo, i-gluteus minimus ijikeleza ithanga ngaphakathi ngoncedo lwe-gluteus medius.
- Ukunyakaza kwenziwa ngenkxaso ye-muscle fibers, ekhontraktha ukuhambisa ithanga kumacala omabini. (ScienceDirect. 2011)
- I-gluteus minimus kunye ne-medius iphinda izinze i-hip kunye ne-pelvis ngexesha lokunyakaza kwaye xa uphumla.
Iimeko ezidibeneyo
Olona konzakala luxhaphakileyo kukunxiba nokukrazuka kwezihlunu, nto leyo enokubangela intlungu ngaphezulu nangaphaya kwe-trochanter enkulu. Oku kwaziwa ngokuba intlungu enkulu ye-trochanteric syndrome okanye i-GTPS, imeko edla ngokubangelwa yi-gluteus medius okanye i-minimus tendinopathy, engabandakanya ukuvuvukala kwe-bursae ejikelezileyo. (UDiane Reid. 2016) Kwi-gluteus minimus tear, intlungu / ukuvakalelwa kuya kuvakala ngaphandle kwe-hip, ngakumbi xa uguqa okanye usebenzisa ubunzima kwicala elichaphazelekayo. Ukukrazula kwenzeka ngokukhawuleza kungekho msebenzi uthile obangela ukuba ukukrazuka kwenzeke ngaphandle kokusetyenziswa okuqhelekileyo kunye noxinzelelo kwimisipha. Imisebenzi yomzimba efana nokuhamba inokuba buhlungu.
kwimo
Unyango luxhomekeke kubunzima bemeko. Ngokuqhelekileyo, ukuphumla, umkhenkce, kunye neyeza-the-counter-counter-counter-counter-counter-the-counter kunokunceda ukunciphisa ukuvuvukala kunye neempawu zentlungu. Kwiimpawu zentlungu ezingapheliyo, kuyacetyiswa ukuba ubone umboneleli wezempilo onokuqhuba i-MRI okanye i-X-ray ukuze abone imeko ye-muscle kwaye akhuphe ezinye izizathu zentlungu. Umboneleli wezempilo uyakuthumela isigulana ku a iqela lonyango lomzimba ekwazi ukuvavanya amandla e-gluteus minimus kwaye inikeze uluhlu lweendlela zokuzivocavoca kunye nokwelula ukunceda ukulungisa i-muscle ngelixa ulungelelanisa imisipha ejikelezayo. (SportsRec. 2017) Ngokuxhomekeke kwinqanaba lentlungu, ngamanye amaxesha umboneleli wezempilo uya kumisela i-cortisone injection kwi-gluteus minimus muscle ngokubambisana nonyango lomzimba. Oku kuya kunceda ukunciphisa intlungu ukwenzela ukuba umthambo wonyango womzimba unokwenziwa ngokukhululeka, ukuvumela i-gluteus maximus muscle ukuba iphole ngokufanelekileyo kwaye yomeleze. (UJulie M. Labrosse et al., 2010)
ISayensi yeMotion Chiropractic Care
Ucaphulo
ScienceDirect. (2011). Isihlunu seGluteus minimus.
Reid D. (2016). Ulawulo lwe-trochanteric pain syndrome enkulu: ukuphononongwa koncwadi olucwangcisiweyo. Ijenali ye-orthopedics, i-13 (1), i-15-28. doi.org/10.1016/j.jor.2015.12.006
SportsRec. (2017). Ukuzivocavoca umzimba kwi-gluteus minimus.
Labrosse, JM, Cardinal, E., Leduc, BE, Duranceau, J., Rémillard, J., Bureau, NJ, Belblidia, A., & Brassard, P. (2010). Ukusebenza kwenaliti ye-corticosteroid ekhokelwa yi-ultrasound yonyango lwe-gluteus medius tendinopathy. AJR. Ijenali yaseMelika ye-roentgenology, i-194 (1), i-202-206. doi.org/10.2214/AJR.08.1215
