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IiOthotics zeenyawo

I-Back Clinic Foot orthotics Ezi zifakelo zezihlangu ezenziwe ngokwezifiso kwiinkcukacha zonyango. I-orthotics eyenziwe ngokwezifiso ithathwa njengesebenzayo kwaye yenziwe kumgangatho ophezulu kune-orthotics eyenziwe ngaphambili.

Ii-orthotics ezenziwe ngokwezifiso zinokuthi:

  • Ukuhamba ngendlela engavumelekanga yokuhamba
  • Ukunciphisa intlungu
  • Thintela kwaye ukhusele ukukhubazeka konyawo/unyawo
  • Ulungelelaniso olungcono
  • Susa uxinzelelo kunyawo / ezinyaweni
  • Ukuphucula umatshini weenyawo

Iintlungu zeenyawo zinokuvela kwingozi, isifo, okanye imeko, kodwa imbangela yentlungu yonyawo yinto ugqirha afuna ukuyazi ukwazi ukuba luhlobo luni lwe-orthotic ukuyila. Ufakelo lwenziwa ngokuthatha imbonakalo yonyawo / iinyawo nge-3-D scan.

Ukuxhatshazwa ziintlungu zonyawo, ezinokukhokelela emlenzeni, kwinyonga, nakwingxaki yomqolo, emva koko i-orthotics inokubamba isitshixo sempilo entle. Ngokuqala ukusuka ezantsi ukuya phezulu i-orthotics yonyawo inokuthintela naziphi na iingxaki / imiba kwaye ikhulule nayiphi na intlungu. Lukhetho oluza kuqwalaselwa kwaye kufuneka luxoxwe nogqirha wakho.


Izihlangu zokuNceda iintlungu ezingemva: Ukukhetha izihlangu eziLungileyo

Izihlangu zokuNceda iintlungu ezingemva: Ukukhetha izihlangu eziLungileyo

Izihlangu zinokubangela iintlungu ezisezantsi kunye neengxaki kwabanye abantu. Ngaba ukuqonda unxibelelwano phakathi kweengxaki zezihlangu kunye neengxaki zasemva kunokunceda abantu bafumane izihlangu ezifanelekileyo zokugcina impilo yangasemva kunye nokuphelisa iintlungu?

Izihlangu zokuNceda iintlungu ezingemva: Ukukhetha izihlangu eziLungileyo

Isihlangu Umva Intlungu

Umqolo unika amandla emisebenzi yomzimba. Ubuhlungu obungasemva buchaphazela ubomi bemihla ngemihla kwaye bunokuba nezizathu ezahlukeneyo. Ukuma okungahambi kakuhle, ukuhamba, ukujija, ukujika, ukugoba, kunye nokufikelela kunokufaka isandla kwiingxaki zomqolo ezibangela intlungu. Ngokutsho kweCDC, i-39% yabantu abadala babika ukuba baphila ngentlungu emva (Amaziko oLawulo lweSifo kunye nokuThintela, i-2019). Izihlangu ezingafanelekanga nazo zinokuba negalelo kwiintlungu zomqolo. Ukukhetha izicathulo ngononophelo kunokunceda ukuzisa intlungu kunye nokunceda ukugcina impilo yomgogodla. Abantu ngabanye banokunandipha iintlungu ezincinci kunye nokulawula iimpawu ngokukhetha izicathulo ezigcina ukulungelelaniswa komgogodla kunye nokukhusela iinyawo kwimpembelelo engathandekiyo.

Ukuqonda i-Back Pain-Footwear Connection

Izihlangu ezingafanelekanga zinokuba ngunobangela weentlungu ezisezantsi. Yintoni echaphazela amathambo asezantsi kwenkqubo ye-neuromusculoskeletal ephuma phezulu kwaye ichaphazela umqolo kunye nezihlunu zangasemva. Ziziphi izihlangu ezisetyenzisiweyo zihamba phezulu, zichaphazela ukuhamba, ukuma, ukulungelelaniswa komgogodla, kunye nokunye. Xa iingxaki zangasemva zivela ezinyaweni, le yimiba ye-biomechanical. I-Biomechanics ithetha indlela amathambo, amalungu, kunye nezihlunu ezisebenzisana ngayo kunye nendlela utshintsho lwamandla angaphandle oluchaphazela ngayo umzimba.

intshukumo

Xa iinyawo zichaphazela umhlaba, ziziphelo zokuqala zokufunxa umothuko wonke umzimba. Abantu ngabanye baya kuqala ukuhamba ngokwahlukileyo ukuba unengxaki okanye utshintsho ezinyaweni zabo. Ukugqoka izicathulo ezinenkxaso engafanelekanga kunokunyusa ukunxiba kunye nokukrazula kwimisipha kunye namalungu, okukhokelela ekuhambeni okungahambi kakuhle kunye nokungaqhelekanga. Umzekelo, qwalasela umahluko phakathi kokuma kwiitiptoes kwizithende eziphakamileyo kunye nesimo sendalo esisicaba. Izihlangu ezigcinwe kakuhle zinceda ukufunxa impembelelo kunye nokunciphisa ukuvakalelwa kweentlungu. Uxinzelelo kwindawo nganye ye-joint shift balance, ebangela iingxaki zokungazinzi kunye noxinzelelo oluncinci kwabanye nangaphezulu kwabanye. Oku kudala ukungalingani okukhokelela kwiintlungu kunye neemeko ezidibeneyo.

Iimpawu

Ukugcina i-posture enempilo enye into ekuthinteleni okanye ekunciphiseni iintlungu zangasemva. Ngezihlangu ezifanelekileyo, umzimba unokugcina isimo esinempilo kunye ne-curvature efanelekileyo kuwo wonke umqolo, kwaye inceda ukusabalalisa ubunzima ngokulinganayo. Oku kubangela ukunciphisa uxinzelelo kwiigaments, izihlunu, kunye namalungu. (UPapasho lwezeMpilo lwaseHarvard. 2014) Kucetyiswa ukuba ubone ugqirha wamathambo ukuze ufike kwingcambu yemeko yomntu. Kwabanye, i-disc ye-herniated, i-sciatica, i-automobile collision, ukuwa, i-ergonomics engafanelekanga, okanye idibaniso, kunye neminye imiba ephantsi, ingaba negalelo kwintlungu yabo yangasemva.

Iindidi zezihlangu kunye nempembelelo yazo ngasemva

Izihlangu ezahlukahlukeneyo zichaphazela njani ukuma, okunokubangela okanye ukukhulula intlungu yomqolo.

Izihlangu eziphezulu

Izithende eziphakamileyo ngokuqinisekileyo zinokufaka isandla kwiintlungu zangasemva. Batshintsha ukuma komzimba, kubangela umphumo we-domino kumqolo. Ubunzima bomzimba butshintshelwa ukwandisa uxinzelelo kwiibhola zeenyawo, kwaye ukulungelelaniswa komqolo kuya kuguqulwa. Izithende eziphakamileyo zichaphazela indlela ama-ankle, amadolo, kunye neenqumlo ezihamba ngayo xa uhamba, ukulinganisela, kunye nendlela imisipha yangemuva esebenza ngayo, yonke into enokuthi ibangele intlungu emva.

Flat Shoes

Izicathulo zeFlat azinakuba yiyona nto ikhethekileyo kwimpilo yomgogodla. Ukuba abanayo inkxaso ye-arch, banokubangela ukuba unyawo luqengqeleke ngaphakathi, olubizwa ngokuba yi-pronation. Oku kunokubangela ukungahambi kakuhle, okunokuthi kugxininise amadolo, ama-hips, kunye nomqolo ophantsi. Nangona kunjalo, banokuba lukhetho olufanelekileyo ukuba babonelela ngenkxaso ye-arch. Xa ugqoke izicathulo ezinqamlekileyo kunye nenkxaso enempilo, ubunzima busasazwa ngokulinganayo kwiinyawo kunye nomqolo. Oku kunceda ukugcina ukuma okuchanekileyo, okunokukunceda ukukhusela kunye / okanye ukunciphisa intlungu emva.

Izihlangu, iTennis, kunye nezihlangu zeembaleki

Izihlangu, tennis, kunye izihlangu zembaleki inokuphelisa iintlungu zomqolo ngokucokisa ngokucokisekileyo kunye nenkxaso. Ukukhetha ezifanelekileyo kuquka ukumisela umsebenzi oza kwenziwa kuzo. Kukho intenetya, ukubaleka, ibhola yomnyazi, ibhola ekhatywayo, izihlangu zokutyibiliza, nokunye. Phanda ngeempawu eziya kufuneka kumdlalo okanye umsebenzi. Oku kunokubandakanya:

  • Iikomityi zesithende
  • I-insole cushioning
  • Isiseko esibanzi
  • Ezinye iimpawu ukuhlangabezana neemfuno zonyawo lomntu.

Kunconywa ukuba izicathulo zezemidlalo zitshintshwe yonke i-300 ukuya kwii-500 zeekhilomitha zokuhamba okanye ukugijima okanye kunye naziphi na iimpawu zokungalingani xa zibekwe kwindawo ethe tyaba, njengoko iintambo ezigugileyo kunye nezinto ezithotyiweyo zinokunyusa umngcipheko wokulimala kunye neentlungu zangasemva. (I-American Academy ye-Podiatric Sports Medicine, ngo-2024). Ukuba isibini esithile sibeka imilenze, isinqe, okanye amaqatha kwindawo engeyoyamvelo okanye sithintela ukushukuma rhoqo, kusenokuba lixesha lokuwabuyisela.

Ukukhetha izihlangu eziLungileyo

Isisombululo esifanelekileyo sokukhetha ukugqoka izicathulo kukufumana uhlalutyo lwe-gait kunye nokuhlaziywa kwendlela ohamba ngayo kunye nokuqhuba. Iingcali ezahlukeneyo zezempilo zinokubonelela ngale nkonzo ukulungisa ukhangelo lomntu ngamnye kwizihlangu ezifanelekileyo kwiintlungu zangasemva. Kuhlalutyo lokuhamba, abantu bayacelwa ukuba babaleke kwaye bahambe, ngamanye amaxesha kwikhamera, ngelixa ingcali iphawula ukuthambekela komzimba, njengaxa unyawo lubetha emhlabeni nokuba luqengqelekela ngaphakathi okanye ngaphandle. Oku kunika idatha kwi-posture echaphazelekayo, ukunyakaza, amanqanaba eentlungu, ingakanani inkxaso ye-arch efunekayo, kunye noluphi uhlobo lokugqoka ukunceda ukukhusela intlungu emva. Emva kokuba uhlalutyo lugqityiwe, luya kukukhokela malunga nokuba ukhangele ntoni, njengokuthi yeyiphi inqanaba lenkxaso ye-arch, ukuphakama kwesithende, okanye izinto ezilungele wena.

I-Chiropractic yezoNyango ze-Chiropractic kunye ne-Functional Medicine Clinic igxile kwiinkqubo zonyango eziqhubekayo, ezinqamlekileyo kunye neenkqubo zokuvuselela ezisebenzayo ezijoliswe kwi-physiology yeklinikhi, impilo epheleleyo, uqeqesho olusebenzayo lwamandla, kunye nokulungiswa okupheleleyo. Sigxila ekubuyiseleni imisebenzi eqhelekileyo yomzimba emva kokwenzakala kunye nokulimala kwezicubu ezithambileyo. Sisebenzisa iiProtocol zeChiropractic eziKhethekileyo, iiNkqubo zeNtlalontle, iZondlo eziSebenzayo kunye nezidibeneyo, i-Agility kunye nokuhamba koQeqesho loQeqesho lokuQinisekisa, kunye neeNkqubo zoBuyiselo kuyo yonke iminyaka. Iinkqubo zethu zezendalo kwaye zisebenzisa amandla omzimba ukufezekisa iinjongo ezilinganisiweyo ezithile kunokwazisa iikhemikhali eziyingozi, ukutshintshwa kwehomoni ephikisanayo, utyando olungafunwayo, okanye iziyobisi ezikhobokisayo. Siye sasebenzisana noogqirha bedolophu, oogqirha, abanyangi, kunye nabaqeqeshi ukuba babonelele ngonyango oluphezulu oluxhobisa izigulane zethu ukugcina eyona ndlela iphilileyo yokuphila kwaye siphile ubomi obusebenzayo obunamandla, isimo sengqondo esifanelekileyo, ukulala okungcono, kunye neentlungu ezincinci. .


Iinzuzo zokusebenzisa i-Custom Foot Orthotics


Ucaphulo

Amaziko oLawulo noThintelo lweZifo. (2019). Umva, umlenze ongezantsi, kunye neentlungu eziphezulu phakathi kwabantu abadala base-US, 2019. Ifunyenwe kwi www.cdc.gov/nchs/products/databriefs/db415.htm

UPapasho lwezeMpilo lwaseHarvard. (2014). Ukuma kunye nempilo yomqolo. Imfundo yezeMpilo yaseHarvard. www.health.harvard.edu/pain/posture-and-back-health

I-American Academy ye-Podiatric Sports Medicine. Ayne Furman, DF, AAPSM. (2024). Ndazi njani xa ilixesha lokutshintsha izihlangu zam zembaleki?

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

Buyisela iinyawo zakho nge-Acupuncture Plantar Fasciitis Therapy

Buyisela iinyawo zakho nge-Acupuncture Plantar Fasciitis Therapy

Kubantu abajongene ne-plantar fasciitis, inyathelo ngalinye linokuba buhlungu. Ngaba ukuthatha indlela yokudibanisa kunye nokusebenzisa i-acupuncture kunokunceda ukunyanga le meko kunye nokukhawulezisa ukukhululeka kweempawu?

Buyisela iinyawo zakho nge-Acupuncture Plantar Fasciitis Therapy

I-Acupuncture Plantar Fasciitis

I-Plantar fasciitis xa izicubu ezixhasayo ezihamba phantsi kweenyawo, ukusuka kwisithende ukuya kwisiseko seenzwane, ziyacaphuka kwaye zibuhlungu. Ukuphazamiseka kunokuba nzima ukulawula, kodwa kukho iindlela zonyango ezizezinye. Unyango lwe-Acupuncture plantar fasciitis yindlela enye enokubakho yokukhululeka, ukunciphisa iintlungu, kunye nokubuyisela umntu kwimisebenzi eqhelekileyo. I-acupuncture ibandakanya ukufaka iinaliti ezincinci kakhulu kumanqaku emzimbeni ukubuyisela kunye nokulinganisela ukuhamba okuqhelekileyo kwamandla kunye nokuphucula impilo yonke. (IYunivesithi yaseJohns Hopkins. 2024) Kwiyeza zesiShayina okanye i-TCM, umzimba uquka uluhlu lwe-meridians / amashaneli anikezela ukuhamba kwamandla okanye i-qi / chi.

Amaqiniso

I-Plantar fasciitis yingxaki eqhelekileyo echaphazela unyawo. Imeko yenzeka xa i-plantar fascia, eyenzelwe ukufunxa amandla ahamba nge-arch yonyawo, iba nzima kakhulu. Xa unyawo oluphantsi luhlala luxhomekeke kwixabiso eliphezulu loxinzelelo, lukhokelela ekuhlaselweni kwe-ligament, intlungu kunye nokuvuvukala. Uphawu oluqhelekileyo luyintlungu yesithende, into yokuqala eyenziwa ngumntu kusasa okanye emva kosuku olude lomsebenzi kunye nemisebenzi. Nabani na unokufumana i-plantar fasciitis, kodwa abo batyekele kakhulu kule meko babandakanya abantu abane:

  1. Ukuphazamiseka kuqala kunyangwa ngokucokisekileyo ngonyango lomzimba olujolise ekupheliseni iimpawu zentlungu kunye nokubuyisela unyawo kunye nokuguquguquka kwe-ankle.
  2. I-Orthotics okanye izihlangu ezenziwe ngokwezifiso zinokunceda ukukhusela unyawo kunye nokubeka unyawo oluchanekileyo,
  3. Izibonda zobusuku zinceda ukubamba unyawo kwindawo eguquguqukayo ebusuku.
  4. Amayeza okulwa nokudumba anokusetyenziswa nawo. (I-American Academy ye-Orthopedic Surgeons. 2022)

Iinzuzo ze-Acupuncture

I-acupuncture kunye nokusebenza kwayo kusafundwa, kodwa kukho ubungqina obubonisa ukuba kunenzuzo kunyango lwe-plantar fasciitis.

  • Olunye uphononongo lufumene ukuphuculwa okubalulekileyo kweentlungu kubantu ababene-acupuncture yemeko xa kuthelekiswa nabantu abafumene unyango oluqhelekileyo njengokwelula, i-orthotics, kunye nokomelezwa. (Anandan Gerard Thiagarajah 2017) Uphononongo olufanayo luphinde lwafumana izibonelelo xa kuthelekiswa ne-acupuncture kwinguqulelo ye-placebo yonyango, ngakumbi ukuqinisa iziphumo.
  • Olunye uphononongo lwezonyango lufumene ukuba i-acupuncture yanceda ukunciphisa intlungu yesithende kunye nokuphucula umsebenzi wemihla ngemihla xa kudibaniswa namayeza angenayo i-anti-inflammatory / NSAIDs ezifana ne-ibuprofen okanye i-naproxen. (URichard James Clark, uMaria Tighe ngo-2012)

Imiphumela

Ngelixa unyango lwe-acupuncture plantar fasciitis luluncedo, kubalulekile ukukhumbula ukuba kunokubakho iziphumo ebezingalindelekanga ezinokubandakanya:

  • Iintlungu kwindawo apho iinaliti zibekwe khona.
  • Ukopha kwindawo apho iinaliti zibekwe khona.
  • Ukugruzuka okanye ukujika kolusu.
  • Ukusabela komzimba okanye ukudibana ne-dermatitis / irhashalala erhawuzelayo.
  • Isiyezi okanye ukukhanya-intloko.
  • Isicaphucaphu okanye ukugabha (Malcolm WC Chan et al., 2017)

Amathuba okuba nesiphumo esibi esibi asezantsi xa usenziwa iacupuncture elunyaweni.

Amanqaku e-acupuncture kunye neeSensations

Iindlela ezisebenza ngayo i-acupuncture azikaqondwa ngokupheleleyo, kodwa njengolunye unyango lwe-neuromusculoskeletal, inkqubo ivuselela iipropathi zokuphilisa zomzimba.

  • Ukufaka inaliti kumanqaku omzimba kuvuselela inkqubo ye-nervous central.
  • Oku kukhokelela ekukhululweni kweekhemikhali kwingqondo, intambo yomgogodla, kunye nezihlunu ezikhuthaza ukuphilisa.
  • Kwa ezi khemikhali zinye kunye neempendulo zikwanciphisa ukuvakalelwa komzimba kwiintlungu. (UTeng Chen et al., ngo-2020)

Inani leeseshoni

Ubungakanani beeseshoni ezithathwa yi-acupuncture ukubonelela ngokukhululeka kweentlungu zihluka ukusuka kumntu ukuya kumntu kunye nemeko ukuya kwimeko.

Abantu bayacetyiswa ukuba badibane nomboneleli wezempilo malunga nezicwangciso zonyango lomntu ngamnye kwaye ukuba banengxaki yokopha, basebenzisa amayeza amancinci, okanye bakhulelwe.


Ukuqonda i-Plantar Fasciitis


Ucaphulo

IYunivesithi yaseJohns Hopkins. (2024). I-acupuncture (Impilo, umba. www.hopkinsmedicine.org/health/wellness-and-prevention/acupuncture

I-American Academy ye-Orthopedic Surgeons. (2022). I-Plantar fasciitis kunye ne-bone spurs. (Izifo kunye neeMeko, umba. orthoinfo.aaos.org/en/diseases-conditions/plantar-fasciitis-and-bone-spurs

Thiagarajah AG (2017). Isebenza kangakanani i-acupuncture yokunciphisa intlungu ngenxa ye-plantar fasciitis? Ijenali yezonyango yaseSingapore, 58(2), 92–97. doi.org/10.11622/smedj.2016143

Clark, RJ, & Tighe, M. (2012). Ukusebenza kwe-acupuncture kwintlungu yesithende sesityalo: ukuphononongwa ngokuchanekileyo. I-acupuncture kwiyeza : ijenali yeBritish Medical Acupuncture Society, 30 (4), 298-306. doi.org/10.1136/acupmed-2012-010183

Chan, MWC, Wu, XY, Wu, JCY, Wong, SYS, & Chung, VCH (2017). Ukhuseleko lwe-Acupuncture: Isishwankathelo soPhononongo oluCwangcisiweyo. Iingxelo zenzululwazi, 7(1), 3369. doi.org/10.1038/s41598-017-03272-0

Chen, T., Zhang, WW, Chu, YX, & Wang, YQ (2020). I-Acupuncture yoLawulo lweentlungu: IiNdlela zokuSebenza zeMolekyuli. Ijenali yaseMelika yamayeza aseTshayina, 48 (4), 793-811. doi.org/10.1142/S0192415X20500408

Kuphephe ukuqhambuka kwePlantar Fasciitis ngezi ngcebiso

Kuphephe ukuqhambuka kwePlantar Fasciitis ngezi ngcebiso

Abantu abane-plantar fasciitis banokufumana ama-flare-ups angaguqukiyo. Ngaba ukwazi oonobangela kunokunceda ufumane isiqabu seentlungu?

Kuphephe ukuqhambuka kwePlantar Fasciitis ngezi ngcebiso

I-Plantar Fasciitis Ukugqabhuka

I-Plantar fasciitis yimbangela eqhelekileyo yesithende kunye neentlungu zeenyawo. I-plantar fascia yimbumba yezicubu ezihamba emazantsi onyawo kwaye zivutha. Izinto ezithile zinokubangela ukugqabhuka kwe-plantar fasciitis, kubandakanya:

  • Ukunyuka kwamanqanaba okusebenza komzimba.
  • Ukungolula rhoqo.
  • Ukunxiba izihlangu ngaphandle kwenkxaso efanelekileyo.
  • Ukutyeba kwakho.

Izizathu

I-plantar fasciitis flare-up idla ngokubangelwa ngumsebenzi womzimba. (MedlinePlus. Ithala leencwadi lase-US leSizwe lezoNyango. 2022) Kwakhona kunokuziswa kwiimeko eziphantsi, njengokunyuka kobunzima bomzimba, isifo samathambo, okanye ukumila konyawo. (Johns Hopkins Medicine. 2023) Nangona unobangela wengcambu, kukho imisebenzi kunye namava anokuthi abe negalelo kunye / okanye enze imeko ibe mandundu.

Indlela entsha yokuzilolonga

  • Ukusebenza kakhulu emzimbeni kunokwandisa iimpawu ze-plantar fasciitis.
  • I-plantar fasciitis flare-up ingenzeka emva kokunyuka ngokukhawuleza komsebenzi, njengokuqala inkqubo entsha yokuzivocavoca okanye ukongeza umthambo omtsha kwindlela eqhelekileyo. (MedlinePlus. Ithala leencwadi lase-US leSizwe lezoNyango. 2022)
  • Ukuhamba okanye ukubaleka kwimigangatho engalinganiyo okanye ekwehleni kunokuba ngumqalisi. (Johns Hopkins Medicine. 2023)
  • Ukunciphisa umsebenzi womzimba kunye nexesha lokuma kunokunceda.
  • Ukuba oku akunakwenzeka, ukugqoka izicathulo ezinqamlekileyo kunye nenkxaso ye-arch kunokunceda ukunciphisa intlungu. (Johns Hopkins Medicine. 2023)

Ukutyeba kwakho

  • Abantu abathe banyuka okanye banyuka ubunzima bomzimba bongeza uxinzelelo kwiinyawo zabo, bebeka umngcipheko ophezulu we-plantar fasciitis. (MedlinePlus. Ithala leencwadi lase-US leSizwe lezoNyango. 2022)
  • Ukuba ufumana i-flare-ups ehambelanayo, umboneleli wezempilo unokucebisa inkqubo efanelekileyo yokulahlekelwa kwesisindo edibeneyo kunye nesicwangciso sonyango.

Ukukhulelwa

Izicathulo Ngaphandle kweNkxaso

  • Ukugqoka izicathulo ngaphandle kwenkxaso ye-arch kunokubangela intlungu yonyawo ngokubanzi kunye ne-plantar flare-ups.
  • Abantu ngabanye kufuneka banxibe izicathulo ezinobuninzi be-cushioning kunye nenkxaso ye-arch, njengama-sneakers. (Ulwazi lweOrtho. IAkhademi yoGqirha bamathambo. 2022)
  • Izicathulo ezingakhuthazwayo ziquka:
  • Iiflopsi
  • Izihlangu ezithe tyaba.
  • Izithende eziphakamileyo, iibhutsi, okanye izihlangu eziphakamisa isithende ngaphezu kweenzwane.
  • Izihlangu ezigugileyo njengezihlangu zokuzilolonga.

Akoluki ngokufanelekileyo okanye kwaphela

  • Amathole aqinileyo anokunyusa uxinzelelo kwi-fascia plantar.
  • Ukolula amathole, i-Achilles tendon / isithende, kunye nezantsi kweenyawo kucetyiswa kakhulu ukunceda ukunyanga nokuthintela imeko. (Johns Hopkins Medicine. 2023)
  • Ukungolula ngokucokisekileyo okanye ukutsiba ukolula kunokuzenza zibe mandundu iimpawu.
  • Abantu abane-plantar fasciitis bacetyiswa ukuba balule ngaphambi nangemva kwemisebenzi yomzimba, ukuzivocavoca, ngaphambi kokulala, nasemva kokuvuka.

Ukusebenza Ngentlungu

  • Abantu ngabanye banokuzama ukuqhubeka nemisebenzi yomzimba ngexesha lokuvutha.
  • Oku akukhuthazwa njengoko ukwenza njalo kunokubangela intlungu eninzi kwaye ibe mbi ngakumbi imeko.
  • Xa iintlungu zikhona, kuyacetyiswa ukuba:
  • Yeka yonke imisebenzi ebangela uxinezeleko lweenyawo
  • Hlala ezinyaweni ubuncinci iveki.

Ukukrazula i-Plantar Fascia

  • I-fascia ye-plantar ayifane ikrazule ngokupheleleyo kuxinzelelo oluphindaphindiweyo olubizwa ngokuba yi-plantar fascia rupture.
  • Ukuba oku kuyenzeka, iintlungu eziqatha ngesiquphe ziya kubakho kwaye abantu bayacetyiswa ukuba bafowunele umboneleli wabo wezempilo. (UStephanie C. Pascoe, uTimothy J. Mazzola. 2016)
  • Nangona kunjalo, abantu banokuchacha ngokukhawuleza, kwaye iintlungu ziyancipha ngokukhawuleza.
  • Abantu abaneenyembezi baya kucetyiswa ukuba banxibe i-orthotic yonyawo njengoko unyawo lunokuba luthe tyaba ngakumbi.

Izinto zobungozi

I-Plantar fasciitis ingenzeka nakubani na, kodwa abantu abanezi mpawu zilandelayo basengozini enkulu: (Ulwazi lweOrtho. IAkhademi yoGqirha bamathambo. 2022)

  • I-arch enonyawo oluphezulu.
  • Imisebenzi okanye izinto zokuzonwabisa ezibeka uxinzelelo ezinyaweni.
  • Izihlunu eziqinileyo zethole.
  • Ukunyuka ngokukhawuleza komsebenzi womzimba.
  • Irejimeni entsha yokuzilolonga.
  • Ukunyuka kobunzima bomzimba.
  • Ukufumana ubunzima ngokukhawuleza njengaxa ukhulelwe.

Ingaba Idangatya Lihlala Ixesha Elingakanani?

impatho

Ukongeza kunyango lokuphumla kwi-plantar fasciitis inokubandakanya: (Ulwazi lweOrtho. IAkhademi yoGqirha bamathambo. 2022)

umkhenkce

  • I-Icing ezantsi konyawo imizuzu eyi-15 ngamaxesha ambalwa ngosuku kunciphisa ukuvutha.

Iziyobisi ezingekho phantsi kwe-steroidal anti-inflammatory - NSAIDs

  • Ii-NSAID ezingaphezulu kwe-counter ezifana ne-ibuprofen kunye ne-naproxen, zinokunciphisa intlungu kunye nokuvuvukala.
  • Kucetyiswa ukuba udibane nomboneleli wezempilo wokusetyenziswa kwexesha elifutshane kunye nedosi.

Izihlangu ezifanelekileyo

  • Izicathulo ezineenkxaso ze-arch zinconywa kakhulu.
  • Umboneleli wezempilo unoku-odola i-orthotics yesiko ukufumana inkxaso engaphezulu.

Ukunxibelelana

  • Ukolula kubalulekile kunyango.
  • Ukolula ithole kunye nomzantsi wonyawo imihla ngemihla kuya kugcina izicubu zikhululekile.

Ukolulwa

  • Ukuphulula indawo ngebhola ye-massage yonyango ithobisa izicubu.
  • Ukusebenzisa i-massager ye-percussive kunokunyusa ukujikeleza.

Yintoni u Plantar Fasciitis?


Ucaphulo

MedlinePlus. Ithala leencwadi leSizwe loNyango. (2022) US Plantar fasciitis.

Johns Hopkins Medicine. (2023) Plantar fasciitis.

Isibhedlele saBantwana saseBoston. (2023) Plantar fasciitis.

Ulwazi lweOrtho. IAkhademi yoGqirha bamathambo. (2022) I-Plantar fasciitis kunye ne-bone spurs.

Pascoe, SC, & Mazzola, TJ (2016). I-Acute Medial Plantar Fascia Tear. Ijenali yonyango lwamathambo kunye nezemidlalo, 46(6), 495. doi.org/10.2519/jospt.2016.0409

Ukuqonda izinto ezibangela iintlungu zeNerve ezinyaweni zakho

Ukuqonda izinto ezibangela iintlungu zeNerve ezinyaweni zakho

Abantu abafumana iintlungu zemithambo-luvo elunyaweni banokubangelwa ziimeko ezininzi ezahlukeneyo, ngaba ukuqonda izizathu eziqhelekileyo kunokunceda ekuphuhliseni isicwangciso sonyango esisebenzayo?

Ukuqonda izinto ezibangela iintlungu zeNerve ezinyaweni zakho

Intlungu yeNerve Enyaweni

Ezi mvakalelo zinokuvakala njengokutshisa, ukudutyulwa, umbane, okanye iintlungu ezihlatywayo kwaye zinokwenzeka ngelixa ushukuma okanye uphumle. Inokuthi yenzeke phezulu kweenyawo okanye nge-arch. Ummandla okufutshane kwi-nerve unokuba novelwano xa ubamba. Inani leemeko ezahlukeneyo zinokubangela intlungu ye-nerve ezinyaweni, kuquka:

  • I-neuroma kaMorton
  • Inyibiliko
  • I-Tarsal tunnel syndrome
  • Isifo seswekile yezifo zesifo seswekile
  • I-disniated disc

INoron's Neuroma

I-neuroma ka-Morton ibandakanya i-nerve ehamba phakathi kweyesithathu kunye neyesine iinzwane, kodwa ngamanye amaxesha ingenzeka phakathi kweenzwane zesibini kunye nezesithathu zibe ngqindilili. Iimpawu eziqhelekileyo ziquka ukutshisa okanye ukudubula intlungu kwindawo, ngokuqhelekileyo xa uhamba. (UNikolaos Gougoulias, et al., 2019) Olunye uphawu oluqhelekileyo luvakalelo loxinzelelo phantsi kweenzwane njengoko i-sock ihlanganiswe phantsi. Unyango lungabandakanya:

  • I-Arch ixhasa
  • Iinaliti zeCortisone ukunciphisa ukudumba
  • Ukuguqulwa kwezicathulo - kunokubandakanya ukunyuswa, i-orthotics edibeneyo kunye ne-metatarsal pads, kunye ne-rocker soles, ukubonelela nge-cushion apho kuyimfuneko.

Izinto ezongeza umngcipheko wokukhula kwesi sifo ziquka:

  • Ukugqoka rhoqo izithende eziphakamileyo - imeko iyenzeka rhoqo kubasetyhini.
  • Izihlangu ezixinene kakhulu.
  • Ukuthatha inxaxheba kwimidlalo enempembelelo ephezulu njengokubaleka.
  • Ukuba neenyawo ezisicaba, ii-arches eziphakamileyo, i-bunion, okanye i-hammertoes.

I-Pinned Nerve

I-nerve pinched inokuziva ngathi ukudubula okanye intlungu evuthayo. I-nerve entrapment ingenzeka kwimimandla eyahlukeneyo yonyawo okanye indawo engaphezulu konyawo inokuvakalelwa. Unobangela unokubangelwa: (Basavaraj Chari, Eugene McNally. 2018)

  • Ukwenzakala okubangela ukudumba.
  • Ifuthe elibi.
  • Izihlangu eziqinileyo.

Unyango lunokubandakanya:

  • ukuphulula umzimba womntu ngobunono
  • Ulungiso lwenyama
  • Ukuphumla
  • Ukuguqulwa kwezihlangu
  • Ulwaphulo-mthetho.

Izinto ezongeza umngcipheko wokuphuhlisa i-nerve pinched in the foot ziquka:

  • Izihlangu ezingafanelekanga.
  • Ukulimala okuphindaphindiweyo koxinzelelo.
  • Ukwenzakala kunyawo.
  • Ukunyanya.
  • Irheumatoid Arthritis.

ITarsal Tunnel Syndrome

Olunye uhlobo lwe-nerve entrapment yi-tarsal tunnel syndrome. I-Tarsal tunnel syndrome "yiyo nayiphi na into evelisa uxinzelelo kwi-posterior tibial nerve." (IKholeji yaseMelika yeeNyawo kunye ne-Ankle Surgeons. 2019) I-nerve ye-tibial ifumaneka kufuphi nesithende. Iimpawu ziquka ukuphazamiseka kunye nokunyanzeliswa kweenyawo, ukutshisa, ukubetha, okanye ukuvakalelwa kokudubula okuhlala kuphuma kwi-instep / arch. Zombini zinokuba mbi ngakumbi ngelixa unyawo luphumle, njengaxa uhleli okanye ulele. Unyango lunokubandakanya:

  • Ukubeka i-padding kwisihlangu apho unyawo lunyanzeliswa khona ukukhulula intlungu.
  • I-orthotics yeenyawo eziqhelekileyo.
  • I-Cortisone shots okanye ezinye iindlela zonyango ezichasayo.
  • Utyando lunokuba yimfuneko ukukhulula umthambo.

Iimeko ezicinezela i-nerve ye-tibial kwaye zinokukhokelela kwi-tarsal tunnel syndrome ziquka:

  • Iinyawo ezinyaweni
  • Iingqameko eziwile
  • I-ankle sprain
  • Diabetes
  • Arthritis
  • Imithambo ye-Varicose
  • I-Bone ihluma

Isifo seswekile sePeripheral Neuropathy

Ixesha elide iswekile yegazi / i-glucose ehambelana nesifo seswekile inokukhokelela kuhlobo lomonakalo wemithambo-luvo owaziwa ngokuba yi-peripheral neuropathy. (Amaziko oLawulo noThintelo lweZifo. 2022) Intlungu ye-neuropathy ivakala njengokutshisa okanye ukudutyulwa kweentlungu, okanye imvakalelo yokuhamba kwi-bubble wrap edla ngokubonakala ngobusuku. Intlungu inokuza kwaye ihambe kunye nokulahlekelwa ngokuthe ngcembe kwemvakalelo kwiinyawo eziqala kwiinzwane kunye nokunyuka kwenyawo. Kuqikelelwa ukuba malunga nesiqingatha sabantu abanesifo seswekile ekugqibeleni baya kuba neuropathy. (U-Eva L. Feldman, et al., 2019) Unyango lungabandakanya:

  • I-massage yonyango lomzimba ukwandisa ukujikeleza.
  • Unyango lwezihloko kunye ne-capsaicin.
  • Uvithamini B.
  • Ulawulo lweswekile yegazi.
  • Alpha lipoic acid.
  • Amayeza.

Abantu abanesifo seswekile banomngcipheko owongeziweyo wokuphuhlisa i-peripheral neuropathy ukuba:

  • Iswekile yegazi ayilawulwa kakuhle.
  • Isifo seswekile sikhona iminyaka emininzi.
  • Isifo sezintso.
  • Umsi.
  • Ukutyeba kakhulu okanye ukutyeba.

Disc Disc

Intlungu ye-nerve kunyawo inokubangelwa yimiba yomgogodla. I-disc ye-herniated kwi-back back inokucaphukisa kwaye icinezele iimbilini, ezibangela intlungu ephuma emlenzeni nasenyaweni. Iimpawu ezongezelelweyo zihlala zibandakanya ubuthathaka bemisipha emilenzeni kunye / okanye ukuphazamiseka kunye nokubetha. Uninzi lweediski ze-herniated azifuni utyando kwaye ziba ngcono ngonyango olulondolozayo. (Wai Weng Yoon, Jonathan Koch. 2021) Ukuba iimpawu aziphucuki okanye zibe mandundu, umboneleli wezempilo unokucebisa utyando. Iidiski zeHerniated zixhaphake kakhulu kubantu abadala abancinci nabaphakathi. Ukunyuka kwamathuba okuphuhlisa idiski ye-herniated kunokuvela:

  • Utshintsho oluguquguqukayo kumqolo ukusuka kwixesha eliqhelekileyo lokunxiba kunye nokukrazula.
  • Umsebenzi onzima ngokwasemzimbeni.
  • Ukuphakamisa ngokungalunganga.
  • Ukutyeba kakhulu okanye ukutyeba.
  • I-Genetic predisposition - imbali yentsapho yeediski ze-herniated.

IStinal Stenosis

I-Spinal stenosis yenzeka xa izithuba zomqolo ziqala ukucutha, zenza uxinzelelo kwintambo yomgogodla kunye neengcambu zemithambo-luvo. Ngokuqhelekileyo kubangelwa kukuguga kunye nokukrazula komqolo njengoko umzimba uguga. I-stenosis kumqolo osezantsi inokubangela intlungu evuthayo kwiimpundu kunye nomlenze. Njengoko iqhubela phambili iintlungu zinokuphuma ezinyaweni kunye nokuba ndindisholo kunye nokutshotshozela. Unyango lwe-Conservative lubandakanya ukuzivocavoca umzimba kunye neyeza-non-steroidal anti-inflammatory/NSAIDs. (UJon Lurie, uChristy Tomkins-Lane. 2016) Iinaliti zeCortisone zinokuba luncedo kwaye ukuba imeko iba mandundu, utyando lunokuba lukhetho. Imiba yomngcipheko ibandakanya:

  • Ubudala be-50 okanye ngaphezulu.
  • Umngxuma omxinwa womqolo.
  • Ukwenzakala kwangaphambili.
  • Utyando lomqolo lwangaphambili.
  • I-osteoarthritis echaphazela umqolo.

Ezinye Oonobangela

Ezinye iimeko zingabangela umonakalo we-nerve kunye neempawu zentlungu kunye nokuziva. Imizekelo ibandakanya: (Nathan P. Staff, Anthony J. Windebank. 2014)

  • Ukunqongophala kweVithamini (Nathan P. Staff, Anthony J. Windebank. 2014)
  • Ukwenzakala ngokomzimba - emva kotyando okanye ingozi yemoto okanye yezemidlalo.
  • Umhlaza othile, amayeza e-antiviral, okanye amayeza okubulala iintsholongwane.
  • I-syndrome yeentlungu zengingqi eziyinkimbinkimbi.
  • Amathumba acaphukisayo kunye / okanye acinezele i-nerve.
  • Isibindi okanye isifo sezintso.
  • Izifo ezithathelwanayo - iingxaki ze-Lyme okanye izifo zentsholongwane.

Intlungu ye-nerve enyaweni ngokuqinisekileyo sisizathu sokubona umboneleli wezempilo. Ukuxilongwa kwangaphambili kunokunceda ukukhusela ukuqhubela phambili kweempawu kunye neengxaki ezizayo. Nje ukuba unobangela wentlungu ichongiwe, iqela lokhathalelo lwempilo linokusebenza kunye ukuphuhlisa isicwangciso sonyango lomntu ukukhulula imithambo-luvo ecinezelekileyo kunye nokubuyisela ukuhamba kunye nomsebenzi. Bona umboneleli wezempilo ngokukhawuleza ukuba iintlungu kunye neempawu ziba nzima, okanye ukuba kukho ubunzima bokuma okanye ukuhamba.


IChiropractic Emva kweeNgozi kunye nokulimala


Ucaphulo

Gougoulias, N., Lampridis, V., & Sakellariou, A. (2019). I-Morton's interdigital neuroma: ukuphononongwa komyalelo. U-EFORT uvule uphononongo, 4(1), 14–24. doi.org/10.1302/2058-5241.4.180025

Chari, B., & McNally, E. (2018). I-Nerve Entrapment kwi-Ankle kunye noNyawo: I-Ultrasound Imaging. Iisemina kwi-radiology ye-musculoskeletal, i-22 (3), i-354-363. doi.org/10.1055/s-0038-1648252

IKholeji yaseMelika yeeNyawo kunye ne-Ankle Surgeons. I-Tarsal tunnel syndrome.

Amacandelo okuLawula nokuKhuselwa kwezifo. Isifo seswekile kunye nomonakalo wemithambo-luvo.

Feldman, EL, Callaghan, BC, Pop-Busui, R., Zochodne, DW, Wright, DE, Bennett, DL, Bril, V., Russell, JW, & Viswanathan, V. (2019). I-diabetes neuropathy. Uphononongo lwendalo. Izifo zokuqala, i-5 (1), i-42. doi.org/10.1038/s41572-019-0097-9

Yoon, WW, & Koch, J. (2021). Iidiski zeHerniated: nini utyando oluyimfuneko? EFORT vula uphononongo, 6(6), 526–530. doi.org/10.1302/2058-5241.6.210020

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

Abasebenzi, iNP, & Windebank, AJ (2014). I-peripheral neuropathy ngenxa yokunqongophala kwevithamin, ityhefu, kunye namayeza. I-Continuum (iMinneapolis, iMinn.), i-20 (i-5 ye-Peripheral Nervous System Disorders), i-1293-1306. doi.org/10.1212/01.CON.0000455880.06675.5a

I-Athletic Running Shoes kwiingxaki zangemva: i-EP Back Clinic

I-Athletic Running Shoes kwiingxaki zangemva: i-EP Back Clinic

Abantu abahamba ngeenyawo imini yonke bahlala benengxaki yomqolo kunye neempawu ezingathandekiyo. Ukunxiba izihlangu ezingazinzanga ezisicaba ngaphandle kwenkxaso ye-arch kunye nokufunxa okuncinci okanye okungekho nto okanye uhlobo olungalunganga lwesicathulo se-gait kunokubangela imiba ye-biomechanical enokubangela ukungahambi kakuhle kwaye ibangele intlungu engapheliyo. Izicathulo zokugijima ze-Athletic zinconywa kwiintlungu ezisezantsi ngenxa yokuba zigcinwe kakuhle kwaye zenzelwe ukunceda ukufunxa impembelelo yokuhamba okanye ukuhamba. Kwakhona banenkxaso efanelekileyo ye-arch kunye ne-ankle ukugcina indawo yonyawo lokuma okuchanekileyo. Yintoni omele uyijonge ekubalekeni izihlangu ukunceda ukukhulula iintlungu zangasemva kunye nokugcina ukulimala komqolo simahla?

Ukukhetha i-Athletic Running Shoes kwiingxaki zangasemva: I-IMCFMCI-Athletic Running Shoes

Izicathulo ezingenayo i-cushioning eyaneleyo zingabangela ukudumba kwimisipha yangasemva ngenxa yokunqongophala kwempembelelo. Owona mdlali ubalaseleyo izicathulo kuba iintlungu zomqolo ziqinile, zixhasa, kwaye zigcinwe kakuhle. Xa ukhetha izicathulo zentlungu yomqolo, ezona zinto zibalulekileyo ekufuneka uziqwalasele zezi:

  • Ukuqina kwe-sole.
  • Inkxaso yomgangatho kunye nokuthotywa.
  • Ukulingana okufanelekileyo kunye nokukhululeka.

Uhlobo lwesihlangu

  • Izicathulo zokugijima ze-Athletic zifumaneka kwiindidi ezahlukeneyo zenkxaso kuzo zonke iintlobo zeenyawo.
  • Qwalasela ukwakheka kweenyawo kunye nokuhamba xa ukhetha izihlangu.
  • I-Flat and high-arched feet inokubangela ukungalingani kwemisipha, okwandisa uxinzelelo kumqolo, umlenze, imilenze, amadolo, amaqaqa kunye neenyawo.
  • Cinga izihlangu zokulawula ukuhamba ngeenyawo ezisicaba okanye i-overpronation.

Inkxaso yeArch

  • Inkxaso ye-arch efanelekileyo iqinisekisa ukuba iinyawo zihlala zihambelana kwaye zithatha uxinzelelo emadolweni, ezinqeni, nasemva, ukunciphisa umngcipheko wokuvuvukala.
  • Khangela isihlangu esine-sole eqinile kunye nekomityi yesithende esiqinileyo sonyawo olufanelekileyo kunye nenkxaso ye-ankle.
  • Qinisekisa ukuba isihlangu sihambelana nonyawo lomntu kunye nohlobo lokuhamba.
  • Ukuba unokuguqula isicathulo okanye ugobe isicathulo kwisiqingatha, akukho nkxaso eyaneleyo kwi-arch.
  • Umzekelo, ukuchazwa ngokugqithisileyo ifuna uzinzo ngokongeziweyo phakathi inkxaso yokuthintela ukuwa kwe-arch.

Ukuhlaselwa

Ukuhombisa izihlangu:

  • Ifunxa umothuko kunye nokungcangcazela.
  • Yehlisa impembelelo yenyathelo ngalinye.
  • Inceda ukunciphisa uxinzelelo lwasemva.
  • Isihlangu esifakwe kakuhle sibonelela ngentuthuzelo kunye nenkxaso.
  • Ukunxiba izihlangu ngaphandle kokuthotywa okwaneleyo kwenza izihlunu zangasemva zibambe ukothuka rhoqo xa unyawo luthatha inyathelo.

Ukufaneleka okufanelekileyo

Izihlangu ezifanelekileyo kufuneka zilingane ngokufanelekileyo.

  • Izihlangu eziqine kakhulu zinokubangela ukuhlikihla okubuhlungu kunye namadyungudyungu ezinyaweni.
  • Ukucaphuka kunokunyanzela ukuhamba okungahambi kakuhle kunye nokungahambi kakuhle, ukunyusa umva kunye neentlungu.
  • Izihlangu ezikhulu kakhulu zinokubangela ukuba iinyawo zityibilike kwaye zityibilike, zinyusa umngcipheko wokwenzakala.
  • Izicathulo ezinebhokisi yeenzwane ezibanzi okanye ububanzi obubanzi bunokuba lukhetho lokuthintela iinzwane ezixineneyo.
  • Ukulungelelaniswa okuchanekileyo kuya kuqinisekisa ukuba iinyawo zihambelana ngokufanelekileyo kwaye zithintele ukulimala.

Utyando

  • Izicathulo ezine-traction egqwesileyo ziya kugcina umzimba uzinzile kwaye uthintele ukutyibilika.
  • Njonga i ukubamba i-rubber outsoles kunye nepateni eyenziweyo.
  • Iigrooves kunye neepateni zonyusa ukukhuhlana kwaye zibonelela ngokubambelela kumntu ngelixa ehamba okanye ebaleka.

ukuhlala ixesha elide

  • Ukunxiba izihlangu ezigugileyo nezingahoywanga ngokwaneleyo kunye nokufunxa ukothuka kunokunyusa umngcipheko iingxaki zomqolo.
  • Ngokuxhomekeke ekusebenziseni, izihlangu zinokuphela kwiinyanga ezintathu okanye ngaphantsi.
  • Kubalulekile ukutshintsha izicathulo xa i-cushioning iphelile.
  • Jonga umgangatho ophezulu izinto oko akupheli ngokukhawuleza.

Ukuphucula Impilo Yomzimba Wonke


Ucaphulo

Anderson, Jennifer, et al. "Uphononongo olubalisayo lweengxaki ze-musculoskeletal zomda osezantsi kunye nomva ezinxulumene nonxibelelwano phakathi kwemisebenzi yomsebenzi, iinyawo, izihlangu kunye nomgangatho." Ukhathalelo lwe-Musculoskeletal vol. 15,4 (2017): 304-315. doi:10.1002/msc.1174

American Podiatric Medical Association. Sesiphi isihlangu sokubaleka esiKulungele?

Hong, Wei-Hsien, et al. "Impembelelo yokuphakama kwesithende sesihlangu kunye nokudibanisa ngokupheleleyo ukufakwa kwemisipha kunye nokuzinza kweenyawo ngelixa uhamba." Unyawo & iqatha ngamazwe vol. 34,2 (2013): 273-81. doi:10.1177/1071100712465817

Iziko leSizwe le-Arthritis kunye ne-Musculoskeletal and Skin Diseases. Intlungu Engasemva: Ukuxilongwa, Unyango, kunye namanyathelo oMawuthathe.

Iziko leSizwe leZiphazamiso zeNeurological kunye neStroke. Iphepha Lenyani Leentlungu Ezisezantsi.

I-Plantar Fasciitis kunye ne-Trigger Points kwiinyawo

I-Plantar Fasciitis kunye ne-Trigger Points kwiinyawo

intshayelelo

Wonke umntu ehlabathini lonke uyazi ukuba iinyawo zibalulekile. Iinyawo zivumela abantu abaninzi ukuba benze run, ukuhamba, okanye ukubaleka ixesha elide ngaphandle kokuziva iintlungu kangangexesha elithile. Ukuza kuthi ga ngoku, izihlunu ezahlukeneyo kunye nemisipha ejikeleze unyawo bonelela ngokuguquguquka komzimba ngokupheleleyo, ukwandiswa, kunye nokuzinza. Nangona kulula kakhulu ukungena kwisixa esicetyiswayo samanyathelo okuba sempilweni, malunga ne-75% yabantu baya kuba neentlungu zonyawo ezinokuchaphazela amandla abo okuhamba. Enye yezona ntlungu zixhaphakileyo zonyawo fasciitis, enokuthi ibe yimeko yonyawo olubuhlungu ukuba ayiphathwa ngokukhawuleza. Inqaku lanamhlanje lijonga i-plantar fasciitis, iimpawu zayo, indlela amanqaku e-trigger anxibelelana ngayo, kunye nonyango lwayo. Sithumela izigulane kubaboneleli abaqinisekisiweyo ababandakanya ubuchule kunye nonyango kubantu abajongene ne-plantar fasciitis. Ngokufumana apho ii-trigger points zivela khona, iingcali ezininzi zeentlungu zinokuphuhlisa isicwangciso sonyango ukunciphisa imiphumo eyenziwa yi-plantar fasciitis ezinyaweni. Sikhuthaza kwaye siyasixabisa isigulana ngasinye ngokusithumela kubaboneleli bezonyango abanxulumeneyo ngokusekwe kuxilongo lwaso xa kufanelekile. Siyaqonda ukuba imfundo yindlela eyoyikekayo xa ubuza ababoneleli bethu imibuzo entsonkothileyo ngokwesicelo sesigulana kunye nokuqonda kwakhe. UDkt Jimenez, DC, usebenzisa le ngcaciso kuphela njengenkonzo yemfundo. isikhanyeli

Yintoni i-Plantar Fasciitis?

 

Ngaba ujongene neentlungu zesithende rhoqo? Ngaba uziva iintlungu zidubula umlenze wakho xa unyathela okanye uhamba? Okanye ngaba uziva uhlaba esithendeni sakho? Uninzi lwalo mcimbi wentlungu abantu bajongana nokuhambelana ne-plantar fasciitis. Uphando lutyhila ukuba i-plantar fasciitis ibangelwa ukucaphuka okuphazamisayo kwi-plantar fascia kunye nemigqa yayo. Oku kubangela ukuba imithambo yezihlunu idumbe, idumbe, ibe buthathaka, nto leyo ebangela ukuba umzantsi wonyawo okanye isithende ube buhlungu xa umntu ehamba okanye eme. Ngelo xesha, xa kukho ukunyanzeliswa okuphindaphindiweyo ezinyaweni, kubangela i-microtears kwi-fascia plantar. I-fascia ye-plantar ezinyaweni idlala indima ebalulekileyo njengoko iquka amacandelo amathathu axhasa i-arch medial kunye ne-shock absorption xa uhla. Njengomnye wezona zizathu eziqhelekileyo zentlungu yesithende, intlungu eshiyekileyo evela kwi-plantar fasciitis ithande ukuba yinto ebukhali, ehlabayo. I-Plantar fasciitis ivelele ngakumbi kubantu abaneminyaka ephakathi. Sekunjalo, nabani na nanini na ubudala unokuphuhlisa i-plantar fasciitis, ngakumbi ukuba banemisebenzi yabasebenzi efuna ukuba bahlale ezinyaweni zabo.

 

Iimpawu zePlantar Fasciitis

Ekubeni malunga nezigidi ezi-2 zaseMelika zinokuthi ziphuhlise i-plantar fasciitis, kubalulekile ukwazi ukuba xa umntu ehlala ezinyaweni zakhe rhoqo, kuya kubakho ukuvutha kunye nezicubu ezinyaweni. Abantu abaninzi abaphila ubomi obuxakekileyo obufuna ukuba bame ngeenyawo rhoqo badla ngokungayihoyi intlungu okanye ukungonwabi. Ezinye zeempawu ezibangelwa yi-plantar fasciitis ziquka ezi zilandelayo:

  • Intlungu kumazantsi esithende
  • Intlungu kwi-arch 
  • Iintlungu ezidla ngokuba mbi ngakumbi xa uvuka
  • Intlungu eyonyuka kwiinyanga
  • Ukudumba kumazantsi esithende

Nangona kunjalo, xa iintlungu ziba nzima, abantu abaninzi bahlala becinga ukuba baneenyawo ezibuhlungu okanye iintlungu ezisezantsi ngenxa yokudinwa kakhulu emsebenzini, phantsi koxinzelelo oluqhubekayo, okanye ukusebenzisa imizimba yabo ngokugqithisileyo. Xa oku kusenzeka, abaninzi banokucinga ukuba iintlungu ziya kuhamba ngeentsuku ezimbalwa emva kokuphumla ixesha elifutshane.

 

Amanqaku e-Trigger aNxulunyaniswe ne-Plantar Fasciitis

 

Ngoku abantu abaninzi bahlala becinga ukuba i-plantar fasciitis ichaphazela izithende kuphela, nangona kunjalo, inokuchaphazela nayiphi na indawo yesakhiwo sonyawo kuba zonke izihlunu ezijikelezileyo zisengozini yokudumba. Xa abantu beqala ukungayihoyi intlungu kunye nokungonwabi ukuba i-fasciitis ye-plantar ibangela ezinyaweni, inokugqithisa kwaye iphuhlise amanqaku e-trigger kwezinye iindawo zomzimba:

  • Ankles
  • Amathanga
  • I-Hips
  • Phantsi ngasemva

Uphando lutyhila ukuba amanqaku aqalayo okanye i-myofascial pain syndrome inzima, i-discrete, i-nodules encinci esecaleni kwebhendi ye-musculoskeletal ye-taut ebangela imiba emininzi efana nokudumba, i-hypersensitivity, kunye nentlungu kumaqela achaphazelekayo emzimbeni. Ngokutsho kwe "Myofascial Pain and Dysfunction" ebhalwe nguDkt Travell, MD, ikhankanya ukuba xa izihlunu ezinzulu zangaphakathi ezisebenza kunye ne-plantar fascia zichaphazeleka ngamanqaku e-trigger, ziya kubangela iimpawu zokuphazamiseka kunye nokuziva ukuvuvukala ezinyaweni. Oku kubangela ukuba abantu abaninzi babe nokuhamba okulinganiselweyo kunye neentlungu ezibuhlungu xa behamba, ezinokuchaphazela kakubi indlela yabo yokuphila.

 


Isishwankathelo sePlantar Fasciitis-Ividiyo

Ngaba ujongene neenyawo ezibuhlungu? Ngaba uziva iintlungu ezibukhali, ezikhuphayo ezinyaweni zakho? Okanye ngaba uhamba nzima? Abaninzi bahlala becinga ukuba bajongene neenyawo ezibuhlungu okanye ezinye izinto ezibangela intlungu. Malunga ne-75% yabantu baseMelika bahlala beneentlungu zonyawo ezichaphazela amandla abo okuhamba, kwaye enye yazo yi-plantar fasciitis. Ividiyo engentla ichaza i-plantar fasciitis kunye nendlela enokuchaphazela ngayo iinyawo. Xa i-fascia tendon ye-plantar isetyenziswe ngokugqithiseleyo, ibangela i-micro-tears kwi-muscle ligaments. Xa i-compressive force eyongeziweyo iqala ukutyhala i-heel boner, inokukhokelela kwimeko ye-pathological apho i-fascia ye-plantar iyancipha kwaye idala ukungasebenzi kunye neentlungu. Xa oku kusenzeka, kunokukhokelela kwezinye iimeko ezifana nentlungu ebangela intlungu ecaleni kwemicu yemisipha enyaweni. Intlungu kunye nokuthantamisa okubangelwa ngamanqaku e-trigger kwimisipha ye-plantar kunokufihla njenge-plantar fasciitis. Ukuza kuthi ga ngoku, xa i-plantar fasciitis iba ngumcimbi kwaye ibangela ukuba umntu abe buhlungu kakhulu, inokuba yingxaki. Njengoko ithamsanqa linokuba nalo, unyango luyafumaneka ukunciphisa intlungu kwi-plantar fasciitis.


Unyango lwe-Plantar Fasciitis

 

Xa unyango lwe-plantar fasciitis, unyango oluninzi olukhoyo lunokunciphisa imiphumo yokuvuvukala kwisithende kwaye luthintele amanqaku okubangela ukuba abuyele. Olunye unyango olukhoyo lukhathalelo lwe-chiropractic. Ukhathalelo lweChiropractic lolunye ukhetho lonyango lokuthintela, ukuxilonga, kunye nokunyanga ukulimala okuninzi kunye neemeko ezinxulumene nomqolo, ngokuyintloko ukuhanjiswa okanye ukungahambi kakuhle komgogodla. I-Chiropractic igxile ekubuyiseleni nasekugcineni impilo yonke kunye nokuphila kakuhle kweenkqubo ze-musculoskelet kunye ne-nervous ngokusebenzisa ukuguqulwa komgogodla kunye nohlengahlengiso. I-chiropractor inokulungelelanisa ngokucophelela umqolo, ukuphucula amandla esigulane, ukuhamba, kunye nokuguquguquka. Ngokumalunga ne-plantar fasciitis, ukhathalelo lwe-chiropractic lunokusebenza kunye nolunye unyango, kubandakanya unyango lomzimba, i-massage, kunye nokuba inaliti, ukulawula intlungu kunye nokunyanga imeko. Nangona i-plantar fasciitis ithatha iinyanga ezininzi ukuphilisa, ukunakekelwa kwe-chiropractic kunokubandakanya ubuchule obuchanekileyo obubandakanya ukulungiswa kweenyawo, amaqatha, kunye nokulungelelaniswa komgogodla. Oku kubonelela ngeenzuzo ezininzi, ezibandakanya oku kulandelayo:

  • Iyanciphisa ukunyamezela kwi-Plantar Fascia 
  • Ukukhuthaza ukuPhulukiswa 
  • Ukubonelela ngePlayment Pain Management 
  • Iyanciphisa uMngcipheko wokuKhutshwa koKhuseleko oluPhezulu 

 

isiphelo

Njengoko abantu abaninzi ehlabathini bemi ngeenyawo rhoqo, iintlungu zonyawo zinokuphazamisa ukushukuma komntu. Enye yezona ntlungu zixhaphakileyo zonyawo yi-plantar fasciitis enokuthi inxibelelane namanqaku e-trigger ecaleni kwemisipha eyahlukeneyo yonyawo. I-Plantar fasciitis iphuma kwi-degenerative irritation kwi-plantar fascia kunye nemigqa yayo, ebangela intlungu ebukhali, ehlabayo kwisithende. Xa oku kusenzeka, kunokubangela ukuba isithende sidumbe, sidumbe kwaye sibe buthathaka. Ukuza kuthi ga ngoku, kubangela ukungazinzi kunye nentlungu xa uhamba. Nangona kunjalo, i-plantar fasciitis inokunyangwa xa ibanjwe kwangoko ngonyango olwahlukeneyo olufana nokhathalelo lwe-chiropractic. Ukunyamekela kwe-Chiropractic kunokunciphisa uxinzelelo kwi-fascia plantar kwaye kuncede ukunciphisa umngcipheko wokulimala ngakumbi. Ngokudityaniswa nolunye unyango, abantu abaninzi banokusebenza ngokuqhelekileyo kwaye baphinde baphinde bakwazi ukuhamba ngaphandle kweentlungu.

 

Ucaphulo

Buchanan, Benjamin K, kunye noDonald Kushner. "Plantar Fasciitis-StatPearls-NCBI Bookshelf." Ku: StatPearls [Internet]. Isiqithi saseTreasure (FL), iStatPearls Publishing, 30 May 2022, www.ncbi.nlm.nih.gov/books/NBK431073/.

UPetrofsky, uJerrold, kunye nabanye. "Ukufudumeza kwendawo yamanqaku e-Trigger kunciphisa iNtamo kunye ne-Plantar Fascia Pain." Ijenali yokuBuyiselwa kwimeko yesiqhelo kunye neMusculoskeletal Regency Regency, ILayibrari yeSizwe ka-US yamayeza, 2020, yentshutshiso.ncbi.nlm.nih.gov/31594202/.

U-Shah, uJay P, kunye no-al. "Amanqaku e-Myofascial Trigger emva koko kwaye ngoku: Imbono yeMbali kunye neNzululwazi." PM & R : Ijenali yokwenzakala, uMsebenzi, kunye noBuyiselo, ILayibrari yeSizwe yezeMithi yase-US, ngoJulayi 2015, www.ncbi.nlm.nih.gov/pmc/articles/PMC4508225/.

Travell, JG, et al. Iintlungu ze-Myofascial kunye nokungasebenzi kakuhle: I-Trigger Point Manual: Vol. 2:Iindawo ezisezantsi. Williams & Wilkins, ngo-1999.

isikhanyeli