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Ubuhlungu obuya emva

IQela leKlinikhi yaseBack Back Pain Treatment Emandundu. Iintlungu ezibuhlungu ezibuhlungu zihamba ngaphaya kweentlungu ezingaphezulu kwe-sprain eqhelekileyo kunye noxinzelelo. Iintlungu ezibuhlungu ezibuhlungu zifuna uvavanyo olunzulu ngenxa yesizathu / iingcamango okanye iingcamango ezingabonakaliyo okanye ezicacileyo. Oku kufuna iinkqubo zokuxilonga ezongezelelweyo ukuze kuqondwe unobangela weenkcazo-ntetho ezinobuzaza. Intlungu ye-nociceptive kunye ne-neuropathic ingaphinda iphulwe ibe yintlungu ebuhlungu kwaye engapheliyo, eyahluke kwifom kunye nomsebenzi.

Ngentlungu ebuhlungu, ubunzima beentlungu buxhomekeke kwinqanaba lomonakalo wezicubu. Abantu ngabanye bane-reflex yokukhusela ekuphepheni olu hlobo lweentlungu. Ngolu hlobo lweentlungu, kukho i-reflex yokukhupha ngokukhawuleza emva kokuhamba okanye ukuba kwindawo ethile. Iintlungu ezibuhlungu zinokuba ngumqondiso wokulimala okanye izicubu ezigulayo. Xa ingxaki iphelile intlungu iyanyangeka. Intlungu ebuhlungu luhlobo lwentlungu ye-nociceptive. Ngeentlungu ezingapheliyo, imithambo-luvo iyaqhubeka ukuthumela imiyalezo yeentlungu emva kokuba umonakalo wangaphambili wezicubu upholile. I-neuropathy iwela kolu hlobo.


Ukuqonda ukukhuthazwa kwemisipha yoMbane: Isikhokelo

Ukuqonda ukukhuthazwa kwemisipha yoMbane: Isikhokelo

Ngaba ukubandakanya ukuvuselela imisipha yombane kunceda ukulawula intlungu, ukuqinisa imisipha, ukwandisa umsebenzi womzimba, ukubuyisela ukunyakaza okulahlekileyo, kunye / okanye ukulawula ukuvuvukala kubantu abafumana intamo kunye neentlungu zangasemva?

Ukuqonda ukukhuthazwa kwemisipha yoMbane: Isikhokelo

Ugqirha obhinqileyo obeka izixhobo zonyango lwe-myostimulation kumqolo wesigulana

Ukukhuthazwa kwezihlunu zoMbane

Ukuvuselela izihlunu zombane okanye i-E-stim lunyango lomzimba olusetyenziselwa ukuvuselela amandla emisipha ukuba asebenze. I-E-stim isebenzisa izixhobo ezihambisa iimpembelelo zombane ngesikhumba ukujolisa kwimithambo-luvo kunye/okanye nezihlunu. Iifom eziqhelekileyo zibandakanya

  • I-Transcutaneous electric nerve stimulation, okanye i-TENS, yinto eyaziwayo kakhulu yokuvuselela umbane enika izixhobo ezinokusetyenziswa ekhaya okanye ekuhambeni.
  • Ukuvuselela imisipha yombane okanye i-EMS.
  • Kunyango lomzimba, i-E-stim ivuselela izihlunu ukuba zivumelane, ziqinise kwaye zikhuthaze ukujikeleza kwegazi.
  • Ukujikeleza kwegazi kunokuchaphazela ngokuthe ngqo imeko yezicubu zomzimba.
  • Ukukhuthazwa kwemisipha yombane kukwasetyenziselwa ukulimala kwentambo yomgogodla kunye nezinye iimeko ze-neuromuscular. (Ho, CH et al., 2014)

I-E-stim

Ngethuba lokunyanga, i-electrodes ifakwe kumatshini wokuvuselela umbane kwaye ibekwe entanyeni echaphazelekayo okanye kwindawo yangasemva.

  • I-electrodes iya kufakwa esikhumbeni ngenxa yokulimala kwentamo okanye umva.
  • Ukubekwa kwee-electrodes kuxhomekeke kwisizathu sonyango kunye nobunzulu okanye ubunzulu bokuvuselela umbane.
  • Ii-electrodes zihlala zibekwe kufuphi nendawo ye-motor ye-muscle ukuze kuqinisekiswe ukucutha okuchanekileyo.
  • Umgqirha uya kulungelelanisa ukulawulwa komatshini wokuvuselela ukufezekisa ukunyanzeliswa kwemisipha ngokucokisekileyo kunye nokuphazamiseka okuncinci.
  • Ukuvuselela kunokuhlala kwi-5 - imizuzu ye-15, kuxhomekeke kwisicwangciso sonyango kunye nobukhulu bokulimala.

Uzinziso oludityanisiweyo loMnqonqo

Ukusebenza kwemisipha kunokunceda ukwandisa ukuzinza komgogodla, ukuphucula iingxaki zokungazinzi komgogodla. (Ho, CH et al., 2014) Ukukhuthazwa kwemisipha yombane kucatshangelwa ukuba kuphuculwe inkqubo yokuzivocavoca i-therapist ichaza ukunceda ukugcina ukuzinza ngokubambisana. Ukuvuselela umbane kunokunceda ukwakha amandla emisipha kunye nokunyamezela. (Veldman, MP et al., 2016) Ukunyamezela kwemisipha kukuphindaphinda i-muscle enokuthi ivume ngaphambi kokuba idinwe.

UkuPhilisa kunye noLawulo lweeNtlungu

Unyango lokuvuselela imisipha yombane lunokuphucula ukuphulukiswa kwezicubu kunye nokunceda ukulawula ukuvuvukala ngokunciphisa ukuvuvukala kunye nokwandisa ukujikeleza. Inokunciphisa ukuvakalelwa kweentlungu ngokuthintela ukuhanjiswa kwe-nerve kwintambo yomgogodla. (Johnson, MI et al., 2019) Uchwepheshe wezempilo unokucebisa i-TENS okanye iyunithi yokuvuselela umbane ekhaya ukulawula iimpawu. (Johnson, MI et al., 2019)

impatho

Iindlela zonyango ezidibeneyo ezilungiselelwe umva okanye intlungu yentamo yomntu zifunyenwe zibonelela ngeziphumo ezilungileyo. Ukuzivocavoca, i-yoga, unyango lwexesha elifutshane lokuziphatha, i-biofeedback, ukuphumla okuqhubekayo, i-massage, unyango lwezandla, kunye i-acupuncture zinconywa ngentamo okanye intlungu emva. (Chou, R. et al., 2018) Ukuthatha amayeza achasene nokudumba okungeyo-steroidal nako kunokunceda. Ukukhuthazwa kwemisipha yombane kunokuba yintamo esebenzayo okanye unyango lwangasemva.

Abantu abangaqinisekanga ukuba bayayidinga okanye baya kuxhamla kumbane kufuneka baxoxe ngeempawu kunye neemeko kunye nogqirha oyintloko, umboneleli wezempilo, okanye ingcali ukuba ibakhokele kwicala elifanelekileyo kwaye imisele unyango olulungileyo. I-Chiropractic yezoNyango zeChiropractic kunye ne-Functional Medicine Clinic igxile kwinto esebenzela isigulane kwaye izama ukuphucula umzimba ngokusebenzisa iindlela zophando kunye neenkqubo zempilo epheleleyo. Ukusebenzisa indlela edibeneyo, siphatha ukulimala kunye ne-syndromes yeentlungu ezingapheliyo ngokusebenzisa izicwangciso zokunyamekela zomntu eziphucula amandla ngokuguquguquka, ukuhamba, kunye neenkqubo zobuchule ezenzelwe umntu ukuba anciphise intlungu. Ukuba olunye unyango luyadingeka, uDkt Jimenez uye wadibanisa kunye noogqirha abaphezulu, iingcali zeklinikhi, abaphandi bezonyango, kunye nababoneleli be-premier rehabilitation ukubonelela ngonyango olusebenzayo.


Intlungu yeThoracic Spine


Ucaphulo

Ho, CH, Triolo, RJ, Elias, AL, Kilgore, KL, DiMarco, AF, Bogie, K., Vette, AH, Audu, ML, Kobetic, R., Chang, SR, Chan, KM, Dukelow, S. , Bourbeau, DJ, Brose, SW, Gustafson, KJ, Kiss, ZH, & Mushahwar, VK (2014). Ukuvuselela umbane osebenzayo kunye nokulimala komgogodla. Iyeza lomzimba kunye neeklinikhi zokuvuselela kwiNyakatho Melika, i-25 (3), i-631-ix. doi.org/10.1016/j.pmr.2014.05.001

Veldman, MP, Gondin, J., Indawo, N., & Maffiuletti, NA (2016). Iziphumo ze-Neuromuscular Electrical Stimulation Training kwi-Endurance Performance. Imida kwiPhysiology, 7, 544. doi.org/10.3389/fphys.2016.00544

UJohnson, MI, Jones, G., Paley, CA, & Wittkopf, PG (2019). Ukusebenza kweklinikhi ye-transcutaneous electrical nerve stimulation (TENS) yentlungu ebuhlungu kunye nengapheliyo: iprotocol ye-meta-analysis yezilingo ezilawulwa ngokungahleliwe (RCTs). BMJ vula, 9(10), e029999. doi.org/10.1136/bmjopen-2019-029999

Chou, R., Côté, P., Randhawa, K., Torres, P., Yu, H., Nordin, M., Hurwitz, EL, Haldeman, S., & Cedraschi, C. (2018). I-Global Spine Care Initiative: ukusebenzisa izikhokelo ezisekelwe kubungqina ekulawuleni okungahambiyo kweentlungu zentlungu kunye nentamo kuluntu oluphantsi kunye nephakathi. Iphephancwadi laseYurophu lomqolo : ukupapashwa ngokusemthethweni kwe-European Spine Society, i-European Spinal Deformity Society, kunye neCandelo laseYurophu leCervical Spine Research Society, i-27 (Suppl 6), i-851-860. doi.org/10.1007/s00586-017-5433-8

Ubhubhani wale mihla owaziwa ngokuba yintlungu yomqolo

Ubhubhani wale mihla owaziwa ngokuba yintlungu yomqolo

intshayelelo

Umqolo obuhlungu ngumba oxhaphakileyo ofunyanwa ngabantu kulo lonke ihlabathi. Isakhiwo esiphambili somzimba womntu ngumqolo, owahlulwe ngamacandelo amathathu: umlomo wesibeleko, i-thoracic, kunye ne-lumbar. La macandelo anceda ekushukumeni komzimba, kubandakanywa ukujika nokujika, ukuhambisa iziphelo, kunye nobudlelwane kunye lungile kwaye kwinkqubo yomnatha. Izihlunu ezijikelezayo ngasemva nazo zibonelela ngenkxaso kunye nokukhusela umqolo. Nangona kunjalo, imisebenzi eqhelekileyo efana nokuguqa phantsi ukuze uthabathe into enzima, ukuhlala phantsi ixesha elide, okanye ukuwa kunokubangela utshintsho olukhokelela kwiintlungu zangasemva, ukungahambi kakuhle, kunye neeprofayili ezinobungozi kwiindawo eziphezulu kunye nezisezantsi. Inqaku lanamhlanje ligxile kwizizathu zentlungu yomqolo kunye nonyango olukhoyo ukukhulula iziphumo zayo. Sisebenzisa kwaye sifaka ulwazi oluxabisekileyo malunga nezigulana zethu kubaboneleli bezonyango abaqinisekisiweyo abasebenzisa unyango olungenalo utyando ukunciphisa impembelelo yeentlungu zangasemva. Sikhuthaza kwaye sithumele izigulana kubaboneleli bezonyango abanxulumeneyo ngokusekelwe kwiziphumo zabo ngelixa sixhasa ukuba imfundo yindlela ephawulekayo nemangalisayo yokubuza ababoneleli bethu imibuzo ebalulekileyo xa isigulana sivuma. UDkt Alex Jimenez, DC, uquka olu lwazi njengenkonzo yemfundo. isikhanyeli

 

Isishwankathelo Sentlungu Yomqolo

 

Ngaba unentlungu kumqolo wakho ongentla, ophakathi, okanye osezantsi? Ngaba ufumana iintlungu kunye neentlungu kusasa? Ngaba ukuphakamisa into enzima kukubangele intlungu? Ezi zimpawu zingaba yimpawu zentlungu emva, isizathu esiqhelekileyo kunye neendleko zokutyelela kwigumbi likaxakeka. Uphando lophando lutyhila ukuba iintlungu zangasemva zinokuba nezizathu ezahlukahlukeneyo kwaye zichaphazele umzimba wonke, nokuba ngoomatshini okanye ngokungekho ngqo. Amacandelo amathathu angasemva - umlomo wesibeleko, i-thoracic, kunye ne-lumbar - zonke zinokuchaphazeleka, zibangele intlungu echazwe kwiindawo ezahlukeneyo zomzimba. Ngokomzekelo, intlungu yomlomo wesibeleko (phezulu) ingabangela ukuqina entanyeni, ngelixa intlungu ye-thoracic (ephakathi) ingakhokelela kwimiba yehlombe kunye nokuma. I-Lumbar (ephantsi) i-back pain, uhlobo oluqhelekileyo, lunokubangela iingxaki ze-hip kunye ne-sciatic. Izifundo zophando ezongezelelweyo zityhila ukuba intlungu yomqolo ngumcimbi onzima onokuchaphazela kakhulu umsebenzi womzimba, kunye nezinto ezisingqongileyo nazo zinokuchaphazela.

 

Izinto ezibangela iintlungu zomqolo

Izinto ezahlukahlukeneyo zinokuba yimbangela yentlungu emva, ngaloo ndlela kubangele ukungahambi kakuhle komqolo. Kwincwadi yabo ethi, "I-Ultimate Spinal Decompression," uDkt. Eric Kaplan, DC, FIAMA, kunye noDkt Perry Bard, DC, bachaza ukuba imisipha yangasemva idlala indima ebalulekileyo ekukhuseleni umqolo. Izinto ezisingqongileyo zinokuchaphazela umqolo, ezikhokelela kwiintlungu ezinokuthi zibe khona. Le ncwadi iphinda iphawule ukuba ukugqoka kunye nokukrazula kunye ne-disc protrusion kumqolo kunokubangela ukuba i-disc herniation kunye ne-degeneration, nayo idibaniswe neentlungu zangasemva. Ezinye izizathu eziqhelekileyo zentlungu yomqolo ziquka:

  • Ukudideka
  • Izihlunu kunye noxinzelelo
  • I-spinal disc etyibilikayo
  • Iintsholongwane
  • Ukuphazamiseka kwe-Musculoskeletal (i-arthritis, i-osteoporosis, i-sciatica, kunye ne-fibromyalgia)
  • Intlungu ye-Visceral-somatic/Somato-visceral (Ilungu elichaphazelekayo okanye izihlunu zibangela intlungu ethunyelwe kwiindawo ezahlukeneyo zomzimba)
  • Ukukhulelwa

Uphando olongezelelweyo lubonisa ukuba izinto ezahlukeneyo zokusingqongileyo, ezifana nokusebenza ngokomzimba, indlela yokuphila, uxinzelelo, kunye neemeko zomsebenzi, zidibene neentlungu zentlungu kwaye zinokugqithisela njengezinto ezinobungozi. Ukuba ayiphathwa, le miba yokusingqongileyo inokukhokelela kwiimeko ezingapheliyo kwaye ibe nempembelelo enkulu kumgangatho wobomi bomntu.

 


Iimfihlo zeChiropractic zityhiliwe-Ividiyo

Ngaba ukhe waziva ukuba ndindisholo okanye ukuntyiloza ezingalweni okanye emilenzeni yakho? Ngaba ufumana intlungu yomqolo xa usolula? Okanye ngaba uziva iintlungu kumqolo wakho ophantsi okanye kwezinye iindawo zomzimba wakho? Le miba ihlala ihambelana neentlungu zentlungu kwaye, ukuba ishiywe ingaphendulwanga, inokukhokelela ekukhubazekeni nasekulahlekelweni komsebenzi. Ngethamsanqa, kukho iindlela ezininzi zokunciphisa intlungu emva kunye neempawu ezihambelanayo kunye nokukhuthaza ukuphilisa kwendalo. Ividiyo engentla ichaza indlela unyango olungasebenzisi utyando olufana nokhathalelo lwe-chiropractic lunokunceda ukunciphisa iintlungu zangasemva ngokuphathwa ngesandla. Olu nyango lunokuthi lulungelelanise umqolo, lunwebe izihlunu eziqinileyo, kwaye lubuyisele uluhlu lokushukuma komzimba.


Unyango Ngentlungu Engasemva

 

Ukuba ufumana intlungu emva, unyango oluhlukeneyo lunokunceda ukunciphisa iimpawu zakho kunye nokuphucula ukuhamba kwakho. Uneendlela ezimbini zokunyanga iintlungu zangasemva: utyando kunye nokungabikho kotyando. Unyango lotyando lunokuba yimfuneko ukuba ufumana ukunyanzeliswa kwe-nerve okanye ugcine ukwenzakala okudinga ukuxubana komgudu. Unyango olungasebenzisi utyando lunokunceda ukunciphisa uxinzelelo kumqolo wakho, ukunciphisa iintlungu zangasemva, kunye nokunciphisa iintlungu kwezinye iindawo zomzimba wakho. Olunye unyango olungelulo utyando lweentlungu zangasemva lubandakanya:

  • Ulungiso lwenyama
  • Lolonga
  • Ukhathalelo lweChiropractic
  • Ukwenza i-Acupuncture
  • Ukunciphisa Umzimba

Ngoku ka uphando, unyango olungenalo utyando lunokunciphisa uxinzelelo kwiidiski zomgogodla, ukukhulula imisipha eqinile, ukuphucula ukuhamba ngokubambisana, kunye nokukhuthaza ukuphilisa kwendalo. Abantu abaninzi bongeza olu nyango ngokukhetha indlela yokuphila esempilweni, benze uhlengahlengiso oluncinci kwindlela yabo yesiqhelo kwaye benikela ingqalelo engakumbi kwimpilo yabo yomzimba.

 

isiphelo

Ekubeni intlungu ye-back back yingxaki exhaphakileyo echaphazela abantu emhlabeni jikelele, inokubangelwa yizinto ezahlukeneyo zokusingqongileyo ezichaphazela i-cervical, thoracic, kunye ne-lumbar back section, ekhokelela kwiiprofayili ezinobungozi ezigqithisiweyo kunye nokuchaphazela amalungu omzimba ahlukeneyo. Izihlunu eziqinileyo kunye noxinzelelo kunye nomqolo ocinezelweyo ziimpawu eziqhelekileyo zalo mbandela. Nangona kunjalo, unyango olukhoyo lunokunciphisa ngokufanelekileyo intlungu, ukunweba imisipha eqinile, kunye nokunciphisa uxinzelelo kwi-spinal disc. Ngokubandakanya olu nyango, abantu ngabanye banokunciphisa intlungu emva kwaye bavumele imizimba yabo ukuba iphile ngokwemvelo.

 

Ucaphulo

Allegri, Massimo, et al. "IiNdlela zeNzululwazi eNgenaPhantsi: Isikhokelo sokuFumana kunye noNyango." F1000 Uphando, 28 Juni 2016, www.ncbi.nlm.nih.gov/pmc/articles/PMC4926733/.

UCasiano, uVincent E, et al. "Umqolo obuhlungu." Ku: StatPearls [Internet]. Isiqithi saseTreasure (FL), 20 Feb. 2023, www.ncbi.nlm.nih.gov/books/NBK538173/.

Choi, Jioun, et al. "Iimpembelelo ze-Spinal Decompression Therapy kunye ne-General Traction Therapy kwiintlungu, ukukhubazeka, kunye nokuPhakamisa umlenze oLungileyo wezigulane ezine-Intervertebral Disc Herniation." Ijenali yoNyango lwezeMpilo, Feb. 2015, www.ncbi.nlm.nih.gov/pmc/articles/PMC4339166/.

UKaplan, uEric, kunye noPerry Bard. Ukuthotywa koMnqongo okuGqibeleleyo. IJETLAUNCH, ngo-2023.

Yabona, uQin Yong, et al. "Iintlungu eziPhambili eziNgenaPhantsi: Ukuxilongwa kunye noLawulo." Ijenali yezoNyango yaseSingapore, Juni 2021, www.ncbi.nlm.nih.gov/pmc/articles/PMC8801838/.

isikhanyeli

Ukuzivocavoca Ngeentlungu eziPhezulu zomqolo

Ukuzivocavoca Ngeentlungu eziPhezulu zomqolo

intshayelelo

Imisipha eyahlukeneyo kunye nemigqa ejikeleze ngasemva inceda ukukhusela indawo yesifuba somqolo. Umqolo unamacandelo amathathu: umlomo wesibeleko, i-thoracic, kunye ne-lumbar, encedisa umzimba ngokugoba, ukujika kunye nokujija. Ngomqolo we-thoracic, izihlunu ezahlukahlukeneyo ezifana ne-rhomboid, i-trapezoid, kunye nezinye izihlunu ezingaphezulu zibonelela ngokusebenza kwi-scapula okanye amahlombe ehlombe ukuzinzisa i-ribcage. Xa umzimba unikezela kukulimala okanye amandla abuhlungu, unokuphuhlisa i-myofascial pain syndrome ehambelana nentlungu ephezulu. Intlungu ephezulu yomqolo kunokukhokelela kwiimpawu ezingafunekiyo ezichaphazela umgangatho wobomi babo. Ngethamsanqa, imithambo eyahlukeneyo jolise inxalenye ephezulu yomqolo kwaye inokomeleza imisipha emininzi kukulimala. Inqaku lanamhlanje lijonga imiphumo yeentlungu ezingaphezulu emzimbeni kwaye libonisa ukulula okumbalwa kunye nokuzivocavoca okunokuxhasa amaqela ahlukeneyo emisipha kwindawo ephezulu. Sithumela izigulane zethu kubaboneleli abaqinisekisiweyo ababandakanya ubuchule kunye neendlela ezininzi zonyango kubantu abaninzi abaphethwe yintlungu ephezulu kunye neempawu zayo ezihambelanayo ezinokuchaphazela inkqubo ye-musculoskeletal entanyeni, emagxeni, nakwindawo ye-thoracic yomqolo. Sikhuthaza kwaye siyasixabisa isigulana ngasinye ngokusithumela kubaboneleli bezonyango abanxulumeneyo ngokusekwe kuxilongo lwaso xa kufanelekile. Siyaqonda ukuba imfundo yeyona ndlela imangalisayo xa ubuza ababoneleli bethu imibuzo entsonkothileyo ngokwesicelo sesigulana kunye nokuqonda kwakhe. UDkt Jimenez, DC, usebenzisa le ngcaciso kuphela njengenkonzo yemfundo. isikhanyeli

Iziphumo zeentlungu eziPhezulu zomqolo eMzimbeni

 

Ngaba ukhe wafumana ukuqina okujikeleze okanye kufutshane namagxa akho? Ngaba uziva uxinezeleka kwezihlunu xa ujikelezisa amagxa akho? Okanye ngaba kubuhlungu xa usolula umva wakho ongasentla ekuseni? Uninzi lwale miba luphawu kunye neempawu zentlungu ephezulu. Uphando lutyhila ukuba iintlungu zangasemva sesinye sezikhalazo eziqhelekileyo abantu abaninzi banokuya kukhathalelo olungxamisekileyo. Intlungu ebuhlungu inokuchaphazela imimandla eyahlukeneyo ngasemva kwaye ibangele iimpawu ezingafunekiyo kwiindawo ezahlukeneyo kumqolo ongaphezulu. Izifundo ezongezelelweyo zikhankanyiwe ukuba intlungu eqhubekayo kwingingqi ye-thoracic ingabangela i-hyper-sensitization ye-intercoastal nerves ezilinganisa ezinye iimeko ezichaphazela umva. Ezinye zezizathu kunye neziphumo ezinokukhokelela ekuphuhlisweni kweentlungu eziphezulu zomqolo ziquka:

  • Ukunyanzeliswa okubi
  • Ukuphakamisa okungalunganga
  • Iziganeko ezibuhlungu okanye ukwenzakala
  • Izifo ezingapheliyo (i-Osteoporosis, Scoliosis, Kyphosis)

Xa oku kusenzeka, kunokukhokelela kwiimeko ezidlulanayo ezilinganisa eminye imiba kwaye, ukuba ayiphathwa kwangoko, ishiye abantu abaneempawu zokukhubaza ezingapheliyo ezihambelana neentlungu ezingasentla.

 


Uncedo Lweentlungu Ezingasentla-Ividiyo

Ngaba uye wafumana ubunzima emagxeni okanye entanyeni? Ngaba uziva iintlungu neentlungu xa wolula iingalo zakho? Okanye kuthekani ngokuva ubunzima bemisipha xa uphakamisa into enzima? Uninzi lwezi zinto zihambelana neentlungu eziphezulu ezichaphazela ummandla we-thoracic spine. Xa oku kusenzeka, kunokukhokelela kwiiprofayili zomngcipheko ezidlulayo ezinokukhula zibe yimiba eyahlukeneyo enokubangela intlungu ngakumbi emzimbeni. Kukho iindlela ezahlukeneyo zokuthintela iintlungu zangasemva ekubangeleni imiba eyongezelelekileyo kumntu kwaye zinokukhulula intlungu ehambelana nayo. Abantu abaninzi baya kunyango lwe-chiropractic ukuze umqolo wabo ulungelelaniswe kwakhona ukuzisa isiqabu esaneleyo okanye ukubandakanya umthambo ongasentla kunye nowolulela ukunciphisa uxinzelelo oluqokelelwe entanyeni nasemagxeni. Le vidiyo ingentla ichaza indlela ezolula zisebenza ngayo kwimimandla eyahlukeneyo yezihlunu kumqolo ongaphezulu kwaye zibonelela ngokukhululeka kumqolo we-thoracic.


Ukuzivocavoca Ngeentlungu eziPhezulu zomqolo

Ngokubhekiselele kumqolo ongaphezulu, kubalulekile ukuqonda ukuba ukubandakanya ukuzivocavoca okuhlukeneyo okujoliswe kwingingqi ye-thoracic kunokubangela ukulimala ixesha elide. Uphando lutyhila ukuba i-back exercises ayigxininisi kuphela kumqolo kodwa amagxa, iingalo, isifuba, i-core, kunye nezinqe ezibonelela ngokuzinza, ukulinganisela kunye nokulungelelanisa kumntu ngamnye. Oku kuvumela imisipha kwingingqi yangasemva ukuba iphucule amandla kunye nokunyamezela ngexesha xa umntu eqhubeka nokusebenza. Uphononongo oluninzi lutyhila ukuba iiprothokholi ezifana ne-McKenzie back exercise ziyienkqubo ezisebenzayo zokunyanga iimeko ezahlukeneyo ze-musculoskelet ezinokubangela intlungu emqolo. Uninzi lweengcali zonyango zonyango zisebenzisa le protocol kwizigulane zabo ukukhulula iintlungu zangasemva kunye nokunceda ukuphucula isakhiwo sabo se-muscular ukuze sibe nesimo esingcono.

 

Shushubeza

Njengaye nawuphi na umntu oqalayo ukubuyela kwimpilo yakhe kunye nokuba sempilweni ngokuzilolonga, elona nyathelo libalulekileyo ekufuneka umntu alenze kukufudumala izihlunu zakhe phambi kokuba azilolonge. Ukufudumala iqela ngalinye le-muscle kunokuthintela ukulimala kwexesha elizayo kunye nokwandisa ukuhamba kwegazi ngaphambi kokuba uqale umsebenzi. Abantu abaninzi banokubandakanya ukunwebeka kunye nokuqengqeleka kwamagwebu kangangemizuzu emi-5 ukuya kweli-10 ukuqinisekisa ukuba isihlunu ngasinye sikulungele ukusebenza ngomzamo omkhulu.

Uqheliso lomsebenzi

Emva kokuba umzimba ufudumale, lixesha lokuqalisa inkqubo yokuzivocavoca. Iintshukumo ezininzi ezahlukeneyo zokuzilolonga zijolise kwiqela ngalinye lezihlunu kwaye zinceda ukwakha ubunzima bemisipha kunye nokuphucula ukusebenza. Kubalulekile ukwakha amandla xa kuziwa ekusebenzeni. Ukuqala ngokucothayo ngobuncinci bokuphindaphinda kunye neeseti kubalulekile ukuqinisekisa ukuba umthambo wenziwe ngokuchanekileyo. Emva koko, umntu unokwandisa i-reps yokuzivocavoca kwaye ahambe kunye nobunzima obunzima. Ngezantsi ezinye zeendlela zokuzilolonga ezifanelekileyo kumqolo ongaphezulu.

Superman

 

  • Lala ngesisu kwaye wandise iingalo zakho ngaphezulu kwentloko
  • Gcina intamo kwindawo engathathi hlangothi kwaye uphakamise imilenze kunye neengalo phantsi ngexesha elifanayo
  • Qinisekisa ukusebenzisa umva kunye ne-glutes ukuphakamisa
  • Misa ngokufutshane phezulu, emva koko ubuyele kwindawo yokuqala
  • Gqibezela iiseti ezintathu ze-10 reps

Lo msebenzi unceda ukuqinisa umqolo kunye nezihlunu ezijikelezileyo ukuxhasa umqolo kunye nokunciphisa nakuphi na ukulimala kwexesha elizayo kwintlungu ephezulu.

 

Reverse Dumbbell Flies

 

  • Bamba iidumbbells ezinobunzima obulula
  • I-Hinge esinqeni kwi-45 degrees ngelixa umile
  • Qinisekisa ukuba iingalo zijinga phantsi kunye neentsimbi
  • Gcina intamo ikwimo engathathi hlangothi ngelixa ujonge phantsi
  • Phakamisa iingalo (kunye needumbbells) ukuya kwicala nangaphezulu
  • Gxuma amagxa kunye phezulu ngexesha le ntshukumo
  • Gqibezela iiseti ezintathu ze-8-12 reps

Lo msebenzi ubalaseleyo ekomelezeni izihlunu ezijikeleze igxalaba kunye nomqolo ongaphezulu.

 

Imiqolo yetyu

 

  • Sebenzisa ibhendi yokumelana okanye i-dumbbell elula.
  • Kwibhendi yokumelana, ncamathela ibhande kwindawo ezinzileyo ngaphezu kwenqanaba leliso. Ukwenzela iidumbbells ezinobunzima obukhanyayo, yandisa iingalo phambi komzimba ngaphezu kwenqanaba leliso.
  • Sebenzisa i-overhead grip xa ubambe izibambo zebhendi yokumelana kunye needumbbells ezinobunzima obukhanyayo.
  • Tsala iibhendi zokuxhathisa okanye iidumbbells ebusweni.
  • Dlulisa iingalo ezingaphezulu emacaleni
  • Khama amagxa kunye
  • Misa kancinci uze ubuyele kwindawo yokuqala
  • Gqibezela iiseti ezintathu ze-12 reps

Lo msebenzi unceda ukuqinisa imisipha yamagxa kunye nokukhusela ukulimala kwexesha elizayo ukuba kwenzeke kumqolo ongaphezulu.

 

isiphelo

Eminye imisipha eyahlukeneyo kunye nemigqa ijikeleze ngasemva kwaye inceda ukukhusela indawo ye-thoracic yomqolo. Ezi zihlunu zinceda ngokuzinzisa i-ribcage kunye nokunceda ukubonelela ngokusebenza kumqolo ongaphezulu. Xa izinto ezininzi zibangela ukulimala okubuhlungu kumqolo ongaphezulu, kunokukhokelela kwiimpawu ezinjengeentlungu ezinokubangela ukugqithelana kweempawu kunye nokuchaphazela umgangatho wobomi bomntu. Ngethamsanqa, imithambo eyahlukeneyo ijolise kumqolo ongasentla kunye namaqela ezihlunu ezijikelezileyo. Umsebenzi ngamnye ujolise kuzo zonke izihlunu kumqolo ongaphezulu kwaye uvumela umntu ukuba aphinde afumane impilo kunye nempilo ngaphandle kweentlungu eziqhubekayo.

 

Ucaphulo

Atalay, Erdem, et al. "Impembelelo ye-Upper-Extremity Extremity Exercises ku-Lumbar Strength, ukukhubazeka kunye neentlungu zezigulane ezine-Chronic Low Back Pain: i-Randomized Controlled Study." Ijenali yeNzululwazi yezeMidlalo kunye neMithi, Ilayibrari yeSizwe yaseMelika yoNyango, nge-1 ka-Disemba 2017, www.ncbi.nlm.nih.gov/pmc/articles/PMC5721192/.

UCasiano, uVincent E, et al. "Intlungu yangasemva-i-Statpearls-ithala leencwadi le-NCBI." Ku: StatPearls [Internet]. Isiqithi saseTreasure (FL), StatPearls Publishing, 4 Septemba 2022, www.ncbi.nlm.nih.gov/books/NBK538173/.

Louw, Adriaan, kunye noStephen G Schmidt. "Iintlungu ezingapheliyo kunye ne-Thoracic Spine." Ijenali yeManual & Manipulative Therapy, ILayibrari yeSizwe yezeMithi yase-US, ngoJulayi 2015, www.ncbi.nlm.nih.gov/pmc/articles/PMC4534852/.

UMann, uSteven J, et al. "UMcKenzie Uzilolonga ngasemva-iStatpearls-ishelufa yeencwadi yeNCBI." Ku: StatPearls [Internet]. Isiqithi saseTreasure (FL), iStatPearls Publishing, 4 July 2022, www.ncbi.nlm.nih.gov/books/NBK539720/.

isikhanyeli

I-Whiplash Trauma kunye ne-Chiropractic Treatment El Paso, TX.

I-Whiplash Trauma kunye ne-Chiropractic Treatment El Paso, TX.

Emva kwengozi yemoto, unokuqaphela iintlungu zentamo. Isenokuba ngu ubuhlungu obuncinci ucinga ukuba akukho nto ngaphandle kokunyamekela. Ngaphezu koko, une-whiplash. Kwaye oko Ubuhlungu obuncinci bunokujika bube bubomi beentlungu ezingapheliyo zentamo ukuba unyangwa kuphela nge-meds zentlungu kwaye hayi inyangwe emthonjeni.

I-Whiplash trauma, aka intamo yentamo okanye intamo yentamo, i ukwenzakala kwizicubu ezithambileyo ezijikeleze intamo.

I-Whiplash inokuchazwa njengesiquphe Ulwandiso okanye ukubuyela umva kwentamo kwaye Ukuhamba okanye ukuhambahamba kwentamo.

Oku kwenzakala kuhlala kuvela a ingozi yemoto engemva.

I-whiplash enzima inokubandakanya ukulimala koku kulandelayo:

  • Ukudibana kwamalungu
  • IiDisk
  • IiLigaments
  • Izihlunu zesibeleko
  • Iingcambu zethambo

I-11860 Vista Del Sol Ste. I-128 Whiplash Trauma kunye nonyango lweChiropractic El Paso, TX.

 

Iimpawu zeWhiplash

Uninzi lwabantu luva iintlungu zentamo nokuba luye nje emva kokonzakala okanye kwiintsuku ezininzi kamva.

Ezinye iimpawu zomnxeba we-whiplash unokubandakanya:

  • Ukuqina kwentamo
  • Ukwenzakala kwimisipha kunye nemisipha ejikeleze intamo
  • Intloko kunye nesiyezi
  • Iimpawu kunye nokuxubana okunokwenzeka
  • Kunzima ukuginya nokuhlafuna
  • Ukuthuka (ukwenzakala okwenzeka kwi-esophagus kunye ne-larynx)
  • Uvakalelo lokutsha okanye lokuphamba
  • intlungu Gxalaba
  • Umqolo obuhlungu

 

Ukuqonda isifo seWhiplash Trauma

I-Whiplash trauma ngokuqhelekileyo ibangela umonakalo kwizicubu ezithambileyo; ugqirha uya kuthatha i-x-rays yomqolo wesibeleko kwimeko yokulibaziseka kweempawu kwaye akhuphe ezinye iingxaki okanye ukulimala.

 

impatho

Ngethamsanqa, i-whiplash iyanyangeka, kwaye ezininzi iimpawu zixazulula ngokupheleleyo.

Ngokuqhelekileyo, i-whiplash iphathwa ngekhola ethambileyo yomlomo wesibeleko.

Le khola inokufuna ukunxitywa i-2 ukuya kwiiveki ze-3.

Olunye unyango kubantu abane-whiplash lungabandakanya oku kulandelayo:

  • Unyango lokushisa lokuphumla kweengxaki zemisipha kunye nentlungu
  • Iintlungu zentlungu ezifana ne-analgesics kunye ne-non-steroidal anti-inflammatory
  • Ukuzihlaziya kwemizimba
  • Ukuthambisa umzimba
  • Ulungiso lwenyama
  • Chiropractic

 

I-11860 Vista Del Sol Ste. I-128 Whiplash Trauma kunye nonyango lweChiropractic El Paso, TX.

 

Iimpawu ze-whiplash ziqala ukwehla kwi-2 ukuya kwiiveki ze-4.

Abo baneempawu ngexesha lonyango banokudinga ukugcina intamo ingashukumi kunye ne-halter emsebenzini okanye ekhaya.

Oku kubizwa ngokuba kukutsalwa kwesibeleko.

Inaliti yendawo yokubulala inakho ukunceda xa kufanelekile.

Iimpawu eziqhubekayo okanye ezibuhlungu emva kwe-6 kwiiveki ze-8 zingadinga i-x-rays kunye novavanyo lokuxilonga ukubona ukuba kukho ukwenzakala okukhulu.

Ukulimala kakhulu ngenxa yokulimala njenge-whiplash kungonakalisa Iidiski eziphakathi kwendawo. Ukuba oku kuyenzeka, kunokufuneka kwenziwe utyando.


 

Unyango lwe-Whiplash Massage Therapy El Paso, TX Chiropractor

 

 

Abanye abantu baya kukuxelela ukuba i-whiplash yingozi eyenziwe ngabantu abasebenzisa ukufumana imali eninzi kwi-settlement evela kwingozi. Abakholelwa ukuba kunokwenzeka kwingozi yesantya esezantsi kwaye babone njengebango elisemthethweni lokulimala, ngokukodwa ngenxa yokuba akukho manqaku abonakalayo.

Ezinye iingcali ze-inshorensi zithi malunga Icandelo lesithathu leemeko ze-whiplash zibuqhetseba, eshiya isibini kwisithathu samatyala esemthethweni. Uphando oluninzi lukwaxhasa ibango lokuba izingozi eziphantsi ngokukhawuleza zingabangela i-whiplash, eyinyani ngokwenene. Ezinye izigulana zithwaxwa ziintlungu kunye nokungashukumi ubomi babo bonke.


 

Izibonelelo zeNCBI

Iingcali Uya kusebenzisa iindlela ezahlukeneyo zokunciphisa intlungu ye-whiplash kunye nokunceda ngokuphilisa.

  • Ulungiso lweChiropractic I-chiropractor yenza ukunyanzeliswa komgogodla ukuhambisa amajoyina ngokulungelelanisa ngobumnene. Oku kuya kunceda ukulungelelanisa umzimba ukukhulula intlungu kunye nokukhuthaza ukuphilisa.
  • Ukuxhaswa kwemizimba kunye nokuphumla Oku kubandakanya ukolula izihlunu ezichaphazelekayo, ukukhulula uxinzelelo, kunye nokubanceda baphumle. Ubuchule boxinzelelo lweminwe bunokudityaniswa nokuzama ukunciphisa iintlungu.
  • McKenzie Exercises Ezi ziqhelo zinceda nge-disc derangement eyenza i-whiplash. Ziye zenziwa kuqala kwiofisi ye-chiropractor, kodwa isigulane sinokufundiswa indlela yokwenza ekhaya. Oku kunceda isigulana sibe nomlinganiselo othile wokulawula ukuphiliswa kwaso.

Icala ngalinye le-whiplash lihlukile. I-chiropractor iya kuvavanya isigulane kwaye inqume imeko efanelekileyo yonyango-nge-case basis. I-chiropractor iya kugqiba indlela efanelekileyo yonyango eya kuphelisa intlungu yakho kwaye ibuyisele ukuhamba kwakho kunye nokuguquguquka.

Isishwankathelo seLumbago

Isishwankathelo seLumbago

intshayelelo

Abantu abaninzi abaqondi ukuba izihlunu ezahlukeneyo kumqolo wabo zinceda ukubonelela ngokusebenza komzimba. I izihlunu zomqolo nceda ukushukuma, ukugoba, ukujikelezisa, kwaye uncede umntu ngamnye ukuba ame nkqo xa ephumile naxa ehamba. Izihlunu zangasemva zinceda ukukhusela i-cervical, thoracic, kunye ne-lumbar amacandelo omqolo kunye nokusebenza kunye nentloko, intamo, amahlombe, iingalo kunye nemilenze ukubonelela ukuhamba. Xa umzimba uqala ukuguga ngokwemvelo, kunokukhokelela imiba e ngasemva oko kunokunciphisa ukuhamba komntu, okanye imisebenzi eqhelekileyo inokubangela ukuba izihlunu zangasemva zisetyenziswe ngokugqithiseleyo kwaye ziphuhlise i-trigger points ukubiza intlungu emva okanye i-lumbago. Inqaku lanamhlanje lijonga imisipha ye-thoracolumbar paraspinal ngasemva, indlela i-lumbago ehambelana ngayo namanqaku e-trigger, kunye nonyango lokukhulula i-lumbago kwi-thoracolumbar muscles. Sithumela izigulane kubaboneleli abaqinisekisiweyo ababonelela ngeendlela ezahlukeneyo kwi-thoracic lumbar back pain therapies ezinxulumene ne-trigger points ukunceda abaninzi abathwaxwa yintlungu efana neempawu ezibuhlungu kunye ne-thoracolumbar paraspinal muscles ngasemva, ebangela i-lumbago. Sikhuthaza izigulane ngokuzithumela kubaboneleli bethu bezonyango abanxulumeneyo ngokusekelwe kuvavanyo lwabo xa kufanelekile. Sichaza ukuba imfundo sisisombululo esihle sokubuza ababoneleli bethu imibuzo enzulu nentsokothileyo ngokwesicelo sesigulana. UDkt Alex Jimenez, DC, uphawula olu lwazi njengenkonzo yemfundo kuphela. isikhanyeli

I-Thoracolumbar Paraspinal Muscles Ngasemva

 

Ngaba ukufumanisa kunzima ukuhamba nokuba lixeshana nje elifutshane? Ngaba uziva iintlungu kunye neentlungu xa uphuma ebhedini? Ngaba uhlala usentlungwini xa ugoba ukuze uchole izinto emhlabeni? Ezi zenzo ezahlukahlukeneyo ozenzayo zibandakanya i-thoracolumbar paraspinal muscle ngasemva, kwaye xa imiba ichaphazela le misipha, inokukhokelela kwi-lumbago ehambelana ne-trigger points. I i-thoracolumbar paraspinal ngasemva liqela lemisipha ejikelezwe ngokusondeleyo ngumqolo we-thoracolumbar, apho ummandla we-thoracic uphela, kwaye ummandla we-lumbar uqala. Imisipha ye-thoracolumbar paraspinal ngasemva inobudlelwane obuqhelekileyo kunye nomzimba njengoko ifuna igalelo kwiinkqubo ezifuna ukunyakaza. Uphando lutyhila ukuba imisipha ye-thoracolumbar paraspinal imodulated ngonxibelelwano kunye ne-sub-systems ezintathu, ezibandakanya:

  • Inkqubo ye-passive: i-vertebrae, iidiski kunye nemigqa
  • Inkqubo esebenzayo: imisipha kunye nemisipha
  • Inkqubo yokulawula: inkqubo ye-nervous central kunye nemithambo-luvo

Inkqubo nganye ibonelela ngemisebenzi ye-muscular xa umntu egoba ukuze athathe into okanye enze iintshukumo ezilula. Nangona kunjalo, xa izihlunu zisetyenziswa ngokugqithiseleyo, kunokukhokelela kwimibandela eyahlukeneyo echaphazela umva kunye nemisipha ejikelezayo.

 

I-Lumbago eNxulunyaniswe namanqaku e-Trigger

 

Uphando lutyhila ukuba ingqibelelo ye-muscle ye-paraspinal idlala indima ebaluleke kakhulu xa ifika ekugcinweni kokulungelelaniswa komqolo ngasemva. Xa i-thoracolumbar paraspinal muscles isetyenziswe ngokugqithiseleyo kwimisebenzi eqhelekileyo, inokuchaphazela umva ngokubangela iimpawu zentlungu okanye i-lumbago ehambelana namanqaku e-trigger. KuDkt Travell, incwadi ye-MD ethi "Intlungu ye-Myofascial kunye ne-Dysfunction," i-trigger points inokuthi isebenze ngenxa yokunyakaza ngokukhawuleza okanye ukunyanzeliswa kwe-muscular eqhubekayo ngexesha elikhokelela ekuphuhlisweni kwe-lumbago. Imiba ye-Atrophy kwimisipha ye-paraspinal inokufaka isandla kwi-lumbago ehambelana namanqaku e-trigger abangela intlungu enzulu ebhekiswe kwimimandla ye-thoracolumbar ngasemva. Amanqaku e-trigger asebenzayo kwiqela elinzulu le-muscle ye-thoracolumbar paraspinal inokuphazamisa ukunyakaza phakathi kwe-vertebrae ngexesha lokuguqa okanye ukugoba kwecala. 

 


Isishwankathelo seLumbago- Ividiyo

Lumbago okanye umqolo obuhlungu yenye yezona zinto zixhaphakileyo kubantu abaninzi, ukusuka kwi-acute ukuya kwi-chronic, kuxhomekeke kwindlela ebuhlungu ngayo intlungu ebangelwa ngasemva. Ngaba ubuziva iintlungu kumbindi-mazantsi emqolo? Ngaba uziva ukothuka kombane xa ubaleka emlenzeni wakho kwindawo engaqhelekanga? Okanye ngaba ukhe waziva uthambile phakathi komqolo wakho? Ukufumana ezi zimpawu zingabonisa ukuba imisipha ye-thoracolumbar paraspinal ichaphazeleka ngamanqaku e-trigger ahambelana ne-lumbago. Ividiyo ichaza ukuba yintoni i-lumbago, iimpawu, kunye neendlela ezahlukeneyo zonyango zokunciphisa intlungu kunye nokulawula iingongoma ezibangela ukuba imiba ye-thoracolumbar ibuyele ngasemva. Abantu abaninzi abanengxaki ye-lumbago abasoloko beqaphela ukuba izinto ezahlukeneyo zinokuchaphazela izihlunu ezingqongileyo kwingingqi ye-thoracolumbar kwaye bafihle ezinye iimeko zangaphambili abanokuthi bahlupheke kuzo. Ngokumalunga nokulawula i-lumbago ehambelana namanqaku e-trigger, iindlela ezahlukeneyo zonyango zinokunceda ukunciphisa intlungu echaphazela imisipha ye-thoracolumbar paraspinal ngelixa ulawula amanqaku okuqhubela phambili ukuqhubela phambili emva.


Unyango lokukhulula iLumbago kwiMiscle yeThoracolumbar

 

Ekubeni i-lumbago okanye intlungu ye-back back yinto eqhelekileyo kubantu abaninzi, unyango oluhlukeneyo lunokunciphisa iimpawu ezifana nentlungu kwimisipha ye-thoracolumbar kwaye ilawule amanqaku adibeneyo. Olunye unyango olulula olunokuthi lusetyenziswe ngabantu abaninzi kukulungisa indlela abame ngayo. Abantu abaninzi bahlala bexhomekeke kwelinye icala lemizimba yabo ebangela ukuba izihlunu ze-thoracolumbar paraspinal kumacala ahlukeneyo zilayishwe kakhulu. Oku kubangela ukuguqulwa komgogodla okanye ukungahambi kakuhle kwingingqi ye-thoracolumbar. Olunye unyango olunokuthi lufakwe kubantu abaninzi kubomi babo bemihla ngemihla kukuya kwi-chiropractor ukulungiswa komgogodla we-thoracolumbar spine. Uphando lutyhila ukuba ukhathalelo lwe-chiropractic oludityaniswe nonyango lomzimba lunokunciphisa umva we-thoracolumbar ngelixa lunciphisa iimpawu zentlungu ezinxulumene namanqaku okuqalisa ngokukhulula imisipha eqinile kwaye kubangele ukukhululeka kumqolo. 

 

isiphelo

Umva unemisipha eyahlukeneyo eyaziwa ngokuba yi-thoracolumbar paraspinal muscles evumela ukunyakaza kunye nokuhamba emzimbeni. Imisipha yangemva inceda ukukhusela umlomo wesibeleko, i-thoracic, kunye ne-lumbar amacandelo omqolo ngelixa usebenza kunye namanye amacandelo omzimba ukugcina umzimba uzinzile. Xa ukuguga kwendalo okanye izenzo zichaphazela izihlunu zangasemva, kunokukhokelela kwimiba eyahlukeneyo yeentlungu ezinokuthi zisebenzise amanqaku abangela i-lumbago okanye iintlungu zangasemva. Ngethamsanqa, ezinye iindlela zonyango zinokunceda ukunciphisa intlungu emva kwemisipha ye-thoracolumbar paraspinal ngelixa ulawula amanqaku e-trigger ukubuyisela ukuhamba ngasemva.

 

Ucaphulo

Bell, Daniel J. “Paraspinal Muscles: Radiology Reference Article.” Radiopaedia Blog RSS, Radiopaedia.org, 10 kaJulayi 2021, radiopaedia.org/articles/paraspinal-muscles?lang=us.

du Rose, Alister, kunye noAlan Breen. "Ubudlelwane phakathi kweParaspinal Muscle Activity kunye neLumbar Inter-Vertebral Range of Motion." Ukhathalelo lwempilo (eBasel, eSwitzerland), MDPI, 5 Jan. 2016, www.ncbi.nlm.nih.gov/pmc/articles/PMC4934538/.

Yena, uKevin, et al. "Iimpembelelo ze-Paraspinal Muscle Atrophy kwi-Low Back Pain, i-Thoracolumbar Pathology, kunye neZiphumo zeKliniki emva koTyando lwe-Spine: Ukuphononongwa kweNcwadi." Ijenali yeGlobal Spine, SAGE Publications, Aug. 2020, www.ncbi.nlm.nih.gov/pmc/articles/PMC7359686/.

Khodakarami, Nima. "Ukunyangwa kwezigulane ezineentlungu ezisezantsi: ukuthelekiswa koNyango lwePhysical Therapy kunye neChiropractic Manipulation." Ukhathalelo lwempilo (eBasel, eSwitzerland), MDPI, 24 Feb. 2020, www.ncbi.nlm.nih.gov/pmc/articles/PMC7151187/.

Travell, JG, et al. Iintlungu ze-Myofascial kunye nokungasebenzi kakuhle: I-Trigger Point Manual: Vol. 1:Isiqingatha esiPhezulu soMzimba. Williams & Wilkins, ngo-1999.

isikhanyeli

Iintlungu zeThoracic

Iintlungu zeThoracic

The thotho, ekwaziwa ngokuba ngumqolo ongasentla okanye ophakathi, yenzelwe uzinzo ukumisa iimbambo kunye nokukhusela amalungu esifubeni. Imelana kakhulu nokwenzakala kunye neentlungu. Nangona kunjalo, xa iintlungu ze-thoracic zikhoyo, ngokuqhelekileyo zivela kwiingxaki zexesha elide okanye ukulimala. Iintlungu ze-thoracic ezibuhlungu aziqhelekanga kuneentlungu ezisezantsi kunye nentamo, kodwa ichaphazela ukuya kuthi ga kwi-20% yabemi, ngakumbi abafazi. Iinketho zonyango zibandakanya i-chiropractic yokunciphisa intlungu ngokukhawuleza kunye nexesha elide.

Iintlungu zeThoracic

Intlungu yomqolo weThoracic kunye nobuhlungu

Indawo ye-thoracic ibalulekile kwimisebenzi eyahlukeneyo enxulumene noku:

  • Ubuchwephesha bokuphefumla
  • Ukusebenza kwengalo ngokufanelekileyo
  • Ukukhuselwa kwamalungu
  • Inkxaso yetrunk
  • Impilo ye-nervous tissue

Izizathu eziqhelekileyo zokufumana iintlungu ze-thoracic ngasemva ziquka:

  • Ukubetha ngokuthe ngqo okanye ukwenzakala okuchaphazeleka kakhulu ekuweni.
  • Ukwenzakala kwezemidlalo.
  • Ingozi yemoto.
  • Izimo ezingezizo ezibeka umqolo ekungahambi kakuhle okungapheliyo, kubangela ubunzima.
  • Ukulimala okuphindaphindiweyo kokusetyenziswa ngokugqithisileyo ukusuka ekugobeni, ukufikelela, ukuphakamisa, ukujija.
  • I-core okanye i-shoulder mechanics engalunganga, ebangela ukungalingani kwemisipha.
  • I-muscular irritation, izihlunu ezinkulu zangaphezulu zilungele ukuphuhlisa ubunzima okanye ukuqina okunokuba buhlungu kwaye kunzima ukukhulula.
  • Ukunciphisa imeko okanye ukungabi namandla.
  • Ukungasebenzi okuhlangeneyo kunokuvela kukwenzakala ngokukhawuleza okanye ukuwohloka kwendalo ngenxa yokuguga. Imizekelo ibandakanya I-facet joint cartilage tear or i-joint capsule tear.

Iintlungu zangasemva zihlala zivakala ngathi ziintlungu ezibukhali, ezitshisayo ezibekwe kwindawo enye okanye ukuqaqamba okuqhelekileyo okunokugqabhuka kwaye kunwenwele egxalabeni, entanyeni nasezingalweni.

Iintlobo zeentlungu eziPhezulu zomqolo

Ezi ziquka:

  • Intlungu yendalo
  • Ukuwohloka komqala
  • Ukungasebenzi ngokuhlangeneyo
  • Ukungasebenzi kakuhle kwemithambo-luvo
  • Ukungahambi kakuhle komqolo jikelele

Ngokuxhomekeke kwiziphi izicubu ezichaphazelekayo, intlungu ingenzeka ngokuphefumla okanye ukusetyenziswa kwengalo. Kucetyiswa ukuba umntu oqeqeshiweyo enze uhlolo kwaye afumane uxilongo oluchanekileyo. I-chiropractor iyayiqonda ibhalansi ethambileyo kunye nemisebenzi eyenziwa ngumqolo we-thoracic kwaye inokuphuhlisa isicwangciso sonyango esifanelekileyo.

Chiropractic

Iinketho zonyango ziya kuxhomekeka kwiimpawu, ukungasebenzi kakuhle, kunye nokukhethwa komntu ngamnye.MoyaIzindululo zonyango zihlala ziquka:

  • Uhlengahlengiso lomqolo ukuphucula ulungelelwaniso kunye nokunyaniseka kwemithambo-luvo.
  • Ukuqeqeshwa kwe-posture ukugcina ukulungelelaniswa komgogodla.
  • I-massage yonyango.
  • Ukuzivocavoca umzimba ukubuyisela ukulinganisela kwemisipha.
  • Ubuchule obungaxhatshaziyo bokuphelisa iintlungu.
  • Uqeqesho lwezempilo.

UkuBumbiswa kweBhunga


Izidlo eziSekwe kwiZityalo zokunciphisa umzimba

Abantu abalandela i-vegan, imifuno, kunye odla ngokutya ukutya izidlo ziye zaxela kwaye zibonise ukuba azinakwenzeka ukuba zityebe kakhulu okanye zityebe kakhulu. Oku kungabonisa ukuba ukunciphisa ukutya kwenyama kunye nemveliso yezilwanyana kunenzuzo ekulahlekeni kobunzima. Uphononongo lufumanise ukuba abantu abalandela ukutya kwe-vegan banokuphulukana nobunzima obuninzi kunabantu abatya ukutya okuqhelekileyo kokuncipha, nokuba neekhalori ezifanayo ezisetyenzisiweyo, kwaye bahlala bephucula kakhulu iswekile yegazi kunye neempawu zokudumba.

Iprotheyini eSekwe kwisityalo kunye nokuzuza kwemisipha

ezinye iiproteni ezisekelwe kwizityalo zisebenza kanye njengeprotheyini yezilwanyana ekukhuthazeni ukuzuza kwezihlunu. A isifundo yafumanisa ukuba ukongeza iprotheni yerayisi emva koqeqesho lokumelana nenzuzo efanayo kwi-whey protein supplementation. Omabini amaqela abe:

Ucaphulo

UBriggs AM, uSmith AJ, uStraker LM, uBragge P. Intlungu yomqolo weThoracic kubantu bonke: ukuxhaphaka, iziganeko kunye nezinto ezinxulumene nazo kubantwana, abaselula kunye nabantu abadala. Uphononongo olucwangcisiweyo. I-BMC Musculoskelet Disord. 2009;10:77.

Cichoń, Dorota et al. "Ukusebenza kakuhle kwePhysiotherapy ekunciphiseni iintlungu zokubuyela umva kunye nokuphucula ukuhamba ngokubambisana kwabasetyhini abadala." Ortopedia, traumatologia, rehabilitacja vol. 21,1 (2019): 45-55. doi:10.5604/01.3001.0013.1115

Fouquet N, Bodin J, Descatha A, et al. Ukuxhaphaka kweentlungu ze-thoracic spine kwinethiwekhi yokucupha. Occupy Med (Lond). 2015;65(2):122-5.

UJäger, uRalf et al. "Ukuthelekiswa kwerayisi kunye neprotheyini ye-whey yodwa izinga lokutya kunye nokufunxa kwe-amino acid." Ijenali yoMbutho waMazwe ngaMazwe weSondlo seMidlalo vol. 10, iFakelo 1 P12. 6 Dec. 2013, doi:10.1186/1550-2783-10-S1-P12

Uvuyo, Jordan M et al. "Iimpembelelo zeeveki ze-8 ze-whey okanye i-rice protein supplementation ekubunjweni komzimba kunye nokusebenza komzimba." Ijenali yezondlo vol. 12 86. 20 Jun. 2013, doi: 10.1186/1475-2891-12-86

Medawar, uEvelyn et al. "Iimpembelelo zokutya okusekelwe kwizityalo emzimbeni nasengqondweni: uphononongo olucwangcisiweyo." Translational psychiatry vol. 9,1 226. 12 Septemba 2019, doi:10.1038/s41398-019-0552-0

Ngokutsha, uPK et al. "Ingozi yokutyeba kakhulu kunye nokutyeba kakhulu phakathi kwe-semivegetarian, lactovegetarian, kunye nabasetyhini be-vegan." Ijenali yaseMelika yesondlo seklinikhi vol. 81,6 (2005): 1267-74. doi:10.1093/ajcn/81.6.1267

Pope, Malcolm H et al. "I-ergonomics yomqolo." Uphononongo lonyaka lobunjineli bebhayoloji vol. 4 (2002): 49-68. doi:10.1146/annurev.bioeng.4.092101.122107

UJanus Kinase Inhibitors woNyango lwe-Ankylosing Spondylitis

UJanus Kinase Inhibitors woNyango lwe-Ankylosing Spondylitis

Umntu ngamnye kunye i-ankylosing spondylitis Unokhetho olutsha olwalusetyenziselwa isifo samathambo. Lunyango lweklasi eyaziwa njenge I-JAK inhibitors. I-Ankylosing spondylitis idibanisa iintlungu ngokudibeneyo kunye nokuncipha kokuhamba. I-Ankylosing spondylitis yahlukile kuba kwiimeko ezinzima, amathambo emqolo anokudibana kunye, ukunciphisa ukunciphisa ukuhamba.  
I-11860 Vista Del Sol, iSt. I-128 Janus Kinase Inhibitors yoNyango lwe-Ankylosing Spondylitis
 
The isifo siqala ngentlungu kunye nokuqina emqolo. Oku kuhlala kusemva kwexesha lokungasebenzi. Iimpawu ziqala ngaphambi kweminyaka engama-45 kwaye zikhula kancinci. Akukho lunyango lwe-ankylosing spondylitis kodwa lukhona unyango olunokuphucula iimpawu kwaye lubeke imeko kuxolelo. Unyango lwe-Ankylosing spondylitis lolona luphumeleleyo xa kusonjululwa kwangethuba ngaphambi kokuba kulungiswe umonakalo kumalungu.  

UJanus Kinase Inhibitors

UJanus kinase inhibitors ngokwesiko ebesetyenziselwa ukunyanga:
  • Irheumatoid arthritis
  • Isifo samathambo
  • Ulcerative colitis
Iyeza lisebenza ngokunciphisa ukusebenza kwamajoni omzimba Amachiza kaJanus kinase inhibitor achaphazela iikhompawundi zeselfowuni ezibalulekileyo kuphuhliso kunye nokuqhubela phambili kwe-ankylosing spondylitis. Okwangoku, kukho amayeza amathathu kaJanus kinase inhibitor afumanekayo e-United States kunye ne-FDA-evunyiweyo ukunyanga isifo samathambo:
  • Xeljanz
  • Irinvoq
  • Olumiant
  • Nganye yezivunyiweyo Inhibitors ijolise kwii-enzymes ezithile
 

Unyango lwangoku lwe-Ankylosing Spondylitis

I-Janus kinase inhibitors ayinikwa abantu kwangoko. Nangona kunjalo, kunokuba yinto enokuyenza ukuba unyango lokuqala kunye nolwesibini alusebenzi. Unyango luhlala lubandakanya:

Unyango lokuqala

 

NSAID

Amayeza anti-ukudumba zezona ziqhele ukusetyenziswa ukunyanga ukudumba kwe-ankylosing, iintlungu kunye nokuqina.

Chiropractic

Unyango lwe-Chiropractic ngokomzimba yinxalenye enkulu yonyango lwe-ankylosing spondylitis egcina umqolo uguquguquka kwaye usempilweni kangangoko. A Uyilo lweqela le-chiropractic / yomzimba kunye nophuhliso lweempawu ezithile ukuze zilungele iimfuno zomntu ngamnyeezibandakanya:
  • Ukolula kunye neRange-of-motion-exercises kunceda ukugcina ukuguquguquka kumalungu
  • Ukulala kunye nokuhamba komzimba uhlengahlengiso
  • Ukuzivocavoca isisu kunye nomqolo ukugcina imeko esempilweni
  • Uqeqesho lwamandla
 

Unyango loLwesibini

If amayeza okuchasana nentsholongwane musa ukunciphisa iimpawu, ngoko amayeza endalo anokumiselwa. Olu klasi lwamayeza lubandakanya:

Itumor Necrosis Factor

I-tumor necrosis factor blockers isebenza ngokujolisa kwiprotein yeseli eyinxalenye yenkqubo yomzimba yokuzikhusela, eyaziwa njenge alpha ithumba. Le protein ibangela ukudumba emzimbeni, kwaye iibhlokhi ziyayicinezela.  

I-Interleukin 17 Inhibitors

I-Interleukin 17 kumajoni omzimba ayazikhusela kusulelo. Isebenzisa impendulo yokuvuvukala ukulwa nosulelo. I-IL-17 inhibitors icinezela impendulo yokuvuvukala kwaye inceda ukunciphisa iimpawu.  
I-11860 Vista Del Sol, iSt. I-128 Janus Kinase Inhibitors yoNyango lwe-Ankylosing Spondylitis
 

Ezinye iindlela zokonyango

 

Uhlengahlengiso kwindlela yokuphila

Ukulandela isicwangciso sonyango rhoqo kuhlala kudityaniswa kunye ukutya kunye nohlengahlengiso kwindlela yokuphila Kucetyiswa ukunceda ngale meko, kubandakanya:
  • Ukusebenza ngokwasemzimbeni kangangoko kunceda:
  1. Ukuphucula / ukugcina imeko esempilweni
  2. Gcina ubhetyebhetye
  3. Nciphisa iintlungu
  • Ukufaka ubushushu kunye nomkhenkce kuya kunceda ukunciphisa:
  1. Ubuhlungu
  2. Ubunzima
  3. Ukuvuvukala

Ukuhlinzwa

Uninzi lwabantu abane-ankylosing spondylitis aludingi kuqhaqho. Nangona kunjalo, ugqirha unokucebisa utyando ukuba lukhona umonakalo odibeneyo, i-joint-hip-joint idinga ukutshintshwa, okanye ukuba intlungu ibuhlungu.  

Isithinteli esinokubakho

Izifundo ziyaqhubeka kunyango lwe-ankylosing spondylitis. Iyeza okwangoku likulingo lweSigaba 3 kunyango lwabantu abadala. Iziphumo zolingo zibonise izigulana ezine-ankylosing spondylitis esebenzayo zibonisa ukuphucuka:
  • Ukukhathala
  • Ukuvutha
  • Umqolo obuhlungu
Uphononongo lubhalise abantu abadala abane-ankylosing spondylitis esebenzayo abathathe ubuncinci ii-NSAID ezimbini ezazingasebenzi kunyango. Uninzi lwabathathi-nxaxheba yayingamadoda, i-avareji yobudala be-41, kwaye akukho kusetyenziswa kwangaphambili kwezifo ze-biologic eziguqula iziyobisi kwi-antirheumatic.

UJanus kinase unokuba lonyango oluqhelekileyo

Alukabikho uphando olwaneleyo lokwenza uqikelelo, kodwa idatha iyathembisa. I-inhibitors ibonakala iyindlela ekhuselekileyo xa isetyenziswe kwisikrini esifanelekileyo, esilungelelaniswe kakuhle esibandakanya ukubeka iliso rhoqo. Izithinteli zibonakala zisebenza kwaye zinezibonelelo zokuthathwa ngomlomo kunye nokusebenza ngokukhawuleza.

UkuBumbiswa kweBhunga


 

I-Osteoarthritis kunye nokwehla kobunzima

Ukutyeba kakhulu kubonise njengeyona nto iphambili yomngcipheko kuphuhliso lwe osteoarthritis. Oku akubikho kuphela kwiziphumo zobunzima obongezelelekileyo kumalungu omzimba kodwa nanjengesiphumo sokudumba kwethishu yeadipose. Umqolo osezantsi, iinyonga, kunye namadolo, kuthwala uninzi lobunzima bomzimba. Inani elingaphezulu kwesihlunu se-adipose kumzimba ophakathi nasemilenzeni ibonakalisiwe ukuba nefuthe elibi kwi amalungu athwele ubunzima. Ukukhuthaza ukuTyeba kweLungu loMzimba kunye nokukhuthaza ukunciphisa umzimba kunciphisa umngcipheko we-osteoarthritis kunye nokuphucula umgangatho wobomi bomntu. Ukuzivocavoca kuthathwa njengokukhuselekileyo kubantu abane-osteoarthritis kwaye kufuneka kubandakanywe ukuphucula ukwakheka komzimba, ukunciphisa umzimba weFat Mass, phucula Ubuninzi boMzimba kunye nokugcina ubunzima obusempilweni.  

UGqr Alex Jimenez's Iposti yeBlog

Ubungakanani bolwazi lwethu lukhawulelwe kwi-chiropractic, musculoskeletal, amayeza omzimba, impilo, kunye nemicimbi yezempilo ebuthathaka kunye / okanye amanqaku amayeza asebenzayo, izihloko kunye neengxoxo. Sisebenzisa iinkqubo zempilo kunye nezempilo ukunyanga kunye nenkxaso yokhathalelo lokonzakala okanye ukuphazamiseka kwenkqubo yemisipha. Izithuba zethu, izihloko, izifundo, kunye nokuqonda kugubungela imicimbi yeklinikhi, imiba kunye nezihloko ezinxulumene nokuxhasa ngokuthe ngqo okanye ngokungathanga ngqo kwinqanaba lethu lonyango. * Iofisi yethu yenze iinzame ezifanelekileyo zokubonelela ngeziqendu ezixhasayo kwaye ichonge uphando olufanelekileyo okanye izifundo ezixhasa izithuba zethu. Senza ikopi yezifundo zophando ezixhasayo ukuba zifumaneke ebhodini nakuluntu xa kuceliwe. Siyaqonda ukuba sigubungela imicimbi efuna inkcazo eyongezelelweyo malunga nendlela enokunceda ngayo kwisicwangciso esithile sokhathalelo okanye kwinkqubo yonyango; Ke, ukuqhubeka nokuxoxa ngalo mbandela ungentla, nceda ukhululeke ukubuza uGqirha Alex Jimenez okanye unxibelelane nathi apha 915-850-0900. Umboneleli (s) unelayisensi eTexas naseNew Mexico *  
Ucaphulo
Hammitzsch A, Lorenz G, Moog P. Impembelelo ye-Janus Kinase Inhibition kuNyango lwe-Axial Spondyloarthropathies. Imida kwi-Immunology 11:2488, Oct 2020; doi 10.3389/fimmu.2020.591176.�www.frontiersin.org/article/10.3389/fimmu.2020.591176, kufumaneka ngoJan 21, 2021. van der Heijde D, Baraliakos X, Gensler LS, et al. Ukusebenza kunye nokukhuseleka kwe-filgotinib, i-Janus kinase 1 inhibitor ekhethiweyo, kwizigulana ezine-ankylosing spondylitis (TORTUGA): iziphumo ezivela kwilingo elilawulwa ngokungacwangciswanga, elilawulwa yi-placebo, kwinqanaba lesibini.Lancet.I-2018 Dec 1; 392 (10162): 2378-2387. ikhonkco: 10.1016 / S0140-6736 (18) 32463-2. Epub 2018 Oktobha 22. PMID: 30360970. yentshutshiso.ncbi.nlm.nih.gov/30360970/Kufunyenwe ngoJanuwari 19, 2021.