Ukulimala koluhlu
Iqela le-Chiropractic yasemva kokulimala kweKliniki. Ukwenzakala okuntsonkothileyo kwenzeka xa abantu befumana umonzakalo omandundu okanye oyintlekele, okanye iimeko zabo zintsonkothe ngakumbi ngenxa yokwenzakala okuphindaphindiweyo, iziphumo zengqondo, kunye neembali zonyango esele zikhona. Ukulimala okuyinkimbinkimbi kunokulimala kwe-serial yecala eliphezulu, ukuxhwaleka okukhulu kwezicubu ezithambileyo, kunye ne-concomitant (ehamba ngokwemvelo okanye ehambelanayo), ukulimala kwiinqanawa okanye kwi-nerve. Ezi nzakala zihamba ngaphaya kwe-sprain eqhelekileyo kunye noxinzelelo kwaye zifuna inqanaba elinzulu lovavanyo olunokuthi lungabonakali lula.
El Paso, i-TX's Injury specialist, i-chiropractor, uDkt Alexander Jimenez uxoxa ngeendlela zonyango, kunye nokuvuselelwa, ukuqeqeshwa kwemisipha / amandla, ukondla, kunye nokubuyela kwimisebenzi eqhelekileyo yomzimba. Iinkqubo zethu zezendalo kwaye zisebenzisa amandla omzimba ukufezekisa iinjongo ezithile ezilinganisiweyo, kunokwazisa imichiza eyingozi, ukutshintshwa kwehomoni ephikisanayo, utyando olungafunwayo, okanye iziyobisi ezikhobokisayo. Sifuna ukuba uphile ubomi obusebenzayo obuzalisekiswa ngamandla amaninzi, isimo sengqondo esifanelekileyo, ukulala okungcono, kunye neentlungu ezincinci. Injongo yethu kukuxhobisa izigulana zethu ekugqibeleni ukuba zigcine eyona ndlela isempilweni yokuphila.
by UGqr Alex Jimenez Ukulimala koluhlu , Sciatica
Imisipha ye-hamstring inamathele, ngokusebenzisa i-tendon ebizwa ngokuba yi-tendon ye-hamstring ehamba phambili, kwi-tuberosity ye-ischial, amathambo asetyenziselwa ukuhlala nzulu kwimisipha ye-buttock. Xa i-tendon ixhomekeke ekusebenziseni ngokugqithiseleyo / ukuphindaphinda uxinzelelo kunye noxinzelelo, isakhiwo sangaphakathi sinokuphazamiseka, okukhokelela kubuthathaka kunye neempawu zentlungu. Oku kwaziwa ngokuba proximal hamstring tendinopathy . I-Tendinopathy yokulimala ngokugqithisileyo apho i-tendon igxininiswe ngokuphindaphindiweyo kude kube yi-microscopic iinyembezi. Iqhelekile kwiimbaleki ezenza ixesha elininzi lokubaleka kodwa nakubantu abahlala ixesha elide. Ukuba ishiywe ingaphendulwanga, i-hamstring tendinopathy ephezulu ingakhokelela ekuhlaziyweni okuqhubekayo kwezicubu, ezikhokelela kubuthathaka obungapheliyo, intlungu kunye nokungasebenzi.
I-Hamstring Tendinopathy ephezulu
I-hamstrings liqela elinamandla le-muscle elinweba i-hip kwaye liguquguquke emadolweni. Bafumana uxinzelelo kunye noxinzelelo ngexesha lomsebenzi kunye nokungasebenzi / ukuhlala kwaye basengozini yokulimala. Iitendon zincamathelisa isihlunu kwithambo kwaye zenzelwe ukuba zithathe ezicinezelayo kunye nobunzima / imithwalo eyolulayo okanye ethambileyo. I-tendon yenziwe ngamathambo e-fibrous aqulethwe ngokuhlelekile uhlobo lwe-1 collagen . Imisipha ifumana igazi; nangona kunjalo, ukunikezelwa kuncinci apho i-tendon inamathele kwithambo kwaye iqhelekile apho i-tendinopathy yenzeke khona.
ukwenzakala
Ukulimala kwe-hamstring kubandakanya ukubetha, ukucaphuka, okanye ukukrazula i-tendon ye-hamstring okanye izicubu zomzimba. Ubunzima bunokususela kwi:
IiMicrotears ezibangela ukuqina kunye neempawu zentlungu kodwa ziphilise ngokukhawuleza ngokwazo.
Ukuqhekeka okukhulu okubangela intlungu ephazamisayo, ukungasebenzi kwaye kufuna ukungenelela kwonyango.
Ithenda incamathela kwi ischial tuberosity Ngamanye amaxesha i-nerve ye-sciatic inokucaphuka okanye ibanjwe yi-tendon echaphazelekayo yezicubu ezibomvu, ezibangela iimpawu ezifana ne-sciatica.
Amanqanaba e-Tendon Pathology
Isigaba esisebenzayo
Okubangelwa kukugcwala okugqithisileyo kokusebenza komzimba okanye ukungasebenzi.
Ithenda iya kutyeba okwethutyana ukunciphisa uxinzelelo; nangona kunjalo, akunakubakho ukudumba.
I-tendon inokubuyela ngokuqhelekileyo ukuba umthwalo uyancitshiswa okanye ixesha elaneleyo lokubuyisela kunye nokulungiswa kuvunyelwe.
Ukonakala
Ukugcwala ngokugqithisileyo.
Ukuphiliswa okungaphumelelanga.
Utshintsho lwe-tendon olubi ngakumbi lwenzeka.
Ukubuyisela ukuguqulwa kunokwenzeka ngolawulo lomthwalo kunye nokuzivocavoca okujoliswe kuyo ukuvuselela i-tendon kunye nezicubu ezijikelezayo.
Isiduko
Ukuqhubela phambili okuqhubekayo kweenguqu ze-tendon ezimbi.
Ixhaphake ngakumbi kubantu abadala.
Qhubeka nolawulo lomthwalo kunye noqeqesho lwamandla ukwandisa ukunyamezela kwe-tendon.
Unyango lweChiropractic
Iqela lonyango lwe-chiropractic liya kuphuhlisa inkqubo yonyango lomntu ngamnye ukuze kuphuculwe isakhiwo se-tendon kunye nokuqinisa i-hamstrings, i-gluteal, kunye nezihlunu zesisu. Baza kuqala nge-tendon-relieving massage massage ukukhulula izihlunu kwaye igazi lijikeleze, I-MET-targeted stretches ukwandisa imisipha, kunye nohlengahlengiso lomqolo kunye ne-pelvic ukulungelelanisa umzimba.
Sciatica Ichazwe
VIDEO
Ucaphulo
Buckley, uMark R et al. "Ukusasazwa kweentlobo ze-I, II kunye ne-III collagen ngommandla kwi-tendon ye-supraspinatus." Uphando lwethishu edibanisayo vol. 54,6 (2013): 374-9. doi:10.3109/03008207.2013.847096
Lempainen, Lasse, et al. "Uluvo lwengcaphephe: ukuxilongwa kunye nokunyangwa kwe-proximal hamstring tendinopathy." Izihlunu, imigqa, kunye nejenali yemisipha vol. 5,1 23-8. 27 Matshi 2015
Mattiussi, uGabriele, kunye noCarlos Moreno. "Unyango lwe-hamstring ehambelana ne-tendinopathy enxulumene ne-sciatic nerve entrapment: umboniso we-ultrasound ekhokelwa yi-"Intratissue Percutaneous Electrolysis" isicelo. Izihlunu, imigqa, kunye nejenali yemisipha vol. 6,2 248-252. 17 Septemba 2016, doi:10.11138/mltj/2016.6.2.248
Ono, T et al. "Uqikelelo lwamandla okuqina kwizihlunu ze-hamstring ngexesha lokubaleka komhlaba." Ijenali yeHlabathi yezamayeza ezemidlalo vol. 36,2 (2015): 163-8. doi:10.1055/s-0034-1385865
White, uKristin E. Ijenali yamayeza e-chiropractic vol. 3 (10,2): 2011-93. doi:9/j.jcm.10.1016
UWilson, uThomas J et al. "I-Sciatic Nerve Injury Emva kwe-Proximal Hamstring Avulsion kunye nokulungiswa." Ijenali yamathambo ezemidlalo vol. 5,7 2325967117713685. 3 Jul. 2017, doi:10.1177/2325967117713685
by UGqr Alex Jimenez Ukulimala koluhlu , Umenzakalo owehle kwisiqu
Ukungqubana kwemoto, umsebenzi, imidlalo, kunye neengozi zomntu kunokubangela ukulimala kwentamo enokuchaphazela ezinye iindawo, ezikhokelela kwiingxaki zempilo zexesha elide. . Ukulimala kwentamo okubandakanya umonakalo wezicubu ezithambileyo zihlala ziqhubeka emva kwesiganeko. Enye yokulimala ibandakanya umonakalo wentambo yezwi obangelwa yimpembelelo kwi-larynx. Ilarynx, okanye ibhokisi yelizwi, lilungu elisemva Iapile ka-Adam . Ukulimala kwentamo okuchaphazela i-larynx kunokuchaphazela ukukwazi ukuthetha nokuphefumla kwaye kubangele intambo yezwi ukukhubazeka. Unyango lunokubandakanya utyando, unyango lwelizwi, unyango lomzimba, kunye ne-chiropractic.
Ukwenzakala kweVocal Cord
Iintambo zezwi zimbini eziguquguqukayo zezicubu ze-muscle ekungeneni kwe-trachea. Iintambo zezwi zikholisa ukuba kwindawo evulekileyo ekhululekileyo ukuvumela ukuphefumla. Xa uthetha, iibhendi zidibanisa kwaye zingcangcazele ukwenza isandi. Utyando, usulelo lwentsholongwane, umhlaza othile, kunye nokwenzakala kwentamo kunokubangela ukukhubazeka kwelizwi. Kule meko, iibhloko zomonakalo we-nerve okanye zithintela iimpembelelo ekugqithiseni kwibhokisi yezwi. I Izihlunu, ezidla ngokuba ngomnye wazo, ziba ngumlwelwe, zithintele ukuginya kunye nokuginya amathe kuqhoqhoqho. . Kwiimeko ezinqabileyo, zombini izihlunu azikwazi ukuhamba.
iimpawu
Iimpawu kunye neempawu zingabandakanya:
Ukuphefumula okunzima Ukuqhawukelwa ngumphefumlo.
Ukuphefumla kakubi.
Ukuphefumla okungxolayo.
Ukuthetha iingxaki Isidingo sokuphefumla rhoqo ngelixa uthetha.
Ukulahleka kwesandi selizwi.
Ukungakwazi ukuthetha ngokuvakalayo.
Ingxaki Yokuginya Ukuminxa okanye ukukhohlela xa uginya.
Ukulahleka kwe-gag reflex. Ukukhohlela rhoqo kunye nokucocwa komqala.
Izizathu
Intamo okanye Ukwenzakala kwesifuba
Ukwenzakala entanyeni okanye esifubeni kunokwenzakalisa imithambo-luvo yebhokisi yelizwi.
Infections
Ukosuleleka njenge Isifo seLyme , i-virus ye-Epstein-Barr, kunye ne-herpes inokubangela ukuvuvukala kunye nomonakalo we-nerve.
Izidumbu
Amathumba, anomhlaza kwaye angenawo umhlaza, anokukhula ngaphakathi okanye ajikeleze izihlunu, intlala, kunye nemithambo-luvo.
Neurological
Iimeko ze-neurological ezifana ne-multiple sclerosis okanye isifo sika-Parkinson zinokukhokelela kwintambo yezwi.
Ukwenzakala Ngotyando
Iimpazamo zenkqubo yotyando okanye iingxaki okanye kufuphi nentamo okanye isifuba esiphezulu kunokubangela umonakalo kwiimbilini zebhokisi yezwi.
Utyando kwi-thyroid okanye i-parathyroid glands, i-esophagus, intamo, kunye nesifuba kunomngcipheko ophezulu.
Stroke
I-stroke iminxa ukuhamba kwegazi ukuya ebuchotsheni kwaye inokonakalisa indawo yobuchopho ehambisa imiyalezo kwibhokisi yelizwi.
impatho
Unyango lugqitywa ngugqirha ngokusekelwe kwimeko yonyango yomntu kunye neemvavanyo zokuxilonga. Unyango lunokubandakanya:
Unyango lweNtetho
Unyango lokuthetha lunconywa njengoko izihlunu ze-laryngeal zomelezwa ngeendlela ezahlukeneyo zokuzivocavoca, ukuphucula umsebenzi wokuphefumula. Ingcali yentetho iya kuqalisa ukusebenza nomntu ngamnye kwimithambo ejolise kwiifolthi zezwi ezibuthathaka ngokuphucula ukuhamba komoya kunye nokujikeleza kwegazi.
Unyango lomzimba kunye neChiropractic
Unyango lubandakanya ukwenza umthambo othambileyo osebenza kwiintambo zezwi ngokuthe ngcembe kwaye ngokuthe ngcembe kodwa ungazicinezeli. Iingcali ze-Chiropractors zisebenza kunye ne-physical therapist eyenza i-high-velocity, i-low-amplitude manipulation ejoliswe kwintamo ephantsi kunye nommandla ophezulu we-thoracic, i-vertebrae ye-C3 / T1. Isicwangciso sonyango siya kusebenzisa i-massage, i-decompression engeyiyo yokuhlinzwa, i-instrument / i-tool-assisted soft-tissue mobilization, i-laser ephantsi okanye i-ultrasound, kunye nokwelula kwasekhaya kunye nokuzivocavoca.
Ukuhlinzwa
Utyando lunokuba yimfuneko kubantu abangakhange baphucule nangona besenza intetho emiselweyo kunye nemithambo yonyango lomzimba. Iindidi ezahlukeneyo zeenkqubo zisekwe kwiqondo kunye nobungakanani bokukhubazeka:
Injections – I-Collagen kunye nezizalisi zijojowe kwiintambo zezwi ukuze zibuyisele imisipha echaphazelekayo kufuphi ne-larynx.Uvavanyo lwezandi – Iintambo zezwi zibekwe ngokutsha ngohlengahlengiso.Uluhlu lweTracheotomy – Ukuba i-vocal folds ivalwa, ugqirha unokwenza i-incision entanyeni kwindawo yokuvula i-windpipe kwaye afake ityhubhu yokuphefumla. Oku kudlula ukuvaleka komoya okubangelwa kukugoba kwezwi kwaye kukhuthaze ukujikeleza komoya okufanelekileyo.
Ukungazinzi kweCervical Spine
VIDEO
Ucaphulo
Chen, Ching-Chang, et al. "Isiphumo sexesha elide lokukhubazeka kwezwi emva kwe-discectomy yangaphambili yomlomo wesibeleko." Ijenali yaseYurophu yomgogodla: ukupapashwa ngokusemthethweni kwe-European Spine Society, i-European Spinal Deformity Society, kunye neCandelo laseYurophu leCervical Spine Research Society vol. 23,3 (2014): 622-6. doi:10.1007/s00586-013-3084-y
Dankbaar JW, et al. Ukukhubazeka kwentambo yezwi: i-Anatomy, imaging, kunye ne-pathology. Imibono kuMfanekiso. 2014; doi:10.1007/s13244-014-0364-y.
Fitzpatrick, PC, kunye noRH Miller. "Ukukhubazeka kwentambo yezwi." IJenali ye-Louisiana State Medical Society: iqumrhu elisemthethweni le-Louisiana State Medical Society vol. 150,8 (1998): 340-3.
Kriskovich, MD et al. "I-Vocal fold paralysis emva kokuhlinzwa kwangaphambili komlomo wesibeleko: iziganeko, indlela, kunye nokuthintela ukulimala." ILaryngoscope vol. 110,9 (2000): 1467-73. doi:10.1097/00005537-200009000-00011
Ukukhubazeka kwelizwi. Iziko leSizwe lokungeva kunye nezinye iziphazamiso zoNxibelelwano. www.nidcd.nih.gov/health/vocal-fold-paralysis . Ifikeleleke ngoMeyi 18, 2022.
Ukukhubazeka kwelizwi. American Speech-Language-Hearing Association. www.asha.org/public/speech/disorders/Vocal-Fold-Paralysis . Ifikeleleke ngoMeyi 18, 2022.
Waddell, uRoger K. "Ukhathalelo lweChiropractic kwisigulane esine-spasmodic dysphonia ehambelana nokulimala komqolo wesibeleko." Ijenali yamayeza e-chiropractic vol. 4,1 (2005): 19-24. doi:10.1016/S0899-3467(07)60108-6
by UGqr Alex Jimenez Ukulimala koluhlu , Ukunyamekela
Umzimba unamalunga ne-1,000 ligaments edibanisa amathambo kunye namalungu. I-Ligaments ziindibaniselwano eziqinileyo zezicubu ezixhasa ukuhamba ngokubambisana kunye nokuzinzisa imisipha kunye namathambo. Ukulimala kwi-ligaments enye okanye ngaphezulu kunokubangela ukuvuvukala, ukuvuvukala, ukungahambi kakuhle kunye nokungazinzi. I-PCL ibhekisa kwi-posterior cruciate ligament ebaleka ngasemva kwedolo elihlangeneyo. Le ligament idibanisa i-femur / ithambo lethanga kwi-tibia / shinbone. Nabani na unokubandezeleka ngenxa yokulimala kwi-posterior cruciate ligament. Inokubangelwa ukuba idolo libethe ideshibhodi kwingozi yemoto, umsebenzi ojijayo okanye awe phantsi ngedolo eligobileyo okanye ukulimala koqhagamshelwano lwezemidlalo. I-Chiropractic yezoNyango zeChiropractic kunye neQela leKliniki yeMithi eSebenzayo ibonelela ngomsebenzi wezicubu ezithambileyo, i-trigger point therapy, kunye nonyango olujoliswe kuyo olungenalo utyando ngokusebenzisa iindlela zonyango oluphezulu kunye nobuchwepheshe.
I-posterior cruciate ligament - i-PCL ifumaneka ngaphakathi kwedolo, emva nje kwe-anterior cruciate ligament - ACL. Ngomnye wemigqaliselo emininzi edibanisa i-femur / thighbone kwi-tibia / shinbone. I-posterior cruciate ligament igcina i-tibia ukuba ihambe ngasemva.
ukwenzakala
Ukulimala kwe-posterior cruciate ligament kunqabile kakhulu kune-ACL - iinyembezi zangaphambili. Ukulimala kwe-PCL kwenza ngaphantsi kwe-20% yazo zonke ukulimala kwamadolo. Kuqhelekile ukuba iinyembezi ze-PCL zenzeke kunye nokulimala kwe-ligament. Ukulimala kwe-PCL kunokubangela umonakalo omncinci, ophakathi, okanye onzima kwaye ulinganiswe kwiindidi ezine ezahlukeneyo:
IBakala I
Ukukrazula inxalenye ikhona kwiligament.
IBakala II
Kukho ukukrazula inxalenye.
Umsipha unokuziva ukhululekile.
IBakala III
Umsipha uqhawuke ngokupheleleyo.
Idolo alizinzanga.
IBanga lesi-IV
I-PCL yenzakele.
Amanye amadolo awonakele.
Abantu abanokulimala kwe-posterior cruciate ligament banokuba neempawu ezimfutshane okanye ezide. Ngokuqhelekileyo, iimpawu zexesha elide zenzeke xa ukwenzakala ngokukhawuleza kukhula ngokuhamba kwexesha. Kwiimeko ezincinci, abantu basenokukwazi ukuhamba, kwaye iimpawu zabo zisenokungabonakali. Iimpawu eziqhelekileyo ezinxulumene nokulimala kwe-PCL ziquka:
Ubunzima bokubeka ubunzima kwidolo elenzakeleyo.
Ukuqina.
Ubunzima bokuhamba.
Ubunzima bokuhla kwizinyuko.
Imvakalelo eshukumayo ngaphakathi kwedolo.
Ukudumba kunye nokudumba kunokuba mnene ukuya kubukhali.
Iintlungu zamadolo.
Iintlungu ezibuhlungu ngokuhamba kwexesha.
Ngokuhamba kwexesha, iinyembezi zingakhokelela ekuphuhliseni osteoarthritis .
Kukho ingozi eyongeziweyo yomonakalo omkhulu kunye neemeko ezibuhlungu ezingapheliyo ukuba zishiywe zingaphathwanga.
Ukhathalelo lweChiropractic
Ukuqhubeka nokuthatha inxaxheba emsebenzini okanye kumsebenzi emva kokulimala kancinci sesona sizathu siphambili sokuba abantu bafumane unyango, inaliti, okanye ukulungiswa kotyando. . Ukulimala emadolweni kufuna ingqwalasela ekhawulezileyo ukuthintela ukonakala okanye umonakalo ongakumbi. I-chiropractor iya kuhlola idolo, khangela uluhlu lwentshukumo kwaye ubuze malunga neempawu. Basenokucela iimvavanyo zemifanekiso ukujonga ubungakanani bomonakalo. Olu vavanyo lungabandakanya oku kulandelayo:
X-ray.
Imagnetic resonance imaging.
CT scan.
Ngethuba lokuhlolwa komzimba, baya kujonga zonke izakhiwo zedolo elimele kwaye baqhathanise nedolo elingenakulimala. Idolo elenzakeleyo lisenokubonakala lihlehla ngasemva xa ligobile okanye linokutyibilika umva kakhulu, ngakumbi xa lingaphaya kwe-engile ye-90-degree. Unyango luxhomekeke kubunzima bokulimala. Unyango oluqhelekileyo luquka:
Iinduku
Iinduku zinokucetyiswa ukunciphisa ubunzima obubekwe emadolweni.
Idolo Brace
I-brace ekhethekileyo inokujongana nokungazinzi kwaye incede ukukhusela ithambo le-tibia ukuba lihlehle ngasemva.
Umxhuzulane uthande ukutsala ithambo ngasemva xa lilele.
I-Chiropractic kunye noNyango loMzimba
Njengoko ukudumba kwehla, inkqubo yokubuyisela kwimeko yesiqhelo ngononophelo inokuqalisa.
A irejimeni ye-chiropractic iya kusetha kwakhona kwaye iphinde iqeqeshe i-ligament.
Ukunyangwa kwe-massage kuya kunciphisa izicubu ezibomvu kunye nokwandisa ukujikeleza.
Ukuzivocavoca okuthe ngqo kuya kuzinzisa idolo, ukubuyisela umsebenzi, kunye nokuqinisa imisipha yomlenze oyixhasayo.
Ukomeleza imisipha phambi kwethanga / i-quadriceps yinto ephambili ekubuyiseleni ngempumelelo.
Ukuhlinzwa
Kwiimeko ezinzima, utyando lunokufuneka ukuze ubuyiselwe ngokupheleleyo.
Idolo le-arthroscopy kwenziwa ukwakhiwa kwakhona kwe-ligament.Le nkqubo ayihlaseli kangako xa ithelekiswa neendlela zotyando lwesintu.
Ixesha lokuchacha liyahluka kumntu nomntu. Ukuba umonzakalo uphakathi, kunokuthatha malunga neentsuku ezilishumi kuphela ukuphola. Ukuba kufuneka utyando, ukuchacha kwakunokuthabatha malunga neenyanga ezintandathu ukuya kwezisithoba. Ukuchacha ngokupheleleyo kufuna iinyanga ezi-6 ukuya kwezili-12.
I-Chiropractor engcono kakhulu yeKnee Injury
VIDEO
Ucaphulo
I-American Academy ye-Orthopedic Surgeons. Ukwenzakala kwiLigament yangasemva kweCruciate. (orthoinfo.aaos.org/en/diseases-conditions/posterior-cruciate-ligament-injuries ) Ifikeleleke nge-7/26/21.
Bedi A, Musahl V, Cowan JB. Ulawulo lwe-Posterior Cruciate Ligament Injuries: Ukuphononongwa okusekelwe kubungqina. Ijenali yeAmerican Academy of Orthopedic Surgery. 2016 May;24(5):277-89. Ifikeleleke ngo-7/26/21.
Lu, Cheng-Chang, et al. "Iiveki ezilishumi elinesibini zeNkqubo yoQeqesho oluQhelekileyo kunye noQeqesho lwamandla luphucula amandla e-Muscle, iProprioception, kunye noMsebenzi weKlinikhi kwizigulane ezinokulimala kwe-Isolated Posterior Cruciate Ligament." Ijenali yamazwe ngamazwe yophando lokusingqongileyo kunye nempilo yoluntu vol. 18,23 12849. 6 Dec. 2021, doi:10.3390/ijerph182312849
Pierce, uCasey M et al. "Iinyembezi ze-Posterior cruciate ligament: ukulungiswa okusebenzayo kunye nokubuyisela emva kokusebenza." Utyando lwamadolo, i-traumatology yezemidlalo, i-arthroscopy: ijenali esemthethweni ye-ESSKA vol. 21,5 (2013): 1071-84. doi:10.1007/s00167-012-1970-1
Schüttler, KF et al. "I-Verletzungen des hinteren Kreuzbands" [Ukulimala kwe-Posterior cruciate ligament]. Der Unfallchirurg vol. 120,1 (2017): 55-68. doi:10.1007/s00113-016-0292-z
UZsidai, uBálint, et al. "Iindlela ezahlukeneyo zokulimala zikhona phakathi kwezigulane ezifumana unyango olusebenzayo lwe-PCL eyedwa, i-PCL / ACL edibeneyo, kunye nokulimala kwe-ACL okukodwa: isifundo esivela kwi-Swedish National Knee Ligament Registry." Utyando lwamadolo, i-traumatology yezemidlalo, i-arthroscopy: ijenali esemthethweni ye-ESSKA vol. 30,10 (2022): 3451-3460. doi:10.1007/s00167-022-06948-x
by UGqr Alex Jimenez Ukulimala koluhlu , Sciatica
I-Hamstring syndrome yimeko apho i-nerve ye-sciatic ixinzelelwe phakathi kwemisipha ye-hamstring kunye nethambo le-pelvic okanye ngamabhande eethambo ezidibanisa imisipha ye-hamstring ebangela ukunyanzeliswa kunye nokujikeleza kwe-nerve. Kubonwa kubantu abadlala imidlalo ebandakanya ukubaleka, ukukhaba, okanye ukutsiba, kubantu abakwiminyaka ephakathi abenza imisebenzi yemihla ngemihla abaye banengxaki yokuwa, nakubantu abahlala iiyure ezininzi. Ukunyamekela kwe-Chiropractic, i-massage, kunye ne-decompression therapy inokunciphisa iimpawu, ikhulule i-nerve ebanjwe, iphumle kwaye yolule imisipha, kwaye ibuyisele umsebenzi.
Izihlunu zeHamstring zibanjelwe kwiNerve ye-Sciatic
Izihlunu ezintathu zenza i-hamstrings ngasemva kwethanga. I-sciatic nerve ibaleka ukusuka ezantsi umva ukuya emlenzeni ukuya elunyaweni. I-nerve ye-sciatic ebanjwe inokubangela iimpawu ezahlukeneyo kunye nokuziva emva komlenze, i-hip, i-buttock kunye nonyawo. Kunokuba buhlungu ukuhlala phantsi okanye ukunweba imilenze ngaphandle, kwaye ngokuqhelekileyo kukho ukuqina ngaphakathi kunye / okanye malunga ne-buttock kunye nomva womlenze. Iimpawu zidla ngokuphela xa ulele ngomqolo.
Isizathu
Ukugqoka rhoqo kunye nokukrazula kwimisipha yangemva kunye ne-hamstrings kunokufaka isandla kwimeko.
Ngokuqhelekileyo i-nerve ye-sciatic kunye / okanye i-sheath ejikeleze i-nerve ye-sciatic iyabanjwa kwaye icaphuke njengoko ihamba ngeenxa zonke. ischial tuberosity
Ummandla apho i-nerve ye-sciatic ihamba phantsi ngasemva komlenze inokuthi ibe yincinci, ikhokelela ekucaphukiseni i-nerve kunye nokubetha, ukubetha, kunye nokubetha.
Ukwenzakala kaninzi kwenzeka ngexesha leentshukumo zesiquphe, ezikhawulezayo, ezinamandla ezithi zigqithise imisipha kunye/okanye nezihlunu kodwa zinokwenzeka nangexesha lokushukuma kancinci.
Ukushukuma kuphazamisa ukutsalwa kunye nokuxutywa kwe-nerve kwimisipha.
Ukutsalwa okungenabuhlungu okanye i-pop of hamstrings kunokubangela ukuba izihlunu zibe ne-spasm kwaye zijikeleze i-nerve.
iimpawu
Iimpawu zidla ngokubandakanya oku kulandelayo:
Iintlungu zomlenze ziba nzima xa uhleli.
Iintlungu ezinzulu zokudubula kombane okwenza kube nzima ukuma okanye ukunyakaza.
Ubunzima bokuhambisa umlenze okanye unyawo.
Ubundindisholo kunye nobuthathaka ngaphakathi kunye nokujikeleza umlenze.
Ukurhawuzelelwa okanye ukutshisa okuhamba emlenzeni.
Iintlungu eziqhubekayo kwicala elinye lomqolo osezantsi.
Ukhathalelo lweChiropractic
Unyango lweChiropractic inokuphelisa iimpawu kwaye ikhulule i-nerve ebanjwe.
Ukuchonga ngokuchanileyo -I-chiropractor iya kuhlola kwaye iphonononge umsebenzi womzimba, umsebenzi, kunye nembali yonyango.Unyango lomkhenkce kunye noBushushu iya kumisa ukudumba kwaye inyuse ukuhamba kwegazi.Ukunyanga kwamayeza ikhulula imisipha kwaye inyuse ukujikeleza.Unyango loxinzelelo ngokukhawuleza kwaye ngokukhawuleza wolula umzimba.Ulungiso lweChiropractic lungisa kwaye uhlaziye umzimba.Ukolula okujoliswe kuko kunye nemithambo iya kugcina imisipha ikhululekile kwaye ikhulise amandla.Nondlo iingcebiso ziya kunceda ukunciphisa ukuvuvukala kunye nokuthintela ukuvutha.
I-Hamstrings kunye ne-Sciatic Nerve Relationship
VIDEO
Ucaphulo
Lohrer, Heinz, et al. "I-nerve entrapment emva kokwenzakala kwe-hamstring." Ijenali yeklinikhi yamayeza ezemidlalo: ijenali esemthethweni yeCanadian Academy of Sports Medicine vol. 22,5 (2012): 443-5. doi:10.1097/JSM.0b013e318257d76c
Mattiussi, uGabriele, kunye noCarlos Moreno. "Unyango lwe-hamstring ye-tendinopathy enxulumene ne-sciatic nerve entrapment: umboniso we-ultrasound ekhokelwa yi-"Intratissue Percutaneous Electrolysis" isicelo. Izihlunu, imigqa kunye nejenali yemisipha vol. 6,2 248-252. 17 Septemba 2016, doi:10.11138/mltj/2016.6.2.248
UMcGregor, uCatriona, et al. "Umonzakalo kunye nokulimala okugqithisileyo kwemvelaphi ye-ischial ye-hamstrings." Ukukhubazeka kunye nokubuyisela kwisimo sangaphambili vol. 30,20-22 (2008): 1597-601. doi:10.1080/09638280701786138
Saikku, Kari, et al. "Ukubanjwa kwe-sciatic nerve ejikelezayo yimisipha ye-hamstring." Acta orthopaedica Belgica vol. 76,3 (2010): 321-4.
by UGqr Alex Jimenez Umqolo obuhlungu , Chiropractic , Ubuhlungu obungapheliyo , Iimeko eziPhathwayo , impilo , Ubuhlungu obuya emva , Unyango , I-Viscerosomatic Reflex , Ukuphila
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
VIDEO
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
by UGqr Alex Jimenez Ukulimala koluhlu , Sciatica
I-Sciatica ukusuka ekusebenzeni ngaphandle : Kukho iingenelo zokuzilolonga ngamandla kunye nenqanaba lokwamkela ukungonwabi okuhamba nokuzibhokoxa. Ngelixa oku kuyinyani ukuya kuthi ga kwinqanaba elithile, xa abantu beva impompo kwaye bekwindawo yokuzilolonga, kunokuba lula kakhulu ukuyisusa kwaye uyigqithise. Kulapho umzimba kunye nomqolo ziba sesichengeni sokwenzakala. I-Sciatica ekusebenzeni iyenzeka xa uxinzelelo olongezelelweyo kwi-nerve ye-sciatic iphumela kwi-nerve compressed / pinched. Ukushiywa kungaphathwanga kunokukhokelela kwiingxaki ezingaphaya komva kunye neminye imiba yezempilo. I-Injury Medical Chiropractic kunye ne-Functional Medicine Team inokunciphisa ukunyanzeliswa, ukukhulula i-nerve, ukukhulula imisipha, nokubuyisela umsebenzi.
I-Sciatica ukusuka ekusebenzeni ngaphandle
Microtrauma
Ukwakha imisipha kunye nokwandisa amandla kufuna umlinganiselo othile womonakalo womzimba kwimisipha yenkqubela phambili eyimpumelelo. Ukuzilolonga okunzulu kunye nobunzima kukrazula izicubu ze-muscle ezibangela i-microtrauma ebangela impendulo yokuphilisa eyenza ubunzima bemisipha. Ezi zinto zincinci zingabangela ukuba izihlunu zangasemva ziqiniswe, zitshintshe umqolo ngaphandle kokulungelelaniswa, okubangela ukuba i-discs idibanise kwaye icinezele imithambo-luvo, okanye imisipha yomlenze oqinileyo njengokuvuvukala kwe-piriformis kunye nokucofa i-nerve ye-sciatic.
Izizathu
Ukuphumla kunye nokuBuyisa kwakhona
Kubalulekile ukuqonda ukuba ukuchacha ngendlela eyiyo kubalulekile kwiprogram yokuzilolonga.
Kungathatha ukuya kwiiyure ezingama-72 ukuchacha kwii-microtears. Abantu ababuyela umva kwimithambo efanayo banokuzenza mandundu iinyembezi ezincinci ngelixa bedala ngaphezulu, okukhokelela kumjikelo osezantsi weempawu ezinokukhokelela kwezinye iingxaki okanye zibe sisifo esingapheliyo.
Ukujikeleza ukuzivocavoca okuhamba lula kumqolo kunye nemisipha yomlenze kunceda ukuphilisa okuqhelekileyo kunye nophuhliso lwezicubu zomzimba.
Ukungazifudumeli Phambi Kokujima
Ukungazifudumezi phambi kokuba wenze umthambo kunokubangela ukwenzakala.
Xa izihlunu zibanda yaye zingafudunyezwanga kakuhle, zinokuba lukhuni zize zingabi bhetyebhetye, nto leyo ebangela ukuba zikruquke zize zikrazuke xa zichanabeke ngokukhawuleza, ukuzibhokoxa ngamandla.
Ngaphambi kokuba wenze nawuphi na umthambo, hlala uqala ngempembelelo ephantsi, ukufudumala okuthambileyo.
Akoluki Ngokufanelekileyo okanye kwaphela
Ukolula umzimba ogcweleyo kuyimfuneko njengoko izihlunu ezikrazukileyo, eziqinileyo zifuna ukukhululeka kwaye zigcinwe zikhululekile.
Qinisekisa ukuba wolula i-hamstrings kunye ne-hips ngokucokisekileyo.
Emva kokuzivocavoca ngalunye, thatha imizuzu eyi-10 kwaye uzolule.
Hayi ukolula emva
Soloko usenza ukolula emva kokuzilolonga.
Ukolula emva koko kunokuthintela ukudinwa kwemisipha kunye nobuhlungu obuvela kwi-lactic acid buildup.
Ukuqala Ngobunzima obunzima
Ukwenzakala okuninzi kwenzeka ngenxa yokuba abantu beqala nzima kakhulu.
Ukucela umngeni ekusebenzeni komzimba yinxalenye yenkqubo kodwa kufuneka kwenziwe ngamanyathelo amancinci.
Qala ngobunzima obulula kwaye wongeze kancinci kancinci.
Isimo esingafanelekanga kunye neFomu
Isizathu esiphambili seengxaki zomqolo kukungahambi kakuhle kunye nefom.
Ukugoba umva ngelixa uphakamisa iintsimbi yeyona mpazamo inkulu.
Ukugqithisa kakhulu kunokubangela ukwenzakala.
Xa usenza iipush-ups okanye iiplanga, kuphephe ukutshona ezinqeni.
Imiphezulu Enzima
Kwiimbaleki, iindawo eziqinileyo ezifana nekhonkrithi okanye i-asphalt zinyanzela umzimba kunye nomva ukuze zifunxe uninzi lweempembelelo.
Oku kucinezela i-vertebrae, enokucaphukisa i-nerve ye-sciatic.
Jikelezisa ngokusebenzisa iindlela zokubaleka okanye i-treadmill.
Sebenza ekubalekeni ngomgama omfutshane ukunciphisa ukutsiba kunye neempembelelo.
Bandakanya uqeqesho olunqamlezileyo.
Jikelezisa uqeqesho lwamandla omzimba ophezulu ukunika imilenze, i-gluteals, kunye nezihlunu zangasemva ziphumle.
Ukuvuselelwa kweChiropractic
Ukhathalelo lweChiropractic, i-massage, kunye nonyango lokuthomalalisa kunokuphelisa iintlungu ze-sciatica. Ukusebenzisa ukuguqulwa kwamagxa ubuchule kunye nolunye unyango, i-chiropractors inokunciphisa uxinzelelo kwi-nerve. Unyango lubandakanya:
I-X-rays ithathwa ukuze i-chiropractor ikwazi ukuqonda isizathu.
Ukuphulula izihlunu ukuze uphumle kwaye uzikhulule kwaye ukwandise ukujikeleza.
Ukolula kunye nokusebenzisa uxinzelelo olulawulwayo kumalungu.
Ukuzivocavoca okuthe ngqo kunye nokwelula kuya kucetyiswa ukuba kwenziwe ekhaya.
Uqeqesho lwezempilo kunye ukondla kunye neengcebiso zempilo.
Unyango lwe-Sciatica yoMntu
VIDEO
Ucaphulo
UBonasia DE, uRosso F, uCottino U, uRossi R. Intlungu yomlenze eyenziwa ngumzimba. Asia Pac J Sports Med Arthrosc Rehabil Technol. 2015;2(3):73-84. doi:10.1016/j.asmart.2015.03.003
Cook CE, Taylor J, Wright A, Milosavljevic S, Goode A, Whitford M. Imiba yengozi yesiganeko sokuqala sciatica: ukuphononongwa ngokuchanekileyo. Physiother Res Int. 2014 Jun;18:65-78. doi:doi:10.1002/pri.1572
Koes BW, van Tulder MW, Peul WC. Ukuxilongwa kunye nokunyangwa kwe-sciatica. BMJ. 2007; 334 (7607): 1313-1317. doi:10.1136/bmj.39223.428495.BE
Lewis RA, Williams NH, Sutton AJ, et al. Ukuthelekisa ukusebenza kweklinikhi yobuchule bolawulo lwe-sciatica: ukuphononongwa okucwangcisiweyo kunye nohlalutyo lwe-meta yenethiwekhi. (PDF). Umqolo J. 2015;15(6):1461-77. doi:10.1016/j.spinee.2013.08.049
Ropper AH, Zafonte RD. Sciatica. N Ngesi J Med. 2015;372(13):1240–8. doi:10.1056/NEJMra1410151
Salehi, Alireza, et al. "I-Chiropractic: Ngaba iyasebenza kuNyango lweZifo? Uphononongo loPhononongo oluCwangcisiweyo. Ijenali yaMazwe ngaMazwe yobunesi esekwe kuluntu kunye nokubelekisa vol. 3,4 (2015): 244-54.
by UGqr Alex Jimenez Chiropractic , Ubuhlungu obungapheliyo , Ukulimala koluhlu , Iimeko eziPhathwayo , impilo , Unyango , I-Viscerosomatic Reflex , Ukuphila
intshayelelo
Umzimba ngumatshini oyinkimbinkimbi kunye nemisipha eyahlukeneyo, i-tendon, i-ligaments, kunye nezitho ezibalulekileyo ezidlala indima ethile ekugcinweni kokusebenza kunye nokuzinza kumamkeli. Umzimba uvumela ukuhamba kunye nokuhamba ukusuka kwi- entanyeni ukuya kwi iinyawo . Xa umzimba uphethwe ziintlungu okanye uchatshazelwa yimiba eyahlukeneyo ehambelana nentlungu, zimbini izinto ezinokwenzeka, enye, apho buhlungu buhlungu inokuchaphazela umzimba kwaye ibangele umntu abe buhlungu kangangeentsuku ezimbalwa okanye ezimbini, apho umzimba ubandezeleka khona Ubuhlungu obungapheliyo okukhokelela ekuphuhlisweni kwe-myofascial pain syndrome engakhokelela kwiintlungu ezigqithisiweyo kumaqela ahlukeneyo emisipha kwaye ibangele ukuba umzimba ungasebenzi. Inqaku lanamhlanje liphonononga indlela yokuxilonga i-myofascial pain syndrome, indlela umzimba osabela ngayo kule meko, kunye nendlela unyango olwahlukeneyo lunokunciphisa ngayo i-myofascial pain syndrome emzimbeni. Sithumela izigulane kubaboneleli abaqinisekisiweyo ababandakanya ubuchule kunye nonyango kubantu abajongene ne-myofascial pain syndrome echaphazela iindawo ezahlukeneyo zomzimba kunye nokubangela ukusebenza. Ngokufumana apho avela khona amanqaku e-trigger, iingcali ezininzi zeentlungu zisebenzisa isicwangciso sonyango ukunciphisa iziphumo ezibangela amanqaku emzimbeni ngelixa beza nokuxilongwa ukunciphisa iintlungu ezigqithisiweyo ezichaphazela umzimba. 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
Indlela yokuFumana iMyofascial Pain Syndrome
Ngaba ukhe waziva iintlungu kwiindawo ezahlukeneyo emzimbeni wakho? Ngaba unayo nayiphi na imimandla yesikhalazo echaphazela indlela yakho yokuphila yemihla ngemihla? Okanye ngaba unemiba yokuzinza kunye nokuhamba xa uphuma kwaye uhamba? Amaxesha amaninzi, malunga ne-25% yabantu baseMelika bakwintlungu ethile enokuchaphazela ubomi babo kwaye, ukuba ayiphathwa kwangoko, inokubangela ukuba umzimba ungasebenzi. Xa kukho intlungu eqhubekayo emzimbeni, inokubangela ukugqithiswa kweeprofayili zengozi, eyaziwa ngokuba yi-myofascial pain syndrome. Isifo se-Myofascial pain syndrome Ihlala ichazwa njengentlungu ephuma ecaleni kwamaqela ezihlunu ze-musculoskeletal kwaye ibangela amabala anokuxhwaleka ngaphakathi kwi-taut band ye-muscle fibers, ebangela ukuba kuphuhliswe amanqaku. Oku kuthetha ukuba ukunyakaza okuphindaphindiweyo kubangela ukunyanzeliswa kwemisipha kunye nokuqina kunye nemicu yemisipha xa umzimba uhamba ngokuphindaphindiweyo imihla ngemihla.
Xa abantu abaninzi bejongene ne-myofascial pain syndrome, baya kugqirha wabo oyintloko kwaye bachaze ukuba bajongene nentlungu kwiindawo ezahlukeneyo zemizimba yabo, kuquka intloko, intamo, amahlombe, umva, umlenze, njl. Emva koko, oogqirha babo qhuba uviwo ukujonga apho umcimbi uqhubeka khona. Oogqirha abaninzi bahlala bebuza imibuzo emininzi kwizigulane zabo malunga nemisebenzi yabo yemihla ngemihla ngaphambi kokuza nokuxilongwa ukuba i-myofascial pain syndrome ichaphazela imizimba yabo. Uphando lutyhila ukuba i-etiology ye-myofascial pain syndrome ayiqondwa ngokupheleleyo. Sekunjalo, xa izihlunu, iiligaments, kunye nezicubu zivutha okanye zifumana ukwenzakala okuphindaphindiweyo, kunokukhatshwa ziimeko ezihambelanayo kunye nokuphazamiseka. Ukuza kuthi ga ngelo xesha, oogqirha baya kusebenza kunye nababoneleli babo bezonyango abadibeneyo ukuphuhlisa isicwangciso sonyango lomntu siqu ukuxilonga kunye nokunciphisa intlungu ye-myofascial syndrome ehambelana neemeko ezingapheliyo ezichaphazela umzimba.
Umzimba usabela njani kwi-Myofascial Pain Syndrome
Ngoku xa umzimba ujongana ne-myofascial pain syndrome, izifundo zityhila ukuba inokuba yingxaki enkulu yempilo xa inganyangwa ngoko nangoko; inokubangela oku kulandelayo:
Ukungahambi kakuhle Ubuhlungu I-hypersensitivity yemisipha Imiba yokulala Imiba ye-Neurological
Ngokutsho kwe "Myofascial Pain and Dysfunction: The Trigger Point Manual," nguDkt. Janet G. Travell, MD, le ncwadi ichaza ukuba xa i-myofascial pain syndrome iyancipha, inokukhokelela kwisifo esibizwa ngokuba yi-myofascial pain modulation disorder. Oku kuthetha ukuba xa umntu ejongene namanqaku e-trigger emizimbeni yabo, inokuphazamisa iipatheni zabo ezigqithisiweyo zentlungu xa befunyaniswa. Amanqaku okuqalisa asebenzayo aqhelekile ukuba neentlungu zeprojekthi kwiindawo ezahlukeneyo zomzimba, ezaziwa ngokuba ziintlungu ezidluliselweyo. Nangona kunjalo, nge-myofascial pain modulation disorder, intlungu ayenzeki kwindawo kodwa i-berrant, ebangela ukugqwesa kwinkqubo yomnatha kwaye ithumela iimpawu zentlungu ezibangela umonakalo wesakhiwo kwimisipha echaphazelekayo emzimbeni.
Isishwankathelo sePain eQinisekisiweyo-Ividiyo
VIDEO
Ngaba ukhe waziva iintlungu kwiindawo ezahlukeneyo emzimbeni wakho? Ngaba unayo imiba yokuhamba xa ujika intamo okanye umlenze wakho? Ngaba uziva ngathi ulahlekelwa ngumgangatho wobomi bakho? Ukuba ubukhe wajongana neengxaki ezinjengeentlungu emzimbeni wakho, inokuba kungenxa ye-myofascial pain syndrome ebangela le miba. I-Myofascial pain syndrome kuxa umzimba uhamba ngokuphindaphindiweyo okanye ukuxhwaleka okubangela iimpawu zobunzima bemisipha kunye nokuqina okuhambelana neentlungu ezibhekiswayo. Ividiyo engentla ichaza ukuba yintoni intlungu ekubhekiselwe kuyo emzimbeni kunye nendlela enokuchaphazela ngayo imisipha kunye nezitho ezihambelanayo. Oku kwaziwa ngokuba yi-somato-visceral dysfunction, apho izihlunu kunye nezitho ezibalulekileyo ezinxulumene nazo zichaphazelekayo, zibangela intlungu. Umzekelo uya kuba yintlungu yesifuba ehambelana nemiba ye-cardiovascular elinganisa ukuhlaselwa kwentliziyo. Unyango oluhlukeneyo ngoku lunokunyanga i-myofascial pain syndrome ehambelana namanqaku e-trigger anokunciphisa intlungu yendawo echaphazela umzimba.
Unyango olwahlukeneyo lokunciphisa i-Myofascial Pain Syndrome
Unyango oluninzi olukhoyo lunokunceda umzimba kwaye lubuyisele umgangatho wobomi bomntu xa kufikwa ekunciphiseni iimpawu ezinjengeentlungu ezinxulumene ne-myofascial pain syndrome. Njengoko bekutshiwo ngaphambili, xa umntu efunyaniswa ukuba une-myofascial pain syndrome ngoogqirha babo abaphambili, oogqirha babo baya kusebenza kunye nezinye iingcali zentlungu, njengeengcali zonyango, ii-massage therapists, kunye ne-chiropractors, ezinokuthi zifumane apho iintlungu ezidluliselweyo zikhona emzimbeni kwaye zinciphise. iimpawu. Oku kuvumela isicwangciso sonyango ukuba senzelwe umntu kwaye silungiselelwe umntu. Xa i-myofascial pain syndrome ibangela ukuba izihlunu zibe lukhuni kwaye ziqine ngenxa yezinto eziphindaphindiweyo, iingcali zeentlungu zisebenza kunye nomzimba ukubuyisela ukusebenza kunye nokunceda ukukhulula imisipha. Ayisiyiyo loo nto kuphela, kodwa abantu abaninzi baya kuthatha inxaxheba izenzo zokucamngca ukuvumela imizimba yabo ukuba iphumle kwaye inciphise amanqaku e-trigger kwixesha elizayo ekuphuhliseni. Oku kuya kubenza babe nengqondo ephilileyo kwaye bangabi nazintlungu.
isiphelo
I-Myofascial pain syndrome kuxa umzimba uneempawu ezinjengeentlungu ezichaphazela amaqela ahlukeneyo emisipha. Inokubangela iimpawu ezininzi ezinxulumene neentlungu ezinokubangela ukuhamba kunye nokungasebenzi kumntu ngamnye. Ekubeni umzimba ungumatshini oyinkimbinkimbi obandakanya imisipha eyahlukeneyo, i-tendon, i-ligaments, kunye nezitho ezibalulekileyo zokugcina ukusebenza, intlungu ye-myofascial ingabangela intlungu echazwe kwindawo eyahlukileyo yomzimba kwaye ingaba yingxaki enkulu yempilo. Nangona kunjalo, unyango olukhoyo lunokunciphisa iimpawu ezinjengeentlungu ezibangelwa yi-myofascial pain syndrome. Xa oogqirha besebenza kunye nababoneleli bezonyango abanxulumeneyo abajongene ne-myofascial pain syndrome, banokuphuhlisa isicwangciso sonyango lomntu siqu ukunciphisa iimpawu ezinjengeentlungu zexesha elizayo ezinxulumene ne-myofascial pain syndrome ekubangeleni imiba emininzi emzimbeni kunye nokunciphisa iimeko ezihambelanayo ezihambayo ezibangela intlungu ye-myofascial. .
Ucaphulo
Cao, Qi-Wang, et al. "Imvumelwano yeNgcali malunga nokuxilongwa kunye noNyango lwe-Myofascial Pain Syndrome." Ijenali yehlabathi yamatyala ezonyango , Ithala Leencwadi Lesizwe laseMelika laseMelika, nge-26 Matshi 2021, www.ncbi.nlm.nih.gov/pmc/articles/PMC8017503/ .
UDesai, uMehul J, et al. "I-Myofascial Pain Syndrome: Uphononongo loNyango." Intlungu kunye nonyango , ILayibrari yeSizwe yezeMithi yase-US, ngoJuni 2013, www.ncbi.nlm.nih.gov/pmc/articles/PMC4107879/ .
Jafri, M Saleet. "Iindlela zeMyofascial Pain." Izaziso zoPhando lwaMazwe ngaMazwe , ILayibrari yeSizwe ka-US yamayeza, 2014, www.ncbi.nlm.nih.gov/pmc/articles/PMC4285362/ .
Niddam, DM, et al. "Utshintsho lweZakhiwo zoBuchule kwiZigulana ezineNzululwazi engapheliyo yeMyofascial." Ijenali yaseYurophu yeentlungu (eLondon, eNgilani) , ILayibrari yeSizwe yezeMithi yase-US, uJanuwari 2017, yentshutshiso.ncbi.nlm.nih.gov/27352085/ .
Travell, JG, et al. Iintlungu ze-Myofascial kunye nokungasebenzi kakuhle: I-Trigger Point Manual: Vol. 2:Iindawo ezisezantsi . Williams & Wilkins, ngo-1999.
isikhanyeli
I-Ligament yangasemva yeCruciate
