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Umqolo wenziwe ngamathambo abizwa ngokuba yi-vertebrae, kunye nentambo yomqolo ebaleka kumjelo womqolo embindini. Intambo yenziwe yimithambo-luvo. Ezi ngcambu ze-nerve zahlulahlula ngentambo kwaye zihamba phakathi kwe-vertebrae kwiindawo ezahlukeneyo zomzimba. Xa ezi ngcambu zine-pinched okanye zonakaliswe, iimpawu ezilandelayo ziyaziwa ngokuba yi-radiculopathy. El Paso, TX. Ugqirha wamayeza, uGqirha Alexander Jimenez uyaphuka radiculopathies,Kunye nezo zabo ibangela, iimpawu kunye neyeza.

  • I-nerved braced ingenzeka kwiindawo ezahlukeneyo zomgudu (umlomo wesibeleko, i-thoracic okanye i-lumbar).
  • Oonobangela abaqhelekileyo kukucuthwa komngxunya apho iingcambu zemithambo-luvo ziphumayo, ezinokubangela i-stenosis, i-bone spurs, i-disc kunye nezinye iimeko.
  • Iimpawu ziyahluka kodwa ziquka rhoqo intlungu, ubuthathaka, ukuxubha kunye nokubetha.
  • Iimpawu zilawulwa ngonyango olungenasiphelo, kodwa utyando oluncinane lunokunceda.

Radiculopathy

Ukudalwa kunye nePathogenesis

radiculopathy ukhathalelo lwe-chiropractic el paso tx.

  • I-disc ye-herniated ingachazwa njenge-herniation ye-nucleus pulposus ngokusebenzisa iimbombo ze-annulus fibrosus.
  • Uninzi lwe-disc rupture luyenzeka ngexesha lesithathu leminyaka yesine yobomi ngelixa i-nucleus pulposus isagcina i-gelatin.
  • Ixesha elininzi lokuba lunxulumene nokunyuka kwamandla kwi-disc ngentsasa.
  • Kwimimandla ye-lumbar, i-perforation ivame ukuvela ngesiphene nje nge-lateral ukuya kumgca we-posterior, apho i-longitudinal longitudinal ligament.

radiculopathy ukhathalelo lwe-chiropractic el paso tx.Epidemology

radiculopathy ukhathalelo lwe-chiropractic el paso tx.Lumbar Spine:

  • I-Symptomatic disc i-disc yesikhombiso iyenzeka ngexesha lokuphila malunga nantoni 2% yoluntu jikelele.
  • Phantse 80% bemihlali baya kuba neentlungu ezibangele emva kwexesha lekhosi.
  • Amaqela asemngciphekweni omkhulu wokuhlaselwa kweediski ze-intervertebral ngabantu abancinci (iminyaka yobudala be-35 iminyaka)
  • Liyinyaniso sciatica ngokwenene iphuhlisa kuphela 35% zezigulane ezine-disc.
  • Ngokungaqhelekanga, i-sciatica ikhula i-6 kwiminyaka eyi-10 emva kokuqala kweentlungu ezisezantsi.
  • Ixesha leentlungu zentlungu lendawo lingahambelana nomonakalo ophindaphindiweyo kwimibhobho yonyaka esicasula intshontsho ye-sinuvertbral kodwa ayiphumeleli kwi-disc.

Epidemology

Umlomo wesibeleko:

  • Isiganeko sesiganeko se-radiculopathies yesibeletho singaphantsi kwe-0.1 ngabantu abane-1000.
  • Iimfucu ezithambileyo ezincinci aziqhelekanga kunezinto eziqhelekileyo ezingabonakaliyo (spondylosis) njengesizathu sobuhlungu beengalo.
  • Kuhlolisiso lwezigulane ze-395 ezineengcambu zeengcambu ezingaqhelekanga, i-radiculopathies yenzeka kwintonga yomlomo wesibeleko kunye ne-lumbar spine kwi-93 (24%) Kunye ne302 (76%), ngokulandelanayo.

Pathogenesis

  • Utshintsho kwi-disvertebral disc i-biomechanics kunye ne-biochemistry ngokuhamba kwesikhathi kunempembelelo ekusebenzeni kwidiski.
  • I-disc ayinakukwazi ukusebenza kangangoko njengendawo yokwahlula phakathi kwamalungu omzimba okanye njengento ehlangeneyo.

I-Pathogenesis - I-LUMBAR SPINE

radiculopathy ukhathalelo lwe-chiropractic el paso tx.

  • Amanqanaba amabini aqhelekileyo kwi-disc ye-disc are-L4-L5 kunye ne-L5-S1, yintoni ingxelo 98% izilonda; i-pathology ingenzeka kwiL2-L3 kunye ne-L3-L4 kodwa ayiqhelekanga.
    Kuko konke, 90% yee-disc ye-disc ziyi-L4-L5 kunye ne-L5-S1.
  • Iingxoxo ze-Disc kwi-L5-S1 ziza kuphazamisa ingcambu ye-sacral nerve, i-lesion kwi-L4-L5 inqanaba liza kuphelisa i-root lumbar impande, kwaye i-herniation e-L3-L4 ihlala iquka i-root lumbar.

radiculopathy ukhathalelo lwe-chiropractic el paso tx.

radiculopathy ukhathalelo lwe-chiropractic el paso tx.

radiculopathy ukhathalelo lwe-chiropractic el paso tx.

  • I-Disc ye-Disc iyakhula nakwizigulane ezinde.
  • Iisisombululo se-disc esibangela ukunyanzeliswa kwizigulane ezisebekhulile ziqulunqwe i-annulus fibrosus kunye neengxenye ze-endplate ye-cartilaginous (i-disc hard).
    I-cartilage ixoshwa kumzimba we-vertebral.
  • Isigqibo sesinye seziphumo ezinzima kwizakhiwo ze-neural zidinga ukuhlaziywa kwe-nucleus pulposus.

radiculopathy ukhathalelo lwe-chiropractic el paso tx.

  • I-disc resorption yinxalenye yenkqubo yokuphulukisa ngokwemvelo ehambelana nokuhluthwa kwe-disc.
  • Ikhono eliphuculweyo lokuhlaziya iidiski linokukwazi ukusombulula iimpawu zeklinikhi ngokukhawuleza.
  • Ukulungiswa kwezinto eziphathekayo ze-disniated disc idibene nokunyuka okuphawulekayo kwe-macrophages yokungena ngaphakathi kunye nokuveliswa kwe-metalloproteinases yamatriki (MMPs) 3 kunye ne-7.
  • I-Nerlich kunye nabahlobo bafumanisa imvelaphi yeeseli ze-phagocytic kwiidiski ze-intervertebral ezonakalisiweyo.
  • Uphando lwafumanisa iiseli ezitshintshiweyo zeseli zendawo kunokuba zihlasele ii-macrophages.
  • Ii-disgenerative diss ziqulethe iiseli ezongeza ekuhlaleni kwazo.

radiculopathy ukhathalelo lwe-chiropractic el paso tx.

I-Pathogenesis - I-CERVICAL SPINE

  • Kwii-1940 zakudala, kwavela inani leengxelo apho i-discvertebral disnibral disc ne-radiculopathies yachazwa.
  • Kukho ulungelelwano oluchanekileyo phakathi kwe-anatomy yomgudu wesibeleko kunye nendawo kunye ne-pathophysiology ye-disc lesion.

radiculopathy ukhathalelo lwe-chiropractic el paso tx.

  • Iingcambu ezisibhozo zentsholongwane yentsholongwane ziphuma nge-intervertebral foramina eziphambene ne-disvertebral disc kunye ne-posterolaterally nge-joint yygapopsese.
  • I-foramina inkulu kwiC2-C3 kwaye iyancipha ngobukhulu ukuya kwiC6-C7.
  • Ingcambu yengcambu ihlala 25% ukuya 33% umthamo we-foramen.
  • Ingcambu yeC1 iphuma phakathi kwe-occiput kunye ne-atlas (C1)
  • Zonke iingcambu ezisezantsi ziphuma ngaphezu kwe-vertebrae yomlomo wesibeleko (i-root C6 kwi-C5-C6 interspace), ngaphandle kweC8, ephuma phakathi kwe-C7 ne-T1.
  • Izinga lokukhula ngokungafani lichaphazela ubudlelwane bomncintongo kunye neengcambu zentliziyo kunye nomlenze wesibeletho.

radiculopathy ukhathalelo lwe-chiropractic el paso tx.

  • Uninzi lwama-disc ahlayo luvela emva kwesikhokelo kunye nasezigulini ezijikelezayo kwiminyaka elishumi yobomi, xa i-nucleus isagcina i-gelatin.
  • Iindawo eziqhelekileyo zee-disc areniC6-C7 kunye ne-C5-C6.
  • I-C7-T1 kunye ne-C3-C4 i-disc arena (ngaphantsi kwe15%).
  • Ukunikezelwa kwe-Disc yeC2-C3 ayinqabile.
  • Izigulane ezineentshukumo eziphezulu zomlomo wesibeleko kwi-C2-C3 zinezibonakaliso ezibandakanya intlungu ye-suboccipital, ukulahleka kwesandla sogxobhozo, kunye ne-paresthesias phezu kobuso kunye nengalo engatshatanga.
  • Ngokungafani neengcingo ze-herniated i-lumbar, ii-discs ze-cervic herniated diss zingabangela ukubethelwa kwemithi ngaphezu kweentlungu ezidityanisiweyo ngenxa yesimo somgogodla kummandla wesibeleko.
  • Iziqulatho ezingabonakali zidlala indima kwindawo yokuchithwa kwee diski.
  • Idibaniso engabonakaliyo inika ithuba lokukhokela izinto ezixotshiwe kwi-disk, apho kukho ukucutha kwentambo.

radiculopathy ukhathalelo lwe-chiropractic el paso tx.

radiculopathy ukhathalelo lwe-chiropractic el paso tx.

  • Ukukhutshwa kweediski kuhlala kuchaphazela iingcambu zesibindi ezibhalwe kakhulu kwi-disc kwinqanaba; umzekelo, i-disc ye-C3-C4 ichaphazela ingcambu yesine yomlomo wesibeleko; I-C4- C5, ingcambu yesihlanu yomlomo wesibeleko; I-C5-C6, ingcambu yesithandathu yengcambu yomlomo wesibeleko; I-C6-C7, ingcambu yesixhenxe yomlomo wesibeleko; kunye ne-C7-T1, ingcambu yesibhozo yomlomo wesibeleko.

radiculopathy ukhathalelo lwe-chiropractic el paso tx.

  • Akuyiyo yonke i-disni disniated symptomatic.
  • Ukuphuhliswa kweempawu kuxhomekeke kumandla okugcina umgudu womgogodla, ubukho bokuvuvukala, ubukhulu be-herniation, kunye nobukho bezityalo ezixhamlayo ezifana nokubunjwa kwe-osteophyte.
  • Ekuqhekekeni kwediski, ukuhanjiswa kwezinto zenyukliya kubangela uxinzelelo kwimicu yonyaka kunye noxinzelelo?
  • Kwakhona kubalulekile ukuba ubukhulu obuncinci bobuninzi be-sagittal, umbhobho womlomo wesibeletho somlomo wesibeleko.
  • Abantu abathile i-disniic herniated disc yenza ukuba i-motor disys function isincinci ye-disc ukukhishwa kwe-collar if heal stenotic.

Umlando Wezonyango - I-LUMBAR SPINE

  • Ngokwezonyango, isikhalazo esikhulu sesigulana sisifo esibukhali, esincamisayo.
  • Kwiimeko ezininzi kunokubakho imbali yangaphambili yeziganeko eziphakathi kweentlungu eziphantsi.
  • Intlungu engapheli kuphela kwimva kodwa iphinda iphinde imise umlenze kwi-anatomic ukusasazwa kweengcambu zentsholongwane.
  • Ngokuqhelekileyo ichazwa njengento ejulile kwaye ebukhali kwaye iqhubekela phambili esuka phezulu phezulu emlenzeni ochaphazelekayo.
  • Ukuqala kwayo kungabonakaliswa okanye ngokukhawuleza kwaye kuhambelana nokugqabhuka okanye ukutyhulwa kwintsipho.
  • Ngamanye amaxesha, xa i-sciatica ikhula, intlungu yangasemva iyakusombulula ngenxa yokuba i-annulus yaphuka, ingasayi kuba phantsi kwengxaki.
  • Ukuxiliswa kwe-Disc kwenzeka ngokuzamazama ngokukhawuleza xa i-trunk iguquguquka okanye ijikelezwa.
  • Ngesinye isihlandlo, izigulane ezine-L4-L5 disc disc are painful pain. Kuhlolisiso lwezigulane ze-disc lumbar ze-512, 4.1% babenentlungu.
  • Gqi beleni, i sciatica zinokuhluka ngoxinzelelo; kunokuba nzima kangangokuba izigulane aziyi kukwazi ukuza kubamba kwaye ziya kuziva ukuba umva "uvalelwe".
  • Ngakolunye uhlangothi, intlungu inokuthi iphelelwe ngumzimba onobuhlungu obandayo okhulayo ngamandla.
  • Ubunzima bunzima kwiindawo ezixhasayo kwaye zixhaswe ngokunyuswa kwesilumko somlenze.
  • Ngokwempawu, izigulane ezinalo disni uye wandisa intlungu ngokuhlala, ukushayela, ukuhamba, ukudibanisa, ukukrazula, okanye ukuxuba.

Umlando Wezonyango - I-CERVICAL SPINE

  • Intlungu yengalo, hayi intlungu yentamo, sisikhalazo esikhulu sesigulana.
  • Intlungu ibonakala iqala kwindawo yentamo kwaye idlulisa ukusuka kweli nqanaba ukuya kwelinye icala, ingalo kunye nengxowankulu kwaye ihlala isesandleni.
  • Ukuqala kweentlungu ezidlulayo zidla ngokugqithiseleyo, nangona kungenzeka ngokukhawuleza kwaye kubonakale ngokubambisana nokuhluthwa okanye ukutyhafa.
  • Njengoko ixesha lidlulayo, ubukhulu bentlungu yesandla bugqithise ngaphezu kweentamo okanye intlungu.
  • Iintlungu zengalo nazo zinokuthi ziguquke ngokunyanisekileyo kwaye zivimbele naluphi na ukusetyenziswa kwengalo; inokuthi ibangele kwiintlungu ezinzima ukuya kwi-stamping ache in the muscle.
  • Intlungu ivame ukuba yomelele ngokwaneleyo ukuvusa isigulane ebusuku.
  • Ukongezelela, isigulane sinakho isikhalazo seentloko ezinxulumene kunye ne-muscle spasm, ekwazi ukuphuma emlonyeni wesibeletho ukuya ngaphantsi kwe-scapulae.
  • Intlungu inokuphinda iqhubike esifubeni kwaye ilandele ingina (pseudoangina) okanye isifuba.
  • Iimpawu ezinjengeentlungu zangemva, intlungu yomlenze, ubuthathaka bomlenze, ukuphazamiseka kwintlungu, okanye ukungahambisani nokubonisa ukunyanzeliswa kwentambo yomthambo (iMyelopathy).

Uvavanyo lweMvelo - I-LUMBAR SPINE

radiculopathy ukhathalelo lwe-chiropractic el paso tx.

  • Ukuhlolwa kwezinto ezibonakalayo kuya kuboniswa ukunciphisa ukuhamba kwesigxina se-lumbosacral, kwaye izigulane zingabhala kwicala elinye njengoko zizama ukugoba phambili.
  • Icala le-disc yokuhlawula ngokufanayo lihambelana nendawo yoluhlu lwama-scoliotic.
  • Nangona kunjalo, inqanaba elithile okanye iqondo lokumisela alihambelani neqondo loluhlu.
  • Kwizinto zokuzikhangela, izigulane zihamba kunye i-antalgic gait apho babambelela khona umlenze ochaphazelekayo ukuze babeke ubunzima obuncinane kunokwenzeka ekupheleni.

radiculopathy ukhathalelo lwe-chiropractic el paso tx.

  • Uvavanyo lwe-Neurologic:
  • Uvavanyo lwe-neurologic lubaluleke kakhulu kwaye lunokuvelisa ubungqina obunobunzima bexinzelelo lweengcambu (kufuneka sivavanye ukuhlolwa kwe-reflex, amandla omzimba, kunye nokuvavanywa kwengqondo kwesigulane).
  • Ukongezelela, i-nerve deficit ingaba nefuthe elincinci lexeshana ngenxa yokuba inxulumene nokuhlaselwa kwangaphambili kwinqanaba elithile.
  • Ukunyanzeliswa kweengcambu zomgulane ngamnye kubangela ukuba utshintsho kwimisebenzi yeemoto, inzwa, kunye ne-reflex.
  • Xa izimpande zengxowa yokuqala zixinekile, isigulane sinokuba nobuthakathaka bodwa kwaye singakwazi ukuphakamisa ngokuphindaphindiweyo kwizinzwane zonyawo.
  • I-Atrophy yethole inokuba yinto enye, kwaye i-ankle (Achilles) reflex ivame ukunciphisa okanye ingabikho.
  • Ukulahleka okuqhelekileyo, ukuba kukho, ngokuqhelekileyo kugcinwe kwisimo esingaphandle kwethole kunye nelinye icala elisezantsi.

radiculopathy ukhathalelo lwe-chiropractic el paso tx.

  • Ukubandakanywa kwesithintelo sesihlanu semisipha kungakhokelela ekubuthatheni kwandiso lwezandla ezinkulu kwaye, kwiimeko ezimbalwa, ubuthathaka bexesha elide kunye ne-dorsiflexors yonyawo.
  • Iphutha lesithintelo liyakwazi ukuvela ngaphaya komlenze kunye nomgangatho wokunyuka kweenyawo ukuya kwizwane ezinkulu

radiculopathy ukhathalelo lwe-chiropractic el paso tx.

  • Ngokuxinwa kweengcambu zesine zomlenze, i-quadriceps muscle ichaphazelekayo; isigulane sinokubonga ubuthathaka kwi-knee extension, edla ukudibana nokungazinzi.
  • I-Atrophy ye-musculature yamathanga ingabhalwa. Ukulahleka okubonakalayo kunokuba kubonakale kwinqanaba le-anteromedial yethanga, kwaye i-tellar tendon reflex ingancipha.

radiculopathy ukhathalelo lwe-chiropractic el paso tx.

 

radiculopathy ukhathalelo lwe-chiropractic el paso tx.

  • Uvelwano lweengcambu zengcambu lunokucelwa nayiphi na indlela eyenza ukuxhatshazwa.
  • Uvavanyo olumkileyo lokunyusa umlenze (SLR) lusetyenziswa kakhulu.
  • Olu vavanyo lwenziwa kunye nesigulane siphezulu.

Uvavanyo lweMvelo - I-CERVICAL SPINE

Uvavanyo lwe-Neurologic:
  • Uvavanyo lwe-neurologic olubonisa ukungaqhelekanga luyinkalo ebalulekileyo kunomsebenzi wokuxilonga, nangona uviwo lungahlala luqhelekileyo nangona iprogram engapheliyo.
  • Ukuba khona kwe-atrophy kukunceda uxwebhu lwendawo yesilonda, kunye nokungahambi.
  • Ubuninzi beenguqu zengqondo ezithandekayo ngokusoloko kunzima ukutolika kwaye kudinga ukuba isigulane esibambiseneyo nokubambisana sibe yintengo yeklinikhi.

radiculopathy ukhathalelo lwe-chiropractic el paso tx.

  • Xa ingcambu yesithathu yomlomo wesixinzelelo ixinyiweyo, akukho tshintsho lwe-reflex kunye nobuthakathaka bamandla.
  • Intlungu iqhubela emva kwentamo kunye nenkqubo ye-mastoid kunye ne-pinna yendlebe.
  • Ukubandakanywa kwengcinezelo yesine yomlomo wesibeleko kubangela ukuba akukho utshintsho olusenokubonakala olusenokubonakala okanye ubuthathaka.
  • Intlungu iphuma emqaleni entanyeni kunye nomgangatho ophezulu we-scapula.
  • Ngamanye amaxesha, intlungu iphuma kwidibanti yangaphambili yomkhonto.
  • Intlungu ivame ukunyanzeliswa yandisa intamo.
  • Ngokungafani neyesithathu neyesine iingcambu zesisu zomlomo wesibeleko, i-5 ukuya kweyesibhozo yentsholongwane yentsholongwane yentsholongwane inemisebenzi yemoto.
  • Ukunyanzeliswa kwesithintelo sesihlanu somlomo wesibeleko kubonakaliswa bubuthathaka bokubanjwa kwamagxa, ngokuqhelekileyo ngaphezu kwe-90 degree, kunye nobuthakathaka bendoda yokwandisa.
  • Iingcamango ze-biceps zihlala zixinezelekile kwaye intlungu iphuma kumacala entanyeni ukuya phezulu kwiphepha.
  • Ukuvakalelwa kokunciphisa kudla ngokubonakalayo kwimeko ebonakalayo yecaltoid, emele indawo yokuzimela ye-nerillary nererve.

radiculopathy ukhathalelo lwe-chiropractic el paso tx.

  • Ukubandakanywa kwengcambu yesibindi yesibindi yomlomo kuvelisa ubuthakathaka obuthakathaka biceps kunye nokunciphisa i-brachioradial reflex.
  • Intlungu iphinda ikhuphe entanyeni phantsi komgangatho wecala lwesalathisi kunye nephambili kwinqanaba le-radial (isandla somnwe, umunwe omdala kunye nesithupha).
  • Ubungqina buyenzeka ngezinye iinkcukacha kwisihloko somunwe, indawo yokuzimela yesithandathu seengcongolo zesisu.

radiculopathy ukhathalelo lwe-chiropractic el paso tx.

  • Ukunyanzeliswa kweengcambu zesibondlo sesibhozo sesixhenxe kuvelisa utshintsho lwe-reflex kwi-triceps test test kunye nokulahlekelwa kwamandla kwiimisipha ze-triceps, ezongeza i-elbow.
  • Iintlungu ezivela kulo mzimbeni ziphuma kwiindawo ezisemgangathweni entanyeni phantsi komda wendawo ukuya kumnwe ophakathi.
  • Ukutshintshwa okuphawulekayo kwenzeka rhoqo kwiphondo lomnwe ophakathi, indawo yokuzimela yesibindi sesixhenxe.
  • Izigulane kufuneka zihlolwe i-wingspapular winging, ezinokuthi zenzeke nge-C6 okanye i-C7 radiculopathies.

radiculopathy ukhathalelo lwe-chiropractic el paso tx.

  • Ekugqibeleni, ukubandakanyeka kwengcambu yesibhobho yesibindi yesigqirha nge-cnium C7-T1 disc kuveza ubuthakathaka obuninzi be-musculature yangaphakathi yesandla.
  • Ukubandakanyeka okunjalo kunokukhokelela kwi-atrophy ngokukhawuleza yezihlunu ezingenangqiqo ngenxa yobukhulu obu buncinane bale mizi.
  • Ukulahleka kwe interossei kukhokelela ekulahlekelweni okukhulu kwesandla esihle.
  • Ayikho i-reflexes ifumaneka lula, nangona i-flexor carpi ulnaris reflex ingahle iyancipha.
  • Intlungu ebuhlungu yintsimbi yesibhobho yesibilini yomsinga iqhuma kumda we-ulnar isandla kunye nengcongolo neminwe encinane.
  • Isipho somnwe omncinci sisoloko sibonisa ukusila.

radiculopathy ukhathalelo lwe-chiropractic el paso tx.

  • Intlungu ebuhlungu kwinqanaba le-heniated cervical disc lingakhutshwa ngokubanjiswa kwengalo echaphazelekayo.
  • Nangona le miqondiso iyakunceda xa ikhona, ukungabikho kwabo kuphela akuyikulawula i-lesion root root.

Iinkcukacha zeLebhu

radiculopathy ukhathalelo lwe-chiropractic el paso tx.

  • Uvavanyo lwezonyango lovavanyo lwezonyango (ukubala kwegazi, ikhempiki yee-kheriti ze-sedryation sedimentation rate [ESR]) ziqhelekileyo kwizigulane ezine-disc.
  • Uvavanyo lwe-Electro Uvavanyo
  • I-Electromyography (EMG) kukunyuswa kobugcisa bokuhlola.
  • Ukusetyenziswa okuphambili kwe-EMG kukufumanisa i-radiculopathies kwiziganeko ezibangelwa yi-neurologic.
  • Iziphumo ze-EMG zinokuthi zikhuthaze kwizigulane ezineentsholongwane zengcambu.

UkuVavanyo kweeRadioographic - I-LUMBAR SPINE

  • I-x-rays e-Plain ingaba yinto eqhelekileyo kwisigulane ngeempawu kunye neempawu ze-impingement yeengcambu.
  • Tomography eComputer
  • Uvavanyo lwe-Radigraphic nge-CT scan lungabonisa ukukhutshwa kwe-disc kodwa ingahambelani nenqanaba lomonakalo wentsholongwane.
  • Ukujonga umfanekiso weMagnetic Resonance
  • IM imaging ibuye ivumele ukuboniswa kweethambo eziluhlaza, kubandakanywa iidiski kwi-lumbar spine.
  • Iidiski ze-Herniated zifumaneka ngokulula ngombono we-MR.
  • IM imaging yinkqubo ebucayi yokufumanisa i-discal lateral ne-outer disc.

UkuVavanyo kweeRadioographic

  • X-ray
  • I-x-rays e-Plain ingaba yinto eqhelekileyo kwizigulane mhlawumbi i-disniic cervic disc.
  • Ngokuchasene, 70% abafazi abangabonakaliyo kunye 95% yamadoda angabonakaliyo phakathi kwexesha le-60 kunye ne-65 iminyaka inobungqina bentsholongwane edibanisayo kwi-rentgenograms ecacileyo.
  • Imibono efunyenweyo iquka i-anteroposterior, i-lateral, i-flexion, kunye nokwandiswa.
i-radiculopathies i-chiropractic care el paso tx.

radiculopathy ukhathalelo lwe-chiropractic el paso tx.

  • Tomography eComputer
  • Iimvume ze-CT ezibonakalisiweyo ngokuthe ngqo kwiinkqubo ze-neural kwaye ke zichanekile ngakumbi kuneemyelography.
  • Iinjongo ze-CT nge-myelography ziquka ukubonakala kakuhle kwezinto ezingaqhelekanga ezinjenge-foraminal stenosis kunye nokungavumelekanga kwiibhloko ze-myelographic, ukukhanya kwe-radiation encinci, kunye nokungabikho kwezibhedlele.
  • Ukuhlaziywa kweMagnetic
  • I-MRI ivumela ukubonwa kakuhle kwezicubu ezinomsoco, kuquka i-disnied discs kwintlambo yomlomo wesibeleko.
  • Uvavanyo aluyiyo.
  • Kuhlolisiso lwezigulane ze-34 ezinezilonda zomlomo wesibeleko, i-MRI iqikelele 88% zezilonda ezivandlakisiwe ngokuphathelele 81% nge-myelography-CT, 58% ye-myelography, kwaye 50% CT kuphela.

Ukuxilonga okungafaniyo - I-LUMBAR SPINE

  • Ukuxilongwa kokuqala kwidiski ye-herniated ngokuqhelekileyo kwenziwa ngokusekelwe kwimbali kunye nokuhlolwa komzimba.
  • I-radiographs e-Plain ye-lumbosacral umgudu ayinakuze yongeze kwi-diagnostic kodwa kufuneka ifumaneke ekuncedeni ukulawula ezinye izizathu zentlungu efana nosulelo okanye isisu.
  • Ezinye iimvavanyo ezifana noM MR, CT, kunye ne-myelography ziqinisekisa ngendalo kwaye zingakhohlisa xa zisetyenziswe njengemvavanyo yokuhlola.

IStinal Stenosis

  • Umonde ngesifo sokugaya umthambo usenokubandezeleka ngenxa yeentlungu ezisezantsi eziya kwiindawo eziphantsi.
  • Izigulane ezine-spen stenosis zivame ukuba zikhulile kunezo zine-disnied disks eziphuhlisayo.
  • Ngokwempawu, izigulane ezinamava omzimba osiswini esiphantsi (pseudoclaudication = i-neurogenic claudication) emva kokuhamba emgama ongachazwanga.
  • Baphinde bakhononde ngentlungu eyenzileyo ngokuma okanye ukunyusa umlenze.
  • Ukuhlaziywa kwe-Radiographic ngokuqhelekileyo kunokunceda ekuhlukaniseni abantu abane-disc shed from those bony hypertrophy ezinxulumene nesisu somgulane.
  • Kuhlolisiso lwezigulane ze-1,293, i-spinal stenosis yasemgceni kunye nama-disney intervertebral discs 17.7% ngabanye.
  • Intlungu eninzi ingabangelwa yinkqubo engaphezu kweyodwa kwi-pathologic kwinkqubo.

I-Facet Syndrome

  • I-facet syndrome Enye imbangela yentlungu ephantsi ye-back back that can be associated with radiation of pain to structures outside the bounds of the lumbosacral spine.
  • Ukuhlaziywa kwezakhiwo ze-articular kwi-facet edibeneyo kubangela intlungu ekuphuhliseni.
  • Kwiimeko ezininzi, intlungu ibekwe kwindawo echaphazelekayo kunye kunye nokwandiswa kwesihluma (ukuma).
  • Ukunyamezela, ukuchazwa kakubi, ukuphazamiseka okuphazamisayo kunokuqatshelwa kwintlangano ye-sacroiliac, izikhwelo kunye nemilenze.
  • Imimandla ye-sclerotome ichaphazelekayo ibonisa imvelaphi efanayo ye-embryonic njenge-facet edityanisiweyo.
  • Izigulane ezineentlungu ezisisigxina kwizifo ezidibeneyo zesigxina zingenakho ukukhululeka kweempawu nge-apophyseal injection ye-anesthetic yexesha elide.
  • Inxaxheba eyinyaniso yesifo esivumelanayo kunye nokuveliswa kwintlungu emlenzeni nasemlenzeni iya kuhlala ichongiwe.
  • Ezinye izizathu ezisetyenziswayo ze-sciatica zibandakanya ukungenakwenzeka kweengcambu zentsholongwane, ukungqinelana kwangaphandle kweentsimbi zesinci (isikhwama esikhwameni se-back back), kunye noxinzelelo lwe-muscular (piriformis syndrome).
  • Kwiimeko ezinqabileyo, umlingo wesibeleko okanye isifo se-thoracic kufuneka uthathelwe ingqalelo ukuba i-lumbar spine icacile ngokungaqhelekanga.
  • Izizathu zonyango ze-sciatica (izibilini zesifo se-neural okanye iintsholongwane, umzekelo) zihlala zihambelana neempawu zenkqubo kunye neentlungu zentlungu kwi-distribution sciatic.

Ukuxilongwa okungafaniyo

  • Ayikho imigaqo yokuxilonga ikhona kwi-kliniki yokuxilongwa kwerekhodi yomlomo wesibeleko.
  • Ukuxilongwa kwesikhashana kwidiski yomlomo wesibeleko kwenziwa ngumlando kunye nokuhlolwa komzimba.
  • I-plain x-ray idla ngokungaqhelekanga, nangona ngamanye amaxesha i-disk space idityaniswe kwi-interspace okanye i-foraminal incinci kwi-movie eblique ibonakala.
  • Ixabiso le-x-ray liyakukhupha ezinye izizathu zentlungu nentlungu yesandla, ezifana nokusuleleka kunye ne-tumor.
  • IM imaging kunye ne-CT-myelography yizona zifundo eziqinisekileyo zokuqinisekisa ukudibanisa i-disniation.
  • Iingcingo ze-cervical disniations zingathintela izakhiwo ngaphandle kweengcambu zeengcambu.
  • Ukukhutshwa kwe-disc kungabangela ukunyanzeliswa kweenqanawa (umthambo we-vertebral) ehambelana ne-vertebrobasilar artificial disability kwaye ibonakaliswe njengomboniso otyhafayo kunye noxinzelelo.

radiculopathy ukhathalelo lwe-chiropractic el paso tx.

  • Ezinye izinto ezibangela ukuba iintlungu zengalo kufuneka zifakwe ngaphandle.
  • Eyona ndlela ixhaphakileyo yindlela ethile yoxinzelelo kwi-nervalal nerve.
  • Uxinzelelo olunjalo lunokuthi lwenzeke kwi-elbow, forearm, okanye isandla. Umzekelo ukunyanzeliswa kwentsholongwane ye-medial nge-carpal ligament ekhokelela kwi-carpal tunnel syndrome.
  • Uvavanyo olufanelekileyo kakhulu lokuhlola ukulawula ezi mpahla ze-neuropathies yi-EMG.
  • Umzila ogqithiseleyo kwingalo yesibini ukuya kwiisisindo ezinzima kunokubangela iintlungu ezingapheliyo ngaphandle kokuncincika kwediski yeengcambu.
  • Umtya womnxeba ongaqhelekanga kufuneka uthathelwe ingqalelo ukuba iimpawu ze-myelopathy zikhoyo kunye ne-radiculopathies.
  • Izilonda zentambo yomlingo ezifana ne-syringomiaa zichongwa yi-MRI, kwaye isifo se-neuron sifumene yi-EMG.
  • I-multiple sclerosis kufuneka ithathelwe ingqalelo kwisigulane nge-radiculopathies ukuba iimpawu zenyama zibonisa izilonda ngaphezu kwe-foramen magnum (optic neuritis).
  • Kwiimeko ezinqabileyo kakhulu, izilonda ze-lobe ze-parietal ezihambelanayo nengalo zingakwazi ukulinganisa iziphumo ze-radiculopathies yomlomo wesibeleko.

Iklinikhi yezoNyango zonyango: Unyango loNyango kunye neChiropractic

Umgangatho wobuchule wokuSebenza *

Ulwazi olulapha ku "Radiculopathy"Akujoliswanga ukuthatha indawo yobudlelwane obubodwa kunye nomntu oqeqeshiweyo wezempilo okanye ugqirha onelayisensi kwaye akusiyo isiluleko sonyango. Sikhuthaza ukuba wenze izigqibo zezempilo ngokusekelwe kuphando lwakho kunye nentsebenziswano kunye nochwepheshe bezempilo abaqeqeshiweyo.

Ulwazi lweBlog kunye neengxoxo zoMda

Umda wethu wolwazi ilinganiselwe kwiChiropractic, i-musculoskeletal, amayeza omzimba, impilo, igalelo le-etiological ukuphazamiseka kwe-viscerosomatic ngaphakathi kweentetho zeklinikhi, ezinxulumene ne-somatovisceral reflex clinical dynamics, i-subluxation complexes, imiba yezempilo ebuthathaka, kunye / okanye amanqaku amayeza asebenzayo, izihloko kunye neengxoxo.

Sibonelela kwaye sibonise intsebenziswano yeklinikhi neengcaphephe kumacandelo ahlukeneyo. Ingcali nganye ilawulwa ngumsebenzi wabo wobugcisa kunye negunya labo lokufumana iphepha-mvume. Sisebenzisa iiprothokholi ezisebenzayo zempilo kunye nempilo entle ukunyanga nokuxhasa ukhathalelo lokwenzakala okanye ukuphazamiseka kwenkqubo ye-musculoskeletal.

Iividiyo zethu, izithuba, izihloko, imixholo, kunye nokuqonda zibandakanya imiba yezonyango, imiba, kunye nezihloko eziyelelene kwaye zixhase ngokuthe ngqo okanye ngokungathanga ngqo umda wokuziqhelanisa wethu.

I-ofisi yethu izamile ngokufanelekileyo ukubonelela ngeengcaphulo ezixhasayo kwaye ichonge uphando olufanelekileyo lophando okanye izifundo ezixhasa izithuba zethu. Sinikezela ngeekopi zophando ezixhasayo ezifumanekayo kwiibhodi ezilawulayo nakuluntu ngesicelo.

Siyaqonda ukuba sigubungela imicimbi efuna inkcazo eyongezelelweyo yokuba inganceda njani kwisicwangciso esithile sokhathalelo okanye inkqubo yonyango; ke, ukuqhubeka nokuxoxa ngombandela ongentla, nceda ukhululeke ukubuza UDkt Alex Jimenez, DC, okanye qha ga mshelana nathi 915-850-0900.

Silapha ukunceda wena kunye nosapho lwakho.

Iintsikelelo

UDkt Alex Jimenez D.C., I-MSACP, RN*, I-CCST, IFMCP*, I-CIFM*, I-ATN*

email: qeqeshi@elpasofunctionalmedicine.com

Ilayisenisi njengoGqirha weChiropractic (DC) kwi Texas & New Mexico*
Texas DC Ilayisensi # TX5807, New Mexico DC Ilayisensi # I-NM-DC2182

Unikwe Ilayisensi njengoMongikazi oBhalisiweyo (RN*) in Florida
Florida License RN Ilayisensi # I-RN9617241 (Nombolo yolawulo. 3558029)
Ubume obubambeneyo: ILayisensi yeeNkcazo ezininzi: Ugunyaziswe Ukuziqhelanisa I-40 States*

UGqr. Alex Jimenez DC, MSACP, RN* CIFM*, IFMCP*, ATN*, CCST
Ikhadi lam loShishino lweDijithali