The i-piriformis muscle (PM) yaziwa kakhulu kumayeza njengesihlunu esibalulekileyo se-hip yangasemva. Isisihlunu esinendima ekulawuleni ukujikeleza kwe-hip joint kunye nokuxhwilwa, kwaye ikwasisihlunu esenziwe saduma ngenxa yokuguqulwa kwesenzo sokujikeleza. I-PM iphinda ihlawule ingqwalasela ngenxa yendima yayo kwi-piriformis syndrome, imeko echaphazelekayo njengomthombo onokuthi ube neentlungu kunye nokungasebenzi.
I-Piriformis syndrome inokuchazwa njengesimo sezokwelapha apho isisundu se-piriformis, esisekuhlaleni kwendawo yokutya, i-spasms kwaye ibangela iintlungu zenyama. I-Sciatic Nerve ingashukunyiswa yintsebenziswano phakathi kwe-SN kunye ne-PM eyenza intlungu ye-hip yangasemva komtya we-post, ulingisa 'sciatica'.
Izikhalazo zentlungu ye-buttock kunye nokuthunyelwa kweempawu azikho kuphela kwi-Piriformis Muscle. Iimpawu zixhaphakile kunye ne-syndromes ye-back back ebonakala ngakumbi ngokweklinikhi. Kuye kwaboniswa ukuba i-piriformis syndrome iphendula kwi-5-6 ipesenti yamatyala e-sciatica. Kwiimeko ezininzi, kwenzeka kubantu abaphakathi kweminyaka kwaye ixhaphake kakhulu kwabasetyhini.
Contents
I-Anatomy: I-Piriformis
I-PM ivela kummandla wangaphakathi we-sacrum kwaye ikhonjiswe kuyo ngamathintelo amathathu entle phakathi kweyokuqala, yesibini, yesithathu neyesine yangaphambili ye-sacral foramina. Ngezinye izihlandlo imvelaphi yayo inokuba yomelele kangangokuba idibanisa i-capsule yendibano ye-sacroiliac ngasentla kunye ne-sacrotuberous kunye / okanye i-sacrospinous ligament engezantsi.
I-PM iyisihlunu esityebileyo kunye nesininzi, kwaye njengoko idlula kwi-pelvis ngokusebenzisa i-sciatic foramen enkulu, iyahlula i-foramen kwi-suprapiriform kunye ne-infra-piriform foramina. Njengoko iqhuba i-anterolaterally ngokusebenzisa i-sciatic foramen enkulu, ikhupha ukuba yenze i-tendon efakwe kwindawo ephezulu-ephakathi kwe-trochanter enkulu, ngokuqhelekileyo idibanisa ne-tendon eqhelekileyo ye-obturator internus kunye nemisipha ye-Gemelli.
Iimbilini kunye nemithambo yegazi kwi-suprapiriform foramen yi-nerve ephezulu ye-gluteal kunye neenqanawa, kwaye kwi-infra-piriform fossa yi-nerve ye-gluteal ephantsi kunye neenqanawa kunye ne-nerve ye-sciatic (SN). Ngenxa yomthamo wayo omkhulu kwi-sciatic foramen enkulu, inamandla okucinezela iinqanawa ezininzi kunye neentsholongwane eziphuma kwi-pelvis.
I-PM inxulumene ngokusondeleyo kunye nezinye i-hip rotators ezimfutshane ezilala ngaphantsi njenge-gemellus ephezulu, i-obturator internus, i-gemellus ephantsi, kunye ne-obturator externus. Umahluko ophambili phakathi kwe-PM kunye nezinye ii-rotator ezimfutshane ubudlelwane kunye ne-SN. I-PM idlula ngasemva kwi-nerve ngelixa enye i-obturator idlula ngaphambili.
Isizathu: iPiriformis Syndrome
I-Piriformis Syndrome ingabangelwa okanye ihambelana nezinto ezintathu zokuqala zokubangela;
1. Ukuqinisa nokunciphisa imicu ye-muscle igxininiswe ngokusetyenziswa kakubi kwemisipha efana nokunyakaza kwe-squat kunye ne-lunge kujikelezo lwangaphandle, okanye ukuxhatshazwa ngokuthe ngqo. Oku kwandisa ibhinti ye-PM ngexesha lokuqhawulwa, kwaye inokuba yintoni umthombo wokunyanzeliswa / ukungena.
2. Ukubanjelwa kwesibindi.
I-3.I-Sacroiliac Joint Dysfunction (i-SI Joint Pain) ebangela i-PM spasm.
Iimpawu: I-Piriformis Syndrome
Izimpawu eziqhelekileyo ze-piriformis syndrome ziquka:
- Uvakalelo olunqinileyo okanye olunqamlekileyo kwisitenki kunye / okanye kwi-hamstring.
- Intlungu ezukileyo.
- Ubuhlungu benkomo.
- Ukugqithisa ukuhlala kunye nokuqhekeka, ingakumbi ukuba i-trunk ithathe phambili okanye umlenze uwela phezu komlenze ongathintekanga.
- Iimpawu zentsholongwane zentsholongwane ezinjengeentlungu kunye neparesthesia kumqolo, ukubola, iintloko, i-perineum, emva kwethanga.
Unyango: iPiriformis Syndrome
Xa kukholwa ukuba piriformis syndrome ikhona kwaye ugqirha unomuvo wokuthi ukuxilongwa kuye kwenzelwa, unyango luya kuxhomekeka kwisizathu esityholweyo. Ukuba i-PM iqinile kwaye igaxekile ngoko okokuqala unyango luya kugxininisa ekululaleni nasekuxiliseni i-muscle eqinile ukususa i-PM njengomthombo wentlungu.
Ukuba oku kungaphumeleli, ke oku kuphakanyisiwe oku kulandelayo:
- Ibhloko ye-anesthetic yendawo eyenziwa ngababulali bee-anesthesiologists abanobuchule bokulawula iintlungu.
- Ii-injection ze-Steroid kwi-PM.
- Iinjongo ze-Botulinum kwi-PM.
- Ugqirha lweMigudu.
Ungenelelo olujoliswe kwi-Therapist olufana nokwelula kwe-PM kunye ne-trigger point point massage isoloko ikhuthazwa. Ukwelula kwe-PM kwenziwa kwizikhundla ze-hip flexion ezinkulu kune-90 degrees, i-adduction, kunye nokujikeleza kwangaphandle ukusebenzisa i-inversion ye-action effect ye-PM ukuba ihlukanise ukunwenwa kwesi sihlunu esizimeleyo kwezinye ii-rotator zangaphandle ze-hip.
Isiphelo: iPiriformis Syndrome
The imisipha ye-piriformis sisisigxina esinamandla kwaye esinamandla esivela kwi-sacrum kwi-femur. Ihamba ngaphantsi kweentlungu ezinobunzima obuhamba ngaphantsi kwazo. Ukuba le msimba iya kwi-spasm, ngoko iimbilini zidala ubuhlungu obukrakrayo, ukuphazamiseka, ukubetha, okanye ukutshisa emagqabini ukuya emlenzeni nasenyaweni. Abanye abantu bahlakulela i-syndrome ngelixa bejongene nobuhlungu obungapheliyo.
Imisebenzi kunye neziganeko ezibangela ukuba umsila we-piriformis ukuya kwisivumelwano kunye nokunyanzelela i-nerve ye-sciatic, kubangela intlungu. Esi sihlunu siyavumelana xa sisquat, okanye sime, sihamba, sinyuke izinyuko. Ithanda ukuqina xa sihleli nakweyiphi na indawo ngaphezulu kwemizuzu engama-20 ukuya kwengama-30.
Abantu abanembali yeentlungu ezingapheliyo ezisezantsi bahlala becinga ukuba iintlungu zabo ezivuthayo ze-sciatic ziyalandeleka kumqolo wabo osezantsi. Imbali yabo ye-disc herniations, okanye i-sprains, i-sprains ibafundise ukuba bacinge ukuba iya kuhamba njengesiqhelo kwaye intlungu iphuma kumgudu wabo. Kuxa iintlungu zingaphenduli njengesiqhelo apho abantu bafune unyango, ngaloo ndlela balibazisa ukuchacha kwabo.
Sciatica Pain
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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
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Ubume obubambeneyo: ILayisensi yeeNkcazo ezininzi: Ugunyaziswe Ukuziqhelanisa I-40 States*
UGqr. Alex Jimenez DC, MSACP, RN* CIFM*, IFMCP*, ATN*, CCST
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