For individuals looking to improve their fitness health, can a fitness assessment test identify potential areas and help evaluate overall health and physical status?
Clàr-innse
Measadh Fallaineachd
A fitness test, also known as a fitness assessment, helps evaluate an individual’s overall and physical health. It comprises a series of exercises to design an appropriate exercise program for general health and fitness. (Comann Nàiseanta Neart is Suidheachadh. 2017) Fitness assessment testing benefits include:
Identifying areas that need improvement.
Assisting professionals in understanding what types of exercise are safest and most effective.
Helping measure fitness progress over time.
Allowing for an individualized plan that can help prevent injuries and maintain the body’s overall health.
An assessment can comprise a wide range of tests, including:
Body composition tests.
Cardiovascular stress tests.
Endurance tests.
Range of motion tests.
They are meant to ensure the individual won’t be at risk of injury and provide the trainer with the insights needed to establish clear and effective fitness goals. Individuals who wonder whether fitness testing would benefit them should consult their healthcare provider.
Slàinte Coitcheann
Before starting a fitness program, it is important to inform the trainer of individual medical history and get the necessary approval from a primary healthcare provider. (Harvard Health Publishing. Harvard Medical School. 2012) Fitness specialists usually use one or more screening tools to help determine individual baseline health.
This may include obtaining vital sign measurements like height and weight, resting heart rate/RHR, and resting blood pressure/RBP. Many trainers will also use a physical activity readiness questionnaire/PAR-Q comprising questions about general health. (Acadamaidh Nàiseanta Leigheas Spòrs. 2020) Among the questions, individuals may be asked about the medications being taken, any problems with dizziness or pain, or medical conditions that may impair their ability to exercise.
Comhdhunadh Corp
Body composition describes total body weight components, including muscles, bones, and fat. The most common methods for estimating body composition include:
Bioelectrical Impedance Analysis – BIA
During BIA, electrical signals are sent from electrodes through the soles of the feet to the abdomen to estimate body composition. (Doylestown Health. 2024)
These measurements use calipers to estimate the amount of body fat in a fold of skin.
Seasmhachd Cardiovascular
Cardiovascular endurance testing, also known as stress testing, measures how efficiently the heart and lungs work to supply oxygen and energy to the body during physical activity. (UC Davis Health, 2024) The three most common tests used include:
12-minute Run Tests
Twelve-minute run tests are performed on a treadmill, and an individual’s pre-exercise heart and respiration rates are compared with post-exercise heart and respiration rates.
Exercise Stress
Exercise stress testing is performed on a treadmill or stationary bike.
It involves using a heart monitor and blood pressure cuff to measure vital signs during exercise.
VO2 Max Testing
Performed on a treadmill or stationary bike.
V02 max testing uses a breathing device to measure the maximum rate of oxygen consumption during physical activity (UC Davis Health, 2024)
Some trainers will incorporate exercises like sit-ups or push-ups to measure response to specific exercises.
These baseline results can be used later to see if health and fitness levels have improved.
Neart agus Co-fhaireachdainn
Muscle endurance testing measures the length of time a muscle group can contract and release before it fatigues. Strength testing measures the maximal amount of force a muscle group can exert. (American Council on Exercise, Jiminez C., 2018) The exercises used include:
The push-up test.
Core strength and stability test.
Sometimes, a trainer will use a metronome to measure how long the individual can keep up with the rhythm. The results are then compared to individuals of the same age group and sex to establish a baseline level. Strength and endurance tests are valuable as they help the trainer spot which muscle groups are stronger, vulnerable, and need focused attention. (Heyward, V. H., Gibson, A. L. 2014).
sùbailteachd
Measuring the flexibility of joints is vital in determining whether individuals have postural imbalances, foot instability, or limitations in range of motion. (Pate R, Oria M, Pillsbury L, 2012)
Shoulder Flexibility
Shoulder flexibility testing evaluates the flexibility and mobility of the shoulder joint.
It is performed by using one hand to reach behind the neck, between the shoulders, and the other hand to reach behind the back, toward the shoulders, to measure how far apart the hands are. (Baumgartner TA, PhD, Jackson AS, PhD et al., 2015)
Fitness assessment testing has various benefits. It can help trainers design a personalized workout program, help individuals identify fitness areas that need improvement, measure progress, and add intensity and endurance to their routine, which can help prevent injuries and help maintain overall health. We focus on what works for you and strive to better the body through researched methods and total wellness programs. These natural programs use the body’s ability to achieve improvement goals. Ask a healthcare professional or fitness professional for guidance if you need advice.
Pate R, Oria M, Pillsbury L, (Eds). (2012). Health-related fitness measures for youth: Flexibility. In R. Pate, M. Oria, & L. Pillsbury (Eds.), Fitness Measures and Health Outcomes in Youth. doi.org/10.17226/13483
An urrainn do dhaoine fa leth le syndrome Ehlers-Danlos faochadh a lorg tro dhiofar leigheasan neo-lannsa gus neo-sheasmhachd co-phàirteach a lughdachadh?
Clàr-innse
Ro-ràdh
Tha na joints agus na ligaments timcheall air an t-siostam mhathan-spèisealachd a’ leigeil leis na h-oirean àrda is ìosal an corp a dhèanamh seasmhach agus a bhith gluasadach. Bidh na diofar fhèithean agus stuthan ceangail bog a tha timcheall nan joints a’ cuideachadh gus an dìon bho leòntan. Nuair a thòisicheas factaran àrainneachd no eas-òrdughan a ’toirt buaidh air a’ bhodhaig, bidh mòran dhaoine a ’leasachadh chùisean a dh’ adhbhraicheas pròifilean cunnairt a tha a ’dol thairis air, a bheir buaidh an uairsin air seasmhachd nan joints. Is e aon de na h-eas-òrdughan a bheir buaidh air na joints agus inneal ceangail EDS no syndrome Ehlers-Danlos. Faodaidh an t-eas-òrdugh inneal ceangail seo adhbhrachadh gu bheil na joints sa bhodhaig hypermobile. Faodaidh e co-sheasmhachd adhbhrachadh anns na h-oirean àrda is ìosal, agus mar sin a’ fàgail an neach gu bhith ann am pian cunbhalach. Tha artaigil an latha an-diugh a’ cuimseachadh air syndrome Ehlers-Danlos agus na comharran aige agus mar a tha dòighean neo-lèigheil ann airson an eas-òrdugh inneal ceangail seo a riaghladh. Bidh sinn a’ bruidhinn ri solaraichean meidigeach le teisteanas a bhios a’ daingneachadh fiosrachadh ar n-euslaintich gus measadh a dhèanamh air mar as urrainn dha syndrome Ehlers-Danlos a bhith co-cheangailte ri eas-òrdughan fèitheach eile. Bidh sinn cuideachd ag innse agus a’ stiùireadh euslaintich air mar as urrainn do dhiofar leigheasan neo-lannsa cuideachadh le bhith a’ lughdachadh comharraidhean coltach ri pian agus a’ riaghladh syndrome Ehlers-Danlos. Bidh sinn cuideachd a’ brosnachadh ar n-euslaintich a bhith a’ faighneachd do na solaraichean meidigeach co-cheangailte riutha mòran cheistean toinnte agus cudromach mu bhith a’ toirt a-steach diofar leigheasan neo-lannsa mar phàirt den chleachdadh làitheil aca gus buaidh syndrome Ehlers-Danlos a riaghladh. Tha an Dr Jimenez, DC, a’ toirt a-steach am fiosrachadh seo mar sheirbheis acadaimigeach. Àicheadh.
Dè a th 'ann an Syndrome Ehlers-Danlos?
A bheil thu gu tric a’ faireachdainn sgìth fad an latha, eadhon às deidh oidhche làn de chadal? Am bi thu a’ bruiseadh gu furasta agus a’ faighneachd cò às a tha na bruisean sin a’ tighinn? No an do mhothaich thu gu bheil raon nas motha agad anns na joints agad? Bidh mòran de na cùisean sin gu tric ceangailte ri eas-òrdugh ris an canar syndrome Ehlers-Danlos no EDS a bheir buaidh air na joints agus an inneal ceangail. Bidh EDS a 'toirt buaidh air na stuthan ceangail anns a' bhodhaig. Bidh na figheagan ceangail anns a 'bhodhaig a' cuideachadh le bhith a 'toirt neart agus elasticity don chraiceann, joints, a bharrachd air ballachan shoithichean fala, agus mar sin nuair a tha neach a' dèiligeadh ri EDS, faodaidh e dragh mòr adhbhrachadh don t-siostam mhathan-spèisealachd. Tha EDS air a dhearbhadh gu clinigeach gu ìre mhòr, agus tha mòran dhotairean air comharrachadh gum faod còdadh gine nan collagen agus na pròtanan a tha ag eadar-obrachadh sa bhodhaig cuideachadh le bhith a’ dearbhadh dè an seòrsa EDS a bheir buaidh air an neach fa-leth. (Miklovic & Sieg, 2024)
Na Sùbharan
Nuair a bhios tu a’ tuigsinn EDS, tha e deatamach fios a bhith agad air iom-fhillteachd an eas-òrdugh inneal ceangail seo. Tha EDS air a sheòrsachadh ann an grunn sheòrsaichean le feartan sònraichte agus dùbhlain a tha eadar-dhealaichte a rèir dè cho dona ‘s a tha iad. Is e aon de na seòrsaichean EDS as cumanta syndrome hypermobile Ehlers-Danlos. Tha an seòrsa seo de EDS air a chomharrachadh le hypermobility coitcheann, neo-sheasmhachd co-phàirteach, agus pian. Tha cuid de na comharran a tha co-cheangailte ri hypermobile EDS a’ toirt a-steach subluxation, dislocations, agus leòntan maothran bog a tha cumanta agus a dh’ fhaodadh tachairt gu neo-iomchaidh no le glè bheag de dhragh. (Hakim, 1993) Gu tric faodaidh seo pian mòr adhbhrachadh dha na joints anns na h-oirean àrda is ìosal. Leis an raon fharsaing de chomharran a th’ ann agus nàdar pearsanta a’ chumha fhèin, gu tric chan eil mòran a’ tuigsinn gu bheil hypermobility co-phàirteach cumanta anns an t-sluagh san fharsaingeachd agus is dòcha nach nochd duilgheadasan sam bith a tha a’ nochdadh gur e mì-rian inneal ceangail a th’ ann. (Gensemer et al., 2021) A bharrachd air an sin, faodaidh hypermobile EDS leantainn gu deformity cnàimh-droma mar thoradh air hyperextensibility a’ chraicinn, joints, agus diofar chugallachd clò. Tha pathophysiology de deformity cnàimh-droma co-cheangailte ri hypermobile EDS gu sònraichte mar thoradh air hypotonia fèithe agus laxity ligament. (Uehara et al., 2023) Tha seo ag adhbhrachadh gu bheil mòran dhaoine a’ lughdachadh gu mòr an càileachd beatha agus gnìomhachd beatha làitheil. Ach, tha dòighean ann air EDS agus na comharran co-cheangail aige a riaghladh gus neo-sheasmhachd co-phàirteach a lughdachadh.
Leigheas Gluasad: Cùram Chiropractic - Bhidio
Dòighean air EDS a riaghladh
Nuair a thig e gu bhith a 'coimhead airson dòighean air EDS a stiùireadh gus pian agus co-sheasmhachd a lùghdachadh, faodaidh leigheasan neo-lannsa cuideachadh le bhith a' dèiligeadh ri taobhan fiosaigeach agus faireachail an t-suidheachaidh. Bidh leigheasan neo-lannsa do dhaoine fa leth le EDS mar as trice ag amas air a bhith a’ dèanamh an fheum as fheàrr de dh’ obair chorporra na bodhaig agus aig an aon àm a’ leasachadh neart fèithe agus co-sheasmhachd. (Buryk-Iggers et al., 2022) Feuchaidh mòran dhaoine le EDS ri dòighean làimhseachaidh pian agus leigheas corporra a thoirt a-steachCleachd braces agus innealan cuideachaidh gus buaidhean EDS a lughdachadh agus an càileachd beatha adhartachadh.
Làimhseachadh neo-lannsa airson EDS
Diofar leigheasan neo-lannsa mar MET (teicnigeach lùth fèithe), electrotherapy, leigheas corporra aotrom, cùram chiropractic, agus massages faodaidh e cuideachadh le neartachadh fhad ‘s a tha e a’ gleusadh nam fèithean mun cuairt timcheall nan joints, a 'toirt seachad faochadh pian gu leòr, agus a' cuingealachadh eisimeileachd fad-ùine air cungaidhean-leigheis. (Broida et al., 2021) A bharrachd air an sin, tha daoine fa leth a tha a’ dèiligeadh ri EDS ag amas air na fèithean air a bheil buaidh a neartachadh, na joints a dhèanamh seasmhach, agus proprioception adhartachadh. Tha leigheasan neo-lannsa a’ leigeil leis an neach plana làimhseachaidh gnàthaichte a bhith aige airson cho dona sa tha comharran EDS agus cuideachadh le bhith a’ lughdachadh a’ phian co-cheangailte ris a’ chumha. Bidh mòran de dhaoine fa leth, nuair a thèid iad tron phlana làimhseachaidh aca an dèidh a chèile gus an EDS aca a riaghladh agus na comharran coltach ri pian a lughdachadh, a’ faicinn adhartas ann am mì-chofhurtachd samhlachail. (Khokhar et al., 2023) Tha seo a’ ciallachadh gu bheil leigheasan neo-lèigheil a’ leigeil le daoine fa-leth a bhith nas mothachail air na cuirp aca agus a’ lughdachadh buaidhean coltach ri pian EDS, agus mar sin a’ leigeil le mòran dhaoine le EDS beatha nas coileanta agus nas comhfhurtail a leantainn gun a bhith a’ faireachdainn pian agus mì-chofhurtachd.
iomraidhean
Broida, SE, Sweeney, AP, Gottschalk, MB, & Wagner, ER (2021). Riaghladh neo-sheasmhachd gualainn ann an seòrsa hypermobility syndrome Ehlers-Danlos. JSES Rep Tech, 1(3), 155-164. doi.org/10.1016/j.xrrt.2021.03.002
Buryk-Iggers, S., Mittal, N., Santa Mina, D., Adams, SC, Englesakis, M., Rachinsky, M., Lopez-Hernandez, L., Hussey, L., McGillis, L., McLean , L., Laflamme, C., Rozenberg, D., & Clarke, H. (2022). Eacarsaich agus Ath-bheothachadh ann an Daoine le Syndrome Ehlers-Danlos: Lèirmheas Siostam. Arch Rehabil Res Clin Transl, 4(2), 100189. doi.org/10.1016/j.arrct.2022.100189
Gensemer, C., Burks, R., Kautz, S., Judge, DP, Lavallee, M., & Norris, RA (2021). Syndroman Hypermobile Ehlers-Danlos: phenotypes iom-fhillte, breithneachadh dùbhlanach, agus adhbharan air an droch thuigsinn. Dev Dyn, 250(3), 318-344. doi.org/10.1002/dvdy.220
Hakim, A. (1993). Syndrome Hypermobile Ehlers-Danlos. Anns a’ BhP Adam, J. Feldman, GM Mirzaa, RA Pagon, SE Wallace, LJH Bean, KW Gripp, & A. Amemiya (Eds.), Gene Reviews((R)). www.ncbi.nlm.nih.gov/pubmed/20301456
Khokhar, D., Powers, B., Yamani, M., & Edwards, MA (2023). Na Buannachdan bho Làimhseachadh Osteopathic Manipulative air Euslainteach le Syndrome Ehlers-Danlos. Cureus, 15(5), e38698. doi.org/10.7759/cureus.38698
Uehara, M., Takahashi, J., & Kosho, T. (2023). Deformity Spinal ann an Syndrome Ehlers-Danlos: Fòcas air Seòrsa Musculocontractural. ginean (Basel), 14(6). doi.org/10.3390/genes14061173
An urrainn tuigse fhaighinn air joints lùdagan na bodhaig agus mar a tha iad ag obrachadh cuideachadh le duilgheadasan gluasaid is sùbailteachd agus suidheachaidhean a riaghladh do dhaoine fa leth aig a bheil duilgheadas làn lùbadh no leudachadh an corragan, òrdagan, uilleanan, adhbrannan no glùinean?
Clàr-innse
Ceangalaichean Hinge
Bidh co-phàirt a 'cruthachadh far a bheil aon chnàmh a' ceangal ri fear eile, a 'ceadachadh gluasad. Bidh diofar sheòrsaichean de joints eadar-dhealaichte ann an structar agus gluasad a rèir an àite. Tha iad sin a’ toirt a-steach lùdag, ball agus socaid, planar, pivot, dìollaid, agus joints ellipsoid. (Gun chrìoch. Bith-eòlas Coitcheann, ND) Is e joints synovial a th’ ann an joints hinge a ghluaiseas tro aon phlèana de ghluasad: sùbailteachd agus leudachadh. Lorgar joints lùdagan anns na corragan, uilleanan, glùinean, ankles, agus òrdagan agus smachd air gluasad airson diofar ghnìomhan. Faodaidh leòntan, osteoarthritis, agus suidheachaidhean fèin-dìon buaidh a thoirt air joints lùdagach. Faodaidh fois, cungaidh-leigheis, deigh, agus leigheas corporra cuideachadh le faochadh a thoirt air pian, neart agus raon gluasad a leasachadh, agus cuideachadh le bhith a’ riaghladh shuidheachaidhean.
Anatomy
Tha co-chòrdadh air a chruthachadh le bhith a 'ceangal dà chnàmhan no barrachd. Tha trì prìomh sheòrsaichean de joints aig a 'chorp daonna, air an seòrsachadh a rèir an ìre as urrainn dhaibh gluasad. Nam measg tha: (Gun chrìoch. Bith-eòlas Coitcheann, ND)
Synarthroses
Tha iad sin nan joints stèidhichte, nach gabh gluasad.
Air a chruthachadh le dà chnàmhan no barrachd.
Amphiarthroses
Cuideachd aithnichte mar joints cartilaginous.
Bidh diosc fibrocartilage a’ sgaradh nan cnàmhan a tha a’ cruthachadh nan joints.
Tha na joints gluasadach seo a 'ceadachadh beagan gluasad.
Diarthroses
Cuideachd aithnichte mar synovial joints.
Is iad seo na joints gluasadach as cumanta a leigeas le gluasad ann an grunn stiùiridhean.
Tha na cnàmhan a tha a’ cruthachadh nan joints air an lìnigeadh le cartilage articular agus air an cuairteachadh ann an capsal co-phàirteach làn de lionn synovial a leigeas le gluasad rèidh.
Tha joints synovial air an seòrsachadh ann an diofar sheòrsan a rèir eadar-dhealachaidhean ann an structar agus an àireamh de phlèanaichean gluasad a tha iad a’ ceadachadh. Is e co-bhann synovial a th’ ann an co-chòmhdach a leigeas le gluasad ann an aon phlèana gluasad, coltach ri lùdag dorais a ghluaiseas air adhart agus air ais. Taobh a-staigh a’ cho-phàirteach, tha deireadh aon chnàmh mar as trice dronnach / biorach a-muigh, leis an tè eile cuasach / cruinn a-staigh gus leigeil leis na cinn a bhith a’ freagairt gu rèidh. Leis nach bi joints lùdagach a’ gluasad ach tro aon phlèana gluasaid, tha iad buailteach a bhith nas seasmhaiche na joints synovial eile. (Gun chrìoch. Bith-eòlas Coitcheann, ND) Am measg nan altan lùbach tha:
Ceangalaichean a’ mheòir is nan ladhar - leig leis na corragan is na òrdagan lùbadh is leudachadh.
Co-bhann na h-uilinn - a 'leigeil leis an uilinn lùbadh agus leudachadh.
Co-ghlùin - a 'leigeil leis a' ghlùin lùbadh agus leudachadh.
Co-phàirt talocrural an ankle - a’ leigeil leis an adhbrann gluasad suas/dorsiflexion agus sìos/planarflexion.
Bidh joints lùdagan a’ leigeil leis na buill-bodhaig, corragan agus òrdagan leudachadh air falbh agus lùbadh a dh’ionnsaigh a’ chuirp. Tha an gluasad seo riatanach airson gnìomhan beatha làitheil, leithid frasadh, aodach, ithe, coiseachd, seasamh agus suidhe sìos.
Cor na h-
Faodaidh osteoarthritis agus cruthan sèidteach airtritis buaidh a thoirt air co-phàirt sam bith.Stèidheachd airtritis. ND) Faodaidh cruthan airtritis fèin-dìonach, a’ gabhail a-steach arthritis reumatoid agus psoriatic, toirt air a’ bhodhaig ionnsaigh a thoirt air na joints aige fhèin. Bidh iad seo mar as trice a’ toirt buaidh air na glùinean agus na corragan, a’ leantainn gu sèid, stiffness, agus pian. (Kamata, M., Tada, Y. 2020) Is e cruth sèidteach de airtritis a th’ ann an gout a bhios a’ fàs bho ìrean àrda de dh’ aigéad uric san fhuil agus mar as trice a’ toirt buaidh air co-bhanntachd an òrdaig mhòir. Am measg nan suidheachaidhean eile a bheir buaidh air joints lùdagach tha:
Leòintean don cartilage taobh a-staigh na joints no ligaments a tha a 'daingneachadh taobh a-muigh nan joints.
Faodaidh sprains ceangail no deòir tighinn bho chorragan no òrdagan, adhbrannan rolaichte, leòntan toinnte, agus buaidh dhìreach air a’ ghlùin.
Faodaidh na leòintean sin cuideachd buaidh a thoirt air a’ mheasg-làimhe, an cartilage teann taobh a-staigh a’ cho-ghlùin a chuidicheas le cuisean agus clisgeadh a ghabhail a-steach.
Rehabilitation
Bidh suidheachaidhean a bheir buaidh air joints lùdag gu tric ag adhbhrachadh sèid agus sèid, a’ leantainn gu pian agus gluasad cuibhrichte.
Às deidh dochann no rè suidheachadh sèid a ’lasadh suas, faodaidh casg a chuir air gluasad gnìomhach agus fois a’ cho-phàirt air a bheil buaidh barrachd cuideam a lughdachadh agus pian.
Le bhith a’ cleachdadh deigh faodaidh sin sèid agus sèid a lughdachadh.
Faodaidh cungaidhean faochadh pian leithid NSAIDs cuideachd cuideachadh le pian a lughdachadh. (Stèidheachd airtritis. ND)
Cho luath ‘s a thòisicheas am pian agus an at a’ dol sìos, faodaidh leigheas corporra agus / no dreuchdail cuideachadh le bhith ag ath-nuadhachadh nan raointean air a bheil buaidh.
Bheir neach-leigheis seachad sreathan agus eacarsaichean gus cuideachadh le bhith a 'leasachadh co-raon gluasad agus a' neartachadh na fèithean taiceil.
Do dhaoine fa leth a tha a’ fulang le pian co-phàirteach bho staid fèin-dìon, tha cungaidhean bith-eòlasach gus gnìomhachd fèin-dìon na bodhaig a lughdachadh air an toirt seachad tro infusions a thèid a lìbhrigeadh gach grunn sheachdainean no mhìosan. (Kamata, M., Tada, Y. 2020)
Faodar in-stealladh cortisone a chleachdadh cuideachd gus sèid a lughdachadh.
Aig Clinic Injury Medical Chiropractic agus Leigheas Gnìomh, bidh sinn a 'cuimseachadh gu dìcheallach air a bhith a' làimhseachadh leòintean euslainteach agus sionndroman pian leantainneach agus a 'leasachadh comas tro phrògraman sùbailteachd, gluasaid agus sùbailteachd a tha freagarrach don neach fa leth. Bidh na solaraichean againn a’ cleachdadh dòigh-obrach amalaichte gus planaichean cùraim pearsanaichte a chruthachadh a tha a’ toirt a-steach protocolaidhean Leigheas Gnìomh, Acupuncture, Electro-Acupuncture, agus Leigheas Spòrs. Is e ar n-amas faochadh a thoirt do pian gu nàdarra le bhith ag ath-nuadhachadh slàinte agus gnìomh don bhodhaig. Ma tha feum aig an neach air leigheas eile, thèid an cur air adhart gu clionaig no lighiche as freagarraiche dhaibh. Tha an Dr Jimenez air a dhol còmhla ris na prìomh lannsairean, eòlaichean clionaigeach, luchd-rannsachaidh meidigeach, agus prìomh sholaraichean ath-ghnàthachaidh gus na leigheasan clionaigeach as èifeachdaiche a thoirt seachad.
Kamata, M., & Tada, Y. (2020). Èifeachdas agus Sàbhailteachd Bith-eòlais airson Psoriasis agus Arthritis Psoriatic agus am Buaidh air Comorbidities: Lèirmheas Litreachais. Iris Eadar-nàiseanta nan Saidheansan Molecular, 21(5), 1690. doi.org/10.3390/ijms21051690
For individuals dealing with sciatica, can non-surgical treatments like chiropractic care and acupuncture reduce pain and restore function?
Clàr-innse
Ro-ràdh
The human body is a complex machine that allows the host to be mobile and stable when resting. With various muscle groups in the upper and lower body portions, the surrounding muscles, tendons, nerves, and ligaments serve a purpose for the body as they all have specific jobs in keeping the host functional. However, many individuals have developed various habits that cause strenuous activities that cause repetitive motions to their muscles and nerves and affect their musculoskeletal system. One of the nerves that many individuals have been dealing with pain is the sciatic nerve, which causes many issues in the lower body extremities and, when not treated right away, leads to pain and disability. Luckily, many individuals have sought non-surgical treatments to reduce sciatica and restore body function to the individual. Today’s article focuses on understanding sciatica and how non-surgical therapies like chiropractic care and acupuncture can help reduce the sciatic pain-like effects that are causing overlapping risk profiles in the lower body extremities. We discuss with certified medical providers who consolidate with our patients’ information to assess how sciatica is often correlated with environmental factors that cause dysfunction in the body. We also inform and guide patients on how various non-surgical treatments can help reduce sciatica and its correlating symptoms. We also encourage our patients to ask their associated medical providers many intricate and important questions about incorporating various non-surgical therapies as part of their daily routine to reduce the chances and effects of sciatica from returning. Dr. Jimenez, D.C., includes this information as an academic service. Àicheadh.
Tuigsinn Sciatica
Do you often feel radiating pain that travels down one or both legs when sitting down for a long period? How often have you experienced tingling sensations that cause you to shake your leg to reduce the effect? Or have you noticed that stretching your legs causes temporary relief? While these overlapping pain symptoms can affect the lower extremities, many individuals may think it is low back pain, but in actuality, it is sciatica. Sciatica is a common musculoskeletal condition that affects many people worldwide by causing pain to the sciatic nerve and radiating down to the legs. The sciatic nerve is pivotal in providing direct and indirect motor function to the leg muscles. (Davis et al., 2024) When the sciatic nerve is compressed, many people state that the pain can vary in intensity, accompanied by symptoms like tingling, numbness, and muscle weakness that can affect a person’s ability to walk and function.
However, some of the root causes that lead to the development of sciatica can play into the factor that causes the pain in the lower extremities. Several inherent and environmental factors are often associated with sciatica, causing lumbar nerve root compression on the sciatic nerve. Factors like poor health status, physical stress, and occupational work are correlated with the development of sciatica and can impact a person’s routine. (Gimenez-Campos et al., 2022) Additionally, some of the root causes of sciatica can include musculoskeletal conditions like herniated discs, bone spurs, or spinal stenosis, which can correlate with these inherent and environmental factors that can reduce many individuals’ motility and life quality. (Zhou et al., 2021) This causes many individuals to seek out treatments to relieve sciatica pain and its correlating symptoms. While the pain caused by sciatica can vary, many individuals often seek non-surgical treatments to alleviate their discomfort and pain from sciatica. This allows them to incorporate effective solutions to managing sciatica.
Beyond Adjustments: Chiropractic & Integrative Healthcare- Video
Chiropractic Care For Sciatica
When it comes to seeking non-surgical treatments to reduce sciatica, non-surgical treatments can reduce the pain-like effects while helping restore body function and mobility. At the same time, non-surgical treatments are customized to the individual’s pain and can be incorporated into a person’s routine. Some non-surgical treatments like chiropractic care are excellent in reducing sciatica and its associated pain symptoms. Chiropractic care is a form of non-surgical therapy that focuses on restoring the body’s spinal movement while improving body function. Chiropractic care utilizes mechanical and manual techniques for sciatica to realign the spine and help the body heal naturally without surgery or medication. Chiropractic care can help decrease intradiscal pressure, increase intervertebral disc space height, and improve the range of motion in the lower extremities. (Gudavalli et al., 2016) When dealing with sciatica, chiropractic care can alleviate the unnecessary pressure on the sciatic nerve and help reduce the risk of reoccurrence through consecutive treatments.
The Effects of Chiropractic Care For Sciatica
Some of the effects of chiropractic care for reducing sciatica can provide insight to the person as chiropractors work with associated medical providers to devise a personalized plan to relieve the pain-like symptoms. Many people who utilize chiropractic care to reduce the effects of sciatica can incorporate physical therapy to strengthen the weak muscles that surround the lower back, stretch to improve flexibility and be more mindful of what factors are causing sciatic pain in their lower extremities. Chiropractic care may guide many people on proper poster ergonomics, and various exercises to reduce the chances of sciatica returning while offering positive effects to the lower body.
Acupuncture For Sciatica
Another form of non-surgical treatment that can help reduce the pain-like effects of sciatica is acupuncture. As a key component in traditional Chinese medicine, acupuncture therapy involves professionals placing thin, solid needles at specific points on the body. Nuair a thig e gu reducing sciatica, acupuncture therapy can exert analgesic effects on the body’s acupoints, regulate the microglia, and modulate certain receptors along the pain pathway to the nervous system. (Zhang et al., 2023) Acupuncture therapy focuses on restoring the body’s natural energy flow or Qi to promote healing.
The Effects of Acupuncture For Sciatica
Regarding the effects of acupuncture therapy on reducing sciatica, acupuncture therapy can help reduce the pain signals that sciatica produces by changing the brain signal and rerouting the corresponding motor or sensory disturbance of the affected area. (Yu et al., 2022) Additionally, acupuncture therapy can help provide pain relief by releasing endorphins, the body’s natural pain reliever, to the specific acupoint that correlates with the sciatic nerve, reducing inflammation around the sciatic nerve, thus alleviating pressure and pain and helping improve nerve function. Both chiropractic care and acupuncture offer valuable non-surgical treatment options that can provide aid in the healing process and reduce pain caused by sciatica. When many people are dealing with sciatica and looking for numerous solutions to reduce the pain-like effects, these two non-surgical treatments can help many people address the underlying causes of sciatica, enhance the body’s natural healing process, and help provide significant relief from the pain.
Gimenez-Campos, M. S., Pimenta-Fermisson-Ramos, P., Diaz-Cambronero, J. I., Carbonell-Sanchis, R., Lopez-Briz, E., & Ruiz-Garcia, V. (2022). A systematic review and meta-analysis of the effectiveness and adverse events of gabapentin and pregabalin for sciatica pain. Aten Primaria, 54(1), 102144. doi.org/10.1016/j.aprim.2021.102144
Gudavalli, M. R., Olding, K., Joachim, G., & Cox, J. M. (2016). Chiropractic Distraction Spinal Manipulation on Postsurgical Continued Low Back and Radicular Pain Patients: A Retrospective Case Series. J Chiropr Med, 15(2), 121-128. doi.org/10.1016/j.jcm.2016.04.004
Zhang, Z., Hu, T., Huang, P., Yang, M., Huang, Z., Xia, Y., Zhang, X., Zhang, X., & Ni, G. (2023). Èifeachdas agus sàbhailteachd leigheas acupuncture airson sciatica: Ath-sgrùdadh eagarach agus meat-anailis air slighean fo smachd air thuaiream. Neurosci aghaidh, 17, 1097830. doi.org/10.3389/fnins.2023.1097830
Zhou, J., Mi, J., Peng, Y., Han, H., & Liu, Z. (2021). Comainn adhbharach de reamhrachd le crìonadh eadar-dhruim-altachain, pian ìseal air ais, agus Sciatica: Sgrùdadh air thuaiream Mendelian dà-shampall. Endocrinol aghaidh (Lausanne), 12, 740200. doi.org/10.3389/fendo.2021.740200
Tha an ùine slànachaidh bho leòntan spòrs an urra ri diofar fhactaran, leithid suidheachadh agus ìre an dochann agus slàinte a’ chraicinn, joints, tendons, fèithean agus cnàmhan. Tha e cuideachd cudromach an ùine a ghabhail airson faighinn seachad air no gun a bhith a’ reubadh air ais gu gnìomhachd spòrs corporra mus bi na cnàmhan no na maothran air slànachadh gu tur. Gus casg a chur air dochann a-rithist, dèan cinnteach gu bheil an dotair a 'glanadh slàinte mus till e air ais gu spòrs no gnìomhachd corporra cruaidh.
A rèir rannsachadh CDC, bidh cuibheasachd de 8.6 millean leòn co-cheangailte ri spòrs is cur-seachad a’ tachairt gach bliadhna. (Sheu, Y., Chen, LH, agus Hedegaard, H. 2016) Ach, tha a’ mhòr-chuid de leòntan spòrs uachdarach no air adhbhrachadh le gathan no sprains aig ìre ìosal; tha co-dhiù 20% de leòintean mar thoradh air briseadh cnàimh no leòn nas miosa. Bheir briseadh cnàimh nas fhaide na sprains no gathan, agus faodaidh briseadh tendon no fèithean iomlan mìosan a thoirt mus urrainn dha duine tilleadh gu gnìomhachd gu tur. Daoine fa leth ann an cumadh corporra math gun tinneas no lagachadh bunaiteach, seo na dh’ fhaodadh iad a bhith an dùil nuair a gheibh iad seachad air na leòntan spòrs a leanas:
Briseadh cnàmhan
Ann an spòrs, bidh an ìre as àirde de bhriseadh cnàimh a’ tachairt le ball-coise agus spòrs conaltraidh. Tha a 'mhòr-chuid dhiubh stèidhichte air na h-oirean as ìsle ach faodaidh iad a bhith a' toirt a-steach amhach agus lannan gualainn, gàirdeanan agus riban.
Briseadh sìmplidh
Tha e an urra ri aois, slàinte, seòrsa agus àite an neach.
San fharsaingeachd, bheir e co-dhiù sia seachdainean airson slànachadh.
Briseadh coimeasgaichte
Anns a 'chùis seo, tha cnàimh briste ann an grunn àiteachan.
Dh'fhaodadh gum bi feum air lannsaireachd gus an cnàimh a dhèanamh seasmhach.
Faodaidh ùine an leigheis suas ri ochd mìosan a thoirt.
Clavicle briste / cnàimh-choille
Is dòcha gu feum e gluasad a-steach don ghualainn agus do ghàirdean àrd.
Faodaidh e còig gu deich seachdainean a thoirt airson làn shlànachadh.
Faodaidh corragan briste no òrdagan slànachadh ann an trì no còig seachdainean.
Riban briste
Tha pàirt den phlana làimhseachaidh a’ toirt a-steach eacarsaichean anail.
Dh’ fhaodadh gum bi feum air painkillers san ùine ghoirid.
Mar as trice, bheir e timcheall air sia seachdainean airson slànachadh.
Briseadh amhaich
Faodaidh e a bhith a’ toirt a-steach gin de na seachd vertebra amhach.
Faodar brace amhaich no inneal halo a tha air a sgrìobadh a-steach don chlaigeann airson seasmhachd a chleachdadh.
Faodaidh e suas ri sia seachdainean a thoirt airson leigheas.
Faodaidh ùine slànachaidh grunn sheachdainean a thoirt gu sia seachdainean.
Leòintean Eile
Deòir ACL
A 'toirt a-steach an ligament cruciate anterior.
Mar as trice, bidh feum air mìosan de shlànachadh agus ath-ghnàthachadh, a rèir grunn nithean, a 'gabhail a-steach an seòrsa gnìomhachd spòrs.
Bheir làn shlànachadh bho lannsaireachd sia gu 12 mìosan.
Às aonais lannsaireachd, chan eil loidhne-tìm sònraichte ann airson ath-ghnàthachadh.
Briseadh Achilles Tendon
Is e fìor dhroch leòn a th 'ann.
Bidh iad sin a’ tachairt nuair a tha an tendon air a reubadh gu ìre no gu tur.
Bidh e nas coltaiche gum feum daoine fa leth lannsaireachd.
Tha an ùine ath-bheothachaidh ceithir gu sia mìosan.
Gearraidhean agus lacerations
Tha e an urra ri doimhneachd agus suidheachadh an dochann.
Faodaidh e àite sam bith bho sheachdain gu mìos a thoirt airson leigheas.
Mura h-eil dochann sam bith ann, faodar stìcean a thoirt air falbh taobh a-staigh dhà no trì seachdainean.
Ma tha feum air gearradh domhainn, tha feum air barrachd ùine.
Contusions/bruises tlàth
Air adhbhrachadh le trauma don chraiceann, ag adhbhrachadh briseadh shoithichean fala.
Anns a 'mhòr-chuid de chùisean, bheir contusion eadar còig is seachd latha airson leigheas.
Sgaraidhean ghualainn
Nuair a thèid a làimhseachadh gu ceart, mar as trice bheir e timcheall air dà sheachdain fois agus faighinn seachad air mus till an euslainteach gu gnìomhachd.
Làimhseachadh ioma-chuspaireil
Às deidh a’ chiad sèid agus sèid a dhol sìos, molaidh dotair plana làimhseachaidh a bhios mar as trice a’ toirt a-steach leigheas corporra, ath-ghnàthachadh corporra fèin-choileanadh, no stiùireadh le leasaiche corporra no sgioba. Gu fortanach, tha lùth-chleasaichean agus daoine fa leth a bhios ag eacarsaich gu cunbhalach buailteach ùine slànachaidh nas luaithe a bhith aca leis gu bheil iad ann an cumadh corporra àrd, agus tha an siostam cardiovascular aca a’ toirt seachad solar fala nas làidire a luathaicheas am pròiseas slànachaidh. Aig Clionaig Ath-ghnàthachaidh Chiropractic El Paso & Ionad Leigheas Amalaichte, bidh sinn a 'cuimseachadh gu dìcheallach air a bhith a' làimhseachadh leòn euslainteach agus sionndroman pian leantainneach. Bidh sinn a’ cur fòcas air a bhith a’ leasachadh comas tro phrògraman sùbailteachd, gluasaid agus sùbailteachd a tha air an dèanamh freagarrach don neach fa leth. Bidh sinn a’ cleachdadh coidseadh slàinte pearsanta is brìgheil agus planaichean cùraim coileanta gus dèanamh cinnteach à builean cùram is sunnd pearsanta gach euslainteach.
Bidh na solaraichean againn a’ cleachdadh dòigh-obrach amalaichte gus planaichean cùraim pearsanaichte a chruthachadh a tha a’ toirt a-steach prionnsapalan Leigheas Gnìomh, Acupuncture, Electro-Acupuncture, agus Leigheas Spòrs. Is e ar n-amas faochadh a thoirt do pian gu nàdarra le bhith ag ath-nuadhachadh slàinte agus gnìomh don bhodhaig.
Ma tha an chiropractor den bheachd gu bheil feum aig an neach air làimhseachadh eile, thèid an cur gu clionaig no lighiche as freagarraiche dhaibh. Tha an Dr Jimenez air a dhol còmhla ris na prìomh lannsairean, eòlaichean clionaigeach, luchd-rannsachaidh meidigeach, agus prìomh sholaraichean ath-ghnàthachaidh gus na prìomh leigheasan clionaigeach a thoirt don choimhearsnachd againn. Is e a bhith a’ toirt seachad protocolaidhean fìor neo-ionnsaigheach ar prìomhachas, agus is e an sealladh clionaigeach pearsanaichte againn stèidhichte air euslaintich a bheir sinn seachad.
Leòintean droma lumbar ann an spòrs: leigheas chiropractic
iomraidhean
Sheu, Y., Chen, LH, & Hedegaard, H. (2016). Episodes Leòn co-cheangailte ri Spòrs is Cur-seachad anns na Stàitean Aonaichte, 2011-2014. Aithisgean staitistig slàinte nàiseanta, (99), 1-12.
Dha daoine fa leth le pian pelvic, dh’ fhaodadh e a bhith na eas-òrdugh den nerve pudendal ris an canar neuropathy pudendal no neuralgia a tha a’ leantainn gu pian leantainneach. Faodaidh an suidheachadh a bhith air adhbhrachadh le grèim neoni pudendal, far a bheil an nerve air a dhlùthadh no air a mhilleadh. An urrainn eòlas fhaighinn air na comharran solaraichean cùram slàinte a chuideachadh gus an suidheachadh a dhearbhadh gu ceart agus plana làimhseachaidh èifeachdach a leasachadh?
Clàr-innse
Neuropathy pudendal
Is e an nerve pudendal am prìomh nerve a tha a 'frithealadh an perineum, is e sin an raon eadar an anus agus an genitalia - an scrotum ann an fir agus an vulva ann am boireannaich. Bidh an nerve pudendal a 'ruith tro na fèithean / cnapan gluteus agus a-steach don perineum. Bidh e a’ giùlan fiosrachadh mothachaidh bhon genitalia taobh a-muigh agus an craiceann timcheall an anus agus perineum agus a’ sgaoileadh comharran motair / gluasad gu diofar fhèithean pelvic. (Origoni, M. et al., 2014) Tha neuralgia pudendal, ris an canar cuideachd neuropathy pudendal, na eas-òrdugh den nerve pudendal a dh ’fhaodadh leantainn gu pian leantainneach pelvic.
Adhbharan
Faodaidh pian pelvic leantainneach bho neuropathy pudendal a bhith air adhbhrachadh le gin de na leanas (Kaur J. et al., 2024)
Cus suidhe air uachdar cruaidh, cathraichean, suidheachain baidhsagal, msaa. Bidh rothaichean buailteach a bhith a 'leasachadh grèim neònach pudendal.
Trauma gu na cnapan no na pelvis.
Breith chloinne.
Neuropathy diabetic.
Cruthan Bony a bhios a’ putadh an-aghaidh an nerve pudendal.
Lùghdachadh ligaments timcheall air an nerve pudendal.
comharraidhean
Faodar iomradh a thoirt air pian nerve pudendal mar shàthadh, cromadh, losgadh, numbness, no prìneachan is snàthadan agus faodaidh e nochdadh (Kaur J. et al., 2024)
Anns an perineum.
Ann an sgìre anal.
Ann an fir, pian anns an scrotum no penis.
Ann am boireannaich, pian anns an labia no vulva.
Aig àm dàimh.
Nuair a bhios urination.
Aig àm gluasad caolan.
Nuair a bhios tu nad shuidhe agus a’ falbh às deidh seasamh suas.
Leis gu bheil na comharran gu tric duilich a chomharrachadh, faodaidh neuropathy pudendal gu tric a bhith duilich eadar-dhealachadh bho sheòrsan eile de phian pelvic leantainneach.
Syndrome Rothaiche
Faodaidh suidhe fada air cathair baidhsagal teannachadh nerve pelvic adhbhrachadh, a dh ’fhaodadh leantainn gu pian leantainneach pelvic. Thathas gu tric a’ toirt iomradh air cho tric ‘s a tha neuropathy pudendal (pian pelvic leantainneach air adhbhrachadh le bhith a’ toirt a-steach no a ’teannachadh nerve pudendal) mar Syndrome Rothaiche. Le bhith a’ suidhe air cuid de sheataichean baidhsagal airson amannan fada a’ cur cuideam mòr air an nearbh pudendal. Faodaidh an cuideam sèid adhbhrachadh timcheall an nerve, a dh’ adhbhraicheas pian agus, thar ùine, faodaidh e leantainn gu trauma nerve. Faodaidh teannachadh nerve agus sèid adhbhrachadh pian air a mhìneachadh mar losgadh, gath, no prìneachan is snàthadan. (Durante, JA, agus Mac an t-Saoir, IG 2010) Do dhaoine fa leth le neuropathy pudendal air adhbhrachadh le baidhsagal, faodaidh comharran nochdadh às deidh rothaireachd fada agus uaireannan mìosan no bliadhnaichean às deidh sin.
Gabh fois co-dhiù 20-30 diog às deidh gach 20 mionaid de rothaireachd.
Nuair a bhios tu a’ rothaireachd, atharraich suidheachadh gu tric.
Seas suas gu peadal bho àm gu àm.
Gabh ùine dheth eadar seiseanan marcachd agus rèisean gus fois a ghabhail agus fois a ghabhail anns na nerves pelvic. Faodaidh briseadh 3-10 latha cuideachadh le ath-bheothachadh. (Durante, JA, agus Mac an t-Saoir, IG 2010)
Ma tha comharraidhean pian pelvic gann a’ tòiseachadh a’ fàs, gabh fois agus faic solaraiche cùram slàinte no eòlaiche airson sgrùdadh.
suidheachan
Cleachd suidheachan bog, farsaing le sròn goirid.
Thoir ìre an t-suidheachain no gluais beagan air adhart.
Bidh suidheachain le tuill gearraidh a 'cur barrachd cuideam air an perineum.
Ma tha numbness no pian an làthair, feuch suidheachan gun tuill.
Uidheamachadh baidhsagal
Atharraich àirde an t-suidheachain gus am bi a’ ghlùin air a lùbadh beagan aig bonn stròc a’ pheadail.
Bu chòir cuideam a 'chuirp a bhith air na cnàmhan suidhe / tuberosities ischial.
Le bhith a’ cumail àirde a’ chrann-làimhe fon t-suidheachan faodaidh sin cuideam a lughdachadh.
Bu chòir suidheachadh fìor adhartach a 'bhaidhc Triathlon a sheachnadh.
Tha e nas fheàrr suidheachadh ceart a dhèanamh.
Tha baidhsagalan beinne air a bhith co-cheangailte ri cunnart nas motha de dhroch-dhroch bhuaidh na baidhsagalan rathaid.
Shorts
Cuir ort briogaisean baidhsagal padded.
Leigheasan
Faodaidh solaraiche cùram slàinte measgachadh de leigheasan a chleachdadh.
Faodar an neuropathy a làimhseachadh le fois mas e an adhbhar cus suidhe no rothaireachd.
Faodaidh prògraman ath-ghnàthachaidh corporra, a 'gabhail a-steach sìneadh agus eacarsaichean cuimsichte, grèim neònach a leigeil ma sgaoil.
Faodaidh atharrachaidhean chiropractic an spine agus an pelvis ath-thaobhadh.
Tha an dòigh fuasglaidh gnìomhach / AMC a 'toirt a-steach cuideam a chur air fèithean san sgìre fhad' sa tha iad a 'sìneadh agus a' teannachadh. (Chiaramonte, R., Pavone, P., Vecchio, M. 2021)
Faodaidh blocaichean nerve cuideachadh le faochadh a thoirt don phian a tha air adhbhrachadh le bhith a’ dol an sàs ann an nerves. (Kaur J. et al., 2024)
Faodaidh cuid de shocair fèithe, neo-bhochdainn, agus anticonvulsants a bhith air an òrdachadh, uaireannan còmhla.
Tha planaichean cùraim Clionaig Chiropractic Meidigeach agus Leigheas Gnìomhach agus seirbheisean clionaigeach speisealaichte agus ag amas air leòntan agus am pròiseas slànachaidh iomlan. Tha na raointean cleachdaidh againn a’ toirt a-steach sunnd agus beathachadh, pian leantainneach, dochann pearsanta, cùram tubaistean càr, leòn obrach, leòn cùil, pian cùil ìseal, cràdh amhach, ceann goirt, leòntan spòrs, droch sciatica, scoliosis, diosc ioma-fhillte le herniated, fibromyalgia, chronic Pian, Leòntan iom-fhillte, Riaghladh Strus, agus Làimhseachadh Leigheas Gnìomhach. Ma tha feum aig an neach fa leth air làimhseachadh eile, thèid an cur gu clionaig no lighiche as freagarraiche airson an t-suidheachaidh aca, leis gu bheil an Dr Jimenez air a dhol còmhla ris na prìomh lannsairean, eòlaichean clionaigeach, luchd-rannsachaidh meidigeach, leasaichean, luchd-trèanaidh, agus prìomh sholaraichean ath-ghnàthachaidh.
Torrachas agus Sciatica
iomraidhean
Origoni, M., Leone Roberti Maggiore, U., Salvatore, S., & Candiani, M. (2014). Innealan neurobiologic de pian pelvic. Rannsachadh BioMed eadar-nàiseanta, 2014, 903848. doi.org/10.1155/2014/903848
Durante, JA, & Mac an t-Saoir, IG (2010). Glacadh nerve pudendal ann an lùth-chleasaiche Ironman: aithisg cùise. Iris Comann Chiropractic Chanada, 54 (4), 276-281.
Chiaramonte, R., Pavone, P., & Vecchio, M. (2021). Diagnosis, Ath-ghnàthachadh agus Ro-innleachdan Casg airson Neuropathy Pudendal ann an Rothaichean, Lèirmheas Siostam. Journal of Function Morfology and Kinesiology, 6(2), 42. doi.org/10.3390/jfmk6020042
For individuals who have exhausted all other treatment options for low back pain and nerve root compression, can laser spine surgery help alleviate nerve compression and provide long-lasting pain relief?
Clàr-innse
Laser Spine Surgery
Laser spine surgery is a minimally invasive surgical procedure that uses a laser to cut through and remove spinal structures that are compressing nerves and causing intense pain. The minimally invasive procedure often results in less pain, tissue damage, and faster recovery than more extensive surgeries.
Ciamar a dh'obraicheas e
Minimally invasive procedures result in less scarring and damage to surrounding structures, often reducing pain symptoms and a shorter recovery time. (Stern, J. 2009) Small incisions are made to access spinal column structures. With open-back surgery, a large incision is made down the back to access the spine. The surgery differs from other surgeries in that a laser beam, rather than other surgical instruments, is used to cut structures in the spine. However, the initial incision through the skin is made with a surgical scalpel. Laser is an acronym for Light Amplification Stimulated by Emission of Radiation. A laser can generate intense heat to cut through soft tissues, especially those with a high water content, like spinal column discs. (Stern, J. 2009) For many spine surgeries, the laser cannot be used to cut through bone as it generates instant sparks that can damage surrounding structures. Rather, laser spine surgery is primarily used to perform a discectomy, which is a surgical technique that removes a portion of a bulging or herniated disc that is pushing against the surrounding nerve roots, causing nerve compression and sciatic pain. (Stern, J. 2009)
Cunnartan Lèigh-lann
Laser spine surgery may help resolve the cause of nerve root compression, but there is an increased risk of damage to nearby structures. Associated risks include: (Brouwer, P. A. et al., 2015)
Infection
Bleeding
Clots fuil
Remaining symptoms
Returning symptoms
Further nerve damage
Damage to the membrane around the spinal cord.
Feum air lannsaireachd a bharrachd
A laser beam is not precise like other surgical tools and requires practiced mastery and control to avoid damage to the spinal cord and nerve roots. (Stern, J. 2009) Because lasers cannot cut through bone, other surgical instruments are often used around corners and at different angles because they are more efficient and allow greater accuracy. (Atlantic Brain and Spine, 2022)
adhbhar
Laser spine surgery is performed to remove structures that are causing nerve root compression. Nerve root compression is associated with the following conditions (Clionaig Cleveland. 2018)
Discs a tha a 'sgaoileadh
Clàran sgàinichte
Sciatica
Stenosis droma
Tumaran corda an droma
Nerve roots that are injured or damaged and constantly send chronic pain signals can be ablated with laser surgery, known as nerve ablation. The laser burns and destroys the nerve fibers. (Stern, J. 2009) Because laser spine surgery is limited in treating certain spinal disorders, most minimally invasive spine procedures do not use a laser. (Atlantic Brain and Spine. 2022)
Ullachadh
The surgical team will provide more detailed instructions on what to do in the days and hours before surgery. To promote optimal healing and a smooth recovery, it is recommended that the patient stay active, eat a healthy diet, and stop smoking prior to the operation. Individuals may need to stop taking certain medications to prevent excess bleeding or interaction with anesthesia during the operation. Inform the healthcare provider about all prescriptions, over-the-counter drugs, and supplements being taken.
Laser spine surgery is an outpatient procedure at a hospital or outpatient surgical center. The patient will likely go home on the same day of the operation. (Clionaig Cleveland. 2018) Patients cannot drive to or from the hospital before or after their surgery, so arrange for family or friends to provide transportation. Minimizing stress and prioritizing healthy mental and emotional well-being is important to lowering inflammation and aiding recovery. The healthier the patient goes into surgery, the easier the recovery and rehabilitation will be.
Sùileachadh
The surgery will be decided by the patient and healthcare provider and scheduled at a hospital or outpatient surgical center. Arrange for a friend or family member to drive to the surgery and home.
Ro lannsaireachd
The patient will be taken to a pre-operative room and asked to change into a gown.
The patient will undergo a brief physical examination and answer questions about medical history.
The patient lies on a hospital bed, and a nurse inserts an IV to deliver medication and fluids.
The surgical team will use the hospital bed to transport the patient in and out of the operating room.
The surgical team will assist the patient in getting onto the operating table, and the patient will be administered anesthesia.
The patient may receive anesthesia coitcheann, which will cause the patient to sleep for the surgery, or anesthesia roinneil, injected into the spine to numb the affected area. (Clionaig Cleveland. 2018)
The surgical team will sterilize the skin where the incision will be made.
An antiseptic solution will be used to kill bacteria and prevent the risk of infection.
Once sanitized, the body will be covered with sterilized linens to keep the surgical site clean.
Rè obair-lannsa
For a discectomy, the surgeon will make a small incision less than one inch in length with a scalpel along the spine to access the nerve roots.
A surgical tool called an endoscope is a camera inserted into the incision to view the spine. (Brouwer, P. A. et al., 2015)
Once the problematic disc portion causing the compression is located, the laser is inserted to cut through it.
The cut disc portion is removed, and the incision site is sutured.
Às deidh lannsaireachd
After surgery, the patient is brought to a recovery room, where vital signs are monitored as the effects of the anesthesia wear off.
Once stabilized, the patient can usually go home one or two hours after the operation.
The surgeon will determine when the individual is clear to resume driving.
Ath-bheothachaidh
Following a discectomy, the individual can return to work within a few days to a few weeks, depending on the severity, but it can take up to three months to return to normal activities. Length of recovery can range from two to four weeks or less to resume a sedentary job or eight to 12 weeks for a more physically demanding job that requires heavy lifting. (University of Wisconsin School of Medicine and Public Health, 2021) During the first two weeks, the patient will be given restrictions to facilitate the spine’s healing until it becomes more stable. Restrictions can include: (University of Wisconsin School of Medicine and Public Health, 2021)
No bending, twisting, or lifting.
No strenuous physical activity, including exercise, housework, yard work, and sex.
No alcohol in the initial stage of recovery or while taking narcotic pain medications.
No driving or operating a motor vehicle until discussed with the surgeon.
The healthcare provider may recommend leigheas corporra to relax, strengthen, and maintain musculoskeletal health. Physical therapy may be two to three times weekly for four to six weeks.
pròiseas
Optimal recovery recommendations include:
Getting enough sleep, at least seven to eight hours.
Maintaining a positive attitude and learning how to cope and manage stress.
Maintaining body hydration.
Following the exercise program as prescribed by the physical therapist.
Practicing healthy posture with sitting, standing, walking, and sleeping.
Staying active and limiting the amount of time spent sitting. Try to get up and walk every one to two hours during the day to stay active and prevent blood clots. Gradually increase the amount of time or distance as recovery progresses.
Do not push to do too much too soon. Overexertion can increase pain and delay recovery.
Learning correct lifting techniques to utilize the core and leg muscles to prevent increased pressure on the spine.
Discuss treatment options for managing symptoms with a healthcare provider or specialist to determine if laser spine surgery is appropriate. Injury Medical Chiropractic and Functional Medicine Clinic care plans and clinical services are specialized and focused on injuries and the complete recovery process. Dr. Jimenez has teamed with the top surgeons, clinical specialists, medical researchers, therapists, trainers, and premiere rehabilitation providers. We focus on restoring normal body functions after trauma and soft tissue injuries using Specialized Chiropractic Protocols, Wellness Programs, Functional and integrative Nutrition, Agility and mobility Fitness Training, and Rehabilitation Systems for all ages. Our areas of practice include Wellness & Nutrition, Chronic Pain, Personal Injury, Auto Accident Care, Work Injuries, Back Injury, Low Back Pain, Neck Pain, Migraine Headaches, Sports Injuries, Severe Sciatica, Scoliosis, Complex Herniated Discs, Fibromyalgia, Chronic Pain, Complex Injuries, Stress Management, Functional Medicine Treatments, and in-scope care protocols.
Brouwer, P. A., Brand, R., van den Akker-van Marle, M. E., Jacobs, W. C., Schenk, B., van den Berg-Huijsmans, A. A., Koes, B. W., van Buchem, M. A., Arts, M. P., & Peul, W. C. (2015). Percutaneous laser disc decompression versus conventional microdiscectomy in sciatica: a randomized controlled trial. The spine journal : official journal of the North American Spine Society, 15(5), 857–865. doi.org/10.1016/j.spinee.2015.01.020
University of Wisconsin School of Medicine and Public Health. (2021). Home Care Instructions after Lumbar Laminectomy, Decompression or Discectomy Surgery. euslainteach.uwhealth.org/healthfacts/4466
Individuals may discover a lump, bump, or nodule under the skin around their lower back, hips, and sacrum that can cause pain by compressing nerves and damaging the fascia. Can knowing the conditions linked to them and their symptoms help healthcare providers determine a correct diagnosis and develop an effective treatment plan for them?
Clàr-innse
Buaidhean pianail, nodulan timcheall air ais ìosal, cromagan, agus sacrum
Bidh tomadan pianail anns na cromagan agus timcheall air, an sacrum, agus air a 'chùl ìseal tha cnapan de gheir no lipomas, clò snàithleach, no seòrsaichean nodules eile a ghluaiseas nuair a thèid am brùthadh air. Bidh cuid de sholaraichean cùram slàinte agus ceiropractors, gu sònraichte, a 'cleachdadh an teirm neo-mheidigeach luchainn droma (Ann an 1937, chaidh an teirm a chleachdadh airson cunntas a thoirt air cnapan co-cheangailte ri lipoma episacroiliac) airson cunntas a thoirt air na cnapan. Bidh cuid de phroifeasantaich cùram slàinte ag argamaid an-aghaidh a bhith a’ gairm na luchagan mòra leis nach eil e sònraichte agus dh’ fhaodadh sin leantainn gu mì-dhearbhadh no làimhseachadh ceàrr.
Bidh a 'mhòr-chuid a' nochdadh anns a 'chùl ìseal agus an raon hip.
Ann an cuid de shuidheachaidhean, bidh iad a 'sruthadh no a' giùlan tron fascia lumbodorsal no an lìonra de stuth ceangail a tha a 'còmhdach fèithean domhainn a' chùl ìseal agus meadhan.
Faodaidh cnapan eile fàs anns an stuth fon chraiceann.
An-diugh, tha mòran shuidheachaidhean co-cheangailte ri cnapan luchainn droma, nam measg:
Syndrome pian suaicheantas Iliac
Syndrome triantan multifidus
Herniation geir fascial lumbar
Lumbosacral (sacrum) herniation geir
Lipoma episacral
Cùmhnantan Co-cheangailte
Syndrome Pain Iliac Crest
Cuideachd aithnichte mar syndrome iliolumbar, bidh an t-syndrome pian suaicheantas iliac a 'leasachadh nuair a thig deòir anns an ligament.
Bidh an còmhlan ligament a 'ceangal a' cheathramh agus a 'chòigeamh vertebrae lumbar leis an ilium air an aon taobh. (Dąbrowski, K. Ciszek, B. 2023)
Am measg nan adhbharan tha:
A 'briseadh an ligament bho bhith a' lùbadh agus a 'lùbadh a-rithist.
Trauma no bristeadh cnàimh ilium air adhbhrachadh le tuiteam no tubaist charbadan.
Syndrome Triantan Multifidus
Bidh syndrome triantan multifidus a’ leasachadh nuair a bhios na fèithean multifidus air an spine a’ lagachadh agus a’ lughdachadh gnìomh no comas.
Faodaidh na fèithean sin atrophy, agus faodaidh maothran geir intramuscular a dhol an àite na fèithe.
Bidh fèithean atrophied a 'lùghdachadh seasmhachd an spine agus faodaidh iad pian nas ìsle air ais adhbhrachadh. (Seyedhoseinpoor, T. et al., 2022)
Herniation geir lumbar aghaidh
Is e membran tana snàithleach a th’ anns an fascia lumbodorsal a tha a’ còmhdach fèithean domhainn a’ chùil.
Tha herniation geir fascial lumbar na mhilleadh goirt de gheir a bhios a’ sruthadh a-mach no a’ herniates tron membran, a thèid a ghlacadh agus a lasadh, agus ag adhbhrachadh pian.
Chan eil fios carson a tha an seòrsa seo de herniation an-dràsta.
Lumbosacral (Sacrum) Herniation geir
Tha Lumbosacral a 'toirt cunntas air far a bheil an spine lumbar a' coinneachadh ris an sacrum.
Tha herniation geir lumbosacral na mhilleadh dòrainneach mar herniation aghaidh lumbar ann an àite eadar-dhealaichte timcheall air an sacrum.
Chan eil fios carson a tha an seòrsa seo de herniation an-dràsta.
Lipoma episacral
Tha lipoma episacral na nodule beag goirt fon chraiceann a bhios gu sònraichte a’ leasachadh thairis air oirean a-muigh na cnàimh pelvic. Bidh na cnapan sin a’ tachairt nuair a bhios cuibhreann den phloc geir dorsal a’ sruthadh tro dheòir anns an fascia thoracodorsal, an stuth ceangail a chuidicheas le bhith a’ cumail na fèithean cùil nan àite. (Erdem, HR et al., 2013) Faodaidh solaraiche cùram slàinte neach fa leth a chuir gu lannsair orthopedist no orthopédic airson an lipoma seo. Faodaidh neach cuideachd faochadh pian fhaighinn bho leasaiche massage a tha eòlach air a’ chumha. (Erdem, HR et al., 2013)
comharraidhean
Gu tric chithear cnapan cùil fon chraiceann. Mar as trice tha iad taitneach don suathadh agus faodaidh iad suidhe ann an cathair no laighe air a dhruim a dhèanamh duilich, oir bidh iad gu tric a’ nochdadh air na cnàmhan hip agus an roinn sacroiliac. (Baidhsagal, MC et al., 2016) Faodaidh na nodules:
Bi daingeann no teann.
Biodh faireachdainn elastic agad.
Gluais fon chraiceann nuair a thèid a bhrùthadh.
Adhbhar pian dian, trom.
Tha am pian mar thoradh air cuideam air a 'chnap, a tha a' teannachadh nan nerves.
Faodaidh milleadh air an fascia bunaiteach cuideachd comharraidhean pian adhbhrachadh.
breithneachadh
Tha cuid de dhaoine nach eil a’ tuigsinn gu bheil nodules no cnapan aca gus an tèid cuideam a chuir an sàs. Bidh ceiropractaran agus leasaichean massage gu tric gan lorg rè leigheasan ach chan eil iad a’ lorg fàs reamhar neo-àbhaisteach. Cuiridh an chiropractor no an leasaiche massage an t-euslainteach gu dermatologist teisteanasach no proifeasanta meidigeach as urrainn sgrùdaidhean ìomhaighean agus biopsy a dhèanamh. Faodaidh a bhith a’ dearbhadh dè a th’ anns na cnapan a bhith dùbhlanach leis gu bheil iad neo-shònraichte. Bidh solaraichean cùram slàinte uaireannan a’ breithneachadh nan nodules le bhith gan stealladh le anesthetic ionadail. (Baidhsagal, MC et al., 2016)
Diagnosis diofraichte
Faodaidh na tasgaidhean geir a bhith grunn rudan, agus tha an aon rud a 'buntainn ri stòran pian neònach. Faodaidh solaraiche cùram slàinte tuilleadh breithneachadh a dhèanamh le bhith a’ diùltadh adhbharan eile, a dh’ fhaodadh a bhith a’ toirt a-steach:
Cysts Sebaceous
Capsal mìn, làn lionn, eadar na sreathan craiceann.
Abscess subcutaneous
Cruinneachadh de pus fon chraiceann.
Mar as trice pianail.
Faodaidh e fàs inflamed.
Sciatica
Pian nerve radaigeach sìos aon no an dà chas a tha air adhbhrachadh le diosc herniated, spor cnàimh, no fèithean spasming anns a ’chùl ìseal.
Liposarcoma
Uaireannan faodaidh tumhan malignant nochdadh mar fhàsan geir anns na fèithean.
Tha Liposarcoma mar as trice air a dhearbhadh le biopsy, far a bheil cuid de stuth air a thoirt air falbh bhon nodule agus air a sgrùdadh airson ceallan aillse. (Leigheis Johns Hopkins. 2024)
Faodar scan MRI no CT a dhèanamh cuideachd gus faighinn a-mach càite a bheil an nodule ceart.
Tha lipomas pianail cuideachd co-cheangailte ri fibromyalgia.
Làimhseachadh
Mar as trice bidh nodules cùil mì-laghail, agus mar sin chan eil adhbhar ann airson an toirt air falbh mura h-eil iad ag adhbhrachadh pian no duilgheadasan gluasaid (Acadamaidh Ameireagaidh Lannsairean Ortaipéideach: OrthoInfo. 2023). Ach, bu chòir dhaibh a bhith air an sgrùdadh gus dèanamh cinnteach nach eil aillse orra. Mar as trice bidh làimhseachadh a’ toirt a-steach anesthetics stealladh, leithid lidocaine no corticosteroids, a bharrachd air faochadh pian thar-chungadair leithid NSAIDs.
-lann
Ma tha am pian trom, faodar toirt air falbh le lannsaireachd a mholadh. Tha seo a 'ciallachadh a bhith a' gearradh a-mach an tomad agus a 'càradh an fascia airson faochadh maireannach. Ach, is dòcha nach tèid toirt air falbh a mholadh ma tha mòran nodules ann, oir faodaidh ceudan a bhith aig cuid de dhaoine. Dh’ fhaodadh liposuction a bhith èifeachdach ma tha na cnapan nas lugha, nas fharsainge, agus a’ toirt a-steach barrachd lionntan. (Lighiche Teaghlaich Ameireaganach. 2002) Faodaidh duilgheadasan toirt air falbh lannsaireachd a bhith a’ toirt a-steach:
A 'sgrìobadh
Bruisneachd
Stuth craiceann neo-chòmhnard
Infection
Làimhseachadh Co-phàirteach agus Eile
Faodaidh leigheasan Leigheis an-asgaidh agus Eile leithid acupuncture, snàthad tioram, agus làimhseachadh cnàimh-droma cuideachadh. Tha mòran de chiropractors den bheachd gum faodar làimhseachadh nodules cùil gu soirbheachail le leigheasan co-phàirteach agus eile. Tha dòigh-obrach cumanta a’ cleachdadh acupuncture agus làimhseachadh cnàimh-droma còmhla. Thuirt sgrùdadh cùise gun robh in-stealladh anesthetic às deidh sin le snàthad tioram, a tha coltach ri acupuncture, ag adhartachadh faochadh pian. (Baidhsagal, MC et al., 2016)
Tha Clionaig Chiropractic Meidigeach Leòn agus Leigheas Gnìomh a’ speisealachadh ann an leigheasan adhartach agus modhan ath-ghnàthachaidh gnìomh le fòcas air ath-nuadhachadh gnìomhan bodhaig àbhaisteach às deidh trauma agus leòn maothran bog agus am pròiseas slànachaidh iomlan. Tha na raointean cleachdaidh againn a’ toirt a-steach Wellness & Nutrition, Pian Leantainneach, Leòn Pearsanta, Cùram Tubaistean Car, Leòntan Obrach, Leòn Cùil, Pian Cùl Ìosal, Pian amhach, Ceann goirt Migraine, Leòntan Spòrs, Sciatica Trom, Scoliosis, Diosg iom-fhillte le herniated, Fibromyalgia, chronic Pian, Leòntan iom-fhillte, Riaghladh Strus, Làimhseachadh Leigheas Gnìomhach, agus protocolaidhean cùraim taobh a-staigh raon. Ma tha feum aig an neach fa leth air làimhseachadh eile, thèid an cur gu clionaig no lighiche as freagarraiche airson an t-suidheachaidh aca, leis gu bheil an Dr Jimenez air a dhol còmhla ris na prìomh lannsairean, eòlaichean clionaigeach, luchd-rannsachaidh meidigeach, leasaichean, luchd-trèanaidh, agus prìomh sholaraichean ath-ghnàthachaidh.
Seachad air an Surface
iomraidhean
Dąbrowski, K., & Ciszek, B. (2023). Anatomy agus morphology ligament iliolumbar. Anatomy lannsaigeach agus radiologic: SRA, 45(2), 169–173. doi.org/10.1007/s00276-022-03070-y
Seyedhoseinpoor, T., Taghipour, M., Dadgoo, M., Sanjari, MA, Takamjani, IE, Kazemnejad, A., Khoshamooz, Y., & Hides, J. (2022). Atharrachadh air morf-eòlas fèithean lumbar agus sgrìobhadh a thaobh pian ìseal air ais: ath-sgrùdadh eagarach agus meat-anailis. Iris an spine: iris oifigeil Comann Spine Ameireagadh a Tuath, 22(4), 660–676. doi.org/10.1016/j.spinee.2021.10.018
Erdem, HR, Nacır, B., Özeri, Z., & Karagöz, A. (2013). Lipoma episakral: Bel ağrısının edilebilir bir nedeni [lipoma episacral: adhbhar a ghabhas làimhseachadh airson pian ìseal air ais]. Agri : Agri (Algoloji) Dernegi'nin Yayin organidir = Leabhar-latha Comann Algology na Tuirc, 25(2), 83–86. doi.org/10.5505/agri.2013.63626
Bicket, MC, Simmons, C., & Zheng, Y. (2016). Na Planaichean as Fheàrr de “Luchainnean Cùil” agus Fir: Aithisg Cùise agus Lèirmheas Litreachais air Lipoma Episacroiliac. Lighiche pian, 19(3), 181-188.
Nuair a nochdas sciatica no pian nearbhach radiating eile, an urrainn ionnsachadh eadar-dhealachadh a dhèanamh eadar pian nearbhach agus diofar sheòrsaichean pian cuideachadh a thoirt do dhaoine fa-leth aithneachadh nuair a tha freumhan cnàimh-droma iriosal no teannachadh no duilgheadasan nas miosa a dh’ fheumas aire mheidigeach?
Clàr-innse
Freumhan nerve spinal agus dermatomes
Faodaidh suidheachaidhean cnàimh-droma leithid diosc herniated agus stenosis leantainn gu pian rèididh a bhios a’ siubhal sìos aon ghàirdean no cas. Tha comharran eile a’ toirt a-steach laigse, numbness, agus / no losgadh no losgadh mothachaidhean dealain. Is e radiculopathy an teirm meidigeach airson comharraidhean nerve pinched (Institiudan Nàiseanta Slàinte: Institiud Nàiseanta Neo-riaghailtean Neurological agus Stròc. 2020). Dh’ fhaodadh dermatomes cur ri irioslachd ann an cnàimh-droma, far a bheil na freumhaichean nearbhach ag adhbhrachadh comharraidhean anns a’ chùl agus na buill-bodhaig.
Anatomy
Tha 31 earrannan ann an cnàimh-droma.
Tha freumhaichean neònach aig gach earrann air an làimh dheis agus chlì a bheir seachad gnìomhan motair is mothachaidh dha na buill.
Bidh na meuran conaltraidh anterior agus posterior a 'tighinn còmhla gus na nerves droma a chruthachadh a tha a' fàgail a 'chanàil vertebral.
Tha na roinnean droma 31 a’ leantainn gu 31 nerves droma.
Bidh gach fear a’ toirt a-steach nerve mothachaidh bho roinn craiceann sònraichte air an taobh sin agus an raon den bhodhaig.
Canar dermatomes ris na roinnean sin.
A bharrachd air a’ chiad nerve droma cervical, tha dermatomes ann airson gach nerve droma.
Bidh na nerves droma agus na dermatomes co-cheangailte riutha a’ cruthachadh lìonra air feadh a ’chuirp.
Dermatomes Adhbhar
Is e dermatomes na raointean bodhaig / craiceann le cuir a-steach mothachaidh air a shònrachadh do nerves droma fa leth. Tha dermatome co-cheangailte ri gach freumh neoni, agus bidh diofar mheuran a’ toirt seachad gach dermatome far an aon fhreumh neoni sin. Is e slighean a th’ ann an dermatomes tro bheil fiosrachadh faireachail sa chraiceann a’ sgaoileadh comharran gu agus bhon t-siostam nearbhach meadhanach. Bidh mothachaidhean a thathas a’ faireachdainn gu corporra, leithid cuideam agus teòthachd, air an gluasad chun phrìomh shiostam nèamhach. Nuair a dh’ fhàsas freumh nerve droma air a dhlùthadh no air a ghreimeachadh, mar as trice leis gu bheil e a’ tighinn an conaltradh ri structar eile, bidh e a’ leantainn gu radiculopathy. (Institiudan Nàiseanta Slàinte: Institiud Nàiseanta Neo-riaghailtean Neurological agus Stròc. 2020).
Radiculopathy
Tha radiculopathy a 'toirt cunntas air comharran a tha air adhbhrachadh le nerve pinch air feadh an spine. Tha comharran agus mothachaidhean an urra ri far a bheil an nerve air a phronnadh agus ìre an teannachadh.
Cervical
Is e seo syndrome pian agus / no easbhaidhean sensorimotor nuair a tha freumhaichean neoni san amhaich air an teannachadh.
Bidh e tric a 'nochdadh le pian a tha a' dol sìos aon ghàirdean.
Faodaidh daoine cuideachd mothachadh fhaighinn air faireachdainnean dealain leithid prìneachan is snàthadan, clisgeadh, agus mothachaidhean losgaidh, a bharrachd air comharran motair leithid laigse agus iomadalachd.
Lumbar
Tha an radiculopathy seo mar thoradh air teannachadh, sèid, no leòn air nerve droma sa chùl ìseal.
Tha mothachaidhean pian, numbness, tingling, mothachaidhean dealain no losgadh, agus comharran motair leithid laigse a’ siubhal sìos aon chas cumanta.
breithneachadh
Tha pàirt de sgrùdadh corporra radiculopathy a’ dèanamh deuchainn air na dermatomes airson mothachadh. Cleachdaidh an neach-dreuchd deuchainnean làimhe sònraichte gus faighinn a-mach dè an ìre droma bhon tàinig na comharraidhean. Gu tric bidh deuchainnean ìomhaighean breithneachaidh mar MRI an cois deuchainnean làimhe, a dh’ fhaodadh ana-cainnt a nochdadh ann am freumh nerve droma. Co-dhùinidh sgrùdadh corporra iomlan an e freumh nerve spinal stòr nan comharran.
A 'làimhseachadh adhbharan bunaiteach
Faodar dèiligeadh ri mòran eas-òrdughan droma le leigheasan glèidhidh gus faochadh pian èifeachdach a thoirt seachad. Airson diosc herniated, mar eisimpleir, faodar daoine a mholadh airson fois a ghabhail agus cungaidh-leigheis neo-steroidal anti-inflammatory a ghabhail. Acupuncture, leigheas corporra, chiropractic, tarraing neo-lannsa, no leigheasan dì-dhùmhlachadh faodar cuideachd òrdachadh. Airson fìor phian, faodar in-stealladh steroid epidural a thabhann do dhaoine fa-leth a bheir faochadh pian le bhith a’ lughdachadh sèid. (Acadamaidh Ameireagaidh Lannsairean Ortaipéideach: OrthoInfo. 2022) Airson stenosis cnàimh-droma, faodaidh solaraiche fòcas a chuir air leigheas corporra an toiseach gus fallaineachd iomlan a leasachadh, na fèithean bhoilg agus cùil a neartachadh, agus gluasad a ghleidheadh anns an spine. Faodaidh cungaidhean faochadh pian, a’ toirt a-steach NSAIDs agus in-stealladh corticosteroid, sèid a lughdachadh agus faochadh a thoirt do pian. (Colaiste Ameireaganach Rheumatology. 2023) Bidh leasaichean corporra a’ toirt seachad diofar leigheasan gus comharraidhean a lughdachadh, a’ toirt a-steach dì-dhùmhlachadh làimhe is meacanaigeach agus tarraing. Faodar lannsaireachd a mholadh airson cùisean radiculopathy nach eil a 'freagairt air leigheasan glèidhteachais.
Tha planaichean cùraim Clionaig Chiropractic Meidigeach agus Leigheas Gnìomhach agus seirbheisean clionaigeach speisealaichte agus ag amas air leòntan agus am pròiseas slànachaidh iomlan. Tha na raointean cleachdaidh againn a’ toirt a-steach Wellness & Nutrition, Pian Leantainneach, Leòn Pearsanta, Cùram Tubaistean Car, Leòntan Obrach, Leòn Cùil, Pian Cùl Ìosal, Pian amhach, Ceann goirt Migraine, Leòntan Spòrs, Sciatica Trom, Scoliosis, Diosg iom-fhillte le herniated, Fibromyalgia, chronic Pian, Leòntan iom-fhillte, Riaghladh Strus, Làimhseachadh Leigheas Gnìomhach, agus protocolaidhean cùraim taobh a-staigh raon. Bidh sinn a’ cuimseachadh air a bhith ag ath-nuadhachadh gnìomhan bodhaig àbhaisteach às deidh trauma agus leòn maothran bog a’ cleachdadh Pròtacalan Chiropractic Sònraichte, Prògraman Fallaineachd, Beathachadh Gnìomhach agus aonaichte, Agility, agus Gluasad Trèanadh Fallaineachd, agus Siostaman Ath-ghnàthachaidh airson gach aois. Ma tha feum aig an neach air leigheas eile, thèid an cur air adhart gu clionaig no lighiche as freagarraiche airson an staid. Tha an Dr Jimenez air a bhith ag obair còmhla ris na prìomh lannsairean, eòlaichean clionaigeach, luchd-rannsachaidh meidigeach, leasaichean, luchd-trèanaidh, agus prìomh sholaraichean ath-ghnàthachaidh gus El Paso, na prìomh leigheasan clionaigeach, a thoirt don choimhearsnachd againn.
Faigh air ais do ghluasad: Cùram chiropractic airson faighinn seachad air Sciatica
Dha daoine fa leth a tha a’ fulang le ceann goirt migraine, an urrainn a bhith a’ toirt a-steach leigheas corporra cuideachadh le bhith a’ lughdachadh pian, ag adhartachadh gluasad, agus a’ riaghladh ionnsaighean san àm ri teachd?
Clàr-innse
Leigheas corporra Migraine
Faodaidh ceann goirt migraine cervicogenic pian adhbhrachadh, gluasad cuibhrichte, no comharraidhean troimh-chèile leithid dizziness no nausea. Faodaidh iad tighinn bhon amhaich no an spine cervical agus canar cinn cervicogenic riutha. Faodaidh sgioba leigheas corporra chiropractic measadh a dhèanamh air an spine agus leigheasan a thabhann a chuidicheas le bhith a ’leasachadh gluasad agus a’ lughdachadh pian. Faodaidh daoine fa-leth buannachd fhaighinn bho bhith ag obair le sgioba leigheas corporra migraine gus leigheasan a dhèanamh airson suidheachaidhean sònraichte, faochadh pian gu sgiobalta agus gu sàbhailte agus tilleadh chun ìre gnìomhachd a bh ’aca roimhe.
Anatomy spine cervical
Tha an amhaich air a dhèanamh suas de sheachd vertebra cervical air a chruachadh. Bidh na vertebrae cervical a’ dìon an cnàimh-droma agus a’ leigeil leis an amhaich gluasad tro:
Flexion
leudachan
chleachdadh bhàrran mu seach
Taobh a ’lùbadh
Bidh na vertebrae cervical àrd a’ cuideachadh le bhith a’ cumail taic ris a’ chlaigeann. Tha joints air gach taobh den ìre cervical. Bidh aon a 'ceangal ri cùl a' chlaigeann agus a 'ceadachadh gluasad. Tha an raon suboccipital seo na dhachaigh do ghrunn fhèithean a tha a 'toirt taic agus a' gluasad a 'chinn, le nerves a tha a' siubhal bhon amhaich tron sgìre suboccipital a-steach don cheann. Faodaidh na nerves agus na fèithean san raon seo a bhith nan adhbhar pian amhaich agus / no cinn cinn.
comharraidhean
Faodaidh gluasadan gu h-obann comharraidhean de imrich cervicogenic a bhrosnachadh, no faodaidh iad tighinn air adhart nuair a bhios iad a 'cumail suas amhach. (Duilleag P. 2011) Gu tric bidh na comharraidhean dòrainneach agus gun a bhith a’ slaodadh agus faodaidh iad mairsinn grunn uairean a thìde gu làithean. Faodaidh comharran ceann goirt cervicogenic migraine a bhith a’ toirt a-steach:
Pian air gach taobh de chùl a 'chinn.
Pian ann an cùl a 'chinn a tha a' gluasad gu aon ghualainn.
Pian air aon taobh den amhaich àrd a tha a 'dol a-steach don teampall, don mhullach no don t-sùil.
Pian ann an aon taobh den aodann no den ghruaim.
Raon nas lugha de ghluasad san amhaich.
Mothachadh air solas no fuaim
Nausea
Dizziness no vertigo
breithneachadh
Am measg nan innealan a dh'fhaodas dotair a chleachdadh tha:
X-ghath
MRI
Scan CT
Tha sgrùdadh corporra a’ toirt a-steach raon gluasad amhach agus palpation an amhaich agus a’ chlaigeann.
Mar as trice bidh breithneachadh ceann goirt cervicogenic air a dhèanamh le pian ceann goirt aon-thaobhach, gun a bhith a’ slaodadh agus call raon gluasad amhach. (Comataidh Seòrsachadh Ceann goirt a’ Chomainn Eadar-nàiseanta Tinneas cinn. 2013) Faodaidh solaraiche cùram slàinte an neach a chuir gu leigheas corporra gus ceann goirt cervicogenic a làimhseachadh nuair a thèid a dhearbhadh. (Rana MV 2013)
Teagasg Corporra
Nuair a bhios iad a’ tadhal air leasaiche corporra an toiseach, thèid iad tro eachdraidh agus cumhaichean meidigeach, agus thèid ceistean fhaighneachd mu thoiseach pian, giùlan chomharran, cungaidhean-leigheis, agus sgrùdaidhean breithneachaidh. Bidh an leasaiche cuideachd a’ faighneachd mu leigheasan a bh’ ann roimhe agus ag ath-sgrùdadh eachdraidh mheidigeach is lannsaireachd. Faodaidh pàirtean den mheasadh a bhith a’ toirt a-steach:
Palpation an amhaich agus an claigeann
Tomhais raon gluasad amhach
Tomhais neart
Measadh postural
Aon uair ‘s gu bheil am measadh deiseil, obraichidh an leasaiche leis an neach gus prògram làimhseachaidh pearsanaichte agus amasan ath-ghnàthachaidh a leasachadh. Tha diofar leigheasan rim faighinn.
eacarsaich
Faodar eacarsaichean airson gluasad amhaich a leasachadh agus cuideam a lùghdachadh air nerves cervical a bhith air an òrdachadh agus faodaidh iad a bhith a 'gabhail a-steach. (Pàirc, SK et al., 2017)
Cuairteachadh ceirbheacsach
Sùbailteachd cervical
A 'lùbadh taobh cervical
Tarraing air ais cervical
Bidh an leasaiche a 'trèanadh an neach gus gluasad gu slaodach agus gu cunbhalach agus a' seachnadh ghluasadan gu h-obann no sgiobalta.
Ceartachadh Postural
Ma tha suidheachadh ceann air adhart an làthair, dh’ fhaodadh an spine cervical àrd agus an sgìre suboccipital teannachadh a dhèanamh air na nearbhan a tha a’ siubhal suas cùl a’ chlaigeann. Faodaidh suidheachadh ceartachadh a bhith na ro-innleachd èifeachdach airson làimhseachadh agus faodaidh e a bhith a’ toirt a-steach:
A 'coileanadh eacarsaichean postural cuimsichte.
A’ cleachdadh cluasag amhach taiceil airson cadal.
A 'cleachdadh taic lumbar nuair a tha thu nad shuidhe.
Is dòcha gun cuidich tapadh cinneas-eòlas le bhith ag àrdachadh mothachadh tactile air suidheachadh cùil is amhach agus ag adhartachadh mothachadh postachd san fharsaingeachd.
Teas/deigh
Faodar teas no deigh a chuir air an amhaich agus an claigeann gus cuideachadh le pian agus sèid a lughdachadh.
Faodaidh teas cuideachadh le fèithean teann a shocrachadh agus cuairteachadh a leasachadh agus faodar a chleachdadh mus dèan thu sìneadh amhach.
suathadh
Ma tha fèithean teann a 'cuingealachadh gluasad amhaich agus ag adhbhrachadh pian cinn, faodaidh massage cuideachadh le bhith a' leasachadh gluasad.
Bidh dòigh-obrach sònraichte ris an canar sgaoileadh suboccipital a 'leigeil às na fèithean a tha a' ceangal a 'chlaigeann ris an amhaich airson gluasad nas fheàrr agus a' lùghdachadh irioslachd neònach.
Tarraing làimhe agus meacanaigeach
Faodaidh pàirt den phlana leigheas corporra migraine a bhith a 'toirt a-steach tarraing meacanaigeach no làimhe gus diosgan agus joints an amhaich a dhì-dhùmhlachadh, gluasad san amhaich a leasachadh, agus pian a lùghdachadh.
Faodar co-ghluasadan a chleachdadh gus gluasad amhaich a leasachadh agus pian a riaghladh. (Paquin, JP 2021)
Brosnachadh dealain
Spreagadh dealain, mar electro-acupuncture no brosnachadh dealain neuromuscular transcutaneous, a chleachdadh air na fèithean amhaich gus pian a lughdachadh agus comharraidhean ceann goirt a leasachadh.
Faid leigheas
Mairidh a’ mhòr-chuid de sheiseanan leigheas corporra migraine airson cinn cervicogenic timcheall air ceithir gu sia seachdainean. Faodaidh daoine fa-leth faochadh fhaighinn taobh a-staigh beagan làithean bho thòisich iad air leigheas, no faodaidh comharran tighinn agus a dhol ann an diofar ìrean airson seachdainean. Bidh cuid a’ faighinn eòlas air pian cinn cinn migraine airson mìosan às deidh dhaibh tòiseachadh air làimhseachadh agus a’ cleachdadh dhòighean a dh’ ionnsaich iad gus smachd a chumail air comharraidhean.
Tha Clionaig Chiropractic Meidigeach Leòn agus Leigheas Gnìomh a’ speisealachadh ann an leigheasan adhartach agus modhan ath-ghnàthachaidh gnìomh le fòcas air ath-nuadhachadh gnìomhan bodhaig àbhaisteach às deidh trauma agus leòn clò bog. Bidh sinn a’ cleachdadh Pròtacalan Chiropractic Sònraichte, Prògraman Fallaineachd, Beathachadh Gnìomhach is aonaichte, Trèanadh Fallaineachd Sùbailteachd is Gluasad, agus Siostaman Ath-ghnàthachaidh airson gach aois. Bidh na prògraman nàdarra againn a’ cleachdadh comas na buidhne gus amasan tomhaiste sònraichte a choileanadh. Tha sinn air tighinn còmhla ri prìomh dhotairean, leasaichean agus luchd-trèanaidh a’ bhaile gus leigheasan àrd-inbhe a thoirt seachad a bheir cumhachd do na h-euslaintich againn an dòigh-beatha as fhallaine a chumail suas agus beatha obrachail a bhith aca le barrachd lùth, sealladh adhartach, cadal nas fheàrr, agus nas lugha de phian. .
Cùram Chiropractic airson Migraines
iomraidhean
Duilleag P. (2011). Ceann goirt cervicogenic: dòigh-obrach air a stiùireadh le fianais airson riaghladh clionaigeach. Iris eadar-nàiseanta mu leigheas corporra spòrs, 6(3), 254-266.
Comataidh Seòrsachadh Ceann goirt a’ Chomainn Eadar-nàiseanta Tinneas cinn (IHS) (2013). An Seòrsachadh Eadar-nàiseanta de Dhroch-cinn Ceann-cinn, 3mh deasachadh (dreach beta). Cephalalgia: iris eadar-nàiseanta mu cheann goirt, 33(9), 629–808. doi.org/10.1177/0333102413485658
Rana MV (2013). A 'riaghladh agus a' làimhseachadh ceann goirt bho thùs cervicogenic. Clionaigean Meidigeach Ameireaga a-Tuath, 97(2), 267–280. doi.org/10.1016/j.mcna.2012.11.003
Pàirc, SK, Yang, DJ, Kim, JH, Kang, DH, Pàirc, SH, & Yoon, JH (2017). Buaidhean sìneadh cervical agus eacarsaichean sùbailte cranio-cervical air feartan fèithean cervical agus suidheachadh euslaintich le ceann goirt cervicogenic. Iris de shaidheans leigheas corporra, 29 (10), 1836-1840. doi.org/10.1589/jpts.29.1836
Paquin, JP, Tousignant-Laflamme, Y., & Dumas, JP (2021). Buaidhean gluasad SNAG còmhla ri eacarsaich dachaigh fèin-SNAG airson làimhseachadh ceann goirt cervicogenic: sgrùdadh pìleat. The Journal of manual & manipulative therapy, 29(4), 244–254. doi.org/10.1080/10669817.2020.1864960
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