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Ululu Wabwerere

Back Clinic Back Pain Chiropractic Treatment Team. Ku El Paso Back Clinic, timamva ululu wammbuyo kwambiri.

Pambuyo pozindikira zomwe zimayambitsa kusapeza bwino / kupweteka kwanu, tichita chilichonse chomwe tingathe kuchiza derali ndikuchepetsa zizindikiro zanu.

Zomwe zimayambitsa kupweteka kwa msana:
Pali mitundu yambiri ya ululu wammbuyo, ndipo kuvulala kosiyanasiyana ndi matenda kungayambitse kusapeza bwino m'dera lino la thupi. Mmodzi mwa Ambiri omwe timawawona m'modzi mwa odwala athu ku East Side El Paso ndi madera ozungulira akuphatikizapo:

Diski Herniation
Mkati mwa msana muli ma disc osinthika omwe amatchinjiriza mafupa anu ndikuyamwa mantha. Nthawi zonse ma disc awa akathyoka, amatha kupanikiza minyewa yomwe imatsogolera ku dzanzi m'munsi. KupsyinjikaPamene minofu pa thunthu imagwira ntchito mopitirira muyeso kapena kupweteka, kuchititsa kuumitsa ndi kupweteka, kuvulala kwamtunduwu nthawi zambiri kumatchedwa kupsyinjika kwa msana. Izi zikhoza kukhala zotsatira za kuyesa kukweza chinthu chomwe chingabweretse ululu waukulu ndi kuwonongeka komanso cholemera kwambiri. Kuzindikira chomwe chimayambitsa ululu wanu.

Osteoarthritis
Osteoarthritis imadziwika ndi kuchepa kwapang'onopang'ono kwa chiwombankhanga choteteza. Msana ukakhudzidwa ndi vutoli, umayambitsa kuwonongeka kwa mafupa omwe amachititsa ululu wosatha, kuuma, ndi kuyenda kochepa. Ngati minyewa yamsana ndi msana yatambasulidwa kapena kung'ambika, imatchedwa sprain ya msana. Kawirikawiri, kuvulala kumeneku kumayambitsa ululu m'deralo. Spasm imapangitsa kuti minofu yam'mbuyo igwire ntchito mopitilira muyeso, imatha kugundana, ndipo imatha kukhalabe yokhazikika - komwe kumadziwikanso kuti kupindika kwa minofu. Kupweteka kwa minofu kumatha kuwonetsa kupweteka ndi kuuma mpaka vutolo litatha.

Tikufuna kuti tikwaniritse matendawa nthawi yomweyo, kuphatikiza mbiri ndi mayeso pamodzi ndi kujambula kwamakono, kuti titha kukupatsirani njira zochiritsira zothandiza kwambiri. Poyambira, tilankhula nanu zazizindikiro zanu, zomwe zingatipatse chidziwitso chofunikira chokhudza momwe mukudwala. Kenako tidzakuyesani, komwe tidzayang'ana zovuta za kaimidwe, kuyesa msana wanu ndikuwunika msana wanu. Ngati tilingalira kuvulala, monga diski kapena kuvulala kwa minyewa, titha kuyitanitsa kuyesa kwazithunzi kuti tiwunike.

Mankhwala obwezeretsa ku ululu wanu wammbuyo. Ku El Paso Back Clinic, mutha kukhala otsimikiza kuti muli m'manja mwathu ndi Doctor of Chiropractic and Massage Therapist. Cholinga chathu pochiza ululu sikungochepetsa zizindikiro zanu - komanso kupewa kubweranso ndikuchiza ululu wanu.


Kufufuza Periscapular Bursitis: Zizindikiro ndi Kuzindikira

Kufufuza Periscapular Bursitis: Zizindikiro ndi Kuzindikira

Kwa anthu omwe akumva kupweteka kwa mapewa ndi kumtunda kwa msana, kodi periscapular bursitis ikhoza kukhala chifukwa chotheka?

Kufufuza Periscapular Bursitis: Zizindikiro ndi Kuzindikira

Periscapular Bursitis

Tsamba la scapula / phewa ndi fupa lomwe limasuntha malo ndi thupi lapamwamba ndi mapewa. Kuyenda kwa scapula ndikofunika kwambiri pakugwira ntchito bwino kwa mapewa ndi msana. Pamene kusuntha kwa mapewa kwachilendo kapena mwadzidzidzi kumachitika, kutupa ndi zizindikiro zowawa zimatha kuyamba. (Augustine H. Conduah et al., 2010)

Normal Scapula Ntchito

Scapula ndi fupa la triangular kumtunda kumbuyo kunja kwa nthiti. Mbali yake yakunja kapena yakumbali ili ndi socket / glenoid ya mapewa, pomwe fupa lonse limakhala ngati malo olumikizirana pamapewa ndi minofu yakumbuyo. The scapula imasuntha pa nthiti pamene ikusuntha mkono kutsogolo ndi kumbuyo. Kusunthaku kumatchedwa mayendedwe a scapulothoracic ndipo ndi yofunika kwambiri pa ntchito yachibadwa ya kumtunda wapamwamba ndi mgwirizano wa mapewa. Pamene scapula sikuyenda molumikizana, ntchito ya torso ndi mapewa imatha kukhala yolimba komanso yowawa. (JE Kuhn et al., 1998)

Scapular Bursa

Bursa ndi thumba lodzaza madzimadzi lomwe limalola kuyenda kosalala, koyenda pakati pa zomanga, minofu ya thupi, mafupa, ndi tendon. Bursae amapezeka m'thupi lonse, kuphatikizapo omwe ali kutsogolo kwa kneecap, kunja kwa chiuno, ndi pamapewa. Pamene bursa itenthedwa ndikukwiyitsidwa, kusuntha kwabwino kumakhala kowawa. Pali bursae kuzungulira scapula kumtunda kumbuyo. Awiri mwa matumba a bursa ali pakati pa mafupa ndi minofu ya serratus anterior yomwe imayang'anira kayendedwe ka scapular pa khoma la chifuwa. Thumba limodzi la bursa lili pamwamba pa ngodya ya scapula, pafupi ndi msana pamunsi pa khosi, ndipo ina ili pansi pa ngodya ya scapula, pafupi ndi mkatikati mwa kumbuyo. Zikwama zonse ziwiri za bursa zimatha kukhudzidwa ndi periscapular bursitis. Palinso ma bursa ena ozungulira scapula ndi ma tendon ozungulira, koma matumba awiri a ngodya amayamba kukhala bursae oyambirira omwe amapanga periscapular bursitis.

Kutupa

Ma bursae akatupa ndi kukwiya, kutupa, ndi kukhuthala, zomwe zimatchedwa bursitis zimayamba. Pamene bursitis imapezeka pafupi ndi scapula, kusuntha kwa minofu, ndi mapewa kungayambitse kupweteka ndi kupweteka. Zizindikiro zodziwika bwino za periscapular bursitis ndi izi:

  • Kudumpha ndi mayendedwe
  • Zomverera zakupera kapena crepitus
  • ululu
  • Kukoma mtima mwachindunji pa bursa (Augustine H. Conduah et al., 2010)
  • Kumverera kosadziwika bwino kwa scapular ndi mayendedwe

Kuwunika kwa scapula kungasonyeze kusuntha kwachilendo kwa mapewa. Izi zingayambitse kuzunguza, komwe tsamba la mapewa silinagwire bwino panthiti ndipo limatuluka molakwika. Anthu omwe ali ndi kuchuluka kwa scapula nthawi zambiri amakhala ndi machitidwe osagwirizana ndi mapewa chifukwa mapewa amasinthidwa.

Zimayambitsa

Zomwe zimayambitsa periscapular bursitis zimatha kukhala zosiyanasiyana. Chofala kwambiri ndi matenda ogwiritsira ntchito mopitirira muyeso, kumene ntchito inayake imayambitsa kukwiyitsa kwa bursa. Izi zingaphatikizepo:

  • Zochita zokhudzana ndi masewera zomwe zimachitika chifukwa chogwiritsa ntchito mobwerezabwereza.
  • Zochita zokhudzana ndi ntchito zomwe zimabwera chifukwa chogwiritsa ntchito mobwerezabwereza.
  • Kuvulala koopsa komwe kumayambitsa kutupa kapena kukwiyitsa kwa bursa.

Zinthu zina zingayambitse matenda a anatomy kapena mafupa, zomwe zimakwiyitsa bursa. Mkhalidwe umodzi ndi kukula kwa mafupa otchedwa osteochondroma. (Antônio Marcelo Gonçalves de Souza ndi Rosalvo Zósimo Bispo Júnior 2014) Zomerazi zimatha kutulutsa scapula, zomwe zimayambitsa kukwiya komanso kutupa.

chithandizo

Chithandizo cha periscapular bursitis chimayamba ndi Conservative mankhwala. Thandizo lachiwembu silifunikira kawirikawiri kuti athetse vutoli. Chithandizo chingaphatikizepo:

Kupumula

  • Gawo loyamba ndikupumula bursa wokwiya ndikukhazikitsa kutupa.
  • Izi zingatenge masabata angapo ndipo zingatheke mwa kusintha zochitika zakuthupi, zamasewera, kapena zokhudzana ndi ntchito.

Ice

  • Madzi oundana amathandiza kuchepetsa kutupa komanso kuchepetsa ululu.
  • Kudziwa momwe mungapangire kuvulala moyenera kungathandize kuthana ndi ululu ndi kutupa.

Thandizo la Thupi

  • Thandizo lolimbitsa thupi limatha kuchepetsa zizindikiro za kutupa kudzera muzochita zosiyanasiyana komanso kutambasula.
  • Chithandizocho chikhoza kupititsa patsogolo makina a scapular kotero kuti kuvulala sikupitirire komanso kubwereza.
  • Kusuntha kosazolowereka kwa scapula pa nthiti sikungangoyambitsa chitukuko cha bursitis, koma ngati mawotchi osadziwika bwinowa sanayankhidwe, vutoli likhoza kubwereranso.

Mankhwala Oletsa Kutupa

  • Mankhwala osagwiritsa ntchito steroidal odana ndi kutupa amagwiritsidwa ntchito poletsa kutupa kwakanthawi kochepa. (Augustine H. Conduah et al., 2010)
  • Mankhwalawa angathandize kuletsa kuyankha kotupa.
  • Asanamwe mankhwala aliwonse, anthu ayenera kutsimikizira ndi achipatala kuti ali otetezeka.

Cortisone jakisoni

  • Chithandizo chopambana ndi kuwombera kwa cortisone ndi chizindikiro chakuti opaleshoni idzakhala yothandiza kwambiri kwa anthu omwe angafunikire opaleshoni.
  • Majekeseni a Cortisone atha kukhala othandiza kwambiri popereka mlingo wamphamvu woletsa kutupa mwachindunji pamalo otupa. (Augustine H. Conduah et al., 2010)
  • Majekeseni a Cortisone ayenera kukhala ochepa ponena za kuchuluka kwa majekeseni omwe amaperekedwa kwa munthu payekha, koma mu mlingo wochepa ukhoza kukhala wothandiza kwambiri.
  • Komabe, kuwombera kwa cortisone kuyenera kuchitidwa pokhapokha matendawa atatsimikiziridwa.

Opaleshoni

  • Opaleshoni siifunika kaŵirikaŵiri koma imatha kukhala yothandiza kwa anthu omwe sangathe kupeza mpumulo ndi chithandizo chanthawi zonse.
  • Opaleshoni nthawi zambiri imagwiritsidwa ntchito kwa anthu omwe ali ndi scapular anatomy, monga zotupa za mafupa kapena zotupa.

Ku chipatala cha Injury Medical Chiropractic ndi Functional Medicine Clinic, timachiza kuvulala ndi ma syndromes opweteka kwambiri mwa kupititsa patsogolo luso la munthu kupyolera mu kusinthasintha, kuyenda, ndi mapulogalamu a agility ogwirizana ndi magulu onse azaka ndi olumala. Mapulani athu osamalira a chiropractor ndi ntchito zachipatala ndizopadera ndipo zimayang'ana kwambiri kuvulala komanso kuchira kwathunthu. Ngati chithandizo china chikufunika, anthu adzatumizidwa ku chipatala kapena dokotala woyenerera kuvulala, chikhalidwe, ndi / kapena matenda awo.


Mapiko a Scapular Mwakuya


Zothandizira

Conduah, AH, Baker, CL, 3rd, & Baker, CL, Jr (2010). Kasamalidwe kachipatala ka scapulothoracic bursitis ndi snapping scapula. Umoyo wamasewera, 2 (2), 147-155. doi.org/10.1177/1941738109338359

Kuhn, JE, Plancher, KD, & Hawkins, RJ (1998). Symptomatic scapulothoracic crepitus ndi bursitis. The Journal of the American Academy of Orthopedic Surgeons, 6 (5), 267-273. doi.org/10.5435/00124635-199809000-00001

de Souza, AM, & Bispo Júnior, RZ (2014). Osteochondroma: kunyalanyaza kapena kufufuza? Revista brasileira de ortopedia, 49 (6), 555-564. doi.org/10.1016/j.rboe.2013.10.002

Njira Zothandizira Zochizira Lumbar Spinal Stenosis: Kuwonongeka kwa Msana

Njira Zothandizira Zochizira Lumbar Spinal Stenosis: Kuwonongeka kwa Msana

Kodi anthu omwe ali ndi lumbar spinal stenosis angagwiritse ntchito kuponderezana kwa msana kuti achepetse ululu wochepa wammbuyo ndikubwezeretsa kuyenda?

Introduction

Anthu ambiri padziko lonse lapansi adakumana ndi ululu wochepa wammbuyo nthawi ina m'miyoyo yawo zomwe zakhudza kuyenda kwawo ndikusokoneza zomwe amachita. Zinthu zambiri zachilengedwe zimatha kuyambitsa kukula kwa ululu wammbuyo, monga kunyamula kolemetsa, kusakhazikika bwino, kuvulala koopsa, ndi ngozi zomwe zingakhudze minofu yozungulira, msana, ndi mizu ya mitsempha. Izi zikachitika, zimatha kuyambitsa lumbar spinal stenosis ndikuyambitsa mbiri zowopsa zomwe zimalumikizidwa ndi ululu wochepa wammbuyo. Pamene anthu akulimbana ndi lumbar spinal stenosis, akhoza kuganiza kuti ululu wawo uli m'munsi. Kufikira pamenepo, anthu ambiri amafunafuna chithandizo kuti asamangochepetsa ululu wammbuyo komanso kuchepetsa zotsatira za lumbar spinal stenosis. Mankhwala ena, monga kupweteka kwa msana, komwe sikuli opaleshoni, kungathandize kubwezeretsa kuyenda kwa thupi. Nkhani ya lero ikuyang'ana momwe lumbar spinal stenosis imakhudzira msana wa msana ndi matenda ake pamene akuyang'ana momwe kuwonongeka kwa msana kungaperekere mpumulo kwa munthuyo ndikukhala ndi ubwino wabwino pobwezeretsa kuyenda. Timalankhula ndi odziwa zachipatala ovomerezeka omwe amaphatikiza zambiri za odwala athu kuti awone momwe lumbar spinal stenosis imagwirizanirana ndi ululu wam'munsi, zomwe zimayambitsa kusayenda bwino. Timadziwitsanso ndikuwatsogolera odwala momwe kupweteka kwa msana ndi njira yabwino kwambiri yothandizira yomwe ingaphatikizidwe ndi mankhwala ena. Timalimbikitsa odwala athu kuti afunse omwe amawathandizira azachipatala mafunso ovuta komanso ofunikira okhudza kuphatikizira chithandizo cha decompression kuti athetse zowawa zomwe zimayambitsidwa ndi lumbar stenosis pomwe amachepetsa zowawa zomwe zimaphatikizika monga kupweteka kwa msana kuti munthu ayambenso kuyenda. Dr. Jimenez, DC, akuphatikizapo izi monga ntchito ya maphunziro. chandalama.

 

Momwe Lumbar Spinal Stenosis Imakhudzira Pansi Pansi

Kodi mumamva kugwedezeka kumbuyo kwa miyendo yanu zomwe zimakhudza kusuntha kwanu? Kapena kodi msana wanu umakhala wocheperako kuposa momwe umakhalira? Pamene anthu ambiri akukumana ndi ululu wochepa wammbuyo m'moyo wawo wonse, nthawi zambiri amatha kugwirizana ndi lumbar spinal stenosis. Lumbar spinal stenosis nthawi zambiri imachitika pamene ngalande ya msana m'munsi mwa msana imakhala yocheperapo, zomwe zimapangitsa kusintha kosinthika. Mtsempha wa msana ukayamba kuchepa msana, ukhoza kuyambitsa kusapeza bwino, kusokoneza zochita za tsiku ndi tsiku, ndipo zingayambitse kulemala kwa anthu ambiri. (Munakomi et al., 2024) Zizindikiro zomwe zimayambitsidwa ndi lumbar spinal stenosis zimayambira pang'onopang'ono mpaka zovuta, ndipo zomwe zachilengedwe zimayenderana ndi nkhaniyi. Panthawi imodzimodziyo, lumbar spinal stenosis imadziwika ndi zizindikiro monga kupweteka kwa msana komwe kungayambitse kusintha kwa spondylotic komwe kumayambitsa kupweteka kwa msana komwe kungasokoneze moyo wa munthu. (Ogon et al., 2022) Izi zimapangitsa anthu ambiri kupita kwa madokotala awo oyambirira kuti akapeze matenda ndikuphunzira momwe angasamalire ululu wokhudzana ndi lumbar spinal stenosis.

 

Kuzindikira kwa Lumbar Spinal Stenosis

Pankhani yozindikira lumbar spinal stenosis, ambiri opereka chithandizo chamankhwala adzaphatikiza kuwunika kokwanira, komwe kumaphatikizapo kuyezetsa thupi kuti awone momwe msana wa munthu uliri komanso kuyezetsa zithunzi monga MRIs ndi CT scans kuti muwone msana wa msana ndikuwunika kukula kwa msana. kuchepetsa komwe kumayambitsa kupweteka m'munsi. Izi ndichifukwa choti anthu akamakumana ndi lumbar spinal stenosis, amatha kuwonetsa ndi neurogenic claudication m'munsi, makamaka munthu atayima kapena atakhala. Ululu umachepa pamene malo awo asinthidwa. (Sobanski et al., 2023) Kuonjezera apo, lumbar spinal stenosis ndi imodzi mwa matenda omwe amapezeka kwambiri a msana omwe akatswiri ambiri azachipatala amawunika ndikuwunika. Pakakhala kuchepa kwa msana wa msana, zomwe zimayambitsa chitukuko cha lumbar msana, kuyenda kosavuta monga kuyenda kungapangitse zizindikiro kumunsi kumunsi ndikuwonjezera mpweya mu mitsempha ya msana, yomwe imatha kupitirira magazi omwe alipo mpaka kumapeto. (Deer et al., 2019) Kufikira pamenepo, mankhwala ochiritsira monga kupweteka kwa msana angathandize kuchepetsa kupweteka kwa msana komwe kumagwirizanitsidwa ndi lumbar spinal stenosis.

 


Njira Yopanda Opaleshoni Yaumoyo - Kanema


Njira Yothandizira Kugwiritsa Ntchito Decompression ya Msana

Zikafika kwa anthu omwe ali ndi ululu wobwera chifukwa cha lumbar spinal stenosis, anthu ambiri amatha kupeza chithandizo chosapanga opaleshoni monga kupsinjika kwa msana kuti athetse ululu wammbuyo. Kuwonongeka kwa msana kwawonekera ngati njira yosasokoneza, yothandiza yochizira lumbar spinal stenosis. Amagwiritsa ntchito makina ochepetsetsa pamsana kuti atambasulidwe, kuchepetsa mitsempha ya msana popanga malo ambiri mkati mwa ngalande ya msana. Kuwonongeka kwa msana kumachepetsa njira yowonongeka pamene minofu yozungulira imatambasulidwa pang'onopang'ono, ndipo kutalika kwa msana kumawonjezeka chifukwa cha kupanikizika koipa. (Kang et al., 2016

 

Ubwino Wa Kuwonongeka Kwa Msana & Kubwezeretsa Kuyenda

Kuonjezera apo, kutsekemera kodekha kuchokera ku kupsinjika kwa msana kumathandiza kupititsa patsogolo kayendedwe ka zakudya ndi okosijeni kubwerera ku ma discs okhudzidwa a msana ndi msana kuti alimbikitse malo abwino ochiritsira thupi. Popeza kuwonongeka kwa msana kumatha kuphatikizidwa ndi mankhwala ena osachita opaleshoni, monga chithandizo chamankhwala ndi kuwongolera msana, kungapereke zotsatira zabwino zokhalitsa kwa anthu omwe ali ndi lumbar spinal stenosis. (Ammendolia et al., 2022) Zina mwazotsatira zabwino za decompression ya msana ndi izi:

  • Kuchepetsa ululu mwa kuchepetsa kupanikizika kwa mitsempha ya msana kuti muchepetse ululu ndi kusamva bwino m'munsi kwambiri. 
  • Kuyenda bwino kumalola munthu kubwerera ku ntchito zawo za tsiku ndi tsiku mosavuta.

Anthu ambiri angapindule ndi kuwonongeka kwa msana kuti achepetse zotsatira za lumbar spinal stenosis ndikukhalanso ndi kayendedwe kawo kakang'ono kamene kamabwezeretsedwa pambuyo pa magawo otsatizana kuti achepetse mwayi wa ululu wobwereranso. Poganizira zambiri za thanzi lawo ndi thanzi lawo, anthu ambiri amatha kusintha pang'ono pazochitika zawo kuti achepetse ululu ndikukhalabe oyendayenda m'moyo wawo wonse. Izi zimawathandiza kukhala ndi chiyembekezo chowathandiza ku ululu umene wakhala akukumana nawo. 

 


Zothandizira

Ammendolia, C., Hofkirchner, C., Plener, J., Bussieres, A., Schneider, MJ, Young, JJ, Furlan, AD, Stuber, K., Ahmed, A., Cancelliere, C., Adeboyejo, A. ., & Ornelas, J. (2022). Chithandizo chosagwira ntchito cha lumbar spinal stenosis ndi neurogenic claudication: kusinthidwa mwadongosolo. BMJ Open, 12(1), e057724. doi.org/10.1136/bmjopen-2021-057724

Deer, T., Sayed, D., Michels, J., Josephson, Y., Li, S., & Calodney, AK (2019). Ndemanga ya Lumbar Spinal Stenosis ndi Intermittent Neurogenic Claudication: Matenda ndi Kuzindikira. ululu med, 20(Suppl 2), S32-S44. doi.org/10.1093/pm/pnz161

Kang, JI, Jeong, DK, & Choi, H. (2016). Zotsatira za kusokonezeka kwa msana pa ntchito ya lumbar minofu ndi kutalika kwa disk kwa odwala omwe ali ndi herniated intervertebral disk. Journal of Physical Therapy Science, 28(11), 3125-3130. doi.org/10.1589/jpts.28.3125

Munakomi, S., Foris, LA, & Varacallo, M. (2024). Spinal Stenosis ndi Neurogenic Claudication. Mu Malangizo. www.ncbi.nlm.nih.gov/pubmed/28613622

Ogon, I., Teramoto, A., Takashima, H., Terashima, Y., Yoshimoto, M., Emori, M., Iba, K., Takebayashi, T., & Yamashita, T. (2022). Zomwe zimagwirizanitsidwa ndi ululu wochepa wammbuyo kwa odwala omwe ali ndi lumbar spinal stenosis: phunziro lachigawo. BMC Musculoskelet Disord, 23(1), 552. doi.org/10.1186/s12891-022-05483-7

Sobanski, D., Staszkiewicz, R., Stachura, M., Gadzielinski, M., & Grabarek, BO (2023). Kufotokozera, Kuzindikira, ndi Kuwongolera Kupweteka Kwapambuyo Kumbuyo Kogwirizana ndi Spinal Stenosis: Ndemanga Yofotokozera. Med Sci Monit, 29, e939237. doi.org/10.12659/MSM.939237

 

chandalama

Kutulutsa Kulumikizana Pakati pa Electroacupuncture & Sciatica Pain

Kutulutsa Kulumikizana Pakati pa Electroacupuncture & Sciatica Pain

Kodi zotsatira za electroacupuncture zimachepetsa sciatica mwa anthu omwe ali ndi ululu wochepa wammbuyo kuti abwezeretse kuyenda kwawo?

Introduction

Anthu ambiri akayamba kugwiritsa ntchito kwambiri minofu yawo m'munsi mwa quadrants, zimatha kuyambitsa zovuta zambiri zomwe zimayambitsa kupweteka komanso kusamva bwino. Chimodzi mwazinthu zowawa kwambiri m'munsi mwa quadrants ya musculoskeletal system ndi sciatica, yomwe imagwirizanitsidwa ndi ululu wochepa wammbuyo. Awiriwa amawawa amatha kusokoneza machitidwe amunthu tsiku ndi tsiku ndikupangitsa kuti azimva kuwawa komanso kusamva bwino. Matenda a musculoskeletal awa ndi ofala, ndipo akakhudza mwendo umodzi ndi m'munsi, anthu ambiri amanena kuti ndi ululu wowombera womwe suchoka kwa kanthawi. Mwamwayi, pali mankhwala monga electroacupuncture kuti achepetse sciatica yokhudzana ndi ululu wochepa wammbuyo. Nkhani ya lero ikuyang'ana kugwirizana kwa sciatica-low-back, momwe electroacupuncture imachepetsa kugwirizana kwa ululu uwu, ndi momwe electroacupuncture ingabwezeretsenso kuyenda kwa munthu. Timayankhula ndi opereka chithandizo chamankhwala ovomerezeka omwe amaphatikiza zambiri za odwala athu kuti awone momwe angachepetsere kugwirizana kwa sciatica-low-back ndi electroacupuncture. Timadziwitsanso ndikuwatsogolera odwala momwe chithandizo cha electroacupuncture chingaphatikizidwe ndi mankhwala ena kuti abwezeretse kuyenda kwa thupi. Timalimbikitsa odwala athu kuti afunse mafunso omwe amawathandizira azachipatala ovuta komanso ofunikira okhudza kuphatikizira mankhwala a electroacupuncture monga gawo lachizoloŵezi chawo chochepetsera sciatica yokhudzana ndi ululu wochepa wa msana. Dr. Jimenez, DC, akuphatikizapo izi monga ntchito ya maphunziro. chandalama.

 

The Sciatica & Low Back Connection

Kodi mumamva kupweteka kwa minofu kapena kupweteka m'munsi mwa msana kapena miyendo yanu? Kodi mumamva kupweteka, kupweteka kwa miyendo yanu komwe kumakhudza kuyenda kwanu? Kapena kodi mwaona kuti miyendo ndi kumunsi kwa msana kumapweteka kwambiri mukanyamula chinthu cholemera? Zambiri mwazochitikazi zimagwirizanitsidwa ndi sciatica, yomwe imagwirizana ndi ululu wammbuyo. Tsopano, sciatica nthawi zambiri imadziwika ndi ululu wowawa womwe ukuyenda motsatira mitsempha ya sciatic kuchokera kumunsi kumbuyo, kusokoneza moyo wa munthu. Mu musculoskeletal system, mitsempha ya sciatic imagwira ntchito yofunika kwambiri popereka ntchito yamagalimoto ku miyendo. (Davis et al., 2024) Tsopano, pamene mitsempha ya sciatic, dera la lumbar limakhalanso ndi gawo lofunika kwambiri. Dera la lumbar m'chigawo cha minofu ndi mafupa amakhalanso ndi gawo lofunikira popereka chithandizo, mphamvu, ndi kusinthasintha kwa thupi. Komabe, mitsempha yambiri komanso dera la msana zimakhala zovuta kwambiri kupsinjika ndi kuvulala chifukwa cha kuvulala koopsa komanso zachilengedwe zomwe zingakhudze lumbar spinal discs ndi mitsempha ya sciatic.

 

 

Kuyenda mobwerezabwereza, kunenepa kwambiri, kukweza kosayenera, kusokonezeka kwa msana, ndi matenda a musculoskeletal ndi zifukwa zingapo zomwe zimayambitsa chitukuko cha sciatica chokhudzana ndi msana. Zomwe zimachitika pamapeto pake ndikuti madzi omwe ali m'madzi komanso kutayika kwapang'onopang'ono kwa ma proteoglycans a msana wa msana amasweka pakati pa vertebrae ndikutuluka kuti akanikizire minyewa ya sciatic, yomwe imatha kukwiyitsidwa ndikupangitsa ululu wowawa m'miyendo ndi m'munsi. . (Zhou et al., 2021) Kuphatikizana kwa sciatica ndi kupweteka kwa msana kumatha kukhala vuto la chikhalidwe cha anthu malinga ndi kuopsa kwa ululu umene mitsempha ya sciatic imayambitsa ndipo ingapangitse anthu kuphonya ntchito iliyonse yomwe akugwira nawo.Siddiq et al., 2020) Ngakhale kuti zizindikiro za ululu wa sciatica nthawi zambiri zimagwirizana ndi dera la lumbar, anthu ambiri amatha kupeza mpumulo umene akuyang'ana kudzera mu mankhwala osiyanasiyana.

 


Zomwe Zimayambitsa Sciatica- Kanema


Electroacupuncture Kuchepetsa Sciatica-Low Back Connection

Zikafika pakuchepetsa kulumikizidwa kwa sciatic-low-back, anthu ambiri amafunafuna chithandizo chotsika mtengo komanso chothandiza pakuchepetsa zovuta zonga zowawa. Thandizo lopanda opaleshoni monga electroacupuncture lingakhale lopindulitsa kwa anthu ambiri omwe akumva ululu wa sciatica wokhudzana ndi msana. Electroacupuncture ndi njira ina yachikhalidwe yochizira acupuncture yomwe imachokera ku China. Ophunzitsidwa bwino acupuncturists amatsatira mfundo zofananira za acupuncture poyika singano zolimba zolimba pamagulu osiyanasiyana m'thupi kuti abwezeretse qui kapena chi (kuthamanga kwamphamvu). Electroacupuncture imaphatikiza singano ndi electrostimulation kuti achepetse njira zowongolera zowawa zapakati zomwe zimayambitsa kupweteka kwa msana ndi sciatica mwa kutsekereza zizindikiro zowawa ndikupereka mpumulo. (Kongo, 2020) Panthawi imodzimodziyo, electroacupuncture imapereka mphamvu zochepetsera ululu kuti zitsitsimutse endorphins ndi kuchepetsa mankhwala opweteka a ululu wopweteka kwambiri. (Sung et al., 2021)

 

 

Electroacupuncture Restoring Mobility

Pamene mitsempha ya m'munsi imakhala yochepa chifukwa cha sciatica yomwe imagwirizanitsidwa ndi ululu wochepa wa msana, electroacupuncture ingathandize kumasula minofu yomwe imayambitsa mitsempha ya sciatic komanso kuthandizira kupititsa patsogolo magazi ku minofu ya lumbar. Ndi chifukwa chakuti electroacupuncture ikhoza kulimbikitsa zigawo za thupi kuti zichepetse somato-vagal-adrenal reflexes kuti athetse ndi kubwezeretsanso kuyenda kumunsi. (Liu et al., 2021) Kuwonjezera apo, electroacupuncture ikhoza kuphatikizidwa ndi mankhwala ena osagwiritsa ntchito opaleshoni kuti athandize kulimbikitsa pakati ndi minofu ya m'mbuyo, zomwe zimapangitsa kuti anthu azikumbukira zomwe zimayambitsa sciatica ndi kupweteka kwa msana. Pochita izi, anthu ambiri omwe akulimbana ndi sciatica omwe amakumana ndi ululu wopweteka kwambiri amatha kuphatikizira electroacupuncture monga gawo la pulogalamu yawo ya chithandizo pamodzi ndi njira zonse zowonjezera moyo wawo komanso kupereka njira yopititsira patsogolo kuyenda kwawo. 

 


Zothandizira

Davis, D., Maini, K., Taqi, M., & Vasudevan, A. (2024). Sciatica. Mu Malangizo. www.ncbi.nlm.nih.gov/pubmed/29939685

Kong, JT (2020). Electroacupuncture Yochiza Ululu Wam'mbuyo Wosatha: Zotsatira Zoyambirira Zofufuza. Med Acupunct, 32(6), 396-397. doi.org/10.1089/acu.2020.1495

Liu, S., Wang, Z., Su, Y., Qi, L., Yang, W., Fu, M., Jing, X., Wang, Y., & Ma, Q. (2021). Maziko a neuroanatomical a electroacupuncture kuyendetsa vagal-adrenal axis. Nature, 598(7882), 641-645. doi.org/10.1038/s41586-021-04001-4

Siddiq, MAB, Clegg, D., Hasan, SA, & Rasker, JJ (2020). Extra-spinal sciatica ndi sciatica amatsanzira: kuwunika koyang'ana. Korea J Pain, 33(4), 305-317. doi.org/10.3344/kjp.2020.33.4.305

Sung, WS, Park, JR, Park, K., Youn, I., Yeum, HW, Kim, S., Choi, J., Cho, Y., Hong, Y., Park, Y., Kim, EJ , & Nam, D. (2021). Kuchita bwino ndi chitetezo cha electroacupuncture kwa kupweteka kwapang'onopang'ono kwapang'onopang'ono kosaneneka: protocol yowunikira mwadongosolo komanso / kapena meta-analysis. Mankhwala (Baltimore), 100(4), e24281. doi.org/10.1097/MD.0000000000024281

Zhou, J., Mi, J., Peng, Y., Han, H., & Liu, Z. (2021). Mayanjano Oyambitsa Kunenepa Kwambiri Ndi Intervertebral Degeneration, Low Back Pain, ndi Sciatica: Zitsanzo ziwiri za Mendelian Randomization Study. Front Endocrinol (Lausanne), 12, 740200. doi.org/10.3389/fendo.2021.740200

chandalama

Kumvetsetsa Electroacupuncture ndi Momwe Imachepetsera Kutupa kwa M'matumbo

Kumvetsetsa Electroacupuncture ndi Momwe Imachepetsera Kutupa kwa M'matumbo

Kodi anthu omwe ali ndi vuto lotupa m'matumbo angatsitsimutsidwe ndi electroacupuncture kuti achepetse ululu wochepa wammbuyo & kukonza m'matumbo ntchito?

Introduction

Pankhani ya thupi, dongosolo la m'matumbo limakhala ndi chiyanjano chosangalatsa kwambiri ndi magulu osiyanasiyana a thupi. Dongosolo la m'matumbo limagwira ntchito ndi dongosolo lapakati lamanjenje, chitetezo chamthupi, ndi minofu ndi mafupa chifukwa limateteza thupi ku mabakiteriya oyipa ndikuwongolera kutupa. Komabe, zinthu zachilengedwe zikayamba kukhudza thupi ndikupangitsa kuti matumbo asamayende bwino, zimatha kuyambitsa zowawa zambiri komanso kusapeza bwino m'thupi. Chimodzi mwazinthu zomwe m'matumbo zimatha kukhudza ndi dongosolo la minofu ndi mafupa, zomwe zimayambitsa zovuta zam'mbuyo zomwe zimagwirizanitsidwa ndi kutupa kwamatumbo. Komabe, mankhwala ambiri angathandize kuchepetsa zotsatira za kutupa m'matumbo komwe kumayambitsa kupweteka kwa msana. Nkhani ya lero ikuyang'ana kugwirizana kwa ululu wam'mimba-m'mbuyo, momwe electroacupuncture ingaphatikizidwe ngati chithandizo, komanso momwe ingachepetse kutupa. Timalankhula ndi azachipatala odziwika bwino omwe amaphatikiza zidziwitso za odwala athu kuti awone momwe kutupa kwamatumbo kumakhudzira matupi awo, kubweretsa ululu wammbuyo. Timadziwitsanso ndikuwatsogolera odwala momwe chithandizo cha electroacupuncture chingathandizire kuchepetsa zotupa zomwe zimayambitsa matumbo ndi msana ndikubwezeretsa matumbo. Timalimbikitsa odwala athu kufunsa azachipatala omwe amalumikizana nawo mafunso ovuta komanso ofunikira okhudzana ndi kuphatikiza mankhwala osiyanasiyana osachita opaleshoni kuti achepetse kutupa kwamatumbo komwe kumayenderana ndi ululu wammbuyo. Dr. Jimenez, DC, akuphatikizapo izi monga ntchito ya maphunziro. chandalama.

 

Kulumikizana kwa Gut-Back Pain

Kodi mumamva kupweteka kwa minofu kapena kupweteka m'matumbo anu kapena m'munsi mwa msana? Nanga bwanji kutulutsa kutentha m'madera osiyanasiyana a thupi lanu? Kapena mudakhalapo ndi nthawi zopanda mphamvu tsiku lonse? Ngakhale m'matumbo amadziwika kuti ubongo wachiwiri chifukwa umagwira ntchito ndi chitetezo chamthupi, gawo limodzi lofunikira ndikuwongolera chitetezo chamthupi. Izi zili choncho chifukwa gut microbiome imakhala ndi ma thililiyoni ambiri a mabakiteriya omwe amagaya chakudya ndikuteteza thupi ku mabakiteriya oyipa. Zinthu zachilengedwe zikayamba kukhudza chilengedwe cham'matumbo, zimatha kuyambitsa chitetezo chamthupi kukhala chowopsa, zomwe zimapangitsa kuti ma cytokines otupa atulutsidwe, ndipo izi zimatha kugwedezeka m'thupi lonse, motero zimawonekera muzizindikiro zosiyanasiyana zowawa, kuphatikiza. kupweteka kwa msana. Popeza kutupa ndi chitetezo cha thupi povulala kapena matenda, kumachotsa nkhani yovulaza m'dera lomwe lakhudzidwa ndikuthandizira kuchira. Chifukwa chake ma cytokines otupa akayamba kuchuluka chifukwa cha kutupa m'matumbo, amatha kusokoneza dongosolo la m'matumbo, kulola kuti poizoni ndi mabakiteriya alowe m'magazi ndikupita kumadera osiyanasiyana amthupi, zomwe zimayambitsa kupweteka. Tsopano, izi ndi chifukwa cha zinthu zosiyanasiyana zachilengedwe zomwe zimabweretsa chitukuko cha ululu wammbuyo. Pamene mabakiteriya owopsa kuchokera ku kutupa amayamba kupweteketsa msana, amatha kudziphatika ndi kukhudza intervertebral disc homeostasis, zomwe zimapangitsa kuti chitetezo cha mthupi chiwononge intervertebral disc ndikupweteka kumbuyo. (Yao et al., 2023) Izi zimachitika chifukwa cha kugwirizana kwa matumbo ndi mmbuyo kudzera munjira zovuta za mitsempha zomwe zimatumiza uthenga kuchokera m'matumbo kupita kumbuyo mpaka ku ubongo.

 

 

Chifukwa chake, kutupa kukayamba kuyambitsa zovuta m'thupi, kumatha kubweretsa zovuta zamafupa monga kupweteka kwa msana. Kutupa kwamatumbo kumatha kuyambitsa kusamvana pakati pa kapangidwe ka symbiont ndi pathobiont kuti achepetse kukhulupirika ndi ntchito ya zotchinga m'matumbo, kupangitsa kupweteka, ndikuwonjezera mamolekyu otupa. (Ratna et al., 2023) Mamolekyu otupa amatha kukulitsa zolandilira zowawa komanso kupsinjika kwa minofu, zomwe zimayambitsa kusapeza bwino komanso kupweteka m'munsi. Mwamwayi, zinthu zachilengedwe monga kusakhazikika bwino, kusachita masewera olimbitsa thupi, komanso kusadya bwino kungayambitse matumbo kuti apangitse kutupa kwa minofu yakumbuyo. Pakakhala dysbiosis m'matumbo a microbiota, zotupa zimatha kulumikizidwa mosadukiza ndi ululu wa visceral komanso kugwira ntchito kwapakati pamitsempha kuti zisinthe thupi ndikupangitsa kuti likhale losalekeza la kutupa kwapang'onopang'ono komwe kumayambitsa kupweteka kwam'mbuyo. (Dekker Nitert et al., 2020). Komabe, pali njira zambiri zochiritsira zosachita opaleshoni komanso njira zonse zochepetsera kutupa m'matumbo ndikuchepetsa ululu wammbuyo.

 

Kuphatikiza Electroacupuncture Monga Chithandizo

Anthu akakhala ndi ululu wammbuyo wokhudzana ndi kutupa m'matumbo, amapita kwa dokotala wawo wamkulu ndikuwafotokozera zomwe zikuchitika. Poganizira kugwirizana pakati pa kutupa kwa m'matumbo ndi kupweteka kwa msana, pothana ndi zinthu zachilengedwe zomwe zimayambitsa izi, madotolo ambiri amatha kugwira ntchito ndi akatswiri odziwa zowawa kuti achepetse kutupa m'matumbo komanso kupweteka kwa msana. Akatswiri a ululu monga ma chiropractor, acupuncturists, ndi othandizira kutikita minofu angathandize kulimbikitsa minofu yomwe imayambitsa kupweteka kwa msana ndikupereka njira zonse monga mavitamini odana ndi kutupa ndi zowonjezera kuti muchepetse kutupa m'matumbo. Chimodzi mwazinthu zakale kwambiri zosapanga opaleshoni zomwe zimatha kuchita zonsezi ndi electroacupuncture. Electroacupuncture imaphatikiza mankhwala achi China komanso ukadaulo wamakono womwe umagwiritsa ntchito kukondoweza kwamagetsi ndi singano zoonda zolimba kuti zilowetsedwe mu acupoint ya thupi kuti ipeze qi kapena mphamvu. Zomwe izi zimachita ndikuti zimapereka kukondoweza kwamagetsi komanso zotsutsana ndi zotupa kuti zipangitse cholinergic reflexes m'matumbo ndi HPA axis. (Yang et al., 2024) Electroacupuncture ingathenso kuphatikizidwa ndi mankhwala ena ochiritsira kuti achepetse zotsatira zotupa zomwe zimagwirizanitsidwa ndi ululu wammbuyo.

 

Kodi Electroacupuncture Imachepetsera Bwanji Kutupa M'matumbo

Popeza electroacupuncture imatha kuchepetsa kutupa kwa m'matumbo kumayambitsa kupweteka kwam'mbuyo, imatha kuthandizira kuwongolera m'matumbo mwakulimbikitsa kuyenda kwamatumbo ndikuletsa mazizindikiro opweteka kuti asakhudze minofu yakumbuyo. (An et al., 2022) Izi zili choncho chifukwa electroacupuncture ingathandize kupumula minofu yomwe imayambitsa kupweteka kwa msana. Kuonjezera apo, anthu akamayandikira chithandizochi, amakhala pansi pa chitsogozo cha akatswiri odziwa bwino ntchito za acupuncturist omwe amatha kulowetsa singano molondola pamene akukonzekera chithandizo cha electroacupuncture mogwirizana ndi zosowa ndi ululu wa munthuyo. Popeza electroacupuncture ikhoza kuphatikizidwa ndi mankhwala ena, imatha kuchepetsa kulemera kwa thupi ndikubwezeretsa chimbudzi ndi kuyamwa kuti apange matumbo a microbiota. (Xia et al., 2022) Izi zimathandiza kuti anthu asinthe pang'ono pazochitika zawo ndikuletsa kutupa kwa m'matumbo kuti zisakhudze thupi komanso kubweretsa ululu wammbuyo. Atha kusintha moyo wawo mwa kuphatikiza electroacupuncture ngati gawo laumoyo wawo komanso chithandizo chaumoyo. 

 


Kutsegula Zinsinsi Zakutupa-Kanema


Zothandizira

An, J., Wang, L., Song, S., Tian, ​​L., Liu, Q., Mei, M., Li, W., & Liu, S. (2022). Electroacupuncture imachepetsa shuga m'magazi poyendetsa matumbo amtundu wa 2 mbewa. J shuga, 14(10), 695-710. doi.org/10.1111/1753-0407.13323

Dekker Nitert, M., Mousa, A., Barrett, HL, Naderpoor, N., & de Courten, B. (2020). Kusintha Kwa Gut Microbiota Kumagwirizanitsidwa Ndi Kupweteka Kwamsana Kwa Anthu Olemera Kwambiri ndi Onenepa Paokha. Front Endocrinol (Lausanne), 11, 605. doi.org/10.3389/fendo.2020.00605

Ratna, HVK, Jeyaraman, M., Yadav, S., Jeyaraman, N., & Nallakumarasamy, A. (2023). Kodi Dysbiotic Gut Ndi Zomwe Zimayambitsa Kupweteka Kwambiri Kwambiri? Cureus, 15(7), e42496. doi.org/10.7759/cureus.42496

Xia, X., Xie, Y., Gong, Y., Zhan, M., He, Y., Liang, X., Jin, Y., Yang, Y., & Ding, W. (2022). Electroacupuncture idalimbikitsa chitetezo cham'mimba ndikupulumutsa ma dysbiotic cecal microbiota a mbewa zonenepa kwambiri zomwe zimapangitsa kudya mafuta ambiri. Moyo Sci, 309, 120961. doi.org/10.1016/j.lfs.2022.120961

Yang, Y., Pang, F., Zhou, M., Guo, X., Yang, Y., Qiu, W., Liao, C., Chen, Y., & Tang, C. (2024). Electroacupuncture Imachepetsa Matenda Opweteka M'mimba Mwa Obese Poyambitsa Njira Zowonetsera Nrf2 / HO-1 ndi Kukonza Zolepheretsa M'mimba. Diabetes Metab Syndr Obes, 17, 435-452. doi.org/10.2147/DMSO.S449112

Yao, B., Cai, Y., Wang, W., Deng, J., Zhao, L., Han, Z., & Wan, L. (2023). Zotsatira za Gut Microbiota pa Kukula kwa Intervertebral Disc Degeneration. Opaleshoni ya Mafupa, 15(3), 858-867. doi.org/10.1111/os.13626

chandalama

Mankhwala Othandiza Pakupweteka Kwapambuyo: Electroacupuncture Solutions

Mankhwala Othandiza Pakupweteka Kwapambuyo: Electroacupuncture Solutions

Kodi anthu omwe ali ndi ululu wammbuyo amatha kugwiritsa ntchito electroacupuncture therapy kuti achepetse ululu ndikubwezeretsanso matupi awo?

Introduction

Anthu ambiri padziko lonse lapansi adakumana ndi ululu wochepa wammbuyo kuchokera kuzinthu zambiri komanso kuvulala koopsa komwe kungayambitse zizindikiro zowawa kuzungulira msana, minofu, ligaments, ndi mizu ya mitsempha. Izi ndichifukwa choti thupi limadutsa mobwerezabwereza zomwe zimapangitsa kuti minofu yozungulira ndi mitsempha ikhale yowonjezereka komanso yolimba, kukulitsa mizu ya mitsempha ndikupangitsa ululu wotchulidwa. Kapena kungakhale kuvulala koopsa komwe kumakhudza mitsempha ya msana m'dera la lumbar lomwe limatha kukhala herniated kapena kuwonongeka kuti liwonjezere mizu ya mitsempha ndikupangitsa kupweteka kwapansi. Mosasamala kanthu za zotsatira zake, kupweteka kwa msana ndi vuto lodziwika bwino la minofu ndi mafupa, ndipo anthu ambiri nthawi zambiri amafunafuna chithandizo kuti achepetse zotsatira zake zowawa komanso kuthandiza anthu ambiri kuti abwererenso kuyenda. Nkhani ya lero ikuwunika chifukwa chake kupweteka kwa msana ndi nkhani yapadziko lonse lapansi, momwe electroacupuncture ingathandizire kuchepetsa, komanso momwe ingayambitsirenso kuyenda. Timayankhula ndi ovomerezeka achipatala omwe amaphatikiza zambiri za odwala athu kuti amvetse bwino chifukwa chake kupweteka kwa msana kumakhala vuto m'matupi awo. Timadziwitsanso ndikuwatsogolera odwala momwe chithandizo cha electroacupuncture chingathandizire kuchepetsa ululu wammbuyo komanso ngakhale kuthandizira kubwezeretsa kuyenda kwa thupi. Timalimbikitsa odwala athu kuti afunse mafunso omwe amawathandizira azachipatala ovuta komanso ofunikira okhudzana ndi kuchepetsa kupwetekedwa mtima kwapang'onopang'ono ndikupeza mankhwala osiyanasiyana omwe angaphatikizepo. Dr. Jimenez, DC, akuphatikizapo izi monga ntchito ya maphunziro. chandalama.

Chifukwa Chiyani Kupweteka Kwambiri Kumbuyo Ndi Nkhani Yapadziko Lonse?

Kodi mumamva kuuma m'munsi mwanu mutanyamula kapena kunyamula chinthu cholemera? Kodi mukumva kuwawa kotuluka m'miyendo yanu? Kapena mumamva kupweteka kwa minofu m'munsi mwanu chifukwa chosakanizidwa kwa nthawi yaitali? Zambiri mwazinthu zokhala ngati zowawazi zimayenderana ndi zinthu zachilengedwe zomwe zingapangitse kuti thupi likhale lopweteka kwambiri. Pankhani ya ululu wammbuyo, ndivuto lazachuma lomwe limakhudza anthu ambiri padziko lonse lapansi, makamaka ogwira ntchito. Anthu ambiri akamasuntha kapena kuchita zinthu zosiyanasiyana, kusuntha kumeneku kumatha kumasula minyewa yakumunsi kumbuyo. Izi zimapangitsa kuti thupi lizindikire kuti pali chinachake cholakwika ndi msana ndi zofunikira za msana, motero amatengera njira zina kuti msana ukhale wolimba. (Hauser et al., 2022

 

 

Kuonjezera apo, zizindikiro zambiri zowawa m'mbuyo zimakhala zosadziŵika bwino, ndipo kusuntha kolemera, kupindika, kupindika, ndi kugwedezeka kwa thupi lonse ndizinthu zoopsa zomwe zimayambitsa kupweteka kwa msana. (Becker & Childress, 2019) Izi zimapangitsa anthu ambiri omwe ali ndi ululu wopweteka kwambiri kuti athe kuthana ndi kulemedwa kwa ntchito yosowa ntchito kapena kugwira ntchito zawo za tsiku ndi tsiku. Izi zikachitika, anthu ambiri amayamba kupeza chithandizo kuti achepetse zizindikiro zomwe zimayambitsidwa ndi ululu wochepa wammbuyo.


Kutsegula Kuchepetsa Kupweteka- Kanema


Electroacupuncture for Low Back Pain

Pankhani yochepetsa ululu wammbuyo, anthu ambiri amapita kumankhwala osiyanasiyana kuti athetse ululu wakumbuyo kwawo komanso zizindikiro zomwe zimawagwirizanitsa. Chifukwa chake, ndichifukwa chake chithandizo chosapanga opaleshoni ngati electroacupuncture chingathandize kuchepetsa ululu wammbuyo ndikuthandizira m'munsi kuyambiranso kuyenda. Electroacupuncture ndi mtundu wina wa acupuncture womwe umagwiritsa ntchito kukondoweza kwamagetsi pamagulu a thupi kuti atseke zizindikiro zowawa. Electroacupuncture yakhala ikugwiritsidwa ntchito kwambiri pa matenda a minofu ndi mafupa, kuphatikizapo kupweteka kwa msana, monga momwe agwiritsidwira ntchito ngati njira yochiritsira yochepetsera kugwiritsa ntchito mankhwala pamene akukhala njira yabwino pamene akuphatikiza ndi mankhwala ena. (Sung et al., 2021)

 

 

Kuonjezera apo, electroacupuncture imachitidwa ndi akatswiri ophunzitsidwa bwino kwambiri ndipo, pamene amagwiritsidwa ntchito pochiza ululu wochepa wa msana, amalola kukondoweza m'madera akuluakulu a thupi omwe ali pafupi ndi acupoint kuti alole magawo omwe amaphatikizapo mphamvu, nthawi, ndi mafupipafupi kuti ululuwo ukhale wolimba. malo oti adziwike ndi akatswiri azaumoyo. (Francescato Torres et al., 2019) Electroacupuncture ingathandize kuchepetsa ululu m'munsi kumbuyo ndikuthandizira anthu ambiri pogwiritsa ntchito njira zosiyanasiyana kuti abwezeretse kuyenda. (Kongo, 2020)

 

Electroacupuncture Restoring Mobility

Pobwezeretsa kuyenda kwa thupi kuchokera ku ululu wochepa wammbuyo, electroacupuncture ingapereke zotsatira zochiritsira poletsa zizindikiro zowawa, kuchititsa kuti thupi likhale losasunthika, ndikulola kuti minofu ikhale yopumula. (Sheng et al., 2021) Electroacupuncture pamodzi ndi mankhwala ena monga chithandizo chamankhwala angathandize kutambasula ndi kulimbikitsa minofu yozungulira kumbuyo ndi mitsempha kuti achepetse ululu wopweteka kwambiri womwe umakhudza kuyenda komanso kupanga anthu ambiri kukumbukira zomwe zimayambitsa kupweteka kwa msana. Anthu akayamba kusintha pang'ono kapena zazikulu pa thanzi lawo ndi thanzi lawo, amayamba kuzindikira momwe amachitira ndikupewa kubwerezabwereza komwe kumayambitsa zovuta zawo zam'mbuyo ndikukhala ndi moyo wathanzi. 

 


Zothandizira

Becker, BA, & Childress, MA (2019). Nonspecific Low Back Ululu ndi Kubwerera Kuntchito. American Family Physician, 100(11), 697-703. www.ncbi.nlm.nih.gov/pubmed/31790184

www.aafp.org/pubs/afp/issues/2019/1201/p697.pdf

Francescato Torres, S., Brandt de Macedo, AC, Dias Antunes, M., Merllin Batista de Souza, I., Dimitre Rodrigo Pereira Santos, F., de Sousa do Espirito Santo, A., Ribeiro Jacob, F., Torres Cruz, A., de Oliveira Januario, P., & Pasqual Marques, A. (2019). Zotsatira za mafupipafupi a electroacupuncture pa ululu wopweteka kwambiri wa msana kwa akuluakulu: katatu-akhungu, 12-months protocol for a randomized controlled trial. mayesero, 20(1), 762. doi.org/10.1186/s13063-019-3813-6

Hauser, RA, Matias, D., Woznica, D., Rawlings, B., & Woldin, BA (2022). Kusakhazikika kwa Lumbar monga etiology ya ululu wochepa wammbuyo ndi chithandizo chake ndi prolotherapy: ndemanga. J Back Musculoskelet Rehabil, 35(4), 701-712. doi.org/10.3233/BMR-210097

Kong, JT (2020). Electroacupuncture Yochiza Ululu Wam'mbuyo Wosatha: Zotsatira Zoyambirira Zofufuza. Med Acupunct, 32(6), 396-397. doi.org/10.1089/acu.2020.1495

Sheng, X., Yue, H., Zhang, Q., Chen, D., Qiu, W., Tang, J., Fan, T., Gu, J., Jiang, B., Qiu, M., & Chen, L. (2021). Kuchita bwino kwa electroacupuncture kwa odwala omwe ali ndi vuto lolephera opaleshoni yam'mbuyo: protocol yophunzirira yoyeserera mosasinthika. mayesero, 22(1), 702. doi.org/10.1186/s13063-021-05652-4

Sung, WS, Park, JR, Park, K., Youn, I., Yeum, HW, Kim, S., Choi, J., Cho, Y., Hong, Y., Park, Y., Kim, EJ , & Nam, D. (2021). Kuchita bwino ndi chitetezo cha electroacupuncture kwa kupweteka kwapang'onopang'ono kwapang'onopang'ono kosaneneka: protocol yowunikira mwadongosolo komanso / kapena meta-analysis. Mankhwala (Baltimore), 100(4), e24281. doi.org/10.1097/MD.0000000000024281

chandalama

Pezani Kuwongolera Pazopweteka Zam'mbuyo Zosatha ndi Zopanda Opaleshoni

Pezani Kuwongolera Pazopweteka Zam'mbuyo Zosatha ndi Zopanda Opaleshoni

Kodi njira zochiritsira zopanda opaleshoni zingathandize anthu omwe ali ndi ululu wochepa wammbuyo kupeza mpumulo womwe akufuna kuti abwezeretse magwiridwe antchito a thupi?

Introduction

Pakati pa kumtunda, pakati, ndi kumunsi kumbuyo kwa minofu ndi mafupa, anthu ambiri agonjetsedwa ndi kuvulala koopsa, kubwerezabwereza, ndi zochitika zowonongeka zachilengedwe zomwe zimayambitsa ululu ndi kulemala, motero zimakhudza zochita zawo za tsiku ndi tsiku. Monga chimodzi mwazofala kwambiri pa ntchito, ululu wammbuyo ukhoza kuchititsa anthu kuthana ndi mavuto a zachuma ndi zachuma ndipo amatha kukhala ovuta mpaka osatha, malingana ndi kuvulala ndi zinthu zomwe zimagwirizana ndi nkhaniyi. Monga gawo la mitsempha ya mitsempha, kumbuyo kumakhala ndi minofu yosiyana siyana mu quadrants zitatu zomwe zimathandizira pamwamba ndi pansi ndipo zimakhala ndi ubale wapadera ndi msana pamene gulu lililonse la minofu limazungulira msana ndikuteteza msana. Pamene zochitika zachilengedwe ndi kuvulala koopsa zimayamba kuyambitsa zizindikiro zowawa kumbuyo, zimatha kuika munthu mu ululu wopweteka kwambiri, chifukwa chake ambiri amafunafuna chithandizo chosapanga opaleshoni kuti achepetse ululu ngati zotsatira za ululu wammbuyo ndikupeza mpumulo umene iwo ali. kufunafuna. Nkhani ya lero ikuyang'ana zotsatira za ululu wopweteka kwambiri komanso momwe chithandizo chosapanga opaleshoni chingakhudzire anthu omwe ali ndi ululu wopweteka kwambiri. Timalankhula ndi odziwa zachipatala ovomerezeka omwe amaphatikiza zambiri za odwala athu kuti apereke njira zambiri zosapangira opaleshoni kuti achepetse kupweteka kwa msana komwe kumakhudza malekezero awo. Timadziwitsanso ndikuwatsogolera odwala momwe mankhwala osiyanasiyana osagwiritsa ntchito opaleshoni angapindulire thanzi lawo ndi thanzi lawo chifukwa angathandize kuchepetsa matenda a minofu ndi mafupa monga kupweteka kwa msana. Timalimbikitsa odwala athu kuti afunse opereka chithandizo omwe amalumikizana nawo mafunso ovuta komanso ofunikira okhudza kupweteka kwawo kosalekeza kosalekeza komanso kusintha kwakung'ono komwe angaphatikizepo kuti achepetse zizindikiro zake zowawa. Dr. Jimenez, DC, akuphatikizapo izi monga ntchito ya maphunziro. chandalama.

 

Zotsatira Za Ululu Wosatha Wam'mbuyo

Kodi mumamva kuwawa kwambiri kwa minofu kapena kupweteka kumbuyo kwanu pambuyo pogwira ntchito tsiku lonse? Kodi mumatopa ndi minofu kuchokera kumbuyo kupita ku miyendo mutanyamula chinthu cholemera? Kapena kodi mwawona kuti kupotoza kapena kutembenuka kumatsitsimutsa kwakanthawi kumbuyo kwanu, koma kumangokulirakulira pakapita nthawi? Nthawi zambiri, zambiri mwazochitika zowawa ngati izi zimagwirizanitsidwa ndi ululu wopweteka kwambiri wa msana, ndipo zikhoza kukhala chifukwa cha zinthu zosiyanasiyana zomwe zimagwirizana ndi chikhalidwe chodziwika bwino cha musculoskeletal. Pankhani ya matenda a minofu ndi mafupa omwe amagwirizanitsidwa ndi ululu wopweteka kwambiri wa msana, zimakhala zofala pamene zotsatira zake zikufalikira. Mpaka pano, zimakhudza anthu ambiri chifukwa ndizomwe zimayambitsa kupweteka kwanthawi yayitali komanso kulumala. (Woolf & Pfleger, 2003) Popeza ululu wammbuyo ukhoza kukhala wowawa kwambiri kapena wokhalitsa, ukhoza kukhala wochuluka monga momwe zizindikiro zina zambiri zowawa zimapwetekera ziwopsezo zambiri m'thupi. Zotsatira za kupweteka kwapweteka kosalekeza kumakhala ndi zifukwa zoyambitsa matenda zomwe sizikufotokozedwa bwino koma zimatha kukhudzana ndi kusokonezeka kwa maganizo. (Andersson, 1999)

 

 

Kuonjezera apo, kusintha kosasinthika mkati mwa msana kungayambitsenso chitukuko cha kupweteka kwa msana. Ziwopsezo zomwe zingayambitse kuchulukirachulukira kwa mbiri yachiwopsezo zimatha kuyambira kusuta komanso kunenepa kwambiri kupita ku ntchito zosiyanasiyana zomwe zimafuna kuyenda mopitilira muyeso. (Atkinson, 2004) Izi zikachitika, anthu amakhala ndi nkhawa zosafunikira zomwe zimasokoneza moyo wawo ndikuwapangitsa kukhala omvetsa chisoni. Apa ndipamene anthu ambiri amayamba kufunafuna chithandizo kuti achepetse zotsatira za kupweteka kwa msana kosatha komanso kuchepetsa mwayi wofuna chithandizo cha opaleshoni. 

 


Udindo Wa Chiropractic Care Pakukonza Thanzi Lanu- Kanema


Mankhwala Osapanga Opaleshoni Osautsa Msana

Anthu akamakumana ndi ululu wopweteka kwambiri wa msana, nthawi zambiri sadziwa kuti kuyenda, zaka, ndi matenda osiyanasiyana amatha kusintha msana, zomwe zimapangitsa kuti ma discs a msana adutse kusintha kosasinthika komwe kumagwirizana ndi kukula kwa ululu wopweteka kwambiri. (Benoist, 2003) Pamene kusintha kowonongeka kumayamba kuyambitsa zizindikiro zopweteka kumbuyo, ambiri amayamba kufunafuna chithandizo chotsika mtengo komanso chothandiza. Chifukwa chake, ndichifukwa chake chithandizo chosapanga opaleshoni chingathandize kuchepetsa zizindikiro zowawa za ululu wammbuyo wammbuyo ndikuthandizira kubwezeretsa kuyenda kwa thupi. Thandizo lopanda opareshoni limapangidwa malinga ndi ululu wa munthuyo ndipo limayambira pa acupuncture kupita ku chithandizo chakutikita minofu ndi kupunduka kwa msana. Thandizo lopanda opaleshoni limakhalanso lotsika mtengo ndipo limathandizira kuchepetsa mbiri yachiwopsezo chambiri ya ululu wammbuyo wammbuyo ndikuchepetsa zomwe zimagwirizana.

 

Zotsatira Zakuwonongeka Kwa Msana Pa Ululu Wosatha Kwambiri

 

Kuwonongeka kwa msana, monga tanenera kale, ndi njira yochiritsira yosagwiritsa ntchito opaleshoni yomwe imaphatikizapo kugwedeza pang'onopang'ono kwa msana kuti muchepetse ululu wopweteka kwambiri komanso kuchepetsa zizindikiro zowawa zomwe zimagwirizanitsidwa nazo. Kuwonongeka kwa msana kumathandiza kuchepetsa kukangana kwa minofu ya m'chiuno, kumakhudza msana wa msana komanso kumapereka mpumulo ndi ntchito ya thupi. (Choi et al., 2022) Kuwonongeka kwa msana kumakhala kotetezeka pamene kukhala wofatsa pa msana, kuphatikizapo kukhazikika kwa zochitika zolimbitsa thupi kuti muwonjezere mphamvu ya m'mimba ndi msana ku lumbar. (Hlaing et al., 2021) Pamene munthu akuphatikiza kupweteka kwa msana monga gawo la ulendo wawo wa thanzi ndi thanzi labwino, kupweteka kwawo ndi kulemala kwawo kumatsika pakapita nthawi pamene akulimbitsa minofu yofooka yomwe imakhudzidwa ndi ululu wopweteka kwambiri. Kuphatikizirapo mankhwala osachita opaleshoniwa kungathandize kuti munthu asamaganizire kwambiri za chilengedwe chomwe amachitira kumbuyo kwawo ndikukhala ndi moyo wabwino komanso wathanzi.

 


Zothandizira

Andersson, GB (1999). Matenda a Epidemiological a ululu wochepa wammbuyo. Lancet, 354(9178), 581-585. doi.org/10.1016/S0140-6736(99)01312-4

Atkinson, JH (2004). Kupweteka kwa msana kosatha: kufunafuna zomwe zimayambitsa ndi machiritso. J Rheumatol, 31(12), 2323-2325. www.ncbi.nlm.nih.gov/pubmed/15570628

www.jrheum.org/content/jrheum/31/12/2323.full.pdf

Benoist, M. (2003). Mbiri yachilengedwe ya msana wokalamba. Eur Spine J, 12 Suppl 2(Zowonjezera 2), S86-89. doi.org/10.1007/s00586-003-0593-0

Choi, E., Gil, HY, Ju, J., Han, WK, Nahm, FS, & Lee, PB (2022). Zotsatira za Nonsurgical Spinal Decompression pa Intensity of Pain ndi Herniated Disc Volume mu Subacute Lumbar Herniated Disc. International Journal of Clinical Practice, 2022, 6343837. doi.org/10.1155/2022/6343837

Hlaing, S. S., Puntumetakul, R., Khine, E. E., & Boucaut, R. (2021). Zotsatira za zolimbitsa thupi zolimbitsa thupi komanso kulimbikitsa kuchita masewera olimbitsa thupi pazabwino, moyenera, makulidwe a minofu ndi zotsatira zokhudzana ndi zowawa kwa odwala omwe ali ndi ululu wocheperako wosakhazikika wammbuyo: kuyesedwa kosasinthika. BMC Musculoskelet Disord, 22(1), 998. doi.org/10.1186/s12891-021-04858-6

Woolf, AD, & Pfleger, B. (2003). Kulemera kwa matenda akuluakulu a musculoskeletal. Bull World Health Organ, 81(9), 646-656. www.ncbi.nlm.nih.gov/pubmed/14710506

www.ncbi.nlm.nih.gov/pmc/articles/PMC2572542/pdf/14710506.pdf

chandalama

Ululu Wobwerera M'miyendo Unachotsedwa: Buku Lozama la Decompression

Ululu Wobwerera M'miyendo Unachotsedwa: Buku Lozama la Decompression

Kodi anthu omwe ali ndi ululu wa mwendo ndi msana angapeze mpumulo pophatikiza kupsinjika kuti achepetse zizindikiro zofananira ndi zowawa?

Introduction

Mitsempha ya m'munsiyi imathandizira kukhazikika kwa kulemera kwa thupi lapamwamba ndikupereka kuyenda kwa munthu. Magawo apansi a thupi amaphatikizapo msana, chiuno, ntchafu, ntchafu, miyendo, ndi mapazi, popeza onse ali ndi ntchito zapadera zomwe ayenera kuchita ndipo amakhala ndi ubale wapadera wina ndi mzake. Komabe, msana wawo ndi miyendo yawo imatha kuvulala. Zinthu zachilengedwe kapena kuvulala zikayamba kuyambitsa zovuta m'mitsempha yamafupa, zimatha kuyambitsa kupweteka komwe kumayambitsa komanso kuphatikizika kwambiri zomwe zingayambitse munthu kukhala ndi vuto loyenda komanso kukhazikika. Minofu yokhudzidwa, minofu, mitsempha, ndi mizu ya mitsempha imatha kukwiyitsa, yofooka, komanso yolimba pamene zinthu zachilengedwe zimayamba kupondaponda msana ndikupangitsa kupweteka pakapita nthawi. Nkhani ya lero ikuyang'ana momwe msana ndi miyendo zimagwirira ntchito pamodzi m'thupi, momwe zimakhudzidwira ndi zowawa zochokera ku chilengedwe, komanso momwe kuwonongeka kwa msana kungachepetse kupweteka kwa mwendo ndi msana. Timalankhula ndi ovomerezeka azachipatala omwe amaphatikiza zambiri za odwala athu kuti apereke chithandizo chambiri chochepetsera kupweteka kwa msana ndi miyendo zomwe zimakhudza kuyenda kwawo. Timadziwitsanso ndikuwatsogolera odwala momwe mankhwala monga decompression angathandizire kuchepetsa zizindikiro zopweteka m'miyendo ndi kumbuyo. Timalimbikitsa odwala athu kuti afunse opereka chithandizo omwe amagwirizana nawo mafunso ovuta komanso ofunikira okhudzana ndi zowawa zomwe zimatchulidwa zomwe akukumana nazo kuchokera m'miyendo yawo ndipo chifukwa izi zikusokoneza machitidwe awo a tsiku ndi tsiku. Dr. Jimenez, DC, akuphatikiza mfundozi ngati ntchito yophunzirira. chandalama.

 

Kodi Kumbuyo ndi Miyendo Zimagwirira Ntchito Pamodzi?

Kodi mukumva kuwawa kwapambuyo kwanu komwe kumakupangitsani kuyenda? Kodi mumamva kupweteka kwa minofu kapena kutopa m'miyendo yanu pambuyo pa tsiku lalitali la ntchito? Kapena mumamva kuuma kumbuyo kwanu ndi miyendo mutadzuka? Zambiri mwazochitikazi zimagwirizana ndi kupweteka kwa mwendo ndi msana zomwe zingakhudze kuyenda kwa munthu ndikupangitsa zizindikiro zofanana ndi ululu. Mitsempha yam'mbuyo ndi ya m'miyendo imagwira ntchito limodzi kudzera mu mitsempha ya sciatic, mitsempha yayitali yochokera ku lumbar msana, kudutsa minofu ya gluteal, imayenda kumbuyo kwa miyendo ndikuyima pa mawondo. Kumbuyo kumakhala minofu yapakati ndi chigawo cha msana, zomwe zimapangitsa kuti munthuyo apirire, agwedezeke, ndi kutambasula.

Panthawiyi, minofu ya mwendo imathandiza munthu kuti azisuntha pamene akukhazikika kulemera kwake. Magulu awiri a minofuwa ali ndi chiyanjano chodziwika bwino m'munsi, monga momwe anthu amafunikira kuyendayenda pochita ntchito. Komabe, amathanso kukhala pachiwopsezo cha kuvulala ndi zowawa zomwe zingayambitse kulemala.

 

Kodi Ululu Umagwirizana Bwanji ndi Kumbuyo & Miyendo?

Zikafika kumunsi kumbuyo ndi miyendo, zochitika zachilengedwe ndi kuvulala koopsa kungakhudze minofu yozungulira, tendons, ligaments, ndi mizu ya mitsempha. Mwachitsanzo, anthu ogwira ntchito akamanyamula zinthu zolemetsa nthawi zonse, amatha kukulitsa chiwopsezo chokhala ndi ululu wammbuyo ndikupangitsa kuti miyendo igwedezeke. (Becker & Childress, 2019) Izi zili choncho chifukwa chomwe chinthu cholemetsa cholemetsa chimachita kumunsi kumbuyo ndikuti chimapangitsa kuti msana ukhale wopanikizika ndikugwirizanitsa minofu yozungulira. Zikabwerezedwa nthawi zonse, zimatha kuchititsa kuti msana wa msana ukhale ndi herniate ndikuwonjezera mizu ya mitsempha. Mizu ya minyewa iyi ikakulirakulira, imatha kuyambitsa kutsekeka kwa mitsempha ndi kutupa, zomwe zimapangitsa kuti anthu azimva kupweteka kwa miyendo, kutsika kwa phazi, kapena kukhazikika kwa akakolo komwe kumakhudza kuyenda kwawo. (Forter et al., 2021

 

Kuonjezera apo, ululu wammbuyo ndi mwendo ukhoza kuchitika pamene msana umayamba kuwonongeka, zochitika zachilengedwe pamene msana wa msana umachepa pakapita nthawi. Pamene diski ya msana m'dera la lumbar spinal imawonongeka pakapita nthawi, zakudya zowonjezera zowonjezera komanso kusintha kwa ma extracellular kumapangitsa kuti ma disks asakhale okhoza kusunga ntchito yawo yogawa katundu m'munsimu. (Kim et al., 2020) Komabe, anthu ambiri omwe akukumana ndi ululu wa mwendo ndi msana amatha kupeza chithandizo kuti achepetse zizindikiro za ululu. 

 


Chiropractic Care For Leg Instability- Video


Kupsinjika kwa Msana Kuchepetsa Kupweteka Pamiyendo & Kumbuyo

Pankhani yochiza kupweteka kwa mwendo ndi msana, anthu ambiri amayamba kupeza chithandizo chotsika mtengo chomwe chingachepetse zizindikiro zonga zowawa. Mankhwala ambiri osachita opaleshoni monga kupsinjika kwa msana ndi abwino kwambiri pochepetsa ululu womwe umakhudza msana ndi miyendo. Kuwonongeka kwa msana kumagwiritsa ntchito makina otsekemera omwe angathandize kutambasula minofu yolimba kuchokera kumunsi kumbuyo ndikupereka kupanikizika kosautsa kwa diski yomwe yakhudzidwa ndi kuwonjezereka kwa michere ya m'magazi kubwerera ku diski pamene kuchepetsa kupanikizika kwa mitsempha yowonjezereka. (Choi et al., 2022) Kuwonongeka kwa msana kumatha kuphatikizidwa ndi machitidwe okhazikika okhazikika omwe angathandize kuchepetsa ululu ndi kulemala komanso kupititsa patsogolo kukhazikika kwa miyendo ndi m'munsi. (Hlaing et al., 2021) Ndi kupweteka kwa msana kuti kuchepetsa kupweteka kwa msana ndi mwendo, anthu ambiri amatha kuona zotsatira zabwino pambuyo pa chithandizo chotsatizana, ndipo kuyenda kwawo kumakhala bwino. (Vanti et al., 2021) Pamene anthu omwe akukumana ndi ululu wa mwendo ndi msana ndipo akufunafuna chithandizo chamankhwala amatha kupeza ubwino wa kusokonezeka kwa msana kuti uphatikizidwe muzochitika zawo za tsiku ndi tsiku chifukwa zingakhale zosinthika ndikuwathandiza kukumbukira zomwe mayendedwe ndi chilengedwe zimawapweteka. . Kupanga zosintha zazing'onozi pakapita nthawi kumatha kusintha thanzi lawo ndikuwathandiza kukhala ndi moyo wathanzi.

 


Zothandizira

Becker, BA, & Childress, MA (2019). Nonspecific Low Back Ululu ndi Kubwerera Kuntchito. American Family Physician, 100(11), 697-703. www.ncbi.nlm.nih.gov/pubmed/31790184

www.aafp.org/pubs/afp/issues/2019/1201/p697.pdf

Choi, E., Gil, HY, Ju, J., Han, WK, Nahm, FS, & Lee, PB (2022). Zotsatira za Nonsurgical Spinal Decompression pa Intensity of Pain ndi Herniated Disc Volume mu Subacute Lumbar Herniated Disc. International Journal of Clinical Practice, 2022, 6343837. doi.org/10.1155/2022/6343837

Fortier, LM, Markel, M., Thomas, BG, Sherman, WF, Thomas, BH, & Kaye, AD (2021). Kusintha kwa Peroneal Nerve Entrapment ndi Neuropathy. Orthop Rev (Pavia), 13(2), 24937. doi.org/10.52965/001c.24937

Hlaing, S. S., Puntumetakul, R., Khine, E. E., & Boucaut, R. (2021). Zotsatira za zolimbitsa thupi zolimbitsa thupi komanso kulimbikitsa kuchita masewera olimbitsa thupi pazabwino, moyenera, makulidwe a minofu ndi zotsatira zokhudzana ndi zowawa kwa odwala omwe ali ndi ululu wocheperako wosakhazikika wammbuyo: kuyesedwa kosasinthika. BMC Musculoskelet Disord, 22(1), 998. doi.org/10.1186/s12891-021-04858-6

Kim, HS, Wu, PH, & Jang, IT (2020). Lumbar Degenerative Disease Part 1: Anatomy ndi Pathophysiology of Intervertebral Discogenic Pain ndi Radiofrequency Ablation of Basivertebral and Sinuvertebral Nerve Treatment for Chronic Discogenic Back Pain: A Prospective Case Series ndi Review of Literature. Int J Mol Sci, 21(4). doi.org/10.3390/ijms21041483

Vanti, C., Turone, L., Panizzolo, A., Guccione, AA, Bertozzi, L., & Pillastrini, P. (2021). Vertical traction for lumbar radiculopathy: kuwunika mwadongosolo. Arch Physiother, 11(1), 7. doi.org/10.1186/s40945-021-00102-5

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