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Foot Orthotics

Back Clinic Foot orthotics Izi ndizoyika nsapato zomwe zimapangidwira kuzinthu zamankhwala. Ma orthotic opangidwa mwamakonda amaonedwa kuti ndi othandiza komanso opangidwa mwaluso kwambiri kuposa ma orthotic opangidwa kale.

Ma orthotics opangidwa mwamakonda angathe:

  • Kuyenda kosayenera kapena kuyenda molakwika
  • Chepetsani ululu
  • Pewani ndi kuteteza kupunduka kwa mapazi/mapazi
  • Kuyanjanitsa bwino
  • Chotsani kupanikizika pamapazi/mapazi
  • Limbikitsani zimango za phazi

Kupweteka kwa phazi kungabwere chifukwa chovulala, matenda, kapena chikhalidwe, koma chifukwa cha ululu wa phazi ndi zomwe dokotala akufuna kudziwa kuti adziwe mtundu wanji wa orthotic kupanga. Zoyikapo zimapangidwa pojambula phazi/mapazi ndi sikani ya 3-D.

Kuvutika ndi kupweteka kwa phazi, komwe kungayambitse mavuto a miyendo, chiuno, ndi msana, ndiye kuti orthotics ikhoza kukhala ndi chinsinsi cha thanzi labwino. Poyambira kuchokera pansi mpaka pansi ma orthotics amatha kupewa mavuto / nkhani ndikuchepetsa ululu uliwonse. Ndi njira yomwe iyenera kuganiziridwa ndipo iyenera kukambidwa ndi dokotala wanu.

Nsapato Zothandizira Kupweteka Kwambiri: Kusankha Nsapato Zoyenera

Nsapato Zothandizira Kupweteka Kwambiri: Kusankha Nsapato Zoyenera

by | Foot Orthotics, Ululu Wakumananso

Nsapato zimatha kuyambitsa ululu wammbuyo komanso mavuto kwa anthu ena. Kodi kumvetsetsa kugwirizana pakati pa nsapato ndi mavuto ammbuyo kungathandize anthu kupeza nsapato zoyenera kuti akhalebe ndi thanzi labwino komanso kuchepetsa ululu?

Nsapato Zothandizira Kupweteka Kwambiri: Kusankha Nsapato Zoyenera

Nsapato Kubwerera Ululu

Kumbuyo kumapereka mphamvu zogwirira ntchito zakuthupi. Ululu wammbuyo umakhudza moyo wa tsiku ndi tsiku ndipo ukhoza kukhala ndi zifukwa zosiyanasiyana. Kaimidwe kosayenera, kuyenda, kupindika, kutembenuka, kupindika, ndi kufikira kungayambitse mavuto amsana omwe amabweretsa ululu. Malinga ndi CDC, 39% ya akuluakulu amanena kuti akukhala ndi ululu wammbuyo (Centers for Disease Control and Prevention, 2019). Nsapato zosayenera zingathandizenso kupweteka kwa msana. Kusankha nsapato mosamala kungathandize kubweretsa ululu ndikuthandizira kukhala ndi thanzi la msana. Anthu amatha kusangalala ndi zowawa zochepa ndikuwongolera zizindikiro posankha nsapato zomwe zimasunga msana ndikuteteza mapazi kuti asawonongeke.

Kumvetsetsa Kulumikizana kwa Back Pain-Footwear

Nsapato zosayenera zikhoza kukhala chifukwa cha kupweteka kwa msana. Zomwe zimakhudza mafupa omwe ali pansi pa neuromusculoskeletal system amawonekera mmwamba ndipo amakhudza msana ndi minofu yakumbuyo. Zomwe nsapato zimagwiritsidwa ntchito zimayenda m'mwamba, zimakhudza kuyenda, kaimidwe, kusinthasintha kwa msana, ndi zina. Pamene mavuto ammbuyo amachokera kumapazi, izi ndi nkhani za biomechanical. Biomechanics imatanthawuza momwe mafupa, mafupa, ndi minofu zimagwirira ntchito limodzi ndi momwe kusintha kwa mphamvu zakunja kumakhudzira thupi.

Movement

Mapazi akamakhudza pansi, amakhala malekezero oyamba kutengera kugwedezeka kwa thupi lonse. Anthu amayamba kuyenda mosiyana ngati ali ndi vuto kapena kusintha mapazi awo. Kuvala nsapato zokhala ndi chithandizo chosayenera kungapangitse kuvala ndi kung'ambika kwa minofu ndi ziwalo, zomwe zimapangitsa kuti zikhale zovuta komanso zosagwirizana ndi chilengedwe. Mwachitsanzo, taganizirani kusiyana pakati pa kuima pa tiptoes mu zidendene zazitali ndi chikhalidwe chathyathyathya. Nsapato zokongoletsedwa bwino zimathandizira kuyamwa mphamvu ndikuchepetsa kumva kupweteka. Kupanikizika pamagulu aliwonse amasuntha bwino, zomwe zimayambitsa mavuto osakhazikika ndi kupanikizika kochepa pa ena ndi ena. Izi zimapanga kusalinganika komwe kumabweretsa ululu ndi mikhalidwe yolumikizana.

Makhalidwe

Kukhalabe ndi thanzi labwino ndi chinthu china cholepheretsa kapena kuchepetsa ululu wammbuyo. Ndi nsapato zoyenera, thupi limatha kukhala ndi thanzi labwino komanso kupindika koyenera msana wonse, ndipo limathandizira kugawa kulemera kwake. Izi zimabweretsa kuchepa kwa kupsinjika kwa mitsempha, minofu, ndi mafupa. (Harvard Health Publishing. 2014) Ndibwino kuti muwone dokotala wa mafupa kuti adziwe gwero la vuto la munthu. Kwa ena, diski ya herniated, sciatica, kugunda kwa galimoto, kugwa, ergonomics yopanda thanzi, kapena kuphatikizika, komanso zovuta zina zomwe zimayambitsa ululu wawo wammbuyo.

Mitundu ya Nsapato ndi Zomwe Zimakhudza Kumbuyo

Momwe nsapato zosiyanasiyana zimakhudzira kaimidwe, zomwe zingayambitse kapena kuchepetsa ululu wammbuyo.

Zida zapamwamba

Zidendene zapamwamba zimatha ndithudi kuthandizira kupweteka kwa msana. Iwo amasintha kaimidwe thupi, kuchititsa domino zotsatira pa msana. Kulemera kwa thupi kumasinthidwa kuonjezera kupanikizika kwa mipira ya mapazi, ndipo kusinthasintha kwa msana kumasinthidwa. Zidendene zapamwamba zimakhudzanso momwe akakolo, mawondo, ndi chiuno zimasunthira pamene mukuyenda, moyenera, ndi momwe minofu yam'mbuyo imagwirira ntchito, zonsezi zikhoza kuwonjezereka kupweteka kwa msana.

Nsapato Zanyumba

Nsapato zapamwamba sizingakhale zabwino kwambiri pa thanzi la msana. Ngati alibe chithandizo chambiri, amatha kupangitsa phazi kulowa mkati, lomwe limadziwika kuti pronation. Izi zingapangitse kuti musamayende bwino, zomwe zimatha kusokoneza mawondo, m'chiuno, ndi m'munsi. Komabe, iwo akhoza kukhala chisankho chabwino ngati apereka chithandizo chambiri. Povala nsapato zosalala ndi chithandizo chathanzi, kulemera kwake kumagawidwa mofanana pamapazi ndi msana. Izi zimathandiza kuti mukhale ndi kaimidwe koyenera, zomwe zingathandize kupewa ndi / kapena kuchepetsa ululu wammbuyo.

Sneakers, tennis, ndi nsapato zamasewera

Zovala, tennis, ndi zina nsapato zamasewera imatha kuthetsa ululu wammbuyo ndikumangirira bwino komanso kuthandizira. Kusankha zoyenera kumaphatikizapo kudziŵa ntchito imene idzachitike mwa iwo. Pali tennis, kuthamanga, basketball, pickleball, nsapato za skating, ndi zina. Fufuzani zomwe zidzafunike pamasewera kapena zochitikazo. Izi zingaphatikizepo:

  • Makapu achidendene
  • Insole cushioning
  • Maziko ambiri
  • Zina kuti zikwaniritse zosowa za phazi la munthu.

Ndibwino kuti nsapato zothamanga zisinthidwe pamtunda uliwonse wa 300 ku 500 mailosi oyenda kapena kuthamanga kapena ndi zizindikiro zilizonse zosagwirizana pamene zimayikidwa pamalo ophwanyika, monga zowonongeka zowonongeka ndi zowonongeka zimatha kuwonjezera chiopsezo cha kuvulala ndi ululu wammbuyo. (American Academy of Podiatric Sports Medicine, 2024). Ngati awiri ena aika miyendo, chiuno, kapena akakolo m'malo osakhala achibadwa kapena kulepheretsa kuyenda pafupipafupi, ingakhale nthawi yosintha.

Kusankha Nsapato Zoyenera

Njira yabwino yosankha kuvala nsapato ndikupeza kusanthula kwa gait ndikuwunikanso momwe mumayendera ndikuthamanga. Akatswiri osiyanasiyana azachipatala atha kupereka ntchitoyi kuti agwirizane ndi kusaka kwa aliyense payekhapayekha nsapato zoyenera za ululu wammbuyo. Pakuwunika mayendedwe, anthu amafunsidwa kuthamanga ndikuyenda, nthawi zina pa kamera, pomwe katswiri amawona zomwe zimachitika mthupi, monga phazi likagunda pansi komanso ngati likugudubuza mkati kapena kunja. Izi zimapereka deta pamayendedwe okhudzidwa, kusuntha, milingo ya ululu, kuchuluka kwa chithandizo chomwe chimafunikira, ndi mtundu wanji wovala kuti muchepetse ululu wammbuyo. Kusanthula kukamalizidwa, kukutsogolerani pazomwe muyenera kuyang'ana, monga momwe mungathandizire, kutalika kwa chidendene, kapena zinthu zomwe zili zabwino kwa inu.

Chiropractic Medical Chiropractic ndi Functional Medicine Clinic imayang'anira njira zochiritsira zopita patsogolo, zotsogola komanso njira zochiritsira zomwe zimayang'ana kwambiri pazamankhwala azachipatala, thanzi lathunthu, kuphunzitsidwa mwamphamvu mwamphamvu, komanso kukhazikika kwathunthu. Timayang'ana kwambiri kubwezeretsa magwiridwe antchito amthupi pambuyo povulala komanso kuvulala kwa minofu yofewa. Timagwiritsa ntchito Specialized Chiropractic Protocols, Wellness Programs, Nutrition Yogwira Ntchito ndi Yophatikizana, Agility and Mobility Fitness Training, ndi Rehabilitation Systems kwa mibadwo yonse. Mapulogalamu athu ndi achilengedwe ndipo amagwiritsa ntchito kuthekera kwa thupi kukwaniritsa zolinga zomwe zayesedwa m'malo moyambitsa mankhwala owopsa, kusintha kwa mahomoni, maopaleshoni osayenera, kapena mankhwala osokoneza bongo. Tagwirizana ndi madotolo akuluakulu ammzindawu, asing'anga, ndi ophunzitsa kuti apereke chithandizo chapamwamba chomwe chimapatsa mphamvu odwala athu kukhala ndi moyo wathanzi komanso kukhala ndi moyo wathanzi wokhala ndi mphamvu zambiri, malingaliro abwino, kugona bwino, komanso kupweteka pang'ono. .

Ubwino Wogwiritsa Ntchito Custom Foot Orthotics

Zothandizira

Centers for Disease Control and Prevention. (2019). Kumbuyo, kumunsi kwa miyendo, ndi kupweteka kwapamwamba pakati pa akuluakulu a US, 2019. Kuchotsedwa www.cdc.gov/nchs/products/databriefs/db415.htm

Harvard Health Publishing. (2014). Kaimidwe ndi msana thanzi. Maphunziro a Zaumoyo ku Harvard. www.health.harvard.edu/pain/posture-and-back-health

American Academy of Podiatric Sports Medicine. Ayne Furman, DF, AAPSM. (2024). Kodi ndingadziwe bwanji nthawi yoti ndisinthe nsapato zanga zamasewera?

Dziwani Mayankho Opanda Opaleshoni a Hip Pain ndi Plantar Fasciitis

Dziwani Mayankho Opanda Opaleshoni a Hip Pain ndi Plantar Fasciitis

by | Chiropractic, aakulu Chisoni, Foot Orthotics, Hip Pain & Disorders, Kuchiza, Viscerosomatic Reflex

Kodi odwala plantar fasciitis angaphatikizepo mankhwala osachita opaleshoni kuti achepetse kupweteka kwa m'chiuno ndikubwezeretsanso kuyenda?

Introduction

Aliyense ali pamapazi nthawi zonse chifukwa zimathandiza kuti anthu azikhala omasuka komanso amawalola kuti achoke kumalo ena kupita kwina. Anthu ambiri amangokhalira kumapazi kuyambira ali mwana mpaka akakula. Izi zili choncho chifukwa mapazi ndi mbali ya mitsempha ya m'munsi yomwe imapangitsa kuti chiuno chikhale chokhazikika komanso chimalola kugwira ntchito kwa sensory-motor ku miyendo, ntchafu, ndi ana a ng'ombe. Mapazi amakhalanso ndi minofu yambiri, tendon, ndi mitsempha yozungulira chigobacho kuti ateteze ululu ndi kusamva bwino. Komabe, pamene kubwerezabwereza kapena kuvulala kumayamba kukhudza mapazi, kungayambitse plantar fasciitis ndipo, pakapita nthawi, kumayambitsa zizindikiro zowonongeka zomwe zimayambitsa kupweteka kwa chiuno. Anthu akamakumana ndi zowawa izi, zimatha kukhudza kwambiri zochita zawo zatsiku ndi tsiku komanso moyo wawo wonse. Izi zikachitika, anthu ambiri amafunafuna chithandizo chamankhwala osiyanasiyana kuti achepetse zizindikiro zowawa zomwe zimayambitsidwa ndi plantar fasciitis ndikubwezeretsanso chiuno. Nkhani ya lero ikuyang'ana momwe plantar fasciitis imagwirizanirana ndi ululu wa m'chiuno, kugwirizana pakati pa mapazi ndi chiuno, komanso momwe pali njira zopanda opaleshoni zochepetsera plantar fasciitis. Timalankhula ndi ovomerezeka azachipatala omwe amaphatikiza zambiri za odwala athu kuti awone momwe angachepetsere plantar fasciitis ndikubwezeretsanso kuyenda kwa chiuno. Timadziwitsanso ndikuwatsogolera odwala momwe mankhwala ambiri osagwiritsa ntchito opaleshoni angathandizire kulimbitsa minofu yofooka yokhudzana ndi plantar fasciitis ndikuthandizira kubwezeretsa kukhazikika kwa ululu wa m'chiuno. Timalimbikitsa odwala athu kuti afunse opereka chithandizo omwe amalumikizana nawo mafunso ovuta komanso ofunikira okhudza kuphatikiza kusintha kwakung'ono kuti achepetse zowawa zomwe zimayambitsidwa ndi plantar fasciitis. Dr. Jimenez, DC, akuphatikizapo izi monga ntchito ya maphunziro. chandalama.

 

Momwe Plantar Fasciitis Imagwirizanirana Ndi Ululu Wa Hip

Kodi mumamva kupweteka kwa zidendene zanu nthawi zonse mutayenda ulendo wautali? Kodi mumamva kuuma m'chiuno mukamatambasula? Kapena mumamva kuti nsapato zanu zikuyambitsa mavuto ndi ululu m'mapazi anu ndi ana a ng'ombe? Nthawi zambiri, zambiri mwazochitika zowawa zoterezi zimachitika chifukwa cha anthu omwe ali ndi matenda a plantar fasciitis, omwe amadziwika ndi kupweteka kwa chidendene chifukwa cha kutupa kapena kupwetekedwa mtima kwa plantar fascia, gulu la minyewa yakuda imayenda pansi pa phazi ndikulumikizana ndi phazi. fupa la chidendene ku zala za m'munsi. Gulu la minyewa iyi limagwira ntchito yofunika kwambiri m'thupi, kupereka ma biomechanics wamba kumapazi kwinaku akuthandizira chigobacho ndikuthandizira kuyamwa modabwitsa. (Buchanan et al., 2024) Plantar fasciitis ingakhudze kukhazikika kwa mitsempha ya m'munsi chifukwa kupweteka kumakhudza mapazi ndipo kumayambitsa kupweteka kwa chiuno.

 

 

Kotero, kodi plantar fasciitis ingagwirizane bwanji ndi ululu wa m'chiuno? Ndi plantar fasciitis, anthu ambiri akumva ululu m'mapazi awo. Zingayambitse kutsika kwa phazi lachilendo, kufooka kwa minofu ya m'munsi, ndi kupsinjika kwa minofu zomwe zingachepetse kukhazikika kwa miyendo ndi chiuno. (Lee ndi al., 2022) Ndi ululu wa m'chiuno, anthu ambiri amatha kukhala ndi vuto la gait lomwe limayambitsa kufooka kwa minofu m'munsimu ndipo kumapangitsa kuti minofu yowonjezera igwire ntchito zoyamba za minofu. Kufikira pamenepo, izi zimakakamiza anthu kugwetsa pansi poyenda. (Ahuja et al., 2020) Izi zili choncho chifukwa chakuti zinthu zodziwika bwino monga ukalamba wachilengedwe, kugwiritsira ntchito minofu mopitirira muyeso, kapena kupwetekedwa mtima kungayambitse zizindikiro zopweteka m'chiuno, kuphatikizapo kusokonezeka kwa ntchafu, groin, ndi matako, kuuma kwa mgwirizano, ndi kuchepa kwa kayendetsedwe kake. Kupweteka kwa m'chiuno kumatha kuyambitsa mbiri yachiwopsezo yomwe ingaphatikizepo kupsinjika mobwerezabwereza pamapazi, zomwe zimatsogolera kuzizindikiro zakuwawa kwa chidendene.

 

Kulumikizana Pakati pa Mapazi ndi Mchiuno

Ndikofunika kumvetsetsa kuti mavuto a phazi monga plantar fasciitis angakhudze chiuno komanso mosiyana, popeza zigawo zonse za thupi zimakhala ndi ubale wokongola mkati mwa minofu ndi mafupa. Plantar fasciitis pamapazi awo amatha kusintha magwiridwe antchito awo, zomwe zingayambitse kupweteka kwa m'chiuno pakapita nthawi. Izi zimachitika chifukwa cha zinthu zambiri zachilengedwe zomwe zingakhudze chiuno ndi mapazi pakapita nthawi, zomwe zimapangitsa kuti plantar fasciitis igwirizane ndi ululu wa m'chiuno. Kuchokera kuzinthu zolemetsa kwambiri mpaka ku microtrauma m'chiuno kapena plantar fascia, anthu ambiri nthawi zambiri amafunafuna chithandizo kuti achepetse zotsatira za plantar fasciitis zogwirizana ndi ululu wa m'chiuno mwa kuthana ndi momwe kayendedwe kawo kakukhudzira plantarflexion ndi katundu wawo pa mphamvu. -Kumwetsa zida zapamtunda kumatha kukhala koyambira bwino popewa komanso kuchiza plantar fasciitis yogwirizana ndi ululu wa m'chiuno. (Hamstra-Wright et al., 2021)

 

Kodi Plantar Fasciitis Ndi Chiyani? -Video

Mayankho Opanda Opaleshoni Ochepetsa Plantar Fasciitis

Pankhani yochepetsa plantar fasciitis m'thupi, anthu ambiri amafunafuna chithandizo chosapanga opaleshoni chomwe chingachepetse ululu wa plantar fascia. Mankhwala osachita opaleshoni ndi otsika mtengo ndipo amatha kuchepetsa ululu wa plantar fasciitis ndi zizindikiro zake, monga kupweteka kwa m'chiuno. Zina mwazopindulitsa za mankhwala osagwiritsa ntchito opaleshoni akulonjeza, chifukwa ali ndi chiopsezo chochepa cha zovuta, kupezeka kwabwino, komanso ngakhale mphamvu yapamwamba yochepetsera katundu wamakina pa plantar fascia pochita ntchito zokhazikika. (Schuitema et al., 2020) Njira zina zochiritsira zosapanga opaleshoni zomwe anthu ambiri amatha kuziphatikiza ndi monga:

  • Zochita zolimbitsa
  • Zipangizo zamagetsi
  • Kusamalira tizilombo
  • Kuchiza mankhwala
  • Acupuncture/electroacupuncture
  • Kuwonongeka kwa msana

 

Mankhwala osachita opaleshoniwa samangothandiza kuchepetsa plantar fasciitis komanso kumathandiza kuchepetsa ululu wa m'chiuno. Mwachitsanzo, kuwonongeka kwa msana kungathandize kubwezeretsa ntchafu ya m'chiuno mwa kutambasula msana wa lumbar ndi kutulutsa m'munsi mwa dzanzi pamene mukulimbitsa minofu yolimba. (Takagi et al., 2023). Electroacupuncture imatha kulimbikitsa ma acupoints a thupi kuti amasule ma endorphin kuchokera kumunsi kumunsi kuti achepetse kutupa kwa plantar fascia. (Wang et al., 2019) Pamene anthu ayamba kusintha pang'ono m'chizoloŵezi chawo, monga kuvala nsapato zoyenera komanso osanyamula kapena kunyamula zinthu zolemetsa, zikhoza kupita kutali kuti ateteze plantar fasciitis ndi ululu wa m'chiuno kuti usabwerenso ukhoza kupita kutali. Kukhala ndi dongosolo lachidziwitso laumwini kumatha kuonetsetsa kuti anthu ambiri omwe akufuna chithandizo chosapanga opaleshoni amakhala ndi zotsatira zabwino pa thanzi lawo komanso kuyenda kwawo ndikupewa zovuta zomwe zimatenga nthawi yayitali. 

 

Zothandizira

Ahuja, V., Thapa, D., Patial, S., Chander, A., & Ahuja, A. (2020). Kupweteka kwa m'chiuno kwa akuluakulu: Chidziwitso chamakono ndi tsogolo lamtsogolo. J Anaesthesiol Clin Pharmacol, 36(4), 450-457. doi.org/10.4103/joacp.JOACP_170_19

Buchanan, BK, Sina, RE, & Kushner, D. (2024). Plantar Fasciitis. Mu Malangizo. www.ncbi.nlm.nih.gov/pubmed/28613727

Hamstra-Wright, KL, Huxel Bliven, KC, Bay, RC, & Aydemir, B. (2021). Zowopsa za Plantar Fasciitis mwa Anthu Ogwira Ntchito Mwathupi: Kuwunika Mwadongosolo ndi kusanthula kwa Meta. Health Health, 13(3), 296-303. doi.org/10.1177/1941738120970976

Lee, JH, Shin, KH, Jung, TS, & Jang, WY (2022). Kuchita kwa Minofu Yotsika Kwambiri ndi Kupanikizika kwa Mapazi kwa Odwala Omwe Ali ndi Plantar Fasciitis omwe ali ndi komanso opanda Flat Foot Posture. Int J Environ Res Public Health, 20(1). doi.org/10.3390/ijerph20010087

Schuitema, D., Greve, C., Postema, K., Dekker, R., & Hijmans, JM (2020). Kuchita bwino kwa Mechanical Chithandizo cha Plantar Fasciitis: Kuwunika Mwadongosolo. J Sport Rehabil, 29(5), 657-674. doi.org/10.1123/jsr.2019-0036

Takagi, Y., Yamada, H., Ebara, H., Hayashi, H., Inatani, H., Toyooka, K., Mori, A., Kitano, Y., Nakanami, A., Kagechika, K., Yahata, T., & Tsuchiya, H. (2023). Kuwonongeka kwa lumbar spinal stenosis pamalo opangira catheter pa intrathecal baclofen therapy: lipoti la milandu. J Med Case Rep, 17(1), 239. doi.org/10.1186/s13256-023-03959-1

Wang, W., Liu, Y., Zhao, J., Jiao, R., & Liu, Z. (2019). Electroacupuncture versus manual acupuncture pochiza matenda opweteka a plantar chidendene: ndondomeko yophunzira ya mayesero omwe akubwera mosasamala. BMJ Open, 9(4), e026147. doi.org/10.1136/bmjopen-2018-026147

chandalama

Bwezerani Mapazi Anu ndi Acupuncture Plantar Fasciitis Therapy

Bwezerani Mapazi Anu ndi Acupuncture Plantar Fasciitis Therapy

by | Therapy Katemera, Foot Orthotics

Kwa anthu omwe ali ndi plantar fasciitis, sitepe iliyonse ikhoza kukhala yowawa. Kodi kutenga njira yophatikizira ndikugwiritsa ntchito acupuncture kungathandize kuchiza matendawa ndikufulumizitsa mpumulo wazizindikiro?

Bwezerani Mapazi Anu ndi Acupuncture Plantar Fasciitis Therapy

Acupuncture Plantar Fasciitis

Plantar fasciitis ndi pamene minofu yothandizira yomwe ikuyenda pansi pa phazi, kuchokera pachidendene mpaka pansi pa zala, imakwiyitsa komanso yopweteka. Matendawa amatha kukhala ovuta kuthana nawo, koma pali njira zina zochizira. Chithandizo cha acupuncture plantar fasciitis ndi njira imodzi yochepetsera mpumulo, kuchepetsa ululu, ndikumubwezera munthuyo kuntchito zake zonse. Kutema mphini kumaphatikizapo kulowetsa singano zoonda kwambiri m'malo m'thupi kuti abwezeretse ndikuwongolera kayendedwe kabwino ka mphamvu ndikukhala ndi thanzi labwino. (Johns Hopkins University. 2024) Mu mankhwala achi China kapena TCM, thupi limakhala ndi ma meridians / njira zomwe zimapereka mphamvu yothamanga kapena qi / chi.

mfundo

Plantar fasciitis ndi vuto lofala lomwe limakhudza phazi. Mkhalidwewu umachitika pamene plantar fascia, yopangidwa kuti itenge mphamvu zomwe zimayenda pamtunda wa phazi, zimakhala zolemetsa. Pamene pansi pa phazi nthawi zonse kumakhala kovuta kwambiri, kumabweretsa kuwonongeka kwa ligament, kupweteka, ndi kutupa. Chizindikiro chofala kwambiri ndi kupweteka kwa chidendene, chinthu choyamba chimene munthu amakumana nacho m'mawa kapena pambuyo pa tsiku lalitali la ntchito ndi ntchito. Aliyense atha kutenga plantar fasciitis, koma omwe ali ndi vutoli ndi awa omwe ali ndi:

  1. Matendawa amayamba kuchiritsidwa mosamalitsa ndi chithandizo chamankhwala choyang'ana kuthetsa zizindikiro zowawa ndikubwezeretsa kusinthasintha kwa phazi ndi akakolo.
  2. Orthotics kapena kuyika nsapato zopangidwa mwamakonda kungathandize kuteteza phazi ndikuyika bwino phazi,
  3. Zingwe za usiku zimathandiza kuti phazi likhale losinthasintha usiku.
  4. Mankhwala oletsa kutupa angagwiritsidwenso ntchito. (American Academy of Orthopedic Surgeons. 2022)

Ubwino wa Acupuncture

Acupuncture ndi mphamvu yake ikuphunziridwabe, koma pali umboni wosonyeza kuti ndiwopindulitsa pa chithandizo cha plantar fasciitis.

  • Ndemanga imodzi inapeza kusintha kwakukulu kwa ululu mwa anthu omwe anali ndi acupuncture chifukwa cha vutoli poyerekeza ndi anthu omwe analandira chithandizo choyenera monga kutambasula, orthotics, ndi kulimbikitsa. (Anandan Gerard Thiagarajah 2017) Ndemanga yomweyi inapezanso ubwino poyerekezera kutema mphini ndi mtundu wa mankhwala a placebo, kulimbikitsanso zomwe anapeza.
  • Ndemanga ina yachipatala inapeza kuti kutema mphini kunathandiza kuchepetsa ululu wa chidendene ndi kusintha ntchito ya tsiku ndi tsiku pamene ikuphatikizidwa ndi mankhwala osagwiritsidwa ntchito poletsa kutupa / NSAIDs monga ibuprofen kapena naproxen. (Richard James Clark, Maria Tighe 2012)

Zotsatira Zotsatira

Ngakhale chithandizo cha acupuncture plantar fasciitis chili chothandiza, ndikofunikira kukumbukira kuti pakhoza kukhala zotsatira zoyipa zomwe zingaphatikizepo:

  • Ululu m'dera limene singano anayikidwa.
  • Kutuluka magazi m'dera limene singanozo zinayikidwa.
  • Kuvulala kapena kutayika kwa khungu.
  • Thupi lawo siligwirizana kapena kulumikizana ndi dermatitis / kuyabwa zidzolo.
  • Chizungulire kapena mutu wopepuka.
  • Mseru kapena kusanza (Malcolm WC Chan et al., 2017)

Mwayi wokhala ndi vuto lalikulu ndi wochepa kwambiri pochita acupuncture pamapazi.

Zokhudza Acupuncture ndi Zomverera

Njira zogwirira ntchito za acupuncture sizikudziwika bwino, koma monga njira zina zochiritsira za neuromusculoskeletal, njirayi imayendetsa machiritso a thupi.

  • Kulowetsa singano m'mfundo za thupi kumalimbikitsa dongosolo lalikulu la mitsempha.
  • Izi zimabweretsa kutulutsidwa kwa mankhwala mu ubongo, msana, ndi minofu yomwe imalimbikitsa machiritso.
  • Mankhwala omwewo ndi zochita zake zimachepetsanso kumva kupweteka kwa thupi. (Teng Chen et al., 2020)

Chiwerengero cha Magawo

Kuchuluka kwa magawo omwe acupuncture amatenga kuti apereke mpumulo wa ululu amasiyanasiyana kuchokera kwa munthu ndi munthu komanso nkhani ndi zochitika.

  • Ndemanga ina idapeza kuti kuchiza plantar fasciitis mlungu uliwonse ndi acupuncture kumatulutsa mpumulo waukulu pambuyo pa milungu inayi mpaka eyiti. (Anandan Gerard Thiagarajah 2017)
  • Izi zikufanana ndi ndemanga ina yachipatala yomwe inaphatikizapo kafukufuku wosonyeza kupweteka kwambiri kwa anthu omwe akukumana nawo sabata iliyonse kutema mphini magawo kwa milungu inayi. (Richard James Clark, Maria Tighe 2012)

Anthu amalangizidwa kuti afunsane ndi azithandizo zachipatala za mapulani awoawo komanso ngati ali ndi vuto lotaya magazi, amamwa mankhwala ochepetsa magazi, kapena ali ndi pakati.

Kumvetsetsa Plantar Fasciitis

Zothandizira

Johns Hopkins University. (2024). Acupuncture (Health, Nkhani. www.hopkinsmedicine.org/health/wellness-and-prevention/acupuncture

American Academy of Orthopedic Surgeons. (2022). Plantar fasciitis ndi fupa spurs. (Matenda ndi Zikhalidwe, Nkhani. orthoinfo.aaos.org/en/diseases-conditions/plantar-fasciitis-and-bone-spurs

Thiagarajah AG (2017). Kodi kutema mphini kumathandiza bwanji kuchepetsa ululu chifukwa cha plantar fasciitis? Singapore Medical Journal, 58(2), 92-97. doi.org/10.11622/smedj.2016143

Clark, RJ, & Tighe, M. (2012). Kuchita bwino kwa acupuncture pa ululu wa chidendene cha plantar: kuwunika mwadongosolo. Acupuncture mu mankhwala: magazini ya British Medical Acupuncture Society, 30 (4), 298-306. doi.org/10.1136/acupmed-2012-010183

Chan, MWC, Wu, XY, Wu, JCY, Wong, SYS, & Chung, VCH (2017). Chitetezo cha Acupuncture: mwachidule Ndemanga Zadongosolo. Malipoti asayansi, 7(1), 3369. doi.org/10.1038/s41598-017-03272-0

Chen, T., Zhang, WW, Chu, YX, & Wang, YQ (2020). Acupuncture for Pain Management: Molecular Mechanism of Action. Magazini ya ku America ya mankhwala achi China, 48 (4), 793-811. doi.org/10.1142/S0192415X20500408

Pewani Kuphulika kwa Plantar Fasciitis Ndi Malangizo Awa

Pewani Kuphulika kwa Plantar Fasciitis Ndi Malangizo Awa

by | Foot Orthotics, Kuyenda & Kusinthasintha

Anthu omwe ali ndi plantar fasciitis amatha kukhala ndi vuto lokhazikika. Kodi kudziwa zomwe zimayambitsa kupweteka kungathandize kuthetsa ululu?

Pewani Kuphulika kwa Plantar Fasciitis Ndi Malangizo Awa

Plantar Fasciitis Flare-Up

Plantar fasciitis ndizomwe zimayambitsa kupweteka kwa chidendene ndi phazi. The plantar fascia ndi gulu la minofu yomwe imayenda pansi pa phazi ndikuyaka. Zinthu zina zingayambitse plantar fasciitis flare-ups, kuphatikizapo:

  • Kuwonjezeka kwa zochitika zolimbitsa thupi.
  • Osatambasula pafupipafupi.
  • Kuvala nsapato popanda chithandizo choyenera.
  • Kulemera kwalemera.

Zimayambitsa

Kuphulika kwa plantar fasciitis nthawi zambiri kumayambitsidwa ndi masewera olimbitsa thupi. (MedlinePlus. US National Library of Medicine. 2022) Itha kubweretsedwanso ndi zovuta, monga kuchuluka kwa thupi, nyamakazi, kapena mawonekedwe a phazi. (Johns Hopkins Medicine. 2023) Ngakhale zili zoyambitsa, pali zochitika ndi zochitika zomwe zingapangitse ndi/kapena kukulitsa vutoli.

Njira Yatsopano Yolimbitsa Thupi

  • Kuchita masewera olimbitsa thupi kumatha kukulitsa zizindikiro za plantar fasciitis.
  • Kuphulika kwa plantar fasciitis kungathe kuchitika pambuyo pa kuwonjezeka kwadzidzidzi kwa zochitika, monga kuyambitsa pulogalamu yatsopano yolimbitsa thupi kapena kuwonjezera masewero atsopano ku chizoloŵezi. (MedlinePlus. US National Library of Medicine. 2022)
  • Kuyenda kapena athamanga pa malo osagwirizana kapena kutsika kungakhale choyambitsa. (Johns Hopkins Medicine. 2023)
  • Kuchepetsa kuchita masewera olimbitsa thupi komanso kuyimirira nthawi kungathandize.
  • Ngati izi sizingatheke, kuvala nsapato zokhala ndi chithandizo cha arch kungathandize kuchepetsa ululu. (Johns Hopkins Medicine. 2023)

Kulemera kwa kulemera

  • Anthu omwe ali ndi kulemera kwakukulu kapena kuwonjezeka kwa thupi amawonjezera kupanikizika kumapazi awo, kuwaika pachiwopsezo chachikulu cha plantar fasciitis. (MedlinePlus. US National Library of Medicine. 2022)
  • Ngati mukukumana ndi kuphulika kosasintha, wothandizira zaumoyo angakupatseni ndondomeko yoyenera yochepetsera thupi pamodzi ndi ndondomeko ya chithandizo.

Pregnancy

Nsapato Zopanda Thandizo

  • Kuvala nsapato popanda thandizo la arch kungayambitse kupweteka kwa phazi ndi plantar flare-ups.
  • Anthu ayenera kuvala nsapato zokhala ndi ma cushioning ambiri ndi chithandizo chambiri, monga sneakers. (Zambiri za Ortho. Academy of Orthopaedic Surgeons. 2022)
  • Nsapato zomwe sizikulimbikitsidwa zimaphatikizapo:
  • Phidigu phidigu
  • Nsapato zomwe zimakhala zosalala.
  • Nsapato zazitali, nsapato, kapena nsapato zomwe zimakweza chidendene pamwamba pa zala.
  • Nsapato zotha ngati nsapato zolimbitsa thupi.

Osatambasula Bwino Kapena Konse

  • Ng'ombe zolimba zimatha kuwonjezera kupanikizika pa plantar fascia.
  • Kutambasula ana a ng'ombe, Achilles tendon / chidendene, ndi pansi pa mapazi akulimbikitsidwa kwambiri kuthandiza kuchiza ndi kupewa chikhalidwe. (Johns Hopkins Medicine. 2023)
  • Kusatambasula bwino kapena kudumpha kutambasula kumatha kukulitsa zizindikiro.
  • Anthu omwe ali ndi plantar fasciitis akulimbikitsidwa kutambasula asanayambe kapena atatha masewera olimbitsa thupi, masewera olimbitsa thupi, asanagone, komanso akadzuka.

Kuchita Kupyolera mu Ululu

  • Anthu amatha kuyesa kupitiriza kuchita masewera olimbitsa thupi panthawi yamoto.
  • Izi sizikulimbikitsidwa chifukwa kuchita izi kungayambitse kupweteka kwambiri komanso kukulitsa vutoli.
  • Pamene ululu ukupezeka, tikulimbikitsidwa kuti:
  • Imitsani ntchito zonse zomwe zimasokoneza mapazi
  • Khalani osayenda kwa sabata.

Kuwononga Plantar Fascia

  • The plantar fascia kawirikawiri imang'ambika kwathunthu kuchokera ku nkhawa mobwerezabwereza yotchedwa plantar fascia rupture.
  • Izi zikachitika, ululu waukulu wadzidzidzi udzawonekera ndipo anthu amalangizidwa kuti ayimbire wothandizira zaumoyo wawo. (Stephanie C. Pascoe, Timothy J. Mazzola. 2016)
  • Komabe, anthu amatha kuchira msanga, ndipo ululu umachepa msanga.
  • Anthu omwe ali ndi misozi adzalangizidwa kuti azivala phazi orthotic chifukwa phazi likhoza kuphwanyidwa kwambiri.

Zowopsa

Plantar fasciitis imatha kuchitika kwa aliyense, koma anthu omwe ali ndi izi ali pachiwopsezo chowonjezereka: (Zambiri za Ortho. Academy of Orthopaedic Surgeons. 2022)

  • Chipilala chokwera.
  • Ntchito kapena zokonda zomwe zimawonjezera mavuto pamapazi.
  • Minofu yolimba ya ng'ombe.
  • Kuwonjezeka mwadzidzidzi kwa masewera olimbitsa thupi.
  • Ndondomeko yatsopano yolimbitsa thupi.
  • Kuwonjezeka kwa thupi.
  • Kunenepa mwadzidzidzi monga pa mimba.

Kodi Moto Umakhala Wautali Bwanji?

chithandizo

Kuphatikiza pa mankhwala opumula a plantar fasciitis angaphatikizepo: (Zambiri za Ortho. Academy of Orthopaedic Surgeons. 2022)

Ice

  • Icing pansi pa phazi kwa mphindi 15 kangapo patsiku kumachepetsa kutupa.

Nonsteroidal anti-inflammatory mankhwala - NSAIDs

  • Mankhwala osokoneza bongo a NSAID monga ibuprofen ndi naproxen, amatha kuchepetsa ululu ndi kutupa.
  • Ndikoyenera kukaonana ndi wothandizira zaumoyo kuti mugwiritse ntchito kwakanthawi kochepa komanso mlingo wake.

Nsapato Zoyenera

  • Nsapato zokhala ndi arch zothandizira zimalimbikitsidwa kwambiri.
  • Wopereka chithandizo chamankhwala amatha kuyitanitsa ma orthotics kuti athandizidwe kwambiri.

Kutambasula

  • Kutambasula ndikofunikira pakuchiza.
  • Kutambasula ng'ombe ndi pansi pa phazi tsiku ndi tsiku kumapangitsa kuti minofu ikhale yomasuka.

zofikisa

  • Kusisita malo ndi mpira wochiritsa kutikita minofu kumachepetsa minofu.
  • Kugwiritsira ntchito percussive massager kumawonjezera kufalikira.

Kodi Plantar Fasciitis ndi chiyani?

Zothandizira

MedlinePlus. National Library of Medicine. (2022) US Plantar fasciitis.

Johns Hopkins Medicine. (2023) Plantar fasciitis.

Chipatala cha Ana cha Boston. (2023) Plantar fasciitis.

Zambiri za Ortho. Academy of Orthopaedic Surgeons. (2022) Plantar fasciitis ndi fupa spurs.

Pascoe, SC, & Mazzola, TJ (2016). Acute Medial Plantar Fascia Misozi. Journal of mafupa ndi masewera olimbitsa thupi, 46 (6), 495. doi.org/10.2519/jospt.2016.0409

Kumvetsetsa Zomwe Zimayambitsa Kupweteka kwa Mitsempha Pamapazi Anu

Kumvetsetsa Zomwe Zimayambitsa Kupweteka kwa Mitsempha Pamapazi Anu

by | Zinthu Zinachitiridwa, Foot Orthotics

Anthu omwe amamva kupweteka kwa minyewa pamapazi amatha kuyambitsidwa ndi zinthu zosiyanasiyana, kodi kuzindikira zomwe zimayambitsa kwambiri kungathandize kupanga dongosolo lothandizira lamankhwala?

Kumvetsetsa Zomwe Zimayambitsa Kupweteka kwa Mitsempha Pamapazi Anu

Kupweteka Kwa Mitsempha Pamapazi

Zomvazi zimatha kumva ngati kutentha, kuwombera, magetsi, kapena kuwawa ndipo zimatha kuchitika mukuyenda kapena kupuma. Zitha kuchitika pamwamba pa phazi kapena kupyolera mu chipika. Malo omwe ali pafupi ndi mitsempha akhoza kukhala okhudzidwa ndi kukhudza. Zinthu zingapo zimatha kuyambitsa kupweteka kwa mitsempha pamapazi, kuphatikiza:

  • Matenda a Morton
  • Pinched mitsempha
  • Matenda a tarsal syndrome
  • Diabetesic peripheral neuropathy
  • Herniated disc

Morton's Neuroma

Morton's neuroma imakhudza mitsempha yomwe imayenda pakati pa chala chachitatu ndi chachinayi, koma nthawi zina imatha kuchitika pakati pa chala chachiwiri ndi chachitatu kukhala chokhuthala. Zizindikiro zodziwika bwino zimaphatikizapo kutentha kapena kuwombera m'deralo, nthawi zambiri mukuyenda. (Nikolaos Gougoulias, et al., 2019) Chizindikiro china chodziwika bwino ndikumva kupanikizika pansi pa zala monga sock yomwe ili pansi. Mankhwala angaphatikizepo:

  • Arch imathandizira
  • jakisoni Cortisone kuchepetsa kutupa
  • Kusintha kwa nsapato - kungaphatikizepo zokweza, ma orthotics ophatikizidwa ndi metatarsal pads, ndi ma rocker soles, kuti apereke khushoni pomwe pakufunika.

Zinthu zomwe zimawonjezera chiopsezo chokhala ndi matendawa ndi:

  • Kuvala nthawi zonse zidendene zapamwamba - vutoli limapezeka kawirikawiri mwa amayi.
  • Nsapato zothina kwambiri.
  • Kuchita nawo masewera olimbitsa thupi monga kuthamanga.
  • Kukhala ndi mapazi athyathyathya, zipilala zazitali, ma bunion, kapena hammertoes.

Pinched Nerve

Mitsempha yotsinidwa imatha kumva ngati kupweteka kapena kuwombera. Kutsekeka kwa mitsempha kumatha kuchitika m'magawo osiyanasiyana a phazi kapena pamalo omwe ali pamwamba pa phazi limatha kumva kuti lili ndi vuto. Zifukwa zingayambitsidwe ndi: (Basavaraj Chari, Eugene McNally. 2018)

  • Zowopsa zomwe zimayambitsa kutupa.
  • Kukhudza kowopsa.
  • Nsapato zolimba.

Chithandizo chingaphatikizepo:

  • kutikita
  • Kuchiza thupi
  • Kupumula
  • Zosintha nsapato
  • Anti-zotupa.

Zinthu zomwe zimawonjezera chiopsezo chokhala ndi minyewa yotsina phazi ndi izi:

  • Nsapato zosakwanira bwino.
  • Kuvulala kobwerezabwereza kupsinjika.
  • Kuvulala kwa phazi.
  • Kunenepa kwambiri.
  • Matenda a nyamakazi.

Matenda a Tarsal Tunnel Syndrome

Mtundu wina wa kutsekeka kwa minyewa ndi tarsal tunnel syndrome. Tarsal tunnel syndrome ndi "chilichonse chomwe chimapangitsa kuti mitsempha ya posterior tibial ikhale yovuta." (American College of Foot and Ankle Surgeons. 2019) Mitsempha ya tibial ili pafupi ndi chidendene. Zizindikiro zimaphatikizapo dzanzi ndi kukokana kwamapazi, kuyaka, kunjenjemera, kapena kuwombera komwe nthawi zambiri kumachokera ku instep/arch. Onse amatha kuwonjezereka pamene phazi likupuma, monga pokhala kapena kugona. Chithandizo chikhoza kukhala:

  • Kuyika padding mu nsapato kumene phazi likukanikizidwa kuti muchepetse ululu.
  • Mwambo phazi orthotics.
  • Kuwombera kwa Cortisone kapena mankhwala ena oletsa kutupa.
  • Kuchita opaleshoni kungakhale kofunikira kuti mutulutse mitsempha.

Zinthu zomwe zimapondereza mitsempha ya tibial ndipo zingayambitse matenda a tarsal tunnel ndi awa:

  • Mapazi athyathyathya
  • Mipingo yakugwa
  • Mphuno ya ankle
  • shuga
  • nyamakazi
  • Mitsempha ya Varicose
  • Bone spurs

Diabetesic Peripheral Neuropathy

Kuchuluka kwa shuga m'magazi / shuga wanthawi yayitali wokhudzana ndi matenda a shuga kumatha kubweretsa kuwonongeka kwa mitsempha yotchedwa peripheral neuropathy. (Centers for Disease Control and Prevention. 2022) Kupweteka kwa Neuropathy kumamveka ngati kuwawa koyaka kapena kuwomberedwa, kapena kumva kuyenda pamatope omwe nthawi zambiri amawonekera usiku. Ululu ukhoza kubwera ndi kupita komanso kutayika kwapang'onopang'ono kumapazi komwe kumayambira ku zala ndikukwera phazi. Akuti pafupifupi theka la anthu omwe ali ndi matenda ashuga amatha kukhala ndi neuropathy. (Eva L. Feldman, et al., 2019) Chithandizo chingaphatikizepo:

  • Physical therapy kutikita minofu kuonjezera kufalitsidwa.
  • Mankhwala amtundu wa capsaicin.
  • Vitamini B.
  • Kusamalira shuga wamagazi.
  • Alpha lipoic acid.
  • Mankhwala.

Anthu omwe ali ndi matenda a shuga amakhala ndi chiopsezo chowonjezereka chokhala ndi peripheral neuropathy ngati:

  • Shuga wa m'magazi samayendetsedwa bwino.
  • Matenda a shuga akhalapo kwa zaka zambiri.
  • Matenda a impso.
  • Utsi.
  • Kunenepa kwambiri kapena kunenepa kwambiri.

Herniated Disc

Kupweteka kwa mitsempha paphazi kungayambitsidwe ndi nkhani za msana. Dothi la herniated lomwe lili m'munsi kumbuyo likhoza kukwiyitsa ndi kupondereza mitsempha, kuchititsa ululu umene umatulutsa mwendo ndi phazi. Zizindikiro zowonjezera nthawi zambiri zimaphatikizapo kufooka kwa minofu m'miyendo ndi/kapena dzanzi ndi kumva kulasalasa. Ma disc ambiri a herniated safuna opaleshoni ndipo amakhala bwino ndi chithandizo chanthawi zonse. (Wai Weng Yoon, Jonathan Koch. 2021) Ngati zizindikiro sizikuyenda bwino kapena kuipiraipira, dokotala angakulimbikitseni opaleshoni. Ma disc a Herniated amapezeka kwambiri kwa achinyamata ndi azaka zapakati. Kuwonjezeka kwa mwayi wopanga diski ya herniated kungabwere kuchokera ku:

  • Kusintha kwapang'onopang'ono kwa msana kuchokera ku ukalamba wamba ndi kung'ambika.
  • Ntchito yolemetsa mwakuthupi.
  • Kukweza molakwika.
  • Kunenepa kwambiri kapena kunenepa kwambiri.
  • Genetic predisposition - mbiri ya banja la herniated discs.

Mimba Yam'mimba

Spinal stenosis imachitika pamene mipata ya msana imayamba kuchepa, kupangitsa kupanikizika kwa msana ndi mizu ya mitsempha. Nthawi zambiri zimachitika chifukwa cha kuwonongeka kwa msana pamene thupi limakalamba. Stenosis m'munsi kumbuyo kungayambitse kupweteka kwa matako ndi mwendo. Pamene ikupita patsogolo ululu umatha kutuluka m'mapazi pamodzi ndi dzanzi ndi kumva kulasalasa. Chithandizo chodziletsa chimakhala ndi masewera olimbitsa thupi komanso osagwiritsa ntchito steroidal anti-inflammatory drugs/NSAIDs. (Jon Lurie, Christy Tomkins-Lane. 2016) Majekeseni a Cortisone angakhale opindulitsa ndipo ngati vutoli likuipiraipira, opaleshoni ikhoza kukhala njira yabwino. Zowopsa ndi izi:

  • Zaka 50 kapena kupitilira apo.
  • Njira yopapatiza ya msana.
  • Kuvulala kwam'mbuyo.
  • Opaleshoni yam'mbuyo yamsana.
  • Osteoarthritis yomwe imakhudza msana.

Zina Zomwe Zingatheke

Zinthu zina zingayambitse kuwonongeka kwa mitsempha ndi zizindikiro za ululu ndi zomverera. Zitsanzo ndi izi: (Nathan P. Staff, Anthony J. Windebank. 2014)

  • Kuperewera kwa vitamini (Nathan P. Staff, Anthony J. Windebank. 2014)
  • Kuvulala kwakuthupi - pambuyo pa opaleshoni kapena ngozi yagalimoto kapena yamasewera.
  • Khansara ina, mankhwala oletsa tizilombo toyambitsa matenda, kapena maantibayotiki.
  • Complex regional pain syndrome.
  • Zotupa zomwe zimakwiyitsa komanso / kapena kupondereza mitsempha.
  • Matenda a chiwindi kapena impso.
  • Matenda opatsirana - zovuta za matenda a Lyme kapena ma virus.

Kupweteka kwa mitsempha pamapazi ndithudi ndi chifukwa chowonana ndi wothandizira zaumoyo. Kuzindikira msanga kungathandize kupewa kukula kwa zizindikiro ndi mavuto amtsogolo. Pomwe chomwe chimayambitsa kupweteka kwadziwika, gulu lachipatala lingathe kugwirira ntchito limodzi kuti likhale ndi ndondomeko ya chithandizo chaumwini kumasula wothinikizidwa misempha ndi kubwezeretsa kuyenda ndi ntchito. Onanina ndi dokotala nthawi yomweyo ngati ululu ndi zizindikiro zikukulirakulira, kapena ngati pali zovuta kuyimirira kapena kuyenda.

Chiropractic Pambuyo pa Ngozi ndi Kuvulala

Zothandizira

Gougoulias, N., Lampridis, V., & Sakellariou, A. (2019). Morton's interdigital neuroma: ndemanga yophunzitsa. Ndemanga za EFORT zotsegula, 4(1), 14–24. doi.org/10.1302/2058-5241.4.180025

Chari, B., & McNally, E. (2018). Kutsekeka kwa Mitsempha mu Ankle ndi Phazi: Kujambula kwa Ultrasound. Semina mu musculoskeletal radiology, 22 (3), 354-363. doi.org/10.1055/s-0038-1648252

American College of Foot and Ankle Surgeons. Matenda a tarsal syndrome.

Maofesi a Kuletsa ndi Kuteteza Matenda. Matenda a shuga ndi kuwonongeka kwa mitsempha.

Feldman, EL, Callaghan, BC, Pop-Busui, R., Zochodne, DW, Wright, DE, Bennett, DL, Bril, V., Russell, JW, & Viswanathan, V. (2019). Diabetesic neuropathy. Ndemanga za chilengedwe. Zoyambitsa matenda, 5(1), 42. doi.org/10.1038/s41572-019-0097-9

Yoon, WW, & Koch, J. (2021). Ma disc a Herniated: Kodi opaleshoni ndiyofunika liti? Ndemanga za EFORT zotsegula, 6 (6), 526-530. doi.org/10.1302/2058-5241.6.210020

Lurie, J., & Tomkins-Lane, C. (2016). Kuwongolera kwa lumbar spinal stenosis. BMJ (Clinical Research ed.), 352, h6234. doi.org/10.1136/bmj.h6234

Staff, NP, & Windebank, AJ (2014). Peripheral neuropathy chifukwa cha kusowa kwa vitamini, poizoni, ndi mankhwala. Continuum (Minneapolis, Minn.), 20 (5 Peripheral Nervous System Disorders), 1293-1306. doi.org/10.1212/01.CON.0000455880.06675.5a

Nsapato Zothamanga Zothamanga Kwa Mavuto Obwerera: EP Back Clinic

Nsapato Zothamanga Zothamanga Kwa Mavuto Obwerera: EP Back Clinic

by | Kupweteka Kwambiri Kwambiri, Foot Orthotics

Anthu omwe ali pamapazi tsiku lonse amakhala ndi vuto la msana komanso zizindikiro zosasangalatsa. Kuvala nsapato zosakhazikika zomwe zimakhala zathyathyathya popanda thandizo la arch ndi mayamwidwe ochepa kapena osagwedezeka kapena mtundu wolakwika wa nsapato pakuyenda kungayambitse zovuta za biomechanical zomwe zingayambitse kupweteka kwa msana ndikupangitsa kupweteka kwa msana. Nsapato zothamanga zothamanga zimalimbikitsidwa chifukwa cha ululu wa m'munsi chifukwa zimakhala bwino komanso zimapangidwira kuti zithandize kuyamwa kwa kuyenda kapena kuthamanga. Amakhalanso ndi chithandizo choyenera cha arch ndi akakolo kuti asunge phazi kuti likhale loyenera. Choyenera kuyang'ana mu nsapato zothamanga kuti muchepetse ululu wammbuyo ndikusunga kuvulala kwamsana?

Kusankha Nsapato Zothamanga Zothamanga Pazovuta Zam'mbuyo: IMCFMCNsapato za Athletic Running

Nsapato zomwe zilibe zitsulo zokwanira zimatha kuyambitsa kutupa kwa minofu yam'mbuyo chifukwa chosowa kuyamwa. Wothamanga kwambiri kuthamanga nsapato chifukwa kupweteka kwa msana kumakhala kolimba, kumathandizira, komanso kukhazikika bwino. Posankha nsapato za ululu wammbuyo, zinthu zofunika kuziganizira ndi izi:

  • Kuuma kwa sole.
  • Thandizo labwino komanso kutsitsa.
  • Zoyenera komanso zomasuka.

Mtundu wa Nsapato

  • Nsapato zothamanga zothamanga zimapezeka mumitundu yosiyanasiyana yothandizira mitundu yonse ya phazi.
  • Ganizirani kapangidwe ka phazi ndi kuyenda posankha nsapato.
  • Mapazi ophwanyika ndi okwera kwambiri angayambitse kusalinganika kwa minofu, zomwe zimawonjezera kupanikizika kumbuyo, chiuno, miyendo, mawondo, mabondo, ndi mapazi.
  • Taganizirani nsapato zowongolera kuyenda kwa phazi lathyathyathya kapena overpronation.

Thandizo la Arch

  • Thandizo loyenera la arch limatsimikizira kuti mapazi azikhala ogwirizana ndipo amachotsa mawondo, m'chiuno, ndi kumbuyo, kuchepetsa chiopsezo cha kutupa.
  • Yang'anani nsapato yokhala ndi chidendene chokhazikika komanso chikho cholimba cha chidendene chothandizira phazi ndi akakolo.
  • Onetsetsani kuti nsapatoyo ikugwirizana ndi phazi la munthu aliyense komanso mtundu wa gait.
  • Ngati mungathe kupotoza nsapato kapena pindani nsapato pakati, palibe chithandizo chokwanira mu arch.
  • Mwachitsanzo, kuchulukitsa mawu imafunika kukhazikika ndi kuwonjezera zamankhwala chithandizo kuti muteteze kugwa kwa arch.

Kusakaniza

Kumangira nsapato:

  • Amachotsa kugwedezeka ndi kugwedezeka.
  • Amachepetsa zotsatira za sitepe iliyonse.
  • Imathandiza kuchepetsa kuthamanga kwa msana.
  • Nsapato yokonzedwa bwino imapereka chitonthozo ndi chithandizo.
  • Kuvala nsapato popanda kukwera kokwanira kumapangitsa kuti minofu yam'mbuyo ikhale ndi mantha nthawi iliyonse phazi litenga sitepe.

Woyenerera Woyenerera

Nsapato zoyenera ziyenera kukwanira bwino.

  • Nsapato zothina kwambiri zimatha kuyambitsa kupweteka komanso matuza kumapazi.
  • Kukwiyitsa kumatha kukakamiza kuyenda movutikira komanso kopanda thanzi, kukulitsa kupsinjika kwa msana ndi ululu.
  • Nsapato zomwe zimakhala zazikulu kwambiri zimatha kupangitsa mapazi kuterera ndi kutsetsereka, kuonjezera ngozi yovulala.
  • Nsapato ndi bokosi lalikulu la chala kapena kukula kwake kungakhale njira yopewera zala zochepetsetsa.
  • Kukonzekera koyenera kudzaonetsetsa kuti mapazi akugwirizana bwino ndikupewa kuvulala.

Kuthamanga

kwake

  • Kuvala nsapato zotha zokhala ndi zopindika zosakwanira komanso mayamwidwe onjenjemera kungapangitse ngozi ya mavuto ammbuyo.
  • Kutengera ndikugwiritsa ntchito, nsapato zimatha kutha pakatha miyezi itatu kapena kuchepera.
  • Ndikofunikira kusintha nsapato pamene cushioning yatha.
  • Yang'anani zapamwamba zakuthupi zomwe sizitha msanga.

Limbikitsani Ubwino wa Thupi Lonse

Zothandizira

Anderson, Jennifer, et al. "Nkhani yofotokozera za zovuta za minofu ndi mafupa am'munsi ndi kumbuyo komwe kumalumikizidwa ndi mawonekedwe apakati pa ntchito zantchito, mapazi, nsapato, ndi pansi." Kusamalira minofu ndi mafupa vol. 15,4 (2017): 304-315. doi:10.1002/msc.1174

American Podiatric Medical Association. Ndi Nsapato Yothamanga Iti Yoyenera Kwa Inu?

Hong, Wei-Hsien, et al. "Zotsatira za kutalika kwa chidendene cha nsapato ndikuyikapo kwathunthu pakukweza minofu ndi kukhazikika kwa phazi mukuyenda." Phazi & ankle International vol. 34,2 (2013): 273-81. doi:10.1177/1071100712465817

National Institute of Arthritis ndi Musculoskeletal and Skin Diseases. Ululu Wobwerera Mmbuyo: Matenda, Chithandizo, ndi Zomwe Muyenera Kuchita.

National Institute of Neurological Disorders ndi Stroke. Pansi Pain Back Pain Fact Sheet.

Plantar Fasciitis & Trigger Mfundo Pamapazi

Plantar Fasciitis & Trigger Mfundo Pamapazi

by | Chiropractic, aakulu Chisoni, Zinthu Zinachitiridwa, Foot Orthotics, Health, Hip Pain & Disorders, Kuyenda & Kusinthasintha, Kuchiza, Viscerosomatic Reflex, Ubwino

Introduction

Aliyense padziko lonse amadziwa kuti mapazi ndi ofunika. Mapazi amalola anthu ambiri kutero amathamanga, kuyenda, kapena kuthamanga kwa nthawi yaitali osamva ululu kwa nthawi yochepa. Mpaka pano, minofu ndi tendon zosiyanasiyana zozungulira phazi perekani thupi lonse kusinthasintha, kukulitsa, ndi kukhazikika. Ngakhale ndizosavuta kulowa mumayendedwe ovomerezeka kuti mukhale athanzi, pafupifupi 75% ya anthu amakhala ndi ululu wamapazi womwe ungasokoneze kuyenda kwawo. Chimodzi mwa zowawa kwambiri za phazi ndi plantar fasciitis, yomwe ingakhale vuto la phazi lopweteka ngati silinachiritsidwe mwamsanga. Nkhani ya lero ikuyang'ana plantar fasciitis, zizindikiro zake, momwe ma trigger point amagwirizanirana, ndi mankhwala ake. Timatumiza odwala kwa othandizira ovomerezeka omwe akuphatikiza njira ndi njira zothandizira anthu omwe ali ndi plantar fasciitis. Poyang'ana kumene ziwombankhanga zimachokera, akatswiri ambiri opweteka amatha kupanga ndondomeko yothandizira kuchepetsa zotsatira zomwe plantar fasciitis imayambitsa mapazi. Timalimbikitsa ndi kuyamikira wodwala aliyense powatumiza kwa azithandizo ogwirizana nawo malinga ndi momwe akudwala pakafunika. Timamvetsetsa kuti maphunziro ndi njira yabwino kwambiri pofunsa opereka athu mafunso ovuta malinga ndi zomwe wodwalayo akufuna komanso kumvetsetsa kwake. Dr. Jimenez, DC, amangogwiritsa ntchito chidziwitsochi ngati ntchito yophunzitsa. chandalama

Kodi Plantar Fasciitis Ndi Chiyani?

 

Kodi mwakhala mukukumana ndi ululu wa chidendene nthawi zonse? Kodi mumamva kupweteka kuwombera mwendo wanu pamene mukuyenda kapena kuyenda? Kapena mukumva kuwawa kwa chidendene chanu? Zambiri mwazovuta izi zomwe anthu akukumana nazo zimalumikizana ndi plantar fasciitis. Kafukufuku akuwonetsa kuti plantar fasciitis imachokera ku kupsa mtima kosautsa pa plantar fascia ndi mitsempha yake. Izi zimapangitsa kuti mitsempha ya minofu ikhale yotupa, kutupa, ndi kufooka, zomwe zimapangitsa kuti pansi pa phazi kapena chidendene chipweteke munthu akuyenda kapena kuimirira. Kufikira pamenepo, pakakhala zovuta zobwerezabwereza pamapazi, zimayambitsa ma microtears mu plantar fascia. The plantar fascia pamapazi imakhala ndi gawo lofunikira popeza ili ndi magawo atatu omwe amathandizira arch medial ndi mayamwidwe odabwitsa akatsika. Monga chimodzi mwa zifukwa zomwe zimayambitsa kupweteka kwa chidendene, ululu wotsalira kuchokera ku plantar fasciitis umakhala wopweteka, wobaya. Plantar fasciitis imadziwika kwambiri mwa anthu azaka zapakati. Komabe, aliyense pa msinkhu uliwonse akhoza kukhala ndi plantar fasciitis, makamaka ngati ali ndi ntchito zantchito zomwe zimafuna kuti aziyenda nthawi zonse.

 

Zizindikiro za Plantar Fasciitis

Popeza kuti pafupifupi 2 miliyoni aku America amatha kukhala ndi plantar fasciitis, ndikofunikira kudziwa kuti munthu akakhala kumapazi nthawi zonse, pamakhala kutupa pamapazi. Anthu ambiri omwe ali ndi moyo wotanganidwa womwe amafunikira kuti aziyenda pafupipafupi nthawi zambiri amanyalanyaza zowawa kapena kusapeza bwino. Zina mwa zizindikiro zomwe plantar fasciitis zimayambitsa ndi izi:

  • Ululu pansi pa chidendene
  • Ululu mu arch 
  • Ululu umene nthawi zambiri umakhala woipa kwambiri podzuka
  • Ululu umene umawonjezeka pakapita miyezi
  • Kutupa pansi pa chidendene

Komabe, pamene ululuwo ukukulirakulira, anthu ambiri nthawi zambiri amaganiza kuti ali ndi zilonda zamapazi kapena kupweteka kwa msana chifukwa chotopa kwambiri ndi ntchito, kupsinjika kosalekeza, kapena kulimbitsa matupi awo. Izi zikachitika, ambiri angaganize kuti ululuwo udzatha pakangopita masiku ochepa atapuma kwa nthawi yochepa.

 

Zoyambitsa Zogwirizana ndi Plantar Fasciitis

 

Tsopano anthu ambiri amatha kuganiza kuti plantar fasciitis imangokhudza zidendene, komabe, imatha kukhudza gawo lililonse la phazi chifukwa minofu yonse yozungulira ili pachiwopsezo chotupa. Anthu akayamba kunyalanyaza zowawa ndi kusamva bwino komwe plantar fasciitis imayambitsa kumapazi, imatha kupindika ndikukulitsa zoyambitsa m'malo ena amthupi:

  • Akakolo
  • Kuponya
  • Njuchi
  • Kutsikira kumbuyo

Kafukufuku akuwonetsa zomwe zimayambitsa mfundo kapena matenda a myofascial pain ndizovuta, zowoneka bwino, zazing'onoting'ono zomwe zili m'mbali mwa taut musculoskeletal band zomwe zimayambitsa zinthu zambiri monga kutupa, hypersensitivity, ndi kuwawa kwamagulu okhudzidwa a minofu m'thupi. Malingana ndi "Myofascial Pain and Dysfunction" yolembedwa ndi Dr. Travell, MD, imanena kuti pamene minofu yakuya yamkati yomwe imagwira ntchito ndi plantar fascia imakhudzidwa ndi zoyambitsa, zingayambitse zizindikiro za dzanzi ndi kumverera kwa kutupa kumapazi. Izi zimapangitsa kuti anthu ambiri asamayende bwino komanso azikhala ndi ululu wowawa akamayenda, zomwe zingasokoneze moyo wawo.

 

Chidule Cha Plantar Fasciitis- Kanema

Kodi mwakhala mukulimbana ndi mapazi akupweteka? Kodi mumamva kupweteka kwakuthwa m'mapazi anu? Kapena mumavutika kuyenda? Ambiri amaganiza kuti akudwala mapazi kapena zinthu zina zomwe zimawapweteka. Pafupifupi 75% ya Achimereka nthawi zambiri amamva kupweteka kwa phazi komwe kumakhudza kuyenda kwawo, ndipo imodzi mwa izo ndi plantar fasciitis. Vidiyo yomwe ili pamwambayi ikufotokoza plantar fasciitis ndi momwe ingakhudzire mapazi. Mitsempha ya plantar fascia ikagwiritsidwa ntchito mopitirira muyeso, imayambitsa misozi yaying'ono m'mitsempha ya minofu. Pamene mphamvu yowonjezera yowonjezera ikuyamba kukankhira ku chidendene boner, imatha kubweretsa matenda omwe plantar fascia imachepa ndipo imayambitsa kusagwira ntchito ndi kupweteka. Izi zikachitika, zimatha kuyambitsa zovuta zina monga kupweteka kwapambuyo pamitsempha yamapazi. Zowawa ndi chifundo zomwe zimayambitsidwa ndi ma trigger point mu minofu ya plantar zimatha kubisala ngati plantar fasciitis. Kufikira pamenepo, plantar fasciitis ikayamba kukhala vuto ndikupangitsa munthu kukhala ndi ululu waukulu, zimatha kukhala zovuta. Monga mwayi ukanakhala nawo, mankhwala alipo kuti achepetse kupweteka kwa plantar fasciitis.

Chithandizo cha Plantar Fasciitis

 

Pochiza plantar fasciitis, mankhwala ambiri omwe alipo amatha kuchepetsa zotsatira zotupa pa chidendene ndikuletsa mfundo zoyambitsa kubwereranso. Chimodzi mwazinthu zomwe zilipo ndi chisamaliro cha chiropractic. Chisamaliro cha Chiropractic ndi njira ina yothandizira kupewa, kuzindikira, ndi kuchiza kuvulala kosiyanasiyana ndi mikhalidwe yokhudzana ndi msana, makamaka ma subluxations kapena misalignment ya msana. Chiropractic imayang'ana kwambiri kubwezeretsa ndi kusunga thanzi labwino komanso thanzi la minofu ndi mafupa ndi machitidwe amanjenje kupyolera mu kusintha kwa msana ndi kusintha. Chiropractor amatha kugwirizanitsa bwino msana, kupititsa patsogolo mphamvu za wodwala, kuyenda, ndi kusinthasintha. Pankhani ya plantar fasciitis, chisamaliro cha chiropractic chingathe kugwira ntchito ndi mankhwala ena, kuphatikizapo masewero olimbitsa thupi, kutikita minofu, ngakhalenso. jekeseni, kuthetsa ululu ndi kuchiza matendawa. Ngakhale kuti plantar fasciitis imatenga miyezi ingapo kuti ichire, chisamaliro cha chiropractic chingaphatikizepo njira yolondola yomwe imaphatikizapo kusintha kwa mapazi, akakolo, ndi kugwirizanitsa msana. Izi zimapereka maubwino angapo, omwe ndi awa:

  • Amachepetsa Kupsinjika mu Plantar Fascia 
  • Imalimbikitsa Machiritso 
  • Amapereka Ubwino Wothandizira Ululu 
  • Amachepetsa Chiwopsezo cha Kuvulazidwanso 

 

Kutsiliza

Monga anthu ambiri padziko lonse lapansi amayenda nthawi zonse, kupweteka kwa phazi kumatha kulepheretsa munthu kuyenda. Chimodzi mwa zowawa za phazi ndi plantar fasciitis yomwe imatha kulumikizana ndi nsonga zoyambira pamapazi osiyanasiyana. Plantar fasciitis imachokera ku kupsa mtima kosautsa pa plantar fascia ndi mitsempha yake, yomwe imayambitsa kupweteka, kupweteka pachidendene. Izi zikachitika, chidendenecho chikhoza kutupa, kutupa, ndi kufooka. Kufikira pamenepo, zimayambitsa kusakhazikika ndi zowawa poyenda. Komabe, plantar fasciitis imatha kuchiritsidwa ikagwidwa msanga kudzera mumankhwala osiyanasiyana monga chisamaliro cha chiropractic. Chisamaliro cha chiropractic chingachepetse kupsinjika kwa plantar fascia ndikuthandizira kuchepetsa chiopsezo cha kuvulala kwina. Kuphatikiza ndi mankhwala ena, anthu ambiri amatha kugwira ntchito bwino ndikuyambiranso kuyenda popanda kupweteka.

 

Zothandizira

Buchanan, Benjamin K, ndi Donald Kushner. "Plantar Fasciitis - StatPearls - NCBI Bookshelf." Mu: StatPearls [Intaneti]. Chilumba cha Treasure (FL), StatPearls Publishing, 30 Meyi 2022, www.ncbi.nlm.nih.gov/books/NBK431073/.

Petrofsky, Jerrold, et al. "Kutentha Kwakoko kwa Trigger Points Kumachepetsa Ululu wa Pakhosi ndi Plantar Fascia." Journal of Back and Musculoskeletal Rehabilitation, US National Library of Medicine, 2020, anayankha.

Shah, Jay P, et al. "Myofascial Trigger Points Kenako ndi Tsopano: Mbiri Yakale ndi Sayansi." PM & R: Journal of Injury, Function, and Rehabilitation, US National Library of Medicine, July 2015, www.ncbi.nlm.nih.gov/pmc/articles/PMC4508225/.

Travell, JG, et al. Kupweteka kwa Myofascial ndi Kuwonongeka: Buku la Trigger Point: Vol. 2:Malo Otsika. Williams & Wilkins, 1999.

chandalama