Hoki Clinic Chiropractic. He momo maimoatanga rereke tenei e aro ana ki te taatai me te maimoatanga o nga momo whara me nga ahuatanga o te uaua, ina koa ko nga mea e pa ana ki te tuara. Ka korero a Takuta Alex Jimenez me pehea e taea ai e nga whakarereketanga o te tuara me nga mahi a-ringa te awhina i nga wa katoa ki te whakapai ake me te whakakore i nga tohu maha ka raru te tangata. E whakapono ana nga Kaitohutohu i roto i nga take matua mo te mamae me te mate ko te he o te vertebrae i roto i te poupou o te tuara (e mohiotia ana tenei ko te subluxation chiropractic).
Ma te whakamahi i te rapunga a-ringa (te palpation ranei), ka ata tono te pehanga, te mirimiri, me te raweke a-ringa o te vertebrae me nga hononga (e kiia ana ko te whakatikatika), ka taea e nga tohunga chiropractors te whakaiti i te pehanga me te irirangi ki nga nerves, te whakahoki i te neke haere tahi, me te awhina i te whakahoki i te homeostasis o te tinana. . Mai i te subluxations, i te heetanga o te tuara, ki te sciatica, he huinga tohu kei te taha o te nerve sciatic i puta mai i te raru o te nerve, ka taea e te tiaki chiropractic te whakahoki i te ahua o te tangata. Ka whakahiatohia e Dr. Jimenez tetahi roopu o nga ariā mo te chiropractic ki te ako pai i nga tangata takitahi mo nga momo whara me nga tikanga e pa ana ki te tinana o te tangata.
He pehea nga tohunga hauora i roto i te whare haumanu chiropractic e whakarato ana i te huarahi haumanu ki te aukati i nga hapa hauora mo nga tangata takitahi e mamae ana?
Kupu Whakataki
Ko nga hapa o te rongoa i mate 44,000-98,000 nga mate o Amerika ki te hohipera i ia tau, me te maha atu o nga whara kino. (Kohn et al., 2000) He nui ake tenei i te tokomaha o nga tangata i mate ia tau i te mate AIDS, te mate pukupuku o te u, me nga aitua motoka i tera wa. E ai ki nga rangahau o muri mai, ko te maha tonu o nga mate ka tata ki te 400,000, ka waiho ko nga hapa rongoa ko te tuatoru o nga take o te mate i te US. I te nuinga o te wa, ehara enei hapa i te hua o nga tohunga ngaio hauora he tino kino; engari, ko nga hua o nga take nahanaha ki te punaha tiaki hauora, penei i te kore riterite o nga tauira mahi a te kaiwhakarato, nga hononga inihua kua wehea, te kore whakamahi, te kore ranei o nga tikanga haumaru, me te tiaki koretake. Ko te tuhinga o tenei ra e titiro ana ki te huarahi haumanu ki te aukati i te hapa hauora i roto i te waahi haumanu. Ka matapakihia e matou nga kaiwhakarato rongoa e whai waahi ana ki nga momo maimoatanga o mua hei awhina i nga tangata e mate ana i nga take roa. Ka arahi ano hoki matou i o matou turoro ma te tuku i a raatau ki te patai ki o raatau kaiwhakarato hauora e hono ana ki nga paatai he tino nui me te uaua. Ko Dr. Alex Jimenez, DC, ka whakamahi noa i enei korero hei ratonga matauranga. Whakakape
Te tautuhi i nga Hapa Hauora
Ko te whakatau he aha te hapa rongoa te mea tino nui i roto i nga korerorero mo te aukati i nga hapa rongoa. Ka whakaaro pea koe he mahi tino ngawari tenei, engari katahi ano ka ruku koe ki te maha o nga kupu e whakamahia ana. He maha nga kupu e whakamahia ana (he pohehe i etahi wa) na te mea he rereke etahi kupu, a, i etahi wa, ko te tikanga o te kupu ka whakawhirinaki ki te tohungatanga e korerohia ana.
Ahakoa i kii te waahanga hauora ko te haumaru o nga turoro me te whakakore, te whakaiti ranei i nga hapa rongoa he kaupapa matua, i kii a Grober raua ko Bohnen i te tau 2005 kua taka ratou ki tetahi waahanga nui: te whakatau i te whakamaramatanga o "te patai tino nui pea ... He aha te mea he hapa hauora? Ko te hapa hauora he kore ki te whakaoti i tetahi mahi kua whakamaheretia i roto i te waahi hauora. (Grober & Bohnen, 2005) Heoi, karekau tetahi o nga kupu ka kitea e te tangata i te nuinga o te wa me te hapa o te rongoa—nga turoro, te tiaki hauora, tetahi atu mea ranei—ka whakahuahia i tenei whakaahuatanga. Ahakoa tenei, ka tukuna e te whakamaramatanga he anga pakari mo te whanaketanga atu. Ka kite koe, e rua nga waahanga o taua whakamaramatanga motuhake:
He hapa mahi: He kore ki te whakaoti i tetahi mahi kua whakaritea i runga i te whakaaro.
He hapa whakamahere: he tikanga e, ahakoa te mahi tino tika, kaore e puta nga hua e hiahiatia ana.
Ko nga ariā o nga hapa o te mahi me nga hapa whakamahere kaore i te rawaka mena ka whakatau tika tatou i tetahi hapa rongoa. Ka puta pea enei ki nga waahi katoa, kaua ki te whare hauora anake. Ko te waahanga o te whakahaere hauora me taapiri. Ma tenei ka puta te whakaaro mo nga ahuatanga kino, e kiia nei he kino kino. Ko te whakamaaramatanga noa o te paahitanga kino ko te kino ohorere ki nga turoro i puta mai i te rongoa rongoa, kaua i o raatau mate. Ko tenei whakamaramatanga kua whakaaetia e te ao i tetahi huarahi. Hei tauira, i Ahitereiria, ko te kupu aitua e whakamaoritia ana na te kino i puta i te tangata ki te manaaki hauora. Kei roto i enei ko nga mate, te hinga i te whara, me nga take ki nga rongoa rongoa me nga taputapu rongoa. Ka taea te karo i etahi ahuatanga kino.
Nga Momo Nga Hapa Hauora
Ko te take anake e pa ana ki tenei whakaaro ehara i te mea ko nga mea kino katoa ka puta pohehe, he whakaaro ranei. Na te mea ka whai hua pea te manawanui, tera pea ka puta mai he mate kino e tumanakohia ana engari ka whakaaetia. I te wa o te chemotherapy, ko te nausea me te mate makawe e rua nga tauira. I tenei wa, ko te whakakore i te maimoatanga e taunaki ana ko te huarahi tika anake hei aukati i nga hua kino. No reira ka tae ki te ariā o nga aitua ka taea te aukati me te kore e taea te aukati i a tatou e whakamahine ana i ta tatou whakamaramatanga. Ehara i te mea ngawari ki te whakarōpū i tetahi whiringa ki te whakamanawanui i tetahi paanga ka whakatauhia ka puta he painga pai i te wa kotahi. Engari ko te kaupapa anake ehara i te mea he take. (Whatunga Haumaru Turoro, 2016, para.3) Ko tetahi atu tauira o te pohehe kua whakamaheretia ko te tapahi waewae matau na te puku o te ringa maui, e whakaae ana ki tetahi huihuinga kino e mohiotia ana, e matapaetia ana ka puta he hua whai hua kaore ano kia ara ake. Karekau he taunakitanga hei tautoko i te tumanako ka puta he hua pai.
Ko nga hapa rongoa e kino ai te manawanui ko te kaupapa o ta maatau rangahau. Heoi ano, ka puta nga hapa a te rongoa ka kore e whara tetahi turoro. Ko te puta mai o nga ngaro tata ka taea te whakarato i nga raraunga nui i te wa e whakamahere ana me pehea te whakaiti i nga hapa rongoa i roto i te whare hauora. Heoi ano, ko te auau o enei huihuinga ka whakatauritea ki nga korero a nga kaitoro haumanu me tirotirohia. Ko nga hapa tata ko nga hapa rongoa tera pea ka pa he kino engari kaore i pa ki te manawanui, ahakoa kei te pai te mahi a te manawanui. (Martinez et al., 2017) He aha koe ka whakaae ai ki tetahi mea ka puta pea he mahi ture? Whakaarohia te ahuatanga o te neehi, ahakoa he aha te take, katahi ano ka titiro ki nga whakaahua o nga momo rongoa ka tata ki te tuku rongoa. Ka mau pea tetahi mea i roto i tona mahara, ka whakatau ia ehara tera i te ahua o tetahi rongoa motuhake. I tana tirotiro, ka kitea kua he nga rongoa i tukuna. I muri i te tirotiro i nga pepa katoa, ka whakatikahia e ia te he ka hoatu ki te manawanui te whakahaunga tika. Ka taea te karo i te he a muri ake nei mena kei roto i te rekoata whakahaere nga whakaahua o te rongoa tika? He ngawari ki te wareware he he me te tupono mo te kino. Ka mau tonu taua meka ahakoa ahakoa i waimarie tatou ki te kitea i te waa, ka pa mai ranei nga hua kino.
Nga Hapa o nga Hua me te Tukanga
Kei te hiahia matou i nga raraunga katoa hei hanga rongoa hei whakapai ake i te haumaru o nga turoro me te whakaiti i nga hapa rongoa. I te iti rawa, i te wa e noho ana te turoro ki te whare hauora, me whakaatu nga mea katoa ka taea ki te aukati i te kino me te whakararu. He maha nga taote kua whakatau ko te whakamahi i nga kupu hapa me nga mahi kino he tino whanui me te pai i muri i te arotake i nga hapa me nga mahi kino i roto i te tiaki hauora me te matapaki i o raatau kaha me o raatau ngoikoretanga i te tau 2003. Ma tenei whakamaramatanga whakakotahi ka piki ake te kohikohi raraunga, tae atu ki nga hapa, nga waea kati, tata. ngaro, anga hapa kaha me te huna. I tua atu, kei roto i te kupu kino kino nga kupu e kii ana i te kino o te manawanui, penei i te whara hauora me te whara iatrogenic. Ko te mea e toe ana ko te whakatau mehemea he tinana pai te poari arotake hei whakahaere i te wehewehenga o nga mahi kino ka taea te aukati me te kore e taea te aukati.
Ko te huihuinga kaitiaki he huihuinga me tuku korero ki te Komihana Hononga. E ai ki te Komihana Hononga he huihuinga ohorere he wharanga tinana, hinengaro ranei. (“Sentinel Events,” 2004, p.35) Karekau he whiringa, na te mea me tuhi. Heoi, ko te nuinga o nga whare hauora, kei te pupuri i a raatau rekoata e whakaatu ana i nga maiki a nga kaitiaki me nga mea hei mahi mena ka puta tetahi ki te whakapumau kua tutuki nga paerewa Komihana Hononga. Koinei tetahi o nga ahuatanga ka pai ake te noho haumaru i te pouri. I te mea ko te "tino" he kaupapa whanaungatanga, tera pea he waahi karekau i te wa e tiaki ana i tetahi hoa mahi, i tetahi kaituku mahi. I tetahi atu taha, he pai ake te tuku korero pohehe i tetahi huihuinga kaitiaki i te kore korero i tetahi huihuinga kaitiaki. Ko te kore e whakaatu ka pa he kino, tae atu ki te whakamutu mahi.
I te wa e whakaaro ana ki nga hapa hauora, he maha nga wa ka pohehe te tangata ki te aro noa ki nga hapa o te whakahaunga. Kare e kore he maha nga hapa o te rongoa me te maha o nga hapa o te whakahaerenga rite ki etahi atu hapa rongoa. Ko nga pakaru i roto i te whakawhitiwhiti korero, nga hapa i mahia i te wa o te whakahaunga, te tohatoha ranei, me etahi atu mea ka taea. Engari ka pohehe rawa tatou i te take ki te whakaaro tatou ko nga hapa tarukino anake te take o te mate ki te turoro. Ko tetahi wero nui i roto i te whakarōpū i nga hapa rongoa rereke ko te whakatau mena ka whakarōpūhia te hapa i runga i te mahi ka mahia, i nga hua ranei. E pai ana ki te tirotiro i aua whakarōpūtanga i konei, i te mea he maha nga nganatanga kua mahia ki te whakawhanake i nga whakamaramatanga mahi e whakauru ana i te tukanga me te putanga, ko te nuinga i ahu mai i nga mahi a Lucian Leape mai i nga tau 1990.
Whakanuia to Tikanga i tenei ra- Ataata
Te tātari me te aukati i nga Hapa Hauora
Ko te whakahaere me te kore mahi ko nga waahanga matua e rua o nga raru kino i tohuhia e Leape me ona hoa mahi i roto i tenei rangahau. (Leape et al., 1991) Ko nga raruraru whakahaere ko nga mate o te patunga, te rahua o te pokanga, nga take kore-hangarau, nga raru o te mutunga, me nga uaua hangarau. Kore-whakahaere: ko nga upoko penei i te rongoa, i pohehe, i tukinotia, i te tikanga, i te takahanga, i te whati, i te whanautanga, i te mate rewharewha, i te neonatal, me te upoko hopu-katoa o te punaha i whakauruhia ki raro i tenei waahanga o nga ahuatanga kino. I whakarōpūhia e Leape nga hapa ma te tohu i te waahi o te pakaru o te tukanga. I wehewehea ano e ia enei ki nga upoko e rima, ko enei:
pūnaha
mahinga
Maimoatanga Drug
tātaritanga
Te aukati
He maha nga hapa o te tukanga ka taka ki raro i te kaupapa kotahi, heoi ka awhina katoa ratou ki te tohu i te tino take o te take. Mena neke atu i te kotahi nga rata i mahi ki te whakatau i nga waahanga tika hei whakapai ake, tera pea ka hiahiatia etahi atu patai.
I runga i te hangarau, ka taea e tetahi o nga kaimahi i te hohipera te hapa hauora. Ehara i te mea iti ki nga tohunga rongoa penei i nga rata me nga nēhi. Ka taea e te kaiwhakahaere te wetewete i te kuaha, ka waiho ranei e te kaimahi horoi tetahi matū ki roto i te ringa o te tamaiti. Ko te mea nui ake i te tuakiri o te tangata nana i mahi te he ko te take kei muri. He aha i mua? A me pehea e taea ai e tatou te whakarite kia kore e puta ano? I muri i te kohikohi i nga raraunga katoa i runga ake nei me te maha atu, kua tae ki te wa ki te whakaaro me pehea te aukati i nga hapa rite. Mo nga huihuinga kaitiaki, kua whakatauhia e te Komihana Hononga mai i te tau 1997 ko enei aitua katoa ka pa ki tetahi tikanga e kiia nei ko Root Cause Analysis (RCA). Heoi, ko te whakamahi i tenei tikanga mo nga maiki e tika ana kia ripoatahia ki nga taha o waho me whakatika.
He aha te Tatari Take Putake?
Ko nga RCA "i mau i nga korero me te tirohanga pikitia nui." Ka ngawari ake te arotake i nga punaha, te tātari mehemea e tika ana te mahi whakatika, me te whai i nga ia. (Wiremu, 2001) He aha te mea he RCA, ahakoa? Ma te tirotiro i nga kaupapa i puta ai te he, ka taea e te RCA te aro ki nga kaupapa me nga tukanga, kaua ki te arotake, ki te whakahee ranei i nga tangata motuhake. (AHRQ,2017) Koinei te take he mea tino nui. He maha nga wa ka whakamahia e te RCA tetahi taputapu e kiia nei ko te Five Whys. Koinei te tikanga o te patai tonu ki a koe ano "he aha" i muri i to whakapono kua whakatauhia e koe te take o tetahi take.
Ko te take i kiia ai ko “te take e rima” na te mea, ahakoa ko te rima te timatanga pai, me patai tonu koe he aha kia kitea ra ano te take o te raru. Ko te patai he aha te mea ka taea e koe te whakaatu i nga hapa maha o nga mahi i nga waahanga rereke, engari me patai tonu koe he aha nga ahuatanga katoa o te take kia pau ra ano koe i etahi atu mea ka taea te whakatika kia puta he hua pai. Heoi, ka taea te whakamahi i nga taputapu rereke i tua atu i tenei ki te tirotiro i nga take. He maha ke atu. Ko nga RCA me whai tikanga maha me te riterite me te whakauru i nga roopu katoa i uru ki te hapa kia kore ai e pohehe, kia kore ai e tika te ripoata mo nga huihuinga.
Opaniraa
Ko nga hapa rongoa i roto i nga whare hauora he maha nga huihuinga me te nuinga o nga huihuinga kaore i te korerohia e tino whakawehi ana i te hauora o nga turoro. Tae atu ki te hauwha miriona nga tangata ka mate i ia tau na runga i nga pohehe o te rongoa. Ko enei tatauranga kaore e whakaaetia i te wa e kiia ana ko te haumaru o nga turoro te kaupapa matua, engari kaore i te nui te mahi hei whakarereke i nga mahi. Mena kua tautuhia nga hapa o te hauora, ka kitea te take o te raruraru me te kore e whakatau i te he ki nga kaimahi motuhake, kaore e tika ana. Ka taea te whakarereke i nga take ka kitea tika nga take o nga hapa o te punaha, o te tukanga ranei. Ko te huarahi riterite, mahaki ki te wetewete i te take pakiaka e whakamahi ana i nga anga penei i nga take e rima ki te ruku kia kitea ra ano nga take me nga hapa katoa he taputapu awhina. Ahakoa e tika ana inaianei mo te ara ake o nga mahi a te kaitiaki, ka taea te whakamahi i te Root Take Analysis ki nga take pohehe katoa, tae atu ki nga hapa tata.
Kohn, LT, Corrigan, J., Donaldson, MS, & Institute of Medicine (US). Komiti mo te Kounga o te Tiaki Hauora i Amerika. (2000). Ko te he he tangata : te hanga i tetahi punaha hauora haumaru ake. National Academy Press. books.nap.edu/books/0309068371/html/index.html
Leape, LL, Brennan, TA, Laird, N., Lawthers, AG, Localio, AR, Barnes, BA, Hebert, L., Newhouse, JP, Weiler, PC, & Hiatt, H. (1991). Te ahua o nga mahi kino i roto i nga turoro i te hohipera. Hua o te Harvard Medical Practice Study II. N Engl J Med, 324(6), 377-384. doi.org/10.1056/NEJM199102073240605
Martinez, W., Lehmann, LS, Hu, YY, Desai, SP, & Shapiro, J. (2017). Nga Tikanga mo te Tautuhinga me te Arotake i nga Takahanga Kino me te Tata ki te Ngaro i te Whare Hauora Academic. Jt Comm J Qual Patient Saf, 43(1), 5-15. doi.org/10.1016/j.jcjq.2016.11.001
Ka taea e nga tangata whai mate Ehlers-Danlos te awhina i nga momo maimoatanga kore-hapara hei whakaiti i te koretake o nga hononga?
Kupu Whakataki
Ko nga hononga me nga hononga e karapoti ana i te punaha musculoskeletal ka taea e nga pito o runga me nga pito o raro ki te whakapumau i te tinana me te neke. Ko nga momo uaua me nga kopa honohono ngawari e karapoti ana i nga hononga ka awhina i a raatau ki te tiaki ia ratou i nga whara. I te wa ka timata nga ahuatanga o te taiao, nga mate kino ranei ki te pa ki te tinana, he maha nga tangata ka whakawhanake i nga take e pa ana ki nga korero morearea, ka pa ki te pumau o nga hononga. Ko tetahi o nga mate e pa ana ki nga hononga me te kiko hono ko te EDS ko Ehlers-Danlos syndrome ranei. Ko tenei mate o te kopa hono ka puta he hypermobile nga hononga o te tinana. Ka taea e ia te whakararuraru i nga hononga ki nga pito o runga me o raro, na reira ka noho te tangata ki te mamae tonu. Ko te tuhinga o tenei ra e aro ana ki te mate pukupuku Ehlers-Danlos me ona tohu me te pehea o nga huarahi kore-hapara ki te whakahaere i tenei mate kopa hono. Ka matapaki matou me nga kaiwhakarato rongoa whaimana e whakakotahi ana i nga korero a o matou turoro ki te aromatawai me pehea te hono a Ehlers-Danlos syndrome ki etahi atu mate pukupuku. Ka whakamohiohia, ka arahi ano hoki i nga turoro me pehea e taea ai e nga momo maimoatanga kore-haparapara te whakaiti i nga tohu penei i te mamae me te whakahaere i te mate Ehlers-Danlos. Ka akiaki ano matou i o matou turoro ki te patai ki o raatau kaiwhakarato rongoa he maha nga patai whakahirahira me te whakahirahira mo te whakauru i nga momo rongoa kore-hapara hei waahanga o a raatau mahi o ia ra ki te whakahaere i nga paanga o te mate Ehlers-Danlos. Ko Dr. Jimenez, DC, kei roto enei korero hei ratonga matauranga. Whakakape.
He aha te Ehlers-Danlos Syndrome?
He maha nga wa ka tino ngenge koe puta noa i te ra, ahakoa i muri i te po katoa o te moe? He ngawari te maru me te whakaaro no hea enei maru? Kua kite ranei koe kua piki ake te awhe o ou hononga? Ko te nuinga o enei take e hono ana ki tetahi mate e mohiotia ana ko Ehlers-Danlos syndrome, EDS ranei e pa ana ki o raatau hononga me te kiko hono. Ka pa te EDS ki nga kopa honohono o te tinana. Ko nga kopa honohono i roto i te tinana ka awhina i te kaha me te ngawari ki te kiri, ki nga hononga, me nga pakitara o nga oko toto, no reira ka pa te tangata ki te EDS, ka raru pea te punaha musculoskeletal. Ko te mate EDS te nuinga o te mate, a he maha nga taote kua mohio ko te tohu ira o te collagen me nga pūmua e taunekeneke ana i roto i te tinana ka taea te whakatau he aha te momo EDS e pa ana ki te tangata. (Miklovic & Sieg, 2024)
Ko nga tohu
Ina mohio koe ki te EDS, he mea nui kia mohio koe ki nga uaua o tenei mate o te kiko hono. Kua whakarōpūhia te EDS ki nga momo maha me nga ahuatanga rereke me nga wero e rereke ana i runga i te taumahatanga. Ko tetahi o nga momo momo EDS he hypermobile Ehlers-Danlos syndrome. Ko tenei momo EDS e tohuhia ana e te hypermobility hononga whanui, te koretake o nga hononga, me te mamae. Ko etahi o nga tohu e pa ana ki te hypermobile EDS ko te subluxation, te dislocations, me nga whara o te kiko ngohe he mea noa, ka puta ohorere, he iti noa iho te mamae. (Hakim, 1993) He maha nga wa ka puta te mamae nui ki nga hononga o runga me raro. Na te whanuitanga o nga tohu me te ahua o te mate ake, he maha nga wa kaore i te mohio he mea noa te hypermobility hononga i roto i te taupori whanui, a, kaore pea he raruraru e tohu ana he mate hono. (Gensemer et al., 2021) I tua atu, ka taea e te hypermobile EDS te paheketanga o te tuara na runga i te hyperextensibility o te kiri, nga hononga, me nga momo ngoikoretanga o te kiko. Ko te pathophysiology o te paheketanga o te tuara e hono ana ki te hypermobile EDS ko te mea tuatahi na te uaua hypotonia me te ngoikore o te uaua. (Uehara et al., 2023) Na tenei ka tino heke te maha o nga tangata i to ratau oranga me nga mahi o ia ra. Heoi ano, he huarahi hei whakahaere i te EDS me ona tohu tohu hei whakaiti i te koretake o nga hononga.
Movement Medicine: Chiropractic Care-Video
Nga huarahi hei whakahaere i te EDS
I te wa e rapu ana i nga huarahi ki te whakahaere i te EDS hei whakaiti i te mamae me te ngoikore o nga hononga, ka taea e nga maimoatanga kore mahi te awhina i nga ahuatanga o te tinana me te hinengaro o te ahua. Ko nga maimoatanga kore-hapara mo nga tangata whai EDS e aro nui ana ki te arotau i nga mahi a-tinana o te tinana me te whakapai ake i te kaha uaua me te whakapumautanga o nga hononga. (Buryk-Iggers et al., 2022) He maha nga tangata whai EDS ka ngana ki te whakauru i nga tikanga whakahaere mamae me te rongoa tinana me tete whakamahi i nga awhi me nga taputapu awhina hei whakaiti i nga paanga o te EDS me te whakapai ake i to raatau oranga.
Nga maimoatanga-kore mo te EDS
Nga momo maimoatanga kore-hapara penei i te MET (tikanga uaua uaua), te whakamaarama hiko, te whakamaarama tinana marama, te tiaki chiropractic, me nga mirimiri. Ka taea te awhina i te whakapakari i te wa e tone ana nga uaua a tawhio noa huri noa i nga hononga, whakarato i te mamae o te mamae, me te whakaiti i te whakawhirinaki mo te wa roa ki nga rongoa. (Broida et al., 2021) I tua atu, ko nga tangata e pa ana ki te EDS e whai ana ki te whakapakari i nga uaua e pa ana, ki te whakapumau i nga hononga, me te whakapai ake i te whanautanga. Ko nga maimoatanga kore-mahi ka taea e te tangata takitahi te mahere maimoatanga mo te kaha o nga tohu EDS me te awhina i te whakaiti i te mamae e pa ana ki te ahua. He maha nga tangata, ina haere ana i roto i ta raatau mahere maimoatanga ki te whakahaere i o raatau EDS me te whakaiti i nga tohu mamae-rite, ka kite i te whakapai ake i te mamae o te mamae. (Khokhar et al., 2023) Ko te tikanga ko nga maimoatanga kore mahi ka taea e nga tangata takitahi te whai whakaaro nui ki o ratau tinana me te whakaiti i nga paanga o te mamae o te EDS, na reira ka taea e te maha o nga tangata whai EDS te arahi i nga oranga pai ake, me te pai ake o te oranga me te kore e mamae me te raruraru.
Tohutoro
Broida, SE, Sweeney, AP, Gottschalk, MB, & Wagner, ER (2021). Te whakahaere i te koretake o te pokohiwi i roto i te hypermobility-momo Ehlers-Danlos syndrome. JSES Rev Rep Tech, 1(3), 155-164. doi.org/10.1016/j.xrrt.2021.03.002
Buryk-Iggers, S., Mittal, N., Santa Mina, D., Adams, SC, Englesakis, M., Rachinsky, M., Lopez-Hernandez, L., Hussey, L., McGillis, L., McLean , L., Laflamme, C., Rozenberg, D., & Clarke, H. (2022). Ko te Korikori me te Whakaora i nga Tangata Ki a Ehlers-Danlos Syndrome: He Arotake Whaiaro. Arch Rehabil Res Clin Transl, 4(2), 100189. doi.org/10.1016/j.arrct.2022.100189
Gensemer, C., Burks, R., Kautz, S., Kaiwhakawa, DP, Lavallee, M., & Norris, RA (2021). Hypermobile Ehlers-Danlos syndromes: Nga tohu tohu matatini, nga whakamatautau wero, me nga take kaore i te maarama. Dev Dyn, 250(3), 318-344. doi.org/10.1002/dvdy.220
Hakim, A. (1993). Hypermobile Ehlers-Danlos Syndrome. In MP Adam, J. Feldman, GM Mirzaa, RA Pagon, SE Wallace, LJH Bean, KW Gripp, & A. Amemiya (Eds.), GeneReviews((R)). www.ncbi.nlm.nih.gov/pubmed/20301456
Khokhar, D., Powers, B., Yamani, M., & Edwards, MA (2023). Nga Painga o te Osteopathic Manipulative Treatment i runga i te Turoro ki te Ehlers-Danlos Syndrome. Cureus, 15(5), e38698. doi.org/10.7759/cureus.38698
Uehara, M., Takahashi, J., & Kosho, T. (2023). Te Paheketanga o te Iwi i roto i te Ehlers-Danlos Syndrome: Arotahi ki te Momo Musculocontractural. Ira (Basel), 14(6). doi.org/10.3390/genes14061173
Mo nga tangata takitahi e pa ana ki te sciatica, ka taea e nga maimoatanga kore mahi pera i te tiaki chiropractic me te acupuncture te whakaiti i te mamae me te whakaora i te mahi?
Kupu Whakataki
Ko te tinana o te tangata he mihini uaua e taea ai e te kaihautu te neke me te pumau i te wa e okioki ana. He maha nga roopu uaua i roto i nga waahanga o runga me raro o te tinana, ko nga uaua e karapoti ana, nga uaua, nga nerves, me nga hononga he kaupapa mo te tinana i te mea he mahi motuhake ta ratou katoa ki te pupuri i te mahi a te ope. Heoi ano, he maha nga taangata kua whakawhanake i nga momo tikanga e whakararu ana i nga mahi kaha ka whakahoki nga nekehanga ki o ratou uaua me o ratou uaua, ka pa ki o raatau punaha musculoskeletal. Ko tetahi o nga uaua e pa ana ki te maha o nga tangata takitahi ko te nerve sciatic, he maha nga take i roto i nga pito o raro o te tinana, a, ka kore e rongoa i tenei wa, ka puta te mamae me te hauatanga. Waimarie, he maha nga tangata kua rapu i nga maimoatanga kore mahi hei whakaiti i te sciatica me te whakaora i te mahi tinana ki te tangata takitahi. Ko te tuhinga o tenei ra e aro ana ki te mohio ki te sciatica me te pehea e taea ai e nga rongoa kore-hapara penei i te tiaki chiropractic me te acupuncture te whakaiti i nga paanga o te mamae o te sciatic e pa ana ki nga korero morearea i roto i nga pito o raro o te tinana. Ka matapakihia e matou me nga kaiwhakarato rongoa whaimana e whakakotahi ana me nga korero a o matou turoro ki te aromatawai he pehea te honohono o te sciatica ki nga ahuatanga o te taiao e raru ai te tinana. Ka whakamohiohia, ka arahi hoki i nga turoro me pehea e taea ai e nga momo maimoatanga kore-haparapara te whakaiti i te sciatica me ona tohu honohono. Ka akiaki hoki matou i o matou turoro ki te patai atu ki o raatau kaiwhakarato rongoa he maha nga patai uaua me te nui mo te whakauru i nga momo rongoa kore-hapara hei waahanga o a ratou mahinga o ia ra ki te whakaiti i nga tupono me nga paanga o sciatica mai i te hokinga mai. Ko Dr. Jimenez, DC, kei roto enei korero hei ratonga matauranga. Whakakape.
Te mohio ki a Sciatica
He maha nga wa ka rongo koe i te mamae e heke iho ana i tetahi waewae e rua ranei i te wa e noho ana mo te wa roa? E hia nga wa kua pa ki a koe nga karekau e wiriwiri ai koe i to waewae hei whakaiti i te paanga? Kua kite ranei koe ko te totoro o ou waewae ka awhina i te wa poto? Ahakoa ko enei tohu mamae ka pa ki nga pito o raro, he maha nga tangata ka whakaaro he iti te mamae o te tuara, engari ko te mea pono, he sciatica. Ko te Sciatica he mate pukupuku noa e pa ana ki te tini o nga tangata puta noa i te ao ma te mamae o te nerve sciatic me te toro atu ki nga waewae. Ko te nerve sciatic he mea nui ki te whakarato i nga mahi motuka tika me te kore tika ki nga uaua waewae. (Davis et al., 2024) I te wa e pupuhihia ana te nerve sciatic, he maha nga tangata e kii ana ka rereke te mamae o te mamae, me nga tohu penei i te pupuhi, te pupuhi, me te ngoikore o te uaua ka pa ki te kaha o te tangata ki te haere me te mahi.
Engari, ko etahi o nga take pakiaka e arahina ana ki te whakawhanaketanga o te sciatica ka taea te takaro ki te take e puta ai te mamae i roto i nga pito o raro. He maha nga ahuatanga o te taiao me te taiao e hono ana ki te sciatica, ka paheke te pakiaka nerve lumbar ki te nerve sciatic. Ko nga ahuatanga penei i te ahua kino o te hauora, te ahotea o te tinana, me nga mahi mahi e hono ana ki te whakawhanaketanga o te sciatica, ka pa ki nga mahi a te tangata. (Gimenez-Campos et al., 2022) I tua atu, ko etahi o nga take pakiaka o te sciatica ka taea te whakauru i nga tikanga musculoskeletal penei i te kopae herniated, te wheua wheua, te stenosis spinal ranei, ka taea te hono ki enei ahuatanga taiao me te taiao e taea ai te whakaiti i te motiness me te kounga o te oranga o te maha o nga tangata. (Zhou et al., 2021) Na tenei ka rapu te maha o nga tangata ki nga maimoatanga hei whakaora i te mamae o te sciatica me ona tohu honohono. Ahakoa he rereke te mamae o te mamae o te sciatica, he maha nga tangata e rapu ana i nga maimoatanga kore-hapara ki te whakaiti i to ratou mamae me te mamae mai i te sciatica. Ma tenei ka taea e ratou te whakauru i nga otinga whai hua ki te whakahaere i te sciatica.
I tua atu i nga Whakaritenga: Chiropractic & Integrative Healthcare- Ataata
Tiaki Chiropractic mo Sciatica
Ina tae mai ki te rapu i nga maimoatanga kore-hapara hei whakaiti i te sciatica, ka taea e nga maimoatanga kore mahi te whakaiti i nga paanga o te mamae i te wa e awhina ana ki te whakaora i te mahi tinana me te neke. I te wa ano, ka whakaritea nga maimoatanga kore-hapara ki te mamae o te tangata takitahi, ka taea te whakauru ki roto i nga mahi a te tangata. Ko etahi maimoatanga kore-hapara penei i te tiaki chiropractic he pai ki te whakaiti i te sciatica me ona tohu mamae e pa ana. Ko te tiaki Chiropractic he ahua o te rongoa kore-hapara e arotahi ana ki te whakaora i te nekehanga o te tuara o te tinana i te whakapai ake i nga mahi a te tinana. Ka whakamahia e te atawhai Chiropractic nga tikanga miihini me nga tikanga a-ringa mo te sciatica ki te whakahou i te tuara me te awhina i te tinana ki te whakaora noa me te kore pokanga, rongoa ranei. Ka taea e te atawhai Chiropractic te whakaheke i te pehanga intradiscal, te whakanui ake i te teitei mokowhiti mokowhiti intervertebral, me te whakapai ake i te awhe o te nekehanga i nga pito o raro. (Gudavalli et al., 2016) I te wa e pa ana ki te sciatica, ka taea e te tiaki chiropractic te whakaiti i te pehanga kore e tika ana i runga i te nervia sciatic me te awhina i te whakaiti i te raruraru o te hokinga mai i roto i nga maimoatanga karapīpiti.
Nga Paanga o te Tiaki Chiropractic mo Sciatica
Ko etahi o nga paanga o te tiaki chiropractic mo te whakaheke i te sciatica ka taea te whakarato i te mohiotanga ki te tangata i te mea ka mahi tahi nga tohunga chiropractors me nga kaiwhakarato hauora e hono ana ki te whakatakoto i tetahi mahere whaiaro hei whakaora i nga tohu mamae. He maha nga tangata e whakamahi ana i te tiaki chiropractic ki te whakaiti i nga paanga o te sciatica ka taea te whakauru i te rongoa tinana hei whakapakari i nga uaua ngoikore. e karapoti ana te tuara o raro, totoro ki te whakapai ake i te ngawari me te mahara ake ki nga mea e puta ai te mamae o te sciatic i o ratou pito o raro. Ka taea e te atawhai Chiropractic te arahi i te tini o nga tangata ki runga i nga ergonomics panui tika, me nga momo mahi hei whakaiti i te tupono o te hokinga mai o te sciatica me te tuku i nga paanga pai ki te tinana o raro.
Acupuncture Mo Sciatica
Ko tetahi atu ahua o te maimoatanga kore-hapara ka taea te awhina i te whakaiti i te mamae o te mamae o te sciatica ko te acupuncture. Hei waahanga matua o te rongoa Hainamana tuku iho, ko te whakamaarama acupuncture ko nga tohunga e tuu ana i nga ngira angiangi, totoka ki nga waahi motuhake o te tinana. A, no te haere mai te reira ki te whakaiti i te sciatica, ka taea e te rongoa acupuncture te whakawhiwhi i nga paanga analgesic ki nga acupoints o te tinana, te whakahaere i te microglia, me te whakarereke i etahi kaiwhakawhiwhi i te huarahi mamae ki te punaha nerve. (Zhang et al., 2023) Ko te rongoa acupuncture e arotahi ana ki te whakaora i te rere o te kaha o te tinana, te Qi ranei hei whakatairanga i te whakaora.
Nga Painga o te Acupuncture Mo Sciatica
Mo nga paanga o te rongoa acupuncture ki te whakaheke i te sciatica, ka taea e te rongoa acupuncture te whakaiti i nga tohu mamae ka puta mai i te sciatica ma te whakarereke i te tohu roro me te huri i te motuka e pa ana ki te raru o te waahi kua pa. (Yu et al., 2022) I tua atu, ka taea e te rongoa acupuncture te awhina i te mamae o te mamae ma te tuku i nga endorphins, te rongoa mamae o te tinana, ki te acupoint motuhake e hono ana ki te nerve sciatic, te whakaheke i te mumura huri noa i te nerve sciatic, na reira ka whakaiti i te pehanga me te mamae me te awhina ki te whakapai ake i nga mahi nerve. Ko te tiaki chiropractic me te acupuncture e whakarato ana i nga whiringa maimoatanga kore-hapara ka taea te awhina i te mahi whakaora me te whakaiti i te mamae na te sciatica. I te wa e pa ana te maha o nga tangata ki te sciatica me te rapu i nga rongoa maha hei whakaiti i nga paanga o te mamae, ka taea e enei maimoatanga kore-hapara e rua te awhina i te maha o nga tangata ki te whakatutuki i nga take o te sciatica, te whakarei ake i te tukanga whakaora taiao o te tinana, me te awhina i te awhina nui mai i te mamae. te mamae.
Gimenez-Campos, MS, Pimenta-Fermisson-Ramos, P., Diaz-Cambronero, JI, Carbonell-Sanchis, R., Lopez-Briz, E., & Ruiz-Garcia, V. (2022). He arotake nahanaha me te tātari-meta mo te whai hua me nga mahi kino o te gabapentin me te pregabalin mo te mamae o te sciatica. Aten Primaria, 54(1), 102144. doi.org/10.1016/j.aprim.2021.102144
Gudavalli, MR, Olding, K., Joachim, G., & Cox, JM (2016). Chiropractic Distraction Spinal Manipulation on Postsurgical Continued Low Back and Radicular Pain Patients: A Retrospective Case Series. J Chiropr Med, 15(2), 121-128. doi.org/10.1016/j.jcm.2016.04.004
Yu, FT, Liu, CZ, Ni, GX, Cai, GW, Liu, ZS, Zhou, XQ, Ma, CY, Meng, XL, Tu, JF, Li, HW, Yang, JW, Yan, SY, Fu, HY, Xu, WT, Li, J., Xiang, HC, Sun, TH, Zhang, B., Li, MH, . . . Wang, LQ (2022). Acupuncture mo te sciatica tawhito: te kawa mo te whakamatautau i te maha o nga waahi. BMJ Open, 12(5), e054566. doi.org/10.1136/bmjopen-2021-054566
Zhang, Z., Hu, T., Huang, P., Yang, M., Huang, Z., Xia, Y., Zhang, X., Zhang, X., & Ni, G. (2023). Te whaihua me te haumaru o te whakamaarama acupuncture mo te sciatica: He arotake nahanaha me te tātari-meta o nga huarahi whakahaere matapōkeretia. Tuhinga o mua, 17, 1097830. doi.org/10.3389/fnins.2023.1097830
Zhou, J., Mi, J., Peng, Y., Han, H., & Liu, Z. (2021). Ko nga hononga o te mate nui me te whakahekenga o te Intervertebral, te mamae o te tuara iti, me te Sciatica: He Akoranga Whakataunga Rawa Mendelian e rua. Endocrinol Tuhinga o mua (Lausanne), 12, 740200. doi.org/10.3389/fendo.2021.740200
Mo nga tangata e pa ana ki te mamae o te kopu, he mate o te nerve pudendal e mohiotia ana ko te neuropathy pudendal, te neuralgia ranei e arai ana ki te mamae mau tonu. Ko te mate ka puta mai i te mahanga o te nerve pudendal, i reira ka kopaki, ka pakaru ranei te nerve. Ka taea e te mohio ki nga tohu te awhina i nga kaiwhakarato hauora ki te tirotiro tika i te mate me te whakawhanake i tetahi mahere maimoatanga whai hua?
Pudendal Neuropathy
Ko te nerve pudendal te nerve matua e mahi ana i te perineum, ko te waahi kei waenganui i te anus me te taihemahema - te scrotum i roto i te tane me te vulva i te wahine. Ka rere te nerve pudendal i roto i nga uaua gluteus/reke ka uru ki te perineum. He kawe korero mohio mai i te taihemahema o waho me te kiri huri noa i te anus me te perineum me te tuku tohu motika/nekehanga ki nga uaua pelvic. (Origoni, M. et al., 2014) Ko te neuralgia pudendal, e kiia ana ko te neuropathy pudendal, he mate o te nerve pudendal e puta ai te mamae o te pelvic mau tonu.
Nga take
Ko te mamae pelvic mau tonu mai i te neuropathy pudendal ka taea e tetahi o enei e whai ake nei (Kaur J. et al., 2024)
Te nui o te noho ki runga i nga papa maro, nga tuuru, nga tuuru paihikara, me etahi atu. Ko nga kaieke paihikara ka pa ki te hopu i te nerve pudendal.
Te mamae ki te reke, ki te pelvis ranei.
Whanau whanau.
Neuropathy mate huka.
Ko nga hanganga ivi e pana ana ki te nerve pudendal.
Te whakamatotoru o nga hononga huri noa i te nerve pudendal.
tohu
Ko te mamae o te nerve pudendal ka taea te korero he werohanga, he pupuhi, he wera, he pohehe, he titi me nga ngira ka puta mai (Kaur J. et al., 2024)
I roto i te perineum.
I roto i te rohe whero.
I roto i nga tane, te mamae i roto i te scrotum, te ure ranei.
I roto i nga wahine, mamae i roto i te labia ranei vulva.
I te wa e takoto ana.
I te wa e mimi ana.
I te wa e whakakorikori ana.
Ka noho ka haere atu i muri i te tu ki runga.
Na te mea he uaua ki te wehewehe i nga tohu, he uaua ki te wehe atu i te neuropathy pudendal mai i etahi atu momo mamae pelvic mau tonu.
Te mate paihikara
Ko te noho roa ki runga i te tuuru paihikara ka paheke te nerve pelvic, ka puta te mamae pelvic mau tonu. Ko te auau o te neuropathy pudendal (te mamae pelvic mau tonu i puta mai i te mahanga, i te kopeketanga ranei o te nerve pudendal) ka kiia ko te Cyclist's Syndrome. Ko te noho ki runga i etahi tuuru paihikara mo te wa roa ka tino pehia te nerve pudendal. Ko te pehanga ka hua te pupuhi huri noa i te nerve, ka puta te mamae, a, ka roa te wa, ka pa ki te mamae nerve. Ko te pupuhi o te nerve me te pupuhi ka puta te mamae e kiia ana he wera, he wero, he titi me nga ngira. (Durante, JA, me Macintyre, IG 2010) Mo nga tangata whai pudendal neuropathy na te eke paihikara, ka puta nga tohu i muri i te roa o te eke paihikara me etahi marama, tau ranei i muri mai.
Whakataa mo te 20-30 hēkona i muri i ia 20 meneti o te eke.
I a koe e eke ana, whakarereke i nga waahi.
Whakatika ki te hikoi i ia wa.
Whakataa ki waenga i nga waahi kaihoe me nga reihi ki te okioki me te whakangawari i nga uaua pelvic. Ko te 3-10 ra ka taea te whakaora. (Durante, JA, me Macintyre, IG 2010)
Mena kei te tata tonu te tipu haere o nga tohu o te mamae o te pelvic, whakaokia ka toro atu ki tetahi tohunga hauora, tohunga ranei mo te tirotiro.
Seat
Whakamahia he nohoanga ngohengohe, whanui me te ihu poto.
Whakaritea te taumata o te nohoanga, me tapapa iti ranei ki mua.
Ko nga nohoanga me nga kohao tapahi ka nui ake te pehanga ki te perineum.
Mēnā he pōhēhē, he mamae rānei, whakamātauria he nohoanga kāore he rua.
Paihikara Whakapaipai
Whakaritea te teitei o te nohoanga kia piko paku te turi ki raro o te whiu hiko.
Me noho te taumaha o te tinana ki runga i nga koiwi noho/ischial tuberosities.
Ma te pupuri i te teitei o te kakau i raro i te nohoanga ka whakaiti te pehanga.
Me karohia te tuunga whakamua o te pahikara Triathlon.
He pai ake te noho tika.
Ko nga paihikara maunga kua pa atu ki te pikinga ake o te mate o te erectile i te paihikara rori.
tarau
Mau tarau paihikara hoe.
Nga maimoatanga
Ka taea e te kaiwhakarato hauora te whakamahi i nga momo maimoatanga.
Ka taea te rongoa te neuropathy ki te okioki mena he nui te noho, he eke pahikara ranei te take.
Injury Medical Chiropractic and Functional Medicine Clinic nga mahere tiaki me nga ratonga haumanu he mea motuhake me te arotahi ki nga whara me te tukanga whakaora katoa. Ko o tatou waahanga o te mahi ko te Waiora me te kai, te mamae mamae, te whara whaiaro, te tiaki aitua aunoa, nga whara o te mahi, te mamae o muri, te mamae o muri, te mamae o te kaki, te mamae o te mahunga, nga whara hakinakina, te sciatica kino, te Scoliosis, nga kōpae Herniated matatini, Fibromyalgia, Chronic Te mamae, nga whara matatini, te whakahaere ahotea, me nga maimoatanga rongoa mahi. Mena ka hiahia te tangata takitahi ki etahi atu maimoatanga, ka tukuna atu ki te whare hauora, ki te taote ranei e pai ana mo o raatau ahuatanga, i te mea kua mahi tahi a Dr.
Haputanga me Sciatica
Tohutoro
Origoni, M., Leone Roberti Maggiore, U., Salvatore, S., & Candiani, M. (2014). Nga tikanga neurobiological o te mamae o te kopu. BioMed rangahau ao, 2014, 903848. doi.org/10.1155/2014/903848
Durante, JA, & Macintyre, IG (2010). Pudendal nerve mahanga i roto i te kaipara Ironman: he ripoata take. Ko te Journal of the Canadian Chiropractic Association, 54 (4), 276-281.
Chiaramonte, R., Pavone, P., & Vecchio, M. (2021). Te Whakatairanga, Te Whakaora me nga Rautaki Whakatairanga mo te Pudendal Neuropathy i roto i nga Kaihoko Paihikara, He Arotake Whaiaro. Journal of functional morphology and kinesiology, 6(2), 42. doi.org/10.3390/jfmk6020042
Mo nga tangata kua pau katoa nga momo maimoatanga mo te mamae iti o te tuara me te paheketanga o nga pakiaka nerve, ka taea e te taatai taiahoa taiaho te awhina ki te whakaiti i te pupuhi nerve me te whakaora mamae roa?
Takuhanga Hiira Taiaho
Ko te pokanga tuara taiaho he tikanga haumanu iti noa e whakamahi ana i te taiaho ki te tapahi me te tango i nga hanganga o te tuara e whakakopeke ana i nga uaua me te mamae nui. Ko te tikanga whakaeke iti ka iti ake te mamae, te pakaru o te kiko, me te tere ake o te whakaora i nga pokanga maha.
Kia pehea te Works te reira
Ko nga tikanga whakaeke iti ka iti ake te marumaru me te kino o nga hanganga a tawhio noa, ka whakaiti i nga tohu mamae me te wa poto ake te whakaora. (Stern, J. 2009) Ka mahia nga tapahi iti kia uru atu ai ki nga hanganga o te poupou. Ma te pokanga tuwhera-muri, ka mahia he tapahi nui ki raro i te tuara kia uru atu ki te tuara. He rereke te pokanga i etahi atu pokanga na te mea ka whakamahia he kurupae laser, kaua ki etahi atu taputapu pokanga, hei tapahi i nga hanganga i roto i te tuaiwi. Heoi, ko te werohanga tuatahi i roto i te kiri ka mahia ki te scalpel. Ko te Taiaho he acronym mo te Whakanuia Maama i Whakaohohia e te Tukunga o te Irirangi. Ka taea e te taiaho te whakaputa wera nui ki te tapahi i nga kopa ngohe, ina koa ko nga mea he nui te wai o te wai, penei i nga kopae poupou. (Stern, J. 2009) Mo te maha o nga pokanga tuara, kaore e taea te whakamahi i te taiaho ki te tapahi i nga wheua na te mea ka puta he korakora inamata ka kino nga hanganga a tawhio noa. Engari, ko te pokanga tuara taiaho te nuinga o te mahi ki te mahi i te discectomy, he tikanga pokanga e tango ana i tetahi wahanga o te kopaki kua pupuhi, te kopae herniated ranei e pana ana ki nga pakiaka nerve a tawhio noa, ka paheke te nerve me te mamae sciatic. (Stern, J. 2009)
Nga Whakatupato Hangarau
Ka awhina pea te pokai taiahoa taiaho ki te whakatau i te take o te paheketanga o te pakiaka nerve, engari ka nui ake te tupono o te kino ki nga hanganga tata. Ko nga raru e hono ana ko: (Brouwer, PA et al., 2015)
Te mate
Te whakatipu
Nga tarau toto
Nga tohu e toe ana
Te hokinga mai o nga tohu
Te kino o te nerve
Te kino ki te kiriuhi huri noa i te taurakira.
Me mahi pokanga taapiri
Ko te kurupae laser kaore i te tino rite ki etahi atu taputapu pokanga, me tino mohio me te whakahaere kia kore ai e pakaru te taurakira me nga pakiaka nerve. (Stern, J. 2009) No te mea kaore e taea e nga laser te tapahi i roto i nga wheua, ka whakamahia etahi atu taputapu pokanga huri noa i nga kokonga me nga koki rereke na te mea he pai ake te pai me te tuku i te tika. (Roo Atlantic me te Hiwi, 2022)
taumu'a
Ka mahia he pokanga tuara taiaho ki te tango i nga hanganga e raru ai nga pakiaka nerve. Ko te paheketanga o nga pakiaka nerve e hono ana ki nga ahuatanga e whai ake nei (Cleveland Clinic. 2018)
Kopae pupuhi
Ngā kōpae hiku
Sciatica
Te tipu o te tipu
Nga puku o te tuara
Ko nga pakiaka nerve kua whara, kua pakaru ranei, me te tuku tonu i nga tohu mamae tawhito ka taea te whakakore ki te pokanga laser, e mohiotia ana ko te nerve ablation. Ka wera te laser me te whakangaro i nga muka nerve. (Stern, J. 2009) Na te mea he iti noa te pokanga tuara taiaho ki te rongoa i etahi mate o te tuara, ko te nuinga o nga tikanga o te tuara karekau e whakamahi i te taiaho. (Te Roo Atalani me te Tuakiri. 2022)
takanga
Ka whakaratohia e te roopu pokanga etahi atu tohutohu mo te mahi i nga ra me nga haora i mua i te pokanga. Hei whakatairanga i te whakaora tino pai me te pai o te whakaora, ka tūtohu kia noho kaha te manawanui, kai i te kai pai, ka mutu te kai paipa i mua i te mahi. Ka hiahia pea te tangata takitahi ki te whakamutu i te tango i etahi rongoa hei aukati i te nui o te whakaheke toto, te pahekoheko ranei ki te rewharewha i te wa e mahi ana. Whakamōhio atu ki te kaiwhakarato hauora e pā ana ki nga whakahaunga katoa, nga rongoa kore-kore, me nga taapiri e tangohia ana.
Ko te pokanga tuara taiaho he tikanga tuuroro i waho i te hohipera, i te pokapū pokanga tuuroro ranei. Ka hoki te manawanui ki te kainga i te ra ano o te mahi. (Cleveland Clinic. 2018) Kaore e taea e nga turoro te taraiwa ki te hohipera i mua atu i muri mai ranei i muri i to raatau pokanga, na reira me whakarite ma te whanau me nga hoa ki te kawe waka. Ko te whakaiti i te ahotea me te whakarite i te oranga hinengaro me te oranga aronganui he mea nui ki te whakaheke i te mumura me te awhina i te whakaora. Ko te hauora o te manawanui ka haere ki te pokanga, ka ngawari ake te whakaora me te whakaora.
Te tumanako
Ko te pokanga ka whakatauhia e te manawanui me te kaihautu hauora, ka whakaritea ki te hohipera, ki te whare tuuroro o waho ranei. Whakaritea he hoa, mema ranei o te whanau ki te taraiwa ki te pokanga me te kainga.
I mua i te pokanga
Ka haria te turoro ki tetahi ruma i mua i te mahi ka tono kia huri hei kakahu.
Ka tukuna e te manawanui he whakamatautau tinana poto me te whakautu i nga paatai mo te hitori o te rongoa.
Ka takoto te manawanui ki runga i te moenga o te hōhipera, ā, ka whakauruhia e te nēhi he IV hei tuku rongoa me te wai.
Ka whakamahia e te roopu haumanu te moenga o te hohipera ki te kawe i te turoro ki roto, ki waho hoki i te ruma mahi.
Ka awhina te roopu haumanu i te manawanui ki te eke ki runga i te teepu mahi, ka tukuna te manawanui ki te rewharewha.
Ka whiwhi pea te manawanui anesthesia whānui, ka moe te manawanui mo te pokanga, ranei rewharewha rohe, ka werohia ki roto i te tuara kia kore ai te waahi kua pangia. (Cleveland Clinic. 2018)
Ka whakahoroa te kiri i te waahi ka mahia te tapahi.
Ka whakamahia he otinga antiseptic ki te patu huakita me te aukati i te tupono o te mate.
Ina horoia, ka hipokina te tinana ki nga rinena kua whakahoroa kia noho ma te waahi pokanga.
I te wa o te pokanga
Mo te discectomy, ka mahia e te taote he tapahi iti iti iho i te kotahi inihi te roa me te scalpel i te tuara kia uru atu ki nga pakiaka nerve.
Ko te taputapu haumanu e kiia nei ko te endoscope he kaamera kua whakauruhia ki roto i te werohanga hei tiro i te tuara. (Brouwer, PA et al., 2015)
Ina kitea te wahanga o te kōpae raru e pupuhi ana, ka whakauruhia te laser ki te tapahi.
Ka tangohia te wahanga kopae kua tapahia, ka tuituia te waahi werohanga.
I muri i nga Raru
I muri i te pokanga, ka haria te manawanui ki te ruma whakaora, ka tirohia nga tohu tino nui i te wa e memeha haere ai nga paanga o te mate whakamohoatanga.
Kia u, ka taea e te manawanui te hoki ki te kainga kotahi, e rua ranei haora i muri i te mahi.
Ka whakatauhia e te taote ka mohio te tangata ki te haere ano ki te taraiwa.
Whakaora
I muri i te discectomy, ka taea e te tangata takitahi te hoki ki te mahi i roto i nga ra torutoru ki etahi wiki, i runga i te taumahatanga, engari ka roa pea ki te toru marama ki te hoki ki nga mahi noa. Ka taea te roa o te whakaora mai i te rua ki te wha wiki iti iho ranei ki te timata ano i te mahi noho noho, ki te waru ki te 12 wiki ranei mo te mahi tino taumaha e hiahia ana ki te hapai taumaha. (Te Whare Wananga o Wisconsin School of Medicine me te Hauora Tūmatanui, 2021) I roto i nga wiki e rua tuatahi, ka tukuna he here ki te turoro kia pai ai te whakaora o te tuara tae noa ki te wa e pai ai. Ka taea e nga here te whakauru: (Te Whare Wananga o Wisconsin School of Medicine me te Hauora Tūmatanui, 2021)
Kaore he piko, he korikori, he hiki ranei.
Karekau he korikori tinana, tae atu ki te korikori tinana, te mahi whare, te mahi iari, me te taangata.
Karekau he waipiro i te wa tuatahi o te whakaora, i te wa e tango ana i nga rongoa mamae narcotic.
Kaua e taraiwa, kaua e whakahaere i te motoka tae noa ki te korerorero ki te taote.
Ka taunaki pea te kaiwhakarato hauora hauora tinana ki te whakangawari, ki te whakapakari, ki te pupuri i te hauora o te uaua. Ka rua ki te toru nga wa ia wiki mo te wha ki te ono wiki te rongoa tinana.
tukanga
Ko nga taunakitanga whakaora tino pai ko:
Kia nui te moe, i te iti rawa e whitu ki te waru haora.
Te pupuri i te whakaaro pai me te ako me pehea te whakatau me te whakahaere i te ahotea.
Te pupuri i te whakamakuku o te tinana.
Ka whai i te kaupapa whakakorikori tinana i whakaritea e te kaiwhakaora tinana.
Te whakaharatau i te ahua hauora me te noho, te tu, te hikoi, me te moe.
Te noho kaha me te whakaiti i te nui o te wa noho. Me ngana ki te whakatika me te hikoi ia ia ki te rua haora i te ra kia kaha tonu ai, kia kore ai e pakaru te toto. Whakanuia te wa, te tawhiti ranei i te wa e haere ana te whakaora.
Kaua e akiaki kia nui rawa te mahi. Ka taea e te whakapau kaha te whakanui ake i te mamae me te whakaroa i te whakaora.
Te ako i nga tikanga hiki tika hei whakamahi i nga uaua matua me nga waewae hei aukati i te pikinga o te pehanga ki runga i te tuara.
Matapakihia nga whiringa maimoatanga mo te whakahaere tohumate me tetahi kaiwhakarato hauora, tohunga tohunga ranei ki te whakatau mena he tika te pokanga tuara taiaho. Injury Medical Chiropractic and Functional Medicine Clinic nga mahere tiaki me nga ratonga haumanu he mea motuhake me te arotahi ki nga whara me te tukanga whakaora katoa. Kua mahi tahi a Dr. Jimenez me nga kaitoro o runga, nga tohunga haumanu, nga kairangahau hauora, nga kaiwhakangungu, nga kaiwhakangungu, me nga kaiwhakarato whakaora tuatahi. Ka arotahi matou ki te whakaora i nga mahi o te tinana i muri i nga whara me nga whara ngoikore ma te whakamahi i nga Kawa Chiropractic Motuhake, Nga Papatono Hauora, Te Kai Mahi me te whakakotahi, Te Whakangungu Whakangungu Awhina me te nekeneke, me nga punaha Whakaora mo nga reanga katoa. Ko o tatou waahanga mahi ko te Waiora me te Kai, Te mamae o te mamae, te whara whaiaro, te tiaki aitua aunoa, nga whara o te mahi, te mamae o muri, te mamae iti, te mamae o te kaki, te mamae o te mahunga, nga whara hakinakina, te Sciatica nui, te Scoliosis, nga kopae Herniated matatini, te Fibromyalgia, Chronic Te mamae, nga whara matatini, te whakahaere i te ahotea, nga maimoatanga rongoa whai hua, me nga tikanga tiaki-a-roopu.
Brouwer, PA, Brand, R., van den Akker-van Marle, ME, Jacobs, WC, Schenk, B., van den Berg-Huijsmans, AA, Koes, BW, van Buchem, MA, Toi, MP, & Peul , WC (2015). Ko te whakahekenga o te kōpae laser percutaneous me te microdiscectomy tikanga i roto i te sciatica: he whakamatautau kua whakaritea. The spine journal : official journal of the North American Spine Society, 15(5), 857–865. doi.org/10.1016/j.spinee.2015.01.020
Te Whare Wananga o Wisconsin School of Medicine and Public Health. (2021). Nga Tohutohu Tiaki i te Kainga i muri i te Laminectomy Lumbar, Te Whakakore, Te Taapiritanga, Te Taapiri ranei. patient.uwhealth.org/healthfacts/4466
Individuals may discover a lump, bump, or nodule under the skin around their lower back, hips, and sacrum that can cause pain by compressing nerves and damaging the fascia. Can knowing the conditions linked to them and their symptoms help healthcare providers determine a correct diagnosis and develop an effective treatment plan for them?
Painful Bumps, Nodules Around Low Back, Hips, and Sacrum
Painful masses in and around the hips, the sacrum, and the lower back are lumps of fat or lipomas, fibrous tissue, or other types of nodules that move when pressed on. Some healthcare providers and chiropractors, in particular, use the non-medical term back mice (In 1937, the term was used to describe lumps associated with episacroiliac lipoma) to describe the bumps. Some healthcare professionals argue against calling the masses mice because it is not specific and could lead to misdiagnoses or incorrect treatment.
Most show up in the lower back and hip area.
In some cases, they protrude or herniate through the lumbodorsal fascia or the network of connective tissue that covers the deep muscles of the lower and middle back.
Other lumps can develop in the tissue under the skin.
Today, many conditions are associated with back mice lumps, including:
Iliac crest pain syndrome
Multifidus triangle syndrome
Lumbar fascial fat herniation
Lumbosacral (sacrum) fat herniation
Episacral lipoma
Nga Tikanga e Pa ana
Iliac Crest Pain Syndrome
Also known as iliolumbar syndrome, iliac crest pain syndrome develops when a tear in the ligament occurs.
The ligament band connects the fourth and fifth lumbar vertebrae with the ilium on the same side. (Dąbrowski, K. Ciszek, B. 2023)
Ko nga take kei roto:
Tearing the ligament from repeated bending and twisting.
Trauma or fracture of the ilium bone caused by a fall or vehicle collision accident.
Multifidus Triangle Syndrome
Multifidus triangle syndrome develops when the multifidus muscles along the spine weaken and diminish function or ability.
These muscles can atrophy, and intramuscular fatty tissue can replace the muscle.
The lumbodorsal fascia is a thin fibrous membrane covering the back’s deep muscles.
Lumbar fascial fat herniation is a painful mass of fat that protrudes or herniates through the membrane, gets trapped and inflamed, and causes pain.
The causes of this type of herniation are currently unknown.
Lumbosacral (Sacrum) Fat Herniation
Lumbosacral describes where the lumbar spine meets the sacrum.
Lumbosacral fat herniation is a painful mass like lumbar facial herniation in a different location around the sacrum.
The causes of this type of herniation are currently unknown.
Episacral Lipoma
Episacral lipoma is a small painful nodule under the skin that primarily develops over the top outer edges of the pelvic bone. These lumps occur when a portion of the dorsal fat pad protrudes through a tear in the thoracodorsal fascia, the connective tissue that helps hold the back muscles in place. (Erdem, H. R. et al., 2013) A healthcare provider may refer an individual to an orthopedist or orthopedic surgeon for this lipoma. An individual may also find pain relief from a massage therapist familiar with the condition. (Erdem, H. R. et al., 2013)
tohu
Back lumps can often be seen under the skin. They are typically tender to the touch and can make sitting in a chair or lying on the back difficult, as they often appear on the hip bones and sacroiliac region. (Bicket, M. C. et al., 2016) The nodules may:
Be firm or tight.
Have an elastic feel.
Move under the skin when pressed.
Cause intense, severe pain.
The pain results from pressure on the lump, which compresses the nerves.
Damage to the underlying fascia can also cause pain symptoms.
tātaritanga
Some individuals do not realize they have nodules or lumps until pressure is applied. Chiropractors and massage therapists often find them during treatments but do not diagnose the abnormal fatty growth. The chiropractor or massage therapist will refer the patient to a qualified dermatologist or medical professional who can perform imaging studies and a biopsy. Determining what the lumps are can be challenging because they are non-specific. Healthcare providers sometimes diagnose the nodules by injecting them with a local anesthetic. (Bicket, M. C. et al., 2016)
He Whakamātautau rerekē
The fatty deposits can be any number of things, and the same applies to the sources of nerve pain. A healthcare provider may further diagnose by ruling out other causes, which can include:
Sebaceous Cysts
A benign, fluid-filled capsule between the layers of skin.
Subcutaneous Abscess
A collection of pus beneath the skin.
Usually painful.
It can become inflamed.
Sciatica
Radiating nerve pain down one or both legs that is caused by a herniated disc, bone spur, or spasming muscles in the lower back.
Liposarcoma
Malignant tumors can sometimes appear as fatty growths in the muscles.
Liposarcoma is typically diagnosed by biopsy, where some tissue is removed from the nodule and examined for cancer cells. (Johns Hopkins Medicine. 2024)
An MRI or CT scan may also be performed to determine the exact location of the nodule.
Painful lipomas are also associated with fibromyalgia.
Treatment
Back nodules are usually benign, so there’s no reason to remove them unless they’re causing pain or mobility problems (American Academy of Orthopedic Surgeons: OrthoInfo. 2023). However, they should be examined to make sure they are not cancerous. Treatment usually involves injected anesthetics, such as lidocaine or corticosteroids, as well as over-the-counter pain relievers like NSAIDs.
Tohunga
If pain is severe, surgical removal may be recommended. This involves cutting out the mass and repairing the fascia for lasting relief. However, removal may not be recommended if there are many nodules, as some individuals can have hundreds. Liposuction may be effective if the lumps are smaller, more extensive, and comprise more fluid. (American Family Physician. 2002) Complications of surgical removal can include:
Tuiri
Ngahau
Kakano kiri koretake
Te mate
Complementary and Alternative Treatment
Complimentary and Alternative Medicine treatments like acupuncture, dry needling, and spinal manipulation can help. Many chiropractors believe back nodules can be successfully treated with complementary and alternative therapies. A common approach uses acupuncture and spinal manipulation in combination. A case study reported that anesthetic injections followed by dry needling, which is similar to acupuncture, improved pain relief. (Bicket, M. C. et al., 2016)
Injury Medical Chiropractic and Functional Medicine Clinic specializes in progressive therapies and functional rehabilitation procedures focused on restoring normal body functions after trauma and soft tissue injuries and the complete recovery process. Our areas of practice include Wellness & Nutrition, Chronic Pain, Personal Injury, Auto Accident Care, Work Injuries, Back Injury, Low Back Pain, Neck Pain, Migraine Headaches, Sports Injuries, Severe Sciatica, Scoliosis, Complex Herniated Discs, Fibromyalgia, Chronic Pain, Complex Injuries, Stress Management, Functional Medicine Treatments, and in-scope care protocols. If the individual requires other treatment, they will be referred to a clinic or physician best suited for their condition, as Dr. Jimenez has teamed with the top surgeons, clinical specialists, medical researchers, therapists, trainers, and premiere rehabilitation providers.
Ki Tawahi o te Mata
Tohutoro
Dąbrowski, K., & Ciszek, B. (2023). Anatomy and morphology of iliolumbar ligament. Surgical and radiologic anatomy : SRA, 45(2), 169–173. doi.org/10.1007/s00276-022-03070-y
Seyedhoseinpoor, T., Taghipour, M., Dadgoo, M., Sanjari, M. A., Takamjani, I. E., Kazemnejad, A., Khoshamooz, Y., & Hides, J. (2022). Alteration of lumbar muscle morphology and composition in relation to low back pain: a systematic review and meta-analysis. The spine journal : official journal of the North American Spine Society, 22(4), 660–676. doi.org/10.1016/j.spinee.2021.10.018
Erdem, H. R., Nacır, B., Özeri, Z., & Karagöz, A. (2013). Episakral lipoma: Bel ağrısının tedavi edilebilir bir nedeni [Episacral lipoma: a treatable cause of low back pain]. Agri : Agri (Algoloji) Dernegi’nin Yayin organidir = The journal of the Turkish Society of Algology, 25(2), 83–86. doi.org/10.5505/agri.2013.63626
Bicket, M. C., Simmons, C., & Zheng, Y. (2016). The Best-Laid Plans of “Back Mice” and Men: A Case Report and Literature Review of Episacroiliac Lipoma. Pain physician, 19(3), 181–188.
When sciatica or other radiating nerve pain presents, can learning to distinguish between nerve pain and different types of pain help individuals recognize when spinal nerve roots are irritated or compressed or more serious problems that require medical attention?
Spinal Nerve Roots and Dermatomes
Spinal conditions such as herniated discs and stenosis can lead to radiating pain that travels down one arm or leg. Other symptoms include weakness, numbness, and/or shooting or burning electrical sensations. The medical term for pinched nerve symptoms is radiculopathy (National Institutes of Health: National Institute of Neurological Disorders and Stroke. 2020). Dermatomes could contribute to irritation in the spinal cord, where the nerve roots cause symptoms in the back and limbs.
Anatomy
The spinal cord has 31 segments.
Each segment has nerve roots on the right and left that supply motor and sensory functions to the limbs.
The anterior and posterior communicating branches combine to form the spinal nerves that exit the vertebral canal.
The 31 spine segments result in 31 spinal nerves.
Each one transmits sensory nerve input from a specific skin region on that side and area of the body.
These regions are called dermatomes.
Except for the first cervical spinal nerve, dermatomes exist for each spinal nerve.
The spinal nerves and their associated dermatomes form a network all over the body.
Dermatomes Purpose
Dermatomes are the body/skin areas with sensory input assigned to individual spinal nerves. Each nerve root has an associated dermatome, and various branches supply each dermatome off that single nerve root. Dermatomes are pathways through which sensational information in the skin transmits signals to and from the central nervous system. Sensations that are physically felt, like pressure and temperature, get transmitted to the central nervous system. When a spinal nerve root becomes compressed or irritated, usually because it comes into contact with another structure, it results in radiculopathy. (National Institutes of Health: National Institute of Neurological Disorders and Stroke. 2020).
Radiculopathy
Radiculopathy describes symptoms caused by a pinched nerve along the spine. Symptoms and sensations depend on where the nerve is pinched and the extent of the compression.
Kohu
This is a syndrome of pain and/or sensorimotor deficiencies when nerve roots in the neck are compressed.
It often presents with pain that goes down one arm.
Individuals may also experience electrical sensations like pins and needles, shocks, and burning sensations, as well as motor symptoms like weakness and numbness.
Lumbar
This radiculopathy results from compression, inflammation, or injury to a spinal nerve in the lower back.
Sensations of pain, numbness, tingling, electrical or burning sensations, and motor symptoms like weakness traveling down one leg are common.
tātaritanga
Part of a radiculopathy physical examination is testing the dermatomes for sensation. The practitioner will use specific manual tests to determine the spinal level from which the symptoms originate. Manual exams are often accompanied by diagnostic imaging tests like MRI, which can show abnormalities in the spinal nerve root. A complete physical examination will determine if the spinal nerve root is the source of the symptoms.
Te rongoa i nga take o raro
Many back disorders can be treated with conservative therapies to provide effective pain relief. For a herniated disk, for example, individuals may be recommended to rest and take a nonsteroidal anti-inflammatory medication. Acupuncture, physical therapy, chiropractic, non-surgical traction, or decompression therapies may also be prescribed. For severe pain, individuals may be offered an epidural steroid injection that can provide pain relief by reducing inflammation. (American Academy of Orthopaedic Surgeons: OrthoInfo. 2022) For spinal stenosis, a provider may first focus on physical therapy to improve overall fitness, strengthen the abdominals and back muscles, and preserve motion in the spine. Pain-relieving medications, including NSAIDs and corticosteroid injections, can reduce inflammation and relieve pain. (American College of Rheumatology. 2023) Physical therapists provide various therapies to decrease symptoms, including manual and mechanical decompression and traction. Surgery may be recommended for cases of radiculopathy that don’t respond to conservative treatments.
Injury Medical Chiropractic and Functional Medicine Clinic care plans and clinical services are specialized and focused on injuries and the complete recovery process. Our areas of practice include Wellness & Nutrition, Chronic Pain, Personal Injury, Auto Accident Care, Work Injuries, Back Injury, Low Back Pain, Neck Pain, Migraine Headaches, Sports Injuries, Severe Sciatica, Scoliosis, Complex Herniated Discs, Fibromyalgia, Chronic Pain, Complex Injuries, Stress Management, Functional Medicine Treatments, and in-scope care protocols. We focus on restoring normal body functions after trauma and soft tissue injuries using Specialized Chiropractic Protocols, Wellness Programs, Functional and integrative Nutrition, Agility, and mobility Fitness Training, and Rehabilitation Systems for all ages. If the individual requires other treatment, they will be referred to a clinic or physician best suited for their condition. Dr. Jimenez has teamed with the top surgeons, clinical specialists, medical researchers, therapists, trainers, and premiere rehabilitation providers to bring El Paso, the top clinical treatments, to our community.
Reclaim Your Mobility: Chiropractic Care For Sciatica Recovery
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