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.
Anatomi
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.
Ogbo
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.
okunfa
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.
Atọju Awọn Okunfa Abẹlẹ
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
For individuals who suffer from migraine headaches, can incorporating physical therapy help decrease pain, improve mobility, and manage future attacks?
Migraine Physical Therapy
Cervicogenic migraine headaches can cause pain, limited motion, or confusing symptoms like dizziness or nausea. They may originate from the neck or cervical spine and be called cervicogenic headaches. A chiropractic physical therapy team can assess the spine and offer treatments that help improve mobility and decrease pain. Individuals may benefit from working with a migraine physical therapy team to perform treatments for specific conditions, quickly and safely relieving pain and returning to their previous level of activity.
Cervical Spine Anatomy
The neck is comprised of seven stacked cervical vertebrae. The cervical vertebrae protect the spinal cord and allow the neck to move through:
Flexion
itẹsiwaju
Yiyi
Titẹ ẹgbẹ
The upper cervical vertebrae help support the skull. There are joints on either side of the cervical level. One connects to the back of the skull and allows motion. This suboccipital area is home to several muscles that support and move the head, with nerves that travel from the neck through the suboccipital area into the head. The nerves and muscles in this area may be a source of neck pain and/or headaches.
àpẹẹrẹ
Sudden motions can trigger symptoms of cervicogenic migraine, or they may come on during sustained neck postures. (Page P. 2011) The symptoms are often dull and non-throbbing and may last several hours to days. Symptoms of cervicogenic migraine headache may include:
Pain on both sides of the back of the head.
Pain in the back of the head that radiates to one shoulder.
Pain on one side of the upper neck that radiates to the temple, forehead, or eye.
Pain in one side of the face or cheek.
Reduced range of motion in the neck.
Sensitivity si imọlẹ tabi ohun
Nikan
Dizziness tabi vertigo
okunfa
Tools a physician may use may include:
X-ray
MRI
CT ọlọjẹ
Physical examination includes neck range of motion and palpation of the neck and skull.
When first visiting a physical therapist, they will go through medical history and conditions, and questions will be asked about the onset of pain, symptom behavior, medications, and diagnostic studies. The therapist will also ask about previous treatments and review medical and surgical history. Components of the evaluation may include:
Palpation of the neck and skull
Measures of neck range of motion
Strength measurements
Postural assessment
Once the evaluation is completed, the therapist will work with the individual to develop a personalized treatment program and rehabilitation goals. Various treatments are available.
idaraya
Exercises to improve neck motion and decrease pressure on cervical nerves may be prescribed and may include. (Park, S. K. et al., 2017)
Cervical rotation
Cervical flexion
Cervical side bending
Cervical retraction
The therapist will train the individual to move slowly and steadily and avoid sudden or jerky movements.
Postural Correction
If forward head posture is present, the upper cervical spine and the suboccipital area could compress the nerves that travel up the back of the skull. Correcting posture may be an effective strategy for treatment and can include:
Performing targeted postural exercises.
Utilizing a supportive neck pillow for sleep.
Using a lumbar support when sitting.
Kinesiology taping may help increase tactile awareness of back and neck position and improve overall postural awareness.
Ooru/yinyin
Heat or ice may be applied to the neck and skull to help decrease pain and inflammation.
Heat can help relax tight muscles and improve circulation and may be used before performing neck stretches.
ifọwọra
If tight muscles are limiting neck motion and causing head pain, a massage can help improve mobility.
A special technique called suboccipital release loosens the muscles that attach the skull to the neck for improved motion and decreased nerve irritation.
Manual and Mechanical Traction
Part of the migraine physical therapy plan may involve mechanical or manual traction to decompress the neck’s discs and joints, improve motion in the neck, and decrease pain.
Joint mobilizations may be used to improve neck motion and manage pain. (Paquin, J. P. 2021)
Ikun Itanna
Electrical stimulation, like electro-acupuncture or transcutaneous neuromuscular electrical stimulation, may be used on the neck muscles to decrease pain and improve headache symptoms.
Therapy Duration
Most migraine physical therapy sessions for cervicogenic headaches last about four to six weeks. Individuals may experience relief within a few days of starting therapy, or symptoms may come and go in different phases for weeks. Some experience continued migraine headache pain for months after starting treatment and use techniques they learned to help control symptoms.
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. We use Specialized Chiropractic Protocols, Wellness Programs, Functional and integrative Nutrition, Agility and mobility Fitness Training, and Rehabilitation Systems for all ages. Our natural programs use the body’s ability to achieve specific measured goals. We have teamed up with the city’s premier doctors, therapists, and trainers to provide high-quality treatments that empower our patients to maintain the healthiest way of living and live a functional life with more energy, a positive attitude, better sleep, and less pain.
Itọju Chiropractic Fun awọn Migraines
jo
Oju-iwe P. (2011). Awọn orififo Cervicogenic: ọna ti o ni ẹri-ẹri si iṣakoso ile-iwosan. Iwe akọọlẹ agbaye ti itọju ailera idaraya, 6 (3), 254-266.
Headache Classification Committee of the International Headache Society (IHS) (2013). The International Classification of Headache Disorders, 3rd edition (beta version). Cephalalgia : an international journal of headache, 33(9), 629–808. doi.org/10.1177/0333102413485658
Rana M. V. (2013). Managing and treating headache of cervicogenic origin. The Medical clinics of North America, 97(2), 267–280. doi.org/10.1016/j.mcna.2012.11.003
Park, S. K., Yang, D. J., Kim, J. H., Kang, D. H., Park, S. H., & Yoon, J. H. (2017). Effects of cervical stretching and cranio-cervical flexion exercises on cervical muscle characteristics and posture of patients with cervicogenic headache. Journal of physical therapy science, 29(10), 1836–1840. doi.org/10.1589/jpts.29.1836
Paquin, J. P., Tousignant-Laflamme, Y., & Dumas, J. P. (2021). Effects of SNAG mobilization combined with a self-SNAG home-exercise for the treatment of cervicogenic headache: a pilot study. The Journal of manual & manipulative therapy, 29(4), 244–254. doi.org/10.1080/10669817.2020.1864960
Njẹ mimọ iwọn iṣẹ ṣe iranlọwọ kekere suga ati awọn kalori fun awọn ẹni-kọọkan ti o gbadun jijẹ awọn eso ti o gbẹ?
Awọn eso gbigbẹ
Awọn eso ti o gbẹ, gẹgẹbi awọn cranberries, awọn ọjọ, awọn eso ajara, ati awọn prunes, jẹ nla nitori pe wọn ṣiṣe ni igba pipẹ ati pe o jẹ orisun ilera ti okun, awọn ohun alumọni, ati awọn vitamin. Sibẹsibẹ, awọn eso ti o gbẹ ni diẹ sii suga ati awọn kalori fun iṣẹ kan nitori pe wọn padanu iwọn didun nigba ti omi gbẹ, gbigba diẹ sii lati jẹ. Eyi ni idi ti iwọn iṣẹ naa ṣe pataki lati rii daju pe ọkan ko jẹun.
Iwọn Iburanṣẹ
Awọn eso ti gbẹ ni awọn apọn omi tabi fi silẹ ni oorun lati gbẹ ni ti ara. Wọn ti ṣetan ni kete ti ọpọlọpọ omi ti sọnu. Ipadanu omi dinku iwọn ti ara wọn, eyiti o fun laaye awọn ẹni-kọọkan lati jẹ diẹ sii, jijẹ suga ati gbigbemi kalori. Fun apẹẹrẹ, ni ayika 30 eso-ajara ni ibamu ninu ife idiwọn kan, ṣugbọn 250 awọn eso-ajara le kun ife kan ni kete ti o gbẹ. Alaye ounje fun alabapade ati ki o si dahùn o eso.
Ọgbọn raisins ni awọn kalori 47 ati labẹ 10 giramu gaari.
Akoonu suga adayeba ti eso-ajara yatọ, nitorinaa awọn oriṣi oriṣiriṣi le jẹ koko-ọrọ si awọn igbelewọn iye ijẹẹmu.
Diẹ ninu awọn eso, bii cranberries, le jẹ tart pupọ, nitorinaa suga tabi awọn oje eso ni a ṣafikun lakoko gbigbe.
Awọn ọna lati Lo
Awọn eso titun le jẹ ti o ga julọ ni awọn vitamin kan, ṣugbọn nkan ti o wa ni erupe ile ati okun ni idaduro lakoko gbigbe. Awọn eso ti o gbẹ jẹ wapọ ati pe o le jẹ apakan ti ilera, ounjẹ iwontunwonsi ti o le pẹlu:
Apapo itọpa
illa awọn eso ti o gbẹ, awọn eso ati awọn irugbin.
Atẹle iwọn ipin.
oatmeal
Fẹyẹ oatmeal didùn pẹlu iṣẹ kekere ti awọn eso ti o gbẹ fun ounjẹ aarọ ti o ni itara ati ilera.
Awọn saladi
Lọ dudu, awọn ewe alawọ ewe, awọn ege apple titun, awọn cranberries ti o gbẹ tabi awọn eso ajara, ati awọn warankasi.
Ifilelẹ Akọkọ
Lo awọn eso ti o gbẹ bi eroja ninu awọn titẹ sii ti o dun.
Amuaradagba Pẹpẹ aropo
Raisins, blueberries ti o gbẹ, awọn eerun igi apple, ati awọn apricots ti o gbẹ jẹ rọrun ati ṣiṣe ni pipẹ ju eso titun lọ, ṣiṣe wọn ni pipe nigbati awọn ọpa amuaradagba ko si.
Ni Iṣoogun Iṣoogun Chiropractic ati Ile-iwosan Iṣẹ-ṣiṣe, awọn agbegbe ti iṣe wa pẹlu Nini alafia & Ounjẹ, Irora Onibaje, Ipalara ti ara ẹni, Itọju Ijamba Aifọwọyi, Awọn ipalara Iṣẹ, Ọgbẹ Afẹyinti, Irora Irẹwẹsi kekere, Ọrun Ọrun, Awọn orififo Migraine, Awọn ipalara ere idaraya, Sciatica ti o lagbara, Scoliosis, Awọn disiki Herniated Complex, Fibromyalgia, Irora Onibaje, Awọn ipalara eka, Itọju Wahala, Awọn itọju Oogun iṣẹ-ṣiṣe, ati awọn ilana itọju iwọn. A dojukọ ohun ti o ṣiṣẹ fun ọ lati ṣaṣeyọri awọn ibi-afẹde ilọsiwaju ati ṣẹda ara ti o ni ilọsiwaju nipasẹ awọn ọna iwadii ati awọn eto ilera lapapọ.
Fun awọn ẹni-kọọkan ti o fẹ lati mu iduroṣinṣin mojuto, ṣe lilo adaṣe iwọn to tọ tabi bọọlu iduroṣinṣin ṣe iranlọwọ lati mu awọn adaṣe dara si ati ṣaṣeyọri awọn ibi-afẹde?
Idaraya Iduroṣinṣin Ball
Bọọlu idaraya, bọọlu iduroṣinṣin, tabi bọọlu Swiss jẹ nkan ti ohun elo amọdaju ti a lo ninu awọn gyms, Pilates ati awọn ile iṣere yoga, ati awọn kilasi HIIT. (American Council on idaraya . Ọdun 2014) O jẹ inflated pẹlu afẹfẹ lati ṣe afikun awọn adaṣe iwuwo ara tabi mu iduro ati iwọntunwọnsi dara si. O tun le ṣee lo bi alaga. Wọn ṣafikun ipenija iduroṣinṣin mojuto si fere eyikeyi adaṣe (Igbimọ Amẹrika lori Idaraya, ND) Gbigba iwọn bọọlu idaraya ti o yẹ ati iduroṣinṣin fun ara ati idi rẹ yoo rii daju adaṣe ti o dara julọ.
iwọn
Iwọn bọọlu idaraya yẹ ki o jẹ iwọn si giga kọọkan.
Olukuluku yẹ ki o ni anfani lati joko lori bọọlu pẹlu awọn ẹsẹ wọn ni igun 90-degree tabi die-die siwaju sii, ṣugbọn kii kere.
Awọn itan yẹ ki o wa ni afiwe si ilẹ tabi igun diẹ si isalẹ.
Pẹlu awọn ẹsẹ ti o wa lori ilẹ ati ọpa ẹhin ni gígùn, ko ni gbigbe siwaju, sẹhin, tabi awọn ẹgbẹ, awọn ẽkun yẹ ki o jẹ paapaa pẹlu tabi die-die kekere ju ibadi.
Gbigba bọọlu idaraya ti o tọ fun iwuwo tun jẹ pataki. Awọn ẹni-kọọkan ti o wuwo fun giga wọn le nilo bọọlu nla lati tọju awọn ẽkun ati awọn ẹsẹ ni igun to tọ. A gba ọ niyanju lati ṣayẹwo iwọn iwuwo ti bọọlu, agbara rẹ, ati resistance ti nwaye giga rẹ ṣaaju rira.
Afikun
Olukuluku fẹ kan diẹ fun lori awọn rogodo ká dada fun idaraya . Nigbati o ba joko lori bọọlu iduroṣinṣin idaraya, iwuwo ara yẹ ki o ṣẹda ijoko diẹ ati pese iduroṣinṣin diẹ sii. Ni pataki julọ, o gba laaye lati joko ni deede lori bọọlu, eyiti o ṣe pataki fun adaṣe pẹlu titete ọpa ẹhin to dara. (Rafael F. Escamilla ati al., Ọdun 2016) Ifowopamọ jẹ ọrọ ti ààyò, ṣugbọn diẹ sii inflated awọn rogodo ni, awọn diẹ soro o yoo jẹ lati dọgbadọgba ara, boya joko tabi ni awọn ipo miiran. O ti wa ni niyanju ko lati lori-fifun awọn rogodo ni ewu ti nwaye. Bọọlu naa le nilo isọdọtun lẹẹkọọkan, nitorinaa ọpọlọpọ ni a ta pẹlu fifa kekere kan fun idi eyi.
Awọn adaṣe ati Awọn isan
Awọn bọọlu idaraya jẹ wapọ pupọ, ilamẹjọ, ati awọn irinṣẹ adaṣe rọrun lati lo. Wọn jẹ anfani fun imudarasi agbara mojuto ati iduroṣinṣin. Awọn ọna lati lo pẹlu:
Ni Iṣoogun Iṣoogun Chiropractic ati Ile-iwosan Ise Iṣẹ, a dojukọ ohun ti o ṣiṣẹ fun ọ ati tiraka lati ṣẹda amọdaju ati dara si ara nipasẹ awọn ọna iwadii ati awọn eto ilera lapapọ. Awọn eto adayeba wọnyi lo agbara ara lati ṣaṣeyọri awọn ibi-afẹde ilọsiwaju ati awọn elere idaraya le ni ipo ara wọn lati tayọ ninu ere idaraya wọn nipasẹ amọdaju ti o peye ati ounjẹ. Awọn olupese wa lo ọna iṣọpọ lati ṣẹda awọn eto ti ara ẹni, nigbagbogbo pẹlu Oogun Iṣẹ, Acupuncture, Electro-Acupuncture, ati awọn ipilẹ Oogun Idaraya.
Awọn bata ẹsẹ le fa irora kekere ati awọn iṣoro fun diẹ ninu awọn ẹni-kọọkan. Njẹ oye asopọ laarin awọn bata bata ati awọn iṣoro ẹhin ṣe iranlọwọ fun awọn ẹni-kọọkan lati wa awọn bata to tọ lati ṣetọju ilera ẹhin ati fifun irora?
Footwear Back irora
Awọn ẹhin n pese agbara fun awọn iṣẹ ṣiṣe ti ara. Irora afẹyinti yoo ni ipa lori igbesi aye ojoojumọ ati pe o le ni awọn idi pupọ. Iduro ti ko ni ilera, nrin, lilọ, titan, atunse, ati wiwa le ṣe alabapin si awọn iṣoro ẹhin ti o fa irora. Gẹgẹbi CDC, 39% ti awọn agbalagba ṣe ijabọ gbigbe pẹlu irora ẹhin (Awọn ile-iṣẹ fun Iṣakoso ati Idena Arun, 2019). Awọn bata ẹsẹ ti ko tọ tun le ṣe alabapin si irora ẹhin. Yiyan bata ẹsẹ ni pẹkipẹki le ṣe iranlọwọ mu iderun irora ati iranlọwọ lati ṣetọju ilera ọpa ẹhin. Olukuluku le gbadun irora ti o kere ju ati ṣakoso awọn aami aisan nipa yiyan awọn bata ti o ṣetọju titọpa ọpa ẹhin ati ki o dabobo awọn ẹsẹ lati ipa ti o ni ipalara.
Agbọye Asopọ Pain-Footwear
Awọn bata ẹsẹ ti ko tọ le jẹ idi ti irora ẹhin isalẹ. Ohun ti o ni ipa awọn egungun ni isalẹ ti eto neuromusculoskeletal n tan si oke ati ni ipa lori ọpa ẹhin ati awọn iṣan ẹhin. Awọn bata bata ti a lo n rin irin-ajo si oke, ti o ni ipa lori gait, iduro, titete ọpa-ẹhin, ati diẹ sii. Nigbati awọn iṣoro ẹhin ba bẹrẹ lati awọn ẹsẹ, iwọnyi jẹ awọn ọran biomechanical. Biomechanics tumọ si bii awọn egungun, awọn isẹpo, ati awọn iṣan ṣiṣẹ papọ ati bii awọn iyipada ninu awọn ipa ita ṣe ni ipa lori ara.
ronu
Nigbati awọn ẹsẹ ba ni ipa lori ilẹ, wọn jẹ awọn opin akọkọ lati fa mọnamọna fun iyoku ti ara. Awọn ẹni-kọọkan yoo bẹrẹ lati rin ni iyatọ ti wọn ba ni iṣoro tabi iyipada ninu ẹsẹ wọn. Wọ bata pẹlu atilẹyin aiṣedeede le mu irẹwẹsi ati yiya pọ si awọn iṣan ati awọn isẹpo, ti o yori si airọrun ati iṣipopada atubotan. Fun apẹẹrẹ, ṣe akiyesi iyatọ laarin iduro lori awọn ika ẹsẹ ni awọn igigirisẹ giga ati ipo ẹsẹ alapin adayeba. Awọn bata ti o ni itọsẹ daradara ṣe iranlọwọ lati fa ipa ati dinku awọn ifarabalẹ irora. Awọn titẹ lori ọkọọkan awọn isẹpo n yipada iwọntunwọnsi, eyiti o fa awọn iṣoro aisedeede pẹlu titẹ diẹ si diẹ ninu ati diẹ sii lori awọn miiran. Eyi ṣẹda aiṣedeede ti o nyorisi irora ati awọn ipo apapọ.
iduro
Mimu iduro ilera jẹ ifosiwewe miiran ni idilọwọ tabi dinku irora ẹhin. Pẹlu bata bata ti o tọ, ara le ṣetọju iduro ti o ni ilera ati ìsépo ti o tọ ni gbogbo ọpa ẹhin, ati pe o ṣe iranlọwọ fun pinpin iwuwo ni deede. Eyi ṣe abajade wahala ti o dinku lori awọn ligaments, awọn iṣan, ati awọn isẹpo. (Harvard Health Publishing. 2014) O gba ọ niyanju lati ri orthopedist lati gba gbongbo ipo ẹni kọọkan. Fun diẹ ninu awọn, disiki herniated, sciatica, ijamba mọto ayọkẹlẹ, isubu, ergonomics ti ko ni ilera, tabi apapo, ati awọn oran miiran ti o wa ni ipilẹ, le jẹ idasi si irora ẹhin wọn.
Awọn oriṣi bata ati Ipa wọn lori Pada
Bawo ni orisirisi awọn bata ṣe ni ipa iduro, ti o le fa tabi fifun irora pada.
Awọn igigirisẹ Titan
Awọn igigirisẹ giga le dajudaju ṣe alabapin si irora ẹhin. Wọn yi iduro ara pada, nfa ipa domino lori ọpa ẹhin. Iwọn ti ara ti wa ni iyipada lati mu titẹ sii lori awọn bọọlu ẹsẹ, ati titọpa ọpa ẹhin di iyipada. Awọn igigirisẹ giga tun ni ipa lori bi awọn kokosẹ, awọn ẽkun, ati ibadi ṣe nlọ nigbati o nrin, iwontunwonsi, ati bi awọn iṣan ẹhin ṣe nṣiṣẹ, gbogbo eyiti o le mu irora pada.
Alawọ bata
Awọn bata alapin le ma jẹ aṣayan ti o dara julọ fun ilera ọpa ẹhin. Ti wọn ko ba ni atilẹyin ar, wọn le fa ki ẹsẹ yi lọ si inu, ti a mọ si pronation. Eyi le ṣe alabapin si aiṣedeede, eyiti o le fa awọn ẽkun, ibadi, ati ẹhin isalẹ. Sibẹsibẹ, wọn le jẹ yiyan ti o tọ ti wọn ba pese atilẹyin ar. Nigbati o ba wọ bata batapọ pẹlu atilẹyin ilera, iwuwo ti pin ni deede lori awọn ẹsẹ ati ọpa ẹhin. Eyi ṣe iranlọwọ lati ṣetọju iduro to tọ, eyiti o le ṣe iranlọwọ lati dena ati / tabi mu irora pada.
Sneakers, Tẹnisi, ati Awọn bata elere idaraya
Sneakers, tẹnisi, ati awọn bata ere ije le ran lọwọ irora pada pẹlu itusilẹ ni kikun ati atilẹyin. Yiyan eyi ti o tọ ni ṣiṣe ipinnu iṣẹ ṣiṣe ti wọn yoo ṣe ninu wọn. Tẹnisi wa, ṣiṣe, bọọlu inu agbọn, bọọlu afẹsẹgba, bata iṣere lori yinyin, ati diẹ sii. Ṣe iwadii awọn ẹya wo ni yoo nilo fun ere idaraya tabi iṣẹ ṣiṣe. Eyi le pẹlu:
Awọn ago igigirisẹ
Timutimu insole
Ipilẹ jakejado
Awọn ẹya miiran lati pade awọn iwulo ẹsẹ kọọkan.
A ṣe iṣeduro pe ki awọn bata ere idaraya yipada ni gbogbo 300 si 500 km ti nrin tabi nṣiṣẹ tabi pẹlu awọn ami aiṣedeede eyikeyi nigbati a ba gbe sori ilẹ ti o nipọn, bi awọn atẹlẹsẹ ti a ti wọ ati awọn ohun elo ti o bajẹ le mu ipalara ti ipalara ati irora pada. (Ile-ẹkọ giga ti Ilu Amẹrika ti Oogun Idaraya Podiatric, 2024). Ti bata kan ba fi awọn ẹsẹ, ibadi, tabi awọn kokosẹ si ipo ti ko ni ẹda tabi ṣe idiwọ gbigbe deede, o le jẹ akoko lati rọpo wọn.
Yiyan awọn ọtun bata
Ojutu ti o dara julọ fun yiyan bata bata ni lati gba itupalẹ gait ati atunyẹwo bi o ṣe nrin ati ṣiṣe. Orisirisi awọn akosemose ilera le funni ni iṣẹ yii lati ṣe deede wiwa olukuluku kọọkan fun awọn bata to tọ fun irora ẹhin. Ni itupale gait, a beere lọwọ awọn eniyan kọọkan lati ṣiṣẹ ati rin, nigbakan lori kamẹra, lakoko ti alamọdaju kan ṣe akiyesi awọn iṣesi ti ara, bii nigbati ẹsẹ ba de ilẹ ati boya o yi lọ si inu tabi ita. Eyi n pese data lori ipo ti o kan, gbigbe, awọn ipele irora, iye ti o nilo atilẹyin arch, ati iru iru lati wọ lati ṣe iranlọwọ lati dena irora pada. Ni kete ti itupalẹ ba ti pari, yoo ṣe itọsọna fun ọ lori kini lati wa, gẹgẹbi iru ipele ti atilẹyin arch, giga igigirisẹ, tabi ohun elo ti o dara julọ fun ọ.
Ipalara Iṣoogun Chiropractic ati Ile-iwosan Isegun Iṣẹ-ṣiṣe ni amọja ni ilọsiwaju, awọn itọju gige-eti ati awọn ilana isọdọtun ti iṣẹ-ṣiṣe ti o dojukọ lori ẹkọ ẹkọ ẹkọ-ara, ilera lapapọ, ikẹkọ agbara ti o wulo, ati pipe pipe. A fojusi lori mimu-pada sipo awọn iṣẹ ara deede lẹhin ibalokanjẹ ati awọn ọgbẹ asọ. A lo Awọn Ilana Chiropractic Specialized, Awọn eto Nini alafia, Iṣẹ-ṣiṣe ati Isọpọ Ounjẹ, Agbara ati Amọdaju Amọdaju, ati Awọn ọna Imupadabọ fun gbogbo ọjọ-ori. Awọn eto wa jẹ adayeba ati lo agbara ara lati ṣaṣeyọri awọn ibi-afẹde kan pato dipo iṣafihan awọn kemikali ipalara, rirọpo homonu ariyanjiyan, awọn iṣẹ abẹ aifẹ, tabi awọn oogun afẹsodi. A ti darapọ mọ awọn dokita akọkọ ti ilu, awọn oniwosan, ati awọn olukọni lati pese awọn itọju to gaju ti o fun awọn alaisan wa ni agbara lati ṣetọju ọna igbesi aye ilera ti o dara julọ ati gbe igbesi aye iṣẹ ṣiṣe pẹlu agbara diẹ sii, iwa rere, oorun to dara, ati irora ti o dinku. .
Awọn anfani ti Lilo Ẹsẹ Orthotics Aṣa
jo
Awọn ile-iṣẹ fun Iṣakoso ati Idena Arun. (2019). Pada, ẹsẹ isalẹ, ati irora ẹsẹ oke laarin awọn agbalagba AMẸRIKA, 2019. Ti gba pada lati www.cdc.gov/nchs/products/databriefs/db415.htm
Fun awọn ẹni-kọọkan ti o n wọle si adaṣe, amọdaju, ati iṣẹ ṣiṣe ti ara, ṣe imọ bi glycogen ṣe n ṣe iranlọwọ ni imularada adaṣe?
Glycogen
Nigbati ara ba nilo agbara, o fa lori awọn ile itaja glycogen rẹ. Carbohydrate-kekere, awọn ounjẹ ketogeniki ati adaṣe lile npa awọn ile itaja glycogen jẹ, nfa ara lati ṣe iṣelọpọ ọra fun agbara. Glycogen jẹ ipese nipasẹ awọn carbohydrates ninu ounjẹ ẹni kọọkan ati pe a lo lati ṣe agbara ọpọlọ, iṣẹ ṣiṣe ti ara, ati awọn iṣẹ ti ara miiran. Awọn ohun elo ti a ṣe lati glukosi ti wa ni ipamọ ni akọkọ ninu ẹdọ ati awọn iṣan. Ohun ti a jẹ, igba melo, ati ipele iṣẹ ṣiṣe ni ipa bi ara ṣe tọju ati lo glycogen. Mimu-pada sipo glycogen lẹhin iṣẹ ṣiṣe ti ara tabi ṣiṣẹ jade jẹ apakan pataki ti ilana imularada. Ara le yara ṣe koriya glycogen lati awọn aaye ibi ipamọ wọnyi nigbati o nilo epo. Njẹ awọn carbohydrates to lati de awọn ibi-afẹde ilera ati awọn ipele iṣẹ ṣiṣe jẹ pataki fun aṣeyọri.
Kini Kini
O jẹ fọọmu ti glukosi tabi suga ti ara ti o fipamọ.
O ti wa ni ipamọ ninu ẹdọ ati awọn iṣan.
O jẹ akọkọ ti ara ati orisun agbara ti o fẹ.
O wa lati awọn carbohydrates ninu awọn ounjẹ ati awọn ohun mimu.
O ṣe lati ọpọlọpọ awọn sẹẹli glukosi ti o ni asopọ.
Isejade ati Ibi ipamọ
Pupọ awọn carbohydrates ti a jẹ ni iyipada si glukosi, eyiti o di orisun agbara akọkọ ti ara. Bibẹẹkọ, nigbati ara ko ba nilo idana, awọn ohun elo glukosi di awọn ẹwọn ti o sopọ mọ ti awọn ẹyọ glukosi mẹjọ si 12, ti o di moleku glycogen kan.
Awọn okunfa ilana
Njẹ ounjẹ ti o ni carbohydrate yoo mu awọn ipele glukosi ẹjẹ ga ni idahun.
Alekun glukosi n ṣe ifihan ti oronro lati gbejade hisulini, homonu ti o ṣe iranlọwọ fun awọn sẹẹli ti ara lati mu glukosi lati inu ẹjẹ fun agbara tabi ipamọ.
Ṣiṣẹda hisulini mu ki ẹdọ ati awọn sẹẹli iṣan ṣe iṣelọpọ enzymu kan ti a pe ni glycogen synthase, eyiti o so awọn ẹwọn glucose pọ.
Pẹlu glukosi ati hisulini ti o to, awọn ohun elo glycogen le ṣee jiṣẹ si ẹdọ, awọn iṣan, ati awọn sẹẹli ti o sanra fun ibi ipamọ.
Niwọn bi a ti rii pupọ julọ glycogen ninu awọn iṣan ati ẹdọ, iye ti a fipamọ sinu awọn sẹẹli wọnyi yatọ da lori ipele iṣẹ ṣiṣe, iye agbara ti a sun ni isinmi, ati awọn ounjẹ ti o jẹ. Awọn iṣan nipataki lo glycogen ti a fipamọ sinu iṣan, lakoko ti glycogen ti a fipamọ sinu ẹdọ ti pin kaakiri gbogbo ara, paapaa si ọpọlọ ati ọpa-ẹhin.
Lilo ara
Ara ṣe iyipada glukosi si glycogen nipasẹ ilana ti a pe ni glycogenesis. Lakoko ilana yii, ọpọlọpọ awọn enzymu ṣe iranlọwọ fun ara lati fọ glycogen ni glycogenolysis ki ara le lo. Ẹjẹ naa ni iye ti a ṣeto ti glukosi ti o ṣetan lati lọ ni eyikeyi akoko. Awọn ipele hisulini tun lọ silẹ nigbati ipele bẹrẹ lati kọ, boya lati ko jẹun tabi sisun glukosi lakoko adaṣe. Nigbati eyi ba ṣẹlẹ, enzymu kan ti a mọ si glycogen phosphorylase bẹrẹ fifọ glycogen si isalẹ lati fun ara pẹlu glukosi. Glucose lati ẹdọ glycogen di agbara akọkọ ti ara. Awọn fifun kukuru ti agbara lo glycogen, boya lakoko awọn sprints tabi gbigbe eru. (Bob Murray, Christine Rosenbloom, ọdun 2018) Ohun mimu-ọlọrọ-ọlọrọ carbohydrate le pese agbara lati ṣe adaṣe to gun ati ki o bọsipọ ni iyara. Olukuluku yẹ ki o jẹ ipanu lẹhin adaṣe pẹlu iye iwọntunwọnsi ti awọn carbohydrates lati tun awọn ile itaja glycogen kun. Ọpọlọ tun nlo glukosi fun agbara, pẹlu 20 si 25% ti glycogen ti nlọ si agbara ọpọlọ. (Manu S. Goyal, Marcus E. Raichle, ọdun 2018) Ilọra ọpọlọ tabi kurukuru ọpọlọ le dagbasoke nigbati ko ba jẹ awọn carbohydrates to. Nigbati awọn ile itaja glycogen ba dinku nipasẹ adaṣe tabi awọn kabu ti ko to, ara le ni rilara arẹwẹsi ati lọra ati boya ni iriri iṣesi ati awọn idamu oorun. (Hugh S. Winwood-Smith, Craig E. Franklin 2, Craig R. White, 2017)
Diet
Awọn ounjẹ wo ni a jẹ ati iye iṣẹ ṣiṣe ti ara ẹni kọọkan tun ni ipa lori iṣelọpọ glycogen. Awọn ipa le jẹ nla ti eniyan ba tẹle ounjẹ kekere-kabu, nibiti awọn carbohydrates, orisun akọkọ ti iṣelọpọ glukosi, ti ni ihamọ lojiji.
Rirẹ ati Ọpọlọ Fogi
Nigbati o ba bẹrẹ ounjẹ kekere-kabu, awọn ile itaja glycogen ti ara le dinku pupọ ati pe awọn eniyan kọọkan le ni iriri awọn ami aisan bi rirẹ ati kurukuru ọpọlọ. (Kristen E. D'Anci ati al., 2009)
Awọn aami aisan bẹrẹ lati dinku ni kete ti ara ba ṣatunṣe ati tunse awọn ile itaja glycogen rẹ.
Iwuwo Omi
Eyikeyi iye pipadanu iwuwo le ni ipa kanna lori awọn ile itaja glycogen.
Ni ibẹrẹ, awọn ẹni-kọọkan le ni iriri idinku iyara ni iwuwo.
Lori akoko, iwuwo le pẹlẹbẹ ati o ṣee ṣe alekun.
Iṣẹlẹ naa jẹ apakan nitori akopọ glycogen, eyiti o tun jẹ omi. Idinku glycogen ni iyara ni ibẹrẹ ti ounjẹ nfa isonu ti iwuwo omi. Ni akoko pupọ, awọn ile itaja glycogen ti wa ni isọdọtun, ati iwuwo omi yoo pada. Nigbati eyi ba ṣẹlẹ, pipadanu iwuwo le da duro tabi pẹtẹlẹ. Pipadanu ọra le tẹsiwaju laibikita ipa Plateau igba kukuru.
idaraya
Ti o ba n ṣe adaṣe adaṣe ti o nira, awọn ọgbọn wa lati ṣe iranlọwọ yago fun iṣẹ ṣiṣe ti o dinku ti o le ṣe iranlọwọ:
Carbo-ikojọpọ
Diẹ ninu awọn elere idaraya n gba iye awọn carbohydrates lọpọlọpọ ṣaaju ṣiṣe tabi idije.
Awọn carbohydrates afikun pese epo pupọ.
Ọna naa ti ṣubu kuro ni ojurere bi o ṣe le ja si iwuwo omi pupọ ati awọn ọran ounjẹ.
Awọn jeli glukosi
Awọn gels agbara ti o ni glycogen le ṣee jẹ ṣaaju tabi bi o ṣe nilo lakoko iṣẹlẹ lati mu awọn ipele glukosi ẹjẹ pọ si.
Fun apẹẹrẹ, awọn iyan agbara jẹ awọn afikun ti o munadoko fun awọn asare lati ṣe iranlọwọ lati mu iṣẹ pọ si lakoko awọn ṣiṣe gigun.
Ounjẹ Ketogenic Carb Kekere
Njẹ ounjẹ ti o ga ni ọra ati kekere ninu awọn carbohydrates le fi ara sinu ipo keto-aṣamubadọgba.
Ni ipo yii, ara bẹrẹ lati wọle si ọra ti o fipamọ fun agbara ati ki o gbẹkẹle glukosi diẹ fun idana.
Ni Iṣoogun Chiropractic Iṣoogun ati Ile-iwosan Ise Iṣẹ, awọn olupese wa lo ọna iṣọpọ lati ṣẹda awọn eto itọju ti ara ẹni fun ẹni kọọkan, nigbagbogbo pẹlu Oogun Iṣẹ, Acupuncture, Electro-Acupuncture, ati awọn ipilẹ Oogun Idaraya. Ero wa ni lati mu pada ilera ati iṣẹ si ara.
Idaraya Ounjẹ ati Onjẹ Idaraya
jo
Murray, B., & Rosenbloom, C. (2018). Awọn ipilẹ ti iṣelọpọ glycogen fun awọn olukọni ati awọn elere idaraya. Ounjẹ agbeyewo, 76 (4), 243-259. doi.org/10.1093/nutrit/nuy001
Goyal, MS, & Raichle, ME (2018). Awọn ibeere glukosi ti Ọpọlọ Eniyan Dagbasoke. Iwe akosile ti gastroenterology paediatric ati ounje, 66 Suppl 3 (Ipese 3), S46-S49. doi.org/10.1097/MPG.0000000000001875
Winwood-Smith, HS, Franklin, CE, & White, CR (2017). Ounjẹ carbohydrate-kekere nfa ibanujẹ ti iṣelọpọ agbara: ẹrọ ti o ṣeeṣe lati tọju glycogen. Iwe akọọlẹ Amẹrika ti Fisioloji. Ilana, isọpọ ati fisioloji afiwera, 313 (4), R347-R356. doi.org/10.1152/ajpregu.00067.2017
D'Anci, KE, Watts, KL, Kanarek, RB, & Taylor, HA (2009). Awọn ounjẹ pipadanu iwuwo-carbohydrate kekere. Awọn ipa lori imọ ati iṣesi. Ìfẹ́, 52 (1), 96–103. doi.org/10.1016/j.appet.2008.08.009
Fun awọn ẹni-kọọkan ti o ni idaamu pẹlu irora ẹhin ati awọn iṣoro, ṣe le mọ bi o ṣe le mu ilọsiwaju ati ṣetọju ilera disiki intervertebral ṣe iranlọwọ lati dinku awọn aami aisan bi?
Intervertebral Disiki Health
Ọwọn ọpa ẹhin ni awọn egungun gbigbe 24 ati awọn egungun 33 ti a npe ni vertebrae. Awọn egungun vertebral ti wa ni tolera lori ara wọn. Disiki intervertebral jẹ nkan isunmọ laarin awọn egungun ti o wa nitosi. (Dartmouth. Ọdun 2008)
Egungun
Awọn egungun vertebral jẹ kekere ati yika ni agbegbe ti a npe ni ara vertebral. Ni ẹhin ni oruka egungun kan lati eyiti awọn itọsi fa siwaju ati awọn arches ati awọn ipa ọna ti ṣẹda. Eto kọọkan ni awọn idi kan tabi diẹ sii ati pẹlu: (Waxenbaum JA, Reddy V, Williams C, ati al., 2023)
Iduroṣinṣin ọpa ẹhin.
Pese aaye kan fun àsopọ asopọ ati awọn iṣan ẹhin lati so.
Pese eefin kan fun ọpa-ẹhin lati kọja nipasẹ mimọ.
Pese aaye kan nibiti awọn iṣan jade ati ti eka si gbogbo awọn agbegbe ti ara.
be
Disiki intervertebral jẹ imuduro ti o joko laarin awọn vertebrae. Awọn apẹrẹ ti ọpa ẹhin ngbanilaaye lati gbe ni awọn itọnisọna pupọ:
Flexion tabi atunse
Itẹsiwaju tabi arching
Gbigbọn ati yiyi tabi lilọ.
Awọn ipa ti o ni agbara ṣiṣẹ lori ati ni ipa lori ọwọn ọpa ẹhin lati gbe awọn agbeka wọnyi jade. Disiki intervertebral n gba mọnamọna lakoko gbigbe ati aabo fun awọn vertebrae ati ọpa-ẹhin lati ipalara ati / tabi ibalokanjẹ.
Agbara
Ni ita, awọn okun okun ti o lagbara ti o lagbara ṣe agbegbe ti a npe ni fibrosis annulus. Fibrosis annulus ni ati aabo fun nkan jeli rirọ ni aarin, nucleus pulposus. (YS Nosikova et al., 2012) Nucleus pulposis n pese ifasilẹ-mọnamọna, irọrun, ati pliability, paapaa labẹ titẹ lakoko gbigbe ọpa ẹhin.
Mechanics
Nucleus pulposus jẹ nkan jeli rirọ ti o wa ni aarin disiki ti o fun laaye elasticity ati irọrun labẹ awọn ipa aapọn lati fa titẹ. (Nedresky D, Reddy V, Singh G. 2024) Iṣe swivel ṣe iyipada titan ati yiyi ti vertebra loke ati ni isalẹ, fifin awọn ipa ti iṣipopada ọpa-ẹhin. Awọn disiki naa yipada ni idahun si itọsọna ti ọpa ẹhin n gbe. Nucleus pulposus jẹ omi pupọ julọ, eyiti o nlọ sinu ati jade nipasẹ awọn pores kekere, ti n ṣiṣẹ bi awọn ọna-ọna laarin awọn vertebra ati egungun disiki. Awọn ipo ara ti o ṣaja ọpa ẹhin, bi joko ati duro, Titari omi jade kuro ninu disiki naa. Ti o dubulẹ lori ẹhin tabi ni ipo ti o wa ni irọra n ṣe atunṣe omi sinu disiki naa. Bi ara ṣe n dagba, awọn disiki naa padanu omi /gbẹ, yori si disiki degeneration. Disiki intervertebral ko ni ipese ẹjẹ, eyiti o tumọ si pe fun disiki kan lati gba ounjẹ to wulo ati fun yiyọkuro egbin, o gbọdọ gbarale sisan omi lati wa ni ilera.
itọju
Diẹ ninu awọn ọna ti mimu ilera disiki intervertebral pẹlu:
San ifojusi si iduro.
Yiyipada awọn ipo nigbagbogbo jakejado ọjọ.
Idaraya ati gbigbe ni ayika.
Lilo awọn ẹrọ ara ti o pe si awọn iṣẹ ṣiṣe ti ara.
Sisun lori matiresi atilẹyin.
Mimu opolopo ti omi.
Njẹ ni ilera.
Mimu iwuwo ilera.
Mimu oti ni iwọntunwọnsi.
Kuro fun siga.
Ni Iṣoogun Iṣoogun Chiropractic ati Ile-iwosan Ise Iṣẹ, a tọju awọn ipalara ati awọn iṣọn irora onibaje nipa imudarasi agbara ẹni kọọkan nipasẹ irọrun, iṣipopada, ati awọn eto agility ti a ṣe fun gbogbo awọn ẹgbẹ ọjọ-ori ati awọn alaabo. Ẹgbẹ wa ti chiropractic, awọn eto itọju, ati awọn iṣẹ iwosan jẹ amọja ati idojukọ lori awọn ipalara ati ilana imularada pipe. Awọn agbegbe ti iṣe wa pẹlu Nini alafia & Ounjẹ, Acupuncture, Irora Onibaje, Ipalara ti ara ẹni, Itọju Ijamba Aifọwọyi, Awọn ipalara Iṣẹ, Ipalara Pada, Irora Irẹlẹ kekere, irora ọrun, Awọn orififo Migraine, Awọn ipalara ere idaraya, Sciatica ti o lagbara, Scoliosis, Awọn disiki Herniated Complex, Fibromyalgia , Irora Alailowaya, Awọn ipalara ti o pọju, iṣakoso wahala, Awọn itọju Oogun iṣẹ-ṣiṣe, ati awọn ilana itọju ti o wa ni iwọn. Ti o ba nilo itọju miiran, awọn ẹni-kọọkan yoo tọka si ile-iwosan tabi dokita ti o baamu julọ si ipalara wọn, ipo, ati/tabi ailera.
Waxenbaum, JA, Reddy, V., Williams, C., & Futterman, B. (2024). Anatomi, Pada, Lumbar Vertebrae. Ninu StatPearls. www.ncbi.nlm.nih.gov/pubmed/29083618
Nosikova, YS, Santerre, JP, Grynpas, M., Gibson, G., & Kandel, RA (2012). Iwa ti annulus fibrosus-vertebral body ni wiwo: idanimọ ti awọn ẹya ara ẹrọ titun. Iwe akosile ti anatomi, 221 (6), 577-589. doi.org/10.1111/j.1469-7580.2012.01537.x
Ọpa Iṣẹ iṣe ti IFM wa ni nẹtiwọọki itọkasi ti o tobi julọ ni Oogun Iṣẹ iṣe, ti a ṣẹda lati ṣe iranlọwọ fun awọn alaisan lati wa awọn oṣiṣẹ Oogun Iṣẹ iṣe nibikibi ni agbaye. IFM Awọn oṣiṣẹ ti o ni ifọwọsi ni atokọ ni akọkọ ninu awọn abajade wiwa, ti a fun ni ẹkọ gbooro wọn ni Oogun Iṣẹ iṣe
Awọn oriṣi bata ati Ipa wọn lori Pada
Agbara
