Kodi Piriformis Syndrome Ingakhale Chifukwa cha Ululu Wanu M'chiuno?

Zamkati

• WTF ndi piriformis?
• Kodi piriformis syndrome ndi chiyani?
• Nchiyani chimayambitsa piriformis syndrome?
• Kodi matenda a piriformis amapezeka bwanji?
• Kodi matenda a piriformis amachiritsidwa ndikupewa bwanji?
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Ndi nyengo ya marathon ndipo izi zikutanthauza kuti othamanga akuthamanga kwambiri kuposa kale lonse. Ngati mumakhala pafupipafupi, mwina mudamvapo za (ndi / kapena kudwala) kuwonongeka kovulala komwe kumachitika chifukwa cha plantar fasciitis, iliotibial band (IT band) syndrome, kapena bondo lothamanga kwambiri . Koma palinso vuto lina lopweteka kwenikweni lomwe limatchedwa piriformis syndrome lomwe lingakhale likubisala-ndipo likhoza kukuvutitsani kaya ndinu othamanga kapena ayi.

Ngati muli ndi glute kunja kapena kupweteka kwa msana, pali mwayi kuti muli ndi piriformis. Pezani zomwe zimatanthauza, chifukwa chomwe mungakhalire nayo, ndi momwe mungayambitsire kuphwanya zolinga zanu zolimbitsa thupi, zopanda ululu.

WTF ndi piriformis?

Anthu ambiri amaganiza kuti matako awo ndi gluteus maximus basi - koma ngakhale ili ndiye minyewa yayikulu kwambiri, sichokhacho. Chimodzi mwazomwezi ndi piriformis, kanyama kakang'ono mkati mwanu kamene kamagwirizanitsa kutsogolo kwa sacrum yanu (fupa pafupi ndi pansi pa msana wanu, pamwamba pamtsempha) mpaka kunja kwa chikazi (thambo) lanu, malinga ndi Clifford Stark, DO, director director ku Sports Medicine ku Chelsea ku New York City. Ndi umodzi mwaminye mwa minyewa isanu ndi umodzi yomwe imazungulira ndi kukhazikika m'chiuno mwanu, akuwonjezera a Jeff Yellin, othandizira thupi komanso oyang'anira madera a Professional Physical Therapy.

Kodi piriformis syndrome ndi chiyani?

Minofu ya piriformis ili mkati mwamkati mwanu ndipo, kwa anthu ambiri, imayenda molunjika pamwamba pa mitsempha yambiri (mitsempha yayitali kwambiri komanso yayikulu kwambiri mthupi la munthu, yomwe imachokera pansi pa msana wanu mpaka miyendo yanu kupita akutero Yellin. Kutupa kwa minofu, kumangika, kusayenda bwino, kapena kutupa kwa piriformis kumatha kupondereza kapena kukhumudwitsa mitsempha yam'mimba, kutumiza kupweteka, kulira, kapena kufooka kudzera m'chiuno mwako, ndipo nthawi zina kumbuyo ndi mwendo. Mudzamva zowawa nthawi iliyonse minofu ikagwidwa-nthawi zambiri, kungoyima ndi kuyenda-kapena panthawi yothamanga kapena kuchita masewera olimbitsa thupi monga mapapu, masitepe, squats, ndi zina zotero.

Nchiyani chimayambitsa piriformis syndrome?

Nkhani yoyipa: Matupi anu atha kukhala olakwa. Sikuti mitsempha ya anthu onse yomwe imadwaladwala matenda am'mimba chifukwa cha piriformis - pali kutengera kofananako komwe minyewa imadutsa mderali yomwe imatha kukuyambitsa matenda a piriformis, atero Dr. Stark. Pafupifupi 22 peresenti ya anthu, mitsempha ya sciatic sikuti imangoyenda pansi pa piriformis, koma imapyoza minofu, imagawaniza piriformis, kapena zonse ziwiri, zomwe zimawapangitsa kukhala ndi vuto la piriformis syndrome, malinga ndi kafukufuku wa 2008 wofalitsidwa mu Zolemba pa American Osteopathic Association. Ndipo chitumbuwa pamwamba: Matenda a Piriformis nawonso amapezeka kwambiri mwa akazi kuposa amuna.

Anatomy pambali, zovuta zilizonse zamtundu wa piriformis zitha kukhumudwitsa mitsempha yamtunduwu: "Zitha kukhala zopitilira muyeso, pomwe mukungogwiritsa ntchito minofu mwamphamvu ndipo imawuma ndipo ilibe kuthekera koti igwere, kutumphuka, ndikutambasula momwe ikuyenera kutero , zomwe zimapanikiza minyewa," akutero Yellin. Kungakhalenso kusalinganika kwa minofu mkati mwa chiuno. "Ndili ndi minofu yaying'ono yambiri m'chiuno ndi kumbuyo, ngati wina akugwira ntchito mopitilira muyeso ndipo wina akugwiridwa ntchito ndipo mukupitiliza kupanga zolakwikazo, zomwe zitha kupanganso zizindikilo," akutero.

Vutoli ndilofala makamaka kwa othamanga, chifukwa cha ma biomechanics omwe amaseweredwa: "Nthawi iliyonse mukapita patsogolo ndikutera mwendo umodzi, mwendo wakutsogolowo umafuna kutembenukira mkati ndikugwa pansi ndikulowa mkati chifukwa champhamvu kwambiri komanso zomwe zimachitika," akuti Yellin. "Pamenepa, piriformis imagwira ntchito ngati mphamvu yokhazikika, yozungulira kunja kwa chiuno ndikuletsa mwendo umenewo kuti usagwe pansi ndi mkati." Pamene kusuntha uku kumabwerezedwa mobwerezabwereza, piriformis ikhoza kukwiyitsa.

Koma othamanga siwo okha omwe ali pachiwopsezo: Zinthu zonse-kukhala nthawi yayitali, kukwera ndi kutsika masitepe, ndi masewera olimbitsa thupi - zitha kuyambitsa zovuta mu piriformis.

Kodi matenda a piriformis amapezeka bwanji?

Tsoka ilo, chifukwa zizindikiro zomwezi zimatha kukhala mbendera zofiira pazinthu zina (monga disc ya herniated kapena bulging m'munsi mwa msana), matenda a piriformis amatha kukhala ovuta kuwazindikira, atero Dr. Stark.

"Ngakhale mayesero owonetsera matenda monga MRIs akhoza kusocheretsa, chifukwa nthawi zambiri amavumbulutsa matenda a disc omwe sangakhale oyambitsa zizindikiro, ndipo nthawi zina pali zifukwa zingapo zomwe zimayambitsa vutoli," akutero.

Ngati mukuganiza kuti piriformis ikuchitapo kanthu, kubetcha kwanu kwabwino ndikuwonetsedwera ndi dokotala, akutero Yellin. Simukufuna kuti muyambe kulingalira ndikudzifufuza nokha chifukwa chotheka kuti ndi imodzi mwazovuta zina zazikuluzikulu monga kuvulala kwa disc kapena minyewa yamsana.

Kodi matenda a piriformis amachiritsidwa ndikupewa bwanji?

Mwamwayi, pali zinthu zina zosavuta zomwe mungachite kuti muchepetse komanso kuchepetsa (ngakhale simachiza) piriformis syndrome:

1. Tambasulani, tambasulani, tambasulani: Inu anyamata—siyani kulumpha kutambasula kwanu pambuyo pothamanga. Ndi chimodzi mwazinthu zisanu zomwe othandizira onse amafunafuna othamanga kuti apewe kuvulala. Mabetcha anu awiri abwino kwambiri otambasulira piriformis ija? Chithunzi chachinayi ndikutulutsa njiwa, atero Yellin. Chitani kubwereza katatu kapena kasanu, kugwira masekondi 30 aliyense. (Mukadali pano, onjezerani izi 11 yoga imakhala yabwino kwa othamanga kuzomwe mumachita.)
2. Ntchito yofewa: "Tangoganizani kupeza mfundo mu nsapato yanu ya nsapato," akutero Yellin. "Chimachitika ndi chiani ukakoka chingwecho? Chimayamba kulimbikira. Nthawi zina kungodzitambasula sikokwanira, ndipo uyenera kuloza malo enieni." Kukonza? Yesani kumasulidwa kwa myofascial (ndi chodzigudubuza chothovu kapena mpira wa lacrosse) kapena muwone wothandizira kutikita minofu kuti amasulidwe. (Basi musatero thovu sungani gulu lanu la IT.)
3. Sinthani kusamvana kwanu kwa minofu. Omenyera nkhondo ambiri kumapeto kwa sabata (anthu omwe ali ndi ntchito zapa desiki omwe amakhala akugwira ntchito kunja kwa ofesi) amakhala ndi zotchinga zolimba kuti azikhala tsiku lonse, atero a Yellin, zomwe zitha kutanthauza kuti nawonso amakhala ndi zotupa zopanda pake. Mutha kufotokoza izi ndi kusalinganika kwina kwa minofu mwakuwonana ndi dokotala wamankhwala. (Mutha kuchita DIY pang'ono kunyumba ndi masitepe asanu awa kuti musafanane ndi minofu, koma katswiri akhoza kukupatsani ntchito yonse.)

Ingokumbukirani kuti awa si njira yokhazikika: "Zili ngati chilichonse chokhala ndi mphamvu komanso kusinthasintha: Mumayika zonsezo kuti mupindule," akutero Yellin. Mukasiya kuchita zotambasula kapena zolimbitsa thupi zomwe zidathandizira kuthetsa matenda anu a piriformis, pali mwayi wobwereranso, akutero.

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