I-Foot Orthotics
I-Back Clinic Foot orthotics Lezi yizicathulo ezifakwayo ezenziwe ngokwezifiso ezicacisweni zezokwelapha. Ama-orthotic enziwe ngokwezifiso abhekwa njengesebenza kakhulu futhi enziwe ngekhwalithi ephezulu kunama-orthotic enziwe ngaphambilini.
Ama-orthotics enziwe ngokwezifiso angakwazi:
Lungisa ukuhamba okungavamile noma ukuhambahamba Nciphisa ubuhlungu Vimbela futhi uvikele ukukhubazeka kwezinyawo/izinyawo Ukuqondanisa okungcono Susa ukucindezela onyaweni/ ezinyaweni Thuthukisa ukukhanda konyawo
Ubuhlungu bezinyawo bungavela ekulimaleni, isifo, noma isimo, kodwa imbangela yobuhlungu bonyawo yilokho udokotela afuna ukukwazi ukuze azi ukuthi hlobo luni lwe-orthotic okufanele aluklame. Okufakiwe kwenziwa ngokuthatha umbono wonyawo/unyawo ngesikena se-3-D.
Uhlushwa izinhlungu ezinyaweni, ezingaholela ezinkingeni zomlenze, inqulu, nomgogodla, khona-ke ama-orthotics angabamba ukhiye wempilo enhle. Ngokuqala ukusuka phansi ukuya phezulu ama-orthotics onyawo angavimbela noma yiziphi izinkinga/izinkinga futhi akhulule noma ibuphi ubuhlungu. Kuyinketho okufanele icatshangelwe futhi kufanele kuxoxwe ngayo nodokotela wakho.
by UDkt Alex Jimenez I-Foot Orthotics , Ubuhlungu Emuva Emuva
Izicathulo zingabangela ubuhlungu obuphansi emuva nezinkinga kwabanye abantu. Ingabe ukuqonda ukuhlobana phakathi kwezinkinga zezicathulo nezasemuva kungasiza abantu ukuba bathole izicathulo ezifanele ukuze balondoloze impilo yasemuva futhi bakhulule izinhlungu?
Izinyawo Ezibuhlungu Emuva
Umhlane unikeza amandla emisebenzi yomzimba. Ubuhlungu beqolo buthinta impilo yansuku zonke futhi bungaba nezimbangela ezihlukahlukene. Ukuma okungenampilo, ukuhamba, ukusonteka, ukuphenduka, ukugoba, nokufinyelela kungaba nomthelela ezinkingeni zeqolo ezibangela ubuhlungu. Ngokusho kwe-CDC, i-39% yabantu abadala ibika ukuthi iphila nobuhlungu emuva (Izikhungo Zokulawulwa Kwezifo Nezifo, i-2019 ). Izicathulo ezingafaneleki nazo zingaba nomthelela ebuhlungu beqolo. Ukukhetha izicathulo ngokucophelela kungasiza ukuletha ukukhululeka kobuhlungu futhi kusize ekugcineni impilo yomgogodla. Abantu ngabanye bangajabulela ubuhlungu obuncane futhi baphathe izimpawu ngokukhetha izicathulo ezigcina ukuhleleka komgogodla futhi zivikele izinyawo kumthelela onzima.
Ukuqonda I-Back Pain-Footwear Connection
Izicathulo ezingafaneleki kungaba yimbangela yezinhlungu ezingezansi. Okuthinta amathambo angaphansi kwesistimu ye-neuromusculoskeletal kukhanya phezulu futhi kuthinte umgogodla nemisipha yangemuva. Iziphi izicathulo ezisetshenziswayo zihambela phezulu, zibe nomthelela ekuhambeni, ukuma, ukuqondanisa umgogodla, nokunye. Lapho izinkinga zangemuva zivela ezinyaweni, lezi yizinkinga ze-biomechanical. I-Biomechanics isho ukuthi amathambo, amalunga, nemisipha kusebenza kanjani ndawonye nokuthi izinguquko zamandla angaphandle ziwuthinta kanjani umzimba.
Movement
Lapho izinyawo zithinta phansi, zingamaphethelo okuqala okumunca ukushaqeka kwawo wonke umzimba. Abantu bazoqala ukuhamba ngendlela ehlukile uma benenkinga noma beshintsha izinyawo. Ukugqoka izicathulo ezinokwesekwa okungalungile kungandisa ukuguga nokudilika emisipha nasemalungeni, okuholela ekuhambeni okungahambi kahle nokungajwayelekile. Isibonelo, cabanga umehluko phakathi kokuma kuma-tiptoes ezithendeni eziphakeme kanye nesimo semvelo sonyawo oluyisicaba. Izicathulo eziboshwe kahle zisiza ukumunca umthelela futhi zinciphise imizwa yobuhlungu. Izingcindezi kulungu ngalinye zishintsha ibhalansi, okubangela izinkinga zokungazinzi ngokucindezela okuncane kokunye nokunye okwengeziwe. Lokhu kudala ukungalingani okuholela ebuhlungu nezimo ezihlangene.
indlela yekuma
Ukugcina ukuma okunempilo kungenye into ekuvimbeleni noma ekudambiseni ubuhlungu beqolo. Ngezicathulo ezifanele, umzimba ungakwazi ukugcina ukuma okunempilo kanye nokugoba okulungile kuwo wonke umgogodla, futhi kusiza ukusabalalisa isisindo ngokulinganayo. Lokhu kubangela ukuncipha kwengcindezi emithanjeni, emisipha, namalunga. (I-Harvard Health Publishing. 2014 ) Kunconywa ukubonana nodokotela wamathambo ukuze uthole umsuka wesimo somuntu. Kwabanye, i-disc ye-herniated, i-sciatica, ukushayisana kwezimoto, ukuwa, i-ergonomics engenampilo, noma inhlanganisela, kanye nezinye izinkinga ezingaphansi, kungase kube nomthelela ebuhlungu babo emuva.
Ukuthi izicathulo ezihlukahlukene zikuthinta kanjani ukuma, okungase kubangele noma kudambise ubuhlungu beqolo.
Izindwangu eziphakeme
Izithende eziphakeme zingaba nomthelela ebuhlungu emuva. Bashintsha ukuma komzimba, okubangela umphumela we-domino emgogodleni. Isisindo somzimba siyashintshwa ukuze kwandiswe ingcindezi emabholeni ezinyawo, nokuhleleka komgogodla kuyashintsha. Izithende eziphakeme ziphinde zibe nomthelela endleleni amaqakala, amadolo, nezinqulu ezihamba ngayo lapho uhamba, ukulinganisa, nendlela imisipha yangemuva esebenza ngayo, konke okungaba buhlungu kakhulu ubuhlungu beqolo.
Izicucu zeFlat
Izicathulo eziyisicaba zingase zingabi yisinqumo esingcono kakhulu sempilo yomgogodla. Uma bengenakho ukwesekwa kwe-arch, bangabangela unyawo ukuba lugingqikele ngaphakathi, olubizwa ngokuthi i-pronation. Lokhu kungaba nomthelela ekungaqondiseni kahle, okungase kucindezele amadolo, izinqulu, nomhlane ophansi. Kodwa-ke, bangaba yisinqumo esihle uma benikeza ukwesekwa kwe-arch. Uma ugqoke izicathulo eziyisicaba ngokusekelwa okunempilo, isisindo sisatshalaliswa ngokulinganayo ezinyaweni nasemgogodleni. Lokhu kusiza ukugcina ukuma okulungile, okungasiza ekuvimbeleni kanye/noma ekudambiseni ubuhlungu beqolo.
Amateki, Ithenisi, Nezicathulo Zokusubatha
Izitebhisi, ithenisi, kanye izicathulo zemidlalo ingadambisa izinhlungu zomhlane ngokucofa nokusekela ngokuphelele. Ukukhetha ezifanele kuhlanganisa nokunquma umsebenzi ozokwenziwa kuzo. Kukhona ithenisi, ukugijima, i-basketball, i-pickleball, izicathulo ze-skating, nokunye. Cwaninga ukuthi yiziphi izici ezizodingeka emdlalweni noma umsebenzi. Lokhu kungase kuhlanganise:
Izindebe zesithende
I-insole cushioning
Isisekelo esibanzi
Ezinye izici ukuhlangabezana nezidingo zonyawo ngalunye.
Kunconywa ukuthi izicathulo zezemidlalo zishintshwe njalo ngamamayela angu-300 kuya kwangu-500 wokuhamba noma ukugijima noma nganoma yiziphi izimpawu zokungalingani lapho zibekwe endaweni eyisicaba, njengoba ama-soles agugile nezinto ezonakele zingandisa ingozi yokulimala nobuhlungu emuva. (I-American Academy of Podiatric Sports Medicine, 2024 ). Uma umbhangqwana othile ubeka imilenze, izinqulu, noma amaqakala endaweni engeyona eyemvelo noma uphazamisa ukunyakaza okuvamile, kungase kube isikhathi sokuwabuyisela.
Ukukhetha Izicathulo Ezilungile
Isixazululo esikahle sokukhetha ukugqoka izicathulo ukuthola ukuhlaziywa kwe-gait kanye nokubuyekezwa kokuthi uhamba futhi ugijima kanjani. Ochwepheshe abahlukahlukene bezokunakekelwa kwempilo bangase banikeze le sevisi ukuze bahlanganise ukusesha komuntu ngamunye izicathulo ezifanele zobuhlungu beqolo. Ekuhlaziyeni ukuhambahamba, abantu bayacelwa ukuthi bagijime futhi bahambe, ngezinye izikhathi ngekhamera, kuyilapho uchwepheshe ephawula ukuthambekela komzimba, njengalapho unyawo lushaya phansi nokuthi lugingqika ngaphakathi noma ngaphandle. Lokhu kunikeza idatha mayelana nokuma okuthintekile, ukunyakaza, amazinga obuhlungu, ukuthi kungakanani ukusekelwa kwe-arch okudingekayo, nokuthi yiluphi uhlobo oluzogqoka ukuze kusize ukuvimbela ubuhlungu emuva. Uma ukuhlaziya sekuqediwe, kuzokuqondisa ukuthi yini okufanele uyibheke, njengokuthi yiliphi izinga lokusekelwa kwe-arch, ukuphakama kwesithende, noma impahla ekulungele wena.
I-Injury Medical Chiropractic kanye ne-Functional Medicine Clinic igxile ekwelashweni okuthuthukayo, okusezingeni eliphezulu kanye nezinqubo zokuvuselela ukusebenza ezigxile ku-physiology yomtholampilo, impilo ephelele, ukuqeqeshwa kwamandla okusebenzayo, kanye nesimo esiphelele. Sigxila ekubuyiseleni imisebenzi evamile yomzimba ngemva kokulimala kanye nokulimala kwezicubu ezithambile. Sisebenzisa i-Specialized Chiropractic Protocols, Wellness Programs, Functional and Integrated Nutrition, Agility kanye nokuhamba Ukuqeqeshwa Kokufaneleka, kanye Nezinhlelo Zokubuyisela esimweni sayo yonke iminyaka. Izinhlelo zethu zingokwemvelo futhi zisebenzisa ikhono lomzimba lokufinyelela imigomo ethile elinganiselwe kunokwethula amakhemikhali ayingozi, ukushintshwa kwama-hormone okuyimpikiswano, ukuhlinzwa okungafunwa, noma izidakamizwa eziluthayo. Sihlanganyele nodokotela abakhulu bedolobha, abelaphi, nabaqeqeshi ukuze sinikeze ukwelashwa kwekhwalithi ephezulu okunika iziguli zethu amandla okugcina indlela enempilo yokuphila futhi ziphile ukuphila okusebenzayo okunamandla engeziwe, isimo sengqondo esihle, ukulala okungcono, nobuhlungu obuncane. .
Izinzuzo Zokusebenzisa I-Custom Foot Orthotics
VIDEO
Okubhekwayo
Centers for Disease Control and Prevention. (2019). Iqolo, isitho esingezansi, nobuhlungu besitho esingaphezulu phakathi kwabantu abadala base-US, 2019. Kubuyiswe kusukela www.cdc.gov/nchs/products/databriefs/db415.htm
I-Harvard Health Publishing. (2014). Ukuma nempilo yasemhlane. Imfundo Yezempilo yaseHarvard. www.health.harvard.edu/pain/posture-and-back-health
I-American Academy ye-Podiatric Sports Medicine. Ayne Furman, DF, AAPSM. (2024). Ngazi kanjani uma sekuyisikhathi sokushintsha izicathulo zami ze-athletic?
by UDkt Alex Jimenez I-Chiropractic , Ubuhlungu obungapheliyo , I-Foot Orthotics , I-Hip Pain & Ukuphazamiseka , Ukwelashwa , I-Viscerosomatic Reflex
Ingabe iziguli ze-plantar fasciitis zingafaka ukwelapha okungezona ukuhlinzwa ukuze kuncishiswe ubuhlungu be-hip nokubuyisela ukuhamba?
Isingeniso
Wonke umuntu umi ngezinyawo njalo njengoba kusiza abantu ukuthi bahlale behamba futhi kubavumela ukuthi basuke endaweni eyodwa baye kwenye. Abantu abaningi bahlala bemi ngezinyawo kusukela ebuntwaneni kuze kube abantu abadala. Lokhu kungenxa yokuthi izinyawo ziyingxenye yemikhawulo engezansi ye-musculoskeletal ezinzisa okhalweni futhi ivumela ukusebenza kwe-sensory-motor emilenzeni, emathangeni, nasematholeni. Izinyawo nazo zinemisipha ehlukahlukene, ama-tendon, nemigqa ezungeze isakhiwo samathambo ukuvimbela ubuhlungu nokungakhululeki. Kodwa-ke, lapho ukunyakaza okuphindaphindiwe noma ukulimala kuqala kuthinta izinyawo, kungaholela ku-plantar fasciitis futhi, ngokuhamba kwesikhathi, kubangele amaphrofayli ezingozi ezidlulanayo eziholela ebuhlungu be-hip. Uma abantu bebhekene nalezi zimo ezinjengobuhlungu, zingathinta kakhulu imisebenzi yabo yansuku zonke kanye nekhwalithi yokuphila iyonke. Uma lokhu kwenzeka, abantu abaningi bafuna ukwelashwa okuhlukahlukene ukuze banciphise izimpawu ezinjengezinhlungu ezibangelwa i-plantar fasciitis nokubuyisela ukuhamba kwe-hip. Isihloko sanamuhla sibheka ukuthi i-plantar fasciitis ihlobana kanjani nobuhlungu be-hip, ukuxhumana phakathi kwezinyawo nezinqulu, nokuthi kunezixazululo ezingezona zokuhlinzwa zokunciphisa i-plantar fasciitis. Sikhuluma nabahlinzeki bezokwelapha abaqinisekisiwe abahlanganisa ulwazi lweziguli zethu ukuze sihlole ukuthi singayinciphisa kanjani i-plantar fasciitis nokubuyisela ukuhamba kwe-hip. Siphinde sazise futhi siqondise iziguli ukuthi ziningi kangakanani izindlela zokwelapha ezingahlinzeki ezingasiza ukuqinisa imisipha ebuthakathaka ehambisana ne-plantar fasciitis futhi kusize ekubuyiseleni ukuzinza ebuhlungwini be-hip. Sikhuthaza iziguli zethu ukuthi zibuze abahlinzeki bazo bezokwelapha abahlobene imibuzo eyinkimbinkimbi nebalulekile mayelana nokuhlanganisa izinguquko ezincane ukuze kuncishiswe imiphumela efana nobuhlungu ebangelwa yi-plantar fasciitis. UDkt. Jimenez, DC, uhlanganisa lolu lwazi njengesevisi yezemfundo. Disclaimer .
I-Plantar Fasciitis Ihlobana Kanjani Nobuhlungu Be-Hip
Ingabe uzwa ubuhlungu ezithendeni zakho njalo ngemva kokuhamba isikhathi eside? Ingabe uzwa ukuqina ezinqulwini zakho lapho uzilula? Noma uzwa ukuthi izicathulo zakho zibanga ukungezwani nobuhlungu ezinyaweni nasematholeni? Ngokuvamile, eziningi zalezi zimo ezinjengezinhlungu zibangelwa abantu ababhekene ne-plantar fasciitis, ebonakala ngobuhlungu besithende ngenxa yokuvuvukala noma ukucasuka okuwohlokayo kwe-plantar fascia, ibhande lezicubu eziwugqinsi ligijima liwela phansi onyaweni futhi lixhuma ithambo lesithende ezinzwaneni emaphethelweni aphansi. Leli bhande lezicubu lidlala indima ebalulekile emzimbeni, lihlinzeka nge-biomechanics evamile onyaweni ngenkathi lisekela i-arch futhi lisiza ngokumuncwa ukushaqeka. ( UBuchanan et al., 2024 ) I-Plantar fasciitis ingathinta ukuzinza kwemigqa ephansi kusukela ubuhlungu buthinta izinyawo futhi bubangele ubuhlungu be-hip.
Ngakho-ke, i-plantar fasciitis ingahlotshaniswa kanjani nobuhlungu be-hip? Nge-plantar fasciitis, abantu abaningi bazwa ubuhlungu ezinyaweni zabo. Kungaholela ekumeni kwezinyawo okungavamile, ubuthakathaka bemisipha ephansi, nokucindezeleka kwemisipha okunganciphisa ukuzinza kwemilenze nemisipha ye-hip. ( U-Lee et al., 2022 ) Ngobuhlungu be-hip, abantu abaningi bangathola ukungasebenzi kahle kwe-gait okubangela ubuthakathaka bemisipha emaphethelweni aphansi futhi kubangele imisipha ye-accessory ukwenza imisebenzi yemisipha eyinhloko. Kuze kube yileso sikhathi, lokhu kuphoqa abantu ukuthi balahle phansi lapho behamba. ( Ahuja et al., 2020 ) Lokhu kungenxa yokuthi izimo ezivamile ezifana nokuguga kwemvelo, ukusetshenziswa ngokweqile kwemisipha, noma ukuhlukumezeka kungabangela izimpawu ezinjengezinhlungu ezinqulwini, kuhlanganise nokungahambi kahle emathangeni, emathangeni, nasezinqeni esifundeni, ukuqina kwamalunga, nokunciphisa ububanzi bokunyakaza. Ubuhlungu be-Hip bungabangela amaphrofayli ezingozi ezeqile angase ahlanganise ukuphindaphinda kwezinyawo ezinyaweni, ngaleyo ndlela kuholele ezimpawu zokuqaqamba okubukhali kuya ebuthuntuni esithendeni.
Ukuxhumana Phakathi Kwezinyawo Nezinqulu
Kubalulekile ukuqonda ukuthi izinkinga zezinyawo ezifana ne-plantar fasciitis zingathinta okhalweni futhi ngokuphambene nalokho, njengoba zombili izifunda zomzimba zinobudlelwane obuhle ngaphakathi kwesistimu ye-musculoskeletal. I-Plantar fasciitis ezinyaweni zabo ingashintsha umsebenzi wabo wokuhamba, okungase kuholele ebuhlungu be-hip ngokuhamba kwesikhathi. Lokhu kungenxa yezici eziningi zemvelo ezingathinta ezinqulwini nasezinyaweni ngokuhamba kwesikhathi, okuholela ku-plantar fasciitis ehambisana nobuhlungu be-hip. Kusukela emisebenzini ethwala isisindo ngokweqile kuya ku-microtrauma ezinqulwini noma ku-plantar fascia, abantu abaningi bazovame ukufuna ukwelashwa ukuze banciphise imiphumela ye-plantar fasciitis ehlotshaniswa nobuhlungu be-hip ngokubhekana nendlela ukunyakaza kwabo okuthinta ngayo i-plantarflexion kanye nomthwalo wabo emandleni. -ukumunca izakhiwo ze-plantar surface kungaba amaphuzu amahle okuqala ekuvimbeleni nasekwelapheni i-plantar fasciitis ehambisana nobuhlungu be-hip. ( U-Hamstra-Wright et al., 2021 )
Iyini i-Plantar Fasciitis?-Ividiyo
VIDEO
Izixazululo Ezingezona Zokuhlinzwa Zokunciphisa I-Plantar Fasciitis
Uma kukhulunywa ngokunciphisa i-plantar fasciitis emzimbeni, abantu abaningi bazofuna izindlela zokwelapha ezingahlinzeki ezingadambisa izinhlungu ezivela ku-plantar fascia. Ukwelashwa okungahlinzeki kubiza izindleko futhi kunganciphisa ubuhlungu obuvela ku-plantar fasciitis kanye nezimpawu zayo ezihambisanayo, njengobuhlungu be-hip. Ezinye zezinzuzo zokwelashwa okungezona ukuhlinzwa zithembisa, njengoba zinengozi ephansi yezinkinga, ukufinyeleleka okuhle, ngisho nomthamo omkhulu wokukhulula umthwalo wemishini ku-fascia plantar lapho wenza imisebenzi evamile. ( Schuitema et al., 2020 ) Ezinye zezindlela zokwelapha ezingahlinzeki abantu abaningi abangazihlanganisa zihlanganisa:
Ukunciphisa umzimba Imishini ye-Orthotic Ukunakekelwa kwe-Chiropractic Ukwelashwa kwe-Massage I-acupuncture/i-electroacupuncture Ukuwohloka komgogodla
Lezi zindlela zokwelapha ezingahlinzeki azisizi nje ukunciphisa i-plantar fasciitis kodwa futhi zisiza ekudambiseni ubuhlungu be-hip. Isibonelo, ukuwohloka komgogodla kungasiza ekubuyiseleni ukuhamba kwe-hip ngokwelula umgogodla we-lumbar nokukhulula imikhawulo engezansi ekuthunjweni ngenkathi kuqinisa imisipha eqinile. ( Takagi et al., 2023 ). I-Electroacupuncture ingashukumisa ama-acupoints omzimba ukuze akhulule ama-endorphin emaphethelweni aphansi ukuze anciphise ukuvuvukala kwe-plantar fascia. ( U-Wang et al., I-2019 ) Lapho abantu beqala ukwenza izinguquko ezincane esimisweni sabo, njengokugqoka izicathulo ezifanele futhi bangathwali noma baphakamise izinto ezinesisindo esisindayo, kungase kuhambe indlela ende ukuvimbela i-plantar fasciitis kanye nobuhlungu be-hip ukuthi buphinde buvele bungase buhambe ibanga elide. Ukuba nohlelo lokwelashwa komuntu siqu kungaqinisekisa ukuthi abantu abaningi abafuna ukwelashwa okungahlinzeki banomphumela ongcono empilweni yabo nasekuhambeni kwabo kuyilapho kuvimbela izinkinga zesikhathi eside.
Okubhekwayo
Ahuja, V., Thapa, D., Patial, S., Chander, A., & Ahuja, A. (2020). Ubuhlungu be-hip obungapheli kubantu abadala: ulwazi lwamanje kanye nekusasa elizayo. J Anaesthesiol Clin Pharmacol , 36 (4), i-450-457. doi.org/10.4103/joacp.JOACP_170_19
Buchanan, BK, Sina, RE, & Kushner, D. (2024). I-Plantar Fasciitis. Ku StatPearls . www.ncbi.nlm.nih.gov/pubmed/28613727
Hamstra-Wright, KL, Huxel Bliven, KC, Bay, RC, & Aydemir, B. (2021). Izinto Eziyingozi Ze-Plantar Fasciitis Kubantu Abasebenza Ngomzimba: Ukubuyekezwa Okuhlelekile kanye nokuhlaziywa kwe-Meta. Ezempilo Ezemidlalo , 13 (3), i-296-303. doi.org/10.1177/1941738120970976
U-Lee, JH, Shin, KH, Jung, TS, & Jang, WY (2022). Ukusebenza Kwemisipha Ephansi Nokucindezela Konyawo Ezigulini Ezine-Plantar Fasciitis ezine-Flat Foot Posture nangaphandle kwayo. I-Int J Environ Res Health yomphakathi , 20 (1). doi.org/10.3390/ijerph20010087
Schuitema, D., Greve, C., Postema, K., Dekker, R., & Hijmans, JM (2020). Ukuphumelela Kokwelashwa Kwemishini ye-Plantar Fasciitis: Ukubuyekezwa Okuhlelekile. I-J Sport Rehabil , 29 (5), i-657-674. doi.org/10.1123/jsr.2019-0036
Takagi, Y., Yamada, H., Ebara, H., Hayashi, H., Inatani, H., Toyooka, K., Mori, A., Kitano, Y., Nakanami, A., Kagechika, K., Yahata, T., & Tsuchiya, H. (2023). Ukucindezeleka kwe-lumbar spinal stenosis endaweni yokufaka i-catheter ye-intrathecal ngesikhathi sokwelashwa kwe-baclofen ye-intrathecal: umbiko wecala. J Med Case Rep , 17 (1), i-239. doi.org/10.1186/s13256-023-03959-1
U-Wang, W., Liu, Y., Zhao, J., Jiao, R., & Liu, Z. (2019). I-Electroacupuncture ngokumelene ne-manual acupuncture ekwelapheni i-plantar heel pain syndrome: iphrothokholi yokutadisha yesilingo esilawulwa ngokungahleliwe esizayo. I-BMJ Vula , 9 (4), i-e026147. doi.org/10.1136/bmjopen-2018-026147
Disclaimer
by UDkt Alex Jimenez I-Acupuncture Therapy , I-Foot Orthotics
Kubantu ababhekene ne-plantar fasciitis, zonke izinyathelo zingaba buhlungu. Ingabe ukuthatha indlela yokuhlanganisa nokusebenzisa i-acupuncture kungasiza ekwelapheni lesi simo futhi kusheshise ukukhululeka kwezimpawu?
I-Acupuncture Plantar Fasciitis
I-Plantar fasciitis yilapho izicubu ezisekelayo ezigijima ngaphansi konyawo, kusukela esithendeni kuya phansi kwezinzwane, ziyacasuka futhi zibuhlungu. Kungase kube nzima ukuphatha lesi sifo, kodwa kunezinye izindlela zokwelashwa. Ukwelashwa kwe-acupuncture plantar fasciitis kungenye yezindlela ezingaba khona zokukhulula, ukunciphisa ubuhlungu, nokubuyisela umuntu emisebenzini evamile. I-acupuncture ihilela ukufaka izinaliti ezincane kakhulu emaphuzwini emzimbeni ukuze ubuyisele futhi ulinganise ukuhamba okujwayelekile kwamandla nokuthuthukisa impilo yonke. (Johns Hopkins University. 2024 ) Emithini yendabuko yamaShayina noma i-TCM, umzimba uhlanganisa uchungechunge lwama-meridians/amashaneli ahlinzeka ngokugeleza kwamandla noma i-qi/chi.
amaqiniso
I-Plantar fasciitis isifo esivamile esithinta unyawo. Isimo senzeka lapho i-plantar fascia, eyenzelwe ukumunca amandla ahamba nge-arch yonyawo, igcwala ngokweqile. Lapho unyawo oluphansi luhlala lubhekene nenani eliphezulu lokucindezeleka, kuholela ekuwohlokeni kwe-ligament, ubuhlungu, nokuvuvukala. Isibonakaliso esivame kakhulu ubuhlungu besithende, into yokuqala umuntu abhekana nayo ekuseni noma ngemva kosuku olude lomsebenzi nemisebenzi. Noma ubani angathola i-plantar fasciitis, kodwa labo abathambekele kakhulu kulesi simo bahlanganisa abantu abane:
Lesi sifo siqala ukuphathwa ngendlela efanele ngokwelashwa ngokomzimba okugxile ekudambiseni izimpawu zobuhlungu nokubuyisela ukuguquguquka konyawo neqakala.
Ama-Orthotics noma ukufakwa kwezicathulo okwenziwe ngokwezifiso kungasiza ukuvikela unyawo kanye nokuma kahle konyawo,
Izintambo zasebusuku zisiza ukubamba unyawo endaweni egobile ebusuku.
Imithi elwa nokuvuvukala ingase isetshenziswe. (I-American Academy of Orthopedic Surgeons. 2022 )
Izinzuzo ze-Acupuncture
I-acupuncture nokusebenza kwayo kusacwaningwa, kodwa kunobufakazi obubonisa ukuthi kuyazuzisa ekwelashweni kwe-plantar fasciitis.
Ukubuyekezwa okukodwa kwathola ukuthuthukiswa okuphawulekayo kobuhlungu kubantu ababene-acupuncture yalesi simo uma kuqhathaniswa nabantu abathole ukwelashwa okujwayelekile njengokwelula, ama-orthotics, nokuqinisa. (U-Anandan Gerard Thiagarajah 2017 ) Ukubuyekezwa okufanayo kuphinde kwathola izinzuzo lapho kuqhathaniswa i-acupuncture nenguqulo ye-placebo yokwelashwa, okuqinisa ngokwengeziwe okutholakele.
Okunye ukubuyekezwa kwezokwelapha kwathola ukuthi i-acupuncture yasiza ekunciphiseni ubuhlungu bezithende futhi yathuthukisa umsebenzi wansuku zonke lapho ihlanganiswa nemithi elwa nokuvuvukala okungezona ukuvuvukala/ama-NSAID afana ne-ibuprofen noma i-naproxen. (URichard James Clark, uMaria Tighe 2012 )
Okuqhamuka uma udla imishanguzo
Ngenkathi ukwelashwa kwe-acupuncture plantar fasciitis kunenzuzo, kubalulekile ukukhumbula ukuthi kungaba nemiphumela engemihle engase ihlanganise:
Ubuhlungu endaweni lapho izinaliti zibekwe khona.
Ukopha endaweni lapho izinaliti zibekwe khona.
Ukulimala noma ukuguquguquka kwesikhumba.
Ukungezwani komzimba noma ukuxhumana ne-dermatitis/ukuqubuka okulumayo.
Isiyezi noma ikhanda elilula.
Isicanucanu noma ukuhlanza (UMalcolm WC Chan et al., 2017 )
Amathuba okuba nomphumela omubi kakhulu aphansi uma uhlinzwa onyaweni.
Amaphuzu Okutshopa kanye Nemizwa
Izindlela okusebenza ngazo ukutshopa azikaqondwa ngokugcwele, kodwa njengezinye izindlela zokwelapha ze-neuromusculoskeletal, le nqubo ivula izici zokuphulukisa zomzimba.
Ukufaka inaliti emaphuzwini omzimba kuvuselela isimiso sezinzwa esimaphakathi.
Lokhu kuholela ekukhululweni kwamakhemikhali ebuchosheni, umgogodla, nemisipha ekhuthaza ukuphulukiswa.
Lawa makhemikhali afanayo kanye nokusabela nakho kunciphisa ukuzwa komzimba ubuhlungu. (U-Teng Chen et al., 2020 )
Inani lamaSeshini
Inani lezikhathi ezithathwa yi-acupuncture ukuze kuhlinzekwe ukukhululeka kobuhlungu liyahlukahluka kumuntu nomuntu kanye nesimo ngasinye.
Okunye ukubuyekezwa kwathola ukuthi ukwelapha i-plantar fasciitis masonto onke nge-acupuncture kukhiqize ukukhululeka kobuhlungu okukhulu ngemva kwamasonto amane kuya kwayisishiyagalombili. (U-Anandan Gerard Thiagarajah 2017 )
Lokhu kuhambisana nokunye ukubuyekezwa kwezokwelapha okubandakanya ucwaningo olubonisa amazinga obuhlungu athuthuke kakhulu kubantu ababhekana masonto onke ukutshopa amaseshini amasonto amane. (URichard James Clark, uMaria Tighe 2012 )
Abantu ngabanye bayatuswa ukuthi babonane nomhlinzeki wezempilo mayelana nezinhlelo zokwelashwa eziqondene nomuntu siqu futhi uma benenkinga yokopha, besebenzisa imishanguzo enciphisa igazi, noma bekhulelwe.
Ukuqonda i-Plantar Fasciitis
VIDEO
Okubhekwayo
Johns Hopkins University. (2024). I-acupuncture (Impilo, Indaba. www.hopkinsmedicine.org/health/wellness-and-prevention/acupuncture
I-American Academy of Orthopedic Surgeons. (2022). I-Plantar fasciitis kanye ne-bone spurs. (Izifo Nezimo, Issue. orthoinfo.aaos.org/zu/diseases-conditions/plantar-fasciitis-and-bone-spurs
Thiagarajah AG (2017). Isebenza kanjani i-acupuncture ekwehliseni izinhlungu ngenxa ye-plantar fasciitis? Ijenali yezokwelapha yase-Singapore, 58(2), 92–97. doi.org/10.11622/smedj.2016143
U-Clark, u-RJ, no-Tighe, M. (2012). Ukusebenza kwe-acupuncture yobuhlungu bezithende zezitshalo: ukubuyekezwa okuhlelekile. I-acupuncture kwezokwelapha : iphephabhuku le-British Medical Acupuncture Society, 30 (4), 298-306. doi.org/10.1136/acupmed-2012-010183
I-Chan, MWC, Wu, XY, Wu, JCY, Wong, SYS, & Chung, VCH (2017). Ukuphepha Kwe-acupuncture: Uhlolojikelele Lokubuyekezwa Okuhlelekile. Imibiko yesayensi, 7(1), 3369. doi.org/10.1038/s41598-017-03272-0
U-Chen, T., Zhang, WW, Chu, YX, & Wang, YQ (2020). I-Acupuncture Yokulawula Ubuhlungu: Izindlela Zokusebenza Ze-Molecular. Iphephabhuku laseMelika lemithi yaseShayina, 48(4), 793-811. doi.org/10.1142/S0192415X20500408
by UDkt Alex Jimenez I-Foot Orthotics , Ukuhamba Nezimo
Abantu abane-plantar fasciitis bangase babe nama-flare-ups angashintshi. Ingabe ukwazi izimbangela kungasiza ekutholeni ukukhululeka kobuhlungu?
I-Plantar Fasciitis Ukuqubuka
I-Plantar fasciitis iyimbangela evamile yobuhlungu besithende nezinyawo. I-plantar fascia iyibhande lesicubu eligijima phansi onyaweni bese liyavuvuka. Izici ezithile zingabangela ukuqubuka kwe-plantar fasciitis, okuhlanganisa:
Amazinga anyusiwe okusebenza komzimba.
Ukungelula njalo.
Ukugqoka izicathulo ngaphandle kokusekelwa okufanele.
Inzuzo yesisindo.
Izimbangela
I-plantar fasciitis flare-up ngokuvamile ibangelwa umsebenzi womzimba. (I-MedlinePlus. I-US National Library of Medicine. 2022 ) Ingase futhi ilethwe yizimo ezingaphansi, njengokukhuphuka kwesisindo somzimba, isifo samathambo, noma ukuma konyawo. (Johns Hopkins Medicine. 2023 ) Naphezu komsuka wembangela, kunemisebenzi nolwazi olungaba nomthelela kanye/noma lube lubi kakhulu isimo.
Umjikelezo Omusha Wokuzivocavoca
Ukuba matasa kakhulu ngokomzimba kungandisa izimpawu ze-plantar fasciitis.
I-plantar fasciitis flare-up ingenzeka ngemva kokwanda okungazelelwe komsebenzi, njengokuqala uhlelo olusha lokuzivocavoca noma ukungeza izivivinyo ezintsha esimisweni. (I-MedlinePlus. I-US National Library of Medicine. 2022 )
Ukuhamba noma nokugijima ezindaweni ezingalingani noma ekwehleni kungaba yimbangela. (Johns Hopkins Medicine. 2023 )
Ukunciphisa umsebenzi womzimba kanye nokuma kwesikhathi kungasiza.
Uma lokhu kungenakwenzeka, ukugqoka izicathulo ezine-arch support kungasiza ekunciphiseni ubuhlungu. (Johns Hopkins Medicine. 2023 )
Ukutholakala kwesisindo
Abantu abanesisindo somzimba esandayo noma esikhulayo bangeza ingcindezi eyengeziwe ezinyaweni zabo, okubabeka engozini enkulu ye-plantar fasciitis. (I-MedlinePlus. I-US National Library of Medicine. 2022 )
Uma uhlangabezana nokuqubuka okungaguquguquki, umhlinzeki wokunakekelwa kwezempilo angase aphakamise uhlelo olufanele lokulahlekelwa isisindo oluhlanganiswe nohlelo lokwelapha.
ukukhulelwa
Izicathulo Ngaphandle Kokusekela
Ukugqoka izicathulo ngaphandle kokusekelwa kwe-arch kungabangela ubuhlungu bezinyawo ezivamile kanye nama-plantar flare-ups.
Umuntu ngamunye kufanele agqoke izicathulo ezinezingqimba eziningi kanye nokusekelwa kwe-arch, njengamateki. (Ulwazi lwe-Ortho. I-Academy of Orthopedic Surgeons. 2022 )
Izicathulo ezinganconywa zihlanganisa :Ophaca
Izicathulo eziyisicaba.
Izithende eziphakeme, amabhuzu, noma izicathulo eziphakamisa isithende ngaphezu kwezinzwane.
Izicathulo ezigugile njengezicathulo zokuzivocavoca.
Ayinwebi Kahle Noma Kancane
Amathole aqinile angandisa ingcindezi ku-plantar fascia.
Ukwelula amathole, i-Achilles tendon/isithende, kanye nephansi lezinyawo kunconywa kakhulu ukusiza ukwelapha nokuvimbela isimo. (Johns Hopkins Medicine. 2023 )
Ukungeluleki kahle noma ukweqa kungakhuphula izimpawu.
Abantu abane-plantar fasciitis batuswa ukwelula ngaphambi nangemva kwemisebenzi yomzimba, ukuzivocavoca, ngaphambi kokulala, nangemva kokuvuka.
Ukusebenza Ngezinhlungu
Abantu bangazama ukuqhubeka nemisebenzi yomzimba ngesikhathi sokuqubuka.
Lokhu akunconywa ngoba ukwenza kanjalo kungabangela ubuhlungu obuningi futhi kwenze isimo sibe sibi kakhulu.
Uma ubuhlungu buvela, kunconywa ukuthi: Misa yonke imisebenzi ecindezela izinyawo
Ungahamba ngezinyawo okungenani isonto lonke.
Ukudabula i-Plantar Fascia
I-plantar fascia ayivamisile ukudabuka ngokuphelele ekucindezelekeni okuphindaphindiwe okwaziwa ngokuthi i-plantar fascia rupture.
Uma lokhu kwenzeka, kuzovela ubuhlungu obukhulu kungazelelwe futhi abantu bayelulekwa ukuba bashayele umhlinzeki wabo wezempilo. (UStephanie C. Pascoe, uTimothy J. Mazzola. 2016 )
Nokho, abantu bangalulama ngokushesha uma kuqhathaniswa, futhi ubuhlungu buyadamba ngokushesha.
Abantu abanezinyembezi bazotuswa ukuthi bagqoke i-orthotic yonyawo njengoba kungenzeka ukuthi unyawo luye lwaba isicaba kakhulu.
Izingozi Zezingozi
I-Plantar fasciitis ingenzeka kunoma ubani, kodwa abantu abanalezi zimpawu ezilandelayo basengozini enkulu: (Ulwazi lwe-Ortho. I-Academy of Orthopedic Surgeons. 2022 )
I-arch enezinyawo eziphakeme.
Imisebenzi noma izinto zokuzilibazisa ezibeka ingcindezi ezinyaweni.
Imisipha yethole eqinile.
Ukwanda okungazelelwe kokusebenza komzimba.
Uhlelo olusha lokuzivocavoca.
Ukwanda kwesisindo somzimba.
Ukukhuluphala ngokuzumayo njengalapho ukhulelwe.
I-Flare Ihlala Isikhathi Eside Kangakanani?
Ukwelashwa
Ngaphezu kokwelashwa kokuphumula kwe-plantar fasciitis kungabandakanya: (Ulwazi lwe-Ortho. I-Academy of Orthopedic Surgeons. 2022 )
Ice
Ukuqhwaza ngaphansi konyawo imizuzu engu-15 izikhathi ezimbalwa ngosuku kunciphisa ukuvuvukala.
Izidakamizwa ezingezona ukuvuvukala - ama-NSAID
Ama-NSAID e-over-the-counter afana ne-ibuprofen ne-naproxen, anganciphisa ubuhlungu nokuvuvukala.
Kunconywa ukuthi uthintane nomhlinzeki wezokunakekelwa kwezempilo ukuze usebenzise isikhathi esifushane kanye nesilinganiso.
Izicathulo ezifanele
Izicathulo ezinezisekelo ze-arch zinconywa kakhulu.
Umhlinzeki wokunakekelwa kwezempilo anga-oda ama-orthotic angokwezifiso ukuze athole ukwesekwa okwengeziwe.
Welulekela
Ukwelula kubalulekile ekwelapheni.
Ukwelula ithole kanye nephansi lonyawo nsuku zonke kuzogcina izicubu zikhululekile.
ukubhucungwa
Ukubhucunga indawo ngebhola le-massage yokwelapha kuthoba izicubu.
Ukusebenzisa i-percussive massager kungakhuphula ukujikeleza kwegazi.
Iyini i-Plantar Fasciitis?
VIDEO
Okubhekwayo
I-MedlinePlus. Umtapo Wezincwadi Kazwelonke Wezokwelapha. (2022) US Plantar fasciitis .
Johns Hopkins Medicine. (2023) Plantar fasciitis .
Isibhedlela Sezingane saseBoston. (2023) Plantar fasciitis .
Ulwazi lwe-Ortho. I-Academy of Orthopedic Surgeons. (2022) I-Plantar fasciitis kanye ne-bone spurs .
Pascoe, SC, & Mazzola, TJ (2016). I-Acute Medial Plantar Fascia Tear. Ijenali yokwelashwa kwamathambo nezemidlalo, 46(6), 495. doi.org/10.2519/jospt.2016.0409
by UDkt Alex Jimenez Izimo zenziwe , I-Foot Orthotics
Abantu abazwa ubuhlungu bezinzwa onyaweni bangabangelwa izimo eziningana ezihlukahlukene, ingabe ukuqaphela izimbangela ezivame kakhulu kusiza ekwakheni uhlelo lokwelapha olusebenzayo?
Ubuhlungu Bemizwa Enyaweni
Le mizwa ingazwakala njengobuhlungu obushisayo, ukudubula, ugesi, noma ukugwazwa futhi kungenzeka ngenkathi inyakaza noma iphumule. Ingenzeka phezulu onyaweni noma nge-arch. Indawo eseduze nenzwa ingase ibe nomuzwa wokuthintwa. Izimo eziningi ezahlukene zingabangela ubuhlungu bezinzwa onyaweni, kuhlanganise:
I-neuroma kaMorton
Inzwa epinkiwe
I-Tarsal tunnel syndrome
Isifo sikashukela se-peripheral neuropathy
I-disc ye-Herniated
I-Neonoma ka-Morton
I-neuroma ka-Morton ihilela inzwa egijima phakathi kwezinzwani zesithathu nezine, kodwa ngezinye izikhathi ingenzeka phakathi kwezinzwani zesibili nesithathu zibe zijiyile. Izimpawu ezijwayelekile zihlanganisa ubuhlungu obuvuthayo noma ukudubula endaweni, ngokuvamile ngenkathi uhamba. (U-Nikolaos Gougoulias, et al., 2019 ) Olunye uphawu oluvamile ukuzwa kwengcindezi ngaphansi kwezinzwane njengokuthi isokisi lihlanganiswe ngaphansi. Ukwelashwa kungabandakanya:
I-Arch isekela
Imijovo ye-Cortisone ukunciphisa ukuvuvukala
Ukulungiswa kwezicathulo - kungabandakanya ama-lift, ama-orthotics ahlanganiswe nama-metatarsal pads, nama-rocker soles, ukuhlinzeka ngomcamelo lapho kudingeka khona.
Izinto ezandisa ingozi yokuba nalesi simo zihlanganisa:
Ukugqoka njalo izithende eziphakeme - lesi simo senzeka kaningi kwabesifazane.
Izicathulo ezimpintsha kakhulu.
Ukubamba iqhaza emidlalweni enomthelela omkhulu njengokugijima.
Ukuba nezinyawo eziyisicaba, ama-arches aphakeme, ama-bunion, noma ama-hammertoes.
I-Pinched Nerve
I-pinched nerve ingazwakala njengobuhlungu bokudubula noma obushisayo. Ukungena kwemizwa kungenzeka ezindaweni ezihlukahlukene zonyawo noma indawo engaphezulu konyawo ingase izwele. Izinkinga zingadalwa: (Basavaraj Chari, Eugene McNally. 2018 )
Ukuhlukumezeka okubangela ukuvuvukala.
Umthelela ongacacile.
Izicathulo eziqinile.
Ukwelashwa kungabandakanya:
Massage
Ukwelapha ngokomzimba
Ukuphumula
Ukulungiswa kwezicathulo
Ama-anti-inflammatories.
Izinto ezandisa ingozi yokuthuthukisa i-pinched nerve onyaweni zihlanganisa:
Izicathulo ezingalingani kahle.
Ukulimala okuphindaphindiwe kwengcindezi.
Ukuhlukumezeka onyaweni.
Ukukhuluphala.
I-Rheumatoid arthritis.
I-Tarsal Tunnel Syndrome
Olunye uhlobo lwe-nerve entrapment yi-tarsal tunnel syndrome. I-Tarsal tunnel syndrome “yinoma yini ekhiqiza ukucindezelwa kwe-posterior tibial nerve.” (I-American College of Foot and Ankle Surgeons. 2019 ) I-tibial nerve itholakala eduze kwesithende. Izimpawu zihlanganisa ukuba ndikindiki namajaqamba ezinyaweni, ukushisa, ukuntweza, noma ukuzwa ukudubula okuvamise ukuphuma ku-instep/arch. Kokubili kungaba kubi kakhulu ngenkathi unyawo luphumule, njengalapho uhlezi noma ulele. Ukwelashwa kungabandakanya:
Ukufaka i-padding esicathulweni lapho unyawo lucindezelwa khona ukuze kudambise izinhlungu.
Ama-orthotics onyawo ngokwezifiso.
Amashothi e-Cortisone noma ezinye izindlela zokwelapha ezilwa nokuvuvukala.
Kungase kudingeke ukuhlinzwa ukuze kukhululwe inzwa.
Izimo ezicindezela i-tibial nerve futhi zingaholela ku-tarsal tunnel syndrome zihlanganisa:
Izinyawo eziyisicaba
Amakhothamo awile
Iqakala
Diabetes
Isifo Sokuqaqamba Kwamalunga
I-Varicose veins
I-Bone spurs
I-Diabetic Peripheral Neuropathy
Ushukela/ushukela wegazi wesikhathi eside ohambisana nesifo sikashukela ungaholela ohlotsheni lokulimala kwezinzwa olwaziwa nge-peripheral neuropathy. (Centers for Disease Control and Prevention. 2022 ) Ubuhlungu be-neuropathy buzwakala njengobuhlungu obushisayo noma bokudutshulwa, noma umuzwa wokuhamba ugoqe amabhamuza ovame ukubonakala ngobusuku. Ubuhlungu bungafika budlule kanye nokulahlekelwa umuzwa kancane kancane ezinyaweni oqala ezinzwaneni futhi ukhuphuke onyaweni. Kulinganiselwa ukuthi cishe uhhafu wabantu abanesifo sikashukela ekugcineni bazothuthukisa i-neuropathy. (U-Eva L. Feldman, et al., 2019 ) Ukwelashwa kungabandakanya:
I-Physical therapy massage ukwandisa ukujikeleza kwegazi.
Ukwelashwa kwe-topical nge-capsaicin.
Uvithamini B.
Ukuphathwa kukashukela egazini.
I-Alpha lipoic acid.
Imithi.
Abantu abanesifo sikashukela banengozi eyengeziwe yokuthola i-peripheral neuropathy uma:
Ushukela osegazini awulawulwa kahle.
Isifo sikashukela sesineminyaka eminingi sikhona.
Isifo sezinso.
Intuthu.
Ukhuluphele ngokweqile noma ukhuluphele.
I-Disc Herniated
Ubuhlungu bezinzwa onyaweni bungabangelwa izinkinga zomgogodla. I-disc ye-herniated emhlane ophansi ingacasula futhi icindezele izinzwa, ibangele ubuhlungu obuphuma phansi emlenzeni nasenyaweni. Izimpawu ezengeziwe ngokuvamile zihlanganisa ubuthakathaka bemisipha emilenzeni kanye/noma ukuba ndikindiki nokuluma. Ama-disc amaningi e-herniated awadingi ukuhlinzwa futhi aba ngcono ngokwelashwa okuvamile. (Wai Weng Yoon, Jonathan Koch. 2021 ) Uma izimpawu zingathuthuki noma zibe zimbi kakhulu, umhlinzeki wezempilo angase ancome ukuhlinzwa. Ama-disc e-Herniated avame kakhulu kubantu abadala abancane nabaphakathi. Amathuba akhulayo okuthuthukisa i-herniated disc angavela kulokhu:
Izinguquko eziwohlokayo emgogodleni kusukela ekugugeni okujwayelekile kweminyaka yobudala.
Umsebenzi onzima ngokomzimba.
Ukuphakamisa ngokungalungile.
Ukhuluphele ngokweqile noma ukhuluphele.
I-Genetic predisposition - umlando womndeni wamadiski e-herniated.
Ukuqina kwesisu
I-Spinal stenosis yenzeka lapho izikhala emgogodleni ziqala ukuncipha, zenze ingcindezi emgogodleni nasezimpandeni zezinzwa. Ngokuvamile kubangelwa ukuguga nokuncipha komgogodla njengoba umzimba uguga. I-stenosis emhlane ophansi ingabangela ubuhlungu obuvuthayo ezinqeni nasemlenzeni. Njengoba iqhubeka ubuhlungu bungaphumela ezinyaweni kanye nokuba ndikindiki nokuluma. Ukwelashwa okulondolozayo kuqukethe izivivinyo zokwelapha ngokomzimba kanye nemithi engeyona eye-steroidal elwa nokuvuvukala/ama-NSAID. (Jon Lurie, Christy Tomkins-Lane. 2016 ) Imijovo ye-Cortisone ingaba yinzuzo futhi uma isimo siba sibi, ukuhlinzwa kungase kube inketho. Izinto ezinobungozi zifaka:
Iminyaka engu-50 noma ngaphezulu.
Umsele womgogodla omncane.
Ukulimala kwangaphambilini.
Ukuhlinzwa komgogodla kwangaphambilini.
I-osteoarthritis ethinta umhlane.
Ezinye Izimbangela Ezingenzeka
Ezinye izimo zingabangela ukulimala kwezinzwa kanye nezimpawu zobuhlungu kanye nemizwa. Izibonelo zifaka: (Nathan P. Staff, Anthony J. Windebank. 2014 )
Ukushoda kwamavithamini (Nathan P. Staff, Anthony J. Windebank. 2014 )
Ukuhlukumezeka ngokomzimba - ngemva kokuhlinzwa noma ingozi yemoto noma yezemidlalo.
Umdlavuza othile, imithi elwa namagciwane, noma ama-antibiotic.
I-complex ye-pain syndrome yesifunda.
Izimila ezicasulayo kanye/noma ezicindezela inzwa.
Isifo sesibindi noma sezinso.
Izifo ezithathelwanayo - izinkinga zesifo seLyme noma izifo ezibangelwa amagciwane.
Ubuhlungu bezinzwa onyaweni ngokuqinisekile kuyisizathu sokubona umhlinzeki wezempilo. Ukuxilongwa kusenesikhathi kungasiza ekuvimbeleni ukuqhubeka kwezimpawu kanye nezinkinga zesikhathi esizayo. Uma imbangela yobuhlungu isihlonziwe, ithimba lokunakekelwa kwezempilo lingasebenza ndawonye ukuze lenze uhlelo lokwelapha lomuntu siqu khulula izinzwa ezicindezelwe futhi ubuyisele ukuhamba nokusebenza. Bonana nomhlinzeki wezempilo ngokushesha uma ubuhlungu nezimpawu ziba zimbi, noma uma kukhona ubunzima bokuma noma ukuhamba.
I-Chiropractic Ngemva Kwezingozi Nokulimala
VIDEO
Okubhekwayo
Gougoulias, N., Lampridis, V., & Sakellariou, A. (2019). I-Morton's interdigital neuroma: ukubuyekezwa kokufundisa. Ukubuyekezwa okuvuliwe kwe-EFORT, 4(1), 14–24. doi.org/10.1302/2058-5241.4.180025
U-Chari, B., & McNally, E. (2018). I-nerve Entrapment in Ankle and Foot: I-Ultrasound Imaging. Amasemina ku-radiology ye-musculoskeletal, 22 (3), 354-363. doi.org/10.1055/s-0038-1648252
I-American College of Foot and Ankle Surgeons. I-Tarsal tunnel syndrome .
Amasevisi Okulawula Nokuvimbela Izifo. Isifo sikashukela nokulimala kwezinzwa .
Feldman, EL, Callaghan, BC, Pop-Busui, R., Zochodne, DW, Wright, DE, Bennett, DL, Bril, V., Russell, JW, & Viswanathan, V. (2019). I-diabetesic neuropathy. Izibuyekezo zemvelo. Iziqalo zezifo, 5(1), 42. doi.org/10.1038/s41572-019-0097-9
U-Yoon, WW, & Koch, J. (2021). Ama-discs e-Herniated: nini ukuhlinzwa kudingekile? Ukubuyekezwa okuvuliwe kwe-EFORT, 6(6), 526–530. doi.org/10.1302/2058-5241.6.210020
U-Lurie, J., & Tomkins-Lane, C. (2016). Ukuphathwa kwe-lumbar spinal stenosis. I-BMJ (i-Clinical research ed.), 352, h6234. doi.org/10.1136/bmj.h6234
Abasebenzi, i-NP, & Windebank, AJ (2014). I-peripheral neuropathy ngenxa yokuntuleka kwamavithamini, ubuthi, nemithi. Continuum (Minneapolis, Minn.), 20(5 Peripheral Nervous System Disorders), 1293–1306. doi.org/10.1212/01.CON.0000455880.06675.5a
by UDkt Alex Jimenez Ubuhlungu Bokubuyela Emuva , I-Foot Orthotics
Abantu abahamba ngezinyawo usuku lonke bavame ukuba nezinkinga zeqolo kanye nezimpawu zokungakhululeki. Ukugqoka izicathulo ezingazinzile eziyisicaba ezingenakho ukusekelwa kwe-arch ezinokumuncwa okuncane noma okungenakho ukushaqeka noma uhlobo olungalungile lwesicathulo se-gait kungabangela izinkinga ze-biomechanical ezingabangela ukungakhululeki emuva futhi ziholele ebuhlungu obungapheli bokubuyela emuva. Izicathulo zokugijima ze-Athletic zinconywa ngenxa yobuhlungu obuphansi emuva ngoba ziboshwe kahle futhi zenzelwe ukusiza ukudonsa umthelela wokuhamba noma ukugijima. Futhi banokusekela okufanele kwe-arch kanye ne-ankle ukuze bagcine indawo yonyawo ukuze uthole ukuma okulungile. Yini okufanele uyibheke ezicathulweni ezigijima ukuze usize ukukhulula ubuhlungu emuva nokugcina ukulimala emuva kukhululekile?
Izicathulo ezingenayo i-cushioning eyanele zingabangela ukuvuvukala emisipha yangemuva ngenxa yokuntuleka komthelela wokumuncwa. Umsubathi omuhle kakhulu izicathulo ezigijima ngoba ubuhlungu beqolo buqinile, busekela, futhi bugobe kahle. Lapho ukhetha izicathulo zobuhlungu beqolo, izici ezibaluleke kakhulu okufanele uzicabangele yilezi:
Ukuqina kwe-sole.
Ukwesekwa kwekhwalithi kanye ne-cushioning.
Ukulingana okufanelekile nokunethezeka.
Uhlobo Lwezicathulo
Izicathulo zokugijima ze-Athletic zitholakala ngezinhlobo ezahlukene zokusekela kuzo zonke izinhlobo zezinyawo.
Cabangela ukwakheka kwezinyawo nokuhambahamba lapho ukhetha izicathulo.
Izinyawo eziyisicaba neziphakeme zingabangela ukungalingani kwemisipha, okwandisa ingcindezi emhlane, ezinqulwini, emilenzeni, emadolweni, emaqakaleni nasezinyaweni.
Cabanga izicathulo zokulawula ukunyakaza izinyawo eziyisicaba noma ukweqisa.
Ukusekelwa kwe-Arch
Ukwesekwa kwe-arch okulungile kuqinisekisa ukuthi izinyawo zihlala ziqondile futhi zithatha ingcindezi emadolweni, ezinqulwini nasemhlane, kunciphisa ingozi yokuvuvukala.
Bheka isicathulo esinesoli eqinile kanye nenkomishi yesithende esiqinile ukuze uthole ukusekelwa okuphelele konyawo kanye neqakala.
Qinisekisa ukuthi isicathulo silingana nonyawo lomuntu ngamunye kanye nohlobo lokuhamba.
Uma ungakwazi ukusonta isicathulo noma ukugoqa isicathulo ngesigamu, kukhona ukwesekwa okwanele ku-arch.
Ngokwesibonelo, ukweqa ngokweqile idinga ukuzinza ngokungeziwe maphakathi ukusekela ukuvimbela ukuwa kwe-arch.
Ukuhlaselwa
I-cushion yezicathulo:
Imunca ukushaqeka nokudlidliza.
Yehlisa umthelela wesinyathelo ngasinye.
Isiza ekwehliseni ingcindezi emuva.
Isicathulo esilungiswe kahle sinikeza induduzo nokusekela.
Ukugqoka izicathulo ngaphandle kwe-cushioning eyanele kwenza imisipha yangemuva ibambe ukushaqeka njalo lapho unyawo luthatha isinyathelo.
Ukulingana okufanele
Izicathulo ezifanele zidinga ukulingana kahle.
Izicathulo ezimpintshana kakhulu zingabangela ukuhlikihlwa okubuhlungu namabhamuza ezinyaweni.
Ukucasuka kungaphoqa ukuhamba okungahambi kahle futhi okungenampilo, kubi nakakhulu ukucindezeleka nobuhlungu emuva.
Izicathulo ezinkulu kakhulu zingabangela izinyawo ukuthi zishelele futhi zishelele, okwandisa ingozi yokulimala.
Izicathulo ezinebhokisi lezinzwane ezibanzi noma ngamasayizi abanzi zingaba inketho yokuvimbela izinzwane eziminyene.
Ukulingana okulungile kuzoqinisekisa ukuthi izinyawo ziqondaniswe kahle futhi kuvimbele ukulimala.
I-Traction
ukuqina
Ukugqoka izicathulo ezigugile ezine-cushion enganele kanye nokumunca ukushaqeka kungandisa ingozi izinkinga zeqolo .
Ngokuya ngokusetshenziswa, izicathulo zingaguga ezinyangeni ezintathu noma ngaphansi.
Kubalulekile ukushintsha izicathulo lapho i-cushioning iguga.
Bheka ikhwalithi ephezulu impahla lokho akusheshi ukuguga.
Thuthukisa Impilo Yomzimba Wonke
VIDEO
Okubhekwayo
Anderson, Jennifer, et al. "Ukubuyekezwa okulandisayo kwezinkinga ze-musculoskeletal emkhawulweni ophansi nomhlane okuhlotshaniswa nokuxhumana phakathi kwemisebenzi yomsebenzi, izinyawo, izicathulo, kanye nephansi." Ukunakekelwa kwe-Musculoskeletal vol. 15,4 (2017): 304-315. doi:10.1002/msc.1174
I-American Podiatric Medical Association. Isiphi Isicathulo Sokugijima Esikulungele?
Hong, Wei-Hsien, et al. "Umphumela wokuphakama kwesithende sesicathulo kanye nokufakwa okuphelele ekulayisheni kwemisipha nokuzinza kwezinyawo ngenkathi uhamba." Unyawo & iqakala international vol. 34,2 (2013): 273-81. doi:10.1177/1071100712465817
I-National Institute of Arthritis kanye ne-Musculoskeletal and Skin Diseases. Ubuhlungu Emuva: Ukuxilongwa, Ukwelashwa, kanye Nezinyathelo Okufanele Uzithathe.
I-National Institute of Neurological Disorders and Stroke. Ishidi Leqiniso Lezinhlungu Emhlane.
by UDkt Alex Jimenez I-Chiropractic , Ubuhlungu obungapheliyo , Izimo zenziwe , I-Foot Orthotics , Impilo , I-Hip Pain & Ukuphazamiseka , Ukuhamba Nezimo , Ukwelashwa , I-Viscerosomatic Reflex , Ubuhle
Isingeniso
Wonke umuntu emhlabeni wonke uyazi ukuthi izinyawo zibalulekile. Izinyawo zivumela abantu abaningi ukuba run , hamba, noma ugijime isikhathi eside ngaphandle kokuzwa ubuhlungu isikhathi esilinganiselwe. Kuze kube yileso sikhathi, imisipha ehlukahlukene kanye nemisipha ezungezile unyawo hlinzeka ngokuguquguquka komzimba okugcwele, ukunwetshwa, nokuzinza. Noma kulula kakhulu ukungena enanini elinconyiwe lezinyathelo ukuze ube nempilo, cishe u-75% wabantu uzoba nobuhlungu bezinyawo obungaba nomthelela ekhonweni labo lokuhamba. Enye yezinhlungu zonyawo ezivame kakhulu plantar fasciitis , okungaba isimo sonyawo olubuhlungu uma singelashwa ngokushesha ngangokunokwenzeka. Isihloko sanamuhla sibheka i-plantar fasciitis, izimpawu zayo, ukuthi amaphuzu e-trigger ahlobana kanjani, kanye nokwelashwa kwawo. Sidlulisela iziguli kubahlinzeki abaqinisekisiwe abahlanganisa amasu nemithi yokwelapha yabantu ababhekene ne-plantar fasciitis. Ngokuthola lapho amaphuzu e-trigger avela khona, ochwepheshe abaningi bezinhlungu bangakha uhlelo lokwelapha ukuze banciphise imiphumela eyenziwa yi-plantar fasciitis ezinyaweni. Sikhuthaza futhi siyasazisa isiguli ngasinye ngokusidlulisela kubahlinzeki bezokwelapha abahlobene ngokusekelwe ekuxilongweni kwaso lapho kufaneleka. Siyaqonda ukuthi imfundo iyindlela enhle kakhulu uma ubuza abahlinzeki bethu imibuzo eyinkimbinkimbi ngokwesicelo kanye nokuqonda kwesiguli. UDkt. Jimenez, DC, usebenzisa lolu lwazi kuphela njengesevisi yezemfundo. Disclaimer
Iyini i-Plantar Fasciitis?
Ingabe ubulokhu ubhekene nobuhlungu bezithende ezingapheli? Ingabe uzwa ubuhlungu obuphakamisa umlenze wakho lapho unyathela noma uhamba? Noma uzwa ubuhlungu obuhlabayo esithendeni sakho? Eziningi zalezi zinkinga zobuhlungu abantu ababhekana nazo zihambisana ne-plantar fasciitis. Ucwaningo lwembula ukuthi i-plantar fasciitis ibangelwa ukucasuka okuwohlokayo ku-plantar fascia kanye nemigqa yayo. Lokhu kubangela ukuthi imisipha ivuvuke, ivuvuke futhi ibe buthakathaka, okubangela ukuthi iphansi lonyawo noma isithende libe buhlungu lapho umuntu ehamba noma emi. Kuze kube yileso sikhathi, lapho kukhona ukucindezeleka okuphindaphindiwe ezinyaweni, kubangela ama-microtears ku-fascia plantar. I-plantar fascia onyaweni idlala indima ebalulekile njengoba iqukethe izingxenye ezintathu ezisekela i-arch medial kanye nokumuncwa kokushaqeka lapho wehla. Njengenye yezimbangela ezivame kakhulu zobuhlungu besithende, ubuhlungu obuyinsalela obuvela ku-plantar fasciitis buvame ukuba nomuzwa obukhali, ohlabayo. I-Plantar fasciitis ivelele kakhulu kubantu abaneminyaka ephakathi. Noma kunjalo, noma ubani kunoma iyiphi iminyaka yobudala angakwazi ukuthuthukisa i-plantar fasciitis, ikakhulukazi uma enemisebenzi yezabasebenzi edinga ukuthi ahlale emi ngezinyawo.
Izimpawu ze-Plantar Fasciitis
Njengoba abantu baseMelika abangaba yizigidi ezingu-2 bangase bathuthukise i-plantar fasciitis, kubalulekile ukwazi ukuthi lapho umuntu ehlala emi ngezinyawo, kuyoba nokuvuvukala eduze kwezicubu ezinyaweni. Abantu abaningi abaphila impilo ematasa edinga ukuthi bame ngezinyawo njalo bangabunaki ubuhlungu noma ukungakhululeki. Ezinye zezimpawu ezibangelwa yi-plantar fasciitis zifaka okulandelayo:
Ubuhlungu phansi kwesithende Ubuhlungu ku-arch Ubuhlungu obuvame ukuba bubi nakakhulu lapho uvuka Ubuhlungu obandayo phakathi nezinyanga Ukuvuvukala phansi kwesithende
Kodwa-ke, lapho ubuhlungu buyaqina, abantu abaningi bavame ukucabanga ukuthi banezinyawo ezibuhlungu noma iqolo eliphansi ngenxa yokukhathala ngokweqile emsebenzini, ngaphansi kwengcindezi eqhubekayo, noma ukusebenzisa imizimba yabo ngokweqile. Uma lokhu kwenzeka, abaningi bangacabanga ukuthi ubuhlungu buzophela ezinsukwini ezimbalwa ngemva kokuphumula isikhashana.
I-Trigger Amaphuzu Ahlotshaniswa Ne-Plantar Fasciitis
Manje abantu abaningi bavame ukucabanga ukuthi i-plantar fasciitis ithinta izithende kuphela, noma kunjalo, ingathinta noma iyiphi ingxenye yesakhiwo sonyawo kusukela zonke izicubu zemisipha ezizungezile zisengozini yokuvuvukala. Lapho abantu beqala ukungazinaki ubuhlungu nokungakhululeki okubangelwa yi-plantar fasciitis ezinyaweni, kungadlulela futhi kuthuthukise amaphuzu okuqalisa kwezinye izindawo zomzimba:
Amaqakala Amaqhubu okhalweni Phansi emuva
Ucwaningo lwembula ama-trigger points noma i-myofascial pain syndrome aqinile, acacile, amaqhuqhuva amancane aseduze kwebhande le-musculoskeletal le-taut elidala izinkinga eziningi ezifana nokuvuvukala, ukuzwela okukhulu, nobuhlungu emaqenjini emisipha athintekile emzimbeni. Ngokusho kwe-"Myofascial Pain and Dysfunction" ebhalwe nguDkt Travell, MD, ikhuluma ukuthi lapho imisipha ejulile yangaphakathi esebenza ne-plantar fascia ithinteka ngamaphoyinti e-trigger, ingabangela izimpawu ze-numbness kanye nomuzwa wokuvuvukala onyaweni. Lokhu kubangela ukuthi abantu abaningi babe nokuhamba okulinganiselwe futhi babe nobuhlungu obukhulu lapho behamba, okungaba nomthelela omubi endleleni yabo yokuphila.
Uhlolojikelele lwe-Plantar Fasciitis- Ividiyo
VIDEO
Ingabe ubhekene nezinyawo ezibuhlungu? Ingabe uzwa ubuhlungu obuhlabayo obuhlabayo ezinyaweni zakho? Noma unobunzima bokuhamba? Abaningi bavame ukucabanga ukuthi babhekene nezinyawo ezibuhlungu noma ezinye izinkinga ezibabangela ubuhlungu. Cishe i-75% yabantu baseMelika ivame ukuba nobuhlungu bezinyawo obuthinta ikhono labo lokuhamba, futhi enye yazo i-plantar fasciitis. Ividiyo engenhla ichaza i-plantar fasciitis nokuthi ingathinta kanjani izinyawo. Lapho i-plantar fascia tendon isetshenziswa ngokweqile, idala izinyembezi ezincane emithanjeni yemisipha. Lapho amandla acindezelayo engeziwe eqala ukusunduza ngokumelene nesithende se-boner, angaholela esimweni se-pathological lapho i-plantar fascia iyancipha futhi idale ukungasebenzi kanye nobuhlungu. Uma lokhu kwenzeka, kungaholela kwezinye izimo ezifana ne-trigger point pain eduze kwe-muscle fibers onyaweni. Ubuhlungu nokuzwela okubangelwa amaphuzu e-trigger emisipha ye-plantar kungase kufihle njenge-plantar fasciitis. Kulelo phuzu, lapho i-plantar fasciitis iba yinkinga futhi ibangela ukuthi umuntu abe nobuhlungu obukhulu, kungaba yinkinga. Njengoba inhlanhla ingaba nayo, ukwelashwa kuyatholakala ukunciphisa ubuhlungu obuvela ku-plantar fasciitis.
Ukwelashwa kwe-Plantar Fasciitis
Lapho ukwelapha i-plantar fasciitis, ukwelashwa okuningi okutholakalayo kunganciphisa imiphumela yokuvuvukala esithendeni futhi kuvimbele amaphuzu okubangela ukuthi abuyele emuva. Enye yezindlela zokwelapha ezitholakalayo ukunakekelwa kwe-chiropractic. Ukunakekelwa kwe-Chiropractic kuyindlela yokwelapha ehlukile yokuvimbela, ukuxilonga, nokwelapha ukulimala okuningi kanye nezimo ezihambisana nomgogodla, ngokuyinhloko ama-subluxation noma ukungahambi kahle komgogodla. I-Chiropractic igxile ekubuyiseleni nasekugcineni impilo yonke kanye nokuphila kahle kwezinhlelo ze-musculoskeletal kanye nezinzwa ngokusebenzisa ukuxhaphaza umgogodla kanye nokulungiswa. Isazi se-chiropractor singakwazi ukuqondisa kabusha umgogodla ngokucophelela, sithuthukise amandla esiguli, ukuhamba, nokuguquguquka. Ngokuphathelene ne-plantar fasciitis, ukunakekelwa kwe-chiropractic kungasebenza nezinye izindlela zokwelapha, kuhlanganise nokwelapha ngokomzimba, ukubhucungwa, ngisho imijovo , ukuphatha ubuhlungu nokwelapha isimo. Ngisho noma i-plantar fasciitis ithatha izinyanga ezimbalwa ukuphulukisa, ukunakekelwa kwe-chiropractic kungabandakanya inqubo eqondile ehilela ukulungiswa ezinyaweni, emaqakaleni, nokuqondiswa komgogodla. Lokhu kunikeza izinzuzo eziningana, ezihlanganisa okulandelayo:
Yehlisa Ukucindezeleka ku-Plantar Fascia Ikhuthaza Ukuphulukisa Inikeza Ukuphathwa Kwezinhlungu Okuphumelelayo Yehlisa Ingozi Yokulimala Kakhudlwana
Isiphetho
Njengoba abantu abaningi emhlabeni wonke bemi ngezinyawo njalo, ubuhlungu bezinyawo bungaphazamisa ikhono lomuntu lokunyakaza. Obunye bobuhlungu bezinyawo obuvame kakhulu i-plantar fasciitis engahlotshaniswa nama-trigger points eduze kwemisipha ehlukahlukene yonyawo. I-Plantar fasciitis ibangelwa ukucasuka okuwohlokayo ku-plantar fascia nemigqa yayo, okubangela ubuhlungu obubukhali, obuhlabayo esithendeni. Uma lokhu kwenzeka, kungabangela ukuba isithende sivuvuke, sivuvuke futhi sibe buthakathaka. Kulelo phuzu, kubangela ukungazinzi nobuhlungu lapho uhamba. Kodwa-ke, i-plantar fasciitis ingelashwa lapho ibanjwa kusenesikhathi ngokusebenzisa izindlela zokwelapha ezahlukahlukene ezifana nokunakekelwa kwe-chiropractic. Ukunakekelwa kwe-Chiropractic kunganciphisa ukucindezeleka ku-fascia plantar futhi kusize ukunciphisa ingozi yokulimala okwengeziwe. Kuhlanganiswe nezinye izindlela zokwelapha, abantu abaningi bangasebenza ngokujwayelekile futhi baphinde baphinde baphinde bakwazi ukuhamba ngaphandle kobuhlungu.
Okubhekwayo
Buchanan, Benjamin K, noDonald Kushner. "Plantar Fasciitis - StatPearls - NCBI Bookshelf." Ku: StatPearls [I-inthanethi]. I-Treasure Island (FL) , StatPearls Publishing, 30 May 2022, www.ncbi.nlm.nih.gov/books/NBK431073/ .
UPetrofsky, uJerrold, et al. "Ukushisa Kwendawo Kwamaphuzu E-Trigger Kunciphisa Intamo Nezinhlungu ze-Plantar Fascia." Ijenali ye-Back and Musculoskeletal Rehabilitation , US National Library of Medicine, 2020, pubmed.ncbi.nlm.nih.gov/31594202/ .
Shah, Jay P, et al. "I-Myofascial Trigger Points Ngaleso sikhathi Namanje: Umbono Womlando Nesayensi." PM & R : Ijenali Yokulimala, Umsebenzi, kanye Nokuvuselela , I-US National Library of Medicine, ngoJulayi 2015, www.ncbi.nlm.nih.gov/pmc/articles/PMC4508225/ .
Travell, JG, et al. Ubuhlungu be-Myofascial kanye nokungasebenzi kahle: I-Trigger Point Manual: Vol. 2:Amaphethelo Aphansi . UWilliams noWilkins, ngo-1999.
Disclaimer
Izinhlobo zezicathulo kanye nomthelela wazo ngemuva
Izicathulo zokugijima ze-Athletic
