Sciatica
Ithimba le-Back Clinic Sciatica Chiropractic. UDkt Alex Jimenez uhlele izingobo zomlando ezihlukahlukene ezihlotshaniswa ne-sciatica, uchungechunge oluvamile futhi oluvame ukubikwa lwezimpawu ezithinta iningi labantu. Ubuhlungu be-Sciatica bungahluka kakhulu. Kungase kuzwakale njengokushoshozela okuncane, ubuhlungu obufiphele, noma ukuzwa ukushisa. Kwezinye izimo, izinhlungu zinzima kangangokuthi zenza umuntu angakwazi ukunyakaza. Ubuhlungu ngokuvamile buvela ohlangothini olulodwa.
I-Sciatica yenzeka lapho kunengcindezi noma ukulimala kwe-nerve sciatic. Le nerve iqala emhlane ophansi futhi yehle ngemuva komlenze ngamunye njengoba ilawula imisipha yangemuva yedolo kanye nomlenze ongezansi. Iphinde inikeze ukuzwa ngemuva kwethanga, ingxenye yomlenze ongezansi, kanye nasematheni onyawo. UDkt. Jimenez uchaza ukuthi i-sciatica nezimpawu zayo zingakhululeka kanjani ngokusebenzisa ukwelashwa kwe-chiropractic. Ukuze uthole ulwazi olwengeziwe, sicela ukhululeke ukuxhumana nathi ku-(915) 850-0900 noma umbhalo ukuze ushayele uDkt Jimenez mathupha ku-(915) 540-8444.
by UDkt Alex Jimenez I-Acupuncture Therapy , I-Chiropractic , Sciatica , I-Sciatica Nerve Pain , Ukwelashwa , I-Viscerosomatic Reflex
Kubantu ababhekene ne-sciatica, ingabe ukwelashwa okungahlinzeki njengokunakekelwa kwe-chiropractic kanye ne-acupuncture kunganciphisa ubuhlungu nokubuyisela ukusebenza?
Isingeniso
Umzimba womuntu ungumshini oyinkimbinkimbi ovumela umphathi ukuthi ahambe futhi azinzile lapho ephumule. Ngamaqembu emisipha ahlukahlukene ezingxenyeni zomzimba ezingenhla nezingaphansi, imisipha ezungezile, imisipha, imizwa, nemigqa isebenzela injongo yomzimba njengoba yonke inemisebenzi ethile yokugcina umsingathi esebenza. Kodwa-ke, abantu abaningi baye bahlakulela imikhuba ehlukahlukene ebangela imisebenzi enzima ebangela ukunyakaza okuphindaphindiwe emisipha yabo nasezinzwa futhi kuthinte isimiso sabo semisipha. Enye yezinzwa abantu abaningi abaye babhekana nobuhlungu yi-nerve ye-sciatic, ebangela izinkinga eziningi emaphethelweni omzimba ophansi futhi, uma ingelashwa ngokushesha, iholela ebuhlungu nokukhubazeka. Ngenhlanhla, abantu abaningi baye bafuna ukwelashwa okungezona ukuhlinzwa ukuze banciphise i-sciatica futhi babuyisele umsebenzi womzimba kumuntu ngamunye. Isihloko sanamuhla sigxile ekuqondeni i-sciatica nokuthi izindlela zokwelapha ezingahlinzeki ezifana nokunakekelwa kwe-chiropractic kanye ne-acupuncture zingasiza kanjani ekunciphiseni imiphumela efana nobuhlungu be-sciatic ebangela ukugqagqana kwamaphrofayili ezingozi emikhawulweni engezansi yomzimba. Sixoxa nabahlinzeki bezokwelapha abaqinisekisiwe abahlanganisa nolwazi lweziguli zethu ukuhlola ukuthi i-sciatica ivame ukuhlotshaniswa nezici zemvelo ezibangela ukungasebenzi emzimbeni. Siphinde sazise futhi siqondise iziguli ukuthi ukwelapha okuhlukahlukene okungahlinzeki kungasiza kanjani ekunciphiseni i-sciatica kanye nezimpawu zayo ezihambisanayo. Siphinde sikhuthaze iziguli zethu ukuthi zibuze abahlinzeki bazo bezokwelapha abahlobene nabo imibuzo eminingi eyinkimbinkimbi nebalulekile mayelana nokuhlanganisa izindlela zokwelapha ezingezona zokuhlinzwa njengengxenye yokwelapha. isimiso sabo sansuku zonke ukunciphisa amathuba kanye nemiphumela sciatica ekubuyeni. UDkt. Jimenez, DC, uhlanganisa lolu lwazi njengesevisi yezemfundo. Disclaimer .
Ukuqonda i-Sciatica
Ingabe uvame ukuzwa ubuhlungu obukhiphayo obuhamba phansi ngomlenze owodwa noma yomibili lapho uhlezi phansi isikhathi eside? Kukangaki uhlangabezane nemizwa yokuluma okubangela ukuba unyakazise umlenze wakho ukuze unciphise umphumela? Noma uke waqaphela ukuthi ukwelula imilenze yakho kubangela ukukhululeka kwesikhashana? Nakuba lezi zimpawu zobuhlungu ezidlulayo zingathinta imikhawulo engezansi, abantu abaningi bangase bacabange ukuthi ubuhlungu obuphansi emuva, kodwa empeleni, i-sciatica. I-Sciatica yisimo esivamile se-musculoskeletal esithinta abantu abaningi emhlabeni jikelele ngokubangela ubuhlungu ku-nerve ye-sciatic futhi isakaze phansi emilenzeni. I-sciatic nerve ibalulekile ekuhlinzekeni ukusebenza kwemoto okuqondile nokungaqondile emisipha yomlenze. ( UDavis et al., 2024 ) Lapho i-nerve ye-sciatic icindezelekile, abantu abaningi bathi ubuhlungu bungahluka ngamandla, buhambisane nezimpawu ezifana nokuluma, ukuba ndikindiki, nobuthakathaka bemisipha obungathinta ikhono lomuntu lokuhamba nokusebenza.
Kodwa-ke, ezinye zezimbangela eziholela ekuthuthukiseni i-sciatica zingadlala entweni ebangela ubuhlungu emaphethelweni aphansi. Izici eziningana ezingokwemvelo nezemvelo zivame ukuhlotshaniswa ne-sciatica, okubangela ukucindezelwa kwezimpande ze-lumbar ku-nerve ye-sciatic. Izinto ezifana nesimo sempilo esingesihle, ukucindezeleka ngokomzimba, nomsebenzi wokusebenza kuhlobene nokuthuthukiswa kwe-sciatica futhi kungaba nomthelela esimisweni somuntu. ( Gimenez-Campos et al., 2022 ) Ukwengeza, ezinye zezimbangela ze-sciatica zingabandakanya izimo ze-musculoskeletal ezifana ne-herniated discs, i-bone spurs, noma i-spinal stenosis, engahlotshaniswa nalezi zici zemvelo nezemvelo ezinganciphisa ukuhamba kwabantu abaningi kanye nekhwalithi yokuphila. ( U-Zhou et al., 2021 ) Lokhu kubangela abantu abaningi ukuba bafune ukwelashwa ukuze bakhulule ubuhlungu be-sciatica kanye nezimpawu zayo ezihambisanayo. Nakuba ubuhlungu obubangelwa i-sciatica bungahluka, abantu abaningi bavame ukufuna ukwelashwa okungezona ukuhlinzwa ukuze banciphise ukungakhululeki nobuhlungu babo be-sciatica. Lokhu kubavumela ukuthi bafake izixazululo eziphumelelayo zokuphatha i-sciatica.
Beyond Adjustments: Chiropractic & Integrative Healthcare- Ividiyo
VIDEO
Ukunakekelwa kweChiropractic For Sciatica
Uma kuziwa ekufuneni ukwelashwa okungezona ukuhlinzwa ukuze kuncishiswe i-sciatica, ukwelapha okungezona ukuhlinzwa kunganciphisa imiphumela efana nobuhlungu ngenkathi kusiza ukubuyisela ukusebenza komzimba nokuhamba. Ngesikhathi esifanayo, ukwelapha okungezona ukuhlinzwa kwenziwa ngendlela oyifisayo ebuhlungu bomuntu ngamunye futhi kungafakwa esimisweni somuntu. Ezinye izindlela zokwelapha ezingahlinzeki ezifana nokunakekelwa kwe-chiropractic zinhle kakhulu ekwehliseni i-sciatica kanye nezimpawu zayo zobuhlungu ezihambisana nayo. Ukunakekelwa kwe-Chiropractic kuyindlela yokwelapha engeyona yokuhlinzwa egxile ekubuyiseleni ukunyakaza komzimba womgogodla ngenkathi kuthuthukisa ukusebenza komzimba. Ukunakekelwa kwe-Chiropractic kusebenzisa amasu omshini kanye nezandla ukuze i-sciatica iqondise umgogodla futhi isize umzimba uphulukise ngokwemvelo ngaphandle kokuhlinzwa noma imithi. Ukunakekelwa kwe-Chiropractic kungasiza ekunciphiseni ukucindezela kwe-intradiscal, ukwandisa ukuphakama kwesikhala se-intervertebral disc, nokuthuthukisa ububanzi bokunyakaza emaphethelweni aphansi. ( Gudavalli et al., 2016 ) Lapho usebenzelana ne-sciatica, ukunakekelwa kwe-chiropractic kunganciphisa ukucindezela okungadingekile ku-nerve ye-sciatic futhi kusize ukunciphisa ingozi yokuphindaphinda ngokusebenzisa ukwelashwa okulandelanayo.
Imiphumela yokunakekelwa kweChiropractic ye-Sciatica
Eminye yemiphumela yokunakekelwa kwe-chiropractic yokunciphisa i-sciatica inganikeza ukuqonda kumuntu njengoba ama-chiropractors esebenza nabahlinzeki bezokwelapha abahambisanayo ukuze bahlele uhlelo lomuntu siqu lokukhulula izimpawu ezifana nobuhlungu. Abantu abaningi abasebenzisa ukunakekelwa kwe-chiropractic ukunciphisa imiphumela ye-sciatica bangafaka ukwelapha ngokomzimba ukuqinisa imisipha ebuthakathaka. lokho okuzungezile i-back back, yelula ukuze uthuthukise ukuguquguquka futhi ukhumbule kakhudlwana ukuthi yiziphi izici ezibangela ubuhlungu be-sciatic emaphethelweni abo aphansi. Ukunakekelwa kwe-Chiropractic kungase kuqondise abantu abaningi ku-ergonomics ye-poster efanele, nokuzivocavoca okuhlukahlukene ukuze kuncishiswe amathuba okubuya kwe-sciatica ngenkathi inikeza imiphumela emihle emzimbeni ophansi.
I-acupuncture ye-Sciatica
Olunye uhlobo lokwelashwa okungezona ukuhlinzwa olungasiza ekunciphiseni imiphumela efana nobuhlungu be-sciatica i-acupuncture. Njengengxenye eyinhloko emithini yendabuko yamaShayina, ukwelapha nge-acupuncture kuhilela ochwepheshe ukubeka izinaliti ezincane, eziqinile ezindaweni ezithile emzimbeni. Uma kuziwa ukunciphisa i-sciatica, ukwelashwa kwe-acupuncture kungaba nemiphumela ye-analgesic kuma-acupoints omzimba, ukulawula i-microglia, futhi kushintshe ama-receptors athile endleleni yobuhlungu eya ohlelweni lwezinzwa. ( Zhang et al., 2023 ) Ukwelashwa kwe-acupuncture kugxile ekubuyiseleni ukugeleza kwamandla emvelo omzimba noma i-Qi ukuze kuthuthukiswe ukuphulukiswa.
Imiphumela ye-Acupuncture ye-Sciatica
Ngokuphathelene nemiphumela yokwelashwa kwe-acupuncture ekunciphiseni i-sciatica, ukwelashwa kwe-acupuncture kungasiza ekunciphiseni izimpawu zobuhlungu ezikhiqizwa yi-sciatica ngokushintsha isignali yobuchopho nokubuyisela kabusha imoto ehambisanayo noma ukuphazamiseka kwezinzwa endaweni ethintekile. ( Yu et al., 2022 ) Ukwengeza, ukwelashwa kwe-acupuncture kungasiza ekuhlinzekeni ukukhululeka kobuhlungu ngokukhulula ama-endorphin, ukukhulula ubuhlungu bemvelo bomzimba, ku-acupoint ethize ehambisana ne-sciatic nerve, ukunciphisa ukuvuvukala okuzungeze i-nerve sciatic, ngaleyo ndlela kunciphise ingcindezi nobuhlungu nokusiza ukuthuthukisa ukusebenza kwezinzwa. Kokubili ukunakekelwa kwe-chiropractic kanye ne-acupuncture kunikeza izinketho ezibalulekile zokwelapha ezingahlinzeki ezinganikeza usizo enqubweni yokuphulukisa nokunciphisa ubuhlungu obubangelwa i-sciatica. Lapho abantu abaningi bebhekene ne-sciatica futhi befuna izixazululo eziningi zokunciphisa imiphumela efana nobuhlungu, lezi zindlela zokwelapha ezimbili ezingahlinzeki zingasiza abantu abaningi ukubhekana nezimbangela eziyinhloko ze-sciatica, ukuthuthukisa inqubo yokuphulukisa yemvelo yomzimba, futhi kusize ukunikeza ukukhululeka okukhulu ubuhlungu.
Okubhekwayo
U-Davis, D., Maini, K., Taqi, M., & Vasudevan, A. (2024). I-Sciatica. Ku StatPearls . www.ncbi.nlm.nih.gov/pubmed/29939685
Gimenez-Campos, MS, Pimenta-Fermisson-Ramos, P., Diaz-Cambronero, JI, Carbonell-Sanchis, R., Lopez-Briz, E., & Ruiz-Garcia, V. (2022). Ukubuyekezwa okuhlelekile kanye nokuhlaziywa kwe-meta kokusebenza kahle kanye nezenzakalo ezimbi ze-gabapentin ne-pregabalin yobuhlungu be-sciatica. Aten Primaria , 54 (1), i-102144. doi.org/10.1016/j.aprim.2021.102144
Gudavalli, MR, Olding, K., Joachim, G., & Cox, JM (2016). I-Chiropractic Distraction Spinal Manipulation on Postsurgical Continued Low Back and Radicular Pain Patients: A Retrospective Case Series. J Chiropr Med , 15 (2), i-121-128. doi.org/10.1016/j.jcm.2016.04.004
Yu, FT, Liu, CZ, Ni, GX, Cai, GW, Liu, ZS, Zhou, XQ, Ma, CY, Meng, XL, Tu, JF, Li, HW, Yang, JW, Yan, SY, Fu, HY, Xu, WT, Li, J., Xiang, HC, Sun, TH, Zhang, B., Li, MH, . . . Wang, LQ (2022). I-acupuncture ye-sciatica engapheli: iphrothokholi yesilingo esilawulwa ngokungahleliwe se-multicenter. I-BMJ Vula , 12 (5), i-e054566. doi.org/10.1136/bmjopen-2021-054566
Zhang, Z., Hu, T., Huang, P., Yang, M., Huang, Z., Xia, Y., Zhang, X., Zhang, X., & Ni, G. (2023). Ukusebenza nokuphepha kwe-acupuncture therapy ye-sciatica: Ukubuyekezwa okuhlelekile nokuhlaziywa kwe-meta yemizila elawulwa ngokungahleliwe. Front Neurosci , 17 , 1097830. doi.org/10.3389/fnins.2023.1097830
U-Zhou, J., Mi, J., Peng, Y., Han, H., & Liu, Z. (2021). I-Causal Associations of Obesity With the Intervertebral Degeneration, Low Back Pain, kanye ne-Sciatica: I-Two-Sample Mendelian Randomization Study. I-Front Endocrinol (Lausanne) , 12 , 740200. doi.org/10.3389/fendo.2021.740200
Disclaimer
by UDkt Alex Jimenez Inhlekelele Yokulimala , Sciatica
Lapho i-sciatica noma obunye ubuhlungu bezinzwa obukhazimulayo buveza, ingabe ukufunda ukuhlukanisa phakathi kobuhlungu bezinzwa nezinhlobo ezahlukene zobuhlungu kusiza abantu ukuba babone lapho izimpande zemizwa yomgogodla zicasuka noma zicindezelwe noma izinkinga ezinkulu kakhulu ezidinga ukunakekelwa kwezokwelapha?
Izimpande ze-Spinal Neerve and Dermatomes
Izimo zomgogodla ezifana nama-disc herniated kanye ne-stenosis zingaholela ebuhlungu obukhiphayo obuhamba phansi kwengalo eyodwa noma umlenze. Ezinye izimpawu zihlanganisa ubuthakathaka, ukuba ndikindiki, kanye/noma ukudubula noma ukushiswa kwemizwa kagesi. Igama lezokwelapha lezimpawu ze-pinched nerve i-radiculopathy (Izikhungo Zezempilo Zikazwelonke: Isikhungo Sikazwelonke Sezinkinga Zezinzwa Nesifo Sohlangothi. 2020 ). Ama-dermatomes angaba nomthelela ekucasukeni komgogodla, lapho izimpande zezinzwa zibangela izimpawu emhlane nasezithweni.
Anatomy
Umgogodla unezingxenye ezingu-31.
Ingxenye ngayinye inezimpande zezinzwa kwesokudla nakwesokunxele ezinikezela ngemisebenzi ye-motor nezinzwa ezithweni.
Amagatsha okuxhumana angaphambili nangemuva ahlangana ukuze enze izinzwa zomgogodla eziphuma emgodini we-vertebral.
Izingxenye ezingu-31 zomgogodla ziphumela emithanjeni engu-31 yomgogodla.
Ngayinye idlulisa okokufaka kwemizwa yezinzwa kusuka endaweni ethile yesikhumba kulelo hlangothi nendawo yomzimba.
Lezi zifunda zibizwa ngokuthi ama-dermatome.
Ngaphandle kwe-nerve yokuqala yomgogodla womlomo wesibeletho, ama-dermatome akhona ku-nerve ngayinye yomgogodla.
Izinzwa zomgogodla kanye nama-dermatome ahlobene nawo enza inethiwekhi kuwo wonke umzimba.
Dermatomes Inhloso
Ama-dermatome yizindawo zomzimba/isikhumba ezinokufakwa kwezinzwa ezinikezwe imizwa yomgogodla ngayinye. Impande ngayinye yezinzwa ine-dermatome ehlobene, futhi amagatsha ahlukahlukene ahlinzeka nge-dermatome ngayinye kuleyompande yenzwa eyodwa. Ama-dermatome ayindlela lapho ulwazi oluvusa amadlingozi esikhumbeni ludlulisela khona amasignali luye noma lusuka ohlelweni lwezinzwa olumaphakathi. Imizwa ezwakalayo ngokomzimba, njengokucindezela nezinga lokushisa, idluliselwa ohlelweni lwezinzwa olumaphakathi. Uma impande yenzwa yomgogodla icindezela noma icasukile, ngokuvamile ngenxa yokuthi ihlangana nesinye isakhiwo, iphumela ku-radiculopathy. (Izikhungo Zezempilo Zikazwelonke: Isikhungo Sikazwelonke Sezinkinga Zezinzwa Nesifo Sohlangothi. 2020 ).
I-Radiculopathy
I-Radiculopathy ichaza izimpawu ezibangelwa inzwa epinkiwe eduze komgogodla. Izimpawu nezinzwa zincike lapho i-nerve iphiniwe kanye nezinga lokucindezelwa.
Umlomo wesibeletho
Lena i-syndrome yobuhlungu kanye/noma ukwehluleka kwezinzwa lapho izimpande zezinzwa entanyeni zicindezelwa.
Imvamisa iveza ubuhlungu obuhla ngengalo eyodwa.
Abantu ngabanye bangase futhi bezwe ukuzwa kukagesi njengezikhonkwane nezinaliti, ukushaqeka, nezinzwa ezishisayo, kanye nezimpawu zemoto ezinjengobuthakathaka nokuba ndikindiki.
I-Lumbar
Le radiculopathy ibangelwa ukucindezelwa, ukuvuvukala, noma ukulimala ku-nerve yomgogodla emhlane ophansi.
Ukuzwa izinhlungu, ukuba ndikindiki, ukuntweza, ukuzwa kukagesi noma ukuvutha, kanye nezimpawu zezimoto ezinjengobuthakathaka obuhamba phansi emlenzeni owodwa zivamile.
Sifo
Ingxenye yokuhlolwa komzimba kwe-radiculopathy ukuhlola ama-dermatomes ukuze azwele. Udokotela uzosebenzisa izivivinyo ezithile zezandla ukuze anqume izinga lomgogodla lapho izimpawu zivela khona. Ukuhlolwa okwenziwa mathupha kuvame ukuhambisana nokuhlolwa kwezithombe zokuxilonga njenge-MRI, engabonisa ukungahambi kahle empandeni yemizwa yomgogodla. Ukuhlolwa okuphelele komzimba kuzonquma ukuthi impande yenzwa yomgogodla ingumthombo wezimpawu.
Ukwelapha Izimbangela Eziyisisekelo
Iziyaluyalu eziningi zangemuva zingelashwa ngemithi yokwelapha elondolozayo ukuze inikeze ukukhululeka kobuhlungu okuphumelelayo. Ngediski ye-herniated, isibonelo, abantu banganconywa ukuba baphumule futhi baphuze imithi elwa nokuvuvukala okungezona i-steroidal. I-acupuncture, ukwelapha ngokomzimba, i-chiropractic, i-traction engeyona yokuhlinzwa, noma zokwelapha decompression ingase futhi inqunywe. Ngobuhlungu obukhulu, abantu banganikezwa umjovo we-epidural steroid onganikeza ukukhululeka kobuhlungu ngokunciphisa ukuvuvukala. (I-American Academy of Orthopedic Surgeons: OrthoInfo. 2022 ) Nge-stenosis yomgogodla, umhlinzeki angase aqale agxile ekwelapheni ngokomzimba ukuze athuthukise ukuqina komzimba wonke, aqinise izisu zesisu nemisipha yangemuva, futhi alondoloze ukunyakaza emgogodleni. Imithi edambisa izinhlungu, kuhlanganise nama-NSAID nemijovo ye-corticosteroid, inganciphisa ukuvuvukala futhi ikhulule ubuhlungu. (I-American College of Rheumatology. 2023 ) Abelaphi bomzimba banikeza izindlela zokwelapha ezihlukahlukene zokunciphisa izimpawu, okuhlanganisa ukuwohloka okwenziwa ngesandla nokomshini kanye nokudonsa. Ukuhlinzwa kungase kunconywe ezimweni ze-radiculopathy ezingaphenduli ekwelashweni okuvamile.
Izinhlelo zokunakekelwa kwe-Injury Medical Chiropractic kanye ne-Functional Medicine Clinic kanye nezinsizakalo zomtholampilo zikhethekile futhi zigxile ekulimaleni kanye nenqubo yokutakula ephelele. Izindawo zethu zokuzijwayeza zihlanganisa Wellness & Nutrition, Ubuhlungu obungapheli, Ukulimala Komuntu, Ukunakekelwa Kwengozi Yezimoto, Ukulimala Umsebenzi, Ukulimala Emuva, Ubuhlungu Obuphansi, Ubuhlungu Bentamo, Ikhanda Elibuhlungu, Ukulimala Kwezemidlalo, I-Severe Sciatica, I-Scoliosis, I-Complex Herniated Discs, Fibromyalgia, Chronic Ubuhlungu, Ukulimala Okuyinkimbinkimbi, Ukulawulwa Kwengcindezi, Ukwelashwa Kwemithi Esebenzayo, kanye nezinqubo zokunakekelwa kwe-in-scope. Sigxila ekubuyiseleni imisebenzi evamile yomzimba ngemva kokulimala kanye nokulimala kwezicubu ezithambile kusetshenziswa i-Specialized Chiropractic Protocols, Wellness Programs, Functional and integrative Nutrition, Agility, and mobility Fitness Training, and Rehabilitation Systems yayo yonke iminyaka. Uma umuntu edinga okunye ukwelashwa, uzothunyelwa emtholampilo noma kudokotela osifanelekela kangcono isimo sakhe. UDkt. Jimenez uhlanganyele nodokotela abahlinzayo abaphezulu, ochwepheshe bezokwelapha, abacwaningi bezokwelapha, abelaphi, abaqeqeshi, nabahlinzeki bokuvuselela i-premiere ukuletha u-El Paso, ukwelapha okuphezulu kwemitholampilo, emphakathini wethu.
Buyisela Ukuhamba Kwakho: Ukunakekelwa Kwe-Chiropractic For Sciatica Recovery
VIDEO
Okubhekwayo
Izikhungo Zezempilo Zikazwelonke: Isikhungo Sikazwelonke Sezinkinga Zezinzwa Nesifo Sohlangothi. (2020). Iphepha leqiniso lezinhlungu eqolo. Kubuyiswe kusuka www.ninds.nih.gov/sites/default/files/migrate-documents/low_back_pain_20-ns-5161_march_2020_508c.pdf
I-American Academy of Orthopedic Surgeons: OrthoInfo. (2022). I-Herniated disk ngemuva. orthoinfo.aaos.org/zu/diseases-conditions/herniated-disk-in-the-lower-back/
I-American College of Rheumatology. (2023). I-stenosis yomgogodla. rheumatology.org/patients/spinal-stenosis
by UDkt Alex Jimenez Sciatica , Ukwelashwa Kokucindezeleka Komgogodla
Kubantu ababhekene noma abaphethe ubuhlungu obuphansi emuva kanye/noma i-sciatica, ingabe ukwelashwa kwe-lumbar traction kungasiza ukuhlinzeka ngokukhululeka okungaguquki?
I-Lumbar Traction
I-Lumbar traction therapy yobuhlungu obuphansi be-back back kanye ne-sciatica ingaba inketho yokwelapha ukusiza ukubuyisela ukuhamba nokuguquguquka nokusekela ngokuphepha ukubuya komuntu ezingeni eliphezulu lomsebenzi. Kuvame ukuhlanganiswa nokuzivocavoca okuhlosiwe kokwelapha. (U-Yu-Hsuan Cheng, et al., 2020 ) Inqubo yelula isikhala phakathi kwama-vertebrae emgogodleni ophansi, ikhulula ubuhlungu obuphansi emuva.
I-Lumbar noma i-low back traction isiza ukuhlukanisa izikhala phakathi kwama-vertebrae.
Ukuhlukanisa amathambo kubuyisela ukujikeleza kwegazi futhi kusiza ukukhulula ingcindezi ezinzwa ezipinkiwe njenge-sciatic nerve, ukunciphisa ubuhlungu nokuthuthukisa ukuhamba.
Ucwaningo
Abacwaningi bathi i-lumbar traction ngokuzivocavoca ayizange ithuthukise imiphumela yomuntu ngamunye uma iqhathaniswa nokuzivocavoca umzimba ngokwabo (U-Anne Thackeray et al., 2016 ). Ucwaningo luhlole abahlanganyeli be-120 abanezinhlungu zasemuva kanye ne-nerve root impingement abakhethwe ngokungahleliwe ukuba bathathe i-lumbar traction ngokuzivocavoca noma izivivinyo ezilula zobuhlungu. Ukuzivocavoca okusekelwe esandisweni kugxile ekugobiseni umgogodla. Lokhu kunyakaza kuthathwa njengokusebenza kahle kubantu abanobuhlungu beqolo kanye nezinzwa ezipinkiwe. Imiphumela ibonise ukuthi ukwengeza i-lumbar traction ekuzivocavoca umzimba akuzange kunikeze izinzuzo ezibalulekile phezu kokuzivocavoca okusekelwe ekwandiseni kuphela ubuhlungu be-back. (U-Anne Thackeray et al., 2016 )
Ucwaningo lwango-2022 lwathola ukuthi i-lumbar traction iyasiza kubantu abanezinhlungu ezingezansi. Ucwaningo luphenye izindlela ezimbili ezihlukene ze-lumbar traction futhi lwathola ukuthi ukuguquguquka kwe-lumbar traction kanye ne-high-force traction lumbar kusize ekudambiseni ubuhlungu obuphansi emuva. I-High-force lumbar traction nayo yatholakala ukunciphisa ukukhubazeka kokusebenza. (Zahra Masood et al., 202 I-2) Olunye ucwaningo lwathola ukuthi i-lumbar traction ithuthukisa ububanzi bokunyakaza ekuhlolweni kokuphakamisa umlenze oqondile. Ucwaningo luhlolisise amandla ahlukene we-traction kuma-discs e-herniated. Wonke amazinga athuthukise uhla lwabantu ngabanye, kodwa ukulungiselelwa kokudonsa kwesisindo somzimba okuyingxenye eyodwa kwakuhlotshaniswa nokukhulula ubuhlungu obubaluleke kakhulu. (U-Anita Kumari et al., 2021 )
Ukwelashwa
Kubantu abanobuhlungu obuphansi be-back back, ukuzivocavoca umzimba, nokulungiswa kwe-postural kungase kube yilokho okudingekayo ukuze kuhlinzekwe impumuzo. Ucwaningo luqinisekisa ukuthi ukuzivocavoca umzimba kungasiza ukunciphisa ubuhlungu futhi kuthuthukise ukuhamba (U-Anita Slomski 2020 ). Olunye ucwaningo lwembula ukubaluleka kokubeka endaweni eyodwa izimpawu ze-sciatic ngesikhathi sokunyakaza okuphindaphindiwe. I-centralization ihambisa ubuhlungu emuva emgogodleni, okuyisibonakaliso esihle sokuthi izinzwa nama-discs ayaphulukisa futhi kwenzeka ngesikhathi sokuzivocavoca kokwelapha. (U-Hanne B. Albert et al., 2012 ) I-chiropractor kanye nethimba lokwelapha ngokomzimba lingafundisa iziguli ngokuvimbela iziqephu zobuhlungu emuva. Ama-Chiropractors kanye nabelaphi bomzimba bangochwepheshe bokunyakaza komzimba abangabonisa ukuthi yiziphi izivivinyo ezilungele isimo sakho. Ukuqala uhlelo lokuzivocavoca olubeka izimpawu endaweni eyodwa kungasiza abantu ukuthi babuyele endleleni yabo yokuphila evamile ngokushesha nangokuphephile. Xhumana nomhlinzeki wezempilo ngaphambi kokuqala noma yiluphi uhlelo lokuvivinya umzimba ukuze uthole ubuhlungu beqolo.
Umuthi Wokunyakaza: I-Chiropractic
VIDEO
Okubhekwayo
U-Cheng, YH, Hsu, CY, & Lin, YN (2020). Umphumela we-mechanical traction ebuhlungu obuphansi emuva ezigulini ezine-herniated intervertebral disks: ukubuyekezwa kwesistimu kanye nokuhlaziywa kwe-meta. Ukuvuselelwa komtholampilo, i-34 (1), i-13-22. doi.org/10.1177/0269215519872528
Thackeray, A., Fritz, JM, Childs, JD, & Brennan, GP (2016). Ukusebenza Kokudonsa Kwemishini Phakathi Kwamaqembu Angaphansi Eziguli Ezinobuhlungu Obusemuva Nobuhlungu Bomlenze: Ukuhlolwa Okungahleliwe. Ijenali yokwelashwa kwamathambo nezemidlalo, 46(3), 144–154. doi.org/10.2519/jospt.2016.6238
Masood, Z., Khan, AA, Ayyub, A., & Shakeel, R. (2022). Umphumela we-lumbar traction ku-discogenic low back pain usebenzisa amandla aguquguqukayo. JPMA. Ijenali yePakistan Medical Association, 72(3), 483-486. doi.org/10.47391/JPMA.453
Kumari, A., Quddus, N., Meena, PR, Alghadir, AH, & Khan, M. (2021). Imiphumela ye-One-Fifth, One-Third, kanye ne-One-Half of the Bodyweight Lumbar Traction on the Straight Leg Raise Test and Pain in Prolapsed Intervertebral Disc Patients: A Randomized Controlled Trial. Ucwaningo lwamazwe ngamazwe lwe-BioMed, 2021, 2561502. doi.org/10.1155/2021/2561502
U-Slomski A. (2020). I-Early Physical Therapy Ikhulula Ukukhubazeka kwe-Sciatica Nobuhlungu. JAMA, 324(24), 2476. doi.org/10.1001/jama.2020.24673
U-Albert, HB, Hauge, E., & Manniche, C. (2012). I-centralization ezigulini ezine-sciatica: ingabe izimpendulo zobuhlungu ekuhambeni okuphindaphindiwe nokubeka okuhambisana nomphumela noma izinhlobo zezilonda ze-disc ?. Ijenali yomgogodla yaseYurophu : ukushicilelwa okusemthethweni kwe-European Spine Society, i-European Spinal Deformity Society, kanye ne-European Section ye-Cervical Spine Research Society, i-21(4), i-630-636. doi.org/10.1007/s00586-011-2018-9
by UDkt Alex Jimenez I-Acupuncture Therapy , I-Chiropractic , Sciatica , I-Sciatica Nerve Pain , Ukwelashwa Kokucindezeleka Komgogodla , Ukwelashwa , I-Viscerosomatic Reflex
Ingabe izindlela zokwelapha ezingahlinzeki ezifana ne-acupuncture kanye ne-spinal decompression zinganikeza impumuzo kubantu ababhekene ne-sciatica?
Isingeniso
Lapho abantu abaningi beqala ukuzwa izinhlungu zehla emilenzeni yabo ngemva kosuku olude lwemisebenzi, kubenza babe nokuhamba okulinganiselwe kanye nobunzima bokuthola indawo yokuphumula. Abantu abaningi bacabanga ukuthi babhekene nje nobuhlungu bomlenze, kodwa kungase kube yinkinga enkulu njengoba beqaphela ukuthi akubona nje ubuhlungu bomlenze ababuzwayo kodwa yi-sciatica. Nakuba le nzwa ende ivela emhlane ophansi futhi yehla iye emilenzeni, inganqotshwa ubuhlungu nokungakhululeki lapho ama-discs e-herniated noma imisipha icindezela futhi ikhulise inzwa. Uma lokhu kwenzeka, kungase kube nomthelela ekuhambeni komuntu kanye nekhwalithi yokuphila, ngaleyo ndlela kubangele ukuba bafune ukwelashwa ukuze banciphise ubuhlungu obuvela ku-sciatica. Ngenhlanhla, ezinye izindlela zokwelapha ezifana ne-acupuncture kanye ne-spinal decompression ziye zasetshenziswa ukuze zingagcini nje ukunciphisa ubuhlungu be-sciatic kodwa futhi zinikeze imiphumela emihle, enenzuzo. Isihloko sanamuhla sibheka i-sciatica, ukuthi ukuchithwa komgogodla kanye ne-acupuncture kungakhulula kanjani i-sciatica, nokuthi ukuhlanganisa lezi zindlela zokwelapha ezimbili ezingezona ukuhlinzwa kungaholela emiphumeleni enenzuzo. Sikhuluma nabahlinzeki bezokwelapha abaqinisekisiwe abahlanganisa ulwazi lweziguli zethu ukuze bahlole ukuthi i-sciatica ingaba nomthelela omkhulu kanjani enhlalakahleni yomuntu kanye nezinga lempilo. Siphinde sazise futhi siqondise iziguli ukuthi ukuhlanganisa ukwelashwa kwe-acupuncture kanye nokucindezeleka komgogodla kunganciphisa kanjani i-sciatica. Sikhuthaza iziguli zethu ukuthi zibuze abahlinzeki bazo bezokwelapha abahlobene nabo imibuzo eyinkimbinkimbi futhi ebalulekile mayelana nokuhlanganisa ukwelapha okungezona ukuhlinzwa ohlelweni lwezempilo ukuze kukhululeke i-sciatica kanye nezimpawu zayo ezidlulisiwe. UDkt. Jimenez, DC, uhlanganisa lolu lwazi njengesevisi yezemfundo. Disclaimer .
Ukuqonda i-Sciatica
Ingabe uvame ukuzwa ukuba ndikindiki noma ukuntweza kusuka emhlane wakho ongezansi kuya emilenzeni yakho? Ingabe uzizwa sengathi ukuhamba kwakho kungezwani? Noma ingabe uye welula imilenze yakho ngemva kokuhlala isikhashana, okukunikeza impumuzo yesikhashana? Ngenkathi inzwa ye-sciatic idlala indima ebalulekile ekusebenzeni kwemilenze emilenzeni, lapho izici ezihlukahlukene, njengama-disc herniated ngisho nokukhulelwa, ziqala ukukhulisa inzwa, kungabangela ubuhlungu. I-Sciatica yisimo sobuhlungu esihlotshaniswayo esivame ukubizwa ngokungeyikho njengobuhlungu obuphansi emuva noma ubuhlungu bomlenze obukhulu ngenxa yalezi zimo ezimbili ze-musculoskeletal. Lezi yizinto ezihambisanayo futhi zingabhebhethekiswa ukusonteka nokujika okulula. ( UDavis et al., 2024 )
Ukwengeza, lapho abantu abaningi benza ukunyakaza okuphindaphindiwe noma bebhekana nezinguquko eziwohlokayo emgogodleni, ama-spinal discs athambekele kakhulu ku-herniation. Bangase bacindezele izinzwa zomgogodla, okubangela ukuthi izimpawu ze-neuron zibangele ubuhlungu nokungakhululeki emaphethelweni aphansi. ( U-Zhou et al., 2021 ) Ngesikhathi esifanayo, i-sciatica ingaba imithombo yomgogodla kanye ne-extra-spinal endaweni ye-lumbar spinal, okubangela ukuthi abantu abaningi babe nobuhlungu obuqhubekayo futhi bafune ukukhululeka. ( USiddiq et al., 2020 ) Lapho ubuhlungu be-sciatica buqala ukuthinta imikhawulo ephansi yomuntu, okubangela izinkinga zokuhamba, abantu abaningi bafuna ukwelashwa ukuze banciphise imiphumela efana nobuhlungu be-sciatica.
Isayensi Yokunyakaza-Ividiyo
VIDEO
I-Acupuncture Yokunciphisa Ubuhlungu be-Sciatica
Uma kuziwa ekwelapheni i-sciatica, abantu abaningi bangabheka ekwelashweni okungahlinzeki ngenxa yokungabizi kwayo kanye nempumelelo ekunciphiseni i-sciatica kanye nezimpawu zayo ezihambisana nobuhlungu. Ukwelashwa okungahlinzeki kungenziwa ngendlela oyifisayo ebuhlungu bomuntu futhi kuhlanganiswe ukuze kubuyiselwe izinga lempilo yomuntu. Izindlela zokwelapha ezimbili ezingezona zokuhlinzwa ezingasiza ekunciphiseni i-sciatica yi-acupuncture kanye nokucindezeleka komgogodla. I-acupuncture inomlando omude wokuhlinzeka ngemiphumela emihle ebalulekile ekwehliseni ubuhlungu be-sciatic nokuthuthukisa izinga lokuphila lomuntu. ( I-Yuan et al., I-2020 ) Ochwepheshe abaqeqeshwe kakhulu abavela e-China basebenzisa i-acupuncture futhi bahlanganisa izinaliti ezincane eziqinile ukuze banikeze ukukhululeka okusheshayo ezimpawu ezihambisana ne-sciatica. Lokhu kungenxa yokuthi i-acupuncture inemiphumela yokudambisa ubuhlungu ngokulawula ukusebenza kwe-microglia, ivimbele ukusabela okungokwemvelo komzimba okuvuvukalayo, kanye nokushintsha ama-receptors endleleni yobuhlungu ohlelweni lwezinzwa. ( Zhang et al., 2023 ) Kuleli qophelo, i-acupuncture ingashukumisa ama-acupoints omzimba ukuze abuyisele ibhalansi.
Imiphumela Ye-Acupuncture
Omunye wemiphumela ye-acupuncture yokukhulula i-sciatica ukuthi inganciphisa ukuqina kobuhlungu ngokushintsha amaphethini omsebenzi wobuchopho lapho ama-receptors ezinhlungu ephazamiseka. ( Yu et al., 2022 ) Ukwengeza, lapho ama-acupuncturists eqala ukuvuselela imizwa emisipha nezicubu, akhulula ama-endorphin nezinye izici ze-neurohumoral ezisiza ukushintsha inqubo yobuhlungu ohlelweni lwezinzwa. I-acupuncture isiza ekunciphiseni ukuvuvukala ngenkathi ithuthukisa ukuqina kwemisipha kanye nokuhamba kwamalunga ngokwandisa i-microcirculation ukuze kuncishiswe ukuvuvukala ngenkathi ivimbela ubuhlungu be-sciatica ekuthinteni imikhawulo ephansi.
Ukunciphisa Umgogodla Wokukhulula Ubuhlungu be-Sciatica
Olunye uhlobo lokwelashwa okungezona ukuhlinzwa ukuchithwa komgogodla, futhi kungasiza ekunciphiseni imiphumela ye-sciatica kanye nezimpawu zayo ezibuhlungu ezihambisanayo. I-Decompression yomgogodla isebenzisa itafula lokudonsa ukuze welule kancane umgogodla ukuze udale ingcindezi engalungile ngaphakathi kwe-spinal disc futhi ukhulule izinzwa ezithintekile. Kubantu be-sciatica, lokhu kwelashwa okungahlinzeki kukhulula i-nerve ye-sciatic njengoba ukuwohloka komgogodla kusiza ukunciphisa ubuhlungu obukhulu futhi kuthuthukise umsebenzi wokuhamba emaphethelweni aphansi. ( I-Choi et al., 2022 ) Inhloso eyinhloko yokuwohloka komgogodla ukudala isikhala ngaphakathi komgogodla womgogodla kanye nezakhiwo ze-neural ukuze kukhululwe i-nerve ye-sciatic ethuthukisiwe ekubangele ubuhlungu obuningi. ( Burkhard et al., 2022 )
Imiphumela Yokuwohloka Komgogodla
Abantu abaningi bangaqala ukuzwa ukukhululeka ekufakeni ukuwohloka komgogodla ekwelashweni kwabo kwezempilo. Lokhu kwelashwa okungahlinzeki kukhuthaza uketshezi kanye nezakhi ku-spinal disc ukuze kuqalwe inqubo yokuphulukisa yemvelo yomzimba. Lapho umgogodla welulelwa ngobumnene, kunokucindezela okuncane emithanjeni ye-sciatic, enganciphisa ubuhlungu futhi ithuthukise ukuhamba. Ukwengeza, abantu abaningi bazozwa ukuguquguquka nokuhamba kwabo emuva endaweni yabo ye-lumbar.
Ukuhlanganisa i-Acupuncture kanye ne-Spinal Decompression For Relief
Ngakho-ke, lapho abantu abaningi beqala ukuhlanganisa ukuchithwa komgogodla kanye ne-acupuncture njengendlela ephelele futhi engahlinzeki yokukhulula i-sciatica, imiphumela nezinzuzo zihle. Nakuba ukuchithwa komgogodla kuhloswe ukuphulukiswa komshini we-spinal disc kanye nokunciphisa ukucindezeleka kwezinzwa, i-acupuncture igxile ekudambiseni ubuhlungu nokunciphisa ukuvuvukala ezingeni lesistimu. Lokhu kuthuthukisa inqubo yokwelapha yemvelo yomzimba futhi kunikeza umphumela we-synergistic ukuthuthukisa imiphumela yokwelashwa. Ukwelashwa okungahlinzeki okufana ne-acupuncture kanye nokuwohloka komgogodla kunganikeza umphumela onethemba kubantu abaningi abafuna ukukhululeka ebuhlungwini be-sciatic ngaphandle kokusebenzisa izinqubo zokuhlinzwa. Lezi zindlela zokwelapha zivumela umuntu ukuthi aphinde aphinde ahambe emaphethelweni abo aphansi, anciphise ubuhlungu, futhi athuthukise izinga labo lokuphila ngokwenza abantu bacabange kakhulu ngemizimba yabo futhi banciphise amathuba e-sciatica ekubuyeni. Ngokwenza kanjalo, abantu abaningi bangaphila impilo enempilo futhi engenabuhlungu.
Okubhekwayo
Burkhard, MD, Farshad, M., Suter, D., Cornaz, F., Leoty, L., Furnstahl, P., & Spirig, JM (2022). Ukuwohloka komgogodla ngemihlahlandlela eqondene nesiguli. Umgogodla J , 22 (7), i-1160-1168. doi.org/10.1016/j.spinee.2022.01.002
U-Choi, E., Gil, HY, Ju, J., Han, WK, Nahm, FS, & Lee, PB (2022). Umphumela we-Nonsurgical Spinal Decompression on Intensity of Pain kanye ne-Herniated Disc Volume ku-Subacute Lumbar Herniated Disc. Ijenali Yamazwe Ngamazwe Yokuzilolonga Komtholampilo , 2022 , 6343837. doi.org/10.1155/2022/6343837
U-Davis, D., Maini, K., Taqi, M., & Vasudevan, A. (2024). I-Sciatica. Ku StatPearls . www.ncbi.nlm.nih.gov/pubmed/29939685
USiddiq, MAB, Clegg, D., Hasan, SA, & Rasker, JJ (2020). I-Extra-spinal sciatica kanye ne-sciatica ilingisa: ukubuyekezwa kwe-scoping. I-Korean J Pain , 33 (4), i-305-317. doi.org/10.3344/kjp.2020.33.4.305
Yu, FT, Liu, CZ, Ni, GX, Cai, GW, Liu, ZS, Zhou, XQ, Ma, CY, Meng, XL, Tu, JF, Li, HW, Yang, JW, Yan, SY, Fu, HY, Xu, WT, Li, J., Xiang, HC, Sun, TH, Zhang, B., Li, MH, . . . Wang, LQ (2022). I-acupuncture ye-sciatica engapheli: iphrothokholi yesilingo esilawulwa ngokungahleliwe se-multicenter. I-BMJ Vula , 12 (5), i-e054566. doi.org/10.1136/bmjopen-2021-054566
U-Yuan, S., Huang, C., Xu, Y., Chen, D., & Chen, L. (2020). I-acupuncture ye-lumbar disc herniation: Iphrothokholi yokubuyekezwa okuhlelekile nokuhlaziywa kwe-meta. Imithi (Baltimore) , 99 (9), i-e19117. doi.org/10.1097/MD.0000000000019117
Zhang, Z., Hu, T., Huang, P., Yang, M., Huang, Z., Xia, Y., Zhang, X., Zhang, X., & Ni, G. (2023). Ukusebenza nokuphepha kwe-acupuncture therapy ye-sciatica: Ukubuyekezwa okuhlelekile nokuhlaziywa kwe-meta yemizila elawulwa ngokungahleliwe. Front Neurosci , 17 , 1097830. doi.org/10.3389/fnins.2023.1097830
U-Zhou, J., Mi, J., Peng, Y., Han, H., & Liu, Z. (2021). I-Causal Associations of Obesity With the Intervertebral Degeneration, Low Back Pain, kanye ne-Sciatica: I-Two-Sample Mendelian Randomization Study. I-Front Endocrinol (Lausanne) , 12 , 740200. doi.org/10.3389/fendo.2021.740200
Disclaimer
by UDkt Alex Jimenez I-Chiropractic , Inhlekelele Yokulimala , Sciatica
Abantu ababhekene nokudubula, ubuhlungu obubuhlungu emaphethelweni aphansi, kanye nobuhlungu bemilenze obuphakathi kungenzeka bahlushwa yi-neurogenic claudication. Ingabe ukwazi izimpawu kungabasiza abahlinzeki bezempilo ukuthi bakhe uhlelo lokwelapha olusebenzayo?
I-Neurogenic Claudication
I-Neurogenic claudication yenzeka lapho izinzwa zomgogodla zicindezelwa ku-lumbar noma umgogodla ophansi, okubangela ubuhlungu bemilenze obuphakathi. Izinzwa ezicindezelwe emgogodleni we-lumbar zingabangela ubuhlungu bomlenze kanye namajaqamba. Ubuhlungu buvamise ukuba bubi kakhulu ngokunyakaza okuthile noma imisebenzi efana nokuhlala, ukuma, noma ukugobela emuva. Yaziwa nangokuthi i-pseudo-claudication lapho isikhala esingaphakathi kwe-lumbar spine sincipha. Isimo esaziwa ngokuthi i-lumbar spinal stenosis. Kodwa-ke, i-neurogenic claudication i-syndrome noma iqembu lezimpawu ezibangelwa i-pinched nerve spinal, kuyilapho i-spinal stenosis ichaza ukuncipha kwemigudu yomgogodla.
Izimpawu
Izimpawu ze-Neurogenic claudication zingabandakanya:
Umlenze uminyanisa.
Ukuba ndikindiki, ukuluma, noma ukuzwa ukuvutha.
Ukukhathala komlenze nokuba buthakathaka.
Ukuzwa ubunzima emlenzeni/ emizuzwini.
Ubuhlungu obubukhali, obudubulayo, noma obubuhlungu obudlulela emaphethelweni aphansi, ngokuvamile kuyo yomibili imilenze.
Kungase futhi kube nobuhlungu emhlane ongezansi noma ezinqeni.
I-Neurogenic claudication ihlukile kwezinye izinhlobo zobuhlungu bomlenze, njengoba ubuhlungu bushintshana - buyeka futhi buqala ngokungahleliwe futhi bube bubi kakhulu ngokunyakaza okuthile noma imisebenzi. Ukuma, ukuhamba, ukwehla ngezitebhisi, noma ukujikela emuva kungabangela ubuhlungu, kuyilapho ukuhlala, ukugibela izitebhisi, noma ukuncika phambili kuvame ukukhulula ubuhlungu. Nokho, zonke izimo zihlukile. Ngokuhamba kwesikhathi, i-neurogenic claudication ingathinta ukuhamba njengoba abantu bezama ukugwema imisebenzi ebangela ubuhlungu, kuhlanganise nokuzivocavoca, ukuphakamisa izinto, nokuhamba isikhathi eside. Ezimweni ezimbi kakhulu, i-neurogenic claudication ingenza ukulala kube nzima.
I-Neurogenic claudication kanye ne-sciatica ayifani. I-Neurogenic claudication ihilela ukucindezelwa kwezinzwa emgodini ophakathi we-lumbar spine, okubangela ubuhlungu emilenzeni yomibili. I-Sciatica ihilela ukucindezelwa kwezimpande zezinzwa eziphuma ezinhlangothini zomgogodla we-lumbar, okubangela ubuhlungu emlenzeni owodwa. (UCarlo Ammendolia, 2014 )
Izimbangela
Nge-neurogenic claudication, izinzwa zomgogodla ezicindezelwe ziyimbangela eyinhloko yobuhlungu bomlenze. Ezimweni eziningi, i-lumber spinal stenosis - LSS iyimbangela ye-pinched nerve. Kunezinhlobo ezimbili ze-lumbar spinal stenosis.
I-Central stenosis iyimbangela eyinhloko ye-neurogenic claudication. Ngalolu hlobo, umsele ophakathi we-lumbar spine, ohlala kuyo umgogodla, uyancipha, ubangele ubuhlungu emilenzeni yomibili.
I-Lumbar spinal stenosis ingatholakala futhi ithuthuke kamuva ekuphileni ngenxa yokuwohloka komgogodla.
I-Congenital isho ukuthi umuntu uzalwa enalesi simo.
Kokubili kungaholela ku-claudication ye-neurogenic ngezindlela ezahlukene.
I-Foramen stenosis ingenye uhlobo lwe-lumbar spinal stenosis ebangela ukuncishiswa kwezikhala nhlangothi zombili zomgogodla lapho izimpande zezinzwa ziphuma khona emgogodleni. Ubuhlungu obuhambisanayo buhlukile ngoba bukhona emlenzeni wesokudla noma wesobunxele.
Ubuhlungu buhambisana nohlangothi lomgogodla lapho kuncinzwa khona imizwa.
Kutholwe i-Lumbar Spinal Stenosis
I-Lumbar spinal stenosis ivame ukutholwa ngenxa yokuwohloka komgogodla we-lumbar futhi ivame ukuthinta abantu abadala asebekhulile. Izinkinga zokunciphisa zingabandakanya:
Ukuhlukumezeka komgogodla, okufana nokushayisana kwemoto, umsebenzi, noma ukulimala kwezemidlalo.
I-Disc herniation.
I-osteoporosis yomgogodla - i-arthritis egugayo.
I-Ankylosing spondylitis - uhlobo lwe-arthritis oluvuthayo oluthinta umgogodla.
Ama-osteophyte - amathambo e-bone spurs.
Izimila zomgogodla - izimila ezingenawo umdlavuza futhi ezinomdlavuza.
I-Congenital Lumbar Spinal Stenosis
I-Congenital lumbar spinal stenosis isho ukuthi umuntu uzalwa enezinto ezingavamile zomgogodla okungenzeka zingabonakali lapho ezalwa. Ngenxa yokuthi isikhala esingaphakathi komgogodla sesivele sincane, umgogodla usengozini kunoma yiziphi izinguquko njengoba iminyaka ngayinye. Ngisho nabantu abane-arthritis ethambile bangathola izimpawu ze-neurogenic claudication kusenesikhathi futhi babe nezimpawu eminyakeni yabo yama-30s nama-40s esikhundleni seminyaka yabo yama-60s kanye nengama-70s.
Sifo
Ukuxilongwa kwe-neurogenic claudication ngokuyinhloko kusekelwe emlandweni wezokwelapha womuntu, ukuhlolwa ngokomzimba, nokucabanga. Ukuhlolwa ngokomzimba nokubuyekezwa kukhomba ukuthi ubuhlungu buvela kuphi futhi nini. Umhlinzeki wezempilo angabuza:
Ingabe ukhona umlando wezinhlungu ezingezansi?
Ingabe ubuhlungu emlenzeni owodwa noma kokubili?
Ingabe ubuhlungu buhlala njalo?
Ingabe ubuhlungu bufika budlule?
Ingabe ubuhlungu buya ngcono noma bubi nakakhulu lapho umile noma uhlezi?
Ingabe ukunyakaza noma imisebenzi idala izimpawu zobuhlungu kanye nemizwa?
Ingabe ikhona imizwa evamile lapho uhamba?
Ukwelashwa
Ukwelashwa kungabandakanya ukwelashwa ngokomzimba, imijovo ye-spinal steroid, kanye nemithi yobuhlungu. Ukuhlinzwa kuyindlela yokugcina lapho zonke ezinye izindlela zokwelapha zingakwazi ukunikeza usizo oluphumelelayo.
Ukwelashwa Kwemvelo
A uhlelo lokwelashwa izobandakanya ukwelashwa ngokomzimba okuhlanganisa:
Ukwelula nsuku zonke
Ukuqinisa
Ukuvivinya umzimba nge-aerobic
Lokhu kuzosiza ukuthuthukisa futhi kuzinzise imisipha ephansi emuva futhi kulungise izinkinga zokuma.
Ukwelashwa komsebenzi kuzoncoma ukuguqulwa komsebenzi okubangela izimpawu zobuhlungu.
Lokhu kuhlanganisa ukukhanda umzimba okufanele, ukonga amandla, nokubona izimpawu zobuhlungu.
Izinsimbi zasemuva noma amabhande nawo angase anconywe.
Imijovo yeSteroid yomgogodla
Abahlinzeki bezempilo bangancoma imijovo ye-epidural steroid.
Lokhu kuletha i-cortisone steroid engxenyeni engaphandle yekholomu yomgogodla noma isikhala se-epidural.
Imijovo inganikeza ukukhululeka kobuhlungu izinyanga ezintathu kuya eminyakeni emithathu. (Sunil Munakomi et al., 2024 )
Imithi Yobuhlungu
Imithi yobuhlungu isetshenziselwa ukwelapha i-intermittent neurogenic claudication. Lokhu kubandakanya:
Ama-analgesics angaphezu kwe-counter afana ne-acetaminophen.
Izidakamizwa ezingezona ukuvuvukala noma ama-NSAID njenge-ibuprofen noma i-naproxen.
Ama-NSAID kadokotela angase anqunywe uma kudingeka.
Ama-NSAID asetshenziswa ngobuhlungu obungapheli be-neurogenic futhi kufanele asetshenziswe kuphela uma kudingeka.
Ukusetshenziswa isikhathi eside kwama-NSAID kungandisa ingozi yezilonda zesisu, futhi ukusetshenziswa ngokweqile kwe-acetaminophen kungaholela ebusheni besibindi nokuhluleka kwesibindi.
Ukuhlinzwa
Uma izindlela zokwelapha ezilondolozayo zingakwazi ukuhlinzeka ngokukhululeka okuphumelelayo nokuhamba kanye/noma izinga lokuphila liyathinteka, ukuhlinzwa okwaziwa ngokuthi i-laminectomy kungase kunconywe ukuze kuncishiswe umgogodla we-lumbar. Inqubo ingenziwa:
I-Laparoscopically - enezimbobo ezincane, ububanzi, nezinsimbi zokuhlinza.
Ukuhlinzwa okuvulekile - nge-scalpel kanye ne-sutures.
Ngesikhathi senqubo, izingxenye ze-vertebra zisuswa kancane noma ngokuphelele.
Ukuze anikeze ukuzinza, amathambo ngezinye izikhathi ahlanganiswa nezikulufu, amapuleti, noma izinduku.
Amazinga empumelelo akho kokubili acishe afane.
Phakathi kuka-85% no-90% wabantu abahlinzwa bathola ukukhululeka okuhlala isikhathi eside kanye/noma okungapheli kobuhlungu. (U-Xin-Long Ma et al., 2017 )
Umuthi Wokunyakaza: Ukunakekelwa Kwe-Chiropractic
VIDEO
Okubhekwayo
U-Ammendolia C. (2014). I-Degenerative lumbar spinal stenosis kanye nabakhohlisi bayo: izifundo ezintathu zecala. I-Journal ye-Canadian Chiropractic Association, i-58 (3), i-312-319.
Munakomi S, Foris LA, Varacallo M. (2024). I-Spinal Stenosis kanye ne-Neurogenic Claudication. [Kubuyekezwe 2023 Aug 13]. Ku: StatPearls [I-inthanethi]. I-Treasure Island (FL): I-StatPearls Publishing; 2024 Jan-. Itholakala ku: www.ncbi.nlm.nih.gov/books/NBK430872/
Ma, XL, Zhao, XW, Ma, JX, Li, F., Wang, Y., & Lu, B. (2017). Ukuphumelela kokuhlinzwa ngokumelene nokwelashwa okulondolozayo kwe-lumbar spinal stenosis: Ukubuyekezwa kwesistimu kanye nokuhlaziywa kwe-meta yezilingo ezilawulwa ngokungahleliwe. Ijenali yamazwe ngamazwe yokuhlinzwa (London, England), 44, 329-338. doi.org/10.1016/j.ijsu.2017.07.032
by UDkt Alex Jimenez Ukulimala okunzima , Sciatica
Ingabe izimiso zokwelapha zokwelapha ngokomzimba ezihloselwe ukuthuthukisa ububanzi bokunyakaza nokuguquguquka eduze kwe-hip kanye nokukhulula ukuvuvukala okuzungeze inzwa ye-sciatic zingasiza abantu abazwa ubuhlungu obujulile bezinqe noma i-piriformis syndrome?
Ubuhlungu Bezinqe Ezijulile
I-Piriformis syndrome, ak .a. ubuhlungu be-buttock obujulile, buchazwa njengokucasuka kwe-nerve sciatic kusuka emsipha we-piriformis.
I-piriformis ingumsipha omncane ngemuva kwe-hip joint ezinqeni.
Cishe isentimitha elilodwa ububanzi futhi isebenza ekujikelezeni kwangaphandle kwelunga le-hip noma ukujikela ngaphandle.
Imisipha ye-piriformis kanye ne-tendon iseduze ne-sciatic nerve, ehlinzeka ngamaphethelo aphansi ngemisebenzi ye-motor kanye nezinzwa.
Kuye ngokuhlukahluka komuntu ngamunye kwe-anatomic ye-muscle ne-tendon:
Laba bobabili bayawela, ngaphansi, noma badabulane ngemuva kwelunga le-hip esinqeni esijulile.
Lobu buhlobo kucatshangwa ukuthi bucasula inzwa, okuholela ezimpawu ze-sciatica.
I-Piriformis Syndrome
Uma kutholakala ukuthi une-piriformis syndrome, kucatshangwa ukuthi i-muscle ne-tendon ibopha kanye / noma i-spasm ezungeze inzwa, okubangela ukucasuka kanye nezimpawu zobuhlungu.
Ithiyori esekelwayo iwukuthi lapho imisipha ye-piriformis kanye ne-tendon yayo iqina, i-nerve ye-sciatic iyacindezelwa noma incinwe. Lokhu kunciphisa ukujikeleza kwegazi futhi kucasula inzwa ekucindezelweni. (U-Shane P. Cass 2015 )
Izimpawu
Izimpawu nezimpawu ezijwayelekile zihlanganisa: (U-Shane P. Cass 2015 )
Ubumnene obunokucindezela kumisipha ye-piriformis.
Ukungakhululeki ngemuva kwethanga.
Ubuhlungu bezinqe ezijulile ngemuva kwenqulu.
Izinzwa zikagesi, ukushaqeka, nezinhlungu kuhamba phansi ngemuva komkhawulo ongezansi.
Ukuba ndikindiki emkhawulweni ongezansi.
Abanye abantu baba nezimpawu kungazelelwe, kuyilapho abanye bekhula kancane kancane.
Sifo
Odokotela bazo-oda ama-X-ray, ama-MRIs, nezifundo zokuqhuba izinzwa, okuyinto evamile.
Ngenxa yokuthi i-piriformis syndrome ingaba inselele ukuyixilonga, abanye abantu abanobuhlungu obuncane be-hip bangathola ukuxilongwa kwe-piriformis syndrome ngisho noma bengenaso isimo. (U-Shane P. Cass 2015 )
Ngezinye izikhathi kuthiwa ubuhlungu bezinqe obujulile. Ezinye izimbangela zalolu hlobo lobuhlungu zihlanganisa izinkinga zomgogodla nomgogodla njenge:
Ama-discs we-Herniated
I-stenosis yomgogodla
I-Radiculopathy - i-sciatica
I-Hip bursitis
Ukuxilongwa kwe-piriformis syndrome kuvame ukunikezwa lapho lezi ezinye izimbangela ziqedwa.
Uma ukuxilongwa kungaqiniseki, umjovo ulawulwa endaweni ye-piriformis muscle. (U-Danilo Jankovic et al., 2013 )
Imithi ehlukene ingasetshenziswa, kodwa umjovo ngokwawo usetshenziselwa ukusiza ukucacisa indawo ethile yokungakhululeki.
Uma umjovo unikezwa emsipha we-piriformis noma i-tendon, ngokuvamile ulawulwa yisiqondiso se-ultrasound ukuqinisekisa ukuthi inaliti ihambisa imithi endaweni efanele. (Elizabeth A. Bardowski, JW Thomas Byrd 2019 )
Ukwelashwa
Ukwelashwa okuvamile kuhlanganisa okulandelayo. (U-Danilo Jankovic et al., 2013 )
Ukuphumula
Ukugwema imisebenzi edala izimpawu okungenani amasonto ambalwa.
Ukwelashwa Kwemvelo
Gcizelela ukwelula nokuqinisa imisipha ye-hip rotator.
I-Non-Surgical Decompression
Idonsa ngomusa umgogodla ukuze ikhulule noma yikuphi ukucindezelwa, okuvumela ukubuyisela amanzi emzimbeni okulungile nokujikeleza futhi kuthathe ingcindezi ku-nerve ye-sciatic.
Izindlela Zokubhucunga Zokwelapha
Ukuze uphumule futhi ukhulule ukungezwani kwemisipha nokwandisa ukujikeleza.
I-acupuncture
Ukulungiswa kwe-Chiropractic
Ukuqondisa kabusha kulinganisa umgogodla kanye nesistimu ye-musculoskeletal ukuze kudambise ubuhlungu.
Imithi Yokuvimbela Ukuvuvukala
Ukunciphisa ukuvuvukala eduze kwe-tendon.
Imijovo yeCortisone
Imijovo isetshenziselwa ukunciphisa ukuvuvukala nokuvuvukala.
I-Botulinum Toxin Injection
Imijovo ye-botulinum toxin ikhubaza imisipha ukuze iqede ubuhlungu.
Ukuhlinzwa
Ukuhlinzwa kungenziwa ezimweni ezingavamile ukukhulula ithenda ye-piriformis, eyaziwa ngokuthi ukukhululwa kwe-piriformis. (U-Shane P. Cass 2015 )
Ukuhlinza kuyisinyathelo sokugcina lapho kuzanywe izindlela zokwelapha ezilandelanayo okungenani izinyanga eziyi-6 ngaphandle kokukhululeka okuncane.
Ukuthola kabusha kungathatha izinyanga ezimbalwa.
I-Sciatica Izimbangela Nokwelashwa
VIDEO
Okubhekwayo
I-Cass SP (2015). I-Piriformis syndrome: imbangela ye-nondiscogenic sciatica. Imibiko yamanje yemithi yezemidlalo, 14(1), 41–44. doi.org/10.1249/JSR.0000000000000110
U-Jankovic, D., Peng, P., & van Zundert, A. (2013). Ukubuyekezwa okufushane: i-piriformis syndrome: i-etiology, ukuxilongwa, nokuphathwa. Ijenali yaseCanada ye-anesthesia = Ijenali canadien d'anesthesie, 60(10), 1003–1012. doi.org/10.1007/s12630-013-0009-5
I-Bardowski, EA, & Byrd, JWT (2019). Umjovo we-Piriformis: I-Ultrasound-Guided Technique. Amasu we-Arthroscopic, 8(12), e1457–e1461. doi.org/10.1016/j.eats.2019.07.033
by UDkt Alex Jimenez I-Acupuncture Therapy , Sciatica
Kubantu abacubungula i-acupuncture ye-sciatica impumuzo kanye nokuphatha, ingabe ukwazi ukuthi kusebenza kanjani nokuthi yini ongayilindela phakathi neseshini kusiza ekwenzeni isinqumo?
I-Acupuncture Sciatica Treatment Session
I-acupuncture ye-sciatica iyindlela yokwelapha ephephile futhi ephumelelayo yokukhulula nokulawula izimpawu zobuhlungu. Ucwaningo luphakamisa ukuthi iyasebenza njengamanye amasu okwelapha futhi ibangela imiphumela engemihle embalwa. (U-Zhihui Zhang et al., 2023 ) Imvamisa ye-acupuncture yokukhulula ubuhlungu be-sciatica incike ebukhulu besimo nokulimala, kodwa abaningi babika ukuthuthukiswa phakathi kwamasonto amabili kuya kwamathathu. (U-Fang-Ting Yu et al., 2022 )
Ukubekwa Kwenaliti
Izinkinga zokujikeleza kwegazi zingabangela amandla omzimba ukuthi amile ku-meridians/umzila owodwa noma ngaphezulu, okuholela ebuhlungwini endaweni nasezizungezile. (U-Wei-Bo Zhang et al., 2018 )
Inhloso ye-acupuncture iwukubuyisela ukuhamba kahle kwegazi ngokuvuselela amaphuzu athile emzimbeni abizwa ngokuthi ama-acupoints.
Izinaliti ezizacile, eziyinyumba zishukumisa ama-acupoints ukuze enze amandla omzimba okuphulukisa emvelo futhi aqede ubuhlungu. (U-Heming Zhu 2014 )
Abanye odokotela basebenzisa i-electroacupuncture - ugesi omnene, omnene usetshenziswa ezinalitini futhi udlula ezicutshini ukuze kusebenze isimiso sezinzwa. (U-Ruixin Zhang et al., 2014 )
Ama-Acupoints
Ukwelashwa kwe-acupuncture sciatica kuhilela ama-acupoints athile eduze kwesinye kanye ne-gallbladder meridians.
I-Bladder Meridian - BL
I-bladder meridian/BL yehla ngomhlane ngomgogodla, okhalweni, nemilenze. Ama-acupoints ngaphakathi kwe-meridian ye-sciatica afaka:U-Fang-Ting Yu et al., 2022 )
BL 23 -Shenshu – Indawo engemuva elingezansi, eduze nezinso.
BL 25 - Dachangshu - Indawo engemuva elingezansi.
BL 36 – Chengfu – Indawo ngemuva kwethanga, ngezansi nje kwezinqe.
BL 40 – Weizhong – Indawo ngemuva kwedolo.
I-Gallbladder Meridian – GB
I-gallbladder meridian/GB igijima emaceleni ukusuka ekhoneni lamehlo kuya kuzwane ophinki. (UThomas Perreault et al., 2021 ) Ama-acupoints we-sciatica ngaphakathi kwale meridian afaka: (U-Zhihui Zhang et al., 2023 )
GB 30 - Huantiao - Indawo ngemuva, lapho izinqe zihlangana khona nezinqe.
GB 34 – Yanglingquan – Indawo engaphandle komlenze, ngaphansi kwedolo.
I-GB 33 - Xiyangguan - Indawo ebheke edolweni, eceleni.
Ama-acupoints ashukumisayo kulawa ma-meridians akhulisa ukugeleza kwegazi endaweni, kunciphisa ukuvuvukala, futhi akhiphe ama-endorphin namanye amakhemikhali emizwa ezinhlungu ukuze akhulule izimpawu. (UNingcen Li et al., 2021 ) Ama-acupoints athile ayahluka kuye ngezimpawu kanye nembangela. (U-Tiaw-Kee Lim et al., 2018 )
Isibonelo Sesiguli
An isibonelo seseshini yokwelashwa kwe-acupuncture sciatica : Isiguli esinobuhlungu obuqhubekayo bokudubula obunwebeka phansi ngemuva naseceleni komlenze. Ukwelashwa okujwayelekile kuqukethe lokhu okulandelayo:
I-acupuncturist ihlola kahle umlando wezokwelapha nezimpawu zesiguli futhi isiguli sikhomba lapho ubuhlungu bukhona.
Khona-ke, bashaya izandla bezungeza indawo ukuze bathole lapho ubuhlungu buba bukhulu futhi buncipha, bakhulume nesiguli njengoba beqhubeka.
Ngokuya ngesayithi nobukhulu, bangase baqale ukubeka izinaliti emhlane ophansi, bagxile endaweni yokulimala.
Ngezinye izikhathi, i-sacrum ihilelekile, ngakho-ke i-acupuncturist izobeka izinaliti kulawo ma-acupoints.
Bese beya ngemuva komlenze bese befaka izinaliti.
Izinaliti zigcinwa imizuzu engu-20-30.
I-acupuncturist ishiya igumbi noma indawo yokwelapha kodwa ingena njalo.
Isiguli singase sizwe ukufudumala, ukuncenceza, noma isisindo esincane, okuyimpendulo evamile. Yilapho iziguli zibika khona umphumela wokuthobisa. (U-Shilpadevi Patil et al., 2016 )
Izinaliti zikhishwa ngokucophelela.
Isiguli singase sizizwe sikhululekile kakhulu futhi sizolulekwa ukuba sivuke kancane ukuze sigweme isiyezi.
Kungase kube nobuhlungu, ububomvu, noma imihuzuko endaweni yokufaka inaliti, okuyinto evamile futhi okufanele ixazulule ngokushesha.
Isiguli sizonikezwa izincomo mayelana nokugwema umsebenzi onzima, ukufaka amanzi ngendlela efanele, nokwenza ukulula kancane.
Izinzuzo ze-Acupuncture
I-acupuncture iboniswe njengendlela yokwelapha ehambisanayo yokunciphisa ubuhlungu nokulawula. Izinzuzo ze-acupuncture:
Ithuthukisa ukuhamba
I-acupuncture ivuselela ukujikeleza kwegazi, okondla izinzwa ezilimele noma ezicasuliwe futhi kukhuthaze ukuphulukiswa.
Lokhu kusiza ekudambiseni izimpawu ze-sciatica, njengokungathi ndikindiki, ukuluma, nobuhlungu. (I-Song-Yi Kim et al., 2016 )
Ikhipha ama-Endorphin
I-acupuncture ibangela ukukhululwa kwama-endorphin namanye amakhemikhali emvelo adambisa ubuhlungu, asiza ukukhulula ubuhlungu. (U-Shilpadevi Patil et al., 2016 )
Ilawula Uhlelo Lwezinzwa
I-acupuncture ibhalansisa izimpendulo zozwela kanye ne-parasympathetic, okunciphisa ukucindezeleka, ukungezwani, nobuhlungu. (U-Xin Ma et al., 2022 )
Ikhulula Imisipha
Ubuhlungu bezinzwa ngokuvamile buhambisana nokuqina kwemisipha kanye nama-spasms.
I-acupuncture ikhulula imisipha eqinile, inciphisa ingcindezi futhi inikeze ukukhululeka. (U-Zhihui Zhang et al., 2023 )
Ukusuka Izimpawu Kuya Kuzixazululo
VIDEO
Okubhekwayo
Zhang, Z., Hu, T., Huang, P., Yang, M., Huang, Z., Xia, Y., Zhang, X., Zhang, X., & Ni, G. (2023). Ukusebenza nokuphepha kwe-acupuncture therapy ye-sciatica: Ukubuyekezwa okuhlelekile nokuhlaziywa kwe-meta yemizila elawulwa ngokungahleliwe. I-Frontiers ku-neuroscience, 17, 1097830. doi.org/10.3389/fnins.2023.1097830
Yu, FT, Liu, CZ, Ni, GX, Cai, GW, Liu, ZS, Zhou, XQ, Ma, CY, Meng, XL, Tu, JF, Li, HW, Yang, JW, Yan, SY, Fu, HY, Xu, WT, Li, J., Xiang, HC, Sun, TH, Zhang, B., Li, MH, Wan, WJ, … Wang, LQ (2022). I-acupuncture ye-sciatica engapheli: iphrothokholi yesilingo esilawulwa ngokungahleliwe se-multicenter. I-BMJ ivuliwe, 12(5), e054566. doi.org/10.1136/bmjopen-2021-054566
U-Zhang, WB, Jia, DX, Li, HY, Wei, YL, Yan, H., Zhao, PN, Gu, FF, Wang, GJ, & Wang, YP (2018). Ukuqonda i-Qi egijima kuma-Meridians njengoketshezi lwangaphakathi olugeleza nge-Interstitial Space of Low Hydraulic Resistance. Ijenali yesiShayina yemithi ehlanganisayo, 24(4), 304–307. doi.org/10.1007/s11655-017-2791-3
U-Zhu H. (2014). Ama-Acupoints Aqala Inqubo Yokuphulukisa. I-acupuncture yezokwelapha, 26(5), 264-270. doi.org/10.1089/acu.2014.1057
U-Zhang, R., Lao, L., Ren, K., & Berman, BM (2014). Izindlela ze-acupuncture-electroacupuncture ebuhlungu obuqhubekayo. I-Anesthesiology, 120(2), 482–503. doi.org/10.1097/ALN.0000000000000101
Perreault, T., Fernández-de-Las-Peñas, C., Cummings, M., & Gendron, BC (2021). Ukungenelela Okudingayo kwe-Sciatica: Ukukhetha Izindlela Ezisekelwe Ku-Neuropathic Pain Mechanisms-Ukubuyekezwa Kwe-Scoping. Ijenali yemithi yomtholampilo, 10(10), 2189. doi.org/10.3390/jcm10102189
Li, N., Guo, Y., Gong, Y., Zhang, Y., Fan, W., Yao, K., Chen, Z., Dou, B., Lin, X., Chen, B., U-Chen, Z., Xu, Z., & Lyu, Z. (2021). Izenzo Eziphikisana Nokuvuvukala kanye Nezinqubo Zokutshopa kusuka ku-Acupoint kuya kwezitho eziqondiwe nge-Neuro-Immune Regulation. Ijenali yocwaningo lokuvuvukala, 14, 7191-7224. doi.org/10.2147/JIR.S341581
Lim, TK, Ma, Y., Berger, F., & Litscher, G. (2018). I-acupuncture kanye ne-Neural Mechanism ekuphathweni kobuhlungu obuphansi emuva-Ukubuyekeza. Imithi (Basel, Switzerland), 5(3), 63. doi.org/10.3390/medicines5030063
UKim, SY, Min, S., Lee, H., Cheon, S., Zhang, X., Park, JY, Song, TJ, & Park, HJ (2016). Izinguquko Zokugeleza Kwegazi Kwasendaweni Ekuphenduleni Ekuvuselelweni Kwe-acupuncture: Ukubuyekezwa Okuhlelekile. Imithi ehambisanayo esekelwe ebufakazini nehlukile : eCAM, 2016, 9874207. doi.org/10.1155/2016/9874207
UPatil, S., Sen, S., Bral, M., Reddy, S., Bradley, KK, Cornett, EM, Fox, CJ, & Kaye, AD (2016). Iqhaza Le-acupuncture Ekulawuleni Ubuhlungu. Imibiko yamanje yobuhlungu nekhanda, 20(4), 22. doi.org/10.1007/s11916-016-0552-1
Ma, X., Chen, W., Yang, NN, Wang, L., Hao, XW, Tan, CX, Li, HP, & Liu, CZ (2022). Izindlela ezingenzeka ze-acupuncture zobuhlungu be-neuropathic ngokusekelwe ohlelweni lwe-somatosensory. Imingcele ku-neuroscience, 16, 940343. doi.org/10.3389/fnins.2022.940343
