Umgulana wakho wenyama angasebenzisa iindlela ezahlukeneyo ukuqinisekisa ukuba intlungu yakho yangemuva ivela kwi-lumbar spine okanye kwi- sacroiliac (SI) . Ezi ndlela zinokukunceda ufumane ukuxilongwa ngokuchanekileyo kwimeko yakho kwaye unokuqinisekisa ukuba wenze unyango olufanelekileyo kumva wakho okanye kwi-SI joint joint.
Ukuba unentlungu ephantsi , unokuzuza ngokusebenza nomgulana wenyama ukuze ubone imbangela yengxaki yakho kunye nokunciphisa intlungu yakho.
I-PT yakho inokukunceda ukuba uphinde uphinde usebenze ngokuqhelekileyo, umsebenzi wansuku zonke. Enye yemingeni yokulawula iintlungu eziphantsi kunye neentlungu ezinyantyaleni emlenzeni wakho ovela kumva wakho-ubeka umthombo wentlungu yakho.
Imithombo yeentlungu zentsimbi ingaquka:
- I-Lumbar disks
- Iintlobo zamalungu
- Imisipha ephantsi
- Iimpawu zezilwanyana
- I-Sacroiliac
Ngezakhiwo ezininzi ezahlukeneyo ezibangela intlungu emva, kuba ngumngeni ukucacisa isizathu esona.
Ukubambisana kwe-SI kunokubangela imbandezelo yakho, kwaye kunokukwenza ukuba uzive ubuhlungu entanyeni okanye kumlenze ongezantsi. Ukudibanisa kwakho kwe-SI kunokubangelwa ubuhlungu be-hip kunye ne-groin. Ngoko uyayazi njani ukuba i-SI iqhagamshelweyo okanye i-lumbar spine ibangela intlungu yakho? I-PT yakho inokunceda.
Iisiseko ze-SI ezidibeneyo
Ukudibanisa kwe-sacroiliac yinto ehlangeneyo enkulu emva kweplavis yakho. Yenziwe ngumbhalo we-sacrum bone kunye ne-boneum ye-bone. Idibeneyo yinto ezinzile, eneempawu ezimbalwa ezenzeka apho.
Ngamanye amaxesha umonakalo okanye, ngokungaqhelekanga, uxinzelelo oluphindaphindiweyo kunye noxinzelelo, kunokubangela ukuba i-SI iqhagamshelane ukuba iphume kwindawo. Oku kunokubangela intlungu kunye nokunyakaza okukhawulezileyo malunga nomqolo wakho osezantsi okanye umlenze.
Kwiminyaka, bekukho ingxoxo malunga nokuba inxaxheba ye-SI ishukunyiswa kuyo yonke into kwaye ukuba ingaba yintlungu yesalathisi emva nasemlonyeni.
Uphando olutshanje lubandakanya intsebenziswano ye-SI njengenye yezizathu zokubuyisela ubuhlungu kunye nentlungu, kunye noqikelelo oluthile lwenzondelelo ebangela intlungu kwi-6 ukuya kuma-26 ekhulwini lwamaxesha onke entlungu. Ingxaki apha kukuba xa uhambisa umlenze wakho we-lumbar, unxibelelwano lwe-SI ugxininiswe, kwaye xa ususa udibaniso lwe-SI, umgca wecala unxininiswe. Ngale miqathango eyenzeka phantse ngokukhawuleza, kuba nzima ukufumanisa ukuba isizathu esiyinyaniso sokubuhlungu kwintlungu yakho sivela kwi-SI kunye okanye i-lumbar spine.
Olunye umceli mngeni wokufumanisa kakuhle intlungu ye-SI: akukho mvavanyo yokuhlola i-gold standard. Iimvavanyo ezizodwa ezifana ne-x-ray okanye i- MRI ayibonakali nje ngokubonisana nge-SI ngokubanzi. Indlela engcono kakhulu yokufumanisa ingxaki edibeneyo ye-SI ngokufaka injecting steroids kwidibene kunye nokubeka iliso utshintsho kwiimpawu. Ngelishwa, ii-injection kwi-SI zidibene kunye kwaye zingabangela iingxaki ezinjengeentlungu ezininzi okanye ukusuleleka.
Indlela i-PT yakho inquma ngayo ukuba i-SI yakho ehlangene iyabangela ubuhlungu bakho
Xa utyelela umphathiswa wakho wezonyango unyango ngenxa yeentlungu zentlungu, unokugxeka ukuba unxulumene ne-SI njengesizathu sempawu zakho. Ukuba iqhagamshelwano le-SI likhankanywa, kukho izikhombisi ezimbalwa zokuncedisa i-PT ukwenza i-diagnostic mechanical diagnostic.
Iimpawu eziqhelekileyo kwingxaki edibeneyo ye-SI ingaquka:
- Iimpawu eziqhelekileyo ziza ngenxa yesifo sengozi njengengozi yokuwa okanye yemoto.
- Ukubambisana kwe-SI kungekudala "kuphuma" ngokukhawuleza ngenxa yezinto ezincinci okanye imisebenzi, njengokunyuka esihlalweni.
- Ubuhlungu buvezwa kuphela kwicala elinye langemuva.
- Ubunzima abuvekanga ngaphezu kwinqanaba elingu-5 (kufuphi ne-waistline).
- Ayikho intlungu emva kweentlungu kunye nentlungu ayiweleli ngaphesheya.
- Ubuhlungu abuyikugxininisa kunye nezikhalazo eziphindaphindiweyo ezifana ne-lumbar press up okanye i- lumbar side glide .
Xa ezi zibonakaliso zikhona, i-PT yakho inokukrokra ukungasebenzi ngokubambisana kwe-SI njengobangela wentlungu.
Oku krokra kuqinisekiswa ngokuqhuba iimvavanyo zokuxhatshazwa kwe-SI. Ezi mvavanyo ezizodwa zenzelwe ukuxininisa ukudibanisa kwe-SI, kwaye zibonisa ukuba ukudibanisa kwakho kwe-SI kubangela intlungu yakho.
Kukho iimvavanyo ezixhasayo ze-SI eziyisixhenxe, kwaye xa ubuncinane abathathu kubangele ubuhlungu (okanye ukunciphisa intlungu yakho), ukudibanisa i-SI kunokuthathwa njengento ebangela intlungu yakho, intlungu ye-hip, okanye i-sciatica. Umgqirha wakho wenyama uqeqeshelwe ukwenza le mivavanyo yokuxhaswa kwe-SI.
Amaxesha amaninzi ngeentlungu zentlungu, imbali yakho kunye nenkcazo yokuziphatha kwempawu kwanele ukulawula ngaphakathi kwidiski okanye ingxaki edibeneyo. Ukubambisana kwe-SI kuhambelana nalo mgaqo; Izichazi zezigulane zendlela yokuziphatha zibonelela ngolwazi oluncinci lokuxilonga, okwenza ukuxilongwa kwe-SI kusebenze ngokungahambi kakuhle.
Amanyathelo okuQala kunyango
Ukuba i-PT yakho inqume ukuba ukudibanisa kwakho kwe-SI kunokubangela intlungu yakho emva kwezinto ezifanele uqalise kunyango . Ezi ziquka:
- Ukusebenzisa ibhanti edibeneyo ye-SI ukukunceda ukulawula ukunyakaza okugqithiseleyo ngokubambisana kwakho
- Ukuzivocavoca ukukunceda ukuzinzisa i-SI yakho
- Ukusebenzisa i-kinesiology tape kwi-joint
- Ukusebenzisa ukushisa okanye icebo ukwenzela ukukhululeka kwempawu
- Ukusebenzisa iindlela ze-PT ukukunceda ukulawula ukuvutha kunye nentlungu
Iinjongo ze-PT ze-SI ezibandakanyekileyo zokungasebenzi zibuyiselwa kwisimo esiqhelekileyo sokubambisana kunye nokuzinzisa ukudibanisa ukukhusela iingxaki ezizayo. Ukugcina ukudibanisa kwe-SI yakho kwindawo kufuneka kube nokwanela ukunciphisa okanye ukuphelisa intlungu yakho okanye ubuhlungu bentlungu ukuze ubuyele kwimisebenzi yakho eqhelekileyo.
Ukuba intlungu yakho ye-SI iyaqhubeka kwaye imisela imisebenzi yakho eqhelekileyo emva kokuba uzame i-PT, unokufuna ukuqwalasela unyango olongezelelweyo olunjenge-injection steroid okanye utyando. Ezi zonyango mazixubushe nodokotela wakho.
Enye yemingeni yokulawula iingxaki zangemva ikwazisa imbangela yentlungu yakho. Umdibaniso wakho we-sacroiliac ingaba yindawo enye engabangela ubuhlungu, ubuhlungu okanye intlungu. I-PT yakho inokusebenzisa iindlela ezahlukeneyo ukuchonga ukuba ukudibanisa i-SI kubangela intlungu yakho, kwaye unokukunika unyango olufanelekileyo. Ngaloo ndlela unganciphisa intlungu yakho kwaye ubuyele kwinqanaba lakho langaphambili lomsebenzi kunye nomsebenzi.
> Imithombo:
> Laslett, Mark. Ukuxilongwa ngokuxhomekeke kwiNkcazo kunye nokuPhathwa koBuncwane beSacroiliac obuhlungu. I-Journal ye-Manual kunye neCandelo lokuLawula. 16 (3). Julayi, 2008; 142-152.
> Medcalf, R. (16, Novemba 19). Ulawulo lwe-MDT lweengxaki ezihlangeneyo ze-Sacroiliac . Imfundo evezwe kuMcKenzie I-Update Skills Clinic Update kuCleveland, OH.