ka ka piriformis muscle (PM) ʻike ʻia i ka lāʻau lapaʻau he ʻiʻo koʻikoʻi o ka ʻūhā hope. He ʻiʻo ia i kuleana i ka hoʻomalu ʻana i ka hoʻololi ʻana a me ka ʻaihue ʻana o ka hui pūhaka, a he ʻiʻo nō hoʻi ia i kaulana ʻia ma muli o kona hoʻohuli ʻana i ka hana ma ka ʻōwili. Hoʻopili ka PM i ka manaʻo ma muli o kāna kuleana i ka piriformis syndrome, kahi kūlana i manaʻo ʻia he kumu kumu o ka ʻeha a me ka hana ʻole.
Hiki ke wehewehe ʻia ka maʻi Piriformis ma ke ʻano he maʻi maʻi kahi i loaʻa ai ka ʻiʻo piriformis, aia ma ka ʻāpana ʻāpana, spasms a hoʻoulu i ka ʻeha ʻeha. Hiki i ka Sciatic Nerve ke hoʻonāukiuki i ka pilina ma waena o ka SN a me ka PM e hana ana i ka ʻeha hope hope ma lalo o ka ʻūhā hope, e hoʻohālike ana i ka 'sciatica'.
ʻAʻole kū hoʻokahi nā hoʻopiʻi o ka ʻeha o ka ʻāʻī me ka hāʻawi ʻana i nā hōʻailona i ka ʻiʻo Piriformis. Laha ʻia nā hōʻailona me nā maʻi ʻeha hope i ʻike ʻia. Ua hōʻike ʻia ʻo ka piriformis syndrome ke kuleana no ka 5-6 pakeneka o nā hihia o sciatica. I ka hapanui o nā hihia, loaʻa ia i nā poʻe waena a ʻoi aku ka nui o nā wahine.
Contents
Anatomy: Piriformis
Hoʻokumu ka PM i kaʻaoʻao ma mua o ka sacrum a ua hoʻokūʻia iā ia e nā'āpana kikokiko iʻekolu ma waena o nā'āpana kapu mua,ʻelua,ʻekolu, a me ka hā. I kekahi manawa he nui loa kona kumu i hele ai i ka capsule o ke sacroiliac hui i luna a me ka liga sacrotuberous a / ou sacrospinous ma lalo nei.
ʻO ka PM he ʻiʻo mānoanoa a nui, a i kona hele ʻana i waho o ke pelvis ma o ka foramen sciatic nui, hoʻokaʻawale ia i ka foramen i loko o ka suprapiriform a me ka infra-piriform foramen. I kona hele ʻana ma mua o ka foramen sciatic ʻoi aku ka nui, ua liʻiliʻi ia e hana i ka tendon i hoʻopili ʻia i ka ʻili waena o ka trochanter nui, e hui pū ʻia me ka tendon maʻamau o ka obturator internus a me nā ʻiʻo o Gemelli.
ʻO nā aʻalolo a me nā kīʻaha koko i loko o ka suprapiriform foramen ke aʻalolo gluteal kiʻekiʻe a me nā moku, a ma ka infra-piriform fossa nā aʻalolo a me nā moku haʻahaʻa a me ke aʻalolo sciatic (SN). Ma muli o kona nui nui i loko o ka foramen sciatic nui, hiki iā ia ke hoʻopaʻa i nā moku he nui a me nā aʻalolo e puka ana i ke pelvis.
Hoʻopili pili ʻia ʻo PM me nā puʻupuʻu pōkole ʻē aʻe e moe haʻahaʻa e like me ka gemellus kiʻekiʻe, obturator internus, inferior gemellus, a me obturator externus. ʻO ka ʻokoʻa mua ma waena o ka PM a me nā mea hoʻololi pōkole ʻē aʻe ka pilina me ka SN. Hele ka PM ma hope o ke aʻalolo a ʻo ka mea ʻē aʻe e hele i mua.
Ke kumu: Piriformis Syndrome
ʻO ka Piriformis Syndrome ke kumu a pili paha i ʻekolu kumu kumu kumu;
1. ʻO nā ʻiʻo ʻiʻo paʻa a pōkole i hoʻopaʻa ʻia e ka hoʻohana nui ʻana o ka ʻiʻo e like me ka neʻe ʻana a me ka lunge i ka hoʻololi ʻana i waho, a i ʻole ka ʻeha pololei. Hoʻonui kēia i ke kāʻei o ka PM i ka wā o ka hoʻopaʻa ʻana, a ʻo ke kumu paha o ka hoʻopiʻi ʻana.
2. Paʻa o ke aʻalolo.
3.Sacroiliac Joint Dysfunction (SI Joint Pain) e hoʻoulu ai i ka spasm PM.
Nā hōʻailona: Piriformis Syndrome
ʻO nā maʻi likeʻole o ka maʻi piriformis:
- ʻO kahi hopena paʻakikī a paʻakikī paha i ka'ōpū a me ka hamstring.
- ʻO kaʻehaʻeha.
- Ho'ōmā i kaʻeha.
- ʻO ka hōʻeha ʻana mai ka noho ʻana a me ka kuʻekuʻe ʻana, ʻoi aku ka nui inā hili ke kumu i mua a i ʻole ka wāwae ma luna o ka wāwae i hoʻopilikia ʻole ʻia.
- ʻO nā hōʻailona aʻalolo āpau e like me ka ʻeha a me ka paraesthesia ma ke kua, ka ʻāʻī, ka ʻāʻī, ka perineum, ke kua o ka ʻūhā.
Lapaʻau: Piriformis Syndrome
Ke manaʻoʻia ua ka piriformis syndrome hiki ke ola a manaʻo ke kauka ola ua hanaʻia kahi hōʻailona,ʻo ka hopena o ka hoʻomalu e pili pono i ke kumu i manaʻoʻia. Inā kūpaʻa ka PM a ma ka spasm i ka manawa ma mua o ka mālamaʻana i ka mālamaʻana i ka mīkini a me ka kānanaʻana i ka puʻupuʻu paʻa e wehe i ka PM ma keʻano he kumu o kaʻeha.
Ināʻae kēia, a laila ua'ōleloʻia aʻe nei:
- Hana ʻia e ka poʻe anesthesiologists i ʻike i ka hoʻoponopono ʻeha.
- ʻO nā'ōpū hāneʻe i ka PM.
- Ka hana 'ana o Botulinum i ka PM.
- Hoʻoponopono Kāne.
Ua kākoʻo mau ʻia nā hana i alakaʻi ʻia e ka Therapist e like me ke kau ʻana o ka PM a me ke kuhikuhi pololei ʻana. Hoʻopili ʻia ka PM ma nā kūlana o ka hoʻololi ʻana o ka ʻūhā i ʻoi aku ma mua o 90 degere, adduction, a me ka hoʻololi ʻana i waho e hoʻohana i ka hoʻohuli ʻana o ka hopena hana o ka PM e hoʻokaʻawale i ke kikoo i kēia ʻiʻo kūʻokoʻa mai nā ʻāpana ʻē aʻe o waho.
Ka hopena: Piriformis Syndrome
ka ka pūʻona piriformis He ʻiʻo ikaika a ikaika loa ia e holo ana mai ka sacrum a i ka femur. Holo ia ma lalo o nā ʻiʻo gluteal e hele ana ke aʻalolo ma lalo o lākou. Inā hele kēia ʻiʻo i loko o ka spasm, a laila hoʻoulu ke aʻalolo i ka ʻeha, ka ʻeha, ka ʻū ʻana, a i ʻole ke ʻā ʻana mai ka ʻāʻī a hiki i ka wāwae a me ka wāwae. Hoʻomohala nā poʻe ʻē aʻe i ka maʻi maʻi i ka wā e pili ana i ka ʻeha hope haʻahaʻa.
Nā hana a me nā neʻe e hoʻokumu i ka ʻo ka ʻiʻo piriformis e hoʻopaʻa hou i ke aʻalolo sciatic, hoehaeha. Hoʻopaʻa kēia ʻiʻo i ka wā e kuʻu ai mākou, a kū paha, hele, piʻi i luna. Hoʻopili ia i ka wā e noho ai mākou ma kekahi kūlana no ka ʻoi aku ma mua o 20 a 30 mau minuke.
ʻO ka poʻe i loaʻa i ka mōʻaukala o ka ʻeha hope haʻahaʻa haʻahaʻa e manaʻo pinepine nei e hiki ke ʻike ʻia ko lākou ʻeha sciatic i ko lākou kuamoʻo haʻahaʻa. ʻO kā lākou moʻolelo o ka disc herniations, a i ʻole sprains, strains ua aʻo iā lākou e manaʻo e hele e like me ka mea maʻamau a ʻo ka ʻeha i waho o ko lākou iwi kuamoʻo. ʻO ka manawa wale nō e pane ʻole ai ka ʻeha e like me ka mea maʻamau e ʻimi ai nā kānaka i ka lāʻau lapaʻau, no laila e lohi ai ko lākou ola ʻana.
ʻO Sciatica Pain
ʻO ka ʻike ma aneʻi ma "Nā Piriformis Treatment"ʻaʻole i manaʻo ʻia e hoʻololi i kahi pilina hoʻokahi me kahi ʻoihana mālama olakino kūpono a i ʻole kauka laikini a ʻaʻole ʻo ia ka ʻōlelo aʻoaʻo olakino.
ʻO kā mākou ʻike kikoʻī ua kaupalena ʻia i ka Chiropractic, musculoskeletal, nā lāʻau lapaʻau kino, olakino, hāʻawi i ka etiological nā pilikia viscerosomatic i loko o nā hōʻike lapaʻau, pili i ka somatovisceral reflex clinical dynamics, subluxation complexes, nā pilikia olakino koʻikoʻi, a/a i ʻole nā ʻatikala lāʻau lapaʻau hana, nā kumuhana, a me nā kūkākūkā.
Hāʻawi mākou a hōʻike hui like kino me nā loea mai nā ʻano aʻoaʻo like ʻole. Hoʻomalu ʻia kēlā me kēia loea e kā lākou ʻoihana ʻoihana o ka hana a me ko lākou mana o ka laikini. Hoʻohana mākou i nā protocols olakino a maikaʻi e mālama a kākoʻo i ka mālama ʻana i nā ʻeha a i ʻole nā pilikia o ka ʻōnaehana musculoskeletal.
ʻO kā mākou wikiō, nā pou, nā kumuhana, nā kumuhana, a me nā ʻike e uhi ana i nā mea lapaʻau, nā pilikia, a me nā kumuhana e pili ana a kākoʻo pololei a i ʻole ke kākoʻo ʻole i kā mākou ʻoihana lapaʻau.*
Ua hoʻāʻo ko mākou keʻena e hāʻawi i nā huaʻōlelo kākoʻo a ua ʻike i ka noiʻi noiʻi kūpono a i ʻole nā haʻawina e kākoʻo ana i kā mākou mau pou. Hāʻawi mākou i nā kope o ke kākoʻo ʻana i nā noiʻi noiʻi i loaʻa i nā papa hoʻonohonoho a me ka lehulehu ke noi ʻia.
Hoʻomaopopo mākou ua uhi mākou i nā mea e koi ai i kahi wehewehe hou aʻe pehea e kōkua ai ia i kahi hoʻolālā mālama a i ʻole ka mālama mālama. no laila, e kūkākūkā hou aʻe i ke kumuhana ma luna, e ʻoluʻolu e nīnau Kauka Alex Jimenez, DC, Ai'ole e leka uila iā mākou 915-850-0900.
Eia mākou e kōkua iā ʻoe a me kou ʻohana.
pomaikai
ʻO Kauka Alex Jimenez D.C., MSACP, RN*, CCST, IFMCP*, CIFM*, ATN*
leka uila: coach@elpasofunctionalmedicine.com
Laikini ʻia ma ke ʻano he Kauka o Chiropractic (DC) ma Texas & New Mexico*
Texas DC Laikini # TX5807, New Mexico DC Laikini # NM-DC2182
Laikini ʻia ma ke ʻano he kahu i kākau inoa ʻia (RN*) in Hawaii
Laikini Florida Laikini RN # RN9617241 (Mana No. 3558029)
Kūlana paʻakikī: Laikini Mokuaina Nui: ʻAe ʻia e hoʻomaʻamaʻa ma Hui PūʻI 40*
Kauka Alex Jimenez DC, MSACP, RN* CIFM*, IFMCP*, ATN*, CCST
ʻO kaʻu kāleka pāʻoihana kikohoʻe