Back Clinic Chiropractic. ʻO kēia ke ʻano o ka lāʻau lapaʻau ʻē aʻe e kālele ana i ka ʻike a me ka mālama ʻana i nā ʻeha musculoskeletal like ʻole a me nā kūlana, ʻoi aku ka nui o nā mea e pili ana i ka spine. Kūkākūkā ʻo Kauka Alex Jimenez pehea e hiki ai i ka hoʻoponopono ʻana i ke kuamoʻo a me nā hana lima lima ke kōkua nui i ka hoʻomaikaʻi ʻana a me ka hoʻopau ʻana i nā hōʻailona he nui i hiki ke hōʻeha i ke kanaka. Manaʻo nā Chiropractors i waena o nā kumu nui o ka ʻeha a me ka maʻi ʻo ka misalignment o ka vertebrae i ke kolamu spinal (ʻike ʻia kēia he subluxation chiropractic).
Ma o ka hoʻohana ʻana i ka ʻike lima (a i ʻole palpation), hoʻohana pono i ke kaomi, ka lomilomi, a me ka manipulation manual o ka vertebrae a me nā hono (i kapa ʻia ʻo adjustments), hiki i nā chiropractors ke hoʻohaʻahaʻa i ke kaomi a me ka huhū ma nā aʻalolo, hoʻihoʻi i ka neʻe hui, a kōkua i ka hoʻihoʻi ʻana i ka homeostasis o ke kino. . Mai nā subluxations, a i ʻole spinal misalignments, i sciatica, kahi pūʻulu o nā hōʻailona ma ke aʻalolo sciatic i hoʻokumu ʻia e ke aʻalolo, hiki i ka mālama chiropractic ke hoʻihoʻi mālie i ke ʻano kūlohelohe o ke kanaka. Hoʻopiliʻo Dr. Jimenez i kahi hui o nā manaʻo e pili ana i ka chiropractic e hoʻonaʻauao maikaʻi i nā kānaka i nāʻanoʻeha a me nā kūlana e pili ana i ke kino kanaka.
Can various stretches be beneficial for individuals dealing with wrist and hand pain by reducing pain and discomfort to the extremities?
Introduction
In a technological-driven world, it is common for people to experience wrist and hand pain at some point in their lives. The hands are part of the body’s upper extremities and are used for various tasks and chores throughout the entire day. The forearms provide a causal relationship with the hands and wrists for the upper extremities since they offer very important motor functions to the body. The hands support the body when carrying something; the various muscles, ligaments, tendons, and joints help the wrist with mobility and flexibility. However, when injuries or everyday movements begin to affect the forearms and cause issues with the hands and wrist, it can be difficult to do simple tasks and negatively impact a person’s way of life. Fortunately, numerous ways exist to reduce the pain and discomfort of the wrist and hands. Today’s article focuses on what causes wrist and hand pain, how to prevent wrist and hand pain from returning, and how incorporating various can help reduce the pain-like effects. We discuss with certified medical providers who consolidate our patients’ information to assess the multiple causes that lead to the development of wrist and hand pain. We also inform and guide patients on how various stretches and techniques can help reduce the chances of wrist and hand pain from returning. We also encourage our patients to ask their associated medical providers many intricate and important questions about incorporating these stretches and techniques into their daily routines to live healthier lives. Dr. Jimenez, D.C., includes this information as an academic service. Akahana.
What Causes Hand and Wrist Pain?
Do you often feel pain or stiffness in your wrist after typing all day on the computer or phone? Do you have trouble gripping items in your hands? Or how often do your hands ache that massaging them causes temporary relief? Many people, including older adults, have experienced pain at some point, and most of the time, it affects the hands and wrists. Since everyone uses their hands and wrists when performing various tasks, when injuries or repetitive movements start to affect the hands and wrists, it can have a huge impact on simple tasks. When dealing with wrist and hand pain, it can make life unbearable for the person. Since pain is a normal protective response to any injuries and potentially harmful stimuli in its acute form, when prolonged or dysfunctional neuromuscular issues start to affect the body, it may contribute to disability and pain. (Merkle et al., 2020) For wrist and hand pain, many occurrences that lead to its development result from micro-stress or repetitive tear usage.
This is because since the world is technological-driven, many people are using computers or smartphones to communicate with each other, which can be one of the causes of the development of wrist and hand pain. When many people frequently use electronic devices, the frequent movements and uses of the thumbs will increase their load and become a higher prevalence of musculoskeletal disorders. (Baabdullah et al., 2020) Other studies stated that when many individuals begin to do repetitive movements constantly and have different positions of their wrist joints while using their electronic devices continually, it can cause pain to their wrist joints and affect the structure. (ʻO Amjad et al., 2020) Additionally, when repetitive vibration exposures or forceful angular motions affect the hands and wrists, it can lead to carpal tunnel syndrome and affect the hands. (Osiak et al., 2022) The various joints, tendons, and muscles also become affected in the hands and wrist as trigger points in the forearm. Fortunately, there are multiple ways that many people can reduce the pain-like effects of wrist and hand pain.
The Benefits of Stretching-Video
How To Prevent Wrist & Hand Pain From Returning
There are numerous ways to reduce wrist and hand pain, and many people try to find therapeutic solutions to mitigate the pain. Non-surgical treatments like manual therapy can help with wrist and hand pain by using mobilization forces to allow wrist flexion and extension to improve motor function. (Gutierrez-Espinoza et al., 2022) Another non-surgical treatment that can help with wrist and hand pain is acupuncture. Acupuncture utilizes small, solid, thin needles to be placed in various acupoints in the forearm to reduce the pain intensity and bring back the mobility function to the hands and wrist. (Trinh et al., 2022)
Various Stretches For Wrist & Hand Pain
ʻO ka pōmaikaʻi, aia kahi simple and accessible way for many individuals to reduce the effects of wrist and hand pain-stretching and incorporating yoga into their routine. Yoga stretches for the hands and wrists can help decompress and reduce stiffness, and these stretches can be done for just a few minutes, providing beneficial results. (Gandolfi et al., 2023) Below are some of these stretches that can be easily incorporated into anyone’s routine, making it easier for you to take control of your wrist and hand health.
Wrist Flexor Stretch
Pehea e hana ai:
Extend your arm in front of you with your palm up.
Use your other hand to gently pull the fingers back toward the body until you feel a stretch in your forearm.
Hold this position for about 15 to 30 seconds.
Repeat 2-3 times with each wrist.
Wrist Extensor Stretch
Pehea e hana ai:
Extend your arm in front of your body with your palm facing down.
Gently pull the fingers towards your body with your other hand until you feel a stretch on the outside of your forearm.
Paʻa no 15 a 30 kekona.
Do this 2-3 times per wrist.
Prayer Stretch
Pehea e hana ai:
Put the palms together in a prayer position i mua o of the chest, below the chin.
Slowly lower the conjoined hands towards the waistline, keeping the hands close to your stomach and your palms together until you feel a stretch under your forearms.
Hold for at least 30 seconds and repeat a few times.
Tendon Glides
Pehea e hana ai:
Start with your fingers extended straight out.
Then, bend your fingers to form a hook fist; you should feel a stretch but no pain.
Return to the starting position and bend your fingers to touch the top of your palm, keeping your fingers straight.
Finally, bend your fingers into a full fist.
Repeat the sequence ten times.
Thumb Stretch
Pehea e hana ai:
Extend your hand with your fingers together.
huki your thumb away from your fingers as far as comfortable.
Paʻa no 15 a 30 kekona.
Repeat 2-3 times with each thumb.
Lulu aku
Pehea e hana ai:
After stretching, shake your hands lightly as if trying to dry them off. This helps reduce tension and promote circulation.
E hoʻomaopopo '
Amjad, F., Farooq, M. N., Batool, R., & Irshad, A. (2020). Frequency of wrist pain and its associated risk factors in students using mobile phones. Pak J Med Sci, 36(4), 746-749. doi.org/10.12669/pjms.36.4.1797
Baabdullah, A., Bokhary, D., Kabli, Y., Saggaf, O., Daiwali, M., & Hamdi, A. (2020). The association between smartphone addiction and thumb/wrist pain: A cross-sectional study. Lapaʻau (Baltimore), 99(10), e19124. doi.org/10.1097/MD.0000000000019124
Gandolfi, M. G., Zamparini, F., Spinelli, A., & Prati, C. (2023). Asana for Neck, Shoulders, and Wrists to Prevent Musculoskeletal Disorders among Dental Professionals: In-Office Yoga Protocol. J Funct Morphol Kinesiol, 8(1). doi.org/10.3390/jfmk8010026
Gutierrez-Espinoza, H., Araya-Quintanilla, F., Olguin-Huerta, C., Valenzuela-Fuenzalida, J., Gutierrez-Monclus, R., & Moncada-Ramirez, V. (2022). Effectiveness of manual therapy in patients with distal radius fracture: a systematic review and meta-analysis. J Man Manip Ther, 30(1), 33-45. doi.org/10.1080/10669817.2021.1992090
Merkle, S. L., Sluka, K. A., & Frey-Law, L. A. (2020). The interaction between pain and movement. J Hand Ther, 33(1), 60-66. doi.org/10.1016/j.jht.2018.05.001
Osiak, K., Elnazir, P., Walocha, J. A., & Pasternak, A. (2022). Carpal tunnel syndrome: state-of-the-art review. Folia Morphol (Warsz), 81(4), 851-862. doi.org/10.5603/FM.a2021.0121
Trinh, K., Zhou, F., Belski, N., Deng, J., & Wong, C. Y. (2022). The Effect of Acupuncture on Hand and Wrist Pain Intensity, Functional Status, and Quality of Life in Adults: A Systematic Review. Med Acupunct, 34(1), 34-48. doi.org/10.1089/acu.2021.0046
Can incorporating various yoga poses help reduce neck tension and provide pain relief for individuals dealing with neck pain?
Introduction
Within the hustling and bustling of modern life, it is common for many individuals to carry stress in their bodies. When the body deals with everyday stressors, tension, discomfort, and pain can often manifest in the upper and lower portions of the body. When the body’s upper and lower portions deal with these issues, they can cause overlapping risk profiles in the musculoskeletal system. One of the most common musculoskeletal issues is neck pain. It can cause many problems to the cervical portion of the spine and cause the surrounding muscles to become tense and in pain from the stress of everyday responsibilities. Luckily, there are numerous ways to reduce stress from the neck and help relax the affected muscles from discomfort, including yoga. In today’s article, we will look at how neck pain affects the upper body, the benefits of yoga for neck pain, and various yoga poses to reduce the overlapping effects of neck pain. We discuss with certified medical providers who consolidate our patients’ information to assess how neck pain is correlated with everyday stressors that affect the upper body. We also inform and guide patients on how yoga and the various poses can benefit the body and provide pain relief to the surrounding muscles. We also encourage our patients to ask their associated medical providers many intricate and important questions about incorporating yoga into their daily routine to reduce muscle tension and provide clarity to their bodies. Dr. Jimenez, D.C., includes this information as an academic service. Akahana.
How Does Neck Pain Affect The Upper Body?
Do you feel discomfort or pain in your neck and shoulders after a long, hard workday? Do you notice you hunched more than usual when doing your daily routine? Or do you see yourself developing a hunched posture from looking at the computer screen or phone for an extended period? Many of these normal motions are often correlated with the upper body, especially in the neck and shoulder regions, which causes neck pain. As one of the most common problems affecting many people worldwide, neck pain is a multifactorial disease with numerous risk factors contributing to its development. (Kazeminasab et al., 2022) Like back pain, neck pain can have acute and chronic stages depending on the severity and environmental factors leading to its development. The various muscles, ligaments, and tissues surrounding the neck and shoulders keep the neck stable and mobile. When many individuals overuse these muscles in the neck and shoulders repetitively, it can increase neck pain in the upper body in adulthood. (Ben Ayed et al., 2019)
When acute neck pain turns chronic, it can cause the individual to be in constant discomfort, pain, and misery, so they start to look for various solutions to reduce the correlating symptoms when speaking to their primary doctors. When many individuals begin to explain to their doctors what their daily routine looks like, many doctors will start to assess and formulate a plan that focuses on any specific description of any injuries, including potential mechanisms, inciting and relieving factors, and pain patterns they have encountered throughout the day to come up with a personalized treatment plan to not only reduce neck pain but also provide relief to tension and discomfort to the body. (Wahine a me Stuek, 2020)
The Science of Motion- Video
The Benefits Of Yoga For Neck Pain
Many primary doctors will work with associated medical providers to develop a personalized plan to relieve neck pain and its associated symptoms in many individuals. Many of these customized treatment plans include spinal manipulation, acupuncture, massage, decompression therapy, and therapeutic exercises. One of the therapeutic exercises that many individuals have utilized is yoga. Yoga is a holistic practice encompassing breathing control, meditation, and various poses to stretch and strengthen the affected upper muscles. Yoga is excellent for reducing neck pain and helping with upper cervical spine mobility, stretching the neck musculature to help the individual improve mobility and flexibility. (Raja et al., 2021) Additionally, the effects of yoga and its many poses can reduce tension, give clarity to the mind, and allow the nutrients and oxygen to the musculo-articular system to naturally heal the body itself. (Gandolfi et al., 2023)
Yoga Poses For Neck Pain
At the same time, many individuals with sedentary jobs that correlate to neck pain have implemented yoga as part of their routine. Yoga improves their range of joint motion and cognitive function and helps relieve musculoskeletal discomfort in the neck and shoulder regions. (Thanasilungkoon et al., 2023) Below are some of the various yoga poses that can help reduce the pain-like symptoms of neck pain and ease the surrounding muscles.
Seated Neck Stretches
For seated neck stretches, this yoga pose helps stretch and release the neck muscles that carry tension and stress in the cervical region of the body.
In a seated upright position, turn the head to the right and gently lift the chin.
You should feel a stretch along the left side of the neck and shoulders.
Hold the position for three to five breaths and repeat on the left side.
Pose Kamelo
For the camel pose, this yoga pose helps strengthen the front neck muscles while easing tension on the shoulders and back of the neck.
You can kneel on a yoga mat by keeping your knees and feet hip-distance apart while keeping the pelvis neutral.
Lift the chest while arching your back and pressing the pelvis slightly forward.
Bring the fingertips to the heels or yoga blocks beside the ankles.
Focus on drawing the chin close to the neck while pressing the feet to the mat.
Hold the position for three to five breaths before releasing and lifting the sternum to rise back up.
Sphinx Pose
The sphinx pose allows you to lengthen and strengthen the spine while stretching the shoulders and releasing tension.
On a yoga mat, lie on your stomach with the elbows under the shoulders.
Press your palms and forearms on the mat and tighten the lower half to support you as you lift your upper torso and head.
Keep looking straight ahead as you are being mindful of lengthening the spine.
Hold this position for three to five breaths.
Thread The Needle Pose
The thread-the-needle pose helps release tension stored in the neck, shoulders, and back.
On a yoga mat, start in an all-fours position with the wrist under the shoulders and the knees under the hips.
Lift the right hand and move it to the left along the floor with the palm facing up.
Hold the position for three to five breaths for thirty seconds and release.
Return to the all-fours position and repeat to the left side.
Panina
Overall, incorporating yoga as part of a daily routine can provide beneficial results in reducing neck pain and its associated comorbidities. Yoga does not require hours of practice or even contorting into various poses, as just a few minutes of gentle stretching and mindful breathing each day can provide positive results. When people start to utilize yoga as part of their daily activities, they will notice their posture improving, their minds clearer than ever, and live a happier, healthier life without dealing with neck pain.
E hoʻomaopopo '
Ben Ayed, H., Yaich, S., Trigui, M., Ben Hmida, M., Ben Jemaa, M., Ammar, A., Jedidi, J., Karray, R., Feki, H., Mejdoub, Y., Kassis, M., & Damak, J. (2019). ʻO ka Laha ʻana, nā kumu pilikia a me nā hopena o ka ʻāʻī, nā poʻohiwi a me ka ʻeha haʻahaʻa i ke kua i nā keiki o ke kula kiʻekiʻe. J Res Health Sci, 19(1), e00440. www.ncbi.nlm.nih.gov/pubmed/31133629
Gandolfi, M. G., Zamparini, F., Spinelli, A., & Prati, C. (2023). Asana for Neck, Shoulders, and Wrists to Prevent Musculoskeletal Disorders among Dental Professionals: In-Office Yoga Protocol. J Funct Morphol Kinesiol, 8(1). doi.org/10.3390/jfmk8010026
Kazeminasab, S., Nejadghaderi, SA, Amiri, P., Pourfathi, H., Araj-Khodaei, M., Sullman, MJM, Kolahi, AA, & Safiri, S. (2022). ʻO ka ʻeha ʻāʻī: ka maʻi epidemiology honua, nā ʻano a me nā kumu pilikia. BMC Musculoskelet Disord, 23(1), 26. doi.org/10.1186/s12891-021-04957-4
Raja, G. P., Bhat, N. S., Fernandez-de-Las-Penas, C., Gangavelli, R., Davis, F., Shankar, R., & Prabhu, A. (2021). Effectiveness of deep cervical fascial manipulation and yoga postures on pain, function, and oculomotor control in patients with mechanical neck pain: study protocol of a pragmatic, parallel-group, randomized, controlled trial. hoao, 22(1), 574. doi.org/10.1186/s13063-021-05533-w
Thanasilungkoon, B., Niempoog, S., Sriyakul, K., Tungsukruthai, P., Kamalashiran, C., & Kietinun, S. (2023). The Efficacy of Ruesi Dadton and Yoga on Reducing Neck and Shoulder Pain in Office Workers. Int J Exerc Sci, 16(7), 1113-1130. www.ncbi.nlm.nih.gov/pubmed/38287934
Pehea e hāʻawi ai nā limahana mālama olakino i kahi keʻena chiropractic i kahi ala lapaʻau e pale aku ai i nā hewa olakino no nā poʻe i ka ʻeha?
Introduction
ʻO nā hewa lāʻau i loaʻa i ka 44,000-98,000 mau make ʻAmelika i ka haukapila i kēlā me kēia makahiki, a he nui nā mea i hoʻopilikia i nā pōʻino. (Kohn et al., 2000) Ua ʻoi aku kēia ma mua o ka nui o ka poʻe i make i kēlā me kēia makahiki mai ka maʻi AIDS, ka maʻi maʻi umauma, a me nā ulia kaʻa i kēlā manawa. Wahi a ka noiʻi ma hope aku, kokoke paha ka helu maoli o nā make i ka 400,000, e waiho ana i nā hewa lapaʻau ʻo ke kolu o ke kumu maʻamau o ka make ma US. ʻO ka pinepine, ʻaʻole kēia mau hewa i hana ʻia e ka poʻe lapaʻau kino maoli; akā, ʻo ia ka hopena o nā pilikia ʻōnaehana me ka ʻōnaehana mālama ola, e like me nā ʻano hana hoʻomaʻamaʻa like ʻole, nā pūnaewele ʻinikua i hoʻokaʻawale ʻia, underutilization a i ʻole ka nele o nā protocol palekana, a me ka mālama ʻole ʻia. Ke nānā nei ka ʻatikala o kēia lā i ke ala lapaʻau no ka pale ʻana i kahi hewa o ka lāʻau lapaʻau ma kahi kūlana lapaʻau. Kūkākūkā mākou i nā mea lapaʻau e pili ana i nā mea lapaʻau like ʻole e kōkua i nā poʻe e loaʻa ana i nā pilikia maʻi. Alakaʻi pū mākou i kā mākou poʻe maʻi ma ka ʻae ʻana iā lākou e nīnau i kā lākou mau mea lapaʻau pili i nā nīnau koʻikoʻi a paʻakikī. ʻO Kauka Alex Jimenez, DC, hoʻohana wale i kēia ʻike ma ke ʻano he lawelawe hoʻonaʻauao. Akahana
Ka wehewehe ʻana i nā hewa lapaʻau
ʻO ka hoʻoholo ʻana i ka hewa o ka lāʻau lapaʻau ka hana koʻikoʻi i kēlā me kēia kamaʻilio e pili ana i ka pale ʻana i nā hewa olakino. Hiki paha iā ʻoe ke manaʻo he hana maʻalahi kēia, akā aia wale nō a hiki i kou ʻimi ʻana i ka nui o nā huaʻōlelo i hoʻohana ʻia. Hoʻohana like ʻia nā huaʻōlelo he nui (ke kuhi hewa kekahi manawa) no ka mea hiki ke hoʻololi ʻia kekahi mau huaʻōlelo, a i kekahi manawa, pili ka manaʻo o kahi huaʻōlelo i ka loea e kūkākūkā ʻia nei.
ʻOiai ʻo ka ʻoihana mālama ola i ʻōlelo ʻo ka palekana o ka maʻi a me ka hoʻopau ʻana a i ʻole ka hōʻemi ʻana i nā hewa lapaʻau ka mea nui, ua ʻike ʻo Grober lāua ʻo Bohnen i ka makahiki 2005 ua hāʻule lākou i kahi wahi koʻikoʻi: ka hoʻoholo ʻana i ka wehewehe ʻana o "ka nīnau koʻikoʻi paha… hewa lapaʻau? ʻO ka hewa o ka lāʻau lapaʻau he hiki ʻole ke hoʻopau i kahi hana i hoʻolālā ʻia ma kahi kūlana olakino. (Grober & Bohnen, 2005) Eia naʻe, ʻaʻohe o nā huaʻōlelo i ʻike pinepine ʻia me kahi hewa olakino - nā maʻi, mālama olakino, a i ʻole kekahi mea ʻē aʻe - i ʻōlelo ʻia ma kēia wehewehe. ʻOiai ʻo kēia, hāʻawi ka wehewehe i kahi hoʻolālā paʻa no ka hoʻomohala hou ʻana. E like me kāu e ʻike ai, ʻelua ʻāpana kēia wehewehe kikoʻī:
He hewa hoʻokō: ʻAʻole hoʻokō i kahi hana i hoʻolālā ʻia e like me ka mea i manaʻo ʻia.
He hewa hoʻolālā: He ʻenehana ia, ʻoiai me ka hoʻokō pono ʻana, ʻaʻole e hoʻopuka i nā hopena i makemake ʻia.
ʻAʻole lawa nā manaʻo o nā hewa o ka hoʻokō a me ka hoʻolālā ʻana inā makemake mākou e wehewehe pono i kahi hewa lapaʻau. Hiki i kēia mau mea ma nā wahi āpau, ʻaʻole wale ma kahi hale lapaʻau. Pono e hoʻohui ʻia ka ʻāpana o ka hoʻokele olakino. Hoʻopuka kēia i ka manaʻo o nā hanana maikaʻi ʻole, i kapa ʻia ʻo nā hanana ʻino. ʻO ka wehewehe maʻamau o kahi hanana ʻino ka pōʻino i manaʻo ʻole ʻia i nā maʻi i lawe ʻia e ka lāʻau lapaʻau ma mua o ko lākou maʻi lalo. Ua loaʻa kēia wehewehe i ka ʻae honua ma kekahi ʻano a i ʻole. No ka laʻana, ma Australia, ua wehewehe ʻia ka huaʻōlelo o nā hanana i ka hopena i loaʻa ai ka pōʻino i ke kanaka e mālama i ke olakino. Aia kēia mau mea i nā ma'i, nā hā'ule hō'eha, a me nā pilikia me nā lā'au lapa'au a me nā lako lā'au. Hiki ke pale ʻia kekahi mau hanana maikaʻi ʻole.
Nā ʻano maʻamau o nā hewa lapaʻau
ʻO ka pilikia wale nō me kēia manaʻo, ʻaʻole i hiki mai nā mea maikaʻi ʻole a pau me ka manaʻo. Ma muli o ka pōmaikaʻi hope loa o ka mea maʻi, hiki mai ka hopena i manaʻo ʻia akā ʻae ʻia. I ka wā o ka chemotherapy, ʻelua mau hiʻohiʻona ka nausea a me ka poho lauoho. I kēia manawa, ʻo ka hōʻole ʻana i ka lāʻau i ʻōlelo ʻia ʻo ia wale nō ke ala kūpono e pale ai i ka hopena maikaʻi ʻole. Ua hōʻea mākou i ka manaʻo o nā hanana ʻino hiki ke pale ʻia a hiki ʻole ke pale ʻia ke hoʻomaʻamaʻa hou mākou i kā mākou wehewehe. ʻAʻole maʻalahi ka hoʻokaʻawale ʻana i kahi koho e ʻae i hoʻokahi hopena ke hoʻoholo ʻia e hiki mai kahi hopena maikaʻi i ka manawa like. Akā ʻaʻole ʻo ke kumu wale nō he kumu. (Pūnaehana palekana maʻi, 2016, para.3) ʻO kekahi laʻana o ka hewa i hoʻolālā ʻia, ʻo ia ka ʻoki ʻana i ka wāwae ʻākau ma muli o kahi maʻi maʻi ma ka lima hema, ʻo ia ka ʻae ʻana i kahi hanana maikaʻi ʻole i ʻike ʻia a wānana ʻia me ka manaʻolana o kahi hopena maikaʻi kahi i ala ʻole ai ma mua. ʻAʻohe mea hōʻike e kākoʻo i ka kali ʻana i kahi hopena maikaʻi.
ʻO nā hewa lapaʻau e hōʻeha i ka mea maʻi ke kumu o kā mākou noiʻi. Eia nō naʻe, hiki a hiki ke hana hewa nā lāʻau lapaʻau inā ʻaʻole hōʻeha ʻia ka mea maʻi. ʻO ka hiki ʻana mai o nā hala kokoke hiki ke hāʻawi i ka ʻikepili koʻikoʻi i ka wā e hoʻolālā ai pehea e hōʻemi ai i nā hewa lapaʻau i loko o kahi hale mālama olakino. Eia nō naʻe, pono e noiʻi ʻia ka pinepine o kēia mau hanana i hoʻohālikelike ʻia me nā kauka lapaʻau pinepine. ʻO nā pōʻino kokoke i nā hewa lapaʻau i hiki ke hōʻeha i ka mea maʻi, ʻoiai inā e hana maikaʻi ana ka mea maʻi. (Martinez et al., 2017) No ke aha ʻoe e ʻae ai i kahi mea hiki ke hopena i ka hoʻopiʻi kānāwai? E noʻonoʻo i ke ʻano o kahi kahu hānai, no kēlā me kēia kumu, ke nānā wale nei i nā kiʻi o nā lāʻau like ʻole a kokoke e hāʻawi i kahi lāʻau lapaʻau. Aia paha kekahi mea i loko o kona hoʻomanaʻo, a ua hoʻoholo ʻo ia ʻaʻole pēlā ke ʻano o ka lāʻau lapaʻau kikoʻī. Ma ka nānā ʻana, ʻike ʻo ia ua hāʻawi ʻia nā lāʻau lapaʻau hewa. Ma hope o ka nānā ʻana i nā pepa a pau, hoʻoponopono ʻo ia i ka hewa a hāʻawi i ka mea maʻi i ka palapala kuhikuhi kūpono. Hiki paha ke pale i ka hewa i ka wā e hiki mai ana inā loaʻa nā kiʻi o ka lāʻau kūpono i ka moʻolelo hoʻokele? He mea maʻalahi ke poina i ka hewa a me ka manawa e pōʻino ai. He ʻoiaʻiʻo nō kēlā ʻoiaʻiʻo inā paha ua laki mākou i ka loaʻa ʻana i ka manawa a i ʻole e loaʻa i nā hopena maikaʻi ʻole.
Nā hewa o nā hopena a me ka hana
Pono mākou i ka ʻikepili piha no ka hoʻomohala ʻana i nā mea e hoʻomaikaʻi ai i ka palekana o ka maʻi a hoʻemi i nā hewa lapaʻau. Ma ka liʻiliʻi loa, i ka wā o ka mea maʻi i loko o kahi keʻena lapaʻau, pono e hōʻike ʻia nā mea a pau e hiki ke hana i mea e pale aku ai i ka pōʻino a hoʻokomo iā lākou i ka pōʻino. Ua hoʻoholo ka nui o nā kauka i ka hoʻohana ʻana i nā huaʻōlelo hewa a me nā hanana ʻino i ʻoi aku ka laulā a kūpono ma hope o ka nānā ʻana i nā hewa a me nā hanana ʻino i ka mālama olakino a kūkākūkā i ko lākou mau ikaika a me nā nāwaliwali i ka makahiki 2003. ʻO kēia wehewehe hui e hoʻonui i ka hōʻiliʻili ʻikepili, me nā hewa, nā kelepona kokoke, kokoke. nalo, ahana hewa a huna. Eia kekahi, ʻo ka huaʻōlelo o nā hanana ʻino e pili ana i nā huaʻōlelo i hōʻike pinepine ʻia i ka pōʻino o ka maʻi, e like me ka hōʻeha olakino a me ka ʻeha iatrogenic. ʻO ka mea wale nō i koe e hoʻoholo inā he kino kūpono ka papa loiloi e mālama i ka hoʻokaʻawale ʻana i nā hanana ʻino a hiki ʻole ke pale ʻia.
ʻO kahi hanana kiaʻi he hanana kahi e pono ai ka hōʻike ʻana i ke Komisina Hui Pū ʻIa. Ua ʻōlelo ke Kōmike Hui he hanana i manaʻo ʻole ʻia kahi hanana kiaʻi e pili ana i kahi hōʻeha kino a i ʻole noʻonoʻo. (“Sentinel Events,” 2004, p.35) ʻAʻohe koho, no ka mea, pono e kākau ʻia. ʻO ka hapa nui o nā keʻena mālama ola, akā naʻe, mālama lākou i kā lākou mau moʻolelo e hōʻike ana i nā hanana sentinel a me nā mea e hana ai inā loaʻa kahi mea e hōʻoiaʻiʻo ai ua hoʻokō ʻia nā kūlana o ke Komisina Hui. ʻO kēia kekahi o kēlā mau kūlana i ʻoi aku ka maikaʻi o ka palekana ma mua o ka minamina. No ka mea ʻo ka "koʻikoʻi" kahi manaʻo pili, aia paha kekahi lumi wriggle i ka wā e pale aku ai i kahi hoa hana a mea hana paha. Ma kekahi ʻaoʻao, ʻoi aku ka maikaʻi o ka hōʻike hewa ʻana i kahi hanana kiaʻi ma mua o ka hōʻike ʻole ʻana i kahi hanana kiaʻi. ʻO ka hōʻole ʻole ʻana e hiki ke loaʻa nā hopena koʻikoʻi, me ka hoʻopau ʻana i ka ʻoihana.
I ka noʻonoʻo ʻana i nā hewa lapaʻau, hana hewa pinepine ka poʻe i ka nānā ʻana i nā hewa kuhikuhi. ʻAʻole kānalua pinepine nā hewa o ka lāʻau lapaʻau a pili i nā hemahema o ke kaʻina hana like me nā hewa lapaʻau ʻē aʻe. ʻO nā haʻihaʻi ma ke kamaʻilio ʻana, nā hewa i hana ʻia i ka wā o ke kau ʻana a i ʻole ka hāʻawi ʻana, a me nā mea ʻē aʻe he nui. Akā, e kuhi hewa ana mākou i ka hihia inā manaʻo mākou ʻo nā hewa lāʻau wale nō ke kumu o ka pōʻino i ka mea maʻi. ʻO kahi paʻakikī nui i ka hoʻokaʻawale ʻana i nā hewa lapaʻau like ʻole e hoʻoholo inā e hoʻokaʻawale i ka hewa e pili ana i ke kaʻina hana a i ʻole ka hopena. Ua ʻae ʻia ka nānā ʻana i kēlā mau hoʻokaʻawale ʻana ma ʻaneʻi, no ka mea, ua nui nā hoʻāʻo ʻana e hoʻomohala i nā wehewehe hana e hoʻopili ai i ke kaʻina hana a me ka hopena, ʻo ka nui o ia mau mea i hoʻokumu ʻia ma ka hana a Lucian Leape mai nā makahiki 1990.
Hoʻonui i kou nohona i kēia lā- Video
Nānā & Kāohi ʻana i nā hewa Lapaʻau
ʻO ka operative a me ka nonoperative nā ʻāpana nui ʻelua o nā hanana ʻino i ʻike ʻia e Leape a me kāna mau hoa hana ma kēia haʻawina. (Leape et al., 1991) Loaʻa nā pilikia o ka hana i nā maʻi ʻeha, nā hemahema o ke kaʻina hana, nā pilikia ʻole o ka ʻenehana, nā pilikia lohi, a me nā pilikia ʻenehana. ʻAʻole hana: nā poʻomanaʻo e like me ka lāʻau lapaʻau, misdiagnosed, hana ʻino ʻia, pili i ke kaʻina hana, hāʻule, haʻihaʻi, postpartum, anesthesia-related, neonatal, a me kahi poʻomanaʻo hopu-a pau o ka ʻōnaehana i hoʻokomo ʻia ma lalo o kēia ʻano o nā hanana ʻino. Ua hoʻokaʻawale ʻo Leape i nā hewa ma ke kuhikuhi ʻana i ke kiko o ke kaʻina hana. Ua hoʻokaʻawale ʻo ia i kēia mau poʻomanaʻo i ʻelima mau poʻomanaʻo, ʻo ia hoʻi:
System
Auana
Nā Waʻakino Drug
PalekanaEND_LINK
ʻĀneke
Nui nā hewa hana i hāʻule ma lalo o hoʻokahi kumuhana, akā kōkua lākou a pau e kuhikuhi i ke kumu kūpono o ka pilikia. Inā ʻoi aku ma mua o hoʻokahi kauka i hana i ka hoʻoholo ʻana i nā wahi kikoʻī e pono ai ka hoʻomaikaʻi ʻana, a laila pono ke nīnau hou ʻia.
Ma keʻano loea, hiki ke hana i kahi hewa lapaʻau e kekahi limahana ma kahi haukapila. ʻAʻole i kaupalena ʻia i nā ʻoihana lapaʻau e like me nā kauka a me nā kahu hānai. Hiki i ka luna ho'oponopono ke wehe i ka puka, a i 'ole e waiho 'ia e ka hui ho'oma'ema'e kekahi mea kemika i loko o ka lima o ke keiki. ʻO ka mea nui aʻe ma mua o ka ʻike o ka mea nāna i hana i ka hewa ke kumu ma hope o ia. He aha ma mua? A pehea mākou e hōʻoia ai ʻaʻole e hana hou ʻia? Ma hope o ka hōʻiliʻili ʻana i nā ʻikepili i luna a me nā mea hou aʻe, ʻo ia ka manawa e noʻonoʻo ai pehea e pale ai i nā hewa like. No nā hanana kiaʻi, ua kauoha ka Hui Hui mai ka makahiki 1997 e hana kēia mau hanana āpau i kahi kaʻina i kapa ʻia ʻo Root Cause Analysis (RCA). Eia naʻe, pono e hoʻoponopono ʻia ka hoʻohana ʻana i kēia kaʻina hana no nā hanana e pono e hōʻike ʻia i nā ʻaoʻao o waho.
He aha ke kumu o ke kumu kumu?
"Ua hopu ʻo RCA i nā kikoʻī a me ka hiʻohiʻona kiʻi nui." Hoʻomaʻamaʻa lākou i nā ʻōnaehana loiloi, ka nānā ʻana inā pono ka hana hoʻoponopono, a me ka nānā ʻana i nā ʻano. (Williams, 2001) He aha ka RCA, akā? Ma ka nānā ʻana i nā hanana i alakaʻi i ka hewa, hiki i kahi RCA ke nānā aku i nā hanana a me nā kaʻina hana ma mua o ka nānā ʻana a i ʻole ka hoʻopiʻi ʻana i nā poʻe kikoʻī. (AHRQ,2017) ʻO ia ke kumu nui loa. Hoʻohana pinepine kahi RCA i kahi mea hana i kapa ʻia ʻo Five Whys. ʻO kēia ke kaʻina o ka nīnau mau ʻana iā ʻoe iho "no ke aha" ma hope o kou manaʻo ua hoʻoholo ʻoe i ke kumu o kahi pilikia.
ʻO ke kumu i kapa ʻia ai ʻo "ʻelima kumu" no ka mea, ʻoiai ʻo ka ʻelima kahi kumu hoʻomaka maikaʻi loa, pono ʻoe e nīnau mau i ke kumu a hiki i kou ʻike ʻana i ke kumu kumu o ka pilikia. Ke nīnau pinepine nei i ke kumu e hōʻike pinepine ai i nā hewa kaʻina hana ma nā pae like ʻole, akā pono ʻoe e nīnau i ke kumu e pili ana i kēlā me kēia ʻaoʻao o ka pilikia a hiki i ka pau ʻana o nā mea ʻē aʻe i hiki ke hoʻoponopono ʻia e hāʻawi i kahi hopena i makemake ʻia. Eia nō naʻe, hiki ke hoʻohana ʻia nā mea hana ʻē aʻe ma waho o kēia i ka hoʻokolokolo kumu kumu. Nui nā mea ʻē aʻe. Pono nā RCA he multidisciplinary a kūpaʻa a hoʻopili i nā ʻaoʻao a pau i komo i ka hewa e pale i ka hoʻomaopopo ʻole a i ʻole ka hōʻike pololei ʻana i nā hanana.
Panina
ʻO nā hewa lāʻau lapaʻau i loko o nā keʻena mālama ola he mau hanana a ʻaʻole i hōʻike ʻia e hoʻoweliweli koʻikoʻi i ke olakino o nā maʻi. A hiki i ka hapaha miliona o ka poʻe i manaʻo ʻia e hala i kēlā me kēia makahiki ma muli o nā hewa o ka lāʻau lapaʻau. ʻAʻole ʻae ʻia kēia mau helu helu i ka manawa i manaʻo ʻia ʻo ka palekana maʻi ka mea nui, akā ʻaʻole nui ka hana e hoʻololi i nā hana. Inā ʻike pololei ʻia nā hewa o ka lāʻau lapaʻau a ʻike ʻia ke kumu kumu o ka pilikia me ka ʻole o ka hoʻopiʻi ʻana i nā limahana kūikawā, ʻaʻole pono kēia. Hiki ke hana ʻia nā hoʻololi koʻikoʻi ke ʻike pololei ʻia nā kumu kumu o ka ʻōnaehana a i ʻole ka hana hewa. ʻO kahi ʻano like ʻole, multidisciplinary i ka loiloi kumu kumu e hoʻohana ana i nā ʻōhua e like me nā kumu ʻelima e ʻimi ai a hiki i ka hōʻike ʻia ʻana o nā pilikia a me nā hemahema he mea kōkua. ʻOiai he mea pono ia i kēia manawa no ka hoʻomaka ʻana o nā hanana kiaʻi, hiki ke hoʻopili ʻia ka Root Cause Analysis i nā kumu kuhi hewa a pau, me nā hala kokoke.
Kohn, LT, Corrigan, J., Donaldson, MS, & Institute of Medicine (US). Komite no ka maikaʻi o ka mālama ola kino ma ʻAmelika. (2000). He kanaka ka hewa: ke kūkulu ʻana i kahi ʻōnaehana olakino palekana. ʻO ka National Academy Press. books.nap.edu/books/0309068371/html/index.html
Leape, LL, Brennan, TA, Laird, N., Lawthers, AG, Localio, AR, Barnes, BA, Hebert, L., Newhouse, JP, Weiler, PC, & Hiatt, H. (1991). ʻO keʻano o nā hananaʻino i nā maʻi maʻi. Nā hopena o ka Harvard Medical Practice Study II. N Engl J Med, 324(6), 377-384. doi.org/10.1056/NEJM199102073240605
Martinez, W., Lehmann, LS, Hu, YY, Desai, SP, & Shapiro, J. (2017). Nā Kaʻina hana no ka ʻike ʻana a me ka nānā ʻana i nā hanana pōʻino a me nā hala kokoke i kahi hale hoʻonaʻauao kula. Jt Comm J Qual Hoomanawanui Saf, 43(1), 5-15. doi.org/10.1016/j.jcjq.2016.11.001
Hiki i nā poʻe me ka maʻi Ehlers-Danlos ke loaʻa ka hōʻoluʻolu ma o nā lāʻau lapaʻau ʻole ʻole e hōʻemi i ka paʻa ʻole?
Introduction
ʻO nā hono a me nā ligaments e hoʻopuni ana i ka ʻōnaehana musculoskeletal e ʻae i nā ʻaoʻao o luna a me lalo e hoʻopaʻa i ke kino a me ka mobile. ʻO nā ʻiʻo like ʻole a me nā ʻiʻo pili palupalu e hoʻopuni ana i nā ami e kōkua i ka pale ʻana iā lākou mai nā ʻeha. I ka hoʻomaka ʻana o nā mea ʻino a i ʻole nā pilikia i ke kino, nui ka poʻe e hoʻomohala i nā pilikia e hoʻopiʻi ai i nā ʻaoʻao pilikia, a laila e hoʻopilikia i ka paʻa o nā hono. ʻO kekahi o nā maʻi e pili ana i nā hono a me nā ʻiʻo pili ʻo EDS a i ʻole Ehlers-Danlos syndrome. Hiki i kēia maʻi pili i ke kino ke lilo i hypermobile. Hiki iā ia ke hoʻopilikia i ka hui ʻana ma nā ʻaoʻao o luna a me lalo, a waiho i ke kanaka i ka ʻeha mau. ʻO ka ʻatikala o kēia lā e pili ana i ka maʻi ʻo Ehlers-Danlos a me kāna mau hōʻailona a me ke ʻano o nā ʻano hana ʻole e mālama ai i kēia maʻi ʻili pili. Kūkākūkā mākou me nā mea lapaʻau hōʻoia e hoʻohui i ka ʻike o kā mākou poʻe maʻi e loiloi pehea e hoʻopili ai ʻo Ehlers-Danlos syndrome me nā maʻi musculoskeletal ʻē aʻe. Hoʻomaopopo a alakaʻi mākou i nā mea maʻi i ke ʻano o nā lāʻau lapaʻau ʻole i hiki ke kōkua i ka hōʻemi ʻana i nā hōʻailona like me ka ʻeha a mālama i ka maʻi Ehlers-Danlos. Paipai mākou i kā mākou poʻe maʻi e nīnau i kā lākou mau mea lapaʻau pili i nā nīnau koʻikoʻi a koʻikoʻi e pili ana i ka hoʻokomo ʻana i nā ʻano lapaʻau non-surgical like ʻole ma ke ʻano o kā lākou hana maʻamau i kēlā me kēia lā e mālama i nā hopena o Ehlers-Danlos syndrome. ʻO Dr. Jimenez, DC, hoʻokomo i kēia ʻike ma ke ʻano he lawelawe kula. Akahana.
He aha ka Ehlers-Danlos Syndrome?
Manaʻo pinepine ʻoe i ka luhi loa i ka lā a pau, ʻoiai ma hope o ka hiamoe piha ʻana? E ʻeha ʻoe a noʻonoʻo no hea mai kēia mau ʻeha? A i ʻole ua ʻike paha ʻoe i ka piʻi ʻana o ka laulā ma kou mau hui? Hoʻopili pinepine ʻia ka nui o kēia mau pilikia me kahi maʻi i kapa ʻia ʻo Ehlers-Danlos Syndrome a i ʻole EDS e pili ana i ko lākou mau hono a me nā ʻiʻo pili. Hoʻopilikia ka EDS i nā ʻiʻo pili i ke kino. ʻO nā mea pili i loko o ke kino e kōkua i ka ikaika a me ka elasticity i ka ʻili, nā hono, a me nā paia o nā kīʻaha koko, no laila ke hana ke kanaka me EDS, hiki iā ia ke hoʻopilikia nui i ka ʻōnaehana musculoskeletal. Ua ʻike nui ʻia ʻo EDS ma ka maʻi lapaʻau, a ua ʻike nā kauka he nui ka gene coding o ka collagen a me nā protein e pili ana i ke kino ke kōkua i ka hoʻoholo ʻana i ke ʻano o ka EDS e pili ana i kēlā me kēia kanaka. (Miklovic & Sieg, 2024)
Nā ʻōuli
I ka hoʻomaopopo ʻana iā EDS, pono e ʻike i ka paʻakikī o kēia maʻi ʻili pili. Hoʻokaʻawale ʻia ʻo EDS i nā ʻano he nui me nā hiʻohiʻona ʻokoʻa a me nā pilikia e ʻokoʻa ma muli o ka paʻakikī. ʻO kekahi o nā ʻano maʻamau o EDS ʻo ka hypermobile Ehlers-Danlos syndrome. Hōʻike ʻia kēia ʻano EDS e ka hypermobility hui maʻamau, hui pū ʻole, a me ka ʻeha. ʻO kekahi o nā hōʻailona e pili ana me ka hypermobile EDS, ʻo ia ka subluxation, dislocations, a me nā ʻeha ʻili palupalu i maʻamau a hiki ke kū wale ʻia a i ʻole me ka ʻeha liʻiliʻi. (Hakim, 1993) Hiki i kēia ke hoʻoulu pinepine i ka ʻeha nui i nā hui ma ka ʻaoʻao o luna a lalo. Me kona ākea ākea o nā hōʻailona a me ke ʻano pilikino o ke ʻano ponoʻī, ʻaʻole ʻike pinepine ka poʻe he mea maʻamau ka hypermobility hui i ka heluna lehulehu a ʻaʻole hiki ke hōʻike i nā pilikia e hōʻike ana he maʻi ʻiʻo pili. (Gensemer et al., 2021) Eia hou, hiki i ka hypermobile EDS ke alakaʻi i ka iwi kuamoʻo ma muli o ka hyperextensibility o ka ʻili, nā hono, a me nā ʻano palupalu o nā ʻiʻo. ʻO ka pathophysiology o ka spinal deformity e pili ana me hypermobile EDS ma muli o ka hypotonia muscle a me ka laxity ligament. (Uehara et al., 2023) ʻO kēia ka mea e hoʻemi nui ai ka poʻe he nui i ko lākou ola a me nā hana ola o kēlā me kēia lā. Eia nō naʻe, aia nā ala e hoʻokele ai i ka EDS a me kāna mau hōʻailona hoʻoponopono e hōʻemi i ka paʻa ʻole o ka hui.
Movement Medicine: Chiropractic Care-Video
Nā ala e mālama ai iā EDS
I ka ʻimi ʻana i nā ala e hoʻokele ai i ka EDS e hōʻemi i ka ʻeha a me ka paʻa ʻole o ka hui, hiki i nā lāʻau lapaʻau ʻole ke kōkua i ka hoʻoponopono ʻana i nā ʻano kino a me nā manaʻo o ke ʻano. ʻO nā lāʻau lapaʻau ʻole no ka poʻe me EDS e nānā maʻamau i ka hoʻomaikaʻi ʻana i ka hana kino o ke kino me ka hoʻomaikaʻi ʻana i ka ikaika muscular a me ka hoʻopaʻa ʻana i ka hui. (Buryk-Iggers et al., 2022) Nui nā poʻe me EDS e ho'āʻo e hoʻohui i nā ʻenehana hoʻokele ʻeha a me ka hoʻōla kino ahoʻohana i nā pale a me nā mea kōkua e hōʻemi i nā hopena o EDS a hoʻomaikaʻi i ko lākou ola.
Nā Laʻau ʻAi ʻole no EDS
ʻO nā lāʻau lapaʻau ʻole like ʻole e like me MET (muscle energy technique), electrotherapy, light physical therapy, mālama chiropractic, a me nā lomilomi. hiki ke kōkua i ka hoʻoikaika ʻana i ka wā e toning ana i nā ʻiʻo a puni a puni nā ami, hāʻawi i ka hoʻomaha ʻeha kūpono, a kaupalena i ka hilinaʻi lōʻihi i nā lāʻau lapaʻau. (ʻO Broida et al., 2021) Eia hou, makemake ka poʻe e pili ana me EDS e hoʻoikaika i nā ʻiʻo i hoʻopilikia ʻia, hoʻopaʻa i nā hono, a hoʻomaikaʻi i ka proprioception. Hāʻawi nā lāʻau lapaʻau ʻole i ke kanaka i kahi hoʻolālā lapaʻau maʻamau no ke koʻikoʻi o nā hōʻailona EDS a kōkua i ka hōʻemi ʻana i ka ʻeha e pili ana i ke ʻano. He nui ka poʻe, i ka hele ʻana i kā lākou hoʻolālā lapaʻau e hoʻokele i kā lākou EDS a hōʻemi i nā hōʻailona e like me ka ʻeha, e ʻike i ka hoʻomaikaʻi ʻana i ka hōʻeha ʻeha. (Khokhar et al., 2023) ʻO ia hoʻi, ʻo nā lāʻau lapaʻau ʻole e ʻae i nā poʻe e noʻonoʻo nui i ko lākou kino a hoʻemi i nā hopena e like me ka ʻeha o EDS, no laila e ʻae ai i nā poʻe he nui me EDS e alakaʻi i nā ola piha, ʻoi aku ka ʻoluʻolu me ka ʻole o ka ʻeha a me ka pilikia.
E hoʻomaopopo '
Broida, SE, Sweeney, AP, Gottschalk, MB, & Wagner, ER (2021). Ka mālama ʻana i ka paʻa ʻole o ka poʻohiwi i ka hypermobility-type Ehlers-Danlos syndrome. JSES Rev Rep Tech, 1(3), 155-164. doi.org/10.1016/j.xrrt.2021.03.002
Buryk-Iggers, S., Mittal, N., Santa Mina, D., Adams, SC, Englesakis, M., Rachinsky, M., Lopez-Hernandez, L., Hussey, L., McGillis, L., McLean , L., Laflamme, C., Rozenberg, D., & Clarke, H. (2022). Hoʻomaʻamaʻa a me ka hoʻoponopono hou ʻana i nā poʻe me ka maʻi ʻo Ehlers-Danlos: He Manaʻo Systematic. ʻO Arch Rehabil Res Clin Transl, 4(2), 100189. doi.org/10.1016/j.arrct.2022.100189
Gensemer, C., Burks, R., Kautz, S., Lunakanawai, DP, Lavallee, M., & Norris, RA (2021). ʻO Hypermobile Ehlers-Danlos Syndrome: Nā phenotypes paʻakikī, nā maʻi paʻakikī, a me nā kumu i ʻike ʻole ʻia. Dev Dyn, 250(3), 318-344. doi.org/10.1002/dvdy.220
Hakim, A. (1993). Hypermobile Ehlers-Danlos Syndrome. Ma MP Adam, J. Feldman, GM Mirzaa, RA Pagon, SE Wallace, LJH Bean, KW Gripp, & A. Amemiya (Eds.), GeneReviews((R)). www.ncbi.nlm.nih.gov/pubmed/20301456
Khokhar, D., Powers, B., Yamani, M., & Edwards, MA (2023). Nā Pōmaikaʻi o ka Lapaʻau Osteopathic Manipulative i ka mea maʻi me ka maʻi maʻi Ehlers-Danlos. ʻO Cureus, 15(5), e38698. doi.org/10.7759/cureus.38698
Uehara, M., Takahashi, J., & Kosho, T. (2023). ʻO ka hōʻino o ka iwi spinal i ka Ehlers-Danlos Syndrome: E nānā i ka Musculocontractural Type. Genes (Basel), 14(6). doi.org/10.3390/genes14061173
No nā poʻe e pili ana i ka sciatica, hiki anei i nā lāʻau lapaʻau ʻole e like me ka mālama chiropractic a me ka acupuncture ke hōʻemi i ka ʻeha a hoʻihoʻi i ka hana?
Introduction
He mīkini paʻakikī ke kino kanaka e hiki ai i ka mea hoʻokipa ke hele a paʻa i ka wā e hoʻomaha ai. Me nā pūʻulu ʻiʻo like ʻole ma nā ʻāpana o luna a me lalo o ke kino, ʻo nā ʻiʻo a puni, nā tendons, nā aʻalolo, a me nā ligaments e lawelawe i kahi kumu no ke kino no ka mea he mau hana kikoʻī kā lākou a pau i ka mālama ʻana i ka hana o ka host. Eia nō naʻe, ua hoʻomohala ka poʻe he nui i nā ʻano maʻamau e hoʻoulu ai i nā hana koʻikoʻi e hoʻoulu hou ai i ko lākou mau ʻiʻo a me nā aʻalolo a pili i kā lākou musculoskeletal system. ʻO kekahi o nā aʻalolo a nā poʻe he nui e hana nei i ka ʻeha, ʻo ia ke aʻalolo sciatic, ka mea e hoʻopiʻi ai i nā pilikia he nui ma nā ʻaoʻao haʻahaʻa o ke kino a, ke mālama ʻole ʻia, alakaʻi i ka ʻeha a me ke kīnā. ʻO ka mea pōmaikaʻi, nui ka poʻe i ʻimi i nā lāʻau lapaʻau ʻole e hōʻemi i ka sciatica a hoʻihoʻi i ka hana kino i kēlā me kēia kanaka. ʻO ka ʻatikala o kēia lā e pili ana i ka hoʻomaopopo ʻana i ka sciatica a pehea e hiki ai i nā lāʻau lapaʻau ʻole e like me ka mālama chiropractic a me ka acupuncture ke kōkua i ka hōʻemi ʻana i nā hopena e like me ka ʻeha sciatic e hoʻopiʻi nei i nā ʻaoʻao pilikia ma nā ʻaoʻao o lalo. Kūkākūkā mākou me nā mea lapaʻau i hōʻoia ʻia e hoʻohui pū me ka ʻike o kā mākou poʻe maʻi e loiloi i ka pili pinepine ʻana o ka sciatica me nā kumu kūlohelohe e hoʻopilikia ai i ke kino. Hoʻomaopopo pū mākou a alakaʻi i nā mea maʻi i ke ʻano o nā ʻano lapaʻau non-surgical hiki ke kōkua i ka hōʻemi ʻana i ka sciatica a me kāna mau hōʻailona correlated. Paipai mākou i kā mākou poʻe maʻi e nīnau i kā lākou mau mea lapaʻau pili i nā nīnau koʻikoʻi a koʻikoʻi e pili ana i ka hoʻokomo ʻana i nā ʻano lapaʻau non-surgical like ʻole. kā lākou hana maʻamau i kēlā me kēia lā e hōʻemi i nā manawa a me nā hopena o sciatica mai ka hoi ana mai. ʻO Dr. Jimenez, DC, hoʻokomo i kēia ʻike ma ke ʻano he lawelawe kula. Akahana.
Hoʻomaopopo i ka Sciatica
Manaʻo pinepine ʻoe i ka ʻeha e hele ana i lalo i hoʻokahi a i ʻole nā wāwae ʻelua ke noho i lalo no ka manawa lōʻihi? ʻEhia mau manawa i ʻike ai ʻoe i nā ʻano ʻino e hoʻoluliluli ai i kou wāwae e hōʻemi i ka hopena? A i ʻole ua ʻike paha ʻoe i ka hoʻolōʻihi ʻana i kou mau wāwae e hoʻomaha iki ai? ʻOiai hiki i kēia mau hōʻailona ʻeha ke hoʻopili i nā ʻāpana haʻahaʻa, manaʻo paha ka poʻe he haʻahaʻa haʻahaʻa ke kua, akā i ka ʻoiaʻiʻo, he sciatica. ʻO Sciatica kahi maʻi musculoskeletal maʻamau e pili ana i nā poʻe he nui ma ke ao holoʻokoʻa ma o ka hoʻoulu ʻana i ka ʻeha i ke aʻalolo sciatic a hoʻomālamalama i lalo i nā wāwae. ʻO ke aʻalolo sciatic ka mea nui i ka hāʻawi ʻana i ka hana kaʻa pololei a pololei ʻole i nā ʻiʻo wāwae. (ʻO Davis et al., 2024) Ke hoʻopiliʻia ke aʻalolo sciatic, nui ka poʻe i'ōlelo e hiki ke hoʻololi i kaʻeha i ka ikaika, me nā hōʻailona e like me ke kaniʻana, ka helu, a me ka nāwaliwali o kaʻiʻo e hiki ke hoʻopili i ka hiki o ke kanaka ke hele a me ka hana.
Eia naʻe, hiki i kekahi o nā kumu kumu e alakaʻi ai i ka hoʻomohala ʻana i ka sciatica hiki ke pāʻani i ke kumu e hōʻeha ai i ka ʻeha ma nā ʻaoʻao haʻahaʻa. Hoʻopili pinepine ʻia kekahi mau mea kūlohelohe a me ka pili i ka sciatica, e hoʻopiʻi ai i ke aʻa aʻa lumbar ma ke aʻalolo sciatic. ʻO nā mea e like me ke kūlana olakino maikaʻi ʻole, ke kaumaha kino, a me ka hana ʻoihana e hoʻopili ʻia me ka ulu ʻana o ka sciatica a hiki ke hoʻopili i ka hana maʻamau o ke kanaka. (Gimenez-Campos et al., 2022) Eia kekahi, hiki i kekahi o nā kumu kumu o ka sciatica ke komo i nā ʻano musculoskeletal e like me nā herniated discs, bone spurs, a i ʻole spinal stenosis, hiki ke hoʻopili me kēia mau kumu kūlohelohe a me ke kaiapuni e hiki ai ke hōʻemi i ka motility a me ka maikaʻi o ke ola. (Zhou et al., 2021) ʻO kēia ke kumu e ʻimi ai ka poʻe he nui i nā lāʻau lapaʻau e hoʻopau i ka ʻeha sciatica a me kāna mau hōʻailona hoʻoponopono. ʻOiai hiki ke ʻokoʻa ka ʻeha i hana ʻia e ka sciatica, ʻimi pinepine ka poʻe he nui i nā lāʻau lapaʻau ʻole e hoʻopau i ko lākou ʻeha a me ka ʻeha mai ka sciatica. Hāʻawi kēia iā lākou e hoʻokomo i nā hopena kūpono i ka mālama ʻana i ka sciatica.
Ma waho aʻe o nā hoʻoponopono: Chiropractic & Integrative Healthcare- Video
ʻO ka mālama Chiropractic no Sciatica
I ka ʻimi ʻana i nā lāʻau lapaʻau ʻole e hōʻemi i ka sciatica, hiki i nā lāʻau lapaʻau ʻole ke hōʻemi i nā hopena e like me ka ʻeha ʻoiai e kōkua ana i ka hoʻihoʻi ʻana i ka hana kino a me ka neʻe. I ka manawa like, hoʻoponopono ʻia nā lāʻau lapaʻau ʻole i ka ʻeha o ke kanaka a hiki ke hoʻohui ʻia i loko o ka hana maʻamau o ke kanaka. ʻO kekahi mau lāʻau lapaʻau ʻole e like me ka mālama chiropractic he mea maikaʻi loa i ka hōʻemi ʻana i ka sciatica a me nā hōʻailona ʻeha e pili ana. ʻO ka mālama Chiropractic kahi ʻano o ka non-surgical therapy e kālele ana i ka hoʻihoʻi ʻana i ka neʻe o ke kuamoʻo o ke kino me ka hoʻomaikaʻi ʻana i ka hana kino. Hoʻohana ka mālama Chiropractic i nā ʻenehana mechanical a me ka manual no sciatica e hoʻoponopono hou i ka spine a kōkua i ke kino e ho'ōla maoli me ka ʻole o ka ʻoki a me ka lāʻau lapaʻau. Hiki i ka mālama Chiropractic ke kōkua i ka hoʻohaʻahaʻa i ke kaomi intradiscal, hoʻonui i ke kiʻekiʻe o ka intervertebral disc space, a hoʻomaikaʻi i ke ʻano o ka neʻe ma nā ʻaoʻao haʻahaʻa. (Gudavalli et al., 2016) I ka wā e pili ana i ka sciatica, hiki i ka mālama chiropractic ke hoʻohaʻahaʻa i ke kaomi pono ʻole i ke aʻalolo sciatic a kōkua i ka hōʻemi ʻana i ka hopena o ka hoʻihoʻi hou ʻana ma o nā lāʻau lapaʻau.
Nā hopena o ka mālama chiropractic no Sciatica
ʻO kekahi o nā hopena o ka mālama chiropractic no ka hōʻemi ʻana i ka sciatica hiki ke hāʻawi i ka ʻike i ke kanaka e like me ka hana ʻana o nā chiropractors me nā mea lapaʻau pili e hoʻolālā i kahi hoʻolālā pilikino e hoʻomaha ai i nā hōʻailona e like me ka ʻeha. Hiki i nā poʻe he nui e hoʻohana i ka mālama chiropractic e hōʻemi i nā hopena o ka sciatica hiki ke hoʻohui i ka hoʻoikaika kino e hoʻoikaika i nā ʻiʻo nāwaliwali. e hoopuni ana ke kua haʻahaʻa, e kīkoʻo e hoʻomaikaʻi i ka maʻalahi a me ka noʻonoʻo i nā mea e hoʻoulu ai i ka ʻeha sciatic ma ko lākou mau ʻāpana haʻahaʻa. Hiki i ka mālama Chiropractic ke alakaʻi i nā poʻe he nui i ka ergonomics poster kūpono, a me nā hoʻomaʻamaʻa like ʻole e hōʻemi i ka manawa o ka hoʻi ʻana o sciatica me ka hāʻawi ʻana i nā hopena maikaʻi i ke kino haʻahaʻa.
Acupuncture No Sciatica
ʻO kekahi ʻano o ka lāʻau lapaʻau ʻole e hiki ke kōkua i ka hōʻemi ʻana i nā hopena e like me ka ʻeha o ka sciatica ʻo ka acupuncture. Ma ke ʻano he ʻāpana koʻikoʻi i ka lāʻau lapaʻau Kina, ʻo ka acupuncture therapy e pili ana i nā poʻe loea e kau ana i nā nila lahilahi a paʻa i nā kiko kikoʻī ma ke kino. Ke hiki mai e hōʻemi ana i ka sciatica, hiki i ka acupuncture therapy ke hana i nā hopena analgesic ma nā acupoints o ke kino, hoʻoponopono i ka microglia, a hoʻololi i kekahi mau mea loaʻa ma ke ala ʻeha i ka ʻōnaehana nerve. (Zhang et al., 2023) ʻO ka hoʻomaʻamaʻa Acupuncture ka nānā ʻana i ka hoʻihoʻi ʻana i ke kahe o ka ikehu kūlohelohe o ke kino a i ʻole Qi e hāpai i ka ho'ōla.
Nā hopena o ka Acupuncture no Sciatica
E pili ana i nā hopena o ka acupuncture therapy i ka hōʻemi ʻana i ka sciatica, hiki i ka acupuncture therapy ke kōkua i ka hōʻemi ʻana i nā hōʻailona ʻeha e hana ʻia e sciatica ma o ka hoʻololi ʻana i ka hōʻailona lolo a me ka hoʻohuli ʻana i ka mīkini pili a i ʻole ka ʻike ʻana o ka wahi i hoʻopilikia ʻia. (Yu et al., 2022) Eia hou, hiki i ka acupuncture therapy ke kōkua i ka hāʻawi ʻana i ka ʻeha ma o ka hoʻokuʻu ʻana i nā endorphins, ka mea hoʻomaha ʻeha maoli o ke kino, i ka acupoint kikoʻī e pili ana me ke aʻalolo sciatic, e hōʻemi ana i ka ʻāʻī a puni ke aʻalolo sciatic, no laila e hoʻēmi ana i ke kaomi a me ka ʻeha a kōkua i ka hoʻomaikaʻi ʻana i ka hana aʻalolo. Hāʻawi ka mālama chiropractic a me ka acupuncture i nā koho lapaʻau non-surgical waiwai e hiki ke hāʻawi i ke kōkua i ke kaʻina hana ho'ōla a hōʻemi i ka ʻeha i hana ʻia e sciatica. I ka wā e pili ana nā poʻe he nui i ka sciatica a e ʻimi ana i nā hopena he nui e hōʻemi i ka hopena e like me ka ʻeha, hiki i kēia mau lāʻau lapaʻau ʻelua ke kōkua i nā poʻe he nui e hoʻoponopono i nā kumu kumu o ka sciatica, hoʻomaikaʻi i ke kaʻina hana hoʻōla kūlohelohe o ke kino, a kōkua i ka hoʻomaha nui ʻana mai. ka eha.
Gimenez-Campos, MS, Pimenta-Fermisson-Ramos, P., Diaz-Cambronero, JI, Carbonell-Sanchis, R., Lopez-Briz, E., & Ruiz-Garcia, V. (2022). ʻO kahi loiloi ʻōnaehana a me ka meta-analysis o ka hopena a me nā hanana ʻino o gabapentin a me pregabalin no ka ʻeha sciatica. Aten Primaria, 54(1), 102144. doi.org/10.1016/j.aprim.2021.102144
Gudavalli, MR, Olding, K., Joachim, G., & Cox, JM (2016). ʻO Chiropractic Distraction Spinal Manipulation on Postsurgical Continued Low Back and Radicular Pain Patients: A Retrospective Case Series. ʻO J Chiropr Med, 15(2), 121-128. doi.org/10.1016/j.jcm.2016.04.004
Zhang, Z., Hu, T., Huang, P., Yang, M., Huang, Z., Xia, Y., Zhang, X., Zhang, X., & Ni, G. (2023). ʻO ka maikaʻi a me ka palekana o ka acupuncture therapy no sciatica: He loiloi ʻōnaehana a me ka meta-analysis o nā alahele i hoʻonohonoho ʻia. Front Neurosci, 17, 1097830. doi.org/10.3389/fnins.2023.1097830
Zhou, J., Mi, J., Peng, Y., Han, H., & Liu, Z. (2021). ʻO nā hui kumu o ka momona me ka Intervertebral Degeneration, Low Back Pain, a me Sciatica: A Two-Sample Mendelian Randomization Study. ʻO Front Endocrinol (Lausanne), 12, 740200. doi.org/10.3389/fendo.2021.740200
No ka poʻe e loaʻa ana i ka ʻeha pelvic, he maʻi paha ia o ke aʻalolo pudendal i kapa ʻia ʻo pudendal neuropathy a i ʻole neuralgia e alakaʻi ai i ka ʻeha mau. Hiki ke hoʻokumu ʻia kēia maʻi ma muli o ka hoʻopaʻa ʻia ʻana o ke aʻalolo pudendal, kahi i hoʻopaʻa ʻia ai ke aʻalolo. Hiki i ka ʻike ʻana i nā hōʻailona ke kōkua i nā mea mālama olakino e hōʻoia pololei i ke ʻano a hoʻomohala i kahi hoʻolālā lapaʻau kūpono?
Pudendal Neuropathy
ʻO ke aʻalolo pudendal ke aʻalolo nui e lawelawe ana i ka perineum, ʻo ia ka wahi ma waena o ka anus a me ka genitalia - ka scrotum i nā kāne a me ka vulva i nā wahine. Holo ka aʻalolo pudendal ma nā ʻiʻo gluteus/puʻu a i loko o ka perineum. Lawe ʻo ia i ka ʻike noʻonoʻo mai ka genitalia waho a me ka ʻili a puni ka anus a me ka perineum a hoʻouna i nā hōʻailona kaʻa/neʻe i nā ʻiʻo pelvic like ʻole. (Origoni, M. et al., 2014) ʻO ka neuralgia pudendal, i kapa ʻia ʻo pudendal neuropathy, kahi maʻi o ke aʻalolo pudendal e hiki ke alakaʻi i ka ʻeha pelvic mau loa.
Nā kumu
ʻO ka ʻeha pelvic mau loa mai ka pudendal neuropathy hiki ke hana ʻia e kekahi o kēia mau mea (Kaur J. et al., 2024)
Noho nui ma luna o nā ʻili paʻa, nā noho, nā noho kaʻa kaʻa, a me nā mea ʻē aʻe.
ʻeha i ka ʻāʻī a i ʻole ke pelvis.
Hānau keiki.
ʻO ka neuropathy diabetic.
ʻO nā ʻano iwi e hoʻokuʻi i ke aʻalolo pudendal.
ʻO ka mānoanoa o nā ligaments a puni ke aʻalolo pudendal.
Ōuli
Hiki ke wehewehe ʻia ka ʻeha aʻalolo pudendal e like me ke kuʻi ʻana, ka ʻāʻī, ke ʻā, ka helu, a i ʻole nā pine a me nā nila a hiki ke hōʻike (Kaur J. et al., 2024)
I ka perineum.
Ma ka ʻāpana anal.
I loko o nā kāne, ʻeha i ka scrotum a i ʻole ka penis.
I ka wahine, eha ma ka labia a me ka vulva.
I ka wā pili.
I ka mimi ana.
I ka wā o ka ʻōpū.
Ke noho a hele aku ma hope o ke kū ʻana i luna.
Ma muli o ka paʻakikī o ka hoʻokaʻawale ʻana i nā hōʻailona, hiki i ka pudendal neuropathy ke paʻakikī ke hoʻokaʻawale i nā ʻano ʻē aʻe o ka ʻeha pelvic mau loa.
ʻO ka maʻi kaʻa kaʻa
ʻO ka noho lōʻihi ma luna o ka noho kaʻa kaʻa hiki ke hoʻopilikia i ke aʻalolo pelvic, hiki ke alakaʻi i ka ʻeha pelvic mau loa. ʻO ke alapine o ka pudendal neuropathy (ka ʻeha pelvic maʻamau i hoʻokumu ʻia e ka hoʻopaʻa ʻana a i ʻole ke kaomi ʻana o ke aʻalolo pudendal) i kapa ʻia ʻo Cyclist's Syndrome. ʻO ka noho ʻana ma luna o kekahi mau noho kaʻa kaʻa no ka manawa lōʻihi e hoʻoikaika nui i ke aʻalolo pudendal. Hiki i ka puʻe ke hoʻoulu i ka pehu a puni ke aʻalolo, kahi e hōʻeha ai i ka ʻeha a, i ka wā lōʻihi, hiki ke alakaʻi i ka trauma nerve. Hiki ke hoʻoulu ʻia ka ʻeha i hōʻike ʻia e like me ke ahi, ke kuʻi ʻana, a i ʻole nā pine a me nā nila. (Durante, JA, a me Macintyre, IG 2010) No nā poʻe me ka neuropathy pudendal ma muli o ke kaʻa kaʻa, hiki ke ʻike ʻia nā hōʻailona ma hope o ka holo kaʻa lōʻihi a i kekahi mau mahina a i ʻole mau makahiki ma hope.
E hoʻomaha ma kahi o 20-30 kekona ma hope o kēlā me kēia 20 minuke o ka holo.
I ka holo ʻana, hoʻololi pinepine i nā kūlana.
Kū i luna i ka pedal i kēlā me kēia manawa.
E hoʻomaha i ka manawa ma waena o nā kau kaʻa a me nā heihei e hoʻomaha a hoʻomaha i nā aʻalolo pelvic. Hiki i nā lā hoʻomaha 3-10 ke kōkua i ka hoʻōla. (Durante, JA, a me Macintyre, IG 2010)
Inā ʻaʻole hoʻomaka nā hōʻailona ʻeha pelvic e ulu, e hoʻomaha a ʻike i kahi mea mālama ola a i ʻole loea no ka hoʻokolokolo.
noho
E hoʻohana i kahi noho mālie a ākea me ka ihu pōkole.
E hoʻokiʻekiʻe iki ka noho i mua.
ʻO nā noho me nā puka ʻokiʻoki e hoʻonui i ke kaomi ma ka perineum.
Inā he ʻeha a ʻeha paha, e hoʻāʻo i kahi noho me ka lua ʻole.
Paʻa Paikikala
E hoʻoponopono i ke kiʻekiʻe o ka noho no laila e kukuli iki ke kuli ma lalo o ka paʻi wāwae.
Pono ke kaumaha o ke kino ma luna o nā iwi noho/ischial tuberosities.
ʻO ka mālama ʻana i ke kiʻekiʻe o ka pahu lima ma lalo o ka noho hiki ke hoʻemi i ke kaomi.
Pono e pale ʻia ke kūlana kiʻekiʻe loa o ke kaʻa Triathlon.
ʻOi aku ka maikaʻi o ke kū pololei.
Ua pili nā kaʻa kaʻa mauna me ka piʻi nui ʻana o ka erectile dysfunction ma mua o nā kaʻa kaʻa alanui.
emi ana malalo iho
E ʻaʻahu i nā pōkole paʻa paʻa.
Nā hōʻailona
Hiki i kekahi mea mālama ola ke hoʻohana i ka hui pū ʻana o nā lāʻau lapaʻau.
Hiki ke mālama ʻia ka neuropathy me ka hoʻomaha ʻana inā ʻoi aku ke kumu o ka noho ʻana a i ʻole ke kaʻa.
Injury Medical Chiropractic a me Functional Medicine Clinic mālama i nā hoʻolālā a me nā lawelawe lapaʻau kūikawā a nānā i nā ʻeha a me ke kaʻina hana hoʻōla piha. ʻO kā mākou mau wahi o ka hoʻomaʻamaʻa e pili ana i ka maikaʻi a me ka meaʻai, ka ʻeha maʻi, ka ʻeha pilikino, ka mālama ʻana i ka ulia pōpilikia, nā ʻeha hana, ka ʻeha hope, ka ʻeha hope haʻahaʻa, ka ʻeha ʻāʻī, nā poʻo migraine, nā ʻeha haʻuki, sciatica koʻikoʻi, Scoliosis, Complex Herniated Discs, Fibromyalgia, Chronic ʻEha, ʻEha Paʻakikī, Hoʻoponopono Stress, a me nā Laʻau Lapaʻau Hana. Inā makemake ke kanaka i nā lāʻau lapaʻau ʻē aʻe, e hāʻawi ʻia lākou i kahi keʻena a i ʻole ke kauka i kūpono i ko lākou kūlana, ʻoiai ua hui pū ʻo Dr. Jimenez me nā mea lapaʻau kiʻekiʻe, nā mea lapaʻau lapaʻau, nā mea noiʻi lapaʻau, nā mea lapaʻau, nā mea hoʻomaʻamaʻa, a me nā mea hoʻolako hoʻoponopono mua.
Hapai a me Sciatica
E hoʻomaopopo '
Origoni, M., Leone Roberti Maggiore, U., Salvatore, S., & Candiani, M. (2014). Nā hana neurobiological o ka ʻeha pelvic. BioMed noiʻi honua, 2014, 903848. doi.org/10.1155/2014/903848
Durante, JA, & Macintyre, IG (2010). Pudendal nerve entrapment i kahi mea hoʻokūkū Ironman: kahi hōʻike hihia. ʻO ka Journal of the Canadian Chiropractic Association, 54 (4), 276-281.
Chiaramonte, R., Pavone, P., & Vecchio, M. (2021). ʻO ka hōʻailona, hoʻoponopono hou a me nā hoʻolālā pale no ka Pudendal Neuropathy i nā Cyclists, He Hōʻike Pūnaewele. Nūpepa o ka morphology hana a me ka kinesiology, 6(2), 42. doi.org/10.3390/jfmk6020042
No nā poʻe i hoʻopau i nā koho lapaʻau ʻē aʻe no ka ʻeha haʻahaʻa a me ka hoʻopaʻa ʻana i ke aʻa aʻa, hiki anei i ke ʻoki ʻana i ka spine laser ke kōkua i ka hoʻohaʻahaʻa ʻana i ka hoʻopiʻi aʻalolo a hāʻawi i ka hoʻomaha ʻeha mau loa?
ʻO ka ʻoki ʻana i ka iwi kuamoʻo Laser
ʻO ka ʻoki ʻana i ke kuamoʻo Laser kahi hana ʻokiʻoki liʻiliʻi loa e hoʻohana ana i ka laser e ʻoki a wehe i nā hale kuamoʻo e hoʻopiʻi nei i nā aʻalolo a hoʻoulu i ka ʻeha nui. ʻO ke kaʻina hana liʻiliʻi liʻiliʻi e hopena pinepine i ka liʻiliʻi o ka ʻeha, ka pōʻino o ka ʻiʻo, a me ka wikiwiki o ka hoʻihoʻi ʻana ma mua o nā ʻokiʻoki nui.
Pehea It na hana
ʻO nā kaʻina hana invasive liʻiliʻi ka hopena i ka liʻiliʻi a me ka pōʻino i nā hale a puni, e hōʻemi pinepine i nā hōʻailona ʻeha a me ka manawa pōkole. (Stern, J. 2009) Hana ʻia nā ʻokiʻoki liʻiliʻi no ke komo ʻana i nā ʻōnaehana kolamu spinal. Me ka wehe ʻana i hope, hana ʻia kahi ʻoki nui ma lalo o ke kua e komo i ka iwi kuamoʻo. He ʻokoʻa ka ʻoki ʻana mai nā ʻokiʻoki ʻē aʻe i ka hoʻohana ʻia ʻana o kahi kukuna laser, ma mua o nā mea hana ʻoki ʻē aʻe, e ʻoki i nā hale i loko o ka iwi kuamoʻo. Eia naʻe, hana ʻia ka ʻoki mua ʻana ma o ka ʻili me kahi scalpel ʻoki. ʻO Laser kahi acronym no Light Amplification Stimulated by Emission of Radiation. Hiki i ka laser ke hoʻoulu i ka wela nui e ʻoki ai i nā ʻiʻo palupalu, ʻoi aku ka nui o ka wai nui, e like me nā disc spinal column. (Stern, J. 2009) No ka nui o nā ʻoki kuamoʻo, ʻaʻole hiki ke hoʻohana ʻia ka laser no ka ʻoki ʻana i ka iwi no ka mea e hoʻopuka ana i nā ʻālohilohi koke hiki ke hōʻino i nā hale a puni. Akā, hoʻohana mua ʻia ka ʻoki ʻana i ka spine laser e hana i kahi discectomy, ʻo ia ke ʻano hana e hoʻoneʻe i kahi ʻāpana o kahi puʻupuʻu a i ʻole herniated disc e hoʻokuʻi ana i nā aʻa aʻalolo a puni, e hōʻeha ai i ke aʻalolo a me ka ʻeha sciatic. (Stern, J. 2009)
Nā pilikia o ke kaʻa
Hiki ke kōkua ʻia ke ʻoki ʻana i ka spine laser e hoʻoholo i ke kumu o ka hoʻopili ʻana i ke aʻa aʻa, akā aia ka piʻi nui o ka pōʻino i nā hale kokoke. ʻO nā pilikia pili pū kekahi: (Brouwer, PA et al., 2015)
Hoʻoponopono
'Oiho
Nā pīpī koko
Nā hōʻailona i koe
Nā hōʻailona hoʻi
Poino a'alolo hou
Poino i ka membrane a puni ke kuamoʻo.
Pono no ke oki hou
ʻAʻole pololei ka kukuna laser e like me nā mea hana ʻokoʻa ʻē aʻe a pono e hoʻomaʻamaʻa a hoʻomaʻamaʻa ʻia e pale aku i ka pōʻino i ke kuamoʻo a me nā aʻa aʻalolo. (Stern, J. 2009) No ka hiki ʻole i nā lasers ke ʻoki i ka iwi, hoʻohana pinepine ʻia nā mea hana ʻoki ʻē aʻe a puni nā kihi a ma nā kihi like ʻole no ka mea ʻoi aku ka maikaʻi a ʻae i ka pololei. (ʻO ka lolo a me ke kuamoʻo Atlantika, 2022)
manao
Hana ʻia ke ʻoki ʻana i ka spine laser no ka wehe ʻana i nā hale e hoʻopiʻi ai i ke aʻa aʻa. Hoʻopili ʻia ka hoʻopili ʻana o ke aʻa aʻa me nā kūlana aʻe (Halemai Cleveland. 2018)
Nā pahu hoʻokuʻu
Nā māka uila
Sciatica
ʻO ka'ōpū spinal
Hoʻokomo ʻia nā hua manu
Hiki ke hoʻopau ʻia nā aʻa aʻalolo i ʻeha a i ʻeha paha a hoʻouna mau i nā hōʻailona ʻeha mau me ka ʻoki laser, i kapa ʻia ʻo nerve ablation. Hoʻopau ka laser a luku i nā aʻalolo. (Stern, J. 2009) No ka mea, ua kaupalena ʻia ke ʻoki ʻana i ka spine laser i ka mālama ʻana i kekahi mau maʻi spinal, ʻo ka hapa nui o nā kaʻina spine invasive ʻaʻole hoʻohana i ka laser. (ʻO ka lolo ʻAkelanika a me ka iwi kuamoʻo. 2022)
e hoomakaukau ai
E hāʻawi ka hui ʻokiʻoki i nā ʻōlelo kikoʻī e pili ana i nā mea e hana ai i nā lā a me nā hola ma mua o ke ʻoki. No ka hoʻoikaika ʻana i ka hoʻōla maikaʻi a me ka hoʻōla maikaʻi ʻana, pono ka mea maʻi e hoʻomau i ka hana, ʻai i ka meaʻai olakino, a hoʻōki i ka puhi ʻana ma mua o ka hana. Pono paha nā kānaka e ho'ōki i ka lawe ʻana i kekahi mau lāʻau no ka pale ʻana i ke koko nui a i ʻole ka launa pū ʻana me ka anesthesia i ka wā o ka hana. E haʻi aku i ka mea mālama ola e pili ana i nā ʻōlelo kuhikuhi a pau, nā lāʻau lapaʻau kūʻai aku, a me nā mea hoʻohui e lawe ʻia.
ʻO ka ʻoki ʻana i ka spine laser he kaʻina hana ma waho ma kahi haukapila a i ʻole ke kikowaena ʻokiʻoki ma waho. E hoʻi paha ka mea maʻi i ka home i ka lā hoʻokahi o ka hana. (Halemai Cleveland. 2018) ʻAʻole hiki i nā maʻi ke kaʻa i ka haukapila ma mua a ma hope paha o kā lākou ʻoki ʻana, no laila e hoʻonohonoho i ka ʻohana a i ʻole nā hoaaloha e hoʻolako i ka halihali. ʻO ka hoʻohaʻahaʻa ʻana i ke kaumaha a me ka hoʻokumu ʻana i ka noʻonoʻo olakino a me ka maikaʻi o ka naʻau he mea nui ia e hoʻohaʻahaʻa i ka mumū a me ke kōkua ʻana i ka hoʻōla. ʻOi aku ka maikaʻi o ka mea maʻi i ke ʻoki ʻana, ʻoi aku ka maʻalahi o ka hoʻihoʻi ʻana a me ka hoʻoponopono hou ʻana.
Nā mea e manaʻo ai
E hoʻoholo ʻia ke kaʻina hana e ka mea maʻi a me ka mea mālama olakino a hoʻonohonoho ʻia ma kahi haukapila a i ʻole ke kikowaena ʻokiʻoki ma waho. E hoʻonohonoho i kahi hoaaloha a i ʻole kekahi ʻohana e hoʻokele i ke ʻoki a me ka home.
Ma mua o ka ʻoki ʻana
E lawe ʻia ka mea maʻi i kahi lumi pre-operative a noi ʻia e hoʻololi i kahi ʻaʻahu.
E hele ka mea maʻi i kahi hoʻokolokolo kino pōkole a pane i nā nīnau e pili ana i ka mōʻaukala olakino.
E moe ana ka mea maʻi ma luna o kahi moena o ka haukapila, a hoʻokomo kahi kahu hānai i kahi IV e hāʻawi i ka lāʻau lapaʻau a me ka wai.
E hoʻohana ka hui ʻoki i ka moena o ka haukapila e lawe i ka mea maʻi i loko a i waho o ka lumi hana.
Na ka hui ʻokiʻoki e kōkua i ka mea maʻi i ke komo ʻana i ka papa ʻaina, a e lawelawe ʻia ka mea maʻi i ka anesthesia.
Hiki i ka mea maʻi ke loaʻa anesthesia laulā, ka mea e moe ai ka mea ma'i no ke oki, a i ole anesthesia āpau, hoʻokomo ʻia i loko o ka iwi kuamoʻo e hoʻopaʻa i ka wahi i hoʻopilikia ʻia. (Halemai Cleveland. 2018)
E hoʻomaʻemaʻe ʻia ka ʻili kahi e hana ʻia ai ka ʻoki.
E hoʻohana ʻia kahi hopena antiseptic e pepehi i ka bacteria a pale i ka pilikia o ka maʻi.
Ke hoʻomaʻemaʻe ʻia ke kino, e uhi ʻia ke kino me nā lole i hoʻomaʻemaʻe ʻia e mālama i ka maʻemaʻe o ke kahua ʻoki.
I ka wā o ka ʻoki ʻana
No ka discectomy, e hana ke kauka i kahi ʻoki liʻiliʻi ma lalo o hoʻokahi ʻīniha ka lōʻihi me kahi scalpel ma ke kuamoʻo e komo ai i nā aʻa aʻa.
ʻO kahi mea hana ʻokiʻoki i kapa ʻia he endoscope he pahupaʻikiʻi i hoʻokomo ʻia i loko o ka ʻokiʻoki e nānā i ka iwi kuamoʻo. (Brouwer, PA et al., 2015)
Ke loaʻa ka ʻāpana diski pilikia e hoʻopiʻi ai, hoʻokomo ʻia ka laser e ʻoki i loko.
Wehe ʻia ka ʻāpana disc i ʻoki ʻia, a hoʻopaʻa ʻia ka wahi ʻoki.
Ma hope o ke kaha
Ma hope o ka ʻoki ʻana, lawe ʻia ka mea maʻi i kahi lumi hoʻōla, kahi e nānā ʻia ai nā hōʻailona koʻikoʻi i ka pau ʻana o ka hopena o ka anesthesia.
Ke hoʻopaʻa ʻia, hiki i ka mea maʻi ke hoʻi i ka home hoʻokahi a ʻelua paha hola ma hope o ka hana.
Na ke kauka lapaau e hoʻoholo i ka wā e maopopo ai ka hoʻomaka ʻana o ke kaʻa.
loaa
Ma hope o ka discectomy, hiki i ke kanaka ke hoʻi i ka hana i loko o kekahi mau lā a i kekahi mau pule, ma muli o ke koʻikoʻi, akā hiki ke lawe i ʻekolu mahina e hoʻi i nā hana maʻamau. Hiki ke loaʻa ka lōʻihi o ka hoʻihoʻi ʻana mai ʻelua a ʻehā pule a i ʻole ka liʻiliʻi no ka hoʻomaka ʻana i kahi hana maʻamau a i ʻole ʻewalu a 12 mau pule no kahi hana koʻikoʻi i ke kino e pono ai ke hāpai kaumaha. (Ke Kula Nui o Ke Kulanui o Wisconsin a me ke Ola Ola, 2021) I loko o nā pule mua ʻelua, e hāʻawi ʻia ka mea maʻi i nā kapu e hoʻomaʻamaʻa i ka hoʻōla ʻana o ka iwi kuamoʻo a hiki i ka lilo ʻana o ka paʻa. Hiki i nā kapu ke komo: (Ke Kula Nui o Ke Kulanui o Wisconsin a me ke Ola Ola, 2021)
ʻAʻole kūlou, wili, a hāpai ʻole.
ʻAʻole hoʻoikaika kino kino, e like me ka hoʻoikaika kino, ka hana hale, ka pā hale, a me ka moekolohe.
ʻAʻohe waiʻona i ka wā mua o ka hoʻihoʻi ʻana a i ka lawe ʻana i nā lāʻau ʻeha narkotic.
ʻAʻole hoʻokele kaʻa kaʻa a hiki i ke kūkākūkā ʻana me ke kauka lapaʻau.
Hiki i ka mea mālama ola ke paipai ia ke olakino hoʻomaha, hoʻoikaika, a mālama i ke olakino musculoskeletal. ʻElua a ʻekolu manawa o ka hoʻomaʻamaʻa kino i kēlā me kēia pule no ʻehā a ʻeono pule.
kaʻina
ʻO nā manaʻo hoʻihoʻi maikaʻi loa he:
Loaʻa ka hiamoe nui, ʻehiku a ʻewalu paha hola.
ʻO ka mālama ʻana i ka manaʻo maikaʻi a me ke aʻo ʻana i ke ʻano o ka hoʻokō ʻana a me ka mālama ʻana i ke kaumaha.
Ka mālama ʻana i ka wai o ke kino.
Ma hope o ka papahana hoʻoikaika kino e like me ka ʻōlelo a ke kauka kino.
Hoʻomaʻamaʻa i ke kūlana olakino me ka noho, kū, hele, a me ka hiamoe.
Ka noho ʻana a hoʻopaʻa i ka nui o ka manawa e noho ai. E ho'āʻo e ala a hele i kēlā me kēia a i ʻelua hola i ka lā e hoʻomau i ka hana a pale i ke koko. E hoʻonui mālie i ka nui o ka manawa a i ʻole ka lōʻihi ke holomua ka hoʻōla.
Mai hoʻoikaika e hana wikiwiki loa. Hiki ke hoʻonui i ka ʻeha a hoʻopaneʻe i ka hoʻihoʻi.
Ke aʻo ʻana i nā ʻenehana hāpai pono e hoʻohana i nā ʻiʻo kumu a me nā wāwae e pale ai i ka piʻi nui ʻana o ka iwi kuamoʻo.
Kūkākūkā i nā koho lapaʻau no ka mālama ʻana i nā hōʻailona me kahi mea mālama ola a i ʻole loea e hoʻoholo ai inā kūpono ke ʻoki ʻana i ka spine laser. Injury Medical Chiropractic a me Functional Medicine Clinic mālama i nā hoʻolālā a me nā lawelawe lapaʻau kūikawā a nānā i nā ʻeha a me ke kaʻina hana hoʻōla piha. Ua hui pū ʻo Dr. Jimenez me nā kauka lapaʻau kiʻekiʻe, nā loea lapaʻau, nā mea noiʻi lapaʻau, nā mea lapaʻau, nā mea hoʻomaʻamaʻa, a me nā mea hoʻolako hoʻoponopono mua. Ke nānā nei mākou i ka hoʻihoʻi ʻana i nā hana kino maʻamau ma hope o ka ʻeha a me nā ʻeha ʻeha palupalu me ka hoʻohana ʻana i nā Kūlana Chiropractic Specialized, Wellness Programs, Functional and integrative Nutrition, Agility and mobility Fitness Training, a me Rehabilitation Systems no nā makahiki āpau. ʻO kā mākou mau wahi hana e pili ana i ka Wellness & Nutrition, Chronic Pain, Personal Injury, Auto Accident Care, Work Injuries, Back Injury, Low Back Pain, Neck Pain, Migraine Headaches, Sports Injuries, Severe Sciatica, Scoliosis, Complex Herniated Discs, Fibromyalgia, Chronic ʻEha, nā ʻeha paʻakikī, ka hoʻokele koʻikoʻi, nā lāʻau lapaʻau hana, a me nā kuʻina mālama i loko o ka pā.
Brouwer, PA, Brand, R., van den Akker-van Marle, ME, Jacobs, WC, Schenk, B., van den Berg-Huijsmans, AA, Koes, BW, van Buchem, MA, Arts, MP, & Peul , WC (2015). ʻO ka decompression disk laser percutaneous me ka microdiscectomy maʻamau i sciatica: kahi hoʻāʻo hoʻokele randomized. ʻO ka puke pai spine: puke pai o ka North American Spine Society, 15(5), 857–865. doi.org/10.1016/j.spinee.2015.01.020
Ke Kula Nui o ke Kula Lapaʻau o Ke Kulanui o Wisconsin a me ke Ola Ola. (2021). Nā ʻōlelo aʻoaʻo mālama home ma hope o Lumbar Laminectomy, Decompression or Discectomy Surgery. patient.uwhealth.org/healthfacts/4466
ʻImi ʻo IFM i kahi mea hana ʻo ia ka pūnaewele hāʻawi nui loa ma Functional Medicine, i hana ʻia e kōkua i nā mea maʻi e huli i nā mea hana ʻoihana Laulima i kēlā me kēia wahi o ka honua. Ua helu mua ʻia nā mea hoʻomaʻamaʻa IFM i nā hualoaʻa, i hāʻawi ʻia i kā lākou ʻike ākea i ka Laau Lapaʻau
Hoʻonohonoho pūnaewele ʻana a me nā wā koho 24/7 *
