Mishonga yeCracroiliac Joint Pain and Dysfunction

Avo vari munoziva nezve sacroiliac joint derangement (SIDJ) - kunyanya, vanhu vanoshanda munharaunda yezvechiremba yevashandi - kazhinji vanoona kurapwa kwedambudziko iri se "kukakavara."

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Sacroiliac Joint Treatments

Chimwe chikonzero chingangove chokuti kuwana zvakajeka kuongorora kunogona kunge kusingaiti. Mune mamwe mazwi, ndeye pfungwa yakanaka kubvumirana nekurapa - kunyanya iyo inoita kuchinja kwekusingaperi - kana usingafungi kuti marwadzo anowanzobva kuSIM akabatanidzwa? Chimwe chikonzero chingave chakabatana nekushayikwa kwezvidzidzo zvakaitwa kusvika panguva inowanzorapa maitiro uye nzira dzinoshandiswa pakurapa SIDJ.

Kwete izvozvo chete, asi vanachiremba uye varwere vavo veSIM vane dzimwe nguva vanopesana pamusoro pechinhu chinokonzera dambudziko (rinonzi "marwadzo generator".) Vakawanda vashandi vezvehutano vanotenda zvechokwadi kuti hapana kana kufamba kunokwanisika kuI SI uye kuti haisi iyo inokonzera kurwadziwa muSIDJ. Asi kana iwe ukashandura mapoka ezveredhiyo masangano anotarisana nevarwere vakatsaurirwa kune iyi nyaya, iwe ungangodaro uwane mukana wakasimba wehutano hwakasiyana chaizvo.

Kuti ikubatsire kugadzirisa zvisarudzo zvako zvekushaya hutachiwana hweSIM, regai tiongorore marapirwo akafanana anopiwa navanachiremba nevarapi.

Mukuguma, zvisinei, kusarudzwa kwekurapa kunogona kusava nehanya. Muna 2012, Spiker, et. al., yakarongedza zvidzidzo zvakabudiswa muEvidence-Based Spine Care Journal. Kuongororwa kwaienzanisa nekuvhiyiwa kune majekiseni uye kufunganidzwa kweS SI kusungirirwa kurongedza. Sangano raSpiker rakagumisa kuti dzakawanda zvezviongorori zvakashuma 40% yekusunungurwa kwemarwadzo pasinei nekurapa kwakaedzwa. Mune mamwe mazwi, SI kushungurudzwa kwakavandudzwa zvisingabatsiri nemishonga chaiyo varwere vakagadziriswa.

Uye Zelle, et. al mukudzidza kwavo "Kusagadzikana kweChroiliac kusagadzikana: kuongorora uye kutungamira," yakabudiswa muna Sept-Oct 2005 nyaya yeChitalical Journal of Pain yakawana kuti vazhinji vevashandi ve sacroiliac vanopindura mushonga unogadzirisa (kureva, kwete-operative).

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Mishonga

Sezvo nemhando dzakawanda dzematambudziko kumashure, Tylenol inogona kukurudzirwa kwauri nechiremba wako senzvimbo yokutanga. Kana Ty-dool isingabatsiri pakurambidza marwadzo ako ekubatana nawo, bvunza chiremba wako pamusoro pekurwisa-kupisa sezvakaita ibuprofen. Izvozvo zvakati, ibuprofen inouya nemigumisiro yakawanda yemigumisiro , uye imwe yadzo inogona kuva yakakomba zvikuru kana kunyange inouraya. Ndapota iva nechokwadi chekuti unoziva kuti chii chakaipa, uye kuti wakurukura izvi nachiremba wako usati watora ichi chemishonga. Izvo zvakafanana neTylenol, kunyanya kana iwe unwa kana une chero rudzi rwechiropa chechiropa.

Tylenol uye ibuprofen vanouya mumatsetse ekudzikisa mu-over-the-counter fomu, uye mizinga yakakwirira inofanira kupiwa chiremba wenyu iwe.

Kutora mishonga inorwadza inowanzokurudzirwa pamwe chete nedzimwe mishonga dzakadai sechirwere chepanyama, bracing uye / kana basa rekugadzirisa. Haisi mushonga - iripo kuti ubatsire kuderedza marwadzo ako mazinga.

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Therapy Therapy

Kunyange zvazvo chiremba wako asingatendi muhutano hwechikwata chekubatana kwako kweSIM, unyanzvi wako wepanyama angave.

Nyanzvi dzepanyama dzinodzidziswa kushanda nevarwere kuti vatsigire kufamba. Kuti uite izvozvo, unogona kuwana purogiramu yekuita pamba iyo ichakubatsira iwe kusimbisa simba mumapapiro ako, mahudyu, uye mukati. Izvi, pamwe chete, zvinogona kubatsira kusimbiswa kweSIM yako.

Izvo zvinoshandiswa purogiramu yako yepamba zvinogonawo kukubatsira iwe kukura musisi kuenzanisa. Nemhaka yokuti maSID anowanikwa kune rumwe rutivi rwomukaka wako, (pa sacrum nemapfupa emapfupa) kuwana simba rakaenzana nekugadzikana pakati pemisumbu kune rumwe rutivi rwemuviri wako kunogona kuva imwe yeiyi (pamwe chete nehutano hwekushandisa) kuti uite kubatanidzwa kuti vadzoke zvakare muhutano hwavo hwepanyama.

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Sacroiliac Braces

Vanhu vazhinji vanotaura zvigumisiro zvakanaka kuburikidza nechisimba kuti vabatsire kusimbisa kusunungura kusungira sacroiliac. Kunyanya, bhanhire replavic rinowanzokurudzirwa navanachiremba kuvarwere vavo.

Vatsvakurudzi vakayera kuchinja kwemasumbu uye mamwe mabasa ane chokuita nesangano re sacroiliac apo varwere vaipfeka bhanhire remapapiro. Vakagumisa kuti mabhanhire epilvic anovandudza mararamiro ane chokuita nehutano hwehutano, uye angave ane mhosva yekuderera kwehutano hweS SI. Zvimwe zvekuvandudzika zvakataurwa zvinosanganisira kuderera kwechitanhatu cheadriceps (kunyanya - rectus femoris) pamwe nekuvandudza postural kusasimba paunenge uchifamba. Vatsvakurudzi vanoratidza kuti mabhanhire e-pelvic anogona kuonekwa sehutano hushoma, mari inoshandiswa kwehutano hwehutano hweSIM.

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Manual Therapy

Manual therapy - kuporesa nemaoko - ndeimwe rudzi rwekurapa kwe sacroiliac joint derangement. Chiropractic ndiyo inonyanya kuzivikanwa, asi kugadzika kwemafiropiyo, kurapa kwepanyama, uye kurapwa kwemasasa zvinogona kushandiswa, pamwe chete.

Paunowana rubatsiro rwemapurisa kubva kunechiremba wepanyama kana osteopath, muongorori anogona kukwevera pane imwe yemakumbo ako kuti abatsire kuisa mubatanidzwa.

Kana iwe ukaona chiropractor nokuda kweSIM yako, angave akambarara padivi rako nechepamusoro pebvi rakakotama uye pasi rako remberi mberi kwepamusoro. Anokwanisa kuisa nokukurumidza kushanda kwe sacrum bone kuti ibatsire kudzokera kunzvimbo. Izvozvi ndakaita izvi kakawanda, uye maonero angu ndeokuti kuchinjwa hakukwanisi kuregererwa kwenguva refu. Izvi zvinokonzerwa nekushushikana kwemasisita uye kushaya simba kunewo chikamu chechinetso; pasina chikamu chinotungamira uye chirongwa chekudzidzira muviri chakagadzirirwa kukudziridza pfungwa, hup uye shure musimba, pamwe nekugadzikana, mapfupa ehutano hweSIM, zvingangobuda kunze kwenzvimbo zvakare mushure mekusiya kwako chiropractor yako hofisi.

Kurapa kurapa imwe nzira ye manual therapy. Asi kushambadza kwehutano hwemaitiro hahuwedzeri kusvika pfupa-kuisa. Sezvandinozviona, zvakawanda zvebasa ravo mukurapa chisungo che sacroiliac chisingaiti chinotarisana nekubvisa kusagadzikana kwemasimba kusingaperi kunogona kunge kuri kuchengetedza kubatana kubva pakuzvigadzirisa kuzvisimbisa. Kuchengetedza kunogonawo kuwedzera huwandu hwekufambisa mune zvese izvo zvingaita kuti kushandisa zvive nyore, zvinonakidza uye zvinobudirira.

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Sacroiliac Joint Injections

Mujozi uri mujoyi yako inouraya sacroiliac inogona kuva yakakosha sechirwere chekutsvaga kunze kwekurapa kurapwa kwekurwadziwa. Kusagadzikana ndeyezvinhu zvakapedzisira kune vashandi nevatsvakurudzi vanofanira kunyatsoziva kuti marwadzo ari kuuya kubva kuSIM.

Kukosha kwejoi yeSIC sekurapa hakusi pachena. Spiker, et. al., munyaya yavo ye2012 "Ongororo yakagadziriswa yakagadziriswa-yakagadziriswa yakagadzikana inonzi sacroiliac pain pain," yakabudiswa mumagazini yaNovember 2012 eEvidence-Based Spine Care Journal , inogumisa kuti kunyange majekesiti uye kuvhiwa kunogona kubatsira varwere kuderedza marwadzo avo, pane zvidzidzo zvakaitwa kusvika ikozvino, havagoni kukuudza kuti ndeipi yemishonga iyi inoshanda zviri nani pane dzimwe.

Izvi zvinosuruvarisa nokuti kana uri kuedza kuona kana kusanganisa zvachose sangano rako reSIC richava sarudzo yako yakanakisisa yekuwanazve mararamiro ako ekare ehupenyu, ruzivo rwakadaro runogona kuuya zvakanaka.

Chiitiko che2012 cheongororo dzakaitwa naHansen, et. al., uye yakabudiswa muPain Physician yakawana kuti intraarticular (zvinoreva mukati memakabatanidzwa) sacroiliac injection ne steroid dzakanga dzisingabatsiri mukudzivirira marwadzo munguva pfupi kana kwenguva refu.

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Radiofrequency Denervation

Sezvo zita racho rinoreva, kupisa kwemazuva ano ndiyo nzira inoshandisa mashizha ekudzivirira kubvisa mutsara unokonzera marwadzo musangano rako re sacroiliac. Kunyora uchapupu hwakashata, kubvunzurudzwa kunotaurwa pamusoro pezvakaitwa kare, zvakaitwa naHansen, et. al. mugore ra2012 uye rakabudiswa mu Journal of Pain Researc h, rakawana kuti kushandiswa kwehuwandu hwemafirofrequency kuratidzika kwakanga kusingabatsiri pakurwadziwa kwe sacroiliac pain.

Asi kubva munaSeptember 2015, rudzi rutsva rwehuwandu hwemhepo huripo zvino huri panzvimbo. Inonzi "radiofrequency" yakanatswa. Misiyano ndeyekuti radiofrequency yakatsvaira inowedzera chiremera chisati chadzivirira mutsara. (Mapurogiramu ari pamakina acho akadzivirirwa mukati.) Kukura kwechiremba yakakura kunowedzera mukana wekudzivirira zvachose kubatana uye nokudaro kubvisa marwadzo ose.

Kubvunzurudzwa kunotaurwa pamusoro apa kwakagadziriswa kwakakwana kwehutano hwehutambo hwakatsvaira, zvichienzaniswa nekubudirira kusingabatanidzi kunobatanidzwa nemagadzirirwo akasiyana.

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Sacroiliac Fusion kana Arthrodesis

Izwi rokuti arthrodesis rinoreva kukanganisa-kuburikidza nekuvhiya - mubatanidzwa. Munyaya iyi, inoreva kubatana kwesungano ye sacroiliac. Nhoroondo yekare, kuvhiyiwa kwekubatanidzwa kweSI kwave kwakaoma kwazvo, uye ine mabudiro asina kunaka uye maitiro akawandisa. Varwere vakawanda vaida kuvhiyiwa mamwe maitiro akanangana neS SI fusion.

Asi kunyange nekunenge kusina kuvhara musana mutsva pakusimuka, kuva neS fusion kunogona kuva chisarudzo chinonyangadza kuita. Chikonzero chacho chinodzokera kumashure ekuongorora chirongwa.

"Kuoma kuri kuratidza kuti ndiro sangano re sacroiliac," anodaro Carter Beck, MD. Beck muchengeti wepayona weMonton uyo akasika nzira inopedzisira yamukira yekusungirirana kweS SI iyo, maererano naye, iri nyore kune murwere, yakachengeteka uye inoshanda. Dr. Beck anorayira vashandi vose nevarwere kuti vave nechokwadi chokuti marwadzo ari kuuya achibva kuI SI, uye kwete kubva kune imwe nzvimbo yepamusoro.

Kunyange zvazvo nzira itsva yaBack inonzwika ichivimbiswa, kutsvakurudza kwezvokurapa hazvifaniri kupindura mibvunzo yose pamusoro pekuchengetedza, kubudirira uye rudzi rwevarwere avo vanogona kukodzera zvakakwana kuti vasapore chirwere che sacroiliac.

> Sources:

> Dreyfuss P1, Dreyer SJ, Cole A, Mayo K. Sacroiliac pain pain joint. J Am Acad Orthop Surg. 2004 Jul-Aug; 12 (4): 255-65. http://www.ncbi.nlm.nih.gov/pubmed/15473677/

> Hansen H, Manchikanti L, Simopoulos TT, Christo PJ, Gupta S, Smith HS, Hameed H, Cohen SP. Kugadziriswa kwekugadzirisa kwehutano hwekurapa kwezvibvumirano zvejojo ​​zve sacroiliac. Pain Physician. 2012 May-Jun; 15 (3): E247-78. http://www.ncbi.nlm.nih.gov/pubmed/22622913

> Kok-Yuen Ho, Mohamed Abdul Hadi, Koravee Pasutharnchat, uye Kian-Hian Tan. Kuchengetedzwa kwehuwandu hwehuwandu hwekuregererwa kwehutano hwehutano hwe sacroiliac marwadzo akabatana: makore maviri kubva mumatambudziko makumi maviri. J Pain Res. 2013; 6: 505-511. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3706381

> Odette Soisson, Juliane Lube, > Andresa > Germano, Karl-Heinz Hammer, Christoph Josten, Freddy Sichting, Dirk Winkler, Thomas L. Milani, uye Niels Hammer. François Hug (Mudzidzi Mugadziri.) Chipfeko Chishuwo Chekudzivirira Pamapelvic Morphometry, Chiitiko Chemuviri uye Kurongeka Kwemuviri muvarwere vane Sacroiliac Joint Dysfunction. PLoS One. 2015; 10 (3): e0116739. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4364533/

> Shaffrey, C., Smith, JS Kusimbisa sangano re sacroiliac. Neurosurg Focus. 2013 Jul; 35 (2 Suppl) >: Editorial >. > doi >: 10.3171 / 2013.V2.FOCUS13273. http://www.ncbi.nlm.nih.gov/pubmed/23829837

> William Ryan Spiker, Brandon D. Lawrence, Annie L. Raich, Andrea C. Skelly, uye Darrel S. Brodke. Kushandura nekurapa majekiseni ekujaira-kwakasimbiswa kwenguva refu sacroiliac kurwadziwa. Evid Yakagadzirwa Pasi Pano J. 2012 Nov; 3 (4): 41-53. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4364533/

> Zelle BA1, Gruen GS, Brown S, George S. Sacroiliac akabatana nekusawirirana: kuongorora nekugadzirisa. Clin J Pain. 2005 Sep-Oct; 21 (5): 446-55. http://www.ncbi.nlm.nih.gov/pubmed/16093751