Fa'amama a'a Nerve Spinal ma lo latou A'afiaga i le Soifua Maloloina

Pe a oʻo mai le sciatica poʻo isi faʻamaʻi tiga o le neura, e mafai ea ona aʻoaʻoina e iloa le eseesega i le va o le tiga o le neura ma ituaiga eseese o tiga e fesoasoani i tagata taʻitoʻatasi e iloa pe a ita pe faʻamalosi pe sili atu faafitauli ogaoga e manaʻomia ai togafitiga faafomaʻi?

O A'a o Neura ma Dermatomes

Tula'au ma'i e pei ole herniated discs ma stenosis e mafai ona ta'ita'iina atu ai le tiga e alu i lalo le lima po'o le vae e tasi. O isi fa'ailoga e aofia ai le vaivai, fa'aletonu, ma/po'o le fana po'o le mu o lagona eletise. O le faaupuga faʻafomaʻi mo faʻamaʻi o neura pinched o le radiculopathy (National Institutes of Health: National Institute of Neurological Disorders and Stroke. 2020). Dermatomes e mafai ona saofagā i le ita i le uaea, lea e mafua ai a'a neura auga i tua ma vae.

Anatomy

E 31 vaega o le i'aitala.

• O vaega ta'itasi e iai a'a neura i le itu taumatau ma le agavale e maua ai le afi ma le fa'alogo i vae.
• O lala fesoʻotaʻi luma ma tua e tuʻufaʻatasia e fausia ai neura ivi e alu ese mai le alavai vertebral.
• O vaega e 31 ivi e maua ai neura e 31.
• E fa'asalalauina e ia mea ta'itasi le sao o neura fa'apitoa mai se vaega pa'u patino i le itu ma le vaega o le tino.
• O nei itulagi e taʻua o dermatomes.
• Se'i vagana ai le neura tu'ulafoa muamua, dermatomes o lo'o i ai mo neura ta'itasi ta'itasi.
• O neura tula'au ma a latou dermatomes e feso'ota'i e fausia ai se feso'ota'iga i le tino atoa.

Dermatomes Faamoemoega

Dermatomes o vaega o le tino/pa'u o lo'o iai mea fa'apitoa e tu'uina atu i neura ta'ito'atasi. O a'a neura ta'itasi e iai se dermatome e fesoota'i, ma lala eseese e sapalai ai dermatome ta'itasi mai lea a'a neura e tasi. Dermatomes o auala ia e faʻasalalau atu ai faʻamatalaga mataʻina i totonu o le paʻu faailoilo i ma mai le fatugalemu o le tino. O lagona e lagona faaletino, e pei o le mamafa ma le vevela, e o'o atu i le fatugalemu o neura. A oʻo ina faʻamalosi pe faʻafefe se aʻa o le namu, e masani lava ona e faʻafesoʻotaʻi ma se isi fausaga, e mafua ai le radiculopathy. (National Institutes of Health: National Institute of Neurological Disorders and Stroke. 2020).

Radiculopathy

O le radiculopathy o loʻo faʻamatalaina ai faʻamaoniga e mafua mai i se neura pine i luga o le tui. O auga ma lagona e fa'alagolago i le mea e pipii ai le neura ma le tele o le fa'amalosi.

Cervical

• Ole fa'ama'i lea ole tiga ma/po'o le fa'aletonu ole sensorimotor pe a oomi a'a neura ile ua.
• E masani ona maua i le tiga e alu ifo i lalo le lima e tasi.
• E mafai fo'i e tagata ta'ito'atasi ona o'o i lagona fa'aeletise e pei o pine ma nila, te'i, ma lagona mu, fa'apea fo'i fa'ailoga afi e pei o le vaivai ma le fa'alogo.

Lumbar

• O lenei radiculopathy e mafua mai i le faʻamalosi, mumū, poʻo le manuʻa i se neura ivi i le pito i lalo.
• O lagona o le tiga, fa'anuminumi, tingling, eletise po'o lagona mu, ma fa'ailoga afi pei o le vaivai o le alu i lalo o le tasi vae e masani lava.

faʻautaga maʻi

O se vaega ole su'esu'ega ole radiculopathy ole su'ega ole dermatomes mo lagona. O le a fa'aogaina e le lōia ni su'ega tusita'i fa'apitoa e fa'amautu ai le maualuga o le ivitū e afua mai ai fa'ailoga. O su'ega tusilima e masani ona fa'atasi ma su'ega fa'ata'ita'iga fa'apitoa e pei o le MRI, lea e mafai ona fa'aalia ai fa'aletonu i le a'a o le neura. O le su'esu'ega atoatoa o le tino o le a iloa ai pe o le a'a o le namu o le mafua'aga lea o fa'ailoga.

Togafitiga o Mafuaaga Autu

Le tele o fa'afitauli o tua e mafai ona togafitia i togafitiga fa'asao e maua ai le toomaga tiga. Mo se tisiketi herniated, mo se faʻataʻitaʻiga, e mafai ona fautuaina tagata taʻitoʻatasi e malolo ma inu se vailaʻau faʻamaʻi e le faʻamaʻi. Acupuncture, togafitiga faʻale-tino, faʻamaʻi, tui e le o se taotoga, poʻo togafitiga decompression e mafai foi ona faatonuina. Mo tiga ogaoga, e mafai ona ofoina atu i tagata taʻitoʻatasi se tui epidural steroid e mafai ona maua ai le toomaga tiga e ala i le faʻaitiitia o le mumū. (American Academy of Orthopedic Surgeons: OrthoInfo. 2022) Mo le faʻamaʻi faʻamaʻi, e mafai e se tagata tuʻuina atu ona taulaʻi muamua i togafitiga faʻale-tino e faʻaleleia ai le malosi atoa, faʻamalosia le manava ma maso tua, ma faʻasaoina le gaioiga i le tui. O vaila'au fa'amama tiga, e aofia ai NSAIDs ma tui corticosteroid, e mafai ona fa'aitiitia ai le mumū ma fa'amama ai le tiga. (American College of Rheumatology. 2023) E tu'uina atu e foma'i fa'aletino togafitiga 'ese'ese e fa'aitiitia ai fa'a'ailoga, e aofia ai le fa'amama ma le toso o le tusi ma le masini. E mafai ona fautuaina le taotoga mo mataupu o le radiculopathy e le tali atu i togafitiga faʻasao.

Manu'a Fa'afoma'i Chiropractic ma Fuafuaga Fa'afoma'i Fuafuaga tausiga falema'i ma 'au'aunaga fa'apitoa e fa'apitoa ma taula'i i manu'a ma le faagasologa atoa o le toe fa'aleleia. O a matou vaega o faʻataʻitaʻiga e aofia ai le Wellness & Nutrition, Chronic Pain, Manua Patino, Tausiga Faʻafuaseʻi Taʻavale, Manuʻa Galuega, Manuʻa i tua, Tuʻu maualalo tiga, tiga o le ua, tiga ulu ulu, manua taʻaloga, Sciatica ogaoga, Scoliosis, Herniated Discs lavelave, Fibromyalgia, Chronic Tiga, Manu'a Lavelave, Puleaina o Fa'afitauli, Togafitiga Fa'afoma'i Fa'atino, ma fa'atonuga mo le tausiga. Matou te taulaʻi atu i le toe faʻaleleia o galuega masani a le tino pe a maeʻa manuʻa ma manuʻa vaivai e faʻaaoga ai Faiga Faʻapitoa a le Chiropractic, Polokalama Faʻalesoifua maloloina, Meaʻai Faʻapitoa ma tuʻufaʻatasia, Agility, ma Mobility Fitness Training, ma Rehabilitation Systems mo vaitausaga uma. Afai e manaʻomia e le tagata se isi togafitiga, o le a tuʻuina atu i se falemaʻi poʻo se fomaʻi e sili ona fetaui mo o latou tulaga. Dr. Jimenez ua galulue faʻatasi ma fomaʻi tipitipi pito i luga, fomaʻi faʻapitoa, tagata suʻesuʻe faʻafomaʻi, fomaʻi, tagata aʻoaʻoga, ma tagata faʻapitoa mo le toe faʻaleleia e aumai El Paso, o togafitiga pito i luga, i lo tatou nuʻu.

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Toe fa'afo'i lou gaioi: Chiropractic Care Mo Sciatica Toe Fa'aleleia

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mau faasino

National Institutes of Health: National Institute of Neurological Disorders and Stroke. (2020). Pepa o tiga maualalo maualalo. Toe maua mai www.ninds.nih.gov/sites/default/files/migrate-documents/low_back_pain_20-ns-5161_march_2020_508c.pdf

American Academy of Orthopedic Surgeons: OrthoInfo. (2022). Herniated disk i le pito i lalo. orthoinfo.aaos.org/en/diseases–conditions/herniated-disk-in-the-lower-back/

American College of Rheumatology. (2023). fa'ama'i toto'a. rheumatology.org/patients/spinal-stenosis