Fa'afo'i Falema'i Tu'u Lalo Ma'i Chiropractic Team. E sili atu i le 80% o le faitau aofaʻi e mafatia i tiga i tua i se taimi o latou olaga. O le tele o mataupu e mafai ona feso'ota'i i mafua'aga sili ona taatele: tiga maso, manu'a, po'o le fa'aoga tele. Ae e mafai foi ona mafua i se tulaga patino o le tui: Herniated Disc, Degenerative Disc Disease, Spondylolisthesis, Spinal Stenosis, ma Osteoarthritis. O tulaga masani o le sacroiliac joint dysfunction, spinal tumors, fibromyalgia, ma le piriformis syndrome.
O le tiga e mafua mai i le fa'aleagaina po'o le manu'a i maso ma ligaments o le tua. Dr. Alex Jimenez faʻapipiʻi tala o loʻo faʻamatalaina ai le taua o le malamalama i mafuaʻaga ma aʻafiaga o lenei faʻaʻailoga le lelei. Chiropractic e taulaʻi i le toe faʻaleleia o le malosi ma le fetuutuunaʻi o se tagata e fesoasoani e faʻaleleia faʻamaoniga o tiga pito i lalo.
Individuals may discover a lump, bump, or nodule under the skin around their lower back, hips, and sacrum that can cause pain by compressing nerves and damaging the fascia. Can knowing the conditions linked to them and their symptoms help healthcare providers determine a correct diagnosis and develop an effective treatment plan for experiencing?
Painful Bumps, Nodules Around Low Back, Hips, and Sacrum
Painful masses in and around the hips, the ositaulaga, and the lower back are lumps of fat or lipomas, fibrous tissue, or other types of nodules that move when pressed on. Some healthcare providers and chiropractors, in particular, use the non-medical term back mice (In 1937, the term was used to describe lumps associated with episacroiliac lipoma) to describe the bumps. Some healthcare professionals argue against calling the masses mice because it is not specific and could lead to misdiagnoses or incorrect treatment.
Most show up in the lower back and hip area.
In some cases, they protrude or herniate through the lumbodorsal fascia or the network of connective tissue that covers the deep muscles of the lower and middle back.
Other lumps can develop in the tissue under the skin.
Today, many conditions are associated with back mice lumps, including:
Iliac crest pain syndrome
Multifidus triangle syndrome
Lumbar fascial fat herniation
Lumbosacral (sacrum) fat herniation
Episacral lipoma
Tulaga Fesootai
Iliac Crest Pain Syndrome
Also known as iliolumbar syndrome, iliac crest pain syndrome develops when a tear in the ligament occurs.
The ligament band connects the fourth and fifth lumbar vertebrae with the ilium on the same side. (Dąbrowski, K. Ciszek, B. 2023)
O mafuaʻaga e aofia ai:
Tearing the ligament from repeated bending and twisting.
Trauma or fracture of the ilium bone caused by a fall or vehicle collision accident.
Multifidus Triangle Syndrome
Multifidus triangle syndrome develops when the multifidus muscles along the spine weaken and diminish function or ability.
These muscles can atrophy, and intramuscular fatty tissue can replace the muscle.
The lumbodorsal fascia is a thin fibrous membrane covering the back’s deep muscles.
Lumbar fascial fat herniation is a painful mass of fat that protrudes or herniates through the membrane, gets trapped and inflamed, and causes pain.
The causes of this type of herniation are currently unknown.
Lumbosacral (Sacrum) Fat Herniation
Lumbosacral describes where the lumbar spine meets the sacrum.
Lumbosacral fat herniation is a painful mass like lumbar facial herniation in a different location around the sacrum.
The causes of this type of herniation are currently unknown.
Episacral Lipoma
Episacral lipoma is a small painful nodule under the skin that primarily develops over the top outer edges of the pelvic bone. These lumps occur when a portion of the dorsal fat pad protrudes through a tear in the thoracodorsal fascia, the connective tissue that helps hold the back muscles in place. (Erdem, H. R. et al., 2013) A healthcare provider may refer an individual to an orthopedist or orthopedic surgeon for this lipoma. An individual may also find pain relief from a massage therapist familiar with the condition. (Erdem, H. R. et al., 2013)
O auga
Back lumps can often be seen under the skin. They are typically tender to the touch and can make sitting in a chair or lying on the back difficult, as they often appear on the hip bones and sacroiliac region. (Bicket, M. C. et al., 2016) The nodules may:
Be firm or tight.
Have an elastic feel.
Move under the skin when pressed.
Cause intense, severe pain.
The pain results from pressure on the lump, which compresses the nerves.
Damage to the underlying fascia can also cause pain symptoms.
faʻautaga maʻi
Some individuals do not realize they have nodules or lumps until pressure is applied. Chiropractors and massage therapists often find them during treatments but do not diagnose the abnormal fatty growth. The chiropractor or massage therapist will refer the patient to a qualified dermatologist or medical professional who can perform imaging studies and a biopsy. Determining what the lumps are can be challenging because they are non-specific. Healthcare providers sometimes diagnose the nodules by injecting them with a local anesthetic. (Bicket, M. C. et al., 2016)
Eseesega Faʻamatalaga
The fatty deposits can be any number of things, and the same applies to the sources of nerve pain. A healthcare provider may further diagnose by ruling out other causes, which can include:
Sebaceous Cysts
A benign, fluid-filled capsule between the layers of skin.
Subcutaneous Abscess
A collection of pus beneath the skin.
Usually painful.
It can become inflamed.
Sciatica
Radiating nerve pain down one or both legs that is caused by a herniated disc, bone spur, or spasming muscles in the lower back.
Liposarcoma
Malignant tumors can sometimes appear as fatty growths in the muscles.
Liposarcoma is typically diagnosed by biopsy, where some tissue is removed from the nodule and examined for cancer cells. (Johns Hopkins Medicine. 2024)
An MRI or CT scan may also be performed to determine the exact location of the nodule.
Painful lipomas are also associated with fibromyalgia.
faiga
Back nodules are usually benign, so there’s no reason to remove them unless they’re causing pain or mobility problems (American Academy of Orthopedic Surgeons: OrthoInfo. 2023). However, they should be examined to make sure they are not cancerous. Treatment usually involves injected anesthetics, such as lidocaine or corticosteroids, as well as over-the-counter pain relievers like NSAIDs.
Togafitiga
If pain is severe, surgical removal may be recommended. This involves cutting out the mass and repairing the fascia for lasting relief. However, removal may not be recommended if there are many nodules, as some individuals can have hundreds. Liposuction may be effective if the lumps are smaller, more extensive, and comprise more fluid. (American Family Physician. 2002) Complications of surgical removal can include:
Faʻailoga
Faʻasusu
E le tutusa le pa'u
Faʻafitauli
Complementary and Alternative Treatment
Complimentary and Alternative Medicine treatments like acupuncture, dry needling, and spinal manipulation can help. Many chiropractors believe back nodules can be successfully treated with complementary and alternative therapies. A common approach uses acupuncture and spinal manipulation in combination. A case study reported that anesthetic injections followed by dry needling, which is similar to acupuncture, improved pain relief. (Bicket, M. C. et al., 2016)
Injury Medical Chiropractic and Functional Medicine Clinic specializes in progressive therapies and functional rehabilitation procedures focused on restoring normal body functions after trauma and soft tissue injuries and the complete recovery process. Our areas of practice include 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 Pain, Complex Injuries, Stress Management, Functional Medicine Treatments, and in-scope care protocols. If the individual requires other treatment, they will be referred to a clinic or physician best suited for their condition, as Dr. Jimenez has teamed with the top surgeons, clinical specialists, medical researchers, therapists, trainers, and premiere rehabilitation providers.
I tua atu o le Laufanua
mau faasino
Dąbrowski, K., & Ciszek, B. (2023). Anatomy and morphology of iliolumbar ligament. Surgical and radiologic anatomy : SRA, 45(2), 169–173. doi.org/10.1007/s00276-022-03070-y
Seyedhoseinpoor, T., Taghipour, M., Dadgoo, M., Sanjari, M. A., Takamjani, I. E., Kazemnejad, A., Khoshamooz, Y., & Hides, J. (2022). Alteration of lumbar muscle morphology and composition in relation to low back pain: a systematic review and meta-analysis. The spine journal : official journal of the North American Spine Society, 22(4), 660–676. doi.org/10.1016/j.spinee.2021.10.018
Erdem, H. R., Nacır, B., Özeri, Z., & Karagöz, A. (2013). Episakral lipoma: Bel ağrısının tedavi edilebilir bir nedeni [Episacral lipoma: a treatable cause of low back pain]. Agri : Agri (Algoloji) Dernegi’nin Yayin organidir = The journal of the Turkish Society of Algology, 25(2), 83–86. doi.org/10.5505/agri.2013.63626
Bicket, M. C., Simmons, C., & Zheng, Y. (2016). The Best-Laid Plans of “Back Mice” and Men: A Case Report and Literature Review of Episacroiliac Lipoma. Pain physician, 19(3), 181–188.
O seevae e mafai ona mafua ai le tiga pito i lalo ma faʻafitauli mo nisi tagata. E mafai e le malamalama i le fesoʻotaʻiga i le va o seevae ma faʻafitauli tua e fesoasoani i tagata taʻitoʻatasi e suʻe seevae saʻo e tausia ai le soifua maloloina ma faʻamalolo le tiga?
Seevae Tiga Tutua
O le tua e maua ai le malosi mo gaioiga faaletino. O tiga i tua e afaina ai le olaga i aso taitasi ma e mafai ona i ai mafuaaga eseese. Tusa le lelei, savali, mimilo, liliu, punou, ma le aapa atu e mafai ona saofagā i faʻafitauli tua e mafua ai le tiga. E tusa ai ma le CDC, 39% o tagata matutua e lipotia mai o loʻo ola ma tiga i tua (Centres for Control Control and Prevention, 2019). O seevae le talafeagai e mafai foi ona fesoasoani i le tiga o tua. O le filifilia ma le faaeteete o seevae e mafai ona fesoasoani e aumaia ai le tiga ma fesoasoani i le faatumauina o le soifua maloloina ole ivi. E mafai e tagata taʻitoʻatasi ona fiafia i le faʻaitiitia o tiga ma faʻatautaia faʻamaoniga e ala i le filifilia o seevae e faʻatumauina le faʻaogaina o le ivi ma puipuia vae mai le tuʻi.
Malamalama i le Feso'ota'iga Tu'u Tu'u-Se'evae
O seevae le talafeagai e ono mafua ai le tiga pito i lalo. O le a le a'afiaga o ponaivi i le pito i lalo o le neuromusculoskeletal system e susulu i luga ma afaina ai le tui ma musele tua. O a seevae o loʻo faʻaaogaina e alu i luga, e aʻafia ai le savali, tuʻu, faʻaogaina o le ivi, ma isi mea. A o'o mai fa'afitauli i tua mai vae, o fa'afitauli ia o le biomechanical. Biomechanics o lona uiga pe faʻafefea ona galulue faʻatasi ponaivi, sooga, ma maso ma pe faʻafefea ona aʻafia le tino i suiga i malosiaga mai fafo.
gāoioiga
A a'afia vae i le eleele, o pito muamua ia e mitiia le te'i mo le tino atoa. O le a amata ona savali ese tagata taʻitoʻatasi pe a iai se faʻafitauli poʻo suiga i o latou vae. O le ofuina o seevae ma le le lelei o le lagolago e mafai ona faʻateleina ai le ofuina ma le masae i luga o maso ma sooga, e mafua ai le faʻalavelave ma le le masani ai. Mo se faʻataʻitaʻiga, mafaufau i le eseesega i le va o le tu i luga o tamatamaivae i seevae maualuga ma le tulaga masani o vae mafolafola. O seevae fa'alelei lelei e fesoasoani e fa'afefe ai le a'afiaga ma fa'aitiitia lagona tiga. O le mamafa i sooga taʻitasi e fesuiaʻi paleni, lea e mafua ai faʻafitauli le mautonu ma faʻaitiitia le mamafa i nisi ae sili atu i isi. O lenei mea e tupu ai se le paleni e oʻo atu ai i tiga ma tulaga faʻatasi.
Faʻailoga
O le fa'atumauina o le soifua maloloina o le isi lea itu e puipuia pe fa'aitiitia ai le tiga i tua. Faatasi ai ma seevae sa'o, e mafai e le tino ona faatumauina se tulaga maloloina ma le curvature sa'o i le tuasivi, ma e fesoasoani e tufatufa tutusa le mamafa. E mafua ai le faʻaitiitia o le mamafa i ligaments, maso, ma sooga. (Harvard Health Publishing. 2014) E fautuaina le va'ai i se foma'i fa'ama'i fa'amasani e o'o i le a'a o le ma'i o le tagata. Mo nisi, o le herniated disc, sciatica, taʻavale taʻavale, pa'ū, ergonomics le lelei, poʻo se tuʻufaʻatasiga, faʻapea foʻi ma isi faʻafitauli faʻavae, atonu e saofagā i o latou tiga i tua.
Ituaiga seevae ma lo latou Aafiaga i tua
E fa'afefea ona a'afia seevae eseese i le tu'u, e ono fa'atupuina pe fa'amalolo ai le tiga i tua.
Muli uumi
O seevae maualuga e mautinoa lava e fesoasoani i le tiga i tua. Latou te suia le tulaga o le tino, ma mafua ai se aafiaga tomino i luga o le tui. O le mamafa o le tino e suia e faʻateleina le mamafa i polo o vae, ma suia le faʻaogaina o le tui. O mulivae maualuga e afaina ai foi le ala e gaoioi ai tapuvae, tulivae, ma sulugatiti pe a savali, paleni, ma le auala e galue ai maso tua, o ia mea uma e mafai ona faateteleina le tiga i tua.
Seevae mafolafola
O seevae mafolafola atonu e le o se filifiliga sili lea mo le soifua maloloina o le tui. Afai e leai se lagolago faaofuofu, e mafai ona ta'avale le vae i totonu, e ta'ua o le pronation. O lenei mea e mafai ona saofagā i le le faʻaogaina, lea e mafai ona faʻalavelave ai tulivae, sulu, ma le pito i lalo. Ae ui i lea, e mafai ona avea ma se filifiliga lelei pe a latou tuʻuina atu le lagolago. Pe a ofuina seevae mafolafola ma le lagolago maloloina, o le mamafa e tufatufa tutusa i luga o vae ma le tui. E fesoasoani lea e fa'atumauina le tu sa'o, e mafai ona fesoasoani e puipuia ma/po'o le fa'aitiitia o tiga i tua.
Sneakers, Tenisi, ma seevae afeleti
Sneakers, tenisi, ma seevae afeleti e mafai ona fa'amama le tiga i tua i le fa'amalu ma le lagolago mae'ae'a. O le filifilia o mea sa'o e aofia ai le fuafuaina o le gaoioiga o le a faia ia i latou. E iai le tenisi, tamo'e, pasiketipolo, pikopolo, seevae fa'ase'e, ma isi mea. Su'esu'e po'o a mea e mana'omia mo le ta'aloga po'o le gaioiga. E mafai ona aofia ai:
Ipu mulivae
Fa'aalalaga totonugalemu
Fa'avae lautele
O isi vaega e fa'afetaui ai mana'oga o vae ta'ito'atasi.
E fautuaina le sui o seevae afeleti uma i le 300 i le 500 maila o le savali po o le tamoʻe poʻo ni faʻailoga o le le tutusa pe a tuʻuina i luga o se mea mafolafola, ona o seevae masaesae ma mea leaga e mafai ona faʻateleina ai le lamatiaga o le manuʻa ma le tiga o tua. (American Academy of Podiatric Sports Medicine, 2024). Afai e tuu e se paga faapitoa vae, sulugatiti, po o tapuvae i se tulaga e le masani ai pe taofia ai le gaoioi masani, atonu ua oo i le taimi e sui ai.
Filifilia o seevae Sa'o
O le fofo lelei mo le filifilia o seevae seevae o le maua lea o se suʻesuʻega gait ma se iloiloga o le auala e te savali ai ma tamoe. E mafai e foma'i eseese tau soifua maloloina ona ofoina atu lenei auaunaga e fa'afetaui ai le sailiga a tagata ta'ito'atasi mo seevae sa'o mo le tiga i tua. I le su'esu'ega gait, e talosagaina tagata ta'ito'atasi e tamo'e ma savavali, o nisi taimi i luga o mea pu'eata, a'o mātauina e se tagata tomai fa'apitoa uiga fa'aletino, e pei o le taimi e pa ai le vae i le eleele ma pe ta'avale i totonu po'o fafo. O lo'o tu'uina mai ai fa'amatalaga i luga o le tu'u, gaio'iga, tulaga o le tiga, le tele o le lagolago fa'aofuofu e mana'omia, ma le ituaiga e fai e fesoasoani e puipuia ai le tiga i tua. A mae'a loa le su'esu'ega, o le a ta'ita'ia oe i mea e te su'eina, pei o le a le maualuga o le fa'aofuofu fa'aofuofu, maualuga mulivae, po'o mea e sili ona lelei mo oe.
Injury Medical Chiropractic and Functional Medicine Clinic faʻapitoa i le alualu i luma, faʻataʻitaʻiga faʻataʻitaʻiga ma faʻataʻitaʻiga o le toe faʻaleleia o galuega e taulaʻi i le falemaʻi physiology, soifua maloloina atoa, aʻoaʻoga malosi faʻatino, ma le faʻatulagaina atoatoa. Matou te taulaʻi i le toe faʻaleleia o galuega masani a le tino pe a maeʻa manuʻa ma manuʻa vaivai. Matou te faʻaaogaina Polokalama Faʻapitoa Chiropractic, Polokalama Soifua Maloloina, Meaʻai Faʻatino ma tuʻufaʻatasia, Agility and mobility Fitness Training, ma Rehabilitation Systems mo vaitausaga uma. O a tatou polokalame e fa'anatura ma fa'aoga le malosi o le tino e ausia ai sini fa'apitoa e fuaina nai lo le fa'aofiina o vaila'au fa'aleaga, fa'afesuia'i suiga o le homone, taotoga e le'o mana'omia, po'o vaila'au e fai ma vaisu. Ua matou galulue faʻatasi ma fomaʻi, fomaʻi, ma faiaoga o le taulaga e tuʻuina atu togafitiga sili ona lelei e faʻamalosia ai o tatou gasegase e faʻatumauina le ola maloloina ma ola i se olaga galue ma sili atu le malosi, se uiga lelei, moe lelei, ma faʻaitiitia le tiga .
Fa'amanuiaga o le Fa'aaogaina o Foot Orthotics
mau faasino
Nofoaga Autu mo Fa'ama'i ma Puipuiga. (2019). I tua, lima pito i lalo, ma lima pito i luga tiga i tagata matutua Amerika, 2019. Toe maua mai www.cdc.gov/nchs/products/databriefs/db415.htm
E mafai e tagata taʻitoʻatasi o loʻo maua i le lumbar spinal stenosis ona faʻaogaina le faʻaleagaina o le ivi e faʻaitiitia ai le tiga i tua ma toe faʻafoʻisia le gaioiga?
faʻatomuaga
O le toʻatele o tagata i le lalolagi atoa na feagai ma le maualalo o tiga i tua i se taimi o latou olaga na aʻafia ai lo latou feʻaveaʻi ma aʻafia ai a latou masani. O le tele o mea tau le siosiomaga e mafai ona taʻitaʻia ai le maualalo o le tiga i tua, e pei o le le lelei o le siiina o le mamafa, le lelei o le tuʻuina, manuʻa faʻalavelave, ma faʻalavelave faʻafuaseʻi e mafai ona aʻafia ai maso o loʻo siomia ai, vaʻa, ma aʻa neura. Pe a tupu lenei mea, e mafai ona oʻo atu ai i le lumbar spinal stenosis ma mafua ai le faʻapipiʻiina o faʻamatalaga lamatia e fesoʻotaʻi ma le maualalo o le tiga i tua. Pe a feagai tagata ma le lumbar spinal stenosis, atonu latou te manatu o latou tiga o loʻo i pito pito i lalo. I lena tulaga, e toʻatele tagata e sailia togafitiga e le gata ina faʻaitiitia ai le tiga i tua ae faʻaitiitia ai foi aʻafiaga o le lumbar spinal stenosis. O nisi o togafitiga, e pei o le fa'aletonu o le ivi, o se togafitiga e le o se taotoga, e mafai ona fesoasoani e toe faʻafoʻisia le feʻaveaʻi i le tino. O le tusiga o aso nei o loʻo vaʻavaʻai ai pe faʻafefea ona aʻafia le pito i lalo o le pito i lalo ma lona suʻesuʻega aʻo vaʻavaʻai pe faʻafefea ona maua e le faʻamaʻi faʻamaʻi le toomaga i le tagata ma maua ai ni faʻamanuiaga lelei i le toe faʻaleleia o le gaioiga. Matou te talanoa ma 'au'aunaga faafoma'i fa'amaonia o lo'o tu'ufa'atasia fa'amatalaga a matou tagata ma'i e iloilo pe fa'afefea ona feso'ota'i le fa'ama'i o le lumbar spinal stenosis ma le tiga pito i lalo, ma mafua ai fa'afitauli tau feoa'i. Matou te logoina foi ma taʻitaʻia tagata mamaʻi i le faʻafefea o le faʻamaʻi o le ivi o se ituaiga sili ona lelei o togafitiga e mafai ona tuʻufaʻatasia ma isi togafitiga. Matou te faʻamalosia a matou gasegase e fesili atu ia latou fomaʻi fesoʻotaʻi ma fesili taua e uiga i le tuʻufaʻatasia o togafitiga faʻamaʻi e faʻamalolo ai aʻafiaga o le tiga e mafua mai i le lumbar stenosis aʻo faʻaitiitia ai aʻafiaga o tiga e pei o le tiga pito i lalo e toe maua ai le gaioiga o se tagata. Dr. Jimenez, DC, e aofia ai lenei faʻamatalaga o se auaunaga faʻaleaʻoaʻoga. Tuuese.
Fa'afefea ona A'afia le Tula'au o le Tula'au Lumbar I tua
E te lagona le tingling i tua o ou vae e afaina ai lou gafatia e fealuai solo? Po'o lou tua pito i lalo e lagona le itiiti o le feavea'i nai lo le mea e masani ai? A tele tagata o loʻo feagai ma le maualalo o le tiga i tua i le taimi o latou olaga, e masani ona faʻafetaui ma le lumbar spinal stenosis. Lumbar spinal stenosis e masani ona tupu pe a faʻapipiʻi le alavai i le pito i lalo, e oʻo atu ai i suiga faʻaleagaina. Pe a amata ona vaapiapi le alavai i totonu o le tui, e mafai ona mafua ai le faʻalavelave tele, faʻalavelave i gaioiga i aso uma, ma e ono tupu ai le le atoatoa o le malosi mo le tele o tagata. (Munakomi et al., 2024) O faʻamaoniga e mafua mai i le lumbar spinal stenosis e amata mai i le laʻititi i le ogaoga, ma o mea tau le siosiomaga e fetaui ma le mataupu. I le taimi lava e tasi, o le lumbar spinal stenosis e faʻaalia i faʻamaoniga e pei o le maualalo o le tiga i tua e mafai ona mafua ai suiga spondylotic e mafua ai le maualalo o le tiga i tua e mafai ona afaina ai le lelei o le olaga o se tagata. (Ogon et al., 2022) O lenei mea e mafua ai le tele o tagata e o atu i a latou fomaʻi muamua e maua ai se faʻamaʻi ma aʻoaʻo pe faʻafefea ona pulea le tiga e fesoʻotaʻi ma le lumbar spinal stenosis.
Le Suʻesuʻega o Lumbar Spinal Stenosis
A oʻo mai i le suʻesuʻeina o le lumbar spinal stenosis, o le tele o tausi soifua maloloina o le a tuʻufaʻatasia se iloiloga atoatoa, lea e aofia ai se suʻesuʻega faʻaletino e iloa ai pe faʻafefea ona feaveaʻi le tua o se tagata ma faʻataʻitaʻiga faʻataʻitaʻiga e pei o MRIs ma CT scans e vaʻavaʻai ai i le alavai ma iloilo le tele o le. vaapiapi e mafua ai le tiga i pito pito i lalo. E mafua ona pe a feagai tagata ma le lumbar spinal stenosis, e mafai ona faʻaalia i le neurogenic claudication i pito pito i lalo, aemaise lava pe a tu pe nofo se tagata. E faaitiitia le tiga pe a suia o latou tulaga. (Sobanski et al., 2023) E le gata i lea, o le lumbar spinal stenosis o se tasi lea o faʻamaʻi pipisi e masani ona maua e le tele o fomaʻi soifua maloloina e iloilo ma iloilo. A i ai se faʻamaʻi i totonu o le vaʻa, e oʻo atu ai i le atinaʻeina o le lumbar spinal, o gaioiga faigofie e pei o le savali e mafai ona faʻateleina ai faʻamaoniga i pito pito i lalo ma faʻateleina ai le okesene i neura o le vaʻa, lea e mafai ona sili atu i le tafe toto avanoa i pito. (Deer et al., 2019) E oʻo atu i lena tulaga, o togafitiga e pei o le faʻaleagaina o le ivi e mafai ona fesoasoani e faʻaitiitia le tiga pito i lalo e fesoʻotaʻi ma le lumbar spinal stenosis.
Le Auala e Le'i Fa'a'oto'otoga i le Soifua Maloloina- Vitio
Ose Auala e Toomaga e Fa'aaoga ai le Decompression Spinal
Pe a oʻo mai i tagata taʻitoʻatasi o loʻo feagai ma le tiga e mafua mai i le lumbar spinal stenosis, e toʻatele tagata e mafai ona suʻe ni togafitiga e le o ni taotoga e pei o le faʻamaʻi faʻamaʻi e faʻamalolo ai le tiga pito i lalo. Ua aliaʻe mai le faʻaleagaina o le vaʻaia o se mea e le faʻafefe, togafitiga lelei mo le lumbar spinal stenosis. E fa'aogaina le toso fa'ainisinia mālū i luga o le tuasivi ina ia fa'aloloa, fa'amāmā ai neura ivi e ala i le fa'atupuina atili o avanoa i totonu o le alavai. O le fa'apalapala o le va'ai e fa'aitiitia ai le fa'agasologa o le fa'aleagaina a'o fa'alolo lemu le maso o lo'o si'omia, ma fa'atupula'ia le maualuga o le va'aiga ona o le mamafa o le mamafa. (Kang et al., 2016)
O Fa'amanuiaga ole Spinal Decompression & Toe Fa'afo'isia Gaoioiga
E le gata i lea, o le tosoina malie mai le faʻaleagaina o le ivi e fesoasoani e faʻaleleia ai le gaosiga o meaʻai ma le okesene i tua atu i le vaʻaia ma le tui e faʻaleleia ai se siosiomaga faʻamalolo lelei mo le tino. Talu ai e mafai ona tuʻufaʻatasia le faʻaleagaina o le ivi ma isi togafitiga e le o ni taotoga, e pei o togafitiga faʻale-tino ma togafiti faʻamaʻi, e mafai ona maua ai ni aʻafiaga lelei umi mo tagata taʻitoʻatasi e maua i le lumbar spinal stenosis. (Ammendolia et al., 2022) O nisi o i'uga aoga o le fa'ama'apeina o le ivi e aofia ai:
Fa'amama tiga e ala i le fa'aitiitia o le mamafa o neura ivi e fa'aitiitia ai le tiga ma le fa'anoanoa i pito pito i lalo.
O le faʻaleleia atili o le gaioi e mafai ai e le tagata ona toe foʻi i a latou gaioiga i aso taitasi ma le faigofie.
E toʻatele tagata e mafai ona faʻamanuiaina mai le faʻaleagaina o le vaʻaia e faʻaitiitia ai aʻafiaga o le lumbar spinal stenosis ma toe faʻafoʻisia o latou pito pito i lalo pe a maeʻa sauniga sosoo e faʻaitiitia ai le avanoa o le tiga mai le toe foʻi mai. E ala i le mafaufau atili e uiga i lo latou soifua maloloina ma le soifua maloloina, e toʻatele tagata e mafai ona faia ni suiga laiti masani ia latou gaioiga e faʻaitiitia ai le tiga ma tumau ai le feaveaʻi io latou olaga atoa. O lenei mea e mafai ai ona latou maua se lagona o le faʻamoemoe e faʻamalolo ai i latou mai le tiga na latou oʻo i ai.
mau faasino
Ammendolia, C., Hofkirchner, C., Plener, J., Bussieres, A., Schneider, MJ, Young, JJ, Furlan, AD, Stuber, K., Ahmed, A., Cancelliere, C., Adeboyejo, A ., & Ornelas, J. (2022). Togafitiga e le faʻaogaina mo lumbar spinal stenosis ma le neurogenic claudication: o se toe iloiloga faʻaleleia. BMJ Open, 12(1), e057724. doi.org/10.1136/bmjopen-2021-057724
Deer, T., Sayed, D., Michels, J., Josephson, Y., Li, S., & Calodney, AK (2019). O se Iloiloga o Lumbar Spinal Stenosis ma Intermittent Neurogenic Claudication: Faʻamaʻi ma Suʻesuʻega. Tiga Med, 20(Suppl 2), S32-S44. doi.org/10.1093/pm/pnz161
Kang, JI, Jeong, DK, & Choi, H. (2016). O aʻafiaga o le faʻamaʻi faʻamaʻi i luga o le gaioiga o maso lumbar ma le maualuga o le tisiki i tagata mamaʻi ma herniated intervertebral disk. Tusi o le Saienisi Togafitiga Faʻafomai, 28(11), 3125-3130. doi.org/10.1589/jpts.28.3125
Munakomi, S., Foris, LA, & Varacallo, M. (2024). Spinal Stenosis ma Neurogenic Claudication. I totonu StatPearls. www.ncbi.nlm.nih.gov/pubmed/28613622
Ogon, I., Teramoto, A., Takashima, H., Terashima, Y., Yoshimoto, M., Emori, M., Iba, K., Takebayashi, T., & Yamashita, T. (2022). O mea e fesoʻotaʻi ma le maualalo o le tiga i tagata mamaʻi ma le lumbar spinal stenosis: o se suʻesuʻega faʻasolosolo. BMC Musculoskelet Faʻaletonu, 23(1), 552. doi.org/10.1186/s12891-022-05483-7
Sobanski, D., Staszkiewicz, R., Stachura, M., Gadzielinski, M., & Grabarek, BO (2023). Faʻaaliga, Suʻesuʻega, ma le Puleaina o le Faʻasalaga Tuʻu i lalo e fesoʻotaʻi ma le Spinal Stenosis: O se Faʻamatalaga Faʻamatalaga. Fualaau a le Med Sci, 29, e939237. doi.org/10.12659/MSM.939237
Mo tagata taʻitoʻatasi o loʻo aʻafia i le sacroiliac joint/SIJ faʻaletonu ma tiga, pe mafai e le faʻaogaina o le kinesiology tape ona fesoasoani e maua ai le toomaga ma pulea faʻamaoniga?
Kinesiology Tape Mo Sacroiliac Sogaivi tiga
Ose ma'i pito i lalo lea e masani ai ile ma'itaga. O le tiga e masani lava i le tasi poʻo itu uma e lua o le tua, i luga aʻe o le papa, e sau ma alu ma mafai ona faʻatapulaʻaina le mafai ona punou, nofo, ma faia ni gaioiga faʻaletino eseese. (Moayad Al-Subahi et al., 2017) O le lipine fa'afoma'i e maua ai le lagolago a'o fa'ataga le fegasoloa'i ma e mafai ona fesoasoani e togafitia ma pulea le tiga o le sooga sacroiliac/SIJ e ala i le:
Fa'aitiitia maso maso.
Fa'afaigofieina galuega fa'aletino.
Fa'ateleina le tafe toto i le nofoaga o tiga.
Fa'aitiitia maso fa'aoso.
Faʻamau
O nisi suʻesuʻega ua maua ai o le tapeina o le sooga SI e iai faʻamanuiaga e aofia ai:
O le tasi manatu e fesoasoani e sii ma taofi le aano o loʻo i luga ole sooga SI, lea e fesoasoani e faʻaitiitia ai le mamafa o loʻo siomia ai.
O le isi manatu e faapea o le siiina o aano o le tino e fesoasoani i le fatuina o se eseesega o le mamafa i lalo o le lipine, e pei o le le faʻaleagaina o le taotoga, faʻatagaina le faʻateleina o le taʻavale i le aano o loʻo siomia ai le sooga sacroiliac.
O lenei mea e lolovaia ai le vaega i le toto ma meaʻai, faʻatupuina se siosiomaga faʻamalolo sili ona lelei.
talosaga
O se sooga sacroiliac i le itu taumatau ma le itu agavale e faʻafesoʻotaʻi le pelvis i le sacrum poʻo le pito pito i lalo o le tui. Ina ia fa'aoga sa'o le lipine kinesiology, su'e le vaega pito i lalo ole pito i tua ile vaega ole pelvic. (Francisco Selva et al., 2019) Fesili i se uo po'o se tagata o lou aiga mo se fesoasoani pe a le mafai ona e o'o i le eria.
Laasaga o le tapeina:
'Oti ni fasipepa se tolu, ta'i 4 i le 6 inisi le umi.
Nofo i se nofoa ma punou teisi le tino i luma.
Afai e fesoasoani se tasi, e mafai ona e tu ma punou teisi i luma.
Ave'ese le fasipepa e si'i ese i le ogatotonu ma fa'alo'alo le lipine e fa'aalia ni nai inisi, ae tu'u uma pito e ufiufi.
Fa'aoga le lipine fa'aalia ile fa'ata'ita'i i luga ole sooga SI, pei ole faia ole laina muamua ole X, i luga a'e lava ole papa, ma fa'alo atoa ile lipine.
Va'i ese fasipepa mai pito ma pipi'i e aunoa ma se fa'aloloa.
Toe fai laasaga o le talosaga i se fasi fasi pepa lona lua, pipii i se tulimanu 45-tikeri i le fasi pepa muamua, faia le X i luga o le sooga sacroiliac.
Toe fai le mea lea i le fasi pepa fa'ai'u fa'alava i luga o le X na faia mai vaega muamua e lua.
E tatau ona i ai se mamanu faʻapipiʻi o foliga fetu i luga o le sooga sacroiliac.
Kinesiology tape e mafai ona tumau i luga o le sacroiliac sooga mo le tolu i le lima aso.
Va'ai mo fa'ailoga o le ita i luga o le lipine.
Aveese le lipine pe a oʻo ina ita le paʻu, ma faʻafesoʻotaʻi lau tausi soifua maloloina muamua, fomaʻi faʻapitoa, poʻo le chiropractor mo isi togafitiga.
O nisi tagata ei ai tulaga patino e tatau ona aloese mai le fa'aogaina o le lipine ma maua se fa'amaoniga e saogalemu.
O tagata taʻitoʻatasi e iai le tiga tuga o le sacroiliac pe a le o galue le pulea e le tagata lava ia e tatau ona vaʻai i se tausi soifua maloloina, fomaʻi faʻapitoa, poʻo le fomaʻi mo se iloiloga ma aʻoaʻo faʻamalositino maʻi ma togafitiga e fesoasoani e pulea le tulaga.
Sciatica i le taimi o le ma'itaga
mau faasino
Al-Subahi, M., Alayat, M., Alshehri, MA, Helal, O., Alhasan, H., Alalawi, A., Takrouni, A., & Alfaqeh, A. (2017). Le aoga o le physiotherapy interventions mo le sacroiliac joint dysfunction: o se iloiloga faʻapitoa. Journal of Physical Therapy Science, 29(9), 1689–1694. doi.org/10.1589/jpts.29.1689
Do-Yun Shin ma Ju-Young Heo. (2017). O A'afiaga ole Kinesiotaping Fa'atatau ile Erector Spinae ma le Sacroiliac Joint ile Lumbar Flexibility. Le Journal of Korean Physical Therapy, 307-315. doi.org/https://doi.org/10.18857/jkpt.2017.29.6.307
Selva, F., Pardo, A., Aguado, X., Montava, I., Gil-Santos, L., & Barrios, C. (2019). O se suʻesuʻega o le toe faʻaleleia o talosaga kinesiology tape: iloiloga, faʻamaoni ma le faʻamaonia. BMC musculoskeletal disorders, 20(1), 153. doi.org/10.1186/s12891-019-2533-0
E mafai e tagata taʻitoʻatasi o loʻo feagai ma le fulafula o le gutu ona faʻamalolo i le electroacupuncture e faʻaitiitia ai faʻailoga maualalo o le tiga ma faʻaleleia le gaioiga o le gutu?
faʻatomuaga
A oʻo mai i le tino, o le gut system e iai se mafutaga sili ona manaia i vaega eseese o le tino. O le gut system e galue ma le fatugalemu, immune, ma musculoskeletal system aua e fesoasoani e puipuia le tino mai siama leaga aʻo faʻatonutonuina le mumū. Ae peitaʻi, pe a amata ona aʻafia le tino i mea tau le siosiomaga ma mafua ai ona alu le manava, e mafai ona mafua ai le tele o faʻafitauli o le tiga ma le le mautonu i le tino. O se tasi o faʻafitauli e mafai ona aʻafia ai le manava o le musculoskeletal system, e mafua ai faʻafitauli tiga i tua e fesoʻotaʻi ma le mumū o le gutu. Ae ui i lea, o le tele o togafitiga e mafai ona fesoasoani e faʻaitiitia ai aʻafiaga o le mumu o le gutu e mafua ai le tiga i tua. O le tusiga o aso nei o loʻo vaʻavaʻai i le fesoʻotaʻiga tiga o le gutu, pe faʻafefea ona tuʻufaʻatasia le electroacupuncture e fai ma togafitiga, ma pe faʻafefea ona faʻaitiitia le mumū. Matou te talanoa ma foma'i fa'amaonia o lo'o tu'ufa'atasia fa'amatalaga a matou tagata ma'i e iloilo pe fa'afefea ona a'afia o latou tino, ma mafua ai le tiga i tua. Matou te logoina foi ma taʻitaʻia tagata mamaʻi i le auala e mafai ai e le electroacupuncture togafitiga ona fesoasoani e faʻaitiitia aʻafiaga afaina e mafua ai faʻafitauli o le gutu ma tua ma toe faʻaleleia le gaioiga o le gutu. Matou te faʻamalosia a matou gasegase e fesili ia latou fomaʻi fesoʻotaʻi ma fesili taua e uiga i le tuʻufaʻatasia o togafitiga eseese e le o ni taotoga e faʻaitiitia ai le mumū o le gutu e fesoʻotaʻi ma le tiga i tua. Dr. Jimenez, DC, e aofia ai lenei faʻamatalaga o se auaunaga faʻaleaʻoaʻoga. Tuuese.
Le Feso'ota'iga Tu'u-Itua
E te lagona le tiga o maso po'o le tiga o lou gutu po'o le pito i lalo? Ae fa'afefea le fa'avevelaina o le vevela i vaega eseese o lou tino? Pe ua e oo i ni taimi maualalo-malosi i lou aso atoa? E ui o le gutu e taʻua o le faiʻai lona lua talu ai e galue ma le puipuiga o le tino, o se tasi o ana matafaioi taua o le faʻatonutonuina o le tino o le tino. E mafua ona o le gut microbiome o loʻo i ai le faitau miliona o siama e faʻafefe ai meaʻai ma puipuia le tino mai siama leaga. Pe a amata ona aʻafia e aʻafiaga o le siʻosiʻomaga le faʻaogaina o meaola faʻanatura, e mafai ona taʻitaʻia ai le puipuiga o le tino i le hyperactive, ma mafua ai le tele o fua o le cytokines inflammatory, ma o lenei aʻafiaga e mafai ona paʻu i le tino atoa, ma faʻaalia i ni tiga-pei o faʻailoga ma tulaga, e aofia ai. tiga i tua. Talu ai o le mumū o le tali atu lea a le tino i manu'a poʻo faʻamaʻi pipisi, e aveese ai le mea leaga i le vaega ua afaina ma fesoasoani e faʻamalolo. O lea la, pe a amata ona faʻateleina fua o le cytokines inflammatory ona o le fulafula o le gutu, e mafai ona faʻafefeteina le gut system, faʻatagaina toxins ma siama e ulu atu i le toto ma faimalaga i vaega eseese o le tino, e mafua ai le tiga. I le taimi nei, e mafua ona o mea eseese o le siosiomaga e mafua ai le atinaʻeina o tiga i tua. Pe a amata ona tupu le tiga i tua o siama leaga mai le mumū, e mafai ona latou faʻapipiʻi i latou lava ma afaina ai le intervertebral disc homeostasis, ma mafua ai ona osofaʻia e le tino puipuia le intervertebral disk ma mafua ai le tiga i tua. (Yao et al., 2023) E mafua lenei mea ona o le fesoʻotaʻiga o le gutu ma le tua e ala i ala neura lavelave e auina atu faʻamatalaga mai le gutu i tua ma luga i le faiʻai.
O lea la, pe a amata ona afaina ai le tino, e mafai ona oʻo atu ai i faʻafitauli musculoskeletal pei o le tiga i tua. O le mumū o le gutu e mafai ona mafua ai le le paleni i le va o le tuufaatasiga o le symbiont ma le pathobiont e faʻaitiitia ai le faʻamaoni ma le gaioiga o pa puipui o le intestinal, faʻaosofia le tiga, ma faʻateleina mole mumu. (Ratna et al., 2023) O molelaʻau mumu e mafai ona faʻateleina le faʻafeiloaʻi o le tiga ma le teteʻe o maso, e oʻo atu ai i le faʻalavelave ma le tiga i le pito i lalo. Faʻafuaseʻi, o mea faʻalesiosiomaga e pei o le le lelei o le tuʻu, le malosi o le tino, ma le le lelei o meaʻai masani e mafai ona mafua ai le faʻaogaina o le manava o musele tua. A iai le dysbiosis i le gut microbiota, o aʻafiaga faʻafefe e mafai ona fesoʻotaʻi tuusaʻo ma tiga visceral ma le faʻaogaina o le fatugalemu o le tino e suia ai le tino ma mafua ai ona i ai i se tulaga faifaipea o le mumū faʻasolosolo e faʻaosofia ai le tiga. (Dekker Nitert et al., 2020). Ae ui i lea, o loʻo i ai le tele o togafitiga e le o ni taotoga ma auala faʻapitoa e faʻaitiitia ai le mumū o le gutu ma faʻamalolo ai le tiga i tua.
Tuʻufaʻatasia Electroacupuncture E fai ma Togafitiga
Pe a feagai tagata ma tiga i tua e fesoʻotaʻi ma le mumu o le gutu, o le a latou o i le latou fomaʻi muamua o le soifua maloloina ma faʻamatala le tulaga. Tuuina atu le fesoʻotaʻiga i le va o le fulafula o le gutu ma le tiga i tua, e ala i le faʻatalanoaina o mea tau le siosiomaga e mafua ai nei faʻalavelave faʻalavelave faʻafuaseʻi, e tele fomaʻi e mafai ona galulue faʻatasi ma tagata tomai faʻapitoa e faʻaitiitia ai le afaina o le gutu ma le tiga i tua. O tagata faʻapitoa faʻapitoa e pei o fomaʻi, acupuncturists, ma massage therapists e mafai ona fesoasoani e faʻamalosia maso o loʻo aʻafia e mafua ai le tiga ma tuʻuina atu auala faʻapitoa e pei o vaitamini anti-inflammatory ma mea faaopoopo e faʻaitiitia ai le mumū o le gutu. O se tasi o togafitiga tuai e le o ni taotoga e mafai ona faia uma e lua ole electroacupuncture. O le Electroacupuncture e tu'ufa'atasia ai togafitiga fa'aSaina fa'a-Saina ma fa'aonaponei fa'aonaponei e fa'aogaina ai le fa'aosofiaina o le eletise ma ni nila mafiafia manifinifi e tu'u i totonu o le acupoint o le tino e maua ai le qi po'o le malosi. O le a le mea e fai o le tuʻuina atu lea o le faʻamalosia o le eletise ma aʻafiaga faʻamaʻi e faʻaosofia ai le cholinergic reflexes i le gutu ma le HPA axis. (Yang et al., 2024) E mafai foʻi ona tuʻufaʻatasia le Electroacupuncture ma isi togafitiga e faʻaitiitia ai aʻafiaga inflammatory e fesoʻotaʻi ma tiga i tua.
E Faʻafefea ona Faʻaitiitia e le Electroacupuncture le Fua o le Gut
Talu ai o le electroacupuncture e mafai ona faʻaitiitia ai le afaina o le gutu e mafua ai le tiga i tua, e mafai ona fesoasoani e faʻatonutonu le fuga o le intestinal e ala i le faʻalauiloaina o le gaogao o le intestinal ma poloka ai faʻailoga tiga mai le afaina o maso tua. (An et al., 2022) E mafua ona o le electroacupuncture e mafai ona fesoasoani e faʻamalo ai maso teteʻe e mafua ai le tiga i tua. E le gata i lea, pe a oʻo atu tagata i lenei togafitiga, o loʻo i lalo o le taʻitaʻiga a le acupuncturists sili ona aʻoaʻoina e mafai ona faʻapipiʻi saʻo nila aʻo faʻaogaina le electroacupuncture togafitiga i manaʻoga patino o le tagata ma tiga. Talu ai e mafai ona tuʻufaʻatasia le electroacupuncture ma isi togafitiga, e mafai ona faʻaitiitia lelei le mamafa o le tino ma toe faʻafoʻisia le gaogao ma le faʻaogaina e faʻapipiʻi ai le microbiota gut. (Xia et al., 2022) Ole mea lea e mafai ai e tagata taʻitoʻatasi ona faia ni suiga laiti i a latou masani ma puipuia ai le fulafula o le manava mai le afaina o le tino ma mafua ai le tiga i tua. E mafai ona latou faʻaleleia atili o latou olaga e ala i le tuʻufaʻatasia o le electroacupuncture o se vaega o latou soifua maloloina ma le soifua maloloina.
Tatalaina o mea lilo o le fula-Vitio
mau faasino
An, J., Wang, L., Pese, S., Tian, L., Liu, Q., Mei, M., Li, W., & Liu, S. (2022). E fa'aitiitia le kulukose o le toto e le electroacupuncture e ala i le fa'atonutonuina o fuga o le intestinal i isumu ma'i suka ituaiga 2. J Maʻisuka, 14(10), 695-710. doi.org/10.1111/1753-0407.13323
Dekker Nitert, M., Mousa, A., Barrett, HL, Naderpoor, N., & de Courten, B. (2020). Suia le Gut Microbiota Composition e fesoʻotaʻi ma le tiga i tua i tagata ovata ma le mamafa. Front Endocrinol (Lausanne), 11, 605. doi.org/10.3389/fendo.2020.00605
Ratna, HVK, Jeyaraman, M., Yadav, S., Jeyaraman, N., & Nallakumarasamy, A. (2023). O le Dysbiotic Gut e mafua ai le tiga maualalo i tua? Cureus, 15(7), e42496. doi.org/10.7759/cureus.42496
Xia, X., Xie, Y., Gong, Y., Zhan, M., He, Y., Liang, X., Jin, Y., Yang, Y., & Ding, W. (2022). O le Electroacupuncture na fa'aolaina ai le puipuiga o le intestinal ma lavea'iina le dysbiotic cecal microbiota o isumu lapo'a e maua i mea'ai ga'o. Soifua Sci, 309, 120961. doi.org/10.1016/j.lfs.2022.120961
Yang, Y., Pang, F., Zhou, M., Guo, X., Yang, Y., Qiu, W., Liao, C., Chen, Y., & Tang, C. (2024). Electroacupuncture Faʻaitiitia le Faʻamaʻi Faʻamaʻi i totonu o Mice Obese e ala i le faʻagaoioia o le Nrf2 / HO-1 Alaala Faʻailoga ma Toe Faʻaleleia le Intestinal Barrier. Ma'isuka Metab Syndr Obes, 17, 435-452. doi.org/10.2147/DMSO.S449112
Yao, B., Cai, Y., Wang, W., Deng, J., Zhao, L., Han, Z., & Wan, L. (2023). Le Aʻafiaga o Gut Microbiota i luga o le alualu i luma o le Intervertebral Disc Degeneration. Taotoga Orthopedic, 15(3), 858-867. doi.org/10.1111/os.13626
Mo tagata taʻitoʻatasi o loʻo feagai ma le tiga pito i lalo e mafai ona malamalama i le tino ma le gaioiga o le musele multifidus fesoasoani i le puipuia o manuʻa ma le atinaʻeina o se fuafuaga togafitiga sili ona aoga?
Musele Multifidus
O maso multifidus e umi ma vaapiapi i itu uma e lua o le koluma, lea e fesoasoani e faʻamautu le pito i lalo o le tui poʻo le lumbar spine. (Maryse Fortin, Luciana Gazzi Macedo 2013) O le nofo tele, faʻataʻitaʻiina tulaga le lelei, ma le leai o se gaioiga e mafai ona alualu i luma i le faʻavaivaia o le musele multifidus poʻo le atrophy, lea e mafai ona oʻo atu ai i le le mautonu o le vaʻaia, faʻamalosi o le vertebral, ma le tiga i tua. (Paul W. Hodges, Lieven Danneels 2019)
Anatomy
Ua ta'ua o le vaega loloto, o le vaega pito i totonu lea o vaega maso e tolu o le tua ma pulea le gaioiga o le tui. O isi laulau e lua, ua ta'ua o le totonugalemu ma le papa'u, e nafa ma le pa'u o le thoracic / rib cage ma le gaioiga o tauau. (Anouk Agten et al., 2020) O le multifidus o loʻo i ai mea faʻapipiʻi i:
O le tuasivi o le tua i tua ogatotonu.
Le lumbar spine o le pito i lalo.
O le iliac spine - o le faavae o le ponaivi iliac foliga apaau o le pelvis.
Sacrum - faʻasologa o ponaivi i le pito i lalo o le tui e fesoʻotaʻi ma le ivi siʻusiʻu.
Pe a tu pe gaoioi, e galue le musele multifidus ma le transversus abdominus ma maso fola o le pelvic e faʻamautu ai le lumbar spine. (Christine Lynders 2019)
Gaioiga Musole
O le galuega autu o le faʻamautu lea o le pito i lalo, ae fesoasoani foi e faʻalautele le pito i lalo i soʻo se taimi e oʻo ai pe faʻaloloa. (Jennifer Padwal et al., 2020) Talu ai ona o le maso e tele mea faʻapipiʻi ma o loʻo tautuaina e se lala faʻapitoa o neura e taʻua o le posterior rami, e mafai ai e vetebrata taʻitasi ona galue taʻitoʻatasi ma sili atu ona lelei.
Ole musele multifidus e galue faʻatasi ma isi vaega maso loloto e lua e faʻamautu ma faʻagaoioi le tui. (Jeffrey J Hebert et al., 2015)
O le maso o le rotatores e mafai ai ona fesuia'i le tasi itu, liliu mai lea itu i lea itu, ma faʻalautele faʻalua poʻo le punou i tua ma luma.
O le maso semispinalis i luga aʻe o le multifidus e mafai ai ona faʻalauteleina ma fesuiaʻi o le ulu, ua, ma le pito i luga.
O le musele multifidus e faʻamautinoa le malosi o le vaʻaia aua e tele atu mea faʻapipiʻi i le vaʻa nai lo isi laulau, lea e faʻaitiitia ai le faʻaogaina o le vaʻaia ma le taamilosaga ae faʻateleina le malosi ma le mautu. (Anouk Agten et al., 2020)
Paʻu Lalo Tua
O se musele vaivai multifidus e faʻaleagaina ai le tui ma faʻaitiitia le lagolago i le vetebra. O lenei mea e faʻaopoopoina ai le mamafa i maso ma aano o fesoʻotaʻiga i le va ma le pito i tua o le koluma, faʻateleina le aʻafiaga o faʻamaʻi tiga i tua. (Paul W. Hodges, Lieven Danneels 2019) O le leiloa o le malosi ma le mautu e mafai ona mafua ai le atrophy poʻo le faʻaumatia. E mafai ona mafua ai le fa'amalosi ma isi fa'afitauli tua. (Paul W. Hodges et al., 2015) Faʻafitauli tua e fesoʻotaʻi ma le faʻaleagaina o maso multifidus e aofia ai (Paul W. Hodges, Lieven Danneels 2019)
Herniated disks - fa'apea fo'i fa'apupula pe se'e tisiki.
Neura mailei po'o fa'a'omiga neura pinched.
Sciatica
Fa'asino tiga – tiga neura e afua mai i le tuasivi e lagona i isi vaega.
Osteoarthritis – ma'i gugu
Osteophytes ivi- ponaivi
O maso vaivai o le manava poʻo le pelvic fola e mafai ona faʻafefeteina le totonugalemu, faʻateleina le lamatiaga o le tiga faifai pea o tua ma manuʻa.
E fautuaina tagata taʻitoʻatasi e faʻafesoʻotaʻi se fomaʻi faʻapitoa ma fomaʻi e mafai ona fesoasoani e atiaʻe le talafeagai faiga, fuafuaga toe fa'aleleia, ma le fa'amalosia e fa'atatau i tausaga, manu'a, tulaga fa'avae, ma tomai fa'aletino.
E mafai ona fesoasoani fa'amalositino 'autu i le tiga i tua?
mau faasino
Fortin, M., & Macedo, LG (2013). Multifidus ma le paraspinal muscle vaega faʻasolosolo vaega o tagata mamaʻi e maualalo le tiga i tua ma le puleaina o gasegase: o se iloiloga faʻapitoa ma le taulaʻi i le tauaso. Togafitiga fa'aletino, 93(7), 873–888. doi.org/10.2522/ptj.20120457
Hodges, PW, & Danneels, L. (2019). Suiga i le Faʻatulagaina ma le Galuega o Musele i tua i le maualalo o tiga i tua: Taimi eseese, Mataʻituina, ma Mechanisms. Le Journal of Orthopedic and Sports Physical Therapy, 49(6), 464-476. doi.org/10.2519/jospt.2019.8827
Agten, A., Stevens, S., Verbrugghe, J., Eijnde, BO, Timmermans, A., & Vandenabeele, F. (2020). O le lumbar multifidus o loʻo faʻaalia i le tele o alava maso ituaiga I pe a faʻatusatusa i le erector spinae. Anatomy & cell biology, 53(2), 143–150. doi.org/10.5115/acb.20.009
Lynders C. (2019). O le Matafaioi Mataʻutia o le Atinaʻeina o le Transversus Abdominis i le Puipuia ma le Togafitiga o le Maʻilalo i tua. HSS api talaaga : o le musculoskeletal api talaaga a le Falemai mo Ta'otoga Faapitoa, 15(3), 214–220. doi.org/10.1007/s11420-019-09717-8
Padwal, J., Berry, DB, Hubbard, JC, Zlomislic, V., Allen, RT, Garfin, SR, Ward, SR, & Shahidi, B. (2020). Eseesega faʻaitulagi i le va o le papaʻu ma le loloto lumbar multifidus i tagata mamaʻi faʻamaʻi masani lumbar spine pathology. BMC musculoskeletal disorders, 21(1), 764. doi.org/10.1186/s12891-020-03791-4
Hebert, JJ, Koppenhaver, SL, Teyhen, DS, Walker, BF, & Fritz, JM (2015). Le iloiloga o le lumbar multifidus muscle function e ala i le palpation: faʻamaoni ma le faʻamaonia o se suʻega faʻapitoa fou. O le talaaga o le tui: tusi talaaga aloaia a le North American Spine Society, 15(6), 1196–1202. doi.org/10.1016/j.spinee.2013.08.056
Hodges, PW, James, G., Blomster, L., Hall, L., Schmid, A., Shu, C., Little, C., & Melrose, J. (2015). Suiga Multifidus Muscle Ina ua Ma'ea Tu'u Manu'a E Fa'ailogaina i le Fa'atulagaina o le Muscle, Adipose ma le Tissue Feso'ota'i, ae le o Muscle Atrophy: Molecular and Morphological Evidence. Ivitua, 40(14), 1057–1071. doi.org/10.1097/BRS.0000000000000972
E mafai e tagata taʻitoʻatasi e maualalo le tiga i tua ona faʻaogaina le electroacupuncture togafitiga e faʻaitiitia ai le tiga ma toe faʻafoʻi le gaioiga i o latou tino?
faʻatomuaga
O le tele o tagata i le lalolagi atoa ua feagai ma le maualalo o le tiga i tua mai le tele o mea ma manuʻa faʻaleagaina e mafai ona mafua ai faʻamaʻi tiga-pei o le vaʻa, maso, ligaments, ma aʻa neura. E mafua ona o le tino e alu atu i gaioiga faifaipea e mafua ai maso ma ligaments o loʻo siʻosiʻomia ma fufusi, faʻaleagaina ai aʻa ma mafua ai le tiga. Pe mafai foʻi ona avea ma faʻalavelave faʻaleagaina e aʻafia ai le vaʻaia i totonu o le lumbar e mafai ona faʻaleagaina pe faʻaleagaina e faʻaleagaina ai aʻa o le neura ma taʻitaʻia ai le tiga maualalo. E tusa lava po o le a le taunuuga, o le maualalo o le tiga i tua o se faʻafitauli masani o le musculoskeletal, ma o le toʻatele o tagata e masani ona sailia togafitiga e faʻaitiitia ai ona tiga-pei o aʻafiaga ma fesoasoani i le tele o tagata ia toe faʻaleleia. O le tusiga o aso nei o loʻo suʻesuʻeina ai le mafuaʻaga o le maualalo o le tiga i tua o se faʻafitauli i le lalolagi atoa, pe faʻafefea ona fesoasoani le electroacupuncture e faʻaitiitia, ma pe faʻafefea ona toe maua le gaioiga. Matou te talanoa ma 'au'aunaga fa'afoma'i fa'amaonia o lo'o tu'ufa'atasia fa'amatalaga a matou tagata ma'i ina ia malamalama atili pe aisea ua avea ai le tiga maualalo i tua ma fa'afitauli io latou tino. Matou te logoina foi ma taʻitaʻia tagata mamaʻi i le auala e mafai ai e le electroacupuncture togafitiga ona fesoasoani e faʻaitiitia le tiga i tua ma fesoasoani foi i le toe faʻaleleia o le tino. Matou te faʻamalosia a matou gasegase e fesili atu ia latou fomaʻi fesoʻotaʻi faʻafomaʻi fesili lavelave ma taua e uiga i le faʻaitiitia o le aʻafiaga o le maualalo o le tiga i tua ma suʻe togafitiga eseese e tuʻufaʻatasia. Dr. Jimenez, DC, e aofia ai lenei faʻamatalaga o se auaunaga faʻaleaʻoaʻoga. Tuuese.
Aisea e avea ai le tiga maualalo o le tua ma se mataupu i le lalolagi atoa?
E te lagona le malo o lou tua i lalo pe a uma ona e amoina pe sii se mea mamafa? E te lagona le susulu o le tiga e alu ifo i ou vae? Pe e te lagona le tiga o maso i lou tua i lalo ona o le punou mo se vaitaimi umi? O le tele o nei fa'afitauli e pei o tiga e feso'ota'i ma mea tau si'osi'omaga e mafai ona fa'atupuina ai e le tino le maualalo o le tiga. A oʻo mai i le maualalo o le tiga, o se mataupu faʻale-agaoi-tamaoaiga e aʻafia ai le tele o tagata i le lalolagi atoa, aemaise lava tagata faigaluega. Pe a faia e le toʻatele o tagata gaioiga eseese pe faʻatino galuega, o nei gaioiga e mafai ona faʻagasolo malie le faʻamavaega i le pito i lalo. E mafua ai ona lagona e le tino o loʻo i ai se mea o loʻo faʻaletonu i le pito i lalo ma fausaga taua o le tui, ma faʻaaoga ai isi auala e faʻamautu ai le mautu o le tui. (Hauser et al., 2022)
E le gata i lea, o le tele o faʻailoga maualalo o le tiga e le faʻapitoa, ma o gaioiga o le siiina mamafa, punou, mimilo, ma le tino o le tino atoa o ni mea e lamatia ai galuega e mafua ai le atinaʻeina o tiga maualalo. (Becker & Fafine, 2019) O le mea lea e mafua ai le tele o tagata e maualalo le tiga i tua e feagai ai ma le avega o le misia o galuega poʻo le tuʻuina o le taofi i luga o latou masani i aso taitasi. A tupu lenei mea, e toʻatele tagata e amata ona suʻe togafitiga e faʻaitiitia ai faʻamaoniga e mafua mai i le maualalo o le tiga.
Tatala Fa'amalologa tiga- Vitio
Electroacupuncture mo tiga maualalo tua
A oʻo mai i le faʻaitiitia o le tiga maualalo, e toʻatele tagata o le a alu i togafitiga eseese e faʻamalolo ai le tiga i lalo o latou tua ma a latou faʻailoga e fesoʻotaʻi ai. O le mea lea, o le mea lea e mafai ai e togafitiga e le o ni taotoga e pei o le electroacupuncture ona fesoasoani e faʻaitiitia le tiga pito i lalo ma fesoasoani i pito pito i lalo e toe maua ai le gaioiga. Electroacupuncture o se isi ituaiga o acupuncture e faʻaogaina ai le eletise eletise i luga o le acupoints o le tino e poloka ai faʻailoga tiga. Electroacupuncture ua faʻaaogaina lautele mo faʻafitauli o le musculoskeletal, e aofia ai le maualalo o le tiga i tua, aua na faʻaaogaina e fai ma togafitiga e faʻaitiitia ai le faʻaaogaina o vailaʻau aʻo avea ma filifiliga aoga pe a tuʻufaʻatasia ma isi togafitiga. (Sung et al., 2021)
E le gata i lea, o le electroacupuncture e faia e tagata tomai faapitoa ua aʻoaʻoina ma, pe a faʻaaogaina e togafitia ai le maualalo o tiga i tua, e mafai ai ona faʻaosofia i luga o vaega tetele o le tino o loʻo siomia ai le acupoint e faʻatagaina ai tapulaʻa e aofia ai le malosi, umi, ma taimi e mafai ai e le tiga le nofoaga e fa'ailoa mai e foma'i fa'alesoifua maloloina. (Francescato Torres et al., 2019) E mafai e le electroacupuncture ona fesoasoani e faʻaitiitia le tiga i le pito i lalo ma lagolagoina le tele o tagata taʻitoʻatasi e ala i auala eseese e toe faʻaleleia ai le gaioiga. (Kong, 2020)
Electroacupuncture Toe Fa'afo'isia Gaoioiga
Pe a toe faʻafoʻisia le gaioiga o le tino mai le maualalo o tiga, e mafai e le electroacupuncture ona maua ni aʻafiaga faʻapitoa e ala i le polokaina o faʻailoga o le tiga, mafua ai ona le gaioi le tino, ma faʻatagaina maso e malolo. (Sheng et al., 2021) Electroacupuncture tuʻufaʻatasia ma isi togafitiga e pei o togafitiga faʻale-tino e mafai ona fesoasoani e faʻalautele ma faʻamalosia ai maso ma ligaments o loʻo siomia ai e faʻaitiitia ai le tiga faʻalavelave e aʻafia ai le feʻaveaʻi ma faʻateleina ai le toʻatele o tagata e mafaufau i gaioiga e mafua ai le maualalo o tiga. Pe a amata ona faia e tagata ni suiga laiti pe tetele i lo latou soifua maloloina ma le soifua maloloina, o le a amata ona latou matauina le auala latou te tauaveina ai i latou lava aʻo puipuia ia lava gaioiga faifaipea e mafua ai o latou tua maualalo ma ola maloloina.
mau faasino
Becker, BA, & Tamaititi, MA (2019). Le Fa'apitoa Fa'atiga Maualalo ma Toe Fo'i i le Galuega. American Family Physician, 100(11), 697-703. www.ncbi.nlm.nih.gov/pubmed/31790184
Francescato Torres, S., Brandt de Macedo, AC, Dias Antunes, M., Merllin Batista de Souza, I., Dimitre Rodrigo Pereira Santos, F., de Sousa do Espirito Santo, A., Ribeiro Jacob, F., Torres Cruz, A., de Oliveira Januario, P., & Pasqual Marques, A. (2019). Aafiaga o alaleo electroacupuncture i tiga maualalo maualalo maualalo i tagata matutua matutua: tolu-tauaso, 12-masina faʻasalalauga mo se faʻataʻitaʻiga faʻapitoa. tofotofoga, 20(1), 762. doi.org/10.1186/s13063-019-3813-6
Hauser, RA, Matias, D., Woznica, D., Rawlings, B., & Woldin, BA (2022). Lumbar le mautonu e avea o se mafuaʻaga o le maualalo o tiga i tua ma ona togafitiga e le prolotherapy: O se toe iloiloga. J Toe Fa'aleleia Musculoskelet Tua, 35(4), 701-712. doi.org/10.3233/BMR-210097
Kong, JT (2020). Electroacupuncture mo Togafitiga Fa'ama'i Tu'u Tu'u tiga: Fa'ai'uga Su'esu'ega Muamua. Med Acupunct, 32(6), 396-397. doi.org/10.1089/acu.2020.1495
Sheng, X., Yue, H., Zhang, Q., Chen, D., Qiu, W., Tang, J., Fan, T., Gu, J., Jiang, B., Qiu, M., & Chen, L. (2021). Le aoga o le electroacupuncture i tagata mamaʻi e le manuia le taotoga i tua: suʻesuʻega faʻasalalauga mo se faʻataʻitaʻiga faʻapitoa. tofotofoga, 22(1), 702. doi.org/10.1186/s13063-021-05652-4
Sung, WS, Paka, JR, Paka, K., Youn, I., Yeum, HW, Kim, S., Choi, J., Cho, Y., Hong, Y., Park, Y., Kim, EJ , & Nam, D. (2021). Le aoga ma le saogalemu o le electroacupuncture mo tiga maualalo maualalo maualalo maualalo: O se faʻasalalauga mo iloiloga faʻapitoa ma / poʻo meta-suʻesuʻega. Fomai (Baltimore), 100(4), e24281. doi.org/10.1097/MD.0000000000024281
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