Tu'u Falema'i Tula'au tumama. O le vaʻalaʻau o le fale puipui mo le tino o le tino, o se tino malosi e puleaina ai galuega uma i totonu o le tino o le tagata. E taʻu atu e lou tino le manava, taʻu atu lou loto e tuʻituʻi, taʻu ou lima ma vae e te alu, taʻu i lou tino pe afea ma pe faʻapefea ona maua ni fou fou ma ei ai foi le mana e pulea ai le faamalologa. O se uaea ua faaleagaina pe le faʻaaogaina e mafai ona faʻalavelave tele i faʻamaumauga e masani ona tuʻuina atu e ala i le tino, ma iu ai ina mafua ai le tiga o le tino, faʻaletonu o le loto ma le maumau o le tele o galuega i aso taitasi tatou te le amanaiaina.
Ole tumama ole tui e matua taua tele, ae o le 89 pasene o le faitau aofaʻi o le lalolagi e le o iloa le taua o le tausisia o le faʻaogaina lelei o le vetebrae e ala i le fetuunaiga ole chiropractic, faʻapea foʻi ma le puipuia o le tui mai manuʻa e ala i le ola maloloina. Nai lo lea, tatou te tuulafoaʻia o tatou ivi. I le avea ai ma tamaiti tatou te amataina o tatou olaga i le pa'u ma malaga e faʻafefe ai o tatou tui, tatou te tuputupu aʻe ma avea ma tagata matutua e le lelei le tu, tatou te siiina mea e mamafa tele, tatou te amoina ato tua, ma tatou mafatia i manuʻa e ala i faalavelave tau taavale, aafiaga o taaloga ma le atuatuvale.
Saili i le tulaga o le soifua maloloina o le lumanai-aso nei. Auai i le faatupulaia o pasene o le faitau aofaʻi o loʻo fiafia tele i le soifua maloloina ma le soifua maloloina e ala i le tausiga masani o latou tui. Talanoa i lau chiropractor i aso nei e uiga i auala e mafai ona e faʻaleleia atili ai lou tumamā.
For individuals who have exhausted all other treatment options for low back pain and nerve root compression, can laser spine surgery help alleviate nerve compression and provide long-lasting pain relief?
Laser Spine Surgery
Laser spine surgery is a minimally invasive surgical procedure that uses a laser to cut through and remove spinal structures that are compressing nerves and causing intense pain. The minimally invasive procedure often results in less pain, tissue damage, and faster recovery than more extensive surgeries.
Faapefea E Galuega
Minimally invasive procedures result in less scarring and damage to surrounding structures, often reducing pain symptoms and a shorter recovery time. (Stern, J. 2009) Small incisions are made to access spinal column structures. With open-back surgery, a large incision is made down the back to access the spine. The surgery differs from other surgeries in that a laser beam, rather than other surgical instruments, is used to cut structures in the spine. However, the initial incision through the skin is made with a surgical scalpel. Laser is an acronym for Light Amplification Stimulated by Emission of Radiation. A laser can generate intense heat to cut through soft tissues, especially those with a high water content, like spinal column discs. (Stern, J. 2009) For many spine surgeries, the laser cannot be used to cut through bone as it generates instant sparks that can damage surrounding structures. Rather, laser spine surgery is primarily used to perform a discectomy, which is a surgical technique that removes a portion of a bulging or herniated disc that is pushing against the surrounding nerve roots, causing nerve compression and sciatic pain. (Stern, J. 2009)
Tulaga Mata'utia o Ta'otoga
Laser spine surgery may help resolve the cause of nerve root compression, but there is an increased risk of damage to nearby structures. Associated risks include: (Brouwer, P. A. et al., 2015)
Faʻafitauli
Faʻafefe
Tui toto
Remaining symptoms
Returning symptoms
Further nerve damage
Damage to the membrane around the spinal cord.
Manaomia mo taotoga faaopoopo
A laser beam is not precise like other surgical tools and requires practiced mastery and control to avoid damage to the spinal cord and nerve roots. (Stern, J. 2009) Because lasers cannot cut through bone, other surgical instruments are often used around corners and at different angles because they are more efficient and allow greater accuracy. (Atlantic Brain and Spine, 2022)
faʻamoemoe
Laser spine surgery is performed to remove structures that are causing nerve root compression. Nerve root compression is associated with the following conditions (Falemai Cleveland. 2018)
Pusa faʻapipiʻi
Faiga faʻamaʻi
Sciatica
Laʻau faʻapitoa
Spinal cord tumama
Nerve roots that are injured or damaged and constantly send chronic pain signals can be ablated with laser surgery, known as nerve ablation. The laser burns and destroys the nerve fibers. (Stern, J. 2009) Because laser spine surgery is limited in treating certain spinal disorders, most minimally invasive spine procedures do not use a laser. (Atlantic Brain and Spine. 2022)
Sauniuniga
The surgical team will provide more detailed instructions on what to do in the days and hours before surgery. To promote optimal healing and a smooth recovery, it is recommended that the patient stay active, eat a healthy diet, and stop smoking prior to the operation. Individuals may need to stop taking certain medications to prevent excess bleeding or interaction with anesthesia during the operation. Inform the healthcare provider about all prescriptions, over-the-counter drugs, and supplements being taken.
Laser spine surgery is an outpatient procedure at a hospital or outpatient surgical center. The patient will likely go home on the same day of the operation. (Falemai Cleveland. 2018) Patients cannot drive to or from the hospital before or after their surgery, so arrange for family or friends to provide transportation. Minimizing stress and prioritizing healthy mental and emotional well-being is important to lowering inflammation and aiding recovery. The healthier the patient goes into surgery, the easier the recovery and rehabilitation will be.
Faamoemoega
The surgery will be decided by the patient and healthcare provider and scheduled at a hospital or outpatient surgical center. Arrange for a friend or family member to drive to the surgery and home.
A'o le'i Ta'otoga
The patient will be taken to a pre-operative room and asked to change into a gown.
The patient will undergo a brief physical examination and answer questions about medical history.
The patient lies on a hospital bed, and a nurse inserts an IV to deliver medication and fluids.
The surgical team will use the hospital bed to transport the patient in and out of the operating room.
The surgical team will assist the patient in getting onto the operating table, and the patient will be administered anesthesia.
The patient may receive vai faagase lautele, which will cause the patient to sleep for the surgery, or regional anesthesia, injected into the spine to numb the affected area. (Falemai Cleveland. 2018)
The surgical team will sterilize the skin where the incision will be made.
An antiseptic solution will be used to kill bacteria and prevent the risk of infection.
Once sanitized, the body will be covered with sterilized linens to keep the surgical site clean.
Ile Ta'otoga
For a discectomy, the surgeon will make a small incision less than one inch in length with a scalpel along the spine to access the nerve roots.
A surgical tool called an endoscope is a camera inserted into the incision to view the spine. (Brouwer, P. A. et al., 2015)
Once the problematic disc portion causing the compression is located, the laser is inserted to cut through it.
The cut disc portion is removed, and the incision site is sutured.
A maeʻa le taotoga
After surgery, the patient is brought to a recovery room, where vital signs are monitored as the effects of the anesthesia wear off.
Once stabilized, the patient can usually go home one or two hours after the operation.
The surgeon will determine when the individual is clear to resume driving.
le toe faaleleia
Following a discectomy, the individual can return to work within a few days to a few weeks, depending on the severity, but it can take up to three months to return to normal activities. Length of recovery can range from two to four weeks or less to resume a sedentary job or eight to 12 weeks for a more physically demanding job that requires heavy lifting. (University of Wisconsin School of Medicine and Public Health, 2021) During the first two weeks, the patient will be given restrictions to facilitate the spine’s healing until it becomes more stable. Restrictions can include: (University of Wisconsin School of Medicine and Public Health, 2021)
No bending, twisting, or lifting.
No strenuous physical activity, including exercise, housework, yard work, and sex.
No alcohol in the initial stage of recovery or while taking narcotic pain medications.
No driving or operating a motor vehicle until discussed with the surgeon.
The healthcare provider may recommend togafitiga faaletino to relax, strengthen, and maintain musculoskeletal health. Physical therapy may be two to three times weekly for four to six weeks.
faagasologa
Optimal recovery recommendations include:
Getting enough sleep, at least seven to eight hours.
Maintaining a positive attitude and learning how to cope and manage stress.
Maintaining body hydration.
Following the exercise program as prescribed by the physical therapist.
Practicing healthy posture with sitting, standing, walking, and sleeping.
Staying active and limiting the amount of time spent sitting. Try to get up and walk every one to two hours during the day to stay active and prevent blood clots. Gradually increase the amount of time or distance as recovery progresses.
Do not push to do too much too soon. Overexertion can increase pain and delay recovery.
Learning correct lifting techniques to utilize the core and leg muscles to prevent increased pressure on the spine.
Discuss treatment options for managing symptoms with a healthcare provider or specialist to determine if laser spine surgery is appropriate. Injury Medical Chiropractic and Functional Medicine Clinic care plans and clinical services are specialized and focused on injuries and the complete recovery process. Dr. Jimenez has teamed with the top surgeons, clinical specialists, medical researchers, therapists, trainers, and premiere rehabilitation providers. We focus on restoring normal body functions after trauma and soft tissue injuries using Specialized Chiropractic Protocols, Wellness Programs, Functional and integrative Nutrition, Agility and mobility Fitness Training, and Rehabilitation Systems for all ages. 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.
Brouwer, P. A., Brand, R., van den Akker-van Marle, M. E., Jacobs, W. C., Schenk, B., van den Berg-Huijsmans, A. A., Koes, B. W., van Buchem, M. A., Arts, M. P., & Peul, W. C. (2015). Percutaneous laser disc decompression versus conventional microdiscectomy in sciatica: a randomized controlled trial. The spine journal : official journal of the North American Spine Society, 15(5), 857–865. doi.org/10.1016/j.spinee.2015.01.020
University of Wisconsin School of Medicine and Public Health. (2021). Home Care Instructions after Lumbar Laminectomy, Decompression or Discectomy Surgery. patient.uwhealth.org/healthfacts/4466
Mo tagata taʻitoʻatasi o loʻo feagai ma tiga ma faʻafitauli, pe mafai e le iloa pe faʻafefea ona faʻaleleia ma tausia le soifua maloloina o le intervertebral disc e fesoasoani e faʻaitiitia ai faʻamaoniga?
Soifua Maloloina Intervertebral Disc
O le koluma ivi e 24 ponaivi feavea'i ma ponaivi e 33 e ta'ua o le vetebrae. O ponaivi vertebral e faaputu i luga o le tasi ma le isi. O le intervertebral disc o le mea faʻapipiʻi i le va o ponaivi lata ane. (Dartmouth. 2008)
Bones
O ponaivi o le vetebral e laiti ma lapotopoto i se vaega e ta'ua o le tino vetebral. O le pito i tua o lo'o i ai se mama ponaivi lea e fa'asolo mai ai fa'aoso ma fa'atupu fa'ailoga ma ala. O fausaga taʻitasi e tasi pe sili atu faʻamoemoega ma e aofia ai: (Waxenbaum JA, Reddy V, Williams C, et al., 2023)
Fa'amautu le tuasivi.
Tuuina atu se avanoa mo le aano fesoʻotaʻi ma maso tua e faʻapipiʻi ai.
Tuuina atu o se alavai e ui atu mama ai le taula'au.
Tuuina atu se avanoa e alu ese ai neura ma lala i vaega uma o le tino.
faatulagaga
O le intervertebral disc o le aluga lea e nofo i le va o le vetebra. O le mamanu o le tui e mafai ai ona gaoioi i itu eseese:
Fu'u po'o le punou
Fa'aopoopoga po'o le fa'ailoga
Fa'ase'e ma feliuliua'i po'o le milo.
O malosiaga malolosi e fa'agaoioi ma fa'aaafia le koluma ivi e fa'atino ai nei gaioiga. O le intervertebral disc e mitiia le te'i i le taimi o gaioiga ma puipuia le vetebrae ma le va'ai mai manu'a ma/po'o manu'a.
Malosiaga
I fafo, o alava lalaga malosi e fausia ai se vaega e taʻua o le annulus fibrosis. O le annulus fibrosis o loʻo i ai ma puipuia le vailaʻau gel vaivai i le ogatotonu, o le nucleus pulposus. (YS Nosikova et al., 2012) O le nucleus pulposis e maua ai le faʻalavelave faʻafuaseʻi, fetuutuunai, ma pliability, aemaise lava i lalo o le mamafa i le taimi o gaioiga o le tui.
Mechanics
O le nucleus pulposus o se mea gel vaivai o loʻo i totonu o le ogatotonu o le tisiketi e faʻatagaina ai le elasticity ma le fetuutuunai i lalo o le faʻamalosi malosi e faʻafefe ai le faʻamalosi. (Nedresky D, Reddy V, Singh G. 2024) O le gaioiga faʻafefete e suia ai le faʻasaga ma le taamilosaga o le vetebra i luga ma lalo, puipuia ai aʻafiaga o le gaioiga o le ivi. O tisiketi e taamilo e tali atu i le itu e gaoioi ai le tui. O le nucleus pulposus e tele lava ina faia i le vai, lea e alu i totonu ma fafo e ala i pu laiti, e fai ma ala i le va o le vebrabra ma le ponaivi tisiketi. Tulaga o le tino e utaina ai le tuasivi, e pei o le nofo ma le tu, tulei le vai mai le disk. O le taoto i tua po'o le tu'u fa'alava e fa'afaigofie ai le toe fa'afo'isia o le vai i totonu o le disk. A o faasolo ina matutua le tino, e leai se vai o tisiki/faʻamago, e oʻo atu i le faʻaleagaina o tisiketi. O le intervertebral disc e leai se sapalai toto, o lona uiga mo se tisiketi e maua ai meaʻai talafeagai ma mo le aveeseina o otaota, e tatau ona faʻalagolago i le tafe o le vai e tumau ai le soifua maloloina.
tausiga
O nisi o auala e tausia ai le soifua maloloina o le intervertebral disc e aofia ai:
Fa'alogo lelei i le tu'u.
Suia soo tulaga i le aso atoa.
Fa'amalositino ma fealua'i solo.
Fa'aoga sa'o fa'ainisinia o le tino i gaioiga fa'aletino.
Moe i luga o se fa'amoe lagolago.
Fainu le tele o vai.
Taumafa maloloina.
Faatumauina o se maloloina maloloina.
Inuina le ava malosi i se tulaga talafeagai.
Taofi le ulaula tapaa.
I le Injury Medical Chiropractic and Functional Medicine Clinic, matou te togafitia manuʻa ma faʻamaʻi tiga masani e ala i le faʻaleleia o le gafatia o se tagata e ala i le fetuutuunai, feʻaveaʻi, ma polokalame faʻamalosi e faʻafetaui mo vaitausaga uma ma le le atoatoa. O la matou 'au fa'afoma'i, fuafuaga tau tausiga, ma 'au'aunaga fa'afoma'i e fa'apitoa ma taula'i atu i manu'a ma le faagasologa atoa o le toe fa'aleleia. O a matou vaega o faʻataʻitaʻiga e aofia ai le Wellness & Nutrition, Acupuncture, Chronic Pain, Personal Manua, Taʻavale Faʻafuaseʻi Tausiga, Manuʻa Galuega, Manuʻa i tua, Maʻalalo I tua tiga, tiga o le ua, Ulu o Migraine, Manuʻa Taʻaloga, Sciatica ogaoga, Scoliosis, Faʻalavelave Herniated Discs, Fibromyalgia , Fa'ama'i Fa'atiga, Manu'a Lavelave, Pule'aga Fa'atiga, Togafitiga Fa'afoma'i Fa'atino, ma fa'atonuga o le tausiga i totonu. Afai e manaʻomia nisi togafitiga, o le a tuʻuina atu tagata taʻitoʻatasi i se falemaʻi poʻo se fomaʻi e sili ona fetaui ma o latou manuʻa, tulaga, ma / poʻo maʻi.
I tua atu o le Laugata: Malamalama i Aafiaga o Manu'a Tagata Lava Ia
mau faasino
Dartmouth Ronan O'Rahilly, MD. (2008). Fa'avae Fa'aletagata. Mataupu 39: O le koluma vertebral. I le D. Rand Swenson, MD, PhD (Ed.), ANATOMI FAʻAAVAE O LE TAGATA A SE suʻesuʻega faʻaitulagi o le faʻatulagaina o tagata. WB Saunders. humananatomy.host.dartmouth.edu/BHA/public_html/part_7/chapter_39.html
Waxenbaum, JA, Reddy, V., Williams, C., & Futterman, B. (2024). Anatomy, Tua, Lumbar Vertebrae. I le StatPearls. www.ncbi.nlm.nih.gov/pubmed/29083618
Nosikova, YS, Santerre, JP, Grynpas, M., Gibson, G., & Kandel, RA (2012). Faʻamatalaga o le annulus fibrosus-vertebral body interface: faʻailoaina o foliga fou. Journal of Anatomy, 221(6), 577–589. doi.org/10.1111/j.1469-7580.2012.01537.x
E mafai e tagata taʻitoʻatasi o loʻo i ai le hypermobility soʻotaga ona maua se mapusaga e ala i togafitiga e le faʻapitoa i le faʻaitiitia o tiga ma le toe faʻaleleia o le tino?
faʻatomuaga
Pe a faʻagaoioi e se tagata o latou tino, o maso o loʻo siomia ai, sooga, ma ligaments e tuʻufaʻatasia i galuega eseese e mafai ai ona latou faʻaloaloa ma fetuutuunai e aunoa ma se tiga poʻo se faʻalavelave. O le tele o gaioiga fai soo e mafai ai e le tagata ona faʻaauau a latou masani. Ae peitaʻi, pe a faʻaloloa sooga, maso, ma ligaments nai lo le masani ile pito i luga ma pito i lalo e aunoa ma se tiga, e taʻua o le hypermobility faʻatasi. O lenei ma'i feso'ota'iga e mafai ona feso'ota'i ma isi fa'ailoga e a'afia ai le tino ma mafua ai le tele o tagata e su'e togafitiga e fa'atautaia ai fa'ailoga o le hypermobility fa'atasi. I le tusiga o aso nei, o le a tatou vaʻavaʻai i le hypermobility soʻotaga ma pe faʻafefea ona fesoasoani togafitiga eseese e le o ni taotoga e faʻaitiitia ai le tiga e mafua mai i le hypermobility sooga ma toe faʻaleleia le tino. Matou te talanoa ma foma'i fa'amaonia e tu'ufa'atasia fa'amatalaga a matou ma'i e iloilo pe fa'afefea ona feso'ota'i o latou tiga ma le hypermobility fa'atasi. Matou te logoina ma taʻitaʻia tagata mamaʻi pe faʻafefea ona fesoasoani le tuʻufaʻatasia o togafitiga eseese e le o ni taotoga e faʻaleleia ai galuega faʻatasi aʻo pulea faʻamaoniga e fesoʻotaʻi. Matou te faʻamalosia a matou gasegase e fesili atu ia latou fomaʻi fesoʻotaʻi ma fesili faʻapitoa ma malamalama e uiga i le tuʻufaʻatasia o togafitiga e le o ni taotoga e avea o se vaega o latou masani e faʻaitiitia ai le tiga ma le faʻavauvau mai le hypermobility soofaatasi. Dr. Jimenez, DC, e aofia ai lenei faʻamatalaga o se auaunaga faʻaleaʻoaʻoga. Tuuese.
O le a le mea e ta'u o le So'otaga Feso'ota'i?
Pe masani ona e lagona ua lokaina ou sooga i ou lima, tapulima, tulivae, ma tulilima? E te oo i le tiga ma le vaivai i ou ponaivi pe a lagona e lou tino le vaivai i taimi uma? Pe a fa'aloaloa ou vae, pe e fa'aloaloa mamao atu nai lo le masani e lagona ai le toomaga? O le tele o nei fa'aaliga 'ese'ese e masani ona feso'ota'i ma tagata ta'ito'atasi o lo'o feagai ma le hypermobility fa'atasi. O le hypermobility fa'atasi o se fa'ama'i tu'ufa'atasi ma fa'asologa o le autosomal e fa'aalia ai le hyperlaxity fa'atasi ma le tiga musculoskeletal i totonu o le tino. (Carbonell-Bobadilla et al., 2020) O lenei tulaga faʻafesoʻotaʻi e masani ona fesoʻotaʻi ma le fetuutuunaʻi o mea fesoʻotaʻi e pei o ligaments ma tendons i le tino. O se fa'ata'ita'iga pe afai o lo'o pa'i le limamatua o le tagata i lona lima i totonu e aunoa ma le lagona o le tiga po'o le fa'anoanoa, o lo'o i ai le gaioioiga sooga. E le gata i lea, o le tele o tagata e feagai ma le hypermobility soofaatasi e masani lava ona i ai se faʻamaʻi faigata ona o le a latou atiaʻe le paʻu ma aano o le tino i le aluga o taimi, ma mafua ai faʻafitauli musculoskeletal. (Tofts et al., 2023)
Pe a feagai tagata taʻitoʻatasi ma le gaioioiga soofaatasi i le aluga o taimi, o le toʻatele e masani ona iai faʻamaoniga o le hypermobility soʻotaga. O le a fa'aalia ai fa'ailoga musculoskeletal ma fa'aletino e fa'aalia ai fa'aletonu o le skeletal, fa'aletonu o le tino ma le pa'u, ma le eseesega o le fausaga o le tino. (Nicholson et al., 2022) O nisi o fa'ailoga e fa'aalia ai le hypermobility sooga i se su'esu'ega e aofia ai:
Tiga musele ma le malo o sooga
Kiliki sooga
Vaivai
Faʻamatalaga faʻaoga
Paleni mataupu
O le mea e laki ai, o lo'o i ai togafitiga eseese e mafai e le to'atele o tagata ona fa'aoga e fesoasoani ai e toe fa'amalosia maso o lo'o siomia ai so'oga ma fa'aitiitia ai fa'amaoniga e mafua mai i le hypermobility fa'atasi.
Movement As Medicine-Video
Togafitiga Fa'ate'a Fa'agata Mo So'o Fa'atasi
Pe a feagai ma le hypermobility soofaatasi, e toatele tagata e manaʻomia le sailia o togafitiga e faʻaitiitia ai le faʻatusatusaina o faʻailoga e pei o le tiga o le hypermobility sooga faʻatasi ma fesoasoani e faʻamalolo pito o le tino aʻo toe faʻaleleia le gaioiga. O nisi o togafitiga sili ona lelei mo soʻotaga hypermobility o togafitiga e le o ni taotoga e le afaina, agamalu i sooga ma maso, ma taugofie. E mafai ona fa'atulagaina togafitiga eseese e le o ni ta'otoga mo le tagata e fa'atatau i le ogaoga o latou gaioioiga fa'atasi ma fa'ama'i pipisi e a'afia ai le tino o le tagata. O togafitiga e le o ni taotoga e mafai ona faʻamalolo ai le tino mai le hypermobility faʻatasi e ala i le togafitia o mafuaʻaga o le tiga e ala i le faʻaitiitia ma le faʻateleina o le gafatia galue ma toe faʻaleleia le lelei o le olaga o se tagata. (Atwell et al., 2021) O togafitiga e le o ni taotoga e tolu e sili ona lelei mo le faʻaitiitia o le tiga mai le hypermobility faʻatasi ma fesoasoani e faʻamalosia maso o loʻo siomia ai o loʻo i lalo.
Chiropractic Care
Chiropractic e faʻaaogaina le togafiti faʻamaʻi ma fesoasoani e toe faʻafoʻisia le gaioiga faʻatasi i totonu o le tino e faʻaitiitia ai aʻafiaga o le hypermobility faʻatasi e ala i le faʻamautuina o sooga ua aʻafia mai le hypermobile extremities. (Boudreau et al., 2020) Chiropractors faʻapipiʻi faʻaogaina masini ma tusi lesona ma auala eseese e fesoasoani ai i le tele o tagata e faʻaleleia o latou tulaga e ala i le mafaufau atili i o latou tino ma galulue faʻatasi ma le tele o isi togafitiga e faʻamalosia ai gaioiga faʻatonutonu. Faatasi ai ma isi faʻalavelave faʻapitoa e fesoʻotaʻi ma le hypermobility faʻatasi, e pei o le tua ma le tiga o le ua, o le togafitiga o le chiropractic e mafai ona faʻaitiitia ai nei faʻamaʻi faʻamaʻi ma mafai ai e le tagata ona toe maua le lelei o le olaga.
akupunika
O le isi togafitiga e le o se taotoga e mafai e le toʻatele o tagata ona tuʻufaʻatasia e faʻaitiitia ai le hypermobility faʻatasi ma ona faʻalavelave faʻapitoa o le acupuncture. O le acupuncture e fa'aaogaina ni nila laiti, manifinifi, malō e fa'aoga e le acupuncturists e poloka ai fa'ama'i tiga ma toe fa'afo'i le malosi o le tino. Pe a feagai le tele o tagata ma le hypermobility sooga, o latou pito i vae, lima, ma vae o loʻo tiga i le aluga o taimi, e mafai ona mafua ai le le mautonu o le tino. O le a le acupuncture e fesoasoani e faʻaitiitia ai le tiga e mafua mai i le hypermobility faʻatasi e fesoʻotaʻi ma pito ma toe faʻafoʻisia paleni ma galuega i le tino (Luan et al., 2023). O lona uiga afai o loʻo feagai le tagata ma le malo ma le tiga o maso mai le hypermobility sooga, e mafai e le acupuncture ona fesoasoani e toe faʻaleleia le tiga e ala i le tuʻuina o nila i le acupoints o le tino e maua ai le toomaga.
Faaletino Faaletino
Togafitiga faʻaletino o le togafitiga mulimuli e le o se taotoga e mafai e le toʻatele o tagata ona tuʻufaʻatasia i a latou masani i aso uma. O togafitiga faʻale-tino e mafai ona fesoasoani i le puleaina o le hypermobility sooga faʻatasi e faʻafetaui e fesoasoani e faʻamalosia maso vaivai o loʻo siomia ai sooga o loʻo aʻafia, faʻaleleia atili le mautu o se tagata ma fesoasoani e faʻaitiitia le lamatiaga o le maʻi. E le gata i lea, o le toʻatele o tagata e mafai ona faʻaogaina faʻamalositino maualalo e faʻamautinoa ai le pulea lelei o le afi pe a fai faʻamalositino masani e aunoa ma le tuʻuina atu o le mamafa tele i sooga. (Russek et al., 2022)
E ala i le tuʻufaʻatasia o nei togafitiga e tolu e le o ni taotoga e avea o se vaega o se togafitiga faʻapitoa mo le hypermobility faʻatasi, e toʻatele tagata o le a amata ona lagona se eseesega i la latou paleni. O le a latou le oʻo i le tiga faʻatasi e ala i le sili atu ona mafaufau i le tino ma faʻapipiʻi suiga laiti ia latou masani. E ui lava o le ola faʻatasi ma le hypermobility faʻatasi e mafai ona avea ma luʻitau mo le tele o tagata, e ala i le tuʻufaʻatasia ma le faʻaaogaina o le tuʻufaʻatasiga saʻo o togafitiga e le o ni taotoga, e mafai e le toʻatele ona amata ona taʻitaʻia olaga olaola ma faʻamalieina.
mau faasino
Atwell, K., Michael, W., Dubey, J., James, S., Martonffy, A., Anderson, S., Rudin, N., & Schrager, S. (2021). Su'esu'ega ma le Puleaina o Fa'aletonu o Alaleo Ole Hypermobility ile Tausiga Tulaga Muamua. Komiti Faatino J Med Fam, 34(4), 838-848. doi.org/10.3122/jabfm.2021.04.200374
Boudreau, PA, Steiman, I., & Mior, S. (2020). Pulea fa'afoma'i ole ma'i o le hypermobility so'o fa'atasi: se fa'asologa o mataupu. J Can Chiropr Assoc, 64(1), 43-54. www.ncbi.nlm.nih.gov/pubmed/32476667
Carbonell-Bobadilla, N., Rodriguez-Alvarez, AA, Rojas-Garcia, G., Barragan-Garfias, JA, Orrantia-Vertiz, M., & Rodriguez-Romo, R. (2020). [Ma'i o le hypermobility fa'atasi]. Acta Ortop Mex, 34(6), 441-449. www.ncbi.nlm.nih.gov/pubmed/34020527 (Sindrome de hipermovilidad articular.)
Luan, L., Zhu, M., Adams, R., Witchalls, J., Pranata, A., & Han, J. (2023). O aʻafiaga o le acupuncture poʻo togafitiga faʻapena tutusa i luga o le tiga, proprioception, paleni, ma le lipoti a le tagata lava ia i tagata taʻitoʻatasi o loʻo i ai le faʻaletonu tapuvae masani: O se iloiloga faʻapitoa ma faʻataʻitaʻiga. Fa'aopoopo Ther Med, 77, 102983. doi.org/10.1016/j.ctim.2023.102983
Nicholson, LL, Simmonds, J., Pacey, V., De Wandele, I., Rombaut, L., Williams, CM, & Chan, C. (2022). Va'aiga Fa'ava-o-malo i luga ole Feso'ota'iga Tu'ufa'atasi: O se Fa'asologa o Fa'asaienisi o lo'o i ai nei e ta'ita'ia ai Fa'atonuga Falema'i ma Su'esu'ega. J Clin Rheumatol, 28(6), 314-320. doi.org/10.1097/RHU.0000000000001864
Russek, LN, Block, NP, Byrne, E., Chalela, S., Chan, C., Comerford, M., Frost, N., Hennessey, S., McCarthy, A., Nicholson, LL, Parry, J ., Simmonds, J., Stott, PJ, Thomas, L., Treleaven, J., Wagner, W., & Hakim, A. (2022). Fa'aaliga ma togafitiga fa'aletino o le fa'aletonu o le tino pito i luga i tagata mama'i ma fa'ama'i fa'amasani fa'atasi fa'atasi: Fautuaga fa'apitoa fa'avaomalo. Med Front (Lausanne), 9, 1072764. doi.org/10.3389/fmed.2022.1072764
Tofts, LJ, Simmonds, J., Schwartz, SB, Richheimer, RM, O'Connor, C., Elias, E., Engelbert, R., Cleary, K., Tinkle, BT, Kline, AD, Hakim, AJ , van Rossum, MAJ, & Pacey, V. (2023). Pediatric joint hypermobility: o se faʻataʻitaʻiga faʻapitoa ma faʻamatalaga faʻamatalaga. Orphanet J Rare Dis, 18(1), 104. doi.org/10.1186/s13023-023-02717-2
Mo tagata taʻitoʻatasi o loʻo vaʻavaʻai e faʻaleleia lo latou soifua maloloina, pe mafai e le malamalama i le tino o le intervertebral foramen ona fesoasoani i le toe faʻaleleia ma le puipuia o manuʻa?
Fa'alava'au fa'atasi
Ole va'aiga ole va'aiga ole va'aiga, aka neural foramen, o le avanoa lea i le va o le vetebra e feso'ota'i ai a'a neura ivi ma alu atu i isi vaega o le tino. Afai e vaapiapi le foramina, e mafai ona fa'aopoopoina le mamafa i a'a neura e lata ane ma fa'ata'amilo, e mafua ai fa'ailoga tiga ma lagona. E taʻua lenei mea o le neuroforaminal stenosis. (Sumihisa Orita et al., 2016)
Anatomy
O le vetebrae e aofia ai le koluma ivitū.
Latou te puipuia ma lagolagoina le taulaʻau ma le tele o le mamafa e tuʻuina i luga o le tui.
O le foramen o le foliga tasi, ma o le foramen o le numera tele.
faatulagaga
O le tino o le vaega lapotopoto tele o le ponaivi e fai a'e ai vebrata taitasi.
O le tino o vetebra ta'itasi e pipii i se mama ivi.
E mafai ona tupu le fa'ama'i i totonu o le va'a, e ta'ua o le va'a tutotonu, ma le fa'ama'i.
O le tiga e mafua mai i le neuroforaminal spinal stenosis ma le tupu a'e o le ponaivi e a'afia i le gugu/ponaivi ponaivi/osteophytes o lo'o iai i le tasi po'o le sili atu fo'i o lo'o olo i le a'a neura e ui atu i le avanoa, ma mafua ai le tiga.
O tiga e fa'atasi ma isi lagona, e pei o le tingling po'o le numbness, ua ta'ua o le radiculopathy. (Young Kook Choi, 2019)
O le fa'ailoga autu o le tiga.
O le numbness ma/po'o le tingling e mafai ona fa'atatau ile manu'a.
O le neurogenic claudication e tupu ona o le ischemia poʻo le le lava o le toto i neura ma e masani ona maua i le mamafa o vae.
E masani ona fesoʻotaʻi ma le faʻamaʻi tutotonu nai lo le faʻamaʻi faʻamaʻi.
O le to'atele o tagata e maua i le fa'ama'i tu'ulafoa'i e sili atu le lagona pe a fa'amalosi pe punou i luma ma sili atu le leaga pe a fa'aofuofu o latou tua.
Ole togafitiga ole Stenosis ole fa'amoemoe e fa'amama ai le tiga ma puipuia ai fa'a'ailoga neura mai le tupu pe fa'ateteleina. O togafitiga fa'asao e fautuaina ma e mafai ona aoga tele.
Nei e aofia ai:
Myelopathy i le ua ma / poʻo le pito i luga poʻo le ogatotonu o tua (o faʻamaoniga o le myelopathy e fesoʻotaʻi i le vaʻa ma e tupu ile vaʻa tutotonu) (Falemai Cleveland. 2021)
tiga tiga matuitui
O metotia tipitipi eseese e aofia ai:
Decompression laminectomy - e aofia ai le aveeseina o le ponaivi i le alavai.
Fusi fa'aitula'au - pe a iai le le mautu o le tuasivi po'o le ogaoga o le fa'ama'i.
Orita, S., Inage, K., Eguchi, Y., Kubota, G., Aoki, Y., Nakamura, J., Matsuura, Y., Furuya, T., Koda, M., & Ohtori, S. (2016). Lumbar foraminal stenosis, le natia natia e aofia ai i le L5 / S1. Tusitala Europa o taotoga faʻapitoa & traumatology : faʻamaʻi traumatologie, 26(7), 685-693. doi.org/10.1007/s00590-016-1806-7
Choi YK (2019). Lumbar foraminal neuropathy: o se faʻafouga ile pulega e le o ni taotoga. Le tusi talaaga Korea o tiga, 32(3), 147–159. doi.org/10.3344/kjp.2019.32.3.147
Lee, SY, Kim, TH, Oh, JK, Lee, SJ, & Park, MS (2015). Lumbar Stenosis: O se fa'afouga lata mai e ala i Iloiloga o Tusiga. Tula'au talatala a Asia, 9(5), 818–828. doi.org/10.4184/asj.2015.9.5.818
Lurie, J., & Tomkins-Lane, C. (2016). Puleaina ole lumbar spinal stenosis. BMJ (Clinical research ed.), 352, h6234. doi.org/10.1136/bmj.h6234
E mafai e tagata faigaluega o loʻo feagai ma faʻamaʻi tiga o le degenerative ona faʻapipiʻiina le faʻamalosi e maua ai le toomaga o le tino ma le gaoioi?
faʻatomuaga
I le avea ai o se vaega o le musculoskeletal system, o le tuasivi e mafai ai e le tino ona tu saʻo ma fesoasoani e puipuia le taulaʻau mai manuʻa. Talu ai ona o le fatugalemu o le tino e maua ai faailoilo mai le faiʻai i aʻa neura, o le tino o le tagata e mafai ona feaveaʻi e aunoa ma se tiga poʻo se faʻalavelave. O lenei mea e mafua mai i le va o le facet joints, lea e mafai ona faʻapipiʻiina, faʻafefe le mamafa o le axial i luga, ma fesoasoani e tufatufa le mamafa i maso pito i lalo ma luga. Ae ui i lea, e pei ona iloa e le toʻatele o tagata, o gaioiga faifaipea ma le ofuina ma loimata i luga o le faʻaogaina o le tui e mafai ona taʻitaʻia ai faʻamatalaga faʻalavelave faʻalavelave e mafai ona mafua ai le faʻaleagaina o le tui ma faʻaosoina ai le tiga i totonu o le musculoskeletal system. I lena tulaga, e mafai ona mafua ai le tiga tele ma le le mautonu o le tagata i le taimi. O le tusiga o aso nei o loʻo vaʻavaʻai ai pe faʻafefea ona aʻafia e le faʻamaʻi tiga o le degenerative le tui, faʻailoga e fesoʻotaʻi ai, ma pe faʻafefea ona faʻaitiitia le faʻamaʻi tigaina o le degenerative. Matou te talanoa ma foma'i fa'amaonia o lo'o tu'ufa'atasia fa'amatalaga a matou ma'i e tu'uina atu ai le tele o togafitiga e fa'amama ai le tiga fa'aleagaina o lo'o mafua ai fa'afitauli i luga o le tui. Matou te logoina ma taʻitaʻia tagata mamaʻi pe faʻafefea ona fesoasoani le faʻamaʻi e faʻaitiitia ai faʻailoga e pei o le tiga e fesoʻotaʻi ma faʻamaʻi tiga faʻaleagaina. Matou te faʻamalosia a matou gasegase e fesili atu ia latou fomaʻi fesoʻotaʻi faʻapitoa ma taua fesili e uiga i faʻailoga e pei o tiga o loʻo latou oʻo i ai mai tiga faʻaleagaina lea e aʻafia ai le lelei o le olaga. Dr. Jimenez, DC, faʻapipiʻiina lenei faʻamatalaga o se auaunaga faʻaleaʻoaʻoga. Tuuese.
Fa'ama'i Fa'ama'i Fa'aleagaina i luga ole Tuila'au
Pe e te lagona le tiga po o le tiga o maso i lou tua pe a uma se taimi umi o taoto i lalo, nofo, pe tu? E te lagona le tiga faifaipea pe a uma ona e aveina se mea mamafa mai le tasi nofoaga i le isi? Po o le mimilo po o le liliu o lou tino e maua ai se mapusaga mo sina taimi? O le tele o tagata e masani ona le iloa o le tele o nei faʻafitauli e pei o tiga e fesoʻotaʻi ma faʻamaʻi tiga faʻaleagaina lea e aʻafia ai le tui. Talu ai ona o le matua masani o le tino, e faapena foʻi ona faia e le tuasivi e ala i le paʻu. Pe a amata ona faʻaleagaina le tui, e mafai ona mafua ai ona faʻamafola ma oomi le tisiketi i luga o le saʻo, ma faʻalavelaveina ai lona malosi e faʻamama ma mafua ai ona oso ese mai lona tulaga muamua. I le taimi lava e tasi, o le maualuga o le tui faʻasolosolo o le a faasolosolo malie lava ona pa'ū, ma o le taunuuga o se suiga i le malosi i vaega o loʻo aʻafia. (Kos et al., 2019) O le pa'ū e mafai ona sosolo i lalo i ligaments, maso, ma sooga o loʻo siomia ai pe a amata ona afaina le tui.
O Fa'a'ailoga e Fa'atasi ai ma Tiga Fa'aleaga
Pe a aʻafia sooga, maso, ma ligaments o loʻo siomia e le degenerative disc tiga, e mafai ona mafua ona o le tele o mea e mafua ai le tiga-pei o faʻamaoniga. O le fulafula o se tasi lea o faʻamaoniga e fesoʻotaʻi ma le degenerative pain syndrome, ona o faʻalavelave e mafai ona aʻafia ai le paʻu o le circadian ma faʻalavelave ai le homeostasis, ona oʻo atu ai lea i le faʻateleina o le faʻalavelave i luga o le vaʻa, ona fesoasoani lea i le faʻagasologa o le degenerative. (Chao-Yang et al., 2021) O le fulafula e mafai ona afaina ai maso o loʻo aʻafia ma mafua ai le tele o faʻamatalaga o lamatiaga, aua e mafai ona aʻafia ai pito i luga ma pito i lalo. E le gata i lea, o le utaina o masini e mafai ona afaina ai le faʻaleagaina o le tisiketi i auala eseese i tulaga eseese o le vertebral. (Salo et al., 2022) E mafai ona o'o atu ai i fa'ailoga e pei o le tiga e pei o:
O lima ma vae vaivai
Tiga o neula
Ga'imau galuega fa'alogo i le pito i luga ma le pito i lalo
Le mautonu
Paʻu musika
Ae ui i lea, o le tele o togafitiga e mafai ona fesoasoani e toe faʻafoʻisia le gaogao ivi ma faʻaitiitia ai aʻafiaga tiga o le maʻi tiga faʻaleagaina o le tui.
Le Auala e Le'i Fa'a'oto'otoga i le Soifua Maloloina- Vitio
A oʻo mai i le sailia o togafitiga mo faʻamaʻi tiga o le degenerative, e toʻatele tagata o le a faia suʻesuʻega poʻo fea togafitiga e taugofie mo o latou tiga, o le mea lea e filifili ai le toʻatele o tagata mo togafitiga e le o ni taotoga e faʻaitiitia ai o latou tiga. O togafitiga e le o ni taotoga e fa'apitoa i le tiga o le tagata. E mafai ona latou fesoasoani i le amataina o le soifua maloloina o le tagata, lea e mafai ona aofia ai le tuʻufaʻatasia o faʻamalositino, togafitiga faʻataʻitaʻi, ma suiga o le olaga. (Brogger et al., 2018) O le vitio o loʻo i luga o loʻo faʻaalia ai pe faʻafefea ona manuia se tasi e maua i le maʻi tiga faʻaleagaina e aʻafia ai o latou tui.
Decompression Fa'aitiitia Fa'ama'i Fa'ama'i tiga
Faatasi ai ma le tele o togafitiga avanoa e faʻaitiitia ai faʻamaoniga e pei o le tiga e aʻafia ai le tui, o togafitiga e le o ni taotoga e mafai ona avea ma se filifiliga. E amata mai i le chiropractic care i le acupuncture, e mafai ona tuʻufaʻatasia togafitiga e le o ni taotoga e faʻaitiitia ai aʻafiaga e pei o tiga. Decompression, e avea o se vaega o togafitiga e le o ni taotoga, o se auala sili lea e faʻaitiitia ai le faʻaleagaina o le tiga i le tui. O le decompression e mafai ai ona toso malie le koluma o le ivi i totonu o se masini fa'atosina e fa'amama ai le tisiketi. A fa'apala e se masini fa'atosina le tui, e matua fa'aitiitia le tiga i vaega uma o le tino. (Ljunggren et al., 1984) E mafua ona o le mamafa o le mamafa ua toe faʻafoʻi i tua i tua e faʻateleina ai le maualuga o le tisiketi ma toe faʻafoʻi meaʻai i le tisiketi ua afaina ma toe faʻaleleia. (Choi et al., 2022) Pe a amata e tagata le faʻapipiʻiina o le decompression e ala i togafitiga faʻasolosolo, o loʻo faʻaitiitia o latou tiga, ma o latou tui e toe feaveaʻi aʻo faʻagesegese le faʻagasologa o le degenerative i luga o le tui. O lenei mea e mafai ai ona latou tausia lelei o latou tino e ala i le faia o ni suiga laiti i lo latou soifua maloloina ma le soifua maloloina.
mau faasino
Brogger, HA, Maribo, T., Christensen, R., & Schiottz-Christensen, B. (2018). Faʻatusatusaga faʻatusatusa ma mea faʻapitoa mo taunuuga o taotoga ma le leai o se taotoga o le lumbar spinal stenosis i se tagata matutua: faʻasalalauga mo se suʻesuʻega mataʻituina. BMJ Open, 8(12), e024949. doi.org/10.1136/bmjopen-2018-024949
Chao-Yang, G., Peng, C., & Hai-Hong, Z. (2021). Matafaioi a le NLRP3 inflammasome i le intervertebral disc degeneration. Osteoarthritis Cartilage, 29(6), 793-801. doi.org/10.1016/j.joca.2021.02.204
Choi, E., Gil, HY, Ju, J., Han, WK, Nahm, FS, & Lee, P.-B. (2022). Aafiaga o le Nonsurgical Spinal Decompression on Intensity of Pain and Herniated Disc Volume in Subacute Lumbar Herniated Disc. International Journal of Clinical Practice, 2022, 1-9. doi.org/10.1155/2022/6343837
Kos, N., Gradisnik, L., & Velnar, T. (2019). O se Iloiloga Puupuu o le Degenerative Intervertebral Disc Disease. Med Arch, 73(6), 421-424. doi.org/10.5455/medarh.2019.73.421-424
Ljunggren, AE, Weber, H., & Larsen, S. (1984). Autotraction versus manual traction i tagata mamaʻi ma lumbar intervertebral discs. Scand J Rehabil Med, 16(3), 117-124. www.ncbi.nlm.nih.gov/pubmed/6494835
Salo, S., Hurri, H., Rikkonen, T., Sund, R., Kroger, H., & Sirola, J. (2022). Fesoʻotaʻiga i le va o le faʻaleagaina o le lumbar disc ma le faʻaalia e le tagata lava ia faʻatonuga faʻaletino. J nofoia le Soifua Maloloina, 64(1), e12316. doi.org/10.1002/1348-9585.12316
E mafai e tagata taʻitoʻatasi o loʻo feagai ma le ua ma le tiga i tua ona maua le toomaga latou te manaʻomia mai aʻafiaga o togafitiga faʻamaʻi faʻamaʻi?
faʻatomuaga
I le salafa o le lalolagi, e toʻatele tagata e feagai ma le tiga o le ua poʻo le tua mai le tele o le nofo poʻo le tu, le lelei o le tuʻu, poʻo le siiina o mea mamafa e mafua ai ona tiga pea o latou tuasivi ma maso. Talu ai ona o le tino o loʻo faʻagasolo pea, o loʻo faʻapipiʻiina le tui e ala i le faʻasolosolo faʻasolosolo e mafai ona mafua ai ona oso ese le vaʻai mai lo latou tulaga muamua ma faʻateleina ai neura o loʻo siomia ai e mafua ai faʻamaʻi tiga i le ua ma tua. O le tele o tagata e amata ona faitio e uiga i o latou ua ma tua ua tiga ma lagona le tiga i nofoaga eseese i le pito i luga ma lalo o le tino. O lenei mea e mafai ona amata mai le ogaoga i le tumau, e faʻatatau i le ogaoga o le tiga. Pe a feagai tagata ma nei faʻafitauli tiga o le musculoskeletal i totonu o latou tino, e toʻatele o le a sailia togafitiga e faʻaitiitia ai le tiga o latou ua ma tua e toe foʻi i a latou masani i aso uma. O le mea lea, o togafitiga e pei o le faʻaleagaina o le ivi e mafai ona i ai se aafiaga lelei i le tuʻuina atu o le toomaga e tatau i le tele o tagata. O le tusiga o aso nei o loʻo vaʻavaʻai i le mafuaʻaga o le ua ma le tua i le tino o le tagata e sili ona masani ai le tiga o le toʻatele o tagata ma pe faʻafefea ona faʻaitiitia le tiga o le ua ma le tua. Matou te talanoa ma fomaʻi faʻamaonia faʻamaonia o loʻo tuʻufaʻatasia faʻamatalaga a matou gasegase e tuʻuina atu ai auala eseese e faʻamalolo ai le ua ma tua tiga mai le tino. Matou te logoina foi tagata mamaʻi pe faʻafefea ona faʻaitiitia le tiga o le musculoskeletal mai le ua ma tua. Matou te fa'amalosia a matou gasegase e fai ni fesili lavelave ia matou 'au'aunaga fa'afoma'i feso'ota'i e uiga i fa'ailoga e pei o le tiga o lo'o latou feagai ma fa'atasi ma o latou ua ma tua. Dr. Alex Jimenez, D.C., faʻaaogaina lenei faʻamatalaga o se auaunaga faʻaleaʻoaʻoga. Tuuese.
Aisea e masani ai le tiga o le ua ma tua?
E te lagona le tete'e maso i lou ua pe a uma ona fa'amau i luga o le komepiuta po'o lau telefoni mo se taimi umi? E te lagona le tiga ma le tiga o lou tua pe a uma ona e amoina se mea mamafa? Pe e te lagona le fa'atete po'o le fa'atete i ou lima po'o vae? O le tele o nei fa'ailoga e pei o le tiga e masani ona fa'atasi ma le tiga o le ua ma tua e mafai ona avea ma fa'alavelave i le tele o tagata. Aisea la ua avea ai le ua ma tua o le tino o le tagata ma vaega sili ona taatele o tiga o loʻo onosaia e le toʻatele o tagata i le lalolagi atoa? O le toʻatele o tagata e iai ni galuega e sili ona mamafa e masani ona latou faia faʻagasolo masani, lea e mafua ai le faʻalavelave i maso o loʻo siomia ai, ligaments, ma sooga, ma o maso fesoasoani o le a amata ona faʻamalosi ma fufusi. O le tiga o le ua ma le tua o se tasi lea o faitioga masani e fesoʻotaʻi ma faʻailoga e saofagā i le maualuga o aso faigaluega leiloa, le atoatoa, ma le faʻaogaina o le soifua maloloina. (Corwell & Davis, 2020) O le mea lea e mafua ai ona maua e le toʻatele o tagata le faʻalavelave faʻale-aganuʻu ma le tamaoaiga pe a latou asiasi atu ia latou fomaʻi tausiga muamua. E le gata i lea, o le ua ma le tiga o tua e le o ni mafuaʻaga o le neurology i le musculoskeletal system; o nei mea e mafai ona tupu ai le tiga i maso, tendons, ligaments, spinal discs, cartilage articular, ma ponaivi. (Meleger & Krivickas, 2007) I lena tulaga, pe a le togafitia vave le tiga o le ua ma le tua, e mafai ona taʻitaʻia ai faʻamaoniga tiga e mafai ona oʻo atu ai i se olaga e le atoatoa le malosi. Talu ai ona o le tui e tele fausaga, mai le ua i le pito i lalo, pe a tiga le tagata, e mafai ona oʻo atu ai i faʻamaʻi tiga eseese e mafai ona mafua ai ni tiga visceral. (Patel et al., 2015) O le mea lea, o le tiga o le ua ma le tua e tele-fa'atupu ma mafua ai le tele o faʻafitauli.
A oʻo mai i le faʻaitiitia o tiga o le ua ma tua mai le tino, e toʻatele tagata o le a sailia togafitiga faafomaʻi e faʻamalolo ai i latou mai le tiga. Ae ui i lea, o le tele o fomaʻi tausi muamua o le a suʻesuʻeina a latou gasegase e iloa ai poʻo le a le mafuaʻaga o latou tiga e ala i le tusia o faʻamatalaga o latou masani i aso taitasi. Ole tele o mafua'aga masani ole tiga ole ua ma tua e mafai ona mafua ile:
Mativa Posture
meafaigatā
Faaleagaina o le tino
Manu'a/Manua
So'ofai nofo/tu
Siiina/aveina mea mamafa
O mafuaʻaga nei e mafai ona oʻo atu ai i se olaga e le atoatoa le malosi ma afaina ai le lelei o le olaga o se tagata; ae ui i lea, o le laki, e toʻatele tagata na suʻesuʻe ma suʻe togafitiga e taugofie ma mafai ona fesoasoani e faʻaitiitia le tiga o loʻo latou feagai.
Malamalama Academic Low Back Pain- Vitio
E te lagona le tiga ma le tiga i lou ua ma lou tua? E te lagona le atuatuvale i ou maso e mafua ai ona e lagona le faanoanoa? Pe e te lagona le tiga i lou pito i luga po o le pito i lalo o le tino e afaina ai au masani i aso taitasi? O le tele o nei fa'aaliga e feso'ota'i ma le ua ma le tiga i tua, o se fa'afitauli masani e tele tagata ta'ito'atasi. Afai e le togafitia vave, e mafai ona oʻo atu ai i se olaga e le atoatoa le malosi ma, mo tagata faigaluega, e leiloa se aso faigaluega. Ae ui i lea, o le toʻatele o tagata e sailia ni togafitiga taugofie e mafai ona fesoasoani e faʻaitiitia le tiga e aʻafia ai o latou ua ma tua. Togafitiga e pei o le chiropractic care, traction therapy, massage therapy, ma le faʻamaʻi faʻamaʻi e le o se taotoga, taugofie, ma e mafai ona fesoasoani e faʻaitiitia faʻailoga e pei o tiga e fesoʻotaʻi ma le ua ma le tiga o tua. O le vitio o loʻo i luga o loʻo faʻamatalaina ai mafuaʻaga o aʻoaʻoga maualalo maualalo tiga ma pe faʻafefea ona faʻaogaina togafitiga e le o ni taotoga e pei o le chiropractic care ma togafitiga faʻaopoopo e puipuia ai le tiga o tua ma le ua mai le toe foʻi mai. I le taimi lava e tasi, pe a amata ona faʻaitiitia e tagata taʻitoʻatasi a latou galuega ma aʻoaʻoina i latou lava i mea e fai e aloese ai mai le toe foʻi mai o le tiga o le ua ma tua, e mafai ona latou amata lagona lelei. (Tyrdal et al., 2022)
O A'afiaga o le Decompression i luga o le ua & tiga tua
I le avea ai o se vaega o togafitiga e le o ni taotoga, e mafai ona fesoasoani le faʻaleagaina o le ivi i le tele o tagata e feagai ma le tiga o le ua ma tua. O le a le mea e fai e le fa'a'ese'esega o le va'aiga o lo'o tu'ufa'atasia le toso mālū i luga o le tuasivi e fa'amama ai le tisiketi ua a'afia e mafai ona feso'ota'i ma le ua ma le tiga o tua. Pe a togafitia le tuasivi i le faʻaleagaina o le ivi, o le tosoina o le kalave e fesoasoani e maua ai se avanoa sili atu i luga o le tui e faʻaitiitia ai le mamafa ma le tiga. (Vanti et al., 2021) O le mea lea e mafai ai e meaʻai uma ma vai e toe foʻi atu i le tuilaʻau ma faʻamaʻi ivi aʻo faʻalauiloaina le faagasologa o le faʻamalolo masani o le tino.
E le gata i lea, o le tele o tagata e maua i le ua ma le tiga i tua o le a amata ona matauina se faʻaitiitia tele o latou tiga ma le le atoatoa e ala i togafitiga faʻasolosolo. (Vanti et al., 2023) E ala i le tuʻufaʻatasia o masaniga faʻalesoifua maloloina e faʻaitiitia ai le avanoa o le ua ma le tiga i tua mai le toe foʻi mai, e toʻatele tagata e mafai ona faia ni suiga laiti ia latou masani i aso uma. O lenei mea e mafai ai ona latou maua se vaaiga lelei ma faʻaauauina la latou soifua maloloina ma le soifua manuia.
mau faasino
Corwell, B. N., & Davis, N. L. (2020). Le Fa'aaliga Fa'afuase'i ma Togafitiga o le Ua ma le Tiga i tua. Emerg Med Clin North Am, 38(1), 167-191. doi.org/10.1016/j.emc.2019.09.007
Meleger, A. L., & Krivickas, L. S. (2007). tiga o le ua ma tua: faaletonu o musculoskeletal. Neurol Clin, 25(2), 419-438. doi.org/10.1016/j.ncl.2007.01.006
Patel, V. B., Wasserman, R., & Imani, F. (2015). Togafitiga Faʻalavelave mo Faʻalavelave Faʻafuaseʻi Tuʻi: O se Iloiloga Taulai (Aafiaga ma Taunuuga). Anesth Pain Med, 5(4), e29716. doi.org/10.5812/aapm.29716
Tyrdal, M. K., Veierod, M. B., Roe, C., Natvig, B., Wahl, A. K., & Stendal Robinson, H. (2022). tiga o le ua ma le tua: Eseesega i le va o gasegase e togafitia ile tausiga faʻalesoifua maloloina muamua ma faʻapitoa. J Toefuataiga Med, 54, jrm00300. doi.org/10.2340/jrm.v54.363
Vanti, C., Saccardo, K., Panizzolo, A., Turone, L., Guccione, AA, & Pillastrini, P. (2023). O aʻafiaga o le faʻaopoopoga o le faʻaogaina o masini i togafitiga faʻale-tino ile maualalo ole tiga? O se iloiloga fa'apitoa fa'atasi ma meta-su'esu'ega. Acta Orthop Traumatol Turc, 57(1), 3-16. doi.org/10.5152/j.aott.2023.21323
Vanti, C., Turone, L., Panizzolo, A., Guccione, AA, Bertozzi, L., & Pillastrini, P. (2021). Toso faʻamalosi mo lumbar radiculopathy: o se iloiloga faʻapitoa. Arch Physiother, 11(1), 7. doi.org/10.1186/s40945-021-00102-5
E mafai e tagata taʻitoʻatasi ona tuʻufaʻatasia le faʻalavelave e faʻaitiitia ai le mamafa o le tui i luga o latou tua i lalo e toe faʻaleleia ai o latou olaga?
faʻatomuaga
O le tuasivi e iai se mafutaga matagofie ma le tino o le tagata ona o se vaega o le musculoskeletal system. O le tui e tele vaega e mafai ai e le tino ona feaveaʻi ma fesoasoani e faʻamautu vaega maso eseese i luga ma pito i lalo. A gaioi le tino, e amata ona fa'apipi'i e le tuasivi le va o le va'aiga koluma, lea e fesoasoani e fa'aitiitia le uta axial i luga. O le tele o tagata o lo'o i ai galuega faigata tele e masani ona latou fa'aogaina gaioiga fa'asolosolo e mafua ai ona fa'apipi'i i taimi uma le tisiketi. A amata ona fa'a'omi'i pea le tisiketi i tua, e iu lava ina ta'e i le taimi mai le mamafa tele. E mafai ona fa'ateteleina neura o lo'o si'omia e mafai ona mafua ai fa'ailoga e pei o tiga i le pito i luga ma pito i lalo. I lena tulaga, e mafai ona oo atu ai i se olaga e le atoatoa le malosi pe afai e le togafitia vave. O le mea e laki ai, o le tele o togafitiga e mafai ona fesoasoani e faʻaitiitia ai le mamafa tele mai le vaʻaia ma faʻaitiitia ai faʻailoga e pei o le tiga mai pito i luga ma pito i lalo. O le tusiga o aso nei o loʻo vaʻavaʻai pe faʻafefea ona aʻafia le pito i lalo ma pe faʻafefea ona fesoasoani le faʻamaʻi e faʻaitiitia le mamafa o le tui ile pito i lalo. Matou te talanoa ma 'auʻaunaga faʻafomaʻi faʻamaonia o loʻo tuʻufaʻatasia faʻamatalaga a matou gasegase e tuʻuina atu ai fofo eseese e faʻamalolo ai le mamafa o le tui i luga o le tui. Matou te logoina foi tagata mamaʻi pe faʻafefea ona faʻaititia e togafitiga pei o le decompression le mamafa o le axial i luga o le pito i lalo. Matou te faʻamalosia a matou gasegase e fai ni fesili faʻapitoa ma aʻoaʻoga ia matou fomaʻi fesoʻotaʻi e uiga i faʻailoga e pei o le tiga o loʻo latou feagai ma faʻatasi ma le mamafa o le tui e aʻafia ai o latou tua. Dr. Alex Jimenez, D.C., faʻaaogaina lenei faʻamatalaga o se auaunaga faʻaleaʻoaʻoga. Tuuese.
E Fa'afefea ona A'afia le Tula'au Maulalo ile Omiga ole Ivi?
Ua e lagonaina se tiga po o le malo o lou tua i lalo ina ua e punou i lalo e piki se mea? Ae fa'afefea le lagona o le tiga tele i lou tua i lalo lea e susulu atu i lou ua po o ou vae? Pe e te lagona le tiga i se tasi nofoaga o lou tua e le alu ese pe a uma le malologa? A tele tagata o loʻo mafatia, ma e le maua e fofo ile fale le toomaga latou te manaʻomia, e mafai ona latou feagai ma faʻalavelave faʻalavelave e afaina ai o latou tua. Pe a amata ona fai e tagata le toe faia o gaioiga i o latou tino, o le a amata ona ta'e ma fa'aitiiti le tisiki ivi e fa'atatau i le tulaga o le si'osi'omaga e a'afia ai le tiga.
E tusa ai ma le mamafa o le ivi i le pito i lalo, o le tisiketi e sili atu ona mafiafia ma sili ona afaina i manuʻa. A oʻo mai i le faʻamalosi o le tui e fesoʻotaʻi ma le herniation disc, e mafai ona taʻitaʻia ai le tele o tagata taʻitoʻatasi o loʻo feagai ma tiga pito i lalo ma e mafai ona aʻafia ai lo latou lelei o le olaga. O se tasi o faʻamaoniga o le herniation disc lea e faʻamaopoopoina ma le mamafa o le vaʻaia o le faʻafefe o le vaʻaia o le vaʻa e mafai ona mafua ai le tiga ma le le atoatoa i le vaʻa ona o se faʻalavelave faʻaleagaina poʻo suiga faʻaleagaina ona o le faʻagasologa masani o le matua. (Chu et al., 2023) Pe a faigaluega, e tuʻuina atu e tagata taʻitoʻatasi le faʻamalosi faifaipea i luga o latou tui, lea e mafai ona faʻavaveina ai le atinaʻeina o tiga pito i lalo.
E le gata i lea, pe a tele le mamafa o le tui i luga o le tui, o le tele o faʻafitauli e pei o tiga e le masani ai tagata taʻitoʻatasi o le a amata ona oso aʻe. E mafua lenei mea ona o le faʻaogaina o le intervertebral disc material e sili atu i tua atu o le tapulaa masani o le tui ma faʻapipiʻi se tasi pe sili atu aʻa neura, lea e mafai ona mafua ai faʻafitauli musculoskeletal. (Trager et al., 2022) O lenei mea, i le isi itu, e mafua ai le susuluina o le tiga pito i luga o le pito i luga ma le pito i lalo o le tino, faʻalavelave faʻalogo, vaivai maso, ma e oʻo lava i le faʻaitiitia o maso faʻalauteleina o faʻataʻitaʻiga e pei o faʻamaʻi tiga i le pito i lalo. I le taimi lava e tasi, pe a oʻo i tagata taʻitoʻatasi le maualalo o le tiga i tua e fesoʻotaʻi ma le mamafa o le tui, o latou maso loli e iai se faʻalavelave faʻafuaseʻi pe a nofo, tu, ma savali. (Wang et al., 2022) Pe a tupu lenei mea, e mafai ona mafua ai ona latou atiaʻe le tulaga leaga, ma a latou i ai i se tulaga saʻo, o le a latou lagona le tiga i lalo o latou tua ona o le vaivai o maso loli. Ae ui i lea, o loʻo i ai auala e faʻamalolo ai le mamafa o le ivi mai le faʻaleagaina o aʻa neura e aʻafia ai le pito i lalo.
O le Non-Tupical Approach To Wellness-Video
Pe a suʻeina le togafitiga saʻo, e toʻatele tagata e manaʻo e suʻe se mea e taugofie ma faʻamalolo ai o latou tiga. O togafitiga e le o ni taotoga e taugofie ma faʻaogaina auala eseese e fesoasoani e faʻaitiitia ai le tiga o le musculoskeletal e ala i gaioiga faʻainisinia ma tusi lesona e faʻamalosia ai maso vaivai, faʻamalolo le mamafa o le ivi mai le disk, ma fesoasoani e toe faʻaleleia le tino e faʻaleleia mea faʻamalolo. O le vitio o loʻo i luga o loʻo faʻaalia ai pe faʻafefea ona fesoasoani togafitiga e le o ni taotoga e pei o le chiropractic care i le tele o tagata e tuʻu o latou vae i le saʻo i la latou soifua maloloina ma le soifua manuia malaga. I le taimi lava e tasi, o le faʻamaʻiina o le vaʻaia o se isi ituaiga o togafitiga e le faʻapitoa e pei ona faʻapipiʻiina le toso malie i luga o le tui e faʻaitiitia ai le mamafa o le intervertebral i le taimi o le malosi ma le pasi. (Andersson et al., 1983) Pe a tosoina lemu le tui, o le herniated disc e amata ona toe foʻi i lona tulaga muamua i tua i le vaʻa, ona faʻatagaina ai lea o vai ma meaʻai e toe foʻi i le disk ma toe faʻaleleia.
Decompression Faʻaitiitia le mamafa o le ivi ile pito i lalo
O lea la, e fa'afefea ona fesoasoani le fa'amalo ole ivi ile fa'aitiitia o le mamafa o le tisiketi pe a feagai ma le tiga maualalo? E pei ona taʻua muamua, o le faʻamaʻiina o le ivi e aofia ai le toso malie i luga o le tui e toso malie e faʻaloaloa maso vaivai o loʻo siomia ai i le pito i lalo. O lenei mea e mafua ai se fesoʻotaʻiga feteʻenaʻi e pei o le mamafa i totonu o le nucleus pulposus o le herniated disc e mafai ona fesoasoani e faʻaleleia le tulaga mo le tele o tagata e maualalo le tiga. (Ramos & Martin, 1994) E faʻapea foʻi, pe a faʻaaogaina e le toʻatele o tagata le decompression ma le chiropractic, o le malosi o le tiga e matua faʻaitiitia i vaega uma o le tino, ma o le a amata ona lagona e le toʻatele o tagata le toomaga latou te tatau ai. (Ljunggren et al., 1984) Pe a faʻalogo le toʻatele o tagata i o latou tino ma maua togafitiga e tatau ai, o le a amata ona latou matauina le auala e mafai ai e le faʻaleagaina ona fesoasoani e toe faʻaleleia o latou tino ma faʻaleleia lelei lo latou soifua maloloina.
mau faasino
Andersson, GB, Schultz, AB, & Nachemson, AL (1983). O'omiga o le disc intervertebral i le taimi o le toso. Scand J Rehabil Med Suppl, 9, 88-91. www.ncbi.nlm.nih.gov/pubmed/6585945
Chu, E. C., Lin, A., Huang, K. H. K., Cheung, G., & Lee, W. T. (2023). Ose Herniation Disc Severe Fa'atusaina Tumor Spinal. Cureus, 15(3), e36545. doi.org/10.7759/cureus.36545
Ljunggren, AE, Weber, H., & Larsen, S. (1984). Autotraction versus manual traction i tagata mamaʻi ma lumbar intervertebral discs. Scand J Rehabil Med, 16(3), 117-124. www.ncbi.nlm.nih.gov/pubmed/6494835
Ramos, G., & Martin, W. (1994). Aafiaga o le vertebral axial decompression i luga o le mamafa o le intradiscal. J Neurosurg, 81(3), 350-353. doi.org/10.3171/jns.1994.81.3.0350
Trager, R. J., Daniels, C. J., Perez, J. A., Casselberry, R. M., & Dusek, J. A. (2022). Fesoʻotaʻiga i le va o togafiti faʻamaʻi ma le lumbar discectomy i tagata matutua ma le lumbar disc herniation ma le radiculopathy: suʻesuʻega faʻataʻitaʻiga i tua e faʻaaoga ai faʻamaumauga a le Iunaite Setete. BMJ Open, 12(12), e068262. doi.org/10.1136/bmjopen-2022-068262
Wang, L., Li, C., Wang, L., Qi, L., & Liu, X. (2022). Sciatica-Related Spinal Imbalance in Lumbar Disc Herniation Patients: Uiga Faʻaletino ma le Toe Faʻaleleia i le Mulimuli Endoscopic Discectomy. J Pain Res, 15, 13-22. doi.org/10.2147/JPR.S341317
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