When sciatica or other radiating nerve pain presents, can learning to distinguish between nerve pain and different types of pain help individuals recognize when spinal nerve roots are irritated or compressed or more serious problems that require medical attention?
Mataupu
Spinal Nerve Roots and Dermatomes
Spinal conditions such as herniated discs and stenosis can lead to radiating pain that travels down one arm or leg. Other symptoms include weakness, numbness, and/or shooting or burning electrical sensations. The medical term for pinched nerve symptoms is radiculopathy (National Institutes of Health: National Institute of Neurological Disorders and Stroke. 2020). Dermatomes could contribute to irritation in the spinal cord, where the nerve roots cause symptoms in the back and limbs.
Anatomy
The spinal cord has 31 segments.
Each segment has nerve roots on the right and left that supply motor and sensory functions to the limbs.
The anterior and posterior communicating branches combine to form the spinal nerves that exit the vertebral canal.
The 31 spine segments result in 31 spinal nerves.
Each one transmits sensory nerve input from a specific skin region on that side and area of the body.
These regions are called dermatomes.
Except for the first cervical spinal nerve, dermatomes exist for each spinal nerve.
The spinal nerves and their associated dermatomes form a network all over the body.
Dermatomes Purpose
Dermatomes are the body/skin areas with sensory input assigned to individual spinal nerves. Each nerve root has an associated dermatome, and various branches supply each dermatome off that single nerve root. Dermatomes are pathways through which sensational information in the skin transmits signals to and from the central nervous system. Sensations that are physically felt, like pressure and temperature, get transmitted to the central nervous system. When a spinal nerve root becomes compressed or irritated, usually because it comes into contact with another structure, it results in radiculopathy. (National Institutes of Health: National Institute of Neurological Disorders and Stroke. 2020).
Radiculopathy
Radiculopathy describes symptoms caused by a pinched nerve along the spine. Symptoms and sensations depend on where the nerve is pinched and the extent of the compression.
Cervical
This is a syndrome of pain and/or sensorimotor deficiencies when nerve roots in the neck are compressed.
It often presents with pain that goes down one arm.
Individuals may also experience electrical sensations like pins and needles, shocks, and burning sensations, as well as motor symptoms like weakness and numbness.
Lumbar
This radiculopathy results from compression, inflammation, or injury to a spinal nerve in the lower back.
Sensations of pain, numbness, tingling, electrical or burning sensations, and motor symptoms like weakness traveling down one leg are common.
faʻautaga maʻi
Part of a radiculopathy physical examination is testing the dermatomes for sensation. The practitioner will use specific manual tests to determine the spinal level from which the symptoms originate. Manual exams are often accompanied by diagnostic imaging tests like MRI, which can show abnormalities in the spinal nerve root. A complete physical examination will determine if the spinal nerve root is the source of the symptoms.
Togafitiga o Mafuaaga Autu
Many back disorders can be treated with conservative therapies to provide effective pain relief. For a herniated disk, for example, individuals may be recommended to rest and take a nonsteroidal anti-inflammatory medication. Acupuncture, physical therapy, chiropractic, non-surgical traction, or decompression therapies may also be prescribed. For severe pain, individuals may be offered an epidural steroid injection that can provide pain relief by reducing inflammation. (American Academy of Orthopaedic Surgeons: OrthoInfo. 2022) For spinal stenosis, a provider may first focus on physical therapy to improve overall fitness, strengthen the abdominals and back muscles, and preserve motion in the spine. Pain-relieving medications, including NSAIDs and corticosteroid injections, can reduce inflammation and relieve pain. (American College of Rheumatology. 2023) Physical therapists provide various therapies to decrease symptoms, including manual and mechanical decompression and traction. Surgery may be recommended for cases of radiculopathy that don’t respond to conservative treatments.
Injury Medical Chiropractic and Functional Medicine Clinic care plans and clinical services are specialized and focused on 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. 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. If the individual requires other treatment, they will be referred to a clinic or physician best suited for their condition. Dr. Jimenez has teamed with the top surgeons, clinical specialists, medical researchers, therapists, trainers, and premiere rehabilitation providers to bring El Paso, the top clinical treatments, to our community.
Reclaim Your Mobility: Chiropractic Care For Sciatica Recovery
Mo tagata taʻitoʻatasi o loʻo mafatia i le ulu o le ulu, e mafai e le tuʻufaʻatasia o togafitiga faʻale-tino e fesoasoani e faʻaitiitia ai le tiga, faʻaleleia le gaoioi, ma pulea osofaʻiga i le lumanaʻi?
Mataupu
Togafitiga Faaletino Migraine
O le tiga o le ulu o le ulu o le Cervicogenic e mafai ona mafua ai le tiga, fa'atapula'a le gaioiina, po'o fa'ailoga fenumiai e pei o le niniva po'o le faufau. E ono afua mai i le ua po'o le tui fa'a'au'au ma ta'ua o le ulu o le cervicogenic. E mafai e le fomaʻi faʻapitoa togafitiga faʻapitoa ona suʻesuʻeina le tui ma ofo atu togafitiga e fesoasoani e faʻaleleia atili le gaioiga ma faʻaitiitia le tiga. E mafai e tagata taʻitoʻatasi ona faʻamanuiaina mai le galulue faʻatasi ma se vaega o togafitiga faʻapitoa o le migraine e faia togafitiga mo tulaga faʻapitoa, vave ma saogalemu le faʻamalolo o le tiga ma toe foʻi i la latou tulaga muamua o le gaioiga.
Fa'ata'ita'i o Tula'au Fa'a'au'au
O le ua o lo'o iai ivi e fitu fa'aputu fa'a'au'au. O le vetebra o le cervical e puipuia le uaea ma faʻatagaina le ua e alu i totonu:
Flexion
Faʻaopoopoga
Suiga
Pi'o le itu
O le ivi pito i luga e fesoasoani e lagolago ai le ulupoo. O lo'o i ai so'oga i itu uma e lua o le fa'atagata. O le tasi e faʻafesoʻotaʻi i tua o le ulupoʻo ma faʻatagaina le gaioiga. O lenei vaega pito i lalo o le fale lea e tele maso e lagolago ma gaoioi ai le ulu, ma neura e malaga mai le ua e ui atu i le vaega pito i lalo i totonu o le ulu. O neura ma maso i lenei vaega atonu e mafua ai le tiga o le ua ma / poʻo le ulu ulu.
O auga
O gaioiga fa'afuase'i e mafai ona fa'aoso ai fa'ailoga ole cervicogenic migraine, pe o'o mai fo'i a'o fa'asolo le ua. (Itulau P. 2011) O faʻailoga e masani ona faʻavaivai ma e le faʻafefe ma e mafai ona umi ni nai itula i aso. Fa'ailoga ole cervicogenic migraine headache e mafai ona aofia ai:
Tiga i itu uma e lua o tua o le ulu.
Tiga i tua o le ulu e sosolo atu i le tasi tauau.
Tiga i le tasi itu o le ua pito i luga e susulu atu i le malumalu, muaulu, po o mata.
Tiga i le tasi itu o foliga po o alafau.
Fa'aitiitia le tele o gaioiga i le ua.
Sensitivity i le malamalama po o le leo
faʻafāufau
niniva po'o le vertigo
faʻautaga maʻi
Meafaigaluega e mafai e se fomaʻi ona faʻaogaina e mafai ona aofia ai:
Fāʻata
MRI
CT scan
O su'esu'ega fa'aletino e aofia ai le va'aiga o le ua ma le palpation o le ua ma le ulupo'o.
Su'esu'e poloka neura ma tui.
O suʻesuʻega faʻataʻitaʻiga o le ua e mafai foi ona faʻaalia:
Lesona
Fa'apupula po'o le tisiketi
Faʻaitiitia le faʻaleagaina
Suiga fa'ama'i
O le su'esu'ega o le ulu o le cervicogenic e masani lava ona faia i le tasi itu, le tiga o le ulu ma le leiloa o le ua. (Komiti Fa'avasegaga o le Ulu o le International Headache Society. 2013) E mafai e se tausi soifua maloloina ona tuʻuina atu le tagata i togafitiga faʻale-tino e togafitia ai le ulu o le cervicogenic pe a maua. (Rana MV 2013)
Faaletino Faaletino
Pe a asiasi muamua i se fomaʻi faʻapitoa, o le a latou uia talaʻaga faʻafomaʻi ma tulaga, ma o le a fesiligia fesili e uiga i le amataga o le tiga, amioga faʻaalia, vailaʻau, ma suʻesuʻega faʻamaʻi. O le a fesili foi le fomaʻi e uiga i togafitiga muamua ma toe iloilo talaʻaga faafomaʻi ma taotoga. O vaega o le iloiloga e mafai ona aofia ai:
Palpation o le ua ma le ulupoo
Fua o le va o le ua
Fuaina o le malosi
Su'esu'ega i tua
A maeʻa le iloiloga, o le a galulue le fomaʻi ma le tagata e atiaʻe se polokalame faʻapitoa mo togafitiga ma sini toe faʻaleleia. E maua togafitiga eseese.
Faamalositino
O fa'amalositino e fa'aleleia ai le gaioi o le ua ma fa'aitiitia le mamafa i neura fa'a'au'au atonu e fa'atonuina ma e ono aofia ai. (Paka, SK et al., 2017)
Ta'amilosaga o le fa'a'au'au
Fulu fa'a'au'au
Pi'o le itu faufau
To'esea le fa'a'au'au
O le a a'oa'oina e le foma'i le tagata e gaoioi lemu ma le mautu ma 'alo'alo fa'afuase'i pe fa'ate'a.
Fa'asa'oga Fa'atonu
Afai o lo'o iai le fa'asaga i luma o le ulu, e mafai e le tui fa'a'au'au pito i luga ma le vaega pito i lalo e mafai ona fa'apipi'i neura e alu i tua o le ulupo'o. O le faʻasaʻoina o le tu e mafai ona avea o se fuafuaga lelei mo togafitiga ma e mafai ona aofia ai:
Fa'atino fa'amalositino fa'atatau ile tu'u.
Fa'aaogāina o se aluga o le ua mo le moe.
Fa'aaogāina o le lumbar support pe a nofo.
O le tapega o le Kinesiology e mafai ona fesoasoani e faʻateleina le faʻalauiloaina o le tua ma le ua ma faʻaleleia le tulaga lautele o le postural.
Heat / Ice
E mafai ona fa'aoga le vevela po'o le aisa i le ua ma le ulupo'o e fesoasoani e fa'aitiitia le tiga ma le mumū.
O le vevela e mafai ona fesoasoani e fa'amalo maso maso ma fa'aleleia le ta'amilosaga ma e mafai ona fa'aoga a'o le'i fa'alolo le ua.
fofō
Afai e fa'atapula'aina e maso fu'ai le gaioio o le ua ma mafua ai le tiga o le ulu, e mafai ona fesoasoani le massage e fa'aleleia atili ai le fe'avea'i.
O se metotia faʻapitoa e taʻua o le faʻamalolo o le suboccipital e tatalaina ai maso e faʻapipiʻi ai le ulupoʻo i le ua mo le faʻaleleia atili o le gaioiga ma faʻaitiitia ai le ita o neura.
Fa'ata'ita'iga ma le Fa'ainisinia
O se vaega o le fuafuaga o togafitiga faʻale-tino e mafai ona aofia ai le masini poʻo le tusi lesona e faʻafefe ai le ua o le ua ma sooga, faʻaleleia le gaioiga i le ua, ma faʻaitiitia ai le tiga.
E mafai ona faʻaogaina faʻatasi faʻatasi e faʻaleleia ai le gaioiga o le ua ma pulea le tiga. (Paquin, JP 2021)
Faʻamaumauga eletise
Fa'aosofiaga eletise, pei eletise-acupuncture po'o le transcutaneous neuromuscular electrical stimulation, e mafai ona fa'aoga i maso o le ua e fa'aitiitia ai le tiga ma fa'aleleia ai fa'ailoga o le ulu.
Togafitiga Umi
Ole tele ole togafitiga ole tino ole ulu ole ulu ole cervicogenic e tusa ole fa ile ono vaiaso. E mafai e tagata taʻitoʻatasi ona maua le toomaga i totonu o nai aso talu ona amata togafitiga, poʻo faʻamaoniga e ono oʻo mai ma alu i vaega eseese mo vaiaso. O nisi o a'afiaga na fa'aauau pea le tiga o le ulu o le ulu mo le tele o masina talu ona amata togafitiga ma fa'aoga metotia na latou a'oa'oina e fesoasoani e pulea fa'ailoga.
Manu'a Fa'afoma'i Chiropractic ma Functional Medicine Clinic fa'apitoa i togafitiga fa'asolosolo ma fa'agaioiga toe fa'aleleia e fa'atatau i le toe fa'aleleia o galuega masani a le tino pe a mae'a manu'a ma manu'a 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 faanatura e fa'aogaina ai le malosi o le tino e ausia ai sini fa'atatau. 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 .
Tausiga o Chiropractic mo Migraines
mau faasino
Itulau P. (2011). Cervicogenic ulu: o se faʻamaoniga taʻitaʻia auala ile pulega faʻapitoa. Fa'asalalauga fa'ava-o-malo o togafitiga fa'aletino, 6(3), 254-266.
Komiti Fa'avasegaga o le Ulu o le International Headache Society (IHS) (2013). Le Fa'avasegaga Fa'ava-o-malo o Fa'afitauli o le Ulu, 3rd lomiga (beta version). Cephalalgia : o se tusi talaaga faavaomalo o le ulu tiga, 33 (9), 629-808. doi.org/10.1177/0333102413485658
Rana MV (2013). Puleaina ma togafitia le ulu o le cervicogenic mafua'aga. The Medical clinics of North America, 97(2), 267–280. doi.org/10.1016/j.mcna.2012.11.003
Paka, SK, Yang, DJ, Kim, JH, Kang, DH, Paka, SH, & Yoon, JH (2017). O a'afiaga o le fa'a'alo'alo o le fa'a'au'au ma fa'amalositino fa'amalosi o le fa'a'au'au'au i uiga maso ma le tu o tagata mama'i e maua i le cervicogenic headache. Journal of Physical Therapy Science, 29(10), 1836–1840. doi.org/10.1589/jpts.29.1836
Paquin, JP, Tousignant-Laflamme, Y., & Dumas, JP (2021). O aʻafiaga o le faʻaogaina o le SNAG faʻatasi ma se faʻamalositino a le tagata lava ia SNAG mo le togafitia o le ulu o le cervicogenic: o se suʻesuʻega pailate. The Journal of manual & manipulative therapy, 29(4), 244-254. doi.org/10.1080/10669817.2020.1864960
E mafai e le iloaina o le tele o le tautua ona fesoasoani e fa'aitiitia ai le suka ma le kalori mo tagata ta'ito'atasi e fiafia e 'ai fualaau mamago?
Mataupu
Fualaau aina
O fualaau mamago, e pei o cranberries, aso, vine, ma vine, e lelei tele aua e umi se taimi ma o ni puna maloloina o alava, minerale, ma vaitamini. Peita'i, o fuala'au mamago e tele atu le suka ma le kalori i le tufa'aga ona e fa'aitiitia le voluma pe a fa'amama, ma fa'ataga ai le tele o mea e 'ai. O le mafuaaga lea e taua ai le tele o le laulau ina ia mautinoa e le soona ai.
Lautele Auaunaga
O fuala'au 'aina e fa'amamago i vai fa'amama pe tu'u i le la e fa'amama fa'alena ai. Ua sauni pe a uma le tele o vai. O le leiloa o le vai e faʻaitiitia ai lo latou tino, lea e mafai ai e tagata taʻitoʻatasi ona 'ai atili, faʻateleina le suka ma le kalori. Mo se faʻataʻitaʻiga, e tusa ma le 30 vine e ofi i totonu o le ipu fua e tasi, ae 250 vine e mafai ona faʻatumu le ipu e tasi pe a faʻamaʻi. Fa'amatalaga o mea'ai mo fualaau 'aina fou ma mago.
E tolusefulu vine e 47 kaloli ae i lalo ole 10 kalama o le suka.
O fua faanatura o le suka o le vine e eseese, o lea e mafai ai ona fa'atatau i su'esu'ega tau aogā o fuala'au eseese.
O nisi fuala'au suamalie, pei o cranberries, e mafai ona matua'i suamalie, o lea e fa'aopoopo ai le suka po'o le sua o fualaau 'aina pe a fa'amago.
Auala e Fa'aaoga ai
O fuala'au 'aina fou atonu e maualuga atu i nisi o vaitamini, ae o lo'o iai minerale ma fiber e fa'atumauina a'o fa'agogo. O fuala'au mamago e tele mea'ai ma e mafai ona avea ma vaega o se soifua maloloina, paleni taumafa e mafai ona aofia ai:
Fa'amalie mama le oatmeal fa'atasi ma sina tufa'aga la'ititi o fuala'au mamago mo se malu taeao fa'amalieina ma maloloina.
Sala
Togi lanu meamata uliuli, fasi apu fou, vine mamago po o vine, ma sisi.
Meaai autu
Fa'aaoga fuala'au mamago e fai ma mea e fa'aoga i mea'ai suamalie.
Suiga Pa Polotini
O vine, vine mamago, apu meataalo, ma apricots mago e faigofie ma umi atu nai lo fualaau aina fou, e lelei atoatoa pe a le maua ni polotini pa.
I le Injury Medical Chiropractic and Functional Medicine Clinic, o matou vaega o faʻataʻitaʻiga e aofia ai le Wellness & Nutrition, Chronic Pain, Manua Tagata, Tausiga Faʻafuaseʻi Taʻavale, Manuʻa Galuega, Manuʻa Tuʻu, Maʻi Tuʻi maualalo, tiga o le ua, Ulu o Migraine, Manua Taʻaloga, Sciatica ogaoga, Scoliosis, Herniated Discs lavelave, Fibromyalgia, Fa'alavelave Fa'alavelave, Manu'a Fa'alavelave, Pulea Fa'afitauli, Togafitiga Fa'afoma'i Fa'atino, ma fa'asologa o le tausiga i totonu. Matou te taulai atu i mea e aoga mo oe e ausia ai sini faʻaleleia ma fausia se tino faʻaleleia e ala i metotia suʻesuʻe ma polokalame faʻalesoifua maloloina atoa.
Mo tagata taʻitoʻatasi o loʻo manaʻo e faʻaleleia le mautu, e mafai ona faʻaogaina le faʻamalositino saʻo poʻo le polo mautu e fesoasoani e faʻaleleia taʻaloga ma ausia sini?
Mataupu
Fa'amalositino Polo'a Mausali
O se polo fa'amalositino, polo mautu, po'o le polo Suiselani o se vaega o mea faigaluega fa'amalositino e fa'aaogaina i faleta'alo, Pilates ma yoga studios, ma vasega HIIT. (Fono a Amerika i Fa'amalositino. 2014) E fa'asusu i le ea e fa'aopoopo i ta'aloga mamafa o le tino po'o le fa'aleleia o le tu ma le paleni. E mafai foʻi ona faʻaaogaina e fai ma nofoa. Latou te faʻaopoopoina se luʻitau mautu autu i toetoe lava o soʻo se faamalositino (American Council on Exercise, ND) O le mauaina o le polo fa'amalositino talafeagai ma le mausali mo lou tino ma le fa'amoemoega o le a mautinoa ai se ta'aloga sili ona lelei.
fua
Ole tele ole polo fa'amalositino e tatau ona fa'atatau ile maualuga ole tagata.
E tatau ona mafai e tagata taʻitoʻatasi ona nonofo i luga o le polo ma o latou vae i se tulimanu 90-tikeri pe sili atu foi, ae le itiiti ifo.
O ogavae e tatau ona tutusa ma le eleele pe fa'afa'ilalo teisi i lalo.
Faatasi ai ma vae faʻamafola i luga o le fola ma le tuasivi saʻo, e le faʻalagolago i luma, tua, poʻo le itu, o tulivae e tatau ona tutusa pe laʻititi laʻititi nai lo sulu.
O le mauaina o le polo faamalositino sa'o mo le mamafa e taua foi. O tagata e mamafa mo lo latou maualuga atonu e manaʻomia se polo lapoʻa e taofi ai tulivae ma vae i le tulimanu saʻo. E fautuaina e siaki le fua o le mamafa o le polo, lona umi, ma le maualuga o le paʻu aʻo leʻi faʻatau.
Faʻamatalaga
O tagata ta'ito'atasi e manana'o i sina mea itiiti i luga o le polo mo fa'amalositino. A nofo i luga o le polo faʻamalositino, o le mamafa o le tino e tatau ona fausia se nofoa laitiiti ma maua ai le mautu. Ae sili atu le taua, e mafai ai ona nofo tutusa i luga o le polo, lea e taua mo le faʻamalositino ma le faʻaogaina lelei o le tui. (Rafael F. Escamilla et al., 2016) O le tau o le tau o se mea e sili ona fiafia i ai, ae o le tele o le faʻafefe o le polo, o le sili atu ona faigata o le paleni o le tino, pe nofo pe i isi tulaga. E fautuaina e aua ne'i soona fa'a'a'a'a le polo i le tulaga e ono pa ai. O le polo atonu e manaʻomia le toe faʻaleleia i nisi taimi, o le tele o loʻo faʻatau atu ma se tamaʻi pamu mo lenei faʻamoemoe.
Faamalositino ma Faʻaloaloa
O polo fa'amalositino e sili ona fa'aoga, taugofie, ma faigofie ona fa'aoga mea faigaluega. E aoga mo le faʻaleleia atili o le malosi ma le mautu. O auala e faʻaaogaina e aofia ai:
Fa'atinoga fa'atatau mo le fa'agaoioia ma le fa'amalosia.
I le Injury Medical Chiropractic and Functional Medicine Clinic, matou te taulaʻi atu i mea e aoga mo oe ma taumafai e faʻaleleia le malosi ma faʻaleleia atili le tino e ala i metotia suʻesuʻe ma polokalame lelei atoatoa. O nei polokalame fa'alenatura e fa'aogaina ai le malosi o le tino e ausia ai sini fa'aleleia atili ma e mafai e tagata ta'a'alo ona fa'atutuina i latou lava e fa'asilisili i a latou ta'aloga e ala i le fa'aleleia lelei ma mea'ai. E fa'aogaina e a matou 'au'aunaga se auala tu'ufa'atasi e fai ai polokalame fa'apitoa, e masani ona aofia ai Fa'afoma'i Fa'atino, Acupuncture, Electro-Acupuncture, ma Ta'aloga Ta'aloga ta'iala.
Escamilla, RF, Lewis, C., Pecson, A., Imamura, R., & Andrews, JR (2016). Fa'agaoioiga Musole i Fa'amalositino Tu'u, Tu'u, ma Tulaga Fa'atasi ma se Polo Suiselani ma e aunoa ma se Supine. Soifua Maloloina, 8(4), 372–379. doi.org/10.1177/1941738116653931
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?
Mataupu
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
Mo tagata taʻitoʻatasi o loʻo faʻamalositino, malosi, ma faʻamalositino, pe mafai e le iloa pe faʻafefea ona fesoasoani le glycogen i le toe faʻaleleia o toleniga?
Mataupu
Glikogen
A manaʻomia e le tino le malosi, e toso mai i luga o ana faleoloa glycogen. O mea'ai e maualalo-carbohydrate, ketogenic ma fa'amalositino malosi e fa'aumatia ai faleoloa glycogen, ma fa'atupuina ai le ga'o o le tino mo le malosi. O le Glycogen e maua mai i ga'o ga'o i mea'ai a le tagata ma e fa'aaogaina e fa'amalosia ai le fai'ai, gaioiga fa'aletino, ma isi gaioiga fa'aletino. O molelaula e faia mai le kulukose e tele lava ina teuina i totonu o le ate ma maso. O le a le mea e 'ai, fa'afia, ma le maualuga o le gaioiga e a'afia ai le teuina ma le fa'aogaina e le tino o le glycogen. Toe fa'afo'isia le glycogen pe a mae'a fa'agaioiga fa'aletino po'o le galue o se vaega taua o le toe fa'aleleia. E mafai e le tino ona vave faʻaosoina le glycogen mai nei nofoaga e teu ai pe a manaʻomia le suauu. Ole 'ai ia lava mea'ai ga'o e ausia ai sini ole soifua maloloina ma le maualuga ole gaioiga e taua mo le manuia.
O le a
O le kulukose po'o le suka e teuina e le tino.
E teuina i totonu o le ate ma maso.
O le puna muamua ma le mana'omia ole malosi ole tino.
E sau mai carbohydrate i mea'ai ma meainu.
E faia mai le tele o molela'au kulukose feso'ota'i.
Gaosiga ma Teuga
O le tele o ga'o ga'o 'ai e liua i le kulukose, lea e avea ma puna malosi o le tino. Ae peita'i, a le mana'omia e le tino le fa'asusuina, o le kulukose mole o le kulukose e avea ma filifili feso'ota'i o le valu i le 12 kulukose iunite, ma fai ai se mole mole glycogen.
Fa'agasologa Fa'aoso
O le taumafaina o se mea'ai e maua ai le carbohydrate o le a siitia ai le maualuga o le kulukose o le toto e tali atu ai.
O le faateleina o le kulukose e faailoa atu ai le pancreas e gaosia ai le inisalini, o se hormone e fesoasoani i sela o le tino e ave le kulukose mai le toto mo le malosi po o le teuina.
O le fa'againa o le inisalini e mafua ai le ate ma maso maso e maua ai se enzyme e ta'ua o le glycogen synthase, lea e feso'ota'i fa'atasi ai filifili kulukose.
A lava le kulukose ma le inisalini, e mafai ona tuʻuina atu mole mole glycogen i le ate, maso, ma sela gaʻo mo le teuina.
Talu ai o le tele o le glycogen e maua i maso ma ate, o le aofaʻi o loʻo teuina i totonu o nei sela e eseese e faʻatatau i le maualuga o gaioiga, pe fia le malosi e mu i le malologa, ma meaʻai e 'ai. O maso e faʻaaoga muamua le glycogen o loʻo teuina i totonu maso, ae o le glycogen o loʻo teuina i totonu o le ate e tufatufa atu i le tino atoa, aemaise lava i le faiʻai ma le vaʻa.
Fa'aaogāina o le Tino
E liua e le tino le kulukose i le glycogen e ala i se gaioiga e taʻua o le glycogenesis. I le taimi o lenei faagasologa, o enzymes eseese e fesoasoani i le tino e talepe i lalo glycogen i glycogenolysis ina ia mafai e le tino ona faʻaaogaina. O lo'o iai le aofa'i o le kulukose o le toto ua sauni e alu i so'o se taimi. E pa'ū fo'i le maualuga ole inisalini pe a amata ona pa'ū le maualuga, a le o le le 'ai po'o le mu o le kulukose a'o fa'amalositino. A tupu lenei mea, o le enzyme e taʻua o le glycogen phosphorylase e amata ona talepeina le glycogen e tuʻuina atu i le tino le kulukose. O le kulukose mai le ate glycogen e avea ma malosiaga muamua o le tino. O taimi pu'upu'u o le malosi e fa'aaoga ai le glycogen, pe i taimi o si'isi'i po'o si'i mamafa. (Bob Murray, Christine Rosenbloom, 2018) O se vaiinu a'o le'i faia toleniga e tele le carbohydrate e mafai ona maua ai le malosi e fa'amalositino umi ai ma toe vave fa'aleleia. E tatau i tagata taʻitoʻatasi ona 'ai se meaʻai pe a maeʻa le toleniga ma le paleni paleni o gaʻo e faʻatumu ai faleoloa glycogen. E fa'aaoga fo'i e le fai'ai le kulukose mo le malosi, ma le 20 i le 25% o le glycogen e alu e fa'aola ai le fai'ai. (Manu S. Goyal, Marcus E. Raichle, 2018) E mafai ona tupu le vaivai o le mafaufau po'o le puao o le fai'ai pe a le lava le ga'o ga'o. Pe a faʻaumatia faleoloa glycogen e ala i faʻamalositino poʻo le le lava o gaʻo, e mafai e le tino ona lagona le vaivai ma le paie ma atonu e maua ai lagona ma le moe. (Hugh S. Winwood-Smith, Craig E. Franklin 2, Craig R. White, 2017)
meaʻai
O a mea'ai e 'ai ma le tele o gaioiga fa'aletino e fa'aaafia ai fo'i le gaosiga o le glycogen. O a'afiaga e mafai ona ogaoga pe a mulimulita'ia se mea'ai e maualalo le ga'o, lea e fa'afuase'i ai ona fa'atapula'aina mea'ai ga'o, o le puna muamua lea o le fa'atupuina o le kulukose.
Lelavai ma Fai'ai puao
O le taimi muamua e amata ai se meaai maualalo-carbo, e mafai ona matua faʻaumatia faleoloa glycogen a le tino ma e ono maua e tagata taʻitoʻatasi faʻailoga e pei o le vaivai ma le puao o le faiʻai. (Kristen E. D'Anci et al., 2009)
O fa'ailoga e amata ona mou atu pe a toe fetuuna'i le tino ma fa'afouina ana faleoloa glycogen.
Vai mamafa
So'o se aofa'i o le pa'u mamafa e mafai ona tutusa le a'afiaga i faleoloa glycogen.
I le taimi muamua, e mafai e tagata taʻitoʻatasi ona paʻu vave i le mamafa.
I le aluga o taimi, o le mamafa e mafai ona maualuga ma atonu e faʻateleina.
O le mea na tupu e mafua ona o le glycogen composition, o le vai foi. O le fa'aitiitia vave o le glycogen i le amataga o mea'ai e fa'aoso ai le pa'u o le mamafa o le vai. I le aluga o taimi, e faʻafouina faleoloa glycogen, ma toe foʻi mai le mamafa o le vai. A tupu lenei mea, o le pa'u o le mamafa e mafai ona pa'u po'o le maualuga. E mafai ona fa'aauau pea le pa'u o ga'o e ui lava i le a'afiaga i luga ole laiga pu'upu'u.
Faamalositino
Afai e faia se faʻamalositino mamafa masani, o loʻo i ai taʻiala e fesoasoani e aloese ai mai le faʻaitiitia o le faʻatinoga atonu e fesoasoani:
Carbo-loading
O nisi tagata ta'aalo latou te taumafaina le tele o ga'o ga'o a'o le'i faigaluega pe tauva.
O isi carbohydrates e maua ai le tele o suauu.
O le metotia ua le fiafia ona e mafai ona oʻo atu ai i le mamafa o le vai ma faʻafitauli faʻamaʻi.
Glucose Gels
O gels malosi o lo'o iai le glycogen e mafai ona 'ai muamua pe a mana'omia i le taimi o se fa'alavelave e fa'ateleina ai le kulukose o le toto.
Mo se faʻataʻitaʻiga, o le lamu malosi o ni faʻaopoopoga aoga mo tagata tamoʻe e fesoasoani e faʻateleina le faʻatinoga i taimi o taʻaloga umi.
Mea'ai Ketogenic Low-Carb
O le taumafaina o se mea'ai e maualuga le ga'o ma le maualalo o ga'o ga'o e mafai ona tu'u ai le tino i se tulaga keto- adaptative.
I lenei tulaga, ua amata ona maua e le tino le ga'o teuina mo le malosi ma fa'aitiitia le fa'alagolago i le kulukose mo le suauu.
I le Injury Medical Chiropractic and Functional Medicine Clinic, o loʻo faʻaogaina e le matou auʻaunaga se auala tuʻufaʻatasia e fausia ai fuafuaga faʻapitoa mo le tausiga o tagata taʻitoʻatasi, e masani ona aofia ai Faʻafomaʻi Faʻatonu, Acupuncture, Electro-Acupuncture, ma Taʻaloga Taʻaloga mataupu faavae. O la matou sini o le toe faʻaleleia o le soifua maloloina ma le gaioiga i le tino.
Mea'ai Tau Ta'aloga ma Ta'aloga Taumafa
mau faasino
Murray, B., & Rosenbloom, C. (2018). Faʻavae o le glycogen metabolism mo faiaoga ma tagata taʻalo. Iloiloga o taumafa, 76(4), 243–259. doi.org/10.1093/nutrit/nuy001
Goyal, MS, & Raichle, ME (2018). Kulukose Manaoga o le Atina'e Fai'ai o le Tagata. Journal of pediatric gastroenterology and nutrition, 66 Suppl 3(Suppl 3), S46–S49. doi.org/10.1097/MPG.0000000000001875
Winwood-Smith, HS, Franklin, CE, & White, CR (2017). O mea'ai maualalo-carbohydrate e fa'aosoina ai le fa'afitauli o le metabolic: o se faiga e mafai ona fa'asaoina ai le glycogen. American journal of physiology. Fa'atonu, tu'ufa'atasi ma fa'atusatusaga o le tino, 313(4), R347–R356. doi.org/10.1152/ajpregu.00067.2017
D'Anci, KE, Watts, KL, Kanarek, RB, & Taylor, HA (2009). Mea'ai e fa'aitiitia le ga'o-carbohydrate. Aafiaga i le mafaufau ma lagona. Mana'ai, 52(1), 96–103. doi.org/10.1016/j.appet.2008.08.009
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?
Mataupu
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 le iloaina o mea'ai e 'ai ona fesoasoani i tagata e toe fa'afo'isia mai mea'ai ona toe fa'afo'isia le soifua maloloina o le gutu?
Mataupu
Oona o Mea'ai ma Toe Fa'afo'isia le Soifua Maloloina o le Gut
O le 'ona o mea'ai e ono lamatia ai le ola. O le mea e lelei ai, o le tele o mataupu e agamalu ma pupuu ma e naʻo ni nai itula i ni nai aso (Centres for Control Control and Prevention, 2024). Ae e oo lava i tulaga mama e mafai ona afaina ai le manava, ma mafua ai le faufau, puaʻi, ma le manava. Ua maua e tagata suʻesuʻe o faʻamaʻi pipisi, pei o meaʻai oona, e mafai ona mafua ai suiga i siama o le gutu. (Clara Belzer et al., 2014) O le taumafaina o mea'ai e fa'aleleia ai le fa'amalologa o le gutu pe a uma ona 'ona mea'ai e mafai ona fesoasoani i le tino e toe fa'aleleia ma fa'avavevave le lagona lelei.
Meaʻai e 'Ai
A mae'a fa'ailoga oona o mea'ai, e ono lagona e se tasi e lelei le toe fo'i i taumafa masani. Ae ui i lea, o le manava na onosaʻi i se mea na tupu, ma e ui lava ina faʻaitiitia faʻailoga mataʻutia, e mafai lava e tagata taʻitoʻatasi ona manuia mai meaʻai ma meainu e faigofie i le manava. O mea'ai ma meainu fautuaina pe a uma ona 'ona mea'ai e aofia ai: (National Institute of Diabetes and Digestive and Kidney Diseases. 2019)
Gatorade
Pedialytes
vai
Lauti lauti
Soa moa
sieli
Apu
Fusi
Toga
Rice
Oatmeal
faʻi
Potatoes
E taua tele le fa'asusu pe a uma ona 'ona mea'ai. E tatau i tagata ta'ito'atasi ona fa'aopoopo i ai isi mea'ai fa'alesoifua maloloina ma fa'asusu, e pei o sou saimoa moa, lea e fesoasoani ona o ona mea'ai ma vai. O le manava manava ma le pua'i o lo'o fa'atasi ma le ma'i e mafai ona tu'u ai le tino e matua'i fa'amama. O le toe fa'asusuina o meainu e fesoasoani i le tino e suitulaga ai le eletise ma le sodium ua leiloa. O le taimi lava e toe fa'asusu ai le tino ma mafai ona taofiofi i lalo mea'ai lemu, fa'agasolo malie atu mea'ai mai mea'ai masani. Pe a toe fa'aauau le taumafa masani pe a uma ona toe fa'asusu, 'ai fa'atasi i nai mea'ai laiti, ta'i tolu i le fa itula, e fautuaina nai lo le 'ai tele i le taeao, aoauli, ma le 'aiga o le afiafi i aso uma. (Andi L. Shane et al., 2017) Pe a filifilia le Gatorade poʻo le Pedialyte, ia manatua o Gatorade o se taʻaloga-rehydrating mea inu ma sili atu le suka, lea e ono faʻafefe ai le manava mu. Pedialyte ua mamanuina mo le toe fa'asusu i le taimi ma pe a mae'a ma'i ma e itiiti le suka, ma avea ai ma filifiliga sili atu. (Ronald J Maughan et al., 2016)
Pe a Oona Mea'ai o Mea'ai malosi e 'Alo'ese
A'o 'ona mea'ai, e masani lava ona le fia 'ai tagata ta'ito'atasi. Ae peitai, ina ia aloese mai le faateteleina o le gasegase, e fautuaina tagata taʻitoʻatasi e aloese mai mea nei aʻo maʻi tigaina (Iunivesite a le Setete o Ohio. 2019)
O mea inu kafeina ma le ava malosi e mafai ona saga fa'amama.
O mea'ai ga'o ma mea'ai e maualuga alava e faigata ona fa'amama.
O mea'ai ma meainu e maualuga le suka e mafai ona maua ai e le tino le maualuga o le kulukose ma fa'avaivaia ai le puipuiga. (Navid Shomali et al., 2021)
Taimi Toe Fa'aleleia ma Toe Fa'aauau Mea'ai masani
E le umi se taimi e fa'a'ona ai mea'ai, ma o le tele o mataupu e le lavelave e fo'ia i totonu o nai itula po'o aso. (Centres for Control Control and Prevention, 2024) O auga e fa'alagolago i le ituaiga siama. E mafai ona mama'i tagata ta'ito'atasi i ni nai minute talu ona 'aina mea'ai leaga e o'o i le lua vaiaso mulimuli ane. Mo se fa'ata'ita'iga, o siama Staphylococcus aureus e masani lava ona fa'atupu fa'ailoga toetoe lava a vave. I le isi itu, o le listeria atonu e oʻo atu i ni nai vaiaso e faʻaalia ai faʻamaoniga. (Centres for Control Control and Prevention, 2024) E mafai e tagata ta'ito'atasi ona toe fa'aauau a latou mea'ai masani pe a leai ni fa'ailoga, fa'amama lelei le tino ma e mafai ona taofiofi i lalo mea'ai mama. (Andi L. Shane et al., 2017)
Fautuaina Gut Foods Post Stomach Virus
E mafai ona fesoasoani mea'ai e fa'aleleia ai le manava microbiome po'o meaola uma o lo'o ola i totonu o le faiga o mea'ai. O se microbiome o le manava maloloina e taua mo le faʻaogaina o le tino. (Emanuele Rinninella et al., 2019) E mafai e fa'ama'i o le manava ona fa'alavelaveina le paleni ole siama ole manava. (Chanel A. Mosby et al., 2022) O le taumafaina o nisi mea'ai e mafai ona fesoasoani e toe fa'afo'i le paleni o le manava. Prebiotics, po'o alava la'au e le mafai ona fa'amama, e mafai ona fesoasoani e talepe i totonu o le tootoo laiti ma fa'ataga ai le tupu a'e o siama aoga. O mea'ai prebiotic e aofia ai: (Dorna Davani-Davari et al., 2019)
Peni
Aluga
tamato
lauliliʻi
Peas
Meli
Miliki
faʻi
Saito, karite, rye
Ata
Soya
Vaeluaga
E le gata i lea, o vailaʻau faʻamaʻi, o siama ola, e mafai ona fesoasoani e faʻateleina le numera o siama maloloina i totonu o le gutu. Mea'ai probiotic e aofia ai: (Harvard Medical School, 2023)
Pickles
Areto palu
Kombucha
Sauerkraut
Yogurt
Miso
kefir
Kimchi
Tempe
Probiotics e mafai foi ona ave e fai ma faʻaopoopoga ma sau i papa, capsules, paʻu, ma vai. Ona o lo'o iai siama ola, e mana'omia ona fa'a'aisa. O nisi taimi e fautuaina ai e le au tausi soifua maloloina le tagofia o probiotics pe a toe malosi mai le ma'i manava. (National Institute of Diabetes and Digestive and Kidney Diseases, 2018) E tatau i tagata ta'ito'atasi ona fa'afeso'ota'i la latou 'au'aunaga fa'alesoifua maloloina e va'ai pe saogalemu ma soifua maloloina lenei filifiliga.
I le Injury Medical Chiropractic and Functional Medicine Clinic, matou te togafitia manuʻa ma faʻamaʻi tiga masani e ala i le atinaʻeina o fuafuaga faʻapitoa mo togafitiga ma auaunaga faʻapitoa faʻapitoa e taulaʻi i manuʻa ma le faagasologa atoa o le toe faʻaleleia. 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.
Belzer, C., Gerber, GK, Roeselers, G., Delaney, M., DuBois, A., Liu, Q., Belavusava, V., Yeliseyev, V., Houseman, A., Onderdonk, A., Cavanaugh , C., & Bry, L. (2014). Fa'aleaogaina ole microbiota ile tali atu ile fa'ama'i fa'ama'i. PloS tasi, 9(7), e95534. doi.org/10.1371/journal.pone.0095534
Shane, AL, Mody, RK, Crump, JA, Tarr, PI, Steiner, TS, Kotloff, K., Langley, JM, Wanke, C., Warren, CA, Cheng, AC, Cantey, J., & Pickering, LK (2017). 2017 Fa'ama'i Fa'ama'i Sosaiete a Amerika Ta'iala mo Fa'ata'ita'iga Fa'ata'ita'i mo le Su'esu'ega ma le Puleaina o Fa'ama'i Fa'ama'i. Faʻamaʻi faʻamaʻi faʻamaʻi : o se faʻasalalauga aloaia a le Sosaiete Faʻamaʻi Faʻamaʻi o Amerika, 65(12), e45-e80. doi.org/10.1093/cid/cix669
Maughan, RJ, Watson, P., Cordery, PA, Walsh, NP, Oliver, SJ, Dolci, A., Rodriguez-Sanchez, N., & Galloway, SD (2016). O se fa'ata'ita'iga fa'apitoa e iloilo ai le gafatia o meainu 'ese'ese e a'afia ai le tulaga o le fa'asusuina: atina'e o se fa'asinomaga o meainu. The American journal of clinical nutrition, 103(3), 717–723. doi.org/10.3945/ajcn.115.114769
Shomali, N., Mahmoudi, J., Mahmoodpoor, A., Zamiri, RE, Akbari, M., Xu, H., & Shotorbani, SS (2021). Aafiaga leaga o le maualuga o le kulukose i luga o le tino puipuia: Se toe iloiloga. Biotechnology and applied biochemistry, 68(2), 404–410. doi.org/10.1002/bab.1938
Rinninella, E., Raoul, P., Cintoni, M., Franceschi, F., Miggiano, GAD, Gasbarrini, A., & Mele, MC (2019). Ole a le Healthy Gut Microbiota Composition? Se Suiga Fa'anatura i le Vaitausaga, Si'osi'omaga, Mea'ai, ma Fa'ama'i. Microorganisms, 7(1), 14. doi.org/10.3390/microorganisms7010014
Mosby, CA, Bhar, S., Phillips, MB, Edelmann, MJ, & Jones, MK (2022). O feso'ota'iga ma fa'ama'i mamame enteric virus e suia ai le gaosiga o le membrane pito i fafo ma mea o lo'o maua e siama fa'amaonia. Journal of extracellular vesicles, 11(1), e12172. doi.org/10.1002/jev2.12172
Davani-Davari, D., Negahdaripour, M., Karimzadeh, I., Seifan, M., Mohkam, M., Masoumi, SJ, Berenjian, A., & Ghasemi, Y. (2019). Prebiotics: Fa'amatalaga, Ituaiga, Puna'oa, Mechanisms, ma Fa'aoga Fa'afoma'i. Mea'ai (Basel, Suiselani), 8(3), 92. doi.org/10.3390/foods8030092
E mafai e le iloaina o togafitiga mo se suilapalapa vavae ona fesoasoani i tagata taʻitoʻatasi e faʻavaveina le toe faʻaleleia ma le toe faʻaleleia?
Mataupu
Su'ega Su'ega
O se suilapalapa ma'i o se manu'a e le masani ai ae e mafai ona tupu ona o se manu'a po'o le mulimulitaia o taotoga suilapalapa. E masani ona tupu pe a maeʻa faʻalavelave matuia, e aofia ai fetoaiga taavale afi, pau, ma o nisi taimi e manu'a ai taaloga. (Caylyne Arnold et al., 2017) E mafai fo'i ona tupu se suilapalapa ma'i pe a uma le taotoga o le suilapalapa. O isi manu'a e pei o loimata o le ligament, fa'aleagaina o le cartilage, ma gau o ponaivi e mafai ona tupu fa'atasi ma le fa'alavelave. O le tele o fa'aletonu o le suilapalapa e togafitia i se faiga fa'aitiitiga fa'atasi e toe fa'afo'i ai le polo i totonu o le socket. E masani ona faia i sedation poʻo faʻamaʻi lautele. Toe fa'aleleia e umi se taimi ma e ono o'o i ni nai masina a'o le'i toe fa'aleleia atoatoa. O togafitiga faʻale-tino e mafai ona fesoasoani e toe faʻafoʻisia le gaioiga ma le malosi i le suilapalapa.
O le a?
Afai o le suilapalapa ua na'o se vaega o le vavae, ua ta'ua o le suilapalapa subluxation. A tupu lenei mea, o le ulu sooga suilapalapa naʻo se vaega e aʻe mai le socket. O le suilapalapa mavaevae o le taimi lea e sui ai le ulu poʻo le polo o le sooga faʻatasi pe oso ese mai le socket. Talu ai e ese le suilapalapa faʻapitoa mai se sooga suilapalapa masani, o le faʻalavelave faʻalavelave faʻafuaseʻi e faʻatupulaʻia pe a uma ona sui sooga. O se suʻesuʻega na maua ai e tusa ma le 2% o tagata taʻitoʻatasi o loʻo suia atoa le suilapalapa o le a oʻo i le gau o le suilapalapa i totonu o le tausaga, faʻatasi ai ma le faʻalavelave faʻatupulaia e tusa ma le 1% i luga o le lima tausaga. (Jens Dargel et al., 2014) Ae ui i lea, o mea fou faʻatekonolosi prosthetics ma taʻaloga taʻavale ua faʻaitiitia ai lenei mea.
Hip Anatomy
O le sooga o polo-ma-socket e taʻua o le femoroacetabular sooga.
O le socket e taʻua o le acetabulum.
O le polo e ta'ua o le ulu femoral.
O le tino o ponaivi ma uaua malolosi, maso, ma tendon e fesoasoani e fausia ai se sooga mautu. O le malosi tele e tatau ona faʻaoga i le sooga faʻatasi ina ia tupu ai se faʻalavelave o le suilapalapa. O nisi tagata latou te lipotia le lagona o le paʻu o le suilapalapa. E masani lava e le'o se ma'i o le suilapalapa ae fa'ailoa mai ai se ma'i ese'ese e ta'ua o le ma'i o le suilapalapa. (Paul Walker et al., 2021)
Su'ega Su'ega I tua
E tusa ma le 90% o fa'ama'i o le suilapalapa e pito i tua.
I lenei ituaiga, o le polo e tulei i tua mai le socket.
O se fa'aletonu e mafai ona fa'aleagaina ai fausaga o lo'o taofia ai le polo i totonu o le socket ma e mafai ona aofia ai:
Fa'aleagaina o le sooga fa'atasi -
Loimata i le labrum ma ligaments.
gau o le ponaivi i le sooga.
Manu'a i va'a e maua ai le toto e mafai ona o'o atu ai i le avascular necrosis po'o le osteonecrosis o le suilapalapa. (Patrick Kellam, Robert F. Ostrum 2016)
O le malepelepe o le suilapalapa e fa'atuputeleina ai le fa'atupuina o le gasegase fa'atasi pe a mae'a le manu'a ma e mafai ona fa'atupula'ia ai le tulaga lamatia o le mana'omia o se sui suilapalapa mulimuli ane i le olaga. (Hsuan-Hsiao Ma et al., 2020)
Fuafuaina o le Suavai
O nisi tamaiti e fananau mai ma le faʻaleagaina o le suilapalapa poʻo le DDH.
O tamaiti e iai le DDH e iai so'oga o suilapalapa e le'i sa'o ona fa'atupu a'o tuputupu a'e.
O le mea lea e mafua ai le matala i totonu o le socket.
I nisi tulaga, o le sooga o le suilapalapa ua mae'a atoa.
Fa'aitiitiga fa'atasi o le auala sili lea ona taatele e togafitia ai se suilapalapa ua ma'i. O le fa'agasologa e toe fa'afo'i ai le polo i totonu o le socket ma e masani lava ona faia i le fa'ama'i po'o lalo o le fa'ama'i lautele. O le toe fa'atulagaina o se suilapalapa e mana'omia ai le malosi tele. O le ma'i o le suilapalapa e manatu o se fa'alavelave fa'afuase'i, ma e tatau ona faia le fa'aitiitiga i le taimi lava e mae'a ai le malepelepe ina ia puipuia ai fa'alavelave tumau ma togafitiga fa'alavelave. (Caylyne Arnold et al., 2017)
O le taimi lava e toe foʻi ai le polo i totonu o le socket, o le a suʻe e le tausi soifua maloloina manuʻa o ponaivi, cartilage, ma ligament.
Fa'alagolago i mea e maua e le tausi soifua maloloina, e ono mana'omia nisi togafitiga.
O ponaivi gau po'o gaui atonu e mana'omia le toe fa'aleleia e taofi ai le polo i totonu o le socket.
Atonu e tatau ona aveese le cartilage ua faaleagaina.
Togafitiga
E ono mana'omia se taotoga e toe faafoi ai le sooga i lona tulaga masani. E mafai ona fa'aitiitia le fa'alavelave o nisi fa'ata'ita'iga. E fa'aofi e le fomai tipitipi se mea pu'eata microscopic i totonu o le sooga o le suilapalapa e fesoasoani i le fomai tipitipi e toe faaleleia le manu'a e fa'aaoga ai meafaifa'aili e fa'aofi i isi tipi laiti.
O le taotoga e sui ai le suilapalapa e sui ai le polo ma le socket, o se ta'aloga masani ma le manuia o taotoga faʻapitoa. O lenei taotoga e mafai ona faia mo mafuaaga eseese, e aofia ai le tiga poʻo le gugu, aua e masani ona tupu vave le gasegase o le suilapalapa pe a maeʻa lenei ituaiga o manuʻa. O le mafua'aga lea e mana'omia ai e le to'atele o lo'o i ai se ma'i ma'i le taotoga o le suilapalapa. I le avea ai ma se taotoga tele, e le aunoa ma ni lamatiaga. O fa'alavelave e ono iai e aofia ai:
Faʻafitauli
Fa'amama le aseptic (le tatalaina o le sooga e aunoa ma se fa'ama'i)
Taofi suilapalapa
le toe faaleleia
O le toe fa'afo'isia mai le ma'i o le suilapalapa ose faiga umi. E manaʻomia e tagata taʻitoʻatasi ona savavali ma tootoo poʻo isi masini i le amataga o le toe faʻaleleia. O togafitiga faʻale-tino o le a faʻaleleia ai le tele o gaioiga ma faʻamalosia maso o loʻo siomia ai le suilapalapa. O le taimi e toe faʻaleleia ai e faʻalagolago pe o iai isi manuʻa, e pei o gau poʻo loimata, o loʻo i ai. Afai na faʻaitiitia le sooga o le suilapalapa ma e leai se isi manuʻa, atonu e ono i le sefulu vaiaso e toe faʻaleleia ai i le tulaga e mafai ai ona tuʻu le mamafa i luga o le vae. E mafai ona i le va o le lua ma le tolu masina mo le toe malosi atoatoa. O le taofiofia o le mamafa mai le vae e taua tele se'i vagana ua maua e le foma'i tipitipi po'o le foma'i fa'apitoa. Injury Medical Chiropractic and Functional Medicine Clinic o le a galulue faʻatasi ma se tagata tausi soifua maloloina muamua ma isi fomaʻi tipitipi poʻo tagata tomai faapitoa e atiaʻe se fuafuaga sili ona lelei mo togafitiga faʻapitoa.
Chiropractic Fofo mo Osteoarthritis
mau faasino
Arnold, C., Fayos, Z., Bruner, D., Arnold, D., Gupta, N., & Nusbaum, J. (2017). Puleaina o fa'aletonu o le suilapalapa, tulivae, ma tapuvae i le matagaluega o faalavelave faafuasei [digest]. Fa'ata'ita'iga fa'afoma'i fa'afuase'i, 19(12 Suppl Points & Penina), 1–2.
Dargel, J., Oppermann, J., Brüggemann, GP, & Eysel, P. (2014). Ta'ese'ese pe a uma ona sui uma suilapalapa. Deutsches Arzteblatt faavaomalo, 111(51-52), 884–890. doi.org/10.3238/arztebl.2014.0884
Walker, P., Ellis, E., Scofield, J., Kongchum, T., Sherman, WF, & Kaye, AD (2021). Snapping Hip Syndrome: Ose Fa'afouga Atoa. Iloiloga fa'apitoa, 13(2), 25088. doi.org/10.52965/001c.25088
Cornwall, R., & Radomisli, TE (2000). Manu'a neura i se fa'alavelave fa'afuase'i o le suilapalapa. Falema'i fa'apitoa ma su'esu'ega fa'atatau, (377), 84-91. doi.org/10.1097/00003086-200008000-00012
Kellam, P., & Ostrum, RF (2016). Iloiloga Faʻapitoa ma Meta-Suʻesuʻega o Avascular Necrosis ma Posttraumatic Arthritis Ina ua maeʻa Traumatic Hip Dislocation. Tusitala o manu'a tuga, 30(1), 10-16. doi.org/10.1097/BOT.0000000000000419
Ma, HH, Huang, CC, Pai, FY, Chang, MC, Chen, WM, & Huang, TF (2020). I'uga umi i tagata mama'i e gau gau suilapalapa-dislocation: Taua taua fa'ailoga. Journal of the Chinese Medical Association : JCMA, 83 (7), 686-689. doi.org/10.1097/JCMA.0000000000000366
E mafai e le faʻapipiʻiina o le acupressure ona maua ai le toomaga lelei ma faʻamanuiaga mo tagata taʻitoʻatasi o loʻo vaʻavaʻai e faʻataʻitaʻi togafitiga masani mo maʻi masani o le soifua maloloina?
Mataupu
Acupressure
O le Acupressure o se ituaiga o vailaʻau faʻaopoopo e faʻatuputeleina le lauiloa ona o lona faigofie ma le faʻaogaina. E mafai ona fesoasoani i le togafitia o faʻamaʻi ma tulaga eseese. (Piyush Mehta et al., 2016) E mafai e soʻo se tasi ona aʻoaʻoina, ma e leai se meafaigaluega faʻapitoa e manaʻomia. Ose togafitiga lelei ma saogalemu e leai ni a'afiaga e iloa. (Youngmi Cho et al., 2021) O se faʻalavelave taugofie e pei o le acupuncture. (Lukas Israel et al., 2021)
O le a?
O le manatu o le acupressure e faʻagaoioia ai acupoints poʻo pito mamafa i luga o meridian poʻo alalaupapa e fesoʻotaʻi i totoga eseese e faapaleni ai le malosi ma faʻaleleia le soifua maloloina. E talitonu foma'i o le lelei po'o le tulaga o le malosi o le tagata e fa'atatau i lo latou soifua maloloina. (Piyush Mehta et al., 2016) Acupressure o le faʻaosofia o acupoints e faʻaaoga ai tamatamailima poʻo se meafaigaluega. Massage techniques e pei o Amma, Shiatsu, Tui Na, ma Thai massage e aofia ai le acupressure i a latou togafitiga ma mulimuli i le malosi tutusa e pei o le acupuncture.
Le Ala e Galue ai
Acupressure galue tutusa ma le acupuncture. Fai mai le Gate Control Theory e fa'afa fa'atopetope atu lagona fiafia i le fai'ai nai lo lagona tiga. O lagona fiafia faifaipea e tapunia ai faitoto'a neural ma poloka fe'au fa'agesegese, e pei o le tiga. E tusa ai ma lenei aʻoaʻoga, o le acupressure e faʻaleleia ai le faʻailoga o le tiga. (Piyush Mehta et al., 2016) Acupoints fa'aosofia e fa'agaoioia ai tali fa'atino, e pei o le tu'uina atu o hormones. O nei hormones e tautuaina galuega eseese, faaletino, e pei o le faatonutonuina o gaioiga o totoga, ma le mafaufau, e pei o le faatonutonuina o lagona, ma le tuʻuina atu e mafai ona fesoasoani e faʻaleleia le soifua maloloina ma le soifua manuia. (Piyush Mehta et al., 2016)
Acupressure o se faʻaoga faigofie ma aoga e mafai ona faʻatinoina e oe lava pe faʻapolofesa.
Acupoints o loʻo faʻagaoioia i tulilima, tamatamailima, vae, lima, alofilima, poʻo limamatua.
E ui lava e le manaʻomia e le acupressure meafaigaluega faʻapitoa, e avanoa mo le faʻaogagofie.
Na faʻaaogaina e nisi o fomaʻi Bian maa e faʻagaoioia acupoints.
O meafaigaluega fa'aonaponei e mafai ona fesoasoani i le fa'agaoioia o acupoints. (Piyush Mehta et al., 2016)
O le oomiina o le acupoints ua lava, ma o le le sa'o e ono mafua ai se afaina poʻo se manuʻa. (Youngmi Cho et al., 2021)
Acupressure e masani ona faʻaogaina faʻatasi ma vailaʻau faʻaonaponei, aua e togafitia ai faʻamaoniga masani poʻo faʻatasi, e pei o le popole poʻo le atuatuvale. O nisi o tulaga e ono aoga ai le acupressure e aofia ai.
Fa'atiga ma Fa'aitiitia le vaivai
O le atuatuvale ma le vaivai e masani lava ae masani ona tulaʻi faʻatasi ma isi maʻi poʻo tulaga pe a fai e tumau pe ogaoga, popole ma le vaivai e mafai ona matua afaina ai le lelei o le olaga e ala i le faʻaitiitia o le mafai e le tagata ona auai i gaoioiga i aso taitasi. I se suʻesuʻega o loʻo vaʻavaʻai i tausimaʻi faigaluega sifi o loʻo oʻo i le atuatuvale ma le vaivai ona o le malosi o a latou galuega, o le acupressure na faʻaitiitia ai a latou faʻailoga. (Youngmi Cho et al., 2021) I suʻesuʻega i tagata o loʻo sao mai le kanesa o le susu, sa faʻaaogaina foi le acupressure e faʻaitiitia ai le maualuga o le vaivai ma sa faʻaalia o se filifiliga lelei ma taugofie mo le puleaina o le vaivai faifai pea faʻatasi ma le tausiga masani mo le kanesa o le susu. (Suzanna Maria Zick et al., 2018) (Suzanna M Zick et al., 2016)
E mafai ona fesoasoani i le popole ma le atuatuvale
O le atuatuvale ma le popole e mafai ona avea ma se vaega o se ma'i pe iai foi na o latou. Acupressure e mafai ona fesoasoani e faʻaitiitia nisi o popolega ma le atuatuvale e tulaʻi mai o se vaega o se maʻi poʻo se maʻi. I le su'esu'ega a tausima'i faigaluega, o le acupressure na fesoasoani e fa'aitiitia ai le popolevale. (Youngmi Cho et al., 2021) I isi suʻesuʻega, o le acupressure na faʻaitiitia ai le popolevale ma faʻaleleia ai faʻafitauli faʻavaivai i tagata taʻitoʻatasi e laʻititi ma feololo. (Elizabeth Monson et al., 2019) (Jingxia Lin et al., 2022) (Suzanna Maria Zick et al., 2018)
Faaitiitia tiga
E maua e tagata taʻitoʻatasi tiga faʻaletino mo mafuaaga eseese. O le tiga e mafai ona sau mai se taimi le tumau taaloga manu'a, galuega, gaioiga fa'afuase'i fa'aletonu, ma/po'o ma'i tumau. Acupressure e mafai ona faʻaitiitia lelei le tiga o se togafitiga faʻaopoopo. (Elizabeth Monson et al., 2019) I se suʻesuʻega, o tagata taʻalo na i ai se manuʻa taʻaloga musculoskeletal na lipotia mai le faʻaitiitia o le tiga i le maeʻa ai o le tolu minute o le acupressure therapy. (Aleksandra K Mącznik et al., 2017) I se isi suʻesuʻega, na faʻaalia e tagata na sao mai le kanesa o le susu le faʻaleleia atili o le acupressure. (Suzanna Maria Zick et al., 2018)
Manava Toomaga
O le faufau ma le pua'i o tulaga ia e masani ai mo i latou o lo'o ma'itaga po'o faia le chemotherapy. E mafai fo'i ona avea ma a'afiaga o vaila'au pe tula'i mai ma migraine po'o le fa'a'ai. E iai fa'amaoniga e mafai ona aoga le acupressure i le fa'aitiitia o fa'ailoga. O nisi tagata suʻesuʻe e talitonu o se ituaiga o acupressure faʻapitoa e taʻua o le acupressure auricular e sili ona aoga mo le togafitia o le nausea ma le puaʻi faʻatasi ma togafitiga masani. (Jing-Yu Tan et al., 2022) Ae ui i lea, e manaʻomia nisi suʻesuʻega e iloa ai pe o se mea e mafai, faʻaauau pea mo le togafitia o le faufau ma le puaʻi. (Heather Greenlee et al., 2017)
Moe lelei
Acupressure e mafai ona avea ma se filifiliga lelei ma taugofie mo le puleaina o faʻamaoniga o le kanesa o le susu. O se su'esu'ega e tasi na maua ai le fa'amalieina ole acupressure na fa'aleleia atili ai le lelei o le moe ma le lelei o le olaga i tagata o lo'o sao mai le kanesa o le susu. E le gata i lea, ua matauina e le au suʻesuʻe e sili atu le aoga o le acupressure malolo mo le faʻaleleia o le moe ma le lelei o le olaga nai lo le faʻamalosia o le acupressure. (Suzanna M Zick et al., 2016)
Fa'aitiitiga Allergy
Allergic rhinitis o le fula lea e mafua mai i se fa'alavelave fa'afefe. O fa'ata'ita'iga talu ai na maua ai e mafai e le acupressure ona fa'aleleia atili le soifua maloloina e ala i le fa'aitiitia o fa'a'ailoga o le rhinitis fa'ama'i i le vaitau ma le mana'omia o vaila'au allergy. (Lukas Israel et al., 2021) Na matauina foi e le au suʻesuʻe e faapea o tagata taʻitoʻatasi e ono pipii atu i le faʻaogaina o le acupressure therapy e avea o se ituaiga o loʻo faʻapipiʻiina. (Lukas Israel et al., 2021)
Fa'afeso'ota'i i taimi uma se tausi soifua maloloina a'o le'i amataina togafitiga o le acupressure, aemaise lava pe a iai ni ou tulaga fa'alesoifua maloloina muamua. I le Injury Medical Chiropractic and Functional Medicine Clinic, matou te togafitia manuʻa ma faʻamaʻi tiga masani e ala i le atinaʻeina o fuafuaga faʻapitoa mo togafitiga ma auaunaga faʻapitoa faʻapitoa e taulaʻi i manuʻa ma le faagasologa atoa o le toe faʻaleleia. O polokalame fetuutuuna'i, fe'avea'i, ma le ta'avale e fa'atulagaina mo vaitausaga uma ma fa'aletonu. 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.
Fa'aleleia le Fa'atinoga i Foot Orthotics
mau faasino
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Cho, Y., Joo, JM, Kim, S., & Sok, S. (2021). Aafiaga o le Meridian Acupressure i luga o le Faʻalavelave, Faʻavaivaia, Faʻanoanoa, ma le Faʻaogaina o le Tagata Lava ia Shiftwork Nurses i Korea i Saute. Tusitala fa'ava-o-malo o su'esu'ega o le siosiomaga ma le soifua maloloina lautele, 18(8), 4199. doi.org/10.3390/ijerph18084199
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Zick, SM, Sen, A., Hassett, AL, Schrepf, A., Wyatt, GK, Murphy, SL, Arnedt, JT, & Harris, RE (2018). Aafiaga ole Self-Acupressure i Fa'ailoga Fa'atasi ile Kanesa Fa'asao. JNCI alaleo o le kanesa, 2(4), pky064. doi.org/10.1093/jncics/pky064
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Monson, E., Arney, D., Benham, B., Bird, R., Elias, E., Linden, K., McCord, K., Miller, C., Miller, T., Ritter, L., & Waggy, D. (2019). I tua atu o Pills: A'afiaga o le Acupressure i luga o le Fa'avasegaina e le Tagata Lava Ia Ma'i ma Fa'ailoga Popole. Tusitala o vailaʻau faʻapitoa ma faʻafesoʻotaʻi (New York, NY), 25(5), 517–521. doi.org/10.1089/acm.2018.0422
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Tan, JY, Molassiotis, A., Suen, LKP, Liu, J., Wang, T., & Huang, HR (2022). O aʻafiaga o le acupressure auricular i luga o le nausea ma le faʻaosoina o le chemotherapy i tagata mamaʻi o le kanesa o le susu: o se faʻataʻitaʻiga faʻapitoa faʻataʻitaʻiina. BMC fesoasoani fa'afoma'i ma togafitiga, 22(1), 87. doi.org/10.1186/s12906-022-03543-y
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Ho, KK, Kwok, AW, Chau, WW, Xia, SM, Wang, YL, & Cheng, JC (2021). O se fa'ata'ita'iga fa'atonutonu fa'afuase'i i le a'afiaga o le fa'aogaina o le fa'amaina o le acupressure e togafitia ai le osteoarthritis o le tulivae. Tusitala o taotoga faʻapitoa ma suʻesuʻega, 16(1), 282. doi.org/10.1186/s13018-021-02398-2
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