Shin Ciwon Piriformis zai iya zama sanadin ciwon ku a cikin butt?

Wadatacce

• WTF shine piriformis?
• Menene ciwon piriformis?
• Menene ke haifar da cutar piriformis?
• Yaya ake gano ciwon piriformis?
• Ta yaya ake kula da cutar piriformis?
• Bita don

Lokaci ne na gudun fanfalaki a hukumance kuma hakan na nufin masu gudu suna kara turmutsutsu fiye da kowane lokaci. Idan kun kasance na yau da kullun, kuna yiwuwa kun ji (da / ko sha wahala daga) kashe na yau da kullun da ke da alaƙa da raunin da ya faru-plantar fasciitis, iliotibial band (IT band) ciwo, ko kuma gwiwa mai gudu gabaɗaya. . Amma akwai wani, ainihin zafi-a cikin-butt batun da ake kira ciwo na piriformis wanda zai iya zama a cikin glutes-kuma zai iya cutar da ku ko kun kasance mai gudu ko a'a.

Idan kuna da ƙyallen waje ko ƙananan ciwon baya, akwai damar samun piriformis mai cike da damuwa. Yi la'akari da abin da ake nufi, dalilin da yasa za ku iya samun shi, da kuma yadda za ku iya komawa zuwa murkushe burin ku na dacewa, ba tare da jin zafi ba.

WTF shine piriformis?

Yawancin mutane suna tunanin butt ɗin su azaman kawai gluteus maximus - amma yayin da shine mafi girman tsoka, ba lallai bane. Ofaya daga cikinsu shine piriformis, ƙaramin tsoka mai zurfi a cikin ƙwanƙolin ku wanda ke haɗa gaban sacrum ɗinku (kashi kusa da kasan kashin bayan ku, sama da ƙashin wutsiya) zuwa waje saman saman femur (ƙashin cinya), a cewar Clifford Stark, DO, daraktan kiwon lafiya na Wasannin Wasanni a Chelsea a birnin New York. Yana daya daga cikin tsokoki guda shida da ke da alhakin jujjuyawa da daidaita kwatangwalo, in ji Jeff Yellin, likitan motsa jiki kuma darektan asibiti na yanki a Professional Physical Therapy.

Menene ciwon piriformis?

Muscle piriformis yana kwance a cikin gindin ku kuma, ga yawancin mutane, yana gudana kai tsaye a saman jijiyar sciatic (mafi tsawo kuma mafi girma a cikin jikin mutum, wanda ya fito daga tushe na kashin baya zuwa kafafunku zuwa ga kafafunku). yatsun kafa), in ji Yellin. Muscle spasms, tightening, asarar motsi, ko kumburi na piriformis na iya matsawa ko fusatar da jijiyar sciatic, aika ciwo, tingling, ko ƙumburi ta hanyar butt ɗin ku, kuma wani lokacin a baya da ƙasa da kafa. Za ku ji jin dadi a duk lokacin da aka yi kwangilar tsoka - a cikin matsanancin yanayi, kawai daga tsaye da tafiya - ko yayin gudu ko motsa jiki kamar lunges, matakai, squats, da dai sauransu.

Menene ke haifar da cutar piriformis?

Labari mara kyau: Ana iya yin laifi a jikin ku. Ba kowannen jijiya na jijiya na sanyi a ƙarƙashin piriformis - akwai bambance -bambancen jikin mutum a daidai inda jijiya ke ratsa yankin da zai iya sa ku zuwa ciwon piriformis, in ji Dr. Stark. A cikin kusan kashi 22 na mutane, jijiyar sciatic ba kawai tana gudana a ƙarƙashin piriformis ba, amma tana ratsa ta cikin tsoka, tana ragargaza piriformis, ko duka biyun, wanda ke sa su iya haɓaka ciwon piriformis, a cewar wani bita na 2008 da aka buga a cikin Jaridar Ƙungiyar Osteopathic ta Amirka. Kuma ceri a saman: Ciwon Piriformis shima ya fi yawa a cikin mata fiye da maza.

A gefe guda, duk wani al'amurran tsoka na piriformis na iya fusatar da wannan jijiyar sciatic: "Yana iya zama overtraining, inda kawai kake amfani da tsoka kuma yana da ƙarfi kuma ba shi da ikon yin tsalle, zamewa, da kuma shimfiɗa hanyar da yake bukata. , wanda ke damun jijiya, ”in ji Yellin. Hakanan yana iya zama rashin daidaituwa na muscular a cikin kwatangwalo. "Tare da ƙananan tsoffin tsoffin tsoffin tsokoki a cikin kwatangwalo da ƙananan baya, idan ɗayan yana aiki da yawa kuma wani yana yin aiki kuma kuna ci gaba da haɓaka waɗancan halayen mara kyau, hakan na iya haifar da alamun cutar," in ji shi.

Yanayin ya zama ruwan dare musamman a cikin masu tsere, saboda ilimin halittu a cikin wasa: "Duk lokacin da kuka yi tafiya gaba kuma ku sauka a kan ƙafa ɗaya, wannan ƙafar ta gaba tana so ta juya cikin ciki kuma ta rushe ƙasa da ciki saboda tsananin ƙarfi da tasiri." in ji Yellin. "A wannan yanayin, piriformis yana aiki azaman mai kwantar da hankali, yana jujjuya waje kuma yana hana ƙafar daga rushewa da shiga." Lokacin da aka maimaita wannan motsi akai -akai, piriformis na iya yin fushi.

Amma masu tsere ba su ne kawai ke cikin haɗari ba: Cikakkun abubuwan da aka kashe - zaune na tsawon lokaci, hawa sama da ƙasa, da motsa jiki na ƙasa - na iya haifar da matsaloli a cikin piriformis.

Yaya ake gano ciwon piriformis?

Abin takaici, saboda waɗannan alamun guda ɗaya na iya zama alamar ja don wasu al'amura (irin su herniated ko bulging diski a cikin ƙananan kashin baya), ciwo na piriformis na iya zama mai wuyar ganewa, in ji Dokta Stark.

"Ko da gwaje -gwajen hoton hoto kamar MRIs na iya zama masu yaudara, saboda galibi suna bayyana cutar diski wacce ita kanta ba za ta iya haifar da alamun cutar ba, kuma wani lokacin haɗarin abubuwan da ke haifar da matsalar," in ji shi.

Idan kuna tunanin piriformis ɗin ku yana aiki, mafi kyawun ku shine tabbas likita ya gan shi, in ji Yellin. Ba kwa son fara hasashe da bincikar kan ku saboda yuwuwar yana ɗaya daga cikin waɗannan ƙarin manyan matsalolin kamar raunin diski ko jijiya a cikin kashin ku.

Ta yaya ake kula da cutar piriformis?

Sa'ar al'amarin shine, akwai wasu abubuwa masu sauƙi da zaku iya yi don hanawa da sauƙaƙe (albeit ba magani ba) ciwon piriformis:

1. Miƙa, shimfiɗa, shimfiɗa: Ya ku mutane — ku daina tsallake shimfiɗar ku bayan gudu. Yana daya daga cikin abubuwa biyar duk masu ilimin motsa jiki suna matukar son masu tsere suyi don gujewa rauni. Mafi kyawun ku biyu don shimfiɗa wannan piriformis? Hoto hudu mikewa da tattabarai tsaye, in ji Yellin. Yi sau uku zuwa biyar, riƙe na daƙiƙa 30 kowanne. (Yayin da kuke kan sa, ƙara waɗannan yoga 11 sun zama cikakke ga masu tsere zuwa ayyukanku na yau da kullun.)
2. Aiki mai laushi: Yellin ya ce "Ka yi tunanin samun ƙulli a cikin takalmin takalminka." "Me zai faru idan ka ja kirtani? Yana kara matsewa. Wani lokaci mikewa kawai bai isa ba, kuma dole ne a yi niyya ta musamman." Gyaran? Gwada sakin kan-myofascial (tare da robar kumfa ko ƙwallon lacrosse) ko ganin likitan tausa don sakin aiki. (Kawai kada ku kumfa mirgine band ɗin IT ɗin ku.)
3. Magance rashin daidaiton tsoka. Yawancin mayaƙan karshen mako (mutanen da ke da ayyukan tebur waɗanda ke aiki a waje da ofis) suna da ƙwanƙwasa ƙwanƙwasa daga zaune duk rana, in ji Yellin, wanda hakan na iya nufin suma suna da rauni a sakamakon haka. Kuna iya nuna wannan da sauran rashin daidaituwa na tsoka ta hanyar ganin likitan motsa jiki. (Zaku iya DIY shi kaɗan a gida tare da waɗannan matakai guda biyar don haɓaka rashin daidaituwar tsoka, amma ƙwararrun na iya ba ku cikakken aikin.)

Kawai tuna cewa waɗannan ba mafita ce ta dindindin ba: "Kamar dai wani abu ne da ƙarfi da sassauci: Kun sanya duk abin da ke aiki don samun nasarori," in ji Yellin. Idan ka daina yin shimfidawa ko ƙarfafa motsa jiki wanda ya taimaka wajen kawar da ciwo na piriformis, akwai yiwuwar dawowa, in ji shi.

Bita don