Mena kua tohaina koe me te stenosis neuralforamenal (he raiti o tetahi waahanga neke atu ranei i te taha o te tīwae vertebral e mohiotia ana ko te karamene ) kua kitea e koe nga tohu o te radiculopathy . Ka puta te radiculopathy i te wa e whakatinanahia ai te pakiaka pungarehu (spider nerve root).
Ko te whakahirahira he mea tino noa i roto i nga take o te mate o te mate me te pupuhi i te mate.
Ko nga tohu e whakaatuhia ana i te mamae, te pupuhi, te pupuhi, me te ngoikoretanga ranei e haere ana i raro i te mate. Mo te tohutoro, ko te sciatica tetahi ahua o te radiculopathy.
Engari ka taea e etahi atu tohu te whakaheke i te neuroforaminal. Kei roto i enei ko nga mokumahu uaua, te mamae nui, nga mamae ngawari, me te ngoikore ngoikore me te whakaheke ranei i nga whakaaro, e ai ki a Allen Wilkins, MD, o te Manhattan Physical Medicine me te Spine.
Ngā Kōwhiringa Tohutoro Neuralforamenal Stenosis
Whew! He rite ki te rota ki te mahi! Ka whakaaro pea koe mehemea he mea ka taea e koe te pai ake kia pai ake, kia "noho tonu ki te whakataetae" o nga kawenga o te ao i muri i te taatutanga o te pakaru o te neuralforamenal.
Ae, kei reira. A kaore koe e hiahia ki te taatai mo taua mea.
"E iwa tekau ōrau o ngā tūroro me te neuroforaminal e whakatairanga ake ana i ō tohu me te āhua o te whakahaere kore whakahaere," e ai ki a Dr. Ali Bydon, te Ahorangi Tuarua o Neurosurgery, te Kaiwhakahaere o te Kohinga Whakangungu Spinal Columns me te Tohu Whakawhanaunga Toa i Johns Hopkins Medical School me te Kaiwhakahaere Hauora. Nga taatai taatai i Johns Hopkins Bayview Medical Center.
E ai ki a Bydon, mo te taraiwa o te koiora, ko te maimoatanga tuatahi ko te rongoā mate me te kore-steroidal anti-inflammatory drugs . I tua atu i tenei, ka taea e koe te haere ki te whakamaori tinana mo te whakawhitinga me te whakapakari i nga mahi e aro ana ki te kaki, ki te hoki mai ranei. Ka taea e to maimoatanga PT te whakauru i te wera, te huka me te / te ultrasound.
Na, i te mutunga, ka whakaatu a Bydon i te rongoā o te hinengaro, hei tauira, te korero hauora me te whakamahinga hauora, me te maimoatanga hauora hoki ka awhina i te whakakore i nga tohu.
Ko Dr. Robert Bray, neurosurgeon i te DISC Sports me te Spine Center i Marina del Rey, California, e kii ana i nga mahi a te tinana ki te mahi i to mahi. Ko te mate o te neuroforamenal stenosis e pa ana ki te whaa kino i te kaki, e ai ta ia. Kei te haere tonu ia ki te whakamārama, ko te huri o te tuanui o runga ka whakanui ake i te toronga o te kaki ka huri i te neuroforamin i tera takiwa.
"Ko nga mahi e whakatika ana i te pokohiwi o te pokohiwi ki te whakawhitinga ake o te whakawhitinga, ka whakaitihia te kaha o te whakatairanga i te tinana, ka mea, ko nga tikanga tuku iho o te whakapakari tinana hauora ka tino whai hua i te wa e honoa ana me nga mahi whakatikatika.
E ai ki a Bydon, ko tetahi atu whiringa mo te whakaora i te mamae e pa ana ki te whakawhitinga o te neuralforaminal me te kaha o te pupuhi o te pakiaka nerve he torokeroke tawhito. Ko te whāinga o tenei momo werohanga ko te whakaiti i te mumura me te / ranei ki te whakaiti i to raau pakiaka . Ko te rongoa whakamamae kei te werohia i te pakiaka o te nerve, me te awhina i te whakawairangi me etahi atu hangarau aratohu ahua, ka whakamohio mai ia ki a au.
Ka whakaae a Bray, ka whakapau atu ki a koe mehemea kei te pa ana ki a koe, ka pupuhi tonu to pupuhi. Ko te tikanga tenei kei te haere i roto i tetahi poka (nga kapi) he iti rawa. Ko te whakaheke i te rongoā tawhito i te taha o te pakiaka nerve ka whakaiti i te pupuhi, e ai ta ia. A, ka whakauruhia e koe tenei maimoatanga me te whakamahere hauora tinana mo te whakawhanaketanga o te pai, ka taea e koe te tohutoro mo te whakamamae mamae o te tohu whakaharahara neuralforamenal teitei, e ai ki a ia.
He aha te Raina Raro? He Tohu Tohu Neuralforaminal Narrowing?
Ko te nuinga o nga wa, no. Engari me whakamatau koe i nga rongoā me te whakamohoatanga tinana mo te 6 ki te 8 wiki kaore he mamae mamae, he wa ki te whakaaro i te pokanga, e ai ki a Bydon.
E whakaatu ana a Bydon i te kaitautoko taatai mēnā ka wheako koe i nga huringa me te ngoikore ranei o te ngoikoretanga i te timatanga o to taiora.
Kaupapa:
Email Interview. Bray, Robert S. Jr., MD. DISC Sports & Spine Center. Marina del Rey, CA. Tihema 2013.
Email Interview. Bydon, A., MD. Ko te Ahorangi Tuarua o Neurosurgery, ko te kaiwhakahaere tuarua o te Neurosurgery Medical Student, te Kaiwhakahaere o te Neurosurgery ko te Whakaakoranga Paetahi, te Kaiwhakahaere o te Kohinga Whakangungu Koreropi me te Whakaritenga Whakanuia i te Whare Wānanga o Johns Hopkins, te Kaiwhakahaere Hinengaro o te Tahae Hinengaro i Johns Hopkins Bayview Medical Center. Tihema 2013.
Email Interview. Wilkins, A., MD. Te Tohu Whakanui Manhattan me te Whakaora. New York. Tihema 2013.