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服務範圍
坐骨神經痛

好多人腰腿痛,就會自我診斷為坐骨神經痛。

其實坐骨神經痛並唔係一個診斷,更唔係一個病名,而係一個症狀,好多疾病都可以導致坐骨神經痛既發生。坐骨神經係人體最大既神經,是一條由腰4、5和骶1、2、3神經根組成,由腰、臀一直延伸至下肢大、小腿後外側及足外側背面。因為其分佈範圍較廣,所以腰、臀部出現損傷都可以出現坐骨神經痛。

坐骨神經痛是由多種內、外原因或疾病導致坐骨神經受到擠壓或損傷,而出現的腰、 臀部疼痛,伴(或不伴)一側/雙側下肢疼痛、麻痹、無力;情況嚴重可出現部分神經功能障礙,如受壓神經支配區感覺減退、肌力減弱,甚至會陰部麻木、刺痛,二便功能障礙,嚴重者可致失禁。

原因/病因:導致坐骨神經痛最主要原因是腰椎間盤突出,由於各種外力因素,如:撞擊、運動意外等,或長期彎腰、翹腳等不良習慣導致椎間盤裡的髓核突出,刺激或壓迫神經根;其餘如腰椎退化,骨刺,梨狀肌綜合征等都可刺激或壓迫神經根而出現疼痛、麻痺。

主要症狀:腰痛,伴一側或雙側下肢放射性疼痛、麻痺、無力。疼痛可在行久後、咳嗽、用力時加劇,臥床休息可使疼痛減輕。病情較長者,其下肢放射痛部位可感覺麻木,下肢無力。

易發生人群:

  1. 因工作需要長期站立、久坐、彎腰的人士,如:搬運工人,服務業人士,辦公室人士;
  2. 已患腰椎間盤突出症者;
  3. 患腰椎退化、骨刺、梨狀肌綜合征者。


中醫認為:“痛則不通,通則不痛”;神經受到擠壓或刺激,影響經絡、氣血的循環,導致筋肉產生痙攣、疼痛,而疼痛、無力則被動減少日常的行走、活動,進一步影響氣血、經絡的循環,環環相扣進而形成惡性循環。

治療:用推拿手法疏通經絡,緩解腰臀腿部的肌肉痙攣,及使用外敷藥物止痛消腫,配合紅外線幫助血液循環。

必要情況下需配合積極尋找病因。

複健與預防:

  1. 積極尋找並治療病因;
  2. 保持良好坐姿、站姿,改變不良習慣姿勢,如蹺腳;
  3. 利用正確姿勢進行彎腰搬物;
  4. 適當放鬆、舒展腰部肌肉,保持肌肉柔軟度,並加強鍛煉腰背肌;
  5. 避風寒,調情志,忌勞累。

 

 

其他痛症