신경스트레칭은 탈출된 디스크가 신경근을 압박하고 있을때, 고무줄을 당기는 것처럼 신경을 당겨서 디스크-신경근압박을 떼어내는 치료적 행위다.
반드시 열린사슬상태에서 신경스트레칭을 잘 시행하고, 척추가 안정화된 후
아래의 닫힌 사슬상태에서 신경스트레칭을 시행해야한다.
경험적으로 열린사슬상태에서 신경스트레칭을 잘 시행하면
닫힌 사슬상태에서 신경스트레칭이 필요한 환자는 10명중 2-3명도 안된다.
panic bird....
Sciatica is a very common disabling condition frequently caused by a bulging disc compressing a nerve at the base of the spine. Sciatica involves pain, numbness or tingling down the back of the thigh and leg. There may be some low back pain, but there is usually more leg than back discomfort. There can even be weakness in the leg. Unfortunately, it can persist for months at a time and while rest is often prescribed this may actually do more harm than good (Abenheim et al., 2000; Deyo et al., 1986; Malmivaara et al., 1995).
- 좌골신경통은 디스크 탈출로 신경근으 압박하여 일어나는 흔한 허리사용을 무력화하는 상태임
- 좌골신경통은 통증, 저림, 찌릿함이 엉덩이에서 하지로 내려감. 대개 요통보다 하지 통증과 저림으로 고생하고, 심하면 하지 근력약화가 발생함.
- 불행히 이 증상은 몇개월씩 지속될 수 있음.
- 침상안정이 처방되지만 실제로 이로움보다 해로움이 더 많음.
Sciatica is usually aggravated by sitting, driving, bending forward, or lifting (see Figs. 1 and 2).
A step-ladder approach to treatment is the best advice. Always begin by seeing your physician to confirm the diagnosis. Remember to avoid what harms you! This usually means don't sit for longer than 20 min without getting up, and for most cases avoid bending forward, especially in the morning(Cholewicki and McGill, 1996; Snook et al., 1998; McGill and Brown, 1992). This will “spare the spine” and prevent further irritation to the nerve.
좌골신경통 치료의 첫번째 스텝.
- 좌골신경통은 앉기, 운전, 허리 앞으로 구부리기, 물건 들기 등에 의해서 악화됨.
- step-ladder approach는 가장 좋은 치료적 충고임.
- 허리디스크로 인한 좌골신경통이 진단되면 첫번째로 해야 할일은 악화요인을 제거하는 것임.
- 좌골신경통이 발생하는 자세로 오래앉는 거 피하기.. 이것이 신경부종을 줄이는데 가장 중요한 행동수정 지침임.
- 특히 아침에 허리숙이지 않기
- spare the spine - 척추에 불쾌한 기분을 느끼지 않게 하기. 신경압박을 피하기..


좌골신경통 치료의 두번째 스텝.
The second step is to gradually bring the spine back into alignment by arching it (see Fig. 3). The yoga sphinx
posture is ideal and can be progressed to the cobra pose or press-up. These may be uncomfortable in your back, but
should relieve any leg symptoms (Long et al., 2004; Albert and Manniche, 2012). If they increase your leg symptoms
then you should avoid them.
The third pillar of self-care for sciatica is to try to mobilize the nerve by gliding or sliding it back and forth
without stretching it at all. This is called a nerve mobilization or sciatic slider (Neer and Butler, 2006). It should
never be painful and in fact should immediately make bending forward better tolerated.
The sciatic nerve slider
- Begin in a seated position
- There are two basic phases of the nerve mobilization
Phase 1 (see Fig. 4)
1. Lift your head up until your are extending your neck and looking up to the ceiling
2. Stick out your chest until you are arching your lower back
3. Raise the leg that is affected by sciatica until the knee is straight and your toes are pointing up towards your
knee.
4. Remember - none of these movements should increase the sciatic or back pain

Phase 2 (see Fig. 5)
1. Drop your leg fully until it is dangling
2. Bend your neck forward until your chin is against your chest
3. Allow your lower back to round forward into a slightly slouched position
Repetitions
Perform 12-20 slow repetitions
Sets
Once
Frequency
Perform 4-6 times/day
Duration
1-2 weeks
Symptoms should improve with the slider. If they don’t be sure to consult an appropriately trained physician.

첫댓글 심플 그리고 아름다움
감사합니다
좌골신경 스트레칭. 감사합니다