double crush syndrome, piriformis syndrome이해를 위한 논문

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경험에 의하면 허리디스크는 double crush syndrome이 거의 속발하고, 이상근에서 두번째 압박이 가해진다

이것을 풀어주지 않으면 하지 저림증은 사라지지 않는다.

그런데 이에 관한 논문이 없다...

참 이상한 일이다.

panic bird.........

좌골신경통의 첫째 요인은 요추의 퇴행화, 디스크의 탈출에 의해 발생

                 둘째 요인은 암의 척추전이, 결핵, 척수종양, 이상근의 좌골신경압박에 의해 발생

이상근 증후군의 첫째 요인은 엉덩방아,  pyomyositis(화농성 근육염증), dystonia musculorum deformans(변형근육긴장이상증), deep injection에 의한 섬유화

                          둘째 요인은 irritation of the sacroiliac joint or lump(덩어리) near the sciatic notch 등이다.

1: Ann Acad Med Stetin. 2006;52(3):99-101; discussion 101. Links

Piriformis muscle syndrome.

Kuncewicz E, Gajewska E, Sobieska M, Samborski W.

Sciatica is characterized by radiating pain from the sacro-lumbar region to the buttocks and down to the lower limb. The causes of sciatica usually relate to degenerative changes in the spine and lesions to the intervertebral discs. Secondary symptomatic sciatica may by caused by metastases to the vertebra, tuberculosis of the spine, tumors located inside the vertebral channel, or entrapment of the sciatic nerve in the piriformis muscle.

The piriformis syndrome is primarily caused by fall injury, but other causes are possible, including pyomyositis, dystonia musculorum deformans, and fibrosis after deep injections. Secondary causes like irritation of the sacroiliac joint or lump near the sciatic notch have been described. In the general practice the so-called posttraumatic piriformis muscle syndrome is common. The right treatment can be started following a thorough investigation into the cause of symptoms.

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누구신지요... 광산구...감사합니다. 꾸벅