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Как снять спазм ягодичных мышц

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17 августа 2019

Миофасциальный синдром грушевидной мышцы – это патологическое состояние с характерным болевым спазмом в ягодичном районе. Неприятные ощущения связаны с ущемлением нервных волокон и развитием воспаления. Чтобы быстро избавиться от боли, необходимо знать, как снять спазм при первых проявлениях синдрома грушевидной мышцы.

Причины спазма и основные признаки недуга

Факторов риска миофасцита этой области много – от неудачной спортивной тренировки до неудобной позы. Грушевидный мускул перенапрягается, что ведет к защемлению седалищного нервного волокна, дисфункциям кровотока в крупных сосудах тазово-ягодичной зоны.

Часто болевые симптомы регистрируются у тех, кто страдает радикулитом, корешковым остеохондрозом крестцово-поясничной области.

Воспаления и застойные явления в малом тазу, нервные и сосудистые нарушения также способны негативно влиять на связочно-мускульный аппарат. Иногда спазмы возникают из-за неправильно сделанного укола, травматического повреждения либо переохлаждения.

Симптомы воспаления и спазма грушевидной мышцы:

    болевые ощущения в районе ягодиц, тазобедренных сочленений, нарастающие при смене телесного положения, перемене погоды, стрессовых ситуациях;Методы лечения

    Простым обезболиванием это недомогание не вылечить. Важен комплексный подход. Чтобы облегчить состояние больного, нужно сочетать несколько методик.

    Фармацевтические препараты

    Справиться с болью и воспалением помогают нестероидные медикаменты: «Мовалис», «Диклофенак», «Диклоберл», «Кетарол», «Дикло-Ф», «Вольтарен», «Мелоксикам» и другие. Ускорить обезболивающий эффект можно, если использовать внутримышечные инъекции НПВП.

    Для устранения неприятных ощущений используют фармсредства с анальгезирующим эффектом: «Брал», «Темпалгин» и «Баралгин». Против спазма можно выпить «Но-Шпу», «Дротаверин». К миорелаксантам, которые быстро расслабляют спазмированные мышечные волокна, прибегают, если упомянутые выше спазмолитические средства не действуют.

    К консервативной терапии относят медикаментозные блокады. Они снимают спазматические синдромы мускулатуры малого таза.

    По рекомендации врача можно делать примочки с «Димексидом» – стероидным анестетическим фармпрепаратом. Их накладывают на полчаса на ягодично-крестцовую зону близ больного места.

    В сложных случаях проводится оперативное вмешательство – хирургическое освобождение седалищного нерва.

    Оздоровительная физкультура

    Врач направит пациента на занятия ЛФК. Посоветовавшись с ним, можно делать гимнастику и в домашних условиях. Комплекс, разработанный профессором Бубновским, способствует избавлению от спазмирующих ощущений.

    Чтобы мускульная система нормально функционировала, следует выполнять такие упражнения:

    1. Сядьте на четвереньки и расслабьте мускулатуру позвоночника на пять секунд. Повторяйте пять раз.
    2. В этой же позе, выдыхая, выгните спину, чувствуя растяжение мускулов, а на вдохе прогнитесь. Повторяйте двадцать раз.

    Не следует сразу «брать рекорды», число упражнений и подходов увеличивайте постепенно.

    Кинезиотерапия

    Метод предполагает тейпирование специальными эластичными полосками. Эффект кинезиотейпинга идет за счет того, что фиксирующие липкие ленты – тейпы – мягко иммобилизируют и поддерживают пораженные мышцы.

    Для наложения полосок предварительно требуется слегка растянуть зажатый мускул, насколько возможно вытягивая носок ступни. Колено должно быть выпрямлено. Полоски при тейпировании напряженной грушевидной мышцы наклеиваются:

    • по наружной поверхности от коленного до бедренного сустава;
    • над коленом перпендикулярно первому тейпу;
    • на два сантиметра выше второй ленты;
    • от пояса через ягодицу до верхней трети бедра.

    Кинезиотейпирование нормализуют микроциркуляцию крови и лимфы, снимает напряжение, дает эффект релаксации и ускоряет регенерацию поврежденных тканей, если мускульные волокна были растянуты или надорваны.

    Мануальная терапия

    Мускульные патологии можно лечить и нетрадиционным способом. Манипуляции выполнять может только опытный врач-остеопат. Он поможет унять болевой синдром, сделать разблокировку седалищного нерва, что поспособствует восстановлению двигательных функций.

    Важно найти высококлассного мануального терапевта в медучреждении с хорошей репутацией, где смогут предъявить все сертификаты и продемонстрировать варианты успешного излечения.

    Массаж и самомассаж

    Для массажной процедуры также можно найти специалиста либо проводить ее дома самостоятельно. В последнем случае необходимо улечься набок и массировать ягодицу большим пальцем, разминая уплотнения. Массаж эффективнее, если мускул находится в немного растянутом положении. Для этого требуется согнуть ногу в коленке. Помогает снять спастическое ощущение простой теннисный мячик: надо катать его по ягодичной зоне.

    Применение аппликатора Кузнецова при синдроме грушевидной мышцы быстро снимает неприятные ощущения, позволяет проводить профилактику обострения.

    Для расслабления напряженной мускулатуры в медицинских учреждениях используют мягкотканые массажные техники, позволяющие глубоко проработать пораженную зону. Также помогает ректальное массажирование. Это эффективная процедура, дающая возможность быстро успокоить проявления ишемии мускульных волокон и нерва седалища.

    Рефлексотерапия

    Включает в себя несколько различных методов:

    • иглорефлексотерапию;
    • нажатие пальцами на особые точки;
    • прогревание и прижигание активных участков;
    • действие на них лазерными лучами и электроимпульсами;
    • точечно-линейное массажирование.
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    Метод подбирается индивидуально, на основе ярко выраженных признаков и этапа заболевания. По отзывам, при данном болевом синдроме особенно эффективно иглоукалывание.

    Физиопроцедуры

    Устраняют мышечный спазм и болевой синдром следующие процедуры:

    • УВЧ;
    • ультразвук;
    • вакуумный массаж;
    • парафиновые аппликации;
    • воздействие низкочастотными токами;
    • диадинамотерапия;
    • амплипульс;
    • лазерное лечение;
    • фонофорез.

    Физиотерапия снимает болезненность в пораженной зоне и помогает справиться с воспалительным процессом. Улучшается кровообращение, что ускоряет процесс регенерации. В домашних условиях можно использовать физиотерапевтический аппарат «Витафон».

    Народные средства


    Среди рецептов русской народной медицины есть много средств, направленных на снятие болевых ощущений в мускулатуре бедер и ягодиц. Лекари рекомендуют использовать настойку окопника внутрь, спиртовой настой на мухоморе и черном перце для натирания или прикладывать к больному месту грелку.

    Далеко не всегда такие советы безопасны: разогрев может усилить воспаление, а целебные травы вызвать аллергию или навредить при беременности. Перед применением народных снадобий следует посоветоваться с врачом.

    Щадящие рецепты, которые можно использовать всем:

    • Сок лопуха. Смазывают пораженный участок или делают ночные компрессы из ошпаренного листа растения.
    • Дегтярно-медовый компресс. Мед и большую ложку сладкосливочного масла топят на водяной бане, перемешивают с березовым дегтем. Накладывают на больное место и накрывают хлопковым лоскутом и полиэтиленом. Оставляют на ночь. Повторяют до полного исчезновения боли.
    • Целебный чай. Цветки ромашки, календулы и корень аира заливают кипятком и настаивают час. Фильтруют и пьют как чай на протяжении месяца.

    Средства на основе меда не стоит использовать тем, у кого есть аллергия на продукты пчеловодства.

    Профилактические рекомендации

    Помимо регулярных профилактических обследований, превентивные меры предполагают:

    • не перенапрягать пояснично-крестцовый отдел;
    • избегать переохлаждения;
    • исключить тренировки, провоцирующие раздражение грушевидного мускула: спуски и подъемы, быстрый набор скорости и торможение, крутые развороты.

    При сидячей работе важно периодически менять позицию, вставать, прогуливаться и делать легкую гимнастику.

    Даже при однократном спазмирующем ощущении в зоне ягодиц стоит показаться врачу. Само по себе защемление не пройдет, болевой синдром повторится или усугубится.

    »

    Тарасов Андрей

    Врач-травматолог- ортопед, вертебролог первой категории

    Специализируется на травмах позвоночник, таза, онкологии.

    • Дегенеративные заболевания позвоночника;
    • травма позвоночника;
    • воспалительные заболевания позвоночника;
    • деформации позвоночника;
    • онкология.

    Образование:

    • 2007 — Военно-медицинская академия им. С.М. Кирова
    • 2008 — Военно-медицинская академия им. С.М. Кирова
    • 2013 — Российская медицинская академия последипломного образования

    Повышение квалификации:

    • 2012 — Участвовал в обучающем курсе по теме «Сколиоз. Традиционная хирургия и передовые технологии», г. Адана, Турция
    • 2013 — Провел обучающий цикл «Минимально-инвазивные технологии в хирургии позвоночника», Польша г. Варшава
    • 2014 — Принимал участие в обучающем курсе по использованию современного навигационного оборудования в хирургии позвоночника, Германия, Фрайбург
    • 2014 — Тематическое усовершенствование по теме «Лечение травм и заболеваний позвоночника» на базе Российской медицинской академии последипломного образования
    • 2015 — Курс повышения квалификации по специальности «Хирургия»

    Опыт работы:

    • 2008-2010 гг. – Медицинская служба в ВС РФ, врач хирург
    • 2011-2015 гг. – Центральная Клиническая Больница РАН, врач травматолог-ортопед (вертебролог)
    • 2015- н.в. — Нувель Клиник, вертебролог, нейрохирург, ортопед, травматолог

    Боль, локализующаяся в области ягодиц, которая также может отдавать в пах, бедро и голень, называют синдромом грушевидной мышцы. Причиной появления болевых ощущений в данной области может послужить травма, перенапряжение мышц, переохлаждение, некорректное введение лекарственного препарата, мышечное напряжения и пр.

    Симптоматика указанного синдрома может включать в себя локальные проявления, а также симптомы, вызванные сдавливанием седалищного нерва или сосудов. Какие упражнения помогут при синдроме грушевидной мышцы, estet-portal.com расскажет в данной статье.

    Синдром грушевидной мышцы: как заподозрить нарушение

    Симптомы, которые подскажут о наличии синдрома грушевидной мышцы, включают в себя:

    • тянущая или ноющая боль в области ягодицы, которая может отдавать в таз или ногу и усиливаться во время ходьбы и длительном нахождении в положении стоя;
    • грушевидную мышцу можно прощупать, расслабив мышцы ягодиц;
    • боль в задней поверхности ноги при постукивании по грушевидной мышце;
    • побледнение кожи на ноге;
    • периодические спазмы сосудов ноги и пр.

    Точно определить наличие симптома грушевидной мышцы сможет врач после проведения обследования.

    Причины возникновения синдрома грушевидной мышцы:

    • повреждение позвоночника;
    • переохлаждение;
    • проблемы в крестцово-подвздошном сочленении;
    • травмы;
    • поясничный стеноз;
    • неудачные инъекции;
    • перетренированность мышц.

    Упражнения, облегчающие боль при синдроме грушевидной мышцы

    Лучшее решение, которое можно принять, заподозрив синдром грушевидной мышцы, – обратиться к специалисту. После подтверждения диагноза он назначит комплекс лечения, который может включать в себя:

    • медикаментозную терапию (обезболивающие препараты);
    • массаж;
    • физиотерапию;
    • упражнения;
    • вакуумная терапия;
    • иглорефлексотерапия.

    Во избежание ухудшения Вашего состояния, estet-portal.com рекомендует неуклонно следовать рекомендациям лечащего врача.

    Упражнения на растяжку, которые помогут при синдроме грушевидной мышцы

    Учитывая расположение грушевидной мышцы, можно сделать вывод о целесообразности статической растяжки. Важно выполнять действия аккуратно, без резких движений и, конечно же, ежедневно.

    1. Растяжка внешней стороны бедра
    Читайте также:  Чем вылечить грибок ногтей на ногах быстро

    Лягте на спину и согните одну ногу в колене. Противоположной рукой возьмитесь за колено и переведите его в крайнюю точку, как показано на рисунке. Удерживайте колено 20-30 секунд. Повторите действия 3-5 раз (желательно трижды в день).

    1. Растяжка грушевидной мышцы

    Лягте на спину. Согните обе ноги в коленях, упираясь обеими ступнями в пол. Наружный край ступни ноги, которую Вы собираетесь растягивать, положите примерно на уровне колена другой ноги. Руками возьмитесь за бедро (см. рис.) и потяните колено к груди. Растяжение Вы должны почувствовать в ягодицах. Задержаться в положении нужно на 30 секунд, а повторить – 3-5 раз (3 р. в день).

    1. Растяжка длинной приводящей мышцы

    Сядьте на пол. Держите спину прямо. Максимально разведите прямые ноги в стороны. На выдохе наклонитесь вперед. Через 30 секунд вернитесь в ИП.

    1. Растяжка короткой приводящей мышцы

    Сядьте на пол. Сведите подошвы стоп вместе. Локтями мягко надавливайте на колени, чтобы как следует растянуть мышцы. Вы должны почувствовать легкое напряжение на внутренней части бедра. Длительность растяжки – 30 секунд, количество повторов – 3-5 раз.

    Упражнения, укрепляющие грушевидную мышцу

    1. Упражнение с эспандером

    Один конец эспандера зафиксируйте вокруг щиколотки, другой – на неподвижном объекте недалеко от пола. Отведите ногу в сторону, не сгибая ее в колене. После достижения максимальной точки, медленно поставьте ногу назад. Повторите 15 раз. Сделайте 2 подхода.

    1. Лежа на боку

    Лягте на бок, расположив бедро, с которым Вы будете работать, сверху. Согните ноги в коленях и положите их так, чтобы ступни находились на одной линии с позвоночником. Держа щиколотки вместе, поднимите верхнее колено вверх. Спина и таз остаются неподвижными – все движения исходят от бедра. Повторите 15 раз. Сделайте 2 подхода.

    1. Растяжка бедра

    Станьте на четвереньки. Перенесите вес с ноги, с которой будете работать. Не выпрямляя ногу в колене, поднимите ее от пола так, чтобы подошва ступни смотрела вверх. Медленно опустите ногу практически в исходное положение. Повторите 15 раз. Сделайте 2 подхода.

    Упражнения на растяжку помогут облегчить синдром грушевидной мышцы, а укрепляющие упражнения снизят риск повторного возникновения проблемы. Однако estet-portal.com напоминает, что перед выполнением растяжки и упражнений необходимо получить подтверждение диагноза и разрешение врача.

    Болевые ощущения в области ягодиц, постепенно распространяющиеся на ноги, иногда возникают после неудачного укола или вследствие развития патологий тазовых органов. Одной из таких болезней является синдром грушевидной мышцы (СДМ). Встречается он достаточно часто, и главная проблема этого заболевания заключается в сложности диагностирования. Ведь в основном боль имеет непостоянный характер и проявляется лишь в определенном положении ноги. Несмотря на такую непростую задачу, выявить спазм грушевидной мышцы следует при появлении первых симптомов, чтобы снять компрессию с седалищного нерва. В таком случае нервные пути быстро восстановятся, а дискомфорт вскоре пройдет.

    Анатомические особенности

    Сложно понять особенности этого синдрома, не зная, где находится грушевидная мышца. Увидеть ее локализацию можно на этом изображении:

    Судя по картинке, грушевидная мышца имеет форму треугольника и крепится на крестцовой кости. Путь этой мышечной ткани проходит через седалищное отверстие в сухожилие, которое фиксируется на вертеле бедра. Служит грушевидная мышечная ткань для отведения и возвращения в исходное положение бедра.

    Проходя через седалищное отверстие, мышечная ткань оставляет место для артерии и седалищного нерва. Однако при уплотнении мышцы или резком сдавливании, возможна компрессия нервного пути. В таком случае речь идет не о корешковой природе боли, так как корешок расположен значительно выше.

    Признаки компрессии

    Синдром грушевидной мышцы имеет симптомы свойственные такому виду воспаления и по ним можно понять, как снять спазм. Однако признаки этой патологии часто отличаются, ведь компрессия может произойти не только с нервом, но и артерией, которая его питает. Основные проявления воспаления грушевидной мышцы выглядят следующим образом:

Иногда проблема касается еще и подгрушевидной области. В таком случае к базовым симптомам присоединяются следующие проявления:

  • Боль ноющего характера в ногах;
  • Усугубление дискомфорта во время стресса, смены климата и т. д.;
  • Боли в районе голени после длительной ходьбы;
  • Легкое онемение кожного покрова.

Причины

Синдром грушевидной мышцы отличается от корешкового локализацией сдавливания и причинами развития. Схожесть этих 2 заболеваний заключается в основном факторе влияющим на их появление, а именно в перегрузке. Среди прочих причин можно выделить наиболее основные:

  • Длительное пребывание на холоде;
  • Травмы спины;
  • Патологические процессы в крестцово-подвздошном соединении;
  • Стеноз в области поясницы;
  • Некорректно сделанный укол в ягодичную область;
  • Болезни женских половых органов;
  • Повреждение ягодичных мышц.

Диагностика

Понять, что именно грушевидная мышечная ткань сдавливает нервно-сосудистый пучок достаточно непросто. Многие больные характеризуют свои болевые ощущения, как непостоянные. Они возникают преимущественно в определенных положениях ноги или после длительной ходьбы.

Выявить синдром грушевидной мышцы врач может с помощью особых мануальных тестов, например, пальпации мышц, локализованных в этой области. Ощупывание поврежденной зоны позволяет выявить уплотнение мышечных тканей. В некоторых случаях для диагностики применяется новокаиновая блокада, КТ или МРТ и рентген.

Помочь неврологу может подробный опрос пациента. Ведь важно узнать с чего все началось. Если недавно была получена травма в этой области, то это может говорить о возможном наличии патологии.

Курс терапии

Синдром грушевидной мышцы устраняется так же, как и корешковая компрессия и для этого необходимо расслабить мышцу. При наличии факторов, мешающих это сделать, придется их устранить. На фоне проведения основной части курса терапии врач должен будет облегчить общее состояние пациента. Для этого применяется симптоматическое лечение, например, блокада поврежденного нерва, прием анальгетиков и т. д.

Если грушевидная мышца сильно болит, то лечить медикаментозно ее нужно с помощью таких групп препаратов, как:

  • Миорелаксанты;
  • Спазмолитики;
  • Анальгетики;
  • Медикаменты, улучшающие кровообращение;
  • Нестероидные противовоспалительные препараты;
  • Витамины группы В.

Сочетать медикаментозную терапию желательно с другими методиками для снятия спазма с мышцы:

  • Лечебный массаж;
  • Иглорефлексотерапия;
  • Методы физиотерапии;
  • Лечебная физкультура;
  • Лазеропунктура;
  • Вакуумная терапия.

При сочетании нескольких методик появится возможность ускорить восстановление нервных путей, расслабить мышцы и облегчить состояние больного. Однако составить комплекс упражнений и делать массаж должен опытный специалист, так как можно сильно навредить своему здоровью.

Массаж

Массирование мышечных тканей позволяет их расслабить и улучшает кровообращение и нервную проходимость. Именно поэтому лечебный массаж часто является незаменимой составляющей курса терапии при спазме грушевидной мышцы. Начинают разминать обычно околопозвоночные мышцы и постепенно движутся к пояснично-крестцовому отделу. Делать массаж должен опытный специалист и только после выявления причины патологии, так как можно усугубить ее течение.

Длительность процедуры обычно не превышает 20 минут и желательно посетить не менее 15 сеансов массажа. В таком случае можно будет достичь видимого эффекта и снять напряжение с грушевидной мышцы.

Упражнение при СДМ

При синдроме грушевидной мышцы упражнения представляют основу терапии. За счет них можно добиться улучшения общего состояния, нормализации кровообращения и снятия напряжения. Заниматься лечебной физкультурой, можно не выходя из дома, но рекомендуется провести пару сеансов под присмотром у врача, чтобы знать правильную технику выполнения движений.

Упражнения для снятия спазма с грушевидной мышцы выглядят следующим образом:

  • Больной должен лечь на пол и согнуть ноги в коленных суставах, а стопы при этом ставятся по ширине плеч. Далее, разводятся и сводятся нижние конечности в коленях;
  • Оставаясь в этом положении, необходимо поставить стопы вместе, после чего делать наклоны соединенными вместе коленями вправо-влево. Выполнять упражнение следует плавно и аккуратно;
  • Для выполнения этого упражнения необходимо встать на четвереньки. Поврежденную конечность следует согнуть в колене и отставить ее в сторону. Затем эту ногу нужно медленно выпрямить и вернуть в первоначальную позицию. Такое же действие выполняется и на другую конечность;
  • Сидя на стуле, нужно выпрямить спину и поставить ноги ровно. Далее, следует положить больную конечность на здоровое колено и тянуться к ней всем туловищем. Спину при этом нужно стараться не горбить и после выполнения наклона поменять ногу.

Делая упражнения для расслабления грушевидной мышцы, нужно в точности соблюдать правильную технику исполнения. Узнать обо всех ее нюансах желательно у лечащего врача.

При синдроме грушевидной мышцы человек ощущает сильный дискомфорт. Однако иногда боль имеет непостоянный характер, поэтому многие тянут с визитом к врачу. Такое поведение является ошибочным и нужно срочно обследоваться при обнаружении первых симптомов. В таком случае получиться избежать проблем и выздоровление пройдет значительно быстрее.

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