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:
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болевые ощущения в районе ягодиц, тазобедренных сочленений, нарастающие при смене телесного положения, перемене погоды, стрессовых ситуациях;
- Сядьте на четвереньки и расслабьте мускулатуру позвоночника на пять секунд. Повторяйте пять раз.
- В этой же позе, выдыхая, выгните спину, чувствуя растяжение мускулов, а на вдохе прогнитесь. Повторяйте двадцать раз.
- 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.
- иглорефлексотерапию;
- нажатие пальцами на особые точки;
- прогревание и прижигание активных участков;
- действие на них лазерными лучами и электроимпульсами;
- точечно-линейное массажирование.
- УВЧ;
- ультразвук;
- вакуумный массаж;
- парафиновые аппликации;
- воздействие низкочастотными токами;
- диадинамотерапия;
- амплипульс;
- лазерное лечение;
- фонофорез.
- 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.
- не перенапрягать пояснично-крестцовый отдел;
- избегать переохлаждения;
- исключить тренировки, провоцирующие раздражение грушевидного мускула: спуски и подъемы, быстрый набор скорости и торможение, крутые развороты.
- Дегенеративные заболевания позвоночника;
- травма позвоночника;
- воспалительные заболевания позвоночника;
- деформации позвоночника;
- онкология.
- 2007 — Военно-медицинская академия им. С.М. Кирова
- 2008 — Военно-медицинская академия им. С.М. Кирова
- 2013 — Российская медицинская академия последипломного образования
- 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»
- 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
- 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.
- повреждение позвоночника;
- переохлаждение;
- проблемы в крестцово-подвздошном сочленении;
- травмы;
- поясничный стеноз;
- неудачные инъекции;
- перетренированность мышц.
- медикаментозную терапию (обезболивающие препараты);
- массаж;
- физиотерапию;
- упражнения;
- вакуумная терапия;
- иглорефлексотерапия.
- Растяжка внешней стороны бедра
- Растяжка грушевидной мышцы
- Растяжка длинной приводящей мышцы
- Растяжка короткой приводящей мышцы
- Упражнение с эспандером
- Лежа на боку
- Растяжка бедра
- Признак Бонне-Бобровниковой. Для этого симптома свойственна боль, которая проявляется в определенном положении ноги. Обычно для выявления наличия этого признака пациента кладут на кушетку и сгибают его нижнюю конечность в области таза и в колене;
- Болевые ощущения ноющего характера. Они проявляются если человек долго стоит или ходит. В этот момент возникает неприятное тянущие ощущение в ноге, которое уменьшается в лежачем или сидячем положении;
- Дискомфорт в районе седалищной кости. Врач может найти этот признак с помощью пальпации. Его выполняют рядом с седалищным нервом;
- Болезнь тазового дна. Если снимать спазм грушевидной мышцы не удается долгое время, то это может свидетельствовать о повреждении других мышечных тканей в этом районе;
- Признак Виленкина. Он проявляется в виде болевых ощущений вследствие постукивания по задней половине нижней конечности. Читайте также: Компрессионные чулки от отеков
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:
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:
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:
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:
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:
Средства на основе меда не стоит использовать тем, у кого есть аллергия на продукты пчеловодства.
Профилактические рекомендации
Помимо регулярных профилактических обследований, превентивные меры предполагают:
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.
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Тарасов Андрей
Врач-травматолог- ортопед, вертебролог первой категории
Специализируется на травмах позвоночник, таза, онкологии.
Образование:
Повышение квалификации:
Опыт работы:
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:
Точно определить наличие симптома грушевидной мышцы сможет врач после проведения обследования.
Причины возникновения синдрома грушевидной мышцы:
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:
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.
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).
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).
Сядьте на пол. Держите спину прямо. Максимально разведите прямые ноги в стороны. На выдохе наклонитесь вперед. Через 30 секунд вернитесь в ИП.
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
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.
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.
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:
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