Синдром грушевидной мышцы – это совокупность довольно болезненных и назойливых ощущений, затрагивающих ягодичную область. Боль может транспортироваться также в зону паха, отдавать в бедро и даже в голень, но начинается синдром всегда именно с ягодиц.
Причины развития
Важно знать! Врачи в шоке: "Эффективное и доступное средство от боли в суставах существует. " Читать далее.
Синдром грушевидной мышцы и корешковый синдром могут быть спровоцированы целым рядом разнообразных факторов — первичных и вторичных. К первой категории относятся:
- физическое перенапряжение мускулатуры этого отдела;
- травмы, в том числе растяжения;
- сильное переохлаждение, особенно в течение продолжительного времени;
- долгое нахождение в некомфортной позе;
- инъекция, проведенная непрофессионально, с нарушением правил.
Вызвать развитие первичной формы синдрома грушевидной мышцы могут и другие воздействия, мы перечислили только наиболее распространенные.
При вторичной форме синдрома он появляется, как следствие других заболеваний, чаще всего – затронувших один из органов, расположенных в малом тазу, или крестец позвоночника. Наиболее вероятно развитие синдрома у больных с диагнозом «пояснично-крестцовый радикулит со смещением дисков». Синдром грушевидной мышцы наблюдается у 50% этой группы пациентов. Нередко он становится следствием защемления седалищного нерва.
Симптоматика синдрома
Основные симптомы синдрома грушевидной мышцы:
- боли в пораженной ягодице, носящие ноющий либо тянущий характер. Способны отдаваться в тазобедренное сочленение, в некоторых случаях затрагивается крестцово-подвздошное. Ощущения увеличиваются во время ходьбы или при долгом стоянии. В положении «полуприседа» интенсивность возрастает до почти нестерпимой;
- в сидячем состоянии болезненность остается ровной, спадает только при принятии больным лежачего положения;
- если большая ягодичная мышца расслаблена, грушевидная прощупывается без труда: она постоянно находится в напряженном состоянии;
- легкое постукивание по затронутой синдромом мышце «стреляет» болью в заднюю часть ноги. Боль может распространяться почти до голеностопа;
- синдром грушевидной мышцы влечет напряжение других мышц, из которых состоит тазовое дно.
Последний симптом не обязателен, но встречается настолько часто, что упомянуть о нем стоит.
Ущемление седалищного нерва проявляет себя другими признаками:
- боль не особо сильная, тупая; ей сопутствуют другие неприятные ощущения вроде онемения мышц, жжения (как вариант – зябкости) в них;
- болезненные ощущения не носят непрерывный характер. Они появляются во время резкой смены погоды либо становятся следствием перенесенного стресса;
- ахиллов рефлекс становится менее выраженным. Он проверяется легким ударом медицинским молоточком по пяточному сухожилию. При защемлении седалищного нерва икроножная мышца сокращается слабо или вообще не реагирует на проверку.
Иногда, если ущемлены лишь волокна, из которых сформирован большеберцовый нерв, боль локализована в мускулатуре голени, сзади.
Если у пациента сдавлена ягодичная артерия, симптоматичная картина выглядит иначе: кожа на пораженной ноге заметно бледнеет, сосуды резко спазмируются, из-за чего развивается хромота. Продолжить движение можно только после расслабления конечности, для чего требуется присесть, а лучше – прилечь. У большинства больных такие приступы время от времени повторяются.
Диагностика
Синдром грушевидной мышцы, симптомы и лечение которой мы рассматриваем, имеет довольно яркие проявления. Неспециалист с легкостью может перепутать эти признаки с симптоматикой других заболеваний. Поэтому требуется консультация профессионала-медика. Для подтверждения диагноза используется пальпация – прощупывание болезненной области и связанных с ней зон.
- внутренняя часть большого бедренного вертела;
- крестцово-подвздошное сочленение;
- крестцово-остистая связка;
- тазобедренный сустав;
- грушевидная мышца.
Одним из наиболее точных диагностических методов считается трансректальная пальпация: в напряженном состоянии проблемная мышца набирает упругость, которая при таком диагностировании не оставляет никаких сомнений.
Иногда пациенту предлагается метод исключения: в грушевидную мышцу вводится обезболивающий укол (препарат подбирается с учетом состояния здоровья и хронических патологий больного), по динамике обнаруженных сдвигов врач делает вывод о природе беспокоящих пациента ощущений.
Даже "запущенные" проблемы с суставами можно вылечить дома! Просто не забывайте раз в день мазать этим.
Если синдром грушевидной мышцы обусловлен травматическими воздействиями, обследование на этом обычно прекращается, назначается курс лечения. Однако если природа его развития неясна, потребуются дополнительные исследования. Пациенту может быть рекомендованы рентгенография, томография – компьютерная или магниторезонансная, биохимический анализ крови.
Терапевтические рекомендации
Если диагностирован синдром грушевидной мышцы, лечение зависит от того, чем он вызван. Сам по себе синдром самостоятельным заболеванием не является, поэтому медикаментозное воздействие – чисто симптоматическое, направленное на снятие болей, воспаления (если оно успело начаться), напряжения мышц. Для решения этой задачи назначаются медикаменты нескольких групп:
- для обезболивания и снятия воспаления: противовоспалительные медикаменты из нестероидного ряда. Они не только блокируют очаг, предотвращая распространение воспаления на смежные ткани, убирая его с уже пораженных, но и гасят боль. Нередко рекомендуется внутримышечное введение препаратов, поскольку при таком применении они воздействуют быстрее, проникают глубже в волокна. Популярны Диклофенак и его аналоги, Кеторолак, Мелоксикам. Если боли слишком сильны, противовоспалительные средства дополняются анальгетиками;
- для снятия напряженности мышц — спазмолитики. Они устраняют спазм, если он уже наблюдается, предотвращают повторное спазмирование. По соотношению «цена – качество» предпочтение обычно отдается препаратам, в основе которых лежит дротаверин;
- если спазмолитики не дают нужного эффекта, больному может быть назначен курс миорелаксантов, которые насильственно, но быстро расслабляют мышечные спазмы. Из этого медикаментозного ряда самым распространенным считается Мидокалм.
Иногда, если пациент испытывает сильные боли, врачи проводят новокаиновую или лидокаиновую блокаду, обкалывая пораженную мышцу растворами препаратов.
Однако только медикаменты не способны победить синдром грушевидной мышцы. Лечение на острой стадии обязательно включает в себя физиотерапевтические методики. Наиболее эффективны вакуумная терапия, лазерная или фармацевтическая акупунктура, иглорефлексотерапия, некоторые другие. Обязателен также массаж, снимающий спазмы, стабилизирующий кровоток. Нередко пациентам рекомендуется ректальный массаж – он считается самым действенным при синдроме грушевидной мышцы.
Помимо устранения симптоматики синдрома, врач должен назначить курс, направленный на терапию вызвавшей его причины. Без этого шага лечение становится бессмысленным: синдром будет постоянно возвращаться, причем временные разрывы между рецидивами станут неуклонно сокращаться.
Лечебная физкультура
Основной прием, которым может быть побежден синдром грушевидной мышцы – упражнения, выполняемые регулярно. Гимнастика направлена на расслабление спазмированной мускулатуры, активизацию всех мышц вокруг грушевидной и связанных с ней. Обязательное условие: выполнять заданные движения строго в перечисленном порядке:
- больной ложится на спину, сгибает ноги в коленных суставах, сводит/разводит колени. При их соприкосновении требуется толкать одно колено другим энергично и активно, сменяя по очереди объект приложения усилий. Каждое давление должно длиться несколько секунд;
- больной ложится навзничь, плечи прижимает к полу. Одну ногу он выпрямляет, вторую сгибает в колене. Противоположной к согнутой ноге ладонью он прижимает колено к полу через вторую конечность. Удерживаться в таком положении нужно как можно дольше, минимум полминуты. Затем упражнение повторяется со второй ногой;
- для растяжки грушевидной мышцы пациент, лежа на спине, сгибает ноги в коленях и держит их на весу. Пострадавшая конечность закидывается на здоровую, как будто нужно лежа сесть в позу «лотос». Руками больной обхватывает бедро опорной ноги, тянет ее на себя. При этом упражнении грушевидная мышца растягивается, становится более эластичной, менее склонной к спазмам;
- пациент должен сесть, ступни расставить пошире, согнутые колени соединить. Одной рукой он опирается на кушетку, вторую протягивает вперед и начинает подниматься. Когда локоть выпрямлен полностью, помощник (в этом упражнении без него не обойтись) за свободную руку помогает больному выпрямить тело полностью. На этом этапе колени размыкаются;
- следующее упражнение выполняется стоя. Для него нужно обзавестись эспандером либо очень плотной эластичной лентой. Один конец приспособления надежно крепится к любой жесткой опоре, второй накидывается на стопу с поврежденной стороны. Пациент становится к опоре боком и с усилием, преодолевая сопротивление эспандера, отводит ногу вбок на максимально доступное расстояние без сгибания колена. На место ногу надо возвращать медленно, сдерживая давление эспандера и получая противоположную нагрузку на нижнюю конечность.
Специалисты по лечебной физкультуре больным с синдромом грушевидной мышцы рекомендуют делать упражнения трижды в сутки. До выздоровления советуют отказаться от любых других тренировок или снизить их интенсивность.
Помогаем себе сами
Если у вас диагностирован синдром грушевидной мышцы, лечение в домашних условиях в сочетании с усилиями наблюдающего врача способно быстрее вернуть вам легкость в ходьбе и безболезненность существования. Все меры согласовываются с врачом.
Самомассаж
Он снимает с мышцы спазмированность, нормализует кровообращение, помогает мускулатуре быстрее вернуться к штатному функционированию, вполне доступен для самостоятельного исполнения.
Один сеанс занимает примерно треть часа. В целом курс должен включать в себя не меньше 12 процедур, через месяц его требуется повторить. Никаких приспособлений для самомассажа не требуется, разве что коврик, на котором нужно располагаться. Диван или кровать для проведения процедуры не подходят – нужна жесткая и твердая поверхность:
- требуется лечь больной ягодицей вверх, постараться расслабить мышцу и помассировать ее, используя большой палец руки. Сначала выполняется общее разминание, после разогрева тканей всей области особенно пристальное внимание уделяется уплотнениям и болезненным местам;
- для растяжения мышцы, которое делает доступной для массажа большую ее часть, нога должна быть подогнута. Но не чрезмерно, чтобы не возникло мускульное напряжение – при нем массаж может даже навредить;
- если вы не уверены в своих способностях, как массажиста, используйте мячик для тенниса. В этом случае положение меняется: больной бок оказывается внизу, под мышцу подкладывается спортивный снаряд, на котором и следует кататься, помогая руками и отталкиваясь ступнями;
- направление массажа – сверху вниз, вдоль мускульных волокон. Все движения делаются плавно, не торопясь, без избыточного давления.
Если у вас в разгаре воспалительный процесс, а массаж доставляет болезненные ощущения, можно ограничиться мягкими круговыми разминаниями на месте поражения. Желательно заниматься самомассажем каждые четыре часа.
Народная медицина
Методики альтернативной медицины в основном направлены на снятие болей и воспаления. Они требуют времени, но нередко усиливают эффект традиционного лечения. При синдроме грушевидной мышцы можно попробовать следующие рецепты для домашнего лечения:
- флакон обычного тройного одеколона (200 мл) смешивается с половиной стопки аптечной настойки боярышника, тем же объемом настойки валерианы, двойной дозой настойки красного перца, десятью таблетками анальгина. Настаивать нужно сутки. Трижды в день состав втирается в пораженную мышцу. Снимает спазм, останавливает воспаление, устраняет боль;
- в полулитре винного спирта настаиваются 50 граммов цветковконского каштана (сырье продается в аптеках). Компресс из пропитанной составом марли 10 дней подряд прикладывается на ночь;
- в равных количествах соединяются цветки календулы, чабреца и калины. Две ложки сбора заливаются кипятком; настаивать следует час, пить по трети стакана перед едой.
Все ваши домашние действия должны быть скорректированы доктором. И если он не рекомендует пока использовать народные способы лечения, воздержитесь от них. Не используйте одну и ту же методику дольше месяца: организм привыкает к рецепту и перестает на него реагировать.
Чтобы не столкнуться с неприятными симптомами и необходимостью от них избавляться, достаточно разумной бытовой осторожности. Если у вас нет проблем с позвоночником, органами малого таза, синдром вам не грозит – при условии, что вы избегаете переохлаждений и непосильных нагрузок, не сохраняете часами одну и ту же позу. А для стопроцентной уверенности в своей безопасности не ленитесь при малейших намеках на радикулит обращаться в соответствующее медучреждение.
Синдром грушевидной мышцы теоретически не относится к опасным заболеваниям. Однако качество жизни он ухудшает заметно. Да и осложнениями без соответствующего лечения он вас может обеспечить. К ним смело можно отнести нарушения в функциональности мышц, деградацию суставов и связок, не получающих достаточной нагрузки или нагружаемых чрезмерно – вы инстинктивно пытаетесь избежать болезненности, переносите основной вес на здоровую ногу. Органы малого таза тоже начинают испытывать проблемы.
Если своевременно не уточнить, какой причиной спровоцировано развитие синдрома грушевидной мышцы, вы можете пропустить возникновение более серьезной патологии.
Как забыть о болях в суставах?
- Боли в суставах ограничивают Ваши движения и полноценную жизнь…
- Вас беспокоит дискомфорт, хруст и систематические боли…
- Возможно, Вы перепробовали кучу лекарств, кремов и мазей…
- Но судя по тому, что Вы читаете эти строки — не сильно они Вам помогли…
Но ортопед Валентин Дикуль утверждает, что действительно эффективное средство от боли в суставах существует! Читать далее >>>
Синдром грушевидной мышцы имеет несколько негативных признаков, среди которых больше всего страданий доставляет боль, которую сложно устранить при помощи медикаментов разных групп. Люмбалгия через определенный период переходит в ишиалгию, пациент ощущает постоянный дискомфорт, заметно снижается работоспособность, ухудшается общее состояние.
В чем причина развития болевого синдрома в грушевидной мышце? Какие клинические тесты применяют при диагностике сложной патологии? Как избавиться от мучительных ощущений? Врачи дают рекомендации по лечению и профилактике заболевания.
Общая информация
Грушевидная мышца расположена рядом с седалищным нервом. При раздражении мышечной ткани происходит компрессия важного элемента нервной системы. Более чем у 10% людей седалищный нерв практически проходит сквозь щель грушевидной мышцы. По этой причине эта категория чаще страдает от болевого синдрома в эпифизе бедренной кости и задней поверхности тазовой области.
Синдром грушевидной мышцы – это сочетание ишиаса с локализованным острым дискомфортом непосредственно в мышечной ткани. Мощные прострелы в ноги + болезненность в пояснично-крестцовой зоне и ягодицах доставляют пациенту немало страданий.
Причины развития патологии
В большинстве случаев мышечно-тонический синдром развивается на фоне других патологических процессов в мышцах и позвоночнике. Сочетание негативных производственных факторов с заболеваниями опорно-двигательного аппарата и других отделов организма провоцирует появление мучительной симптоматики.
Как разводить Нимесил порошок и как принимать противовоспалительную суспензию для облегчения болевых ощущений в спине? У нас есть ответ!
Как разводить Нимесил порошок и как принимать противовоспалительную суспензию для облегчения болевых ощущений в спине? У нас есть ответ!О том, как выбрать ортопедический пояс для спины и как носить медицинское изделие при болях в пояснице прочтите по этому адресу.
Основные причины мышечно-тонического синдрома:
- травмирование тазовой области, зоны крестца и поясницы, появление гематомы, сдавливающей мышечную ткань и седалищный нерв, надрыв эластичных волокон;
- сакроилеит;
- опухолевый процесс в паравертебральных структурах и позвоночнике;
- остеохондроз пояснично-крестцового отдела;
- синдром кососкрученного и скрученного таза при отсутствии своевременной ортопедической коррекции у пациентов с разной длиной конечностей, при аномалиях развития тазобедренных костей, S-образном сколиозе;
- длительное пребывание в неправильной позе при поиске положения, в котором слабее всего ощущается боль при корешковом синдроме;
- напряжение мышечной ткани на протяжении длительного периода, перегрузка ассиметричного характера в тазово-подвздошной зоне. Причины: фиксация пораженных участков после травм, неправильная организация рабочего места;
- избыточные, нерациональные нагрузки на зону ягодиц при нерегулярных тренировках, неправильном проведении занятий;
- пояснично-крестцовые дорсопатии, в том числе, стеноз позвоночного канала, на фоне которого происходит компрессия нервных корешков;
- воспалительные и инфекционные гинекологические заболевания, провоцирующие спазм тазовых мышц;
- отсутствие достаточных интервалов для отдыха между активными силовыми тренировками, перенапряжение ягодиц, бедер, нижних конечностей;
- оссифицирующее воспаление мышц.
Намного реже люмбалгия и ишиалгия развиваются на фоне переохлаждения либо неправильно выполненного внутримышечного укола.
Характерные признаки и симптомы
У большей части пациентов вначале болевой синдром развивается в поясничном отделе (люмбалгия). На протяжении двух недель негативная симптоматика принимает более тяжелый характер (напряженные мышечные волокна сдавливают седалищный нерв), развивается люмбоишиалгия.
Развивается симптоматика нескольких видов:
- нейропатическая. Причина – защемление нерва, охватывающего зону от ягодиц до пальцев ног;
- локальная. Проявления непосредственно связаны со спазмированием грушевидной мышцы;
- сосудистая. В подгрушевидном отверстии находится несколько сосудов, в том числе, ягодичная артерия. Компрессия этих элементов ухудшает кровоснабжение тканей, вызывает отрицательные симптомы на фоне кислородного голодания и дефицита питательных веществ.
Международная группа ученых в ходе исследований выявила четыре основных признака мышечно-тонического синдрома:
- Боль в зоне прикрепления грушевидной мышцы.
- Болевой синдром непосредственно в пораженной мышце и ягодице.
- Состояние ягодиц постепенно ухудшается, на фоне длительного нахождения в положении «сидя» развивается радикулит пояснично-крестцовой зоны;
- При напряжении грушевидной мышцы болезненность усиливается либо изменяет характер.
Постоянный мышечный спазм вызывает ноющую, тягостную боль в крестце и пояснице. При ходьбе, приседании, попытках запрокинуть ногу на ногу, в стрессовых ситуациях, при смене погоды дискомфорт усиливается. При легком разведении нижних конечностей лежа или сидя болезненность уменьшается, но полностью не исчезает. Кроме ишиалгии с мучительными прострелами в пояснице, при мышечно-тоническом синдроме пациенты отмечают одеревенение ног, онемение конечностей, ползание «мурашек», чувство жжения, похолодание стоп, пальцев.
Диагностика
Основной метод при уточнении вида патологии – проведение специальных тестов, подтверждение определенных симптомов при нагрузке на область бедер, нижних конечностей. Дополнительно невролог или вертебролог пальпирует пораженный участок, выявляет плотную, болезненную, тяжеобразную грушевидную мышцу.
Ключевые признаки патологического синдрома:
- болезненность при вращении согнутого бедра вовнутрь;
- внутренняя ротация, пассивное приведение, аддукция, сгибание бедра провоцирует боль;
- поколачивание по остистым отросткам (нижнепоясничным и верхнекрестцовым) вызывает спазм мышц в области ягодиц;
- болевой синдром при надавливании на ягодицу в зоне проекции грушевидной мышцы при наклоне вперед без прогиба коленей;
- острый дискомфорт развивается при подъеме колена в положении «лежа» на здоровой стороне;
- поколачивание по зоне ягодицы провоцирует мышечный спазм.
Дополняют диагностику другие виды исследований:
- рентгенография;
- проведение КТ или МРТ;
- трансректальное обследование для оценки состояния пораженной мышцы;
- электромиография.
Для постановки диагноза врач обязательно проводит клинические тесты. Именно этот вид обследования дает наиболее точный ответ на вопрос: «У пациента присутствует синдром грушевидной мышцы или это другой вид ортопедической/неврологической патологии?»
Общие правила и эффективные методы лечения
В большинстве случаев врач назначает консервативную терапию. Иногда негативные симптомы исчезают без применения анальгетиков и НПВС, если заметно уменьшается защемление седалищного нерва, расслабляется напряженная мышечная ткань, но такие случаи единичны.
Лекарственные препараты
Эффективные средства:
- простые анальгетики малоэффективны, для устранения боли, подавления синтеза медиаторов воспаления назначают НПВС. Хороший эффект дает сочетание местных и системных средств (гели, мази + таблетки). Ибупрофен, Кетопрофен, Мелоксикам, Диклофенак, Мовалис, Нурофен, Амелотекс;
- центральные миорелаксанты. Лекарственные средства устраняют спазм – причину боли в грушевидной мышце. Сирдалуд, Баклофен, Миокаин, Мидокалм;
- препараты с витаминами группы В. Хороший анальгезирующий эффект при острой боли дает средство Мильгамма, уменьшают дискомфорт инъекции витаминов В12, В6 и В1, препараты Нейрорубин, Неуробекс, Нейромультивит;
- медикаментозная блокада позвоночника при мучительном болевом синдроме. Основа – кортикостероиды в сочетании с местными анестетиками. Хороший анальгезирующий эффект, снижение активности воспалительного процесса дает комбинация Новокаин, Лидокаин, Эуфиллин, Лидаза с Дексаметазоном, Гидрокортизоном, Дексазоном, Дипроспаном;
- введение ботокса. Вещество не лечит, но дает ярко-выраженное обезболивающее действие. При тяжелых случаях, низкой эффективности анальгетиков и НПВС пациенту назначают инъекции ботокса в грушевидную мышцу. Паралич пораженного участка полностью купирует боль, но эффект заметен несколько месяцев, далее нужно вновь думать об устранении мучительных проявлений.
Кинезотерапия для лечения мышечно-тонического спазма
Важно устранить спазм, растянуть проблемную мышцу. Положительный эффект дает:
- растяжка бедренных, ягодичных мышц;
- упражнения с эластичным бинтом;
- мини-приседы;
- диагональные и передние выпады;
- подъем ноги из положения «лежа на боку»;
- разведение бедер, обязательно, с применением эластичного бинта для большего сопротивления;
- подъем, стоя на одной ноге из положения сидя;
- «полумостик». Подъем таза вверх из положения «лежа». Ноги обязательно согнуты в коленях, бедра для устойчивости разведены в стороны.
Для предупреждения спазмирования грушевидной мышцы спортсменам нужно исключить из комплекса упражнения, провоцирующие раздражение этого участка: спуски и подъемы, резкое изменение скорости, крутые повороты. Важный момент – отказ от длительного нахождения в положении «сидя» или неудобной, ассиметричной позе во время производственного процесса.
Посмотрите подборку эффективных методов лечения миозита мышц спины при помощи медикаментов и народных средств.О характерных симптомах шейной миелопатии и эффективных методах лечения заболевания прочтите по этому адресу.
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Массаж при синдроме грушевидной мышцы
Для предупреждения мышечно-тонического синдрома при интенсивных тренировках полезно делать простой самомассаж: катать по ягодице теннисный мяч. Для расслабления напряженного отдела применяют специальные методики – мягкотканые техники массажа для глубокой проработки проблемного участка.
Физиотерапевтические процедуры
Устраняют мышечный спазм и болевой синдром следующие процедуры:
- прогревание УВЧ;
- применение ультразвука;
- электрофорез с Гидрокортизоном;
- парафиновые аппликации.
Подробнее о том, что такое синдром грушевидной мышцы и как избавиться от мучительных болевых ощущений узнайте после просмотра следующего ролика:
Синдром грушевидной мышцы – это онемение ягодиц, которое сопровождается сильными болевыми ощущениями, и локализируется при обострении в верхнюю часть бедра и пазовую область. Во время появления таких неприятных ощущений, человек сталкивается с ограничением подвижности, резкими и тянущимися болями, которые устранить можно только с помощью обезболивающих средств. Чаще всего синдром грушевидной мышцы возникает вследствие получения травмы в виде растяжения на тренировке, реже – в бытовом режиме.
Причины развития
Воспаление грушевидной мышцы может возникать по многим причинам, для этого не обязательно заниматься физической активностью, при которой можно столкнуться с данной травмой. Спазм грушевидной мышцы провоцируют и другие причины, а именно:
- Травматические повреждения. Травмирование мышечных волокон происходит в результате перелома или смещения тазовых костей, в результате чего образуется фиброз и мышца укорачивается.
- Вертеброгенная патология. Рефлекторный спазм возникает вследствие наличия межпозвоночной грыжи, опухоли позвонка, поясничного остеохондроза и других заболеваний.
- Мышечная перегрузка. При длительном вынужденном положении во время сидения происходит сильное давление на грушевидную мышцу, в результате чего может образовываться данная патология.
- Воспалительные процессы. Иногда, бурситы или миозиты поражают грушевидную мышцу, в результате этого возникает сильный спазм, происходит заболевание органов малого таза.
- Онкопатология.
Причин, почему возникает боль в ягодице справа или слева, много, и определить точную причину синдрома грушевидной мышцы сможет только врач после обследования и проведения соответствующей диагностики. Именно благодаря ей и подбирается нужное лечение, позволяющие за минимальные сроки облегчить самочувствие больного, устранить резкие болевые ощущения и убрать данный синдром.
Симптоматика синдрома
Боль в ягодичной мышце – это основной и первый симптом, проявляющийся при наличии заболевания. Но, боль может возникать и при ряде других патологий, поэтому важно понимать, какие изменения происходят в организме. Определить, что присутствует синдром грушевидной мышцы можно только с помощью симптомов, если их нет, течение заболевания распознать невозможно.
Признаками синдрома грушевидной мышцы являются:
- Ноющая и сильная боль, которая усиливает свое течение и область поражения при физических нагрузках или повышенной активности. Болезненные ощущения могут немного притупляться, если человек принимает спокойное горизонтальное положение.
- Патология тазового дна. Если в ягодичной мышце длительное время сохраняется спазм, это может свидетельствовать о том, что поражению поддалась грушевидная мышца, которая провоцирует данные мучительные ощущения.
- Проявление боли при сгибании ноги в колене, такое проявление еще называется симптомом Бонне-Бобровниковой.
- Неприятные ощущения в области седалищной кости.
- Возникновение боли во время постукивания по задней поверхности ноги.
Все эти симптомы говорят о наличии синдрома грушевидной мышцы, но точное определение заболевания возможно только после прохождения полного осмотра у специалиста. С помощью пальпации определить течение и характер заболевания сложно, для этого врач подбирает соответствующие методы диагностики, которые позволят определить все особенности протекания заболевания и подобрать нужное лечение.
Упражнения при синдроме грушевидной мышцы
Все травмы и повреждения опорно-двигательного аппарата на восстановительном процессе требуют выполнения двигательной активности. Упражнения для грушевидной мышцы направлены на проработку ягодичных мышц, устранение в них болевых ощущений при активности и в сидячем положении.
Постизометрическая релаксация включает следующие мероприятия:
- Нужно принять положение лежа на спине, обхватить колено пораженной ноги и стараться подтянуть его к животу, в максимальной точке зафиксироваться на 5 секунд, затем сделать 30 секунд отдыха и повторить данное упражнение. Через несколько дней такой гимнастики можно чувствовать, что при выполнении упражнений практически не наблюдаются дискомфортные ощущения, движения происходят легче.
- Принимается положение сидя на краю стула, больная нога перекидывается на здоровое колено, делается небольшой наклон вперед. В это время в области поясницы и ягодиц будет наблюдаться сильное растяжение. Упражнение выполняется на выдохе, наклон делается до максимально возможного растяжения.
- Нужно стать в глубокий выпад, травмированная нога находится спереди. Задняя нога максимально отводится назад. Затем выполняется наклон к впереди стоящему колену, стараясь опуститься на него животом. В данной позиции необходимо задержаться до 50-60 секунд.
- Принимается поза на четвереньках. Больная нога сгибается в колене и приподнимается, далее поднятое бедро отводится в сторону, распрямляя конечность назад. Затем теми же пунктами происходит возвращение в исходное положение.
Такая растяжка грушевидной мышцы позволит вернуть все нарушенные функции в прежнее состояние, восстановить активность и амплитуду. Упражнения выполняются не только на больную конечность, для общего укрепления все действия выполняются на обе ноги.
Профилактика
Профилактические мероприятия нужно всегда учитывать, чтобы не сталкиваться с образованием травм опорно-двигательного аппарата. Профилактика заключается в следующем:
- Предотвращать переохлаждение поясничного отдела и ягодиц;
- Нужно обеспечить себе ежедневную активность, особенно если речь идет о нахождении в постоянном сидячем положении;
- Важно уберегаться от возникновения травм в поясничном отделе;
- После проведения тренировки обязательно стоит делать растяжку, чтобы не спровоцировать появление травм в повседневной жизни;
- Желательно 2-3 раза в год посещать массажиста;
- Нужно заниматься силовыми видами спорта, которые позволят организму активно сопротивляться перед возникновением различных травм опорно-двигательного аппарата.
Синдром грушевидной мышцы – это неприятное и болезненное заболевание, которое нужно лечить с помощью медикаментозных обезболивающих средств и активных физических упражнений. Только активный образ жизни, избегание переохлаждения позволят не столкнуться с таким заболеваниям, и наслаждаться допустимой активностью в любом возрасте.
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