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[转贴] 大腿外侧髋关节处痛,已找出罪魁祸首

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发表于 2014-3-5 22:13 | 显示全部楼层 |阅读模式
       最近跑量偏大,右边大腿的外侧刚开始有些隐隐作痛的感觉,压下去有个大圆骨头的地方,明显感觉很痛。但是因为不严重,休息两天后我又去慢慢跑了7公里,结果复发了,而且走路都痛。不知道是什么损伤,也不知道应该怎么休息,怎么拉伸,怎么防止复发,找了很久原因,终于找到了~!给大家分享下。希望能帮助到有需要的朋友。
       首先,这个症状对应的毛病叫做:髋关节滑囊炎。
       然后,看看图,这个所谓的发炎的滑囊的位置。
20071126232125847.jpg





        这里疼痛了,首先一定要停跑,待症状减轻到几乎消失后,再慢慢开始跑,并且跑前一定要拉伸到那条韧带,并且最好进行一点力量训练增强肌肉保护好这个关节!

        反思受伤原因,自我感觉良好,就天天跑不休息,并且有点急功急利想10公里跑进55分钟(女)。现在受伤后想想,毕竟我们都是业余的,我们都是爱好者,有的是时间慢慢进步,跑步的最终目的就是为了健康灵活,不要反其道而行之。


-----------------------        以下是转的    -------------------------------------

在泡吧找到的一个很老的帖子,非常详细的介绍了这个问题以及防治方式,大家可以对应查查自己是不是这个问题,并可以参考其中建议避免再次受伤!(原文出处:




Running Tips :

Hip pain in runners !

One of the most common running injuries.

跑步小贴士

髋关节痛---最常见的跑步损伤之一





Running Tips :
Hip pain in runners !
One of the most common running injuries.

跑步小贴士
髋关节痛---最常见的跑步损伤之一

"Hip injuries, bursitis, ITBS, snapping hip explained "
"髋关节损伤,滑囊炎, 髂胫束综合症, 髋关节声响的解释 "

There is no doubt about it: runners are susceptible to hip injuries,hip pain and long term hip conditions when running. Hip pain in runners are such conditions as hip bursitis, snapping hip and ITBS. These can be painful, even disabling - and they can create havoc for your running career!

毫无疑问:跑步者容易发生髋关节损伤,髋关节痛,跑步的长期髋关节问题。髋关节滑囊炎,声响髋关节和髂胫束综合症,都可能导致跑步者的髋关节痛。它们可能是疼痛,行走困难,甚至毁了您的跑步人生!

So, knowledge is power - and one of the best ways to protect yourself from these hip injuries is to learn about them.

因此,知识就是力量,最好的预防方法是了解髋关节损伤。

Find out,
•        what the symptoms of the most common hip injuries in runners are
•        the treatment of hip pain in runners
•        and how to avoid developing these hip injuries in the first place.
Main thing for hip injuries and running is to find out the cause for the problem.

Ok, lets go ;)

找出,
•        最常见的跑步者髋关节损伤症状有哪些
•        跑步者髋关节损伤的治疗方法
•        如何避免这些髋关节损伤的发生
髋关节损伤和跑步,关键是找出问题的原因。

Ok, 让我们开始吧 ;)

Let's have a closer look as some of the most common hip injuries from which runners, even well practiced and experienced runners - may fall victim to:
Hip bursitis, the snapping hip, ITBS and "the dark horse" : upper hamstring injuries.

让我们仔细看一下最常见的,以跑步者,甚至是跑步老手为受害对象的髋关节损伤:
髋关节滑囊炎,声响髋关节,髂胫束综合症和“黑马”:上部腿筋损伤。

Ⅰ. Hip Bursitis. A cause of hip pain in runners that often can be easily fixed.

     髋关节滑囊炎,跑步者髋关节痛的原因之一,通常,容易治愈。

Hip bursitis is a common problem. It creates pain around the outside of the upper thigh.

髋关节滑囊炎,一个常见的问题,导致的疼痛出现在大腿上方的外侧。

Basically, this painful condition gets its name from the "bursa" - sac filled with fluid that we all have around our joints.

基本上,这种疼痛得名于" bursa " – 一种充满液体的囊,位于我们关节的周围。

This bursa is a good thing to have as the fluid allows for the smooth movement between two uneven surfaces - i.e. your bones.

具有这个囊是一件好事,因为液体可以使2个不平整的表面,即您的骨头,活动自如。

We all have a bursa between the two bony bits over the outside of the hip - the greater trochanter and the hard tendon that passed over this bone.

我们都有一个囊,位于髋关节外侧,在2根骨头一样的东西之间---大转子和通过这根骨头的硬肌腱。

Your pain will thus be :
•        On the outside of the hip.
•        About in the height when you stand with your arms to the side of your body - and right where your hands start.
•        You feel a "bony" thing there, that is the greater trochanter.

您的疼痛是这样的 :
•        位于髋关节外侧,
•        大约高度,当您双臂在您的二侧立正时---正好是您的手腕,
•        您感到那里有“骨头一样的”东西,那是大转子。

Ordinarily, all is well with this bursa, but if it becomes inflamed, you're in for a painful jolt each time the tendon slides over the bone - which is basically every time you move your hip of your leg : a regular occurrence for runners!

•        Unfortunately, runners can commonly get this condition.
•        Even more unfortunately, this injury is often overlooked.

正常情况下,有了这个囊,一切都平安无事。如果它出现炎症,您就会在肌腱从骨头上滑过时感觉到疼痛---基本上是当每次移动您的大腿根时:跑步者的常规动作!

•        不幸的是,跑步者常常发生这种情况。
•        更不幸的是,这种损伤常常被忽视。

I have seen it myself with many runners that could have been quite easily treated. Instead they have continued for months with the same kind of nagging pain in each stride.

我亲眼看到许多有此伤的跑步者原本可以被相当容易地治愈,但是,他们继续跑好几个月,每一步带着同样的,挥之不去的疼痛。

Hip bursitis may be diagnosed by pain or swelling over the bones you can feel at the top of your hip. Any good physiotherapist (not always good to trust the doc ! ) will be able to palpate this.

髋关节滑囊炎的诊断,可以通过您在髋关节顶部感觉到的疼痛或肿胀。任何理疗师(内科医生不是永远值得信赖的!)都有能力诊断髋关节滑囊炎。

From there, an x-ray will ordinarily be carried out to confirm the diagnosis and discount bone spurs or calcified growths.

从此时开始,通常是拍X-光片,进行确诊,排除骨刺或骨质增生,

If you, a runner, get a diagnosis of hip bursitis, this is what you can do :

The first course of treatment is to control the inflammation, through rest and anti-inflammatory medication;
•        Icing the area can also help to alleviate the pain and swelling.
•        Long-term, the bursa may need to be drained by a doctor, using a needle into the affected area.

如果您,普通的跑步者,要诊断髋关节滑囊炎,您应该做的是 :

治疗的第一步是通过休息和服用消炎药物控制炎症;
•        局部冰敷,也有助于止痛和消肿。
•        长期,滑囊可能需要排液,医生将用针插入患区。

A course of cortisone injections may also be prescribed.

还可能需要可的松注射。

You should not be afraid of cortisone shots in the bursa. This is a "sac", so an injection into the sack is only positive - no negative effects (as long as the doc has a steady hand!) as no tissue outside it is affected (like tendons,muscles).

您不必害怕滑囊可的松注射。因为它是一个“囊”,注射在这个口袋里不影响任何外部组织(比如,筋腱和肌肉),所以,只有正面---没有负面影响(只要医生的手别抖动!)。

So cortisone shots are often discussed, but for bursitis, it is a "common" understanding that is is perfectly ok.

可的松注射常引发讨论,但是对于滑囊炎,“共同的”认识是它是绝对OK的。

To prevent the injury recurring, once this bursitis attack has been alleviated, you will need to undergo physical therapy which strengthens and stretches the muscles and tendons in this area of the iliotibial band.

为了预防复发,一旦滑囊炎症状缓解,您应该理疗髂胫束区域,增强肌肉,拉伸筋腱。

Plus, main thing :
1.        Know what caused it (usually too intense training/too much running combined with strength work in a short period of time)
2.        Try and massage up the muscles with cross friction massage on the outside of the hip. This is often much more effective than strength work and stretches.

另外,主要的事情 :
1. 了解导致髋关节滑囊炎的原因 (通常是,训练强度过大 / 跑步结合力量,短期内过多)
2. 试着用十字摩擦的按摩手法,舒缓髋关节外侧的肌肉。通常,摩擦比力量训练和拉伸更加有效。

Better toned muscles and tendons should then glide more easily and not cause hip bursitis to flare up again in the future.

经调养的肌肉和筋腱,更加灵活,不会导致髋关节滑囊炎的复发。

If you follow this advice, surgery to remove the bursa should not be necessary except in extreme circumstances.

如果您能遵守这些忠告,除了极端案例,没有必要手术切除滑囊。


 楼主| 发表于 2014-3-5 22:21 | 显示全部楼层
在别人博客发现了这个主题的完整资料:
http://blog.sina.com.cn/s/blog_644efb43010138uf.html
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 楼主| 发表于 2014-3-7 13:33 | 显示全部楼层
轻舞 发表于 2014-3-6 16:52
你一女的发什么疯每天跑10km?关节炎也是这里痛。骨质疏松也是的

因为我每天都很无聊啊......也没有每天10公里,有时候也只跑5公里的,主要看心情.....
好像股骨坏死也是那里疼啊。我最近休息两天已经好多了,不过你这么一指点也有可能骨质疏松呀,上年纪了,确实也应该补补钙了...
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 楼主| 发表于 2014-4-18 14:43 | 显示全部楼层
happy42 发表于 2014-4-16 15:47
楼主现在好了吗?我最近好像也是跑多了髋关节痛,这么好的季节不想长时间歇着啊。

开始慢慢恢复跑了,1公里1公里的跑。滑囊炎必须好好休息,别再给关节造成压力,长期恢复不了拖成慢性的,更难痊愈了。我建议你还是不要跑了,等完全不疼了,再开始循序渐进慢慢开始。跑步最重要的不是季节,是腿啊...人生还长,有时间跑的。
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 楼主| 发表于 2014-12-15 16:16 | 显示全部楼层
wolfzero 发表于 2014-11-12 23:54
LZ现在的髋关节还疼了吗?我现在也出现了和你当初一样的症状,已经二周未跑。是否还有需要注意的地方?

现在10公里内都没问题,但是感觉如果负荷较大,还是会有不舒服的感觉,冬天我这里比较湿冷,关节伤容易复发,果断停跑,练练力量了。要注意的地方是就是劳逸结合不要盲目加量,相信自己身体的反应,不舒服就别跑了;然后就是加强核心肌肉的力量练习,这些网上很多例子,可以照着做。
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