Pear-shaped muscle
Pear-shaped muscle is represented in the shape of an isosceles triangle. Its base is located on the anterior plane of the tibia, and the apex - in the region of the large femur spit.
Pear-shaped muscle through a large opening(sciatic) leaves the cavity in the small pelvis, then passes along the posterior region of the hip joint. It is attached to the trochanter of the hip, passing into a short and narrow tendon.
The pear-shaped muscle forms the lower and upper slits. Thus, it does not occupy a completely ischium orifice.
Pear-shaped muscle is responsible for the removal and rotation of the thigh. With a fixed position of the leg, it has the ability to deflect anteriorly and toward the pelvis.
The muscle is innervated by the branches of the joint of the sacrum, from the spinal roots (S-1 and S-2). Blood supply is carried out through the lower and upper artery buttocks.
Pathological tension in pear-shaped musclecreates conditions for the appearance of compression. The lower gluteal artery and sciatic nerve are involved in the process. Their compression occurs between the dense ligament (sacral-spinous) and the muscle itself.
The state can be primary. In this case, it is caused by pathological changes to the muscle itself. The secondary occurrence of the condition is due to external spasm and compression.
Pathological changes of a primary naturecan be caused by myofascial pain syndrome. To the immediate reasons for its development include stretching, overtraining, hypothermia, trauma in the gluteal and lumbosacral zones. In addition, the soreness of this nature is often caused by unsuccessful injection, prolonged stay in antalgic position, ossifying myositis.
Due to diseases in the sacroiliacarticulation, a small pelvis, a gynecological nature in particular, a secondary pear-shaped syndrome can develop. Symptoms of the disease manifest as a painful aching or burning nature in the buttocks. At the same time, she can give back and thighs along the back plane. In addition, the condition is accompanied by difficulties in bending the leg. Together with weakness in the lower leg or foot, a feeling of numbness along their outer margin is noted. Skin changes change color (as a rule, become cyanotic or pale), become dry. In many cases, a characteristic sensation of chilliness appears in the affected limb. Seizures in it can lead to intermittent claudication. The patient feels painful when bringing the limbs together (bringing the hip).
It should be noted that this disease predictionhas a favorable and successfully treatable. As practice shows, its occurrence is associated with prolonged physical exertion in case of degenerative lesion in the spine (osteochondrosis). Therefore, the doctor's attention in the appointment of therapeutic measures is directed, as a rule, to prevent the progress of the process. That is why it is recommended to see a doctor as soon as possible.
Medical measures have a similar direction as those prescribed for spinal instability or compression in the nerve roots of its lumbosacral zone.
The main therapeutic manipulations are based on the elimination of the cause of the disease.
The expressed painful syndrome assumesthe appointment of medications that have the ability to reduce spasm in the cervical muscles. Chronic character of the state is expedient and more effective to eliminate by means of physiotherapeutic procedures. Such events should include:
- spinal traction;
- therapeutic gymnastics;
- special massage;
- acupuncture.
In order to relax, exercises for pear-shaped muscles are also recommended.
The patient assumes a supine position on the back with half-bent legs, leaning on the couch with the soles. Next, you should perform smooth movements of breeding and connecting the knees.
With half-bent legs, energetic shocks are produced - one knee pushes the other - within three to five seconds.
