#Repost @ascoltostudio with @make_repost ・・・ Today is International Kidney Day 💗 I hope all the patients whom I have treated their kidneys, be healthy 💚 and free in their kidney movements 😍. I would love to share some fun facts about kidneys with you all: 1) They are very beautiful 😍 paired organs, from my point of view 🤓 2) They are the second most oxygen-consuming organ in human body, which take up to 12% of the oxygen of the body. 3) They have a piece of fat (perirenal fat capsule) surround them and another piece of fat (pararenal fat) behind them to support them 😎, the fat here acts as cushion to protect the kidneys, they are good 👍🏼and important type of fat 🤣. The depletion of fat (sudden weight loss) might cause them to slide down permanently, a term called “kidney ptosis” 4) The two kidneys are wrapped and protected by a fascia 🕸🕸🕸 called renal fascia, this fascia does NOT have the bottom part, so the kidney will slide down as in 3). 5) Since the two share the same renal fascia (it crosses from left to right), having problem on one side of kidney could possibly transmit the problem to the next. 6) Each kidney travels up to 600m per day, as diaphragm moves up and down in breathing, it travels from 3cm to 9cm maximally. 7) The left kidney is slightly higher than the right: Left one starts from the top part of Rib 11, Right one starts from the top part of Rib 12. Their position is actually quite high that surprises majority. 8) Left kidney is more related to reproductive organs’ health, due to the fact that the arteries of genital organs (left ovary, prostate) is branched out from Left renal artery; the right side does not have this vasculature. 9) Kidneys health is crucial in maintaining normal blood pressure. 10) The emotional aspect of kidneys can be fear of losing something or someone, according to Dr. Jean-Pierre Barral. Kidneys are my favourite 🤩 study subject. Dr. Jean Pierre Barral said, “We must check patients’ kidneys if they have back pain”. Hope it helps! May everyone’s kidneys stay healthy and free 🤓 #internationalkidneyday #2021 #kidney #rene #nephrology #kidneyhealth #wellness #health #backpain #lowbackpain

#Repost @ascoltostudio with @make_repost ・・・ 💥 腎虛3.0 💥 (See comment for brief summary in Eng) 接續上次關於腎有好多層具保護性既膜包住之後，今次我哋探討一下腎下垂😞（renal ptosis, nephroptosis）、咩情況會容易有呢個問題、徵狀等。腎下垂😞係一種活動性（或機械性）病理狀況（mechanical pathology）即係情況係由不正確或重複性活動身體某部份而引起。運動，本身係健康生活不可或缺既一環，但過度而不適當地做某種運動，就容易出現活動性病理狀況。 點解腎咁容易下垂呢？之前我哋提到腎本身有至少4️⃣層保護膜，腎筋膜本身係兩邊腎一齊包住，上面連繫到橫隔膜筋膜（圖1️⃣），但呢層筋膜，原來下面並唔係密封😲 既（圖1️⃣ 綠色箭嘴位置）；吸氣🥱時，橫隔膜收緊會簡接推到腎滑向下，而隨著週圍既大小腸、上下直腸、又或是橫隔膜有黏連或活動問題時，腎臟都會受到牽連。如果週邊的張力比上面橫隔膜或胸腔既負壓為大，腎臟本身的活動（自身的及和週邊環境的）就會受到🥴影響。開始時，最早受影響的是腎臟本身的活動，時間久了，就會連腎臟既位置都影響，形成腎下垂。腎下垂可以照X ray睇腎既位置而確定到，如仰卧時位置正常，但站立時腎臟會比正常的低，就係腎下垂。 究竟咩運動會影響腎臟呢？ 答案：長跑🏃🏻‍♀️🏃🏻。長跑好手身型偏向瘦長，跑步時，腳踭🦶🏼每一步落地既撞擊力、都會傳送上腳🦵🏼以至身體不同位置，呢個撞擊力、傳送上身體，去到邊度會承受最多，要視乎個別身體狀況（簡單啲講，係一個謎😵），但腎臟係一個好需要保護既器官，跑步既壓力經腳上到盆腔、最近可以散咗啲壓力，就係腎臟。腎下垂大致可分三個程度，視乎下垂情況，如果去到第三程度（圖2️⃣），腎已經下垂至可以影響到腰椎出嚟既會支配膝頭既神經線（obturator nerve）而引致膝痛（膝痛絕少係純粹只關乎膝頭關節問題💡）。 除卻長跑，研究顯示，非常瘦削而高佻/腰長既女性，或喺短時間內大量減肥既人，都傾向容易出現腎下垂（因為保護腎臟，喺腎後既兩層脂肪突然薄咗）（圖3️⃣） 年輕、纖瘦既女性比較容易有腎下垂（男女比例係3:100，女生佔多數（註1️⃣））（註2️⃣提出，大約2成年紀輕、身型纖瘦、腰長的女性在做腎造影檢查（IVU ）時，都有腎下垂現象）因為女性既腎臟位置比男性淺，吸氣時腎臟向下滑會比較容易。而腎下垂既朋友，當中有7️⃣成是右邊腎下垂（註3️⃣）➡️ 如果你有切除過盲腸，你右邊腎都會有大啲機會下垂。 大概只有10-20%腎下垂情況有徵狀問題，其餘可以無徵狀，徵狀包括：腰痛，側腰痛，肋骨下痛，嘔吐🤮，噁心🤢 （因為交感神經及內臟神經系統受到刺激），去小便次數增加，嚴重的更會容易尿道發炎等。有否出現徵狀，取決於腎臟下垂時會否壓到從腰椎出嚟既神經線（圖2️⃣），但無徵狀並唔等於唔需要理會，隨時間，問題始終有一日會令你困擾。點可以改善？點可以補救？下一次再討論一下。 註1️⃣：Barber NJ, Thompson PM. Nephroptosis and nephropexy – hung up on the past? Eur Urol 2004; 46: 428–33 註2️⃣：Narath PA. Nephroptosis. Urol Int 1961; 12: 164–71 註3️⃣：Plas E, Daha K, Riedl CR, Hunber WA, Pfluger H. Long‐term follow‐up after laparoscopic nephropexy for symptomatic nepnroptosis. J Urol 2001; 166: 449– 52 #腎虛 #腰背痛 #膝痛 #長跑 #從根源醫治 #runners #renalhealth #backcare #backpain #lowbackpain #treatfromrootcause #kneepain #nervepain #renalptosis #nephroptosis #osteopathicmedicine #osteopathy #osteopatia #osteopata #VisceraManipulation #BarralInstitute #physiotherapy #manualtherapy #bodyworker #fascialmanipulation #AscoltoStudio #backache #health #painfree #AscoltoStudio

#Repost @ascoltostudio with @make_repost ・・・ 腎虛2.0💥 上回講到正常健康既人，一邊腎大概會行600 米🚶🚶‍♀️，咁如果基於任何原因，腎臟行得唔夠又或是行既時候受週邊阻力行得特別辛苦❌🆓，又或是腎下垂（renal ptosis)，又會點樣影響我哋身體呢？🤓 首先，睇睇第1️⃣幅圖（圖畫取自內臟手法治療第2️⃣課程手冊(VM2️⃣ course manual)) 上面係腎臟前面同其他器官既關係圖，下面係腎臟後面同其他器官既關係圖；腎臟前面比較同其他內臟器官有關係：如右邊腎和肝關係密切、左邊腎和小腸、胃、脾係有好多筋膜關係；腎臟後面就比較同近脊椎肌肉如腰大肌(psoas major/hip flexors), 腹橫肌(Transverse abdominis) 等有關。牽一髮，動全身，如果腎臟週邊既身體器官/肌肉郁得唔好，會影響腎既活動，時間長咗，就會影響到腎功能（腎臟要罷工😣)，或同腎有密切關係既神經線（如果無腎下垂情況，都至少會影響到3條神經線)。 反過來，更多時候，係保護腎臟既幾層保護膜有不正常張力🕸或黏連💥，以致腎唔可以正常活動，從而影響背肌崩緊、腹肌不能適當用力、腰椎關節彊硬；因為身體有一個次序，器官既重要性遠比肌肉/關節活動能力重要，肌肉/關節影響器官既可能性，比器官影響肌肉/關節可能性為低。 究竟小小既腎，有幾多層保護膜🌀呢？（睇圖2️⃣）最近腎臟既，有1) 纖維囊(renal capsule/Bowman’s capsule), 然後係2）第一層脂肪(腎周脂肪, peri-renal fat), 接住3）腎筋膜(renal fascia, anterior: Gerota’s fascia, posterior: Zuckerkandl’s fascia), 4）第二層脂肪(腎旁脂肪, para-renal fat)。第二層脂肪外一層就係會包住整個身體（但唔同地方唔同名字既腹橫筋膜(Transversalis fascia)。(希望大家未暈😵，我只係想俾個概念🤔大家，以上是但一層膜有問題，腎臟活動都會受到影響，當活動受影響，深遠既問題係腎功能受到影響（腎要罷工😤），比較輕微既問題就係腰痛/盆腔痛/盆腔炎，腰痛又視乎影響邊條神經線，以致有冇機會影響到腳🦵🏼/腳踭🦶🏼或臀部🍑有反射痛。 腎周同腎旁既脂肪都有機會硬咗，無咁軟綿綿 ☁️ ，即纖維化(fibrotic)，原因可以係簡單到個人唔小心跌親令臀部坐地，受傷既衝力會去到上呢啲脂肪位置（脂肪層喺器官週圍係好似咕臣咁幫器官避震），脂肪層纖維化，我未知除咗恰當既手法治療，有乜嘢方法可以改善到。 最後，我想強調一點，🔟個腰痛（+/-反射腳痛）既病人，都可以有🔟個唔同既根源問題，唔一定係腰痛就一定係腎臟有事。下次再講腎下垂，跑長跑或短時間減肥既朋友要留意，你哋會係比較容易發生腎下垂，以致有膝痛既情況。 #lowbackpain #kneepain #heelpain #backpain #sciatica #kidney #kidneydisease #kidneyhealth #barralinstitute #barralinstituteitalia #visceralmanipulation #jeanpierrebarral #mobility #motility #visceralfat #visceral #health #manualtherapy #physiotherapy #osteopathy #lumbarspine #pelvicpain #hippain #treattherootcause #ascoltostudio #physioyoga #therapy