手首の痛み　更年期

#ドケルバン　#menopose

更年期にはエストロゲンが低下します。
エストロゲンには組織を滑らかに保つという作用があるため、この働きが低下すると腱や腱鞘、神経の周りにある滑膜というところが炎症を起こして腫れやすくなります。また、軟骨の滑らかさが少なくなり、軟骨がすり減りやすい状態になると考えられています。
軟骨がすり減ると関節の安定が悪くなり、周辺の骨が変形を来し、痛みを感じるようになります。女性ホルモンが不安定になり起こる代表的な疾患が腱鞘炎（ドケルバン病やばね指）手の周辺の変形性関節症（へバーデン結節、ブシャール結節、母指CM関節症）手根管症候群（正中神経という神経の通り道が狭くなって起こります）です。腱鞘炎は鍼灸適応疾患になります。鍼灸治療をおこなうことで、手首周りの筋の緊張緩和、知覚神経の興奮抑制で疼痛緩和、手関節や前腕の血流循環改善により炎症の鎮静が期待でき、早期回復につながります。

Estrogen levels drop during menopause.
Estrogen is responsible for keeping tissues smooth, so when this function is reduced, the synovium, the area around tendons, tendon sheaths and nerves, becomes inflamed and swollen more easily. It is also thought that the cartilage becomes less smooth and more likely to wear away.
As the cartilage wears away, the joints become less stable and the surrounding bones become deformed and painful. Typical diseases caused by female hormonal instability are tendonitis (Duchelbane's disease and spring toe), osteoarthritis around the hand (Heberden's nodes, Bouchard's nodes, thumb CM arthropathy) and carpal tunnel syndrome (caused by narrowing of the median nerve, the pathway of the nerve). Tendonitis is an indication for acupuncture. Acupuncture and moxibustion treatment can relieve muscle tension around the wrist, reduce pain by inhibiting the excitation of sensory nerves, and calm inflammation by improving blood circulation in the wrist joint and forearm, leading to early recovery.