{"id":402,"date":"2026-10-11T18:22:49","date_gmt":"2026-10-11T11:22:49","guid":{"rendered":"https:\/\/bscoxuongkhop.io.vn\/index.php\/2026\/10\/11\/rach-co-bap-chan-tennis-leg-xu-tri-ban-dau-va-phuc-hoi-hieu-qua\/"},"modified":"2026-10-11T18:22:49","modified_gmt":"2026-10-11T11:22:49","slug":"rach-co-bap-chan-tennis-leg-xu-tri-ban-dau-va-phuc-hoi-hieu-qua","status":"publish","type":"post","link":"https:\/\/bscoxuongkhop.io.vn\/index.php\/2026\/10\/11\/rach-co-bap-chan-tennis-leg-xu-tri-ban-dau-va-phuc-hoi-hieu-qua\/","title":{"rendered":"R\u00e1ch c\u01a1 b\u1eafp ch\u00e2n (Tennis leg): X\u1eed tr\u00ed ban \u0111\u1ea7u v\u00e0 ph\u1ee5c h\u1ed3i hi\u1ec7u qu\u1ea3"},"content":{"rendered":"

R\u00e1ch c\u01a1 b\u1eafp ch\u00e2n<\/strong>, hay c\u00f2n g\u1ecdi l\u00e0 h\u1ed9i ch\u1ee9ng Tennis leg<\/strong>, l\u00e0 ch\u1ea5n th\u01b0\u01a1ng c\u01a1 b\u1eafp ph\u1ed5 bi\u1ebfn g\u00e2y \u0111au \u0111\u1edbn \u0111\u1ed9t ng\u1ed9t v\u00e0 \u1ea3nh h\u01b0\u1edfng \u0111\u00e1ng k\u1ec3 \u0111\u1ebfn kh\u1ea3 n\u0103ng v\u1eadn \u0111\u1ed9ng. Ch\u1ea5n th\u01b0\u01a1ng n\u00e0y th\u01b0\u1eddng xu\u1ea5t hi\u1ec7n \u1edf nh\u1eefng ng\u01b0\u1eddi ch\u01a1i th\u1ec3 thao ho\u1eb7c v\u1eadn \u0111\u1ed9ng vi\u00ean. Vi\u1ec7c nh\u1eadn bi\u1ebft ch\u00ednh x\u00e1c d\u1ea5u hi\u1ec7u, \u00e1p d\u1ee5ng \u0111\u00fang ph\u01b0\u01a1ng ph\u00e1p x\u1eed tr\u00ed r\u00e1ch c\u01a1 b\u1eafp ch\u00e2n<\/strong> ban \u0111\u1ea7u v\u00e0 tu\u00e2n th\u1ee7 l\u1ed9 tr\u00ecnh ph\u1ee5c h\u1ed3i r\u00e1ch c\u01a1 b\u1eafp ch\u00e2n<\/strong> \u0111\u00f3ng vai tr\u00f2 quy\u1ebft \u0111\u1ecbnh gi\u00fap ng\u01b0\u1eddi b\u1ec7nh s\u1edbm quay tr\u1edf l\u1ea1i sinh ho\u1ea1t v\u00e0 t\u1eadp luy\u1ec7n b\u00ecnh th\u01b0\u1eddng.<\/p>\n

R\u00e1ch c\u01a1 b\u1eafp ch\u00e2n (Tennis leg) l\u00e0 g\u00ec v\u00e0 nguy\u00ean nh\u00e2n do \u0111\u00e2u?<\/h2>\n

T\u1ed5n th\u01b0\u01a1ng r\u00e1ch g\u00e2n c\u01a1 \u1edf c\u01a1 b\u1ee5ng ch\u00e2n (gastrocnemius) th\u01b0\u1eddng x\u1ea3y ra nh\u1ea5t t\u1ea1i v\u1ecb tr\u00ed b\u00e1m c\u1ee7a \u0111\u1ea7u trong c\u01a1 b\u1ee5ng ch\u00e2n v\u00e0o c\u00e2n c\u01a1 d\u00e9p (soleus aponeurosis) [2]. T\u00ecnh tr\u1ea1ng n\u00e0y r\u1ea5t hay g\u1eb7p \u1edf nam gi\u1edbi trung ni\u00ean ch\u01a1i c\u00e1c m\u00f4n th\u1ec3 thao khi x\u1ea3y ra qu\u00e1 t\u1ea3i l\u1ec7ch t\u00e2m (eccentric overload) trong t\u01b0 th\u1ebf \u0111\u1ea7u g\u1ed1i \u0111ang du\u1ed7i th\u1eb3ng v\u00e0 c\u1ed5 ch\u00e2n b\u1ecb g\u1eadp l\u01b0ng (dorsiflexed) [2]. C\u01a1 ch\u1ebf c\u0103ng d\u00e3n \u0111\u1ed9t ng\u1ed9t n\u00e0y ph\u1ed5 bi\u1ebfn trong c\u00e1c m\u00f4n \u0111\u00f2i h\u1ecfi t\u0103ng t\u1ed1c ho\u1eb7c chuy\u1ec3n h\u01b0\u1edbng nhanh nh\u01b0 qu\u1ea7n v\u1ee3t (tennis) ho\u1eb7c ch\u1ea1y b\u1ed9 (jogging) [2].<\/p>\n

Tri\u1ec7u ch\u1ee9ng nh\u1eadn bi\u1ebft v\u00e0 l\u01b0u \u00fd ch\u1ea9n \u0111o\u00e1n quan tr\u1ecdng<\/h2>\n

Khi g\u1eb7p ph\u1ea3i t\u00ecnh tr\u1ea1ng t\u1ed5n th\u01b0\u01a1ng c\u01a1 b\u1ee5ng ch\u00e2n<\/strong>, ng\u01b0\u1eddi b\u1ec7nh th\u01b0\u1eddng ghi nh\u1eadn c\u00e1c bi\u1ec3u hi\u1ec7n l\u00e2m s\u00e0ng \u0111\u1eb7c tr\u01b0ng:<\/p>\n

    \n
  • C\u1ea3m gi\u00e1c va \u0111\u1eadp \u0111\u1ed9t ng\u1ed9t:<\/strong> Ng\u01b0\u1eddi b\u1ec7nh th\u01b0\u1eddng m\u00f4 t\u1ea3 c\u1ea3m gi\u00e1c nh\u01b0 v\u1eeba b\u1ecb ai \u0111\u00f3 \u0111\u00e1nh m\u1ea1nh v\u00e0o ph\u00eda sau c\u1eb3ng ch\u00e2n ho\u1eb7c nghe th\u1ea5y m\u1ed9t ti\u1ebfng “p\u1ed1p” r\u00f5 r\u1ec7t ngay khi ch\u1ea5n th\u01b0\u01a1ng x\u1ea3y ra [1], [2].<\/li>\n
  • S\u01b0ng n\u1ec1 v\u00e0 b\u1ea7m t\u00edm:<\/strong> Hi\u1ec7n t\u01b0\u1ee3ng s\u01b0ng t\u1ea5y v\u00e0 b\u1ea7m t\u00edm \u1edf c\u1eb3ng ch\u00e2n c\u00f3 th\u1ec3 lan r\u1ed9ng xu\u1ed1ng t\u1eadn c\u1ed5 ch\u00e2n v\u00e0 b\u00e0n ch\u00e2n [1], [2].<\/li>\n
  • Khuy\u1ebft c\u01a1 c\u1eb3ng ch\u00e2n:<\/strong> Khi th\u0103m kh\u00e1m, c\u00f3 th\u1ec3 quan s\u00e1t th\u1ea5y ho\u1eb7c s\u1edd \u0111\u01b0\u1ee3c m\u1ed9t kho\u1ea3ng khuy\u1ebft h\u1eabng \u1edf v\u00f9ng \u0111\u1ea7u trong c\u01a1 b\u1ee5ng ch\u00e2n [1].<\/li>\n<\/ul>\n

    L\u01b0u \u00fd quan tr\u1ecdng trong ch\u1ea9n \u0111o\u00e1n ph\u00e2n bi\u1ec7t:<\/strong><\/p>\n

    D\u00f9 \u00edt khi b\u1ecb nh\u1ea7m l\u1eabn v\u1edbi r\u00e1ch g\u00e2n Achilles, ch\u1ea5n th\u01b0\u01a1ng n\u00e0y l\u1ea1i d\u1ec5 b\u1ecb nh\u1ea7m v\u1edbi r\u00e1ch g\u00e2n c\u01a1 gan ch\u00e2n (plantaris) ho\u1eb7c nguy hi\u1ec3m h\u01a1n l\u00e0 vi\u00eam huy\u1ebft kh\u1ed1i t\u0129nh m\u1ea1ch [2]. N\u1ebfu ch\u1ea9n \u0111o\u00e1n nh\u1ea7m l\u00e0 vi\u00eam huy\u1ebft kh\u1ed1i t\u0129nh m\u1ea1ch v\u00e0 \u0111i\u1ec1u tr\u1ecb b\u1eb1ng thu\u1ed1c ch\u1ed1ng \u0111\u00f4ng m\u00e1u, ng\u01b0\u1eddi b\u1ec7nh c\u00f3 th\u1ec3 g\u1eb7p nguy c\u01a1 bi\u1ebfn ch\u1ee9ng do l\u00e0m t\u0103ng t\u00ecnh tr\u1ea1ng ch\u1ea3y m\u00e1u trong c\u01a1 b\u1eafp ch\u00e2n b\u1ecb r\u00e1ch [2].<\/p>\n

    Trong tr\u01b0\u1eddng h\u1ee3p ch\u1ea9n \u0111o\u00e1n l\u00e2m s\u00e0ng ch\u01b0a r\u00f5 r\u00e0ng, ch\u1ee5p c\u1ed9ng h\u01b0\u1edfng t\u1eeb (MRI) gi\u00fap hi\u1ec3n th\u1ecb v\u00f9ng t\u1ed5n th\u01b0\u01a1ng c\u01a1 r\u00f5 h\u01a1n so v\u1edbi ch\u1ee5p c\u1eaft l\u1edbp vi t\u00ednh (CT) hay si\u00eau \u00e2m [1].<\/p>\n

    H\u01b0\u1edbng d\u1eabn x\u1eed tr\u00ed ban \u0111\u1ea7u khi b\u1ecb r\u00e1ch c\u01a1 b\u1eafp ch\u00e2n<\/h2>\n

    \u0110\u1ed1i v\u1edbi r\u00e1ch c\u01a1 b\u1ee5ng ch\u00e2n, ph\u01b0\u01a1ng ph\u00e1p \u0111i\u1ec1u tr\u1ecb \u0111\u01b0\u1ee3c ch\u1ec9 \u0111\u1ecbnh ch\u1ee7 y\u1ebfu l\u00e0 \u0111i\u1ec1u tr\u1ecb b\u1ea3o t\u1ed3n (kh\u00f4ng c\u1ea7n ph\u1eabu thu\u1eadt) [1]. C\u00e1c b\u01b0\u1edbc x\u1eed tr\u00ed ban \u0111\u1ea7u \u0111\u00fang c\u00e1ch gi\u00fap h\u1ea1n ch\u1ebf t\u1ed5n th\u01b0\u01a1ng lan r\u1ed9ng v\u00e0 gi\u1ea3m b\u1edbt \u0111au \u0111\u1edbn:<\/p>\n

      \n
    • \u00c1p d\u1ee5ng quy tr\u00ecnh RICE:<\/strong> Th\u1ef1c hi\u1ec7n ngh\u1ec9 ng\u01a1i t\u01b0\u01a1ng \u0111\u1ed1i (relative rest), ch\u01b0\u1eddm \u0111\u00e1 (ice), \u00e9p b\u0103ng c\u1ed1 \u0111\u1ecbnh (compression) v\u00e0 k\u00ea cao ch\u00e2n (elevation) [1].<\/li>\n
    • Ch\u1ecbu tr\u1ecdng l\u01b0\u1ee3ng s\u1edbm:<\/strong> B\u1ec7nh nh\u00e2n c\u00f3 th\u1ec3 b\u1eaft \u0111\u1ea7u t\u1eadp ch\u1ecbu tr\u1ecdng l\u01b0\u1ee3ng c\u01a1 th\u1ec3 l\u00ean ch\u00e2n b\u1ecb th\u01b0\u01a1ng t\u1eeb s\u1edbm \u1edf m\u1ee9c \u0111\u1ed9 \u0111au c\u00f3 th\u1ec3 ch\u1ecbu \u0111\u1ef1ng \u0111\u01b0\u1ee3c [1].<\/li>\n
    • C\u1ed1 \u0111\u1ecbnh b\u1eb1ng n\u1eb9p h\u1ed7 tr\u1ee3:<\/strong> Vi\u1ec7c s\u1eed d\u1ee5ng n\u1eb9p c\u1ed5 ch\u00e2n ho\u1eb7c b\u00e0n ch\u00e2n gi\u1eef c\u1ed5 ch\u00e2n \u1edf t\u01b0 th\u1ebf h\u01a1i g\u1eadp m\u1eb7t l\u00f2ng (slight plantarflexion) mang l\u1ea1i nhi\u1ec1u l\u1ee3i \u00edch. M\u1ed9t s\u1ed1 nghi\u00ean c\u1ee9u ghi nh\u1eadn t\u01b0 th\u1ebf n\u00e0y gi\u00fap l\u00e0m t\u0103ng t\u1ef7 l\u1ec7 li\u1ec1n c\u01a1 [1].<\/li>\n<\/ul>\n

      Qu\u00e1 tr\u00ecnh t\u1eadp ph\u1ee5c h\u1ed3i r\u00e1ch c\u01a1 b\u1eafp ch\u00e2n v\u00e0 th\u1eddi gian tr\u1edf l\u1ea1i ho\u1ea1t \u0111\u1ed9ng<\/h2>\n

      Sau khi giai \u0111o\u1ea1n c\u1ea5p t\u00ednh qua \u0111i, l\u1ed9 tr\u00ecnh t\u1eadp ph\u1ee5c h\u1ed3i ch\u1ee9c n\u0103ng \u0111\u00f3ng vai tr\u00f2 then ch\u1ed1t gi\u00fap kh\u00f4i ph\u1ee5c ho\u00e0n to\u00e0n v\u1eadn \u0111\u1ed9ng:<\/p>\n

        \n
      • V\u1eadt l\u00fd tr\u1ecb li\u1ec7u ti\u1ebfn tri\u1ec3n:<\/strong> T\u1eadp luy\u1ec7n \u0111\u01b0\u1ee3c n\u00e2ng d\u1ea7n c\u1ea5p \u0111\u1ed9 cho \u0111\u1ebfn khi ng\u01b0\u1eddi b\u1ec7nh ho\u00e0n to\u00e0n h\u1ebft \u0111au, kh\u00f4i ph\u1ee5c l\u1ea1i to\u00e0n b\u1ed9 t\u1ea7m v\u1eadn \u0111\u1ed9ng v\u00e0 s\u1ee9c m\u1ea1nh c\u01a1 b\u1eafp \u0111\u1ed1i x\u1ee9ng gi\u1eefa hai b\u00ean [1].<\/li>\n
      • B\u00e0i t\u1eadp \u0111\u1eb7c th\u00f9 m\u00f4n th\u1ec3 thao:<\/strong> Khi s\u1ee9c m\u1ea1nh v\u00e0 t\u1ea7m v\u1eadn \u0111\u1ed9ng \u0111\u00e3 \u0111\u1ea1t chu\u1ea9n, ng\u01b0\u1eddi b\u1ec7nh m\u1edbi b\u1eaft \u0111\u1ea7u th\u1ef1c hi\u1ec7n c\u00e1c b\u00e0i t\u1eadp v\u1eadn \u0111\u1ed9ng chuy\u00ean bi\u1ec7t c\u1ee7a m\u00f4n th\u1ec3 thao t\u01b0\u01a1ng \u1ee9ng [1].<\/li>\n
      • Th\u1eddi gian ph\u1ee5c h\u1ed3i:<\/strong> T\u00f9y thu\u1ed9c v\u00e0o m\u1ee9c \u0111\u1ed9 nghi\u00eam tr\u1ecdng c\u1ee7a v\u1ebft r\u00e1ch, th\u1eddi gian ph\u1ee5c h\u1ed3i \u0111\u1ec3 ng\u01b0\u1eddi b\u1ec7nh c\u00f3 th\u1ec3 quay tr\u1edf l\u1ea1i ch\u01a1i th\u1ec3 thao th\u01b0\u1eddng k\u00e9o d\u00e0i t\u1eeb 1 \u0111\u1ebfn 12 tu\u1ea7n<\/strong> [1].<\/li>\n<\/ul>\n

        K\u1ebft lu\u1eadn<\/h2>\n

        R\u00e1ch c\u01a1 b\u1eafp ch\u00e2n (Tennis leg)<\/strong> l\u00e0 ch\u1ea5n th\u01b0\u01a1ng c\u1ea7n \u0111\u01b0\u1ee3c ch\u1ea9n \u0111o\u00e1n ch\u00ednh x\u00e1c \u0111\u1ec3 tr\u00e1nh nh\u1ea7m l\u1eabn nguy hi\u1ec3m v\u1edbi c\u00e1c b\u1ec7nh l\u00fd m\u1ea1ch m\u00e1u [2]. H\u1ea7u h\u1ebft c\u00e1c tr\u01b0\u1eddng h\u1ee3p \u0111\u1ec1u h\u1ed3i ph\u1ee5c t\u1ed1t th\u00f4ng qua \u0111i\u1ec1u tr\u1ecb b\u1ea3o t\u1ed3n, \u00e1p d\u1ee5ng \u0111\u00fang bi\u1ec7n ph\u00e1p x\u1eed tr\u00ed RICE ban \u0111\u1ea7u v\u00e0 ki\u00ean tr\u00ec t\u1eadp luy\u1ec7n ph\u1ee5c h\u1ed3i theo h\u01b0\u1edbng d\u1eabn chuy\u00ean khoa [1].<\/p>\n

        T\u00e0i li\u1ec7u tham kh\u1ea3o<\/h2>\n
          \n
        • [1] Campbell's Operative Orthopaedics, 15th Edition, 2026, trang 2967<\/li>\n
        • [2] Campbell's Operative Orthopaedics, 15th Edition, 2026, trang 2967<\/li>\n<\/ul>\n

          <\/p>\n","protected":false},"excerpt":{"rendered":"

          R\u00e1ch c\u01a1 b\u1eafp ch\u00e2n (Tennis leg) g\u00e2y \u0111au \u0111\u1ed9t ng\u1ed9t \u1edf c\u1eb3ng ch\u00e2n. 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