He paʻakikī anei ke kulou i kou manamana wāwae nui? He ʻeha anei? E aʻo kākou e pili ana iā (Hallux Limitus)?

Ke manaʻo nei ʻoe i kekahi manawa ʻaʻole hiki iā ʻoe ke kulou pono i kou manamana wāwae nui a ʻeha ia i kou hele ʻana? Ke ʻoi aku nei kēia ʻeha, ʻoiai ke hele ʻoe me nā kāmaʻa, a i ʻole ke hana ʻoe i nā mea e like me ka holo a lele paha? No laila, e kamaʻilio mākou e pili ana i kahi mea nui paha iā ʻoe. Hiki i kēia kūlana ke hoʻolilo iā ʻoe i mea paʻakikī ke hana i kāu mau hana o kēlā me kēia lā . E nānā kākou i ke kumu o kēia a me kāu mea e hiki ai ke hana e hoʻopau iā ia.

He aha ka Hallux Limitus?

ʻAe, e nānā mua kākou i ke ʻano o kēia `(Hallux Limitus)`. I ka ʻōlelo maʻalahi, ʻo `(Hallux Limitus)` ʻo ia hoʻi, ʻeha a paʻakikī ke ami e pili ai kou manamana wāwae nui i ka wāwae, ʻo ia hoʻi he paʻakikī ke kūlou a hoʻopololei pono. Ma nā ʻōlelo lapaʻau, ua kapa ʻia kēia ami ʻo `(first metatarsophalangeal joint)`. ʻO `Hallux` ʻo ia hoʻi ka manamana wāwae nui. ʻO `Limitus` ʻo ia hoʻi ka palena, ʻo ia hoʻi, ua kaupalena ʻia ka neʻe ʻana.

No laila, i nā pae mua o kēia kūlana `(Hallux Limitus)`, manaʻo paha ʻoe ʻaʻole hiki iā ʻoe ke kulou pono i ka hui manamana wāwae nui, me he mea lā ua paʻa iki. Akā hiki i kēia ke lilo i mea ʻino a ʻino aʻe. I ka wā e ʻino ai, lilo ka hui i mea paʻa loa, ʻo ia hoʻi, lilo ia i "paʻa", a ʻo ka hele wāwae ʻana e lilo i mea ʻeha loa. ʻO ia ke kahua koʻikoʻi loa, i kapa ʻia ʻo `(Hallux Rigidus)` .

No laila he aha ka `(Functional Hallux Limitus)`?

I kēia manawa, aia kekahi mea kūikawā ʻē aʻe, ʻo ia ka "Functional Hallux Limitus". I kēia hihia, ʻo ka ʻoʻoleʻa a me ka neʻe palena ʻia o kou hui manamana wāwae nui e ʻike wale ʻia ke kau nei ʻoe i ke kaumaha ma kou wāwae. ʻO ia hoʻi ke hele ʻoe a kū paha.

Hiki ke paʻakikī iki kēia e ʻike ai, ʻoiai inā ʻaʻole maopopo loa kāu kauka i ke ʻano. He aha kāu e ʻike ai? Ke noho wale ʻoe i lalo, me ke kau ʻole ʻana i kekahi kaumaha ma kou wāwae, e neʻe maʻamau paha kou manamana wāwae nui. Manaʻo paha ʻoe ʻaʻohe hewa o ia mea.

ʻO wai ka mea e loaʻa ana i kēia `(Hallux Limitus)`?

ʻOi aku ka maʻamau o kēia ʻano ma mua o kou manaʻo. Ua manaʻo ʻia e pili ana kēia ʻano ma kahi o hoʻokahi o 40 mau pākeke ma luna o 50 mau makahiki. Eia nō naʻe, ua manaʻo ʻia e hoʻomaka i ka wā ʻōpio. No ka laʻana, ma kahi o 10% o ka poʻe ma waena o 20 a me 34 mau makahiki he mau kukuna X e hōʻike ana i nā loli i ko lākou mau hono. ʻO ke ʻano kēia hiki ke hoʻomaka kēia mau loli ma mua o ka ʻike ʻia ʻana o nā hōʻailona.

He aha nā hōʻailona o ka `(Hallux Limitus)`?

ʻAe, he aha nā hōʻailona o Hallux Limitus? Hiki iā lākou ke loaʻa ma kekahi a i ʻole nā ​​wāwae ʻelua. Hoʻomaka lākou me ka maalea loa, malia paha me ka ʻike ʻole ʻoe, a laila e lilo mālie i mea ʻino.

• ʻEha a me ka ʻoʻoleʻa:ʻOi aku ka ʻeha, ka ʻoluʻolu ʻole, a me ka ʻoʻoleʻa ma ka piko o ka hui manamana wāwae nui. ʻOi aku ka ʻino o kēia ʻeha ke hana ʻoe i nā hana e kau ai i ke kaomi ma luna o ke hui, e like me ka hele wāwae, ka holo ʻana, a i ʻole ka lele ʻana. No ka laʻana, inā he mea pāʻani netball ʻoe, e ʻike nui ʻoe i kēia ʻeha ke holo ʻoe a kū koke a lele paha.
• Paʻakikī ke kulou ʻana i ka manamana wāwae nui: ʻAʻole paha ʻoe e hiki ke kulou pono i ka manamana wāwae i luna a i lalo paha. Hiki paha iā ʻoe ke manaʻo i kēia i ke kau ʻana i kahi kāmaʻa.
• Ka Heʻe : I kekahi manawa, hiki i kahi aʻalolo i ʻoki ʻia ke kumu o ka heʻe a i ʻole ke kani ʻana o ka manamana wāwae nui a i ʻole ka wāwae.
• Kāpili: ʻO ke kaomi nui ma lalo o ka manamana wāwae nui e hiki ai ke lilo i ʻili ʻinoʻino a ʻāwiliwili, e hana ana i kahi ulu e like me ke kāhea.
• Puʻupuʻu iwi: Hiki ke ulu aʻe kahi puʻupuʻu iwi liʻiliʻi ma luna o ka hono o ka manamana wāwae nui. I kekahi manawa hiki ke paʻa i loko o ke kāmaʻa a hoʻonui i ka ʻeha.
• Nā kui iwi : Ke ʻeha ka manamana wāwae nui a hoʻāʻo e ho'ōla, hiki ke hana ʻia nā kui iwi hou (i kapa ʻia he kui iwi) i loko o ke ami. Hiki i kēia ke hōʻeha i ka wā e neʻe ai i ke ami.

No ke aha i hana ʻia ai kēia `(Hallux Limitus)`?

No ke aha lā e ulu ai kēia `(Hallux Limitus)`? Hiki ke loaʻa kekahi mau kumu. E nānā kākou i nā mea nui:

• ʻAno wāwae ʻē: Hiki ke hana ʻia kēia ʻano inā lōʻihi loa kou iwi metatarsal mua (ka iwi lōʻihi i kou wāwae e pili ana i kou manamana wāwae nui), kiʻekiʻe loa, a inā he ʻano ʻē aʻe i kou wāwae e kau i ke kaomi nui ma kou hui manamana wāwae nui.
• Nā ʻeha ma ka manamana wāwae nui: E noʻonoʻo ʻoe i kou hele ʻana, ua kuʻi koke ʻoe i kou manamana wāwae nui i kekahi wahi, ua ʻūmiʻi, a haki paha ka iwi. Hiki i kēlā mau ulia ke hana i ka "Bone Spurs" i ʻōlelo ʻia ma luna. Hiki i nā ulia ʻē aʻe i ka wā e pāʻani ana i nā haʻuki ke hoʻopilikia i kēia.
• ʻArthritis: Inā loaʻa iā ʻoe nā maʻi hono e like me ka Osteoarthritis, Rheumatoid Arthritis, a i ʻole Gout , hiki iā lākou ke hoʻopilikia i nā hono o kou mau pūhaka, nā kuli, a me nā wāwae, a i ka hopena e hoʻopilikia i ke ʻano o kou hele ʻana, e hana ai iā Hallux Limitus.
• Hoʻohana nui ʻia o nā manamana wāwae: Ke komo ʻana i nā hana koʻikoʻi e kau mau ana i ke kaomi ma luna o nā manamana wāwae. No ka laʻana, ʻo ka squatting, ka holo ʻana, ka lele ʻana, ka pôpeku, ka basketball, ka tennis, ka gymnastics, ka hula, ʻoiai ka ballet, hoʻokau nui kēia mau mea a pau i ke kaomi ma luna o ka manamana wāwae nui.
• Nā kāmaʻa kūpono ʻole: ʻAʻole e komo i nā kāmaʻa ʻoluʻolu a kūpono hoʻi, ʻoiai nā kuʻekuʻe wāwae kiʻekiʻe .Hoʻohui ʻia ke kaomi pono ʻole i ka hui o ka manamana wāwae nui.
• Moʻolelo ʻohana: Inā ua loaʻa i kekahi o kou ʻohana ke kūlana `(Hallux Limitus)`, ʻoi aku ka nui o kou loaʻa ʻana iā ia. He hopena hoʻoilina paha kēia.

Pehea e ʻike ʻia ai ke kūlana `(Hallux Limitus)`?

ʻAe, inā loaʻa iā ʻoe nā hōʻailona e like me kēia, pehea e ʻike ai ke kauka iā ia he `(Hallux Limitus)`?

Ke hele ʻoe e ʻike i kāu kauka, e nīnau mua ʻo ia iā ʻoe e pili ana i kāu mau hōʻailona. E nīnau lākou i nā nīnau e like me, "Pehea ka lōʻihi o kēia ʻeha?", "I ka manawa hea e ʻeha nui ai?", a inā paha ua loaʻa iā ʻoe kekahi mau ʻeha i kou wāwae a i ʻole kou manamana wāwae nui.

A laila e nānā lākou i kou wāwae a i ʻole nā ​​wāwae ʻelua. E nānā lākou i ka palupalu o kou mau manamana wāwae, ʻo ia hoʻi, pehea ka mamao e hiki ai iā ʻoe ke kulou iā lākou. E nānā pono hoʻi lākou i ke ʻano o kou hele ʻana. No ka mea, hiki i ke ʻano o kou hele ʻana ke hōʻike i nā mea he nui.

Eia kekahi, e kauoha pū lākou i kahi X-ray e nānā i nā iwi ma kou wāwae a hoʻoholo inā he mau iwi spurs a i ʻole ua hoʻemi ʻia ke cartilage i loko o kou mau hono (ka ʻiʻo palupalu kahi e hui ai nā iwi ʻelua).

He hoʻāʻo kūikawā e ʻike ai i ka `(Functional Hallux Limitus)`

Aia kahi hoʻāʻo maʻalahi e ʻike ai inā loaʻa iā ʻoe ke kūlana "Functional Hallux Limitus" i ʻōlelo ʻia ma mua. E noʻonoʻo ʻoe e noho ana ʻoe ma kahi noho me kou mau kāmaʻa a me nā socks i wehe ʻia, kou mau wāwae mai ka honua, a hāpai ʻia kou mau manamana wāwae.

A laila e kau ke kauka i kona manamana lima kuhikuhi ma lalo o kou manamana wāwae nui a pahu i kou manamana wāwae nui i luna (i ka wāwae). A laila e paheʻe maʻalahi kou manamana wāwae i hope.

A laila, hana hou lākou ma ke ʻano like, akā i kēia manawa ke kau nei ke kauka i kekahi lima ma lalo o kou wāwae a hoʻohana i ka manamana nui o ka lima ʻē aʻe e paʻa pono i ka hono o kou manamana wāwae nui. I kēia manawa ke hoʻāʻo nei lākou e hoʻokuke hou i kou manamana wāwae nui i luna. Inā ʻaʻole piʻi nui kou manamana wāwae, loaʻa paha iā ʻoe ka `(Functional Hallux Limitus)`.

Hoʻohālike kēia hoʻāʻo - ke kau ʻana i kou lima ma lalo o ke kapuwaʻi o kou wāwae a kaomi i ke ami me kou manamana nui - i ke kau ʻana i ke kaumaha i kou hele ʻana. Inā ua kaupalena ʻia ka manamana wāwae i kou hana ʻana i kēia, hōʻike ia ua ʻoi aku ka palena o ka neʻe ʻana ke kau ʻoe i kou kaumaha piha ma ka wāwae a hele.

He aha nā lāʻau lapaʻau no ka `(Hallux Limitus)`?

ʻAe, e nānā kākou i nā lāʻau lapaʻau i loaʻa no kēia maʻi `(Hallux Limitus)`. ʻO ka mea mua, e hoʻāʻo ke kauka i nā lāʻau lapaʻau maʻalahi, ʻaʻole ʻoki kino e hōʻemi i kou ʻeha a me kou ʻoluʻolu ʻole.

• E ʻaʻahu i nā kāmaʻa kūpono: E ʻaʻahu i nā kāmaʻa me kahi luna ākea, ʻo ia hoʻi he lawa ka lumi no kou manamana wāwae nui, a ʻaʻole e ʻūmiʻi i kou mau manamana wāwae. E pale i nā kāmaʻa i ʻoi aku ma mua o hoʻokahi ʻīniha ke kiʻekiʻe. ʻO nā kāmaʻa pālahalaha, he ʻaoʻao paʻa, a i ʻole he ʻaoʻao rocker (hōʻemi kēia i ke kūlou ʻana o ka manamana wāwae nui) nā koho maikaʻi loa.
• E pale i ka hoʻoikaika nui ʻana i kou mau wāwae:E hoʻomaha pinepine a hāʻawi i kou mau wāwae i kahi hoʻomaha. E pale i nā hana koʻikoʻi e like me ka holo ʻana, ka gymnastics, a me ka lele ʻana a hiki i ka ho'ōla ʻana o kou hui manamana wāwae nui, ʻoiai ma hope o kahi ulia i kou wāwae.
• E hoʻohana i nā orthotics e kākoʻo i kou mau wāwae: Hiki ke hoʻohana ʻia nā Orthotics (nā mea hoʻokomo kāmaʻa) i loaʻa ma nā hale kūʻai lāʻau lapaʻau a i ʻole nā ​​orthotics i hana ʻia e ke kauka e kākoʻo i kou mau wāwae a hoʻoponopono i nā hemahema āu e loaʻa ai i ka wā e hele ana. E noi i kāu kauka no kahi ʻōlelo aʻoaʻo no nā orthotics i hana ʻia.
• E kiʻi i ka lāʻau lapaʻau kino: ʻO nā ʻano lāʻau lapaʻau kino e komo pū me ka traction, manipulation, hydrotherapy, a me ka ultrasound. Hiki i kēia mau mea ke kōkua i ka hōʻemi ʻana i ka ʻeha a hoʻonui i ka neʻe ʻana o nā hono.
• E lawe i nā lāʻau hoʻopau ʻeha a me nā lāʻau anti-inflammatory i kūʻai ʻia ma luna o ke kauka (OTC): No ka laʻana, nā lāʻau lapaʻau i kūʻai ʻia ma luna o ke kauka e like me ibuprofen (Advil®, Motrin®), aspirin (Bayer®), a i ʻole naproxen (Aleve®). He manaʻo maikaʻi e nīnau i kāu kauka a kauka lāʻau paha ma mua o ka lawe ʻana i kēia mau mea.
• E hoʻopili i ka hau: E hoʻopili i kahi ʻeke hau i kou hui manamana wāwae nui no kahi o 20 mau minuke i hoʻokahi a ʻelua paha i ka lā. E hōʻemi kēia i ka pehu a me ka ʻeha.
• Nā inikini Corticosteroid: Inā ʻaʻole hiki i nā lāʻau lapaʻau maʻalahi ʻē aʻe ke hōʻoluʻolu i kou ʻeha, hiki i kāu kauka ke ʻōlelo aku i nā inikini corticosteroid. He mau inikini kēia i hāʻawi pololei ʻia i loko o ke hono e hōʻemi koke i ka ʻeha a me ka pehu.

Lapaʻau no ka `(Functional Hallux Limitus)`

Penei ke ʻano e mālama ai i ke kūlana "Functional Hallux Limitus":

• Hoʻomaha, hau a me ke kiʻekiʻe (like me ke ʻano RICE).
• Ke hoʻohana nei i nā orthotics i hana ʻia a i ʻole kahi insole carbon fiber.
• Hoʻōla kino.

E kūkākūkā kāu kauka me ʻoe i nā koho lapaʻau kūpono loa iā ʻoe.

Āhea ʻoe e noʻonoʻo ai i ke ʻoki kino?

Hoʻomaopopo pinepine ʻia ke ʻoki kino ke hele aʻe ke kūlana `(Hallux Limitus)` i `(Hallux Rigidus)`, a i ʻole ke ʻole e hōʻoluʻolu ʻia ka ʻeha e nā lāʻau lapaʻau maʻalahi i ʻōlelo ʻia ma luna. Eia nō naʻe, inā e ʻoi aku ka ʻino o kou kūlana `(Hallux Limitus)` ma muli o ka hemahema o ka wāwae, a inā he mau hōʻailona koʻikoʻi kou, e kūkākūkā ʻoe a me kāu kauka ʻoki kino inā e hana i ke ʻoki kino a i ʻole.

He aha nā koho ʻoki kino?

Aia kekahi mau koho ʻoki kino. E nānā kākou i ko lākou ʻano:

• Cheilectomy (wehe ʻana i ka ʻōpala):ʻO kēia ʻoki kino e pili ana i ka kahi ʻana i nā kui o ka iwi a me kahi ʻāpana iwi liʻiliʻi ma luna o kou poʻo metatarsal (ke poʻo o ka iwi e pili ana i ka manamana wāwae nui). ʻO kēia kahi ʻana o ka iwi e ʻae i ka manamana wāwae nui e neʻe me ka manuahi, hoʻonui i ka hiki ke kulou i ka manamana wāwae, a hoʻemi i ka ʻeha.
• Osteotomy: Ma kēia ʻoki ʻana, ʻoki ʻia ka iwi metatarsal i kou wāwae a hoʻoponopono hou ʻia e hoʻoponopono i ka deformity wāwae.
• Fusion/Arthrodesis: Ma kēia ʻoki kino, wehe ʻia ke cartilage i hōʻino ʻia mai nā iwi ʻelua e hana ana i kou hui manamana nui a hoʻohui ʻia nā iwi ʻelua. Ke hoʻohui ʻia nā iwi ʻelua, e pau ka neʻe ʻana o ke ami o kou manamana wāwae nui.
• Hoʻololi hui/Arthroplasty: Ma kēia ʻoki kino, ua wehe ʻia nā wēlau i hōʻino ʻia o nā iwi o ka hui metatarsophalangeal a ua pani ʻia me kahi hui hana i hana ʻia me ka seramika a i ʻole titanium. Hiki i kēia ke mālama i kekahi ʻano o ka neʻe ʻana i loko o ka hui.
• Hoʻoponopono hou ʻana i ka hui/ʻoki ʻana i waena o nā iwi: Ma kēia ʻoki kino, ua wehe ʻia kekahi o ka iwi i hōʻino ʻia a ua hoʻokomo ʻia kahi mea hoʻokaʻawale, a i ʻole kekahi mea ma waena, ma waena o nā iwi o ka hui manamana wāwae nui. Hoʻemi kēia i ka nui o ka hakakā ma waena o nā iwi.

E noʻonoʻo paha kāu kauka i nā kaʻina hana ʻoki kino ʻē aʻe. E kūkākūkā ʻoe a me kāu kauka inā kūpono ke ʻoki kino no kou manamana wāwae nui, a inā pēlā, ʻo wai ke kaʻina hana e hāʻawi iā ʻoe i nā hopena maikaʻi loa.

He aha ke ʻano o ka hopena e hiki i kekahi me `(Hallux Limitus)` ke manaʻo?

Inā ʻike ʻoe i ke kauka i ka wā e ʻeha ai ʻoe a ʻoluʻolu ʻole paha i kou manamana wāwae nui, hiki iā ʻoe ke hoʻonui i kou manawa kūpono e pale aku ai i ka hōʻino hou ʻana i kou manamana wāwae nui. ʻO ka wikiwiki o kou ʻike ʻana i ke kūlana (Hallux Limitus), ʻo ka wikiwiki o kou hoʻomaka ʻana i ka lāʻau. No laila he mea nui e pale ʻole i nā hōʻailona liʻiliʻi loa.

Hiki ke ho'ōla loa ʻia kēia maʻi?

Aia ia i ke kumu a me ka lāʻau i koho ʻia. Hiki ke ho'ōla ʻia kahi maʻi i kapa ʻia ʻo `(Hallux Limitus)` i hoʻokumu ʻia e kahi ulia. Ma ka ʻaoʻao ʻē aʻe, ʻaʻole paha e nalowale loa kahi maʻi i kapa ʻia ʻo `(Hallux Limitus)` i hoʻokumu ʻia e kahi maʻi e like me ka arthritis a hiki ke ʻoi aku ka ʻino a hiki i ka `(Hallux Rigidus)`.

Hiki i nā lāʻau lapaʻau ʻoki ʻole ke hōʻemi i kāu mau hōʻailona, ​​​​akā hiki ke hoʻi hou a ʻoi aku paha ka ʻeha. Inā loaʻa iā ʻoe ʻo Hallux Rigidus, hiki i ke ʻoki kino ke hāʻawi i kahi hopena mau loa i ka ʻeha a me ka ʻoʻoleʻa.

ʻEhia ka lōʻihi e ho'ōla ai?

Aia nō hoʻi ia i ke kumu a me ke ʻano o ka mālama ʻana o `(Hallux Limitus)`.

Inā he hana hopena nui a i ʻole he ulia paha ke kumu, e hoʻomaha pinepine i kou wāwae a pale i kēlā hana a hiki i ka ho'ōla ʻana o kou hono a wāwae paha. E kuhikuhi kāu kauka i ka pinepine o kou hoʻomaha ʻana i kou wāwae a me ka lōʻihi o kou pale ʻana i kekahi mau hana.

Inā ua hana ʻia ʻoe i ke ʻoki kino, hiki ke hala i nā pule e hoʻōla ai, a hiki ke hala i kekahi mau mahina e hoʻi ai i nā hana maʻamau. E haʻi pololei kāu kauka iā ʻoe i ka lōʻihi o kou hoʻōla ʻana, ma muli o ke ʻano o ke ʻoki kino āu i hana ai a me ke kūlana o kou hui manamana wāwae nui. ʻO ke kī, ʻo ke ahonui.

ʻO nā mea nui a mākou e makemake ai e lawe i ka home mai kēia moʻolelo

No laila, ʻo `(Hallux Limitus)` kahi kūlana e paʻakikī ai ke kulou i kou manamana wāwae nui a ʻeha hoʻi ka hele wāwae. Hiki i kēia ke ʻoi aku ka ʻino i ka hala ʻana o ka manawa, a i ka hopena e alakaʻi i kahi kūlana kahi hiki ʻole ke hoʻoneʻe iki ʻia ka hono o ka manamana wāwae nui (i kapa ʻia ʻo `(Hallux Rigidus)`).

ʻO ka mea nui loa, ʻo ia ke hoʻāʻo e pale i ka lilo ʻana o kēia kūlana i mea ʻino aʻe.

Eia kekahi mau mea hiki iā ʻoe ke hana:

• E ʻaʻahu i nā kāmaʻa ʻoluʻolu e kūpono i kou mau wāwae. E pale i nā kuʻekuʻe wāwae kiʻekiʻe i ka hiki.
• E hoʻohana i nā orthotics inā ʻōlelo ʻia e kāu kauka.
• E lawe i nā lāʻau ʻeha a me nā lāʻau anti-inflammatory (e.g., ibuprofen) ke loaʻa ka ʻeha a i ʻole ka pehu. Akā e nīnau i ke kauka.
• E hoʻomaha i kou mau wāwae. E noho mamao mai ka hana luhi.

Inā loaʻa iā ʻoe ka ʻeha ma hope o ka hana ʻana i kēia mau mea, a inā paʻakikī iā ʻoe ke hele wāwae, mai makaʻu e kamaʻilio me kāu kauka e pili ana i nā inikini corticosteroid a i ʻole nā ​​​​koho ʻokiʻoki.

Inā ʻoe e mālama i kēia i ka wā mua, e hiki iā ʻoe ke kaohi i kēia kūlana i kahi nui a noho ʻoluʻolu!

` Hallux Limitus, Hallux Limitus, ʻEha wāwae nui, ʻEha wāwae, ʻEha Hui, Hallux Rigidus, Hallux Rigidus, Ola wāwae