ʻEha mau anei kou mau kuʻekuʻe wāwae? ʻO ke kumu paha he pilikia me ka papa momona i loko o kou kuʻekuʻe wāwae (Heel Fat Pad Syndrome)!

Ua ʻike anei ʻoe i kahi ʻeha nui ma kou kuʻekuʻe wāwae i kou hele ʻana a i ʻole ka holo ʻana? Hiki ke like me he nila lā e hou ana iā ʻoe, a i ʻole kekahi e ʻomi ikaika ana iā ʻoe, a i ʻole he palapū. Hiki i kēia ʻeha hoʻonāukiuki ke hoʻolilo iā ia i mea paʻakikī loa e hana i kāu mau hana o kēlā me kēia lā. ʻO kekahi o nā kumu nui o kēia he pilikia e kū mai ana ma ka ʻāpana momona o ke kuʻekuʻe wāwae, a mākou e kamaʻilio nei i kēia lā, kahi kūlana i kapa ʻia ʻo `(Heel Fat Pad Syndrome)`.

He aha ka 'Heel Fat Pad Syndrome'?

I ka ʻōlelo maʻalahi, ʻo ka lahilahi o ka papa momona i loko o kou kuʻekuʻe wāwae, a i ʻole ka nalowale ʻana o kona elasticity, ʻo ia ka mea a mākou e kapa nei he "Heel Fat Pad Syndrome". E noʻonoʻo, ma lalo o ko mākou mau kuʻekuʻe wāwae, ma luna o ka iwi, aia kahi papa mānoanoa o ka ʻiʻo momona, e like me ka moena maoli . ʻO kēia ka mea e pale ai i ko mākou iwi kuʻekuʻe wāwae (ʻiwi kuʻekuʻe wāwae) (ʻiwi kuʻekuʻe wāwae a i ʻole calcaneus) mai ka haʻalulu o ka honua ke hele mākou, holo, a lele. Hana ia e like me ka "mea hoʻopau haʻalulu" i loko o ke kaʻa. I ka hala ʻana o ka manawa, ma muli o nā kumu like ʻole, e mae ana kēia papa momona a emi iho kona mau waiwai cushioning, ʻo ia ka manawa e hoʻomaka ai ka ʻeha.

Ua lohe paha ʻoe i kēia ʻano i kapa ʻia ʻo 'fat pad atrophy', 'fat pad syndrome', a i ʻole 'heel fat pad atrophy'.

Pehea ka maʻamau o kēia ʻano?

ʻO ka ʻoiaʻiʻo, ʻo ka Heel Fat Pad Syndrome ka lua o ke kumu maʻamau o ka ʻeha kuʻekuʻe wāwae, ma hope o Plantar Fasciitis. Eia nō naʻe, ua huikau pinepine ʻia me Plantar Fasciitis, no ka mea, hiki ke like loa nā hōʻailona. No laila, he mea nui e ʻike i ke kumu pololei.

He aha nā hōʻailona o ka "Heel Fat Pad Syndrome"?

E nānā inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona:

• He ʻeha ʻoi, hohonu, e like me ka palapū e puka mai ana mai waenakonu o ke kuʻekuʻe wāwae i ka wā e hele ai, kū ai, a holo paha.
• Ke kaomi ikaika ʻoe i waenakonu o kou kuʻekuʻe wāwae me kou manamana lima, e ʻike hou ʻia mai ana ke ʻeha like aʻu i ʻōlelo ai ma mua.
• Hoʻonui maopopo ʻia ka ʻeha i ke kū ʻana no ka manawa lōʻihi, i ka wā e hana ana i nā hoʻoikaika kino ikaika (no ka laʻana, lele, holo wikiwiki, gymnastics, basketball), a i ʻole i ka wā e hele ana ma luna o nā ʻili paʻakikī (e like me ka lāʻau, ka sima, nā tile seramika) me ka ʻole o nā kāmaʻa .

Inā ʻaʻole koʻikoʻi ke ʻano, ʻaʻole paha ʻoe e ʻike i kekahi mau hōʻailona nui. A i ʻole e ʻeha iki paha ʻoe i kekahi manawa ke hele wāwae ʻole, holo, a i ʻole ke kaomi ʻana i kou mau manamana wāwae i kou kuʻekuʻe wāwae.

He aha nā kumu nui no kēia?

ʻAʻole e ulu koke kēia kūlana i kapa ʻia ʻo "Heel Fat Pad Syndrome". ʻO ke kumu nui o kēia, ʻo ia ka "ʻaʻahu a me ka waimaka" e kū mai ana i ka hala ʻana o ka manawa. Aia kekahi mau kumu e kōkua ai i ia mea:

• Ka ʻelemakule ʻana: Nui nā mea i loko o ko kākou kino e loli me ka ʻelemakule. Pēlā nō, e lahilahi mālie ana ka papa momona ma nā kuʻekuʻe wāwae, e emi ana ka nui o ka momona i loko, a e emi ana paha kona elasticity.
• Piʻi ke kaumaha: Ke piʻi aʻe ke kaumaha, piʻi aʻe ke kaomi ma luna o ka papa momona i loko o ko kākou mau kuʻekuʻe wāwae. ʻO kēia ke kumu e pau koke ai, e nalowale ana kona palupalu a me kona mau waiwai hoʻomalulu.
• Moʻolelo ʻohana: Inā ua loaʻa i kekahi o kou ʻohana kēia maʻi, a inā he maʻi kou e hoʻopilikia ai i nā ʻiʻo pili o ke kino (e like me ka lupus a i ʻole ka rheumatoid arthritis), ʻoi aku ka nui o kou pilikia o ka hoʻomohala ʻana i kēia maʻi.
• ʻEha i ke kuʻekuʻe wāwae: ʻO kahi hahau ʻoi i ke kuʻekuʻe wāwae, e like me ka lele koke ʻana mai kahi kiʻekiʻe mai, hiki ke lilo i kumu o kēia.
• Ke kaulike ʻole o ke ala a mākou e hele ai (gait) - ʻo ia hoʻi, ke ʻano o ka paʻi ʻana o ko mākou mau wāwae i ka honua, ke ʻano o ka hoʻolaha ʻana o ke kaumaha o ko mākou kino ma nā wāwae - i ka hala ʻana o ka manawa, hiki i ka papa momona ma nā kuʻekuʻe wāwae ke palaho i lalo me ke ʻano ʻole.
• ʻAno o ka wāwae: Loaʻa i kekahi poʻe nā loli i ke kūlana o ke kīkoʻo o ko lākou wāwae (e like me nā wāwae pālahalaha a i ʻole nā ​​​​kīkoʻo kiʻekiʻe) a me nā pilikia hele, hiki ke kau i ke kaomi hou ma luna o ke kuʻekuʻe wāwae.
• Nā kāmaʻa kūpono ʻole: ʻO kahi kumu nui no kēia, ʻo ia ka hoʻohana mau ʻana i nā kāmaʻa a i ʻole nā ​​​​sandal i hāʻawi ʻole i ke kākoʻo a i ʻole ka hoʻopili ʻana i ka haʻalulu no ka wāwae . A laila hele mai ke kaomi āpau i ka kuʻekuʻe wāwae, a nalowale koke ka papa momona.
• Ke hele wāwae nei ma luna o nā ʻili paʻakikī: ʻO ka hele pinepine ʻana a i ʻole ka holo ʻana ma luna o nā ʻili paʻakikī e like me ka sima a i ʻole nā ​​​​tile me ka ʻole o nā kāmaʻa kāmaʻa he hopena nui ia i ka papa momona o ke kuʻekuʻe wāwae.
• ʻO kekahi mau hana āu e hana pinepine ai: ʻO nā hana e hoʻokuʻi pinepine ai i kou mau kuʻekuʻe wāwae i ka honua (e like me ka holo ʻana, ka basketball, ka tennis, ka volleyball, ka gymnastics) a me ke kū ʻana no ka manawa lōʻihi hiki ke hana i kēia ʻano.
• Nā Inikini Corticosteroid Ma mua: I kekahi manawa, ʻo nā inikini steroid i kapa ʻia ʻo corticosteroids, i hoʻohana ʻia e mālama i nā ʻeha wāwae ʻē aʻe a me ka pehu ʻana, hiki ke hoʻomāmā a emi ka papa momona kuʻekuʻe wāwae ma ke ʻano he hopena ʻaoʻao. Hiki i nā inikini steroid pinepine i ka kuʻekuʻe wāwae ke hoʻonui i kēia pilikia.

Hiki ke hana ʻia kēia e kekahi mau kūlana olakino.

• ʻO Plantar Fasciitis: He mumū kēia o ka ligament mānoanoa i kapa ʻia ʻo plantar fascia e holo ana mai kou kuʻekuʻe wāwae a i kou mau manamana wāwae. ʻO kēia ke kumu o ka ʻeha kuʻekuʻe wāwae.
• Nā Kuʻekuʻe Kuʻekuʻe: Ke hana ʻia nā mea liʻiliʻi e like me ke kakalaioa (`kuʻekuʻe kuʻekuʻe wāwae`) ma ka iwi kuʻekuʻe wāwae, hiki iā lākou ke kau i ke kaomi ma luna o nā ligaments o ka wāwae a hoʻemi i ka palupalu o ka papa momona o ke kuʻekuʻe wāwae.
• Nā wāwae kūlou kiʻekiʻe: Loaʻa i kekahi poʻe kahi kūlou kiʻekiʻe loa i ko lākou mau wāwae. Hiki i kēia ke hoʻololi mau i ke ʻano o ka wāwae a hoʻopilikia i nā ligaments ma ka wāwae.
• (Maʻi Diabetes ʻAno 2): Hiki i ka poʻe me ka maʻi Diabetes ʻAno 2 ke ʻike i ka haki ʻana o ka momona a me kahi protein koʻikoʻi i kapa ʻia ʻo collagen i loko o ka papa momona.
• Lupus a me ka Rheumatoid Arthritis: Hoʻopilikia kēia mau maʻi autoimmune i nā ʻiʻo pili o ke kino, me nā ʻiʻo pili i nā wāwae.

Pehea e ʻike ai nā kauka i kēia maʻi?

Ke hele ʻoe e ʻike i ke kauka me ka ʻeha kuʻekuʻe wāwae, e nīnau mua ʻo ia iā ʻoe e pili ana i kou mōʻaukala olakino a me nā hōʻailona o kēia manawa.

Hiki paha iā ʻoe ke lohe i nā mea e like me kēia, ʻoiai e pili ana i kou ʻeha kuʻekuʻe wāwae:

• Pehea ke ʻano o ka ʻeha? (e.g., he ʻūmiʻi paha, he ʻō, a he ʻūmiʻi paha?)
• I ka manawa hea o ka lā e ʻike ai ʻoe i ka ʻeha?
• He aha nā ʻano mea e hoʻonui ai i ka ʻeha?
• Pehea ka lōʻihi o kēia ʻeha ma laila?
• Ke emi nei ka ʻeha me ka hoʻomaha?

ʻO ka mea aʻe, e hana ke kauka i kahi hoʻokolokolo kino o kou wāwae. E nānā lākou i nā pilikia kūkulu i loko o ka wāwae a inā paha ʻoe e ʻeha ke kaomi ʻoe i waenakonu o ke kuʻekuʻe wāwae. Hiki iā lākou ke hoʻohālikelike i ka mānoanoa o ka papa momona kuʻekuʻe wāwae ke kū ʻoe a ke kū ʻole ʻoe. Pono ka papa momona kuʻekuʻe wāwae olakino ma waena o 1 a me 2 kenimika (0.4 a me 0.8 ʻīniha) ka mānoanoa. Inā paʻakikī a paʻa paha ka papa momona kuʻekuʻe wāwae i ka pā ʻana, ʻo ia hoʻi, ʻaʻole palupalu. Hiki i kēia ke lilo i hōʻailona o kēia maʻi.

I kekahi manawa, e hōʻoia i ke kūlana kikoʻī a e kāpae i nā kumu ʻē aʻe o ka ʻeha kuʻekuʻe wāwae (e like me ka haki, ka spur kuʻekuʻe wāwae), hiki ke ʻōlelo ʻia he X-ray, kahi ultrasound scan, a i ʻole he MRI (Magnetic Resonance Imaging).

He aha nā lāʻau lapaʻau no kēia?

ʻO ka nūhou maikaʻi, hiki ke mālama pinepine ʻia kēia ʻano me nā lāʻau lapaʻau maʻalahi ma ka home ('nā lāʻau lapaʻau conservative'). ʻO nā pahuhopu nui o kēia mau lāʻau lapaʻau:

• Hoʻemi i ka ʻeha a me ka pehu.
• No ka pale ʻana i ka papa momona e kū nei.
• Ke pale nei i ka hōʻino hou ʻana i ka papa momona.

I kekahi mau hihia koʻikoʻi, pono paha nā lāʻau lapaʻau paʻakikī ('nā ʻenehana holomua'). Pili kēia i ka hoʻohui ʻana i nā mea hou e hoʻonui i ka mānoanoa o ka papa momona ma ke kuʻekuʻe wāwae.

Nā ʻano lapaʻau maʻalahi (conservative):

• Hoʻomaha: E hoʻomaha i kou mau wāwae i ka hiki. E hōʻemi i nā hana koʻikoʻi (e like me ka lele ikaika a me ka holo) hiki ke hōʻeha i ke kuʻekuʻe wāwae.
• E hoʻopili i ka hau: Ma hope o kahi hana e hōʻeha ai, e hoʻopili i kahi ʻeke hau ma kou kuʻekuʻe wāwae no kahi o 20 mau minuke. Hiki iā ʻoe ke hana i kēia i nā manawa he nui i ka lā.
• Lāʻau lapaʻau: Hiki ke hoʻohana ʻia nā lāʻau lapaʻau ma luna o ke kauka e hōʻemi i ka ʻeha a me ka pehu. ʻO nā laʻana e like me ka ibuprofen (Advil®, Motrin®) a me ka naproxen (Aleve®). Eia nō naʻe, ʻoi aku ka maikaʻi o ke nīnau ʻana i ke kauka ma mua o ka lawe ʻana i kekahi lāʻau lapaʻau.
• Nā kāmaʻa orthopedic: E ʻaʻahu i nā kāmaʻa orthopedic e hāʻawi ana i ke kākoʻo maikaʻi a me ka cushion, ʻoi aku hoʻi no ka kuʻekuʻe wāwae. Hiki iā ʻoe ke loaʻa ka ʻōlelo aʻoaʻo mai kahi podiatrist a i ʻole kahi hale kūʻai kūikawā e kūʻai aku ana i kēlā mau kāmaʻa.
• Ke kāpili ʻana i kou kuʻekuʻe wāwae: He ʻano hana kēia o ke kau ʻana i ka iwi kuʻekuʻe wāwae ma lalo o ka iwi kuʻekuʻe wāwae a me ka hoʻopili ʻana i ka lipine kūikawā i ka kuʻekuʻe wāwae e hāʻawi i ke kākoʻo a me ka hoʻoluʻu. E hōʻike pololei kāu kauka a mea hoʻoponopono kino paha iā ʻoe pehea e hana ai i kēia.
• Nā kīʻaha kuʻekuʻe wāwae, nā mea hoʻokomo kāmaʻa a me nā socks cushioned: ʻO nā kīʻaha kuʻekuʻe wāwae, nā mea hoʻokomo kāmaʻa a me nā socks cushioned, i loaʻa ma nā hale kūʻai lāʻau lapaʻau a i ʻole ma ka pūnaewele, hāʻawi i ka cushion hou a me ke kākoʻo no kou mau kuʻekuʻe wāwae.
• Papahana hoʻoikaika kino: Ma lalo o ke alakaʻi ʻana a kāu kauka a mea hoʻoponopono kino paha, hiki iā ʻoe ke aʻo i nā hoʻolōʻihi e hoʻolōʻihi i kou mau ʻiʻo bipi a me nā hana hoʻoponopono hou e hiki ke kōkua iā ʻoe e mālama i ke kūlike kūpono o ka wāwae-kuli-ʻūhā a me ka hoʻoponopono ʻana i nā kaulike ʻole.

Nā ʻano lapaʻau holomua (paʻakikī):

• Nā mea hoʻokomo: Ma kēia ʻano hana, ua hoʻokomo ʻia nā mea hoʻopihapiha kūlohelohe a synthetic a wai paha i loko o ka papa momona o ke kuʻekuʻe wāwae e hoʻonui i kona mānoanoa. No ka laʻana, aia nā mea hoʻopihapiha dermal i loaʻa nā mea e like me ka Poly-L-lactic acid a me ka Hyaluronic acid. Hoʻohana ʻia ka silicone i kekahi manawa, akā aia ka hoʻopaʻapaʻa e pili ana i kona hoʻohana ʻana no ka mea hiki iā ia ke hele i nā ʻāpana ʻē aʻe o ke kino a hiki ke hana i nā hopena ʻoluʻolu a koʻikoʻi. ʻO ka hopena o kēia mau mea hoʻopihapiha dermal e mau ana ma kahi o 6 a 12 mau mahina. Aia ia i nā mea e like me kou nohona, ka pae hana, ke kaumaha o ke kino, a me ka makahiki.
• ʻO ke kāpili ʻana i ka momona (a i ʻole ka hoʻoili ʻana i ka momona autologous): Pili kēia i ka lawe ʻana i kahi momona liʻiliʻi mai kahi ʻāpana ʻē aʻe o kou kino (e like me kou ʻūhā a ʻōpū paha), hoʻomaʻemaʻe iā ia, a hoʻoili iā ia i loko o ka ʻāpana momona ma kou kuʻekuʻe wāwae (transplantation). He hana maʻamau kēia ma waho o ka haukapila. ʻOi aku ka lōʻihi o nā hopena ma mua o nā mea hoʻopihapiha dermal.
• ʻAllografting: Hoʻohana kēia ʻano hana i nā ʻiʻo momona i lawe ʻia mai kekahi kanaka ʻē aʻe (he mea hāʻawi). ʻOiai ʻo nā hunaola momona wale nō ka mea i hoʻohana ʻia, he liʻiliʻi loa ka manawa e hōʻole ʻia ai e ke kino. He hana ʻoki kino nō hoʻi kēia. He lōʻihi iki ka manawa e ho'ōla ai ma mua o nā ʻano hana ʻē aʻe (hiki ke hala ma kahi o 6-8 mau pule no ka hui ʻana o nā ʻiʻo hou me nā ʻiʻo e kū nei). Ua hōʻike ʻia hiki i kēia lāʻau lapaʻau ke hāʻawi i ka hōʻoluʻolu ʻeha no kahi o 5 mau makahiki.

I kekahi manawa, inā hoʻololi nā kīnā kino hānau ʻia a i loaʻa paha i kou mau manamana wāwae, nā wāwae, nā kuʻekuʻe wāwae, nā wāwae, nā kuli, a i ʻole nā ​​​​pūhaka i ke ʻano o ka hāʻawi ʻana o kou kino i ke kaumaha ke hele ʻoe, a inā he hopena koʻikoʻi kēia i kou ola, e hiki ʻole ai ke hana i nā hana o kēlā me kēia lā, e noʻonoʻo paha nā kauka i ke ʻoki ʻana e hoʻoponopono i ka kīnā.

He aha ka mea e hana ʻia inā ʻaʻole mālama ʻia?

Inā ʻoe e hoʻowahāwahā i ke kūlana "Heel Fat Pad Syndrome" me ka ʻole o ka mālama ʻana, hiki iā ia ke alakaʻi i nā pilikia e like me:

• E hoʻomau ka ʻeha. Hiki iā ia ke hōʻemi i kou ʻano ola.
• Lilo i mea paʻakikī ke hele wāwae, pāʻani haʻuki, a hana i nā hana o kēlā me kēia lā.
• Hiki paha iā ʻoe ke hoʻololi i ke ala āu e hele ai me ka ʻike ʻole e hōʻemi i ka ʻeha, hiki ke kau i ke kaomi pono ʻole ma nā hono ʻē aʻe o ke kino, e hoʻonui ana i ka pilikia o ka hāʻule ʻana a me nā ʻeha ʻē aʻe.

Pehea e hiki ai ke pale ʻia kēia kūlana?

ʻOiai ʻaʻole hiki iā mākou ke hoʻōki loa i nā mea e hana ʻia me ka makahiki a i ʻole nā ​​​​​​predisposition genetic e holo ana i loko o nā ʻohana, hiki iā mākou ke hōʻemi i ka pilikia o ka hoʻomohala ʻana i kēia maʻi (Heel Fat Pad Syndrome) ma ka hoʻololi ʻana i kekahi mau ʻano nohona a me ka lawe ʻana i nā hana pale:

• E ʻaʻahu mau i nā kāmaʻa e kūpono i kou mau wāwae, loaʻa ke kākoʻo kuʻekuʻe wāwae maikaʻi, a me ka uluna. E ʻaʻahu i nā kāmaʻa haʻuki kūpono i ka wā e hana ana i nā hana koʻikoʻi.
• E pale i ke komo pinepine ʻana i nā kāmaʻa kuʻekuʻe wāwae kiʻekiʻe. ʻAʻole lākou e hoʻolaha like i ke kaumaha o kou kino ma kou mau wāwae, akā, e kau ana i ke kaomi hou aku ma kahi kikoʻī o kou wāwae (pinepine ke alo).
• E kaupalena i nā hana e kau ana i ka nui o ke kaomi ma nā kuʻekuʻe wāwae, e like me ka holo ʻana, ka basketball, a me ka gymnastics. E hāʻawi i ka pad momona kuʻekuʻe wāwae i ka manawa e hoʻōla ai ma hope o ia mau hana.
• E mālama i ke kaumaha o ke kino. ʻO ka momona nui e hoʻonui ai i ke kaomi ma kou mau kuʻekuʻe wāwae.
• E pale i ka hele wāwae ʻole i ka hiki, ʻoiai ma nā ʻili paʻakikī a ʻaʻole like (e like me ke tile, ka lāʻau, ka sima).
• E nānā pinepine i kou mau kāmaʻa a pau. Inā ua pau ke kapuwaʻi o kou kāmaʻa ma kekahi ʻano a i ʻole (e like me kekahi ʻaoʻao ua ʻoi aku ka pau ʻana), a inā ʻaʻole kākoʻo hou ka uluna i loko o ke kāmaʻa, e hoʻololi i ke kāmaʻa.

Hiki ke ho'ōla loa ʻia kēia `(Heel Fat Pad Syndrome)`?

ʻO kaʻoiaʻiʻo, ʻaʻohe mea e like me ka "lāʻau lapaʻau lōʻihi loa" no ka "Heel Fat Pad Syndrome". No ka mea, i ko kākou ʻelemakule ʻana, a i ko kākou hele ʻana, holo ʻana, a lele maʻamau ("ʻaʻahu kūlohelohe a me ka haehae"), e emi ana ka papa momona ma ke kuʻekuʻe wāwae a lahilahi i kekahi ʻano. Eia naʻe, e like me ka mea i ʻōlelo ʻia ma mua, inā ʻoe e hana i nā hana e pono ai e hōʻemi i ka ʻeha kuʻekuʻe wāwae, ka pehu ʻana, a pale i ka hōʻino hou ʻana i ka papa momona, hiki iā ʻoe ke hoʻomaikaʻi maoli i kou ʻano o ke ola a hoʻomau i ka hana ʻana i nā hana āu e hauʻoli ai.

He aha ka ʻokoʻa ma waena o ka `(Heel Fat Pad Syndrome)` a me ka `(Plantar Fasciitis)`?

ʻO kēia kahi e huikau ai nā poʻe he nui, no laila he mea nui e ʻike i kekahi o nā ʻokoʻa nui ma waena o kēia mau kūlana ʻelua.

E noʻonoʻo e pili ana i ia mea, ʻo ka "Plantar Fasciitis" he nāwaliwali, pehu, a mumū paha o ka "plantar fascia", kahi ʻāpana mānoanoa o nā ʻiʻo pili e holo ana ma lalo o kou wāwae, mai kou kuʻekuʻe wāwae a i kou mau manamana wāwae. ʻO kēia "plantar fascia" ka mea e hāʻawi i ke kākoʻo no ke "arch" o kou wāwae.

• ʻO ka hōʻailona nui o ka plantar fasciitis he ʻeha ʻūlū ma ke kuʻekuʻe wāwae. Aia kēia ʻeha ma loko o ke kuʻekuʻe wāwae, kokoke i ka ʻāwae o ka wāwae. I kekahi manawa hiki ke pālahalaha ka ʻeha ma ke apo o ka wāwae.
• Ke hoʻolōʻihi ʻoe i kou wāwae, ʻike ʻoe i kahi ʻūmiʻi a me kahi manaʻo huki ma ka ʻāwae o kou wāwae.
• ʻO ka mea nui loa, ʻo ia ka ʻeha nui loa ke ala mua ʻoe mai kahi moe i ke kakahiaka a lawe i nā ʻanuʻu mua. ʻOiai ke ʻano o ka emi ʻana o ka ʻeha ma hope o ka hele wāwae iki ʻana, inā ʻoe e hoʻomau i ke kau ʻana i ke kaumaha ma ka wāwae, e hoʻonui hou ʻia ka ʻeha i ka hopena o ka lā.
• I ka wā o ka hoʻokolokolo lapaʻau, inā e kaomi ʻia ka 'plantar fascia', e loaʻa ana kahi ʻeha ʻoi a hou, me he mea lā e hou ʻia ana me kahi nila.

Eia nō naʻe, ma ka `(Heel Fat Pad Syndrome)`:

• Aia ka ʻeha ma waenakonu o ke kuʻekuʻe wāwae, e like me kahi palapū hohonu a kokoke.
• ʻOi aku ka ʻeha i ka wā e hele ana, kū ana, a i ʻole e hana ana i nā hana ikaika no ka manawa lōʻihi. ʻOi aku ka ʻeha i ka wā e hele ana ma luna o nā ʻili paʻakikī me ka ʻole o nā kāmaʻa kāmaʻa.
• Hiki ke loaʻa kēia ʻeha i kēlā me kēia manawa o ke ao, i ka pō, a i ka wā e hoʻomaha ai paha.
• ʻOi aku ka nui o ka loaʻa ʻana o ka Heel Fat Pad Syndrome i nā wāwae ʻelua i ka manawa like ma mua o Plantar Fasciitis.

He mea nui: I kekahi manawa hiki ke hui pū ʻia kēia mau kūlana ʻelua. Eia kekahi, hiki i ke kanaka me `(Plantar Fasciitis)` ke loaʻa i ka `(Heel Fat Pad Syndrome)` ma hope. Ua ʻike anei ʻoe pehea e hana ai kēlā? Ke hōʻino ʻia ka ``Plantar fascia``, ʻaʻole i puʻunaue pono ʻia ke kaumaha o ka wāwae i ka wā e hele ana a holo paha. A laila, kau ʻia ke kaomi hou ma luna o ka papa momona o ke kuʻekuʻe wāwae, kahi e hoʻāʻo nei e hōʻoluʻolu koke iā ia.

E aʻo iki kākou e pili ana i ka haki koʻikoʻi calcaneal.

ʻO kekahi mea hou āu e ʻike ai. ʻO ka iwi ma kou kuʻekuʻe wāwae ka inoa ʻo calcaneus. ʻO nā neʻe hou e like me ka holo ʻana hiki ke hana i kahi māwae liʻiliʻi a haki paha i ka calcaneus. Ua kapa ʻia kēia he haki koʻikoʻi. Inā loaʻa iā ʻoe kahi haki koʻikoʻi calcaneal, e ʻike ʻoe i ka ʻeha ma ke kuʻekuʻe wāwae a me ke kua o ke kuʻekuʻe wāwae. E hoʻonui mālie ʻia kēia ʻeha kuʻekuʻe wāwae i ka hala ʻana o ka manawa. I ka wā mua, e loaʻa wale nō ia i ka wā o ka hana, akā ma hope e hoʻomaka ia e ʻeha ʻoiai ke hoʻomaha kou wāwae. Pono paha ʻoe e loaʻa i kahi scan iwi, CT scan, a i ʻole MRI scan e hoʻoholo ai inā ma muli o ka haki koʻikoʻi kou ʻeha kuʻekuʻe wāwae.

ʻO ka mea hope loa, nā mea e hoʻomanaʻo ai (Leka Lawe-Home)

No laila, i ka ʻōlelo maʻalahi, ʻo ka heel fat pad syndrome ka nalowale ʻana o ka papa momona mānoanoa, e like me ke kuʻekuʻe wāwae ma ka ʻāpana kuʻekuʻe wāwae o ko mākou mau wāwae e kōkua ana i ke kākoʻo ʻana i ko mākou kaumaha kino a pale iā mākou mai nā haʻalulu. Hiki ke hana ʻia kēia e nā kumu he nui, me ka makahiki, nā hana e kau ai i ke kaomi ma ka kuʻekuʻe wāwae, ka piʻi ʻana o ke kaumaha, a me ka hoʻokaʻawale ʻole ʻana o ke kaumaha i ka wā e hele ana. ʻO ka hōʻailona nui he ʻeha nui a hohonu ma waenakonu o ke kuʻekuʻe wāwae.

ʻO ka mea maikaʻi loa, ʻo nā lāʻau lapaʻau maʻalahi e like me ka hoʻomaha, nā mea hōʻeha ʻeha, ka hau, nā kāmaʻa kūpono, a me ka hoʻoikaika kino e like me ke kuhikuhi a kāu kauka hiki ke kōkua pinepine i ka mālama ʻana i kēia kūlana. I kekahi mau hihia koʻikoʻi, loaʻa nā lāʻau lapaʻau holomua.

Inā loaʻa iā ʻoe ka ʻeha mau o ke kuʻekuʻe wāwae, mai hoʻowahāwahā iā ia. E ʻike pono i ke kauka no ka ʻōlelo aʻo. ʻO ka wikiwiki o kou ʻike ʻana i ka pilikia, ʻo ka wikiwiki o kou hoʻomaka ʻana i ka lāʻau kūpono. A laila hiki iā ʻoe ke pale i ka maʻi mai ka ʻino ʻana, e ola koke, a e hoʻomau i kāu mau hana o kēlā me kēia lā me ka hauʻoli!

ʻEha kuʻekuʻe wāwae, maʻi ʻaʻahu momona kuʻekuʻe wāwae, plantar fasciitis, ʻaʻahu momona kuʻekuʻe wāwae, ʻeha wāwae, nā maʻi kuʻekuʻe wāwae, kuʻekuʻe wāwae