He ʻeha a he ʻāʻī paha kou ma kou lima? E aʻo e pili ana i ka hoʻāʻo ʻana o Phalen

Ke ala aʻe nei ʻoe i kekahi manawa i ka pō me ka lima mae? A i ʻole e mae kou mau manamana lima i ka wā e hana ana ma ke kamepiula, e hoʻohana ana i kāu kelepona, a i ʻole e hoʻokele kaʻa ana? ʻO kekahi o nā kumu nui o kēia he ʻano i kapa ʻia ʻo Carpal Tunnel Syndrome . No laila, ke hele ʻoe i ke kauka e haʻi iā ia e pili ana i kēia ʻano ʻeha, i kēia lā ke kamaʻilio nei mākou e pili ana i kahi hoʻāʻo maʻalahi a maʻalahi hoʻi e ʻike ai inā loaʻa iā ʻoe kēia. Ua kapa ʻia kēia ʻo ka Phalen's Test.

He aha ka hoʻāʻo ʻana o Phalen?

I ka ʻōlelo maʻalahi, he hoʻāʻo kino maʻalahi loa kēia a kāu kauka e hana ai ma ke keʻena, me ka ʻole o nā lako kūikawā. Ua kapa ʻia hoʻi ʻo ia ka hōʻailona Phalen. E alakaʻi kāu kauka iā ʻoe e paʻa i kou lima a me kou pulima lima ma kekahi mau kūlana.

Hoʻokomo kēia mau kūlana i kahi kaomi iki ma luna o ke aʻalolo Median, kahi aʻalolo koʻikoʻi e holo ana ma kou pulima. E noʻonoʻo e like me ke kaomi ʻana i kahi paipu wai. No laila, inā loaʻa iā ʻoe ʻo Carpal Tunnel Syndrome, ke kaomi iki ʻia kēia aʻalolo, e ʻike ʻoe i ka ʻūlū a i ʻole ka mae ʻana i kou mau manamana lima. Inā loaʻa kēia mau hōʻailona, ​​​​e hāʻawi ia i kāu kauka i kahi manaʻo maikaʻi e loaʻa paha iā ʻoe kēia maʻi.

No ke aha i hana ʻia ai kēia hoʻāʻo? E kamaʻilio iki kākou e pili ana i ka Carpal Tunnel Syndrome.

I mea e hoʻomaopopo ai i kēia hoʻokolohua, pono mākou e ʻike iki e pili ana i ke ʻano o ka Carpal Tunnel Syndrome.

E noʻonoʻo ʻoe aia kekahi lua liʻiliʻi ma loko o kou pulima. ʻO kēia ka mea a mākou e kapa nei ʻo Carpal Tunnel . Hana ʻia kēia lua i kahi iwi liʻiliʻi a me ka ligament ma ka pulima. I loko o kēia lua, hele nā ​​​​​​aʻalolo e kōkua iā mākou e kulou i ko mākou mau manamana lima a me ke aʻalolo Median e hāʻawi ana i ka manaʻo i ka lima.

No laila, inā no kekahi kumu he pehu i loko o kēia tunnel, a inā no kekahi kumu ʻē aʻe e emi ana ka hakahaka i loko, hoʻomaka ka median nerve aʻu i ʻōlelo ai e ʻomi a ʻūmiʻi. ʻO ia ka mea a mākou e kapa nei he Carpal Tunnel Syndrome.

Ke ʻikini ʻia kēia aʻalolo, hiki ke ʻike ʻia nā hōʻailona e like me ka maneʻo, ke kani ʻana, ka ʻeha, a i kekahi manawa ka nalowale ʻana o ka ikaika ma ka lima, ʻo ia hoʻi ma ka manamana nui, ka manamana lima kuhikuhi, ka manamana lima waena, a me ka hapalua o ka manamana lima apo .

Pehea e hana ai i ka hoʻāʻo ʻo Phalen?

He mea maʻalahi loa kēia. ʻAʻole pono ʻoe i kekahi hoʻomākaukau kūikawā. E hōʻike maopopo ke kauka iā ʻoe pehea e hana ai.

1. ʻO ka mea mua, e lawe i kou mau lima ma ka pae o ka pūhaka, a kau iā lākou ma ka ʻaoʻao hope o kou mau lima. I mea e pololei ai, e hoʻohuli i kou mau poho lima i waho a kau i ke kua o kou mau lima.

2. A laila, e hoʻopaʻa i nā lima ʻelua ma ke kūlana like, e hāpai i nā kuʻekuʻe ʻelua a hiki i ka pae umauma. I kēia manawa, e kūlou piha nā pulima lima.

3. I kēia manawa e haʻi aku ke kauka iā ʻoe e noho ma kēia kūlana no hoʻokahi minute .

4. E nīnau aku ke kauka iā ʻoe inā ʻoe e ʻike nei i kekahi ʻeha, kuni, a i ʻole kekahi ʻeha ʻē aʻe ma kou mau manamana lima i kēia manawa.

Pēlā nō hoʻi kēia me ka Reverse Phalen's Test?

ʻAe, he ala ʻē aʻe kēia e nānā ai no ka Carpal Tunnel Syndrome. I kekahi manawa e hana paha ke kauka i kēia mau hoʻokolohua ʻelua.

E hana i kēia ma kēlā ʻaoʻao. E kau i kou mau poho lima me he mea lā e kūlou ana ʻoe a hohola i kou mau kuʻekuʻe i nā ʻaoʻao. A laila, ma ke ʻano like, e hoʻohaʻahaʻa i kou mau lima i ka pae o kou ʻōpū. E haʻi aku ke kauka iā ʻoe e noho ma kēia kūlana no hoʻokahi minute. I kēia manawa, e nānā pū lākou e ʻike inā ʻike ʻia nā hōʻailona āu i ʻōlelo ai ma mua.

He aha nā hopena o ka hoʻāʻo a he aha ka mea e hana ma hope o kēlā?

E hoʻokaʻawale ke kauka i kāu hopena ma ke ʻano he "Positive" a i ʻole "Negative" .

• Hoʻāʻo Phalen Maikaʻi: ʻO ke ʻano kēia ua loaʻa iā ʻoe nā hōʻailona (e like me ka mae ʻana a me ka ʻeha) e pili ana i ka Carpal Tunnel Syndrome i ka wā o ka hoʻāʻo ʻana.
• Hoʻāʻo Phalen Maikaʻi ʻole: ʻO ke ʻano kēia ʻaʻole ʻoe i manaʻo i kekahi ʻoluʻolu ʻole i ka wā o ka hoʻāʻo ʻana.

Ma hope o kēia hoʻokolokolo ʻana, hiki i ke kauka ke paipai i kekahi mau hoʻokolohua hou aʻe e hōʻoia i ka hōʻailona a i ʻole e ʻike pono i ka pōʻino i hana ʻia i ke aʻalolo.

• MRI (Magnetic Resonance Imaging): No ka ʻike maopopo ʻana i nā ʻano i loko o ka pulima.
• ʻO ke scan ultrasound: No ka ʻike ʻana i ka nui o ke aʻalolo median a inā ua ʻomi ʻia.
• Hoʻāʻo EMG (Electromyogram): Ana i ka wikiwiki o ka hele ʻana o nā hōʻailona uila ma o ke aʻalolo e hoʻoholo pono ai inā ua hōʻino ʻia ke aʻalolo.

Ma hope o kēia mau hoʻokolohua, inā ua hōʻoia ʻia he Carpal Tunnel Syndrome kou, e hoʻomaka kāu kauka i ka lāʻau lapaʻau kūpono iā ʻoe. Hiki i kēia ke komo pū me kahi splint, lāʻau lapaʻau, a i kekahi mau hihia, kahi kuhikuhi i kahi loea orthopedic (orthopaedist) no ke ʻoki liʻiliʻi.

He aha ka ʻokoʻa ma waena o ka hoʻāʻo ʻana o Phalen a me ka hōʻailona ʻo Tinel?

He mau hoʻokolohua maʻalahi kēia mau mea ʻelua a nā kauka e hana ai i loko o ko lākou mau lumi e ʻike ai i ka Carpal Tunnel Syndrome. Eia nō naʻe, aia kahi ʻokoʻa iki i ke ʻano o ka hana ʻana i kēia mau mea ʻelua. E hoʻomaopopo pono kākou me kahi papa.

Me kēia mau hoʻokolohua ʻelua, ke hoʻāʻo nei ke kauka e hoʻoholo inā ua hoʻopaʻa ʻia kou aʻalolo waena a inā he naʻaupō paha.