ʻEha pū kekahi ke ʻano o loko o kou wāwae? E aʻo kākou e pili ana i ka (Posterior Tibial Tendonitis) a me ka (Posterior Tibial Tendon Dysfunction)!

He mea nui loa ko kākou mau wāwae a kākou e hoʻohana ai i ka lā a pau, e kākoʻo ana i ko kākou kaumaha holoʻokoʻa, ʻeā? Akā i kekahi manawa hiki i kēia mau wāwae ke ʻeha iki. Ua ʻike anei ʻoe he ʻeha kou ma loko o kou wāwae, kokoke i kou kuʻekuʻe wāwae? Malia paha e hoʻonui ʻia kēia ʻeha ke hele ʻoe, holo, a piʻi paha i nā alapiʻi. He nui ka poʻe e nānā ʻole i kēia, me ka manaʻo, "E maikaʻi ana ia i loko o kekahi mau lā." Akā inā hoʻomau kēia, hiki ke lilo i mea koʻikoʻi iki. I kēia lā e kamaʻilio mākou e pili ana i kahi maʻi e hiki ai ke hoʻoulu i kēlā ʻeha wāwae.

He aha ka Posterior Tibial Tendonitis?

I ka ʻōlelo maʻalahi, ʻo ka Posterior Tibial Tendonitis kahi mumū a pehu paha o ka Posterior Tibial Tendon, ka mea e kākoʻo ana i ke apo o kou wāwae a kōkua iā ʻoe e kulou i kou wāwae. Ua kapa ʻia hoʻi ʻo ia ʻo Posterior Tibialis Tendon .

I kēia manawa ke noʻonoʻo nei paha ʻoe i ke ʻano o ke aʻalolo . He ʻiʻo ikaika e like me ke kaula ke aʻalolo e hoʻopili ana i ko mākou mau ʻiʻo i ko mākou mau iwi. No laila, hoʻopili ke aʻalolo tibial hope i kahi ʻiʻo ma ko mākou wāwae haʻahaʻa i nā iwi ma loko o ko mākou wāwae.

Ke pehu kēia ʻiʻo, hiki iā ʻoe ke ʻeha a paʻa ma ke apo o kou wāwae, ma loko o kou wāwae, a i ʻole ma kou kuʻekuʻe wāwae. Ua kapa ʻia kēia pehu o kahi ʻiʻo he tendinitis ma ke ʻano lapaʻau. Hiki ke pōkole (acute) a i ʻole ka lōʻihi (chronic).

Inā hoʻomau ka posterior tibial tendinitis, ʻo ia hoʻi, inā hoʻomau ia no ka manawa lōʻihi me ka ʻole o ka ho'ōla ʻana, e nāwaliwali mālie ke aʻalolo a hoʻomaka e haki. Kāhea mākou i kēia ʻano he tendinosis . ʻO kēia posterior tibial tendinosis ka mea e alakaʻi ai i kahi ʻano i kapa ʻia ʻo Posterior Tibial Tendon Dysfunction (PTTD) .

No laila he aha ka posterior tibial tendon dysfunction (PTTD)?

ʻO ka hana ʻino o ke tendon tibial posterior (PTTD) ke haki ka tendon a nāwaliwali ma muli o ka tendinosis mau o ka tendon tibial posterior i ʻōlelo ʻia ma mua. Ke nāwaliwali ka tendon, ʻaʻole hiki iā ia ke kākoʻo hou i ke kūlou o kou wāwae.

ʻIke anei ʻoe i ke kumu o kēia? Hoʻomaka kou mau wāwae e pālahalaha a hoʻomaka kou mau kuʻekuʻe wāwae e huli i loko. Manaʻo paha ʻoe ua nāwaliwali loa kou mau ʻāʻī a me kou mau kuʻekuʻe wāwae, ʻoiai ke hoʻāʻo ʻoe e hāpai i kou mau kuʻekuʻe wāwae. Inā hoʻomau kēia ʻano, hiki ke lilo i mea ʻino.

Ua kapa pū nā kauka i kēia kūlana ʻo Posterior Tibial Tendon Insufficiency (PTTI) . ʻO PTTD ke kumu nui o ka progressive collapsing foot deformity (PCFD), kahi kūlana i ʻike mua ʻia ʻo adult-acquired flatfoot a i ʻole "fallen arch ."

E noʻonoʻo, i ka wā e hiolo ai ke kūlou o kou wāwae, loli ke ʻano o kou wāwae e kuʻi ai i ka honua ke hele ʻoe, a no laila ke ʻano o kona hāpai ʻana i ke kaumaha. Hiki i kēia ke hōʻino i nā ʻāpana ʻē aʻe o kou wāwae, e like me nā ligaments a me ke cartilage.

He aha nā pae o kēia ʻano? (Nā Pae o Posterior Tibial Tendinopathy)

Hoʻokaʻawale nā ​​​​kauka i kēia i kekahi mau pae ma muli o kou kūlana:

• Pae 1: He tendonitis ʻoluʻolu kēia a/a i ʻole tenosynovitis (pehu ʻana o ka ʻūpā a puni ke tendon). ʻAʻohe loli koʻikoʻi i ke ʻano o kou wāwae. Hiki nō iā ʻoe ke hāpai i kou kuʻekuʻe wāwae, akā hiki iā ʻoe ke ʻike i kekahi ʻeha i ka wā e hana ai pēlā.
• Pae 2: I kēia pae, ʻaʻole hiki iā ʻoe ke hāpai hou i kou kuʻekuʻe wāwae. Hōʻike nā kukuna X ua hiolo kou ʻāʻī, akā ua palupalu nō ia a ʻaʻole paʻakikī. Ke hoʻomaka nei paha kou mau manamana wāwae e pālahalaha iki. (Kāhea nā kauka i kēia he hōʻailona "nui loa nā manamana wāwae" . ʻO ia hoʻi, ke nānā ʻoe i kou wāwae mai ke kua, hiki iā ʻoe ke ʻike i nā manamana wāwae he nui ma mua o ka mea maʻamau.)
• Pae 3: I kēia manawa, ua hiolo loa kou ʻāʻī a ua paʻa. Ke kuhikuhi nei kou mau manamana wāwae a me nā kuʻekuʻe wāwae i waho. Hiki paha iā ʻoe ke hōʻike i nā hōʻailona o ka maʻi ʻaʻai ma ka hui subtalar ma ke kua o kou wāwae.
• Pae 4: Loaʻa nā hōʻailona a pau i luna i kēia pae. Hōʻike pū nā kukuna X ua neʻe ka ligament deltoid a me ka iwi talus i kou kuʻekuʻe wāwae i waho o ko lākou wahi. Loaʻa paha iā ʻoe nā hōʻailona o ka maʻi ʻaʻai i loko o kou kuʻekuʻe wāwae.

He aha nā hōʻailona?

Ke loaʻa iā ʻoe ka Posterior Tibial Tendonitis, ʻike ʻoe i ka ʻeha ma ke ala e holo ai ke aʻalolo, e hoʻomaka ana mai ke kua o ka kuʻekuʻe wāwae a holo i lalo o ka wāwae, a hiki i ke kua o ka iwi i mua o ke apo.

Hiki ke ʻike ʻia kēia ʻeha i ka wā a ma hope paha o nā hana e like me ka hele wāwae, ka holo ʻana, a i ʻole ke piʻi ʻana i nā alapiʻi. I ka hoʻomaka ʻana, hiki ke hoʻomaha iki ka ʻeha. Akā i ka wā e ʻoi aʻe ai ke ʻano, hiki ke lilo pinepine ka ʻeha.

ʻO nā hōʻailona ʻē aʻe o ka posterior tibial tendinitis e komo pū paha:

• Ka pehu ʻana ma ke aʻalolo, ʻoiai ma loko o ka kuʻekuʻe wāwae.
• ʻEha ke kaomi ʻia me ka lima, ʻoiai ke kūlou ʻana o ka wāwae.
• Ka nāwaliwali o ka wāwae a i ʻole ka kuʻekuʻe wāwae, ʻoiai i ka wā e "pale aku ai".

Ke lilo ka tendonitis i tendinosis, e ʻike paha ʻoe he mea paʻakikī ke hoʻohana i kou wāwae, a e laha paha ka ʻeha. I ka hopena, e ʻike paha ʻoe i nā loli kino i kou wāwae e like me:

• Ka hiolo ʻana o ke kūlou (ka wāwae pālahalaha).
• Ke ʻōwili nei ke kuʻekuʻe wāwae i loko.
• Ke huli nei ke kuʻekuʻe wāwae a me/a i ʻole ka manamana wāwae i waho.

ʻO kēia nā hōʻailona o ka posterior tibial tendon dysfunction (PTTD).

He aha nā kumu o kēia? (Nā kumu o ka Posterior Tibial Tendinitis)

ʻO nā ʻeha ka mea maʻamau ke kumu nui o ka tendonitis . I ka wā e pili ana i ka tendonitis ma nā wāwae, ʻo nā ʻeha ʻeha pinepine ka mea maʻamau. ʻO mākou a pau, inā he poʻe haʻuki mākou a ʻaʻole paha, hoʻohana mau i ko mākou mau wāwae.

Ke hoʻohana nui ʻia kekahi ʻiʻo, lilo ia i mea kaumaha, e hana ana i nā haehae liʻiliʻi i loko o nā olonā palupalu. He lōʻihi ka manawa e ho'ōla ai kēia mau mea. ʻO ka pehu ʻana he hōʻailona ia e ho'āʻo nei e ho'ōla. Akā inā ʻaʻole ʻoe e hāʻawi iā ia i kahi manawa e ho'ōla ai, ʻaʻole ia e ho'ōla.

I kekahi manawa, hiki i kou tendon tibial posterior ke haehae (ʻeha koʻikoʻi) ma muli o kahi ʻeha koke, e like me kahi ulia haʻuki a i ʻole kahi kuʻekuʻe wāwae i wili ʻia. Inā ʻaʻole e ho'ōla loa kēia haehae, hiki i ka mumū manawa pōkole (ka mumū koʻikoʻi) ke lilo i mea maʻi.

I kekahi manawa, inā he ʻano hele wāwae ʻē kou, hiki iā ia ke hana i ke kaumaha pinepine ma ke aʻalolo. No ka laʻana, inā huli kou wāwae i loko a i waho paha, a inā he mau wāwae pālahalaha a i ʻole nā ​​​​​​piʻo kiʻekiʻe kou, ʻoiai ʻo ka hele wāwae maʻamau hiki ke kau i ke kaomi ma ke aʻalolo.

He aha nā kumu pilikia?

Aia kekahi mau kumu pilikia e hiki ke kōkua i ke kaumaha a me ka pehu ʻana i kou tendon:

• Ka nāwaliwali o ka wāwae a i ʻole ka kuʻekuʻe wāwae ma muli o nā ʻoki kino a i ʻole nā ​​​​ʻeha i hana mua ʻia.
• ʻO ke komo ʻana i nā haʻuki hopena kiʻekiʻe me ka ʻole o ke ʻano hana maikaʻi e kapa ʻia ʻo over-training.
• Ke kū ʻana no ka manawa lōʻihi me ka ʻole o nā kāmaʻa kākoʻo maikaʻi. E noʻonoʻo he pono ke kū ʻana i ka lā a pau ma kekahi mau hana (e laʻa, nā kumu, nā limahana hale kūʻai). ʻOi aku ka pilikia o kēia poʻe inā ʻaʻole lākou e komo i nā kāmaʻa kūpono.
• Ke hāpai nei i ke kaumaha nui i ka wā e hele ana. ʻO ia hoʻi, hiki i ka momona ke hoʻopilikia i kēia.
• Ua loaʻa nā ʻano ʻē ma nā wāwae a i ʻole ke ʻano o ko lākou hele ʻana mai kinohi mai.
• Loaʻa i ka osteoarthritis mua ma ka wāwae.
• Loaʻa i kahi maʻi pili pili mumū e hoʻoulu ai i ka pehu ʻana, e like me ka rheumatoid arthritis .
• ʻO ka Tenosynovitis kahi mumū o ka membrane synovial a puni kou tendon.

Pehea e lilo ai ka tendinitis i PTTD?

Hiki i ka tendonitis a me ka tendinosis ke like me kahi pōʻaiapuni ʻino. Hoʻonāwaliwali ka mumū mau i ke aʻalolo, e ʻoi aku ka maʻalahi o ka ʻeha. Hoʻonāwaliwali hou ʻia ke aʻalolo e nā ʻeha pinepine, a hoʻomau ka mumū.

I ka nalowale ʻana o ka pono o ke olonā, pono nā ʻano hana ʻē aʻe i kou wāwae a me kou kuʻekuʻe wāwae e hoʻopiha i ka hakahaka. ʻO kēia kaomi keu e hoʻoulu ai i kēlā mau ʻano hana e hāʻule mālie, e hoʻihoʻi ana i ke kaumaha ma luna o ke olonā.

He aha nā pilikia e hiki ke hana ma kēia ʻano?

Hiki i ka posterior tibial tendonitis acute ke ho'ōla me ka hoʻomaha a me ka manawa. Eia nō naʻe, inā lilo ka tendonitis i mea maʻi, hiki iā ia ke hoʻomaka i kahi pōʻaiapuni o ka degeneration o nā ʻiʻo. I ka hopena, hiki iā ia ke alakaʻi i ka posterior tibial tendon dysfunction (PTTD).

ʻO ka hemahema o ke tendon tibial posterior hiki ke hoʻoulu i ka hiolo mālie ʻana o ke apo o kou wāwae ( progressive collapsing foot deformity, PCFD , a i ʻole ka flatfoot i loaʻa i ka pākeke ). Hiki i kēia ke alakaʻi i nā pilikia hou aʻe.

Ke hele ʻoe ma nā wāwae pālahalaha, neʻe nā ligaments a me nā iwi o kou wāwae i waho o ko lākou wahi. Hoʻoulu kēia i nā deformities wāwae hou aʻe. Hoʻokau kēia mau deformities i ke kaomi ma luna o kou mau hono, hiki ke alakaʻi i ka arthritis wāwae a me nā kuʻekuʻe wāwae.

ʻO kekahi pilikia paha, ʻo ia ka haki piha ʻana o ke aʻalolo. Ma muli o ka nāwaliwali mālie ʻana o ke aʻalolo, ʻoi aku ka nui o ka haki ʻana me kahi ʻeha koke. Pono ke ʻoki kino e hoʻoponopono ai i kahi aʻalolo i haehae piha ʻia.

Pehea e ʻike ai nā kauka i kēia?

Hiki ke ʻike pinepine ʻia nā kūlana e pili ana i kou tendon tibial posterior (tendinopathy) me kahi hoʻokolokolo kino. E nānā ke kauka i kou wāwae a me kou kuʻekuʻe wāwae i kou kū ʻana a me ka neʻe ʻana i kou wāwae ma nā ʻano like ʻole.

E hoʻopā lākou a puni ke aʻalolo e ʻike inā ua pehu, e kaomi ma luna e ʻike inā he ʻeha. A laila e hana paha lākou i nā hoʻokolohua kiʻi, e like me ka X-ray a i ʻole ultrasound, e nānā pono i kou kūlana.

He aha nā lāʻau lapaʻau?

I nā hihia mua, hiki ke mālama ʻia ka posterior tibial tendonitis me nā lāʻau lapaʻau maʻalahi e like me ka hoʻomaha, ka hau, a me nā lāʻau lapaʻau ma luna o ke kauka. I nā hihia koʻikoʻi, pono paha kahi hoʻolei a kāmaʻa paha no kekahi mau pule.

ʻO nā lāʻau lapaʻau conservative no ka PTTD e komo pū me ka hoʻōla kino a me ka hoʻohana ʻana i nā orthotics kūikawā - nā mea hoʻokomo āu e ʻaʻahu ai i loko o kou mau kāmaʻa - e hōʻemi i ke kaomi ma ke aʻalolo ke hele ʻoe. I nā hihia koʻikoʻi loa, pono paha ʻoe i ke ʻoki ʻana e hoʻoponopono i kou wāwae.

I kēlā me kēia pae, e hoʻomaka mua nā kauka me nā lāʻau lapaʻau maʻalahi (ʻaʻole ʻoki kino). E noʻonoʻo lākou i nā lāʻau lapaʻau ʻoki kino inā ʻaʻole hoʻomaikaʻi kāu mau hōʻailona ma hope o kekahi mau mahina o kēia mau lāʻau lapaʻau.

ʻEhia ka lōʻihi e hoʻōla ai? (Manawa Hoʻōla)

Hiki i ka tendinitis koʻikoʻi ke ho'ōla i loko o kekahi mau pule. Eia nō naʻe, inā loaʻa iā ʻoe ka tendinosis a me ka hana ʻole o ke aʻalolo, e lōʻihi ka manawa. Me ka mālama maʻalahi, hiki ke hala ma kahi o ʻekolu a ʻehā mahina e ho'ōla piha ai.

Inā ʻaʻole holo pono ka lāʻau lapaʻau conservative ma hope o kekahi mau mahina, hiki i kāu kauka ke ʻōlelo aku i ke ʻoki kino. Ma hope o ke ʻoki kino, hiki ke hala i ʻelua a ʻehā mahina hou no kou tendon e hoʻōla hou.

He aha ka mea e hana inā loaʻa iā ʻoe ka PTTD? (Prognosis)

ʻO ke kūlana no ka PTTD e pili ana i ke kahua o kou kūlana a me ke ʻano o ka lāʻau āu e pono ai. I nā pae mua o ka maʻi, hiki i ka hapa nui o ka poʻe ke ho'ōla piha me nā lāʻau lapaʻau maʻalahi.

Inā loaʻa iā ʻoe ke ʻoki kino e hana hou i nā ʻāpana o kou wāwae, he paʻakikī ke wānana i ka hopena. Hiki ke paʻakikī ke ʻoki kino, a pono paha ʻoe e hana i nā hana he nui. ʻOiai ma hope o ke ʻoki kino, hiki i kekahi mau hopena ʻaoʻao ke mau no kekahi manawa.

Hiki ke pale ʻia kēia? (Kāohi ʻana)

ʻO ka mālama pono ʻana ʻaʻole e hoʻoluhi nui i kou mau ʻiʻo hiki ke kōkua i ka pale ʻana i ka tendinitis a me ka tendinosis. Inā ʻike ʻoe e hana nui ana ʻoe i kou mau wāwae, e hōʻoia e komo i nā kāmaʻa kākoʻo , a laila e hoʻomaha nui.

Inā hoʻomaka ʻoe e ʻeha i kou ʻiʻo, e mālama iā ia, e hoʻomaha a e ho'ōla. Inā hoʻomau nā hōʻailona, ​​e ʻike i ke kauka. E haʻi aku ʻo ia iā ʻoe inā he tendinitis kou a me ka mea e hana ai.

Inā ua ʻike ʻia ʻoe me ka tendinitis a i ʻole tendinosis, he mea nui loa ia e hahai i nā ʻōlelo a kāu kauka. ʻO ka hāʻawi ʻole ʻana i kou tendon i kahi manawa e ho'ōla pono ai e hoʻolōʻihi wale i kāu mau hōʻailona a me ka manawa hoʻōla.

ʻO ka mea hope loa, nā mea e hoʻomanaʻo ai

ʻO ka hana ʻino o ke tendon tibial posterior (PTTD) ke hoʻomau ka tendinitis a me ka tendinosis no ka manawa lōʻihi. ʻAʻole paha e ʻike kekahi poʻe i nā hōʻailona i ka wā mua. Akā i ka wā e ʻike ai ʻoe i nā hōʻailona, ​​​​he mea nui e mālama ʻia.

Ua hilinaʻi nui mākou a pau i ko mākou mau wāwae a i kekahi manawa ʻaʻole mākou e noʻonoʻo iā lākou. Ke ʻeha ka wāwae, manaʻo paha ʻoe, "ʻĀ, he mea ia e hiki ai iā ʻoe ke hele i ke ola." Akā e kahaha ʻoe i ke koʻikoʻi o kahi aʻalolo liʻiliʻi i kou wāwae.

He mau mea ikaika nā aʻalolo, akā lohi lākou e ho'ōla i ka wā e ʻeha ai. Inā ʻaʻole lākou e ho'ōla, hiki iā lākou ke mae ma muli o ka pehu lōʻihi. Inā hāʻule kou aʻalolo tibialis posterior, hiki ke hiolo ke ʻano holoʻokoʻa o kou wāwae.

ʻO ka mea nui, e lawe koʻikoʻi i kou ʻeha . ʻO ka wikiwiki o kou loaʻa ʻana o ka lāʻau kūpono no ka posterior tibial tendinitis a me ka posterior tibial tendon dysfunction, ʻoi aku ka maʻalahi o kou hoʻōla ʻana.

Hiki ke lōʻihi ka manawa e ho'ōla ai, ʻoiai inā pono ʻoe e hana i ke ʻoki kino. He mea hoʻonāukiuki ke hoʻōki i nā mea āpau ma muli o kahi ʻiʻo liʻiliʻi. Akā inā hiki iā ʻoe ke noʻonoʻo i kēia ʻiʻo liʻiliʻi ma ke ʻano he mea kōkua no ka hana āna e hana ai nou i kēlā me kēia lā, e kōkua ia iā ʻoe.

ʻO ka posterior tibial tendonitis, PTTD, ʻeha wāwae, ʻeha kuʻekuʻe wāwae, nā wāwae pālahalaha, tendinitis, hana ʻino o ke tendon