ʻEha anei kou kuʻekuʻe wāwae ma waho? He Sinus Tarsi Syndrome paha ia!

Ua ʻike anei ʻoe i kahi pehu liʻiliʻi ma waho o kou kuʻekuʻe wāwae, ma lalo iki iho, me ka ʻeha? Malia paha ʻoi aku ka ʻino o kēia ʻeha ke hele ʻoe a hoʻohuli paha i kou wāwae ma ʻaneʻi a ma laila. Inā ua hana ʻia kēia iā ʻoe, a laila e kamaʻilio mākou e pili ana i kahi mea nui paha iā ʻoe. Kāhea mākou i kēia ʻano he "Sinus Tarsi Syndrome". Mai hopohopo, e kamaʻilio maʻalahi kākou e pili ana.

He aha ka Sinus Tarsi Syndrome?

I ka ʻōlelo maʻalahi, ʻo ka Sinus Tarsi Syndrome kahi pehu ʻeha ma waho o kou kuʻekuʻe wāwae, ma lalo pono o ia. I ka pololei, hoʻoulu ʻia ia e ka mumū o ka hui subtalar, kahi e hui ai kou iwi kuʻekuʻe wāwae (Talus) a me ka iwi kuʻekuʻe wāwae (Calcaneus).

ʻO kēia `(Subtalar joint)` ka mea e kōkua iā ʻoe e hoʻohuli i kou wāwae mai kēlā ʻaoʻao a i kēia ʻaoʻao. ʻO ka `(Sinus Tarsi)` ka hakahaka liʻiliʻi ma waena o nā iwi ʻelua aʻu i ʻōlelo ai. E noʻonoʻo iā ia e like me kahi tunnel liʻiliʻi ma waena o kahi mauna. Akā, ma kahi o ka wehe ʻana i nā pōhaku e hana i alanui no nā kaʻa, he alanui liʻiliʻi kēia i kālai ʻia mai nā iwi. Ma o kēia alanui e holo ai nā `(ligaments)` (iwi), nā aʻalolo a me nā kīʻaha koko e hele ana i nā ʻāpana ʻē aʻe o kou wāwae a me kou kuʻekuʻe wāwae.

ʻO ka Sinus Tarsi Syndrome ke huhū nā ʻiʻo i loko o ka sinus tarsi no kekahi kumu. Pehu ka ʻiʻo. Ke pehu kēia ʻiʻo i loko o kēia wahi liʻiliʻi, piʻi ke kaomi i loko a loaʻa ka ʻeha. ʻO nā ʻeha kuʻekuʻe wāwae ke kumu nui o kēia. He kiʻekiʻe loa kēia pilikia inā ua ʻeha ʻoe i ka kuʻekuʻe wāwae hoʻokahi i nā manawa he nui.

Inā loaʻa iā ʻoe ka ʻeha a i ʻole ka pehu ʻana ma kou kuʻekuʻe wāwae a kuʻekuʻe wāwae paha, a inā pilikia ʻoe i ka neʻe ʻana a i ʻole ka hoʻohana pono ʻana i kou wāwae a me kou kuʻekuʻe wāwae, pono ʻoe e ʻike i ke kauka a i ʻole ke kauka wāwae.

He kūlana maʻamau anei kēia?

Wahi a nā loea, he maʻi laha ʻole ka Sinus Tarsi Syndrome. Eia nō naʻe, he paʻakikī ke ʻōlelo pololei i kona ʻano maʻamau. ʻO kēia no ka mea he nui ka poʻe me kēia maʻi i ʻike ʻole ʻia. Eia kekahi, ua like loa kona mau hōʻailona me nā maʻi kuʻekuʻe wāwae ʻē aʻe.

He aha nā hōʻailona o ka Sinus Tarsi Syndrome?

ʻO nā hōʻailona nui o kēia maʻi ka ʻeha a me ka pehu ʻana ma ke kuʻekuʻe wāwae. ʻIke pinepine ʻia ka ʻeha a me ka pehu ʻana ma waho o ke kuʻekuʻe wāwae, ma ka lihi haʻahaʻa. Eia nō naʻe, i kekahi manawa hiki i kēia ʻeha ke laha i nā ʻāpana ʻē aʻe o ke kuʻekuʻe wāwae.

E ʻike paha ʻoe a e ʻike i ka pehu ʻana ma ka ʻāpana ma waena o ka iwi kuʻekuʻe wāwae a me ka iwi kuʻekuʻe wāwae. I kekahi manawa ua maopopo loa kēia pehu ʻana a manaʻo kekahi poʻe he like ia me kahi cyst ma lalo o ka ʻili.

He aha ke ʻano o ka manaʻo e hāʻawi mai ana kēia iā ʻoe?

ʻO ka maʻamau, ʻo ka ʻeha o ka Sinus Tarsi Syndrome he mau a palupalu hoʻi.Me he ʻeha mau lā ia. Akā, ke neʻe ʻoe a hoʻohana paha i kou wāwae, lilo ka ʻeha i ʻoi a hiki ke like me ka pahi e hou ana iā ʻoe. ʻOi loa aku i kēia mau manawa:

• Ke hoʻohuli ʻia kou wāwae i waho i waenakonu o kou kino.
• Ke kau ʻoe i ke kaumaha ma kou mau wāwae, e like me ka hele wāwae, ka holo ʻana, a i ʻole ke piʻi ʻana i nā alapiʻi.
• Ke hoʻopā a kaomi ʻoe i kēlā ʻāpana i kapa ʻia ʻo ka sinus tarsi.

No ke aha e kū mai ai ka Sinus Tarsi Syndrome?

ʻO kēlā me kēia ʻeha a kūlana paha e hōʻino ana i kāu hui subtalar a i ʻole kahi i kapa ʻia ʻo sinus tarsi hiki ke hana i kēia.

ʻO nā ʻeha kuʻekuʻe wāwae ke kumu maʻamau. Ma kahi o 80% o ka poʻe me ka sinus tarsi syndrome e loaʻa ana kēia ʻano ke wili ʻia ko lākou kuʻekuʻe wāwae i waho mai ke kikowaena o ke kino. ʻO nā paheʻe, nā hāʻule ʻana, a me nā ʻeha ʻē aʻe e pili ana i nā haʻuki nā kumu maʻamau o nā ʻeha kuʻekuʻe wāwae. No ka laʻana, inā ʻoe e hele wāwae koke i ka wā e pāʻani ana i ka cricket, a inā ʻoe e hele wāwae a ʻōwili i kou kuʻekuʻe wāwae i ka wā e hele ana i loko o kahi lua. ʻO kēia nā kumu maʻamau o kēia ʻano.

Hiki i nā ʻeha kuʻekuʻe wāwae ke hana i kahi maʻi i kapa ʻia ʻo synovitis (pehu ʻana o ka membrane synovial) i loko o kou hui subtalar. ʻO ka pehu ʻana e hopena ai hiki ke alakaʻi i ka sinus tarsi syndrome.

Nā kumu ʻeha ʻole

I kekahi manawa, ʻo ke kūlana maoli o kou mau wāwae, ke ʻano o kou hele ʻana, a me kekahi mau kūlana olakino e hiki ai i kou mau sinuses ke kau i ke kaomi nui ('stress') i ka hala ʻana o ka manawa, e alakaʻi ana i kēia syndrome. ʻO nā kumu i pili ʻole i ka hōʻeha ʻana:

• He mau wāwae pālahalaha.
• ʻO ka overpronation ka ʻōwili nui ʻana o ka wāwae i loko i ka wā e hele ana a holo ana paha.
• Nā maʻi ʻāʻī o nā wāwae a me nā kuʻekuʻe wāwae.
• Ka momona.

ʻO wai ka mea i ʻoi aku ka nui o ka pilikia?

He mau ʻeha maʻamau ka ʻeha o ke kuʻekuʻe wāwae i hiki i kekahi ke loaʻa i ka maʻi sinus tarsi. Eia nō naʻe, ʻoi aku ka nui o ka pilikia o kēia poʻe:

• ʻO ka poʻe e pāʻani ana i nā haʻuki e pono ai ka hoʻololi koke ʻana o ke kuhikuhi a me nā wili (e.g., pôpeku, basketball, hockey).
• ʻO nā kānaka e kū ana no ka manawa lōʻihi a hana ma ka lepo paʻa.
• Nā wahine hāpai. ʻOi aku ka nui o ka hana ʻana o ka overpronation (ka ʻōwili ʻana o ka wāwae i loko) i ka wā hāpai.
• ʻO ka poʻe i ʻeha pinepine i ka kuʻekuʻe wāwae hoʻokahi. Inā ʻeha hou ka kuʻekuʻe wāwae i ʻeha mua ʻia, ʻoi aku ka nui o ka pilikia o ka loaʻa ʻana o ka sinus tarsi syndrome.

Pehea e ʻike pololei ai nā kauka i kēia?

E ʻike ke kauka i ka maʻi sinus tarsi ma ka hana ʻana i kahi hoʻokolokolo kino . E nānā ʻo ia i kou kuʻekuʻe wāwae i ʻeha, e nānā no ka pehu ʻana, a e palpate i ka wahi i kapa ʻia ʻo sinus tarsi. Hiki ke noi ʻia ʻoe e kū, hele, a lulu paha i kou kuʻekuʻe wāwae. Inā ʻoi aku ka ʻino a i ʻole ka ʻino ke hoʻopā ʻoe, neʻe, a hoʻoneʻe paha i kou kuʻekuʻe wāwae, pono ʻoe e haʻi i kāu kauka.

Inā ʻike ʻoe i ka wā i ʻike mua ai ʻoe i nā hōʻailona, ​​​​ʻoiai i ka wā a me kahi i loaʻa ai ka ʻeha, e haʻi i kāu kauka e pili ana i kēlā mau kikoʻī.

Ua like nā hōʻailona o ka sinus tarsi syndrome me nā ʻano maʻi ʻē aʻe e pili ana i ka kuʻekuʻe wāwae a me ka wāwae. Eia kekahi laʻana:

• ʻO ka rumatika wāwae a me nā kuʻekuʻe wāwae.
• Nā haki koʻikoʻi calcaneal.
• Nā haki o Talus.
• ʻO ka maʻi tunnel Tarsal (`(ʻO ka maʻi tunnel Tarsal)`).

Nā hoʻokolohua no ka sinusitis

Hiki i kāu kauka ke hana i kekahi mau hoʻokolohua kiʻi e kiʻi i nā kiʻi o ka kuʻekuʻe wāwae a me nā wahi a puni:

• X-ray wāwae.
• Hoʻāʻo MRI (Magnetic Resonance Imaging).
• ʻO ke kiʻi CT (`(CT scan - Computed Tomography scan)`).

Pehea e mālama ʻia ai ka Sinus Tarsi Syndrome?

E paipai kāu kauka i nā lāʻau lapaʻau e hōʻemi i ka pehu a me ka ʻeha i loko o kou sinuses. ʻO nā lāʻau lapaʻau i hoʻohana pinepine ʻia:

• Nā lāʻau hoʻopau ʻeha ma luna o ke kauka (OTC): Hiki iā ʻoe ke hoʻohana i nā lāʻau anti-inflammatory nonsteroidal (NSAIDs) a i ʻole acetaminophen (paracetamol) e hōʻemi i ka pehu a me ka ʻeha. Eia naʻe, mai lawe i kēia mau lāʻau no nā lā he 10 a ʻoi me ka ʻole o ke aʻo ʻana a ke kauka.
• Corticosteroids: He mau lāʻau anti-inflammatory ikaika kēia i kuhikuhi ʻia e ke kauka. Hiki i kāu kauka ke hoʻokomo pololei i ka cortisone i loko o kou hui subtalar.
• Hoʻopaʻa ʻana: Pono paha ʻoe e komo i kahi pale kuʻekuʻe wāwae a i ʻole kahi kāmaʻa hele wāwae kūikawā e mālama i kou kuʻekuʻe wāwae i ka neʻe ʻole a palekana i ka wā e ho'ōla ai. Hiki i kāu kauka ke kuhikuhi aku e hoʻopili i kou kuʻekuʻe wāwae no ke kākoʻo hou aku. E aʻo lākou iā ʻoe pehea e hana ai i kēia me ka palekana.
• Hoʻōla kino: E aʻo aku kekahi mea hoʻōla kino iā ʻoe i nā hoʻoikaika kino a me nā kīkoʻo e hoʻoikaika i nā ʻiʻo a puni kou kuʻekuʻe wāwae. E kōkua lākou iā ʻoe e hoʻihoʻi i ka laulā o ka neʻe ʻana o kou kuʻekuʻe wāwae (pehea ka mamao e hiki ai iā ʻoe ke hoʻoneʻe i kou kuʻekuʻe wāwae).
• ʻO Orthotics: He mau mea hoʻokomo kūikawā nā Orthotics i hoʻokomo ʻia i loko o kou mau kāmaʻa. Hiki iā ʻoe ke kūʻai mai kahi hale kūʻai lāʻau lapaʻau, a i ʻole hiki iā ʻoe ke hana kūikawā iā lākou nou. E haʻi aku kāu kauka iā ʻoe i ke ʻano āu e pono ai a me ka lōʻihi o kou pono e ʻaʻahu ai iā lākou. Hiki iā lākou ke paipai i nā kāmaʻa e kākoʻo ana i kou mau wāwae a me nā kuʻekuʻe wāwae (a i ʻole e pale ʻoe i ke komo ʻana i kekahi mau ʻano kāmaʻa).
• ʻO ke ʻoki kino:ʻAʻole pono pinepine ke ʻoki kino no ka maʻi sinus tarsi. E noʻonoʻo wale ke kauka i ke ʻoki kino inā ʻaʻole i kōkua nā lāʻau ʻē aʻe, a inā he ʻeha nui a pehu mau paha kou. Inā pēlā, e wehewehe lākou iā ʻoe i ke ʻano o ke ʻoki kino āu e hana ai a me ka mea e manaʻo ai ma hope.

Hiki ke ho'ōla loa ʻia ka Sinus Tarsi Syndrome?

ʻAe, i ka hapa nui o ka manawa, e hoʻopau ʻia ka maʻi sinusitis ke loaʻa iā ʻoe kahi lāʻau e hiki ke kāohi i kāu mau hōʻailona. I ka emi ʻana o ka pehu ʻana o nā sinuses, e nalo aku nō hoʻi ka ʻeha.

ʻO ka maʻi sinus tarsi i hoʻokumu ʻia e ka ʻeha kuʻekuʻe wāwae e hoʻomaikaʻi mālie i ka wā e ho'ōla ai ka ʻeha. Hiki ke hala ma kahi o hoʻokahi mahina no ka ho'ōla ʻana o ka kuʻekuʻe wāwae.

Eia nō naʻe, inā ua hoʻokumu ʻia kou sinusitis e kahi loli i ke kūlana maoli o kou mau wāwae a i ʻole kekahi kūlana olakino ʻē aʻe, hiki ke lōʻihi ka manawa e ho'ōla ai. E nīnau i kāu kauka a i ʻole he podiatrist e pili ana i kēia.

Pehea ʻoe e pale ai iā ʻoe iho mai kēia kūlana?

ʻAʻole paha hiki ke pale piha iā ʻoe iho mai ka sinus tarsi syndrome, ʻoiai inā he mea pāʻani ʻoe. Akā aia nā ala e hōʻemi ai i kou pilikia.

I ka wā e pāʻani ana i nā haʻuki a i ka wā o ka hana kino:

• E ʻaʻahu i nā lako palekana kūpono (me ke ʻano kāmaʻa kūpono).
• Inā ʻeha kou kuʻekuʻe wāwae i ka wā a ma hope paha o ka hana kino, mai "pāʻani wale i ka ʻeha."
• E hāʻawi i kou mau kuʻekuʻe wāwae i ka manawa e hoʻomaha ai a hoʻōla ma hope o ka hana ikaika.
• E hoʻomehana a hoʻolōʻihi i ka ʻōpū ma mua o ka pāʻani ʻana i nā haʻuki a i ʻole ka hoʻoikaika kino.
• E hoʻomaha a hoʻolōʻihi i ke kino ma hope o ka hana kino.

E hoʻomanaʻo i kēia mau mea e pale aku iā ʻoe iho mai nā pōpilikia:

• E mālama i kou home a me kou wahi hana i maʻemaʻe a ʻaʻohe mea hoʻopilikia.
• I ka hiki ʻana aku i kahi mea kiʻekiʻe o ka hale , e hoʻohana mau i nā lako kūpono (e laʻa me ke alapiʻi). Mai piʻi ma luna o nā noho, nā pākaukau, a i ʻole nā ​​pākaukau.
• Inā pilikia ʻoe i ka hele wāwae a i ʻole ua pilikia nui ʻoe i ka hāʻule ʻana, e hoʻohana i ke koʻokoʻo a i ʻole ka mea hele wāwae.

Āhea wau e ʻike ai i ke kauka?

Inā loaʻa iā ʻoe kahi ʻeha a ke ʻike nei ʻoe i nā hōʻailona o ka maʻi sinusitis, e ʻike i ke kauka. Inā ʻaʻole hoʻomaikaʻi kāu mau hōʻailona ma hope o kekahi mau lā o ka mālama ʻana (a inā e ʻoi aku ka ʻino), e haʻi i kāu kauka.

Āhea wau e hele ai i ka lumi pilikia (ER)?

Inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona, ​​e hele koke i ka lumi pilikia:

• ʻEha nui loa.
• Inā e ʻoi aku ka ʻino o ka pehu.
• Ka loli ʻana o ke kala (e.g. huli polū, huli ʻeleʻele).
• Inā ʻaʻole hiki iā ʻoe ke hoʻoneʻe i kou wāwae a i ʻole kou kuʻekuʻe wāwae.

He aha nā nīnau e pono iaʻu e nīnau aku i kaʻu kauka?

Hiki iā ʻoe ke nīnau i ke kauka i kēia mau nīnau:

• Loaʻa iaʻu ka sinus tarsi syndrome, a i ʻole he pilikia kuʻekuʻe wāwae ʻē aʻe paha?
• Ua ʻeha koʻu kuʻekuʻe wāwae? ʻO ia ke kumu o ka sinus tarsi syndrome?
• Pono anei au e hana i kekahi mau hoʻokolohua?
• He aha ka lāʻau lapaʻau āu e manaʻo ai e kāohi i ka ʻeha a me ka pehu?
• Pehea ka lōʻihi e pono ai iaʻu ke hōʻalo i ka hana kino?

ʻO ka sinus tarsi kahi hakahaka liʻiliʻi i loko o kou kuʻekuʻe wāwae hiki ke ʻeha loa inā huhū. Hana ʻia ka maʻi sinus tarsi i ka wā e pehu ai ka hakahaka liʻiliʻi ma waena o ka iwi kuʻekuʻe wāwae a me ka iwi kuʻekuʻe wāwae ma muli o kahi ʻeha a i ʻole kekahi pilikia ʻē aʻe. ʻO ka sprains kuʻekuʻe wāwae ke kumu pinepine.

Leka Lawe-Home

Inā loaʻa iā ʻoe ka ʻeha o ke kuʻekuʻe wāwae a me ka paʻakikī i ka neʻe ʻana a i ʻole ka hoʻohana ʻana i kou wāwae a kuʻekuʻe wāwae paha—ʻoiai inā ʻike ʻoe ua paheʻe, ʻōwili, a wili paha kou kuʻekuʻe wāwae—he mea nui e ʻike i ke kauka a i ʻole podiatrist. Hiki iā lākou ke kōkua iā ʻoe e hoʻoholo i ke kumu o kāu mau hōʻailona a wehewehe i ka mea hiki iā ʻoe ke hana e kōkua ai i kou kuʻekuʻe wāwae. Hiki i ka maʻi sinus tarsi ke lilo i mea ʻoluʻolu ʻole loa, akā he pilikia manawa pōkole ia. Ke ho'ōla ʻia kou kuʻekuʻe wāwae a emi iho ka pehu, pono ʻoe e hoʻi i kāu mau hana maʻamau. No laila, ʻo ka mea nui loa, ʻaʻole e hopohopo a loaʻa ka lāʻau kūpono.

ʻO ka maʻi Sinus Tarsi, ʻeha kuʻekuʻe wāwae, pehu kuʻekuʻe wāwae, hui Subtalar, kuʻekuʻe wāwae sprain, ʻeha wāwae, maʻi Sinus Tarsi