Ke ʻeha nei ʻoe ma loko o kou kuʻekuʻe wāwae a i ʻole ka lalo o kou wāwae? He Tarsal Tunnel Syndrome paha ia!

Ke manaʻo nei ʻoe i kekahi manawa i kahi ʻūlū, ʻūlū, a i ʻole ka wela ma loko o kou kuʻekuʻe wāwae a i ʻole ma ke kapuwaʻi o kou wāwae? Hiki iā ʻoe ke manaʻo i kahi ʻūlū ma kou wāwae a i ʻole kahi nāwaliwali iki i kou mau ʻiʻo. Mai hoʻokuke wale i kēia mau hōʻailona me he ʻeha kino lā. Hiki i kēia mau hōʻailona ke lilo i maʻi i kapa ʻia ʻo `(Tarsal Tunnel Syndrome)`. No laila, e kamaʻilio kākou e pili ana i kēia me nā kikoʻī hou aku i kēia lā, ʻeā?

He aha ka Tarsal Tunnel Syndrome?

I ka ʻōlelo maʻalahi, ʻo Tarsal Tunnel Syndrome kahi maʻi i hoʻokumu ʻia e ka hōʻino ʻia a i ʻole ke kaomi ʻana i ke aʻalolo Tibial i loko o kou kuʻekuʻe wāwae. Aia ke aʻalolo Tibial ma loko o kou kuʻekuʻe wāwae, ma kahi tunnel liʻiliʻi i hana ʻia me ka iwi a me nā ligaments. Ua kapa ʻia kēia ʻo Tarsal Tunnel. Ua like ia me ka Carpal Tunnel Syndrome i hoʻokumu ʻia e ke kaomi ʻana o kahi aʻalolo e holo ana ma kou pulima.

E noʻonoʻo i kēia ʻano, e like me ka wā e paʻa ai kahi paipu wai, e pau ke kahe ʻana o ka wai. Ke ʻūmiʻi ʻia kēia aʻalolo, e pau ia i ka hoʻouna pono ʻana i nā leka. ʻO ia ka manawa e hoʻomaka ai ʻoe e ʻike i ka ʻeha a me ka mae ʻole aʻu i ʻōlelo ai ma mua.

Pehea ka maʻamau o kēia ʻano?

ʻO kaʻoiaʻiʻo, ʻaʻohe helu kikoʻī e pili ana i ka nui o ka poʻe i loaʻa i ka `(Tarsal Tunnel Syndrome)`. ʻAʻole loaʻa i ka nui o ka poʻe kahi hōʻailona kūpono no kēia maʻi. Manaʻo paha lākou he pilikia wāwae ia. Eia nō naʻe, he mea nui e hoʻomanaʻo e hiki ke hana kēia i kekahi o kēlā me kēia makahiki.

No ke aha e kū mai ai kēia ʻ(Tarsal Tunnel Syndrome)`? He aha nā kumu?

E like me kā mākou i ʻōlelo ai ma mua, hiki mai kēia ʻano ke hōʻino ʻia a ʻomi ʻia paha ke aʻalolo `(Tibial)` ma kekahi ʻano. Aia kekahi mau kumu e hiki ke hoʻopilikia i kēia.

• Kūlana wāwae: Hiki i kekahi poʻe ke hānau ʻia me nā wāwae pālahalaha a i ʻole nā ​​​​​​piʻo kiʻekiʻe . Hiki i kēia mau kūlana ke kau i ke kaomi pono ʻole ma ke aʻalolo.
• ʻEha: Hiki i kahi ulia e like me ka ʻeha kuʻekuʻe wāwae a i ʻole ka haki ke hoʻopaʻa i ke aʻalolo. ʻIke pinepine ʻia ma kahi o 2 i loko o 5 mau kānaka me ka Tarsal Tunnel Syndrome ua loaʻa kahi ʻeha kuʻekuʻe wāwae ma mua.
• Nā ulu ʻano ʻē: I kekahi manawa, hiki ke ʻūmiʻi ʻia ke aʻalolo e nā mea e like me nā cysts ganglion (nā cysts i piha i ka wai), nā spurs iwi (nā spurs iwi), a i ʻole nā ​​​​​​vea varicose ma kahi kuʻekuʻe wāwae.
• Nā puʻupuʻu a i ʻole nā ​​​​ulu ʻana: ʻO nā puʻupuʻu ʻino ʻole e like me nā lipomas a i ʻole nā ​​​​ʻano puʻupuʻu ʻē aʻe hiki ke hana i ke kaomi kokoke i ke aʻalolo.
• Nā kūlana olakino ʻē aʻe: Hiki ke hana ʻia kēia e kekahi mau kūlana olakino maʻamau. Eia kekahi laʻana:
• `(hypothyroidism (ka hana ʻole o ka thyroid gland)
• `(Maʻi diabetes)` (Maʻi diabetes)
• `(Arthritis)` (Mū ʻana o nā hono)

I ka manawa pinepine, ʻoi aku ka nui o ka poʻe e hoʻohana nui ana i ko lākou mau wāwae a me nā kuʻekuʻe wāwae e loaʻa i kēia maʻi. Eia kekahi laʻana, inā he hana kāu e koi ai iā ʻoe e kū i ka lā a pau, a inā ʻoe e hoʻoikaika kino a holo nui paha i kēlā me kēia lā, ʻoi aku ka nui o kou pilikia o ka loaʻa ʻana o kahi aʻalolo i ʻoki ʻia no ka mea ua kaomi mau kou mau kuʻekuʻe wāwae.

He aha nā hōʻailona o ka Tarsal Tunnel Syndrome?

I kēia kūlana, pili nā hōʻailona nui i ka ʻeha o ke aʻalolo. ʻO ka maʻamau, ʻike nui ʻia ka ʻeha ma loko o ke kuʻekuʻe wāwae a me ka ʻaoʻao o ka wāwae. Hiki paha iā ʻoe ke ʻike i nā hōʻailona e like me:

• Nā manaʻo wela
• Māʻule
• Nā manaʻo ʻūlū a i ʻole "pine a me nā nila"
• Ka nāwaliwali o nā ʻiʻo o kou wāwae

I ka manawa pinepine, hiki i kēia mau hōʻailona ke ʻoi aku ka ʻino i ka wā a ma hope paha o ka hana kino. No kekahi poʻe, hiki ke ʻoi aku ka ʻeha i ka pō ke moe lākou. Inā koʻikoʻi ke ʻano a i ʻole ua lōʻihi ka manawa, hiki ke loaʻa kēia mau hōʻailona i nā manawa a pau. E noʻonoʻo, ua mae kou mau wāwae ʻoiai ke kū wale ʻoe, a ʻeha ia ke hele ʻoe. A laila lilo ia i mea paʻakikī ke hana i nā hana o kēlā me kēia lā, ʻeā?

Pehea e ʻike ʻia ai kēia?

Inā loaʻa iā ʻoe kēia mau hōʻailona, ​​ʻo ka mea mua āu e hana ai, ʻo ia ke ʻike i ke kauka. E nīnau ke kauka iā ʻoe e pili ana i kāu mau hōʻailona a laila e nānā i kou kuʻekuʻe wāwae e ʻike inā he pehu a he ʻeha paha.

Eia kekahi, hiki i ke kauka ke hana i kekahi mau hoʻokolohua, e like me:

• Ka hoʻāʻo ʻana o Tinel: Ma kēia hoʻāʻo ʻana, e pā mālie ke kauka i kou aʻalolo tibial. Inā ʻoe e ʻike i kekahi ʻeha a i ʻole ka mae ʻana i kou pā ʻana ma luna, he hōʻailona paha ia o ka tarsal tunnel syndrome.
• Electromyogram (EMG): He hoʻāʻo ʻelua ʻāpana kēia. Hoʻohana ia i nā impulses uila e ana i ka maikaʻi o ka hana ʻana o kou mau aʻalolo a me nā ʻiʻo. Hiki iā ia ke kōkua i ka hoʻoholo ʻana inā ua hōʻino ʻia a huhū paha kahi aʻalolo.
• MRI scan: Hoʻohana ka MRI i nā kahua magnetic a me nā nalu lekiō e hana i nā kiʻi kikoʻī o nā ʻiʻo palupalu a me nā iwi i loko o kou kino. Hiki i kēia ke kōkua i ka hoʻoholo ʻana inā he hōʻino i nā aʻalolo a inā paha he mea e kaomi ana i nā aʻalolo, e like me ka puʻupuʻu.

Pehea e mālama ʻia ai ka Tarsal Tunnel Syndrome?

ʻO ka nūhou maikaʻi, hiki i ka hapa nui o ka poʻe ke kaohi i kēia mau hōʻailona me nā lāʻau lapaʻau maʻalahi hiki iā lākou ke hana ma ka home a i ʻole me nā lāʻau lapaʻau ʻaʻole invasive i kauoha ʻia e ke kauka.

Nā mea hiki iā ʻoe ke hana ma ka home:

• Hoʻomaha: ʻO ka hoʻomaha ʻana i kou wāwae no kekahi mau lā a i ʻole mau pule e hiki ke kōkua i ka ho'ōla ʻana i ka ʻeha a pale i ka hōʻino hou aʻe. ʻO ke ʻano kēia e hōʻemi i ka holo ʻana a me ka lele ʻana a hāʻawi i kou wāwae i kahi hoʻomaha.
• Hau: E kau i kahi ʻeke hau ma ka ʻāpana i ʻeha no kahi o 20 mau minuke i kekahi mau manawa i ka lā. Hiki i kēia ke kōkua i ka hōʻemi ʻana i ka pehu a me ka ʻeha.
• Ka hoʻopaʻa ʻana a me ke kiʻekiʻe ʻana: Hiki iā ʻoe ke komo i kahi kāʻei elastic a i ʻole ke kākoʻo e hāʻawi i ke kākoʻo a puni ka kuʻekuʻe wāwae. Eia kekahi, ʻo ka mālama ʻana i ka wāwae ma luna o ka puʻuwai i nā manawa hiki ke kōkua i ka hōʻemi ʻana i ka pehu.
• Nā lāʻau hoʻopau ʻeha (NSAID): Hiki i nā lāʻau hoʻopau ʻeha ma luna o ke kauka (NSAID), e like me ka ibuprofen, ke kōkua i ka hōʻemi ʻana i ka ʻeha a me ka mumū. Eia nō naʻe, ʻoi aku ka maikaʻi o ke nīnau ʻana i ke kauka a i ʻole ka mea kūʻai lāʻau ma mua o ka hoʻohana ʻana i kēia mau mea.

ʻO nā lāʻau lapaʻau ʻē aʻe a ke kauka e ʻōlelo ai:

• Nā Kāʻei Paʻa, Nā Mea Hoʻolei, a i ʻole Nā ʻĀpana: ʻO ka hoʻopaʻa ʻana i kou wāwae me kahi mea hoʻolei a i ʻole ka ʻāpana paʻa e hiki ke kōkua i ka ho'ōla ʻana o ke aʻalolo. Inā he mau wāwae pālahalaha kou a inā koʻikoʻi paha kāu mau hōʻailona, ​​​​hiki i kāu kauka ke ʻōlelo aku i kahi kākoʻo e hōʻemi i ke kaomi ma kou wāwae.
• Orthotics: Hiki ke hoʻokomo ʻia nā mea hoʻokomo kāmaʻa i hana ʻia (orthotics) i loko o kou mau kāmaʻa e kōkua i ka mālama ʻana i ke kūlou o kou wāwae ma kahi. Hiki i kēia ke kōkua i ka hōʻemi ʻana i ka nui o ka neʻe ʻana e hiki ke ʻūmiʻi i ke aʻalolo. ʻO ke komo ʻana i nā kāmaʻa e hōʻemi ana i ka pronation a hāʻawi i ke kūpaʻa maikaʻi hiki ke kōkua i ka hōʻemi ʻana i ke kaomi ma ke aʻalolo.
• Hoʻōla kino: E aʻo aku kekahi mea hoʻōla kino iā ʻoe i nā hoʻomaʻamaʻa a me nā hoʻolōʻihi e hiki ke kōkua i ka hoʻomaikaʻi ʻana i ka ikaika o kou wāwae a me ke ʻano o ka neʻe ʻana.
• Nā inikini steroid: No ka hōʻemi ʻana i ka ʻeha a me ka mumū, hiki i kāu kauka ke kuhikuhi i nā lāʻau steroid e lawe ai a i ʻole nā ​​inikini steroid pololei i kou kuʻekuʻe wāwae.

Pono anei au i ke ʻoki kino no ka Tarsal Tunnel Syndrome?

ʻO ka maʻamau, e noʻonoʻo wale ke kauka i ke ʻoki kino inā ʻaʻole i holo pono nā lāʻau ʻē aʻe. Aia nā ʻoki kino e hoʻokuʻu i ke aʻalolo tibial a i ʻole e hoʻonui i ke ala tarsal. Inā e ʻomi ʻia ke aʻalolo e kahi mea e like me ka puʻupuʻu, e wehe ke kauka ʻoki kino iā ia.

Akā e hoʻomanaʻo, ʻaʻole pono nā kānaka a pau i ke ʻoki kino. I nā manawa he nui, hiki i nā lāʻau lapaʻau ʻoki kino ʻole ke hāʻawi i ka hōʻoluʻolu maikaʻi.

Pehea e hiki ai iā ʻoe ke pale aku i ka Tarsal Tunnel Syndrome?

ʻAʻohe ala e pale aku ai i kēia mai ka hana ʻana. Eia nō naʻe, aia kekahi mau mea hiki iā ʻoe ke hana e hōʻemi i kou pilikia:

• E hoʻomaha kūpono i ka wā hoʻoikaika kino: E pale i nā ʻeha o ka hoʻohana nui ʻana ma ke kau mau ʻana i ke kaomi ma kou mau wāwae.
• E hohola i kou mau wāwae a me nā kuʻekuʻe wāwae i kēlā me kēia manawa: Kōkua kēia i ka mālama ʻana i kou mau ʻiʻo a me nā ligaments i ka palupalu.
• E hoʻomehana maikaʻi ma mua o ka hoʻoikaika kino ʻana: E hoʻomākaukau mālie i kou kino, ma mua o ka hoʻomaka ʻana i ka hoʻoikaika kino nui i ka manawa hoʻokahi.
• E ʻaʻahu i nā kāmaʻa e kūpono i kou mau wāwae a loaʻa ke kākoʻo: E pale i ke komo ʻana i nā kāmaʻa paʻa a kūpono ʻole paha.

Pehea ka lōʻihi e hiki ai i ka Tarsal Tunnel Syndrome ke mau?

I kekahi manawa, hiki ke nalo loa nā hōʻailona ke mālama ʻia ke kumu kumu. Eia kekahi laʻana, inā i hana ʻia e ka "Bone spur" a i ʻole "Lipoma", ʻo ka mālama ʻana i kēlā mea e kōkua paha i ka nalo ʻana o nā hōʻailona.

Eia nō naʻe, pono ka hapa nui o ka poʻe e noho me kēia mau hōʻailona no ka manawa lōʻihi, ʻo ia hoʻi, pono lākou e hoʻokele i nā hōʻailona. ʻOiai inā loaʻa iā ʻoe kahi maʻi mau e like me `(Arthritis)`, ʻoi aku ka liʻiliʻi o ka hiki ke ho'ōla loa ʻia `(Tarsal Tunnel Syndrome)`.

Hiki i ka Tarsal Tunnel Syndrome ke loaʻa nā hopena lōʻihi?

ʻAe, inā ʻaʻole mālama ʻia, hiki i ka tarsal tunnel syndrome ke hōʻeha mau loa i ke aʻalolo. Ke hōʻeha ʻia ke aʻalolo, ʻaʻole paha e hiki ke hoʻihoʻi ʻia. Hiki iā ia ke paʻakikī iā ʻoe ke hele wāwae, hoʻoikaika kino, a hana pū i nā hana o kēlā me kēia lā.

ʻO ka mea pōmaikaʻi, me ka mālama pono ʻana, hiki ke hoʻomalu maikaʻi ʻia nā hōʻailona o ka `(Tarsal Tunnel Syndrome)`. No nā hopena maikaʻi loa, he mea nui e ʻimi i ka mālama ʻana i ka wā e hoʻomaka ai nā hōʻailona. I kekahi manawa, ma muli o ke kumu o ka `(Tarsal Tunnel Syndrome),` hiki i ka mālama ʻana ke hoʻōla loa i ke kūlana.

He aha hou aʻe kaʻu e nīnau aku ai i kaʻu kauka?

Ke hele ʻoe e ʻike i ke kauka, he mea maikaʻi ke nīnau i kekahi mau nīnau e like me kēia:

• He aha ke kumu nui i koʻu ulu ʻana i ka Tarsal Tunnel Syndrome?
• Hiki i nā hoʻomaʻamaʻa home ke hōʻemi i ka ʻeha o nā wāwae?
• He aha nā koho lapaʻau e loaʻa iaʻu?
• I ka manawa hea e noʻonoʻo ai ʻoe i ke ʻoki kino no ka Tarsal Tunnel Syndrome?
• He aha kaʻu e hana ai e pale aku ai i kēia mau hōʻailona mai ka hoʻi hou ʻana ma hope o ka lāʻau lapaʻau?

He aha nā maʻi ʻē aʻe i loaʻa nā hōʻailona like me ka `(Tarsal Tunnel Syndrome)`?

Hiki i kekahi mau maʻi wāwae ʻē aʻe ke loaʻa nā hōʻailona like me nā Tarsal Tunnel Syndrome. No laila, he mea nui e ʻike i ke kauka no ka ʻike kūpono a me ka mālama ʻana. Eia kekahi mau maʻi i loaʻa nā hōʻailona like:

• ʻO ka bursitis
• `(ʻO ka maʻi ʻāpana)`
• ʻO ka `(Plantar fasciitis)` (ka mumū o kahi membrane ma ke kapuwaʻi o ka wāwae)
• ʻO ka ʻeha o ka ʻōpū (Tendinitis)

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

ʻO ka Tarsal Tunnel Syndrome kahi maʻi e hoʻopilikia ai i kou wāwae a me kou kuʻekuʻe wāwae. Hana ʻia ia i ka wā e hōʻino ʻia ai ke aʻalolo tibial. Hoʻokumu pinepine ʻia e nā ʻeha hoʻohana nui ʻia.

Akā, mai hopohopo! Hiki i nā poʻe he nui ke loaʻa ka hōʻoluʻolu mai nā hōʻailona o ka Tarsal Tunnel Syndrome me nā lāʻau lapaʻau ʻoki ʻole. Hiki i kāu kauka ke kuhikuhi i nā lāʻau lapaʻau, nā inikini steroid, a i ʻole nā ​​orthotics i kūpono iā ʻoe. Pono paha ke ʻoki ʻana i nā hihia koʻikoʻi.

ʻO ka mea nui loa, ʻo ia ke ʻimi i ke kōkua lapaʻau i ka wā e hoʻomaka ai nā hōʻailona. Ma kēlā ʻano, hiki iā ʻoe ke hoʻomaka koke i ka lāʻau kūpono a pale i ka ʻino ʻana o ke kūlana. E mālama i kou mau wāwae!

ʻO ka maʻi tunnel Tarsal, ʻeha kuʻekuʻe wāwae, ʻeha wāwae, ʻūlū ʻana o ke aʻalolo, ke aʻalolo tibial, ka maneʻo o ka wāwae, nā maʻi kuʻekuʻe wāwae