Yu sholda dɔn frɔz bak? Lɛ wi tɔk bɔt ‘Frɔzɛn Sɔlda’ (Adhesive Capsulitis)!

Yu dɔn ɛva fil lɛk se yu sholda dɔn frɔz wantɛm wantɛm, yu nɔ ebul fɔ es yu an ɔp, ɔ i nɔ izi fɔ yu fɔ du simpul tin dɛn lɛk fɔ kɔm yu ia ɔ chenj klos? Yu kin wek na nɛt wit shap pen na yu sholda, yu nɔ ebul fɔ tɔn to wan say, ɔ yu nɔ ebul fɔ muv? Dis na wetin wi kin kɔl ‘Frozen Shoulder’. Pan ɔl we i kin mek pɔsin vɛks smɔl, i nɔto natin fɔ fred. Lɛ wi ɔndastand dis ditayli.

Fɔ tɔk am simpul wan, wetin na ‘Frozen Shoulder’?

Di ɔda mɛrɛsin nem fɔ ‘Frozen Shoulder’ na ‘Adhesive Capsulitis’ . Dis na we di tisu dɛn we de rawnd yu sholda jɔyn kin tik, stif, ɛn nɔ kin mek yu muv.

Imajin, wi sholda jɔyn na tri bon dɛn we dɛn jɔyn . dat min se di כp an bon (humerus), di sכlda bon ( scapula ), εn di kכlabon (klavikul). Dɛn kin ol dɛn bon ya togɛda ɛn dɛn kin yuz wan strɔng tin we tan lɛk sak fɔ protɛkt dɛn. Dɛn kɔl dis di sholda kapsul.

we ‘frozen sholda’ de divεlכp, dis kapsul de tik sכmtεm, i de stif, εn i de stika. I tan lɛk wet klos we de stik togɛda. i de ridyus bak di amount of synovial fluid we de εp di joyn fכ glid. Dis kin mek i rili at fɔ muv di sholda. Yu de ridyus di yus fɔ di sholda bikɔs ɔf di pen. Di lɔng we yu nɔ de yuz am, na di mɔ di kapsul de tayt. afta dat, di sכlda de fil "froz" na wan ples.

Wetin na di simptom ɛn stej dɛm fɔ ‘Frozen Shoulder’?

Di men sayn dɛm na di pen ɛn stiffness na di sholda. Dis kin mek i rili at, sɔntɛnde i nɔ kin izi fɔ muv di sholda. Dis pen kin fil lɛk pen wae nɔr de fil fayn ɛn wae de fil pen. Fɔ sɔm pipul dɛn, de pen kin wɔs na nɛt, ɛn dis kin mek i nɔ kin izi fɔ slip.

Dis sik kin pas tri stej. Lɛ wi si wetin na dɛn tri stej dɛn de.

Wetin mek ‘Frɔzɛn Sɔlda’ kin apin? Wetin na di tin dɛn we kin mek pɔsin gɛt prɔblɛm ?

Nɔr patikyula rizin nɔr de fɔ mek dis kin apun to sɔm pipul dɛm, bɔt sɔm grup kin gɛt bɔrku risk fɔ gɛt dis.

• Ej ɛn man ɔ uman: Uman dɛn kin gɛt dis sik, ɛn i kin bɔku pan pipul dɛn we ol bitwin 40 ɛn 60 ia.
• Sholda immobilization: If yu nɔ ebul fɔ muv yu sholda fɔ lɔng tɛm fɔ sɔm rizin (fɔ ɛgzampul, afta yu an brok na kɔst, afta yu dɔn strok , ɔ afta yu dɔn ɔpreshɔn), dis risk kin go ɔp.
• Ɔda tin dɛn we kin apin to pɔsin: Wan tin de bak we gɛt fɔ du wit dis ɛn sɔm sik dɛn we pɔsin kin gɛt. Pipul wae gɛt dayabitis kin gɛt 10% - 20% inkris risk fɔ gɛt ‘Frozen Shoulder’. Apat frɔm dat, pipul dɛn we gɛt dɛn sik ya kin gɛt mɔ prɔblɛm bak:
• At sik
• Tayrɔyd sik
• Dis sik we dɛn kɔl Parkinson

Aw di dɔktɔ no dis?

No patikyula tɛst nɔ de fɔ ‘Frɔzɛn Sɔlda’. Di fɔs tin we yu dɔktɔ go du na fɔ chɛk yu bɔdi.

Dis fyzikal egzamin kin ɔltɛm no di sik. Bɔt dɛn kin du ɛkstrem rayt, ɔltra saund, ɔ MRI skan fɔ no ɔda tin dɛn lɛk at at sik ɔ rɔta kɔf we dɔn rɔtin.

Wetin na di tritmɛnt dɛm fɔ ‘Frozen Shoulder’?

Di gud nyus na dat, bɔku pan di kes dɛm we di shɔlda dɔn frɔz go sɔlv fɔ dɛnsɛf as tɛm de go, ilɛksɛf dɛn nɔ trit am. Bɔt i kin tek tɛm, so i impɔtant fɔ gɛt tritmɛnt fɔ kɔntrol di pen ɛn mek yu sholda kam bak to nɔmal.

Simpul pen kil, lɛk NSAID (Nonsteroidal anti-inflammatory drugs) lɛk ibuprofen, kin ɛp fɔ ridyus pen ɛn swel. If dɛn tin ya nɔ go du, yu dɔktɔ kin gi yu wan mɛrɛsin we strɔng pas am.

If di sayn dɛm wae de sho se yu gɛt dis sik bad bad wan ɔr nɔr de bɛtɛ as tɛm de go, yu dɔktɔ kin tɛl yu fɔ du ɔda tritmɛnt.

• Kכtikostεroyd injεkshכn: Injεkshכn na di sכlda jכint kin rεdכks pen kwik kwik wan εn i kin mek i ebul fכ muv bכku.
• Joint distension: Insay dis prosidur, yu dɔktɔ kin injekt steril wata insay yu sholda kapsul, we kin mek i big. Dis kin ɛp yu sholda fɔ muv izi wan.
• Fizik tritmɛnt: Ɛksesaiz we dɛn du ɔnda spɛshal gayd kin ɛp fɔ mek di sholda wok fayn bak, bɔt dis kin wok mɔ pan sɔm stej dɛm na di sik.
• Ɔpreshɔn: Dis nɔ kin nid fɔ du bɔku tɛm. Bɔt if no ɔda tritmɛnt nɔ de wok fayn, yu dɔktɔ kin tɛl yu fɔ du ɔpreshɔn wit at, we dɛn kin yuz smɔl kamɛra ɛn inschrumɛnt fɔ pul ɛnitin we dɔn stɔp insay di sholda.

We dɛn fɔ pul pen na os

• Ɔt/kol kɔmprɛs: If yu put ɔt ɔ kol wata bɔtul, i kin ɛp fɔ ridyus pen ɛn swel. Lɛf am fɔ 15-20 minit. Yu kin chenj chenj bak bitwin di tu tin dɛn.
• TENS tεrapi (`Transcutaneous electrical nerve stimulation`): Dis involv fכ sεnd lכw vכltεj ilektrikal kכrant tru di skin we yu de yuz sכmכl divays, we de blכk di pen signal dεm fכ rich di bren. Bɔt yu fɔ rili tɔk to yu dɔktɔ bifo yu yuz dis kayn tin.

Simpul ɛksesaiz dɛn we fayn fɔ di sholda dɛn

If yu du ɛksɛsayz na yu sholda saful saful, dat kin ɛp fɔ mek yu nɔ gɛt dis sik ɛn ivin mek i nɔ bigin fɔ gɛt am. Bɔt mɛmba se i bɛtɛ fɔ go to dɔktɔ ɔ pɔsin we de mɛn yu bɔdi bifo yu bigin fɔ du dɛn ɛgzampul ya. Nɔ du dɛn so tranga wan dat dɛn go mek yu fil pen.

Wam yu sholda bifo yu du ɛksɛsayz. Di bɛst we na fɔ was wit ɔt.

• Pεndulum strεch: Stand strεt εn mek di an we de pen hang fri wan dכn. Wit di ɔda an, ledɔm pan wan tebul. Naw, rɔta di an we de pen insay wan smɔl sɛklɔ 10 tɛm to wan say ɛn 10 tɛm to di ɔda say.
• Krɔs-bɔdi rich: Wit yu gud an, grap di ɛlb na di an we gɛt pen. Naw pul di an we gɛt pen akɔdin to yu chɛst to di ɔda say. Hol fɔ 15-20 sɛkɔn te yu fil se yu sholda strɛch. Du dis 10-20 tɛm insay di de.
• Tawɛl strɛch: Hol tawɛl we lɔng lɛk 3 fit frɔm biɛn. Hol am wit yu gud an ɔp ɛn yu an we de at dɔŋ. Naw, pul di tawɛl ɔp wit yu gud an. Hol fɔ 10 sɛkɔn te yu fil se yu strɛch na di sholda na yu an we de at.

Aw fɔ slip wit ‘Frɔzɛn Sɔlda’?

De big prɔblɛm wit dis sik na wae de pen kin wɔs na nɛt. Dɛn advays ya go ɛp yu.

• Yuz di rayt pilo: Pik pilo we go mek yu ed, yu nɛk, ɛn yu spayna stret.
• Yuz ɛkstra pilo: Slip na di sayd we nɔ de mek yu fil pen. Put wan pilo bitwin yu an dɛn. Dis go ɛp fɔ mek yu sholda dɛn alaynɛd.
• Slip wam: Put ɔt wata bɔtul na yu sholda bifo yu go slip. Dis go ɛp fɔ ridyus di pen ɛn ɛp yu fɔ slip fayn.