Yu dɔn ɛva fil pen ɔ stif na di say we yu big fut de we yu de waka? Yu kin si am se i nɔ kin izi fɔ bɛn yu fut we yu fɔs grap na mɔnin? Ɔ yu kin fil se yu big fut dɔn stɔp we yu wɛr yu sus? If yu gɛt dɛn kayn sik ya, di tin we kin mek yu gɛt dis sik kin bɔku pas aw yu tink. Tide wi de tɔk bɔt wan kɔndishɔn we dɛn kɔl ‘Hallux Rigidus’ we kin afɛkt bɔku pipul dɛn, bɔt dɛn nɔ kin tɔk bɔt am bɔku.
Wetin rili na Hallux Rigidus?
Fɔ tɔk am simpul wan, Hallux Rigidus na wan kayn at at sik we kin apin na yu big fut. Spɛshal wan, i kin afɛkt di jɔyn usay yu big fut de kɔnɛkt to yu fut. pan mεdikal, wi kin kכl dis jכint di mεtatarsophalangeal, כ MTP, jכint.
We yu yɛri di wɔd "atraytis," yu go dɔn no se na jɛnɛral wɔd fɔ wan grup fɔ sik dɛn we de mek yu jɔyn dɛn swel ɛn pen. So sɔmtɛm, dɔktɔ dɛn kin kɔl dis sik, Hallux Rigidus, “atraytis na di big fut.”
Di Latin wɔd ‘Hallux Rigidus’ min "stɔk big tɔ." Dis kin ɛksplen di men sayn fɔ dis sik. dis kכndishכn de mek di MTP jכint de pen εn stif. Dɛn kin rili tek am as wan kayn at at sik we dɛn kɔl ɔstiɔ-arayt, we kin kam bikɔs i kin west as tɛm de go .
If yu de gɛt sɔm sayn dɛn lɛk pen, stif, ɔ swel na yu big fut, di bɛst tin fɔ du na fɔ go to dɔktɔ kwik kwik wan.
Aw dis sik kin kɔmɔn?
Yu go sɔprayz fɔ yɛri dis. Masta sabi bukman dɛn se lɛk wan pan ɛvri 40 big pipul dɛn we dɔn pas 50 ia gɛt wan sik we dɛn kɔl Hallux Rigidus. Na di kayn at at sik bak we kin apin pas ɔl na di fut.
pan di kכndyushכn dεm we de afekt di big tכt jכint, Hallux Rigidus na di sεkכn kכmכn kכndyushכn afta di bunion we dεn kכl bכku bכku wan (Bunions כ Hallux Valgus).
Wetin na di sayn dɛm fɔ Hallux Rigidus?
Okay, naw lɛ wi si us sayn dɛm pɔrsin wae gɛt dis sik kin sho. Fɔ ɔndastand dis klia wan, lɛ wi luk am dis we.
| Di sayn we de sho se di sik de | Tɔk bɔt |
|---|---|
| Pen | Pen na ɔ rawnd di big fut. Bɔku tɛm, dɛn kin fil di pen na di tɔp pan di fut. Bɔt sɔntɛnde i kin fil lɛk se yu de fil dip pen we de kɔmɔt insay di fut. |
| Stiffness/lɔs fɔ fleksibiliti | I kin at fɔ bɛn ɔ stret di big fut. I kin tan lɛk se i dɔn stɔp. Dis kin notis mɔ na mɔnin. |
| De swɛl | Yu kin notis se yu de swel rawnd di jɔyn na di big fut. |
| Di ebul we i nɔ ebul fɔ muv igen | As tɛm de go, di say we pɔsin kin muv ɔp ɛn dɔŋ di finga we nɔ gɛt pen kin go dɔŋ smɔl smɔl. |
| Sɔntin we tan lɛk knot | wan bכmp we lεk bכniכn כ kכlכs kin apia na di tכp pan di big tכ. Dɛn tin ya kin rili bi bikɔs ɔf bon spur. |
Tin dɛn we de mek dɛn kwaliti dɛn ya bɛtɛ
Sɔm tin ɛn tin kin mek yu sik wɔs.
- We yu tinap ɔ waka: Di pen kin go ɔp as yu de put di wet pan di jɔyn.
- Kol, humid weta: Joint pen kin fil bad bad wan pan kol de.
- We yu wɛr tayt sus: We yu wɛr sus we de stɔp yu fut finga dɛn ɛn we nɔ fit yu fut fayn, dat kin mek yu gɛt mɔ prɛshɔn pan di jɔyn ɛn i kin mek yu fil pen mɔ ɛn mɔ.
Wetin mek Hallux Rigidus kin apin?
Bɔku tɛm, i nɔ kin izi fɔ fɛn klia rizin fɔ dis sik. Di men rizin na di wear ɛn tear we kin apin na wi jɔyn dɛn as tɛm de go. As wi de ol, di katilej we de protɛkt wi jɔyn dɛn de west. Dis wear ɛn tear na di praymar kɔz fɔ Hallux Rigidus ɛn ɔda ɔstio-arthritis kɔndishɔn dɛm.
Jɔs tink se, wit ɛvri stɛp we wi tek, tu tɛm di pawa we wi bɔdi wet gɛt de aplay to dis smɔl MTP jɔyn. So, we yu de bia dis kayn prɛshɔn ɔlsay na yu layf, i nɔmal fɔ mek di jɔyn west.
Apat frɔm dis men rizin, bɔku ɔda rizin dɛn kin afɛkt dis:
- Yuz di MTP jɔyn pasmak: If dɛn put prɛshɔn pasmak pan di big tɔ jɔyn we dɛn de du spɔt, tin dɛn we yu lɛk fɔ du, ɔ we yu de wok.
- Toe bump: If di big tɔ bump sɔmsay.
- Turf toe: Na tin we tan lɛk sprain we kin kam we yu bɛn di jɔyn na di fut ɔp fɔs fɔs we yu de ple.
- Pozishכn fכ di bon dεm na di fut: sכm pipul dεn gεt bon dεm na dεn fut εn fut finga dεm we lכng pas nכmal. Dɛn kayn pipul ya kin gɛt dis sik bak.
Udat de pan denja fɔ gɛt dis sik?
Pan ɔl we ɛnibɔdi kin gɛt Hallux Rigidus, sɔm pipul dɛn kin gɛt smɔl prɔblɛm.
- Pipul dɛn we dɔn pas 50 ia
- Uman dɛn
- Di wan dɛn we de ple
- Fo di wan dem we de tinap ol de bikos of wok
Dɔn bak, sɔm kayn mɛrɛsin kin mek yu gɛt Hallux Rigidus.
- Rimatɔyd Atraytis
- Gout we pɔsin kin gɛt
- Autoimyun dizayd wae de mek yu inflameshn
- Osteochondritis Dissekan dɛn we gɛt di sik
Aw dɔktɔ kin no bɔt dis?
We yu go to dɔktɔ, di fɔs tin we i go du na fɔ chɛk yu fut. Di dɔktɔ go bɛn yu big fut ɔp ɛn dɔŋ ɛn chɛk di say we i de muv. I go chɛk aw fa yu go ebul fɔ bɛn yu fut we yu nɔ go fil pen. Dɛn kin sɛn yu bak to dɔktɔ we de mɛn yu fut, we na pɔsin we sabi bɔt fut.
Apat frɔm dat, yu kin du ɛkstrem rayt bak na yu fut fɔ chɛk aw di jɔyn de ɛn fɔ si if ɛni bon spur de.
Stej dɛn de fɔ Hallux Rigidus?
Yɛs, i go dipen pan aw dis sik tranga, yu dɔktɔ kin sheb am to difrɛn stej dɛn, ɔ gred dɛn, i go dipen pan aw yu big fut nɔ de muv bɛtɛ.
| Mak | Pozishɔn |
|---|---|
| Gret 0 we de na di skul | di muvmεnt fכ di finga we afekt de 10% - 20% lεs pas di hεlty finga. |
| Gret 1 we de na di skul | Muvmεnt de ridyus bay 20% - 50%. |
| Gret 2 we de na di skul | Muvmεnt de ridyus bay 50% - 75%. |
| Gret 3 we de na di skul | di muvmεnt de ridyus bay 75% - 100% (klose to komplit fכ fכs). |
| Gret 4 we de na di skul | di muvmεnt de rεdכks bay 75% - 100%, εn bכku pen de we yu de muv di finga. |
Wetin na di bɛst tritmɛnt fɔ Hallux Rigidus?
De tritmɛnt wae yu nid go dipen pan aw yu de fil bad ɛn de tin wae de mek yu gɛt dis sik. Yu dɔktɔ kin tɛl yu fɔ du dɛn tin ya: Dɛn tritmɛnt ya nɔto ɔspitul.
- Fɔ chenj yu sus: We yu wɛr sus we nɔ gɛt bɛtɛ trɛnk ɛn we de alaw bɔku ples fɔ yu fut finga dɛn, dat kin ɛp fɔ ridyus di prɛshɔn we de pan di MTP jɔyn. If yu wɛr sus we gɛt tik tik stif fut, dat kin ɛp fɔ mek yu nɔ fil pen. Nɔ yuz ay il ɛn sus we gɛt smɔl bɔks dɛn na yu fut.
- Fɔ mek di fut nɔ muv: Yu dɔktɔ go se yu fɔ yuz pad dɛn we yu kin put insay di sus, sɔpɔt di big fut, ɛn nɔ muv igen. Dɛn kin se bak fɔ avɔyd tin dɛn we de put prɛshɔ pan di jɔyn, lɛk fɔ rɔn ɛn jomp fɔ sɔm tɛm.
- Di mɛrɛsin dɛn we de mek yu fil pen: Yu dɔktɔ kin gi yu mɛrɛsin dɛn we nɔ de mek yu fil pen (NSAID) fɔ mek yu nɔ swel ɛn nɔ fil pen.
- Ays: If yu put ays pak, dat kin ɛp fɔ mek yu nɔ fil pen ɛn nɔ swel. Mɛmba fɔ rap di ays pak wit tin tawɛl. Nɔ put ays dairekt pan di skin. Aks yu dɔktɔ ɔmɔs tɛm insay di de ɛn fɔ aw lɔng.
- Kɔtikosterɔyd: Dɛn wan ya na pawaful kayn mɛrɛsin we de ridyus di inflamɛns. Yu kin nid bak fɔ gɛt kɔtizɔn injɛkshɔn dairekt insay di jɔyn na yu big fut.
- Sok yu fut insay ɔt/kol wata:Fɔ ridyus di swel, yu dɔktɔ kin se yu fɔ du ``kɔntrast bat'', we na tritmɛnt we kin chenj bitwin ɔt ɛn kol wata. Dis min se yu fɔ put yu fut insay ɔt wata fɔ 30 sɛkɔn, dɔn yu fɔ put kol wata fɔ di nɛks 30 sɛkɔn.
- Cheilectomy ɛn Arthroplasty: Yu go nid fɔ wɛr spɛshal sus fɔ lɛk tu wiks so. Afta dat, yu kin wɛr sus we yu kin wɛr ɔltɛm. Di swɛlin kin las fɔ sɔm mɔnt.
- Osteotomy: I kin tek lɛk 6-8 wiks fɔ mek di swel go dɔŋ. I kin tek lɛk 3 mɔnt fɔ mek i wɛl kɔmplit wan.
- Joint Fusion: Yu go nid fɔ wɛr kas ɔ spɛshal but fɔ lɛk 3-6 wik. Afta dat, yu go nid fɔ yuz stik dɛn. Di swel ɛn stif kin las fɔ sɔm mɔnt.
- Ɛksesaiz: Du simpul ɛgzampul dɛn we go mek di big tɔ jɔyn nɔ chenj.
- Rɛst di jɔyn: Rɛst di jɔyn afta yu dɔn du tranga wok. Nɔ ɛva ɛksesaiz tru pen.
- We yu wɛr di rayt sus: Wear sus we fit yu fut fayn ɛn we gɛt bɔku ples fɔ yu fut finga dɛn.
- Hallux Rigidus na wan kɔmɔn at at sik we kin afɛkt di jɔyn na yu big fut ɛn na bikɔs yu yuz am pasmak.
- Di men sayn dɛm na pen, stif, ɛn swel.
- Bɔrku tɛm, dɛn kin kɔntrol di sayn dɛm fayn fayn wan wit tritmɛnt dɛm wae nɔr gɛt ɔspitul (di rayt sus, ɛksɛsayz, mɛrɛsin).
- If yu gɛt pen na yu big fut, i rili impɔtant fɔ go to dɔktɔ kwik kwik wan.
- If di sayn dɛn kin rili bad ɛn i kin ambɔg di layf we pɔsin kin liv ɛvride, ɔpreshɔn kin gi yu sɔlv fɔ ɔltɛm.
Impɔtant: Nɔ yuz dɛn tin ya ɔltɛm fɔ pas 10 dez we yu nɔ tɔk to yu dɔktɔ.
Yu tink se a go gɛt fɔ du ɔpreshɔn?
Bɔrku pipul nɔr nid ɔpreshɔn fɔ Hallux Rigidus. If di tritmɛnt dɛn we wi dɔn tɔk bɔt nɔ de kɔntrol di sik dɛn we yu de gɛt, ɔ if di pen de ambɔg di tin dɛn we yu de du ɛvride, yu dɔktɔ go tɛl yu fɔ du ɔpreshɔn.
| Di Nem fɔ di Prɔsidyu | Wetin yu jɔs de du? |
|---|---|
| Cheilectomy we dɛn kin du | na ya, di sajin de pul di bon spur dεm na di MTP jכint. Dis kin mek di finga ebul fɔ bɛn izi wan, i kin mek di pen nɔ bɔku, ɛn i kin mek sɔm say dɛn we di jɔyn de muv bak. |
| Osteotomy we dɛn kin du | di bon dεm na di big tכd dεn kin kכt εn rilayn fכ chenj di posishכn fכ di jכint. Dis kin mek di prɛshɔn we de na di jɔyn nɔ bɔku. |
| Arthroplasty we dɛn kin du | Dis na ɔpreshɔn fɔ chenj di jɔyn dɛn. Dɛn kin pul di bon we dɔn pwɛl ɛn put atifishal pat ɔ ɔda tisu insay fɔ bil di jɔyn bak. |
| Arthrodesis we dɛn kɔl Arthrodesis | Dis na ɔpreshɔn we dɛn kin du fɔ mek dɛn jɔyn dɛn. Dɛn kin pul di katilej we dɔn pwɛl kpatakpata ɛn dɛn kin yuz stik ɔ plet fɔ fiks di tu bon dɛn na di jɔyn togɛda. Dis na sɔlv we go de sote go, bɔt afta di ɔpreshɔn, yu nɔ go ebul fɔ bɛn yu big fut. |
Aw lɔng i kin tek fɔ mek i wɛl?
De tɛm fɔ wɛl kin dipen pan de tritmɛnt wae yu bin gɛt ɛn aw de sik tranga. If dɛn kɔntrol yu sik dɛn wit simpul tin lɛk fɔ chenj sus ɛn yuz pad, yu kin go bak to nɔmal tin dɛn jɔs afta yu dɔktɔ gi yu di okay.
If yu gɛt ɔpreshɔn, di tɛm we yu go wɛl go difrɛn difrɛn wan bay di kayn ɔpreshɔn:
De impɔtant tin na dat, bɔrku sɔlv de wae kin ɛp yu fɔ kɔntrol yu sik, nɔr de fil pen, ɛn liv nɔrmal layf.
Yu nɔ tink se dis nɔ go apin?
I nɔ kin izi fɔ mek dɛn nɔ gɛt Hallux Rigidus kpatakpata, bikɔs di ej ɛn di tin dɛn we kin mek pɔsin gɛt jɛnɛtiks kin afɛkt am. Bɔt dɛn tin ya kin ɛp fɔ kɔntrol aw di sik de go bifo:
Ustɛm a fɔ go to dɔktɔ?
Di ansa simpul. If yu gɛt nyu pen, swel, ɔ stif na yu big tɔ joyn, go to dɔktɔ jɔs afta i bigin. Di kwik we yu no se yu gɛt di sik ɛn bigin fɔ trit yu, na di mɔ yu go ebul fɔ du am.
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