Yu dɔn ɛva fil shap pen na di big fut eria we yu de waka, mɔ we yu grap na mɔnin? Sɔntɛm yu kin fil lɛk se i tayt we yu wɛr sus. Pan ɔl we yu go tink se dis na nɔmal tin, i kin bi wan sik we nid fɔ go to dɔktɔ. Tide wi de tok bɔt dis prɔblɛm we bɔku pipul dɛn gɛt bɔt nɔ no bɔt, dat na Hallux Rigidus.
Fɔ tɔk am simpul wan, wetin na Hallux Rigidus?
Hallux Rigidus na wan kayn at at sik wae kin apun na yu big fut. Spɛshal wan, i kin afɛkt di jɔyn usay yu big fut de kɔnɛkt to yu fut. insay mεdikal tεm dεm, wi kin kכl dis jכint di `mεtatarsophalangeal (MTP) jכint`.
Naw yu go de wɔnda wetin na at at sik. Atraytis na jɛnɛral wɔd fɔ lɛk wan ɔndrɛd sik dɛm wae kin mek wi bɔdi inflamɛns ɛn pen na di jɔyn dɛm na wi bɔdi. Na dat mek sɔmtɛm dɔktɔ dɛn kin kɔl Hallux Rigidus "atraytis na di big fut."
"Hallux Rigidus" na Latin wɔd we min "stiff big toe." Dis na di men sayn fɔ dis sik. I kin mek di big tɔ jɔyn pen ɛn stif. Na tru tru wan kayn ɔstiɔ-arayt we kin apin bikɔs ɔf di we aw i kin west as tɛm de go.
If yu de gɛt sɔm kayn sik lɛk pen, stif, ɔr swel na yu big fut, i rili impɔtant fɔ tɔk to dɔktɔ bɔt am.
Aw dis sik kin kɔmɔn?
Risach dɔn sho se lɛk wan pan ɛvri 40 pipul dɛn we dɔn pas 50 ia kin gɛt Hallux Rigidus. Dis na di kayn at at sik we kin apin pas ɔl na di fut.
na di sεkכn kכmכn kכndyushכn bak we de afekt di big tכt jכint, afta di mכr kכmכn kכndyushכn we dεn kכl bunion.
Wetin na di sayn dɛm fɔ Hallux Rigidus?
Pɔsin wae gɛt dis sik kin sho difrɛn kayn sayn dɛm. Bɔt sɔm tin dɛn de we kin apin we pipul dɛn kin gɛt dis sik. Lɛ wi tek wan luk pan wetin dɛn bi.
| Di sayn we de sho se di sik de | Tɔk bɔt |
|---|---|
| Pen na di big tɔ | Yu kin fil dis pen na di tap pat pan di finga. Sɔmtɛm i kin ivin fil lɛk se i de kɔmɔt dip insay di finga. |
| Stif na di big fut | I kin at fɔ bɛn ɛn muv di finga. I kin tan lɛk se i dɔn stɔp. |
| Di jɔyn dɛn we de swel | Yu kin notis se yu de swel rawnd di jɔyn usay di big tɔ de kɔnɛkt to di fut. |
| Ristrikshɔn fɔ muv | di rεnj fכ muv we dεn kin muv we yu nכ de fil pen de dכn sכmtεm. |
| Sɔntin we tan lɛk knot | Wan bɔmp, we fiba bunion ɔ callus, kin apia na di tap pat pan di big fut. |
Tin dɛm wae de mek yu gɛt mɔr sik
Sɔm tin kin mek dis pen ɛn prɔblɛm wɔs.
- We yu tinap ɔ waka: Di pen kin go ɔp as yu de put di wet pan di jɔyn.
- Kol, humid wɛda: Jɔs lɛk aw di joyn pen kin bɔku pan kol de, dis sik kin wɔs bak.
- We yu wɛr tayt sus: We yu wɛr tayt sus we nɔ de alaw di fut finga dɛn fɔ gɛt inof rum, dat kin mek di prɛshɔn pan di jɔyn mɔ ɛn mɔ ɛn i kin mek di pen mɔ.
Wetin mek wi kin gɛt Hallux Rigidus?
Bɔrku tɛm, Hallux Rigidus kin kam as tɛm de go ɛn nɔr kin gɛt ɛnitin fɔ du wit am. As wi de ol, di saf saf katilej we de na wi joyn de west. Jɔs lɛk aw di taya dɛn na motoka kin west, dis we aw dɛn kin west na in kin mek pɔsin gɛt Hallux Rigidus ɛn ɔda kayn ɔstiɔ-arayt.
Jɔs tink se, wit ɛvri step we wi tek, tu tɛm wi bɔdi wet de pas oba dis smɔl `MTP` jɔyn. So i nɔ sɔprayz fɔ no se di jɔyn go west afta i dɔn bia dis kayn prɛshɔn ɔl yu layf.
Ɔda rizin dɛn kin afɛkt dis bak:
- Yuz di jɔyn pasmak: If dɛn kin prɛs di big tɔ joyn bɔku tɛm we dɛn de du spɔt, wok, ɔ tin dɛn we yu lɛk fɔ du.
- Finga injuri: Fɔ stɔp di big fut.
- Toe sprain: Kɔndishɔn dɛn lɛk `Turf toe`, mɔ na spɔt.
- Di kayn bon dɛm na di fut: Sɔm pipul dɛn bon na dɛn fut ɛn fut kin lɔng pas aw i kin bi. Dat kin bi bak rizin fɔ dis.
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
- Atlet dɛn
- Fo di wan dem we de tinap ol de bikos of wok
Apat frɔm dat, sɔm kayn mɛrɛsin kin mek yu gɛt Hallux Rigidus.
- Rimatɔyd at at sik
- Gout we pɔsin kin gɛt
- Ɔda ɔtoimyun dizayd dɛm we kin mek pɔsin inflamɛns
- Ɔstiokɔndraytis disɛkɛn
Aw dɔktɔ kin no bɔt dis?
We yu go to dɔktɔ, di fɔs tin we i go du na fɔ chɛk yu. I go bɛn yu big fut ɔp ɛn dɔŋ ɛn muv am fɔ si aw fa yu go ebul fɔ muv am. Dɛn kin sɛn yu bak to spɛshal dɔktɔ we de mɛn yu fut (podiatrist).
Apat frɔm dat, dɛn kin du ɛkstrem rayt na di fut fɔ chɛk if di bon spur dɛn de.
Stej dɛn na Hallux Rigidus
Dipen pan aw yu ebul fɔ muv yu big fut dɔn go dɔŋ, yu dɔktɔ kin sheb di sik to gred. Dɛn kin kɔl dɛn tin ya bak stej, as di sayn dɛm kin wɔs as tɛm de go.
| Mak | Di mak we dɛn kin stɔp fɔ muv |
|---|---|
| Gret 0 we de na di skul | i gεt 10% – 20% lεs muvmεnt pas di כda big tכ. |
| Gret 1 we de na di skul | di muvmεnt de ridyus bitwin 20% – 50%. |
| Gret 2 we de na di skul | di muvmεnt de ridyus bitwin 50% – 75%. |
| Gret 3 we de na di skul | di muvmεnt de ridyus bitwin 75% – 100%. |
| Gret 4 we de na di skul | di rεdukshכn de fכ muv bitwin 75% εn 100%, εn siriכs pen de we yu de muv di finga. |
Wetin na di bɛst tritmɛnt dɛn?
De kayn tritmɛnt wae yu nid go dipen pan aw yu de fil bad ɛn de tin wae de mek yu gɛt dis sik. Bɔku tɛm, di tritmɛnt dɛn we nɔto ɔpreshɔn go bigin.
| Di we aw dɛn kin trit am | Wetin yu de du? |
|---|---|
| We yu de chenj sus | If yu wɛr sus we gɛt stif sɔl ɛn gud rum fɔ yu fut, dat kin mek yu nɔ gɛt prɛshɔn pan di jɔyn. Nɔ yuz ay il ɛn sus we de trap yu fut finga dɛn. |
| Limiteshɔn fɔ di finga dɛn we de muv | Speshal pad dɛn de we dɛn kin put insay di sus. Dɛn tin ya kin gi sɔpɔt to di fut ɛn stɔp fɔ muv we i nɔ nid fɔ muv. Dɛn kin ridyus di strɛs bak pan di jɔyn we yu de du tin lɛk fɔ rɔn. |
| Di tin dɛn we dɛn kin yuz fɔ mek pɔsin fil pen | NSAID dɛn we dɛn kin bay na kɔt kin ɛp fɔ ridyus di pen ɛn swɛlin. Bɔt nɔ tek dɛn mɛrɛsin ya fɔ pas 10 dez we yu nɔ tɔk to yu dɔktɔ. |
| Ays we de mɛlt | If yu rap ays pak wit tin tawɛl ɛn put am na di say we yu de fil pen, dat kin ɛp fɔ mek yu nɔ gɛt di sik. Nɔ ɛva put ays dairekt pan di skin. Aks yu dɔktɔ aw lɔng ɛn ɔmɔs tɛm yu fɔ put am insay di de. |
| Kɔtikosterɔyd dɛn | Dis na strɔng mɛrɛsin dɛn we dɔktɔ kin gi dɛn, ɛn sɔntɛnde dɛn kin gi dɛn as injɛkshɔn dairekt insay di jɔyn. |
| Sok yu fut insay hot/kol wata | Sɔntɛnde, dɔktɔ dɛn kin tɛl yu fɔ du dis. Yu fɔ kip yu fut insay ɔt wata fɔ 30 sɛkɔn, dɔn yu fɔ put yu fut insay kol wata fɔ di nɛks 30 sɛkɔn. If yu du dis ɔltɛm we yu de du am, dat kin mek yu nɔ swel. |
Yu tink se a go gɛt fɔ du ɔpreshɔn?
Bɔku pipul dɛn nɔ nid ɔpreshɔn. Yu dɔktɔ kin tink bɔt fɔ du ɔpreshɔn nɔmɔ if ɔda tritmɛnt dɛn nɔ mek yu nɔ fil pen, ɔ if di pen so bad dat i de mek yu nɔ ebul fɔ du di tin dɛn we yu de du ɛvride.
Bɔku men kayn ɔpreshɔn dɛn de:
- Cheilectomy: Dis involv fɔ pul di bon spur dɛm we nɔ nid ɔp di jɔyn, we de mek mɔ rum fɔ di finga fɔ bɛn.
- Osteotomy: Na ya, di dɔktɔ we de du di ɔpreshɔn kin kɔt ɛn arenj di bon dɛn na di finga bak fɔ chenj di say we di jɔyn de.
- Arthroplasty: Dis na ɔpreshɔn fɔ chenj di jɔyn dɛn. di bon we dεn dכn pwεl dεn de kכl am εn put "spacer" we dεn mek wit כda tisu.
- Arthrodesis: Dis na ɔpreshɔn we dɛn kin du fɔ mek yu jɔyn dɛn. Dɛn kin pul di katilej we dɔn pwɛl ɛn di tu bon dɛn kin jɔyn togɛda. Pan ɔl we dis na sɔlv we go de sote go, di big tɔ kin muv smɔl afta di ɔpreshɔn.
Aw lɔng i kin tek fɔ mek pɔsin wɛl afta dɛn dɔn du am ɔpreshɔn?
Di tɛm we yu go wɛl, dipen pan us ɔpreshɔn yu bin gɛt.
- Afta `Cheilectomy` ɛn `Arthroplasty` ɔpreshɔn, yu go nid fɔ wɛr spɛshal shuz fɔ lɛk tu wiks. Di swel kin kɔntinyu fɔ sɔm mɔnt.
- afta dεn dכn כsteotomy, di swel go sכbכt insay 6-8 wik. I kin tek lɛk 3 mɔnt fɔ mek i wɛl ful wan.
- afta yu jכyn fכs, yu go nid fכ wɛr kכst כ spεshal but fכ lεk 3-6 wik. Afta dat, yu go nid fɔ yuz stik dɛn. I kin kɔntinyu fɔ swel ɛn stif fɔ sɔm mɔnt.
Yu nɔ tink se dɛn go ebul fɔ stɔp dis tin?
I kin tranga fɔ mek yu nɔ gɛt Hallux Rigidus kpatakpata, bɔt sɔm tin dɛn de we yu kin du fɔ ɛp fɔ kɔntrol di sik:
- Ɛksesaiz: Aks yu dɔktɔ ɔ pɔsin we de mɛn yu bɔdi bɔt simpul ɛksesaiz dɛn we go ɛp fɔ mek yu big tɔ jɔyn nɔ chenj.
- Rɛst di jɔyn: Rɛst di jɔyn afta yu dɔn du tranga wok. Nɔ ɛva ɛksesaiz tru pen.
- Wear di rayt sus: Pik sus we fit yu fut fayn ɛn we gɛt ples fɔ yu fut finga dɛn.
Mɛmba se if yu gɛt pen na yu big fut, nɔ ignore am. Di kwik we yu go to dɔktɔ ɛn no se yu gɛt di sik, na di mɔ yu go gɛt di tritmɛnt we go wok fayn.
Mɛsej we dɛn kin kɛr go na os
- Pen, stif, ɛn swel na yu big fut kin bi sayn fɔ wan at at sik we dɛn kɔl Hallux Rigidus.
- Pan ɔl we di men tin we kin mek dis apin na di we aw di jɔyn dɛn kin west ɛn rɔtin as tɛm de go, di injury, sɔm mɛrɛsin dɛn, ɛn di tin dɛn we kin mek pɔsin gɛt jɛnɛtiks kin ɛp bak.
- Bɔrku tɛm, dɛn kin kɔntrol dis sik wit simpul tritmɛnt lɛk fɔ wɛr di rayt sus, mɛrɛsin fɔ mek yu fil pen, ɛn fɔ rɛst.
- Nɔ ignore di pen. If yu go to dɔktɔ kwik kwik wan, dat kin mek di sik nɔ wɔs ɛn i kin ɛp yu fɔ gɛt tritmɛnt we go wok fayn.
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