Yu il dɛn kin at ɔltɛm? Di kɔz kin bi prɔblɛm wit di fat pad na yu il (Heel Fat Pad Syndrome)!

Yu dɔn ɛva fil shap pen na yu il we yu de waka ɔ rɔn? I kin fil lɛk se nidul de chuk yu, ɔ sɔmbɔdi de swɛt yu tranga wan, ɔ ivin brus. Dis pen wae de anɔynt kin mek i nɔr izi fɔ du yu woke wae yu de du ɛvride. wan pan di men rizin fכ dis na wan prכblεm we de apin na di fεt pad na di il, we wi go tכk bכt tide, wan kכndyushכn we dεn kכl `(Heel Fat Pad Syndrome)`.

Wetin na `Il Fat Pad Sindrom`?

Fɔ tɔk am simpul wan, di tin we di fat pad de tan na yu il, ɔ we i lɔs in elastik, na wetin wi kɔl ``Hil Fat Pad Syndrome''. Imajin, ɔnda wi il, pan tap di bon, wan tik layt de we gɛt fat, lɛk natura matres . dis na wetin de protεkt wi il bon (`il bon` כ `calcaneus`) frכm di shכk we di grכn de sho we wi de waka, rכn, εn jomp. I de wok lɛk ``shɔk absɔba`` na motoka. As tɛm de go, bikɔs ɔf difrɛn rizin dɛn, dis fat pad kin west ɛn in kusɛn prɔpati dɛn kin go dɔŋ, we na di tɛm we pen kin bigin fɔ apin.

yu kin yeri dis kכndyushכn we dεn kכl `fat pad atrophy`, `fat pad syndrome`, כ `hel fat pad atrophy`.

Aw dis sik kin kɔmɔn?

Infakt, di Hil Fat Pad Syndrome na di sɛkɔn tin we kin mek pɔsin fil pen na di il, afta Plantar Fasciitis. Bɔt bɔku tɛm dɛn kin kɔnfyus am wit Plantar Fasciitis, bikɔs di sayn dɛm kin rili fiba. So, i impɔtant fɔ no di rayt tin we mek i apin.

Wetin na di sayn dɛm fɔ ``Hil Fat Pad Syndrome''?

Si if yu gɛt ɛni wan pan dɛn sayn ya:

• Shap, dip, pen we tan lɛk brus we kin kɔmɔt na di midul pan di il we yu de waka, tinap, ɔ rɔn.
• We yu prɛs tranga wan na di midul pan yu il wit yu finga, di sem pen we a bin dɔn tɔk bɔt kin apin bak.
• I klia se di pen kin bɔku we yu tinap fɔ lɔng tɛm, we yu de du ɛksɛsayz we gɛt ay impak (fɔ ɛgzampul, jomp, sprint, jimnastik, baskɛtbɔl), ɔ we yu de waka pan tin dɛn we at (lɛk wud, kɔnkrit, sɛramik tayl) we yu nɔ gɛt sus .

If de sik nɔr tranga, yu nɔr kin gɛt ɛni big big sayn. Ɔ yu kin jɔs fil smɔl pen wan wan tɛm we yu de waka wit yu fut, we yu de rɔn, ɔ we yu de pres yu fut finga dɛn pan yu il.

Wetin na di men rizin dɛn we mek dɛn de du dis?

dis kכndyushכn we dεn kכl ``Heel Fat Pad Syndrome'' nכ de divεlכp wan de. di men tin we kin mek dis apin na ``wear and tear'' we kin apin ova tεm. Bɔku tin dɛn de we kin mek i apin:

• We wi de ol: Bɔku tin dɛn na wi bɔdi kin chenj we wi de ol. Semweso, di fat layt we de na di il dɛn kin tan smɔl smɔl, di fat we de insay de go dɔŋ, ɛn di elastik we i kin gɛt kin go dɔŋ.
• We wi de gɛt mɔ wet: As wi de gɛt mɔ wet, di prɛshɔn we de pan di fat layt we de na wi il de go ɔp. Dis kin mek i west kwik kwik wan, i kin lɔs in fleksibiliti ɛn kusɛn prɔpati.
• Famili histri: If pɔrsin na yu famili dɔn gɛt dis sik, ɔr if yu gɛt sik wae de afɛkt di kɔnektiv tisu na di bɔdi (lɛk lupus ɔr rεumatoid at, yu kin gɛt dis sik.
• Trauma to di il: Wan shap blo na di il, lɛk fɔ jomp wantɛm wantɛm frɔm ayt, kin bi bak wan rizin fɔ dis.
• Gait imbalance: If eni imbalans de na di we aw wi de waka (gait) – dat na di we aw wi fut de slap di grɔn, di we aw wi bɔdi wet de sheb akɔdin to di fut dɛn – as tɛm de go, di fat layt we de na di il kin west we nɔto in natura.
• di fut strכkchכ: sכm pipul dεn kin chenj di posishכn fכ di arch fכ dεn fut (e.g. flat fut כ ay arch) εn prכblεm fכ waka, we kin put εkstra prεshכn pan di il.
• Fut we nɔ fayn: Wan big rizin fɔ dis na fɔ kɔntinyu fɔ yuz sus ɔ sandal we nɔ de sɔpɔt ɔ shok absɔpshɔn fɔ di fut . Dɔn ɔl di prɛshɔn kin kam na di il, ɛn di fat layt kin west kwik kwik wan.
• Wach pan had say: We yu waka ɔ rɔn pan had say lɛk kɔnkrit ɔ tayl we nɔ gɛt sandal, dat kin gɛt big impak pan di fat layt na di il.
• Sɔm tin dɛn we yu kin du ɔltɛm: Aktiviti dɛn we kin mek yu il dɛn hit na grɔn bɔku tɛm (e.g. fɔ rɔn, baskɛtbɔl, tɛnis, volibol, jimnastik) ɛn tinap fɔ lɔng tɛm kin mek yu gɛt dis sik.
• Kɔtikosterɔyd Injɛkshɔn dɛn we yu bin dɔn du bifo: Sɔntɛnde, stɛroyd injɛkshɔn we dɛn kɔl kɔtikosterɔyd, we dɛn kin yuz fɔ trit ɔda fut pen ɛn swel, kin mek di il fat layt tan ɛn shrink as sayd ɛfɛkt. If yu inj yu stɛroyd ɔltɛm na di il, dat kin mek dis prɔblɛm bɔku.

Dis kin bi bak bikɔs ɔf sɔm kayn mɛrɛsin.

• Plantar Fasciitis: Dis na inflameshn na di tik ligament we dεn kכl plantar fascia we de rכn frכm yu il to yu fut finga dεm. Dis kin mek bak yu il fil pen.
• di il spur dεm: we sכm sכm sכm tכn dεm we lεk tכn (`hil spurs`) fכm pan di il bon, dεn kin put prεshכn pan di ligament dεm na di fut εn rεdכks di fleksibiliti fכ di il in fεt layεr.
• Ay arch fut: Sɔm pipul dɛn kin gɛt abnɔmal ay arch na dɛn fut. dis kin chenj di strכkchכ fכ di fut fכ כltεm εn afekt di ligament dεm na di fut.
• (Tayp 2 Dayabitis): Pipul dɛn we gɛt Tayp 2 Dayabitis kin gɛt we di fat ɛn wan impɔtant prɔtin we dɛn kɔl kolagen we de na di fat layt kin brok.
• Lupus ɛn Rheumatoid Arthritis: Dɛn ɔtoimyun sik ya kin afɛkt di bɔdi in kɔnɛktiv tisu, inklud di kɔnɛktiv tisu na di fut.

Aw dɔktɔ dɛn kin no dis sik?

We yu go to dɔktɔ we gɛt il pen, i go aks yu fɔs bɔt yu mɛdikal istri ɛn di sik dɛn we yu gɛt naw.

Yu kin yɛri tin dɛn lɛk dis, mɔ bɔt yu il pen:

• Aw di pen kin fil? (e.g., i tayt, i de chuk am, ɔ i de bit?)
• Us tɛm pan di de yu kin fil di pen?
• Us kayn tin kin mek di pen wɔs?
• Aw lɔng dis pen dɔn de?
• Yu tink se di pen kin go dɔŋ we yu rɛst?

Neks, di dɔktɔ go du yu fut ɛgzam. Dɛn go luk fɔ ɛni strɔkchɔral prɔblɛm na di fut ɛn if yu fil pen we yu prɛs di midul pan di il. Dɛn kin kɔmpia bak di tik we di il fat pad tik we yu tinap ɛn we yu nɔ tinap. wan hεlty il fεt pad fכ tik bitwin 1 εn 2 sεntimita (0.4 εn 0.8 inch). If di il fat pad fil at ɔ i tayt we yu tɔch am, dat min se i nɔ kin chenj bɛtɛ. Dis kin bi sayn bak fɔ dis sik.

sכmtεm, fכ kכnfכm di εksakεt kכndyushכn εn fכ rכl כut כda tin dεm we de mek yu fil pen (e.g., fכ frakt, wan il spur), dεn kin rεkomεnd fכ du εks-ray, כltra saund skan, כ i kin bi se dεn du MRI (Magnetic Resonance Imaging).

Wetin na di tritmɛnt dɛm fɔ dis?

di gud nyus na dat dis kכndyushכn kin mεnεj bכku tεm wit simpul, tritmεnt dεm na os (`kכnservativ tritmεnt`). Di men gol dɛm fɔ dɛn tritmɛnt ya na:

• Fɔ ridyus di pen ɛn swɛlin.
• Fɔ protɛkt di fat layt we de naw.
• Fɔ mek di fat layt nɔ pwɛl mɔ.

Insay sɔm siriɔs kes dɛm, mɔ kɔmpleks tritmɛnt dɛm (`advanced techniques`) kin nid fɔ de. Dɛn tin ya na fɔ ad ɔda tin dɛn fɔ mek di fat layt we de na di il tik mɔ.

Simpul (kɔnsɔvativ) tritmɛnt we dɛn kin yuz:

• Rɛst: Rɛst yu leg dɛn as yu ebul. Limit di tin dɛm we gɛt ay impak (lɛk fɔ jomp ɛn rɔn tranga wan) we kin mek yu fil pen.
• Put ays: Afta yu dɔn du sɔntin we de mek yu fil pen, put ays pak na yu il fɔ lɛk 20 minit so. Yu kin du dis bɔku tɛm insay di de.
• Mɛrɛsin: Dɛn kin yuz mɛrɛsin we dɛn kin bay na kɔt fɔ mek yu nɔ fil pen ɛn fɔ mek yu nɔ swel. Sɔm ɛgzampul dɛn na ibuprofen (Advil®, Motrin®) ɛn naproxen (Aleve®). Bɔt i bɛtɛ ɔltɛm fɔ go to dɔktɔ bifo yu tek ɛni mɛrɛsin.
• Ɔtpidik fut: Wear ɔtpidik shuz we de gi gud sɔpɔt ɛn kusɛn, mɔ fɔ di il. Yu kin gɛt advays frɔm dɔktɔ we de mɛn yu fut ɔ spɛshal stɔ we de sɛl dɛn kayn sus dɛn de.
• Tep yu il: Dis na we fɔ put di il bon ɔnda di il bon ɛn put spɛshal tep pan di il fɔ gi sɔpɔt ɛn kusɛn. Yu dɔktɔ ɔ pɔsin we de mɛn yu bɔdi go sho yu di rayt we fɔ du dis.
• Il kɔp, shuz insɛt ɛn kusɛn sɔks: Il kɔp, shuz insɛt ɛn kusɛn sɔks, we yu kin gɛt na famasi ɔ ɔnlayn, de gi ɛkstra kusɛn ɛn sɔpɔt fɔ yu il.
• Ɛksesaiz program: Ɔnda di gayd we yu dɔktɔ ɔ fizik thɛrapist de gayd yu, yu kin lan strɛch we de strɛch yu kalf mɔsul dɛm ɛn rihabiliteshɔn ɛksɛsayz dɛm we go ɛp yu fɔ mek yu fut-knee-hip alaynɛshɔn fayn ɛn kɔrɛkt di imbalans.

Advans (kɔmpleks) tritmɛnt we dɛn kin yuz:

• Injektabl: Insay dis we, dɛn kin injɛkt difrɛn natura ɔ sintetik ɔ likwid fil matirial dɛn insay di fat layt na di il fɔ mek i tik mɔ. fכ egzampl, dεmal fil dεm de we gεt tin dεm lεk Poly-L-lactic acid εn Hyaluronic acid. Sɔntɛnde dɛn kin yuz silikon bak, bɔt pipul dɛn kin agyu bɔt aw fɔ yuz am bikɔs i kin travul go na ɔda pat dɛn na di bɔdi ɛn i kin mek pɔsin gɛt smɔl to siriɔs riakshɔn. di ifekt dεm we dεn dεmal fil dεm ya kin gi kin te lεk 6 to 12 mכnt. I dipen pan tin dɛm lɛk aw yu de liv yu layf, aw yu de du tin, aw yu bɔdi wet, ɛn aw yu ol.
• Fat grafting (ɔ autologous fat transplantation): Dis min se yu fɔ tek smɔl fat frɔm ɔda pat na yu bɔdi (lɛk yu shɔl ɔ yu bɛlɛ), klin am, ɛn transplant am insay di fat pad na yu il (transplant). Dis na ɔutpatient prosidur. di rizulεt dεm kin te pas di dεmal fila dεm.
• Allografting: Dis we ya de yuz fεt tisu we dεn tek frכm כda pכsin (wan dכna). Bikɔs na di fat sɛl dɛn nɔmɔ dɛn kin yuz, di chans nɔ de fɔ mek di bɔdi nɔ gri wit am. Dis na ɔpreshɔn bak we dɛn kin du. i kin tek sכm tεm fכ hεl pas כda mεtכd dεm (i kin tek lεk 6-8 wik fכ di nyu tisu fכ fכs wit di tisu we de naw). Dɛn ripɔt se dis tritmɛnt kin gi yu pen fɔ lɛk 5 ia so.

Sɔntɛnde, if yu fut, fut, anklɛ, anklɛ, ni, ɔ hip dɛn we yu bɔn wit ɔ we yu gɛt prɔblɛm wit yu bɔdi chenj di we aw yu bɔdi de sheb di wet we yu de waka, ɛn if dis kin afɛkt yu layf bad bad wan, we kin mek i nɔ pɔsibul fɔ du tin dɛn ɛvride, dɔktɔ dɛn kin tink bɔt fɔ du ɔpreshɔn fɔ kɔrɛkt di wet.

Wetin kin apin if dɛn nɔ trit am?

If yu nɔ tek di kɔndishɔn ``Heel Fat Pad Syndrome'' we yu nɔ trit am, i kin mek yu gɛt prɔblɛm lɛk:

• Di pen go kɔntinyu. I kin mek yu nɔ gɛt bɛtɛ layf.
• I kin at fɔ waka, ple spɔt, ɛn du wok dɛn ɛvride.
• Yu kin chenj di we aw yu de waka we yu nɔ no fɔ mek yu nɔ fil pen, we kin put prɛshɔn we nɔ nid fɔ de pan ɔda jɔyn dɛn na yu bɔdi, ɛn dis kin mek yu fɔdɔm ɛn ɔda tin dɛn we kin wund.

Aw dɛn go ebul fɔ mek dis tin nɔ apin?

Pan ɔl we wi nɔ kin ebul fɔ stɔp di tin dɛn we kin apin wit di ej ɔ di jenɛtik prɛdispɔzishɔn we kin rɔn na famili, wi kin ridyus di risk fɔ gɛt dis sik (Heel Fat Pad Syndrome) bay we wi chenj sɔm layf stayl abit ɛn tek tin dɛn fɔ mek wi nɔ gɛt dis sik:

• Ɔltɛm wɛr sus we fit yu fut fayn, we gɛt gud sɔpɔt fɔ yu il, ɛn we gɛt kusɛn. Wear di rayt atletik sus we yu de du tin dɛn we go mek yu gɛt ay impak.
• Nɔ wɛr sus we gɛt ay il ɔltɛm. dεn nכ de sheb yu bכdi wet ivin akɔdin to yu fut, insted dεn de put mכr prεshכn pan wan patikyula εria na yu fut (bכku tεm na di fכnt).
• Nɔ du tin dɛn we go mek yu gɛt bɔku prɛshɔn pan yu il, lɛk fɔ rɔn, baskɛtbɔl, ɛn jimnastik. Gi di il fat pad tɛm fɔ mek i wɛl afta dɛn kayn tin ya.
• Mek yu gɛt wɛlbɔdi bɔdi wet. We yu gɛt bɔku bɔku bɔdi, dat kin mek yu gɛt mɔ prɛshɔn na yu il.
• Nɔ waka wit yu fut as yu ebul, mɔ pan say dɛn we nɔ ivin ɛn we at (lɛk tayl, wud, simen).
• Chek ɔl yu sus dɛn ɔltɛm. If di sɔl fɔ yu sus dɔn pwɛl wan we ɔ ɔda we (lɛk se wan say dɔn pwɛl mɔ), ɔ if di kusɛn we de insay di sus nɔ fil se i de sɔpɔt yu igen, chenj di sus.

Yu tink se dis `(Heel Fat Pad Syndrome)` kin kכmplit kכl?

Fɔ tɔk tru, nɔr tin nɔ de we dɛn kɔl "absolute long-term cure" fɔ ``Heel Fat Pad Syndrome''. biכs, as wi de ol, εn as wi de waka, rכn, εn jomp nכmal wan (``natural wear and tear``), di fεt pad na di il de shrink εn tin to sכm mak. Bɔt lɛk aw wi bin dɔn tɔk, if yu tek di tin dɛn we yu nid fɔ mek yu nɔ fil pen na yu il, fɔ mek yu nɔ swel, ɛn fɔ mek di fat pad nɔ pwɛl mɔ, yu go mɔs mek yu layf bɛtɛ ɛn kɔntinyu fɔ du di tin dɛn we yu lɛk.

Wetin na di difrɛns bitwin `(Hil Fat Pad Sindrom)` ɛn `(Plantar Fasciitis)`?

Dis na say wae bɔrku pipul kin kɔnfyus, so e fayn fɔ no sɔm pan de impɔtant difrɛns bitwin dɛn tu kɔndishɔn ya.

Tink bɔt am, ``Plantar Fasciitis`` na we di ``plantar fascia`` we de wik, we de swel, ɔ we de inflamɛns, we na tik tik band we gɛt kɔnektiv tisu we de rɔn along di bɔt ɔf yu fut, frɔm yu il to yu fut finga dɛm. dis ``plantar fascia`` na in de gi sכpכt fכ di ``arch`` fכ yu fut.

• Di men sayn fɔ plantar fasciitis na we yu de fil pen we yu de blo. Dis pen kin de insay di il, nia di fut in sכl. Sɔntɛnde, di pen kin skata bak along di arch na di fut.
• We yu strɛch yu leg, yu kin fil se yu fut tayt ɛn yu kin fil lɛk se yu de pul yu fut.
• De tin wae impɔtant pas ɔl na dat de pen kin pasmak wae yu fɔs grap na bed na mɔnin ɛn tek di fɔs step dɛm. Pan ɔl we i tan lɛk se di pen kin stɔp afta yu dɔn waka smɔl, if yu kɔntinyu fɔ put wet pan yu leg, di pen kin go ɔp bak we di de dɔn.
• we dεn de du mεdikal egzamεn, if dεn prεs di `plantar fascia`, shap εn chuk pen de apin, lεk se dεn de chuk am wit nidul.

Bɔt, insay `(Hil Fat Pad Sindrom)`:

• Di pen de na di midul pan di il, lɛk dip brus we de nia am.
• De pen kin bɔrku wae yu de waka, tinap, ɔr de du tin wae gɛt bɔrku prɔblɛm fɔ lɔng tɛm. Di pen kin wɔs mɔ we yu de waka na say dɛn we at we yu nɔ gɛt sandal.
• Dis pen kin apin ɛnitɛm na di de, na nɛt, ɔ ivin we yu de rɛst.
• Il Fat Pad Syndrome kin apin mɔ na ɔl tu di fut dɛn di sem tɛm pas Plantar Fasciitis.

Impɔtant: Sɔntɛnde, dɛn tu tin ya kin apin togɛda. כlso, pכsin we gεt `(Plantar Fasciitis)` kin leta divεlכp `(Heel Fat Pad Syndrome)`. Yu no aw dat kin apin? we di ``Plantar fascia`` dכn pwεl, di wet fכ di fut nכ de sheb fayn fayn wan we yu de waka כ rכn. Dɔn, dɛn kin put mɔ prɛshɔn pan di fat pad na di il, we kin tray fɔ pul am kwik kwik wan.

Lɛ wi lan smɔl bɔt wan kalkan strɛs fraktrɔs.

Wan ɔda tin we yu fɔ no. Dɛn kɔl di bon we de na yu il di kalkɛn. we yu de muv ripit lεk fכ rכn kin mek sכm krak krak כ brok na di kalkan. Dɛn kɔl dis strɛs fraktrɔs. If yu gɛt kalkɛl strɛs fraktrɔs, yu go fil pen na yu il ɛn di bak pat pan yu il. Dis il pen go de go ɔp smɔl smɔl as tɛm de go. Fɔs, i go jɔs de de we yu de du sɔntin, bɔt leta i go bigin fɔ at ivin we yu leg de rɛst. Yu kin nid fɔ gɛt bon skan, CT skan, ɔ MRI skan fɔ no if yu il pen na bikɔs yu gɛt strɛs we yu brok.

Fɔ dɔn, wetin fɔ mɛmba (Take-Home Message) .

So, fɔ tɔk am simpul wan, il fat pad sindrom na we di tik layt we tan lɛk kusɛn we de na di il eria na wi fut we de ɛp fɔ sɔpɔt wi bɔdi wet ɛn protɛkt wi frɔm shɔk. Dis kin bi bikɔs ɔf bɔku tin, lɛk di ej, di tin dɛn we i de du we de mek i gɛt prɛshɔn pan di il, we i de gɛt bɔku bɔku wet, ɛn di we aw i nɔ de sheb di wet ivin we i de waka. Di men sayn na we yu de shap dip pen na di midul pat na di il.

Di bɛst pat na dat, simpul tritmɛnt lɛk fɔ rɛst, fɔ mɛn pen, ays, fɔ wɛr fayn fut, ɛn fɔ du ɛksɛsayz lɛk aw yu dɔktɔ tɛl yu kin ɛp fɔ mɛn dis sik. Sɔm kayn sik dɛn we kin rili bad, dɛn kin gɛt mɔ advans tritmɛnt dɛn.

If yu gɛt pen na yu il ɔltɛm, nɔ ignore am. Fɔ tru, yu fɔ go to dɔktɔ fɔ advays yu. Di kwik we yu no wetin na di prɔblɛm, na di mɔ yu go bigin fɔ tek di rayt tritmɛnt kwik kwik wan. Dɔn yu kin mek di sik nɔ wɔs, yu kin wɛl kwik, ɛn go du yu wok dɛn ɛvride wit gladi at!

` Il pen, il fat pad sindrom, plantar fasciitis, il fat pad, fut pen, il dizayd, il kusɛn