Yu gɛt dis kayn tayt ɛn pen na yu hip? Lɛ wi lan bɔt (Hip Impingement / Femoroacetabular Impingement)!

Sɔntɛnde yu kin fil wan strenj tayt ɔ pen na yu hip? Yu tink se i nɔ kin izi fɔ waka, bɛn yu hip, ɔ grap we yu sidɔm? Yu kin tink se dis na jɔs swɛt, ɔ sɔntin we kin apin as yu de ol. Bɔt dis na wan kɔndishɔn we wi go tɔk bɔt tide, we dɛn kɔl Hip Impingement . Lɛ wi lan mɔ bɔt dis, bikɔs dis na prɔblɛm we bɔku pipul dɛn kin gɛt.

Wetin na Hip Impingement?

Fɔ tɔk am simpul wan, dis kin apin we di bon dɛn na yu hip jɔyn nɔ fit togɛda fayn fayn wan, dɛn de rɔb pan dɛnsɛf, ɛn dɛn kin stɔp. Tink bɔt am dis we: yu hip jɔyn na pat pan yu shɔl bon we shep lɛk bɔl (femur, di lɔng bon we de na yu ɔp leg) we fit insay sɔkɛt we shep lɛk kɔp (acetabulum, di bon sɔkɛtɛ na yu hip sɔkɛtɛ). We dis bɔl ɛn sɔkɛt fit togɛda fayn fayn wan, i izi fɔ mek wi bɛn, ɛkstɛnd, ɛn rɔta wi hip dɛn.

So, dis na wetin dכkta dεn kכl `Femoroacetabular Impingement` כ `FAI` fכ sכt. `Femoroacetabular` min di εria we di thigh bon (`femur`) εn di hip sכket (`acetabulum`) de mit. `Impingement` na di mεdikal tεm fכ sכmtin we de stכk, rכb, כ rכb pan insεf insay wan jכint. So `FAI` ɔ `Hip Impingement Syndrome` na sɔntin lɛk dat.

Dis kin rili mek pɔsin fil pen . I kin mek i nɔ izi bak fɔ waka ɔ muv yu hip. Yu kin fil tayt ɔ pen ɔltɛm na wan say. I kin tan lɛk se sɔntin dɔn stɔp insay. As tɛm de go, dis tayt kin pwɛl di katilej we de protɛkt yu hip jɔyn, di pat we tan lɛk kusɛn we de mek tu bon dɛn nɔ rɔb pan dɛnsɛf.

If yu gɛt pen na yu hip, yu stif, ɔ ɔda sayn dɛn we nɔ de bɛtɛ afta wan ɔ tu wiks, yu go mɔs go to dɔktɔ . Di kwik we yu no am, na di mɔ i izi fɔ trit.

Wetin na di sayn dɛm fɔ dis?

Di men sayn dɛm fɔ `Hip Impingement` na:

• Hip pen: Dis na di sayn wae yu kin si pasmak.
• Stiffness: Na filin fɔ tayt na di hip eria, we de mek i nɔ izi fɔ bɛn ɔ stret.
• I nɔ kin izi fɔ waka ɔ fɔ slip: Sɔm pipul dɛn kin limp we dɛn de waka bikɔs dɛn hip kin at.

Bɔt di wɔndaful tin na dat, sɔm pipul dɛn kin gɛt FAI ɛn dɛn nɔ kin sho ɛni sayn . Bɔt fɔ bɔku pipul dɛn, di sayn dɛn kin bɔku smɔl smɔl as tɛm de go, mɔ we di bɔdi we de na di hip dɔn pwɛl.

Aw dis pen kin fil?

Hip Impingement pen kin fil lɛk dɔl pen na di hip eria.Lɛk. Sɔntɛnde dis pen kin skata rawnd di hip, dat na, to di groin, di bɔt, ɛn ivin di ɔp pat na di shɔl. Sɔm pipul se dis pen kin fil lɛk se dɛn dɔn wund am frɔm insay ɛn sɔmbɔdi de swɛt am ɔltɛm.

Dis pen kin wɔs pasmak we yu de du yu bɔdi wok, mɔ we yu de du ɛksɛsayz we de put bɔku prɛshɔn pan di hip (fɔ ɛgzampul, fɔ skwatin, fɔ lɔng, ɔ fɔ jomp). I kin wɔs bak we yu de slip na wan say ɔ yu sidɔm na wan pozishɔn fɔ lɔng tɛm. Insay dɛn tɛm ya, di pen kin shap, chuk pɔsin, ɔ chuk am .

Wetin mek Hip Impingement kin apin?

`Femoroacetabular Impingement` de apin we di bon dεm na di hip jכint de rכb pan dεn wan dεm, jam, כ put tu mכch prεshכn pan dεn wan dεm. di men kכz fכ dis na di fכmeshכn fכ wan εkstra bon spur pan di tכŋ bon (`femur`) כ di hip sכkεt (`acetabulum`) . Bɔku tɛm, dɛn kin bɔn pipul dɛn wit dɛn jɔyn ya we nɔ de shep, ɔ dɛn bon spur ya kin divɛlɔp na dɛn yon we as tɛm de go. Dis min se nɔto sɔntin we wi kin du bay wilful.

Yu tink se kayn Hip Impingement de?

yes, dכkta dεn kin sheb dis `Hip Impingement` to tri men tכp dεm, dipכnt pan usay εn wetin mek di pat dεm na di hip jכint nכ fit tכgeda fayn fayn wan:

• Cam impingement: dis kin apin we ekstra bon de gro na di ed pan di thigh bon (femur), di pat we lεk bכl. Dɔn, as di hip sɔkɛt de muf, dis ɛkstra bon kin stɔp.
• Pincer impingement: dis kin apin we ekstra bon growth de divεlכp na di ed fכ di hip sכkεt (`acetabulum`). afta dat di nεk fכ di fכs de imping dis εkstra bon.
• Kɔmbayn impingement: Sɔm pipul kin gɛt ɔl tu di `Cam` ɛn `Pincer` tayp dɛn di sem tɛm.

Udat de pan denja fɔ gɛt dis?

Dɛn kin bɔn ɛnibɔdi wit hip impingement, ɔ i kin divɛlɔp as tɛm de go. Bɔt sɔm stɔdi dɛn dɔn sho se man dɛn kin gɛt kam impingement , we uman dɛn kin gɛt pincer ɔ kɔmbayn impingement .

Atlet dεm kin gεt mכr sכmtεm dεm fכ `Hip Impingement`. Dis kin apin mɔ fɔ di wan dɛn we de ple spɔt we de put bɔku prɛshɔn pan dɛn hip (lɛk futbɔl, baskɛtbɔl, dans, ɛn rɔn). Sɔm stɔdi dɛn sho se pas af pan di atlet dɛn kin gɛt dis `impingement` kɔndishɔn. Dis nɔ min se atlet dɛn kin gɛt am mɔ. Bɔt bikɔs dɛn kin yuz dɛn hip bɔku tɛm ɛn tranga pas ɔda pipul dɛn, di sayn dɛn kin apin kwik ɛn dɛn kin fil am mɔ . Mɛmba se, `FAI` na di natura shep we yu hip gɛt, ɛn i nɔ de divɛlɔp bikɔs yu de ple spɔt.

Us prɔblɛm dɛn kin apin if dɛn nɔ trit am?

If yu nɔ trit yu, FAI kin pwɛl yu hip jɔyn as tɛm de go. Apat frɔm di sayn dɛm we de wɔs ɛn mek i nɔ izi fɔ yuz ɔ muv yu hip, dis tayt kin mek bak di labrum na yu hip rɔtin . di labrum na wan ring we de rawnd di hip sכket. I de ɛp fɔ mek di jɔyn stebul. di ekstra prεshכn εn frikshכn we di fεmoroacetabular impingement de mek kin mek dis labrum te ova tεm (a hip labral tear).

כlso, pipul dεm we gεt `Hip Impingement` kin gεt כsteoarthritis na da hip de, biכs di katilej de west biכs fכ impingement fכ lכng tεm.

Aw dɔktɔ kin no dis?

Dɔktɔ go no if pɔsin gɛt Hip Impingement Syndrome bay we i du in bɔdi ɛgzam ɛn spɛshal tɛst fɔ tek pikchɔ . Yu go nid fɔ tɛl yu dɔktɔ aw lɔng yu dɔn gɛt dɛn sik ya ɛn us muvmɛnt, aktiviti, ɔ posture de mek dɛn wɔs (ɔ wɔs).

Yu dɔktɔ go yuz imej tɛst fɔ luk yu hip ɛn di tisu dɛn we de rawnd am. Dɛn tɛst ya kin bi:

• Hip X-ray we dɛn kin du
• MRI tɛst (MRI - Magnɛtik Rɛsɔnans Imej) .
• CT skan (`CT skan - Kɔmpyuta Tomografi skan`)

Sɔntɛnde, yu dɔktɔ kin injekt smɔl lokal anestetik na yu hip. If dis kin mek yu nɔ fil pen ɔr stif fɔ sɔm tɛm, na gud sayn fɔ sho se yu gɛt FAI. Dis na jɔs fɔ ɛp fɔ no if pɔsin gɛt sik, ɛn dɛn kin yuz ɔda tritmɛnt dɛn.

Yu tink se spɛshal tɛst de fɔ dis? (Fɛmoroasetabular Impingmɛnt Tɛst) .

Yes, spεshal fyzikal tεst de we yu dכkta go du fכ chεk fכ `impingement` na yu hip. dis dεn kכl am bak di `Femoroacetabular Impingement tεst`. Insay dis tɛst, yu go ledɔm na yu bak. Di dɔktɔ go es yu leg ɔp to yu chɛst. afta dat, we yu bεn yu ni 90 digri (pεrpindikul to yu tכŋ), yu כp leg go rכt insay, we min se i go tכwεd di sεntrכm pan yu bכdi.

Wit dɛn pozishɔn ya, yu dɔktɔ kin put prɛshɔn saful wan pan di say dɛn na yu hip we FAI kin afɛkt. If yu fil pen we yu de du dɛn muvmɛnt ya, yu kin gɛt hip impingement . Dis tɛst kin mek yu nɔ fil fayn smɔl, bɔt i nɔ bad . If yu fil ɛni bad bad pen we yu de du ɛni pat pan di tɛst, tɛl yu dɔktɔ .

Wetin na di tritmɛnt fɔ dis?

I go mɔs bi se yu dɔktɔ go tɛl yu fɔ yuz ɔda tritmɛnt dɛn fɔ kɔntrol di sik dɛn we yu gɛt ɛn fɔ mek yu hip nɔ pwɛl mɔ. Di tritmɛnt dɛn we dɛn kin yuz mɔ na:

• NSAID (Nɔnstɛroyd Anti-inflammatory Drugs):Dɛn tin ya na tin dɛn we dɛn kin bay na di kɔwnta we kin mek pɔsin nɔ fil pen ɛn we kin mek pɔsin nɔ fil bad (lɛk ibuprofen ɛn naproxen) we yu kin bay na di famasi. Dɛn tin ya kin ɛp fɔ ridyus di pen ɛn swɛlin.
• Kɔtikosterɔyd: Dɛn mɛrɛsin ya bak na anti-inflammatory mɛrɛsin, bɔt na dɔktɔ fɔ gi dɛn. Yu dɔktɔ kin gi yu kɔtizɔn injɛkshɔn bak dairekt insay yu hip jɔyn. Dis kin mek di pen ɛn inflamɛns nɔ bɔku kwik kwik wan.
• Fizik tritmɛnt: Wan dɔktɔ we de mɛn yu bɔdi go tich yu ɛksesaiz fɔ mek di mɔsul dɛn we de rawnd yu hip strɔng. dis go ridyus di prεshכn pan di hip jכint εn i go mek yu ebul fכ muv yu hip bכku.
• Aktiviti modifyeshɔn: Yu kin nid fɔ chenj di we aw yu de du ɛksɛsayz, ɔ yu kin nid fɔ stɔp fɔ du sɔm muvmɛnt ɔ aktiviti dɛn we de mek yu hip pen mɔ. Fɔ ɛgzampul, stɔp fɔ skwatin tu dip.
• Ɔpreshɔn: Yu dɔktɔ kin tɛl yu fɔ du ɔpreshɔn if yu gɛt siriɔs sik, if dɛn de afɛkt yu kwaliti fɔ liv, ɔ if ɔda tritmɛnt dɛn nɔ ɛp yu. If yu gɛt hip labral tear, yu kin nid fɔ du ɔpreshɔn. Di ɔpreshɔn we dɛn kin du mɔ fɔ kɔrɛkt di hip impingement na di hip atrɔskɔpi . Dis min se dɛn fɔ kɔt sɔm smɔl smɔl tin dɛn ɛn yuz kamɛra ɛn smɔl smɔl tin dɛn. Yu dɔktɔ we de du ɔpreshɔn go tɛl yu mɔ bɔt dis.

Yu tink se Hip Impingement go wɛl ɔltogɛda?

Di Hip Impingement Syndrome nɔ go go ɔlsay pas yu du ɔpreshɔn fɔ kɔrɛkt di shep we yu hip gɛt. Bɔt fɔ bɔku pipul dɛn, dɛn kin ebul fɔ kɔntrol di sik dɛn fayn fayn wan wit ɔda tritmɛnt dɛn we nɔto ɔpreshɔn.

Bɔt as tɛm de go, di bɛnifit dɛn we pɔsin kin gɛt we dɛn nɔ de du ɔpreshɔn kin stɔp. Tɔk to yu dɔktɔ ɔ dɔktɔ we de du ɔpreshɔn bɔt us tritmɛnt dɛn go fayn fɔ yu ɛn ustɛm yu fɔ tink bɔt fɔ du ɔpreshɔn.

Hip arthroscopy fɔ kɔrɛkt di femoroacetabular impingement kin rili saksesful , ɛn bɔku pipul dɛn nɔ kin gɛt lɔng tɛm sayd ɛfɛkt. Yu go nid fɔ avɔyd ɔ chenj sɔm ɛksesaiz ɔ muvmɛnt dɛn, bɔt yu fɔ ebul fɔ kɔntinyu fɔ du spɔt ɛn ple spɔt.

Yu tink se dɛn kin ebul fɔ stɔp FAI?

I nɔ go ebul fɔ avɔyd di hip impingement bikɔs na di natura shep ɛn pozishɔn we yu hip jɔyn de mek i apin. Bɔt di bɛst we fɔ mek yu nɔ gɛt prɔblɛm lɛk hip labral tears na fɔ bigin tritmɛnt kwik kwik wan .

Ustɛm a fɔ go to dɔktɔ?

If yu gɛt hip pen, stiffness, ɔr i nɔ izi fɔ yuz ɔ muv yu hip – mɔ if dɛn simptom ya las pas sɔm wiks – mek shɔ se yu go to dɔktɔ.

Dɔn bak, if yu nɔr de fil fayn lɛk aw yu bin de fil wit mɛrɛsin lɛk NSAID ɔr fyzikal tritmɛnt, tɛl di dɔktɔ.Tɛl mi.

Wetin yu fɔ aks di dɔktɔ?

We yu go to dɔktɔ, i go fayn fɔ aks dɛn kwɛstyɔn ya:

• Us kayn `Hip Impingement` a gɛt? (`Kam`, `Pincer`, ɔ `Kɔmbayn`?)
• Ustɛm a fɔ tink bɔt fɔ du ɔpreshɔn? Ɔ aw lɔng a go wet we dɛn nɔ gɛt ɔpreshɔn?
• Us tin dɛn ɛn muvmɛnt dɛn a fɔ avɔyd we at fɔ mi hip?
• A de pan risk fɔ mek di hip katilej pwɛl (hip labral tear)?

Fɔ dɔn, na sɔm tin dɛn we wi fɔ mɛmba

We yu kam fɔ no se yu gɛt `Hip Impingement`, yu kin fil fri pan wan an – yu no naw wetin mek yu hip dɔn de at fɔ lɔng tɛm. Bɔt na di ɔda say, yu kin fil bad ɛn rigrɛt bak – bikɔs nɔto sɔntin we yu bin fɔ dɔn du fɔ mek i nɔ apin, na bikɔs ɔf di we aw yu hip bon dɛn bin de divɛlɔp natin.

I nɔ mata aw yu fil, dis sik we dɛn kɔl `Hip Impingement (Femoroacetabular Impingement)` de ansa fayn to tritmɛnt . I kin tek sɔm tɛm fɔ fɛn we fɔ kɔntrol yu sik dɛn, bɔt yu dɔktɔ go ɛp yu fɔ ajɔst te yu fil fayn. If yu dɔn gɛt fɔ gɛt ɔpreshɔn, mɛmba se `Hip arthroscopy` na wan we we nɔ kin tek bɔku tin ɛn we kin rili wok fayn . So natin nɔ de fɔ fred. Di men tin na fɔ nɔ fɔ bia wit di pen ɛn go to dɔktɔ wantɛm wantɛm.

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