We yu de waka, mɔ we yu wɛr tayt sus, yu nɔ kin fil fayn ɛn yu kin fil pen na yu fut dɛn, lɛk se yu de stɛp pan ston ɔ smɔl smɔl tin? Sɔntɛnde yu kin fil wan strenj tin lɛk se dɛn dɔn krɔs sɔk na wan ples? If dis pen de wɔs ɛn wɔs, ɛn if yu fut finga dɛn fil smɔl, yu kin gɛt wan sik we dɛn kɔl ‘Morton’s Neuroma’. Nɔ fred di nem. I nɔ siriɔs so. Lɛ wi tɔk bɔt ɔltin simpul wan ɛn klia wan.
Wetin na Mɔtan in Nyuroma?
Fɔ tɔk am simpul wan, dis na we di nerve we de rɔn bitwin yu fut finga dɛn de swel ɔ tik. di intadijital nεv dεm de rכn bitwin di mεtatarsal bon dεm na wi fut. we dεn nεv dεm ya de kכntinyu fכ prεshכn, trauma, כ sכm kayn kכmpreshכn, di nεv tisu kin bigin tik εn swel.
Tink bɔt am lɛk wata paip we dɛn kin step pan am bɔku bɔku tɛm, we kin mek i flat ɛn swel. dis kכndyush כn kin apin bכku tεm na di nεv bitwin yu tכd εn fכs fut dεm (di tu tכd dεm we de nia yu sכm tכd).
Di impɔtant tin na dat, pan ɔl we dɛn kɔl am "nyuroma," dis nɔto kansa tumbu . So nid nɔ de fɔ wɔri bɔt am atɔl. wetin de apin ya nכto nyu tisu we de gro, bכt di nεv we de naw de kכmprεs εn swεla.
Dis nerve we dɔn swel kin mek yu fil pen bad bad wan we yu tinap ɔ waka, ɛn dis kin put prɛshɔn pan am.
Wetin na di sayn dɛm fɔ dis sik?
Di sayn dɛm fɔ Mɔtan Nyuroma kin kam smɔl smɔl as tɛm de go. Fɔs, yu kin gɛt smɔl pen, we kin stɔp we yu pul yu sus ɛn masaj yu fut. Bɔt as di nerve de swel, di sayn dɛn de sho mɔ.
Lɛ wi luk di men sayn dɛm lɛk dis.
| Di sayn we de sho se di sik de | Aw dat kin fil? |
|---|---|
| Pen na di fut in fut | Shap, bɔn pen na di fut in fut bitwin di fut finga dɛn we yu tinap ɔ waka. I kin tan lɛk se dɛn de step pan sɔntin lɛk ston ɔ mabul insay di sus. |
| Pen kin wɔs bikɔs ɔf sus | Di pen kin rili bad we yu wɛr ay il ɔ smɔl sus we de pinch di fut finga dɛn. Di pen kin stɔp smɔl afta yu dɔn pul di sus. |
| Yu nɔ de fil fayn ɛn yu nɔ de fil fayn | i kin bi se yu kin fil tingling (pin ɛn nidul) na di finga dɛn we di sik afɛkt ɔ sɔm tɛm dɛn kin mek yu nɔ fil fayn na da say de. |
| De swɛl | Ivin if no big swel nɔ de we yu kin si frɔm do bitwin di fut finga dɛn, yu kin fil sɔm kayn bad bad tin bikɔs di nerve de swel frɔm insay. |
Wetin mek sɔntin lɛk dis kin apin? Wetin na di rizin dɛn?
As wi bin dɔn tɔk, di men tin we kin mek dis apin na we yu de prɛs ɔ kɔmprɛs di nerv dɛn bitwin yu fut finga dɛn fɔ lɔng tɛm. Bɔku tin dɛn de we kin mek dis prɔblɛm bɔku.
1. Fut we nɔ fayn
Dis na di men ɛn kɔmɔn rizin .
- Ay il: We yu wɛr ay il, yu ɔl bɔdi wet de go bifo yu fut, ɛn dis kin mek di nerv dɛn prɛs pasmak.
- Smɔl, tayt sus: We yu wɛr sus we tayt ɛn nia dɛnsɛf, di bon dɛn we de bitwin di fut finga dɛn kin prɛs togɛda, ɛn dis kin mek di nɛf dɛn we de rɔn tru dɛn kɔmprɛs.
2. Sɔm gem ɛn tin dɛn we pɔsin kin du
Dis kכndyushכn kin kכz bak bay di tin dεm we de put kכntinyu prεshכn εn trauma pan di fut in sכl.
- Rɔn: Di fut in fut, mɔ di wan dɛn we de rɔn fɔ lɔng tɛm, kin gɛt shɔk ɔltɛm.
- Spɔt lɛk tɛnis ɛn badminton: Insay dɛn kayn spɔt ya, bɔku tɛm yu kin gɛt fɔ prɛs di grɔn wit di fɔs pat na yu fut.
- Dans: Dans , mɔ balet, de put bɔku prɛshɔn pan di fut dɛn.
3. Ɔda prɔblɛm dɛn we kin apin we yu de put yu fut
If ɛni prɔblɛm de wit di shep ɔ pozishɔn we yu fut de, dis kin mek bak di prɛshɔn pan di nerv dɛn go ɔp.
- Flat fut: We di arch na di fut nɔ de ɛn di sכl flat, di we aw yu de waka kin chenj ɛn yu kin put prɛshɔn pan di nεv dεm.
- di ay arch fut dεm: Dis kin mek bak di fut nכ stebul εn i kin mek di prεshכn bכku.
- Bunions: Dis kכndyushכn de mek di big tכt jכint swel, we kin mek di fut finga dεm stכk togeda.
- Hammertoes: Na kɔndishɔn we di fut finga dɛn kin bɛn na di midul. Dis kin mek bak di prɛshɔn nɔ balans.
Aw yu go fɛn dis, Dɔktɔ?
We yu go to dɔktɔ, i go aks yu fɔs bɔt di sayn dɛn we yu gɛt. I go aks yu bɔku tin, lɛk aw lɔng di pen dɔn de, ustɛm i de wɔs, us kayn sus nɔ fayn fɔ wɛr, ɛn if ɛnitin de we de mek yu nɔ fil fayn.
Dɔn, di dɔktɔ go tek tɛm chɛk yu fut. I go pres pan yu fut in sכl εn di εria bitwin yu fut finga dεm, de chεk fכ eni spεshal pen כ "klik" sεns. Bɔrku tɛm dis fyzikal ɛgzam kin no bɔt de sik.
Test dɛn we dɛn kin nid
- X-ray: X-ray nɔ kin sho aw di nerve dɔn swel. Bɔt dɛn kin ɔda fɔ mek dɛn tek ɛkstrem rayt fɔ no ɔda tin dɛn we kin mek pɔsin fil pen na in fut, lɛk we pɔsin gɛt strɛs we i brok ɔ we i gɛt at at.
- Ultrasound: Dis skan kin luk pan sɔft tisu dɛm lɛk di nerv dɛm. I kin sho klia wan se di nɛv dɛn we dɔn swel ɛn we tik.
- MRI skan: Sɔntɛnde, if di sik nɔ klia, MRI skan kin mek yu si klia wan.
Wetin na di tritmɛnt dɛm fɔ dis?
Di gud nyus na dat, bɔku pipul dɛn nɔ nid fɔ go ɔpreshɔn. Dɛn kin ebul fɔ kɔntrol dis pen wit simpul tritmɛnt ɛn chenj dɛn layf. Di men gol fɔ tritmɛnt na fɔ ridyus di prɛshɔn pan di nerve ɛn kɔntrol di swɛlin.
Tritmɛnt dɛn we nɔto ɔpreshɔn
1. Fɔ chenj sus: Dis na di tin we impɔtant pas ɔl ɛn di fɔs tin we yu fɔ du .
- Wear sus wit wan wayd toe box.
- Stɔp fɔ wɛr ay il kpatakpata ɔ jɔs fɔ wɛr am fɔ spɛshal tɛm dɛn.
- We yu de pik sus, pik sus we gɛt gud kusɛn insay ɛn we fayn fɔ di sɔl.
2. Shuz pad ɛn ɔtotiks:
- spεshal pad dεm de (mεtatarsal pad dεm) we kin mek di spεs bitwin di bon dεm na di fut sכmtεm εn ridyus di prεshכn pan di nεv.
- Sɔntɛnde, yu dɔktɔ go tɛl yu fɔ yuz ɔtotiks we dɛn mek fɔ yu, we dɛn mek spɛshal fɔ fit yu fut. Dɛn tin ya de gi gud sɔpɔt ɛn sheb prɛshɔn fayn fayn wan.
3. Di tin dɛn we dɛn kin yuz fɔ mek pɔsin fil pen:
- Fɔ mek yu nɔ gɛt pen ɛn swel, yu kin tek mɛrɛsin lɛk paracetamol ɔ NSAID (Nonsteroidal anti-inflammatory drugs) fɔ shɔt tɛm, lɛk aw yu dɔktɔ tɛl yu. Bɔt nɔ fɔ tek dɛn mɛrɛsin ya ɔltɛm fɔ pas 10 dez we yu nɔ go to yu dɔktɔ .
4. Aw fɔ put ays: .
- We pen ɛn swel de, if yu put ays na di say fɔ 15-20 minit, i kin mek yu fil fayn. Nɔ put di ays dairekt pan di skin, rap am wit tin klos.
5. Kɔtizɔn shot dɛn:
- If di tin dɛn we wi dɔn tɔk bɔt nɔ mek di pen nɔ de igen, yu dɔktɔ kin disayd fɔ gi kɔtikosterɔyd injɛkshɔn na di sem say fɔ mek di swɛlin ɛn pen nɔ bɔku kwik kwik wan.
Ɔpreshɔn
Dɔktɔ go jɔs tink bɔt fɔ ɔpreshɔn if di pen nɔ dɔn stɔp pan ɔl we dɛn de trit am ɔl ɔda tritmɛnt dɛn ɛn if di pen so bad dat yu nɔ ebul fɔ du di tin dɛn we yu de du ɛvride.
- Nyurektɔmi: Dis kin min fɔ kɔt ɛn pul di pat pan di nerve we dɔn pwɛl ɔ we dɔn swel. Dis na di ɔpreshɔn we dɛn kin du mɔ.
- Ɔda we dɛn: Sɔntɛnde, dɛn kin gɛt di mɔdan tritmɛnt dɛn we kin yuz kol pasmak (cryogenic neuroablation) ɔ ilɛktrik wev (radiofrequency ablation) fɔ stɔp di nerve fɔ mek i nɔ sɛn signal fɔ mek i fil pen.
Wetin na di bɛst tɛm fɔ go to dɔktɔ?
Jɔs lɛk ɛni sik, i impɔtant fɔ bigin tritmɛnt kwik, as if dɛn nɔ trit am, i kin mek yu nerv pwɛl sote go ɛn i kin mek yu fil pen fɔ ɔltɛm.
If yu fut pen nɔr bɛtɛ insay tu wiks wit simpul mɛrɛsin dɛm na os (e.g., chenj sus, rɛst), if di pen de wɔs, if i de mek i nɔr izi fɔ du ɛvride, ɔ if yu gɛt numbness, go to dɔktɔ witout delay.
Mɛsej we dɛn kin kɛr go na os
- Morton’s Neuroma na we di nerve bitwin di fut finga dɛn de swel ɔ tik. I nɔto kansa.
- Di men sayn na shap pen wae de fil lɛk fɔ step pan ston ɔr mabul ɔnda di fut in sכl we yu de waka.
- Di men rizin fɔ dis na fɔ wɛr ay il, tayt, smɔl sus fɔ lɔng tɛm.
- Bɔrku tɛm, dis sik kin wɛl ɔl if yu pik di rayt fut, rɛst, ɛn simpul tritmɛnt frɔm dɔktɔ.
- If yu gɛt pen pen na yu fut ɔltɛm, nɔ ignore am ɛn go to dɔktɔ. Yu fut de kɛr yu go ɔlsay, so i impɔtant fɔ tek kia ɔf dɛn gud gud wan.
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