Yu gɛt pen bak na di ɔdasay na yu anklɛ? I kin bi wan Prɔnial Tɛndon Tia!

Yu dɔn ɛva fil pen wantɛm wantɛm we yu de waka, rɔn, ɔ ple spɔt? Ɔ yu anklɛ we de na do jɔs dɔn de fil strenj ɛn wund fɔ sɔm tɛm? Sɔntɛm yu fil lɛk se yu leg nɔ de kɔntrol, lɛk se i "ɔt ɔf jɔyn" we yu de waka. Wan rizin fɔ dis kin bi we tu spɛshal tisu dɛn we de na yu leg pwɛl. Lɛ wi tɔk bɔt dis ditayli tide.

Wetin na Prɔnial Tɛndon Tia?

Fɔ tɔk am simpul wan, we yu fut de te we wan ɔ ɔl tu di tɛndon dɛn we de na yu fut dɔn pwɛl. tu tεndon dεm de na yu fut, we dεn kכl di pεronial brevis εn di pεronial lכng. Dɛn wan ya tan lɛk strɔng band dɛn. Dis na di mכsul dεm na yu lכw leg we de kכnekt to di bon dεm na yu fut. Dɛn kin ɛp bak fɔ mek yu fut ɛn yu anklɛ stebul. Dɛn de nia di bak pat pan yu anklɛ bon ɛn na di sayd we yu fut de.

Tink bɔt dis tɛndon lɛk rɔba band. If i strɛch tumɔs, ɔ if dɛn put pawa wantɛm wantɛm, i kin te, nɔto so? Na dat de apin na ya bak.

Wetin mek i nɔ izi fɔ no dis smɔl?

Bɔrku tɛm, wan pεronial tεndon tear kin apin wit ɔda injuri dεm na di ankכl. fכ egzampl, if yu leg tכn insay wan wan (wi kכl dis invεshכn injuri), di ligament dεm na yu ankכl kin te, we kin mek yu ankכl sכt. Insay dɛn tu kes ya, yu kin tink se di pen jɔs kɔmɔt frɔm di anklɛ we dɔn swɛt. fכ dat, wan pεronial tεndon tear kin ayd bihayn כda injuri dεm, na dat mek sכmtεm i kin at fכ no am.

Na dat mek, if yu gɛt pen na yu anklɛ ɔltɛm, i rili impɔtant fɔ go to dɔktɔ we gɛt spɛshal trenin fɔ gɛt prɔblɛm wit yu fut ɛn anklɛ.

Yu kin go to dɔktɔ we de mɛn yu fut, dɔktɔ we de mɛn spɔt, ɔ dɔktɔ we de mɛn ɔtpidist . Dɛn go chɛk yu fut gud gud wan, no wetin bad, ɛn gi yu di rayt tritmɛnt.

Tayp dεm fכ di Pεronial Tεndon Tεar

Dɛn kin sheb dɛn tɛndon ya to tu men kayn:

Akyu Kray

Dɛn tin ya kin apin wantɛm wantɛm. Imajin se yu de rɔn, go dɔŋ stej, ɔ ple spɔt ɛn yu leg bɛn insay wantɛm wantɛm. na da tεm de, yu ankכl gεt fכ put bכku fכs pan dεn `(Peroneal Tendons)` ya fכ strεt insεf kכmכt. We dat apin, di tɛndon kin strɛch pasmak ɛn rɔtin. Bɔku tɛm, insay di kes fɔ wan `(Acute Tear)` lɛk dis, yu kin mɛmba ɛksaktɔli ustɛm ɛn aw i apin.

Kray we nɔ de dɔn

Dis na di kayn injury wae kin pasmak. Sɔntɛm yu nɔ go ivin mɛmba se yu anklɛ bin swɛt ɔ yu wund am. dis tεm dεm de kכmכt sכmtεm, ova tεm, bikoz fכ di prεshכn we de kכnstant εn strεn pan di tεndon (we yu de yuz am pasmak). Fɔ ɛgzampul, insay sɔm spɔt dɛn (tink bɔt fɔ rɔn fɔ lɔng tɛm ɔ fɔ dans), dis kin apin we yu kɔntinyu fɔ du di sem muvmɛnt dɛn. Di pen na yu anklɛ kin go fɔ sɔm tɛm, dɔn i kin kam bak. Sɔntɛm yu nɔ go ivin no wetin mek i apin.

Klasifikɛshɔn akɔdin to di kayn we aw di kray wata tan (Severity) .

Dɔktɔ dɛn kin klas dɛn tɛndon ya bak akɔdin to aw dɛn siriɔs:

• Gret 1 (Mild): Dis na we di tεndon strεch sכmtεm pas aw i nכmal, bכt i stil ebul fכ ol yu fut εn ankכl na in ples. Yu kin fil sɔm pen ɛn swel.
• Gret 2 - Mכdarεt: Dis na pat pan di tεndon we de te. Sɔm pen ɛn swel de de. Sɔm to mɔdaret lɔs pan di anklɛ stebiliti kin de.
• Gret 3 - Sivεri: Dis na we di tεndon de kכmplit wan. Dɔktɔ dɛn kin kɔl dis bak ``Rupture''. dis min se di tεndon dεn sεparayt to tu pat. Bɔku tɛm, if pɔsin kray kɔmplit wan lɛk dis, i kin nid fɔ du ɔpreshɔn.

Yu kin tear wan ɔ ɔl tu pan yu `(Peroneal Tendon)`. Bɔku tɛm, pipul dɛn kin te di `(Peroneal Brevis Tendon)`.

Wetin yu kin fil we yu gɛt peroneal tendon tear? (Sayn dɛn)

If na so i bi, yu kin gɛt sɔm kayn sik lɛk:

• Pen na di ɔdasay na di anklɛ. If yu kray smɔl smɔl (Chronic Tear), dis pen kin las fɔ sɔm dez, dɔn i kin go, dɔn i kin kam bak bak.
• Fɔ fil se yu nɔ de stebul ɔ yu wik na yu anklɛ. di ankכl kin fil lεk se i de "pop" כ "bכkul" we yu de waka. Wi kin notis dis mɔ we yu de waka na rod we gɛt bɔku bɔku tik dɛn.
• De swɛl. Di bak pat pan di anklɛ kin swel.
• Sɔntɛnde, yu kin fil pen ivin we yu tɔch da say de.
• sכm tεm, dεn kin yεri "klik" sawnd oba di tεndon.

Wetin kin mek dis apin? (Di tin dɛn we kin mek i apin)

Tu men tin dεm de we kin mek di pεrכnial tεndon tear:

• Wan injuri we apin wantɛm wantɛm na di anklɛ. Fɔ ɛgzampul, wan invashɔn anklɛ sprayn.
• Yuz am pasmak: Dis kin apin we yu kɔntinyu fɔ du di sem muvmɛnt dɛn ɔltɛm, ɔ we yu put tumɔs prɛshɔn ɛn strɛs pan di tɛndon fɔ tu lɔng .

Wetin na di tin dɛn we kin mek pɔsin gɛt dis sik?

Sɔm tin dɛn kin mek yu gɛt dis kayn tɛndon tear:

• Ple spɔt dɛn we gɛt fɔ du wit fɔ mek di anklɛ rɔtin kwik kwik wan frɔm wan say to di ɔda say.Fɔ ɛgzampul, baskɛtbɔl, nɛtbɔl, futbɔl, tɛnis.
• fכ pipul dεm we gεt hכy arch fut, di we aw dεn de sheb di wet fכ di fut kin put mכr prεshכn pan di tεndon dεm.
• Tayt mכsul dεm na di groin εria εn di lכw leg dεm.
• We yu wɛr sus we nɔ fit. Lɛk sus we nɔ gɛt sɔpɔt, we tayt na di fut, ɔ we nɔ fayn fɔ di wok we dɛn de du.
• Poor Training Form: Nɔ yuz kɔrɛkt fɔm we yu de du ɛksɛsayz ɔ ple spɔt.
• di dכn we di tεndon trεnk de dכn wit di ej kin gεt sכm impak bak.

Kɔmplikɛshɔn dɛn we kin apin if dɛn nɔ trit am

If yu nɔ trit dis fayn, prɔblɛm dɛn lɛk dis kin apin:

• Ripit Anklɛ Sprains.
• Kɔntinyu fɔ Pen na Anklɛ/Fut.
• Instability we de go bifo pan anklɛ.
• Tεndon Snap כ Subluxation: Dis na we di tεndon de slip oba di bon we de na di כdasay na di ankכl . Yu kin yɛri ɔ fil "klik" sawnd.

Aw dɔktɔ dɛn kin no bɔt dis?

Fɔ no dis sik kin bigin wit fɔ chɛk yu bɔdi.

Fɔ chɛk yu bɔdi

Di dɔktɔ go aks yu ɛn du dɛn tin ya:

• Tin dɛm lɛk yu sayn dɛm, aw lɔng dɛn dɔn de, ɛn aw dɛn de go bifo.
• Dɛn go tek tɛm luk yu fut ɛn yu anklɛ ɛn chɛk fɔ si if yu gɛt sayn dɛn we de sho se yu wund (we yu de swel, yu de rɛd, yu de fil pen we yu tɔch yu).
• Yu fut ɛn yu anklɛ go tɔn ɛn fleks na difrɛn say dɛn.
• Dɛn go put prɛshɔn pan yu fut jisnɔ ɛn aks yu fɔ yuz pawa agens am (dɛn kɔl dis `rɛsistɛns tɛst`).
• Prɛs difrɛn say dɛn na di anklɛ jisnɔ fɔ no ustɛm di pen de kɔmɔt.

Dɛn we ya kin ɛp yu dɔktɔ fɔ no wetin de mek yu gɛt di sik. Bɔt dɛn kin nid fɔ du sɔm imej tɛst fɔ no if pɔsin gɛt di sik ɛn fɔ mek dɛn nɔ gɛt ɔda prɔblɛm dɛn.

Imej tɛst dɛn we kin nid

Yu dɔktɔ kin ɔda wan ɔ mɔ pan dɛn tɛst ya:

• Fut X-ray: Fɔ chɛk fɔ ɛni frakshɔn.
• Ankle X-ray: Si bak prɔblɛm dɛn we gɛt fɔ du wit bon.
• כltra saund skan: dis kin mek yu si gud gud wan pan di kכndishכn fכ di sכft tisu dεm lεk di tεndon dεm εn di mכsul dεm. Dis kin ɛp fɔ no if di tɛndon dɔn te ɛn aw fa i dɔn strɛch.
• MRI Scan (Magnetic Resonance Imaging - MRI): Dis na di bεst we fכ si tin dεm lεk di tεndon tear vεri klia wan. I kin sho bɔku tin dɛn, lɛk aw di tɛndon de, di sayz we di wata we dɔn rɔtin, ɛn di damej we di tisu dɛn we de rawnd am dɔn pwɛl.

Aw dɛn kin trit dis? (Tritmɛnt)

Dɛn kin trit wan peroneal tendon tear wit kɔnsavayv mɛsej, ɔpreshɔn, ɔ we dɛn jɔyn dɛn tu tin ya. If yu kray wata nɔ de shayn bɛtɛ, yu dɔktɔ kin tray fɔ yuz tritmɛnt dɛn we nɔto ɔpreshɔn fɔ sɔm mɔnt fɔ si if i go ɛp yu. Bɔt if di kray wata rili bad, ɔ if i dɔn rɔtin, i go mɔs bi se dɛn fɔ du ɔpreshɔn fɔs.

Kɔnsɔvativ Mɛzhɔ dɛn

Dis na fɔ:

• Tek anti-inflammatory medications: Dɛn tin ya kin ɛp fɔ ridyus pen ɛn swel (e.g., tin dɛm lɛk `Ibuprofen`, `Naproxen`, bɔt tek dɛm lɛk aw yu dɔktɔ tɛl yu).
• Rɛst di fut ɛn ridyus di fyzikal aktiviti: Di ​​tɛndon nid tɛm fɔ wɛl. So, yu go nid fɔ stɔp fɔ rɔn, jomp, ɔ ple spɔt fɔ sɔm tɛm.
• Fɔ mek di fut nɔ muv: Dis min se yu fɔ put bres ɔ but. dis de mek di ankכl nכ de muv εn i de εp di tεndon fכ hεl.
• Fɔ wok wit pɔsin we de mɛn yu bɔdi: Wan dɔktɔ we de mɛn yu bɔdi go tich yu patikyula ɛgzampul dɛn we go ɛp yu fɔ gɛt trɛnk bak, fɔ ebul fɔ chenj di we aw yu de du tin, ɛn fɔ mek yu ebul fɔ muv difrɛn say dɛn na yu leg dɛn.
• Rijeneretiv Tɛrapi: Sɔntɛnde dɛn kin tɔk bak bɔt tritmɛnt dɛn lɛk `(Prolotherapy)`, `(PRP Injections)` (Platelet-Rich Plasma), `(Dry Needling)` ɛn `(Deep Massage)`. dis dεm de mek di tisu hεl prכsεs.

Ɔpreshɔn

If dɛn tritmɛnt ya we nɔto ɔpreshɔn nɔ ɛp, ɔ if yu kray wata bad bad wan, yu kin nid fɔ ɔpreshɔn. Di dɔktɔ dɛn we de du ɔpreshɔn kin yuz difrɛn we dɛn fɔ du ɔpreshɔn fɔ mek di tɛndon we de na yu bɛlɛ wok bak. di bεst mεtכd de dipכnt pan di kayn kray wata we yu gεt (if na pat pan di kray wata כ we yu kכmplit).

Na sɔm we dɛn fɔ du ɔpreshɔn:

• Fɔ pul di pat we dɔn pwɛl na di tɛndon ɛn mek di pat we lɛf we gɛt wɛlbɔdi.
• fכ pul di pat we dεn pwεl pan wan pεronial tεndon εn atak di rεst pat pan di כda hεlty pεronial tεndon. Dɔktɔ dɛn kin kɔl dis bak ``Side-to-side Tenodesis``.
• tεndon tכnfכs involv fכ tek wan hεlty tεndon frכm כda pat pan yu כwn fut εn transplant am fכ riples di pεrכnial tεndon we dεn dכn pwεl.
• rεkכnstrכkshכn fכ di pεrכnial tεndon yuz tisu we dεn gεt frכm tisu dכna (allograft).

Kɔmplikɛshɔn dɛn we kin apin afta dɛn dɔn du di ɔpreshɔn

Jɔs lɛk ɛni ɔpreshɔn, sɔm prɔblɛm dɛn kin apin, bɔt dɛn tin ya nɔ kin apin.

• Anklɛ pen (i kin apin bɔku tɛm).
• Di swel we de kɔntinyu fɔ swel.
• di skin we de nכm nia di say we dεn sכj (biכs fכ di nεv dεm we dεn dכn pwεl).
• Infεkshכn fכ Insishכn.
• Dip Vein Thrombosis (DVT) (dis kin rili rare).

Yu dɔktɔ go tɛl yu mɔ bɔt dɛn prɔblɛm ya.

Yu tink se dis go wɛl if dɛn nɔ du am ɔpreshɔn?

I dipen pan aw di kray wata rili bad. Di kray wata we nɔ gɛt bɛtɛ wata kin wɛl if dɛn nɔ du am ɔpreshɔn. Bɔt if pɔsin kray bad bad wan, mɔ if di tɛndon dɔn brok ɔl, i kin nid fɔ du ɔpreshɔn.

Aw lɔng i kin tek fɔ mek i wɛl?

Dis kin difrɛn frɔm wan pɔsin to ɔda pɔsin. Bɔrku tin kin afɛkt am: di kayn tritmɛnt wae yu bin gɛt, aw yu kray, yu ej, ɛn yu ɔl wɛl bɔdi. So, i bɛtɛ fɔ aks yu dɔktɔ aw lɔng i go tek fɔ wɛl bay aw yu sik.

Jɛnɛral wan:

• I kin tek lɛk wan to tri mɔnt fɔ mek i wɛl frɔm di tritmɛnt dɛn we dɛn nɔ gɛt ɔpreshɔn.
• If dɛn du yu ɔpreshɔn, i kin tek sɔm mɔnt fɔ mek yu go bak to di nɔmal tin dɛn we yu kin du (lɛk fɔ go wok ɔ fɔ ple spɔt).

We yu de wɛl afta dɛn dɔn du yu ɔpreshɔn, yu kin ɛkspɛkt dɛn tin ya:

• Yu go ebul fɔ bigin fɔ tek wet na yu leg smɔl smɔl. Sɔntɛm afta lɛk 4 wiks so, yu go ebul fɔ bia sɔm pat pan yu leg.
• Fyzikal tritmɛnt kin bigin afta lɛk siks wiks. Yu go wok wit pɔsin we de mɛn yu bɔdi fɔ bil bak di trɛnk ɛn di rɛnj fɔ muv na yu leg. Dɛn sɛshɔn ya go ɛp yu fɔ go bak to yu nɔmal aktiviti dɛn sef wan.

Aks yu dɔktɔ bɔt aw yu go wɛl fɔ lɔng tɛm ɛn wetin yu go du fɔ mek yu nɔ gɛt di sem kayn injury tumara bambay.

Aw fɔ mek dɛn nɔ gɛt dɛn kayn sik ya? (Prɛvenshɔn) .

pan ɔl we dɛn nɔ kin ebul fɔ stɔp di pεronial tεndon tears ɔltɛm, sɔm tin dεm de we yu kin du fɔ ɛp fɔ mek dɛn nɔr gɛt dɛn kayn sɔft tisu injury ya na di fut ɛn ɔda injury dεm ɔlsay na di bɔdi:

• Wear di rayt sus: Pik sus we fit yu fut shep (fɔ ɛgzampul, if yu gɛt ay arch fut), we fayn, ɛn we go sɔpɔt yu fayn. We yu sus west ɔ yu fut nɔ de fil fayn, chenj am. Dɔn bak, wɛr sus we fit di wok we yu de du. Tink bɔt aw i denja fɔ ple spɔt dɛn lɛk tɛnis, badminton, ɛn nɛtbɔl we go mek yu rɔn frɔm wan say to di ɔda say we yu wɛr snik.
• Mek yu de du ɛksɛsayz fayn fayn wan: Dɛn dɔn tich wi ɔl fɔ it tin dɛn we go mek yu du wɛl. Bɔt wi fɔgɛt se fɔ du ɛksɛsayz fayn fayn wan impɔtant jɔs lɛk dat. I kin ɛp fɔ mek pɔsin nɔ wund. Krio plan we inklud aerobics lɛk fɔ waka, fleksibiliti ɛksesaiz lɛk yoga, ɛn trɛnk trenin lɛk fɔ yuz rɛsistɛns band.Bifo yu bigin fɔ du nyu ɛksesaiz, i go fayn fɔ mek yu tɔk to dɔktɔ fɔ mek shɔ se i nɔ bad fɔ yu.
• Wom yusɛf bifo yu bigin fɔ du ɛksɛsayz: Nɔ jomp pan rɔn, jomp, ɔ es wet wantɛm wantɛm. Du sɔntin lɛk fɔ jok na yu ples fɔ sɔm minit ɔ waka rawnd fɔ sɔm lap. dis ``warmups`` de pripia di muv pat dεm na yu leg dεm (εn כda pat dεm na yu bכdi) fכ di intensiv aktiviti we de fכlכ.
• Kul dɔŋ afta yu dɔn du ɛksɛsayz: Nɔ stɔp fɔ du ɛksɛsayz wantɛm wantɛm. If yu de rɔn, chenj to jok ɛn afta dat, waka. Kul dɔŋ fɔ at le 10 minit wit lɔw-intɛnsity, slo muvmɛnt.
• Stay Flexible: Fɔ strɛch na wan pan di impɔtant tin dɛn we yu kin du fɔ mek yu nɔ wund. Lan aw fɔ strɛch fayn ɛn mek am abit ɛvride.

Ustɛm yu fɔ go to dɔktɔ?

If yu gɛt sayn dɛn we de sho se yu gɛt pɔrsin in tɛndon we de rɔtin, go to dɔktɔ kwik kwik wan. Di kwik we yu gɛt tritmɛnt, na di mɔ yu go bigin fɔ wɛl kwik kwik wan. If i pɔsibul, go to dɔktɔ we spɛshal pan fut ɛn anklɛ injuri (lɛk spɔt mɛrɛsin spɛshal, ɔtpidik ɔpreshɔn, ɔ fut dɔktɔ).

Yu dɔktɔ go tɛl yu aw ɔltɛm yu nid fɔ kam bak fɔ mek dɛn fala yu.

Kwɛstyɔn dɛn we yu fɔ aks yu dɔktɔ

Dɛn kwɛstyɔn ya go ɛp yu fɔ no mɔ bɔt yu sik:

• Us kayn fut/anklɛ injuri a gɛt?
• Aw dɛn sik ya siriɔs?
• Wetin a kin du na os fɔ ridyus di sayn dɛm?
• Us chenj dɛn a fɔ mek to mi aktiviti lɛvɛl?
• Aw lɔng a fɔ wet fɔ go bak to mi nɔmal tin dɛn?
• Us kayn tritmɛnt yu kin advays?
• Wetin na di bɛnifit ɛn prɔblɛm/risk dɛm fɔ da tritmɛnt de?
• Aw lɔng i go tek fɔ mek i wɛl?
• Yu kin rɛkɔmɛnd mi sus ɔ tin dɛn we go mek a fil fayn ɛn sɔpɔt mi fut?
• Ustɛm a go bigin fɔ ple spɔt ɔ ɛksesaiz bak?

wetin difrεns bitwin tεndon "tear" εn "rupture"?

Bɔku pipul dɛn kin yuz dɛn tu wɔd ya fɔ chenj dɛnsɛf. כltu, dכkta dεn de yuz di wכd ``Rupture`` we di tεndon dכn kכmplit wan εn sεparayt am to tu pat (dat na, wan ``Gred 3`` tear). Dis na di kayn tin we kin rili bad we di tɛndon kin rɔtin.

Wod dɛm lɛk "tear" ɔ "rupture" kin mek pɔsin fred. Bɔt mɛmba se dɔktɔ dɛn kin no ɛn trit injury lɛk peroneal tendon tears ɔltɛm. Dɛn rɛdi fɔ ɛp yu fɔ tinap bak ɛn mek yu tinap bak.

Di tin we impɔtant pas ɔl na fɔ fala yu dɔktɔ in instrɔkshɔn dɛn gud gud wan we yu de wɛl. Ilɛksɛf dɛn du yu ɔpreshɔn ɔ yu nɔ du am, yu fut nid tɛm fɔ wɛl ɛn strɔng bak. Nɔ rɔsh fɔ kam bak to nɔmal wan wan tɛm. Peshɛnt na di men tin we de ya. Yu dɔktɔ go tɛl yu we i sef fɔ mek yu bigin fɔ du yu nɔmal tin dɛn, ɛksesaiz, ɛn spɔt bak.

Fɔ dɔn, mɛmba (Take-Home Message) .

Pen na di ɔdasay na di anklɛ nɔto simpul tin. I kin bi ``Peroneal Tendon Tear``. Insay dɛn kayn kes dɛn de:

• Go to dɔktɔ wantɛm wantɛm. Di kwik we yu no am, na di mɔ yu go gɛt di tritmɛnt kwik ɛn na di mɔ yu go wɛl kwik kwik wan.
• Fɔ fala yu dɔktɔ in instrɔkshɔn dɛn di rayt we. Mek shɔ se yu fala di instrɔkshɔn dɛn bɔt rɛst, ɛksesaiz, ɛn mɛrɛsin.
• Nɔ rɔsh am. Gi am tɛm fɔ wɛl.
• Tink bɔt aw fɔ protɛkt yusɛf bak. Tin dɛn lɛk fɔ wɛr di rayt sus, fɔ wam ɛn kol bifo ɛn afta ɛksesaiz, ɛn fɔ mek yu ebul fɔ chenj chenj kin ɛp fɔ protɛkt yusɛf frɔm injury dɛn tumara bambay.

Yu wɛlbɔdi de na yu an!

` Prɔnial tɛndon rɔp, anklɛ pen, fut disɔda, tɛndon dizayd, spɔt injuri, anklɛ sprain, fut ɔpreshɔn