Yu tink se di insay pat pan yu leg de at bak? Lɛ wi lan bɔt (Posterior Tibial Tendonitis) ɛn (Posterior Tibial Tendon Dysfunction)!

Wi fut na rili impɔtant tin dɛn we wi de yuz ɔl di de, we de sɔpɔt wi wan ol wet, nɔto so? Bɔt sɔntɛnde dɛn fut ya kin gɛt smɔl pen. Yu dɔn ɛva notis se yu gɛt pen na yu fut insay, nia yu anklɛ? Sɔntɛm dis pen kin bɔku we yu de waka, rɔn, ɔ klaym stej. Bɔku pipul dɛn nɔ kin pe atɛnshɔn tumɔs to dis, dɛn kin tink se, "I go fayn insay sɔm dez." Bɔt if dis kɔntinyu, i kin bi siriɔs smɔl. Tide wi go tɔk bɔt wan kɔndishɔn we kin mek yu gɛt dis kayn pen na yu leg.

Wetin na di Posita Tibial Tεndonayt?

Fɔ tɔk am simpul wan, Posterior Tibial Tendonitis na inflamɛns ɔ swel na di Posterior Tibial Tendon, we de sɔpɔt di arch na yu fut ɛn ɛp yu fɔ bɛn yu leg. Dɛn kin kɔl am bak di Posterior Tibialis Tendon .

Naw yu go mɔs de wɔnda wetin na tɛndon . Tεndon na wan strכng tisu we lεk rop we de kכnekt wi mכsul dεm to wi bon dεm. so, di posita tibial tεndon de kכnekt wan mכsul na wi lכw leg to di bon dεm we de insay wi leg.

We dis tɛndon inflam , yu kin fil pen ɛn tayt along di arch na yu fut, insay yu fut, ɔ na yu anklɛ. Dis inflameshn na wan tεndon dεn kin kכl am tεndinayt . I kin bi fɔ shɔt tɛm (akyu) ɔ fɔ lɔng tɛm (krɔnik).

if di posita tibial tεndinitis de kכntinyu, dat min se if i go fכ lכng tεm we i nכ de hεl, di tεndon de wik sכmtεm εn i de bigin fכ brok. Wi kin kɔl dis kɔndishɔn tendinosis . dis posita tibial tεndinosis na in de mek wan kכndyushכn we dεn kכl Posita Tibial Tεndon Disfכnkshכn (PTTD) .

So wetin na di posita tibial tεndon disfכnkshכn (PTTD)?

di posita tibial tεndon disfכnkshכn (PTTD) de apin we di tεndon brok dכn εn wik bikoz fכ di krכnik tεndinosis fכ di posita tibial tεndon we wi bin dכn tכk bכt. we di tεndon wik, i nכ kin sכpכt di arch na yu fut igen.

Yu no wetin dis kin mek pɔsin du? Yu fut dɛn kin bigin fɔ flat ɛn yu anklɛ dɛn kin bigin fɔ tɔn insay. Yu kin fil se yu arch ɛn yu anklɛ dɛn rili wik, mɔ we yu de tray fɔ es yu il. If dis sik kɔntinyu, i kin wɔs smɔl smɔl.

Dɔktɔ dɛn kin kɔl dis sik bak Posterior Tibial Tendon Insufficiency (PTTI) . PTTD na di men tin we kin mek pɔsin gɛt prɔgrɛsiv kɔlaps fut difɔmiti (PCFD), we na wan sik we dɛn bin de kɔl bifo tɛm as big pɔsin we gɛt flat fut ɔ "fallen arch ."

Imajin, we di arch na yu fut fɔdɔm, di we aw yu fut de nak di grɔn we yu de waka, ɛn dat mek di we aw i de bia wet, de chenj. Dis kin dɔn pwɛl ɔda pat dɛn na yu fut, lɛk di ligamɛnt dɛn ɛn leta di katilej.

Wetin na di stej dɛm fɔ dis sik? (Stej dεm fכ di Posita Tibial Tεndinopathy)

Dɔktɔ dɛn kin sheb dis to difrɛn stej dɛn dipen pan yu kɔndishɔn:

• Stej 1: Dis na mild tεndonayt εn/ כ tenosynovitis (di swεla na di sεl we de rawnd di tεndon). No big chenj nɔ de pan di we aw yu leg tan. Yu kin stil es yu il, bɔt yu kin fil sɔm pen we yu de du dat.
• Stej 2: Na dis stej, yu nɔ go ebul fɔ es yu il igen. X-ray sho se yu arch dɔn fɔdɔm, bɔt i stil fleksibul ɛn i nɔ stif. Yu fut finga dɛn kin bigin fɔ spre smɔl. (Dכkta dεn kכl dis di "too many toes" sayn . Dis min se we yu luk yu fut frכm di bak, yu kin si mכr tכd dεm pas aw yu kin si nכmal fכ si.)
• Stej 3: Bay naw yu arch dɔn fɔdɔm kpatakpata ɛn i dɔn rigid. Yu fut finga dɛn ɛn yu il dɛn ɔl tu de pɔynt na do. Yu kin de sho sayn dɛm bak fɔ at at sik na di sabtalar jɔyn na di bak pat na yu fut.
• Stej 4: Ɔl di sayn dɛm wae wi dɔn tɔk bɔt kin de na dis stej. εks-ray sho bak se di deltoid ligament εn di talus bon na yu ankכl dכn shift kכmכt na di ples. Yu kin gɛt sayn dɛn bak fɔ at at na yu anklɛ jɔyn.

Wetin na di sayn dɛm we de sho se yu gɛt dis sik?

we yu gεt Posterior Tibial Tendonitis, yu kin fil pen along di rod we di tεndon de rכn, i de stat frכm di bak pat pan di ankכl εn i de rכn dכn insay di leg, כl di we te to di bak pat pan di bכni prominεns we de bifo di arch.

Dis pen kin fil mɔ wae yu de du ɔ afta yu dɔn du tin lɛk fɔ waka, rɔn, ɔr fɔ klaym stɛp. Fɔ bigin, di pen kin de wan wan tɛm. Bɔt as di sik de wɔs, di pen kin de mɔna am.

Ɔda sayn dɛm fɔ di posita tibial tɛndinitis kin bi:

• Swel along di tεndon, spεshal wan na di insay pat pan di ankכl.
• Pen we yu de pres wit di an, mɔ we yu de bɛn di leg.
• Fɔ fil wik na di leg ɔ anklɛ, mɔ we yu de "push ɔf".

We tɛndonayt tɔn to tendinosis, yu kin si se i nɔ kin izi fɔ yuz yu leg, ɛn di pen kin skata. As tɛm de go, yu kin notis chenj dɛn na yu bɔdi na yu leg lɛk:

• Kollaps fɔ di arch (flat fut).
• Ankle we de rɔl insay.
• Il ɛn/ɔ fut de tɔn na do.

dis na di simptom dεm fכ di posita tibial tεndon disfכnkshכn (PTTD).

Wetin na di tin dɛn we kin mek dis apin? (Di tin dɛn we kin mek pɔsin gɛt di posita tibial Tɛndinayt) .

Bɔku tɛm na injuri na di men tin we kin mek pɔsin gɛt tɛndonayt . We i kam pan tɛndonayt na di leg, na di wan dɛn we kin gɛt bɔku bɔku strɛs injury . Wi ɔl, ilɛksɛf wi na atlet ɔ wi nɔto atlet, de yuz wi leg ɔltɛm.

We dɛn yuz ɛni tɛndon pasmak, i kin strɛs, ɛn dis kin mek smɔl smɔl kray wata na di fayn fayn fayv dɛn. Dɛn tin ya kin tek lɔng tɛm fɔ wɛl. Swɛlin na sayn fɔ sho se i de tray fɔ wɛl. Bɔt if yu nɔ gi am chans fɔ wɛl, i nɔ go wɛl.

Sɔntɛnde, yu posita tibial tɛndon kin te (acute injury) bikɔs ɔf wan injuri we yu gɛt wantɛm wantɛm, lɛk spɔt aksidɛnt ɔ we yu twist anklɛ. If dis kray wata nɔ wɛl, di tɛmporari inflamɛns (acute inflammation) kin bi krɛse.

Sɔntɛnde, if yu gɛt abnɔmal we fɔ waka, i kin mek bak di tɛndon strɛs ɔltɛm. Fɔ ɛgzampul, if yu fut tɔn insay ɔ na do, ɔ if yu gɛt flat fut ɔ ay arch, ivin fɔ waka nɔmal wan kin put prɛshɔn pan di tɛndon.

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

Bɔku tin dɛn de we kin mek yu tɛndon strɛs ɛn swel:

• Wiknɛs na di leg ɔ anklɛ bikɔs ɔf di ɔpreshɔn we dɛn bin dɔn du bifo ɔ injuri.
• Fɔ du spɔt dɛn we gɛt bɔku impak ɛn we nɔ gɛt gud tɛknik, dɛn kɔl am fɔ tren pasmak.
• Fɔ tinap fɔ lɔng tɛm we yu nɔ gɛt gud sus we go sɔpɔt yu. Tink bɔt se sɔm wok dɛn kin nid fɔ tinap ɔl di de (e.g., ticha dɛn, wokman dɛn na stoa). Pipul dɛm lɛk dis kin de pan big risk if dɛn nɔ wɛr di rayt sus.
• Fɔ kɛr bɔku bɔku wet we yu de waka. Dat min se, fɔ fat kin afɛkt dis bak.
• Fɔ dɔn gɛt abnɔmal tin na dɛn leg ɔ di we aw dɛn de waka frɔm di biginin.
• Fɔ gɛt ɔstiɔ-arayt we bin dɔn de bifo na di leg.
• Fɔ gɛt wan sik we de mek yu gɛt inflammatory connective tissue disease we de mek yu swel, lɛk rεumatoid arthritis .
• Tεnosynovitis na inflameshn na di saynovial mεmbran we de rawnd yu tεndon.

Aw tɛndinayt kin bi PTTD?

Tεndonayt εn tεndinosis kin tan lεk wan bad bad saykl. di inflameshn we de te de mek di tεndon wik, we de mek i izi fכ injuri. We yu wund bɔku tɛm, dat kin mek di tɛndon wik mɔ, ɛn di inflamɛns kin kɔntinyu.

As di tεndon de lכs in effektiv, כda strכkchכ dεm na yu leg εn ankכl gεt fכ fulכp di gap. dis ekstra prεshכn de mek dεn strכkchכ dεm de fεl sכmtεm, we de put di lod bak pan di tεndon.

Us kɔmplikɛshɔn kin apin pan dis kɔndishɔn?

Akyu posita tibial tεndonayt kin hεl wit rεst εn tεm. Bɔt if di tɛndonayt kin kam fɔ lɔng tɛm, i kin bigin wan saykl we di tisu dɛn kin pwɛl. כlsay, i kin mek di posita tibial tεndon disfכnkshכn (PTTD).

di posita tibial tεndon insufisεns kin mek di arch na yu fut kכlaps sכmtεm ( progressive collapsing foot deformity, PCFD , כ adult-acquired flatfoot ). Dis kin mek yu gɛt ɔda prɔblɛm dɛn.

We yu waka wit flat fut, di ligament dεm εn leta di bon dεm na yu fut de muf kכmכt na di ples. Dis kin mek di fut nɔ de wok fayn mɔ. Dɛn tin ya we nɔ fayn kin mek yu jɔyn dɛn prɛshɔ, ɛn dis kin mek yu gɛt at at sik na yu fut ɛn anklɛ.

כda kכmplikεshכn we kin apin na we di tεndon kin rכp kכmplit. Bikɔs di tɛndon kin wik smɔl smɔl, i kin izi fɔ mek i brok ɔl we i wund wantɛm wantɛm. Wan tɛndon we dɔn rɔtin ɔl go nid fɔ ɔpreshɔn fɔ mek i fayn.

Aw dɔktɔ dɛn kin no bɔt dis?

di kכndishכn dεm we de afekt yu posita tibial tεndon (tendinopathy) kin כltεm fכ no wit fכshal εgzam. Dɔktɔ go chɛk yu fut ɛn yu anklɛ we yu tinap ɛn muv yu fut difrɛn we dɛn.

Dɛn go fil rawnd di tɛndon fɔ si if i dɔn swel, prɛs pan am fɔ si if ɛni pen de. Dɔn dɛn kin du imej tɛst, lɛk ɛkstrem rayt ɔ ɔltra saund, fɔ no mɔ bɔt yu sik.

Wetin na di tritmɛnt dɛn?

Fɔs, dɛn kin trit di posita tibial tɛndonayt wit simpul tritmɛnt lɛk fɔ rɛst, ays, ɛn mɛrɛsin dɛn we dɛn kin bay we dɛn nɔ de bay. If i rili bad, dɛn kin nid fɔ put kɔst ɔ but fɔ sɔm wiks.

Kɔnsɔvativ tritmɛnt fɔ PTTD inklud fyzikal tɛrapi ɛn yus spɛshal ɔtotiks — insɛt dɛm we yu kin wɛr insay yu sus — fɔ ridyus di prɛshɔn pan di tɛndon we yu de waka. If i rili bad, yu kin nid fɔ du ɔpreshɔn fɔ mek yu fut fayn.

Na ɛni stej, dɔktɔ dɛn go bigin wit simpul (nɔ-ɔspitul) tritmɛnt dɛn fɔs. Dɛn go tink bɔt ɔspitul tritmɛnt dɛn nɔmɔ if yu sik nɔ de bɛtɛ afta sɔm mɔnt we dɛn dɔn tek dɛn tritmɛnt ya.

Aw lɔng i kin tek fɔ mek i wɛl? (Tɛm fɔ Rikɔva)

Akyu tɛndinayt kin wɛl insay sɔm wiks. Bɔt if yu gɛt tendinosis ɛn tɛndon dysfunction, i go tek lɔng tɛm. If yu trit am simpul wan, i kin tek lɛk tri to 4 mɔnt fɔ mek i wɛl ɔl.

If kɔnsavaytiv tritmɛnt nɔ wok afta sɔm mɔnt, yu dɔktɔ kin tɛl yu fɔ du ɔpreshɔn. Afta dɛn dɔn du di ɔpreshɔn, i kin tek tu to 4 mɔnt bak fɔ mek yu tɛndon kam bak.

Wetin kin apin if yu gɛt PTTD? (Prɔgnosis) .

Di luk fɔ PTTD dipen pan di stej fɔ yu kɔndishɔn ɛn di kayn tritmɛnt we yu nid. We di sik bigin, bɔrku pipul kin wɛl bɔdi fayn fayn wan wit simpul tritmɛnt.

If dɛn du yu ɔpreshɔn fɔ mek sɔm pat dɛn na yu leg bak, i nɔ kin izi fɔ no wetin go apin. Di ɔpreshɔn kin at fɔ du, ɛn yu kin nid fɔ du mɔ pas wan ɔpreshɔn. Ivin afta dɛn dɔn du di ɔpreshɔn, sɔm sayd ɛfɛkt dɛn kin las fɔ sɔm tɛm.

Yu tink se dɛn go ebul fɔ stɔp dis? (Prɛvenshɔn) .

If yu tek tɛm fɔ mek yu nɔ strɛs pasmak, dat kin ɛp fɔ mek yu nɔ gɛt tɛndinayt ɛn tɛndinɔsis. If yu no se yu go de du bɔku wok na yu fut, mek shɔ se yu wɛr sus we go sɔpɔt yu , dɔn yu go rɛst bɔku tɛm.

If yu bigin fɔ fil pen na yu tɛndon, tek kia ɔf am, gi am rɛst ɛn lɛ i wɛl. If di sayn dɛn nɔ de igen, go to dɔktɔ. I go tɛl yu if yu gɛt tɛndinitis ɛn wetin fɔ du.

If dɛn no se yu gɛt tendinitis ɔ tendinosis, i rili impɔtant fɔ fala wetin yu dɔktɔ tɛl yu fɔ du. If yu nɔ gi yu tɛndon chans fɔ wɛl fayn fayn wan, dat go jɔs mek yu simptom dɛn lɔng ɛn fɔ mek yu wɛl.

Fɔ dɔn, tin dɛn we wi fɔ mɛmba

di posita tibial tεndon disfכnkshכn (PTTD) de apin we tεndinitis εn tεndinosis de fכ lכng tεm. Sɔm pipul dɛn nɔ kin notis di sayn dɛn fɔs. Bɔt wans yu dɔn gɛt di sik, i impɔtant fɔ mek dɛn trit dɛn.

Wi ɔl kin rili abop pan wi fut so sɔntɛnde wi nɔ kin ivin tink bɔt dɛn. We yu fut de at, yu kin tink se, "Wɛl, na jɔs sɔntin we yu go go tru na layf." Bɔt yu go sɔprayz aw wan smɔl tɛndon na yu fut impɔtant.

Tεndon na tin dεm we strכng, bכt dεn kin slo fכ hεl we i wund. If dɛn nɔ wɛl, dɛn kin west bikɔs dɛn kin swel fɔ lɔng tɛm. if yu posita tibialis tεndon fεl, di כl strכkchכ fכ yu leg kin kolכp.

Di men tin na dat, tek yu pen siriɔs wan . di kwik we yu gεt di rayt tritmεnt fכ di posita tibial tεndinitis εn di posita tibial tεndon disfכnkshכn, na di mכr yu go sכmtεm rεkכvεshכn.

I kin tek sɔm tɛm fɔ mek i wɛl, mɔ if yu gɛt fɔ du ɔpreshɔn. I kin mek yu at pwɛl fɔ gɛt fɔ stɔp ɔltin bikɔs ɔf wan smɔl tɛndon. Bɔt if yu kin tink bɔt dis smɔl tɛndon as ɛp fɔ di wok we i de du fɔ yu ɛvride, i go ɛp yu.

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