Yu de fil lɛk yu an ɔ yu ɛlbow de fil pen ɛn yu de fil pen? I kin bi Radial Tunnel Syndrome!

Yu dɔn ɛva fil wan strenj pen we de kɔmɔt insay yu an, mɔ dɔŋ di ɛlbow, ɛn we yu de fil lɛk yu de swɛt wit yu an we yu nɔ gɛt trɛnk igen? Sɔmtɛm dis pen kin so bad dat e kin tan lɛk se yu de tray fɔ opin yu an. Dis kin bi wan pan de men sayn dɛm fɔ wan sik wae dɛn kɔl Radial Tunnel Syndrome, wae wi go tɔk bɔt tide. Nɔ wɔri, lɛ wi tɔk bɔt dis simpul wan.

Wetin na di Radial Tunnel Syndrome? Fɔ tɔk am simpul wan...

Imajin, wan impɔtant nerve de we de rɔn along wi an, dɛn kɔl am di radial nerve . Dis nerve na in de ɛp sɔm mɔsul dɛm na wi an fɔ wok ɛn fil na sɔm say dɛm. we dis raydial nεv kam na di εlbo, i de go tru wan sכmכl "tכnel" fכ go na di fכnt pat pan di an. dis tכnel de fכm bay tin dεm lεk mכsul dεm εn tεndon dεm. Na dat mek dɛn kɔl am di raydial tanɛl .

Naw, wetin go apin if, fɔ sɔm rizin, di mɔsul dɛn we de insay dis raydial tanɛl swel ɔ tayt? di raydial nεv we de rכn tru da tכnel de bigin fכ kכmprεs εn pinch. Na da tɛm de wan kɔndishɔn we dɛn kɔl raydial tanɛl sindrom kin apin. I tan lɛk we wata paip stɔp na di midul, i kin mek i nɔ izi fɔ mek di wata flɔ.

Di gud nyus na dat, bɔrku tɛm dɛn kin wɛl dis sik if yu rɛst ɛn simpul tritmɛnt dɛm wae nɔr de du ɔpreshɔn. So if yu de fil pen na yu ɛlb ɔ di fɔs pat pan yu an, i go fayn fɔ mek yu go to dɔktɔ.

Aw di pen we de na di raydial tanɛl kin fil? Wetin na di sayn dɛm we de sho se yu gɛt dis sik?

dis pen kin kכmכt frכm di כdasay na di εlbo dכn to di fכnt pat pan di an (`forearm`) . Na pen we de mek pɔsin fil bad we de kɔmɔt insay. Sɔmtɛm dis pen kin de ɔlsay na di de, ɛn dis kin mek yu fil taya ɛn taya.

Dis pen kin bɔku we yu de du sɔm tin dɛn. Fɔ ɛgzampul:

• bכku wok dεm na fכ yuz di fכs an εn di an (e.g., we yu de grip sכmtin tayt, yuz skru drayva).
• We yu de es sɔntin we ebi.
• We dɛn dɔn ɛkstɛnd di ɛlb dɛn tumɔs.
• we yu de tכn di fכnt pat pan di an (e.g. we yu de opin doa).
• We yu bɛn yu an.

As tɛm de go, di raydial tanɛl sindrom kin mek di mɔsul dɛn we de bifo di an wik ɛn i kin mek di an nɔ strɔng. Dis kin mek i nɔ izi fɔ ol ɔ es sɔm tin dɛn. Sɔm pipul dɛn kin fil pen bak we dɛn de slip . sכm tεm, dis kכndyushכn kin mek di an dכp (`wrist drop`) , we min se dεn nכ kin es di an.

Bikɔs dɛn sik ya tan lɛk wan sik we dɛn kɔl "tɛnis ɛlb," i rili impɔtant fɔ mek yu no klia wan bɔt yu sik dɛn we yu go si dɔktɔ.

Wetin mek di raydial tanɛl sindrom kin apin? Wetin na di tin dɛn we kin mek i apin?

as wi bin se, as di raydial nεv de pas tru di raydial tכnel dכn di εlbo, i de pas bitwin difrεn mכsul dεm εn כnda sheet dεm fכ tisu we dεn kכ l `fascial bands` . (Fascial bands na wan kayn tisu we de rawnd, separet, ɛn tay tin dɛn lɛk mɔsul ɛn ɔgan dɛn na wi bɔdi.)

so, if eni inflameshn (`inflammation`) de insay di tin dεm we de insay dis raydial tכnel, i de put prεshכn we nכ nid pan di raydial nεv. Na dat na di men tin we kin mek pɔsin gɛt dis sik. Bɔku rizin dɛn de we kin mek pɔsin gɛt dis inflamɛns:

• Fɔ du di sem muvmɛnt dɛn bɔku tɛm: Ɛspɛshali na wokples. Fɔ ɛgzampul, fɔ tayp bɔku tɛm, yuz tul lɛk skru drayva bɔku tɛm.
• Fɔ du push ɛn pul muvmɛnt ɔltɛm wit yu an: Tink bɔt am, we yu nak kriket bɔl ɔ volibol, yu kin pul yu an bak ɛn push am fɔ go bifo bak fɔ sɛn di bɔl. Tin dɛn lɛk dat.
• Wan dairekt, had blow to di ɔdasay na di ɛlbo ɔ di fɔs pat pan di an.
• Fɔ ol sɔntin tayt, swɛt am tayt wit yu finga dɛn, ɔ fɔ bɛn yu an ɔltɛm.

Udat kin gɛt dis sik?

Radial tunnel syndrome kin bɔrku pan pipul dɛm wae ol bitwin 30 ɛn 50. Uman dɛm kin gɛt dis sik pas man dɛm. Apat frɔm dat, sɔm ɔda tin dɛn kin mek yu gɛt dis sik mɔ ɛn mɔ:

• Di trɛnk ɛn di fleksibiliti we de na di an ɛn di an dɔn go dɔŋ.
• Nɔ wam yusɛf fayn bifo yu ple spɔt.
• Fɔ di wan dɛn we gɛt dayabitis (`Diabetes Mellitus`) .
• Fɔ di wan dɛn we gɛt tayroyd gland we nɔ de wok fayn .
• f כ gεt lכmp כ tכmכro (`tכmכr כ ganglion sist`) na di an.
• Swel (edema) ɔ wata we de gɛda na di an.
• Radial nerve inflameshn we de mek pɔsin gɛt inflamɛns.

Aw dɔktɔ kin no dis?

We yu go to dɔktɔ, i go aks yu fɔs bɔt di pen we yu de fil, di sayn dɛn we yu gɛt, ɛn yu mɛrɛsin istri. Dɔn, dɛn go du wan ɛgzam fɔ yu bɔdi , mɔ fɔ chɛk yu ɛlb ɛn di fɔs pat pan yu an. Dɔn, di dɔktɔ go tray fɔ fɛn di rayt say we di raydial nɛv de bay we i tɔch di ɔdasay na yu ɛlbo ɛn prɛs am jisnɔ.

Us spɛshal tɛst dɛn kin yuz fɔ no dis?

Tu patikyula tɛst dɛn de we yu dɔktɔ kin yuz fɔ no dis sik:

• Tεst dεm fכ rεsistεns: Di dכkta go du sכm rεsistεns tεst dεm we i de yuz yu tכmb εn midul finga. If yu fil ɛni pen, yu kin gɛt radial tanɛl sindrom.
• "Rul fɔ nayn tɛst":Di dɔktɔ go pres nayn difrɛn say dɛn na yu ɛlb jisnɔ. If yu fil pen na sɔm say dɛm, yu kin gɛt dis sik.

Bɔt nɔ `fɔmal tɛst` nɔ de we go ebul fɔ no ustɛm dis na. So, i kin at smɔl fɔ no am di rayt we. So, di dɔktɔ kin du sɔm ɔda tɛst dɛn fɔ mek shɔ se no ɔda injuri ɔ mɛrɛsin nɔ de. Dɛn kɔl dɛn tin ya `imaging test` :

• X-ray we dɛn kin du
• Magnɛtik rɛsɔnans imej (MRI) .
• wan tεst we de mכsu di spid we di nεv impuls dεm de du (`Nεv kכndukshכn stכdi`)
• wan tεst we de chεk di nεv fכ wok (`Electromyography - EMG`)

Wetin na di tritmɛnt dɛm fɔ dis?

Di bɛst we fɔ trit dis sik na fɔ stɔp ɔ ridyus di tin dɛn we de mek pɔsin gɛt di sik . If i pɔsibul, rɛst yu an ɛn tray fɔ avɔyd ɛnitin we go mek yu fil pen. Fɔ bɔrku pipul dɛm, de sik kin bɛtɛ insay lɛk siks wiks wae dɛn rɛst ɛn gɛt mɛrɛsin.

Ɔda tritmɛnt dɛn de fɔ ridyus di pen we gɛt fɔ du wit di raydial tanɛl sindrom:

• Yuz ɔva-di-kɔnta anti-inflammatory mɛrɛsin (NSAID) we yu kin bay na di famasi.
• fכ gεt stεroyd injεkshכn fכ ridyus inflameshn εn prεshכn pan di raydial nεv.
• We yu wɛr splint fɔ di an ɛn/ɔ di ɛlb. dis de εp fכ limited muvmεnt fכ di an εn rεdכks iritashכn to di raydial nεv. (Dis kin fayn mɔ na nɛt we yu de slip.)
• Fɔ du difrɛn fizik tɛrapi ɛgzampul dɛn . dis dεm de εp fכ strεch εn lכs di tayt mכsul dεm/tisu dεm we de rawnd di raydial nεv.

Di men gol fɔ tritmɛnt na fɔ pul yu sik dɛn ɛn mek dɛn nɔ kam bak.

If yu wok de mek yu gɛt dɛn sik ya, yu kin tink bɔt fɔ mek sɔm chenj dɛn na yu wokples ɔ fɔ tek mɔ briŋ insay di de we yu de wok. Tray fɔ avɔyd fɔ push ɛn pul bɔku wok dɛn as yu ebul.

Fɔ atlet dɛn, praktis ɛgzampul dɛn we go mek yu gɛt trɛnk ɛn ebul fɔ chenj, ɛn nɔ fɔgɛt fɔ wam yusɛf fayn fayn wan bifo yu ple ɔ praktis.

Ɔspitul tritmɛnt de fɔ dis sik. Bɔt bɔku tɛm, dɔktɔ go jɔs tɛl yu fɔ du am if yu rɛst ɛn tritmɛnt we yu nɔ de du ɔpreshɔn nɔ ɛp am. di prכp כz fכ raydial tכnel rilis na fכ rεliv di prεshכn pan di raydial nεv we i de pas tru di raydial tכnel.

Wetin na di impɔtant kwɛstyɔn dɛn we wi fɔ aks di dɔktɔ?

Na sɔm kwɛstyɔn dɛn we yu kin aks yu dɔktɔ bɔt raydial tanɛl sindrom:

• aw yu go no if a geht radial tunnel syndrome o oda tin?
• Us tritmɛnt dɛn yu kin advays?
• Us kes dɛn yu go se dɛn fɔ du ɔpreshɔn?
• Wetin a kin du fɔ mek di raydial tanɛl sindrom nɔ kam bak?

Dis raydial tanɛl sindrom kɔndishɔn go bɛtɛ fɔ insɛf?

If dɛn nɔ trit yu, i nɔ go izi fɔ mek yu sik dɛn bɛtɛ fɔ dɛnsɛf. Infakt, di sayn dɛm kin wɔs as tɛm de go. If yu nɔ trit dis sik, i kin mek yu gɛt pen we nɔ de dɔn na yu an bifo. So i fayn fɔ mek yu go to tritmɛnt kwik kwik wan.

Wetin go apin afta dɛn dɔn trit am? A go wɛl? (`Prɔgnosis`) .

If yu fala yu dɔktɔ in instrɔkshɔn dɛn fayn fayn wan ɛn avɔyd fɔ gɛt injury na di radial nerve tumara bambay, di tritmɛnt we nɔ gɛt ɔpreshɔn kin rili wok fɔ dis sik. If di tritmɛnt dɛn we nɔ gɛt ɔpreshɔn nɔ wok, ɔpreshɔn na ɔda tin we kin mek pɔsin nɔ gɛt di sik. Bɔt sɔm pipul dɛn kin kɔntinyu fɔ gɛt sɔm kayn pen afta dɛn dɔn du dɛn ɔpreshɔn.

Radial tanɛl pen kin mek i nɔ izi fɔ du ɛvride wok. I kin afɛkt di tin dɛn we yu de du ɛvride, di wok we yu de du, spɔt, ɛn di tin dɛn we yu lɛk fɔ du. So i rili impɔtant fɔ mek yu rɛst yu an ɛn stɔp fɔ du tin dɛn we de mek yu gɛt di sik . Si dɔktɔ ɛn gɛt tritmɛnt. Dɔn i nɔ go te igen yu nɔ go gɛt pen.

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

So, a op se naw yu dɔn ɔndastand mɔ bɔt wetin wi bin de tɔk bɔt, Radial Tunnel Syndrome. Na sɔm impɔtant tin dɛn we yu fɔ mɛmba:

• If yu gɛt sɔm sayn dɛm lɛk wae yu de fil pen na yu ɛlbo ɔr di fɔs pat pan yu an, yu nɔr de fil fayn, ɛn yu nɔr de gɛt trɛnk na yu an , i kin bi radial tunnel syndrome.
• dis kin apin biכs di raydial nεv na di an de kכmprεs na wan say.
• Dis kin kam bikɔs ɔf tin dɛn lɛk fɔ du di sem tin bak ɛn bak, fɔ es wet, ɔ fɔ bit yu na yu ɛlb .
• I impɔtant fɔ go to dɔktɔ we yu nɔ de panik ɛn no ustɛm na di prɔblɛm.
• Bɔrku tɛm, dɛn kin mɛn dis wit simpul tritmɛnt lɛk fɔ rɛst, fɔ mɛn pen, ɛn fɔ trit yu bɔdi .
• Fɔ fala di dɔktɔ in instrɔkshɔn ɛn fɔ rɛst yu an rili impɔtant fɔ mek yu wɛl kwik kwik wan.

If yu gɛt ɛni wan pan dɛn sik ya, nɔ wɔri, go to dɔktɔ wantɛm wantɛm. Dɔn yu kin wɛl kwik kwik wan ɛn go bak na yu wok wit gladi at!

`raydial tanεl sεndrכm, an pen, εlbo pen, nεv kכmpreshכn, raydial nεv, sכm, an wik