Yu sholda de at? I kin bi se na rotator cuff tear!

Yu kin gɛt prɔblɛm bak fɔ es yu sholda ɔ fɔ rɔta? Yu tink se i kin at we yu du dat? Sɔntɛnde, we yu de slip na nɛt, yu kin fil pen so dat yu nɔ kin ivin ebul fɔ put wet na yu sholda? Ɔ yu fil se sɔntin ‘tuk’ insay yu sholda, ɔ i de stɔp? Dɔn dis stori go rili impɔtant to yu. Tide wi go tɔk bɔt wan sɔldɔm prɔblɛm we bɔku pipul dɛn gɛt, bɔt dɛn nɔ rili no bɔt. Dat na we di pat na di sholda we dɛn kɔl di rotator cuff .

Wetin na di rotator cuff na di sholda? Aw i kin te?

fכ simpul wan, di rotator kכf na fכ mכsul dεm εn dεn tεndon dεm na yu sכlda we de fכm wan sכmכl ‘kכf’ כ breslet rawnd di sכlda jכint.

Di men wok we i de du na fɔ ɛp yu fɔ es yu an ɔp, dɔŋ, ɛn rɔta yu an insay ɛn kɔmɔt na do . i de εp bak fכ kip di pat we lεk bכl pan yu כp an bon (we wi kכl di humerus insay mεdikal tεm) insay in sכkεt na di sכlda bled. Tink bɔt am lɛk gɔlf bɔl we de pan gɔlf ti. Na so wi sholda jɔyn de wok. Di rotator cuff de ɛp fɔ mek di bɔl nɔ bounce off di tee.

so, rotator cuff tear na we wan כ mכr pan dεn tεndon dεm de kכmplit כ pat pan di כp an bon (humerus). Dis kin apin wantɛm wantɛm (lɛk we pɔsin fɔdɔm), ɔ i kin apin as tɛm de go as di tɛndon de west as tɛm de go.

Ɛni kayn kray wata ya de?

Yɛs, tu kayn dɛn de mɔ:

1. Patεl Tεa: Dis na we di tεndon nכ de kכmplit kכlכs frכm di bon. dis min se di tεndon stil de atak di bon to sכm tεm. Bɔt i rɔtin smɔl ɛn wik. I tan lɛk klos we dɔn rɔtin smɔl we i nɔ rɔtin.

2. Kכmplit Tεa כ Ful-Tiknεs Tεa: Dis na we di tεndon kכmplit wan sεparayt frכm di bon. Fɔ tɔk mɔ, i tan lɛk se di tɛndon gɛt ol insay, ɔ i kin brok ɔl tu.

Aw dis sik kin kɔmɔn?

Rotator cuff tears na rili kɔmɔn pas aw yu go tink. Dɛn kin kɔmɔn mɔ pan big pipul dɛn we dɔn ol . Sɔm statystik dɛn sho se bɔku bɔku pipul dɛn ɔlsay na di wɔl de sɔfa wit dis prɔblɛm we de wit di rotator cuff ɛvri ia.

Jɔs tink bɔt, sɔm pipul dɛn kin gɛt dis kray wata bɔt dɛn nɔ kin gɛt ɛni sayn, so dɛn nɔ kin ivin no se dɛn gɛt am! I kin so kwayɛt sɔntɛnde.

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

Di sayn dɛm wae de sho se di rotator cuff tear kin difrɛn frɔm wan pɔrsin to ɔda pɔrsin, bɔt sɔm kɔmɔn sayn dɛm de:

• I at, i kin mek i fil pen, ɛn i kin fil lɛk se trɛnk nɔ de na di an we yu de es am ɔp, dɔŋ, ɔ rɔta am.Dis pen kin apin we yu kɔm yu ia, skrach yu bak, ɔ es yu an fɔ pik sɔntin.
• We a de muv mi an wan patikyula we , a kin yɛri ‘tik-tɔk’ ɔ ‘chiri-chiri’ sawnd we de kɔmɔt insay mi sholda, ɔ a kin fil lɛk se sɔntin de twist ɔ stɔp insay.
• Sɔlda pen kin wɔs na nɛt. Di pen kin rili bad we yu de slip na di say we yu wund. Sɔm pipul dɛn kin fil pen ivin we dɛn jɔs de rɛst dɛn an na dɛn sayd.
• Yu sholda dɛn wik, dat kin mek i nɔ izi fɔ es tin dɛn, opin domɔt, ɛn ɔda tin dɛn .

Aw dis pen kin rili tan lɛk?

Dis kin difrɛn bak fɔ ɛnibɔdi. Sɔm kin fil wan dɔl, ɔltɛm pen we kin tan lɛk se sɔntin dɔn stɔp insay di sholda, wit wan ebi . Ɔda pipul dɛn kin gɛt shap pen we dɛn kin chuk .

• If di kray wata apin pan aksidɛnt wantɛm wantɛm (acute tear) , lɛk we yu fɔdɔm, den yu kin gɛt pen na yu sɔl we yu nɔ go ebul fɔ bia wantɛm wantɛm ɛn yu kin lɔs yu an trɛnk kpatakpata.
• Insay wan degenerative tear , di pen kin smɔl fɔs. I kin mek i fil fayn bay we dɛn de yuz mɛrɛsin fɔ mɛn pen we dɛn kin bay na kɔt (OTC pen relievers). Bɔt as tɛm de go, di pen kin kam tranga ɛn di mɛrɛsin nɔ kin lɛf am.
• Di impɔtant tin na dat, nɔto ɔlman go gɛt pen, bɔt bɔku pipul dɛn go mɔs fil sɔm wikɛd tin na dɛn an ɛn sholda.

Wetin mek dis de apin? Wetin na di rizin dɛn we mek dɛn de du dis?

Bɔku tin dɛn de we kin mek di rɔta kɔf rɔtin.

1. Akyu Injuri: .

Wan tɛndon kin te we pɔsin fɔdɔm, we i blo tranga wan na in sholda, ɔ we i strɛs wantɛm wantɛm na di sholda we i de es ebi ebi tin. Sɔntɛnde, di rotator cuff kin pwɛl bak we di sholda dɔn kɔmɔt ɔ di kɔlabon brok.

2. Degenerative Tears: Di wan dɛn we de kray:

Dis na di tin we kin mek pɔsin gɛt dis sik. Dis risk kin pasmak pan pipul dɛm wae dɔn pas 40. Bɔrku rizin de wae mek dis kin apun:

• bon spur dεm: sכm pipul dεn de divεlכp sכm sכm bon spur dεm (`(Bone spurs)`) na di tכp pat pan dεn sכlda bon, usay di tεndon de pas. We wi es wi an ɔp, dɛn bon spur ya de rɔb pan di tɛndon. Dɛn kɔl dis ``Shɔlda Impingement``. We dis kɔntinyu fɔ rɔb, lɛk rop we de rɔb pan rɔk, di tɛndon kin wik ɛn te.
• Blɔd we de flɔ we de go dɔŋ:As wi de ol, di bכdi we de gi di rotator cuff tεndon dεm de dכn. We ɛni pat na wi bɔdi wund, i impɔtant fɔ gɛt gud blɔd fɔ mek i wɛl. So, we dis bכdi nכ de, di tεndon de wik, εn ivin sכm sכm injuri nכ de hεl izi, εn i kin go bifo sכmtεm te i big te.
• Yuz pasmak ɛn Ripit Moshɔn:

Ilɛksɛf na fɔ ple spɔt ɔ fɔ du yu wok we yu de du ɛvride, we yu de yuz yu sholda di sem we, i kin mek di mɔsul ɛn di tɛndon dɛn strɛs bad bad wan. Dis kin mek di tɛndon wik bak ɛn chɛr am. Tink bɔt pɔsin we de luk ɔp ɔltɛm we i de peint, pɔsin we de du kapɛnta wok, ɔ pɔsin we de bɔl fast bɔl ɔltɛm we i de ple kriket ɔ volibol. Dɛn de pan ay risk.

Udat dɛn kin gɛt dis sik mɔ? (Di tin dɛn we kin mek pɔsin gɛt prɔblɛm)

Infakt, ɛnibɔdi kin gɛt rotator cuff tear. Bɔt sɔm pipul dɛn kin gɛt prɔblɛm smɔl. Si if dɛn tin ya apin to yu:

• di ej: Pipul dεm we pas 40 ia kin de pan hכy risk biכs di tεndon trεnk εn fleksibiliti de dכn wit di ej.
• Famili histri: If sɔmbɔdi na yu famili (mama, papa, brɔda ɛn sista) dɔn gɛt prɔblɛm wit in sholda, lɛk we di rotator cuff tear, yu kin gɛt smɔl risk bak.
• Smok: Pipul dεm wae de smok kin gεt slow tεndon hεl rεt εn kin wik dεn tεndon dεm bak.
• Poor Posture: Pipul dɛn we de wok pan kɔmpyuta, yuz dɛn fon, ɔ hunch dɛn sholda fɔ go bifo we dɛn tinap ɔ sidɔm kin put prɛshɔn pan di sholda jɔyn we nɔ nid.
• Sɔm wok ɛn spɔt dɛn: As wi bin dɔn tɔk, pipul dɛn we de muv dɛn sholda ɔltɛm kin gɛt dɛn kray wata ya we nɔ kin fayn. Fɔ ɛgzampul:
• Kapɛnta dɛn
• Pipul dɛn we de peint
• Teknishian dɛn fɔ mek motoka dɛn
• Pipul dɛn we de du wok fɔ es ebi ebi tin dɛn
• Atlet dɛn: Ɛspɛshali di wan dɛn we de ple spɔt lɛk baysbɔl, sɔftbɔl, tɛnis, swimin, row. Pipul dɛn we de ple spɔt lɛk kriket (especially bowlers), volibol, ɛn badminton, we pipul dɛn lɛk na wi kɔntri, dɛnsɛf de pan denja.

Wetin kin apin if dɛn nɔ gi dɛn tritmɛnt? (Kɔmplikeshɔn dɛn) .

Dis na kwɛstyɔn we bɔku pipul dɛn kin aks. I nɔ fayn fɔ tink se, "I nɔ bad if i at smɔl, i go bɛtɛ fɔ insɛf ." Bikɔs, if dɛn nɔ trit am, dis rotator cuff tear kin wɔs.

• Ivin smɔl pat we rɔtin kin tɔn to kɔmplit kray wata we yu kɔntinyu fɔ yuz di sholda.
• If wan kɔmplit kray wata de, yu kin go te yu nɔ ebul fɔ ivin muv ɔ es yu an ɔp.
• >If yu nɔ trit yu fɔ lɔng tɛm, yu kin gɛt pen na yu sholda we nɔ de dɔn, yu kin wik so dat yu nɔ go ebul fɔ yuz di an we wund fɔ du ɛvride wok, ɛn yu kin gɛt ɔda prɔblɛm dɛn lɛk at at na di sɔl jɔyn.

Aw yu kin no dis ɛksaktɔli?

If yu gɛt pen na yu sholda ɔ yu nɔ de fil fayn, di fɔs tin we yu fɔ du na fɔ go to dɔktɔ. I go aks yu kwɛstyɔn dɛn ɛn chɛk yu.

1. Fyzikal Ɛgzam: Di dɔktɔ go fil yu sholda ɛn chɛk fɔ si if i tan ɛn swel. Dɔn i go aks yu fɔ muv yu an na difrɛn say dɛn (rɛnj fɔ muv) ɛn chɛk yu an trɛnk. Dɛn tɛst ya kin gi yu wan rɔf aydia fɔ no if yu gɛt prɔblɛm wit di rɔta kɔf.

2. Spɛshal tɛst (Imaging Tests): Fɔ kɔnfirm di diagnosis, dɛn kin du dɛn tɛst ya:

• X-ray: Dis nɔ kin sho dairekt wan se di tɛndon dɔn rɔtin. Bɔt i kin chɛk fɔ tin dɛn lɛk bon spur, at at sik, ɛn ɔda bon prɔblɛm dɛn.
• MRI (Magnetic Resonance Imaging): Dis na di bɛst tɛst fɔ luk fɔ di rotator cuff tear. i kin sho klia wan aw bכku pan di tεndon dεn tכn εn us kayn tεm i tכn (pat כ kכmplit).
• Ultrasound Scan: Dɛn kin yuz dis bak fɔ chɛk fɔ tin dɛn lɛk we di tɛndon de rɔtin ɛn we de swel. Na tɛst we dɛn kin du fast ɛn we nɔ kin tek bɔku mɔni pas MRI.

Wetin na di tritmɛnt fɔ dis?

Di gud nyus na dat, bɔku tritmɛnt dɛn de fɔ wan rotator cuff tear. Yu dɔktɔ go disayd di bɛst tritmɛnt fɔ yu bay tin dɛn lɛk aw yu kray, yu ej, ɛn aw yu de du tin.

Dɛn kin sheb di we aw dɛn kin trit am to tu men kategori:

1. Opshɔn dɛn we nɔ gɛt ɔpreshɔn

dis imכtant fכ bכku pipul dεm: di rotator cuff tear dεm nכ de hεl kכmplit wan (di tεndon de atak bak) if dεn nכ du כpεrayshכn. Bɔt bɔku pipul dɛn (espɛshali di wan dɛn we gɛt pat pan wata ɔ di wan dɛn we dɔn ol) kin ridyus di pen, mek dɛn sholda wok fayn, ɛn go bak to di lɛvul usay dɛn kin du tin dɛn ɛvride we dɛn nɔ gɛt ɔpreshɔn.

Infakt, stɔdi dɔn sho se na lɛk et pan tɛn pipul dɛn we gɛt sɔm kray wata kin wɛl if dɛn nɔ gɛt ɔpreshɔn . Bɔt i kin tek sɔm mɔnt, ivin sɔm ia fɔ mek dis sik bɛtɛ. Yu nid fɔ peshɛnt wit tritmɛnt.

Wetin na dɛn tritmɛnt ya we nɔto ɔpreshɔn?

• Rɛst ɛn Aktiviti Modifyeshɔn:I rili impɔtant fɔ mek yu rɛst yu sholda. Yu kin nid fɔ stɔp ɔ ridyus di tin dɛn we yu de du ɔ spɔt we de mek yu fil pen fɔ sɔm tɛm. Yu dɔktɔ kin tɛl yu bak fɔ wɛr an sling fɔ sɔm dez.
• Di tin dɛn we de mek pɔsin nɔ fil pen: Yu dɔktɔ kin tɛl yu fɔ tek mɛrɛsin frɔm di grup we de mek yu nɔ fil pen we dɛn kɔl NSAID (e.g., Ibuprofen, Diclofenac) fɔ mek yu nɔ gɛt pen ɛn swel.
• Fizik Tɛrapi: Dis na di impɔtant pat pan tritmɛnt we nɔr de du ɔpreshɔn. Wan kwalifay fizik thɛrapist go tich yu ɛksesaiz fɔ mek yu sholda mɔsul dɛn strɔng ɛn fɔ strɛch ɛksesaiz fɔ mek yu sholda ebul fɔ muv mɔ. If yu du dɛn ɛgzampul ya kɔrɛkt wan, dat kin ɛp fɔ mek yu nɔ fil pen ɛn yu sholda dɛn kin wok fayn.
• Stɛroyd Injɛkshɔn: If di pen ɛn swɛlin bad bad wan, yu dɔktɔ kin disayd fɔ gi yu stɛroyd injɛkshɔn (e.g., kɔtizɔn shot) insay yu sholda jɔyn. Pan ɔl we dis kin mek pɔsin fil fayn kwik kwik wan, na fɔ sɔm tɛm nɔmɔ i fɔ sɔlv di prɔblɛm. I nɔ fayn fɔ kɔntinyu fɔ tek dɛn injɛkshɔn ya.

2. Di Opshɔn dɛn fɔ Ɔpreshɔn

Dɛn nid fɔ du ɔpreshɔn pan dɛn kayn tin ya:

• If yu gɛt kɔmplit kray wata (especially if na big tear).
• Ivin if na pat pan di wata we dɔn rɔtin, nɔ impɔtant afta 6-12 mɔnt we dɛn nɔ gɛt ɔspitul tritmɛnt.
• If yu yɔŋ, yu de du tin, ɔ if yu wok ɔ spɔt dɛn rili abop pan yu sholda.
• If big big kray wata de bikɔs ɔf wan akyu injuri.

Bɔku pan di ɔpreshɔn dɛn we dɛn kin du na di rotator cuff naw dɛn kin du am wit atrɔskɔpik . Dis min se dɛn kin put smɔl kamɛra (arthroscope) ɛn ɔspitul inschrumɛnt dɛn tru sɔm smɔl smɔl say dɛn we dɛn kɔt na di sholda. Dis we aw dɛn kin du am nɔ kin gɛt bɔku pen ɛn i kin wɛl kwik kwik wan bikɔs i nɔ kin gɛt fɔ du wit big say we dɛn kɔt am. Bɔt sɔntɛnde, if di kray wata rili big ɔ kɔmpleks, di dɔktɔ we de du di ɔpreshɔn kin du opin ɔpreshɔn (we kin mek dɛn kɔt am big smɔl).

Di men gol fɔ ɔpreshɔn na fɔ tay di tɛndon we dɔn rɔtin bak to di bon. Sɔntɛnde, if ɛni bon spur de, dɛn kin pul dɛn bak.

• If sɔm pat pan am rɔtin , di dɔktɔ we de du di ɔpreshɔn kin jɔs nid fɔ kɔt sɔm pan di pat dɛn we tan lɛk trɛd ɛn we dɔn pwɛl na di tɛndon we dɔn rɔtin. Dɛn kɔl dis tin we dɛn kɔl debridement .
• Sɔm kray wata kin bi kray wata we nɔ go ebul fɔ ripɛnt bikɔs ɔf dɛn saiz, aw lɔng di kray wata dɔn de, ɛn di kɔndishɔn we di tɛndon de. If dɛn kayn tin ya apin, dɛn kin nid fɔ tink bɔt ɔda ɔpreshɔn dɛn. fכ egzampl, ``Rivas sכlda riplesmεnt`` (spεshal כpεrayshכn fכ riples di sכlda jכint) כ ``Tεndon tכnfכs`` (dεn de bכn wan hεlty tεndon frכm כda ples εn fiks am).

Dis ɔpreshɔn kin bi di sem de ɔ di nɛks de (wan `ɔtpeshɛnt prosidur` ɔ shɔt tɛm). Bɔt i kin tek lɔng tɛm fɔ mek i wɛl ɔlsay frɔm dis ɔpreshɔn, sɔntɛm i kin tek wan ia ɔ mɔ.

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

Dis na sɔntin we bɔku pipul dɛn kin aks wit wɔri.

• If dɛn nɔ du ɔpreshɔn, i kin tek sɔm mɔnt fɔ mek di pen nɔ bɔku ɛn fɔ mek i wok fayn wit di tritmɛnt we dɛn de gi yu bɔdi ɛn ɔda tritmɛnt dɛn.
• If dɛn du ɔpreshɔn pan yu, .
• Afta yu dɔn ɔpreshɔn, yu go nid fɔ wɛr sling fɔ lɛk 4 to 6 wiks fɔ mek yu an nɔ muv. I impɔtant fɔ mek yu rɛst yu sholda insay dis tɛm.
• Dɔn yu nid fɔ bigin fɔ mɛn yu bɔdi . Dis na sɔntin we rili nid fɔ du. Yu kin bigin wit fɔ muv yu sholda smɔl smɔl, dɔn yu go du ɛksɛsayz we de mek yu strɔng.
• Bɔrku pipul dɛn kin gɛt nɔmal sholda wok ɛn trɛnk bak insay 4 to 6 mɔnt afta dɛn du di ɔpreshɔn ɛn dɛn kin ebul fɔ du tin dɛn ɛvride.
• Bɔt i kin tek 9, 12, ɔ ivin 18 mɔnt fɔ mek i wɛl ɛn go bak to tin dɛn lɛk spɔt. I dipen pan di saiz fɔ di kray wata, di kayn ɔpreshɔn we yu go du, yu ej, ɛn aw yu de du wɛl wit fizik tritmɛnt.

Wetin go apin afta yu dɔn wɛl? (Prɔgnosis/Autluk)

Bɔrku pipul kin wɛl fayn fayn wan afta dɛn dɔn tear di rotator cuff.

• Bɔrku pipul dɛn kin gɛt ridyus pen ɛn dɛn kin gɛt bɛtɛ woke fayn fayn wan wit tritmɛnt dɛm wae nɔr gɛt ɔspitul .
• Wit ɔpreshɔn, mɔ wit di mɔdan tɛknik lɛk atrɔskɔpi, bɔku pipul dɛn kin ebul fɔ wok fayn bak na dɛn sholda.
• Bɔt smɔl chans de fɔ mek di sem tɛndon rɔtin bak. Dis risk kin pasmak if di fɔs kray wata bin rili big, ɔ if yu dɔn ol ɔ yu de smok. If i te bak ɛn mek yu fil pen bad bad wan ɔ yu nɔ ebul fɔ du am igen, yu kin tink bɔt fɔ du ɔpreshɔn bak.

Yu tink se dɛn go ebul fɔ mek dis nɔ apin igen? (Prɛvenshɔn) .

Pan ɔl we dɛn nɔ go ebul fɔ stɔp am ɔltogɛda, tin dɛn de we yu kin du fɔ ridyus yu risk fɔ gɛt wan simptomatic rotator cuff tear:

• Kip yu sholda mɔsul dɛn strɔng ɛn fleksibul. Du ɛksɛsayz fɔ strɛch yu sholda ɛn fɔ mek yu strɔng ɔltɛm. Aks yu dɔktɔ ɔ pɔsin we de mɛn yu bɔdi fɔ advays bɔt dis.
• Mek yu tinap fayn we yu de wok ɔ we yu de ple spɔt.
• If yu de du di sem muvmɛnt dɛn ɔva ɛn ɔva, tek brek bitwin dɛn. Nɔ yuz yu sholda dɛn pasmak.
• We yu de es lod, es am fayn fayn wan. Nɔ pul am wan tɛm ɛn jɔs es am wit yu sholda.
• If yu de smok, stɔp am.

Ustɛm fɔ Kɔl Yu Ɛlth Keya Prɔvayda?

If yu gɛt ɛni wan pan dɛn sik ya, yu fɔ rili go to dɔktɔ fɔ advays:

• Sɔlda ɛn/ɔ an pen we dɔn de fɔ sɔm wiks.
• If di pen kin wɔs na nɛt ɛn i kin ambɔg di slip.
• If yu gɛt rɛd, swel, ɔ bad bad pen we yu tɔch am na di shɔlda jɔyn.
• If yu gɛt wikɛd wan wantɛm wantɛm na yu sholda ɔ yu an , mɔ afta we yu gɛt aksidɛnt.
• If sɔldɔm pen ɛn diskɔmfɔt de afɛkt yu ɛvride aktiviti dɛn te yu nɔ ebul fɔ du yu ɛvride aktiviti dɛn .

Us kwɛstyɔn dɛn yu fɔ aks di dɔktɔ?

We yu go si dɔktɔ, nɔ shem fɔ aks kwɛstyɔn dɛn lɛk dɛn wan ya:

• Aw a bin gɛt dis rotator cuff tear? Wetin na di men tin we mek a gɛt fɔ du wit mi kes?
• Us kayn kray wata na mi kray wata (pat, kɔmplit)? Aw big i bi?
• Wetin na di bɛst tritmɛnt fɔ mi? Yu tink se a nid ɔpreshɔn?
• Aw bɔku impɔtant tin a kin ɛkspɛkt frɔm tritmɛnt dɛn we nɔto ɔpreshɔn?
• If dɛn du ɔpreshɔn pan mi, wetin na di prɔblɛm dɛn we kin apin? Aw lɔng i go tek fɔ mek i wɛl?
• Wetin a go du fɔ mek dis kayn kray wata nɔ apin igen?
• Us tin dɛn a fɔ avɔyd? Us tin dɛn a go du?
• A fɔ no bɔt prɔblɛm dɛn we kin apin? Wetin na di sayn dɛm fɔ dɛn prɔblɛm dɛn de?

If yu de wok bɔku ɔ yu na atlet, wan rotator cuff tear kin mek yu kɔmɔt na yu wok ɔ spɔt fɔ sɔm tɛm. Bɔt, i nɔ nid fɔ bi di ɛnd fɔ yu wok ɔ yu spɔt wok. Tɔk to yu dɔktɔ bɔt di bɛst tritmɛnt opshɔn fɔ yu – ilɛksɛf na nɔr ɔspitul ɔr ɔspitul. Ivin if yu sholda de pen ɛn wik fɔ sɔm tɛm, i kin wɛl as tɛm de go, di rayt tritmɛnt, ɛn yu yon tray. Peshɛnt ɛn fala yu dɔktɔ in instrɔkshɔn na di men tin.

Mɛsej we dɛn kin kɛr go na os

Rotator cuff tear na kɔmɔn, bɔt i kin siriɔs, we kin mek yu sholda pen ɛn wik.

• Di tin dɛn we kin mek i apin: Aksidɛnt, i kin west ɛn te we i ol, yu kin yuz di sɔl pasmak, ɛn di bon spur kin kam.
• Di sayn dɛm: Sɔlda de pen (especially na nɛt ɛn we yu de es di an), i nɔ izi fɔ es di an, wik, ‘klik’ sawnd we de kɔmɔt na di sholda.
• Test: Fɔ ɛgzamin yu bɔdi, ɛkstrem rayt, MRI ɔ Ultrasound skan.
• Tritmɛnt: Rɛst, pen kil (NSAID), fizik tritmɛnt, stɛroyd injɛkshɔn, ɛn ɔpreshɔn (lɛk atrɔskɔpik ɔpreshɔn) if nid de.
• Di tin we impɔtant pas ɔl: If yu gɛt pen na yu sholda ɔltɛm ɔ yu nɔ de fil fayn , go to dɔktɔ. Di kwik we yu no am ɛn bigin fɔ trit yu, na di mɔ yu go gɛt chans fɔ wɛl. Nɔ tray fɔ trit yusɛf! Yu sholda fit am.

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