Yu sholda kin at ɔltɛm? I kin bi Shɔlda Impingement (Rotator Cuff Tendinitis)!

Adu! Sɔntɛnde, yu kin fil shap pen na yu sholda? Fɔ ɛgzampul, we yu tray fɔ es yu an ɔp, pik sɔntin, ɔ tɔn to wan say we yu de slip na nɛt? Sɔntɛm yu nɔ go pe atɛnshɔn tumɔs to dis pen. bכt dis kin bi wan sayn fכ wan kכndyushכn we dεn kכl `Shoulder Impingement` , we na we dεn de push pat dεm na di sכlda frכm insay. Tide, wi go tɔk bɔt dis ditayli, rili simpul wan.

Wetin na `Shɔlda Impingement`?

Fɔ tɔk am simpul wan, Shoulder Impingement na wan kɔndishɔn we yu rotator cuff, we de jɔs dɔŋ di ɔda edj fɔ yu sholda bled (scapula), kin vɛks. Sɔntɛnde, dɔktɔ dɛn kin kɔl dis Impingement Syndrome. Impingement na we yu de rɔb, pinch, ɔ rɔb pat dɛn insay wan jɔyn. Dis na wetin kin mek yu fil pen, mɔ we yu de muv yu sholda.

tink bɔt am, yu `Rotator Cuff` na grup we gɛt fכ men mכsul dεm we de kכnekt yu sכlda bled εn di big bon na yu כp an (di `humerus`). Yu de yuz dis `Rotator Cuff` fɔ rayz yu an ɔp ɛn rɔta yu an to di sayd ɛn bak.

di rotator kכf de na sכmכl spεs bitwin yu כp an bon (humerus) εn di tכp pat pan yu sכlda bled (acromion). dis na di rizin we mek di rotator cuff kin kech bitwin dεn tu bon dεm de εn i kin imping. Dis impingement na in dɛn kɔl sholda impingement.

If yu gɛt pen na yu sholda, ɔ if yu nɔ ebul fɔ muv yu sholda we yu nɔ de fil pen, fɔ tru fɔ go to dɔktɔ.

Difrɛn kayn `Shoulder Impingement Syndrome` de?

Yes, dכkta kin klas dis `Shoulder Impingement` kכndishכn as כda spεshal prכblεm. Di men wan dɛn na:

`Rotator kaf Tendinitis`

dis na, lεk aw di nem sho, wan kכndyushכn we dεn kכl Tεndinitis, we de afekt di tεndon dεm na di Rotator Cuff. Tεndinayt na di inflamεshכn כ swel na wan tεndon. Fכ tεndon dεm de we de εp yu Rotator Cuff fכ muv yu sכlda jכint. Ɛnitin we de pwɛl ɔ irita dɛn tɛndon ya kin mek dɛn swel. Dis swel na in de mek di sholda impingement.

Sɔlda Bursitis

Bursitis na inflamɛns na bursa, we na smɔl sak we ful-ɔp wit wata. dis bursa de rawnd wi joyn dεm εn i de wok lεk kushכn. wan bursa de bak bitwin yu rotator cuff tεndon εn yu acromion bon, we de εp fכ ridyus frikshכn bitwin di tu. Bɔt if dis bursa inflam, i kin mek bak di sholda impingement.

di chenj dεm na di shep fכ di akromiכn bon

Di akromiɔn nɔmal fɔ flat. Bɔt if yu akrɔmiɔn kɔba ɔ bɛn lɛk huk, i kin rɔb pan di rɔta kɔf ɛn mek yu sholda impingement. Sɔm pipul dɛn kin bɔn wit dis abnɔmal shep akrɔmiɔn. Ɔ, as dɛn de ol, bon spur kin kam.

Aw dis sik kin kɔmɔn?

di wan dεm we de du risach se di sholda impingement na di kכz fכ lεk 50% pan di sholda pen. Dis sik kin mɔs pan atlet ɛn pipul dɛn we de wok tranga wan.

Wetin na di sayn dɛm fɔ `Shoulder Impingement`?

di men εn mכst kכmכn simptom fכ `Shoulder Impingement` na di sholda pen .

Dɛn kin fil dis pen na di fɔs pat pan di sholda. Bak:

• I kin at bad bad wan we yu tɔch yu sholda.
• Di pen kin kɔmɔt na di fɔs pat pan di sholda dɔŋ di an to di sayd.
• De pen kin wɔs na nɛt , ɛn dis kin mek i nɔr izi fɔ yu fɔ slip ɔr de slip.

Sɔlda Impingement pen kin bɔku wit sɔm muvmɛnt ɔ pozishɔn. Fɔ ɛgzampul:

• We yu de es di an stret ɔp, ɔp di ed.
• We yu es yu an ɛn put am dɔŋ bak.
• We yu es yu an fɔ pik sɔntin.
• We yu slip na di sayd we de at.
• We yu put yu an biɛn yu bak (lɛk fɔ put yu an na di bak pɔkit na yu pant, ɔ twist yu an fɔ pul bag in zip).

Speshal ficha dɛn fɔ `Rotator Cuff Tendinitis`

Di simptom kin difrɛn smɔl dipen pan di kayn `Shoulder Impingement` we yu gɛt. Fɔ ɛgzampul, apat frɔm di pen na in sholda, pɔsin we gɛt `Rotator Cuff Tendinitis` kin gɛt sɔm sayn dɛn bak lɛk:

• Wan filin fɔ tayt ɛn tayt na di sholda.
• Fɔ gɛt swɛlin .
• Sɔntɛnde, di skin kin chenj ɔ di skin kin rɛd.
• Fɔ yɛri "squeaking" sawnd ɔ fil sɔntin lɛk dis we yu de shek yu sholda.

Wetin na di tin dɛn we kin mek pɔsin in sɔldɔm?

Bɔku tɛm, Shoulder Impingement na injury we pɔsin kin yuz pasmak . dis min se di kכndyushכn de divεlכp sכmtεm ova tεm bikoz fכ di prεshכn we pasmak pan di sכlda jכint εn di Rotator Cuff we dεn de du di sem muvmεnt rεpεtεd.

dכkta dεn kכl dis ``overhead rotation motions.'' Dat min se, eni ripit muvmεnt we involv fכ ol di an ovahed εn rotate di sכlda. Di men tin dɛn we kin mek dis apin na fɔ tren fɔ wan spɔt, ɔ fɔ du di sem kayn muvmɛnt ɔl di de na wokples.

Imajin se pɔsin we de ple kriket kin kɔntinyu fɔ twist in an di sem we. Ɔ pɔsin we de peint kin wok bay we i de twist in an ɔp ɔl di de. Dis na di tin dɛm wae kin put dis prɛshɔn pan di sholda.

Sɔm pipul kin gɛt sholda impingement idiopathically. I kin apin bak wantɛm wantɛm bikɔs ɔf trauma, lɛk fɔdɔm, motoka aksidɛnt, ɔr injuri na spɔt.

Udat de pan big risk fɔ gɛt dis? (Di tin dɛn we kin mek pɔsin gɛt prɔblɛm)

Shoulder Impingement kin apin to ɛnibɔdi. Bɔt i kin apin mɔ pan atlet ɛn pipul dɛn we de wok tranga wan . Bɔrku tɛm, nɔr kin apin wan tɛm, bɔt i kin de smɔl smɔl fɔ sɔm wik, sɔmtɛm sɔm mɔnt.

Di kayn spɔt dɛn we kin mek pɔsin `Shɔlda Impingement`:

• De swin
• Kriket (especially bowlers) .
• Volibol we dɛn kin kɔl
• Tɛnis we dɛn kɔl

Dis kכndyushכn kin kכz fכ εni wok we de mek yu bכku bכku bכku wan we de put prεshכn pan di sכlda dεm:

• Kɔnstrɔkshɔn wok
• Peint brɔsh fɔ yuz
• Fɔ klin di winda dɛn
• Wallpapering, drywalling we dɛn kin yuz fɔ mek tin dɛn

Aw fɔ no if pɔsin gɛt sɔldɔm?

Dɔktɔ go no if pɔsin in sɔl dɔn ambɔg bay we i de chɛk in bɔdi . I go chɛk yu sholda ɛn chɛk di say we yu de muv (aw fa yu kin muv am we yu nɔ de fil pen). Tɛl yu dɔktɔ wetin yu bin de du we yu bin fɔs fil di pen ɛn ɔda sayn dɛm. If yu de du spɔt, tin dɛn we yu lɛk fɔ du, ɔ wok we de mek yu strɛs ɔltɛm na yu sholda ɔ yu an, mek shɔ se yu tɔk bɔt dat bak.

Test fɔ Sholda Impingement

Yu dɔktɔ kin du sɔm imej tɛst dɛn bak fɔ tek pikchɔ fɔ di sɔldɔm jɔyn:

• `X-ray dɛn`
• `MRI (Magnetik Rɛsɔnans Imej)` (M.R.I.)
• Ultrasound we dɛn kin yuz

Dɛn imej tɛst ya kin mek yu dɔktɔ no klia wan bɔt di bon ɛn tisu dɛn we de na yu sholda jɔyn. Dɛn kin ɛp bak fɔ no di rayt tin we mek di pɔsin in di impingement.

Nɔto dat nɔmɔ, dɛn tɛst ya kin ɛp bak fɔ no if ɔda tin dɛn de we kin mek pɔsin fil pen na in sholda. Fɔ ɛgzampul:

• `Rotator kaf tears`
• Biceps tεndon injuri dεm
• Sɔlda at at sik

Aw fɔ trit pɔsin we gɛt sholda impingement? (`Tritmɛnt`) .

Yu dɔktɔ go tɛl yu fɔ du tritmɛnt fɔ ɛp fɔ kɔntrol yu sik, fɔ mɛn yu sholda, ɛn fɔ mek yu sholda wok fayn bak. Di men tritmɛnt fɔ sholda impingement na:

• Rɛst: Na tɛm we yu nɔ de wok tranga wan, mɔ di spɔt ɔ aktiviti we mek yu gɛt di sik.
• Fizik tritmɛnt:Wan dɔktɔ we de mɛn yu bɔdi go gi yu strɛch ɛn ɛksesaiz fɔ mek yu sholda strɔng ɛn fɔ mek yu ebul fɔ muv fayn fayn wan. As yu sholda de wɛl, i go gi yu ɛksesaiz bak fɔ mek yu rɔta kɔf mɔsul dɛn strɔng.
• Aysin: Rap ays kiub ɔ ays pak wit tin tawɛl ɛn put am na yu sholda. Nɔ ɛva put ays dairekt pan di skin. Yu dɔktɔ go tɛl yu aw lɔng fɔ put di ays ɛn ɔmɔs tɛm insay di de fɔ put am.
• Di tin dɛn we de mek pɔsin nɔ fil pen: Di NSAID (Nonsteroidal Anti-Inflammatory Drugs) we dɛn kin bay na kɔt (OTC) kin ɛp fɔ ridyus di pen ɛn swɛlin. Bɔt nɔ fɔ tek dɛn mɛrɛsin ya fɔ pas 10 dez wan tɛm we yu nɔ tɔk to dɔktɔ.
• Kɔtikosterɔyd: Dɛn mɛrɛsin ya we dɔktɔ gi fɔ ridyus di inflamɛns (swɛl ɛn it). Sɔntɛnde yu kin nid bak fɔ gɛt kɔtizɔn shot insay di sɔldɔm jɔyn.

Yu tink se dɛn go nid fɔ du ɔpreshɔn fɔ mek yu sholda kɔmɔt?

If ɔda tritmɛnt nɔ ɛp yu fɔ gɛt di sik, yu dɔktɔ kin tink bɔt fɔ du ɔpreshɔn. Di dɔktɔ we de du di ɔpreshɔn kin du wan tin we dɛn kɔl atrɔskɔpik sholda dikɔmpreshɔn. dis involv fכ put kamera εn fayn instrכmεnt dεm tru fכ sכm sכm sכm sכm sכm sכm dεm fכ pul wan sכmכl pat pan yu akromiכn bon fכ mek mכr rum fכ di rotator kכf.

Yu dɔktɔ go ɛksplen to yu ditayli us kayn ɔpreshɔn yu nid ɛn aw di tɛm we yu go wɛl go tan lɛk afta dat.

Wetin na di bɛst tritmɛnt fɔ `Rotator Cuff Tendinitis`?

Bɔku tɛm, di tritmɛnt fɔ di rotator cuff tendinitis kin tan lɛk di tritmɛnt fɔ ɔda kayn sholda impingement. Yu dɔktɔ go tɛl yu di bɛst we fɔ ɛp yu rotator cuff tendon fɔ wɛl.

Aw kwik a go fil fayn afta a dɔn bigin fɔ trit mi?

Bɔrku pipul kin bigin fɔ fil fayn ɛn nɔr kin fil pen pasmak insay sɔm wiks wae dɛn bigin fɔ trit dɛn sholda impingement. Bɔt ilɛksɛf yu sik dɔn bɛtɛ, yu nɔ fɔ go bak to spɔt ɔ du tin dɛn we yu kin du we yu de tray tranga wan te yu dɔktɔ gi yu di OK.

Aw lɔng i kin tek fɔ mek di sholda impingement wɛl?

Di tɛm fɔ wɛl frɔm di sholda impingement dipen pan di kayn impingement we yu gɛt ɛn aw i siriɔs.

Pan ɔl we yu kin bigin fɔ fil fayn insay sɔm wiks afta yu bigin fɔ trit yu, i kin tek sɔm mɔnt fɔ mek yu sholda wɛl ɔl. Sɔm pipul kin nid fɔ gɛt tritmɛnt ɛn rihabiliteshɔn fɔ wan ia (`rehab`).

Yu tink se dɛn kin mɛn Rotator Cuff Tendinitis ɔltogɛda?

Yes, ɔl kayn `Shoulder Impingement`, inklud `Rotator Cuff Tendinitis`, dɛn kin trit ɛn mɛn am fayn fayn wan.Bɔt nɔ delay fɔ go to dɔktɔ jɔs afta yu fil pen na yu sholda. If dɛn nɔ trit am, di sholda kin ambɔg, i kin mek i gɛt prɔblɛm dɛn, ɔ i kin mek di wund wɔs.

Si dɔktɔ jɔs afta yu si sɔm sayn dɛn lɛk pen, swɛlin, ɔ i nɔ izi fɔ muv yu sholda.

Aw fɔ mek yu nɔ go ambɔg yu sholda? (Prɛvenshɔn) .

Di bɛst we fɔ mek yu nɔ ambɔg yu sholda na fɔ avɔyd fɔ yuz yu sholda dɛn pasmak :

• Stɔp fɔ du ɛksɛsayz ɔ du wok we tranga wan jɔs afta yu fil pen. Nɔ ɛva ple ɔ wok tru pen.
• Du gud `wɔm up` (ɛksɛsayz fɔ pripia di bɔdi) bifo yu wok tranga wan ɔ spɔt, ɛn `kul dɔŋ` (ɛksɛsayz fɔ mek di bɔdi kol) afta yu dɔn.
• Yuz di rayt sef ikwipmɛnt fɔ ɔl di spɔt ɛn fyzikal aktiviti dɛn.
• Fɔ fala wan fayn it ɛn ɛksɛsayz plan we go fayn fɔ yu.
• Si dɔktɔ jɔs afta yu gɛt pen ɔ ɔda sayn dɛn.

Aw a kin tek kia ɔf misɛf we a gɛt `Shoulder Impingement`?

Nɔ bigin fɔ du tin dɛn we de mek yu strɛs bak te yu dɔktɔ gi yu di OK. If yu put prɛshɔn pan yu sholda, di rotator cuff, bifo i gɛt tɛm fɔ wɛl ɔl, yu go mɔs wund am bak. Dis kin mek yu gɛt mɔ siriɔs injury, lɛk we di rɔta kɔf dɔn rɔtin.

Ustɛm a fɔ go to dɔktɔ?

If yu gɛt ɛni nyu pen, stif, ɔ swel na yu sholda – mɔ if di sayn dɛn de wɔs, ɔ if yu gɛt prɔblɛm fɔ muv ɔ yuz yu sholda ɔ yu an – go to dɔktɔ wantɛm wantɛm.

If yu dɔn gɛt aksidɛnt, yu nɔ ebul fɔ muv yu sholda, ɔ yu fil lɛk se yu sholda dɔn kɔmɔt, go na ɔspitul imejensi rum wantɛm wantɛm. Nɔ ɛva tray fɔ put yu sholda bak na in ples fɔ yusɛf.

Us kwɛstyɔn dɛn a fɔ aks mi dɔktɔ?

Yu kin aks yu dɔktɔ dɛn kwɛstyɔn ya:

• A gɛt sholda impingement ɔ ɔda injuri?
• Us kayn `Impingement` a gɛt?
• Us kayn tritmɛnt a nid?
• Yu tink se a go nid ɔpreshɔn?
• Aw lɔng a fɔ de fa frɔm spɔt ɛn tin dɛn we kin mek a tranga?

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

Sɔlda Impingement kin bi bikɔs ɔf ɛnitin we de mek yu rɔta kɔf ɛn di tisu dɛn we de na yu sholda jɔyn vɛks ɔ inflam. Ilɛksɛf yu gɛt rotator cuff tendinitis, bursitis, ɔ yu gɛt strɔkchɔral prɔblɛm wit di bon dɛn na yu sholda, yu dɔktɔ go tɛl yu fɔ yuz kɔmbayn tritmɛnt dɛn fɔ ɛp fɔ mek yu nɔ gɛt di sik ɛn fɔ mek yu sholda wok fayn bak.

Sɔlda impingement kin mek yu fil pen ɛn mek yu at pwɛl – mɔ if i tek yu wiks fɔ kɔmɔt pan yu fav spɔt ɔr ɛvride aktiviti dɛm. Bɔt nɔ ɛva ignore di sayn dɛm lɛk pen, sɔri-at, ɔr prɔblɛm fɔ muv yu sholda.

Di kwik we yu mek dɔktɔ chɛk yu sholda, na di mɔ yu go bigin fɔ du di tin dɛn we yu lɛk bak wit sef ɛn gladi at. Wi de wish yu fɔ wɛl kwik kwik wan!

` Sɔlda Pen, Sɔlda Impingement, Rotator Cuff Tendinitis, Sholda Stren, Tɛndonayt, Sɔlda Disɔda, Fizik Tɛrapi