Yu no bɔt dis spɛshal tɛst (Spurling Test) fɔ yu nɛk pen?

Imajin, yu de wok na ɔfis de luk di kɔmpyuta. Wantɛm wantɛm, yu kin fil wan strenj tin lɛk kɔrɛnt we de rɔn dɔŋ yu an wit smɔl pen na yu nɛk. Afta sɔm tɛm, yu finga dɛn kin bigin fɔ fil smɔl. Dis kin las fɔ wan ɔ tu dez, dɔn i go apia bak wan de. Yu kin tink se, "O, sɔntɛm na bikɔs a chenj di pilo" ɔ "Sɔntɛm na bikɔs a de wok tumɔs." Bɔt if dɛn sik ya kɔntinyu, i nɔ fayn fɔ jɔs ignore dɛn as nɔmal. Dis kin bi bikɔs ɔf wan pinched nerve na yu sɛvikal spayna. So, tide wi go tɔk bɔt wan rili simpul, bɔt rili impɔtant fyzikal ɛgzam we yu dɔktɔ go du fɔ no di rayt tin we mek dis apin.

Wetin rili na di Spurling Test?

Fɔ tɔk am simpul wan, di Spurling tɛst na fyzikal tɛst we yu dɔktɔ kin du we i de yuz in an nɔmɔ fɔ chɛk fɔ si if yu nɛk dɔn pinch. I nɔ nid big mashin, ɛn yu nɔ de gɛt ɛni injɛkshɔn. Dɛn kin du am na di sem rum we yu de du yu ɛgzam.

pan mεdikal, wi kin kכl dis kכlekshכn fכ di simptom dεm we de kכz fכ wan pinch nεv na di nεk ‘Cervical Radiculopathy’ . Pan ɔl we di nem kɔmplikt smɔl, di minin simpul. i min se dεn de kכmprεs wan nεv rכt we de kכmכt na di spεnal kכd na di nεk εria.

di sεvikal spayna nכto jכs wan bכnch bon dεm we dεn stכk pan dεn wan dεm. frכm dεn sεvin sεvikal vεrbra dεm ya, imכtant nεv dεm de kכmכt we de kכri mεsej frכm wi bren to wi an, sכlda, εn כp bכdi we de kכntro di sεns εn muvmεnt. di sכm sכm ol dεm we dεn nεv dεm ya de kכmכt tru dεn kכl dεm foramen. Sɔntɛnde, wit di ej, bikɔs i nɔ de tinap fayn (espɛshali we yu de yuz kɔmpyuta ɛn fon), ɔ bikɔs ɔf smɔl aksidɛnt, wan disk na di vɛrbra kin bɔl kɔmɔt, ɔ smɔl bon spur kin fɔm, we kin kɔmprɛs di nɛv rut. Dis na we di nεv rכt de kכmprεs.

So, wetin di `Spurling test` de du na, di dכkta rili tek tεm muv yu nεk insay wan patikyula posishכn, sכm di opin usay di nεv de kכmכt sכmtεm mכr. afta dat, di nεv we dεn כlrεdi kכmprεs sכmtεm de kכmprεs sכmtεm mכr εn yu de fil sכmtεm dεm lεk pen εn sכmtεm sכmtεm. Da we de, di dɔktɔ go ebul fɔ no if na dis de mek yu gɛt prɔblɛm.

Us tɛm dɛn kin du dis tɛst?

If yu dɔn de fil pen na yu nɛk fɔ lɛk wan mɔnt so wit wan ɔ mɔ pan di sayn dɛm we de dɔŋ ya, yu dɔktɔ kin want fɔ du dis tɛst. Lɛ wi si wetin na dɛn sayn ya rili.

Yu nid fɔ rɛdi fɔ dis tɛst bifo tɛm?

Nɔ we nɔ de! No nid fɔ rɛdi fɔ dis. Yu nɔ nid fɔ fast di de bifo ɔ tek ɛni spɛshal mɛrɛsin. I rili simpul.

Bɔt, if yu tek kia ɔf di smɔl smɔl tin dɛn, i go izi fɔ yu ɛn di dɔktɔ.

• Klos: I bɛtɛ fɔ wɛr klos we lɔs we go mek di nɛk eria fri, we nɔ gɛt big kɔla. Fɔ ɛgzampul, wan sweta we gɛt tɔlnɛk, ɔ wan saree we dɛn kin wɛr wit di bɔt dɔŋ.
• Jɛlɔ: Nɔ wɛr ebi ebi nɛks ɔ iaring. Dɛn kin ambɔg di tɛst.
• Ɛdskaf: If yu wɛr ɛdskaf, yu nɔ nid fɔ pul am. Di dɔktɔ go du di ɛgzam di rayt we.

Bifo yu du dis `Spurling test`, di dɔktɔ go du wan jenɛral fyzikal ɛgzamin fɔ yu ɛn aks bɔt yu mɛdikal kɔndishɔn, mɛrɛsin dɛm we yu de tek, ɛn aksidɛnt dɛm we yu bin dɔn gɛt bifo. So rɛdi fɔ ɛksplen yu mɛrɛsin istri klia wan.

Ɛni kes dɛn de we dɛn nɔ fɔ du dis tɛst?

Yɛs, fɔ tru. Dis na tin we rili impɔtant.

Na sɔm pan di men rizin dɛn we mek dɛn nɔ de du dis tɛst:

• If di sεvikal spayna instεbiliti de.
• if prεshכn de כ damej pan di spεnal kכd na di nεk (Cervical spondylotic myelopathy) .
• If yu nɔ tu te yet we yu gɛt siriɔs injuri na yu bak ɔ yu nɛk.
• If yu gɛt siriɔs joyn sik dɛn lɛk rεumatoid atraytis .
• If pipul de saspek se kansa frɔm ɔdasay na di bɔdi dɔn spre (mɛtastas) to di nɛk bon dɛm.

Yu dɔktɔ go tink bɔt ɔl dɛn tin ya ɛn disayd if i fɔ du di tɛst ɔ nɔ fɔ du am. So natin nɔ de fɔ fred.

Wetin kin rili apin we yu tek di tɛst?

Dis go jɔs tek sɔm minit dɛn. No rizin nɔ de fɔ mek yu fred ɔ wɔri. Di dɔktɔ go ɛksplen to yu ɔl wetin i de du.

Step 1: Fɔ ajɔst di we aw yu de tinap

Fɔs, di dɔktɔ go tɛl yu fɔ sidɔm ɔ tinap stret na chia. Kip yu bak stret ɛn rilaks.

Step 2: Lateral Flekshכn na di Nεk

Neks, di dɔktɔ go put in an dɛn saful saful wan pan yu ed ɛn bɛn yu nɛk jisnɔ to di sayd usay di pen de. I tan lɛk se yu de briŋ yu yes to yu sholda. I go aks if yu fil ɛni pen dis tɛm.

Step 3: Nɛk Rotashɔn ɛn Ɛkstenshɔn

Dɔn, we yu de kip di nɛk bɛn na da say de, tɔn am bak smɔl ɛn luk. Dɛn kin tek tɛm ɛn tek tɛm du ɔl dɛn muvmɛnt ya.

Step 4: Jɛntil trɔst (Aksial Kɔmpreshɔn) .

Fɔ dɔn, we yu nɛk de na da patikyula pozishɔn de, di dɔktɔ go put wan rili smɔl, saful saful push dɔŋ (layt prɛshɔn) frɔm di tap pan yu ed.

Di tin we impɔtant pas ɔl na dat if yu fil ɛnitin we yu de du dɛn step ya, lɛk pen ɔ swɛt we yu bin gɛt bifo, yu fɔ tɛl di dɔktɔ wantɛm wantɛm. I go mɔs bi se i go tɛl yu fɔ es yu an ɔp if yu fil ɛni pen. If yu fil ɛnitin we nɔ fayn, i go stɔp di tɛst wantɛm wantɛm. Yu nɔ go de du ɛnitin we go mek di pen wɔs.

Aw di rizulyt kin kɔmɔt ɛn wetin dɛn min?

Di rizɔlt fɔ dis tɛst kin de wantɛm wantɛm. Di dɔktɔ go tɛl yu di ditil dɛn jɔs afta di tɛst dɔn. Tu kayn rizulyt de: ‘Positiv’ ɔ ‘Negativ’.

Wetin yu kin du nɛks if di tɛst gɛt pɔsitiv?

Wi nɔ fɔ fred di tɛst fɔ bi ‘positiv’. Na rili gud tin. Bikɔs i min se wi dɔn rili fɛn di tin we mek wi gɛt prɔblɛm. Di nɛks tin we yu fɔ du na tritmɛnt.

We di dɔktɔ dɔn kɔnfɔm di diagnosis wit MRI skan, di rayt tritmɛnt go bigin. Bɔku tritmɛnt dɛn de we yu kin pik:

• Mɛrɛsin: Fɔ gi mɛrɛsin fɔ ridyus di pen ɛn swɛlin na di nerve.
• Rɛst ɛn Aktiviti Modifyeshɔn: Advays fɔ stɔp fɔ sɔm tɛm di aktiviti dɛn we de put prɛshɔn pan di nɛk (fɔ es ebi ebi lod, fɔ luk dɔŋ fɔ lɔng tɛm).
• Fizik Tɛrapi: Dis rili impɔtant. Na ya, dɛn go tich yu bɔku tin dɛn, lɛk fɔ du ɛksɛsayz fɔ mek yu nɛk mɔsul dɛn strɔng, aw fɔ kɔrɛkt aw yu nɛk de tinap, ɛn aw fɔ avɔyd fɔ put prɛshɔn pan yu nɛk we yu de du tin dɛn ɛvride.
• Ɔpreshɔn:Bɔku tɛm, dis nɔ kin nid fɔ apin. If di tritmɛnt dɛn we wi dɔn tɔk bɔt nɔ ɛp, ɛn di kɔmpreshɔn na di nerve rili bad, yu dɔktɔ kin rifer yu fɔ mek dɛn du yu ɔpreshɔn.

Ustɛm a fɔ go to dɔktɔ?

If yu dɔn gɛt pen na yu nɛk fɔ sɔm wiks, if i de wɔs, ɔ if i nɔ de bɛtɛ, yu fɔ rili go to dɔktɔ. Nɔ ignore am, mɔ if yu fil pen, swɛt, ɔ wik na yu an.

Di Spurling test na simpul, nɔr dia test wae de ɛp yu dɔktɔ fɔ gɛt bɛtɛ aidia bɔt yu symptoms. I kin mek yu fred smɔl bikɔs na pen tɛst. Bɔt if yu dɔktɔ fil ɛni prɔblɛm, dɛn go stɔp di tɛst wantɛm wantɛm. So natin nɔ de fɔ wɔri bɔt.