Yu dɔn kɔt yu Akilis Tɛndon bak? Lɛ wi lan bɔt di Thompson Test!

Sɔntɛnde, we yu de ple ɔ rɔn, yu kin yɛri ‘klik’ sawnd frɔm di il na yu fut, dɔn yu kin fil pen wantɛm wantɛm. I tan lɛk se tɛndon dɔn bɔs. Sɔmtɛm lɛk dis, wan simpul tɛst de we dɔktɔ dɛn kin yuz fɔ no if yu tɛndon dɔn brok, ɔ if yu Akilis tɛndon dɔn brok. Dis na wetin wi kɔl di ‘Thompson test.’ Wi go tɔk bɔt dis smɔl mɔ tide?

Wetin na di Thompson tɛst?

Fɔ tɔk am simpul wan, di Thompson tɛst na tɛst usay yu dɔktɔ de ol yu stil, we nɔ gɛt ɛni big mashin, ɛn chɛk yu bɔdi. I de basically de chɛk fɔ si if yu Akilis tɛndon – yu kalf mɔsul – dɔn rɔtin, ɔ lɛk aw dɔktɔ dɛn kin kɔl am, i dɔn brok . Sɔntɛnde, dɔktɔ dɛn kin kɔl am di kalf swɛt tɛst , bikɔs i kin min fɔ swɛt yu kalf mɔsul saful wan. I tan lɛk se i simpul, nɔto so?

Ustɛm dɔktɔ kin du di Thompson tɛst?

If yu dɔktɔ sɔprayz se yu Akilis tɛndon dɔn brok, dɛn go du di Thompson tɛst. Imajin se yu na atlet, ɛn we yu de rɔn ɔ jomp, wantɛm wantɛm yu yɛri pɔp sawnd na yu leg bak, dɔn yu de fil pen bad bad wan. Ɔ sɔntɛm yu kin fil se yu de swel na da say de. Dis na di fɔs tɛst we yu dɔktɔ go du.

Di bɛst pat na dat dis na in-ɔfis tɛst. I nɔ nid fɔ go na ɔda say ɛn fɔ gɛt dia dia ikwipmɛnt. Dɛn kin du am as pat pan wan bɛsik ɛgzam, jɔs lɛk aw yu ripɔt yu sik dɛn. Bɔt afta dis tɛst, bɔku tɛm yu go nid fɔ du ɔda imej tɛst, lɛk ɔltra saund ɔ MRI (Magnetic Resonance Imaging) skan, fɔ no if yu wund. Wi go tɔk bɔt dat leta.

Aw fɔ du dis tɛst? I rili izi fɔ du!

Dis na kwik, izi tɛst fɔ chɛk di kɔndishɔn na yu Akilis tɛndon. Na dis na aw di dɔktɔ de du am:

• Dɛn go put yu na say we yu de prone na di tebul fɔ ɛgzam. Yu ankles ɛn fut fɔ de oba di ed pat na di tebul. Sɔntɛnde dɛn kin du dis wit yu ni dɛn we yu bɛn to 90 digri, we go mek di kalf mɔsul dɛn rilaks.
• Dɔn di dɔktɔ go swɛt yu kaw mɔsul saful wan bɔt tranga wan, we na di mɔsul we de dɔŋ yu leg.
• We yu de swɛt, di dɔktɔ go tek tɛm chɛk fɔ si if yu il ɛn yu fut bɛn smɔl dɔŋ (plantarflexion), dat na if dɛn de muv smɔl ɔ es ɔp.
• Nɔmal wan, if yu Akilis tɛndon wɛl, yu il fɔ bɛn dɔŋ we yu de swɛt di tɛndon. dis na biכs dis tεndon de kכnekt yu kכlf mכsul to yu il bon (calcaneus). I tan lɛk se dɛn de pul rɔba band na sayd.
• I go mɔs bi se di dɔktɔ go du di sem tin wit yu ɔda leg. Dɛn go mɛzhɔ aw fa di il fɔ di leg we nɔ wund de muv ɛn kɔmpia am to di leg we wund. Di difrɛns go klia.

A nid fɔ rɛdi ɛnitin fɔ dis?

Oh nɔ! Yu nɔ nid fɔ du ɛnitin we spɛshal fɔ pripia fɔ dis `Thompson tɛst`. Di tin we impɔtant pas ɔl na dat if yu tink se yu dɔn kɔt yu `Achilles tendon`, we min se if yu yɛri `klik` sawnd na yu leg lɛk aw a bin dɔn tɔk, ɔ if yu gɛt bad bad pen, go to dɔktɔ kwik kwik wan. Nɔ delay, bikɔs if yu du dat, di kɔndishɔn kin wɔs.

Aw a go fil we dɛn de du di tɛst? Yu tink se i go mek i fil bad?

Tray fɔ rilaks as yu ebul we yu de du dis tɛst. If yu tɛns yu mɔsul dɛn, i nɔ go izi fɔ mek di dɔktɔ si di rayt pozishɔn, ɛn di tin dɛn we go apin nɔ go kɔrɛkt.

Bɔrku tɛm, di Thompson tɛst nɔr go mek yu fil mɔr ɔr ɔda sayn dɛm fɔ Akilis tɛndon we dɔn te. Di dɔktɔ kin fil stif smɔl we i de swɛt yu tɛndon, bɔt i nɔ go izi fɔ mek yu gɛt ɛni big pen. Bɔt if yu fil ɛnitin we nɔ kɔmɔn ɔ yu fil pen we yu nɔ go ebul fɔ bia we di dɔktɔ swɛt yu tɛndon, tɛl yu dɔktɔ wantɛm wantɛm. Dɛn go lisin to yu.

Wetin kin apin afta di Thompson tɛst?

Okay, naw di dokta don du di Thompson test. If di dɔktɔ tink se yu kin gɛt Akilis tɛndon we dɔn rɔtin (dat na, yu gɛt tɛst fɔ no if yu gɛt yu bɔdi), nɔto dat na di ɛnd fɔ di stori. I go mɔs bi se yu go nid fɔ du ɔda imej tɛst bak. Dis na tɛst we dɛn kin tek pikchɔ fɔ si di rayt we aw di wund tan, aw fa i rɔtin, if i dɔn rɔtin ɔl, ɔ jɔs rɔtin smɔl.

Sɔm ɛgzampul dɛn bɔt dis na:

• כltra saund tεst: Dis de yuz sawnd wev fכ tek pikchכ fכ di sεviks.
• MRI (Magnetic Resonance Imaging) skan: Dis kin yuz magnɛtik fil ɛn redio wev fɔ tek ditayli pikchɔ dɛn bɔt di bren ɛn di tisu dɛn we de rawnd am. Dis kin tɔk mɔ bɔt dis pas ɔltrasɔund.

Wetin na di rizulyt dɛn we a kin gɛt? Wetin dɛn min?

Di rizɔlt fɔ di Thompson tɛst nɔ tan lɛk di wan dɛn we yu go dɔn si pan ɔda mɛdikal tɛst dɛn. Dat min se, i nɔ de gi wan patikyula nɔmba ɔ wan rɛnj. I tan lɛk ‘yes’ ɔ ‘nɔ’ kwɛshɔn, ɔ ‘tru’ ɔ ‘fal’. Di dɔktɔ de jɔs chɛk fɔ si if yu Akilis tɛndon dɔn rɔtin.

• Wan fayn rizɔlt min se: If yu il nɔ bɛn dɔŋ atɔl (nɔ plantarflexion) we di dɔktɔ de swɛt di tɛndon, i min se yu Akilis tɛndon go mɔs rɔtin.
• Di rizulyt na negatif (`Negativ`) we min:If yu il bεnd dכn nכmal wan we di dכkta swεl di tεndon (plantarflexion de), i min se di Akilis tεndon nכ tכn, כ dεn nכ kin kכnfכm am bay dis tεst nכmכ, εn i kin ivin sכt pat pan am.

Di rizɔlt fɔ dis tɛst ɛn ɔda imej tɛst dɛn go ɛp yu dɔktɔ fɔ disayd us tritmɛnt yu nid. Bɔku tɛm, if di Akilis tɛndon rɔtin, i go nid fɔ du ɔpreshɔn fɔ mek i fayn. Sɔntɛnde, dɛn kin yuz kɔst ɔ but instead fɔ ɔpreshɔn. I bɛtɛ fɔ tɔk to yu dɔktɔ bɔt dis.

Us tɛm a fɔ rili go to dɔktɔ?

If yu tink se yu kin gɛt Akilis tɛndon we dɔn rɔtin, ɔ if yu gɛt ɛni wan pan dɛn sayn ya, go to dɔktɔ we yu nɔ go te.

• If yu yɛri ‘klik’ ɔ ‘snap’ sawnd biɛn yu anklɛ, mɔ we yu de du tin tranga wan (e.g., we yu de rɔn, jomp, ple badminton).
• Wantɛm wantɛm, yu kin fil wan shap pen we yu nɔ go ebul fɔ bia biɛn yu anklɛ. I kin tan lɛk se sɔmbɔdi kik yu.
• If yu gɛt prɔblɛm fɔ waka afta di injuri, if yu fil lɛk se yu nɔ go ebul fɔ put yu fut dɔŋ, mɔ if yu nɔ ebul fɔ tinap pan yu fut.
• If swel ɛn brus de biɛn di anklɛ.

If yu gɛt dɛn sik ya, nɔ de na os. Nɔ tink se, "I go bɛtɛ fɔ insɛf." Di bɛst tin we yu go du na fɔ go to dɔktɔ wantɛm wantɛm.

Ɛni ɔda tɛst de fɔ chɛk if di Akilis tɛndon dɔn rɔtin?

Yɛs, di Thompson tɛst na jɔs wan pan bɔku men tɛst dɛn we dɔktɔ dɛn kin yuz fɔ no if Akilis tɛndon dɔn rɔp. Di ɔda wan dɛn na:

• Matles Test: Dis na di sem tin lɛk di Thompson tɛst. Dɛn go aks yu fɔ ledɔm na yu bɛlɛ ɛn ɔ es yu leg dɛn go na di sayd we di bed de ɔ bɛn yu ni dɛn to 90 digri. nכmal wan, if yu Akilis tεndon hεlty, yu fut go de na sכm angle, we min se i go bεn sכmtεm dכn (sכm plantarflexion). Bɔt if di tɛndon rɔtin, yu fut go de na flat ɔ nyutral pozishɔn, ɔ i go de na dorsiflexed.
• Akilis tɛndon palpashɔn: Palpashɔn na we di dɔktɔ fil sɔntin wit in finga dɛn ɛn swɛt am. Bɔku tɛm, di dɔktɔ kin du dis wit ɔda tɛst dɛn. di Akilis tεndon na big tik tεndon we yu kin fil כnda di skin. So if i rɔtin ɔl ɔ sɔm pat pan am, di dɔktɔ kin fil se gap (ɔ i nɔ fayn) na di say we i rɔtin.

Bɔt mɛmba se, ilɛk us tɛst di dɔktɔ du in bɔdi, na di ɛnd, dɛn go nid fɔ du at le wan imej tɛst (bɔku tɛm na ɔltra saund ɔ MRI) fɔ gɛt klia pikchɔ bɔt di injuri.

I fayn fɔ waka wit Akilis tɛndon we dɔn rɔtin?

Bɔku pipul dɛn kin waka ɛn muv dɛn anklɛ to sɔm mak ivin if dɛn Akilis tɛndon brok. Bɔt, i kin mek pɔsin fil pen ɛn i kin at fɔ du. If yu tink se yu gɛt prɔblɛm wit yu Akilis tɛndon, ivin if yu ebul fɔ waka ɔ bia wet na yu leg, go to dɔktɔ wantɛm wantɛm.

Bikɔs we yu yuz yu anklɛ ɛn put ful wet pan yu leg, wan injuri we dɔn de (inklud wan Akilis tɛndon we dɔn brok) kin wɔs. Wan tɛndon we dɔn rɔtin smɔl kin ivin te kpatakpata.

Te dɔktɔ ebul fɔ no se yu wund, if yu gɛt krach, pɔsin we de waka, ɔ ɔda tin we de ɛp yu fɔ muv, i go fayn fɔ yuz dɛn. Fɔ rɛst yu leg rili impɔtant.

So, wetin na di tin dɛn we wi nid fɔ mɛmba frɔm ɔl dɛn tin ya? (Mɛsej we dɛn kin tek go na os)

Fɔ te di Akilis tɛndon na kɔmɔn injury, mɔ fɔ atlet ɔ di wan dɛn we de du muvmɛnt wantɛm wantɛm lɛk fɔ rɔn ɔ jomp. I kin mek yu fred, bɔt yu kin trit am ɛn mɛn am if yu gɛt di rayt tritmɛnt.

Di Thompson tɛst na simpul, sef, ɛn rili fayn tɛst we dɔktɔ kin yuz fɔ chɛk fɔ dis sik. I kin ɛp fɔ no wan prɔblɛm kwik kwik wan.

Bɔt dis tɛst nɔmɔ nɔ go ebul fɔ no ɔltin. I go mɔs bi se yu go nid fɔ du ɔda tɛst lɛk ɔltra saund ɔ MRI fɔ si ustɛm dɛn dɔn pwɛl di tɛndon.

Wan Akilis tɛndon we dɔn te kin tek sɔm tɛm fɔ wɛl, ɛn i kin rili tranga (espɛshali wit fisiotɛrapi). Yu nɔ go ivin mɛmba di Thompson tɛst we yu bigin fɔ rɔn ɛn jomp bak. Bɔt dis simpul tɛst na kwik fɔs tin we yu fɔ du fɔ mek yu wɛl.

So, if yu yɛri ‘klik’ sawnd de kɔmɔt na yu leg bak ɛn fil pen, nɔ fɔgɛt fɔ go to dɔktɔ. Dɔn, wit tɛst lɛk dis, yu kin bigin di tritmɛnt we yu nid kwik kwik wan. Yu go bɛtɛ jisnɔ ɛn yu go ebul fɔ go bak na yu wok!

` Il spur, Thompson test, Akilis tɛndon rupchɔ, anklɛ injuri, spɔt injuri, il pen, kalf swɛt tɛst