I nɔ kin fil fayn smɔl we yu an ɔ yu leg nɔ de wok, ɔ we yu fil lɛk se ant de rɔn rawnd. Sɔntɛnde, dis kin jɔs apin ɛn go. Bɔt if dis swɛlin kɔntinyu, i kin bi sayn fɔ prɔblɛm wit wan pan di nerv dɛn na wi bɔdi. If na so i bi, wan simpul tɛst we dɔktɔ kin yuz, dɛn kin kɔl am ‘Tinel’s Sign’, we wi de tɔk bɔt tide.
Wetin na Tinel in Sayn?
Fɔ tɔk am simpul wan, Tinel in sayn na we yu dɔktɔ tap di skin jisnɔ usay wan nerv de rɔn, yu fil wan tingling ɔ prickling sensation along dat nerve. If yu fil se yu de fil smɔl smɔl, lɛk smɔl ilɛktrik shɔk, dat min se di nerve de ɔnda prɛshɔn ɔ i kin dɔn pwɛl.
Dɛn kin kɔl am bak di sayn we dɛn kɔl Hoffmann-Tinel, we na di dɔktɔ dɛn we bin fɔs tɔk bɔt dis tɛst, we na Pɔl Hoffmann ɛn Jules Tinel. Bɔt we wi de tɔk bɔt am in jɔnaral, wi kin jɔs kɔl am di ‘Tinel sayn’.
Ɔnda us kɔndishɔn dɔktɔ kin du dis tɛst?
If yu dɔktɔ tink se wan nerv sɔmsay na yu bɔdi dɔn pinch ɔ pwɛl, dɛn kin du dis simpul tɛst. Sɔm tin dɛn de we dis rili impɔtant.
| Mɛdikal kɔndishɔn | Fɔ tɔk am simpul wan, wetin kin apin? |
|---|---|
| Di sik we dɛn kɔl Carpal Tunnel Syndrome | We di midyan nerve, we na wan big nerve we de rɔn to wi an ɛn finga dɛn, kɔmprɛs na di an, bɔku tɛm i kin mek di big finga, di indeks finga, ɛn midul finga nɔ gɛt bɛtɛ trɛnk. |
| Kubital Tɛnal Sindrom we pɔsin kin gɛt | We wi ɛlb nak sɔntin, wan kɔrɛnt kin travul dɔŋ wi an, ɛn i kin kɔmprɛs di ulnar nerve. Dis kin mek di smɔl finga ɛn di ring finga nɔ gɛt bɛtɛ trɛnk. |
| Tarsal Tɛnal Sindrom we pɔsin kin gɛt | wan nεv we de rכn dכn wi sכl (posterior tibial nerve) de kכmprεs we i de pas insay di ankכl. Dis kin mek di fut nɔ gɛt bɛtɛ trɛnk, bɔn, ɔ pen na di fut. |
Us ɔda sayn dɛn kin apin we dɛn pinch wan nerve?
Apat frɔm di sayn we Tinel gɛt, if dɛn kɔmprɛs wan nerv, yu kin gɛt sɔm sayn dɛn bak lɛk:
- Bɔn: Na tin we de bɔn, lɛk se yu de ol layf kol.
- Numbness: Na filin wae yu nɔr de fil fayn na wan eria, ɔr yu de fil lɛk ant de rɔn rawnd.
- Pen: De pen kin fil shap, chuk yu, ɔr nɔr de fil fayn.
- Wiknɛs: Na di an, i kin tan lɛk se yu de drɔp kɔp ɔ ol pen. Na di leg, i kin tan lɛk se yu de trip we yu de waka.
Aw dɛn kin du di Tinel in Tɛst?
Dis na wan rili simpul tɛst we nɔ kin tek pas wan minit. Yu nɔ nid fɔ pripia fɔ dis.
Step 1: Di dɔktɔ go aks yu fɔ di ditel dɛn.
Fɔs, di dɔktɔ go tek tɛm lisin to yu ɛn lan bɔt aw yu nɔ de fil fayn. Fɔ ɛgzampul, yu kin aks kwɛstyɔn dɛn lɛk, "Ustɛm yu kin fil di numbness pas ɔl?", "Us kayn tin yu kin du we kin mek i wɔs?", "Yu kin fil wik na yu an?"
Step 2: Aw fɔ du di tɛst
Dɔn, di dɔktɔ go tap di skin jisnɔ wit in finga dɛn usay i tink se di nɛv dɔn pinch. Sɔntɛnde, i kin yuz smɔl tin we tan lɛk hama (riflɛks hama) fɔ dis. Fɔ ɛgzampul, if yu tink se di sik we dɛn kɔl carpal tunnel syndrome, i go tap yu an.
Step 3: Tɔk wetin yu de fil.
We di dɔktɔ tap yu, yu fɔ tɛl am if yu fil tingling, ilɛktrik shɔk, ɔ tingling sensation along dat nerve. Di ansa we yu gi na di rizɔlt fɔ dis tɛst.
Wetin di tɛst rizɔlt dɛn se?
- Pozitiv Test: If yu fil se yu de fil we di dɔktɔ tap yu, na fayn tin. I min se di nerve kin de ɔnda prɛshɔn ɔ i kin pwɛl.
- Negative Test: If yu nɔ fil ɛni numbness, na negatif rizulyt.
Bɔt kip dis na yu maynd, jɔs bikɔs dis tɛst kɔmɔt ‘negativ’ nɔ min se yu nɔ gɛt 100% fri frɔm nervɔs.Sɔntɛnde, ivin if di nerv kɔmpreshɔn de, dis sayn nɔ kin apia. So, dis na jɔs fɔ ɛp di dɔktɔ fɔ no bɔt yu sik.
Bay di rizɔlt fɔ dis tɛst ɛn di sayn dɛm we yu gɛt, yu dɔktɔ kin tɛl yu fɔ du ɔda tɛst if nid de. Fɔ ɛgzampul:
- Ilɛktromayografi (EMG): Na tɛst we de sho aw ilɛktrik de wok na di nɛv ɛn mɔsul dɛn.
- MRI skan: Gεt klia imej fכ di sכft tisu dεm lεk di nεv dεm εn di mכsul dεm.
- X-ray: Fɔ si if prɔblɛm wit di bon dɛn de mek di nerve kɔmprɛs.
Ɛni risk de wit dis tɛst?
Atɔl. Dis na tɛst we rili sef. I tan lɛk we dɔktɔ put stetɔskɔp na yu chɛst, ɛn na simpul tɛst we nɔ gɛt ɛni prɔblɛm ɔ pen. So nid nɔ de fɔ fred dis.
Ustɛm a fɔ go to dɔktɔ?
If yu gɛt ɔltɛm tingling, swɛt, pen, ɔ wik na yu an, leg, ɔ ɔda pat na yu bɔdi, nɔ jɔs tink se, "Dis na jɔs wan sayn." I kin bi wan nerv we dɛn pinch. If yu gɛt tritmɛnt kwik, dat kin ɛp fɔ mek yu nɔ pwɛl di nerv fɔ lɔng tɛm. So, mek shɔ se yu go to yu dɔktɔ fɔ advays.
Nɔ ɛva tray fɔ no if yu gɛt dis sik bay we yu du dɛn kayn tɛst dɛn ya. Ɔltɛm, go to dɔktɔ fɔ mek dɛn no di sik ɛn tritmɛnt fayn fayn wan.
Mɛsej we dɛn kin kɛr go na os
- Tinel’s Sign na wan rili simpul, we nɔ de mek pɔsin fil pen fɔ chɛk fɔ si if di nerv dɛn kɔmpreshɔn.
- If di dɔktɔ fil se i nɔ gɛt bɛtɛ trɛnk we i tap pan wan nɛv, dat de sho se i gɛt prɔblɛm wit di nɛv.
- dεn kin yus am mכst fכ no di nεv prכblεm dεm we gεt fכ di kכpal tכnel, di kubital tכnel, εn di tarsal tכnel.
- Ivin if di test nɔ sho ɛni numbness, i nɔ min se yu nɔ gɛt nerve problem 100%. Dat na yu dɔktɔ fɔ disayd.
- If yu gɛt sɔm sayn dɛm lɛk fɔ nɔr de fil fayn, fɔ bɔn, pen, ɔr wik, nɔr ignore am ɛn go mɔs go to dɔktɔ.
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