Sɔntɛnde yu kin fil lɛk se yu mɔsul dɛn na say dɛn lɛk yu nɛk, yu sholda, ɔ yu bak kin tayt ɛn tayt? Yu go de wɔnda se, "Wetin na dis?" bɔt dɛn ples ya we kin fil lɛk smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl smɔl. Fɔ sɔm pipul dɛm, dis kin so anɔynt dat de pen kin so bad dat dɛn nɔr kin ivin ebul fɔ du dɛn ɛvride wok fayn fayn wan. Dis na wetin wi kin kɔl ‘trigger points’ pan mɛrɛsin. Tide, wi go tɔk bɔt wan spɛshal injɛkshɔn tritmɛnt we dɛn kin yuz fɔ pul da pen de.
Wetin na ‘Trigger Point’? Wetin kin apin wit dis vaysin?
Okay, mek wi ɔndastand fɔs wetin na ‘trigger point’. Tink bɔt wi mɔsul dɛn lɛk wan bɔnch rɔba band we dɛn pul togɛda. Nɔmal wan, dɛn kin strɛch ɛn kɔntrakt. Bɔt sɔntɛnde, ilɛksɛf na bikɔs i wund wantɛm wantɛm ɔ bikɔs di mɔsul dɛn kin strɛs ɔltɛm di sem we (fɔ ɛgzampul, di mɔsul dɛn na di nɛk we yu de luk di kɔmpyuta), sɔm pan di fayn fayn fayv dɛn na dɛn mɔsul dɛn ya kin tandul togɛda, kɔntrakt, ɛn tayt ɛn dɛn nɔ kin ebul fɔ strɛch bak. Da tayt ples de we tan lɛk knot na in wi kɔl trig pɔynt .
Dɛn say ya kin rili pen we yu prɛs am wit di an. Sɔmtɛm de pen nɔr kin de na da say de nɔmɔ, bɔt i kin go na say dɛm wae de fa. Fɔ ɛgzampul, wan trig pɔynt na di sholda kin mek yu ed pen.
Naw lɛ wi luk wetin na Trigger Point Injection (TPI) . Fɔ tɔk am simpul wan, i min fɔ injekt wan mɛrɛsin insay wan tayt ɛn knot mɔsul we yu de yuz wan tint nidul. Di injɛkshɔn de wok bay we i de mek di tayt mɔsul fayv dɛn rilaks, i de mek di blɔd flɔ bak, ɛn i de mek di pen nɔ de igen.
Dɛn kin yuz dis vaysin fɔ wan pan dɛn tin ya:
- Local Anesthetic: Na mɛrɛsin we dɛn kin yuz fɔ mek pɔsin nɔ fil pen.
- Kɔtikosterɔyd: I de ɛp fɔ ridyus di swel ɛn inflamɛns na di mɔsul dɛm.
- Botulinum Toxin: Dɛn kin yuz dis bak sɔm tɛm fɔ rilaks di mɔsul dɛm.
- If yu nɔ gɛt ɛni mɛrɛsin (Dray Nidling): Sɔntɛnde, dɔktɔ dɛn go jɔs put wan tint nidul insay di lump ɛn lus am. Wi kin kɔl dis ‘dray nidul’.
Us kayn pen dɛn kin yuz dɛn injɛkshɔn ya fɔ?
Dɛn kin yuz dɛn injɛkshɔn ya mɔ fɔ mɛn wan sik we dɛn kɔl Myofascial Pain Syndrome . 'Myo' min mכsul, εn 'Fascia' min di tכn wayt mεmbran we de rawnd di mכsul. So dis nem de tכk bכt di pen we de apin na dεn mכsul dεm ya εn di mεmbran dεm we de rawnd dεm. De men tin wae kin mek dis pen na de trig point wae wi bin don tok bout.
Pan ɔl we trig pɔynt kin apin na ɛni mɔsul na di bɔdi, sɔm mɔsul dɛn de we dɛn kin trit mɔ wit dis injɛkshɔn.
| Di Nem fɔ di Mɔsul | Di say we dɛn de ɛn di pen we gɛt fɔ du wit am |
|---|---|
| Trapezius we dɛn kɔl Trapezius | Di bak pat na di nɛk ɛn na di tu say dɛn na di sholda dɛn. Tεnshכn ed pen kin kכz fכ knot dεm we de fכm ya. |
| Di Skapul dɛn we de na di Levator | Na ɔl tu di say dɛn na di nɛk. di knot dεm we de insay dεn mכsul dεm ya de mek di nεk so stif dat i nכ pכsibul fכ tכn am. |
| Kwadratus Lumborum we dɛn kɔl | Wan mכsul we de insay di lכw bכk. Dis na de tin wae kin mek bɔrku pipul kin gɛt bak pen. |
| Gluteus Medius we de na di wɔl | Na di bɔtul eria. Dis knot kin mek yu gɛt pen na di groin ɛn di bɔdi. |
| Masseter we de wok fɔ di kɔmni | Di mɔsul we de na di jaw. Bɔrku tɛm dis kin mek pɔrsin fil pen fɔ pipul dɛm wae kin grind dɛn tit na nɛt. |
| Stɛnɔkliidomastoid we dɛn kɔl | Di fɔs pat na di nɛk. Tumɔs we de fɔm ya kin mek yu ed at ɛn yu yes at. |
De impɔtant tin na dat sɔmtɛm de pen wae de kam wit dɛn trig pɔynt ya kin fil lɛk de pen fɔ ɔda siriɔs sik. fכ egzampl, if knot fכm na di piriformis mכsul na di bכtכm εria, i kin mek di sciatic nerve iritat εn mek yu fil bad bad wan dכn di leg (piriformis syndrome).
Udat nid fɔ gɛt Triga Point Injɛkshɔn?
Dis tritmɛnt nɔto fɔ ɔlman. If yu gɛt trig pɔynt pen, yu dɔktɔ go tɛl yu fɔ du ɔda simpul tritmɛnt dɛn fɔs.
- Di tin dɛn we dɛn kin yuz fɔ mek pɔsin fil pen
- Fɔ put ɔt pan di say we yu de fil pen
- Masaj Tɛrapi
- Fizik tɛrapi ɛn ɛksesaiz fɔ strɛch
If yu pen nɔr dɔn afta dɛn tritmɛnt ya, yu dɔktɔ kin tek dis injɛkshɔn tritmɛnt as di nɛks tin we yu fɔ du.
Sɔntɛnde, de pen kin so bad dat pɔrsin nɔr kin ivin ebul fɔ du ɛksesaiz fɔ du fizik tritmɛnt. Insay dɛn kayn tin ya, dɛn kin gi dis injɛkshɔn fɔs fɔ mek di pen nɔ bɔku, dɔn dɛn kin bigin fɔ trit di pɔsin in bɔdi. Dɔn di tin dɛn we kin apin kin rili fayn.
Wetin di dɔktɔ chɛk fɔs
Bifo yu gi dis injεkshכn, yu dכkta go want fכ mek sכh se no כda tin de fכ yu pen. So i go tek tɛm chɛk yu ɛn chɛk fɔ ɔda tin dɛn lɛk:
- Di mɔsul dɛn we de strɛs
- Prɔblɛm dɛn we de na di spayna: Fɔ ɛgzampul, at at sik we nɔ de wok fayn, di disk dɛn we de mek pɔsin gɛt hεnia, ɔ di spεnal stenosis.
- Pen we pɔsin kin gɛt we i pinch am (Radiculopathy) .
Dɛn kin jɔs tink bɔt trig pɔynt vaksin afta dɛn dɔn kɔnfyus se nɔ ɔda kɔz nɔ de.
Wetin kin apin we yu gɛt di vaysin?
Okay, naw mek wi si aw di dɔktɔ gi dis injɛkshɔn. Dis na simpul tin we kin tek sɔm minit.
1. Pozishɔn: Dipen pan usay di trig pɔynt de, dɛn kin aks yu fɔ sidɔm ɔ ledɔm na bed.
2. Klin: Klin di say we dɛn injɛkshɔn fayn fayn wan wit rɔm.
3. Fɔ no usay di ples de: Di dɔktɔ go yuz in finga dɛn fɔ fɛn di rayt say we di lump we de pen de. I kin ivin mak di say wit pen.
4. Fɔ ol di knot: Neks, di dɔktɔ go ol di knot wit tu finga dɛn ɛn tay am so dat di tisu we de rawnd am nɔ go muf. Yu kin fil sɔm kayn diskɔmfɔt ɔr pen na dis tɛm.
5. Fɔ put di pin insay:Naw, dɛn kin put wan sirinj we gɛt wan tin nidul we dɛn tay insay di knot. Dɔn, we di dɔktɔ nɔ pul di nidul ɔl, i kin muv di nidul insay ɛn kɔmɔt na di knot bɔku tɛm.
6. Mɔsul twitch: We di tip fɔ di nidul hit di trig pɔynt, yu go fil di mɔsul spasm ɔ twitch. Dis kin mek yu nɔ fil fayn smɔl, bɔt na di bɛst sayn! I min se di nidul de na di rayt ples.
7. Injekt di mɛrɛsin: Di dɔktɔ de muv di nidul te di mɔsul stɔp fɔ twit ɔ te di mɔsul fil rilaks ɔltogɛda, dɔn i kin dɔn injɛkt di mɛrɛsin.
8. End: Na im bi dat. Naw yu kin go na os.
Yu tink se dis kin mek pɔsin fil pen?
Fɔ tɔk tru, yu kin fil pen smɔl. Bikɔs trig pɔynt na ples we rili sɛnsitiv we yu tɔch am. Yu go fil pen ivin we di dɔktɔ fil di say wit in finga dɛn. Yu kin fil lɛk se yu de bɔn we dɛn put di nidul ɛn injɛkt di mɛrɛsin. Ɛspɛshali we di nidul hit di trig pɔynt, di pen go bɔku wantɛm wantɛm. Bɔt nɔr frayd, de pen min se dɛn de du di tritmɛnt na di rayt ples.
Wetin kin apin afta di vaysin?
Afta di injɛkshɔn, yu kin go na os. Yu kin yuz di say we yu injekt lɛk aw yu kin yuz am. Bɔt , i bɛtɛ fɔ avɔyd fɔ du tin dɛn we de mek yu taya ɛn fɔ du bɔku ɛksesaiz fɔ di fɔs tu to tri dez.
Naw lɛ wi si wetin na di bɛnifit ɛn bad tin dɛn we dis tritmɛnt de gi.
| Bɛnifit dɛn | Sayd Ifɛkt & Risk dɛn |
|---|---|
| Dis na jɔs wan tritmɛnt we rili sef. Di sayd ɛfɛkt dɛm we kin apin pas ɔl na:
Kɔmplikeshɔn dɛn we nɔ kin apin so ɔltɛm :
|
Aw lɔng di rilif kin las? Ustɛm a fɔ go to dɔktɔ?
Fɔ bɔrku pipul dɛm , de pen kin bigin fɔ stɔp insay 24 to 72 awa afta dɛn dɔn shot am. Dis rilif kin las fɔ lɛk wan mɔnt so . Sɔm pipul dɛn kin gɛt fridɔm fɔ lɔng tɛm. If yu stil gɛt pen afta da tɛm de, yu dɔktɔ kin tɛl yu fɔ tek ɔda shot.
Afta yu dɔn gɛt di vaysin, if yu gɛt sayn dɛn we de sho se yu gɛt di sik, lɛk fiva, rɛd, ɔ wam wam na di say we dɛn gi yu di injɛkshɔn, kɔl yu dɔktɔ wantɛm wantɛm.
Trig point injεkshכn na rili ifektiv εn sef tritmεnt fכ myofascial pen. Pan ɔl we yu go fil sɔm pen we yu de du di tritmɛnt, di rilif we yu go gɛt go fayn fɔ yu. If yu gɛt dɛn mɔsul knot ya we nɔ de go wit ɔva-di-kɔnta pen riliva, tɔk to yu dɔktɔ bɔt Trigger Point Injection. I go ebul fɔ ansa ɛni kwɛstyɔn we yu gɛt.
Mɛsej we dɛn kin kɛr go na os
- Trig pכynt dεm na di kכt dεm we de mek yu fil pen, tayt na di mכsul dεm we kin mek yu fil pen nכto na da εria de nכmכ, bכt na כda εria dεm bak.
- We simpul tritmɛnt lɛk pen kil ɛn masaj nɔ ɛp, wan tritmɛnt we dɛn kɔl Trigger Point Injection (TPI) na sɔlv we rili wok.
- Dis tritmɛnt rili sef, ɛn di sayd ɛfɛkt dɛn we pɔsin kin gɛt nɔ bɔku. Di tin we kin apin mɔ na di pen fɔ sɔm tɛm na di say we dɛn injekt am.
- I nɔmal fɔ fil tingling ɛn smɔl pen we yu de du di tritmɛnt, we min se di nidul de na di kɔrɛkt pozishɔn.
- If yu de gɛt dis kayn pen, i rili impɔtant fɔ go to dɔktɔ we sabi du di wok fɔ mek dɛn no di sik ɛn tritmɛnt, pas fɔ mek yu trit yusɛf.
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