Sɔntɛnde, na say dɛn lɛk yu nɛk, yu sholda, ɔ yu bak, yu kin fil smɔl knot insay yu mɔsul dɛn, ɛn we yu swɛt am, i kin mek yu fil pen we yu nɔ go ebul fɔ bia, nɔto so? I tan lɛk se smɔl smɔl tin we de insay yu bɔdi tayt. Dis na wetin wi kɔl ‘trigger point’. Yu nɔ go ebul fɔ du yu wok dɛn we yu de du ɛvride fayn fayn wan bikɔs ɔf dis pen. So tide wi de tɔk bɔt wan tritmɛnt wae bɔrku pipul nɔr no bɔt wae kin ɛp yu fɔ pul dis pen.
Wetin na dɛn ‘Trigger Points’ ya rili?
Fɔ tɔk am simpul wan, trig pɔynt na ‘knot’ we de mek wi fil pen na wi mɔsul dɛm. If yu tɔch di say, i kin tan lɛk se na smɔl knot. Bɔku rizin dɛn de we mek dɛn tin ya kin apin. I kin bi bikɔs ɔf wan injury we pɔsin kin gɛt wantɛm wantɛm (acute trauma), ɔ i kin kam bikɔs ɔf di ripit maykro-trauma (stress) we kin kam bikɔs i de muv bɔku tɛm.
Fɔ dɛn rizin ya, di mɔsul fayv dɛn kin stɔp togɛda, tayt, ɛn stɔp na wan ples, lɛk bɔl we gɛt strɛch. Dɛn kɔl dɛn ‘stɔk knot’ ya trig pɔynt.
Triga pɔynt injɛkshɔn na wan we we dɛn kin yuz wan tin nidul fɔ injɛkt mɛrɛsin na say we de mek pɔsin fil pen. Bɔku tɛm, dɛn kin du dis wit wan lokal anestetik. Sɔntɛnde, dɛn kin ad stɛroyd ɔ botulinum pɔyzin . Sɔntɛnde, dɛn kin du dis tritmɛnt we dɛn nɔ gɛt ɛni mɛrɛsin, jɔs wit nidul (we dɛn kɔl dray nidul ).
Us kayn pen dɛn kin yuz dis injɛkshɔn fɔ?
Dɛn kin yuz dis injɛkshɔn mɔ fɔ trit wan sik we dɛn kɔl ‘Myofascial Pain’ . Na ya ‘Myo’ min mɔsul, ɛn ‘fascial’ min fascia. Tink bɔt wan mit we tan lɛk sosish, ɛn di tin wayt swɛt we de rawnd am, dɛn kɔl am fascia. so, myofascial pen na pen we de apin na dis mכsul, εn di mεmbran we de rawnd am.
De men tin wae kin mek dis pen na wae wan ɔr mɔr pan de trig point wae wi bin tɔk bɔt de. Pan ɔl we dɛn knot ya kin fɔm na ɛni mɔsul, sɔm say dɛn de we dɛn kin bɔku.
| di mכsul dεm we kin kכmכn fכ divεlכp trig pכynt dεm | Di say we dɛn kin fil di pen |
|---|---|
| Trapezius we dɛn kɔl Trapezius | Bak na di nɛk ɛn di sayd dɛn na di sholda dɛn |
| Masseter we de wok fɔ di kɔmni | Di mɔsul na di jaw (nia di yes) . |
| Levator skapula dɛn | Na ɔl tu di say dɛn na di nɛk |
| Kwadratus lumborum we dɛn kɔl | Dip dɔŋ na di bak |
| Gluteus medius we de na di bɔdi | Bɔt/hip eria |
I sɔprayz fɔ no se sɔntɛnde di pen frɔm dɛn trig pɔynt ya nɔ kin fil dairekt na di say we di knot de, bɔt i kin fa smɔl. Fɔ ɛgzampul, wan knot na di trapezius mɔsul na di sholda kin mek yu fil pen lɛk tɛnsiɔn ed pen .
Udat nid dis tritmɛnt?
Yu dɔktɔ nɔ go tɛl yu fɔ gi yu dis injɛkshɔn wantɛm wantɛm. If yu pen nɔr dɔn stɔp pan ɔl we yu de du tin lɛk mɛrɛsin fɔ mɛn pen, ɔt, masaj, ɛn fyzikal tritmɛnt, yu kin tink bɔt dis tritmɛnt as di nɛks tin we yu fɔ du.
Jɔs tink bɔt, sɔm pipul dɛn kin fil pen so dat dɛn nɔ kin ivin ebul fɔ du ɛksɛsayz fɔ du fizik tɛrapi fayn fayn wan. If na so i bi, yu kin fɔs gi dis injɛkshɔn fɔ ridyus di pen, dɔn yu kin bigin fɔ trit yu bɔdi. Dɔn di tin dɛn we kin apin kin rili fayn.
Dɔn bak, bifo yu gi dis injɛkshɔn, di dɔktɔ go chɛk if ɔda tin dɛn de we de mek yu fil pen. Fɔ ɛgzampul:
- Di mɔsul dɛn we de strɛs
- Dijeneretiv at at sik ɔ hεnia disk
- Radiculopathy (pen we pɔsin kin gɛt we i pinch di nerve) .
Wetin kin apin we dɛn gi di injɛkshɔn?
Di we aw dɛn kin du am rili simpul. Bɔku tɛm, i kin gɛt fɔ du wit sɔm tin dɛn:
1. Fɔs, dɛn go mek yu sidɔm ɔ ledɔm fayn fayn wan na di ɛgzam bed, ɛn yu de fes di say we di lump de.
2. Dɔn di dɔktɔ go tɔch di knot we de mek i fil pen, ɔ di say we i de trit, ɛn fɛn di rayt say.
3. Afta dεn dכn no di say we dεn de, dεn kin klin di skin wit alkol εn dεn kin put wan tin nidul insay di nodul.
4. Na ya, di dɔktɔ go muv di nidul bak ɛn go insay di lump bɔku tɛm, we i nɔ go pul am ɔl. Dɛn kɔl dis ‘nidling’. Yu kin fil se yu mɔsul de shek shek dis tɛm. Dis na nɔmal tin ɛn na gud sayn fɔ sho se di nidul de na di rayt ples.
5. We di mɔsul dɔn stɔp fɔ twit ɔ di dɔktɔ fil se di mɔsul dɔn rilaks inof, dɛn go injɛkt wan lokal anestetik na di say.
6. Na im bi dat. Di wan ol tin we dɛn kin du kin tek sɔm minit nɔmɔ. Afta dat, yu kin go na os.
Yu tink se dis kin mek pɔsin fil bad?
Fɔ tɔk tru, i kin at smɔl. Bikɔs trig pɔynt dɛn kin sɛnsitiv we yu tɔch. Yu kin fil pen ivin we di dɔktɔ fil di say wit in an. We dɛn gi yu di injɛkshɔn, yu go fil smɔl bɔn ɔ sting. Bɔt we di nidul in tip nak di say, di pen kin go ɔp smɔl. Bɔt nɔ fred, di pen min se di nidul dɔn go ɛksaktɔli na di rayt ples.
Wetin kin apin afta dɛn dɔn trit am?
Afta di injɛkshɔn, yu kin go na os ɛn yuz di mɔsul we afɛkt lɛk aw yu kin du. Bɔt i bɛtɛ fɔ lɛ yu nɔ du tin dɛn we go mek yu tranga fɔ di fɔs tu to tri dez.
If smɔl brus ɔ pen de na di say we dɛn injekt, yu kin put ays pak. I bɛtɛ fɔ go to yu dɔktɔ bifo yu tek sɔntin lɛk paracetamol fɔ pen.
Aw lɔng dis rilif de tek?
Fɔ bɔrku pipul dɛm, de pen go bigin fɔ stɔp insay 24 to 72 awa. Dis rilif kin las fɔ wan mɔnt ɔ mɔ . If di pen stil de afta dat, yu dɔktɔ kin tɛl yu fɔ tek sɔm mɔ injɛkshɔn fɔ mek yu fil fayn fɔ lɔng tɛm.
Di tin we impɔtant pas ɔl: If di say we dɛn injekt am rɛd, i de fil pen, ɔ i gɛt fiva afta di injɛkshɔn, i kin bi sayn fɔ se i gɛt di sik. If dis apin , go to yu dɔktɔ wantɛm wantɛm.
Mɛsej we dɛn kin kɛr go na os
- Trig Point Injection na sef ɛn ifektiv tritmɛnt fɔ penful mɔsul knot (trigger points).
- Dis kin bi wae de pen nɔr de kam dɔŋ wit tin dɛm lɛk mɛrɛsin wae de mɛk pɔrsin fil pen, masaj, ɔr fyzikal tritmɛnt.
- Pan ɔl we dɛn kin fil sɔm pen we dɛn de trit am, di rilif kin las fɔ wan mɔnt ɔ mɔ.
- Na yu dɔktɔ nɔmɔ go ebul fɔ no if dis tritmɛnt fayn fɔ yu. So, if yu gɛt siriɔs pen, lɛk tayt knot na yu bɔdi, mek shɔ se yu go to dɔktɔ.
- If yu gɛt sɔm sayn dɛn lɛk fiva ɔ wam wam na di say we dɛn inj yu afta di injɛkshɔn, tɛl yu dɔktɔ wantɛm wantɛm.
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