I taksa ruh ah hian knot tight tak tak i nei em? Myofascial Pain Syndrome chungchang hi han sawi ila!

Vawiin hian mi tam takin an tawn thin taksa ruh natna chi khat, a tibuaitu tak tak kan sawi dawn a, mahse a chang chuan eng nge a nih chiang taka hriat a harsa thin. Doctor-te chuan myofascial pain syndrome an ti a, English-ah chuan ``Myofascial Pain Syndrome'' an ti a ni.He hming hi i hre tawh ngei ang, a nih loh leh nangmah ngei pawhin hetiang natna hi i tuar tawh mai thei bawk. Eng nge a nih, engvangin nge a lo awm tih, engtin nge kan hriat theih ang, engtin nge hahdamna kan hmuh theih ang tih hi han thlir ila.

Myofascial Pain Syndrome hi eng nge ni?

A awlsam zawngin, i taksa ruh leh a chhehvel fascia an tih tissue te tak te inflammation avanga natna rei tak a ni. "Myo" tih hian taksa ruh a kawk a, "fascial" tih hian fascia an tih tissue a kawk bawk.

Orange pakhat kha han ngaihtuah teh. Orange hnah hi kan vun ang a ni. A chhunga pulp chu kan taksa ruh (muscle) a ni. Chu pulp chhehvela membrane dum hring hring chu fascia an ti a. He fascia hian kan taksa peng zawng zawng, taksa peng hrang hrang leh taksa peng hrang hrangte chu a hual vel a, a khuh vek a ni. Chuvangin, heng ruh leh an chhehvela fascia te hi eng emaw ti taka a chhiat a, a inflamed chuan he myofascial pain hi a lo awm thin.

Mi tam zawk chuan he natna hi taksa hmun bik pakhatah an nei a, mahse a chang chuan hmun tam tak (mahse a tlangpuiin taksa sir khatah) a nghawng thei a ni.

Hetiang dinhmun hi engtiang chiahin nge a awm?

Hei hi a takah chuan i ngaihtuah aiin a tam zawk hle. Damdawi lama mithiamte sawi dan chuan mipui zahawm zinga 85% vel chuan an dam chhungin engtik lai pawhin he natna hi an nei dawn a ni. Chu chu mi sawm zinga pariat velin an tawng dawn tihna a ni.

He hrehawmna hi engtin nge a awm?

Myofascial pain syndrome vei zawng zawng hian symptom inang an nei vek lo. Mi tin a inang lo thei. A châng chuan a natna chu a lo thleng thut thei a, a na hle bawk. A châng chuan, a hnung lama awm reng, natna dull, na tak, a nih loh leh na tak a ni thei bawk.

A lan chhuah dan tlangpui chu:

• A natna hi chi hrang hrang a ni thei: dull ache, squeezing pain, stabbing pain, emaw throbbing pain emaw a ni thei.
• Trigger points: Hei hi he natna lan chhuah dan tlangpui a ni. I vunah hmun te te, lumpy emaw, nodular emaw i hmu ang. Chungte chu trigger points an ti a. Heng hmunte hi khawih emaw, press emaw pawhin a hrehawm thei hle. A châng chuan, ding reng pawh hian a ti na thei a ni. Condition a kal zel chuan heng trigger point te hi a lian chho zel thin.
• Tisa chu a hmin a, a sensitive bawk: i khawih pawhin a na ang maiin a lang thei.
• Muscle a chak lo: Hmanlai chakna i nei lo ang maiin i inhria mai thei.
• Range of motion tlahniam: Entirnan, i kekawrte chu i rotate kim thei lo mai thei.

A châng chuan, myofascial pain syndrome vei te hian hriselna lama harsatna dang an nei thei bawk a, chungte chu:

• Lu na
• Mut theih lohna emaw mut harsatna (Mut that loh) .
• Rimtawng
• Hlauhthawnna
• Lungngaihna
• Chauhna awm reng (Fatigue) .

Trigger point chi hrang hrang a awm em?

Ni e, trigger point chi hrang hrang a awm. Eng nge an nih i en ang u:

1. Active trigger point: Hei hi "active" a ni. Muscle chhungah a awm tlangpui. I press chuan a na a, a nih loh leh natna chu taksa ruh zawng zawngah a darh thei a ni.

2. Latent trigger point: Hei hi "dormant" a ni a, mut ang mai a ni tihna a ni. Mahse active a lo ni thei a, chu chu active a lo ni ta tihna a ni, engtik lai pawhin.

3. Secondary trigger point: Hei hi active trigger point aiin taksa peng hrang hrangah a thleng thin. A châng chuan active leh secondary trigger point pahnih hi a rualin a inflamed thei a, natna a thlen thei bawk.

4. Satellite trigger point: Hei hi trigger point dangin a nghawngna hmunah a awm avangin activate a ni.

Eng thilin nge myofascial natna thlentu?

Doctor-te chuan mi thenkhatin midang aiin myofascial pain an vei tam zawk chhan chiang takin an la hre chhuak mek a ni. Mahse, hei hi a thlentu nia ngaih thil pawimawh tlemte a awm a:

• Muscle injury: Thil rit tak chawi turin i kal thut a, muscle pakhat i roll a, a nih loh leh infiamna i khelh laiin muscle i hliam ang tih han ngaihtuah teh. Chutiang taksa ruh hliam chu a chhan pakhat a ni thei.
• Repetitive motion: Entîr nân, thil inang rei tak chhûng tih hian, hammer vuak nawn leh emaw, computer keyboard-a type emaw ang chi hian a inrawlh taksa ruhte chu pressure a siam thei a ni.
• Posture \ha lo: Kan ding emaw, kan thut emaw, kan hnathawh dan dik lo emaw a nih chuan taksa peng thenkhatah a tul lovah pressure a siam thei a, hetiang dinhmun hi a thlen thei a ni.

Heng chhan lian ber berte bakah hian myofascial pain syndrome vei theihna tipungtu risk factor engemaw zat a awm a:

• Muscle chak lohna.
• Muscle hnathawh that lohna (ke pakhat chu plaster-a a awm laiin chu ke ruh chu hman a ni lo tih han ngaihtuah teh. Chutiang chu a ni).
• Hnathawh emaw, khaw lum hmuna awm emaw.
• Emotional stress na tak - Hei hian taksa ruhte chu a pianphungah a tikhauh thei a ni.
• Nerve a pinched a.
• Metabolic emaw hormonal lama harsatna, entirnan, thyroid natna emaw, zunthlum kaihhnawih neuropathy emaw.
• Vitamin tlakchhamna, a bik takin vitamin D leh folate.
• Infection rei tak awm thei.

Doctor-te hian engtin nge hei hi an hriat?

Myofascial pain syndrome hi a chang chuan hriat loh leh ngaihthah a ni a, a chhan chu a natna lan chhuah dan hi kan nerve, ruh, ligament emaw tendons emaw tichhe thei natna dang nen a inang hle a ni.

Hetiang dinhmun hi hriat chian nan i doctor chuan i taksa ruhte chu taksain a enfiah ang. Hei hi taut bands of muscle zawng turin tih a ni a, chutah chuan chutiang hmun natna hmun, kan sawi tawh trigger point an tih te chu zawng turin an ti a ni. Trigger point i hmuh a, pressure i pek chuan chutah tak chuan natna i nei thei a, a nih loh leh natna chu hmun hla takah a radiate thei bawk. Hei hi referred pain an ti a .

Hei hi hriat theihna tur test bik a awm em?

Ni lo, tunah hian myofascial pain syndrome hriat theihna tur thisen test, X-ray leh scan bik a awm lo. Tin, he natna chhinchhiahna hmuh tur a awm lo tlangpui bawk a, chu chu a natna hmuna sen, a hring, a lum dan pangngai lo ang chi te hi a ni.

Mahse, i doctor chuan natna dang (entir nan, arthritis ang chi) i neih loh nan test thenkhat tih a rawt thei bawk. I natna lan chhuah dan chungchangah zawhna an zawt thei bawk che a, chungte chu:

• Khawiah nge a natna chu i hriat?
• I natna sawi turin an ti che a nih chuan engtin nge i sawi ang (e.g., a na em, a throbbing em, a throbbing em)?
• He natna hi eng chen nge a awm tawh? Eng chen nge a lo awm thin?
• Eng thil pawh tih hian a natna a tiziaawm em?
• Thil tih hian a natna a tipung em?
• Tun hnaiah hliam i nei tawh em?
• Ni khat chhunga hun engemaw chen chu symptoms a tlahniam/pung em?
• Eng hna nge i thawh? Chu hnaah chuan eng ang movement nge i tih tur?

I doctor chuan i kal dan leh i dinhmun a enfiah thei a, taksa ruh inthlauhna a enfiah thei a, taksa chak lohna chhinchhiahna a zawng thei bawk. Myofascial natna thlentu hriselna lama harsatna dang – entirnan, i mut that dan leh stress, lungkhamna, lungngaihna i neih leh neih loh te pawh an zawt thei bawk.

Hei hi engtin nge enkawl a nih?

Myofascial pain syndrome hi enkawlna kawng hrang hrang a awm a. Anni hi chi thum ah then theih a ni a, chungte chu:

1. Office chhunga enkawl dan tur

2. Damdawi ei tur

3. In lama damdawi hman dan

A pawimawh ber chu myofascial pain syndrome symptom i neih chuan a rang thei ang bera doctor pan tur a ni a, chu chu a natna a zual hmain. Chutiang trigger points a lo awm hmaa enkawlna i tan chuan hlawhtlinna chance a sang zawk.

Office chhunga enkawlna te

I doctor chuan heng enkawlna engemaw zat hi a inzawm khawm a rawt mai thei:

• Physical therapy: Hei hian i taksa ruhte tichak, tihzauh leh tih hahdamna tura pui turin exercise leh technique bikte hman a ni.
• Dry needling: Hei hian trigger point-ah needle nalh tak tak dah a ni. Hei hian a hmuna khauhna a tihziaawm a, thisen kal a tipung a, natna a tiziaawm bawk.
• Trigger point injection: Needle hmangin natna tidam thei, lidocaine emaw, steroid emaw pawh ni thei, trigger point-ah inject a, chu chuan natna chu rang takin a tiziaawm thei a ni.
• "Spray and stretch": Hetiang hian coolant spray hmangin trigger point-ah an spray a, chutah chuan therapist chuan sa chi khat chu kut hmangin a hrual a.
• Low-level light therapy/cold laser: Laser beam bik hmangin taksain natna tidamtu chemical a chhuah tir thin.
• Ultrasound therapy: Sound wave hmangin tissue chhungah a lut a, a dam chak a, natna a tiziaawm bawk.
• Transcutaneous electrical nerve stimulation (TENS): Hei hian i vunah pads i bun a, trigger point-ah low-voltage electrical signal i thawn a ni. Hei hian natna a tiziaawm thei a ni.
• Relaxation therapies acupuncture , biofeedback, leh cognitive behavioral therapy (CBT) te pawh hian mut thatna leh lungkhamna tihziaawmna kawngah nasa takin a pui bawk.

Damdawi chi hrang hrang

I doctor chuan myofascial pain enkawlna atana pui turin heng ang damdawi hi a pe thei bawk ang:

• Natna tidamtu
• Nonsteroidal anti-inflammatory drugs (NSAIDs) - ibuprofen leh naproxen te ang chi te.
• Muscle relaxants - Hengte hian taksa ruh (muscle stiffness) a tihziaawm thei.
• Steroids - A chang chuan inflammation tihziaawm nan hun rei lote chhung pek thin.
• Antidepressant - Hengte hi natna rei tak tan leh mut that nan a tlem berah pek thin a ni.
• Sedatives hian mut thatna a ti tha thei - mahse hengte hi hman chhunzawm zel a tha lo.

In lama damdawi hman dan tur

Damdawi lam enkawlna bakah hian natna lan chhuah dan tihtlem nan in lama i enchhin theih tur thil engemaw zat a awm a:

• Ice leh lumna:Ice pack (minute 15-20 chhung) hmangin inflammation leh swelling tihziaawm la, heat packs (tui lum bottle ang chi) hmangin tissue tihzauh leh natna tihziaawmna tur a awm bawk.
• Myofascial pain syndrome exercises: Taksa chakna atana rit phurh exercise te, taksa ruh tichak tura stretching exercise te, leh aerobic exercise (kal leh jogging ang chi) te hian taksa peng hrang hrangah oxygen tam zawk pek a ni. Mahse, hengte hi doctor emaw physical therapist emaw inrawn hnuah dik taka tih tur a ni.
• Over-the-counter natna tidamtu: Paracetamol (acetaminophen) emaw NSAIDs (e.g. ibuprofen emaw naproxen emaw) emaw a ni thei. Mahse hre reng ang che, prescription painkillers emaw NSAIDs emaw i ei tawh a nih chuan hengte bakah hian i doctor hnenah i zawt hmasa tur a ni.
• Relaxation techniques: yoga (stretching, relaxing, leh stress tihziaawmna atan a tha hle), thawk lak dan exercise, leh meditation.
• Dietary changes: Taksa a inflammation thlentu emaw, tipung thei emaw ei tur ei loh a pawimawh hle (hei hi tlem kan sawi leh ang).
• Tui lum takah inhnim: Hei hian sa a tizau thei a, natna a ti reh thei bawk.
• Massage: Natna hmun, mi trained emaw, nangmah ngeiin emaw massage hian hahdamna a pe thei a ni.

Hemi enkawltu doctor te hi tute nge ni?

Doctor leh healthcare provider chi hrang hrang, myofascial pain syndrome enkawl thei an awm a. Chung zinga ṭhenkhat chu:

• Physiatrists: Heng doctor te hi physical therapy leh rehabilitation medicine lama tui tak tak an ni.
• Pain management specialist: Natna rei tak enkawlna lama tui bikte.
• Rheumatologists: Ruh, ruh leh connective tissue natna hrang hranga specialist an ni.
• Orthopedists: Ruh leh ruh natna lama mithiam bik an ni.
• Physical therapists: Exercise leh taksa lam thil dang hmanga natna tihziaawmna leh chetna siam\hatna tura puitu.

Hei hi a thlen loh nan a veng thei ang em?

Myofascial pain syndrome hi pumpelh kim theih a ni lo mai thei, a chhan thenkhat chu kan thunun theih loh a nih avangin. Mahse, i risk tihtlem nan thil tlemte i tih theih a awm a:

• Mut faina dik tak vawng reng rawh: Nitin hun khata mut leh harh hi tih dan phung la.
• I stress tihziaawm rawh: Stress chu meditation, yoga, leh hobby ang chi thil hmangin control rawh.
• Exercise neih fo thin ang che:Meatballs chu a nghetin a inthlak danglam thei ang.
• Muscle hliam ven theih laka inveng rawh: Entirnan, i bag i ken chu a rit lutuk em? I shoulder muscle-ah pressure a siam em? Bungrua rit tak i chawi dawnin form dik tak hmang ang che.
• Relaxation technique hrang hrang practice rawh.
• Ei leh in inthlau tak, chaw tha tak ei: Thlai thar, thei, legumes, sangha leh olive oil te ei tam la, a bik takin Mediterranean diet ei tam rawh.
• Tui in tam: Ni khatah tui glass 8 tal in thin ang che.

Pawimawh: Taksa a inflammation tipungtu eitur thenkhat a awm a. Inflammation a san chuan myofascial pain pawh a pung bawk. Chuvangin, heng ei tur te hi inthiarfihlim tum ang che:

>

* Chaw hmin (e.g. French fries, patties) te.

* Dairy foods (milk, cheese, yogurt) - Hengte hian thenkhat tan chuan inflammation a tipung a, mahse mi zawng zawng tan erawh a tipung lo.

* Refined carbohydrates leh refined flour atanga siam ei tur (bakery foods, white bread, pasta, breakfast cereals, pizza).

* Margarine, thlai hriak thenkhat (palm oil ang chi).

* Sugar tamna ei leh in (soft drinks, sweet drinks, cake, biscuit) te.

* Sa sen (bawngsa, vawksa, kel sa, etc.) ei fo.

* Artificial sweeteners leh food additives (hengte hi sugar tel lo, calorie tel lo diet drink, thei siam, ice cream, leh candy nia inchhal thil siamah te hmuh tur a awm).

* Sa buatsaih (hot dog, sausage, meatballs) te.

I kitchen shelf leh fridge te kha han en teh. Myofascial pain symptoms tipung thei ei tur a awm chuan tihtlem emaw, tihbo emaw zawi zawiin tum ang che. Heng zawng zawng hi vawi khata tih a harsat chuan a pawi lo. Chaw pakhat khat chu paih chhuak la, zawi zawiin ti rawh, i rilru hahdam ang zelin.

Myofascial pain syndrome ka neih chuan eng nge thleng?

Mi tinte hrehawmna – khawiah nge a awm, engtiang chiahin nge a nasat tih hi a danglam bik a, chu chu mi hrang hrangah a inang lo hle tihna a ni. Natna hi a chang chuan a lo chhuak thei a, a chang chuan a awm reng bawk. Enkawlna hlawhtling tur chuan i duh ang doctor, i rintlak tak zawn a, an management plan zawm a pawimawh tlangpui.

Hei hi eng chen nge a daih ang?

Myofascial pain syndrome hi eng chen nge a awm tih hi mi hrang hrangah a inang lo. Enkawlna dik tak a awm chuan ni khat emaw ni hnih emaw chhungin, kar tlemte chhung pawhin a reh thei tlangpui. Mahse mi thenkhat tan chuan a rei zawk thei. I natna nasat dan te, enkawlna i dawn dan te, leh nunphung i tihdanglam danah a innghat a ni.

Engtin nge ka in enkawl ang?

Myofascial pain syndrome nena nun hi a tha berah chuan a harsa thei a, a chhe berah chuan downright excruciating a ni thei bawk. Chuvang chuan mahni in enkawl that a pawimawh em em a ni. I doctor enkawl dan tur dik takin zawm rawh. Tin, in lama damdawi thenkhat (a hmaa kan sawi tawh exercise te, ei leh in thlak danglam te, tui lum a inbual te, massage te ang chi) te pawh hmang ve bawk ang che. I tana tha tur leh i natna tihziaawmna tur zawng turin tlem tal i experiment a ngai mai thei. Thil pakhat a hlawhtlin loh chuan beidawng suh, thil dang tih tum ang che.

Engtikah nge Doctor ka hmuh ang?

I taksa hmun bik pakhata natna awm reng, a reh loh tur (trigger point a lo awm hmaa a tha ber) i neih chuan doctor hmu turin appointment siam rawh. I doctor chuan i symptoms te chu a evaluate thei a, test a kalpui thei a, condition dang a awm loh nan a ti thei a, i tana tha tur treatment plan a siam thei bawk.

Doctor hnenah eng zawhna nge ka zawh ang?

Doctor i hmuh hunah hetiang zawhna zawt tura inpeih taka lo kal hi a tha a, chutiang chuan i mamawh zawng zawng i hmu thei ang:

• "Doctor, he myofascial pain ka neih hi eng damdawi nge pui thei ang?"
• "Engtin nge myofascial pain syndrome ka neih i rin?"
• "Hetiang hian natna dang hrehawm tak tak ka neih theihna tur hlauhawm ka ni em?"
• "Ka enkawl dan tur chu eng nge ni? Engtin nge min puih ang?"
• "Pain management specialist ka hmuh a ngai em?"
• "In lamah eng nge ka tih theih ang, ka rilru a hahdam vat theih nan?"
• "Engtiang chiahin nge ka rawn hmu leh ang che? Chuti a nih chuan eng nge i zawn?"

Myofascial pain leh fibromyalgia hi eng nge an danglamna?

Heng hming pahnih hi i lo hre tawh mai thei. Myofascial pain leh fibromyalgia te hi a chang chuan a inang thei hle. An pahnih hian trigger point (or tender spots) an nei a, chu chuan natna a thlen thei a ni. Mahse hengte hi dinhmun hrang hrang pahnih a ni.

A danglamna ber chu:

Myofascial pain hi hmun bik pakhatah emaw, hmun tam tak a awm chuan taksa sir khatah emaw a awm tlangpui.

Fibromyalgia natna hi taksa pum puiah a darh zau hle.

Fibromyalgia vei te hian a hnuaia mite hi an tawk tlangpui thei:

• Hmun sensitive zawk (trigger point nen a danglam deuh).
• A tlangpuiin taksa pum puiah natna a awm.
• Chauhna hi a na zawk a, hahdamna a awm fo thin.
• Mut lama harsatna nei.
• Lu na fo thin.
• Pum lam harsatna irritable bowel syndrome (IBS) ang chi te.
• Taksa pumpuiah hriatna dang hriatna, chu chu a hring, inflammation, pin leh needle, leh numbness te hi a ni.

Mi tinin an nunah engtik lai pawhin hrehawmna eng emaw zat kan tawk vek a. Mahse, a natna chu tuar theih loh a nih chuan, a nih loh leh hun rei tak chhung nitin hnathawhna a tibuai a nih chuan doctor hnen atanga tanpuina i zawn a hun tawh hle. Vanneihthlak takin natna chi hrang hrang tam zawk, myofascial pain te pawh hi enkawl dan dik leh nunphung thlak danglam chuan tihziaawm emaw tihbo emaw theih a ni.

I hriat reng tur pawimawh ber (Take-Home Message) .

Chuvangin, myofascial pain syndrome hi dinhmun tak tak a ni a, a chang chuan a ti thinrim hle thei. I taksa ruh chhunga knot tight (trigger points) nena lo awm localized pain i neih chuan fimkhur rawh.

Lungngai suh! Damdawi lam thurawn i la a, enkawl i tan hma chuan nasa takin a thunun thei a, tihdam pawh a ni thei bawk. I dinhmun, exercise, ei leh in leh rilru hriselna ngaihven hian he natna hi i tihbo theih nan kawng thui tak a zawh thei a ni. Nangmah chauh i ni lo tih hre reng la, tanpuina a awm bawk!

` Myofascial natna, taksa ruh na, trigger points, fascia, natna rei tak, taksa enkawlna, natna enkawl dan