Bunions pawh i nei tawh em? (Pes Cavus) Hemi chungchang hi han sawi ila!

I kephah hnuai lam i en ngai em? Mi thenkhat chuan ke chu a sang deuh a, a arch deuh bawk. Mahse mi thenkhat chuan arch sang tak an nei a. Chutiang a nih chuan chu mi chuan "High Arch Feet" emaw, damdawi lam hawi chuan "Pes Cavus" an tih natna emaw a nei tih kan sawi thin. Hei hi mi thenkhat tan chuan harsatna a ni lo mai thei. Mahse midang tan erawh chuan hrehawmna nasa tak a thlen thei a ni. Hemi chungchang hi vawiinah hian chipchiar zawkin han sawi ila.

Pes Cavus hi eng nge ni?

A awlsam zawngin ``Pes Cavus`` tih hian i ke arch chu a tlangpui aia sang a ni tihna a ni. Hei hi i ke ruh (flexible part) a ni a, i ke kephah leh i kephah ball inkar a ni. Kan ding chuan a bengchheng deuh a, kan kal lai chuan a hma leh hnung a inbeng kang bawk.

Mahse, mi thenkhat chuan he arch hi beisei aia sang zawkin an nei a. Kea rit phur chungin an ding a nih pawhin he arch hian a tlahniam lo va, lei a khawih lo. Lei hnim chunga ding a, i ke pen i en chuan a kephah lai tak chu i hmu thei lo mai thei.

Hetiang heel spur hi pianpui a ni thei a, damdawi lam thil dang avanga lo awm pawh a ni thei bawk. A na lo a nih chuan harsatna a thlen lo mai thei. Mahse, mi thenkhat tan chuan harsatna a thlen thei a, chu dinhmun chu a kal zel thei bawk.

I ke arch chu a han chawi sang chuan i kal laiin i ke peng dangte chu a pressure nasa zawk tih han ngaihtuah teh. Hei hian hrehawmna a thlen thei a, a chang chuan hliam pawh a thlen thei bawk. Mi thenkhat tan chuan hetianga ke chawi sang chunga kal hian an ruh leh taksa ruhte pawh a tidanglam thei a ni.

He `(Pes Cavus)` natna lan chhuah dan hi engte nge ni?

I ke ruhro (ingrown toenails) avanga symptoms i neih chuan hengte hi i hre hmasa thei ang:

• Ke ruh natna: He natna hi ke ruh emaw, kephah emaw ball-ah a awm tam ber.
• Ankle pain leh swelling: I kekawrte pawh a na thei a, a hring thei bawk.
• Arch pain: Ke arch-ah pawh natna a awm thei bawk.

Hun a kal zel a, thil engemaw zat chu a inzawm khawm thei bawk. En teh:

• I ke kephah ah hian pressure nasa lutuk awmna hmunah corn emaw callus emaw a lo awm thei.
• Ankle joint hi a nghet lo deuh thei bawk. Hei hian a awmzia chu ke ruh chu a inher reng ang maiin a hria a, a hliam pawh a tichhe thei tihna a ni.
• Ke ruhte chu chhung lam hawiin, kut zungtang ang maiin a ben thei bawk. Hengte hi ``claw toes'' emaw ``hammertoes'' emaw kan ti thin.

Mi thenkhat chuan strain injury repetitive vangin hun rei tak chhung natna an nei thei bawk. Entir nan:

• `(Metatarsalgia)` tih hi a ni.Chu chu i ke ruh bul atanga i ke hnuai lama inflammation awm tihna a ni.
• Plantar fasciitis: I ke ruh chhunga ligament a inflammation a ni.
• Peroneal tendonitis: I ke ruh pawn lama tendon pakhat a na a.

Pes Cavus hian engtin nge kea kalna a nghawng?

I ke chawi sang chunga i kal hian ``supination'' tih hi i tawng a ni.Hei hian i ke pawn lam kil lamah i kal tam zawk tihna a ni. Hei hian i ke ruh, i kephah ball, i kephah leh i ke ruh pawn lam ang chi, a flexible lo zawkte chu pressure a pe tam zawk a ni.

Ke pangngai nei mi pakhatin a ke a pen chuan ke pawn lam kil chu chhung lam hawiin a inher (pronates). Hei hian shock hi a absorb a, surface hrang hrangah a insiamrem thei bawk. Mahse, ke chu tlang chhip lam a nih chuan he rolling hi a thleng dik lo. Chuvangin i ke chu pawn lam sir ah a awm reng thin.

Pes Cavus hian engtin nge i ke a nghawng?

`(Pes Cavus)` dinhmun a lo kal zel a, i ke hnuai lam ruh leh ruhteah inthlak danglamna dang a awm chuan heng inthlak danglamna hi chi hnih a awm thin. Doctor-te chuan hengte hi `(pes cavovarus)` leh `(pes calcaneocavus)` an ti a.

• Pes Cavovarus: Hei hi Pes Cavus chi hrang hrang zingah chuan a tam ber a ni. Hetiang dinhmunah hian arch chu chawi sang (cavus) a, heel chu chhung lam hawiin (varus) a ni. Ke ruh lian chu hnuai lam hawiin (plantarflexed) a awm a, chu chuan ke pum pui chu a arch vek a ni. Hei hi hollow foot emaw claw foot emaw an ti bawk.

• Calcaneocavus Foot: Hei hi a tam lo hle. Hetiang dinhmunah hian i kephah (calcaneus) chu dorsiflexed a ni a, i ke hmalam chu hnuai lam hawiin a ben thung. Hei hian a hnung lamah arch a ti langsar zawk thin. Hei hi a then chuan posterior pes cavus an ti bawk.

Inversion hian eng harsatna nge a thlen?

I ke kephah sang tak avang hian i ke deformity hi a pung zauh zauh thei. Hei hian kea kal chu a ti hrehawm zual thei a, a nghet lo thei bawk. Soles ngeia nghawng a neih chhunzawm zel bakah hian secondary problem dang pawh a awm thei bawk. Chung zingah chuan:

• Khup natna
• Hnung lam natna
• Ke leh ke ruh natna (arthritis) a awm

`(Pes Cavus)` awm chhante chu engte nge ni?

Mi tam tak chu clubfoot neia piang an ni. Hei hian genetic influence a awm ngei ang tihna a ni. Mahse, thil dang dangah chuan clubfoot hi damdawi lam thil dang chhinchhiahna a ni thei. Entirnan, spina bifida emaw muscular dystrophy ang chi natna te.

I taksa hnuai lam muscle imbalances hian structural change a thlen thei bawk a, chu chuan i kephah a ti bulge thei bawk. Muscle thenkhat chu a pangngai lo taka a chak loh chuan thenkhat chu a pangngai lo takin a tight a, i kephah pianzia a tidanglam thin.

Heng taksa peng hrang hrangte inthlauhna chhan ber chu neuromuscular disorders a ni . Heng natna te hian i nerve te leh i taksa ruh te inbiak dan a nghawng a ni. Vawi tam tak chu taksa ruh thenkhat chu an thawk thei lo.

Chung zinga tam tak chu nausen piang chhuak, genetic disorder an ni. Mahse an lo thanglian zawi zawi hle. Chuvang chuan an natna chu hriatchhuah thuai an ni lo mai thei. Naupang kephah (foles) hi chutiang harsatna chhinchhiahna hmasa ber pakhat a ni thei.

Hriselna atanga lo piang chhuak entirnan:

• Charcot-Marie-Ha natna
• Muscular dystrophy a awm thin
• Spina bifida (spina bifida) a awm

Neuromuscular disorder hi i dam chhung zawngin a awm thei. A chhan chu:

• Diabetes kaihhnawih neuropathy
• Spinal tumor a awm thin
• Thai

Hliam leh taksa ruh inzawmna (muscle contracture) hian cavus foot a thlen thei bawk. Entirnan, ruh inthlak danglamna avang hian taksa ruh (muscle imbalance) a awm thei. Hliam i neih hnua i che tha lo a nih chuan i tissue te chu a tight thei a, a inzawm khawm thei bawk.

A chang chuan naute hi taksa ruh (muscle spasms) neiin an piang thin. Hei hi neurological disorder emaw inhliam vang emaw a ni lo va, nausen pum chhunga thil thleng vang zawk a ni. Clubfoot hi pianpui spasm a ni bawk a, Pes Cavus a thlen thei bawk.

Engtin nge soles-a lo chhuak kha i hriat theih?

Orthopedist chuan cavus foot hi taksa enfiahna awlsam tak hmangin a hre thei a ni. I dinna leh i kal dan chu a enfiah ang. I ke chu khawiah nge a insiamrem tih leh khawiah nge a nghet tih hriat theih nan kawng hrang hranga i ke chu sawn turin a ti thei bawk.

I dinhmun hriat belh duh chuan imaging test a order mai thei. Entirnan, i ke X-ray emaw MRI emaw. Neuromuscular disorder nia rinhlelh a nih chuan EMG test emaw, nerve conduction study emaw neih a rawt thei bawk.

Doctor ten `(Pes Cavus)` hi engtin nge an enkawl?

Enkawlna chu i dinhmun a nasat dan leh a na zual theih danah a innghat a ni. I dinhmun leh i natna lan chhuah dan a na lutuk lo a nih chuan enkawlnaah hian taksa lam enkawlna leh natna tihziaawmna lam a ni ber ang.

Enkawlna awm thei engemaw zat a awm a:

• Kekawr bik emaw orthotics emaw:I kal laiin i ke a awm theih nan a bik taka siam pheikhawk emaw, pheikhawk insert emaw i hmang thei bawk. Heng orthotics te hi damdawi dawrah i lei thei a, orthotist pawhin i duh angin i siam thei bawk.

• Braces, splints emaw casts: Kea brace, splint emaw cast emaw bun hian tissue tight chu zawi zawiin a tizau thei a ni. Mi thenkhat chuan zanah chauh an ha a, thenkhat erawh chuan kar eng emaw zat an ha chhunzawm zel thung.

• Physical therapy: Physical therapist chuan in lama emaw, an puihnain emaw exercise tih tur a pe thei che a ni. Hei hian a natna taksa pengte chakna leh inthlak danglam theihna a tipung thei a ni.

• Natna tidamtu: Damdawi dawr-a nonsteroidal anti-inflammatory drugs (NSAIDs) awmte hian kea kal hnua natna leh hliam tihziaawmna turin a pui thei a ni. Ice hnawih hian a pui thei bawk.

Pes Cavus hi a dam kim thei ang em?

I ke a chhe nasa hle a nih chuan, emaw, i doctor-in a na zual ang tih a ngaihtuah chuan operation i mamawh mai thei. Surgery tum ber chu i kein a rit zawk phurh theih nan leh natna tihziaawmna tur a ni.

Pes Cavus enkawlna tur surgery hrang hrangah hian:

• Osteotomy: Ruh siam thar leh a pianzia thlak danglam.
• Soft tissue release: Soft tissue-ah hian incision te te siamin a khauh loh nan.
• Tendon transfer: Tendon hnathawk lo chu tendon hnathawk thei hmanga thlak a ni.
• Joint fusion: Joint pakhata ruh pahnih inzawmkhawmna.

Ingrown toenails hi enkawl loh chuan a na zual ang em?

A tlangpuiin neuromuscular disorder nena inzawm bunions te hi hun kal zelah a na zual zel thin. ``Pes Cavus'' ang chi natna i neih chuan a hma aia hmaa enkawl i mamawh mai thei. Tin, enkawl hmasak a tha zawk thei bawk.

He natna hi hereditary condition cavus foot an tih, chhungkaw history nei lo i neih chuan a na zual lo mai thei. Hliam avanga cavus foot an tih hi a awm reng thin. I podiatrist chuan i dinhmun bik a zirin i beisei tur a hrilh thei che a ni.

Pes Cavus enkawl hnuah eng nge i beisei theih ang?

Hun kal zelah a na zual mai thei tur i neih chuan, a hmaa enkawl hi result neih theihna kawng tha ber a ni. Hei hi naupangte tan chuan a dik hle a, an taksa chu a la thang chak a, a la inthlak danglam thei bawk.

A hun taka surgery hian ``Pes Cavus'' avanga deformities te chu a nasat loh nan leh kephah a khauh loh nan a pui thei a ni. Chutiang dinhmun chu a nasat tawh chuan siamthat nan operation lian tak neih a ngai a, chu pawh chuan engkim a tifel vek lo.

Surgery hnua rehabilitation hi hun rei tak chhunga hlawhtlinna atan a pawimawh hle. Hei hian i ke hman tan hun leh hman tan dan tur chungchanga i doctor thupek zawm a, physical therapy chhunzawm zel tihna a ni.

I dinhmun azirin physical therapy emaw, home exercise emaw chu hun tiam nei lovin i chhunzawm a ngai mai thei. Progressive disabilities nei te hian nakin lawkah enkawlna tam zawk an mamawh mai thei.

Ke ruhro (ingrown toenails) awm theihna hi a tlahniam thei ang em?

Bunions hi genetic emaw, a hnuaia medical condition avanga lo awm emaw a nih avangin he condition hi a lo awm lo thei lo. Mahse, uluk taka enkawl leh enkawl a nih chuan bunions avanga natna hi hlawhtling takin a enkawl theih a ni.

Arch sang tak tak hian harsatna a thlen ngai lo. Mahse an tih chuan doctor thiam tak i pan tur a ni. Arches sang tak tak, symptoms thlentu hi a hnuaia damdawi lam dinhmun chhinchhiahna a ni fo thin.

Naupang kal dan dik lo leh an ke inthlak zauh zauh te hian neuromuscular disorder hriat loh an nei thei a ni. Inenkawl hmasak hi result tha ber kan neih theih nan a tha ber a ni.

Thil hriat reng tur (Take-Home Message) .

Okay, chuvangin tunah chuan ``Pes Cavus'' emaw kan sawi tawh instep emaw kha in hriatthiam ka beisei.

• Arch sang tak tak hi mi zawng zawng tan chuan harsatna a ni lo: thenkhat tan chuan positioning chungchang chauh a ni.
• Symptoms i neih chuan fimkhur rawh: Natna, kal harsatna emaw, ke ruh tliak emaw i neih chuan doctor thurawn la ngei ang che.
• A chhan bulpui ber a awm thei: Hetiang dinhmun hi i hmuh chuan, a bik takin naupangteah chuan neuromuscular disorder dang chhinchhiahna a ni thei.
• Enkawl hmasak a pawimawh: Enkawl hmasak hian harsatna a tiziaawm thei a, a bik takin a natna a zual zel chuan.
• Enkawlna chi hrang hrang a awm a: physical therapy atanga surgery thlengin. I doctor chuan i tana tha ber tur chu a rel ang.

Chuvangin, nangmah emaw, i hriatte emaw pawhin hetiang harsatna hi i tawk a nih chuan doctor pan a, thurawn lak hreh suh. Chuti a nih chuan nang pawh hahdam tak leh natna nei lovin i kal thei tawh ang!

` Pes Cavus, ke arch sang tak, pronation, ke na, ke ruh na, taksa enkawlna, ruh natna