I ke hmalam ah pawh na i nei em? (Metatarsalgia) Hemi chungchang hi han sawi ila!

A châng chuan kan kal emaw, kan tlan lai emaw, kan ding mai mai emaw pawhin kan kephah hmalam, ke ruh bul ṭanna hmun ngeiah hian natna mak tak mai kan nei ṭhin, a dik em? Mi thenkhat tan chuan pheikhawk chhungah lung awm ang maiin a lang thei. He natna tibuaitu tak hi vawiin a kan sawi tur dinhmun hi a ni a, chu chu `(Metatarsalgia)` tih a ni. Chuvangin, eng nge a nih, engvangin nge a lo awm a, engtin nge kan pumpelh theih ang tih i lo en ang u.

Metatarsalgia hi eng nge ni? Khawi atanga lo chhuak tak nge he hrehawmna hi?

A awlsam zawngin, `(Metatarsalgia)` chu i ke hmalam natna leh hliam, ke ruhte atanga intanna a ni . Hei hi “i ke ball” an ti a. Hei hi i ke ruh arch leh ke ruh inkar a nêm ber a ni. A tam zawkah chuan he natna hi metatarsal lu pakhat emaw a aia tam emaw hnuaiah a awm a, chu chu ke ruh panga intanna ke ruh panga tawp lam a ni.

Ngaihtuah teh, nilengin ding chunga hna i thawh chuan, a nih loh leh i tlan a, i inkhelh chuan he natna hi i tawng tawh mai thei. Hei hi chhan pakhat aia tam a awm thei a, a tam thei bawk.

• I ke awmna hmunah hian deformity engemaw zat a awm mai thei.
• A nih loh leh infiamna i khelh te, a bik takin tlan leh zuang te.
• Kan pheikhawk bun hi a tight lutuk emaw, a lian lutuk emaw, pheikhawk chhunga support a tawk lo emaw a nih chuan.
• Hei hi damdawi lam thil thenkhat vang pawh a ni thei.

Enkawlna atana hmalakna hmasa ber chu chawlh hahdam, ice, leh exercise awlsam tak tak te hi a ni. Chumi chungchang chu nakinah kan sawi leh ang.

Metatarsalgia natna lan chhuah dan chu engte nge ni?

Hetiang dinhmun chhinchhiahna ber chu ke hmalam, ke ruh bul hnaihah na a ni. He natna hi a chang chuan a hring emaw, a hring lo emaw pawh a awm thei. ``Metatarsalgia`` symptoms hi a intan nghal thei a, a nih loh leh hun kal zelah a lo lang zauh zauh thei bawk. Heng symptoms te hi i nei em tih enfiah rawh:

• Ke hma lam natna: Hei hi natna nasa tak, kah na, na tak, a nih loh leh kang natna ang maiin a lang thei . He natna hi i ding emaw, i tlan emaw, i kal emaw hian a zual thei hle.
• Kut zungtang hrual emaw, tingling emaw: Mi thenkhat chuan kut zungtang ah numbness emaw tingling emaw an nei thei.
• Kekawr chhungah lung awm ang maia hriat: Hei hi mi tam takin an sawi thin symptom tlangpui a ni bawk. Kekawr chhungah lungpui te tak te a inkhung ang maiin a lang.

Engvangin nge hetiang (Metatarsalgia) hi a lo awm? A chhante chu engte nge ni?

Tlan leh zuang lama inhmang fo thin i nih chuan `(Metatarsalgia) i vei tam zawk a ni.` Tin, ke ruh tliak te, kekawr sang tak bun te, pheikhawk kephah nêm lutuk te, kekawr ke nghahna nei lo pheikhawk bun te, pheikhawk upa tawh lutuk te pawh hian hetiang hi a thlen thei bawk.

Doctor-te chuan Metatarsalgia thlentu hi chi thum-ah an ṭhen a, chungte chu:

1. Category pakhatna: Ke ruh (metatarsals) awmna hmun inthlak danglam vang a ni.

Hei hian i ke ruh (metatarsals) bul hnaia ruh awm dan a inthlak tihna a ni a, chu chuan ke dang nena an inzawmna a nghawng a, ``metatarsalgia`` a thlen a, chu chu pressure nasa lutuk vang a ni. Entirna tlemte chu hetiang hi a ni:

• Bunions emaw Hallux Valgus emaw hi ke ruhro (big toe bone) atanga lo chhuak a ni a, ‘bunions’ tia hriat bawk a ni.
• Hammertoes te chu .
• Ke kephah vun chu a hring a, callus a siam thin.
• Arch sang tak tak a awm.
• Ke ruh pahnihna hi ke ruh lian aiin a sei zawk.

2. Pahnihna: Natna dang emaw thiltih dang vang emaw

He category ah hian ``Metatarsalgia'' a tel a, hei hi ke hmalam a pressure nasa lutuk avanga lo awm a ni a, chu chu hriselna lama harsatna dang i neih vang emaw, thil engemaw i tih vang emaw a ni thei. Entirnan:

• Inflammatory conditions: Arthritis conditions `(Rheumatoid Arthritis)`, `(Gout)` (gout an ti bawk), `(Sesamoiditis)` (ke ruh lian bul hnaia ruh te tak te pahnih inflammation), `(Morton’s Neuroma)` (sole-a nerve pakhat a hring) te.
• Neurological disorders: `(Charcot-Marie-Ha Natna)`, `(Freiberg Natna)` ang chi natna.
• Metabolic natna: Thau lutuk, Zunthlum.
• Hriselna lama harsatna dang: kea ruh (ligament) te, ke ruh (plantar warts) ang chi thil.
• Trauma: Tlan chak lutuk emaw, kekawr in fit tha lo bun emaw ang chi thil vang pawh a ni thei.

3. Third category: Operation hnua harsatna awm (Iatrogenic metatarsalgia) vang a ni.

Hei hi a tlem deuh. Mahse, a chang chuan `(Metatarsalgia)` hi ke hmalam zai hnua harsatna angin a awm thei. Entirnan, a chunga kan sawi tak ``bunions`` te operation hnuah he natna hi ke ruh lian (big toe) inthlak danglamna avang hian a lo awm thei a ni. Tin, ruh tliak dam tha lo, `(Avascular Necrosis)` (ruha thisen kal tlem avanga ruh cell thihna) ang chi harsatna te pawh a tlem hle nachungin operation hnuah a thleng thei bawk.

Tute nge metatarsalgia vei theihna chance sang zawk?

Dik tak chuan tu pawhin ``Metatarsalgia'' an nei thei. Mahse, mi thenkhat chu an hlauhawmna a sang deuh hlek a ni.

• Runner leh high-impact sports tan: Hei hi an ke hmalam chu pressure nasa tak hnuaiah a awm reng vang a ni. Netball, basketball, a nih loh leh athletics khel mi pakhat kha han ngaihtuah teh.
• Kekawr in fit tha lo ha tan: Hetiang dinhmun hi pheikhawk a tight lutuk emaw, a lian lutuk emaw, pheikhawk hian support a pe tawk lo a nih chuan a thleng thei.
• Kekawr kekawr sang tak ha fo thinte tan: Hei hian ke hmalam ruh leh kekawrte chu a tul lovah pressure a siam thin.
• Kekawrte tel lova exercise la, stairs lawn emaw, ladder hmang emaw tan: Heng harsatnate hi kein a tul anga puih a tlakchham hunah a thleng thei a ni.
• Ke ruh tliak nei tan: a hmaa kan sawi tawh ang khan `(Bunions)`, `(Hammertoes)`.
• Inflammatory condition nei tan: `(Rheumatoid Arthritis)`, `(Gout)` ang chi te tan .

(Metatarsalgia) Enkawl loh chuan eng nge thleng? (Buaina awm thei) .

`(Metatarsalgia)` symptoms i neih chhunzawm zel chuan doctor pan a pawimawh hle . A chhan chu, enkawl loh chuan ke leh ke ruh lama harsatna a thlen belh thei a ni. I limp pawh a ngai mai thei.

Chu mai ni lovin, natna avanga kan kal dan kan thlak danglam hian hip, thighs, leh back te pawh a nghawng thei a, chutiang hmunah pawh chuan natna a thlen thei bawk. Hmun pakhata harsatna awmin hmun dang pawh a nghawng thei ang bawkin.

Metatarsalgia hi engtin nge kan hriat theih ang? (Diagnosis) tih a ni.

Doctor i pan hunah i symptoms te an zawt hmasa ang che. Eng chen nge a natna chu a awm tawh a, engtin nge a awm a, engtikah nge a na ber? Tichuan i ke chu manual examination an ti ang a, a na leh a hring loh an enfiah ang.

Tin, test te pawh tih theih a ni bawk a, chungte chu:

• X-ray: Hei hi harsatna dang, stress fracture ang chi te enfiah nan a ni.
• Ultrasound emaw MRI: Hengte hian metatarsophalangeal joint chhehvela soft tissue, i.e. ligament leh tendon awm dan chiang takin a hmu thei a ni.

Metatarsalgia hi eng enkawlna nge ni?

Thu lawmawm tak chu metatarsalgia enkawlna hi hmanraw awlsam tak, non-invasive hmanga tan a ni. Chumi awmzia chu, major surgery-a kal nghal mai ai chuan, thil tenawm tak tak, hetiang hi i ti thei tihna a ni:

• `(RICE method)`: Hei hi hmanraw lar tak a ni.
• Chawlh : I ke chu a tam thei ang ber chawlh pe rawh. Natna tipung thei thil tih loh tur.
• Ice : Ni khatah vawi tam tak minute 15-20 chhung a natna leh a hringna hmunah ice (puan inkhuh) hnawih thin ang che.
• Compression : Ke kephah chu elastic bandage hmanga khuh hian a hring (swelling) a ti tlem thei.
• Elevation : A theih phawt chuan i ke chu heart level aia sangah dah tur a ni.
• Over-the-counter natna damdawi: I doctor-in a tih angin natna tidamtu `(Acetaminophen (e.g. Tylenol®))` emaw `(Ibuprofen (e.g. Advil®)` emaw i ei thei.
• Exercise (Stretch) tih te: 1.1.Ke leh ke ruh hrual exercise nem tak hian hahdamna a pe thei a ni. Physiotherapist hnenah hengte hi eng nge ni tih i zawt thei bawk.
• I kekawr thlak dan: Hei hi a pawimawh hle. Athletic kekawr ṭha, ṭanpui thei tak, emaw, rocker soled pheikhawk emaw ha rawh. Heels sang leh kekawr tight hak hi pumpelh rawh.
• Shoe inserts: Insole nem emaw metatarsal pads emaw, a bik takin Metatarsalgia atana siam hman hian natna hmuna pressure tihziaawmna kawngah a pui thei a ni.

Heng enkawlna awlsam tak takte hian natna a tiziaawm lo a nih chuan, i doctor chuan natna chhan bulpui enkawlna atan injection (corticosteroid injection ang chi) emaw, operation emaw a rawt thei ang. Mahse, hei hi thil dang zawng zawng a hlawhchham phawt chuan tih a ni tlangpui.

Metatarsalgia hi ven theih a ni em?

Metatarsalgia hi pumpelh vek theih a nih loh laiin, he natna hlauhawmna tihziaawmna tur hian thil kan tih theih a awm. Hengte hi tih danah siam a tha:

• Kekawr dik thlan: Kekawr kekawr tha, nghet tak, ke ruh box zau tak leh kekawr hnuai lam nei thlang rawh.
• Insert nuam tak hmang rawh: I kekawrteah hian insert tha leh nem tak dah la, a bik takin nitin ding thei i nih chuan.
• Kekawr bul lo kal loh tur: Kekawr bul lo kal chu tihtlem la, a bik takin hmun hrual, inthlau takah chuan.
• Callus lakchhuah: I ke kephah tui lum takah i hnim fo a, pumice lung hmanga hnawih hian i ke kephah chungah pressure tul lo tak a tihziaawm thei a ni.
• I taksa rihna hrisel tak vawng reng rawh: I taksa rihna a san chuan i kea pressure pawh a sang chho zel bawk. Chuvangin, i taksa rihna hrisel tak, i tana inhmeh tak neih tum ang che.

Metatarsalgia vei chuan eng nge a beisei ang?

`(Metatarsalgia)` i neih chuan i ke hnuai lamah natna nasa tak leh hliam na tak i nei thei. Natna chu a lo thleng nghal thei a, a lo pung zauh zauh thei bawk. Symptom dang pawh a awm thei bawk.

A hmasa ber chu i ke chawlh tir hi a ni . Natna thlentu nia i hriat thiltih leh infiamna engmah ti suh. A theih chuan rei tak ding la, kal tlem zawk rawh. Nangmah thlawp lo pheikhawk bun suh. Socks ha chungin kal kual suh.

A tam zawkah chuan heng ang home remedies awlsam tak tak hmang hian i metatarsalgia hi i enkawl thei a ni. Mahse, in lama damdawi i enchhin hnuah pawh a natna a la awm reng a nih chuan doctor pan a, evaluation dang neih a tha ber.

Engtikah nge doctor i hmuh ang?

Metatarsalgia hi in lamah enkawl theih ni mahse, a hnuaia thil thlengah hian doctor i pan ngei tur a ni:

• In lama enkawl kar hnih hnuah pawh a natna a reh loh chuan .
• Natna avanga nitin hna pangngai i tih theih loh chuan .
• Natna a zual zel a, a lo awm leh zel a nih chuan .
• I kea natna emaw, hriatna hloh emaw i neih chuan.
• If you have diabetes and are experiencing foot pain , kea harsatna hi zunthlum vei tan chuan a na zawk thei a, chuvangin doctor thurawn lak a pawimawh.

Engtikah nge Emergency Treatment Unit (ETU) ah i kal ang ?

Heng symptoms te hi i neih chuan Emergency Department (ETU) ah kal nghal rawh . Hliam na tak i nei thei a, chu chu ruh tliak ang chi hi a ni.

• A kephah hmalam a na nasa hle.
• Natna chuan muhil, luak chhuak, emaw, rilru hahna a thlen chuan .
• I kal thei lo a nih chuan .
• Ke pianzia a danglam tawh ang tih a nih chuan .
• Hliam i neih a, ‘click’, ‘pop’, emaw ruh hring ang maia thawm i hriat chuan , .

Doctor hnenah eng zawhna nge i zawh tur?

Doctor hmu tura i kal hian `(Metatarsalgia)` chungchangah hetiang zawhna hi i zawt thei ang. Chutiang chuan he dinhmun hi hriatthiamna tha zawk i nei thei ang.

• "Doctor, engvangin nge he natna hi ka neih i rin?"
• "Eng ang enkawlna nge min rawt?"
• "Ka duh zawng, infiamna ang chi hi ka ti chhunzawm thei ang em?"
• "Engtikah nge ka rilru a hahdam ang? He thil hi a dam theih nan eng chen nge a la ngai ang?"
• "Nakin lawkah he `(Metatarsalgia)` hi a lo thleng leh tawh loh nan eng nge ka tih theih ang?"

A tawp berah chuan eng nge hriat reng tur! (In lama hruai tur thuchah)

Metatarsalgia hi a chang chuan a na thei hle. I duhzawng thil tih a ti harsa thei a, pangngai taka kal pawh a ti harsa thei. Mahse, lungngai suh. Vanneihthlak takin he natna hi in lama damdawi awlsam tak hmangin enkawl theih a ni fo.

I ke chawlh tir te, ice hnawih te, leh supportive shoes bun te ang chi thil te hi han en hmasa phawt ang che. Heng thilte hian a puih loh chuan, emaw, a natna a nasat chuan doctor pan nghal vat vat tur a ni. Chumi hnuah chuan i natna lan chhuah dan dik takin a zirchiang thei a, i tana enkawlna dik tak chu a ruat thei bawk. I ke hi i tan a pawimawh em em a, chuvangin i ke enkawl hi i mawhphurhna a ni!

` metatarsalgia, ke na, ke na, metatarsalgia, pheikhawk, ke ruh na, ke hmalam na