I kekawrte chu a na reng em? Shoulder Impingement (Rotator Cuff Tendinitis) a ni thei!

Chibai! A chang chuan i kekawrteah natna nasa tak i nei thin em? Entîr nân, zan lama i mut laiin i kut phar i tum emaw, thil i lâk chhuah tum emaw, a sir khata i hawi tum emaw hian? He natna hi i ngaihven vak lo mai thei. Mahse hei hi `Shoulder Impingement` tih natna lanchhuahna a ni thei a, chu chu kekawr bul thenkhat chu a chhung atanga nawr chhuah a ni. Vawiin hian he thu hi chipchiar takin, awlsam takin kan sawi dawn a ni.

`Shoulder Impingement` tih hi eng nge ni?

A awlsam zawngin, Shoulder Impingement hi i rotator cuff, i shoulder blade (scapula) pawn lam kil hnuai chiaha awm chu a thinrimna a ni. Hei hi Doctor-te chuan Impingement Syndrome an ti \hin. Impingement chu joint chhunga hmun thenkhat rubbing, pinching, rubbing tihna a ni. Hei hian natna a thlentu a ni a, a bik takin i kekawr i sawn hian a na a ni.

Ngaihtuah teh, i `Rotator Cuff` hi i shoulder blade leh i kut chunglam ruh lian tak (the `humerus`) inzawmkhawmtu taksa peng lian pali awmna pawl a ni. He `Rotator Cuff` hmang hian i kut chu i chawi sang a, i kut chu a sir leh hnung lamah i rotate thin.

Rotator cuff hi i kut chunglam ruh (humerus) leh i shoulder blade chunglam (acromion) inkar hmun tlemteah a awm a. Hei vang hian rotator cuff chu chu ruh pahnih inkarah chuan a tlakbuak a, a impinged zawk thin. He impingement hi shoulder impingement an ti a.

I kekawrte na i neih chuan, emaw, na lovin i kekawrte i che thei lo a nih chuan doctor pan ngei ngei tur a ni.

`Shoulder Impingement Syndrome` chi hrang hrang a awm em?

Ni e, doctor chuan he `Shoulder Impingement` condition hi harsatna bik dang angin a classified thei bawk. A bulpui berte chu:

`Rotator Cuff Tendinitis` tih a ni

Hei hi a hming ang bawkin Tendinitis an tih natna a ni a, Rotator Cuff-a tendon-te a nghawng a ni. Tendinitis chu tendon a inflammation emaw swelling emaw a ni. I Rotator Cuff hian i shoulder joint a tihchak theih nan tendon pali a awm a. Heng tendon te tichhe emaw, ti na thei emaw thil eng pawh hian a ti hring thei a ni. He swelling hi shoulder impingement thlentu a ni.

Shoulder Bursitis a awm bawk

Bursitis hi bursa, tuiin a khat bawm te tak te a inflammation a ni. He bursa hi kan ruhkawr vel a awm a, cushion angin a thawk a ni. I rotator cuff tendon leh i acromion bone inkarah hian bursa a awm bawk a, hei hian an pahnih inkara friction tihziaawmna kawngah a pui bawk. Mahse, he bursa hi a lo inflamed chuan shoulder impingement a thlen thei bawk.

Acromion ruh pianzia a inthlak danglam thin

Acromion hi a tlangpuiin a flat thin. Mahse, i acromion chu hook ang maia curved emaw bent emaw a nih chuan rotator cuff-ah a rub thei a, shoulder impingement a thlen thei bawk. Mi thenkhat chu he acromion pianzia danglam tak hi neiin an piang thin. A nih loh leh, an upat deuh deuh chuan ruh zung (bone spurs) a lo awm thei bawk.

Hetiang dinhmun hi engtiang chiahin nge a awm?

Zirchiangtute sawi dan chuan shoulder impingement hi shoulder na 50% vel a thlentu a ni. Hetiang dinhmun hi infiammi leh thawkrim tak takte zingah a tam hle.

`Shoulder Impingement` natna lan chhuah dan chu engte nge ni?

Shoulder impingement symptom lian ber leh tlanglawn ber chu shoulder pain a ni .

He natna hi a tlangpuiin kekawr hmalam ah a awm thin. Pawh:

• I kekawr i khawih hian a na hle thei.
• Natna hi kekawr hmalam atanga kut hnuai lam thlengin a sir lam thlengin a radiate thei a ni.
• The pain may be worse at night , i mut a harsat emaw, mut reng emaw a ti harsa thei.

Shoulder Impingement pain hi movement emaw position thenkhatah a pung thei. Entir nan:

• Kut chu dinglam hawia chawi sangin, lu chungah.
• I kut i phar a, i tihhniam leh hunah.
• Thil pakhat la turin i kut i phar chuan.
• I mut lai chuan a sir lamah a na.
• I kut hnunglam i dah hian (i pants hnunglam pocket-a i kut dah ang chi, emaw, bag zip hawn nan i kut i twist ang chi te).

`Rotator Cuff Tendinitis` chungchanga thil danglam bikte

`Shoulder Impingement` i neih chi hrang hrang a zirin symptoms a inang lo deuh thei. Entirnan, kekawrte na bakah hian `Rotator Cuff Tendinitis` vei chuan a natna lan chhuahna a nei thei bawk:

• A kekawrte chu a tight leh tightness tih hriatna.
• A hring (swelling) nei .
• A chang chuan vun rawng emaw, a sen emaw a inthlak danglam thin.
• I kekawr ipte i vawn laia "squeaking" ri hriat emaw, chutiang thil hriat emaw.

Shoulder impingement awm chhante chu engte nge ni?

A tam zawkah chuan Shoulder Impingement hi hman tam lutuk hliam a ni . Hei hian a awmzia chu movement inang tih nawn fo hian shoulder joint leh Rotator Cuff-a pressure nasa lutuk vangin hun kal zelah he natna hi a lo awm zauh zauh tihna a ni.

Doctor-te chuan hei hi ``overhead rotation motions'' an ti a, chu chu, kut lu chunga vawn leh kekawrte rotate-a tih nawn lehna eng pawh tihna a ni. Hei hi a chhan ber chu infiamna pakhat atana training te, emaw hnathawhna hmuna nitin incheina chi khat tih te hi a ni.

Cricket bowler pawhin chutiang bawk chuan a kut a tikehsawm reng tih han ngaihtuah teh. A nih loh leh painter chuan nilengin a kut chu chunglam hawiin hna a thawk thin. Hengte hian he pressure hi kekawrte chungah a thlen a ni.

Mi thenkhat chuan shoulder impingement hi idiopathically in an nei thei bawk. Trauma vangin a thleng nghal thei bawk a, chu chu tlu emaw, car accident emaw, infiamna lama hliam emaw a ni thei bawk.

Tute nge hetiang hi vei theihna hlauhawm zawk? (Risk Factor hrang hrang) 1.1.

Shoulder Impingement hi tu chungah pawh a thleng thei. Mahse, infiammi leh thawkrimteah a tam zawk . A tlangpuiin vawi khatah a thleng vek lo va, kar tam tak chhung, a chang chuan thla tam tak chhungin a lo thang zauh zauh thin.

`Shoulder Impingement` thlen thei infiamna chi hrang hrang:

• Tui hleuh
• Cricket (a bik takin bowler) te chuan .
• Volleyball khelh a ni
• Tennis khelh a ni

Hetiang dinhmun hi taksa lama harsatna nei hna eng pawh avanga lo awm thei a ni a, chu chuan kekawrte chungah pressure a siam thei a ni:

• In sak hna thawh a ni
• Paintbrush hmanga siam a ni
• Window tihfai a ni
• Wallpaper siam, drywalling tih te pawh a awm bawk

Engtin nge shoulder impingement hi kan hriat theih ang?

Doctor chuan taksa enfiahna hmangin shoulder impingement a hmuchhuak ang . I shoulder chu a enfiah ang a, i range of motion (natna awm lovin eng chen nge i kal theih ang) a check ang. I natna leh symptom dangte i hriat tirh laia i thil tih chu i doctor hnenah hrilh rawh. I kekawrte emaw, i kut emaw-a stress nawn lehna thlentu infiamna, i hobby, a nih loh leh hnathawh eng pawh sawi tel ngei ang che.

Shoulder Impingement a awm leh awm loh test

I doctor chuan i shoulder joint thlalak lak nan imaging test engemawzat a ti thei bawk:

• `X-rays` tih a ni
• `MRI (Magnetic Resonance Imaging)` (M.R.I.) a ni a, a chhuahna tur hmun hi a lar hle.
• Ultrasound hmanga tih a ni

Heng imaging test te hian i doctor hnenah i shoulder joint chhunga ruh leh tissue te chiang takin a hmu thei a ni. Tin, impingement awm chhan dik tak hriat theihna turin an pui thei bawk.

Chu mai ni lovin, heng test te hian ke ruh natna thlentu dang a awm leh awm loh hriat theih nan a pui thei bawk. Entir nan:

• Rotator cuff a mittui a tla
• Biceps tendon hliam a awm
• Shoulder arthritis a awm bawk

Engtin nge shoulder impingement hi enkawl ang? (`Enkawlna`) .

I doctor chuan i natna lan chhuahna control-na tur, i shoulder tihdamna tur leh i shoulder function pangngaia awm leh theihna tur enkawlna a rawt ang che. Shoulder impingement enkawlna atana hmanraw lian ber berte chu:

• Chawlh hahdam: Hna hahthlak tak tak, a bik takin he natna thlentu infiamna emaw thiltih emaw atanga hlat hun chhung.
• Taksa lam enkawlna: 1.1.Physics therapist chuan i shoulder tichak tur leh i range of motion tihchangtlun nan stretch leh exercise a pe ang che. I shoulder a dam chhoh zel chuan i rotator cuff muscles tichak turin exercise a pe bawk ang che.
• Icing: Ice cube emaw ice pack emaw chu towel te tak te hmangin khuh la , i kekawr ipteah dah rawh. Ice hi vunah direct-in dah ngai suh. I doctor chuan ice hi eng chen nge i hnawih tur tih leh ni khatah vawi engzat nge i hnawih tur tih a hrilh ang che.
• Natna tidamtu: Over-the-counter (OTC) NSAIDs (Nonsteroidal Anti-Inflammatory Drugs) hian natna leh hliam tihziaawmna a pui thei a ni. Amaherawhchu, heng damdawi te hi Doctor nena inbiak loh chuan vawi khatah ni 10 aia tam ei loh tur a ni.
• Corticosteroids: Heng damdawi hi doctor-in inflammation (swelling leh itching) tihziaawmna atana a pek a ni. A châng chuan cortisone shot hi shoulder joint-ah pawh i luh a ngai thei bawk.

shoulder dislocation a awm chuan operation a ngai dawn em?

Enkawlna dangin i symptoms a puih loh chuan i doctor chuan surgery a ngaihtuah mai thei. Surgeon chuan arthroscopic shoulder decompression an tih chu a ti thei a ni. Hei hian camera leh instrument tha tak tak te chu incision tenau tlemte hmanga dahin i acromion ruh te tak te chu la chhuakin rotator cuff tan hmun tam zawk siam a ngai a ni.

I surgeon chuan eng ang surgery nge i mamawh tih leh a hnua i dam leh hun tur chu chipchiar takin a hrilhfiah ang che.

`Rotator Cuff Tendinitis` enkawlna tha ber chu eng nge ni?

Rotator cuff tendinitis enkawlna hi shoulder impingement chi dang enkawlna nen a inang fo thin. I doctor chuan i rotator cuff tendon a dam theih dan tur tha ber ber a hrilh ang che.

Enkawlna ka tan hnuah eng chen nge ka dam leh thuai ang?

Mi tam zawk chuan shoulder impingement enkawl tan atanga kar tlemte chhungin an dam tan a, an na a ti tlem bawk. Mahse, i natna lan chhuah dan a lo tha chho a nih pawhin i doctor-in OK a pek che hma chuan infiamna leh thil hahthlak tak takah i kir leh tur a ni lo.

Shoulder impingement hi a dam theih nan eng chen nge a mamawh?

Shoulder impingement atanga dam leh hun chhung hi impingement i neih chi leh a nasat danah a innghat.

Enkawl i tan atanga kar tlemte chhungin i rilru a hahdam tan tlangpui a, mahse i kekawrte chu a dam kim theih nan thla engemaw zat a ngai thei . Mi thenkhat chuan kum khat thleng enkawl leh rehabilitation (`rehab`) an mamawh mai thei.

Rotator Cuff Tendinitis hi a dam kim thei em?

Ni e, `Shoulder Impingement` chi hrang hrang, `Rotator Cuff Tendinitis` te pawh hi enkawl leh tihdam theih a ni tha hle.Amaherawhchu, kekawrte na i hriat veleh doctor pan chu tikhawtlai suh. Enkawl loh chuan shoulder impingement a na zual thei a, harsatna a thlen thei a, hliam a ti na zual thei bawk.

I ke ruh natna, hliam, emaw, i kekawrte tihchet harsat ang chi symptom i neih veleh doctor pan rawh.

Engtin nge shoulder impingement hi kan ven theih ang? (Invenna) 1.1.

Shoulder impingement awm loh nan a tha ber chu i shoulder hman tam lutuk loh hi a ni :

• Natna i hriat veleh exercise emaw hna hahthlak tak tak emaw tih kha bansan rawh . Hrehawmna karah inkhelh ngai suh, hna thawk ngai suh.
• Hnathawh hahthlak tak tak emaw, infiamna emaw neih hmain `warm up` (taksa buatsaih nana exercise) tha tak ti la, i tih zawh hnuah `cool down` (taksa tihlumna atana exercise) te ti bawk ang che.
• Infiamna leh taksa tihchakna zawng zawngah himna hmanraw \ha tak tak hmang ang che.
• I duh ang ei leh in hrisel leh exercise plan zawm rawh.
• Natna emaw, chhinchhiahna dang emaw i neih veleh doctor pan nghal rawh.

`Shoulder Impingement` ka neih lai hian engtin nge ka in enkawl ang?

I doctor-in OK a pek che hma chuan hna hahthlak tak tak thawk leh tawh suh. I ke ruh, rotator cuff, a dam vek hun a neih hmaa pressure i dah chuan i hliam leh theihna a sang zawk. Hei hian hliam na zawk a thlen thei a, chu chu rotator cuff torn ang chi hi a ni.

Engtikah nge Doctor ka hmuh ang?

I kekawr iptea natna thar, i khauh, emaw, a hring emaw i neih chuan – a bik takin a natna lan chhuah dan a zual zel a nih chuan, emaw, i ke emaw, i kut emaw, i che emaw, i hman emaw harsatna i neih chuan – doctor pan nghal rawh.

Accident i tawk tawh a, i kekawrte i che thei lo a nih chuan, i kekawrte chu a inthlak danglam nia i hriat chuan damdawi in emergency room-ah kal nghal rawh. I kekawrte chu nangmah chauhin a hmunah dah leh tum ngai suh.

Doctor hnenah eng zawhna nge ka zawh ang?

I doctor hnenah heng zawhnate hi i zawt thei ang:

• Ka shoulder impingement emaw, hliam dang emaw ka nei em?
• Eng ang `Impingement` nge ka neih?
• Eng ang enkawlna nge ka mamawh?
• Surgery ka mamawh dawn em?
• Eng chen nge infiamna leh thil hahthlak tak takte lakah ka inthiarfihlim ang?

A tawp berah chuan thil hriat reng tur (Take-Home Message) .

Shoulder Impingement hi i rotator cuff leh i shoulder joint chhunga tissue te ti na emaw, ti na emaw thil engkim avanga lo awm thei a ni. Rotator cuff tendinitis, bursitis emaw, i ke ruh structural problem emaw i nei emaw, i doctor chuan i symptoms tihziaawmna tur leh shoulder function pangngaia awm leh theihna tur treatment hrang hrang a rawn rawt ang che.

Shoulder impingement hi a hrehawm thei a, a lungchhiatthlak thei bawk – a bik takin i infiamna duh ber emaw nitin thiltih atanga kar tam tak a chhuah tir che a nih chuan. Mahse, i ke ruh natna, natna, emaw, i kekawrte tihchet harsat ang chi symptoms te chu ngaihthah ngai suh.

Doctor hnen atanga i kekawrte i enfiah hma chuan him tak leh hlim takin i duhzawng thilte chu i ti tan leh thuai thei ang. Dam leh thuai turin duhsakna kan hlan e!

` Kekawrte na, kekawrte hliam, Rotator Cuff Tendinitis, Kekawrte na, Tendonitis, Kekawrte natna, Physical Therapy