Mi tam tak tana harsatna lian tak chu hun rei tak atanga lo awm tawh hnungzang natna hi a ni. A châng chuan damdawi eng ang pawhin ei leh physiotherapy hmang mah se, hahdamna a awm lo ang maiin a lang. Mahse, i hria em, hnungzang natna zawng zawng hi ruhro lama harsatna avanga lo awm a ngai lo. I natna chhan chu i hnungzang a hniam deuh a ni mai thei, i ruhro leh i hip ruh inzawmna joint-ah a ni. Hei hi Sacroiliac Joint emaw SI Joint emaw kan ti a.
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Engvangin nge SI joint pain hi hriat a harsat em em?
A awlsam zawngin sawi ila, SI joint hi kan ruh hnuai lam (sacrum kan tih) leh hip bone (ilium) inzawmkhawmtu joint chak tak tak pahnih a ni. Chronic back pain vei zinga 15% leh 30% inkar ah chuan natna thlentu ber chu heng SI joint pakhat emaw pahnih emaw a harsatna a ni.
Mahse hei hi hriatchhuah hi i tan leh a chang chuan doctor tan pawh a harsa deuh thei. A chhan chu he ruh hi kan taksaa lian ber zinga mi ni mah se, hip area thuk takah a awm a ni. Chuvangin, doctor-in taksa a enfiah che hian he ruh chhunga harsatna awm chu a hmu thei lo mai thei. Tin, X-ray ang chi test pawh hi a chang chuan chiang taka hriat a harsa thei bawk.
Thil dang chu SI joint pain symptoms hi condition dang, sciatica emaw hip arthritis emaw nen a inang hle a, chuvangin a chhan dik tak hriat chian chu a buaithlak deuh thei.
Doctor chuan SI joint dysfunction a awm leh awm loh finfiah nan test engemaw zat result chu a dah khawm tlangpui ang. Heng test tam zawk hi doctor office-ah tih theih a ni.
Taksa Test Doctor-in a tih
A hmasa berin i doctor chuan i medical history a zawt ang che a, examination kimchang a pe ang che. Hemi hun chhung hian i dinhmun leh i kal dan pawh ngaihtuah tel a ni. Tichuan, khawi atanga natna lo chhuak nge tih leh SI joint chu engtiang chiahin nge a kal tha tih hriat nan special test engemawzat an nei leh thin. Heng test pakhat emaw pahnih emaw chauh hian diagnosis a thlen dawn lo. SI joint-a harsatna awm chu test zinga pathum tal positive an nih chauhvin rinhlelh a ni.
A hnuaia table-ah hian hemi atana test tih tlangpui thenkhat tarlan a ni.
| Test Hming | A awlsam zawngin, i thil tih hi |
|---|---|
| Gaenslen-a Test a ni | Table chungah hmai chungin mu turin siam i ni a, khup pakhat chu i rilru lam hawiin i hmet a, i ke dang chu dinglam hawiin dawhkan chungah i nawr thla bawk. |
| Patrick-a Test emaw FABER Test emaw a ni thei | I hnungzang chunga i mu lai hian ke na tak ke ruh chu a sir lehlamah khup chungah dah turin an ti che a ni. Tichuan, doctor chuan a rualin khup ben leh hip lehlam chu a hmet a. |
| Pelvic Compression Test hmanga enfiah a ni | I sir lamah i hawi a, i hnungzang chungah dahin, upper hip bone chu hnuai lam hawiin pressure i pe a. Hei hian SI joint ah pressure a siam thin. |
| Thigh Thrust Test a ni | I hnungzang chunga i mut lai hian doctor chuan i khup leh i hip te chu 90 degree thlengin a ben ang a, i kekawr ipte chu hnuai lam hawiin pressure a pe ang. |
| Flamingo Test a ni | Ke na tak chungah chauh ding la, chu ke chungah chuan tlem tal zuang turin an ti che a ni. Natna a zual lehzual em tih an en thin. |
Heng test te hi i tih hian hlau suh.
Heng test neih chhung hian doctor-in i ke leh i hip chu kawng hrang hranga a ben a, a hrual avangin i hrehawm lo emaw, natna emaw i nei thei. Hei hi thil pangngai a ni. Heng test te hi tumruh taka SI joint ah pressure tlem tal i natna chu chu joint atanga lo chhuak a nih leh nih loh finfiah nan an ti thin. Chuvangin i doctor hnenah i rilru put hmang dik tak hrilh rawh.
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Taksa enfiahna bakah hian i doctor chuan i hnungzang chhung leh i hip area chiang taka hmuh theih nan scan neih a rawt thei bawk.
- X-ray: X-ray hian SI joint-ah hian danglamna, ruh tliak, arthritis natna a awm em tih hriat theih a ni.
- CT Scan (Computed Tomography): Hei hi X-ray aiin test chak zawk a ni. CT scan hian X-ray aiin ruh leh a chhehvel ruhte chu chipchiar zawkin a en thei a ni.
- MRI Scan (Magnetic Resonance Imaging): MRI hi SI ruh natna thlentu dang tihbo nan hman a ni tlangpui a, chu chu hriatchhuah nan hman a ni lo. I natna hi disc prolapse emaw, soft tissue problem dang emaw avanga lo awm a ni thei ang tih han ngaihtuah teh. MRI hian SI joint pain ang chi symptoms nei thei tur condition dang i nei lo tih 100% in a chiang thei che a ni.
Diagnostic Injection hmanga tihdam theih a ni
Test dang zawng zawng hnuah pawh SI joint hi natna thlentu a ni em tih a la chiang lo a nih chuan, a tawpah doctor-te’n an pan tur test dik tak a awm a ni. Chu chu SI joint-ah direct-a numbing medicine inject tihna a ni.
Hei hi awlsam taka tih a ni lo. Doctor chuan X-ray emaw ultrasound scan emaw hmangin needle chu ruh chhungah a lut chiang em tih a enfiah thin.
Hun rei tak chhunga i natna chu he injection i pek hnu hian a bo nghal vek a nih chuan han ngaihtuah teh? Chu chuan eng nge a finfiah? A na chhan hi 100% in SI joint a harsatna a ni.
Hei hi diagnostic test a ni a, a chang chuan steroid damdawi nena pek a nih chuan hun eng emaw chen atan hman a ni. Test dang aiin risk (infection ang chi) a keng tel tlem zawk avangin doctor-te chuan extreme case-ah chauh an rawt a ni.
Chuvangin, nang pawhin i hnungzang hnuai lam emaw, i hip area-ah sawifiah theih loh khawpa natna i neih chuan ngaihthah suh. Doctor thiam tak hmuh a, enfiahna dik tak neih chuan a chhan dik tak i hmu thei a, a enkawlna dik tak i hmu thei bawk.
Take-Home Thuchah a ni
- I hnungzang leh hnungzang natna rei tak awm chhan hi i ruhroah ngei pawh harsatna a ni lo thei a, i sacroiliac (SI) joint-a harsatna a ni zawk.
- He natna hi hriatchhuah hi a buaithlak hle a, i doctor chuan taksa test hrang hrang engemaw zat a ti ang a, chu chuan natna chhan hriat theihna a siam ang.
- Scan, X-ray, CT scan, MRI te hian natna chu a hriat theih nan a pui thei a, natna dang pawh a awm lo thei bawk.
- Natna hi chiang taka finfiah theihna tur test tha ber chu ruh chhunga numbing drug diagnostic injection a ni.
- Heng symptoms te hi i neih chuan mahni inenkawl suh, mahse i doctor hnenah diagnosis dik tak leh enkawl dan tur ruahmanna siam ngei ngei tur a ni.
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