ꯅꯍꯥꯛꯀꯤ ꯑꯆꯧꯕꯥ ꯈꯣꯡꯗꯥ ꯕꯣꯟ ꯁ꯭ꯄꯔ ꯑꯃꯥ ꯂꯩꯕ꯭ꯔꯥ? ꯕꯨꯅꯤꯌꯟ (Bunion/Hallux Valgus) ꯑꯁꯤꯒꯤ ꯃꯔꯃꯗꯥ ꯈꯉꯂꯁꯤ!

ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯎꯞ ꯑꯗꯨ ꯁꯣꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯑꯆꯧꯕꯥ ꯈꯣꯡꯎꯞ ꯑꯗꯨ ꯁꯣꯀꯕ꯭ꯔꯥ? ꯅꯠꯠꯔꯒꯥ ꯅꯍꯥꯛꯀꯤ ꯁꯔꯨ ꯇꯥꯡ ꯑꯗꯨꯗꯒꯤ ꯊꯣꯔꯀꯄꯥ ꯁꯔꯨ ꯇꯥꯡ ꯑꯃꯒꯨꯝꯅꯥ ꯑꯀꯅꯕꯥ ꯈꯣꯡꯎꯞ ꯑꯃꯥ ꯂꯩꯕ꯭ꯔꯥ? ꯃꯁꯤ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯁꯣꯟꯊꯔꯀꯄꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯑꯄꯤꯀꯄꯥ ꯋꯥꯐꯝ ꯑꯃꯈꯛꯇꯅꯤ ꯍꯥꯌꯅꯥ ꯅꯍꯥꯛꯅꯥ ꯈꯜꯂꯃꯒꯅꯤ꯫ ꯑꯗꯨꯕꯨ ꯇꯁꯦꯡꯅꯥ ꯃꯁꯤ ꯃꯤꯑꯣꯏ ꯀꯌꯥ ꯑꯃꯅꯥ ꯊꯦꯡꯅꯔꯤꯕꯥ ꯃꯦꯗꯤꯀꯦꯜ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ꯫ ꯑꯩꯈꯣꯌꯅꯥ ꯃꯁꯤꯕꯨ ‘ꯕꯨꯅꯤꯌꯟ’ ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫ ꯃꯁꯤ ꯂꯥꯡꯇꯛꯅꯅꯤꯡꯉꯥꯏ ꯑꯣꯏꯕꯥ ꯋꯥꯐꯝ ꯅꯠꯇꯦ ꯑꯗꯨꯕꯨ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯁꯤꯕꯨ ꯌꯥꯅꯤꯡꯗꯕꯥ ꯐꯣꯡꯗꯣꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯈꯔꯥ ꯅꯨꯡꯉꯥꯏꯇꯕꯥ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯅꯥ, ꯃꯁꯤ ꯄꯨꯝꯅꯃꯛ ꯑꯁꯤ ꯉꯁꯤ ꯌꯥꯝꯅꯥ ꯏꯆꯝ ꯆꯝꯕꯥ ꯃꯑꯣꯡꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯁꯤ꯫

ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯕꯨꯅꯤꯌꯟ ꯍꯥꯌꯕꯁꯤ ꯀꯔꯤꯅꯣ?

ꯕ꯭ꯌꯨꯅꯤꯌꯟ ꯍꯥꯌꯕꯁꯤ ꯑꯆꯧꯕꯥ ꯈꯣꯡꯄꯥꯛ ꯑꯗꯨꯅꯥ ꯍꯧꯔꯀꯄꯥ ꯁꯔꯨ ꯇꯥꯡ ꯑꯗꯨꯒꯤ ꯃꯅꯥꯛꯇꯥ ꯊꯣꯀꯄꯥ ꯁꯔꯨ ꯇꯥꯡꯒꯤ ꯈꯣꯡꯄꯥꯛ ꯑꯃꯅꯤ꯫ ꯆꯨꯝꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯃꯁꯤꯅꯥ ꯑꯆꯧꯕꯥ ꯈꯣꯡꯒꯤ ꯕꯦꯖ ꯑꯗꯨ ꯈꯣꯡꯒꯤ ꯈꯣꯡꯄꯥꯛ ꯑꯗꯨꯒꯥ ꯁꯝꯅꯔꯤꯕꯥ ꯁꯔꯨ ꯇꯥꯡ ꯑꯗꯨꯗꯥ ꯁꯣꯀꯍꯜꯂꯤ꯫ ꯃꯦꯗꯤꯀꯦꯂꯒꯤ ꯋꯥꯍꯟꯊꯣꯛꯀꯤ ꯃꯇꯨꯡ ꯏꯟꯅꯥ ꯑꯩꯈꯣꯌꯅꯥ ꯃꯁꯤꯕꯨ ꯍꯥꯂꯛꯁ ꯚꯂꯒꯁ ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫

ꯈꯅꯕꯤꯌꯨ, ꯅꯍꯥꯛꯀꯤ ꯑꯆꯧꯕꯥ ꯈꯣꯡꯗꯥ ꯃꯇꯝ ꯁꯥꯡꯅꯥ ꯄ꯭ꯔꯦꯁꯔ ꯄꯤꯕꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ, ꯈꯣꯡ ꯑꯗꯨ ꯑꯇꯣꯞꯄꯥ ꯈꯣꯡꯎꯄꯀꯤ ꯃꯅꯥꯛꯇꯥ ꯄꯨꯁꯤꯜꯂꯀꯏ꯫ ꯑꯗꯨꯗꯒꯤ ꯑꯆꯧꯕꯥ ꯈꯣꯡꯒꯤ ꯃꯈꯥ ꯊꯪꯕꯥ ꯁꯔꯨꯛꯇꯥ ꯂꯩꯕꯥ ꯁꯔꯨ ꯇꯥꯡ ꯑꯗꯨ ꯑꯇꯣꯞꯄꯥ ꯃꯄꯥꯟꯗꯥ, ꯍꯥꯌꯕꯗꯤ ꯈꯣꯡꯒꯤ ꯃꯅꯨꯡꯗꯥ ꯂꯩꯕꯥ ꯃꯥꯌꯀꯩꯗꯥ ꯆꯦꯜꯂꯤ꯫ ꯑꯗꯨꯒꯨꯝꯕꯥ ꯊꯣꯔꯀꯄꯥ ꯕꯣꯟ ꯕꯝꯄ ꯑꯗꯨ ꯑꯩꯈꯣꯌꯅꯥ ꯕꯨꯅꯤꯌꯟ ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫ ꯃꯁꯤ ꯅꯨꯃꯤꯠ ꯑꯃꯥ ꯅꯠꯔꯒꯥ ꯑꯅꯤꯗꯥ ꯍꯣꯡꯂꯛꯂꯤꯕꯥ ꯋꯥꯐꯝ ꯅꯠꯇꯦ, ꯑꯗꯨꯕꯨ ꯆꯍꯤ ꯀꯌꯥꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯆꯥꯎꯈꯠꯂꯛꯂꯤꯕꯥ ꯋꯥꯐꯝ ꯑꯃꯅꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯑꯆꯧꯕꯥ ꯈꯣꯡꯗꯥ ꯁꯣꯀꯄꯥ ꯎꯔꯕꯗꯤ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯗꯨ ꯁꯣꯀꯄꯥ, ꯁꯣꯀꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯁꯣꯀꯄꯥ ꯑꯣꯏꯔꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯒꯥ ꯇꯥꯟꯅꯗꯨꯅꯥ ꯄꯥꯎꯇꯥꯛ ꯂꯧꯕꯥ ꯍꯥꯌꯕꯁꯤ ꯁꯣꯌꯗꯅꯥ ꯃꯔꯨꯑꯣꯏ꯫

ꯕꯨꯅꯤꯌꯅꯒꯤ ꯃꯈꯂꯁꯤꯡ ꯂꯩꯕ꯭ꯔꯥ?

ꯍꯣꯌ, ꯑꯩꯈꯣꯌꯅꯥ ꯎꯕꯥ ꯐꯪꯂꯤꯕꯥ ꯕꯨꯅꯤꯌꯟ ꯃꯈꯜ ꯀꯌꯥ ꯑꯃꯥ ꯂꯩꯔꯤ꯫ ꯃꯈꯣꯌꯁꯤꯡ ꯑꯁꯤ ꯀꯔꯤꯅꯣ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯁꯤ꯫

• ꯀꯃꯟ ꯕꯨꯅꯤꯌꯟ: ꯃꯁꯤ ꯑꯩꯈꯣꯌꯅꯥ ꯎꯕꯥ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯃꯈꯂꯅꯤ꯫ ꯃꯁꯤ ꯑꯆꯧꯕꯥ ꯈꯣꯡꯗꯥ ꯄ꯭ꯔꯦꯁꯔ ꯄꯤꯕꯅꯥ ꯊꯣꯀꯍꯅꯕꯅꯤ꯫
• ꯀꯣꯟꯖꯤꯅꯤꯑꯦꯜ ꯍꯥꯂꯛꯁ ꯚꯂꯒꯁ (congenital Hallux Valgus): ꯑꯉꯥꯡ ꯈꯔꯗꯤ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯄꯣꯀꯄꯥ ꯌꯥꯏ꯫ ꯃꯁꯤ ꯈꯔꯥ ꯌꯥꯝꯅꯥ ꯊꯦꯡꯅꯩ꯫
• ꯖꯨꯚꯦꯅꯥꯏꯜ ꯅꯠꯠꯔꯒꯥ ꯑꯦꯗꯣꯂꯁꯦꯟꯇ ꯍꯥꯂꯛꯁ ꯚꯂꯒꯁ: ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯆꯍꯤ 18ꯒꯤ ꯃꯈꯥꯗꯥ ꯂꯩꯕꯥ ꯅꯍꯥ ꯑꯣꯏꯔꯤꯕꯥ ꯑꯉꯥꯡꯁꯤꯡꯗꯥ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫
• ꯇꯦꯂꯔꯒꯤ ꯕꯨꯅꯤꯌꯟ: ꯃꯁꯤ ꯈꯔꯥ ꯇꯣꯉꯥꯜꯂꯤ꯫ ꯃꯁꯤ ꯑꯄꯤꯀꯄꯥ ꯈꯣꯡꯄꯥꯛ ꯑꯗꯨꯒꯤ ꯃꯈꯥ ꯊꯪꯕꯥ ꯁꯔꯨꯛꯇꯥ ꯊꯣꯀꯏ꯫ ꯃꯃꯥꯡꯉꯩꯗꯥ ꯇꯦꯂꯔꯁꯤꯡꯅꯥ ꯃꯈꯣꯌꯒꯤ ꯈꯣꯡ ꯍꯥꯝꯂꯒꯥ ꯐ꯭ꯂꯣꯔꯗꯥ ꯐꯃꯂꯝꯃꯤ, ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯃꯈꯣꯌꯒꯤ ꯑꯄꯤꯀꯄꯥ ꯈꯣꯡꯎꯞ ꯑꯗꯨꯅꯥ ꯐ꯭ꯂꯣꯔꯗꯥ ꯆꯦꯅꯁꯤꯜꯂꯀꯄꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯁꯤ ꯀꯃꯟ ꯑꯣꯏꯔꯝꯃꯤ꯫ ꯃꯔꯝ ꯑꯁꯤꯅꯥ ꯃꯁꯤꯕꯨ ‘ꯇꯦꯂꯔꯒꯤ ꯕꯨꯅꯤꯌꯟ’ ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫ ꯃꯁꯤ ꯑꯌꯥꯝꯕꯗꯤ ꯌꯥꯝꯅꯥ ꯇꯞꯅꯥ ꯇꯞꯅꯥ ꯁꯣꯀꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯐꯤꯠ ꯑꯣꯏꯗꯕꯥ ꯈꯣꯡꯎꯄꯁꯤꯡꯅꯥ ꯊꯣꯀꯍꯅꯕꯅꯤ꯫

ꯕꯨꯅꯤꯌꯔꯒꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯗꯨ ꯀꯔꯤꯅꯣ?

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯕꯨꯅꯤꯌꯟ ꯑꯃꯥ ꯂꯩꯔꯕꯗꯤ, ꯅꯍꯥꯛꯅꯥ ꯐꯥꯎꯕꯥ ꯑꯃꯁꯨꯡ ꯎꯕꯥ ꯉꯝꯕꯥ ꯋꯥꯐꯝ ꯈꯔꯥ ꯂꯩ꯫ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯑꯃꯗꯤ ꯑꯆꯧꯕꯥ ꯈꯣꯡꯄꯥꯛ ꯑꯗꯨꯒꯤ ꯃꯈꯥꯗꯥ ꯂꯩꯕꯥ ꯎꯕꯥ ꯐꯪꯂꯤꯕꯥ ꯕꯝꯄ ꯑꯗꯨꯅꯤ꯫ ꯃꯁꯤꯒꯤ ꯃꯊꯛꯇꯥ, ꯑꯇꯩ ꯂꯥꯏꯑꯣꯡ ꯀꯌꯥꯁꯨ ꯂꯩꯕꯥ ꯌꯥꯏ꯫

ꯀꯔꯤꯒꯤꯗꯃꯛꯇꯥ ꯕꯨꯅꯤꯌꯅꯁꯤꯡ ꯑꯁꯤ ꯁꯦꯃꯒꯠꯂꯤꯕꯅꯣ? ꯃꯔꯃꯁꯤꯡ ꯑꯗꯨ ꯀꯔꯤꯅꯣ?

ꯃꯁꯤꯒꯤ ꯃꯔꯝ ꯑꯃꯠꯇꯥ ꯂꯩꯇꯦ꯫ ꯃꯁꯤ ꯐꯦꯛꯇꯔꯁꯤꯡꯒꯤ ꯀꯝꯕꯤꯅꯦꯁꯟ ꯑꯃꯥ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫ ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯖꯦꯅꯦꯇꯤꯛꯁ, ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯗꯥ ꯂꯩꯕꯥ ꯁꯔꯨꯁꯤꯡꯒꯤ ꯄꯣꯖꯤꯁꯟꯗꯥ ꯑꯍꯣꯡꯕꯥ ꯂꯥꯀꯄꯥ, ꯅꯍꯥꯛꯅꯥ ꯆꯠꯄꯒꯤ ꯃꯑꯣꯡ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯅꯥ ꯈꯅꯒꯗꯕꯥ ꯈꯣꯡꯎꯄꯀꯤ ꯃꯈꯜ ꯑꯗꯨ ꯈꯟꯅꯕꯤꯌꯨ꯫

ꯑꯆꯧꯕꯥ ꯈꯣꯡꯒꯤ ꯁꯔꯨ ꯇꯥꯡꯗꯥ ꯄ꯭ꯔꯦꯁꯔ ꯄꯤꯕꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯃꯔꯃꯁꯤꯡꯗꯤ ꯃꯈꯥꯗꯥ ꯄꯤꯔꯤꯕꯁꯤꯡꯁꯤꯅꯤ:

• ꯃꯤꯁꯃꯦꯠ ꯖꯨꯇꯣꯁꯤꯡ: ꯱.ꯃꯁꯤꯅꯥ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯑꯃꯁꯨꯡ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯀꯃꯟ ꯑꯣꯏꯕꯥ ꯃꯔꯃꯅꯤ꯫ ꯃꯔꯨꯑꯣꯏꯅꯥ ꯄꯣꯏꯟꯇ ꯁꯣ ꯅꯠꯠꯔꯒꯥ ꯍꯥꯏ ꯍꯤꯜ ꯁꯤꯖꯤꯟꯅꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯈꯣꯡꯎꯞ ꯑꯗꯨ ꯃꯃꯥꯡꯂꯣꯃꯗꯥ ꯆꯦꯜꯂꯤ ꯑꯃꯁꯨꯡ ꯑꯆꯧꯕꯥ ꯈꯣꯡ ꯑꯗꯨ ꯑꯇꯣꯞꯄꯥ ꯈꯣꯡꯄꯥꯛ ꯑꯗꯨꯒꯤ ꯃꯥꯌꯀꯩꯗꯥ ꯆꯦꯜꯂꯤ꯫
• ꯖꯦꯅꯦꯇꯤꯛ ꯏꯅꯐ꯭ꯂꯨꯑꯦꯟꯖꯥ: ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤ ꯃꯃꯥ, ꯃꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯏꯃꯨꯡꯒꯤ ꯑꯇꯩ ꯃꯤꯑꯣꯏ ꯑꯃꯗꯥ ꯕ꯭ꯌꯨꯖꯤꯅꯦꯁ ꯂꯩꯔꯕꯗꯤ, ꯅꯍꯥꯛꯅꯥ ꯃꯈꯣꯌꯗꯨ ꯍꯦꯟꯅꯥ ꯊꯣꯀꯍꯅꯕꯒꯤ ꯆꯥꯡ ꯋꯥꯡꯏ꯫ ꯕꯨꯅꯤꯌꯟ ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯒꯤ 70% ꯍꯦꯅꯕꯗꯤ ꯏꯃꯨꯡ-ꯃꯅꯨꯡꯒꯤ ꯍꯤꯁ꯭ꯇꯔꯤ ꯂꯩ꯫
• ꯅꯍꯥꯛꯅꯥ ꯆꯠꯄꯒꯤ ꯃꯑꯣꯡ (ꯈꯣꯡꯒꯤ ꯃꯦꯀꯥꯅꯤꯛꯁ): ꯃꯤꯑꯣꯏ ꯈꯔꯒꯤ ꯈꯣꯡꯆꯠꯀꯤ ꯃꯑꯣꯡ-ꯃꯇꯧ ꯅꯠꯠꯔꯒꯥ ꯃꯈꯣꯌꯒꯤ ꯈꯣꯡꯗꯥ ꯑꯔꯨꯝꯕꯥ ꯌꯦꯟꯊꯣꯀꯄꯒꯤ ꯃꯑꯣꯡ-ꯃꯇꯧꯗꯥ ꯈꯦꯠꯅꯕꯥ ꯂꯩꯕꯅꯥ ꯑꯆꯧꯕꯥ ꯈꯣꯡꯄꯥꯛ ꯑꯗꯨꯗꯥ ꯍꯦꯟꯅꯥ ꯄ꯭ꯔꯦꯁꯔ ꯄꯤꯕꯥ ꯌꯥꯏ꯫
• ꯏꯅꯐ꯭ꯂꯦꯃꯦꯇꯔꯤ ꯗꯤꯖꯤꯖꯁꯤꯡ (inflammatory diseases): ꯔꯤꯌꯨꯃꯦꯇꯣꯏꯗ ꯑꯔꯊ꯭ꯔꯥꯏꯇꯤꯁꯒꯨꯝꯕꯥ ꯁꯔꯨ ꯇꯥꯡꯁꯤꯡꯗꯥ ꯏꯅꯐ꯭ꯂꯦꯃꯦꯁꯟ ꯊꯣꯀꯍꯅꯕꯥ ꯀꯟꯗꯤꯁꯅꯁꯤꯡꯅꯥ ꯃꯔꯝ ꯑꯣꯏꯗꯨꯅꯥ ꯕꯨꯅꯤꯌꯅꯁꯤꯡ ꯑꯁꯤꯁꯨ ꯊꯣꯀꯄꯥ ꯌꯥꯏ꯫
• ꯃꯇꯝ ꯁꯥꯡꯅꯥ ꯂꯦꯞꯄꯥ: ꯊꯕꯛ ꯅꯠꯠꯔꯒꯥ ꯑꯇꯩ ꯃꯔꯃꯁꯤꯡꯅꯥ ꯅꯨꯃꯤꯠ ꯈꯨꯗꯤꯡꯒꯤ ꯂꯦꯡꯗꯅꯥ ꯂꯩꯕꯥ ꯃꯤꯑꯣꯏꯁꯤꯡꯗꯁꯨ ꯔꯤꯁ꯭ꯛ ꯑꯁꯤ ꯍꯦꯟꯅꯥ ꯋꯥꯡꯏ꯫
• ꯈꯣꯡꯗꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ : ꯃꯃꯥꯡꯉꯩꯒꯤ ꯈꯣꯡꯗꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ, ꯃꯔꯨꯑꯣꯏꯅꯥ ꯑꯆꯧꯕꯥ ꯈꯣꯡꯗꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯀꯍꯅꯕꯁꯨ ꯌꯥꯏ꯫

ꯕꯨꯅꯤꯌꯅꯁꯤꯡꯅꯥ ꯑꯇꯩ ꯀꯃꯞꯂꯤꯀꯦꯁꯅꯁꯤꯡ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯕ꯭ꯔꯥ?

ꯍꯣꯌ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯕ꯭ꯌꯨꯅꯤꯌꯟ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯥ ꯃꯑꯣꯡ ꯆꯨꯝꯅꯥ ꯂꯥꯏꯌꯦꯡꯗ꯭ꯔꯕꯗꯤ ꯅꯠꯠꯔꯒꯥ ꯌꯦꯡꯁꯤꯅꯕꯤꯗ꯭ꯔꯕꯗꯤ ꯑꯇꯩ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯃꯁꯤꯡ ꯂꯥꯀꯄꯥ ꯌꯥꯏ꯫

• ꯕꯔꯁꯥꯏꯇꯤꯁ: ꯁꯔꯨ ꯇꯥꯡꯁꯤꯡꯒꯤ ꯑꯀꯣꯌꯕꯗꯥ ꯂꯩꯕꯥ ꯑꯄꯤꯀꯄꯥ, ꯐ꯭ꯂꯨꯏꯗꯅꯥ ꯊꯜꯂꯕꯥ ꯁꯦꯀꯁꯤꯡ ꯑꯁꯤ ꯁꯣꯟꯊꯕꯥ ꯑꯃꯁꯨꯡ ꯁꯣꯀꯄꯥ ꯌꯥꯏ꯫ ꯃꯁꯤ ꯕꯨꯅꯤꯌꯟ ꯑꯗꯨꯅꯥ ꯈꯣꯡꯗꯥ ꯆꯦꯟꯊꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ ꯍꯦꯟꯅꯥ ꯊꯣꯀꯏ꯫
• ꯍꯥꯃꯗꯣꯀꯄꯥ (hammertoes): ꯑꯆꯧꯕꯥ ꯈꯣꯡꯄꯥꯛ ꯑꯗꯨꯅꯥ ꯑꯇꯣꯞꯄꯥ ꯈꯣꯡꯄꯥꯛ ꯑꯗꯨꯒꯤ ꯃꯊꯛꯇꯥ ꯆꯦꯟꯊꯈꯤꯗꯨꯅꯥ ꯑꯅꯤꯁꯨꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯑꯍꯨꯃꯁꯨꯕꯥ ꯈꯣꯡꯄꯥꯛ ꯑꯗꯨꯒꯤ ꯃꯔꯛꯇꯥ ꯂꯩꯕꯥ ꯁꯔꯨ ꯇꯥꯡ ꯑꯗꯨ ꯃꯊꯛꯇꯥ ꯆꯦꯟꯊꯈꯤꯗꯨꯅꯥ ꯍꯥꯃꯗꯣꯀꯄꯥ ꯃꯑꯣꯡ ꯑꯃꯥ ꯁꯦꯝꯃꯤ꯫ ꯃꯁꯤꯁꯨ ꯑꯋꯥꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ꯫
• ꯑꯣꯁ꯭ꯇꯤꯑꯣꯑꯔꯊ꯭ꯔꯥꯏꯇꯤꯁ (Osteoarthritis): ꯁꯔꯨ ꯇꯥꯡꯗꯥ ꯂꯩꯕꯥ ꯀꯥꯔꯇꯤꯂꯦꯖ (cartilage) ꯑꯗꯨ ꯁꯣꯟꯊꯔꯀꯏ ꯑꯃꯁꯨꯡ ꯁꯔꯨ ꯇꯥꯡꯁꯤꯡ ꯑꯗꯨ ꯑꯃꯒꯥ ꯑꯃꯒꯥ ꯁꯣꯛꯅ-ꯁꯝꯅꯕꯥ ꯍꯧꯔꯀꯏ꯫ ꯃꯁꯤꯅꯥ ꯁꯔꯨ ꯇꯥꯡꯗꯥ ꯁꯥꯊꯤꯕꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯑꯃꯁꯨꯡ ꯁꯣꯟꯊꯕꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫

ꯗꯣꯛꯇꯔ ꯑꯃꯅꯥ ꯃꯇꯧ ꯀꯔꯝꯅꯥ ꯕ꯭ꯌꯨꯖꯤꯅꯦꯁ ꯑꯃꯥ ꯈꯪꯗꯣꯀꯄꯒꯦ?

ꯅꯍꯥꯛꯅꯥ ꯗꯣꯛꯇꯔ ꯑꯃꯒꯥ ꯎꯅꯅꯕꯥ ꯆꯠꯄꯥ ꯃꯇꯃꯗꯥ, ꯃꯍꯥꯛꯅꯥ ꯇꯧꯕꯥ ꯑꯍꯥꯅꯕꯥ ꯊꯕꯛ ꯑꯗꯨꯗꯤ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡ ꯑꯗꯨ ꯆꯦꯀꯁꯤꯟꯅꯥ ꯌꯦꯡꯁꯤꯅꯕꯅꯤ꯫ ꯃꯍꯥꯛꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡꯒꯤ ꯃꯔꯃꯗꯥ ꯍꯪꯒꯅꯤ꯫ ꯃꯍꯥꯛꯅꯥ ꯅꯉꯣꯟꯗꯥ ꯃꯇꯝ ꯀꯌꯥꯒꯤ ꯃꯃꯥꯡꯗꯒꯤ ꯂꯝꯂꯛꯀꯤ ꯁꯥ-ꯎꯆꯦꯀꯁꯤꯡ, ꯑꯅꯥꯕꯥ ꯑꯗꯨ ꯀꯔꯝꯅꯥ ꯂꯩꯕꯒꯦ ꯑꯃꯁꯨꯡ ꯀꯗꯥꯏꯗꯥ ꯑꯅꯥꯕꯥ ꯑꯗꯨ ꯍꯦꯟꯅꯥ ꯐꯠꯆꯤꯜꯂꯕꯒꯦ ꯍꯥꯌꯕꯅꯆꯤꯡꯕꯥ ꯋꯥꯐꯃꯁꯤꯡ ꯍꯪꯒꯅꯤ꯫

ꯑꯌꯥꯝꯕꯥ ꯀꯦꯁꯁꯤꯡꯗꯗꯤ, ꯐꯤꯖꯤꯀꯦꯜ ꯑꯦꯀꯖꯥꯃꯤꯅꯦꯁꯟ ꯈꯛꯇꯅꯥ ꯕ꯭ꯌꯨꯅꯤꯌꯟ ꯑꯃꯥ ꯈꯪꯗꯣꯀꯄꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯝ ꯑꯣꯏꯅꯃꯛ, ꯅꯍꯥꯛꯅꯥ ꯁꯔꯨ ꯇꯥꯡ ꯑꯗꯨꯒꯤ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯁꯨꯡ ꯈꯣꯡ ꯍꯥꯝꯕꯒꯤ ꯆꯥꯡ ꯑꯗꯨ ꯌꯦꯡꯅꯕꯒꯤꯗꯃꯛ ꯑꯦꯛꯁ-ꯔꯦ ꯂꯧꯅꯕꯥ ꯍꯥꯌꯔꯀꯄꯥ ꯌꯥꯏ꯫ ꯅꯍꯥꯀꯄꯨ ꯄꯣꯗꯤꯌꯥꯠꯔꯤꯛ ꯑꯃꯗꯥ ꯔꯤꯐꯔ ꯇꯧꯕꯁꯨ ꯌꯥꯏ꯫

ꯃꯁꯤꯒꯤ ꯂꯥꯏꯌꯦꯡꯁꯤꯡ ꯑꯁꯤ ꯀꯔꯤꯅꯣ?

ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯐꯕꯥ ꯁꯔꯨꯛ ꯑꯗꯨꯗꯤ, ꯕꯨꯅꯤꯌꯅꯒꯤ ꯂꯥꯌꯦꯡ ꯀꯌꯥ ꯂꯩ꯫ ꯃꯤꯄꯨꯝ ꯈꯨꯗꯤꯡꯃꯛ ꯁꯔꯖꯔꯤꯒꯤ ꯃꯊꯧ ꯇꯥꯗꯦ꯫ ꯀꯦꯁ ꯀꯌꯥꯗꯥ, ꯏꯆꯝ ꯆꯝꯕꯥ ꯄꯣꯠꯁꯀꯁꯤꯡꯅꯥ ꯑꯅꯥꯕꯥ ꯑꯗꯨ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯏ ꯑꯃꯁꯨꯡ ꯀꯟꯗꯤꯁꯟ ꯑꯗꯨ ꯍꯦꯟꯅꯥ ꯐꯠꯆꯤꯜꯂꯛꯇꯕꯥ ꯊꯤꯡꯏ꯫ ꯂꯥꯏꯌꯦꯡ ꯑꯁꯤ ꯅꯍꯥꯛꯀꯤ ꯂꯥꯏꯑꯣꯡꯁꯤꯡ ꯑꯗꯨꯒꯤ ꯃꯈꯥ ꯄꯣꯜꯂꯤ꯫

ꯕꯨꯅꯤꯌꯟ ꯑꯃꯅꯥ ꯃꯁꯥ ꯃꯊꯟꯇꯥ ꯍꯦꯟꯅꯥ ꯐꯒꯠꯂꯛꯀꯗ꯭ꯔꯥ?

ꯅꯠꯇꯦ ꯕꯨꯅꯤꯌꯅꯁꯤꯡ ꯑꯁꯤ ꯃꯁꯥ ꯃꯊꯟꯇꯥ ꯍꯦꯟꯅꯥ ꯐꯕꯥ ꯑꯣꯏꯗꯦ꯫ ꯃꯈꯣꯌꯁꯤꯡ ꯑꯁꯤ ꯅꯍꯥꯛꯅꯥ ꯃꯁꯥꯅꯥ ꯁꯦꯃꯖꯕꯥ ꯉꯝꯂꯣꯏ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯂꯥꯏꯌꯦꯡꯗ꯭ꯔꯕꯗꯤ ꯃꯈꯣꯌ ꯑꯁꯤ ꯃꯇꯃꯒꯤ ꯃꯇꯨꯡꯏꯟꯅꯥ ꯍꯦꯟꯅꯥ ꯐꯠꯆꯤꯜꯂꯛꯇꯕꯥ ꯌꯥꯏ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯕ꯭ꯌꯨꯖꯤꯅꯦꯁ ꯑꯃꯥ ꯂꯩꯔꯦ ꯍꯥꯌꯅꯥ ꯆꯤꯡꯅꯔꯕꯗꯤ, ꯈꯨꯗꯛꯇꯥ ꯗꯣꯛꯇꯔ ꯑꯃꯒꯥ ꯇꯥꯟꯅꯧ꯫ ꯅꯍꯥꯛꯅꯥ ꯂꯥꯏꯌꯦꯡꯕꯥ ꯍꯧꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯅꯍꯥꯛꯅꯥ ꯃꯗꯨ ꯏꯆꯝ ꯆꯝꯕꯥ ꯄꯣꯠꯁꯀꯁꯤꯡꯒꯥ ꯂꯣꯌꯅꯅꯥ ꯃꯦꯅꯦꯖ ꯇꯧꯕꯒꯤ ꯆꯥꯡ ꯍꯦꯟꯅꯥ ꯐꯩ, ꯁꯔꯖꯔꯤꯒꯤ ꯃꯊꯧ ꯇꯥꯗꯅꯥ꯫

ꯕꯨꯅꯤꯌꯅꯁꯤꯡ ꯑꯁꯤ ꯊꯤꯡꯕꯥ ꯉꯃꯒꯗ꯭ꯔꯥ?

ꯑꯩꯈꯣꯌꯅꯥ ꯍꯦꯔꯤꯇꯦꯖ ꯐꯦꯛꯇꯔꯁꯤꯡ ꯀꯟꯠꯔꯣꯜ ꯇꯧꯕꯥ ꯉꯃꯗ꯭ꯔꯕꯁꯨ, ꯑꯩꯈꯣꯌꯅꯥ ꯑꯇꯣꯞꯄꯥ ꯔꯤꯁ꯭ꯛ ꯐꯦꯛꯇꯔꯁꯤꯡ, ꯃꯔꯨꯑꯣꯏꯅꯥ ꯖꯨꯇꯣ ꯈꯅꯕꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯆꯦꯀꯁꯤꯟꯅꯥ ꯂꯩꯕꯅꯥ ꯕ꯭ꯌꯨꯅꯤꯌꯅꯒꯤ ꯔꯤꯁ꯭ꯛ ꯑꯁꯤ ꯌꯥꯝꯅꯥ ꯍꯟꯊꯍꯅꯕꯥ ꯉꯃꯒꯅꯤ꯫

ꯃꯈꯥꯗꯥ ꯅꯍꯥꯛꯅꯥ ꯇꯧꯕꯥ ꯌꯥꯕꯥ ꯊꯕꯛ ꯈꯔꯥ ꯄꯤꯔꯤ:

• ꯑꯆꯨꯝꯕꯥ ꯈꯣꯡꯎꯄꯁꯤꯡ ꯈꯜꯂꯨ: ꯀꯩꯗꯧꯉꯩꯗꯁꯨ ꯃꯃꯥꯡꯗꯥ ꯌꯥꯝꯅꯥ ꯀꯨꯞꯄꯥ ꯅꯠꯠꯔꯒꯥ ꯌꯥꯝꯅꯥ ꯂꯨꯕꯥ ꯈꯣꯡꯎꯄꯁꯤꯡ ꯁꯤꯖꯤꯟꯅꯒꯅꯨ꯫ ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯎꯞ ꯑꯗꯨ ꯅꯤꯡꯊꯤꯅꯥ ꯆꯠꯊꯣꯛ-ꯆꯠꯁꯤꯟ ꯇꯧꯕꯥ ꯌꯥꯕꯥ ꯁ꯭ꯛꯕꯥꯔ ꯅꯠꯠꯔꯒꯥ ꯒꯣꯜꯗ ꯇꯣꯏ ꯕꯣꯛꯁ ꯑꯃꯥ ꯂꯩꯕꯥ ꯖꯨꯇꯣꯁꯤꯡ ꯈꯜꯂꯨ꯫
• ꯖꯨꯇꯣ ꯂꯧꯕꯥ ꯃꯇꯃꯗꯥ, ꯆꯦꯀꯁꯤꯟꯅꯥ ꯌꯦꯡꯎ: ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡꯎꯄꯀꯤ ꯁꯥꯏꯖ ꯑꯗꯨ ꯈꯪꯂꯕꯁꯨ, ꯁꯥꯏꯖ ꯑꯗꯨ ꯕ꯭ꯔꯥꯟꯗ ꯑꯃꯗꯒꯤ ꯕ꯭ꯔꯥꯟꯗ ꯑꯃꯗꯥ ꯈꯦꯠꯅꯕꯥ ꯌꯥꯏ꯫ ꯃꯔꯝ ꯑꯗꯨꯅꯥ ꯖꯨꯇꯣꯁꯤꯡ ꯂꯧꯗ꯭ꯔꯤꯉꯩ ꯃꯃꯥꯡꯗꯥ, ꯃꯇꯝ ꯈꯔꯒꯤ ꯑꯣꯏꯅꯥ ꯐꯃꯗꯨꯅꯥ, ꯂꯦꯡꯗꯅꯥ ꯂꯩꯗꯨꯅꯥ ꯑꯃꯁꯨꯡ ꯆꯠꯇꯨꯅꯥ ꯍꯣꯠꯅꯧ꯫ ꯃꯈꯣꯌꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯁꯣꯀꯍꯅꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯁꯣꯀꯍꯅꯕꯥ ꯌꯥꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ ꯌꯦꯡꯎ꯫
• ꯅꯨꯃꯤꯗꯥꯡꯗꯥ ꯈꯣꯡꯎꯞ ꯂꯧꯕꯥ: ꯅꯨꯃꯤꯠ ꯈꯨꯗꯤꯡꯒꯤ ꯈꯣꯡꯅꯥ ꯆꯠꯂꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯈꯣꯡ ꯈꯔꯥ ꯁꯣꯀꯏ꯫ ꯑꯗꯨꯅꯥ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯅꯨꯃꯤꯠ ꯑꯗꯨꯒꯤ ꯃꯇꯨꯡꯗꯥ ꯖꯨꯇꯣ ꯂꯧꯕꯥ ꯆꯠꯂꯕꯗꯤ, ꯅꯍꯥꯛꯅꯥ ꯍꯦꯟꯅꯥ ꯑꯆꯨꯝꯕꯥ ꯁꯥꯏꯖ ꯑꯃꯥ ꯈꯅꯕꯥ ꯌꯥꯏ꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯇꯣꯞꯄꯥ ꯈꯣꯡꯒꯤ ꯄ꯭ꯔꯣꯕ꯭ꯂꯦꯃꯁꯤꯡ ꯂꯩꯔꯕꯗꯤ (ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯈꯣꯡꯗꯥ ꯆꯦꯠꯄꯥ ꯈꯣꯡꯎꯞ) ꯂꯩꯔꯕꯗꯤ, ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯍꯪꯎ, ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯕꯟꯌꯨꯅꯁꯤꯡ ꯊꯤꯡꯅꯕꯥ ꯑꯈꯟꯅꯕꯥ ꯑꯣꯔꯊꯣꯇꯤꯀꯁꯤꯡ ꯃꯊꯧ ꯇꯥꯕ꯭ꯔꯥ ꯍꯥꯌꯕꯗꯨ꯫