ꯅꯍꯥꯛꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ASꯒꯥ ꯃꯔꯤ ꯂꯩꯅꯕꯥ ꯑꯅꯥꯕꯥ ꯑꯗꯨ ꯀꯔꯝꯅꯥ ꯑꯆꯨꯝꯕꯥ ꯃꯑꯣꯡꯗꯥ ꯈꯪꯍꯅꯒꯅꯤ? (ꯑꯦꯟꯀꯤꯂꯣꯁꯤꯡ ꯁ꯭ꯄꯣꯟꯗꯤꯂꯥꯏꯇꯤꯁ)

ꯑꯌꯨꯛꯇꯥ ꯐꯃꯨꯡꯗꯒꯤ ꯊꯣꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯑꯀꯅꯕꯥ ꯕꯣꯔꯗ ꯑꯃꯒꯨꯝꯅꯥ, ꯅꯍꯥꯛꯀꯤ ꯈꯣꯡ ꯑꯃꯁꯨꯡ ꯈꯣꯡꯗꯥ ꯑꯁꯣꯛ-ꯑꯄꯟ ꯊꯣꯀꯍꯅꯕꯁꯨ ꯌꯥꯏ, ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯅꯥ ꯆꯠꯄꯥ ꯐꯥꯎꯕꯥ ꯉꯃꯗꯕꯥ ꯐꯥꯎꯕ꯭ꯔꯥ? ꯆꯠꯊꯣꯛ-ꯆꯠꯁꯤꯟ ꯇꯧꯔꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯑꯃꯁꯨꯡ ꯅꯍꯥꯛꯀꯤ ꯅꯨꯡꯇꯤꯒꯤ ꯊꯕꯛ ꯊꯧꯔꯃꯁꯤꯡꯗꯥ ꯆꯠꯂꯕꯥ ꯃꯇꯨꯡꯗꯥ ꯑꯋꯥꯕꯥ ꯑꯗꯨ ꯈꯔꯥ ꯍꯟꯊꯔꯀꯄꯔꯥ, ꯑꯗꯨꯕꯨ ꯅꯍꯥꯛꯅꯥ ꯅꯨꯃꯤꯗꯥꯡꯗꯥ ꯂꯦꯡꯗꯅꯥ ꯂꯩꯕꯥ ꯅꯠꯠꯔꯒꯥ ꯃꯇꯝ ꯁꯥꯡꯅꯥ ꯃꯐꯝ ꯑꯃꯗꯥ ꯐꯃꯗꯨꯅꯥ ꯂꯩꯕꯥ ꯃꯇꯃꯗꯥ ꯍꯦꯟꯅꯥ ꯁꯣꯀꯆꯤꯜꯂꯀꯗ꯭ꯔꯥ? ꯃꯁꯤ ꯅꯣꯔꯃꯦꯜ ꯑꯣꯏꯕꯥ ꯀꯣꯛ ꯆꯤꯀꯄꯥ ꯈꯛꯇꯃꯛ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫ ꯃꯁꯤ ꯑꯦꯟꯀꯤꯂꯣꯁꯤꯡ ꯁ꯭ꯄꯣꯟꯗꯤꯂꯥꯏꯇꯤꯁ (AS) ꯀꯧꯕꯥ ꯑꯈꯟꯅꯕꯥ ꯏꯅꯐ꯭ꯂꯦꯃꯦꯇꯔꯤ ꯖꯣꯟ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯒꯤ ꯂꯥꯏꯑꯣꯡ ꯑꯃꯥ ꯑꯣꯏꯕꯥ ꯌꯥꯏ꯫ ꯑꯗꯨꯅꯥ ꯉꯁꯤꯗꯤ ꯑꯦ.ꯑꯦꯁ. ꯍꯥꯌꯕꯁꯤ ꯀꯔꯤꯅꯣ, ꯃꯁꯤꯒꯤ ꯑꯅꯥꯕꯥ ꯑꯁꯤ ꯑꯇꯣꯞꯄꯥ ꯑꯅꯥꯕꯁꯤꯡꯗꯒꯤ ꯀꯔꯝꯅꯥ ꯈꯦꯠꯅꯕꯒꯦ ꯍꯥꯌꯕꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯁꯤ, ꯑꯃꯁꯨꯡ ꯑꯋꯥꯕꯥ ꯑꯁꯤ ꯀꯔꯝꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯐꯣꯡꯗꯣꯛꯀꯅꯤ ꯑꯃꯁꯨꯡ ꯈꯨꯗꯛꯇꯥ ꯑꯆꯨꯝꯕꯥ ꯂꯥꯌꯦꯡ ꯐꯪꯒꯅꯤ ꯍꯥꯌꯕꯒꯤ ꯃꯇꯥꯡꯗꯥ ꯋꯥꯔꯤ ꯁꯥꯁꯤ꯫

ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯑꯦꯟꯀꯤꯂꯣꯁꯤꯡ ꯁ꯭ꯄꯣꯟꯗꯤꯂꯥꯏꯇꯤꯁ (AS) ꯍꯥꯌꯕꯁꯤ ꯀꯔꯤꯅꯣ?

ꯑꯦꯟꯀꯤꯂꯣꯁꯤꯡ ꯁ꯭ꯄꯣꯟꯗꯤꯂꯥꯏꯇꯤꯁ, ꯅꯠꯠꯔꯒꯥ ꯊꯣꯏꯗꯣꯛꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ ꯑꯦ.ꯑꯦꯁ., ꯍꯥꯌꯕꯁꯤ ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡꯒꯤ ꯏꯝꯝꯌꯨꯟ ꯁꯤꯁ꯭ꯇꯦꯃꯅꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯏꯁꯥꯒꯤ ꯁꯔꯨ ꯇꯥꯡꯁꯤꯡꯗꯥ, ꯃꯔꯨꯑꯣꯏꯅꯥ ꯁ꯭ꯄꯥꯏꯅꯦꯜ ꯀꯣꯔꯗ ꯑꯃꯁꯨꯡ ꯄꯦꯂꯚꯤꯁꯇꯥ ꯂꯩꯕꯥ ꯁꯔꯨꯀꯁꯤꯡꯗꯥ ꯑꯦꯇꯦꯛ ꯇꯧꯕꯥ ꯀꯟꯗꯤꯁꯟ ꯑꯃꯅꯤ꯫ ꯃꯁꯤꯕꯨ ꯑꯣꯇꯣꯏꯝꯌꯨꯟ ꯗꯤꯖꯤꯖ ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫

ꯌꯥꯝꯅꯥ ꯂꯥꯏꯅꯥ ꯍꯥꯌꯔꯕꯗꯥ, ꯑꯩꯈꯣꯌꯒꯤ ꯍꯀꯆꯥꯡꯒꯤ ꯏꯁꯥꯒꯤ ꯂꯥꯟꯃꯤꯁꯤꯡ (ꯏꯝꯝꯌꯨꯟ ꯁꯦꯂꯁꯤꯡ)ꯅꯥ ꯑꯩꯈꯣꯌꯒꯤ ꯏꯁꯥꯒꯤ ꯍꯀꯆꯥꯡ ꯐꯕꯥ ꯁꯔꯨꯀꯁꯤꯡꯕꯨ ꯌꯦꯛꯅꯕꯥ ꯑꯣꯏꯅꯥ ꯈꯟꯗꯨꯅꯥ ꯑꯔꯥꯅꯕꯥ ꯃꯑꯣꯡꯗꯥ ꯑꯦꯇꯦꯛ ꯇꯧꯏ꯫ ꯃꯁꯤꯒꯤ ꯑꯦꯇꯦꯛ ꯑꯁꯤꯅꯥ ꯁꯔꯨ ꯇꯥꯡꯁꯤꯡꯗꯥ ꯏꯅꯐ꯭ꯂꯦꯃꯦꯁꯟ ꯊꯣꯀꯍꯜꯂꯤ꯫ ꯃꯁꯤꯒꯤ ꯏꯅꯐ꯭ꯂꯦꯃꯦꯁꯟ ꯑꯁꯤꯅꯥ ꯑꯌꯨꯛ-ꯅꯨꯡꯊꯤꯂꯗꯥ ꯁꯣꯀꯄꯥ, ꯑꯅꯥꯕꯥ ꯑꯃꯁꯨꯡ ꯃꯇꯝ ꯁꯥꯡꯅꯥ ꯁꯔꯨ ꯇꯥꯡ ꯁꯣꯀꯄꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯌꯥꯏ꯫ ꯂꯥꯌꯅꯥ ꯑꯁꯤ ꯑꯌꯥꯝꯕꯗꯤ ꯅꯍꯥ ꯑꯣꯏꯔꯤꯕꯥ ꯑꯍꯜ ꯑꯣꯏꯔꯕꯥ ꯃꯇꯃꯗꯥ, ꯆꯍꯤ 20 ꯑꯃꯁꯨꯡ 40ꯒꯤ ꯃꯔꯛꯇꯥ ꯍꯧꯏ꯫

ꯑꯅꯥꯕꯥ ꯑꯗꯨ ꯑꯆꯨꯝꯕꯥ ꯃꯑꯣꯡꯗꯥ ꯐꯣꯡꯗꯣꯀꯄꯥ ꯍꯥꯌꯕꯁꯤ ꯀꯔꯤꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯅꯣ?

ꯅꯍꯥꯛꯅꯥ ꯈꯅꯕꯤꯔꯃꯒꯅꯤ, "ꯑꯩꯅꯥ ꯍꯥꯟꯅꯅꯥ ꯍꯥꯌꯈ꯭ꯔꯦ ꯑꯩꯒꯤ ꯀꯣꯛ ꯁꯣꯀꯄꯥ, ꯀꯔꯤꯒꯤ ꯑꯩꯅꯥ ꯍꯦꯟꯅꯥ ꯑꯀꯨꯞꯄꯥ ꯃꯔꯣꯜ ꯃꯊꯧ ꯇꯥꯔꯤꯕꯅꯣ?" ꯑꯗꯨꯕꯨ ꯃꯗꯨ ꯑꯆꯨꯝꯕꯥ ꯅꯠꯇꯦ꯫ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯑꯅꯥꯕꯥ ꯑꯗꯨ ꯐꯣꯡꯗꯣꯀꯄꯒꯤ ꯃꯑꯣꯡ ꯑꯁꯤꯅꯥ ꯑꯆꯨꯝꯕꯥ ꯗꯥꯏꯑꯦꯒ꯭ꯅꯣꯁꯤꯁ ꯑꯃꯥ ꯊꯤꯅꯕꯒꯤ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯆꯥꯎꯕꯥ ꯀ꯭ꯂꯨꯅꯤ꯫

ꯈꯟꯊꯕꯤꯌꯨ, ꯀꯣꯛ ꯆꯤꯀꯄꯒꯤ ꯃꯔꯝ ꯂꯤꯁꯤꯡ ꯀꯌꯥ ꯂꯩꯕꯥ ꯌꯥꯏ꯫ ꯁꯣꯛ-ꯄꯅꯕꯥ, ꯑꯀꯅꯕꯥ ꯂꯣꯗ ꯑꯃꯥ ꯂꯧꯊꯣꯀꯄꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯑꯅꯥꯕꯥ, ꯅꯠꯠꯔꯒꯥ ꯑꯔꯥꯅꯕꯥ ꯃꯑꯣꯡꯗꯥ ꯐꯃꯗꯨꯅꯥ ꯂꯩꯕꯥ (ꯑꯩꯈꯣꯌꯅꯥ ꯃꯦꯀꯥꯅꯤꯀꯦꯜ ꯄꯦꯏꯟ ꯍꯥꯌꯅꯥ ꯀꯧꯕꯥ) ꯑꯃꯁꯨꯡ ꯑꯦ.ꯑꯦꯁ.ꯒꯨꯝꯕꯥ ꯂꯥꯌꯅꯥ ꯑꯃꯅꯥ ꯊꯣꯀꯍꯅꯕꯥ ꯏꯅꯐ꯭ꯂꯦꯃꯦꯇꯔꯤ ꯄꯦꯅꯒꯤ ꯃꯔꯛꯇꯥ ꯑꯆꯧꯕꯥ ꯈꯦꯠꯅꯕꯥ ꯂꯩ꯫

ꯅꯍꯥꯛꯅꯥ ꯄꯤꯔꯤꯕꯥ ꯑꯀꯨꯞꯄꯥ ꯃꯔꯣꯂꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯑꯅꯥꯕꯥ ꯃꯈꯜ ꯑꯅꯤꯒꯤ ꯃꯔꯛꯇꯥ ꯈꯦꯠꯅꯕꯥ ꯊꯝꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯒꯅꯤ꯫ ꯃꯁꯤꯅꯥ ꯅꯍꯥꯀꯄꯨ ꯑꯆꯨꯝꯕꯥ ꯂꯥꯏꯌꯦꯡ, ꯍꯥꯌꯕꯗꯤ NSAIDꯁꯤꯡ (ꯅꯟ-ꯁ꯭ꯇꯦꯔꯣꯏꯗ ꯑꯦꯟꯇꯤ-ꯏꯅꯐ꯭ꯂꯦꯃꯦꯇꯔꯤ ꯗ꯭ꯔꯒꯁꯤꯡ) ꯅꯠꯠꯔꯒꯥ ꯕꯥꯏꯑꯣꯂꯣꯖꯤꯀꯦꯂꯒꯨꯝꯕꯥ ꯑꯀꯛꯅꯕꯥ ꯍꯤꯗꯥꯀꯁꯤꯡ ꯐꯪꯍꯅꯕꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯒꯅꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯑꯔꯥꯅꯕꯥ ꯑꯀꯨꯞꯄꯥ ꯃꯔꯣꯂꯁꯤꯡ ꯄꯤꯔꯕꯗꯤ, ꯅꯍꯥꯛꯅꯥ ꯗꯥꯏꯑꯦꯒ꯭ꯅꯣꯁꯤꯁ ꯑꯃꯥ ꯂꯧꯕꯥ ꯑꯃꯁꯨꯡ ꯂꯥꯏꯌꯦꯡ ꯍꯧꯕꯗꯥ ꯊꯦꯡꯊꯕꯥ ꯌꯥꯏ꯫

ꯃꯁꯤ ꯑꯗꯣꯝꯅꯥ ꯑꯗꯣꯃꯒꯤ ꯑꯋꯥꯕꯥ ꯑꯗꯨ ꯗꯣꯛꯇꯔꯗꯥ ꯃꯇꯧ ꯀꯔꯝꯅꯥ ꯐꯣꯡꯗꯣꯀꯄꯤꯕꯒꯦ !

ꯃꯊꯪꯒꯤ ꯃꯇꯃꯗꯥ ꯗꯣꯛꯇꯔꯒꯥ ꯇꯥꯟꯅꯔꯀꯄꯥ ꯃꯇꯃꯗꯥ, ꯋꯥꯐꯃꯁꯤꯡ ꯑꯁꯤ ꯅꯍꯥꯛꯀꯥ ꯂꯣꯌꯅꯅꯥ ꯈꯔꯥ ꯅꯣꯠ ꯇꯧꯕꯤꯌꯨ꯫ ꯃꯁꯤ ꯑꯗꯣꯝ ꯑꯃꯁꯨꯡ ꯗꯣꯛꯇꯔꯒꯤꯗꯃꯛ ꯌꯥꯝꯅꯥ ꯈꯨꯗꯣꯡꯆꯥꯒꯅꯤ꯫ ꯑꯩꯈꯣꯌꯅꯥ ꯃꯁꯤꯕꯨ "ꯄꯦꯟ ꯗꯥꯏꯔꯤ" ꯍꯥꯌꯅꯥ ꯀꯧꯏ꯫ ꯋꯥꯐꯃꯁꯤꯡ ꯑꯁꯤ ꯗꯥꯏꯔꯤ ꯑꯁꯤꯗꯥ ꯏꯕꯤꯌꯨ꯫

ꯅꯍꯥꯛꯀꯤ ꯑꯋꯥꯕꯥ ꯑꯗꯨ ꯐꯣꯡꯗꯣꯀꯄꯗꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯅꯕꯥ ꯋꯥꯍꯩ ꯍꯦꯟꯅꯥ꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯃꯇꯃꯗꯥ ꯑꯩꯈꯣꯌꯅꯥ ꯑꯋꯥꯕꯥ ꯑꯁꯤꯕꯨ ꯐꯣꯡꯗꯣꯛꯅꯕꯥ ꯋꯥꯍꯩꯁꯤꯡ ꯊꯤꯕꯗꯥ ꯑꯋꯥꯕꯥ ꯃꯥꯌꯣꯛꯅꯔꯤ꯫ ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯀꯤꯗꯃꯛꯇꯥ ꯃꯗꯨ ꯑꯣꯏꯔꯕꯗꯤ, ꯋꯥꯍꯩꯁꯤꯡ ꯑꯁꯤꯅꯥ ꯃꯇꯦꯡ ꯄꯥꯡꯂꯕꯥ ꯌꯥꯏ:

• ꯃꯩꯅꯥ ꯆꯥꯀꯄꯥ: ꯃꯩ ꯆꯥꯀꯄꯒꯨꯝ ꯐꯥꯑꯣꯏ꯫
• ꯇꯤꯟ-ꯀꯥꯡ (tingling/Numbness): ꯃꯍꯤꯀꯁꯤꯡꯅꯥ ꯂꯥꯟꯊꯣꯛ-ꯂꯥꯅꯁꯤꯟ ꯇꯧꯔꯀꯄꯒꯨꯝꯅꯥ ꯐꯥꯎꯕꯥ ꯌꯥꯏ, ꯅꯠꯠꯔꯒꯥ ꯅꯍꯥꯛꯅꯥ ꯃꯗꯨ ꯐꯥꯎꯕꯥ ꯉꯃꯗꯕꯥ ꯐꯥꯎꯕꯥ ꯌꯥꯏ꯫
• ꯁꯥꯊꯤꯕꯥ/ ꯁꯣꯀꯄꯥ (Stabbing pain): ꯈꯣꯡꯎꯞ ꯑꯃꯅꯥ ꯁꯣꯀꯄꯒꯨꯝꯅꯥ꯫
• Dull ache: ꯃꯅꯨꯡꯗꯒꯤ ꯂꯥꯀꯄꯥ ꯑꯁꯣꯀꯄꯥ, ꯑꯀꯅꯕꯥ ꯑꯅꯥꯕꯥ ꯑꯃꯅꯤ꯫
• ꯁ꯭ꯇꯤꯐꯦꯟꯁ (Stiffness): ꯎꯅꯁꯥꯒꯨꯝꯅꯥ ꯆꯦꯟꯊꯕꯥ ꯉꯃꯗꯕꯥ ꯑꯀꯅꯕꯥ ꯄꯣꯠꯁꯛ ꯑꯃꯅꯤ꯫
• ꯔꯦꯗꯤꯑꯦꯇꯤꯡ ꯄꯦꯏꯟ (radiating pain): ꯃꯐꯝ ꯑꯃꯗꯒꯤ ꯍꯧꯗꯨꯅꯥ ꯑꯇꯣꯞꯄꯥ ꯃꯐꯝ ꯑꯃꯗꯥ ꯆꯠꯄꯥ (ꯈꯨꯗꯝ ꯑꯣꯏꯅꯥ, ꯈꯣꯡꯗꯥ ꯍꯧꯔꯀꯄꯥ ꯑꯃꯁꯨꯡ ꯈꯣꯡꯗꯥ ꯆꯠꯄꯥ) ꯑꯅꯥꯕꯥ꯫

ꯀꯔꯤꯒꯨꯝꯕꯥ ꯅꯍꯥꯛꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯗꯣꯛꯇꯔꯗꯥ ꯑꯁꯤꯒꯨꯝꯕꯥ ꯃꯑꯣꯡꯗꯥ ꯅꯍꯥꯛꯀꯤ ꯑꯅꯥꯕꯒꯤ ꯃꯌꯦꯛ ꯁꯦꯡꯕꯥ ꯋꯥꯐꯝ ꯑꯃꯥ ꯄꯤꯕꯥ ꯉꯝꯂꯕꯗꯤ, ꯃꯁꯤꯅꯥ ꯅꯍꯥꯛꯀꯤ ꯐꯒꯠꯂꯀꯄꯒꯤ ꯈꯣꯉꯆꯠꯀꯤ ꯑꯍꯥꯅꯕꯥ ꯑꯃꯁꯨꯡ ꯈ꯭ꯕꯥꯏꯗꯒꯤ ꯃꯔꯨꯑꯣꯏꯕꯥ ꯈꯣꯡꯊꯥꯡ ꯑꯣꯏꯒꯅꯤ꯫