Morton neuroma

ʻO Morton neuroma kahi ʻeha i ke aʻalolo ma waena o nā manamana wāwae e hoʻonāukiuki a me ka ʻeha. Hoʻohui pinepine ia i ke aʻalolo e hele ana ma waena o nā manamana wāwae 3 a me 4.

ʻAʻole ʻike ʻia ke kumu kūpono. Manaʻo nā kauka he mea nui paha kēia i ka hoʻomohala ʻana o kēia ʻano.

• Ke komo nei i nā kāmaʻa paʻa a me nā kuʻekuʻe wāwae kiʻekiʻe
• ʻO ka hoʻonohonoho maʻamau o nā manamana wāwae
• Nā wāwae pālahalaha
• Nā pilikia kūwae ʻole, me nā bunion a me nā manamana wāwae o ka hama
• Hoʻoikaika wāwae kiʻekiʻe

ʻOi aku ka maʻamau o Morton neuroma i nā wahine ma mua o nā kāne.

Pākuʻi ʻia paha nā ʻōuli:

• ʻO Tingling ma kahi ākea ma waena o nā manamana wāwae 3 a me 4
• Kāpena manamana wāwae
• Pālehu, kī ʻana, a ʻeha ʻeha paha i ka kinipōpō o ka wāwae a i kekahi manawa ua manamana wāwae
• ʻEha e hoʻonui i ka wā e ʻaʻa ana i nā kāmaʻa paʻa, nā kuʻekuʻe wāwae kiʻekiʻe, a i ʻole ke kaomi ʻana ma ia wahi
• ʻO kaʻeha eʻoi aku ana kaʻino ma mua o ka manawa

I nā hihia maʻamau, loaʻa ka ʻeha nerve i ka hakahaka ma waena o nā manamana wāwae 2 a me 3. ʻAʻole kēia kahi ʻano maʻamau o Morton neuroma, akā like nā ʻōuli a me ka mālama ʻana.

Hiki i kāu mea mālama ola ke hōʻoia pono i kēia pilikia ma ke nānā ʻana i kou wāwae. ʻO ke kuʻi ʻana i kou manamana wāwae a i ʻole nā ​​manamana wāwae e lawe i nā ʻōuli.

Hiki ke hana ʻia kahi hihi wāwae e kāpae ai i nā pilikia iwi. Hiki i ka MRI a i ʻole ke ultrasound ke hōʻoia pono i ke ʻano.

ʻAʻole hiki i ka hoʻāʻo nerve (electromyography) ke kuhikuhi iā Morton neuroma. Akā hiki ke hoʻohana ʻia e kāpae i nā kūlana i kū i nā ʻōuli like.

Hiki ke hana ʻia nā hoʻokolohua koko e nānā ai no nā kūlana e pili ana i ka mumū, e like me kekahi ʻano o ka arthritis.

Hoʻomaʻo mua ʻia ka hoʻomaʻamaʻa nonsurgical. E ʻōlelo paha kāu mea hāʻawi i kekahi o kēia mau mea:

• Pākuʻi a me ka hoʻopaʻa ʻana i kahi o ka manamanalima
• Hoʻokomo nā kāmaʻa (orthotics)
• Hoʻololi i nā kāmaʻa, e like me ke komo ʻana i nā kāmaʻa me nā pahu manamana ākea a i ʻole nā ​​kuʻekuʻe wāwae pālahalaha
• Lawe ʻia nā lāʻau anti-inflammatory i ka waha a i ʻole injected i loko o ka manamana wāwae
• ʻO ke aʻalolo pale i nā lāʻau i injected i loko o ka manamana wāwae
• Nā mea ʻeha ʻē aʻe
• Hoʻoikaika kino

ʻAʻole koi ʻia nā anti-inflammatories a me nā painkillers no ka mālama wā lōʻihi.

I kekahi mau hihia, pono ke ʻoki e wehe i nā mea mānoanoa a me nā ʻalalā mumū. Kōkua kēia i ka hoʻomaha i ka ʻeha a hoʻomaikaʻi i ka hana o ka wāwae. Kūmau ka ʻōlohelohe ma hope o ke kaha ʻana.

ʻAʻole hoʻomaikaʻi mau ka lawelawe nonsurgical i nā ʻōuli. Kūleʻa ke kaha ʻoki e wehe ai i nā mea mānoanoa i ka hapanui o nā hihia.

Komo pū nā pilikia:

• Ke hele wāwae paʻakikī
• Pilikia i nā hana e hoʻokau i ka wāwae, e like me ke kaomi ʻana i ke kaʻaahi kaʻa i ke kalaiwa ʻana
• Ka paʻakikī i ke kau ʻana i kekahi mau ʻano kāmaʻa, e like me nā heʻe wāwae kiʻekiʻe

Kāhea i kāu mea hāʻawi inā loaʻa iā ʻoe ka ʻeha mau a i ʻole ke kani ʻana i kou wahi wāwae a manamana wāwae.

Hōʻalo i nā kāmaʻa kūpono ʻole. E komo i nā kāmaʻa me ka pahu manamana ākea a i ʻole nā ​​kuʻekuʻe wāwae pālahalaha.

Morton neuralgia; Morton manamana wāwae maʻi pale; Hoʻopili Morton; Neuralgia Metatarsal; Plantar neuralgia; ʻO ka neuralgia Intermetatarsal; Neuroma interdigital; ʻO ka neuroma plantar interdigital; Neuroma neʻe wāwae

ʻO McGee DL. Nā kaʻina hana Podiatric. I: Roberts JR, Custalow CB, Thomsen TW, eds. ʻO Roberts & Hedges 'Nā Kauka Lapaʻau i ka Lapaʻau Pilikia a me ka mālama koʻikoʻi. ʻEpekema 7 Piladelapia, PA: Elsevier; 2019: chap 51.

ʻO Shi GG. ʻO neuroma o Morton. I: Frontera WR, Silver JK, Rizzo TD Jr, eds. Nā mea nui o ka lāʻau lapaʻau a me ka hoʻoponopono hou ʻana: nā maʻi Musculoskeletal, Pain, and Rehabilitation. ʻEhā ed. Piladelapia, PA: Elsevier; 2019: chap 91.