Nā kōkua o ka Hammer Toe Orthotics

Anter

• Hōʻike Overview
• Nā ʻano o ka wāwae o ka hāmare (orthotics)
• Ka ʻokoʻa ma waena o ka splint a me ka orthotic
• Hana ka orthotic hammer toe a hana ʻole
  
• Nā pōmaikaʻi a me nā maikaʻi ʻole o nā ʻano o ka hammer toe orthotics
• ʻŪpā wāwae
• Kākini kāʻei
• Hoʻokaʻawale nā ​​manamananui gel (i kapa ʻia hoʻi nā mea hoʻolaha, mea hoʻomaha, a i ʻole nā ​​mea hoʻolōʻihi)
• Kinipōpō wāwae (metatarsal / sulcus) nā pale
• Pākuʻi wāwae hama manamana wāwae
• Anatomia o ka manamanalima
• I ka manawa e kamaʻilio ai me ke kauka
• ʻOki kino
• He aha ka manamana o ka hāmare?
• ʻO ka lawe lawe ʻana

Hoʻopili mākou i nā huahana a mākou e manaʻo nei he pono no kā mākou poʻe heluhelu. Inā kūʻai ʻoe ma o nā loulou i kēia ʻaoʻao, loaʻa iā mākou kahi kōmike liʻiliʻi. Eia kā mākou hana.

Hōʻike Overview

ʻO ka manamana wāwae Hammer kahi kūlana kahi e kūlou ai i luna ka ami waena o kahi manamana wāwae. E hoʻohuli ke kulou i ka wēlau o kou manamana wāwae e huli i lalo i mea e like me ka hama. Hiki ke hana i nā ulcerations ma ka piko o ke ami waena i kūlou no ka hakakā a me ke kaomi o ka kāmaʻa.

Inā ʻoe e ʻike nei i ka manamana wāwae o ka hama ma kou manamana ʻelua, ʻekolu, a ʻehā hoʻi a i ʻole he mau manamana wāwae he nui i ka manawa hoʻokahi, aia kekahi mau ʻano o ka hammer manamana lima i hoʻolālā ʻia e hōʻoluʻolu a pale paha i nā pilikia wāwae e pili ana.

Nā ʻano o ka wāwae o ka hāmare (orthotics)

Ka ʻokoʻa ma waena o ka splint a me ka orthotic

ʻO ka U.S. Centres for Medicare a me Medicaid Services (CMS) i kēia manawa e wehewehe nei i kahi mea hoʻohana orthotic, a i ʻole orthosis, ma ke ʻano he kākoʻo hana no kahi ʻāpana o ke kino. Hana ʻia kahi orthotic a i hana ʻia paha e kūpono iā ʻoe.

Hoʻohālikelike ʻo CMS i kahi mālamana ma ke ʻano he cast a i ʻole nā ​​mea wahī i hoʻohana ʻia e kōkua i ke kau ʻana i ka iwi haʻi, haki, a dislocated paha.

Ke hoʻololi iki nei kēia huaʻōlelo hou i ka hoʻohana kahiko, kahi i hoʻopili ʻia ai nā huaʻōlelo splint a orthotic i kekahi manawa. ʻO ka mea i kapa ʻia he hammer toe splint ua kapa ʻia i kēia manawa he orthotic.

Hana ka orthotic hammer toe a hana ʻole

• Hāʻawi i ka ikaika passive a i ʻole kaomi. ʻO ke kihi o ka hammer manamana lima e hoʻokau i ka ikaika pololei ma nā mākala e pelu i kou manamana wāwae. Kōkua kēia i ka mālama ʻana i nā mākala mai ka wili ʻana i hiki ke hoʻonui i ke kūlana.
• ʻAʻole hoʻoponopono i nā iwi haʻi. ʻAʻole kū pololei ka iwi hamth orthotic i ka iwi i ke ʻano o ka splint i pili i ka iwi haʻi. ʻO kēia no ka mea ʻaʻole i haki ka iwi ponoʻī ke loaʻa ka manamana wāwae o kou hama. Akā, ua ʻaelike nā mākala e pelu i ka hui, e hoʻonā i ka piʻo i kou manamana wāwae.
• He mea pale. ʻO ka nui o ka ʻeha o kahi manamana wāwae hammer mai ka bunion a i ʻole hoʻokumu ʻia e hana maʻamau ma ka piko o kou manamana lima i hoʻopili ʻia. ʻAʻole hiki i nā hamth orthotics ke hele aku i ka bunion, akā hiki iā lākou ke kaohi i ka ʻeha. Pale pū lākou i ka piʻo o ka manamana wāwae mai ka ʻino ʻana.

Hiki paha iā ʻoe ke kūleʻa i ka hoʻāʻo ʻana i nā orthotics over-the-counter a hiki i kou loaʻa ʻana o kahi mea kōkua. Pono kekahi poʻe i kahi hui o orthotics, e like me ka pale kuʻekuʻe wāwae me kahi orthotic hammer toe.

Hiki iā ʻoe ke ʻike he loea i ka wāwae ke hiki iā ʻoe i kahi hopena wikiwiki, a ʻoi aku ka liʻiliʻi. E hauʻoli paha nā wāwae o ʻoe inā ʻike ʻoe i kahi loea maikaʻi e hana pū. Ma ke ʻano holoʻokoʻa hiki i kēia ke hoʻonā i nā pilikia o ka hama manamana me ka maikaʻi.

Nā pōmaikaʻi a me nā maikaʻi ʻole o nā ʻano o ka hammer toe orthotics

Aia kekahi mau ʻano orthotics manamana wāwae over-the-counter i loaʻa. Me kēia mau mea hana āpau, he mea nui e hoʻokomo ʻoe i nā kāmaʻa kūpono maikaʻi me ka nui o ka lumi i ka pahu manamana wāwae. Inā hoʻāʻo ʻoe e kaomi i kahi orthotic i loko o nā kāmaʻa paʻa paʻa, hiki iā ʻoe ke hōʻino i nā mea.

Aia kekahi o nā ʻano orthotic:

ʻŪpā wāwae

He kaula lahilahi lahilahi kēia me ka kaula Velcro i hiki ke hoʻopaʻa i ka manamana wāwae hāmare i ka mea kokoke iā ia. He kūpono loa kēia no kekahi poʻe. Hoʻokomo liʻiliʻi lākou a hiki ke holoi a hoʻohana hou ʻia. Loaʻa paha iā ʻoe ka pilikia e mālama iā lākou inā he pōkole kou manamana wāwae a i ʻole ke piʻo i ka ʻaoʻao.

Kākini kāʻei

ʻO nā kākini manamana wāwae, a i ʻole nā ​​kākini hoʻokaʻawale manamana hou, he mau kākini me ʻelima puka ʻoki a me nā pale e kōkua ai e hoʻokaʻawale i kou manamana wāwae. Lawe liʻiliʻi kēia i kahi ākea a ʻaʻole paha e hoʻonāukiuki, ʻoiai ʻaʻole lākou e hāʻawi i ka hoʻokaʻawale e like me nā ʻano ʻē aʻe.

I ka hala ʻana o ka manawa, hāʻawi paha lākou i ka hōʻoluʻolu akahai. Inā loaʻa iā ʻoe ka pilikia i ka ʻimi ʻana i kahi kūpono kūpono, hiki iā ʻoe ke hana i kāu kīkī hoʻokaʻawale ponoʻī ma ke ʻoki ʻana i nā lua i kahi sock lahilahi a lahilahi.

Hoʻokaʻawale nā ​​manamananui gel (i kapa ʻia hoʻi nā mea hoʻolaha, mea hoʻomaha, a i ʻole nā ​​mea hoʻolōʻihi)

ʻO kēia mau mea e like me nā mīkina lima ʻokiʻoki i hana ʻia i ka gel e hoʻokaʻawale i nā manamana wāwae a kōkua i ka pololei. Hana ʻia kekahi ʻano e hoʻokaʻawale i nā manamana wāwae ʻelima a ʻelua wale nō kekahi. Hiki ke holo pono nā mea hoʻokaʻawale gel inā kūpono lākou, keu hoʻi inā ua hele ʻoe i nā manamana wāwae. Inā ʻole kūpilikiʻi lākou a hiki ke hoʻonāukiuki.

E makaʻala i ka nui, keu hoʻi i ke ʻano no nā manamana ʻelima. Hoʻololi nui nā manamana wāwae i ka lōʻihi, ke anapuni, a me ka spacing. ʻAʻole kūpono kahi mea hoʻokaʻawale hoʻokahi.

Inā hoʻohanaʻoe i kahi manamana wāwae he nui loa ia noʻoe, hiki iā ia ke hana i ke kaumaha i ka wā e hoʻokaʻawale ai i kou manamana wāwae aʻole e'ānai i kou manamana wāwae i loko o kou kāmaʻa. E hoʻāʻo i nā ʻano ʻokoʻa a hiki i kou loaʻa ʻana o kahi e kūpono i kou manamana wāwae.

Kinipōpō wāwae (metatarsal / sulcus) nā pale

ʻO nā metatarsal nā iwi nunui ʻelima o kou mau wāwae e hoʻopili i kou manamana wāwae. Hoʻololi ʻia kekahi ʻeha o ka hāmare i nā metatarsal. 'O nā insoles e kāpili i ka pōpō o kou wāwae a hāʻawi paha i kahi kākoʻo keu ma lalo pono o nā manamana wāwae i kekahi manawa hiki ke hoʻomaha.

Pākuʻi wāwae hama manamana wāwae

ʻO ka peʻapeʻa wāwae he apo o nā mea e hele a puni ka hāmare a paʻa ʻia e kahi pā paʻa e noho ana ma lalo o kou manamana wāwae. Hana mau ʻia lākou i ka gel a i ʻole manaʻo ʻia. Inā ʻaʻole hoʻonāukiuki loa, hiki iā lākou ke kōkua i kekahi poʻe me nā manamana wāwae paʻa.

Ke lawa ka lumi i kou mau kāmaʻa no kou manamana wāwae e lele ai i kahi ala kūlohelohe e hopena i ka hoʻoponopono a i ʻole ka hōʻino ʻana i nā manamana wāwae o ka hama. ʻO nā kāmaʻa hou paha he mea hiki ʻole iā ʻoe ke kiʻi i kēia manawa. Aia a hiki i kou hiki, hoʻāʻo e komo i nā orthotics kūpono ma ka home ke hiki ke hele wāwae ʻole a i kou hiamoe ʻana.

Ke nānā akuʻoe i loko o nā kāmaʻa hou, eʻaʻahu i kāu mau mea huluhulu i ka wā e ho'āʻo ai i nā kāmaʻa eʻike i ka nui kūpono a kūpono.

Anatomia o ka manamanalima

ʻO ka hoʻomaopopo ʻana i ka anatomy o ka manamananui hiki ke kōkua iā ʻoe i ke koho ʻana i ka orthotic over-the-counter pono a i ʻole ka hoʻomaopopo ʻana i nā ʻōlelo a ke kauka a orthotist paha. Eia nā ʻike wikiwiki i kou mau manamana wāwae.

ʻO kou manamana wāwae he ʻekolu o nā iwi liʻiliʻi, i ʻike ʻia he phalanges. Ke hoʻomaka nei mai ka piko o kou manamana wāwae, ʻo nā iwi ʻekolu nā:

• ka distal (hopena a piko paha)
• ka waena
• ka proximal (kokoke loa i kou wāwae)

ʻO ka ami i hoʻopili ʻia i ka manamana wāwae hammer ʻo ia ka hono interphalangeal proximal (PIPJ). ʻO kēia ka hui waena ma waena o ka phalanx proximal a me ka phalanx waena. Kūlou i lalo ka PIPJ (flexed).

ʻO ka hui metatarsophalangeal (MTPJ) ma ke kūlana kūlike ʻole a me ke kūlana hyperextended. Hoʻohui ʻia ka ami interphalangeal distal (DIPJ) a i ʻole i ke kūlana kūlike ʻole.

I ka manawa e kamaʻilio ai me ke kauka

Inā ʻaʻole e hana nā orthotics over-the-counter iā ʻoe a i ʻole e hōʻino i nā mea, maikaʻi ke kamaʻilio me ke kauka.

Hiki i nā loea wāwae (podiatrists) ke kuhikuhi i kahi orthotic i hana ʻia e hana pono loa nāu. Hiki i kahi loea i ʻike ʻia ma ke ʻano he orthotist a prosthetist paha ke hoʻolālā i kahi orthotic e kūpono i kou wāwae a me ke kūlana kikoʻī.

Nui aʻe paha nā mea i hiki i kāu kauka wāwae wāwae ke nānā aku no ka meaʻaʻole pahaʻoe eʻike. Pākuʻi ʻia kēia mau mea:

• pronation ʻoi loa
• palupalu deformities
• nā kūlana huikau, e like me ka manō o ka hāmare i hui pū ʻia me Achilles tendinosis

ʻOki kino

Inā hoʻomau a hoʻonui paha ka ʻeha ma muli o nā orthotics, ʻo ke kahakaha kekahi manawa ʻo ia wale nō ka hopena. ʻO ke kaʻina hana i kapa ʻia ʻo resection arthroplasty ka mea i hoʻohana mau ʻia.

I ke kuʻi ʻana:

• Lawe kahi mea lapaʻau i ka ʻāpana o kekahi o nā iwi manamana wāwae.
• ʻOkiʻoki ʻia a hoʻopili hou ʻia nā kukuna.
• Hoʻohana ʻia kahi uea a mea lepe paha e hoʻopaʻa pololei i ka manamana wāwae a hiki i kona wā e hoʻōla ai, ma ka maʻamau i ʻekolu a i ʻeono pule.

Hiki i nā poʻe olakino ke hana maʻamau me ka hana ʻole me ka noho pō ʻole i ka haukapila.

Ua ʻike ʻia kahi noiʻi ma 2000 o 63 mau kānaka (118 manamana wāwae) ua hōʻemi ka ʻehaʻeha ʻana i ka ʻeha no ka 92 pākēneka o ka poʻe i hoʻopaʻa ʻia. ʻElima pākēneka ʻike i nā pilikia liʻiliʻi. Ua hana ʻia ke aʻo ʻana ma waena o 61 mau mahina ma hope o ka pau ʻana o ke kaha ʻana.

He aha ka manamana o ka hāmare?

'O ke kumu nui o ka hāmare eʻaʻa pinepine ana i nā kāmaʻa i paʻa loa i ka pahu manamana, me nā kāmaʻa heʻeled kiʻekiʻe. ʻO ke ʻano, ʻoiai hiki ke lawe ʻia e ka trauma.

Hiki iā Hammer manamana ke lilo i hopena hope o kahi deformity manamana wāwae ʻē aʻe i kapa ʻia ʻo hallux valgus. ʻO Hallux valgus kahi kuhi hewa o ka manamana nui nui e hana maʻamau i ka bunion ma waho o ka manamana nui.

ʻO ke kaulike ʻole o ka manamana nui e hoʻonui i nā manamana wāwae liʻiliʻi. Hiki i ka lehulehu ke alakaʻi i kahi manamana o ka hama, e like me ke kaomi ʻia ʻana o nā iwi e nā heʻe kiʻekiʻe a i ʻole ka pahu manamana paʻa.

ʻElua kūlana e pili ana i ka manamana wāwae a me ka manamana wāwae. Hana ka manamana wāwae i ka wā e hui ai ka distal interphalangeal ami, ʻaʻole ka waena waena, e kūlou i lalo.

I ka manamana wawae, aia ka ami metatarsophalangeal i hyperextension a aia i ka flexion nā ami proximal a me distal interphalangeal. Hana ʻia kēia mau ʻano pili i ka manamana ʻelua, ʻekolu, a ʻehā paha, a hiki ke hoʻokumu i kahi bunion ʻeha.

ʻO ka lawe lawe ʻana

Hiki ke hōʻeha a hoʻohaunaele i kou ola ʻo Hammer toe a me kāna bunion e hele pū ana. Hiki paha i nā ʻano orthotics over-the-counter a me nā kōkua ke kōkua i ka hōʻoluʻolu i kou ʻeha. Inā ʻaʻole holo pono kēia mau mea iā ʻoe, hiki i nā kauka ke kuhikuhi i nā orthotics i hoʻopili ʻia e hana paha i ka maʻalea. Ma ke ʻano he koho hope loa, hiki ke maikaʻi ke kaha ʻana.