He aha kāu e pono ai e ʻike e pili ana i ka heel spur Removal Surgery
Anter
- Hōʻike Overview
- Paʻa ka iwi kuʻekuʻe
- Hoʻokuʻu i ka fascia plantar
- ʻO ka hemo ʻana o ka heʻe kuʻekuʻe
- Hoʻokomo ka kuʻekuʻe wāwae i ka manawa ola
- Hoʻoikaika ka kuʻekuʻe wāwae
- ʻO nā moho ʻoki
- ʻO ka heʻe spur ke kumu kūʻai
- Hōʻikeʻike
- Hōʻuluʻulu Manaʻo
Hōʻike Overview
ʻO kahi kuʻekuʻe wāwae he waihona kalima ia e hoʻoulu ai i kahi ulu like me ka iwi ma lalo o ka kuʻekuʻe, a i ʻole ma lalo o ka wāwae o ka wāwae. Hoʻokumu ʻia kēia mau ulu e ka nui o ke kanana, ka hakakā, a i ʻole ke kaomi ʻana ma ka iwi kuʻekuʻe.
ʻO nā kumu i hāʻawi i nā kuʻekuʻe wāwae he:
- hoʻoikaika kino (holo, hele wāwae, a jogging paha)
- ke komo ʻana i nā kāmaʻa maikaʻi ʻole a heʻe paha
- he mau wāwae pālahalaha a i ʻole he pio kiʻekiʻe
Hoʻoweliweli pū kekahi ʻoe i ka hoʻomohala ʻana i kahi kuʻekuʻe wāwae inā ʻoe i kaupaona nui a loaʻa paha i ka maʻi pākī.
ʻO kekahi heʻe wāwae wāwae he mea ʻeha ʻole a ʻike ʻole ʻia. Inā loaʻa iā ʻoe ka ʻeha, hiki i ka intermittent a i ʻole ka lōʻihi. ʻO ke ʻoki kino kahi koho e hōʻemi ai i ka ʻeha e pili ana i kahi kuʻekuʻe wāwae. Akā ʻaʻole kēia ka lālani pale mua.
E paipai mua kahi kauka i nā ʻano hana ʻē aʻe e hoʻonā i ka ʻeha. 'O ka hapa nui o nā poʻe he heʻe kuʻekuʻe wāwaeʻaʻole pono lākou i ke kāpili. ʻO ka ʻoiaʻiʻo, "ʻoi aku ma mua o 90 pākēneka o ka poʻe me nā heʻe kuʻekuʻe wāwae eʻoi aku ka maikaʻi me nā hoʻomaʻamaʻa nonsurgical," e like me ka Cleveland Clinic.
Aia nā ʻōlelo aʻoaʻo nonsurgical i:
- hoʻoikaika kino
- kāmaʻa hoʻokomo kāmaʻa
- hoʻōla kino
- ʻimi wāwae wāwae ka pō
ʻO nā lāʻau lapaʻau e like me ka acetaminophen a me ka ibuprofen hiki ke hōʻoluʻolu i ka ʻeha a me ka mumū. Eia hou, hiki i ke kauka ke lawelawe i kahi injection kortisone i kou kuʻekuʻe e hoʻoliʻiliʻi i ka mumū.
Inā ʻoe e hana i kēia mau ana me ka ʻole o nā hopena maikaʻi, hiki i kāu kauka ke koi aku iā 1 o 2 mau kaʻina hana ma ke ʻano he hopena hope loa, akā ma hope o 12 mau mahina o ka hoʻomaʻamaʻa nonsurgical.
Paʻa ka iwi kuʻekuʻe
Loaʻa nā koho ʻelua no ka ʻeha kuʻekuʻe wāwae.
Hoʻokuʻu i ka fascia plantar
Hiki i nā kuʻekuʻe wāwae ke hana i kekahi manawa me ka plantar fasciitis. ʻO kēia ka mumū o ka plantar fascia, ʻo ia kaʻiʻo fibrous e hoʻohui i kou manamana wāwae i kou iwi kuʻekuʻe.
Ke kau nei i nā kānana he nui ma ka plantar fascia hiki ke hana i kahi kuʻekuʻe wāwae e hana. Ma kahi o 50 pākēneka o ka poʻe me plantar fasciitis i loaʻa i kahi kuʻekuʻe wāwae. ʻO kaʻeha a lākou e ʻike ai i ko lākou wāwae, ʻaʻole naʻe ia e hele mau mai kēia ulu iwi ʻana. Hele pinepine mai ia mai ka mumū o ka plantar fascia.
I mea e hoʻomaha ai i ka ʻeha, hiki i ke kauka ke hana i kahi kaʻina hana i kapa ʻia ʻo plantar fascia hoʻokuʻu. Hoʻopili kēia i ka ʻoki ʻana i kahi ʻāpana o ka ligament fascia mea kanu e hōʻoluʻolu i ka haunaele a me ka mumū i kaʻiʻo. ʻO kēia kahi ʻōnaehana outpatient i hana ʻia ma ke ʻano he ʻoki ākea a i ʻole kahi ʻoki endoscopic.
Me kahi ʻoki ākea (a i ʻole ke ʻoki kuʻuna), ʻokiʻoki kāu kauka lāʻau i ka wahi me kahi scalpel a hoʻopau i ke kaʻina hana ma o kahi incision nui. ʻO ke kīʻaha endoscopic, ma ka ʻaoʻao ʻē aʻe, hoʻōla minimally.
Hoʻopili kēia i ka ʻoki ʻana i hoʻokahi a ʻoi o nā ʻoki liʻiliʻi, a laila hoʻokomo i nā mea hana ʻoki liʻiliʻi ma o ka wehe e hana i ke ʻoki.
ʻO ka hemo ʻana o ka heʻe kuʻekuʻe
I ka wā o ka plantar fascia hoʻokuʻu i ke kahakaha, hiki i kāu kaukipō ke koho e hoʻopau loa i ka heʻe kuʻekuʻe. ʻAʻole hiki ke hana i ka ʻoki kuʻe heel i kēlā me kēia hihia. ʻO ka ʻoiaʻiʻo, kākaʻikahi kēia mau kaʻina hana i kēia lā, e like me ka Mayo Clinic. ʻOiai, he koho ia no ka spur ʻeha a i ʻole ʻoi aku ka nui i hiki iā ʻoe ke manaʻo ma lalo o ka ʻili.
Hoʻopau ʻia kēia kaʻina hana me kahi ʻoki ākea a i ʻole kahi ʻoki endoscopic. Hana kāu kauka lāʻau i kahi ʻoki ākea nui a i ʻole ʻelua mau ʻoki liʻiliʻi, a laila hoʻohana i nā mea ʻoki e wehe a hoʻokaʻawale paha i ka waihona kalipona bony.
Hoʻokomo ka kuʻekuʻe wāwae i ka manawa ola
E komo ʻoe i kahi kaula no hoʻokahi a ʻelua paha mau pule ma hope o ke kaha ʻana, a he kime paha, he kāmaʻa hele wāwae, a i ʻole ke kuʻekuʻe wāwae a ʻekolu paha mau pule ma hope o kahi ʻoki wehe. Loaʻa paha iā ʻoe nā koʻokoʻo a i ʻole kahi kō. E pehu a ʻeha hoʻi ka wahi ʻoki, no laila pono ʻoe e noho i kou mau wāwae no kekahi mau lā.
Ke kau nei i ka nui o ke kaupaona ma kou kuʻekuʻe ma hope o ke kaha ʻana hiki ke hoʻolohi i ka hoʻōla. E hoʻomākaukau e ukali me kāu kauka lāʻau i loko o ʻelua mau pule ma hope o ke kaha ʻana. I kēia manawa, hiki iā ʻoe ke kau i ke kaupaona ma kou kuʻekuʻe wāwae.
ʻO ka maʻamau, hiki iā ia i ʻeono mau pule e hoʻōla hou mai ke kahakaha ʻana o plantar fascia, a i ʻekolu mau mahina e ola ai mai ke kuʻekuʻe heʻe kuʻekuʻe wāwae. 'O ka nui o ka manawa āu e hemo ai mai ka hana likeʻole e like me ka nui o kou manawa e lilo ai i kou mau wāwae.
ʻO kahi kanaka me ka hana sedentary pono paha i kahi mau pule ʻelua. Inā pili kāu hana i kahi kū a hele wāwae paha, pono ʻoe e lawe i ʻehā mau pule. E kamaʻilio me kāu kauka no ka ʻōlelo aʻo e hoʻi ana i ka hana.
Eia kekahi, e mālama pono i nā ʻōlelo aʻoaʻo a ke kauka ma hope o ke kaha ʻana no ka wikiwiki wikiwiki. O kahi laʻana:
- E lawe i nā lāʻau ʻeha a me nā lāʻau ʻeha e like me ke kuhikuhi.
- E noi i nā compresses anuanu i kahi ʻoki lāʻau.
- E hoʻokiʻekiʻe i kou wāwae.
- Palena i ka neʻe ʻana a me ka hele ʻana i nā lā ma hope o kāu kaʻina hana.
Hoʻoikaika ka kuʻekuʻe wāwae
Aia ka pilikia o nā pilikia me kekahi ʻano o ke kaʻina hana. Hoʻopili nā kuʻuna kuʻekuʻe wāwae:
- hoʻonui i ke kahe o ke koko
- maʻi maʻi
- pōʻino nerve
- ʻōlohelohe mau
Hiki i nā pilikia ke kū i kekahi, akā hiki i kekahi mau mea ke hoʻonui i kou makaʻu, me:
- makahiki kiʻekiʻe
- kahi mōʻaukala pili koko
- ka lawe ʻana i ka lāʻau hoʻomalu koko
- ʻōnaehana pale kino ʻilihune
- moʻolelo o kahi maʻi autoimmune
- momona
E kāhea koke i kāu kauka inā ʻike ʻoe i kekahi pilikia ma hope o ke kahakaha ʻana. Pākuʻi ʻia kēia:
- hoʻonui i ka ʻeha a puni ka pae ʻoki
- ʻōhū nui a ʻulaʻula
- kahe kahe a hoʻokuʻu paha mai ka ʻeha
- nā hōʻailona o kahi maʻi, e like me ke kuni kiʻekiʻe
ʻO nā moho ʻoki
'Aʻole koiʻia ke kāpili heel spel no kahi kuʻekuʻe wāwae i hoʻomaka koke e hana i ka' eha. I ka hapanui o nā hihia, ʻike ʻoe i ka hoʻomaikaʻi o ka ʻeha i loko o kekahi mau mahina o ka hoʻomaka ʻana i nā hoʻomaʻamaʻa nonsurgical.
He moho paha ʻoe no ke ʻoki ʻana inā he nui kou kuʻekuʻe wāwae, a i ʻole e hoʻomaikaʻi a hōʻeha paha ka ʻeha kuʻekuʻe ma hope o 12 mau mahina o ka hoʻoponopono ʻē aʻe.
ʻO ka heʻe spur ke kumu kūʻai
Ke kumu kūʻai o ka heʻe kuʻekuʻe wāwae e loli ana i ka ʻano o ke kaʻina hana (plantar fascia hoʻokuʻu a i ʻole ka heʻe kuʻekuʻe wāwae piha). Hoʻololi pū ʻia ke kumukūʻai ma ka wahi a me ka haukapila.
Uhi maʻamau ke kuʻekuʻe wāwae e ka ʻinikua olakino. ʻO ka nui āu e kuleana ai ma muli o kāu mea hāʻawi. E hoʻomanaʻo i ka nui o nā kulekele e koi ana i nā mea maʻi e uku i kahi hōʻemi. Pono ʻoe e hoʻolilo i kēia kālā ma waho o ka ʻeke ma mua o ka uku ʻana o kāu ʻinikua no nā lawelawe i uhi ʻia. ʻO ʻoe nō paha ke kuleana no ka coinsurance a me nā copay.
E kamaʻilio me kāu ʻoihana inikua e loaʻa kahi kuhi o kāu mau lilo mai loko mai o ka ʻeke.
Hōʻikeʻike
He kūleʻa ke kīkaha kuʻekuʻe wāwae no kekahi poʻe, akā ʻaʻole holo pono ia no nā mea āpau. ʻOiai ke hoʻomaka nei kekahi poʻe e ʻike i kahi hoʻomaikaʻi o ka ʻeha a me ka hōʻoluʻolu ma kahi o hoʻokahi pule ma hope o ke kahakaha ʻana, hoʻomau mau kekahi i ka ʻeha mau ma hope o kā lākou kaʻina hana.
ʻOiai ke kūleʻa ke kaha ʻana, hiki i kahi kuʻekuʻe wāwae ke hoʻi. Hiki kēia ke hoʻomau nā mea i hāʻawi i ka ulu mua spur. I mea e pale aku ai i nā kuʻekuʻe wāwae e hiki mai ana, e komo i nā kāmaʻa kūpono a me ke ʻano o nā kāmaʻa no nā hana. ʻO kahi laʻana, ʻaʻahu i nā kāmaʻa holo inā he holo ʻoe.
Hoʻohui i nā insoles a i ʻole nā pale keu i loko o nā kāmaʻa hiki ke hōʻoluʻolu i ke kaomi a me nā kānana. Kōkua pū ia i ka hoʻolōʻihi i kēlā me kēia lā a mālama i ke kaumaha o ke kino olakino.
Hōʻuluʻulu Manaʻo
ʻO ka ʻeha kuʻekuʻe ʻole e hele aku hiki ke hōʻemi i ka neʻe a paʻakikī i ka hele ʻana, kū, a i ʻole ka hoʻoikaika kino. E ʻike i ke kauka no nā pilikia o nā kuʻekuʻe wāwae. E hele paha ka ʻeha kuʻekuʻe ma hope o kekahi mau mahina, akā inā ʻaʻole, kōkua ke ʻoki iā ʻoe e hoʻi i kou wāwae.