ʻO ka hana hope posterial Tibial Tendon (hana ʻole ʻo Tibial nerve)

Anter

• He aha ka hopena o ka tibial tendon?
• He aha nā kumu a me nā pilikia o PTTD?
• He aha nā hōʻailona o PTTD?
• Pehea i ʻike ʻia ai ka PTTD?
• He aha nā ʻano hana no PTTD?
• Ke hōʻemi nei i ka pehu a me ka ʻeha
• Kākoʻo wāwae
• ʻOki kino

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.

He aha ka hopena o ka tibial tendon?

ʻO ke kīnā ʻole o ka hope tibial tendon (PTTD) kahi hopena e hopena ai i ka mumū a i ʻole ka haehae ʻana o ka tendior tibial tendon. Hoʻohui ka tendial tibial tendon i kekahi o nā io bipi i nā iwi i kū ma ka wāwae o loko.

A ʻo kahi hopena, PTTD ke kumu o ka flatfoot no ka mea ʻaʻole hiki i ka tendon ke kākoʻo i ke koʻi o ka wāwae. Wahi a ka American Academy of Orthopedic Surgeons, ʻo ka flatfoot ke hāʻule ka piʻo o ka wāwae a kuhikuhi ka wāwae i waho.

ʻO PTTD kekahi i ʻike ʻia ma ke ʻano he flatfoot makua i loaʻa. Hiki i nā kauka ke mālama maʻamau i kēia ʻano me ka ʻole o ke kaha ʻana, akā i kekahi manawa pono ka ʻoki ʻana e hoʻoponopono i ke kahena.

He aha nā kumu a me nā pilikia o PTTD?

Hiki ke hōʻeha ʻia ka tendial tibial posterior ma muli o ka hopena, e like me ka hāʻule ʻana a i ʻole ke kamaʻilio ʻana ke pāʻani nei i nā haʻuki. Hiki i ka overuse o ke tendon i ka manawa ke hōʻeha pū kekahi. ʻO nā hana maʻamau e hōʻeha i kahi ʻeha ʻoi loa e komo i:

• hele wāwae
• holo ʻana
• hele wāwae
• piʻi piʻi piʻi piʻi
• nā haʻuki kū kiʻekiʻe

ʻOi aku paha ka PTTD ma:

• wahine
• nā kānaka ma luna o 40 mau makahiki
• ka poʻe kaumaha a momona paha
• poʻe me ka maʻi kō
• poʻe me ke kiʻekiʻe kiʻekiʻe

He aha nā hōʻailona o PTTD?

Hana pinepine ʻo PTTD i hoʻokahi wāwae, ʻoiai i kekahi mau hihia hiki ke hana i nā wāwae ʻelua. Nā ʻōuli o PTTD me:

• ʻeha, maʻamau ma loko o ka wāwae a me ka kuʻekuʻe wāwae
• ka pehu ʻana, ka mehana, a me ka ʻulaʻula ma loko o ka wāwae a me ka kuʻekuʻe wāwae
• ʻeha e hōʻeha i ka wā o ka hana
• pālahalaha o ka wāwae
• ʻōwili o loko o ka kuʻekuʻe wāwae
• ke hoʻohuli nei i nā manamana wāwae a me ka wāwae

Ke holo nei ʻo PTTD, e loli paha kahi o ka ʻeha. 'O kēia no ka mea e pālahalaha hope kou wāwae a hoʻohuli i kou iwi kuʻekuʻe.

ʻIke paha ka ʻeha a puni ka wēlau o kou kuʻekuʻe wāwae a me kou wāwae. Hiki i nā loli i ka tendial tibial posterior ke kumu o ka arthritis i kou wāwae a me kou kuʻekuʻe wāwae.

Pehea i ʻike ʻia ai ka PTTD?

E hoʻomaka kāu kauka ma ka nānā ʻana i kou wāwae. Nānā paha lākou i ka pehu ma ka tendon tibial posterior. E hoʻāʻo nō hoʻi kāu kauka i kou neʻe ʻana ma ka neʻe ʻana i kou ʻaoʻao wāwae i kekahi ʻaoʻao a i luna a i lalo. Hiki i ka PTTD ke hana i nā pilikia me ka ʻaoʻao a i ka ʻaoʻao o ka neʻe, a me nā pilikia me ka neʻe ʻana i nā manamana wāwae i ka shinbone.

E nānā pū kāu kauka i ke ʻano o kou wāwae. E nānā lākou i kahi pio i hina a me kahi kuʻekuʻe i neʻe i waho. E nānā paha kāu kauka i ka nui o nā manamana wāwae i hiki iā lākou ke ʻike mai hope o kou kuʻekuʻe wāwae ke kū ʻoe.

ʻO ka maʻamau, ʻo ka manamana ʻelima wale nō a me ka hapalua o ka manamana ʻehā i ʻike ʻia mai kēia kihi. Ma PTTD, hiki iā lākou ke ʻike ma mua o ka hā a me ka ʻelima mau manamana wāwae. I kekahi manawa ʻike ʻia nā manamana wāwae a pau.

Pono paha ʻoe e kū ma ka wāwae e hoʻopilikia nei iā ʻoe a hoʻāʻo e kū i luna ma kou mau wīwae. ʻO ka maʻamau, ʻaʻole hiki i kahi kanaka me PTTD ke hana i kēia.

Hiki i ka hapa nui o nā kauka ke kuhi i nā pilikia me ka tendial tibial posterior ma o ka nānā ʻana i ka wāwae, akā hiki i kāu kauka ke kauoha i kekahi mau hōʻike kiʻi e hōʻoia i ka hōʻailona a kāpae i nā kūlana ʻē aʻe.

Hiki paha i kāu kauka ke kauoha i nā kukuna X a i ʻole CT scans inā manaʻo lākou he maʻi kōlea kou i ka wāwae a i ʻole ka kuʻekuʻe wāwae. Hiki i nā MRI a me nā ultrasound scan ke hōʻoia iā PTTD.

He aha nā ʻano hana no PTTD?

ʻO ka hapa nui o nā hihia o PTTD i hiki ke mālama ʻia me ka hana ʻole.

Ke hōʻemi nei i ka pehu a me ka ʻeha

Kōkua ka hana mua i ka hoʻohaʻahaʻa i ka ʻeha a me ka pehu ʻana a ʻae i kou kuʻekuʻe wāwae e heʻe wāwae. Ke noi nei i ka hau i kahi ʻeha a lawe i nā lāʻau anti-inflammatory nonsteroidal (NSAIDs) hiki ke kōkua i ka hōʻemi ʻana i ka pehu a me ka ʻeha.

E aʻo aku hoʻi kāu kauka iā ʻoe e hoʻomaha a pale i nā hana e hōʻeha ai i ka ʻeha, e like me ka holo ʻana a me nā hana ʻoi loa.

Kākoʻo wāwae

Kaukaʻi ʻia i ka paʻakikī o kāu PTTD, e ʻōlelo paha kāu kauka i kekahi ʻano o ke kākoʻo no kou wāwae a me kou kuʻekuʻe wāwae. Hiki i ke kuʻekuʻe wāwae ke kōkua i ka lawe 'ana i ka haʻalulu a kuʻu iā ia e ho'ōla wikiwiki aku. He mea kōkua kēia no ka PTTD akahai a PTTD paha e kū me ka maʻi o ka maʻi.

Kūʻai no nā kuʻekuʻe wāwae.

Kōkua nā orthotics maʻamau i ke kākoʻo i ka wāwae a hoʻihoʻi i ke kūlana o ka wāwae maʻamau. Kōkua ka Orthotics no ka PTTD akahai a paʻakikī.

Kūʻai no nā orthotics.

Inā nui ka ʻeha o kāu tendial tibial tendon, e koi paha kou wāwae a me kou kuʻekuʻe wāwae i ka immobilization me ka hoʻohana ʻana i kahi kāmaʻa hele wāwae pōkole. Hoʻokomo pinepine nā poʻe i kēia no ʻeono a ʻewalu pule. ʻAe ia i ke tendon e kiʻi i ke koena i kekahi manawa e pono ai no ka hoʻōla.

Eia nō naʻe, hiki i kēia ke kumu i ka atrophy o ka mākala a hoʻonāwaliwali paha o nā mākala, no laila ke paipai wale nā ​​kauka iā ia no nā hihia koʻikoʻi.

ʻOki kino

Pono paha ke ʻoki kino inā koʻikoʻi ka PTTD a ʻaʻole kūleʻa nā lāʻau ʻē aʻe. Aia nā koho ʻoki ʻokoʻa ʻokoʻa, kaukaʻi ʻia i kāu mau ʻōuli a me ka nui o kou ʻeha.

Inā loaʻa iā ʻoe kahi pilikia e neʻe i kou kuʻekuʻe wāwae, kahi hana ʻoki e kōkua i ka hoʻolōʻihi ʻana i kaʻiʻo keiki bipi kahi koho. ʻO nā koho ʻē aʻe e hoʻopili i nā ʻoki e wehe i nā wahi i hōʻino ʻia mai ke kuʻina a i ʻole hoʻololi i ka tendial tibial posterior me kahi tendon hou mai ke kino.

I nā hihia koʻikoʻi o PTTD, ke ʻoki e ʻoki a hoʻoneʻe i nā iwi i kapa ʻia he osteotomy a i ʻole ke ʻoki e hoʻohui pū ʻia nā hono e pono ai e hoʻoponopono i kahi pā.