Nerve Compression Inokonzera Heel, Foot or Ankle Pain
Overview
Nzira inoputika inzvimbo iri mutsoka yakaumbwa pakati pemapfupa uye inowedzera mashizha e fibrous. Mumugwagwa unoputika unonzi nerve inonzi "posterior tibial nerve", pamwe chete nemariti, vetin, uye tendons. Nzira inoputika yakasungirirwa kune rumwe rutivi nemapfupa akasimba, uye kune imwe yacho nechisimba chemashuga e-flexor retinaculum ligament. Iyi mugonho ine nzvimbo shoma kwazvo, uye nzvimbo dzakaoma hazvibvumirwi kutendera zvimwe.
Tarsal tunnel syndrome inoguma apo posterior tibial nerve inomanikidzwa mumugwagwa unotyisa. Iyi mamiriro akafanana, mumagetsi, ku carpal tunnel syndrome iri muchiuno. Zvose izvi izvi zvinoguma apo musungo unoiswa mukati memukati. Nzira yematars, sezvataurwa kare, haina nzvimbo shoma yekupa. Kana nzvimbo ikava yakasimba, mutsara we tibial unobata.
Zviratidzo
Apo posterior tibial nerve inomanikidzwa mumugwagwa unotyisa, varwere vanowanzonyunyutika kuderera pamusoro pepasi petsoka, pamwe nekunyunyuta kwekutambudzika, kupisa, uye kumira pamusoro pegumbo nechitsinho. Vamwe vanhu vanonyunyuta pamusoro pokurwadziwa kwepfuti. Iyo kurwadziwa kunogona kunge kune imwe nzvimbo, kana inogona kuitika pane imwe nzvimbo yakakura yegumbo, chidzitiro nemhuru. Dzimwe nguva, tarsal tunnel syndrome inopesana ne plantar fasciitis kana chitsitsinho chinoputika .
Cause
Chikonzero chetarsal tunnel syndrome hachizivikanwe mune dzimwe nguva, asi chinogona kuva chigumisiro chezviputi, arthritic bone spurs, zvipembenene nemamwe mvere dzinotapira, kuvhara misero, kana kuora kwetsoka.Kana iwe wawira pasi mabheji uye chitsitsinho chako chichibuda kunze, chinogona kukonzera kushungurudzika mumugwagwa wetarsal.
Kana iwe uine kuvhara kana kuputika mumakumbo kubva kumakumbo akaputika, chirwere cheshuga kana chirwere cheArthritis, chinogona kupinza mugwagwa. A veic varicose kana kutuka tendon inogonawo kuva chikonzero.
Kuziva
Nemhaka yezviratidzo zveTarsal tunnel syndrome, varwere vakawanda vanotsanangura nhoroondo yakafanana yezviratidzo. Zvisinei, sezvataurwa kare, kuongororwa kwetarsal tunnel syndrome kunogona kuvhiringidza.
Kumbera pamagunha sezvo ichipfuura nomugwagwa wetarsal, iyo inonzi "Tinel's Test," inogona kusimbisa zviratidzo uye inoratidza tarsal tunnel syndrome sechikonzero chechinetso. Electrodiagnostic zvidzidzo zvinotarisisa kuti huwandu hwemagetsi hunoita sei kuburikidza nehutachiona hunogonawo kubatsira nekuongorora kana pane chikonzero chekuvhiringidzika.
Mishonga
Kurapa kunotanga nemishonga inopesana nekuvhiringidza , uye zvichida jekoni ye cortisone munzvimbo inenge yakakomberedzwa. Orthotics uye kuchinja mune shangu kunogonawo kubatsira kubvisa zviratidzo.
Kana pasina chimwe chezviyero izvi chichibatsira, zvino chirongwa chinonzi kusunungurwa kwetarsal tunnel inogona kudiwa. Iyi ndiyo nzira yekuvhiya inowanikwa muimba yekushandira, uye inopedza maminitsi makumi matatu kusvika ku45. Apo nzira yekutema inosunungurwa inoshandiswa, kusungurudzika kunoitwa kuzarura mugadziri wetarsal uye kuderedza kudzvinyirira pamashure emudumbu. Kuvhiyiwa uku kwakafanana zvikuru nekodhi yemasikirwo ekubudiswa mukati mekona.
Kunobva:
Tarsal Tunnel Syndrome, American College of Foot uye Ankle Surgeons, yakasvika 3/25/16.