{"items":["6034a33291e8d400179fead4","5fb0c14b1220390017026b87","5e6dce8cf96a670017c9d2e7"],"styles":{"galleryType":"Columns","groupSize":1,"showArrows":true,"cubeImages":true,"cubeType":"max","cubeRatio":1.7777777777777777,"isVertical":true,"gallerySize":30,"collageAmount":0,"collageDensity":0,"groupTypes":"1","oneRow":false,"imageMargin":5,"galleryMargin":0,"scatter":0,"rotatingScatter":"","chooseBestGroup":true,"smartCrop":false,"hasThumbnails":false,"enableScroll":true,"isGrid":true,"isSlider":false,"isColumns":false,"isSlideshow":false,"cropOnlyFill":false,"fixedColumns":0,"enableInfiniteScroll":true,"isRTL":false,"minItemSize":50,"rotatingGroupTypes":"","rotatingCropRatios":"","columnWidths":"","gallerySliderImageRatio":1.7777777777777777,"numberOfImagesPerRow":3,"numberOfImagesPerCol":1,"groupsPerStrip":0,"borderRadius":0,"boxShadow":0,"gridStyle":0,"mobilePanorama":false,"placeGroupsLtr":true,"viewMode":"preview","thumbnailSpacings":4,"galleryThumbnailsAlignment":"bottom","isMasonry":false,"isAutoSlideshow":false,"slideshowLoop":false,"autoSlideshowInterval":4,"bottomInfoHeight":0,"titlePlacement":["SHOW_ON_THE_RIGHT","SHOW_BELOW"],"galleryTextAlign":"center","scrollSnap":false,"itemClick":"nothing","fullscreen":true,"videoPlay":"hover","scrollAnimation":"NO_EFFECT","slideAnimation":"SCROLL","scrollDirection":0,"scrollDuration":400,"overlayAnimation":"FADE_IN","arrowsPosition":0,"arrowsSize":23,"watermarkOpacity":40,"watermarkSize":40,"useWatermark":true,"watermarkDock":{"top":"auto","left":"auto","right":0,"bottom":0,"transform":"translate3d(0,0,0)"},"loadMoreAmount":"all","defaultShowInfoExpand":1,"allowLinkExpand":true,"expandInfoPosition":0,"allowFullscreenExpand":true,"fullscreenLoop":false,"galleryAlignExpand":"left","addToCartBorderWidth":1,"addToCartButtonText":"","slideshowInfoSize":200,"playButtonForAutoSlideShow":false,"allowSlideshowCounter":false,"hoveringBehaviour":"NEVER_SHOW","thumbnailSize":120,"magicLayoutSeed":1,"imageHoverAnimation":"NO_EFFECT","imagePlacementAnimation":"NO_EFFECT","calculateTextBoxWidthMode":"PERCENT","textBoxHeight":26,"textBoxWidth":200,"textBoxWidthPercent":65,"textImageSpace":10,"textBoxBorderRadius":0,"textBoxBorderWidth":0,"loadMoreButtonText":"","loadMoreButtonBorderWidth":1,"loadMoreButtonBorderRadius":0,"imageInfoType":"ATTACHED_BACKGROUND","itemBorderWidth":0,"itemBorderRadius":0,"itemEnableShadow":false,"itemShadowBlur":20,"itemShadowDirection":135,"itemShadowSize":10,"imageLoadingMode":"BLUR","expandAnimation":"NO_EFFECT","imageQuality":90,"usmToggle":false,"usm_a":0,"usm_r":0,"usm_t":0,"videoSound":false,"videoSpeed":"1","videoLoop":true,"jsonStyleParams":"","gallerySizeType":"px","gallerySizePx":1000,"allowTitle":true,"allowContextMenu":true,"textsHorizontalPadding":-30,"itemBorderColor":{"themeName":"color_12","value":"rgba(223,223,223,0)"},"showVideoPlayButton":true,"galleryLayout":2,"calculateTextBoxHeightMode":"MANUAL","targetItemSize":1000,"selectedLayout":"2|bottom|1|max|true|0|true","layoutsVersion":2,"selectedLayoutV2":2,"isSlideshowFont":true,"externalInfoHeight":26,"externalInfoWidth":0.65},"container":{"width":300,"galleryWidth":305,"galleryHeight":0,"scrollBase":0,"height":null}}
分辨手痛真正原因

經常重複使用手機、電腦、提重物等日常生活動作,容易導致手痛,但讀者應如何分辨手痛原因是肌腱勞損,或是頸神經壓迫所致?上肢部位若只發現單處疼痛,通常會先聯想到肌肉、肌腱、韌帶、滑囊等軟組織疾患,但若有一處以上疼痛,則須考慮會否與頸神經受壓迫、肩背肌肉的肌筋膜疼痛症等有關。 今期介紹幾種常見的手痛成因,首先是「媽媽手」。症狀包括︰手指握拳時將大拇指放在掌心,或往尺側(小指側)彎曲、轉動手腕時出現疼痛,壓迫到手腕橈側突起時,也會引發疼痛,痛楚感覺有時甚至蔓延至遠端手指或近側上臂。若經常握手、提重物、長時間手腕握緊維持彎曲姿勢,及反覆做手腕彎曲伸直的動作,都易造成此類肌腱發炎的「媽媽手」問題。 另一極為相似的病症是「扳機指」。扳機指症狀主要包括︰手指節的關節或手掌的關節突然變得僵硬、腫脹,無法順利屈曲伸展。按壓時有明顯疼痛。在用力彎曲時,還會有「喀嘞」聲響或疼痛不適感覺。患者的手指無法完全彎曲,必須以另一隻手協助,才能伸直。 若有持續的手腕疼痛,可能是患上「腕管症候群」。此症以拇指、食指、中指及無名指靠拇指的痠麻或灼熱刺痛感覺為主要徵狀。通常在早上起床或手腕彎曲一段時間後(例如持續打字、搬運重物等)最明顯。 「手指彎曲肌腱」及「正中神經」在手腕的骨頭與韌帶間,若肌腱過度使用,累積性的微小創傷會產生發炎反應,加上手腕韌帶變粗,一起壓迫正中神經,造成此部位以下的神經分布區域出麻刺疼痛。另外,有些肩背部的肌筋膜疼痛症,也常引發類似腕管症候群的疼痛症狀。 若經診斷發現患處未有發炎,可先針對肌肉和疼痛處周遭的肌肉,展開激痛點治療、脊椎矯正及牽引治療,都可減輕頸神經壓迫情況。為避免情況惡化,亦可使用腕部固定護套、護腕等輔具。