Fizik Tedavi ve Rehabilitasyon Uzman Dr. Ali \u015eahabettino\u011flu, bel kaymalar\u0131nda manuel (elle) tedavinin y\u00fczde 90 hastada ba\u015far\u0131l\u0131 sonu\u00e7lar sa\u011flad\u0131\u011f\u0131n\u0131 ifade etti.<\/p>\n
Omurgadaki omurlar\u0131n \u00fcst \u00fcste belirli bir d\u00fczen i\u00e7inde dizildi\u011fini belirten Dr. Ali \u015eahabettino\u011flu, \u201cOmurlar\u0131n birbiri \u00fczerinde d\u00fczg\u00fcn bir \u015fekilde dizilmelerini, kemikler aras\u0131nda bulunan eklemler, ba\u011flar ve kaslar sa\u011flar. Fazla kilo, belin yanl\u0131\u015f kullan\u0131lmas\u0131, \u00e7arpma, d\u00fc\u015fme, darbe, a\u015f\u0131nma gibi \u00e7e\u015fitli sebeplerle bazen bu omurlar birbiri \u00fczerinde kay\u0131p sinir k\u00f6klerine bask\u0131 yapabilir. Bel kaymas\u0131 (spondilolistezis) denilen rahats\u0131zl\u0131k, omurlar\u0131n birbiri \u00fczerinde \u00f6ne ya da arkaya do\u011fru kaym\u0131\u015f olmas\u0131d\u0131r. En s\u0131k kayma \u00f6ne do\u011frudur\u201d dedi.<\/p>\n
Bel kaymas\u0131nda a\u011fr\u0131n\u0131n genellikle belde hissedildi\u011fini belirten Dr. \u015eahabettino\u011flu, \u201cGenital b\u00f6lgeye ve uyluk arka y\u00fczeyine ve hatta aya\u011fa kadar yay\u0131labilir. K\u00f6k bas\u0131s\u0131 varsa belden baca\u011fa yay\u0131lan a\u011fr\u0131 ve uyu\u015fmalara yol a\u00e7abilir. A\u011fr\u0131 hareketle, ayakta durmakla artar. Genellikle istirahatle azal\u0131r veya kaybolur. Kad\u0131nlarda erkeklere g\u00f6re daha s\u0131k rastlan\u0131r. Bel kaslar\u0131nda spazm s\u0131k rastlanan bir durumdur. Ancak bu rahats\u0131zl\u0131kta en tipik bulgu, hastalar\u0131n yol y\u00fcr\u00fcme mesafelerinin k\u0131salmas\u0131d\u0131r\u2019\u2019 \u015feklinde konu\u015ftu.<\/p>\n
Spondilolistezisin sabit veya hareketli olabilece\u011fini ve kayman\u0131n miktar\u0131na g\u00f6re de 4 derecesinin oldu\u011funu belirten Uz. Dr. Ali \u015eahabettino\u011flu, “\u0130yi bir fizik muayene ile hikayesi al\u0131n\u0131p, MR ve dinamik bel r\u00f6ntgeni ile bel kaymas\u0131n\u0131n derecesi, hareketli ya da sabit olu\u015fu, beraberinde e\u015flik eden ba\u015fka rahats\u0131zl\u0131klar\u0131n var olup olmad\u0131\u011f\u0131 tespit edilir. 1. derece ve sabit bel kaymalar\u0131nda manuel (elle) tedavi y\u00fczde 90 hastada ba\u015far\u0131l\u0131 sonu\u00e7lar sa\u011flar. \u015eikayetlerin \u015fiddetli olmad\u0131\u011f\u0131 ve kayman\u0131n ileri derecede olmad\u0131\u011f\u0131 hastalarda manuel tedavi, a\u011fr\u0131 kesici ila\u00e7lar, fizik tedavi uygulamalar\u0131, kilo vererek bele d\u00fc\u015fen y\u00fck\u00fc azaltmak, bel ve kar\u0131n kaslar\u0131n\u0131 g\u00fc\u00e7lendirici egzersiz tedavileri uygulanabilir. A\u011fr\u0131l\u0131 durumlarda hastaya istirahat verilir. Ayakta kald\u0131\u011f\u0131 s\u00fcrelerde bel korsesi kulland\u0131r\u0131larak omurgas\u0131na stabilizasyon ve destek sa\u011flan\u0131r. Ancak bazen de bel kaymalar\u0131nda ameliyat gerekebilmektedir ki bunlar, ameliyat d\u0131\u015f\u0131 tedavilere cevap vermeyen hastalar, 2. derecenin \u00fczerinde y\u00fczde 50\u2019den fazla kaymas\u0131 olanlar, sinir k\u00f6k\u00fc bas\u0131s\u0131 ve dar kanal bulgular\u0131 ile birlikte y\u00fczde 30 ile 50\u2018den b\u00fcy\u00fck kaymalard\u0131r\u201d dedi.<\/p>\n","protected":false},"excerpt":{"rendered":"
F\u0130Z\u0130K TEDAV\u0130 VE REHAB\u0130L\u0130TASYON UZMAN DR. AL\u0130 \u015eAHABETT\u0130NO\u011eLU, BEL KAYMALARINDA MANUEL (ELLE) TEDAV\u0130N\u0130N Y\u00dcZDE 90 HASTADA BA\u015eARILI SONU\u00c7LAR SA\u011eLADI\u011eINI \u0130FADE ETT\u0130.<\/p>\n","protected":false},"author":1,"featured_media":150578,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"jetpack_post_was_ever_published":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2}},"categories":[1],"tags":[9440,2771,16460,6552],"class_list":["post-150577","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-genel","tag-ameliyatsiz","tag-bel","tag-kaymasi","tag-tedavisi"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"https:\/\/i0.wp.com\/www.tvturk.com\/wp-content\/uploads\/2019\/04\/ameliyatsiz-bel-kaymasi-tedavisi_3ef6b61.jpg?fit=1000%2C682","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/paKIfm-DaF","_links":{"self":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/150577","targetHints":{"allow":["GET"]}}],"collection":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/comments?post=150577"}],"version-history":[{"count":0,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/posts\/150577\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media\/150578"}],"wp:attachment":[{"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/media?parent=150577"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/categories?post=150577"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/www.tvturk.com\/index.php\/wp-json\/wp\/v2\/tags?post=150577"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}