{"id":124,"date":"2026-09-16T18:20:58","date_gmt":"2026-09-16T18:20:58","guid":{"rendered":"https:\/\/drerkanteyin.com.tr\/?p=124"},"modified":"2026-09-16T18:20:58","modified_gmt":"2026-09-16T18:20:58","slug":"piriformis-sikisma-sendromu-nedir-belirtileri-piriformis-blok-ve-rft-tedavisi","status":"publish","type":"post","link":"https:\/\/onkolojiagri.com.tr\/?p=124","title":{"rendered":"Piriformis S\u0131k\u0131\u015fma Sendromu Nedir? Belirtileri, Piriformis Blok ve RFT Tedavisi"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\"><strong>Kal\u00e7adan baca\u011fa yay\u0131lan a\u011fr\u0131n\u0131n nedeni bel f\u0131t\u0131\u011f\u0131 olmayabilir<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Kal\u00e7an\u0131n derin k\u0131sm\u0131nda ba\u015flayan ve baca\u011fa do\u011fru yay\u0131lan a\u011fr\u0131 \u00e7o\u011fu zaman bel f\u0131t\u0131\u011f\u0131 ile ili\u015fkilendirilir. Ancak baz\u0131 hastalarda bel MR&#8217;\u0131nda belirgin bir sorun olmad\u0131\u011f\u0131 halde <strong>kal\u00e7adan baca\u011fa yay\u0131lan a\u011fr\u0131, uyu\u015fma, yanma veya batma<\/strong> \u015fik\u00e2yetleri bulunabilir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Bu durumun nedenlerinden biri <strong>piriformis sendromu<\/strong> olabilir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Piriformis kas\u0131 kal\u00e7an\u0131n derin b\u00f6l\u00fcm\u00fcnde bulunan k\u00fc\u00e7\u00fck bir kast\u0131r. Siyatik sinir bu kas\u0131n hemen yan\u0131ndan veya baz\u0131 ki\u015filerde kas\u0131n i\u00e7inden ge\u00e7erek baca\u011fa do\u011fru ilerler. Piriformis kas\u0131 veya \u00e7evresindeki dokular siyatik sinire bask\u0131 yapt\u0131\u011f\u0131nda sinir tahri\u015f olabilir ve siyatik sinire benzeyen a\u011fr\u0131lar ortaya \u00e7\u0131kabilir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Piriformis kas\u0131 nedir?<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Piriformis kas\u0131, le\u011fen kemi\u011finin i\u00e7 k\u0131sm\u0131ndan ba\u015flay\u0131p uyluk kemi\u011finin \u00fcst b\u00f6l\u00fcm\u00fcne uzanan, kal\u00e7an\u0131n derininde bulunan bir kast\u0131r.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Kal\u00e7an\u0131n d\u0131\u015fa do\u011fru d\u00f6nd\u00fcr\u00fclmesine ve kal\u00e7a ekleminin hareketlerinin dengelenmesine yard\u0131mc\u0131 olur.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Piriformis kas\u0131n\u0131n hemen yak\u0131n\u0131ndan <strong>siyatik sinir<\/strong> ge\u00e7er.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Siyatik sinir, bel b\u00f6lgesinden ba\u015flay\u0131p kal\u00e7a ve baca\u011f\u0131n arka k\u0131sm\u0131ndan a\u015fa\u011f\u0131 do\u011fru ilerleyen b\u00fcy\u00fck bir sinirdir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Bu nedenle piriformis b\u00f6lgesindeki sorunlar bazen <strong>bel f\u0131t\u0131\u011f\u0131na \u00e7ok benzeyen a\u011fr\u0131lara<\/strong> neden olabilir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Piriformis sendromu nedir?<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Piriformis sendromu, piriformis kas\u0131n\u0131n veya kas\u0131n \u00e7evresindeki yap\u0131lar\u0131n siyatik siniri tahri\u015f etmesi veya s\u0131k\u0131\u015ft\u0131rmas\u0131 sonucunda ortaya \u00e7\u0131kabilen bir a\u011fr\u0131 tablosudur.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Hastalar genellikle kal\u00e7an\u0131n derininde a\u011fr\u0131 hisseder.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">A\u011fr\u0131 zaman zaman;<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Kal\u00e7adan uylu\u011fun arka taraf\u0131na,<\/li>\n\n\n\n<li>Bald\u0131ra,<\/li>\n\n\n\n<li>Baca\u011fa,<\/li>\n\n\n\n<li>Nadiren aya\u011fa<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">do\u011fru yay\u0131labilir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Bu nedenle halk aras\u0131nda <strong>\u201ckal\u00e7adan baca\u011fa vuran a\u011fr\u0131\u201d<\/strong> olarak tarif edilen \u015fik\u00e2yetlerin nedenlerinden biri olabilir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Piriformis sendromunun belirtileri nelerdir?<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">En s\u0131k g\u00f6r\u00fclen belirtiler:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Kal\u00e7an\u0131n derininde a\u011fr\u0131,<\/li>\n\n\n\n<li>Kal\u00e7adan baca\u011fa yay\u0131lan a\u011fr\u0131,<\/li>\n\n\n\n<li>Uylu\u011fun arka taraf\u0131nda a\u011fr\u0131,<\/li>\n\n\n\n<li>Yanma,<\/li>\n\n\n\n<li>Batma,<\/li>\n\n\n\n<li>Kar\u0131ncalanma,<\/li>\n\n\n\n<li>Uyu\u015fma,<\/li>\n\n\n\n<li>Uzun s\u00fcre oturmakla artan a\u011fr\u0131,<\/li>\n\n\n\n<li>Kal\u00e7a hareketleriyle artan a\u011fr\u0131.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Baz\u0131 hastalar a\u011fr\u0131y\u0131 <strong>\u201ckal\u00e7am\u0131n i\u00e7inde bir noktada \u00e7ok ciddi a\u011fr\u0131 var\u201d<\/strong> \u015feklinde tarif eder.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u00d6zellikle uzun s\u00fcre oturmak \u015fik\u00e2yetleri belirgin \u015fekilde art\u0131rabilir.<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" src=\"http:\/\/drerkanteyin.com.tr\/wp-content\/uploads\/2026\/09\/priformis-rft-1024x768.webp\" alt=\"\" class=\"wp-image-126\"\/><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Piriformis sendromu neden olur?<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Piriformis kas\u0131n\u0131n a\u015f\u0131r\u0131 kullan\u0131lmas\u0131, kas\u0131n s\u00fcrekli kas\u0131l\u0131 kalmas\u0131 veya kal\u00e7a b\u00f6lgesindeki baz\u0131 anatomik \u00f6zellikler siyatik sinirin tahri\u015f olmas\u0131na neden olabilir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u015eu durumlarda ortaya \u00e7\u0131kabilir:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Uzun s\u00fcre oturmak,<\/li>\n\n\n\n<li>Uzun s\u00fcre ara\u00e7 kullanmak,<\/li>\n\n\n\n<li>Ko\u015fu ve yo\u011fun spor,<\/li>\n\n\n\n<li>Tekrarlayan kal\u00e7a hareketleri,<\/li>\n\n\n\n<li>Kal\u00e7a b\u00f6lgesindeki travmalar,<\/li>\n\n\n\n<li>Piriformis kas\u0131n\u0131n a\u015f\u0131r\u0131 kas\u0131lmas\u0131,<\/li>\n\n\n\n<li>Kal\u00e7a veya pelvis b\u00f6lgesindeki cerrahi giri\u015fimler.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Baz\u0131 ki\u015filerde ise belirgin bir neden bulunmayabilir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Piriformis sendromu bel f\u0131t\u0131\u011f\u0131 ile nas\u0131l ay\u0131rt edilir?<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Bu iki durum birbirine olduk\u00e7a benzeyebilir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Bel f\u0131t\u0131\u011f\u0131nda sorun genellikle omurgadan \u00e7\u0131kan sinir k\u00f6klerinden kaynaklan\u0131rken, piriformis sendromunda sorun <strong>kal\u00e7a b\u00f6lgesinde siyatik sinirin kendisinin tahri\u015f olmas\u0131 veya s\u0131k\u0131\u015fmas\u0131<\/strong> ile ili\u015fkilidir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Bu nedenle yaln\u0131zca MR g\u00f6r\u00fcnt\u00fcs\u00fcne bakarak karar vermek do\u011fru de\u011fildir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Hastan\u0131n a\u011fr\u0131s\u0131n\u0131n nerede ba\u015flad\u0131\u011f\u0131, nereye yay\u0131ld\u0131\u011f\u0131, hangi hareketlerle artt\u0131\u011f\u0131 ve fizik muayene bulgular\u0131 birlikte de\u011ferlendirilmelidir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Piriformis sendromu nas\u0131l te\u015fhis edilir?<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Piriformis sendromunun tan\u0131s\u0131nda hastan\u0131n \u015fik\u00e2yetleri ve fizik muayene \u00f6nemli yer tutar.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Kal\u00e7a hareketleri s\u0131ras\u0131nda a\u011fr\u0131n\u0131n ortaya \u00e7\u0131kmas\u0131, piriformis b\u00f6lgesinde hassasiyet bulunmas\u0131 ve baz\u0131 \u00f6zel muayene testlerinin pozitif olmas\u0131 tan\u0131y\u0131 destekleyebilir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Gerekli durumlarda bel ve kal\u00e7a g\u00f6r\u00fcnt\u00fclemeleri yap\u0131larak <strong>bel f\u0131t\u0131\u011f\u0131, kal\u00e7a eklemi hastal\u0131klar\u0131 ve di\u011fer sinir s\u0131k\u0131\u015fmalar\u0131<\/strong> ara\u015ft\u0131r\u0131l\u0131r.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Baz\u0131 hastalarda tan\u0131y\u0131 desteklemek amac\u0131yla <strong>piriformis b\u00f6lgesine yap\u0131lan tan\u0131sal enjeksiyondan<\/strong> yararlan\u0131labilir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Piriformis sendromu nas\u0131l tedavi edilir?<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Tedavi hastan\u0131n \u015fik\u00e2yetlerinin \u015fiddetine ve nedenine g\u00f6re belirlenir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u0130lk a\u015famada genellikle;<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Aktivite d\u00fczenlemesi,<\/li>\n\n\n\n<li>Fizik tedavi,<\/li>\n\n\n\n<li>Germe egzersizleri,<\/li>\n\n\n\n<li>Kal\u00e7a ve pelvik b\u00f6lgedeki kaslar\u0131n d\u00fczenlenmesine y\u00f6nelik egzersizler,<\/li>\n\n\n\n<li>A\u011fr\u0131 kesici veya sinir a\u011fr\u0131s\u0131na y\u00f6nelik ila\u00e7lar<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">de\u011ferlendirilir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Ancak baz\u0131 hastalarda bu tedavilere ra\u011fmen a\u011fr\u0131 devam edebilir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Bu durumda giri\u015fimsel a\u011fr\u0131 tedavileri g\u00fcndeme gelebilir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Piriformis blok nedir?<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Piriformis blok<\/strong>, piriformis kas\u0131n\u0131n ve \u00e7evresindeki a\u011fr\u0131l\u0131 b\u00f6lgenin hedeflenerek lokal anestezik ve uygun hastalarda ba\u015fka ila\u00e7lar\u0131n uygulanmas\u0131 i\u015flemidir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u0130\u015flem genellikle <strong>ultrason veya r\u00f6ntgen g\u00f6r\u00fcnt\u00fcleme e\u015fli\u011finde<\/strong> ger\u00e7ekle\u015ftirilir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u0130nce bir i\u011fne ile piriformis kas\u0131na veya hedeflenen b\u00f6lgeye ula\u015f\u0131l\u0131r.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Uygulanan ila\u00e7lar sayesinde;<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Kas\u0131n gev\u015femesi,<\/li>\n\n\n\n<li>B\u00f6lgesel a\u011fr\u0131n\u0131n azalmas\u0131,<\/li>\n\n\n\n<li>Sinir \u00e7evresindeki irritasyonun azalmas\u0131<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">sa\u011flanabilir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Piriformis enjeksiyonunun \u00f6nemli bir ba\u015fka \u00f6zelli\u011fi de <strong>tan\u0131sal olarak kullan\u0131labilmesidir<\/strong>.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u0130\u015flem sonras\u0131nda hastan\u0131n tipik a\u011fr\u0131s\u0131nda belirgin azalma olmas\u0131, piriformis b\u00f6lgesinin a\u011fr\u0131n\u0131n kayna\u011f\u0131nda rol oynad\u0131\u011f\u0131n\u0131 destekleyebilir.<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" src=\"http:\/\/drerkanteyin.com.tr\/wp-content\/uploads\/2026\/09\/priformis-blok-1024x768.webp\" alt=\"\" class=\"wp-image-125\"\/><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Piriformis botoks tedavisi<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Baz\u0131 hastalarda piriformis kas\u0131n\u0131n a\u015f\u0131r\u0131 kas\u0131lmas\u0131 \u00f6nemli bir rol oynuyorsa <strong>botulinum toksini (Botoks)<\/strong> enjeksiyonu da de\u011ferlendirilebilir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Botoks, kas\u0131n a\u015f\u0131r\u0131 kas\u0131lmas\u0131n\u0131 ge\u00e7ici olarak azaltabilir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u00d6zellikle konservatif tedavilere ra\u011fmen devam eden ve piriformis kas\u0131nda belirgin a\u015f\u0131r\u0131 kas\u0131lma bulunan uygun hastalarda kullan\u0131labilir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Botoks tedavisi ile RFT ayn\u0131 tedavi de\u011fildir. Hangi y\u00f6ntemin kullan\u0131laca\u011f\u0131 hastan\u0131n muayene bulgular\u0131na ve a\u011fr\u0131n\u0131n mekanizmas\u0131na g\u00f6re belirlenir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Piriformis RFT nedir?<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Radyofrekans tedavisi (RFT)<\/strong>, kronik a\u011fr\u0131n\u0131n kontrol alt\u0131na al\u0131nmas\u0131 amac\u0131yla kullan\u0131lan giri\u015fimsel a\u011fr\u0131 tedavilerinden biridir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Piriformis sendromunda RFT uygulanacak hedef, hastan\u0131n a\u011fr\u0131s\u0131n\u0131n mekanizmas\u0131na g\u00f6re belirlenir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Burada \u00f6nemli nokta \u015fudur:<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Radyofrekans tedavisi piriformis kas\u0131n\u0131 \u201cyakmak\u201d amac\u0131yla uygulanmaz.<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Uygun hastalarda a\u011fr\u0131 iletiminde rol oynayan sinirsel yap\u0131lara y\u00f6nelik radyofrekans y\u00f6ntemleri de\u011ferlendirilebilir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u00d6zellikle tan\u0131sal enjeksiyonlardan belirgin fakat ge\u00e7ici fayda g\u00f6ren, kronik a\u011fr\u0131s\u0131 devam eden se\u00e7ilmi\u015f hastalarda giri\u015fimsel tedaviler g\u00fcndeme gelebilir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Piriformis b\u00f6lgesinde pulsed radyofrekans (PRF)<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Pulsed radyofrekans (PRF)<\/strong>, sinir dokusuna kontroll\u00fc elektriksel enerji uygulanarak a\u011fr\u0131 iletimini de\u011fi\u015ftirmeyi ama\u00e7layan bir y\u00f6ntemdir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Klasik termal radyofrekranstan farkl\u0131 olarak temel ama\u00e7 siniri y\u00fcksek \u0131s\u0131yla tahrip etmek de\u011fildir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Piriformis sendromunda PRF&#8217;nin kullan\u0131laca\u011f\u0131 hedef, hastan\u0131n anatomisine ve a\u011fr\u0131n\u0131n kayna\u011f\u0131na g\u00f6re belirlenir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u00d6zellikle a\u011fr\u0131n\u0131n siyatik sinirle ili\u015fkili oldu\u011fu d\u00fc\u015f\u00fcn\u00fclen se\u00e7ilmi\u015f hastalarda bu y\u00f6ntem de\u011ferlendirilebilir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Piriformis blok ile RFT aras\u0131ndaki fark nedir?<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Basit \u015fekilde anlatmak gerekirse:<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Piriformis blok:<\/strong><br>Piriformis b\u00f6lgesine ila\u00e7 uygulanarak a\u011fr\u0131n\u0131n kayna\u011f\u0131n\u0131n belirlenmesine ve a\u011fr\u0131n\u0131n azalt\u0131lmas\u0131na yard\u0131mc\u0131 olur.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Botoks:<\/strong><br>Piriformis kas\u0131n\u0131n a\u015f\u0131r\u0131 kas\u0131lmas\u0131n\u0131 ge\u00e7ici olarak azaltmay\u0131 ama\u00e7lar.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>RFT\/PRF:<\/strong><br>Uygun hastalarda a\u011fr\u0131 iletiminde rol oynayan sinirsel yap\u0131lara y\u00f6nelik daha uzun s\u00fcreli a\u011fr\u0131 kontrol\u00fc amac\u0131yla de\u011ferlendirilebilir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Bu nedenle her hastaya ayn\u0131 i\u015flem uygulanmaz.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Piriformis RFT kal\u0131c\u0131 \u00e7\u00f6z\u00fcm m\u00fcd\u00fcr?<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Radyofrekans tedavisinin amac\u0131 a\u011fr\u0131y\u0131 azaltmak ve hastan\u0131n g\u00fcnl\u00fck ya\u015fam\u0131n\u0131 kolayla\u015ft\u0131rmakt\u0131r.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Her hastada kal\u0131c\u0131 ve tamamen a\u011fr\u0131s\u0131z bir sonu\u00e7 garanti edilemez.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Ayr\u0131ca piriformis b\u00f6lgesindeki a\u011fr\u0131n\u0131n ger\u00e7ek nedeni kas, sinir, kal\u00e7a eklemi veya bel kaynakl\u0131 olabilir. Bu nedenle i\u015flemden \u00f6nce <strong>do\u011fru tan\u0131n\u0131n konulmas\u0131<\/strong> tedavinin ba\u015far\u0131s\u0131 a\u00e7\u0131s\u0131ndan b\u00fcy\u00fck \u00f6nem ta\u015f\u0131r.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Piriformis sendromunda ameliyat gerekir mi?<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u00c7o\u011fu hastada ilk tedavi se\u00e7ene\u011fi ameliyat de\u011fildir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u0130la\u00e7 tedavisi, fizik tedavi, egzersiz ve uygun hastalarda enjeksiyon tedavileri \u00f6ncelikle de\u011ferlendirilir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u00c7ok az say\u0131da hastada, uzun s\u00fcre devam eden ve di\u011fer tedavilere yan\u0131t vermeyen belirgin sinir s\u0131k\u0131\u015fmas\u0131 s\u00f6z konusu oldu\u011funda cerrahi tedavi g\u00fcndeme gelebilir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Ne zaman doktora ba\u015fvurmal\u0131s\u0131n\u0131z?<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Kal\u00e7adan baca\u011fa yay\u0131lan a\u011fr\u0131n\u0131z varsa ve \u00f6zellikle;<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Uzun s\u00fcre oturmakla a\u011fr\u0131n\u0131z art\u0131yorsa,<\/li>\n\n\n\n<li>Kal\u00e7an\u0131n derininde belirgin bir a\u011fr\u0131 noktas\u0131 varsa,<\/li>\n\n\n\n<li>Bel tedavilerine ra\u011fmen a\u011fr\u0131n\u0131z devam ediyorsa,<\/li>\n\n\n\n<li>Bel MR&#8217;\u0131nda \u015fik\u00e2yeti a\u00e7\u0131klayacak belirgin bir sorun bulunmuyorsa,<\/li>\n\n\n\n<li>A\u011fr\u0131n\u0131z yanma veya elektrik \u00e7arpmas\u0131 \u015feklindeyse,<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">piriformis b\u00f6lgesi ve siyatik sinir a\u00e7\u0131s\u0131ndan de\u011ferlendirme yap\u0131labilir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Ancak <strong>bacakta belirgin g\u00fc\u00e7 kayb\u0131, idrar veya d\u0131\u015fk\u0131 kontrol\u00fcnde bozulma ya da h\u0131zla ilerleyen uyu\u015fma<\/strong> gibi belirtiler varsa piriformis sendromu ile yetinilmemeli ve acil t\u0131bbi de\u011ferlendirme yap\u0131lmal\u0131d\u0131r.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Sonu\u00e7<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Kal\u00e7adan baca\u011fa yay\u0131lan a\u011fr\u0131n\u0131n nedeni her zaman bel f\u0131t\u0131\u011f\u0131 de\u011fildir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Piriformis sendromu<\/strong>, kal\u00e7an\u0131n derininde bulunan piriformis kas\u0131 ile siyatik sinir aras\u0131ndaki ili\u015fki nedeniyle ortaya \u00e7\u0131kabilen ve siyatik a\u011fr\u0131s\u0131n\u0131 taklit edebilen bir durumdur.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Tedavide \u00f6ncelikle ila\u00e7, egzersiz ve fizik tedavi gibi y\u00f6ntemler de\u011ferlendirilir. Uygun hastalarda <strong>piriformis enjeksiyonu\/blok<\/strong>, baz\u0131 durumlarda <strong>Botoks<\/strong>, kronik ve se\u00e7ilmi\u015f vakalarda ise sinirsel a\u011fr\u0131 mekanizmas\u0131na y\u00f6nelik <strong>pulsed radyofrekans (PRF) veya radyofrekans tedavileri (RFT)<\/strong> de\u011ferlendirilebilir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Do\u011fru tan\u0131, do\u011fru tedavinin ilk ad\u0131m\u0131d\u0131r.<\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Kal\u00e7adan baca\u011fa yay\u0131lan a\u011fr\u0131n\u0131n nedeni bel f\u0131t\u0131\u011f\u0131 olmayabilir Kal\u00e7an\u0131n derin k\u0131sm\u0131nda ba\u015flayan ve baca\u011fa do\u011fru yay\u0131lan a\u011fr\u0131 \u00e7o\u011fu zaman bel f\u0131t\u0131\u011f\u0131 ile ili\u015fkilendirilir. Ancak baz\u0131 hastalarda bel MR&#8217;\u0131nda belirgin bir sorun olmad\u0131\u011f\u0131 halde kal\u00e7adan baca\u011fa yay\u0131lan a\u011fr\u0131, uyu\u015fma, yanma veya batma \u015fik\u00e2yetleri bulunabilir. Bu durumun nedenlerinden biri piriformis sendromu olabilir. Piriformis kas\u0131 kal\u00e7an\u0131n derin b\u00f6l\u00fcm\u00fcnde &#8230; <a title=\"Piriformis S\u0131k\u0131\u015fma Sendromu Nedir? Belirtileri, Piriformis Blok ve RFT Tedavisi\" class=\"read-more\" href=\"https:\/\/onkolojiagri.com.tr\/?p=124\" aria-label=\"Piriformis S\u0131k\u0131\u015fma Sendromu Nedir? Belirtileri, Piriformis Blok ve RFT Tedavisi hakk\u0131nda daha fazlas\u0131n\u0131 okuyun\">Devam\u0131n\u0131 oku<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[121],"tags":[67,124,125,49,126],"class_list":["post-124","post","type-post","status-publish","format-standard","hentry","category-bel-ve-boyun","tag-agri-tedavisi","tag-blok-ve-rft","tag-piriformis-botoks-tedavisi","tag-piriformis-sendromu","tag-piriformis-sikisma"],"_links":{"self":[{"href":"https:\/\/onkolojiagri.com.tr\/index.php?rest_route=\/wp\/v2\/posts\/124","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/onkolojiagri.com.tr\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/onkolojiagri.com.tr\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/onkolojiagri.com.tr\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/onkolojiagri.com.tr\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=124"}],"version-history":[{"count":0,"href":"https:\/\/onkolojiagri.com.tr\/index.php?rest_route=\/wp\/v2\/posts\/124\/revisions"}],"wp:attachment":[{"href":"https:\/\/onkolojiagri.com.tr\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=124"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/onkolojiagri.com.tr\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=124"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/onkolojiagri.com.tr\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=124"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}