{"id":268,"date":"2026-09-18T20:00:43","date_gmt":"2026-09-18T20:00:43","guid":{"rendered":"https:\/\/drerkanteyin.com.tr\/?p=268"},"modified":"2026-09-18T20:00:43","modified_gmt":"2026-09-18T20:00:43","slug":"boyun-bolgesi-agrilari-ve-nedenleri","status":"publish","type":"post","link":"https:\/\/onkolojiagri.com.tr\/?p=268","title":{"rendered":"Boyun B\u00f6lgesi A\u011fr\u0131lar\u0131 ve Nedenleri"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\"><strong>Boyun a\u011fr\u0131s\u0131<\/strong>, masa ba\u015f\u0131nda \u00e7al\u0131\u015fanlardan a\u011f\u0131r i\u015f yapanlara kadar her ya\u015fta g\u00f6r\u00fclebilen yayg\u0131n bir \u015fik\u00e2yettir. Boyun b\u00f6lgesindeki a\u011fr\u0131 yaln\u0131zca kaslardan kaynaklanmaz. <strong>Boyun f\u0131t\u0131\u011f\u0131 (servikal HNP), disk kaynakl\u0131 a\u011fr\u0131, faset eklem a\u011fr\u0131s\u0131, miyofasiyal a\u011fr\u0131, sinir s\u0131k\u0131\u015fmas\u0131 ve boyun omurlar\u0131ndaki dejeneratif de\u011fi\u015fiklikler<\/strong> boyun a\u011fr\u0131s\u0131na neden olabilir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">A\u011fr\u0131n\u0131n kayna\u011f\u0131n\u0131 do\u011fru belirlemek, uygun tedavinin se\u00e7ilmesi a\u00e7\u0131s\u0131ndan \u00f6nemlidir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Faset Eklem Kaynakl\u0131 Boyun A\u011fr\u0131s\u0131<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Boyun omurlar\u0131n\u0131n arka taraf\u0131nda birbirleriyle ba\u011flant\u0131 sa\u011flayan k\u00fc\u00e7\u00fck eklemler bulunur. Bunlara <strong>faset eklemleri<\/strong> denir. Bu eklemlerde ya\u015fa ba\u011fl\u0131 y\u0131pranma, kire\u00e7lenme, a\u015f\u0131r\u0131 y\u00fcklenme veya travma sonucunda a\u011fr\u0131 geli\u015febilir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Faset kaynakl\u0131 a\u011fr\u0131 genellikle <strong>boynun arka veya yan taraf\u0131nda<\/strong> hissedilir ve omuzlara, k\u00fcrek kemi\u011fi \u00e7evresine veya ba\u015f\u0131n arka k\u0131sm\u0131na yay\u0131labilir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Boyun hareketleriyle, \u00f6zellikle geriye do\u011fru e\u011filme ve d\u00f6nme hareketleriyle a\u011fr\u0131 artabilir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Baz\u0131 hastalarda faset eklemlerinden kaynaklanan a\u011fr\u0131n\u0131n de\u011ferlendirilmesi amac\u0131yla <strong>tan\u0131sal faset eklem veya medial dal bloklar\u0131<\/strong> uygulanabilir. Uygun hastalarda tan\u0131sal bloklara verilen yan\u0131ta g\u00f6re <strong>radyofrekans tedavisi<\/strong> gibi giri\u015fimsel y\u00f6ntemler de\u011ferlendirilebilir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Disk Kaynakl\u0131 (Diskojenik) Boyun A\u011fr\u0131s\u0131<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Boyun omurlar\u0131 aras\u0131nda bulunan diskler, omurgan\u0131n hareketini sa\u011flayan ve y\u00fckleri da\u011f\u0131tan yap\u0131lard\u0131r. Zaman i\u00e7erisinde disklerde su kayb\u0131 ve yap\u0131sal bozulmalar meydana gelebilir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Baz\u0131 hastalarda a\u011fr\u0131n\u0131n kayna\u011f\u0131 do\u011frudan disk dokusu olabilir. Buna <strong>diskojenik boyun a\u011fr\u0131s\u0131<\/strong> denir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Disk kaynakl\u0131 a\u011fr\u0131 genellikle boyunda hissedilir ve baz\u0131 hastalarda omuz veya k\u00fcrek kemi\u011fi \u00e7evresine yay\u0131labilir. Ancak <strong>her boyun f\u0131t\u0131\u011f\u0131 veya MR&#8217;da g\u00f6r\u00fclen disk bozuklu\u011fu a\u011fr\u0131n\u0131n nedeni de\u011fildir.<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Bu nedenle MR g\u00f6r\u00fcnt\u00fcs\u00fcndeki bulgunun hastan\u0131n \u015fik\u00e2yetleri ve muayene bulgular\u0131 ile birlikte de\u011ferlendirilmesi gerekir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Boyun F\u0131t\u0131\u011f\u0131 (Servikal HNP)<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Halk aras\u0131nda <strong>boyun f\u0131t\u0131\u011f\u0131<\/strong> olarak bilinen servikal disk hernisi, boyun omurlar\u0131 aras\u0131ndaki diskin d\u0131\u015far\u0131 do\u011fru ta\u015farak sinir k\u00f6klerine veya daha nadiren omurili\u011fe bask\u0131 yapmas\u0131 durumudur.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Boyun f\u0131t\u0131\u011f\u0131 yaln\u0131zca boyun a\u011fr\u0131s\u0131na neden olmayabilir. Sinir k\u00f6k\u00fc etkilenirse:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Omuzdan kola yay\u0131lan a\u011fr\u0131<\/li>\n\n\n\n<li>Kolda veya elde uyu\u015fma<\/li>\n\n\n\n<li>Kar\u0131ncalanma<\/li>\n\n\n\n<li>Elektrik \u00e7arpar tarzda a\u011fr\u0131<\/li>\n\n\n\n<li>El veya kolda g\u00fc\u00e7 kayb\u0131<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">g\u00f6r\u00fclebilir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Sinir k\u00f6k\u00fc bas\u0131s\u0131na ba\u011fl\u0131 kola yay\u0131lan bu a\u011fr\u0131ya <strong>servikal radik\u00fclopati<\/strong> denir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Her boyun f\u0131t\u0131\u011f\u0131nda ameliyat gerekmez. Hastan\u0131n n\u00f6rolojik durumu, a\u011fr\u0131n\u0131n \u015fiddeti, g\u00f6r\u00fcnt\u00fcleme bulgular\u0131 ve uygulanan tedavilere verdi\u011fi yan\u0131t birlikte de\u011ferlendirilerek tedavi planlan\u0131r.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Miyofasiyal Boyun A\u011fr\u0131s\u0131<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Boyun a\u011fr\u0131lar\u0131n\u0131n s\u0131k nedenlerinden biri de <strong>kas ve kaslar\u0131n \u00e7evresindeki dokulardan kaynaklanan miyofasiyal a\u011fr\u0131d\u0131r.<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Uzun s\u00fcre bilgisayar veya telefon kullanmak, yanl\u0131\u015f pozisyonda \u00e7al\u0131\u015fmak, stres, kaslar\u0131n a\u015f\u0131r\u0131 kullan\u0131lmas\u0131 veya boyun b\u00f6lgesinin zorlanmas\u0131 kaslarda gerginli\u011fe neden olabilir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Baz\u0131 kaslar\u0131n i\u00e7erisinde <strong>tetik noktalar<\/strong> olu\u015fabilir. Bu noktalar \u00fczerine bas\u0131ld\u0131\u011f\u0131nda a\u011fr\u0131 ortaya \u00e7\u0131kabilir veya a\u011fr\u0131 ba\u015fka bir b\u00f6lgeye yans\u0131yabilir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Miyofasiyal a\u011fr\u0131da:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Boyun ve omuzlarda sertlik<\/li>\n\n\n\n<li>Kaslarda gerginlik<\/li>\n\n\n\n<li>Dokunmakla hassasiyet<\/li>\n\n\n\n<li>Omuz ve k\u00fcrek kemi\u011fine yay\u0131lan a\u011fr\u0131<\/li>\n\n\n\n<li>Hareket k\u0131s\u0131tl\u0131l\u0131\u011f\u0131<\/li>\n\n\n\n<li>Ba\u015f a\u011fr\u0131s\u0131<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">g\u00f6r\u00fclebilir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Tedavide egzersiz, fizik tedavi, post\u00fcr d\u00fczenlemesi ve uygun hastalarda <strong>tetik nokta enjeksiyonlar\u0131, kuru i\u011fneleme ve di\u011fer giri\u015fimsel y\u00f6ntemler<\/strong> de\u011ferlendirilebilir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Boyun Kire\u00e7lenmesi ve Dejeneratif De\u011fi\u015fiklikler<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Ya\u015f ilerledik\u00e7e boyun omurlar\u0131nda ve eklemlerde y\u0131pranmalar meydana gelebilir. Halk aras\u0131nda \u201cboyun kire\u00e7lenmesi\u201d olarak adland\u0131r\u0131lan bu durum t\u0131bben <strong>servikal spondiloz<\/strong> olarak ifade edilir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Boyun hareketlerinde k\u0131s\u0131tl\u0131l\u0131k, tutukluk ve a\u011fr\u0131 g\u00f6r\u00fclebilir. Baz\u0131 hastalarda olu\u015fan kemik \u00e7\u0131k\u0131nt\u0131lar\u0131 sinir k\u00f6klerine veya omurili\u011fe bask\u0131 yapabilir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Ancak MR veya r\u00f6ntgende kire\u00e7lenme g\u00f6r\u00fclmesi, mutlaka a\u011fr\u0131n\u0131n nedeninin bu oldu\u011fu anlam\u0131na gelmez. G\u00f6r\u00fcnt\u00fcleme bulgular\u0131 hastan\u0131n \u015fik\u00e2yetleri ve muayenesiyle birlikte de\u011ferlendirilmelidir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Boyundan Kaynaklanan Ba\u015f ve Omuz A\u011fr\u0131lar\u0131<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Boyun b\u00f6lgesindeki eklem, disk ve kaslardan kaynaklanan a\u011fr\u0131 yaln\u0131zca boyunda hissedilmeyebilir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">A\u011fr\u0131:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Enseye<\/li>\n\n\n\n<li>Ba\u015f\u0131n arka k\u0131sm\u0131na<\/li>\n\n\n\n<li>\u015eakaklara<\/li>\n\n\n\n<li>Omuzlara<\/li>\n\n\n\n<li>K\u00fcrek kemi\u011fi \u00e7evresine<\/li>\n\n\n\n<li>Kollara<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">yay\u0131labilir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Bu nedenle \u00f6zellikle <strong>boyun hareketleriyle artan ve ense b\u00f6lgesinden ba\u015fa yay\u0131lan a\u011fr\u0131larda boyun kaynakl\u0131 ba\u015f a\u011fr\u0131s\u0131<\/strong> da de\u011ferlendirilmelidir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Boyun A\u011fr\u0131s\u0131nda Hangi Tedaviler Uygulanabilir?<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Tedavi, a\u011fr\u0131n\u0131n kayna\u011f\u0131na g\u00f6re de\u011fi\u015fir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Kas kaynakl\u0131 a\u011fr\u0131larda egzersiz, fizik tedavi, ila\u00e7 tedavisi ve uygun hastalarda tetik nokta tedavileri kullan\u0131labilir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Sinir k\u00f6k\u00fc kaynakl\u0131 a\u011fr\u0131larda ila\u00e7 tedavilerinin yan\u0131nda uygun hastalarda <strong>servikal epidural enjeksiyon veya selektif sinir k\u00f6k\u00fc enjeksiyonlar\u0131<\/strong> de\u011ferlendirilebilir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Faset eklem kaynakl\u0131 a\u011fr\u0131larda tan\u0131sal medial dal bloklar\u0131 ve uygun hastalarda <strong>radyofrekans tedavisi<\/strong> d\u00fc\u015f\u00fcn\u00fclebilir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u0130leri derecede sinir veya omurilik bas\u0131s\u0131, ilerleyen g\u00fc\u00e7 kayb\u0131 ya da ciddi n\u00f6rolojik bulgular varsa <strong>beyin cerrahisi de\u011ferlendirmesi<\/strong> gerekebilir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Unutmay\u0131n<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Her boyun a\u011fr\u0131s\u0131 boyun f\u0131t\u0131\u011f\u0131 de\u011fildir. Her MR bulgusu da a\u011fr\u0131n\u0131n nedeni de\u011fildir.<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Do\u011fru tedavi i\u00e7in \u00f6ncelikle a\u011fr\u0131n\u0131n <strong>kas, faset eklem, disk, sinir k\u00f6k\u00fc veya ba\u015fka bir yap\u0131dan kaynaklan\u0131p kaynaklanmad\u0131\u011f\u0131n\u0131n<\/strong> belirlenmesi gerekir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Uzun s\u00fcren, tekrarlayan veya kola yay\u0131lan boyun a\u011fr\u0131lar\u0131nda uzman de\u011ferlendirmesi, do\u011fru tan\u0131 ve uygun tedavi plan\u0131 a\u00e7\u0131s\u0131ndan \u00f6nemlidir. <a href=\"https:\/\/onkolojiagri.com.tr\/\" data-type=\"page\" data-id=\"10\">Dr. Erkan TEY\u0130N<\/a><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Boyun a\u011fr\u0131s\u0131, masa ba\u015f\u0131nda \u00e7al\u0131\u015fanlardan a\u011f\u0131r i\u015f yapanlara kadar her ya\u015fta g\u00f6r\u00fclebilen yayg\u0131n bir \u015fik\u00e2yettir. Boyun b\u00f6lgesindeki a\u011fr\u0131 yaln\u0131zca kaslardan kaynaklanmaz. Boyun f\u0131t\u0131\u011f\u0131 (servikal HNP), disk kaynakl\u0131 a\u011fr\u0131, faset eklem a\u011fr\u0131s\u0131, miyofasiyal a\u011fr\u0131, sinir s\u0131k\u0131\u015fmas\u0131 ve boyun omurlar\u0131ndaki dejeneratif de\u011fi\u015fiklikler boyun a\u011fr\u0131s\u0131na neden olabilir. A\u011fr\u0131n\u0131n kayna\u011f\u0131n\u0131 do\u011fru belirlemek, uygun tedavinin se\u00e7ilmesi a\u00e7\u0131s\u0131ndan \u00f6nemlidir. Faset Eklem &#8230; <a title=\"Boyun B\u00f6lgesi A\u011fr\u0131lar\u0131 ve Nedenleri\" class=\"read-more\" href=\"https:\/\/onkolojiagri.com.tr\/?p=268\" aria-label=\"Boyun B\u00f6lgesi A\u011fr\u0131lar\u0131 ve Nedenleri 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":[121,108,141],"tags":[67,120,27,123,31,70],"class_list":["post-268","post","type-post","status-publish","format-standard","hentry","category-bel-ve-boyun","category-omurga","category-tedavi-yontemleri","tag-agri-tedavisi","tag-bel-agrisi","tag-bel-fitigi","tag-boyun-agrisi","tag-boyun-fitigi","tag-girisimsel-tedaviler"],"_links":{"self":[{"href":"https:\/\/onkolojiagri.com.tr\/index.php?rest_route=\/wp\/v2\/posts\/268","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=268"}],"version-history":[{"count":0,"href":"https:\/\/onkolojiagri.com.tr\/index.php?rest_route=\/wp\/v2\/posts\/268\/revisions"}],"wp:attachment":[{"href":"https:\/\/onkolojiagri.com.tr\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=268"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/onkolojiagri.com.tr\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=268"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/onkolojiagri.com.tr\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=268"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}