{"id":59,"date":"2026-09-15T15:25:40","date_gmt":"2026-09-15T15:25:40","guid":{"rendered":"https:\/\/drerkanteyin.com.tr\/?p=59"},"modified":"2026-09-15T15:25:40","modified_gmt":"2026-09-15T15:25:40","slug":"servikojenik-bas-agrisi-ve-girisimsel-tedaviler","status":"publish","type":"post","link":"https:\/\/onkolojiagri.com.tr\/?p=59","title":{"rendered":"Servikojenik Ba\u015f A\u011fr\u0131s\u0131 ve Giri\u015fimsel Tedaviler"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\"><strong>Servikojenik ba\u015f a\u011fr\u0131s\u0131<\/strong>, a\u011fr\u0131n\u0131n kayna\u011f\u0131n\u0131n ba\u015f\u0131n kendisinden de\u011fil, <strong>boyun b\u00f6lgesindeki eklem, kas, ba\u011f veya sinirlerden<\/strong> kaynakland\u0131\u011f\u0131 ba\u015f a\u011fr\u0131s\u0131 t\u00fcr\u00fcd\u00fcr.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Hastalar \u00e7o\u011fu zaman a\u011fr\u0131y\u0131 <strong>ense ve boyundan ba\u015flay\u0131p ba\u015f\u0131n arkas\u0131na, \u015fakaklara, al\u0131na veya g\u00f6z \u00e7evresine do\u011fru yay\u0131lan<\/strong> bir a\u011fr\u0131 olarak tarif eder.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Boyun hareketleriyle artan ba\u015f a\u011fr\u0131s\u0131, boyun hareketlerinde k\u0131s\u0131tl\u0131l\u0131k ve \u00f6zellikle tek tarafl\u0131 a\u011fr\u0131 servikojenik ba\u015f a\u011fr\u0131s\u0131n\u0131 d\u00fc\u015f\u00fcnd\u00fcrebilir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Servikojenik ba\u015f a\u011fr\u0131s\u0131 neden olur?<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Boyun omurlar\u0131n\u0131n \u00fcst k\u0131sm\u0131ndaki eklemler, kaslar ve sinirler ba\u015f b\u00f6lgesindeki a\u011fr\u0131 yollar\u0131yla yak\u0131ndan ili\u015fkilidir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u00d6zellikle <strong>\u00fcst boyun eklemlerindeki (faset eklemlerindeki) sorunlar<\/strong> ba\u015f a\u011fr\u0131s\u0131na neden olabilir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">S\u0131k g\u00f6r\u00fclen nedenler aras\u0131nda:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Boyun eklemlerinde a\u015f\u0131nma,<\/li>\n\n\n\n<li>Boyun f\u0131t\u0131\u011f\u0131 veya disk sorunlar\u0131,<\/li>\n\n\n\n<li>Boyun kaslar\u0131nda uzun s\u00fcreli gerginlik,<\/li>\n\n\n\n<li>K\u00f6t\u00fc duru\u015f,<\/li>\n\n\n\n<li>Boyun travmalar\u0131,<\/li>\n\n\n\n<li>Daha \u00f6nce ge\u00e7irilmi\u015f trafik kazalar\u0131<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">bulunabilir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Ancak her boyun a\u011fr\u0131s\u0131 ile birlikte g\u00f6r\u00fclen ba\u015f a\u011fr\u0131s\u0131 servikojenik ba\u015f a\u011fr\u0131s\u0131 de\u011fildir. <strong>Migren ve gerilim tipi ba\u015f a\u011fr\u0131s\u0131<\/strong> gibi ba\u015fka ba\u015f a\u011fr\u0131lar\u0131n\u0131n da mutlaka de\u011ferlendirilmesi gerekir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Servikojenik ba\u015f a\u011fr\u0131s\u0131 nas\u0131l anla\u015f\u0131l\u0131r?<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">A\u011fr\u0131 \u00e7o\u011funlukla <strong>boyun veya ense b\u00f6lgesinden ba\u015flar<\/strong> ve ba\u015fa do\u011fru yay\u0131l\u0131r.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u015eu \u00f6zellikler g\u00f6r\u00fclebilir:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Tek tarafl\u0131 ba\u015f a\u011fr\u0131s\u0131,<\/li>\n\n\n\n<li>Ense k\u00f6k\u00fcnde a\u011fr\u0131,<\/li>\n\n\n\n<li>Boyun hareketleriyle a\u011fr\u0131n\u0131n artmas\u0131,<\/li>\n\n\n\n<li>Boyun hareketlerinde k\u0131s\u0131tl\u0131l\u0131k,<\/li>\n\n\n\n<li>Omuz ve k\u00fcrek kemi\u011fine yay\u0131lan a\u011fr\u0131,<\/li>\n\n\n\n<li>Ba\u015f\u0131n arka k\u0131sm\u0131nda bask\u0131 veya batma hissi.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Baz\u0131 hastalar a\u011fr\u0131y\u0131 <strong>\u201cEnsemden ba\u015flay\u0131p ba\u015f\u0131m\u0131n i\u00e7ine do\u011fru \u00e7\u0131k\u0131yor\u201d<\/strong> \u015feklinde tarif eder.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Tan\u0131 nas\u0131l konulur?<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Servikojenik ba\u015f a\u011fr\u0131s\u0131nda <strong>hastan\u0131n \u015fik\u00e2yetleri ve muayenesi<\/strong> \u00e7ok \u00f6nemlidir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Boyun hareketleri, eklemler, kaslar ve sinirler de\u011ferlendirilir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Gerekli durumlarda <strong>boyun MR&#8217;\u0131 veya r\u00f6ntgen gibi g\u00f6r\u00fcnt\u00fcleme y\u00f6ntemleri<\/strong> kullan\u0131labilir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Ancak MR&#8217;da g\u00f6r\u00fclen her boyun f\u0131t\u0131\u011f\u0131 veya kire\u00e7lenme ba\u015f a\u011fr\u0131s\u0131n\u0131n nedeni de\u011fildir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Bu nedenle g\u00f6r\u00fcnt\u00fcleme sonu\u00e7lar\u0131n\u0131n hastan\u0131n muayenesi ve \u015fik\u00e2yetleriyle birlikte de\u011ferlendirilmesi gerekir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Servikojenik ba\u015f a\u011fr\u0131s\u0131nda giri\u015fimsel tedaviler<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u0130la\u00e7 tedavisi, fizik tedavi, egzersiz ve duru\u015f d\u00fczenlemesine ra\u011fmen a\u011fr\u0131s\u0131 devam eden uygun hastalarda <strong>giri\u015fimsel a\u011fr\u0131 tedavileri<\/strong> uygulanabilir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Tedavinin se\u00e7imi a\u011fr\u0131n\u0131n hangi yap\u0131dan kaynakland\u0131\u011f\u0131na g\u00f6re yap\u0131l\u0131r.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Boyun faset eklem sinirlerine radyofrekans (RF)<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u00dcst boyundaki faset eklemlerinden gelen a\u011fr\u0131 sinyallerini ta\u015f\u0131yan <strong>medial dal sinirleri<\/strong> baz\u0131 hastalarda ba\u015f a\u011fr\u0131s\u0131n\u0131n kayna\u011f\u0131 olabilir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u00d6ncelikle bu sinirlere <strong>tan\u0131sal sinir blo\u011fu<\/strong> yap\u0131labilir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Blok sonras\u0131nda a\u011fr\u0131da belirgin azalma g\u00f6r\u00fcl\u00fcrse, uygun hastalarda <strong>radyofrekans (RF) tedavisi<\/strong> d\u00fc\u015f\u00fcn\u00fclebilir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Halk aras\u0131nda bu i\u015flem <strong>\u201csinir yakma\u201d<\/strong> olarak bilinir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Radyofrekans\u0131n amac\u0131 siniri tamamen yok etmek de\u011fil, <strong>a\u011fr\u0131 sinyallerinin iletimini azaltmakt\u0131r.<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u00d6zellikle tekrarlayan ve faset eklem kaynakl\u0131 oldu\u011fu d\u00fc\u015f\u00fcn\u00fclen servikojenik ba\u015f a\u011fr\u0131lar\u0131nda de\u011ferlendirilebilir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>B\u00fcy\u00fck oksipital sinir blo\u011fu<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>B\u00fcy\u00fck oksipital sinir<\/strong>, ba\u015f\u0131n arka k\u0131sm\u0131ndaki duyuyu ta\u015f\u0131yan \u00f6nemli sinirlerden biridir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Ense k\u00f6k\u00fcnden ba\u015flay\u0131p ba\u015f\u0131n arkas\u0131na yay\u0131lan a\u011fr\u0131larda bu sinire <strong>oksipital sinir blo\u011fu<\/strong> uygulanabilir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Sinirin \u00e7evresine lokal anestezik ila\u00e7 verilerek a\u011fr\u0131 sinyallerinin azalt\u0131lmas\u0131 ama\u00e7lan\u0131r.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Baz\u0131 hastalarda blok hem <strong>tan\u0131ya yard\u0131mc\u0131 olmak hem de tedavi amac\u0131yla<\/strong> kullan\u0131labilir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Oksipital sinir pulsed RF<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Oksipital sinir blo\u011fundan fayda g\u00f6ren ancak a\u011fr\u0131s\u0131 tekrar eden se\u00e7ilmi\u015f hastalarda <strong>pulsed radyofrekans (PRF)<\/strong> de\u011ferlendirilebilir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">PRF&#8217;de kontroll\u00fc enerji darbeleri kullan\u0131l\u0131r.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Ama\u00e7 siniri tamamen yok etmek de\u011fil, <strong>a\u011fr\u0131 iletimini de\u011fi\u015ftirmek ve azaltmakt\u0131r.<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u00d6zellikle ba\u015f\u0131n arka k\u0131sm\u0131nda yo\u011funla\u015fan ve oksipital sinir kaynakl\u0131 oldu\u011fu d\u00fc\u015f\u00fcn\u00fclen a\u011fr\u0131larda kullan\u0131labilir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Servikal epidural enjeksiyon<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Boyun b\u00f6lgesindeki sinir k\u00f6klerinin etkilenmesine ba\u011fl\u0131 a\u011fr\u0131 veya baz\u0131 \u00f6zel durumlarda <strong>servikal epidural enjeksiyon<\/strong> de\u011ferlendirilebilir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Ancak servikojenik ba\u015f a\u011fr\u0131s\u0131n\u0131n her hastas\u0131nda epidural enjeksiyon yap\u0131lmas\u0131 gerekmez.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Bu tedavi daha \u00e7ok <strong>sinir k\u00f6k\u00fc etkilenmesi, boyun f\u0131t\u0131\u011f\u0131 veya buna ba\u011fl\u0131 kola yay\u0131lan a\u011fr\u0131 gibi ek bulgular<\/strong> oldu\u011funda g\u00fcndeme gelir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Servikal sinir k\u00f6k\u00fc blo\u011fu<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Baz\u0131 hastalarda a\u011fr\u0131n\u0131n belirli bir <strong>boyun sinir k\u00f6k\u00fcnden<\/strong> kaynakland\u0131\u011f\u0131 d\u00fc\u015f\u00fcn\u00fcl\u00fcyorsa tan\u0131sal veya tedavi amac\u0131yla sinir k\u00f6k\u00fc blo\u011fu yap\u0131labilir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Bu y\u00f6ntem \u00f6zellikle boyun kaynakl\u0131 a\u011fr\u0131n\u0131n ba\u015f b\u00f6lgesine yay\u0131lmas\u0131 ve sinir k\u00f6k\u00fc etkilenmesi bulunan hastalarda de\u011ferlendirilebilir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Giri\u015fimsel tedavi ne zaman d\u00fc\u015f\u00fcn\u00fcl\u00fcr?<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u00d6zellikle;<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Uzun s\u00fcredir devam eden ba\u015f a\u011fr\u0131s\u0131 olan,<\/li>\n\n\n\n<li>Boyun hareketleriyle a\u011fr\u0131s\u0131 artan,<\/li>\n\n\n\n<li>Fizik tedavi ve egzersize ra\u011fmen \u015fik\u00e2yeti devam eden,<\/li>\n\n\n\n<li>\u0130la\u00e7 tedavisinden yeterli fayda g\u00f6rmeyen,<\/li>\n\n\n\n<li>A\u011fr\u0131n\u0131n boyun eklemleri veya sinirlerinden kaynakland\u0131\u011f\u0131 d\u00fc\u015f\u00fcn\u00fclen<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">uygun hastalarda giri\u015fimsel tedaviler de\u011ferlendirilebilir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Her hastaya ayn\u0131 i\u015flem uygulanmaz.<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u00d6rne\u011fin faset eklem kaynakl\u0131 a\u011fr\u0131da medial dal RF, oksipital sinir kaynakl\u0131 a\u011fr\u0131da oksipital sinir blo\u011fu veya PRF daha uygun olabilir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>K\u0131saca<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Servikojenik ba\u015f a\u011fr\u0131s\u0131<\/strong>, ba\u015f a\u011fr\u0131s\u0131n\u0131n kayna\u011f\u0131n\u0131n boyun b\u00f6lgesindeki eklem, kas veya sinirler olmas\u0131 durumudur.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Genellikle <strong>ense ve boyundan ba\u015flayarak ba\u015f\u0131n arkas\u0131na veya ba\u015f\u0131n di\u011fer b\u00f6lgelerine yay\u0131lan<\/strong>, boyun hareketleriyle artabilen bir a\u011fr\u0131d\u0131r.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Tedavide \u00f6ncelikle <strong>ila\u00e7, fizik tedavi, egzersiz ve duru\u015f d\u00fczenlemesi<\/strong> uygulan\u0131r.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Bunlara ra\u011fmen devam eden uygun hastalarda:<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Boyun faset sinirlerine RF \u2192<\/strong> a\u011fr\u0131 sinyallerini azaltmay\u0131 ama\u00e7lar.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Oksipital sinir blo\u011fu \u2192<\/strong> ba\u015f\u0131n arka k\u0131sm\u0131ndaki a\u011fr\u0131y\u0131 azaltabilir ve tan\u0131ya yard\u0131mc\u0131 olabilir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Oksipital sinir PRF \u2192<\/strong> se\u00e7ilmi\u015f hastalarda daha uzun s\u00fcreli a\u011fr\u0131 kontrol\u00fc amac\u0131yla de\u011ferlendirilebilir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Servikal epidural veya sinir k\u00f6k\u00fc blo\u011fu \u2192<\/strong> \u00f6zellikle sinir k\u00f6k\u00fc etkilenmesinin e\u015flik etti\u011fi uygun hastalarda d\u00fc\u015f\u00fcn\u00fclebilir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Tedavinin ba\u015far\u0131l\u0131 olabilmesi i\u00e7in en \u00f6nemli nokta <strong>ba\u015f a\u011fr\u0131s\u0131n\u0131n ger\u00e7ekten boyun kaynakl\u0131 oldu\u011funun do\u011fru belirlenmesidir.<\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Servikojenik ba\u015f a\u011fr\u0131s\u0131, a\u011fr\u0131n\u0131n kayna\u011f\u0131n\u0131n ba\u015f\u0131n kendisinden de\u011fil, boyun b\u00f6lgesindeki eklem, kas, ba\u011f veya sinirlerden kaynakland\u0131\u011f\u0131 ba\u015f a\u011fr\u0131s\u0131 t\u00fcr\u00fcd\u00fcr. Hastalar \u00e7o\u011fu zaman a\u011fr\u0131y\u0131 ense ve boyundan ba\u015flay\u0131p ba\u015f\u0131n arkas\u0131na, \u015fakaklara, al\u0131na veya g\u00f6z \u00e7evresine do\u011fru yay\u0131lan bir a\u011fr\u0131 olarak tarif eder. Boyun hareketleriyle artan ba\u015f a\u011fr\u0131s\u0131, boyun hareketlerinde k\u0131s\u0131tl\u0131l\u0131k ve \u00f6zellikle tek tarafl\u0131 a\u011fr\u0131 servikojenik &#8230; <a title=\"Servikojenik Ba\u015f A\u011fr\u0131s\u0131 ve Giri\u015fimsel Tedaviler\" class=\"read-more\" href=\"https:\/\/onkolojiagri.com.tr\/?p=59\" aria-label=\"Servikojenik Ba\u015f A\u011fr\u0131s\u0131 ve Giri\u015fimsel Tedaviler 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":[68],"tags":[67,73,70,61,56,74,72],"class_list":["post-59","post","type-post","status-publish","format-standard","hentry","category-bas-agrilari","tag-agri-tedavisi","tag-gerilim-tipi-bas-agrisi","tag-girisimsel-tedaviler","tag-kume-bas-agrisi","tag-migren","tag-servikojenik","tag-sfenopalatin"],"_links":{"self":[{"href":"https:\/\/onkolojiagri.com.tr\/index.php?rest_route=\/wp\/v2\/posts\/59","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=59"}],"version-history":[{"count":0,"href":"https:\/\/onkolojiagri.com.tr\/index.php?rest_route=\/wp\/v2\/posts\/59\/revisions"}],"wp:attachment":[{"href":"https:\/\/onkolojiagri.com.tr\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=59"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/onkolojiagri.com.tr\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=59"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/onkolojiagri.com.tr\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=59"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}