{"id":99,"date":"2026-09-16T17:31:07","date_gmt":"2026-09-16T17:31:07","guid":{"rendered":"https:\/\/drerkanteyin.com.tr\/?p=99"},"modified":"2026-09-16T17:31:07","modified_gmt":"2026-09-16T17:31:07","slug":"topuk-dikeni-tedavisi-perkutan-tedavi-radyofrekans-ve-steroid","status":"publish","type":"post","link":"https:\/\/onkolojiagri.com.tr\/?p=99","title":{"rendered":"Topuk Dikeni Tedavisi: Perk\u00fctan Tedavi, Radyofrekans ve Steroid"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\"><strong>Topuk dikeni<\/strong>, toplumda topuk a\u011fr\u0131s\u0131n\u0131n en s\u0131k nedenlerinden biri olarak bilinse de asl\u0131nda a\u011fr\u0131n\u0131n as\u0131l nedeni \u00e7o\u011fu zaman <strong>plantar fasya ad\u0131 verilen ayak taban\u0131ndaki ba\u011f dokusunun zorlanmas\u0131 ve iltihabi olmayan dejeneratif de\u011fi\u015fiklikleridir.<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Topuk alt\u0131nda, \u00f6zellikle sabah ilk ad\u0131mlarda ortaya \u00e7\u0131kan a\u011fr\u0131 tipiktir. Uzun s\u00fcre ayakta kalmak, y\u00fcr\u00fcmek veya ko\u015fmak a\u011fr\u0131y\u0131 art\u0131rabilir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u00c7o\u011fu hasta <strong>germe egzersizleri, uygun ayakkab\u0131, tabanl\u0131k, kilo kontrol\u00fc ve fizik tedavi<\/strong> gibi y\u00f6ntemlerle d\u00fczelir. Ancak uzun s\u00fcre devam eden ve bu tedavilere ra\u011fmen ge\u00e7meyen topuk a\u011fr\u0131lar\u0131nda giri\u015fimsel tedaviler de\u011ferlendirilebilir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Topuk dikeni neden a\u011fr\u0131 yapar?<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Topuk kemi\u011finin alt\u0131nda bulunan <strong>plantar fasya<\/strong>, aya\u011f\u0131n taban\u0131ndaki \u00f6nemli destek dokular\u0131ndan biridir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Uzun s\u00fcreli y\u00fcklenme sonucunda bu dokuda kal\u0131nla\u015fma ve yap\u0131sal bozulmalar geli\u015febilir. Zaman i\u00e7erisinde topuk kemi\u011finin alt\u0131nda <strong>kemiksi bir \u00e7\u0131k\u0131nt\u0131<\/strong>, yani topuk dikeni g\u00f6r\u00fclebilir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Ancak \u00f6nemli bir nokta vard\u0131r:<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>MR veya r\u00f6ntgende topuk dikeni g\u00f6r\u00fclmesi her zaman a\u011fr\u0131 oldu\u011fu anlam\u0131na gelmez.<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">A\u011fr\u0131n\u0131n kayna\u011f\u0131 \u00e7o\u011fu zaman topuk dikeninin kendisinden \u00e7ok <strong>plantar fasya b\u00f6lgesindeki de\u011fi\u015fikliklerdir.<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Topuk dikeninde perk\u00fctan tedavi nedir?<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Perk\u00fctan tedavi<\/strong>, ciltte b\u00fcy\u00fck bir kesi yap\u0131lmadan, k\u00fc\u00e7\u00fck bir i\u011fne veya \u00f6zel bir cihaz yard\u0131m\u0131yla plantar fasya b\u00f6lgesine ula\u015f\u0131lmas\u0131d\u0131r.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u00d6zellikle uzun s\u00fcredir devam eden ve di\u011fer tedavilere cevap vermeyen hastalarda, plantar fasyadaki a\u011fr\u0131l\u0131 ve kal\u0131nla\u015fm\u0131\u015f b\u00f6lgeye y\u00f6nelik <strong>i\u011fneleme, k\u00fc\u00e7\u00fck giri\u015fimsel kesiler veya radyofrekans destekli i\u015flemler<\/strong> uygulanabilir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Ama\u00e7, a\u011fr\u0131l\u0131 dokudaki iyile\u015fme s\u00fcrecini uyarmak ve a\u011fr\u0131y\u0131 azaltmakt\u0131r.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Bu y\u00f6ntemler <strong>a\u00e7\u0131k ameliyata g\u00f6re daha k\u00fc\u00e7\u00fck giri\u015fimlerle<\/strong> uygulanabilir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Radyofrekans tedavisi nedir?<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Topuk a\u011fr\u0131s\u0131nda radyofrekans\u0131n farkl\u0131 kullan\u0131m \u015fekilleri bulunmaktad\u0131r.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Bir y\u00f6ntemde plantar fasyan\u0131n a\u011fr\u0131l\u0131 b\u00f6lgesine <strong>radyofrekans enerjisi uygulanarak kontroll\u00fc mikrohasar ve iyile\u015fme s\u00fcrecinin uyar\u0131lmas\u0131<\/strong> hedeflenir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Bir di\u011fer y\u00f6ntemde ise topuk b\u00f6lgesindeki a\u011fr\u0131y\u0131 ta\u015f\u0131yan <strong>k\u00fc\u00e7\u00fck sinir dallar\u0131 radyofrekans ile hedeflenerek a\u011fr\u0131 sinyallerinin azalt\u0131lmas\u0131<\/strong> ama\u00e7lan\u0131r.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Bu nedenle \u201ctopuk dikeni radyofrekans tedavisi\u201d denildi\u011finde hangi y\u00f6ntemin uygulanaca\u011f\u0131n\u0131n a\u00e7\u0131klanmas\u0131 \u00f6nemlidir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Bilimsel \u00e7al\u0131\u015fmalarda kronik ve di\u011fer tedavilere diren\u00e7li plantar fasiitte radyofrekans uygulamalar\u0131ndan sonra <strong>a\u011fr\u0131 ve ayak fonksiyonlar\u0131nda belirgin iyile\u015fme<\/strong> bildirilmi\u015ftir. Ancak \u00e7al\u0131\u015fmalar\u0131n bir b\u00f6l\u00fcm\u00fc g\u00f6zlemsel oldu\u011fu i\u00e7in, y\u00f6ntemin uzun d\u00f6nem etkinli\u011fi konusunda daha g\u00fc\u00e7l\u00fc ara\u015ft\u0131rmalara ihtiya\u00e7 vard\u0131r. (<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/36596990\/?utm_source=chatgpt.com\" target=\"_blank\" rel=\"noopener\">PubMed<\/a>)<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">2025 y\u0131l\u0131nda yay\u0131mlanan bir \u00e7al\u0131\u015fmada da <strong>TOPAZ radyofrekans y\u00f6ntemiyle perk\u00fctan plantar fasya tedavisi<\/strong> uygulanan hastalarda bir y\u0131ll\u0131k takipte a\u011fr\u0131 ve fonksiyon a\u00e7\u0131s\u0131ndan belirgin iyile\u015fme bildirilmi\u015ftir. (<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/41240426\/?utm_source=chatgpt.com\" target=\"_blank\" rel=\"noopener\">PubMed<\/a>)<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Topuk dikeninde radyofrekans 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>6 aydan uzun s\u00fcren topuk a\u011fr\u0131s\u0131,<\/li>\n\n\n\n<li>Germe ve egzersiz tedavilerine ra\u011fmen devam eden a\u011fr\u0131,<\/li>\n\n\n\n<li>Uygun ayakkab\u0131 ve tabanl\u0131\u011fa ra\u011fmen ge\u00e7meyen \u015fik\u00e2yet,<\/li>\n\n\n\n<li>Di\u011fer enjeksiyon tedavilerinden yeterli fayda g\u00f6r\u00fclmemesi,<\/li>\n\n\n\n<li>G\u00fcnl\u00fck ya\u015fam\u0131 ve y\u00fcr\u00fcmeyi bozan kronik a\u011fr\u0131<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">olan uygun hastalarda de\u011ferlendirilebilir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Her topuk dikeninde radyofrekans yap\u0131lmas\u0131 gerekmez.<\/strong><\/p>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"810\" height=\"810\" src=\"http:\/\/drerkanteyin.com.tr\/wp-content\/uploads\/2026\/09\/IMG_20220411_224353_821.webp\" alt=\"\" class=\"wp-image-100\" srcset=\"https:\/\/onkolojiagri.com.tr\/wp-content\/uploads\/2026\/09\/IMG_20220411_224353_821.webp 810w, https:\/\/onkolojiagri.com.tr\/wp-content\/uploads\/2026\/09\/IMG_20220411_224353_821-300x300.webp 300w, https:\/\/onkolojiagri.com.tr\/wp-content\/uploads\/2026\/09\/IMG_20220411_224353_821-150x150.webp 150w, https:\/\/onkolojiagri.com.tr\/wp-content\/uploads\/2026\/09\/IMG_20220411_224353_821-768x768.webp 768w\" sizes=\"auto, (max-width: 810px) 100vw, 810px\" \/><\/figure>\n","protected":false},"excerpt":{"rendered":"<p>Topuk dikeni, toplumda topuk a\u011fr\u0131s\u0131n\u0131n en s\u0131k nedenlerinden biri olarak bilinse de asl\u0131nda a\u011fr\u0131n\u0131n as\u0131l nedeni \u00e7o\u011fu zaman plantar fasya ad\u0131 verilen ayak taban\u0131ndaki ba\u011f dokusunun zorlanmas\u0131 ve iltihabi olmayan dejeneratif de\u011fi\u015fiklikleridir. Topuk alt\u0131nda, \u00f6zellikle sabah ilk ad\u0131mlarda ortaya \u00e7\u0131kan a\u011fr\u0131 tipiktir. Uzun s\u00fcre ayakta kalmak, y\u00fcr\u00fcmek veya ko\u015fmak a\u011fr\u0131y\u0131 art\u0131rabilir. \u00c7o\u011fu hasta germe egzersizleri, &#8230; <a title=\"Topuk Dikeni Tedavisi: Perk\u00fctan Tedavi, Radyofrekans ve Steroid\" class=\"read-more\" href=\"https:\/\/onkolojiagri.com.tr\/?p=99\" aria-label=\"Topuk Dikeni Tedavisi: Perk\u00fctan Tedavi, Radyofrekans ve Steroid 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":[78],"tags":[67,70,99,100,101,102],"class_list":["post-99","post","type-post","status-publish","format-standard","hentry","category-eklem-agrilari","tag-agri-tedavisi","tag-girisimsel-tedaviler","tag-radyofrekans-tedavisi","tag-topaz","tag-topuk-dikeni","tag-topuk-dikeni-tedavisi"],"_links":{"self":[{"href":"https:\/\/onkolojiagri.com.tr\/index.php?rest_route=\/wp\/v2\/posts\/99","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=99"}],"version-history":[{"count":0,"href":"https:\/\/onkolojiagri.com.tr\/index.php?rest_route=\/wp\/v2\/posts\/99\/revisions"}],"wp:attachment":[{"href":"https:\/\/onkolojiagri.com.tr\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=99"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/onkolojiagri.com.tr\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=99"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/onkolojiagri.com.tr\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=99"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}