{"id":1353,"date":"2018-11-01T15:53:16","date_gmt":"2018-11-01T15:53:16","guid":{"rendered":"https:\/\/www.timonen.fi\/?p=1353"},"modified":"2018-11-01T15:53:16","modified_gmt":"2018-11-01T15:53:16","slug":"kyynarpaa-ja-rannekivut","status":"publish","type":"post","link":"https:\/\/www.timonen.fi\/kyynarpaa-ja-rannekivut\/","title":{"rendered":"Kyyn\u00e4rp\u00e4\u00e4- ja rannekivut"},"content":{"rendered":"\n<p><strong>Tennis- ja golfkyyn\u00e4rp\u00e4\u00e4, rannekanavaoireyhtym\u00e4, hermopinne, j\u00e4nnetuppitulehdus, hiiriranne- ja k\u00e4si<\/strong><\/p>\n\n\n\n<p>L\u00e4hes kaikki kyyn\u00e4rp\u00e4\u00e4 &#8211; ja rannevaivat ovat hoidettavissa kuntoon samanlaisin manuaalisin menetelmin. Hoitovaste on l\u00e4hes 100%. -Iitti, -iittis diagnoosissa tarkoittaa tulehdusta, mutta alle 10% tapauksista on todellisuudessa tulehtuneita ja yli 90% ainoastaan pahasti \u00e4rtyneit\u00e4 ja paranevat keskim\u00e4\u00e4rin nelj\u00e4ll\u00e4 hoitokerralla. Hoitotapahtuma koostuu kolmesta osiosta. Ensin muokataan hartianseudun ja yl\u00e4sel\u00e4n lihakset. Sitten nikamamobilisaatiolla avataan nikamien lukkiutumat, jolloin k\u00e4sien hermoradat vapautuvat. Lopuksi hierotaan kyyn\u00e4rvarren lihakset eritt\u00e4in tarkoin kohdennetuilla otteilla.<\/p>\n\n\n\n<p><strong>Tenniskyyn\u00e4rp\u00e4\u00e4 (Epicondylitis Lateralis Humeri) ja golfkyyn\u00e4rp\u00e4\u00e4 (Epicondylitis Medialis Humeri)<\/strong><\/p>\n\n\n\n<p>N\u00e4m\u00e4 ovat t\u00e4ysin toistensa kaltaisia oireiltaan, jossa olkaluun alap\u00e4\u00e4n ojentaja- ja koukistajalis\u00e4kkeisiin (epicondylus) kinnittyvien kyyn\u00e4rvarren lihasten insertiot ovat \u00e4rtyneet. N\u00e4iden oireryhmien hoitotulos on koko manuaalisen hoitosektorini varmimpia parannettavia. Ellei potilaalla ole mit\u00e4\u00e4n rakeenteelista vikaa tai vammaa k\u00e4dess\u00e4\u00e4n, niin paraneminen on eritt\u00e4in todenn\u00e4k\u00f6ist\u00e4.<\/p>\n\n\n\n<p>Nimens\u00e4 mukaan tenniskyyn\u00e4rp\u00e4\u00e4 on yleinen tenniksen pelaajilla ja my\u00f6s muissa mailapeleiss\u00e4. Yleisimmin syyt kuitenkin l\u00f6ytyv\u00e4t yksipuolisesti samoja lihaksia rasittavasta ty\u00f6st\u00e4. Kyyn\u00e4rvarren lihasten insertiot \u00e4rtyv\u00e4t ja k\u00e4den edelleen rasittaminen vain pahentaa tilannetta. Osasyyn\u00e4 oireisiin on usein my\u00f6s h\u00e4iri\u00f6 kyyn\u00e4rvarren hermotuksessa, johon syy l\u00f6ytyy niskasta. Varma paranemistulos saadaan vain yhdist\u00e4m\u00e4ll\u00e4 eritt\u00e4in keskitetty hieronta saumattomasti nikamamobilisaation kanssa. Kyyn\u00e4rp\u00e4\u00e4- ja rannevaivat (my\u00f6s olkap\u00e4\u00e4ongelmat) ovat erikoisosalaani. Hoitokuurin aikana ei edes tarvita sairaslomaa, mutta se kuitenkin auttaa hieman.<\/p>\n\n\n\n<div class=\"wp-block-columns has-2-columns is-layout-flex wp-container-core-columns-is-layout-1 wp-block-columns-is-layout-flex\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<figure class=\"wp-block-image\"><img fetchpriority=\"high\" decoding=\"async\" width=\"329\" height=\"352\" src=\"https:\/\/www.timonen.fi\/wp-content\/uploads\/2018\/11\/tenniskyynarpaa-1.gif\" alt=\"Tenniskyyn\u00e4rp\u00e4\u00e4\" class=\"wp-image-1508\" title=\"\"><\/figure>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\">\n<figure class=\"wp-block-image\"><img decoding=\"async\" width=\"364\" height=\"332\" src=\"https:\/\/www.timonen.fi\/wp-content\/uploads\/2018\/11\/golfkyynarpaa-1.gif\" alt=\"Golfkyyn\u00e4rp\u00e4\u00e4\" class=\"wp-image-1507\" title=\"\"><\/figure>\n<\/div>\n<\/div>\n\n\n\n<p><strong>J\u00e4nnetuppitulehdus (tendovaginitis, -vaginiitti, tenosynovitis, -viitti)<\/strong><\/p>\n\n\n\n<p>Tupellista j\u00e4nnett\u00e4 ymp\u00e4r\u00f6iv\u00e4n kudoksen h\u00e4iri\u00f6\/tulehdus. Tupeton j\u00e4nne &#8211; peritendiniitti<\/p>\n\n\n\n<p><strong>J\u00e4nnetulehdus (tendinitis, tendiniitti)<\/strong><\/p>\n\n\n\n<p>Itse j\u00e4nne on \u00e4rtynyt, paksuuntunut tai jopa rappeutunut.<\/p>\n\n\n\n<p><strong>Rannekanavaoireyhtym\u00e4 (Syndroma canalis carpi, CTS=carpal tunnel syndrome)<\/strong><\/p>\n\n\n\n<p>Ranteen hermopinne on ranteen keskihermon pinnetila. Rasituksessa j\u00e4nteen kalvot turpoavat ja ymp\u00e4r\u00f6iv\u00e4 kanava k\u00e4y ahtaaksi. Seurauksena on sormien ( keskisormi, etusormi ja peukalo ) puutuminen ja pistely.<\/p>\n\n\n\n<p><strong>Hiiriranne ja -k\u00e4si<\/strong><\/p>\n\n\n\n<p>Ranteen ja peukalon rasitusvamma, joka on aiheutunut staattisesta ja monotonisesta lihasj\u00e4nnityksest\u00e4 ja voi olla hyvinkin invalidisoiva. Esiintyy yleens\u00e4 p\u00e4\u00e4tety\u00f6ntekij\u00f6ill\u00e4, josta nimikin on per\u00e4isin.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tennis- ja golfkyyn\u00e4rp\u00e4\u00e4, rannekanavaoireyhtym\u00e4, hermopinne, j\u00e4nnetuppitulehdus, hiiriranne- ja k\u00e4si L\u00e4hes kaikki kyyn\u00e4rp\u00e4\u00e4 &#8211; ja rannevaivat ovat hoidettavissa kuntoon samanlaisin manuaalisin menetelmin. Hoitovaste on l\u00e4hes 100%. [&hellip;]<\/p>\n","protected":false},"author":3,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"default","ast-site-content-layout":"","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-gradient":""}},"footnotes":""},"categories":[108],"tags":[],"_links":{"self":[{"href":"https:\/\/www.timonen.fi\/wp-json\/wp\/v2\/posts\/1353"}],"collection":[{"href":"https:\/\/www.timonen.fi\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.timonen.fi\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.timonen.fi\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/www.timonen.fi\/wp-json\/wp\/v2\/comments?post=1353"}],"version-history":[{"count":0,"href":"https:\/\/www.timonen.fi\/wp-json\/wp\/v2\/posts\/1353\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.timonen.fi\/wp-json\/wp\/v2\/media?parent=1353"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.timonen.fi\/wp-json\/wp\/v2\/categories?post=1353"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.timonen.fi\/wp-json\/wp\/v2\/tags?post=1353"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}