{"id":5664,"date":"2019-11-05T00:42:54","date_gmt":"2019-11-04T22:42:54","guid":{"rendered":"https:\/\/clinicasandalf.com\/?p=5664"},"modified":"2026-07-31T13:08:57","modified_gmt":"2026-07-31T12:08:57","slug":"valilevytyra-ja-alaselkakivun-diagnoosi","status":"publish","type":"post","link":"https:\/\/clinicasandalf.com\/fi\/valilevytyra-ja-alaselkakivun-diagnoosi\/","title":{"rendered":"V\u00e4lilevyn esiinluiskahdus \u2013 yksi useimmin v\u00e4\u00e4rin k\u00e4ytetyist\u00e4 diagnooseista"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-post\" data-elementor-id=\"5664\" class=\"elementor elementor-5664 elementor-1654\" data-elementor-post-type=\"post\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-2fd74ecd elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"2fd74ecd\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-468940ee\" data-id=\"468940ee\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-6f62d1b1 elementor-widget elementor-widget-text-editor\" data-id=\"6f62d1b1\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Useimmat meist\u00e4 varmaan tiet\u00e4v\u00e4t tilanteen: \u00c4killinen alasel\u00e4n kipu nopean liikkeen tai painon nostamisen j\u00e4lkeen. Muutaman p\u00e4iv\u00e4n sis\u00e4ll\u00e4 t\u00e4m\u00e4 kipu alkaa s\u00e4teill\u00e4 pakaraan ja s\u00e4\u00e4ren takaosaan, jopa pohkeeseen asti. Jatkuva ter\u00e4v\u00e4 kipu, joka voi my\u00f6s her\u00e4tt\u00e4\u00e4 sinut keskell\u00e4 y\u00f6t\u00e4. Tavalliset kipul\u00e4\u00e4kkeet, kuten parasetamoli, eiv\u00e4t auta. T\u00e4m\u00e4n vuoksi tapaat siis l\u00e4\u00e4k\u00e4risi tai ortopedin, joka monissa tapauksissa l\u00e4hett\u00e4\u00e4 sinut v\u00e4litt\u00f6m\u00e4sti alaselk\u00e4rangan MRI-skannaukseen (magneettikuvaukseen). Hyvin usein jopa ilman fyysist\u00e4 tarkastusta. T\u00e4m\u00e4 skannaus osoittaa varmasti levyn esiinluiskahduksen L5\/S1-tasolla, mahdollisesti my\u00f6s L4\/5-tasolla. Joten kivullesi on ilmeinen syy, ja pahimmillaan saat tiedon, ett\u00e4 leikkaus on ainoa vaihtoehto auttaa sinua.<\/p>\n<p>T\u00e4m\u00e4 diagnoosi on valitettavasti hyvin usein v\u00e4\u00e4r\u00e4, ja havaittu levyn prolapsi on harhaanjohtava, sill\u00e4 ei ole mit\u00e4\u00e4n tekemist\u00e4 kivun kanssa ja se l\u00f6ydettiin vain vahingossa. Monet kansainv\u00e4liset tutkimukset ovat osoittaneet, ett\u00e4 jopa 80 prosentilla yli 40-vuotiaista ihmisist\u00e4 on levyn esiinluiskahdus, vaikka heill\u00e4 ei olekaan mit\u00e4\u00e4n oireita. Jos puhutaan preprolapsiasta, eli pullistuneesta levyst\u00e4, se l\u00f6ytyy 80 %:lla ihmisist\u00e4 20-vuotiaasta eteenp\u00e4in.<\/p>\n<p>Alasel\u00e4n kipu on yleisin sairausloman syy, ja alasel\u00e4n kipuihin on monia syit\u00e4. Useimmiten kyseess\u00e4 on iskiashermon tulehdus, mutta syyn\u00e4 kipuun voivat my\u00f6s olla lihasten kontraktuura (lihasmassan v\u00e4heneminen aiheuttaa lihaksen lyhenem\u00e4\u00e4) tai pitk\u00e4lle edennyt niveltulehdus lonkkaniveless\u00e4.<\/p>\n<p>Ensimm\u00e4inen askel oikean diagnoosin l\u00f6yt\u00e4miseksi olisi potilaan yksityiskohtainen anamneesi siit\u00e4, milloin ja miten kipu alkoi. T\u00e4m\u00e4n j\u00e4lkeen kysymyksi\u00e4 kivun tyypist\u00e4 \u2013 ter\u00e4v\u00e4\/tyls\u00e4\/polttava, kuinka usein ja tarkalleen miss\u00e4 sit\u00e4 tuntuu, mik\u00e4 sen aiheuttaa tai jopa vapauttaa. T\u00e4t\u00e4 seuraisi perusteellinen fyysinen tarkastus, mihin ortopedi tohtori Alf Neuhaus sis\u00e4llytt\u00e4\u00e4 aina keskiselk\u00e4rangan sek\u00e4 lonkka- ja polvinivelten tutkimuksen. T\u00e4m\u00e4 voi osoittaa, mist\u00e4 kipu tulee, mihin se menee, onko olemassa neurologisia oireita.<\/p>\n<p>Yli 40-vuotiaalta potilaalta h\u00e4n ottaisi my\u00f6s r\u00f6ntgenkuvat lantiosta ja alaselk\u00e4rangasta Clinica SANDALF:in digitaalisen r\u00f6ntgenlaitteen avulla sulkeakseen pois mahdolliset luusairaudet kivun syin\u00e4. Asianmukainen hoito, joka voi olla fysioterapiaa, akupunktiota, suun kautta otettavaa l\u00e4\u00e4kityst\u00e4 ja jopa suoraa infiltraatiota tulehtuneeseen hermojuureen, voidaan aloittaa v\u00e4litt\u00f6m\u00e4sti. Useimmissa tapauksissa t\u00e4m\u00e4 johtaisi jo t\u00e4ydelliseen kivun lievitykseen muutamassa p\u00e4iv\u00e4ss\u00e4. MRI-skannaus tulee tehd\u00e4 vain silloin, jos hoito ei osoita toivottua vaikutusta tai fyysisen tarkastuksen aikana havaitaan neurologisia oireita, kuten refleksin puutetta tai merkitt\u00e4v\u00e4\u00e4 lihasvoiman heikkenemist\u00e4.<\/p>\n<p>\u00c4l\u00e4 ep\u00e4r\u00f6i <a href=\"https:\/\/clinicasandalf.com\/fi\/ottaa-yhteytta\/\">ottaa meihin yhteytt\u00e4<\/a>, jos sinulla on kysytt\u00e4v\u00e4\u00e4 levyn esiinluiskahduksesta tai muista ortopedisista ongelmista.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Tietoa v\u00e4lilevytyr\u00e4st\u00e4, alaselk\u00e4kivun diagnostiikasta ja kliinisen tutkimuksen merkityksest\u00e4.<\/p>\n","protected":false},"author":2,"featured_media":1658,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"default","ast-site-content-layout":"default","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":"","ast-disable-related-posts":"","theme-transparent-header-meta":"default","adv-header-id-meta":"","stick-header-meta":"default","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 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