{"id":1894,"date":"2019-11-04T06:00:00","date_gmt":"2019-11-04T06:00:00","guid":{"rendered":"http:\/\/www.mojemedunka.cz\/?p=1894"},"modified":"2022-10-06T07:33:18","modified_gmt":"2022-10-06T07:33:18","slug":"boli-vas-klouby","status":"publish","type":"post","link":"https:\/\/www.mojemedunka.cz\/index.php\/2019\/11\/04\/boli-vas-klouby\/","title":{"rendered":"Bol\u00ed v\u00e1s klouby?"},"content":{"rendered":"

Pak mo\u017en\u00e1 ocen\u00edte rady a informace, obsa\u017een\u00e9 v knize dlouholet\u00e9ho spolupracovn\u00edka Medu\u0148ky, praktick\u00e9ho a alternativn\u00edho l\u00e9ka\u0159e MUDr. Rudolfa Zemka<\/em><\/strong>
\nBolesti kloub\u016f Alternativn\u00ed l\u00e9\u010dba.<\/em><\/strong> Autor ji pojal jako p\u0159ehled informac\u00ed o kloubn\u00edch pot\u00ed\u017e\u00edch a o mo\u017enostech standardn\u00ed i alternativn\u00ed l\u00e9\u010dby<\/strong>, odpov\u00edd\u00e1 na \u0159adu ot\u00e1zek, \u010dasto kladen\u00fdch pacienty, uv\u00e1d\u00ed p\u0159\u00edb\u011bhy konkr\u00e9tn\u00edch pacient\u016f a v z\u00e1v\u011bru nab\u00edz\u00ed \u0159adu doporu\u010den\u00ed, rad a post\u0159eh\u016f z vlastn\u00ed bohat\u00e9 l\u00e9ka\u0159sk\u00e9 praxe u n\u00e1s i v zahrani\u010d\u00ed. Kniha vy\u0161la jako 23. svazek medu\u0148kov\u00e9 edice, k dost\u00e1n\u00ed je na na\u0161em e-shopu www.obchodmedunka.cz<\/a><\/p>\n

 <\/p>\n

O l\u00e9\u010db\u011b jednotliv\u00fdch kloub\u016f a kloubn\u00edch skupin
\n<\/strong>Kapitola p\u0159in\u00e1\u0161\u00ed p\u0159ehled stru\u010dn\u00fdch doporu\u010den\u00ed ohledn\u011b l\u00e9\u010dby konkr\u00e9tn\u00edch kloub\u016f a kloubn\u00edch skupin. Uvedeny jsou n\u00e1vrhy a tipy jak z oblasti alternativn\u00ed, tak standardn\u00ed medic\u00edny. C\u00edlem textu je mj. upozornit na v\u00fdhodnost slou\u010den\u00ed na jednom kloubu a na jednom pacientovi toho nejp\u0159\u00edzniv\u011bj\u0161\u00edho z obou sm\u011br\u016f. Skaln\u00ed p\u0159\u00edvr\u017eenci jednoho \u010di druh\u00e9ho sm\u011bru nech\u0165 prominou. V kapitole je v r\u00e1mci zjednodu\u0161en\u00ed z\u00e1m\u011brn\u011b \u0159e\u010d o pot\u00ed\u017e\u00edch s klouby, a nikoli o diagn\u00f3z\u00e1ch.<\/p>\n

Pot\u00ed\u017ee s klouby prst\u016f ruky
\n<\/strong>Klouby a prsty na rukou mohou bolet nebo ot\u00e9kat jednotliv\u011b nebo mnoho\u010detn\u011b. P\u0159i akutn\u00edm zhor\u0161en\u00ed je radno prsty \u010di celou ruku chladit pono\u0159en\u00edm do chladn\u00e9 nebo do vysloven\u011b ledov\u00e9 vody. V\u00fdrazn\u011b bolestiv\u00e9 zarudl\u00e9 jednotliv\u00e9 prsty je t\u0159eba chladit ledem a\u017e do jejich p\u0159echodn\u00e9ho zblednut\u00ed. V \u00favahu p\u0159ich\u00e1z\u00ed i umrtven\u00ed jednotliv\u00fdch bolestiv\u00fdch prst\u016f prost\u0159ednictv\u00edm tzv. svodn\u00e9 anest\u00e9zie, nejl\u00e9pe prokainem, ale jinak sta\u010d\u00ed jak\u00e9koli jin\u00e9 1% anestetikum nebolestiv\u011b aplikovan\u00e9 tenkou zuba\u0159skou injek\u010dn\u00ed jehlou. Ruku s akutn\u00edmi nebo chronick\u00fdmi akutn\u011b zhor\u0161en\u00fdmi kloubn\u00edmi bolestmi je mo\u017eno \u201edruhou\u201c rukou mas\u00edrovat a vkl\u00e1dat do z\u00e1bal\u016f s Voltaren-Emulgelem, Dolgitem, s heparinovou nebo jakoukoli jinou, nap\u0159. rostlinnou mast\u00ed, o n\u00ed\u017e doty\u010dn\u00fd v\u00ed, \u017ee mu pom\u00e1h\u00e1, a tak\u00e9 to poci\u0165uje. Pro chronick\u00e9 opakuj\u00edc\u00ed se bolesti plat\u00ed prakticky tot\u00e9\u017e \u2013 chlad nahradit vlhk\u00fdm teplem a (denn\u00edmi) koupelemi rukou v tepl\u00e9 vod\u011b s roztokem ra\u0161eliny \u010di kosod\u0159eviny. To pom\u016f\u017ee i u tzv. lupav\u00fdch prst\u016f. Ty se operuj\u00ed, ale ke zm\u00edrn\u011bn\u00ed bolest\u00ed (a k p\u0159\u00edpadn\u00e9mu odd\u00e1len\u00ed operace) krom\u011b koupel\u00ed, mast\u00ed a automas\u00e1\u017e\u00ed m\u016f\u017ee pomoci r\u00e1zov\u00e1 vlna, co\u017e je t\u0159eba vyzkou\u0161et. V n\u011bkter\u00fdch p\u0159\u00edpadech se toti\u017e stav m\u016f\u017ee i zhor\u0161it. Jinak nen\u00ed dobr\u00e9 operaci p\u0159\u00edli\u0161 dlouho oddalovat. Na po\u010d\u00e1tku kloubn\u00edch pot\u00ed\u017e\u00ed maj\u00ed prsty n\u011bkdy tendenci z\u016fstat \u201ep\u0159iohnut\u00e9\u201c a vlastn\u00ed silou nen\u00ed mo\u017en\u00e9 je \u00fapln\u011b narovnat, co\u017e m\u016f\u017ee b\u00fdt mj. i p\u0159\u00edznakem po\u010d\u00ednaj\u00edc\u00ed Dupuytrenovy kontraktury. V takov\u00fdch p\u0159\u00edpadech je dobr\u00e9 dodate\u010dn\u011b zkusit ob\u010das sed\u011bt stehny na h\u0159betu ruky. Prsty p\u0159itom jsou maxim\u00e1ln\u011b narovnan\u00e9 a je\u0161t\u011b jsou ve vlhk\u00e9m teple. P\u0159i del\u0161\u00edch j\u00edzd\u00e1ch autem b\u011bhem zast\u00e1vek prsty zdravou rukou \u201erovnat\u201c a post\u00e1vat se sepjat\u00fdma rukama jako p\u0159i modlitb\u011b a p\u0159itom prsty maxim\u00e1ln\u011b natahovat. Prsty na volantu b\u00fdvaj\u00ed cel\u00e9 hodiny \u2013 n\u011bkdy i des\u00edtky hodin \u2013 ohnut\u00e9, co\u017e plat\u00ed i pro pravou ruku, pokud ji \u0159idi\u010d nech\u00e1v\u00e1 na b\u011bhem j\u00edzdy na \u0159adic\u00ed p\u00e1ce. Podle m\u00fdch zku\u0161enost\u00ed je dlouhodob\u00e9 \u0159\u00edzen\u00ed motorov\u00e9ho vozidla jedn\u00edm z moment\u016f, kter\u00e9 ke vzniku pot\u00ed\u017e\u00ed s hybnost\u00ed ruky p\u0159isp\u00edvaj\u00ed. Podobn\u00e9 to plat\u00ed pro nekone\u010dnou pr\u00e1ci s po\u010d\u00edta\u010dovou my\u0161\u00ed, kter\u00e1 ke kontraktur\u00e1m \u0161lach ruky a prst\u016f (a nez\u0159\u00eddka i k syndromu karp\u00e1ln\u00edho tunelu) dost p\u0159isp\u00edv\u00e1.<\/p>\n

Z\u00e1p\u011bst\u00ed
\n<\/strong>V tomto slo\u017eit\u00e9m kloubn\u00edm spojen\u00ed jde typicky o dva probl\u00e9my. Ten prvn\u00ed je mo\u017eno vid\u011bt ve vzniku po\u00farazov\u00e9 artr\u00f3zy. Na z\u00e1p\u011bst\u00ed se toti\u017e dost \u010dasto pad\u00e1, v zim\u011b na n\u00e1led\u00ed, v l\u00e9t\u011b p\u0159i sportu. Pokud se zlomeniny kost\u00ed a naru\u0161en\u00ed chrupavek v z\u00e1p\u011bstn\u00edm kloubu kompletn\u011b nevyhoj\u00ed, je tu nebezpe\u010d\u00ed vzniku \u00faporn\u00fdch chronick\u00fdch bolest\u00ed. Ta druh\u00e1 z\u00e1le\u017eitost je syndrom karp\u00e1ln\u00edho tunelu. T\u00edm se mysl\u00ed \u00fatisk \u0161lach, \u201evedouc\u00edch k ruce\u201c v oblasti z\u00e1p\u011bstn\u00edho kloubu. Je to vrozen\u00e1 porucha vaziva nebo n\u00e1sledek t\u011b\u017e\u0161\u00ed pr\u00e1ce apod. U artr\u00f3zy i u syndromu karp\u00e1ln\u00edho tunelu oblast z\u00e1p\u011bst\u00ed bol\u00ed a tak\u00e9 ot\u00e9k\u00e1. Syndrom karp\u00e1ln\u00edho tunelu je mo\u017en\u00e9 operovat a \u010dlov\u011bka bolest\u00ed a pot\u00ed\u017e\u00ed tot\u00e1ln\u011b zbavit. Pokud je sou\u010dasn\u011b ve h\u0159e (eventu\u00e1ln\u011b nerozpoznan\u00e1) z\u00e1p\u011bstn\u00ed artr\u00f3za nebo i dlouhodob\u00fd nediagnostikovan\u00fd z\u00e1n\u011bt \u0161lachov\u00fdch pochev na p\u0159edlokt\u00ed, pak operace nepom\u016f\u017ee, bolesti po n\u00ed p\u0159etrv\u00e1vaj\u00ed nebo jsou je\u0161t\u011b intenzivn\u011bj\u0161\u00ed ne\u017e p\u0159ed n\u00ed. Nest\u00e1v\u00e1 se to \u010dasto, ale st\u00e1v\u00e1. P\u0159ed pl\u00e1novanou operac\u00ed \u201ekarp\u00e1lu\u201c je radno pohmatem pe\u010dliv\u011b vy\u0161et\u0159it a spolehliv\u011b vylou\u010dit artr\u00f3zu z\u00e1p\u011bstn\u00edho kloubu a eventu\u00e1ln\u00ed chronick\u00fd z\u00e1n\u011bt \u0161lach (tendovaginitis) p\u0159edlokt\u00ed, kter\u00fd je nutno bezpodm\u00edne\u010dn\u011b kompletn\u011b vyl\u00e9\u010dit. U pot\u00ed\u017e\u00ed se z\u00e1p\u011bst\u00edm m\u016f\u017ee p\u0159ekvapiv\u011b \u00fa\u010dinn\u011b pomoci mas\u00edrov\u00e1n\u00ed \u201evzd\u00e1len\u00fdch\u201c trap\u00e9zov\u00fdch sval\u016f a v nich nalezen\u00fdch velk\u00fdch bolestiv\u00fdch myogel\u00f3z, kter\u00e9 se maj\u00ed nejen bodov\u011b mas\u00edrovat, ale i (eventu\u00e1ln\u011b krvav\u011b) ba\u0148kovat a akupunkturn\u011b jehlovat.<\/p>\n

Loket
\n<\/strong>Co u lokte zlob\u00ed, je p\u0159edev\u0161\u00edm tzv. tenisov\u00fd a golfov\u00fd loket, a to i u lid\u00ed, kte\u0159\u00ed tyto sporty znaj\u00ed jen z televize. Zde pom\u016f\u017ee denn\u00ed bodov\u00e9 mas\u00edrov\u00e1n\u00ed bolav\u00fdch bod\u016f na lokti za pomoci vhodn\u00e9 chemick\u00e9 \u010di rostlinn\u00e9 masti. Ve spr\u0161e je t\u0159eba t\u0159\u00edt bolav\u00e1 m\u00edsta vlhkou teplou \u017e\u00ednkou a\u017e do vytvo\u0159en\u00ed \u010derven\u00fdch skvrn. Standardn\u00ed l\u00e9ka\u0159 nech\u0165 zkus\u00ed m\u00edsta \u201eobst\u0159\u00edknout\u201c suspenz\u00ed krystalick\u00fdch kortikoid\u016f, co\u017e m\u016f\u017ee hodn\u011b pomoci, ve v\u00fdjime\u010dn\u00fdch p\u0159\u00edpadech v\u0161ak i pohor\u0161it. Alternativn\u00ed l\u00e9ka\u0159 m\u016f\u017ee pomoci akupunkturou, akupresurou a neur\u00e1ln\u00ed terapi\u00ed prost\u0159ednictv\u00edm infiltrace bolestiv\u00fdch \u0161lachov\u00fdch \u00fapon\u016f lok\u00e1ln\u00edm anestetikem, co\u017e lze na rozd\u00edl od kortikoid\u016f mnohokr\u00e1t opakovat. Takto se m\u00e1 o\u0161et\u0159it i (\u010dasto nalezen\u00fd) citliv\u00fd bod na zevn\u00ed stran\u011b pa\u017ee, jen\u017e lze nal\u00e9zt zhruba v polovin\u011b jej\u00ed d\u00e9lky v oblasti \u00faponu deltov\u00e9ho svalu. Loketn\u00ed klouby nep\u0159et\u011b\u017eovat st\u011bhov\u00e1n\u00edm n\u00e1bytku a prac\u00ed se \u0161roubov\u00e1kem apod.
\nP\u0159i nesnesiteln\u00fdch\/invalidizuj\u00edc\u00edch bolestech se kloub operuje, ale to by m\u011blo b\u00fdt posledn\u00ed \u0159e\u0161en\u00ed\u2026<\/p>\n

 <\/p>\n","protected":false},"excerpt":{"rendered":"

Pak mo\u017en\u00e1 ocen\u00edte rady a informace, obsa\u017een\u00e9 v knize dlouholet\u00e9ho spolupracovn\u00edka Medu\u0148ky, praktick\u00e9ho a alternativn\u00edho l\u00e9ka\u0159e MUDr. Rudolfa Zemka Bolesti kloub\u016f Alternativn\u00ed l\u00e9\u010dba. Autor ji pojal jako p\u0159ehled informac\u00ed o kloubn\u00edch pot\u00ed\u017e\u00edch a o mo\u017enostech standardn\u00ed i alternativn\u00ed l\u00e9\u010dby, odpov\u00edd\u00e1 na \u0159adu ot\u00e1zek, \u010dasto kladen\u00fdch pacienty, uv\u00e1d\u00ed p\u0159\u00edb\u011bhy konkr\u00e9tn\u00edch pacient\u016f a v z\u00e1v\u011bru nab\u00edz\u00ed \u0159adu doporu\u010den\u00ed, rad a post\u0159eh\u016f z vlastn\u00ed bohat\u00e9 l\u00e9ka\u0159sk\u00e9 praxe u n\u00e1s i v zahrani\u010d\u00ed. Kniha vy\u0161la jako 23. svazek medu\u0148kov\u00e9 edice, k dost\u00e1n\u00ed je na na\u0161em e-shopu www.obchodmedunka.cz   O l\u00e9\u010db\u011b jednotliv\u00fdch kloub\u016f a kloubn\u00edch skupin Kapitola p\u0159in\u00e1\u0161\u00ed p\u0159ehled stru\u010dn\u00fdch doporu\u010den\u00ed ohledn\u011b l\u00e9\u010dby konkr\u00e9tn\u00edch kloub\u016f a kloubn\u00edch skupin. Uvedeny jsou n\u00e1vrhy a tipy jak z oblasti alternativn\u00ed, tak standardn\u00ed medic\u00edny. C\u00edlem textu je mj. upozornit na v\u00fdhodnost slou\u010den\u00ed na jednom kloubu a na jednom pacientovi toho nejp\u0159\u00edzniv\u011bj\u0161\u00edho z obou sm\u011br\u016f. Skaln\u00ed p\u0159\u00edvr\u017eenci jednoho \u010di druh\u00e9ho sm\u011bru nech\u0165 prominou. V kapitole je v r\u00e1mci zjednodu\u0161en\u00ed z\u00e1m\u011brn\u011b \u0159e\u010d o pot\u00ed\u017e\u00edch s klouby, a nikoli o diagn\u00f3z\u00e1ch. Pot\u00ed\u017ee s klouby prst\u016f ruky Klouby a prsty na rukou mohou bolet nebo ot\u00e9kat jednotliv\u011b nebo mnoho\u010detn\u011b. P\u0159i akutn\u00edm zhor\u0161en\u00ed je radno prsty \u010di celou ruku chladit pono\u0159en\u00edm do chladn\u00e9 nebo do vysloven\u011b ledov\u00e9 vody. V\u00fdrazn\u011b bolestiv\u00e9 zarudl\u00e9 jednotliv\u00e9 prsty je t\u0159eba chladit ledem a\u017e do jejich p\u0159echodn\u00e9ho zblednut\u00ed. V \u00favahu p\u0159ich\u00e1z\u00ed i umrtven\u00ed jednotliv\u00fdch bolestiv\u00fdch prst\u016f prost\u0159ednictv\u00edm tzv. svodn\u00e9 anest\u00e9zie, nejl\u00e9pe prokainem, ale jinak sta\u010d\u00ed jak\u00e9koli jin\u00e9 1% anestetikum nebolestiv\u011b aplikovan\u00e9 tenkou zuba\u0159skou injek\u010dn\u00ed jehlou. Ruku s akutn\u00edmi nebo chronick\u00fdmi akutn\u011b zhor\u0161en\u00fdmi kloubn\u00edmi bolestmi je mo\u017eno \u201edruhou\u201c rukou mas\u00edrovat a vkl\u00e1dat do z\u00e1bal\u016f s Voltaren-Emulgelem, Dolgitem, s heparinovou nebo jakoukoli jinou, nap\u0159. rostlinnou mast\u00ed, o n\u00ed\u017e doty\u010dn\u00fd v\u00ed, \u017ee mu pom\u00e1h\u00e1, a tak\u00e9 to poci\u0165uje. Pro chronick\u00e9 opakuj\u00edc\u00ed se bolesti plat\u00ed prakticky tot\u00e9\u017e \u2013 chlad nahradit vlhk\u00fdm teplem a (denn\u00edmi) koupelemi rukou v tepl\u00e9 vod\u011b s roztokem ra\u0161eliny \u010di kosod\u0159eviny. To pom\u016f\u017ee i u tzv. lupav\u00fdch prst\u016f. Ty se operuj\u00ed, ale ke zm\u00edrn\u011bn\u00ed bolest\u00ed (a k p\u0159\u00edpadn\u00e9mu odd\u00e1len\u00ed operace) krom\u011b koupel\u00ed, mast\u00ed a automas\u00e1\u017e\u00ed m\u016f\u017ee pomoci r\u00e1zov\u00e1 vlna, co\u017e je t\u0159eba vyzkou\u0161et. V n\u011bkter\u00fdch p\u0159\u00edpadech se toti\u017e stav m\u016f\u017ee i zhor\u0161it. Jinak nen\u00ed dobr\u00e9 operaci p\u0159\u00edli\u0161 dlouho oddalovat. Na po\u010d\u00e1tku kloubn\u00edch pot\u00ed\u017e\u00ed maj\u00ed prsty n\u011bkdy tendenci z\u016fstat \u201ep\u0159iohnut\u00e9\u201c a vlastn\u00ed silou nen\u00ed mo\u017en\u00e9 je \u00fapln\u011b narovnat, co\u017e m\u016f\u017ee b\u00fdt mj. i p\u0159\u00edznakem po\u010d\u00ednaj\u00edc\u00ed Dupuytrenovy kontraktury. V takov\u00fdch p\u0159\u00edpadech je dobr\u00e9 dodate\u010dn\u011b zkusit ob\u010das sed\u011bt stehny na h\u0159betu ruky. Prsty p\u0159itom jsou maxim\u00e1ln\u011b narovnan\u00e9 a je\u0161t\u011b jsou ve vlhk\u00e9m teple. P\u0159i del\u0161\u00edch j\u00edzd\u00e1ch autem b\u011bhem zast\u00e1vek prsty zdravou rukou \u201erovnat\u201c a post\u00e1vat se sepjat\u00fdma rukama jako p\u0159i modlitb\u011b a p\u0159itom prsty maxim\u00e1ln\u011b natahovat. Prsty na volantu b\u00fdvaj\u00ed cel\u00e9 hodiny \u2013 n\u011bkdy i des\u00edtky hodin \u2013 ohnut\u00e9, co\u017e plat\u00ed i pro pravou ruku, pokud ji \u0159idi\u010d nech\u00e1v\u00e1 na b\u011bhem j\u00edzdy na \u0159adic\u00ed p\u00e1ce. Podle m\u00fdch zku\u0161enost\u00ed je dlouhodob\u00e9 \u0159\u00edzen\u00ed motorov\u00e9ho vozidla jedn\u00edm z moment\u016f, kter\u00e9 ke vzniku pot\u00ed\u017e\u00ed s hybnost\u00ed ruky p\u0159isp\u00edvaj\u00ed. Podobn\u00e9 to plat\u00ed pro nekone\u010dnou pr\u00e1ci s po\u010d\u00edta\u010dovou my\u0161\u00ed, kter\u00e1 ke kontraktur\u00e1m \u0161lach ruky a prst\u016f (a nez\u0159\u00eddka i k syndromu karp\u00e1ln\u00edho tunelu) dost p\u0159isp\u00edv\u00e1. Z\u00e1p\u011bst\u00ed V tomto slo\u017eit\u00e9m kloubn\u00edm spojen\u00ed jde typicky o dva probl\u00e9my. Ten prvn\u00ed je mo\u017eno vid\u011bt ve vzniku po\u00farazov\u00e9 artr\u00f3zy. Na z\u00e1p\u011bst\u00ed se toti\u017e dost \u010dasto pad\u00e1, v zim\u011b na n\u00e1led\u00ed, v l\u00e9t\u011b p\u0159i sportu. Pokud se zlomeniny kost\u00ed a naru\u0161en\u00ed chrupavek v z\u00e1p\u011bstn\u00edm kloubu kompletn\u011b nevyhoj\u00ed, je tu nebezpe\u010d\u00ed vzniku \u00faporn\u00fdch chronick\u00fdch bolest\u00ed. Ta druh\u00e1 z\u00e1le\u017eitost je syndrom karp\u00e1ln\u00edho tunelu. T\u00edm se mysl\u00ed \u00fatisk \u0161lach, \u201evedouc\u00edch k ruce\u201c v oblasti z\u00e1p\u011bstn\u00edho kloubu. Je to vrozen\u00e1 porucha vaziva nebo n\u00e1sledek t\u011b\u017e\u0161\u00ed pr\u00e1ce apod. U artr\u00f3zy i u syndromu karp\u00e1ln\u00edho tunelu oblast z\u00e1p\u011bst\u00ed bol\u00ed a tak\u00e9 ot\u00e9k\u00e1. Syndrom karp\u00e1ln\u00edho tunelu je mo\u017en\u00e9 operovat a \u010dlov\u011bka bolest\u00ed a pot\u00ed\u017e\u00ed tot\u00e1ln\u011b zbavit. Pokud je sou\u010dasn\u011b ve h\u0159e (eventu\u00e1ln\u011b nerozpoznan\u00e1) z\u00e1p\u011bstn\u00ed artr\u00f3za nebo i dlouhodob\u00fd nediagnostikovan\u00fd z\u00e1n\u011bt \u0161lachov\u00fdch pochev na p\u0159edlokt\u00ed, pak operace nepom\u016f\u017ee, bolesti po n\u00ed p\u0159etrv\u00e1vaj\u00ed nebo jsou je\u0161t\u011b intenzivn\u011bj\u0161\u00ed ne\u017e p\u0159ed n\u00ed. Nest\u00e1v\u00e1 se to \u010dasto, ale st\u00e1v\u00e1. P\u0159ed pl\u00e1novanou operac\u00ed \u201ekarp\u00e1lu\u201c je radno pohmatem pe\u010dliv\u011b vy\u0161et\u0159it a spolehliv\u011b vylou\u010dit artr\u00f3zu z\u00e1p\u011bstn\u00edho kloubu a eventu\u00e1ln\u00ed chronick\u00fd z\u00e1n\u011bt \u0161lach (tendovaginitis) p\u0159edlokt\u00ed, kter\u00fd je nutno bezpodm\u00edne\u010dn\u011b kompletn\u011b vyl\u00e9\u010dit. U pot\u00ed\u017e\u00ed se z\u00e1p\u011bst\u00edm m\u016f\u017ee p\u0159ekvapiv\u011b \u00fa\u010dinn\u011b pomoci mas\u00edrov\u00e1n\u00ed \u201evzd\u00e1len\u00fdch\u201c trap\u00e9zov\u00fdch sval\u016f a v nich nalezen\u00fdch velk\u00fdch bolestiv\u00fdch myogel\u00f3z, kter\u00e9 se maj\u00ed nejen bodov\u011b mas\u00edrovat, ale i (eventu\u00e1ln\u011b krvav\u011b) ba\u0148kovat a akupunkturn\u011b jehlovat. Loket Co u lokte zlob\u00ed, je p\u0159edev\u0161\u00edm tzv. tenisov\u00fd a golfov\u00fd loket, a to i u lid\u00ed, kte\u0159\u00ed tyto sporty znaj\u00ed jen z televize. Zde pom\u016f\u017ee denn\u00ed bodov\u00e9 mas\u00edrov\u00e1n\u00ed bolav\u00fdch bod\u016f na lokti za pomoci vhodn\u00e9 chemick\u00e9 \u010di rostlinn\u00e9 masti. Ve spr\u0161e je t\u0159eba t\u0159\u00edt bolav\u00e1 m\u00edsta vlhkou teplou \u017e\u00ednkou a\u017e do vytvo\u0159en\u00ed \u010derven\u00fdch skvrn. Standardn\u00ed l\u00e9ka\u0159 nech\u0165 zkus\u00ed m\u00edsta \u201eobst\u0159\u00edknout\u201c suspenz\u00ed krystalick\u00fdch kortikoid\u016f, co\u017e m\u016f\u017ee hodn\u011b pomoci, ve v\u00fdjime\u010dn\u00fdch p\u0159\u00edpadech v\u0161ak i pohor\u0161it. Alternativn\u00ed l\u00e9ka\u0159 m\u016f\u017ee pomoci akupunkturou, akupresurou a neur\u00e1ln\u00ed terapi\u00ed prost\u0159ednictv\u00edm infiltrace bolestiv\u00fdch \u0161lachov\u00fdch \u00fapon\u016f lok\u00e1ln\u00edm anestetikem, co\u017e lze na rozd\u00edl od kortikoid\u016f mnohokr\u00e1t opakovat. Takto se m\u00e1 o\u0161et\u0159it i (\u010dasto nalezen\u00fd) citliv\u00fd bod na zevn\u00ed stran\u011b pa\u017ee, jen\u017e lze nal\u00e9zt zhruba v polovin\u011b jej\u00ed d\u00e9lky v oblasti \u00faponu deltov\u00e9ho svalu. Loketn\u00ed klouby nep\u0159et\u011b\u017eovat st\u011bhov\u00e1n\u00edm n\u00e1bytku a prac\u00ed se \u0161roubov\u00e1kem apod. P\u0159i nesnesiteln\u00fdch\/invalidizuj\u00edc\u00edch bolestech se kloub operuje, ale to by m\u011blo b\u00fdt posledn\u00ed \u0159e\u0161en\u00ed\u2026  <\/p>\n","protected":false},"author":3,"featured_media":1898,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[28],"tags":[],"class_list":["post-1894","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-knihovnicka-medunky"],"acf":[],"_links":{"self":[{"href":"https:\/\/www.mojemedunka.cz\/index.php\/wp-json\/wp\/v2\/posts\/1894","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.mojemedunka.cz\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.mojemedunka.cz\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.mojemedunka.cz\/index.php\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/www.mojemedunka.cz\/index.php\/wp-json\/wp\/v2\/comments?post=1894"}],"version-history":[{"count":3,"href":"https:\/\/www.mojemedunka.cz\/index.php\/wp-json\/wp\/v2\/posts\/1894\/revisions"}],"predecessor-version":[{"id":6967,"href":"https:\/\/www.mojemedunka.cz\/index.php\/wp-json\/wp\/v2\/posts\/1894\/revisions\/6967"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.mojemedunka.cz\/index.php\/wp-json\/wp\/v2\/media\/1898"}],"wp:attachment":[{"href":"https:\/\/www.mojemedunka.cz\/index.php\/wp-json\/wp\/v2\/media?parent=1894"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.mojemedunka.cz\/index.php\/wp-json\/wp\/v2\/categories?post=1894"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.mojemedunka.cz\/index.php\/wp-json\/wp\/v2\/tags?post=1894"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}