{"id":17145,"date":"2014-08-11T15:49:00","date_gmt":"2014-08-11T13:49:00","guid":{"rendered":"http:\/\/www.invarena.cz\/?p=17145"},"modified":"2014-08-11T15:49:00","modified_gmt":"2014-08-11T13:49:00","slug":"boli-me-loket-co-s-tim","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=17145","title":{"rendered":"Bol\u00ed m\u011b loket. Co s t\u00edm?"},"content":{"rendered":"

Dotaz: Ji\u017e del\u0161\u00ed dobu m\u011b bol\u00ed \u00fapon v lokt\u00ed a vyst\u0159eluje to do dlan\u011b a do prstu prav\u00e9 ruky,\u00a0 jakou l\u00e9\u010dbu by jste m\u011b doporu\u010dil….Odpov\u011b\u010f najdete v \u010dl\u00e1nku…<\/strong>
\n<\/p>\n

Doporu\u010duji p\u0159edev\u0161\u00edm n\u00e1v\u0161t\u011bvu l\u00e9ka\u0159e. Ke spr\u00e1vn\u00e9mu stanoven\u00ed diagn\u00f3zy a t\u00edm i spr\u00e1vn\u00e9 l\u00e9\u010dby je toti\u017e p\u0159ece jen pot\u0159eba v\u00edce informac\u00ed, ne\u017e kter\u00e9 uv\u00e1d\u00edte.<\/p>\n

Je t\u0159eba nap\u0159. v\u011bd\u011bt, kdy ruka nejv\u00edce bol\u00ed, zda p\u0159\u00edznaky za\u010daly postupn\u011b nebo nar\u00e1z, zda je ruka zarudl\u00e1 a\u017e natekl\u00e1 \u010di nikoli, manu\u00e1ln\u011b vy\u0161et\u0159it, jak se ruka chov\u00e1 p\u0159i konkr\u00e9tn\u00edch pohybech nebo doteku, zda byl n\u011bjak\u00fd \u00faraz, jak\u00e9mu pracovn\u00edmu zat\u00ed\u017een\u00ed ruku vystavujete, doch\u00e1z\u00ed i k pocit\u016fm brn\u011bn\u00ed, bolest je sp\u00ed\u0161 na mal\u00edkov\u00e9 stran\u011b lokte atd.<\/p>\n

P\u0159\u00ed\u010din i onemocn\u011bn\u00ed je cel\u00e1 \u0159ada a je t\u0159eba, aby ruku vid\u011bl l\u00e9ka\u0159.<\/p>\n

Pokud v\u0161e p\u0159i\u0161lo nar\u00e1z a mohl b\u00fdt n\u011bjak\u00fd \u00faraz, mohlo by j\u00edt i o poran\u011bn\u00ed nervu, kdy by bylo nutn\u00e9 i neurolologick\u00e9 vy\u0161et\u0159en\u00ed.<\/p>\n

P\u0159\u00ed\u010dina se ale n\u011bkdy m\u016f\u017ee skr\u00fdvat v naru\u0161en\u00e9 funkci kr\u010dn\u00ed \u010di hrudn\u00ed p\u00e1te\u0159e a ramenn\u00edho pletence.<\/p>\n

Bolest m\u016f\u017ee prov\u00e1zet z\u00e1n\u011bt \u0161lachy, kter\u00fd m\u016f\u017ee b\u00fdt hnisav\u00fd nebo revmatick\u00fd nebo tuberkul\u00f3zn\u00ed apod.<\/p>\n

\u010castou p\u0159\u00ed\u010dinou m\u016f\u017ee b\u00fdt p\u0159et\u00ed\u017een\u00ed ruky p\u0159i jednostrann\u00e9 z\u00e1t\u011b\u017ei, je\u017e se m\u016f\u017ee vyskytovat u\u00a0manu\u00e1ln\u011b pracuj\u00edc\u00edch, kte\u0159\u00ed vykon\u00e1vaj\u00ed trvale jeden pohyb bez pot\u0159ebn\u00e9ho odpo\u010dinku. Nemus\u00ed se jednat pouze o\u00a0t\u011b\u017ece pracuj\u00edc\u00ed, \u010dasto je z\u00e1n\u011bt \u0161lach nalezen i u\u00a0lid\u00ed, kte\u0159\u00ed nap\u0159. pracuj\u00ed na po\u010d\u00edta\u010di s\u00a0rukama st\u00e1le v\u00a0jedn\u00e9 poloze. Pak se m\u016f\u017ee jednat o syndrom tzv. tenisov\u00e9ho lokte. PV tom p\u0159\u00edpad\u011b je doporu\u010dov\u00e1no d\u011blat si p\u0159est\u00e1vky, p\u0159i kter\u00fdch si nam\u00e1han\u00e9 svaly odpo\u010dinou a prot\u00e1hnou. Odli\u0161n\u00fd je syndrom tzv. o\u0161t\u011bp\u00e1\u0159sk\u00e9ho lokte.<\/p>\n

L\u00e9\u010dba<\/strong><\/p>\n

P\u0159i z\u00e1n\u011btu \u0161lach je z\u00e1sadn\u00ed \u010d\u00e1st\u00ed l\u00e9\u010dby omezen\u00ed pohybu posti\u017een\u00e9 \u0161lachy. Ta m\u016f\u017ee b\u00fdt fixovan\u00e1 nap\u0159\u00edklad obvazem, ort\u00e9zou nebo i s\u00e1drou. Po sn\u00ed\u017een\u00ed pohybu z\u00e1n\u011btliv\u00e1 reakce pomalu ustupuje.<\/p>\n

L\u00e9\u010dba m\u016f\u017ee b\u00fdt podpo\u0159ena i\u00a0<\/strong>fototerapi\u00ed,<\/strong> kdy se vyu\u017e\u00edv\u00e1 sv\u011btla ur\u010dit\u00e9 vlnov\u00e9 d\u00e9lky. D\u00edky tomu se zlep\u0161\u00ed krevn\u00ed z\u00e1soben\u00ed posti\u017een\u00e9 oblasti, co\u017e napom\u00e1h\u00e1 obnov\u011b posti\u017een\u00e9\u00a0tk\u00e1n\u011b.<\/p>\n

Sou\u010dasn\u011b p\u0159i omezen\u00ed pohybu je vhodn\u00e9 pou\u017e\u00edt chladiv\u00e9 gely nebo masti.<\/p>\n

V z\u00e1vislosti na p\u0159\u00ed\u010din\u011b a charakteru onemocn\u011bn\u00ed se vyu\u017e\u00edvaj\u00ed i dal\u0161\u00ed metodiky l\u00e9\u010dby.<\/p>\n

Po vymizen\u00ed z\u00e1n\u011btu l\u00e9ka\u0159 rozhodne, zda doporu\u010d\u00ed rehabilitaci.<\/p>\n

MUDr. Jan \u010cin\u010dura<\/p>\n

 <\/p>\n

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

Dotaz: Ji\u017e del\u0161\u00ed dobu m\u011b bol\u00ed \u00fapon v lokt\u00ed a vyst\u0159eluje to do dlan\u011b a do prstu prav\u00e9 ruky,\u00a0 jakou l\u00e9\u010dbu by jste m\u011b doporu\u010dil….Odpov\u011b\u010f […]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":14135,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[18],"tags":[],"class_list":["post-17145","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-poradna"],"_links":{"self":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/17145","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=17145"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/17145\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/14135"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=17145"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=17145"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=17145"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}