{"id":1729,"date":"2022-10-04T15:40:10","date_gmt":"2022-10-04T13:40:10","guid":{"rendered":"http:\/\/www.anumykkanen.fi\/?page_id=1729"},"modified":"2023-09-08T10:03:09","modified_gmt":"2023-09-08T08:03:09","slug":"kuntoutus","status":"publish","type":"page","link":"https:\/\/www.anumykkanen.fi\/?page_id=1729","title":{"rendered":"Kuntoutus"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"1729\" class=\"elementor elementor-1729\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-a3e79d4 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"a3e79d4\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t\t<div class=\"elementor-background-overlay\"><\/div>\n\t\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-8442b88\" data-id=\"8442b88\" 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-8c771e7 elementor-widget elementor-widget-spacer\" data-id=\"8c771e7\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\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<section class=\"elementor-section elementor-top-section elementor-element elementor-element-1829a24 elementor-section-content-middle elementor-section-full_width elementor-section-height-default elementor-section-height-default\" data-id=\"1829a24\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t\t<div class=\"elementor-background-overlay\"><\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-no\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-e01e61c\" data-id=\"e01e61c\" 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<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-e5e3f1d elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"e5e3f1d\" 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-50 elementor-inner-column elementor-element elementor-element-27c478d\" data-id=\"27c478d\" 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-e5b8635 elementor-widget elementor-widget-heading\" data-id=\"e5b8635\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h1 class=\"elementor-heading-title elementor-size-medium\">Kuntoutus hoitolinjana <\/h1>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-22e64ec elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"22e64ec\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\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<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-21dab93\" data-id=\"21dab93\" 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-5f95653 elementor-widget elementor-widget-text-editor\" data-id=\"5f95653\" 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 style=\"font-weight: 400;\">Fysioterapeuttisella kuntoutuksella on t\u00e4rke\u00e4 rooli jalan kiputilojen hoidossa. Osassa sairauksia kirurgista hoitoa ei ole tarjolla ja silloin hoitolinjaksi valitaan kuntoutus. Joillakin potilailla leikkaushoidon riskit voivat olla niin suuret, ett\u00e4 leikkausta ei pidet\u00e4 turvallisena. Silloinkin voidaan fysioterapian keinoin helpottaa potilaan vaivoja ja parantaa el\u00e4m\u00e4nlaatua. Merkitt\u00e4vien virheasentojen, rappeumamuutosten ja tapaturmien j\u00e4lkitilojen leikkausaiheet ovat selv\u00e4t. Lieviss\u00e4 tapauksissa yhteys jalan oireisiin ei ole yksiselitteinen. T\u00e4ll\u00f6in on tarkoituksenmukaista ensin selvitt\u00e4\u00e4 fysioterapialla saatava hy\u00f6ty ennen kuin pohditaan leikkaushoidon aiheellisuutta. Fysioterapian avulla tehd\u00e4\u00e4n jalan toiminnallisen h\u00e4iri\u00f6n selvittely ja hoito.<\/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\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-haqoklt elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"haqoklt\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t\t<div class=\"elementor-background-overlay\"><\/div>\n\t\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-9c64608\" data-id=\"9c64608\" 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-45db46e elementor-widget elementor-widget-heading\" data-id=\"45db46e\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h2 class=\"elementor-heading-title elementor-size-default\">Muutama tyypillinen sairaus jossa kuntoutus hoitolinjana<\/h2>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-4da11dc elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"4da11dc\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\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-50 elementor-inner-column elementor-element elementor-element-9de22a7\" data-id=\"9de22a7\" data-element_type=\"column\" data-e-type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\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-3deb1fd elementor-widget elementor-widget-icon-box\" data-id=\"3deb1fd\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"icon-box.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-icon-box-wrapper\">\n\n\t\t\t\n\t\t\t\t\t\t<div class=\"elementor-icon-box-content\">\n\n\t\t\t\t\t\t\t\t\t<h3 class=\"elementor-icon-box-title\">\n\t\t\t\t\t\t<span  >\n\t\t\t\t\t\t\tPlantaarifaskiitti\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/h3>\n\t\t\t\t\n\t\t\t\t\t\t\t\t\t<p class=\"elementor-icon-box-description\">\n\t\t\t\t\t\tPlantaarifaskiitti on jalkapohjan kalvoj\u00e4nteen kiinnitysalueen rappeuma. Se on yleisin kantap\u00e4\u00e4n alaisen kivun syy. Rasitus pahentaa oireita, joita ovat jalkapohjan aamyj\u00e4ykkyys, liikkeellel\u00e4ht\u00f6kankeus, kantap\u00e4\u00e4n alainen turvotus sek\u00e4 askelluskipu. Tavallisesti kipu alkaa poikkeavan rasituksen tai huonojen kenkien pit\u00e4misen seurauksena ja kroonistuu helposti. Kipu saattaa kest\u00e4\u00e4 6-12 kk. Tavallisia potilasryhmi\u00e4 ovat seisomaty\u00f6t\u00e4 tekev\u00e4t ja urheilijat, joilla kyse on ylik\u00e4ytt\u00f6vammasta. Hoitona on aina kuntoutus, jossa keskeist\u00e4 on jalkaholvia tukevien lihasten harjoittaminen ja pohjekireyden hoito venytyksin. Jalkaholvia voidaan tukea yksil\u00f6llisell\u00e4 tukipohjallisella. Kivun hoidoksi voidaan kokeilla geelityyny\u00e4 ja tulehduskipul\u00e4\u00e4kkeit\u00e4. Kortisoni-injektiohoitoja ei suositella niiden haittavaikutusten ja ep\u00e4varman vasteen vuoksi. Plantaarifaskiittiin ei ole tarjolla leikkaushoitoa.\t\t\t\t\t<\/p>\n\t\t\t\t\n\t\t\t<\/div>\n\t\t\t\n\t\t<\/div>\n\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<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-30e3f52\" data-id=\"30e3f52\" data-element_type=\"column\" data-e-type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\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-4a3cde8 elementor-widget elementor-widget-icon-box\" data-id=\"4a3cde8\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"icon-box.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-icon-box-wrapper\">\n\n\t\t\t\n\t\t\t\t\t\t<div class=\"elementor-icon-box-content\">\n\n\t\t\t\t\t\t\t\t\t<h3 class=\"elementor-icon-box-title\">\n\t\t\t\t\t\t<span  >\n\t\t\t\t\t\t\tSesamluun kiputilat\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/h3>\n\t\t\t\t\n\t\t\t\t\t\t\t\t\t<p class=\"elementor-icon-box-description\">\n\t\t\t\t\t\tSesamluut ovat osa isovarpaan tyvinivelen alaista nivelkapselia. Ne ovat hohkaluurakenteita, joihin pitk\u00e4\u00e4n jatkuva ylikuormitus voi aiheuttaa verenkierron h\u00e4iri\u00f6t\u00e4, rasitusmurtumia ja jopa luun murenemista ja litistymist\u00e4. Kipu aiheuttaa helposti k\u00e4velyyn ulkosyrj\u00e4n kautta ontumisen. Hoitona on ylirasitusta aiheuttavan liikunnan tai kenkien v\u00e4ltt\u00e4minen ja kuntoutus, jossa jalan p\u00e4ki\u00e4rullausta pyrit\u00e4\u00e4n normalisoimaan kipuv\u00e4ist\u00f6st\u00e4 pois. Kivun hoidossa osa potilaista hy\u00f6tyy kovapohjaisista kengist\u00e4 tai tukipohjallisista. Leikkaushoidolla ei ole sijaa sesamluukivun hoidossa. Poikkeustapauksissa voidaan tehd\u00e4 leikkauksessa sesamluun osapoisto, jos luu on muovautunut hyvin kookkaaksi.\t\t\t\t\t<\/p>\n\t\t\t\t\n\t\t\t<\/div>\n\t\t\t\n\t\t<\/div>\n\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<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-91cd1bd elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"91cd1bd\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\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-50 elementor-inner-column elementor-element elementor-element-4596153\" data-id=\"4596153\" data-element_type=\"column\" data-e-type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\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-7544a34 elementor-widget elementor-widget-icon-box\" data-id=\"7544a34\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"icon-box.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-icon-box-wrapper\">\n\n\t\t\t\n\t\t\t\t\t\t<div class=\"elementor-icon-box-content\">\n\n\t\t\t\t\t\t\t\t\t<h3 class=\"elementor-icon-box-title\">\n\t\t\t\t\t\t<span  >\n\t\t\t\t\t\t\tAkillesj\u00e4nteen keskiosan kiputila\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/h3>\n\t\t\t\t\n\t\t\t\t\t\t\t\t\t<p class=\"elementor-icon-box-description\">\n\t\t\t\t\t\tAkillesj\u00e4nteen keskell\u00e4 on sukkulamainen kivulias paksuuntuma. Akillesj\u00e4nteen alaosa on rauhallinen ja kivuton. Hoito on fysioterapeutin m\u00e4\u00e4ritt\u00e4m\u00e4 harjoittelu ja pohjevenytykset. Suositeltava jalkinevalinta on lenkkari tai tukevapohjainen kenk\u00e4, jossa on paksu kantavaimennus ja p\u00e4ki\u00e4ponnistusta helpottava k\u00e4rkikeinu. Erilaisia injektiohoitoja on olemassa. Niiden osalta ei ole osoitettu sek\u00e4 turvallista ett\u00e4 tehokasta vaikutusta. Kortisoni-injektiot j\u00e4nteen l\u00e4heisyydess\u00e4 altistavat j\u00e4nnerappeumalle ja j\u00e4nteen katkeamiselle. Leikkaushoito tulee kyseeseen vain poikkeustapauksissa.\t\t\t\t\t<\/p>\n\t\t\t\t\n\t\t\t<\/div>\n\t\t\t\n\t\t<\/div>\n\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<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-494282f\" data-id=\"494282f\" data-element_type=\"column\" data-e-type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\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-7fe26c8 elementor-widget elementor-widget-icon-box\" data-id=\"7fe26c8\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"icon-box.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-icon-box-wrapper\">\n\n\t\t\t\n\t\t\t\t\t\t<div class=\"elementor-icon-box-content\">\n\n\t\t\t\t\t\t\t\t\t<h3 class=\"elementor-icon-box-title\">\n\t\t\t\t\t\t<span  >\n\t\t\t\t\t\t\tPitk\u00e4aikaiset hermokivut\t\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/h3>\n\t\t\t\t\n\t\t\t\t\t\t\t\t\t<p class=\"elementor-icon-box-description\">\n\t\t\t\t\t\tJalan hermokivut voivat johtua neurologisesta sairaudesta tai hermovamman j\u00e4lkitilasta. Diagnoosi tehd\u00e4\u00e4n ENMG tutkimuksen avulla. Hermokipujen hoidossa k\u00e4ytet\u00e4\u00e4n kipul\u00e4\u00e4k\u00e4rin m\u00e4\u00e4r\u00e4\u00e4mi\u00e4 l\u00e4\u00e4kkeit\u00e4, jotka on tarkoitettu juuri neuropaattisen kivun hoitoon. Kuntoutuksella pyrit\u00e4\u00e4n yll\u00e4pit\u00e4m\u00e4\u00e4n jalan toimintaa ja v\u00e4ltt\u00e4m\u00e4\u00e4n jalan hakeutuminen virheasentoon.\t\t\t\t\t<\/p>\n\t\t\t\t\n\t\t\t<\/div>\n\t\t\t\n\t\t<\/div>\n\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\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-9xycow6 elementor-section-full_width elementor-section-content-middle elementor-section-height-default elementor-section-height-default\" data-id=\"9xycow6\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t\t<div class=\"elementor-background-overlay\"><\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-no\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-4292f5a\" data-id=\"4292f5a\" 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-6d93f44 elementor-widget elementor-widget-image\" data-id=\"6d93f44\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img fetchpriority=\"high\" decoding=\"async\" width=\"2560\" height=\"1707\" src=\"https:\/\/www.anumykkanen.fi\/wp-content\/uploads\/2022\/12\/mykkacc88nen-7824-print-scaled.jpg\" class=\"attachment-full size-full wp-image-2336\" alt=\"\" srcset=\"https:\/\/www.anumykkanen.fi\/wp-content\/uploads\/2022\/12\/mykkacc88nen-7824-print-scaled.jpg 2560w, https:\/\/www.anumykkanen.fi\/wp-content\/uploads\/2022\/12\/mykkacc88nen-7824-print-300x200.jpg 300w, https:\/\/www.anumykkanen.fi\/wp-content\/uploads\/2022\/12\/mykkacc88nen-7824-print-1024x683.jpg 1024w, https:\/\/www.anumykkanen.fi\/wp-content\/uploads\/2022\/12\/mykkacc88nen-7824-print-768x512.jpg 768w, https:\/\/www.anumykkanen.fi\/wp-content\/uploads\/2022\/12\/mykkacc88nen-7824-print-1536x1024.jpg 1536w, https:\/\/www.anumykkanen.fi\/wp-content\/uploads\/2022\/12\/mykkacc88nen-7824-print-2048x1365.jpg 2048w\" sizes=\"(max-width: 2560px) 100vw, 2560px\" \/>\t\t\t\t\t\t\t\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<div class=\"elementor-column elementor-col-50 elementor-top-column elementor-element elementor-element-a8c8ff0\" data-id=\"a8c8ff0\" 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<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-a893ccd elementor-section-full_width elementor-section-height-default elementor-section-height-default\" data-id=\"a893ccd\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-no\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-inner-column elementor-element elementor-element-6534f2c\" data-id=\"6534f2c\" 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-fc9b946 elementor-widget elementor-widget-heading\" data-id=\"fc9b946\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h1 class=\"elementor-heading-title elementor-size-default\">Kuntoutus leikkaushoidon j\u00e4lkeen<\/h1>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-06b13b3 elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"06b13b3\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-6ef8186 elementor-widget elementor-widget-text-editor\" data-id=\"6ef8186\" 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>Leikkauksen j\u00e4lkeinen kuntoutus on t\u00e4rke\u00e4 osa kirurgista hoitoa. Leikkauksesta saatava hy\u00f6ty voi j\u00e4\u00e4d\u00e4 vaatimattomaksi, jos j\u00e4lkikuntoutuksesta ei huolehdita. Esimerkiksi latuskajalkaleikkauksissa ja j\u00e4nnesiirreleikkauksissa jalan toiminta muuttuu radikaalisti, ja uudet lihastoiminnot eiv\u00e4t \u201dl\u00f6ydy\u201d ellei harjoittelua ohjata ja etenemist\u00e4 vauhditeta riitt\u00e4v\u00e4sti. J\u00e4lkikuntoutuksella ei hoideta ainoastaan leikkauksen toipumisaikana syntynytt\u00e4 v\u00e4liaikaista toiminnanvajetta, vaan sill\u00e4 puututaan my\u00f6s aiemmin syntyneen virheellisen toiminnan hoitoon. My\u00f6s kipsill\u00e4 tai lastalla hoidettavien tapaturmien j\u00e4lkitilat j\u00e4\u00e4v\u00e4t tarpeettoman usein huonoiksi, jos kuntoutus j\u00e4\u00e4 saamatta. Kipsihoidon j\u00e4lkeen nilkan liikeharjoitukset ja motorisen kontrollin harjoitukset pit\u00e4isi aloittaa pikavauhdilla, jotta j\u00e4ykkyys ja toiminnalliset ongelmat eiv\u00e4t j\u00e4isi pysyviksi.<\/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\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-a4c0iz7 elementor-section-content-middle elementor-section-full_width elementor-section-height-default elementor-section-height-default\" data-id=\"a4c0iz7\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t\t<div class=\"elementor-background-overlay\"><\/div>\n\t\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-no\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-155952c\" data-id=\"155952c\" 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<section class=\"elementor-section elementor-inner-section elementor-element elementor-element-da6e672 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"da6e672\" 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-50 elementor-inner-column elementor-element elementor-element-ca14de2\" data-id=\"ca14de2\" 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-decf172 elementor-widget elementor-widget-heading\" data-id=\"decf172\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h1 class=\"elementor-heading-title elementor-size-default\">Fysioterapeutti<\/h1>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-d1c7590 elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"d1c7590\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\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<div class=\"elementor-column elementor-col-50 elementor-inner-column elementor-element elementor-element-4c8d2f0\" data-id=\"4c8d2f0\" 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-f0aa767 elementor-widget elementor-widget-text-editor\" data-id=\"f0aa767\" 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 style=\"font-weight: 400;\">Fysioterapeutin ammattitaitoa ovat perehtyneisyys nilkan ja jalkater\u00e4n monimutkaiseen toimintaan ja ymm\u00e4rrys leikkaushoidon menetelmist\u00e4. T\u00f6\u00f6l\u00f6 Mehil\u00e4isen jalkakirurgisessa tiimiss\u00e4 toimivat kokeneet alaraajafysioterapeutit Heidi V\u00e4kev\u00e4inen ja Sami Kiiski. Yhteys hoitavaan kirurgiin on saumatonta koko hoitojakson ajan toiminnan tapahtuessa samassa yksik\u00f6ss\u00e4. L\u00e4\u00e4k\u00e4ri ohjaa potilaan jo leikkausta edelt\u00e4v\u00e4lle fysioterapiak\u00e4ynnille silloin, kun leikkaus on laaja tai kun leikkauksen j\u00e4lkeen on odotettavissa liikkumisen haasteita apuv\u00e4lineisiin ja varausrajoituksiin liittyen.<\/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\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-5fovfsr elementor-section-content-top elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"5fovfsr\" data-element_type=\"section\" data-e-type=\"section\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\n\t\t\t\t\t\t\t<div class=\"elementor-background-overlay\"><\/div>\n\t\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-66 elementor-top-column elementor-element elementor-element-7081466\" data-id=\"7081466\" data-element_type=\"column\" data-e-type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\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-d61511f elementor-widget elementor-widget-spacer\" data-id=\"d61511f\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"spacer.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-spacer\">\n\t\t\t<div class=\"elementor-spacer-inner\"><\/div>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-d57e3a1 elementor-widget elementor-widget-heading\" data-id=\"d57e3a1\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h3 class=\"elementor-heading-title elementor-size-default\">Voit varata ajan fysioterapeutti Heidi V\u00e4kev\u00e4iselle tai Sami Kiiskille alla olevien painikkeiden kautta.<\/h3>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-54fba5e elementor-widget-divider--view-line elementor-widget elementor-widget-divider\" data-id=\"54fba5e\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"divider.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-divider\">\n\t\t\t<span class=\"elementor-divider-separator\">\n\t\t\t\t\t\t<\/span>\n\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-1f1a2a5 elementor-align-center elementor-mobile-align-justify elementor-widget elementor-widget-button\" data-id=\"1f1a2a5\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-button-wrapper\">\n\t\t\t\t\t<a class=\"elementor-button elementor-button-link elementor-size-xl elementor-animation-grow\" href=\"https:\/\/ajanvaraus.mehilainen.fi\/parse\/laakari:6791\" target=\"_blank\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">Fysioterapeutin ajanvaraus Heidi V\u00e4kev\u00e4inen<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-856d72a elementor-align-center elementor-mobile-align-justify elementor-widget elementor-widget-button\" data-id=\"856d72a\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-button-wrapper\">\n\t\t\t\t\t<a class=\"elementor-button elementor-button-link elementor-size-xl elementor-animation-grow\" href=\"https:\/\/ajanvaraus.mehilainen.fi\/parse\/laakari:13178\" target=\"_blank\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">Fysioterapeutin ajanvaraus Sami Kiiski<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t<\/div>\n\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<div class=\"elementor-column elementor-col-33 elementor-top-column elementor-element elementor-element-1d30a16\" data-id=\"1d30a16\" data-element_type=\"column\" data-e-type=\"column\" data-settings=\"{&quot;background_background&quot;:&quot;classic&quot;}\">\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-5d54995 elementor-widget elementor-widget-image\" data-id=\"5d54995\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img decoding=\"async\" width=\"1024\" height=\"683\" src=\"https:\/\/www.anumykkanen.fi\/wp-content\/uploads\/2022\/12\/mykkacc88nen-7932-print-1024x683.jpg\" class=\"attachment-large size-large wp-image-2335\" alt=\"\" srcset=\"https:\/\/www.anumykkanen.fi\/wp-content\/uploads\/2022\/12\/mykkacc88nen-7932-print-1024x683.jpg 1024w, https:\/\/www.anumykkanen.fi\/wp-content\/uploads\/2022\/12\/mykkacc88nen-7932-print-300x200.jpg 300w, https:\/\/www.anumykkanen.fi\/wp-content\/uploads\/2022\/12\/mykkacc88nen-7932-print-768x512.jpg 768w, https:\/\/www.anumykkanen.fi\/wp-content\/uploads\/2022\/12\/mykkacc88nen-7932-print-1536x1024.jpg 1536w, https:\/\/www.anumykkanen.fi\/wp-content\/uploads\/2022\/12\/mykkacc88nen-7932-print-2048x1365.jpg 2048w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/>\t\t\t\t\t\t\t\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>Kuntoutus hoitolinjana Fysioterapeuttisella kuntoutuksella on t\u00e4rke\u00e4 rooli jalan kiputilojen hoidossa. Osassa sairauksia kirurgista hoitoa ei ole tarjolla ja silloin hoitolinjaksi valitaan kuntoutus. Joillakin potilailla leikkaushoidon riskit voivat olla niin suuret, ett\u00e4 leikkausta ei pidet\u00e4 turvallisena. Silloinkin voidaan fysioterapian keinoin helpottaa potilaan vaivoja ja parantaa el\u00e4m\u00e4nlaatua. Merkitt\u00e4vien virheasentojen, rappeumamuutosten ja tapaturmien j\u00e4lkitilojen leikkausaiheet ovat selv\u00e4t. Lieviss\u00e4 [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"om_disable_all_campaigns":false,"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"_uf_show_specific_survey":0,"_uf_disable_surveys":false,"site-sidebar-layout":"no-sidebar","site-content-layout":"page-builder","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":"disabled","ast-breadcrumbs-content":"","ast-featured-img":"disabled","footer-sml-layout":"","ast-disable-related-posts":"","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":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","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-opacity":"","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-opacity":"","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-opacity":"","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-opacity":"","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-opacity":"","overlay-gradient":""}},"footnotes":""},"class_list":["post-1729","page","type-page","status-publish","hentry"],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/www.anumykkanen.fi\/index.php?rest_route=\/wp\/v2\/pages\/1729","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.anumykkanen.fi\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.anumykkanen.fi\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.anumykkanen.fi\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.anumykkanen.fi\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=1729"}],"version-history":[{"count":150,"href":"https:\/\/www.anumykkanen.fi\/index.php?rest_route=\/wp\/v2\/pages\/1729\/revisions"}],"predecessor-version":[{"id":3145,"href":"https:\/\/www.anumykkanen.fi\/index.php?rest_route=\/wp\/v2\/pages\/1729\/revisions\/3145"}],"wp:attachment":[{"href":"https:\/\/www.anumykkanen.fi\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=1729"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}