Gonartroz Ağrısında Alternatif Tıp Tedavileri

Yıl 2025, Cilt: 34 Sayı: 3, 243 - 252, 30.09.2025

Ahmet Issın

https://doi.org/10.17827/aktd.1548783

Öz

Osteoartrit, eklem kıkırdağının peyderpey bozulmasıyla karakterize en yaygın bir eklem hastalığıdır; osteoartritte yalnızca eklem kıkırdağı değil aynı zamanda sinoviyum, subkondral kemik, eklem kapsülü, bağlar, periartiküler kaslar ve sinirler de dahil olmak üzere eklem çevresindeki tüm dokular da etkilenir ve ağrıya katkıda bulunur. Dizde görüldüğünde gonartroz olarak adlandırılır. Hastalığın ileri evrelerinde nihai tedavi cerrahidir ancak bu evreden önce hastalar tekrar tekrar hekimlere başvurur ve yıllarca çeşitli ağrı giderici yöntemleri denerler. Sonuç olarak tıbbi tedavi seçenekleri tükenebilir ve bazen çaresizce alternatif yöntemlere başvururlar.
Bu derlemede gonartroz hastalarında ağrının azaltılmasına yönelik alternatif tıp yöntemleri gözden geçirilmiştir. Doku içi madde enjeksiyonu ile proloterapi, kimyasal dengeleri değiştirme potansiyeli olan radyoterapi ve ozon uygulamaları etki mekanizmalarının mantık dahilinde olması ve güvenli yan etki profilleri açısından makul bulunmuştur. Ancak, potansiyel enfeksiyon riskleri nedeniyle ıslak hacamat ve sülük tedavisi uygun görülmemiştir. Akupunktur ve refleksoloji gibi etki mekanizmaları mantıktan uzak ve bilimsel olarak desteklenemeyen kadim uygulamalar eleştirilmiştir. Homeopati bir nevi şarlatanlık olarak ele alınmış, abartılı vaatlerle her şeyi tedavi ettiğini iddia eden ilaçlara karşı dikkatli olunması tavsiye edilmiştir.
Gerçekler ve yalanların iç içe girmesini eleştiren makale, hekimlerin etik sorumluluğunun bilimsel gerçeklere göre hareket etmenin yanısıra, hastaların endişelerini gidermeyi, onları rahatlatmayı ve tatmin etmeyi de içerdiğine vurgu yapmaktadır. Derleme, alternatif tıbbın yalnızca bu gibi teskin edici bazı amaçlar için değerlendirilmesi gerektiği sonucuna varmakta aslen ihtiyatlı ve kanıta dayalı yaklaşımları önermektedir.

Anahtar Kelimeler

gonartroz , proloterapi , mezoterapi , hacamat , kupa , homeopati , apiterapi , hirudoterapi , sülük , akupunktur , refleksoloji , fitoterapi , aromaterapi , herbalizm , radyoterapi , ozon

Alternative Medicine for Gonarthrosis Pain

Öz

Osteoarthritis is the most common joint disorder characterized by the gradual deterioration of articular cartilage, in osteoarthritis, not only the joint cartilage, but also all surrounding tissues, including the synovium, subchondral bone, joint capsule, ligaments, periarticular muscles, and nerves are affected and contribute to the pain. The knee is the most common location for this disease, known as gonarthrosis. In late stages of the disease surgery is the ultimate treatment however before that stage patients seek pain relieving methods for years resulting in repeated trips to physicians. Eventually, they may run out of treatment options and feel desperate.
This review investigates the methods of alternative-medicine for alleviating pain in gonarthrosis patients. Alternative treatments, including prolotherapy with intra-tissue substance injection, radiotherapy, and ozone therapy for modifying chemical balances, are explored for their plausibility and safe side effect profiles. However, the review discourages wet-cupping and leech therapy due to potential infection risks. Ancient practices like acupuncture and reflexology, lacking scientific backing for their mechanisms of action, criticized. Homeopathy is categorically dismissed as quackery, and caution is advised against cure-all drugs with extravagant promises.
Navigating the intricate interplay of facts and lies, the article underscores the ethical responsibility of physicians, emphasizing the application of scientific truths and the art of medicine which also consist of addressing the patients concerns, reassuring and satisfying them. The review concludes that alternative-medicine should be considered within the medical realm solely for those specific purposes, urging a cautious and evidence-based approach.

Anahtar Kelimeler

gonarthrosis , prolotherapy , mesotherapy , hijamat , homeopathy , apitherapy , hirudotherapy , acupuncture , reflexology , cupping , phytotherapy , aromatherapy , herbalism , radiotherapy , ozone

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