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<Provider Id="sundheddkcms"> <Item Id="{517B9438-A8D8-44D6-AF87-E12DC6D07DA0}" Name="nakkesmerter" Type="PHContentPage" ParentProviderId="sundheddkcms" ParentItemId="{8CEE1F07-880E-47A3-B9AF-0B26136E8B2C}" SortOrder="1100" PublishDate="2010-05-28T10:56:00" DeleteDate="2999-12-31T00:00:00" PotItemType=""> <Content> <LinkListField Name="Spot2"> <LinkField linktype="internal">{A12FFEB9-7D21-4130-9428-1457C5AB696B}</LinkField> </LinkListField> <HtmlField Name="FactContent"><![CDATA[<h2>Fakta</h2> <ul> <li>Nakkesmerter forekommer meget hyppigt</li> <li>Der kan være tale om nakkemyoser eller nakkehold med smerter og stivhed</li> <li>I de fleste tilfælde svinder smerterne igen helt uden mén</li> <li>Forandringer som følge af alder kan medføre forsnævringer omkring nerverødder, eller du kan udvikle en diskusprolaps med føleforstyrrelser og besvær med at styre den ene arm og hånd </li> <li>Hvis du har vedvarende smerter fra nakken, bør du udredes for at finde årsagen og eksempelvis andre mere sjældne årsager som fx gigtlidelser, whiplash eller ledskred</li> </ul>]]></HtmlField> <HtmlField Name="PageContent"><![CDATA[<h2>Hvad er nakkesmerter?</h2> <ul> <li>Med nakkesmerter menes smerter i området omkring nakken. Det vil sige øvre del af ryg, opad mod hovedet og udover skuldrene </li> <li>Nakkesmerter kan inddeles i ukomplicerede smerter, whiplash og smerter med udstrålende smerter </li> </ul> <p><strong>Se animation om nakkesmerter</strong> </p> <p>[23VIDEO=https://film.sundhed.dk/v.ihtml/player.html?token=91311a546f45f9ee76aa3b44846cef7d&source=embed&photo%5fid=79642006|app=false]</p> <h3>Forekomst</h3> <ul> <li>Nakkesmerter forekommer hos 30-50 % af den voksne befolkning i løbet af 1 år </li> <li>Det er anslået, at 3 % af befolkningen opsøger læge med nakkelidelse som hovedproblem i løbet af 1 år </li> <li>Nakkesmerter forekommer hyppigst hos kvinder. Der er stigende hyppighed med alderen. Dette gælder især kroniske smerter</li> <li>Akutte anfald er hyppigst hos unge voksne </li> <li>Tilbagevendende perioder med smerter er almindeligt helt fra 20-årsalderen</li> </ul> <h3>Smertemekanismer</h3> <ul> <li>Nakken består af 7 halshvirvler med mellemliggende skiver (discus). Der er mange små led mellem disse hvirvler, og der er også mange ledbånd og muskler. Der er desuden også mange nervetråde i dette område. Alle disse strukturer kan ved skader eller sygdomme føre til smerter </li> <li>Smerter og stivhed i nakken er meget almindeligt. Det kan dog ofte være uklart, hvad der egentlig er årsagen. I mange tilfælde er der flere faktorer som virker sammen </li> <li>Smerterne stråler ofte fra nakken til hoved, skulder og arm </li> <li>Mekaniske belastninger og spændingstilstande i muskler er hyppige årsager </li> </ul> <h2>Hvad kan årsagen være?</h2> <h3>Hyppige årsager</h3> <ul> <li> <a href="~/link.aspx?_id=6B51090F438044D68859006FD2C1954B&_z=z">Stramme og ømme nakkemuskler</a> <ul> <li>Er den hyppigste årsag og skyldes gerne arbejdsbelastning, stress eller psykisk/social belastning eller problemer med synet </li> <li>Man har uklare, brændende smerter. Smerterne sidder i begge sider af nakken og skuldrene, ofte ledsaget af diffus hovedpine</li> </ul> </li> <li>Manglende bevægelighed i et eller flere af nakkens led <ul> <li>Er også almindeligt og kan skyldes slid i halshvirvelsøjlen eller et forbigående <a href="~/link.aspx?_id=5E0D68E8B8304BC4B78BF0BCE0474D7C&_z=z">nakkehold</a> </li> <li>Man har diffuse, brændende smerter. Smerterne sidder oftest i begge sider af nakken og skuldrene, ofte ledsaget af diffus hovedpine </li> <li>Smerten stråler ofte mere ud til den ene side end den anden, og man har nedsat bevægelighed af nakken</li> </ul> </li> <li> <a href="~/link.aspx?_id=B7F3D90B2EB44CBBB9DA7315B941A6AC&_z=z">Nakkehovedpine (cervikogen hovedpine)</a> <ul> <li>Årsagen er nedsat bevægelighed i et eller flere af leddene mellem halshvirvlerne </li> <li>Man får typisk nakkehovedpine i den ene side af nakken uden sideskifte af smerten</li> <li>Smerten stråler fra nakken frem over hovedet til tindingen og panden. Man har ofte smerter i samme sides skulder og arm </li> </ul> </li> <li> <a href="~/link.aspx?_id=AFA4B107F1E64BA38758FFDACF298E0F&_z=z">Discusprolaps mellem halshvirvlerne</a> <ul> <li>Årsagen er en prolaps af mellemskiven (discus) som trykker på nerverødderne, der udgår fra rygmarven</li> <li>Det er en forholdsvis almindelig tilstand fra 45-årsalderen, hyppigst i aldersgruppen 40-60 år </li> <li>Symptomerne kan opstå akut eller langsomt med gradvist indsættende symptomer. Kan give udstrålende smerter, følelsesløshed og prikken ud i hænderne</li> </ul> </li> <li> <a href="~/link.aspx?_id=C3D5DC38BA574F4D905212D9D6F12B40&_z=z">Slidgigt i nakkehvirvlerne (cervical spondylose)</a> <ul> <li>Årsag er slidforandringer (spondylose) i halshvirvlerne</li> <li>Tilstanden er hyppig hos ældre mennesker </li> <li>Tilstanden giver stivhed i nakken og nedsat aktiv og passiv bevægelighed ved alle nakkebevægelser. Giver i sig selv ofte ingen eller kun moderate symptomer i form af "dumpe" smerter i nakken, smerterne stråler ud til skuldrene og øvre del af armene</li> </ul> </li> <li> <a href="~/link.aspx?_id=2BE3822146C44A829C9DF18EAE99B30B&_z=z">Piskesmæld (whiplash)</a> <ul> <li>Årsagen er som regel påkørsel bagfra eller bilsammenstød </li> <li>De første 1-3 døgn har 3-5% af alle, som udsættes for piskesmæld, moderat stivhed og smerter i nakken samt hovedpine. Et mindretal af disse (under 10 %) får mere langvarige smerter og stivhed</li> </ul> </li> <li> <a href="~/link.aspx?_id=6BA2586E8FD74C0395CFFBE6387AA7BA&_z=z">Fibromyalgi</a> <ul> <li>Hyppigst hos kvinder </li> <li>Er en generel muskellidelse, men kan i nogle tilfælde give smerter fra nakken</li> </ul> </li> </ul> <h3>Sjældnere årsager</h3> <ul> <li> <a href="~/link.aspx?_id=C3123E395838488FA75243672E7CB237&_z=z">Leddegigt</a> <ul> <li>Rammer 1-2 % af befolkningen, hyppigst blandt kvinder. Opstår som regel i flere led, hos nogle er nakkegener fremtrædende </li> <li>Kronisk, tilbagevendende betændelsessygdom som særligt angriber små led i hænder og fødder </li> <li>Starter oftest snigende i leddene i fingre og tæer. Leddegigt kan med tiden også angribe større led</li> <li>Typisk for sygdommen er symmetrisk påvirkning af led - fx begge håndled og samme led i fingrene</li> </ul> </li> <li> <a href="~/link.aspx?_id=7CCD0D254CFD42BDB2668E6D6AE2ECA7&_z=z">Bechterews sygdom</a> <ul> <li>Årsagen er en betændelsessygdom som særlig rammer rygsøjlen, men betændelser kan også forekomme i andre led </li> <li>Tilstanden opstår normalt mellem 18-40-årsalderen. Starter i reglen med smerter i ryggen som kommer gradvist og snigende, giver vedvarende ryggener i mere end 3 måneder. Typisk er morgenstivhed og bedring ved aktivitet</li> </ul> </li> <li> <a href="~/link.aspx?_id=777D0842E3E3409E801F791D08B5820D&_z=z">Reumatisk bindevævssygdom (polymyalgia reumatika)</a> <ul> <li>En ikke helt usædvanlig muskelsygdom som forekommer hos personer over 50 år </li> <li>De mest typiske symptomer er muskelsmerter fra hofte- og skuldermuskulatur med nedsat bevægelighed</li> <li>Nogle kan blive påfaldende mentalt forandrede, træge, med ringe udholdenhed og have svært ved at koncentrere sig</li> <li><a href="~/link.aspx?_id=5BE4901F680B4AA3826A44AFEC18146B&_z=z">Kortison</a> giver bedring i tilstanden i løbet af timer</li> </ul> </li> </ul> <table summary="Tabel med grøn baggrund"> <tbody> <tr> <td style="background-color: #e1f0e1;"> <h2>Hvad kan jeg selv gøre?</h2> <ul> <li>Muskulære spændingstilstande <ul> <li>Er ufarlige tilstande man selv kan håndtere. Det er vigtigt at vedligeholde aktiviteten</li> <li>Vurder om du har for ensformige arbejdsstillinger, og om der kan holdes pauser indimellem, eventuelt om du bør udføre afspændingsøvelser</li> <li>Overvej om der eventuelt er andre forhold i din livssituation som bidrager til, at du spænder, og om du kan gøre noget ved det</li> </ul> </li> <li>Akutte nakkesmerter, hold eller skæv nakke (torticollis) <ul> <li>Tilstanden går typisk over af sig selv. Den kræver oftest ikke anden behandling end ro og smertelindring, fx med medicin af typen paracetamol eller såkaldt <a href="~/link.aspx?_id=9598E70BEC694FC292FE9D0C1F701494&_z=z">NSAID</a></li> <li>Forsøg at være i aktivitet</li> </ul> </li> <li>Kroniske nakkegener <ul> <li>Den bedste behandling er selv at træne. Det er vigtig bare at være aktiv, selve typen af træning er ikke så afgørende. Se <a href="~/link.aspx?_id=97B9C52258F24150B283C20340D5C89D&_z=z">små film med nakkeøvelser</a></li> </ul> </li> </ul> </td> </tr> </tbody> </table> <table summary="Tabel med gul baggrund"> <tbody> <tr> <td style="background-color: #fdf3d5;"> <h2>Kontakt egen læge</h2> <ul> <li>Ved akutte stærke smerter, især hvis smerterne stråler ud i en arm</li> <li>Vedvarende gener som ikke bedres trods overnævnte tiltag</li> <li>Nakkesmerter og generel følelse af sygdom eller slaphed </li> </ul> </td> </tr> </tbody> </table> <table summary="Tabel med rød baggrund"> <tbody> <tr> <td style="background-color: #ffbebe;"> <h2>Kontakt læge med det samme </h2> <ul> <li>Er der føleudfald med styringsbesvær af overarmen, bør du kontakte læge med henblik på videre udredning</li> </ul> </td> </tr> </tbody> </table> <ul> </ul> <h2>Hvad kan lægen gøre?</h2> <h3>Sygehistorie</h3> <h4>Spørgsmål som lægen kan stille:</h4> <ul> <li>Hvor længe har smerterne stået på? </li> <li>Hvordan startede smerterne? Skade? </li> <li>Stråler smerterne ud? </li> <li>Ved udstråling til den ene arm: <ul> <li>Kan du beskrive smerten nøjagtigt? </li> <li>Forværres smerten ved hoste og/eller nysen?</li> </ul> </li> <li>Indvirker nakkesmerterne på dine daglige aktiviteter? </li> <li>Har der været gener tidligere? </li> <li>Følger der hovedpine med nakkesmerterne? </li> <li>Er der svimmelhed?</li> </ul> <h3>Lægeundersøgelsen</h3> <ul> <li>Lægen vil foretage en grundig undersøgelse af nakkeområdet: <ul> <li>Vurdere hovedets eller nakkens stilling? Skævhed? </li> <li>Er personen anspændt? Kan vedkommende ikke sænke skuldrene? </li> <li>Lægen vil føle på muskulaturen i nakken - er den påfaldende stram og øm? </li> <li>Ved mistanke om at en nerve er i klemme ved halshvirvlerne, skal lægen undersøge, om der er tegn på nervepåvirkning </li> <li>Det kan være nødvendigt med forskellige tests, som vurderer nakkens funktion</li> </ul> </li> </ul> <h3>Andre undersøgelser</h3> <ul> <li>Normalt er det til ringe hjælp at tage blodprøver. Men hvis lægen mistænker sygdommen polymyalgia reumatika, skal der tages en blodprøver som <a href="~/link.aspx?_id=DD6806AD9EB344BEB20E33F47EE7CAEA&_z=z">blodsænkning</a> (SR) og C-reaktivt protein (CRP)</li> <li>Røntgen, eventuelt MR-skanning, kan være nødvendig, hvis lægen har mistanke om, at nerver kan blive afklemte</li> </ul> <h3>Henvisning til specialist eller hospital</h3> <ul> <li>De fleste tilfælde af nakkegener kan håndteres hos den praktiserende læge </li> <li>Ved mistanke om discusprolaps, eller ved tilstande som ikke bliver bedre trods egen læges råd og behandling, kan det være nødvendigt at blive henvist til en specialist </li> </ul> <h2>Vil du vide mere?</h2> <h3>Træningsfilm for nakken</h3> <ul> <li><a href="~/link.aspx?_id=5150763DC2E44A27A8A3013FCBABCDB8&_z=z">Øvelsesprogram, 3 øvelser</a><br> <br> <a href="~/link.aspx?_id=97B9C52258F24150B283C20340D5C89D&_z=z"><img alt="" width="135" height="84" style="width: 135px; height: 84px;" src="3BED8D6685EA4EA3AF31CE0A820DC7E4-135-84"></a></li> <li><a href="~/link.aspx?_id=496556C3FAD541E5845A6E7D2838520A&_z=z">Øvelsesprogram, 3 øvelser med arabisk tale - فيديوهات تمارين رياضية باللغة العربية</a><br> <br> <a href="~/link.aspx?_id=BFE9BA69E2F447E1928C10AFC275AC36&_z=z"><img alt="" width="135" height="84" src="69880CC346CC4E1D961DB822FB174DB3-0-0"></a></li> </ul> <h2>Illustrationer</h2> <ul> <li> <a href="~/link.aspx?_id=2065EDC2D23B40A39FEA6B99449E3ECD&_z=z">Tegning af halshvirvler (cervicalcolumna)</a> </li> <li> <a href="~/link.aspx?_id=925DEA3815A64E3F8E8CC2A98F714DF1&_z=z">Tegning af muskler i nakke og ryg</a></li> </ul>]]></HtmlField> <TextField Name="DoctorsHandbookID">1202</TextField> <TextField Name="PageTitle">Nakkesmerter</TextField> <TextField Name="NavigationTitle">Nakkesmerter</TextField> <CheckBoxField Name="ShowInMenu">true</CheckBoxField> <CheckBoxField Name="ShowInContentField">true</CheckBoxField> <DateTimeField Name="RevisedDate">2022-08-26T14:21:00</DateTimeField> <LinkListField Name="Authors"> <LinkField linktype="internal">{10F0E7D2-8D6D-49AE-94B3-998114356326}</LinkField> <LinkField linktype="internal">{D71FC9B8-8D14-48C6-920F-BE9256067C0B}</LinkField> </LinkListField> <LinkListField Name="Organization"> <LinkField linktype="internal">{DBBC5F07-FEB9-4FAC-8DCA-1C8C28C4F5B5}</LinkField> </LinkListField> <LinkListField Name="SearchAreaID"> <LinkField linktype="internal">1</LinkField> </LinkListField> <TextField Name="Description">Nakkesmerter forekommer meget hyppigt. 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]]></Media> 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