Physiotherapy for cervical osteochondrosis: basic types of
Physiotherapy for osteochondrosis is in addition to the main treatment, seriously improving the patient's condition. At the same time, physiotherapeutic methods of treatment act selectively on the focus of pain, due to which a rather high efficiency of this method of treatment is achieved and almost no side effects.
Thanks to this method of treatment, a doctor can reduce the doses of drugs that are prescribed to the patient, thereby reducing the risk of side effects and the emergence of allergies.
In general, physiotherapy helps improve the condition of tissues and organs, normalize metabolism, improve microcirculation of blood in the affected area, stop pain, remove swelling and inflammation, and activate immunity.
Physiotherapy for osteochondrosis can be used in a complex or independently, depending on the patient's state of health. The following types of physiotherapy can be distinguished:
- laser therapy;
- shock wave therapy;
- detensor therapy;
- vibration effects( vibrating massages, ultrasound therapy);
- ultraviolet irradiation.
This is probably the most common method. Physiotherapy with cervical osteochondrosis, and with problems in other parts of the spine, almost always includes electrotherapy.
In this case, the effect occurs by means of an electric current, under the influence of which heat in the tissues arises, thereby increasing local blood circulation. This effectively eliminates discomfort and pain, and accelerates treatment. However, this type of physiotherapy is contraindicated in people who have metal devices and parts in their body, or pacemakers.
This type of therapy is based on the action of a constant magnetic field. During the procedure, field inductors are located on the affected limb or spine, while using a continuous mode of operation with the induction of a sufficiently strong magnetic field. One procedure lasts about 20 minutes.
This kind of physiotherapy treatment is not very common and has not yet proved its unconditional effectiveness.
Laser therapyPhysiotherapy for cervical osteochondrosis often includes laser therapy. In this case, the healing effect is achieved due to the action of helium-neon lasers, which activate bioelectric processes in the tissues of the nervous system. It is believed that this type of physiotherapy treatment has analgesic, anti-inflammatory and wound-healing properties.
In the procedure, the laser passes along the inflamed nerve roots of the spinal cord. It can also be used to influence the near-vertebral zones of the affected area. The exposure time for each zone is no more than 2 minutes, with the total time of the procedure usually not exceeding 14 minutes.
It should be noted that this method is quite new, it has not proved its effectiveness in practice yet. Often people believe advertising, believing that using a laser means using high technology. In fact, it is worth consulting with a doctor before going to take such a method of treatment.
This is also a fairly new method of physiotherapy, which has not yet received a very wide distribution. There are also a lot of disputes about its effectiveness, although in some cases it shows very good results.
The very method of treatment consists in the action of an acoustic wave on the affected area of the body. Due to this, pain is eliminated, metabolism improves and blood microcirculation improves.
Detensor therapy consists in stretching the spine with the weight of the body of the patient. It should be noted that this is an old enough method, but at the moment it is the cause of many disputes. There is an opinion that an excess of such procedures can be harmful to the patient and lead to the formation of new hernias and protrusions. In addition, stretching itself has only a temporary anesthetic effect, which is manifested by removing the load from damaged discs. By and large this is not a cure, but only a way to reduce pain for a while.
BalneotherapyThe benefits of mineral waters and therapeutic mud are known to all long ago. This is the basis for this method of treatment, such as balneotherapy. It involves the use of swimming pools, showers, general and local baths with mineral waters, as well as therapeutic mud. During the procedures with mineral waters, substances penetrate through the skin and affect the nerve centers and receptors.
When treatment with mud is carried out, the effect on the body is due to the chemical composition and temperature of the therapeutic mud. This method is usually applied in the form of applications.
This method of treatment reduces inflammation, improves blood circulation and stimulates metabolism.
P.S.On this site you can learn all the effective methods of cervical osteochondrosis treatment.
What physiotherapy methods help with osteochondrosis
Physiotherapy has reliably secured the title of one of the most important components in the treatment of osteochondrosis on a par with pharmaceutical anesthetics, massage and exercise therapy. It is widely used for outpatient and sanatorium treatment.
Why are the methods of physical impact in the degenerative changes of the intervertebral disc so diverse and in demand( this process is understood as the term osteochondrosis)?Because the patient, at the moment of exacerbation, is grateful that he was relieved of pain and returned to the ability to move. Anesthesia is achieved with NSAID.In addition to pharmaceuticals, doctors prescribe physiotherapy procedures, and in some cases dispense even without medication. Removing the symptoms of osteochondrosis is the main task of physiotherapy. And here many methods work without failures.
Purpose and objectives of physiotherapy
The action of physiotherapy for osteochondrosis is directed to soft tissues of the back:
Due to the physical effects of heat and cold, electric currents and magnetic field, laser and ultrasound in the diseased area, muscles can be relaxed, nutrition and oxygen supply improved. This, in turn, reduces edema, relieves inflammation, relieves cramped nerve roots. The cause of pain and discomfort is removed.
Types of physiotherapy
Physiotherapy for osteochondrosis is diverse and multifaceted. The choice of one or more procedures depends on the needs and health of the patient. Most polyclinics and sanatoriums offer:
- exposure to heat( paraffin treatment, mud therapy);
- hydrotherapy( Charcot's douche and mineral baths);
- spinal traction( detensor therapy and underwater traction);
- electromyostimulation( stimulation and relaxation of muscles under the influence of weak alternating electric currents);
- topical administration of drugs using electrocurrent, laser or ultrasound( electrophoresis, laser phoresis, laser-cutting and phonophoresis);
- ultrasound effect on muscles and intervertebral disks;
- treatment with a low-frequency magnetic field;
- laser irradiation of acupuncture points, affected vertebrae and paravertebral zones;
- reflexotherapy with the help of EHF-waves;
- shock wave therapy.
The effectiveness of each of these procedures continues to be studied, and safety and contraindications are thoroughly described.
Physiotherapy with osteochondrosis will not do without the use of paraffin or mud. The calculation is simple - moderate heating relaxes muscles, soothes the nervous system, dilates the vessels. Lying under warm paraffin or a special mineral-organic mixture, a person experiences comfort, relaxes and forgets about pain. Especially quickly pass the symptoms of a spastic nature.
The reason for the appointment of a variety of warm-ups will be back pain, arising after overexertion, severe physical exertion, spasm of certain muscle groups.
Contraindications to heat treatment are:
- internal disease;
- high pressure;
- endocrine diseases.
With paraffinotherapy, applications up to 55 ° C are applied to a sore spot. White paraffin is heated and applied a layer of 1-1.5 cm, covered with paper or oilcloth, and on top with a terry towel. The duration of the procedure is 30-60 minutes.
Mud treatment can be local or in the form of complete wrapping. Natural natural mud is heated and applied to the body in a layer of 4-5 cm. A special bed is prepared for the procedure to cover the patient for deep warming. For one complete wrap, about five buckets of curative mud are consumed.
One of the most accessible types of treatment for osteochondrosis is water treatment. Influence on the sore spot can be mineral baths, the change of warm and cold poultices, a strong stream of Charcot's shower. The first two methods work like heating, and the latter combines elements of massage.
The general result of water procedures will be the removal of tension from the contracted muscles and the flow of blood to the sore spot with subsequent beneficial effects.
Contrast poultices can be used even in acute and subacute moments - thanks to the ice component the procedure does not cause swelling.
Indications and contraindications in cases of hydrotherapy are similar to thermal procedures. Charcot's shower is also not recommended for patients with spinal cord injuries, intervertebral hernias, and epilepsy.
Extension of the spine
Traction is a procedure whose use is most contested. At the same time, most sanatoria and clinics are equipped with a variety of couches, simulators and other devices. The evidence base of the opponents of the method increases and is filled with convincing arguments. It turned out that the traction, incl.and underwater, leads to microfractures of intervertebral disc tissues, which potentially contributes to the appearance of hernias. And even a temporary cessation of pain in the neck or lower back does not justify barbaric violence over the vertebrae.
Unlike classical traction, detencore therapy relieves the spine without a disruptive load in the natural lying position. The ribs of the special mattress are arranged in such a way that the clamped nerve roots are released and the food of the discs is improved.
The procedure lasts about 30 minutes. The course requires 12 sessions. Immediately after stretching on the mother-child, you can not sit for 1 hour. This time you can devote a walk or lie down on a regular bed.
The procedure is prescribed in the remission stage with osteochondrosis, lumbago, mobility restriction.
Accelerated local anesthesia
Electro-, phono-, laserforest are examples of local anesthesia with drugs that are accelerated by electrical impulses, sound waves or focused beams. The nature of physical impact in each case is different, but the result is one - a quick report of the drug to the place of pain. Novocain, lidocaine, lidazum, nicotinic acid, troxevasin are used as active substances. The result is anesthesia.
This kind of physiotherapy for osteochondrosis is prescribed in an acute period. Contraindications may include heart disease, the presence of pacemakers, epilepsy, an individual intolerance to the procedure, pregnancy.
Electric, magnetic and ultrasound procedures
With a huge variety of hardware physiotherapy for osteochondrosis is aimed at warming and relaxing the muscles, improving blood flow. Due to the peculiarities of each energy carrier, individual treatment for each patient can be selected:
- UHF relaxes and warms muscles;
- electromyostimulation tones the relaxed areas and relieves tension from spasmed muscles;
- shock wave therapy loosens calcium build-up and fibrosis, improves metabolism in intervertebral discs;
- magnetotherapy is needed to improve the blood supply to the affected areas and to remove muscle hypertension in the field of osteochondrosis.
All hardware procedures should be prescribed by a physician and be supervised by trained medical personnel. Contraindications to conducting physiotherapy with osteochondrosis - the presence of pacemakers, epilepsy, cancer, pregnancy, individual intolerance.
Focused rays in the treatment of cervical, thoracic and lumbar osteochondrosis began to be applied relatively recently. Currently, physicians prove the effectiveness of the method, actively looking for the best techniques of laser application and optimal exposure modes.
The use of laser therapy in the treatment of osteochondrosis by irradiating reflex points, vertebral groups, spinous and transverse processes of the vertebrae has been experimentally proven. It is known that the laser contributes to the regeneration of intervertebral disc tissues, improves blood circulation, relieves inflammation and swelling.
The procedure is used to stop the pain and during the period of remission to restore the discs. The advantage of laser therapy is the absence of contraindications. It is safe even for elderly patients and in cases aggravated by diseases of the cardiovascular and endocrine system.
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Physiotherapy for osteochondrosis: TOP-8 procedures
For osteochondrosis, procedures involving ultraviolet radiation can be prescribed. This type of treatment helps the body produce vitamin D, which is important for the absorption of calcium. Also, UFO helps the body cope with inflammatory processes, reduce pain syndrome, and has antibacterial action.
In osteochondrosis in the lower back, this type of procedure usually affects the buttocks, hips, lower leg, lumbar spine and sacrum. With cervical osteochondrosis, procedures are performed near the shoulder blades, shoulder girdle and suprapatrubular region. The first session using UFO lasts a few minutes. With time, the duration of the procedures begins to increase. This is done in order to test the sensitivity of a person to the ultraviolet. In total, the course of treatment with UFO consists of 12-13 procedures.
The procedure includes the action of special helium-neon lasers on the entire vertebral column, its affected areas, paravertebral areas. Procedures help to strengthen bioelectric impulses in tissues and thus improve their condition. The laser action on the paravertebral area usually lasts no more than 2-3 minutes. The therapy has a good analgesic effect, relieves inflammation, spasms, promotes the healing of tissues. As a rule, the laser therapy session takes no longer than 13-15 minutes.
Extension or detensor therapy is a course of special procedures that help to eliminate spinal defects and normalize its work by applying pressure on the spine to the weight of the patient. The procedure is carried out on a special device.
Shock wave procedures
Implies the use of strong acoustic waves on the spine. Therapy helps to stimulate the metabolism in the spine, relieves pain.
Often appointed for osteochondrosis, based on the use of vibration frequencies. The procedure can quickly eliminate the pain of varying degrees.
Based on the use of very high frequencies. As a rule, this type of procedures is prescribed simultaneously with taking medications that are better absorbed together with a set of ultrasound therapy.
The type of procedures based on the use of magnetic inductors for treatment. Inductors are attached to the damaged osteochondrosis region of the spine and to the limb. For therapy, continuous induction is used( 28 mT to 50).Usually, 20 procedures are enough for a patient to recover, for 15-20 minutes each.
Therapy, which is based on the use of mud, mineral waters, baths and a therapeutic shower. This can include water lessons in the pool. Balneotherapy provides for the effect of mineral substances on the affected parts of the spine, the removal of pain and normalization of the circulation.
Helps to eliminate spasms and pain, to stop degenerative processes in the spine with the help of electrocution. The electric field created during the procedure helps to raise the temperature in damaged tissues, improve blood flow. Procedures with the use of electric current are divided into several types:
- Action on the spine by means of a pulsed electric current.
- Diadynamic therapy( pulse currents are also used, but of different frequencies).
- Interference therapy( application of very frequent impulses, but low frequency).
- CMT procedures( action on the spine with alternating sinusoidal currents).
- UHF-therapy( procedures are based on the use of an electromagnetic field).
- Percutaneous electro-neurostimulation therapy.
Physiotherapy for cervical osteochondrosis: electrophoresis, magnetotherapy
Electrophoresis in osteochondrosis of the cervical and other departments is used very often. Electric current transfers heat to the body, increases blood flow in the affected area of the body. Thanks to this, pain, any unpleasant sensations go away, the treatment process is greatly accelerated. This method also has contraindications: the presence in the patient's body of any metal parts, as well as devices, such as, for example, a pacemaker. There are several types of electric shock:
- One of the most effective methods of treatment is considered a pulsed low frequency current. Currents are sent to the nerve endings and are capable of extinguishing even the strongest pains.
- DDT( diadynamic therapy) is an effect by a current, either wave or continuous, acting directly on a painful place. Usually appoint up to ten procedures in one session. Quite soon, acute pains are replaced by aching, the strain of muscles and nerve endings is reduced, the mobility of the spine increases, and muscle tonus is set in order.
- Electrophoresis in the case of osteochondrosis of the cervical region in case of acute pain can also be prescribed in the form of interference therapy. It is a current with rhythmically variable frequencies, its strength rises to a vibrating effect. At one time it takes about fifteen minutes.
- Modulated sine wave( CMT) is another type of electrophoresis. As the pain is affected, the specialist who conducts the procedure reduces the number of modulations, while simultaneously increasing the depth of the effect. The current parameters are selected by the physician, based on the patient's pain syndrome.
- It is often enough to use acute percutaneous electrical neurostimulation( TENS), which is carried out with hydrophilic pads. This procedure activates the nerve endings without affecting the motor apparatus.
- UHF also affects the nerve roots. In one course, usually fifteen procedures.
Physiotherapy for cervical osteochondrosis is extremely useful. One of its varieties, UFO, helps to synthesize vitamin D in the body, without which it is impossible to assimilate calcium. In addition, it helps to reduce pain, relieve inflammation, has a bactericidal effect. Physiotherapy with osteochondrosis of the cervical region focuses on the shoulder blades, back of the neck, collarbones and the outer surface of the shoulders.
If the patient has problems with the thoracic area, then the treatment is applied to the sternum and the midline of the back. Lumbar osteochondrosis requires attention to the lower back, the sacrum, buttocks and the back of the legs and thighs. This method can not be applied to patients with oncology, blood diseases and those who take medications that activate under ultraviolet rays.
Magnetotherapy for osteochondrosis of the cervical and other parts of the spine is considered a very effective method of treatment. The active component is a continuous or alternating magnetic field, created directly on the affected department and limbs. It is painless and does not irritate the patient.
Magnetotherapy for cervical osteochondrosis stimulates blood circulation, as a result of which the patient gets rid of headache, nausea, dizziness, vomiting, reduces inflammation, stops the process of destruction of cartilage tissue, very quickly damps the pain in the affected area.
Physiotherapy for osteochondrosis of the cervical region can also be provided in the form of vibratory action. This method consists in ultrasound treatment. It removes pain, improves the condition of affected tissues, is contraindicated in people with oncology, skin defects and diseases, mental disorders, and vibration sickness.
This treatment of a painful area by means of an acoustic wave. It is able to remove painful sensations, to put in order the circulation of blood, positively affects the whole organism.
This is the stretching of the spine with the patient's own weight. This method is not used very often.
The laser acts on inflamed nerve endings and heals wounds, reduces inflammation, removes pain, activates metabolic processes. The procedures are very short, not more than two minutes.
This treatment of the spine with mineral water and mud. It is carried out in swimming pools, various baths of general or local nature, the soul. It positively affects the nervous system, harmonizes the metabolism, normalizes the general state of the body, blood circulation, reduces inflammation.
Physiotherapy with cervical osteochondrosis
Modern physiotherapy offers the following methods of action.
- Application of ultraviolet radiation.
- Vibration method( massage, sound waves).
- The use of mud baths, the so-called balneotherapy.
- Application of sound waves in shock wave therapy.
- Direction of flow of electrical impulses to the affected area.
- Laser treatment of osteochondrosis affected areas.
Do not forget that only a doctor is able to correctly establish a diagnosis and choose the appropriate treatment. Attempts to self-diagnose and self-medication usually lead to very disastrous consequences and may lead to disability if the cervical osteochondrosis occurs.
The use of massage procedures
Physiotherapy also includes massage procedures that stimulate blood circulation, eliminate stagnant phenomena, relax the muscles, restoring their natural elasticity. However, despite the general benefit, massage has its own contraindications.
- Diseases of the skin.
- Allergic reaction to the oils and creams used during the session.
- Vascular diseases, as well as problems with blood circulation.
- Consequences of injuries and fresh wounds.
It is important to remember that massage with osteochondrosis, especially if the disease has settled in the cervical region, must necessarily be carried out by an experienced specialist who has the appropriate qualifications. Appeal to "folk craftsmen" can lead to the most unexpected consequences, since even one embarrassing pressure can significantly worsen the patient's condition and lead to the formation of serious violations.(See also: visual impairment in cervical osteochondrosis).
Physiotherapy uses several basic techniques, but electrotherapy is one of the most proven. During the procedure, the patient is applied to the affected areas of special pads, which are fed a weak electric current. The direct effect of electrical impulses stimulates blood flow and triggers the development of regenerative processes.
Physiotherapists have also developed special methods of electrical treatment that help warm up the sick areas and eliminate pain syndrome after 2-3 procedures. This effect can be achieved by directly affecting the nerve roots and relieving tension from the spasm of the muscles.
Physiotherapy for cervical osteochondrosis contains among the set of its "tools" and the method of exposure by means of magnetic fields. In the treatment of cervical osteochondrosis, this kind of physiotherapy procedure is not assigned as often as others, but its use in an integrated approach allows to accelerate the achievement of a positive result.(See also: manifestations of cervical osteochondrosis).
This method is based on the use of a special device that generates a strong electromagnetic field. This approach excludes the occurrence of any side effects and has absolutely no contraindications. In the process of exposure, cells of the human body trigger regenerative processes by stimulating biochemical processes.
Like the previous treatment, laser exposure is safe and does not imply any contraindications. In this case, the patients quickly achieve a positive effect, which is the result of heating tissues with concentrated light beams. As a result, the treated areas are relieved of uncomfortable sensations, the pain syndrome passes and the patient begins to feel much better.
This kind of physiotherapeutic procedures is based on the use of substances enriched with trace elements and minerals. In the complex of treatment for osteochondrosis of the cervical department include bath and shower. In addition to mineral waters, healing methods are used with healing mud and clay. These substances can be applied directly to the affected areas or the patient is required to periodically take baths with full immersion.
Among the main advantages of this type of physiotherapy is the overall positive effect and simplicity of the procedure itself. After the course of balneotherapy, the patient has a restoration of natural circulation, eliminates inflammation, normalizes metabolism, and so on.
Combination of various
methods As a rule, in the treatment of osteochondrosis of the cervical department, a doctor will prescribe several methods from the arsenal that contains physiotherapy. Their choice is in accordance with the specific development of the disease, so self-treatment can be very dangerous and can aggravate the situation.
For example, to cope with a strong pain syndrome will help laser therapy, and relax the muscles cramped with spasm can be with the help of balneotherapy. Thus it is necessary to consider that during an exacerbation it is necessary to refrain from performing any physical procedures at all and to use only medicamentous treatment to fight the osteochondrosis of the cervical department.(Learn about preparations for the treatment of cervical osteochondrosis).
It is important to remember: if you suspect a disease that occurs against the background of a violation of natural blood supply, you should immediately visit a doctor. This will help to protect themselves from serious complications and begin to address the complex problem at an early stage.
Other physiotherapy techniques
There are less common methods of physiotherapy that can help with cervical osteochondrosis. Increasingly popular among them is acupuncture, which allows you to actively influence the nerve nodes and biological points, reducing pain syndrome. Western medicine still has a high degree of skepticism towards this type of treatment, but in the East it has been practiced since ancient times and, as practice shows, very good results are achieved.
In the initial stages with symptoms of cervical osteochondrosis, gels and ointments help to cope, which are now in large numbers on drugstores. They can be used actively instead of medical treatment, but do not forget that these substances do not affect the root of the problem and only help to regain good health for a while.
When osteochondrosis is manifested
Various factors can lead to the appearance of osteochondrosis of the cervical spine, but the most common of them are the following:
- children's scoliosis and uncomfortable body position during work and rest( including night);
- weak muscular corset, which does not allow to remove some of the load from the vertebrae;
- intensive training or constant heavy physical work;
- aging of joints on the background of worsening of blood flow and slowing of nutritional and metabolic processes;
- household and industrial injuries of the spine.
The best way to prevent the development of the disease will be periodic observation by the doctor. At the same time, there are simple preventive methods, adhering to which, it is possible to exclude, with a 100% probability, the possibility of osteochondrosis in the cervical and other parts of the spine. Among such simple recommendations:
- constant posture control, especially in representatives of sedentary occupations;
- regular useful physical exercise( fitness, yoga and so on);
- performance of complexes of physiotherapy exercises;
- enriched with vitamins and minerals food in moderate amounts.
In addition, we must not allow too fast mass gain, because this significantly increases the transfer to the vertebrae of the load, which often causes the development of osteochondrosis. You can not regularly carry heavy bags on one shoulder. Should it be possible to prefer active rest to the passive and to undergo physioprocedures for cervical osteochondrosis.(Read about the rules of sports with cervical osteochondrosis).
In conclusion, I would like to recall once again the importance of accurate diagnosis and timely visits to a doctor. Do not arbitrarily use the information given, as it is of a fact-finding nature and should not lead to a dangerous self-treatment. Osteochondrosis in each case has its own specific characteristics and what can help one patient can harm another.
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