Physiotherapy for cervical osteochondrosis

Physiotherapy for osteochondrosis - its types and features

Physiotherapy procedures for osteochondrosis supplement the basic treatment and greatly facilitate the patient's condition. Selectively acting on a painful focus, physiotherapy has virtually no undesirable side effects.

This type of therapy does not cause exacerbation and allows to reduce doses of drugs. Due to the smaller number of drugs, the risk of allergies and side effects is reduced.

Physiotherapeutic procedures:

  • Normalize metabolism
  • Improve the condition of organs and tissues
  • Activate immunity
  • Activate neurohumoral functions
  • Stop pain
  • Improve microcirculation in affected area
  • Antidepressant and anti-inflammatory effect of
  • Reduce motor disorders.

Physiotherapy for osteochondrosis, depending on the patient's condition, is applied both in the complex and independently. Wellness effects on the human body is achieved through a modified form of electrical and mechanical energy and natural factors( light, climate, mud, water).

Types of physical therapy in the treatment of degenerative disc disease

When osteochondrosis apply the following types of physical therapy:

  1. Laser
  2. Detenzor - therapy
  3. electrotherapy
  4. Shockwave therapy
  5. Magnetic
  6. Balneotherapy
  7. Vibration effects( ultrasound therapy, zone or spot vibration massage)
  8. Ultraviolet radiation( UVR)

UFO

Under the influence of UFO in the skin, vitamin D is formed, which helps to assimilate calcium. The method is carried out with the help of irradiators, which have bactericidal, anti-inflammatory and some analgesic effect.

For cervical osteochondrosis, UV physiotherapy is used on the back of the neck and upper part of the scapula, the subclavian area, the outer surface of the shoulder. When chest osteochondrosis affects the middle line of the spine in the sternum. At the lumbar - on the lumbosacral region, buttocks, the back surface of the thigh and lower leg.

Sensitivity to ultraviolet rays must be checked before carrying out therapy. In the first procedure, the smallest biodoses are prescribed and gradually they are increased with each subsequent session. Usually, 10-15 procedures are prescribed.

Contraindications:

  • Oncological diseases
  • The use of drugs, the effect of which is enhanced by exposure to ultraviolet rays.
  • Blood diseases.

Vibration effect

The method underlies many effective treatment methods. Due to its effect, the method relieves pain of different localization.

With ultrasound therapy, the body is exposed to high-frequency sounds( from 20,000 Hz and more).This method is combined with drugs to better penetrate into the affected tissue.

Contraindications:

  • Oncological diseases
  • Vibration disease
  • Dermatitis or lesions of the skin in the area affected by
  • Mental disorders.
Shock Wave Therapy Shockwave therapy is used for osteochondrosis

Shockwave therapy

The method consists in transferring an acoustic wave to the painful part of the body. This kind:

  • Eliminates pain
  • Improves microcirculation
  • Improves metabolism.

Detensor therapy

The method consists in stretching the spine with the weight of the patient's body.

Laser Therapy

The method has a healing effect with helium-neon lasers.
Thanks to the activation of bioelectric processes in the tissues of the nervous system, laser therapy has the following properties:

  • Wound healing
  • Anti-inflammatory
  • Analgesic

Laser radiation is carried out along the course of inflamed spinal roots. When osteochondrosis, the effect on the near-vertebral zones( paravertebral) of the affected spine is applied. The duration of exposure to each zone( spinal spine) is no more than 2 minutes. The total time of the session does not exceed 14 minutes.

Electrotherapy

The method is influenced by the electric field and current. Under the influence of electric current in the tissues, heat is formed, which contributes to the enhancement of local blood circulation. Electrotherapy has the following effects on the body:

  • Eliminates pain and discomfort
  • Accelerates treatment.

The current treatment is contraindicated in patients who have metal parts and devices in the body, pacemakers.

Pulse currents

Pulsed currents have a very effective curative effect. Their mechanism of action on the body is determined by the effect on the nerve receptors. Low-frequency impulses contribute to the extinction of pain.

Diadynamic therapy( DDT)

You can also read: massage Treatment of osteochondrosis with massage

DDT is used in the treatment of osteochondrosis with the help of a double continuous or wave current. The intensity of the current increases until a sensation of light vibration appears in the place of impact. Sessions are prescribed daily for up to 10 days. After the second procedure, acute pains become aching, muscle tension and symptoms of nerve root tension are removed. The full course of treatment of DDT leads to normalization of muscle tone and increased mobility of the spine.

Interference therapy

The method is used for acute pain. The method consists in a rhythmic change in the frequencies of the electric current. The strength of the current increases until the appearance of vibration in the affected tissues. The procedure lasts up to 15 minutes.

Exposure to sinusoidal modulated currents( CMT)

The current frequency and the depth of modulations with this method of physiotherapy are selected depending on the pain syndrome. With each subsequent procedure( as pain decreases), the modulation frequency is reduced and the depth is increased.

Electrotherapy Electrotherapy eliminates pain and accelerates the treatment.

Transcutaneous electrical neurostimulation( ChENS)

TENS electrodes with hydrophilic pads are used with TENS.Stimulation is achieved by activating the nerves without direct action on the motor structures. Electrodes are imposed on the entire area of ​​the invertebrate affected area, on the area of ​​the projection of spinal roots. The current increases until the vibration in the area of ​​exposure. The method is effective in an acute period.

Electric field UHF

Electrodes for UHF therapy are installed on the paravertebral zones along the rootlets. The duration of the procedure is up to 14 minutes first daily, then every other day and combined with other physiotherapy procedures. Course up to 15 procedures.

Magnetotherapy

Physiotherapy with osteochondrosis includes the use of magnetotherapy. The inductors are located on the affected spine and limb. Magnetotherapy uses a continuous mode with magnetic field induction from 28 to 35 mT.The procedure lasts up to 20 minutes, the course up to 20 procedures daily.

Balneotherapy

Balneotherapy for osteochondrosis consists of the use of mud and mineral waters( local and common baths, pools, showers) for the purpose of treatment and rehabilitation. Minerals penetrate the skin during the procedure and act on receptors and nerve centers.

In the treatment of mud( peloidotermia), the effect on the body occurs under the influence of the temperature and chemical composition of the healing mud. Muds are used in the form of appliqués. Balneotherapy stimulates metabolism, improves blood circulation and relieves inflammation.

Combined methods of physiotherapy

The most commonly prescribed combined methods of physiotherapy of osteochondrosis. For example, with severe pain, diadynamotherapy and electrophoresis( diadynaphoresis) with novocaine are used.

For one-step exposure to biological active points, the acupuncture method is used. Its action is to activate the points with acupuncture needles and laser radiation. Mud treatment is often used with electrotherapy( electrophoresis with mud solution, inductothermy with mud, galvanic mud treatment).

MoyaSpina.ru

Physiotherapy for osteochondrosis

Physiotherapy as a way to get rid of diseases has existed since time immemorial. Osteochondrosis is no exception. With physiotherapy, the effect is directly on the diseased part of the body, which leads to a speedy recovery with less energy and material costs. Physiotherapy in osteochondrosis is carried out at different stages of the disease and is carried out with the help of:

  • The mechanical influence of a specialist or mechanical device( vibromassage);
  • Electronic ultrasound. The electronic device emits high frequency sound waves. This method allows you to influence the organs and tissues that are inside. This method can be combined with a medicamental effect on the body. This contributes to a better impact on the sick body and a speedy recovery;
  • Electrical impact. Electrophysiotherapy methods consist of DDT, CMT, electrophoresis and some others.
  • Magnetotherapy. The affected body is affected by the magnetic field.

There are other ways: detensor therapy, shockwave therapy, laser therapy, hirudotherapy( leech treatment)

At the first suspicions of osteochondrosis, you should contact a specialist. After examining and analyzing all the information about your body, he will prescribe the treatment.

How to treat with cervical osteochondrosis?

With frequent causes of pain in the head, it is necessary to be examined for osteochondrosis in general and cervical in particular. It is necessary to understand that there is a cervical osteochondrosis for many reasons, but there are several basic ones: malnutrition;neglect of an active way of life, wrong posture.

Cervical osteochondrosis is treated with the use of medicines, physiotherapy, medical gymnastics. When remission occurs, physiotherapy is applied to influence the cervical osteochondrosis, which in most cases leads to an improvement in the mobility of the entire spine.

Physiotherapy with a specialist

For weak pains, the basic methods of physiotherapy for cervical osteochondrosis are a set of paraffin-ozocerite applications and complex methods. Experts know the complexes of health-improving exercises. Treatment specialists are appointed according to individual characteristics. Physiotherapy with cervical osteochondrosis is painless and pleasant.

With a faithful attitude toward doing exercises, the blood circulation, mobility of cervical vertebrae improves. But do not forget: with minor pain, the frequency of movements decreases. Experts do not advise making sharp circular rotation of the head.

Treatment by physiotherapy

The treatment of the disease by physiotherapy depends on the nature of the pains, their individual characteristics. The variety of physiotherapy methods allows you to remove acute pain syndrome, reduce the inflammatory process. Vibration treatment is one of the main ways of treating osteochondrosis with physiotherapy with the help of vibro-massagers with point-shaped nozzles. Mechanical vibration removes pain, which leads to better health of the patient.

Contraindications for this method are: vibration disease, mental illness. It helps to relieve pain, improve physical condition by ultrasound. ULTRASOUND THERAPY is a medical application of mechanical oscillations of ultrahigh frequency. Three factors affect the human body during ultrasound therapy: mechanical, thermal, physicochemical.

octeohondroz.ru

Hardware methods for osteochondrosis: physiotherapy and physiotherapy

Physiotherapy with osteochondrosis To date, the pathogenesis of such a disease as osteochondrosis has been well studied. Despite this, treatment of osteochondrosis presents a number of problems. Traditionally, the disease is treated medication , with the use of various drugs, relaxing muscles and neutralizing spasms, causing pain.

As a rule, after the end of the medication, pain can return , often with renewed vigor. This is due to the fact that the drugs only stop the pain, but do not treat the original problem, the state of the back muscles, the intervertebral disks remains the same, that invariably leads to a new wave of the disease.

For the treatment of cervical, thoracic, lumbar and other types of osteochondrosis, various hardware therapies for have long been used.

About what to do if you have a lordosis of the cervical spine in this article.

First aid for the treatment of the compression spine is described here. It is better to prepare for such misfortunes in advance.

Physiotherapy with osteochondrosis

Physiotherapy is an effective and widely used method for the treatment of the spine. Treat various physicians with physiotherapy, including osteochondrosis .The method has many advantages.

The physiotherapist acts selectively on the outbreak of the disease, neighboring organs and tissues are not affected, and, therefore, there will be no negative result. This factor is very important when applying the method of physiotherapy for the treatment of children and people of advanced age. The organism of these patients is quite vulnerable to other types of treatment.

Advantages of physiotherapeutic procedures

  • Physiotherapy procedures can be an excellent addition to treatment or a separate treatment for diseases that are not well treated with by traditional methods of .
  • Physiotherapy is not capable of causing a sharp exacerbation of of chronic diseases of , which may be present in the patient. With the use of conventional drugs, it is very difficult to guarantee.
  • Physiotherapy normalizes metabolic processes in the human body, increases immunity, improves the general condition of the body and its individual organs and systems. To achieve health improvement is possible with the help of beneficial properties, transformed form of energy: mechanical and electrical, as well as the use of a number of natural factors( light, water, climate, mud).

Types of Physical Therapy:

  1. Detenzor - Laser therapy
  2. Electrotherapy Magnetotherapy Balneotherapy
  3. Shockwave therapy
  4. Vibration effects
  5. UFO
  6. Physiotherapeutic procedures at home

Laser Laser therapy - an effective method of treatment, which is reduced to the effects on the body of light. Laser therapy has anti-inflammatory and healing properties. Laser therapy reduces pain. This method of treatment appeared in Russia in the 80's and immediately gained wide popularity.

In neurology, the procedure is used to combat neuralgia, neuritis, polyneuropathy, migraine and osteochondrosis.

The advantages of laser therapy are the mass, the main plus is the lack of medicines. The laser activates the natural strength of the body. The body fights not only with a particular disease, but with all the common pathologies.

Laser therapy is performed on an outpatient basis, the patient will not need to change his schedule .

Contraindications to the use of laser therapy: tumors, a number of blood diseases. When pregnancy is also laser therapy is not recommended.

Detensor therapy

Extraction of the spine with detensor therapy

Detensor therapy is an effective method for treating a number of diseases, the essence of the method is to stretch the spine when exposed to the weight of the human body. The spine is stretched by means of a special mat.

The Matrix "Detensor" is a special system of elastic ribs, which are located at different angles to the surface of the body. Under the weight of the human body, when properly folded, these elastic ribs create the effect of stretching the spine.

How does the method work? Horizontal traction for a certain amount of time can relax the muscles and relieve spasms, as well as the pain they cause. Therapy normalizes muscle tone, the muscles supporting the spine are restored, their work is greatly improved.

This "unloading" of the spine and muscle relaxation allows the to eliminate the vertical compression of the vertebral discs, it is possible to better circulate blood and supply this area with nutrients.

Detensor therapy allows you to treat pain in acute and chronic diseases of the spine, migraine and headache, is widely used in the treatment and prevention of osteochondrosis.

There are practically no contraindications to the use, the method can be used even in old age.

In each case, the traction force is individual, because it depends on the patient's body weight. Detensor therapy eliminates the risk of injury, which is inevitable when using other techniques for stretching.

Electrotherapy

Electrotherapy uses currents and electric fields. This method eliminates discomfort and pain that can occur at any stage of the disease, the method will also shorten the period of treatment of osteochondrosis.

Shockwave therapy

The method, which consists in transferring the energy of the acoustic wave to the affected area, is called shockwave therapy. Shockwave therapy will eliminate pain, improve microcirculation, have a beneficial effect on the metabolic processes of the body, accelerate the regenerative process.

Magnetotherapy

Magnetotherapy in diseases of the back

This method of treatment uses the influence of the magnetic field on the patient's body. In this case, a bioelectric field appears in the tissues, which stimulates all processes at the cellular level.

Balneotherapy

"Bathing treatment" or balneotherapy includes special methods of application of mud , as well as mineral water , applied locally or simply as a common shower or bath.

Gases dissolved in mineral waters have a special beneficial effect on the body.

They penetrate the skin and other mucous membranes of the gastrointestinal tract into cells and tissues, affecting the receptors of blood vessels, internal organs, and also to the nerve centers of the body through the blood.

Balneotherapy is effectively used for the treatment of osteochondrosis.

Vibration effect

A variety of physiotherapy, effects on the body by mechanical vibrations: ultrasound, general vibrating massage, zonal, as well as point vibration massage.

UFO

It's no secret that when exposed to ultraviolet rays, vitamin D is synthesized in our skin. This vitamin, including, helps to assimilate calcium.

UFD is carried out with the help of special irradiators with bactericidal and anti-inflammatory action. In cervical osteochondrosis, physiotherapeutic ultraviolet procedures are used locally on the posterior surface of the neck, on the shoulder blades in the upper part, on the outer surface of the shoulder and in the subclavian area.

The effect is produced in the sternum region on the middle line of the spine with chest osteochondrosis.on the lumbosacral and gluteal region, the posterior surface of the thighs and shins are affected by lumbar osteochondrosis.

Before prescribing the UFO procedure, the sensitivity of the patient to the rays in small doses should be checked.

Physiotherapy at home

To perform physioprocedures at home, there is a huge number of various portable devices, they are easy to buy in pharmacies and stores. They can be applied in addition to the main methods of treatment after consultation with the attending physician.

In the case of osteochondrosis, treatment by physiotherapy methods should be prescribed by the attending physician. After the examination, the doctor must appoint the necessary kind of procedures or their complex. Paying attention to the general condition of the patient's body, he prescribes the type and duration of treatment.

Today, physiotherapy is at a sufficiently high level, so many physicians recommend using physiotherapy not only as a concomitant treatment, but also as the main one in the treatment of osteochondrosis.

osteocure.ru

Physiotherapy for osteochondrosis: TOP-8 procedures

UFO

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.

Laser therapy

The procedure includes the action of special helium-neon lasers on the entire spine, 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

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.

Vibration effect

Often appointed for osteochondrosis, based on the use of vibration frequencies. The procedure can quickly eliminate the pain of varying degrees.

Ultrasonic therapy

Based on the application 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.

Magnetotherapy

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.

Balneotherapy

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.

Electrotherapy

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 using electric current are divided into several types:

  • Action on the spine with the help 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 by alternating sinusoidal currents).
  • UHF-therapy( procedures are based on the application of an electromagnetic field).
  • Percutaneous electro-neurostimulation therapy.

ostohon.ru

Physiotherapy for cervical osteochondrosis

Modern physiotherapy offers the following methods of action.

  1. Application of ultraviolet radiation.
  2. Vibration method( massage, sound waves).
  3. The use of mud baths, the so-called balneotherapy.
  4. Application of sound waves in shock wave therapy.
  5. Direction of flow of electrical impulses to the affected area.
  6. 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 muscles, restoring to them natural elasticity. However, despite the general benefit, massage has its own contraindications.

  1. Diseases of the skin.
  2. Allergic reaction to the oil massage and creams used during the session.
  3. Vascular diseases, as well as problems with blood circulation.
  4. 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).

Electrotherapy

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 also developed special methods of electrical impact that help warm up the sick zones 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.

Magnetotherapy

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.

Laser therapy

As with the previous therapy, 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.

Balneotherapy

This kind of physiotherapeutic procedures is based on the use of substances enriched with microelements 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 with, which are now in large quantities on drug stores. 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.

Preventive methods

The best way to prevent the development of the disease will be periodic observation by a 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 therapeutic physical training;
  • is enriched with vitamins and minerals in moderate amounts.

In addition, too fast mass gain should not be allowed, because of this, the load transferring to the vertebra increases significantly, 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 remind you once again of the importance of accurate diagnosis and timely visits to the 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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