Osteochondrosis of the spine
Osteochondrosis of the spine is a chronic disease in which degenerative changes of the vertebrae and intervertebral discs occur between them. Depending on the site of the lesion, the spine is distinguished: cervical osteochondrosis, thoracic osteochondrosis and lumbar osteochondrosis. For the diagnosis of osteochondrosis of the spine, it is necessary to perform X-rays, and in case of complications( eg, herniated discs) - MRI of the spine. In the treatment of spinal osteochondrosis, along with medicamental methods are widely used, reflexology, massage, manual therapy, physiotherapy and physical therapy.
Spine osteochondrosis is a chronic disease in which degenerative changes of the vertebrae and intervertebral discs occur between them. Depending on the site of the lesion, the spine is distinguished: cervical osteochondrosis, thoracic osteochondrosis and lumbar osteochondrosis.
Etiology and pathogenesis
To varying degrees, the osteochondrosis of the spine develops in all people aged and is one of the aging processes of the body. Earlier or later, intervertebral discs develop atrophic changes, but traumas, diseases and various spinal overloads contribute to an earlier occurrence of osteochondrosis. The most common osteochondrosis of the cervical region and osteochondrosis of the lumbar spine.
Developed about 10 theories of osteochondrosis: vascular, hormonal, mechanical, hereditary, infectious-allergic and others. But none of them gives a full explanation of the changes occurring in the spine, they are rather complementary.
It is believed that the main moment in the onset of osteochondrosis is a constant overload of the vertebral-motor segment consisting of two adjacent vertebrae with an intervertebral disc located between them. This overload can arise as a result of the motor stereotype - posture, individual manner of sitting and walking. Disorders of posture, sitting in the wrong posture, walking with an uneven spinal column cause additional stress on the disks, ligaments and muscles of the spine. The process can be aggravated due to the peculiarities of the structure of the spine and the insufficiency of the trophism of its tissues, conditioned by hereditary factors. Most anomalies in the structure occur in the cervical region( Kimerli anomaly, craniovertebral malformations, Arnold-Chiari anomaly) and lead to vascular disorders and early appearance of signs of osteochondrosis of the cervical spine.
The appearance of osteochondrosis of the lumbar region is more often associated with its overloading with tilts and lifts of gravity. A healthy intervertebral disc can withstand heavy loads due to the hydrophilicity of the pulp core located in its center. The core contains a large amount of water, and liquids are known to be slightly compressible. A rupture of a healthy intervertebral disc can occur with a force of compression of more than 500 kg, while a disc that is altered as a result of an osteochondrosis ruptures when the pressure is 200 kg. A load of 200 kg experiences a lumbar spine of a person weighing 70 kg, when he holds a 15 kg weight in the torso position forward by 200. This large pressure is due to the small size of the pulp nucleus. With an increase in the slope of up to 700, the load on intervertebral disks will be 489 kg. Therefore, often the first clinical manifestations of osteochondrosis of the lumbar spine occur during or after lifting weights, doing housework, weeding in the garden, etc.
In osteochondrosis, the pulpous nucleus loses its hydrophilic properties. This is due to irregularities in its metabolism or insufficient intake of essential substances. As a result, the intervertebral disc becomes flat and less elastic, in the fibrous ring, radial cracks appear during loading. The distance between adjacent vertebrae is reduced and they are displaced relative to each other, with a shift in the facet( arched) joints connecting the vertebrae. The destruction of the connective tissue of the fibrous ring of the disc, ligaments and capsules of the facet joints causes a reaction of the immune system and development of aseptic inflammation with edema of the facet joints and surrounding tissues. Because of the displacement of the vertebral bodies, the capsules of the facet joints are stretched, and the altered intervertebral disc no longer firmly fixes the bodies of adjacent vertebrae. The instability of the vertebral segment is formed. Because of instability, it is possible to infringe on the root of the spinal nerve with the development of radicular syndrome. With osteochondrosis of the cervical spine, this often occurs during head turns, with osteochondrosis of the lumbar region - during the torso of the trunk. It is possible to form a functional block of the vertebral-motor segment. It is caused by the compensatory contraction of the vertebral muscles.
A herniated disc is formed when the disc is displaced backward, the posterior longitudinal ligament ruptures and the part of the disc protrudes into the spinal canal. If the pulpous nucleus of the disc is squeezed into the cerebrospinal canal, then such a hernia is called ruptured. The severity and duration of pain with such a hernia is much greater than with an unexploded one. Herniated disc can cause radicular syndrome or compression of the spinal cord.
Osteochondrosis leads to the growth of bone tissue with the formation of osteophytes - bony outgrowths on the bodies and processes of the vertebrae. Osteophytes can also cause compression of the spinal cord( compression myelopathy) or cause the development of radicular syndrome.
Symptoms of osteochondrosis of the spine
The main symptom of osteochondrosis of the spine is pain. Pain can be acute with high intensity, it increases with the slightest movement in the affected segment and therefore causes the patient to take a forced position. So, in case of osteochondrosis of the cervical spine, the patient holds the head in the least painful posture and can not turn it. In case of osteochondrosis of the thoracic region, the pain becomes worse even with deep breathing, and with the osteochondrosis of the lumbar region, it is difficult for a patient to sit down, get up and walk. Such a pain syndrome is typical for the compression of the root of the spinal nerve.
In approximately 80% of cases, dull pain of a constant character and moderate intensity is observed. In such cases, when examining the doctor, it is necessary to differentiate the manifestations of osteochondrosis of the spine from the myositis of the muscles of the back. Dull pain in osteochondrosis is due to excessive compensatory tension of the muscles holding the affected vertebral-motor segment, inflammatory changes, or significant stretching of the intervertebral disc. In patients with such a painful syndrome, there is no forced position, but the limitation of movement and physical activity is revealed. Patients with osteochondrosis of the cervical spine avoid sharp turns and head inclinations, with osteochondrosis of the lumbar region - slowly sit down and stand up, avoid the torso of the trunk.
All symptoms of osteochondrosis, manifested only in the region of the spinal column, refer to vertebral syndrome. All changes localized outside the spine form an extravertebral syndrome. It can be pain along the peripheral nerves while squeezing their roots out of the spinal cord. For example, lumboishialgia - pain along the sciatic nerve with osteochondrosis of the lumbar spine. In osteochondrosis of the cervical spine, these are vascular disorders in the vertebrobasilar basin of the brain caused by compression of the vertebral artery.
Complications of spine osteochondrosis
Complications of osteochondrosis are associated with a herniated intervertebral disc. These include compression of the spinal cord( discogenic myelopathy), which is characterized by numbness, weakness of certain muscle groups of extremities( depending on the level of compression), resulting in the appearance of paresis, muscle atrophy, changes in tendon reflexes, urination and defecation. Herniated disc can cause compression of the artery that feeds the spinal cord, with the formation of ischemic areas( spinal cord infarction) with the death of nerve cells. This is manifested by the appearance of a neurological deficit( impaired movement, loss of sensitivity, trophic disorders), corresponding to the level and prevalence of ischemia.
Diagnosis of spine osteochondrosis
Diagnosis of the osteochondrosis of the spine is performed by a neurologist or vertebrologist. At the initial stage, a radiograph of the spine is made in 2 projections. If necessary, they can shoot a separate vertebral segment and shoot in additional projections. To diagnose the intervertebral hernia, assess the condition of the spinal cord and identify complications of osteochondrosis, use magnetic resonance imaging( MRI of the spine).MRI plays an important role in the differential diagnosis of osteochondrosis and other diseases of the spine: tuberculosis spondylitis, osteomyelitis, tumors, Bekhterev's disease, rheumatism, infectious lesions. Sometimes in cases of complicated osteochondrosis of the cervical spine, the exclusion of syringomyelia is necessary. In some cases, if it is not possible to perform an MRI, myelography is indicated.
A sight study of the affected intervertebral disc is possible with the help of discography. Electrophysiological studies( evoked potentials, electroneurography, electromyography) are used to determine the extent and localization of lesions of the nervous pathways, to observe the process of their recovery during therapy.
Treatment of spinal osteochondrosis
In an acute period, rest in the affected vertebral-motor segment is shown. For this purpose, with osteochondrosis of the cervical spine, fixation is used with the help of the Shantz collar, with osteochondrosis of the lumbar spine, bed rest. Fixation is also necessary for osteochondrosis of the cervical region with instability of the vertebral segment.
In the drug therapy of osteochondrosis, non-steroidal anti-inflammatory drugs( NSAIDs) are used: diclofenac, nimesulide( nise), lornoxicam( ksefokam), meloxicam( movalis), ketorolac( ketorol).In severe pain syndrome, analgesics are shown, for example, an analgesic of the central action of the catadolone. To relieve muscle tension, muscle relaxants are used - midocalam( tolperisone), sirdalud( tizanidine).In some cases, the appointment of anticonvulsants - carbamazepine( finlepsin), gabapentin( tebantin);antidepressants, among which preference is given to serotonin reuptake inhibitors( stimuloton, paxil).
If the radicular syndrome occurs, the patient is shown hospital treatment. Possible local administration of glucocorticoids, anti-edema therapy, the use of traction.
In the treatment of osteochondrosis, physiotherapy, reflexology, massage, and exercise therapy are widely used. The use of manual therapy requires strict adherence to the technique of its implementation and special care in the treatment of osteochondrosis of the cervical spine.
Operations on the spine are shown primarily with significant compression of the spinal cord. It consists in the removal of the hernia of the intervertebral disc and the decompression of the spinal canal. It is possible to conduct microdiscectomy, puncture valorization of the disc, laser reconstruction of the disc, replacement of the affected disc with an implant, stabilization of the vertebral segment.
Osteochondrosis of the spine - symptoms, treatment
General description of the disease
The osteochondrosis of the spine is a disease caused by the destruction of the bone and cartilaginous tissues of the cervical, thoracic and lumbar spine.
First of all, when the disease progresses, the central part of the vertebral disc changes - the so-called gelatinous nucleus. Because of this, the vertebra loses some of its damping properties, and thinning and cracks form on the fibrous ring along the periphery of the disc.
Further progression of osteochondrosis leads to complications of the disease - protrusion of discs or ruptures of the fibrous ring and intervertebral hernia, as its consequence. The instability of the spine in the affected area leads to pain and limited mobility of the head in the osteochondrosis of the cervical spine, as well as to limited mobility of the trunk with osteochondrosis of the thoracic spine and lumbar spine.
In 75% of cases it is the osteochondrosis of the spine that causes back pain. With age, the risk of dystrophy of the spinal tissues significantly increases, therefore, on average, the symptoms of osteochondrosis of the spine are observed in every second inhabitant of the planet older than 30 years.
Causes of osteochondrosis of the spine
Provoking factors in the development of osteochondrosis of the spine are considered to be back injuries or systematic back strain in case of hard physical work or occupational employment in vibration conditions. If you have to deal a lot with loading and unloading, get a tail lift for your car.
Early manifestation of symptoms of osteochondrosis of the spine is caused by poor physical development, flat feet or overweight. There is also a genetic predisposition to a loose structure of intervertebral discs and anomalies in the structure of the spine. Unfavorable in terms of health of the spine are also intensive training in the gym with violation of the rules of distribution of the load on the back, a sedentary lifestyle and malnutrition.
Symptoms of osteochondrosis of the spine
The disease manifests itself in a number of typical symptoms. For osteochondrosis of the spine are characterized by: aching in the back, a feeling of numbness in the affected spine, a decrease in the amplitude of movements, increased pain when lifting the gravity, sudden movement, tension during coughing or sneezing.
Chronic pain, as one of the symptoms of osteochondrosis of the spine, causes increased fatigue. When squeezing the nerve roots with the spinal discs, the pain can be more intense and have a sharp, "shooting" character. Its localization in this case is not limited to the area of the back, but is felt by a person in the region of the extremities.
Stages of osteochondrosis of the spine
The degree of symptoms of the osteochondrosis of the spine depends on the stage of the disease. At the first stage of osteochondrosis, the pain is practically not felt, if only mild indisposition and weak resistance of the spine to injuries. The destruction of the fibrous ring, a decrease in the size of the vertebral fissures and pain of varying intensity is a symptom of the spinal osteochondrosis of the second stage.
The third stage of the disease is characterized by significant deformations of the bone and vertebral tissues until the appearance of intervertebral hernias. Symptoms of osteochondrosis of the spine of the most severe fourth stage are massive bone growths, limited mobility, intense pain, and complete or partial paralysis of the extremities caused by compression of the nerve roots.
Symptoms of osteochondrosis of the cervical spine
Osteochondrosis of the cervical spine often leads to violations of blood circulation due to compression of the arteries. This leads to intense headache, dizziness and fainting. With osteochondrosis of the cervical spine, there is sometimes a syndrome of the vertebral artery. It is characterized by a sensation of noise in the head, flickering "flies" or colored spots in front of the eyes. With osteochondrosis of the cervical spine, peripheral pain in the area of the shoulders or arms is also possible.
Symptoms of the osteochondrosis of the thoracic spine
Osteochondrosis of the thoracic spine can aggravate the course of various cardiac pathologies. The disease causes the progression of intercostal neuralgia( squeezing of the intercostal nerves).With osteochondrosis of the thoracic spine, pain in the chest and a feeling of "cola" in the center of the chest are observed.
Symptoms of lumbar spine osteochondrosis
Osteochondrosis of the lumbar spine leads to the development of the following diseases: sciatica, lumbago and so-called lumbar radiculitis.
Sciatica, as one of the complications of osteochondrosis of the lumbar spine, is characterized by sciatic nerve damage, pain in the gluteal region, hypotonia( decreased tone) of the gastrocnemius and gluteus muscles.
With lumbago, the symptom of osteochondrosis of the lumbar spine is a sharp pain in the lower back caused by displacement of the vertebrae or prolapse of the vertebral disc.
Lumbar radiculitis, another complication of the osteochondrosis of the lumbar spine, is provoked by the hernias of the lowest discs of the spine. It is accompanied by pain in the buttocks with irradiation to the posterior surface of the thigh, popliteal fossa, shin and foot.
Diagnosis of spine osteochondrosis
Preliminary diagnosis of "spinal osteochondrosis" is set by a neurologist after a primary examination in connection with the patient's complaints of back pain and limited mobility. The stage of osteochondrosis of the spine is established depending on the degree of deformation of the spine, the patient's posture condition and the number of affected discs.
All of the above symptoms of spine osteochondrosis are diagnosed with the patient's back feeling. The doctor also pays attention to the state of muscle tone. Since in most cases, the disease is accompanied by hypertonia of the muscles of the back.
With the help of tests on flexion of the spine, the amplitude of the patient's movements is determined. Thanks to the use of radiography, CT and MRI, the diagnosis is specified and the future tactics of treatment of osteochondrosis of the spine is determined.
Treatment of spinal osteochondrosis
In the treatment of spinal osteochondrosis, conservative and surgical techniques are used. The goal of both is to eliminate the pain syndrome and prevent further progression of the spinal deformity.
In this case, surgical treatment of osteochondrosis is applied only if conservative therapy of the disease has been ineffective.
The active phase of conservative methods lasts an average of 2 months. At the beginning of it, there may be a short-term increase in the pain syndrome caused by the body's response to medications, exercise therapy( PHE) and physical therapy. In conservative treatment of spinal osteochondrosis, massage, manual therapy, stretching and reflexotherapy are also used. The effectiveness of treatment of the osteochondrosis of the spine depends on the systemic procedures and persistence of the patient himself in the performance of complexes of exercise therapy.
Surgical treatment of spine osteochondrosis is performed with herniated intervertebral discs, whose prescription is more than 6 months old. Indication for the operation is also a reduction in the gap between the vertebrae to 1/3 of the original size and compression of the roots of the spinal cord.
The leading method in the surgical treatment of spine osteochondrosis is discectomy, i.e.removal of deformed disk. The operation can be minimally invasive, performed with the help of endoscopic instruments by microdiscectomy, B-Twin system, and puncture laser vaporization of the nucleus of the deformed disc.
After the surgical treatment of spinal osteochondrosis, a rehabilitation period of 6 months is supposed. During it, the patient goes to a sanatorium-and-spa treatment for a course of physiotherapy, manual therapy, acupuncture, etc.
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Osteochondrosis of the transverse axis of the ridge: the cause, the symptoms of that leaflet |Suglobi
Poperekoviy viddіl ridge warehousing z p'yati hrebtsiv, vin z'єdnue chest vіddіl i krizhi, maje great ruchlivist. Moreover, the area of the city is priymaet velikі navantazhennia nezalezhno vіd stilju zhitty devyanyni. Z cich reasons is not marvelous, scho osteochondrosis transverse viddіlu ridge є nastilki widen захворюванням.To develop a pathological process in the progressively progressive dystrophy and deformity of the discs. For vіsutnostіci schema lіkuvannya, захворювання може помітно закладнити життя, крім то воно зарожує закладненни різного степя тяжекості.
Causes viniknnnia osteochondrosis
Osteochondrosis of the transverse vizdu mozhe vinikati through nadmirnі navantazhennia. The group has risziku - people, sho moyut zayvu vagu і regularly vikonuyut fizichnu robot, povyazanu z pidnattyam severosti. The problem posiljutsja tim, scho bagatogo people to lead maloaktivnyj sposib zhittja, majut with problems posavoju i not vmyjut properly to fail. Shchodnya pіdnіmayuchi severostyі, sitting and walking with a nervous back, stink tіlki підсилюють шкоду від надмірних навантажень на гребет.
One broadened reason for the development of this zahogovorvanya - injuries of the back. Skilnist up to osteochondrosis є takozh at profesionalnyh athletes, scho zamayutsya in singing sports.Отримати дане захворювання можно навіть when samostyynomu wrong vikonannі fizichnih vprav.
Osteochondrosis transverse-krigovogo viddіl mozhe rozvinutsya through systematically wrong kharchuvannya і mode of the day. Posiliti skilnnist up to chjogo zahhchovovannya mozhut regular stroysi, hronichniy nedosip, porushennya obminnykh protsessiv in organizmі.At the doom of the active dossiers, shihnnist up to osteochondrosis may be buried on a genetic site. Do action people, mіzhhrebetnі disks dіysno mаyut bіlsh porous-puhku structure, внаслідок чого вони синіше схильні до різних деформацій.
Kilka tenthalit tom osteochondrosis vvazhvsya vykovym zahchyovannanyam і dіognostuvavsya chastishe in osib stolichnogo vyku. Dysno, with live rock, hrebtsi and mizhhrebetnі disks knowingly vstrachayut its rubhlivist і іластичність, стають менш стійкими до травм і деціцій.At our same hour, the osteochondrosis of the transverse-crooked avian is meaningfully younger, the main one is zhovorіlikh - tcholoviki and zinky in the wedge of 30 rock, and zahazvovannanyam suffer from individuals and up to 30 rock.
Not varto zabuvaty і pro te, scho osteochondrosis in the transverse-krigovomu viddіlі ridge often vinikaє beside patsієntіv, scho pozhdayayut zapalnimi zahchyubovannami suglobіv ridge - u hvorovykh z hvoroboyu Bekhterev abo rheumatoid arthritis podibny pathologicheskii stnostklyuete perebіg autoimmune zahchyovannya.
Symptoms of osteochondrosis in the transverse vein
Poyva regular buliov in the region across - the primary and one of the main symptoms of osteochondrosis of the transverse vest. When you can speak about spontaneously in the case of an ill-conceived Russian and a country in a camp, you can choose a fictitious place. Bolivі vіdchutty mozhut bouti localizovaniemi, oh oh rozpusyudzhuvatisya vgoru on spinі vіd cross.Нерідко також біль віддає в сідниці і feet.
On seryoznih stadіah zahchovorovnya bіl mozhe vinikati at kashlі abo chhanni ta іnshih neznachnyh splesskah fizichnoї activity, sho not napruzhuyut transversky vіddіl bezsosednyo. Vnaslid boliwih vidchuttiv it is possible takozh zasrushennja rukhlivosti crosswalk. Back vtrachaє gnuchkist, hvoromu uneasy nahilitisya, vikonati turn abo nahili tuluba. Neridko osteochondrosis of the transverse someday with symptoms in vaglyadia zagalnoi stomlyuvnosti, draining, kneeling - sleepiness, it is important to know in the pose, for sleep. Hvoriy vidchuvae zanepad forces, through discomfort namagayutsya zniziti fizichnu vzrastnіst, і postapovo vtrachaє mozhnivist naveit zabezpecchuvati svoi vlasnі udovoti consumer.
One possible support of transverse osteochondrosis - robot robot sichostatevoy system. It is possible to speak in the regions of the nirok, mozhliv povshennya sechovipuskannya i causeless discomfort. When zaluchennі in the process of the spine of the krill segment of the spiny stovpa, the stan pacienta can progressively pogyrshuvatisya - do not suffer from symptoms of lumbargia, ai and rozdratuvannya neoplennya sіdnichnogo nerve, more than a short way to rusu.
What do I do with the program?
For uspishnyh likuvannya osteochondrosis of the hvorom to persuade cardinally pomonyati bata its sobytovi zvichki, і not zabuvati pratsyuvati over his health zhodnya, without vihidnih and all the life is sacred. In a little vipadku, navnit pislja uspishnogo pozbavlenya vіd simptomіv zahhchovovannya, illness can turn through the active hour and then fight the chance to go back to the spota.Вім, повторні напади остеохондрозу трапляються і при дотриманні пацієнтом режим фізичної активності.
Head zeldannya, yake vikonuє conservative likuvannya osteochondrosis crosswise viddіlu - tse dink to progress zahchyovannya і postupovanie zakryvovannya ridge in the anatomically-correct position.
Distrofichnye zmіni mizhhrebtsevyh diskis can often be sposteredi through problems with m'yazami crosswind. Sama m'yazovy skeleton zabezpechuyu pidtrimku ridge, i syhem zdorovi m'yazi back in chomu zabezchchyut properly correct posta, taku neobhidnu for a healthy ridge.
Perelkovy osteochondrosis vimagaє complex likuvannya. Tse і masazh, rіznі sistyazhki, manualnaya terapіya, lіkuvalna fіzkultura, spetsial'na dієta i іnshі додаткові procedure те момо.On conservative lіkuvannya zazvichay vіdvoditsya 2-3 mіsyacі, yakshcho zakinchennyu їх positivnoy dinamiki not sposteriagyatsya, oh oh, girshsego, osteochondrosis is progressing, the hour itself zadumati about hirurgichnu vtrychanya.
Actikі lіkіriі іnchyayut operatsіy tіlki with such well-established остеохондрозу, як міжхребцева грижи.The broader type of hirurgic vtrychannia perebacha vidalennya poshkodzhenogo disk. Diskectomia is the correct name for the operation, the product is unproductive, the daily intake of food, the yak likuvati osteochondrosis of the transverse vest. In danii hour for the operative lykuvannya subbiennogo will be all shirche vikoristovuyot mikrohіrurgіchny likuvannya ta endoskopnychny vtruchanya on ridge stovpi.
Spot likuvannya osteochondrosis in the transverse region of the ridge
Z diagnozom osteochondrosis of the transversal ridge to the lumbar part of the zvertayutsya vaslidok regular boliv in the spin. In this case, the cause of pokachiti likuvannya abo profilaktika danygo zahshovorvanya slіd z pereglyadu way zhittya ptsієnta. For the correct rospodilu navantazhennia on the ridge recommended pidbir orthopedic postilnyh speeches, vidmova vid nadmirnyh fizichnih navantazheni і regularnі pomіrnі navantazhennya for patsієntіv, scho to lead a little rustic spirit of life. Tim is not less, you can not turn this warant over to an osteochondrosis of the transverse avenue of the ridge, in case of a large pain syndrome, it is necessary to finish pisno, vzhe pislya rozvitku virazhenykh zmіn at the ridge( grizi, protruzії diskів, spondylolisthesis).
Neridko vzhe pislya pershogo vіdvіduvannya fahіvtsya iznchayetsya medikamentozne likuvannya osteochondrosis transverse viddіlu, preparations, schо використовуться для ботьби з цим захворюванням, знімають больові відчуття і зупиняють запальні процеси.Neridko for tsih same tsіley with dіagnozі osteochondrosis transverse viddіlu, folk засоби використовуться нарівні з продукцією фармакологічних компаній.Bagato recipe on the basis of herbs and gifts of nature can be priyatimi vsredinu abo zovnishno for zmenshennya boli і znyattya zapalnikh protsessiv. It is important pam'yatati, scho likarska terapiya tilki usuvaet manifest( symptoms) zahshovuvannya, ale not lekuyu primoshchininu zmіn - yakshchoo tak lekuvannya not pidtriemuyutsya complex reabiliticnyh calls, then efekt yogo budey duzhe short-stroke.
Takozh mozhna likuvati osteochondrosis transverse viddilu ridge, vikonuichi spetsialnі vprav korіvnitsvvom kvalіfіkovannogo fahivtsya. The complex is guilty of piдібрати лікар, перші тренування обов'язково повинні pass under the supervision of an authorized architect. Yaksho y patsіenta jasarkovo vyrazhena problem zayvoy vagi, slid dotriymuvatisya dієti і збільшити повсякденну фізичну активність.Complex zikh zahodіv zdatny lead to the optimal reindeer vaga.
Yakі shche way of likuvannya osteochondrosis can be zastosovuvati?
Klasichna medicine takozh proponue riznі varianti vityagennya for Borotby with osteochondrosis. The procedures are vikonuyutsya in the minds of lіkuvalno-profilakticheshnyi mortgage and often vimagayut spetsialnogo obladnannya.Непогані результати дає також масаж, головным заданняня якого є зняття напруги з м'язів ураженого відділу - усунення спазму зменшує біль навіть without використання лікарських препаратів.
To finish the spinal method of complex terapії lіkuvannya osteochondrosis of the back - nose of the zhorstkogo fіksyuchogo corset. Tsey aksesuar dіysno dopomagає trіmatіy back in the correct position, аle with tsіomu nііlkodo spostіrієєє ає аtrofіya m'yazіv. The optimal variant is the virginity of the corset, the hour of attack, and the nodule of the year per day for the preservation of the right posture of the back. It is recommended that a pirate corset be consulted by a traumatologist or a vertebrologist - it's by no means the cortex of the corset design that brings ochikuvanne polegshennia. Pid hour of attacks zahshovuvannya mozhna can bear m'yaki vovnyany belts for the natural zvrivіvannya hvoroy zony. Ale do not forget, grit it across the clock, so it's categorically coveted by the heaters.
LFK with osteochondrosis transverse vstdivilu zastosovyutsya practical zavzhdi. The complex is to be stored in the right to the rear of the neck and to the neck. Productivity and efficiency to occupy a phisical culture is to be stored in a regular manner, correctness is vikonannya right and bazhannya patsіnta domogtisya delivered. Pay attention regularly, you can not pereprazovovati. Yakshco yakas to the right vikonuvati zanadto importantly, nevertheless, when yogic vikonannі z'yavlyaetsya discomfort, neobhіdno pripinyti zaputtya.
In our day, the dysgnosis of the osteochondrosis of the transverse-crooked avalanche of the ridge is uncommon in exquisite ways. Tse і nezvichaini vid masazhu, і chiaske golkovkoluvannya і a number of the іnshih procedures, conduct yakі it is advisable to wake up in the adherence to the good reputations. Deykі aparatnі methods of medical medicine takozh mozhut dopomogti at osteochondrosis - vacuum masazh, statement of patients and інші класичні a method normalіztsії blood loss.Непогані результати дає і звичайне санаторно-курортне лікування.Especially the coryza in osteochondrosis riznomannitnyi water procedures. Yaksho patziynt mozhe dozvoliti sobi vidpustku, pochinti likuvannya osteochondrosis crosswalk recommended in a special sanatorium abo profilaktorii.
Osteochondrosis: causes, symptoms, types, treatment of osteochondrosis
Osteochondrosis of the spine ( from the Greek "osteochondrosis": "osteon" - bone + "chondros" - cartilage + "ōsis" - disease )it is a dystrophic lesion of articular cartilage and underlying bone tissue. Under osteochondrosis, most often not all damage to the cartilaginous tissue is understood, but only problems with the cartilage of the spine.
In case of osteochondrosis, intervertebral disks( special cartilaginous structures located between the vertebrae), which provide our spine with flexibility and mobility, eventually lose their elastic properties, decrease in height( become thinner), stratify in structure and deform under gravity and with a direct multidirectionaltheir pressure from the vertebrae. Accordingly, the distance between the vertebrae itself decreases, and the nerve roots leaving the spinal cord are clamped, and pain arises. With this, it all begins.
Often, an osteochondrosis of a backbone meets at those people who conducts "sedentary way of life" owing to the developed professional or vital circumstances. And it is connected with the fact that a person for most of the day is practically stationary: in the morning and in the evening - at the wheel of a car, at work - at a table or at a computer, and in the evening at home - on the sofa at the TV.If you often carry large and heavy bags in your hands - this is also a direct way to osteochondrosis.
Simultaneously, in the area of the nerve root clamping, edema appears, which leads to its even more infringement and pain intensification.
If the intervertebral disc has already begun to deteriorate, it ceases to function fully as a shock absorber. In this case, he is even more injured, and gradually the entire spine loses its flexibility.
Treatment of spinal osteochondrosis
Osteochondrosis is often confused with other diseases that have similar symptoms, therefore a diagnosis of a qualified neurologist or traumatologist is necessary to establish the diagnosis and the appointment of treatment. The doctor will examine the spine, and if necessary - an x-ray, CT - computer tomography or MRI - magnetic resonance imaging to check cerebral circulation.
As a rule, patients who have undergone long-term unsuccessful courses of treatment of osteochondrosis in other blades get treatment. Treatment of osteochondrosis in modern medical centers differs from the majority of existing methods by a fast and steady result. Treatment of osteochondrosis by specialists is carried out using an integrated approach. For example, if a patient has symptoms of a lesion in the thoracic region, physiotherapy for the entire spine is usually performed.
Complex approach in the treatment of osteochondrosis
The basis of the treatment methods used in the centers is the mobilization of the use of reserve forces of the patient's body, which ensures the achievement of the most effective result due to the internal resources of the body. The in the treatment of osteochondrosis are blended with a combination of soft spinal traction techniques with various massage techniques, reflexology and point techniques.
The complex approach to treatment of patients raises efficiency of medical actions, accelerates terms of convalescence of patients and allows to prevent the recurrence and development of attacks of clinical neurological syndromes of the disease.
There are 3 types of osteochondrosis:
Cervical osteochondrosis is caused by deformation of the intervertebral discs of the cervical region, which causes pain or discomfort in the neck. When complicating cervical osteochondrosis with hernias or protrusions of intervertebral discs, pain can also spread to the shoulders, head and hands. In this case, not only pain in the hands, but also numbness of the fingers, physical weakness of the hands may appear.
Thoracic osteochondrosis is rare and is caused by deformation of the intervertebral discs of the thoracic spine. Chest osteochondrosis causes pain and discomfort in the chest, internal organs, the entire surface of the back and thoracic spine. Breast osteochondrosis can also cause a decrease in the sensitivity of the back, sides and chest, and cause a weakening of the muscles in the same parts of the body.
Lumbar osteochondrosis is the most common type of osteochondrosis, since the main burden falls precisely on the lumbar spine. Often, with lumbar osteochondrosis, pain can appear both in the lower back and give to the legs and buttocks. In addition to pain, lumbar osteochondrosis can lead to numbness of the legs and disruption of the sexual and urethra.
What happens with osteochondrosis?
When a heavy lifting, jumping, falling and similar impacts on the intervertebral discs, a multidirectional load falls.
As a result, intervertebral cartilaginous discs are permanently injured, and they can not be cured themselves. Cartilaginous tissue, like the nervous one, is practically not restored.
The gelatinous nucleus is the central part of the intervertebral cartilaginous disk, loses the necessary moisture, dries up and partially loses its damping function.
Fibrous ring( fibrous fibers spirally twisted around the intervertebral disc), becomes thinner, it forms cracks in which the gelatinous nucleus starts to move, forming a protrusion into the spinal canal - this is protrusion of the disc.
When the fibrous ring of the intervertebral disc ruptures, the gelatinous nucleus extends beyond the disk( escapes) to the spinal canal and is formed as an intervertebral hernia .
When osteochondrosis progresses, irreversible changes already occur in the vertebrae themselves. In order to compensate for deformation of the disc or excessive strain of the muscles of the back, the spine, as it were, tries to "straighten up" again, become more stable and redistribute the load - from this moment the spinal cord begins to expand bone and fibrous tissue.
In the affected area of the spine there is relative instability, and on the bodies of the vertebrae appear bony outgrowths - osteophytes - this disease is called spondylosis. In case of damage to the bony outgrowths( osteophytes) of the ligamentous apparatus of the spine and intervertebral joints, a disease arises - spondyloarthrosis.
As a result, patients get "dull" or "noisy" pain in the back or neck( with deformation of the vertebrae and thickening of bones and ligaments) or "shooting" pains in any part of the body - so-called radiculitis( when the nerve root is jammedspinal cord).The development of such changes occurs primarily in the lumbar and cervical divisions. However, if the process is already running, then the whole spine is subjected to changes in it.
Therefore, in practice, it is very rare to find isolated osteochondrosis in the cervical or lumbar regions. As a rule, they speak of "cervicothoracic", "lumbosacral", "lumbosacral" or "common" osteochondrosis of the spine, implying the disease of two or more adjacent( nearby) spine sections.
Each department of the spine has its own clinical syndromes caused by osteochondrosis. So, the most common syndromes are "sciatica", "lumbago", "lumbar radiculitis" and "intercostal neuralgia".Each of these syndromes is formed not only from painful manifestations in the spine, but also secondary inflammatory changes in the muscles near the affected spine, as well as symptoms of circulatory disorders and edema of internal organs.
Causes of osteochondrosis
The main cause of osteochondrosis is an incorrect distribution of the load on the spine, which leads to changes in cartilage tissues at places of excessive pressure or internal stress. Anything can provoke the disease: "vertebrae" that have been "knocked out" as a result of the injury, weakened back muscles, stoop and lateral S-shaped curvature of the spine, lifting or dragging weights and simply prolonged finding a person in an uncomfortable position.
Osteochondrosis can develop not only in people with incorrect posture, engaged in mental or just sedentary work, but also those who are well trained physically - for example, athletes and movers. In addition to purely mechanical reasons, the development of osteochondrosis is also caused by metabolic disorders( for example, calcium and phosphorus), lack of trace elements and vitamins( magnesium, manganese, zinc, vitamins D and F).It is possible that a certain role in this is played also by hereditary predisposition.
Osteochondrosis can mainly be caused by the following reasons:
• activity or work related to frequent changes in the position of the trunk - flexion and extension, turns, jerky movements • physical activity and sports without considering the influence of heavy physical exertion on the spine • incorrect posture instanding, sitting, lying and lifting or carrying heavy loads • decreased motor activity • chronic or one-time overloads of the spine - falls, injuries • changes in elasticitygel nucleus