Osteoarthritis of arcuate joints and intervertebral articulations - changes are reversible!One of the most common and unpleasant diseases to which elderly people are exposed is arthrosis of the spine .In this disease, there are dystrophic changes in cartilage with thinning of the walls, as well as proliferation of bone tissue in the joints. Diseases of the arcuate joints usually affect the thoracic and cervical spine.
Why do intervertebral joint diseases occur? A very common reason is strong and ill-considered physical activity. Diseases of the spine develop both independently and together with other pathologies of the musculoskeletal system: lordosis, osteochondrosis, arthritis, scoliosis.
Very often the diagnosis of arthrosis of unco-vertebral joints and reveals the essence of the pathological changes of the intervertebral articulations of the spine, in which strong pain sensations develop in the projection of the processes of the vertebrae of the neck. Very often, this spine disease occurs in conjunction with neurological diseases. The main signs of the disease of the intervertebral articulations are a drawing, very unpleasant pain, which becomes stronger as the load increases, for example, long standing or walking.
It is very important to remember that at the first signs of joint disease, it is worth immediately contacting a doctor. Treatment of articular knee joint, treatment of osteochondrosis, as well as treatment for the diagnosis of arthrosis - should be carried out with the constant supervision of the attending physician. The specialist will prescribe to you a radiography of the spine with the possibility of visualizing the intervertebral joints, as well as laboratory and functional studies. At a level that modern medicine has achieved, arthrosis of the spine and arthrosis of other joints is very successfully treated.
Principles of therapy
All problems associated with spine diseases should be eliminated by eliminating the factors that, in fact, triggered the disease. Treatment of intervertebral joints should involve an integrated approach and consist of the following activities:
• Bed rest is recommended at least in the first days of exacerbation. This practice allows you to relax the tired and tense muscles of the spine. Pain in the cervical spine will gradually subside, cell nutrition will improve, and blood circulation will recover.
• Blocking pain with medication. The injections are very neatly made in the tissue near the affected joint, which allows to remove the inflammatory process. And the use of chondroprotectors contributes to the growth of thinned cartilaginous tissue, which slows down arthrosis.
• Droppers with drugs that help improve all metabolic processes in the body( including injections and taking chondroprotectors).This method of treatment effectively helps to normalize microcirculation in the nerve roots and cells, it stops autoimmune reactions.
• Mandatory application of NSAIDs, local therapies in the form of creams, ointments and gels, as well as vitamin and mineral complexes.
• Physiotherapeutic procedures - laser therapy, exercise therapy, darsonvalization, electrophoresis and magnetotherapy.
• Unconventional therapy - homeopathy, mud, leeches( hirudotherapy), manual therapy, massage and acupuncture.
• Folk methods of treatment of the joints of the spine. This method allows you to ease the restless state of the patient and relieve the pain.
At the initial period of treatment, the patient must ensure complete rest, due to which the muscles of the spine will relax. This will lead to the fact that the factors that contributed to the development of the pathology of the joints will be eliminated. As soon as the pain subsides a little, you can gradually get out of bed and move, but in no case do not lift heavy things.
For arthrosis of the joints in the cervical region, for example, medicinal mixtures and blockades are shown, which will flow immediately to the focus of pain. The basic composition of such mixtures is glucocorticoids, diprospan and Kenalog. They are not anaesthetics, but they help the treatment of arthrosis itself, while not allowing pain to occur.
As for hirudotherapy, leeches, which were used two thousand years ago, even today are very popular. Medical research has shown that when diagnosed as arthrosis of joints, hirudotherapy is very effective, in fact, as in the treatment of many other diseases, including in the pathology of intervertebral joints. Leeches significantly improve the outflow of venous blood, thereby reducing the increased pressure in the tissues and eliminating edema. Hirudotherapy also has an immunomodulatory and analgesic effect in the place where the pain is localized.
Acupuncture is also very useful if there are problems with intervertebral joints. With IRT, all energy processes of the body are regulated, bioenergy currents are optimized, and all the protective forces of the human body are mobilized, which greatly helps in the elimination of joint diseases.
With the help of physiotherapy methods in the pathology zone, blood supply improves, inflammation and pain are eliminated, articular cartilage is restored and the rehydration of the spinal disc occurs. You can also use abdominal decompression, a modern method designed to improve the oxygen transport function of blood cells, and also to destroy free radicals and to promote the inflow of fresh blood from the joints of the spine.
And, finally, the last method is massage. This is like the final measure in the diagnosis of "arthrosis", it is performed on soft tissues that surround the spine and paravertebral muscles. With a massage, the muscle tone is normalized, the spine is strengthened and slags are removed from the body.
It should be noted that the treatment complex for people with intervertebral joint disease should be long in time. He is selected individually, usually in combination with a massage.
What is arthrosis of the joints of the spine: types, symptoms, treatment and diagnosis
The process of degeneration and degeneration of the vertebrae leads to a disease such as arthrosis of the spine, the symptoms whose treatment should be determined comprehensively, so that one drug therapy is not enough.
Symptomatics and Diagnostic Techniques
The most pronounced symptom of the cervical osteoarthritis is a painful sensation when turning and tilting the head. Occipital and cervical pain also often are signs of this ailment. A patient with both osteoarthritis and osteochondrosis complains of decreased vision, dizziness and restless sensations in the ears and chest.
The pain between the shoulder blades during the turns and inclinations is the first symptom of the thoracic osteoarthritis. After the appearance of bone growths( osteophytes), the sensitivity of the thoracic segment is impaired. There is a feeling of morning muscular stiffness.
Symptoms of lumbar vertebrae disorders are aching pain in the sacral region. The initial phase of the disease manifests itself in the form of pain with prolonged seated position, sudden movements and physical exertion. Gradually, these symptoms intensify. Pain starts to bother at night. In the presence of osteoarthritis of the lumbar region and osteochondrosis, the patient simultaneously increases muscle tone in the lumbar and gluteal region. Hip joints work poorly, their movements are limited. In the thighs there is a feeling of muscle weakness, combined with tingling and numbness.
So what causes arthrosis of the spinal column? Arthrosis is idiopathic( primary) and secondary. Idiopathic spondylarthrosis has not been identified yet. However, the genetic predisposition, congenital dysplasia and other factors have a considerable impact on the development of the disease.
Prolonged standing in the upright position can promote pain in the ribs. This is the origin of costal-vertebral arthrosis of the joints. This form of ailment affects women more than men. In addition to the painful feeling, the symptom of the rib-vertebral arthrosis may be stiffness after sleep. The launched form of the disease becomes the cause of problematic breathing, patients with this form of rib-vertebral arthrosis are most often incapacitated. This is a disease that develops over several years with no symptoms at all. It is often detected during the procedure of magnetic resonance imaging, computed tomography, radioisotope scanning or radiography for the diagnosis of another disease.
What causes the disease?
The pathological process begins with the deterioration of the blood supply of the subchondral layer in the periosteum. There is a thinning and disturbance of the elasticity of the cartilage tissue. Then the disease develops with the next overloads and the occurrence of injuries and microtraumas, provoking joint distension, cartilage destruction, reducing the amount of synovial fluid, and appearing surface roughness of the joints. Progression of bone growths( osteophytes).Affected joints are subluxated. The danger of this disease lies in the fact that with its progression, the cartilage can be subjected to complete destruction. Therefore, treating this disease from a chiropractor without the involvement of a neurosurgeon or a neurologist is highly discouraged, since serious complications can arise.
Causes of secondary arthrosis:
- spondylitis, necrosis and other ailments of the musculoskeletal system;
- spinal trauma and mechanical damage during the operation;
- is an autosomal, vascular and endocrine disease.
Dorsartrosis and arthrosis of joints
An arcuate joint is the connection of the processes of the vertebrae. A common case is arthrosis of the arcuate joints of the spine, which develops in patients over the age of 50 and causes bone growth, disrupting the cartilage and affecting the cervical spine.
Classification of arthrosis depending on the place of onset:
- with cervical spine injury, cervicoarthrosis occurs;
- dorsartrosis is a factor of thoracic involvement;
- rib-vertebral arthrosis is localized in the 9-10 rib region, contributes to the mass of disorders in the body;
- disorders in the lumbar region occur due to the impact of lumbararthrosis.
The most common form of the disease is cervical arthrosis. This ailment appears most often due to increased or insufficient physical exertion. Long work in a sitting position can also lead to this type of arthrosis. The unco-vertebral form of cervical arthrosis causes the occurrence of acute pain in the neck and limited movements in the form of hand manipulations, turns and head inclinations.
Dorsartrosis causes damage to the joints and the space between them. The manifestation of the symptoms of an illness is uneven, the disease itself is rare. Factors for the emergence and development of dorsartrosis include the presence of flat feet, osteochondrosis, excess weight, congenital anomalies, trauma, microtraumas, old age, significant physical exertion. Arthrosis of the intervertebral joints of the lumbosacral spine is a more "young" and common disease.
Factors of occurrence and development are excessive physical exertion, the presence of excess weight, congenital pathologies, flat feet, injuries and micro-injuries.
Costal-vertebral arthrosis appears due to disturbed metabolic process, structural disruption of discs, infectious diseases. Localization of costal-vertebral arthrosis - 9-10 ribs. The disease is most common in elderly patients.
Treatment of pathology
What treatment can be limited? Without systematic and perseverance from this disease can not get rid of. Therapy should be comprehensive, that is, include not only the use of medications, but also manual therapy, massage, physical therapy. The most effective method of treatment is radio frequency denervation. In carrying out this technique, electromagnetic waves affect the affected joint. It is minimally invasive, so there are almost no complications after its use. If all the above methods do not improve the patient's condition in any way, the only way to treat it will be surgical intervention( facetectomy, laminectomy and others) with stabilization of the spine with specially designed structures.
Manual therapy for arthrosis will be effective only in the uninhibited state of the disease and in the case of a combination with physiotherapeutic, medicamental, homeopathic treatment and the conduct of therapeutic physical training. If you contact the doctor in time with the first symptoms in a timely manner, treatment with this manipulation will improve the mobility of joints and eliminate muscle spasm and pain syndrome. The more developed arthrosis, the more the doctor appoints sessions( usually their number does not exceed 10).
This kind of manipulation has a number of contraindications: arthritis, osteoporosis, the presence of oncological neoplasms, hypovitaminosis, calcium deficiency, myelopathy of disks and others. It is undesirable to carry out the method of manual manipulation of pregnant women with a period of 12 weeks. In order not to harm yourself, you should not self-medicate and expose yourself to manual therapy without prescribing a doctor.
The vertebral column forms a receptacle for the spinal cord, and it also performs a supporting function for the organs and tissues of the body.
There is a vertebral column of 32-34 vertebrae, which are connected by various connections:
- Intervertebral disks, by means of which the vertebral bodies are connected;
- Joints that form between the articular processes of the superior and underlying vertebrae;
- Bundles of the spinal column.
The arch of the vertebra has seven processes that play a role in the formation of the joints: the 2 upper articular, the 2 lower articular, 2 the transverse and the spinous.
With the help of the upper and lower articular processes, intervertebral( arcuate, facet) joints are formed.
With vertebrae, the vertebrae form the vertebral-vertebral articulations: the articular surface of the head of the rib and the fossa of the vertebral bodies form the joints of the head of the rib, and the rib-transverse joints are formed by the articular surface of the tubercle of the rib and transverse process of the vertebra.
Uncovertral joints are formed with special hooks on the lateral edges of the cervical vertebrae lll - Vll.
These hooks play a role in preventing excessive lateral flexion of the cervical spine.
Near the unco-vertebral articulations pass the vessels feeding the brain and spinal cord, as well as the nerves that leave the spinal cord.
Osteoarthritis is a chronic progressive disease of articular cartilage surfaces. Over time, the cartilage undergoes degenerative changes.
Spondylarthrosis of the intervertebral joint is an inflammatory disease that contributes to limiting the mobility of the spinal column.
Degenerative changes in the joints of the spine occur when the trophism is disturbed.
In cartilage tissue that does not receive adequate blood supply, the chondroitin sulfate content is reduced, which is replaced by non-functional substances.
Stages of development of intervertebral spondylarthrosis:
- Degenerative changes in cartilage, resulting in loss of proteoglycans and death of chondrocytes;
- Cartilage loses its elasticity. This process begins from the center, and then spreads to the periphery of the cartilage;
- There is an exposure of the articular surfaces of bones;
- Periarticular bone is subjected to sclerosis( subchondral sclerosis);
- The joint capsule undergoes an inflammatory reaction, which is provoked by fragments of cartilage floating in the synovial fluid;
- At the edges of articular surfaces, there are bone growths - marginal osteophytes.
The causes of spondylarthrosis are grouped into two groups:
- External causes. Characterized by the discrepancy between the load on the joints of the spine and their ability to withstand this load, spine injury, excessive body weight.
- Internal causes. These factors include hereditary predisposition, developmental defects of the musculoskeletal system, autoimmune pathology, in which antibodies to own cartilaginous tissue develop, as well as metabolic disorders in the form of diabetes mellitus, gout.
There are the following predisposing factors for the development of the disease:
- age over 65 years;
- female sex, because estrogen, which is produced most during menopause, affect the development of osteoarthritis;
- the raised maintenance of a fatty fabric in which there is a development of the sexual hormones influencing development of an arthrosis;
- high bone mass, characteristic of professional athletes, also contributes to the production of estrogens;
- revealed cases of common spondylarthrosis within the same family.
What are the symptoms of spinal lumbar spondylolisthesis? The answer is here.
Spondylarthrosis of arcuate( facet) joints is characterized by the following symptoms :
- Morning stiffness of the spine is associated with immobility of the person during sleep. Stiffness is about 30 minutes;
- Pain during movement, and with the progression of the disease occur and at rest. Articular cartilage has no pain sensitivity, so pain occurs when other components of the joint are involved in the pathological process;
- In later stages, the patient may hear a "crunch" in the joints of the spine, which is associated with the appearance of a large number of osteophytes;
- Changing the weather can cause pain in the affected joints;
- Restriction of mobility up to occurrence of tendon-muscular contractures.
Spondylarthrosis of costal-vertebral articulations shows symptoms:
- Pain in the area of affected joints during movements with initial spondyloarthrosis, and in late stages and at rest;
- Restrictions of movements in the joint;
- Discomfort and pain may appear in response to changes in atmospheric pressure;
- In later stages, atrophy of surrounding muscles may occur.
Spondyloarthrosis of unco-vertebral articulations is characterized by the following symptoms:
- Pains along the course of the proliferation of nerves from the cervical segments of the spinal cord;
- Disturbance of the blood supply to the brain, which is manifested by headaches, ringing in the ears, memory loss, visual impairment. In severe cases, cerebral ischemia occurs.
- Shoulder and cervical neuritis.
The occurrence of arthrosis in the joints of the cervical vertebrae can lead to damage to the brain as a result of insufficient blood supply.
This pathological process leads to ischemia and cerebral infarction.
The progression of the disease and the involvement of new articular surfaces in the process over time can lead to severe consequences - ankylosis and complete cessation of movements in these joints.
The diagnosis of "spondyloarthrosis" is made on the basis of the history of the disease, characteristic complaints, palpation of the area of the affected joint, which reveals tenderness, muscle contracture, sometimes swelling and redness.
Determine the volume of motion of the spine, and it is judged on the limitation of mobility.
The instrumental methods of diagnosis of this disease include:
X-ray examination of
Often is the determining factor in the diagnosis of "spondyloarthrosis."
It is more difficult to recognize the arthrosis of the joints of the spine on the radiographic image than the lesion of larger joints.
The joints of the spine differ in their small size.
However, the x-ray classification of stages of osteoarthritis on them also extends:
- absence of radiographic signs;
- minimal manifestations in the form of a slight narrowing of the joint cracks and single osteophytes;
- moderate manifestations in the form of progression of narrowing of the joint gap and multiple osteophytes;
- marked manifestations are characterized by an almost complete absence of joint space and coarse osteophytes.
Photo: lumbar spondylarthrosis
MRI( magnetic resonance imaging)
A method based on the properties of hydrogen protons emits radio waves.
The maximum number of returned radio waves will be noted in tissues with a large number of hydrogen atoms, i.e.with a large percentage of water.
Damaged joints contain very little water, so joints with spondylarthrosis will be darkened.
Photo: cervical spondylarthrosis
CT( computed tomography)
This is a method of layer-by-layer examination of an organism - the operator of the CT apparatus sets the distance between the slices.
For vertebral joint examinations, it is necessary to set a minimum distance to accurately determine the presence of osteophytes and marginal osteosclerosis.
Treatment of spondylarthrosis is aimed at reducing pain impulses, restoring the volume of movement in the joint and its functional capabilities, reducing the progress of the pathological process and improving the quality of life of the patient.
Non-pharmacological methods for the control of spondylitis include:
- Therapeutic physical training. Physical activity helps maintain the functionality of the spine joints. In this case, the load must be dynamic, and the load on the axis of the spine should be excluded. Exercises are best performed in a prone or sitting position. Swimming is the best option for physical activity. It is necessary to perform exercises to strengthen the muscles of the back.
- Weight loss.
- Application of orthopedic corsets. These devices help reduce the pain symptom.
- Procedures with temperature influence. Out of the exacerbation stage it is advisable to apply cold or heat, which will help to get rid of the pain for a while.
- Ultrasound therapy. Reduces symptoms and improves the functioning of the joints. Appointment procedures occur at the stage of remission.
- Blockade. To reduce painful radicular syndrome, neuritis can be used blockade of intercostal nerves.
- Reflexotherapy. Some authors suggest the use of reflexotherapy, but for spondyloarthrosis it is an unconventional method of treatment.
Drug therapy includes drugs that can be included in two large groups:
- Rapid-acting drugs. Their use leads to minimization of the pain symptom. These include analgesics, non-steroidal anti-inflammatory drugs, tramadol.
- Slow-acting funds. Their action is aimed at restoring the structure of the cartilaginous tissue of the vertebral joints. This includes chondroitin sulfate, glucosamine, diacerein, unsaponifiable soy or avocado compounds.
High-speed drugs are designed to reduce the symptoms of the disease:
- Analgesics. Are the first line drugs for relief of pain. These include paracetamol. Assign it no more than 4 g / day. Relatively harmless drug when used for two years.
- Non-steroidal anti-inflammatory drugs. Most often used in practice. Their appointment is appropriate in the absence of the proper effect of paracetamol. When assigning this group of funds, it is necessary to rely on the concomitant pathology. This group of drugs has a large number of side effects from the cardiovascular, digestive system, kidneys. The use of these drugs with spondyloarthrosis should be started only during the period of pain intensification.
- Opioid analgesics. Assign in the absence of effect from previous groups. Tramadol is prescribed for 50-200 mg per day. Reception of opiates should be short-lived.
- Corticosteroids. The use of corticosteroids is prescribed for the progression of the disease with a significant limitation of the volume of movements in the joints.
If there are contraindications for the administration of systemic drugs, topical agents are used in the form of ointments, gels, creams.
Drugs of slow action possess chondroprotective properties.
The duration of the therapeutic effect varies from 2 to 8 weeks.
Representatives of this group:
- Chondroitin sulfate and glucosamine are components of articular cartilage. To display the effect of these drugs-chondroprotectors it is necessary to achieve a high concentration in the joint synovial fluid. Trade names of these drugs: structum, teraflex, don, chondromed, etc.
- Unmoistable soy and avocado compounds promote the synthesis of substances that stimulate the production of collagen by chondrocytes. These drugs reduce painful impulses.
Surgical methods of treatment are extremely rare.Did your child have Shinz's disease? A lot of information on this issue you can find on our website.
Why do osteophytes of vertebral bodies appear? The answer is here.
What is vertebral artery syndrome? Find out here.
To prevent the onset of spondylarthrosis, the following activities should be performed: :
- Exercises and workouts during work that are not accompanied by a change of position;
- Reduce static loads;
- Adequate and regular physical activity;
- Prevention and treatment of concomitant pathology;
- Weight loss.
Frequently Asked Questions ↑
Diagnosis of "spondylarthrosis" and the army - are they compatible?
Patient with spondylarthrosis is not suitable for military service if there is a diagnosis of osteochondrosis with lesions of at least three intervertebral discs, the onset of pain during physical work.
Obligatory condition is the documentary confirmation of repeated visits to the polyclinic for this disease.
Does the disease occur in children?
Spondyloarthritis may occur in children. Congenital defects in the development of cartilage tissue, collagen lead to rapid aging of cartilage of vertebral joints.
With the development of the child there is a change in the load on the spine. Therefore, the manifestations of spondylarthrosis in children are in the preschool or early school age, when the child is maximally active.
How does pregnancy and childbirth affect the development of the disease?
During pregnancy, a large amount of estrogen is produced - this hormone prevents spontaneous abortion and promotes the normal course of pregnancy.
Estrogen plays a big role in the occurrence and progression of arthrosis, therefore during pregnancy often there are exacerbations of the existing spondylarthrosis.
In addition, a woman adds weight, which increases the burden on the spinal column. After delivery, the level of estrogen decreases, the remission of the disease occurs.
Can I go to fitness?
Adequate exercise is very useful for patients with spondylarthrosis.
Fitness is a set of exercises that allow a person to keep himself in shape, develop coordination, train the cardiovascular system.
In fitness there are no strictly stipulated exercises, which everyone must adhere to, therefore for a person with spondylarthrosis it is necessary to select a number of exercises individually, with calculation for the specificity of the disease.
When exercising, there should be no sharp pain, it is necessary to exclude exercises with static load.
Do not hurt the bath?
During the exacerbation of the disease is not recommended to visit the bath.
Thermal action promotes a sharp inflow of blood, which leads to hyperemia and swelling of the squeezed nerves. As a result, the symptoms of the disease progress.
Visiting the sauna and sauna is acceptable in the stage of remission, when there is no pronounced pain syndrome. In this case, the heat will act in favor. But we must not forget the important rule: "everything is good in moderation."
Do they have a disability?
Progression of the disease involving a large number of adjacent vertebrae leads to ankylosis of the spine.
This pathology entails a limitation of work capacity and a decrease in the quality of life.
In this case, the issue of disability can be considered.
Summarizing the above, it must be said that prevention is the most effective way to combat spondylarthrosis.
Active people are less susceptible to the pathology of the supporting apparatus.
Deforming arthrosis of the joints of the spine: treatment of deforming arthrosis with medical plaster NANOPLAST forte
Deforming arthrosis of the joints of the spine, or arthrosis of the facet joints is one of the forms of degenerative-dystrophic lesions of the spinal column. Arthrosis of the joints of the spine( also known as spondylarthrosis) develops according to pathomorphological data in the course of aging and after 60 years occurs in most patients.
Arthrosis of the spinal joints - aetiology and pathogenesis
With deforming arthrosis of the facet joints of the spine, as well as with various types of osteoarthrosis, dystrophic changes in the cartilaginous tissue of the joint, thinning and destruction of the cartilage, and the formation of osteophytes are observed.
Most often, arthrosis of vertebral joints develops in combination with other dystrophic changes of the spine( chondrosis, osteochondrosis).But it is possible and localized development of this form of arthrosis - with deformities of the spine( hyperlordosis, scoliosis).
The joints of the cervical spine are most often affected by deforming arthrosis, and this type of spondyloarthrosis gives the most pronounced symptoms. Arthrosis of the lumbar intervertebral joints for a long time is clinically asymptomatic, or local pains occur, typical for deforming arthrosis of any localization.
Causes of deforming arthrosis of the joints of the spine
Arthrosis of the arcuate joints of the spine usually develops if there is a regular functional overload of the corresponding spine. The reasons for this overload may be different, for example, incorrect posture( stoop), prolonged body finding in an uncomfortable, unphysiological position, etc. In this case, there is cervical or lumbar hyperlordosis, which appears compensatory in response to thoracic kyphosis. Arthrosis of the vertebrae can also be the result of scoliosis or other deformities of the spine.
Deforming arthrosis of the spine can develop both independently and in combination with other dystrophic diseases of the spine( osteochondrosis and chondrosis).But the consequences for the facet joints are the same in both cases: the static and dynamic load increases, as a result, all the signs of arthrosis develop: accelerated aging and destruction of the cartilaginous tissue of the joint of the spine and the formation of osteophytes.
Types of deforming spinal arthrosis and their symptoms
Depending on the localization of the affected area, the following types of this disease are distinguished:
- Arthrosis of the lumbar spine( lumbararthrosis);
- Osteoarthritis of the cervical spine( cervicoarthrosis);
- Osteoarthritis of the thoracic spine( dorsartrosis).
Deforming arthrosis of the facet joints causes pain in the spine, limiting mobility in the affected parts of the spinal column. The pains have a constant aching character, intensifying with loads, bends and inclinations. Patients complain of the inability to move for a long time, weakness in the legs or hands - depending on the location of the affected joints. In some cases, it is difficult to stand on your feet, almost every 10 minutes there is a desire to sit or lie down. Pain, as a rule, has a localized character, and unlike the pain caused by herniated disc, does not irradiate in the leg or arm, is not accompanied by numbness and weakness. But if osteochondrosis joins in the arthrosis of the spine, spondylolisthesis, the pain can become burning.
Individual types of arthrosis of the spine have their own peculiarities
Deforming arthrosis of the cervical spine( cervicoarthrosis)
Arthrosis of the cervical spine is very common. The cause of its development is most often chronic cramps of the muscles of the cervico-brachial region as a result of constant sedentary work, especially at the computer, low physical activity or, on the contrary, excessive nonphysiological physical loads, etc.
With deforming arthrosis of the cervical region, patients first of all complain of such symptoms:
- Pain in the neck;
- Aching in the lower part of the occiput;
- Difficulty tilting the head down;
- Difficulty turning the head in any direction.
If the disease is started, and especially if it is combined with cervical osteochondrosis.which can often occur, dizziness may occur, eyesight may deteriorate, and unpleasant sensations in the ears and upper part of the sternum may occur.
A particularly serious disease is unco-vertebral arthrosis of the cervical spine. This type of cervical deforming arthrosis manifests itself with an acute pain syndrome, due to which it is impossible not only to turn and tilt the head, but also to move hands, neurological manifestations in the form of disorders of sensitivity and weakening of neurological reflexes are possible.
Osteoarthritis of the lumbar spine( lumboarthrosis)
The causes of deforming arthrosis development in the lumbosacral spine can be:
- congenital malformations of the spine;
- increased load on the spine - with professional activity or as a result of sporting activities,
- incorrect posture
- predominantly sedentary( office workers) or standing( salespeople, waiters, surgeons) lifestyle
The main symptom of lumbararthrosis is pain in the lumbosacraldepartment. The pain is aching, with possible irradiation into the buttocks and thighs, but never below the knee. Feeling of numbness and paresthesia are not characteristic.
At first, painful sensations only bother when exercising - walking, bending, changing postures, lifting weights and not being at rest. A characteristic symptom is the appearance of pain after a long sitting position, which pass after a short warm-up. But as the disease progresses, the pain becomes more intense, occurs at the slightest movement and at rest, can bother at night.
Another symptom of spondylarthrosis is the morning stiffness of the lumbosacral region. Usually it passes independently after 1-2 hours or after a short warm-up. Its mechanism is associated with the presence of reflex muscle spasm, the formation of contractures, the growth of osteophytes, pain syndrome, the presence of subluxations.
If lumbararthrosis is accompanied by the development of lumbosacral osteochondrosis, other symptoms also appear. For example, this is a rather common symptom, like pain in the buttocks. It is aching, intensified with intense physical exertion, hypothermia, awkward movements, sometimes with rising. There is an increased tone in the gluteus muscles, the musculature of the waist and lower limbs, there is a restriction of movements in the spinal column and hip joint. Often, weakness of the muscles of the thigh and lower leg is felt, a decrease in sensitivity, unpleasant sensations( tingling, a feeling of "crawling," numbness and weakness in the leg.).Often the cause of this is the concomitant syndrome of the pear-shaped muscle.
Treatment of deforming spinal arthrosis
Treatment of deforming arthrosis of the spine is mostly conservative. The following methods can be used:
- anti-inflammatory therapy( NSAID) - with severe pain syndrome;
- muscle relaxants of central action - with severe muscle spasms;
- chondroprotectors( drugs that help slow the degeneration of cartilaginous tissue);
- medical gymnastics, incl.swimming pool
- special massage
On the recommendation of the doctor orthopedic collars or corsets are used that help to support the spine in the right position.
Very good results in the treatment of spinal spondylarthrosis showed a medical plaster NANOPLAST forte.
Treatment of spinal arthrosis with medical plaster NANOPLAST forte
With the therapeutic treatment of deforming arthrosis , the spinal cord NANOPLAST forte is very effective. Plaster NANOPLAST forte allows you to remove pain and inflammation, improve blood circulation in the affected area. Depending on the severity of the disease, NANOPLAST forte can be used both in monotherapy and in complex therapy.
When applying a patch in complex therapy in combination with NSAIDs, analgesics, antispasmodics, the patch helps to reduce the dosage and shorten the period of application of these drugs that are not safe for the body.
In the treatment of deforming arthrosis , the NANOPLAST forte patch is applied to the troubled area, avoiding the front surface of the neck, especially the carotid arteries and lymph nodes, as well as the heart area.
We recommend a course treatment of 9 days or more. It is usually recommended to use a patch in the morning for 12 hours, but it is possible to apply it for the night.
High efficiency, uniqueness of the composition, long-term( up to 12 hours!) Therapeutic effect, ease of use and affordable price make NANOPLAST forte the means of choice in the treatment of spinal arthrosis.
Osteoarthrosis arthrosis( Facet arthropathy) occurs more often. The pathology is characterized by the destruction of the facet( arched) joints, which can not be tolerated. After all, these joint structures provide the flexibility of our spinal column, the ability to lean to the side, perform circular movements with the trunk. The most common disease is the cervical spine, the thoracic vertebrae are more resistant to this pathology. A common cause of the disease is excessive physical exertion on the back. The disease has no gender identity, because women and men suffer from arthrosis of arched joints in equal measure.
Osteoarthrosis arthrosis: causes of
The starting factor of the disease is a variety of causes. We list only the most significant of them:
- congenital pathologies of the spine - cleavage of the arch, splicing of vertebral bodies and much more. Even in adulthood, not all people know of the present congenital anomaly, which is visible only on the X-ray;
- trauma, frequent microtrauma, in the early stages not causing special inconveniences;
- chronic physical overload, peculiar to professional athletes and people with difficult working conditions;
- instability( pathological mobility) of the spine;
- violation in the exchange processes;
- many pathologies of the endocrine system.
In the initial stages of the disease, the articular cartilage loses its elasticity, slowly degrading. Gradually, bone tissue starts to suffer, inflammation of the joint bag, periarticular tissues. Later there are marginal bony expansions - thorns.
Useful recommendations for patients with arthrosis of arcuate joints
Recommendations of specialists in the fight against the disease
Most often arthrosis of arcuate joints is a secondary disease, therefore the whole complex of medical measures should be aimed at eliminating the root causes. For a patient with this diagnosis, special corsets or collars are shown. They are prescribed by the attending doctor, with whom the time required for their daily wearing should be stipulated.
Such pads well fix the spinal column, help to keep it in anatomically correct position.
It is very important during the day to do short-term discharge for the afflicted spine. To do this, lie on a hard and level surface. The muscles at the same time relax as much as possible.
The mattress should be selected hard, or sleep on the shield. This reduces the load on the facet joints. The cushion should be small in size, and if possible, give it up altogether.
Try to swim as much as possible. Swimming is a great exercise for the spine as a whole. It helps to eliminate the disease in a short time. In the water, you should do exercises for the back. Be sure to pay attention to food. It must be balanced. Try to eat more jelly and jelly, because gelatin serves as a natural chondroprotector.
The curative plan for arthrosis of the facet joints is quite large. Since the disease of small joints of the spinal column is difficult to cure, the approach to treatment must be complex.
Treatment of arthrosis of arcuate joints begins with the administration of non-steroidal anti-inflammatory drugs. This is the most effective group of medicines that can cause a prolonged remission. In the acute period, appoint injections or tablets Diclofenac, but the course should be short, so as not to harm the organs of the gastrointestinal tract. Long take chondroprotectors, vitamins, calcium, and if necessary - pain medications. Then they switch to local treatment. For this purpose, ointments and gels are well suited. In acute pain syndrome, with severe disease, blockade is prescribed. The blockade solution is made not only from local anesthetics, but also hormonal preparations, vitamin complexes, chondroprotectors.
Drug treatment is useful to combine with the reception of physiotherapy procedures and physiotherapy. Many medications can be taken with the help of electrophoresis, which greatly enhances their therapeutic properties.
Physiotherapy is the most important component of treatment. To select the necessary set of exercises should a doctor or a competent instructor. After the therapeutic exercise is shown a session of therapeutic massage.
After completing the course of complex therapy, to fix the effect, the sanatorium-and-spa treatment along the profile of "Treatment of the musculoskeletal system" is shown. More suitable mud, radon resorts, ozocerite treatment, rap bath.