Therapeutic exercises for the spine: indications and contraindications, a set of exercises + video
When it comes to diseases of the musculoskeletal system, the spine is given special attention. This is not surprising, given the enormous impact that a healthy spine has on a person's quality of life, his health and overall health.
But the sick spine affects our life no less. Let's see who needs therapeutic exercises for the spine, how to perform it, and what you need to know about this method of treatment.
Specialists engaged in the treatment of joints, bone and muscle tissue diseases often face situations when healing the spine leads to the elimination of pain and better mobility of joints that used to be characterized by soreness and stiffness of movements, etc.
Even simple gymnastics for the spineregularly) is able to have a beneficial effect on the condition of the spine and all its tissues, as physical exercises improve the following indicators:
- saturationtissues with nutrients and oxygen, by improving blood circulation. With simultaneous medical treatment and exercises for therapeutic exercises for the spine, the intake of medicinal substances by the "destination" also improves - in the area of the spine, damaged by some disease;
- stimulation of regeneration processes;
- strengthening of the muscular corset, which creates a kind of "support" for the spine;
- improvement of the functions of all joints due to the normalization of their blood supply and innervation. Considering the fact that the most important nervous "branches" depart from the spine, responsible for the work of various organs and body structures, one can understand: without a healthy spine it is impossible to provide health to other elements of the musculoskeletal system.
When is LFK
shown? The first and most important thing to know is that any complex of exercise therapy( even basic or lightweight) should be prescribed by a doctor. This precaution is due to the fact that in the presence of any disease( osteochondrosis, intervertebral hernia, etc.), the spine becomes extremely vulnerable to stress, and the result of self-medication may be deterioration in overall health and slowing of recovery.
The following rule, which also implies the reference to the doctor - selection of exercises taking into account the characteristics of the disease. Any ailment, including pathology of the spine, develops and proceeds in different ways in different people. This means that the complex of exercises effective for a person with a traumatic origin of the lumbar spinal hernia may be categorically contraindicated in the patient whose hernia developed in the cervical section due to age-related changes.
Contraindications to exercise therapy
The main contraindication to exercise therapy in diseases of the spine is the lack of appointment of a doctor. Not knowing what caused your disease and whether it is accompanied by any accompanying pathologies, you can cause your health significant harm by engaging in self-medication.
In addition, if after performing a complex exercise therapy you feel a deterioration of well-being( not necessarily pain in the back or in the damaged part of the spine), be sure to inform your doctor or LPF instructor about it.
During the initial consultation with an orthopedic surgeon, inform him about any of your illnesses that you are aware of. Such problems with health, as a violation of blood pressure, cerebral circulation, heart failure, etc., require correction of both medicamentous prescriptions for the treatment of the spine, and for the correct selection of the complex of exercise therapy.
Physiotherapy with spinal hernia
The goal of exercise therapy for intervertebral hernia is the redistribution of the load on the spine in such a way as to release the "restrained" hernia tissue, restore circulation in them and allow nutrients and oxygen to freely penetrate into the tissues of the disc - this is an important condition for normalizing itfunctions.In addition, exercise strengthens muscle groups that support the spine in a physiologically correct position, which relieves excessive pressure on the damaged disc and prevents the disease from moving to a more serious condition.
Medical gymnastics with a hernia of the spine can be carried out only according to the doctor's prescription, and only after the disease is removed from an acute period, and pain syndrome and associated symptoms are eliminated.
Basic complex LFK
Such gymnastics for the spine should be performed smoothly, without sharp turns or a prolonged strain of the muscles of the back.
I. Discharge of the spine
Take a pair of chairs( stools) with a soft seat, put them side by side. Go down in front of them on your knees and lay your belly and chest on the seats together. Hips and arms should be free to "hang out" - the body weight is only on the chest and stomach. Hold in this position for 2-3 minutes, after which, without sudden movements, stand on your feet.
II.In the standing position
IPStanding, feet shoulder-width apart, arms hanging freely along the body. Slowly lean forward so that the body is parallel to the floor( hands remain free and do not assume any loads).In this position, one can feel the tension of the muscular ridges in the lumbar region. If this feeling is painless - stay in this position for a minute. Return to the IP, take a few breaths and breathe out and repeat the exercise again. Number of repetitions 3-4 times.
III.Lying on his back.lying on the back, legs bent at the knees, the feet are located as close as possible to the buttocks. Slowly and smoothly lower your knees to the side, "reaching out" to the floor. Alternate the slopes of the knees to the left and to the right, but at the first unpleasant sensations in the back, fix the angle of inclination, which is your "limit" and do not exceed it in subsequent repetitions. The number of repeats is 6-8 times.
IV.Lying on his stomach
lying on the stomach, arms bent at the elbows, palms next to the head, pressed to the floor. Without raising your head and leaning on your hands, "step" with your knees, pulling them as close as possible to the body. At the end point of the exercise, the position of your body should resemble a triangle: the head on the floor, the pelvis is raised up, the knees under the belly. Keep your back straight. Delayed at the end point for 1 minute, "step with your knees in the opposite direction. Number of repetitions 2-3 times.
Therapeutic exercises for osteochondrosis
Therapeutic exercises with cervical osteochondrosis, thoracic or lumbar can improve blood circulation in the tissues, which slows the development of the disease, and with complex treatment( using medical and physiotherapy programs) and is able to completely stop the pathological process.
Basic complex of exercise therapy
When performing exercises aimed at alleviating the condition of osteochondrosis, it should be remembered that prolonged loads and sudden movements are contraindicated. Focus on your own well-being and exercise, the performance of which gives you discomfort or pain, exclude from the complex.
I. Walking on all fours.
. Stand on your knees, with the palm rest, and walk around on all fours. Go around the perimeter of the room, change the direction of movement( several "steps" forward and then back).Make sure that the floor covering is warm and soft, or wear special knee pads to avoid injuring the knee joints.
II.Unloading the spine
Take a chair or stool with a soft seat( you can put a small pillow on the seat) and lie on the seat so that the problem area of the back is not hanging, but was in a stable position. Do not lean on your knees and hands - limbs carry no load and are completely free. Relax the body, let the head "hang" - if the position is right, you will feel a pleasant pulling feeling along the spine. In the area damaged by osteochondrosis, slight discomfort may occur. Hold in this position for 3-4 minutes.
Lthe yawn on the back, bend your knees and pull them to your chest. Palms clasp your knees and start to swing. At the extreme points of the amplitude, you should touch the floor with your shoulders and your pelvis. Continue the exercise for 2-3 minutes.
Lie on your stomach. With your hands set back, try to wrap your ankles up. After this, swing so that the touch of the chest to the floor occurs on exhalation, and the pelvis - on inspiration. Continue to swing for 2-3 minutes.
V. Rotation of
Standing on the floor, feet shoulder-width apart. Gently rotate your head on the frequent arrow 2-3 times, then repeat in the opposite direction. The head should "roll" from the left shoulder to the chest, then to the right shoulder and back. Make sure that there is no excessive tension in the muscles of the neck. After this, rotate the shoulders with your hands, lowered down - forward, and then back. At the end of this exercise, you should feel warmth in the neck and shoulder girdle, but in no case is it pain.
Important: When doing this exercise, watch for well-being: at the first signs of dizziness, noise or stuffiness in the ears, nausea or disorientation, immediately stop exercising.
We recommend: a free course of exercises for the treatment of osteochondrosis without surgery and medications!
Physiotherapy with scoliosisTherapeutic gymnastics in scoliosis is an essential condition for the formation of correct posture, fixing the physiological position of the spine and eliminating the complications to which scoliosis often leads. The mechanism of action of exercise therapy is the strengthening of muscles that hold the spine in the right position and relax the muscle groups that "lead" the spine to the side. If all the recommendations of an orthopedic physician or an exercise physician are observed, the compensation of the curvature occurs quickly enough, and subsequently it is only necessary to maintain the result in a healthy way of life and regular activities.
But exercise therapy for scoliosis requires compliance with some general rules:
- all exercises should be performed in the corrective position, which the doctor appointed - the required position depends on the degree of curvature, its type and location( thoracic, lumbar, S-shaped);
- complex of exercise therapy should be selected taking into account the concomitant diseases that are not uncommon in scoliosis, which disrupts the functioning of the thorax or abdominal
Basic complex of exercise therapy
This complex includes exercises that you can do on your own, provided that during the performance of the complex and after it your state of health does not deteriorate and you do not experience acute pain in the back.
I. Discharge of the spine
I.P.kneeling, leaning his hands on the floor. Within 2-3 minutes "walk", leaning on the knees and palms, without straining your back - it should slightly sag.
II.Lying on the back
.lying on the floor, on his back. For a few seconds, relax, then gently stretch your heels down, and head and neck - up. Take care that the spine is not stressed;
lying on his back, legs bent at the knees, knees pulled up as close to the stomach as possible. Kick around with circular motions that imitate cycling. Starting the exercise with the knees over the abdomen, gradually increase the angle between the thigh and the shin so that the rotational movements are made as close to the floor as possible - in this case the legs are almost level. Lower your legs until you feel a load on the abdominal muscles - stop at this and repeat the exercises from the beginning.
III.Lying on his stomach
.lying on his stomach, face down. Gently stretch your heels down, and head up. Repeat the exercise for 3-4 minutes;
lying on his stomach, face down. On exhalation, lift the head and upper part of the body as high as possible, while spreading your arms on both sides and back. The point of support falls on the stomach. Hold in this position for a few seconds and gently return to the i.p. Repeat the exercise 3-5 times;
IV.Standing on all fours.standing on the floor, leaning on the knees and palms, forearms and hips are located at right angles to the surface of the floor. Relax your back and "lower" it so that the loin is free to sag, while tilting your head back - the chin is pointing up. Then, without returning to the IV, arched your back arched, straining your back muscles, pressing your chin to your chest. In the lower and upper position, hold for a few seconds. Repeat this cycle 4-5 times.
What kind of curative gymnastics for the spine, back and joints is useful?
Therapeutic exercises for the spine are a set of special exercises necessary for the restoration and proper functioning of the musculoskeletal system. It is proved that such gymnastics effectively affects not only the back, but also the whole body.
Features of exercises for the spine
First of all, gymnastics is prescribed for such diseases of the spine as osteochondrosis and intervertebral hernia.
At the initial stage of such diseases, the main task is to remove pain. The patient is prescribed bed rest and medication. Remember that eliminating pain is not an indicator that you are healthy.
When the patient starts to control the pain, you can start special gymnastics and therapeutic massage( however it will be effective only if performed by a professional).You can also try physiotherapy, but its impact is purely individual.
Useful tips for those who decided to start practicing
If you independently found a program of lessons in any source, be sure to show it to your doctor. Even useful exercises can do harm if they are performed at the wrong time. In addition, pay special attention to the following points:
- Correct gymnastics will primarily bring a favorable load to the muscles in the area close to the joint, but for the hip joint. Watch this in your exercises.
- In a good complex of statistical loads more than dynamic.
- Gymnastics - the most budgetary and effective method of treatment, but to achieve the desired result you should be patient and engaged regularly.
- Be sure to consult a specialist( LFK physician, orthopedist, traumatologist) before starting treatment.
Types of gymnastic exercises
All kinds of gymnastic exercises can be divided into the following features:
- By Anatomy:
- exercises for small muscle groups
- exercises for medium muscle groups
- exercises for large muscle groups
- By activity:
- active free
- active light
- According to the principle of operation:
Gymnastics can be practiced at any convenient time, but doctors recommendby doing it immediately after recovery.
The form for training should be such that there is no slightest possibility of hypothermia. The ideal option is a wool suit.
Tips for beginners
There are exercises that you can do even while you work, if you get a free minute.
Please note that pain during exercise is a warning signal. In this case, you should reduce the dynamics or stop training altogether.
To make therapeutic exercises for the back profitable, the patient is required:
- Daily execution of the complex.
- Do not change the movements selected by the specialist, do not increase the intensity and do not increase the speed of execution.
- Follow your breathing: do not delay it and do not shoot it down.
- Consult a physician, tell him about any ailments and discomfort.
In what cases is it contraindicated?
Exercise is not recommended or strictly prohibited:
- during the period of exacerbation of
- after recently transferred
- operations to people with fever
- for patients with hernia
- for patients with heart and lung diseases
Complex of therapeutic gymnastics for osteochondrosis( acute period)
First stage( allexercises are performed lying on the back):
- Bend and unbend the right leg without lifting it from the floor surface. Do eight to ten repetitions, then change your leg.
- Raise and lower alternately the right and left arm.
- Bend the left leg, right slowly move aside, repeat eight times, then change your legs. In no case do not allow sudden movements!
- Put your hands on your shoulders and rotate clockwise first and then against.
- Take the roller and lean against it with your hip, alternately bend and straighten your legs.
- Helping yourself with your arms, gently pull your bent legs to your stomach.
- Bend your legs and take turns kneeling in the side.
- Keep the toe socks inward, and then dilute them.
The second stage( exercises are performed lying on the back):
- Bend your legs;leaning on the lower thoracic spine, gently lift the lumbosacral region.
- Tighten the press and simultaneously lift the head, the legs should be bent at the same time.
- Strain and then relax the gluteal muscles.
- Alternately bend and unbend your legs without taking your feet off the floor.
- Raise the pelvis up by placing a roller under the calves of your legs.
- Sit on your knees and lean your hands against the floor. Lower your buttocks to the heels, trying not to tear your hands away from the floor.
Therapeutic complexes in the subsequent stages should be selected by a doctor.
In diseases of the spine, you can perform the following complex of therapeutic gymnastics:
- Hold the press in tension and paddle with both hands in different directions.
- Tighten the press and take deep breaths and exhalations.
- Rowing with two legs simultaneously, straining the muscles of the press.
- Stand on all fours, slowly put your hand behind your back, leaving it for a while on your lower back. This exercise strengthens the muscles supporting the flexure of the waist and spine.
- Stand on all fours;leaning on your knees, rearrange your hands, making them seemingly "steps" in place.
- The position is the same as in the previous exercise;leaning on your hands, kick your feet on the spot.
When repeating this set of exercises for the lumbar spine, your muscles will become more elastic and trained. It should be done twice a day, only then the exercises for the waist will bring good results.
Very often people complain of pain in the neck. It is not surprising, because modern man spends a lot of time in uncomfortable and unnatural poses: sitting at the computer, tilting his head, buried in a tablet or phone. After this, complaints of headaches, fatigue and memory deterioration begin.
Consider a few exercises for the neck so you can give your body a break. Remember that all exercises are done at a smooth pace, do not make sudden movements, otherwise you will earn yourself a spasm.
The following complex of exercises will become a good prevention of cervical osteochondrosis.
- Press one hand on the forehead and try to tilt the head forward, hold this position for 10 seconds, relax. Repeat the exercise.
- In a similar pattern, make the head tilt to the side.
- Put your hands along the body, gently turn your head to the right and left, as far as you can.
- The hands are also lowered, lift the shoulders all the way up, hold in this position for 10 seconds, then lower your shoulders and take a deep breath and exhale, rest for 15 seconds.
- Tilt your head forward, trying to touch your chest with your chin.
- Make an intensive massage of the area of the joint between the head and neck.
No less relevant is the curative gymnastics for the joints.
Slags and other waste products of vital activity are removed from the body during the movement. The appearance of the pain syndrome in the joint limits us in mobility. Cartilage at this time is gradually destroyed, the tissues become less elastic, and the muscles are shortened.
Treatment and joint exercises will evenly distribute the load on the affected joint, help it to develop and normalize its work.
Rachitis is a big danger for children. It is a disease that affects the bones. Mostly they are sick children under the age of two. The disease is found everywhere, but to a large extent in those areas where there is a deficit of sunlight. In the risk zone are children born in the autumn and winter periods. Rickets upset the calcium-phosphorus metabolism, the bones deform and become soft, and the bone-cartilaginous tissue grows incompletely.
The first symptoms of the disease are:
- nervous excitability
- appearance of red spots on the skin
- hair loss at the nape
- increased sweating with an acidic odor.
Further, there is a decrease in muscle tone, indigestion and muscle flabbiness. The main culprit of rickets is a lack of vitamin D. Disease can provoke and improper nutrition, lack of a daily regimen, mother's diseases during pregnancy, birth complications, lack of movement of the baby( tight diapering, lack of massage or gymnastics for newborns), a rare stay on the street, andskin diseases. Most often rickets suffer premature babies and twins.
Gymnastics in rickets is extremely necessary. It normalizes the psychomotor state and stops deformation of the skeleton. The sooner you start treatment, the less deplorable will be the consequence. Do gymnastics, therapeutic massage, take vitamin D. When doing exercises, make sure that the joints do not unbend more than normal, and be sure to include breathing exercises in the complex.
Diseases of the spine and therapeutic exercise in diseases of the spine
Characteristics of the causes of curvature of the spine. Hernia of intervertebral discs. Classification and types of scoliosis. Basic complex of physiotherapy exercises for scoliosis and other curvature of the spine. Therapeutic exercises and exercises in the water.
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Anatomical structure of the spine, its main departments and functions. Classification of scoliosis as a lateral curvature of the spine in humans. The role of therapeutic and prophylactic measures in correcting the curvature of the spine. Basic complex of exercises.course work, added 11/27/2014
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St. Petersburg University of Service and Economics
on the theme: "Spinal Diseases and Treatment Therapy for Spine Diseases"
Work performed: Promyshlyanskaya EA
3. Classification and types of scoliosis
4. Treatment of scoliosis
5. Basic set of curative physical education for scoliosis and other curvature of the spine
Anyone at least once in his life was uncomfortableDoes back pain, discomfort when moving. Back pain is one of the frequent complaints of patients in medical practice and is a greater cause of illness and disability than any other disease( other than colds).70-80% of the adult population constantly or periodically suffer from back pain.
The cause of back pain may be a symptom of a large number of very serious diseases of the spine or internal organs that can lead to disability.
Currently, most people live in a sitting position. We sit on the way to work and work, spend eight hours or more in the office, plus lunch break. Home rest is also not always active. In addition, in our life there are loads that arise in the spinal column when running, walking, lifting weights. It is not surprising that by thirty to forty years we earn a whole bunch of diseases of the spine: osteochondrosis, herniated intervertebral discs, sciatica, lumbago, sciatica, myositis, intercostal neuralgia, spondylosis and other diseases of the back.
1. Spine Curvature
The basic function of the spine is the support, which allows to provide rigidity of the skeleton and maintain the usual body shape.
Our spine is very sturdy, has some flexibility to balance the body, and has four natural bends( physiological bends) acting as a spring that soften sharp vertical loads on the spine( jumps, etc.), allow you to respond to stresses associated withwith the weight of the body and its movements, and also absorb shocks and bumps while walking.
Bends facing convex forward, called lordosis( cervical and lumbar), and bends, protruding backward - kyphosis( thoracic and sacral).
Kytophes are the primary bends available at birth. Lordosis - secondary bends that form as the spine grows. Physiological bends can be deformed due to illness, or incorrect posture associated with a weak muscle corset and lack of maintenance of muscle tone of the back, so the spine starts to work poorly, muscles and ligaments become excessively stretched or compressed, and the vertebrae and their joints begin to wear outthe result in the back is pain.
Normal spine: rear view, side view
Scoliosis is a genetically determined disease of the musculoskeletal system, characterized by a lateral curvature of the spine( in the frontal plane), with twisting of the vertebra in the process of their growth( is a pathological condition).Scoliosis is congenital and acquired.
The causes of scoliosis( most cases of scoliosis occur for not clear reasons):
congenital scoliosis( abnormal development of the vertebrae), is associated with congenital disorders of the connective tissue structure with loosening of ligamentous structures in all body systems, i.e.ligaments designed to hold the vertebral column in an upright position are too weak for this. Congenital( primary, hereditary) scoliosis can be accompanied by various congenital changes: developmental dysplasia of the hip joints, maxillofacial anomalies( bifurcation of the lip, non-hardness of the hard palate), flat feet, biliary and urinary tract anomalies. Acquired scoliosis occurs most often in children( idiopathic juvenile scoliosis) at the age of 5 to 15 years( due to impaired posture), as the child learns to hold his head and sit, especially among schoolchildren, to which improper posture during the training sessions contributes, whichleads to an uneven load on the spine and back muscles, tires and weakens them. Later, there are changes in the ligaments of the spine and the shape of the vertebrae themselves. Also, scoliosis in children may be a consequence of the rickets suffered.
Scoliosis in adults can develop as a result of long asymmetric strains on the back muscles( professional scoliosis of violinists, seamstresses, porters, etc.).In these cases, the curvature develops slowly and rarely, as in childhood and adolescence. Scoliosis can also be a consequence of congenital metabolic disorders, the result of lesions in certain diseases, accompanied by the destruction of the lateral parts of vertebral bodies in a greater or lesser extent, for example, tuberculosis spondylitis, tumors, osteoporosis, degenerative disc disease( osteoarthritis), etc. In patients with spine and spinal cord injuries, the spinal curvature may occur due to paralysis of the back muscles( paralytic form of scoliosis).A functional scoliosis can occur if the patient has one shorter leg.
The kyphosis can be arched, when this or that part of the spine is uniformly curved posteriorly, and angular, when the spine is sharply curved in a small area( in the region of several vertebrae).An arch-shaped kyphosis occurs mainly in the thoracic spine( round back).The reasons for the development of the arcuate form of kyphosis may be the congenital weakness of the back muscles, the severe rickets suffered in childhood, the prolonged bent position of the trunk( behind the machine, at the writing desk, etc.).The presence of arcuate kyphosis not only disrupts a person's posture, but also leads to a decrease in the respiratory capacity of the chest( as a full breath requires maximum extension of the spine), and insufficiency of breathing can adversely affect blood circulation. Often with arched kyphosis, the shoulders are extended forward and lowered down, a bulging or slightly saggy belly. Angular kyphosis occurs predominantly in the thoracic spine and in this case is called a hump. The cause is the defeat of the vertebrae by the tuberculous process( spondylitis) and their flattening under the weight of the overlying parts of the body, which is accompanied by a pronounced shortening of the trunk and a sharp protrusion of the chest. This deformation severely affects the function of internal organs, the work activity and personal life of the patient.
The lordosis is usually seen in the lumbar spine. In general, it develops with congenital dislocations in the hip joints, in which the center of gravity of the body with its vertical position is transferred anteriorly and, in order to maintain equilibrium, the trunk deviates back, bending in the lower back. Also, the physiological lumbar lordosis can be strengthened by excessive deposition of fat on the abdomen.
The lordosis is manifested by deformation of the spine and pain caused by the redistribution of the load on the vertebral bodies and the overextension of the musculoskeletal apparatus of the spine. Active movements of the affected spine are limited. Lordosis often accompanies the omission of internal organs( stomach, intestines, kidneys), which explains the various violations in their work.
Osteochondrosis is a degenerative-dystrophic disease of the intervertebral discs, accompanied by a biochemical change in the tissue of the vertebrae. In osteochondrosis, the fixing capacity of the spine, that is, the condition of the parotid muscles and ligaments, especially under load, deteriorates.
Under the influence of many factors( mechanical overload of the spine, its constant traumatization in unfavorable working and living conditions, violation of posture, metabolic disorders), the intervertebral disc is destroyed and disintegrated. The elasticity of cartilage decreases, it seems that the intervertebral disc seems to dry up. This process particularly quickly progresses with insufficient mobility of the spine, as local blood circulation worsens. As a result, the components of the intervertebral disc undergo degeneration and are gradually destroyed, and around them an inflammatory reaction develops and subsequently the so-called marginal osteophytes are formed. All this causes a decrease in the distances between the vertebrae. But the arcs of the vertebrae form a spinal canal and, therefore, the bundles of nerve fibers( roots), which depart from the spinal cord, are damaged.
Vessel and nerve root compression, firstly, is the cause of acute pain in the spine itself( the so-called radicular syndrome), especially when the head or trunk is sharply turned or tilted or when it is physically stressed, and ultimately leads to the developmentsecondary radiculitis. Secondly, because of the compression of the nerve roots leaving the spinal cord, the function of the internal organs is also impaired, which are also partially innervated from the roots.
Most often, osteochondrosis starts in the cervical and lumbar region. This is explained by the fact that intervertebral discs are usually damaged on the boundaries of the mobile part of the spine with a relatively fixed part of the spine( lumbar with respect to the sacral, cervical in relation to the thoracic).
Neurosurgeon AI Osna proposed the classification of stages of osteochondrosis( 1971) on the basis of a long experience of its study and surgical treatment:
I stage - the internal disk displacement of the nucleus is more than normal.which leads to stretching or tightening of the fibrous ring.
II stage - there are cracks in the fibrous ring and instability of the affected segment.
III stage - there is a complete rupture of the disc with a fall of the hernia, an inflammatory process with possible compression of nerves and vessels.
IV stage - there is a dystrophic lesion of other parts of the intervertebral disc with the addition of spondylosis, spondyloarthrosis and other kompinostoric changes.
Spondylarthrosis( joint arthrosis of the spine) arises from an incorrect distribution of the vertical load due to a decrease in the height of the intervertebral disc. The flattened disc reduces the distance between the arcuate joints. They are overloaded, destroyed with the development of arthrosis. The result of osteoarthritis is the infringement of the menisci of the joints of the spine, which blocks the joint and causes pain.
Spondylosis is the calcification of the anterior longitudinal ligament of the spine. Spondylosis fixes the area undergoing overload, causing irritation of the nerve endings of the ligament. Patients experience dull, aching local pain and heaviness in the spine. Spondylosis is accompanied by tension of the muscles around the motor segment, and then these two fixation mechanisms not only aggravate the pain, but worsen the cushioning function of the spine, rectifying its physiological curves. In the early stages of osteochondrosis, muscles tense, immobilizing and protecting his spine, creating a local muscular corset. In the later stages immobility is supported by irreversible changes in the muscles surrounding the tissues and spondylosis.
Muscle syndrome in osteochondrosis is due to the fact that pathological irritating impulses go to the muscles from the affected motor segment, which, along with their dynamic overload, causes a tonic spasm. These nerve impulses cause a vasospasm, and in the beginning there is pain, and then the muscles themselves change due to a violation of their blood supply. Appear sealed cords, containing dense and painful nodules( Cornelius), areas of hypertonia( Mueller) and dense myoglosis. Trigger zones are formed, pressing on which causes sharp widespread pain.
In osteochondrosis, at first, the fixing abilities are weakened, if further unfavorable factors continue their destructive effect, then the compensatory capabilities of the fixing elements are insufficient. In this case, in the late stages of the disease, the muscle fixation is reduced, the ligaments are stretched, and excessive mobility is formed in the vertebral-motor segment.
Excessive mobility causes more than normal displacement of adjacent vertebrae in relation to each other( for example, at the moment of extension of the trunk, the overlying vertebra is displaced posteriorly, which does not happen in the healthy spine).Such pathological mobility of adjacent vertebrae due to osteochondrosis is called pseudo-spondylolisthesis.
Due to pathological mobility, traumatizing vertebral body, and coarsely tight ligament, the end plates of the vertebral bodies become denser and develop their sclerosis. As a result, there is a chronic proliferation of bone tissue of vertebral bodies, which compensatively increases their surface and reduces the load. These overgrown bone spines are called osteophytes.
Spondylarthrosis, spondylosis, pseudospendolisthesis and osteophytes testify to the late stages of osteochondrosis.
Herniated disc. First, the pulpous core is dehydrated and the metabolism in cartilage is disturbed. As a result, the disc loses its elasticity, dries up, decreases in size and can not resist physical exertion. The fibrous ring also loses its elasticity, which causes its cracks and tears. In the resulting defects protrudes, and then drops out( partially or completely) the pulpous core. This is the hernia of the intervertebral disc.
If the nucleus goes to the side of the fibrous ring, then the middle and lateral hernias of the disc are formed.
Anterolateral hernia irritates the sympathetic trunk of the autonomic nervous system, which lies on the anterolateral surface of the vertebral bodies, which leads to disruption of the internal organs and vascular spasm.
Lateral hernia in the cervical region causes compression of the vertebral artery that feeds the brain.
If the pulpous nucleus penetrates the vertebral body, leaving up or down through the gap in the hyaline plate, the central Schmorl hernia forms. With Schmorl hernia, no structures of the nervous system are squeezed, so it is manifested only by awkwardness, pain and discomfort with limited mobility in the area of the affected vertebral-motor segment.
The aforementioned processes of intervertebral disk dystrophy in the course of further development of osteochondrosis entail compensatory changes in the bodies, joints, ligaments with the involvement of vessels, muscles and nerves in the pathological process.
3. Classification and types of scoliosis
Five major groups of scoliosis are distinguished, according to the Cobb classification( 1958), the most common in the world:
- I group - scoliosis of myopathic( muscular) origin. At the heart of these curvatures of the spine lies the inadequacy of the development of muscle tissue and ligamentous apparatus. Rachytic scoliosis, which arise as a result of a dystrophic process not only in the skeleton, but also in the neuromuscular tissue, can also be attributed to this group.
- II group - scoliosis of a neurogenic origin: - on the basis of poliomyelitis;- spastic paralysis;- neurofibromatosis;- Syringomyelia. The same group can include scoliosis on the soil of sciatica, back pain and scoliosis caused by degenerative changes in the intervertebral discs, leading to squeezing the roots and causing radicular syndromes.
- III group - scoliosis on the basis of anomalies of development of vertebrae and ribs. This group includes all congenital scoliosis, the occurrence of which is due to bone development disorders.
- IV group - scoliosis due to diseases of the thorax( cicatricial on the basis of empyema, burns, plastic surgery on the chest).
- V group - idiopathic scoliosis, whose origin is still unknown.
Determination of severity of scoliosis. To determine the severity of scoliosis, the doctor must determine the amount of curvature in digital terms. In our country, the most common method for measuring scoliosis curvature, developed by VD Chaklin, abroad - the method of American orthopedist John Cobb. The principle of measuring the scoliosis curvature in these two methods is almost the same, the difference is that according to Chaklin, the more degrees, the easier the degree of severity of scoliosis, and according to Cobb - on the contrary. To measure the S-shaped double curvature, the doctor must make an x-ray of the spine. Then, in the upper portion of the curvature, two horizontal lines are drawn with a ruler: one under the upper vertebra from which the curvature begins and the other under the lower one. When holding two other lines perpendicular to the first, an angle is formed, which is measured in degrees. Similarly, the lower portion of the curvature is determined.
Scoliosis is divided into 4 stages according to severity of deformity:
- Scoliosis of the 1st degree is characterized by a slight lateral deviation( up to 10 °) and the initial degree of twisting revealed on the roentgenogram. Twisting is defined as a slight deviation of spinous processes from the midline and asymmetry of the roots of the arch. The angle of the primary arc of curvature is not more than 10 °.
- Scoliosis of the 2nd degree is characterized not only by a noticeable deviation of the spine in the frontal plane, but also by pronounced twisting, the presence of compensatory arcs. On the X-ray, the deformation of the vertebral bodies at the level of the vertex of the curvature is clearly manifested. The angle of the primary arc of curvature is within 10 ° -25 °.The muscular cushion is clinically determined because of the torsion( twisting) of the spine.
- Scoliosis of the third degree - persistent and more pronounced deformation, the presence of a large costal hump, severe deformation of the chest. The angle of the primary arc of curvature is within 25 ° -40 °.On the roentgenogram on the top of the curvature and adjacent to it there are vertebrae of a wedge-shaped shape.
- Scoliosis of the 4th degree is accompanied by severe disfigurement of the trunk. There are kyphoscoliosis of the thoracic spine, deformity of the pelvis, torso deviation, persistent deformation of the thorax, posterior and anterior costal hump. On the roentgenogram expressed pronounced wedge deformation of the bodies of the thoracic vertebrae, severe deformation of the vertebral bodies and vertebral joints in the thoracic and lumbar spine, calcification of the ligamentous apparatus. The angle of the main curvature reaches 40 ° -90 °.
Types of scoliosis of the spine. Upper chest or cervico-thoracic scoliosis With this type of scoliosis, a short arc of the primary curvature with a long and gentle secondary arc is formed. Upper chest scoliosis is a fairly rare form. The clinical picture of this type of scoliosis is very characteristic and, first of all, is determined by the involvement of the cervical spine, and the main curvature changes not only the cervical spine, but also often the bones of the facial skull. When examined, a pronounced torticollis, an asymmetrical position of the eyes, an oblique position of the nose, and the like are detected. The upper part of the chest and the foreleg are deformed. The neck appears shortened, the edge of the trapezius muscle sharply protrudes. These defects are difficult to correct, especially when the process is running and the late start of treatment.
Thoracic scoliosis. In this type of scoliosis, the most pronounced deformations of the spine and thorax are observed, in many patients - with the formation of a large muscular hump. The arc of curvature captures 6-7 vertebrae and is located between Th3-Th9.In addition to the steep primary arc of curvature, two secondary arcs are formed: one above the basic curvature, the other lower in the lumbar region. Sharp twisting leads to a mismatch between the plane of the chest and the plane of the pelvis. On the convex side of the curvature, the scapula abruptly retreats and protrudes, the thorax is flattened on the concave side of the curvature. When the body tilts, a rib hump is revealed. The average age of manifestations of thoracic scoliosis is 9-10 years. If the development of this type of scoliosis can not be stopped at an early age of 20-21, and the formation of the spinal column is already complete, the treatment becomes very difficult.and sometimes a hopeless affair.
Combined scoliosis. In this type of scoliosis, both arches - thoracic and lumbar - both clinically and radically manifested simultaneously. This is the only type of scoliosis, in which the curvature of the spine takes the form of the Latin letter "S" and therefore they are called S-shaped. Combined scoliosis is most common in girls. In this type of scoliosis, the convexity of the thoracic arch is more often directed to the right side, and the lumbar region to the left. The average age of manifestation of this type of scoliosis is very difficult to treat, and sometimes, in neglected cases, when this type of scoliosis was not treated in childhood, it acquires disfiguring forms that practically can not be cured.
Stem lumbar scoliosis. This type of scoliosis, as well as the previous one, is more common in girls than in boys. The arc of curvature at this localization captures usually thoracic vertebrae at the Th6-Th12 level. The most frequent age of detection of this scoliosis is 9-10 years. Curvature of more than 50 ° Cobb is more common in those patients in whom the disease manifested itself before the age of 10 years. Clinically, this type of scoliosis is characterized by a protruding crest of the vertebral bone on the concavity side of the curvature, two secondary arcs often occur. It is treated well, especially in the early stage.
Lumbar scoliosis. In the formation of lumbar scoliosis, usually involved are five vertebrae. The arc is most often located between Th12 and L5 with the vertex on L2.Lumbar scoliosis with low localization is often compensated for by sacrum, so when looking out, a sharp depression of the triangle of the waist with a protruding crest of the ilium on the concave side of the curvature is prominent. When the body tilts, the twisting manifests itself in the form of a muscular roller. There is no costal hump. The course of these scoliosis is more favorable. Functional disorders usually do not happen. With lumbar scoliosis, the deformity of the chest is weak, there is no rib humerus, and internal organs suffer little. Lumbar scoliosis is less likely than others to progress and therefore they are treated relatively easily. It should be noted that the benign course of lumbar scoliosis does not subsequently guarantee the development of a pain syndrome associated with the phenomena of the lumbar spine.
spine scoliosis physiotherapy
4. Treatment of scoliosis
Treatment depends on the patient's age, type of scoliosis and degree of deformation of the spine.
Children's scoliosis with I and II degrees of curvature of the spine is treated conservatively. The main condition for successful treatment is a full and rich in vitamins nutrition, regular outdoor activities, outdoor games. The bed should be rigid, for which a wooden shield is placed on the bed. The chair and table in the workplace should correspond to the height. It is necessary to watch, that the child sat at a table directly, and its feet thus reached a floor. Also, the correct setting of light is important, and in case of visual impairment, correction is necessary. Systematically conduct therapeutic gymnastics and often appoint wearing corsets.
Conservative treatment is also carried out in special boarding schools for children with scoliosis, in which simultaneously with the training according to the usual program, the necessary round-the-clock treatment regimen is created.
One of the best means of conservative treatment of scoliosis is exercise therapy. Physical exercises have a stabilizing effect on the spine, strengthening the muscles of the trunk, allow you to achieve a corrective effect on deformity, improve posture, function of external respiration, provide a general strengthening effect. LFK is shown at all stages of scoliosis development, but it yields more successful results with the initial forms of scoliosis.
Physical exercises that increase the flexibility of the spine and lead to overstretch are contraindicated.
The complex of drugs used for conservative treatment of scoliosis includes:
Therapeutic exercises for the cervical spine: a description of effective exercise complexes
Spine diseases can cause headaches, sore throats, poor vision and dizziness.
The importance of competent diagnosis, timely treatment and prevention of vertebral diseases is due to their widespread prevalence, severely tolerated pain syndrome and the occurrence of a variety of complications.
The best means, included in the complex of prevention and treatment of diseases of the cervical spine are massage and therapeutic gymnastics.Contents
It is the gymnastics that plays the leading role.
Special exercises are aimed at relaxing and bringing muscles into tone, increasing their functionality.
What is important to consider when starting a set of exercises:
- Your main task is to bring the muscles into tone. You need to make them flexible enough, so exercise should be done slowly and rhythmically. Too fast, sharp movements can do much harm: they injure tense muscles, only worsening their condition.
- The gymnastics are performed on a flat surface.
- Required inventory: mat, chair, rollers or cushions.
- Periodicity: each exercise is performed three times, then proceed to the next.
- If you experience discomfort, the load should be reduced.
Effective exercise complexes
Improving the mobility of the vertebrae, restoring the plasticity of the neck musclesRecommended for chronic diseases of the cervical region, in rare cases is used for acute pain to weaken it.
Recommendations : with acute pain wearing a bandage for several days - this will ensure peace of the neck and vertebrae muscles, improve sleep.
Exercise No. 1
Sitting on a chair or standing, drop your arms along the trunk and turn your head first to the extreme right, then to the left.
The purpose of the exercise: providing a state of mobility of the cervical vertebrae, in which the nose and chin are located above the shoulder at the maximum turn.
Lightweight version of the exercise: do in each direction a series of movements with a small amplitude.
Exercise No. 2
Sitting on a chair or standing, drop your arms along the trunk and lower your head down, pressing your chin as hard as possible. Try to feel the chin with your chin.
The purpose of the exercise: improving the flexibility of the neck, stretching the cramped muscles in the back.
Exercise # 3
Sitting on a chair or standing, lower your arms along the trunk and move your head back, pulling your chin.
The purpose of the exercise: adjusting the posture, in which the neck with the head "stretched" forward, stretching tensed muscles.
Complex № 2
It is recommended for chronic forms of diseases of the cervical department.
Purpose: strengthen weakened muscles, maximize their relaxation, reduce painful sensations.
Exercise No. 1
Sitting, place your palm on one hand on your forehead. Do the head incline forward, pressing your palm against your forehead, as if to prevent movement.
The purpose of the exercise: strengthening the weakened muscles, developing the mobility of the vertebrae, achieving the correct position of the head. Sitting, put your palm on the temporal area. Alternately, tilt your head to the left and to the right, pressing your palm against your temple.
The purpose of the exercise: strengthening the lateral cervical muscles, improving the mobility of the vertebrae, reducing pain syndrome.
Exercise # 3
Sitting or standing, put your hands along the trunk. Raise your shoulders to the maximum possible position and lower them.
Exercise # 4
Sitting or lying, massage the area between the occipital bone and the occiput, where the muscles are located.
Exercise # 5
Sitting or lying down, massage the shoulder blades in the place of attachment to the neck muscle.
Gymnastics for the treatment of a hernia of the cervical spine
For the treatment of a hernia of the cervical part, the following exercise is recommended:
From the position "sitting straight" take a deep breath and throw your head back, the sight is directed to the ceiling.
Hold on for a few seconds, go back to the original position.Hernia of the cervical spine is the second most frequent occurrence after the lumbar spine. More information about symptoms, diagnosis, as well as conservative and surgical treatment, see the article "Treatment of the hernia of the cervical spine."
Gymnastics for the treatment of osteochondrosis of the cervical spine
Exercise No. 1
Lie down and maximally straighten the body. The left arm is on the chest, the right hand is on the stomach. Even breath. Hold your breath for 10 seconds, exhale and relax.
Exercise 2( continued first)
Turn over on the abdomen, legs straight, avoid deflections. Lift the upper thoracic region with the head and lower to the starting position.
Exercise No. 3
Lie down on your back, legs bent at the knees. Alternately, make turns of the body to the right and left. The interval between each turn is 20 seconds.This disease occurs in every second person aged 25 - 40 years. In our article "How to treat the cervical osteochondrosis?"you will learn about the causes of osteochondrosis, its symptoms, as well as the classic options for fighting it.
Exercise gymnastics for cervical spine protrusion
Exercise No. 1
You will need a wide board with a smooth surface. Its size should allow you to lie on the board in full growth. At one end of the board, you need to attach 50 cm
Set the board so that the top end is 130 cm from the floor.
Place your belly on the board, extend your arms into the straps, under the knees - a pillow.
Carefully change the angle of the board, adjusting the load on the spinal column.
Exercise No. 2
As a support, take the board used in the first exercise. You can also use a wooden stool.
To stretch the back muscles, lie on the pedestal, touching it with your stomach.
Prolong the stretching of the muscles, performing alternating inclinations back and forth.
Keep track of the correct distribution of body weight: the main load should be felt between the lower abdomen and the upper humeral girdle.
Exercise 3( lateral traction)
If the pain is manifested in the right side, lie down on the left. If the pain is observed on both sides of the spine, perform the exercise alternately on each side.
The upper part of the trunk is pushed forward, while the lower torso is bent backwards.
Exercise # 4. Walking on all fours.
Stand on all fours, straighten your back and begin to "bypass" the room.
Exercise No. 5
Lie on your back, your legs are in the maximum straight position. Socks pull on yourself, touch the sternum with your chin. Thus, the muscles of the neck will stretch, and the spinal column will stretch.
Gymnastics for the treatment of spinal cord spondylosis
When spondylosis is not recommended perform gymnastics on their own. This disease requires the supervision of an experienced instructor to perform each exercise.
It is important to perform gymnastics as neatly and smoothly as possible, avoid unnecessary excessive loads.
With regular execution, the circulation of the cervical region will improve, the muscles will return to tone, the physiological mobility of the spinal column will recover.
Gymnastics for the treatment of cervical spine chondrosis
Gymnastics for osteochondrosis is necessary to reduce pain, strengthen the neck muscles and prevent recurrence of the disease.
- Series of neck turns. Each turn must be done very slowly, with a fading in the extreme point for a couple of seconds. The view should be directed straight ahead, the head lifted.
- Head inclinations. The inclination of the head in each direction must be carried out until the ear touches the shoulder. The shoulders are as relaxed and depressed as possible.
|When practicing gymnastics, you need to follow a systematic approach. Only regular exercises will produce the proper effect. Before performing the exercises, you need to adequately assess your own abilities: general health, training level.|
Therapeutic gymnastics for osteochondrosis
- LFK for lumbar spine
Where to start?
Osteochondrosis of the spine is accompanied by a weakening of the muscles of the back and neck, the destruction of the intervertebral discs, which leads to severe pain syndrome and restriction during movement.
The initial stage of treatment of the osteochondrosis of the spine is to remove the pain syndrome, improve blood circulation, start taking medications to restore cartilaginous tissue, undergo massages or apply non-traditional techniques. Then a new way of life is formed, the first place in which is occupied by physical culture. In this case, it is necessary to choose an individual complex of exercise therapy, the exercises of which will help to treat the cervical, thoracic, lumbar. Most often, doctors recommend using Dikul's technique.
Method of regular exercises
Printed editions by Valentina Dikula
Many patients have already experienced the technique of Dikul exercises. His technology is based on the restoration of the spine under the influence of regular physical exercises. They are carried out in part with the application of a certain force. Therefore, the main recommendation of doctors - to perform gymnastics Dikul under the supervision of an instructor or after an individual consultation with a doctor. The principle of Dikul's technique is based on the following stages:
- adaptive - general restorative exercises for different parts of the spine;
- gradual complication with the methods of power load - stretching exercises, rapid muscle relaxation after the load;
- fixing stage - when improving the condition, continue to systematically exercise to maintain health and prevent complications.
In view of the fact that osteochondrosis affects different parts of the spine, exercises for the cervical, thoracic, lumbar spine will have its own specifics.
Particular attention is paid to the affected part of the spine, the rest of the departments are subject to strain for the purpose of prevention.
Dicule exercises for all types of osteochondrosis must meet the following requirements:
- Exercises should not be performed during an exacerbation or complication, especially if acutely painful.
- During the exercise, the patient should not experience pain.
- The complex should be built according to the principle of alternation - tension, then relaxation of muscles.
- It is necessary to perform all exercises, maintaining proper posture, smoothly, without sudden movements.
Complex of exercises for morning exercises
Medical gymnastics begins with morning exercises. Exercise is best done after sleeping before breakfast starts. This increases muscle tone, removes the body from the state of inhibition, improves blood circulation. If the patient is restricted in movement, the classes are held in a room or room with obligatory ventilation. The rest of the patients go to the gym or courtyard.
Exercises for morning exercises are selected taking into account the age of the patient, the stage of the disease and the site of the disease of the spine.
Morning medical gymnastics for osteochondrosis takes 10-20 minutes. The complex usually includes 8-12 exercises for 3-8 approaches.
The lesson lasts approximately 30 minutes. Exercises are performed in two ways - individually or in a group. Depending on the complexity of the disease, different starting positions are selected:
- lying - for patients with motor disorders;
- sitting - the second stage of the complex for heavy patients;
- standing - used in the final stage of treatment or for less complex diseases.
Having learned how to correctly perform exercises and control the load on the spine, you can continue to do it yourself on a working day.
LFK for the cervical spine
This area should be very cautious in loading. Any wrong movement is fraught with damage to blood vessels or infringement of nerves.
An example of simple but effective exercises for cervical osteochondrosis
Exercises against cervical osteochondrosis:
Starting position standing
- perform slow smooth slopes of the head to the sides, holding in each side for 10 seconds, then strain the muscles, resisting pressure from the shoulder, and turnhead to the former position, continue to carry out the exercise in the other direction, 15 times each;
- similar exercise with head turns up / down;
- rotate the head to the sides, pulling the chin to the shoulder, hold for 10 seconds, repeat 15 times;
Starting position sitting
- write chin in the air numbers from "0" to "9", you can do it in transport, at lunchtime at work, etc.;
Initial position lying
- lie on the floor or a hard bed without a pillow, raise your head above the surface and hold in this position for about 10 seconds, rest 5 seconds, repeat 10 times;
- lying on its side raise its head parallel to the floor or the bed, lock in for 10 seconds, rest a couple of seconds, repeat 10 times and roll over to the other side, perform by analogy;
- in the position of lying stretch the chin up to the ceiling. Fixation - 10 seconds, repeat 10 times.
LFK for the thoracic spine
The task of such exercises is to strengthen the muscles of the back and chest. This allows you to keep the spine in a normal position, breathing will be complete, as a result, the pressure on the vessels and nerve fibers is relaxed. After such exercises, edema is removed, tissue sensitivity is restored. Systematic application of exercise therapy will adjust the heart, will not disturb the pain in the heart, arrhythmia. Exercises against osteochondrosis of the thoracic spine:
- While lying on a flat and firm surface, lift the upper part of the trunk. Place a soft roller 10 cm in diameter under the shoulder blades. Repeat the exercise 4 times, start moving the roller along the spine and repeat the procedure.
- Sitting on a chair, to rest with an even back against the backrest and try to bend back strongly, then slant forward. Buttocks do not tear off the chair. Run 5 times.
- In the position on the abdomen, stretch out your arms, move forward with the upper body. This is an exercise to strengthen the pectoral muscles. You can increase the effect. To do this, change the location of the hands: bring them behind the head and back, then they need to be pulled along the body.
- Sitting on a firm basis or standing, roll the bottom of the sternum with a towel, wind the ends forward. Deeply inhale and exhale. Exhaling firmly pull the towel down so that it tightly squeezes the lower portion of the chest. Make 5-9 times.
- Sitting on a chair, hands behind head, front to reduce elbows. Expand the body as much as possible left and right, repeat many times.
- From the position on all fours, exhaling, head down, arched back up, inhale to bend his back down and raise his head.
- Bend forward, sitting on the heels, touch the forehead with the floor. Extend arms forward, continuing the line of the spine, positioning along the head.
LFK for lumbar spine
Special complex of exercise therapy against lumbar osteochondrosis is based on several stages. Each following approach leads to increased load. If there is no way to proceed to the next stage, you should return to the first stage and start the complex anew. Each stage consists of exercises to reduce the muscles of the back and abdominal press, then there is relaxation and stretching. Steps ЛФК:
- Rock the press until you feel easy fatigue, on all fours raise your head, bending your back and vice versa. Repeat 3-5 times. Such exercises are better to perform as morning exercises.
- Lying on the back with legs bent at the knees, leaning on the feet and lifting the pelvis, slowly lowering back. Repeat 4-5 times. Lie down on each side to press each hip to the stomach. Slowly, until it stops, repeat about five times.
- Sitting on a firm surface with a straight back, hands on the knees - torso tilt back until the press strains, then stay for a few seconds, return to the starting position. Repeat 6-7 times. Do several times a day to incline, so that the chest touches the legs. Repeat 6-7 times. Exercise carefully and under the supervision of an experienced coach.
- Sit on the bent legs, heels at the buttocks, and hold hands in the lock above the head, sit on the floor, leave the heels to the left, then to the right of the buttock. Repeat 10-15 times. Occupy position - on all fours. Alternately raise the opposite leg and arm. Repeat the exercise 5-7 times.
Such gymnastics with osteochondrosis can be safely used for the prevention of the disease. To complicate the load, it is necessary in stages and only with the permission of the attending physician. Cure osteochondrosis without accompanying treatment is impossible. Therefore, exercise therapy is used as a strengthening therapy.