Causes and symptoms of osteochondrosis in children
Osteochondrosis in children is extremely rare and, nevertheless, very dangerous. The thing is that this is an age-related disease, therefore the main risk group is represented by people over 50 years old, who have all the signs of aging and associated metabolic disturbances. More recently, osteochondrosis in children was extremely rare, but modern living conditions lead to the fact that all degenerative-dystrophic diseases are rapidly "younger", so the diagnosis of osteochondrosis of the cervical region in children is now more and more often.
The main causes and characteristics of the course of osteochondrosis in children
The spine in childhood has a significant potential for recovery, so that even serious injuries are borne by children much more easily and can pass without a trace. However, at the same time, the children's spine is a fairly fragile structure, which can be affected by all unfavorable factors, especially if we take into account that both vertebrae and intervertebral discs continue to increase in size until a certain age.
There are a number of specific reasons that can be an impetus for the development of cervical and lumbar osteochondrosis in children. Cervical osteochondrosis has a multifactorial etiology, so when considering cases of morbidity, several causes can be identified, which could lead to the appearance of this degenerative-dystrophic disease in a particular case. It is possible to identify a number of the most probable causes of the development of cervical osteochondrosis:
- Improper nutrition with low content of beneficial vitamins and minerals.
- Diseases and pathologies of the cardiovascular system.
- Severe allergic reactions.
- Injuries of varying severity.
- Somatic diseases.
- Severe intoxication of the body.
- Genetic predisposition.
- Frequent infectious diseases
- Pathologies of development of bones.
Decreased motor activity, which is a necessary condition for the normal development of bones and joints in children, is also a predisposing factor for the onset of this disease. However, in some cases cervical osteochondrosis can develop due to excessive physical exertion, especially if the teenager is engaged in sports professionally and wants to achieve significant results in the sport he has chosen.
Many doctors diagnose degenerative and dystrophic diseases note that the main cause of the disease development is urbanization in general, as modern children often spend all their time at the computer or are engaged in training, which contributes to the development of the defeat of the cervical spine. It should be noted immediately that in most cases, children have a lesion namely the cervical spine, since children do not observe the hygiene of working at the computer, reading and writing, which leads not only to scoliosis, but also changes in the level of blood supply to the tissues of the spine and later becomescause degeneration.
Symptomatic manifestations of osteochondrosis
As a rule, in children the development of this disease occurs almost asymptomatically, especially at the initial stage of the disease. Children have all the symptoms of this disease that are observed in adults, but all such manifestations take place in a very mild form, so the child can quickly get used to them and consider them to be the norm. The most characteristic manifestations of the symptoms of this disease in children are:
- decreased motor activity;
- uncomfortable sensations;
- dysfunction of pelvic organs;
- change of posture;
- permanent fatigue;
The defeat of the cervical spine with a disease such as osteochondrosis is the most common variant of the course of this disease. With osteochondrosis of the cervical region, most children often complain of intense headaches. Among other things, many children who have osteochondrosis of the cervical region, with prolonged presence in one body position, may have complaints of aching pain in the lumbar and cervical region.
How is cervical osteochondrosis treated in children?
Lumbar and cervical osteochondrosis requires careful diagnosis and a long course of treatment. However, at the same time, the children's body can fully recover, so with full treatment it is possible to fully restore the functions and eliminate all signs of degenerative-dystrophic damage to the intervertebral discs and vertebrae.
Conservative treatment is the most common treatment for lumbar and cervical osteochondrosis in children. First of all, drugs can be prescribed to eliminate pain syndrome, inflammatory process, edema and other characteristic signs of the disease. To eliminate the existing destruction of the vertebrae and cartilage, patients are prescribed a course of massage, physiotherapy, acupuncture, etc. Without measures aimed at rehabilitation, children suffering from cervical osteochondrosis can develop irreversible damage, which can lead to developmental disorders and many complications, including root syndrome.
Surgical methods of treatment for a child are used only in cases when conservative measures aimed at eliminating lumbar and cervical osteochondrosis do not give a positive result. As a rule, surgical intervention is appointed in the presence of radicular syndrome, which threatens the disruption of the work of certain internal organs. Most doctors consider the operation of children to be too radical a method of treatment, which in many respects justifies itself, however, if cervical osteochondrosis is complicated by protrusions or a herniated intervertebral disc, surgical intervention is the only effective treatment.
Why is juvenile( adolescent) osteochondrosis
Osteochondrosis is traditionally considered an age-related pathology: degenerative changes in the cartilage of the disc begin in people over forty. The truth is a significant "rejuvenation" of the disease, when even the thirty-year-olds begin to turn to the orthopedist. But such a disease in children and adolescents is already perceived as something completely unprecedented. Why does such a phenomenon arise as juvenile osteochondrosis?
Juvenile osteochondrosis is the dysplasia of the spinal bone in the period of rapid growth
Juvenile osteochondrosis: causes, symptoms and treatment
Juvenile osteochondrosis( Sheyerman's disease) is a kind of dorsopathy that develops during the period of active growth, when the formation of bone tissue is accelerated.
- the spine of a teenager is inadequate for their ability to withstand:
Children are now mostly spend whole days at the computer and do not go in for sports, their muscular-ligament system is very weakand
- Under the influence of a static load, with prolonged sitting, there is an increase in the bending of the spine in the thoracic and lumbar regions, stoop and scoliosis are formed
- There are painful symptoms of muscle tension and uneven muscle tone restricting the freedom of movement
- Primary dystrophic changes in the vertebrae and disks
to draw a conclusion that children's and adolescent degenerative diseases often develop on the basis of scoliosis.
also causes the development of juvenile osteochondrosis:
- Heredity( the presence of relatives in a straight line with the same pathology)
- Injuries and bruises of the spine
- Disorders of metabolism and lack of components in the body necessary for cartilage formation
- Infectious, autoimmune, endocrine diseases
Factors exacerbating muscular asymmetry and scoliosis :
- the habit of moving little and sitting in an uncomfortable, incorrect posture,
- carrying bags onshoulder
- sleep on a soft feather bed and pillow
Differences between adult and pediatric osteochondrosis
- In adults, osteochondrosis is more common in the cervical and lumbar regions, and less often in the chest
- Juvenile osteochondrosis can develop in the thoracic region with the same degree of probability as in the rest, and even more if the adolescent has scoliosis or kyphosis
- dorsopathy develops faster and earlier manifests neurological symptoms, but they are less pronounced than in adults, and often do not coincide with the standard innervation zones of
- . Children have almost no motor impairment and loss of sensitivity
- Juvenilumbosacral osteochondrosis rarely leads to disorders in the urinary system and intestine
- Juvenile osteochondrosis leads to the formation of hernias by the type of wedge-shaped deformities of the vertebrae( hernias) in the cervical, thoracic and lumbar part of the
The causes of such a hernia can be :
- fall on the back
- header when diving
- jump from a high altitude, etc.
Symptoms of juvenile osteochondrosis
It is difficult to diagnose a child's degenerative disease because of a mild clinical picture:
Adolescents can complain not for pain, but for fatigue and discomfort in the back
- When the pathology of the cervical department appears:
- Dizziness, fatigue, even unexpectedfainting
- And only then is cervicalgia added to these symptoms - cervical pain
- Headache may be accompanied by vomiting due to reflex cerebral angiographyspastic syndrome
These signs go far from the true reason:
Parents assume that the child was re-inserted, worried, ate something - anything, but not cervical osteochondrosis.
- Juvenile thoracic spine osteochondrosis is characterized by such symptoms:
- Chest pain, between the shoulder blades and the epigastric region
- Breathing difficulties
- External signs - presence of kyphosis or kyphoscoliosis of the thoracic region
Juvenile osteochondrosis is often not noticed:
is considered a neurological symptom for scoliotic symptomsor chest diseases
External symptoms of juvenile osteochondrosis - thoracic kyphosis and lumbar lumbar spine
- and pathology in the lumbar region :
- Pain also appears when the body tilts
- There are painful tension symptoms:
- when lifting the extended leg
- when trying to reach by hands without bending the legs, toes
- External sign - lumbar lordosis
Lumbar lumbar disorder inchildren are often mistaken for renal colic .
Diagnosis and treatment of juvenile osteochondrosis
To dispel all doubts can radiography:
Pictures help to identify the curvature and hernia .
X-ray helps to identify curvatures and hernias in the spine
Very rarely diagnosed in children:
- disc height decrease
Treatment of pediatric and juvenile osteochondrosis is conducted mainly by common, healing methods underlying osteopathy - the science of treating the body inwhole :
- Therapeutic exercise
- Chondroprotectors and vitamin preparations
- Homeopathic remedies
Also recommendedreception of calcium preparations .
Use of non-steroidal anti-inflammatory drugs in "growth diseases" in children is unnecessary due to the lack of pronounced pain and a large number of side effects of NSAIDs
Juvenile osteochondrosis is a reversible disease if it is a consequence of the emerging musculoskeletal system .
When a child grows up and stops growing, all these problems usually disappear.
Video: Treatment of cervical juvenile osteochondrosis
Osteochondrosis in children
Osteochondrosis - pathology is serious and very common, not only among adults, but also among children of various ages. Statistics offers as official data that the osteochondrosis of the spine is diagnosed almost in by 80% of the entire population of of our planet.
Twenty years ago, this diagnosis was considered one of the signs of the aging of an organism and its bone structures in a person. Osteochondrosis was associated with older people, and his diagnosis of in early childhood would lead to bewilderment and confusion of the medical specialist. To date, such a situation, unfortunately, does not surprise anyone, and this diagnosis was introduced on an official level in the classification of diseases.Note
Osteochondrosis is a direct consequence of the appearance in the cartilaginous or bony structures of the children's spine pathological changes of a different nature and severity.
As a result of degenerative changes in bone and cartilage structures on the , the highly sensitive nerve fibers of the appear to be under pressure in the spinal cord, which leads to intense pains, and even to disabilities in varying degrees of motor activity.
Causes and features of osteochondrosis in children
The spine, especially children's, is a very complex and at the same time very fragile structure with increased sensitivity to many negative factors. There are a number of reasons why children develop osteochondrosis. In this case, this disease is a multifactorial , i.e. The emergence of a combination of several negative factors and causes. To provoke the appearance of osteochondrosis in children at any age, the following factors and conditions may occur:
- Genetic predisposition to it;
- Injuries of the spine and its damage to various degrees;
- Incorrect or defective food;
- Pathologies of various types and disruption of the vascular system;
- Wrong postures during sleep, when seated, increased stress on the spine of the infantile spine;
- Disorders in the work of hormonal and endocrine systems of the child's organism;
- Low motor activity;
- Abnormal development of bones;
- The presence of diseases in a child of a different nature: inflammatory, infectious, allergic diseases;
The risk of for children's osteochondrosis is the development of extremely serious consequences, including serious violations in the systems of the child's body and its individual organs, the appearance of intervertebral hernias. This disease in childhood is dangerous especially because it leads to growth disorders related to changes in the bones.
The course of osteochondrosis in children and its symptoms
Often reveals in a child the disease is not so simple, as his parents and pediatricians suspect in the last place. Only a competent neurologist, after carefully examining the child and carefully examining, can establish signs that his muscles are tense in one or another place.
|The initial stages of development in a small patient of this disease, unfortunately, are not always visible in the radiography of the spine. With the further development of the disease and its transition to the later stages in the picture, a specialist can already notice a number of changes that are specific for this disease.|
The course of osteochondrosis in childhood is often imperceptible, and this is dangerous. To make a more accurate diagnosis, an additional examination is recommended with the MRI .
Symptoms are the same as in an adult patient, but they manifest themselves to a much lesser degree:
- , the earliest sign can be considered the appearance of headaches in a child;
- then spreading pains throughout the head and intensifying as it rotates;
- intense pain that does not allow the child to play or perform school assignments;
- occasionally causes pain in the ear from the side of the lesion, ringing and noise, dizziness;
- is also possible a noticeable decrease in hearing on this side.
Also, these symptoms are often attributed to other ailments and unsuccessfully treat them for a long period of time. Constant or recurring noon pains in the back or / and neck should cause to suspect from the parents. Sometimes such pain can be sharp, acute, although it happens infrequently in childhood.
In childhood, chest osteochondrosis happens very rarely and often, among its manifestations, discomfort or even pain of varying degrees in the heart area. The lumbar osteochondrosis is most often recorded, which is characterized by aching pains that are permanent or vice versa acute paroxysmal nature of in the damaged parts of the spine. They can give in the back or back of the thigh. Often this way, and manifests itself as a child's osteochondrosis against a background of intense physical activity and active sports.
Prevention of pediatric osteochondrosis and its treatment
For treatment in children with osteochondrosis massage and allowed elements of therapeutic gymnastics are used. If necessary, the immobilization of the spine of a small patient is prescribed: the child is required to wear neck collars and special corsets. Also, reflexotherapy and physiotherapy procedures are prescribed.
Preventing the occurrence of osteochondrosis in children means, first of all, the timely detection of those children who are at risk for developing this disease. This group includes, according to the testimony of those children who have:
- Spinal injuries of various origin;
- Deviations in the development of the spine;
- Weighed down by heredity.
Children who fall under 's testimony to the risk group must be supervised by their parents and specialists. They are contraindicated in active sports and increased physical activity. Such children should regularly undergo courses of preventive massage and permanently engage in exercise therapy to strengthen the muscles.
Causes of the development of the disease
Factors of a hereditary nature, as well as pathological congenital underdevelopment of connective intervertebral tissue, are one of the most common causes leading to the development of osteochondrosis in childhood. Often provocateurs of osteochondrosis development of the cervical vertebrae are birth traumas, which initially do not have any special manifestations and only appear in adolescence.
In addition to the causes of early development of osteochondrosis can be attributed to increased training in sports, injuries to the spinal column, posture disorder( due to frequent stay in non-physiological postures) especially if the baby has an innate predisposition to the disease.
The fragile bone skeleton of the child( in this case the spine) is very susceptible to the negative effects of external factors, which can subsequently lead to degenerative-dystrophic changes in the vertebrae. There are several reasons that immediately provoke osteochondrosis in children:
- genetic factor;
- is not a complete diet - against its background there is an acquired dysfunction of cartilaginous tissue;
- malfunctioning of the circulatory, hormonal, endocrine systems;
- inflammatory, infectious processes.
The course of the disease in children, as in older people, leads to pathological changes in the vertebral discs-the cracking of the fibrous ring, the release of the pulpous nucleus and, as a consequence, the formation of hernias, as well as bone growths( osteophytes).If adults suffer from a lot of unpleasant painful sensations, then all the processes in the kidneys are practically painless( of course, there is some discomfort), however, pathological changes can provoke growth retardation in the child's body, flat feet and even obesity.
The disease can be asymptomatic at an early stage, but even at a later stage of its development, not many children are able to clearly define and formulate what exactly disturbs them, so often even the most vigilant parents miss the moment and turn to a specialist even when the diseaseat the peak of his progress. In addition, parents are unaware that at such an early age a child may suffer from osteochondrosis.
Ignore or let the complaints of your child take care of themselves( even the most insignificant ones) in any case not, contact at least your pediatrician. An experienced doctor will always be able to recognize the problem and send a small patient to a more narrow specialist, a neurologist.
Osteochondrosis in children( as well as in adults) can affect any segment of the spine - cervical, thoracic, lumbar. Concerning the localization of the disease in the child, the following symptoms will appear:
- , the osteochondrosis of the cervical region is accompanied first by mild, and in time with severe headaches, sometimes severe pain syndrome, akin to migraines, can occur several times a day. In the rest( this distinguishes the symptomatology of a child's illness from an adult), the disease does not manifest itself at all - there is no numbness, a decrease in motor activity, a deterioration in sensitivity. There is sluggishness, apathy, fast fatigue;
- osteochondrosis of the thoracic vertebra appears at a later stage with pain on the left side of the chest, which the parents take for the heart, as the respiratory function may be disturbed - dyspnea appears;
- here the osteochondrosis of the lumbar region is inherent in the same manifestations that in adults - pain syndrome, which gives shoots in the leg, numbness, a decrease in the temperature of the limbs, deterioration of skin sensitivity and a decrease in motor activity.
Still I want to note that the most common causes of osteochondrosis in babies are congenital anomalies of the spinal column.
Prevention and treatment
Preventive measures to prevent the development of osteochondrosis in children should be carried out at an early age, especially if there is an inherent predisposition. Accustom your child to physical education - do exercises, perform exercises to strengthen the muscles of the back, as is not unimportant is a balanced diet and hardening.
If your kid has a predisposition for ailment, learn the following rules with him:
- Before you pick up an object from the floor, you should sit down instead of bending over to the full height;periodically change the position of the body, warm up every half hour for a long time at a desk or at a computer desk;
- do not perform any gymnastic exercises without agreement with the doctor;
- does not cost a long time to be soared in the bathroom, bath;
- try to avoid drafts and hypothermia.
If nevertheless the degenerative process in the baby's body is started, it is not superfluous for parents to get acquainted with the therapeutic methods applied to children:
- the basis for the treatment of children's osteochondrosis is therapeutic exercises, as well as massage procedures;
- quite often apply physiotherapy, acupuncture;
- , in addition, the expert gives recommendations on the necessary norms for the intake of vitamins, minerals, trace elements into the children's body;
- severe degree of the disease implies the use( wearing a child) of fixing orthopedic corsets.
Treatment of children with a diagnosis of osteochondrosis is often done without the use of medication, but to ensure that it gives a positive result, parents need to react in time to the complaints of the child and immediately seek medical attention. Only timely diagnosis, qualified treatment and compliance with all recommendations will help to avoid serious problems in the future.
Having a hereditary predisposition, or an innate underdevelopment of connective tissue, a fragile baby's backbone becomes especially susceptible to the effects of negative external factors, therefore the risk of developing osteochondrosis in this case increases several times.
If the parents are aware of the harmful heredity or the cervical department was injured during childbirth( this is quite common phenomenon) it is necessary to protect it from heavy sports loads, monitor the posture at the time of the computer, at the same time, at least once a hour to take a break andperform a warm-up. First, the prevention of disease is always better than its treatment; secondly, if you miss the moment your baby can develop an anomaly of growth( it will lag far behind its peers), flat feet and strangely enough overweight.
Symptomatic manifestations of
In adults, the symptoms of osteochondrosis appear much more significant than in early childhood, therefore it is usually possible to diagnose and start treatment only at later stages of the disease. Speaking of neurological syndromes, they are similar in both children and adults, and a number of significant differences can be noted regarding the clinical picture.
So, for example, cervical osteochondrosis developing in a child can manifest itself with no significant headaches, which as the disease progresses intensifies. In this case, the baby can experience short-term( repeated several times a day) or prolonged pain, which will be accompanied by vomiting and increased pain syndrome when the head turns. In addition, with the defeat of the cervical vertebrae, children may experience dizziness, weakness, apathy.
In addition, babies may be impaired hearing, blurred vision( most often this occurs with severe attacks of headache), after the removal of pain, these symptoms disappear.
The distinctive feature is that there is no numbness in the limbs, there is no severe pain in the neck, there is no feeling of heaviness of the upper humeral girdle, a decrease in the motor activity of the affected segment, of all that so affect the older people. It is not uncommon for doctors to prescribe a treatment that does not correspond to the type of disease, taking children's osteochondrosis for some other ailment.
Poorly expressed symptoms and inability to properly formulate complaints complicate the diagnosis of osteochondrosis in children.
Diagnosis of the disease
It is known that the earlier a correct diagnosis is established and design treatment is prescribed, the greater the probability of a successful outcome. Osteochondrosis of the initial stage is subject to complete cure. An illness diagnosed at later stages can only be stopped, the symptoms eliminated, but the damaged tissue of the intervertebral discs can not be restored.
Parents whose children often complain about headaches should always consult a doctor. At the primary examination, the pediatrician can detect the tension of the cervical and dorsal muscles, the limitation of the mobility of the head( the baby prefers to turn around with the whole body), the presence of torticollis, the asymmetry of the upper humeral girdle, the palpation of the affected segment causes pain. Experienced pediatrician in the presence of such symptoms will show suspicion of osteochondrosis and send the child for examination to the neurologist.
A more objective picture of the degenerative-dystrophic processes occurring will show MRI, CT or X-ray examination, only after that the doctor will be able to establish an accurate diagnosis and prescribe the appropriate treatment.
Therapy and prevention
If the child develops cervical osteochondrosis and an ailment at the initial stage, then the treatment is performed by applying physiotherapy procedures, as well as therapeutic exercises and massage. Launched forms of the disease require more radical measures, so treatment in such a case is medicated, sometimes there is a need for wearing an orthopedic bandage.
If osteochondrosis affects the cervical region, then it is recommended to use the collar of Shantz.
In addition to conservative therapy, the doctor gives some recommendations on the nutrition of the child, the lack of certain vitamins and trace elements leads to the development of pathology, so it is very important to correctly balance the baby's diet. For treatment to give positive results, do not go into "amateur" strictly follow the medical prescriptions.
And in order to protect your child from the unpleasant manifestations of osteochondrosis, do not forget to do physical exercises with him - do morning exercises, perform exercises aimed at strengthening the muscular back skeleton, especially for those kids who are predisposed to the disease. Watch for the correct posture of your child, do not allow long to be in one position, and when working at the computer every hour, take a break and warm up.
If your child is at risk, protect him from heavy physical exertion, be sure to undergo a preventive examination to stop the ailment at the very beginning, only in this way you will be able to provide the child with a full future and confidence in the future.