Juvenile osteochondrosis of the spine

Why is juvenile( teenage)

osteochondrosis osteochondrosis traditionally considered age pathologies: degenerative changes of the cartilage disc begin in people over forty years. 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 a dysplasia of the spinal bone in a period of rapid growth

Juvenile osteochondrosis: causes, symptoms and treatment

Juvenile osteochondrosis( Scheierman's disease) is a kind of dorsopathy that develops during a 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 now mostly spend whole days at the computer and do not exercise, their muscular-ligament system is verylab
  • Under the influence of a static load, with prolonged sitting, there is an increase in the bends 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 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
  • Poormalnutrition

factors contributing to muscle asymmetry, and scoliosis :

  • habit a little move and sit in an uncomfortable, improper posture,
  • wearing sumand on the shoulder
  • sleep on a soft feather bed and pillow

Differences between adult and child osteochondrosis

  1. In adults, low back pain is more often in the cervical and lumbar spine, and the least - in breast
  2. Juvenile osteochondrosis may occur in the thoracic spine with the same degree of probability as inothers, and even more, if the teenager - scoliosis or kyphosis
  3. dorsopathies Children develop faster and earlier manifested neurological symptoms, but they are less pronounced than in adults, and often do not coincide with the standard Inna zones
  4. Juvenile lumbosacral osteochondrosis rarely leads to malfunctions in the urinary and intestinal system
  5. Juvenile osteochondrosis leads to the formation of hernias by the type of wedge deformities of the vertebrae( hernias) in the cervical, thoracic and lumbardepartment of
    reasons for such hernias may be :
    • fall back
    • header while diving
    • jump from a great height, etc.

Symptoms of Juvenile osteochondrosis

diagnose degenerative disease of children is difficult because of the mild clinical picture:
Teens may not complain of pain and fatigue and discomfort in the back

  1. When the pathology of the cervical spine appears:
    • Dizziness, fatigue, even unexpected syncope
    • is possible And only then is cervicalgia added to these symptoms - neck pain
    • Headache may be accompanied by vomiting due to reflex cerebral angiopathic syndrome

    Such symptoms are taken away fromthe true reason:

    Parents assume that the child was re-inserted, worried, ate something - anything, but not cervical osteochondrosis.

  2. Juvenile osteochondrosis of the spine differs in 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 diseases of the chest organs

    External symptoms of juvenile osteochondrosis - thoracic kyphosis and lumbar lumbar lobe

  3. and pathology in the lumbar region :
    • Lumbalgia
    • Pain also appears when the body tilts
    • There are painful tension symptoms:
      • when the extended leg
      • is raised when trying to reach by hands without bending the legs, toes of the feet
    • External sign - lumbar lordosis

    Lumbar lumbar disorderchildren are often mistaken for renal colic .

Diagnosis and treatment of juvenile osteochondrosis

Scanning 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:

  • decrease in disc height
  • arthrosis
  • stenosis
  • osteosclerosis

Treatment of pediatric and juvenile osteochondrosis is conducted mainly by common, healing methods that underlie osteopathy - the science of treating the body inwhole :

  • Massage
  • Therapeutic exercise
  • Swimming
  • 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 because of 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


Juvenile osteochondrosis

Causes of juvenile osteochondrosis

The cause of the disease in early childhood is usually congenital or acquired, and is associated with impaired development of cartilaginous tissue.

Juvenile osteochondrosis of the spine in children and adolescents can occur because of the rapid growth of the skeleton, which is why the joints do not have time to cope with the increased load. Cartilaginous tissue loses its elasticity. As a result, in the cartilaginous tissue there are violations, it loses its elasticity, the spinal discs are displaced and the nerves are jammed.

Also the development of the disease is promoted by excessive physical exertion, such as weight lifting and power sports. The fact is that the skeleton of a teenager is not yet fully formed, and the loads that go beyond the norm are contraindicated. A prolonged stay in a static position and an incorrect posture can also provoke juvenile osteochondrosis.with a long sitting increases the bends of the spine, and formed stoop.

In the development of the disease there is a hereditary predisposition, i.e.one of the parents suffered from diseases associated with deformation of bone tissue, the risk of developing juvenile osteochondrosis in a child is increasing.

Symptoms of juvenile osteochondrosis

The manifestations of the disease depend on the stage of its development and the area of ​​the spine. One of the main symptoms of juvenile osteochondrosis of the cervical spine is a constant headache that occurs in the occiput and gives to the parietal-temporal region. Also there are dizziness and flickering of the spots before the eyes. With the movement of the neck, the pain intensifies. Juvenile osteochondrosis of the thoracic region is more often manifested by pain in the heart and heaviness during breathing.

Treatment of juvenile osteochondrosis

Treatment of the disease is long and involves a number of different procedures. Mandatory exercise therapy, which includes exercises, selected by a doctor. Also, a child can be assigned swimming, massage and wearing a special corset. Physical limitations in juvenile osteochondrosis are necessary so as not to overload the spine and allow it to recover, so you should not engage in power sports and exercise excessive activity.

Medical treatment is necessary in order to restore blood circulation, relieve pain and hypertension of muscles.

With timely diagnosis and adequate treatment, the prognosis of the disease is favorable.

It is important to remember that even after a successful cure for the disease, you need to exercise regularly and follow your posture. For example, with a sedentary lifestyle, juvenile osteochondrosis of the lumbar region can return already in adulthood, accompanied by pain and other unpleasant symptoms.

Prevention of the disease should be carried out from early childhood development, especially in those children who have a hereditary or congenital predisposition. The child should regularly engage in physical education, aimed at strengthening all the muscles of the body and forming a muscular corset around the spine. The child should avoid excessive stress and prolonged sitting.

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Causes and characteristics of the disease

The development of a teenage ailment can be caused by a genetic predisposition or trauma caused at birth( most often, cervical injuries occur).Also an important role is played by the anomalies of the development of the skeleton, which are intensively manifested in the period of active growth of the child. Juvenile osteochondrosis of the spine can develop due to the following factors:

  • , the disease of the cervical, thoracic or lumbar region is caused by metabolic disturbances;
  • to provoke the development of the disease can some diseases( autoimmune, endocrine, infectious);
  • unbalanced diet - as a result of bone-cartilaginous tissue does not receive sufficient nutrition and begins to deteriorate;
  • excessive physical activity - heavy sports loads disproportionate with the capabilities of the child's body;
  • lack of physical activity, aggravated by a constant stay at the computer( prolonged stay in a permanent position provokes the appearance of lumbar and cervical osteochondrosis);
  • incorrect posture - can be formed with uneven distribution of gravity( wearing a school backpack on one shoulder).

These are external factors that provoke the development of osteochondrosis in the early adolescent period. If a child is genetically predisposed to having an ailment, parents should take care in advance in order to prevent the disease, and not to give all the forces for its treatment.

The best way is prevention - regular morning exercises, exercises aimed at strengthening the muscular corset of the back, as well as proper posture.

Juvenile osteochondrosis, does not matter lumbar or cervical, proceeds somewhat differently than in adulthood. Its main difference is the absence of numbness of the limbs, deterioration of the motor activity of the affected department, and reduction of skin sensitivity.

Teenage disease develops more intensively, neurological signs appear much earlier. However, unlike adults, there is no pronounced pain syndrome, so treatment, most often, begins in the late stages of the disease.


Recognizing juvenile osteochondrosis is not so easy in the absence of severe pain syndrome. Cervical osteochondrosis can manifest as headaches, which become more intense as the disease progresses. Further, dizziness may join them, and only then pain arises. Often parents do not even suspect about the presence of osteochondrosis in a child, so treatment is directed to a completely different direction.

Disease of the thoracic region in its symptoms is similar to cardiovascular pathology. Dyspnoea may occur. The pathology of the lumbar segment manifests itself in the same way as in children and adults. The pain syndrome is moderate, however, it is strengthened by turns, torso of the trunk, lordosis can develop.

Juvenile osteochondrosis is dangerous because, against the background of degenerative processes in the cartilaginous tissue, bones can be affected, of course, this happens infrequently, but the consequences are irreversible - a disruption of the growth function( the child will lag far behind their peers).It is very important to recognize the disease in time, and begin treatment. Initially, you should contact the pediatrician( always describe the symptoms in detail), after a primary examination, an experienced physician will necessarily suspect the presence of pathology and send a small patient to a narrow specialist - a neurologist.

The development of the disease

The first signs of osteochondrosis usually appear in adolescents aged 11 to 16 years, with no pain in the child, perhaps some discomfort in the affected area. There may be a slight stoop, and the flexibility of the spine will also worsen.

Brighter syndromes occur mainly from 15 to 20 years. Against the background of degenerative changes there is an intensification of painful sensations, which are initially short-lived, and after a constant character, nervous endings are jammed. The curvature of lordosis is visible to the naked eye, kyphosis develops, the mobility of the affected part decreases.

If juvenile osteochondrosis does not start in time, a hernia appears. Bony growths that limit the mobility of the spine are formed, spondylosis, scoliosis, and kyphosis develop.

To prevent the emergence and development of a pathological process, parents should remember that prevention is the most effective means of preventing an ailment.

Therapeutic and prophylactic measures

Children who are genetically predisposed to the disease from early childhood should be taught to love the sport, especially favorable for the spine swimming. Moderate physical activity( by no means overload the child) will help to strengthen the muscular framework. Also, parents need to follow the posture of their child during classes and stay at the computer - develop a habit of spending every hour a small workout, this is the main prevention of osteochondrosis.

Explain to the child that lifting objects from the floor, especially heavy ones, should be done by sitting down beforehand, but without bending over to the full height. Properly balanced diet plays an important role, but it mostly affects the parents - be sure to consult with a specialist about this. Prevention of the disease several times reduces the risk of its occurrence.

If nevertheless your child has been diagnosed with juvenile osteochondrosis, it will be superfluous to learn( for general knowledge) how it is treated. In childhood and adolescence, sparing therapeutic methods are used, medication in this case is very rare. For children, prescribe - massage and physiotherapy procedures, therapeutic gymnastics, intake of vitamins, minerals. In severe cases, the doctor appoints a supporting corset, if we talk about the osteochondrosis of the cervical segment, then most likely you are recommended the collar of Shantz.

Osteochondrosis, which develops in adolescence, is a completely curable disease, the main task of adults is to turn to a specialist in a timely manner, conduct treatment and strictly follow all medical recommendations.


Osteochondrosis of lumbar spine: causes of development and symptoms

  • Methods of treatment of lumbar osteochondrosis

Degenerative-dystrophic changes lead to the development of osteochondrosis. Of all the segments of the spinal column, the lumbar region most often suffers, since it is on it that the greatest burden falls. Osteochondrosis of the lumbar spine is a disease that affects many people of working age, but it affects both the elderly and young people.

Why osteochondrosis develops

This disease is considered to be multifactorial, that is, it can have several causes:

  • Overload of vertebra and intervertebral discs,
  • Endocrine, metabolic and autoimmune disorders,
  • Hereditary predisposition,
  • Trauma and microtrauma.

Overload of the vertebrae and increased pressure on intervertebral discs cause both too much muscle tension and too small. Muscles of the back should be developed and support the spinal column. For this they need a normal load.

Various internal disorders, hereditary factors lead to changes in the body that cause premature destruction of the intervertebral discs - the most important sign of osteochondrosis. Because of this, this disease is also called intervertebral osteochondrosis.

Intervertebral osteochondrosis of the lumbar spine develops for the same reasons as in other departments. However, the leading one is physical overload or, on the contrary, hypodynamia. Therefore, people with work related to lifting and carrying heavy loads, or those who move little, are most often affected.

Increasingly common juvenile osteochondrosis of the lumbar spine. Disease in adolescence or adolescence is associated with a violation of posture and adverse heredity. Modern children spend a lot of time at the computer, it adversely affects the condition of the back muscles, the blood supply to the spine.

Symptoms of lumbar osteochondrosis

In this disease, various manifestations are possible that are associated with the destruction of the intervertebral disc and the formation of protrusion or hernia, compression of the spinal roots, muscle tension, impaired transmission of impulses through the spinal cord.

The main signs of osteochondrosis of the lumbar spine are worsening mobility and pain in the lower back. The nature of the pain may be different:

  • Aching pain after a rest period,
  • Sharp shooting at changing posture,
  • Constant drawing pains,
  • Pain giving in the leg.

The cause of pain in the spinal column is a jamming of the nerve roots, irritation of the nerves of the spinal column, muscle spasm and edema in this area.

In the chronic course of the disease, sensations can be permanent or aggravated by turns, inclinations, sometimes even when coughing and sneezing. Acute flow, as a rule, causes severe pain and severe limitation of mobility. A patient with an exacerbation of osteochondrosis can generally be confined to a bed for several days.

If there were pains in lumbar osteochondrosis, then protrusion( protrusion) or hernia( prolapse) of the intervertebral disc was most likely. The structures of the disk take an unnatural position, and if the protrusion is directed toward the spinal cord or nerve roots, they turn out to be compressed. In addition, the vessels supplying the spine can be clamped. With a long course of the disease and a significant degree of damage to the intervertebral discs, they do not support the vertebrae well, and spondylolisthesis( slipping) develops. The result of this can also be compression of the spinal cord. At the last stage, bone tissue grows at the ends of the vertebrae with the formation of osteophytes, which also exert pressure on the nerve roots and cause pain.

When diagnosed as an osteochondrosis of the lumbar spine, symptoms are caused by ongoing processes and can manifest not only from the side of the vertebral column itself. Rapid fatigue, a decline in strength is accompanied by some patients. They try to move less, but it does not get any easier. With severe compression of nerves and vessels, tendon reflexes and transmission of nerve impulses are violated, even the work of internal organs may suffer.

Symptoms of

  • Symptoms in the buttocks, thighs or shins,
  • Feeling in the legs,
  • Dryness of the skin in places of loss of sensitivity or pain,
  • Disruption of the bladder and intestines,
  • Women with gynecological problems,
  • Men have a disabilitypotency.

Thus, polysegmentary osteochondrosis of the lumbar spine can lead to very serious consequences, which do not allow a person to continue the habitual way of life.

What is the treatment for

? For the diagnosis of osteochondrosis, the most optimal study is magnetic resonance imaging. It shows the state of the intervertebral discs and allows you to determine how many structures are clamped or damaged.

The osteochondrosis of the lumbar spine treatment has varied. The main objectives of treatment - the elimination of pain and the cessation or slowing down of the process of destruction of intervertebral discs. The best results bring complex treatment.


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