Osteochondrosis is a problem of the spine, which affects literally every fourth inhabitant of the planet, at least, according to experts of the WHO Statistics Center.
In the top five most common diseases of the world, osteochondrosis occupies an “honorable” triple place, only cardiovascular diseases are ahead of it. In 2012, the British Broadcasting Corporation's media giant, the Air Force, published medical research data that just shocked: more than 5 million people die every year due to illnesses caused by physical inactivity, that is, a sedentary lifestyle. A real pandemic of physical activity reduction has already affected a third of earthlings, and the latest results of scientific studies prove that the culprit for many health problems is not a genetic predisposition or viruses, but an incorrect lifestyle. Almost all back problems — intervertebral hernia (hernia), osteoporosis, osteochondrosis, and many other diseases associated with osteochondrosis — are the result of hours of sitting, whether in front of a TV, at a desk, or in a car seat. About 80% of all the reasons for which the back suffers and spinal diseases develop, relate to an elementary degenerative change of the muscular system and the lack of full-fledged reasonable physical exertion.
Common osteochondrosis affects many systems of the body, as the nerves responsible for the functioning of various internal organs experience compression. The list of complications includes, but is not limited to pathologies:
- Suppressed spinal cord
- Lumbago, that is, backache,
- Gynecological diseases
- Hernias and protrusions,
- Partial paralysis,
- Incontinence of urine and feces.
Treatment of common osteochondrosis usually involves only conservative methods. The treatment is demanding of the patient’s efforts. Activities such as physiotherapy exercises for osteochondrosis of a common type require diligence. Treatment depends on how many departments are affected by the pathology. Therapy takes place in several stages. The first stage is medicamental.
- Analgesic drugs injecting and oral,
- If this does not help, a local spinal blockade with Novocain is done,
- When the pain syndrome is stopped, the treatment of the inflammatory process should be started. This is best to help non-steroidal anti-inflammatory drugs (the most common - Ibuprofen and Diclofenac),
- To relieve muscle tension, muscle relaxants such as Mydocalm or Sirdalud are taken. They have a large number of side effects, and they must be taken carefully under the supervision of a physician.
In addition, chondroprotectors (Hondrolone or Protecon) are used. They help regenerate cartilage tissue. It consists of her intervertebral discs.
To improve the patient's neurological condition, antidepressants are sometimes prescribed. Injections with vitamins of group B and vitamin-mineral complexes in tablets will strengthen the body's defense against inflammation, improve blood circulation, and restore muscle tone.
In the office of a therapist, you can get rid of pain in case of widespread osteochondrosis, to overcome the inflammatory process. To strengthen the cartilage tissue of intervertebral discs. Such therapeutic procedures are prescribed as:
- Ultrasound therapy,
- Magnetic fields
- Directional laser
- Low frequency electric current
An experienced manual therapist will be able to free up clamped nerves, expand the space for intervertebral discs. Free from the pressure of the vertebrae, the disks will be able to restore metabolic processes and a healthy structure. But manual therapy has many contraindications. Find out about them from your doctor, read the reviews on the work of a particular manual, before visiting his office.
Exercise therapy during remission of common osteochondrosis is the best way to prevent the recurrence of an acute period. Do not perform exercises that cause discomfort, or if a painful attack has begun. If possible, work under the supervision of a specialist in physical therapy. Do not perform the exercises with sharp movements. We offer you the most simple exercises for the treatment of common osteochondrosis:
- Stand up, perform alternate tilts with your head to the side, lingering at the lowest point for five seconds. Do ten repetitions
- Roll your shoulders back and forth. Do ten repetitions
- Several times lean your body to the side.
In 95% of cases, doctors try to limit therapy with conservative methods. But sometimes the complications of common osteochondrosis make it necessary to resort to surgical intervention. For example, hernia in different parts of the spine, spinal stenosis of the canal.
Deformed discs are removed and replaced with supporting implants. After such an operation, the patient is rehabilitated for at least six months.
If there are hernias, pressing on the spinal cord, the released cartilage tissue is burned out with a laser or pumped out. Traumatic surgery involves a long recovery period. Therefore, you should not get involved in self-treatment, at the first manifestations of common osteochondrosis, consult a doctor.
If you already have osteochondrosis of any part of the spine, pay attention to the methods of prevention. Otherwise, osteochondrosis can enter a common phase, affecting all areas of the back.
If your back is healthy, make sure that your daily lifestyle does not contradict the preventative recommendations:
- The bed should not be too soft or too hard. In both cases, the spine deforms over time. If possible, sleep on an orthopedic mattress and pillow.
- Working at the computer, try to get up and warm up from time to time. The back of the chair should be high, and its shape should repeat the curve of the waist. The chair should rotate around its axis so that you do not have to sharply rotate with your whole body,
- Carrying something heavy, don't turn left or right,
- Working around the house, do not allow long back bends. If you wash the floor, better sit down. Pick a kitchen where you don’t have to constantly bend down to cut food or wash dishes,
- Do not put your foot on the leg. In this position, the load on all parts of the spinal column is detrimental. Cross shin - permissible
Treatment of spinal osteochondrosis
Why crunches the spine?
Treatment of chondrosis of the cervical spine
Osteochondrosis and spine
The structure of the spinal column in living beings, whether animal or human, is basically the same. However, only the person owns the proud title of Homo erectus, that is, the man is erectus. Until recently, it was believed that upright walking was the main cause of pathological changes in the spine. As if the vertical position of the body leads to an irregular, uneven load on the spinal column. The static load, which is most susceptible to the lower back and the sacrum, which consists of five vertebrae, is the most dangerous in terms of destructive effects on intervertebral tissue. The dynamic load, which is characterized by movements, is subject to the cervical spine. The structure of the spine is quite complex, it consists of many vertebrae connected by cartilage tissue - the discs. The discs, in turn, are multi-layered rings with a liquid core in the middle, performing the function of depreciation when the spine is set in motion. In addition, the vertebrae are connected by a large number of muscles and other tissues. The elasticity of this entire joint system ensures the normal condition of the spinal column. Simply put, the more elastic and adaptive the intervertebral discs, the more flexible and healthier the spine, the less risk that osteochondrosis will strike it. Today, the theory that upright walking is guilty of all degenerative diseases of the spine is in doubt. Relentless statistics convinces clinicians that rather immobility, physical inactivity are a factor that provokes spinal diseases associated with dystrophy and degeneration of intervertebral tissues. In addition, overweight, which really increases the load on the disks, can also exacerbate the destructive processes and provoke osteochondrosis. Conclusion: movement is life. The phrase is not new, it seems painfully beaten, banal, however, it does not require proof. A vivid example of the fact that physical activity and flexibility can serve as a foundation for the health of the spinal column are examples of people who regularly engage in gymnastics, yoga and other types of body training. For children, nature itself makes it possible to be flexible, because children's vertebral discs are very elastic, only up to 80% of fluid is found in disk nuclei. With age, the amount of life-giving "lubrication" can decrease, but it can be saved by consciously performing simple exercises and observing the elementary rules of a healthy lifestyle. Osteochondrosis is a disease of people who have to sit or lie down for hours, for any reason, for whatever reason - on duty or on their own, by virtue of commitment, laziness, or simply through ignorance.
What is osteochondrosis?
Osteochondrosis is a concept that includes all degenerative and dystrophic changes in the spine. It should be noted that in the European version of the classification of diseases there is not a word about osteochondrosis, there such diseases are classified as rheumatic and dorsopathic. In ICD-10, starting from 1999, really a group of diseases with typical manifestations in the form of pain in the spine, not associated with visceral causes, is defined as dorsopathy. Osteochondrosis, which is fixed as dorsopathy, is in turn divided into three large groups:
- Deforming diseases, dorsopathies - scoliosis, lordosis, kyphosis, subluxation, spondylolisthesis.
- Spondylopathy - spondylosis, ankylosing spondylitis, and other ossifying dystrophic pathologies that limit spinal mobility.
- Other, other dorsopathies - degenerative changes, accompanied by hernias, protrusions.
Thus, osteochondrosis or osteochondrosis (from Greek words - bone, cartilage and pain) is the common name for all problems in the spine that are caused by degeneration and malnutrition of paravertebral tissues (degeneration and dystrophy). During intervertebral deformity, the depreciation disk becomes thinner, becomes flat, this leads to overloading of the vertebrae and their even greater deformation to such an extent that it begins to go beyond the normal boundaries of the spine. Nerve roots with such pathology pinch, inflame, pain appears.
Osteochondrosis affects almost the entire back, and depending on which part of the spine has suffered more, it is called a disease in clinical practice.
The most "popular", known to many - is lumbar osteochondrosis, there is also a definition of cervical, which is the second most common, there is sacral, thoracic and common osteochondrosis. There are also cross pathologies - lumbosacral or, for example, cervicothoracic.
Symptoms of osteochondrosis can be very diverse, but all of them sooner or later grow and become clinically manifest. Of course, to treat osteochondrosis is much easier and faster in the early stages of its development, when the following symptoms are noticeable:
- Dull, dull pain in the affected spinal segment of the degenerative process.
- Chronic muscle tension (especially characteristic of cervical osteochondrosis).
- Crunch when turning the body, neck.
- Headache, including tension headache (for cervical osteochondrosis).
- Aching pains in the chest, often resembling cardiac pain (in chest osteochondrosis).
Osteochondrosis in the inflammatory stage has symptoms that cause a person to see a doctor because they cause more pronounced discomfort:
- Irradiation of pain in the limb.
- Numbness of fingers or toes.
- Irradiation of pain in the fingertips of the limbs.
- Severe pain in the spine when performing simple physical activities.
- Increasing pain with small shocks, shocks, for example, when traveling in transport.
- The inability to perform simple work associated with turning or bending the body.
- General limitation of mobility, motor activity.
The factors that can trigger spinal problems, called osteochondrosis, are very diverse, but the already mentioned hypodynamia is in the first place. Among other reasons are the following:
- Functional - monotonous work with the same posture.
- Biomechanical - flat feet, congenital anomalies in the development of the spine.
- Hormonal - changes in hormonal levels due to age-related changes.
- Infectious - dystrophy of the intervertebral environment caused by the inflammatory process.
- Metabolic - overweight or underweight.
The factors provoking osteochondrosis, that is, the deformation and dystrophy of intervertebral discs, as a rule, act as a complex and are almost never isolated.
The development of osteochondrosis is divided into the following stages:
- Changes in disk biomechanics as a result of tissue degeneration and dystrophic changes. This is a preclinical stage, when the signs, if any, are very weak, unmanifested. At this stage, the fibrous ring surrounding the disk begins to stretch or vice versa.
- The second stage is characterized by greater disk instability, the fibrous ring does not just stretch, its fibers are stratified, the ring begins to break. Because of the infringement of the nerve roots, pain in the spine appears, degenerative changes are progressing. Collagen tissue continues to collapse, reducing the normal height of the intervertebral distance.
- The disc is often torn completely, this pathology is accompanied by inflammation, loss of hernia and infringement of nerve endings. Protrusion (prolapse) causes a characteristic pain not only in the damaged part of the spine, but is also reflected in the limbs and surrounding parts of the body.
- The most difficult stage is when spondylosis and other compensatory diseases of the spine join dystrophy. To compensate for lost functions, the vertebra is often flattened, and the elastic tissue of the fibrous ring is gradually replaced by cicatricial and bone fouling.
Symptoms of manifestation
Usually common osteochondrosis is preceded by a simple type of this disease. In the absence of response measures and the continuation of the influence of provoking factors, the dystrophic processes extend to the adjacent vertebrae, covering an increasing area. Especially quickly the disease spreads when its center is located in the border vertebrae between departments.
Symptoms are expressed in general malaise and back pain.Vegetative disorders may be present: nausea, dizziness, and even fever.
To determine the affected area, it is necessary to pay attention to the specifics of the symptoms, because they indicate which of the spine is affected.
Symptoms of cervical osteochondrosis:
- problems with pressure
- pain in the neck, especially during prolonged stay in the same position, with the transition to the area of the shoulder blades and shoulders,
- vestibular dysfunction
- numbness of the neck and hands
- disorders of hearing, vision, taste perception,
- shooting in the occipital-parietal region and between the shoulder blades,
- skin hyperemia and puffiness of the neck area.
Symptoms of thoracic osteochondrosis:
- intercostal neuralgia,
- pain in the chest, give to the arm and the region of the heart,
- Gastrointestinal disorders
- disruption of the pelvic organs,
- numbness of hands
Symptoms of lumbar osteochondrosis:
- aching and shooting pains in the lumbar and sacral regions,
- numbness of the lower limbs,
- restrictions in movements,
- problems with the work of the pelvic organs,
- tingling sensation in legs, lower back and buttocks.
Quite often common osteochondrosis occurs, affecting areas of the cervical or lumbar spine.
Causes of development
Spinal osteochondrosis is developed gradually.
It can provoke a number of reasons:
- spinal injuries
- putting a big load on your back,
- playing sports
- long static loads
- sedentary lifestyle, office work,
- spinal curvature and other disorders affecting posture,
- weakened muscular corset
- lack of vitamins and minerals
- chronic inflammatory diseases,
- the impact of metabolic disorders,
- adverse climatic influences, such as hypothermia.
In everyday life, it is very important to knead the back and neck from time to time, not allowing the muscles to overwork. Also try not to lift weights, so as not to disrupt the vertebrae of the lumbar spine.
Consequences and complications
Any form of osteochondrosis entails a number of complications and unpleasant consequences, especially if delayed with treatment.
The most frequently encountered in medical practice are such problems:
- intervertebral hernia and disc protrusion,
- innervation, paresis and paralysis, cramps,
- osteophyte formation,
- deformation and destruction of the vertebrae,
- disability, up to complete immobilization.
If untreated, the degenerative and degenerative processes spread to the joints and lead to the complete immobilization of the person. In addition, some symptoms of osteochondrosis may be similar to other diseases, which complicates their diagnosis. Among them radiculitis, angina, etc.
Spinal osteochondrosis common: treatment by conservative methods
For the successful treatment of osteochondrosis, it is necessary to take several therapy methods as a basis. In most cases, it is possible to get by with conservative methods. There are several directions:
Drug treatment. It is used to relieve unpleasant symptoms. With severe pain, blockages can be performed with an anesthetic. Hondoprotectors and muscle relaxants, antidepressants and analgesics, as well as nonsteroidal anti-inflammatory drugs are prescribed to restore the normal state of the spinal column. Medicines are used in the form of tablets and injections, ointments and lotions.
Exercise therapy. Treatment by means of gymnastic exercises is one of the most effective directions in the issue of the recovery of the spinal column. Sports allow you to relax and strengthen muscles, develop the mobility of the vertebrae, return them to their normal position and release the pinched nerves.
For each section of the spine provides a special set of exercises.
- For the neck: head tilts, smooth rotation, traction and resistance.
- For the thoracic: movements of the shoulder blades, flexion of the chest, push-ups from the wall.
- For the lumbar region: arching the back, leg abduction, tilt and rotation of the pelvis, buttock bridge. Very useful are yoga, fitball and swimming.
Manual exposure. Massages and manual therapy help correct the displaced vertebrae and restore the position of the discs.
In addition, they stimulate blood circulation and relax perfectly.
Physiotherapy. Mud therapy, magnetic therapy, laser treatment, hirudotherapy, electrophoresis, and similar stimulation of the problem section of the spine eliminates inflammation and stimulates regenerative processes.
Reflexology. The impact on the active points perfectly helps in the fight against osteochondrosis. This includes acupressure, acupuncture, stone therapy, etc.
In order to prevent the active destruction of the spinal column, it is necessary to ensure the full access of vitamins and minerals, as well as to eliminate negative internal influence. All this is possible thanks to a special diet. In fact, this is proper nutrition with an emphasis on calcium and gelatin-containing foods.
In the diet should include:
- low fat jelly
- fruits and vegetables,
- fish and seafood.
It is not recommended to drink alcohol, coffee, carbonated drinks, and junk food: fatty, pickles, smoked foods, etc.
When surgery is needed
Surgical intervention is rarely required. Basically, such a need is associated with the presence of complicated pathologies: pinching of the nerve with an osteophyte, destruction of the vertebra, herniation of the intervertebral disk, etc.
Surgical treatment consists of releasing the clamped nerves and vessels, removing a hernia and strengthening the intervertebral disk. When it is completely worn, the installation of a prosthesis is required.
Access to the problem department is possible due to a small incision or puncture, depending on the goals of the operation and the method of intervention. Laminectomy or discectomy is performed predominantly.
After the operation, a set of measures from the group of conservative therapy is assigned, as well as a special diet aimed at strengthening the body. Any substantial load on the spinal column is further excluded.
What is the common spinal osteochondrosis?
Intervertebral discs age and wear out with age. Violations in the tissues of the discs are also caused by sharp loads on the spine, a wrong lifestyle. Changes in the state of the disks, the location of the vertebrae relative to each other provoke osteochondrosis.
This form of the disease is considered severe. According to statistics from the number of patients with osteochondrosis, approximately this percent has approximately thirteen percent. More often, the defeat of this disease is observed after forty years, Experts note that the disease is “younger”.
The main causes of the disease
The vertebrae and intercostal discs, like other body tissues, are constantly self-renewing. In order for new cells to be healthy and ready for full loads, they must receive proper nutrition.
Disks do not have blood vessels and are powered from neighboring tissues. In order for it to be sufficient, it is necessary to improve the blood circulation in the tissues around the disc through muscle activity. Adequate physical activity is required for the health of the spine.
The occurrence of painful manifestations in the spine is caused by the following factors:
- age changes
- dystrophy of the corset muscles,
- spinal injuries
- lack of exercise,
- transferred operations
- excessive exercise
- nutrition with an imbalance of necessary substances,
- osteochondrosis of one part of the spinal column loads other departments and provokes disturbances in them, the presence of rheumatoid factor.
The set of symptoms can be varied, depending on which areas of the spine are affected by the disease. The first signal may be recurring back pain. Their appearance is more often from sudden movement, fall or when lifting weight.
The nature of the pain can be:
- slight discomfort,
- stupid pulling pain signals
- shooting with intense pain load.
Cervical: signs of illness
It is expressed by discomfort in the interscapular area, shoulders. Pain can be in the chest, upper part and in the hands. Numbness and tingling are observed in these places.
- voice timbre changes
- frequent headaches
- hypertension or hypotension
- coordination disorders,
- deterioration of dental health
- impaired vision and hearing.
Such a study on the degree of complexity and accuracy can be of several types.
- Spinal X-ray - shows whether there is damage to the intervertebral discs, changes in the vertebrae. X-rays of the entire vertebral column or segment where pain is disturbed are performed.
- Myelography - the state of the spinal canal is determined, hernias are diagnosed. During the examination, a contrast agent is introduced into the canal. This method is dangerous with the possible reaction of the organism to the contrast agent, and the possibility of some damage to the spinal cord during its introduction is not excluded.
- Computed tomography is the safest, most modern diagnostic method. During the examination, they receive complete detailed information on the state of the spinal column, which makes it possible to establish an accurate diagnosis, and this is important.
If there is a hernia, then the patient in some cases can determine its location by himself and then be sure to seek medical help:
- Numbness of the little finger and the fourth finger indicates a problem in the eighth segment.
- If the third and index fingers are numb, then the hernia is at the level of the sixth and seventh vertebrae.
- Numbness of the thumb and index finger - a hernia is diagnosed at the level of the fifth and sixth vertebrae.
Treatment in the period of exacerbation and remission
This diagnosis indicates that treatment is necessary and the sooner the better. With the perseverance of the doctor and the patient success is possible.
Conservative treatment is indicated if there are no health complications.
- Drug treatment, use drugs:
- analgesics - Piroxicam, Tramadol, Finalgon ointment,
- NSAIDs (nonsteroidal anti-inflammatory drugs) - Diclofenac, Indomethacin,
- antidepressants - desipramine, amitriptyline, imipramine.
What is common osteochondrosis?
What is common osteochondrosis of the spine with extensive lesions of the skeleton can be said without consulting a doctor. Since it is the chronic and most complex form of the disease, which leads to dystrophy, atrophy of the thoracic, cervical and lumbar.
Over time, osteochondrosis can mutate into a generalized type. There is a disease in every second patient aged 45 years. Symptoms are usually most pronounced in the cervical region, affecting the radicular nerve and squeezing the vertebrae.
Reasons for extensive spinal osteochondrosis can be considered such problems:
- Wrong diet, bad habits,
- Problems with metabolism and blood circulation,
- Sitting at the computer,
- Aging process
- Incorrect weight distribution during exercise,
- Lack of treatment of the first symptoms of osteochondrosis.
Symptoms of common osteochondrosis
The main symptoms and manifestations of common osteochondrosis can be considered:
- Dizziness, migraines and loss of consciousness,
- Pain syndrome, severity, which is observed in all parts of the spine,
- Hearing and vision problems
- Difficulty breathing
- Cough, shortness of breath with heavy physical exertion,
- Pain extending to arms and legs,
- Numbness of fingers
- Weak muscle tone.
Also, when the disease progresses in severe form, there is difficulty urinating with osteochondrosis with extensive pain, headache, changes in temperature and pressure, the appearance of a hernia.
When one or two persistent symptoms of common osteochondrosis appear, an urgent need to contact the hospital for diagnosis and treatment.
How dangerous is the common type of disease?
The main danger of widespread osteochondrosis is that it develops rapidly, affecting the lower back, limbs, and hip joints.
Then patients suffer from such problems:
- Problems with urination and blood circulation,
- Kidney and liver dysfunction
- Pathology of the heart and respiratory system
- Metabolic difficulties
- Atrophy of the joints, loss of muscle elasticity,
- Premature aging of connective tissue
- Permanent exacerbations of the disease,
- The appearance of a hernia.
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Testing and testing
Treatment of extensive osteochondrosis can not begin without testing and examination, which is carried out in the first place.
Usually patients are offered to go through such procedures:
- The collection of complaints of the patient on the general condition,
- Magnetic resonance imaging.
Usually, it is impossible to determine the common osteochondrosis during external examination, because the clinical picture of the disease has much in common with hernia, arthritis and other joint pathologies.
A more expensive and dangerous method of research is myelography, when a contrast agent is injected into patients through the bone marrow, which highlights the inflamed areas. But then the patient may suffer from damage to the spinal canal, and he will become allergic to the substance.
The most accurate results can be expected from magnetic resonance imaging, on the basis of which a diagnosis is made and a course of treatment of common osteochondrosis is developed.
Treatment of osteochondrosis
The treatment of advanced osteochondrosis will take more time and will require more effort due to the fact that a serious part of the spine is affected.
A general set of procedures is proposed. which includes:
- Manual therapy
- Gymnastics and physiotherapy,
- Hardware procedures
- Yoga and swimming.
All procedures are aimed at eliminating the causes of osteochondrosis and symptoms.
Using the full course allows you to achieve these results in the treatment of common types of the disease:
- Removal of pain and stiffness,
- Joint blockade removal
- Recovery of muscle tone
- Improving blood circulation and metabolism
- Resorption of foci of inflammation.
Sometimes patients have to go through surgery in case of osteochondrosis, but this happens rarely, only in 10% of cases, during exacerbation or at the last stage of osteochondrosis. To avoid this, you need to go to the hospital in time for treatment and rehabilitation.
It will be useful to see:
But any treatment of osteochondrosis begins with taking medications that:
- Remove the general pain syndrome,
- Have anti-inflammatory effect,
- Relieve swelling,
- Carry out the blockade of the joints
- Relieve irritation from nerve endings
- Lower reflex activity.
Cupped massage for common osteochondrosis
Many experts note the effectiveness of canned massage during the period of rehabilitation after treatment for osteochondrosis. It can be carried out at home.
It has the following properties:
- Removes toxins
- Improves the condition of blood vessels
- Relaxes muscles
- Relieves inflammation
- Relieves pain, tension and swelling.
This happens due to the influence of the temperature in the banks on individual points in the body, when the blood circulation in the affected areas increases, the nutrition of the injured tissue is observed.
For the procedure will be enough two or three cans that are filled with hot air, and then smoothly installed on the back or neck. You can make not sharp massage movements before you move them to a new point. It is enough two or three procedures a week to forget about pain, swelling and stiffness of movements.
Do not neglect the help of specialists when even a couple of persistent symptoms of osteochondrosis appear. Otherwise, in the future, one may encounter its acute form, the extensive lesion of the entire spinal column, when people undergo surgical intervention.
Causes of disease
Doctors note that the cause of osteochondrosis lies in the erect position itself. The human spine is constantly experiencing increased loads in bending zones, especially with a sedentary lifestyle and constant uncomfortable posture.
In addition, there are additional factors contributing to the development of dystrophic pathology and deformation of the intervertebral disks of the vertebral column:
- suffered physical spinal injuries,
- surgery with a long recovery phase,
- heavy physical activity, sports or related professional activities
- skeletal muscle weakness
- curvature of the spine, any violation of posture, flat feet,
- improper metabolism
- burdened heredity
- all types of stress (physical and psychological),
- unbalanced diet, extra weight.
With a widespread osteochondrosis, the symptoms manifest themselves in a different combination, since each section of the spine adds to the overall picture of the disease its characteristic symptoms.
- The appearance of spontaneous pain in the lumbar region (with a sharp movement, lifting weights, prolonged stay in one position).
- Pain from the lumbar region "gives" to the buttock or leg.
- It feels tingling, crawling "goosebumps", numbness from the lower back to the legs.
- There is general muscle weakness.
- Any movements are difficult.
- There may be problems with urination and bowel movements.
In case of cervical disease:
- Dizzy, there are headaches, blood pressure is unstable.
- The pain from the neck moves to the shoulders, the area between the shoulder blades, then gives to the arms and upper chest.
- There may be visual impairment, hearing, vestibular apparatus.
- There is a toothache, itching, suffer the vocal cords.
- Changes in muscle tone in the neck and arms.
- There is tingling and numbness in the shoulder girdle.
For diseases of the thoracic region:
- Symptoms of intercostal neuralgia appear, similar to those for angina.
- Severe pain can make breathing difficult.
- The mobility of the upper body, including the neck and arms, is significantly limited.
- Even with small movements (sneezing, coughing, sighing), the pain intensifies.
- The functions of the internal organs of the chest are also impaired.
Therapy for common spinal osteochondrosis
The treatment is aimed at relieving muscle spasms responsible for the appearance of pain, and enhancing the peripheral circulation, which reduces the swelling of tissues in the lesions.
For this purpose, an integrated approach is used, including manual therapy, therapeutic gymnastics (exercise therapy), physiotherapy and the use of drugs. A special diet is also selected.
In extreme cases, if irreversible changes in the spine appear, surgical intervention may be recommended.
The impact of manual therapy is aimed at restoring the normal distance between the vertebrae, in order to relieve deforming pressure on the nerve fibers. The displaced vertebrae are “put in place” and cease to injure the intervertebral discs.
Complexes of physical therapy fix manual effects, helping to relax spastic muscles, and then strengthen the muscular framework that protects the spine.
In order to relieve pain and stop the inflammatory process, the patient may be given medication, which is often combined with the use of traditional folk remedies based on herbs and minerals. Official medicine offers 4 types of drugs:
- anti-inflammatory drugs
- articular cartilage protectors
- pain relief drugs
- all sorts of antidepressants.
How else can a common osteochondrosis be treated? Doctors vertebrologists offer various methods of traction using special simulators. These programs operate in specialized medical institutions.
Well proven massage, providing resorption of edema and removal of muscle spasms. Acupuncture is also used in some clinics.
Wearing a fixing corset is not an effective treatment for osteochondrosis. It helps to maintain posture, but contributes to the gradual atrophy of the muscles. Optimal use only during exacerbation and wear only a few hours daily. But to warm a sore spot during an attack is completely unacceptable!
Vacuum massage, leeching and similar classical procedures that normalize blood circulation can also be used with an integrated approach. Do not give up on the spa treatment, especially if it involves a variety of water treatments.
Disability group assignment procedure
If the patient’s condition does not stabilize, the attending physician may order an examination of the ability to work, which implies an additional examination.
Which group of disability awaits the patient, depends on the severity of symptoms of common dysplastic osteochondrosis.
The functionality of the spine is significantly reduced or completely lost, which makes it impossible to move. As a result, the patient is not able to ensure their existence on their own.
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Denial of responsibility
The information in the articles is intended solely for general information and should not be used for self-diagnosis of health problems or for medical purposes. This article is not a substitute for medical advice from a doctor (neurologist, therapist). Please consult your doctor first to know exactly the cause of your health problem.
Damage to the cervical region
In case of cervical injuries, the following symptoms are often observed:
- pain in the neck, shoulders, shoulder blades, chest or arms,
- headache with increased or decreased blood pressure,
- pricking hands, neck, shoulders. Their numbness or noticeable weakness
- impaired coordination of movements, loss of hearing and vision,
- sudden deterioration of the teeth.
With the development of pathology is also possible a sudden change of voice.
The common osteochondrosis of the thoracic region is characterized by constant stiffness in the movements of not only the arms and the body, but also the neck. Also in this pathology, intercostal neuralgia and persistent disruption of the internal organs and systems are observed.
The development of the disease provokes a sharp pain in the chest. Initially, it manifests when laughing, coughing and sneezing. Subsequently, the pain factor is present during deep breaths and any tension in the body, including when the patient is coping with natural need.
One of the schemes used in the recovery
- The appointment of the correct motor mode.
- Examination - necessarily tomography.
- The use of nonsteroidal anti-inflammatory drugs.
- Immobilization - immobilization of problem areas, for example, the use of a cervical collar.
- Manual therapy is applied.
If a visit to the doctor was timely, a complete cure is possible. In any case, as a result of treatment, you can stop the pathological changes in the spine and relieve pain.
Typical causes of pathology
Typical negative factors that trigger the onset of a degenerative process in cartilage discs are based on the dehydration of fibrous ring fibers. Start the dehydration process factors of diffuse metabolism. Intervertebral cartilage tissue does not have its own circulatory network. It can receive fluid, oxygen and nutrients only through diffuse metabolism with the surrounding muscle tissue.
This happens as follows: muscles under load are reduced and emit some amount of extracellular fluid. Cartilage tissue absorbs it like a sponge. In turn, during compression, cartilage releases excess fluid and the products of internal anabolic decay dissolved in it, including carbon dioxide. The muscle in the expansion phase absorbs this fluid and passes it through the lymphatic and blood vessels to the treatment centers. This ensures vital activity and regeneration of the cartilage tissue of intervertebral discs. If diffuse metabolism is disturbed, the cartilage disc loses moisture, becomes fragile and not capable of providing cushioning.
Thus, the typical causes of the development of advanced osteochondrosis are:
- sedentary lifestyle, leading to a violation of diffuse metabolism,
- improper diet, leading to metabolic disorders,
- insufficient amount of amino acids, vitamins and minerals in the diet,
- violation of the rules of sanitary hygiene in the organization of the bed and workplace,
- overweight and obesity, especially of the abdominal type,
- incorrect posture or stop, leading to a displacement of the vertebral bodies during movement,
- the habit of slouching or leaning in different directions when sitting and standing,
- weight lifting
- lack of regular physical exertion on the muscular frame of the back.
These and other possible causes of pathology should be excluded before the start of treatment. Otherwise, the therapy will give a positive result, but you will not enjoy it for long, all the symptoms return due to the action of negative factors.
Signs and symptoms of common osteochondrosis
Widespread osteochondrosis of the spine can give the most diverse symptoms, but most of them belong to the so-called classical manifestations of the degenerative process. Signs of widespread osteochondrosis are conditionally divided into inflammatory, traumatic and neurological. In the first stage of the disease, mainly solo inflammatory reactions, which are aimed at compensatory effects. So, during the initial dehydration of the intervertebral disk, the body sends special factors to this focus that trigger the inflammatory response.
As a result, the capillary blood supply is enhanced in the affected area and the disk is able to restore fluid reserves. At this stage, it is possible to spontaneously improve the patient’s condition without medical assistance.
But after a short time, the symptoms of advanced osteochondrosis return. The more neglected the pathology, the higher the chances that the signs of trauma to the surrounding tissues and compression of the root nerves join the inflammatory reaction. Over time, pathology leads to the fact that the intervertebral disc loses its normal height and ceases to prevent injury to the structures of the radicular nerves by the spinous processes and vertebral bodies.
At this stage, the clinical picture may manifest itself in the form of:
- autonomic dysfunctions of the body, leading to increased sweating, hot flushes, impaired thermoregulation,
- lack of timely urination and bowel movements,
- constraint of movement, restriction of mobility in different parts of the spine,
- impaired mental and physical performance,
- the constant presence of pain,
- numbness of various parts of the body,
- depressive mood, headaches, dizziness,
- increase blood pressure and increase heart rate.
Consider in more detail the symptoms in relation to one or another localization of the pathological process further.
Common osteochondrosis of the cervical spine
It is rather difficult to diagnose common osteochondrosis of the cervical region at the initial stage, since there is no clear patient complaint about the presence of pain localized in the neck or the neck area. But at the same time there are manifestations of neurological disorders that may indicate manifestations of vegetative-vascular dystonia, chronic fatigue syndrome, or hypertension at the initial stage of its development. Also, patients may experience visual impairment, hearing, function of swallowing. Sometimes there are signs of irritation or inflammation of the trigeminal and facial nerve.
In order to suspect a widespread cervical osteochondrosis, it is sufficient to carefully palpate the spinous processes and pay attention to the asymmetrical tension of the neck muscles of the neck area. Palpation will be determined by severe pain. Then an experienced doctor will be able to determine the violation of mobility, stiffness and damage to the radicular nerves responsible for the innervation of a department.
The diagnosis is confirmed with an X-ray image.
Common osteochondrosis of the thoracic spine
Symptoms of common osteochondrosis of the thoracic spine often resemble the clinical picture of unstable functional angina and developing myocardial infarction. Therefore, it is necessary to make an ECG to exclude them.
In general, common osteochondrosis of the thoracic region is manifested in the form of:
- feeling short of breath and difficulty trying to take a deep breath,
- pain syndrome of a cutting, stabbing or oppressive character with localization of unpleasant sensations between the shoulder blades,
- difficulty trying to raise your arms up in front of you or to the side,
- increased pain when coughing, deep breath, fit of laughter.
Palpation is determined by pain and muscle tension syndrome. It is necessary to exclude renal pathology. To do this, you can conduct a diagnostic test Pasternatsky. It must be negative. In case of a positive reaction to the impact with the side of the palm on the projection of the lower ribs, an ultrasound scan of the kidneys and delivery of the urine analysis according to Nechyporenko should be assigned.
Common osteochondrosis of the lumbar spine
For common lumbar osteochondrosis is characterized by the presence of almost constant pain. Subsequently, muscular dystrophy in the area of the buttocks and the thigh quickly develops. Patients have neurological signs of radicular syndrome. They consist in a constant sensation of tingling, numbness, crawling in goose bumps in the affected area. The skin becomes pale, cold to the touch. May develop intestinal and bladder paralysis. This is manifested in the form of incontinence of urine and feces. However, an acute delay in bowel and bladder emptying may develop in the early stages.
Common lumbar osteochondrosis is quickly complicated by disc protrusion and hernial protrusion. At the same time paresis and even paralysis of the lower extremities may develop. A change in gait may occur. In some cases, the movement on his legs without assistance becomes impossible. Treatment of common lumbar osteochondrosis is possible only with the help of manual therapy. Official medicine can offer the patient only surgery. All other pharmacological therapies are exclusively symptomatic.
Treatment of common spinal osteochondrosis
For the treatment of advanced spinal osteochondrosis, an integrated approach is needed. It is important to understand that systemic pathological changes in the body lead to the spread of the pathological process. Only their exclusion will stop the destruction of intervertebral discs and start the regeneration process.
In our manual therapy clinic, the treatment of advanced osteochondrosis begins with advising the patient. He is provided with comprehensive information on what changes should be made to his usual way of life. Then treatment begins.
It includes the stage of getting rid of pain. To do this, with the help of traction stretching of the spine, osteopathy and massage, the specialists return the normal position of the vertebral bodies. Intervertebral discs get the opportunity to straighten their shape and feed on the life-giving moisture for them. So the amortization capacity is partially returned. The patient experiences a complete absence of pain.
Then it is important to start the regeneration process. For this, the biologically active points on the human body are affected. With the help of acupuncture, the body sends to the foci of damage to the cartilage tissue of intervertebral discs substances that restore the structure without exposure to pharmacological agents.
Therapeutic gymnastics and kinesitherapy are used - they allow to improve capillary blood flow and return the lost ability of cartilage tissue to replenish their fluid and nutrient reserves through diffuse metabolism.
Other treatments are also used. The course is always developed individually, taking into account all the characteristics of the patient, his age, height, body weight and type of activity. Sign up for a free initial consultation with our doctors, and they will tell you all about the prospects for treatment and the method of therapy recommended for you.
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Damage to the lumbar spine
Close placement of damaged spinal segments to the pelvis contributes to problems with the urogenital system and the musculoskeletal system. So with widespread osteochondrosis of the lumbar spine, urination and defecation difficulties are observed. In severe forms of pathology, urinary and fecal incontinence is observed.
Pain often occurs during walking and is accompanied by a burning sensation in the back and legs.
Spinal osteochondrosis that is widespread affects both the lumbar and sacral and cervical spine. Most often, the pathology develops in patients of working age. The causes of the disease are:
- osteoarthritis of large joints
- maintaining a sedentary lifestyle,
- osteochondrosis developing in any of the spinal segments,
- metabolic disorders,
- spinal injuries
- previous operations on the spine or nearby tissues,
- Excessive or prolonged physical exertion, both professional and sporting,
- poor nutrition.
Age-related changes also contribute to the development of advanced osteochondrosis. Moreover, the combination of several negative factors at once contributes to the development of particularly severe forms of pathology.
Danger of illness
Ignoring the problem of the prevalence of intervertebral osteochondrosis can lead to serious consequences. With prolonged absence of treatment, degenerative processes pass from the spine to the knee, hip joints.
Launched widespread osteochondrosis leads to the development of pathology of internal organs, disorders of a neurological nature, autonomic disorders, slowing down of metabolic processes in the body.
Primary diagnosis is carried out by the attending physician, is to analyze complaints from the patient. At the same time, common osteochondrosis requires complex treatment. Elimination of symptoms is not an effective therapy. Because for the proper selection of methods of treatment requires careful diagnosis. It is conducted in the following ways:
- X-ray examination of all parts of the spine
- computed tomography (CT),
- magnetic resonance imaging (MRI),
The collection of blood materials, urine for general analysis is a mandatory procedure for suspected widespread osteochondrosis.
Treatment of common spinal osteochondrosis is carried out conservatively or surgically. The choice in favor of surgery is justified when the dystrophic processes of the vertebrae are complicated by radiculitis or hernias. Also, the use of the surgical method of therapy is permissible if conservative treatment no longer helps.
To treat a patient with advanced osteochondrosis is necessary in a complex, for this purpose are used:
- drug therapy,
- adherence to therapeutic diets.
Drugs used to solve the problem of common osteochondrosis: painkillers, anti-inflammatory, chondroprotectors.
The most effective painkillers include Diclofenac, Piroxicam, Ibuprofen, Indomethacin, Ketoprofen. Acceptable anti-inflammatory drugs: Movalis, Dikloberl, Revmoksikam, Diclofenac.
Chondroprotectors used in the treatment of common osteochondrosis:
Due to the severe pain that occurs during the development of pathology, patients often need to take antidepressants. Acceptable drugs for this disease are Desipramine, Amitriptyline, Imipramine. However, these, like other drugs, should be prescribed exclusively by the attending physician, who fully controls the course of the disease.