Civilization has brought many achievements to man. But you have to pay for everything. Modern man pays with what he (as he naively thinks) in excess - health.

And today, osteochondrosis of the spine has become one of the most common ways to pay a person for progress. Here we have already covered the issue of drug treatment different types chondrosis.

First of all, what is osteochondrosis?

The disease begins with a deterioration in the trophism (nutrition) of the intervertebral discs and the vertebrae themselves, which leads to a disruption of the normal structure of tissues.

Due to this process, the elasticity of the disc, consisting of cartilage, decreases, its structure and shape change. Naturally, the gaps between the vertebrae become smaller, and the affected spine becomes unstable.

The process of dystrophic changes in the spine is accompanied by compression of the nerve roots that leave the spinal canal through the intervertebral foramen, and an increase in the tension of the spinal muscles. This can explain the occurrence of pain and neurological symptoms in osteochondrosis.

The intervertebral disc is enclosed in the so-called annulus fibrosus. Accordingly, the dystrophic changes occurring in it can lead to the fact that the annulus fibrosus itself weakens, and this, in turn, can lead to all sorts of complications.

For example, with osteochondrosis of the lumbar spine, intervertebral hernias can form, and cervical osteochondrosis can impair the functioning of the brain.

The reasons for the development of this disease

First of all, these are factors associated with too high load on the spine:

• excess weight;
• long work, associated with lifting and moving the load manually;
• profession, requiring a long stay in a static position;
• constant walking on too high heels, asymmetric load on the spinal column (for example, carrying a bag or backpack on only one shoulder);
• constant sitting at the computer in a hunched position and so on.

They are immediately followed by:

• spinal injury
• food with insufficient content of vitamins and mineral compounds(especially vitamins D, C, group B, as well as calcium and phosphorus),
• bad habits(as they contribute to an increase in the loss of micronutrients),
• sleeping on uncomfortable mattresses and pillows.

A separate line in the list of patients with osteochondrosis of the spine is professional athletes. This is because during intense physical exertion, the wear of the ligaments, joints, and intervertebral discs accelerates.

And these processes go much faster than that of an ordinary person.

ICB code - what is it?

Diseases that afflict people differ in stages, severity, nature, localization, and so on. And the further science moves, the more such differences are revealed.

And to make it easier for doctors around the world to work with them, the International Classification of Diseases (ICD) was created

The ICD was first published in 1893 at the suggestion of the Association public health USA. However, its creator is the head of the Statistical Office of Paris, Jacques Bertillon.

Today the whole world uses the ICD of the tenth revision (ICD-10). By 2018, it is expected to start using a new classification, which is currently under development - ICD-11.

The main goal of the International Classification of Diseases is to provide opportunities for systematic generalization of knowledge and data on the prevalence of diseases in different countries Oh.

The ICD makes it possible to bring the formulations of diagnoses of diseases and health problems to a common denominator, expressed in codes, and this makes the process of accumulation, storage, analysis, interpretation and comparison of data universal.

Also, the International Classification of Diseases allows you to solve the problem of generalizing and classifying diseases on an international scale.

ICD is an international standard diagnostic classification that is used in the compilation of statistics on mortality and morbidity of the population in the host countries.

The main differences of the ICD-10

The main differences between ICD-10 and ICD-9 are as follows:

1. In ICD-10, the principle of disease coding is applied for the first time using one letter and three or four numbers, separated by a dot. This made it possible to encode up to 100 three-digit categories in each class.
2. Of all the available letters of the Latin alphabet in the ICD codes, 25 are used. The letter U is saved as a backup.
3. Another pretty important point was the inclusion at the end of a number of classes of diseases a list of headings for disorders that may arise after medical interventions.

Forms of osteochondrosis in the international classification

According to ICD-10, spinal osteochondrosis refers to XIII class diseases "Diseases musculoskeletal system and connective tissue "(codes M00-M99), subclass" Deforming "(codes M40-M43).

Actually, osteochondrosis of the spine is placed in the ICD-10 under the code M42.

There are the following types of osteochondrosis:

• M42.0 x Juvenile osteochondrosis of the spine,
• M42.1 x Osteochondrosis of the spine in adults,
• M42.9 х Unspecified osteochondrosis of the spine.

Several zones of spinal lesion are distinguished, each of which is indicated by a corresponding number, which is the fourth in the disease code and is put in place of "x":

• .x0 - multiple parts of the spine
• .х1 - the region of the occiput, the first and second cervical vertebrae
• .х2 - neck area
• .х3 - cervicothoracic region
• .х4 - thoracic region
• .x5 - lumbar-thoracic region
• .х6 - lumbar region
• .х7 - lumbosacral region
• .x8 - sacral and sacrococcygeal region
• .х9 - unspecified localization

Thus, for example, when a patient over 18 years of age is diagnosed with osteochondrosis of the lumbar spine, the diagnosis code will look like this: M42.16.

Treatment of osteochondrosis

As is known, the best treatment any disease is its prevention. And for osteochondrosis, this statement is completely true, since this disease brings many inconveniences and constant pain.

Some of the main preventive measures are:

• balanced diet(to prevent a set of extra pounds),
• physical education(usually this is a set of simple exercises for the back muscles),
• swimming lessons(especially on the back).

Treatment depends largely on the severity and neglect of the process. The main focus of treatment is to relieve pain and discomfort, return the patient to normal life.

Non-drug treatment:

1. Manual therapy. Helps relieve pain and increase range of motion, correct posture. Helps to improve the movement of lymph and blood.
2. Acupuncture.
3. Physiotherapy treatment. The effect of laser therapy, magnetotherapy is especially good. Low frequency currents are also used with success.
4. Dry traction of the spine.
5. Massage. To achieve a positive result and conduct a safe course of treatment, you must trust your health only to a specialist in this field.
6. Rest up to 5 days. At the same time, the patient should avoid long-term lying in bed, heavy load on the spine (long sitting, lifting and moving weights).

Drug treatment:

1. Non-steroidal anti-inflammatory drugs in various combinations and forms of release. This is necessary to relieve pain.
2. Muscle relaxants to weaken the compression of the nerve roots by the muscles of the spine.
3. Decongestant therapy.
4. Drugs that improve microcirculation.
5. Chondroprotectors.
6. Vitamin therapy.
7. Surgery.

Read about here.

Regarding drug therapy, it should be added that it is prescribed only by a doctor after examining the patient.

Conclusion

So, osteochondrosis today is, albeit unpleasant, but completely subject to correction of the disease. It has been discovered, classified, studied sufficiently.

Methods of dealing with its manifestations are available and, if used correctly, can not only relieve pain, but also significantly improve the quality of life, enable a person to work and benefit society without feeling inferior.

However, in many respects it depends on the person himself whether he will have to treat osteochondrosis or will be able to prevent its development.

ICD-10 is understood as the international classification of diseases of the 10th revision. Its main meaning is that any diseases in this classification are assigned a certain code. It can be recorded in the outpatient card, medical history, and, most importantly, in the documents of the Health Insurance Fund.

Sometimes diagnoses are very cumbersome, because some patients have a whole range of diseases. This is where the ICD-10 comes to the rescue. Let us consider this on the example of such a common disease as osteochondrosis of the spine. Osteochondrosis in ICD-10 belongs to class XIII, which includes pathologies of the musculoskeletal system and connective tissues (codes M00 to M99).

In the 13th grade international classification osteochondrosis belongs to the subclass of dorsopathies (back pathologies - from M40 to M54). This disease is one of the deforming dorsopathies, which are recorded under the codes M40 - M43. Actually osteochondrosis according to ICD-10 has the M42 code.

The degenerative process can be localized:

• in the occipital region, including the first and second vertebrae of the neck;
• in the cervical region of the spine (from the first to the seventh cervical vertebrae);
• in the sacral vertebrae;
• in several parts of the spinal column at once.

ICD-10 codes for varieties of osteochondrosis

Juvenile osteochondrosis

• M42.00 - Juvenile osteochondrosis, localized in multiple parts of the spine.
• M42.01 - Juvenile osteochondrosis, localized in the occiput, as well as the first and second vertebrae of the cervical region.
• M42.02 - Juvenile cervical osteochondrosis - in ICD 10 it is a dystrophic process localized in the cervical vertebrae (C1-C7).
• M42.03 - Osteochondrosis of adolescence, localized in the cervical and thoracic regions of the spine.
• M42.04 - Juvenile osteochondrosis with isolated localization in the thoracic region.
• M42.05 - Juvenile osteochondrosis of the lumbar and thoracic vertebrae.
• M42.06 - Osteochondrosis of adolescence with localization of the pathological process in the lumbar vertebrae.
• M42.07 - Juvenile osteochondrosis of the lumbar and sacral divisions.
• M42.08 - Osteochondrosis in young men, localized in the sacral and sacrococcygeal regions.
• M42.09 - Adolescent osteochondrosis with unspecified (doubtful) localization.

Osteochondrosis in adults

• M42.1 - Adult osteochondrosis with localization of pathology in multiple departments.
• M42.11 - Osteochondrosis of the adult occipital region and cervical vertebrae (C1-C2).
• M42.12 - Osteochondrosis of adults in the cervical spine.
• M42.13 - Chondrosis of adults with localization in the cervicothoracic region.
• M42.14 - Dystrophic process in adults in the thoracic spine.
• M42.15 - Osteochondrosis in the thoracic and lumbar regions.
• M42.16 - in ICD-10, osteochondrosis of the lumbar spine in adults.
• M42.17 - Osteochondrosis of the lumbosacral vertebrae in adults.
• M42.18 - Adult osteochondrosis, localized in the region of the sacrococcygeal and sacral spine.
• M42.19 - Adult osteochondrosis of unspecified localization.

Unspecified osteochondrosis

In ICD-10, unspecified osteochondrosis of the spine implies that there are doubts about the time of onset - in adolescence or in adulthood, or there is insufficient data to establish an accurate diagnosis. Such forms of the disease in the international classification are under the code M42.9.

• M42.9 - Unspecified osteochondrosis in multiple departments.
• M42.91 - Unspecified osteochondrosis of the region of 1-2 vertebrae of the neck and occipital region.
• M42.92 - in ICD10 Osteochondrosis of the cervical spine, unspecified.
• M42.93 - Localization of an unspecified dystrophic process in the thoracic and cervical regions.
• M42.94 - Unspecified osteochondrosis, isolated in the thoracic region.
• M42.95 - Unspecified chondrosis of the thoracic and lumbar vertebrae.
• M42.96 - Unspecified osteochondrosis of the lumbar vertebrae.
• M42.97 - Unspecified osteochondrosis with localization in the lumbosacral region of the spine.
• M42.98 - Unspecified chondrosis of the sacral and sacrococcygeal joints of the spine.
• M42.99 - Unspecified osteochondrosis of unspecified localization.

Conclusion

It is this classification of the varieties of osteochondrosis that is currently used. ICD-10, adopted in most countries, allows you to get rid of inaccuracies in the understanding of diseases and eliminate existing disagreements about the names of diseases. The use of ICD-10 codes for osteochondrosis and other diseases allows doctors from different countries and nationalities to exchange their experience.

How to forget about back and joint pain?

We all know what pain and discomfort are. Arthrosis, arthritis, osteochondrosis and back pain seriously spoil life, limiting normal activities - it is impossible to raise an arm, step on a leg, get out of bed.

The human body is imperfect. He is susceptible to many diseases, the diagnoses of which sometimes have such a cumbersome name that they hardly fit on the pages of outpatient cards and case histories. Various kinds of abbreviations, not sufficiently accurate formulations, ambiguous names of diseases lead to misunderstandings among physicians, forcing them to completely abandon the already available data.

Classification according to ICD-10

To exclude such a situation and allow doctors to use the information provided to them by their colleagues, without fear for the correctness of their interpretation, the World Health Organization has developed ICD-10 (International Classification of Diseases of the 10th revision). Its essence is as follows: each disease has its own specific code, consisting of letters and numbers. Seeing one of these combinations in front of him, the specialist knows exactly what kind of disease we are talking about and what he needs to do to get rid of it.

This approach has several advantages, namely:

• there is no need for re-holding medical research (X-ray, computed and magnetic resonance imaging) in order to obtain reliable information regarding the patient's condition;
• no matter what language the doctor speaks, and in which country he practices, specific codes will allow him to draw the right conclusions and prescribe competent treatment, involving the use of various methods.

Osteochondrosis

Diseases of the spine are also included in this list of diseases, in the section entitled: pathology of the connective tissue and musculoskeletal system. They are assigned codes starting with M00 and ending with M99. This is a very large range, which indicates the prevalence of such ailments and their diversity.

M42 - this combination of symbols in the outpatient card makes the doctor understand that he is facing a patient suffering from osteochondrosis of the spine. Such a patient is not alien to either pain in the injured area (neck, chest, lower back, sacrum, coccyx), no pain radiating to other organs and zones, no stiffness that limits the range of motion, no other symptoms (depending on the localization of the inflammation focus) that interfere with the previous lifestyle. The main task of a specialist in this case is to draw up the most effective health improvement program that can quickly eliminate the consequences of degenerative-dystrophic processes in the spine.

In more detail, the code of this ailment is deciphered as follows:

• the first three characters indicate the exact name of the disease;
• the fourth digit characterizes belonging to one of the age categories;
• the fifth digit specifies the location.

Age

Osteochondrosis does not spare anyone; it can be diagnosed in any person between the ages of 11 and 100 (and even later). There are many reasons for this phenomenon.

The M42.0 code (according to ICD-10) means that the person who asked for help is very young. Its age ranges from 11 to 20 years. Osteochondrosis of any department in this case may result from the following reasons:

• bacterial or viral diseases(measles, rubella, salmonella, mumps);
• genetic predisposition;
• nutritional deficiency of bone and cartilage tissue;
• uneven physical effort (excessive activity, passivity) during the growth period.

The cervical, thoracic and lumbar segment is more often affected, since it is they who take on most of the load.

The M42.1 code (according to ICD-10) implies that the patient has already celebrated his 21st birthday, and therefore his diagnosis will sound differently, namely: osteochondrosis (cervical, thoracic, lumbar) in adults. At a more mature age, the following are added to the above reasons for the onset of this ailment:

• overweight;
• spinal injury;
• costs of the profession (excessive physical exercise, forced long-term stay in a static position at the table, computer).

The M42.9 code (according to ICD-10) indicates that the time of the onset of the development of the disease cannot be established accurately due to various kinds of circumstances (lack of results of any medical research, loss of medical history and other factors that make it impossible for the doctor to deliver reliable diagnosis).

Localization zone

Degenerative-dystrophic changes in the state of the connecting elements can affect the area of ​​any part of the spine (cervical, thoracic, lumbar, sacral) and signal the development of a disease called osteochondrosis with its characteristic symptoms.

Each 5th digit of the code corresponds to a specific segment of the spine, namely:

• 0 - negative changes affected many areas;
• 1 - the area of ​​the first, second cervical vertebra, occiput;
• 2 - neck;
• 3 - zone of the cervicothoracic region;
• 4 - chest area;
• 5 - zone of the lumbar-thoracic region;
• 6 - lower back;
• 7 - the area of ​​the lumbosacral segment;
• 8 - sacrum and coccyx;
• 9 - the site of localization is not specified.

Having correctly deciphered all three coded parameters, the doctor will receive a complete picture of the patient's clinical condition. Example: the M42.06 code means that the patient needs to be prescribed treatment that can relieve the symptoms of juvenile osteochondrosis of the lumbar spine, and the M42.10 character set makes it possible to understand what the patient needs complex therapy, aimed at eliminating osteochondrosis in adults in multiple parts of the spine.

Such a classification of diseases, including those of the musculoskeletal system, greatly simplifies the task of a specialist who has not previously guided a patient. The specifics in the diagnosis, due to the generally accepted standards of the ICD-10 system (understanding of certain code combinations), immediately clarifies the situation and enables him to avoid mistakes in treatment.

All known diseases have their own code, including osteochondrosis, ICB-10, the international classification of diseases, denotes them with letters and numbers. According to ICD 10, each type of this disease takes its place in it.

Osteochondrosis, ICD code 10

Every ten years, the World Health Organization adopts a new classification of all diseases and deviations in health. The tenth version of this document has now been adopted. This system is mandatory for doctors in all countries. It allows you to systematically analyze the health status of the world's population.

Osteochondrosis is also included in the ICD - 10. Like all diseases, it is assigned a special code. This disease is classified as class XIII. This class summarizes all pathologies of the bone and muscular systems, including connective tissue. Some types of osteochondrosis are referred to as dorsopathies. They have alphanumeric coding in ICD 10 and are designated by combinations of letters and numbers.

"Classic" osteochondrosis, code for microbial 10 is designated as M 42.

If we are talking about:

1. About osteochondrosis of the spine in youth, then this is M 42.0.
2. About osteochondrosis of the spine of adults, then this is M 42.1.
3. About osteochondrosis of the spine is not specified, then this is M 42.9.

In general, diseases of the spine are designated by the letter M and are numbered from M 40 to M 54. In this form, this disease can be entered into an individual patient's record or his medical history. In general, the code of this disease depends on the location and degree of damage to the vertebrae, discs, ligaments.

Osteochondrosis of the cervical spine, ICD code 10

Osteochondrosis of the cervical vertebrae begins to manifest itself at a fairly young age. Its first manifestations can be in patients younger than even 25 years old. The most common symptoms are headache, pain in the vertebrae and soft tissues neck, limited movement.

Osteochondrosis of the cervical spine, the microbial code 10 can be designated M 42.1.02 In addition, there are a number of pathologies of the cervical vertebrae and vertebral discs, which are indicated by the M 50 code with additional numbers:

• M 50.0 - the disease is accompanied by myelopathy;
• M 50.1 - the same changes, but with radiculopathy;
• M 50.2 - the disease is associated with displacement of the cervical discs;
• M 50.3 - degeneration of various nature of the cervical discs;
• M 50.8 - other lesions of the cervical discs;
• M 50.9 - lesion of the cervical discs of unspecified origin.

The diagnosis is made using radiographic images in different projections. They allow you to determine the dislocation of degenerative and other changes in the structure of the cervical vertebrae and discs. On the basis of the X-ray, a diagnosis of cervical osteochondrosis will be made, ICB-10, the international classification of diseases, will help to enter it into the map using a code.

Common osteochondrosis of the spine

The spine or vertebral column of a person is the basis of the entire motor and bone apparatus of the human body. Any of his diseases affect several systems at once. internal organs... Common osteochondrosis of the spine is one of the most severe ailments of this important part of the body. With this diagnosis, pathological changes can be observed in several departments at once. In this case, the patient exhibits the following symptoms:

1. Stiffness in walking and other movements.
2. Pain in the muscles of the back, legs, neck.
3. Headaches and dizziness.
4. Fainting conditions.
5. Numbness of the limbs.

Suffer from osteochondrosis:

• genitourinary system;
• heart, lungs and blood vessels;
• organs of the digestive tract.

If you do not take measures for treatment, then the disease can develop into chronic form... The periods of remission are followed by sharp exacerbations. This form of osteochondrosis significantly reduces the quality of life in still quite young people. The majority of patients have barely reached the age of 40 - 45 years. At the first manifestations of osteochondrosis, you should consult a doctor to clarify the diagnosis and prescribe adequate treatment.

Lumbar osteochondrosis, ICD code 10

Osteochondrosis most often affects the lumbar region. This is due to functional loads on the vertebrae in the lumbar region. The entire musculoskeletal system of a person depends on their correct work and mobility. They experience increased stress not only in a standing position, but also in a sitting position, when walking, when lifting and carrying weights. Due to the vertebrae of the lumbar spine, a person can bend and unbend the torso, bend and turn in different directions.

One of the unpleasant manifestations of this form of osteochondrosis is pain. She can catch a person at the most inopportune moment. This is due to the fact that the deformed vertebrae and intervertebral discs begin to press on the nerve endings. Lumbar osteochondrosis, ICD 10 code is designated mainly as:

• M 42.6;
• M 51.0;
• M 51.1.

Depending on the manifestations and localization of the lesions, there may be other codes.

Only a doctor can accurately diagnose the problem. It is based not only on the clinical manifestations of the disease, but also on additional research. First of all, these are X-ray images and MRI of the spine in lumbar.

Osteochondrosis of the spine in adult patients according to microbiology 10, causes

According to ICD 10, osteochondrosis of the spine in adults is designated M 42.1. Although, depending on the clinical manifestations, there are other pathologies designated as osteochondrosis, the ICB-10 international classification of diseases provides for different designations. It can be the letter M and various numerical combinations.

The causes of osteochondrosis in adults are many. All of them in one way or another are associated either with the wrong way of life, or a disdainful attitude towards the loads, working conditions and rest. The reasons may be:

• Hereditary and genetic predisposition.
• Living in an area with an unfavorable humid and / or cold climate.
• Improper, excessive or insufficient nutrition.
• Increased loads.
• Weak muscle corset.
• Various infections.
• Hormonal disorders.
• Injuries of a different nature.
• Addiction, smoking, alcohol abuse.

Many people mistakenly believe that back diseases are peculiar only to the elderly. Every year osteochondrosis of the spine "gets younger". More and more young people suffer from it. A timely detected and diagnosed disease of the spine is a guarantee successful treatment... In advanced cases, surgical care is indispensable. Good results are obtained by an integrated approach to the treatment of osteochondrosis and the use of folk remedies.

Traditional methods of treating osteochondrosis

In combination with the drugs prescribed by the doctor, osteochondrosis can be treated with home remedies. A good result is given by folk methods treatment of osteochondrosis with propolis.

For severe back pain, you can cut a thin plate with a propolis ball... Then, with the help of a plaster, fix it in the center of the painful focus. Propolis is heated by the heat of the human body. Beneficial substances, including bee venom, penetrate the skin to the source of pain and relieve it.

For regular use, you can prepare oil and propolis ointment.

To do this, cut 10 g of propolis into 90 g of butter. The mixture is placed in a water bath. Heated up to + 70 degrees. With stirring, bring the mixture until the oil and propolis are completely melted. Do not allow the mass to boil. The resulting product is stored in the refrigerator. Within a month, it is consumed in a spoonful three times a day before meals. Outwardly, the ointment is applied to the sore area of ​​the back 1-2 times a day.

The number of people with spinal problems is increasing every year. The growth in the number of patients who were struck by osteochondrosis, ICB-10, the international classification of diseases, takes into account in full. Based on these data, analytical work is carried out, recommendations are being prepared. You can read reviews on this topic or write your opinion on the forum.

Dorsopathies (classification and diagnosis)

In 1999, in our country, the international classification of diseases and the causes associated with them, X revision (ICD10) was recommended by law. The formulation of diagnoses in case histories and outpatient charts with their subsequent statistical processing makes it possible to study the incidence and prevalence of diseases, as well as to compare these indicators with those of other countries. For our country, this seems to be especially important, since there are no statistically reliable data on neurological morbidity. At the same time, these indicators are the main ones for studying the need for neurological care, developing standards for the staff of outpatient and inpatient doctors, the number of neurological beds and various types of outpatient care.

Anatoly Fedin
Professor, head. Department of Neurology and Neurosurgery, FUV RSMU

The term "dorsopathies" refers to pain syndromes in the trunk and extremities of non-visceral etiology and associated with degenerative diseases of the spine. Thus, the term "dorsopathy" in accordance with ICD-10 should replace the term "osteochondrosis of the spine" still used in our country.

The most difficult for practicing physicians are the formulation of diagnoses in patients with pain syndromes associated with degenerative diseases of the spine. In the historical aspect, various interpretations and diagnoses can be traced for these diseases. In textbooks on nervous diseases late nineteenth and early twentieth century. pain in lumbar region and in the lower limb was explained by an inflammatory disease sciatic nerve... In the first half of the twentieth century. the term "radiculitis" appeared, with which the inflammation of the spinal roots was associated. In the 60s, Ya.Yu. Popelyansky, based on the works of the German morphologists H. Lyushka and K. Schmorl, introduced the term "osteochondrosis of the spine" into Russian literature. In the monograph by H. von Luschka. Die Halbgelenke des Menschlichen Korpers.

Berlin: G. Reimer, 1858), degeneration of the intervertebral disc was called osteochondrosis, while J.Yu. Popelyansky gave this term an expansive interpretation and extended it to the entire class of degenerative lesions of the spine. In 1981, our country adopted the proposed I.P. Antonov classification of peripheral diseases nervous system, which included "osteochondrosis of the spine". It contains two provisions that fundamentally contradict the international classification: 1) diseases of the peripheral nervous system and diseases of the musculoskeletal system, which include degenerative diseases of the spine, are independent and different classes of diseases; 2) the term "osteochondrosis" is applicable only to disc degeneration, and it is inappropriate to call them the entire spectrum of degenerative diseases of the spine.

In ICD10, degenerative diseases of the spine are included in the class "diseases of the musculoskeletal system and connective tissue (M00-M99)", while the following are highlighted: "arthropathies (M00-M25); systemic lesions of the connective tissue (M30-M36); dorsopathies (M40- M54); soft tissue diseases (M60-M79); osteopathy and chondropathy (M80-M94); other disorders of the muscular system and connective tissue (M95-M99) ". The term "dorsopathies" refers to pain syndromes in the trunk and extremities of non-visceral etiology and associated with degenerative diseases of the spine. Thus, the term "dorsopathies" in accordance with ICD10 should replace the term "osteochondrosis of the spine" still used in our country.

Dorsopathies in ICD10 are divided into deforming dorsopathies, spondylopathies, other dorsopathies (degeneration of intervertebral discs, sympathetic syndromes) and dorsalgia. In all cases, the basis for the diagnosis should be data from a clinical examination and radiological diagnosis (spondylography, X-ray computed tomography or magnetic resonance imaging of the spine). Dorsopathies are characterized by chronic course and periodic exacerbations of the disease, in which various pain syndromes are leading.

The degenerative process can involve various structures of the spinal motion segments: the intervertebral disc, facet joints, ligaments and muscles. In cases of concomitant lesions of the spinal roots or spinal cord, there may be focal neurological syndromes.

Deforming dorsopathies

The section "deforming dorsopathies (M40-M43)" includes: