The terms "radiculopathy" and "sciatica" are often used interchangeably. These diagnoses, according to the international classification of diseases (ICD 10), have the same code - M54.1.

Causes

The most common cause of this disease is a herniated disc. The intervertebral disc is the cartilage that lies between the vertebrae. It performs a shock absorbing function. Inside its connective tissue sheath is a jelly-like substance. Unusually heavy or frequent repetitive stress on the spine, such as heavy lifting, exercise various types sports, this jelly can break through the disc and squeeze the nearby nerve.

In addition to disc herniation, vertebral osteophytes can be causes of nerve compression, i.e. bone outgrowths that form in the intervertebral space for reasons that are not entirely clear. The nerve can also be compressed in vertebral fractures. Such fractures can spontaneously occur in osteoporosis.

According to its mechanism, nerve damage in the above cases is a compression-ischemic neuropathy. This means that compression (compression) of the nerve trunk leads to ischemic changes in it, i.e. to oxygen starvation due to circulatory disorders. All other manifestations (pain, dysfunction) are the result of compression-ischemic injuries.

Radiculopathy is common. According to American studies, 3 to 5% of US residents suffer from lumbosacral radiculopathy. The cervical spine is somewhat less commonly affected. In the thoracic region, disc herniation is rarely formed due to the stabilizing effect of the rib cage. chest.

If the treatment of compression radiculopathy is not started in a timely manner, the disease progresses to chronic stage. In the future, there is a high probability of disability.

Symptoms

The main symptom of compression of the nerves in the lumbosacral spine is pain. The pain can spread to the buttocks and lower - to the leg. Pain may be aggravated by walking, coughing, localized to the right, left or both sides of the spine. It is also sometimes possible to experience a feeling of numbness and weakness in the legs.

Symptoms of compression of the roots in the cervical region are pain in the neck and arm, as well as weakness during movements of the upper limb and a feeling of numbness in the fingers.

Diagnostics

Diagnosis of this disease consists of several stages. First, the doctor analyzes the patient's complaints:

• clarifies the main complaint (pain, weakness, numbness);
• assesses the localization of pain (height of the site of the disease, location to the right, to the left of the spinal column);
• asks about the circumstances under which the pain appeared, and the attempts made to treat it;
• finds out the patient's occupation and lifestyle features, since this aspect can be key in the occurrence of complaints.

The next step in the process of establishing a diagnosis is an objective examination. The doctor examines the patient, studying signs of asymmetric muscle tension on the right or left, then conducts a neurological examination. With the help of palpation, he finds out the points of maximum pain: on the right, on the left, on both sides. Using a neurological hammer, it checks the reflexes and sensitivity of the skin of the extremities.

After a direct examination of the patient, the time comes for X-ray methods. Plain x-rays of the spine are often used to diagnose compression-ischemic radiculopathy. However, its diagnostic value is limited. With the help of radiography, you can see signs of gross destruction of bones of a traumatic or tumor nature. But in most cases, you will not see a disc herniation on a plain radiograph.

The best way to detect a herniated disc is magnetic resonance imaging (MRI). MRI has excellent sensitivity and is the method of choice in diagnosing the causes of compression-ischemic nerve damage.

However, not everything is unambiguous in the issue of MRI diagnostics. This study sometimes finds herniated discs in patients with absolutely no pain. And this means that a herniated disc does not necessarily cause compression-ischemic neuropathy in all cases.

Computed tomography (CT) is also used to diagnose compression radiculopathy, but is less sensitive than MRI. As with magnetic resonance imaging, false positive results are possible.

Differential Diagnosis

What diseases should be distinguished from radiculopathy?

Compression damage to the nerves of the lumbosacral region (ICD code 10 - M54.1) has similar symptoms with trochanteric bursitis (ICD code 10 - M70.60).

Radiculopathy of the cervical spine must be differentiated with the following diseases:

• tendinitis of the rotator cuff of the shoulder (ICD code 10 - M75.1);
• arthrosis of the facet joints (ICD code 10 - M53.82);
• damage to the brachial plexus (ICD code 10 - G54.0);
• stretching of the neck muscles (ICD code 10 - S16).

Treatment of the disease

The tactics of treatment of compression radiculopathy varies depending on the phase of the disease. Due to the fact that the risk of developing disability is quite high, with this disease it is extremely undesirable to engage in self-treatment folk remedies.

Non-steroidal anti-inflammatory drugs (NSAIDs) are the mainstay of therapy for the disease in the acute period. NSAIDs are prescribed to relieve pain and reduce inflammation. In the acute phase, muscle relaxants can also be prescribed to relieve spasm of the skeletal muscles. In some cases, a special class of drugs called anticonvulsants is needed to relieve particularly severe pain.

Sometimes an anti-inflammatory treatment such as epidural steroid injection is used. It consists in the fact that with the help of a special needle a strong anti-inflammatory drug is injected directly under the membranes. spinal cord.

Quite rarely, there are situations when surgical intervention is required in the acute phase. This can happen if there is a motor deficit, i.e. a person cannot move an arm or leg, while motor function continues to deteriorate.

An important aspect of treatment in any period of the disease is to maintain correct posture, the use of rational weight lifting techniques. The load to be lifted must be symmetrically distributed to the right and left of the midline of the body.

In the recovery phase, massage and various physiotherapy methods are usually used.

After stopping the course of treatment, a person should be attentive to his health and perform strengthening exercises of therapeutic exercises for a long time.

In conclusion, it must be said that radiculopathy is dangerous disease. Although it is not usually life-threatening, the disease carries high risks of transition to chronic form and disability. With timely seeking medical help and refusing self-treatment, the prognosis is usually favorable.

Bechterew's disease and other autoimmune diseases

Back pain (dorsalgia)

Other pathologies of the spinal cord and brain

Other musculoskeletal injuries

Diseases of the muscles and ligaments

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Curvature (deformity) of the spine

Treatment in Israel

Neurological symptoms and syndromes

Tumors of the spine, brain and spinal cord

Answers to questions from visitors

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Radiography and others instrumental methods diagnostics

Symptoms and syndromes of diseases of the musculoskeletal system

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Radiculitis

Radiculitis, or, in other words, radicular syndrome, is one of the manifestations of osteochondrosis: degenerative changes occur in the intervertebral discs, due to which the fibrous ring breaks and a hernia occurs. It compresses one or more roots of the spinal cord, or it compresses the ligamentous apparatus of the spine. As a result of pinching the roots, sciatica occurs.

ICD-10 code

Symptoms of sciatica

In most cases, lumbosacral and cervicobrachial radiculitis occurs. The main signs that sciatica has are lower back pain, which can radiate to the back of the leg, buttocks, knees or lower leg. If you try to lean forward or sit down with your legs straight, the pain will be much stronger. To reduce pain, the patient slightly bends the leg. Along with pain, there is tingling or numbness in the lower leg and fingers. In addition to the pain syndrome, there is a change in the patient's posture, curvature of the spine.

Sciatica, regardless of location, have similar symptoms: the appearance of rapid pain in the area of ​​​​the affected roots, which increases when the patient moves, coughs or sneezes, stiffness of the spine; pain on palpation of the spinous processes of the vertebrae and paravertebral points; increase or decrease in sensitivity; weakness of the muscles in the zone of radicular innervation.

The pain that accompanies sciatica is usually shooting, aching, increasing when raising the leg, coughing, hypothermia. Radiculitis can recur, accompanied by tension of the nerves and roots, the presence of pain points and a violation of sensitivity. Lumbosacral sciatica is characterized by the appearance of pain throughout the day, regardless of time, to increase with a change in the position of the body.

Who to contact?

Treatment of sciatica

If you have sciatica, you must strictly observe bed rest. Analgesics are used to reduce pain. Before getting out of bed, you need to fix the patient's lower back with a special belt, in the prone position it should be removed.

Blockades of novocaine, lidocaine and vitamin B12 in pain points have a positive effect. At night, you can apply a compress of dimexide, diluted with water, novocaine, analgin, vitamin B12 and hydrocortisone, on the lumbar region.

Inside take indomethacin. To eliminate muscle tension that accompanies sciatica, it is advisable to take seduxen, diazepam. A relaxing back and buttocks massage is also shown. Massage should be carried out by a professional so as not to injure the patient with careless movements. Radiculitis can also be relieved with the help of acupuncture and physiotherapy using current, ultrasound, etc.

Sciatica can be soothed with heat on the lumbar region (hot water heater, paraffin applications), mud therapy is practiced, the use of salt-coniferous baths. For prevention, hardening of the body, limitation of physical activity, hypothermia, and long walking are also recommended.

Traction treatment, or spinal traction, has a positive effect on the receptors of damaged spinal ligaments and muscles, relaxing them. This method is widely used during the rehabilitation period after you have practically cured sciatica and has the following effect: unloads the spine, increasing the space between the segments of the spinal column; reduces muscle tension; lowers the pressure inside the disc, and also relieves compression on nerve roots.

Prevention

To prevent sciatica, it is recommended to perform exercises that strengthen the muscles of the back, go swimming, avoid hypothermia, physical overload. The main task exercise in the treatment of radiculitis - to help normalize the muscle tone of the back, increase the mobility of the spine, improve overall well-being and speed up the process of rehabilitation and recovery labor activity. A set of exercises is selected based on the symptoms of the disease, general condition and age characteristics of the patient.

Radiculitis is a fairly common disease of the peripheral nervous system, which is formed as a result of compression of the roots of the spinal cord. Only a specialist can prescribe treatment and conduct an examination. To determine the diagnosis of sciatica as accurately as possible, the doctor will first determine muscle strength, differentiate the symptoms, the nature of pain, their intensity, duration, determine if there are sensitivity disorders, prescribe radiography or other examination methods, after which it will be prescribed complex treatment.

Medical Expert Editor

Portnov Alexey Alexandrovich

Education: Kyiv National Medical University. A.A. Bogomolets, specialty - "Medicine"

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Dorsalgia (M54)

[localization code see above]

Neuritis and sciatica:

• shoulder NOS
• lumbar NOS
• lumbosacral NOS
• thoracic NOS

Excluded:

• neuralgia and neuritis NOS (M79.2)
• radiculopathy with:
  • injury of the intervertebral disc of the cervical region (M50.1)
  • lesions of the intervertebral disc of the lumbar and other parts (M51.1)
  • spondylosis (M47.2)

Excludes: cervicalgia due to intervertebral disc disease (M50.-)

Excluded:

• defeat sciatic nerve(G57.0)
• sciatica:
  • with lumbago (M54.4)

Tension in the lower back

Excludes: lumbago:

• with sciatica (M54.4)

Excludes: due to damage to the intervertebral disc (M51.-)

In Russia, the International Classification of Diseases of the 10th revision (ICD-10) is adopted as a single regulatory document for accounting for morbidity, reasons for medical institutions all departments, causes of death.

ICD-10 was introduced into healthcare practice throughout the Russian Federation in 1999 by order of the Russian Ministry of Health dated May 27, 1997. №170

The publication of a new revision (ICD-11) is planned by WHO in 2017 2018.

With amendments and additions by WHO.

Processing and translation of changes © mkb-10.com

ICD code: M54.1

radiculopathy

radiculopathy

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ICD 10. Class XIII (M50-M99)

ICD 10. Class XIII. OTHER DORSOPATHY (M50-M54)

Excludes: current injury - see injuries of spine by body region discitis NOS (M46.4)

M50 Injury of intervertebral discs of cervical region

Includes: cervical disc lesions with pain syndrome

lesions of the intervertebral discs of the cervicothoracic region

M50.0+ Injury of cervical intervertebral disc with myelopathy (G99.2*)

M50.1 Disorder of cervical intervertebral disc with radiculopathy

Excludes: shoulder sciatica NOS (M54.1)

M50.2 Displacement of cervical intervertebral disc of other type

M50.3 Other cervical intervertebral disc degeneration

M50.8 Other disorders of cervical intervertebral disc

M50.9 Disorder of cervical intervertebral disc, unspecified

M51 Involvement of intervertebral discs of other departments

Includes: lesions of the intervertebral discs of the thoracic,

thoracic and lumbosacral regions

M51.0+ Disorders of lumbar and other intervertebral discs with myelopathy (G99.2*)

M51.1 Disorders of lumbar and other intervertebral discs with radiculopathy

Sciatica due to damage to the intervertebral disc

Excludes: lumbar sciatica NOS ( M54.1 )

M51.2 Other specified displacement of intervertebral disc. Lumbago due to displacement of the intervertebral disc

M51.3 Other specified intervertebral disc degeneration

M51.8 Other specified lesion of intervertebral disc

M51.9 Disorder of intervertebral disc, unspecified

M53 Other dorsopathies, not elsewhere classified [see localization code above]

M53.0 Cervical-cranial syndrome Posterior sympathetic syndrome

M53.1 Neck and shoulder syndrome

Excludes: cervical intervertebral disc disease (M50.-)

infracracal syndrome [brachial plexus involvement] (G54.0)

M53.2 Spinal instability

M53.3 Sacrococcygeal disorders, not elsewhere classified coccygodynia

M53.8 Other specified dorsopathies

M53.9 Dorsopathy, unspecified

M54 Dorsalgia [localization code see above]

Excludes: psychogenic dorsalgia (F45.4)

M54.0 Panniculitis affecting cervical and spine

Neuritis and sciatica:

Excl.: neuralgia and neuritis NOS (M79.2)

Cervical intervertebral disc injury

Damage to the lumbar intervertebral disc

Excludes: cervicalgia due to intervertebral disc disease (M50.-)

Excludes: lesion of sciatic nerve (G57.0)

Caused by intervertebral disc disease (M51.1)

Excludes: due to intervertebral disc disease (M51.1)

M54.5 Pain in the lower back. lower back pain. Tension in the lower back. Lumbago NOS

Due to displacement of the intervertebral disc (M51.2)

M54.6 Pain in thoracic spine

Excludes: due to damage to the intervertebral disc (M51.-)

M54.9 Dorsalgia, unspecified Back pain NOS

SOFT TISSUE DISEASES (M60-M79)

MUSCLE DISEASES (M60-M63)

Excludes: dermatopolymyositis (M33.-)

M60 Myositis [localization code see above]

M60.0 Infectious myositis. Tropical pyomyositis

If necessary, identify infectious agent use additional codes (B95-B97).

M60.1 Interstitial myositis

M60.2 Soft tissue granuloma due to impact foreign body not classified elsewhere

Excludes: granuloma of skin and subcutaneous tissue due to foreign body (L92.3)

M61 Muscle calcification and ossification [see localization code above]

M61.0 Myositis ossificans, traumatic

M61.1 Myositis ossificans, progressive Fibrodysplasia ossificans, progressive

M61.2 Paralytic calcification and ossification of muscles Myositis ossificans with quadriplegia or paraplegia

M61.3 Muscle calcification and ossification associated with burns Myositis ossificans associated with burns

M61.4 Muscle calcification other

Excludes: calcific tendinitis (M65.2)

M61.5 Muscle ossification other

M61.9 Muscle calcification and ossification, unspecified

M62 Other muscle disorders [see localization code above]

Excludes: convulsions and spasm (R25.2)

M62.1 Other rupture of muscle (non-traumatic)

Excl.: tendon rupture (M66.-)

traumatic muscle tear - see muscle injuries by area of ​​the body

M62.2 Ischemic myocardial infarction

Excludes: compression syndrome (T79.6)

traumatic ischemia of muscle (T79.6)

Volkmann's ischemic contracture (T79.6)

M62.3 Immobilization syndrome (paraplegic)

Excludes: joint contracture (M24.5)

M62.5 Muscle wasting and wasting, not elsewhere classified

Muscle atrophy in the absence of a functional load on them NEC

Excludes: current injury - see muscle injury by body area

M62.8 Other specified disorders of muscles Muscular hernia (shells)

M62.9 Disorders of muscles, unspecified

M63* Muscle disorders in diseases classified elsewhere

Excludes: myopathy with:

M63.0* Myositis in bacterial diseases classified elsewhere

M63.2* Myositis in other infectious diseases classified elsewhere

M63.8* Other muscular disorders in diseases classified elsewhere

SYNOVIA AND TENDON LESIONS (M65-M68)

M65 Synovitis and tenosynovitis [see localization code above]

Excludes: chronic crepitant synovitis of hand and wrist (M70.0)

current injury - see ligament or tendon injury by area of ​​the body

soft tissue disorders associated with exercise, overload and pressure (M70.-)

M65.0 Abscess of tendon sheath

Use an additional code (B95-B96) if necessary to identify the bacterial agent.

M65.1 Other infectious (teno)synovitis

M65.2 Calcific tendinitis

M65.3 Trigger finger. Nodular disease of the tendon

M65.4 Tenosynovitis of styloid process of radius [de Quervain's syndrome]

M65.8 Other synovitis and tenosynovitis

M65.9 Synovitis and tenosynovitis, unspecified

M66 Spontaneous rupture of synovium and tendon [see localization code above]

Includes: tissue tears caused by the application of conventional

efforts, as a result of a decrease in the strength of tissues

Excl.: rotator impingement syndrome (M75.1)

traumatic rupture (when excessive force is applied to normal tissues) - see tendon injury under

M66.0 Rupture of popliteal cyst

M66.1 Rupture of synovium. Synovial cyst rupture

Excludes: ruptured popliteal cyst (M66.0)

M66.2 Spontaneous rupture of extensor tendons

M66.3 Spontaneous flexor tendon rupture

M66.4 Spontaneous rupture of other tendons

M66.5 Spontaneous rupture of tendons, unspecified Rupture of the musculotendinous junction, non-traumatic

M67 Other disorders of synovial membranes and tendons

Excludes: Dupuytren's palmar fascial fibromatosis (M72.0)

xanthomatosis localized in tendons (E78.2)

M67.0 Calcaneal [Achilles] tendon short (acquired)

M67.1 Other contracture of tendon (sheath)

Excludes: with joint contracture (M24.5)

M67.2 Synovial hypertrophy, not elsewhere classified

Excludes: villous-nodular [villonodular] synovitis, (pigmented) (M12.2)

M67.3 Migratory synovitis Toxic synovitis

M67.4 Ganglion. Ganglion of a joint or tendon (sheath)

ganglion in yaws (A66.6)

M67.8 Other specified disorders of synovium and tendon

M67.9 Disorder of synovium and tendon, unspecified

M68* Disorders of synovial membranes and tendons in diseases

classified elsewhere

M68.0* Synovitis and tenosynovitis in bacterial diseases classified elsewhere

Synovitis and tenosynovitis with:

M68.8* Other disorders of synovium and tendons in diseases classified elsewhere

OTHER SOFT TISSUE DISEASES (M70-M79)

M70 Soft tissue disorders associated with exercise, overload and pressure [see localization code above]

Included: occupational diseases soft tissue

M70.0 Chronic crepitant synovitis of hand and wrist

M70.2 Bursitis of olecranon

M70.3 Other bursitis of elbow

M70.4 Prepatellar bursitis

M70.5 Other bursitis of knee

M70.6 Bursitis of the greater trochanter (femur). Tendonitis of the greater trochanter

M70.7 Other hip bursitis ischial bursitis

M70.8 Other soft tissue disorders associated with stress, overload and pressure

M70.9 Unspecified disorders of soft tissue associated with stress, overload and pressure

M71 Other bursopathies [see localization code above]

Excludes: bursitis thumb feet (M20.1)

bursitis associated with exercise, congestion and pressure (M70.-)

M71.0 Bursal abscess

M71.1 Other infectious bursitis

M71.2 Synovial cyst of popliteal region [Baker]

M71.3 Other bursal cyst. Synovial cyst NOS

Excludes: synovial cyst with rupture (M66.1)

M71.4 Calcium deposits in bursae

M71.5 Other bursitis, not elsewhere classified

M71.8 Other specified bursopathies

M71.9 Bursopathy, unspecified Bursitis NOS

M72 Fibroblastic disorders [see localization code above]

Excludes: retroperitoneal fibromatosis (D48.3)

M72.0 Palmar fascial fibromatosis [Dupuytren]

M72.1 Connective tissue nodules on dorsum of fingers

M72.2 Plantar fascial fibromatosis plantar fasciitis

M72.4 Pseudosarcomatous fibromatosis

M72.5 Fasciitis, not elsewhere classified

M72.8 Other fibroblastic disorders

M72.9 Fibroblastic disorders, unspecified

M73* Soft tissue disorders in diseases classified elsewhere [see localization code above]

M73.8* Other soft tissue disorders in diseases classified elsewhere

M75 Shoulder disorders

Excludes: shoulder-hand syndrome (M89.0)

M75.0 Adhesive capsulitis of shoulder. "Frozen Shoulder" Shoulder periarthritis

M75.1 Shoulder rotator compression syndrome Rotator compression or suprastenal incision or tear (complete) (incomplete), not specified as traumatic. Supraspinal syndrome

M75.2 Biceps tendonitis

M75.3 Calcific tendonitis of shoulder Calcium deposition in the synovial sac of the shoulder

M75.8 Other disorders of shoulder

M75.9 Disorder of shoulder, unspecified

M76 Enthesopathies of lower limb, excluding foot [localization code see above]

Note The descriptive terms bursitis, capsulitis, and tendinitis are often used without clear differentiation.

for various disorders of peripheral ligaments or muscle attachments; most of these conditions are grouped together under the term 'enthesopathy', which is common to lesions at these sites.

Excludes: bursitis due to exercise, overload and pressure (M70.-)

M76.0 Gluteal tendonitis

M76.1 Lumbar tendonitis

M76.2 Spur of iliac crest

M76.3 Iliac tibial ligament syndrome

M76.4 Tibial collateral bursitis [Pellegrini-Stidy]

M76.5 Patellar tendonitis

M76.6 Calcaneal [Achilles] tendonitis. Calcaneal [Achilles] tendon bursitis

M76.7 Tendonitis of fibula

M76.8 Other enthesopathies lower limb except for the foot. Tibialis anterior syndrome

Tibialis posterior tendonitis

M76.9 Enthesopathy of lower limb, unspecified

M77 Other enthesopathies [see localization code above]

spinal enthesopathy (M46.0)

M77.0 Medial epicondylitis

M77.1 Lateral epicondylitis tennis elbow

M77.2 Periarteritis of the wrist

Excludes: Morton's metatarsalgia (G57.6)

M77.5 Other enthesopathies of foot

M77.8 Other enthesopathies, not elsewhere classified

M77.9 Enthesopathy, unspecified Bone spur NOS. Capsulitis NOS. Periarthritis NOS. Tendinitis NOS

M79 Other soft tissue diseases, not elsewhere classified [see localization code above]

Excludes: pain in soft tissues, psychogenic (F45.4)

M79.0 Rheumatism, unspecified Fibromyalgia. Fibrositis

Excludes: palindromic rheumatism (M12.3)

M79.2 Neuralgia and neuritis, unspecified

M79.3 Panniculitis, unspecified

M79.4 Hypertrophy of (popliteal) fat pad

M79.5 Residual foreign body in soft tissue

Excludes: granuloma (caused by foreign body in):

M79.8 Other specified lesions of soft tissue

M79.9 Soft tissue disease, unspecified

OSTEOPATHY AND CHONDROPATHY

BONE DENSITY AND STRUCTURE DISORDERS

M80 Osteoporosis with pathologic fracture [see localization code above]

Inclusions: osteoporotic destruction and wedging of a vertebra

pathological fracture NOS (M84.4)

wedge-shaped deformity of vertebra NOS (M48.5)

M80.0 Postmenopausal osteoporosis with pathologic fracture

M80.1 Osteoporosis with pathological fracture after ovariectomy

M80.2 Osteoporosis with pathological fracture due to immobility

M80.3 Post-surgical osteoporosis with pathological fracture due to intestinal malabsorption

M80.4 Drug-induced osteoporosis with pathological fracture

M80.5 Idiopathic osteoporosis with pathological fracture

M80.8 Other osteoporosis with pathological fracture

M80.9 Osteoporosis with pathological fracture, unspecified

M81 Osteoporosis without pathologic fracture [see localization code above]

Excludes: osteoporosis with pathological fracture (M80.-)

M81.0 Postmenopausal osteoporosis

M81.1 Osteoporosis after ovariectomy

M81.2 Osteoporosis due to immobility

M81.3 Post-surgical malabsorption osteoporosis

M81.4 Drug-induced osteoporosis

An additional code is used to identify the medicinal product. external causes(class XX).

M81.5 Idiopathic osteoporosis

M81.6 Localized osteoporosis [Lequena]

Excludes: Sudeck's atrophy (M89.0)

M81.8 Other osteoporosis Senile osteoporosis

M81.9 Osteoporosis, unspecified

M82* Osteoporosis in diseases classified elsewhere [see localization code above]

M82.0* Osteoporosis in multiple myelomatosis (C90.0+)

M82.8* Osteoporosis in other diseases classified elsewhere

M83 Osteomalacia in adults [see localization code above]

renal osteodystrophy (N25.0)

M83.0 Postpartum osteomalacia

M83.1 Senile osteomalacia

M83.2 Osteomalacia due to malabsorption Post-surgical osteomalacia in adults due to malabsorption

M83.3 Adult osteomalacia due to malnutrition

M83.4 Aluminum bone disease

M83.5 Other drug-induced osteomalacia in adults

If necessary, identify medicine use an additional external cause code (class XX).

M83.8 Adult osteomalacia other

M83.9 Adult osteomalacia, unspecified

M84 Disorders of bone integrity [see localization code above]

M84.0 Poor healing of fracture

M84.1 Nonunion of fracture [pseudarthrosis]

Excludes: pseudarthrosis after fusion or arthrodesis (M96.0)

M84.2 Delayed fracture healing

M84.3 Stress fractures, not elsewhere classified. Stress fractures NOS

Excludes: congestion [stress] fracture of spine (M48.4)

M84.4 Pathological fractures, not elsewhere classified. Pathological fracture NOS

Excl.: vertebral fracture NOS (M48.5)

pathological fracture in osteoporosis (M80.-)

M84.8 Other disorders of bone integrity

M84.9 Disruption of bone integrity, unspecified

M85 Other disorders of bone density and structure [see localization code above]

Excludes: osteogenesis imperfecta (Q78.0)

osteopetrosis [bone petrification] (Q78.2)

multiple fibrous dysplasia of bones (Q78.1)

M85.0 Fibrous dysplasia (selective, one bone)

Excludes: fibrous dysplasia of jaw (K10.8)

M85.3 Osteitis due to deposition of mineral salts (sclerosing)

M85.4 Solitary bone cyst

Excludes: solitary cyst of jaw bone (K09.1-K09.2)

M85.5 Aneurysmal bone cyst

Excludes: aneurysmal cyst of jaw bone (K09.2)

generalized fibrocystic osteitis [Recklinghausen's bone disease] (E21.0)

M85.8 Other specified disorders of bone density and structure Hyperostosis of bones other than cranial

Excludes: diffuse idiopathic skeletal hyperostosis (M48.1)

M85.9 Disorder of bone density and structure, unspecified

OTHER OSTEOPATHIES (M86-M90)

Excl.: osteopathy after medical procedures (M96.-)

M86 Osteomyelitis [localization code see above]

If necessary, identify the infectious agent

M86.0 Acute hematogenous osteomyelitis

M86.1 Other forms of acute osteomyelitis

M86.2 Subacute osteomyelitis

M86.3 Chronic multifocal osteomyelitis

M86.4 Chronic osteomyelitis with drained sinus

M86.5 Other chronic hematogenous osteomyelitis

M86.6 Other chronic osteomyelitis

M86.8 Osteomyelitis other Brodie's abscess

M86.9 Osteomyelitis, unspecified Bone infection NOS. Periostitis without mention of osteomyelitis

M87 Osteonecrosis [localization code see above]

Includes: avascular necrosis of bone

M87.0 Idiopathic aseptic necrosis of bone

M87.1 Drug-induced osteonecrosis

If necessary, to identify the medicinal product, use an additional external cause code (class XX).

M87.2 Osteonecrosis due to trauma

M87.3 Other secondary osteonecrosis

M87.9 Osteonecrosis, unspecified

M88 Paget's disease (of bones) [osteitis deformans] [see localization code above]

M88.0 Involvement of skull in Paget's disease

M88.8 Involvement of other bones in Paget's disease

M88.9 Paget's disease (of bones), unspecified

M89 Other diseases of bones [see localization code above]

M89.0 Algoneurodystrophy Shoulder-hand syndrome. Zudek's atrophy. Sympathetic reflex dystrophy

M89.1 Premature fusion of epiphysis with diaphysis

M89.2 Other disorders of growth and development of bones

M89.4 Other hypertrophic osteoarthropathy Marie-Bamberger disease. Pachydermoperiostosis

M89.6 Osteopathy after poliomyelitis

An additional code (B91) is used to identify past poliomyelitis.

M89.8 Other specified lesions of bones Cortical hyperostosis in children

Post-traumatic subperiosteal (periosteal) ossification

M89.9 Bone disease, unspecified

M90* Osteopathy in diseases classified elsewhere [see localization code above]

Excludes: spinal tuberculosis (M49.0*)

M90.1* Periostitis in other infectious diseases classified elsewhere

Secondary syphilitic periostitis (A51.4+)

M90.2* Osteopathy in other infectious diseases classified elsewhere

Syphilitic osteopathy or osteochondropathy (A50.5+, A52.7+)

M90.5* Osteonecrosis in other diseases classified elsewhere

Osteitis deformans in malignant neoplasms in bones (C40-C41+)

Excludes: vertebral fracture due to neoplasms (M49.5*)

M90.8* Osteopathy in other diseases classified elsewhere Osteopathy in renal dystrophy (N25.0+)

CHONDROPATHY (M91-M94)

Excl.: chondropathy after medical procedures (M96.-)

M91 Juvenile osteochondrosis of the hip and pelvis [localization code see above]

Excludes: slippage of superior femoral epiphysis (non-traumatic) ( M93.0 )

M91.0 Juvenile osteochondrosis of pelvis

[Buchanan's] iliac crest

Ischiopubic synchondrosis [Van Neka]

M91.1 Juvenile osteochondrosis of femoral head [Legg-Calve-Perthes]

M91.2 Coxa plan. Hip deformity after juvenile osteochondrosis

M91.8 Other juvenile osteochondrosis of hip and pelvis Juvenile osteochondrosis after elimination of congenital hip dislocation

M91.9 Juvenile osteochondrosis of hip and pelvis, unspecified

M92 Other juvenile osteochondrosis

M92.0 Juvenile osteochondrosis of humerus

Heads of distal condyle of humerus [Panner]

Heads of the humerus [Haas]

M92.1 Juvenile osteochondrosis of radius and ulna

Lower part of the ulna [Burns]

Radius heads [Brailsford]

M92.2 Juvenile osteochondrosis of hand

Semilunar bone of the carpus [Kinbeck]

Metacarpus heads [Mauclair]

M92.3 Other juvenile osteochondrosis of upper limbs

M92.4 Juvenile osteochondrosis of the patella

Primary, patellar center [Kohler]

Secondary, patellar center [Sinding-Larsen]

M92.5 Juvenile osteochondrosis of tibia and fibula

Proximal end of the tibia [Blunt]

Tibial tubercle [Osgood-Schlatter]

M92.6 Juvenile osteochondrosis of tarsus

Abnormal bone located between the scaphoid

tarsal bone and head of the talus [Haglund]

Navicular tarsus [Kohler]

M92.7 Juvenile osteochondrosis of metatarsus

Fifth metatarsal bone [Izlena]

Second metatarsal [Freiberga]

M92.8 Other specified juvenile osteochondrosis Calcaneal apophysitis

M92.9 Juvenile osteochondrosis, unspecified

Epiphysitis > specified as juvenile,

Osteochondritis > unspecified

M93 Other osteochondropathy

Excludes: osteochondrosis of the spine (M42.-)

M93.0 Slip of superior femoral epiphysis (non-traumatic)

M93.1 Kienböck's disease in adults. Osteochondrosis of the semilunar bone of the wrist in adults

M93.2 Osteochondritis dissecans

M93.8 Other specified osteochondropathy

M93.9 Osteochondropathy, unspecified

Epiphysitis > not specified as an adult or

Osteochondritis > juvenile, unspecified

M94 Other disorders of cartilage [see localization code above]

M94.0 Cartilaginous rib joint syndrome [Tieze]

M94.1 Relapsing polychondritis

Excludes: chondromalacia patella (M22.4)

M94.8 Other specified disorders of cartilage

M94.9 Cartilage disorder, unspecified

OTHER musculoskeletal disorders

AND CONNECTIVE TISSUE (M95-M99)

M95 Other acquired deformities of the musculoskeletal system and connective tissue

congenital malformations and deformities of the musculoskeletal system (Q65-Q79)

maxillofacial anomalies [including malocclusion] (K07.-)

musculoskeletal disorders after medical procedures (M96.-)

M95.0 Acquired deformity of nose

Excludes: deviated septum (J34.2)

M95.1 Deformity of auricle due to trauma and subsequent perichondritis

Excludes: other acquired deformities of pinna (H61.1)

M95.2 Other acquired head deformities

M95.3 Acquired deformity of neck

M95.4 Acquired deformity of chest and ribs

M95.5 Acquired deformity of pelvis

Excluded: health care mother due to established or suspected non-compliance

M95.8 Other specified acquired deformities of musculoskeletal system

M95.9 Acquired deformities of musculoskeletal system, unspecified

M96 Disorders of the musculoskeletal system following medical procedures, not elsewhere classified

Excludes: arthropathy accompanying intestinal shunt (M02.0)

Availability functional implants and other prostheses (Z95-Z97)

M96.0 Pseudarthrosis after fusion or arthrodesis

M96.1 Post-laminectomy syndrome, not elsewhere classified

M96.2 Postradiation kyphosis

M96.3 Postlaminectomy kyphosis

M96.4 Post-surgical lordosis

M96.5 Postradiation scoliosis

M96.6 Fracture following insertion of orthopedic implant joint prosthesis or bone plate

Excludes: complications related to internal orthopedic devices, implants or

M96.8 Other disorders of musculoskeletal system following medical procedures

Joint instability due to removal of the joint prosthesis

M96.9 Disorder of musculoskeletal system after medical procedures, unspecified

M99 Biomechanical disorders, not elsewhere classified

The following additional fifth characters indicating the location of the lesion are given for optional use with the appropriate subcategories under M99. -; see also the indicated localization code on c 644.

0 Head region cervico-occipital region

1 Neck region cervicothoracic region

2 Chest region lumbar-thoracic region

3 Lumbar region lumbosacral region

4 Sacral region sacrococcygeal (sacroiliary) region

5 Pelvic area femoral, pubic area

6 Lower limb

7 Upper limb brachioclavicular, sternoclavicular region

8 Rib cage costal-cartilaginous, costovertebral, sternocartilaginous region

9 Abdomen and others

M99.0 Segmental or somatic dysfunction

M99.1 Subluxation complex (vertebral)

M99.2 Stenosis of neural canal with subluxation

M99.3 Bone stenosis of neural canal

M99.4 Connective tissue stenosis of neural canal

M99.5 Intervertebral disc stenosis of neural canal

M99.6 Bone and subluxation stenosis of intervertebral foramen

M99.7 Connective tissue and disc stenosis of intervertebral foramens

M99.8 Other biomechanical disorders

M99.9 Biomechanical disorder, unspecified

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Website " medical practice» is dedicated to medical practice, which tells about modern methods diagnostics, the etiology and pathogenesis of diseases, their treatment are described

Usually, sciatica is manifested by sudden onset of severe pain in the lower back, spreading to the back of the thigh. In more than 80% of cases, pain initially occurs in the lower back and only then moves to the back of the leg. Much less often, pain is noted simultaneously in the lower back and leg, and even more rarely only in the leg. The nature of the manifestation of pain is determined by the level of the lesion.
When the fifth lumbar root is infringed or inflamed, patients complain of shooting pains in the buttocks, the outer side of the thigh, the front surface of the lower leg and the inside of the foot, up to the big toe. In many cases, in the same areas there is a violation of skin sensitivity (paresthesia).
With the defeat of the first sacral root, the pain goes along the buttock, back and outer surface thighs, lower legs, and then along the plantar and outer part of the foot to the little finger. There is a significant weakening or complete disappearance of the Achilles tendon reflex.
Very often there is a combined lesion of several nerve roots, and then the clinical picture of the disease consists of a combination of individual radicular syndromes.
Sciatica usually develops acutely and lasts about 2-3 weeks. Patients tend to limit their mobility as much as possible, since any activity (walking, tilting, turning) leads to increased pain. In many cases, patients bend the spine in the direction of the lesion and hold it in that position. This forced posture is called analgesic scoliosis.
When examining a patient, a protective tension of the long muscles of the back is revealed. When pressing on the spinous processes of the vertebrae from the side, local pain occurs, which can sometimes spread to the surface of the buttock. Very often, during the examination, symptoms of vegetative-trophic disorders are also revealed (cooling and blanching of the skin, increased sweating, weakening of the pulsation of the arteries of the foot, etc.).
Lumbosacral sciatica is usually accompanied by the following symptoms:
- Symptom Lasegue - when raising the straightened leg from the side of the lesion in a patient lying on his back, there is a sharp increase in pain in the lumbar, gluteal regions and the back of the thigh.
- Bekhterev's symptom - if the patient moves from the "lying" position on the back to the "sitting" position, then reflex flexion of the sore leg is noted.
- Symptom Neri - with a sharp tilt of the head forward, there is an increase in pain in the lower back and leg.
- Symptom Dejerine - increased pain in the lower back when straining, coughing or sneezing.
- Symptom Bonnet - on the side of the lesion there is a smoothness of the gluteal fold.

Radiculopathy is a syndrome that occurs when the spinal nerve root is compressed as it exits the spine. It can present with pain, impaired movement in the limbs, and lack of sensation in the skin.

The terms "radiculopathy" and "sciatica" are often used interchangeably. These diagnoses, according to the international classification of diseases (ICD 10), have the same code - M54.1.

The most common cause of this disease is a herniated disc. The intervertebral disc is the cartilage that lies between the vertebrae. It performs a shock absorbing function. Inside its connective tissue sheath is a jelly-like substance. With unusually strong or frequent repetitive stress on the spine, such as lifting weights, playing various sports, this jelly can break through the disc and compress the nearby nerve.

In addition to disc herniation, vertebral osteophytes can be causes of nerve compression, i.e. bone outgrowths that form in the intervertebral space for reasons that are not entirely clear. The nerve can also be compressed in vertebral fractures. Such fractures can spontaneously occur in osteoporosis.

According to its mechanism, nerve damage in the above cases is a compression-ischemic neuropathy. This means that compression (compression) of the nerve trunk leads to ischemic changes in it, i.e. to oxygen starvation due to circulatory disorders. All other manifestations (pain, dysfunction) are the result of compression-ischemic injuries.

Radiculopathy is common. According to American studies, from 3 to 5% of US residents are affected. The cervical spine is somewhat less commonly affected. In the thoracic region, disc herniation is rarely formed due to the stabilizing effect of the rib cage of the chest.

If the treatment of compression radiculopathy is not started in a timely manner, the disease passes into the chronic stage. In the future, there is a high probability of disability.

Symptoms

The main symptom of compression of the nerves in the lumbosacral spine is pain. The pain can spread to the buttocks and lower - to the leg. Pain can be aggravated by walking, coughing, localized to the right, left or both sides of the spine. It is also sometimes possible to experience a feeling of numbness and weakness in the legs.

Symptoms of compression of the roots in the cervical region are pain in the neck and arm, as well as weakness during movements of the upper limb and a feeling of numbness in the fingers.

Diagnosis of this disease consists of several stages. First, the doctor analyzes the patient's complaints:

• clarifies the main complaint (pain, weakness, numbness);
• assesses the localization of pain (height of the site of the disease, location to the right, to the left of the spinal column);
• asks about the circumstances under which the pain appeared, and the attempts made to treat it;
• finds out the patient's occupation and lifestyle features, since this aspect can be key in the occurrence of complaints.

The next step in the process of establishing a diagnosis is an objective examination. The doctor examines the patient, studying the signs of asymmetric muscle tension on the right or left, then performs a neurological survey. With the help of palpation, he finds out the points of maximum pain: on the right, on the left, on both sides. Using a neurological hammer, it checks the reflexes and sensitivity of the skin of the extremities.

After a direct examination of the patient, the time comes for X-ray methods. Plain x-rays of the spine are often used to diagnose compression-ischemic radiculopathy. However, its diagnostic value is limited. With the help of radiography, you can see signs of gross destruction of bones of a traumatic or tumor nature. But in most cases, you will not see a disc herniation on a plain radiograph.

The best way to detect a herniated disc is magnetic resonance imaging (MRI). MRI has excellent sensitivity and is the method of choice in diagnosing the causes of compression-ischemic nerve damage.

However, not everything is unambiguous in the issue of MRI diagnostics. This study sometimes finds herniated discs in patients with absolutely no pain. And this means that a herniated disc does not necessarily cause compression-ischemic neuropathy in all cases.

Computed tomography (CT) is also used to diagnose compression radiculopathy, but is less sensitive than MRI. As with magnetic resonance imaging, false positive results are possible.

Differential Diagnosis

What diseases should be distinguished from radiculopathy?

Compression damage to the nerves of the lumbosacral region (ICD code 10 - M54.1) has similar symptoms with trochanteric bursitis (ICD code 10 - M70.60).

Radiculopathy of the cervical spine must be differentiated with the following diseases:

• tendinitis of the rotator cuff of the shoulder (ICD code 10 - M75.1);
• arthrosis of the facet joints (ICD code 10 - M53.82);
• damage to the brachial plexus (ICD code 10 - G54.0);
• stretching of the neck muscles (ICD code 10 - S16).

The tactics of treatment of compression radiculopathy varies depending on the phase of the disease. Due to the fact that the risk of developing disability is quite high, with this disease it is extremely undesirable to engage in self-treatment with folk remedies.

Non-steroidal anti-inflammatory drugs (NSAIDs) are the mainstay of therapy for the disease in the acute period. NSAIDs are prescribed to relieve pain and reduce inflammation. In the acute phase, muscle relaxants can also be prescribed to relieve spasm of the skeletal muscles. In some cases, a special class of drugs called anticonvulsants is needed to relieve particularly severe pain.

Sometimes an anti-inflammatory treatment such as epidural steroid injection is used. It consists in the fact that with the help of a special needle a strong anti-inflammatory drug is injected directly under the membranes of the spinal cord.

Quite rarely, there are situations when surgical intervention is required in the acute phase. This can happen if there is a motor deficit, i.e. a person cannot move an arm or leg, while motor function continues to deteriorate.

An important aspect of treatment in any period of the disease is to maintain correct posture, the use of rational weight lifting techniques. The load to be lifted must be symmetrically distributed to the right and left of the midline of the body.

In the recovery phase, massage and various physiotherapy methods are usually used.

After stopping the course of treatment, a person should be attentive to his health and perform strengthening exercises of therapeutic exercises for a long time.

In conclusion, it must be said that radiculopathy is a dangerous disease. Although it is not usually life-threatening, the disease carries high risks of chronicity and disability. With timely seeking medical help and refusing self-treatment, the prognosis is usually favorable.

Excludes: cervicalgia due to intervertebral disc disease (M50.-)

Excluded:

• lesion of the sciatic nerve (G57.0)
• sciatica:
  • with lumbago (M54.4)

Tension in the lower back

Excludes: lumbago:

• with sciatica (M54.4)

Excludes: due to damage to the intervertebral disc (M51.-)

In Russia, the International Classification of Diseases of the 10th revision (ICD-10) is adopted as a single regulatory document for accounting for morbidity, reasons for the population to contact medical institutions of all departments, and causes of death.

ICD-10 was introduced into healthcare practice throughout the Russian Federation in 1999 by order of the Russian Ministry of Health dated May 27, 1997. №170

The publication of a new revision (ICD-11) is planned by WHO in 2017 2018.

With amendments and additions by WHO.

Processing and translation of changes © mkb-10.com

Causes, symptoms and treatment of radiculopathy

Radiculopathy is a syndrome that occurs when the spinal nerve root is compressed as it exits the spine. It can present with pain, impaired movement in the limbs, and lack of sensation in the skin.

The terms "radiculopathy" and "sciatica" are often used interchangeably. These diagnoses, according to the international classification of diseases (ICD 10), have the same code - M54.1.

Causes

The most common cause of this disease is a herniated disc. The intervertebral disc is the cartilage that lies between the vertebrae. It performs a shock absorbing function. Inside its connective tissue sheath is a jelly-like substance. With unusually strong or frequent repetitive stress on the spine, such as lifting weights, playing various sports, this jelly can break through the disc and compress the nearby nerve.

In addition to disc herniation, vertebral osteophytes can be causes of nerve compression, i.e. bone outgrowths that form in the intervertebral space for reasons that are not entirely clear. The nerve can also be compressed in vertebral fractures. Such fractures can spontaneously occur in osteoporosis.

According to its mechanism, nerve damage in the above cases is a compression-ischemic neuropathy. This means that compression (compression) of the nerve trunk leads to ischemic changes in it, i.e. to oxygen starvation due to circulatory disorders. All other manifestations (pain, dysfunction) are the result of compression-ischemic injuries.

Radiculopathy is common. According to American studies, 3 to 5% of US residents suffer from lumbosacral radiculopathy. The cervical spine is somewhat less commonly affected. In the thoracic region, disc herniation is rarely formed due to the stabilizing effect of the rib cage of the chest.

If the treatment of compression radiculopathy is not started in a timely manner, the disease passes into the chronic stage. In the future, there is a high probability of disability.

Symptoms

The main symptom of compression of the nerves in the lumbosacral spine is pain. The pain can spread to the buttocks and lower - to the leg. Pain can be aggravated by walking, coughing, localized to the right, left or both sides of the spine. It is also sometimes possible to experience a feeling of numbness and weakness in the legs.

Symptoms of compression of the roots in the cervical region are pain in the neck and arm, as well as weakness during movements of the upper limb and a feeling of numbness in the fingers.

Diagnostics

Diagnosis of this disease consists of several stages. First, the doctor analyzes the patient's complaints:

• clarifies the main complaint (pain, weakness, numbness);
• assesses the localization of pain (height of the site of the disease, location to the right, to the left of the spinal column);
• asks about the circumstances under which the pain appeared, and the attempts made to treat it;
• finds out the patient's occupation and lifestyle features, since this aspect can be key in the occurrence of complaints.

The next step in the process of establishing a diagnosis is an objective examination. The doctor examines the patient, studying signs of asymmetric muscle tension on the right or left, then conducts a neurological examination. With the help of palpation, he finds out the points of maximum pain: on the right, on the left, on both sides. Using a neurological hammer, it checks the reflexes and sensitivity of the skin of the extremities.

After a direct examination of the patient, the time comes for X-ray methods. Plain x-rays of the spine are often used to diagnose compression-ischemic radiculopathy. However, its diagnostic value is limited. With the help of radiography, you can see signs of gross destruction of bones of a traumatic or tumor nature. But in most cases, you will not see a disc herniation on a plain radiograph.

The best way to detect a herniated disc is magnetic resonance imaging (MRI). MRI has excellent sensitivity and is the method of choice in diagnosing the causes of compression-ischemic nerve damage.

However, not everything is unambiguous in the issue of MRI diagnostics. This study sometimes finds herniated discs in patients with absolutely no pain. And this means that a herniated disc does not necessarily cause compression-ischemic neuropathy in all cases.

Computed tomography (CT) is also used to diagnose compression radiculopathy, but is less sensitive than MRI. As with magnetic resonance imaging, false positive results are possible.

Differential Diagnosis

What diseases should be distinguished from radiculopathy?

Compression damage to the nerves of the lumbosacral region (ICD code 10 - M54.1) has similar symptoms with trochanteric bursitis (ICD code 10 - M70.60).

Radiculopathy of the cervical spine must be differentiated with the following diseases:

• tendinitis of the rotator cuff of the shoulder (ICD code 10 - M75.1);
• arthrosis of the facet joints (ICD code 10 - M53.82);
• damage to the brachial plexus (ICD code 10 - G54.0);
• stretching of the neck muscles (ICD code 10 - S16).

Treatment of the disease

The tactics of treatment of compression radiculopathy varies depending on the phase of the disease. Due to the fact that the risk of developing disability is quite high, with this disease it is extremely undesirable to engage in self-treatment with folk remedies.

Non-steroidal anti-inflammatory drugs (NSAIDs) are the mainstay of therapy for the disease in the acute period. NSAIDs are prescribed to relieve pain and reduce inflammation. In the acute phase, muscle relaxants can also be prescribed to relieve spasm of the skeletal muscles. In some cases, a special class of drugs called anticonvulsants is needed to relieve particularly severe pain.

Sometimes an anti-inflammatory treatment such as epidural steroid injection is used. It consists in the fact that with the help of a special needle a strong anti-inflammatory drug is injected directly under the membranes of the spinal cord.

Quite rarely, there are situations when surgical intervention is required in the acute phase. This can happen if there is a motor deficit, i.e. a person cannot move an arm or leg, while motor function continues to deteriorate.

An important aspect of treatment in any period of the disease is to maintain correct posture, the use of rational weight lifting techniques. The load to be lifted must be symmetrically distributed to the right and left of the midline of the body.

In the recovery phase, massage and various physiotherapy methods are usually used.

After stopping the course of treatment, a person should be attentive to his health and perform strengthening exercises of therapeutic exercises for a long time.

In conclusion, it must be said that radiculopathy is a dangerous disease. Although it is not usually life-threatening, the disease carries high risks of chronicity and disability. With timely seeking medical help and refusing self-treatment, the prognosis is usually favorable.

Bechterew's disease and other autoimmune diseases

Back pain (dorsalgia)

Other pathologies of the spinal cord and brain

Other musculoskeletal injuries

Diseases of the muscles and ligaments

Diseases of the joints and periarticular tissues

Curvature (deformity) of the spine

Treatment in Israel

Neurological symptoms and syndromes

Tumors of the spine, brain and spinal cord

Answers to questions from visitors

Soft tissue pathologies

Radiography and other instrumental diagnostic methods

Symptoms and syndromes of diseases of the musculoskeletal system

Vascular diseases of the CNS

Spinal and CNS injuries

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Lumbar sacral osteochondrosis mkb 10

Be healthy!

ICD-10: M54.1 - Radiculopathy (radiculopathy)

Radiculitis (synonymous with vertebrogenic radiculopathy, radicular syndrome; from Latin radiculus - root, pathia - lesion) is a lesion of the intervertebral nerve extending from the spinal cord as a result of its infringement or irritation. Most often, the disease manifests itself as pain in the neck, lower back, arm or leg.

The clinic of Dr. Ignatiev diagnoses and treats vertebrogenic radiculopathy in Kyiv. Admission is by appointment only!

Jump to sections:

1. Symptoms of vertebrogenic radiculopathy
2. Causes of sciatica
3. Treatment of sciatica

Every eighth suffers from sciatica and, unfortunately, if people over the age of 40 used to get sick more often, then in the last decade, sciatica has become younger. Especially susceptible to radiculopathy are people involved in professional sports, as well as those who sit at the computer for a long time, driving a car.

According to new ideas and understanding of the processes of the disease, the term "sciatica" is used less and less, since in translation from Latin it means "inflammation of the nerve root." Modern studies have proven that in fact there is no inflammation here, but there are reflex, compression-ischemic phenomena and it is more correct to use the term "radiculopathy". If a connection between the disease and the spine is established, then use the terms - vertebrogenic or discogenic radiculopathy.

Infringement of the nerve roots can occur at any level of the spine, and depending on this, there will be an appropriate localization of pain. Pain in sciatica is manifested by sharp burning, shooting pains, tingling, numbness, "goosebumps". The pain may be so severe that sleeping, walking, sitting, bending over, and performing movements that healthy man performs many times throughout the day - impossible.

Diagnosis of lumbar sciatica

Radiculitis - Clinic of Dr. Ignatiev

ICD -10. M54.1 Radiculopathy Radiculitis (syn.

vertebrogenic radiculopathy, radicular syndrome; from lat. radiculus-

Symptoms and types of sciatica

Depending on the level at which the nerve roots are damaged, the following types of radiculitis are distinguished:

Pain in the spine. Formulation of the diagnosis, ICD. [Archive.

Lumbosacral sciatica on the background of osteochondrosis.

The ICD-10 classification cannot fully satisfy this.

Assessment of the musculoskeletal apparatus in cervical radiculitis

With cervical sciatica (cervicalgia), pain occurs in the back of the head, accompanied by numbness and limited movement in the neck. The cause of cervical radiculitis is most often in chronic diseases of the spine (osteochondrosis), displacement of the vertebrae, etc. As a result, in addition to pain in the neck, there are headaches, dizziness, unsteadiness when walking, hearing loss, and more.

With cervicobrachial radiculitis (cervicobrachialgia), pain from the neck extends to one or both arms. They are aggravated by movements of the neck, hands, coughing, bending over, etc.

Thoracic sciatica (thoracalgia), can be confused with pain in the heart, intercostal neuralgia and other diseases. characteristic symptom consider that with a deep breath the pain intensifies, is localized along several ribs, occurs abruptly, paroxysmal. When examining other organs, there are no pathologies. Proper Treatment gives a quick and positive effect.

Lumbosacral sciatica occurs as a result of compression of the lumbar or sacral nerve roots. Depending on which roots are pinched, the pain can spread only to the lower back (lumbago) or also to the leg (lumboischialgia). In this case, the pain intensifies if you touch your chin to the sternum or lying on your stomach, raise your straight leg up. Lumbar sciatica is most often prone to relapse, it is important to treat it in a timely manner.

Radiculitis (radicular syndrome) is a disease of the peripheral nervous

systems. Radiculitis - Radick's disease ICD 10 M54.154.1 ICD 9 729.2729.

Cause of sciatica

In medicine, there is still no consensus on the origin of sciatica. In the 19th century, it was believed that the cause of radiculitis was inflammation of the nerve root of an infectious genesis; they were treated with large doses of anti-inflammatory drugs. hormonal drugs. At the beginning of the 20th century, all attention was paid to intervertebral hernias, mass operations were carried out.

Now we have come to the conclusion that subluxations of the vertebrae play an important role in pain syndromes, and in the treatment it is necessary to pay attention to this particular pathology. But if there is intervertebral hernia large sizes(more than 6 mm), may need surgical treatment. Contribute to the appearance of pain osteochondrosis and reactivity of the nervous system.

Diagnosis of the spine in vertebrogenic lesions

Depending on the cause, the lesion is divided into compression, ischemic and compression-ischemic. The most unfavorable treatment for compression radiculopathies is when there is direct compression of the root.

Treatment of sciatica

Before starting treatment, it is always important to carry out an examination, to make an examination to exclude other pathologies. If there are no contraindications to the treatment of the spine, then proceed to treatment.

How is the treatment of sciatica in the Clinic of Dr. Ignatiev, Kyiv:

1. A complete diagnosis is carried out, symptoms are collected, testing is carried out. The task is to detect the cause of radiculitis in the spine and evaluate the possibility of its elimination;
2. A course of treatment lasting from 1.5 months is planned;
3. The course of treatment (correction of the spine, elimination of pain, accompanying the patient, elimination of overload of the spine);
4. Compliance with the orthopedic regime of work and rest;
5. Performing special therapeutic exercises;
6. Supportive, preventive treatment.

When choosing an attending physician, take into account many factors, in fact, this is the same operation on the spinal cord “without a scalpel”. Just as when choosing a neurosurgeon, be careful, you trust him with the most valuable thing you have - your health.

The clinic of Dr. Ignatiev treats sciatica with non-surgical, in most cases, drug-free methods, according to the Ignatiev method.

You can always get a qualified consultation at the Clinic of Dr. Ignatiev. Registration is made by phone.

Osteochondrosis GOES OUT INSTANTLY!

A striking discovery in the treatment of osteochondrosis

The studio was amazed at how easy it is to FULLY get rid of Osteochondrosis now.

It has long been firmly believed that it is impossible to get rid of osteochondrosis for good. To feel relief, you need to constantly drink expensive pharmaceuticals. Is it really? Let's figure it out!

Hello, I'm Dr. Myasnikov. And we start the program "About the most important thing" - about our health. I want to emphasize that our program is educational in nature. Therefore, do not be surprised if something seems unusual or unusual to you. So let's get started!

Osteochondrosis is chronic illness spine, which affects the intervertebral discs and cartilage. This common disease occurs in most people over the age of 40. The first signs of the disease often appear on the fly. Osteochondrosis of the spine is considered the main cause of back pain. It has been established that 20-30% of the adult population suffer from osteochondrosis. With age, the prevalence of the disease increases and reaches 50-65%.

It has been said more than once about the problems of the spine and cervical region. Much has been said about methods of preventing osteochondrosis. Mainly - healthy eating, healthy lifestyle life, physical education.

And what methods should be used to fight osteochondrosis?

Expensive drugs and devices are measures that only temporarily help relieve pain. Moreover, drug intervention in the body depresses the liver, kidneys and other organs. Surely those who have osteochondrosis know about these problems.

Raise your hands who faced side effect medicines for high blood pressure?

Well, the forest of hands. We, in our program, often talk about surgery and medical procedures, but very rarely touch folk methods. And not just recipes from grandmothers, but those recipes that have been recognized in the scientific community. and of course recognized by our viewers.

Today we will talk about the effects of medicinal teas and herbs on osteochondrosis.

Surely you are now wondering how tea and herbs can help us cure this disease?

If you remember, a few issues ago I talked about the possibility of "launching" the regeneration of the body. by acting on certain cell receptors. Thus, the causes of spinal disease are eliminated.

And how does it work, you ask? Will explain. Tea therapy, with the help of specific substances and antioxidants, affects certain cell receptors that are responsible for its regeneration and performance. There is a "rewriting" of information about diseased cells to healthy ones. As a result, the body begins the process of healing (regeneration), namely returns. as we say, to the “health point”.

At the moment, there is a unique center that collects Monastic Tea - this is a small monastery in Belarus. There is a lot of talk about him both on our channel and on others. And for good reason, I tell you! This is not some simple tea, but a unique collection of the rarest and most powerful natural healing herbs and substances. This tea proved its effectiveness not only to patients, but also to science, which recognized it as an effective drug.

Osteochondrosis goes away in 5-10 days. as studies have shown. The main thing is to strictly follow the instructions in the instructions! The method is absolutely working, I vouch for my reputation!

Due to the complex effect at the cellular level, tea therapy helps to cope even with such terrible diseases as diabetes, hepatitis, prostatitis, psoriasis, and hypertension.

We invited Anastasia Ivanovna Koroleva, one of the thousands of patients helped by Monastyrsky Tea, to the studio.

Alexander Myasnikov: “Anastasia Ivanovna, tell us more about the treatment process?”

A. Koroleva: “Every day I felt better. Osteochondrosis receded by leaps and bounds! In addition, there was a general improvement of the body: the ulcer stopped bothering me, I could afford to eat almost everything I wanted. I believed! I realized that this is for me the only way out! Then it was all over, the headaches were gone. At the end of the course, I became absolutely healthy! Fully!! The main thing in tea therapy is a complex effect.

Classical treatment does NOT remove the root cause of the disease. but only struggles with its external manifestations. And Monastic Tea restores the entire body, while our doctors are always bombarded with complex, incomprehensible terms and are constantly trying to impose expensive drugs that are of no use ... As I said, I tried it all on myself personally.

Alexander Myasnikov: “Thank you, Anastasia Ivanovna!”

As you can see, the path to health is not so difficult.

Be careful! We recommend ordering the original Monastic Tea against osteochondrosis only on the official website. which we have checked. This product has all the necessary certificates, its effectiveness has been clinically confirmed.

Monastic Tea Official Website

Be healthy and see you soon!

Alexander Myasnikov, the program "About the most important thing."

Elena Malysheva: Osteochondrosis goes away instantly! A striking discovery in the treatment of osteochondrosis.

Hello, my dear!

For many years now, I have been appearing on your TV screens every day, and more than once we talked about the problems of the joints and spine. Much has been said about methods of treating osteochondrosis and joint pain. Basically, it is a medical or surgical intervention in the body. We, in our program, often talk about surgery and medical procedures, but very rarely touch on folk methods. And not just recipes from grandmothers, but what was recognized in the scientific community, and of course recognized by our viewers. Today we will talk about the healing effect of teas.

Surely you are now at a loss, what other healing teas can we talk about in the treatment of osteochondrosis? Indeed, how can ordinary tea help in the treatment of such a serious disease as osteochondrosis? If you remember, a few issues ago I talked about the possibility of starting the regeneration of the body, by influencing certain receptors in the cells of our body. So, to cure pain in the back and joints and not only, you need to start the process of return, that is, return the cells to their original state. After all, medicine, for the most part, is a struggle with the investigation. And it is necessary to eliminate the cause and return the body to its original state. That is why, after taking the right dosage of certain substances contained in the rare variety of Monastic Tea, almost all patients feel light, as if they were born again. Men, in turn, felt a surge of strength, persistent potency, a powerful surge of energy, they began to get better sleep.

Tea therapy helps to cope even with such terrible diseases as hepatitis, cirrhosis, prostatitis, psoriasis, osteochondrosis. Best of all, black Monastic Tea copes with osteochondrosis, as studies have shown, because this disease can appear from our unstable metabolism and improper cell function. After all, when we have problems, joint pain destroys the body, and when everything is fine, the body comes into tone. That is, the whole system directly affects the state of the body. And this connection helps to fight the disease as effectively as possible.

And how does it work, you ask? Will explain. Tea therapy, with the help of specific substances and antioxidants, affects certain receptors, which are responsible for its regeneration and performance. Information about diseased cells is overwritten with healthy ones. As a result, the body begins the healing process, namely, it returns, as we say, to the point of health.

At the moment, there is the only center that collects and sells this Monastic Tea - this is a small monastery in Belarus. There is a lot of talk about him both on our channel and on others. And for good reason, I tell you! This is not some simple tea, but a unique blend of the rarest and most powerful natural healing substances. This tea proved its effectiveness not only to patients, but also to science, which recognized it as an effective drug. Pain in the joints and back go back, as studies have shown. The main thing is to strictly follow the instructions in the methodology!

We invited Igor Krylov to the studio, one of the thousands of patients who were helped by Monastic Tea:

Igor Krylov: Every day I felt an improvement. Pain in the joints and back receded by leaps and bounds! In addition, there was a general improvement of the body: the ulcer stopped bothering me, I could afford to eat almost everything I wanted. I believed! I realized that this is the only way out for me! Then it was all over, the headaches were gone. At the end of the course, I became absolutely healthy! Fully. The main thing in tea therapy is a complex effect. Classical treatment does NOT remove the ORIGINAL CAUSE of the disease, but only fights its external manifestations. And Monastic Tea RESTORES THE WHOLE ORGANISM, while our doctors are always falling asleep with complex incomprehensible terms and are always trying to sell expensive drugs that are of no use ... As I said, I tried all this on myself personally

Elena Malysheva: Igor, tell us more about the treatment process!

Igor Krylov: I could not go to the Belarusian monastery itself, so I ordered Monastic Tea from this site. To get it, fill in your details on the site, leave a working phone number so that they can contact you and discuss the details. I received the tea in 4 days, it came in a closed envelope, without identification marks. The remedy is worth a penny, relative to the price that I spent on treatment and would have spent even more if I had not ordered this tea! There are instructions, so the technique can be easily understood. Already after the first dose, improvement is felt. Try it yourself and you will understand me.

Elena Malysheva: Thank you, Igor, our operators will place a link to the website of the Belarusian Monastery in order to place an order.

As you can see, the path to health is not so difficult. You can order monastery tea here. This is the official site.

Original Monastic Tea can only be ordered on the official website, which is published below. This product has all the necessary certificates and has been tested for effectiveness. There are a lot of fakes in Russia, ordering which you will not get the effect.

ICD 10. Class XIII (M50-M99)

ICD 10. Class XIII. OTHER DORSOPATHY (M50-M54)

Excludes: current injury - see injuries of spine by body region discitis NOS (M46.4)

M50 Injury of intervertebral discs of cervical region

Includes: cervical disc lesions with pain syndrome

lesions of the intervertebral discs of the cervicothoracic region

M50.0+ Injury of cervical intervertebral disc with myelopathy (G99.2*)

M50.1 Disorder of cervical intervertebral disc with radiculopathy

Excludes: shoulder sciatica NOS (M54.1)

M50.2 Displacement of cervical intervertebral disc of other type

M50.3 Other cervical intervertebral disc degeneration

M50.8 Other disorders of cervical intervertebral disc

M50.9 Disorder of cervical intervertebral disc, unspecified

M51 Involvement of intervertebral discs of other departments

Includes: lesions of the intervertebral discs of the thoracic,

thoracic and lumbosacral regions

M51.0+ Disorders of lumbar and other intervertebral discs with myelopathy (G99.2*)

M51.1 Disorders of lumbar and other intervertebral discs with radiculopathy

Sciatica due to damage to the intervertebral disc

Excludes: lumbar sciatica NOS ( M54.1 )

M51.2 Other specified displacement of intervertebral disc. Lumbago due to displacement of the intervertebral disc

M51.3 Other specified intervertebral disc degeneration

M51.8 Other specified lesion of intervertebral disc

M51.9 Disorder of intervertebral disc, unspecified

M53 Other dorsopathies, not elsewhere classified [see localization code above]

M53.0 Cervical-cranial syndrome Posterior sympathetic syndrome

M53.1 Neck and shoulder syndrome

Excludes: cervical intervertebral disc disease (M50.-)

infracracal syndrome [brachial plexus involvement] (G54.0)

M53.2 Spinal instability

M53.3 Sacrococcygeal disorders, not elsewhere classified coccygodynia

M53.8 Other specified dorsopathies

M53.9 Dorsopathy, unspecified

M54 Dorsalgia [localization code see above]

Excludes: psychogenic dorsalgia (F45.4)

M54.0 Panniculitis affecting cervical and spine

Neuritis and sciatica:

Excl.: neuralgia and neuritis NOS (M79.2)

Cervical intervertebral disc injury

Damage to the lumbar intervertebral disc

Excludes: cervicalgia due to intervertebral disc disease (M50.-)

Excludes: lesion of sciatic nerve (G57.0)

Caused by intervertebral disc disease (M51.1)

Excludes: due to intervertebral disc disease (M51.1)

M54.5 Pain in the lower back. Lumbar pain. Tension in the lower back. Lumbago NOS

Due to displacement of the intervertebral disc (M51.2)

M54.6 Pain in thoracic spine

Excludes: due to damage to the intervertebral disc (M51.-)

M54.9 Dorsalgia, unspecified Back pain NOS

SOFT TISSUE DISEASES (M60-M79)

MUSCLE DISEASES (M60-M63)

Excludes: dermatopolymyositis (M33.-)

M60 Myositis [localization code see above]

M60.0 Infectious myositis. Tropical pyomyositis

Additional codes (B95-B97) are used if necessary to identify the infectious agent.

M60.1 Interstitial myositis

M60.2 Soft tissue granuloma due to foreign body, not elsewhere classified

Excludes: granuloma of skin and subcutaneous tissue due to foreign body (L92.3)

M61 Muscle calcification and ossification [see localization code above]

M61.0 Myositis ossificans, traumatic

M61.1 Myositis ossificans, progressive Fibrodysplasia ossificans, progressive

M61.2 Paralytic calcification and ossification of muscles Myositis ossificans with quadriplegia or paraplegia

M61.3 Muscle calcification and ossification associated with burns Myositis ossificans associated with burns

M61.4 Muscle calcification other

Excludes: calcific tendinitis (M65.2)

M61.5 Muscle ossification other

M61.9 Muscle calcification and ossification, unspecified

M62 Other muscle disorders [see localization code above]

Excludes: convulsions and spasm (R25.2)

M62.1 Other rupture of muscle (non-traumatic)

Excl.: tendon rupture (M66.-)

traumatic muscle tear - see muscle injuries by area of ​​the body

M62.2 Ischemic myocardial infarction

Excludes: compression syndrome (T79.6)

traumatic ischemia of muscle (T79.6)

Volkmann's ischemic contracture (T79.6)

M62.3 Immobilization syndrome (paraplegic)

Excludes: joint contracture (M24.5)

M62.5 Muscle wasting and wasting, not elsewhere classified

Muscle atrophy in the absence of a functional load on them NEC

Excludes: current injury - see muscle injury by body area

M62.8 Other specified disorders of muscles Muscular hernia (shells)

M62.9 Disorders of muscles, unspecified

M63* Muscle disorders in diseases classified elsewhere

Excludes: myopathy with:

M63.0* Myositis in bacterial diseases classified elsewhere

M63.2* Myositis in other infectious diseases classified elsewhere

M63.8* Other muscular disorders in diseases classified elsewhere

SYNOVIA AND TENDON LESIONS (M65-M68)

M65 Synovitis and tenosynovitis [see localization code above]

Excludes: chronic crepitant synovitis of hand and wrist (M70.0)

current injury - see ligament or tendon injury by area of ​​the body

soft tissue disorders associated with exercise, overload and pressure (M70.-)

M65.0 Abscess of tendon sheath

Use an additional code (B95-B96) if necessary to identify the bacterial agent.

M65.1 Other infectious (teno)synovitis

M65.2 Calcific tendinitis

M65.3 Trigger finger. Nodular disease of the tendon

M65.4 Tenosynovitis of styloid process of radius [de Quervain's syndrome]

M65.8 Other synovitis and tenosynovitis

M65.9 Synovitis and tenosynovitis, unspecified

M66 Spontaneous rupture of synovium and tendon [see localization code above]

Includes: tissue tears caused by the application of conventional

efforts, as a result of a decrease in the strength of tissues

Excl.: rotator impingement syndrome (M75.1)

traumatic rupture (when excessive force is applied to normal tissues) - see tendon injury under

M66.0 Rupture of popliteal cyst

M66.1 Rupture of synovium. Synovial cyst rupture

Excludes: ruptured popliteal cyst (M66.0)

M66.2 Spontaneous rupture of extensor tendons

M66.3 Spontaneous flexor tendon rupture

M66.4 Spontaneous rupture of other tendons

M66.5 Spontaneous rupture of tendons, unspecified Rupture of the musculotendinous junction, non-traumatic

M67 Other disorders of synovial membranes and tendons

Excludes: Dupuytren's palmar fascial fibromatosis (M72.0)

xanthomatosis localized in tendons (E78.2)

M67.0 Calcaneal [Achilles] tendon short (acquired)

M67.1 Other contracture of tendon (sheath)

Excludes: with joint contracture (M24.5)

M67.2 Synovial hypertrophy, not elsewhere classified

Excludes: villous-nodular [villonodular] synovitis, (pigmented) (M12.2)

M67.3 Migratory synovitis Toxic synovitis

M67.4 Ganglion. Ganglion of a joint or tendon (sheath)

ganglion in yaws (A66.6)

M67.8 Other specified disorders of synovium and tendon

M67.9 Disorder of synovium and tendon, unspecified

M68* Disorders of synovial membranes and tendons in diseases

classified elsewhere

M68.0* Synovitis and tenosynovitis in bacterial diseases classified elsewhere

Synovitis and tenosynovitis with:

M68.8* Other disorders of synovium and tendons in diseases classified elsewhere

OTHER SOFT TISSUE DISEASES (M70-M79)

M70 Soft tissue disorders associated with exercise, overload and pressure [see localization code above]

Includes: occupational soft tissue diseases

M70.0 Chronic crepitant synovitis of hand and wrist

M70.2 Bursitis of olecranon

M70.3 Other bursitis of elbow

M70.4 Prepatellar bursitis

M70.5 Other bursitis of knee

M70.6 Bursitis of the greater trochanter (femur). Tendonitis of the greater trochanter

M70.7 Other hip bursitis ischial bursitis

M70.8 Other soft tissue disorders associated with stress, overload and pressure

M70.9 Unspecified disorders of soft tissue associated with stress, overload and pressure

M71 Other bursopathies [see localization code above]

Excl.: bunion of the big toe (M20.1)

bursitis associated with exercise, congestion and pressure (M70.-)

M71.0 Bursal abscess

M71.1 Other infectious bursitis

M71.2 Synovial cyst of popliteal region [Baker]

M71.3 Other bursal cyst. Synovial cyst NOS

Excludes: synovial cyst with rupture (M66.1)

M71.4 Calcium deposits in bursae

M71.5 Other bursitis, not elsewhere classified

M71.8 Other specified bursopathies

M71.9 Bursopathy, unspecified Bursitis NOS

M72 Fibroblastic disorders [see localization code above]

Excludes: retroperitoneal fibromatosis (D48.3)

M72.0 Palmar fascial fibromatosis [Dupuytren]

M72.1 Connective tissue nodules on dorsum of fingers

M72.2 Plantar fascial fibromatosis plantar fasciitis

M72.4 Pseudosarcomatous fibromatosis

M72.5 Fasciitis, not elsewhere classified

M72.8 Other fibroblastic disorders

M72.9 Fibroblastic disorders, unspecified

M73* Soft tissue disorders in diseases classified elsewhere [see localization code above]

M73.8* Other soft tissue disorders in diseases classified elsewhere

M75 Shoulder disorders

Excludes: shoulder-hand syndrome (M89.0)

M75.0 Adhesive capsulitis of shoulder. "Frozen Shoulder" Shoulder periarthritis

M75.1 Shoulder rotator compression syndrome Rotator compression or suprastenal incision or tear (complete) (incomplete), not specified as traumatic. Supraspinal syndrome

M75.2 Biceps tendonitis

M75.3 Calcific tendonitis of shoulder Calcium deposition in the synovial sac of the shoulder

M75.8 Other disorders of shoulder

M75.9 Disorder of shoulder, unspecified

M76 Enthesopathies of lower limb, excluding foot [localization code see above]

Note The descriptive terms bursitis, capsulitis, and tendinitis are often used without clear differentiation.

for various disorders of peripheral ligaments or muscle attachments; most of these conditions are grouped together under the term 'enthesopathy', which is common to lesions at these sites.

Excludes: bursitis due to exercise, overload and pressure (M70.-)

M76.0 Gluteal tendonitis

M76.1 Lumbar tendonitis

M76.2 Spur of iliac crest

M76.3 Iliac tibial ligament syndrome

M76.4 Tibial collateral bursitis [Pellegrini-Stidy]

M76.5 Patellar tendonitis

M76.6 Calcaneal [Achilles] tendonitis. Calcaneal [Achilles] tendon bursitis

M76.7 Tendonitis of fibula

M76.8 Other enthesopathies of lower limb, excluding foot Tibialis anterior syndrome

Tibialis posterior tendonitis

M76.9 Enthesopathy of lower limb, unspecified

M77 Other enthesopathies [see localization code above]

spinal enthesopathy (M46.0)

M77.0 Medial epicondylitis

M77.1 Lateral epicondylitis tennis elbow

M77.2 Periarteritis of the wrist

Excludes: Morton's metatarsalgia (G57.6)

M77.5 Other enthesopathies of foot

M77.8 Other enthesopathies, not elsewhere classified

M77.9 Enthesopathy, unspecified Bone spur NOS. Capsulitis NOS. Periarthritis NOS. Tendinitis NOS

M79 Other soft tissue diseases, not elsewhere classified [see localization code above]

Excludes: soft tissue pain, psychogenic (F45.4)

M79.0 Rheumatism, unspecified Fibromyalgia. Fibrositis

Excludes: palindromic rheumatism (M12.3)

M79.2 Neuralgia and neuritis, unspecified

M79.3 Panniculitis, unspecified

M79.4 Hypertrophy of (popliteal) fat pad

M79.5 Residual foreign body in soft tissue

Excludes: granuloma (caused by foreign body in):

M79.8 Other specified lesions of soft tissue

M79.9 Soft tissue disease, unspecified

OSTEOPATHY AND CHONDROPATHY

BONE DENSITY AND STRUCTURE DISORDERS

M80 Osteoporosis with pathologic fracture [see localization code above]

Inclusions: osteoporotic destruction and wedging of a vertebra

pathological fracture NOS (M84.4)

wedge-shaped deformity of vertebra NOS (M48.5)

M80.0 Postmenopausal osteoporosis with pathologic fracture

M80.1 Osteoporosis with pathological fracture after ovariectomy

M80.2 Osteoporosis with pathological fracture due to immobility

M80.3 Post-surgical osteoporosis with pathological fracture due to intestinal malabsorption

M80.4 Drug-induced osteoporosis with pathological fracture

M80.5 Idiopathic osteoporosis with pathological fracture

M80.8 Other osteoporosis with pathological fracture

M80.9 Osteoporosis with pathological fracture, unspecified

M81 Osteoporosis without pathologic fracture [see localization code above]

Excludes: osteoporosis with pathological fracture (M80.-)

M81.0 Postmenopausal osteoporosis

M81.1 Osteoporosis after ovariectomy

M81.2 Osteoporosis due to immobility

M81.3 Post-surgical malabsorption osteoporosis

M81.4 Drug-induced osteoporosis

An additional external cause code (class XX) is used to identify the medicinal product.

M81.5 Idiopathic osteoporosis

M81.6 Localized osteoporosis [Lequena]

Excludes: Sudeck's atrophy (M89.0)

M81.8 Other osteoporosis Senile osteoporosis

M81.9 Osteoporosis, unspecified

M82* Osteoporosis in diseases classified elsewhere [see localization code above]

M82.0* Osteoporosis in multiple myelomatosis (C90.0+)

M82.8* Osteoporosis in other diseases classified elsewhere

M83 Osteomalacia in adults [see localization code above]

renal osteodystrophy (N25.0)

M83.0 Postpartum osteomalacia

M83.1 Senile osteomalacia

M83.2 Osteomalacia due to malabsorption Post-surgical osteomalacia in adults due to malabsorption

M83.3 Adult osteomalacia due to malnutrition

M83.4 Aluminum bone disease

M83.5 Other drug-induced osteomalacia in adults

If necessary, to identify the medicinal product, use an additional external cause code (class XX).

M83.8 Adult osteomalacia other

M83.9 Adult osteomalacia, unspecified

M84 Disorders of bone integrity [see localization code above]

M84.0 Poor healing of fracture

M84.1 Nonunion of fracture [pseudarthrosis]

Excludes: pseudarthrosis after fusion or arthrodesis (M96.0)

M84.2 Delayed fracture healing

M84.3 Stress fractures, not elsewhere classified. Stress fractures NOS

Excludes: congestion [stress] fracture of spine (M48.4)

M84.4 Pathological fractures, not elsewhere classified. Pathological fracture NOS

Excl.: vertebral fracture NOS (M48.5)

pathological fracture in osteoporosis (M80.-)

M84.8 Other disorders of bone integrity

M84.9 Disruption of bone integrity, unspecified

M85 Other disorders of bone density and structure [see localization code above]

Excludes: osteogenesis imperfecta (Q78.0)

osteopetrosis [bone petrification] (Q78.2)

multiple fibrous dysplasia of bones (Q78.1)

M85.0 Fibrous dysplasia (selective, one bone)

Excludes: fibrous dysplasia of jaw (K10.8)

M85.3 Osteitis due to deposition of mineral salts (sclerosing)

M85.4 Solitary bone cyst

Excludes: solitary cyst of jaw bone (K09.1-K09.2)

M85.5 Aneurysmal bone cyst

Excludes: aneurysmal cyst of jaw bone (K09.2)

generalized fibrocystic osteitis [Recklinghausen's bone disease] (E21.0)

M85.8 Other specified disorders of bone density and structure Hyperostosis of bones other than cranial

Excludes: diffuse idiopathic skeletal hyperostosis (M48.1)

M85.9 Disorder of bone density and structure, unspecified

OTHER OSTEOPATHIES (M86-M90)

Excl.: osteopathy after medical procedures (M96.-)

M86 Osteomyelitis [localization code see above]

If necessary, identify the infectious agent

M86.0 Acute hematogenous osteomyelitis

M86.1 Other forms of acute osteomyelitis

M86.2 Subacute osteomyelitis

M86.3 Chronic multifocal osteomyelitis

M86.4 Chronic osteomyelitis with drained sinus

M86.5 Other chronic hematogenous osteomyelitis

M86.6 Other chronic osteomyelitis

M86.8 Osteomyelitis other Brodie's abscess

M86.9 Osteomyelitis, unspecified Bone infection NOS. Periostitis without mention of osteomyelitis

M87 Osteonecrosis [localization code see above]

Includes: avascular necrosis of bone

M87.0 Idiopathic aseptic necrosis of bone

M87.1 Drug-induced osteonecrosis

If necessary, to identify the medicinal product, use an additional external cause code (class XX).

M87.2 Osteonecrosis due to trauma

M87.3 Other secondary osteonecrosis

M87.9 Osteonecrosis, unspecified

M88 Paget's disease (of bones) [osteitis deformans] [see localization code above]

M88.0 Involvement of skull in Paget's disease

M88.8 Involvement of other bones in Paget's disease

M88.9 Paget's disease (of bones), unspecified

M89 Other diseases of bones [see localization code above]

M89.0 Algoneurodystrophy Shoulder-hand syndrome. Zudek's atrophy. Sympathetic reflex dystrophy

M89.1 Premature fusion of epiphysis with diaphysis

M89.2 Other disorders of growth and development of bones

M89.4 Other hypertrophic osteoarthropathy Marie-Bamberger disease. Pachydermoperiostosis

M89.6 Osteopathy after poliomyelitis

An additional code (B91) is used to identify past poliomyelitis.

M89.8 Other specified lesions of bones Cortical hyperostosis in children

Post-traumatic subperiosteal (periosteal) ossification

M89.9 Bone disease, unspecified

M90* Osteopathy in diseases classified elsewhere [see localization code above]

Excludes: spinal tuberculosis (M49.0*)

M90.1* Periostitis in other infectious diseases classified elsewhere

Secondary syphilitic periostitis (A51.4+)

M90.2* Osteopathy in other infectious diseases classified elsewhere

Syphilitic osteopathy or osteochondropathy (A50.5+, A52.7+)

M90.5* Osteonecrosis in other diseases classified elsewhere

Osteitis deformans in malignant neoplasms in bones (C40-C41+)

Excludes: vertebral fracture due to neoplasms (M49.5*)

M90.8* Osteopathy in other diseases classified elsewhere Osteopathy in renal dystrophy (N25.0+)

CHONDROPATHY (M91-M94)

Excl.: chondropathy after medical procedures (M96.-)

M91 Juvenile osteochondrosis of the hip and pelvis [localization code see above]

Excludes: slippage of superior femoral epiphysis (non-traumatic) ( M93.0 )

M91.0 Juvenile osteochondrosis of pelvis

[Buchanan's] iliac crest

Ischiopubic synchondrosis [Van Neka]

M91.1 Juvenile osteochondrosis of femoral head [Legg-Calve-Perthes]

M91.2 Coxa plan. Hip deformity after juvenile osteochondrosis

M91.8 Other juvenile osteochondrosis of hip and pelvis Juvenile osteochondrosis after elimination of congenital hip dislocation

M91.9 Juvenile osteochondrosis of hip and pelvis, unspecified

M92 Other juvenile osteochondrosis

M92.0 Juvenile osteochondrosis of humerus

Heads of distal condyle of humerus [Panner]

Heads of the humerus [Haas]

M92.1 Juvenile osteochondrosis of radius and ulna

Lower part of the ulna [Burns]

Radius heads [Brailsford]

M92.2 Juvenile osteochondrosis of hand

Semilunar bone of the carpus [Kinbeck]

Metacarpus heads [Mauclair]

M92.3 Other juvenile osteochondrosis of upper limbs

M92.4 Juvenile osteochondrosis of the patella

Primary, patellar center [Kohler]

Secondary, patellar center [Sinding-Larsen]

M92.5 Juvenile osteochondrosis of tibia and fibula

Proximal end of the tibia [Blunt]

Tibial tubercle [Osgood-Schlatter]

M92.6 Juvenile osteochondrosis of tarsus

Abnormal bone located between the scaphoid

tarsal bone and head of the talus [Haglund]

Navicular tarsus [Kohler]

M92.7 Juvenile osteochondrosis of metatarsus

Fifth metatarsal bone [Izlena]

Second metatarsal [Freiberga]

M92.8 Other specified juvenile osteochondrosis Calcaneal apophysitis

M92.9 Juvenile osteochondrosis, unspecified

Epiphysitis > specified as juvenile,

Osteochondritis > unspecified

M93 Other osteochondropathy

Excludes: osteochondrosis of the spine (M42.-)

M93.0 Slip of superior femoral epiphysis (non-traumatic)

M93.1 Kienböck's disease in adults. Osteochondrosis of the semilunar bone of the wrist in adults

M93.2 Osteochondritis dissecans

M93.8 Other specified osteochondropathy

M93.9 Osteochondropathy, unspecified

Epiphysitis > not specified as an adult or

Osteochondritis > juvenile, unspecified

M94 Other disorders of cartilage [see localization code above]

M94.0 Cartilaginous rib joint syndrome [Tieze]

M94.1 Relapsing polychondritis

Excludes: chondromalacia patella (M22.4)

M94.8 Other specified disorders of cartilage

M94.9 Cartilage disorder, unspecified

OTHER musculoskeletal disorders

AND CONNECTIVE TISSUE (M95-M99)

M95 Other acquired deformities of the musculoskeletal system and connective tissue

congenital malformations and deformities of the musculoskeletal system (Q65-Q79)

maxillofacial anomalies [including malocclusion] (K07.-)

musculoskeletal disorders after medical procedures (M96.-)

M95.0 Acquired deformity of nose

Excludes: deviated septum (J34.2)

M95.1 Deformity of auricle due to trauma and subsequent perichondritis

Excludes: other acquired deformities of pinna (H61.1)

M95.2 Other acquired head deformities

M95.3 Acquired deformity of neck

M95.4 Acquired deformity of chest and ribs

M95.5 Acquired deformity of pelvis

Excluded: maternal care due to identified or suspected non-compliance

M95.8 Other specified acquired deformities of musculoskeletal system

M95.9 Acquired deformities of musculoskeletal system, unspecified

M96 Disorders of the musculoskeletal system following medical procedures, not elsewhere classified

Excludes: arthropathy accompanying intestinal shunt (M02.0)

presence of functional implants and other prostheses (Z95-Z97)

M96.0 Pseudarthrosis after fusion or arthrodesis

M96.1 Post-laminectomy syndrome, not elsewhere classified

M96.2 Postradiation kyphosis

M96.3 Postlaminectomy kyphosis

M96.4 Post-surgical lordosis

M96.5 Postradiation scoliosis

M96.6 Fracture following insertion of orthopedic implant joint prosthesis or bone plate

Excludes: complications related to internal orthopedic devices, implants or

M96.8 Other disorders of musculoskeletal system following medical procedures

Joint instability due to removal of the joint prosthesis

M96.9 Disorder of musculoskeletal system after medical procedures, unspecified

M99 Biomechanical disorders, not elsewhere classified

The following additional fifth characters indicating the location of the lesion are given for optional use with the appropriate subcategories under M99. -; see also the indicated localization code on c 644.

0 Head region cervico-occipital region

1 Neck region cervicothoracic region

2 Chest region lumbar-thoracic region

3 Lumbar region lumbosacral region

4 Sacral region sacrococcygeal (sacroiliary) region

5 Pelvic area femoral, pubic area

6 Lower limb

7 Upper limb brachioclavicular, sternoclavicular region

8 Rib cage costal-cartilaginous, costovertebral, sternocartilaginous region

9 Abdomen and others

M99.0 Segmental or somatic dysfunction

M99.1 Subluxation complex (vertebral)

M99.2 Stenosis of neural canal with subluxation

M99.3 Bone stenosis of neural canal

M99.4 Connective tissue stenosis of neural canal

M99.5 Intervertebral disc stenosis of neural canal

M99.6 Bone and subluxation stenosis of intervertebral foramen

M99.7 Connective tissue and disc stenosis of intervertebral foramens

M99.8 Other biomechanical disorders

M99.9 Biomechanical disorder, unspecified

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Website " medical practice» is dedicated to medical practice, which tells about modern diagnostic methods, describes the etiology and pathogenesis of diseases, their treatment

Due to degenerative and dystrophic processes at the level of intervertebral discs, a pathology develops, which is called radiculopathy. There are discogenic and vertebrogenic forms of the disease. Vertebrogenic radiculopathy is a disease of a secondary type, in which the root is compressed in a kind of tunnel formed by various pathological processes. It can be soft tissue edema, tumor, osteophytes, disc herniation.

As the degenerative inflammatory process the tunnel narrows, indentation and severe pain appear. Most often, the problem occurs at the level of 6-7 cervical vertebrae, the first lumbar and fifth thoracic. Pain sensations appear not only in the place of compression of the nerve root, but also gives to the limbs. It should be noted that a decrease in tendon reflexes, impaired sensitivity, paresis may not appear at the onset of the disease. Due to muscle spasm, there is a restriction of motor activity - this is an important sign of damage to the roots of the spinal cord. The duration of the disease is from 2 months to six months.

Depending on the localization, the following forms of radiculopathy are distinguished:

• chest;
• cervical;
• lumbosacral;
• mixed.

The disease can occur in adults of any age, if the disease is started, it can lead to disability. Another name for this disease is radicular syndrome. Among the people, complex names did not take root, so you can often hear that a person suffers from sciatica. Although this name is not entirely correct.

The lumbosacral is more common than others. It affects the vertebrae L5, L4, S1. To understand which vertebrae are involved in the process of inflammation, it is necessary to remember that all parts of the spine are indicated Latin names. sacral department- Os Sacrum, therefore, the vertebrae are indicated by the letter S from 1 to 5. Lumbar - Pars Lumbalis (L1-L5). Cervical - Pars Cervicalis (C1-C7). Thoracic spine - Pars Thoracalis (Th1-12).

After reviewing this classification, it is easy to understand that Th3 means damage to the third vertebra in the thoracic region, and C2 means damage to the second cervical vertebra. The level of damage is determined using radiographs.

Exists international classification diseases - ICD 10. It is generally accepted for coding all medical diagnoses. According to the ICD, radiculotherapy is assigned code M 54.1.

Etiology

The etiological factors that develop radiculopathy include:

• Rickets.
• Osteochondrosis.
• Herniated disc.
• Osteoporosis.
• endocrine disorders.
• Displacement of vertebrae or discs.
• Protrusion of the intervertebral disc.
• oncological processes.

most common cause The occurrence of the disease is osteochondrosis, in which, during degenerative-dystrophic processes, the intervertebral discs dry out. They lose their elasticity, bone outgrowths (osteophytes) appear on them, pressing on the nerve endings of the spinal cord, causing severe pain. In second place in popularity is a herniated disc. If the causes of primary radiculopathy can be an incorrect lifestyle, physical exercise, violation of posture and endocrine disorders. That secondary radiculopathy occurs only as a result of serious changes in the spinal column.

Symptoms and Diagnosis

Regardless of the classification of radiculopathy, the main symptom of the disease is pain. It overtakes a person, not abating either at rest or in motion. The pain is felt in the back, gives to the limbs, heart, head. There may be nausea, dizziness, hearing loss, impaired coordination, change in gait, pain in the legs.

Diagnostic measures prescribed by the doctor include radiography in the lateral and anterior projection. This study is very important, but, unfortunately, it cannot show how much the nerve roots of the spinal cord are affected. Therefore, many patients need to undergo an MRI. Tomography will show how affected the surrounding tissues will reveal the true cause of the secondary disease, and will help to make the correct diagnosis faster and more correctly.

Vertebrogenic cervical radiculopathy

Nearly 30% of the adult population suffers from neck pain. Pain can come on suddenly, be acute or subacute, start in the morning, and last all day. It is aggravated by coughing, muscle tension, can give into the hand. Numbness is possible at the site of compression of the nerve roots. There is stiffness in the muscles of the neck, weakness.

Most often, with this form of the disease, the cervical root C7 suffers, a little less often C6. This is due to the high load on the lower joints of the cervical spine. Pain can be caused by two factors:

• damage to the nerve fibers of the root due to compression, swelling or inflammation, malnutrition in the tissues surrounding it;
• irritation of pain receptors in the outer layers of the damaged intervertebral disc.

Symptoms may vary depending on the location of the site of infringement. The doctor prescribes treatment after the site of damage to the nerve roots is identified. For most patients, with timely access to a doctor and treatment, the prognosis is favorable.

Vertebrogenic thoracic radiculopathy

Thoracic radiculopathy is the least common. This is due to the fact that this section of the spinal column is the most protected and less vulnerable. But due to existing osteochondrosis or a developing tumor of the spinal cord, secondary radiculopathy may occur. One awkward movement can cause severe pain. Often it looks like a pain in the heart, a disease is disguised as a disease of the internal organs.

In this case, only a doctor can make a correct diagnosis on the basis of the studies and images. Therefore, with the appearance of acute pain in the chest, lungs, hypochondrium, it is worth contacting a specialist. Compression or irritation of the nerve roots is difficult to remove on their own, complex qualified treatment will be required to cope with the disease.

Vertebrogenic lumbosacral radiculopathy (RCR)

What it is? This is the most severe variant of the secondary pain syndromes characterized by persistent pain and limited mobility. Occurs in about 5% of the population, more common in men after 40 years, in women after 50. Those who are engaged in heavy physical labor are at risk.

The most common cause of the disease is a herniated disc. Clinical picture is as follows: the patient complains of constant intense pain or backache. There is pain in the lower back and / or leg. In the anamnesis - cases of lumboischialgia and lumbalgia. At first, the pain may be dull, then increase, reaching maximum intensity.

Hernia is most often formed at the level of the vertebrae L4 - L5. According to clinical data, L5 radiculopathy is detected in 60% of cases, and S1 in 30% of cases. In older people, a hernia may occur on high level therefore, L3 and L4 radiculopathy is not uncommon. The diagnosis can only be established after undergoing an MRI or CT scan. Additionally, a comprehensive examination is carried out, for women a consultation with a gynecologist is mandatory, for men - a test for a prostate-specific antigen.

In the international system, all forms of radiculopathy are assigned one code - M 54.1.

General principles of treatment

In the acute period, bed rest is indispensable. Activity should be kept to a minimum. The primary task of the doctor is to relieve pain, relieve inflammation. The doctor will select a comprehensive treatment, which in most cases has a positive effect on the course of the disease, quickly eliminates the painful syndrome. In the advanced form of the disease, if the treatment does not have the desired effect, a decision may be made on surgical intervention.

Conservative therapy

Medical treatment includes the use of anti-inflammatory and analgesic drugs. At the beginning of the disease, the doctor will offer injections, they will help to quickly and effectively stop the pain. After a course of injections, a course of tablets may be prescribed. Most often, the use of ointments, gels at this stage of the disease does not bring results. The drugs are prescribed by a doctor, most often it is Baralgin, Ibuprofen, Diclofenac. But they have many side effects, so using them on your own can be harmful.

Treatment can be carried out in a hospital setting. In this case, it can be expanded. To improve blood microcirculation in the spine, Trental can be prescribed, and to relieve muscle spasms - Mydocalm. The drugs have contraindications side effects treatment is carried out under the strict supervision of the attending physician.

One of the methods conservative treatment- a high dose of B vitamins. Although the results of studies in this area are contradictory, they show that drugs such as Milgamma can contribute to the rapid regression of pain in vertebrogenic radiculopathy, increasing the effectiveness of therapy.

Therapeutic blockade can be used for acute and persistent pain. With the help of injections, impulses coming from the damaged root are blocked. This measure is effective only for temporary pain relief, but not for treating the cause of the disease.

Surgery

Indications for surgery may be:

• increase in neurological symptoms;
• compression of the roots with paresis of the foot;
• dysfunction of the pelvic organs;
• deterioration of the patient's well-being, despite the treatment received.

Required before surgery conservative therapy, its duration is not less than 6 weeks. The main operation is discectomy. But recently, more sparing methods have been actively used: high-frequency disc ablation, laser decompression of the intervertebral disc, microdiscectomy.

For example, with radiculopathy (code M 54.1) caused by a herniated disc, without damage to the fibrous ring and the patient does not have movement disorders, laser vaporization is successfully used. The use of sparing operational measures expands the range of indications for it.

Treatment and recovery measures such as physiotherapy, massage, physiotherapy, manual therapy aimed at relaxing and mobilizing muscles, and increasing the mobility of the spine, the doctor can prescribe only with a stable remission. Traction lumbar, which was actively used earlier, was recognized as ineffective, capable of provoking deterioration.