Symptoms and ways of treating spondyleze. Inflammation of the faceted joints or spondyltrosis of the lumboslery of the spine: how to treat and stop the destruction of intervertebral disks Risk factors and the cause of the development of spondylose

Symptoms and ways of treating spondyleze. Inflammation of the faceted joints or spondyltrosis of the lumboslery of the spine: how to treat and stop the destruction of intervertebral disks Risk factors and the cause of the development of spondylose

28.07.2020 Treatment

Pathology at which the vertebral deformation occurs, leading to the narrowing of the spine channel, is called spondylise. The form of the vertebrae varies as a result of the formation of bone growths that have protrusions and spikes. In some cases, the modified vertebrae is growing, and sometimes pinch the end of the nerves.

Spondylosis is the reaction of the body to destroy the discs between the vertebrae. Educated growths limit the mobility of the spine, and when pinched the nerve endings, the patient may experience a stupid pain in the place of pinching.

Most often, this ailment is diagnosed in the elderly people, and the most common area of \u200b\u200bspondyleze is the cervical department. As a rule, spondylis is observed in people who are in fixed poses for a long time, for example, in those who work for a long time at the computer. Code on MKB-10 - M 47.

Views

Pathology is classified into three types that differ depending on the localization of dystrophic changes:

cervical department;
thoracic;
lumbar-sacral.

Cervical

Each of the types of spondyleze has its own characteristic manifestations. The cervical spondylosis is accompanied by:

pain in the occipital region, which become stronger when moving head;
the pain can fall on the shoulders, the blades and give in hand;
limited neck movement;
headaches and dizziness;
lowering hearing and vision;
the presence of a stall in the ears;
sleep impairment.

REFERENCE! Spondylosis, developing in the cervical department, can provoke a shoulder-painting periatritis, which is accompanied by a significant limited mobility of the shoulder joint, as well as the presence of intensive pain.

Breast

Breast spondylis is not found so often, it is manifested by the following signs:

pain on one side of the middle and lower spine, which can often cover the chest;
amplification of pain in lateral slopes;
problems with functioning internal organs.

Lumbar

With lumbar spondylise, in most cases 4 and 5 vertebra are affected, it is accompanied by as follows:

the appearance of the root syndrome;
clinical picture inflammatory processes in the sacrum and lower back;
weakening lower limbs;
pain in the legs;
reduction of sensitivity in the legs and sense of numbness;
the pain becomes less intense when tilting forward, because in this case the area of \u200b\u200bthe affected disk increases.

If the lumbar spondyle is combined with osteochondrosis, radiculitis can be observed, which develops as a result of pinching nerve roots.

Degree

As for the degree of development of pathology, they are as follows:

First degree. Signs of illness manifest themselves infrequently and neuro, most often patients associate them with overwork. The diagnosis of this stage is difficult, since it is difficult to notice violations during the hardware examination.
Second degree - symptoms becomes more pronounced, and modified disk structures are visible on the x-ray.
Third degree It is characterized by degenerative signs of the pathological process. The patient is limited to physical opportunities, analgesics do not give effect, or it is short.

Ankylosing

This form of illness is characteristic of young people, in the elderly she appears extremely rarely. In this case, the joint joints are affected, and most often the pathological process is localized in the field of iliac-sacriven.

This is a chronic inflammatory infectious disease, as a result of which intervertebral joints occurs. In this case, the functionality of other organs - kidneys, hearts, eyes may violate. In a different way, this type of spondyleze is called Bekhterev's disease, teenagers and young people under 30 years of age are susceptible to the disease.

REFERENCE! The earlier the development of the disease occurs, the greater the likelihood of various complications and disability.

The disease is incurable, reduce the intensity clinical picture And drug therapy will allow progress to slow down the progress.

Signs and symptoms

To suspect the pathology by the presence of pain:

at an early stage of the disease, the pain is inconstant, and mainly occurs when driving, characterized by the growing of pain during the day;
the intensity of pain may vary with bad weather changes;
when the spine palpation in the affected part, pain symptoms are enhanced.

In progression of the disease, the mobility of the spine in the affected part begins to be gradually limited.

Diagnostics

Basic diagnostic Event In suspected spondylosis, the X-ray of the spine. Osteophytes (growths) on radiographs are visible very well. For a more unfolded illness, MRI or CT affected area may be assigned.

How to treat diseases of the spine?

Sprondise treatment is more efficient on early stages The development of pathology, when there are no major osteophytes. As a rule, conservative therapy is appointed, aimed at:

pain relief;
reduction of inflammation;
improving blood flow in intervertebral discs;
restoration of the flexibility of the spine;
correction of posture.

As therapeutic approaches, prem of medication, massage, physiotherapy, leaf, are used as therapeutic approaches, diet nutrition and folk remedies.

Medicia treatment

Since one of the bright manifestations of Sponddilee is pain, it is this symptom that encourages people to seek medical attention. To relieve pain syndrome, as well as anti-inflammatory funds, the following drugs are prescribed:

Ibuprofen.
Diclofenac.
Indomethacin.
Kathetonal.
Nimesulide.
Movied.

When imbuilding nerve fibersThe following means are prescribed:

Barallgin, Ketorla.
Kenalog, hydrocarter.
Novocaine-lidocaine blockades.

To normalize metabolic processes in the spinal column are used:

Chondroxide, Aflutop, Halgan.
Caripain.
vitamin complexes.

Very often spondylosis provokes elevated muscular toneFor its weakening, assigns:

Middokalm.
Flexurel.
Zanaflex.

Gymnastics LFK and exercises for the back

After removing the acute process, the patients recommended therapeutic physical education. It is necessary to normalize the flexibility of the spine, improving blood circulation in the affected part, as well as to strengthen the muscles of the back.

Exercises that are appointed with spondylosis are simple, however, to achieve a resistant positive effect, they must be done regularly. In addition, yoga classes, swimming, pilates are recommended.

Treatment gelatin

Treatment with gelatin is widespread during spondylise. Gelatin helps to restore the cartilage base of the intervertebral disc, and therefore the state of the spine will significantly improve.

Diet

limit the use of plant and animal fats;
follow sufficient protein intake into the body;
eliminate the use of stone-forming products - salt, smoked, sharp dishes;
refuse strong tea and coffee, which can provoke the narrowing of blood vessels.

It is important to understand that the diet with spondylise is not easy for the additional method of therapy, and a significant component of the main treatment, since only in proper nutrition one can prevent the progression of the disease.

Massage

With spondylise, massage is aimed at the impact on the beric and paravertebral muscles, since they hold the body in an anatomically correct position.

It begins with rubbing, stroking and kneading, after which the specialist proceeds to segmental procedures in the area where the spasmodic reduction of muscles occurred. The duration of one session is an average of 20 minutes. A total of 15-20 sessions are assigned.

IMPORTANT! The traumatic effect is the ration, the harvesting, and so on, is excluded during spondylise.

The use of massage in spondylise is invaluable is the only way to eliminate pain without using medication. In addition, the massage is very effectively restores the bloodstream, especially after the exercise, manual therapy and so on.

Surgery

Operations in spondylise are carried out in very rare cases, as a rule, they become appropriate in the development of complications or with the complete absence of the effect of conservative treatment techniques. The essence of operational intervention in the spilling of bone growths with special tools. In some cases, the replacement of affected vertebrae for implants is practiced.

Physiotherapy

Physiotherapy events are as follows:

impulse therapy;
interference and
Chence;
ultraviolet;
mud;
baths;
wearing special.

Folk remedies

Collect for acceleration exchange processes - Rosehip, currant leaves, lingers, raspberries, bird horses, nettle, horsetail, yarrow. All ingredients are taken in equal proportions, mixed. There will take 2 glasses of boiling water on the tablespoon of collection. Insist for 2 hours. For half an hour before meals in the morning and in the evening, take the agent to the glass.

Analgesic. Mix in equal amounts of Melissa, mint, plantain seeds, burdock, St. Justice and Cyprus. Brew and drink like ordinary tea.

From the external means of spondylosis, the essential oils of the souls, Cyprus, fir, lavender, cedar, and chastinet are actively used. A couple of drops of these oils are added to olive oil And rubbed into the affected area. In some cases, it is allowed to use the tincture of the podpid pepper.

What doctor treats?

In suspected spondyliz of the spine, it is necessary to seek advice to, and if it does not have it in the clinic, you can make an appointment with a neuropathologist. If there is a combination with spondylise, it is recommended to contact a traumatologist surgeon.

Spondylise and osteochondrosis What's the difference?

The concept of spondyle refers to bone vertebral structures. In this case, there is a growing and changing the shape of the vertebrae, which closely come into contact with intervertebral discs.

When the discs are destroyed, the vertebrae begin to test high blood pressurethat makes them defend them - to form. It is necessary to increase the area, and reduce the pressure.

In addition, with spondylise, a large role is allotted with an anterior longitudinal bundle, which, stretching when osteophytes occur, provokes back pain. Doctors consider spondylound with a secondary phenomenon, as an answer to a long-term osteochondrosis.

But it is a pathology that destroys intervertebral discs. This destruction occurs as a result of a disk overload or its feeding. In case of destruction, the protrusion occurs - the outlet of the student body beyond the disk. So there is a hernia of the spine, which can put pressure on the adjacent vertebra and provoke the development of osteophytes.

Possible complications

Spondlissee of the spine can lead to the following complications:

Herniation. Such a complication arises not in all cases, sometimes a hernial protrusion precedes spondylise, but if osteophytes come close to the intervertebral disc, hernia may form as a result of spondyleze.
Compress of vessels, which leads to myelita. This complication most often occurs with a long and neglected pathology. In this case, blood supply to the brain can deteriorate. When a negative impact on the cerebrospinal artery occurs, the spinal convention syndrome or the spinal cord syndrome may develop.

Spondylosis and spondyltrosis - the same thing?

To say that these two pathologies cannot be the same - more likely two varieties of one disease. Spondylosis is bone growths that can provoke the fire of bone vertebrae, and spondyltrosis is the destruction or exciting of the facet joints.

The ICD-10 has been introduced into the practice of health throughout the territory of the Russian Federation in 1999 by order of the Ministry of Health of Russia from 27.05.97. №170

A new revision (ICD-11) is planned to be planned in 2017 2018.

With changes and additions to WHO.

Processing and transferring changes © MKB-10.com

Dorsopathy and back pain

2. Degenerative dystrophic changes in the spine

Degenerative spinal changes are made up of three main options. This is osteochondrosis, spondylosis, spondyltrosis. Various pattomorphological options can be combined with each other. Degenerative-dystrophic changes of the spine to old age are celebrated by almost all people.

Osteocondritis of the spine

The cipher on the ICD-10: M42 is osteochondrosis of the spine.

Osteochondrosis of the spine is a decrease in the height of the intervertebral disk as a result of dystrophic processes without inflammatory phenomena. As a result, segmental instability is developing (excessive degree of flexion and extension, the sliding of the vertebrae is forwarded when flexing or backward during extension), the physiological curvature of the spine changes. The rapprochement of the vertebrae, and hence the articular processes, their excess friction inevitably lead in the future to local spondyltrosis.

Osteochondrosis of the spine is X-ray, but not clinical diagnosis. In fact, the osteochondrosis of the spine simply states the fact of aging the body. Call back pain osteochondrosis - illiterately.

Spondylosis

CIFR on the ICD-10: M47 - Spondylosis.

Spondylosis is characterized by the appearance of edge bone expansions (on the upper and lower edge of the vertebrae), which on radiographs have the type of vertical spikes (osteophytes).

Clinically spondylosis will be not significant. It is believed that spondylosis is an adaptive process: edges (osteophytes), fibrosis of disks, ankylosis of the facet joints, thickening of bundles - all this leads to immobilization of the problem vertebral segment, expanding the support surface of the vertebral bodies.

Spondloarthrosis

Cipher on the ICD-10. M47 - Spondillas. Included: arthrosis or osteoarthritis of the spine, degeneration of facade joints.

Spondilotrosis is an arthrosis of intervertebral joints. It is proved that the processes of degeneration in intervertebral and peripheral joints do not differ in principle. That is, essentially spondyltrosis is a type of osteoarthrosis (therefore, drugs of chondroprotective series will be appropriate in treatment).

Spondilitrosis - SAMIA frequent cause Back pain in older people. Unlike discogenous pain in spondylotrosis, the pain bilateral and localizes paravertebrally; Strengthens with long standing and extension, decreases when walking and seat.

3. Protrusion and hernia disk

The cipher on the ICD-10: M50 is the defeat of the intervertebral discs of the cervical M51 is the defeat of intervertebral disks of other departments.

The protrusion and hernia disk are not a sign of osteochondrosis. Moreover, the less expressed degenerative changes in the spine, the more the disk is "active" (that is, the more realistic the occurrence of hernia). That is why the hernia disk is more common in young people (and even in children) than the elderly.

The sign of osteochondrosis is often considered to be a hernia of Schimor, which has no clinical value (there are no back pain). The hernia of Schimorl is the displacement of the disk fragments to the spongosis of the body of the vertebral body (intracorporeal hernia) as a result of the impairment of the body of the vertebrae during the growth process (that is, in fact, the hernia of the Schimor is a dysplasia).

The intervertebral disk consists of an outer part - this is a fibrous ring (up to 90 layers of collagen fibers); And the inner part is a pentuary pulpidic core. In young people, a pulpous core consists of 90%; In the elderly, a pulp nucleus loses water and elasticity, fragmentation is possible. The protrusion and hernia disk arise both as a result of dystrophic changes of the disc and due to repetitive high loads on the spine (excessive or frequent bends and extensions of the spine, vibration, injury).

As a result of the transformation of vertical forces into the radial pulpseed kernel (or its fragmented parts), shifted to the side, deflection of the dudder the fibrous ring - develops the disk protrusion (from the lat. Protrusum - push, push). Protrusion disappears as soon as the vertical load stops.

Perhaps spontaneous recovery if fibrotization processes apply to the pulp nucleus. Fibrous rebirth occurs and the protrusion becomes impossible. If this does not happen, then as the protrusion of the protrusions, the fibrous ring is increasingly promoted and finally bursts - this is a disk hernia.

The hernia of the disk can develop sharply or slowly (when the fibrous ring breaks in small portions of the fragments of the pulp nucleus). The hernia of the disk in the back and rear-side directions can cause the compression of the spinal root (radiculopathy), the spinal cord (myelopathy) or their vessels.

Most often, the hernia of the disk occurs in the lumbar spine (75%), then the cervical (20%) and the chest spine (5%) goes in frequency.

The cervical department is the most mobile. The frequency of hernia in the cervical spine - 50 cases per 100 thousand population. The most often disk hernia occurs in the C5-C6 or C6-C7 segment.
The lumbar department carries the greatest load by holding the whole body. The frequency of hernia in the lumbar spine - 300 cases per 100 thousand population. The most often disk hernia occurs in the L4-L5 segment (40% of all hernias in the lumbar spine) and in the L5-S1 segment (52%).

The hernia of the disk must have clinical confirmation, asymptomic disk hernias, according to CT and MRI, are found in 30-40% of cases and do not require any treatment. It should be remembered that the detection of the hernia of the disk (especially small sizes) according to CT or MRI does not exclude another cause of the back pain and cannot be the basis of a clinical diagnosis.

The content of the Dorsilla and Back Pain:

Degenerate-dystrophic changes in the spine. Protrusion and disk hernia.

Inflammation of faceted joints or spondyltrosis of the lumboslery spine: how to treat and stop the destruction of intervertebral disks

Spondilitrosis of the lumbosacral spine - the disease of the musculoskeletal system, which is accompanied by the destruction of intervertebral joints. The disease amazes small faceted joints, so spondyltroatrosis is another name - Facetic arthropathy.

The last stages of pathology are accompanied by the growth of osteophytes, which leads to an inflammatory process in the entire joint, to serious violations of mobility. The explanatory department suffers more often than the remaining spinal zones, against the background of a constant load on this zone, the effects of the mass of negative factors.

Causes of the development of pathology

The spine consists of vertebrae, between which arcs are located, other processes. Between arcs there are small faceted joints (flat shape, tops are covered with a thin layer of hyaline cartilage, limited to the articular bag). There are intervertebral discs between these bodies, they are intended for depreciation. The correct functioning of the vertebrae directly depends on small joints between them.

Various negative factors lead to the destruction of the cartilage layer of the faceted joints, narrowing the slit, an increase in the pressure of the upper vertebra to the underlying. The pathological process leads to inflammation of the articular cavity, nearby tissues (bundles, vessels, nerves). Spondilitrosis develops (code on the ICD 10 - M45-M49).

The launched stages of the disease lead to the formation of osteophytes, bone growths contribute to pinching the nerve endings, reduced motor activity. About 70% of patients with spondyltroatrosis lumbar Department accounted for elderly. Pathology develops against the background of age-related changes in the body.

In persons, after twenty years, spondyltrosis develops against the background of various pathological processes:

traumatic damage to the back;
flatfoot;
posture disorders (Curpose, KIFOS);
lifting weights, another hard physical work;
lack of regular physical exertion;
professional sports activities;
endocrine diseases (diabetes mellitus, obesity);
congenital abnormalities of the structure of the spine;
the presence of dorsopathies (pathologies associated with the destruction of bones and cartilage).

Often spondyltrosis is formed against the background of the flow of osteochondrosis (the destruction of intervertebral discs, the expanding of osteophytes). The favorite area of \u200b\u200bthe localization of the disease is the zone of the lowerback, so in this zone the disease is often diagnosed.

Learn the instructions for using neurulivitis tablets to restore the nervous regulation during the diseases of the spinal column.

On the methods of treatment and possible consequences Compression fracture Verteochka in the lumbar department is written on this page.

Classification

Spondilotrosis is divided into three groups, depending on the location of the pathology. There is another classification, given the course of the disease:

deforming type. The vertebrae changes its form against the background of the development of osteophytes;
degenerative. Manifests itself by the destruction of not only the facet joints, but also of intervertebral discs;
arcotopy. Degenerative processes affect the arc-forced joints;
ankylosing. Wear another name - Bekhtereva's disease is accompanied by the defeat of the set of joints not only in the lumbar region. Often diagnosed in men to thirty years;
dysplastic. Manifests itself with strong deformation of the vertebrae;
polycegimentary. The pathological process affects not only the lumbar department, but also other spinal zones.

Symptomatics

This ailment is manifested by chronic pain in the localization of the pathological process. Often this is an unpleasant feeling that extend to the area of \u200b\u200bthe buttocks, legs, without affecting the zone below the knee. Long-time finding in one posture strengthens discomfort, also active movements worsen the situation. In a state of rest, painful sensations usually subscribe.

As the disease develops, patients complain about the stiffness of the spine in the morning time immediately after awakening. Usually discomfort lasts a few hours, then pokes. Such an unpleasant symptom is due to the growth of osteophytes (bone growths). Education themselves are a serious threat to health, so it is impossible to ignore this sign.

Spondilitrosis is also characterized by a specific feature - submissions of the damaged joint. Against the background of which the tone of nearby muscles increases, provoking the restriction of the mobility of the spine, enhancing pain symptoms.

Unpleasant sensations in spondyltroatrosis in the lumbar department are formed against the background of the following pathological conditions:

pinching nerve endings. The discomfort will spread along the whole affected nerve. There is also a decrease in sensitivity, numbness, muscle weakness;
pain in muscles and bundles. Discomfort in this case is very strong, enhanced during vertical position Body, movement. Paints will be intensified when palpation of damaged muscle tissue.

Diagnostics

For setting the correct diagnosis, the following manipulations use:

palpation of the damaged and painful area;
radiography in several projections;
CT, MRI. Studies allow us to assess the condition of not only bone tissue, but also muscles, vessels, nerve endings;
radioisotope scanning (doctors estimate the inflammatory process in articular processes).

Based on the data obtained, the medic sets the diagnosis, chooses the appropriate therapy, given the patient's features.

Effective treatment methods

How to treat spondyltrosis? The disease requires comprehensive therapy, responsibility from the patient. Therapy includes the use of medicines, physioprocessed, in difficult situations doctors resort to surgical intervention.

Medical therapy

Effective drugs:

NSAID. Medicines are the "golden" standard in the treatment of various pathologies associated with the spine, spondyltrosis is no exception. Nimesulide, Moviece, Celecoxib - modern drugswho rarely cause side effects. With spondyltroitrosis, short courses are recommended, often used NSAIDs in the form of injections;
miorosanta (Middokalm, Naclosan, Sirdalud). Means are used to relieve muscle spasm in the damaged zone, which contributes to the launch of blood circulation, reduce pain;
novocaine blockades. Used when pinning nerve roots. Novocaine blockades allow you to cope with pain in the lumbar region, glucocorticosteroids are added to the preparation to enhance the positive effect;
chondroprotectors (Don, Aflutop, Teraflex Advance). Tools contain chondroitin sulfate, glucosamine. Substances restore cartilage tissue, prevent its further destruction;
running blood flow helps tools containing ascorbic acid. Vitamins of group V. are positively affected by the nervous tissues.

The combination of the above-described groups of medicines allow you to stop the symptoms of spondyloarthrosis, prevent the development of complications.

Physiotherapeutic procedures

Outside the exacerbation period, the patient prescribe a course of physiotherapores, which positively affect the patient's state, increase the mobility of damaged joints, reduce the discomfort.

magnetotherapy. The magnetic field allows you to stop pain, eliminate humanity and inflammation;
paraffin applications. The thermal effect on the affected area contributes to the relief of muscle spasms, activating blood circulation;
laser therapy. Manipulations eliminate pain, ethnicity. The procedure allows you to activate the metabolism in the bone tissues of the spine.

Also used needlerapy, UHF, electrophoresis. All manipulations assign a medic, the length of therapy also indicates a specialist.

Learn about the reasons for the appearance and methods of treating the hernia of the intervertebral disk of the thoracic.

Indications for the use of Milgamma Ukolov in complex treatment Pathologists of the back and spine are described in this article.

On the page http://vse-o-spine.com/iskrivleniya/kak-ispravit.html, read how to fix the science of the lumbar spine with the help of therapeutic exercises.

Operational intervention

Surgical therapy is used infrequently. This is due to excellent results that have conservative treatment techniques.

Indications for the operation are:

disorders of the intestine, the urinary system;
neurological disorders, numbness of the lower extremities;
vertebral stenosis;
the instability of the spine.

Surgical solution of the problem in the lumbar zone is carried out different ways (Fasectomy, Laminectomy, Laminotomy, Foraminotomy). After removing damaged tissues, the risk of renewal of neurological disorders increases, therefore, the merge of the spine (with the help of bone grafts) is carried out.

After surgery, healing soft tissues lasts a few weeks, but the entire rehabilitation period lasts two months. Operational intervention is used infrequently against the background of the appearance of complications (infections, traumatic damage to nerves, pain in the legs).

Preventive activities are divided into two groups: recommendations that allow preventing the formation of the disease and useful advice, preventing the reconsection and progression of spondyloorder of the spine.

The first group of prevention measures include:

lead a moving lifestyle, engage in yoga, swimming, fitness, refuse excessive physical exertion;
keep track of body weight, do not allow obesity;
timely treat diseases accompanied by degenerative dystrophic changes;
strengthen the back muscles, preventing the stuff and disrupting posture.

refuse the lift of weights, wear a special corset for the spine, especially in cases where it is required to overcome a long distance (the vibration negatively affects spondyloarthrosis in any part of the spine);
hiking, swimming, yoga, hiking helps prevent aggravation of the disease, improve the patient's condition.

Video about the treatment of spondyloarteroid lumbly - the sacriven department of the spine with the help of LFK and gymnastics:

Spondilitrosis of the spine: treatment and prevention

Spondligatrosis is even relatively recently considered only the ailment of older people. However, today this pathology of the spine significantly "gripped". Many who undergo back pain and are not suspected what spondyltrosis is. According to statistical studies, more than 90% of cases associated with discomfort in the spine falls on this disease.

What is the causes and symptoms

Back pain was previously taken for the symptoms of the radiculitis or the consequences of incorrect posture. However, spondyltrosis today is one of the most common diseases associated with the degeneration of the spinal column.

Absolutely natural is the fact that with age, all organs and the musculoskeletal system are gradually given failures. The vertebrae is erased, and the movement of the joints is limited.

Recently, doctors noted that many of the illegament are "younger" and even such manifestations like pain in the spine, worry young people and middle-aged patients.

The emergence of spondylo-edge can be associated not only with the natural aging of the body, but also with such factors:

transferred injuries;
the launched stage of scoliosis;
displacement of the vertebrae;
osteochondrosis;
congenital vertebral pathology;
obesity 3 and 4 degrees;
the presence of autoimmune diseases;
flatfoot;
continuous load on the back.

Violation of the mobility of the spine (the symptom is especially noticed in the morning after sleep).
Pain syndrome in one of the departments, which is enhanced by changing weather conditions.
Fast fatigue and discovers in the back with prolonged finding in the same position.
Unpleasant sensations disappear if the patient will take a convenient horizontal position And the legs bent in the knees.

Classification on the ICD 10

Each pathology has its own diagnosis code. Spondilitrosis is no exception. During the tenth revision of the international classification of ICD 10 diseases, the Code of M45-M49 (spondylopathy) was submitted. At the initial stage, the disease is not manifested by obvious signs. The symptoms of the blurred, and the pathology is difficult to reveal even during the radiograph.

The following stages of changes in the spine are manifested by distinct symptoms.

Depending on the location of the destructive process, the disease was divided into types:

In addition to the above species, spondyltrosis is divided into 4 degrees, which determines the stage of the destructive process:

Elasticity of disks, shells and ligaments is lost, and the movement of intervertebral joints is limited and the mobility of the vertebra is reduced.
Increases load on the cartilage gasket between the bodies of the disks. Fibrous rings stop performing their function.
The possibility of diagnosing the disease appears. Picture can notice pathological changes on the x-ray. Degeneration of ligament dystrophy develops.
Osteophytes reach large sizes. The spine becomes larger. There is a pressure of bone growths on the vessels and nerves.

Also in medicine, spondyltrosis is divided into varieties, which determines the course of the disease and the phase of development:

Types of treatment

What doctor should you contact such a problem as the degeneration of cartilage tissues and the deformation of the spine? A few years ago, with such manifestations they went to a neurologist. Now many patients, encountered with their back pain, do not know which doctor is treating spondyltrosis.

Diagnostizes this disease a specialist in deviations from the norm in the musculoskeletal system and the spine - the vertebrologist. Patients spondyloarthritis should be known that this is a disease that requires the regularity of the implementation of the doctor's prescriptions and long-term therapy with the use of medicines that bind pain and relieve inflammatory processes.

Patients whose disease is in the stage of weakening manifestations, in addition to medicines, prescribe massage and perform certain exercises. It contributes to improved blood circulation and lymph, and also weakens the feeling of discomfort and back pain.

Acupuncture provides removal of muscle spasm and improves blood flow in the area of \u200b\u200blesion.

The elderly concerns the question of how to treat spondyltrosis of the spine if the exercises are contraindicated. The fact is that this active method of treatment does not apply in the therapy of patients of respectful age and in younger patients with certain types of disease. If there is no possibility of exercising physiotherapy (magnetic therapy, phonophoresis, ionoalvanization, sinusoidally modulated currents) in such cases.

Currently, spondylo-edge treatment does not pass without the use of chondroprotectors (chondroxide), which are not replaced in the restoration of damaged cartilage.

Treatment folk remedies ineffective for spondyloarthrosis. The only thing that can help yourself the patient to loosen pain is to warm the muscles (warm bath, compresses with tinctures, insulation with a belt of dog wool).

Special exercises in spondylotrosis are performed during long-term sinking of the disease. Their effectiveness is not lower than medication treatment, and in contrast with the classes successfully achieve muscle strengthening, reducing pain syndrome, resuming the mobility of the spinal column, preventing further progression. Wearing an orthopedic corset causes unloading of problem areas.

Treatment includes the use of structural and modifying drugs. For this purpose, glucosamine sulfate and chondroitin sulfate are prescribed. The action of these medical equipment Directed to stop the destruction of the cartilage.

The condition of this method of therapy, as gymnastics in spondylotrosis is the regularity of the necessary exercises.

Operational intervention is shown only to patients with serious violations. In other cases, minimally invasive operations are prescribed to facilitate the state of the patient (radio frequency or chemical denervation, transficuous fixation, microsurgery to remove the mug of the vertebra, entering stabilizing implants).

Possible complications

Spondilitrosis may be accompanied by such complications:

restriction of the movement of the spine;
vertebral stenosis;
coordination disorders;
problems in the work of the nervous system;
numbness of limbs, chromota;
improper work of the pelvis organs;
the occurrence of seizures;
muscle dystrophy.

Prevention

Spondilitrosis is possible to warn, avoiding factors provoking degenerating changes in the spine. Preventive measures are:

elimination of excessive loads on the back;
end of extension;
posture tracking;
sleep on a tough bed;
moderate sports.

Disease in the absence of necessary therapy tends to progression. Treatment of spondyloarthrosis is a set of events that give the best result with initial stages Diseases. Therefore, the first symptoms described above should not ignore and relate to them with disregard.

spondilitrosis of the spine МКБ 10 code

Osteochondrosis code on the ICD 10

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Yet how not to twist, and in our country the path to innumerable wealth began with a huge lag from the rest of the world. As a result, the main head of knowledge about this subject exists in foreign languages, and not Russian at all. This concerns the interfaces of analytical programs, books, magazines, numerous Internet forums. There will be nothing can be done, such is reality. Therefore, it is necessary to regret the unearned school lessons and begin to teach them here and now. Actually, this section is created for this.

None of the developed countries of the world, none of the medical classification of degenerative-dystrophic diseases there is no nosological unit "osteochondrosis of the spine." Only in the former German classification "Osteochondrosis" had previously indicated the classical "Hernia of Schimor." In "the US dictionary of English language"Webster osteochondrosis of the spine is not even mentioned, as well as in medical English dictionaries ..

As mentioned above, osteochondrosis disease is classified under the ICB-10 code. The ICB-10 code is the classification of the 10th revision of diseases. The ICB-10 is assigned a code that indicates a certain disease of the back. Osteochondrosis in the classification of MKB-10 has the M42 code and is determined by the age of the patient and the location of localization.

Acupuncture helps to get rid of osteochondrosis pain with the effects of needles on certain spinal points that the doctor defines. It is worth spending only

ICD 10 osteochondrosis of the spine

How does the lumbar osteochondrosis appear on the ICD 10?

As a rubbing patients who have a diagnosis of dorsindia (intervertebral hernia), a tincture of a saber is well helped. It can be taken and as a medicine inside. In a glass of boiling water throws 2 tbsp. Spoons of grass. They insist, the remedy and rub sick places to them. In addition, alcohol tincture can be prepared. 100 g of the sabelnik insist in 1 liter of alcohol for three weeks. A few drops of tincture are added to a glass of water, take the means three times a day.

The disease of the spine osteochondrosis is caused by the dystrophic lesion of the artician cartilage and bone tissue. It is also characterized by degenerative changes in intervertebral discs, which over time lead to a reduction in the height of the spine.

Laundant osteochondrosis, having the ICC 10 code, refers to common diseases of the musculoskeletal system. Statistical data show that if before this disease, people over 45 people mostly suffered, then this disease is rapidly young and no longer for people under 35 years old.

Using all of the above treatment methods, do not need to forget about the prevention of the disease. Much attention should be paid to the strengthening of immunity, try not to overcool and control physical exertion. At the first signs of the disease, you should not neglect a visit to the doctor - on time detected deviations are amenable to more rapid treatment than the disease in the progressive stage.

Despite a number of characteristic prerequisites, doctors tend to believe that the main reasons for the appearance of such a type of pathology are uncontrolled and constant loads, as a result of which the vertebrae in the lumbar region begin to put pressure on intervertebral discs.

Deciding how to deal with cervical osteoch

Injury codes, spinal bruises on the ICD-10

Unfortunately, the injuries of the spine in people arise often. Some of them relate to damage to the spinal column by negligence, for example, with a loss of equilibrium. Spree bruise carries serious health effects. The main danger is that a person does not appeal for medical care. Spinal column injuries, coches are listed in international Classification MKB-10 diseases, have their own special code in this system.

In the ICD-10 area of \u200b\u200bthe back, the spine is indicated as T2. Depending on the nature of damage, the possibility of developing complications, influence on other organs, the quality of life of the patient in the future they are divided into subgroups. There are injuries to an unclear nature, with deterioration or minor, so each view has its own code or subgroup, also in addition to the code may indicate conventional signs indicating the ambiguity of the diagnosis, its ambiguity.

In the hospital sheets, the code on the ICD-10 specifies more often. This approach saves a place on a sick leave, the capacity of the information of one code when deciphering carries a greater usefulness than the diagnosis described by words. Acquaintance with this classification will allow you to understand what disease is in a medical card, which diagnosis.

In the category T09, damage to the abdomen, back, whose type is difficult to determine. T09 are not attributed to: fragmentation of the body, multiple injuries, reversed back, abdomen. The following types of damage can be attributed to the T09 of a unclear nature:

T08 - Fracture of the spinal column of an unspecified type. This code is used as the main one when it makes no sense to add certain information, analyze damage, wound. Code can I.

What is the dorsindy of the spine, the code of the IKB-10, what are its symptoms and treatment?

Dorsopathy of the spine (Code of the ICD-10) is a complex of diseases that affect not only the spine, but also bundles, muscles, nerve endings that surround it. If you take the verbal translation of the word from the English language, it means "back pathology".

This name appeared not so long ago, before this was more often used by the well-known word osteochondrosis. The disease itself received the medical code of the ICD-10 in general terminology.

Causes of the disease

The work of all organs in the human body controls the brain through neural connections with the spinal cord. If the patient is diagnosed with dorsindaty, then it means that its spinal cord It is squeezed, thereby begin to be violated communication with the brain, the functions of the internal organs change, which adversely affects the state of the whole organism.

The main and initial cause of the development of this disease is low immunity. As medical studies show, the symptoms of the disease begin to appear after 45 years. But in certain cases: after suffered injuries, infectious diseases, metabolic disorders - this process can develop at any age. Cases were noted when the disease was manifested as a hereditary factor.

In the body there are low-challenge changes in the spinal disk. At this stage of symptoms, the patient practically does not feel discomfort in certain positions of the body. During research in the hospital, pathological changes are not visible.

In the second stage, the disease begins to actively progress, intervertebral joints, bones and neighboring vertebra are affected.

The patient feels a constant manifestation of pain syndrome, which is caused by squeezing of vessels and nerve endings of the vertebral with

Causes of the development of spondyloarthrosis of the lumboslery of the spine and treatment of diseases by injections

Most adults are familiar with their back pain. The older man more problems He arises with the spine. One of the causes of unpleasant symptoms may be spondyltrosis of the lumbar-sacrive department. This is a chronic degenerative process in the vertebral joints, as a result of which pain occurs, mobility is limited. Spondilotrosis code on the ICD 10 - M45-M49 (spondylopathy).

In order for the progression of the disease does not lead to disability, it is necessary to diagnose it in a timely manner and begin treatment. One of the methods of comprehensive therapy in spondylitrosis is the introduction medicinal preparations With the help of injections.

general information

The structure of the spine includes vertebrae, which are connected by intervertebral discs. They perform the shock absorber function. From the vertebrae there are processes between which there are faceted joints. The surface of the joint is covered with a thin hyaline cartilage, limited to the articular capsule. The structure of the discs and their function is directly related to small joints between the spinal processes.

Under the influence of certain reasons that contribute to degenerative processes, it starts to collapse the cartilage layer of the facet joint, the articular slot is narrowed. This causes an increase in the pressure of the vertebrae on each other. The articular cavity and the surrounding fabrics can be inflamed.

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Progression of spondyloarthrosis without proper therapy leads to the formation of bone growths around the edges of the vertebrae (osteophytes). Osteophyte growth damages soft fabrics Around that causes muscle spasms, compression of spinal nerve roots. Running lumbar-sacral spondyloarthrosis leads to the development of deforming spondylosis. Osteophytes with each other

Hernia Schimor: What is dangerous disease and how to diagnose it?

The disease is not only the elderly, but also the young as a result of injuries, physical exertion, the wrong way of life and some other factors.

The initial stages of pathology proceed without visible manifestations, so often hernia is detected at all randomly during an x-ray study or at later stages.

The hernia of Schimor is.

The hernia or nodule of the Schurity is a deformation, which is a breakthrough of the tissue of the pulp-nucleus in the vertebra, as a result of which the bone is forgotten. With this type of disorder, the spinal cord or the spinomy nerves are not squeezed, as it happens during the intervertebral hernia, therefore there is no dullness of the asymptomatic flow. Most often, the disease is observed in the lumbar or thoracic spine. In the cervical zone, pathology is usually not evolving.

The first stages of illness are not accompanied by pronounced signs, since hernia does not squeeze the nerve endings. Only in the last stages of development, the nodes begin to manifest themselves. The first symptom of the disorder becomes numbered limbs after sports activities or physical labor.

In addition, patients have quick fatigue and back fatigue. The numbness spreads gradually: first the sensitivity loses their fingers, then palms and hand brushes.

With the appearance of titles, it is necessary to lie down and relax. At this time, blood circulation will gradually recover and numbness will pass. If the load on the vertebrae will continue, then after a while they lose the sensitivity of the hand, and followed by them and legs. In this case, the patient needs to immediately consult a doctor.

The protrusion of the spine disks of the lumbar department is diagnosed quite often recently. The provoking factors of the occurrence of pathology are different. Next, we learn what the disk protrusion is. Treatment that pro

At the last stages of development, the main signs of hernia are pain in the region

Stenosis of the vertebral canal

Stenosis of the vertebral channel - a chronic process characterized by the pathological narrowing of the central spine, the lateral pocket or the intervertebral opening by bone, cartilage and soft structures, with the invasion of them in space occupied by nerve roots and spinal cord.

The narrowing of the spine channel caused by the hernias of the disc, which lead to acute compression of neuro-vascular structures, is usually not related to the stenosis.

Stenosis of the lumbar spine [edit | edit code]

The stenosis of the spine canal is a disease, includes a combination of a narrowing of the spine channel according to or computer tomography (CT), or magnetic resonance imaging (MRI) or sponix radiography (spondylography) and characteristic clinical symptoms. When implementing MRIs, it was noted over 60 years old that 21% of them had x-ray signs of narrowing the spinal canal at the lumbar level. Only a third (33%) were presented with a complaint characteristic for stenosis

The main cause of the checks was rickets and venereal diseases. In one of the observations of this researcher, the clearance of the spine channel was doubled. Especially important is the authorized by the author of the part of patients with weakness in the legs, muscle atrophy and even paralysis of the lower extremities. Since 1954, the development of this topic has begun to Henky Vorbist

He described the observation of 4 patients with a narrow spinal canal at the lumbar level, in which the holding of Laminectomy led to the complete disappearance of complaints. The author introduced the concepts of "absolute" and "relative" stenosis, and also described the syndrome of the "neurogenic intelligent chromium". From that moment on, there is a steady increase in interest in this problem, the search for new treatments.

Intervertebral spondyltrosis (deforming arthrosis) - chronic pathology, which is often creating in the elderly patients, is less likely to have young people.

The main manifestations of the disease - pain in the back and limited movement.

Spondilitrosis of the spine

This pathology is explained by the degenerative and dystrophic damage to the verterant and arcotted joints. Separate options spondyloarthrosis rarely happen. Usually they occur in combination with osteochondrosis or spondylosis.

What is dangerous spondyltrosis? If the disease is not treated in time, there may be a significant limitation of movements in the damaged spinal column department, since the edges osteophytes are gradually growing and they will even grow together. Soreness over time will only increase, interfering with full-fledged life and physical activity. Moreover, the sharp corners of osteophytes can not only have pathological pressure, but also damage the artery of the spine, which can provoke even a fatal outcome in the patient.

The consequences of spondyloarthology are unfavorable, as others possible complications Diseases can be the formation of hernia, or spondylolisthesis (pathological displacement of the vertebra, or kopened from the next lower vertebra). In this situation, without surgery no longer do: the vertebrae will be made by metal knitting needles. However, after the surgical intervention, physical activity restriction is inevitable.

Evaluating the foregoing, it is safe to say that treatment of the disease must be carried out and in a timely manner. You should not wait for the emergence of complications and adverse consequences, and in time to contact the doctor.

Code of the ICD-10

M45-M49 spondylopathy

Causes of spondyloarthrosis

Elderly age is the most common period of manifestations of the disease. Changes in cartilage tissues that occur with age are favorable by the development of spondyloarthology. Over the years, the spine is harder to cope with physical exertion.

However, often spondyltrosis appears in young people. The following factors can contribute to this:

weakness of muscles and sprigs of the back, Pathology of posture, curvature of the spinal column;
stop deformations, its compaction;
too active lifestyle, sports activities providing excessive spinal overloads;
frequent and long seat or standing in the wrong and uncomfortable posture;
osteochondrosis;
violations of exchange processes;
professional, sports or household traumatization of the back.

IN childhood causes of the disease can be generic injuries, congenital defects of the spine (vertebral merge, spinal column curvature, unforgettable vertebracks).

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Symptoms spondyloarthrosis

The manifestations of the deforming form of the arthrosis of the spine, especially in the early stages of the disease, rarely can be distinct not only in terms of symptoms, but even on the radiograph.

At the later stages, the process can manifest itself in soreness in certain areas of the back, violation of the amplitude of the movements of the body. In general, symptoms can largely depend on the localization of the lesion focus, therefore several types of pathology are usually distinguished:

Shein spondyloarthrosis

With cervicoarthrosis (the second name of pathology), patients usually complain about soreness in the field of neck, with irradiation in shoulder jointsBetween the blades, to the nape area, in one of the upper limbs. Bone and cartilaginous growths during the defeat of the cervical spinal section can contribute to deformation and a decrease in the lumen of the spine canal, as well as the development of root phenomena. In addition, osteophyte can occur into the wall artery wall of the spine, which provokes blood flow disorders to the brain. This may be accompanied by dizziness, pain in the head, cochlear disorders.

Breast spondyloarthrosis (Dorsatrosis)

It is not found so often than cervical or lumbar spondyltrosis. This is explained by some difficulties in diagnosis, since on this site, the arcotted joints are hidden behind the ribs. In addition, the pathology itself occurs here much less often, since the thoracic department is initially less moved than the remaining areas of the spine.

Lumbar spondyloarthrosis (Lumboarthritis)

Frequently found optional option. It is characterized by constant pulling pains in the area of \u200b\u200bdefeat, with the irradiation into the femoral region and buttocks. The pain becomes more pronounced at the turn and tilt of the hollow torso. Most often, pain appears due to a long seating or lying and stopped after some motor activity (warm-up, freezing).

Spondyltrosis of the lumbar-sacrive department

The main feature is sacrifices on the lumbar spine. The painfulness is possible, it is possible to irradiation into the femoral and buttock area, but only to the knee site. Initially pain may appear exclusively if exercise. Over time, the process increases, soreness begins to manifest itself both when driving and at rest. The most frequent localization of the pathology of the lumbar-sackeling department is spondyloarthritis L5-S1. The disease revealed in a timely manner conservative therapy Without the use of surgical intervention.

Degrees spondyloarthrosis

As we have already spoken above, the initial spondyloarthrosis usually proceeds asymptomatic. As a rule, spondylase or osteochondrosis are manifested to the fore, the degeneration of fibrous rings of the front longitudinal ligament. In this case, the defeat of the small joints of the spine does not yet have sufficiently pronounced symptoms, it is characterized only by the regional bone expanding in the chest and lumbar zone.

The initial signs of spondyloarthrosis appear only when bone edges are becoming large, the articular processes are lengthened, the contour of the joints is changed, and the articular surfaces increase. As a result, the articular gaps are narrowed, and often changes the ratio of the articular axes, which cannot but affect the functions of the affected department or the entire spine as a whole.

Spondilitrosis in its current takes place several degrees:

1 degree - loss of the elasticity of the intervertebral disc, joint shells, ligaments, reducing the amplitude of the mobility of the spinal column;
2 degrees - an increase in the load on the discs, the loss of the ability of fibrous rings to fully fulfill its functions;
3 degrees - radiological confirmations of bone growths, dystrophic changes in ligaments;
4 degrees - the presence of bone growths of impressive sizes, limiting the mobility of the spine, squeezing the nerve endings and vascular walls.

The mechanism of the formation of pathology can be called dystrophy processes in the tissues of the cartilage, the dissemination of changes to the structure of the fibrous ring, degeneration of ligaments that hold the vertebrae, and the increase in osteophytes.

Varieties spondyloarthrosis

Depending on the flow and stage of the process, spondyltrosis is divided into several options. We will consider general information about each of them.

Deforming spondyloarthrosis

The term "deforming" can be applied to almost any kind of spondylo-edge, because this disease proceeds against the background of deformation (changes in the size, configuration and form) of the vertebrae and the rear vertebral channel by the formation of bone growths and the displacement of intervertebral disks. The deformation is irreversible and radiologically detected.

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Degenerative spondyloarthrosis

It is also a comprehensive concept, as spondyltrosis is the degenerative-dystrophic disease itself. Under this pathology of degeneration, the arcotted and vertebral ribs, as well as fibrous rings of intervertebral discs, are resolved and vertebral ribs. Rings are losing elasticity, suggest, shifted. This gives the appropriate clinical picture of the disease.

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Unktertibral spondyltarrosis

Such a concept is called arthrosis of the arcottopic jointers, which develops between the spinning process on the posterior surface of the 1-2 vertebrae of the cervical area. The main symptoms are considered to be neuritis (shoulder, cervical), hypertension, body equilibrium imbalance and weak neurological reflexes.

Spondligatrosis of the arcotter joints

This is one of the manifestations of spondyloarthrosis, the degenerative-dystrophic processes of which may affect the arcotted joints and the vertebral-ripe joints. The isolated version of the spondylo-archration of the arcottopic joints is extremely rare, as a rule, a combined lesion of the ocolopozonchonic joints occurs.

Ankylosing spondyloarthrosis

Polycegmented spondyltrosis

Serious pathology at which several spinal sections are affected simultaneously: Lumbar, sacral, chest and cervical. Treatment of such a disease time-consuming and long-term, and manifestations of multi-pectomic disease. There is a combined lesion clinic of several vertebral departments.

Displanted spondyltrosis

The term "dysplastic" is used when they want to emphasize the nature of pathology. Displanted spondyltrosis is accompanied by a violation of the structure of the joints, the change in their shape, size, structure. Dysplasia is not a diagnosis, it is only a manifestation of another disease, in this case, spondyloarthrosis.

Diagnostics spondyloarthrosis

The disease is diagnosed on the basis of a clinical picture, as well as radiological and tomographic indicators.

The X-ray examination of the deforming pathology of the arcotted joints is certain difficulties, because on X-rays made in the forefront of the projection, the joints of the joints on other oste formation (articular rib heads, transverse processes, etc.) occurs. This is especially noticeable on the thoracic and cervical area of \u200b\u200bthe spine. To solve this problem, in addition to standard x-ray images, non-hard styling of the patient (use of oblique, three-fourth projections), as well as computer tomography - layered image visualization.

If there are inflammatory processes in the lesion, the radioisotope scanning method is used. This technique is the registration of radioactive radiation of the patient's body after a radioactive drug is introduced into the body (more often intravenously). As a rule, pay attention to the uniform distribution of the substance in the body, which helps in the detection of inflammation and determines the accurate localization of the focus.

Treatment spondyloarthrosis

The methods of treatment of spondyloarthrosis are mainly conservative. They are aimed at relieving painful signs and an increase in the mobility of the affected area of \u200b\u200bthe spine. Non-steroidal anti-inflammatory drugs are usually prescribed to reduce pain. There are quite a sufficiently large amount, however, diclofenac, Kathetonal, Ksefokam, Ketorol, and others are considered the most popular, Kebrex, Naz, Movalis, can be distinguished from the preparations of a new generation.

In the remission stage shows the use of massage sparing gymnastic exercises, in the pool. All this favors increased muscle corset of the spinal column and allows you to save the motor functions of the spine.

With impaired muscle tone and the presence of pronounced pain, it is recommended to carry out isometric (static) exercises.

In the elderly patients (or in other cases, when active measures to strengthen muscle are contraindicated), physiotherapy methods are often used. To relieve pain, except for drug therapy, magnetic therapy, ion bonnet procedures with anesthetics (lidocaine or novocaine), method of sinusoidal modulated currents are used. The use of phonophoresis with hydrocortisone is also popular: this procedure relieves the swelling and inflammatory process.

Since the main etiological factor in the formation of spondyloarthrosis is to damage the structure of intervertebral discs, the method of structurally modifying therapy is becoming a common method. This technique involves the use of glucosamine sulfate and chondroitin sulfate - these are substances that are able to slow the processes of the degeneration of cartilage tissues. This method can be applied already at the initial stages of the development of the disease.

Treatment of spondyloarthrosis of the cervical department, as well as other spoken departments, is not currently without the use of chondroprotectors. These are drugs that help restore damaged articular cartilage. Such means can be used orally, in the form of injections or ointments.

One of the representatives of chondroprotective ointments is chondroxide - an outer drug that improves the exchange of calcium and phosphorus in cartilage tissue, a penetrating degenerative process that helps restore the cleaning surface of the joint. The drug also has an anesthetic and anti-inflammatory effect.

Chondroxide is used as a drug component of phophoresis, which speeds up the elimination of pain and symptoms of the spinal stiffness.

Recently, the use of therapeutic plastering nanoplast forte is popular. This is an analgesic anti-inflammatory drug, which improves blood flow in the lesion center. It is used both in acute and in the latent stage of the process. The plaster is glued to the affected back of the back, you can at night. Typically, the plaster is not removed within 12 hours: the acute process is usually fastened when using a patch for 4-5 days.

In severe launched cases, the use of surgical treatment methods is possible. These include:

the minimally invasive method is the destruction of the nerve endings by radio frequency rays. Such a procedure does not remove the main problem, but significantly facilitates pain syndrome;
gemilaminectomy method is an operational excision of a vertebral alignment area that squeezes nerve endings.

Treatment of spondyloarthology by folk remedies

Popular treatment is the use of various ointments, compresses, decoctions and baths from medicinal plants. Such means can bring real benefits if they are combined with the methods of traditional medicine: the use of medical drugs, manual therapy, physiotherapy, etc.

Treatment of spondyloarthrosis at home provides for the use of the following methods and means:

therapeutic bath. Bath is recommended to be taken at a water temperature to 40 C. 150 g of a marine or rock salt on 50 liters of water;
decoction. A mixture of parsley and celery leaves (200 g) boil 8 minutes in 0.5 liters of water. To the resulting decoction add lemon juice and honey to taste, drink with small sips during the day;
therapeutic infusion. A mixture of equal parts of juniper, linen seed, mint, hop cones, souls, calendulas fall asleep into a thermos and pour boiling water overnight. Drink three times a day for half an hour before meals;
medical tinctures. Effective tincture of chestnut and cedar nuts. Tinstures are made on vodka and withstand up to 40 days. Take on a teaspoon until food is taking three times a day;
therapeutic compress. Take 100 g calendula on 0.5 liters of vodka or alcohol lotion, insist in a dark place for 14 days. Used as compresses or rubbing;
medical ointment. The same parts of the coriander, mint, birch renal and dandelion roots are boiled 5 minutes, insist and filtered off (6 tablespoons of the collection on a glass of boiling water). The decoction is mixed with 100 g of fat fat or vegetable or butter. Lubricate the affected place at night;
healing warmth. Apply to the affected place the bags with hot sand, heated salt or just welded chicken eggs;
fir oil. Finished oil, sold in a pharmacy. Used as a massage ointment, or for intake (100 ml of milk with a teaspoon of oil).

Massage with spondyltroatrosis may be light and gentle during the period of exacerbation, using anti-inflammatory exterior drugs (diclac gel, diclofenac ointment, diclofitis, viprosal). In the stage of facilitating symptoms, you can use a massage with honey:

honey massage. For massage, it is used to 40 with natural honey, which is applied to the skin, is strongly pressed with palm and cut off the palm from the surface of the skin. In this method, we, as if we can press honey into the skin and immediately remove it. After the session, Honey must be washed off the decoction of herbs: mint, melissa, souls, calendula. Procedures spend a day for 14-20 days.

Therapeutic physical culture with spondyloarthrosis

It is possible to achieve the effect of therapeutic procedures in spondyltarrosis with an integrated approach using, including therapeutic physical culture. It favors reducing pain, stabilizes muscle tone, facilitates the mobility of the back.

Beginning exercises in spondyltroatrosis are necessary with a warm-up, gradually performing more complex exercises.

The specifics of occupation during the exacerbation of the disease is to carry out exercises during periods between bore attacks, alternating them with other therapeutic measures.

The initial position is usually chosen based on the features of the disease in each particular case. The most acceptable is considered the posture, lying on the back, on the side or abdomen. Do not overload the affected department of the spine, moves should not be sharp and rapid. If in the process of performing exercises, pain occurs - the occupation should be stopped.

Gymnastics in spondyltroatrosis:

len on the back, hands behind your head. Bend your legs in the knees, hands in the elbows, closame them between themselves and go back to the original position.
len on the back, bent the right leg in the knee. We try to progress, raising the pelvic area and leaning on the head and foot, we return to the original position.
we stand on your knees, rely on the elbow. Inhaling, rounded the back and lower the head. Exhausted, return to the original position.
len on the back, hands behind your head. Tighten your legs bent in your knees to the stomach, wrap your knees with your hands and press their heads, come back.

During classes, it is necessary to try to breathe deeply, performing exercises measuring and slowly.

Also, a good effect gives an exercise on the fixation of the right posture: we take a stick (length of about 1 m) and we bring it around the back horizontally, holding the internal surfaces elbow joints. Thus, it should be moved several times a day to 25-30 minutes.

Powered with spondyloarthrosis

Diet with spondyloarthrosis should be fractional, food intake - every 3 hours.

Exclude or limited in use:

grapes (also wine or juice);
strong meat broth, fatty meat, fat;
legumes (beans, peas);
sorrel;
refined products;
spices, salt, sugar.

If excess weight, it is necessary to limit the calorie content of the diet and completely eliminate the admission to the body of simple carbohydrates: sugar, candies, cookies, cakes, cakes. Along with this, it would be nice to increase and physical activity, more walk, move, engage in freezing.

Once at 7-10 days can be arranged a unloading day on cottage cheese, milk, kefir, vegetables or apples.

In general, food should be milky-vegetable with the restriction of animal proteins (meat, fish, eggs), fatty products and cooking salts.

By the way, the diseases of the joints in vegetarians happen much less frequently than that of traditional food adherents. This is especially true of Laktovogetarians.

It is also important to drink enough liquid: it must be clean water or herbal teaBut, in no case is not Coca-Cola or energy drinks.

Prevention and forecast spondyloarthrosis

The forecast of spondylostridge is relatively favorable. Timely appeal to the doctor and the treatment of pathology helps prevent the development of serious consequences.

At the heart of preventive measures of the disease, a reduction in the load on the vertebrate pillars. What should I do:

monitor the normal body weight;
prevent excessive load on the spine, lifting heavy items;
beware of the injury of the spine;
follow posture, both while walking and in a sitting position;
sleep follows in the semi-rigid mattress, the pillow must be small (eliminate soft perins and high high pillows);
show physical activity in swimming;
it is possible to eat and drink enough clean water.

With a long sitting position, try to change the pose every 10-15 minutes, and every half an hour should be able to get up and warm up, walk around the room, distract.

Disability in spondylotrosis is not excluded. If the disease is running, there are certain neurological symptoms, as well as signs of restrictions of physical and motor activity that interfere with the full vital activity of the patient, an expert solution can be made with the definition of an appropriate group of disabilities.

Spine is a very important component of the body. This is the protection and support of the spinal cord, which performs the vital functions of the body. This is an axle for passing a multitude of nerves and vessels. Spondilitrosis of the spine - pathology, which makes changes to the spine structure. To prevent this, it is necessary to follow the health of the back, take care of it and prevent overloads.

Treatment of lumbar spondyloorder in the overwhelming majority conservative cases. The most important role is played by non-drug therapy, which includes massages and therapeutic physical culture. Massage reduces muscle spasm, contributes to the activation of blood circulation and tissue exchange in the field of lesion. LFC helps reduce pain and restore the functional activity of the spine. In parallel, physiotherapeutic procedures are prescribed: ultrasound, cobalt, sulfur and zinc electrophoresis, phonoforesis with hydrocortisone and magnetotherapy.
To reduce acute pain in the absence of signs of pronounced inflammation, paracetamol or tramadol is used. In the presence of inflammatory phenomena, NSAIDs are prescribed: celecoxib, meloxico, nimesulide, ibuprofen, diclofenac, along with tableted forms, use anti-inflammatory and warming gels and ointments. With pronounced spasms, minelaxants are used: Tizandine, Tolperison and Baclofen. In addition, in recent years, in the arthrosis of various localization, including spondyltarrosis, in addition to the drugs listed above, chondroprotectors are still prescribed: seabicosine extract, glucosamine, chondroitin sulfate These drugs prevent the progression of degenerative changes in cartilage tissue and slow down the development of spondylo-edge.
With a stubborn pain syndrome, blockades with novocaine and cortisone in the area of \u200b\u200bthe facet joints. In addition, in the absence of an effect on conventional treatment, it is sometimes a minimally invasive radio frequency destruction of pain receptors in the area of \u200b\u200baffected joints. The procedure is well tolerated by patients and is performed under polyclinic conditions.
With ineffectiveness conservative treatment In some other patients, surgical operations are carried out in some cases, during which the doctor establishes special implants between the spasy proceedings - interstitial spoilers. These structures help to expand the intervertebral holes and reduce the load on the vertebrals. The operation relates to a category of relatively small-acting surgical interventions and can be carried out under local anesthesia, both in the hospital and outpatient conditions. This expands the possibilities of using the technique in the treatment of elderly patients who often suffer from concomitant somatic diseases and hard tolerate general anesthesia and extensive operations.
Forecast with lumbar spondyloarthrosis is usually favorable. Regular treatment and compliance with the recommendations of the doctor in most cases helps to maintain the functionality of the spine and reduce pain syndrome. Disability in an isolated process is not violated with the exception of exacerbation periods. When combining spondyloartrosis with other degenerative diseases of the spine, the development of the radiculitis is possible, the formation of the hernia of the disk and the appearance of neurological symptoms.

Etiology and pathogenesis

The cervical spondylosis is osteoarthritis of the cervical spine. This is a change in the vertebrae and intervertebral disks. The incidence rises sharply after 45 years. In rare cases, injury becomes the cause, then the disease can begin in the youth. More often observed in men. Genetics, lifestyle values \u200b\u200bdo not have.

The bones are thickened and the growths appear on them - osteophytes. Inflamed joints and osteophytes squeeze the spinal nerves or pinch blood vessels Neck.

Symptoms

Most people have insignificant symptoms or are generally absent. Basically you can notice the following:

neck becomes inflexible, and its movements are painful;
pain in the back of the head;
noving or shooting (from the shoulder in hand) pain;
loss of sensitivity, numbness and weakness in the muscles of the hands.

With sharp movements of the head, the deformed vertebrae may compress blood vessels that feed the brain, which is why dizziness and weakness occur, and in the eyes two.

Occasionally, with the strong degeneration of the joints of the spinal cord, it turns out to be shifted for a long time, which is accompanied by loss of sensitivity, weakness in muscles, paralysis of the limbs, and in some cases - incontinence of urine and feces. In such a state, urgent help is needed.

Diagnosis and treatment

If the patient is bothering pain in the neck or dizziness, then you need to consult with your doctor. The patient will be assigned radiography to confirm or eliminate the cervical spondylosis. If the doctor considers that symptoms can be caused by another disease, in order to eliminate the loss or hernia of the intervertebral disc, it will send a patient for further research. It will be necessary to explore the nervous conductivity, to carry out electromyography (EMG) to assess the activity of the nerves in the hands. Computer tomography and NMR will help determine where changes occurred - in intervertebral discs or in the vertebrae themselves.

Degenerative changes of the spine can not be stopped, but its consequences can be reduced when proper treatment. To relieve pain (if the case is light), analgesics will be assigned or. When the pain subsides, to maintain the mobility of the neck and strengthen muscles, we recommend cautious exercise. Sometimes the corset supporting the cervical vertebra is recommended for additional support.

If, after receiving medications and exercises, the pain does not pass, then they make local injections around the nerves or inside the neck joints to alleviate the disturbing patient symptoms.

If the nerve shifts, the surgical operation will help (the surgeon will expand the natural hole between the vertebrae). Sometimes to strengthen the spine, the affected vertebrae split. Before such an operation, discography is carried out to determine which disk causes pain.