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Osteochondrosis and its symptoms

 

General characteristics of osteochondrosis

Osteochondrosis - a degenerative-dystrophic spine diseases. In osteochondrosis intervertebral discs is affected. Intervertebral disks in osteochondrosis deformed, reduced in height, exfoliate.

Osteochondrosis in itself is not a disease, it is due to age-related changes of connective tissue. It is known that in people aged 40 years and older in most cases, the spine radiographs revealed signs of osteoarthritis. Does this mean that they are sick? If you follow the modern definition of the disease, then, of course not. Disease is only symptomatic osteochondrosis. If osteochondrosis detected incidentally during a special survey, it should not be attributed to the disease.

Osteochondrosis, the symptoms of osteochondrosis, diagnosis of osteochondrosis, treatment of symptoms of spinal osteochondrosis, osteochondrosis diagnose, treat osteochondrosis, pain in the neck with osteochondrosis, pain in the back with osteochondrosis, pain in osteochondrosis of the spine, herniated intervertebral disc protrusion and, intervertebral disc, a clinic in Moscow, price and value

Anatomy of the vertebrae and intervertebral disc (nucleus pulposus and annulus fibrosus).

Osteochondrosis of the spine - it's mostly a pathological process that may be disease with appropriate clinical manifestations. Modern methods of investigation, primarily computed tomography (CT of the spine) and magnetic resonance imaging (MRI spine), are able to identify in most cases, some changes (pathological processes) in healthy humans.

Osteochondrosis - a dystrophic disease process, beginning with the intervertebral disc with subsequent involvement of other parts of the spine, especially the cervical and lumbar, in some cases, clinically manifested by various neurological disorders. Neck and waist are suffering because of their regular and high mobility, whereas the thoracic spine, we firmly fixed edges.

At the same time, it should be noted that in 60-75% of cases of osteochondrosis of the lumbar disc prolapse even occurs clinically without pain and other symptoms. There is also no strict relationship between the degree of degeneration of the intervertebral disc and the severity of neurological disorders. Moreover, in elderly and senile patients, in whom the incidence and prevalence of osteochondrosis reaches its maximum extent, sciatica occur in 1,5-2 times less likely than people of middle age.

Various aspects of osteochondrosis and its neurologic manifestations in adults are described in dozens of monographs, reference books, manuals and countless magazine articles. Clinical manifestations of lumbar degenerative disc disease in children and adolescents is devoted only a few books, but in general this problem in childhood and adolescence in many ways still remains unexplored. So no need to detail the causes and mechanisms of development of degenerative disc disease. They are well known neurologists and orthopedists, although much remains unexplored, but some aspects are controversial.

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Compression of the nerve by prolapsed intervertebral disc with the appearance of leg pain in osteochondrosis of the spine.

 

Osteochondrosis is a multifactorial disease with both hereditary and congenital features, as well as a number of acquired factors: the static-dynamic, autoimmune, metabolic, etc. With such a diversity of etiology and pathogenesis of osteoarthritis is important to primary care (first factor), which runs the complex chain of various changes leading to the development of osteochondrosis.

Based on clinical, pathological and experimental studies have been put forward the position that the initial, starting mechanism of osteochondrosis is a vascular (ischemic) factor. This is confirmed by the following pathomorphological data obtained in the study of blood supply to the spine. Sets a clear parallelism between the decrease in the total area of estuaries of the lumbar and middle sacral artery and the growth effects of osteochondrosis in the whole lumbar spine.

Identified as high frequency of vascular malformations of the area, supplying the lumbar segments: improper discharge of, multiple bends, narrowing, which leads to insufficient blood supply to the lumbar vertebrae, an imbalance between synthesis and destruction of critical functional components of the intervertebral disc.

In the pathogenesis of neurological manifestations of osteochondrosis of the lumbar spine plays an important role and a impairment of the venous outflow from the partial or complete block at the level of epidural veins bulging or herniated disc. Detection of venous disorders based primarily on results of specific paraclinical investigations - reokaudospondilografii, rheovasography, radikulografii, venospondilografii. These data require development of new methods of differential therapy with an impact on regional venous hemodynamics, exceptions are widely used in thermal treatments.

Diversity at etiologic factors of osteochondrosis and its neurologic manifestations in the pathogenesis of the disease the leading role played by autoimmune disorders. They occur after the appearance of the intervertebral discs of biochemical changes caused by imbalance between the processes of biosynthesis and destruction of critical functional components of connective tissue.

Autoimmune concept of pathogenesis of osteochondrosis and its clinical implications was developed in the future. It was found that the neurological manifestations of lumbar osteochondrosis disturbed function of T-and B-systems of immunity, which results in enhanced production of antibodies to the various structures of the intervertebral discs as a result of deficiency of T-suppressor cells. These and other data made it possible to explain many mechanisms for the development of osteochondrosis, including the stages of morphological changes in the intervertebral discs, alternating remissions and relapses, as well as reactive changes in nerve roots and surrounding tissues.

In assessing the role of autoimmune disorders in osteochondrosis of the spine should also be borne in mind that they are the universal reaction to the injury of any organ and any tissue.

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Scoliosis with protective lowback muscles spasm in osteochondrosis background with the intervertebral disc hernia or protrusion.

 

Neurological syndromes of spinal osteochondrosis

Neurological syndromes of spinal osteochondrosis clinically divided into:

 

Stage and the degree of osteochondrosis

Just distinguish stages of osteochondrosis:

  • the initial stage of osteochondrosis
  • stage rupture of the fibrous ring of intervertebral disc
  • stage of the exodus and residual effects of osteochondrosis

 

Severity of osteochondrosis in its X-ray:

  • straightening of lumbar lordosis, slight flattening of the intervertebral disc, small exostoses, sprawl uncinate processes
  • slight narrowing of the intervertebral foramen and vertebral canal, reducing the height of the disk, the instability of the spine
  • significant narrowing of the intervertebral foramen and spinal canal

 

During spinal osteochondrosis

During spinal osteochondrosis:

  • relapsing course of osteochondrosis
  • chronically relapsing course of osteochondrosis
  • chronic spinal osteochondrosis

By type of flow of osteochondrosis:

  • regredientny type of flow of osteochondrosis
  • neprogredientny flow of osteochondrosis
  • like progressive course of osteochondrosis

Period of the flow of osteochondrosis:

  • debut of osteochondrosis
  • exacerbation of osteochondrosis
  • remission (complete, incomplete) of osteochondrosis
  • period of relative stability, residual period of osteochondrosis

 

Osteochondrosis in children and adolescents

For a long time there was a view that osteochondrosis develops only in adulthood and old age. Even in special manuals on nervous diseases, the possibility of vertebral lesions of the nervous system in childhood and adolescence is not mentioned or discussed very briefly.

The first mention of the possibility of a lumbar intervertebral disc herniation in adolescents belong to F. Jelsma (1944), which among the 150 operated patients but this occasion was a young man 17 years old. In 1946, H. Wahren gave a detailed description of the clinic loss lyumbosakralnogo drive a girl of 12 years. Similar findings were cited in the future and other authors. In 1954 J.H. Webb, H.J. Svien, R.L.J. Kennedy reported the results of surgical treatment but also about the loss of the lumbar intervertebral discs in 3 children and 57 adolescents. During the years 1946-1981. in the literature describes 71 cases of such surgery in patients aged 15 years, total number of operations in children and adolescents up to 1974 to 158 (SE Borgesen, PS Vang, 1974).

The reasons for the development of osteochondrosis in childhood and adolescence are different points of view. It occurs to some extent can act as a feature of the blood supply drives. It is known that the intervertebral disc is fed by diffusion, since all the vessels after 4 years of life undergo reverse development. However, this age-tissue reconstruction does not necessarily mean pathology. Importance attached to increased muscle loading, fatigue (micro-and makrotravmatizatsiya), especially during sporting events. However, it is unlikely that only trauma can lead to loss previously healthy disc. On research JA Key (1950), S.E. Borgessen, P.S. Vang (1974), D. Jaster (1974), the frequency of injuries in the history of children and adolescents does not differ from that of adults. In this case, is the primary disk degeneration, and trauma only accelerates the loss. Also indicates the role of innate inferiority of tissues of the intervertebral disc (P. Rottgen, 1951).

According to I.E. O'Connell (1960) rapid skeletal growth during childhood and adolescence is a load, which contributes to degeneration of intervertebral discs. The second etiological factor the author considers the inadequacy of the muscle, which met in 10% of the patients. This was manifested in the fact that some patients with spinal osteochondrosis were very tall, or, conversely, had adipose physique, musculature, in some cases has been weakened after prolonged bed rest on various diseases.

As the study of osteochondrosis and the resulting neurological disorders increasingly important betrayed hereditary factors. Khodosy and Okuieva (1980) conducted a genealogical study of 68 children and adolescents aged 8 to 18 years with various clinical manifestations of osteochondrosis. At the same time 69,1% of the probands were familial cases of the disease: similar diseases suffered parents, grandparents, uncles, aunts. FH in adults according to G.K. Nedzvedya (1980), occurred in 53.3% which is significantly lower than in childhood and adolescence. It was shown that in case of illness of both parents of the lumbar-sacral pain in the proband occurred at a younger age.

Also identified a variety of dysplastic features in 75% of patients with children and youth with reflex and radicular syndromes of vertebral lesions of lumbosacral localization, which is significantly higher than that of adults (49%). These anomalies were manifested in the form of light facial dysmorphia (28%), abnormalities in the structure of the hands and feet (47%), malformations of the musculoskeletal system (8,8%), the asymmetric structure of the body (63%), skin and vascular anomalies (23 5%). In addition, 40.9% of the patients, according to Dayna VF Kuznetsova, and SR. Okuneva (1979.1985), there were anomalies of the lumbosacral spine:

  • splitting of the vertebral arch (19.7%)
  • lyumbosakralny transitional vertebrae (14.6%)
  • impairment of the tropism of articular processes (5,7%)
  • spondylolisthesis (0.8%)

In most cases (60%) met the combination of two or more different dysplastic features, which is significantly higher than in adults (10%).

In a study of relatives of probands are also quite frequent anomalies: the deformation of simple, birthmarks, expansion of saphenous veins, abnormal structure of the body, facial dysmorphia, also traced the existence of the tribe of bony anomalies of the lumbosacral spine. It should be noted that the role of the latter in the occurrence of lumbar degenerative disc disease and its clinical manifestations has not been established definitively.

There is a perception that the innate changes under the influence of exogenous factors cause static inferior spine and thus contribute to the development of degenerative process in the disks. According to the LA Borodina (1970) Osteochondrosis develops adjacent to the anomaly of the disk. The above data indicate the role of genetic susceptibility c neurological manifestations of lumbar osteochondrosis. It can be transmitted as an autosomal dominant or an autosomal recessive manner.

The presence of familial cases of vertebral disease of the lumbosacral peripheral nervous system, high frequency of dysplastic features in probands and their relatives (especially on the part of the lumbosacral spine) seems to determine the possibility of developing osteoarthritis of the lumbar spine and its clinical implications in childhood.

 

Diagnosis of the osteochondrosis symptoms

Diagnosis of the symptoms of osteochondrosis begins with neurological and orthopedic examination by a doctor. In this survey assessed the neurological status of the patient, as well as the identification of possible irregularities in the biomechanics of the spine with the mandatory assessments of the back muscles and gluteal area. Already at this stage, studies of patients with osteochondrosis of the spine and back pain and lower back can be diagnosed and treatment is chosen.

According to the results of neurological and orthopedic examination of the patient with pain symptoms in the face of osteochondrosis may be appointed in addition the following diagnostic procedures:

Osteochondrosis, the symptoms of osteochondrosis, diagnosis of osteochondrosis, treatment of symptoms of spinal osteochondrosis, osteochondrosis diagnose, treat osteochondrosis, pain in the neck with osteochondrosis, pain in the back with osteochondrosis, pain in osteochondrosis of the spine, herniated intervertebral disc protrusion and, intervertebral disc, a clinic in Moscow, price and value

Magnetic resonance imaging (MRI) of the lumbosacral spine in osteochondrosis, side view.

 

Treatment of osteochondrosis, hernia and protrusion of the disc

Depending on the severity of symptoms and causes of back pain and lumbar degenerative disc disease on the background of the patient, the following therapeutic action:

Osteochondrosis, the symptoms of osteochondrosis, diagnosis of osteochondrosis, treatment of symptoms of spinal osteochondrosis, osteochondrosis diagnose, treat osteochondrosis, pain in the neck with osteochondrosis, pain in the back with osteochondrosis, pain in osteochondrosis of the spine, herniated intervertebral disc protrusion and, intervertebral disc, a clinic in Moscow, price and value

When treating pain in lumbar spine (back and waist) against a background of osteochondrosis eliminate swelling, inflammation, pain, restore range of motion in joints and muscles of the lumbar requires the use of physiotherapy.

 

In the intervertebral joints of the lumbar, thoracic or cervical spine (facet joints) can also be produced by therapeutic blockade. Blockade with local anesthetic and hormonal preparations are made for faster relief of pain and inflammation, and get an early positive clinical effect.

Typically, for therapeutic blockade sufficiently low doses of anesthetic (procaine, lidocaine) and cortisone injected into the lumen of the affected joint.

Osteochondrosis, the symptoms of osteochondrosis, diagnosis of osteochondrosis, treatment of symptoms of spinal osteochondrosis, osteochondrosis diagnose, treat osteochondrosis, pain in the neck with osteochondrosis, pain in the back with osteochondrosis, pain in osteochondrosis of the spine, herniated intervertebral disc protrusion and, intervertebral disc, a clinic in Moscow, price and value

The use of acupuncture is very effective in the treatment of back pain and lower back on the background of osteochondrosis.

 

When combined with a properly chosen mode, physiotherapy, therapeutic blockade of these can give good and long-term effect on lumbar pain and pain in the sacrum at patsientas osteochondrosis.

Osteochondrosis, the symptoms of osteochondrosis, diagnosis of osteochondrosis, treatment of symptoms of spinal osteochondrosis, osteochondrosis diagnose, treat osteochondrosis, pain in the neck with osteochondrosis, pain in the back with osteochondrosis, pain in osteochondrosis of the spine, herniated intervertebral disc protrusion and, intervertebral disc, a clinic in Moscow, price and value

In the treatment of radicular pain in the leg and buttock on the background of osteochondrosis elimination of pain, tingling and restoration of sensitivity in the leg with neuritis of sciatic nerve compression in case it requires the use of physiotherapy.

 

In the treatment of radicular pain in the leg and buttock on the background of osteochondrosis elimination of pain, tingling and restoration of sensitivity in the leg with neuritis of sciatic nerve compression in case it requires the use of physiotherapy.

Osteochondrosis, the symptoms of osteochondrosis, diagnosis of osteochondrosis, treatment of symptoms of spinal osteochondrosis, osteochondrosis diagnose, treat osteochondrosis, pain in the neck with osteochondrosis, pain in the back with osteochondrosis, pain in osteochondrosis of the spine, herniated intervertebral disc protrusion and, intervertebral disc, a clinic in Moscow, price and value

Version of semi-rigid lumbosacral corset (lumbar back brace) helps to cure back pain and lumbar degenerative disc disease on the background of the spine with intervertebral disc herniation or protrusion of the intervertebral disc.

 

In such a corset (lumbar back brace) patients with spinal osteochondrosis can move independently indoors and outdoors, and even sit in the car and the workplace. The need to wear a corset in a patient with osteochondrosis disappears as soon as is back pain.

But we must remember that in the period of acute back pain and lumbar degenerative disc disease on the background of the spine should be avoided workloads and keep quiet. This is a temporary restriction, but it significantly shortens recovery time and against the background of the treatment does not develop the disease on the spine.

Osteochondrosis, the symptoms of osteochondrosis, diagnosis of osteochondrosis, treatment of symptoms of spinal osteochondrosis, osteochondrosis diagnose, treat osteochondrosis, pain in the neck with osteochondrosis, pain in the back with osteochondrosis, pain in osteochondrosis of the spine, herniated intervertebral disc protrusion and, intervertebral disc, a clinic in Moscow, price and value

Version of semi-rigid lumbosacral corset (lumbar back brace) helps to cure back pain and lower back on the background of osteochondrosis.

 

There are several types of semi-rigid lumbosacral corsets (lumbar back brace). All of them are selected individually by size and can be repeatedly used in the event of recurrence of back pain and lower back on the background of osteochondrosis, as well as to prevent potential exacerbation of the pain symptom.

 

Questions about the diagnosis or treatment of back pain in osteochondrosis can check with our neurosurgeon or neurologist by phone: (499) 130–08–09

 
 

 

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