Spondylosis of spine
Spondylosis of spine
Spondylosis of spine - a dystrophic process in the spine, which in contrast to spinal osteochondrosis begins with the outer parts of the fibrous ring and the x-ray shows the presence of the boundary of bone growths (osteophytes) that surround the intervertebral disc.
The magnitude of the intervertebral disc with spondylosis is not changed. The contours of the vertebral bodies with spinal spondylosis remain flat. Spondylosis localized mainly in the thoracic spine. Several less spondylosis can be observed in the lumbar and cervical spine.
Spondylosis is usually seen as a sign of natural aging. Emit the same and other species spondylosis:
- static spondylosis - a consequence of early deterioration of intervertebral discs on the grounds of breach of the normal axle load (for example, as a result of improperly fused spine fracture, with kyphosis, scoliosis, structural)
- spontaneous spondylosis - on the grounds of age, and sometimes early wear of discs; jet - due to lesions of vertebral inflammatory process
Spondylosis can be combined with osteochondrosis. In childhood and adolescence spondylosis is relatively rare and does not play a significant role in the occurrence of diseases of the peripheral nervous system.
Diagnosis of spinal spondylosis
Diagnosis of spinal spondylosis begins from mandatory 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 of the study patients with spondylosis of spine and pain in the neck, thoracic or lumbar can be diagnosed and treatment is chosen.
Sometimes, the results of neurological and orthopedic examination of the patient with pain symptoms on a spinal spondylosis, may be appointed in addition the following diagnostic procedures:
- Radiography of the lumbosacral spine with functional tests
- CT of the lumbosacral spine
- MRI of the lumbosacral spine
Spondylosis often accompanies muscle pain along the nerve (by hand or by foot, neck, or between the shoulder blades).
In addition to muscle tone can be broken and the stability of the vertebral segment. If spinal instability is shifted forward vertebra (anterolistez) or back (retrolistez). To clarify the diagnosis may require X-ray spine with functional tests.
Spinal stenosis with compression of the spinal cord.
Foci of chronic inflammation in the lumen of the spinal canal can lead to the formation of its narrowing (spinal stenosis) and compression of passing it nerves and spinal cord. That's why when spinal stenosis is always necessary to conduct a full course of treatment using a whole arsenal of different medical procedures, and if not effective - surgical treatment.
Treatment of spinal spondylosis
Depending on the severity of symptoms and causes of pain in the neck, thoracic or lumbar spondylosis at the background of the spine in a patient, the following therapeutic action:
- drug therapy (NSAIDs, analgesics, hormones)
- therapeutic blockade - the injection of drugs into the cavity of the channel
- manual therapy (muscle, joint and radicular technique)
- massage
- physiotherapy (UHF, SMC, etc.)
- acupuncture
- spinal traction (contraindicated in the acute stage)
- medical gymnastics and swimming (after primary treatment)
- surgical treatment
In the treatment of back pain and lumbar spondylosis spine against the removal of edema, inflammation, pain, restore range of motion in joints and muscles of the lumbar accelerated by the use of physiotherapy.
In the intervertebral joints (facet joints) can also be produced by therapeutic blockade, when conventional treatment does not give a positive effect. Usually it is enough to lower doses of anesthetic and cortisone injected into the lumen of the affected joint.
The use of acupuncture is very effective in the treatment of back pain and lumbar spondylosis at the background of the spine.
When combined with a properly chosen mode, physiotherapy, therapeutic blockade of these can give good and long-term effect of withdrawal of acute pain in spondylosis.
In the treatment of pain in his leg and buttock on the background of spondylosis spine elimination of pain, tingling and restoration of sensitivity in the leg with neuritis of sciatic nerve compression in case of herniation or disc protrusion accelerated by the use of physiotherapy.
Wearing a semi-rigid lumbosacral corset in the treatment of back pain and lumbar spondylosis at the background of the spine helps to limit the range of motion in the lumbar spine. It primarily helps to reduce pain in the area of inflammation of intervertebral joints and the removal of excess voltage protection and spasm of muscles.
Version of semi-rigid lumbosacral corset helps to cure back pain and lumbar spondylosis at the background of the spine.
In such a corset patient with back pain and lumbar spondylosis against the spine can move independently indoors and outdoors, and even sit in the car and the workplace. The need to wear a corset in a patient drops out, as is back pain.
But we must remember that in the period of acute back pain and lumbar spondylosis at 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.
Version of semi-rigid lumbosacral corset helps to cure back pain and lumbar spondylosis at the background of the spine.
There are several types of semi-rigid lumbosacral corsets. All of them are selected individually by size and can be repeatedly used in the event of recurrence of back pain and lumbar spondylosis at the background of the spine, as well as to prevent potential exacerbation of the pain symptom.
If you have any questions about the diagnosis or treatment of spinal spondylosis, you can specify them with our neurosurgeon or neurologist call by calling the clinic on the phone: (499) 130–08–09
- Ankylosing spondylitis (Bechterew's disease)
- Back pain in pregnancy
- Coccydynia (sore tailbone)
- Compression fracture of the spine
- Degenerative and hereditary myelopathy
- Epiduritis and spinal abscess
- Low back pain, pain in leg, Sherman Mau diseases
- Lumbago, sciatica and lumbodynia
- Lumbar disc disease (herniated disc, bulging disc)
- Meningovascular syphilis or syphilitic myelopathy (tabes dorsalis)
- Cervicocranial syndrome and whiplash neck injury
- Neck pain, shoulder pain
- Non-compressive oncological myelopathy
- Osteochondrosis and its symptoms
- Osteochondrosis of the thoracic spine, intercostal neuralgia
- Osteoporosis (vertebral body)
- Rules of disability patients care with arms and legs muscles paralysis (paraplegia, quadriplegia)
- Sacroiliac joint osteoarthritis
- Sacroiliac joint pain (sacroiliac joint dysfunction syndrome)
- Sacrum pain
- Scoliosis spine, stoop
- Syringomyelia, siringobulbia
- Spinal cord and spine congenital defects (Klippel–Feil syndrome, cervical rib, spina bifida, meningocele, meningomylocele, diastematomyelia, sacralization, lumbarization, spondylolisthesis)
- Spinal cord compression
- Spinal cord diseases
- Spinal cord and spinal canal epidural space hemangiomas
- Spinal cord infarction (ischemic stroke)
- Spinal stenosis, lumbar and cervical osteophytes
- Spondylitis (osteomyelitic, tuberculosis, etc.)
- Spondyloarthrosis (osteoarthritis of the intervertebral joints)
- Spondylolisthesis (displacement and spinal instability)
- Spondylosis
- Vertebral hemangioma (vertebral angioma)
- Vertebral subluxation and dislocation
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