spondylosis of the spine - Causes, Symptoms and Treatment .MF .
Spondylosis - a chronic disease of the spine, accompanied by deformation of the vertebrae due to overgrowth of bone on their surface in the form of ridges and spines and their degeneration with subsequent narrowing of the spinal canal and intervertebral foramen.Under the anterior longitudinal ligament of the spine, osteophytes sometimes annoy her.Osteophytes may be significant, sometimes causing fusion of adjacent vertebral bodies.Osteophytes narrow the spinal canal and put pressure on the nerve roots.The appearance of these outgrowths is a defensive reaction to the degeneration of the intervertebral disc.
Sprawl spinous processes - osteophytes along the edges of the vertebrae cause limiting their mobility.With the development of spondylosis possible compression of nerve endings to pain syndromes.A patient experiencing a dull, aching pain in the affected spine.Spondylosis usually ill elderly.The most common form of spondylosis is cervical spondylosis.
Usually spondylosis of the spine is shown over the
spondylosis classification based on topographical development of the pathological process.There are neck (the most common), thoracic and lumbar spondylosis.
Causes of spinal spondylosis:
The causes of the disease is a metabolic disorder that leads to excessive deposition of lime salts in the body.Basically spondylosis develops in the elderly (30-40% of the population over the age of 40 years) as a result of long-term heavy loads on the spine, and age-related changes in the cervical spine;men are affected more often than women (3: 1).Young people can be the cause of spondylosis spinal curvature, asthey lead to incorrect, uneven distribution of the load on the spine.There are other possible causes of the disease.
main causes of spondylosis:
• trauma or microtrauma
spine • static overload
various disorders of metabolism • advanced age
Usually spondylosis affects one of the spine, such as cervical or lumbar.Case of dissemination spondylosis rarer.
Symptoms of spinal spondylosis Spondylosis
fixes site is overloaded, causing irritation of the nerve bundles.Patients experiencing a dull, aching pain and the severity of the local in the spine.Spondylosis is accompanied by muscle tension around the motor segment, and then the two locking mechanism not only aggravate the pain, but also impair the function of the depreciation of the spine, straightening its physiological curves.
Osteophytes with spondylosis of the spine
spondylosis symptoms: pain in the affected spine and limiting his mobility, caused by compression of nerves (compression of the intervertebral discs).Back pain worse during the day and at night to disturb.Pain arises not only during movement, but also stationary.Sick for a long time can not find a painless position of the body or head.At the initial stage of spondylosis develops without symptoms of pain and can be shown only limited mobility.
Cervical spondylosis is widespread due to the increase in the number of people involved "mental work": pain in the neck and shoulder girdle are often concerned about the contingent, since the work of such patients are mainly sedentary.To join pain syndrome vascular disorders: vertigo, tinnitus, blurred vision, pressure drops.
defeat thoracic spine spondylosis rarer, but severe clinical picture.Patients concerned about pain in the middle and lower parts of the spine, often one-sided, which may extend to chest and sternum, in the event that in the pathological process involved the anterior branches of spinal nerves.On palpation revealed pain areas (due to inflammation) along the spine and the front of the chest.
When spondylosis of the lumbar spine most often affected fourth and fifth lumbar vertebrae, may be one-and two-way.Osteophytes in the form of spurs or rings often do not compress the nerve roots and irritate, causing corresponding radicular symptoms.In patients with lumbar spinal spondylosis possible symptom of "intermittent claudication" (false symptom of intermittent claudication): localized discomfort in the buttocks, thighs and leg.Patients describe the discomfort in various ways: "Quilted legs", "okachenenie", "feeling wooden leg."Complaints arise when walking or during long vertical static load.All symptoms are eliminated by tilting the torso forward when the patient to go to the "up".Unlike true "Intermittent claudication" (vascular), pain ceases when spondylosis as long as the patient does not bend back.
spondylosis is a chronic and progressive character for a long time.It is important to prevent the development of the early stages.
often accompanies osteochondrosis spondylosis.
Diagnostics spine spondylosis
Typically, diagnostic measure that can detect the early stages of spondylosis is the X-ray examination of the spine, radiographs which clearly show beak bony prominences.For the same purpose using computed tomography and magnetic resonance imaging.
Spondylosis.Radiographs of the lumbar spine with gross degenerative changes - reducing the height of the intervertebral discs, large osteophytes
Treatment of spinal spondylosis
Treatment of spinal spondylosis certainly in the early stages.Sami osteophytes in the conservative treatment will not disappear, and the goal of treatment - to prevent their further proliferation and to remove the disturbing symptoms.spondylosis Treatment is aimed at eliminating the pain and inflammation, strengthen the muscular system in the affected area.L Conducted echebnye activities that contribute to the elimination of causes of spinal pathology.
Analgesic and anti-inflammatory drugs only relieves and does not cure the disease itself.Drug therapy group represented by drugs NSAIDs (ibuprofen, indomethacin, diclofenac, ketonal, movalis).Effective in this case, massage, physiotherapy (electrophoresis with novocaine to the affected area, diadynamic currents, ultrasound in the region of the spine), therapeutic exercises to strengthen the muscles of the back frame.
usually preceded by periods of short-term acute chronic obvious clinical signs, so during exacerbation parenterally used analgesics - novocaine (blockade), baralgin, ketorol.Injection is carried out for several days, it is usually enough to regenerate disabled.However, this attack must be taken as a wake-up call and a matter of urgency to begin to engage in therapeutic exercises, correct posture position during prolonged monotonous work, otherwise the process may become chronic.
treatment of chronic forms of spondylosis should be directed to secondary prevention (prevention of complications).To do this if you have a prolonged sedentary work with an inclination of the body forward, for example, a computer, it is necessary once an hour to lean back in his chair, lift your head and relax your hands at your sides.During follow posture - back should be flat, with no neck anteriorly.A major role in the prevention of spondylosis playing professional therapeutic massage.
Modern successful treatments: applied kinesiology, osteopathy allow fast enough to eliminate the pain and torment to help find a way to improve the metabolic processes in the body.Manual therapy is an effective method of relieving pain with spondylosis and prevention of complications, along with physical therapy.It is important also to eliminate the reason to change the way of life, or at least position, if your work is connected with a permanent seat.
spondylosis Drug treatment is ineffective, surgical treatment of the spine spondylosis apply only when complications.
When treating spondylosis integrated approach is needed - it is therapeutic massage and soft osteopathic techniques and methods of acupuncture (acupuncture) for the removal of hyper in the muscle tissue.In acute pain using such an effective and gentle method as girudoterapiya ensuring expeditious removal of edema.
effective treatment spondylosis may consist of physiotherapy techniques:
• Hilt therapy is especially helpful in osteophytes;
• MLS Laser therapy (pain relief after the first treatment).
After removing the pain required classes exercise therapy - a set of physical exercises to consolidate the positive results and prevent relapse spondylosis.The use of physical therapy makes it possible by activating muscle activity to improve blood circulation in the spine and to maintain a satisfactory level of functional state of muscles.Therapeutic exercise is also aimed at preserving optimum mobility of the spine, and at different stages of the disease, doctors use a variety of approaches in her appointment.Physical exercise should be performed at positions that allow the unloading of the spine, for example, in the supine position or fours.Some exercises are allowed to perform only when standing is not very sharply expressed pain syndrome, and the entire course of physiotherapy carried out against the background of reducing the overall load on the spine, in some cases assigned to wear special orthopedic corset.
Attention!Contraindicated following therapeutic manipulation: gymnastics for the spine mobilization, intensive massage and intensive manual therapy, spinal stretch.
Severe spondylosis is very difficult to be treated (can only help the surgery).If osteophytes growth is not interrupted, the process ends coalescence between two vertebrae and a spinal stenosis.Therefore, do not start the disease.