Osteocondrose — the chronic recurring disease, flowing in the midst of a steady deterioration of the vertebrae and the intervertebral discs. Depending on where you are in the vertebrate structures, there were degenerative changes, are different from the thoracic, lumbar-sacralis of the condition, as well as the neck. The main symptoms of degenerative disc disease — pain that is caused, the gravity of what you are promoting during the year, the rigidity of the movements. The clinical findings are often present of the spine symptoms may include: pain in the head, horse-racing, blood pressure decreased, visual acuity, and hearing.
The diagnosis is explained, based on the findings of the research tools that are available for the x — ray, magnetic resonance imaging, computed tomography. In the treatment of degenerative disc disease are used in different drug products for clinical-pharmacological groups. To improve their effectiveness in the clinic, are carried out sessions of physical therapy, and massage treatments are available. One of the most important methods of treatment and prevention is a therapeutic exercise.
The mechanism of the development of the disease
In the center of the pathogenesis of the degenerative disc disease is the loss of the pulposus of the nucleus to its hydrophilic properties. This is a semi-liquid structure, it is composed of connective tissue fibers, and a gelatinous substance. In line with the growth of a person, there is a reduction of the capillary bed in each of the disc between the vertebrae. The entrance to it of the nutrients occurs in a diffuse, that is, by the principle of the spontaneous alignment of the merger. This accounts for the impossibility of full recovery of the articular cartilage of the tissue after an injury or in an excess of physical exercise on the vertebral column.
In the process of degenerative disc disease will worsen with the change in hormone levels and a diet is out of balance. In the tissues, the cartilage does not do enough to make it fully operational, the amount of nutrients, which leads to the following breaches of their structure and properties.
- loss of strength and elasticity;
- changes in the form, for the sake of the setting.
The Intervertebral disks are flat and fibrotic rings are formed with radial fissures. This becomes the root cause of a reduction in the distance between the adjacent ones. Gradually, the pathological process involved in connective tissue (fibrotic ring of the ligaments. In response to the disintegration of the tissues, the immune system starts producing immunoglobulin e, which leads to aseptic inflammation and swelling in the region of the joint and nearby soft tissues. The capsules of the joints to extend, and therefore, the intervertebral disks become reliable fixing of the bone. And, when the instability of intervertebral segments, it increases the likelihood of a breach of the division of the root, or the contraction of the blood vessel. This is usually when the cervical and osteocondrose, and it is the reason of its expressed symptomatology.
The causes and factors that may cause the
The state of the intervertebral disc is negative and reduces the muscle tone of the skeletal musculature of the spinal column. An irrational, unbalanced functioning of the muscles takes place over to find the person is not a natural position is, for example, with your head down while working on the computer. Cause the bitch in the tissues of the cartilage can be permanently wearing a heavy bag on one shoulder and a dream in the soft foam mattress and high pillows.
To accelerate the destruction of the intervertebral disc as well as the following external and internal factors that are negative:
- endocrine and metabolic disorders;
- infectious disease, especially the chronic;
- previous injuries to the spine (compression fractures, wounds);
- faq forum;
- the existence of the system, or degenerative diseases-degenerative diseases — arthritic, psoriatic arthritis, rheumatoid arthritis (ra), osteoarthritis, osteoporosis.
If a person has bad habits, then it's on to the at-risk group. Tobacco use and harmful use of alcohol affect the state of blood vessels, which leads to a lack of blood flow and the lack of nutrients in the tissues of the articular cartilage of the discs.
If you have flat feet, or club foot greatly increases the risk of development of degenerative disc disease, from any location. Such defects and / or acquired defects that are the root cause of the increase in the load on the lumbar spine, due to the inability to secure the repayment of the a-pillar. Predisposing to the occurrence of the pathology of the factor is the fact that of obesity.
When the delay of fat tissue in different parts of the body, it gets complicated to support that balance, which leads to exposure to excessive loads on the spinal column and joints.
The clinical
The first clinical manifestation of the cervical, dorsal, or lumbar degenerative disc disease — pain in the back. During the time of the recurrence, it permeates the atmosphere of the nearby parts of the body. Even a slight movement leads to an increase in the manifestations, the starting point of the pain syndrome. The response of the human being is the adoption of the forced position in which the intensity of feeling uncomfortable a minimum:
- for people with a neckband osteochondrosis prefer to swing in the direction of the head and the entire body;
- when the breast the pathology of the man, have no fear as long as you make a full of the breath as it is the cause of the aches and pains in the chest;
- in patients with lumbar osteochondrosis with difficulty sit down, get up and go due to the violation of the spinal nerves.
Most of the patients complain about the doctor's nagging constant pain, and the sensation of stiffness in the motions of the morning. That is, the need for differential diagnosis to exclude myositis (an inflammatory process in the skeletal muscle, and dorsal), and osteoarthritis. The reason for the stark, crushing pain, to compensate for the strain on the muscle tissue for stabilization of the victim's spine, skeletal segments. Standing in the pain that is caused low, or average, of the manifestations of that which occurs because of the stretching, the intervertebral disc, and the development of aseptic inflammation.
The degenerative disc disease in a specific location is typical to the specific semiology. For example, when the lumbar region of the condition, which is often the pain of sciatica — a painful heart attack in the lower back and the back of the thigh. The chest of the osteocondrose clinically, it manifests as a visceral pain in heart area, in the right hypochondrium, the stomach, numbness, increased sensitivity of skin to crunch on the bone. But it is the most prominent and diversified symptoms are different disease affects the cervical intervertebral discs.
As a result of the displacement of the vertebrae, forming bone spurs squashed the vertebral artery, which nourishes the brain cells by providing oxygen. People suffering from disorders of coordination of movements, and noises in the ears, headaches, high blood pressure.
That may be, in the absence of treatment
Most of the complications of degenerative disc disease to occur due to the formation of a herniated intervertebral disc.... She holds a degree as a compensation for this the spine framework to the rear, which leads to the breakage of the back side of ligament longitudinal. The disc becomes more fragile, and some of its outgrowths in the spinal canal. The explosion is considered to be a herniation, in the process of education, in conjunction with the drive channel of the piercing it on purposee kernel.
It is a pathological condition of the vertebrate structures and predispose them to compression of the spinal cord and the development of discogenic myelopathy. Clinically, it manifests itself in numbness, weakness of some muscle groups of the legs, or the hands, paresis, muscle atrophy, alteration of tendon reflexes. Also, it can be observed the disorder in emptying the bladder or bowel. The result is the formation of a betweenvertebralth the hernia compressed the artery feeding the spinal cord. Formed of ischemic areas, which has led to the death of cells in the nervous system. It occurs in the so-called deficit in the brain — they have violated the motion, decrease the sensitivity, it is sad to trophic.
The method of treatment
Osteocondrose, do not provide a complete cure, while it does not of the drug, the admission of which would help you to recover files in damaged intervertebral discs and the vertebrae. But in the regimens, not necessarily the included chondroprotectors — with the means of a slow action. Preference is given to drugs with different active ingredients chondroitin sulfate and glucosamine sulfate (hydrochloride).
The clinical efficacy of these medicines is confirmed as the result of years of research. In the course of the admission (3 months to 2 years of age) of the fund occurs, in part, of the regeneration of the cartilage tissue, as well as other connective tissue structures — ligaments, tendons, de la bourse. With the build up of the intervertebral discs of glucosamine and chondroitin as they begin to be expressed in pain relief, swelling, anti-inflammatory action. This makes it possible to reduce the dose of NSAID, corticosteroid, muscle relaxant, thereby reducing drug load on the body.
Medication to the joints are weak, for when the irregular, the purpose of the receipt or its use in the treatment of degenerative disc disease the 3-level when there is a significant destruction of the cartilage tissue.
To resolve the symptoms, it usually occurs when the cervical or thoracic spine osteocondrose used drugs in order to improve the circulation of the blood, smart drugs, the drug improves the microcirculation of the labyrinth, which is applied in the pathology of the vestibular.
If necessary, the provider of the scheme that are included with anti depressants, anti convulsants and tools.
In the treatment of degenerative disc disease are applied in the treatment follow-up physiotherapy: UHF-therapy, magnetic therapy, laser therapy. They are used in reflexology, massage therapy, exercise, hirudotherapy, swimming, and yoga. When the ineffectiveness of conservative treatment the patient shows a surgical intervention. One practiced punch air hard disk drive, the laser in the reconstruction or replacement of the implant.