Osteochondrosis - a dystrophic lesion of an articulate cartilage and an a subject osteal tissue.
An osteochondrosis mean is degenerate-dystrophic disease of a backbone in which basis the lesion of the intervertebral disks lays, accompanied their progressing deformation, decrease of height and stratification.
Dystrophic changes in an intervertebral disk at an osteochondrosis name a disk an arthrosis with the purpose to emphasize similarity between this pathological process and similar changes in other joints at osteoarthroses, for example at a polyosteoarthrosis with a lesion of many joints, including and a backbone.
It is considered, that development of is degenerate-dystrophic process in intervertebral disks is promoted by adverse conditions of a static load on a backbone, hereditary predisposition, various damages and an overload of structures of a backbone (the big mass of a body, wearing of gravities, etc.), its expressed deformations (a kyphosis, a scoliosis), disturbances of a segmentary circulation in a disk. Often at patients with an osteochondrosis in the anamnesis the trauma or a microtrauma of a backbone is marked.
Some about osteochondrosis:
Various neurologic syndromes - reflex and compression Develop. The main reason of a painful syndrome at an osteochondrosis is the so-called irrigation of a nervous root.
Thus there is a disturbance of a circulation, there is an edema and in the further can develop fibromas of structures surrounding it that is accompanied by rising of sensitivity of roots
To various influences (movements in the amazed segment of a backbone, etc.).
In connection with features of formation of back cerebral vascular pool and direct communications of vegetative ganglions of a neck with vessels of a brain of an osteochondrosis of a cervical department of a backbone it is quite often accompanied by series of cerebral syndromes which have simultaneously both reflex, and the compression nature.
The back cervical sympathetic syndrome (a cervical migraine), a syncopal syndrome concern To this group (paroxysms of sudden falling with a full loss of consciousness) and a drop-syndrome (the same, but without a loss of consciousness), a syndrome (hum, a ring in ears, a bradyacuasia, a giddiness and instability at walking), a guttural syndrome (disturbances of a phonation, a swallowing), a is vegetative-emotional syndrome (more often diencephalic paroxysms in a combination to a vestibulopathy), a syndrome of visual disturbances (the complaint to occurrence of a fog, a veil before eyes, less often on transient blindness or photopsias).
Recognition of an osteochondrosis and its syndromes and typical cases does not represent special difficulties, but presence of inclinations of a trunk, a strain of muscles of a back, morbid points demands full neurologic, orthopedic and radiological inspection during which tap features of a pose of the patient, in particular at a palpation, restriction of movements.
For diagnostics of a hernia of a disk the spinal puncture is shown, at a compression of an artery and a myelipathy make an angiography.
Treatment of an osteochondrosis.
Treatment of an osteochondrosis is referred mainly on elimination of a painful syndrome, disturbance of function of roots of a spinal cord and the prevention of advance of dystrophic process in structures of a backbone.
Orthopedic methods of influence on a backbone at an osteochondrosis include: treatment by position, application of bandages, corsets, headholders, traction treatment (extension by means of various devices, self-extension, extension in water in a combination to a fangotherapy), etc.
In a complex of the medical actions referred on a cupping of a painful syndrome, often include reflexotherapy, cryotherapy (for example, an irrigation of morbid area Aether chloratus) or applications of the preparations causing a hyperemia, the anesthesia, possessing antiinflammatory action.
Widely use a physiotherapy, including treatment by dry fever, the irradiation in erythema doses, diadynamic and impulse currents, an inductothermy, an electrophoresis of solutions of anesthetics, ultrasonic therapy or its combination to introduction of medicinal preparations, etc.
To elimination of a painful syndrome quite often apply light massage of muscles of a back or a neck. If are available neiro trophic disturbances or paresises, appoint massage of a corresponding extremity. With this purpose it is possible to use technics is reflex-segmentary and acupressure to spend underwater massage.
The Wide circulation was received with the manipulation referred on elimination hurt and arising at dystrophic process in a backbone of biomechanical disturbances.
During weakening a painful syndrome, especially at chronic recurring process, it is recommended sanatorium treatment of an osteochondrosis with the purpose of liquidation of the residual phenomena and prophylaxes of exacerbations. Mud, hydrosulphuric, radon baths are shown.
For preparation of given clause{article} materials of "The Medical Encyclopedia" Russian Academy of Medical Science were used. Comments of the author are personal opinion and for objectivity do not apply. It is not recommended to use the given materials for independent treatment of an osteochondrosis.