Still among doctors of different specialties, there is no consensus about what is the cause of spondylosis (or, as it is called, deforming spondylosis). But most of them agree that one of the main reasons is lack of physical activity of modern man – lack of exercise.
Spondylosis – a chronic disease of the spine, accompanied by deformation of the vertebrae until their adhesions caused by the overgrowth of bone tissue on their surface in the form of protrusions and spikes (osteophytes) and their degeneration leads to narrowing of the spinal canal and intervertebral foramen. Osteophytes is a kind of the body’s response to the destruction of the intervertebral disc, therefore, the number of experts called spondylosis end stage of development of osteochondrosis. Rare load on the background of inactivity (such as periodic visits to the country by digging the garden or the same periodic trips to the gym) lead to microtraumas of the vertebral ligaments that subsequently arise osteophytes. In addition, the role played by long-term static overload of the spine and the aging process.
Spondylosis: How to live without back pain
The first signs of spondylosis can manifest as early as age 30, although it is accepted that this disease occurs in the elderly.
The early development of spondylosis can be caused by curvature of the spine as a result of wrong landing at a Desk, at the computer, while reading books and other activities requiring prolonged forced position. In men this disease meets in 3 times more often than women.
Types of spondylosis are associated with localization of pathological processes. Decided to allocate spondylosis of the cervical, thoracic and lumbar.
Bony growths lead to fixation of the spinal segment, causing irritation of the nerve roots. Simultaneously, there is muscle tension around the affected segment, which together gives the spine to execute the amortization function, rectifying its physiological curves.
At the initial stage of spondylosis, a person may not feel pain. The only manifestation of disease is expressed in a restriction of movement.
With increasing compression of the nerve endings (compression of the intervertebral discs) in the affected region of the spine there is pain and restriction of his mobility. Back starts to ache constantly, regardless of whether the person is moving or is at rest. By evening the pain is worse, not Danny smiled, puzzled and night.
Most often spondylosis affects the cervical spine (Fig. 109). Him more susceptible to people involved in intellectual activities, and therefore, longer conductive at the computer, writing papers, reading documents, etc.
One of the symptoms of this disease are various vascular disorders: dizziness, tinnitus, blurred vision, changes in blood pressure.
Fig. 109. Spondylosis of the cervical spine
Spondylosis of the thoracic spine is less common but has a more pronounced clinic. It is characterized by pain in the middle and lower parts of the spine that often manifests on only one side.
If in the course of the disease is compression of the spinal nerves, the pain may radiate to the sternum and chest. In case of inflammation on palpation easy to identify the plots edematous spastic muscles along the spine and on the front of the chest.
Spondylosis of the lumbar, as a rule, is localized in the region of the 4th and 5th lumbar vertebrae. It can be both unilateral, and bilateral.
Bony growths in the form of spurs and rings do not compress nerve roots and irritate them, which is manifested in specific symptomatology. In particular, it can be observed symptom about intermittent claudication: complaints of discomfort in the buttock, thigh, calves and feet “numb”, “woody”, “made of cotton”, etc.
This discomfort appears when walking or vertical static load acting for quite a long time.
Why symptom is referred to as false claudication? Because, in contrast to this intermittent claudication, the pain goes away, it is only the patient to lie down, curled up, or tilt the torso forward.
All types of spondylosis are of a chronic nature and develop over a long period of time. Often spondylosis and osteoarthritis occur and develop simultaneously.
For a favourable prognosis it is important to detect the disease at an early stage of development. This can be done using radiographic studies of the spine, computed and magnetic resonance tomography.
Early detection in images of the spine osteophytes – a distinctive trait spondylosis – allows you to take timely measures to prevent its progression and maintain mobility (at the final stage the vertebrae are fused with each other – of course, in this situation, the spine is unable to perform its motor functions).
Treatment of exacerbations of spondylosis is aimed primarily at the elimination of pain and inflammation.
Drugs designated for this purpose, do not eliminate the cause of the violations, but merely facilitate the patient’s condition. This is primarily a nonsteroidal anti-inflammatory drugs: ibuprofen, indomethacin, diclofenac, Ketonal, Movalis. In addition, the use of procaine blockade, parenteral (intramuscular) introduction of baralgin, ketorol. Usually these injections work capacity of the patient recovers within a few days.
Very useful this period of gentle massage and physiotherapy (electrophoresis of novocaine, diadynamic currents, ultrasound).
But in the future, to prevent the progression of the disease, you should regularly do exercises and to follow the posture while performing work that requires prolonged forced position of the body.
So, if you have a sedentary job, every hour for several minutes to perform simple exercises to remove static electricity. In the process, it is necessary to watch that the back was smooth, and the neck is not protruded.
From time to time it is recommended to take a course in professional therapeutic massage. To strengthen the muscular frame of the back, there is a corresponding complexes of medical gymnastics.
Among the modern methods of treatment of the spondylosis should emphasize applied kinesiology and osteopathy. At the core of osteopathy is the claim that treatment should be aimed at mobilizing internal resources of the body to cure itself.
With the help of kinesiological diagnosis, the doctor examines the entire musculoskeletal system regardless of the source of the pain, and defines muscles with low tone. He then builds a chain of functional relationships and finds the cause of the pain. Next, the doctor picks kinesiologist treatment for each individual patient.
Surgical treatment of spondylosis is made only in extreme cases with serious complications when fused vertebrae seriously violate the disabled person.
Regardless of the set selected by the physician measures the treatment of spondylosis should be comprehensive in nature, such as therapeutic massage and soft osteopathic techniques in combination with acupuncture to relieve hypertonicity of the muscles or shock wave therapy, electrophoresis with fluoride calcium and osteopathy.
To remove swelling in acute attack of pain, resorting to leech therapy.
When spondylosis is prohibited to use exercises to mobilize the spine and intensive massage, manual therapy and stretching the spine.
Exercises to strengthen muscle corset of the spine in the early stages of spondylosis
When the cervical localization of spondylosis as widely as possible, you should use isometric exercises. It is not recommended to perform rotation of the head, because the potential additional trauma osteophytes.
Exercise 1 (Fig. 110). Starting position – standing, hands linked in the lock on the back of the neck, back straight. Hands to put pressure on the neck, while straining her muscles so that the head does not move forward. Breathing arbitrary. Repeat 5-7 times.
Exercise 2 (Fig. 111). Starting position – lying on his stomach, arms extended in front of him. Inhale – stretch the muscles of the buttocks and abdomen, arms raise up for a few seconds. The back is smooth without sagging. Exhale – return to its original position.
Exercise 3. Starting position – lying on his stomach, arms extended in front of him. Inhale – raise your head and upper body as far as possible, keeping hands and feet off the floor (Fig. 112). To stay in this position for 3-4 seconds. Exhale – return to its original position. Repeat 5-7 times.
Exercise 4 (Fig. 113). Starting position – lying on your back, arms along the body, legs bent at the knees, feet resting on the floor. Based on the head, shoulders, hands and feet to lift body up, back straight. To stay in this position for 1-2 seconds and return to starting position. Breathing arbitrary. Repeat 5-7 times.
Exercise 5 (Fig. 114). Starting position – lying on your back with lower back firmly pressed to the floor, arms along the body. Left leg bent at the knee and move it over the right, fixing the foot on the floor for 1-2 seconds, then return back. Repeat 7-8 times. Then perform the exercise with your right foot.
Exercise 6 (Fig. 115). Starting position – standing on the floor, feet shoulder width apart, back straight, hands lifted up. To perform bending alternately right and left, without dropping hands. To do for 5 repetitions in each direction.
Exercise 7 (Fig. 116). Starting position – standing on the floor with legs set wide apart, back straight, hands on waist (Fig. 116, a). To perform the squat, widely spreading his knees and bending them no more than a right angle. The pelvis is slightly back. To stay in this position for a few seconds (back straight). Then return to the starting position. Repeat 5-7 times.
Exercise 8 (Fig. 117). To fix good posture, standing with his back to the wall and touching it in 5 points. Then move away from the wall and walk around the apartment, keeping a correct posture, for 20 minutes.
Correct posture is the best exercise for your spine, so try to always keep your back straight and head level, do not take improper postures at work or on vacation.published econet.ru.
From the book “Life without back pain. Treatment of scoliosis, osteoporosis, osteochondrosis, intervertebral hernia without surgery”, Valentin Grigoriev
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