Osteochondrosis is a disease that diagnoses degenerative-dystrophic changes in the cartilaginous tissues of the spine, accompanied by disorders in the structure and functionality of intervertebral discs. Depending on the location of the damaged tissues, osteochondrosis of the cervical, thoracic and lumbar regions is isolated. According to medical statistics, the symptoms of osteochondrosis are observed in 50-90% of the population. The average age of osteochondrosis is 30-35 years. Under adverse conditions, signs of osteochondrosis can also appear in the earlier period, especially with prolonged uneven loads on the back, legs, and the consequences of injuries.
Osteochondrosis of the cervical spine: symptoms and treatment at home
Osteochondrosis is a disease of the vertebral column in which degenerative and dystrophic lesions of the intervertebral discs occur. With the development of osteochondrosis, degenerative-dystrophic lesions spread to the tissues of the vertebrae.
The main symptom that indicates the development of osteochondrosis is pain in the neck, back, lumbar region, with the progression of pain “gives” to the arms, chest, shoulders, upper thigh, etc. sensitivity disorders, as well as dysfunction of the internal organs, provoked by their compression, displacement. In the absence of timely treatment, osteochondrosis develops to an incurable state.
The main factor in the development of osteochondrosis is an uneven load on the spine. Habits of carrying the bag on one shoulder or in one hand, incorrect sitting posture, sleeping on an overly soft mattress, high pillow, wearing anatomically incorrect types of shoes are a frequent cause of improper distribution of the load.
Additional risk factors include hypodynamia, sedentary lifestyle, overweight, injuries of the back, lower extremities, flat feet and other disorders of the musculoskeletal system, as well as age-related degenerative processes with age-related changes in the blood supply to the spine.
The following factors may also play a role in the etiology of osteochondrosis:
Osteochondrosis in the dynamics of the disease goes through four stages:
The main symptoms of osteochondrosis – a feeling of discomfort and / or pain in the neck, back. The severity of sensations and the presence of additional symptoms depend on the stage of the disease. When examining a patient and collecting anamnesis, a specialist conducts a primary diagnosis, suggesting the presence of osteochondrosis on the visually detectable curvature of the spine, observed in the transverse or longitudinal plane of the spinal column. Pathologies of intervertebral discs of the cervical and lumbar spine are much more common than degenerative and dystrophic changes in the sternum.
Signs of osteochondrosis felt by the patient include a periodic or permanent feeling of fatigue of the back, erased or expressed, depending on the stage of the disease, pain syndrome. The pain can be localized in the neck, back, chest, shoulder girdle, complicate, constrain the movement of the upper limbs.
The clinical picture of osteochondrosis largely depends on the localization of the pathology, the degree of development of the process, the individual characteristics of the patients. The pathology of intervertebral discs, displacement, protrusion, hernia, and an increase in osteophytes lead to various consequences. Disturbances of normal blood circulation in the tissues, pinching of nerve endings, dysfunction of the spinal canal, edema, fibrosis of tissues and structures are among the most common.
Such consequences can be accompanied by many different symptoms, leading to the misdiagnosis of diseases.
The most common and characteristic symptoms of osteochondrosis include the following:
Symptoms of osteochondrosis vary depending on the location of the pathology:
Superficial symptoms – back fatigue, pain – may indicate not only the presence of osteochondrosis, but also the accession of other diseases or the development of other pathological processes and disorders not associated with dystrophy of intervertebral discs. The diagnosis of osteochondrosis can be made only by a specialist, and self-treatment for such symptoms is unacceptable.
Types of osteochondrosis are distinguished according to several principles. Depending on the localization of the pathology, osteochondrosis of the cervical, thoracic, lumbar, sacral, or mixed, combined types of the disease are distinguished. According to the clinical manifestations, osteochondrosis of different localization is divided into subtypes depending on the identified symptoms and the clinical picture as a whole.
Osteochondrosis of the cervical spine:
For pathology of the thoracic level, the following are distinguished:
When osteochondrosis of the lumbosacral level is diagnosed:
Instrumental examination methods are used for diagnosis:
Additional methods assigned to differentiate and refine the diagnosis, the stage of pathology, include:
Treatment is based on an integrated approach and, depending on the stage, lasts from 1 to 3 months of intensive therapy and 1 year of supporting measures to consolidate the result and prevent relapse.
Therapy of the disease osteochondrosis is carried out in two directions, depending on the degree of osteochondrosis and the patient’s state of health. Conservative treatment of the disease consists of taking medication, performing a set of exercises. Surgical treatment in almost any situation cannot be the first choice method and is prescribed in the absence of positive dynamics, progression of the disease against the background of long-term conservative therapy.
In addition to medical therapies, it is necessary to follow general recommendations for osteochondrosis: follow a diet, take measures necessary for rehabilitation.
Conservative therapy aims to relieve pain, normalize the functionality of the spinal column and prevent negative changes.
The following treatments are included in the conservative treatment of osteochondrosis:
In the treatment of osteochondrosis, drugs are aimed at reducing the severity of symptoms, improving the blood supply to the tissues and their regeneration. Osteochondrosis is impossible to cure only with medication, therapy should be combined, include exercise complexes, diet, preventive measures.
In the absence of pronounced dystrophic changes and pain, taking medications without prescribing a specialist can be considered unwarranted.
Drugs used to relieve pain and treat osteochondrosis:
Preparations can be prescribed both in the form of ointments, creams for local use in case of pain, as well as for oral administration and in the form of injections.
In case of acute complications, medications are used for the medical blockade of nerve endings.
The principles of diet are based on the need to improve metabolic processes, saturate the body with essential nutrients, vitamins, minerals, include foods high in antioxidants, polyunsaturated fatty acids, compounds that promote the regeneration of cartilage tissue. The drinking regimen recommended for osteochondrosis is aimed at preventing dehydration that can adversely affect the affected tissues.
Eating is necessary fractional, 5-6 times a day.
The basis of the diet consists of dairy and dairy products, lean meats, poultry, fish, fresh vegetables, fruits, nuts and seeds, cereals, mushrooms. It is especially recommended to include meat and fish jelly, aspic, aspic, as well as the use of extra virgin olive oil without temperature treatment (for dressing salads, etc.).
Food processing methods are preferable: steamed, roasting, boiling.
Limit the intake of flour and confectionery products, fatty foods, spicy, salty foods and seasonings, canned and smoked foods, strong meat broths, legumes, sugar and fruits with its high content (grapes).
During the day, it is necessary to consume at least 1.5 liters of liquid, preferring pure and mineral water, dried fruit compotes, unsweetened fruit drinks, and herbal teas. It is necessary to limit the amount of strong black tea, coffee, sugary carbonated beverages, alcohol.
Failure to follow the prescribed treatment, prolonged avoidance of the doctor and the lack of treatment of osteochondrosis contributes to the progression of the disease and provokes the development of complications, pathologies and new diseases, such as:
Despite the fact that grade 4 osteochondrosis can proceed without severe symptoms and pain, running osteochondrosis is the most dangerous for the development of serious complications and can lead to disability of the patient.
The causes of osteochondrosis are mainly related to the lack of attention to the requirements of the body, malnutrition, excessive loads on the body. To prevent the onset of pathological changes in the spine and to contain the dynamics of already existing osteochondrosis, it is recommended to adhere to the general principles of a healthy lifestyle:
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