Spondylarthrosis, arthrosis of the intervertebral joint
Spondylarthrosis, arthrosis of the intervertebral joint - a dystrophic process, damaging the intervertebral joints of the spine of man. In the initial stages of damaged articular surfaces of the capsule and intervertebral joints spondylarthrosis will precede the arthritis of these joints.
Development spondylarthrosis intervertebral joints occurs gradually and is already in middle age may be a physiological nature.
Development spondylarthrosis intervertebral joints occurs gradually and is already in middle age may be a physiological nature. Emergence spondylarthrosis intervertebral joints may contribute to injury and chronic congestion in the spinal motion segments.
Most susceptible spondylarthrosis intervertebral joints are spine, where the maximum amount of movement in it. Spondylarthrosis intervertebral joints most often develops in the cervical and lumbar spine, where there are flexion, extension, as well as rotation and turns.
When spondyloarthrosis intervertebral joints will change the joint surfaces and joint capsule.
Patients with spondyloarthrosis intervertebral joints often complain of pain, heaviness and stiffness in the neck or back in the morning, passing within a few tens of minutes to hours after the patient is "at odds" or razomnetsya within a few tens of minutes to hours.
In the acute stage, there are sharp pains with stiffness of muscles. Such a protective muscular response to pain, leading to a change in posture and appearance of Pain Poses (antalgichesky scoliosis) with limitation of movement, later may itself become a source of problems for the patient if the treatment is not correct. Perhaps the formation of secondary musculo-tonic with fibromyalgia syndrome and typical trigger points in bunches of muscles.
Protective muscle spasm of pain in spondyloarthrosis leads to changes in posture and appearance of Pain Pose (antalgichesky scoliosis).
Diagnosis spondylarthrosis intervertebral joints for clinicians is not at present difficulties. At a consultation with a doctor in the presence of typical complaints of the patient and the results of an external examination of biomechanics of the spine may be suspected of development spondylarthrosis intervertebral joints. As the visualization level of joint damage is assigned survey radiography of spine. In more complex diagnostic situations, it may be recommended to carry out CT or MRI of the spine.
Radiography (X-ray) of the spine in line with projections spondyloarthrosis intervertebral joints.
Treatment spondylarthrosis intervertebral joints is composed of several factors affecting the damaged articular surface of the patient. Standard treatment spondylarthrosis intervertebral joints lasts from 1 st to 3 weeks and includes:
- drug therapy (NSAIDs, analgesics, hormones)
- therapeutic blockade - the injection of drugs into the cavity of the channel
- manual therapy (muscle, joint and radicular technique)
- physiotherapy (UHF, SMC, etc.)
- spinal traction (contraindicated in the acute stage)
- medical gymnastics and swimming (after primary treatment)
- surgical treatment
It is desirable to conduct several courses of treatment, even if a patient with spondyloarthrosis not observed exacerbation. Thus can significantly reduce the risk of recurrence of acute pain and prevent delays in treatment spondylarthrosis for years.
Restoration of lost motions for spondyloarthrosis intervertebral joints in the process of treatment is the key to preventing the premature destruction of intervertebral discs, which could lead to the formation of protrusions and disc herniation in the cervical and lumbar spine.
When treating spondylarthrosis eliminating swelling, inflammation, pain and restore range of motion in the joints of the lumbar intervertebral accelerated by the use of physiotherapy.
In the facet joints also can be produced therapeutic blockade, when conventional treatment spondylarthrosis not give a positive effect. Typically, this method of treatment spondylarthrosis sufficiently low doses of anesthetic and cortisone injected into the lumen of the affected joint. When combined with a properly chosen regime of physiotherapy, the injection can give good and long-term effect on lumbar pain and pain in the sacrum.
In case of no effective treatment for removal of articular pain in spondyloarthrosis in such patients can be performed minimally invasive radiofrequency destruction of pain endings spondyloarthrosis affected joint. Protsedrua RF ablation of painful endings easily tolerated by patients and performed on an outpatient basis without requiring hospitalization.
If you have any questions about the diagnosis or treatment of osteoarthritis spondylarthrosis or intervertebral joints, you can specify them with our neurosurgeon or neurologist by phone: (499) 130–08–09
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