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Causes and treatment of the osteochondrosis

· Physical pain therapy such as ultrasound, electrotherapy, heat treatment, etc.

Source : MediBird / 26 Apr 2014

Osteochondrosis from the Greek "osteon" = bone and "chondron" = cartilage is initiated by changes to the disc´s cartilage, with an accompanying response in the vertebral body taking place. In this disease, degenerative alterations happen in the disc. The height of the disc is decreased and the disc´s physiological function is lost, producing in instability and alterations in the vertebral joints. As the disease progresses, a reaction occurs in the end plate of the vertebral body. This reaction can be divided into three stages:

· Modic I = oedema formation,

· Modic II = fatty degeneration and

· Modic III = sclerosis.

Causes of Spinal Osteochondrosis

Our discs start to degenerate when we are 20-years old. The expanding decrease of water leads to a decrease in the size between the vertebrae (chondrosis). This means that the disc is no longer adept to function as a shock absorber and the stress in the anterior and posterior longitudinal ligaments is lost. As a outcome, unwarranted tension is placed on the vertebral joints, the ligaments of the spine are loaded incorrectly and the mobile segments of the spine become step-by-step unstable. A spinal segment is habitually comprised of two vertebral bodies and the disc in-between. The superior and inferior endplates in the vertebral body are put under more stress, areas of thickening (sclerosis) and ridges at the borders (spondylophytes) evolve.

What are the symptoms of Spinal osteochondrosis?

The disease manifests itself as intractable back pain that is difficult to affect and which counts on the segment of the spine (neck or smaller back). The symptoms may remain restricted to the spine or radiate into the legs, if they originate in the lumbar spine or arms, if they comes from the cervical spine. The symptoms may happen during rest, effort or action. There may be radicular symptoms caused by force on the nerve root or pseudoradicular symptoms, if the cause is in the facet junction or the musculature. If spinal canal stenosis is present, the distance the patient can stroll will be restricted. There is often a mixed clinical image. In other words, it is not just one wireless segment that is influenced. The status is furthermore known as degenerative lumbar spine disease or degenerative cervical spine disease. These contemplate the affiliated convoluted of symptoms.

How is Spinal osteochondrosis diagnosed?

The basic diagnostic method consists of: Taking the patient's medical history, physical examination and neurological examination.

Treatment of Spinal osteochondrosis

The kind of treatment depends on the severity of disease symptoms. Physical therapy is the major aim in the initial phases. Procedures to stabilize the action segments are:

Conservative Treatment

· Physical pain therapy such as ultrasound, electrotherapy, heat treatment, etc.

· Pharmaceutical pain therapy such as NSAIDs, opiates, muscle relaxants, etc.

· Back classes

· Treatment with injections like trigger point injections, nerve blocks, etc

· Relaxation exercises

· Transplantation of intervertebral disc cells

Surgical therapy of osteochondrosis of the spine

Surgical treatment is always the last remedy choice. There are situations where surgery is necessary. Examples of this encompass paralysis of the bladder or rectum initiated by narrowing of the spinal canal or a droppedc disc. The following surgical methods are available

· Minimal invasive implantation of an intervertebral disc prosthesis (cervical spine and lumbar spine)

· Minimal invasive surgery to increase the width of the spinal canal

· Dynamic systems

· Minimal invasive surgical fusion from the dorsal or the ventral, alone or in combination with transforaminal lumbar interbody fusion or posterior lumbar interbody fusion in combination with percutaneous instrumentation.

Treatment of Spinal osteochondrosis at home

Hence, a running pulsed magnetic area has a verified positive effect on the body, comparable, and in some cases even better to other physical components. Magnetic area therapy can reduce treatment time, reduce the doses of drugs, improve the overall condition of the body and considerably increase the overall effectiveness of remedy of both chronic and severe situation. With a minimum of contraindications, it becomes likely to conduct a self-treatment at home. The main means of both treatment and prevention of degenerative infections of the spine including osteochondrosis, is the creation of a mighty muscular corset - that is, the development of all spine muscles. Therefore, exercises - gymnastics, bathing - are mandatory for all patients who desire to accomplish a steady remission and bypass disability.

 

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