Osteochondrosis is a disease of the musculoskeletal system, manifested by thinning of the bones and cartilage of the joints. Most often, patients are diagnosed with osteochondrosis of the spine, in which there is destruction of the intervertebral discs in the cervical, lumbar or thoracic region. Intervertebral cartilage is necessary to absorb movements and reduce the load on bone tissue, so the destruction of the discs leads to gradual damage to the vertebrae and deformation of the spine. Osteochondrosis can be a complication of an injury, a long-term violation of body posture or another pathological condition. Treatment of the disease includes manual therapy, physiotherapy and surgical interventions for significant spinal deformities.
Osteochondrosis is one of the most common diseases of the musculoskeletal system in the elderly. In teenagers and young adults, the pathology is diagnosed less often. The characteristic symptoms of the disease, doctors include severe pain in the area of the affected joint and reduced mobility. Without treatment, osteochondrosis can be complicated by compression of the spinal cord and dysfunction of internal organs.
Symptoms of osteochondrosis
The manifestations of the disease depend on the area of destruction of the articular discs. The main symptom is pain or sharp pain, which worsens during movement. Because of this, patients often take a forced position. With osteochondrosis of the cervical spine, it is difficult for the patient to look around, severe headaches appear. If the disease is complicated by compression of the peripheral nerves and spinal cord, symptoms of movement disorders and disorders of internal organ functions appear.
Other symptoms and signs:
- Moderate dull ache during the day, worse during movements.
- The spread of pain to the head, shoulder, pelvis and lower limbs.
- Fixed muscle tension associated with the affected intervertebral joint.
- Decreased performance;
- Sleep disorder;
- Posture change and clumsy gait.
If you experience these symptoms, we recommend that you make an appointment with your doctor. Early consultation will prevent negative consequences for your health.
The disease can develop over several years. The initial stages of cartilage damage show no symptoms, but gradually there is constant pain.
Causes of osteochondrosis
Normally, the intervertebral cartilage is constantly supplied with blood and receives a sufficient amount of nutrients from the blood to renew cells and maintain its own structure. As tissues age, degenerative changes, characterized by insufficient cell renewal, may occur. Violation of blood flow occurs when the arteries are compressed against the background of a permanent curvature of the spine or injury. Also, osteochondrosis can be a result of excessive physical exertion.
Causes of the disease:
- Gradual destruction of the intervertebral cartilage due to poor posture, weight lifting and movement. The reason for the violation of the structure of the intervertebral discs can even be the use of flat-soled shoes for a long time.
- Craniovertebral anomalies - violation of the relative position of the structures of the cervical spine and skull. In this case, compression of blood vessels and impaired blood supply to tissues often occurs.
- Metabolic disorders, accompanied by insufficient formation of hydrophilic cartilage components.
- Inflammatory or autoimmune damage to cartilage, in which the body's defense system attacks healthy tissue.
- A herniated disc is a disease characterized by displacement of the cartilage and protrusion of the disc into the spinal canal.
Clarifying the cause of osteochondrosis is important for choosing the right treatment.
Diagnosis of osteochondrosis
When symptoms of osteochondrosis appear, it is necessary to make an appointment with a neurologist. The clinic doctor asks the patient about complaints and examines the history to identify risk factors for the disease. Then a general examination is carried out to identify external signs of osteochondrosis and exclude symptoms of spinal cord dysfunction. To confirm the diagnosis, the neurologist prescribes special tests.
Methods for diagnosing osteochondrosis:
- X-ray of the spine. The neurologist prescribes this study to obtain an image of the affected part of the spine in two views. Before the procedure, the patient is asked to strip to the waist and stand in front of the machine. The resulting images allow the doctor to detect a hernia or other pathology, as well as determine the degree of damage to the vertebrae and intervertebral disc.
- MRI is a more informative study that allows a neurologist to study stratified images of the spine in different views. During the examination, the patient is asked to remove all metal jewelry and lie on the CT table. The diagnosis takes from 15 minutes to an hour. This is a painless and reliable method for diagnosing osteochondrosis. The results of an MRI make it possible to immediately rule out other diseases with similar symptoms, such as bone tuberculosis or a malignant tumor. If MRI is contraindicated, myelography is indicated.
- Examination of the subarachnoid space of the spinal cord (myelography). The neurologist prescribes this procedure to exclude syringomyelia, oncology and other pathological conditions of the meninges. The method of taking an image does not differ from a conventional x-ray, however, before the study, the doctor injects a contrast agent into the subarachnoid space. Before the puncture, the doctor treats the skin with an antiseptic and anesthetizes the tissues. The needle is inserted into the intervertebral space of the lumbar spine.
In a specialized clinic, safe and reliable diagnostic tests are carried out, allowing you to quickly start the treatment of osteochondrosis.
Therapeutic treatment of osteochondrosis
The treatment is carried out after consultation with a neurologist and orthopedist. In case of instability of the affected cervical spine, a Shants collar is applied. A prefabricated orthopedic collar is applied to the neck and reinforced with bandages. The use of a collar is necessary to relieve the load on the affected spine and prevent the development of complications. In severe osteochondrosis of the lumbar or thoracic spine, the patient needs rest. The clinic doctor will also prescribe symptomatic treatment and physiotherapy to alleviate the patient's condition.
Methods of treatment of osteochondrosis:
- Prescribing non-steroidal anti-inflammatory drugs for pain relief. The neurologist prescribes nimesulide, celecoxib, or another agent. It is necessary to strictly control the dosage of analgesics and monitor the condition of the liver with prolonged use of painkillers.
- Traction therapy is a method of stretching the spine in order to increase the intervertebral gap to eliminate compression of blood vessels and nerves. Before the procedure, a massage is done to relax the muscles. The traction is carried out on a special table or in a bath. The device is attached to the patient's body in the desired position and gently stretches the spine. This is a very effective and safe procedure for the treatment of osteochondrosis.
- The use of anticonvulsants for the complications of osteochondrosis. A neurologist prescribes a short course of carbamazepine or another drug to a patient.
- The use of muscle relaxants. These drugs relax the muscles associated with the affected area of the spine and relieve pain.
- Use of corticosteroids for nerve compression. These drugs relieve the inflammatory process in the tissues, which includes therapeutic massage, special exercises and warm-up.
The neurologist selects an individual treatment regimen for osteochondrosis, focusing on the patient's condition. Strict medical control of the course of treatment allows you to achieve the best prognosis.
Surgical treatment of osteochondrosis
If the diagnostic results reveal an intervertebral hernia or severe compression of the spinal canal, the patient is scheduled to consult a neurosurgeon. The doctor assesses the severity of the identified pathology and, if necessary, performs surgery.
Surgical treatment options:
- Partial or complete removal of the intervertebral disc.The operation is performed under anesthesia. After anesthesia is applied, the neurosurgeon treats the surgical field with an antiseptic and cuts the skin at a predetermined point. After pressing the muscle layer with a special tool, the doctor removes the affected intervertebral disc. If necessary, removal of the vertebral arch is also performed. Plastic surgery of the spinal column is done by transplanting artificial materials. This effective operation is suitable for the treatment of intervertebral hernia and the relief of symptoms of osteochondrosis.
- Operations for stenosis of the spinal canal.This intervention eliminates compression of the nerves and spinal cord. After applying anesthesia, the doctor treats the surgical field with an antiseptic and makes a wide incision in the skin. Pushing back the muscle layer, the neurosurgeon reaches the intervertebral joint and performs manipulation. The intervention involves removing the vertebral arch or the entire joint. The use of radiography and microsurgical control allows the operation to be performed with minimal risks.
The most complex surgical procedures are performed in the surgical department of modern clinics.