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What is arthrosis in the spine

08 Apr 18

Causes, symptoms and effective treatment of spinal arthrosis

The disease arthrosis of the spine is a degenerative disease of the joints, in which premature wear of intra-articular cartilage occurs. Over the course of life, loads on the joints of the spine lead to their gradual wear and tear. When the intervertebral discs wear out, the intervertebral space narrows, which leads to abrasion of the cartilage tissue and the formation of cracks in it, through which proteoglycans, the substances that make cartilage elastic, gradually disappear.

In most cases, arthrosis is accompanied by severe pain, because bones, devoid of full cartilage, rub against each other, causing severe pain at the slightest movement. Lack of cartilage, as well as narrowing of the interarticular space in the spine, often causes pinched spinal nerves. Depending on the location of such pinching, arthrosis may be accompanied by pain in the back of the head, arms, and legs.

Causes of the disease

The main reasons for the development of arthrosis are:

  • Age-related changes in joints: the disease most often develops in people after 50 years of age.
  • Osteoporosis.
  • Hard physical labor with serious stress on the spine.
  • Excess weight is a constant additional load on the spinal column and joints.
  • Physical inactivity and poor muscle development.
  • Diabetes mellitus, high blood sugar.
  • Liver diseases leading to malnutrition of articular cartilage.
  • Signs, manifestations and diagnosis of the disease

    The following are the main symptoms indicating damage to the spine by arthrosis:

  • Pain when bending to the sides or back and forth. When a person assumes a horizontal position and the load on the vertebrae decreases, such pain gradually subside on its own.
  • The pain is localized in a limited area of ​​the back, unlike, for example, pain from a herniated disc.
  • Feeling of stiffness in the morning, restriction in movements.
  • Discomfort in the back during sedentary work, prolonged sitting causes a feeling of stiffness in the back, a strong irresistible desire to stretch.
  • Taken together, these symptoms indicate arthrosis, but a diagnosis cannot be made based on these signs alone. For reliable diagnosis, instrumental research methods are used: X-ray, MRI, and in some cases, ultrasound of the brain is also performed to exclude some other diseases with similar symptoms.

    If clinical examination reveals evidence of pathology, treatment must be started immediately.

    The photo shows an x-ray

    Since arthrosis is a serious disease that, in an advanced state, leads to loss of ability to work, therapy must be comprehensive and versatile. This treatment for spinal arthrosis includes:

    drug treatment (taking drugs orally, injections, ointments, gels);

    lifestyle correction (including physical therapy, diet);

    folk remedies to increase the effectiveness of basic therapy, reduce negative side effects from medications, eliminate symptoms of the disease;

    surgical intervention (if necessary).

    Drug therapy

    Anti-inflammatory and painkillers are prescribed to treat the disease. These are usually non-steroidal anti-inflammatory drugs (NSAIDs), which reduce inflammation and pain. Also, a patient with spinal arthrosis may be prescribed muscle relaxants (drugs that relieve muscle spasms), chondroprotectors (drugs to nourish cartilage tissue) and drugs that improve local blood flow and lymphatic drainage.

    Medicines are prescribed in injections, tablets, and droppers. When the disease worsens, injections directly into the affected area are most effective. For local treatment, anti-inflammatory and analgesic ointments and gels are used.

    The following physiotherapeutic procedures are used to treat the spine with arthrosis:

  • Magnetotherapy.
  • Reflexology (acupuncture).
  • Abdominal decompression. What it is? This is a method of physiotherapy that creates artificial negative pressure in the lower half of the body, improving blood flow and inhibiting inflammatory processes.
  • These methods can relieve pain, increase joint mobility, improve blood circulation and nutrition of the vertebrae.

    Lifestyle correction

    Also, if the patient suffers from arthrosis of the spine, regular exercise and diet are recommended.

    It is necessary to engage in physical therapy – an individual set of exercises compiled by a doctor. The program may include stretching exercises, hoop exercises, and exercises for general physical fitness.

    The patient is also recommended to engage in swimming and water gymnastics. This has a positive effect on the joints of the spine, improves blood flow in problem areas and effectively alleviates the symptoms of the disease.

    Proper nutrition plays a significant role in therapy. Basic rules of diet for arthrosis:

  • Limited use of spices and salt.
  • Exclusion from the diet of smoked meats, fatty foods, preservatives and sausages.
  • Complete exclusion from the diet of carbonated drinks and any alcohol.
  • Minimizing the consumption of sweets, sugar, flour products and sweet pastries.
  • Switch to whole grain bread and cereals.
  • Replacing animal fats with vegetable ones.
  • Mandatory daily consumption of fresh vegetable and fruit juices.
  • Increasing the proportion of vegetables and fruits in the daily diet.
  • It is necessary to drink at least 1.5 liters of clean water per day - not compotes, juices or tea, but pure water.

    Folk, non-traditional methods

    Tinctures, rubs and ointments prepared according to folk recipes relieve pain well and help in the treatment of arthrosis. Typically, tinctures of golden mustache and calamus root, ointments from comfrey, horseradish, and cornflower are used. You can also wear special belts made of dog hair, and use warm clay wraps.

    Apitherapy – treatment with bee products – gives good results. Compresses made from honey and royal jelly, rubbing with alcohol tincture of propolis, and the use of bee venom are used.

    However, it should be understood that any traditional methods are used as an addition to the main therapy; you should not rely on them alone. Only a doctor can tell you how to properly treat spinal arthrosis in your particular case after a comprehensive examination.

    If the above-described therapeutic methods are insufficiently effective, surgical treatment is performed. Depending on the stage of the disease and the degree of destruction of the joint, one of two types of operations can be used: denervation (elimination of pain by thermal destruction of the nerve endings in the affected joint) and transplantation (replacement of the destroyed vertebra with an artificial one).

    Basic preventive measures to prevent arthrosis:

    A balanced diet, which has already been mentioned above.

    Regular gymnastics and an active lifestyle.

    Correct distribution of loads on the spine during physical work.

    Professional massage to improve blood flow and relieve stress from the muscle frame after hard work.

    Weight normalization (if necessary).

    By following these recommendations, you can avoid such a complex and serious disease.

    What is spinal arthrosis, symptoms and treatment of the disease

    Spinal arthrosis is a chronic destructive-dystrophic process that develops in the intervertebral joints and provokes dysfunction of the spinal column. When cartilage is involved in these processes, osteoarthritis develops. In medical practice, these pathological processes are also called spondyloarthrosis.

    The development of the disease is accompanied by dystrophic changes in the cartilaginous tissue structures of the joints, their gradual thinning and destruction, which leads to the formation of osteophytes. Often, spinal arthrosis is accompanied by other degenerative disorders, but can often act as limited pathological processes in the context of existing spinal deformity.

    When joints are affected in the cervical region, pronounced symptoms of the disease are observed. If the lumbar region is involved in deforming processes, the course of the disease is asymptomatic for a long time.

    Reasons for the development of pathology

    The majority of patients diagnosed with spinal arthrosis belong to the category of people over 60 years of age, but even among the younger generation this disease is not so rare. It is customary to distinguish primary and secondary forms of the disease. The etiology of the primary form has not been fully studied, but experts are inclined to believe that the main risk group includes people:

  • who have been diagnosed with congenital abnormalities of the spinal column and disorders of its development;
  • those who are overweight;
  • suffered spinal injuries;
  • suffering from disorders of the intervertebral discs.
  • Among the provoking factors, age occupies the main place, because over time there is a deterioration in the condition of the joints, which is inextricably linked with a slowdown in metabolism and deterioration in the nutrition of cartilage tissue, joints and ligaments. The secondary form of spinal arthrosis is caused by other pathological processes in the body.

    In this case, the main reasons are presented:

  • certain dystrophic and inflammatory diseases affecting the musculoskeletal system;
  • spinal injuries, including those associated with regular excessive loads on the spinal column (professional athletes, overweight people and workers who regularly experience excessive physical activity often face a similar problem);
  • autoimmune diseases, including gout, chondrocalcinosis, hemochromatosis;
  • vascular diseases and circulatory disorders under conditions of physical inactivity;
  • hormonal imbalances;
  • pathologies of the endocrine system, metabolic disorders.
  • Characteristic signs of the disease

    Depending on where the pathological processes are localized, several types of the disease are distinguished:

  • arthrosis of the lumbar spine;
  • arthrosis of the cervical spine;
  • arthrosis of the thoracic spine.
  • Regardless of the location, spinal arthrosis manifests itself with characteristic symptoms. The disease is accompanied by severe pain in the spine and gradual limitation of mobility in the affected joints or areas. The painful sensations are constant and aching in nature, and their greatest intensity is noted during turns, bends or any physical activity.

    For pain that is characteristic of arthrosis, the patient can accurately indicate its location, since the sensations do not radiate to the limbs and are not accompanied by numbness. For example, arthrosis of the lumbosacral spine is manifested by pain that is localized exclusively in the lumbar and sacral region.

    Patients are faced with the inability to move for long periods of time, fatigue and weakness. Characteristic signs of the disease include morning stiffness, which is caused by hypertonicity of the spinal muscles.

    Depending on the intensity of the disturbing symptoms, 4 stages of the development of the disease can be distinguished. At the first stage, the patient does not face restrictions on physical activity, and the only manifestations of the disease may be stiffness after waking up and a characteristic crunch when bending and turning.

    The second stage is characterized by the emergence of difficulties in the process of performing physical work. At the same time, the number of active movements in the spinal column noticeably decreases. The patient notes an increase in pain that occurs after any joint movements.

    The third stage of the disease can be distinguished by constant painful sensations that bother the patient even in a resting position. There is significant limitation of movements, accompanied by severe pain, and muscle deformation in the area of ​​the affected parts. Already at this stage, the deformation of the spine becomes outwardly obvious. The fourth stage is accompanied by complete fusion of the joints.

    How is the diagnosis done?

    Arthrosis of the intervertebral joints is a dangerous disease that requires timely diagnosis and treatment. The consequences of prolonged ignoring of symptoms can be periarthritis and synovitis. With periarthritis, there is inflammation of the tissues located next to the affected joint, and with synovitis, the membrane that lines the joint area is involved in the inflammatory processes.

    Osteoarthritis is dangerous because the degenerative changes that occur in tissue structures are irreversible and provoke complete immobility of diseased joints. The greatest danger is characteristic of coxarthrosis, characterized by lesions of the hip joints. Arthrosis, which affects small joints, often leads to them acquiring ugly and bizarre shapes.

    Timely diagnosis is extremely important and consists of an analysis of symptoms by a specialist and a series of examinations.

    Mandatory diagnostic testing methods are presented:

  • radiography;
  • magnetic resonance imaging;
  • biochemical blood test;
  • radioisotope scanning;
  • ultrasound examination of the brain to exclude diseases with similar symptoms.
  • Therapeutic measures

    When arthrosis of the spine is detected, it is necessary to prescribe complex treatment, consisting of:

  • taking medications;
  • nutrition correction;
  • physical therapy;
  • use of external agents;
  • physiotherapeutic procedures;
  • surgical intervention;
  • effects on the disease using folk remedies.
  • In case of damage to the spinal regions, the patient must be prescribed painkillers and anti-inflammatory drugs, and their addition with muscle relaxants will help cope with muscle tension. When diagnosing a disease that is in the first two stages of development, treatment with drugs that improve blood flow, as well as chondroprotectors, which are necessary to normalize the condition of the intervertebral discs, will be required.

    In order to improve blood circulation, reduce pain and eliminate inflammation, patients are prescribed topical medications. Additional therapy includes phonophoresis, magnetotherapy and acupuncture. If the use of the above treatment methods is not accompanied by an improvement in the condition, the patient is prescribed a transplantation intervention, which involves replacing the destroyed vertebrae with artificial ones.

    Arthrosis is a serious disease with irreversible consequences, therefore, if characteristic symptoms are detected, treatment should be started immediately. This will avoid joint deformation and the need for surgery.

    Arthrosis of the spinal column

    A degenerative disease that leads to the destruction of the cartilage of the joints of the spinal column is called spinal arthrosis. Destructive processes in tissue structures can arise and continue for various reasons, leading to a gradual thinning of cartilage until its complete disappearance. Which leads to limited mobility and fusion of articular surfaces with each other. Depending on the location of the disease, symptoms and their intensity vary. For example, in the cervical spine the disease manifests itself in the earliest stages of development, while arthrosis of the thoracic spine or in the lumbar region often begins asymptomatically.

    To understand how to treat arthrosis and alleviate the patient’s condition, you need to understand the characteristics of the disease, find out why it occurs and how it proceeds. An important stage of treatment is diagnosis: a competent and timely examination of the back will make it possible to take action and stop spinal arthrosis.

    Attempts to eliminate pain with the help of painkillers and ignoring the problem will lead to the fact that the disease can progress to a stage where it will be almost impossible to help the patient. Arthrosis is a disease that in advanced stages often leads to disability.

    Causes of spinal arthrosis

    Often, arthrosis of the intervertebral joints occurs in old age, when the soft tissues become thinner, the nutrition of the cartilage is disrupted, and loads and lifestyle affect the condition of the spine. But in patients at a young age, spinal arthrosis also occurs, and most often it is associated with such prerequisites as:

  • the patient is overweight;
  • previous spinal injuries;
  • constant excessive loads of a sports or professional nature;
  • congenital disorders in the structure of the vertebrae or the development of the spinal column;
  • metabolic or hormonal imbalances in the body;
  • presence of autoimmune diseases.
  • Common diseases and concomitant disorders in the spine lead to worsening blood circulation, slower metabolism, and deformation of the spinal column. A consequence of aging and thinning of cartilage tissue is the formation of osteophytes, which entails severe pain and limited mobility. Whatever the causes of arthrosis deformans, it is important to consult a doctor in time and determine methods that will help alleviate the condition and stop the disease. Symptoms that are important to pay attention to at an early stage can help solve this problem.

    Classification, degrees of arthrosis

    But before considering the symptoms, it is necessary to understand the classification, because depending on the department, the manifestations may be different. There are three types of spinal arthrosis:

  • lumbar or lumboarthrosis;
  • dorsarthrosis or thoracic;
  • cervicoarthrosis or cervical.
  • Lumboarthrosis is the most common; according to statistics, 80% of patients have this particular variant of the disease. It is noteworthy that it is difficult for a person to find a position in which the pain becomes less. Bends and turns cause the pain to become stronger.

    With dorsarthrosis, the problem is localized in the thoracic spine. Due to the slight mobility of the vertebrae, the pain does not make itself felt immediately or is absent.

    The cervical variant is also common, leading to the appearance of characteristic symptoms, and the load on the neck becomes greater. The patient notes that the pain is in the area of ​​the shoulder blades, forearms, arms and back of the head; this is due to the peculiarities of innervation. After all, it is in the neck that the nerves that are responsible for the sensitivity of the upper extremities emerge. Sometimes the disease is masked by other diseases that affect the joints.

    There are also three degrees of development of spinal arthrosis. The simplest is the first, in which the cartilage tissue becomes thinner, the load on the joint increases, which contributes to the formation of growths on the bones, they are called osteophytes.

    The second degree is a continuation of the first, changes in the joint progress. At this stage, a person rarely goes to the doctor, osteophytes increase. A person comes to see a doctor with a third-degree disorder.

    The third degree is characterized by a violation of not only the anatomy of the vertebrae, but also the axis of the spine. The ligaments atrophy, the patient loses the ability to move normally.

    Symptoms of spinal arthrosis

    Often a person notices disturbances due to discomfort and pain in the back. Pain with arthrosis can be aching and weak, increasing with exercise or mobility. In the morning, you feel stiffness and congestion in your back, which goes away a couple of hours after warming up. It is difficult to determine spinal arthrosis by these symptoms without consulting a doctor, because similar sensations accompany other diseases.

    Manifestations can be different, most often a person notices pain that intensifies during movement. The mobility of the spine decreases, first as a result of pain, and then due to the destruction of the articular surfaces. Staying in a sitting position for a long time leads to a feeling of “stiff back.” The muscles become tense, and the progression of arthrosis leads to pain at night.

    With the lumbar variant of the disease, the pain radiates to the buttocks and thigh. Gradually, movement becomes difficult, and sensitivity may be impaired. A disc herniation or osteochondrosis may have similar manifestations. Severely advanced arthrosis of the lumbar spine can cause urinary and fecal incontinence.

    With cervical arthrosis, the mobility of the spine is impaired, headaches are bothersome, and migraines are associated. Stiffness appears, pain radiates to the upper extremities. The neck muscles are tense, and a characteristic crunch may appear during movement. Along with this, the blood supply to the head and brain may be disrupted.

    With thoracic arthrosis, the pain is disturbing in the chest area and radiates to the back area. A person is unable to lift weights or bend low; sometimes the cause of pain and discomfort can be a deep breath. Due to compression of the roots, numbness, paresthesia, and paralysis may occur.

    In order to exclude possible pathologies, under the mask of which spinal arthrosis can be hidden, it is necessary to undergo a thorough examination. To do this, the doctor uses a variety of techniques, in addition to examination and careful questioning.

    Diagnosis of arthrosis includes several informative methods that allow the doctor not only to determine the disease, but also to consider the features of its development. This will make it possible to choose the optimal path for treating arthrosis in order to return the patient to comfortable and pain-free mobility. Among the diagnostic methods:

  • radiography of the spine;
  • MRI;
  • blood chemistry;
  • radioisotope scanning.
  • The completeness and scope of the diagnosis is determined by the doctor depending on the patient’s complaints, initial examination and localization of the disorder. A detailed examination allows a specialist to carefully examine all the features of arthrosis, determine the stage of development of the disease and prescribe comprehensive treatment.

    Features of treatment of spinal arthrosis

    For treatment of spinal arthrosis to be effective and give the desired results, it must be started in a timely manner and several different methods must be used. It is important to strictly follow the doctor’s recommendations and prescriptions, and not try to fight the disease on your own . This is especially true for traditional medicine methods and recipes, which are a complement to traditional treatment and can only be used after consulting a doctor. Among the main directions that are used in the treatment of spinal arthrosis:

  • drug therapy;
  • physiotherapy;
  • physiotherapeutic procedures;
  • correction of nutrition and lifestyle;
  • if necessary, then surgical intervention.
  • Spinal arthrosis is a complex disease that requires time and effort to treat. In advanced stages of the disease, it is not possible to completely recover and restore the spine, but it is important to facilitate the patient’s mobility and relieve pain in the back.

    Drug treatment

    Medications used in the treatment of spinal arthrosis should eliminate pain, relieve muscle spasms and stop the inflammatory process. Injections work most effectively when the medicine is delivered directly to the inflamed area, although tablets and droppers are also used. The greatest effectiveness of the drugs used is observed in the early stages of the disease.

    Most often, NSAIDs are prescribed for treatment - non-steroidal anti-inflammatory drugs. They are selected individually and used in a dose clearly prescribed by the doctor. Uncontrolled use can provoke the development of stomach ulcers and bleeding.

    To improve blood flow in tissues and cartilage, the doctor uses vascular drugs. In addition, the patient requires chondroprotectors - medications that help restore cartilage tissue. To achieve the desired effect, they must be taken for at least three months, after which a break is taken for a month and the course is repeated. The effect does not occur immediately, but lasts some time after stopping the drug.

    The doctor may recommend using anti-inflammatory ointments and gels locally on the spine area. Apply them about three times a day to clean skin, after which it is better to lie down for a while.

    Physiotherapy

    Back exercises play an important role in the treatment of arthrosis, as they help activate blood circulation and increase blood flow to the affected cartilage tissues, as well as reduce the degree of wear of the cartilage . Strengthening the muscle corset will make it possible to relieve the spine and increase the effectiveness of treatment. Exercise, swimming and yoga, performed correctly and regularly, will help prevent joint atrophy.

    It is important to understand that any exercise therapy exercises can only be done under the guidance of a specialist and on his recommendation. An incorrectly chosen complex can seriously aggravate the situation and cause complications. Gymnastics should not cause pain; it is contraindicated during periods of inflammation.

    Physiotherapeutic treatments

    Physiotherapy has long been considered an effective set of measures and procedures that help in the treatment of many diseases, including disorders of the musculoskeletal system. The following physiotherapeutic methods are used to combat spinal arthrosis:

  • phonophoresis;
  • UHF;
  • electrophoresis, a Shcherbak collar is applied to the neck area;
  • diode speaker;
  • acupuncture;
  • Shock wave therapy has an excellent effect;
  • massage;
  • magnetotherapy.
  • The main goal of popular physical therapy methods is to relieve pain and improve mobility of the spine. However, their use cannot fully cure arthrosis, so physiotherapy is used only as an auxiliary treatment. However, these techniques relieve inflammation and muscle spasm, ensuring the flow of blood and nutrients.

    Correction of nutrition and lifestyle

    To stop the destruction of joint cartilage, in addition to taking medications, it is also important to adhere to a certain diet. The goal of nutrition correction is to lose excess weight and saturate the body with useful vitamins and minerals. During and after treatment of spinal arthrosis you need to:

  • Limit consumption of sugar, flour products, salt and spices.
  • Completely eliminate smoked and fatty foods from your diet.
  • Minimize the consumption of alcohol and carbonated drinks.
  • Saturate your diet with vegetables and fruits, drink freshly squeezed juices more often.
  • Thus, treatment of arthrosis must be carried out using complex methods, and the sooner their use begins, the greater the likelihood of a positive outcome in the fight against the disease. In extreme cases, when traditional methods do not produce results, the doctor may prescribe surgery. It consists of replacing the affected joint with an artificial implant or blocking a section of the spinal column, which completely eliminates the possibility of movement. This type of operation is called spinal fusion .

    In order not to start the disease and not to risk your own health and activity, it is important to consult a doctor in time when the first symptoms appear. Osteoarthritis of the spine can lead to complete immobility and even disability, so back pain should not be ignored. The specialist will conduct a complete diagnosis and prescribe appropriate treatment.

    Arthrosis of the spinal column: 2 comments

    Is it even possible to cure osteoarthritis? My disease is not advanced. I have been taking courses of Elbona injections for three years now. The back doesn't bother me much. There is no severe pain, maybe some discomfort. Is it possible to completely defeat the disease or should I now spend the rest of my life on injections?

    With arthrosis, the cartilage of the joints is destroyed. Unfortunately, this process is irreversible, that is, osteoarthritis cannot be completely cured. Elbona and similar drugs are prescribed to slow down and stop the destruction of cartilage tissue. But these drugs have a therapeutic effect only with systematic and regular use. If you refuse chondroprotectors, the disease may begin to progress. It is better to avoid this - the second, and especially the third, stages of arthrosis are much more difficult to treat.

    Spondyloarthrosis: causes, symptoms, treatment

    Arthrosis of the spine is also called spondyloarthrosis. This degenerative disease is one of the types of osteoarthritis group, causing destructive changes in joints and degeneration of cartilage tissue. Spondyloarthrosis affects the sacral, iliac, and costal bones of a person, also affecting the structure of cartilage, ligaments, and various muscles of the body. Another nuisance and symptom of the disease is the appearance of osteophytes that form along the edges of the bone surface.

    Causes of spondylarthrosis

    Typically, the age of patients seeking help from a doctor is over 65 years. However, among the younger generation, spinal osteoarthritis can also occur if they are at risk:

  • with congenital abnormalities of the spinal column;
  • with excess body weight;
  • suffered injuries;
  • suffering from spondylolisthesis and some other diseases of the spine;
  • with disorders in the intervertebral disc and deviations in the mobility of individual vertebrae.
  • Injury to the spine accelerates the natural process of wear and tear of the joints. If a person’s excess weight is added to this, then the appearance of spinal arthrosis will not take long to occur.

    Dystrophic disorders in the intervertebral discs lead to a loss of their shock absorption, and the thinning of the cartilage tissue begins to provoke acute back pain. A person tries to change the position of the body so as to reduce the pain effects, which may result in a change in gait. And this, in turn, leads to overstrain of some parts of the vertebrae, which further aggravates the picture of the disease.

    As mentioned above, age does not have the best effect on the condition of our joints. The metabolism in the body slows down over time, the nutrition of cartilage tissue, joints, and ligaments deteriorates. Synovial fluid loses its functionality.

    Symptoms of spondyloarthrosis

    The main symptom of spinal arthrosis is the appearance of pain when tilting the body back and forth or lateral bending. They occur when the spine is overloaded during the day, but calm down when a person takes a horizontal position and removes the heaviness from the vertebrae. In addition, in the morning there is a feeling of stiffness, a person experiences constraint in movements, which usually goes away within an hour or after morning exercises. After sitting for many hours in front of a computer monitor at work, a patient with spondyloarthrosis feels significant discomfort in the back, he wants to stretch, change the position of the body, which seems to be stiff.

    A back massage may provide some relief if this discomfort is also caused by subluxations of the facet joints. The difference between pain from herniated intervertebral discs from arthrosis is that it is local in nature, localized in a limited area of ​​the spine with osteoarthritis. Also, arthrosis pain does not spread to the arms and legs, which can occur with radiculitis. The formation of bone processes - osteophytes - contributes to the intensification of pain syndromes.

    The cervical spine may also experience pain due to spondyloarthrosis, which is another symptom when making a diagnosis. But most often the lumbar spine suffers, which experiences stiffness in movements. However, it was no coincidence that ancient healers called the spine an energy column, from which branches in the form of energy channels extend, the central nervous system, blood vessels are located, and there is a connection with all organs and systems.

    Therefore, damage to the spine by arthrosis leads to many troubles. We have already talked about pain in the neck and lower back, but the pain effects can also be felt in the shoulder blades, chest, and back of the head.

    Diagnosis of spinal arthrosis

    Methods for examining spondyloarthrosis are typical for any type of arthrosis:

  • performing radiography;
  • magnetic resonance imaging;
  • taking blood from a finger and from a vein for biochemical analysis;
  • radioisotope scanning;
  • In some cases, ultrasound of the brain is used to exclude certain head diseases.
  • Treatment of spinal arthrosis

    Treatment of spinal arthrosis should be comprehensive, systematic, and persistent. Among the methods of combating spondyloarthrosis are the following:

  • treatment with physiotherapeutic methods;
  • therapeutic physical education (therapeutic physical education);
  • the use of manual therapy;
  • spine massage;
  • drug treatment;
  • treatment with chondroprotectors;
  • traditional medicine;
  • acupuncture;
  • use of orthopedic devices.
  • Physiotherapeutic methods of treating spondyloarthrosis are aimed at reducing pain and relieving inflammation of the affected vertebrae.

    Exercise therapy is of great importance in the fight for back health. There are many complexes aimed at getting rid of and/or alleviating the disease. When the spine suffers, it needs to be loaded less, and this is where various back muscles should come to the rescue. Physical exercises should be aimed at strengthening the muscle corset. In addition, doing yoga and exercises helps prevent atrophy of joints and muscles and increases vascular circulation.

    A chiropractor can make a significant contribution to the treatment of arthrosis. Manual therapeutic methods are especially important in correcting joint subluxations (for example, facet joints). Massage is useful for its warming effect, relieving smearing of the muscles of the back and neck. Improving blood circulation will also be a very necessary measure.

    The use of medications is prescribed by the attending physician, depending on the severity of the patient’s disease. At moderate and severe stages of arthrosis, a short course of treatment with non-steroidal anti-inflammatory drugs is carried out. They are designed to relieve severe pain and inflammation. The specific drug is selected by the doctor based on the characteristics of the human body.

    Chondroprotectors are a very good way to improve the deformed structure of the cartilage apparatus. Consisting of materials similar in structure to human cartilage, chondroprotectors effectively restore cartilage tissue. Unlike strong NSAIDs, they do not carry significant negative side effects.

    Traditional medicine involves treating spinal arthrosis with compresses and ointments based on natural medicinal herbs and components. The time efficiency of such products is lower in comparison with the “chemistry” offered by pharmaceutical companies, i.e. By taking a tablet or injection, the pain goes away faster than applying a compress using burdock leaves, but the great advantage of traditional methods is that side effects are minimized. Courses of treatment with natural plants usually range from several weeks to a couple of months.

    Acupuncture allows you to increase vascular microcirculation, which will have a better effect on the nutrition of joints and cartilage.

    In some situations, the doctor prescribes corsets and other orthopedic devices to facilitate movement, preventing pain when performing bending and other activities with the body.

    What is spinal arthrosis

    Arthrosis of the spine (spondyloarthrosis) is a lesion of its joints associated with degenerative processes in cartilage tissue . Due to wear and tear of the cartilaginous intervertebral discs, the space between the vertebrae narrows. Cartilage loses substances that maintain elasticity, dries out, and cracks. The spinal cord nerve roots emerging through the holes in the vertebrae are compressed and pinched. Severe pain occurs in one or another part of the back.

    IT IS IMPORTANT TO KNOW! The only remedy for JOINT PAIN, arthritis, arthrosis, osteochondrosis and other diseases of the musculoskeletal system, recommended by doctors! Read more.

    Based on the causes of occurrence, the following types of spinal arthrosis are distinguished:

    1. Primary. These are congenital anomalies of the musculoskeletal system and connective tissue defects. Cartilage becomes fragile and is easily injured, which leads to degeneration of the joints and arthrosis of the spinal discs.
    2. Purchased. They develop for the following reasons:
    3. Incorrect posture.
    4. Prolonged work in an uncomfortable position.
    5. Increased load on the spine due to excess weight.
    6. Underdeveloped muscles, physical inactivity.
    7. Autoimmune conditions.
    8. Rheumatic processes.
    9. Diabetes.
    10. Hormonal pathologies associated with menopause, etc.
    11. Based on localization, the following types of arthrosis of the spinal column are distinguished:

      • Cervical (uncovertebral) . Arthrosis of the cervical joints.
      • Dorsal . The connections of the thoracic vertebrae suffer. Symptoms of arthrosis of the thoracic spine include moderate pain, which many people get used to and endure for years. Aching pain occurs between the shoulder blades, in the cardiac region, on the right side. Changes in body position, coughing, and physical overload are painful.
      • Lumbar . Arthrosis of the lower back.
      • Lumbosacral . Symptoms of arthrosis of the lumbosacral spine include pain in the buttocks and back of the thighs. Aching pain in the back intensifies when bending over.
      • There are the following causes of spinal arthrosis:

      • Senile changes. Typical for patients over fifty. They are characterized by deformation, thinning of cartilage tissue and destruction of intervertebral joints.
      • Decalcification of bones - osteoporosis.
      • Physical overload (more often the cause of arthrosis of the lumbar spine).
      • Injuries typical of physical workers and athletes: microtraumas received over the years, long-term constant overload of the spinal column.
      • Saggy belly. A shifting center of gravity leads to overload of the spinal column and arthrosis of the back.
      • Physical inactivity. Weakness of the back muscles.
      • Hyperglycemia.
      • Liver pathologies leading to degeneration of articular cartilage.
      • It is not difficult to completely restore JOINTS! The most important thing is to rub this into the sore spot 2-3 times a day.

        General signs that allow diagnosing arthrosis of the intervertebral joints:

      • Back pain when bending over. Taking a lying position reduces the load and the pain subsides.
      • Localization of pain in a small area of ​​the back.
      • Tightness, restricted movements.
      • Discomfort from sedentary work. My back is numb. There is a desire to warm up.
      • In addition to the general symptoms, arthrosis of each part of the spine has its own characteristics.

        Important! Clinical symptoms of spinal arthrosis require confirmation of the diagnosis by instrumental means. If spondyloarthrosis is suspected, the patient is prescribed an MRI of the spine. In doubtful cases, an ultrasound scan of the brain is performed.

        Arthrosis is a serious disease that leads to loss of ability to work. Treatment of spinal arthrosis requires an integrated approach. Depending on the severity of the disease, treatment may include the following:

      • Drug therapy: taking drugs orally, parenterally, externally.
      • Physiotherapy.
      • Physiotherapy.
      • Balanced diet.
      • Folk remedies.
      • Surgical intervention.
      • For treatment, anti-inflammatory drugs and analgesics are prescribed, mainly NSAIDs (non-steroidal anti-inflammatory drugs); muscle relaxants (medicines that relax muscles); chondroprotectors (drugs that protect cartilage); products that optimize local blood circulation and lymphatic drainage.

        Medicines are administered intramuscularly, intravenously (stream or drip), orally.

        During exacerbations, injections of analgesics into the affected area help. Anti-inflammatory and analgesic gels and liniments are used locally.

        Surgical intervention

        Surgical treatment is carried out if conservative therapy does not bring the desired result . They use denervation (cauterization of nerve endings to relieve pain) or transplantation - prosthetic replacement of a vertebra with its replacement with an artificial structure.

        Treatment of spinal arthrosis involves the following physiotherapeutic methods:

        Important! Physiotherapeutic procedures relieve pain, stimulate joint mobility, optimize blood circulation and vertebral trophism.

        The set of exercise therapy exercises is determined by the doctor individually for each patient . The program includes muscle stretching exercises, hoop exercises, and standard physical training. Qigong exercises and exercises according to the method of A.N. have proven themselves well. Strelnikova. Regular visits to the swimming pool are beneficial.

        Balanced diet

        A balanced diet plays an essential role in the treatment of spondyloarthrosis. The main rules of the diet are:

      • Limited consumption of salt and seasonings.
      • Ban on smoked foods, fatty foods, preservatives, sausages.
      • Removing alcohol and carbonated drinks from the diet.
      • Limiting sweets, pastries, potatoes, white bread.
      • Eating cereal porridges, whole grain and bran bread.
      • Prohibition of animal fats.
      • Drink freshly squeezed juices daily.
      • Drinking clean water: more than one and a half liters daily.
      • Tinctures, rubs, ointments made according to traditional folk recipes relieve pain. For spondyloarthrosis, tinctures of fragrant callisia, calamus rhizomes, larkspur ointment, horseradish, and avran are used.

        They use apitherapy - treatment with beekeeping products. Royal jelly and propolis are recommended.

        Important! Traditional methods are not considered as the main method of treatment; they are an addition to the course of treatment prescribed by a doctor.

        The development of arthrosis of the vertebral joints can be prevented by using the following measures:

      • Organization of balanced nutrition.
      • Mobility. Charger. Back muscle training.
      • Optimization of loads on the spinal column.
      • Fighting a saggy belly.
      • It is better to prevent a disease than to treat it.

        Symptoms and diagnostic methods

        The most pronounced symptom of osteoarthritis of the cervical spine is a painful sensation when turning and tilting the head. Neck and neck pain are also often signs of this disease. A patient suffering from both osteoarthritis and osteochondrosis complains of decreased vision, dizziness and restless sensations in the ears and chest.

        Pain between the shoulder blades during turns and bends is the first symptom of osteoarthritis of the thoracic region. After the appearance of bone growths (osteophytes), the sensitivity of the thoracic segment is impaired. There is a feeling of morning muscle stiffness.

        Symptoms of lumbar vertebral disorder are aching pain in the sacral region. The initial phase of the disease manifests itself in the form of pain during prolonged sitting, sudden movements and physical activity. Gradually these symptoms intensify. The pain begins to bother you at night. In the presence of osteoarthritis of the lumbar region and osteochondrosis, the patient’s muscle tone in the lumbar-gluteal region increases simultaneously. The hip joints work poorly and their movements are limited. There is a feeling of muscle weakness in the thighs, combined with tingling and numbness.

        So what causes arthrosis of the spinal column? Arthrosis can be idiopathic (primary) and secondary. The causes of idiopathic spondyloarthrosis have not yet been identified. However, genetic predisposition, congenital dysplasia and other factors have a significant impact on the development of the disease.

        Prolonged standing in an upright position can contribute to pain in the ribs. This is how costovertebral joint arthrosis occurs. Women are more susceptible to this form of the disease than men. In addition to a painful feeling, a symptom of costovertebral arthrosis can be stiffness after sleep. The advanced form of the disease causes problematic breathing; patients with this form of costovertebral arthrosis are most often disabled. This is a disease that develops over several years with a complete absence of symptoms. It is often detected during a magnetic resonance imaging, computed tomography, radioisotope scan or radiography procedure to diagnose another disease.

        What causes the disease?

        The pathological process begins with a deterioration in the blood supply to the subcartilaginous layer at the periosteum. Thinning and loss of elasticity of cartilage tissue occurs. Further, the disease develops with subsequent overloads and the occurrence of injuries and microtraumas, provoking joint sprains, cartilage destruction, a decrease in the amount of synovial fluid, and roughness of the surfaces of the joints appear. Bone growths (osteophytes) progress. The affected joints are subject to subluxation. The danger of this disease is that as it progresses, the cartilage can be completely destroyed. Therefore, it is highly not recommended to treat this disease with a chiropractor without the participation of a neurosurgeon or neurologist, as serious complications may arise.

        Causes of secondary arthrosis:

      • spondylitis, necrosis and other ailments of the musculoskeletal system;
      • spinal injury and mechanical damage during surgery;
      • obesity;
      • autosomal, vascular and endocrine diseases.
      • Dorsarthrosis and arthrosis of joints

        The facet joint is the connection between the processes of the vertebrae. A common case is arthrosis of the facet joints of the spine, which develops in patients over the age of 50 and causes bone tissue growths, disrupting the composition of cartilage and affecting the cervical spine.

        Classification of arthrosis depending on the place of occurrence:

      • when the cervical spine is damaged, cervicoarthrosis occurs;
      • dorsarthrosis is a factor affecting the thoracic region;
      • Costovertebral arthrosis is localized in the region of the 9th-10th rib and contributes to a host of disorders in the body;
      • disorders in the lumbar region occur due to the effects of lumboarthrosis.
      • The most common form of the disease is arthrosis of the cervical spine. This disease appears most often due to increased or insufficient physical activity. Prolonged work in a sitting position can also lead to this type of arthrosis. The uncovertebral type of arthrosis of the cervical spine causes acute pain in the neck and limited movement in the form of manual manipulation, turning and tilting the head.

        Dorsarthrosis causes damage to the joints and the space between them. The symptoms of the disease are not acute, and the disease itself occurs rarely. Factors in the appearance and development of dorsarthrosis include the presence of flat feet, osteochondrosis, excess weight, congenital anomalies, injuries, microtraumas, old age, and significant physical activity. Arthrosis of the intervertebral joints of the lumbosacral region is a “younger” and more common disease.

        Factors of occurrence and development are excessive physical activity, excess weight, congenital pathologies, flat feet, injuries and microtraumas.

        Costovertebral arthrosis appears due to impaired metabolic processes, structural damage to the discs, and infectious diseases. Localization of costovertebral arthrosis is 9-10 ribs. The disease is most common in elderly patients.

        What treatment can be limited to? Without systematicity and perseverance, you cannot get rid of this disease. Therapy should be comprehensive, that is, include not only the use of medications, but also manual therapy, massage, and physical therapy. The most effective treatment method is radiofrequency denervation. During this technique, electromagnetic waves are applied to the affected joint. It is minimally invasive, so there are almost no complications after its use. If all of the above methods do not improve the patient’s condition in any way, the only treatment option will be surgery (facetectomy, laminectomy, etc.) with stabilization of the spine using specially designed structures.

        Manual therapy for arthrosis will be effective only in an unadvanced state of the disease and in combination with physiotherapeutic, medicinal, homeopathic treatment and physical therapy. If you consult a doctor promptly with the first symptoms, treatment with this manipulation helps improve joint mobility and eliminate muscle spasms and pain. The more developed the arthrosis, the more sessions the attending physician prescribes (usually their number does not exceed 10).

        This type of manipulation has a number of contraindications: arthritis, osteoporosis, the presence of cancer, hypovitaminosis, calcium deficiency, disc myelopathy and others. It is not advisable to perform the manual manipulation method on pregnant women over 12 weeks pregnant. To avoid harming yourself, you should not self-medicate or subject yourself to manual therapy without a doctor’s prescription.

        What causes the development of the disease?

        Arthrosis of the back quite often occurs due to osteochondrosis. The causes of the disease are internal and external. External conditions leading to the formation of degenerative pathology are characterized by a discrepancy between the load on the vertebral joints and their ability to withstand the load. They also include spinal injury and excess weight.

        Internal causes include genetic predisposition, congenital joint dysplasia, arthritis of inflammatory origin, individual structural features of the spine and other congenital pathologies. The disease begins to progress due to increased estrogen saturation in women, and with a decrease in thyroid function. Also, the development of degenerative pathology is influenced by autoimmune systemic diseases, chronic diseases leading to depletion of the body, muscular dystrophy, calcium and phosphorus deficiency. The prognosis of spinal arthrosis can be affected by osteoporosis, lumbarization, sacralization, compression fractures, and traumatic subluxations of the facet joints.

        What are the risk factors? Who is at risk?

        Arthrosis is not only a disease of older people, as previously thought. Young people account for 15% of all cases. Predisposing factors contribute to the development of spinal arthrosis. These include:

      • age over 40 years;
      • according to statistical data, women are more likely to go to the clinic with back pain;
      • excess body weight puts a strong strain on the spine;
      • Estrogen production is facilitated by high bone mass, characteristic of professional athletes.
      • Arthrosis of the spinal column is directly related to diabetes mellitus, infectious diseases and gout. Individuals who are constantly exposed to injury to the spinal column and professional athletes are susceptible to the development of degenerative pathology. The risk group includes people whose work requires a sitting position.

        Classification of the disease and degree of development

        Spinal arthrosis is classified depending on the location of the disease. Doctors distinguish three types of degenerative pathology:

      • Lumboarthrosis or lumbar spondyloarthrosis. 80% of the adult population suffers from pain in the lumbar region. It is difficult for the victim to find a position in which pain will occur less. They intensify when bending and turning.
      • Dorsarthrosis is a degenerative disease localized in the thoracic spine. Most often, there is no pain with this type of pathology, since the region is inactive.
      • The third type is cervicoarthrosis. It develops in the cervical spine. The disease entails severe strain on the neck. The pain is concentrated in the area of ​​the shoulder blades, forearm, arms and back of the head.

    Back arthrosis very often occurs in parallel with other joint pathologies. It has three degrees of development. The first degree is not characterized by any manifestations; thinning of the cartilage tissue occurs, which leads to an increase in load and subsequently to the appearance of bone growths (osteophytes). Closer to the third stage of spinal arthrosis, disruption of the vertebrae and the spinal axis occurs. Atrophy of the ligaments occurs, and the possibility of normal movement is impaired.

    Clinical manifestations of degenerative disease

    Patients suffering from degenerative pathology complain of various symptoms. With spinal arthrosis, symptoms may be as follows:

  • pain that worsens with movement;
  • decreased mobility of the spine;
  • On an X-ray, doctors can detect bone growths called osteophytes;
  • prolonged sitting in a sitting position causes a feeling of stiffness in the back.
  • The pathological process involves periarticular muscles, tendons, synovium, capsule and subchondral bone. The progression of the degenerative disease causes nighttime attacks of pain. Lumbar spondyloarthrosis is characterized by pain radiating to the gluteal muscles and thigh. With cervicoarthrosis, the patient has difficulty moving his head, headaches appear, and the victim is often tormented by migraines. Cervical arthrosis is characterized by stiffness. Complications may occur, for example, the development of uncovertebral arthrosis.

    The dorsal type of the disease is characterized by pain that spreads throughout the chest and radiates to the back. The patient cannot lift weights or bend low. Pain may occur when taking a deep breath. With spondyloarthrosis, bone tissue is damaged, and a decrease in the intervertebral space between the vertebrae leads to compression of the nerves. This causes numbness, paresthesia and paralysis. The patient experiences serious neurological disorders and circulatory disorders. With lumbar arthrosis, urinary and fecal incontinence is possible.

    Establishing diagnosis. What methods do doctors use?

    The occurrence of one of the above symptoms requires immediate consultation with a doctor. To examine the musculoskeletal system, you should make an appointment with one of the following doctors: arthrologist, rheumatologist, orthopedic traumatologist. To make a diagnosis, you will need to tell your doctor about the signs and undergo a physical and imaging examination.

    An x-ray in the presence of arthrosis of the spine will show changes in bone tissue and the presence of outgrowths (osteophytes). An X-ray is also necessary to exclude other pathologies and determine the method of treatment; in some cases, the disease is so severe that surgery is required. This method will help the surgeon decide what kind of operation is necessary. To exclude another disease you will need to:

  • Ultrasound bone scan. An ultrasound will help rule out the presence of inflammation and tumors.
  • Computed tomography is used to evaluate surrounding structures and the spinal canal.
  • Magnetic resonance imaging provides detailed images of the spinal cord, nerve roots, intervertebral discs, ligaments and other surrounding tissues.
  • These studies will accurately determine the presence or absence of spinal arthrosis.

    Methods of treating degenerative diseases

    Early treatment will prevent the risk of complications and keep them to a minimum. To achieve effective treatment, it is necessary to use all possible methods. Complex therapy is based on the use of medications, physiotherapy and therapeutic exercises. It is impossible to completely eliminate spinal arthrosis, but the right doctor’s approach can slow down the development of the disease for many years. Treatment of spinal arthrosis occurs with the use of:

  • anti-inflammatory drugs (Ibuprofen, Naproxen);
  • painkillers (“Paracetamol”, “Analgin”, “Aspirin”, “Acetaminophen”, “Tramadol”, “Morphine”);
  • muscle relaxants (“Sirdalud”);
  • chondroprotectors and vitamins.
  • Physiotherapeutic procedures will help strengthen the muscle corset, and exercises will restore mobility. Doctors recommend doing yoga regularly. Additional measures are intradiscal injections. In this case, Cortisone is used. The drug may be injected into the epidural space surrounding the spinal cord. This process is called epidural infiltration. Treatment with the drug "Cortisone" is undertaken for acute radicular pain. If arthrosis of the spinal column is not treated, complications arise. It leads to spinal stenosis, a serious neurological disorder.

    Arthrosis is an intra-articular cartilage-degenerative lesion of the joint.

    Arthrosis of the spinal joints is a disease based on degenerative processes in the spine. These processes lead to the fact that the cartilage shell covering the bones wears out or degrades for one reason or another. The result of this is inflammation, leading to the destruction of cartilage. All this is accompanied by pain and limitation of movement in this part of the spine.

    In addition, bone spurs (osteophytes) may occur - growths that interfere with the normal functioning of body structures.

    Such changes in bone and cartilage tissue invariably entail adaptive changes in the surrounding muscles. They have to perform the supporting function of the bone and be in a state of spasm for a long time. Pain syndrome in most cases is associated precisely with the fact that the muscles are overstrained, and tense muscles, in turn, interfere with normal blood flow, which also impoverishes cartilage. The so-called vicious circle has closed.

    Arthrosis of the joints of the spine is a consequence of the destruction of the protective membrane of the joints and discs of the neck and back. Osteophytes (bone spurs), which the body forms for greater stabilization, can damage surrounding tissue and lead to severe pain.

    In most cases, spinal arthrosis occurs in older people. Unfortunately, degenerative-dystrophic changes in the spine are “getting younger.” In young patients, the cause of arthrosis of the spinal joints may be:

  • injury or damage to the spine;
  • genetic changes leading to disruption of the integrity of the cartilaginous membrane;
  • physical inactivity;
  • long-term forced position (“computer neck” or “banana” position while driving).
  • Among people under 45 years of age, arthrosis of the spinal joints most often occurs in men. After 45 years - more often in women.

    Among patients with arthrosis of the spinal joints, the majority of people are obese. In addition, this disease often occurs in professional athletes and people with heavy physical labor, whose work involves constant or frequently repeated stress on the spine.

    Arthrosis of the joints of the spine: symptoms

    Osteoarthritis of the joints of the spine causes pain and stiffness in the neck and back. Along with this, numbness and weakness in the arms and legs may occur. The latter happens when the disease progresses far enough that the nerves and spinal cord are damaged.

    As a rule, sensations of pain and discomfort decrease in intensity when a person lies down.

    For some people, the quality of life with arthrosis of the spinal joints decreases slightly, but for others this disease can lead to disability.

    In addition to physical inconvenience, a patient with arthrosis of the spinal joints may experience difficulties with social adaptation and have emotional problems. For example, trying to hide the discomfort caused by arthrosis of the spinal joints in order to achieve normal results at work or in sports can lead to depression.

    To diagnose arthrosis of the spinal joints, X-rays and MRI are used.

    The attending physician studies the medical history and conducts an examination, the purpose of which is to identify whether the patient has pain, limited mobility or loss of mobility of the vertebrae, impaired nerve conduction (decreased reflexes, loss of sensitivity, etc.).

    At the same time, the doctor may prescribe studies and tests, in particular:

  • X-ray to detect bone damage, the presence of bone spurs, destruction of the disc membrane. It should be noted that x-rays do not allow detecting degenerative changes in the membrane in the early stages.
  • Blood tests to rule out other diseases.
  • MRI to detect disc damage and narrowing of spinal nerve exit areas.
  • Arthrosis of the joints of the spine: degrees

    Several degrees of arthrosis of the spinal joints are classified:

  • Arthrosis of the spinal joints, stage 1. In the first degree, changes in tissue and metabolism occur, which will subsequently lead to arthrosis. The symptoms are not obvious. Most often, the patient attributes the worsening condition to fatigue. Cases of visiting a doctor are rare. Treatment with conservative methods is recommended.
  • Arthrosis of the spinal joints, grade 2. The symptoms are clearly identified. The patient complains of pain and impaired mobility, clearly aware that he is sick and requires treatment. A crunching sound may be heard in the joints, the quality of life decreases, and the ability to perform daily activities suffers. Treatment is carried out mainly by conservative methods.
  • Arthrosis of the spinal joints, grade 3. Advanced stage of arthrosis of the spinal joints. Severe damage to the vertebrae and discs, external changes in the spine visible to the eye, severe pain and lack of mobility. Treatment with conservative methods may not be possible and surgery is recommended for the patient.
  • Let's take a closer look at what spinal arthrosis is.

    The disease affects the cartilage cells of the joints; if the patient does not receive the necessary treatment, arthrosis spreads to the bone tissue and ligaments, which can lead to loss of mobility and disability.

    People over 60 years of age most often suffer from this type of lesion.

    Pathogenesis of the disease

    Throughout life, the human spine performs the most important musculoskeletal functions, which provokes wear of the intervertebral discs with subsequent narrowing of the space between the vertebrae. This change leads to the abrasion of cartilage, as well as the formation of microcracks in their structure.

    Arthrosis of the intervertebral joints develops in this sequence:

  • Certain factors cause disruption of natural blood flow in the tissues of the joint (namely the subchondral tissue of the periosteum);
  • Cartilage cells lose their elasticity;
  • The layer of cartilage becomes thin and brittle;
  • Increased loads or sudden movements can cause microtrauma;
  • The synthesis of intra-articular synovial fluid is disrupted, the deficiency of which leads to severe friction of fragments inside the joints of the spine;
  • Inert growths, osteophytes, form;
  • Articular cartilage is completely destroyed.
  • Depending on the location of the destructive process, spinal arthrosis is divided into the following types:

  • Damage to the lumbar region of the spinal column (lumboarthrosis);
  • Damage to the cervical spine (cervicoarthrosis);
  • Arthrosis of the thoracic spine (dorsarthrosis).
  • Arthrosis of the costovertebral joints develops against the background of the following factors:

  • Congenital disorders of the structure or development of the spine;
  • Age-related features (with age, articular cartilage wears off);
  • Development of certain chronic diseases of the musculoskeletal system (osteoporosis, joint hypermobility, flat feet, dysplasia);
  • Systematic increased loads on the spine (strength sports, professional activities, for example, builders or loaders);
  • Excess body weight (obese people are more likely to suffer from spinal arthrosis);
  • Mechanical injury;
  • Pathological dysfunction of the muscular system;
  • Diabetes;
  • Disruption of the endocrine system or metabolic processes;
  • Liver failure.
  • Spinal arthrosis is characterized by the following symptoms:

  • Pain syndrome:
  • Most often, the pain is localized in the cervical or lumbar vertebrae;
  • Pain increases with exertion or when performing certain actions (for example, bending, turning the back);
  • At rest, the sensation of discomfort disappears.
  • Joint stiffness:
  • Stiffness of movement after a long stay at rest (for example, after sleep);
  • In the later stages of development of spondyloarthrosis, stiffness can be observed from half an hour to several hours.
  • A characteristic crunch of the “dry clicking” type (the crunch is caused by the friction of inert fragments, the cartilaginous surface of which has been destroyed by the pathological process of spinal arthrosis);
  • Decreased motor skills of the spine;
  • Atrophy of muscle tissue adjacent to the spinal column;
  • Spasms and convulsions in the affected area of ​​the back;
  • Formation of intervertebral hernias with arthrosis;
  • Deforming disorders of the spinal column (curvature of the ridge, formation of a “hump”);
  • Fusion of intervertebral discs (ankylosis with further immobilization of the spine).
  • The intensity and number of symptoms depends on the degree of development of arthrosis and the stage of progression of the pathological process.

    When diagnosed with arthrosis of the spine, the symptoms and treatment of which are determined by a rheumatologist or orthopedist, it is necessary to minimize the load on the joints of the spinal column, which will speed up the process of regeneration of cartilage tissue.

    To confirm the diagnosis of spinal arthrosis, the following research methods are used:

  • Biochemical blood test (as a rule, blood counts during the development of arthrosis remain practically unchanged, the level of leukocytes may only increase, which indicates an inflammatory process inside the body);
  • X-ray examination (X-ray images allow you to determine the degree of development of spinal arthrosis, since the images show a narrowing of the intervertebral spaces and the formation of bone osteophytes);
  • Computed or magnetic resonance imaging;
  • Ultrasound of the brain in order to exclude all possible diseases of the central nervous system, accompanied by impaired functioning of the musculoskeletal system.
  • After determining the exact diagnosis of arthrosis, the patient is prescribed a full course of complex therapy, which will help the patient stop the destructive process and restore a high quality of life.

    Treatment of spinal arthrosis is based on the use of the following treatment approaches:

  • Taking medications;
  • Surgical intervention;
  • Physiotherapy;
  • A course of therapeutic exercises;
  • Massage;
  • Manual therapy;
  • Acupuncture;
  • Application of traditional medicine recipes;
  • Use of special orthopedic devices.
  • Medicines for arthrosis

    Conservative therapy for spinal arthrosis involves taking the following groups of medications:

  • Nonsteroidal anti-inflammatory drugs (have anti-inflammatory, antipyretic and analgesic effects, use is recommended at stages 1-2 of the disease):
  • Aspirin;
  • Indomethacin;
  • Diclofenac;
  • Ibuprofen.
  • Hormonal drugs (corticosteroids) are taken at stages 3-4 of the disease, when the pain intensity is high (administration is carried out by intra-articular injection):
  • Hydrocortisone;
  • Diprospan;
  • Celeston.
  • Chondroprotectors based on glucosamine and chondroitin (restore and regenerate the integrity of cartilage, normalize the synthesis of intercellular substance of cartilage tissue):
    • Structum;
    • Don;
    • Elbona.
      1. Vasodilators (activate natural blood circulation and nutrition of joint tissues):
      2. Pentoxifylline;
      3. Eufillin;
      4. Berlition.
      5. Muscle relaxants (drugs promote the normal functioning of the muscular system, relieve muscle spasms):
      6. Tubocurarine;
      7. Pipecuronium;
      8. Atracurium.
      9. The first and second groups of anti-inflammatory drugs are used as symptomatic treatment of the disease, but these drugs do not affect the foci of development of the inflammatory process.

        If a patient with arthrosis has a history of contraindications to the use of NSAIDs or corticosteroid drugs, for example, disorders of the gastrointestinal tract, liver or kidney failure, the patient is recommended to use topical agents.

        Ointments or gels with a warming effect are most effective in relieving the symptoms of inflammation. Such medications have fewer side effects than oral medications, and the effects of their use are localized and appear only in the area of ​​application of the drug in the spine.

        Experts recommend the following for local therapy:

        Treatment of spinal arthrosis uses the following physiotherapeutic procedures:

      10. Magnetotherapy;
      11. Acupuncture (this type of physiotherapeutic effect activates the activity of the circulatory system);
      12. Abdominal decompression (mechanically created negative pressure in the lower body, normalizes blood flow to the tissues of the spine and stops destructive reactions);
      13. Phonophoresis.
      14. Physiotherapeutic methods help restore the natural mobility of joints and the entire human body by normalizing blood flow and nutrition of joint tissues.

        Surgery is performed if all of the above treatment methods are ineffective, and the disease progresses rapidly.

        Orthopedic surgery involves two methods of surgical intervention.

        When treating spinal arthrosis, the following types of operations are performed:

      15. Denervation (the operation is performed to relieve pain due to thermal destruction of sections of nerve fibers in the area of ​​the diseased joint);
      16. Transplantation (the intervention is based on the removal of a destroyed vertebra and its subsequent replacement with a mechanically created analogue - an implant).
      17. You can also learn about the symptoms and treatment of spinal arthrosis from the following video:

        To prevent the development of spinal arthrosis, you must adhere to the following recommendations:

      18. Control your own body weight and your diet;
      19. Lead an active lifestyle (keep active);
      20. Correctly distribute large loads when performing different types of work;
      21. Regularly take professional massage courses to normalize blood flow.
      22. Categories : Diagnostics

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