Brief description of the disease
Nowadays, the term "dorsopathies" refers to a number of pain syndromes associated with degenerative changes of the spine. In fact, lumbar dorsopathies acts analogue of osteochondrosis - a long chronic disease with characteristic appearance of exacerbations and sharp pain. In addition to the lumbar region, the changes may affect other parts of the body. In particular, it is well known to physicians dorsopathies neck caused by damage to the cervical vertebrae.
However, lumbar still suffer much more and because it will in this article is about dorsopathies spine. The main cause of degenerative changes - is osteochondrosis - poor process developing in the intervertebral discs, joints and ligaments. It is characterized by sharp, persistent pain and chronic course. This pain episodes are very frequent, and the person may be suffering from acute attacks more than 25 times a year. Chronic dorsopathies the lumbar observed in 17% of adults. Predictions of treatment usually unfavorable because changes have too strong influence on the structure and the structure of the spine.
According to international standards, all kinds dorsopathies can be divided into three major groups:
- deforming - this group included: lordosis, kyphosis, scoliosis, spondylolisthesis, low back pain and subluxations;
- spondylopathy - include all kinds of inflammatory, degenerative and traumatic spondylopathy;
- Other dorsopathies - presented degeneration of intervertebral disks, and dorsalgia simpatalgicheskimi syndromes (dorsopathies cervical spine, in which there is no loss of intervertebral discs).
If a person is diagnosed with dorsopathies, treatment is given taking into account the form of the disease and its clinical development. Currently, medications are used in medicine, non-pharmacological and surgical methods to get rid of pain in the joints.
In times of acute patient is shown to bed. This person must not only refuse to physical activities for 5-6 days, but as often as possible to make a so-called antalgic (protective) position. Since dorsopathies lumbar spine exacerbated by excessive activity, the patient should orthesis that organichivayut mobility of the vertebrae. They are effective, but can cause muscle hypertrophy, so they should be used with caution and only after consultation with a specialist.
An essential step in treatment is to receive painkillers. If the pain a little weak and intense, the ideal choice would be non-opioid analgesics (benalgin, tempalginol, spazmalgon, sedalgin-neo). In severe pain prescribed NSAIDs, but they are taken, again with care to avoid the side effects, particularly gastropathy. We recommend using these drugs in the form of candles. They are quite harmless and easily absorbed by the body. If dorsopathies spine passes, and pain worse over time, it is possible to combine the use of nonsteroidal anti-inflammatory drugs and opioids. Positive effect was observed when using antihistamines, anticonvulsants and antidepressants.
In the acute phase the patient except analgesics shown warming up ointment. In our country, the best known: Fastum-gel Espoli, Efkamon and Espoli. Buy them at any drugstore.
If a patient is diagnosed dorsopathies time, treatment can be carried out without the use of drugs. In this case, the person appointed by the physical therapy, physiotherapy, magnetic and laser therapy. As a rule, the treatment lasts one month, but be aware that no medicines can be dispensed only in the early stages of the disease when degenerative changes have not yet had time to have a significant impact on the spine.
With regard to surgical treatment, it is required infrequently. According to the existing statistics, only 0, 3% of all patients in need of lumbar dorsopathy operation. As a rule, it is indicated for the acute compression of the spinal cord paresis, and strong bilateral pain. Surgical intervention is desirable and if dorsopathies spinal card behaves during 5 months or longer and, as a standard medication is ineffective.