Depending on the location of the lesion, the pain will vary. When collecting history is very important to find the cause of the disease. This will help not only to clarify the diagnosis, but also to improve the quality of the subsequent treatment. Pain is greatly increased by coughing and physical activity that clearly differentiates chondrosis from pleurisy. The dystrophic and degenerative processes in the intervertebral discs can lead to deterioration of their cushioning functions. In turn, this can cause subsequent compression fractures of the vertebrae. Examination of the patient will allow you to identify the localization process.
Over time, intervertebral disc changes its physico-chemical and physiological characteristics, it becomes more susceptible to stress and vibrations. Despite the fact that the beginning of the disease is a degenerative change of the intervertebral discs, the disease manifests itself for very different reasons. During the displacement of the affected disc trapped spinal nerve, which normally passes through a small intervertebral foramen. Due to the pinched nerves it affects the mechanical strength of crushing. Pinched nerve gradually changes the adequacy of its function, because when the obturation begins the inflammatory process. Its course begins to show pain. The pain in the nerve endings is called neuralgia. This symptom leads to deterioration of General glycoproteinen condition, sleep disturbances, loss of working capacity. Symptoms and diagnosis of the disease. The main symptom of the patient when the doctor is pain.
to the sternum through the intercostal spaces. This is why patients often complain not of pain in the back, and pain along the nerve roots. Pain in the lumbar spine. Patients with this pathology complain that one of two very strong pain sciatica and lumbago. Pathology this Department often mimics the pain of renal colic and has a large radiating along the nerve endings. Etiology and pathogenesis of the disease. The causes of the pathology, there are many, select the most frequent among them: congenital abnormalities of the skeleton injury and surgical intervention; inflammation in the spine (for example, bone tuberculosis, osteomyelitis severe intoxication; mineral and hormonal imbalances; single or multiple organ failure; hernia old. Initially harmful factor affects the healthy intervertebral disc. In this disk gradually begins the process of degenerative changes.
Chondrosis a lumbar chondrosis, symptoms and treatment
Chondrosis of the cervical gevoel spine. In this case, the pathological process affects one or more of the cervical intervertebral discs. In symptomatology of the patient is prevalent pain in the neck. Abdominal pain is often sharp in nature and increases during active head rotation. Irradiation of the pain occurs in nearby areas: under the shoulder blade, in arm, in the head, mimicking a migraine. Pathology of the thoracic spine. This piep form is less common.
Hernia discal lumbar: correlaci
In this position, the patient is 2 months. Then gradually give him a straightened horizontal position, and then allowed to sit down and get. The patient was sent home in a hard orthopedic corset, which he has to complete spayaniya vertebrae (5-6.). Anterior spinal fusion for Chaplin. The patient in the bed after anterior fusion.
Spa treatment is also recommended radon waters (Kutaisi, pyatigorsk). Wearing a removable orthopedic corset shown in pain. In addition to being prescribed medication painkillers (analgin, reopirin etc.). With the failure of conservative treatment resorted to the neurosurgical and orthopedic surgery. At the back of disc herniation is more expedient way of neurosurgery: laminectomy (see and Disposal in the vertebral canal hernia. When osteochondrosis without disc herniation accepted technique is the front fusion (vd chaklin, 1931) — naked respective vertebrae and intervertebral disc extraperitoneal access (Figure 25). Iii and iv to drive incision, left for V drive — right.
When accessing left after dissection of abdominal wall peritoneum being pushed chronische to the right, exposing the vertebral bodies and discs, the aorta is found to be shifted to the right. For left extraperitoneal access to im mitbreytu v intervertebral disk bare below the bifurcation of the aorta in the gap between the common iliac arteries. Chisel to remove affected disk with thin plates of adjacent vertebral bodies. In the resulting defect density introduce a bone graft taken from the iliac wing or from the tibia. After the operation, the patient gives semi-sitting position, using functional orthopedic bed or with Balkan frame and gamachka (Fig.
10 ernstige bijwerkingen van
In some cases, palpation of the disk of the affected osteochondrosis through the abdominal wall, causing severe pain (a symptom of equipping and Shkolnikov). Neurological symptoms associated with the level and nature of the defeat of the intervertebral disc. For nerve root compression characterized by complaints of pain in the area of its innervation; marked paresthesias, weakness of limbs sometimes, reduction or absence of the tendon reflexes. Permanent signs of roots is a symptom nizhnepoyasnichnyh Lasegue. Bilateral neurological symptoms indicate a massive disc prolapse. The diagnosis intervertebral osteoarthritis and back disc herniation are important studies of cerebrospinal fluid and X-ray examination: discography (with an introduction to the center of the disk of contrast material venospondilografiya (by introducing acantha contrast material etc. The study of cerebrospinal fluid is important for the differential diagnosis tumors, and arachnoiditis. Treatment neck for lumbar intervertebral osteochondrosis initially conservative: traction on the horizontal plane through the pelvic girdle (foot end of the bed to lift 30 — 40 cm with a vertical underwater traction load, massage, exercise therapy. Ionogalvanizatsiya with novocaine treatment and potassium iodide often brings relief.
(graag snel antw.) Combinatie paracetamol en ibuprofen
Thus, the phenomenon of secondary sciatica can be caused either by bulging annulus into the spinal canal with osteochondrosis, or true posterior disc herniation. This fact plays a crucial role in selecting the method of surgical treatment of the patient. Intervertebral osteochondrosis is most common in nizhnepoyasnichnom department, at least in the neck, and even more rarely in breast. Patients (mostly male middle aged and older) are usually treated for a long time, "back pain and only a thorough orthopedic and neurological examination delivery can make an accurate diagnosis. Primary symptom disease — the pain of a local character in the lumbar region and radiating to the buttock and lower extremity. Sometimes they have a typical ishialgichesky character. On examination marked flattening of the lumbar lordosis, dramatic tension of the lumbar paravertebral muscles ( symptom reins sometimes develops antalgichesky scoliosis. On palpation of spinous processes adjacent to the affected disc, marked tenderness.
Intervertebral osteochondrosis (synonym: discitis, diskoz, hondroz) is caused by degenerative changes intervertebral drive, which resulted in the dampening properties to decrease, and the elasticity and flexibility of the spine down. During the process depends on a number of endogenous and exogenous factors (metabolic-hormonal disorders, micro and makrotravmy etc.). Most authors believe that degenerative disc degenerative changes occur mostly under the influence of chronic congestion. Intervertebral osteochondrosis starts with changing gelatinous nucleus disc turgor is reduced, and the disc is not fulfilling the role of a full bumper. Under the influence of pressure, vertebral disc height is reduced, fibrous ring protrudes beyond the intervertebral space and can put pressure on the elements of the spinal cord. In some cases, the fibrous ring cracks through which the dissolved gelatin core areas may be beyond Disks — hernia disk (called Schmorl hernia, cartilage hernia vertebrae). Depending on the location of hernia develops a particular symptom. Front disc herniation often asymptomatic, rear hernia, which penetrates into the spinal canal, usually accompanied by sciatica phenomena (see). Last in a significant number of cases are caused not by the pressure of a hernia, and inflammatory changes in the epidural tissue, nerve roots and venous stasis.
10 veel voorkomende oorzaken Van
Chondrosis is a very common degenerative disease of the intervertebral discs. Most often the patient himself was not concerned chondrosis, and its consequences. The term "chondrosis" is simplified from original title pathology degenerative disc disease. What is acute chondrosis, as stated in the title, this pathology occurs with a predominantly spicy character. But there is a probability of transition of acute forms to chronic. Return return in a chronic form is called acute relapse of symptoms. Is Erroneous opinion that during the course of chronic forms of the disease disappear. Everything is completely the opposite a pathological process is ongoing and requires treatment. To have a deeper knowledge of this pathology, it fysiotherapie is necessary to know its classification according to the localization.