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Spinal disc displacement

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"Straighten up! Don't slouch!" - this scream haunted me all my childhood. And now I myself have to constantly repeat to my son: "Stop hunching! Keep your back straight!"

The time has long passed when girls at a very young age were dressed up in a corset, which, although it led to many diseases of internal organs, but for the rest of my life gave me regal posture, and boys from childhood were prepared for a military career and from the age of five they were put in the saddle, where if you want, if you don’t, you will keep your back straight. Today, only athletes, ballerinas and professional military men can boast of perfect posture. That is, people forced to perform physical exercises constantly. This is where we start. Scoliosis in one form or another is susceptible to all. Humanity must come to terms with this, and each individual must understand that only he himself can live with this disease and reduce his own suffering through a correct lifestyle. Do not believe those who promise to save you from scoliosis in a couple of months. Perhaps a certain effect of the treatment will be, but how long will it last? It depends on whether you yourself will constantly perform certain physical exercises, that is, train your natural "corset" of the muscles that support the spine.

First of all, scoliosis is a lateral curvature of the spine, and it refers to such anatomical disorders as stoop, spondylosis, and chest deformity. Scoliosis is dangerous because, by bending the spine, it contributes to the displacement or compression of the internal organs. The consequences of scoliosis can be headaches, frequent sore throats, impaired vision and hearing, hypertension, neuralgia, epilepsy, cardiac colic, pain in the shoulder blades, back, lower back, joints, in children - enuresis, stuttering, fecal incontinence, fear, neurosis.

The disease begins to appear at the age of 6-7, when growth acceleration begins and the load on the spine increases sharply due to constant studies at school. In addition, “caring” parents, instead of sending the child to stretch out on the street, seat their child prodigy for an English textbook, for a piano, or, even better, for a computer. The teenager receives the second impetus for the development of scoliosis at the age of 12-13 - at the age of intensive growth. The apparent curvature of the spine is aggravated with the growth of the body, the degree of deformation increases, accompanied by a pronounced rotation of the torso (the spine, as it were, twists around its axis).

“We call such deviations in children's health,” Professor Yu.I. Pozdnikin, “scoliotic posture. True scoliosis will never disappear, and no treatment can completely relieve a person of scoliosis.”

The structure of the human body, as you know, is symmetrical. But this is ideal. So the Creator conceived us, but it turned out what happened. Therefore, we are born imperfect creatures, in which one leg, as a rule, is shorter than the other. A little bit, almost imperceptibly, but still. This is all the trouble: the center of gravity is displaced, which in turn leads to curvature of the spine — and so on (see above). You could be convinced of this from your own experience, when in physical education lessons when jumping high, someone stood to the left of the bar, and someone stood to the right, depending on the “push leg”. Some orthopedists claim that it’s easy to help our trouble - just put the insole thicker in the boot of the “push leg” than in the opposite. And no problem! It’s just to find out which foot you actually have shorter, only a specialist can do, so amateur performance is not appropriate here.

There are other causes of scoliosis, which manifested itself in childhood. This rickets, malnutrition, as a result of malnutrition, obesity, frequent and prolonged infectious diseases, flat feet. The reasons may be external - for example, if the desk is too tall or short and does not correspond to the height of the child, if he constantly wears heaviness in one hand or likes to lean on the same leg, if he sleeps on too soft a bed and a high pillow and etc.

Scoliosis Prevention

  • Methods for the prevention of scoliosis are associated primarily with a healthy lifestyle - exercise therapy, sports (primarily swimming, which puts stress on all muscle groups), proper nutrition, rich in proteins, calcium and vitamins.
  • Constantly monitor yourself and your child: when you sit, walk, work, make sure that your posture is correct.
  • If your child has flat feet, do not delay the visit to the doctor. Special exercises will help correct the situation. In addition, orthopedic shoes and corrective insoles must be used. Shoes provide the correct setting and fixation of the foot, and the orthopedic insole acts as a shock absorber, absorbing excessive loads when walking.
  • Until six months, do not sit the baby even in pillows. He will do it himself when his muscles and spine are strong enough. Do not hold the child for a long time in your arms and do not often wear “kangaroo” backpacks - this also contributes to the curvature of the spine.

Diagnostician himself

How can this disease be detected? Put the person being checked with your back (undressing him to the waist). Heels together, hands down at the seams. Let him look at the level of his head in front of him. He should stand, relaxed, as he is comfortable (he does not need to be corrected). Pay attention to the ears. If one ear is lower than the other, it is scoliosis of the cervical spine.

Signs of Scoliosis

  • One shoulder is higher than the other, one shoulder blade is higher than the other (or some of them has a large bulge).
  • The gaps between the arms and hips are different or one of the arms lies on the thigh.
  • Stooping or chest deformity.

You can check the spine vertically by tying a load to the thread. The first point should be the tailbone, the second - the back of the head. If the straight line does not coincide with the outlines of the spine - this is scoliosis.

Lay the test person on the mat with their backs down. Hands at the seams. Pay attention to the ribs of the lower thoracic region. If one side of the ribs is enlarged, it is spiral scoliosis. With it can be associated displacement, distension and compression of the internal organs.

Reasons for Bias

The vertebral column consists of vertebrae and joints, the spinal cord is located inside.

The spine is surrounded by muscles that provide the back with motor function. When the disks of the spine are displaced, the normal functioning of the musculo-ligamentous apparatus and the blood supply to the brain are disturbed. Most often, the pathology develops in the lower back. There are such factors contributing to the development of spondylolisthesis:

  • congenital pathologies of the musculoskeletal system,
  • old age
  • excessive exercise
  • other back diseases: osteochondrosis, inflammation and trauma.

How is it manifested?

Symptoms are correlated with the degree of development of spondylolisthesis, which is shown in the table:

Depending on the location of the pathology, a tingling sensation may be felt in the fingertips.

Symptoms may vary, depending on the location of the displacement. Changes in the location of the discs in the cervical spine provokes dizziness, numbness of the upper limbs, and tingling at the tips of the fingers. Pathology of the lower back causes pain in the joints of the legs, partial or complete muscle atrophy. The main danger of the disease is the absence of severe symptoms at the beginning of the development of spondylolisthesis. Often, pathology is diagnosed in stages 2-3.

IT IS IMPORTANT TO KNOW! Even “neglected” joints can be cured at home, without surgery and hospitals. Just read what Valentin Dikul says read the recommendation.

Diagnosis of intervertebral disc displacement

Spondylolisthesis can be detected by a traumatologist, orthopedist or rheumatologist. During the appointment, the doctor analyzes the complaints, collects an anamnesis and conducts a clinical examination of the back. It is possible to assume displacement of disks at a palpation. However, to determine effective therapy, it is necessary to find out the nuances of the course of spondylolisthesis. For this, the patient undergoes a series of instrumental studies:

  • X-ray with functional tests. During the procedure, the patient performs special exercises that evaluate the integrity of the bone tissue and the degree of displacement of the discs.
  • MRI and CT. Methods of computer diagnostics give an idea of ​​the state of muscles, blood vessels and nerves.

Treatment methods

With the displacement of the intervertebral discs of stages 1 and 2, complex therapy is prescribed. Treatment is carried out on an outpatient basis under the supervision of a doctor. Conservative medicine includes the following methods: taking medications, back massage, exercise therapy, spa treatment and preventive measures. Spondylolisthesis of the last two stages involves the surgical elimination of the problem, but the effectiveness of the intervention depends on the quality of preventive measures after surgery.

Medicines

With spondylolisthesis, the following groups of drugs are prescribed:

  • Nonsteroidal anti-inflammatory. Medicines relieve swelling, reduce pain and stop the inflammatory process in the spine: Voltaren, Nurofen, Nise.
  • Corticosteroids. With severe pain, hormone blockades are used. Cortisone is injected epidurally into the damaged back.
  • Muscle relaxants. Medicines are used for muscle spasms that often accompany pathology: Midokalm, Sirdalud, Tizalud.
  • Analgesics. They relieve moderate pains well: Analgin, Paracetamol and Ibuprofen.
  • Chondroprotectors. Drugs that contribute to the generation and restoration of cartilage of the spine: Chondroxide, Teraflex.

Physiotherapy

Physiotherapeutic measures help well in the treatment of spondylolisthesis:

Positive results in the treatment of the disease are observed after acupuncture.

  • hydrotherapy,
  • mud baths,
  • paraffin baths
  • UHF
  • electrophoresis
  • salt baths
  • laser therapy
  • acupuncture,
  • manual therapy

Massage with intervertebral disc displacement

Successfully relieve the symptoms of spondylolisthesis massage practices. Manipulations are performed by a medical professional as prescribed by the attending physician. The procedure improves blood microcirculation in the affected area of ​​the back, relaxes spasmodic muscles and has a relaxing effect on the patient. Massage is not used for severe pain.

Physiotherapy

An integral part of the complex therapy of spondylolisthesis is exercise therapy.

A set of exercises is developed by a doctor based on their individual needs of the patient. An important aspect is the daily performance of physical education, only with regular classes will a positive trend appear. The complex is aimed at stretching the spinal column. Thanks to exercise therapy, the muscular corset of the back is strengthened, the vertebrae take the correct position and the load is removed from the spine. Exercises are performed lying or standing on all fours. Physical education can not be done with exacerbation of spondylolisthesis.

Folk remedies

Home recipes can be used as adjunctive therapy for intervertebral disc displacement. Their use must be agreed with the attending physician, since some drugs have a number of contraindications and lead to such unpleasant consequences: allergies, poisoning and exacerbation of the disease. The most effective methods of traditional medicine for the treatment of spondylolisthesis:

  • Mix 5 grams of mustard with 50 ml of camphor, and rub into a sore back.
  • Combine a glass of vodka and 50 ml of aloe juice. Soak a piece of gauze with the mixture and fix it on the affected vertebra. Cover tightly with a terry towel.
  • Apply a few horseradish leaves to the displaced vertebra.
  • Get 100 ml of radish juice. Impregnate tissue with it and fix it on the sore back. It is recommended to wear a compress for 2 days.

Preventive recommendations

Back care begins in childhood and adolescence when posture is formed. Parents should carefully monitor the position of the child’s back and consult a doctor for the slightest violations. Patients with spondylolisthesis should use special aids, for example, an orthopedic corset or belt to support the spinal column. You should refrain from lifting weights, and carry loads exclusively in a backpack. Patients with spondylolisthesis must regularly attend preventive examinations by an orthopedist.

Do you still think that it is impossible to cure the joints?

Judging by the fact that you are reading these lines now, a victory in the fight against inflammation of the cartilage tissue is not yet on your side.

And have you already thought about hospital treatment? It is understandable, because joint pain is a very dangerous symptom, which with untimely treatment can result in limited mobility. Suspicious crunch, stiffness after a night's rest, the skin around the problem area is tense, swelling in a sore spot. All these symptoms are familiar to you firsthand.

But is it possible to treat the cause rather than the effect? We recommend reading an article about modern methods of treating joints. Read the article >>

What are drives

Intervertebral disc is a flat gasket of a round shape located between two adjacent vertebrae. Intervertebral disc has a complex structure. In the center is the pulpous core, which has elastic properties and serves as a vertical shock absorber. Around the nucleus is a multilayer fibrous ring that holds the nucleus in the center and prevents vertebral movement to the side relative to each other. In an adult, the intervertebral disc has no vessels, and its cartilage is fed by the diffusion of nutrients and oxygen from the vessels of bodies of neighboring vertebrae. Therefore, most drugs do not reach the cartilage of the disc. The greatest effect of disc cartilage restoration has a laser thermodiscoplasty procedure.

The fibrous ring has many layers and fibers intersecting in three planes. Normally, the fibrous ring is formed by very strong fibers. However, as a result of a degenerative disc disease (osteochondrosis), fibers of the fibrous ring are replaced with scar tissue. The fibers of the scar tissue do not have such strength and elasticity as the fibers of the fibrous ring. This leads to loosening of the disc. and with an increase in intradiscal pressure, it can lead to rupture of the fibrous ring.

It is better to imagine the position and function of the intervertebral discs helped their visual location in the spinal-motor segment. In vertebrology, the concept of the vertebral-motor segment, which is a functional unit of the spinal column, is widely used. Vertebral segment consists of two adjacent vertebraeinterconnected by an intervertebral disc, ligaments and muscles. Thanks to facet joints, in the vertebral segment there is some possibility of movement between the vertebrae. Through foraminar holeslocated in the lateral parts of the vertebral segment, blood vessels and nerve roots pass.

Spinal segment is a link in a complex kinematic chain. Normal spinal function possible only with the correct operation of many vertebral segments. Dysfunction of the vertebral segment is manifested in the form of segmental instability or segmental block. In the first case, between the vertebrae excessive range of motion is possible, which can contribute to the appearance of mechanical pain or even dynamic compression of nerve structures. In case of segmental blockade movements between two vertebrae are absent. In this case, the movements of the spinal column are provided due to excessive movements in neighboring segments (hypermobility), which can also contribute to the development of pain.

With some diseases of the spine there is a violation of the function of one vertebral segment, while in others there is a multisegmental lesion.

Displacement Prevention

First of all, prevention of vertebral displacements concerns degenerative and isthmic spondylolisthesis. To slow the development of degenerative changes in the intervertebral disc and bone tissue of the vertebrae a healthy lifestyle is important, including sufficient physical activity.

To prevent isthmic spondylolisthesis It is important to comply with a number of rules and recommendations. On measures to prevent spinal diseases tells the doctor of medical sciences, professor, chief chiropractor of the Ministry of Health of Russia, head of the center of manual therapy Ministry of Health of the Russian Federation Anatoly Boleslavovich Sitel.

HOW TO WORK AT THE WRITING DESK

During prolonged classes, you should sit at your desk straight, without bending your head or upper body forward so as not to strain your muscles. The height of the chair must be adjusted so that the seat is at the level of the knee joints. The back of the thigh should only slightly press on the edge of the stool. If the pressure is too high, sitting will soon become uncomfortable, in addition, circulation of blood in the lower part of the legs will be difficult. Для уменьшения давления на заднюю сторону бедра подойдет скамеечка для ног, к тому же ноги получат удобную опору.

УМЕЕТЕ ЛИ ВЫ СТОЯТЬ?

Человек ощущает усталость в спине, плечевом поясе и затылке, когда приходится долго стоять. To prevent this, from time to time, stretch your arms up, bend back and take a deep breath. When sipping, the feeling of fatigue decreases and a burst of energy is felt. When working "on feet" or standing in line, it is recommended to change the pose at least every 10 minutes. Try to lean on one or the other leg, so that the body weight on them falls alternately. Be sure to change the position of the legs: walk on the spot, stepping from heels to socks.

When washing the floor and washing dishes, the tilt should be done not at the expense of the lower back, but by bending at the knee joints. Note: lumbar load spine increases 20 times with flexion of the lower back. Therefore, when you are bending over and holding a wet rag weighing 1 kg in your hands, on the lumbar spine 20 kg load drops! So wipe the floor better on all fours.

If a cupboard hangs above the sink, you can lean your head against it. When working with a vacuum cleaner, it is advisable to use a sufficiently long tube so as not to bend. When removing dust under furniture and other hard-to-reach places, it is better to stand on one kneethan bend over. Covering the bed, instead of leaning forward, it’s better to kneel down: it reduces the load on the spine. When lifting something heavy, try to lean your hand on a chair or table so as not to overload the spine.

WHEN GRAVITY IS NOT GRAVITY

If possible, it is advisable to divide the heavy burden into parts, lifting which you can not overload the spine. It is better to hold the load in both hands and as close to yourself as possible - in this case, the load on the spine the most insignificant. When lifting something heavy, you should bend the legs at the knee joints, not the back. If you need to move heavy things over considerable distances, it is more advisable to carry them on your back, for example in a backpack, and not in your arms or in a bag over your shoulder. This method provides uniform distribution of load on the spine. Returning from the store with purchases, use a special trolley - this is less harmful than carrying heavy bags.

WORK ON THE GARDEN

In the garden and infield, do all the work while standing on your knees or sitting on a small bench. Learn to bend correctly: the less you bend, the better. When harvesting in the garden, for example, removing apples from an apple tree, try not to reach for them, raising your arms above your head. Better to stand on a stable bench or ladder: this will make it possible not to raise your arms above shoulder level. When lifting fruit crates, avoid twisting the torso, as this rotational movement is one of the most common causes of lumbago.

DRIVING A CAR

When driving, it is important to take a comfortable position so that the back at the point of its bend has good support. You should sit straight, often try to slightly change the position and do not tilt your head forward. With a prolonged concentration of attention, sometimes you may not notice weak signals of pain, fatigue and discomfort, warning about the need to change the pose. Therefore, it is advisable when traveling in a car for long distances periodically get out of it and move. It is useful to take a few deep breaths and relax the muscles of the neck and shoulder girdle.. You can tilt your head forward and turn it right and left several times.

You need to sleep on a semi-soft bed, the soft part should be at least 15 cm thick. The head during sleep should be on a rectangular pillow so that the shoulder lay on the couch, and the pillow occupied the space between the shoulder and head. In the supine position, the head should be parallel to the couch. In no case can you sleep on different rollers, this leads to a lateral tilt of the head, to squeezing the neurovascular bundle of the vertebral artery and can cause a stroke and heart attack. While reading while lying down, try not to bend your neck very much, it’s better to get half-sitting in bed so that the load on the cervical vertebrae was minimal.

In terms of the spine it is more useful to go in for sports than to run, because running causes a strong concussion. In each running step, there is a flight phase, when both legs do not touch the ground and the body soars in the air. When one leg lands, it has a load five times the body weight. If you weigh 75 kg, then the load on the foot when landing will be 375 kg.

With every step you “throw” your spine up as if stretching an accordion, straining tendons, muscles, a huge load falls on the knee joints. A very useful sport is swimming. But shaping can lead to severe complications of osteochondrosis. Almost every woman after 30 years in the spine there are pathological changes, and unregulated physical exercises, reinforcing them, can bring harm and not benefit.

There are movements, such as rotation, that are simply anti-physiological in nature and cause the intervertebral disc begins to twist and burst. Therefore, before you decide to improve your figure, you need to contact a chiropractor. Enough depending on the physiological curves of the spine a specific person to exclude any exercises, and there will be no harm from these activities. The ancient Greeks said: "Pain is the guard dog of your health," a kind of SOS for the human body.

Therefore, listen to yourself. If there is pain in the head, heart, or spine, we must try to remove it at the very beginning - to change the position of the body, take a walk, do exercises of therapeutic gymnastics. If there is pain in the arm, leg, back, if you feel discomfort after some kind of physical activity, this indicates that the first clinical signs of spinal osteochondrosis appeared. It is necessary to take measures in a timely manner, otherwise the pain will cause a whole range of changes in the body that will require serious treatment.

SEVERAL PRACTICAL RECOMMENDATIONS

  • Avoid hypothermia and drafts. Draft and cooling can increase tension adjacent to the spine muscles, which often subsequently causes spinal diseases.
  • Neck muscle tension and shoulder girdle leads to pain in the temples. By carefully massaging the temples with your fingertips with light circular motions from the ear towards the eye, you can ease the headache.
  • Never, under any circumstances, make circular movements of the head! Head rotation will lead to cervical diseasesspine.
  • Do not use neck stretchers without consulting a specialist. Cervical spine it is especially sensitive to forceful effects, so carelessness here can lead to serious complications with damage to the spinal cord.

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