The term "deforming dorsopathy" is collective. It combines diseases of the spine, the development process of which begins with degenerative changes in the discs. As a result, there is a curvature of the ridge, against which the roots of the spinal cord are infringed. Examples of pathologies related to deforming dorsopathy: kyphosis, scoliosis and osteochondrosis. Treatment of the disease is carried out using conservative methods of therapy.
Development mechanism
The human spine is a complex structure that can withstand significant loads. Until about 30 years, the processes of synthesis and tissue repair in the body prevail. Due to this, the spine copes with significant loads. After 30 years, the involution process starts in the body. First of all, degenerative changes begin to occur in the cartilage of the intervertebral discs.
Under the influence of various unfavorable factors, the severity of the process increases, spinal roots are infringed, surrounding tissues become inflamed. This condition is dorsopathy. There are several types of it. It is customary to talk about deforming dorsopathy in the case when intervertebral discs are initially involved in the pathological process. In most cases, the development of the disease is irreversible and can lead to disability.
The deforming dorsopathy codes in ICD-10 are assigned the following: M40 - M43.
Causes
The disease does not develop in all individuals older than 30 years. It occurs only in the presence of any pathological shift in the body.
The main causes of deforming dorsopathy are the following diseases and conditions:
- Overweight.
- Inactive lifestyle.
- Pathology of the cardiovascular system.
- Thyrotoxicosis.
- Diabetes.
- High-intensity physical activity.
- Various kinds of back injuries.
- Infectious diseases.
- Violations of the protective system of the body.
- Genetic predisposition.
- Regular static loads.
- A sharp rise in heavy objects.
- The spinal curvature is innate.
- Violation of metabolic processes.
- Unbalanced diet.
- Smoking
- Abuse of alcohol.
The above starting factors lead to the fact that degenerative processes are started in the intervertebral discs. As a rule, they are irreversible.
Classification
It is important to understand that dorsopathy is a disease that combines several ailments. Nevertheless, the pathology is shared by doctors according to a temporary factor.
She may be:
- Sharp. The duration of the course of the disease is up to 3 weeks.
- Subacute. 3 to 12 weeks.
- Chronic The duration of the course is more than 12 weeks.
Depending on the area involved in the pathological process, dorsopathy can be:
- Cervical.
- Thoracic.
- Lumbar.
- Polysegmented. It is considered the most severe form, since all departments are involved in the pathological process.
The most commonly diagnosed dorsopathy of the thoracic spine, as well as the cervical and lumbar.
Symptoms
Despite the fact that pathology combines several diseases, it can be suspected in a timely manner when common signs appear.
The main symptoms of deforming dorsopathy include the following conditions:
- Constant painful sensations, while the severity of discomfort intensifies at night, as well as during coughing and laughing. Taking or administering medications does not bring relief.
- Violation of temperature and pain sensitivity, frequent episodes of numbness of the extremities.
- The occurrence of muscular dystrophy.
- Significant deterioration in the condition of hair, nails and skin.
It is also important to consider that dorsopathy is a disease in which various parts of the spine can be involved in the pathological process. In this regard, the clinical manifestations of the disease may vary.
Cervical deforming dorsopathy is usually a consequence of an inactive lifestyle. At risk are also people whose activities are associated with working at a computer. The disease is characterized by severe pain in the neck, often radiating to the shoulders or head. Against the background of the course of pathology, the process of blood supply to the brain is disrupted, as a result of which patients often complain of constant numbness of the hands.
Dorsopathy of the thoracic spine combines the largest number of diseases. This is due to the fact that this zone is the longest; various deformations very often develop in it. For this pathology, a pronounced pain syndrome is characteristic.
Lumbar deforming dorsopathy is an ailment from which almost every adult suffers. This is because after 30 years the intervertebral discs begin to suffer from dehydration. The painful sensations are shooting in nature, often they radiate into the bladder and rectum.
Diagnostics
If the first alarming signs appear, consult a doctor. In the process of admission, the specialist conducts an initial diagnosis, including a survey and examination of the patient. The doctor must provide all the information regarding the available signs, the limitation of their appearance and severity. In the process of external examination, the specialist reveals the presence of pain in the spine and its curvature. Then the doctor draws up a referral for a comprehensive examination.
Diagnostic methods for deforming dorsopathy:
- Blood test (general and biochemical).
- X-ray examination. With the help of images it is possible to assess the structure of the spine and identify violations.
- Ultrasound examination of blood vessels.
- MRI scan Using these methods, the doctor gets the opportunity to examine the vertebrae in layers and assess the condition of adjacent tissues.
- ECG. The method is necessary to confirm or exclude the presence of heart pathologies.
Based on the results of a comprehensive examination, the doctor can make an accurate diagnosis and make the most effective treatment regimen.
Treatment
Surgery is extremely rare. Its implementation is advisable only in cases where the destruction of the intervertebral disc is very strong.
In most cases, treatment of deforming dorsopathy is carried out by conservative methods. The main place in the scheme is drug therapy. Its task is to eliminate painful and other uncomfortable sensations.
As a rule, doctors prescribe the following drugs:
- "Nimesil." It belongs to the group of non-steroidal anti-inflammatory drugs. In a short time relieves of pain. It has convenient release forms for all age categories: powder, tablets, suspension for children. The duration of treatment is determined by the doctor, on average, it is 15 days. The following drugs also effectively eliminate pain: Ketanov, Nise, Diclofenac. These funds are sold in the form of tablets and injectable solutions.
- Dolobene, Deep Relief. These are anti-inflammatory drugs, which must be used for mild pain. Available in the form of ointments and gels.
- The Capillar. The drug is intended to improve blood circulation in the affected area.
By the decision of the doctor, sedatives can also be prescribed to the patient. With their help, it is possible to eliminate the psycho-emotional instability caused by the occurrence of frequent episodes of severe pain.
After stopping an acute attack, you need to take chondroprotective agents (for example, Chondroxide). Also, with deforming dorsopathy of the spine, it is necessary to use calcium and B vitamins. Their intake is advisable both during exacerbation and in remission.
In addition, the following procedures can be prescribed for the treatment of deforming dorsopathy: manual and physiotherapy, massage, stretching the spine, acupuncture.
Folk methods
It is important to understand that the use of alternative medicine prescriptions does not exclude the need for seeking qualified help. Such methods are allowed, but only after prior consultation with a doctor. This is due to the fact that some medicinal plants and remedies can reduce the effectiveness of medicines or cause unwanted reactions in a patient.
The use of alternative methods will not get rid of the disease. Their task is to relieve pain.
The most effective recipes:
- Take a cabbage leaf, make a few shallow cuts on it. Lubricate it with honey. Apply cabbage leaf to the affected area. Fix the compress on the body with a warm scarf.
- Pour 0.5 liter of sunflower oil into a container. Add 7 tablespoons of chopped sage herb to it. Put the container in a water bath for about half an hour. Allow the product to infuse for 3 hours. The container must first be covered. After the specified time, strain the tool and lubricate the affected areas with it.
- Grind a few cloves of garlic. The resulting slurry must be put on a piece of natural tissue. Fix the compress on the body. After 5 minutes, remove the tissue, treat the skin under it with vegetable oil. Then you need to wrap yourself in a warm blanket.
The regular use of these methods will help increase the effectiveness of medications and quickly stop an acute attack of pain.
Effects
The outcome of the disease directly depends on the timeliness of going to the doctor. With proper diagnosis and adequate treatment, the prognosis in most cases is favorable. If you ignore the warning signs, the risk of disability increases until the complete loss of the ability to make any movements.
In addition, the following consequences of deforming dorsopathy may develop:
- Painful sensations of a chronic nature. They are permanent and not treatable.
- Inadequate blood supply to the brain.
- Vegetovascular dystonia.
- Paralysis of both lower and upper limbs.
- Tachycardia.
In order to prevent the development of the disease, it is necessary to follow the principles of a healthy diet, lead an active lifestyle, give up smoking and excessive consumption of alcohol-containing drinks.
Features of pathology in children
Despite the fact that deforming dorsopathy is an ailment that mainly affects adults, it can develop in any child under the influence of various adverse factors.
The main causes of the disease in children:
- Complications resulting from a difficult birth.
- Anomalies in the development of muscles and skeleton. They are innate.
- Various kinds of injuries.
- Complications arising from transferred infectious pathologies.
- Non-compliance with posture. As a rule, it is a consequence of the lack of control by the parents.
If the disease is diagnosed, but its main cause is unknown, it is customary to talk about unspecified deforming dorsopathy in children.
If the child's coordination of movements, the setting of the foot, posture are disturbed, flat feet and muscle tone appear, it must be shown to the orthopedist. These conditions are symptoms of dystrophic changes in the spine.
In addition, signs of illness in children are:
- Constant weakness.
- Dizziness.
- Visual and hearing impairment.
- Headache with acute throbbing character.
- The rapid onset of fatigue.
- Pain in the back.
The treatment regimen for pathologies in children includes a massage course, physiotherapeutic procedures and a set of physiotherapy exercises. In order to adjust posture, orthopedists prescribe the wearing of special corsets, vests and collars. In case of violation of coordination of movements and improperly placed feet, the child needs to wear orthopedic shoes that meet the most stringent standards and requirements.
An important step in the treatment of deforming dorsopathy is parental control. They must constantly monitor the position of the back of the child. In addition, it is necessary to regularly perform with him a complex of physiotherapy exercises designed to strengthen the back muscles.
Finally
Deforming dorsopathy is a collective term that combines diseases of the spine, the development of which begins with dystrophic changes in the intervertebral discs. Despite this, the pathology has certain symptoms. When the first alarming signs appear, you must consult a doctor who will prescribe a comprehensive examination and, based on its results, will make the most effective treatment regimen. Therapy involves taking medications, taking a course of physiotherapeutic procedures, massage, acupuncture. According to indications, mild sedative drugs may be prescribed.