Treatment of osteoarthritis - the strengthening of the back muscles

December 2nd, 2013

  • Treatment of osteoarthritis - the strengthening of the back muscles
  • Manual therapy

 Treatment of osteochondrosis
 Treatment of osteoarthritis - is the removal of the pain associated with exacerbation and suspension degenerative changes in the intervertebral discs. This is achieved by strengthening the back muscles that support the spine, and reduce physical exertion to him, as well as by improving the blood circulation and metabolism in the area.


Treatment of osteochondrosis - pain relief

Treatment of acute degenerative disc disease begins with pain relief. The patient is assigned to bed rest, painkillers and diuretics. As anesthetics are usually used drugs belonging to the group of nonsteroidal antiinflammatory drugs - NSAIDs. Capsules and tablets of osteochondrosis - ketorol, ibuprofen, nimesulide. Applied also rectal suppositories with analgesic, for example, suppositories with diclofenac. Ointment of osteochondrosis used externally. Ointments, creams and gels with NSAID: Voltaren Voltaren - relieve inflammation and pain  Voltaren - relieve inflammation and pain
   emulgel, ketorol cream, ointment ibupofen and so on.

At the same time prescribe diuretics, such as furosemide to remove edema disadvantaged spinal nerves and the surrounding nerves. Standards of treatment of osteochondrosis include removal of spasm of the back muscles and neck using muscle relaxants. For this purpose, the most commonly prescribed Mydocalmum.

Well reduce inflammation and pain with Dimexidum applications. Take 10 ml of a 50% solution Dimexidum and 0, 5% novocaine solution, connect and add 75 mg of hydrocortisone. The resulting solution moisten the gauze and apply to the painful area for 10 minutes.

Injections in spinal osteochondrosis prescribed for very severe pain, are introduced, for example, diclofenac solution. Sometimes appointed as paravertebral (spine) novocaine blockade. If, despite treatment, the pain is not tested, administered glyukokortikosterroidnye hormones (e.g., dexamethasone), which are well reduce inflammation and swelling of the tissues, and hence pain.

Helps to relieve some of the pain of physiotherapy, for example, electrophoresis with novocaine and hydrocortisone. Not too severe pain can be removed with an applicator - a special needle devices that could shoot back muscle spasm, which leads to a decrease in pain.

When the pain decreases, patients can be assigned to different types of spinal traction, the task of this kind of treatment is to reduce the load on the spine. For the same reason the patient is prescribed the wearing of a cervical collar and various corsets. But for a long time to wear these devices are not recommended, as the back muscles while losing strength.


Exercise therapy in spinal osteochondrosis

Physiotherapy (physical therapy) at osteochondrosis is the main treatment. Patients prescribed exercises that strengthen the muscles of the back and neck. Initially, the exercises performed in the supine position in bed for a while and then you can perform physical therapy exercises in various braces - orthopedic appliances, which put to relieve the spine (cervical collars, corsets and others).

In this way creates a muscular corset that supports the spine and reduces the load on the spine. In addition, physical therapy exercises help improve blood circulation and activate cell metabolism in the intervertebral disc cartilage Tacna. Good posture, which is produced during exercise therapy sessions, thus reducing the load on the spine. Of great importance is the regularity of training gymnastics and slowly escalated dosage load.

There are also workout in the gym on special simulators, excluding the vertical load on the spine. Classes LFK appointed doctor, a set of exercises prescribed by the doctor physical therapy, focusing on the diagnosis of the disease and the general condition of the patient. All classes are conducted under the supervision of a doctor LFK.


Preparations for the treatment of osteochondrosis

How to treat osteochondrosis Osteochondrosis - Causes and symptoms  Osteochondrosis - Causes and symptoms
   yet? Pain relief and the strengthening of the muscular system - that's not all. It is necessary to suppress the destruction of the cartilage of the intervertebral discs (rebuild what have been destroyed, unfortunately, is not possible, no matter what the manufacturer promises chondroprotectors). To do this, appoint chondroprotectors - a cure for spinal osteochondrosis, protecting cartilage and improves metabolic processes in it. In order that this process with maximum efficiency, the inflow of arterial blood is needed and timely outflow of venous blood, that is, improving blood circulation.

As chondroprotectors used such drugs as terafleks, hondroksid, Donna, structum and so on. Active substances in them are glucosamine or chondroitin sulfate, or both. They are involved in the metabolism and in the synthesis of connective tissues (cartilage - a type of connective tissue), contributing to the prevention of cartilage destruction processes and stimulating regeneration of tissue. Furthermore, the treatment alleviates the symptoms of osteoarthritis disease and reduces the need for NSAIDs. Chondroprotectors prescribed long courses (one to two months) in the form of injections, tablets or capsules for oral administration, as well as in the form of a cream for topical application.

In order to improve the supply of state the structure of the spine arterial blood, most often prescribed pentoxifylline (Trental, vases, etc.) - a drug that improves microcirculation and fluidity (rheology) of blood, having the properties angioprotectors (protecting blood vessels from the adverse effects), has vasodilatory action reduces blood viscosity, erythrocyte adhesion (sticking to the walls) and platelet aggregation (grouping to form blood clots). Additionally, to enhance capillary vasodilator administered, for example, nicotinic acid. In order to improve venous outflow appoint venotoniki - troksevazin Troxevasin - will help if there are problems with veins  Troxevasin - will help if there are problems with veins
 , Ascorutinum Ascorutin - strengthen capillary walls and warn toxic effects svob  Ascorutin - strengthen capillary walls and warn toxic effects svob
   and so on.

Treatment of the spine: conservative and operative methods

July 16, 2009

  • Treatment of the spine: conservative and operative methods
  • Principles

 Treatment of the spine
   Spine - the foundation of the musculoskeletal system of man. Diseases of the spine is one of the most common worldwide. This is due to a sedentary lifestyle, inadequate or excessive exercise and unhealthy habits. Changes in the axial skeleton not only lead to a deterioration in general health, but also disrupt many of the internal organs. Therefore it is very important to timely treatment of the spine.

 Treatment of the spine: conservative and operative methods

Conservative treatment of diseases of the spine

Such methods of treatment include:

  • Drug therapy;
  • Therapeutic blockade;
  • Manual therapy;
  • Physiotherapy;
  • Traction therapy (spinal traction);
  • Acupuncture;
  • Physiotherapy;
  • Balneotherapy.

In order to reduce pain and inflammation is assigned a number of drugs. NSAIDs (nonsteroidal anti-inflammatory drugs), which include Voltaren Voltaren - relieve inflammation and pain  Voltaren - relieve inflammation and pain
   and ibuprofen, are effective at moderate pain in the back. But they have a significant drawback - Propafenone may develop gastritis or gastric ulcer and duodenal ulcer. In this regard, we developed a new generation of drugs - inhibitors of cyclooxygenase-2 (COX-2). They selectively act on the seat of pain and inflammation and cause no side effects from the digestive tract.

If the patient is experiencing unbearable pain, the doctor may prescribe it narcotic analgesics (morphine, promedol). They act on the central nervous system and thereby reduce pain. For prolonged or inappropriate use of these drugs develops addictive.

If back pain caused by muscle spasm, muscle relaxants are appointed. Mydocalm - the most well-known drug in this group.

Long-term pain in the spine lead to disturbances in the psycho-emotional sphere, until the Depression Depression - a little more than a bad mood  Depression - a little more than a bad mood
   and insomnia. In such cases, antidepressants are shown, they reduce emotional stress for back pain and improve the well-being of the patient.

Diseases of the spine (eg, low back pain) may be accompanied by degenerative (destructive) changes in the intervertebral discs. This is associated with metabolic disturbances in cartilage. Therefore, in addition to analgesics should be prescribed drugs that slow down the destruction of the tissues and accelerates its recovery. With the described tasks do well chondroprotectors - drugs that are similar in structure to the main components of cartilage.

Chondroprotectors well combined with other drugs that are recommended for the treatment of diseases of the spine. The best known of this group of funds - structum, hondroksid, terafleks Teraflex - regulates the metabolism of the cartilage  Teraflex - regulates the metabolism of the cartilage
 , Alflutop Alflutop: drug for the treatment of joints  Alflutop: drug for the treatment of joints
 . Treatment hondroprotektorami pursue a course which, if necessary, repeat after a certain time.

Therapeutic blockade - one of the best ways to eliminate severe pain in the spine. This medication goes directly into the spinal canal or spinal nerves. This method can rapidly reduce inflammation and swelling in the nerve structures that are damaged in diseases of the spine.

Manual therapy - performed by hand set of practices aimed at eliminating the pain and restore mobility of the spine. However, the impact on individual vertebrae, and the whole spine. Sessions manipulation carried out at intervals of one to seven days. It is necessary to change achieved could be preserved.

Traction therapy (spinal traction) - a method that is used for the prevention or treatment of many diseases of the spine. Under the influence of thrust (short or long) are eliminated displacement of the vertebrae, spinal deformity, and spasm of muscles that surround it. Spinal traction may be carried out dry and underwater method. Traction dry method is carried out on special treatment beds, traction tables or special simulators. Traction underwater method also includes the physical action of water on the body. This is a more gentle method compared to the previous.

In diseases of the spine following recommended physical therapy techniques: electrophoresis with painkillers, magnetic therapy, electrical stimulation of muscles of the back, sinusoidal modulated currents, diadynamic. Balneotherapy also has a positive effect on the course of diseases of the spine. Patients can be assigned to hydrogen sulfide and nitrogen baths and carbonic baths are contraindicated for such people.

 Treatment of the spine: conservative and operative methods

Operative treatment

When conservative methods of treatment are ineffective or contraindicated, surgical treatment is carried out. The most common surgical interventions in diseases of the spine are the following:

  • Microdiscectomy - removal of a herniated disc, resulting in compression of the nerve root is removed. The recovery period after surgery is only a few days.
  • Endoscopic microdiscectomy - operation, which resulted also removed a herniated disc, but it is conducted with the use of an endoscope - a special optical device. With it you can see the different cavities and internal organs through small puncture in the tissues. Therefore, when using this method significantly reduces the period of recovery and decreases the risk of complications.
  • Spine surgery with the use of special stabilizing systems. Such systems are made of titanium or alloys thereof with other metals. The essence of the operation is a strong fixation of two or more adjacent vertebrae, which provides the most comfortable position of the spine and the elimination of pain.
  • Vertebroplasty - operation, which aims to restore the integrity of the vertebra when it fractures, stabilization and prevention of new spine fractures.
  • Laminectomy - surgery, in which the arc of a vertebra is removed. As a result of this increased clearance of the spinal canal and nerve structures squeezing stops.

All these treatments are chosen physician individually depending on the nature of the disease of the spine. This must take into account the presence of diseases of other organs and body systems.