Osteoma is a chronic disease in which the nucleus of the intervertebral disc is affected. In turn, the focus of injury involves the surrounding tissues of the vessel and nervous system in this process. This is the cause of changes in the musculoskeletal system, in the bone and muscle tissues.
Young people often ignore the first symptoms of osteonecrosis, which occurs repeatedly at the age of 25 or earlier. This often occurs in students whose careers involve a sedentary lifestyle. Therefore, older people often turn to medical care when chronic osteonecrosis has been observed, which can be difficult to treat.
Spinal dystrophy can cause pathological effects on internal organs. In medical practice, the relationship between the health of internal organs and the spine has been confirmed.
Effective treatment of osteonecrosis
If the diagnosis of osteonecrosis is confirmed, this means that a long course of treatment is ahead, despite the frivolous attitude towards the disease that exists in society.
The best treatment for osteonecrosis involves an integrated approach. The course consists of several stages, each aimed at achieving a specific result.
Early stage
Pain sensation is eliminated. Your doctor may recommend wearing a neck and back support device in the most physiologically correct position. Together they prescribe pain medications and physical therapy procedures, as well as traditional medicine methods, such as acupuncture, which are endorsed in official sources and constitute the range of services of these physicians. medical facilities approved by the Ministry of Health.
Second stage
The task is to restore the discs of the spine and prevent changes in heterotrophic properties.
Treatment is by dietary modification, physical therapy, manual therapy, massage, acupuncture. This complex improves blood circulation in the disc and surrounding tissues.
With symptoms of a neurological nature, a neurologist may perform a novocaine blockade or use more severe drugs to relieve muscle spasms. They may return after a while, but prolonged activity on joints and tendons restores their healthy function.
It should be noted that in the early stages it is possible to treat without the use of drugs. In the complex of therapeutic measures, it is enough to introduce exercise therapy, reduce stress, use topical medications, physiotherapeutic procedures.
Drug treatment
The drug is started as the disease progresses and when the patient has begun to have bone necrosis in the back. Drug treatment affects not only the symptoms, but also the cause of the disease and its consequences.
The drug allows you to solve the following tasks:
- reduce pain syndrome;
- reduce tissue inflammation and edema;
- enhances biologically active processes and blood circulation in the affected areas;
- restore cartilage tissue, return to joint mobility;
- get rid of depression because of their constant pain and concerns about their own health.
Medicines prescribed by neurologists for osteonecrosis:
NSAIDs (non-steroidal anti-inflammatory drugs). Relieves pain and swelling of tissues, can be used in the form of injections, ointments and gels, tablets and capsules. In which: diclofenac, meloxicam, ibuprofen, nimesulide, ketoprofen. Vasodilators (vasodilators). The vessels are likely to constrict due to chronic pain syndrome. To ensure a normal tone, the doctor prescribes: pentoxifylline (to reduce vascular tone), thioctic acid, (for better recovery). (muscle relaxants) and pain relievers. Treatment takes longer without these drugs. Gives a relaxing effect, joint mobility increases, blood flow normalizes and pain processes disappear. Drugs in this group: baclofen, tetrazepam. Chondroprotectors (slow-acting symptomatic drugs). They contain easily digestible forms of collagen fibers that can reduce inflammation and slow and reverse degenerative changes in cartilage and bone tissue. The effect of the drug occurs after prolonged use (at least 6 months). Among the drugs of this group: chondroitin, a biologically active concentrate of 4 marine fish species, glucosamine, glucosamine + chondroitin, pentoxifylline, hyaluronic acid. They relieve stress and depression against the background of illness. Synthetic and natural origin. These include: mother grass dunes, valerian; antidepressants, maprotiline), hypnotics (antihistamines, derivatives of barbiturates and benzodiazepines). Vitamin and mineral complex. Give preference to preparations containing "B" vitamins, which can have a regenerative effect on the affected nerve areas and relieve pain.
Bone tumors and massage
Today, when choosing one of the treatments for osteonecrosis with massage, doctors recommend following the prescription of a neurologist or therapist.
Any type of therapeutic massage is prescribed only in cases where the disease is in remission. If an exacerbation has already occurred, it should not be used, so as not to aggravate the situation.
Among the types of massage used to treat osteonecrosis are:
- classic;
- self-massage;
- point;
- Thai language;
- segmental reflexes;
- vacuum cleaner;
- bone membrane.
The duration of the procedure is 20-45 minutes. This is enough to achieve a healing effect and the possibility of feeling relief from the very first sessions.
To achieve a permanent effect, the duration of the course is 10-15 sessions. This is followed by a period of rest for several months, after which the therapeutic massage is repeated again, and for as long as required at the discretion of the attending physician.
Osteochondrosis third degree, treatment
At this stage, the fibrous ring of the connective tissue undergoes destruction. This will cause protrusion and herniation of the disc. In this case, pain sensation is not manifested, but persists due to possible root compression of the nerve endings.
It can manifest as numbness of the extremities, loss of control over the functions of the pelvic organs, decreased muscle tone, and impaired coordination and balance. True confirmation of the diagnosis of grade 3 osteonecrosis is possible only with the help of radiographs, which will show fragmentation (the appearance of cracks) and deformity of the joints of the patient. spine and bone formation (bone growth).
On examination of magnetic resonance imaging and computed tomography, herniation and displacement may be seen with rupture of the capsule and compression of nerve endings, these complications often associated with stage 3.
Treatment of osteonecrosis of the spine in patients at this stage does not always have a favorable prognosis. Most of the time, the symptoms of the disease cannot be completely cured.
The therapeutic effect is achieved in complex therapy of conservative and surgical methods.
Conservative method
It includes drug treatment, massage, therapeutic exercise, and maintaining a healthy lifestyle (avoiding heavy lifting, vigorously rotating the spine, giving up bad habits).
Treatment with injections
They performed novocaine blockade, joint blockade, epidural and vertebral blockade, and used corticosteroid drugs (dexamethasone, prednisolone) to reduce inflammation.
When treated by injection, the active ingredient will go right into the vertebrae, or directly into the vertebrae, so it ensures the fastest treatment effect.
Surgical method
It is used frequently due to the destruction and displacement of the intervertebral discs and includes the following operations:
- removal of the disc, partially or completely;
- connect (build up) of adjacent vertebrae to protect the spinal cord.
Hirudotherapy method
Medicine in many ways can affect the process of bone necrosis. Treatment with leeches enhances the activity of the joints and the active substance (hirudin) in their saliva thins the blood, helps to restore and regenerate affected tissues due to better absorption of nutrients, reduces swelling, pain, nerve compression and increase the effects of other conservative methods. The procedure is painless and in a session lasting 30-60 minutes, 5-7 individuals of a pharmacy, or medicinal leech, are used.
The course of treatment consists of 8-10 procedures with an interval of 5 days between them.
Since the majority of people experience osteonecrosis of the spine of varying severity and the disease is underrated in its consequences, it is advisable to contact the clinic as soon as possible for a general practitioner. Our medical assistance and conduct appropriate treatment, preliminary diagnosis of the disease . . .