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Spondylarthrosis


Description:


Spondylarthrosis (facet arthropathy) is called the degenerative disease of facet joints of a backbone. Facet joints as well as fibrous rings of intervertebral disks are well innervated structures and are potential sources of a dorsodynia and a neck. It is shown that 40% of all chronic pain syndromes in a neck are to a greater or lesser extent connected with development of a facet arthropathy. Frequency of development of a spondylarthrosis  in lumbar department of a backbone slightly less. It is considered that the inflammation of facet joints is the reason of a dorsodynia  approximately at 10% of patients.


Spondylarthrosis symptoms:


At a spondylarthrosis of lumbar department of a backbone of patients the dorsodynias amplifying at turns and inclinations back disturb. Pain, as a rule, has the localized character, and unlike the pain caused by disk hernia does not irradiate in a leg and is not followed by numbness and weakness. However the inflammation of facet joints can promote formation of bone outgrowths (osteophytes) which can lead to development of a stenosis of the vertebral channel and a compression of nervous roots. In this case there can be ischialgia symptoms, such as pain, numbness and weakness in a leg.
Diagnosis:
The spondylarthrosis seldom is the only disease leading to a dorsodynia. In most cases arthrosis of facet joints is combined with a degenerative disease of intervertebral disks, and is slightly more rare with a stenosis of the vertebral channel. Considerable degenerative changes of facet joints are found in most of patients who have even moderate symptoms of a spondylarthrosis on magnetic and resonant or computer tomograms. For identification of inflammatory process in facet joints at patients with dorsodynias or a neck radio isotope scanning of a backbone is used. For confirmation of the diagnosis diagnostic blockade is carried out: for this purpose mix of drugs of local anesthetic and steroid hormone is entered into a joint cavity under control of a X-ray analysis. Considerable reduction of a dorsodynia or a neck after blockade serves as confirmation of the diagnosis of a facet arthropathy.


Spondylarthrosis reasons:


Facet joints can inflame, being a source of a dorsodynia or a neck. The inflammation of facet joints often is a consequence of their degenerative changes (spondylarthrosis). The spondylarthrosis, as a rule, forms at patients with a degenerative disease of intervertebral disks (osteochondrosis). As a result of reduction of height of disks pressure upon the joint surfaces of facet joints increases in position of the patient standing or sitting, and also signs of instability of joints at the movements (inclinations and turns) appear. The raised load of facet joints promotes premature wear of a hyaline cartilage, deformation of joint surfaces and development of a reactive inflammation. The degenerative disease of joints carries the name of an osteoarthrosis. It should be noted that the reasons and mechanisms of development of an osteoarthrosis of facet joints are identical to the reasons and mechanisms of development of an osteoarthrosis of larger joints.


Treatment of the Spondylarthrosis:


Conservative treatment of a facet arthropathy consists of antiinflammatory therapy, traction therapy (extension of a backbone) and occupations physiotherapy exercises. The last method of treatment is directed to increase in force and elasticity of the muscles creating an internal corset of a backbone.



Drugs, drugs, tablets for treatment of the Spondylarthrosis:

  • Препарат Ибупрофен.

    Ibuprofen

    Nonsteroid anti-inflammatory and antirheumatic drugs. Derivatives of propionic acid.

    JSC Borisovsky Plant of Medical Supplies Republic of Belarus

    1

  • Препарат Ибумет.

    Ibumet

    Nonsteroid anti-inflammatory and antirheumatic drugs. Derivatives of propionic acid.

    LLC Pharmtekhnologiya Republic of Belarus

  • Препарат Декстанол.

    Dekstanol

    Nonsteroid anti-inflammatory and antirheumatic drugs. Derivatives of propionic acid.

    JSC Nobel Almatinskaya Pharmatsevticheskaya Fabrika Republic of Kazakhstan

  • Препарат Мидокалм.

    Mydocalmum

    Drugs for the general anesthesia.

    Gedeon Richter (Gideon Richter) Hungary

  • Препарат Толперизон.

    Tolperisonum

    Muscle relaxant of the central action.

    SC Balkan Pharmaceuticals SRL (Balkans Pharmasyyutikals) Republic of Moldova

  • Препарат Артромакс.

    Артромакс

    Non-steroidal anti-inflammatory drugs (NPVS).

    Biofarm Ltd Biofarm Ltd, Poland

  • Препарат Толперизон.

    Tolperisonum

    Muscle relaxant of the central action.

    JSC Borisovsky Plant of Medical Supplies Republic of Belarus

  • Препарат Толперизон-OBL.

    Tolperizon-OBL

    Muscle relaxants with the central mechanism of action.

    CJSC FP OBOLENSKOYE Russia

  • Препарат Румалон®.

    Румалон®

    Regenerations stimulator.

    CJSC Bryntsalov-A Russia

  • Препарат Диклофенак-акос.

    Diklofenak-akos

    Non-steroidal anti-inflammatory drug (NPVP).

    JSC Sintez Russia

  • Препарат Диклофенак.

    Diclofenac

    Non-steroidal anti-inflammatory drug (NPVP).

    LLC Pharmlend Republic of Belarus

  • Препарат Цель Т.

    Purpose T

    Complex homeopathic medicine.

    Biologische Heilmittel Heel GmbH (Biologishe Haylmittel Heel Gmbh) Germany

    2

  • Препарат Дипрен, таблетки № 10.

    Dipren, No. tablets

    Various means.

    CJSC Pharmaceutical Firm Darnitsa Ukraine

  • Препарат Толпекаин.

    Tolpekain

    n-Holinolitiki in combinations.

    SC Balkan Pharmaceuticals SRL (Balkans Pharmasyyutikals) Republic of Moldova

  • Препарат Эльбона®.

    Эльбона®

    Reparations of fabrics stimulator.

    LLC MTs Ellara Rossiya

  • Препарат Диклофенак-акос.

    Diklofenak-akos

    Non-steroidal anti-inflammatory drug (NPVP).

    JSC Sintez Russia

  • Препарат Диклофенак натрия.

    Sodium diclofenac

    Non-steroidal anti-inflammatory drug (NPVS).

    JSC Borisovsky Plant of Medical Supplies Republic of Belarus

  • Препарат Диклоген®.

    Диклоген®

    Non-steroidal anti-inflammatory drug (NPVP).

    Agio Pharmaceuticals Ltd. (Adzhio Pharmasyyutikals Ltd.) India

  • Препарат Диклофенак натрия.

    Sodium diclofenac

    Non-steroidal anti-inflammatory drug (NPVS).

    JSC Borisovsky Plant of Medical Supplies Republic of Belarus

  • Препарат Цель Т.

    Purpose T

    Complex homeopathic medicine.

    Biologische Heilmittel Heel GmbH (Biologishe Haylmittel Heel Gmbh) Germany


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