Dorsopatiya

Short characteristic of a disease

Today the term "dorsopatiya" is understood as a number of the pain syndromes connected with degenerative changes of a backbone. As a matter of fact, the lumbar dorsopatiya acts as a backbone osteochondrosis analog - a long chronic disease with characteristic aggravations and emergence of sharp pain. Except lumbar area, change can mention also other body parts. In particular, to physicians the cervical dorsopatiya caused by injury of cervical vertebras is well-known.

Nevertheless, the lumbar department nevertheless suffers much more often and therefore the speech in our article will go about a backbone dorsopatiya. The main reason of degenerative changes is osteochondrosis – the adverse process developing in intervertebral disks, joints and the copular device. It is characterized by acute, long pains and a chronic current. At the same time painful episodes are very frequent, and the person can suffer from aggravation attacks more than 25 times a year. The chronic dorsopatiya of lumbar department is noted at 17% of adults. Forecasts of treatment are, as a rule, adverse as changes exert too strong impact on structure and a structure of a backbone.

Classification of dorsopatiya

According to the international standards, all types of a dorsopatiya can be divided into three big groups:

• deforming – join in this group: lordosis, kyphosis, scoliosis, spondylolisthesis, osteochondrosis and incomplete dislocations;
• spondylopathies – include all types of inflammatory, degenerative and traumatic spondylopathies;
• other dorsopatiya – are presented by a degeneration of intervertebral disks, simpatalgichesky syndromes and a dorsalgiya (a dorsopatiya of cervical department at which there is no defeat of intervertebral disks).

Treatment of dorsopatiya

If the diagnosis a dorsopatiya is made to the person, treatment is appointed taking into account a form of a disease and a clinical picture of its development. Now in medicine medicamentous, non-drug and operational methods of disposal of joint pains are used.

During the aggravation periods the bed rest is shown to the patient. At the same time the person has to not only refuse exercise stresses for 5-6 days, but also as often as possible accept a so-called antalgichesky (protective) pose. As the dorsopatiya of lumbar department of a backbone becomes aggravated because of excessive activity, the immobilizing orthoses which organichivat mobility of vertebrae are recommended to the patient. They are rather effective, but can cause a myopachynsis therefore it is necessary to use them with care and only after consultation with the specialist.

Indispensable stage of treatment is reception of anesthetics. If mild pains and a little intensive, then the ideal choice are not opioid analgetics (бенальгин, темпалгинол, спазмалгон, Sedalginum - neo). At severe pains appoint non-steroidal anti-inflammatory drugs, but take them besides with caution to avoid emergence of side effects, in particular, of a gastropathy. We recommend to use similar drugs in the form of candles. They are rather safe and are easily acquired by an organism. If the dorsopatiya of a backbone does not pass, and pain amplifies eventually, then it is possible to combine reception of non-steroidal anti-inflammatory drugs and opioid analgetics. The positive effect is observed at the use of antihistaminic drugs, anticonvulsants and antidepressants.

In the acute period except analgetics the warming ointments are shown to the patient. In our country the greatest fame was gained: Fastum-gel, Espol, Edcamonum and Espol. It is possible to buy them in any drugstore.

If the diagnosis a dorsopatiya is made to the patient in time, treatment can be carried out without use of medicamentous means. In this case to the person physiotherapeutic procedures, remedial gymnastics, magnetotherapy and laser therapy are appointed. As a rule, the course of treatment lasts no more than one month, but it is necessary to consider that it is possible to do without medical supplies only at early stages of a disease when degenerative changes did not manage to have significant effect on a backbone yet.

As for operational treatment, it is required rather seldom. On the existing statistics, only 0,3% of all patients with a lumbar dorsopatiya need operation. As a rule, it is appointed at an acute prelum of a spinal cord, paresis and severe bilateral pains. Surgical intervention is desirable and if the dorsopatiya of vertebral department proves for 5 and more months, and standard drug treatment is inefficient.