Back pain the spine — degenerative changes affect the intervertebral discs, facet joints, ligament and other tissues that make up the vertebral-motor segment (VCP). Primary and secondary effects in this disease of the spine and intervertebral discs the Nov other parts-skeletal system. Accepted the highest prevalence of the disease is relatively common in young and middle-aged reduces the tendency towards aging and old age.
Composition vertebral skeletal segment about life in including up, down and regulation. Located in between, intervertebral disc, joint, and joint barbed spines. The surface of the joints forming the connection joint between the two adjacent vertebrae spikes (footnote or the joints of the model). The vertebral ligaments and the transverse ledges is held together with barbed form. With this design the disc provides spine mobility and stability.
Degenerative disc disease causes the spine still is not defined. However, in fact, he often specific occupational categories, adult, shows the leading cause this disease, a sedentary lifestyle. Deficiency is the result of reducing burdens on Nov, Nov, them with natural motion instead of static physical effort and should have areas of the body (neck, waist) is a weakening spring and stabilizer features Nov.
Degenerative changes in the spine occur due to:
- excessive static or dynamic loading of the spine (e.g. lifting weights);
- hereditary predisposition;
- confirmed spinal injuries in the past.
When detected, similar symptoms consult a doctor. Do not self-treatment is dangerous for the health!
Symptoms of degenerative disc disease
Symptoms degenerative disc disease myofascial pain syndrome, spasm dysfunction is a consequence of Nov Nov so painful.
Speech on the causes of pain syndrome, spinal disease causes pain with features such as structures (otherwise, vertebral pain syndrome), pain or any other Origin (pain in invertebrates). What kind of pain appeared, depends on the selection treatment.
Any back pain:
1. Nociceptive — reason for peripheral pain receptors to the effects of various precipitating factors (trauma or inflammation) all divisions of the nervous system a instantes. Characteristic constant pain and increased pain sensitivity at sites such a pain emerging as regions of tissue damage.
2. Neuropathy — a pathological irritation of peripheral or central neurons in the nervous system reaction responsible for the total physical damage of the body. Neuropathy decreased pain sensitivity is often a sign that a violation of Nov himself with strength and showing, in particular, noblesse pain thus the patient's response to stimuli.
3. Dysfunctional (psychogenic) — functional status of the nervous system or changed as a result of changes caused by human perception. Frequent strenuous activity after his earnings alone.
4. About us: go on, Don't stop here — Transfiguration of the combination of various types of pain, as described earlier.
Back pain is often associated with irritation, pain receptors, Nov, joints and ligaments, and this nociceptive pain is a character. He feels sick, her place in the formation (local pain) or distance (referred pain). Neuropathy, often associated with back pain, but the process, including Karasek, nerve or spinal ganglion. Such chronic pain.
Reported causes of back pain the disease the internal organs (in other words, pain and vice Regency).
Of course, the causes, degenerative disc disease, or degenerative intervertebral disc herniation may be associated with the clinical manifestations of the disease (pathological) changes in the spine (e.g., osteoarthritis, or osteophytes, intervertebral joint training).
4 basic clinical syndrome, which can cause above each of the following options:
- local pain local;
- referee (referred pain) with a defeat in Nov-Dec (fascial) structures;
- radicular syndromes (radiculopathy), irritation or compression of the brainstem Spino cause a slight;
- myelopathy – pain, spinal cord compression or vessels emerging.
Degenerative disc disease pathogenesis
Degenerative disc disease basic development lies, a series of pathophysiological mechanisms. A disease developing as a result of degenerative processes, fees to start quite an early age, both aseptic inflammation, dystonia, spasm.
Change occurs when the intervertebral disc caused by the early destruction of roots around the shell of nerve fibers (demyelination liquor), then the damage observed in the processes of nerve cells (axonopathy), loss of local blood circulation (ischemia) and — forth with venous stasis. And if timely treatment of the whole process aggravating the situation this way why is peripheral or central sensitisation.
Intervertebral disc the fibrous ring and the gelatinous core of the most frequently celebrated the defeat. Why mechanical load, this elastic fibrous ring of the disc and it loses the elasticity of his bulging dies. Hair loss that occurs owing to the plots of annulus fibrosis through the cracks then the gelatinous core backbone, i.e., protrusion disc herniation disc is replaced.
Called a herniated disc, a solid education, a communication sohranyaet the body with the intervertebral disc, the spinal canal, but it happens sometimes its sagging fragments (sequestration disk).
Degenerative disc disease classification and in the development stage
In terms of the localization of various features such as the following diseases:
- infertility — pain-lumbar region (lumbosacral) back section;
- sciatica — back pain, giving the foot;
- low back pain — lumbar back pain is so acute, intense pain;
- torakalgija — chest pain;
- cervicalgia, cervicobrachialgia — pain, neck, and upper extremities.
Degenerative disc disease developmental stages classification:
Stage 1: the amount of moisture decreases, loses the elastic and elastic properties of the intervertebral disc, and load remains the same. The result is reduced disk height, flattened, bulging of.
2. stage: pathology if cracking continues to evolve fibrous celebrated to the public, and the height is reduced because the disk is already flattened, the result is this only a situation of instability vertebral segment.
3. stage: the education gap in the fibrous tissues, cartilage ring. More liquid leaked from within the intervertebral disc herniation is the result of a core training part. Such changes are often visible in sections of lumbar and cervical spine.
If you have pain, intervertebral disc hernia first appears, then when it happens, irritation, pain receptors in the annulus fibrosus and posterior longitudinal ligament, the outer layers hybrid.
Complications of degenerative disc disease
- Symptoms of low back pain. Periodic reactions, such as pain in the early stages a view that any action is celebrated, for example, as a result of a sudden movement, heavy lifting, strong load (a long walk), a long position in obesity where it is located. Such pains and is very familiar, which is defined as "captured." Different, a rare appearance, intense action and almost no user in a static position. Such pain, no serious consequences, and that alone takes place for a week.
- Infertility. Such a pain there is a feature, which ascend excessive cooling during intense symptoms during movement. Decreases the load on the spine of a reaction time still doesn't stop though, leaving a nagging feeling.
- Sciatic. Gives you eyes on the neighboring sections. Irrationalism characterized the lumbar spine low back pain with leg pain, chest or heart area of the hand; which shows itself cervical migraine.
- Seizures. Nov tibia triceps frequently exposed to them. Among other things, he notes the appearance of severe pain when you touch the back or legs.
- Koksigodi is. Irradiate the area of the coccyx or spoon. Whining pain, burning, stereodiva character, to an extent to limit physical activity patient
Degenerative disc disease diagnosis
Diagnosis of degenerative disc disease, multiple stages includes:
1. It's a story. At this stage symptoms and a history of the disease are examined. The patient is leaving with the speech, here mainly localized discomfort, intensity, duration, factors that stimulate and provoke increased pain, alleviate pain. In addition, an important point when making a diagnosis from finding date: occur in response to unpleasant sensations and hardness; determination of the possible causes; and treatment effectiveness information collected previously; going latest character's acute and can occur. I find that it is important to identify the conditions in which the patient lives and works, what a way, it's a lifestyle, what kind of harmful habits you have, what, illness and injury, and accounting will be important hereditary factor.
2. During physiological self-for those who want to leave the city, the evaluation of the patient's body position, his gait and movements; skin (topic redness, rash, flaking), produced all reservation systems of the symmetric face healthy body areas; determining the amount of the produced movements (tilt, rotational movements of the spine in circular motions body volume in different departments); to determine the temperature plot I can't feel it in your eyes, skin pain condition Nov cramps, edema, seals there; deep and superficial layers, allowing palpation assess the state of Nov skeletal system (Nov Tonus increasing or decreasing volume); by tapping with a finger knob or a custom-defined field irradiation pain; tingling pain sensitivity is determined by using a needle; held at the end in a series of radicular symptoms to learn specific techniques tension.
3. Radiography. Better information produced in a work, each individual of the spine. Running two inclined appeared, and the two mutually perpendicular plane (straight edge). For some cases to assign functional X-ray, when the position of the patient in flexion, extension or lateral tilt. Special conditions for more high-quality research results in a damaged intervertebral disc or vertebral artery or the spinal canal with contrast material input spine: angiography, discography, miyelografi, pneumonologia.
The main X-ray symptoms, degenerative disc disease, consider:
- vertebral pathological mobility;
- wire them offset;
- disk calcification (accumulation of salts);
- lumbar thoracic and cervical intervertebral narrowing and a narrowing cleft in the smooth sections of the wedge;
- education osteophyte formation (anti-growth);
- the limit with the affected disc SEAL training (district sclerosis).
5. Magnetic resonance imaging (MRI) signal, which is characteristic for each fabric based on what is generating the electromagnetic wave applied. That is processed, and the computer graphic image translation. Using this method, the vessels explicitly into account, the neural spines and intervertebral discs without the harmful effects of ionizing radiation to the organism.
Guessed. Prevention
In practice, the most degenerative disc disease treatment for 6 weeks during the resolution's findings.
However, the wrong treatment, or self-will contribute to chronic spine pain is a syndrome that can be caused to the aggravating changes will come.
Lower back pain when you are prompted, or a consultant who specializes primarily in the extremities, it is sufficient to target the diagnosis and treatment right for you.
Most treatment for back pain symptoms in the most efficient and effective manner etc .. and a medicine injection therapy and acupuncture. Physical therapy, including laser therapy, massage, spinal manipulation and unstable, there is tiny impact and in some cases may be, and any is contraindicated.
Degenerative disc disease treatment with modern treatment methods is based on the principle of continuity: namely, a severe attack followed by the opening of fast and secure methods of preventing acute pain. I would recommend for preventing the formation and development of degenerative disc disease, first of all, decreased body weight (obesity) and regular physical activity.
Nov dynamic stabilization with the technique of regular classes (yoga, Pilates aerobic under load) basic rehabilitation and Prevention, back pain contribute to strength and endurance Nov backbone.