Imagine, in the 21st century, osteonecrosis is diagnosed in 50-80% of the world's population. The number is not small, and most importantly, this disease is increasingly "rejuvenating". If the first symptoms appeared no earlier than 35 years of age, then the first signs are diagnosed already in adolescents. Most often, a predisposition to osteochondrosis is observed in people with an uneven load on the spine. This can be poor posture, the habit of carrying a bag over one shoulder, prolonged sitting in one position, injury, strenuous sports activities and of course age-related changes.
"Most people have certainly heard of osteonecrosis, but not everyone knows what it is"
What is osteonecrosis?
Osteoma is a disease of the spine, manifested by degeneration of the intervertebral discs and adjacent bone tissue leading to erosion of the vertebral bodies and joint surfaces.
Unfortunately, when back pain first appears, almost no one goes to the doctor, which leads to the disease being found to be in a serious stage. This disease in the early stages is treated quite effectively, since the changes in the spine are not serious, but over time the process becomes irreversible.
The main sign that you may have osteonecrosis is pain in your neck, back, or lower back. In its more severe form, the pain "radiates" to the chest, arms, shoulders, legs, and other parts of the body.
Depending on the location, osteonecrosis is divided into several types:
- Cervical fibroids.
- Bone necrosis in the chest.
- Lumbar bone necrosis.
Signs and symptoms of osteonecrosis
Clinical manifestations arise from damage to the nervous and vascular tissues located near the affected area.
- Backache.
- Feeling of "low back pain" after exertion.
- Poor posture and resulting curvature of the spine.
- Violation of skin sensitivity in certain areas of the body.
- Pangolin.
- Dizziness and nausea due to reduced blood supply.
- Headache.
Bone tumors can have many different symptoms and signs, which is why it's not always easy to spot it at the first sign. Check regularly and don't delay going to the doctor when osteonecrosis is first suspected.
Causes of osteonecrosis
There can be many reasons for the development of osteonecrosis. As a rule, proper disrespect for the spine leads to this disease, if not at a young age, then certainly up to the age of 50.
Think about how you sit every day, how you sleep, do you have a comfortable pillow and do you always carry weights with one hand, do you put the right weight when exercising, because allthis can lead to irreversible consequences in your spine. . .
The reasons for the development of osteonecrosis can be:
- Genetic predisposition.
- Nerve exhaustion of the body.
- Bad posture during active growth.
- Uncomfortable shoes.
- Wearing high heels as a child.
- Excessive physical activity of the body.
- Overweight.
- Sedentary and sedentary lifestyle.
- Improper weightlifting.
- Regularly lift loads.
- Vibration load on the body.
- Dehydration of the body.
- Lower body temperature.
"Note that being overweight and sedentary leads to back problems over time! "
Have risk:
- Drivers.
- Officer.
- People move.
- Pregnant women.
- Fat.
- Professional athletes.
Take care of your health and lead a healthy lifestyle.
Developmental stages of osteonecrosis
There is no such thing as sudden and immediate onset. Osteochondrosis is no exception. There are four main stages in the development of osteonecrosis.
- Primary dystrophic changes in disc cartilage. Dehydrated discs, microfissures, loss of elasticity - all these things happened in your spine when in reality you didn't feel any changes, but they are still there and you cannotice them. If you start to experience back discomfort from prolonged sitting or mild pain after exertion, don't waste time, make an appointment with your doctor.
- The contraction of the disc space and compression of the nerve endings and the appearance of pain in some areas of the back. The pain syndrome will appear intermittently with twists and turns. This step is hard to ignore and certainly not to be missed.
- Abrasion of disc cartilage. Symptoms are markedly painful and can lead to numbness in the limbs. Pain cannot be relieved without medication. At this stage, serious treatment is required with adherence to the regimen and medication.
- The last and most serious stage. The bone degeneration above it was irreversible, because the disc cartilage was completely destroyed. Surgery is usually required in such cases.
Advanced cases of osteonecrosis can lead to partial or complete paralysis. In order not to make the situation critical, it is necessary to promptly start treatment at the first stage of the development of osteonecrosis.
Treatment of osteonecrosis
To treat osteonecrosis of the spine, an individualized approach is required. There is no standard and uniform treatment method. The age of the patient, his physical condition, the cause of osteonecrosis and many other factors are taken into account. But of course, each treatment method has common features:
Drugs to treat bone necrosis
Osteomas cannot be cured with drugs alone, but they play an important role in reducing the severity of the disease's symptoms, improving blood supply and tissue regeneration. To get rid of this disease completely, it is necessary to have a method of synthesizing and maintaining the state of the body in proper condition for the rest of your life. Medications to treat osteonecrosis include taking several classes of drugs.
- First of all, it is required to relieve pain that interferes with a normal lifestyle. For these purposes, NSAIDs are used - non-steroidal anti-inflammatory drugs. (Ketoprofen, Ibuprofen, Ketorolac).
- After the painful symptoms are eliminated, chondroprotectors and vitamins are prescribed to restore cartilage tissue. These drugs prevent further destruction of the disc and reduce inflammation. Such drugs include Glucosamine, which, unlike analogues, does not require injections. Just dissolving a packet of powder in a glass of water and drinking is enough. This method of administration promotes better absorption of the drug and reduces the discomfort that occurs with the injection.
- The drug stimulates blood microcirculation.
- Topical pain relievers.
Physiotherapy for osteonecrosis
Treatment of osteonecrosis with physiotherapy is quite an effective and, most importantly, painless measure and practically has no contraindications. Such procedures help to reduce inflammation, eliminate spasms and eliminate compression of nerve endings. Physical therapy includes procedures such as:
- Electrophoresis.
- Magnetic therapy.
- Lights.
- Shockwave therapy.
- Mud therapy.
Be aware that some physical therapy procedures cannot be used during an exacerbation. Treatment of osteosarcoma with physical therapy prescribed by a doctor separately and in combination with drug therapy.
Physiotherapy and massage for osteonecrosis
Physical therapy exercises for osteonecrosis help form a set of muscles that help support the diseased spine. Set of exercises selected individually for each patient. For stage 3, the exercises are done lying down, quietly and preferably under supervision.
Treatment of osteonecrosis with massage is also a popular method. The main thing is that a massage performed by a professional will not harm your spine. After the workout, you'll feel muscle relaxation, clamp release, and a general sense of relief. Hand massage improves blood circulation. In the acute stage of the disease, it is better to refuse this method of treatment.
Treatment of cervical osteonecrosis
With cervical spondylosis, the patient feels severe pain in the head, neck, arms and shoulders. There may be "flies", ringing in the ears, and flashing spots in front of the eyes. As a rule, in the early stages, the patient goes to the glans and does not suspect something completely different. With cervical osteonecrosis is prescribed.
- Agnioprotectors against dizziness, which is most common in the morning (Pentoxifylline).
- Chondroprotectors prevent the destruction of cartilage tissue, reduce inflammation, relieve pain and restore joint mobility (Glucosamine, Chondroitin sulfate).
- Antidepressants, sometimes used by patients due to constant pain, have an adverse effect on mental health and contribute to the development of insomnia and depression (Doxylamin).
- The vitamins will improve the general condition of the body.
- Anti-headache medications interfere with the patient's full life.
- NSAIDs are prescribed in the acute phase to relieve pain.
Treatment of osteonecrosis in the chest
With thoracic spondylolisthesis, there are sharp pains in the front of the chest and breathing may become frequent and labored. There may be sharp pain when turning and bending in the shoulder area. It is difficult to diagnose thoracic osteonecrosis, because pain is not felt directly in the spine and the symptoms closely resemble heart, lung, or kidney diseases. Fortunately, this type of osteonecrosis is rare and the cause of its occurrence in most cases is scoliosis.
Treatment of lumbar osteonecrosis
Lumbar fibroids are the most common type at the moment. This is due to the fact that this particular part of the spine is subjected to the greatest pressure. First, a dull ache occurs in the lower back, then the pain begins to spread down the leg and can lead to numbness in the lower extremities. Bending and expansion problems arise. In such cases, the main thing is to promptly initiate treatment of lumbar osteonecrosis and apply complex measures. Some rules need to be followed:
- Limit physical activity.
- Take all prescribed medications.
- Perform physical therapy as prescribed.
- Take a course in special massage.
- Remove excess weight if necessary.
If treatment is inadequate and recommendations are not followed, surgery may be required for eventual lumbar osteonecrosis.
Which doctor treats osteonecrosis?
If you feel pain in your spine and suspect you have osteonecrosis, you should initially make an appointment to see a therapist who, based on your complaints, will refer you to a neurologist, doctor, or neurologist. chiropractors, orthopedists, and surgeons.
How long is the treatment for osteonecrosis?
Many patients are interested in the treatment of jaw bone tumor, how long will it take to heal? No one will give you an exact answer, but the main signs of the disease will disappear, as a rule, within 1-3 months, it is necessary to further maintain the condition of the disease.
Is it possible to get rid of bone necrosis permanently?
It all depends on the stage at which it was discovered. If the patient goes to stage 1-2, then with proper treatment and following all the rules, you can get rid of bone necrosis permanently. In later stages, unfortunately, this disease will not be completely cured.
Orthopedic pillow
You may need an orthopedic pillow if you've been diagnosed with fibroids. This pillow will improve your sleep quality and not further deform your spine. You can contact a specialty store where consultants will show you all the pillow options and advise you on prices.