Pain in osteochondrosis
Pain in osteochondrosis have a different character and location, which depend on the level of injury of the spine. Highlight the local and distant pain. Local occurs in the affected section of the spine is pain in the neck or back. However, the greatest difficulty in the diagnosis of degenerative disc disease represent a distant pain. They can occur in any part of the body, but most frequently patients complain of mild pain in the abdomen or the heart.
Such varied symptoms of degenerative disc disease associated with primary lesions of the spine, which eventually causes dysfunction of the nervous system. This is due to the proximity with the spine of the spinal cord and spinal nerves. Focusing on the nature and the localization of the pain, you can suspect the defeat of a certain division of the nervous system. This will allow you to determine the necessary complex of inspection, the tactics of treatment and its volume.
What causes the pain?
Initially there is a damage to the intervertebral discs located between the vertebral bodies. The trigger for the development of osteoarthritis of any Department are:
- frequent minor injuries that occur with severe or prolonged stress on the spine;
- sedentary lifestyle;
- genetic predisposition.
On the background of the action of all these factors, the intervertebral disc starts drying and shrinking, reduced its ability to counter mechanical stress. At the critical moment the Central part of the disc purposee the nucleus protrudes outside the annulus (the outer shell). Damage with compression of the surrounding tissues causes local tenderness in the back and pain in osteochondrosis in the stomach or any other organ.
In the early stages of development of the pain syndrome in osteochondrosis first occurs in the neck or back. When already formed hernia of the cervical spine can cause referred pain in the nape, shoulder blade, upper shoulder girdle and arm. Hernia of the lumbar spine causes pain in the leg.
Pain in the back or neck is always accompanied by spasm of the muscles in the affected segment, their DC voltage has a protective value. Thus, they limit mobility in the affected intervertebral disc. However, with the progression of the disease this protective mechanism becomes insolvent, and prolonged muscle spasm begins to cause moderate painful sensations. They have prolonged aching in nature.
Protrusion of the nucleus pulposus is a vertebral hernia, which can cause compression of neural structures. If the hernia protrudes backward from the body of the spine, it can lead to compression of the spinal cord and is accompanied by the most severe manifestations, including death. When compression of the spinal nerve roots disturbed their blood supply and function. The lesion develops in the spine (radiculopathy), which causes the typical radicular pain. If you experience radiculopathy of the spinal nerve roots begin to lose myelin, required for nerve impulses. Develops over time inflammation occurs and sciatica.
Radicular pain is often localized in the arm or leg. They have a shooting character.
The characteristics of the manifestation of pain
In connection with a wide variety of manifestations of pain must be considered particular manifestations of the following conditions:
- pain in the neck and shoulders (cervicalgia and cervicobrachialgia);
- cervical radiculopathy;
- pain in the chest (thoracalgia);
- pain in the lumbar (lumbalgia) and lumbosacral (lumboischalgia).
Pain in cervical osteochondrosis can be local (cervicalgia), distant (cervicobrachialgia) and chereshkovye. Cervicalgia and cervicobrachialgia can occur acutely and constantly. Are mostly bilateral. The onset of pain has been reported during hypothermia, prolonged stay in an awkward position or sudden movement. Exacerbation of pain with cervical degenerative disc disease on the background of a possible hernia when you cough. Cervical radiculopathy is characterized by severe shooting or cutting pain in the cervical spine.
Torakalgiya – pain in the anterior surface of the chest that increases with an awkward movement, coughing, deep breathing, prolonged forced position. It can last a few hours or days. Occurs both at rest and during movement. It can mimic heart pain in osteochondrosis. Back pain are common, aggravated by torso twists.
When compression of the spine occurs girdle pain in the back and stomach. This variability of pain syndrome requires a thorough diagnosis, since the nature of abdominal pain should be distinguished from that of the case of cholecystitis, gastric and duodenal ulcers. Osteochondrosis, which manifests encircling abdominal pain, almost impossible to distinguish from pancreatitis without laboratory and instrumental methods of research.
If lumboischalgia pain may be localized in the abdomen, back, pelvis. As for the pain in the abdomen and back, it is usually located in the suprapubic and sacral-coccygeal region.
Acute lumbodynia is characterized by pain in the back at the level of the loins that takes place over several days or weeks. Noted increased pain with active movement and subsiding at rest.
Getting rid of the pain
In getting rid of pain in osteochondrosis, there are two segments is therapeutic measures and drug therapy. How to relieve pain in osteochondrosis? To do this, patients are recommended bed rest. The surface on which the patient lies must be firm.
To reduce the pain of cervical degenerative disc disease must wear special padded collar on the neck at night. It will provide an immovability of the damaged part of the spine.
In osteochondrosis of the thoracic or lumbar spine is shown wearing a corset chenault. It reduces the load on the spine and prevents the possibility of injury during sudden movements. Also reduces symptoms of degenerative disc disease moderate dry heat.
How to relieve pain in osteochondrosis regardless of the spine? This can only be done with the use of modern drugs from the Arsenal of drug therapy. For this purpose, use such funds.
|Nonsteroidal anti-inflammatory drugs.||Ibuprofen, diclofenac sodium.|
|Funds that have analgesic and warming effect for the damaged spine.||Appliques Dimexidum and novocaine.|
To apply medications can be in the form of tablets and capsules, and injection. However, the nonsteroidal anti-inflammatory drugs may lead to ulceration of the stomach or duodenum. Therefore, when receiving these funds, take the antacids.
Considerably improves a condition of patients, the conduct of the blockade is the introduction of analgesics in the area of the most painful points. In addition to relieving local pain, blockades can eliminate reflected pain in the abdomen and internal organs. On average, the pain is completely gone within 2-4 weeks. For the early rehabilitation of the patients shown physical therapy exercises after subsiding of the acute process.
In the presence of root compression treatment period is increased to 8 weeks. Basic principles and therapeutic measures remain the same, but in addition patients are prescribed antiepileptic drugs (carbamazepine) and antidepressants (amitriptyline). This is due to the more severe neuropathic pain.
The doctor performed the introduction of anesthetics into the epidural space of the spinal cord.