Sclerosis of the spine
Often doctors listen to the complaints of patients on pain in the spine or neck. To put such patients a diagnosis of «subchondral sclerosis of the spine» in most cases, allow survey and study of x-ray images. This name sounds confusing and even a bit frightening, because most of us are not faced with this disease, but this combination of words never heard. And since the disease is fairly common, especially in older people, information about it is better to have to, at least, not to be confused with not less than such common diseases as atherosclerosis.
Many people believe subchondral sclerosis of the spine a disease and therefore try to determine the inherent specific symptoms and necessary treatment. In reality, this pathology no more than a radiological sign indicating the presence of other diseases with degenerative-dystrophic nature. Therefore, the treatment of this disease cannot be universal and unambiguous. The method is developed depending on the causes that led to the development of pathology.
The reasons for the development of the disease
Treating for multiple sclerosis, we can say that in General it is a pathogenic process that occurs in various tissues and characterized by the formation of seals. The sclerotic process may affect the various systems of the body. So, you can meet osteosclerosis of the knee or hip joint. No less common and atherosclerosis, affects the blood vessels. However, atherosclerosis refers to a completely different type of sclerotic diseases.
|Symptoms||Causes and consequences|
|Subchondral sclerosis is evident in pathological bone compaction resulting from uncontrolled growth of connective tissue.||Mostly the disease is triggered by two factors: the aging of tissues or inflammation, caused by different diseases.|
|The disease is expressed as a segmental thickening of the affected vertebrae.||Most commonly multiple sclerosis indicates the difficulty of supply the organism with blood.|
|Seal tissue leads to the appearance of outgrowths of bone, which provoke the formation of new foci of inflammation.||In sum, all these violations cause severe pain and lead to stiffness of the spine.|
Irregularities and bony growths can be seen on x-rays or tomograms to accurately diagnose subchondral sclerosis. To consider this disease an independent disease – a misconception. It just serves a rather unpleasant symptom of other diseases, detectable by x-ray examination.
It is believed that subchondral sclerosis is the result of degenerative diseases such as osteoarthritis, osteosclerosis and osteochondrosis. All these diseases lead to the formation of osteophytes. Osteosclerosis provokes their appearance at the edges of the vertebrae (seen in lesions of the cervical), and arthritis – on the borders of the joints, especially when damage to the knee or hip joint. All these formations cause severe pain and almost impossible to cure.
There is a possibility to reduce the intensity of the pain and stop the progression of the disease. The implementation of some requirements allows you to prevent the formation of new osteophytes.
Symptoms and diagnosis of pathology
The symptoms of this disease manifest in the same way that other diseases associated with sclerotic changes (osteosclerosis or atherosclerosis). First and foremost is the appearance of pain in the affected area. The second characteristic is the limitation in the affected area of the spine. With the defeat of the cervical becoming difficult to turn your head, and if there is a lesion of the lumbar, then become a problem bending the back and lifting weights.
The same symptom is present, if there is osteosclerosis of the knee joint: the difficulties begin with the bent leg at the knee. However, there may be other symptoms inherent in the disease. Such signs quite a lot:
- loss of balance followed by changes in the coordination of movements;
- weakness in the limbs and numbness;
- tingling in the hands and feet, and decreased muscle tone;
- difficulty breathing;
- tremor of the limbs;
- unexplained rapid weight loss;
- the deterioration of concentration and memory;
- hearing loss;
Of course, these symptoms are not necessarily there will be all together. In some cases they are not observed at all, subchondral sclerosis sometimes occurs virtually asymptomatic. Everything is determined by the flow and progression of the disease.
Localization of tissue damage sometimes affects the exposed diagnosis. So, with extensive lesions of the spine an aggregate diagnosis of subchondral sclerosis of the spine. But in case of defeat, only the cervical vertebrae can be diagnosed sclerosis of the cervical.
Diagnosis of this disease by various methods, among which the most commonly used radiography. However, to more accurately determine the sclerosis of the spine using MRI or CT, as, indeed, and osteosclerosis of the knee, and atherosclerosis. In some cases it is necessary to carry out not only blood, but a genetic test, which allows to exclude some other diseases.
Sclerosis of the vertebrae can be identified and conduct a special test (densitometry) to determine the bone density
The fight against disease
Treatment of subchondral sclerosis of the spine cannot be exercised, because the abnormality is not a disease but merely a symbol for modifications of bone tissue. In contrast to this type of sclerosis, like atherosclerosis, in this case, you must realize the treatment of the particular disease, which accompanies the pathological processes in the vertebrae. Almost the same needs and osteosclerosis. For example, when damage to the knee joint it is necessary to find the disease, which provokes the beginning of the change of the joint.
However, even if the treatment of concomitant diseases ends with a positive result, the specificity of the sclerosis of the spine is not a cure for it completely as, for example, atherosclerosis. The treatment of this disease consists solely in the relief of pain, relieving other symptoms, and suspension progression. Most often treatment is carried out comprehensively with the use of drug therapy, physical therapy and correct diet.
The main purpose of this treatment is pain relief and slowing the development of disease. Most of sclerotic bone and joint diseases (for example, osteosclerosis of the knee joint) are treated precisely such methods. The prescription is largely determined by the degree of development of the pathology and General condition of the patient. The medical therapy includes nonsteroidal anti-inflammatory preparations, chondroprotectors, analgesics, and immunomodulators. If you experience muscle spasms, then relaxants are added.
In the case of focal inflammation and compaction of bone tissue it is possible to conduct surgical operations. During the operation, the removal of osteophytes detected. However, such cases are extremely rare.
Usually the treatment method is supplemented by medical physiotherapy, acupuncture and other rehabilitation procedures. All this must be combined with physical therapy and therapeutic diet.