The locking hyperostosis: symptoms, diagnosis, treatment
Diagnosis Of Forestier’s Disease. How to cure the disease?
Forestier’s disease is one of the rare non-inflammatory bone diseases, which is characterized by the formation of bone in tendons, ligaments. The result of the pathological process is the ossification of the ligaments and develops ankylosis (immobility).
Often the locking register hyperostosis in individuals of middle age. According to statistics, the disease more often affects men than women. Often patients with Forestier’s disease have pre-existing illnesses, such as hypertension.
The etiology of the disease
Until now, the cause of fixing hyperostosis was not detected. There is an assumption that not the last role in the development of the disease plays an old age when connective tissue aktiviziruyutsya the aging process.
Some doctors suggest that to provoke Forestier disease can and chronic intoxication, which develops if the body is foci of infection — purulent otitis, tonsillitis, tuberculosis, sinusitis.
The most frequent manifestations of the disease
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Symptoms that occur in patients with Forestier disease, often associated with stiffness and slight discomfort in the spine. Often people pay attention to rare pain most often occurs in the thoracic or cervical spine. Such feelings arise in the end of the day or after sleep, and also as a result of prolonged physical activity, frequent exposure to the cold. In some patients the pain is continuous, in others it is short.
Doctors say that people in old age suffering from disease Forestier, there are no complaints at all. Sometimes they have a feeling of compression of the esophagus, making the passage of solid food difficult.
To see characteristic changes in the structure of the spine on the radiographic images at once is impossible. They discover, in 10-15 years from the onset of the first complaints. Pain syndrome at times it indicates not only the disease Forestier, but a number of other degenerative changes in the spine.
The most frequent complaints of patients:
- Restriction of movement in individual parts of the spine in the morning or evening;
- Aching pain in the large joints;
- Calcification Achilles tendon, ligament of the patella, quadriceps: pain soft tissues.
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Diagnostic steps to identify disease
The patient goes for a visit to the orthopedist or the traumatologist, who base their diagnosis on data from x-ray studies of the spine. In the picture identifies areas of ossification. But the disease Forestier is not always possible to determine with x-rays: sometimes the locking hyperostosis revealed ten years later from the onset of the disease.
To suspect the disease in that case, if, after conducting x-ray examination revealed several lesions in different parts of the spine. Otherwise, the disease can easily be confused with spondylosis.
Lateral radiography allows to prove that in fixing hyperostosis calcification occurs not only in the intervertebral discs and the vertebral bodies.
The late period of the disease is characterized by identifying on the radiographic images of the bone layers, the thickness of which is about 1.5 cm.
A distinctive feature is the uniformity of the bone spurs throughout the section of the spine.
Laboratory diagnosis confirms the absence of inflammation in the body. In blood tests everything is normal, and C-reactive protein and rheumatoid factor are not detectable. May increase the level of glucose in the blood.
The most effective methods of treating the pathology
Drug treatment of the disease involves the appointment of anti-inflammatory drugs aimed at reducing pain in the joints. According to the physician prescribed the corticosteroids and start the treatment of peripheral arthritis with drugs such as diclofenac, sulfasalazine.
Non-pharmacological treatment of Forestier disease is to conduct physical therapy: the pool, the excercise of special exercises, through which the spine will become more flexible, and lying near the muscle is more stretched. Motorists should use the restraints during transport.
All patients are advised to sleep on a hard mattress, to maintain the posture during the movement.
A late appeal to specialists in Forestier disease can lead to disability!
If the disease progresses, it is arthroplasty, the aim of which is improving the functioning of the joint. When the kyphosis in the thoracic spine is carried out osteotomy. If developing ankylosing spondylitis, doctors-surgeons perform the pacemaker surgery.
The success of the treatment of Forestier disease depends on the stage of the disease and symptomatic treatment specialists.