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Differential diagnosis of osteochondrosis of the spine

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Differential diagnosis of osteochondrosis of the spine

Differential diagnosis of osteochondrosis of the spine

Diagnosis of osteochondrosis

Establishment of a preliminary diagnosis is carried out during the initial examination of the patient. An examination is usually carried out by a neurologist in connection with the patient's complaints about local changes, which may manifest as pain, deformity, or limited mobility.

The main role in the study of the spine is assigned to radiography, computed tomography and magnetic resonance imaging, with the help of which the level of the lesion is determined, the diagnosis is specified and specified, hidden pathologies are revealed. These diagnostics allow the attending physician to determine the tactics of treatment and choose the most effective methods of treatment.

Causes and mechanism of development of osteochondrosis

Osteochondrosis is a “breakage” of the motor segment, destruction, degeneration of cartilage tissue. The reason is an incorrect motor stereotype and, as a result, malnutrition of the cartilage.

Progression of osteochondrosis is facilitated by: a sedentary lifestyle, heavy physical exertion, weight lifting, obesity, carrying a bag on one shoulder, high-heeled shoes, too soft a mattress for sleeping, frequent hypothermia, bad habits, hereditary predisposition, stressful situations, insufficient drinking regime and other.

Symptoms of osteochondrosis

Manifestations of osteochondrosis will depend on the location and severity of the lesion in the spinal motion segment. At the initial stage, patients complain of dull, aching pain in the back, discomfort, slight restriction of movement in the spine, periodic numbness in the arms or legs, headache, and fatigue. By starting treatment and changing your lifestyle during this period, the result will not be long in coming and recovery will come quickly.


As a rule, with pain in the spine, patients turn to a neurologist, who, based on complaints and a neurological examination, can make a preliminary diagnosis, prescribe additional examination methods (X-ray of the spine, MRI, CT, urinalysis, complete blood count) and develop a treatment regimen 

Treatment

Treatment should be comprehensive, aimed at:

- elimination of pain syndrome;

- elimination of violations of the function of the spinal roots;

- prevention of the progression of degenerative-dystrophic changes in the structures of the spine.

In the acute period, with a strong pain syndrome, medication is prescribed: non-steroidal anti-inflammatory drugs, muscle relaxants, B vitamins, chondroprotectors, or a blockade is made.

Then massage, manual therapy, physiotherapy, acupuncture, spinal traction are connected.

Therapeutic exercise is the main method of conservative treatment of diseases of the musculoskeletal system. Exercise therapy is aimed at the formation, correction and strengthening of the muscular corset; increased range of motion in the spine and joints; development of a motor stereotype and correct posture; reducing the load on the spine.
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