Currently, a large number of people suffer from osteonecrosis. Many of them are not even aware of the problem that exists. Meanwhile, if there is no timely treatment, complications will occur that will cause you to suffer a lifetime. Osteochondrosis, like many other diseases, "rejuvenates" and significantly deteriorates the quality of life, knocking it out of the normal rhythm.
In our article, we will learn a little bit about the disease itself, as well as learn in detail about drug treatments.
Osteochondrosis and its Types
Osteochondrosis is a deformation of articular cartilage, bone tissue of the spine and disc.
Osteochondrosis happens:
- belts (lumbosacral),
- cervix,
- chest.
Causes of bone necrosis:
- walk upright,
- curvature of the spine,
- spinal injury,
- flat feet,
- Raise often
- frequently changes body position,
- stays long in an uncomfortable position,
- overloaded the spine,
- physically inactive and obese,
- malnutrition,
- stress.
The developmental stages of bone necrosis
- Due to certain changes in the disc, instability of the vertebrae appears. The spine is very susceptible to injury.
- Loops destruction of the disc begins to occur. The disc spacing is reduced gradually.
- The annular is broken. The medulla of the disc is protruding. Due to the formation of disc herniation, which causes spinal deformity.
- A pronounced pain syndrome occurs. Due to the formation of bone growth and the liquefaction of the ligaments of the spine, movements become limited.
Symptoms of bone necrosis
Lumbosacral area
- Persistent back pain.
- Painful and numb feeling of limbs.
- Reduce physical activity.
- Increases pain from sudden movements, weight lifting, exercise, sneezing and coughing.
Cervical region
- Hand and shoulder pain, headache.
- Spinal artery syndrome (throbbing headache, dizziness, noise in the head, blobs and "flies" before the eyes)
Chest
- Pain in internal organs, especially in the chest ("stake" in the chest) and heart area.
Define the diagnosis
Diagnosis is made at an appointment with a neurologist based on the patient's complaints (pain syndrome, limited mobility, etc. ). He examined the spine in the patient standing, sitting, lying positions (resting, active). When examining the back, attention should be paid to the posture, body composition, the lower corners of the shoulder blades, the lateral contour of the neck and lumbar, the position of the shoulder tendons, etc. v. Then, as prescribed, the doctor will instruct the patient to take an X-ray, computed tomography, or MRI, with the help of a clarified and concretized diagnosis, the degree of damage to be determined andDetect potential deviations from the standard. Based on the obtained data, the neurologist will prescribe the appropriate treatment. As a rule, this is a complex therapy, including the use of drugs, massage, exercise and other methods.
Therapeutic exercises for lumbar spinal necrosis
Medicinal treatment of bone necrosis
To begin with, it should be noted that at an early stage of the development of bone necrosis, in certain cases you can do it without medication. Just use of medical exercise equipment, topical medications as well as reduce the load and eliminate other causes of disease. If symptoms intensify and studies show characteristic changes, then drugs that help affect both the cause and symptoms of osteonecrosis are recommended.
Drug therapy of osteonecrosis is indicated during its exacerbation phase and is intended to reduce inflammatory processes, relieve pain, and enhance metabolic processes resulting from oral or parenteral use of drugs.
Since osteonecrosis is a systemic disease that negatively affects various organs and systems, its treatment must be comprehensive. Medicines for the treatment of osteonecrosis perform the following tasks:
- pain relief,
- removes inflammation,
- improves blood circulation in the affected tissues,
- restore the cartilage,
- restores mobility to joints,
- eliminates constant pain-induced depression.
So what drugs can a neurologist prescribe for the treatment of osteonecrosis?
- NSAIDs (non-steroidal anti-inflammatory drugs).
Eliminates inflammation and pain. They are applied externally (gel, cream), inside (capsule, tablet), as well as in the form of an injection (intramuscular, intravenous, subcutaneous).
- Vasodilators (vasodilators).
Due to muscle tension and pain from bone necrosis, blood vessels are narrowed. To avoid undesirable physical consequences of this, your doctor may prescribe vasodilators for a better restorative effect.
- Muscle relaxants (muscle relaxants).
Muscle relaxants work to relax and soothe muscles. The non-drug healing process of this group is slower, because due to their properties, blood circulation is normalized, pain is dull, mobility is restored, and the affected tissues are restored. faster.
- Chondroprotectors.
The Chondroprotectors do not further destroy, they are in stable condition. Use of chondroprotectors is long-term, lifelong, with effects occurring at least 6 months after treatment. Chondroprotectors are used externally, inside and in the form of injections.
- glucosamine
- chondroitin
- glucosamine + chondroitin
- glucosamine + chondroitin + vitamins
- Sedative (sedative).
Prolonged pain syndrome can cause stress and depression. In this case, valerian, gotu kola, combined herbal preparations are prescribed. For more serious disorders, antidepressants are used and hypnotics are used to improve the process of falling asleep and the quality of sleep.
- Vitamins and vitamin-mineral complexes.
B vitamins are of great importance here, as they can restore the sensitivity of affected nerve fibers and relieve pain.
For the purpose of strengthening the body, vitamin and mineral complexes may also be prescribed.