{"id":13416,"date":"2024-02-07T09:24:47","date_gmt":"2024-02-07T09:24:47","guid":{"rendered":"https:\/\/scoliozaclinic.com\/osteocondroza-coloanei-vertebrale\/"},"modified":"2025-10-17T08:42:51","modified_gmt":"2025-10-17T08:42:51","slug":"osteocondroza-coloanei-vertebrale","status":"publish","type":"page","link":"https:\/\/scoliozaclinic.com\/en\/osteocondroza-coloanei-vertebrale\/","title":{"rendered":"Spinal Osteochondrosis"},"content":{"rendered":"\n


Osteocondroza coloanei vertebrale<\/strong>

-Spinal osteochondrosis is the dystrophic alteration of the intervertebral disc and adjacent vertebral bodies. In other words, osteochondrosis is a change caused by a disruption in the metabolic processes of the disc, that is, its nutrition.<\/p>\n\n\n\n

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Osteochondrosis is a condition of humans as a biological species. There is an opinion that spinal osteochondrosis is a \u201cpenalty\u201d for walking on two legs. Its widespread prevalence is primarily associated with the upright posture, in which the load on the spinal column and intervertebral discs is much greater than in animals.<\/p>\n\n\n\n

Osteochondrosis is accompanied by spasm and hypertonicity of the spinal muscles, which narrows the intervertebral foramina and compresses the spinal nerve roots that pass through them. This causes severe pain. Muscle spasms also constrict the blood vessels that supply the spine, disrupting blood flow and the nutrition of intervertebral discs and nervous tissues of the spinal cord and its branches.<\/p>\n\n\n\n

Additionally, the spasmodic muscles compress the spine, placing extra stress on the intervertebral discs. The discs \u201cflatten,\u201d losing their cushioning properties. Over time, this leads to disc protrusion beyond the spine, prolapse, and then rupture of the fibrous ring, displacement of the nucleus pulposus, and formation of intervertebral hernias.<\/p>\n<\/div>\n<\/div>\n\n\n\n

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Causes of Spinal Osteochondrosis<\/strong><\/strong><\/p>\n\n\n\n

There are many theories regarding the development of osteochondrosis. Causes include hereditary predisposition, mechanical injuries, metabolic disorders, obesity, excessive physical activity, etc. A very important cause is a general disruption of metabolic processes in the body.<\/p>\n\n\n\n

Osteochondrosis (dystrophic changes in cartilage and adjacent bones) is not a disease itself but a sign of aging, similar to wrinkles, baldness, and gray hair. The reason for aging in living tissue is a disruption in its nutrition. Nutrients reach human organs and tissues via arteries, while veins carry away waste products. In the spine, arteries enter the vertebral bodies and veins exit. Blood reaches the disc through vessels connecting it to the vertebrae. The vertebrae mediate blood supply between the discs and the rest of the body.<\/p>\n\n\n\n

Around ages 10\u201315, many of the vessels connecting vertebrae to discs gradually deteriorate. The body activates compensatory mechanisms to maintain fluid exchange between them, but now metabolism occurs through diffusion rather than direct blood supply. This preserves the disc, but only temporarily. Increased tension develops in the system, leading to collapse of the nucleus pulposus.<\/p>\n\n\n\n

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Impact of Physical Activity on Osteochondrosis<\/strong><\/p>\n\n\n\n

Interestingly, many athletes experience back pain despite a strong muscular corset and regular exercise. If vertebral movements relative to the disc exceed safe limits, contact points sustain microtrauma. The fibrous ring, which normally protects the vertebrae, stretches or tears, causing inflammation. Initially, tissue edema occurs, followed by scar tissue formation on the disc at the contact points. Over years, these scars accumulate, eventually leading to sclerosis of the endplates.<\/p>\n\n\n\n

Sclerotic endplates block blood flow and hinder diffusion, gradually \u201ctrapping\u201d the intervertebral disc. At this stage, no treatment can fully restore it. This is often a result of overuse, repetitive work, or unconsidered sports activity.<\/p>\n\n\n\n

Long-term physical activity, poor posture, sedentary lifestyle, spinal curvature, flat feet, injuries, bruises, and prolonged malnutrition can all contribute to osteochondrosis. It is essentially a consequence of improper body usage or, as it is often called today, an \u201cincorrect lifestyle.\u201d Osteochondrosis itself is not a disease; it becomes a medical problem only when pain, muscle weakness, or other symptoms impair daily life.<\/p>\n<\/div>\n<\/div>\n\n\n\n



Treatment of Osteochondrosis<\/strong><\/strong><\/p>\n\n\n\n

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Medication:<\/strong><\/p>\n\n\n\n

    \n
  • Nonsteroidal anti-inflammatory drugs (NSAIDs):<\/strong> Diclofenac, nimesulide, Voltaren, ketorolac.<\/li>\n\n\n\n
  • Muscle relaxants:<\/strong> Tolperisone or Midocalm \u2013 act centrally to relieve muscle spasm by blocking nerve impulses to skeletal muscles.<\/li>\n\n\n\n
  • Microcirculation stimulants:<\/strong> Nicotinic acid, xanthinol nicotinate, Trental, Agapurin \u2013 improve nerve root nutrition and blood supply to the spine.<\/li>\n\n\n\n
  • Antioxidants and vitamins:<\/strong> Tocopherol, Mexidol, Berlition, B vitamins \u2013 accelerate nerve fiber recovery and overall regeneration.<\/li>\n<\/ul>\n\n\n\n

    For severe pain, intercostal nerve blocks with anesthetics (e.g., 2% novocaine) may be used. Sedatives may also be prescribed to reduce nervous system fatigue caused by persistent pain.<\/p>\n<\/div>\n<\/div>\n\n\n\n


    <\/strong>Physiotherapy:<\/strong><\/p>\n\n\n\n

    Physiotherapy reduces pain, edema, and improves blood circulation and muscle stabilization. Procedures are chosen based on disease stage, severity, and patient characteristics. Common methods include:<\/p>\n\n\n\n

      \n
    • Ultraviolet irradiation<\/li>\n\n\n\n
    • Darsonvalization<\/li>\n\n\n\n
    • Electrophoresis with novocaine, aminophylline, lidase, bee venom<\/li>\n\n\n\n
    • Phonophoresis with hydrocortisone<\/li>\n\n\n\n
    • Magnetic field therapy<\/li>\n\n\n\n
    • Ultrasound<\/li>\n\n\n\n
    • Diadynamic currents<\/li>\n\n\n\n
    • Underwater showers<\/li>\n\n\n\n
    • Massage<\/li>\n\n\n\n
    • Radon, sulfur, hydrogen sulfide, turpentine baths<\/li>\n\n\n\n
    • Thermal procedures<\/li>\n\n\n\n
    • Mud therapy, paraffin applications<\/li>\n<\/ul>\n\n\n\n

      Traction Therapy:<\/strong><\/p>\n\n\n\n

      Traction stretches paravertebral tissues, ligaments, and muscles, increasing intervertebral space by 1\u20134 mm (average 1.5 mm). Traction reduces nerve or vessel compression caused by disc herniation or osteophytes, decreases edema, and restores blood flow. It also reduces intradiscal pressure, enlarges intervertebral foramina, and relieves muscle tension.<\/p>\n\n\n\n

      Surgical Treatment of Herniated Discs:<\/strong><\/p>\n\n\n\n

      If conservative methods fail and severe pain persists, a neurosurgeon may evaluate the need for surgery. Spinal surgery carries risks, and postoperative scar formation can cause recurring symptoms, sometimes referred to as \u201cfailed back syndrome.\u201d<\/p>\n\n\n\n

      Intradiscal Microtherapy (Discogel):<\/strong><\/p>\n\n\n\n

      An innovative alternative to surgery involves injecting Discogel into the intervertebral disc under local anesthesia and radiologic guidance. Discogel dehydrates and necrotizes the nucleus pulposus via the osmotic effect of ethanol, decompressing the disc and relieving pain. This minimally invasive procedure avoids scars and spinal canal trauma, providing a safe and modern alternative to traditional surgery.<\/p>\n","protected":false},"excerpt":{"rendered":"

      Osteocondroza coloanei vertebrale -Spinal osteochondrosis is the dystrophic alteration of the intervertebral disc and adjacent vertebral bodies. In other words, osteochondrosis is a change caused by a disruption in the metabolic processes of the disc, that is, its nutrition. Osteochondrosis is a condition of humans as a biological species. There is an opinion that spinal […]<\/p>\n","protected":false},"author":1,"featured_media":13418,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-13416","page","type-page","status-publish","has-post-thumbnail","hentry"],"yoast_head":"\nSpinal Osteochondrosis - Asocia\u0163ia Ob\u015fteasc\u0103 ''HEALTHY SPINE''<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/scoliozaclinic.com\/en\/osteocondroza-coloanei-vertebrale\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Spinal Osteochondrosis - Asocia\u0163ia Ob\u015fteasc\u0103 ''HEALTHY SPINE''\" \/>\n<meta property=\"og:description\" content=\"Osteocondroza coloanei vertebrale -Spinal osteochondrosis is the dystrophic alteration of the intervertebral disc and adjacent vertebral bodies. 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