Osteocondritis of the spine
Occupational Diseases / / August 12, 2017
osteochondrosis - a collective term that ties together degenerative spinal changes: the primary lesion of the intervertebral disc (diskosis) with a possible prolapse of nucleus pulposus through fragmented annulus (herniated disc), proliferation of the vertebrae themselves such as osteophytes (spondylosis deformans) and changes in the intervertebral joints (spondyloarthrosis).In most cases there is a combination of all forms of osteoarthritis, but dominates usually one of them.
widespread disease, often leading to temporary or permanent disability;clinical picture depends primarily on the location of the lesion.Especially great is the importance of back and posterolateral disc herniation causing compression of the roots (and sometimes the spinal cord), and secondary changes in the very roots and surrounding tissues.
diagnosis of osteochondrosis established with certainty according to X-ray.However, it should be remembered that in the initial period of osteochondrosis changes on chest radiograph is usua
Symptoms Clinical symptoms of osteoarthritis are pain and limitation of motion in the cervical or lumbar spine (especially extension), the smoothing of the cervical and lumbar lordosis ( "flattening of the spine").
Since low back pain is essentially a manifestation of age-related evolution of intervertebral discs and surrounding tissues, it is found in most people after 40 years and almost all - after 50. However, the timing of development of degenerative disc disease, and the severity of its clinical manifestations and complications existlarge individual variations.Additional factors that cause early development of osteoarthritis, in the first place are the occupational factors, namely: permanent significant muscle tension in the respective torso department, repetitive excessive load, forced position of the head and torso.Of particular importance is prolonged overvoltage posterior regions of the intervertebral disc and posterior longitudinal ligament, created with physical exertion in the position of maximum flexion of the head and trunk, - that these conditions contribute to the formation of posterior and posterolateral hernias as open posteriorly and the disc is tilted forward angle between the vertebrae as aIt is squeezed out in this direction.
Lumbar osteochondrosis occurs with increased frequency in people whose work involves heavy physical exertion, especially when combined with the inclined position of the body or a necessary part of the slopes (miners, porters, roller, pravilschiki, welders, steelworkers, machinists, repairmen).The development of osteochondrosis also contributes to vibration (drillers, sinker, molders, drivers of heavy vehicles, tractor and others.).
regard to cervical osteochondrosis great importance forced position of the head and tense muscles of the shoulder girdle, celebrated in professions such as programmers, draftsmen, typists, remote management controllers, and so on. D.
Communication osteochondrosis of the profession can be installedunder the following conditions:
1. Age not more than 40-42 years.
2. Experience of not less than 10 years on the job associated with significant physical stress and static load on the spine (lifting and carrying heavy loads, frequent stooping or permanent tilt of the body - for lumbar degenerative disc disease, frequent head movements or long-continued forced her position -for cervical degenerative disc disease).
Principles of treatment
Creating a health-protective mode, the maximum sparing the affected area in the acute period and the elimination of pain, physical therapy, exercise therapy, fortification, biogenic stimulators, spa treatment.In cases of failure of conservative treatment of operative treatment.
disability During exacerbation of pain need to free the patient from work and assign the appropriate treatment.Bed rest for 3-5 days, cervical radiculitis and 14-21 days - for lumbar;minimum periods of temporary disability for cervical radiculitis - 10-14 days for the lumbar - 3-4 weeks.
When frequent or prolonged exacerbations radicular syndrome contraindicated work associated with significant physical stress, vibration, long, forced position and a portion of the inclined body, adverse weather conditions.
mechanization of labor-intensive processes, organization of rational regime of work (mikropauzy, industrial gymnastics).When conducting periodic medical examinations should pay attention to the above diseases.Recommended dispensary observation of patients diagnosed with osteochondrosis of any localization.