What is dorsalgia and how to treat pain in the cervical, thoracic and lumbosacral spine. Chronic dorsalgia Dorsalgia - what is it?

The initial cause of pain can be, as already mentioned, different. However, the pain itself occurs due to hypertonicity and tension of the spinal muscles, after which muscle spasms appear.

Classification

In real medical practice, the following classification is used:

vertebrogenic dorsalgia;
myofascial dorsalgia.

Relatively speaking, chronic dorsalgia of the first type develops due to diseases of the spine. And pain of the second type is caused exclusively by muscle tension.

Sometimes the diagnosis is nonspecific dorsalgia back pain occurs due to diseases of the internal organs(kidneys, gastrointestinal tract, pelvic organs, lungs).

The development of vertebrogenic dorsalgia occurs after pinching of the spinal nerve roots. Pinching is usually followed by inflammation and radiculitis develops.

Radiculitis can be located between the vertebrae or at the site of a bulging disc. Pain usually occurs only after a degenerative change in the tissue of the intervertebral discs, which is called osteochondrosis.

Spasms of muscle tissue lead to vascular spasms, which impairs the nutrition of disc tissue. As a result, the intervertebral discs simply dry out. The space between the vertebrae becomes smaller, and this is followed by pinching of the nerve endings and pain attacks, which are stimulated by reflex pinching of the muscles.

Sometimes the nerve endings are pinched by the spasmed muscles themselves, causing the pain to become even more acute and difficult to bear.

In the myofascial scenario, the cause of the development of pain is also muscle spasm. Tight muscles form pain points - triggers. It is in these areas that pain manifests itself.

According to the location of pain, they distinguish:

dorsalgia of the lumbosacral spine;
dorsalgia of the thoracic spine;
dorsalgia of the cervical spine.

Dorsalgia of the lumbosacral spine

The vast majority of pain in the lower back is associated with exacerbation of lumbar osteochondrosis. Lower back pain is often provoked by a hernia or protrusion. Usually low back pain is a classic case of vertebral dorsalgia. The pain here will be caused by pinched and possibly inflamed nerve roots.

As you know, lower back pain often occurs in overweight people, since it is this part of the spine that bears the main load. To reliably cure osteochondrosis, you must also take care of eliminating excess kilograms.

Dorsalgia of the thoracic spine

In the thoracic region, osteochondrosis is least pronounced. The development of the disease implies degenerative changes in the intervertebral discs.

Thoracic osteochondrosis is widespread, but is rarely diagnosed, because this disease often resembles a heart attack, angina pectoris, or a disease of the gastrointestinal tract.

If you have pain when inhaling and exhaling, intercostal pain, difficulty bending your body, pain when raising your arm, you should turn your attention to the thoracic spine.

Dorsalgia of the cervical spine

Usually the cause of neck pain is an exacerbation of cervical osteochondrosis. Such dorsalgia can be accompanied by pain in the arm, in the shoulder area, and headaches.

Cervical dorsalgia occurs or worsens when staying in an uncomfortable position for a long time, during physical exertion, sudden bending and awkward movements of the neck. There is also a rarer case of the disease - osteochondrosis, in which the back hurts between the shoulder blades.

Causes

The main cause of acute and regular back pain is stress. It is stress that causes muscle strain. Over the years, accumulated negative emotions that a person does not work with lead to the development of painful areas.

Another common cause of spinal problems is "passive lifestyle, which does not give the muscular system the necessary daily portion of movement.

Among the medical diagnoses leading to dorsalgia, doctors usually name:

radiculitis;
osteochondrosis;
Bekhterev's disease;
vertebral displacement;
disc protrusion;
intervertebral hernia;
spondylosis;
subluxations;
scoliosis.

Symptoms

The exacerbation period will last 2-3 weeks. At the same time, the pain gradually increases. Mild pain appears in the affected part of the spine.

As a rule, pain manifests itself especially actively when breathing deeply and bending forward, backward, or to the sides.

The specific symptoms of dorsalgia will directly depend on the disease and its stage. For example, in the case of an intervertebral hernia, the pain can be quite acute at first, but at the final stage it can hardly be felt. This will be associated with atrophy of the pinched nerve.

When diagnosed with dorsalgia, the symptoms can be so different that the severity of the disease is not always related to the intensity of the pain. There is a widespread, but completely erroneous opinion that if it doesn’t hurt too much, then nothing bad is happening.

The price to pay for such a mistake may be disability, the need for urgent surgical intervention, and the inability to live a full life. If your back hurts, you should urgently go to the doctor and get examined.

The nature of pain during dorsalgia can be very different. The pain can be pulling, burning, aching, cutting, and can radiate to the leg, arm, buttock, or shoulder blade. The location of the pain is no less varied. They can appear below, above, in the middle, on the right, on the left, between the shoulder blades.

But, despite such diversity, all pain can be divided into sudden and chronic.

Sudden pain

A sharp, sudden pain, similar to a lumbago, is called dorsago. The cause of pain in the chest area will most often be thoracic osteochondrosis. Sometimes the pain is so strong that the person has difficulty breathing or freezes in a forced position.

A lumbago in the lumbar region is called lumbago. The most likely cause of such pain is lumbar osteochondrosis.

If you immediately contact a specialist, it will be quite easy to relieve sudden pain. If the problems are not big, then one or several massage sessions will be enough for the pain to go away. Sometimes acupuncture and manual therapy are also used to quickly relieve pain.

Chronic pain

Chronic pain does not appear immediately. They usually develop gradually. At first, the pain occurs briefly when inhaling, exhaling and bending over. Gradually they become more and more frequent guests. The cause of chronic dorsalgia is dystrophic changes in the intervertebral discs.

A possible cause is also inflammation of the intervertebral joints. This disease is called ankylosing spondylitis. In addition to these reasons, there are a dozen others.

Chronic pain is excellently eliminated by various methods of reflexology and physiotherapy. Of course, you will need patience to complete a full course of treatment, but with regular procedures you can achieve a powerful therapeutic effect, achieve increased blood supply and accelerate metabolic processes in the area of the intervertebral discs, joints, vertebrae, and muscles that surround the spine.

With sufficient persistence, you can not only stop degenerative processes, but also reverse them. With a competent approach to treatment, intervertebral discs can completely recover, and pain can completely go away.

Treatment

If you have been diagnosed with dorsalgia, treatment will depend on the cause of the pain. Diagnosis is, as they say, half of successful treatment. The primary diagnosis is made using manual therapy methods. But only computer or magnetic resonance imaging can show all the details.

Non-drug

Treatment for back pain includes various types of physiotherapy, acupressure, acupuncture, acupressure, osteopathy and others. In non-drug treatment, there are two main vectors - relaxation of muscles and their training so that the muscular frame of the spine can maintain the “column of life” in optimal condition and at the same time not only tense, but also relax in time.

Medication

Anti-inflammatory and painkillers are commonly used to treat back pain. Of course, treatment is not limited to this alone.

Treatment with drugs is usually combined with various types of therapy, wearing a corset, exercises to develop the muscular frame of the spine.

When you contact a good clinic, they will help you:

relieve pain and prevent inflammation;
increase the mobility of the spine;
improve your emotional state and increase physical activity;
prevent complications in spinal diseases;
improve the functioning of internal organs.

As you know, a healthy back is the key to performance. Experts unanimously say that early diagnosis will allow the course of treatment to be carried out as effectively as possible and achieve maximum results.

If dorsalgia is a regular guest for you, you should include a set of exercises to strengthen your back in your daily schedule. But under no circumstances should you overload your back.

An orthopedic corset will be an excellent help in the fight against dorsalgia, not too hard and not too soft, somewhat restricting movement, but not pressing.

Conclusion

A person who cares about his own health should remember that identifying the causes of dorsalgia and comprehensive treatment will help maintain health for many years and get rid of even more serious problems.

It is better to start treatment with non-drug methods (if the situation allows) and combine various methods of physiotherapy and reflexology.

Excellent methods for strengthening the back muscles would be yoga, swimming, stretching, independent wall bars, and movement such as daily walking.
In this video, the specialist gives a couple more practical tips.

Dorsalgia - this term refers to pain in the back of any origin. Dorsalgia is divided into acute and chronic. They differ in the reasons that cause this syndrome. In the acute form, the pain is caused by a human factor: a sudden lifting of something heavy, severe hypothermia. In chronic dorsalgia, we are talking about destructive pathologies associated with the spinal column.

Hence the division into two classes:

Vertebrogenic.
Myofascial.

In the first case, the pain is caused by changes in the spine. In the second, they are caused by muscle tone and spasms. In some cases, dorsalgia may indicate disorders or diseases of the internal organs.

Symptoms depend largely on what type of disease we are dealing with.

There are three types of dorsalgia:

thoracic spine;
cervical region;
lumbosacral region.

Thoracic dorsalgia is common and is almost always caused by osteochondrosis and its pathologies. However, such osteochondrosis is rarely diagnosed due to the fact that the signs are externally similar to heart disease, gastrointestinal tract and other disorders.

You need to pay attention if:

there is pain when taking a deep breath;
difficult to tilt;
shooting, stabbing pains in the left side;
difficulty raising your arm;
the pain lasts more than a few days.

With cervical dorsalgia, the neck begins to hurt, headaches become frequent, and may be accompanied by nausea and dizziness. In this case, a rare symptom may be added: pain in the back in the area of the shoulder blades.

With lumbosacral dorsalgia, both classes of pain often occur. When the lower back is affected, the nerve endings are pinched and become inflamed. The reason may be a one-time overload or, more often, osteochondrosis.

Signs and nature of pain

Some people believe that minor pain is not a reason to run to the doctor. It doesn't hurt much, so there's no danger. An erroneous judgment, the nature of the pain cannot indicate the true extent of the disease. For example, with a hernia in the initial stage, the pain is acute, sometimes unbearable, forcing the patient to take painkillers. But at the final stage, the pain decreases and this indicates that the damaged nerve root is completely atrophied.

Pain from dorsalgia can be sudden and sharp (dorsago). This symptom manifests itself as a powerful and unexpected lumbago, often in the sternum area. The pain is so deafening that the person freezes for some time without moving.
If there is such a lumbago in the lumbar region, then this is a manifestation of lumbago. The pain is just as strong, shooting, and also paralyzes the patient for a while.

Chronic pain is not so aggressive and increases gradually. In the initial stages, the pain appears intermittently, disappearing for a considerable time after the exacerbation. If treatment is not started, the periods of remission will become shorter and the pain will become constant.

Expert opinion

Over time, pain and crunching in the back and joints can lead to dire consequences - local or complete restriction of movements in the joint and spine, even to the point of disability. People, taught by bitter experience, use a natural remedy to heal joints, which is recommended by orthopedist Bubnovsky... Read more"

Causes of dorsalgia

Very often, the main cause of pain is a psychosomatic condition. The burden of life's problems, the impossibility of resolving them, and constant nervous tension have a strong effect on the health of the back. A person involuntarily bends over, loses his posture, as if physically feeling the burden of problems. Only the spine and back do not care what exactly deforms the vertebrae and discs: real severity or moral severity.

If we add to this the fact that 95% of people today work sitting at computers, and some do heavy physical labor, we get ideal conditions for the development of various spinal diseases:

vertebral subluxations and displacement;

A sedentary lifestyle also causes changes in the spine. Excess weight can destroy the entire spine and cause regular exacerbations.

Treatment of the disease

Treatment of dorsalgia begins with eliminating pain in a person. While the pain persists, some of the treatment is prohibited, for example, manual therapy and massages. To relieve pain, it is good to use painkillers in the form of gels and warming ointments. The effect of conventional medications is much weaker without local support. Finalgon, Finalgel or Nise help well.

A little about secrets

Have you ever experienced constant back and joint pain? Judging by the fact that you are reading this article, you are already personally familiar with osteochondrosis, arthrosis and arthritis. Surely you have tried a bunch of medications, creams, ointments, injections, doctors and, apparently, none of the above has helped you... And there is an explanation for this: it is simply not profitable for pharmacists to sell a working product, since they will lose customers! Nevertheless, Chinese medicine has known the recipe for getting rid of these diseases for thousands of years, and it is simple and clear. Read more"

These ointments not only have an analgesic effect, but also penetrate deep into the skin and reduce swelling and reduce inflammation. Unlike tablets, the medicinal components of gels and ointments are directly delivered to the tissue. Due to this, the effect occurs quickly. The only exception is Diclofenac. The drug is strong, especially in the form of 100 mg suppositories. However, its effect begins only after 8-12 hours (when taking tablets, the validity period is up to 18 hours).

Dorsalgia is a new orthopedic disease. Therefore, there are no special orthopedic devices yet. But wearing a special corset or collar is quite conducive to successful treatment. Consultation is required to choose the type of device and material. For most patients with cervical dorsalgia, only soft magnetic posture correctors are suitable, while for problems with the lower back or sternum, a hard corset is more effective.

If the pain does not decrease, treatment is ineffective; the method of blocking the affected nerve is used. The procedure is short-term, but can be repeated as needed.

When the pain goes away, the patient is prescribed:

If there is a history of osteochondrosis, specific treatment will be required. There is no other way to get rid of dorsalgia of this nature. And only in cases where therapy has failed, surgery can be indicated. Modern medicine prefers operations with minimal trauma. This helps a person to recover faster and return to normal life. Treatment proceeds quickly if treatment is made in a timely manner.

How to forget about back and joint pain?

We all know what pain and discomfort are. Arthrosis, arthritis, osteochondrosis and back pain seriously spoil life, limiting normal activities - it is impossible to raise an arm, step on a leg, or get out of bed.

Main symptoms:

Dorsalgia is essentially the fact of the presence of pain of varying degrees of intensity in the back. It follows from this that this is not a separate pathology, but a syndrome that occurs in any age category and regardless of gender.

In almost all cases, the source of such a disorder is the course of one or another disease affecting the skeletal system or spinal column. In addition, clinicians also identify a category of predisposing factors.

As for the symptoms, they will be dictated by the disease that served as the source of dorsalgia. The main clinical manifestation is, against the background of which other symptoms gradually develop.

The clinician will be able to make a diagnosis of dorsalgia based on data from instrumental examinations of the patient, which can also be supplemented by a physical examination and laboratory tests.

Treatment tactics are dictated by the etiological factor, but are often based on conservative techniques.

The International Classification of Diseases, Tenth Revision, has allocated a separate meaning for such a syndrome. The ICD 10 code is M 54. However, it is worth noting that unspecified dorsalgia has a value of M 54.9.

Etiology

A large number of predisposing factors can cause the appearance of pain in the back or dorsalgia, which is why they are usually divided into several groups.

– this is an infectious-inflammatory disease that primarily affects the bone marrow, after which it spreads to the bone tissue;
benign or malignant neoplasms, as well as cancer metastasis;
- in this case, a herniated disc is formed;
- for such a pathology, increased fragility of all bones is characteristic;
– in such cases, there is a displacement of one vertebra in relation to the others;
narrowing of the lumen of the spinal canal;
fractures and injuries.

The second group of reasons includes muscle diseases, among which it is worth highlighting:

Crick;
muscle spasms.

Dorsalgia can also be due to:

hemorrhages in the pelvic area;
hematomas located in the retroperitoneal space, in which a purulent process occurs;
injuries and ailments of the pelvic organs;
pathologies of the gastrointestinal tract and kidneys;
rheumatological disorders.

In addition, there are the following risk factors:

extensive injuries;
lifting weights by a physically weak person;
prolonged stay in an uncomfortable position;
prolonged hypothermia of the body.

In addition, in female representatives, dorsalgia can be caused by the period of gestation and menstruation.

Classification

Depending on the location of pain, there are the following forms of this syndrome:

cervicalgia– has the second name “dorsalgia of the cervical spine”;
lumbodynia– in this case, the pain is localized in the lumbar area, which is why the disorder is also known as dorsalgia of the lumbar spine;
thoracalgia- differs in that the main symptoms do not extend beyond the sternum, which means that in such cases dorsalgia of the thoracic spine will be diagnosed.

Depending on the duration of expression of unpleasant sensations, the syndrome can occur in several forms:

acute dorsalgia– is such if pain bothers patients for no more than one and a half months. It differs in that it has a more favorable prognosis in comparison with the sluggish variety;
chronic dorsalgia– diagnosed if pain in one or another part of the spine persists for more than twelve weeks. Such a course is fraught with loss of working capacity or disability of a person.

By origin, this violation has two types:

vertebrogenic dorsalgia– characterized by the fact that it is directly related to injury or diseases of the spine;
non-vertebrogenic dorsalgia– the occurrence of this type is caused by other etiological factors, for example, somatic ailments or psychogenic causes.

Symptoms

Clinical manifestations of dorsalgia consist in the expression of pain, which can be either constant or paroxysmal in nature, aching or sharp. However, in all cases the pain intensifies with physical activity.

Given the fact that such a syndrome develops due to the course of various diseases, it is natural that the symptoms in each specific case will be different.

In the course of rheumatological pathologies, clinical manifestations will be as follows:

localization of pain in the lumbar area;
irradiation of unpleasant sensations to the area of the buttocks and thighs;
increased pain with prolonged rest;
bilateral spinal lesions.

In cases where the source is infectious processes, then among the characteristic symptoms will be:

severe pain throughout the spinal column;
foci of pain in the lower back, buttocks or lower extremities;
swelling and redness of the skin in the problem area.

For muscle pathologies that cause spinal dorsalgia, the symptoms will be as follows:

distribution of pain on the left or right side of the body;
increased pain with climate change or in cases of exposure to stressful situations;
the occurrence of painful points located in various areas of the body, which are detected when accidentally pressing on them;
muscle weakness.

With osteochondrosis and spondylarthrosis, clinical signs are presented:

back pain - exacerbation is observed when turning or bending;
discomfort that occurs when staying in one position of the body for a long time;
numbness or tingling of the hands or feet;
decreased muscle tone;
headaches and dizziness;
impaired hearing or vision;
tonic syndrome;
movement disorders.

In cases of damage to other internal organs, the following will be expressed:

abdominal pain and frequent urination - with kidney pathologies;
girdling nature of pain – in diseases of the gastrointestinal tract;
pain in the chest and under the shoulder blades - with lung diseases.

Diagnostics

If you experience back pain or dorsalgia, you should seek qualified help from a neurologist. It is this specialist who will conduct the initial diagnosis and prescribe additional examinations.

Thus, the first stage of diagnosis includes:

collecting a life history and analyzing the patient’s medical history - this will help determine what pathological condition provoked the appearance of such a syndrome. Symptoms and treatment will vary depending on the disease identified;
general physical examination aimed at palpating the spine and assessing the range of movements in it;
a detailed survey of the patient - to establish the nature of pain, the presence and severity of additional symptoms.

Laboratory diagnostic measures are limited to a general clinical analysis of blood and urine.

The most valuable in establishing the correct diagnosis are the following instrumental examinations of the patient:

radiography - to detect pathological changes in the vertebrae;
electromyography – will detect muscle pathologies;
densitometry – determines bone density;
CT and MRI – to obtain a more detailed picture of the spine. It is thanks to this that it is possible to distinguish non-vertebrogenic dorsalgia from the syndrome of vertebrogenic genesis;
radioisotope osteoscintigraphy - in this case, a radiopaque substance is distributed over the bones. The presence of foci of excess accumulation will indicate the localization of the pathology, for example, the sacral spine.

In addition, you may need consultation:

vertebrologist;
rheumatologist;
orthopedist.

Treatment

In the vast majority of cases, eliminating the underlying disease is sufficient to relieve back pain.

However, the treatment of dorsalgia involves the use of a whole range of conservative techniques, including:

compliance with bed rest for two to five days;
wearing a special bandage designed to relieve stress from the spine;
taking non-steroidal anti-inflammatory drugs - orally, by injection or used as ointments;
the use of muscle relaxants are medications that relax muscles;
therapeutic massage course;
physiotherapy procedures;
performing physical therapy exercises - but only after the pain subsides.

The issue of surgical intervention is decided individually with each patient.

Prevention and prognosis

To reduce the likelihood of developing a syndrome such as dorsalgia, it is necessary:

monitor correct posture on a regular basis;
engage in timely treatment of those diseases that can lead to back pain;
rationally arrange the working and sleeping space;
completely eliminate hypothermia;
prevent injuries to the spine, back and pelvic area;
eliminate the influence of heavy physical activity;
monitor body weight indicators - if necessary, lose a few kilograms or, conversely, increase your body mass index;
undergo a full preventive examination at a medical facility several times a year.

Dorsalgia itself does not pose a threat to the patient’s life. However, we should not forget that each disease that causes back pain has its own complications. The most unfavorable prognosis is observed with vertebrogenic dorsalgia, since in such cases it is possible that the patient will become disabled.

Is everything in the article correct from a medical point of view?

Answer only if you have proven medical knowledge

Spinal diseases, which are accompanied by pain, are a common phenomenon among modern people. Discomfort can occur due to a passive lifestyle, excessive physical activity, and sports injuries. Pain syndrome does not allow normal movement and reduces the quality of life.

Not all patients who suffer from recurring back pain know what is dorsalgia. This is not a pathology, but a clinical syndrome, which is manifested by painful sensations of varying intensity. This disorder can occur in patients of any age and gender. To get rid of unpleasant sensations, you need to identify the disease that provoked dorsalgia, and then begin to treat it. Dorsalgia is a symptom of various ailments, which are characterized by curvature of the spine, destruction of cartilage or bone tissue, mechanical injuries, etc.

Dorsalgia: Basics

Soreness occurs when nerve endings are pinched, inflammation develops, and physical damage to bones occurs. Moreover, the more intense the pain syndrome, the more damaged the nerve tissue is. If the nerves are located near the spinal column, then the likelihood of pinching the spinal cord increases, and this can lead to serious complications.

Reference. Dorsalgia of the thoracic spine is quite insidious, as it often has a gradual course. This is due to the fact that the thoracic segment is inactive, so the signs of the disorder are less pronounced. For this reason, patients seek medical help late, when the disease becomes chronic.

The main symptom of the syndrome is pain, other symptoms depend on the disease that provoked the disorder. To diagnose dorsalgia, it is necessary to conduct instrumental as well as laboratory tests. Treatment tactics are drawn up after determining the cause of the disorder. Most often, conservative therapy is performed. The code for dorsalgia in the international classification of diseases is M 54, and for a syndrome of unspecified origin is M 54.9.

Reference. Dorsopathy is a whole group of pathologies of the spinal column, surrounding muscles, ligaments and other soft tissues. Dorsalgia is one of the types of dorsopathies, which manifests itself as pain.

Causes

Back pain can appear for various reasons; for convenience, predisposing factors are divided into groups:

1. Pathologies of the spine:

osteomyelitis is a purulent-necrotic disease that affects bone, bone marrow, and surrounding tissues;
osteochondrosis, which is complicated by intervertebral hernia;
osteoporosis – decreased bone density, increased fragility;
spondylolisthesis – displacement of the vertebrae relative to each other.
curvature of the spinal column;
spondyloarthrosis is a pathology characterized by damage to all components of the bone joint, especially the cartilaginous lining;
tuberculosis of bone tissue - progressive destruction of bones;
protrusion – protrusion of the nucleus pulposus of the intervertebral disc without rupture of the outer shell;
spinal canal stenosis;
fractures and other bone injuries.

Reference. Spondylogenic dorsalgia is usually diagnosed with degenerative disorders of the spine.

2. Muscle disease:

fibromyalgia – musculoskeletal pain;
Crick;
inflammation of skeletal muscles;
involuntary muscle contraction.

3. Other reasons:

bleeding of the pelvic organs;
purulent hematomas in the retroperitoneal space;
diseases of the digestive organs, kidneys;
dissecting aortic aneurysm - rupture of the largest artery and its further dissection with escaping blood;
shingles;
rheumatological diseases.

Important. The likelihood of dorsalgia increases with massive injuries, lifting heavy objects, prolonged exposure to an uncomfortable position, and frequent hypothermia. In women, the disorder may appear during pregnancy or menstruation. Dorsalgia often occurs in patients with psychological disorders (frequent depression, anxiety).

Types of syndrome

Doctors distinguish several forms of dorsalgia syndrome:

1. At the location of pain:

cervicalgia – painful sensations appear in the cervical spine;
lumbodynia – discomfort is localized in the lumbar segment;
Thoracalgia – pain appears in the thoracic area.

Reference. Pain in the lumbosacral region is diagnosed more often than other forms of the syndrome.

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2. According to the duration of painful sensations:

acute – pain does not disappear within 6 weeks. This form of dorsalgia is easier to treat;
chronic – Discomfort does not disappear for 3 months or more. This form of disorder threatens with loss of ability to work and disability.

3. By etiology:

vertebrogenic – pain occurs due to injuries, as well as diseases of the spine;
nonvertebrogenic – pain syndrome is associated with somatic diseases or psychogenic disorders.

It is important to determine the form of dorsalgia in order to develop treatment tactics.

Symptoms

The main symptom of dorsalgia is back pain, which can be constant, paroxysmal, aching, or sharp. Regardless of the nature, pain discomfort increases with physical activity. As mentioned above, dorsalgia is provoked by various diseases, so its manifestations also differ in each individual case.

Symptoms of dorsalgia caused by rheumatological pathologies:

pain occurs in the lumbar region;
pain spreads to the buttocks, thighs;
when the body is at rest for a long time, the discomfort intensifies;
bilateral spinal column injury.

If the pain is caused by infections, then dorsalgia manifests itself with the following symptoms:

sharp pain along the entire length of the spine;
pain is localized in the lower back, buttocks, legs;
The skin on the affected area turns red and swells.

Clinical manifestations of the disorder arising from muscle diseases:

pain syndrome spreads along the left or right side of the torso;
discomfort becomes more pronounced with acclimatization or stress;
painful points appear in different parts of the body, which can be found by accidentally pressing them;
muscles weaken.

Symptoms of dorsalgia against the background of osteochondrosis and spondyloarthrosis:

pain increases when the patient turns or bends over;
unpleasant sensations appear when a person does not change position for a long time;
there is a feeling of numbness, tingling in the upper or lower extremities;
muscle tone decreases;
the patient suffers from frequent headaches and vertigo (dizzy);
hearing and vision disorders appear;
long-term and persistent muscle tension occurs, painful compactions (trigger points) form in them;
the mobility of the spine is impaired.

Reference. In case of kidney damage, dorsalgia is manifested by pain in the lower abdomen, frequent urination, in diseases of the digestive organs - girdle pain, in case of lung pathologies - pain in the chest and shoulder blades.

Most often, the discomfort goes away with treatment at home. The following symptoms indicate a serious medical problem:

the pain syndrome does not stop within 3 days;
the patient does not control urination and defecation;
the pain appeared after a fall from a height or a direct blow;
severe pain does not disappear even at night;
sensitivity in the lower extremities decreases;
discomfort is accompanied by rapid weight loss;
swelling appeared on the back.

You should urgently seek medical help if pain first occurred after age 50, you have previously been treated for cancer, taken steroids, or you have been diagnosed with osteoporosis.

Establishing diagnosis

If symptoms of dorsalgia appear, you should contact to a neurologist. First, the specialist analyzes the medical history to find out the cause of the pathology. Then a visual examination is carried out, the doctor palpates the spinal column to describe the status of the locales (place and area of the lesion), assesses the amplitude of its movements. To do this, he conducts a test on the patient's ability to sit, stand, move, raise his legs. A special hammer is used to test reflexes. Then he asks the patient about his feelings in order to identify the nature of the pain and other symptoms, as well as the degree of their severity.

To clarify the diagnosis, the neurologist prescribes hardware tests:

X-ray allows you to detect pathological changes in the structural elements of the spine;
Electroneuromyography is used to assess muscle condition;
Ultrasound densitometry helps determine the degree of mineralization of bone tissue;
Computed tomography and magnetic resonance imaging allow a detailed examination of the spine. These techniques are used to evaluate bone tissue, intervertebral discs, muscles, ligaments, nerves, blood vessels;
Skeletal scintigraphy is performed using radiopharmaceuticals. This diagnostic method allows you to identify the location of the pathology (for example, lumbar dorsalgia).

If a neurologist suspects that the syndrome was provoked by some other disease that is not within his competence, then he refers the patient for a consultation with a vertebrologist, rheumatologist or orthopedist.

Treatment methods

To get rid of pain, you need to eliminate the underlying disease. Treatment of the spine should be comprehensive; for this, the following actions and techniques are used:

Complete peace. Immediately after discomfort occurs, the patient should remain in bed most of the time. It is advisable to follow this rule for 2 to 5 days.
To relieve the load on the spine, it is recommended to wear special corset.
Traction of the spine in a vertical position- This is an effective and gentle method of getting rid of many problems, for example, intervertebral hernia. With its help, it is possible to slow down further destruction of the discs and improve their trophism (nutrition).
Physiotherapy carried out only after the pain has subsided.
Massage normalizes muscle tone, improves local metabolic processes.
Effective alternative treatments for dorsalgia include leech treatment, reflexology.
Used to eliminate pain and inflammation NSAIDs in the form of tablets, injections, ointments. They will help to relax spasmodic muscles and eliminate acute pain. muscle relaxants.

Surgical treatment is performed extremely rarely. Doctors decide to perform surgery if the pain caused by cervical, thoracic or lumbar dorsalgia is not relieved by conservative methods for a long time. Warning signs include pain and numbness of the lower extremities, further weakening of muscles, etc. However, doctors do not guarantee that the discomfort will go away after the operation. If an intervention is performed to remove a vertebral hernia, then patients need to know that there is a risk of its recurrence.

Reference. The need for surgical intervention appears in cases of bone tissue infections, cancer, and intervertebral hernias.

The operation must be performed for osteomyelitis; during the procedure, the surgeon opens the vertebral body to remove the abscess and dead tissue.

Preventive measures

To avoid such an unpleasant and dangerous disorder as dorsalgia, The following recommendations must be followed:

accustom yourself to sit with a straight back, if necessary, lean on the back of a chair, but do not hunch over;
treat diseases that can cause back pain in a timely manner;
for sedentary work, buy a chair with an orthopedic back;
purchase an orthopedic mattress, low pillows;
avoid excessive physical activity;
control weight, try to keep it normal (you can’t quickly get better or lose weight);
undergo a medical examination at least once every six months.

The most important

Dorsalgia is not a deadly disease, but it requires competent complex treatment. If you experience pain, numbness, limited mobility or other suspicious symptoms, you should consult a doctor. To get rid of discomfort, you need to eliminate its main cause. Typically, conservative methods are used for treatment. The operation is prescribed only for severe pain that is not relieved by medication, numbness of the limbs. To avoid dorsalgia, try to monitor your posture, use orthopedic furniture, bedding, control weight, treat diseases that are accompanied by back pain in time. published .

The most common manifestation of serious problems with the spine is vertebrogenic dorsalgia - back pain caused by various factors that are traumatic, degenerative, neoplastic and inflammatory.

Causes of vertebrogenic dorsalgia

The reasons why the disease occurs are quite numerous. They can be associated either directly with spinal problems or appear as a result of various diseases that have arisen in the human body. However, there are several main factors that contribute to the onset of the disease:

Frequent and prolonged stay in an uncomfortable position
Various injuries
Diseases of the joints and internal organs
Heavy physical activity
Hypothermia
Osteochondrosis
Spondyloarthrosis and other diseases of the spine

Symptoms of vertebrogenic dorsalgia

Often the disease manifests itself gradually, and symptoms may not be noticeable until after 2 weeks. Among the main signs that may signal the onset of the disease:

Discomfort and pain in the spine
Worsening pain with movement, coughing, sneezing, or deep breathing
The occurrence of pain after physical activity, due to careless or sudden movement

Treatment methods

The clinic’s specialists provide high-quality and successful treatment for this disease. Vertebrogenic dorsalgia will be effectively and quickly defeated with the help of centuries-tested methods of oriental medicine, including:

Acupuncture is an effective method that helps quickly eliminate pain and muscle spasms, as well as relieve swelling.
Acupressure is a method that achieves complete relaxation and nutrition of muscle tissue, activates the recovery of the body as a whole and improves blood circulation.
Pharmacopuncture is a method of oriental medicine that promotes a speedy recovery of the patient.
Manual therapy is an effective method that helps improve the flow and outflow of blood to the spine, releasing pinched nerves and blood vessels.
PRP therapy is the latest method of stimulating recovery processes. It is used to restore the functions of various organs after diseases and injuries, including to restore the function of the musculoskeletal system.

Treatment of vertebrogenic dorsalgia at the Paramita clinic

The clinic’s doctors use proven oriental methods for treating vertebrogenic dorsalgia. They are the safest and most gentle, do not cause pain and give good results.

The main focus of the course is a combination of progressive therapy techniques with effective Eastern methods. For each patient, a special course of treatment is drawn up in accordance with the degree of development of the disease and the general condition of the body.

“You have thought about your own health and contacted us - with this step you trusted us with their lives. We highly appreciate your choice, and on behalf of the Paramita clinic team, I want to assure you that we will do everything possible to justify it.”