The vertebral spine shows frequent degenerative alterations knows as spondylosis or spondylarthrosis, localized on various levels, affecting discovertebral joints and/or interapophysary joints (posterior).
The discovertebral arthrosis starts by the initial injury of the intervertebral disc, more precisely by the deterioration of the pulpy nucleus, and then of the fibrous-cartilaginous ring. The decrease of elasticity of the pulpy nucleus due to water loss or to excessive mechanical stress makes the pressures that it takes over normally to be sent unequally and in an unbalanced manner to the neighboring structures, and it causes an uneven stress. Consequently, the paravertebral ligaments will be pushed forward or sideways, creating osteophytes. Their posterolateral creation affects the nervous roots with algic radicular symptomatology.
Clinically, Spondylosis manifests by:
- pain that may be localized – caused by the distension of paravertebral ligaments, deterioration of the articular capsule, synovial inflammation or spasm of the neighboring muscles. /li>
- Radicular pain caused by compression of the nervous root, either by lateral herniation of the pulpy nucleus, or by osteophytes created in the conjugation holes.
In the cervical localization, the discarthrosis lesions may be joined by the deterioration of neovertebral joints. The discovertebral arthrosis affects disc C5-C6
The interapophysary arthrosis engages mainly the articular inter-lines c2-c3, c3-c4.
Common clinical signs of Spondylosis
- localized pains;
- radicular pains of the brachial plexus;
- occipital headache;
- vision disturbances.
At the thoracic level, the disease is clinically translated by dorsalgia and/or dorsal kyphosis and in the lumbar localization, the discarthrosis lesions are joined by localized pain and radicular pain.
Symptoms of spondylosis:
- Limitation of mobility of the vertebral spine;
- Numbness of the limbs;
- Lack of coordination;
- Walking difficulties;
- Abnormal reflexes.
Interdictions in spondylosis::
- Maintain fixed positions for long periods of time;
- Avoid cold;
- Lifting weights;
- Physical and sports activities;
- Losing weight or maintaining weight;
- Avoid constipation;
- Avoid flu.