Dorsodynia

The causes and treatment of dorsodynia.

Behaviour key rules at pains and a back

Senses of disappointment and boring because of unsatisfactory functioning of the organism, especially are inherent to the human if repeating and flow of several years of restriction of motility and a dorsodynia gradually strengthen and necessities of treatment for a hospital lead. Probably, it is bound to excessive demands to itself. In effect, the dual attitude to diseases of a column is peculiar to the human. In the first case it changes the circumstances having on it unfavorable influence: it can concern both industrial activity, and rest, in particular the terminations of the playing sports bound to excessive loads. In the second case the human is ready to suffer dorsodynias repeating from time to time, to adapt to a situation, to reconcile with discomfort. Anyway, diseases of a column was rarely lead to physical inability.

Arising in this connection problems are always individual and caused by set of different factors, physiological and psychologic. Therefore it is necessary to find out, that causes pains: certain position of a body, the special locomotion, a boring or an oppressed emotional condition. To define the causes of occurrence of pains in a column most happens difficultly, especially when business concerns psychologic factors.

What is the pain?

Almost each human knows from own experience, that such a pain. However that it is better to perceive its nature and consequences, it is necessary to analyse this phenomenon more deeply. The pain should be surveyed as the danger signal, warning that something is not perfectly in order. This signal is extremely important, that the human could protect itself from choronomic and intrinsic traumas. The last can have both physical, and the psychologic nature.

In this connection it is necessary to mention humans though from very few, with congenital disability to feel a pain. They often die prematurely as not in condition to protect itself from dangerous damages, such, as chipped wounds, combustions, etc. Reaction to a pain basically is reflex. For example, we draw aside an arm, casually having touched a hot subject, and quickly we lift a foot, having attacked an acute subject. An eye cornea - one of the parts of an organism most sensitive to a pain, and we blink reflex if the most small mote gets to an eye even. The pain can lead to reflex abandoning of muscles to react. For example, at fracture of a foot the pain causes the slow reflex termination of muscle performance in it therefore possibility of locomotion is excluded by it. It is important, as even insignificant locomotion can lead to damage of nerves and veins acute edges of the broken bone.

The painful sensation subjectively also has individual character. A pain as which I feel, - mine. Thus, the sensation of a pain differs from other sensual perceptions, such as sight and audition which we can part with other humans seeing and hearing same with us. During too time our reaction to a pain in most cases warns also associates: gestures, a facial expression, locomotions and notes we reporting about the excruciatings.

The chronic pain does not represent a signal of unexpected danger. It happens, for example, at oncologic and some other diseases. In similar cases the pain causes only serious sufferings which can blast completely the person of the patient, and even to have unfavorable mental influence on its relatives.

So, the pain is the phenomenon concerning first of all separately of the human, but also in larger degree influencing on associates.

The general principles of struggle against a pain

Thermotherapy. It long since a known method of simplification of pains. The hot bath, a shower or a bath - here only some of means to warm up a body. On a sore point it is possible to put also hot a towel or a heater. Many of apparatus used in rooms for medical procedures, for example short-wave and ultrahigh-pitched, apply for the purpose of warming up of the conforming fields of a body.

At acute conditions soothing medicinal preparations or ice slices is better react. At refrigerating conductivity of nerves and a part of painful impulses worsens does not reach a brain.

Electroneurostimulation. This medical procedure in the form of an electrical boring of certain regions of a skin - an effective mean of weakening of pains.

Electroacupuncture - one of types of the named method. On a skin over a painful point attach two electrodes, a current, arriving to them on wires from the power supply, passes through a skin and causes an electrical boring, sufficient for awakening of nervous impulses in sensitive receptors. These impulses, reaching the centres in a spinal cord, stir to carrying out and perception of painful sensations, thus the appreciable part of painful impulses is not accepted by consciousness and consequently does not cause sufferings. Duration of the effect received as a result of this influence, fluctuates from 1 till 24 o'clock. Necessarily given procedure can be repeated some times in day. Electroneurostimulation represents a successful variant when at pains of long character constant application of analgetics is not recommended. This method on causes any collateral influences and consequently it is contraindicative only to the persons which warm activity is sustained by means of Pacemaker (electropacemaker)

Various ointments. At an infriction in a skin they also have some soothing an effect. At the same time the aboriginal boring arising at their application prevents to reach to painful impulses consciousnesses.

Soothing medicinal preparations (analgetics). The part from numerous sedatives can be bought only under prescriptions of the doctor. Many of them possess somnolent action, therefore at the use of such medicinal preparations it is necessary to observe known guard, for example at driving of the car or the work demanding concentration of attention. Resolvents sometimes too reduce a pain, muffling the inflammatory process causing it. The medicinal preparations relaxing muscles, prescribe when painful sensations are accompanied by intensity of muscles.

Corset. It use to unload a column and to provide to it stay in a rest condition, and also to protect to it stay in a rest condition, and also to protect from the movements hurting. The corset should be tightened rather hardly, that is inconvenient in need of long use. Besides in these cases weakening of muscles owing to restriction of their activity is observed, therefore at acute metal plates it is not necessary to wear a corset of 1-2 weeks, and at chronic diseases of a column it is authorised only in unusual cases.

Extension of a column (traction). It is the medical procedure used at chronic pains in a column. With its help the distance between vertebra is to some extent enlarged, that reduces pressure upon sensitive tissues, for example by the excitatory roots. Many means of realisation of procedure of extension are known. The patient can lay, sit or be in the suspended condition thus. So, many consider, that they achieve weakening of pains, having hung on a door swarm. There are many apparatus designed specially for extension of a column.

The doctor can often relax pains by a hypodermic injection of an analgetic. After that the pain quite often gives troubles less in spite of the fact that periods of validity of medicinal material have passed. In this case it is possible to lacerate a vicious circle in which painful influence raises the muscular intensity in turn intensifying perception of a pain.

Operative methods of treatment

The question on necessity of a surgical intervention at column diseases rises was very rarely. In Sweden from many thousand persons with serious diseases of a column of operation than 1 % has undergone no more.

In 1960-1970 intervertebral hernias were operated much more often, than now. Now doctors assert, that in most cases treatment by full rest yields the same results, as operation. Natural process of recover in this case (as well as in many other things) is represented to the best. At some diseases the surgical method of treatment nevertheless is recommended.

It is expedient, for example, when the intervertebral hernia influences functions of an intestinal tract or a bladder if, despite a confinement to bed or extension of a column, fast enriching of a condition of the patient has not come. The expediency of operation can be surveyed also if during certain term, despite the ordered confinement to bed and analgetics, pains still are very strong.

Employment by physiotherapy exercises

Starting employment by physiotherapy exercises, the patient should choose the most suitable complexes. To begin follows from the most simple exercises. Then it is possible to pass to more complex. Conformity of a chosen complex to its appointment should be the main rule in employment by medical gymnastics. Can happen, that the patient herself will choose the exercises approaching for yielding quite good results. If the human notices, that exercise benefits, he should rely on it.

It is necessary to remember: employment should not be interfaced to a pain and especially its intensifying. At first trainings can be accompanied by some painful sensations which should weaken gradually. Through 2-3 employment the organism will get used to loads and will carry out exercises easier. However it is necessary to remember, that the pain is a signal of danger which cannot be neglected.

Before the beginning of employment it is necessary to warm up a trained part of a body. For this purpose it is possible to use a hot bath, a shower or to put on this place a heater or a warmed up towel approximately for 10 minutes Such procedure it is not obligatory, but usually it reduces painful sensations and muscular constraint in the employment beginning.

To begin follows always very cautiously, avoiding wide movements and the big efforts. To type voltage and dynamics of movements it is necessary gradually. Important constantly to supervise a course of employment, to avoid unpleasant unexpectedness in the form of a pain or other "surprise".

At acute dorsodynias to choose absolutely painless exercises it is very difficult, therefore to begin employment follows only after transit of the acute season. It is better to leave a column alone for some superfluous days, than to force itself to be engaged in gymnastics through force, that usually only tightens recover. It is not necessary to be afraid, that the column for these will lose some days motility: the flexibility lost in rest, it is possible to recover easily enough.

Employment by physiotherapy exercises should become a habit. At the chronic form of disease to train follows every day, at acute - when pains start to weaken. The success of employment is promoted by their regular carrying out on a constant place in one and too time. Daily exercise for 10-15 minutes will gradually lead to appreciable results.

The advantage of employment can affect not at once, therefore it is necessary to be reserved by patience and endurance. Disease educes gradually, preconditions mature it for a long time, hence, to count on fast treatment precipitately.

The main objective should consist not in recovering immediately, but in preventing homing of acute conditions or, at least, to reduce their implications to a minimum, having provided itself thereby normal vital activity.