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Радикулопатия (корешковый синдром) – распространенное неврологическое заболевание, характеризующееся сдавливанием нервных корешков. Болевой синдром возникает в том отделе позвоночника, где локализовался патологический очаг. Также боль может распространяться по ходу нервов и доходить до органов пищеварения и сердца.
При радикулопатии шейного отдела человек жалуется на болевые ощущения в области грудной клетки, надплечья и лопатки. Движения в шее скованные и вызывают боль. Патология сопровождается снижением чувствительности верхних конечностей и онемением. Пациент не может поднять руку на пораженной стороне.
Если патологический очаг локализовался в грудном отделе, то клиническая картина схожа с симптомами межреберной невралгии. Грудную радикулопатию вызывает остеохондроз, межпозвоночная грыжа и дегенеративные изменения.
Радикулопатия поясничного отдела провоцирует выраженную боль в спине, которая может доходить до ноги на пораженной стороне. Нередко пациент не может самостоятельно передвигаться. У него наблюдаются частые позывы к мочеиспусканию или наоборот затруднения.
Если корешковый синдром вызван инфекционной болезнью, то у человека повышается температура тканей над пораженной областью и наблюдается субфебрильная лихорадка.
Корешковый синдром развивается на фоне следующих причин:
Для выявления корешкового синдрома врач проводит осмотр, в ходе которого определяет неврологические нарушения. Установить точный диагноз поможет рентгенография позвоночника и МРТ. Определить диаметр фораминального отверстия и проверить состояние костной анатомии можно с помощью компьютерной томографии.
Для диагностики радикулопатии в сети клиник ЦМРТ используют такие методы:
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Пациенту с корешковым синдромом следует придерживаться постельного режима и спать на специальном матрасе. Для снятия боли ему назначают обезболивающие лекарства и нестероидные противовоспалительные препараты. При отсутствии положительного эффекта используют лечебные блокады.
Полезно сочетать прием медикаментов с физиотерапией. К эффективным процедурам относятся магнитотерапия, УВЧ и электрофорез. При стихании обострения рекомендуется делать массаж и остеопатические техники. Для профилактики рецидивов следует применять хондропротекторы. Чтобы разгрузить мышцы спины и обеспечить дополнительную защиту пациент должен носить специальный корсет. Восстановить нервные импульсы помогут сеансы иглоукалывания.
Если радикулопатия вызвана остеохондрозом, то в курс лечения включают ферменты, глюкокортикостероиды, мази для улучшения кровообращения и снятия боли. Эффективно при остеохондрозе делать грязевые аппликации и прогревание. Отлично зарекомендовали себя рефлексотерапия, ультразвуковая терапия и гидромассаж. Они не только улучшают кровоток и снимают боль, но и пробуждают силу, бодрость и энергию.
При длительном течении корешкового синдрома с постоянной болью пациенту назначают антидепрессанты. Если у него наблюдаются нейротрофические расстройства, то необходимо использовать ганглиоблокаторы. Для снятия мышечных спазмов эффективно применение миорелаксантов. Нормализовать обменные процессы помогут витамины группы B.
При необходимости увеличения межпозвонкового расстояния и снижения негативного влияния на спинальный корешок применяют тракционную терапию. В период реабилитации рекомендуется озокеритолечение, радоновые ванны и парафинотерапию.
Если консервативное лечение не показало желаемого результата, то потребуется оперативное вмешательство. При грыжах эффективно проводить дискэктомию или микродискэктомию.
Для лечения радикулопатии в сети клиник ЦМРТ применяют разные методы:
При отсутствии лечения межпозвоночной грыжи и радикулопатии может произойти закупорка корешковых вен и артерий, что приведет к уменьшению кровотока. Со временем у пациента возрастает риск появления инфаркта спинного мозга. Он вызывает нарушение чувствительности и двигательной активности. В таком состоянии человеку может получить инвалидность.
К опасным последствиям межпозвоночной грыжи также относятся:
Если не вылечить корешковый синдром шейного и поясничного отделов, то нередко развивается дискогенная радикулопатия. Она сопровождается постоянной болью и ограничением в движениях. К такому осложнению склонны курящие люди и те, у кого имеются врожденные аномалии развития позвоночника.
При далеко зашедшем поражении корешка возникают трофические расстройства. Они могут приводить к мышечной гипотрофии. В пораженных участках кожа истончается и отличается повышенной ранимостью.
Для предупреждения корешкового синдрома врачи рекомендуют соблюдать такие правила:
Точность диагностики и качественное обслуживание — главные приоритеты нашей работы. Мы ценим каждый отзыв, который оставляют нам наши пациенты.
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Актриса, заслуженная артистка РСФСР
Узнала о вас в интернете — нужно срочно сделать МРТ.
И вот после спектакля я у вас. Мне очень понравились ваши сотрудники. Спасибо за внимание, доброжелательность и точность.
Пусть у вас всё будет так же хорошо на душе, как у меня сейчас, несмотря на все проблемы...
Будьте!!! Нам на радость! Ваша Панина В.В.
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И вот после спектакля я у вас. Мне очень понравились ваши сотрудники. Спасибо за внимание, доброжелательность и точность.
Пусть у вас всё будет так же хорошо на душе, как у меня сейчас, несмотря на все проблемы...
Будьте!!! Нам на радость! Ваша Панина В.В.
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Узнала о вас в интернете — нужно срочно сделать МРТ.
И вот после спектакля я у вас. Мне очень понравились ваши сотрудники. Спасибо за внимание, доброжелательность и точность.
Пусть у вас всё будет так же хорошо на душе, как у меня сейчас, несмотря на все проблемы...
Будьте!!! Нам на радость! Ваша Панина В.В.
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И вот после спектакля я у вас. Мне очень понравились ваши сотрудники. Спасибо за внимание, доброжелательность и точность.
Пусть у вас всё будет так же хорошо на душе, как у меня сейчас, несмотря на все проблемы...
Будьте!!! Нам на радость! Ваша Панина В.В.
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Сергей Шнуров
Российский рок-музыкант, киноактёр, телеведущий и художник.
Ц. М. Р. Т. «Петроградский» спасибо!
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Спасибо огромное за такое хорошее, професиональное обслуживание в вашей клинике. Приятно, комфортно! Прекрасные люди, прекрасные условия.
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Русанова
Хочу поблагодарить сотрудников за внимательное и доброжелательное отношение. Хорошо, что такая клиника есть хотя бы у Вас.
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Все очень грамотно, очень вежливое обслуживание. Буду рекомендовать эту клинику друзьям. Успехов!!!
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Кузнецов В.А.
Очень отзывчивый администратор. Вежливая, культурная, добрая.
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Храброва В.Е.
Выражаю большую признательность администратору Кристине и Ринату Чубарову за внимательное и доброжелательное отношение при проведении обследования желаю, чтобы было больше такого персонала, что в наши дни редкость.
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Выражаю огромную благодарность Екатерине Корневой за терпение, профессионализм, доброту и фантастическое отношение к пациентам.
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[IBLOCK_ID] => 10
[NAME] => Кто оставил отзыв
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[SRC] => /upload/iblock/f27/f272783daa9de38c00293fbbd9983097.png
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[width] => 132
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[size] => 35147
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)
)
)
Большое спасибо за консультацию и обследование... Очень вежливо, доступно и подробно объяснила ход и результат.
Array
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[CODE] =>
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[~XML_ID] => 109
[NAME] => Анонимное
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[PREVIEW_TEXT] => Большое спасибо за консультацию и обследование... Очень вежливо, доступно и подробно объяснила ход и результат.
[~PREVIEW_TEXT] => Большое спасибо за консультацию и обследование... Очень вежливо, доступно и подробно объяснила ход и результат.
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[ALT] => Анонимное
[TITLE] => Анонимное
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[IBLOCK_TYPE_ID] => content
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[DATE_CREATE] => 06.02.2018 19:43:22
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[DETAIL_TEXT_TYPE] => text
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[EDIT_LINK] =>
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(
)
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[CODE] =>
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[NAME] => Анонимное
[TAGS] =>
[SORT] => 500
[PREVIEW_TEXT] => Большое спасибо за консультацию и обследование... Очень вежливо, доступно и подробно объяснила ход и результат.
[PREVIEW_PICTURE] => Array
(
[ID] => 48
[TIMESTAMP_X] => 07.02.2018 14:11:01
[MODULE_ID] => iblock
[HEIGHT] => 183
[WIDTH] => 132
[FILE_SIZE] => 24647
[CONTENT_TYPE] => image/png
[SUBDIR] => iblock/2db
[FILE_NAME] => 2db2b520cb9bbfd8f6f4195b6998bf18.png
[ORIGINAL_NAME] => Layer 165.png
[DESCRIPTION] =>
[HANDLER_ID] =>
[EXTERNAL_ID] => 1135a1be2fa3db0d4c1f5e5cd7935c30
[~src] =>
[SRC] => /upload/iblock/2db/2db2b520cb9bbfd8f6f4195b6998bf18.png
[UNSAFE_SRC] => /upload/iblock/2db/2db2b520cb9bbfd8f6f4195b6998bf18.png
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[ALT] => Анонимное
[TITLE] => Анонимное
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[IBLOCK_TYPE_ID] => content
[IBLOCK_ID] => 10
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[IBLOCK_NAME] => Отзывы
[IBLOCK_EXTERNAL_ID] =>
[DATE_CREATE] => 06.02.2018 19:43:22
[CREATED_BY] => 1
[CREATED_USER_NAME] => (admin)
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[MODIFIED_BY] => 1
[USER_NAME] => (admin)
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[PROPERTIES] => Array
(
[NAME] => Array
(
[ID] => 25
[TIMESTAMP_X] => 2018-02-06 19:37:56
[IBLOCK_ID] => 10
[NAME] => Кто оставил отзыв
[ACTIVE] => Y
[SORT] => 500
[CODE] => NAME
[DEFAULT_VALUE] =>
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[LIST_TYPE] => L
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[XML_ID] =>
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[LINK_IBLOCK_ID] => 0
[WITH_DESCRIPTION] => N
[SEARCHABLE] => N
[FILTRABLE] => N
[IS_REQUIRED] => N
[VERSION] => 1
[USER_TYPE] =>
[USER_TYPE_SETTINGS] =>
[HINT] =>
[PROPERTY_VALUE_ID] =>
[VALUE] =>
[DESCRIPTION] =>
[VALUE_ENUM] =>
[VALUE_XML_ID] =>
[VALUE_SORT] =>
[~VALUE] =>
[~DESCRIPTION] =>
[~NAME] => Кто оставил отзыв
[~DEFAULT_VALUE] =>
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(
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[TIMESTAMP_X] => 2018-02-06 19:37:56
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[NAME] => Подпись
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[CODE] => DESCRIPTION
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[XML_ID] =>
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[WITH_DESCRIPTION] => N
[SEARCHABLE] => N
[FILTRABLE] => N
[IS_REQUIRED] => N
[VERSION] => 1
[USER_TYPE] =>
[USER_TYPE_SETTINGS] =>
[HINT] =>
[PROPERTY_VALUE_ID] =>
[VALUE] =>
[DESCRIPTION] =>
[VALUE_ENUM] =>
[VALUE_XML_ID] =>
[VALUE_SORT] =>
[~VALUE] =>
[~DESCRIPTION] =>
[~NAME] => Подпись
[~DEFAULT_VALUE] =>
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)
[DISPLAY_PROPERTIES] => Array
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)
[IMAGE] => Array
(
[RETINA_SUPPORT] => 1
[ORIGIN] => Array
(
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[TIMESTAMP_X] => 07.02.2018 14:11:01
[MODULE_ID] => iblock
[HEIGHT] => 183
[WIDTH] => 132
[FILE_SIZE] => 24647
[CONTENT_TYPE] => image/png
[SUBDIR] => iblock/2db
[FILE_NAME] => 2db2b520cb9bbfd8f6f4195b6998bf18.png
[ORIGINAL_NAME] => Layer 165.png
[DESCRIPTION] =>
[HANDLER_ID] =>
[EXTERNAL_ID] => 1135a1be2fa3db0d4c1f5e5cd7935c30
[~src] =>
[SRC] => /upload/iblock/2db/2db2b520cb9bbfd8f6f4195b6998bf18.png
)
[X2] => Array
(
[src] => /upload/iblock/2db/2db2b520cb9bbfd8f6f4195b6998bf18.png
[width] => 132
[height] => 183
[size] => 24647
)
[ATTR] => retina retina-x2-src="/upload/iblock/2db/2db2b520cb9bbfd8f6f4195b6998bf18.png"
[X1] => Array
(
[src] => /upload/iblock/2db/2db2b520cb9bbfd8f6f4195b6998bf18.png
[width] => 132
[height] => 183
[size] => 24647
[ALT] => Анонимное
)
)
)
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