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Дата публикации: 23.02.2018
Дата проверки статьи: 29.11.2019
Смещение поясничных позвонков или спондилолистез – распространенное заболевание, поражающее один или несколько позвонков. Оно вызывает болевой синдром, дискомфорт и нарушения работы других органов. Спондилолистез диагностируется у людей средних лет и в пожилом возрасте. Молодежь сталкивается с патологией при чрезмерных физических нагрузках или травмах. Лечением болезни занимается врач-вертебролог.
Болезнь характеризуется такими симптомами:
Признаки спондилолистеза проявляются не сразу. Человек может почувствовать дискомфорт через несколько дней и даже лет. В редких случаях отмечается боль в спине, которая самостоятельно проходит. Но при усиленных нагрузках или резком наклоне состояние может ухудшиться.
Смещение позвонков поясничного отдела позвоночника возникает на фоне следующих причин:
Различают 2 вида болезни:
Если спондилолистез вызван врожденным дефектом позвонка, то врачи называют его диспластическим. При переломе межсуставного участка кости диагностируют истмический спондилолистез. У пожилых людей нередко развивается дегенеративный спондилолистез, связанный с артритическими изменениями в суставах и хрящевой ткани. После травмы возникает травматический спондилолистез.
Смещение позвонков бывает 5 степеней:
Врачи выделяют 4 стадии смещения позвонков:
Для выявления недуга врач назначает рентгенографию, компьютерную томографию и МРТ. В большинстве случаев определить диагноз помогает рентгенограмма поясничного отдела.
Для диагностики смещения поясничных позвонков в сети клиник ЦМРТ используют такие методы:
Первые стадии заболевания, когда позвонок смещен до 50 %, обычно лечит ортопед или невролог. Также можно обратиться к травматологу-ортопеду: он занимается серьезными смещениями более 50 %.
Ортопед • Стромально-васкулярная фракция
Стаж 13 лет
Ортопед • Стромально-васкулярная фракция
Стаж 25 лет
Физиотерапевт
Стаж 35 лет
Ортопед • Рентгенолог
Стаж 8 лет
Ортопед • Стромально-васкулярная фракция
Стаж 7 лет
Невролог
Стаж 22 года
Невролог • Иглорефлексотерапевт
Стаж 15 лет
Массажист
Стаж 8 лет
Массажист • Мануальный терапевт
Стаж 8 лет
Ортопед
Стаж 26 лет
Невролог • УЗД • Мануальный терапевт
Стаж 20 лет
Невролог
Стаж 14 лет
Массажист
Стаж 33 года
Массажист
Стаж 5 лет
Невролог
Стаж 40 лет
Ортопед
Стаж 6 лет
Невролог • Мануальный терапевт
Стаж 11 лет
Невролог
Стаж 19 лет
Невролог
Стаж 9 лет
Мануальный терапевт • Реабилитолог
Стаж 9 лет
Массажист
Стаж 9 лет
Невролог
Стаж 7 лет
Ортопед • Невролог
Стаж 25 лет
Физиотерапевт
Стаж 33 года
Невролог
Стаж 33 года
Мануальный терапевт • Массажист
Стаж 7 лет
Ортопед
Стаж 26 лет
Невролог
Стаж 35 лет
Невролог
Стаж 30 лет
Мануальный терапевт
Стаж 16 лет
Ортопед
Стаж 4 года
Хирург • Ортопед
Стаж 9 лет
Невролог
Стаж 7 лет
Ортопед
Стаж 7 лет
Мануальный терапевт • Хирург
Стаж 18 лет
Ортопед • Спортивный врач
Стаж 8 лет
Невролог • Реабилитолог
Стаж 36 лет
Невролог • Мануальный терапевт
Стаж 22 года
Ортопед
Стаж 40 лет
Наиболее действенным методом лечения заболевания считается мануальная терапия. В комплексе с ней назначают физиопроцедуры для ускорения восстановления и улучшения самочувствия пациента. Разрабатывать позвоночник и мышцы можно с помощью массажных кроватей. Полезен в борьбе с неприятными симптомами ручной массаж. Он улучшает кровообращение, устраняет триггерные точки, расслабляет мышцы и стабилизирует эмоционального состояние.
В курс лечения также входят тепловые процедуры. Они усиливают кровоснабжение, помогают избавиться от боли и снимают спазм сосудов.
Для снятия отечности корешков врач проводит ультразвуковую терапию. Повысить адаптационные способности можно с помощью магнитотерапии. Для ускорения процессов обмена и устранения спазмов эффективно использовать электротерапию. Также потребуется прием спазмолитиков и противовоспалительных препаратов.
Помимо медикаментозного лечения и физиотерапии врач составляет комплекс физических упражнений ЛФК, направленных на укрепление мышц брюшного и поясничного отделов. В тяжелых случаях применяются стероидные препараты и компрессы для обезболивания. При сниженном иммунитете назначают иммуноглобулины.
Если на протяжении полугода традиционная терапия оказалась бессильной, необходимо оперативное вмешательство. После резекции на пораженном участке врач устанавливает фиксирующий трансплантант. Реабилитационный период длится 2 месяца. Пациент должен все время лежать на специальной кровати.
Для лечения смещения поясничных позвонков в сети клиник ЦМРТ применяют разные методы:
Если не вылечить спондилолистез, пожилой человек становится инвалидом. Это связано с дегенеративными изменениями внутренних органов, радикулитом, артритом и прочими осложнениями.
К негативным последствиям смещения позвонков врачи относят хроническую боль в пояснице и нижних конечностях, слабость и их онемение, проблемы с мочеиспусканием и потеря контроля за опорожнением кишечника.
Для предотвращения смещения позвонков рекомендуется выполнять простые правила:
Точность диагностики и качественное обслуживание — главные приоритеты нашей работы. Мы ценим каждый отзыв, который оставляют нам наши пациенты.
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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...
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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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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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Большое спасибо за консультацию и обследование... Очень вежливо, доступно и подробно объяснила ход и результат.
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