The shelter of the lumbar, the thoracic spine: what it is, how to treat. Causes of Herrywing

  • Date: 22.04.2019

The hernia of the Schimoron is a pathological change in the spine, which was first described by the German physician Christian Schimorlend and got his name. The defect of the Schimor is characterized by the fact that the cartilage tissue pushes the bone. It can be affected by both the upper vertebra and the bottom. Another name of this pathology is the Schnory nodes in the spine.

The reasons

Today, doctors distinguish several reasons, including:

  • The presence of hereditary predisposition. If someone from relatives have problems with the structure of the spine, the risk of the appearance of the same problems in the descendants increases.
  • Too rapid growth of the child in children's and teenage periods. As a result, the bones do not have time to grow for the rest of the body, voids are formed between the vertebrae and intervertebral discs, which the body fills the cartilage cloth to maintain normal operation.
  • Frequently obtaining spinal microtrams due to active sports, severe physical work. In some cases, hernia is first determined during pregnancy, when the load on the body of the woman repeatedly increases.
  • In the elderly, the cause of the development of the disease can be osteoporosis, which deforms the cartilage and bone tissue.
  • Various pathology of blood supply to the ridge may also be causes for which the disease is formed.
  • Insufficient consumption of calcium can lead to the softening of bone tissues, followed by the filling of the cartilage cloth formed defects.
  • In the intervertebral disc, exchange processes may violate, which is also possible to develop hernia.

Symptoms

The disease is inclined to flow completely asymptomatic. Moreover, often the hernia protrusion in the bodies of the vertebrae is found randomly when the patient is performed by radiography with completely different purposes.

Multiple hernias of the Schimorl can be suspected if the patient complains about the increased fatigue of this or that spine department tolerance to the load decreases due to the fact that intervertebral disc It turns out tightly attached to the body of the vertebral, because of which the movements in it are given more hard as the preservation of fixed postures.

Large or minor hernias of Schimorl in large quantities can manifest themselves chronic pains to which a person will complain with vertical position Body. I wonder if you take horizontal positionPains gradually subsided.

Schimorly defects can reduce the mobility of the spinal column, lead to the redistribution of the load and the rapid wear of those or other parts of the spine. Over time, full-fledged protrusions and hernias can be formed in their place.

The central hernia of a climbing of large size can give symptoms characteristic of osteochondrosis. If the patient has a central hernia, preventive treatment is recommended, even if there are no clinical symptoms.

What is the danger?

Why are Schimorl's nodules, despite the absence of any symptoms, are considered dangerous? There are several reasons. Among them:

  • the negative impact on the vertebrae, which leads to the thinning of bone tissues, to reduce their tolerance to the load and, as a result, the compression fracture of the spine can develop during loads - severe pathology, which requires a long restoration;
  • the defects of the Schimor in the bodies of the vertebrae act not only on them, but also on intervertebral discs, not allowing them to normally perform their basic functions, which is why the spine ceases to cope with the standard loads sometimes until the patient's disability;
  • due to the disease, the intervertebral joints suffer quite strongly, which is why early arthrosis can develop in them, which is also capable of leading to disabilities;
  • if the disease is not to cure in a timely manner, it can cause the formation of a protrusion or a full-fledged intervertebral hernia, which is amenable to therapy much more difficult.

Crying nodules in the bodies of the vertebral themselves can be safe and even to proceed asymptomatic. The main danger of such nodules lies in the complications that they can provoke by violating the work of the spinal column. That is why even the asymptomatic hernia of Schimor is recommended to be treated.

What doctor treats herriation of Schorno?

However, today, alas, a vertebrologist - still quite a rare specialty, whose representatives can be found only in major cities. If there is no possibility to visit the vertebrologist, you can seek help for an orthopedic doctor or traumatologist. These specialists can also help cope with the disease.

In some cases for more effective therapy Consultation is also recommended by a neurologist. If the patient has any concomitant diseases, consultations may be required, for example, an endocrinologist or therapist.

Diagnostics

The protrusion of the intervertebral disk into the body of the vertebra is quite difficult to diagnose. This is explained by the scarce of complaints and poor visualization of the affected area. And it does not matter, identified the defeat of the lumbar, cervical or any other department.

The first thing the doctor should make is to carefully collect complaints and anamnesis in the patient. Complaints with hernia Schimorl may, at first glance, are not connected with the pathologies of the spinal column. In history, you can often find instructions on the microtrauma, the presence of hereditary predisposition. However, it is worth remembering that the indication of typical causes of the disease may be absent.

The main diagnostic method is radiography. Thanks to it, pathological protrusion is visualized. Sometimes to clarify the diagnosis is required by the implementation of MRI diagnostics. If MRI for any reason is contraindicated, recommended the execution of CT.

Treatment

Treatment of the hernia of Schimorly is considered important, although initially this pathology Classified as harmless. The task of the doctor and the patient is to prevent the progression of the disease, do not allow to develop complications.

The main task of treatment is to cope with the violation of the work of the spine by improving metabolism useful substances and strengthening tissues. You can achieve this, adjusting the patient's nutrition by improving the local blood circulation, ensuring the redistribution of the load.

Under the control of a doctor, patients are prescribed a rich calcium diet. Calcium, entering the body, will strengthen bone tissues. The diet includes milk, cottage cheese, cheese and other products rich in this element. In some cases, if calcium from products to adjust its level in the body is not enough, can be assigned vitamin complexes and calcium preparations.

It is important to remember that diets saturated with calcium should be strictly monitored, as it can negatively affect the kidneys.

Gymnastics in the hernia of Schimor is prescribed by a doctor. Recommended LFC classes, and when overweight, you need a selection of gymnastic exercises that will help you get rid of it. Not all exercises in the hernia of Schimorly useful. Recommended to exclude riding on a motorcycle and horseback, aerobics, acrobatics and some other sports. Massage in the hernia of this type is recommended, as it improves metabolic processes in the body.

Surgical treatment with cartilage nodules in the bodies of the vertebrae is not shown. The operation can be carried out only if the patient has developed any complications of the disease.

Complications

The development of intervertebral shelter of the Schimorl is dangerous highly likelihood of vertebrae's trauma with the subsequent development of osteochondrosis and other pathological changes. Over time, pathology can progress, leading to a full-fledged hernia or protrusion. Another common complication is a compression spinal fracture during injuries or overload.

Snorley's spinal hernia in most cases develop completely asymptomatic. Forecast for the disease, if his treatment is engaged in a timely manner and in full extent, Usually favorable. The main thing is, if pathology was found in the picture, do not postpone the appeal to the doctor. It is better to make sure that the protrusion is safe than to tolerate before the appearance of complications.

If a patient who does not know what the schorry hernia is declared, he decides that it is sick of some rare incurable disease. BUT B. medical practice Hernia of this type is a frequent phenomenon. At an early stage, small hernias of Schimorly are not even considered a disease, but only a small change in the structure of the spine.

Intervertebral hernia of the Schimorl or Schimor Node - Paving the cartilage cloth of the intervertebral disk into the body of the vertebra. Since the bones do not have nerve endings, there will be no complaints from the patient.

When the density of cartilage tissue becomes higher than the vertebral density, the cartilage to the bone tissue occurs.

A person can live a lifetime, having multiple hernias of Schimorly and not suspect about it. But if in the course of any examination, the violation was revealed, it is necessary to proceed to treatment.

Schorla nodes in the spine have a number of differences from simple vertebral hernia:

  • There is no squeezing of nerve endings;
  • There is no protrusion of the intervertebral disc outside;
  • The patient can either feel no pain or feel minor;
  • The defects of Schimor are usually in the early stages of human life (childhood and youth).

What is the danger

The schorrel of the spine is not dangerous. The danger carry complications arising in the absence of treatment or too protracted treatment. Much depends on nutrition, lifestyle, but in most cases, in the absence of the necessary therapy, there were serious complications of the hernia of Schimor in the bodies of the vertebrae:

  • Inside the vertebrae is formed by the cavity that makes them weaker. With an increased load of injuries or vibrations, the risk of getting the vertebral fracture is great. Such a pathological change is very dangerous.
  • The intervertebral disc can fully fall inside the body of the vertebra, for this reason becomes actually disabled.
  • The joints of the spine wear out, become weaker, painful sensations arise.
  • In many cases, the hernia of Schimor has become the cause of the development of a simple intervertebral hernia.

Views

Snorley's vertebrate hernia can form one, sometimes such defects 2, 3 or more. Worst of all when the shoryl defect arises above a certain vertebra and under it. The vertebral is so much thinned and weakens that a compression fracture may occur at any time. Judging by the research of the Schimor, hernia is divided into species, depending on localization. Localization affects the size of the defect.

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Lumbar

The greatest danger of the shymlock defect is in the lumbar department. Here the vertebrae is the most massive, heavy. Yes, and the load on the lower back (relative to other spinal departments).

If there are multiple hernias of Schimor in the lumbar department - things are bad.

Sometimes a person can feel fatigue in the lumbar department, but there should be no pain. With elevated loads, sharp bending on the side of the vertebral can burst or crack, and this is a very difficult condition. Also large risk of spine hernia. When identifying pathology on an X-ray, it is necessary to immediately begin therapy.

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Breast

In the thoracic spine, the vertebral load is also substantial, but less than in the lumbar. The vertebral pressure is not very large, so the risk of complications in the hernias of the Schimor is noticeably declining. But as the progression of hernia is progressed, pain in the thoracic spine, which gives in upper limbs. When discovery, it is necessary to start therapy.

Cervical

In the cervical spine, the hernia of Schimorl is more common than in other departments. Usually a person does not know about defect until the appearance of pain, fatigue, fatigue.If the shorel hernia is found on the X-ray, it is necessary to begin treatment.

Central

The progressive central hernia of Schimorl can cause pain when moving, fatigue, the spine becomes more compound. Such a disease flows without symptoms, learn about him during the survey. Latest stages have manifestations similar to the symptoms of osteochondrosis.

Herniation of the Schimoron during pregnancy

If the girl before pregnancy was revealed by hernias of Schimorl, measures are needed to protect the spine from excessive load. One of these measures can be considered supporting corsets.

During pregnancy, the body is experiencing an increased load, so before planning pregnancy it is necessary to undergo a survey, including on the hernia of Schimorl.

Since numerous hernias are able to create disorders in the structure of the spine during pregnancy, it is necessary to be under constant supervision of the doctor.

The reasons

There are many reasons, some of the famous medicine:

  • Genetic data of parents (features of the structure of the vertebrae);
  • Too rapid growth of the child in height during adulthood, the vertebrae becomes less solid than a fibrous ring;
  • Severe sports;
  • Injuries associated with raising heavy items;
  • Severe pregnancy;
  • Osteoporosis during the aging of the body;
  • Constantly seated lifestyle, violation of the blood supply of the spine;
  • The deficit of vitamins in the body.

Symptoms

Schimorly's hernias do not show a very long time. Local pains are rarely marked even in launched situations.When the hernia of the schurity of the spine increases in size, the vertebral structure begins to be disturbed, protrusions arise or even the hernia of the spine, then pain is already beginning. There is one characteristic symptom Such a defect is the stiffness of the spinal column.

Diagnostics

With prolonged leakage of the shelter, the person has pains that are exacerbated at an increased load and calm down in the lying position. During the diagnosis, the doctor recognizes some things in the patient: whether the injuries of the spine were whether the parents had the hernia of Schimorl, complaints about previously described pain. The next stage of diagnosis is the examination of the patient's backs with the hands of the spinal column. The doctor looks, whether there is a curvature. At the slightest suspicions hardware examination: MRI, CT or X-ray.

Treatment

If a person suddenly, the schorla's hernia was discovered at the examination, should not despair and panic. If the doctors will offer to cure this intervertebral defect with medicines, you can refuse the parts of the drugs. With such diseases a huge part medical treatment Directed to eliminate pain, and in this case it is not.

The treatment of the hernia of Schimorly is carried out by combating diseases that provoked this ailment. Also in the complex therapy includes funds that strengthen the body, including a weakened spine.

Lusting

When choosing treatment methods, many features of a person are taken into account: age, lifestyle, daily loads, causes of the hernia of Schimor. At an early stage, when the disease has not yet been progressed, the fight against possible complications is carried out.

The vertebrae is being strengthened, muscle spasms are removed with all sorts of methods, blood circulation is normalized.

Also the patient is appointed special dietsProcedures and set of rules required for rehabilitation:

  • Proper nutrition S. high levels vitamins and microelements, ensuring the health of the musculoskeletal system;
  • You can not engage in sports that have vertical load on the vertebral pillars and those in which jerks are present. Vibration loads are also prohibited;
  • The use of spine stretch using special devices;
  • Using acupuncture procedures;
  • Procedures using leeches;
  • Procedures using bees bites;
  • The use of alcohol-containing tinctures for wipes.

Medicate

If a person is diagnosed with the hernia of Schimorl, treatment medical means almost not used. Sometimes there are taking some drugs if the patient suffers from permanent pain. In this case, non-steroidal anti-inflammatory drugs are prescribed (diclofenac, Voltaren, etc.)

Chondroprotectors are not effective in this disease. Calcium-based drugs are needed, reinforcing vertebrae.

Physiotherapy

Treating the hernia of Schimorl with special exercises is also entitled to existence. It does not give recovery, but stops the progression of the ailment, facilitates the state. You can use such exercises to strengthen the muscular corset and reducing the load on the vertex pillar:

  • Wholesion on the horizontal bar with elements of pull-ups - stretches the spine, slows down the progression of the shelter's hernia and strengthens his back, hands.
  • Rods at a flat bench without deflection in the lower back;
  • Dumbbell wiring in the sitting position;
  • Exercises for the press on the horizontal bar, helps strengthen abdominal muscles, stretch the lumbar spine;
  • - aimed at strengthening the muscles of the lower back, spine stretching during execution.

Before performing these exercises, it is necessary to warm up qualitatively. Performing exercises, breathing should be smooth, systematic. The set of exercises with high-quality stretching is completed.

Massage

Massage treatments are very effective for the treatment of the shelter's hernia, but only a highly qualified specialist should conduct them, so as not to aggravate the situation and get the therapeutic effect.

Operational intervention

There is another way to treat herriation of Schimor, this is an operation. This method is the most efficient and rapid. Many people are afraid to take such measures. But sometimes it is better to take a chance. In a good clinic, surgeons can easily remove the damaged intervertebral disk and replace it with an implant. The cavity in the vertebrae is filled with a special substance that imitates the composition of the bone tissue.

Complications

If the chimney hernia exists in the spine of a person for a long time, sooner or later their dimensions increase, the spine is wearing. With age, bone tissue weakens and some complications may appear:

  • Loss of fluid (associated with the aging of the body) leads to the formation of simple intervertebral hernia, which deliver a lot of hassle and pain;
  • If the shelter's hernia is somewhat within one vertebra, the intervertebral disk can completely deepen in the resulting cavity, it right way to disability;
  • The most deplorable state, when under the influence of hernia from above and the bottom of the vertebra takes its compression fracture. This is possible with an increased load in the form of lifting weights.

Prevention

It is necessary to take breaks if the work is sitting. Excess weight control is also an important thing. Support the body in good shape, regular sports will help not suffer overweight. Engage in sports, follow the loads, correctly fidge and be healthy.

Your feedback on the article

The defect of the Schimor (or, as it will be correct to say, hernia) is a term that characterizes the vertebral body to the cartilage cloth of the intervertebral disc.

This phenomenon causes many questions. What does it occur? What symptoms do you indicate? How to diagnose this defect, what is necessary for treatment? These and many other questions should be answered.

Definition

So, the shoryl defect is x-ray signwhich indicates changes in the body structure of the vertebral and intervertebral disc. It has nothing to do with intervertebral hernia, osteochondrosis or protrusia.

The defect is most often formed during the period of life between 14 and 17 years. At this time, just an active pulling of the spine. The spongy tissue does not sleep for the growth of the body, and therefore it becomes softer. Therefore, a cartilage tissue penetrates into it, as a result of which the cartilage protrusion is formed, which is addressed to the peak inside the damaged vertebra.

Elderly age can also be dangerous. Elderly people are in the risk group. After all, they decrease the so-called mineral density. bone systemOsteoporosis is often starting to develop.

However, the elderly patients structure nervous system Do not squeeze. Symptoms may be absent. However, this does not cancel the fact that a defect that does not allow himself to know, creates prerequisites for the occurrence. serious diseases spine. Therefore, treatment is necessarily in any case.

Classification

It should be considered the first thing, since it is about the defects of Schimor in the bodies of the vertebrae. What is it clear, but what are they?

Depending on the amount, multiple and singles are isolated.

The hernia of the second type from the listed is diagnosed in 70% of patients. Usually they do not make themselves felt. If the shortory defect bodies appears in another department, then this leads to the spinal curvature. Mobility, of course, is also violated.

But multiple hernias are an indirect symptom pointing to Sameman-Mau's disease. It is characterized by progressive lumbar hyperlordosis or kyphosis. At first, the symptoms are not allowed to know about themselves, but later multiple hernias lead to a violation of the motor function.

At the location of location distinguish between central, side, rear and front defects. In any case, they manifest themselves in the gap of the plates of the hyaline cartilage, because of which the kernel of the intervertebral disk falls.

The reasons

As a rule, the prerequisite for the appearance of Schimor defects is something one of the following:

  • Rachiocampsis.
  • Pathological processes on vertebrae.
  • Serious disorders in metabolism.
  • The effect of atypical loads on the vertebral pole.
  • Ears or fractures.
  • Gap from vertebrae.
  • Too rapid growth in childhood. Because of this soft fabrics There may be ahead of the development of bone structures.

However, in the overwhelming majority of cases, the shortory defect (hernia) is congenital pathology. If it develops, then mainly in the youth or childhood.

Signs of the disease

The main clinical symptom indicating the presence of a Schimor defect is pain. Its intensity depends on how strong the injury of the fibrosent rings, as well as from squeezing roots.

As a rule, patients complain about sharp pain in the cervical department, which arises suddenly. She can also give in hand. It is often enhanced when the head is moving, the dependence on the patient's poses is still traced.

In fact, the irradiation of pain is extensive. It may well spread over shoulder or even go to the forearm. Less often - on the chest department.

It should also be noted that the localization of small defects in the lumbar department almost always manifests itself with signs of "classic" radiculitis.

Other symptoms

There are some more signs for which you can learn about the development of this ailment, and they should also be listed, since we are talking about the defects of the spine (Schimor). What is this symptoms? They can be allocated in such a list:

  • Violated posture.
  • Fast fatiguability.
  • Feeling numbness of limbs.
  • Reflex tension of muscles.
  • Strengthening pain in the area of \u200b\u200bdefect formation after physical exertion.

The disease in the running stage may manifest itself in following signs:

  • Nausea and vomiting.
  • Constipation or diarrhea.
  • Violated urination.
  • Sexual dysfunction.

It is important to remember that for a long time, pathology proceeds asymptomatic. And the emergence of obvious signs pointing out violations, talks about the need for an emergency survey and the beginning of intensive treatment.

Effects

They also need to be listed, telling about the defects of the spine (Schimoron). What is it - now it is clear, but what is fraught with ignoring this ailment? The consequences may be as follows:

  • Curvature.
  • Compression spinal fracture.
  • Intervertebral hernia. It, in turn, leads to infertility, paralysis of the lower limbs, impaired urination and problems with the blood system.
  • Arthrosis. It is fraught with the destruction of cartilage fabric, loss of mobility, even disabilities.
  • Violation of motor activity.

Each consequence leads to a deterioration in the quality of life. That is why it is always better to treat the disease immediately, not bringing to the appearance of complications.

Diagnostics

Due to the asymptomatic course of the disease, the small defects of Schimorl in the bodies of the vertebrae, it is impossible to detect within the framework of the general examination. They really identifly identify only the x-ray method. It can be either magnetic resonance, or computed tomography.

Of course, ideally, at least once a year to conduct such a survey to make sure there is no health problems. And if a person periodically worries discomfort in the back or sometimes make themselves to know any symptoms from those listed, it is necessary to contact the doctor immediately.

Tasks of treatment

When the defect is detected, the therapy aimed at the relief of the progression of this pathology is appointed. You can not engage in self-medication. Tactics can only determine the doctor, taking into account the age of the patient, its individual characteristics, as well as the severity of pathology.

Here are the tasks of treatment:

  • Eliminate pain if she is worried about the patient.
  • Eliminate muscle spasms.
  • Normalize the blood supply to spinal muscles.
  • Improve in bone tissue metabolism.
  • Return the spine for the same flexibility.
  • Eliminate the likelihood of the emergence and development of complications.

In the overwhelming majority of cases, the tactics of the treatment of shoryl defects implies the following actions:

  • Compliance with diet.
  • Receive appropriate drugs. Usually prescribed "ibuprofen", "Movied", "Nimesulid".
  • Use of vitamin D, fish oil, calcitonin.
  • Massage and leafc.
  • Physiotherapy.
  • Spinal stretch.

But, again, a specific approach depends on the circumstances of one or another patient, as well as the degree of its nestness.

Surgical intervention

If the Schymatic Defects occurs, the operation is not needed. Showing only comprehensive therapywhich also includes various physiotherapy events.

But if a person has been diagnosed with complications, intervention may be required. With the same compression fracture, for example, without surgery can not do.

Because such a consequence affects the condition of the patient and the quality of his life. The person begins to weaken, immunity worsens, pain is enhanced, internal organ dysfunction is observed. Only surgery will help here.

Diet and lifestyle

Whatever violation is diagnosed in humans (whether it is a weak defect of the Hernia of Schimorly, or some other), it will be needed to make some adjustments to its existence.

If he follows a certain algorithm of action, then pathology will not just stop in development, it will still significantly decrease. Plus, it will be possible to minimize the likelihood of fractures, injuries and problems relating to the nervous system.

It is enough to remember these rules:

  • The diet is really important. It is necessary to diversify its diet with legumes, fish, fermented milk products, as well as eliminate salt. Food techniques are important to make balanced.
  • It is advisable to get rid of OT. excess weightif there is any. Everyone knows what a strong load gives every "extra" kilogram.
  • It is necessary to start playing sports. But it is important not to overdo it - sufficiently light loads. You can go to the pool 2-3 times, for example.
  • We must follow posture. Otherwise, the problems that the spine already exists will increase.
  • And most importantly - you need to take care of yourself, avoid any injuries. Even a random drop or a small bruise is able to speed up the development process of so unpleasant pathology.

Physiotherapy

If a person was diagnosed with a weak defect (or any other), then all the above treatment methods may also have to add something from the following:

  • Physiotherapy. It is an excellent way to strengthen the spine muscles and increase the flexibility of the spinal column.
  • Manual therapy. Allows you to speed up the influx and outflow of blood. Also contributes to an increase in space vertebrae.
  • Massage. It helps to get rid of weakness and pain, positively affects blood circulation, and also reduces muscle spasms.
  • Apitherapy. A kind of treatment method. Its base is bee bites in the back.
  • Breastherapy. So called effective method Treatment implying imposing on the affected area of \u200b\u200bmedical leeches. These creatures are allocated active substances, improving blood circulation and metabolism.
  • Traction. This is a notorious spine extract. This procedure is also aimed at accelerating blood circulation in cartilage and bone tissues. It requires a special simulator.

The main thing in this matter is to comply with medical recommendations. Even if we are talking about therapeutic physical education. After all, only correctly selected exercises will help improve metabolic processes throughout the body, strengthen the immune and musculoskeletal system.

Folk remedies

Many people resort to alternative medicine methods to strengthen the spinal bones. Here are some effective recipes:

  • You need to assemble the shell from 100 eggs and dry it. Then grind into the smallest dusty powder, add lemons juice (1 kg) and three glasses of honey. May be needed more. The main thing is that the consistency was thick. To stir thoroughly. Take daily in the morning of 1 tbsp. l.
  • Take several sheets of burdocks, lightly mock and attach to the place where the defect is diagnosed. It is advisable to climb it by making the compress, and leave for the whole night.
  • Take 4-5 garlic cloves, mummia dissolved in a small amount of water (1 tsp), honey (3 art. L.), Horse fat (half of the glass) and turbid (1 tsp.). Mix all. Use as ointment.

Another popular tinctures and decoctions are also popular. It is best for their preparation to use dandelions, chestnuts and potato flowers.

Prevention

To protect yourself from the formation of small and deep defects of Schimorl, you need to follow the following recommendations:

  • Engage in sports that help strengthen the spine. It is active walking, swimming, yoga. You also need to move more.
  • Twice a year passed courses of relaxing, and better the healing back massage.
  • Keep your weight in the norm.
  • Do not drink alcohol, do not eat salt, eat balanced.
  • To seek advice from a specialist when any, even minor discomfort in the back.

In conclusion, it is worth saying that the defects of Schimorl, in general, are not serious violations. Forecasts are always positive. The main thing is not to neglect the treatment and lead healthy image Life.

The shelter of the Schimorl of the spine or cartilage nodule of the Schymlo is the concept of X-ray, he was described the German scientist for the first time, Medik Christian Schnorl.

The hernia of the sinter of the spine is the failure of either the tissue of cloth cartilage of the closure plates in the spongy bone inside the body of the lower or top vertebra. Very often has a genetic nature or formed in early period Childhood as a result of the rapid growth of the human body.

As the child's growing increases, soft fabrics can quickly stretch, and bone - cannot respond so quickly to rapid growth and begin to lag in development. Result this process It is the formation of emptiness inside the vertebrae (in their spongy television). After the expiration of time in these voids and the closure plates of the vertebrae fall.

The shelnia of the Schymlon differs from the usual intervertebral hernia as follows:

  • Localization (location).
  • In the pathological reaction, vascular-nerve bundles are not involved.
  • Schimorly hernia does not squeeze the spinal roots and spinal cord.
  • Clinical manifestations may be absent or very scarce, because In the formation of the hernia of Schimor, they take part exclusively the body of the vertebrae and intervertebral discs.
  • Almost always arises in children's and adolescent periods.

What is dangerous hernias of Schimorl?

  1. The hernia of the Schimorl with time contributes to the thinning of the vertebrae, makes them vulnerable to the effects of physical exertion and shocks, and as a result, a compression fracture may occur (very heavy pathology).
  2. Involvement in the pathological process of the intervertebral disc, it is a significant violation of the spine, which can cause disability, significantly disrupts the function of the spine.
  3. Also, the hernia of Schimorl helps an increase in the load on intervertebral joints, which is one of the causes of the early arthrosis of these joints.
  4. The shoryl's hernia detected on the X-ray may be a precursor of the formation in the further intervertebral hernia.

That's what and dangerous hernia of Schimorl, i.e. With its complications. Therefore, even in the absence of clinical manifestations This hernia, but there are randomly identified radiological signs, you need to start therapy at once to prevent the emergence of complications.

Causes of the hernia shory

Distinguish the following reasons Hernia Schimorl:

  1. Hereditary predisposition (individual features of the structure of the closure plates of the vertebrae).
  2. The rapid growth of the child in an early or adolescent period, accompanied by the lag of the growth of bone tissue in the normal growth of the cartilage. And as a result, emptiness are formed in vertebrae and filled with cartilage cloth.
  3. Microtrauma spinal column or excessive on it physical exercise (for example, in sports: Jumping into the water, dancing - shaping, aerobics or during pregnancy).
  4. Injury, resulting from a sharp rise in gravity or when dropping downwards.
  5. Deformation of bone and cartilage tissue due to osteoporosis, especially in old age.
  6. The deterioration of the blood supply to the vertebrae, as a result of which they become less durable and are simply praised by intervertebral discs (the reasons for the deterioration of the blood supply to the spine - stuff, kyphosis, Sherman's disease - Mau, a sedentary lifestyle, often at astronauts).
  7. Lack of calcium in bone tissue.
  8. Violation of metabolic processes in the intervertebral disk.

Symptoms of hernia shoryl

Clinical symptoms of the Hernia of Schimorl are usually absent or very scanty. Since the hernia of Schimorl:

  • do not squeeze nervous roots and vessels,
  • does not cause aseptic inflammation,
  • does not cause muscle spasm.

The hernia of the Schimorl, as indicated earlier, it is a radiological sign and is very often detected by chance, during diagnostic examinationsassociated with other problems of the spine. Sometimes pain, local (local) character may appear. This pain often appears during exercise and decreases or disappears during the rest. In this regard, the main complaints are the impossibility of performing exercises in full during sports.

Palparatory (with feeling) In the area of \u200b\u200bthe affected vertebra, insignificant pain may appear and muscle spasm to determine. Neurological and vascular changes are not marked.

Hernia of the Schimorl of the Lumbar Spinal Department

The hernia of the shoryl of the lumbar spine is usually not manifested. But it can be accompanied by increased fatigue in the field of the lower back, sensation of discomfort and reduced back flexibility. It is revealed randomly during the diagnostic radiospect of the spine about other diseases. Extremely rarely, the hernia of the Schorno may be the cause of pain in the lumbar and lower limbs, which occurs under the action of physical exertion or is an initial sign of the complication of hernia. When progressing the pathological process, the intervertebral disk may fall into the hernia completely, which will violate the function of lumbar vertebrae. In addition, the hernia of the lumbar spine is weaknesswhere the compression vertebra fracture can happen. It happens:

  • with a significant side load on the vertebral pole,
  • during a strong impact,
  • in the case of a surveillance of the spinal column along the axis.

Therefore, the revealed hernia of Schimorl requires timely therapy. Hernia of the Schimorl can be formed at any level of the lumbar spine. This department is five vertebrae, and they are the largest, because The lumbar department accounts for a large load. Depending on the place of the occurrence of hernia and the x-ray "diagnosis" of the hernia L1, L2, L3, L4 or L5 will be exposed.

Slims hernia of the thoracic spine

Hernia Schorno breast Department The spine can be formed at any level of the thoracic spine and less often occurs in relation to other types of hernia. Most often it is found at the TH8 level - TH12. Often, the hernia of Schimorl flows asymptomatic. Because Only bone tissue is affected, and there are no nervous endings. And the absence of pain syndrome is accompanied by untimely diagnostic Hernia. As the shelf's hernia grows in the thoracic spine can occur increased overall fatigue and local - in the field of the thoracic spin. Increased overall fatigue arises due to disruption of the internal organs - heart and lungs (shortness of breath, rapid pulse). Over time, there is pain in the back, especially during physical exertion, which decreases alone and can handle.

Schorney hernia of the cervical

The shelf's hernia of the cervical sinter is most often found due to the softness of the cervical vertebrae themselves. On the initial stage And with a small amount of the hernia of the Schorno in the cervical asymptomatic. When progressing the process, weakness arises, increased fatigue and soreness in the area of \u200b\u200bthe neck, especially during exercise. The progression of hernia of the cervical department (its increase or complication) may be accompanied by violation brain circulationIt is clinically manifested by headache, drowsiness, general weakness, increased fatigue.

Multiple hernia shoryl

Multiple hernias of Schimorly amazed a significant segment of the spinal column, as a result of which the main manifestations of them are:

  • chronic pain that increases in a vertical position (when a person stands or sits) and decreases in the lying position.
  • Visually, such people in such people have noticeably increased the slope of the spine forward, and the natural bends of the spine - chest and lumbar are smoothed, as a result of which he has a strong straightforward form.
  • There is a stuff and broken posture.
  • Also marked the increased fatigue of the back and as a result, the performance decreases.

Multiple chimney hernias may have both an asymptomatic flow, especially in cases where the central part of the vertebrae is affected. As a rule, such hernias are detected by chance in early childhood and adolescence, and they can often disappear independently. The reason for such hernia is a genetic predisposition (most often) and maybe the lack of calcium.

If the multiple hernias of the shymlock are located on the front of the vertebrae, the high risk of intervertebral hernia and compression fracture. Often, such deformations on the front of the vertebrae occur in the lumbar department and may be accompanied by central hernias in a number of vertebral column departments. Such pathology requires compulsory observation of a specialist and timely therapy.

Intervertebral hernia shoryl

Intervertebral hernia of Schimorl may be single and multiple. Single intervertebral hernia of Schimorl, usually not manifested by clinical symptoms. But if several such hernias are present at once in the spine (especially in one of its department), it leads to a violation of its mobility and curvature. Single intervertebral hernias of Schymlog are usually formed in adulthood And the elderly and localizes mainly in the lumbar-sacral division. Multiple chimney hernias are found in young and more often in the thoracic spine. The intervertebral hernia of the Schimorl is revealed randomly with radiography on other disease.

Central hernia shory

  • The central hernia of Schimorl is more favorable and most often occurs. Usually, the course of this hernia is asymptomatic and is determined by the X-ray or tomographic method of examination. In cases where the central hernia of Schimorl large sizes, then clinical symptoms appear, peculiar to osteochondrosis of the spine:
  • pain arising during walking, long standing or when tilting;
  • feeling of fatigue in the field of the back;
  • possible pain in the area of \u200b\u200bthe belt, irradiating in lower limbs;
  • change (restriction) of the mobility of the spinal column in the affected department.

In case of accidental detection of the central hernia of Schimorly, it is better to seem like a specialist in order to initiate the prevention of possible complications in a timely manner.

Schorla and pregnancy

Schorla's hernia and pregnancy are compatible. In particular, if the hernia did not show itself before pregnancy. But in any case, when detecting during pregnancy, the hernia of Schimor, it is necessary to be under special control of the doctor (orthopedist, neurologist, obstetrician-gynecologist) and take care of himself. Because During pregnancy, the load on the spine increases significantly. Perhaps during pregnancy the need to wear a support belt, corset or bandage, as well as go to the pool. All these events will be very useful for both pregnant and the future child. If the hernia of the Schymlon is detected to pregnancy, it is recommended to strengthen the back first before it is planned.

The consequences of the hernia of shoryl

The consequences of the hernia of Schimorl can be diverse. She can for a long time To exist and not to show yourself, do not progress and not complicate. But in the case of its increase, process progression, the following consequences arise:

  • the formation of intervertebral hernia, a more serious illness requiring long-term therapy with possible surgical intervention. Since the vascular-and nerve bundles and even spinal cord are already involved in the pathological process.
  • There is a tendency to compression fractures of the spine, which may occur during exercise (especially in people engaged in sports).
  • Increasing load on intervertebral joints provokes the development of early arthrosis of these joints.
  • The posture, flexibility and mobility of the spinal column is disturbed.
  • A pronounced curvature of the spine is developing - kyphosis occurs if the chest department and Lordoz is affected if the lumbar spine is affected.

Such consequences not only violate the movement when walking, they bring soreness and discomfort, but also make it impossible to exercise sports, and even can lead to disabilities. Considering possible consequences The hernia of Schimorl must be in a timely manner to take the necessary measures to prevent its progression.

Diagnostics of the hernia of Schimorla

The diagnosis of the hernia of Schimorla is based on:

  • complaints - the presence or absence of pain, its localization, the dependence of pain from the effects of physical exertion, is reduced by pain in the lying position.
  • The history of the disease - is there in the family in the relatives of the hernia of the Schimor, whether the injuries of the spine were previously marked, etc.
  • Visual inspection and palpation along the spinal column - whether its curvature or swelling of soft tissues is available.
  • Additional methods surveys - radiography (the main method in diagnosis), computer tomography or magnetic resonance tomography.

If necessary, consulting doctors of the following specialties - orthopedist, neuropathologist, vertebrologist.

Treatment of hernia Schimorl Spine

Identifying uzurative defects in the spinal column, is a reason to start the treatment of the hernia of Schimorl. With absence clinical symptomaticsThe therapy will be aimed at preventing the progression of the pathological process.

The therapy of the hernia of Schimorl (Uzurative Defects) is carried out taking into account a number of factors: gender, age, features of labor activity, the degree of severity of the process concomitant diseases. In addition, with the treatment of hernia, it is necessary to take into account its cause of occurrence.

The goals of the treatment of the hernia of Schimorl of the spine:

  1. If there is a painful syndrome - its elimination.
  2. It is necessary to improve metabolic processes in bone tissue.
  3. Improve the blood circulation of the back muscles.
  4. Normalize and restore the flexibility of the spine.
  5. Reduce or eliminate muscle spasms (muscle relaxation).
  6. Prevent the emergence of complications.

The therapy of the hernia of the sporing of the spine is mainly conservative, the strengthening of the bone-muscular skeleton is directed and is as follows.

  • Balanced and rational food - dairy products (Cottage cheese, cheese, kefir, milk), fish, caviar, soy products (milk, tofu), protein products - "favorite food" of the spine. It is necessary to reduce the use of salt, because It is postponed on the bones and joints.
  • Control your weight, because This is an additional burden on the spine.
  • In the presence of pains, painkillers and anti-inflammatory funds are prescribed (Diklell, Nimesil, Movied).
  • Sometimes used medicinal products Strengthening bone skeletons - calcium preparations - calcitonin (altedin, myocalcic), it is possible to receive vitamin D, fish oil (in capsules). We should not forget that the reception of the bone skeleton strengthening means can have an adverse effect on the excretory system (kidney) and a binder, therefore, before applying, they must be consulted with the doctor.
  • Exclude riding on motorcycles, jumping into water, gravity transfer.
  • Therapeutic gymnastics is a fairly effective method, with which the muscles of the back are strengthened, and the flexibility of the spinal column is improved.
  • Swimming, also a great method for strengthening the muscles of the back and spine.
  • Therapeutic massage - relieves fatigue and pain syndrome In the back, reduces muscle spasms, normalizes blood circulation and strengthens the back muscles.
  • Manual therapy - improves blood circulation in the affected area of \u200b\u200bthe spinal column and expands the intervertebral space.
  • Igloreflexotherapy.
  • The stretch of the spine (traction) - improves the blood circulation of tissues and increases the intervertebral lumen.
  • Hirudotherapy - imposition of medical leeches on an affected department, which distinguish active substances that improve local blood circulation and metabolic processes.
  • Apitherapy - treatment with the help of bee products (effects of bee bites).

Treatment of the hernia of Schimorl with folk methods not very different from official Medicinewhere gymnastics and massage are also used. Apply alcohol tinctures from medicinal plants - Dandelion, chestnut colors or a mixture of shrine with raw potatoes.

Operational treatment

Operation in the hernia shymlog is not shown. When it is discovered conservative therapy with a complex of physiotherapy events. The operation can be shown in the event of a complication of hernia when the intervertebral hernia was formed or a fracture occurred, as a result of which the state of the person and conservative therapy did not give results (the weakness of muscles, back pain, there are violations of the internal organs, etc.).).

Physiotherapy

LFK in the hernia of the Schimor or therapeutic physical education - the concept of using various methods of exercise - running, walking, swimming, gymnastics, etc. The treatment of physical education is used for the prevention, the treatment of the hernia of Schimorl, in rehabilitation period and as supportive therapy. Therapeutic physical culture is shown at any age. Current physical education:

  • improve exchange processes in the whole organism,
  • enhance immunity and body resistance to various infections,
  • improve blood circulation and trophy of body tissues,
  • strengthen the musculoskeletal system
  • positively affect psycho-emotional state.

The load during therapeutic physical culture should correspond to the capabilities of the body and is selected individually for each.

Exercises

Exercises in the hernia shymlog are made in the complex with a stretching and massage.

  1. Tightening - strengthens the muscles of the hands, back and chest.
  2. Rods rods from the position lying, without bending the back.
  3. Mahi hands with dumbbells to the sides. Source position - you need to sit down and lower your hands down. Then the hands with dumbbells must be smoothly raised above the shoulders, delay for a couple of seconds and omit.
  4. Press training, back muscles and berry.
  5. Schrag - exercises for strengthening the trapezoid muscle (rear area of \u200b\u200bthe neck and top part backs) - raising and lowering shoulders with a load. You can stay lying, standing or sitting.
  6. Hypextension - re-exchange, pollen. Strengthens the straight muscles of the back, butorous muscles and thigh flexors. Especially this exercise is recommended for those who have a weak spin. To fulfill it, you need to lie on the stomach in the simulator, the heels must be under a special roller. Next, the torso rise is performed up and reverse - ten times, two or three approaches.

Gymnastics

Therapeutic gymnastics in the hernia of the Schorno is one of the main methods of therapeutic physical education. Therapeutic gymnastics is prescribed and is carried out under the strict control of the doctor. A variety of medical gymnastics is corrective. With its help, the muscular system (especially the back), a binder apparatus, joints (including intervertebral) are strengthened, the flexibility of the spine increases, as a result of which the defects of the musculoskeletal system are eliminated (such as the impaired posture, curved spine, etc.). Therapeutic gymnastics in the hernia shymlog is usually appointed in the complex with breathing exercises.

Massage

Massage in the hernia of Schimorly is a very effective and efficient method of its therapy. It is important that the therapeutic massage conducts a competent specialist, because Manipulation should be gentle, soft and most importantly, did not aggravate pathology. The point massage has proven very well. Thanks to the massage:

  • improved blood circulation
  • the muscles of the back are strengthened,
  • the fatigue and tension of the muscles of the back is removed,
  • decreases and eliminated by pain in the back,
  • improves troops of bone muscular tissues.

Massage in the hernia of Schimorly is carried out in the complex with other methods of its treatment.

PREVENTION OF HRIEND SHORTA

The prevention of the hernia of Schimorly Nonspecific and is to hold the following events.

  1. News active image Life in all periods of life is to practice gymnastics, swimming, running, sports walking.
  2. Conduct physiotherapeutic procedures - different kinds Relaxing action massages.
  3. People with work experience - long work in a vertical position, professional sport (jumping in water, skating, etc.) should follow the health of the back, and with the slightest pain and discomfort in the spine area to seek help from a specialist.
  4. Keep track of your weight, because overweight - This is an additional burden on the vertebral post.
  5. To lead a healthy lifestyle is to eliminate smoking and drinking alcoholic beverages that worsen blood circulation and as a result - a trophic violation (nutrition) of tissues.

Forecast hernia shimor

Forecast of the Hernzy Health for Health is favorable with it timely detection, and for professional activity Relatively favorable, especially for athletes. The danger of such hernia is its asymptomaticity, because The absence of clinical manifestations contributes to the progression of the disease and the emergence of its complications (compression fractures, arthrosis, intervertebral hernia, etc.). But fulfilling all the necessary prophylactic activities, an active lifestyle, attentive attitude to their health will provide general health And the health of the spine.

Hernia Schymlog and Army

The hernia of Schimorl and the army is a dual question. On the one hand, the hernia of the Schimor, which has an asymptomatic flow is not a contraindication for a conscript, can even be treated and learning in military educational institutions. On the other hand, when the hernia of the Schimor has become complicated (which is especially characteristic of multiple shelter hernia) and is manifested by a disruption of sensitive and motor functions, then of course such a conscript is not suitable for military service. But the question of the suitability of the conscript with the detected hernias of the Schimorl will be solved by the conservilium of doctors after its additional examination.

It's important to know!

Is it really possible with the help of a power correction alone? It all depends on the stage of development of the disease. Initially, diet disease is the main method of treatment, and then acts as an auxiliary, helping to reduce the dosage of accepted drugs and the frequency of their reception.

The defects of the Schimor in the bodies of the vertebrae is a pathology characterized by structural changes in the spine. They usually detect only when x-ray examinationSo it does not appear externally. The pathology is called another hernia, because it is manifested by the fact that in the body of the vertebrals, closure plates of intervertebral discs are added. The disk itself does not shifted, the vessels and nerve endings are not affected. Therefore, most often the shoryl defect is not dangerous and does not cause pain sensations. But still it is recommended when it is discovered to start therapy to avoid possible complications.

What it is

The human spine is separate vertebrae consisting of spongy bone tissue. They are separated by intervertebral discs. There is a closure plate from the Hyalin cartilage tissue between the disk and the vertebra. It serves as a shock absorber, ensures the flexibility and mobility of the spine, and also protects the vertebra from destruction.

Sometimes in the body of the vertebrae, cavities are formed in which the hyaline disc cartridge penetrates. Most often, this happens with rapid growth in children's or adolescence. At the same time, the bone tissue lags behind in the development of cartilage. Often, a similar defect is also formed in old age when the density of bone tissue is reduced due to lack of calcium.

Such defects in the structure of the vertebrae are most often congenital, but may appear during life. Most of all are predisposed to this teenagers during the rapid growth of the skeleton. In addition, injury, elevated loads or impairment of mineral exchange can be caused to form a cavity in the vertebral body.

The hernia of Schimor is not a hernia in its classical understanding. Purchase tissue protrusion occurs only in the body of the vertebra. The intervertebral disc itself is not shifted, and the nerve fibers and vessels are not damaged. Therefore, pathology is most often called the defect of Schimor, and many doctors consider it not a disease, but only an x-ray sign indicating structural changes in the spine.

Such hernias can be solitary if they appear after injury or spinal deformation. With congenital pathology, multiple small nodules of the Schimorl arise, striking several vertebrae. Most often, such defects are subject to the lumbar and thoracic spine.


Most often, a similar defect is observed with congenital anomalies for the development of the spine.

In addition, the front, central, side and rear hernias of Schimorl are distinguished. With their central or lateral location there are no pain or other unpleasant symptomsSince the nerve roots are not affected. Such pathology is detected only during the examination, because it does not manifest any symptoms. Paints and violation of the mobility of the spine are mainly arising with the front hernias of the Schimor, especially if there are several of them.

But not only in this case it is necessary to begin treatment when this pathology is found. After all, a similar defect indicates the presence of disorders in the structure of the bone vertebral tissue. This can lead to the development of the protrusion or hernia disks, to the risk of compression fracture, as well as to other complications.

The reasons

The shoryl defect is mainly congenital pathology. But sometimes she may appear during life. More often, this happens in adolescence or in older people - that is, at the time when the density of bone tissue is reduced and the lack of calcium is observed. Sometimes it happens with serious violations in metabolic processes or blood circulation.

The causes provoking a similar defect can also be:

  • spinal deformations - scoliosis, kyphosis or lordosis;
  • compression spinal fractures or bruises;
  • vascular pathologies;
  • osteoporosis;
  • long stay in an uncomfortable posture that causes an increased load on certain spinal deposits;
  • constant overload, leading to microtrams of bundles or disks;
  • sharp weight lifting or simultaneous increase in the load on the back.

Symptoms

Most often, the defect of the Schimor does not appear in any way, but is found random during the survey. In this X-ray, the irregularities of the edges of the vertebrae are visible, peculiar pockets that are transparent for X-rays. To clarify the diagnosis, MRI is assigned, which allows you to estimate the state of the circular plates of the disks.

The shoryl defect is considered to be non-hazardous pathology, only in some cases, the protrusion affects the nerve endings, which causes not strong pain. And it happens only in the late stages of the development of pathology. But such a violation of the structure of the vertebrae still requires treatment, as it can lead to serious complications. Most often this is the formation of intervertebral hernia or compression vertebral fractures.

But the problem is that rarely some of the patients appeals to the doctor even with unpleasant symptoms. After all, the main manifestations of the hernia of Schimorl are many painwhich are enhanced during exercise, and subscribe to the lying position. Many patients take such a state of overwork, so they are rescued with painkillers or rest.

In addition, in the hernia of Schimor, there is an increased fatigue, a feeling of gravity in the back, sometimes - pulsation in the muscles. Discovers are feeling with long standing, during squats or slopes. Characteristic sign Schimorla Defects is the sneeze of all unpleasant sensationsWhen the patient is lying and relax.


Typically, pathology proceeds asymptomatic, but an increased fatigue, pain and heaviness in the back may be observed.

Treatment

Despite the fact that the hernia of the Schimor is considered to be non-hazardous pathology, with its discovery, complex treatment is necessarily assigned. It is aimed at preventing further deformation of the vertebrae, as well as to remove unpleasant symptoms. Before starting treatment, a survey is carried out to determine the causes of pathology. It is necessary for the correct choice of therapeutic methods. In addition, the patient's age is also affected on the peculiarities of treatment, the location of the defect and the stage of its development.

Everything medical events Come on to perform the following tasks:

  • improve the blood supply to the affected area of \u200b\u200bthe spine;
  • normalize metabolic processes;
  • restore the flexibility and mobility of the spinal column;
  • remove muscle spasms;
  • remove pain and discomfort;
  • prevent the development of complications.


Spin massage will help avoid the progression of pathology

In the presence of pain and difficulties in motion, painkillers are prescribed the patient. It may be ketanov, nimesil, indomethacin and others. In addition, sometimes with such pathology develops reactive inflammation or spasm muscles of the back. In this case, it is necessary to prescribe anti-inflammatory drugs, for example, ibuprofen or hydrocortisone. Mioryelaxants can be applied to the removal of spasms - Middokalm, Sibaison, Sirdalud and others. But such drugs can be drunk only by appointing a doctor.

In addition, it is necessary to avoid lifting weights and increased loads on the spine, and if excess weight, it is possible to achieve its decline. Proper nutrition is also very important, as it is necessary to provide bone tissues with the necessary minerals. For this, milk products, fish, greens are included in the diet. It is necessary to exclude alcohol, carbonated drinks, coffee, which contribute to the washing of calcium from the bones. You can additionally take vitamin complexes with calcium and vitamin d, for example, calcium d3 nicomed, calcinova.

If a conservative treatment It turns out ineffective, the patient is tormented by severe pain, surgical treatment is necessary. Operation is assigned with a compression fracture of the vertebrae, as well as in the presence of infringement of nerve endings. Most often decompressive laminectomy is carried out. It stops the progression of pathology and removes the compression of the nerves.


Pulling the spine with special devices allows you to increase the distance between the vertebrae

Physiotherapeutic treatment

In the event that the presence of a Schimor defect is not accompanied by any discomfort, the treatment of pathology includes only physiotherapeutic procedures. They should be aimed at strengthening the muscular binder apparatus, increase the distance between the vertebrae, the restoration of the flexibility of the spine and improving the blood supply to the affected departments. Physiostaries also apply if there are pain and inflammation, they help to get rid of unpleasant sensations faster.

Effective for this coniferous or turpentine baths, hirudotherapy, apitherapy, iggoreflexotherapy. They improve blood circulation and metabolic processes in the spine, remove spasms and pain. Massage and manual therapy are useful for increasing the elasticity and tone of muscles. Often also uses the traction of the spine - the stretching of it with the help of special simulators. This achieves an increase in the distance between the vertebrae, which makes it possible to eliminate the compression of the nerve roots and improve the nutrition of the tissues.

Physiotherapy

If the shelf's hernia is detected, most patients prescribe special exercises. They are aimed at stretching the muscles, strengthen the ligament apparatus, an increase in the flexibility of the spine. Special gymnastics helps improve blood circulation and metabolic processes in the spine. It is used as part of the complex treatment of pathology and serves to prevent complications. Especially effective gymnastics along with massage and breathing exercises.

In the presence of Schimor defects, dosage exercise are needed. It is important to avoid lifting weights, as well as the simultaneous strong tension of the muscles of the back. Protected power exercises, running, jumping. Useful swimming, stretching exercises, strengthening the muscles of the back. It is very important that the necessary load is selected individually depending on the age and health status of the patient.

Schimorly defects are non-hazardous pathology, it does not have any similarity with intervertebral hernia. But treatment is still required. Timely therapy avoids the progression of bone fracture, compression fracture, disk protrusions and other complications.