Spondylosis

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The spondylosis is a degenerative musculoskeletal disease, is a degenerative lesion of the vertebrae and intervertebral discs. Spondylosis causes the discs to flatten and the space between the vertebrae to narrow. This puts increased stress on the vertebrae, which are subjected to bony margins, outgrowths, beaks, staples (spondylophytes) are formed.

It mostly affects middle-aged people, usually with calcifications affecting 3 vertebrae of the spine. It is important to stress, however, that the majority of lesions detected are not symptomatic and that there is no strong correlation between the severity of confirmed spondylosis spondylarthrosis and symptoms.


Areas affected by spondylosis

Causes of spondylosis

The causes of spondylosis can be primary, age-related, or secondary, which can be the result of static abnormalities, overloading, injuries and diseases of the spine over a long period of time.

Secondary spondylosis is the most common underlying cause:

  • Doing heavy physical work
  • One-sided load, sedentary work
  • Bad posture
  • Muscle imbalance
  • Previous trauma
  • Spinal diseases
  • Metabolic disorders may be

Symptoms of spondylosis

The lesion complaints caused by is usually less dependent on the extent of the lesions and more on the location of the bony degenerations. In addition, a minor trauma can trigger the onset or worsening of symptoms. In the majority of cases it is not limb radiating, localised pain causes. Reflexively, it causes the muscles of the back adjacent to the spine to contract and postural dysfunction occurs, altering the normal curves of the spine.

Types of spondylosis

Spondylosing spondylolisthesis can be divided into 3 groups based on the spinal segment affected. Thus we can talk about cervical, back and lumbar spondylosis. The location of the lesion greatly influences the onset and intensity of the symptoms, so it is easy to group the problem according to the symptoms.

Cervical spondylosis

Spondylosis lesion of the cervical spine. Typical symptoms:

  • Neck pain (dull, sharp or shooting)
  • Difficult, restricted neck movement
  • Tight, stiff, crampy neck muscles
  • Stuck neck
  • Pain radiating into the shoulder, arm
  • Headaches

Spinal spondylosis

Spondylosis lesion of the dorsal segment of the spinal column. Typical symptoms:

  • Rigid movement
  • Pressure sensitive, sore muscles
  • Restricted movement
  • Pain radiating to the side
  • Stabbing pain between the shoulder blades

Lumbar spondylosis

Lesion in the lumbar (lower lumbar) part of the spinal column. Typical symptoms:

  • Back pain in the morning and evening
  • Back pain increases when bending forward
  • Increased when sitting and leaning forward
  • Restriction of movement at the waist
  • Radiating pain towards the sacrum and hip
Spondylosis test
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Investigating complaints

The path to diagnosis in spondylosis is in a specialist rheumatology or orthopaedic clinic begins. Based on your complaints, the specialist will perform a physical examination and may also recommend other imaging tests.

The basics of a successful investigation are based on the BMM patient journey protocol:

  1. Anamnesis, i.e. detailed interviewing and history taking. On the basis of the complaints and symptoms reported orally, the specialist can further examine the patient in a targeted manner.
  2. In-depth a specialist physical examination. Based on the physical examination, a specialist will determine the need for any diagnostic imaging tests. Diagnostic imaging tests can help to visualise and measure anatomical structural changes, and reveal the true cause of the complaint.
    • X-ray examination the bony lesions are verified. X-rays are usually taken of the spine, hip joints, knees and feet. This is often necessary for isolating diagnostic purposes. X-ray examination is available at our private clinic in Óbuda.
    • The condition of the soft tissues, discs, articular cartilage, muscles and tendons is accurately assessed by the radiograph.
    • In some cases, a CT (computer tomography) or MR (magnetic resonance imaging) scan is also needed to make an accurate diagnosis. for MR examination is available at the St. Magdalene Private Hospital, by appointment.
    • In case of nerve involvement, neurophysiological testing to determine the extent of suspected nerve damage, ENG or EMG needed. Neuroconductive neurophysiological examinations (ENG/EMG) are available at BMM's clinics in Pest and Óbuda.
  3. Based on the medical history, physical examination and imaging diagnostics, the an accurate diagnosis by a specialist sets up.
  4. Personalised management plan is being made. We accompany our patients all the way to recovery!

If an ultrasound or CT scan is required, we can arrange these at an external location at our partner institutions for an additional fee.

Treatment methods

Conservative treatment is most common for spondylosis is an option to alleviate complaints. The treatment plan a rheumatologist or orthopaedic traumatologist is personalised based on an accurate diagnosis. Conservative therapy may include the use of non-steroidal anti-inflammatory drugs, muscle relaxants and regular and professional physiotherapy and physiotherapy. Occasionally, balneotherapy treatments may be considered, and in severe cases (neurological abnormalities) surgical intervention may be the solution. The spondylosis surgery neurosurgeon specialist will be carried out by.

Spondylosis can usually be treated well with conservative methods and regular physical exercise.
In case of complaints, please contact our excellent rheumatologists or orthopaedic specialists!

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