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СМЕЩЕНИЕ ПОЗВОНКОВ. СПОНДИЛОЛИСТЕЗ (часть 1)

СМЕЩЕНИЕ ПОЗВОНКОВ. СПОНДИЛОЛИСТЕЗ (часть 1)

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Лечим хроническую боль в спине: полезные упражнения от доктора Бубновского

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00:00:01

[music]

00:00:06

good afternoon friends and viewers of our

00:00:08

channel, I am glad to welcome you to the

00:00:10

channel life without pain today we have the

00:00:13

second part of the conversation Alice cesium

00:00:16

vertebrae or spinal displacement

00:00:18

how to treat it

00:00:21

[music]

00:00:26

we praise the last video we talked that

00:00:29

if this problem gives you pain under

00:00:33

stress and

00:00:34

your doctor is sure that this is what is

00:00:38

bothering you, so something needs to be

00:00:40

done about it at night, it will hurt more and more at night,

00:00:42

especially if the pain has already begun to

00:00:45

radiate to the legs and if the legs begin to go numb,

00:00:47

then you need to deal with this

00:00:50

problem in general to keep the vertebrae

00:00:52

relative to each other friend, in this

00:00:55

plane with

00:00:56

anteroposterior control, it’s quite

00:00:58

difficult. We, of course, recommend that our

00:01:01

patients develop the muscular system,

00:01:04

strengthen the muscle corset, but this

00:01:08

solves part of the problem because no

00:01:11

muscles will hold these

00:01:14

vertebrae well and the problem is solved quite

00:01:16

difficult and even sometimes it comes

00:01:19

to surgery, but this does not mean that all

00:01:23

patients with spondylolisthesis should

00:01:25

have enough for a rather large

00:01:27

operation to transmit ocular fixation of the

00:01:29

spine in life, it turns out that

00:01:32

we operate on no more than ten

00:01:34

percent of these patients, the rest we

00:01:38

try to compensate conservatively,

00:01:40

basically this It happens when

00:01:43

patients come to us, they tell us that the

00:01:45

doctor, my back has been hurting there for

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many years, for decades, now it’s

00:01:52

getting worse and worse under

00:01:54

loads, and we see such a patient’s

00:01:57

displacement and explain to the mother that

00:02:01

just recently another year or two ago you

00:02:04

completely compensated for all these

00:02:06

problems and everything was fine with you and we don’t

00:02:09

really believe that during these two years something

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has changed much, that is, it is

00:02:14

possible to rewind these symptoms

00:02:17

back,

00:02:18

most often we prescribe, of course,

00:02:21

complex treatment, well, the first thing we

00:02:23

we do this, we relieve inflammation from those

00:02:26

overloaded facet joints

00:02:28

that are suffering, the prize raised a sheet with them, they are clearly

00:02:31

visible on the x-ray and we

00:02:33

administer medicine directly there; this

00:02:36

relieves pain in the back very well, but this is not the

00:02:39

most important thing, what we want to achieve,

00:02:41

the most important thing we want to achieve is that

00:02:44

the spine returned to its previous state

00:02:47

and became less,

00:02:49

this moving segment became less

00:02:53

under the tide, as when a difficult task is

00:02:56

perfect, it is solved with the help of

00:02:59

our efforts, we conduct cinema or

00:03:01

therapy and

00:03:03

show the patient what correct

00:03:05

movements he should do constantly,

00:03:08

constantly, here the most important thing is not just to

00:03:11

carry out 10 The daily course of treatment

00:03:14

put into the patient’s head exactly those

00:03:17

movements that he

00:03:19

would like to do, which he

00:03:21

does not want to do, these exercises

00:03:23

that we must do every

00:03:25

day two or three times a day, and believe me,

00:03:30

those patients who

00:03:32

pick up these

00:03:33

recommendations of ours begin to perform them regularly

00:03:36

with them everything is fine and

00:03:38

it doesn’t come down to surgery

00:03:40

at all; the test for whether a person needs

00:03:44

to be operated on or not is whether a

00:03:46

two-week course of treatment helps or

00:03:48

not; for us, this is absolutely clear;

00:03:52

we met after a two-week

00:03:54

course and the

00:03:55

patient says the doctor and everything became

00:03:58

80 percent fine, not It’s easier, I’m ready to move

00:04:01

on with our lives, we plan meetings in

00:04:04

six months, in a year, if everything is fine there and we do

00:04:06

n’t return to these issues, we only carry out

00:04:09

periodic courses of treatment

00:04:12

if our treatment did not help or

00:04:16

if these pains after a fairly

00:04:18

short period begin

00:04:20

to return and especially radiate to the legs and

00:04:23

especially no less weakness in the

00:04:26

leg appears, in these situations we begin to

00:04:29

discuss surgical

00:04:32

treatment tactics with the patient; in principle, in a

00:04:35

nutshell, the operation has

00:04:37

already been worked out quite well; it is well

00:04:39

tolerated by patients

00:04:41

with small displacements; we use

00:04:45

only posterior fixation and decompression; and

00:04:48

with severe displacements, we displacement when we

00:04:51

need to fix the anterior supporting

00:04:53

complex, we install it in a disc instead of a

00:04:58

spinal disc,

00:05:00

we install an eternity intervertebral,

00:05:03

this allows us to completely fix the

00:05:06

vertebrae relative to each other, and

00:05:08

if the operation went well, then in

00:05:11

principle the patients live

00:05:13

well and problems rarely arise, that is,

00:05:16

this can also be solved

00:05:20

the issue being resolved is visible, which is why I

00:05:24

want to warn you from the fact that in general there are

00:05:26

many people who like to operate on everyone,

00:05:29

if you have a displacement, then go straight

00:05:31

to surgery. We do not adhere to such

00:05:33

tactics because very, very many

00:05:36

patients can be compensated

00:05:38

conservatively, but if you do many

00:05:41

operations, it will be there are many complications

00:05:43

because there are quite a lot of complications during spinal surgery

00:05:46

all over the world; the

00:05:49

syndrome of unsuccessful

00:05:52

spinal surgery reaches up to ten

00:05:54

percent. Imagine this, every tenth patient is

00:05:57

not satisfied with the results of

00:06:00

spinal surgery, so you need to try

00:06:02

to compensate for this conservatively;

00:06:05

do the surgery only when it is

00:06:07

very, very necessary

00:06:09

thank you for watching this video to

00:06:11

the end if you have any questions

00:06:13

write if I don’t

00:06:15

answer please like and be

00:06:17

healthy everyone bye

00:06:18

[music]

Description:

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