Spinal spondylosis: causes, symptoms, treatment methods

Today, a large number of diseases and pathologies of the musculoskeletal system (MSA) have been registered, which occur quite unnoticed, but are difficult to treat and often lead to irreversible consequences. These include spondylosis.

Spondylosis

is a chronic disease of the spine, the progression of which leads to severe thinning and significant wear of the tissues of the intervertebral disc, which causes the appearance of hernias and the formation of osteophytes.

In the absence of timely diagnosis and quality treatment, the disease can lead to vertebral fusion and loss of mobility.

Anatomical structure of the spinal column

The spine is a part of the skeletal system of the human body, consisting of vertebrae connected to each other by a large number of ligaments and cartilage. The dimensions, as well as a number of individual characteristics of the structural elements of the skeleton of the human body are determined by the department in which they are located. So, they distinguish:

1. cervical

   – 7 cervical vertebrae of relatively small size with openings in the transverse processes through which a channel for blood vessels (arteries and veins) runs;

2. chest

   – 12 vertebrae of relatively large size, increasing towards the bottom. On the transverse processes there are depressions into which the heads of the ribs enter, which makes it possible to limit the area of ​​the chest of the human body;

3. lumbar

   – 5 massive vertebrae with a relatively small arch;

4. sacral

   – 5 vertebrae, which over time transform into a single bone (sacrum).

The key function of the spine is to support and protect the human body. However, in addition, there are also such functions as:

• supporting;
• protective;
• depreciation;
• motor.

Transformations of the structure of the spine during the natural maturation of the body

The spine of a newborn and an adult differs somewhat in a number of features, the most striking among which is the degree of flexibility (in infancy it has excessive flexibility, which does not allow one to maintain posture). In addition, as a person grows older (from birth to 25 years), the spine undergoes a number of consistent changes:

• the first stage (up to 7 years) - during this period, intensive growth is observed, which contributes to an increase in the volume and weight of the vertebral body and connective tissues. There is a gradual replacement of cartilage with bone, the arches fuse with the body and the natural curves of the musculoskeletal system are formed;
• second stage (7-15 years) – the mass of the vertebrae continues to increase, ossification nuclei are formed in their body, which arise in the thickness of the vertebral growth zone;
• the third stage (15-25 years) – thorough formation of the ossification nucleus, which leads to deterioration of flexibility and limited range of movements. The length of the spinal column gradually decreases, and flexibility and elasticity are significantly reduced.

Surgery for spondylosis

Surgical intervention is recommended if conservative treatment is ineffective and there is no improvement in the patient's condition. In addition, urgent surgery for spondylosis is indicated for:

• severe spinal canal stenosis;
• severe compression of the nerve root;
• large intervertebral hernias;
• violations of control over the functioning of the pelvic organs, including the genitals, bladder and rectum;
• paresis of the limbs;
• serious disorders of internal organs caused by the development and progression of spondylosis.

In such situations, depending on the root cause of the development of spondylosis, decompression and/or stabilizing operations of various kinds can be performed:

• microdiscectomy;
• laminectomy;
• endoprosthetics;
• autotransplantation.

Microdiscectomy

Microdiscectomy is the most commonly performed operation for spondylosis, during which a thinned intervertebral disc is removed microsurgically. It involves making a minimal incision to provide access to the spine. Its size does not exceed 3 cm. This allows you to significantly minimize surgical trauma, minimize the risk of developing postoperative complications and significantly facilitate and reduce the duration of rehabilitation.

The essence of the operation is as follows:

• the patient is put under general anesthesia;
• under the control of the image intensifier, a soft tissue incision is made in the projection of the affected spinal motion segment;
• the muscles are carefully moved apart and fixed in the desired position with special instruments, this eliminates the risk of damage and helps reduce pain in the early postoperative period;
• under the control of a special surgical microscope with 8x magnification, the neurosurgeon carefully pushes back the nerve root and, using miniature surgical instruments, removes the intervertebral hernia and, if necessary, the entire disc;
• a thorough sanitation of the surgical field is carried out followed by the installation of endoprostheses or autografts;
• suturing.

Microdiscectomy takes 45–60 minutes. The duration of hospitalization is 7 days, after which the patient is discharged from the hospital. At the same time, he always receives a list of recommendations on how to behave during the rehabilitation period, what medications to take and what physical procedures to undergo.

The outcome of the operation largely depends on the correctness of the recovery period. Therefore, it is recommended not to neglect medical recommendations and undergo rehabilitation under the supervision of a rehabilitation specialist.

Laminectomy

Laminectomy is an operation designed to eliminate compression of the spinal cord and nerve roots caused by various diseases. Elimination of high pressure is carried out through resection of the vertebral arches, spinous processes and intervertebral discs. Thanks to this, they stop compressing the spinal cord and the nerve roots extending from it, which leads to normalization of the transmission of bioelectric impulses and the elimination of neurological symptoms, including pain, sensory disturbances, and paralysis.

Depending on the severity of the situation, laminectomy may remove part or all of the compressive element. This creates additional space for the spinal structures, which ensures a sufficient decompression effect. Often, to maintain normal spinal mobility and physical capabilities of the patient after laminectomy, special stabilizing systems are installed.

Often this operation is combined with other surgical interventions on the spine, in particular the correction of its deformities. But laminectomy is a highly traumatic operation, since it involves excision of important structural elements of the spine.

There are several types of laminectomy. The specific one is selected depending on the reasons for the development of spondylosis:

• hemilaminectomy – removal of the arch of one vertebra on one or both sides while preserving the spinous processes;
• interlaminar - involves incision of the yellow ligament of the spine and removal of the arches of the most affected vertebra and neighboring ones;
• total – removal of the vertebral plates with the spinous processes.

Laminectomy involves making a soft tissue incision and skeletonizing the vertebrae of the affected segments under general anesthesia. The surgeon exposes the structures to be resected: arches, spinous processes, facets.

The most complex and time-consuming process is the skeletalization of the vertebrae of the cervical spine, since the tops of their arches are bifurcated and deeply embedded in the muscles.

During laminectomy, the fascia is often injured, which complicates the recovery period. The incision made is expanded with a retractor. The exposed spinal structures are cut with special forceps and removed from the patient's body. In each case, it is individually determined which fragments must be removed in order to eliminate spondylosis. In some cases, it is enough to remove only the osteophytes and install an endoprosthesis between the vertebral bodies; in other situations, especially with very advanced spondylosis, it is necessary to resort to a total laminectomy.

Endoprosthetics

Because with spondylosis, the intervertebral discs are usually so destroyed that they are completely unable to perform their functions, they are often completely removed. But this requires the introduction of an implant to close the resulting defect. For this purpose, it is preferable to use endoprostheses that help stabilize the operated spinal motion segment, maintain mobility and shock absorption within natural values. Today they are the best alternative to spinal fusion, i.e. complete fusion of the vertebrae.

Modern prostheses completely take over the functions of the removed disc. Their huge advantage is the elimination of overload in neighboring segments and reducing the risk of developing degenerative processes in them.

Today, implants are used for endoprosthetics:

• M6;
• Bryan;
• DCI;
• DePuy et al.

The most advanced are the M6 ​​and Bryan models, which completely replicate the structure and structure of natural intervertebral discs. They are available in different sizes, which allows you to choose the most suitable prosthesis for a particular patient. Such devices are capable of qualitatively softening axial loads and providing mobility in 6 planes. Their compression and elongation indicators are not inferior to natural discs, which guarantees the preservation of normal biomechanics.

The operation is performed under general anesthesia immediately after removal of the intervertebral disc in one way or another. It takes 2–3 hours. Different types of prostheses have different installation techniques, with which the operating neurosurgeon must be thoroughly familiar. Such operations have a high level of security. With them, the risk of complications is no more than 1–2%.

You can usually move after surgery on the 5th day, and complete fusion of the endoprosthesis with the vertebral bodies is observed on average after 3 months. But for proper implantation of an expensive device, it is necessary to strictly follow the doctor’s recommendations and strictly adhere to the rules throughout the entire recovery period.

Autotransplantation

Decompression surgeries often leave behind defects that must be closed to maintain normal spinal height and support function. Sometimes, for this purpose, fragments taken from the patient’s own bones are used and placed into the resulting defect. Most often, part of the ilium is taken for these purposes.

Over time, the autograft takes root and firmly fuses with the remaining bone structures of the spine, i.e., spinal fusion is achieved. As a result, movements in the operated spinal motion segment become impossible, but when only one or two are fixed, patients usually do not notice a difference in the possible range of movements.

Nevertheless, whenever possible, spinal fusion is abandoned in favor of the installation of endoprostheses, since rigid stabilization of the spinal motion segment increases the risk of developing degenerative processes at adjacent levels of the spine. The fusion of two or more vertebrae makes significant changes in the biomechanics of the ridge, so after this often destructive processes begin or worsen in the osteochondral structures of the overlying and underlying segments.

The vertebrae can also be fixed in the desired position with metal structures, which are a set of plates and screws. As a result, spinal fusion is also achieved.

Thus, the prognosis largely depends on at what stage of development of the pathological process it was detected. With early diagnosis and the beginning of adequate treatment, the vast majority of patients manage to maintain the functionality of the spine, normal performance and continue to lead a normal lifestyle.

What is spinal spondylosis

Spondylosis is a degenerative chronic form of spinal damage caused by various factors, including:

• natural aging;
• abnormal load on the musculoskeletal system;
• ODA injuries.

The chronic form leads to deformation of bone surfaces, which often occurs in the absence of severe symptoms, but is accompanied by degenerative changes in the intervertebral discs.

The diagnosis is established on the basis of instrumental research methods of various types. Treatment is predominantly conservative.

General principles of performing gymnastics for spondyloarthrosis

Exercises will be useful only if they are performed correctly. First of all, do not start exercising on your own, without consulting a doctor. In some situations (severe pain, adhesions, deformities in the joints, etc.) increased physical activity is contraindicated due to the risk of complications, but such patients may be recommended therapeutic exercises using a gentle method to unload the back and relieve muscle spasms.

Ideally, exercises should be performed under the guidance of a physical therapy doctor or after a course of physical therapy in a clinic (hospital, sanatorium) and detailed instructions for subsequent home exercises. The doctor will help you choose an individual set of workouts, explain in detail and show the most complex movements, warn against common mistakes, and check the correct execution.

If you study on your own, adhere to the following rules:

• do not exercise if you have severe pain;
• exercises should not be accompanied by the occurrence or intensification of pain;
• start training gradually, gradually increasing the load day by day;
• try not to take breaks, practice daily;
• The duration of the workout should be no less than 10 and no more than 45 minutes;
• the optimal time for exercise is in the morning, after waking up (this way you will quickly relieve morning stiffness and “prepare” the spine for the working day);
• when you have the opportunity to exercise twice a day, distribute the load correctly: do active exercises aimed at warming up and increasing mobility in the morning, and calm, relaxing, stretching exercises in the evening.

Causes of spinal spondylosis

Diagnosed cases, as well as the criteria for the clinical picture, show that the key reason for the occurrence of such an unpleasant disease is a metabolic disorder, which is closely related to the irrationality of physical activity or its complete absence. However, in addition to this, there are also a number of other important and significant reasons that are important not to be overlooked during diagnosis. Let's look at them in more detail.

Injuries

Suffered injuries to the musculoskeletal system often lead to bone growths - the formation of osteophytes. This is what often leads to spondylosis.

According to existing data, the integrity of the bone surface after a fracture is restored through the formation of a bone callus, however, there is a high risk that it will not close the defect, but will form a new one.

Special attention should be paid to microtraumas, which occur almost unnoticed, but at the same time entail quite serious consequences that are difficult to correct.

Loads of various durations

One of the key functions of the spine is support. The design of the spinal column and each individual vertebra is formed in such a way that it distributes the entire load, which became possible due to the ability of the disc to stretch and flatten. At the end of the effect, cartilage tissue is normally restored to its natural position and condition.

In a situation where the load is carried out for a long period of time, the area of ​​contact between the vertebrae increases noticeably, which is realized through the proliferation of connective tissue. The longer the negative influence is carried out, the higher the chances that the compensatory reaction will transform into a pathological one.

Activation of inflammation

Local inflammatory reactions that can create optimally favorable conditions for the formation of osteophytes are also identified as one of the most likely causes of spondylosis.

Considering already diagnosed cases, it can be noted that the pathology is observed in the presence of a predominantly generalized process (for example, rheumatoid arthritis or tuberculosis).

It is worth noting that the disease itself does not belong to the category of inflammatory, but it is closely related to impaired blood supply and affects blood vessels or other soft tissues located in relative proximity to the spine.

Metabolic disorder

The development of spondylosis is based primarily on metabolic disorders, which certainly leads to a lack of nutrition in the tissues of the intervertebral disc. All this suggests that even in a situation where the initiation of harmful processes was preceded by injury, the risk of metabolic abnormalities exists and leads to degeneration of the elements of the musculoskeletal system.

Disorders of this type are observed in patients with diabetes, various degrees of obesity and, of course, acromegaly (disorder of the pituitary gland).

Lack of physical activity

The cause of spondylosis, such as low mobility, is often underestimated by specialists, however, it is among the most likely.

Detrimental processes of the degenerative-dystrophic type are directly related to the lack of nutrition of the discs, through which a large number of vessels pass. Prolonged physical activity of a static type leads to increased pressure on the tissue, and the lack of unloading (mobility) causes rapid wear of the disc and the formation of osteophytes.

Stages of spondylosis

Experts around the world diagnose not just spinal spondylosis, but its certain degree, which is determined by a set of criteria. So, today, it is customary to distinguish two large groups of stages of the pathology:

• X-ray;
• functional failure.

Considering the issue from a clinical point of view, radiological stages are considered more informative. They are among the basic information that a specialist uses when making a diagnosis. Let's consider the issue in more detail.

X-ray stages

First

– according to the results of an x-ray examination, a large number of bone growths are clearly visualized, which are limited to the boundaries of the vertebra. It is important to note that the height of the vertebrae and intervertebral discs remains unchanged.

Second

– X-ray images can reveal the presence of osteophytes that go around the intervertebral disc, going beyond its limits. There are cases when bone growths form a new joint.

Third

– osteophytes fuse into a single bracket and block the vertebra, which eliminates the possibility of movement in the selected segment of the spinal column and causes a narrowing of the canal.

Stages of functional failure

The stages under consideration reflect the patient’s ability to work, maintaining his ability to perform the simplest actions.

First

– a slight degree of change in the physiological curves of the spine leads to a slight limitation of mobility.

Second

– pathological changes limit a person’s ability to work, which often forces him to change jobs. This stage of pathology corresponds to the third group of disability.

Third

– the formation of a bone brace provokes a blockage of mobility, which sharply limits a person’s ability to work, which corresponds to the second group of disability. In a situation where bone fusion is pronounced, a person completely loses the ability to self-care and receives the first group of disability.

Causes and features of the development of spondylosis

The pathology is a direct consequence of degenerative changes in the intervertebral discs, i.e. osteochondrosis. Scoliosis, pathological kyphosis or lordosis, as well as the presence of certain systemic diseases increases the risk of its development. Thus, spondylosis can be partly called the final stage in the progression of osteochondrosis. Therefore, it is most typical for people leading a sedentary lifestyle, in particular, office workers and drivers.

Under the influence of various factors, biochemical changes begin to occur in the intervertebral discs, which gradually lead to a decrease in the percentage of water and proteoglycans in them. The consequence of such processes is the destruction of collagen fibers that form the fibrous membrane and a significant reduction in the shock-absorbing capacity of the disc.

At the same time, the tone and elasticity of the ligaments decrease and their fragility increases. As a result, the pressure of the vertebrae on the disc increases, especially strongly if there are concomitant pathologies of the spine, and it begins to flatten. In this case, the spinal roots inevitably suffer, which are compressed by the surrounding tissues. This leads to the development and constant progression of neurological symptoms.

As the load on the vertebral bodies increases and depreciation decreases, they begin to grow. This is how the body tries to compensate for the changes that have occurred and the remaining intervertebral disc. This begins the process of osteophyte formation. They can have a variety of shapes, and sometimes go around the intervertebral disc, taking it into a ring.

If you do not intervene in time, the osteophytes of neighboring vertebrae will fuse with each other and form a powerful bone bracket. As a result, the vertebrae will be firmly connected, which will completely eliminate the possibility of movement in the affected spinal motion segment, and will also lead to:

• injury to tendons and blood vessels;
• circulatory disorders;
• compression of the spinal roots or even the spinal cord itself;
• development of severe neurological symptoms;
• partial or complete paralysis.

Spondylosis can affect absolutely any part of the spine: cervical, thoracic, lumbar and lumbosacral. Most often, spondylosis occurs in the cervical and lumbar spine due to their high mobility.

Degrees of spinal spondylosis

In addition to stages, there are also degrees of development of chronic pathology, each of which is capable of characterizing the general condition of the patient and helps to form an idea of ​​the characteristics of the course of the pathology.

There are 4 degrees of the disease:

1. slowly progressive;
2. moderately progressive with systematic exacerbation;
3. rapidly progressing with rapid formation and growth of bone growths;
4. lightning variant with a sharp and acute onset and an extremely unfavorable course.

It is important to pay attention to the fact that the uncomplicated variety is characterized by a slow course, in rare cases – moderately progressive. Other ailments appear as secondary, against the background of more severe pathological conditions.

Symptoms of spondylosis

Among the symptoms of spondylosis, there are a large number of different conditions of the human body. It is customary to identify a general symptomatic picture, which suggests dominant or provoked disorders:

• local tenderness

  – unpleasant sensations occur when turning the head, often in the first hours after waking up;

• limited mobility

  – a feeling of stiffness caused by local pain syndrome is observed in the morning after waking up, however, in some cases (during the formation of a bone brace) it is constantly present;

• muscle overstrain

  – the symptom is caused by a high concentration of lactic acid in the muscles, which causes pain and can lead to a sharp thickening and bulging of soft tissues;

• fainting

  - a characteristic feature of the advanced stage. Fainting is short-lived and is preceded by a general decrease in well-being, nausea and weakness.

Methodological recommendations for motor mode in the acute period

In the acute period, in the presence of acute pain, strict bed rest should be observed. Exercise therapy is used mainly for hygienic purposes and is of a general strengthening nature. When moving the lower extremities, do not allow the lumbar lordosis to increase, which can increase pain. In this regard, when performing physical exercises, you should place a soft cushion under your shins.

At the second stage of the acute period, with a slight decrease in pain intensity, isometric exercises should be carefully included to train the abdominal muscles and gluteus maximus muscles.

Exercises that cause pain should be limited in amplitude, degree of muscle tension, or eliminated altogether. Do not exercise through pain!

The number of repetitions of each exercise is 8-10 times. The pace of the exercises is slow.

Cervical spondylosis

Cervical spondylosis can be caused by various reasons. There are cases where this type of disease progresses asymptomatically.

Symptoms of cervical spondylosis

When the cervical spine is affected, the following symptomatic signs are observed:

1. recurrent or constant headaches

   – observed more often after prolonged static stress, may be accompanied by dizziness and tinnitus. An important characteristic is the development of a symptom with an ophthalmological component (fogginess, flickering, etc.);

2. pain in the back of the head

   – provoked by turning the head, which provokes sprains and tension of the nerve roots;

3. limited neck mobility

   – observed in the morning, the severity depends on the extent of the affected area;

4. muscle strain

   – compensatory spasm that provokes pain.

Treatment of cervical spondylosis

The key direction of treatment is the use of conservative methods, which involves a combination of physiotherapeutic methods, taking medications and, of course, other means.

In the absence of contraindications, to improve the patient’s general condition, it is recommended to seek help from a manual therapy specialist. It would not be superfluous to visit exercise therapy (therapeutic physical education), as well as undergo a course of reflexology.

An approximate complex of therapeutic exercises used in the acute period (initial stage)

I.p. lying down. Flexion and extension of the feet and fingers into a fist

I.p. lying down, left leg bent at the knee. Flexion and extension of the right leg, sliding the heel along the bed. After 8-10 repetitions, do the same with the other leg

I.p. leka. Alternating hand raises

I.p. leka, left leg bent at the knee. Extending the right leg to the side. After 8 repetitions, do the same with the other leg.

I.p. lying down, hands to shoulders. Circles with bent arms back and forth

I.p. leka. Alternately straightening the legs at the knees, resting your hips on the roller

I.p. lek, legs bent. Alternating bending of the bent legs to the bow

I.p. leka. Bending your arms to your shoulders combined with breathing

I.p. lek, legs bent. Alternately abducting the knees to the sides

I.p. lek, legs bent. Hands up - inhale, press your knee to the bow - exhale. Same thing - with the other foot

I.p. Leka, legs apart. Rotation of legs in and out"

I.p. leka. Diaphragmatic breathing

Thoracic spondylosis

Quite often in medical practice, thoracic spondylosis occurs, which also has certain characteristics.

Symptoms of thoracic spondylosis

Characteristic symptoms are:

1. pain in the area of ​​the affected spine

   – unpleasant sensations localized between the shoulder blades, as well as in the zone of innervated intercostal nerves, caused by overstrain of the muscular frame, hernias, etc.;

2. partial paresthesia (loss of sensation)

   – the appearance of numbness, “goosebumps”, as well as tingling and even burning in the upper limbs and chest area;

3. limited mobility

   – turning or bending the body, as well as performing actions with the upper limbs is greatly limited or becomes completely impossible;

4. disruption of internal organs

   – the appearance of aching or pressing pain in the internal organs, tingling sensations are observed;

5. tachypnea (fast and shallow breathing)

   – more than 20 breaths in 1 minute;

6. sleep disorder

   – constant insomnia, long periods of falling asleep and inability to deep sleep.

Treatment of thoracic spondylosis

Drug therapy is actively used, individually tailored to the characteristics of the clinical picture of a particular patient.

Massage, electrophoresis, exposure to magnets/laser, etc. can be prescribed as physiotherapeutic treatment.

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Lumbar spondylosis

Lumbar spondylosis most often affects the sacral vertebrae, which indicates the need to use a more precise formulation of the diagnosis - sacrolumbar spondylosis.

Symptoms of lumbar spondylosis

The following symptoms are usually identified as manifestations of a disease localized in the sacrolumbar region:

1. pain of varying intensity

   – unpleasant sensations are concentrated in the lumbosacral region, but can also affect the coccygeal region;

2. feeling of stiffness in the lower back

   – significantly limits the mobility of the spinal column, which negatively affects the patient’s quality of life;

3. partial or complete loss of sensation

   – a symptom of this kind occurs due to compression (squeezing) of nerve fibers and manifests itself in numbness, tingling or even a local decrease in temperature;

4. lameness

   – pain while walking, forcing you to stop for short breaks, accompanied by pain in the calf muscles and a feeling of weakness.

Treatment of lumbar spondylosis

It is implemented using an integrated approach, including various types of physiotherapeutic procedures, attending massage sessions, taking medications, as well as interaction with a chiropractor and following the general recommendations of the treating specialist.

Diagnostics

For complaints indicating similar symptoms, a set of diagnostic procedures is used using instrumental research methods. The main method is radiographic examination.

Based on the results of an X-ray examination, the presence of bone tissue growths can be effectively detected and the degree of progression of the pathology can be determined.

Differential diagnosis is carried out taking into account the clinical and radiological picture, taking into account the likelihood of the presence of third-party ailments and the most accurate identification of negatively influencing factors.

General principles of treatment of spinal spondylosis

Treatment of spondylosis is carried out on an outpatient basis. The key goal is to prevent the progression of the disease, eliminate inflammation, relieve pain and, of course, strengthen the patient’s muscular frame.

Features of drug therapy

The use of medications provides an opportunity to reduce the intensity of progression of destructive pathology. The drugs prescribed to patients include:

• NSAIDs (nonsteroidal anti-inflammatory drugs) –
• corticosteroids;
• muscle relaxants;
• psychotropic drugs;
• painkillers;
• chondroprotectors.

A particularly important role in the treatment of spondylosis is played by chondroprotectors, the use of which makes it possible to accelerate regenerative processes and promote the restoration of damaged tissues. One of the most frequently prescribed and very effective drugs in this group is considered to be Artracam, which can be used both in the treatment and prevention of musculoskeletal pathologies.

Benefits of Exercise

It is difficult to underestimate the benefits of this treatment method. If you regularly perform all the necessary exercises, you can count on:

• improved blood flow in muscles;
• pain relief;
• elimination of inflammation;
• elimination of edema;
• elimination of pinching and return of normal sensitivity to the limbs;
• muscle strengthening;
• general improvement in well-being.

Correctly performed exercises can enhance the effect of medications and eliminate unpleasant symptoms.

Massage and exercise therapy

Exercise therapy and massage are key therapeutic and preventive means that can help the patient improve their health and cope with existing problems.

Consistently regular, measured exercise therapy under the supervision of a specialist helps relieve pain and improve blood circulation. In addition, working on the condition of the muscle corset allows you to form correct motor stereotypes, which eliminates the possibility of overloading the affected part of the spine.

Do you want to feel healthy and fully enjoy life? Do not ignore the symptoms of pathological disorders of the musculoskeletal system, try not to neglect preventive measures and enjoy the moments of every day, and Artracam will help maintain the health of connective tissue and create optimal conditions for its replenishment!