Physiotherapy for osteochondrosis of the cervical spine: indications and contraindications. Indications, contraindications and side effects of physiotherapy exercises

Physiotherapy exercises combines a complex of gymnastic exercises. The main purpose of such exercises is to strengthen the muscular frame and improve joint mobility by acting on the ligamentous apparatus. Exercise therapy for osteochondrosis is effective at all stages of the disease. However, this method is more often used as an adjunct to the main therapy.

It is possible to attend physical therapy with a doctor only in the early stages of treatment, then it is quite possible to do it at home.

Video of exercise complexes for exercise therapy for osteochondrosis of the spine greatly facilitates independent exercises.

Exercise principles and rules

Of course, the exercises themselves exercise therapy for osteochondrosis are somewhat different with different localization of the main focus. But the general principles are the same and include the following rules:

The set of exercises must be agreed with the doctor

For physical education to be as useful as possible, it is advisable to carry it out on the street, in extreme cases, in a room with fresh air access. By increasing the oxygen concentration, the cells of the ligaments and muscles will become more susceptible to physical activity.
Dress for classes should be in loose, breathable clothing, because this will make the patient more comfortable.
Movements should be smooth and accompanied by a gradual increase in amplitude.
If pain occurs, you should stop exercising.
At the beginning and at the end of the procedure, it is necessary to measure the parameters of blood circulation (pulse and pressure). If the values \u200b\u200bare very different from the norm, then the load performed should be reduced.
It is advisable to observe the breathing technique during physical education with osteochondrosis. This will help you stay in rhythm and increase the efficiency of your workouts. Usually, muscle contraction corresponds to inhalation.
In order for the patient to remain motivated to exercise, it is necessary to make physical education as pleasant as possible. That is, do not strive for overwork, but gradually increase the pace without extra effort.
Exercises must be performed regularly, because only in this way can the desired result be achieved.
It is highly advisable to coordinate the entire set of exercises with an exercise therapy doctor before starting physical education. Better yet, attend group sessions in which the doctor can correct the movements as needed.

The influence of exercise therapy on the course of the disease

Physiotherapy exercises for osteochondrosis can be used not only to treat the disease, but also to prevent it. Exercise therapy is especially useful for people at risk:

Exercise therapy in a group is more effective

older age group;
people who are in an uncomfortable body position for a long time;
with weakness of the back muscles;
with orthopedic problems (flat feet, clubfoot);
with previous vertebral injuries.

The implementation of complexes of physiotherapy exercises noticeably slows down the destruction of the bone structures of the spinal column. Strengthening the muscular frame of the back makes the intervertebral joints more stable and reduces the risk of protrusions and hernias in the area of \u200b\u200bthe intervertebral disc.

During periods of exacerbation of the disease, exercise therapy with osteochondrosis of the spine is not recommended, since the pain and other unpleasant symptoms will only intensify. After stabilizing the condition, you can gradually begin to perform a special complex. Even exercises have been developed that can be performed without breaking bed rest. Due to physical education, the following changes occur:

the muscles of the back become noticeably stronger, they create a so-called frame and prevent the displacement of the vertebrae;
the ligaments of the intervertebral joints are gradually stretched and made more elastic;
by accelerating blood flow, the nutrition of all cells of the body is improved, in particular muscle, bone and elastic fibers of the ligaments;
the risk of developing osteophytes (bone processes) is reduced, which can damage the surrounding vessels and nerves and cause adverse symptoms;
in connection with the gentle stretching of muscles and ligaments, spasm and pinching of the nerve root can be eliminated.

Exercise complexes

The complex of exercise therapy exercises for osteochondrosis changes somewhat with different localization of the disease. However, as a preventive measure, it is recommended that you do all of these exercises daily.

The cervical spine is the most mobile, therefore, when performing this complex, you should be extremely careful.

Static load exercises

At the beginning of the lesson, it is necessary to perform exercises for static load:

place your leading hand on the forehead and press on it, while straining the back muscles of the neck;
put both hands on the back of the head and try to bend your head forward, straining the front neck muscles;
place your right hand on the right temple and do the same, straining the lateral muscles of the neck;
repeat the same exercise on the other side.

The static load should be continued for 10 seconds, gradually increasing the resistance.

Exercise therapy for osteochondrosis of the neck

Dynamic complex exercise therapy for osteochondrosis of the neck should be performed while standing:

Take your head 15-20 ° back and alternately try to reach the corresponding shoulder with your right and left ears.
Turning the head to the sides should be done carefully and try to increase the maximum range of motion. First, you need to place the head parallel to the axis of the body, then bring the chin as close as possible to the jugular notch.
Perform circular movements, first in one direction and then in the other direction.
Make nodding movements with the maximum retraction of the head forward and backward.
Raise your shoulders as much as possible, and then lower them back.

All dynamic exercises should be repeated 5-7 times in 2-3 series, that is, in total, 10-20 times should be performed daily. The complex can be supplemented with a standard warm-up of the upper shoulder girdle (swings and circular movements with the hands).

Physiotherapy for osteochondrosis of the thoracic spine begins with warming up the muscles and ligaments. To do this, you can lightly massage the area or take a warm shower. Some doctors recommend rubbing your back with local irritating ointments, but there is no consensus on the effectiveness of this technique.

Exercise therapy for chest osteochondrosis

The following exercises are performed from a standing position:

Raise your arms up and gently bend back, while straining the muscles of the chest. Next, bend forward, trying to ensure that the chest is involved in this exercise.
Alternately lock your hands into the lock on your back and arch the spine as much as possible.
Put your hands on a horizontal surface and try to bend over as much as possible without bending your arms.
Spread your arms to the side and perform twisting movements alternately in both directions.
Put your hands on your shoulders and raise your right shoulder, lowering your left, and vice versa.

Lying on your back, you can do the following exercise:

Place a soft roller 10 cm in diameter under the thoracic region, place your hands behind your head, and raise the overlying sections. Then move the roller a little so that, ultimately, the entire thoracic spine is involved in the exercise process.

Exercises for lumbar and sacral osteochondrosis

Physical education for the spine with osteochondrosis of the lumbar spine includes the following exercises:

Kneeling, put your hands on the floor. Then throw your head back and bend as much as possible. After that, round your back, pressing your chin to your chest.
Lying on your back, throw your straightened legs behind your head. It is desirable that the knees touch the forehead.
Lying on your back, try to tear the pelvis off the floor as much as possible. In this case, the support should be only on the feet and on the shoulder blades.
Lying on your side, alternately pull your right and left knees to your chin.
Lying on your back, grab your shins with your hands and bring them to your chest as much as possible. At the same time, the back will bend, so it will be possible to make swaying movements.

It is very useful to finish the lesson only after you have hung on a regular bar for 30-60 seconds. This exercise stretches the intervertebral ligaments well, allowing the vertebrae to take their position. It should be remembered that you cannot jump off the horizontal bar, but you must carefully descend. Since during the jump, the vertebrae again approach each other and the effect of exercise therapy will come to naught.

Video complexes of exercises exercise therapy

How to sign up for exercise therapy

In order to engage in physiotherapy exercises, you can sign up for group classes. This can be done in a regular clinic after consulting a neurologist. In this case, you will have to get a doctor's referral. If there is no way to waste time visiting doctors, you can sign up for paid exercise therapy courses or hire an individual trainer. Most often, good specialists work in large medical centers. Therefore, it is not advisable to go to small gyms, since it is not doctors who work there, but rather athletes who may not know all the intricacies of a medical technique.

A video recording of exercises will be very useful for classes. Thanks to this, it will be possible to carry out the entire complex at home on your own. However, at the very beginning of the course, it is still better for a professional to assess the correctness of the movements. Since the effectiveness of therapy largely depends on this.

In almost all cases of complex treatment and prevention of osteochondrosis, therapy should be supplemented with therapeutic gymnastics. You can perform the exercises both in group lessons and independently. It is important not to forget the basic principles of exercise therapy, because only if they are observed will gymnastics benefit.

Exercise is an effective method of treating osteochondrosis: it helps to tone the muscles, improve the functioning of the musculoskeletal system and joints. It is recommended to use it in parallel with other methods, such as massage, manual therapy.

Osteochondrosis is a disease of the spine characterized by degenerative changes in the intervertebral discs, which lead to a loss of their density and integrity (cracks appear). The load on the spine can provoke displacement of the disc towards the spinal canal (disc protrusion) or protrusion of the nucleus pulposus from the surrounding annulus fibrosus (intervertebral hernia).

As a rule, the development of the disease is facilitated by a sedentary lifestyle, rare physical activity (the tone of the musculo-ligamentous apparatus of the spinal column decreases). Special exercises are capable of slowing down the course of osteochondrosis.

Regular performance of physiotherapy exercises aimed at stretching the vertebrae has a positive effect on the condition of the spine and the body as a whole:

the back muscles are strengthened;
the flow of oxygen and nutrients to the cartilaginous and bone tissues of the spine improves;
blood circulation, metabolism in cartilage is normalized;
the process of removing toxins and toxins is accelerated.

A set of therapeutic exercises is used both to alleviate the condition with osteochondrosis and to prevent the onset of the disease.

The figure shows a part of the spinal column, the area of \u200b\u200bthe intervertebral disc (between the vertebrae) is outlined in black. The intervertebral disc plays the role of a shock absorber - it protects the vertebrae from friction against each other when walking, sitting, and stress. With an inactive lifestyle, in the human body, metabolism is disturbed, as a result of which the intervertebral discs do not receive the required amount of nutrients - this is how degenerative changes begin, the nucleus pulposus loses moisture, and the disc loses elasticity. This, in turn, leads to an increase in the load on the vertebrae and on the entire spine and back muscles.

The effect of exercise

In the acute period of the course of osteochondrosis, therapeutic exercises are not used. To improve the patient's well-being, stretch the spine along its axis is prescribed. An increase in the distance between the vertebrae leads to muscle relaxation, a decrease in irritation of the nerve roots (pain decreases). When the disease worsens, it is recommended to change the soft bed to a hard one.

Physiotherapy exercises have a positive effect in the first stages of osteochondrosis development. It stimulates biological and physiological processes inside the body: improves blood circulation, muscle tone, restores the functions of the spinal motion segment.

In general, the regular use of remedial gymnastics helps:

strengthen the muscles of the arms and the musculo-ligamentous apparatus;
improve blood flow and lymph circulation;
to strengthen metabolic processes in the affected tissues of the spine;
correct incorrect posture;
restore the supporting and motor functions of the spine.

In the early stages of osteochondrosis, physical therapy is aimed at reducing irritation of the nerve roots in contact with the affected intervertebral discs. Despite the positive result from the use of gymnastics, it is necessary to perform only those exercises that do not cause increased pain.

Indications for performing physiotherapy exercises

The main goal of exercise is to strengthen the muscle, cartilage tissue that supports the vertebrae. Exercises should be done slowly, without sudden movements, completely relaxing.

You should not overwork during classes: only moderate loads contribute to recovery (metabolism improves, muscle condition improves, the spine resumes, the shock-absorbing functions of the intervertebral discs).

It is not recommended to perform exercises for acute pain and without first consulting a doctor. It is better to exercise under the supervision of a qualified specialist (physiotherapist), but you can do it yourself.

To achieve a positive result, training must be carried out every day. At first, all exercises are repeated no more than 5 times, then the number of approaches is increased up to 10-12 times (as the muscles become stronger).

The frequency of performing physiotherapy exercises

All exercises prescribed by a doctor for the treatment of osteochondrosis should be performed regularly. In addition, patients whose activities are related to sedentary work are recommended to warm up directly at the workplace (when possible, but preferably every hour).

Strengthening the muscles is necessary whenever possible. Even light training, if performed regularly, will help to avoid relapses of the acute phase of osteochondrosis, to reduce the intensity of pain.

The effect of the use of physiotherapy exercises for diseases of the spine is felt immediately after classes (with properly selected gymnastics). The choice of a set of exercises should be carried out by a doctor from the general picture of the disease (the stage of development of osteochondrosis, the type of damaged structures, the form of the disease).

You should not stop practicing medical gymnastics. If you feel unwell, there is no relief, you should contact your doctor: he will prescribe a new set of exercises.

When exercise is contraindicated

Exercise for osteochondrosis helps to improve well-being, to prevent vertebrae from splicing during destructive processes in the discs of the spine. Basically, its use is recommended for all patients, but exceptions are possible.

Exercise therapy is contraindicated in such cases:

acute period of the course of osteochondrosis;
postoperative period (at the first stages of spinal recovery);
neurological diseases, accompanied by impaired coordination of movement;
high blood pressure;
disorders of the vestibular apparatus;
visual impairment (severe myopia), high intraocular pressure;
dysfunction of the cardiovascular system (for example, arrhythmia);
deterioration of the patient's condition due to the complication of a chronic disease, severe disease.

Physical education is not carried out: on an empty stomach, after eating or physical fatigue.

A positive result from the use of physical education is possible with an integrated approach to the implementation of therapeutic exercises. In this case, only those exercises should be done, after which the condition of the muscles improves significantly (efficiency increases, tension decreases).

If, during or after gymnastics, the state of health worsens, it is better to stop them and be sure to go to the doctor.

Cervical osteochondrosis: which exercises are effective?

The disease manifests itself in different segments of the spine, but most often degenerative-dystrophic changes are observed in the cartilaginous and bone structures of the cervical spine. The main reason is the constant stay in an uncomfortable tense position. The most prone to developing the disease are people over 25 years old.

In order to engage in physiotherapy exercises with cervical osteochondrosis, special physical training is not needed. Each patient can easily do the following exercises:

We sit on a chair, straighten our back, stretch our neck. Then we make 5-10 slow turns of the head: to the left and to the right (we try to turn the neck as much as possible). The result of physical education is an improvement in the motor functions of the cervical vertebrae.
In a standing position, we tilt our head down, trying to pull our chin to the chest. Repeat inclinations 10 times. (If we cannot reach the chest, we try to bring our head closer to it as much as possible).
We sit down at the table, lean on it with our elbow. We put our palm to the temple, tilt our head to the side, while creating resistance with our hand (we hold in this position for about 10 seconds). We do the exercise no more than 10 times with a break of 8-10 seconds. The effect of doing such gymnastics is to strengthen the lateral muscles of the neck.
We lie on our stomach so as to ensure complete muscle relaxation. We put our hands along the body (palms up). Then, with slow movements, we turn our head to the left, then to the right (up to 10 turns in each direction), constantly returning to the starting position: face down.
We sit down, bend forward, inhaling deeply (the head reaches for the chest). On exhalation, we return to the starting position, throw our head back. We repeat the exercise 10-15 times.

Exercises for the muscles of the shoulder girdle

The shoulder joint connects the clavicle, scapula, arm bones, thereby providing greater mobility of the upper limb. Poor posture, which has developed over the years, leads to a decrease in its functions: there is a stoop and stiffness of the shoulders. With chronic tension of the shoulder girdle, the mobility of the ribs worsens, breathing becomes difficult.

Exercises aimed at developing the muscles of the shoulder girdle are used to prevent the appearance of diseases of the spine: osteochondrosis and intervertebral hernia.

When doing gymnastics, you need to monitor your posture, the correct position of your legs (they should be shoulder-width apart) and your body (you cannot bend forward). Only then will the load on the back, arms, neck muscles and shoulder girdle be evenly distributed.

The first exercises are performed slowly, then gradually increase the speed of movements. This technique of doing gymnastics prevents muscle pain after exercise.

Exercises to develop the shoulder girdle, shoulders, consists of the following exercises:

We put our feet shoulder-width apart, putting our hands on the belt. We make turns with our shoulders forward, then in the opposite direction.
We put the sore hand on the healthy shoulder. We place the other hand on the elbow of the unhealthy limb, gently pull the injured arm to the top.
We take our hands behind our back, we connect them in a lock so that the diseased limb is on top. Gently pull the affected arm down with the healthy limb.

This kind of exercise improves blood circulation, accelerates metabolic processes in damaged tissues. Gymnastics from the school physical education program has a similar effect.

With osteochondrosis, power loads are not desirable, since they can increase the pain syndrome. A regular light warm-up gives a positive effect: a feeling of cheerfulness appears, pain recedes.

In case of cervicobrachial disease, in addition to exercises, the use of compresses based on Dimexide and Bischofite is allowed.

A set of exercises for chest osteochondrosis

Deformity of the spine in the thoracic region is a consequence of improper posture, weakening of the back muscles due to the lack of regular training. Degenerative changes in this part of the spine often lead to disturbances in the functioning of the respiratory, cardiovascular system: angina pectoris, arrhythmia, pulmonary and heart failure appear.

That is why it is so important to engage in physiotherapy exercises. Performing a properly selected set of exercises will allow you to resume the motor functions of the segments of the spine, release blocked vertebrae, and reduce pain attacks.

Physical education, consisting of the following exercises, helps to remove the main symptoms of osteochondrosis of the thoracic spine:

To perform the exercise, you need to take a roller with a diameter of up to 10 centimeters (a rolled towel will do). We lie on our back, put the roller under the chest (its lower part). Putting your hands under the back of your head, slowly raise your back (repeat several times). Next, we move the roller along the spine (up), do the exercise first. A uniform study of different parts of the thoracic region stretches the spine, tones the muscles.
We get on all fours: we flex our back as much as possible, linger in this position for a few seconds (while keeping our head straight). After that, we take the starting position, then repeat the exercise.
We lie on our side with our legs bent at the knees. We pull the right leg to the top (we tighten the muscles, move the hip to the side to the maximum), fix the position of the leg for 5-10 seconds and lower it. We repeat the same with the other leg.
We lie down on a flat surface with our stomach down, put our hands under our head. On inhalation, we raise our shoulders and body, on exhalation, we return to the starting position. We do the exercise at least 3-4 times. As the muscles strengthen, we increase the number of approaches.
We sit on a chair (with a back), we lean our back on it. We bend back so as to feel how the muscles of the thoracic region stretch. After that, we make smooth forward bends. It is necessary to make 4-5 such approaches.

Exercises for lumbar osteochondrosis

There is an opinion that back pain is humanity's payment for upright posture. After all, it is this part of the spine that bears the entire load when walking, performing the functions of a shock absorber.

As practice shows, people who neglect an active lifestyle are much more likely to suffer from lumbar pain. Daily exercise not only helps to get rid of unpleasant pain sensations, but also to prevent the development of degenerative-dystrophic processes in the bone and cartilaginous tissues of the locomotor system.

Physiotherapy exercises for lumbosacral osteochondrosis strengthens, stretches the back and abdominal muscles. In the first lessons, the exercises are performed lying down: in this position, the load on the back is small, there is no risk of increased pain.

The positive effect of the use of gymnastics is manifested in the following:

improvement of blood and lymph circulation;
normalization of metabolic processes in the bone, cartilage tissues of the spine;
elimination of congestion in the pelvic organs;
strengthening muscles;
traction of the nerve roots of the spinal cord;
restoration of the functions of the musculoskeletal system.

Exercise promotes the production of proteins in muscle tissue. Entering the body, they stimulate the work of the main systems.

The following exercises are capable of alleviating the condition with lumbar osteochondrosis:

We lie on our backs, firmly press the lower back to the floor, bending our legs at the knees. We reach with our hands to our legs, trying to hug them (we do not tear the lower back off the floor!). We linger in this position for 5 seconds, go down, relax the muscles. Repeat the exercise 40 times (in two approaches).
We bring our legs together, pull them to the stomach, bending at the knee. We wrap our hands around our legs, fix the position, and then slowly stretch our head towards the knees. We lower ourselves to the floor (slowly), returning to the starting position.
We get on all fours, keep our back straight. We step over with our hands to the left, bending the body in the same direction, and then to the right (when turning, keep the body bent for a few seconds). We repeat the exercise (at least 10 times).
The starting position is on all fours. Raise your head while arching your back. Then we do everything in the reverse order: we lower our head, smoothly arching the spine.
We stand straight: we keep our legs straight, we place our hands on the belt. Lean forward and backward as much as possible. You need to make 10 deep slopes in each direction.
We sit on the floor: raise our hands up (palms "look" forward), bend over to our feet, trying to touch our toes with our hands. This kind of gymnastics helps to strengthen the back, as well as abdominal muscles: when leaning forward, the back works, when moving backward, the press.

Treatment of lumbar osteochondrosis should be aimed at restoring the functions of the spine, eliminating pain and is carried out in a comprehensive manner. In addition to medical therapy, massage procedures, traction, physiotherapy exercises have a positive effect. It strengthens the muscle corset, helps to reduce the load on the spinal discs.

Osteochondrosis is a disease that can deprive a person of many joys in life, reduce performance and worsen the emotional background. Physiotherapy for osteochondrosis is one of the ways to improve the patient's condition and return to the usual activity as soon as possible. Performing some simple exercises while taking medication, you can quickly forget about stiffness in movements and constant pain.

The benefits of physical education for osteochondrosis

Physiotherapy is an effective method of preventing relapse and avoiding surgical intervention. The benefits of exercise for osteochondrosis are as follows:

relieving muscle tension and activating blood flow in diseased areas;
maintaining the correct metabolism;
strengthening muscle tissue and increasing its elasticity;
elimination of muscle spasm, leading to pain relief;
normalizing posture and relieving stress from damaged areas;
stimulation of regenerative processes in cartilage tissue;
improving ventilation of the lungs, the work of other internal organs and systems.

The greatest benefit is brought by regularly conducted physical education. Calm music can be used during exercise to help you tune in to a moderate pace.

Physiotherapy for osteochondrosis does not require special devices or sports training. It is based on natural movements that allow you to use different parts of the human body to the advantage.

Complex for the cervical spine

Violations in the cervical spine are quite common. The disease is diagnosed from the age of 25. To prevent its progression, you can use a complex for the cervical spine, which combines several simple movements.

Movement # 1

Lying, straightening the torso as much as possible, the left hand is placed on the chest, and the right hand on the stomach. After that, a slow breath is taken, and the breath is held for up to 10 seconds. After exhaling, they relax and repeat the movement several more times.

Movement # 2

From the previous position, you need to roll over onto your stomach and straighten your legs. Then you need to lift the upper thoracic region along with the head, and return to the starting position.

Movement # 3

Lying on your back, your legs are bent at the knees. The body turns to the right and to the left alternately. You will need to take a break of at least 20 seconds between each turn.

Movement # 4

Sitting on a chair or standing, straighten the neck and back. Both hands are placed on the back of the neck, and slowly perform sliding movements with the palms. At the same time, small bends of the head and neck are done. Runs at least 5 times.

Movement # 5

Perform sitting or standing. Place the palms in the middle of the forehead. Then they press them on the head, while resisting it. This position is maintained for about 20 seconds.

Exercises for the thoracic spine

The complex for the thoracic spine is performed while sitting on a chair and standing.

Exercise number 1

Sitting, lean on the back of a chair. Straightening up, they try to stretch the chest as far forward as possible. At the same time, you need to close the shoulder blades. Repeat several times.

Exercise number 2

In the same position, the shoulders are sharply raised, imitating an attempt to hide the head and draw in the neck. In this position, they linger for a few seconds. Perform 5-7 repetitions.

Exercise number 3

Bends forward and backward while standing. The movement is repeated 15 times in each direction.

Exercise number 4

They take a stable position with their feet shoulder-width apart. The arms should be straight and spread apart. Leaning over, perform the "mill", gradually increasing the amplitude.

During the exacerbation stage, any exercise should be performed exclusively under the supervision of a specialist. During such a period, a limited set of passes is permissible: contraction and relaxation of the abdominal, shoulder leg muscles.

To prevent injury, each exercise should be performed smoothly. If pain occurs, the exercise should be stopped and a specialist should be consulted.

Gymnastics for the lumbar spine

Like the previous types of exercise therapy, exercises for the lumbar spine should be performed in parallel with drug therapy. After its completion, classes continue to consolidate the results obtained during treatment.

The exercises below are performed lying or on all fours.

« Twisting»

Being on my back, I bend my legs at the knee joints. In this case, there must be an obtuse angle between the lower leg and the thigh. Hands are locked behind the head, and they begin to gradually deviate the legs to the right and left, trying to touch the floor with each knee in turn. The number of repetitions is at least 5.

« Bridge»

Lying with legs bent at the knees, arms are extended along the body. Leaning on the shoulder blades and hands, raise the pelvis, trying not to bend the lower back too much. Perform at least 3 times.

« Lazy cat»

Standing with a straight back on all fours, the lower back is slightly flexed. Returning to the starting position, the head is lowered and the back is arched with the wheel. Repeat 5 times.

« Crawling»

Being in the previous position, imitate the crawling process. In this case, you will need to imagine a hanging object above your head that cannot be hooked. At first, the distance should be short.

If you feel well, it is necessary to engage in physiotherapy exercises daily, for 30-40 minutes a day. Gradually, the number of repetitions of each movement is increased, bringing it to 10.

Contraindications to physical activity

The above options for performing therapeutic exercises can be used only at the stage of subsiding of the expressed symptoms of the disease. They are completely contraindicated for:

pronounced exacerbation of osteochondrosis, accompanied by severe pain in a calm state;
instability of the vertebrae, causing circulatory disorders in the vertebral arteries and dizziness;
the presence of any acute illness;
identification of oncological processes;
bleeding, arrhythmias, tachycardia and thrombosis;
increased body temperature and blood pressure;
intoxications of the body.

Physical therapy for osteochondrosis is not carried out during the rehabilitation period after surgery on the spine, diseases of the vestibular apparatus and with a high degree of myopia. Do not perform therapeutic movements on an empty or too full stomach.

For all types of osteochondrosis, it is forbidden to use devices designed for the spine without first consulting a specialist. In such cases, the risk of serious injury increases significantly.

Exercises for osteochondrosis, video

To avoid mistakes during physiotherapy exercises, it is recommended to perform all movements under medical supervision. In the stage of remission, the complexes can be significantly expanded and supplemented. During this period, a video prepared by professionals in the field of exercise therapy will come to the rescue. When doing therapeutic exercises, it is necessary to adhere to the recommended duration and amplitude of the exercises. Self-correction of movements in this case is unacceptable.

Physiotherapy exercises for osteochondrosis remains an indispensable means of restoring the full functioning of the spine. You can read reviews on this topic or write your opinion on the forum.

The result of the appearance of osteochondrosis is not only severe consequences for the bones and muscles of the spine, but also pathological disorders in the work of many internal organs. Therefore, it is important to regularly engage in the prevention of the disease, and when symptoms appear, timely start treatment. Exercise therapy for osteochondrosis will help strengthen the back muscles, restore their mobility and relieve tightness.

Back diseases are very common, people suffer from them regardless of gender and age. According to the WHO, up to 80% of patients complain of ailments of the musculoskeletal mechanism. Moreover, the majority of patients are of working age - 29-49 years. The problem is aggravated by the fact that often people simply do not pay attention to osteochondrosis in the early stages of development, ignoring the symptoms or trying to cure completely different problems. It is not surprising that therapy is not always prescribed on time. Systemic treatment, including medication, physiotherapy, massage procedures, exercise therapy for osteochondrosis, should begin as early as possible in order to ensure the greatest efficiency.

Pain can lead to different consequences. If you start the correct treatment in a timely manner, you can quickly stop them, relieve inflammation and provide long periods of stable remission. In a number of patients who were delayed with therapy, the disease became chronic. This provokes a decrease in performance or its complete loss. Osteochondrosis is associated with degenerative processes in the spinal column, from which intervertebral discs and cartilage tissue suffer.

Spine structure

The elasticity and flexibility of the spinal column is provided by intervertebral elastic discs located between the vertebrae. In these discs, there is an area around which the annulus fibrosus is located. There is a cartilaginous covering above and below.

When osteochondrosis begins to develop, blood flow in the spinal column is disturbed, and metabolic processes change. Disks lose their elasticity, gradually drying out, and their strength decreases. This also reduces the height of the discs. As these processes develop, the fibrous ring begins to suffer, it weakens and can no longer provide the strength of the spine under the action of stress, which provokes protrusion. In some cases, a rupture of the ring is possible, accompanied by the appearance of a hernia of the intervertebral type. The entire spine is at risk, and its mobility can be significantly impaired.

Causes of osteochondrosis

Osteochondrosis can be the result of heredity, but most often it is caused by a person's insignificant mobility, low or, conversely, excessively high physical exertion, wearing uncomfortable shoes, age-related changes, and poor nutrition. That is why a healthy lifestyle with a balanced diet and moderate exercise on a regular basis is so important.

It is very difficult to achieve full compliance with these requirements. After all, modern life is mainly a sedentary pastime at the computer at work and at home, driving a car. Physical therapy plays a preventive and therapeutic role in such conditions. Thanks to simple exercises, you can improve trophism in the intervertebral discs, increase the level of articular mobility, activate blood flow and saturation of the spine with nutrients, strengthen the muscle corset and limit destructive processes in the bone tissue of the spinal column.

Indications for exercise therapy

The benefits of physical therapy are obtained at any age, however, it is most indicated if there is a predisposition to back diseases:

at an older age;
when you are regularly in uncomfortable and unnatural positions;
in the presence of a weakened muscular system and ligaments;
in case of problems with the spine, with flat feet or clubfoot;
after suffering damage to the vertebrae.

Exercise rules

Osteochondrosis can be localized in different areas of the spinal column - in the neck, in the thoracic or lumbar and sacral regions. Exercise therapy is recommended, regardless of where the disease is diagnosed. However, the set of exercises will be different. Although there are general rules that must be followed:

it is necessary to create conditions in the room - to ventilate the room (but without a draft), and if possible, transfer classes to fresh air;
it is necessary to start classes at a time when an exacerbation of the disease is not observed, i.e. in the absence of symptoms in remission;
for exercise therapy, clothes that are wide in style are chosen, which will not impede movements;
you need to start the exercises with a small number of repetitions, gradually increasing the pace and increasing the number of smooth movements without jerking;
the appearance of pain should be excluded, and if painful sensations appear, then exercise therapy stops;
classes should begin with a warm-up and determination of the pulse and blood pressure level, it is also necessary to end with the measurement of all indicators - in case of deviations from the norm, it is advisable to adjust the load downward;
during training, it is important to control breathing, which allows you to choose the right pace and improve performance;
if you do stretching movements, then it is advisable to perform them on exhalation;
it is advisable to avoid a sharp increase in the load, the frequency and number of repetitions increase sequentially, which minimizes the risk of injury;
regular exercise helps to create the best therapeutic conditions;
a specialist should choose a course of exercises, so at the initial stage it is important to consult a doctor.

Exercise therapy and problems in the cervical area

In this part of the spinal column, there are a large number of vessels, the task of which is to feed the brain. Deterioration of the cervical zone provokes difficulties in blood supply.

Symptoms of the disease

A number of neurological changes help to identify cervical osteochondrosis:

Manifestation of humeral-scapular periarthritis. The condition changes in the shoulder area and neck. Patients suffer from neurogenic disorders in the mobility of the shoulder joint, the protection of the axillary nerve from irritation decreases. In the area of \u200b\u200bthe back, upper extremities, pains appear, which limit their mobility.
The manifestation of cervical and brachial radiculitis - there is a decrease in the height of the intervertebral discs, the openings between the vertebrae are reduced. This provokes pinching of the nerves of the spinal cord type. The patient complains of severe pain, the intensity of which increases with head rotation. There is a muscle spasm in the neck.
Cardiac type syndrome. With cervical osteochondrosis, pain in the heart area is possible, although changes in the work of the organ itself are not observed. The manifestation of tachycardia, accompanied by extrasystole, is possible, since the nerve roots of the spinal cord are irritated.
Vertebral arterial syndrome. A patient in this state complains of headaches, dizziness. Possible impaired coordination of movement, inability to maintain balance. Complaints of nausea, vomiting, vision problems, the appearance of flickering before the eyes are recorded. The symptoms of the disease include pain in the throat, in the area of \u200b\u200bthe hard palate and tongue. The patient's voice becomes hoarse, and in some cases he loses the ability to make sounds. The back of the neck and the back of the head hurt, there is a burning sensation of varying intensity. In some cases, the patient has problems with memory, insomnia appears, anxiety and irritability increase. The general condition worsens, the person complains of weakness.

The effectiveness of the therapeutic effect in cervical osteochondrosis is provided by an integrated approach. Standard drug treatment should be complemented by massage, physiotherapy and exercise therapy.

Neck Pain Exercise Course

To eliminate overloading of the cervical muscles, it is advisable to add different movements to the complex. At the preparatory stage, a warm-up is done, in the main - basic movements for the neck. Exercise therapy ends with relaxation. Movements are done on the back, side or stomach, as well as in a sitting position.

In a horizontal position on the back

The exercise course includes the following options:

Take a basic pose on your back with your legs straight and your arms in line with your body. Raise your head and keep your balance for 4-7 seconds. Repeat up to 3 times.
Place your hands in the shoulder area, after which you should rotate your elbows 4 times in turn in both directions. The number of movements up to 4.
Stretch the upper limbs along the torso line, bending the limbs at the knees. Lying down imitate walking for 30 seconds with 4 repetitions.
Direct your hands to the ceiling area and stretch them one by one. The blade should be torn off the plane. Repeat 4-8 times.
Arms placed along the body lift up through the sides, taking a breath. Then direct the knees to the sternum and exhale. The head is on the floor. Repeat 3-6 times.
Lying, hands near the body, press the back of the head into the floor plane for four counts. Do 6 reps.
Lift your head off the surface, turn slightly to the right side and stay for 4 counts. Lower it while relaxing. Requires up to 6 repetitions.
Place the limbs to the waist, bending your legs, inhale. As you exhale, straighten your knees and relax. Try the movements up to 6 times.
With your hands along the line of the body, bring the shoulder blades together, touching the surface with them. Fix the pose for 4 seconds, relax. Repeat 5-6 times.

Healing movements on the side

First you need to lie on your right side:

Extend your right arm, placing your ear on it. Raise it with your head pressed, fix it for 4 seconds, lower yourself and rest. Repeat up to 4 times.
Place your left hand on the surface in front of your chest. Swing your left leg forward and backward up to 8 times.
Extend your left hand along the body, while inhaling, lift it up, and as you exhale, point it down. It takes up to 4 movements.
Place your left limb on your thigh, bring your knees up to your chest area, exhaling air. Then, inhaling, straighten your lower limbs. Do 4 reps.

Similar exercises should be done while lying on the left side of the body.

Exercise therapy on the stomach

Roll over onto your stomach and perform a few simple movements:

Press your hands to the back of your head with your elbows in the plane of the floor, rest your forehead on the surface. Try to raise your head while maintaining balance for 4 seconds. After returning to the starting position, repeat up to 4 times.
Rest your chin with your palms under it. First, point your arms forward, spread out to the sides, extend again and take the starting position. The number of repetitions is up to 4.
Stretch your arms out in front of you and simulate a crawl up to 8 movements.
Place your palms in front of your head, rest your forehead and try to reach the buttocks with the heel of each leg 4-8 times.

Sitting exercises

Movements are performed smoothly, avoiding the appearance of pain:

Press for 4 sec. with the palm of your right hand on the knee of the right leg. Repeat with the other limb and both at the same time. The number of repetitions is up to 6 times for the parties in turn.
Try to reach your ear with your right shoulder, then with your left shoulder - 4-6 times.
Lead with both shoulders towards the ears - 4-6 reps.
Rotate your shoulders in a circle in turn, and then simultaneously - up to 8 times in each direction.
Straightening the right leg, for 4 seconds. rest your heel on the floor. Repeat with the left limb, up to 4 times each.
Sitting down, do the bike exercise.
Inhale, spreading your arms. As you exhale, hug your shoulder girdle. Repeat 4 times.
Sitting on the chair on the right, move your hand up and down, and then back and forth. Raise your hand and draw circles clockwise and counterclockwise. Lower the limb, shake it. Repeat the set while sitting on the left.
Sitting upright, raise your arms, inhale. As you exhale, grasp the knee joints.

Training for osteochondrosis of the chest type

This localization is less common, but in some cases, patients experience pain in the thoracic region, aggravated by movement and bending, during sleep, with an uncomfortable body position. Raising their arms, patients complain of pain between the shoulder blades, and when walking, in the intercostal area. Compression is felt in the sternum and back.

Prevention and exercise therapy

To minimize the risks of developing an ailment, you need 35-45 minutes daily. relieve the load on the spinal column, taking a horizontal position. With sedentary work, after 2 hours, it is advisable to stretch the shoulders, do bends, and stretch.It is important to avoid hypothermia, while paying attention to exercise therapy and swimming in the pool.

Physiotherapy will help:

strengthen the muscle corset;
increase mobility in the thoracic area of \u200b\u200bthe spine;
reduce the load on the spine, ensuring its posture;
improve ventilation of the lungs;
minimize the risk of complications.

A set of useful exercises

Performing the following movements will alleviate the patient's condition and prevent the progression of the disease:

Lie on your back with your knees bent. Press your upper limbs against the chest area with your hands. Pull them slightly towards you, trying to tear off the lumbar segment. Tighten your abs. After fixing the pose for 5 seconds, smoothly return to the original pose. Do 2 sets.
Stretch your arms forward horizontally to the floor, straighten your legs. It is necessary to stretch the left arm together with the right leg for 2-3 seconds, and then the other limbs. Repeat slowly 3 times.
On your stomach, move your arms to your sides. Try to raise your head together with your hands for 2-3 seconds, lower yourself. Repeat up to 5 times.
On your back, put your hands behind your head, stretch. Raising your legs up, try to touch the surface behind the head with your toes. You cannot bend your knees. After 2-3 sec. lower yourself and stretch your arms along the body.
Lie on your right side with your knees bent. Point your left leg upward with maximum hip abduction. After 2-3 seconds, return to the original position. Do it 3-4 times. Repeat the movements on the left side.
Get on all fours, raise your head, bend over, inhaling, and lower your head. Having rounded your back, you need to feel muscle tension, exhale. Repeat 4-5 times.
Get on your knees, as you inhale, raise your hands up. Then direct them forward and take them as far back as possible. The body should tilt slightly to allow you to sit on your heels. Exhale and return to your original position. At an average pace, repeat 3-4 times.
Back on all fours, lift your head and gently bend in the spine. Then you need to lower your head to the sternum, arching the spinal column. The number of repetitions is up to 3.

Exercise therapy for lumbar osteochondrosis

This ailment occurs quite often due to high loads on the lumbar region. It is accompanied by pain in the lower back and legs, swelling is observed at the site of localization, and muscle spasm is manifested.

Gentle set of exercises

Workouts are prescribed if pain is pronounced. In this case, lightweight positions are chosen in order to ensure relaxation of muscle tissues and activate blood flow.

In the supine position:

Straighten the upper and lower limbs. On inhalation, the arms rise up, and on the exhale, they fall. Run 4-5 times.
Up to 10 times it is necessary to bend and unbend the feet, squeezing and unclenching the fingers.
Rotate the feet in a circle up to 6 times in turn in both sides. Do 2 repetitions.
Take the arm and leg to the side 6 times on the right side, and then on the left.
Put your hands behind the back of your head, fold into the lock. Raising your head, try to stretch your socks towards you up to 8 times.
Place your hands along the line of the body, lift them up, pulling the socks away from you as you inhale, and then, exhaling, go to the original position. Requires up to 8 repetitions.
Bend your legs, placing them at shoulder distance. Try with the knee of your right leg to reach the foot of your left, and then, on the contrary, up to 6 times.
Rotation of legs like on a bicycle - 5 rotations.
Hands in the abdomen, inhale deeply with the belly, exhale. Do 4 reps.
Extend your left hand along the body, and keep your right hand on top. Then change position 4 times.
Spread your legs over your shoulders, spread your arms to the side. With your right hand, reach the brush with your left and vice versa. Requires 8 repetitions.
Use your hands to help bring your knees to your chest 8 times.
Bend-unbend the feet and squeeze-unclench the fingers - 10 times.

On the left side;

make 4-6 swings with your arm and leg;
pull your knees 7-8 times to the chest area;
swing your leg forward and backward up to 8 times;
perform similar movements lying on the right.

On knees:

Up to 12 times, straight arms should be taken in both directions.
Swing straight lower limb in the back direction - up to 10 times.
Pull your knees to your hand in a crisscross pattern - 6-8 times.
Bring the left knee closer to the chest area, and then, taking your leg back without lifting the toe off the floor, slide it so that it sits on your right heel. Move the other leg up to 8 times.
Swing your leg up and back, keeping it straight, and with the opposite hand up. The same should be done with other limbs - up to 8 repetitions.
Keeping the position of the legs, begin to overstep the hands to the right and left - up to 5 repetitions in different directions.
Sit on your heels. This should be done smoothly, without taking your hands off the surface (up to 8 repetitions).
Take a sitting position alternately on each buttock. Hands cannot be torn off - up to 8 repetitions.
Straighten your arms and rest them on the surface. Lower your head to your chest, arch your back, and then arch. Do not bend your arms. Maximum bend in the belt. The number of repetitions is up to 10.

Training mode

If the pain is insignificant, and the stage of exacerbation is not observed, then in this mode it is possible to finally form a muscle corset, restore the mobility of the legs. Exercise should be dosed. At the beginning of the exercises and at their completion, it is necessary to control the heart contractions. The pulse rate is within 120-140 beats.

Back exercises

Bending your legs at the hip joint and knees, make sure that your shins rest against the support, and your hands are behind the head in the form of a lock. Raise your head with your shoulders 8 times.
Clamp the ball with your feet, resting your shins in the support. Start moving the ball 8 times to the right and left.
In the same position, hold the ball with your feet and direct your knees to the chin area 6-8 times. The head should be raised.
Bend your hips and support your shins. Place your hands with dumbbells along the body. Move from a horizontal position to a sitting position up to 8 times.
Holding the dumbbells in your hands, move them to the left. In this case, the knees should move in the opposite direction. Repeat 7-8 times.
With your knees bent, grasp the ball with your feet. With dumbbells in hand, try to maintain balance.

To consolidate the effect, you need to go through exercises on the stomach:

Stretch your arms straight out, raise your head and shoulders, and bring your left arm back and to the side while pivoting your body. Carry out similar movements with the right limb.
Directly directed arms are pulled back. The upper body area rises with the bent legs. Repeat 8 times.
Bend and unbend your legs in turn up to 20 times.

Regular exercise and a healthy lifestyle can help you avoid back problems. In the process of treating osteochondrosis, exercise therapy will provide a higher effectiveness of therapy.

In the fight against osteochondrosis, complex therapy is used, the main part of which is the exercise therapy for osteochondrosis. Exercise is the most effective way to combat an illness. Currently, the number of people diagnosed with osteochondrosis is growing exponentially. This is due to the limitation of the mobility of a modern person. Most people are busy with sedentary work at the computer, and spend their evenings at home watching TV. A set of exercises for osteochondrosis of the spine will help to diversify your leisure time, it will allow you to spend your free time with health benefits. Gymnastics for osteochondrosis has its own indications, features and rules. The full complex is recommended to be agreed individually with your attending physician. Exercise for osteochondrosis is prescribed after the suppression of pain.

Physiotherapy exercises for osteochondrosis of the spine are used at the first onset of symptoms, in a rhythm that does not cause you discomfort. What exercises can be done with osteochondrosis, and what exercises can not be done? Consider the rules of application:

It is strictly forbidden to start any physical activity without consulting a doctor;
It is forbidden to carry out physical exercises without relieved osteochondrosis pain syndrome;
Exercising in the presence of medical contraindications and diseases other than osteochondrosis is prohibited;
With osteochondrosis of the back, it is better to do gymnastics at the same time, in loose light clothing, in a ventilated room;
Eating is recommended at least one hour before the start of the workout;
To warm up the muscles, you can go to the bathtub and warm up the desired area with warm water;
The exercise therapy complex for osteochondrosis should start with a warm-up, in order to avoid injury or sprain;
Charging against osteochondrosis is carried out neatly, without tears and jerks;
If any discomfort occurs, back exercises should be interrupted and go to your doctor for adjusting the treatment;
Avoid overstrain of the back muscles in osteochondrosis.

Rehabilitation for osteochondrosis is the most important point. The treatment effect and the level of recovery of the body after the disease depend on the procedures prescribed for rehabilitation.

Osteochondrosis can be completely cured only at the first symptoms, with the help of exercises for the back with osteochondrosis, when there are no defects and damage to the intervertebral discs.

If the damage has already been diagnosed, then the therapy and the prescribed treatment will only stop this process, preventing the disease from progressing further. Exercise therapy for osteochondrosis of the spine helps to achieve the maximum effect in complex therapy and has a number of remarkable properties:

General strengthening of the muscular corset, which helps the spine to take the correct physiological position. Increased muscle elasticity;
Stagnant processes in the paravertebral tissues are accelerated, which allows you to restore nutrition to the intervertebral discs and stop the destruction process;
Improving posture and relieving stress from the spine;
General improvement of the processes occurring in the body, improvement of well-being and mood.

Exercises for the back with osteochondrosis are contraindicated:

Hypertension, high blood pressure;
The period after surgery, trauma or other interventions;
Neurological diseases;
Pathological conditions of the body, severe forms of certain diseases.

Therapeutic set of exercises

Any exercise for osteochondrosis of the spine begins with the warm-up part, this is walking in place (5 minutes), and lifting the arms.

Cervical spine

Most cases of osteochondrosis affect the neck. To use the exercise for the treatment of osteochondrosis, be sure to consult with a specialist. Each complex takes no more than 20 minutes of your personal time, it is not so much to restore health and return to a normal course of life.

Physiotherapy for osteochondrosis of the neck:

We make head turns in one direction and the other. Face straight, do not bend over. Then head bends nodding and throwing back, not deeply;
We move our chin forward, in a horizontal plane, like bumpy toys in cars. We are trying to do the exercise by moving our head in one direction and the other. The exercise will not work out right away, you do not need to strain too much, with experience everything will come;
We put our palm on the forehead and create tension between the hand and the forehead, as in a fight. Now we shift our palm to the temple and create tension by tilting our head to the palm rest;
Put your hands behind your head in the lock, press your head with your elbows, your face looks forward. Raise your elbows higher and higher;
The chin rests on the fists, the neck is pulled up. Then we put our hands on the back of the head and create a tension of resistance;
We sit on a chair, keep your posture straight, your face looks forward, you need to describe the numbers in the air from 0 to 9 with your chin.

Cervico-thoracic region

Exercises of physical therapy for osteochondrosis are performed in order from the simplest to the most difficult.

We sit. One hand is behind the back, the other directs and pulls the head in its direction, smoothly, without jerking;
The palm lies on the temporal part of the face, we create tension by turning the head and resisting the hand. Next with the other hand;
Standing, in a completely relaxed state, the arms hang down like whips, we move our shoulders up and down;
Back up position, hands over the body. Raise the thoracic region several times. Then we smoothly turn our head to one side and the other;
We lie on our backs, bend our legs at the knees, arms along the body. Raise the chest.

Thoracic spine

Osteochondrosis affects the thoracic part of the spine least of all, since the additional fixation of the vertebrae is created by the ribs. Often, the process in this part is paired with others. Gymnastics for the back with osteochondrosis, will relieve tension from the affected roots and improve muscle tone.

Exercises to strengthen back muscles:

We stand straight, depicting the letter T. Move the torso to the left and right;
We stand relaxed, the chin rests on the sternum, then we slowly lower our shoulders, and slide our hands to the floor, with a lack of stretching, only knees can be reached;
Without changing posture, hands over the body. We swing from side to side with the greatest amplitude. Then we clasp our hands in front, and raise them above our head. With one hand, grasp the wrist with the other and pull it up. We lower our arms and change position;
We perform the exercise "boat" on the stomach, with the hands of the ankles;
Exercise with a cat-and-camel deflection. Standing on all fours, we bend to the upper position, then to the lowest. This is an extremely beneficial exercise for the spine as a whole;
We sit on a chair or bench, lean on the back, smoothly throw our head back and return to the starting position;
We use a roller. We place it under the thoracic region, under the back. We do exercises like a press, affecting the pectoral muscles;
We lie on our stomach, depict a bird in flight;
Lying on your stomach, we emphasize with our feet. We clasp our hands behind the head and gradually raise the sternum;
We sit on a chair, hold on tightly to the seat and swing in one direction or the other.

Regular exercises for the spine with osteochondrosis will help release blocked vertebrae, returning activity to the spine, and constant gymnastics will relieve pain and improve overall well-being.

Lumbar

The most heavily loaded spine, most often patients complain of pain in the lumbar region. Therapeutic gymnastics for osteochondrosis of the spine promotes the production of proteins in the muscles that stimulate the work of all internal organs. Gymnastics to treat the lower back will not relieve pain, but will stop the destructive process in the vertebrae.

Spine exercises:

Lying down we do the exercise "bicycle", but straighten our legs;
Without changing position, we bend the knees, hands on the back of the head, lifting the lower back, we must create tension;
Next, with closed legs, turn left and right so that the knees touch the floor. We do everything carefully;
Without changing the position, hands over the body, smoothly raise the pelvic region up, just as slowly lower it;
We continue to lie, holding our knees with our hands. We begin to pull the knees to the chin;
Further, the back is pressed to the floor, with our hands we pull one knee, then the other;
Exercise "cat and camel";
Exercise "boat".

The execution time, if possible, is best chosen so that you can practice constantly at the same time. Morning exercises with osteochondrosis will have a beneficial effect on your mood, you will feel a surge of strength and vivacity.

We advise you to read:

Exercises to stretch the spine with osteochondrosis should be carried out with caution and under the supervision of a specialist. It is worth knowing that severe muscle overstrain and stretching of the vertebrae are strictly prohibited.

Physical exercises for osteochondrosis in an acute form are prohibited, breathing exercises, which have a slight effect of anesthesia, can be prescribed individually.

For patients with osteochondrosis, a special therapeutic diet is recommended. It is based on the inclusion of proteins and fats and a significant reduction in carbohydrates and salt. Complex therapy, which includes exercises for the back, massage for osteochondrosis, physiotherapy and medication support, will help to cope with the disease or improve the current condition to an acceptable level.

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