What is the most acceptable term to describe the disease?
Before answering, it is necessary to discuss the question of why there can be no designation of the disease as the term “osteochondrosis”.
First, as we know, in the literature there is no single definition of the essence of “osteochondrosis. Available in recent years the tendency to understand how disease osteochondrosis of the vertebral-motor segment that is a functional unit of the spine can not be recognized correctly. This is due to the fact that to refer to violations in a state of functional formation to be used vocabulary that describes the state of functions, such as hyperfunction, dysfunction, etc., but not the concept, indicating the nature and structural identity of the pathological process.
Secondly, even with only the meaning of “osteochondrosis”, which Ch.G.Schmorl gave him, we must admit that the pathology of the intervertebral disc while it is the most frequent and dramatic cause of spinal pain, but not the only one. Modern notions of “multifactorial” diseases can recognize the possible participation of many others such as not disc vertebral and neural factors in the occurrence of radicular and not root disorders.
Thirdly, variants of dystrophic lesions of the spine (the bone, cartilage, muscle-fascial and other entities) are very diverse, have a different genesis and pathogenesis that are often combined, which, however, does not give rise to single out one of them, as suggested in the case of osteochondrosis, as pathogenetically dominant. It is hardly appropriate speaking about semiological connection of existing changes in the diagnosis of osteochondrosis (as is the case in practice), which leads to an underestimation of the clinical significance of localized outside the vertebral disc disorders.
Fourth, osteochondrosis of the spine is not in all of its forms serves as a proper disease. Not hernia forms of degenerative disc disease as the aging of tissues and structures of the spine can be considered as a manifestation of its adaptation (reduction of functional capacity) in terms of structural constraints of the functional properties of other body systems. Hernial form of degenerative disc disease is a special form of dystrophic lesions of the intervertebral disc that is usually early emerging, rapidly progressive, affecting mainly one disc, which, of course, requires a separate consideration.
Fifth, for clinicians that are neurologists set of clinical manifestations of the disease is especially important, which has been certified to be primarily clinically, without regard to those or other vertebrogenic factors manifold which influence is not always possible to be taken into account. Attempts to link radicular and not radicular disorders with radiographically detectable changes in vertebral encounter long ago revealed lack of correlation between the degree of vertebral and radicular disorders. More stable pattern between vertebral radicular conflict relations, identified by contrasting methods, as well as with X-ray computed tomography and magnetic resonance, on the one hand, and clinical radicular disorders on the other one, does not cover the entire spectrum of pathogenetic and nosological vertebrogen radicular lesions.
To learn more about sciatica and sciatica in particular - please visit this site with helpful sciatica-related info.
And please pay your attention to the simply fact that right now we all are living in the world where information makes life easier.
Due to this if you are properly armed with the information in your sphere of interest you can be sure that you will in any case find the solution to any bad situation. So, please make sure to get back to this site on a regular basis or - an ideal solution for you - sign up to its RSS. Thus you will have your hand on the pulse of the freshest info updates here. Blogs can be helpful, you just need to understand how to use them.