10-B, Bul’varno Kudriavs’ka
Str., Kyiv City, Ukraine.
Mon-Fri: 8:30 a.m. – 7 p.m.
Sat: 9 a.m. – 1 p.m.
Sun: Day off
Call center
044 238 22 31
Взрослое отделение
044 272 11 81
Детское отделение
044 272 11 82

Lumbosacral spine osteochondrosis

Остеохондроз поясничного отдела позвоночника

Surely every adult person has heard such a word as “osteochondrosis”, but not everyone finally understands what it really is. We will help you to figure out what lumbar spine osteochondrosis is and the ways of its treating.

Osteochondrosis is the most common spinal disease, in which degenerative-dystrophic processes develop directly in the intervertebral discs. In the initial stage of spinal osteochondrosis, the cartilaginous tissue begins to collapse; the disks lose their necessary moisture and elasticity, and they become thinner and thickened. At the same time, intervertebral disks cease to perform their physiological depreciation function.

Usually the osteochondrosis develops in the lower spinal region (in its lumbar part), since it experiences maximum body weight. Cervical and thoracic osteochondrosis develop much rarer than the lumbosacral osteochondrosis.

Developmental stages of lumbar spine osteochondrosis

At the first stage, the pulpous nucleus of the intervertebral disc is destroyed; it decreases and spreads to the sides.

The second stage is a spreading of surrounding disc tissues; nerve roots infringing and formation of protrusions (protrusions) are possible. At this stage, person experience lumbar pain with possible irradiation (spreading) in the buttocks, thighs or shins.

The third stage is characterized by the outer fibrous membrane rupture of the intervertebral disc and release of pulpous nucleus beyond its borders. This is how the disc herniation is formed. This stage is accompanied by severe acute pain in the lumbar spine with possible spreading to the legs.

At the 4th (final) stage, bone protrusions (osteophytes) form on the vertebral bodies, leading to stiffness and soreness during movements in the lumbar spine.

Causes of lumbar spine osteochondrosis

  1. Hereditary predisposition (many people have a genetically determined loose-porous disk structure, more susceptible to deformation).
  2. Multiple spinal injuries.
  3. Overweight
  4. A sedentary lifestyle and inadequate physical exertion or, on the contrary, their overabundance.
  5. Sedentary work.
  6. Regular weight
  7. Flat foot.
  8. Incorrect formation of the musculoskeletal system and various spine diseases.
  9. Constant stress factors, lack of sleep.
  10. Hypothermia
  11. Improper feeding, metabolic disorders.
  12. Bad environmental conditions.

As we see, for the development of lumbar and sacral osteochondrosis there exist many prerequisites, and quite often this disease has a pluricausal nature. In addition, if earlier spine osteochondrosis was considered to be an elderly pathology then in recent decades, osteochondrosis has greatly "looked younger" and now occurs among young people.

"A burden of own choice is not felt" is a proverb that harms the spine. People from childhood are accustomed to lift weight, and the spine ends its formation in 22 years. Therefore, you can load the spine up to 22, but you cannot overload it!

Symptoms of lumbosacral osteochondrosis

The pain symptoms of varying intensity prevail in the clinical findings of osteochondrosis: from blunt pain to lumbago.

They do not appear immediately, - but only at the second stage of osteochondrosis. It is characterized by lumbar pain with a possible spread to the lower limbs (thigh, shin, knee, foot, fingers).

Dull aching pain is called lumbalgia, acute pain - lumbago, and pain with irradiation in the legs – lumbar ischialgia. Painful symptoms intensify with sudden movements and physical exertion. Lumbosacral spine osteochondrosis can cause gynaecological diseases in women and disorders of potency, chronic prostatitis in men. There may be disorders of defecation and urination.

More details about symptoms, development options and complications of osteochondrosis you can read in our special article "Symptoms of lumbosacral spine osteochondrosis" in the section "It's interesting".

Treatment of lumbosacral osteochondrosis

In case of lumbosacral osteochondrosis, patients often complain of lower back pain. Moreover, many people visit doctors too late, at the final stages of the disease development, and there will be practically no effect of the treatment in this case.

If we promptly refer to specialists and begin a comprehensive osteochondrosis treatment, there are good chances to get rid of back pain forever and return to active life.

But the lumbar osteochondrosis treatment implies the intensive work of the patient himself, because treatment should begin with lifestyle revision, body weight correction, and correct posture control during the day, etc. It is necessary to go on a healthy lifestyle, eat a balanced and high-quality food, to conduct active physical activity, not to be nervous, and not to lift weights.

By no means should you engage in self-medication, because many people make a common mistake, doing gymnastics during exacerbation osteochondrosis period. It is not right. After all, physical exercises, massage and physiotherapeutic measures are acceptable only during the period of remission (the period of attenuation of pain). All methods of rehabilitation should be performed according to the purpose and under neurologist or relevant specialist supervision.

The lack of proper and comprehensive treatment of osteochondrosis can lead to negative consequences in the form of reduced muscle strength in the lower extremities, disruption of organs of the urogenital system, tendon reflexes decrease, and complete intervertebral discs destruction. Therefore, it is not recommended to delay the visit to a neurologist.

Specialists of the Bersenev's Medical Centre have been treating lumbosacral osteochondrosis for many years, including its complications (protrusions, hernias, deforming spondylosis, stenosis of the spinal canal, etc.).

The most important point in the treatment of osteochondrosis is not the painkillers and hormonal blockades prescription, as is often practiced by other neurologists. Such treatment can cause a peptic ulcer, disruption of the cardiovascular system, osteoporosis.

The main goal of osteochondrosis treatment is the elimination of painful sensations, restoration of the damaged nerve roots work, and the suspension of intervertebral disc destruction in future.

The metameric method of treatment, developed by Dr. Bersenev, allows to successfully suppressing the back pain and restores the damaged intervertebral disks; normalize the metabolism and circulation in a specific spinal segment, and avoid further osteochondrosis progression and the neurodystrophic syndromes development.

If you feel pain in the lower back - do not hesitate. Contact our medical centre, where our specialists will help you to cope with osteochondrosis and teach you how to avoid the repeating exacerbations of this disease in future.

Take care of your health and the health of your family members. Our specialists know how to treat lumbar osteochondrosis and are always ready to help you!

To make an appointment for the consultation, diagnostics and treatment session, please call (044) 238-22-31.

We are located at: Kiev, Bul’varno-Kudriavs’ka Str., 10-B.


Cost of treatment with additional services
Consulting appointment
Primary neurological examination of the patient by the honoured doctor of Ukraine, High level certificate physician, Dr. Bersenev
Secondary neurological examination of the patient by the honoured doctor of Ukraine, High level certificate physician, Dr. Bersenev
Primary neurological examination of the patient
Secondary neurological examination of the patient
Individual home treatment program
Prolongation of the individual home treatment program
Home treatment recommendations
Outpatient treatment
Outpatient treatment by the neurometameric reflexotherapy and metameric medicinal treatment (1 neurological syndrome)
Outpatient treatment by the neurometameric reflexotherapy and metameric medicinal treatment (2 neurological syndromes)
Outpatient treatment by the neurometameric reflexotherapy and metameric medicinal treatment (3 neurological syndromes)
Outpatient treatment by the neurometameric reflexotherapy and metameric medicinal treatment (4 neurological syndromes)
Outpatient treatment by the neurometameric reflexotherapy and metameric medicinal treatment (5 neurological syndromes)
Outpatient treatment by the neurometameric reflexotherapy and metameric medicinal treatment (6 neurological syndromes)
Outpatient treatment by the neurometameric reflexotherapy and metameric medicinal treatment (7 neurological syndromes)
Outpatient treatment by the neurometameric reflexotherapy and metameric medicinal treatment (8 neurological syndromes)
Outpatient treatment by the neurometameric reflexotherapy and metameric medicinal treatment (9 neurological syndromes)
Outpatient treatment by the neurometameric reflexotherapy and metameric medicinal treatment (more than 9 neurological syndromes)
*** the cost is approved additionally
Outpatient treatment by Dr. Bersenev V.A.
Outpatient treatment by the neurometameric reflexotherapy and metameric medicinal treatment (1 neurological syndrome)
Outpatient treatment by the neurometameric reflexotherapy and metameric medicinal treatment (2 neurological syndromes)
Outpatient treatment by the neurometameric reflexotherapy and metameric medicinal treatment (3 neurological syndromes)
Outpatient treatment by the neurometameric reflexotherapy and metameric medicinal treatment (4 neurological syndromes)
Outpatient treatment by the neurometameric reflexotherapy and metameric medicinal treatment (5 neurological syndromes)
Outpatient treatment by the neurometameric reflexotherapy and metameric medicinal treatment (6 neurological syndromes)
Outpatient treatment by the neurometameric reflexotherapy and metameric medicinal treatment (7 neurological syndromes)
Outpatient treatment by the neurometameric reflexotherapy and metameric medicinal treatment (8 neurological syndromes)
Outpatient treatment by the neurometameric reflexotherapy and metameric medicinal treatment (9 neurological syndromes)
Outpatient treatment by the neurometameric reflexotherapy and metameric medicinal treatment (10 neurological syndromes)
Outpatient treatment by the neurometameric reflexotherapy and metameric medicinal treatment (more than 10 neurological syndromes)
*** the cost is approved additionally
Our staff
Volodymyr Bersenev
Honored doctor of Ukraine,
High level certificate neurologist
Volodymyr Padchenko
Adult department head physician,
first level certificate neurologist
Iuliia Biliuk
Pediatric neurologist,
first level certificate neurologist
Vira Dolhova
First level certificate neurologist
Viktoriia Petlytska
Second level certificate neurologist,
first level certificate doctor of family medicine
Kseniia Maister
Psychologist, speech therapist,
neuropsychologist
Oleksandr Shevchuk

Oleksandr Shevchuk

Massage therapist
Stanislav Kurtosmanov

Stanislav Kurtosmanov

Massage therapist
Взрослое отделение
Мы живем в сложное время, наполненное психо-эмоциональными стрессами, а образ жизни современного человека трудно назвать размеренным и спокойным. Человеку иногда приходится решать несколько вопросов одновременно, принимать непростые решения, выполнять множество разных дел в течение одного дня. В таких условиях трудно оставаться уравновешенным, сосредоточенным и внимательным. Нервная система не всегда выдерживает подобные нагрузки, и это приводит к эмоциональным срывам, хронической усталости, бессоннице, головным болям, снижению работоспособности. Крылатая фраза «все болезни от нервов» часто находит практическое подтверждение в медицине.
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Взрослое отделение
About metameric treatment Documents for admission Questions and answers
What we treat
Spinal osteochondrosis

Остеохондроз позвоночника — это хронический процесс дистрофии межпозвонковых дисков, проявляющийся снижением их эластичности и гидрофильности (диски как бы усыхают, уменьшается их высота). Из-за потери жидкости диски теряют свою амортизирующую функцию, и позвоночник уже не в силах выдерживать прежние нагрузки. Фиброзная оболочка диска истончается и повреждается, в ней возникают микротрещины и разрывы, через которые содержимое пульпозного ядра диска может выходить наружу.

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Сervical spine osteochondrosis

Шейный отдел позвоночника — это наиболее уязвимая часть позвоночного столба,  что обусловлено анатомическими особенностями шейных позвонков. Позвонки шейного отдела отличаются повышенной мобильностью, они легко поддаются смещениям в результате нагрузок или травм, а также достаточно быстро подвергаются дегенеративно-дистрофическим изменениям. Чаще всего остеохондрозу шейного отдела позвоночника подвержены наиболее подвижные сегменты нижнешейного отдела.

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Thoracic spine osteochondrosis

Остеохондроз в грудном отделе позвоночника встречается значительно реже, чем в пояснично-крестцовом и шейном отделах, но заслуживает отдельного описания. Грудной отдел позвоночника является наименее подвижным по сравнению с другими отделами и наиболее защищенным с помощью ребер и грудины. В данном отделе реже всего образуются выпячивания межпозвонковых дисков, и они редко достигают больших размеров.

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SPONDYLOSIS

Спондилез позвоночника — это хроническое заболевание, при котором происходит разрастание костной ткани на поверхности тел позвонков, приводящее к их деформации.

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Spondylarthrosis

Спондилоартроз (spondylarthrosis) — это хроническое дегенеративно-дистрофическое заболевание фасеточных межпозвонковых суставов. В основе спондилоартроза лежит поражение всех структур сустава: суставного хряща, субхондральных отделов кости, связок и капсул сустава, коротких мышц, окружающих сустав.

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Protrusions and hernias of the intervertebral discs

Грыжа межпозвонкового диска является одним из осложнений остеохондроза позвоночника и представляет собой максимальную степень выпячивания пульпозного ядра диска с разрывом его внешней оболочки.

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Scoliotic disease, scoliosis

В греческом языке есть слово «сколиос», которое переводится как «кривой». Этим словом медики обозначают искривление позвоночного столба. Причем не всякое искривление, а именно боковое отклонение вертикальной оси позвоночника.

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Arthrosis

Joints arthrosis —  is a widespread disease. It is more correct to call it osteoarthritis, because this disease affects not only the cartilaginous tissue of the joint, but also the bone. The main difference between arthrosis and arthritis is that disease is based not on the inflammation of the joint, but on the degenerative processes occurring in it. Arthrosis is manifested by the joint pain, aggravated by movement, and the development of stiffness in the damaged joint. In neglected cases, arthrosis leads to a complete mobility loss and patient’s disability.

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Neuralgia

Невралгия — это ярко выраженный симптом воспаления нерва. Представляет собой приступообразную острую, жгучую или тупую ноющую боль в зоне иннервации пораженного нерва. В переводе с греческого языка  этот термин обозначает «боль в нерве». Все функции при этом у нерва сохраняются.

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Neuropathies

Невропатии (нейропатии) – это собирательный неврологический термин, обозначающий различные дегенеративно-дистрофические поражения периферических нервов. Это обобщающее понятие, объединяющее многообразные формы и варианты поражений нервов, и это объясняет широкую распространенность данной патологии. Этот термин неоднозначный, и многие специалисты его применяют только для обозначения невоспалительных изменений нервов. В детской же неврологии под понятием «невропатия» подразумевается повышенная детская возбудимость в сочетании с утомляемостью.

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Facial neuropathy

Невропатия лицевого нерва чаще всего возникает в результате переохлаждения, лицевой травмы, перенесенного инфекционного заболевания, стрессовых ситуаций, на фоне ослабленного иммунитета. Может развиться как осложнение отита, тимпанита, паротита, заболеваний зубов, диабета, перенесенной герпетической инфекции. Самым уязвимым участком лицевого нерва считается его отрезок, расположенный в узком извитом канале (в пирамидке височной кости) длиной около 3см.

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Trifacial nerve neuropathy

Невропатия тройничного нерва чаще всего развивается после стоматологических процедур, протезирования, челюстно — лицевых операций или травм, а также в результате переохлаждения, перенесенных инфекций, опухолевых процессов.

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Radial nerve neuropathy

Среди всех видов невропатий верхних конечностей самой распространенной является именно невропатия лучевого нерва. Невропатия может возникнуть после глубокого сна, если человек спал на твердой поверхности, положив при этом руку под голову.

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Ulnar nerve neuropathy

Невропатия локтевого нерва проявляется в нарушении его функции в результате компрессии нервного ствола в узких костно-мышечных каналах в области локтевого сустава и на кисти или же в результате травмы (растяжение, надрыв локтевого нерва) при вывихах и подвывихах в локтевом суставе. Невропатия, возникшая при сдавлении нерва в кубитальном канале, известна еще под названием «синдром кубитального канала».

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Median nerve neuropathy

Невропатия срединного нерва — это поражение срединного нерва, проявляющееся в возникновении чувствительных и двигательных расстройств в зоне его иннервации (в 1, 2 и 3 пальцах рук).

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Sciatic nerve neuropathy

Невропатия седалищного нерва – одна из самых распространенных мононевропатий нижних конечностей. Она заключается в повреждении седалищного нерва и формировании ряда двигательных и чувствительных нарушений его функции.

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Peroneal nerve neuropathy

Peroneal nerve neuropathy occurs in case of injuries or nerve trunk compression at any part of shin nerve division. This is the most common lower extremities neuropathy type.

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Tibial nerve neuropathy

Невропатия большеберцового нерва часто наблюдается при переломах костей голени, вывихе голеностопного сустава, растяжении и повреждении связок стопы. Повторные спортивные травмы стопы, заболевания коленного и голеностопного сустава, нарушения обмена веществ и расстройства кровообращения нерва часто приводят к данному виду невропатии.

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Myalgia, myositis, myofascial syndrome

Миалгии (фибромиалгии), миозиты, миофасциальный синдром — заболевания, главным симптомом которых является выраженная мышечная боль различной локализации и происхождения. Мышечные боли могут возникать в силу различных причин:

  1. застойные явления в мышечных тканях
  2. гипертонус мышц (устойчивый мышечный спазм)
  3. ушибы и растяжения
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Diseases of the autonomic nervous system

Вегетативная нервная система (синоним «автономная» нервная система) — это часть нервной системы, которая обеспечивает сбалансированную работу всех внутренних органов и поддерживает постоянство внутренней среды человека.Она отвечает за иннервацию желез внешней и внутренней секреции…

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Additional services
Speech therapist appointment

A speech is a reflection of thinking; it is a system. If there are problems with oral speech, then there will be difficulties with the thoughts formation, the ability to analyse, speculate, build logic chains, and also there will be some difficulties with reading and writing. A violation in one speech link is enough to make the whole system start to function incorrectly.

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Metameric massage

Many articles have already been written about the undoubted massage benefits, and it has long been known that this is one of healing means, along with sports and nutrition. Massage helps to recover from stress quickly and avoid diseases associated with constant nervous tension, relieves pain points, and relaxes tense muscles. It also reduces anxiety, normalizes the blocked energy flow, enhances the immune system functions, and restores a sense of calm and well-being. This is an important component of a healthy lifestyle.

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Psychologist consultation is your chance to change your life for the better

 

The spine, keeping the whole skeleton in an upright position, is the core of both the whole organism and our Personality.

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Family physician appointment

At the “Bersenev’s Medical Center” all patients can get a qualified individual consultation of the family physician Petlytska Victoria Vitaliivna, a specialist with decades of experience in this field.

Victoria Vitaliivna had gotten a special multi-field speciality training of “family medicine”.

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Infusion therapy

Infusion therapy (intravenous administration of solutions of various drugs into the body) is currently one of the most important medical measures aimed to solve a wide range of medical problems. This method of treatment exists since the 30s of the XIX century.

This method of treatment allows you to achieve a rapid therapeutic effect, as the medicine enters directly into the bloodstream, and also allows you to control its action more effectively.

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Kinesio Taping

Kinesio taping is the imposition and fixation of special elastic bands on the child’s skin for several days in order to provide physiological movements of the joints and muscles, activating the processes of recovery and movement control. Kinesio tapes are elastic cotton tapes coated with an acrylic-based hypoallergenic adhesive gel.

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Orthoses Making

In our Medical Centre you can get an expert advice from a physical rehabilitation specialist, as well as make individual ORTHOSES from Turbocast material.

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Corrective insoles making

Neuropsychology arose at the intersection of medicine and psychology. This is a section of psychology that studies the brain organization of mental processes: attention, memory, perception, speech, motor skills, thinking, and emotional responses.

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Metameric speech apparatus massage

Массаж артикуляционного аппарата или логопедический массаж — это метод механического воздействия, который изменяет  состояние мышц, нервов, кровеносных сосудов и тканей речевого аппарата.

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Doctor Bersenev explains
Double hemiplegia as a form of cerebral palsy
Double hemiplegia as a form of cerebral palsy
Double hemiplegia is the rarest form of cerebral palsy. It occurs in 1.9% of patients. The most common form is spastic diplegia. Usually, motor function is affected, in some children intellectual abilities may suffer as well.
Hemiparetic cerebral palsy
Hemiparetic cerebral palsy
Hemiparetic cerebral palsy is one of the most common forms of cerebral palsy. This condition arises due to abnormal fetal development, which leads to brain damage.
Atonic-astatic form of cerebral palsy
Atonic-astatic form of cerebral palsy
This form of cerebral palsy has several names: atonic, atonic-astatic, ataxic. Along with double hemiplegia, it is one of the rarest and most difficult forms of treatment.
Cerebral palsy: spastic diplegia
Cerebral palsy: spastic diplegia
Spastic diplegia is the most common form of cerebral palsy. It is diagnosed in 40% of patients, mainly in babies born prematurely. Disorders of the arms and legs are most characteristic of the disease, that is, tetraparesis is observed, but the legs suffer more than the hands
Knee joint arthrosis
Knee joint arthrosis
Knee joint arthrosis is a disease in which all joint elements suffer, but the most affected is a cartilage. This type of arthrosis is the most common disease. Another name for this is gonarthrosis.
Constant Fatigue: Causes and Solutions
Constant Fatigue: Causes and Solutions
Many women (especially aged) trat chronic fatigue safely, saying, it’s a normal, common situation. So it is in some cases. For example, if a person goes in physical labor.
Spinal muscular atrophy
Spinal muscular atrophy
Spinal muscle atrophy (SMA) is a severe neuromuscular disease caused by damage to motor neurons (motor neurons), which are located in the front horns of the spinal cord, as well as neurons of the motor nuclei in the brain stem.
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