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
044 299 44 94
Взрослое отделение
044 272 11 81
Детское отделение
044 272 11 82

Spondylarthrosis

Spondylarthrosis is a chronic degenerative-dystrophic disease of the facet intervertebral joints.

The basis of spondylarthrosis is the damage of all joint structures: articular cartilage, subchondral bone parts, joint ligaments and capsules, and short muscles surrounding the joint.

Very often, spondylarthrosis is combined with another degenerative disease affecting the vertebrae itself, spondylosis. Spondylosis and spondylarthrosis accompany each other and together with osteochondrosis constitute the orthopedic triad “SOS” - a combination of these three processes simultaneously: C - spondylarthrosis, O - osteochondrosis, C - spondylosis.

Spine spondylarthrosis is not the elderly disease only; it affects young people in 25-30% of cases.

The most common causes of spondylarthrosis are: spinal injuries, metabolic disorders, static and dynamic spinal loads, which occur not only during heavy physical work, but also during prolonged stay in a forced, non-physiological posture, resulting in uneven load on individual parts of the spinal motor segment. The disease formation also depends on the overall physical development of the person and the body mass.

Following anomalies of spinal development contribute to an early occurrence of spondylarthrosis:

  • lumbalization (the existence of 6 lumbar vertebrae instead of 5);
  • sacralization (fusion of the fifth lumbar vertebrae with the first sacral);
  • asymmetrically located zygapophysial joints (violation of articular tropism);
  • cleft lumbar vertebrae arcs (Spina bifida occulta).

In addition, spondylarthrosis often develops on the background of spondylolisthesis (displacement of the vertebrae relative to each other).

Osteochondrosis can also cause spondylarthrosis. With a degenerative intervertebral disc lesion, static and motility changes in the clinically significant vertebral motor segment and a tonic imbalance of the deep spine muscles (spinal myofixation) appears.

Cervical spine Spondylarthrosis

Pain syndromes of cervical spondylarthrosis can appear in the neck, back of the neck, shoulders, shoulder blades or hands. Pain can be both temporary and permanent.

As a rule, the patient notices that the pain nature depends on the head position, the speed of neck rotation, but in the final stages the pain remains in peace.

Problems gradually begin to manifest themselves at night, when finding a comfortable position for the head and neck becomes more and more problematic. Sometimes a person does not sleep well or is constantly awakened from pronounced pain.

Moreover, quite often there is neck and shoulder girdle numbness, cervical spine and shoulders limited mobility (especially after awakening). Dysfunction of the organs of vision, tinnitus, imbalance, dizziness, and pressure problems accede.

Gradually, the general well-being of a person with constant lack of sleep or pain from spondylarthrosis begins to deteriorate.

Neck sspondylarthrosis (cervico-arthrosis), depending on the type of affected joint is divided into:

  • spondylarthrosis of the 1st cervical vertebra;
  • spondylarthrosis of the 2nd (axial) cervical vertebra;
  • uncovertebral spondylarthrosis.

Thoracic spine spondylarthrosis

Thoracic spine spondylarthrosis is less common than any other spinal spondylarthrosis. Pain syndrome in this case occurs while moving or changing body position (bending or turning) and decreases at rest.

Often there is interscapular sympatalgia - dull, aching or burning, excruciating pain resulting from the defeat of the sympathetic nervous system.

As the disease progresses, “morning stiffness” is added to the pain syndrome.

Lumbar spine spondylarthrosis

For patients with arthritic changes of the lumbar spine, morning stiffness is characteristic, which decreases after warming up and rubbing the lumbar spine. Pain syndrome may increase with weather changing. At the same time, the aggravation of the pain syndrome can be “mechanical” and can be caused by the load - in such cases the symptoms increase during the day. The pain disappears when the patient lays on a flat surface, slightly bending his/her legs at the knee and hip joints. The pain can worsen with prolonged standing, after walking long distances, especially when a person wears high-heeled shoes, as well as after going down the slope. Increased pain can occur during activities associated with posterior deflection (for example, hanging clothes, viewing pictures, or performing actions on objects located above the head).

The pain originates in the lumbar intervertebral joints and is felt in the lower back, radiating to the buttocks, groin, lower abdomen, and sometimes to the scrotum. Patients describe it as diffuse and diffuse and indicate its localization, putting the palm to the sore spot, unlike patients with radicular syndromes who are able to delineate the boundaries of the affected dermatomes with one finger.

 How to treat spinal spondylarthrosis?

Treatment of spondylarthrosis provides a pronounced positive result only in the early stages of the disease. If the disease has passed into the final stage with the appearance of deformities and ossification, then recovery is very difficult. In such cases, the only way out is to count on long-term remission, reduction of pain and slowing down the processes of further degeneration. In this regard, the thoracic spine spondylarthrosis can be especially insidious, the treatment of which often begins in the late stages due to asymptomatic, often hidden, course of disease in the initial stages. Treatment of spinal spondylarthrosis should be carried out necessarily and timely, and the sooner you contact specialists, the more likely you get rid of back pain.

Like any chronic degenerative spinal disease, spondylarthrosis requires a comprehensive and individual therapeutic approach. The doctors of the Bersenev's Medical Centre follow exactly this treatment tactic, combining metameric injections with additional physiotherapy methods, metameric massage, and therapeutic gymnastics. And with such a disease as lumbar spine spondylarthrosis, the treatment can also include orthopaedic correction methods.

The usage of metameric technologies allows to significantly improving the condition of vertebrae joints and intervertebral discs, to establish the metabolic processes in the affected vertebral-motor segments, to prevent the occurrence of unfavourable consequences and complications of spondylarthrosis. In addition, with such pathology as cervical spondylarthrosis the treatment will be directed also at the normalization of the vertebral arteries functioning and cerebral circulation improvement in general.

To make an appointment for the consultation, diagnostics and treatment session, please call (044) 238-22-31. The booking is carried out by previous appointment.

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

Remember that the sooner you begin to treat spondylarthrosis and entrust your health to professionals, the greater the chances of a successful result.


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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Lumbosacral spine osteochondrosis

Напевно кожна доросла людина чула таке слово як «остеохондроз», але не всі остаточно розуміють, що ж це таке насправді. Ми допоможемо Вам розібратися, що ж таке остеохондроз поперекового відділу хребта і як його лікувати.

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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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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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