According to experts from the World Health Organization (WHO), in developed countries, diseases of the musculoskeletal system and connective tissue (including degenerative-dystrophic diseases of the spine) reach pandemic proportions and are a serious medical and socio-economic problem (B. Porozniuk, V. Litvin, T. Orlik).

According to different authors, from 50 to 80% of the population of socially active age (30-60 years) periodically experience paroxysms of discogenic lower lumbar pain with temporary disability.

Pain in the lower back (LBP syndrome) is the second most common reason for seeking medical attention after respiratory disease (I. Popelyansky).

Scientists from such highly developed countries as the USA, Australia, Canada, Japan, Scandinavian countries are most actively solving this socially significant problem..

However, many authors directly point to the lack of knowledge about the pathology of the intervertebral discs, which led to the formation of an opinion about the complete irreversibility of pathological changes in the intervertebral disc and caused the doctor to be disappointed with the existing methods of treating degenerative-destructive diseases of the spine (A. Burikhin).

The currently existing methods of conservative and surgical treatment of osteochondrosis of the spine are aimed at eliminating the degenerative-destructive process in the motor elements of the spinal column.

According to X. Musalatova, A. G Aganesova, Yu. Shulyaka, L. Pesterova, N. Khoreva from the Moscow Medical Academy named after. Sechenov, long-term conservative treatment of patients with radicular syndrome using physiotherapy and traction leads to changes in the yellow and posterior longitudinal ligaments, their hypertrophy and ossification, thereby increasing stenosis of the spinal canal in the area of \u200b\u200bhernial protrusion, radicular syndrome.

At the same time, surgery for osteochondrosis of the spine cannot be attributed to the methods of pathogenic treatment of the disease..

The need for surgical intervention indicates the failure of modern conservative therapy for intervertebral disc degeneration..

In connection with the above problems, it became necessary to create an effective method for the treatment of osteochondrosis of the spine, aimed at eliminating the causes, and not at eliminating its consequences..

This method is the "

This method of manual therapy was originally planned as an alternative to surgical intervention on the vertebral disc..

But in MRI studies of patients treated by this method, it was revealed that the height of the disc was restored to the anatomical norm, followed by differentiation of the structure of the nucleus pulposus and the motor segment..

This fact focused attention on the study of MRI dynamics of the restoration of the structure of the intervertebral disc.. An analysis of the results of MRI dynamics of the restoration of the structure of the intervertebral disc during treatment confirmed the law on the complete reparative regeneration of any tissue of the body, without exception, in one form or another.

If disc degeneration has not reached its final, then there are levels of the destructive process at which complete restitution of the intervertebral disc is possible.. Lipson, N. Muir specifically (morphologically and biochemically), on an experimentally damaged disc, showed an activation of a reparative response aimed at complete tissue repair..

Disclosure of the dynamics of the pathological process according to morphological data is possible only on the basis of the principle of structural and functional unity.

These are parts of a single whole, when the structure and functions are subordinated to a common task and harmoniously complement each other..

The dynamics of intervertebral disc degeneration proceeds in stages: normal or hypermobility with the progression of the nucleus pulposus is replaced by a decrease or lack of mobility in the spinal segment with subsequent replacement of the nucleus pulposus with fibrous cartilage and thinning of the disks with the destruction of the fibrous ring.

A look at the morphological changes in the discs of different morphological groups as successive stages of degeneration confirms the correlation of the morphological form of the lesion with the duration of the disease and age (A. Danilov, M. Adams and contributors; " Korzh, G. Gruntovsky, V. Kolesnichenko).

The task of determining indications (depending on the stage of the degenerative process) for conservative and surgical treatment is still relevant..

A team of authors from the Moscow Medical Academy named after. Sechenov, having analyzed 414 cases of surgical treatment (microdiscectomy) of patients with herniated intervertebral discs in the lumbar region, found that the "

medbe. en.