The disease called "

Now we are moving, figuratively speaking, from the "

It is advisable to return to acupuncture (acupuncture).

Usually, a day after the acupuncture session, the area of \u200b\u200bchanges caused by injections, the area of \u200b\u200bspinal drift is clearly visible.. The spaces between adjacent vertebrae remain unchanged. Only between two adjacent vertebrae (less often between three) the distance increases.

This means that the spine, as a rule, is excessively compressed in an area that covers only one, less often two intervertebral discs.. In fact, supporters of osteochondrosis adhere to the same point of view..

A disease called \! The rest of the spine and all its discs remain out of the disease..

And the main indicator of the disease is excessive compression, as a rule, of one intervertebral disc..

The only active elements of the body that can sharply and excessively compress the spine only in the area covering one or two intervertebral discs are the back muscles..

So this is where you should look for the real culprit of the disease! He is among the muscles of the back, and not among the vertebrae and intervertebral discs..

But this means that the disease is not vertebrogenic at all, t. not caused by damage to the elements of the spine!

But the back muscles have different lengths. Some long muscles run along the entire back, while others are so short that their length is only equal to the distance between the bone processes of two adjacent vertebrae..

It is quite obvious that the long muscles of the back, contracting, compress not one or two discs of the spine, but a large number of them at once.. In any case, the contraction of the long muscles of the back occurs along their entire length, and not selectively in a small area of \u200b\u200b\\u200b\\u200bthe muscle, equal to the height of one intervertebral disc. One, less often two, intervertebral discs can only excessively compress the short back muscles, which have a length no greater than the affected area of \u200b\u200b\u200b\u200bthe spine.

Such short muscles are only among the so-called deep muscles of the back.. And first of all, these are the lateral and medial intertransverse muscles of the lower back and the interspinous muscles. It is the presence of lateral and medial transverse muscles between the transverse processes of the vertebrae that distinguishes the lumbar spine from its other parts..

And accordingly, the largest number of cases of severe pain in the spine falls on its lumbar region.. At the same time, cases of disease in the cervical and thoracic spine require recognition that the culprits of pain in the spine to a much lesser extent are also rotator muscles and multifidus muscles..

So, the main culprits of the pronounced pain syndrome in the spine are the lateral and medial intertransverse muscles of the lower back and the interspinous muscles of the spine, t. its shortest muscles attached to the transverse and spinous processes of two adjacent vertebrae.

Excessive tension (contraction) of these muscles leads to disease. Moreover, the muscles can be in this state for an unlimited time, calculated in years..

This state of the muscles cannot be called contracture, since there are no painful changes in the muscles themselves and the nerves that control them, parts of the nervous system.

Often such a state of excessive muscle tension is called spastic, and emphasizing the reflex nature of the phenomenon, they speak of " Sometimes, given the unusual duration of these spasms, the term "

“Currently, the interest of specialists is attracted by such a section of manual therapy as post-isotonic relaxation of muscles that are in a state of reflex spasm and block vertebral segments” (I. Antonov and others.

Most likely, the optimal name for the disease is "

It is useful to recall that of all the previous points of view of neurology on the problem, the option closest to the true state of affairs was the variant called "

Theory of discogenic osteochondrosis.

The studies outlined above made it possible to accumulate enough data not only to fundamentally condemn the theory of discogenic osteochondrosis, but also to approve a new theory of muscle blockades of intervertebral discs..

Thus, we proceed to a detailed description of the muscular blockades of the intervertebral discs..

This disease, officially referred to in neurology as discogenic osteochondrosis, contrary to the theory of discogenic osteochondrosis:.

a) does not first appear in the nucleus pulposus of the disc, then does not spread to its fibrous fibers and adjacent vertebrae, t. is not discogenic;

b) the disease generally proceeds, as a rule, without pathology of the intervertebral discs; with muscular blockade of the disc, some of its protrusion is natural, physiological and creates the impression of movement of the disc nucleus, mainly towards the spinal canal; with the development of scoliosis during the muscular blockade of the disc, some natural protrusion of it in the posterolateral direction is possible; however, bulging and over-compressing discs generally do not damage them.; only in isolated cases is mechanical destruction of the disk observed during compression of extreme force; moreover, discs are the most important restorative elements of the body in the fight against this pathology after unblocking;

c) dystrophic changes in the form of marginal bone growths found in the bodies of adjacent vertebrae are not directly related to this disease, they are evidence of an accidental and optional coincidence of this disease with spondylosis (deforming spondylosis); the disease is not a consequence of dystrophy of either bone or cartilage elements of the spine, t. is not osteochondrosis;

d) the disease is generally characterized by neither inflammatory nor dystrophic initial processes;

e) muscular blockade of the disc develops not due to dystrophy and protrusion of the intervertebral disk and not due to bone growths of adjacent vertebrae; it is the initiating, starting process and at the same time the main essence of the disease; the pathological process primarily occurs in the deep muscles of the back, mainly in the transverse muscles of the lower back and the interspinous muscles; the primary pathological process is the excessive tension of these muscles, exceeding their working tension, which leads to a long, reflex-fixed tension, reflex spasm of these muscles. Contracted muscles are in self-locking mode.

A muscular blockade of the intervertebral discs develops, involving the spinal nerves and their accompanying vessels in the pathological process.. Compression of the spinal nerves leads to loss of sensitivity of organs and tissues, compression of blood vessels leads to edema and pain.

The disease does not start in the spine,. is not vertebrogenic. The problem of muscle blockades of the discs is complex, but in the vast majority of cases it does not require complex treatment with the participation of specialists from different fields of medicine.. The allocation of vertebroneurology to an independent department of neurology is not justified.;

f) careful palpation makes it possible to determine not “dropped out discs”, not “herniated discs”, but deep back muscles in a state of reflex spasm, they can already be used to identify discs that are compressed beyond the norm.

Statements systematically appearing in various publications about the possibility of palpation of a “dropped out disc”, “disc herniation” indicate a poor acquaintance of those who claim this with the anatomy of the spine..

The release of the intervertebral discs from the state of muscle blockade does not mean the end of treatment, but is only an obligatory initial stage. Any method of treating this disease must necessarily begin with the release of the disc from muscle blockade.. This is what acupuncturists and chiropractors do;

g) in severe cases of muscle blockade of the intervertebral discs, the cause that triggers the primary pathological process is solely the discrepancy between the load and load capabilities (volume and fitness) of the intertransverse muscles of the lower back, interspinous muscles, and also the rotator muscles.

Consequently, the main damaging stresses are stresses during lateral inclinations and rotational movements of the body.. It is in these movements that these muscles take part..

Other reasons: local hypothermia, diseases of internal organs and muscles can also trigger a relatively mild independent disease or contribute to the development of the main severe process..

Some diseases of the muscles and internal organs are accompanied by pain in the lumbosacral region (crepitus, renal colic, diseases of the uterine appendages, etc.).. ), but usually proceed with little or no effect on the deep muscles of the back, without appreciable muscle blockade of the discs.;

h) the predominant development of muscular blockade of the discs on one side of the spine leads to the formation of functional scoliosis, which disappears after the blockade of the deep muscles of the back is eliminated. Such scoliosis should in no case be treated with surgery and wearing any corsets.. Acupuncture treatment can eliminate such scoliosis literally in a matter of days.

Scoliosis with muscular blockade of discs is not compensatory and reflex in the usual sense.

In such cases, it develops during the primary muscle tension that triggers the disease, and then is reflexively fixed.. The development of scoliosis is not mandatory.

With a relatively mild course of the disease, functional scoliosis, as well as a slight bilateral compression of the discs (increased tone of the deep muscles of the back), can only be the result of a disease of the internal organs and are usually not felt by the patient, although they are easily detected by a specialist;

i) muscle blockade of the discs, whether accompanied by scoliosis or not, inevitably has a pathological effect on the functioning of certain internal organs through compression of the spinal nerves.

A clear connection of each of the spinal nerves with certain internal organs is known, for example, in acupuncture for thousands of years and is necessarily studied and used daily..

In this sense, acupuncture and manual therapy, simultaneously with the release of discs from muscle blockade, also provide treatment for those internal organs that are innervated by the spinal nerves released from compression..

Influencing the same spinal nerves in an expedient way is very widely used in acupuncture and in diseases of internal organs not associated with compression of the spinal nerves and muscular blockade of the discs..

Exactly the same therapeutic effect on the internal organs is characteristic of manual therapy.. However, traditional manual therapy techniques provide only a sedative (inhibitory) effect on the internal organs and do not provide a tonic (stimulating) effect.. This seriously limits the therapeutic possibilities of manual therapy compared to acupuncture, which uses both types of effects on internal organs and tissues of the body..

Doctor M's aspiration. Jolondza to expand the possibilities of manual therapy led to the development of the theoretical foundations of manual therapy and the method of electromanual therapy, which provides both sedative and tonic effects on the organs and tissues of the body.

Only after that it became clear that a kind of exciting version of electromanual therapy has been used in China for several years.. This option is used empirically, without connection with manual therapy.. However, it should be emphasized that the Chinese version of " Jolondza.

A detailed consideration of the theoretical foundations of manual therapy and the method of electromanual therapy requires a separate rather extensive presentation.. Moreover, there were no reports of such developments in the available literature..

It is curious that academic medicine blames manual therapy for the lack of a theoretical justification for the method of treatment.. In addition to the fact that such a justification should be expected from academic medicine, and not from practitioners, it is paradoxical that something else.

Academic medicine itself, as an official point of view, uses in a very close proximity the incorrect theory of discogenic osteochondrosis, artificially creates vertebroneurology;

j) in recent years it has become literally fashionable to talk and write about “postisotonic muscle relaxation” in discogenic osteochondrosis. Sounds impressive, doesn't it

The word "

And in this sense, it is not at all suitable for discogenic osteochondrosis (muscular disc blockades), which are often accompanied by functional scoliosis with different muscle toning on both sides of the spine..

Muscle relaxation cannot be post-isotonic in this case.. It is a pity to part with such a spectacular formulation, but it is necessary;

k) intervertebral discs with muscle blockades, of course, obey the laws of physics!

The discs do not fall out from longitudinal axial loads on the spine towards the spinal canal (this is what the theory of osteochondrosis claims contrary to the laws of physics). The discs are excessively compressed not by tension in the long muscles of the back, causing axial longitudinal loads on the spine, but first by excessive tension, and then by reflex spasm of the deep muscles of the back, causing lateral oblique and rotational loads on the spine.

It is extremely important to understand that, in the end, the main mistake of the supporters of the theory of osteochondrosis is that they accept as damaging axial longitudinal loads on the spine caused by tension of the long muscles of the back. But in fact, excessive lateral oblique and rotational loads on the spine are damaging, caused by excessive tension of the short deep muscles of the back and their subsequent reflex spasm..

The intervertebral disc with muscular blockade is not dystrophic, but completely complete, firmly fused with neighboring vertebrae, the fibrous ring of the disc is strong, the ligaments of the spine are reliable. But the deep muscles of the back, the culprits of the muscular blockade of the disc, are just located in the dorsal (dorsal) part of the vertebrae and the compression of the disc is only able to be carried out in the region of the spinal canal!

Muscular blockade of the disc is possible in general in the absence of longitudinal axial loads on the spine, only from excessive lateral oblique and rotational stresses!

Muscular blockade naturally leads to some protrusion of the dorsal part of the disc in the posterior or posterolateral direction and increases the lumbar lordosis.. An erroneous impression is created of the movement of the entire disk nucleus backwards (Fig.. 10. 2);

m) error K. Schmorl, she is the second main mistake of all supporters of the theory of osteochondrosis, is that the spine was considered and studied separately from the body, the search for the causes of the disease was carried out only within the spine. The cause of the disease, however, remained outside the spine..

You can spend as much time and effort as you want on the study of the spine, but you can’t find the cause of the disease in it.. She is not there, she is in the deep muscles of the back, in their reflex spasm.. The search for the cause of the disease in the spine is fruitless for both science and patients..

Scheme of the muscular blockade of the intervertebral disc What are the \?

These are the considerations in favor of the new theory of muscular blockades of the intervertebral discs..

On the issue of fundamental criticism of the theory of discogenic osteochondrosis, Dr.. Jolondz quite unexpectedly received a kind of support, which will be discussed below.. And in conclusion, it is necessary to give a wonderful example, namely: a description by the ex-world champion in barbell Yu.

Vlasov the first in his life muscular blockade of the discs of the spine.

At a responsible competition Yu. Vlasov habitually took weight and there would be no troubles, but when lifting the barbell, the movement of one hand was stronger and the barbell above his head was led with one end forward. The athlete resisted, but the huge rotational muscle tension immediately led to a muscular blockade of the lumbar discs..

Danilov, V. Naboychenko medbe. en.