Artrose Vertebral: tratamentos e causas

Homem idoso com a mão no joelho

A artrose vertebral é uma doença crônica das articulações. Ela atinge inicialmente a cartilagem dos discos inter-vertebrais e das facetas articulares para, depois, chegar ao osso mais próximo. Por consequência, pode vir acompanhada de rigidez e dificuldade de movimentação. Dessa forma, o desgaste dos discos entre as vértebras pode gerar uma instabilidade na coluna e, ao tentar estabilizar a coluna, o próprio organismo acaba formando osteófitos (bicos de papagaio).

Artrose

Aparece em decorrência principalmente do excesso de uso da articulação. As pessoas mais vulneráveis à artrose da coluna são os trabalhadores do setor rural, construção civil, condutores de transporte coletivo e atletas de elite, por forçarem as articulações de forma excessiva. A artrose costuma ser mais frequente em idosos, mas também acomete pessoas jovens. Um jovem com artrose na coluna dificilmente apresenta sintoma. Por isso, a doença só será detectada anos mais tarde. Muitas vezes, pensamos errôneamente ser uma dor muscular. Sendo assim, é preciso fazer uma boa avaliação para diferenciar o diagnóstico e evitar um tratamento que não vá direto à causa.

O resultado de uma avaliação com um diagnóstico inadequado conduz a manutenção de um quadro de dor sem possibilidade de resolução definitiva para esses sintomas. Os exames complementares solicitados para diagnosticá-la são: raio X, tomografia computadorizada ou ressonância magnética.

Tratamento para Artrose Vertebral

Os tratamentos para artrose vão desde a cirurgia, para os casos mais graves, até o tratamento medicamentoso, para os menos graves. A fisioterapia é sempre indicada no pré ou pós-operatório, assim como uma atividade física específica que evite maiores compressões nas estruturas comprometidas.

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