All diseases and pathologies encountered inrights, recorded in the International Classification of Diseases - ICD-10. This is the most modern, 10th revision, conducted by the World Health Organization and recommended for use in Russia in 1999. It has a special section that includes diseases of the musculoskeletal system. A pathology of the spine, characterized by neurological symptoms and lesions of bone and soft tissue, highlighted in the subsection "Dorsopathy." Such diseases are numbered from the 40th to the 54th number of ICD. Osteochondrosis occupies a separate position here - M42. Similar degenerative processes also occur in spondylopathies (M45-M49), dorsalgia (M54), osteopathies (M86-M90) and chondropathies (M91-M94).
Such a system was developed by medicalworkers to facilitate the processing of information about the patient’s disease and to protect this information. After all, the code that replaces the diagnosis in the card is familiar only to doctors. The coding of diseases includes the letter and numerical designation. And all diseases are divided into groups according to their nature. But not every disease has a separate ICD code. Osteochondrosis, for example, belongs to the group of dorsopathies and is classified by the M42 code. But various degenerative-dystrophic processes of the vertebral column may be indicated by other letter codes. Therefore, for the appointment of the correct treatment requires accurate diagnosis.
Accurate diagnosis of osteochondrosis providesdoctor on the basis of a special examination. It is necessary to correctly diagnose. After all, the effectiveness of treatment depends on it. Before confirming the diagnosis according to the ICD “osteochondrosis of the spine”, it is necessary to exclude the possibility of other diseases: pathologies of the kidneys or the intestines, traumatic lesions, degenerative processes in the bones. Therefore, the patient’s history, the beginning of the development of the disease, and the results of the examination are recorded in the case history. The nature of the course of the disease, its phase, peculiarities of pain, spinal mobility, and the presence of neurological disorders are also taken into account. To determine the nature of the pathology, an X-ray examination, computed and magnetic resonance imaging are performed. Only after this patient’s illness is a certain ICD code assigned.
This disease occurred 10 years agomostly after 45 years. But now such a diagnosis is made even for young people and teenagers. This is due to a sedentary lifestyle and passion for gadgets. Because of this, the muscular corset of the spine weakens and posture is bent. As a result of increased load, the disks begin to collapse. The reasons why osteochondrosis develops are not taken into account by ICD-10, but doctors need to determine them in order to choose the appropriate treatment method. Why can develop osteochondrosis:
According to ICD, osteochondrosis is considered in the groupdorsopathies, that is, degenerative processes in the spine. Therefore, it mostly affects older people. They, due to the slowdown of metabolic processes and blood circulation, tissues lose fluid and nutrients and begin to break down. But this disease also occurs at a younger age. At risk are athletes, movers and all who experience increased physical exertion. Disks also suffer from a sedentary lifestyle, which are office workers, drivers, seamstresses and representatives of some other professions.
Destruction of the discs causes back pain andlimited movement. These are the main symptoms of osteochondrosis. The pain can be severe or aching, may appear periodically after the load or last for a long time. But degenerative processes affect not only the disks. Reduction of the space between the vertebrae leads to pinching of the nerve roots. This causes neurological symptoms, depending on the location of the disease.
In osteochondrosis of the lumbar region, the following symptoms are observed:
If the cervical region is affected, the position is stillmore serious, because in this place are the blood vessels that feed the brain and the nerves that connect it with the body. This may cause pain in the head, poor coordination of movements, loss of memory, vision and hearing, frequent dizziness and fainting.
Symptoms of osteochondrosis are also associated with impairedblood circulation. This is a loss of pulse, interruptions in the work of internal organs, pressure fluctuations. If such signs appear, it is necessary to undergo an examination in order to correctly diagnose ICD-10.
The danger of this disease is thatInitially, a person may not pay attention to slight pains and movement restrictions. It is then that the disease is easiest to cure. But most often patients go to a doctor when the changes are already becoming irreversible. According to ICD, osteochondrosis is a degenerative disease. It goes through three stages:
According to ICD-10, spinal osteochondrosis is classified according to its developmental characteristics:
But most often another classification is known.diseases - by its localization. In severe cases, with the degenerative process started, a common osteochondrosis is diagnosed, in which many discs and surrounding tissues are affected. But most often the disease occurs in any one part of the spine.
According to the ICD, spinal osteochondrosis is isolated inspecial section, but many doctors do not consider it a separate disease. After all, if degenerative processes in the discs have begun, they necessarily affect the surrounding tissues: vertebrae, muscles and ligaments. Therefore, disc herniation, spondylolisthesis, protrusion, arthrosis of the vertebral joints and other diseases quickly join osteochondrosis.
