Is it possible to take a steam bath with osteochondrosis of the cervical, thoracic and lumbar spine?

Various chronic diseases leave their mark on the patient’s everyday life. The daily routine changes, various loads are limited, etc. Osteochondrosis is a chronic degenerative process, which results in the gradual destruction of the cartilage tissue of the intervertebral discs due to the lack of their adequate diffuse nutrition. In the acute stage, this disease causes severe pain in the fall. Many loads are contraindicated.

Whether it is possible to go to the bathhouse with osteochondrosis depends on the stage of the disease and the condition of the intervertebral discs. During the period of remission, such entertainment is not contraindicated. But in the stage of exacerbation, deterioration, protrusion or hernial protrusion, any heating is strictly contraindicated. We recommend that you always consult with your doctor regarding whether you can take steam baths with osteochondrosis at the stage that you have been diagnosed with.

We always tell our patients whether it is possible to take a steam bath with osteochondrosis at one or another stage of the treatment process. As a result of such awareness, it is possible to avoid numerous complications of the degenerative process. We suggest you learn from this material about the risks of visiting a steam room during an exacerbation of cervical and lumbar osteochondrosis.

The most important thing on which the answer to the question of whether it is possible to go to the bathhouse with osteochondrosis depends, is the absence of severe pain. If there is no inflammation, then you can pamper yourself with a steam room and a cool pool. But in case of radiculitis and exacerbation of cervical osteochondrosis, it is better to refuse such procedures.

Description of the pathology

Osteochondrosis is a pathology characterized by the presence of degenerative processes that destroy cartilage tissue. As a result, a complete or partial change in the intervertebral discs occurs. The distance between the segments is reduced, which leads to compression of the nerves and injury to nearby tissues and vessels.

There are several types of osteochondrosis:

  • cervical region;
  • thoracic region;
  • lumbar region.


Osteochondrosis is classified depending on the location of the pathology.
The disease occurs for the following reasons:

  • genetic predisposition;
  • pathologies of the endocrine system;
  • metabolic disorders;
  • improper development of the musculoskeletal system;
  • spinal injuries;
  • passive lifestyle;
  • poor nutrition;
  • excess body weight;
  • harmful addictions;
  • unstable emotional background;
  • excessive physical activity.


The disease can develop for several reasons.
Symptoms of osteochondrosis:

  • pain in the affected area, which can radiate to other parts of the body;
  • stiffness of movements;
  • loss of sensation in the limbs;
  • swelling of the soft tissues of the arms and legs;
  • dizziness and fainting;
  • chest pain;
  • increase in body temperature;
  • hearing and vision disorders;
  • rapid fatigue even in the absence of load;
  • general weakness.

The effects of thermal procedures on the body

According to evidence-based medicine, the bathhouse actually has a positive effect on the body:

  • A person is exposed to steam, temperature and water, which, as an irritant, activate the sebaceous and sweat glands. The human body tries to cope with temperature changes and at the same time remove substances such as urea and lactic acid.
  • Under the influence of high temperatures, metabolism and the processing of protein and mineral components are accelerated. Excess fluid is removed, and the person gets rid of edema.
  • The circulatory system also undergoes certain changes. There is less stress on the heart when blood begins to flow primarily to the muscles, which makes it easier for the internal organs to function.
  • The pressure, regardless of the presence of hypotension and hypertension, is stabilized, which prevents the development of blood stagnation. As a result, the vascular bed is well trained.
  • The functional and regulatory qualities of the central nervous system increase.
  • Positive changes do not bypass the musculoskeletal system, but here patients should be careful.

Benefits for back problems

The bath allows you to get rid of tension and fatigue, swelling and salts, and discomfort in a few hours.

This is due to the fact that when the temperature changes, the body is seriously hardened, blood vessels dilate, the water-salt balance returns to normal, the muscles and cartilage tissue of the joints significantly relax, and the immune system improves.

The healing properties of the bath for the spine

When asked whether it is possible to go to the bathhouse with osteochondrosis, experts give a positive answer. The effect of hot steam on the human body improves the condition of all organs and systems.

A visit to the bathhouse gives the following results:

  • blood circulation improves, including in the affected areas, the load on the heart does not increase, since blood flows to all organs and tissues;
  • the body is freed from waste, toxins and injured cells;
  • metabolic processes occurring in cells improve;


    The bath has long been known for its healing properties

  • joint mobility is restored;
  • salt deposition is reduced;
  • swelling of soft tissues goes away;
  • pain is relieved if during the procedure you use a broom made from a medicinal plant with analgesic properties;
  • the condition of the nervous and pulmonary systems improves;
  • the body's defenses increase;
  • damaged cartilage tissue of joints and spine is restored;
  • blood pressure is normalized, but only if the procedure is carried out correctly;
  • chronic fatigue disappears;
  • the muscles relax, which helps relieve tension from the spinal column;
  • mood improves.

The healing properties of the bath are determined by the effect of high temperatures on the body and the use of brooms made from medicinal plants.

Cervical region

For osteochondrosis of the cervical spine, a bath will be of great benefit if honey is used during the procedure.

This product gives the following results:

  • gets rid of salt deposits;


    Using honey can improve metabolism

  • promotes the breakdown of fat cells;
  • has a positive effect on the epidermis;
  • improves the condition of the nervous system;
  • saturates body tissues with useful elements;
  • improves metabolism;
  • normalizes blood circulation;
  • stops the inflammatory process;
  • relieves pain;
  • promotes muscle relaxation;
  • rids the body of waste and toxins.

To obtain this effect, honey is used as follows:

  • the product is used to treat the problem area;
  • go into the steam room for 8–10 minutes;
  • go out, rinse with warm water and drink tea with honey.

Within 60 minutes, the procedure is repeated 3 times. This will not get rid of the disease, but osteochondrosis will stop bothering you. When you arrive home, it is recommended to lie down and cover yourself with a blanket. You should rest for several hours. This will relieve pain and restore joint mobility.

For the procedure to be beneficial, you should not set the temperature in the steam room too high and not become overcooled after the bath. This will worsen the pathology.

Thoracic region

A bathhouse for osteochondrosis of the thoracic region will be of great benefit if the procedure is performed as follows:

  • Juniper oil is applied to the sore spot;
  • go into the steam room for 10 minutes;
  • come out and rinse with warm water;
  • wrap themselves in a warm towel or robe and drink juniper tea.

It is recommended to perform a light massage with a broom in the steam room. This will help get rid of discomfort and stiffness in the joints.

Lumbar

Visiting a bathhouse for lumbar osteochondrosis is beneficial in itself, however, to increase the effectiveness of the procedure, it is recommended to adhere to the following recommendations:


You can steam in a bathhouse for lumbar osteochondrosis for 10 minutes

  • go into the steam room for 10 minutes;
  • take a warm shower and treat the affected area with Vaseline or ointment prepared on the basis of medicinal plants;
  • 3 cans, half a liter in volume, are placed on the back;
  • the containers are covered with a towel and the patient must lie in this position for an hour;
  • banks are removed.

The procedure is carried out once every 7 days. Back pain will disappear after the first visit to the sauna. After three sessions, the symptoms of the disease will no longer bother you at all.

This procedure helps with radiculitis, osteochondrosis and other back pathologies.

Useful tips

Osteochondrosis is an incurable disease, but it does not threaten human life. After relief of acute symptoms, the patient seeks and tries methods to speed up recovery. One of them is regular visits to the bathhouse, the healing properties of which everyone has heard about. Moreover, even those who have not previously gone to a steam room decide to use this method of treatment. Doctors warn that even many healthy people may feel ill after a visit to the bathhouse. Therefore, the first visit should last no more than 5-10 minutes. Then the duration of the procedure gradually increases, as does the number of visits - from 2 to 3-4. It is recommended to adhere to the following rules:

  • do not eat food 2-3 hours before leaving home;
  • do not drink a lot of liquid in the bathhouse, as this stimulates the excretion of beneficial microelements;
  • forget about alcohol, which is contraindicated for osteochondrosis of any location.


Juniper broom.

You can use any brooms. But brooms made from branches of fir bushes, such as juniper, are especially therapeutically effective. When vigorously patting or rubbing the back with them, phytoncides, bioflavonoids, essential oils, and tannins penetrate well into the tissue through the enlarged skin pores. These bioactive organic compounds additionally stimulate blood circulation and have a tonic effect on the entire spinal column.

If a patient with osteochondrosis is indicated for a course of taking systemic medications or regular use of external agents, then you should discuss with your doctor the possibility of combining them with a visit to the bathhouse. In most cases, this combination is acceptable.

Original Russian methods of healing are strictly prohibited: swimming in an ice hole after a bath, diving into a pool filled with ice water or jumping into a snowdrift. Under the influence of a sharp temperature change, a muscle spasm will occur, which will provoke that same “lumbago”. Before leaving the bathhouse, you should rinse yourself in a warm shower, rub yourself vigorously with a towel and lie down on a bench for a while. At this stage, you can drink hot tea with healing aromatic herbs (thyme, oregano, lemon balm) with a bite of honey. Before leaving the bathhouse in the cold season, you should dress warmly.

Another doctor’s opinion about the bath:

How to steam in a sauna correctly?

Osteochondrosis and sauna are quite compatible, but only if you visit the steam room correctly. Before the procedure, it is recommended to consult a neurologist. Only a doctor can assess the advisability of visiting a bathhouse. The specialist makes a conclusion based on the nature of the disease and the subjective characteristics of the patient.

During the period of exacerbation of the pathology, it is not recommended to visit the bathhouse. High temperatures in this case will not bring any benefit, but will have the opposite effect.


The bathhouse must be visited correctly

During the period of remission of the pathology, the procedure can be carried out, but you should adhere to the rules for visiting the bathhouse:

  • two hours before the visit, have a light snack, since you cannot steam on either a full or an empty stomach;
  • you cannot drink alcoholic beverages;
  • the first visit to the steam room should not exceed 5 minutes, subsequent visits can be increased to 10 minutes, but if dizziness appears, the session is interrupted;
  • the maximum number of entries into the steam room is 10 times;
  • maximum time for visiting the bathhouse – 3 hours;
  • take a break between visits to the steam room to normalize the body’s condition;
  • brooms are used in the bathhouse, but only for light massage;
  • After the steam room, it is recommended to take a warm shower to wash away sweat and restore normal body temperature;
  • You should not go to the bathhouse after waking up or before going to bed;
  • The procedure is carried out once every 3 days.

Massage

To significantly improve the result, you should combine bath procedures with massage (can everyone do it?). This tandem will not only get rid of swelling, but also deposits in the joints.

Self-massage with brooms

For self-massage with brooms in a bathhouse for this disease, brooms made from natural birch and juniper branches are excellent.

The massage begins with the feet and is performed with simple light strokes, gradually adding strokes over a short period of time. You can then simply place a hot broom on the sore spot and leave it for 5 minutes.

The use of honey during bath procedures has a good effect on the body . It is applied directly to problem areas before going to the steam room, where under the influence of high temperatures it melts and simultaneously releases beneficial substances.

Having a confirmed diagnosis of cervical osteochondrosis, the patient needs to approach usual activities with caution. From our articles you will find out whether it is possible to visit the pool, warm your neck and drink alcohol if you have SCH.

Additional treatment procedures

To enhance drug therapy, it is recommended not only to visit the bathhouse. The following types of treatment will also benefit:

  • physiotherapy;
  • massage;
  • Exercise therapy.


Massage in the bathhouse is one of the additional therapeutic procedures.
Such procedures give the following effect:

  • relieve pain;
  • tone muscle tissue;
  • relieve muscle spasms;
  • improve tissue condition;
  • stop the inflammatory process.

Bath and osteochondrosis

In a real Russian bath or sauna, the human body is exposed to high temperatures. Thermal energy penetrates deep into the soft tissues, positively influencing metabolic processes and relieving inflammation. With the right approach, visiting the sauna will give a positive effect to the patient.

Osteochondrosis is a degenerative disorder in the joints, due to which the cartilage tissue loses its elasticity, becomes coarser, and becomes ossified. Cartilage in a joint or spine has a stabilizing function. It prevents bone elements from rubbing against each other and gives mobility to the vertebrae and parts of the joint. With age or under the influence of certain external factors, the internal structure of cartilage tissue changes. It ceases to be elastic. Under significant pressure, the cartilage shrinks and no longer performs its main functions. Because of this, inflammatory processes develop and pain occurs in the affected area. Most often, the cervical, lumbar spine and all large joints - knee, hip, elbow, shoulder - are affected. In these areas, severe pain and limited mobility are felt.

If you notice such symptoms, you should immediately consult a doctor. A neurologist treats osteochondrosis in the early stages of the disease. If the patient refuses timely therapy, then over time osteochondrosis progresses to the stage of protrusions and herniated intervertebral discs, and the joints are noticeably destroyed. Surgery required. Sometimes there is a need to replace joints with endoprostheses, and instead of intervertebral discs, a metal structure or special titanium cages are installed.

To prevent such aggravation of the existing health situation, start treatment at an early stage of the disease. For chondrosis, physiotherapy and thermal effects are indicated. Visiting a bathhouse or sauna is not prohibited, but you must approach such events responsibly.

Contraindications

Sauna and bath procedures have the following contraindications:

  • pathologies of the cardiovascular system;


    Please note that in some cases, bath procedures may be contraindicated

  • period of exacerbation of the disease;
  • oncological diseases of both malignant and benign nature;
  • the presence of purulent formations on the epidermis;
  • phlebeurysm;
  • elderly age;
  • neurological disorders;
  • hyperthermia;
  • anemia;
  • recent heart attack or stroke;
  • intervertebral hernias.

The procedure is also contraindicated for women in the following cases:

  • period of gestation;
  • menstruation;
  • gynecological diseases.

The role of heating in osteochondrosis

Warming the back and neck in many cases relieves the symptoms of the disease and improves the condition, which is associated with the peculiarities of the body's reaction to hot steam and heat. If there are no contraindications, and the attending physician considers it appropriate, osteochondrosis can be treated with heating. This is due to the following reasons:

  • in places in contact with heat, blood flows to the tissues, saturating them with oxygen;
  • heat helps relieve muscle tension and reduce stress on the nerves;
  • stressful, but moderate exposure to high temperatures leads to irritation of receptors and nerve endings, which helps reduce pain.

It is necessary to warm up different affected areas of the spine in compliance with medical recommendations and rules for safe stay in the sauna.

Using a bath broom

The use of a broom made from medicinal plants will increase the benefits of the procedure. The main thing is to choose it correctly.

How to choose the right broom

There are many bath brooms and each has its own pros and cons. For osteochondrosis, it is best to choose the following similar accessories:

  1. Juniper. Improves the condition of the spinal column, frees the body from harmful elements, improves metabolism and blood microcirculation.
  2. Oak. Relieves pain and normalizes unstable emotional background.
  3. Nettle. It has a positive effect on the condition of the epidermis, promotes relaxation of muscle tissue, and soothes.
  4. Birch. Stops the inflammatory process and improves the condition of cartilage tissue.
  5. Coniferous. Stabilizes blood pressure, relieves pain, improves blood microcirculation.
  6. Eucalyptus. It has a positive effect on the nervous system, increases the body’s defenses, relieves pain and prevents the occurrence of tumors.
  7. Alder. Relieves pain and rids the body of harmful substances.
  8. Ashen. Contains essential oils that improve the condition of cartilage tissue and the pulmonary system.
  9. Lime. Tones muscles and rids the body of harmful elements.


There are many different brooms for a bath

What do the doctor's say?


Doctors allow you to visit the bathhouse in the absence of inflammation and pain syndromes . It should be borne in mind that in addition to them, other pathologies may occur in the body, which are a contraindication to bath procedures.

Osteochondrosis of the cervical spine is a serious disease that requires an integrated approach and long-term medical treatment, where bath procedures act solely as a supplement for general health and in many cases are contraindicated. Before going to the bathhouse, you should consult with your personal doctor to understand all the pros and cons of such treatment in a particular situation.

What tea is good for a bath?

In the bathhouse it is recommended to drink tea prepared from medicinal plants. It should be drunk only after visiting the steam room. To prepare the drink, it is recommended to use the following plants:

  • sage;
  • St. John's wort;
  • juniper fruits;
  • strawberry leaves;
  • hawthorn;
  • willow bark;
  • Melissa.

Visiting a steam room for osteochondrosis helps get rid of the symptoms of the pathology and improves the condition of the whole body. For this reason, the bath is recommended by doctors as an addition to the main treatment. The main thing is to carry out the procedure correctly.

Main manifestations of chondrosis

Osteochondrosis manifests itself in different ways, but common symptoms include the following:

  • severe acute pain in the affected area;
  • limited mobility of joints and ligaments;
  • a burning sensation, fullness in the inflamed area;
  • increased body temperature;
  • feeling of numbness in the limbs.

If such manifestations occur, you should immediately visit your doctor. First, you can visit a therapist. He will conduct an examination, prescribe primary tests and give a referral to a neurologist. A specialist can immediately make a diagnosis based on the patient’s complaints, but the stage of development of the disease, the location and extent of tissue damage can only be determined through functional diagnostics. An MRI or CT scan will help give accurate answers to questions about the patient’s health status. Sometimes a panoramic X-ray examination is sufficient.

Some patients refuse traditional medicine. They use traditional methods of treatment. Such people are sure that warmth is the first and indispensable way of recovery. They begin to actively visit the bathhouse, sauna, and over time they do not understand why they are getting worse.

The steam room is not contraindicated for osteochondrosis, but it is better to ask your doctor for permission to visit such places. The doctor will assess the actual state of health and give clear recommendations regarding the duration of stay in the bathhouse and choosing the appropriate temperature.

How to choose the right broom

One of the most important elements of bath procedures is a broom, since it is used to gently massage not only the entire body, but also the affected areas.

The effect of complex back treatment partly depends on the choice of accessory.

It is important that the broom consists only of natural branches. The plants from which it is made should not cause an allergic reaction. When choosing a broom, it is important to focus on the disease and the expected result from use.

First of all, you need to pay attention to the leaves - they must be clean, free of mold, and uniform in color. The rods become thinner from the middle to the edge. It is better to give preference to products made from fresh branches, since they contain more useful substances. When choosing a broom for medicinal purposes, pay special attention to the plant from which it is made:

  • birch - helps relieve pain in muscles and joints, has a beneficial effect on respiratory diseases;
  • oak - has a healing effect on the skin;
  • juniper, fir, cedar, spruce - heal the entire body due to the characteristics of essential oils;
  • linden is beneficial in the treatment of kidney ailments, as well as getting rid of headaches.

For osteochondrosis, it is recommended to use a birch or coniferous accessory.

Video on how to choose and steam bath brooms correctly

Since osteochondrosis and the bath are compatible, to effectively treat it and restore the spinal column, you need to learn how to choose and prepare a broom for use correctly.

Is it possible to warm cervical osteochondrosis with salt?

To the question “is it possible to heat osteochondrosis”, the answer is indicated at the beginning of the article. Exposure to heat is permissible with the permission of a physician.

Salt, when applied topically (as dry heat), is widely used because it holds the temperature for a long time. In addition, patients are recommended salt baths and rubbing. This is due to the benefits of the substance:

  • tissue regeneration (bone, cartilage);
  • normalization of metabolism;
  • improving blood supply to lesions.

As for the neck, to avoid hypothermia, it is better to use rubbing and a warm scarf.

Is it possible to warm your back if you have spinal chondrosis?

Heat has a beneficial effect on the body: it increases blood circulation, relieves pain and inflammation. Chondrosis in this sense is no exception.

The damaged area can be affected by such heating methods:

  • Compresses. There are many recipes based on natural ingredients: turpentine, mustard, horseradish root, potatoes with honey, soap, soda and


    Pay attention to the methods of warming up the back with chondroseed oil and others.

  • Warming massage . It helps strengthen muscles and eliminate inflammation and tension.
  • Dry heat - heated salt or sand in a canvas bag is applied to the sore spot.
  • Rubbing from tincture of garlic , mustard, propolis and aloe juice, etc.
  • Warming ointments based on pork fat , vegetable oil or Vaseline with the addition of hop cones, medicinal herbs, bodyaga and others.
  • Cold and hot shower.
  • Physiotherapy : massagers, ultraviolet irradiation, laser stimulation, electrotherapy.

All these methods of warming up are used only according to doctor's indications , since they are individual for different locations of the disease. But the most universal and harmless method for chondrosis is dry heating using a belt made of dog, camel or sheep wool (if you are not allergic to it, of course).

Neurosurgeons are very careful when warming up the cervical spine . And only wrapping the sore spot with a woolen scarf, which allows you to relieve spasms and pain in the muscles and avoid hypothermia, is found useful by all specialists without exception.

Benefits of the method

Warming stimulates blood flow , which helps accelerate the restoration of vertebral function, relieves pain and muscle spasms. Inflammation occurs only in warmth; cold, on the contrary, promotes its development. But you must always remember that the choice of method, the intensity of its impact, the frequency and duration of warming up are determined by a specialist.

Contraindications to the use of heating for chondrosis

Warming up has certain indications and contraindications.

Warming procedures are prohibited in the following cases:

  • During the period of exacerbation of the disease.
  • At elevated body temperature.
  • If there are concomitant chronic diseases.
  • For those who suffer from pressure changes.

Video: “What is a degenerative-dystrophic change in the spine?”

Pay attention to how drug treatment for spinal chondrosis is carried out:

  • You can find out which tablets are used for chondrosis of the neck and other parts of the spine here
  • What types of ointments are used for spinal chondrosis?
  • You can learn more about injections and groups of drugs for chondrosis in the form of injections at the link

For osteochondrosis of the cervical spine

No matter how good a person’s well-being is, visiting a sauna with pathologies of different parts of the back and musculoskeletal frame is permissible only after consultation with a doctor.

A bathhouse for cervical osteochondrosis is contraindicated if there is:

  • headache, dizziness;
  • high blood pressure;
  • acute inflammatory process characterized by pain in the neck or collar area;
  • radicular syndrome, manifested by tension in the muscles of the neck and shoulders;
  • convulsions;
  • feeling of numbness in the hands;
  • tingling on the scalp.

Before starting procedures, it is important to make sure that your health condition allows it:

  1. Determine your heart rate.
  2. Measure body temperature and blood pressure.
  3. Check your neck for soreness.

Is it possible to warm the neck with cervical osteochondrosis?

In the absence of prohibitions, warming up the neck is possible using the following methods:

  • bath procedures;
  • massage;
  • compresses;
  • warmer;
  • blue lamp;
  • ointments (gels, creams) with a warming effect.

When using one of these methods, you should remember the individual characteristics of the body, since each method has its own indications and side effects.

Patients with neck osteochondrosis can warm up the spine using local and general means. Compresses, a heating pad, and creams relieve pain and inflammation only in the collar area, while massage and baths improve the general condition. The indirect effect of the steam room helps to relax all muscles, and not just the affected part. In addition, toxins are removed from the body.

Honey bath for cervical osteochondrosis

For osteochondrosis, you can use honey while in the steam room. It is very useful, and in combination with a bath, in the absence of prohibitions, it speeds up recovery.

It is recommended to combine sauna and honey in the following ways:

  1. It is recommended to apply the substance to the neck and shoulders at the beginning of the procedure, and stay in the steam room for ten minutes. There is no need to rinse off the honey.
  2. After warming up, it is recommended to drink tea with honey, or better yet, a herbal drink.
  3. If your health has not worsened, you can visit the steam room several times, but no more than three.
  4. To consolidate the effect and relieve neck pain, it is advisable to rest for several hours in a relaxed position, covered with a blanket.

These actions significantly improve blood circulation between the vertebrae of the cervical spine, since honey in the steam room promotes:

  • removal of metabolic products;
  • improving the quality of cell nutrition;
  • reducing inflammation;
  • reducing swelling.

What is spinal chondrosis and the mechanism of the disease

Chondrosis is the initial stage of osteochondrosis , which lasts for a long time without symptoms. Bones, muscles and ligaments have not yet been drawn into the destructive process. It begins with the intervertebral discs - the cartilage pad between the vertebrae. Inside it is the nucleus pulposus, consisting of water and connective tissues that absorb it.

This elastic structure is flattened when compressed, and with a decrease in load it again acquires its previous configuration. This ensures flexibility and mobility of the spine when moving. The nucleus is held in place by the fibrous ring, which is an elastic rim made of strong bundles of fibers.


Chondrosis is a degenerative process of the spine that begins with discs

Due to age-related changes, lack of nutrition or other reasons, the kernel loses moisture and dries out . In this transformed form, it can no longer fully absorb the spine. The fibrous ring suffers from this, which bears increased load. When squeezed, it gives cracks, through which the flattened core protrudes, forming an intervertebral hernia.

According to the location of the disease, cervical, thoracic, lumbar, intercostal and brachial chondrosis is distinguished. It is dangerous because the spine is gradually deformed, and this inevitably leads to various complications. This is why treatment of chondrosis in the initial stages and its early diagnosis are so important. .

Video: “Lecture on degenerative changes in the spine”

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