Hernia treatment in sanatoriums: is it possible? Duration of effect and description of procedures

Despite the fact that surgical treatment of a spinal hernia is a radical method of recovery, most patients prefer to be treated conservatively. And in this case, treatment of a spinal hernia in sanatoriums is an important stage of rehabilitation. Why do hernias and protrusions prefer to be treated conservatively? There are several reasons for this.

The first and most important is the lack of motivation for radical treatment. The Russian patient is accustomed to considering surgery as the last and most extreme way to influence the disease, so it is almost impossible to encourage him to undergo surgery with minor pain.

The second important reason is the fact that most protrusions and hernias, having caused more or less pronounced pain and limited mobility in the back, gradually cease to manifest themselves, and the disease goes into remission.

Bulging on MRI.

The third factor is the absence of a direct threat to life. Many people “get used to” a problem lower back, and the danger from this condition is expressed in a significant decrease in the quality of life, but does not threaten death at all, as, for example, from intestinal obstruction.

When is treatment prescribed in a sanatorium for a herniated disc?

It is important to understand that the patient does not get to the sanatorium immediately. First, he needs to relieve acute pain in the lower back, and transfer the disease to at least a phase of incomplete remission. With acute pain radicular syndrome, which is caused by protrusion and hernia, the patient will always be limited in mobility and needs medical care, and not sanatorium-resort treatment. But after severe neurological symptoms have been eliminated, and back pain has disappeared or significantly decreased, treatment with the help of mechanical, natural and physiotherapeutic factors is necessary - and rehabilitation at resorts is prescribed. Almost all sanatoriums warn that they only accept people who can move freely and are able to fully care for themselves.

The goal of sanatorium-resort treatment, in addition to general health improvement and good nutrition, is to activate the patient, maintain a motor regimen, eliminate congestion in the back muscles, and resolve the so-called myofascial syndrome. It is necessary to improve blood circulation in the deep muscles and ligaments adjacent to the diseased segment. This allows you to significantly reduce or even completely eliminate aseptic inflammation and swelling in the area of ​​the roots irritated by the hernia, which will eliminate neurological symptoms. Most often, these are paresthesia, numbness, crawling, or nagging pain in the leg along the back of the thigh, extending under the knee. These are the symptoms of intervertebral hernia of the lumbar spine.

The second indication for spa treatment is the condition after surgery, when the patient has had a protrusion or hernia removed. In fact, the treatment provided in the sanatorium, both in the presence of hernias and after their removal, does not differ significantly. In both cases, it is necessary to strengthen the muscle frame, improve blood circulation in the deep back muscles and normalize venous outflow, restore range of motion in the back, and so on.

It can even be considered that patients who have undergone surgery are in a more privileged and safer position. After all, they actually no longer have the object that periodically caused the threat of irritation and compression of the nerve roots and surrounding tissues. Their hernia has been removed. And the threat of relapse or exacerbation is practically eliminated. But those patients who come to a sanatorium for treatment after numerous courses of conservative therapy must carefully follow all the rules for performing movements, so as not to accidentally cause an exacerbation. After all, their protrusion or hernia has not gone away, and is only waiting in the wings to manifest itself again. Sanatorium-resort treatment can postpone this time for a long time, but sooner or later it will come again. What sanatoriums are the best for the treatment of osteochondrosis?

What procedures are carried out in sanatoriums?

• mud therapy (applications, wraps, compresses, mud baths);
• hardware physiotherapy (laser and magnetic therapy, DDT therapy, electrophoresis, shock wave therapy, phonophoresis, etc.);
• balneotherapy (iodine-bromine, sodium chloride, hydrogen sulfide, radon, carbon dioxide baths) - the choice of baths depends on which sanatorium treats the spine and what natural resources the resort is rich in;
• acupuncture and other types of reflexology;
• therapeutic exercises in the form of individual or group classes;
• health path (in another way - dosed ascent);
• swimming, water gymnastics;
• massage, manual therapy;
• various types of spinal traction.

All of the listed methods, which are used in sanatorium treatment, improve the mobility of the spine, normalize blood supply and nutrition to the vertebral structures, and have a general healing effect. Patients who are overweight, which can cause spinal pathology, are prescribed diet therapy.

In some sanatoriums, underwater traction techniques are used for osteochondrosis of the spine. The patient is fixed on a special table (or board), which is immersed in water. Traction allows you to straighten the intervertebral discs and eliminate the infringement of the nerve structures. Mechanical stretching is combined with the influence of water, which relieves muscle tension, reducing muscle tone.

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What to take with you?

The general rules are as follows: anyone staying in a sanatorium must have with them, in addition to identification documents, a sanatorium-resort card, which is issued at the place of residence, as well as a compulsory insurance policy. If a patient comes for treatment for a fee, then usually a sanatorium-resort card is issued directly at the sanatorium for cash or non-cash payment. The main thing in this case is to have a doctor’s referral for treatment and notification of the absence of contraindications.

In addition, do not forget to have recent blood and urine tests, an electrocardiogram, fluorography, for women - a gynecologist’s report, and if you have concomitant pathology, then a report from the relevant doctors about the absence of contraindications.

It is also advisable to have swimwear for the pool, a cap and flip-flops. All research results must be completed no earlier than 2 months, and analyzes - two weeks.

Briefly, it should be said about those general contraindications in the presence of which sanatorium-resort treatment is contraindicated. This:

• disease in the acute stage, both main and concomitant, or decompensation of concomitant pathology, for example, thyrotoxicosis or diabetes mellitus;
• infectious diseases and sexually transmitted diseases;
• fever;
• active forms of tuberculosis,
• mental illness (clarification of diagnosis and clinic required);
• epilepsy with seizures more than once a month;
• confirmed diagnosis of alcoholism and/or drug addiction;
• malignant tumors;
• severe exhaustion, or cachexia;
• indications for surgical intervention.

In addition, for each treatment profile there is also a group of “narrow” contraindications.

Drug Warning

• Medicines usually have side effects that need to be considered when taking them
• It is advisable to discuss taking any medications with your doctor, even if they are over-the-counter and do not pose any obvious danger.
• It is also important to note that the patient should not rely solely on painkillers and injections to treat pain from a herniated disc.
• Incorporating physical therapy and exercise into treatment will provide the best results.

Sanatoriums in Russia for the treatment of hernia

Almost every general sanatorium offers the possibility of treating diseases of the musculoskeletal system. Pathology of the spine and joints is the “bread” of any sanatorium, except for highly specialized ones, for example, anti-tuberculosis ones. But even there there are opportunities to improve the well-being of a patient with protrusions and hernias. However, there are still specialized centers that have large rehabilitation facilities: balneotherapy, gymnasiums and special exercise equipment. We will talk about such sanatoriums today.

The best sanatoriums for spine treatment in Russia

The effectiveness of treatment and quality of rest directly depend on the quality of service, the competence of specialists, the condition of rooms and food. Therefore, you should approach the choice of a hospital responsibly.

We offer a list of the best sanatoriums for spine treatment.

Sanatoriums for the spine of the Urals

The Urals are associated with heavy industry and metallurgy. But this is also one of the best places in Russia for spine treatment. There is everything for the successful treatment of many diseases: mineral waters, healing mud, good infrastructure and excellent specialists.

There are many hospitals in the region that are known throughout Russia for specialized programs for the treatment of the spine and musculoskeletal system. Next to the health complexes built just 10-15 years ago, there are the oldest sanatoriums in the Russian Federation, launched in the mid-19th century.

In the Urals, various methods are practiced: mud therapy, hydrotherapy and using water from mineral springs, heating, traction. In the Sverdlovsk region, sapropel mud from Lake Moltaevo is used to treat the spine.

Almost all sanatoriums, regardless of the year of foundation, are modern hospitals with advanced equipment, comfortable rooms and a cozy atmosphere, and a lot of additional services. Open all year round. They are located in picturesque places where you can relax physically and emotionally. Guests with children aged three years and older are welcome.

Treatment of the spine in sanatoriums in the Moscow region

The Moscow region has not only hundreds of cottage villages and traffic jams towards Moscow, but also a mild climate, unique nature, and dozens of sanatorium and resort areas.

Hospitals are evenly scattered throughout the Moscow, as well as neighboring Ryazan, Tula, and Vladimir regions. They are located in picturesque places, usually in small villages, where there is no hazardous industry. Massage, detensor therapy, kinesitherapy, acupuncture, mud and mineral baths are practiced here. New procedures are introduced regularly.

In the Moscow region, sanatoriums are focused on the particularly picky guest from Moscow, so they have created the best conditions, boasting comfortable rooms, excellent food with the ability to create a diet for each patient.

Medical sanatoriums for the spine in Pyatigorsk

Pyatigorsk is famous for its unique landscapes, mild climate, crystal clear air and mineral springs.

Popular sanatoriums for spine treatment are located in Pyatigorsk. There are research centers in the field of balneology and sports medicine, which introduce new methods of treating all kinds of diseases.

Main methods of treatment: manual therapy, acupuncture. Hydrotherapy and mud therapy are especially popular. Radon mud, hydrogen sulfide baths, and mud from Lake Tambukan are used, known for their beneficial properties in the treatment of osteochondrosis and the consequences of severe injuries.

Sanatoriums in Pyatigorsk offer picturesque surroundings, comfortable rooms, good service and simply the opportunity to relax. Here you can count on the use of advanced treatment methods and the preparation of procedures and diets individually for the patient.

Sanatoriums specializing in the treatment of the spine in Zheleznovodsk

Another popular resort in Stavropol, part of the KavMinVody resort area, is Zheleznovodsk. This is a unique place in the foothills of the Caucasus. There are a lot of healing springs here. Even the air saturated with phytoncides, the weather, the atmosphere of calm and serenity contribute to healing from the most complex diseases. The mild, mountain-forest climate allows you to receive guests throughout the year.

Local sanatoriums are included in the list of the best for spine treatment not only in the region, but throughout Russia. Mud therapy using Tambukan mud, hydrotherapy using mineral waters from local sources, manual therapy, hirudotherapy, and ozone therapy are practiced. It is possible to create a diet individually. The city has created the best treatment and prophylactic base for the treatment of diseases of the musculoskeletal system; excellent specialists work there.

One of the best not only in the region, but also in Russia (included in the TOP 10 sanatoriums in the country) is the Mashuk Aqua-Therm sanatorium for the treatment of the spine.

This is a modern health complex, certified according to the 4-star standard, and will delight you with cozy rooms, free Wi-Fi and other little things. For large families it offers separate cottages, which are hidden in the shade of a beautiful park. Meals - buffet in the dining room of the Lermontoff restaurant.

But the main asset is the unique treatment programs for the spine and musculoskeletal system.

"Volzhsky Cliff" (Samara)

The Samara sanatorium “Volzhsky Utes” belongs to the Administration of the President of the Russian Federation, which means that it can qualify for other financing conditions. Patients with various pathologies are treated, including under the program of state guarantees of free medical care.

Among the many health programs developed and implemented in this sanatorium, there is a “healthy spine” program, which was specially created for the rehabilitation of patients with pathologies of the lumbosacral region, including protrusions and hernias. This program is designed for a full stay of 21 days, and includes consultations with specialists, laboratory tests of general blood and urine tests, monitoring of the state of the cardiovascular system using ECG and special wellness techniques.

These include therapeutic exercises in the hall, up to 15 procedures during a full stay, underwater traction of the corresponding part of the spine, which is carried out daily or every other day with a final consultation with a neurologist, almost daily swimming in the pool, giving the patient general baths every other day, with mineral water. or radon composition. Manual massage is also performed, which can be either daily or every other day. The sanatorium has introduced hardware physiotherapeutic methods of treatment. For example, galvanic mud, mud applications. The patient can also count on treatment with a diet, including a low-calorie diet in case of excess body weight, or a gentle diet, which is prescribed for the entire duration of the stay.

The sanatorium has a 24-hour on-duty assistance service, including emergency assistance.

In addition to rehabilitation methods under the “healthy spine” program, in the sanatorium you can exercise on a training platform with feedback, which allows you to restore impaired motor skills. According to indications, sessions of hyperbaric oxygenation, treatment in a salt cave, as well as general magnetic healing and gravitational therapy techniques can be performed. These methods of treatment and rehabilitation are not included in the “healthy spine” program; they are prescribed by a doctor according to indications and are paid for separately.

Treatment methods in the clinic

To treat this common, rapidly “aging” disease, the entire arsenal of traditional and oriental techniques with proven effectiveness is used:

Massage

Therapeutic massage for osteochondrosis can be confidently called a health-prophylactic procedure that can not only relieve pain at the acute stage, but also slow down the development of the disease.

Manual therapy

Physiotherapy

Years of practice and accumulated knowledge have allowed specialists at the Doctor Choi clinic to develop original methods for treating osteochondrosis. There are no analogues to unique treatment programs in other countries!

Prevention of osteochondrosis

Disease prevention is a set of measures that are also used in the treatment of osteochondrosis:

• diet;
• general strengthening, health-improving and compensatory exercises;
• swimming.

"Rus" named after Likhodeya (Moscow region)

The Likhodeya Center for Rehabilitation Therapy is an institution created specifically for internationalist soldiers and is a division of the organization of disabled war veterans in Afghanistan. The center provides medical care, including for diseases of the musculoskeletal system. In the case of protrusions and hernias, treatment at the rehabilitation therapy center can begin 2-3 weeks after the completion of the current exacerbation, or two to three months after surgery.

The following types of medical rehabilitation are used in the Rus sanatorium: mud therapy, heat therapy, wraps, therapeutic massage. There is a salt cave, therapeutic exercises, general therapeutic effects, underwater massage, physiotherapeutic treatment, and ozone therapy are prescribed.

The center is located in the Moscow region, 110 kilometers from Moscow, 13 kilometers from the city of Ruza at the Rus stop. To find out about the prices for the tour, please call the following numbers: registration,. Chief physician - Tatyana Mikhailovna Konashenkova, general practitioner of the highest category

"Zagorskie Dali" (Moscow region)

The Zagorskie Dali sanatorium also belongs to the Administration of the President of the Russian Federation, and is positioned as the nearest resort in the Moscow region, which provides services without inpatient accommodation, but only outpatient treatment. This resort has a small number of visitors, is calm and quiet, and can be enjoyed by the whole family.

The sanatorium provides a very large number of health procedures according to various programs. One of the popular programs is “treatment of osteochondrosis,” including protrusions and hernias. You can find out about the cost of treatment by calling 8 (495) 993-15-60

Diagnostics

To make a preliminary diagnosis, both symptoms and the results of the initial examination are taken into account. The doctor will check the spine:

• lying down, standing, sitting;
• in motion and at rest.

The second stage of the examination is hardware diagnostics. The diagnosis can be confirmed or refuted after:

• radiography;
• MRI (magnetic resonance imaging);
• computed tomography;
• Doppler ultrasound of cerebral vessels.

The Doctor Choi clinic offers diagnostics at the first symptoms and treatment of osteochondrosis. Timely detection of osteochondrosis is a way to prevent serious complications and consequences: muscle atrophy, difficulty performing simple movements, pain, unsteady gait, disturbances in the functioning of the heart, liver, diaphragm, stomach, paresis and paralysis.

Doctor consultation: from 1500 to 4000 rubles

Consultation with the chief physician: 4000 rubles

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"Staraya Russa" (Novgorod region)

The Staraya Russa resort is located 100 kilometers from Veliky Novgorod. This resort was known back in the 19th century as a mineral water resort. Among many specialized ones. The cost of treatment vouchers for medical rehabilitation of protrusions and hernias as complications of spinal osteochondrosis is as follows: from June 3 to August 25 for adults, the cost of sanatorium treatment and accommodation is at least 3,600 rubles. per day when staying in a one-room double room standard.

This price will include three meals a day, a buffet system, the actual accommodation in the room, physical therapy sessions, a visit to the water zone or aqua zone, daily entertainment programs, as well as the cost of the treatment prescribed by the doctor at the sanatorium. Children under 4 years old are provided with free accommodation and meals, provided there is no additional bed.

Stages of disease development

There are 4 stages of the disease.

1. The first is complaints of weakness, a feeling of constant fatigue. As a rule, patients explain this by overwork. There is pain in the affected area of ​​the spine. The disease can be detected at the initial stage with a comprehensive preventive examination.
2. The appearance of chronic pain. At the second stage of the disease, cartilage is destroyed. In the absence of therapeutic measures, arteries and nerve roots are compressed. The pain can be controlled with medications.
3. Changes in the structure of the spine, visible violations of posture, lordosis. A hump may appear. If the treatment is chosen correctly, it is possible to minimize the manifestations of osteochondrosis.
4. Sharp pain with any change in body position. Difficulties arise even when moving. At the fourth stage, cartilage thickens and the vertebrae become displaced. Development of osteophytes. This stage is associated with the appearance of irreversible changes, which often lead to disability.

Caucasian Mineral Waters

One of the best sanatoriums for the treatment of intervertebral hernia in the Caucasian Mineralnye Vody region is the Victoria sanatorium, in the city of Kislovodsk. Treatment of intervertebral hernias is the specialty of the sanatorium. The healing factors are the ideal climate of the region, which improves the immune system and restores normal blood supply to the structures of the musculoskeletal system. Patients will receive an individually developed physical therapy plan that correctly distributes the load, including on the deep back muscles that have suffered from malnutrition.

The health path, or walking along mountain paths, is very healing and strengthens your back. In this case, physical activity is distributed correctly, and the muscles are loaded gradually, which increases their strength. The sanatorium uses balneotherapy, therapeutic showers and baths, and mud therapy procedures. Patients at the Victoria sanatorium receive sessions of manual therapy, cryotherapy and therapeutic massage.

Causes of protrusion. Diagnostics.

The human spine consists of vertebrae, between which are intervertebral discs. The main task of these discs is to protect the spine, relieving the load from it. Discs make the spine flexible. Excessive physical activity or improper load on the spine, as well as metabolic disorders, lead to deterioration of the intervertebral discs and subsequently to protrusion.

Causes of intervertebral disc protrusion:

• Spinal injury
• Inadequate physical activity (both excessive and insufficient exercise)
• Osteochondrosis
• Metabolic disease
• Elderly age
• Postural disorders

If you discover any signs of protrusion,
consult a doctor
immediately , preventive treatment should be carried out regularly

Crimean sanatoriums

One of the oldest and most honored sanatoriums in Crimea, which treat the consequences of protrusions and hernias, as well as osteochondrosis of the spine in general, is the Saki sanatorium. He has over 130 years of experience treating musculoskeletal disorders. A very important natural treatment factor is the use of Lake Saki’s own mud for several centuries. It is noteworthy that “Saki” is considered one of the inexpensive sanatoriums in Crimea.

One of the main methods of treatment is the application of therapeutic mud to the necessary segment of the spine: the cervical-collar area, the lumbar region. Mud wraps, wraps and applications are widely used. In addition, the sanatorium uses massage, herbal medicine, climatotherapy and hydrotherapy. As a result, inflammation and stiffening of the back muscles decreases, the range of active movements increases, and the patient becomes more active. Sanatorium "Saki" accepts patients with pathologies of the musculoskeletal system throughout the year.

Types of osteochondrosis: lumbar, cervical, thoracic

Typically, osteochondrosis is divided by location, highlighting:

1. Cervical osteochondrosis.
2. Thoracic osteochondrosis.
3. Lumbar osteochondrosis.

Osteochondrosis of the cervical spine is dangerous because large veins and arteries pass through this area, there are many nerves, and the respiratory organs are located nearby. That is why, with cervical osteochondrosis, the symptoms can be very different: from goosebumps and pain in different parts of the arm to impaired blood supply to the brain, which is accompanied by nausea, vomiting, and spots before the eyes. Sometimes the symptom may be difficulty breathing, as if there is not enough air.

Complications of osteochondrosis of the thoracic region are the least common: only in 5–12% of cases. Often occurs when lifting and pushing heavy objects. Pain that can be confused with heart pain. Often, thoracic osteochondrosis manifests itself suddenly with lumbago in the chest or excruciating pain between the shoulder blades - usually during pregnancy, as a result of injury or an uncomfortable body position during sleep.

Osteochondrosis of the lumbar region is the most common cause of back pain. Also, this type accounts for about 50% of all cases of osteochondrosis. It is the vertebrae located in the lumbar region that are the largest and most “hardworking” - they bear more load than the cervical and thoracic ones. And this is not only a person’s own weight, but also additional loads. For example, in winter the weight of clothes and a shopping bag can easily reach 10–15 kg: almost all of this load falls on the lumbar region.

Symptoms of lumbar osteochondrosis of the spine:

• Lumbago - lumbar lumbago;
• Paresis of the quadriceps or quadriceps femoris muscle;
• Leg weakness;
• Difficulty climbing stairs, straightening legs;
• Decreased knee reflex.

Rarer symptoms may also occur. For example, cauda equina syndrome - pain and numbness in the perineum, bladder and legs, decreased potency, problems with bowel movements and urination. Another one is conus syndrome: fecal incontinence, bladder paralysis, impotence.

Sanatoriums of Altai and Bashkiria

Perhaps there are no better sanatoriums in the Altai Territory for the treatment of diseases than the resorts in Belokurikha. The source of healing effects is radon baths, the basis of all preventive measures in these sanatoriums. Among the best are the resorts: “Aurora”, “Belovodye”, “Belokurikha”, “Katun”, “Rodnik Altai”, “Russia”, “Sibir”.

For example, one of the best is the Belokurikha resort. It not only has its own diagnostic facilities and all-inclusive treatment options, but also produces its own meat, bread and confectionery products for the needs of patients.

Treatment of intervertebral hernias in the Belokurikha resort is carried out using all kinds of physical and balneological methods, and therapeutic traction is used. For the purpose of rehabilitation, health paths and horseback riding are used; scientists from the Tomsk Research Institute of Balneology and Physiotherapy work together with the staff of the sanatorium. The resort provides effective rehabilitation of patients using various methods, including baths with mineral and radon water, mechanotherapy is used, and other therapeutic factors are introduced.

"Yangan-Tau", burning mountain

Bashkiria is a unique region of the Southern Urals, with underlying sources of mineral waters and mineral resources. In Bashkiria there are hydrogen sulfide, carbon dioxide and radon waters. There are deposits of peat, medicinal sapropel and even silt sulfide mud. In the sanatoriums of Bashkiria, many diseases are treated, including discogenic radiculopathy, complications of osteochondrosis associated with the development of protrusions and hernias. The largest number of resorts are concentrated near the city of Ufa, as well as in the Meleuzovsky and Beloretsky districts.

One of the best sanatoriums, according to Evgeniy Valerievich Kovalev, executive director of the Healthcare Management Consulting Foundation, author of sanatorium-resort treatment standards, is considered one of the best sanatoriums for the treatment of hernias. The medical facilities of the sanatorium allow for a variety of rehabilitation measures for diseases of the musculoskeletal system and connective tissue.

The sanatorium has a standard treatment of 21 days, as well as shorter courses, from 12 days. The voucher includes the following medical manipulations and treatment methods: examination by the attending physician, consultation with a neurologist, steam or dry-air baths, aromatic baths with mineral water, exercise therapy, herbal inhalation, herbal medicine, hardware physiotherapy and other methods of rehabilitation.

When treatment at resorts is contraindicated

There are situations when sanatorium treatment is impossible.

Such cases include:

• exacerbation of spinal disease;
• pronounced pain syndrome;
• purulent diseases (including chronic osteomyelitis of abscess form);
• various degrees of disability (then special treatment is necessary);
• open forms of tuberculosis;
• oncological processes;
• pregnancy for more than 20 weeks (at any period mud therapy is contraindicated);
• infectious diseases;
• any acute illness or exacerbation of internal diseases;
• some chronic diseases (3-4 stages and degrees of hypertension, angina, etc.).

Treatment of the spine in a sanatorium should complement other treatment methods. A suitable resort can be recommended by your attending physician.

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Cost of treatment

Tariffs for the Volzhsky Utes sanatorium are as follows: accommodation in a single room, from June 1, 2021 for double occupancy is 5640 rubles. per day, this is the minimum price existing in the sanatorium. You can also specify the maximum price: a double two-room luxury room, which is connected to a 3-room double room, if one person is accommodated (that is, staying in a 5-room suite) will be 42,300 rubles. This price includes everything, including treatment under the “healthy spine” program. More information about the “healthy spine” program can be found on this page https://www.volgacliff.ru/medicine/ozdorovitelnye-programmy/zdorovyi-pozvonochnik/

You can read more about the tariffs for the treatment of protrusions and hernias here https://www.volgacliff.ru/tarify/program-zdorovy-pozvonochnik/

The cost of a trip to the Victoria sanatorium: the minimum cost from July 16 to November 15, 2021 per person per day is 5,100 rubles. subject to accommodation in a one-room double room, for single occupancy, and 4100 rubles. per day for double occupancy. This price includes climate therapy, health path, narzan baths and therapeutic showers, manual segmental massage, mud applications, laser magnetic therapy, swimming pool and other procedures prescribed by the doctor. This price also includes three meals a day, daily swimming in the pool, drinking mineral water, leisure activities, a library and other services.

Cost of a trip to the Crimean resort "Saki". The price includes accommodation in the room you have chosen, meals 4 times a day, full treatment, a gym, and even an electric car to the mud baths. Vouchers are issued to persons over 18 years of age. The minimum cost per day from July 1, 2021 to September 30 is 4,950 rubles. for double occupancy in a standard double room.

Sanatorium "Belokurikha": you can choose a sanatorium-resort package from 12 days, treatment consists of consultation with specialists, from 5 types of treatment procedures for the main disease (that is, for complications of osteochondrosis and discogenic radiculopathy). A complex of treatment procedures for a concomitant disease, if any, is quite possible (asthma, hypertension, diabetes, etc.).

The official website states that during the period of arrival from July 1 to July 30, 2021, for a 12-day trip per person with double occupancy in the “standard” category, you should spend 45,600 rubles. This is the minimum price offer for this sanatorium.

The cost of a trip to the Yangan-Tau sanatorium includes the cost of food and the cost of treatment. Thus, prices for pensioners from September 1, 2019 with accommodation start at 4,200 rubles. per day, including 1,300 rubles for treatment, 1,200 rubles for food, and 1,700 rubles for accommodation. If a bed is not provided, then the cost can be reduced to 3,000 or even 2,700 rubles.

Treatment of osteochondrosis

During exacerbations of osteochondrosis, it is necessary to take a set of non-drug measures:

• Reduce physical activity and physical activity;
• Sleep on a hard surface, orthopedic mattress;
• While moving, wear a semi-rigid corset or Shants collar;
• Use applicators;
• Follow diet therapy.

For thoracic, lumbar, cervical osteochondrosis, treatment depends on specific symptoms and concomitant diseases, and therefore can only be prescribed by a doctor.

Most often, for osteochondrosis, the following are prescribed for treatment:

• Muscle relaxants;
• Non-steroidal anti-inflammatory drugs;
• B vitamins;
• Painkillers;
• Drugs that improve blood supply to the affected area.

Heat-related methods should be used with caution. If you use heating pads and warming ointments on the first day after an exacerbation, the swelling may only intensify. If prescribed by a doctor, these methods can be used only after two to three days for a resolving effect.

Despite the fact that regular restorative therapy is necessary after relieving the symptoms of an exacerbation, many doctors do not prescribe it to patients. The reasons are the lack of necessary physiotherapeutic equipment, specialists and quotas. As practice shows, such procedures are not very popular among patients.

The fact is that exercise therapy, acupuncture, therapeutic showers, kinesiotherapy, massages, magnetic therapy, and shock wave therapy necessary for osteochondrosis must be prescribed in combination for maximum effect. With outpatient treatment, this takes up quite a lot of money, but, more importantly in the modern world and especially for young people, time. Moreover, most of it is occupied not by the procedures themselves, but by queues and the road to the hospital. Therefore, the optimal option for the treatment and prevention of osteochondrosis is a sanatorium, where all procedures can be completed quickly, comfortably and at an affordable price during your annual vacation.

Who is eligible for free health care?

First of all, the main condition for providing a voucher, including a free one, is medical indications for sanatorium treatment and the absence of contraindications. A special certificate about this must be issued. A free trip to the sanatorium is provided for the following categories of citizens:

• disabled people of all groups, including disabled children;
• for family members of deceased or disabled war veterans, participants in the Great Patriotic War and combat veterans;
• for officially recognized combat veterans.

It goes without saying that they issue free vouchers to veterans and disabled people of the Great Patriotic War, but, alas, there are too few of them left. Therefore, the most realistic way to get a free trip to a sanatorium is to have a disability, unless you are a member of the family of a deceased disabled person or a participant in the Great Patriotic War.

Indications for sanatorium treatment

Spa treatment is usually prescribed to patients with spinal diseases who are in remission.

The main indications include the following pathologies:

• osteochondrosis and accompanying radiculitis beyond the acute stage;
• various curvatures of the spine (scoliosis, kyphoscoliosis, kyphosis, spondylolisthesis);
• myelitis (inflammation of the spinal cord), consequences of polio;
• intervertebral hernia;
• rehabilitation period after operations on the vertebrae (for example, discectomy), but not earlier than 3 months after the intervention;
• Ankylosing spondylitis and other systemic connective tissue diseases accompanied by damage to the spine.

Thus, treatment of the spine in a sanatorium is indicated for many pathologies. But a prerequisite is the remission stage.