Osteochondrosis of the cervical spine symptoms and treatment diet

A diet for osteochondrosis of the spine is part of complex therapy, without which it is impossible to achieve recovery. Nutrition for osteochondrosis of the spine does not require strict restrictions if excess weight is not present. The health of any patient directly depends on what is eaten. Therefore, you need to eat only healthy foods.

Principles of diet

It is rational to organize fractional nutrition, consisting of 5-6 meals of low-calorie food. Introduce a sufficient amount of plant fiber, proteins, complex carbohydrates and the “right” fats.

The energy value of the diet varies depending on the individual characteristics of the body, growth, gender, age and type of activity of the patient. The average is 2300-2500 calories for women and 3000-3200 calories for men. In the presence of excess body weight, the calorie intake is reduced.

Healthy foods

Proper nutrition for osteochondrosis helps to normalize the digestion process and provide the soft tissues of the vertebrae with the necessary substances. For patients with osteochondrosis, it is necessary to organize a diet enriched with:

  • Calcium, which is a lot in dairy products, eggs, nuts and seeds, brown bread, beets. Also, the mineral is found in dates, sesame, broccoli and herbs (parsley, dill, basil);
  • Magnesium Its norm can be typed with bananas, avocado, sea kale, cucumbers, oatmeal, millet, dried apricots and legumes. Nuts are rich in magnesium (peanuts, hazelnuts, almonds, cashews);
  • Phosphorus. In sufficient quantities it is found in white cabbage and broccoli, cottage cheese and hard cheeses, fish and seafood, figs, dates and celery;
  • Vitamin A – carrots, peaches, apricots, potatoes, green peas and tomatoes;
  • Vitamin B – milk, seafood, red meat, broccoli;
  • Vitamin C – rose hip, citrus fruits, blackcurrant, sauerkraut, parsley, bell pepper, sea buckthorn and viburnum;
  • Vitamin D – 82% butter, eggs, hard cheeses, beans, beef liver and sea fish.

Prohibited products

One of the causes of the disease and an obstacle to a speedy recovery is overweight. Each extra kilogram has a negative effect on the spine and intervertebral discs, deforming and destroying cartilage tissue. This problem is especially common in women. Therefore, the diet for osteochondrosis must be corrected so that it does not contain high-calorie, non-beneficial body products.

Also, with the development of the disease, it is strictly forbidden to eat:

  • Fast foods and convenience foods;
  • Excessively salty and spicy food;
  • Sweet carbonated drinks and alcohol;

You also need to know that you can not abuse at first glance completely harmless products:

  • Butter baking and sweets;
  • Sausages and smoked meats;
  • Beef and pork fat, bacon;
  • Concentrated broths.

The list of unwanted foods also includes strong tea and coffee. Caffeine contained in drinks interferes with the absorption of nutrients necessary for osteochondrosis, and leaches calcium and zinc from the body. Therefore, coffee is better to replace with chicory, and tea is not strong to drink.

We remove salts from the body

With the development of cervical osteochondrosis, doctors strongly recommend that patients exclude salt from the menu. Many attribute this to deposited spikes on the spine, allegedly due to excessive consumption of sodium chloride. In reality, osteochondrosis can increase pressure and lead to cerebrovascular accident with unlimited use of salt.

Nutrition for cervical osteochondrosis should provide the patient with all the necessary vitamins and minerals. The basis of the diet should be complex carbohydrates and complete proteins. It is worth leaving a place for 10% of fats, mainly of plant origin.

The diet for osteochondrosis of the cervical region pays great attention to the drinking regimen. It is necessary to drink at least 2,5-3 liters of pure still water per day. At the same time, the liquid in dishes (soups, borschs, compotes) does not count.

Nutrition for osteochondrosis of the thoracic spine and lumbar does not differ from diet therapy of thoracic osteochondrosis.

How to eat

If osteochondrosis is diagnosed, nutrition does not have strict limits. Most likely, it can be called not medical food, but a menu of the basics of proper nutrition, which can be adhered to indefinitely. However, the desired effect from it will be obtained with the strict exclusion of prohibited products. An approximate daily diet for 3 days is as follows.

  • Breakfast: steam omelet, a cup of weak tea;
  • Lunch: baked apple with cottage cheese and honey;
  • Lunch: noodle soup, steam turkey with vegetable salad;
  • Snack: seasonal berries or fruits;
  • Dinner: baked fish with vegetables, a glass of kefir.
  • Breakfast: cottage cheese with nuts and unsweetened yogurt;
  • Lunch: jellied meat or lentil puree;
  • Lunch: lean borscht, steam cutlets with buckwheat;
  • Snack: vegetable stew, wild rose jelly;
  • Dinner: seafood and greens salad, a glass of fermented baked milk;

  • Breakfast: oatmeal in milk with raisins and dried fruits;
  • Lunch: fruit jelly or bird’s milk dessert;
  • Lunch: meatball soup, chicken chop with wheat porr >

The diet for osteochondrosis of the lumbar is identical, except that it may have a slightly lower daily calorie content. The area of ​​the sacral spine to relieve stress requires weight loss.

A daily serving of fresh vegetables and fruits should always be present. The list includes apples, pears, carrots, cucumbers, tomatoes, bell peppers, parsley roots, celery and other seasonal products. Fruits and vegetables containing vitamin C should be eaten every day, since it does not accumulate in the body.

Nutrition for osteochondrosis should not be short-term. A high-quality balanced diet is part of a comprehensive therapy aimed at eliminating the ailment and minimizes the risk of osteochondrosis in the future. In addition to proper nutrition, there are special diets that are popular with osteochondrosis.

Shishkevich Vladimir, orthopedic and traumatologistShishkevich Vladimir, orthopedic and traumatologist, project editor-in-chief ExpertNews.

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Salt free diet

All types of sodium chloride contribute to fluid loss. Dystrophy and deformation of interchondral tissues resulting from dehydration leads to the development of osteochondrosis. Therefore, it is advisable if the food for osteochondrosis of the cervical spine and other parts of the back contains a minimal amount of salt. You should not completely abandon this product. Salt is involved in some vital processes for the body.

In parallel with salt restriction, excessive sugar intake must be excluded. Its excellent replacement will be honey and dried fruits.

  • We recommend reading: exercises for osteochondrosis

Rice diet

Another way to reduce the manifestations of osteochondrosis is rice breakfast. Every morning for 6 weeks, start with a mucous membrane of rice porridge without adding oil or any spices. After breakfast, eat and drink nothing for 4-5 hours, then the usual diet from the list of allowed foods goes according to plan.

The rice diet mode removes excess water from the body, which accumulates in the vertebrae, lower the salt content in the cartilage and reduce the amount of toxins that cause pathological processes.

A healthy lifestyle with osteochondrosis is the right path aimed at a speedy recovery. Mobility restrictions characteristic of the period of the disease must be eliminated. The patient must learn to lie, sit, stand and accept the load. Proper nutrition, like outdoor walks or gymnastics with scoliosis, is part of a healthy lifestyle. If he impeccably adhere to the disease, he will necessarily “reverse”.

Author: Petr Vladimirovich Nikolaev

The doctor is a manual therapist, orthopedic traumatologist, ozone therapist. Methods of exposure: osteopathy, post-isometric relaxation, intraarticular injections, soft manual technique, deep tissue massage, analgesic technique, craniotherapy, acupuncture, intraarticular administration of drugs.

Medications for osteochondrosis of the lumbar spine

Treatment of osteochondrosis

Why does the spine crunch?

Treatment of chondrosis of the cervical spine

Diet with cervical osteochondrosis

Osteochondrosis of the cervical spine is more common than others. This is due to the high mobility of the vertebrae. To fight the disease, medication alone is not enough. An important role in the restoration of the spine is played by nutrition in cervical osteochondrosis.

Diet with cervical osteochondrosis

Diet Features

Unlike many other diets used for medicinal purposes, the diet for cervical osteochondrosis does not have strict restrictions. The diet for osteochondrosis of the cervical spine is based on the basic principles of a healthy diet. Treatment heals the entire body of the patient.

The patient does not need to starve or refuse favorite foods. It is enough to control the caloric content of food consumed and eat as many vegetables and lactic acid products as possible.

Caloric value

One of the reasons for the onset of degenerative processes in the spine is obesity. Excess weight has a negative effect on all departments, but the cervical one suffers the most.

Overweight people are more likely than others to develop complications due to illness. Radicular syndrome causes severe pain and muscle cramps. It causes pinched nerve roots with vertebrae or intervertebral discs. Also, in overweight people, protrusion of cartilaginous tissue and vertebral hernias are often observed.


It is recommended to adhere to the following rules regarding the patient’s diet:

  • Reduced intake of fast and empty carbohydrates. It is not necessary to completely abandon them, since they play an important role in the metabolic processes of the body. It is better to refuse sugar, sweet drinks, pasta and bakery products. Instead, sweet fruits or dried fruits, cereals, whole grain bread, and durum wheat pasta are added to the diet.
  • Refusal from fried foods with a high content of oil and fast food. You should give preference to baking, boiling, stewing and steaming.
  • Fractional nutrition helps to improve digestion, normalize metabolism and fights hunger. Do not eat a lot at a time. It is better to divide this amount of food into 2 or 3 meals. Meals should be 5 meals a day.

Diet for cervical osteochondrosis does not imply accurate calorie counting. Everything is based on generally accepted rules of healthy eating.

Balanced diet

Some mistakenly believe that reducing the amount of food consumed helps to lose weight or improve the body. In fact, such methods produce the opposite effect.

Proper nutrition excludes the use of mono-diets, where only 1 product is consumed. Proteins, fats and carbohydrates are needed to maintain the health of the spine and the entire body.

It is recommended to include lean meats in the diet: chicken, turkey, lean beef and pork, veal and rabbit meat. A sufficient amount of fat can be obtained from butter and vegetable oils. Do not forget about sea fish: it is rich in proteins and omega fatty acids.

Calcium Rich Foods

Food for osteochondrosis of the cervical spine should include a sufficient amount of foods rich in calcium (Ca). It is an important component of bones. Its lack makes them more fragile and loose.

Ca in large quantities is contained in:

In women with the onset of menopause (45-50 years), the body needs even more calcium. This is due to natural age-related changes in the body. This also applies to pregnant women and nursing mothers. Men engaged in heavy physical labor, Ca is also necessary. To make up for the deficiency of this microelement, it is recommended to additionally take drugs with it.

Vitamins in the diet

For men and women, it is important not just the right menu, but also a sufficient amount of vitamins in it. The daily dose of nutrients can be obtained from conventional products:

  • Vitamin A – greens, beans, peas, potatoes, tomatoes, carrots, bell peppers;
  • Vitamin C – lemon, blackcurrant, oranges, sea buckthorn, white cabbage, viburnum, wild rose;
  • vitamin D – eggs, seafood, liver, nuts, cheese, butter, cottage cheese;
  • B vitamins – whole milk, red meat, sea fish, shellfish;
  • vitamin PP – apples, pears, parsley, nuts, apricots, almonds.

Drinking regime

Cervical osteochondrosis also develops due to an excess of salts in the human diet. To do this, it is not necessary to overfill the food. Salts are in excess in tap water. We see them in the form of a raid in a teapot.

Treatment of cervical osteochondrosis is to minimize salt intake, as well as the use of purified water. It is also necessary to observe the drinking regimen. This will help flush excess salts from the body.

An adult needs to drink about 2 liters of purified water per day. This amount is taken without any drinks or first courses. During heat or during intense physical exertion, the amount of fluid needed increases. Patients are advised to reduce the consumption of coffee and strong tea, as they lead to dehydration.

Prevention of disease

In order for the cervical spine to remain healthy, you must adhere to the principles of proper nutrition even before the onset of symptoms.

The menu should not contain strong restrictions. If necessary, you can make changes to it. If a person’s well-being worsens, the diet should be canceled and consult a doctor.

Diet alone is not enough for complete prevention of the disease. They recommend doing exercises and walking more in the fresh air.

Osteochondrosis of the cervical spine

Cervical osteochondrosis (OCH) is a disease that is a process of malnutrition or the gradual destruction of cartilage tissue of the intervertebral joints and neck discs.

How to carry your head on your shoulders with ease?

If you find it difficult to turn your head when they call you outside, if your neck does not literally hold you and causes you only pain, then it’s time to check yourself for osteochondrosis.

It is the cervical part that is most susceptible to injuries, since it is the most mobile and at the same time has a weak muscle corset. The body creates a large load on small mobile vertebrae. And the spinal canal itself is quite narrow. It easily pinches under any pressure on it.

Heaviness in the back of the head or tingling sensation in the hands of thousands of people every day. And, unaware of the danger, they call such physiological manifestations fatigue, and sometimes an ordinary cold. A lot of blood vessels and nerve endings are concentrated in the neck area. With osteochondrosis, the vertebral artery is compressed, which provides nutrition to the cerebellum, the medulla oblongata and the posterior parts of the brain. As a result, a person’s coordination of movements fails, loss of a sense of balance is possible, vision decreases, hearing is impaired, and sometimes this phenomenon leads to a stroke.

Fact. According to WHO statistics, people aged 30 to 40 years are increasingly suffering from cervical osteochondrosis. Doctors attribute this trend to a massive decrease in physical activity. And the prevalence of this ailment in industrialized countries is equal to 60-80%.

Syndromes and symptoms of osteochondrosis

  • Stenosis (narrowing of the spinal canal): compression of the vessels of the spinal cord by a hernia of the intervertebral disc, osteophytes (overgrowth of bone tissue) or a thickened vertebral ligament. As a result, blood circulation in the affected area is disturbed. A person begins to feel constrained, feels a noticeable pain in the cervical spine. Numbness and tingling are found in the upper and lower extremities.
  • Radicular syndrome: compression of the nerve roots of the intervertebral disc. This leads to headaches, expressed in aching, burning or pulsating impulses, sometimes the sensations are similar to the symptoms of hypertension. With this syndrome, speech defects and olfactory disturbances, hypertrophy of the facial muscles, damage to the sensitivity of the lingual muscles, a feeling of “clogging” of the throat with lumps can occur. Breathing becomes interrupted, a person suffers from snoring, and his nose is often “seemingly unreasonable”.
  • Vertebral artery syndrome: formed by compression (compression) of the vertebral artery. His main companion is throbbing pain. Attacks can capture the parietal lobe, the superciliary region, the temporal and occipital lobes.
  • Cardiac syndrome: resembles angina attacks, but their duration is much longer. Pain is reflected in the diaphragm. In some individual cases, this phenomenon is accompanied by high blood pressure, arrhythmia.

The main causes of the disease

  • Failures in the metabolism;
  • Lifestyle with low motor activity;
  • Genetic predisposition;
  • Age-related ossification;
  • Clamps in the muscles, as a result of which the posture changes;
  • Lack of fluid and vitamins in the daily diet;
  • A prolonged stay in an uncomfortable position, which increases pressure on the discs and spine;
  • Overweight or overload on the spine due to wearing heels;
  • All kinds of spinal injuries;
  • Regular weight lifting
  • Autoimmune diseases (the process of self-destruction of the immune system), which lead to degeneration of cartilage tissue;
  • Stress, which leads to muscle cramps and impaired blood flow to the intervertebral discs;
  • Hypothermia.

Cervical osteochondrosis is treated in Odessa at the Odrex Medical House. Here, doctors will offer you high-quality diagnostics and provide an individual approach. All risk factors will be considered. The diagnostic equipment of Odrex Medical House is designed to examine patients of all age categories.

In the medical and diagnostic department of Odrex you will undergo all the required examinations in the shortest possible time, determine the exact diagnosis and perform a number of necessary medical measures. During the treatment cycle, specialized specialists will vigilantly monitor your health. Such a stay under the constant supervision of doctors is the key to identifying diseases even at their germinal stages. Without a successful recovery, you will not be released from Odrex Medical House

Diagnosis of OCH

The initial diagnosis of “osteochondrosis of the cervicothoracic region” or simply of the cervical region, the doctor can make at the initial examination of the patient. The expert will determine:

  • Body type of person;
  • Posture position;
  • Line of spinous processes;
  • Cervical lateral contours and the angle of the scapula;
  • Localization of pain points and the level of pain;
  • The amplitude of flexibility of the spine
  • Muscle relief.

All this together will tell you exactly how the disease proceeds. Next, the doctor will direct to a number of examinations:

The method of treatment of osteochondrosis of the cervical spine

The doctor will help you choose the most optimal solution to the problem. And he will offer a variety of treatment methods: medication in combination with physiotherapy or will prescribe an operation that is gentle for your body.

Conservative treatment is, first of all, drug therapy. It relieves pain, relieves muscle tension and suppresses inflammation. For such purposes, non-steroidal anti-inflammatory drugs (NSAIDs) and analgesics are prescribed. Chondoprotectors for activating the restoration processes in the cartilage tissue of the joint, as well as B vitamins and topical preparations: gels and ointments containing NSAIDs also fall into the prescription list.

Physiotherapy, in turn, saturates the nutrient medium of the cartilaginous tissue of the intervertebral disc and promotes the regeneration of cartilage. The doctor will also prescribe exercises for medical gymnastics – to strengthen the muscle corset and develop the flexibility of the ligament apparatus. He can give you an introductory lesson so that you can do the exercises correctly on your own in the future.

Surgical treatment is appropriate if medical and physical effects are indispensable. They turn to him if the patient’s spinal canal has become catastrophically narrow.
Surgical intervention was called anterior cervical discectomy. The surgeon immobilizes the affected vertebral segment and removes the intervertebral hernia, which presses on the spinal nerve. Over time, the vertebrae between which the disc has been removed are fused. This is called spinal fusion. For their greater adhesion, a specialist can perform an operation with stabilization by cage – that is, the intervertebral space is filled with an artificial insert.

After 3-5 days, the operated patient is discharged from the hospital for outpatient treatment. Rehabilitation takes an average of about 3 months and depends on the implant installed and the patient’s professional activities.

Diet with cervical osteochondrosis

Osteochondrosis is a dangerous disease, which today is very “younger”. Already at the age of 20, a person can suffer from this ailment. It is absolutely impossible to launch a disease. Proper, accurate treatment and preventive measures are required. Treatment is prescribed by a specialist using drug therapy, a diet for osteochondrosis of the cervical spine and other methods. Only following the doctor’s recommendations can pain be relieved and complications prevented.

What are osteochondrosis symptoms

Osteochondrosis is characterized by damage and dystrophy of the intervertebral tissues and discs of the spine. The older a person becomes, the more the intervertebral discs wear out and lose elasticity. Pinching of the nerve endings of the spinal cord occurs. This causes severe pain and swelling. The main thing is not to start a disease that can lead to serious complications and disability.

Osteochondrosis is characterized by symptoms:

  • strong pain;
  • muscle cramps;
  • numbness of limbs;
  • frequent migraines;
  • pain in the neck;
  • aching legs and arms;
  • dizziness;
  • possible loss of consciousness;
  • intercostal neuralgia;
  • goosebumps;
  • lowering the temperature of the lower extremities;
  • dryness and sensitivity of the skin;
  • backache and others.

Pain can occur when coughing. With obvious symptoms of osteochondrosis, an examination is necessary. If osteochondrosis is not treated, a herniation of the c5 c6 disk may occur. The disease is positively treated in the initial stage.

Principles of diet

An important component of the complex of therapeutic actions is a diet, without which treatment is not complete. Dietary nutrition is prescribed individually.

The condition of the human body will be excellent if you control your menu and remove products that are harmful to the body. Only with proper nutrition with osteochondrosis of the cervical spine can a favorable course of treatment for the disease be achieved. With normal patient weight, there are no strict nutritional restrictions.

The energy value of kilocalories per day is calculated by observing some factors: age, gender and others. The average number of calories is calculated as follows: for women it is no more than 2500, for men it ranges from 3000 to 3200. If the patient has excess weight, then the calorie content decreases. Only a doctor determines whether a patient needs a diet.

Nutrition Tips

Proper nutrition is the key to a healthy life. Nutritionists recommend that patients completely remove fast food, the food set must be varied. Alternate vegetables with meat, fish, rice groats (cereals pre-fill with drinking water), cereals, some dairy products, nuts, fruits and berries.

During treatment, the mandatory rule is to drink more fluid. It can be pure water, weakly brewed tea, freshly squeezed juices, compotes.

The food consumed should be necessarily warmed up, but not cold or hot, if possible completely remove salt and sugar from the diet menu, reduce the amount of spices, eliminate sweets, flour products, do not burden the stomach with overeating, adhere to a fractional diet (arrange between breakfast, lunch, dinner small snacks), you can not eat right before bedtime.

Subject to the advice of a nutritionist on proper nutrition for osteochondrosis of the cervical spine, the patient will maintain himself in excellent shape.

Healthy foods

Proper, fractional nutrition should be aimed at normalizing the function of the digestive tract, provide soft tissue of the vertebrae with useful elements. In the diet menu, food should only be beneficial, eat more vegetables and fruits.

It is important to include calcium in the menu, which is found in dairy products, nuts, and beets.

Dates, sesame seeds, broccoli, dill, parsley contain minerals that are necessary for the patient’s body.

Avocados, oatmeal, nuts, and cucumbers contain a large amount of magnesium.

Products containing phosphorus will be important for the body. Eat low-fat fish, seafood, dates, figs.

A necessary element of natural vitamins for osteochondrosis. The group of vitamins A includes – carrots, dried peaches, persimmons; In – milk, fish, legumes; C – citrus fruits, dried rose hips, parsley, black currant, sea buckthorn; D – hard cheeses, beans, beef liver, sea fish.

Enough huge list of healthy products with which you can cook delicious and healthy dishes.

How to eat

It is important to remember that frequent meals do not burden the gastrointestinal tract, useful substances are more easily absorbed by the body. For overweight patients, eating is split up six times. With normal weight, you need to eat 4-5 times a day. Such an order will be an excellent preventive measure against overeating; fats will not be deposited. Dinner should only be light food, which is well digested and no later than two hours before bedtime.

A special place in the dietary place is cooking. Fried foods are excluded, only steamed food is prepared, baked in foil.

In proper nutrition with cervical osteochondrosis, it is important to provide the body with vital elements – fats, proteins, carbohydrates, proteins, vitamins. Include beef, veal, rabbit meat, turkey. Nutrition for breast osteochondrosis requires the presence of boiled eggs in the diet. Fish cooked in a double boiler, baked in the oven, will have a beneficial effect on the human body. If the gastrointestinal tract favorably accepts dairy products, then milk and low-fat cottage cheese are included. Adequate water should be consumed. These are the basic rules of proper nutrition and a healthy lifestyle, with the help of which it will be easier to organize a healthy menu.

The role of vitamin therapy in treatment

Vitamin therapy in the treatment of osteochondrosis is an important component of a set of measures. Drinking vitamins is necessary only after diagnosis and the recommendation of a doctor.

B vitamins – helps to build new nerve cells, relieves acute pain, enhances metabolic processes in tissues. The most striking need for vitamin in the period of exacerbation of the disease.

Vitamin B6 – an assistant in the metabolic protein and fat process, helps to provide anti-inflammatory effects.

Vitamin B12 – favorably affects intervertebral discs, cellular respiration, pyelination, demyelization of nerve fibers. Taking a vitamin can prevent the development of anemia, it is useful in preventive measures.

Vitamins C for cervical osteochondrosis – protects the nervous and cartilage tissue from destruction, helps to form elastin and collagen, is useful for joints, and carries out preventive measures. Using it, tissues around the process localization site are nourished.

The complex of vitamins A, D, E – occupy an important place in preventive measures, are antioxidants, increase immunity.

What vitamins to drink with osteochondrosis of the cervical spine and other diseases, only a doctor prescribes. They can be prescribed in capsules, tablets.

Duration of therapy

Therapeutic treatment for osteochondrosis is prescribed individually, based on the characteristics of the patient’s body. The duration of therapy proceeds differently in all patients, it all depends on the complexity of the situation.

Drug and vitamin treatment stop the pain, restores the cartilage of the spine, relieves the inflammatory process, eliminates spasms and discomfort.

The dosage of drugs is prescribed only by a specialist based on the age and individual characteristics of the patient. Treatment of the disease should be carried out comprehensively.

Prohibited products

Not all food products are useful in exacerbating osteochondrosis, some products are prohibited. It is forbidden to drink coffee and strong tea. Baking and sweets should be excluded from the diet, they are difficult to digest and contribute to the deposition of the fat layer. You can’t eat salty foods, sweet grapes, sorrel, soda, spices, spicy foods, products with E-supplement, marmalade, ice cream. Never drink alcohol. It is necessary to exclude fatty broths, margarine, smoked and dried fish, marinades and homemade pickles, canned food, sausages, smoked meats, lard, butter and vegetable oil.

Osteochondrosis is a dangerous ailment and can cause significant harm to the body. Observe the state of your health with the symptoms of the disease do not pull and consult a doctor. During the prescribed complex treatment will relieve pain and inflammation much faster.

Morozov Georgiy

Georgy Morozov, rheumatologist. For more than 20 years, he has been involved in the diagnosis, treatment and prevention of joint diseases.