Pain in the back and lumbar industry is one of the most common complaints in medicine.It is in second place in the number of all appeals, the second only on respiratory diseases.Many pathologies can have pain in the lower back, but very often the cause of the osteochondrosis of the lumbar region.How to treat such a disease that has the symptoms and signs is considered below.
Not too long ago, medical science believed that osteochondrosis in the lumbosacral department occurs exclusively due to age -related changes that bring the vertebrae and the intervertebral discs together.Today, however, the age feature is not unusual, osteochondrosis of the lumbar spine is diagnosed in patients in different age groups.So far, the age of the section has been more than 25 years
The causes of the occurrence of an osteochondrosis of the lower back
It is impossible to name the exact reason, almost always it will be a comprehensive effect of different destructive factors, among which the most important distinction can be made:
- Compliance with a passive lifestyleIn terms of motor activity.According to their own will, people who spend many hours on the computer, for example, do not receive a useful strain, which is why the muscle of the "corset" occurs and the load of the vertebrae increases.In addition, such a pastime is almost always associated with a long stay in the wrong and unnatural poses.
- Hormonal background problemsleads to violations with the metabolism that influences the metabolism of the spine in the lower back and contributes to destructive processes.This also includes endocrine diseases.
- The presence of innate or acquired deviationsif the musculoskeletal system is subjected to certain changes.This can be reflected in increased loads of the spine, for example the patient with flat feet, curvature of the legs or spine.
- Chronically increased loadsIn the lower back.Under the risks, people with certain types of professional activities that are usually associated with the lifting of weights are here.This also includes professional athletes who constantly expose their bodies with lace loads.
- Impaired food and daily routine.This also includes regular stress.These factors are reflected in the processes of the metabolism and influence the regular restoration of their strength.
Osteochondrosis of the lumbar spine
The above pathological factors gradually lead to manifestation of the disease.However, it can manifest itself in different ways, since it is initially almost asymptomatic or with difficult tolerant pain in late development.Consider the main degrees of the development of osteochondrosis:
- The situation in which the Jetkern moves in the intervertebral disc.It is characterized by pain caused by irritation of the nerve roots of the fibrous ring and the longitudinal straps.Discomfort can be felt locally on the place where a defective hard drive is placed.Pain can either be sharp with bastards or permanently stupid.
- If the fibrous layer of the intervertebral disc is destroyed, the mobility of the elements of the spine in this area is increased, they become unstable compared to each other.In order to remove these pathological manifestations, it is necessary to constantly feel the muscles of this zone, which leads to chronic fatigue in the lower back.
- Next there is a breakthrough in the fibrous ring, which is why the core leaves the window and the intermediate removal of hernia is.Such a case is accompanied by the surplus of the nerves, which is referred to as the "radicular syndrome".
- The next degree of osteochondrosis of the lumbosacral department takes place in this part with severe deformation of the spine.There are problems with mobility, but pain syndrome, strangely enough at this point, rejects.However, you should not be happy, this does not talk about the fading of the disease at all.
- The last degree is characterized by the pathological growth of bone tissue and a general deterioration of the borehole.
Based on the degree of osteochondrosis of the lower back, certain treatment methods are used.
Symptoms of osteochondrosis in the lower back
The main symptom is combat syndrome in the lumbar spine.At the same time, the pain sensations, the zone of their localization and the direction in which they spread can vary.This is due to the fact that certain nerve receptors are upset due to the degree of damage to the intervertebral disc and the environment.In addition, through the presence of a lead or a direct hernia, the role of your forefront and many other factors plays.
The main symptoms for osteochondrosis of the lumbar spine are:
- The presence of pain in the painful back pain that tends to change with sharp mobility or vice versa.The pain opens when you take a horizontal position.
- In addition, the weakness of the body is probably under the stomach, including the lower limbs and a blunt tendon reflex of the legs.
- There is a high probability in the lumbar spine for the presence of curvature.There is a classification of such curvatures, for example with a focus on the right or left, they talk about scoliosis, lordosis is referred to as the situation of the bend, and the kyphosis is called this when the natural lumbar bending is smoothed, so to speak.
- With a serious degree of development of the disease, the spinal cord channels are possible, which can lead to a functional disorder and to bring an uncontrolled urination and stool.
Under additional symptoms, they find:
- The presence of numbness and the "cold" of the skin of the lower back and buttocks.
- The shabby, dry and blue skin in the same places.
- Impaired urination.
- Problems with an erection.
The presence of these symptoms should alert a person, they cannot hink them with one hand, this only leads to greater neglect.In this case, you should definitely consult a doctor for precise diagnosis and treatment.Incidentally, the treatment can be either in a hospital and in a home environment, but more on that later.
Diagnosis of the disease
The diagnosis is important to understand how much the disease is.The simplest way is palpation in the lower back with the identification of pain zones.Typically, this method is to be carried out uninformative and in addition to exams that provide a more detailed clinical picture:
- Through radiography, inexpensive and widespread method, it is possible to evaluate the condition of both the spine as a whole and individual vertebrae, for example the lumbar region understood.The technology is not very accurate and only enables an indirect understanding of how integral intervertebral discs and spine are.
- Computed tomographyA more precise method to assess the damage to the damage of the disks between the vertebrae, nerve roots and canals with the spinal cord.
- Magnetic resonance imagingThe most precise method gives a complete picture of the defeat in the details, but is quite expensive and inaccessible.
It should be noted that the diagnostic process is very important, since when prescribing treatment tactics, all details of the developed osteochondrosis are significant.
Complications for osteochondrosis
The main complications of the pathology are hernia and advances that necessarily occur when they neglect the treatment and leave the development of the disease through equipment.Other complications can be:
- Inflammation of the sciatic nerve.
- Spondylarthrosis.
- Schmorl hernie.
- Spondylose.
- Problems caused by a pinch of spinal channels.
- Functional disorders in the pool.
- Development of lameness.
Treatment of osteochondrosis of the lower back
With the diagnosis of an osteochondrosis of the lumbar spine, a wide range of therapy is required, the main aspects of which will be the case:
- The use of moderate loads.
- Special drugs.
- The traction of the spine.
- Manual therapy meetings.
- Physiotherapy.
- Therapeutic massages.
The concept of "treatment" for osteochondrosis implies:
- Suppression of the inflammation.
- Removing the pain syndrome.
- The complex to strengthen the lumbar and adjacent muscle groups.
- Get rid of chronic muscle tension.
- Increase the functionality of organs in the pool.
- Normalization of blood circulation and metabolism in the pathology zone.
Treatment with medication
A similar approach in the treatment of osteochondrosis of the lower back includes taking medication, injections of special drugs, the use of ointments and gels for external use.The main task of such medicines is to neutralize pain and inflammatory process.
Based on the degree of osteochondrosis of the spine in the lumbar region, the following medication can be prescribed by the doctor:
- Analgetics that have an anesthetic effect.
- Preparations for inflammation of non -steroidal origin.
- With muscle cramps, anti -spasmodics.
- Medicines for restoring the cartilage, referred to as chondroprotectors.Their effectiveness has not been proven, so they are rarely used in traditional medicine.
- In the event of serious pathologies, if the above means do not help, use corticosteroids.
- Vitamin complexes.
In addition to these means, medication is prescribed in tablets, the purpose of which is to calm the nervous system with stress and depression.
Physiotherapy treatment in osteochondrosis of the lower back
The treatment process is rarely limited to taking pills.The pathology under consideration cannot be healed without stimulating the spine's restoration processes.A wide range of physiotherapeutic methods is used for these purposes.The most popular are:
- Phonophoresis.
- Therapy with diaynamic currents.
- Laser therapy.
In addition, the spine must receive useful loads, which it fragments it at the same time.Different types of therapeutic massages are ideal for this.It must be remembered that the massage is only used for distant pain.As a rule, it is carried out as a restorative measure with the remission process of the disease or with chronic osteochondrosis.After the massage, the muscle muscles overwhelmed by the disease relax well, and their effect will increase significantly in a bath or sauna, for example.In the latter case, we will be the maximum effect due to additional stimulation of the bloodstream in the field of pathology and the surrounding area.
Another method of physiotherapy is manual therapy.The advantages in general correspond to the massage, but in addition to such techniques, a specialist can return swirls of vertebrae to a normal position.
Therapeutic gymnastics
Therapeutic gymnastics is also used as a restorative and preventive measure in the period in which pain and inflammatory process have already been removed.In this case, the guarantee of the high efficiency of therapeutic exercises in the regularity of the exercises is constantly receiving the necessary motor activity for self -generating new tissue and recovery.
Surgical surgery for the osteochondrosis of the lower back
Surgical operation is an extreme measure that is prescribed for serious complications.The most common of these is the hernia of bandwriting when the so -called "discetomy" is carried out or the affected intervertebral disc is removed.However, the operation is very effective, since it is extreme extremes, your purpose only occurs if other therapy methods have no result for more than 6 months.Modern medicine also offers less traumatic methods for carrying out such an operation, for example a microsurgical or endoscopic method.