Painful symptoms in the lumbar region are disturbed about 80% of the planet's population at different stages of life.Often these are manifestations of osteochondrosis.Doctors declare the fact - the disease is no longer the fate of the elderly people.Increasingly, the symptoms of the disease manifest in people who have not reached a 30-year-old line.Without treatment, osteochondrosis leads to complete immobilization of the spine and subsequent disability of the patient.
What is lumbar back osteochondrosis
Diagnosis means the flow of degenerative processes in the cartilage, which consists of intervertebral joints.Osteochondrosis in the lower back is characterized by changes in the joints and beads right in the lumbar region.
Osteochondrosis is a gradual degeneration of the cartilage in the bone.
Often osteochondrosis ends with the formation of an intervertebral hernia, which is a source of persistent back pain in the patient.Pop osteochondrosis creates nerve cracks as well as blood vessels, causing a violation of trophic tissue of the internal organs, which is fraught with symptoms of functional disorders in the body's function.
Causes of lumbar disease
The osteochondrosis of the spine belongs to a number of diseases, the exact causes of which have not yet been created.It is known that the loss of the spine is preceded by metabolic disorders, which can lead a large number of adverse factors.The most common examples:
- Acute lack of movement.
- Details of electrolyte metabolism.The intervertbral joint trophy is concerned due to chronic diseases.
- Congenital or acquired ODA violations.
- Expensive physical activity is the most common reason.
- Incorrect life life.Salt abuse, fried, fat, smoked products leads to dystrophic changes in the intervertebral joints.
With osteochondrosis, the back muscles are gradually atrophy, the patient begins to dive.
Doctors mark an inherited predisposition to the development of the disease.Also, provocative factors include the lack of treatment for spinal curvature - lordosis, scoliosis, kyfosis.
Characteristic symptoms
Signs of osteochondrosis of the lumbar region are characterized by the appearance of various symptoms, as well as the development of three pathological syndromes: radicular, ischemic, spinal.
Pain symptoms may appear:
- Lumbalgia- painful lumbar pain.The symptoms almost completely disappear when the body is placed in a horizontal position.
- Lumbago- Lightning pain.Symptoms are distinguished by the ability to radiate.
- Çatika- lumbar pain that spreads to the buttocks and feet.The symptom is associated with the loss of surface tissue sensitivity.
The rear on the back is compared to the stroke, and the patient freezes in the position in which there is no pain.
Signs of lumbar osteochondrosis include symptoms of specific syndromes:
- Symptoms of radical syndrome include drilling pain in the area innovated by a suppressed nerve.At the same time, the epicenter of painful symptoms is observed in the limbs, buttocks, buttocks and the bottom of the abdomen.
- Symptoms of ischemic syndrome are associated with circulatory disorders, lack of flow into certain tissue of nutrients.
- Symptoms of spinal syndrome include muscle atrophy, vertebral displacement, a change in pelvic position, which leads to significant changes in walking and the method of movement of the patient.
When you raise the severity of the nerve roots and the blood vessels are squeezed and the pain in the nerve area begins to worry.
Changes from other diseases from signs
Lumbar region vertebrae distribution lesions are associated with a number of characteristic symptoms only for this disease:
- Continuous cold of the skin of the buttocks and buttocks.
- Reducing sexual desire, powerlessness.
- Feeling goosebumps in the inside of the thigh and buttocks.
- Increased dry skin in the lower back and buttocks, accompanied by peel.
- Teens for constipation.
- Incontinence of urine.
- A burning sensation in the sacrum.
Even the complete coincidence of the manifestations of the disease with the symptoms described requires diagnostic studies to confirm the diagnosis (MRI, radiograph, calculated tomography).
Stage and type determination
Intervertebral osteochondrosis can be acute and chronic.Very often there is a transition of the disease to a slow form, as it is difficult to fully cure the disease.Chronic osteochondrosis is characterized by regular appearance of relaps - they complicate the patient's life during the external season.
Local degenerative changes are quite rare.Often the destruction of the beads of the lumbar region is associated with common osteochondrosis, which affects some parts of the spine immediately.The disease is characterized by the infinity of pain and the obvious disorders of the patient's mobility.
4 degrees are distinguished by osteochondrosis:
- Initial changes.The jacket core moves inside the disk.Symptoms - shelters can occur in the affected section.
- Damage to the fibrous ring.Numerous cracks are included in it, there are an increase in the mobility of the vertebrae and the hypertonitis of the nearest muscle.
- Rupture of a fibrous ring.It is associated with severe department pain, hernia formation and radical syndrome.
- Deformation of the spinal column.It is associated with a shift of vertebrae, as well as the growth of bone tissue of the spine, which leads to the patient's immobilization.
The stage of development of the disease is determined by a vertebologist using a palpation examination and diagnostic measures.
How is the osteochondrosis of the lumbar region treated
The treatment of lumbar region osteochondrosis depends on the degree of changes.A prerequisite - taking measures on time, performing an examination and choosing treatment tactics so as not to start the disease.In the later stages of the lumbar region osteochondrosis, only the surgical treatment of the spine (vertebroplasty) is effective.
It is very important to consult a doctor for timely treatment, as in the late stages of osteochondrosis, only the surgical treatment of the spine is effective.
Treatment of lumbar osteochondrosis has the main goals:
- Elimination of the cause of dystrophic processes.
- Removing symptoms of the disease.
- Activation of intervertebral joint restoration.
- Strengthening the muscle apparatus.
To achieve goals, a group of measures, including exercise therapy, physiotherapy, diet, medication treatment, massage, are used.An important condition is regularity.Methods for the treatment of osteochondrosis may include regulation of the affected spine area with corsets.To get rid of osteochondrosis and prevent it from returning will help kinesiotherapy.
Therapeutic hunger is performed in agreement with the doctor.As a rule, compliance with the principles of a healthy diet, information to the minimum use of salt, and normalization of the drinking regime.
With severe osteochondrosis of the lumbar spine, it may be necessary to respect the bed regime in the first treatment.After eliminating severe pain, the patient should be raised, perform elementary physical exercises.
With Lumbar Department osteochondrosis, doctors complement the treatment regimen with physiotherapeutic procedures:
- Electrophoresis.
- Magnetotherapy.
- Acupuncture.
- Electroakupuncture.
It is important to observe the regularity of the procedures for osteochondrosis, as well as undergoing a complete course of treatment.
With osteochondrosis of the lumbar spine, as with other localizations of the disease, an increase in physical activity is recommended by performing exercises recommended by the orthopedic physician.
If the belt will help
It is worth choosing a belt for the bottom of the back with osteochondrosis only with the attending doctor.There are bandages, corsets, heaters and neoprene belts that have different indications and contraindications for their application.
Wearing a corset and bandage is one of the main auxiliary methods for resetting the joints.The strong strap from osteochondrosis adjusts the lumbar region in a certain position, removes the load from the muscles and joints.A heating belt for osteochondrosis can be used independently to eliminate pain and prevent the disease from relapse.The dog strap protects the bottom of the back from the sketches, relaxes the muscles.
With serious damage, only one doctor chooses the belt for the treatment of osteochondrosis.As a rule, these are strong strong corsets that provide lumbar and sacral spine immobility.
Massage
With lumbar osteochondrosis, a course of therapeutic massage is shown, aimed at normalizing the lower back trophic joints and behavior of muscles in a normal state.Massage should be performed by a specialist.Contraindication for osteochondrosis for massage is intervertebral hernia.Manipulations are prohibited that imply a strong mechanical effect (the use of plastic equipment and vibration massages).
exercise
Exercises for the lumbar spine in the context of the therapy of Exercises for osteochondrosis should choose an orthopedic.General rules for the treatment of physical exercises:
- The predominance of static exercises.
- Lack of sharp movements during execution.
- Moderation of physical activity.
- Savings methods that exclude the destruction of the beads.
The regularity of physical exercise is important.Exercises from osteochondrosis are included in the morning charging program, performed daily.
Drug therapy
The duration of the course of treatment for osteochondrosis of the spine, as well as the list of medicines, are determined by the doctor.
In the early days of therapy, they are described:
- NSAID injections.
- Injection of Vitamins of Group V.
- Injection of the chondroprotectors.
- Injections of muscle relaxants.
- External nsaid.
After eliminating severe pain and acute inflammation, the patient is transferred to the forms of medication tablets.The first two weeks continue to treat NSAIDs.The use of chondroprotectors involves an extensive comprehensive treatment with a combination of internal and external dosage forms.
When you detect lumbar disease in the early stages, medicines from the group of chondroprotectors are prescribed.The minimum duration of their waiting is 3 months.In the absence of pronounced painful symptoms, internal use of NSAIDs is replaced with external sedatives to reduce the negative effect of pharmacological agents on gastric mucosa.
With severe pain, the blockade is performed - the introduction of analgesics into the affected area of the lower back.
Symptoms of advanced lumbar osteochondrosis are able to disrupt a person of the person.For the successful treatment of the disease, you should consult a doctor at the first signs of the disease - the pain in the lower part of the poor severity.Complex therapy in time can prevent irreversible changes in the lumbar spine.