Today the subject is: osteochondrosis of the lumbar spine symptoms and treatment, which we will analyze in more detail in our article.Most people came across back pain at least once in their lives.In particular, applies to the population after the age of 30, the reason for the occurrence of unpleasant sensations in the lower back.
The causes of osteochondrosis of the lumbar spine
There are only 5 lumbar vertebrae in the human body, they are wide and thick, because they wear the main tax.It is their physiological characteristic and greater mobility that increases the risk of degenerative changes - osteochondrosis.
The most important factor in the formation of disks wear is the constant overload of the department, which is exacerbated by a sedentary, hard work, incorrect attitude and many other factors.All these causes cause muscle over voltage, reduced tissue blood supply and cause extra load on ligaments and joints.
The processes of destruction of hyaline intervertebral cartilage are based on the loss of moisture.A healthy spine can withstand a load of more than 500 kg.In the case of loss of hydrophilic properties, the elasticity is lost, the Schijf Platformer is decreasing, the distance between the vertebral bodies decreases.
Various factors in the development of lumbar osteochondrosis are distinguished:
- Increased physical activity and weightlifting.
- Injuries.
- Violations of metabolic processes.
- Hormonal changes.
- Bad habits - irrational food, smoking, alcohol abuse.
- Violation of posture (scoliosis, kyphosis, lordosis, stoop).
- Flat feet.
An important role is played in the formation of degeneration obesity.It not only causes an increase in pressure on the spine, but also leads to metabolic disorders, hormonal shifts.
Symptoms and diagnosis
In medicine is the basis of symptoms of osteochondrosis pain.He has many variations - acute and sharp pain, or, vice versa, pulling and printing.Due to unpleasant sensations, a sick person often gets hardly any simple things climbing from a chair, from a bed, walking.
Often pain in the form of a "shift" rejects an uncomfortable movement, which lifts the severity.With the worsening of the processes of destruction of exacerbation of pain, coughing and sneezing can occur.
From a forced limitation of activity, the flexibility of the spine has been reduced, it becomes more difficult to bend, shoe.
In addition to vertebrae symptoms (which are only at the back), there are a number of extrovertbal (spread past the lower back).
It may be:
- Lyubmoichachei pain along the hip nerve (lumbosacral osteochondrosis is the most susceptible to this symptom).
- Neurological disorders in the lower limbs - reduced sensitivity, pain while walking, paresis are possible.
More and more doctors come to the conclusion that osteochondrosis itself does not hurt, all tangible symptoms are a complication of osteochondrosis.So they write in the diagnosis: "Against the background of osteochondrosis ..." almost 80 percent of the pain occur due to muscle inflammation and the formation of trigger points with which myofascial syndrome occurs.
Diagnostics
Intensive back pain can be caused for many reasons.That is why it is important to make an accurate diagnosis and osteochondrosis of the lumbar spine with different symptoms and treatment is a common concept.To begin with, it is necessary to take a number of general tests - biochemistry, blood, urine.They will help identify inflammatory processes, determine the condition of the body and the level of damage.
As a specialized study, it is recommended to perform radiography of the spine in two projections - laterally and law.Often clarification of complications is often required, an MRI is used for this.
If there is no way to carry out tomographic studies, myelography will be prescribed -an X -ray study with a contrast material that is introduced in the subarachnoid room of the spinal cord.
Treatment and prevention
Symptoms of osteochondrosis of the lumbar spine require urgent measures in the selection of therapy.Full bed rest is recommended during periods of acute pain.To maximize the musculoskeletal system.
Important:During the worsening period, only medicine treatment, massage, physiotherapy and exercise therapy are indicated for the period of relieving pain.
Which medicines will help with osteochondrosis:
- Painkillers.
- Non -steroidal anti -inflammatory drugs (NSAIDs).They must be introduced in courses.
- Ointments with local deviations and anti -inflammatory.
- Musorelaxants - to illuminate tension in muscles.
- Supporting therapy - vitamin C as an antioxidant, group B, PP to improve microcirculation, to accelerate tissue regeneration.
Carefully:NSAIDs are prescribed together with gastrotectors to reduce the negative effect of medicines on the gastrointestinal tract.
If complications arise in the form of a violation of sensitivity, the treatment in the hospital is prescribed.It is possible to use local administration of steroid drugs to relieve inflammation.
After the main treatment, they offer to undergo a Chondroprotectors course that restores the cartilage of the disk.
Manual therapy
The manual therapist works on the spine with his hands and puts the vertebrae into place - the patient feels immediately lighting.
During the 3-5 sessions of the manual therapist, the distance between the vertebrae increases, the load on it is evenly distributed, the blood circulation and nutrition of the damaged area improves.The patient is recovered quickly and can return to the usual life.
After the course of the procedures, the manual therapist will recommend a series of exercises to consolidate the result.
Physiotherapy
Physiotherapeutic treatment relieves spasms and improves blood flow.There are many physiotherapy procedures: electrophoresis, darsonval, laser therapy, phonophore, diagynynic streams, magnetic resonance therapy, amplipulse, ultrasonic therapy, vibration massage.It is great to continue physiography at home through budget applications.
- Kuznetsov applicator.
- Pepperpatch.
- Banks for osteochondrosis.
Massage
Massage is only prescribed during the recovery period after removing acute pain.It illuminates the voltage, increases blood flow, significantly improves the patient's condition.The use of warming ointments increases the efficiency of massage.Its action is increasing when visiting the bath if there are no contraindications.
Resort treatment
Spa -Trevers, Resort show excellent results during the rehabilitation period.Baths with hydrogen sulfide, radon, bromine relaxed and contribute to recovery.If there is a financial chance, it is better to be treated in specialized resorts.
Surgical
It is only used in cases of serious complications if the rest of the methods did not help: if it is not possible to get rid of more than 4 months of pain or there are signs of severe nerve roots compression.A destroyed disk is usually removed (discoctomy).If possible, they try to perform soft modern interventions - microsurgical and endoscopic;The rehabilitation period after them is 3-5 times shorter than after a traditional operation.
During periods of the "deterioration", special exercises for stretching and removing trigger points are good dealing with the consequences of osteochondrosis.They weaken the muscle cramps and support the muscle corset in tone.It is important to carry out the complex smoothly and to avoid sudden movements.
Therapeutic gymnastics at home
LFK can also be performed at home, after he has previously given different classes with an instructor (to repair the correct version and not harm yourself).
Physical education is the most important method of treatment and prevention of osteochondrosis of the lumbar spine.Exercises reinforce the back muscles, contribute to the correct location of the nerves, an increase in space between the vertebrae and the full blood supply to the tissues.
Important.Therapeutic gymnastics cannot be done with acute pain.
The purpose of the exercises is to increase the mobility of the lumbar spine.It is better to start with a small load and a small amplitude of movements.After removing the acute condition, lying in bed, you can bend your legs with a simultaneous increase in your head.As it improves, the tax is carefully increased.
Simple exercises are useful:
- Standing, hands on the belt, to make tendencies;
- Standing, hands on the belt, to perform rotation of the pelvis;
- "Cat": in the knee-elbow pose, bend, bend the back, rotate with a basin;
- "Scissors" and "bike" lying on the back;
- "Looting with ropes": stand, turn the body, hands relaxed behind the bends of the corps;
- Go back on the floor, the legs are bent on the knees, feeding to the right and left.
Also don't forget regular strength exercises to strengthen the muscle corset (squat, push -ups, beam), these two areas of exercises are not divided, regardless of what they say.
If the lifestyle is inactive and the profession has to sit or stand for all day, the exercises must be done 3-5 times a day.It is useful to develop the habit to perform exercises every time there is a suitable minute: in the elevator, while the boiler cooks or works microwave.
Regular therapeutic gymnastics gives a persistent therapeutic and preventive effect;But even classes from case to case reduces exacerbations manifestations.
Folk remedies offer good preventive support during the absence of worsening.You can drink flaws of mint and lemon balm - has a soothing and muscle release effect, contains a large number of vitamins and antioxidants.
Prevention
Learn to listen carefully to the signals from the body, rest on time and reduce the load.
- Follow the posture, especially if you have to sit for a long time.Select furniture in height so that the back is necessarily supported.
- Avoid long static loads (sitting, standing, posing in a curved state), take a break every hour - to give small physical education or just walk.
- Participate, go to the swimming pool for the formation of a muscle corset, aiming.
- Choose the right shoes and special supervisors with flat feet.
- Correct excess weight.
- Try to lead a healthy lifestyle.
- Use an orthopedic mattress and a pillow.
- Dress it again, under -mortgageermia, use a woolen belt or corset if necessary.
- Walk more: for example, go out of transport to two stops earlier.
- Refuse a bag in favor of a backpack.
- Use a corset in hard work.
- Lift the severity smoothly, without shocks and sharp turns (you can come back injury).
Important.Learn to lift the seriousness correctly: you cannot bend so that the "lever" forms in the lumbar region.When you raise something heavy, you have to bend your legs, not your back: sit down, take the item and get up with your back.
With age, the development of osteochondrosis of the lumbar spine is inevitable, symptoms can be prevented, treated, highly simplified, with a careful attitude towards yourself not to reduce the quality of life.
Take good care of yourself and your spine!