Causes, symptoms of lumbar osteochondrosis, how to treat ailment
Most people over 30 years old even felt pain in their lower backs. By the age of 60, about 80% of the population complain of this symptom. The main and most common cause of these pains is the osteochondrosis of the lumbar region. The first signs of this disease can be diagnosed already in adolescents aged 15-19 years, and by the age of 30, pain in the back is already troubling one person out of a hundred. Among all cases of osteochondrosis, the lesion of the lumbar region occurs in almost 90% of cases.
Essence of osteochondrosis
Osteochondrosis of lumbar spine develops as a result of destruction of connective tissue of intervertebral discs, bodies of adjacent vertebrae, articular surfaces of intervertebral joints and ligaments. All this occurs due to metabolic disturbance under the influence of loads.
The onset of the disease is the breakdown of glycoproteins - complex substances, which are a combination of proteins with polysaccharides. These substances determine the elasticity and elasticity of the connective tissue. Further, the process extends to the bony structures of the spine adjacent to the cartilage. Such processes are called degenerative-dystrophic.
The intervertebral disc suffers first in the development of pathology. It consists of a pulpous gel-like nucleus and a fibrous ring. With the development of osteochondrosis, the gel-like substance of the core dries out, losing its elastic cushioning properties. Then the fibrous ring is broken: cracks or tears are formed through which the core substance can go beyond it. The vertebrae begin to experience great mechanical stresses, which leads to increased formation of bone and fibrous tissues in places of increased stress on the spine and the appearance of bone growths - osteophytes.
Causes of development of the disease in the lumbar department of the
A degenerative process is triggered in the spine under the influence of several factors. In various situations, usually one of them prevails, while others create favorable conditions for the progression of the disease. Therefore today, osteochondrosis of the lumbar region is considered a multifactorial disease.
The most important reasons:
- Static load in unfavorable conditions: long retention of the working tool in one position, pressing something;long standing, when the spine experiences the greatest load due to gravitational forces( osteochondrosis first appeared in a person erect).
- Flat feet.
- Wearing heavy bags and cargo.
- Physical overload in sports or hard physical work. Injuries and microtrauma.
- Long stay in forced half-bent position, for example, during school, university, work in the office and at home at the computer, driving in the car. At this moment, the external pressure on the disk can be increased up to 20 times, as it turns out to be a compressed vertebra.
- Hereditary predisposition. Hereditary factors are of a different nature and can be associated with congenital disorders of the structure of the skeleton( contributing to an incorrect distribution of the load on the spine) or metabolic peculiarities( in which the synthesis of glycoproteins can be slowed or broken).
Osteochondrosis of the lumbar spine is an irreversible process. Manifestations of the disease depend on the degree of development of pathology. There are four degrees:
- 1st degree - the period of change and movement of the gelatinous nucleus inside the disk.
- 2nd degree - the period of destruction of the fibrous disc ring.
- 3rd degree - the period of ruptures of the fibrous ring and the release of the substance of the gelatinous nucleus beyond its limits with the formation of a herniated disc.
- 4-th degree - the period of the degenerative process on the vertebrae with the involvement of intervertebral joints and ligaments. There is development of arthrosis of the intervertebral joints( spondyloarthrosis).
Some authors distinguish three degrees, but in all cases their designation is conditional and given for a better understanding of ongoing processes, their connection with the symptoms and prognosis of the disease.
At the first degree of pathology, pain occurs due to irritation of nerve endings in the fibrous ring and longitudinal ligaments. The patient feels local discomfort in that part of the spine where the affected disc is located: acute pain or lumbago lumbago, dull pain of a permanent nature( lumbalgia).
Irritation of nerve endings leads to the development of reflex syndromes that characterize the first degree: impulses from irritated endings spread to the spinal cord and "transmit the problem" to other organs and tissues. It is for this reason that a person can experience pains far from the "problem" place: there may be a reflex spasm of muscles and blood vessels, a violation of blood supply in the limbs, ligaments, disruption of the internal organs. Violation of the blood supply and nutrition of ligaments and tendons leads to the appearance of painful changes and seals in places where they attach to bones( enthesopathies), which often become the main cause of suffering.
Other characteristic symptoms of lumbar spine osteochondrosis at this stage are pain in the lumbosacral segment, which gives up in the leg( lumboishialgia), or pain only in the leg( sciatica, is much less common).
Spasm of large hip vessels can cause blood flow disorders and feign diseases of arteries of lower limbs, such as obliterating atherosclerosis. In rare cases, there may be bladder and urinary incontinence.
The 2nd degree is characterized by the appearance of instability and increased mobility of the vertebrae, which causes a prolonged and persistent muscle strain. The patient feels such symptoms as a constant fatigue of the muscles of the waist, discomfort, a feeling of "uncertainty in his back."
On the third degree in connection with the prolapse of the disc fragments, the so-called radicular syndromes are observed, which are associated with the compression of the nerve roots by the fallen fragments.
Patients experience a sensitivity disorder in the innervation zone of the * compressed nerve. At first they feel an increased sensitivity in a certain area, burning, tingling, then numbness occurs, a complete loss of sensitivity may develop. Decreased sensitivity is accompanied by impaired motor function until the onset of paralysis, as well as thinning and decreasing muscle volume( atrophy).
* Innervation - the connection of organs and tissues with the central nervous system through nerves.
In the area where these changes develop, it is possible to judge the specific site of the lesion in the spine department. If the area of the upper part of the foot suffers( it is called the rear of the foot), there is weakness in the extension of the thumb, the process is associated with damage to the intervertebral disc between the 4th and 5th lumbar vertebrae. If such symptoms occur in the region of the heel and the outer edge of the foot, a weakness appears in the calf muscle, the patient experiences difficulty in trying to walk on the heels - possibly a disc in the lumbosacral segment.
A characteristic sign of lesion of the lumbosacral department in the third degree is a symptom of Lasega. The doctor lifts a straight leg lying on the back of the patient, with severe pain in the lumbosacral segment spreading over the back of the foot. When bending the leg in the knee joint, the pain stops immediately.
When the fragments of intervertebral discs fall into the lumen of the spinal canal, there are signs of spinal cord injury.
There may be a "ponytail" syndrome, in which the bundle of spine nerves in the lumbar and sacral segments collapses. In this case, the sensitivity and motor functions of the legs, the functions of the pelvic organs( most often the bladder) are disturbed.
In the 4th degree, the intervertebral ligaments, joints are involved in the process, the fibrosis of the disc is involved - replacement of all its elements with a dense cicatrical connective tissue. This period can be characterized by the disappearance of the pain syndrome, the restoration of the supporting function of the spine, but simultaneously there is a significant limitation of the amplitude of movements in it. Different stages of the process can be observed in different affected discs, so the manifestations of the disease can be very diverse.
In the treatment of osteochondrosis of the lumbar spine, medicamentous, non-medicamentous and surgical methods are used. Since osteochondrosis of the spine is an irreversible process, the treatment is aimed at eliminating clinical syndromes and preventing the progression of the disease. Maximum forces should be applied for treatment with conservative methods.
In the first stage of therapy, the exclusion of provoking static and dynamic loads is of the utmost importance, with severe exacerbation it is necessary to observe bed rest. Sometimes this measure helps more than medications.
Medications( painkillers and various derivatives of non-steroidal anti-inflammatory drugs) are prescribed for the relief of pain and inflammation: ibuprofen, ketoprofen, lornoxicam, meloxicam, etorikoksib, celecoxib, nimesulide, etc. Medications can be in tablets or injections depending on the specific situation. When they are not effective, glucocorticoid hormones are used: dexamethasone, prednisolone, betamethasone, triamcinolone, etc. The doctor can do injections with these drugs directly to the location of the disease site. Obligatory in the treatment of osteochondrosis is the intake of vitamins of group B: B1, B6 and B12.
Sedation medications( relanium, diazepam, zopiclone), anticonvulsants( topiramate, gabapentin, pregabalin, etc.) and antidepressants in tablets( amitriptyline, clomipramine, fluoxetine, trazodone, etc.) can be prescribed to eliminate reflexogenic and accompanying psychogenic disorders. With signs of radicular syndrome, diuretics are prescribed, and for paralysis - anticholinesterase drugs( galantamine, proserin, ipidacrin).
Currently, in the treatment of osteochondrosis, chondroprotectors( chondroxide, structum, rumalone, arteparone, etc.) are widely used. However, reviews about them are ambiguous, at the moment their effectiveness has not been reliably proven.
In an acute period for pain relief, novocain blockades can be applied - the introduction of local anesthetic drugs directly into the affected area.
On the photo - ibuprofen from different manufacturers
How to treat an ailment after eliminating acute pain? It is necessary to begin therapy immediately with non-drug methods. Applied therapeutic gymnastics, massage, physiotherapy procedures, acupuncture. It is quite popular electrophoresis and phonophoresis with caripazime on the affected area of the spine. Caripazim is an enzyme preparation that promotes resorption of the discarded areas of the disc.
If the conservative methods are not effective, an operation can be performed.
Surgical treatment is performed in the following cases:
- If it is not possible to stop pain by other methods for 3-4 months. With very intense pain, surgical treatment can be performed after 2 weeks.
- "Ponytail" syndrome.
- Signs of acute compression of the roots of the spinal cord( weakness and numbness in the extremities).
Contraindications to the operation - some severe diseases, old age.
Today for the treatment of osteochondrosis high-tech methods of surgical intervention are used: microsurgical, percutaneous endoscopic. Thanks to new technologies, it was possible to significantly improve the prognosis, rehabilitation in the postoperative period and shorten the period of temporary incapacity for work.
What can the patient do at home?
At home, especially with chronic pain of a permanent nature, you can treat osteochondrosis, using dry heat, compresses, applicators Kuznetsova and Lyapko.
It is important to take care of rational physical activity, to exclude postures in which the body is in a forced unnatural position, to organize a comfortable place for work, sleep and rest.
Sufficient attention should be paid to physical activity, gymnastics, to ensure maximum unloading of all parts of the spine. Often these measures can completely eliminate pain and help better the most modern tablets and injections.
Self-treatment of osteochondrosis prior to diagnosis is dangerous, since similar symptoms can be observed, for example, in tumorous processes, and improper procedures can aggravate the situation.
It is important to read: the symptoms of osteochondrosis.
How to treat osteochondrosis of the lumbar department of the
Every person in his life has probably experienced back pain, namely in the lower back and sacrum. Most often, such painful sensations are associated with a variety of anomalies in the development of such a region of the back as a loin and sacrum in the human body. Unfortunately, such anomalies very often cause such a disease as osteochondrosis of the lumbar region. Facing such a disease, a person is mainly interested in only one question, how to treat osteochondrosis of the lumbar region? Let's try to understand.
The whole point is that this disease is quite "tricky," and it can be very difficult and varied, depending on the degree of the degeneration process, as well as the specific location of the focus of the disease. At the same time, the statistics inexorably moves up, saying that already every fifth person suffers with such an unpleasant ailment as falling out, or protrusion of intervertebral discs, or in other words, with osteochondrosis.
Disease in the lumbar region is a very serious disease that can acquire both chronic character and suffer the most serious complications, including disability. Besides, recently more and more able-bodied people of young age are exposed to this disease, and, unfortunately, not timely treatment and the reference to the doctor-specialist, leads to disability, and loss of ability to work.
Causes of the disease
Of course, when faced with any disease of a serious nature, you always want to understand the reasons for its appearance. After all, it's impossible to get sick from nowhere? !Most doctors agree that osteochondrosis arises from the fact that people are constantly on their feet, although this opinion is very contradictory, because not all people suffer from such a disease.
Doctors answer that the prerequisites for the development of osteochondrosis are available absolutely for every person, that's just developing it because of the specific conditions that contribute to the faster development of this disease. Such conditions that are capable of acting as so-called causes of osteochondrosis are:
- Metabolic disorders;
- Frequent injuries in humans;
- Redundancy in weight, increasing the load on the lumbosacral department;
- Lifting heavy items in the wrong way, for example, when playing sports;
- Hereditary factor.
It is due to the fact that osteochondrosis can cause such serious complications, it must be treated, however, in no case should one engage in self-medication with various kinds of advertised tablets and ointments, it is much more correct to contact a doctor as soon as possible with this problem. The specialist, in turn, carrying out the necessary examinations and tests, will put an accurate diagnosis, and appoint a competent treatment that will certainly help you to avoid the various adverse consequences of this disease.
Symptom of lumbar osteochondrosis
In order not to lose time, and in time to consult a doctor, it is necessary to know how osteochondrosis proceeds, namely, to consider the symptomatology of this disease. What are the symptoms of a dystrophic disorder in the articular cartilages of the lumbosacral spine?
Of course, there are many symptoms of osteochondrosis, the first symptom of the Saami is a clear sensation of back pain, moreover, this pain can be of a very diverse nature. This can be aching and tingling pain, as well as a constant feeling of aches, numbness, and chilliness in the limbs. Also, these painful sensations are greatly enhanced when a variety of physical activities are performed, or any sharp or sloppy movements.
At first glance, such primary symptoms, which are only painful sensations, can simply resemble a common cold. However, not timely access to a doctor, can lead to the fact that the limbs will be atrophied, which will lead to a deplorable result, such as a disability in the osteochondrosis of the lumbar spine. If, however, in the presence of primary symptoms, you did not consult a doctor, then you should pay attention to the symptoms, which completely indicate the presence of an unpleasant disease. These include:
Lumbar osteochondrosis - treatment
There is an opinion that for the ability to walk, a person pays for diseases of the musculoskeletal system. Passive lifestyle of modern man only provokes the development of such diseases. Arthritis, osteochondrosis, radiculitis, vertebral hernia - all these are severe consequences of low motor activity of a person and hereditary predisposition.
According to some reports, people over 45 years of age limit their movements due to pain in the neck or back. Having addressed to doctors with a pain in a loin, it is possible to hear the diagnosis «an osteochondrosis of a lumbar department of a backbone».Someone will only justify their physical passivity, someone will be skeptical, and some will start looking for ways and ways of treating osteochondrosis of the lumbar spine.How is lumbar osteochondrosis manifested?
Pain is the only accurate symptom of the disease. Painful sensation with lumbar osteochondrosis can be different:
- permanent( aching);
- is aggravated by coughing, sneezing, body position changes.
Also, pain can manifest not only in the area of damage, but also "give" in the limbs. Provoking moments for the onset of lumbar osteochondrosis can be:
- weight lifting;
- uncharacteristic physical activity;
- long stay in one pose;
- low physical activity.
Drug treatment for lumbar osteochondrosis
In case of pain and in the first days after diagnosis, lumbar spine osteochondrosis can be prescribed injections for the treatment and relief of pain. Most often appointed:
- Ketonal, Diclofenac - for the removal of pain;
- Milgamma is a drug with a combined action that normalizes the nervous system and blood flow.
Also in the beginning of the disease you can additionally use plasters, ointments and gels to relieve inflammation in the spine and spasm in the surrounding muscles. Taking such drugs as Actovegin, Trental, Cavinton will help to remove the edema and improve blood access in the affected area.
All this will help to remove symptoms, but will not be a full-fledged treatment. The second step should be a joint with the doctor selection of pills for the treatment of lumbar osteochondrosis. These drugs, which contribute to the restoration of damaged interchristian tissue, the so-called chondroprotectors. They can be produced in the form of:
- tablets( Teraflex, Artra, Structum);
- injection( Chondrolon, Elbon, Alflutop).
In parallel with taking medication,
- is connected with physiotherapy and manual procedures, which allow to remove nerve terminals and correcting the position of the spine;
- exercise therapy.
Treatment of lumbar osteochondrosis by folk methods
Since the treatment of lumbar osteochondrosis is a long process, folk medicine prescriptions will not be superfluous:
- As a good warming agent, horseradish tincture on vodka can be used. To do this in a 1: 1 ratio, mix the vodka and the grated fresh horseradish and insist for 24 hours. Suitable is a tool for rubbing the sore spot and for compresses( it is applied no more than for 30-60 minutes).
- Hop cones are crushed and mixed with fresh butter in a 1: 1 ratio. Prepared ointment should be applied overnight. Keep it in the refrigerator, and slightly warm up before use.
- For relief of pain, a compress made of raw potatoes with honey will work well. For its preparation grated raw potatoes are mixed with honey( 1: 1).The product is applied to a sore spot along the spine, and then covered with polyethylene and insulated. Keep compress until you have a slight burning sensation.
Osteochondrosis of the lumbosacral spine: causes, symptoms, treatment
Osteochondrosis of the lumbosacral spine is a non-inflammatory process of changing the intervertebral discs and vertebrae themselves in this section of the spine. It is he who is the main cause of back pain and limitation of the person's motor activity up to his complete disability.What are the causes of osteochondrosis
They can be divided into external and internal ones. Often there is a combination of these.
Internal causes( predisposing factors):
- congenital weakness of ligaments supporting the vertebral column;
- a violation of the formation and development of bone structures or cartilaginous tissue of the spine.
1) Wrong posture formation, which results in scoliosis as a child. Then, in a place of increased load, degenerations occur in the intervertebral discs-osteochondrosis of the lumbosacral spine.
2) Injury of the spine.
3) Raising heavy weights, especially the habit of carrying heavier things( loads) in one hand.
5) Sports activities, when a large load falls on the lumbosacral department( wrestling, weightlifting).6) Excess weight.
How is osteochondrosis of the lumbosacral spine manifested?
The process of destruction of intervertebral cartilage for a long time goes without the appearance of any symptoms. There can be only a slight discomfort in the lumbar region, as well as a rapid fatigue of the spinal musculature with a load on this area. The patient notices that the back begins to get tired earlier than before. Only when the middle( softest) part of the disc is compacted enough and ossifies, the person begins to feel pain in the lower back, which increases with the bends and slopes of the body, and also when returning from a bent position to a vertical one.
When the rest of the intervertebral disc is already affected, the following symptoms appear:
- pain and numbness of the lower limbs;
- "lumbago" or "radiculitis", when a person bending over, feels such sharp pain that after a long time can not straighten;
- it becomes painful to stand for a long time, walk;
- when lifting weights, the loin hurts very much.
When the destruction of structures goes so far that the disk between the vertebrae as such is no longer there, but there is only scar tissue and multiple bone osteophytes, a person can not make corners and torso of the trunk. The slightest load is accompanied by severe pain in the lower back and legs. In the lower extremities blood supply and innervation are so disturbed that they are not only cold, they freeze quickly, they often become goosebumps, but trophic ulcers can develop on them.
How is osteochondrosis of the lumbosacral spine treated?
The earlier the treatment is started, the more chances to stop the process. Cartilage structures are not restored, but you can at least prevent further destruction of them. For this purpose, the doctor prescribes the following medicines:
1) Anti-inflammatory medications: Celebrex, Movalis, Diclofenac, Ibuprofen. Sometimes it is advisable to start with the use of such drugs in the form of ointments, only if they are ineffective by switching to taking them in tablets or injections.
2) Novocain blockades are used to relieve acute pain in the spine. This is not just a symptomatic treatment, as many people think: the absence of pain relaxes the strained muscles of the back, which, being in severe spasms, also "pull" the spine, aggravating the destruction of the disc between the vertebrae. Only after the blockade is carried out, further treatment measures must be taken.
3) Chondroprotectors. These are preparations of glucosamine and chondroitin - normal components of the cartilaginous tissue. They help to stop the process of disk destruction, only:
- if there is still something left from the disk;
- if they are taken without a break for at least six months;
- if a normal daily dose of the drug is chosen( there should be at least 1000 mg of glucosamine and chondroitin per day).
In addition to drug treatment, it is very important to follow a diet, as well as to engage with the LFK methodologist on a doctor-matched program. Thus, the exercises for the lumbosacral spine are divided into three periods: acute, subacute and restorative. In the acute period, you need to learn to properly relax all the muscles, especially the muscles of the back. In the subacute, a more extensive complex of exercise therapy is used, but during exercises it is impossible to tilt the body and lift the unbent leg( you can and only need to bend your knee bent in the hip joint, move your toes with your legs, bend your leg in the knee).
During the recovery period, we gradually begin to do push-ups, pull-ups, legs swings, torso torso.
How to treat osteochondrosis of the cervical spine
Medication is used the same as in lumbosacral lesions. It is important to perform the exercises, but it should be done under medical supervision so as not to aggravate your condition.
So, in acute and subacute periods, you only need to practice in the collar of Shantz. At this time, the movements of the neck are contraindicated, the head inclines. Only during the recovery phase( after a few weeks) the collar is removed, the exercises begin to include pressure by the different parts of the head( the back of the head, forehead) on the assistant's hand, then you can bend your neck and turn your head.
Osteochondrosis of the lumbosacral spine: treatment and symptoms
Symptoms of lumbar osteochondrosis
Osteochondrosis of the lumbar spine is characterized by a wide variety of clinical manifestations. The symptomatology of the disease depends on the stage of the pathological process and the degree of degenerative changes in the affected vertebral column. The disease develops gradually, beginning with minor changes in the cartilaginous tissue of the intervertebral discs, and at the initial stages is not manifested.
As the degenerative processes progress, the pathological changes in the discs become more pronounced, and over time, the patient begins to appear some signs of osteochondrosis. Depending on the severity of the lesion of the cartilaginous tissue of the spine, three degrees of the process can be distinguished.
Osteochondrosis 1 degree
In the initial stages of lumbar osteochondrosis, small seals of the intervertebral discs are observed, which does not disturb the patient in any way or is manifested only by orthopedic symptoms: a feeling of stiffness in the loins, unpleasant sensations in the form of weak pulling pains with tilts and bends of the trunk. Acute pain in the loin associated with osteochondrosis in this stage does not happen. A typical sign of the initial manifestations of lumbar osteochondrosis is the appearance of rapid fatigue with a static load, it becomes difficult to sit for a long time in one position. After a prolonged sitting, there may be a crunch in the lower back while moving in the lumbar spine.
Osteochondrosis 2 degrees
Further progression of the pathological process leads to more pronounced changes in the disc, which causes its protrusion beyond the vertebral bodies - protrusion occurs. At first it arises only with the vertical position of the body, but with time it assumes a constant character. At this stage, osteochondrosis is manifested by vertebral syndromes.
Lumbago is often the first manifestation of lumbar osteochondrosis. The pain arises suddenly, usually with an awkward movement: a deep tilt forward, an attempt to abruptly rise from a sitting position, lifting the gravity in front of him. Pain in lumbago is usually compared with a shock of current. When a patient is shot, the patient freezes in a pose in which there is no sharp pain and is afraid to move. In this case, a constant, pronounced muscle tension is observed. They protrude, in the form of ridges, located on both sides of the spinous processes. Muscular hypertonus is a protective reflex that facilitates the physiological immobilization of the lumbar spine.
Another manifestation of vertebral syndrome may be lumbolgia - chronic pain in the lower back. Unlike lumbago, there is no clear connection with the movements and the appearance of pain. Painful sensations of aching slightly increase with quiet movements. Patients can perform not hard work, but it is usually difficult for them to bend and even more difficult to unbend. The pain is aggravated after prolonged sitting or standing, because of this, patients try to change the position of the body more often. Adopting a horizontal position leads to a reduction in pain, since the load on the intervertebral discs is significantly reduced. Pain can last for months, periodically receding and intensifying when there is another exacerbation of the disease.
Osteochondrosis of 3 degree
With far-reaching destructive changes, the formation of herniated intervertebral discs occurs. As a result, a pronounced compression of the spinal structures develops and a number of other manifestations of the disease are added to the vertebral syndrome in the clinical picture.
Radicular syndrome, most often, develops against a background of long-lasting vertebral manifestations. In most cases, there is a sudden sudden pain localized in the lumbar region on the one hand with irradiation to the buttock, the hip joint, gradually spreading to the entire leg. Aggravation is usually associated with awkward movement, prolonged forced position or lifting of weights. Painful sensations in the root syndrome increase with movement, increased intra-abdominal pressure( coughing, sneezing, straining).After a while there are disorders of sensitivity in the lower limb, such as hyperesthesia, hypesthesia, paresthesia, in severe cases - anesthesia. The muscle tone decreases, weakness develops, there is a hypotrophy of the leg muscular tissue.
Compression myelopathy( compression of the spinal cord) at the level of the lumbar region is manifested by motor disorders in the lower extremities, there is a significant decrease in the volume of the thigh, shin, decrease and even absent reflexes. There may be a malfunction of the pelvic organs: incontinence or retention of urine, feces, impaired sensitivity in the perineal region. This symptomatology is extremely unfavorable in terms of prognosis and requires immediate treatment. The spinal cord disturbance syndrome is manifested by intermittent claudication, a feeling of weakness in the legs, pain, painful paresthesias during walking, extending to the lower parts of the trunk and into the perineum. The patient can be persecuted by constant urge to urinate, later there are violations of the function of the pelvic organs. There is a tendency to develop bedsores.
Neurotic disorders develop in the long course of the disease, when severe pain and various motor and sensory disorders are severe. In patients, irritability increases, there may be manifestations of aggression towards the surrounding people, the mood changes rapidly, sleep is often disturbed, and disability declines. As a rule, very hypochondriacal people with a labile psyche are susceptible to neurologization.
How to treat lumbosacral osteochondrosis?
In the case of 1 and 2 degrees of osteochondrosis, treatment is usually performed at home with conservative methods. In most patients, properly prescribed therapy allows you to stop the symptoms of the disease for several weeks, after which a remission occurs, the duration of which depends on the patient's lifestyle, the severity of osteochondrosis, and the use of therapeutic and prophylactic measures. Constantly conducted prophylaxis allows to achieve remission for many years.
Surgical treatment of the osteochondrosis of the lumbar spine is used when an intervertebral hernia occurs. It is indicated by 15-20% of patients and is used in the development of serious neurological complications or inefficiency of conservative methods for several months.
When the disease worsens, the main focus is on drug treatment, the main purpose of which is to combat pain. The following medicines are used for this:
- Drugs that have an anti-inflammatory effect, prescribe inside or intramuscular injections. In most cases, drugs are used that belong to the group of non-steroidal anti-inflammatory drugs: diclofenac, indomethacin, ketarol, ibuprofen, nemisil, moovales, etc. In parallel with the general application of NSAIDs, these drugs are also prescribed for topical use, in the form of medicinal forms such as ointment orgel. In the absence of the effect of nonsteroidal agents, local anesthetics are used in combination with hormones in the form of epidural and paravertebral blockades.
- Muscle relaxants give a good effect in combination with diuretics and vasoactive substances. The use of these drugs allows you to remove muscle spasm and reduce tissue swelling, improve blood circulation in the area of compression.
- Sedatives, daytime tranquilizers, antidepressants are used to treat and prevent the development of neuroticism.
- Group B( B1 and B12) vitamins improve nerve tissue nutrition, promote its rapid recovery after compression effects.
After the acute period of the disease treatment should not stop. To fix the positive effect of drug therapy, during the period of remission the following medical measures are applied:
- Therapeutic massage is considered one of the most effective therapeutic and prophylactic measures in combination with other therapeutic methods. It allows you to significantly reduce the rigidity of the lumbar muscles, improve blood circulation, lymph circulation directly in the tissues adjacent to the lumbar spine. In case of hypotrophy associated with radicular syndrome, lower limb massage contributes to the improvement of trophic and innervation of hypotrophic muscles.
- Physiotherapy is prescribed in conjunction with a massage after relief, with no pain syndrome. Classes are held daily, therapeutic gymnastics begins with minimal, gradually increasing loads, since otherwise it can provoke another exacerbation. The complex of exercises must be started, avoiding sudden movements and refraining from doing high-amplitude exercises. Exercises for the waist are shown to patients who used the corset for a long time. Systematic exercises of exercise therapy will significantly strengthen the muscles of the waist, thereby reducing the undesirable load on the intervertebral discs.
- Strict compliance with the sparing regimen is an integral part of the successful treatment of osteochondrosis, as well as the prevention of its exacerbations. For the back, especially the lumbar region, it is extremely important to fulfill the following conditions: to sleep on a bed equipped with an orthopedic mattress and a special cushion of medium hardness of small sizes;under the neck you need to put a special roller.
- Avoid prolonged stay in uncomfortable position. After a long sitting, you need to get up slowly, without sharp jerks. After that, the elementary charge and a small self-massage should be performed, which will allow to eliminate stagnant phenomena in the lower back.
Clinic of osteochondrosis of the lumbar spine: symptoms and treatment
Many people after thirty years at least once felt pain in the lower back. By the age of sixty, 80% of people experience this discomfort. Almost always the cause is lumbar osteochondrosis. This pathology provokes the development of unpleasant symptoms and can greatly impair the quality of human life. To prevent the development of negative consequences, it is extremely important to consult a doctor in time.Download. ..
Clinical characteristics of lumbar spine osteochondrosis
This disease is widespread, because it is the loin that most often suffers under high loads. In the lumbar region, there are five vertebrae, in addition, he connects the sacrum with the thoracic department. Intervertebral disks, consisting of a gelatinous nucleus, provide him with flexibility. These elements are located inside the fibrous ring.
Osteochondrosis provokes deficiency of nutrients in the discs. Because of this, they become less elastic. In addition, their height is reduced. Reducing the distance between the vertebrae provokes the infringement of the nerve roots. As a result, in the lumbar region, there are tangible pains.At the initial stage, the symptoms of osteochondrosis are negligible and even completely absent. However, further progression of the disease leads to pain in the back and legs, numbness may develop.
After the spread of the changes, the ability to fix the spine is reduced. Sometimes there are hernias and subluxations - these disorders are associated with pain. Subsequently, even rupture of the disc and jamming of nerve endings may occur.
With the subsequent development of the disease, vessels, ligaments, and the spinal cord begin to participate in the process. Bony growths can develop. At the last stage, paralysis and paresis develop. Sometimes the functioning of the pelvic organs is disrupted.
In young people, the disease progresses continuously. In old age, pathology can not manifest itself in any way, despite the presence of changes. If you do not start treating the disease in time, very dangerous consequences can develop.
The pathology is irreversible, and its symptoms are directly determined by the degree:
- First degree. During this period, pathological processes occur in the gelatinous nucleus. There is discomfort associated with irritation of nerve endings. They can be acute or aching. When there is a spasm of large arteries of the femur, blood circulation is broken, which is fraught with the appearance of pathologies of the arteries of the legs.
- Second degree. Progression of the destruction of the fibrous ring. Due to loss of stability, the vertebrae become too loose. As a result, too much muscle strain. The patient has a high fatigue of the muscles of the waist, a feeling of discomfort.
- Third degree. A fibrous ring is broken, which leads to the release of the contents of the gelatinous nucleus. This process provokes the formation of a hernia. There are radicular syndromes. Initially, the patient feels high sensitivity in the affected area, a burning sensation, tingling sensations, numbness. Sometimes sensitivity may completely disappear. In especially severe cases, paralysis and muscle atrophy develop.
- Fourth degree. Violated the work of the vertebrae, the structure of the joints and ligaments. Arthrosis of the joints develops. The pain may disappear, the support function of the spine is restored, but the amplitude in it is significantly reduced. For the fourth degree, the most varied symptoms of the disease are characteristic.
More than a third of patients with such osteochondrosis have problems with the liver or digestive organs. In the presence of such abnormalities, tension and spasms of muscles and vessels occur, which provokes oxygen deficiency and the appearance of dystrophic abnormalities. It aggravates these metabolic processes.loading. ..
The appearance of this form of osteochondrosis often results from stagnant phenomena in the pelvic organs. They can be associated with constipation, colitis, hemorrhoids. In women, such problems are a consequence of inflammation of the appendages, and in men - prostatitis.
The causes of osteochondrosis also include the following: