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 material 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 the 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 area of the heel and the outer edge of the foot, a weakness appears in the gastrocnemius muscle, the patient experiences difficulty in trying to walk on the heels - possibly a disc injury 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 the 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 elimination of acute pains? 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 tumor processes, and improper procedures can aggravate the situation.
It is important to read: the symptoms of osteochondrosis.
Osteochondrosis of the lumbosacral spine - a treatment regimen, simple exercises for the treatment of
disease. The lumbar spine consists of five vertebrae, it connects the thoracic region and the sacrum, it has great mobility. In addition, it is this area that daily takes great loads regardless of the person's lifestyle. For these reasons, it is not surprising that osteochondrosis of the lumbar spine is such a common disease. This pathological process manifests itself in steadily progressing degeneration and deformation of intervertebral discs. In the absence of a treatment regimen, the disease can significantly complicate life, in addition, it is fraught with complications of varying severity.
Causes of osteochondrosis
Osteochondrosis of the lumbar region can occur due to excessive loads. In the risk group - people who are overweight and regularly perform physical work related to lifting weights. The problem is aggravated by the fact that many people lead a low-activity lifestyle, have problems with posture and do not know how to move properly. Daily lifting the weights, sitting and walking with uneven back, they only increase the harm from excessive loads on the spine.
Any incorrect load on the spine can cause osteochondrosis
Another common cause of the development of this disease is back injuries. A tendency to osteochondrosis is also present in professional athletes engaged in certain sports. You can buy this disease even if you have performed incorrect physical exercises at home.
Osteochondrosis of the lumbosacral can develop due to a systemic malnutrition and day regimen. Strengthen the predisposition to this disease can be regular stress, chronic lack of sleep, a violation of metabolic processes in the body. According to some researchers, predisposition to osteochondrosis can be laid down at the genetic level. In some people, the intervertebral discs do have a more porous-loose structure, so they are more susceptible to various deformities.
Several decades ago, osteochondrosis was considered an age-related disease and was diagnosed more often in the elderly. Indeed, with the years gone by, the vertebrae and intervertebral discs lose their mobility and elasticity considerably, become less resistant to injuries and deformities. At the same time, the osteochondrosis of the lumbosacral spine has grown significantly younger, the majority of the cases are men and women at the age of 30, and people under 30 suffer from the disease.
Do not forget that osteochondrosis in the lumbosacral spine often occurs in patients suffering from inflammatory diseases of the joints of the spine - in patients with Bechterew's disease or rheumatoid arthritis, such a pathological condition complicates the course of an autoimmune disease especially often.
Symptoms of osteochondrosis in the lumbar part of
In severe stages of the disease, pain can occur even when coughing or sneezing!
The appearance of regular pain in the lumbar region is the primary and one of the main symptoms of lumbar osteochondrosis. In this case, pain can appear spontaneously with awkward movement and spontaneously at rest, or only after physical exertion. Pain sensations can be localized, or spread up the back from the waist. Often the pain also gives to the buttocks and legs.
In severe stages of the disease, pain can occur when coughing or sneezing and other minor spasms of physical activity that do not strain the lumbar spine directly. Because of pain, mobility of the lumbar region is also possible. The back loses its flexibility, the patient can not easily bend over, make turns or torso of the trunk. Often, the osteochondrosis of the lumbar symptoms is in the form of general fatigue, irritability, sleep disturbances - it is difficult for a patient to find a pose in the bed suitable for sleeping. The patient feels a decline of strength, because of discomfort, tries to reduce physical activity, and gradually loses the opportunity to even provide for his own domestic needs.
One of the possible complications of lumbar osteochondrosis is a disruption of the genitourinary system. Sometimes pain can appear in the kidney area, there may be a micturition disorder and unreasonable discomfort. When the vertebrae of the sacral segment of the spinal column are involved in the process, the patient's condition may progressively worsen-not only symptoms of lumbargia are added, but irritation or sciatica nerve inflammation, which further limits the possibility of movement.
What should be the treatment program?
For successful treatment of osteochondrosis the patient will have to radically change many of his household habits, and do not forget to work on his health every day, without days off and holidays for the rest of his life. Otherwise, even after successfully getting rid of the symptoms of the disease, the ailment can return after a while and then the fight will have to start again. However, repeated attacks of osteochondrosis occur even if the patient complies with the regime of physical activity.
The main task performed by conservative treatment of osteochondrosis of the lumbar region is stopping the progress of the disease and gradually returning the spine to the anatomically correct position.
Dystrophic changes in intervertebral discs can often be observed due to problems with the muscles of the lumbar spine. It is the muscular framework that provides support for the spine, and it is the healthy muscles of the back that largely provide the correct posture, so necessary for a healthy spine.
Lumbar osteochondrosis requires complex treatment. This massage, various methods of stretching, manual therapy, exercise therapy, a special diet and other additional procedures and conditions. Conservative treatment usually takes 2-3 months, if after the expiration of their positive dynamics is not observed, or, worse, osteochondrosis is progressing, it's time to think about surgical intervention.
Some doctors prescribe an operation only with such complication of osteochondrosis as an intervertebral hernia. The most common type of surgery involves removing the damaged disc. Discectomy is the correct name for this operation, it is the most productive of the modern answers to the question of how to treat osteochondrosis of the lumbar spine. Currently, for surgical treatment of this condition, microsurgical treatment and endoscopic interventions on the spinal column are increasingly used.
Beginning of treatment of osteochondrosis in the lumbar spine of
Diagnosis of the osteochondrosis of the lumbar spine to the doctor is often treated because of regular back pain. For this reason, the treatment or prevention of this disease should begin with a review of the patient's lifestyle. To properly distribute the load on the spine, it is recommended to select orthopedic bedding, avoid excessive physical exertion and regular moderate loads for patients leading a sedentary lifestyle. Nevertheless, one can not exclude such a variant of the course of osteochondrosis of the lumbar spine, in which the pain syndrome is joined late enough, after the development of pronounced changes in the spine( hernias, disc protrusions, spondylolisthesis).
Often after the first visit to a specialist, a medication for osteochondrosis of the lumbar region is prescribed, drugs used to fight this disease, relieve pain and stop inflammation. Often, for the same purposes in the diagnosis of osteochondrosis of the lumbar region, folk remedies are used on a par with the production of pharmacological companies. Many recipes based on herbs and gifts of nature can be taken orally or externally to reduce pain and relieve inflammation. It is important to remember that drug therapy only suppresses the symptoms( symptoms) of the disease, but does not cure the root cause of the changes - if such treatment is not supported by complex rehabilitation measures, its effect will be very short-lived.
It is also possible to treat osteochondrosis of the lumbar spine, special exercises performed under the guidance of a qualified specialist. The complex should be picked up by a doctor, the first trainings must necessarily pass under the supervision of an experienced instructor. If the patient has a pronounced problem of excess weight, you should follow a diet and increase daily physical activity. A complex of these measures can lead to optimal weight loss.
What other ways to treat osteochondrosis can be used?
Classical medicine also offers a variety of traction options for fighting osteochondrosis. These procedures are performed in the conditions of treatment and prevention institutions and often require special equipment. A good result is also a massage, the main task of which is to relieve tension from the muscles of the affected department - eliminating spasm reduces the severity of pain even without using medications.
Photo: exercises with osteochondrosis help only when they are performed correctly and regularly
A rather controversial method of complex therapy for the treatment of back osteochondrosis is the wearing of a rigid fixing corset. This accessory really helps to keep the back in the right position, but often there is muscle atrophy. Therefore, the best option - the use of a corset during attacks and wearing a few hours a day to maintain the correct position of the back. It is recommended to select such a corset after consulting a traumatologist or vertebrologist - not every corset design will bring the expected relief. During the attacks of the disease, you can wear soft woolen belts for the natural warming of the affected area. But do not forget, the warming of the lower back during pains with heaters and other external sources of heat is strictly prohibited.
LFK for osteochondrosis of the lumbar region is used almost always. Complexes consist of exercises to strengthen the muscles of the back and stretch them. Productivity and effectiveness of physical training consists of their regularity, correctness of the exercises and the patient's desire to achieve the goal. Do it regularly, but you can not overwork. If any exercise is too difficult to perform, or if discomfort occurs, it is necessary to stop the exercise.
Nowadays the diagnosis of the osteochondrosis of the lumbosacral spine is sometimes treated in somewhat exotic ways. These are unusual types of massage, and Chinese acupuncture and a number of other procedures, which are recommended only at the appropriate clinics with a good reputation. Some hardware methods of official medicine can also help with osteochondrosis: vacuum massage, leeches and other classical methods of normalizing blood circulation. Good results are also provided by the usual sanatorium treatment. Especially useful for osteochondrosis is a variety of water procedures. If the patient can afford a vacation, the treatment of osteochondrosis of the lumbar region is recommended in a specialized sanatorium or dispensary.
Symptoms, causes and treatment of lumbar osteochondrosis
According to WHO, osteochondrosis in the countries of Europe, America, Australia and Asia acquires a pandemic character. The reasons for this large-scale spread of osteochondrosis in recent decades are: inactive way of life of the population, unfavorable ecological conditions, nutrition with genetically modified foods( GMO) and overweight.
Up to 85% of cases occur in the lumbar region. This is due to the peculiarities of its structure.5 powerful vertebrae form an arcuate deflection forward, connecting the inactive chest and motionless sacral department. Despite this, the amplitude of the movements here is great. In a calm state, the lumbar part of the spine experiences a load of 170 kg. When lifting a weight of 90 kg, it increases to a ton. This increases the wear of the disks. Other causes of lumbar osteochondrosis may be curvature of the spine and previous injuries and diseases.
Symptoms of lumbar spine osteochondrosis
Symptoms of lumbar osteochondrosis are divided into four large groups:
- Vertebral Syndrome.
- Radicular syndrome.
- Ischemic syndrome.
Pain in lumbar osteochondrosis( lumbalgia) has a different nature, origin, location and intensity. Aching constant pain in the lumbar region is the first sign of the disease. It increases with tilting, lifting of gravity, supercooling, prolonged exposure in one position and decreases in the lying position. The appearance of such pain is associated with the process of destruction of the intervertebral disc.
Pain can occur and suddenly, like a chamber( lumbago).Sharp, intense, giving into the sacral region, on the anterior abdominal wall and pelvic organs, it sharply increases with the slightest movement of the spine, coughing and sneezing. With pressure, the painful compaction of muscles is determined. The patient is forced to stay in bed. Provoke the appearance of this symptom of sudden movements, lifting of gravity or significant physical work performed on the eve( "symptom of the second day").This condition can last several days and weeks.
Radicular syndromePain in lumbar osteochondrosis can have a different character
When the disease progresses, the intervertebral disc becomes thinner. The vertebrae lose their stability, they become mobile. With sudden movements, lifting weights, they irritate and squeeze the nerve roots and blood vessels. Pain in the lower back decreases, but appear in the area of innervation of the squeezed nerve. One-sided, strong, drilling pain in the buttock, thigh, leg and foot causes the damaged root to be protected. The muscles tighten, the gait becomes gentle with the inclination to the healthy side.
Prolonged irritation of the nerve roots causes their inflammation, which is accompanied by venous stasis, swelling and intoxication. Pain in the muscles, joints, ligaments, arising after rest, sleep and passing after the warm-up are added. Often they are accompanied by vegetative reactions - increased sweating and a feeling of heat, which is replaced by chilliness.
Other features of lumbar osteochondrosis are characteristic for radicular syndrome. Disturbance of sensitivity in a certain segment in the form of numbness, tingling, "crawling crawling," not susceptibility to pain. The muscle tone decreases, weakness, atrophy, limbs become thinner. Patients can not go up and down the stairs, walk a long time.
In severe cases of lumbosacral osteochondrosis, the function of the pelvic organs is impaired. Urinary incontinence, gynecological diseases, frigidity in women, and potency disorders in men are frequent symptoms of osteochondrosis. When the spinal cord is compressed, paresis and paralysis are possible.
Ischemic syndromeWe also advise:
Treatment of dorsopathy of the lumbar region
A symptom of circulatory disturbance( ischemia) occurs when the vessels that are close to the nerve roots are being squeezed. The narrowing of the arteries is initially of an incoming character, and then a persistent spasm occurs. There are symptoms of "intermittent claudication" - pain in the legs when walking, forced to stop and pass after a short rest.
Prolonged spasm of vessels feeding the pelvic organs, cause pain in the "rider's zone" - in the buttocks, perineum and on the inner surface of the hips. Violated the function of the pelvic organs, their sensitivity, paralysis of the buttocks is possible.
Radicular, painful and ischemic syndromes of the osteochondrosis of the lumbar spine lead to changes in the skeleton. Because of the pain, weakness and atrophy of the muscles, the spine and pelvis warp, stoop appears. Strain other muscle groups, ligaments and tendons. Changing posture, developing a tense and uncertain walk. The entire musculoskeletal system is involved in the disease, and conditions for further destruction of the discs arise.
Treatment of osteochondrosis of lumbar spine
Treatment of osteochondrosis usually begins with the elimination of disease syndromes:
- the appointment of analgesics and anti-inflammatory drugs;
- muscle relaxants, relieving spasm;
- dry heat and rest;
- in some cases helps only surgery.
These measures only remove the clinical manifestations of the disease. Treatment of the lumbar spine is aimed at eliminating degenerative dystrophic processes in intervertebral discs. This is achieved by unloading the spine and restoring metabolic processes.
The effective methods for the treatment of lumbar osteochondrosis are:
- the appointment of chondroprotectors;
- vitamin therapy;
- exercise therapy.
Currently, lumbar osteochondrosis has a reason for spreading. Malosymptomicity of the first stage of osteochondrosis leads to destructive complications leading to disability. Treatment of osteoporosis is complex, multi-stage and requires persistence and discipline of the patient.
Osteochondrosis of the lumbar spine. Symptoms and treatment of lumbar osteochondrosis
- How to eat properly with osteochondrosis?
One of the most common forms of osteochondrosis is , lumbar spine osteochondrosis , or more precisely, the lumbosacral spine. Very many - both men and women - are familiar with back pain in the lumbar region, sacrum, lower limbs, caused by various types of lumbar osteochondrosis and its complications. Among the causes of temporary disability and disability, this disease is one of the first places.
The course of the disease is chronic, usually with periods of exacerbations. Most often provoke exacerbations of the lumbar osteochondrosis, lifting and carrying of weights, hypothermia, stress, trauma.
Osteochondrosis of the lumbar spine - causes, mechanism of occurrence and development of
There is no single-valued cause of osteochondrosis, the disease is considered to be multifactorial. The most popular theory is that the cause of osteochondrosis of the spine is the constant overstrain of muscles or hypotonia of muscles, non-physiological muscle tension, which leads to overload of vertebral segments, deterioration of their blood supply and, ultimately, to degeneration of intervertebral discs and joints, resulting in osteochondrosis.
The cause of premature aging of intervertebral disks can also be endocrine and metabolic disorders, a hereditary predisposition to the development of osteochondrosis, autoimmune disorders, microtrauma. The negative role of visceral, that is, associated with internal organs, pathologies in the development of osteochondrosis of the spine is also proved. A significant role in the development of the disease belongs to the adverse heredity. The contribution of hereditary factors to the appearance of lumbar osteochondrosis is about 60%, the rest is attributed to factors of adverse external impact on the spine.
Factors contributing to the development of osteochondrosis in both the lumbar and other parts of the spine are very numerous. The main ones are: abnormal posture, hypodynamia, muscle strain in the lumbar region as a result of constant weight lifting or sudden overload, hormonal changes, endocrine and somatic diseases, disruption of normal blood supply to the spinal tissues, emotional stress, age changes, poor nutrition. Under the influence of these factors in the structures of the spine, the processes of dehydration and circulatory disturbances, arthrosis and subluxation in small joints, bone proliferation, and herniation of discs-hernia gradually increase.
The most obvious causes of lumbar osteochondrosis are most often considered sedentary life and back injuries. Therefore, the risk group is primarily those people whose profession is directly related to the burden on the back. This is a very wide range of professions - the sellers and waiters, surgeons and teachers - all who are forced to spend most of their working time standing up. The group of risk includes builders and loaders, as well as athletes who, due to the nature of their activities, have heavy loads on the spine. In addition, from osteochondrosis of the lumbar region, drivers, various office workers, programmers suffer - that is, those who work mostly sedentary, and who suffer from hypodynamia.
Symptoms of lumbar spine osteochondrosis
With lumbar osteochondrosis painful sensations of various character are possible. This can be like aching pain that occurs with prolonged sitting or after sleep, and sharp shooting, catching in the most uncomfortable position and not giving the opportunity to straighten. The pain is caused by pinching of the nerve roots, irritation of the spinal column nerves, edema and irritation of the muscles and ligaments located in the zone of innervation of the lumbar spine.
Pain syndrome can be caused by compression of the radicular structures( radiculopathy), compression of the spinal cord( compression myelopathy), spinal cord injury due to blood supply disorders due to constriction, constriction of the supply arteries and veins( compression-vascular myelo-ischemia).
The cause of compression can be: protrusion and herniated intervertebral discs, spondylolisthesis( slipping of the vertebra forward in relation to the underlying one), growth of osteophytes and cartilaginous tissue in the vertebral segment. As a result of , the osteochondrosis of the lumbar spine of the spinal column leads to a narrowing of the channel through which the spinal nerves or vascular structures pass, and under certain conditions( clumsiness, physical stress, unsuccessful torso rotation, etc.), compression may occur. Compression of the nervous structures leads to various pain syndromes, muscle spasms. Vessel compression causes a violation of blood supply - begins ischemia of the organ, which is fed from this vessel or artery.
Clinical syndromes of lumbar spine osteochondrosis
The clinical picture of lumbar osteochondrosis is defined by a complex of vertebral symptoms( changes in the statics and dynamics of the lumbar spine) and escapravertebral symptoms, which are understood as a violation of the function of neurological and vascular structures in the lumbosacral spine.
Vertebral syndromes of lumbar osteochondrosis
In lumbar osteochondrosis, the vertebral syndrome is characterized by the following complex of symptoms:
- disruption in the configuration of the vertebral functional anatomical segment: flattening or( less often) strengthening of lordosis, scoliosis or lordoscoliosis;
- impairment of mobility in the lumbar region, a decrease in the volume of movements, a muscle-tonic imbalance caused by the stress of both deep and superficial multiarticular muscles.
- local pain and soreness in active and passive movements, which causes reflex tonic tension of the muscles
- disruption of the spring-motor functions of the intervertebral disc, and in general of the vertebral-motor segment.
- local soreness( hypersensitivity) of bone-ligamentous structures of the spine in the affected area( soreness in palpation, local( regional) vertebral and / or vertebrozonal pain syndrome).
It is important to note that with osteochondrosis of the lumbar spine of , vertebral pathologies are always observed. The presence of signs of myelopathy, radiculopathy and mieloradiculopathy, without obvious clinical and morphological signs of vertebral syndrome, requires, as a rule, a more in-depth examination of the patient for primary( "non-embryogenic") damage to the nervous system.
Extravertebral( reflex and compression) syndromes in osteochondrosis of the lumbar spine
Extravertebral syndromes are divided into two large groups: reflex and compression.
Reflex syndrome is preceded by compression and is caused by stimulation of the receptors of the roots of the nerves leaving the vertebral canal through the intervertebral foramen. Irritation can be caused by intervertebral hernia, bony proliferation, as well as vascular disorders( edema, worsening of blood circulation), inflammation. In some cases, this leads to intense pain, which arises not only locally but also along the nerve, at a distance from the site of irritation - the so-called "reflected pain". Reflected pain can be short and sharp( "lumbago") or dull prolonged. In the zone of innervation of the damaged nerve, vegetative disturbances( burning, chills, sensory disturbance) are possible. Possible myofascial pain - muscle spasm, which leads to restriction of movements.
Reflex syndromes include lumbago( "lumbago") with acute development of the disease and lumbargia in subacute or chronic course.
Compression syndromes are syndromes resulting from compression, infringement of nerves, vessels, spinal cord in the region of lumbar vertebral-motor segments. Compression syndromes in osteochondrosis of the lumbosacral canal are subdivided into radicular and vascular-radicular. A special case of compression syndrome is myelopathy - infringement of a spinal cord.
Radicular syndromes( radiculopathy) are usually caused by protrusions of the disc, causing infringement of the spinal roots. The resulting radicular symptoms correspond to the level of the affected vertebral segment. Most often, the roots of L4-S1 are affected.
Vascular-radicular neurologic disorders are caused by compression of a hernia on the spine and a radicular artery passing along with it. At the same time, a "paralytic sciatica" characterized by peripheral paresis or paralysis of the extensor muscles of the foot can develop catastrophically quickly. In such cases, the appearance of motor disorders is accompanied by the disappearance of the pain syndrome.
Even more severe neurological manifestations cause a violation of the blood supply to the spinal cord due to damage to the radicular-spinal arteries. In this case, chronic discirculatory myelopathy develops, usually at the level of the lumbar spinal cord thickening.
The most unfavorable variant of lumbar vertebrogenic radicular syndromes is the compression of the "horse tail" - the so-called caudal syndrome. Most often it is caused by the fallen middle disc hernia, which squeezes all the roots at the level of the affected segment.
What is osteochondrosis of the lumbar spine? What are its symptoms? How to treat osteochondrosis of the lumbar region?
About the causes and symptoms of osteochondrosis of the lumbosacral spine and about new methods of treatment tells cms. E.L.Shahramanova, the doctor of the consultative and polyclinic department of the Scientific Research Institute of Rheumatology.
Clinical classification of lumbar spine osteochondrosis. Degrees of osteochondrosis
Classification of lumbar osteochondrosis in degrees is used to systematize the characteristics of clinical manifestations of the disease. This classification systematically describes the symptoms of the disease and begins with the moment when the patient has pain.
1 degree of osteochondrosis
Occurs when an intervertebral disc ruptures, caused by sudden movement or overexertion. It is manifested by sudden pain, a feeling of electric current flow arises in the spine, the musculature is reflexively tense.
2nd degree of osteochondrosis
The second degree can manifest itself in the form of symptoms of intervertebral protrusions and instability of the spine. Chronic pain, worse with exertion. The intervals of remission and exacerbation are alternating. The cervical region is characterized by neck pain that increases after a long stay in one position, headaches, pain in the arm, shoulder pain, periodic discomfort or numbness in the fingers. For the lumbar region - pain in the lower back, pain in the gluteal region, periodic pain in the sacrum, frequent fatigue in the legs.
3 degree of osteochondrosis
manifests itself in the form of symptoms of a herniated disc( pain along the affected nerve, numbness of the hands or feet, changes in gait, headaches) or distant symptoms of intervertebral hernia( in the cervical region: frequent headaches, tinnitus, dizziness, decreased vision, hearing, muscular strength in the hands, in the thoracic part: a violation of the heart rhythm, difficulty breathing, in the lumbar part: kidney disease, gastrointestinal tract, disorders in the genital area, numbness or weakness in the legs).
4 degree of osteochondrosis
It is considered that the fourth degree of osteochondrosis starts from the moment when the hernia is no longer manifesting, the manifestations of the disease may decrease, but the symptoms of spinal instability, slipping or twisting of the vertebrae, or their complete fixation relative to each other still remain. They can be joined by the manifestations of the growth of vertebral bodies( osteophytes), which can also pinch the spinal nerves or block the spinal canal( secondary stenosis of the spinal canal) and squeeze the spinal cord( spinal cord ischemia).In addition, the fourth degree can be attributed to the consequences of surgical intervention, if the hernia was removed promptly( various kinds of disorders of innervation, paresis, inflammation).
Treatment of lumbar spine osteochondrosis
For the first time acute pain in the lower back, you should always consult a doctor for diagnosis to exclude a stroke of kidney colic, appendicitis or some other disease requiring emergency medical care.
If the cause of back pain is known, and this exacerbation of osteochondrosis of the lumbar spine, first of all, it is necessary to minimize the load on the spine as much as possible. It is necessary to comply with bed rest for 3 - 7 days - sometimes only this can significantly reduce the pain. But in order to accelerate recovery, you need the right, that is, effective, treatment. It should stimulate its own protective and healing processes in the human body. Treatment should take into account the localization of the lesion, the stage of the disease, the functional state of the organism and its individual systems. Surgical treatment of this disease is indicated only in very serious cases. Most often, various methods of conservative treatment of osteochondrosis are used.
Conservative treatment of lumbar osteochondrosis
Conservative treatment methods are, first of all, drug treatment. To reduce the pain syndrome, as well as to reduce inflammation, which is often the cause of vertebral syndrome, non-steroidal anti-inflammatory drugs( NSAIDs) are given in the form of tablets or - in acute cases - as injections. Sometimes after the injection of the analgesic, the pain subsides and does not resume even when the duration of the drug ends. This means that it was possible to break the vicious circle in which pain leads to muscle spasm, and muscle tension, in turn, increases pain. However, if the pain continues for a long time, it is important to remember that NSAIDs usually have various side effects and, if taken for a long time, can cause unwanted complications - a decrease in the number of white blood cells in the blood, complications from the gastrointestinal tract.
Often to improve the general condition of patients prescribed sedative( sedative) for 1-3 weeks, as well as small doses of antidepressants. When osteochondrosis of the lumbar spine, if necessary, produce novocaine blockades. Recently, preparations for the anticonvulsant series have been successfully used to relieve pain.
For the reduction of compression syndromes, manual therapy, traction treatment( spinal traction) and in special cases - surgery.
When weakening the fixation properties of the ligaments and joints of the spine, it is recommended to use fixing devices - corsets, collars, bandages, etc. However, fixing devices can only be used for a limited period of time, since muscle relaxation is observed when they are used. And patients with osteochondrosis of the spine are extremely important in the future to strengthen their own muscular corset.
After removing acute symptoms, the task of creating a muscle fixation, and then stimulating the processes of regeneration of damaged structures, comes first. For this, therapeutic gymnastics, reflexotherapy, and massage are used. For this, chondroprotectors( preparations for the restoration of cartilaginous tissue) are used. And also drugs that improve the condition of blood vessels( angioprotectors), vitamins, especially group B, calcium preparations that improve the bone tissue.
For the treatment of spinal osteochondrosis, physiotherapy procedures are widely used. They reduce pain and swelling of tissues, improve blood circulation, stimulate muscle fixation. Procedures can be combined, alternating. Such methods of physiotherapeutic treatment as
- darsonvalization of the affected area of the back and affected limbs can be used;
Lumbar osteochondrosis: dangerous symptoms
The main weight and body burden is taken by the lumbar spine. The pressure on it increases several times when lifting cargo, with sharp inclines and a long time in a tense position. Therefore it is not surprising that lumbar osteochondrosis tops the list of the most common diseases of the spine.
- Stages of development of lumbar osteochondrosis
In most cases, the disease develops in men and women older than 35-40 years, since the main cause of osteochondrosis is the natural aging of the body and, as a consequence, the deterioration of metabolic processes in the jelly core of the intervertebral disc. But, in connection with the fact that in the modern world the majority of young people spend a lot of time practically motionless( for example, sitting at a computer), the disease began to massively affect young people aged 25-30 years.
Signs of osteochondrosis are very typical, low back pain starts to appear already in the second stage of the disease. Therefore, an experienced specialist to diagnose a disease is usually not difficult.
Symptoms of lumbar osteochondrosis can be pain symptoms and a feeling of discomfort in the lower back. Pain can spread to the hips, groin, buttocks and lower legs. There is a violation of sensitivity in the groin area, in the extremities, toes( this can be numbness, burning sensation, tingling).
Pain in the lumbar region is divided into several types. These are:
- acute paroxysmal pains;
- aching, non-intensive pain( usually occurs after a long seat or the morning after sleep);
- lumbago - very strong and sharp pains that occur as sudden lumbago.
All these painful symptoms appear as a result of the defeat of nerve endings, pressure on the nerve roots, ligaments, which often leads to inflammation and swelling of the tissues that are nearby. Boles in the lower back can become worse not only during movement, but also during sneezing and coughing.
Osteochondrosis in the lumbar region, in addition to pain, can cause a weakening of the trophism of the leg muscles, complete disappearance or decrease of the tendon reflexes of the legs. Also, in the presence of complications, disruption of the organs located in the pelvic region begins. That, in turn, can provoke incontinence of urine and feces, a decrease in sensitivity in the genitals, in the perineum( in men, lumbar osteochondrosis can cause impotence).
The first pain in lumbar osteochondrosis occurs after severe or prolonged physical exertion. Symptoms can appear not only right after the load, but also after a certain period of time. Often the development of lumbar osteochondrosis can be accompanied by lumbargia - aching pain with low intensity, the focus of which is in the lower back and gives to the limb. Also patients often complain of moderate pain in the leg, which is worsewhen walking, shaking while driving, with a long stay in a sedentary uniform posture, with intense coughing and sneezing.
Pathological processes in the spine, which develop during lumbar osteochondrosis, can cause a sufficiently strong and prolonged tension of the muscles of the waist, which is so intense that a person is unable to straighten or move at all. Even the slightest burden on the spine or supercooling of the back leads to strong and sudden pain in the back( lumbago).
So, let's sum up and systematize the main symptoms of lumbar osteochondrosis:
- Sharp or persistent pain in the lumbar region, of varying intensity - from minimal symptoms to painful pains( which even the strong analgesics can not completely eliminate).As a rule, the symptoms intensify after physical exertion.
- Aching prolonged back pain, sometimes giving to the limb.
- Pain in the limb, increasing with strain.
- Constant and intense tension of the back muscles, their swelling and spasms.
- Stiffness in movements( impossible to move or move).
- Burning, loss of sensation, muscle atrophy in both or one limb.
- Trophic disorders on the lower limbs.
- Dysfunction of organs in the pelvic region, a decrease in sensitivity in the groin, legs, hips, lower limb fingers or in the entire foot.
Variety of complications
- Burning and very intense back pain, which occurs as a sudden lumbago, is called a lumbago in professional language.
- Constant pain, which increases with exercise, is called lumbargia.
- If the pain symptom from the affected lumbar region extends to the gluteal muscles and gives further down the leg, it is accompanied by limb numbness - this may be lumboishialgia, ischialgia or sciatica.
- During the pressure on the spinal nerve rootlets, lumbar radiculitis develops in the lumbar spine.
- Also, with lumbar osteochondrosis, spondylolisthesis, protrusion and a herniated disc may develop.
To avoid the development of all listed pathologies, if you have the first, even moderate pain, be sure to seek professional help.
The main factor in the development of osteochondrosis is destructive and deformational changes in the structure of the spine. They occur because of a metabolic disorder in the intervertebral discs and connective tissue.
Accelerate the development of symptoms in the lumbar department may:
- inadequate physical activity( abrupt or persistent);
- spine trauma;
- wrong power supply.
The heredity also plays an important role in the development of osteochondrosis. Genetic factor increases the risk of osteochondrosis in the body by 60%. At the risk, as a rule, are office workers, students, drivers, builders, loaders, hairdressers, professional athletes, that is, people whose lifestyle provides for a constant load on the spine.
The pain that occurs with lumbar osteochondrosis is primarily caused by pressure or infringement of the nerve roots of the spinal cord. This occurs as a result of a gradual decrease in the height of the intervertebral disc, which leads to a narrowing of the space between adjacent vertebrae. Progression of pathological changes in the spine can also cause the disc to bulge without breaking its shell( protrusion) or its displacement as a result of rupture of the fibrous ring( herniated disc).These pathologies are always accompanied by spasms of the muscles located nearby.
Osteochondrosis of the lumbar region leads to the development of a number of other pathological processes in the spine. In particular, the disease can often cause spondylolisthesis - "uncommitted" vertebrae, their instability. Complications occur when adjacent vertebrae are not sufficiently fixed by ligaments and the intervertebral disc. Any load or pressure on the spine can lead to displacement of the vertebra. Thus, spondylolisthesis can cause an infringement of the nerve roots of the spinal cord. In women, this pathology can resemble the symptoms associated with violations in the genitourinary system. Men, in turn, may suffer from a violation of potency.
Stages of development of lumbar osteochondrosis
There are 4 stages of development of osteochondrosis in the lumbar part:
- At the first stage, the pathological processes in the spine are not yet pronounced brightly. Osteochondrosis begins to develop as a result of dehydration of the pulpous core( dehydration).The nucleus is a gelatinous substance that attracts and gives off fluid. Dehydration of the nucleus leads to a decrease in the height of the intervertebral disc, the first microcracks appear in the structure of the disc. The first microdamages begin to occur in the fibrous ring, which prevents the disc from moving.
- The second stage is characterized by the inadequacy of muscles and ligaments, the appearance of excess mobility of the affected vertebrae. This is due to the decrease in the volume of the intervertebral disc and the convergence of the joints of muscles and ligaments. At this stage, instability begins to appear in the segments of the spine, which leads to infringement of the nerve roots of the spinal cord.
- The third stage is characterized by the appearance of complex pathologies in intervertebral discs. There is a protrusion of the discs, which after a while may cause the appearance of an intervertebral hernia. In the intervertebral joints begin to develop arthrosis, which leads to a worsening of the entire spine.
- The fourth stage of development is characterized by more acute symptoms, pronounced deformation processes begin to develop in the affected areas of the spine. As a result of destructive lesions in the bone tissue, regeneration processes in the body are activated. But since it is already impossible to restore the old structure of the cartilaginous and bone tissue, bone outgrowths or osteophytes begin to appear on the periphery of adjacent vertebrae. Osteophytes contribute to an even more infringement and traumatization of nerve roots. At the fourth stage of development of lumbar osteochondrosis, the need for surgical intervention increases dramatically.
- Narine Pogosyan
Has long ago chilled her back when she was tempered by pouring cold water. .. And with the slightest freezing or blowing her back - there is a sharp pain in a couple of days. .. I understand it's already chronic, because this lasts for 2 years. . I wouldwanted to know who is treating this like? Is it possible to completely get rid of this ailment? Share, can than you can help me. . I already namuchalas. ..
- Sofia Romanova
Well, you have become so hard to steel up. .. Poor thing. .. Now dress warmly and take care! At me at the pain there are periodic in a loin - it is direct lumbago. .. I, at once as will take, I paste for 12 hours a plaster Versasitis, is on sale in drugstores. It is based on lidocaine and perfectly anesthetizes. And of course, more muscle strengthening: swimming, fitness, for a sedentary lifestyle and bad posture are the pitfalls that always provoke this pain. .. The fact that you have chilled is yes! But all the same, most likely you already had the prerequisites for osteochondrosis, and just hardening the incorrect one hit the weak spot. .
- Christina Ray
My mother has osteochondrosis for several years now, so I know firsthand what it is and what it is eaten with. Mamulyu is very sorry when she takes the lower back, she can not sleep at night with such attacks. ..
- Yana Leikina
Christina, osteochondrosis is now, unfortunately, quite a frequent phenomenon. And if you immediately after the appearance of the first signs of it to the doctor does not apply, then later you will suffer from periodically arising pains. I know what I'm talking about, the lumbosacral osteochondrosis itself, at times even in the foot, "shoots through", almost to numbness. But I'm now trying to always keep an anesthetic patch for such "relapses", which was mentioned below, - Versatis. The main active substance there is lidocaine, which, penetrating into the skin, blocks the pain impulses, and you do not notice how the pain ceases to disturb - the plaster removes it quickly and permanently. Buy mom, I'm sure she will appreciate.
- Evgenia Berezovskaya
When frequent and acute pains - it is necessary to be examined first. Perhaps it is about the pain of the neuropathic. They are just very powerful in strength and exhausting with their frequency. In this case, it is better to apply a lidocaine patch( I bought Versatis in a pharmacy - very high quality) than drinking non-steroidal anti-inflammatory pills or injections - in this case they are powerless( in case of neuropathic pains) and affect the stomach directly, namely "plant" it....
- Albina Jabarova
I did not even know about this method. Evgenia, thanks for the useful information. I have periodic acute pains between the shoulder blades, I've already exhausted the tablets to drink, nothing really helped. And my stomach really began to ache from tablets. ..
It is worth noting that in practice it is very rare to find isolated lumbar osteochondrosis, more often it is observedsimultaneously with cervical osteochondrosis.
Symptoms of lumbar osteochondrosis
In lumbar osteochondrosis, the onset of pain or exacerbation is usually preceded by physical overload, and a painful reaction to them can occur both after the load and the day after it. Most often, patients experience dull, aching pain in the lower back( lumbalgia), sometimes giving up in the leg. There are complaints of pain in the leg, which is amplified when trying to lift the weight, with jerking, sneezing, coughing, changing the position of the trunk, and also if you are in one position for a long time.
With exacerbation of lumbar osteochondrosis, patients complain of the inability to straighten or move - as any movement increases pain, on a strong and constant tension of the muscles of the back. Even after a short stay in the cold, acute pain in the lower back( "lumbago") can occur.
Symptoms of lumbar osteochondrosis are also:
- impaired sensation in the buttocks, thighs and lower leg, sometimes - the foot,
- creeps and tingling in the legs,
- chills in the legs, spasm of the arteries of the feet - sometimes even the pulse disappears,
- dryness and peeling of the skinin places of pain or loss of sensitivity.
In the event that a spinal cord becomes trapped in lumbar osteochondrosis, there is a violation of urination or defecation, as well as a violation of the sensitivity of the bladder or genitals.
The most unpleasant complication of of lumbar osteochondrosis is vertebral instability. The disc no longer fixes the vertebra, and under the load under the action of gravity the lumbar region "slides" from the sacrum. And this already provokes dangerous violations in internal organs, especially in the genitourinary system: women have problems with appendages, uterus, ovaries;in men - with potency.
Diseases contributing to the development of lumbar osteochondrosis
Many diseases of the internal organs contribute to the onset of lumbar osteochondrosis and the appearance of pain. Thus, more than 28% of patients with clinical manifestations of lumbar osteochondrosis suffer from diseases of the gastrointestinal tract and liver. The reason is that with diseases of the gastrointestinal tract, liver, pancreas, etc., the flow of painful impulses causes tension and spasm of muscles and vessels. This leads to oxygen starvation and development of the dystrophic process in the corresponding areas of the body. The process aggravates the metabolic disturbance observed in these diseases. Lumbar pelvic organs can also provoke lumbar pain: in women, inflammation of the appendages of the uterus( adnexitis), in men - inflammation of the prostate gland( prostatitis). Phenomena in the pelvic cavity observed in these diseases, as well as hemorrhoids, chronic colitis, constipation, also contribute to the manifestation of lumbar osteochondrosis.
What is osteochondrosis of the lumbosacral spine? What are its symptoms? How to treat lumbar osteochondrosis?
About the causes and symptoms of osteochondrosis of the lumbosacral spine and about new methods of treatment tells cms. E.L.Shahramanova, the doctor of the consultative and polyclinic department of the Scientific Research Institute of Rheumatology.
Species of lumbar osteochondrosis manifestations
The most complete and systematized classification of vertebrogenic( spine related) diseases of the peripheral nervous system was proposed by IP Antonov. According to this classification, the following clinical syndromes of lumbar osteochondrosis can be distinguished:
- Reflex - lumbago, lumbalgia, lumboscialgia.
- Radicular - vertebrogenic( discogenic) sciatica with damage more often than the fifth lumbar or first sacral root.
- Radicular vascular syndromes - radiculo-ischemia, or compression along with the root of the vessels( radicular artery, vein).
Lumbago - acute, type of lumbago, lumbar pain. It usually occurs after lifting the heaviness, awkward movement, sometimes - coughing, sneezing.
Lumbalia - subacute or chronic pain. Occurs gradually after physical exertion, prolonged stay in uncomfortable position, in sitting position.
Lumbosciagia is a back pain extending into one or both legs. It can occur with muscle-tonic, vegetative-vascular and neurotrophic manifestations.
Radiculitis ( radicular syndromes) show signs of compression of one or two roots. Along with root pains, they are characterized by motor pains( weakness of flexors or extensors of the big toe or entire foot) and sensitive disorders associated with loss of function of the damaged rootlet.
Radiculoheischemia occurs as a result of compression of the radicular-spinal arteries. The clinical picture is dominated by gross motor( paresis, paralysis) and sensitive disorders in the presence of mild pains, and often their absence.
Treatment of lumbar osteochondrosis
Lumbar osteochondrosis requires compulsory treatment, this disease can not be ignored. Treatment of lumbar osteochondrosis is described in the general section "Osteochondrosis, treatment".
A therapeutic anesthetic anti-inflammatory plaster NANOPLAST forte can be of great help in the treatment of lumbar osteochondrosis.
Lumbar osteochondrosis: treatment with a medical plaster NANOPLAST forte
In the therapeutic treatment of lumbar osteochondrosis , various agents such as NSAIDs, muscle relaxants and other drugs are used. All these drugs are effective, but with prolonged use can harm the body. Therefore, it is very important to minimize side effects and increase the effectiveness of the treatment of lumbar osteochondrosis. This can help the drug of a new generation - an anesthetic anti-inflammatory medical plaster NANOPLAST forte.
In the treatment of lumbar osteochondrosis, the medical plaster NANOPLAST forte is very effective, it allows you to relieve pain and inflammation, improve blood circulation in the lumbar osteochondrosis area, and reduce the dose of analgesic and anti-inflammatory drugs.
For lumbar osteochondrosis, the NANOPLAST forte patch is applied to the lumbar region. To achieve maximum effect, the adhesive need to be glued transversely to the spine. It is usually recommended to use a patch in the morning for 12 hours, but it is possible to apply it for the night. The course of treatment is from 9 days.
High efficiency, uniqueness of the composition, long-term( up to 12 hours!) Therapeutic effect, ease of use and affordable price make NANOPLAST forte the means of choice in the treatment of lumbar osteochondrosis.