Osteochondrosis - is that for ailment? Osteochondrosis of the lumbosacral spine: symptoms and treatment
Osteochondrosis is a problematic spine disease, which affects every fourth inhabitant on planet Earth. Among the most common diseases of the world, this ailment takes second place, second only to cardiovascular diseases. Most often, osteochondrosis, a photo of which is presented to your attention, affects the lumbosacral spine.
The back experiences a constant load, but most of all the waist suffers. Therefore, the intervertebral discs in it are more deformed than in other departments. Problems caused by various diseases of the back - this is the result of a systematic and prolonged stay of a person in a sitting position. Because of the lack of reasonable physical activity, the muscle corset begins to change, which leads to painful sensations. In time, the detected symptoms and properly prescribed treatment will help to get rid of the pain and the disease as a whole.
What is osteochondrosis?
Osteochondrosis is a common disease of the musculoskeletal system, in which the cartilage surface of bones changes. Most often this disease affects the lumbosacral spine. Its free and active movement occurs due to intervertebral discs, which are a cluster of cartilaginous tissue.
When these structures affect the osteochondrosis, the photo of which you see, their elasticity is lost, eventually they become delaminated and deformed. As a result of such changes, the distance between the vertebrae is reduced. Nerve roots are squeezed, pain appears. If the disease is not treated, the pain and swelling intensifies, as the nerve bundles of blood vessels are further infringed over time.
How to know what is osteochondrosis?
Osteochondrosis is an ailment that affects a lot of muscles and internal organs of a person, as there is an infringement of the vascular-neural bundles, which worsens the innervation and blood supply. So, if the lumbar spine is involved in the process, a person begins to have problems with digestive and urinary systems, impotence. An accurate diagnosis is established depending on the localization of pain in the spine. Even in the last century osteochondrosis was mainly sick people of the older generation.
Currently, this disease is very young people. According to statistics, in our country more than 90% of the population shows any disease of the support apparatus. Thousands of people suffer from such a disease as osteochondrosis of the sacral spine, which negatively affects the functioning of the body as a whole.
Sacrum department of the spine
The vertebral column consists of several sections, one of which is sacral. It has five vertebrae, which, due to the lack of intervertebral discs, are joined together motionless and are an integral part of the pelvis. The lumbar spine has the same number of vertebrae and intervertebral discs.
Osteochondrosis is a disease characterized by a lesion of intervertebral discs. Since they are not present in the sacral region, therefore, the osteochondrosis of this zone of the spine is very rare. It is one of the stages of development of lumbar osteochondrosis. Osteochondrosis of the lumbosacral spine is damage to the discs. They are located between the vertebrae of the lumbar region and the last vertebrae that is attached to the sacrum.
Stages of the disease
If the lumbosacral osteochondrosis is not treated, the disease will progress and can reach the last stage of development( there are only four), which leads a person to disability. Let's consider each of them.
- The initial stage of the disease is characterized by the appearance of cracks in the intervertebral discs. Feels discomfort in the lower back, which is markedly strengthened during exercise, and disappears when resting. The pains are permanent as well as temporary, with lumbago. But it does not deliver tangible inconveniences to a person, and he does not hurry to consult a doctor.
- The second stage is characterized by a decrease in the distance between the vertebrae, pinching of the nerve endings and destruction of the fibrous ring. The pains become pronounced, they often give the shin to the thigh. During seizures, there is profuse sweating. At the person there is a desire to address for consultation to the doctor.
- At this stage of the disease there is a curvature of the spine. There are severe pains that can occur unexpectedly and give up in the fingers and leg. Bone osteophytes appear. They begin to squeeze the vessels, nerves and tissues.
- When the disease reaches the fourth, the last stage of development, a person experiences great difficulties during movement, as his spine is twisted. There are sprouting on the bones. Lumbosacral osteochondrosis in neglected form leads to disability.
What are the causes of osteochondrosis?
- Insufficient physical activity. It is experienced by people who have a sedentary lifestyle.
- Inexactly active physical exertion on the spine and lifting excess cargo. This disease often affects people involved in weightlifting.
- Incorrect posture, uncomfortable position of the body during sleep, work activity or exercise, if this occurs systematically and for a long time.
- Hereditary predisposition, spinal cord anomalies, fragile cartilage tissue structure.
- Flat feet, in which the foot is unable to distribute evenly the load on the entire spine.
- The weight of a person, if it is much higher than normal.
- Obtained injuries of the lumbosacral spine, which can deform the discs. Diseases of the heart, digestive and endocrine systems.
- Diseases of the spine. So, rheumatoid arthritis can cause osteochondrosis of the lumbosacral spine.
- If a person adheres to the wrong way of life: how he feeds himself, chronically does not sleep, does not observe the regime of the day, constantly experiences stress, is subject to depression.
- Undercooling and prolonged exposure to drafts.
- Changes with age, when intervertebral discs lose elasticity and begin to react sharply to all kinds of unfavorable conditions.
Symptoms of the disease
When the disease reaches the second or third stage of development, symptoms of the disease begin to appear. An exception may be severe hypothermia of the body or a person's stress. In this case, the ailment makes itself felt by attacks of sharp pain already in the first stage of development. By itself, it does not endanger human health. But the development of the disease is accompanied by a dangerous symptomatology that leads a person to disability, promotes the development of heart and vascular diseases, becomes the impetus to the beginning of protrusion of the discs between the vertebrae. When a person has a backache, this is most often a lumbosacral osteochondrosis. Symptoms of the disease are as follows:
- Pain in sudden movements and physical exertion. Gradually, the pain becomes more frequent and prolonged. They can occur at the slightest load, for example, sneezing or coughing. The pain is accompanied by numbness.
- The sensitivity of the feet is lost.
- Chronic fatigue and persistent depression appear.
- The mobility of the sacrum is impaired.
It is characterized by a jamming of nerves lumbosacral osteochondrosis. Symptoms are characterized by other unpleasant sensations:
- Muscle weakness appears.
- The reflex ability of the tendons is reduced.
- Sweating is disturbed.
- Arterial spasms and a feeling of coldness in the feet.
- The normal functioning of internal organs is disrupted.
Polysegmentary osteochondrosis. What it is?
The vertebral column has 24 segments, five of them belong to the sacral department. Each segment has its spinal nerves responsible for the work of certain human organs. The vertebral-motor segment includes: adjacent vertebrae with ligaments and intervertebral discs. Polysegmentary osteochondrosis of the lumbosacral spine afflicts several segments simultaneously.
This disease can be determined by abnormal functioning of the abdominal organs and pain in the small pelvis. They can also appear in the thigh, lower leg or buttocks and are accompanied by lameness. The consequence of this form of osteochondrosis can be the displacement of the discs between the vertebrae. This is dangerous because the spinal nerves begin to taper. Over time, this condition leads to infringement and inflammation of the roots.
Polysegmentary sacral osteochondrosis, the symptoms of which are very diverse, most often affects the spine. Aching in the back often does not allow walking and sitting normally. She worries, even if the person is motionless. The cause of this condition is a pinched nerve. This disease can not be cured completely. But properly selected therapy will relieve pain, prevent all kinds of exacerbations and complications.
How to treat medicated osteochondrosis?
The primary task in the treatment is to eliminate or slow down the destructive processes in intervertebral discs. Lumbosacral osteochondrosis, whose treatment begins with the removal of pain, can not be eliminated without drug treatment if the disease has reached the second or third stage of development. The use of non-steroidal anti-inflammatory drugs, such as Diclofenac, Ibuprofen, Ketorol, Nimesulide and others, is mandatory. If the pain is moderate, the doctor can prescribe these drugs in the form of a gel, ointment or cream. If strong - in the form of injections, capsules, tablets or candles.
Simultaneously, the patient takes medications that relieve spasms of the dorsal muscles, such as "Midokalm".For very severe pains that are not removed by the above drugs, the doctor prescribes "Prednisolone", "Dexamethasone" and others. These are potent anti-inflammatory drugs, they will quickly relieve pain. But they are used in extreme cases, since these drugs have side effects.
If the pain is very severe, the treatment is carried out by the position. A person, lying on his back, chooses a position in which the pain is least felt. As soon as it subsides, a complex of physiotherapy exercises is carried out with a gradual increase in the load. At the same time, the patient is prescribed a massage that relaxes, strengthens the back muscles and supports the spine. To enhance the therapeutic effect, physiotherapeutic procedures are prescribed.
How to cure osteochondrosis?
Only the load on the spine can not be corrected. It is necessary to actively treat medicines. To improve blood circulation in the spine area help: "Nicotinic acid", "Trental".Thanks to these drugs, the flow of blood to the arteries of the spine improves. The outflow of venous blood activates such drugs as "Ascorutin" and "Troxevasin".To ensure the influx of energy to cells, it is necessary to stimulate cellular metabolism. This is promoted by vitamin "B".Protect cartilage tissue from destruction such drugs as "Chondroitin", "Donna", "Structum".
Treatment with folk remedies and means
People with spine disease often ask themselves how to cure osteochondrosis. If the disease is at an early stage of development, a person does not think to consult a doctor. But he wants to get rid of unwanted symptoms. In this case, people's ways and means come to the rescue.
- Back pain can be eliminated with an ordinary pin. It is necessary to take it alternately, then to the right, then to the left hand and tap on the spine. Exercise should be done regularly, and the result will not take long to wait.
- Using a rolling pin, it is possible to break up salt deposits. To do this, lie back on it and ride for 15-20 minutes. The next day the back will ache, this is the way it should be. Do not stop doing the exercise. The main thing is regularity.
- It is useful to apply compresses. Any ointment for rubbing joints, for example "Sustamed", "Chondroitin", rub into the skin in the region of the waist and cover with polyethylene. It is better to use fresh leaves of lilac, mint, sage or lemon balm instead. Top with a second layer of leaves of cabbage or burdock. Back wrapped with a woolen kerchief or blanket. If there is no time to patiently lie with a compress, you can fix it and walk with it.
Recipes of Alternative Medicine
If the disease is not amenable to treatment with medications, we treat osteochondrosis at home using folk remedies. Recipes from some of them:
- Compress of burdock is applied to the waist, top covered with cellophane, then with a woolen shawl and held for 20 minutes. Prepare the broth easily: the leaves of the plant are crushed and poured 250 ml of boiling water. Insist half an hour, filtered, cool. In the broth, a soft cloth is wetted. Compress is ready.
- Compress from elderberries. Tincture of 4 parts of alcohol and 1 part of the berries is infused 7-10 days. For a compress on the back, it is diluted with water in a ratio of 1: 3.
- Decoction of parsley roots. It is prepared as follows: 3 tsp.dry plant and 500 ml of water boil on low heat, filter and take 1 tbsp.l.every 12 hours.
Exercises of the first group of complexity
They are designed for the elderly, during an exacerbation and at a serious stage of the disease. Exercises perform prone.
- Reach with elongated toe socks. Repeated several times.
- The legs bend at the knees. Alternately, each knee is wrapped around the arms and pulled back on itself and back. Exercise is done 10 times.
- The starting position is the same. One leg straightens and slowly rises, then descends. Repeat 4-5 times and go to the second leg.
- Stand up from the couch and slowly reach up, and then remove the tension. To do this, you need to bend and limp with your hands down.
The second group of complexity
Next, we will describe what exercises are for lumbosacral spine osteochondrosis when the disease is in the third stage of development.
- The complex begins with the last exercise of the previous group.
- Torsions are made to the right and left with relaxed hands.
- Hands at waist.5 times incline to the right and left, forward and backward.
- All movements of the last exercise are connected in series. First the slopes are clockwise, then - against.
- Rotations are made by the lower part of the body in the likeness of the last exercise.
- Stand on the half-bent legs, hands lower or put on the hips. Bend in the back, shoulder blades back. Then arch in an arch, shrink shoulders.
- The same exercise, just kneeling.
- Lie on the floor and perform the exercise from the first group with knee pulling, but with a deeper amplitude.
- Bend the legs in the knees and alternately put them to the right and left.
The third group of complexity
Exercises are available for people with the first stage of osteochondrosis and during the recovery period after the illness.
- Lie on your back, raise your elongated legs and hold them for a few seconds. Then lower, rest and raise again. So do 10 times.
- Lying on the back, perform slow turns of both legs simultaneously to the right and to the left. Repeat 10 times.
- Lie on your back, legs straight. We perform small steps.
- Cross leg movements - scissors. Do not forget to rest.
- Lie on your stomach, stretch your arms along the trunk, raise the body and swing right and left.
- Lie on your back, hands behind your head, lift and lower your upper body 10 times.
- Get on your knees at point-blank range, raise your right foot and your left arm. Then vice versa.
- Sit on the floor, spread legs. Perform alternate slopes to the legs.
- Do the same thing while standing. The slopes are deep.
Exercises are divided into groups conditionally. Depending on the stage of the disease and sports training for one person, they seem simple, and the other - complex. Everyone will choose something for themselves. The main thing is not to be lazy and regularly perform these exercises.
Signs of osteochondrosis of the lumbosacral spineA common cause of the appearance of pain with limited mobility in the lower back and legs is the osteochondrosis of the lumbosacral spine. Primarily formed in middle-aged people due to changes in the structure of intervertebral discs and vertebrae.
What is osteochondrosis?
When osteochondrosis changes the normal structure of the cartilaginous tissue. The intervertebral disc consisting of a cartilaginous plate, a pulpous nucleus and a fibrous tissue loses water with age, it becomes flattened, loses its elasticity. Deformation and thinning of the intervertebral disc leads to a reduction in the spacing between adjacent vertebrae, deformation of the vertebral surface, compression of the vessels and nerve root ends.
Disease can occur in one department of the spine or simultaneously in several. The defeat of several segments of the spine - lumbar, thoracic and cervical - is called polysegmentary osteochondrosis. Most often, the lumbar segment is affected due to functional and anatomical features.
The maximum load falls on the lumbar region when lifting any weight and keeping the upper half of the trunk in an upright position. The lumbar segment consists of large vertebrae and has relatively thin intervertebral discs. Physiological lordosis and the above factors lead to maximum vulnerability of this segment of the spine.
Causes of lumbar spine osteochondrosis
There are several main factors provoking the formation of osteochondrosis:
- minimal physical activity, prolonged fixation of one posture, for example, with sedentary work;
- various congenital and acquired abnormalities in the structure of the musculoskeletal system - curvature of the legs and spine, flat feet;
- intensive physical work with lifting heavy objects;
- is overweight;
- back injury;
- autoimmune diseases with joint and spinal cord damage;
- infectious diseases with predominant lesion of the bone system - tuberculosis, osteomyelitis;
- age changes;
- various hormonal changes in metabolism( more often in women).
Signs and symptoms of osteochondrosis of the lumbosacral spine of
The main signs of osteochondrosis are pain sensations of various intensity in the lumbar segment of the spine with the spread of pain to the buttocks and the back surface of the legs. More often the signs of osteochondrosis appear after a high load on the lumbar region or hypothermia. Symptoms of osteochondrosis grow gradually depending on the stages of the change of the cartilaginous plate, fibrous ring, as well as the compression of nerve endings and blood supply vessels. At the first stage, the disease can be asymptomatic.
The main symptoms of lumbar osteochondrosis:
- pain in the region of the lumbosacral segment of the spine. Painful sensations are permanent( lumbalgia) or shooting( lumbago).At the initial stage, pain occurs only after physical overstrain, then has a permanent character and can occur at the slightest stress( coughing, sneezing);
- decreased mobility in the lumbar segment, a compensated increase in muscle tone. Patients can not hold a single position for a long time, a change in the position of the body increases pain;
- spread of pain to lower limbs;
- decrease in the sensitivity of the skin of the legs, violation of blood supply;
- muscle weakness in the legs, lowering the threshold of tendon reflexes;
- malfunction of the urinary system and intestines;
- neurasthenia, characterized by increased irritability, mood swings, rapid fatigue, depression.
During the osteochondrosis four degrees are distinguished:
- at 1 degree of change in the cartilaginous tissue lead to microfractures of the fibrous ring and redistribution of the gelatinous nucleus. During this period, there are minor, short pain, numbness in the lower back, which quickly pass after rest;
- at 2 degrees due to flattening and thinning of intervertebral discs, the distance between a number of located vertebrae decreases, irritation of nerve endings is observed. The pain in this period is of a persistent nature, extending to the buttocks, thighs, and thighs. Exacerbation of pain is accompanied by a feeling of heat or cold in the lumbar region, sweating, paresthesia in the lower back and legs;
- at 3 degrees develops deformation of the vertebrae, osteophytes( bone formations) proliferation, curvature of the spine in the form of scoliosis, lordosis or kyphosis, due to a decrease in its length. The intervertebral disc is significantly deformed, possibly the appearance of protrusion or herniation of the disc. At this stage the pains are more intense and more prolonged, disorders in the activity of internal organs are manifested;
- at 4 degrees there is a persistent deformation of the lumbar region, a change in the position of the pelvis and extremities. Movement in the lumbar region is as limited as possible, lame appears.
Lumbar osteochondrosis with prolonged flow leads to the appearance of protrusion, then to the herniation of the intervertebral disc. The protrusion of the disc is characterized by its bulging beyond the spine, with a volume of 1-5 mm, without rupturing the fibrous tissue. When the outer shell of the fibrous ring ruptures, an intervertebral hernia forms. In addition, osteochondrosis can be complicated:
- by sciatica nerve inflammation;
- with spondylarthrosis;
- of Schmorl's hernia;
- osteophytosis, spondylosis;
- stenosis of the spinal canal with compression and impaired spinal cord activity;
- compression of the "horse tail" with a breakdown in the functioning of the pelvic organs;
- paresis of the lower extremities.
Prevent progression of complications with timely diagnosis and comprehensive treatment.
How to treat osteochondrosis of the sacral spine?
What is sacral osteochondrosis? In medical terminology, these are changes in the cartilaginous tissue of the spinal discs that lead to their degeneration or manifestations of a dystrophic nature. They occur in the sacral region and on the lower back and cover 10 vertebrae located there. At the same time, 5 of them are connected to the sacral bone and do not move, but are part of the pelvis.
Causes of development and pathogenesis of the osteochondrosis of the sacrum
This type of disease is more common and is observed much more often than a similar ailment in the cervical spine or in the thorax. Doctors point out the fact that the sacrum is not isolated in isolation, and its compound vertebrae begin to degenerate after the development of osteochondrosis at the waist. This is due to the anatomy and physiology of the human body.
Any vertebra of the lumbar and sacral spine has a nerve end. It has two branches( motor and sensory) that branch out from the front and back from the vertebra.
The location of the spine and its discs does not match, since the spinal cord is somewhat shorter than the spinal canal itself, where all the nerve fibers are assembled into one bundle( it is called the "ponytail").The sciatic nerve is formed from the lower lumbar and 3 sacral nerves.
To maintain the human body in a certain position, the loin experiences a static and dynamic load. This also happens when lifting heavy objects and walking or just when making movements. This leads to the deterioration of the cartilage on the discs of the sacral spine. Cartilage tissue is damaged and with any changes in the human body, namely:
- with disorders in the gastrointestinal tract;
- symptoms of cardiovascular disease;
- endocrine changes.
When osteochondrosis develops, the symptoms can be different. Particularly affected are 4 and 5 lumbar discs, which lose their elasticity and can move to the side. This occurs when making sudden movements or with great physical exertion. Vertebrae with such a disease as osteochondrosis, strongly squeeze each other, infringe, because of this inflamed nerve endings. In such places of this department of the spine the development of spondylosis begins - the growth of bone tissue. A complication can also develop - a horse tail syder. It appears when the bundle of nerves is squeezed in the spinal canal.
Symptoms of Sacral Disease
The development of the disease begins almost painlessly, but then various complications arise due to the appearance of a herniated intervertebral disc. This is facilitated by spondylosis. The main symptoms with this development of the disease are as follows:
- possible sciatica;
- acute pain;
- signs of lumbosacral radiculitis appear;
- there is a cauda equina syndrome.
When osteochondrosis develops, the symptoms in the form of pain first appear in the lumbar region, and as the disease progresses, from the pulling and aching pain becomes acute and is given to the sacrum, lumbago appears. Its intensity increases. If the pathology passes to the sciatic nerve, then it begins to move toward the rear surfaces of the lower extremities. The main symptoms of this part of the spine and the involvement of nerve bundles in the process of spreading the disease in the horse tail syndrome are acute painful painful sensations along the entire surface of the legs and attacks of acute pain in the back.
This is always combined with osteochondrosis of this department of the spine with the following disabilities:
- have problems with coordination of movements;
- pathology with muscle tension;
- tingling, burning, or numbness in various areas of the sacrum. In this case, loss of ability to move is possible, and paralysis of the lower extremities can begin.
If the osteochondrosis is in a neglected state, then the patient may have such symptoms:
- there is muscular atrophy;
- patient's incontinence of feces and urine;
- in male patients may show a violation of potency.
Osteochondrosis: treatment in many ways
To combat this disease, when the symptoms of the disease are fully manifested, the following methods are used:
- treatment with the use of medications;
- physiotherapy procedures;
- medical gymnastics;
- manual therapy;
- unconventional methods( acupuncture treatment and more).
The first method is based on the use of the following drugs:
- non-steroidal agents that relieve inflammation;
- hormones( steroids);
- immunomodulating drugs;
- vitamin and mineral supplements.
Of the above drugs, the first 2 groups have many side effects:
- can cause bleeding;
- upset the work of the gastrointestinal tract.
The following preparations are especially often used:
Treatment of osteochondrosis can not be conducted without them.
In combination with them, vitamins and mineral supplements are also used. To protect the body, you can apply immunomodulators and chondroprotectors, which affect osteochondrosis. Symptoms are eliminated a few days after the start of the use of drugs.
Osteochondrosis of the sacral spine: treatment after pain relief
After successful use of drugs, when the main symptoms of the sacral spine are eliminated, you can apply the methods of physiotherapy. The patient is prescribed to perform a set of exercises of therapeutic gymnastics and massage. Physiological methods, when it is necessary to continue treatment, include such methods:
- magnetic therapy;
- amplipulse and electrophoresis;
- application of paraffin.
When osteochondrosis is treated, in order to obtain maximum effect, treatment is carried out in 3 courses for 10 days with interruptions of 14 days.
Therapeutic gymnastics for violations in the work of the spine is used to strengthen the muscles of the waist and legs, increase the distance between the vertebrae and release the jammed nerve endings. At the first stage, such treatment is carried out with a minimum load of the patient. Exercises are performed in the prone position: the patient flexes the legs in the knees and pelvis while lifting the head.
In the following stages, treatment continues when the patient is standing or sitting. He is recommended to do gymnastics and after recovery.
For the same purposes, the so-called method of post-isometric relaxation is used, which consists in the following: when the load is created on the muscles of the waist of the patient, they are loaded as evenly as possible. Then comes relaxation. Gradually the exercises become more complicated. If the pain is worse, then the treatment is stopped.
Massage is used to strengthen the muscles of the lumbar region. It improves metabolic processes in the body. Basically, it is used for the feet, and then go over to the hips and the sacral department. Duration of massage - up to 15 minutes.
Treatment of this department of the spine with the help of manual therapy produces a direct effect on the spine by the hands of a doctor. For complete recovery, the patient is prescribed to visit the balneological and mud resorts.
If symptoms of the disease of this part of the spine do not pass, then surgical intervention is possible. For this, the following indications are needed:
- a sequestered herniated disc;
- development of caudal or radicular pain syndromes;
- symptoms of radiculitis with myelo-ischemia.
The operation should be performed within 24 hours after being diagnosed, otherwise there will be irreversible changes in the patient's body.
Most often an open type of surgical procedure is being done, but recently minimally invasive methods have been used in such operations. Osteochondrosis is a very serious disease, and at its first signs it is necessary to consult a doctor.
Treatment of osteochondrosis of the lumbosacral spine
The various consequences of osteochondrosis of the spine make itself felt most if the focus of the disease is in the lumbosacral spine. Like any chronic illness, this type of osteochondrosis progresses, if not subjected to qualitative treatment.
There are many options for the treatment of lumbar osteochondrosis. However, it must be understood that individual measures can hardly achieve the desired result. Such a complex disease, as osteochondrosis and its consequences, is treated qualitatively only by a combination of different techniques.
The following measures apply to the main methods of treatment.
Exercise exercises several important goals at once: pain relief, strengthening of muscles, improvement of blood supply. The choice of the complex and degree of exercise will be determined only by the doctor.
- The period of exacerbation. Physical exercises are shown even in acute lumbar osteochondrosis. In this case, you should be careful when doing the exercises. It is advisable to attend special classes. The therapist will offer the patient to lie down on the couch and show exercises that are performed lying down, avoiding unnecessary strain on the spine.
- Remission. At a time when the disease has receded, you can resort to more serious stress and perform static and dynamic exercises under the supervision of a trainer in a hospital or independently at home.
Drug intake is mandatory for serious illness. Drugs help:
- Relieve pain;
- Remove swelling;
- Get rid of a hotbed of inflammation.
For this purpose, the patient receives appointments for analgesics, non-steroidal anti-inflammatory drugs, vitamin complexes, immunomodulators and topical preparations.
Various physiotherapeutic procedures have a significant effect on the treatment of osteochondrosis of the lumbosacral spine. The greatest effect is achieved by combining a special massage and electrophoresis with the inclusion of a drug.
Acupuncture also acts positively, relieving spasms and pain. Of course, it is better to visit a reliable manual therapist, and for home use you can buy an applicator Kuznetsova.
Hirudotherapy promotes the renewal of blood and the removal of discomfort in the place of the affected vertebrae. Therefore, treatment with leeches is so popular in the therapy of low back pain.
Traditional medicine recipes
The wisdom of ancestors will tell you many ways to cope with the ailment. Compresses, ointments and lotions based on herbs and other natural ingredients are completely safe, have no contraindications and negative effects. There are options for infusions. The composition of such drugs include honey, radish, mustard, red pepper and oil, which depress negative processes and positively affect the health of the spine.
What kind of effect should appear if the patient has received a worthy treatment of the osteochondrosis of the lumbosacral spine will help permanent monitoring of the following symptoms:
Stages of the development of the disease
The development of osteochondrosis is slow and in four stages. At the first stage, the pulposal nucleus of the intervertebral disc is destroyed. For this stage, painful sensations in the lower back are typical, which arise mainly under heavy loads or sudden movements. At the second stage, the process of change in tissues around the nucleus begins. Perhaps the formation of protrusion and pinching of the spinal nerves. There are strong painful sensations, which are commonly called lumbago, extending to the thigh and shin of the leg. The third stage is accompanied by rupture of the fibrous ring of the disc and the appearance of a hernia causing permanent pains of an acute nature. For the fourth stage, bony growths on the vertebrae are characteristic, because of which the person's movements become painful and chained.
Symptoms of lumbosacral osteochondrosis
Lumbosacral osteochondrosis has a wide variety of symptoms that do not appear immediately and become noticeable only at the second stage of development. When this osteochondrosis appears, the main symptoms are pain sensations in the back and lower back, which are especially felt during physical exertion and abrupt movements of the body. They have a tendency to become aggravated from time to time, and even become unbearable. Osteochondrosis promotes thinning of the intervertebral discs, which in future can create limitations for movements. In this case, it is hard for a person to bend over, turn around and even sit. The pain has the property of becoming aching, then sharp and giving into the leg area. In the defeat of nerves, a decrease or increase in the sensitivity of the skin of the lower extremities is observed. The lack of treatment may threaten later with muscle weakness and a decrease in tendon reflexes.
Treatment of lumbosacral osteochondrosis
Patients with osteochondrosis are usually treated by a neurologist. At the reception the doctor conducts a visual examination of the patient, probes the vertebrae, looks at the patient's posture. Further appoints the necessary studies, including radiography, MRI and CT.After a complete examination, the neurologist establishes the patient's treatment, aimed primarily at eliminating the painful sensations, resuming the functioning of the nerve roots, as well as stopping the destruction of the discs. The main methods of treatment include:
Features of treatment of osteochondrosis of the lumbosacral spine
Treatment of osteochondrosis of the lumbosacral spine requires careful consideration of many factors.
Backache hurts. This is the first sign of osteochondrosis.
The sooner it begins, the more rapid results can be achieved. Total recovery from osteochondrosis, according to many experienced specialists, is almost impossible to achieve. However, the disease can be significantly slowed down in development.
The main goal of treatment, both conservative and non-traditional, is the elimination of pathological changes, as well as the reduction or complete elimination of painful symptoms.
Features of the development stages of the disease
In the first stage of the disease, lumbosacral osteochondrosis symptoms are mild or almost absent. Although at this time the spine had time to touch the processes of destruction. During this period, the pulpous nucleus is dehydrated and the height of the standing of the vertebral discs decreases. This is characterized by the possible appearance of discomfort resulting from prolonged exertion, as well as mild pain after a sharp movement of the entire body.
In the second stage of lumbar sacral osteochondrosis can manifest as sharp lumbar pain. Their distinctive features are the possibility of recoil into the buttock or thigh. At this time, the fibrous cartilage continues to collapse, narrowing the intervertebral lumens. There is a sagging not only of the muscles, but also of the ligaments - the condition of the spine becomes unstable. There are feelings of "shooting", as well as severe sweating or paresthesia( numbness).
In the third stage, osteochondrosis of the lumbar sacral region leads to pronounced changes in the morphology of the spinal discs. There is a rupture of the fibrous ring. The spine experiences significant deformity, possibly the development of scoliosis, kyphosis or lordosis. Prolapses and disc protrusion are forming. There may be a subluxation or arthrosis in the joints and articular joints.
Pain in this period is more prolonged and intense. For a patient standing or sitting uncomfortable, any tilt can be painful. In the case of protrusion of the fibrous ring and the involvement of the canal of the spinal cord, there can be a strong squeezing of not only the nearby nerve endings, but also the vessels or the site of the spinal cord.
Localization of osteochondrosis of the spine.
In the fourth stage, the osteochondrosis of the sacral spine is characterized by peculiar adaptations of the patient's body to the disease. To preserve the protective and supporting functions, the appearance of bone growths, or osteophytes, is possible. Their unfortunate location can cause a microtrauma that affects the nerve root. Fibrous ankylosis begins, which leads to disability.
Self-movement is difficult, you can observe the manifestation of almost all the characteristic symptoms. It is not rare that there is a short absence of pain, which is not at all a sign of improvement. On the contrary - at this time there is a proliferation of bone tissue, which only aggravates the situation.
List of common symptoms of the disease
Such a disease as osteochondrosis of the lumbosacral spine - the symptoms are diverse. The most characteristic include:
- Feeling of discomfort in different parts of the back, from minor to severe pain.
- The manifestation of overly fast mental and physical fatigue.
- Impaired sensation, sensation of chilliness.
- Pain with recoil in one of the legs.
- Pains under the scapula, in the shoulder, in the occiput or neck.
- Frequent dizziness or migraine, fatigue and decreased vision.
- Sexual dysfunction.
Methods of treatment
Proper treatment of lumbosacral osteochondrosis, first of all, requires a preliminary history of the anamnesis. Based on complaints, the technique for eliminating symptoms is also selected. In the list of complex therapeutic treatment, in addition to selected medicines, may include: