How and what kind of shots are used for osteochondrosis of the lumbar spine?
Severe severe pain in osteochondrosis occurs due to pinching of the nerve roots and inflammation of the spinal tissues. The use of injections for osteochondrosis of the lumbar region is the most effective and quickest method of eliminating a pain attack, since tablets and ointments are much slower.
Drug substances injected with injections almost instantly reach the target with minimal loss of bioavailability, because they pass the digestive system and are not exposed to the action of gastric juice and enzymes.
The following drugs are included in the scheme of emergency treatment of osteochondrosis and relief of a pain attack:
- analgesics and spasmolytics( also known as muscle relaxants) These drugs, coming directly into the bloodstream, block the signals of nerve cells, thereby relieving pain and simultaneously exerting an anti-inflammatory effect;
- NSAIDs( non-steroidal anti-inflammatory drugs);
- homeopathic remedies.
In osteochondrosis of the lumbar spine, the same injections are used as in the cervical and lumbar, since all drugs are systemic, and their effectiveness does not depend on the localization of the disease.
Various injection methods are used, depending on the intended purpose:Type of injection When using
Applied in most cases. This method allows the drug to quickly enter the blood and provide the necessary action.
Intravenous administration of
These injections are resorted to when it is necessary to immediately inject the medicine into the bloodstream to relieve pain and inflammation of the tissues.
Subcutaneous injection of
Subcutaneously injected mainly vitamins, because they are perfectly absorbed into the subcutaneous tissue - this achieves the maximum therapeutic effect.
Medical blockade - injections are done in the areas of the exit of nerve endings or between the processes of the vertebrae
|In the case of a severe attack of exacerbation, a blockade is performed in which the medicine is injected directly into the lesion.|
Next, we will tell you in detail about the advantages and disadvantages of injections, what medications they use, and the patients' feedback.
Three advantages of treatment with pricks
Three advantages of injections in comparison with tablets and external preparations:
Efficiency and quick action. Passing the digestive barriers, active substances penetrate into the blood and reach the nerve endings without hindrance, and by maintaining their bioactivity they are much more effective and faster.
Accurate calculation of active ingredient dosage. Administration of the drug injectively provides the full effect of the drug, while the tablets lose some of the active substances under the influence of digestive enzymes.
Reducing the risk of side effects. Since many drugs that are used in the treatment of lumbar osteochondrosis, have irritating effect on the digestive system, their injection with injections allows minimizing the negative effects on the digestive tract.
The ability to relieve pain in a short time with injections is especially important for osteochondrosis of the lumbar region, since the pain in this area is often such that it does not allow any movement.
Treatment with injections helps to quickly and effectively eliminate back pain
In addition to so many positive qualities, injection therapy has disadvantages that can not be ignored.
Three disadvantages of lumbar osteochondrosis treatment with
injections In clinical practice, injections in osteochondrosis treatment regimens rheumatologists are prescribed only for relief of acute pain in case of acute exacerbation of the disease, as an initial stage in the general treatment regimen. This is due to the fact that:
Treatment of osteochondrosis of the lumbar spine takes a long time, and the injection requires professional skills, and not many patients will be able to allocate so much time that they would visit the treatment room every day.
The other side is traumatic. Daily injection of injections, fraught with the development of nodules and abscesses. Therefore, injections are given for a short time to stop an acute attack, and then parenteral drugs are included.
Entered in / m, IV injections act quickly, but a short time, and much more often than other dosage forms cause side effects.
What medications and how to use
Analgesics and muscle relaxants
The main task of injections in the treatment of lumbar osteochondrosis is the arrest of a pain attack and the removal of a pathological muscle spasm. Best of all, this task is solved by analgesics( painkillers) in combination with antispasmodics. They are prescribed intramuscularly by the course up to 7-10 days.Analgesics( analgesics) Spasmolytics( muscle relaxants)
In most cases, analgin( approximate price 50 rubles) or baralgin( 125 rub.) Is used as the most effective and affordable.
Analgesics quickly stop pain receptors, thereby relieving pain.
Painkillers are used in combination with one of the following antispasmodics:
Muscle relaxants reduce the contractile ability of muscles, relaxing them and relieving pain due to the tone( tension).
Non-steroidal anti-inflammatory drugs
The drugs of the NSAID group relieve pain and swelling.
When osteochondrosis of the lumbar region is most often used:
- Ketonal( 270 rubles.).
- Diclofenac( 220 r.).
- Movalis( 221 rubles) is a new generation drug that has a long action( 24 hours).
One of the most effective new drugs combined action - milgamma. In its composition it contains NSAIDs and several vitamins of group B, which allows you to remove tissue swelling, pain and restore normal blood flow( this is very important in the treatment process).
Chondroprotectors are the means restoring cartilaginous tissues of intervertebral discs, and, therefore, eliminating the main cause of pain. These drugs are prescribed a long course of injections in 1,5-2 months, and then replaced with tablets and continue treatment for up to six months.
Injectable solutions are prepared on the basis of hyaluronic acid and glucosamines( which are extracted from the bone marrow of animals and fish).What drugs are used( all the drugs listed below are administered intramuscularly):Name How to use
Aflutop( average price of 263 rubles)
Once a day, course not less than 20 days
Dona( 420 rub.)
Three times a week,the duration of the course is 1.5 months. It contributes to slowing down the progress of destruction of the spinal tissues, increases mobility, relieves pain.
Rumalon( 350 r.)
Introduced in a day, the duration of the course is 35 days;after 6 months, a second course of treatment.
Vitamins of group B
Vitamins B1, B2, B6 and B12 have a beneficial effect on the state of nerve fibers, stimulate blood supply and have analgesic effect.
Many rheumatologists note that taking vitamins in the treatment of osteochondrosis of the lumbar spine significantly reduces the duration of the pain period and restores the motor function.
With a particularly severe pain attack, a therapeutic blockade is prescribed. The purpose of this procedure is to "exclude" the affected area for a time-a sensitive cord of the spinal cord that transmits painful spinal impulses. As soon as the pain impulses of the problem area are disconnected, the pain subsides.
Advantages of drug blockade - in the instant removal of pain, the absence of side effects and getting rid of muscle spasm.
For such injections, mainly anesthetics are used: novocaine and lidocaine. In especially severe cases of lumbar osteochondrosis, injections add corticosteroids: prednisolone, aldosterone, hydrocortisone, which have an anti-inflammatory effect and increase the effect of blockade.
In the osteochondrosis of the lumbar spine, two types of treatment blockades are used: paravertebral and epidural.
Paravertebral blockade of
In case of paravertebral blockade, an anesthetic( most often for this purpose, novocaine or its mixture with hydrocortisone is used) is injected next to the vertebral column in the lumbar region( on the side of it and between the spinous processes).
Scheme for performing paravertebral blockade of
At the same time, the sensitive nerve roots near the place where they exit from the spine "turn off".To achieve maximum analgesic effect, several injections are usually performed, the effect of which begins within 10 minutes and can last up to several hours.
Epidural blockade of
Epidural blockade is the most effective analgesic injection for lumbar osteochondrosis. The drug( novocaine) is injected directly into the epidural space located between the inner surface of the spinal canal and the dura mater.
Scheme of the epidural blockade
The sensitive roots are "switched off" even before they exit from the spine. The effect of anesthesia begins several minutes later and lasts up to a day.
This is a complex manipulation that requires special skills of the doctor and constant monitoring of the patient, therefore, it is used only with a very severe pain caused by osteochondrosis of the lumbar spine, when the remaining injections can not eliminate it.
Homeopathic injections for osteochondrosis
With the help of injections of homeopathic remedies, you can not only immediately stop pain, but also directly affect the cause of pain in the lumbar region. When choosing drugs for rheumatologists increasingly stop on homeopathic solutions made on the basis of natural raw materials. They gently improve the condition of the affected tissues, have a beneficial effect on immunity, effectively stop pain and have no side effects.
According to people who have been treated with homeopathic injections, they work very well:
Traumeel C is a complex treatment that quickly stops the attack of pain, stops the inflammatory process and helps to repair damaged spinal tissues.
The purpose of T stimulates the metabolic processes of cartilaginous tissue, promotes the growth of new cartilage cells.
Coenzyme is a new generation drug that has an antioxidant effect, normalizing tissue metabolism and stimulating oxygen flow to them.
In case of exacerbation of the osteochondrosis of the lumbar spine, injections are a first aid device that can significantly alleviate the condition of the patient. Their independent appointment is unacceptable, the optimal therapeutic scheme can appoint only a neurologist!
Author: Svetlana Kant
What drugs are prescribed for the treatment of osteochondrosis?
This disease, like osteochondrosis, manifests itself primarily in severe pain syndromes. And in the acute phase of the disease, the pain can be very strong and it is not so easy to eliminate them. In such cases, injections are given for osteochondrosis - diclofenac, milgamma, etc. It is the injections that are the fastest way to get rid of pain, but you can not abuse them, which any doctor will tell you.
When treating a disease such as osteochondrosis, injections are an important component that allows you to quickly change the situation for the better. There are several types of drugs that can be used in this situation. It is possible to distinguish several basic drugs that are used in this form: non-steroidal anti-inflammatory drugs, pain medications and medicines based on vitamin B.
In what cases are injections administered?
Osteochondrosis of the spine is the cause of back pain in 80% of cases of
. As we said, injections are usually prescribed during the acute period of the course of the disease. But there is also one more condition - indications for the use of injections are strong, almost intolerable pain. That is why, in the diagnosis of "chest osteochondrosis", the treatment of the injection is not intended simply because with the development of the disease in this department of the spine, there are usually no serious pains. Accordingly, there is no sense in applying such treatment, it is usually sufficient to have tablets and ointments.
But the injections with cervical and lumbar osteochondrosis - a fairly common phenomenon, because in this case you often have to deal with very severe pain syndromes, which are hard enough to take control. In this case, non-steroidal anti-inflammatory drugs are commonly used, which quickly relieve inflammation and swelling, thereby reducing the compression of nerve roots and pain.
A separate category is anesthetic injections. Analgesics can be used to relieve pain syndromes, but the patient must understand that the absence of pain does not mean recovery, in this case it is only a temporary effect of the drugs.
What drugs are used to treat osteochondrosis?
There are several most popular drugs. In particular, with a disease such as cervical or lumbar osteochondrosis, treatment often involves injections:
- of diclofenac;
- of vitamin B.
These drugs have already proven their effectiveness in the treatment of various diseases of the spine. In this case, the above drugs are non-steroidal anti-inflammatory drugs and vitamins.
Arguing about what nyxes are put for osteochondrosis, we should not forget about such a drug as novocaine, or more precisely - about novocaine blockades. This is an effective way to relieve pain, which consists in cheating novocaine of the affected area. The effectiveness of this method is quite high, and the effect lasts long enough. In this case, however, there are all the disadvantages of using an anesthetic - in fact it is not a cure, but simply a blockage of pain.
It should also be noted that the treatment of cervical osteochondrosis with pricks should be done with caution, which presupposes the very specifics of this department of the spine. It's not just about the risk of damaging blood vessels or serious nerve endings, it's all much more complicated. The fact is that the pain in cervical osteochondrosis simply tells the person that certain movements can not be done just to not hurt yourself even more. The disappearance of pain removes such a prohibition in the subconscious, which is why there is an additional risk of complications.
In addition to what has already been said, it makes sense to remember that you can not decide for yourself what injections to do, for example, with cervical osteochondrosis. Obligatory is not just consulting a doctor, this is a serious enough disease and it requires a corresponding attitude.
That's why the injections from the cervical or any other osteochondrosis should be prescribed by the doctor as part of the course of treatment, independent use of drugs with such a disease is unacceptable!
Treatment of osteochondrosis with pricks
An unpleasant disease of osteochondrosis often begins to be treated and detected when it passes into the stage of exacerbation. The main symptom is severe pain in the joint, back. To quickly help the patient prescribed treatment for osteochondrosis with injections. However, they can not permanently treat the disease, the same drugs are sold in the form of pills and, when the pains wane, continue to drink them in this form.
The doctor should determine which stitches to stab in osteochondrosis. They can simply block pain or start a healing process. Usually, a simple blockade of pain is the last resort, when the medications do not give a quick result. They can also make a shot with vitamin B to restore the nervous system in the affected area.
Only a doctor can prescribe injections for osteochondrosis. And only a person with medical education should do them, especially in the neck area. In the locus of the disease in the spine there are many vessels and nerves, which can not be accidentally bruised.
When is the treatment prescribed by injections?For the purpose of injecting and the doctor should be certain reasons. This is not the main method of treatment, but the ability to quickly change the course of the disease, to alleviate the patient's condition and prevent the development of unpleasant consequences.
The main indication for the use of injections is a strong, unbearable pain. For this reason, injections with chest osteochondrosis are almost never prescribed. The course of the disease in this department never causes particularly severe pain, in contrast to cervical and lumbar osteochondrosis. In this case, use the means that most effectively eliminate pain.
If especially severe pain is not observed, then prescribe drugs that can quickly stop the development of the inflammatory process and repair damaged tissue. What injections are prescribed for osteochondrosis, it is advisable to know in order to understand the purpose of treatment. Most often, a small group of drugs are injected. This is the first stage of treatment of the disease.
Advantages of treatment with pricks
Undeniable advantage of treating a patient with injections. They can be intramuscular, intravascular, but still remain the most effective. Effective pricks with osteochondrosis can quickly come to the aid of the patient. Their advantages are as follows:
- Speed of impact. The drug is delivered directly into the blood, which quickly transfers it to the nerve endings. Tablets should dissolve in the stomach, absorb. It takes a lot longer. Therefore, injections directly into the focus of inflammation are most effective.
- The correct dosage. The injected preparation is completely used for the treatment of the disease. In the case of tablets, most of the active substance is destroyed in the gastrointestinal tract, so much less medicine is taken to the hearth than the person took.
- Exact exposure. To eliminate severe pain in lumbar or cervical osteochondrosis, local blockades can be used, such as splitting the area with anesthetics. Since the injection is done in the region of the spine, at the outlet of the roots, the drug affects only the individual zone, and not the entire body.
- Positive dynamics. With long-term treatment with jabs, the clinical picture changes significantly faster and better than using the drug in the form of powders and tablets.
To noticeably improve the condition it does not matter what nicks to treat osteochondrosis. The main correct dosage. There are many means, but they all have approximately the same effect.
Types of injections for osteochondrosis
Understanding the variety of injections, it is possible to understand which treatment a doctor has appointed. Some believe that it is enough just to set yourself up for recovery so that the body activates its forces. So understanding the impact of injections will help them to work better, but these are just theories. And in practice, use four groups of drugs for osteochondrosis:
Osteochondrosis of the lumbosacral spine
What is osteochondrosis of the lumbar spine?
Osteochondrosis of the lumbar spine is a disease that is a special form of spine injury. Patients with such ailment complain of rapid fatigue, pain in the back, legs, which causes the limitation of motor activity. With osteochondrosis, deformation of the intervertebral discs occurs, a decrease in their height, a dystrophy and a beak-like growth of the vertebrae are observed. When diagnosed on an X-ray, displacements of the disks are clearly visible.
Deformation of cartilage in the course of development of osteochondrosis is a complex process, including including biochemical and vascular changes. First of all, there is a destruction of the fibrous ring, as a result of which pulpous is introduced into it. As a result, the fibrous ring ruptures and a disc herniation is formed. The greatest strain is exerted on the lower lumbar and lower lumbar segments. Herniated disc, squeezing the spinal cord or its roots, causes back pain, which respond in the leg.
The most powerful sciatic nerve in the human body is formed by the sacral roots of the spinal cord. They, as well as the lower lumbar roots are irritated with osteochondrosis. From the Latin name of the sciatic nerve in connection with this was formed the second name of the disease-sciatica.
Due to disruption of the cartilaginous tissue structure, intervertebral discs, which are special cartilaginous structures, can no longer perform all their functions in full. This leads to loss of flexibility and mobility of the spine. The processes that affect only the intervertebral discs at the initial stages of the disease gradually spread to the vertebrae themselves.
Discogenic radiculitis, which is considered one of the most common symptoms of osteochondrosis, occurs in almost every fifth person over 30 in the world. In the risk group, most often people of working age are. Osteochondrosis deprives the ability to engage in active activities and often becomes the cause of disability.
Symptoms of lumbar osteochondrosis
The main symptoms of lumbar osteochondrosis are severe back pain. However, in addition to this feature, there are a number of others. Thus, patients suffering from this disease quickly become tired, complain of headaches, fatigue and irritability. Discomfort in the back area does not allow choosing a comfortable position for sleep, so the body can not fully rest and recover after the end of the day. The decline in strength forces the patient to minimize physical activity and avoid pain. This leads to the fact that over time it becomes unable to perform even simple actions, for example, to ensure their own domestic needs.
Problems in the work of the genitourinary system can also be one of the symptoms of lumbar osteochondrosis. They manifest themselves in the form of pain in the kidney area. In patients with osteochondrosis, urination is impaired, possibly an unexpected occurrence of causeless discomfort. This leads to instability of the vertebrae, which, due to deformation, are not fixed by intervertebral discs. The load on the spine provokes the displacement of the lumbar region from the sacrum when the force of gravity is applied to it. Such a process leads to damage to internal organs, problems in their work. Women often suffer from ovaries, epididymis and uterus, and in men the potency is impaired.
For osteochondrosis is characterized by an increase in the sensitivity of the legs, including the feet, hips and legs. They cause spasms, which can lead to a complete loss of heart rate. The skin of the patient with osteochondrosis on his legs is very dry, scaly and covered with goose bumps in the area of discomfort. During sweating, sweating is disturbed.
All symptoms of osteochondrosis can be classified into the following groups:
Thinning of intervertebral disks leads to loss of vertebral stability. Having become mobile, they with sharp movements and heavy physical exertion begin to irritate and squeeze blood vessels and nerve roots. This process minimizes pain in the lumbar region, but they renew with renewed force where the nerve is squeezed. The pain is acute and has a drilling character. The most severe discomfort is expressed in the lower leg, thigh, foot and buttock. Unpleasant sensations cause the patient to change the gait, bending in the opposite direction from the squeezed nerve.
When the nerve roots are irritated for a long time, their inflammation, swelling, venous congestion and intoxication occur. The pain extends to the muscles, ligaments. The most acute it happens at times of physical activity, especially if you hold it without warm-up immediately after sleep or rest. Pain is often accompanied by excessive sweating, which is replaced by a feeling of chill.
To the manifestations of radicular syndrome also include tingling, numbness and loss of sensitivity. Muscles lose their tone, so patients become unable to endure prolonged physical exertion, for example, to go down and climb the stairs, quickly get tired. The functions of the small pelvis are violated in especially severe cases. It is even possible that paralysis and paresis occur.
Near the nerve roots are located blood vessels, which are deformed when deformed. At the first stages of the development of osteochondrosis, the arteries are compressed periodically, but then the spasm acquires a permanent character. In this case, there is "intermittent claudication", the patient with a long walk should often stop and rest.
Squeezing of blood vessels leads to the fact that the pelvic organs do not receive the necessary nutrients. This causes pain on the inner side of the thighs, perineum, in the buttocks until their paralysis.
Under the influence of pain, ischemic and radicular syndrome, the skeleton of a patient with osteochondrosis deforms. The person begins to stoop, his pelvis and spine buckle, the muscles weaken, atrophy. All these changes affect the gait, which is adjusted depending on the area of pain, becomes tense and insecure. Gradually, the whole musculoskeletal system is exposed to osteochondrosis, and the intervertebral discs continue to collapse.
Pain syndrome( pain in lumbar osteochondrosis)
Unpleasant sensations and discomfort in the back are the main symptoms in osteochondrosis. The nature and strength of pain varies depending on the stage of development of the disease.
The first time it is felt only in the lumbar region at the time of increased tension of the joints, muscles and ligaments, that is, when performing physical exertion. Can also wear a constant aching character. But with the development of osteochondrosis, acute pain or lumbago occurs even when sneezing, coughing.
Conduction of palpation, as a rule, allows you to determine the compaction in the muscles. The attack of pain can last several days, and all this time the patient has to comply with bed rest to minimize discomfort in the back. Any sharp movements, lifting of weights provoke occurrence of a dyscomfort.
Causes of lumbar osteochondrosis
The following are the main causes of lumbar osteochondrosis:
Uneven load on the spine. According to experts, osteochondrosis is typical for humans as a biological species, because it is largely due to its lifestyle and upright walking. The need to maintain the position of the body in a certain position requires constant stress of the musculoskeletal system. The optimal load on the spine will be in the standing position. In the supine position on the back, it is minimal, on the side - a little more. But in a sitting position, the load on the lumbar spine increases several times. The inclination of the body forward creates additional stress for the front edge of the vertebrae and spine. Therefore, it is recommended to periodically change the position of the body, letting the muscles relax and shifting the load on the spine, and keep your back straight.
Hypodynamia. Sedentary lifestyle, use of a car and public transport, spending a lot of time at the computer and TV - all this contributes to the development of problems with the spine, including osteochondrosis. A significant part of the population lacks motor activity. Passive way of life leads to the fact that the musculoskeletal system weakens. In the sitting position, the spine undergoes maximum load, this causes the deformation of the cartilaginous tissue, and as a consequence, the osteochondrosis of the lumbar region. Therefore, it is so important to periodically get up and perform a set of exercises. When a significant amount of time a person spends in a bent position, flexor muscles stretch and lose their tone.
Too much physical activity. Increased motor activity, as well as its lack, can also cause osteochondrosis. Back pain often disturbs sportsmen who are engaged in weightlifting. This sport requires lifting weights, which creates additional stress for the muscles of the back and provokes the formation of intervertebral hernias.
Incorrect posture. With a curved position of the spine, the load on it is distributed unevenly, and this leads to deformation of the intervertebral discs. The same influence is made by wrong walking. People at the senior and elderly age are at risk, since with time the intervertebral discs become less elastic, lose their mobility and are more easily damaged.
Defects in the osseous system and genetic predisposition, trauma and infectious diseases. As a rule, osteochondrosis causes congenital problems with the musculoskeletal system. In addition, the cause of the disease can be the natural fragility of cartilage tissue. Osteochondrosis develops as a complication after various injuries of the spine, osteomyelitis, tuberculosis.
Flat feet. In patients suffering from flatfoot, the arch of the foot does not perform damping functions, as it does in the normal state. Thus, when moving the entire load on themselves take intervertebral disks, resulting in their rapid wear.
Overweight. Extra pounds are a source of additional stress on the heart and the musculoskeletal system, including the spine. According to statistics, people with excess weight are more susceptible to various diseases.
Inflammatory processes in the body. The development of osteochondrosis is promoted by such factors as hormonal changes, problems with the joints of the spine, for example, rheumatoid arthritis, disruption of the endocrine, digestive and cardiovascular system.
Lifestyle. Many patients do not pay enough attention to their health: they do not move much, they do not get enough sleep, they do not eat right. This leads to increased fatigue, a disturbance in the psychoemotional state, and stress. All this makes the body very vulnerable and contributes to the development of lumbar osteochondrosis.
Degrees of lumbar spine osteochondrosis
There are 4 degrees of lumbar osteochondrosis:
Inside the fibrous ring, cracks appear, which are filled with substance from the gelatinous nucleus, which causes irritation. At this stage, the deformation of the intervertebral discs is poorly expressed and manifests itself in the form of reflex-pain symptoms. The patient may complain of pain in the heart, lower back. In the back area, the cause of discomfort is sudden movements, lifting weights. Depending on the nature, 2 types of pain are distinguished: lumbulgia and lumbago. In the first case, it is stable, and in the second it arises suddenly;
Fracture of the fibrous ring continues. However, the gap between the vertebrae is narrowed, the nerve endings are jammed. At this stage, a phenomenon such as pseudo-spondylolisthesis of the lumbar region is characteristic. This is the process of displacement of the vertebrae relative to each other, which leads to pinching of the nerve endings and causes pain. The spine is characterized by uncharacteristic mobility. With osteochondrosis of 2 degrees, patients complain of pronounced discomfort in the back, alternating heat and cold in the lumbar region. Pain is manifested by attacks, during which a person on the skin appears crawling and sweating is intensified;
The fibrous ring is finally ruptured, and the gelatinous nucleus is extruded. Appears intervertebral hernia. Extrusion of the nucleus into the region of the vertebral canal leads to compression of the vessels and roots of the spinal nerves.
The deformation of the spine is in the form of lordosis, kyphosis or scoliosis. With lordosis, the spine faces a convexity forward. Such a violation of his normal position significantly complicates the work of internal organs and their systems. With the kyphosis the upper part of the spine warps, and there is a sensation of stoop or hunchback in neglected cases. Lateral curvature is manifested in the form of scoliosis. When a patient suffering from osteochondrosis with such a curvature of the spine leans forward, asymmetry becomes evident due to a protruding scapula or rib;
The last stage of osteochondrosis is the most dangerous, since the spine is completely deformed, which makes full motor activity impossible. On the roentgenogram, bony growths become noticeable. Although the pain for a while does not bother the patient, this does not indicate improvement.4 degree of osteochondrosis often ends in disability.
What is the risk of lumbar osteochondrosis?
Osteochondrosis leads to a weakening of the musculoskeletal system, atrophy. In addition, the disease contributes to the occurrence of problems with various organs in the body. The most common of these are disorders of the genitourinary system. For women, osteochondrosis creates the risk of deformation of the intervertebral discs during pregnancy, when the spine experiences a significant load. Men have problems with potency. Deformation of intervertebral discs due to osteochondrosis leads to the appearance of hernias. They require long and complex treatment, in some cases, surgical intervention is necessary.
In osteochondrosis, blood vessels are squeezed and the intervertebral openings through which they pass are reduced. As a result, there is a danger of developing compression-vascular ischemia. It implies an additional compression during the movement of the damaged spine and clamping of the vessels. With compression-vascular ischemia, the phenomenon of a "narrow bed" is associated. Clamping of the vessel thus occurs reflexively through the opening of the spinal canal.
Another complication that can cause osteochondrosis is protrusion of intervertebral discs. In the future, it leads to the development of such a serious disease as the intervertebral hernia. With protrusion, the intervertebral discs protrude beyond the fibrous ring without causing a rupture. This process is accompanied by aching pains, which are permanent in nature. Protrusions are indicated by tingling in the feet, numbness, pain in the feet and fingers, with urination.
As a complication of osteochondrosis, spondyloarthrosis is possible. Sometimes it stands out as a special form of the disease. Spondyloarthrosis manifests itself in the form of bone spike-like growths. The pain is localized in this case. Unlike unpleasant sensations in such complications of osteochondrosis, as hernia, protrusion, it does not extend to the legs, does not cause numbness and tingling. The pain is aggravated by sharp turns and some other movements of the spine.
Patients with osteochondrosis are more susceptible to paresis of the foot. In this case, they have pain in the back, which gradually spreads to the popliteal region, and then causes a disruption in the functions of the foot. She does not rise and hang. During walking, the patient has to raise his leg high. In most cases, paresis requires an operation to restore the function of the foot.
Deformation of intervertebral discs with osteochondrosis causes spondylosis. It implies the appearance of beak-shaped protrusions or spurs on the spine above the protruding intervertebral discs. Such bone growths are a kind of protective mechanism that works in response to changes in the cartilaginous tissue. With osteochondrosis, the spine becomes unstable, so the body tries to correct it by increasing the area of the vertebral body. So spondylosis develops.
All complications caused by osteochondrosis are treated with difficulty and significantly complicate the life of the patient, limiting his ability to work and the ability to move. Therefore, it is important to start the fight against the disease in time, preventing serious consequences and disability.
Diagnosis of osteochondrosis involves the use of various methods, primarily, palpation of the lumbar spine.
During the course of this disease, the following signs are found:
kyphosis, that is, wedge-shaped deformation of the vertebrae;
scoliosis, which is the asymmetry of the body or the curvature of the spine. At a scoliosis at the patient ribs or a scapula act, that should not be at the healthy person;
change in flexure of the spine - flatulence of lordosis;
pain in the lumbar region;
offset one of the buttocks.
Patients, as a rule, have difficulty in performing active movements with a load on the spine.
The most modern diagnostic methods are:
Radiography of the lumbar spine. It is executed in a straight posterior and lateral projection, which are mutually perpendicular. According to the picture, the specialist determines the shape, structure and contours of the vertebrae, deformities of the spine and bone growths on it. When osteochondrosis on the roentgenogram it is noticeable that the intervertebral cleft is narrowed, in the tissues of the disk there are deposits of salts, there are observed marginal sprouting of the vertebral bodies;
Computerized tomography of the lumbar spine. The use of this method has a lower radiation load on the body compared to radiography. The patient does not experience pain during examination. As a result of tomography, it is possible to obtain more informative pictures than with radiography.
Magnetic resonance imaging of the lumbar region. MRI, like the other two methods, does not give the patient unpleasant sensations and does not harm the body. According to the images created with the help of electromagnetic radiation, it is possible to diagnose not only osteochondrosis, but also many other diseases of the spine.
Treatment of osteochondrosis of lumbar spine
Treatment of osteochondrosis requires extensive complex therapy, which implies moderate physical exertion, use of medicines, massage, physical therapy, traction of the spine, manual therapy. Only a few cases are resorted to surgical intervention.
As a rule, the operation of the operation is indicated by ponytail syndrome, as well as loss of control by the patient over urination and defecation. To confirm the diagnosis, an MRI should be performed. Before performing the operation, it is recommended to consult several specialists, since often it is possible to manage conservative methods of treatment.
Lfk with lumbar osteochondrosis
Physiotherapy is one of the most effective ways to get rid of osteochondrosis. Often it is compared with a massage that provides a short-lived effect. After all, the masseur can stretch the spine, but if the muscles do not support the vertebrae in the right position, soon the pain and deformity will reappear.
To engage in exercise therapy in osteochondrosis should be led by an instructor. Important is the correctness of the exercises, so make them better in front of the mirror. To achieve the best result, training should be regular. This allows you to return the spine flexibility, mobility, normalize the metabolism in the body, to form a muscle corset.
Gymnastics for osteochondrosis of lumbar department
Gymnastics for osteochondrosis should include only those exercises that do not cause the patient discomfort. If the performance of some is accompanied by pain, you should return to them later, when the improvement of the health of the spine becomes noticeable. It is also necessary not to allow too much tension for the muscles, to increase the load gradually.
As part of gymnastics for osteochondrosis, you can perform the following exercises:
from the standing position, tilt the whole body back and forth, left to right;
to get on all fours and take a few steps forward, then return to the starting position, repeat the exercise several times;
lie on a flat surface and strain the muscles of the press, pressing your back into the floor;
extend his hands behind his head and reach for them with his whole body.
Massage for lumbar osteochondrosis
Massage for osteochondrosis is also effective, as is therapeutic exercise. But there are a number of contraindications, including acute pain in the patient, presence of open wounds on the body, skin and blood diseases. More effective will be manual massage, which in large measure surpasses in its positive effect on the nervous system hardware.
This method of treatment allows you to remove muscle tension and pain, stimulates blood circulation and strengthens blood vessels. Among the positive effects that massage has on the body, also strengthening immunity and improving metabolism.
Nyxes in osteochondrosis of the lumbar part of the
During the attacks of osteochondrosis patients are concerned about severe pain. In the first stages, they are cared for by means of tablets and ointments, but as the disease progresses, they no longer produce the desired effect. Therefore, injections are often used as an anesthetic. The injections have a number of advantages, among which speed of action.
Before the tablet drug stops pain, it should take at least half an hour. With injection, you can cope with discomfort much faster. In addition, the injection is placed in the area of the onset of pain, which allows to avoid the negative effect of the drug on other organs. At injection the dose is more precisely calculated.
In the osteochondrosis of the lumbar spine, the following groups of drugs are used:
Analgesic. The most famous means are Analgin and Baralgin. Drugs of this group are used only for severe pain.
Non-steroidal anti-inflammatory drugs. A specific drug is given depending on the intensity of pain and their nature, the degree of development of osteochondrosis. The most effective means of this group, such as Ibuprofen, Diclofenac sodium. They eliminate inflammation, pain and puffiness, prevent the squeezing of nerve endings.
Myotropic antispasmodics. Miolcam is a drug that allows you to eliminate spasm of skeletal muscles in the spine and get rid of pain. The injection is performed 2 times a day. After the administration of the drug pain receptors are blocked and stop sending signals to the spinal cord.
Glucocorticosteroids. Ambene is widely known from the preparations of this group. This combined agent produces a multi-faceted effect, eliminating inflammation and positively affecting the nervous system. On the day, 2 to 3 Ambien injections are performed.
Author of the article: PhD of medical sciences Volkov Dmitry Sergeevich, surgeon
Injections for osteochondrosis of the lumbar spine are one of the leading methods of treatment. First, let's look at what this disease implies. Osteochondrosis is a pathology of the spine, accompanied by degenerative-dystrophic changes in tissues. In the pathogenesis, the main role is played by structural changes in the intervertebral cartilage: a decrease in elasticity, strength, which leads to changes in shape and consistency. As a result, there are symptoms such as: pain, muscle spasm, swelling in the lesion, jamming of nerve endings.
The injections in this disease are one of the leading treatments for
Injections in the case of spinal pathology are prescribed in the following conditions:
- Exacerbations in the pathology of the cervical, thoracic, lumbar and sacral spine.
- Severe pain, not suppressed by other forms of medications( most often it is with lesions of the lumbar region).
The action of injections is aimed at the rapid elimination of symptoms of spine disease. Therefore, in diseases, they are prescribed short courses in the first days of exacerbation. Then follows the transition to tableted and ointment forms of medicines. The following advantages of injections can be distinguished in comparison with other forms of medicines:
- Rapid onset of therapeutic effect.
- High bioavailability of the drug substance and, accordingly, a more accurate choice of dosage.
- Fewer side effects.
Mode of administration of
The method of administration of the drug is of great importance. Most often appoint injections intramuscularly, less often intravenously, because with lumbar osteochondrosis they play a secondary role.
When blockade the drug is injected along the spinal nerves
In addition to intramuscular and intravenous administration of drugs, with osteochondrosis of the lumbar and sacral parts, local medicated blockades are used. The essence of this treatment is the introduction of analgesic medicine directly into the area of the inflammation focus. For this, novocaine or lidocaine is usually used. Also, with osteochondrosis of the lumbar region, blockades with movalis( anti-inflammatory agent) and steroid hormones are used. Blockades can be divided into two groups:
- The drug is administered along the spinal nerves( paravertebral block).
- Pricks in the area of the intervertebral disc( epidural injection).
The medicine blocks impulse transmission, that is, the sensation of pain is simply not carried to the brain. Thus, anesthetizing injections in the case of spinal pathology almost instantly demonstrate their therapeutic effect in lumbar osteochondrosis. However, without the subsequent complex treatment of spine diseases, the effect will not be long. The downside of injections is the inability to perform at home.
Variants of injection therapy
Consider which groups of drugs are used in medical practice for the treatment of osteochondrosis:
Indications for injection
The injections are prescribed to the patient only in cases of exacerbation, when a person suffers painful suffering and is somewhat immobilized. In other cases, doctors try not to apply such treatment, although any exacerbation ends with the intake of vitamins injecting intramuscularly for a better positive effect.
Important! In connection with the above, it should be noted that any injections should be carried out only with the permission and appropriate appointment of the doctor in charge. Also, the course of treatment should be carried out in a hospital, because at this time the patient needs rest and supervision of specialists.
Type of injection for lumbar spine
After thorough examination by a specialist and the delivery of all necessary tests, the patient is assigned a whole course of medications. All injections can be divided into the following groups:
- Analgesics .At an aggravation the person can lose former mobility because of a strong pain which needs to be eliminated quickly and effectively.
- Anti-inflammatory .Osteochondrosis is characterized by the presence of inflammation, interfering with the normal operation of the blood flow of the spinal cord and the whole organism as a whole. In addition, with such characteristic features, the vessels are in a compressed state and do not receive sufficient oxygen and beneficial microelements. Such violations can lead to the resumption of pain.
- Admission of group vitamins In .The intake of vitamins is also important for returning to a "normal" life. They restore the broken blood circulation.
Important! Treatment of lumbar osteochondrosis can last for months, since this place does not lend itself to fixation, which is necessary for recovery and extension of the spine. Therefore, medicamentous treatment for osteochondrosis of the lumbar department should comply with all the prescriptions of the doctor.
List of medicines for injection
When exacerbating lumbar spine osteochondrosis, the following drugs are used for the treatment in the form of injections:
- Analgin or Baralgin intramusculary - these remedies best remove the pain that causes suffering and discomfort to the patient.
- Mydocalm is a spasmolytic drug that relieves spasm due to a decrease in muscle contraction. This effect also removes pain.
- Diclofenac and Ketonal are similar in composition and effects to drugs administered intramuscularly. They remove inflammation and swelling. Their use should always be approached with caution, since the likelihood of unpleasant consequences is high, therefore the attending physician prescribes appropriate tests before entering these medications.
- If necessary( in almost all severe cases), the patient is given the input of chondroprotectors. The most in demand at the moment is Hondrogaard. He normalizes the balance of the cartilaginous tissue, bringing to normal its main indicators. His treatment may be ineffective in the later stages of bone and cartilage tissue destruction of the vertebrae. But for today there is nothing effective and suitable for the treatment of osteochondrosis.
- Group B vitamins are metabolism catalysts that restore blood circulation for better saturation of cartilage tissue with useful microelements.
- Milgamma is often used as a combined preparation for intramuscular injection. It contains the entire complex of B vitamins, and also acts as an analgesic. In addition, this drug normalizes the blood flow and permeability of nerve impulses.
Important! Before using the drug, carefully study its composition, indications and other aspects. If the medication was prescribed by a doctor during treatment in a hospital, ask about all its beneficial properties and the availability of components. Also, do not forget that before appointment, the doctor should prescribe you tests for the detection of side effects and allergic reactions.
The injections in the treatment of lumbar spine osteochondrosis help quickly and effectively, rather than taking medications and ointments for external use. The special need for the presented treatment occurs when the disease worsens when a person experiences severe pain and partial or complete immobility.