Spondylarthrosis of the lumbosacral spine
Spondylarthrosis of the lumbosacral spine is a chronic disease of the spine, which is degenerative in nature. Its development is associated with the displacement and thinning of the intervertebral discs, as a result of which the pressure on the facet joints increases, the hyaline cartilage loses its elastic properties and osteophytes( bone marginal outgrowths) gradually begin to form which can significantly limit the mobility of the affected spine. If the disease takes a start, then a reactive inflammation of the joint can start, which eventually will completely lose its mobility.
This disease is generally more common in the cervical spine, the lumbar region is affected by this disease more rarely. Well, the most rare localization of this disease is the thoracic spine.
Most often, this disease occurs in elderly people( up to 90% of cases), but recently this disease began to appear more often in young people( up to 30 years).
development Like most other diseases of the spinal column, spondyloarthrosis of the lumbosacral spine often develops due to metabolic disturbances. This is the main reason for the elderly.
Often the cause of the appearance of this disease are other diseases of the spinal column, for example - osteochondrosis. In this case, due to degenerative-dystrophic processes, the height of the discs decreases, which is the reason for the increase in pressure on the surface of the joints.
This is how the disease looks like
In some cases, the cause of the disease can be various injuries or chronic microtrauma of the spine.
In a separate large group, you can identify the reasons that are associated with the overload of the spinal column. It is not only about the heavy and prolonged physical exertion that a person can experience due to professional duties( for example, professional athletes).A sedentary lifestyle can also cause illness - in this case, the ligamentous apparatus and the muscular corset are poorly developed, metabolic disturbances gradually appear, and any serious strain becomes a problem for the spine and can provoke the development of the disease. Violation of posture also leads to an uneven load on the spine, which often becomes the cause of various diseases.
Early development of the disease is also possible with spinal anomalies. It means lumbarization( the appearance of the 6th lumbar vertebra, which occurs due to the upper part of the sacral segment of the spine) or sacralization( fusion with the sacrum of the 5th lumbar vertebra).A significant role in the development of this disease can play and asymmetric arrangement of arcuate joints.
Symptoms of spondylarthrosis
This disease mainly manifests itself chronically with pain in the affected spine. Usually this is aching pain that can radiate into the gluteal region and leg, but the pain does not fall below the knee, affecting only the thigh area. With prolonged exposure in one posture and with active movement, the pain may increase, at rest the pain usually disappears.
As the disease progresses, there is another symptom - the stiffness of the spine in the affected department in the morning. Usually it lasts less than an hour and gradually passes. Such stiffness is caused by the appearance of osteophytes, so this symptom itself is rather menacing, it can not be ignored.
There is also a common symptom of this disease, such as the appearance of subluxations of the affected joint, as a result of which muscle tone rises( this is a reflex reaction of the body), which leads to a limitation of spine mobility and pain syndrome.
In this disease, pain occurs as a result of exposure to such causes as:
- compression of the nerve end. In this case, the pain will manifest throughout the entire affected nerve. There may also appear numbness and weakness of the muscles, there may be a violation of sensitivity;
- directly joint pain, which is often very strong. Very often this kind of pain is accompanied by the stiffness of the spine in the morning;
- pain in ligaments and muscles. The pain that has arisen for this reason can also be very strong, and it will intensify when the person is in an upright position or moves. The pain will also be amplified by pressing the affected muscle.
Diagnosis of the disease
First and foremost, the doctor must have the degree and localization of the nervous system damage that is performed by various diagnostic manipulations. After the initial examination, they pass to the basic methods of diagnosis - magnetic resonance and computed tomography. With the help of these procedures, the physician receives a sufficiently clear image of the spinal column of interest to him in different projections, so that an accurate diagnosis can be made and the necessary treatment determined.
What should be the course of treatment?
Treatment of this disease is prescribed by the attending physician. The proposed course of treatment depends on the state of health and age of the patient, as well as on the stage of the disease. In general, there is a well-developed and effective treatment tactic that allows for a long-term remission.
Regardless of the stage of the disease, massage, swimming and therapeutic gymnastics are prescribed. These procedures provide an opportunity to strengthen the muscular corset of the spine, thereby preserving or restoring the mobility of the spine. It is worth noting that these procedures are effective in almost all diseases of the spine, because one of the main goals of treatment is to maintain the mobility of the spine in the affected department.
Physiotherapeutic measures are also prescribed, namely magnetotherapy, ion-galvanization, which is performed with analgesic drugs, phonophoresis with hydrocortisone( especially those who are contraindicated in active movements and elderly people).It is worth noting that the physiotherapy procedures do not always give the expected result, it all depends on the individual's susceptibility to this type of treatment.
Massage, swimming and therapeutic gymnastics are very helpful in the treatment of spondylarthrosis of the lumbosacral
. The main medication is chondroprotectors, the main task of which is to slow the degeneration of the cartilaginous tissue and stimulate their regeneration. These drugs include glucosamine sulfate and chondroitin sulfate.
Chondroitin sulfate stimulates the regeneration of cartilaginous tissue by its action, normalizing the exchange of calcium and phosphorus in it. In drugs, chondroitin sulfate usually goes "in conjunction" with dimexide, which improves the penetration of the medicament into the affected cartilage. Dimexide also has an anti-inflammatory and analgesic effect. Thus, thanks to the action of these constituents of the drug, the patient's condition is greatly alleviated, the motor activity of the spinal column is restored, and its functional capabilities are improved. Most often, these drugs are available in the form of ointments or tablets.
To reduce pain and inflammation, non-steroidal anti-inflammatory drugs are usually used. Unfortunately, in the late stages of the disease, they are not always effective enough, in this case, prescribe steroid hormones. These drugs have a much stronger analgesic and anti-inflammatory effect than the drugs of the main group( non-steroidal).
In cases where pain is caused by muscle spasms, muscle relaxants are prescribed.
If the pain syndrome can not be suppressed by the methods described above, then therapeutic blocks are applied with mixtures of steroids and analgesics. These blockades give a quick and good effect, due to which the patient's condition improves rapidly. But it should be borne in mind that such blockades have no specific therapeutic effect, providing only a quick relief of pain.
Spondylarthrosis of the lumbosacral spineSpondylarthrosis is a chronic degenerative pathology of the joints of the spinal column, which is manifested by pain and limited mobility in its departments. This disease is characterized by gradual progression, which can lead to disability of the person, if the disease is not treated.
Spondylarthrosis - what is it, the mechanism of development and the causes of
Spondylarthrosis of the lumbosacral spine develops as a result of a change in the structure of the cartilaginous tissue of the discs and joints between the vertebrae. Disks are thinner, displacement of vertebrae occurs, which can lead to infringement of spinal roots in the place of their exit from the spine. These changes increase the load on the vertebral spine joints, the elasticity of the hyaline cartilage decreases, bone growths( osteophytes) develop along their edges and the edges of the discs, which restrict mobility, infringe roots and cause inflammation.
All these processes are the basis of the change in the shape of the spine, so often the disease is called deforming spondylarthrosis. To the development of these mechanisms of pathology, there are a number of reasons:
- osteochondrosis - altered disks, their hernias and protrusions provoke an increase in the load on the joints;
- back injuries lead to poor nutrition( trophism) of the cartilaginous tissue, curvature of the spine and degenerative processes;
- hereditary predisposition - the propensity to change the elasticity of the cartilaginous tissue is transmitted genetically from parents to children;
- congenital curvature of the spine in the lumbar region( lordosis) causes a change in the anatomical ratio of the vertebral joints, some of which are more loaded than others;
- lifestyle associated with low mobility - lack of adequate physical exertion weakens the back muscles, which increases the load and pressure on the joints;
- prolonged static load on the lumbar region of the ridge occurs in representatives of certain professions( surgeons, hairdressers), which for a long time have to be in one standing position.
Symptoms of the pathology of
The main manifestation of the disease is pain in the region of the spine, which has a number of characteristic features:
- the nature of the aching pain, there may be a sharp attack of intense pain in case of subluxation of the affected vertebral joint;
- pain increases after movement, at rest, the intensity decreases. Also, this can lead to a prolonged finding of the body in one pose;
- localization of pain in the waist and sacrum, can give to the back of the foot, but not below the popliteal fossa.
In addition to pain, there are signs that indicate the progression of the disease:
- stiffness of movements in the spine - volume, the amplitude of movements in the lower back decrease, and more pronounced in the morning, after a night's sleep. This indicates the appearance of osteophytes;
- reflex spasm of the back muscles as a result of subluxations of the affected intervertebral joints, which is accompanied by a change in posture;
- a change in the sensitivity of the skin indicates the infringement of the roots and the blocking of the impulses in their sensitive fibers. The pronounced infringement can lead to a complete loss of sensitivity.
Depending on the severity and duration of the process, there are 3 degrees of pathology:
- 1 degree is characterized by periodic pains in the waist and sacrum;
- with the development of the 2nd degree of the process the pain is constant, stiffness appears;
- 3 degree is the heaviest, manifested by severe pain, paresthesia and almost no possibility of movements in the spine, disability can develop.
Due to the characteristic manifestations of the diagnosis, the spinal cord lumbar spine is clinically established. To confirm it, determine the degree of the disease and the severity of the changes, additional diagnostics are performed:
- radiography of the lumbar and sacral ridge;
- tomography( computer or magnetic resonance) - high-precision methods for layered visualization of the spinal tissues, which allow you to see even small changes in them, including osteophytes.
Therapy of spondylarthrosis is complex, and includes several basic medical measures:
- drug therapy - pain relief with the help of anti-inflammatory drugs( diclofenac, orthophen, rheumoxicam).They can be administered parenterally( intramuscularly or intravenously) with severe pain and orally in the form of tablets. Also necessarily used chondroprotectors, they restore cartilaginous tissue( chondroitin, teraflex), the course of taking a long, several months. To restore the nerve fibers of the injured roots are prescribed vitamins of group B;
- physiotherapy is aimed at reducing inflammation. With the help of electrophoresis, it is possible to deliver drugs to the spine when they are applied to the skin( electrophoresis with hydrocortisone);
- curative gymnastics - a special course of exercises that are performed after pain relief and under the supervision of a doctor, improves blood circulation, cartilage elasticity and spinal mobility;
- massage warms the tissues of the back and reduces inflammation;
- surgical treatment is a method of radical therapy of pathology at a late stage. The removal of osteophytes, the plastic of the intervertebral discs, the repositioning of subluxations of the vertebral joints and the liberation of the strangulated spinal roots are being performed.
Regardless of approaches to treatment, spondyloarthrosis provides long-term rehabilitation to prevent exacerbation of the disease, including therapeutic exercise.
Symptoms such as pain and stiffness in the lower back can not be ignored. In case of their occurrence it is necessary to consult a doctor for diagnosis and adequate treatment of pathology.
What exercises will help cope with spondylarthrosis?
In the diagnosis of spondylarthrosis, the treatment process is aimed at arresting inflammation and pain syndrome, and also to prevent further degeneration of the cartilage tissue of the joint surfaces. In addition, it is necessary to eliminate the muscular-tonic imbalance in the segment of the spine and improve the trophic processes. In this article, we will look at spondyloarthrosis exercises that will help cope with the disease.
Special gymnastics for spondylarthrosisThe main method of treatment of this disease is articular spine joints - exercise therapy, exercises in this disease are aimed at increasing the volume of movements in the affected area and strengthening the muscles of the back. Arthrosis of the facet joints is accompanied by mild pain syndromes, and pains tend to increase during movement, which contributes to the fact that the patient deliberately restricts the volume of active movements.
Symptoms of spondylarthrosis usually manifest in the morning stiffness caused by degenerative processes that occur in joints, the process of sclerosing subchondral bone tissues and the development of exostoses. These pathological changes interfere with the normal operation of the joints of the spine and make the amplitude of movements and significantly less. In order to prevent the development of ankylosis( the so-called total loss of mobility in the joints) and developed various types of exercises in spondylarthrosis.
The complex selects individually for each patient a specialist in physiotherapy exercises. Given the place where the process( cervico-arthrosis or lumbararthrosis) is taking place, the patient will be offered a list of exercises for the neck department or lumbar department. They must be performed regularly for a fairly long period of time. A good addition to exercise therapy is a therapeutic massage.
Features of performingIt is best to conduct therapeutic gymnastics, of course, under the supervision of a highly qualified LFK instructor. Exercises for this pathology must be performed smoothly and very carefully. Avoid unnecessary loads. Constant performance of the complex of exercises will improve blood circulation in the region of the neck and will maintain normal muscle tone, and also maintain the physiological mobility of the spine.
Proper breathing is very important during these exercises. Exercises for the neck department should be performed as carefully as possible due to its high mobility, as any extra effort can significantly harm. The main goal, which leads to the exercises - strengthening the neck muscles and restoring the flexibility of the neck.
Before the beginning of the gym you can take a small test. First, tilt the head forward to the limit, while the chin should easily touch the chest. Then look up, head back. Next, tilt it to the left and to the right side - the ear will touch the shoulder, turn left and right and turn your head. If you find any restrictions during the execution of these movements, then the classes should be directed primarily at their elimination.
The list of exercises for this diseaseTherapeutic exercises in spondylarthrosis - a complex consisting of more than a dozen different exercises. Below are the most effective of them.
- The patient lies on his back, stretches and relaxes his legs. At the expense of "one-two" you need to bend your foot in the knee to the maximum, the feet while sliding on the litter( or coverlet).At the expense of "three" the patient flexes the leg in the region of the hip joint and presses his hands against the body( the back should lie flat on the floor, it can not be torn off).
- On account of "four-five" the patient holds his leg. Next, on the account "six" puts the foot on the floor. And, finally, at the expense of "seven-eight" straightens his leg. The same movements need to be repeated with the other foot. Repeat exercise - 10-15 times.
- In the supine position, the patient flexes his legs. The bent leg should be torn off the floor with the help of hands, pressed to the chest and held in this position for a couple of seconds, then lowered. The same movements are repeated with the other foot. Repeat exercise - 10 times.
- The patient lies on his back. He straightens his erect leg from the floor to a height of about 25 cm and holds it for several seconds, then lowers it. The same movements are repeated with the other foot. Repeat - 20-30 times.
- Gymnastics in spondyloarthrosis, some exercises are performed while sitting. The patient sits on a chair. He should try to touch his fingertips with his hands, tilting his body. Then straightens. Repeat - 10 times.
- Another exercise in sitting position. The patient sits on the countertop or, for example, a high stool. He lifts his foot and holds it for 3 seconds so that his foot is parallel to the floor. During exercise, the foot should be at right angles to the patient's shin. Further, the same is done with the other leg. During the execution of this exercise, you need to achieve a sense of tension in the muscles of the thigh and lower leg.
- The patient is standing on the floor, with his buttocks resting on the countertop. Knees need a little bend and dilute. The socks are pointed at the sides. The patient, without bending his back, leans forward and comes back.
- The patient lies on his back. Legs bend in the knee joints as much as it does, but the feet can not be torn off the floor. In this position, he spreads his knees to the sides, and then again reduces. During this exercise - spondylosis is treated particularly effectively - we must try to increase the amplitude of movements each time. Repeat - 10-15.
- The patient lies on his back. This is an exercise popular with physical education lessons in school called "scissors".The patient straightens his legs, tears one leg off the floor and swings from one side to the other with the greatest possible amplitude. In this case, the patient should try not to bend his legs in the knee. The same movements are repeated with the other foot. Repeat this exercise - 10 times.
Spondylarthrosis of the lumbosacral spine
- Gymnastics in the spondylarthrosis of the lumbosacral spine
Degenerative spinal column disease, expressed in the growth of osteophytes along the vertebral bodies and the limitation of spine mobility, is called spondyloarthrosis. If the region of the waist and sacrum is affected, then we are talking about spondyloarthrosis of the lumbosacral spine. When the disease is started, the joints can completely lose mobility. The lumbar spine suffers from spondylarthrosis somewhat less often than the cervical spine.
Causes of the development of
The main factors affecting the development of spondylarthrosis are age-related changes that inevitably occur in the spine. With age, the exchange of nutrients in tissues is disrupted, degenerative processes occur, osteochondrosis and spondyloarthrosis develops.
Another factor contributing to the occurrence of pathology may be chronic microtrauma of the spine or its traumatization.
A significant group is the factors associated with spine overloads. And we have in mind both intense physical activities of a professional nature and a sedentary lifestyle. General hypodynamia leads to the fact that the ligaments are weakened, the muscular corset is poorly developed. Under such conditions, any more or less significant load can cause the onset of the disease. This is also facilitated by various violations of posture.
Symptomatic mainly consists in the presence of chronic pain in the affected department of the spinal column. As a rule, these are painful sensations of a noisy character, which are often given to the gluteus muscle, thigh. With physical exertion, pain intensifies, and at rest it subsides.
In the mornings the patient is usually concerned about such a symptom as the stiffness of movements in the diseased part of the spine. This painful period lasts about an hour, and then gradually passes.
If as a result of the disease the nerve is squeezed, the pain usually goes along the nerve and the pain syndrome is accompanied by a feeling of numbness and a violation of sensitivity. There may be pain in the ligaments and muscles, which becomes more intense when pressing on the muscle.
disease After examination by a doctor, a patient should undergo a diagnosis with MRI and CT.As a result, the doctor has a fairly clear image of the affected area of the spine, which will help determine the direction and scheme of treatment.
At any stage of the disease, massage, swimming and gymnastics are shown. These measures help to strengthen the muscular corset and restore the mobility of the spine.
Necessarily appoint physiotherapy: phonophoresis, magnetotherapy, ion-galvanization .
Drug therapy consists in taking chondroprotectors, which allow to slow down the wear of cartilaginous tissue. If necessary, prescribe painkillers and funds for the removal of inflammatory processes. If the pain is caused by muscle spasms, then the intake of muscle relaxants is indicated.
In the case of acute pain, which can not be eliminated by the above methods, use therapeutic blockades. They do not eliminate the cause of the disease, but help to reduce symptoms.
Treatment with folk methods
Traditional medicine recipes are used as measures to reduce pain and additional methods to traditional treatment. Widely used rubbing, medicinal ointments and compresses. Folk recipes provide strengthening immunity, reducing inflammatory reactions, the intake of vitamins and minerals in the body. Widely used various medicinal plants, honey, mustard, radish.
- Pour chopped burdock roots with hot water at a rate of 3 teaspoons per glass of boiling water. To sustain half an hour, strain and drink 3 tablespoons of infusion three times a day.
- Pour the crumbled leaves of cranberries with boiling water at the rate of 2 tablespoons of raw material per liter of water. Insist two hours and strain. Take half a glass three times a day.
- Very good in spondyloarthrosis helps hirudotherapy.
- Grind 8 chestnuts. Pour them a glass of sunflower oil. Boil the mixture on a water bath for an hour and let it brew. Ointment has an anti-inflammatory effect.
Gymnastics in the spondylarthrosis of the lumbosacral section
Therapeutic exercises are performed after relieving the exacerbation. Its task is to strengthen the muscles of the back and to relieve the diseased part of the spine. When performing movements, you can not flex your lower back and throw your head back. All the exercises below should be performed lying on your stomach.
- It is necessary to lift the upper part of the body with the arms straightened forward, to dissolve them through the sides back and to reduce the scapula. Hold in this position for a while.
- Put your hands on your head and lift your shoulders and head, pulling your shoulder blades. Hold the position for a few seconds.
- Lifting the shoulders to simulate swimming with a breaststroke.
- Straining the buttock muscles to lift the legs. Hold for a few seconds in this position.
With excessive long loads on the vertebral column, the lumbosacral joints become inflamed and deformed due to the formation of cracks in the area of intraarticular cartilage. The long existence of pathology leads to a significant limitation of mobility of damaged joints.
Sedentary lifestyle becomes the cause of the disease due to a weak development of the musculoskeletal system. In this case, any excessive load on the spine leads to a disruption in the metabolism in the area that is involved in movements.
Increased risk of spondylarthrosis of the lumbar spine in people with congenital anatomical defects( sacralization and lumbarization).
Pathomorphological bases of spondylarthrosis
Damage to the cartilaginous disc of the spine leads to a decrease in the elasticity of the gelatinous nucleus, which reduces the height between the higher and the lower vertebra in the damaged segment. Hyaline cartilage, deprived of normal trophism, ceases to synthesize collagen, resulting in the vertebral segment losing its mobility.
This creates an asymmetric strain of the musculoskeletal apparatus along the segment, which results in an uneven distribution of the load on the axis of the spine. A significant role in the development of changes is given to inflammatory responses.
In the place of cracks in the cartilaginous tissue, mediators( cytokines, tumor necrosis factor) are produced that activate collagenases( enzymes that promote the destruction of collagen).Pain with spondyloarthrosis becomes a marker of adherence over and subchondral changes, since the cartilage itself does not have innervation.
Spondylarthrosis of the spine in the lumbar, cervical and sacral parts of
- Periodic or permanent pain in the affected department. They are noisy and capable of radiating to the lower limbs, but never fall below the knee.
- Stiffness in the morning lasts less than an hour, and is due to the presence of osteophytes.
- Limitation of mobility in the lumbar region is also formed due to increased muscle tone and subluxation in damaged joints.
- Sensitivity disorders in the course of the sacral nerve.
Diagnosis of spondylarthrosis
The most complete information on changes in the spine to the doctor is provided by instrumental studies of magnetic resonance( MRI) and computed tomography( CT).
In the lumbar spinal cord spondyloarthrosis( lumbar) is characterized by a recurrent course( periodically exacerbated alternating with relapses).Aching in the back with spondylarthrosis often radiate into the gluteal region. When tilted back pain increases.
For the differentiation of lumbar spondylarthrosis from herniated intervertebral disc, the doctor finds out the nature of the pain. With spondylarthrosis, the pain is clearly localized and does not fall below the knee joint. They arise more often when staying for a long time in one position. Stiffness in the morning disappears after the movements( facet syndrome).
Spondylarthrosis in the neck( cervicoarthrosis) often gives out in the foreleg, occipital region, between the shoulder blades. Cartilaginous growths with cervical spondylarthrosis lead to narrowing of the intervertebral foramen and irritation of the cervical roots. The pronounced stage is accompanied by depression of the osteophytes into the canal of the vertebral artery, which leads to a disturbance of the cerebral blood supply.
Treatment of spondylarthrosis of the lumbosacral department
Treatment of spondylarthrosis consists of a series of measures aimed at restoring metabolism and eliminating inflammatory changes.
Strengthen muscle activity around the damaged segment allows massage, swimming and therapeutic exercises. Treatment of spondylarthrosis with acupuncture, magnetotherapy, phonophoresis and ion-galvanization allows normalizing blood supply in the spine.
Basic principles of treatment of spondylarthrosis:
- Preparations for slowing down the destruction of cartilage tissue - chondroprotectors.
- Anti-inflammatory therapy for severe pain syndrome.
- Extension of the spine( traction therapy).
- Therapeutic gymnastics.
- Muscle relaxants of the central type of action( with muscle spasm).
From medicamentous preparations with spondylarthrosis the most popular chondroprotectors, slowing down degenerative changes of cartilaginous tissue. For example, chondroitin sulfate restores the exchange of calcium and phosphorus, and also stimulates the regeneration of cartilage. When combined with a dimeskid, the penetration of the substance into the cartilaginous tissue is improved.
Pain syndrome, which is characterized by spinal spondylarthrosis in the initial stages, is treated with nonsteroidal anti-inflammatory drugs - diclofenac, nimesulide. When the process goes into a neglected stage, steroid hormones are used - methylprednisolone, prednisolone with a strong analgesic effect.
Strong muscle spasms are eliminated by muscle relaxants - sirdaloud, midocalam, baclofen. To further improve the blood supply to damaged tissues, drugs that dilate the vessels are used. They improve the nutrition and blood supply of the nerve roots. Vitamins of group B promote the activation of mechanisms fighting with signs of inflammation.In severe cases, when pain is not eliminated by non-steroidal anti-inflammatory tablets, therapeutic blockades are used. In neglected cases, when changes in the spine can lead to serious consequences, doctors resort to surgical operations.
Types of surgical interventions for spondylarthrosis
Minimally invasive - painful ends are destroyed by radiofrequency irradiation. The procedure allows you to eliminate pain syndrome. After a painless intervention, the patient can go home.
Gamilaminectomy - excision of the part of the arch of the vertebra, compressing the nerves.
An important role in the treatment of spondylarthrosis is played by folk medicine .Good results can be achieved with its combination with medication. Anti-inflammatory properties are violet, chamomile, dog rose, oregano, celandine, licorice. Especially effective in the treatment of spondyloarthrosis is the root of vivacity.
Folk recipes using fresh nettles, contribute to improving the blood supply of the spine.
White clay lotions at an early stage of the disease can stop inflammatory changes.
Prophylaxis of spondylarthrosis
Prognosis for the disease is favorable. Elimination of the symptoms of the disease is most often possible by conservative methods. Loss of ability to work and disability in spondyloarthrosis does not occur.
With the timely diagnosis of the disease, serious consequences can be effectively prevented.
style = "display: inline-block; width: 580px; height: 400px"
Spondylarthrosis of the lumbosacral spine is what is
Symptoms of lumbar spine
The main symptom of spinal fusion of the lumbar spine is constant, aching pain in the lumbar region, increasing with movement. Other symptoms of arthropathy of facet joints include: stiffness and discomfort in the mornings, which torment the patient for at least an hour and interfere immediately after sleep to begin active operations.Characteristics of spondylarthrosis - clear pain localization and absence of radicular symptoms or irradiation.
- Suspected spondylarthrosis of the lumbosacral spine also allows:
- aching pain in buttocks and thighs;
- increased pain with tilts and turns of the trunk;
- sudden appearance of pain after a long stay in one position.
Diagnosis of facet arthropathy
Diagnosis of spondylarthrosis is aimed at establishing the localization of pathology and the degree of lesion of the nervous system of the spine.
Often accompanying diseases of the spine - osteochondrosis, spondylolisthesis and others, can significantly change the clinical picture of the underlying pathology. To correctly diagnose, patients are prescribed instrumental examination.
Basic diagnostic methods - radiography, computer and magnetic resonance imaging. With their help you can see the image of the structures of the spine in various projections, put the right diagnosis and prescribe the appropriate treatment. Patients in the images clearly see the signs of degenerative changes of the facet joints.
Radioisotope scanning of the spine is also often used to diagnose diseases that show up in back pain.
Diagnosis of facet arthropathy is confirmed by the performance of a diagnostic blockade. For this, anesthetics are injected into the joint cavity. If the back pain has decreased after the blockade, then the diagnosis of spondyloarthrosis is confirmed.
Treatment of spondylarthrosis of the lumbosacral spine
Treatment of spinal fossa of the lumbar spine is aimed at preventing muscle hypotrophy. To do this, it is necessary to quickly eliminate the inflammation in the capsule of the joint, improve blood circulation in the muscles and remove protective spasms.
Local drug therapy
Local therapy has virtually no side effects, it does not harm the body and increases the effectiveness of the main treatment for spondylarthrosis.
Ointment "Chondroxide" is a popular drug that has proved itself in practice.
Ointment contains dimexid and chondroitin sulfate. Its external application improves the motor function of the patient and increases the functional capabilities of the affected joints.
"Nanoplast forte" - a new generation drug. It is an anesthetic curative plaster that has an anti-inflammatory effect. It is applied to the lower back and left for 12 hours. The therapeutic effect of the plaster is the removal of pain and inflammation, activation of blood circulation in the area of injury.
Systemic drug therapy
Analgesics and non-steroidal anti-inflammatory drugs have anti-inflammatory and analgesic effects - for example, Diclofenac and Nimesulide.
To reduce back pain, patients are injected into the joint cavity with a mixture consisting of local anesthetic and steroid hormone.
To remove obvious muscle spasms, the patients are prescribed central muscle relaxants, and chondroprotectors are used to prevent further degeneration of the cartilage.
To improve nutrition of affected tissues, vascular drugs and B vitamins will help.
Physiotherapy with spondyloarthrosis is aimed at strengthening the muscular framework of the spine and preserving its mobility and functionality. The fight against muscular-tonic imbalance is the use of acupuncture and manual therapy in the presence of reversible structural changes in the spine.
Using fixing corsets and other special orthopedic products is necessary for unloading the intervertebral joints and alleviating the symptoms of the disease.
- The following physiotherapeutic procedures have an analgesic effect:
- phonophoresis with hydrocortisone,
- ion-galvanization with analgesics - Novocain and Lidocaine.
Positive effect in spondylarthrosis is provided by the souls, baths, UHF, ultrasound. Outside the stage of exacerbation patients are prescribed massage, swimming in the pool, stretching the spine and therapeutic gymnastics.
Therapeutic gymnastics is one of 's most effective methods of in fighting the disease. In the treatment of arthropathy of facet joints in the lumbosacral spine, emphasis should be placed on exercises for the lumbar region. These include: flexion and extension of the trunk, exercises with a hoop and circular movements of the pelvis, swimming.
Here are simple but useful exercises to perform which should be lying on your stomach:
- Take your hands back and hold them clasped behind your back for a few seconds, straining your back muscles.
- Raise and lower the straightened legs, while the buttocks strain.
- Raise and lower the body while simultaneously blading the blades.
Traditional medicine recipes are used as an auxiliary therapy of the disease, as well as for the removal of severe pain.Effective and proven methods are the use of honey, warming ointments for facilitating massage in spondylarthrosis of the spine. It is good to carry out such a massage using medical cans.
Anti-inflammatory ointment is prepared as follows: mix 50 grams of natural liquid honey, one hundred grams of grated black radish, 2 teaspoons of sea salt, one hundred milliliters of vodka, put it in a tightly closed jar and take it out to the cold. Before use, the ointment is recommended to be gently warmed.
To remove muscle spasms and reduce pain, you can use compresses :
- Chestnut fruits are ground to a powder, pour it with a glass of vegetable oil or baked fat, hold the mixture in a water bath for an hour, pour into a jar and tightly cover it with a lid.
- Chop the hop cones, pour the powder with heated smaltsem, thoroughly rub, insist 4 hours. The resulting composition is wetted with a napkin, fix it on a sore spot with a bandage. Hold the compress under a warm scarf for 3 hours.
The collection of leaves of black currant, lingonberry, hips is an anti-inflammatory action. Brew this tea and take two glasses every day.Treatment of spondylarthrosis of the lumbosacral spine is a complex and rather lengthy process, which does not always bring the desired result.
- To stop the development of pathology, to improve the physical and moral condition of the patient will help to follow the simple rules of in their daily lives:
- always try to keep the correct posture;
- sitting at the table constantly monitor the position of the back, for this purpose it is recommended to put a hard roller under the waist to unload it;
- for sleep use a hard mattress;
- if necessary, on the recommendation of a doctor, wear an orthopedic belt or corset;
- eat right and watch your weight, remembering the extra burden on the lower back;
- to lead a healthy lifestyle.
The meloxicam drug, belonging to the group of non-steroidal anti-inflammatory drugs of the new generation, has established itself as a very effective remedy for diseases of the spine and joints. With instructions on the use of the drug can be found here.
Spondyloarthritis can be effectively cured |When the joints hurt. .. |When joints hurt
Spondyloarthrosis is a spinal disease associated with chronic degenerative-dystrophic processes occurring in the facet intervertebral joints. It manifests itself in the form of severe pain in the spine and a violation of motor functions.
What are the causes of spondylarthrosis?
Spondyloarthrosis can occur in the elderly, and at a younger age. Its appearance is caused by a number of reasons. As a rule, this is the effect of various injuries, heavy loads on the spine, a violation of metabolic processes. As a result, destruction and thinning of the cartilage of the intervertebral disc occurs.
The destruction of the cartilage leads to the development of pathological processes in the articular bag, subchondral bone( bone under the cartilaginous disc) and deep muscles adjacent to the spine. But not only traumas can provoke the development of ailment. The reason may be a change in the statics of the spine as a result of osteochondrosis, spondylolysis( congenital anomaly of the development of the spine due to non-rotation of the arc), spondylolisthesis( slipping of the vertebra).
In addition, a definite effect on the development of spondylarthrosis has a sedentary lifestyle, which leads to a weakening of the muscular corset supporting the spine, obesity, which further increases the burden on it. An important role is also played by factors of genetic predisposition, conditioned by complicated heredity.
Forms of the disease
Spondylarthrosis of the lumbar region or lumbararthrosis, is the most common form of this disease. Symptoms of spondylarthrosis in the lumbar-sacral region are manifested, mainly, in the appearance of aching pain in the lumbar region. Sometimes these pains radiate to the gluteal and femoral muscles.
As a rule, such pains occur when activating physical activity, lifting weights, when getting up after a long sitting or lying down. After a little physical workout, they usually disappear. But as the disease develops, the pain begins to progress and arise more and more, regardless of physical activity.
Night pains also join. Another symptom of this disease is the morning stiffness of the lumbar spine, immediately after the ascent. After some time after awakening, it passes, especially after a little workout. It should be remembered that for spondyloarthrosis, weight gain, loss of appetite, and fatigue are not peculiar. There is also no evidence of effusion and accumulation of fluid in the joints.
Spondylarthrosis of the cervical spine( cervicoarthrosis) manifests itself in such symptoms as paresthesia of the neck or shoulders, most often after awakening, and also stiffness in movements. The appearance of aching pain not only in the neck, but also in the shoulder girdle, in the shoulder blades, hands, occiput, headaches, increased pressure.
Spondylarthrosis of the thoracic spine( dorsoarthrosis) is characterized by aching pain in the middle of the back, often on one side. In this case, pain can be given( irradiated) in the chest and sternum.
A number of examinations are needed to diagnose a disease. First of all, when palpating, there is aching local pain in the affected area of the spine. In order to fully understand the nature of the disease, the attending physician may prescribe an X-ray examination of the patient. X-ray images are taken from different angles( at least two projections).This is necessary in order to accurately determine the localization of pathological bone processes that squeeze the facet joints and nerve endings.
X-ray also reveals the presence or absence of narrowing of the joint gap, subchondrial sclerosis, that is, consolidation of the cartilaginous and bone tissue. Subluxations, cysts, and joint erosions are defined.
Magnetic resonance imaging and computed tomography are even more reliable and safe methods. With their help, it is possible to detect not only disturbances in bone and cartilaginous tissue, but also assess the condition of the muscles and tendons adjacent to the affected area. In addition, it is possible to identify less extensive pathological processes in the early stages. Not the least role is played by laboratory methods of research.
Methods of treatment of spondylarthrosis
Spondyloarthrosis is a progressive disease. Unfortunately, it's very difficult to completely get rid of it. But you can significantly slow down and stop the process of its development. The treatment of spinal spondylarthrosis is aimed precisely at this. It is required to save the patient from constant pains in the spine and other parts of the body, and also to return the spinal cord to normal motor activity.
Treatment of the disease is carried out with the help of medicamentous and non-medicament means. In the most severe forms, hospitalization and surgical intervention may be required according to the indications.
Drug treatment for spondylarthrosis consists of using various analgesics to relieve pain syndrome, as well as drugs that stop the development of degenerative processes in cartilage tissues. Nonsteroidal anti-inflammatory drugs and muscle relaxants are widely used. Nevertheless, any drug therapy should be selected individually, taking into account the general health of the patient, as well as the severity of the disease and the presence of concomitant diseases. It is preferable to carry out a complex of physiotherapeutic procedures with drug therapy in parallel.
Prevention and rehabilitation
Non-drug treatment includes curative gymnastics, massage and physiotherapy. Physiotherapy includes ultrasound, magnetotherapy, electrophoresis, dynamic electroneurostimulation. A course of special procedures is being conducted, for example, stretching the spine.
Therapeutic physical training is aimed at strengthening and stretching the deep muscles of the back, lumbar region and neck supporting the spine. There are several very effective exercises in spondyloarthrosis.
- While lying on a stiff surface, slowly raise your straight leg at an angle of 90 degrees, then slowly lower it. Repeat with the other foot.
- Lie down on the back, raise the knees bent and kneaded together to the chest. Hands are spread out in the sides and lean against the floor. Lower the bent legs to the right, touching the right knee to the floor. Raise them to the chest. Repeat to the left. Exercise is done slowly, palms do not come off the floor.
- Get on your knees, lean on the floor. The palms and knees are at some distance. Lower your head down, arched your back. At the same time, the breath is exhaled. Raise your head, bend your back down, inhale. Repeat several times. The exercises also involve the abdominal muscles.
- Spread your feet about 1 meter wide, arms outstretched. Tilt to the right, exhale. Right palm to get right foot, left hand raised. Lift the body, inhale. Tilt left, exhale. Do the whole exercise on the left side.
- Feet together, hands raise straight in front of you, palms together. Exhalation. Raise your arms to the sides to the maximum, trying to connect the shoulder blades together. Breathe in. The body should be held straight, the belly drawn, and the waist slightly deflected forward, while the muscles of the lumbar spine and abdominal muscles tighten.
- Lying on the stomach, legs stretched out together, with socks leaning on the floor. Hands bent at the elbows, pressed to the body, lean against the palms of the floor near the waist. Slowly raise the head together with the upper part of the body up, the chest about 22-25 cm from the floor. The neck is stretched and the chin stretches upward. Freeze at the top in static tension for a few seconds. The pelvis is not torn off the floor. When lifting up, inhale. Lower the body and head down. Exhalation. Perform slowly, repeating 2-3 times.
- Adopt sitting or lying position. Hands to rest in the sides, feet shoulder width apart. Keep body straight, head slowly back. Breathe in. Slowly tilt his head forward, touching his chin to his chest. Exhalation. Repeat several times, straining the muscles of the neck. Also tilt the head to the left and to the right. Before performing these exercises, rotate the head - several times to the right and left.
In addition to these exercises will help in strengthening and stretching the muscles of the back and neck, as well as visas on the crossbar, pulling, swimming breaststroke, crochet or on the back.
Spondylarthrosis of the lumbar spine: symptoms, treatment, review of physiotherapy procedures, gymnastics
Spondylarthrosis of the lumbar spine is one of the most common causes of back pain.
What is this disease, and how to treat it, every elderly person should know. In 90% of cases, this ailment develops with age. However, not infrequently arthrosis changes in the spine, may appear in younger people.
Spondylarthrosis is a kind of osteoarthritis in which all the constituent elements of the joints are damaged: the subchondral bone, ligaments, cartilage and periarticular muscles. Not only the connecting segments but also the facet joints are damaged.Table of contents As a general rule, the presence of lumbar spondylarthrosis can be suspected by the following features:
- pain intensification during bends and inclinations of the back;
- aching pain in the thighs, ribs and buttocks;
- stiffness in the lumbar region, which immediately passes after several movements or warm-up;
- the appearance of pain after prolonged stay in one position;
- the pain appears in one place and does not give to the feet.
Development of deforming spondylarthrosis of the lumbar spine ofSpondylarthrosis can occur due to spinal injuries, chronic microtrauma and congenital vertebral anomalies.
In addition, the cause of spondylarthrosis can be permanent static loads that cause overload of the spine( sedentary work, long stay at the computer), prolonged physical activity( for example, weight lifting), incorrect posture or metabolic disorders, especiallypeople of advanced age.
Another reason for this disease is flatfoot.
In people suffering from such a disease, a gait disturbance occurs, as a result of which the load is not correctly distributed to the spine in an upright position, which results in spondyloarthrosis.
The development of deforming spondylarthrosis of the lumbar spine is facilitated by a number of factors:
- dysplasia( abnormal development of the spine), its deformation, scoliosis;
- is not a mobile way of life;
- various injuries, as well as a very large load on the spine.
To diagnose this disease, a radioisotope scan of the spine is prescribed.
If the diagnosis is confirmed, in the first place, experts block the pain syndrome, by introducing a mixture of local anesthetic and steroid hormone into the cavity of the affected joint.
In addition, spinal cord extraction and acupuncture are prescribed to eliminate spondylarthrosis.Doctors strongly recommend that you can visit the pool as often as possible and practice gymnastics. Elderly patients need to attend physiotherapy. Note that such procedures are useful to all people who are contraindicated in an active lifestyle, since such activities help to strengthen the muscular framework.
Some patients, in order to get rid of the pain syndrome in the back, give priority to folk medicine.
Home anti-inflammatory ointments used for massage and rubbing are considered to be the most effective.
In order to prepare such a healing cream you need:
- Grind 8 chestnut fruits and pour them 1 glass of sunflower oil. Boil the resulting mixture in a water bath for 1 hour, then let it stand for a day.
- About 50 cones of dry hop are "turned" into powder and mixed with one glass of melted warm fat. Mix well the resulting mixture, it should be left for 4 hours in a dark place. Such compresses are made from such an ointment: the curative composition is applied to the sore spot in a warm form, fixed with a bandage and left for three hours.
In any case, traditional medicine recipes need to use only as an adjunct therapy for or as an emergency aid for the localization of severe pain. However, self-medication is not recommended.If the first symptoms of spondyloarthrosis appear, consult a doctor immediately.
Review of effective physiotherapeutic procedures
As a supplement to the treatment of this disease, a variety of physiotherapeutic procedures are very effective. These include:
MagnetotherapyThis is a continuous or intermittent exposure to tissue by a low-frequency magnetic field. Thanks to this procedure, swelling is quickly stopped, inflammation is removed, and pain is reduced.
ElectrophoresisUnder the influence of a permanent electrocurrent in the form of ions, medications come into the body. They enter the upper layers of the epidermis, and then spread throughout the body. Please note that the effect of such a procedure is not achieved immediately, but only after 2-4 days of use.
Amplipulse therapyThis procedure involves the use of certain currents in which there is a profound effect, without irritation of any skin receptors. Due to amplipulse therapy, blood circulation improves, spasm is removed and an effect of anesthesia is achieved.
PhonophoresisAssumes the introduction into the body of drugs using ultrasound. In this case, the therapeutic effect is not only the drug being administered, but also the ultrasonic waves themselves. Typically, such a procedure uses analgesics and hydrocortisone.
UHF therapyThis effect of the electric field on the lympho- and blood flow, due to which there is an anti-inflammatory effect. This procedure activates all the processes that occur in the connective tissues.
DiathermyIt is the use of heat generated by an electric current. This procedure is very effective in restoring all functions of muscle tissue and in the treatment of lower back pain of various etiologies.
Manual therapyThis procedure is chosen and prescribed taking into account the development of the disease, depending on what caused pathological myofixation and hypermobility.
In acute development of lumbar spondylarthrosis, is the most effective method of stretching and stretching the spine of .Note, when the joints of the spine are blocked, stretching will be ineffective. In any case, such procedures should be prescribed only by a specialist who examined the patient and established the causes of the development of the disease and its mechanism.
Therapeutic gymnasticsLFK in spondylarthrosis has a number of its features.
This is due to the fact that the disease is accompanied by symptoms of a neurological deficit, which is why only the isometric gymnastics is used to maintain the normal functioning of the entire muscular corset.
The contraction of muscles, under which its stress develops, but its length does not change, is called isometric.
This form of abbreviation is called static. For example, if a patient, lying on his back, raises his leg upwards and holds it up for some time, he then conducts in the beginning dynamic work( lifting), and only then static. In other words, the muscles that are responsible for flexing the hip perform isometric contraction.
Scientists have proved that muscle training in isometric mode will sooner or later lead to intensive development of muscle mass and strength.The implementation of isometric gymnastics has a mobilizing effect on the motoneuron apparatus, which facilitates the rapid restoration of impaired functions.
Isometric muscle strains are made in the form of long( muscle tension for 4 seconds or more) and rhythmic( repetition of movements in the rhythm of 20-40 times per minute) stresses.
Rhythmic muscle tension is recommended from the second day after diagnosis of the disease or injury. Initially, the patient does the exercises as an independent methodical technique, and then they are recommended to be included in the exercise program. Optimal is 10-12 stresses during one session.
Spondylarthrosis of the lumbar region is a form of osteoarthritis characterized by aching pains in the region of the entire back and, especially in the lower back, which are given to the buttocks and thighs, and are strengthened when tilting and turning. This ailment is associated with degenerative changes that occur in the joints of the spine. Treatment of spondylarthrosis includes physiotherapy, massage, gymnastics, medication. The best effect in treatment can be achieved when it is performed in a spa or sanatorium.