Treatment of osteochondrosis of the lumbar spineTreatment of osteochondrosis of the lumbar spine depending on the course and stage of the disease is carried out for a long time with the use of medical, physiotherapeutic, surgical methods. With osteochondrosis, the relief of an exacerbation does not lead to complete recovery, so the patient, in addition to undergoing a course of treatment, needs a change in the quality of life.
How to treat osteochondrosis of the lumbar segment of the spine?
In case of exacerbation of osteochondrosis, medicinal treatment aimed at eliminating pain, inflammation, compensatory muscle tone and prevention of further pathological change of cartilaginous tissue is first of all prescribed. The treatment regimen for medicinal preparations should be made by a neuropathologist depending on the complaints and the stage of the disease. Medicines are selected individually.
The main pharmacological agents used:
- central muscle relaxants( troxanol, midocalam, prandero) contribute to a decrease in increased muscle tone and a decrease in the dose of analgesic drugs;
- non-steroidal anti-inflammatory drugs( nimesulide, diclofenac, butadione, ketoprofen) are prescribed in an acute period to relieve severe pain and inflammation in the affected area. With severe pain, intramuscular injections are prescribed for several days, then tablets for long-term use;
- steroidal anti-inflammatory drugs( prednisone, dexamethasone) are given as injections if the non-steroidal anti-inflammatory drugs are ineffective or in addition to them. They have a strong anti-inflammatory and analgesic effect;
- chondroprotectors( dona, teraflex, arthron) are used for long courses, contribute to the prevention of further decay of the cartilaginous tissue of the spine;
- neuroprotectors based on vitamin "B"( milgamma, neuromultivitis) - contribute to the improvement of the nervous system;
- ointments and gels for topical application. Apply anti-inflammatory ointments( ketonal, voltaren, fastum, nurofen) and warming up( finalgal, capsicum, nikoflux, apizartron).Ointment or gel is applied locally to the affected department with massage movements.
In addition to the aforementioned drugs, indications are given for sedatives, agents that improve microcirculation, and multivitamins.
Physiotherapy, which is widely used in the treatment of osteochondrosis of the lumbosacral spine:
- ultrasound has an anti-inflammatory and analgesic effect, improves blood circulation in the affected area;
- Magnetotherapy - a method of influencing soft tissues by a magnetic field - has analgesic effect;
- electrophoresis - physiotherapeutic method of administering medicinal painkillers in tissues under the influence of a constant electric current;
- vibromassage - treatment by mechanical vibrations with the help of band vibratory massagers;
- UVT - acupressure by an acoustic shock wave on the affected area - improves blood circulation and reduces inflammation;
- laser therapy - the way to affect the affected area with monochromatic light - helps reduce pain sensitivity;
- detensor therapy - a method of stretching the spine due to the mass of its own body - it helps to normalize the muscle tone in the affected area;
- acupuncture is a method of acting on biologically active zones, which helps to normalize muscle tone, improve blood circulation, reduce inflammation;
- manual therapy and therapeutic massage techniques help stretch the spine, reduce the compression of nerve endings and blood supply vessels, normalize muscle tone.
Physiotherapy procedures are selected individually for each patient. Exacerbation of osteochondrosis, pregnancy, skin diseases, significant damage to the kidneys, liver, heart are contraindications for the use of physiotherapy procedures.
Performing a complex of exercises of physiotherapy exercises in lumbosacral osteochondrosis contributes to:
- stimulation of blood circulation in the lumbosacral region and lower limbs;
- maximum recovery of the amplitude of movements;
- increase the tone of weakened muscles of the buttocks and lower limbs;
- relaxation of spasmodic muscles of the lumbar segment;
- formation of correct posture and strengthening of muscles supporting the spine.
Therapeutic physical training is developed taking into account the patient's condition, exercises with the initial positions lying, standing and sitting are applied. An approximate basic set of exercises:
- sitting on the floor to pull out straight legs. Lean forward to the feet try to reach out to the tips of your toes. To fix the tension position for a few seconds, execute 5-7 approaches;
- sitting on the floor in a "Turkish" position maximally straighten your back, try to keep your posture for as long as possible;
- in the position on all fours to perform a slow deflection of the spine down with a raising of the head and extension upwards with the head lowered downwards. Perform 5-8 approaches;
- in the supine position on the back of the leg to bend in the knee joints, hands to put along the torso. Alternately, lower your legs to the sides before touching the floor, twisting in the lumbar spine. Run 5-7 repetitions;
- lie on your back, place your hands along the body. Raise the pelvis, leaning on the heels and shoulder blades. Do 10-12 repetitions;
- in a standing position on all fours alternately raise a straight leg 12-15 times each;
- lie on your back, slowly take turns lifting your feet 20-30 cm from the surface with a delay in the air for a few seconds. To complicate the exercise, you can lift two legs together.
In addition to these exercises, charging for lumbosacral osteochondrosis should include developing exercises for the muscles and joints of the lower and upper extremities. It is advisable to conduct the first few exercises of medical gymnastics under the supervision of an experienced instructor of exercise therapy.
Treatment at home
At home, you can use folk remedies to increase the effect of traditional treatment. Basically, for the treatment of osteochondrosis of the lumbar spine segment, folk recipes of flavors and ointments based on medicinal herbs are used:
- ointment to reduce pain. Mix 30 g of ground hop cones and 30 g of butter, the resulting composition is applied overnight;
- pepper powder. Several pods of red pepper put in half a cup of vegetable oil, infuse for about 14 days. Infusion is rubbed low back before going to bed and wrapped in a warm kerchief;
- rubbing from red elderberry.50g of elderberry berries pour alcohol, insist about a week. Then the resulting composition rub the loins;
- decoction for compresses.10 g of herbs from St. John's wort, dandelion roots, burdock leaves pour 200 ml of boiling water, let it brew for about 45 minutes. The compress is applied in the prone position for 15 minutes;
- therapeutic bath. To reduce muscle tension and pain, take a warm bath with the addition of pine extract, sporicha or chamomile.
What are the symptoms of lumbar osteochondrosis? What treatment will help?This disease is characterized by degeneration in the intervertebral discs. As you know, drives are designed to provide flexibility and mobility to our spine. When the disc becomes flat, exhausted, the vertebrae come together, compressing the vessels and nerve roots. Hence the pain and swelling. The most common problem with the musculoskeletal system is the osteochondrosis of the lumbar spine, the symptoms of which are the appearance of regular pain in the lumbar region and limited mobility of the patient.
Pain in osteochondrosis of the lumbar region is the main manifestation of this disease, but other symptoms are also common.
Symptoms of lumbar spine osteochondrosis and the main complications ofThe most common signs of lumbar osteochondrosis are the following symptoms:
- decreased mobility in the lumbar spine of the
- loss of flexibility of the back( inability to bend or turn the body)
- general fatigue
- sleep disorder
- difficulty in fulfilling household needs due to pain
- impairment in the sweating system
- chills, and tingling in the legsvarying degrees of intensity
- cold feet syndrome
- spasms in the arteries of the feet
- instability in the sexual function( common in men)
- disorders in mena stroke cycle in women
We descend below!
Lumbosacral osteochondrosis, the symptoms of the most common complications.
- disorders in the functioning of the genitourinary system
- discomfort and pain in the kidney area
- urination disorders
- irritation of the sciatic nerve
And more serious complications:
- protrusion of the intervertebral disc
- hernia( intervertebral or hernia of the spine)
In addition, the syndrome of lumbalgia is common - regularvarious pain in the lower back. There are several types of lumbulgia: acute, subacute and chronic.
Acute lumbargia - sudden painful lumbago, can last for several hours. The pain is stitching, cold sensations or, conversely, burning in the lower back are also possible.
Subacute lumbargia( as well as chronic lumbargia) occurs several days after a strong strain of the waist or its supercooling. Pain often appears on one side, it becomes stronger because of long sitting or standing.
Treatment of lumbar syndrome is often performed with the help of leeches( hirudotherapy), as well as acupuncture.
What are the methods of examination for the detection of osteochondrosis of the lumbar spine?
- X-ray. Gives precise information about the condition of the lumbar spine and each vertebra separately. In addition, indirectly one can judge the state of the intervertebral discs, as well as the bone channels.
- Tomography. It allows to reveal the rupture of the contour of the disk, compression of the nerve root, deformation of the meninges.
- MRI is assigned in particularly difficult cases.
What causes osteochondrosis of the lumbar region?The lumbar spine is the most important area in the spine.it connects the sacrum and thoracic region, the lumbar region includes five vertebrae. It is the lower back that takes the most serious strain, regardless of the person's lifestyle. Not surprisingly, that the osteochondrosis of the lumbar spine causes the appearance of which has long been identified and studied - one of the most common diseases of the spine.
- Osteochondrosis usually occurs due to serious physical exertion. Among the people at risk of risk are those who are overweight and work a lot physically( for example, lifting weights).The problem can be aggravated by the fact that, in general, the way of life of such people is not very active. Also, osteochondrosis can cause problems with posture and inability to move properly or sit flat. It becomes clear that any excessive and regular strain on the spine often causes the development of osteochondrosis.
- The appearance of this disease is a different back injury.
- Incorrect mode of the day and poor nutrition. Increased predisposition can be regular stress, lack of sleep, metabolic disorders in the body.
- Genetic predisposition. There are cases when the intervertebral disc has a porous-loose structure, because of what it is more prone to deformities.
Intervertebral osteochondrosis of the lumbar region can also develop, as a result of flat feet, stoop, lack of vitamins and microelements, poor ecology, regular wearing of uncomfortable shoes, etc.
Problems in the sacral spine departmentOsteochondrosis can spread to the coccyx and provoke acute periodically arising pains in the coccygeal region. The most susceptible to this disease women( from 40 to 60 years) because of the anatomical features of the female body.
The osteochondrosis of the sacral spine, the symptoms of which are slightly different from the symptoms with problems in the lumbar region, is difficult to identify.
Pain syndrome with this type of osteochondrosis is supplemented by frequent urination, incontinence, exacerbations of inflammation in the genitourinary system, as well as in the rectum. In spite of the fact that the osteochondrosis of the sacrum is characterized by acute, bursting, sometimes burning pain, patients often find it difficult to indicate the specific place of localization of the pain syndrome.
Pain most often occurs with prolonged sitting, especially on a hard surface, during coughing, severe physical exertion. Patients "transplanted" to one half of the pelvis, move very carefully.
Once osteochondrosis was considered a disease to which mostly elderly people are exposed, they were most often diagnosed with them. This is understandable, because over time, the intervertebral discs actually lose elasticity, become less mobile and, accordingly, are prone to injury and deformation. Today, the disease is "very much younger", most of the patients are from 30 years old.
There are also professional athletes at risk, but you can buy osteochondrosis at home, incorrectly performing complex physical exercises. Osteochondrosis is common in people with joint inflammation( Bechterew's disease) or some forms of arthritis( for example, rheumatoid).
The attack of an osteochondrosis can:
- sudden overload
- sudden lifting of weights
The patient immediately takes a forced posture, the muscles in the lower back and upper back are reflexively spasmodic( this protects the spine from the position in which the pain intensifies).
How to treat osteochondrosis in the lower back?It is important to understand that the lumbar osteochondrosis symptoms and treatment of which has long been well studied is not a verdict. Recovery is possible. To successfully get rid of the disease, the patient will have to change many habits and work on his recovery daily. And after recovery, it will be necessary to prevent the disease, becauseThis ailment can come back after a while.
Dystrophy of the intervertebral discs often occurs due to problems with the muscular skeleton of the lumbar spine. It is known that it provides reliable support of the spine, and also maintains the correct posture necessary for the health of the spine.
Conservative treatment of
This disease requires the use of complex treatment, which combines:
- many varieties of stretch marks
- the practice of manual therapy
- exercises physical therapy
- diets, etc.
The main task of conservative treatment is to stop the progression of the disease and return the spine to the correct anatomical position.
Usually, conservative treatment is usually performed within 2-3 months, in a situation where this type of treatment does not give positive results, surgical treatment can be prescribed.
Usually, the doctor prescribes surgery only when serious complications develop. For example, intervertebral hernia. The most common type of surgical intervention is the removal of a damaged disc( discectomy).
This operation is considered the most productive method in this case, but at the same time is assigned only if other methods of treatment do not bring results within six months. In addition, the method of microsurgical and endoscopic treatment of the spine is common.
How to start treatment?
Revise your lifestyle and habits. It is necessary to give up excessive physical exertion or, conversely, to introduce regular exercises by simple physical exercises to those who are accustomed to lead a sedentary lifestyle. Then, to evenly distribute the load, pick up an orthopedic mattress and other bedding.
Often after the first visit to the doctor, medication is prescribed. Usually these drugs not only relieve pain, but also fight the inflammatory process in the body. Medication programs include non-steroid drugs, analgesics, muscle relaxants, a drug of chondroitin, biogenic stimulants. In especially neglected cases, hormones are prescribed.
Use folk remedies for
Do not forget about folk remedies for osteochondrosis. Many herbs and other gifts of nature are taken in order to get rid of this disease both external and internal. Folk remedies help relieve pain and reduce inflammation.
Are there any other treatments?
Traditional medicine offers a variety of ways to stretch the spine. These procedures deal with a number of medical and preventive institutions, which has special equipment. Excellent results give massage, it removes muscle tension, eliminates spasms, reduces pain. Massage can replace some pain medications, which is why it is quite popular.
Wearing a fixing corset is not approved by all specialists. This accessory keeps the back in anatomically correct position, which means, it neutralizes the signs of osteochondrosis of the lumbar spine. But with excessive prolonged wear can provoke muscle atrophy. The best option for using a corset with a hernia is to wear it during exacerbations( bouts of pain), several hours a day.
The corset should be selected by a trauma doctor or vertebrologist. We must understand that not every model of the corset is universal. More precisely, universal does not exist at all.
Physiotherapy for this disease is used in almost all cases. Exercises strengthen the muscles of the back. The productivity of the practice of physiotherapy exercises increases if the classes are held regularly. Systematicity is a sign that the patient really wants to recover. It is impossible to overstrain, exercises that are difficult for you to perform, it is best to remove from the program of classes. At occurrence of a dyscomfort it is better to stop employment or occupation.
Acupuncture, leeches, vacuum massage and other similar procedures are best performed in clinics with a good reputation. These procedures are aimed at stimulating blood circulation.
Another common method of treatment is to visit specialized sanatoriums and dispensaries. Especially useful in osteochondrosis water procedures - one of the most common types of treatment in specialized sanatoria.
Phenomena of osteochondrosis of the lumbar spine, the symptoms of which are difficult to confuse with any other disease, require treatment under the supervision of an experienced doctor. Self-treatment, as well as ignoring the disease is unacceptable, becausethis can lead to more serious problems with the spine. Take care of your health!
Treatment of osteochondrosis of the lumbar spine
A massive increase in osteochondrosis, according to WHO statistics, is becoming a pandemic in Europe, Asia, and America. All modifications and pathological phenomena related to the components of the spine, caused by any causes, having various external manifestations, require the appointment of a long-term therapeutic intervention. Treatment of osteochondrosis of the lumbar spine provides a medicated route, physiological appointments and a special list of physical exercises.
The optimal combination of all components according to the plan proposed by the attending physician. It is also important to detect and eliminate the cause of this type of osteochondrosis, direct the internal capacity of the body to eliminate the disease, and analyze the lifestyle and diet of the patient carefully.
Diagnosis of the disease is difficult, because at the initial stages the disease does not give a pronounced sensation. Either discomfort occurs in other parts of the body and qualifies as one of the signs of a different ailment. But due to irreversible changes, destroying the intervertebral discs, deforming the bone processes, there is an acute symptomatology, indicating a chronic course of the disease. Symptoms of osteochondrosis of the lumbar region of the spine differ in their variety and are often not taken seriously until the onset of intolerable pain. You should see a doctor if you feel:
- Strange uncharacteristic numbness, or tingling, burning, pulling feeling in the buttock or upper thigh area, as well as a feeling of "cold" skin in these areas;
- Muscular "fatigue" in the lower part of the trunk or in the lumbar region, causing a change in body posture;
- Pain in the middle lobe of the buttock;
- Change in the susceptibility of the surface of the skin and muscle tissue of the inner side of the thigh;
- An uncomplicated pain syndrome in the lumbosacral region, which first manifests itself with careless movements and disappears in the "posture of classical posture," may also indicate a beginning osteochondrosis;
- Burning pain at any change of a pose, can become intolerable at reflex muscle contraction: cough, flinch;
- Strong painful sensations, covering the lower back, especially the lower part, which do not allow freely changing the position of the trunk.
The above symptoms indicate the onset of dystrophic spinal disorders and pathology in the lumbar region.
Osteochondrosis can not be identified with radiculitis! This disease is not inflammatory, but atrophic in nature. Therefore, self-medication, which is based on external manifestations, is extremely dangerous and can only exacerbate the disease. Timely treatment in a specialized center and qualitative diagnostics will prevent serious complications.
Essence and plannedness of medical measures for osteochondrosis of lumbar department
Therapeutic measures in the management of pathological conditions of osteochondrosis of the lumbosacral department is a multicomponent solution that includes several methodical directions. The essence and plannedness of medical measures after the diagnosis of "lumbar osteochondrosis":
What is it?↑
Osteochondrosis is a special form of spine injury associated with dystrophy and deformation of the intervertebral discs, a decrease in their height and the so-called beak-like sprouting of the vertebrae.
The disease affects various parts of the spine, however, lumbar( especially 4 and 5 segments) and sacral than the thoracic and cervical parts most often suffer.
This is due to the fact that the lumbar department has the maximum load associated with moving the body in space, physical work, maintaining a constant posture.
As a rule, if the waist is affected, then the sacral department is involved in the process.
Osteochondrosis of the sacral region alone is a very rare phenomenon. This is due to the peculiarity of the structure of the human body.
Causes and factors of the disease development ↑
The main cause of osteochondrosis development is an incorrect distribution of the load on the spine.
Minimum load on the spine - in the supine position, slightly more - lying on its side. The standing position with a flat back is optimal on the load on the lumbar region.
In sitting position, the load on the spinal column is amplified by one and a half times because of the relaxation of the muscular corset.
Changing the position of the body of the body forward causes an even greater increase in the load on the anterior margin of the vertebrae and the vertebral column. Pressure increases if a person holds a certain weight in their hands.
Fig.: Correct and incorrect position of the body
Factors provoking the appearance and progression of pathology are:
- low motor activity - concerns people leading a sedentary, passive lifestyle;
- doing physical work, lifting weights( often there are intervertebral hernias), weight lifting;
- incorrect posture and walking;
- congenital defects of the spine, skeleton as a whole, uneven development of the musculoskeletal system;
- flat feet. In the normal state, the arch of the foot absorbs the loads when moving;in people suffering from flatfoot, the whole load falls on the intervertebral discs, which causes a faster destruction of the latter;
- is overweight;
- long stay in an uncomfortable position;
- genetic predisposition, hereditary fragility of cartilaginous tissue;
- back injury, especially the lumbosacral spine;
- infectious diseases( consequence of tuberculosis, osteomyelitis);
- diseases of the endocrine, cardiovascular and digestive system;
- inflammatory processes, diseases of the joints of the spine( Bechterew's disease, rheumatoid arthritis);
- hormonal disorders, changes in metabolism, blood composition;
- improper nutrition, day regimen, lack of nutrients;
- stresses, chronic lack of sleep;
- age changes( with age, vertebrae and discs lose mobility and elasticity);
The above causes the loss of elasticity of the intervertebral discs. Deformed discs with physical loads, sudden movements are shifted to the side.
This is how the disc hernia arises.
In this case, the absence of a cartilaginous interlayer between the vertebrae leads to squeezing, reducing the distance between them. This entails infringement and inflammation of the roots of the spinal nerves( the so-called "horse tail syndrome").
Signs and Symptoms ↑
The main symptom of osteochondrosis is pain in the back, lumbago( lumbago), which are released in the leg along the sciatic nerve( sciatica).
Symptoms of the disease manifest as the development - as a rule, not earlier than the second stage. Initially, they occur with sudden movements, physical exertion, then turn into constant aching pains with exacerbations. In the last stages, the pain occurs when coughing, sneezing, ie.little physical activity.
Pinched nerves as a result of osteochondrosis causes radicular syndrome:
- in the waist arises shooting pain;
- there is a violation of the sensitivity of the skin on the legs;
- weakness in the muscles;
Osteochondrosis of the lumbosacral spine: treatment and symptoms
Symptoms of lumbar osteochondrosis
Osteochondrosis of the lumbar spine is characterized by a wide variety of clinical manifestations. The symptomatology of the disease depends on the stage of the pathological process and the degree of degenerative changes in the affected vertebral column. The disease develops gradually, beginning with minor changes in the cartilaginous tissue of the intervertebral discs, and at the initial stages is not manifested.
As the degenerative processes progress, the pathological changes in the discs become more pronounced, and over time, the patient begins to appear some signs of osteochondrosis. Depending on the severity of the lesion of the cartilaginous tissue of the spine, three degrees of the process can be distinguished.
Osteochondrosis 1 degree
In the initial stages of lumbar osteochondrosis, small seals of the intervertebral discs are observed, which does not disturb the patient in any way or is manifested only by orthopedic symptoms: a feeling of stiffness in the loin, unpleasant sensations in the form of weak pulling pains with tilts and corners of the trunk. Acute pain in the loin associated with osteochondrosis in this stage does not happen. A typical sign of the initial manifestations of lumbar osteochondrosis is the appearance of rapid fatigue with a static load, it becomes difficult to sit for a long time in one position. After a prolonged sitting, there may be a crunch in the lower back while moving in the lumbar spine.
Osteochondrosis of 2nd degree
Further progression of the pathological process leads to more pronounced changes in the disc, which causes its protrusion beyond the vertebral bodies - protrusion occurs. At first it arises only with the vertical position of the body, but with time it assumes a constant character. At this stage, osteochondrosis is manifested by vertebral syndromes.
Lumbago is often the first manifestation of lumbar osteochondrosis. The pain arises suddenly, usually with an awkward movement: a deep tilt forward, an attempt to abruptly rise from a sitting position, lifting the gravity in front of him. Pain in lumbago is usually compared with a shock of current. When a patient is shot, the patient freezes in a pose in which there is no sharp pain and is afraid to move. In this case, a constant, pronounced muscle tension is observed. They protrude, in the form of ridges, located on both sides of the spinous processes. Muscular hypertonus is a protective reflex that facilitates the physiological immobilization of the lumbar spine.
Another manifestation of vertebral syndrome may be lumbolgia - chronic pain in the lower back. Unlike lumbago, there is no clear connection with the movements and the appearance of pain. Painful sensations of aching slightly increase with quiet movements. Patients can perform not hard work, but it is usually difficult for them to bend and even more difficult to unbend. The pain is aggravated after prolonged sitting or standing, because of this, patients try to change the position of the body more often. Adopting a horizontal position leads to a reduction in pain, since the load on the intervertebral discs is significantly reduced. Pain can last for months, periodically receding and intensifying when there is another exacerbation of the disease.
Osteochondrosis of 3 degree
With far-reaching destructive changes, the formation of herniated intervertebral discs occurs. As a result, a pronounced compression of the spinal structures develops and a number of other manifestations of the disease are added to the vertebral syndrome in the clinical picture.
Radicular syndrome, most often, develops against a background of long-lasting vertebral manifestations. In most cases, there is a sudden sudden pain localized in the lumbar region on the one hand with irradiation to the buttock, the hip joint, gradually spreading to the entire leg. Aggravation is usually associated with awkward movement, prolonged forced position or lifting of weights. Painful sensations in the root syndrome increase with movement, increased intra-abdominal pressure( coughing, sneezing, straining).After a while there are disorders of sensitivity in the lower limb, such as hyperesthesia, hypesthesia, paresthesia, in severe cases - anesthesia. The muscle tone decreases, weakness develops, there is a hypotrophy of the leg muscular tissue.
Compression myelopathy( compression of the spinal cord) at the level of the lumbar region is manifested by motor disorders in the lower extremities, there is a significant decrease in the volume of the thigh, shin, decrease and even absent reflexes. There may be a malfunction of the pelvic organs: incontinence or retention of urine, feces, impaired sensitivity in the perineal region. This symptomatology is extremely unfavorable in terms of prognosis and requires immediate treatment. The spinal cord disturbance syndrome is manifested by intermittent claudication, a feeling of weakness in the legs, pain, painful paresthesias during walking, extending to the lower parts of the trunk and into the perineum. The patient can be persecuted by constant urge to urinate, later there are violations of the function of the pelvic organs. There is a tendency to develop bedsores.
Neurotic disorders develop in the long course of the disease, when severe pain and various motor and sensory disorders are severe. In patients, irritability increases, there may be manifestations of aggression towards the surrounding people, the mood changes rapidly, sleep is often disturbed, and disability declines. As a rule, very hypochondriacal people with a labile psyche are susceptible to neurologization.
How to treat lumbosacral osteochondrosis?
In the case of 1 and 2 degrees of osteochondrosis, treatment is usually carried out at home using conservative methods. In most patients, properly prescribed therapy allows you to stop the symptoms of the disease for several weeks, after which a remission occurs, the duration of which depends on the patient's lifestyle, the severity of osteochondrosis, and the use of therapeutic and prophylactic measures. Constantly conducted prophylaxis allows to achieve remission for many years.
Surgical treatment of osteochondrosis of the lumbar spine is used when an intervertebral hernia occurs. It is indicated by 15-20% of patients and is used in the development of serious neurological complications or inefficiency of conservative methods for several months.
When the disease worsens, the emphasis is on medical treatment, the main purpose of which is to fight with pain. To do this, the following medicines are used:
- Drugs that have an anti-inflammatory effect are prescribed orally or intramuscularly. In most cases, drugs are used that belong to the group of non-steroidal anti-inflammatory drugs: diclofenac, indomethacin, ketarol, ibuprofen, nemisil, moovales, etc. In parallel with the general application of NSAIDs, these drugs are also prescribed for topical use, in the form of medicinal forms such as ointment orgel. In the absence of the effect of nonsteroidal agents, local anesthetics are used in combination with hormones in the form of epidural and paravertebral blockades.
- Muscle relaxants give a good effect in combination with diuretics and vasoactive substances. The use of these drugs allows you to remove muscle spasm and reduce tissue swelling, improve blood circulation in the area of compression.
- Sedatives, daytime tranquilizers, antidepressants are used to treat and prevent the development of neuroticism.
- Group B( B1 and B12) vitamins improve nerve tissue nutrition, promote its rapid recovery after compression effects.
After an acute period of illness, treatment should not stop. To fix the positive effect of drug therapy, during the period of remission the following medical measures are applied:
- Therapeutic massage is considered one of the most effective therapeutic and prophylactic measures in combination with other therapeutic methods. It allows you to significantly reduce the rigidity of the lumbar muscles, improve blood circulation, lymph circulation directly in the tissues adjacent to the lumbar spine. In case of hypotrophy associated with radicular syndrome, lower limb massage contributes to the improvement of trophic and innervation of hypotrophic muscles.
- Physiotherapy is prescribed in combination with a massage after relief, in the absence of pain syndrome. Classes are held daily, therapeutic gymnastics begins with minimal, gradually increasing loads, since otherwise it can provoke another exacerbation. The complex of exercises must be started, avoiding sudden movements and refraining from doing high-amplitude exercises. Exercises for the waist are shown to patients who used the corset for a long time. Systematic exercises of exercise therapy will significantly strengthen the muscles of the waist, thereby reducing the undesirable load on the intervertebral discs.
- Strict adherence to a gentle regime is an integral part of the successful treatment of osteochondrosis, as well as the prevention of its exacerbations. For the back, especially the lumbar region, it is extremely important to fulfill the following conditions: to sleep on a bed equipped with an orthopedic mattress and a special cushion of medium hardness of small sizes;under the neck you need to put a special roller.
- Avoid prolonged stay in uncomfortable position. After a long sitting, you need to get up slowly, without sharp jerks. After that, the elementary charge and a small self-massage should be performed, which will allow to eliminate stagnant phenomena in the lower back.
It is worth noting that in practice it is very rare to find isolated lumbar osteochondrosis, more often it is observed simultaneously with cervical osteochondrosis.
Symptoms of lumbar osteochondrosis
In lumbar osteochondrosis, the onset or pain of pain is usually preceded by physical overload, and a painful reaction to them can occur both after the load and the day after it. Most often, patients experience dull, aching pain in the lower back( lumbalgia), sometimes giving up in the leg. There are complaints of pain in the leg, which is amplified when trying to lift the weight, with jerking, sneezing, coughing, changing the position of the trunk, and also if you are in one position for a long time.
With exacerbation of lumbar osteochondrosis, patients complain of the inability to straighten or move - as any movement increases pain, on a strong and constant tension of the muscles of the back. Even after a short stay in the cold, acute pain in the lower back( "lumbago") can occur.
Symptoms of lumbar osteochondrosis are also:
- sensory disturbance in buttocks, thighs and lower leg, sometimes - stop,
- chills and tingling in the legs,
- chills in feet, spasm of the arteries of the feet - sometimes even the pulse disappears,
- dryness and peeling of the skinin places of pain or loss of sensitivity.
In the event that a spinal cord becomes entrapped in lumbar osteochondrosis, there is a violation of urination or defecation, as well as a violation of the sensitivity of the bladder or genitals.
The most unpleasant complication of of lumbar osteochondrosis is vertebral instability. The disc no longer fixes the vertebra, and under the load under the action of gravity the lumbar region "slides" from the sacrum. And this already provokes dangerous violations in internal organs, especially in the genitourinary system: women have problems with appendages, uterus, ovaries;in men - with potency.
Diseases contributing to the development of lumbar osteochondrosis
Many diseases of the internal organs contribute to the appearance of lumbar osteochondrosis and the appearance of pain. Thus, more than 28% of patients with clinical manifestations of lumbar osteochondrosis suffer from diseases of the gastrointestinal tract and liver. The reason is that with diseases of the gastrointestinal tract, liver, pancreas, etc., the flow of painful impulses causes tension and spasm of muscles and vessels. This leads to oxygen starvation and development of the dystrophic process in the corresponding areas of the body. The process aggravates the metabolic disturbance observed in these diseases. Lumbar pelvic organs can also provoke lumbar pain: in women, inflammation of the appendages of the uterus( adnexitis), in men - inflammation of the prostate gland( prostatitis). Phenomena in the pelvic cavity observed in these diseases, as well as hemorrhoids, chronic colitis, constipation, also contribute to the manifestation of lumbar osteochondrosis.
What is osteochondrosis of the lumbosacral spine? What are its symptoms? How to treat lumbar osteochondrosis?
About the causes and symptoms of osteochondrosis of the lumbosacral spine and about new methods of treatment tells cms. E.L.Shahramanova, the doctor of the consultative and polyclinic department of the Scientific Research Institute of Rheumatology.
Species of lumbar osteochondrosis manifestations
The most complete and systematized classification of vertebrogenic( spine related) diseases of the peripheral nervous system was proposed by IP Antonov. According to this classification, the following clinical syndromes of lumbar osteochondrosis can be distinguished:
- Reflex - lumbago, lumbalgia, lumboschialgia.
- Radicular - vertebrogenic( discogenic) sciatica with damage more often than the fifth lumbar or first sacral root.
- Radicular vascular syndromes - radiculo-ischemia, or compression along with the root of the vessels( radicular artery, vein).
Lumbago - acute, type of lumbago, lumbar pain. It usually occurs after lifting the heaviness, awkward movement, sometimes - coughing, sneezing.
Lumbalia - subacute or chronic pain. Occurs gradually after physical exertion, prolonged stay in uncomfortable position, in sitting position.
Lumbosciagia is a back pain extending into one or both legs. It can occur with muscle-tonic, vegetative-vascular and neurotrophic manifestations.
Radiculitis ( radicular syndromes) show signs of compression of one or two roots. Along with root pains, they are characterized by motor pains( weakness of flexors or extensors of the big toe or entire foot) and sensitive disorders associated with loss of function of the damaged rootlet.
Radiculoheschemia occurs as a result of compression of the radicular-spinal arteries. The clinical picture is dominated by gross motor( paresis, paralysis) and sensitive disorders in the presence of mild pains, and often their absence.
Treatment of lumbar osteochondrosis
Lumbar osteochondrosis requires compulsory treatment, this disease can not be ignored. Treatment of lumbar osteochondrosis is described in the general section "Osteochondrosis, treatment".
A therapeutic anesthetic anti-inflammatory plaster NANOPLAST forte can be of great help in treating lumbar osteochondrosis.
Lumbar osteochondrosis: treatment with a medical plaster NANOPLAST forte
In the therapeutic treatment of lumbar osteochondrosis , various drugs such as NSAIDs, muscle relaxants and other drugs are used. All these drugs are effective, but with prolonged use can harm the body. Therefore, it is very important to minimize side effects and increase the effectiveness of the treatment of lumbar osteochondrosis. This can help the drug of a new generation - an anesthetic anti-inflammatory medical plaster NANOPLAST forte.
In the treatment of lumbar osteochondrosis, the medical plaster NANOPLAST forte is very effective, it allows you to relieve pain and inflammation, improve blood circulation in the lumbar osteochondrosis area, and reduce the dose of analgesic and anti-inflammatory drugs.
For lumbar osteochondrosis, the NANOPLAST forte patch is applied to the lumbar region. To achieve maximum effect, the adhesive need to be glued transversely to the spine. It is usually recommended to use a patch in the morning for 12 hours, but it is possible to apply it for the night. The course of treatment is from 9 days.
High efficiency, uniqueness of the composition, long-term( up to 12 hours!) Therapeutic effect, ease of use and affordable price make NANOPLAST forte the means of choice in the treatment of lumbar osteochondrosis.