Lumbar osteochondrosis - treatment
There is an opinion that for the ability to go straight a person pays for diseases of the musculoskeletal system. Passive lifestyle of modern man only provokes the development of such diseases. Arthritis, osteochondrosis, radiculitis, vertebral hernia - all these are severe consequences of low motor activity of a person and hereditary predisposition.
According to some reports, people over 45 years of age limit their movements due to pain in the neck or back. Having addressed to doctors with a pain in a loin, it is possible to hear the diagnosis «an osteochondrosis of a lumbar department of a backbone».Someone will only justify their physical passivity, someone will be skeptical, and some will start looking for ways and ways of treating osteochondrosis of the lumbar spine.How is lumbar osteochondrosis manifested?
Pain is the only accurate symptom of the manifestation of the disease. Painful sensation in lumbar osteochondrosis can be different:
- permanent( aching);
- is aggravated by coughing, sneezing, body position changes.
Also, pain can manifest not only in the area of damage, but also "give" in the limbs. Provoking moments for the onset of lumbar osteochondrosis can be:
- weight lifting;
- uncharacteristic physical activity;
- long stay in one pose;
- low physical activity.
Drug treatment for lumbar osteochondrosis
In case of pain and in the first days after diagnosis of lumbar osteochondrosis, injections for the treatment and relief of pain may be prescribed. Most often appointed:
- Ketonal, Diclofenac - to relieve pain;
- Milgamma is a drug with a combined action that normalizes the nervous system and blood flow.
Also at the beginning of the disease, you can additionally use plasters, ointments and gels to relieve inflammation in the spine and spasm in the surrounding muscles. Taking such drugs as Actovegin, Trental, Cavinton will help to remove the edema and improve blood access in the affected area.
All this will help to remove symptoms, but will not be a full-fledged treatment. The second step should be a joint with the doctor selection of pills for the treatment of lumbar osteochondrosis. These drugs, which contribute to the restoration of damaged interchristian tissue, the so-called chondroprotectors. They can be produced in the form of:
- tablets( Teraflex, Artra, Structum);
- injection( Chondrolon, Elbon, Alflutop).
In parallel with taking medications,
- physiotherapy and manual procedures are connected, which allow to remove the clamps of the nerve endings and correct the position of the spine;
- physiotherapy exercises.
Treatment of lumbar osteochondrosis by folk methods
Because the treatment of lumbar osteochondrosis is a long process, folk medicine prescriptions will not be superfluous:
- As a good warming agent, horseradish tincture on vodka can be used. To do this in a 1: 1 ratio, mix the vodka and the grated fresh horseradish and insist for 24 hours. Suitable is a tool for rubbing the sore spot and for compresses( it is imposed no more than for 30-60 minutes).
- Hop cones are crushed and mixed with fresh butter in a 1: 1 ratio. Prepared ointment should be applied overnight. Keep it in the refrigerator, and slightly warm up before use.
- For relief of pain, a compress made of raw potatoes with honey is a good fit. For its preparation grated raw potatoes are mixed with honey( 1: 1).The product is applied to a sore spot along the spine, and then covered with polyethylene and insulated. Keep compress until you have a slight burning sensation. Symptoms, causes and treatment of lumbar osteochondrosis
According to WHO, osteochondrosis in the countries of Europe, America, Australia and Asia takes on the nature of a pandemic. The reasons for this large-scale spread of osteochondrosis in recent decades are: inactive way of life of the population, unfavorable ecological conditions, nutrition with genetically modified foods( GMO) and overweight.
Up to 85% of cases are in the lumbar region. This is due to the peculiarities of its structure.5 powerful vertebrae form an arcuate deflection forward, connecting the inactive chest and motionless sacral section. Despite this, the amplitude of the movements here is great. In a calm state, the lumbar part of the spine experiences a load of 170 kg. When lifting a weight of 90 kg, it increases to a ton. This increases the wear of the disks. Other causes of lumbar osteochondrosis may be curvature of the spine and previous injuries and diseases.
Symptoms of lumbar spine osteochondrosis
Symptoms of lumbar osteochondrosis are divided into four large groups:
- Vertebral Syndrome.
- Radicular syndrome.
- Ischemic syndrome.
Pain in lumbar osteochondrosis( lumbalgia) has a different nature, origin, location and intensity. Aching constant pain in the lumbar region is the first sign of the disease. It increases with tilting, lifting of gravity, supercooling, prolonged exposure in one position and decreases in the lying position. The appearance of such pain is associated with the process of destruction of the intervertebral disc.
Pain can occur and suddenly, like a chamber( lumbago).Sharp, intense, giving into the sacral region, on the anterior abdominal wall and pelvic organs, it sharply increases with the slightest movement of the spine, coughing and sneezing. With pressure, the painful compaction of muscles is determined. The patient is forced to stay in bed. Provoke the appearance of this symptom of sudden movements, lifting of gravity or significant physical work performed on the eve( "symptom of the second day").This condition can last several days and weeks.
Radicular syndromePain in lumbar osteochondrosis can have a different character
When the disease progresses, the intervertebral disc becomes thinner. The vertebrae lose their stability, they become mobile. With sudden movements, lifting weights, they irritate and squeeze the nerve roots and blood vessels. Pain in the lower back decreases, but appear in the area of innervation of the squeezed nerve. One-sided, strong, drilling pain in the buttock, thigh, leg and foot causes the damaged root to be protected. The muscles tighten, the gait becomes gentle with the inclination to the healthy side.
Prolonged irritation of the nerve roots causes their inflammation, which is accompanied by venous stasis, swelling and intoxication. Pain in the muscles, joints, ligaments, arising after rest, sleep and passing after the warm-up are added. Often they are accompanied by vegetative reactions - increased sweating and a feeling of heat, which is replaced by chilliness.
Other features of lumbar osteochondrosis are characteristic for radicular syndrome. Disturbance of sensitivity in a certain segment in the form of numbness, tingling, "crawling crawling," not susceptibility to pain. The muscle tone decreases, weakness, atrophy, limbs become thinner. Patients can not climb and descend the stairs, walk a long time.
In severe cases of lumbosacral osteochondrosis, the function of the pelvic organs is impaired. Urinary incontinence, gynecological diseases, frigidity in women, and potency disorders in men are frequent symptoms of osteochondrosis. When the spinal cord is compressed, paresis and paralysis are possible.
Ischemic syndromeWe also advise:
Treatment of dorsopathy of the lumbar region
A symptom of circulatory disturbance( ischemia) occurs when the vessels that are close to the nerve roots are being squeezed. The narrowing of the arteries is initially of an incoming character, and then a persistent spasm occurs. There are symptoms of "intermittent claudication" - pain in the legs when walking, forced to stop and pass after a short rest.
Prolonged spasm of vessels feeding the pelvic organs, cause pain in the "rider's zone" - in the buttocks, perineum and on the inner surface of the hips. Violated the function of the pelvic organs, their sensitivity, paralysis of the buttocks is possible.
Radicular, pain and ischemic syndromes of the osteochondrosis of the lumbar spine lead to changes in the skeleton. Because of the pain, weakness and atrophy of the muscles, the spine and pelvis warp, stoop appears. Strain other muscle groups, ligaments and tendons. Changing posture, developing a tense and uncertain walk. The entire musculoskeletal system is involved in the disease, and conditions for further destruction of the discs arise.
Treatment of lumbar spine osteochondrosis
Treatment of osteochondrosis usually begins with the elimination of disease syndromes:
- the appointment of analgesics and anti-inflammatory drugs;
- muscle relaxants, relieving spasm;
- dry heat and rest;
- in some cases helps only surgery.
These measures only remove the clinical manifestations of the disease. Treatment of the lumbar spine is aimed at eliminating degenerative dystrophic processes in intervertebral discs. This is achieved by unloading the spine and restoring metabolic processes.
Effective methods for the treatment of lumbar osteochondrosis are recognized:
- the appointment of chondroprotectors;
- vitamin therapy;
- physiotherapy exercises.
Currently, lumbar osteochondrosis has reasons for spreading. Malosymptomicity of the first stage of osteochondrosis leads to destructive complications leading to disability. Treatment of osteoporosis is complex, multi-stage and requires persistence and discipline of the patient.
Treatment of osteochondrosis of the lumbar region with folk remedies
As is known, treatment of osteochondrosis is a long process and requires patience. After the end of the medication, there comes a period when the body needs special support. Provide it is quite capable of folk remedies. Methods proven by time and experience of generations will help reduce pain, restore damaged tissues, remove symptoms of inflammation, prevent recurrence of the disease or make another attack less acute. Of course, before using folk remedies, it is worth consulting with doctors so that they do not harm their lower backs by ignorance.
Treatment of lumbar osteochondrosis with folk remedies
Any, including folk treatment of osteochondrosis, lasts from six months or more. Do not use compresses and ointments, tinctures in the acute course of the disease. Home treatment is a good assistant when there are no exacerbations: methods based on physical effects and biochemical procedures are used.
Recipes for relief of lumbar osteochondrosis
Rubbing of intervertebral disks leads to the appearance of deformities of the spine and pains in spasmodic muscles. To warm the sore back, it is good to have a belt of sheep or dog wool in the home arsenal. It is believed that it is the wool that can alleviate the pain.
Herbals on the basis of herbs
Herbal extracts, ointments and bases for herbal compresses - have analgesic, relaxing, anti-inflammatory effects, help to normalize the elasticity of ligaments, improve metabolic processes, stimulate blood circulation.
- To reduce pain, warm up the affected area after elimination of the inflammatory process will help the usual pepper band. A similar effect is provided by a home remedy based on green pepper.5 pods should be insisted for two weeks in half a glass of vegetable oil with kerosene. Then infusion rubbed sore place, wrapped in a warm scarf and leaving for the night.
- Burdock leaves + St. John's wort + dandelion root. All the herbal ingredients are ground and mixed. Then brew a glass of boiling water on a spoonful of collection daily, insisting 5 minutes, and do a compress for 10 minutes.
- Medicinal herb( 2 tablespoons) + a few green walnuts mixed with a spoon of arnica, too, will help against pain. The mixture is poured with a liter of boiled water and after insisting take 1 tbsp.three times a day, while eating.
- To make an ointment that perfectly complements the drug treatment, take 3 tablespoons.cones of hop, crushed, mixing with butter in a ratio of 1 to 1. Apply ointment to the affected area for the night.
- A noodle, in the form of a compress attached to the back, will ease the condition with lumbar pain. Shredded leaves must first boil, and then apply them to the gauze and leave it on the loins at night.
a burdock broth for the treatment of the loin
- A decoction of sage and mint is used as compresses for chronic pain. Also, ointments based on nettle leaves are used. Any flour with turpentine and vinegar is good. In general, any means that have a warming and irritating effect are effective.
- Reduces pain, reduces muscle tension of a bath with herbs: spores, chamomile, coniferous extract are used.
- For oral intake, too, there are folk remedies. The tincture of lilac flowers, the broth of St. John's wort, the celery or burdock root, ease the condition of the sore waist. Dry chopped roots of parsley( 3 tsp) need an hour to boil in half a liter of water, then strain and take inside twice a day for 1 tbsp.l.
- A lavender tincture will help with lumbar osteochondrosis. To cook it, take 4 parts of elderberry berries red, add 1 part of alcohol and infuse for 7-10 days. Then infusion rubbed sore spot.
- Alcohol tincture with horseradish( ratio of components one to one) is a kind of analogue of a chemist's pepper patch. In no case should you take this "hot" means inside. Yes, and externally apply a compress for an hour.
- Vodka or alcohol + a spoon of honey + butter and kerosene, taken in small amounts, allow to get ointment for application to a sore spot.
Massages and home physiotherapy
Massage is an excellent tool for treating osteochondrosis of the waist.
- Home massage, along with compresses, is a good tool for the prevention and treatment of osteochondrosis. After the procedure, blood flow improves, massage helps to get rid of muscle tension, and you can carry it with essential oils or home remedies, which contain oil. Can help massaging the diseased area.
- Banks stimulate lymphatic drainage, contribute to the collapse of the inflammatory process. Move the jar along the spine. The duration of the procedure is a maximum of 6 minutes.
- Honey massage is a good distraction for any kind of osteochondrosis,
- Acupressure methods, used as an independent treatment, can also be referred to folk medicine. In addition to working with "signal points," acupressure produces an effect similar to the results of a massage.
After application of grits, ointments of own manufacture and application of compresses, it is possible to conduct home physiotherapy with compact magnetic-laser devices, electromagnetic, quantum and vibro-acoustic devices. These devices normalize blood circulation in tissues, intensify the recovery processes.
Proper treatment of lumbar osteochondrosis at home
Treatment of osteochondrosis of the lumbar spine at home is an integral part of the overall complex treatment. The neurologist can prescribe medications for you, but take them in courses, during periods of exacerbation, and the main medical measures need to be done independently: at home and permanently.
Proper regular treatment at home is more effective than drugs, restores the mobility of the spine and prevents subsequent exacerbations and complications. At home, without a doctor, you can:
regularly perform gymnastics,
apply folk methods of treatment,
do self-massage with appliances,
Let's consider each method in more detail.
Massage and self-massage equipment for lumbar department
Gymnastics exercises - regular and with correctly chosen exercises - this is the most important and most effective part of the treatment of lumbar osteochondrosis at home.
Thanks to gymnastic exercises, you:
- restore mobility of the spine;
- can move without pain and not be afraid of "lumbago" in the most inappropriate situation;
- restore microcirculation in the lumbar region, which will contribute to better recovery of the affected tissue;
- raise the general vitality and get a charge of good mood for the whole day.
But how to choose the right exercises? Some are completely contraindicated for osteochondrosis, and some are forbidden during periods of exacerbations. Compose a complex for you should the attending physician( neurologist) or a professional instructor - physician LFK.It will be enough to visit several classes to learn how to do gymnastics at home correctly.
Exercises that are not desirable for lumbar osteochondrosis
- All exercises related to lifting weights( dumbbells, weights) from standing and sitting.
- Exercises on flexion-extension, twisting and turning of the spine in a sharp, fast tempo.
Exercises prohibited during exacerbation and incomplete remission
Exercises on flexion-extension, twisting and turning of the spine in the lumbar spine.
Always allowed exercises
- Exercises from the supine position on the back without twists and twists in the lumbar( "bicycle", "scissors", legs lifts).
- The visas on the crossbar.
- Exercises from a supine position without twists and twists in the lumbar region.
- Exercises from standing on all fours( smooth deflections down-up, keeping balance on one leg and arm, etc.).
- Therapeutic gymnastics in the pool.
In the acute period - after the lumbar "lumbago" - completely refuse to perform the exercises independently. Before the examination of the doctor, only bed rest is shown - lying on his back.
Illustration of the performance of some exercises in the disease. Click on photo to enlarge
2. Changing the lifestyle of
Many patients do not pay enough attention to their lifestyle. But often precisely in the wrong approach to its mode of the day and the organization of everyday life are the causes of both the occurrence of lumbar osteochondrosis and its exacerbations in the future.
To successfully treat the spine, you need to carefully review your lifestyle and habits. What can and should be done:
1. The lumbar spine experiences maximum load when you are standing and sitting.
- Minimize work( including at home) from these positions and more often arrange unloading( depend on the crossbar, lie on your back on a hard flat surface).
- Read and rest not sitting, but lying on your stomach.
- Do not stay long at the computer and driving a car.
2. Walking is useful for the back, but only in properly selected shoes: without a heel( sports) or on a wide heel about 3 cm high. Supinators are recommended in the insole, especially if there is flat feet.
Supinators in orthopedic insoles help with flatfoot
3. Notice how you sleep and relax. Forget about the bumpy mattresses and the collapsed stretched mesh on the bed.
Buy an orthopedic mattress or special shield.
If there is no money - make a shield yourself from any smooth boards( only be sure to fix them so that they do not leave).To sleep it is necessary only lying on a back and only on a rigid equal surface without a pillow or with a small pillow under a nape.
In addition to relax the spine helps a small cushion( 7-10 cm high) under the sacro-gluteal region. On such a platen you can lie down before going to bed or during daytime rest.
4. Avoid sudden movements in the lumbar spine, including jarring when jumping and running. Do not lift the weight, especially from the tilting stand.
Incorrect and correct lifting of weights
3. Folk methods
Traditional medicine can significantly expand the range of medicines for the treatment of lumbar osteochondrosis.
Three pluses of folk remedies:
affordable cheap ingredients,
minimum contra-indications and side effects,
possibility of constant use.
Home-made products very effectively eliminate pain, relieve muscle tension, improve blood flow and provide the affected tissue with valuable substances.
What is used:
- Compresses, applications and rubbing are a very convenient way to treat osteochondrosis of the lumbar region.
- Mortars, decoctions and ointments with a warming effect. The warming effect is obtained by adding irritants( hot pepper, mustard, horseradish, turpentine), honey and alcohol. It is also possible to apply heating with hot coarse salt, sand, dry burnt buckwheat, a regular hot water bottle.
- Various vitamin cocktails, herbal tea, infusions on honey and lemon juice - are rich in anti-inflammatory, nutrients. These remedies help to treat lumbar osteochondrosis.
4. Self-massage with
devices Self-massage is useful and effective in diseases of the spine. But in the lumbar region it is difficult to do on your own. Therefore, for kneading the muscles in the lumbar part at home, doctors recommend using special massagers: roller, needle, Kuznetsov's applicator, tetrakom, etc.
The simplest devices for massage are inexpensive, but they can quite well "rumple" the back, warm up muscles and relieve pain. Do self-massage in a relaxed atmosphere after a warming shower or bath - sitting on the bed, leaning slightly forward. If you have relatives, ask them to give you a light massage.
Four main principles:
Include in the diet fresh vegetables and fruits - this will enrich your menu with vitamins and minerals.
Sour-milk products, chilli and jellies - are useful for the spine, because they are rich in calcium and components for building cartilaginous tissue.
During an exacerbation, exclude salt, spicy dishes and seasonings, canned food, marinades, alcohol - they are able to intensify tissue swelling and pain syndrome.
If you are overweight, lose weight, because obesity is one of the factors in the formation of osteochondrosis. Gradually reduce the calorie intake by eliminating refined carbohydrates( sugar, flour and products from it, sweets) and hard fats( lard, butter, margarine).
As you can see, at home for the treatment of osteochondrosis of the lumbar spine can be done not too little. The main thing - remember that the success of treatment depends on your willpower and the regularity of the implementation of activities. Do not give up therapy, watch the regime of the day, do gymnastics - and you can successfully treat osteochondrosis without drugs, because they just do not need you.
Author: Svetlana Agrimeeva
Osteochondrosis of the lumbar spine: causes, symptoms and treatment
The treatment course depends on the phase of the disease( exacerbation or remission).
Methods of treatment of the affected spine
Osteochondrosis of the lumbar region is a disease with a long, intensive, complex treatment. This is especially true for cases with severe disease. In this case, there are multiple protrusions or intervertebral hernias. Completely cure the disease will not succeed. But to stop the destructive process of the spine and improve the patient's well-being can be done using several methods:
- treatment with folk remedies;
- surgical intervention.
For successful outcome of spine therapy, it is important to apply all possible methods in a complex. Certainly the first place should be a doctor's consultation.
The main condition for the treatment of lumbar spine osteochondrosis is systemic and strict day regimen. Many habitual household things and food of the patient will have to be reviewed. In the opposite case, combating the symptoms of osteochondrosis will be useless.
Step to a new life
After the first hospital visit and confirmation of the diagnosis, one should resort to such activities:
Orthopedic pillow will ease your pain and make sleep comfortable.
purchase an orthopedic mattress and pillow;
- adjust the level of physical activity;
- pick up an individual gymnastics complex for the waist;
- get rid of excess weight.
Other restrictions can add to this list. It depends on the underlying cause of osteochondrosis in a particular patient.
Many things will depend on the discipline of a person. Cure the main manifestations of the disease will not immediately. Patience and diligence are important here.
Drug treatment for
For the treatment of pain, prescription medications are prescribed: Ibuprofen, Ketoprofen, Lornoxicam, Meloxicam, Etoricoxib, Celecoxib, Nimesulide, etc.
Relaxing medications( Relanium, Diazepam), anticonvulsants( Relanium, Diazepam) can be prescribed to eliminate reflexogenic and psychogenic disordersTopiramate, Gabapentin) and antidepressants in tablets( amitriptyline, clomipramine).With signs of radicular syndrome, diuretic medicines are suitable. In paralysis - anticholinesterase drugs( Galantamine, Proserin).
After the removal of pain, it is necessary to improve the nutrition of the roots, restore blood circulation. Assign: vitamins B;biogenic stimulants;anabolic drugs;cardiovascular preparations.
Drug treatment is an indispensable stage in the fight against the disease. But one medicine does not defeat osteochondrosis. Usually, drug therapy is combined with other methods of treatment and recovery.
Additional therapy complexes
It is important to support the use of prescribed medications by reflexotherapy. The positive result is acupuncture, moxa therapy, vacuum therapy, pharmacopuncture, soft techniques of manual therapy.
Folk remedies help many to improve the effectiveness of other methods of fighting osteochondrosis. Treatment of lumbosacral osteochondrosis can begin with phytotherapy. Burdock leaves, St. John's wort, dandelion root, parsley root are great for brewing tea and applying lotions.
Traditional medicine also offers various methods of stretching. These procedures are performed in the conditions of treatment and prevention institutions and often require professional equipment.
The main goal of exercise on exercise therapy is to train the muscles of the trunk, strengthen the spine and develop its functionality.
It's important to remember! Carrying out gymnastics for the prevention and treatment of lumbar osteochondrosis should be performed only during the period of pain decay.
Lumbar spine affected by osteochondrosis is pain, stiffness in movements, inability to live a normal life. The risk of the disease for osteochondrosis is very high. Most of them, over the age of thirty, at least once felt pain in the lower back. Therefore, it is important to start preventive measures in time to prevent the occurrence of a serious diagnosis. Curing a disease is much more difficult. It would be nice to foresee it. Prevention for osteochondrosis is the best medicine.
Well, already, if there was such a problem? Strict self-discipline and responsible carrying out of the necessary restoring procedures will bring the patient closer to an improvement in their health and help to cure the main symptomatic manifestations of the disease.
Osteochondrosis of the lumbar spine. Symptoms and treatment of lumbar osteochondrosis
- How to eat properly with osteochondrosis?
One of the most common forms of osteochondrosis is , lumbar spine osteochondrosis , or more precisely, the lumbosacral spine. Very many - both men and women - are familiar with back pain in the lumbar region, sacrum, lower limbs, caused by various types of lumbar osteochondrosis and its complications. Among the causes of temporary disability and disability, this disease is one of the first places.
The course of the disease is chronic, usually with periods of exacerbations. Most often provoke exacerbations of the lumbar osteochondrosis, lifting and carrying of weights, hypothermia, stress, trauma.
Osteochondrosis of lumbar spine - causes, mechanism of occurrence and development of
There is no single-valued cause of osteochondrosis, the disease is considered to be multifactorial. The most popular theory is that the cause of osteochondrosis of the spine is the constant overstrain of muscles or hypotonia of muscles, non-physiological muscle tension, which leads to overload of vertebral segments, deterioration of their blood supply and, ultimately, to degeneration of intervertebral discs and joints, resulting in osteochondrosis.
The cause of premature aging of intervertebral disks can also be endocrine and metabolic disorders, a hereditary predisposition to the development of osteochondrosis, autoimmune disorders, microtrauma. The negative role of visceral, that is, associated with internal organs, pathologies in the development of osteochondrosis of the spine is also proved. A significant role in the development of the disease belongs to the adverse heredity. The contribution of hereditary factors to the appearance of lumbar osteochondrosis is about 60%, the rest is attributed to factors of adverse external impact on the spine.
Factors contributing to the development of osteochondrosis in both the lumbar and other parts of the spine are very numerous. The main ones are: abnormal posture, hypodynamia, muscle strain in the lumbar region as a result of constant weight lifting or sudden overload, hormonal changes, endocrine and somatic diseases, disruption of normal blood supply to the spinal tissues, emotional stress, age changes, poor nutrition. Under the influence of these factors in the structures of the spine, the processes of dehydration and circulatory disturbances, arthrosis and subluxation in small joints, bone proliferation, disc herniation - hernia gradually increase.
The most obvious causes of lumbar osteochondrosis are most often considered sedentary life and back injuries. Therefore, the risk group is primarily those people whose profession is directly related to the burden on the back. This is a very wide range of professions - the sellers and waiters, surgeons and teachers - all who are forced to spend most of their working time standing up. The group of risk includes builders and loaders, as well as athletes who, due to the nature of their activities, have heavy loads on the spine. In addition, from osteochondrosis of the lumbar region, drivers, various office workers, programmers suffer - that is, those who work mostly sedentary, and who suffer from hypodynamia.
Symptoms of lumbar spine osteochondrosis
With lumbar osteochondrosis , painful sensations of various types are possible. This can be like aching pain that occurs with prolonged sitting or after a dream, and sharp shooting, catching in the most uncomfortable position and not giving the opportunity to straighten. The pain is caused by pinching of the nerve roots, irritation of the spinal column nerves, edema and irritation of muscles and ligaments located in the zone of innervation of the lumbar spine.
Pain syndrome can be caused by compression of the radicular structures( radiculopathy), compression of the spinal cord( compression myelopathy), spinal cord damage due to blood supply disorders due to constriction, constriction of the supply arteries and veins( compression-vascular myelo-ischemia).
The cause of compression can be: protrusion and herniated intervertebral discs, spondylolisthesis( slipping of the vertebra forward in relation to the underlying), proliferation of osteophytes and cartilaginous tissue in the vertebral segment. As a result, osteochondrosis of the lumbar spine leads to a narrowing of the channel through which the spinal nerves or vascular structures pass, and under certain conditions( clumsiness, physical stress, unsuccessful torso rotation, etc.), compression( compression) may occur. Compression of the nervous structures leads to various pain syndromes, muscle spasms. Vessel compression causes a violation of blood supply - begins ischemia of the organ, which is fed from this vessel or artery.
Clinical syndromes of lumbar spine osteochondrosis
The clinical picture of lumbar osteochondrosis is determined by a complex of vertebral symptoms( changes in the statics and dynamics of the lumbar spine) and escapravertebral symptoms, which are understood as a violation of the function of neurological and vascular structures in the lumbosacral spine.
Vertebral syndromes of lumbar osteochondrosis
In lumbar osteochondrosis, the vertebral syndrome is characterized by the following complex of symptoms:
- disruption of the spinal functional anatomical segment configuration: flattening or( less often) strengthening of lordosis, scoliosis or lordoscoliosis;
- impairment of mobility in the lumbar region, a decrease in the volume of movements, a muscle-tonic imbalance caused by the stress of both deep and superficial multiarticular muscles.
- local pain and soreness in active and passive movements, which causes reflex tonic tension of muscles
- disruption of the spring-motor functions of both the intervertebral disc and the whole vertebral-motor segment.
- local soreness( hypersensitivity) of bone-ligamentous structures of the spine in the affected area( soreness in palpation, local( regional) vertebral and / or vertebrozonal pain syndrome).
It is important to note that with osteochondrosis of the lumbar spine of , vertebral pathologies are always observed. The presence of signs of myelopathy, radiculopathy and mieloradiculopathy, without obvious clinical and morphological signs of vertebral syndrome, requires, as a rule, a more in-depth examination of the patient for primary( "non-embryogenic") damage to the nervous system.
Extravertebral( reflex and compression) syndromes in osteochondrosis of lumbar spine
Extravertebral syndromes are divided into two large groups: reflex and compression.
Reflex syndromes are preceded by compression and are caused by stimulation of the receptors of the roots of the nerves leaving the vertebral canal through the intervertebral foramen. Irritation can be caused by intervertebral hernia, bony proliferation, as well as vascular disorders( edema, worsening of blood circulation), inflammation. In some cases, this leads to intense pain, which arises not only locally but also along the nerve, at a distance from the site of irritation - the so-called "reflected pain". Reflected pain can be short and sharp( "lumbago") or dull prolonged. In the zone of innervation of the damaged nerve, vegetative disturbances( burning, chills, sensory disturbance) are possible. Possible myofascial pain - muscle spasm, which leads to restriction of movements.
Reflex syndromes include lumbago( "lumbago") with acute development of the disease and lumbargia in subacute or chronic course.
Compression syndromes are syndromes that arise as a result of compression, infringement of nerves, vessels, spinal cord in the region of lumbar vertebral-motor segments. Compression syndromes in osteochondrosis of the lumbosacral canal are subdivided into radicular and vascular-radicular. A special case of compression syndrome is myelopathy - infringement of a spinal cord.
Radicular syndromes( radiculopathy) are caused usually by protrusions of the disk, causing infringement of spinal roots. The resulting radicular symptoms correspond to the level of the affected vertebral segment. Most often, the roots of L4-S1 are affected.
Vascular-radicular neurologic disorders are caused by compression of a hernia on the spine and a radicular artery passing along with it. At the same time, a "paralytic sciatica" characterized by peripheral paresis or paralysis of the extensor muscles of the foot can develop catastrophically quickly. In such cases, the appearance of motor disorders is accompanied by the disappearance of the pain syndrome.
Even more severe neurological manifestations cause a violation of the blood supply to the spinal cord due to damage to the radicular-spinal arteries. In this case, chronic discirculatory myelopathy develops, usually at the level of the lumbar spinal cord thickening.
The most unfavorable variant of lumbar vertebrogenic radicular syndromes is the compression of the "ponytail" - the so-called caudal syndrome. Most often it is caused by the fallen middle disc hernia, which squeezes all the roots at the level of the affected segment.
What is osteochondrosis of the lumbar spine? What are its symptoms? How to treat osteochondrosis of the lumbar region?
The causes and symptoms of osteochondrosis of the lumbosacral spine and new methods of treatment are described by Ph. D.E.L.Shahramanova, the doctor of the consultative and polyclinic department of the Scientific Research Institute of Rheumatology.
Clinical classification of lumbar osteochondrosis. Degrees of osteochondrosis
Classification of lumbar osteochondrosis in degrees is used for systematized characterization of clinical manifestations of the disease. This classification systematically describes the symptoms of the disease and begins with the moment when the patient has pain.
1 degree of osteochondrosis
Occurs when the intervertebral disc ruptures, caused by sudden movement or overexertion. It is manifested by sudden pain, a feeling of electric current flow arises in the spine, the musculature is reflexively tense.
2 degree of osteochondrosis
The second degree can manifest itself in the form of symptoms of intervertebral protrusions and instability of the spine. Chronic pain, worse with exertion. Intervals of remission and exacerbation are alternating. The cervical region is characterized by neck pain that increases after a long stay in one position, headaches, pain in the arm, shoulder pain, periodic discomfort or numbness in the fingers. For the lumbar region - pain in the lower back, pain in the gluteal region, periodic pain in the sacrum, frequent fatigue in the legs.
3 degree of osteochondrosis
manifests itself in the form of symptoms of a herniated disc( pain along the affected nerve, numbness of the hands or feet, changes in gait, headaches) or distant symptoms of intervertebral hernia( in the cervical region: frequent headaches, tinnitus, dizziness,hearing, muscular strength in the hands, in the thoracic part: violation of the heart rhythm, difficulty breathing, in the lumbar part: diseases of the kidneys, gastrointestinal tract, disorders in the genital area, numbness or weakness in the legs).
4 degree of osteochondrosis
It is considered that the fourth degree of osteochondrosis starts from the moment when the hernia does not manifest itself, the manifestations of the disease may decrease, but the symptoms of spinal instability, slipping or twisting of the vertebrae, or their complete fixation relative to each other still remain. They can be joined by the manifestations of the growth of vertebral bodies( osteophytes), which can also pinch the spinal nerves or block the spinal canal( secondary stenosis of the spinal canal) and squeeze the spinal cord( spinal cord ischemia).In addition, the fourth degree can be attributed to the consequences of surgical intervention, if the hernia was removed promptly( various kinds of disorders of innervation, paresis, inflammation).
Treatment of lumbar spine osteochondrosis
With the first acute pain in the lower back, you should always consult a doctor for diagnosis to exclude a stroke of kidney colic, appendicitis or some other disease requiring emergency medical care.
If the cause of back pain is known, and this exacerbation of osteochondrosis of the lumbar spine, first of all, it is necessary to minimize the load on the spine as much as possible. It is necessary to comply with bed rest for 3 - 7 days - sometimes only this can significantly reduce the pain. But in order to accelerate recovery, you need the right, that is, effective, treatment. It should stimulate its own protective and healing processes in the human body. Treatment should take into account the localization of the lesion, the stage of the disease, the functional state of the organism and its individual systems. Surgical treatment of this disease is indicated only in very serious cases. Most often, various methods of conservative treatment of osteochondrosis are used.
Conservative treatment of lumbar osteochondrosis
Conservative treatment methods are, first of all, drug treatment. To reduce the pain syndrome, as well as to reduce inflammation, which is often the cause of vertebral syndrome, non-steroidal anti-inflammatory drugs( NSAIDs) are given in the form of tablets or - in acute cases - as injections. Sometimes after the injection of the analgesic, the pain subsides and does not resume even when the duration of the drug ends. This means that it was possible to break the vicious circle in which pain leads to muscle spasm, and muscle tension, in turn, increases pain. However, if the pain continues for a long time, it is important to remember that NSAIDs usually have various side effects and, if taken for a long time, can cause unwanted complications - a decrease in the number of white blood cells in the blood, complications from the gastrointestinal tract.
Often to improve the general condition of patients prescribed sedative( sedative) for 1-3 weeks, as well as small doses of antidepressants. When osteochondrosis of the lumbar spine, if necessary, produce novocaine blockades. Recently, preparations for the anticonvulsant series have been successfully used to relieve pain.
For the reduction of compression syndromes, manual therapy, traction treatment( spinal traction) and in special cases - surgical intervention.
When weakening the fixation properties of the ligaments and joints of the spine, we recommend the use of fixation devices - corsets, collars, bandages, etc. However, fixing devices can only be used for a limited period of time, since muscle relaxation is observed when they are used. And patients with osteochondrosis of the spine are extremely important in the future to strengthen their own muscular corset.
After removing acute symptoms, the task of creating a muscle fixation comes first, and then stimulating the processes of regeneration of damaged structures. For this, therapeutic gymnastics, reflexotherapy, and massage are used. For this, chondroprotectors( preparations for the restoration of cartilaginous tissue) are used. And also drugs that improve the condition of blood vessels( angioprotectors), vitamins, especially group B, calcium preparations that improve the bone tissue.
For the treatment of spinal osteochondrosis, physiotherapy procedures are widely used. They reduce pain and swelling of tissues, improve blood circulation, stimulate muscle fixation. Procedures can be combined, alternating. Such methods of physiotherapeutic treatment as
- darsonvalization of the affected area of the back and affected limbs can be used;