Do not delay the treatment of arthrosis of the lumbosacral spine and sacrococcygeal articulation!Arthrosis of the sacroiliac joints is a fairly common joint disease, just like arthrosis of the lumbosacral spine, for example.
Chronic inflammatory process with elements of dystrophic changes of the lumbosacral region proceeds with very severe pain. This process can subside and resume again, for example, as a result of hypothermia or excessive loads on the sacrum.
The structure of the sacrum
The sacroiliac joint is five separate vertebrae that are not connected to each other. Their adhesion occurs to about 25 years. When a person is born, the vertebrae are not articulated, but with time, from about 15 years, the three lower vertebrae begin to connect, and after them the two upper ones. By the way, male sacrum in shape is longer and curved than female.
If the vertebrae do not coalesce with age, this usually indicates an abnormality in the development process and, usually, reveal lumbarization, sacralization, or any disturbances in the arch of the sacrum of the sacrum.
The sacrum on its lateral side has unusual protruding joints in the form of an "ear".These joints are necessary for a person to connect with the iliac bones.
How to identify arthrosis of the sacral joints
In order to diagnose arthrosis of the lumbosacral spine, it is necessary to undergo a special diagnosis that includes:
• External examination of the patient
• Palpation of the sacral vertebrae and lower spine of the
• General blood analysis
• X-ray overview
• Computed tomography examination
When performing an external visual examination by a physician, the disease is diagnosed on the basis of the patient's anamnesis, thenfive stories flow of his illness, gives a preliminary estimate of biomechanics determined by the strength and muscle tone, range of motion of the lumbar-sacral, and considers human gait.
Painful symptoms in a person with a diagnosis of arthrosis or osteoarthritis in the sacroiliac region are usually observed during palpation, that is, when palpation of the lower spine with fingers. But it is worth remembering that pain in the pelvic region in girls and women may well be not due to any joint problems, but because of gynecological abnormalities.
A blood test for biochemistry will help to identify indirect signs of inflammatory processes that can be localized in the articulation of the sacral-lumbar spine, for example, if the erythrocyte sedimentation rate( ESR) exceeds the norm. For example, if a patient has arthrosis of the knee joint of the third degree or any osteoarthritis of any other joint, this indicator is kept at a normal level, while arthritis can be 1.5-2 times higher than that of a healthy person.
Radiography of the lower spine and lumbosacral section will help to understand what kind of pathology the patient has: trauma, osteomyelitis or arthrosis of the sacrococcygeal articulation.
Another good method of diagnosis, in order to diagnose arthrosis - carrying out CT, that is, computed tomography of the sacro-lumbar department. Tomography of the pelvic region and all bones can help the doctor exclude oncology or inflammation of the sacrum( sacroiliitis).
What is the treatment of arthrosisThe procedure for treating osteoarthritis or arthrosis of the lumbosacral section is very similar to those that are used as a therapy for sacroiliitis or other types of arthrosis. The general standard complex is massage, medication, physiotherapy, observance of a certain orthopedic regimen, etc.
In appointing a medication, depending on the severity of the disease, the doctor takes into account all the factors of the patient's history: his previous illnesses, age, lifestyle. Treatment of any types of joint diseases should be dealt with only by the attending physician.
Also in the treatment is very common application of NSAIDs, that is, nonsteroidal drugs that have an anti-inflammatory effect. These drugs can remove strong pain, but they have many negative side effects.
If the patient has a diagnosis of osteoarthritis, analgesics and corticosteroids are also prescribed to combat pain and inflammation, and with severe pain in the waist( sakrodinia), can recommend blockades with kenalog, lidocaine, hydrocortisone, diprospan. Magnetotherapy also proved very useful, with arthrosis of the knee joint, for example - it very quickly affects the joint and relieves the patient of suffering.
Physiotherapy includes UHF therapy, laser therapy, physical education, radon, coniferous and sulfuric baths. With the help of physiotherapy, you can remove puffiness and inflammation, return the lost volume of spine and joint movements, reduce osteoarthritis, improve overall tone and reduce pain.
Another wonderful method of treating spinal arthrosis and lumbar spine is manual therapy. The physician-manual with the help of massage will be able to improve blood circulation in muscle tissues and tone, and then the food of cartilaginous tissue will be restored and the supply of nutrients to the body is stimulated.
Orthopedic treatment in the treatment
In order to comply with orthopedic regimen for a person who has osteoarthritis, it is necessary to limit mobility in the lumbosacral region of the spine. To do this, medical bandages can be used, which will fix the lumbar region.
Such bandages are particularly relevant for arthrosis of the sacroiliac joints in pregnant women. He will support and relieve the lumbar region, as well as remove the main burden from the hip joints.
In moments of severe exacerbations with a disease such as osteoarthritis, it is recommended that you limit your long movements, do not go on foot and do not sit for hours.
Waist corset can be worn 15 hours a day, it will help to calm down the pain. Semi-rigid corsets will remove discomfortable sensations in the gluteal region and in the region of the dorsal muscles. They are very convenient in everyday life: they can ride in transport, bend over and crouch.
Remove bandages only on the recommendation of a doctor, at a time when there is no need to use it. In the event that the pain resumed - the corset can be re-dressed. He is selected strictly individually, taking into account the comfort for patients.
Also very good for treating patients diagnosed with osteoarthritis gels, compresses, poultices and ointments. For example, ointment for arthrosis of the knee joint well removes edema and anesthetizes the whole area of the knee. Similarly, an ointment applied to the lumbar region can remove discomfort and painful sensations.
Arthrosis prevention does not differ from those that are performed in all patients diagnosed with arthrosis, osteoarthritis, arthritis, etc. The patient must comply with all safety measures, do not lift weights, observe diet and dietary norms, often visit the nature, make sure that the spine is not overly stressed and afraid of injury.
Proper and healthy nutrition greatly contributes to the normal course of metabolic processes in the body. After all, the deformed cartilage tissue wears out faster, and this is another reason for arthrosis.
Extra weight is extremely detrimental to all processes in the body and gives an excessive load on the joints, including the sacral lumbar spine.
Daily physical exercise, gymnastics, sports will give the necessary charge of vivacity, energy and vitality to the exhausted organism, and will also be an excellent preventive solution.
Pain in the coccyx: why it arises and how to treat it
Pain syndrome in the lower back and pain in the coccyx is a common symptom that accompanies various conditions - from neurological diseases to the disturbance of the blood supply to the coccygeal zone. Let's figure out why the coccyx hurts and what can be done in order to be cured.
The reasons for the pains
The causes of pain
Diagnosis of pain in the coccyx
Pain in the coccyx can arise for reasons that can be divided into several categories:
In skin diseases, a strong pain syndrome can occur, especially if they are accompanied by damage to nerve fibers. Fistulas of the anal region, lumbar and buttock sores, furuncles in the lumbar and gluteal region are conditions that, in the absence of treatment, "deepen" in the literal sense of the word: damage occurs to deeper layers of tissues and, with inflammation of the nerve endings, severe soreness develops. Depending on what is affected by the nerve, the coccyx hurts or the pain radiates( gives) to the anus, thigh, waist.
Muscular disorders and diseases
The coccyx, like the whole spine, is surrounded by a muscular corset that protects the spine from injury, enhancing its endurance and preventing deformation. But the muscles, inflamed as a result of some disease( myalgia, myopathy, etc.) can cause infringement of nerve endings and, as a result, lead to pain in any part of the spine, including in the coccygeal zone.
Diseases of the musculoskeletal system
Conditions such as osteochondrosis, spondylarthrosis, scoliosis, kyphosis can cause deformity of the spine, as a result of which its correct position and blood supply are disturbed. For this reason, all parts of the spine suffer from a lack of nutrients and oxygen, and the gradual destruction of bone and cartilaginous tissues begins. In the vertebrae, not provided with proper damping( with thinning and subsidence of intervertebral discs), the nerve endings are impaired. To the infringement of the sciatic nerve also leads the lumbosacral radiculitis( sciatica).
Trauma of the tailbone is perhaps the most common cause of pain syndrome. In general, the tailbone fractures are professional and seasonal in nature. For example, a fracture is the most common injury among people professionally engaged in or involved in figure skating and speed skating. This is due to the fact that "ideal" conditions for a fracture are formed on ice rinks and ice tracks: a combination of a solid surface and acceleration with which the skater or figure skater strikes the coccyx when falling on ice. Ice in winter is the "seasonal" risk factor that contributes to the fracture of the coccyx.
Another reason why the coccyx hurts, is, paradoxically, a complete lack of reasons. Such a state, when no means and methods of diagnosis can establish the origin of the pain - it is quite rare. Of the total number of people who have consulted a doctor with complaints of soreness of the coccyx, idiopathy( absence of causes) is registered in only 1.2% of patients.
Useful video about the trauma in the coccygeal region and in general about the pain in the coccyx:
The intensity and regularity of the pain can vary significantly( depending on the causes that caused the pain):
- with spinal column nerves or nerve endings in the gluteal region, painmay not have a clear localization - the patient is unable to explain where it hurts. This is due to the fact that the pain is reflected and "transferred" to the coccyx from the nerve end, which can be located in the buttock, lumbar spine, etc. In addition, the pain can be accompanied or replaced by periods of burning or itching in the coccyx, due toincorrect transmission of signals by damaged nerves;
- In the event of a trauma, the pain arises suddenly, often already at the moment of falling on the coccyx or hitting it. Often, patients say that during the fall they heard a distinct "crunch" or "crackling" in the coccygeal zone. In addition to pain on the coccyx, bruising can occur. Pain in the fracture of the tailbone acquires the greatest intensity when touched and pressed on the coccyx and during walking. Attempting to sit down can cause severe and unbearable pain in the injured area;
- skin diseases on the coccyx or adjacent to it are determined visually: it can be reddened swollen nodules, filled with fluid or pus blisters, darkened skin areas( dry and flaky or wet).
How the doctor examines a person with such pains
Depending on the origin of the pains in the coccyx, the following diagnostic procedures are prescribed:
- for skin lesions of the coccygeal zone, accompanied by inflammation and suppuration, the doctor can prescribe laboratory scrapings to determine the pathogen;
- if suspected of spinal diseases or trauma to the tailbone, an X-ray examination is prescribed. The picture shows the deformities of the vertebrae, their displacement relative to each other or the cracks passing through the body or the process of the vertebra - a sign of a fracture. In some cases, the fracture of the coccyx can be confirmed by palpation: the damaged vertebrae have abnormal mobility and soreness;
- inflammatory process in muscles and their functionality is investigated using CT, MRI, electromyography.
Treatment is always aimed at eliminating the reasons why the coccyx hurts, that is, the reasons that caused this unpleasant condition. Thus, in addition to the neurologist and vertebrologist( specialist in the treatment of spinal diseases), appointments can be made by other specialists - dermatologist, infectious disease specialist, orthopedist, etc.
For medicinal treatment of pain in coccyx, drugs with anti-inflammatory and analgesic effect are used. To date, most commonly used non-steroidal anti-inflammatory drugs( NSAIDs), which both relieve pain and limit the inflammatory process. This group of drugs include Diclofenac, Ketoprofen, Indomethacin, Naproxen and others.
In case of traumatic origin of pain in the coccyx, biostimulants and microelements that promote bone tissue coalescence can be prescribed.
For deep infectious lesions of the skin in the coccygeal zone, it is advisable to use antibacterial, antifungal and antiviral drugs( depending on the type of microorganisms that caused inflammation).Such treatment can prevent infection of the bone tissue of the coccyx, and the penetration of infection into the bloodstream and the spinal cord.
The pain in the coccyx alone does not require physiotherapy. But this may require diseases and conditions that caused pain.
So, with osteochondrosis and spondyloarthrosis, electrophoresis and phonophoresis with ointments and gels containing chondroprotectors are used. UFO and UHF-therapy are effective in the remission phase, contributing to the acceleration of tissue repair.
For coccygeal fractures, for more productive splicing of lesions, applications with calcium preparations are used.
If the patient is very worried about the patient and significantly reduces the quality of his life, the physician can prescribe physiotherapy with pain medication. Under the influence of heat or electrostimulation, the active substance penetrates directly into the painful area, quickly removing pain.
Folk methods of treatment
After consultation with your doctor, you can supplement the basic treatment with traditional medicine.
Paraffin applications on the tailbone area are recommended for age-related changes in the spine, when its mobility decreases. Such warming of the tailbone improves the blood supply of tissues, speeds up metabolic processes in them and reduces pain in the coccyx. This procedure is especially useful for elderly people who lead a sedentary lifestyle.
Antiseptic preparations prepared on the basis of purified vegetable oil are a reliable method of prophylaxis of bedsores( which often occur on the sacrum) and their treatment. In 200 g of oil, heated to 40 ° C, put 1 tbsp.flowers of chemist's chamomile, calendula and walnut leaves. This mixture should be insisted in a dark place for 2 weeks, and then, without filtering, apply a thin layer on the areas with bedsores.
Important: with infectious purulent lesions on the skin of the coccyx, it is unacceptable to use any folk remedies without consulting a doctor.
If the prevention of diseases of the skin, spine and muscles requires standard recommendations( timely access to a doctor, maintaining a healthy lifestyle, moderate physical activity, etc.), traumatic pain in the coccyx requires an unusual and very simple approach.
Learn to fall right. There is a large amount of literature, and even trainings that teach the proper "grouping" of muscles and the correct fall to the ground. Especially such trainings will be useful for people engaged in team and winter sports( the category of people most prone to back injuries).
Regularly and correctly falling on a sports mat or other elastic and soft surface, you can "educate" in your body a kind of reflex. And at the first signal of instability of the body, received from the vestibular apparatus, the muscles will come to a state of high alertness, so that a possible fall does not result in trauma.
- 4 Prevention of arthrosis of the sacrococcygeal joint
It is often possible to hear about such a disease as arthrosis of the iliac articulations. The pains appear because the cartilage becomes less elastic. In addition, they are depleted, which is the cause of bristling of the joints. It is because of this that there are difficulties in moving.
Under the arthrosis of the sacroiliac joints it is common to understand the chronic process in them. It is accompanied by prolonged inflammation, in which the mobility in the joints is impaired. With arthrosis of the sacrococcygeal articulation, the pain is aching. It is characterized by the severity and discomfort after physical exertion, for example, dancing or walking. Sometimes it passes by itself, and then it becomes aggravated during overloads.
At the first stage of this disease the pain disappears quickly. For this purpose it is enough to have a little rest. Often, for this reason, patients turn to a doctor when arthrosis has acquired a chronic form. In this case, it will be difficult to help the patient.
Specialists call the primary signs of this disease sakroileitom. Simply put, articulations in the tailbone or infection are inflamed. Often the reason for this is overload - pregnancy or wearing heavy objects.
Diagnosis of coccygeal arthrosis
To detect this disease, a physician should examine the patient and evaluate biochemical changes. The specialist should check the tone of the patient's muscles and observe his gait.
In patients with arthrosis of the coccyx, the patient should be assigned the following studies. First of all, it is sent to the study of blood in the laboratory. The results of the analysis will help to identify the symptoms of inflammation. As a rule, this is an increase in the level of ESR.
Women suffering from osteoarthritis of the coccygeal joints should be referred for examination to the gynecologist. The fact is that many diseases of the pelvic organs are accompanied by pain in the sacrum.
Any baking is recommended to be excluded, replacing it with rusks and otrubnym bread. The use of fruits and berries is allowed with sufficient heat treatment. Mousses of berries and fruits, marmalade and jelly are allowed.
Deficiency of vitamins can be prevented by using various natural juices and decoctions. Useful dishes made from liver. Well restore the mucous membrane of the stomach oil of their sea buckthorn, dogrose and St. John's wort. It is drunk for 1 tsp.for 30 minutes before meals and in the same amount at night. Useful cabbage juice.
Well recommended tablets gastropharm. They include lactic acid rods and biologically active products of their vital functions.1-2 The tablets should be crushed, then stirred in 50 ml of warm boiled water. Eat 30 minutes before meals for a month.
With the help of computed tomography, you can determine whether the patient has inflammation in the sacral joint. In addition, this study can identify cancer tumors in the pelvic bones or in the bodies of the vertebrae.
How to treat arthrosis of the iliac joints?
In the treatment of arthrosis of the sacroiliac joints, it is necessary to exclude or limit the physical stresses on the corresponding joints. Thus, pregnant women can wear special bandages for unloading. It is recommended to restrict the patient in walking and long sitting.
Drugs are prescribed depending on the severity of the various symptoms in the patient. As a rule, with this disease, prescribe internal or external anti-inflammatory drugs, as well as analgesics.
If the patient has a pain symptom, the patient is prescribed diprospan, kenalog or lidocaine. They are used for blockade, that is, the introduction of painkillers in the most overloaded areas.
The patient must necessarily undergo a course of manual therapy if he has no contraindications. This will help improve blood circulation and restore the amount of movement in the inflamed joints.
It is prescribed to the patient and physiotherapy procedures. They are carried out on the inflamed sacral joints. Most often this disease is treated with infrared rays.
A few words about the orthopedic regime
For compliance with orthopedic treatment, a person suffering from arthrosis of the iliac joint should ensure the rest of the corresponding area of the spine. To this end, bandages that fix the lumbar region are used.
Video Sacroiliac joint
In case of severe exacerbation of the disease, the number of movements is better limited. So, it is not recommended to sit or walk for a few hours.
These corsets should be worn for fifteen hours. Then the pain subsides. With the help of semi-rigid corsets you can remove discomfort in the buttocks and dorsal muscles. They are convenient to use in everyday life, because they do not cause discomfort when squats or slopes.
The bandage can be removed only with the permission of the doctor, if it is no longer necessary to use it. In case of resumption of pain, we put on the corset again. Select it individually. This takes into account the patient's feelings.
Prevention of arthrosis of the sacrococcygeal joint
Prophylactic measures for this type of arthrosis are similar in many respects to the methods used to prevent osteoarthritis. So, the patient should control the load on the spine, avoid injuries and adhere to the diet. Video of light exercise with more in the coccyx Thanks to a healthy diet, you can normalize the metabolism in the body. Experts argue that cartilage tissue, suffering from a lack of useful substances, quickly wear out. This is one of the causes of arthrosis.
Overweight affects the joints, especially on the sacral section. Daily exercise in physical therapy is an excellent way to prevent this disease, and also improve the body.
Osteoarthritis of the coccyx is not the most pleasant disease, causing discomfort to the patient. However, when you turn to the doctor in time, you can prevent complications and cure the disease.
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what is arthrosis of the coccyx
arthritis UTB slow destruction of the joint, I have such a stop