Symptoms of osteochondrosis in women
Symptoms of osteochondrosis in women
To understand the essence of the diagnosis of "osteochondrosis", you need to know the basic anatomy of a person. The spine is not only a support for the entire skeleton, but also provides flexibility to the entire body. Its structure is quite complicated. First of all, it is 34 vertebrae, to which the appendages are attached muscles.
Movement of the spine provides intervertebral discs that have a cartilaginous structure. Inside the disk there is a gelatinous nucleus, and around the nucleus there is a fibrous ring. In addition, the discs leave nerves, which, depending on the location, are responsible for the work of the internal organs.
If you literally translate from the Greek language the word "osteochondrosis", you get "bone, cartilage, not inflammatory process", thus the diagnosis is the process of destruction of bone and cartilaginous tissue of the spine. A number of factors can serve as a cause for its occurrence:
- age-related degenerative changes in the body. After 30 years, there may be a deterioration in blood circulation, followed by a deterioration in the nutrition of tissues and bones;
- hormonal failure. This is the most common cause of osteochondrosis in women , especially during menopause. Insufficient amount of estrogen produced negatively affects the work of the whole organism, degenerative processes are also observed in the spine;
- vascular disease, poor blood circulation;
- infectious and allergic reactions of the body, in which the necessary supply of nutrients to the vertebrae is disturbed;
- physical overload;
- mechanical damage to the vertebrae;
- abnormal development of the spine;
- development of scoliosis, lordosis and kyphosis;
- sedentary lifestyle, coupled with improper diet, bad habits.
Stages of osteochondrosis
The process of vertebral fracture consists in a gradual change in the height of the vertebrae and fibrous ring, as a result of which the connective cartilages thinen, and the distance between the vertebrae decreases. Such processes lead to displacement of vertebrae, curvature of the spine and weakening of the muscular apparatus.
There are four stages of osteochondrosis:
The stages of osteochondrosis
- in the first stage of the disease appear cracks in the fibrous ring and gelatinous nucleus, which seeps through the formed cracks and irritates the nerve endings. There may be a painful sensation in the affected area, as well as leg cramps. At the same time, this stage can pass asymptomatically;
- , the second stage is indicated by the continuation of the degenerative processes of the fibrous ring, which cause too much mobility of the vertebrae, which can cause subluxation. At this stage of the disease a person feels discomfort in the spine, and with prolonged, uncomfortable poses - pain;
- the third stage is the rupture of the fibrous ring and extrusion of the gelatinous nucleus from it, i.e.a disc hernia appears. At this time there is a disturbance of blood circulation, pains increase, and also there is a risk of occurrence of chronic illnesses of joints;
- the fourth stage - degenerative processes pass to adjacent to the vertebrae yellow ligaments, adipose tissue of the spinal cord. Scars appear in the intervertebral discs, osteophytes appear.
Types and symptoms of osteochondrosis
Distinguish cervical, thoracic, lumbosacral types of osteochondrosis. For each of the species there is a symptomatology. We will consider each separately.
Cervical osteochondrosis most often develops in people who for a long time are in the same position: drivers, watchmakers, programmers, etc. The main symptoms of cervical osteochondrosis are pain in the neck, chest, hands, in addition, frequent headaches and dizziness, increased pressure.
This is due to the fact that displaced cervical vertebrae lead to spasm or squeezing of the vertebral artery, which nourishes the occipital centers and the base of the brain. In the case of a pinched nerve, there may be numbness of the fingers and their poor blood supply.
Thoracic osteochondrosis is a consequence of scoliosis. Therefore, it is so important to follow the posture from an early age. Symptoms of this disease: pain in the chest, which are given to the heart, liver and stomach, a feeling of running crawling and numbness of the chest, dull pain in the back.
Chest and heart pain may be symptoms of thoracic osteochondrosis
Lumbar osteochondrosis is the most common form of this disease. Symptoms: pain in the lumbar spine, which can subside and again manifest as seasonal exacerbations;difficulty in moving;pain in the legs, until they numb.
It is the lumbar osteochondrosis that often becomes the result of mechanical damage to the vertebrae, since this department is the most mobile. As a consequence, with such a disease, processes of pathology in nearby internal organs can be observed.
Back pain - symptoms of lumbar osteochondrosis
Symptoms of osteochondrosis in women appear during the menopause, when there is a decrease in the production of estrogen. Sexual female hormone supports the development and nutrition of bone tissue, so before the onset of menopause, their destruction is negligible. In men, this process begins earlier than in women.
Diagnosis and treatment of
In order to diagnose osteochondrosis, the doctor first collects a history of the disease. It is necessary to find out when exactly the process of destruction of intervertebral cartilage began, what symptoms were observed in the early stages. In addition, a neurological examination will be required to find out which vertebra is damaged. Patients are assigned an examination with an X-ray and a blood and urine test.
Treatment of osteochondrosis includes a complex of medications, physiotherapy, exercise therapy and nutrition correction. When medication is prescribed non-steroidal anti-inflammatory drugs to eliminate pain. Also, for these purposes, a special corset can be assigned, temporary restriction of movement, up to bed rest.
From drugs, chondroprotectors and muscle relaxants are sometimes prescribed, which contribute to the restoration of intervertebral cartilage and relaxation of spasms of the circumvertebral muscles. Also for the treatment of the effects of osteochondrosis, vasodilating drugs are used, and to improve blood flow, sedatives are used.
In the first and second stages of the disease, the use of manual therapy is effective.
Manual therapy for osteochondrosis
Such physiotherapeutic procedures as massage, laser therapy, electrophoresis, treatment with mud and hydrogen sulphide baths are widespread.
Has recommended itself as effective in osteochondrosis and treatment with reflexology, which includes acupuncture and acupuncture.
In addition to the above treatment methods, one of the main types of treatment is physical education. Without regular physical training, which improves blood circulation and strengthens the muscular framework, it is not worth waiting for the results of treatment. All exercises should be done carefully, watch out so that they do not cause pain. For each type of osteochondrosis, there are a number of simple exercises to perform. For example, in the treatment and prevention of lumbar osteochondrosis, a normal "bridge" is given positive results.
Physical education is an important part of the treatment of osteochondrosis
. Among other things, you should carefully review your diet. It is necessary to abandon fatty foods, as well as with a high salt content.
It is important to eat foods rich in minerals and vitamins that strengthen the spine and all other organs. It is not difficult to guess that the abuse of alcohol and smoking significantly reduces the absorption of nutrients, as a result of which there is a deficit in the body, and various degenerative diseases develop.
Video - symptoms of osteochondrosis in women
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 character, 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 to the sacral region, to 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 go up and down 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 lumbar spine osteochondrosis 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:
- prescribing 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.
The effective methods for the treatment of lumbar osteochondrosis are:
- the appointment of chondroprotectors;
- vitamin therapy;
Currently, lumbar osteochondrosis has causes 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.
Symptoms of osteochondrosis
The insidiousness of the disease consists in the fact that at first it is asymptomatic, and only with complications the first symptoms of osteochondrosis appear. First of all, the disease affects the bone system and ligaments: degeneration of the spinal tissues occurs, which is expressed in the lesions of the discs, joint surfaces of the vertebrae, and its ligamentous system.
In recent years, the disease has significantly "rejuvenated": the disease may appear as early as 13-15 years. Also statistics show that more than 50% of people on the planet who have reached the age of 30, suffer from osteochondrosis.
Methods for determining the type of osteochondrosis
Many do not know what symptoms of osteochondrosis occur, except for back pain. Indeed, the disease is considered the cause of painful sensations in almost 85% of cases. However, in severe complications, for example, in the intervertebral hernia, sensitivity may be impaired, muscle atrophy may appear, and pain spread to the head, limbs and internal organs.
Depending on the location of pain, you can determine the type of disease. Lumbar osteochondrosis, which occurs most often, is characterized by pelvic and lumbar pain, thoracic - pain in the internal organs, cervical osteochondrosis causes painful sensations in the head and shoulder area, the sacral type is expressed by pain giving to the lower limbs or heel.
Symptoms of exacerbation of osteochondrosis include excessive tension or numbness of the muscles. As a result, the blood vessels that participate in the blood supply of the brain are transmitted, which is manifested by severe headache, weakness, dizziness, noise in the head, double vision or vomiting.
Signs and symptoms of thoracic osteochondrosis
Symptoms of the osteochondrosis of the thoracic region are quite specific:
- painful sensations in the interblade area;
- prolonged, pressing pain in the left side of the sternum;
- pain with deep breathing;
- discomfort with torso;
- pain when raising or folding the upper limbs;
- numbness of the skin.
The risk of breast type of osteochondrosis is that it can be confused with other diseases. For example, angina pectoris or pneumonia can be diagnosed, as the main symptoms of the diseases coincide. The main difference between the osteochondrosis of the thoracic region is the type of pain: with angina, the pain has a diffuse and dull character, and when the nerves are jammed - point and acute-piercing( it is not difficult for the patient to point the finger with the exact place).
Symptoms of cervical osteochondrosis
The main symptom is a sharp pain in the occipital or temporal region, which often appears on the awakening or sharp turn of the head of the .There may also be a "vertebral artery syndrome," characterized by severe pulsating pain in the head, noise in the ears, dizziness, flickering of dots in front of the eyes.
Additional, more rare, symptoms can be attributed to loss of consciousness, hearing and vision impairment, fluctuations in blood pressure, hoarseness and snoring due to the constant tension of the neck muscles, lowering the sensitivity of the skin of the neck and face.
Symptoms and symptoms of lumbar osteochondrosis
Lumbar manifestations of the disease occur most often. . These include the following symptoms:
- lumbargia( low back pain), which, when exerted physically, delivers into the lower limb;
- muscular tension in the back;
- sharp back pain when tilted;
- varicose veins and spasm of the vessels of the feet;
- numbness and tingling in the limbs;
- inability to have sex with men;
- violation of menstruation in women.
Signs and symptoms of sacral osteochondrosis
Symptoms of sacral osteochondrosis depend on the stage of the disease.
- The first stage is characterized by unpleasant painful sensations in the lumbar or sacral region.
- At the second stage, the wear of the discs takes place, which, expanding, presses on the nerve bundles. As a result, bouts of pain become more frequent and prolonged: the patient can even freeze in one position. At the time of an attack, the body temperature rises, after which a strong sweating and numbness of the limbs begins.
- In the third stage, the symptoms of the osteochondrosis of the sacrum are expressed in violation of motor activity and the appearance of hernias.
- In the fourth stage, there is a pronounced deformation of the spine, in which the patient stops moving and becomes disabled.
Methods of therapy of the disease
Treatment of symptoms of osteochondrosis will be successful if you combine conservative and folk methods of therapy .Therefore, experienced doctors do not use any one method, but carry out a set of measures.
1. Symptoms and treatment of osteochondrosis with conservative methods:
- Physiotherapy exercises, including a set of simple exercises( slopes, stretching) and swimming.
- Massage( relaxes the muscular corset, which reduces the compression of the nerve bundles).
- Drug therapy.
- Physiotherapy and reflexotherapy( used to relieve pain).
- Extension of the spinal column.
2. Symptoms and treatment of spinal osteochondrosis with folk remedies. Folk methods include grinding with herbal infusions and using compresses. To relieve pain and relax the muscular corset, apply ointment to the inflamed area, rub a few minutes, then cover with a cloth( preferably a woolen shawl).You can also make infusion of sage, lemon balm, burdock or mint and carefully rub into the affected area, then wrap it with polyethylene.
As can be seen, the symptoms of osteochondrosis are manifold and can mimic another pathology. Therefore, if there is even the slightest suspicion of the presence of such a disease, urgent medical consultation is necessary.
Symptoms of lumbar osteochondrosis
- 3 Prevention and treatment of
Many people are experiencing problems with the lumbar spine. However, not everyone pays attention to it, as the pains appear and disappear. However, over time they become more frequent and intense. It is necessary to pay attention to the symptoms of lumbar osteochondrosis as early as possible in order not to miss the development of pathological processes. In the future, problems with the spine can significantly worsen the life and lead to hernia or protrusions of the discs. Disease of the spine is a very complex pathology that requires comprehensive and long-term treatment.A new look at the treatment How was the former "hard worker" able to get rid of arthritis and osteochondrosis for a month? More. ..
The most common lumbar osteochondrosis arises from a hereditary predisposition. Heredity is almost 60% of the causes of diseases. The rest can be attributed to multiple factors of adverse effects on the lower back. First of all, it's back injuries, a sedentary lifestyle, loads on the back. The profession directly affects the state of the body. The risk group includes, first of all, office workers, drivers, builders, loaders.
Quite often, the appearance of osteochondrosis of the lumbar spine is facilitated by certain diseases of the internal organs. Almost 30% of patients with a clinical manifestation of osteochondrosis have problems with the liver, gastrointestinal tract, pancreas. With these diseases, painful impulses cause tension and vasospasm, oxygen starvation and the development of dystrophic processes in certain areas of the body. The process of metabolism deteriorates significantly, which is inherent in all of these diseases. Pain in the lower back can be provoked by diseases of the genitourinary sphere, stagnant processes in the pelvic area, constipation, hemorrhoids.
Pain in lumbar osteochondrosis is of a different nature. They can be aching and appear after prolonged sitting or sleeping, or they can be shooting, sharp and sharp, which prevent them from moving, bend or straighten. The pains arise from the pinching of the nerve roots, swelling and irritation of the ligaments and muscles that are next to the jammed nerves.
The most common and first sign of lumbar osteochondrosis is the appearance of pain in the lumbar region. She gives in the thighs, shin, buttocks. At movements, inclinations or even at a cough and a sneezing pains amplify. The sensitivity of the skin on the legs and lower body may disappear. Tendon reflexes also weaken or completely disappear.
The onset and aggravation of pain are the first symptoms of lumbar osteochondrosis. They usually appear immediately after physical exertion, during or after some time. With any movement, the pain intensifies. Also it can cause even a short stay in the cold.
Sensitivity in the feet, buttocks, hips is broken, there is chilliness of the legs, a feeling of pricking and tingling, dryness and peeling of the skin in the places of pain. Especially dangerous is the instability of the vertebrae, which leads to complications of the disease. The vertebra is not fixed by the disc and therefore at any load the lumbar region literally slides from the sacrum. This can lead to significant damage to the internal organs. For women, this threatens with problems with the ovaries, uterus and appendages, but for men with potency.
Clinical manifestations of lumbar osteochondrosis
They are quite diverse and depend, first of all, on the severity and localization of the disease. Pain can only be in the lumbosacral region( lumbalgia), it can give in the leg( lumboscialgia), or localize only in the leg( ischialgia).The pain after any load is accompanied by a strong strain of the back muscles in the area of the diseased vertebra. This is why a person begins to look for positions in which it will be easier for him to carry it. With constant presence in such positions, the spine assumes an unnatural shape, which the doctor will immediately determine( this is the displacement of the spine to the right or to the left, bending the waist forward).Symptoms of lumbar osteochondrosis are: constant pain in the back, a feeling of aching in the limbs, lumbago.
With this symptom, a person can not straighten up after a long stay in a bent position, since any movement causes pain. If you return to the horizontal position, the pain subsides. Because of unusual loads in people who are not used to them, the aggravation occurs the next day. A sharp pain literally binds the person, does not allow him to move. The first attacks go quite quickly, but the subsequent ones last longer and repeat about a year or more later.
Symptom of lumbago or chronic lumbargia
This is a sudden acute pain that occurs due to an overload of the muscles of the spine or a prolonged stay in an uncomfortable position. Such a state can be triggered by hypothermia of either the whole organism or the lumbar region. The pain is localized in one side and is strengthened after tilting or prolonged sitting. The exacerbation occurs on day 5, and then the pain gradually subsides while observing the resting mode. Lumbalia takes weeks or even months and becomes a chronic disease. The pain zone expands.
Symptom of sensitivity disorder of the affected area of the spine. Lumbar pains occur in the form of bands that capture the buttocks and descend down along the thigh. There is a decrease in temperature in the legs, artery spasm arises and in extreme cases the pulse disappears.
Lumbar osteochondrosis is manifested by radicular syndromes( compression).The nerve root is compressed in the spinal canal and its irritation is accompanied by pain.
Radicular and vascular syndrome - the roots are squeezed together with the vessels. Radiculitis manifests itself by squeezing one or at once two roots. Characterized by violations of the motor activity of the thumb or foot in general and the sensitivity of the affected area.
If there is an intervertebral hernia, then there is severe pain in the lower back, in the hips and lower legs, and also in the feet. Also, osteochondrosis can lead to disruption of the pelvic organs. Patients have constipation, or vice versa, incontinence of feces, urine.
"Ponytail" syndrome may develop, which causes very severe pain in the affected nerve roots and, as a consequence, can lead to paralysis of the lower limbs. Also, lumbar osteochondrosis can lead to the syndrome of intermittent claudication. Due to a violation of normal circulation, weakness in the legs, numbness and urge to urinate may occur.
Prevention and treatment of
Factors that provoke backache in the back are: awkward movements, overload of the back muscles, hypothermia. That is why it is necessary to constantly ensure that the back is warm and dry, especially when the first symptoms of lumbar osteochondrosis have already appeared, if pain has already appeared. In the diagnosis of lumbar osteochondrosis, a scoliosis of the lumbar region is observed, a painful reaction when the vertebrae is pressed or when pressure is applied to the shoulders or the head, pain occurs in the affected vertebrae. To clarify the diagnosis, it is necessary to check the spine on the radiography in two projections. Further, magnetic resonance imaging and computed tomography are used.
Recovery after lumbar osteochondrosis is a rather long and complicated process. It requires an individually developed rehabilitation program. In general, the positive results are: acupuncture, manual therapy, vacuum therapy, hirudotherapy, warming up of active points with special miniature wormwood cigarettes, introduction to the points of medicines. In the course of complex effects on the body, normal blood supply is restored, stagnation is eliminated, muscle spasms, metabolic processes in vertebral tissues and discs are eliminated, and the function of the spine as a whole is improved.
Untreated osteochondrosis of the lumbar spine can lead to a violation of the blood supply of the entire spinal column, a reduction in the openings between the vertebrae, where the blood vessels are located, the peripheral parts of the vertebrae contract. The vertebrae become highly mobile, the ligaments supporting it loosen, and a strong pressure on the vessel arises even because of a minor strain on the spine. Constant compression of the spine leads to compression myelopathy and to the violation of all functions of the human body.
Lumbar spine osteochondrosis: signs, symptoms, diagnostics, prevention methods
Lumbar osteochondrosis is a pathological change in intervertebral discs, cartilage and bone tissue located in the lumbar spine. It can be natural( age) or premature, as a consequence of an unhealthy lifestyle.
A metabolic disorder leads to insufficient nutrition of the cartilage and vertebrae, the cells accumulate altered metabolic products. As a result, the intervertebral disc is first affected, its thickness and flexibility are reduced. Then on the vertebrae, osteophytic growths are formed, narrowing the holes for the nerve endings.
- severe physical stress, or vice versa, inadequate physical activity;
- genetic features of cartilage and bone tissue;
- posture disorders;
- improper diet leading to obesity;
The most common sign of lumbar osteochondrosis is pain. They can be pulling or aching, blunt or cutting. Pain can give in the leg, the lower part of the chest, the coccyx.
In addition to the pain syndrome, the following problems may appear:
- constant tension of the back muscles;
- in women can disrupt the menstrual cycle. This is also evidenced by the pain in the lower abdomen;
- impaired reproductive function;
- loss of sensitivity of the skin of the legs, buttocks;
- change of posture;
- sensation of "goose bumps" in the body, tingling;cyanosis and chills of the legs. The cause is an impaired blood flow;
- limitation of mobility in the waist;
- general fatigue, sleep disorders and emotional imbalance.
The course of the disease
In the development of osteochondrosis of the lumbar region, 4 degrees are distinguished, based on changes in the structures of the spine.
- 1 degree. It is characterized by sensations of muscle tension and stiffness, periodic pain in the lumbar region.
- 2 degree. The pain becomes localized, intensified during coughing, after physical exertion. At the same time there is increased fatigue. In the diagnosis, the destruction of the intervertebral disk core and the beginning of dystrophic changes of the fibrous ring are noticeable. The space between the vertebrae decreases.
- 3 degree. There are cracks and tears in the fibrous ring. At this degree, after excessive loading, intervertebral hernias can form. The sensitivity of the lower extremities and buttocks is disturbed;there is a constant limitation of the volume of movements.
- 4 degree. The jelly core is occupied by a connective tissue. Blood flow is disturbed. There is a vascular insufficiency of the spinal cord, leading to ischemic myelopathy.
At each degree, you can observe periods of exacerbation and remission. The phase of exacerbation consists of 3 stages: progress, regression and steady flow. In the progressive period of exacerbation there is a sharp increase in the symptoms of the disease. After a certain time, having reached the highest point of manifestation, they begin to subside( stationary period), and then - practically disappear( a period of regression).
Symptoms rarely occur during remission. More often they are provoked by an uncomfortable position of the body, a load on the spine or hypothermia.
At the first examination the place of pain localization, its irradiation is found out. Information about the existing diseases, heredity is collected. The relationship between the presence( absence) of pain and the position of the body is considered. A number of tests are mandatory: general urine analysis and biochemical and general blood tests. This is necessary so as not to miss other dangerous diseases.
An important diagnostic feature is the condition of the lower limbs. The muscular tone, the condition of the skin, the vessels of the legs are assessed. Violations of reflexes, processes of defecation and urination are detected. If necessary, women can be referred to a gynecologist for additional examination, and men - to the urologist.
The doctor can prescribe one or several types of radiation diagnostics:
- X-ray - is done in several projections: front, back, side, possibly also in the bent and curved positions of the spine. It should be noted that radiography does not completely reflect the pattern of damage to the intervertebral discs and canals. This method diagnoses the condition of the vertebrae themselves.
- CT.After an X-ray, a CT scan can be scheduled. It also uses X-rays, but, unlike a conventional X-ray, it gives a more detailed image of the disc. It is possible to clarify its contours, the sites of compression of nerves, the state of the cerebral membrane.
- Magnetic resonance imaging( MRI) - gives a layered image of tissues. This method of diagnosis allows you to consider the violation of the ligament apparatus, damage to the nerve roots, changes in the disk.
Osteochondrosis of the cervical spine is the most common. Learn about its causes, symptoms and treatment.
About the features of lumbosacral osteochondrosis read here.
Means and methods for treating osteochondrosis of the lumbar spine depend on the phase of the disease. In acute period it is necessary to remove inflammation, reduce pain, provide peace. For this, anti-inflammatory drugs are applied externally and internally, muscle relaxants and blockades are prescribed. The patient should adhere to bed rest.
During remission treatment is reduced to improving blood circulation in the lumbar region, the restoration of cells and tissues of the spine. The reception of vitamins, chondroprotectors and biogenic stimulants, physiotherapy( electrophoresis, phonophoresis), massage, therapeutic gymnastics are shown.
Surgical treatment of
Surgical treatment of lumbar osteochondrosis is justified in cases when all available means and methods did not lead to improvement of the condition. Operations can be performed using not only a scalpel, but also a laser, wave equipment.
The most common surgical method of treatment is required for intervertebral hernias. However, not only them, but also spikes and scars on the vertebrae are eliminated in an operative way;disc prosthetics, fixation of vertebral bodies, etc.
Details about treatment, exercise therapy and massage are written in the article "Treatment of osteochondrosis of the lumbar spine."
Nerves passing from the lumbar spine regulate the operation of the pelvic organs and legs. And if to ignore insignificant painful sensations, characteristic for an initial stage of a lumbar osteochondrosis, its further development will lead to various complications.
Over time, the space between the vertebrae decreases, leading to the entrapment of the vessels. The latter leads to a disruption in the supply of the spinal cord. For such complications, severe pain, weakness of the muscles of the legs and buttocks, loss of urinary and anal reflexes are characteristic. The result will be paralysis of the legs, enuresis, as well as incontinence.
Another type of complication is the intervertebral hernia. In the initial stage, a protrusion is observed - protrusion of the disc with a violation of the integrity of the inner membrane of the fibrous ring. Protrusion is characterized by stiffness, pain in the lower back, violation of urination, muscle weakness.
The hernia itself is formed when the outer skin of the fibrous ring is ruptured. The protrusion penetrates into the cavity of the spinal canal and presses on the roots of spinal nerves, causing acute pain.
The protrusion can come off the disk. Such a hernia is called sequestered. In this case, compression of the spinal cord is observed, as a result, the sensitivity of the legs is lost, the functions of the reproductive, digestive, urinary organs are disrupted, and reflexes are lost.
The main measures aimed at preventing lumbar osteochondrosis: