Back pain and the lumbar area is one of the most common complaints in medicine.It is in the second place in the number of all complaints, seconds only for respiratory diseases.Great numerous pathology can cause lower back pain, but very often the cause of the Oste is the osteochondrose of the lumbar region.How to treat such a disease, which symptoms and signs owned will be considered below.
Not so long ago, medical science believed that osteochondrosis in the lumbosakral department occurs exclusively due to changes associated with age that make vertebra and intervertebral discs.However, today the age trait is not exceptional, the osteochondrose of the lumbar spine is diagnosed in patients in different years.To date, the age of cutting is considered more than 25 years
Causes the occurrence of osteochondrosis of lower back
It is impossible to name the correct reason, it will almost always be a comprehensive effect of different destructive factors, including the most important ones.
- Adherence to a passive lifestyleIn terms of motor activity.For example, according to their own will, for example, they spend many hours on your computer, they do not receive a useful load, which is why the "corset" muscle "appears and the load on the vertebrae increases.In addition, almost always such fun is associated with a long stay in wrong and unnatural pose.
- Hormonal background problems, which leads to a breach of metabolism, which affects the metabolism of the tissue of the spine in the lower back and contributes to the violated processes.It also includes endocrine diseases.
- The presence of innate or acquired deviations, when the muscular and bone system passes certain changes.This can be reflected in increased loads on the spinal column, for example, patient with the presence of flat feet, curvature of legs or spine.
- Chronic increased loadsOn the lower back.Here are among the risks of people with certain types of professional activity, usually associated with lifting weight.It also includes professional athletes that constantly exhibit their body with peak loads.
- Founded meal and day routine.It also includes regular exposure to stress.These factors are reflected in the processes of metabolism and affect the periodic reconstruction of their forces.
Degree of osteochondrose lumbar spine
The above pathological factors gradually lead to the event manifestation.However, it can be manifested in different ways, because in the first development is almost asymptomatically or with difficulty tolerant pain in late development.Think about the main degrees of osteochondrose development:
- The situation in which the jet core is moving on the intervertebral disk.It is characterized by pain caused by irritating nervous roots of fibrous rings and longitudinal ligaments.Uneasiness feels locally in place where a defective disk is set.The probity can either be sharp bastards or permanent stupid.
- When the fibrous layer of the intervertebral disk is destroyed, there is an increase in the mobility of the spinal column elements in this area, become unstable compared to each other.To remove these pathological manifestations, it is necessary to keep the muscles of this zone of tension, which as a result leads to chronic fatigue in the lower back.
- Then, there is a breakthrough in the tensile ring, which is why the nucleus comes out in the disk, forming an intervertebral kill.Such a case will be accompanied by the excess of nerves, which is called "radicular syndrome".
- The next degree of osteochondrose Lumbusacral department occurs with a strong deformation of the spine in this part.There are problems with mobility, but the syndrome of pain, unusually at this stage, supers.However, you should not rejoice, it does not say that at all about the faded disease.
- The last degree is characterized by the pathological growth of bone tissue and general deterioration in well-being.
Based on the degree of osteochondrosis of the lower back, certain treatment methods are used.
Osteochondrose symptoms in the lower back
The main symptom is combat syndrome in the lumbar spine.At the same time, the feelings of pain, the zone of their localization and the direction in which they spread can vary.This is due to the fact that based on the degree of damage to the intervertebral disk and fabrics are around, certain nervous receptors are annoyed.In addition, the role is played in the presence of protesting or directly hernia, the direction of her protrusion and many other factors.
The main symptoms for osteochondrose lumbar spine include:
- The presence of pain pain in the lower back that tends to increase with sharp mobility or, vice versa, long staying without changing positions.The pain is pulled if you take the horizontal position.
- In addition, the weakness in the body is probably under the abdomen, including the lower limbs, as well as a blunt tetition reflex legs.
- There is a high probability of the presence of curvature in the lumbar spinal column.There is a classification of such curvats, for example, with an emphasis on the right or left side, talk about Scoliosis, Lordoza is called a forward cheer situation, and Kifoza is referred to when the natural lumbar bandage is smoothed.
- With a serious degree of disease development are possible canals of the spinal cord, which can cause its dysfunction and bring uncontrolled urea and chair.
Among the additional symptoms, notes:
- The presence of stiffness and "cold" skin of the lower back and buttocks.
- Peeling, dry and blue skin in the same places.
- Founded urination.
- Erection problems.
The presence of these symptoms should be warned, you cannot cuddle them with your hand, it will only lead to greater neglect.In this case, you should definitely advise with a doctor for the correct diagnosis and treatment.By the way, treatment can be in the hospital and in a home environment, but more about it later.
Diagnosis of the disease
In diagnosis is important to understand the degree in which the disease comes.The easiest way is palpation in the lower back identification zones of pain.Usually this method is non-userformative and in addition to conducting reviews that give a more detailed clinical picture:
- Radiography, inexpensive and widespread way, it is possible to assess the condition of the spine as a whole and individual vertebrae, for example, the lumbar region being considered.The technique is not exactly accurate, allows only indirect to understand how integral intervertal discs and spinal channels are.
- Computer TomographyA more precise method for assessing the level of disk damage between vertebrae, nerve roots and canals with spinal cord.
- Magnetic resonanceCamographyThe most accurate method gives a complete image of the defeat in the details, but it is quite expensive and inaccessible.
It should be noted that the diagnostic process is very important, because for doctors, when they prescribed treatment tactics, all details of developed osteochondrosis are significant.
Complications for osteochondrose
The main complications of pathology are Herni and the protrusions, it is necessary, if you ignore the treatment and release disease development using equipment.Other complications can be:
- Inflammation of the nervous nerve.
- Spondylarteness.
- Schmorl hernia.
- Spondylosis.
- Problems caused by the rings of the kinal channels.
- Functionality disorders in the pelvis.
- Chrome development.
Treatment of osteochondrosis of lower back
With a diagnosis of osteochondrose lumbar spine, a wide range of therapy, whose main aspects will be:
- The use of moderate loads.
- Special medications.
- Towing the spinal column.
- Manual therapy sessions.
- Physiotherapy.
- Therapeutic massages.
The concept of "treatments" for osteochondrose implies:
- Suppression of inflammation.
- Removal of pain syndrome.
- A complex to strengthen the lumbar and adjacent muscle group.
- Get rid of chronic muscle tension.
- Increasing organ functionality in Pelador.
- Normalization of blood circulation and metabolism in the pathology zone.
Medicine treatment
A similar approach in the treatment of osteochondrosis of the lower back involves taking medication, injection of special medicines, use of fats and gels for external use.The main task of such drugs is neutralize the pain and inflammatory process.
Based on the degree of osteochondrose spine in the lumbar area, doctors can prescribe the following medications:
- Analgesics having an anesthetic effect.
- Preparations against inflammation of non-asteroidal origin.
- With muscle cramps, antispasmodics.
- Medicines for cartilage restoration, called Chondroprotectors.Their efficiency is not proven, so they are rarely used in traditional medicine.
- In case of serious pathology, when the upper assets do not help reserve corticosteroids.
- Vitamin complexes.
In addition to these funds, medications are prescribed in tablets, whose purpose is to calm the nervous system, stress and depression.
Treatment of physiotherapy for osteochondrosis of lower back
The process of treatment is rarely restricted to just taking tablets.The pathology under consideration cannot be cured without encouraging the spine restoration process.For these purposes, a wide range of physiotherapy procedures is used, the most popular are:
- Phonoporesis.
- Diagling currents therapy.
- Laser therapy.
In addition, the spine must be useful loads, at the same time fragmentation.These are ideal types of therapeutic massage.It must be borne in mind that the massage is used only to remove pain.As a rule, it is performed as a restorative measure with the disease remission process or with chronic osteochondrose.After massage, muscle muscles covered with disease are well relaxed, its effect will increase significantly with the same time by heating, for example, in a bath or sauna.In the latter case, we will be a maximum effect due to additional blood circulation stimulation in the field of pathology and surrounding areas.
Another method of physiotherapy is hand therapy.His advantages are the same as a massage, but in addition to such techniques, the expert can return displaced vertebrates to a normal position.
Therapeutic gymnastics
Therapeutic gymnastics is also used as a restorative and preventive measure in the period when pain and inflammatory process is already removed.The guarantee of high efficiency of therapeutic exercises in the regularity of exercises, in this case, the damaged surface will constantly receive the necessary motor activity for the self-tissue and recovery.
Surgical surgery for osteochondrosis of lower back
Surgical surgery is an extreme measure prescribed for serious complications.It is most often of them intervertebral kilas when it is performed so - discisomy ", or the affected intervertebral disk is being removed.Operation, however, is very effective, however, extreme extreme, its purpose only occurs if other methods of therapy do not have the results for more than 6 months.Modern medicine also offers less traumatic methods of implementing such operation, for example, a microsurgical or endoscopic method.