Today is the topic: osteochondrosis of symptoms and treatment of lumbar spine, which we will analyze in more detail in our article.Most of the people found back pain at least once in their lives.Especially refers to the population after 30 years of age, the very cause of unpleasant sensations in the lower back.
The causes of osteochondrosis of the lumbar spine
There are only 5 lumbar vertebrae in the human body, they are wide and dense because they carry the main load.Their physiological characteristic and greater mobility increase the risk of degenerative changes - osteochondrosis.
The most important factor in the formation of disks is the constant overload of the department, which is deteriorated by long -term seating, hard work, improper posture and many other factors.All of these causes cause muscle surge, impaired blood supply to the tissues and cause further load on the ligaments and joints.
The processes of destruction of hyaline intervertebral cartilage are based on loss of moisture.A healthy spine can withstand a load of more than 500 kg.In the case of loss of hydrophilic properties, the elasticity is lost, the disc becomes more, the distance between the vertebral bodies decreases.
Several factors are different in the development of lumbar osteochondrosis:
- Increased physical activity and weight lifting.
- Injuries.
- Violations of metabolic processes.
- Hormonal changes.
- Bad habits - irrational nutrition, smoking, alcohol abuse.
- Body posture (scoliosis, kyphosis, lordosis, stop).
- Flat feet.
An important role is played in the formation of degeneration of obesity.It not only causes an increase in pressure on the spine, but it leads to metabolic disorders, hormonal shifts.
Symptoms and diagnosis
In medicine, the basis of symptoms of osteochondrosis is pain.It has many variations - acute and sharp pain, or, conversely, pulls and presses.Due to unpleasant sensations, a sick person is often given simple things that get out of a chair, bed, walking.
Often, the pain occurs in the form of a "shift"-it is made to an awkward movement, lifting the severity.With the deterioration of the processes of destroying exacerbation of pain, it can occur with coughing and sneezing.
Since the forced restriction of activity, the flexibility of the spine is reduced, it becomes more difficult to bend, shoes.
In addition to the vertebral symptoms (which are only on the back), there are a number of extravertribribribribribribribus (spread above the lower back).
Can be:
- Lyubmoichachei-pain along the sciatic nerve (lumbosacral osteochondrosis is most susceptible to this symptom).
- Neurological disorders in the lower limbs - impaired sensitivity, pain when walking, paresis is possible.
More and more doctors come to the conclusion that osteochondrosis itself does not hurt, all material symptoms are a complication of osteochondrosis.Thus, they write in the diagnosis: "Against the backdrop of osteochondrosis ..." Almost 80 % of the pain occurs from inflammation of the muscles and the formation of activation points due to which myofasia syndrome occurs.
Diagnostics
Intense back pain can be caused by many reasons.Therefore, it is important to establish an accurate diagnosis, and osteochondrosis of the lumbar spine with different symptoms and treatment is the usual concept.For beginners, it is necessary to take a number of general tests - biochemistry, blood, urine.They will help identify inflammatory processes, determine the condition of the body and the level of damage.
As a specialized study, it is recommended to conduct a radiograph of the spine in two projections - lateral and directly.This is often required to clarify the complications, MRI is used for this.
When there is no way to conduct tomographic studies, myelography - an X -rays with contrasting matter, which is introduced into the subarachnoid spinal cord will be prescribed.
Treatment and prevention
Symptoms of osteochondrosis of the lumbar spine require urgent measures when choosing therapy.During periods of acute pain, complete bed rest is recommended.To increase the musculoskeletal system.
Important:During the period of exacerbation, only medication treatment, massage, physiotherapy and exercise therapy are indicated for the period of pain relief.
Which drugs will help with osteochondrosis:
- Painkillers.
- Non -steroidal anti -inflammatory drugs (NSAIDs).They should be introduced to courses.
- Fat with local deviations and anti -inflammatory.
- Muzolexants - to relieve muscle tension.
- Support for therapy - vitamin C as antioxidant, group B, PP to improve microcirculation, accelerate tissue regeneration.
Careful:NSAIDs are prescribed along with gastrotrotectors to reduce the adverse effect of drugs on the gastrointestinal tract.
If complications occur in the form of a sensitivity injury, treatment is prescribed to the hospital.It is possible to use local administration of steroid drugs to relieve inflammation.
After the main treatment, they offer a course of chondroprotectors that restores the cartilage of the disc.
Manual therapy
The manual therapist acts on the spine with his hands and places the vertebrae in place - the patient immediately feels relief.
During 3-5 sessions of the manual therapist, the distance between the vertebrae increases, the load on them distributed evenly, blood circulation and nutrition of the damaged area improves.The patient is quickly recovered and may return to the usual life.
After the course of the procedures, the manual therapist will recommend a set of exercises to consolidate the result.
Physiotherapy
Physiotherapeutic treatment facilitates spasm and improves blood flow.There are many physiotherapy procedures: electrophoresis, darsonval, laser therapy, phonophoresis, diadamic currents, magnetic resonance imaging, amplifier, ultrasound therapy, vibration massage.It is great to continue physiography at home with budget applications.
- Applicator of Kuznetsov.
- Patch pepper.
- Osteochondrosis banks.
Massage
Massage is prescribed during the recovery period only after removal of acute pain.It releases voltage, increases blood flow, significantly improves the patient's condition.The use of warming fat increases the efficiency of massage.Its action is intensified when visiting the bathroom if there are no contraindications.
Resort
Spa treats, resort show excellent results in the rehabilitation period.Baths with hydrogen sulfide, radon, bromine relax and contribute to restoration.If there is a financial opportunity, it is better to treat you in specialized resorts.
Surgical surgery
It is used only in cases of serious complications, when the rest of the methods did not help: if it is not possible to get rid of pain for more than 4 months or there are signs of severe compression of the nerve roots.Usually the destroyed disc (discactomy) is removed.If possible, they try to conduct gentle modern interventions - microsurgical and endoscopic;The rehabilitation period after them is 3-5 times shorter than the traditional operation.
During periods of "drop", special exercises to stretch and remove the activation points cope well with the effects of osteochondrosis.They weaken muscle spasm and support the muscle corset in tone.It is important to perform the complex smoothly, avoiding sudden movements.
Therapeutic gymnastics at home
LFK can also be performed at home after having previously implemented several classes with an instructor (to correct proper execution and not harm itself).
Physical education is the main method of treatment and prevention of osteochondrosis of the lumbar spine.Exercises strengthen the posterior muscles, contribute to the proper location of the nerves, increase the space between the vertebrae and complete blood supply to the tissues.
Important.Therapeutic gymnastics cannot be done with acute pain.
The purpose of the exercises is to increase the mobility of the lumbar spine.It is better to start with a slight load and a low amplitude of movements.After removing the acute state, lying in bed, you can bend your legs by lifting your head simultaneously.As it improves, the load is carefully increased.
Simple exercises are useful:
- Standing, the hands of the belt, to make inclinations;
- Standing, hands on the belt, to rotate the pelvis;
- "Cat": In the knee position, it bends, bend your back, rotate with a basin;
- "Scissors" and "bike" lying on their backs;
- "Table with Ropes": Standing, twisting the body, the hands that hang relaxed behind the trunk spins;
- Lie on the floor, legs bent on your knees, twisting right and left.
Also, do not forget the regular exercise exercises to strengthen the muscle corset (squat, pressing, bar), these two areas of exercises are not divided, no matter what they say.
If your lifestyle is inactive and the profession requires to sit or stop all day, the exercises should be done 3-5 times a day.It is useful to develop a habit of performing exercises every time there is an appropriate minute: in the elevator, while the boiler boils or microwave things.
Regular therapeutic gymnastics gives a constant therapeutic and preventive effect;But even case classes reduce the manifestations of exacerbations.
Folk remedies provide good preventive support during the absence of exacerbation.You can drink mint and lemon balm shells - it has a calming and muscle relaxation effect, contains a large number of vitamins and antioxidants.
Prevention
Learn to listen carefully to body signals, rest on time and reduce the load.
- Follow the posture, especially when you need to sit for a long time.Choose furniture in height so that the back is necessarily supported.
- Avoid long static loads (sit down, stop, pose in a bent state), rest every hour - to conduct a little physical education or just walk.
- Get involved in filling, go to the pool for forming a muscle corset, stretching.
- With flat feet, choose the right shoes and special supervisors.
- Correct excess weight.
- Try to lead a healthy lifestyle.
- Use an orthopedic mattress and pillow.
- Wear the time, not hypothermia, use a wool belt or corset if needed.
- Go more: For example, get out of transport to two stops earlier.
- Refuse a bag in favor of a backpack.
- In hard work, use a corset.
- Lift weight smoothly, without cramps and sharp turns (you can return back injury).
Important.Learn to properly lift the severity: you cannot bend so that the shapes of the "handle" in the lumbar region.When you raise something difficult, you need to bend your legs, not your back: sit down, take the item and get back.
With age, the development of osteochondrosis of the lumbar spine is inevitable, symptoms can be prevented, treated, significantly simplified, with a careful attitude towards yourself not to reduce the quality of life.
Take care of yourself and the spine!