Back and lumbar pain is one of the most common complaints in medicine.It is in second place in the number of all appeals, only other for respiratory diseases.Many pathologies can cause soreness in the crucifix, but very often the cause of the osteocondrosis in the lumbar area.How to treat such a disease as symptoms and signs it possesses will be considered below.
Not so long ago, medical science believed that osteochondrosis in the lumbosacral ward occurs solely due to age-related changes that bring the vertebrae and intervertebral disks.Today, however, the age of the age is not unusual, osteocondrosis of the lumbar spine is diagnosed in patients of different age groups.So far, Age of Cut Off is considered more than 25 years
The causes of the appearance of osteocondrosis in the crucible
It is impossible to name the exact cause, almost always it will be a comprehensive effect of different destructive factors, among which the most important can be distinguished:
- Compliance with a passive lifestyleIn terms of motor activity.According to their own will, immobilized people, for example, receive many hours on the computer, do not receive a useful strain, which is why the muscles of the "corset" occur and the load on the vertebrae increases.In addition, almost always such a pastime is associated with a long stay in the wrong and unnatural positions.
- Hormonal background problems, leading to violations of metabolism that affect the metabolism of tissue in the spine in the crucifix and contributes to destructive processes.This also includes endocrine diseases.
- The presence of congenital or acquired deviations, when the musculoskeletal system undergoes certain changes.This can be reflected in increased loads on the spine, for example the patient with the presence of flat feet, curvature of the legs or spine.
- Chronic increased loadsOn the crucifix.Here, among the risk, people with certain types of professional activity are usually associated with lifting weights.This also includes professional athletes who constantly expose their bodies to peak loads.
- Reduced meal and daily routine.This also includes regular exposure to stress.These factors are reflected in the processes of metabolism and affect the periodic restoration of their powers.
Degree of osteocondrosis of the lumbar spine
The above pathological factors gradually lead to the manifestation of the disease.However, it can manifest itself in different ways, be almost asymptomatic at first or with difficulty tolerant pain in late development.Consider the main degrees of development of osteocondrosis:
- The situation where the jet core moves in the intervertebral disk.It is characterized by pain caused by irritation of the nerve roots in the fibrous ring and longitudinal ligaments.Discomfort is labeled locally at the place where a defective disk is located.Soreness can be either sharp with bastards or permanently mute.
- When the fibrous layer of the intervertebral disc is destroyed, there is an increase in the mobility of the elements of the spine in this area, they become unstable in relation to each other.To eliminate these pathological manifestations, it is necessary to constantly keep the muscles of this zone tense, which as a result leads to chronic fatigue in the crucifix.
- Next, there is a breakthrough in the fibrous ring, which is why the nucleus leaves the disk and forms the intervertebral hernia.Such a case will be accompanied by the excess of the ends of the nerve called "radicular syndrome."
- The next degree of osteocondrosis in the lumbosacral ward occurs with severe deformation of the spine in this part.There are problems with mobility, but the pain syndrome, strangely enough at this time, is declining.However, do not rejoice, this is not talking about fading the disease at all.
- The last degree is characterized by pathological growth of bone tissue and a general deterioration of well -being.
Based on the degree of osteocondrosis in the crucifix, certain treatment methods are used.
Symptoms of osteocondrosis in the crucible
The most important symptom is the fighting syndrome of the lumbar spine.At the same time, the sensations of pain, the zone of their location and the direction they spread may vary.This is due to the fact that based on the degree of damage to the intervertebral disc and substances around, some nerve receptors are irritated.In addition, the role of the presence of projections or directly a hernia, the direction of its projections and many other factors is played.
The main symptoms of osteocondrosis in the lumbar spine include:
- The presence of tender low back pain, which tends to rise with sharp mobility or vice versa to become without a change of attitude for a long time.The pain goes back if you take a horizontal position.
- In addition, weakness in the body is probably under the abdomen, including the lower legs, as well as a dull late reflex of the legs.
- There is a high probability of the presence of curvature in the lumbar spine.There is a classification of such curvature, for example with weight in the right or left side, they talk about scoliosis, lordosis is called the situation for bending forward, and the kyposis is called when the natural lumbar bend as it was, smoothed out.
- With a serious degree of development of the disease, the spinal canals are possible, which can cause its dysfunction and bring uncontrolled urination and stool.
Among additional symptoms they notice:
- The presence of numbness and "coldness" of the skin of the crucifix and the back.
- The peeling, dry and blue skin in the same places.
- Reduced urination.
- Problems with erection.
The presence of these symptoms must warn a person, you cannot wave against them with one hand, this will only lead to greater neglect.In this case, you should definitely consult a doctor for accurate diagnosis and treatment.For other, treatment can be either in a hospital and in a home environment, but more on that later.
Diagnosis of the disease
In diagnosis, it is important to understand the degree in which the disease comes in.The easiest way is palpation in the crucifix with the identification of pain zones.This method is typically uninformative and in addition to implementing studies that provide a more detailed clinical image:
- By radiography, cheap and widespread method, it is possible to assess the condition of both the spine as a whole and individual vertebrae, for example the lumbar area considered.The technique is not very accurate, it only provides an indirect opportunity to understand how integrated intervertebral disks and spinal cords are.
- Computed tomographyA more accurate method of assessing the level of damage to disks between the vertebrae, nerve roots and ducts with the spinal cord.
- Magnetic resonance tomographyThe most accurate method gives a complete picture of the defeat in the details, but is quite expensive and inaccessible.
It should be noted that the diagnosis process is very important, since for a doctor when prescribing treatment tactics, all the details of the developed osteocondrosis are significant.
Complications for osteocondrosis
The most important complications of pathology are hernias and projections necessarily occurs if you neglect treatment and let the development of the disease with gear.Other complications may be:
- Inflammation of the sciatic nerve.
- SpondyLarthrosis.
- Schmorl Hernia.
- Spondylosis.
- Problems caused by the pinch of spinal cord ducts.
- Functionality disorders in the pelvis.
- Development of lameness.
Treatment of osteocondrosis of the crucible
With the diagnosis of osteochondrosis of the lumbar spine, a large number of therapy is required whose most important aspects will be:
- The use of moderate loads.
- Special substances.
- Traction of the spine.
- Sessions with manual therapy.
- Physiotherapy.
- Therapeutic massage.
The concept of “treatment” for osteocondrosis entails:
- Suppression of inflammation.
- Removal of the pain syndrome.
- The complex to strengthen the lower back and adjacent muscle groups.
- Get rid of chronic muscle tension.
- Increasing the functionality of the organs in the pelvis.
- Normalization of blood circulation and metabolism in pathology.
Treatment with medicine
A similar approach to the treatment of osteocondrosis of the crucifix includes taking medication, injections of special drugs, the use of ointments and gels for external use.The main task of such drugs is to neutralize pain and inflammatory process.
Based on the degree of osteocondrosis of the spine in the lumbar area, the following drugs can be prescribed by the doctor:
- Analgesics that have an anesthetic effect.
- Preparations for inflammation of non -steroidal origin.
- With muscle spasms, antispasmodics.
- Medicines for the restoration of cartilage, called chondroprotectors.Their effectiveness is not proven, therefore they are rarely used in traditional medicine.
- In case of serious pathologies, when the above funds do not help, you go to corticosteroids.
- Vitamin complexes.
In addition to these agents, drugs are prescribed in tablets whose purpose is to soothe the nervous system, fight with stress and depression.
Physiotherapy therapy to osteocondrosis in the crucible
The processing process is rarely limited to taking pills only.The considered pathology cannot be cured without stimulating the spine's restoration processes.For these purposes, a wide range of physiotherapeutic procedures are used, the most popular are:
- Fonophoresese.
- Therapy with diadynamic currents.
- Laser therapy.
In addition, the spine must be given useful loads that at the same time fragment it.Different types of therapeutic massage are ideal for this.It should be remembered that massage is only used for pain removed.As a rule, it is performed as a restorative measure with the process of remission of the disease or with chronic osteocondrosis.After the massage, they relax muscular muscles overwhelmed by the disease well, its effect will increase significantly with simultaneous heating, for example in a bath or sauna.In the latter case, we will be the maximum effect due to further stimulation of blood circulation in pathology and surrounding areas.
Another method of physiotherapy is manual therapy.Its benefits generally are the same as the massage, but in addition to such techniques, a specialist can return displaced vertebrae to normal position.
Therapeutic gymnastics
Therapeutic gymnastics is also used as a restorative and preventative measure during the period when pain and inflammatory process have already been removed.The guarantee of high efficiency of therapeutic exercises in the regularity of the exercises, in this case the damaged area will constantly receive the necessary motor activity for self -generating new tissue and improvement.
Surgical surgery to osteocondrosis in the crucifix
Surgical surgery is an extreme measure prescribed for serious complications.The most frequent of these is the intervertebral hernia when the so -called "kasersomi" is performed or removal of the affected intervertebral disc is performed.However, the operation is very effective, but being the extreme extreme, its purpose occurs only if other therapy methods have no result for more than 6 months.Modern medicine also offers less traumatic methods for performing such an operation, such as a microsurgical or endoscopic method.