Today, the topic is: Osteochondrosis of the lumbar symptoms and treatment, which we will analyze more detailed in our article.Most of people came across back pain at least once in their lives.Especially applies to the population after 30 years, precisely the reason for the occurrence of unpleasant sensations in the crucifix.
The causes of osteocondrosis in the lumbar spine
There are only 5 lumbar vertebrae in the human body, they are wide and thick as they carry the main load.It is their physiological features and greater mobility that increases the risk of degenerative changes - osteocondrosis.
The most important factor in the formation of disk wear is the constant overload of the department, which is exacerbated by a long sedentary, hard work, wrong attitude and many other factors.All of these causes provoke muscle overwearing, decreased tissue blood supply and causes additional strain on ligaments and joints.
The processes of destruction of hyalin intervertebral cartilage are based on the loss of moisture.A healthy spine can withstand a load of more than 500 kg.In case of loss of hydrophilic properties, elasticity is lost, the disk becomes more flat, the distance between the spines decreases.
More factors in the development of lumbar osteochondrosis are separated:
- Increased physical activity and weightlifting.
- Damage.
- Violations of metabolic processes.
- Hormonal changes.
- Bad habits - irrational nutrition, smoking, alcohol abuse.
- Violation of attitude (scoliosis, kyphosis, lordosis, bending).
- Flat feet.
An important role is played in the formation of degeneration obesity.It not only causes an increase in pressure on the spine, but also leads to metabolic disorders, hormonal shifts.
Symptoms and diagnosis
In medicine, the basis of symptoms of osteocondrosis is pain.He has a lot of variations - acute and sharp pain or vice versa to pull and press.Due to unpleasant sensations, a sick person often hardly gets simple things climbing from a chair, from a bed, goes.
Often, pain occurs in the form of a "shift" distance to an awkward movement and lifts the severity.With the deterioration of the processes of destruction of worsening of pain, cough and sneezes can occur.
From a forced restriction of the activity, the spine is reduced flexibility, it becomes more difficult to bend, shoes.
In addition to back symptoms (which are only back), there are a number of extra ribs (spreading beyond the crucifix).
It can be:
- Lyubmoichachei-Pain along the sciatic nerve (lumbosacral osteochondrosis is most susceptible to this symptom).
- Neurological disorders of the lower extremities - decreased sensitivity, tenderness when walking, palsy is possible.
More and more doctors come to the conclusion that osteocondrosis itself does not harm, all tangible symptoms are a complication of osteocondrosis.So they write in the diagnosis: "Based on osteocondrosis ..." almost 80 percent of pain occurs from muscle inflammation and the formation of trigger points that myofascial syndrome occurs.
Diagnostics
Intensive back pain can be caused by many reasons.Therefore, it is important to establish accurate diagnosis and osteochondrosis of the lumbar spine with different symptoms and treatment is a common concept.For starters, 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 damage level.
As a specialized study, it is recommended to perform radiography of the spine in two projections - lateral and straight.Clarification of complications is often required, an MRI used for this.
When there is no way to conduct tomographic studies, myelography will be prescribed -an X -Ray study with a contrast material introduced in the spinal cord's subarachnoid space.
Treatment and prevention
Symptoms of osteocondrosis in the lumbar spine require urgent measures in the selection of therapy.During periods of acute pain, complete bed rest is recommended.To maximize the musculoskeletal system.
Important:During the deterioration period, only drug treatment, massage, physiotherapy and exercise therapy are indicated during the period of relieving pain.
What drugs will help with osteocondrosis:
- Painkillers.
- Non -steroidal anti -inflammatory drugs (NSAIDs).They need to be introduced to courses.
- Ointments with local deviations and anti -inflammatory.
- Musorelaxants - to relieve tension in muscles.
- Supporting therapy - vitamin C as antioxidant, group B, PP to improve microcirculation, accelerate tissue regeneration.
Careful:NSAIDs are prescribed along with gastrotrotectors to reduce the negative effect of drugs on the gastrointestinal tract.
If complications occur in the form of a violation of the sensitivity, treatment is prescribed in the hospital.It is possible to use local administration of steroid drugs to relieve inflammation.
After the main treatment, they offer to undergo a course with Chondroprotectors that restore the disk on the counter.
Manual therapy
The manual therapist works on the spine with his hands and puts 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 is evenly distributed, blood circulation and nutrition of the damaged area is improved.The patient is quickly restored and can 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 relieves the spasm and improves blood flow.There are many physiotherapy procedures: electrophoresis, darsonval, laser therapy, phonophoresis, diadynamic currents, magnetic resonance treatment, amplip pulse, ultrasound therapy, vibration massage.It is wonderful to continue physiography at home by budgetary applications.
- Kuznetsov -Applicator.
- Pepper patch.
- Banks for osteocondrosis.
Massage
Massage is prescribed during the recovery period only after removal of acute pain.It relieves tension, increases blood flow, improves the patient's condition significantly.The use of warming ointment increases the effectiveness of massage.Its action is intensified when visiting the bath if there are no contraindications.
Resort treatment
SPA therapists, resort showing excellent results during the rehabilitation period.Baths with hydrogen sulfide, radon, bromine relax and contribute to restoration.If there is a financial option, it is better to be treated in specialized resorts.
Surgical surgery
It is only used in case 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 is evidence of severe compression of the nerve roots.A broken disk is usually removed (discoCtomy).If possible, they try to conduct gentle modern interventions - microsurgically and endoscopically;The rehabilitation period after them is 3-5 times shorter than after a traditional operation.
During periods of "decline", special exercises for stretching and removing trigger points are good to cope with the consequences of osteochondrosis.They weaken the muscle spasm and support the muscle corset in tone.It is important to perform the complex smooth and avoid sudden movements.
Therapeutic gymnastics at home
LFK can also be performed at home after he previously completed several classes with an instructor (to solve the right execution and not hurt yourself).
Physical education is the most important method of treating and preventing osteocondrosis of the lumbar spine.Exercises strengthen the back muscles, contribute to the right location of the nerves, an increase in the space between the vertebrae and full blood supply to the tissues.
Important.Therapeutic gymnastics cannot be performed with acute pain.
The purpose of the exercises is to increase the mobility of the lumbar spine.It is better to start with a small load and a small amplitude of movements.After removing the acute state, lying in the bed, you can bend your legs with a simultaneous raising of your head.When improved, the load is carefully increased.
Simple exercises are useful:
- Standing, hands on the belt, to give inclinations;
- Standing, hands on the belt, to perform rotation of the pelvis;
- "Cat": In the knee-albue pose, bend your back, rotate with a basin;
- "Scissors" and "bicycle" lying on the back;
- "Pilage with ropes": standing, turning the body, hands hanging relaxed behind the swing of the corps;
- Lie back on the floor, the legs are bent at the knees, performing twisting right and left.
Also, do not forget regular strength exercises to strengthen the muscle corset (squat, push -ups, bar), these two practice dashes are not divided no matter what they say.
If the lifestyle is inactive and the profession requires sitting or standing all day, the exercises should be performed 3-5 times a day.It is useful to develop the habit of performing exercises every time there is an appropriate minute: in the elevator while the boiler boils or microwave is working.
Regular therapeutic gymnastics provides a sustained therapeutic and preventative effect;But even classes on a case -by -case basis reduces the manifestations of worsening.
Folktube provides good preventative support during the absence of deterioration.You can drink decoction of mint and lemon balm - have a soothing and muscle relaxation effect, contains a large number of vitamins and antioxidants.
Prevention
Learn to listen closely to the body's signals, rest in time and reduce the load.
- Follow the attitude, especially when you have to sit for a long time.Choose furniture in height so that the back is necessarily supported.
- Avoid long static loads (sit, stand, pose in a bent state), take a break every hour - to do little physical exercise or just go.
- Go into charging, go to the pool for the formation of a muscle cross, stretch.
- Choose the right shoes and special supervisors with flat feet.
- Proper excess weight.
- Try to lead a healthy lifestyle.
- Use an orthopedic mattress and a pillow.
- Dress your breath, not hypothermia, use a wool belt or cross if necessary.
- Go more: For example, go out of transport to two stops earlier.
- Need a bag in favor of a backpack.
- In hard work, use a corset.
- Lift the difficulty smoothly without jerking and sharp turns (you can get back damage).
Important.Learn to lift the difficulty correctly: You cannot bend so that the "grip" is formed in the lumbar area.When raising something heavy, bend your legs, not your back: Sit down, take the item and get up with your back.
With age, the development of osteocondrosis of the lumbar spine is inevitable, symptoms can be prevented, treated, very simplified with a careful attitude towards yourself so as not to reduce the quality of life.
Take care of yourself and your spine!