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Lumbar Osteochondrosis

Osteochondrosis of lumbar spine

According to medical statistics, the pain in the back of 80% of cases causes lumbar osteochondrosis.This happens as a result of degenerative dystrophic changes in this segment, when intervertebral discs and neighboring vertebrae influenced.Osteochondrosis of the lumbar spine (SPP) manifests themselves with various symptoms: pain different nature, mobility limit, impaired lower body sensitivity, etc.Long absence of treatment, degenerative processes apply to the vertebrae, then the patient can become a person with a disability.

To avoid dangerous complications of lumbar osteochondrose (per), you must start comprehensive treatment of 1-2 phase of pathology.In advanced cases, when non-refundable changes in disk or vertices are already present, operation is performed.To avoid osteochondrose of the lower back and related complications, it is necessary to perform its prevention.

Development of lumbar osteochondrose

To understand what osteochondrose pop (lumbar spine), you need to study the structure of the spinal column.It consists of vertebrae, between which the cartilage seals are set.The disk is covered with a hard fibrous membrane (fibrous ring), within which the fullpoz is located.This structure performs the function of the shock, makes the spine more flexible.

Reference.The lumbar segment of the spine is subject to huge load every day, as it endures the weight of the upper body.Therefore, osteochondrosis of the lower spine is diagnosed more often than cervix, chest.

With regular loads on spine, discs are compressed, a lot of fluids are lost, their height decreases, and the distance between vertebral is reduced.The body seal becomes fragile, microcakets appear on its surface, through which the heart pulpose boiled over time.With further compression of intervertebral discs, the outer membrane and loss of gelatinous body appear, hernic forms.Then the pathological mobility of vertebrae occurs, the load on neighboring spine segments increases.

A little later, the growth of bones (osteophytes) start forming on the edges of the vertebrae.So the body tries to stabilize the spine.

Doctors differ 4 stages of osteochondrose lumbar spine:

  • 1 degree - the problems with disks begin, the central part is dehydrated, flattened, cracks appear on the outside shell.He has stuck.
  • 2 degrees - cartilage sags Sags, vertebrates approach each other, become more mobile, muscles and ligaments around the spine sag.Pain appears.
  • 3 degrees - counterbalance, hernia, a spinal subluxation is formed.Pain improves, mobility is limited, the sensitivity of the lower body is reduced.
  • Fourth degree osteochondrosis is characterized by the appearance of osteophytes that can damage spinal nerves, neighboring vertebrates.There is constant pain, expressed neurological disorder and other complications, the risk of disability increases.

It is easiest to cure lumbar Condrosis (phase 1), however, it is very difficult to detect the disease at this stage.Intervertebral osteochondrosis of the second degree is treated using conservative methods.At 3-4 phases, surgery may be required.

Reference.According to statistics, the SPP is more often revealed in patients after 30 years.There are common cases of pathology in people after 20 years.Approximately 80% of patients aged 60 suffers from the manifestations of this disease.

Reasons

To understand how to deal with the osteochondrose of the PKOP (Lumbosacral spine), you need to know his reasons:

  • Regular static or dynamic load on the lumbar segment.The risk group for osteochondrose development includes office workers, professional athletes (severe athletics), drivers, construction, etc.
  • Breach of position, extended stay in the wrong pose.
  • Genetic predisposition, anomalies forming rook bodies.This category includes youthful software - the curvature of the spinal column caused by the pathologies of the vertebrae.
  • Injuries of the spinal column.
  • Hormonal imbalance, metabolic disorders, endocrine diseases that interfere with metabolism in the lumbar segment.
  • Age - Equalized changes in the body cause disk wear.
  • Truberculosis of bones, osteomyelitis (pure inflammation of bone tissue), analizing spondylitis (inflammation of vertebral and joints), rheumatoid arthritis, etc.

Often, the disease causes several reasons at once.

In addition, there are factors causing the development of lumbar osteochondrose:

  • Excess body weight.
  • Passive lifestyle, extended seat.
  • Regular use of harmful foods (oily, fried food, confectionery, semi -top products, etc.).
  • Lack of liquid, dehydration.
  • Congenital disorders of the spine structure, for example, additional vertebra.
  • Regularly carry unpleasant heels.
  • The period of submission of the fruit, then the burden on the spinal column increases.
  • A sharp abandonment of training professional athletes or excessive sports in people who previously passive.
  • Smoking, frequent and unintentional use of alcohol.

There are many more factors that can run degenerative distrophens in lumbar spine.For example, flat feet, common hypothermia, frequent stress, sleep disorders, etc.

Wiring

Symptoms

Symptoms of osteochondrose lumbar spine are diverse, depend on the phase of pathology and localization of the affected area.

Doctors differ from reflex and compression syndrome (sympetogram complex) for SPP.The first appear with the irritation of the outdoor membrane receptor, ligaments, articulated capsules and latter - when compressing nervous bundles, blood vessels, spinal cords.

There are such reflex syndromes of lumbar osteochondrose:

  • Lumbago.Fasting pain on the bottom back with a sharp movement or tension.At a lower relocation attempt, the pain syndrome improves, so the patient freezes in one pose.The muscles in the damaged area are strongly strained, on palpation, a painful sensation becomes more pronounced.These manifestations are associated with the movement of pulposis nucleus within the outer shell.
  • Lumbar.The real pain is developing a few hours or days.Uneasiness is amplified with movements, change in body position.It was weakened when a person takes a horizontal call with a roller under the lower back.When lifting the straight leg in this position, the pain amplifies (Lass symptom).The degree of muscle tension is smaller than lumbar.The lower back mobility is limited.
  • Sciatica.A painful sensation (acute or pain) spread from the lower part of the lower body.There is an increase in this function during the movement.Pain is weakened when resting on their backs.The muscles in the affected area are tense, syndrome pain is expressed in palpation.

Symptoms in compression syndrome depend on which parts of the lumbar segment are damaged.Characteristic signs are related to the compression of cerebrospinal nerves with the statue, osteophytes, displaced vertebrates.This condition is called radiculopathy, in which pain intensifies with the smallest move, the lower back muscles are tense, and mobility is limited.

Clinical manifestations of compression syndrome depending on the corrupted lumbar segment vertebrates:

  • L1 - L3 - Pain and numbness in the lower back, front and internal thigh surface, the patient is difficult to bend / uncontributed the leg in the knee.
  • L4 - Syndrome Hurts spread to the front of the thigh, drop to the knee (behind).The sensitivity is violated in the same area.
  • L5 - The painful sensation is radiated in the buttocks, the outer part of the thigh, fall along the front of the lower leg on the inside of the foot and the thumb.In the same area, stiffness feels, the patient is difficult to bend his thumb.
  • S1 - Pain pours off the lower back to the buttocks, outdoor and back surface of the thigh, drops on the outer part of the lower leg, feet.In these areas, numbness are sensor, the lower leg muscles were weakened, so the patient is difficult to stand in the socks.

There is a risk of damage to several nervous beams at once, for example, L5, S1.If Hernia moves, then he can squeeze the spinal cord.

With compression of blood vessels lower back, the likelihood of weakening of the leg muscles, the numbness of the lower extremities, breach of control over the process of urinating and defecation increases.In men, improvement is disturbed in men, and in women, the main symptoms can be supplemented by an ovarian inflammation or uterus.

Diagnostic measures

To diagnose the SPP, the doctor examines the patient, is implementing palpation to determine the state of the muscle and identify the curvature of the spine.It is important to tell the expert in detail about his symptoms so that it is easier to make it a diagnosis.

Instrumental research will help in detecting intervertebral osteochondrosis:

  • Lower back rail (direct back and side projection).
  • Calculated and magnetic rejection of tomography.

X -Ray allows you to evaluate the structure of POP.To identify the pathological mobility of vertebrae, X -Ray is performed in the position of flexion and extension.This study allows us to notice that the intervertebral gap narrowed, the bodies of the vertebral moved, Osteofites appeared on their edges.However, this diagnostic method is considered obsolete.

Today, CT and MRI are increasingly used to detect degenerative dystrophic changes in the spine.These very informative studies allow you to assess the condition of vertebrae, disks, intervertebral holes, spinal cords.With the help, protuberance, direction of the kiline, the degree of compression of nervous beams, spinal cords, blood vessels are revealed.

Treatment

Lumbar osteochondrose medications

Drugs for osteochondrose of the lower back

Treatment Osteochondrosis Pop lasts from 1-3 months to 1 year.The success of therapy depends on the patient itself, which should strictly adhere to the doctor's recommendations.With self-determination, the patient's condition usually gets worse.

Therapy therapies:

  • Stop or Hash Software Symptoms.
  • To identify the cause of the disease, try to turn it off from life.
  • Eliminate the inflammatory process.
  • Return blood circulation, metabolic processes in the lumbar area.
  • Try to improve the condition of damaged cartilage seals, stop further changes to degenerative changes.

In order to achieve such goals, the implementation of complex therapy is recommended.Usually begins with taking drugs:

  • Musorelaxans.Relax muscles, weaken pain and inflammation.
  • NSAID.They have anti -infalmatory, analgesic, antipyretic effects.
  • Antispasmodics.They help to stop the spasm of smooth muscles, weaken the pain.
  • Anesthetics agents.They are used for heavy pain in the form of a therapy blockade.
  • Glucocorticosteroids.They also help carry with pain.However, these funds are able to destroy the bones, so they take them for a short time and only after the doctor's approval.
  • Sedatives.Remove neuromuscular tension, improve sleep.
  • Vitamins (Group B, E, C, A).Return the state of affected nerves, weaken pain.

Carefully.The NSAIDs are prohibited taking gastritis or stomach ulcers, because even more damage to the mucosa membranes of the gastrointestinal tract.

Along with the goal, the patient is injected by injections, and after stopping the main symptoms oral agents.

In addition, external products (gels, fats, cream, garbage) are used.

Question What to do with chronic osteochondrose of the lower back is quite relevant.If the SPP has become chronic, the patient is a patient, the patient is prescribed by hondroprotectors, blood circulation, drugs based on vitamin B. They help to restore the area of the affected area and prevent the further development of pathology.

Treatment of the Hondraze Lumbar spine (phase 1) is performed using hondroprotects that slow down the development of degenerative processes, accelerate cartilage regeneration.In addition, the patient is prescribed by vitamin mineral complexes.This form of osteochondrosis is easiest to cure.

Other conservative methods

With OKZ (osteochondrose) 1 - 2 degrees, the following treatment procedures will help stop their development:

  • Ultrasonic therapy weakens pain and inflammation, normalizes blood flow in the damaged area.
  • Dutenzor therapy is a secure trailer for the weight of your own body, after which the muscle tone is normal, mobility improves.
  • Magnetotherapy reduces the pain and inflammation of the muscles around the spine.
  • Reflexology (introduction of needles in bioactive points in the body) accelerates blood circulation, relieves inflammation and swelling.
  • Hand therapy (exposure to the affected area with doctors) and massage normalize muscle tone, reduce the compression of nervous beams, improve the power of intervertal disks and renew the spine structure.
  • Electrophoresis allows you to deliver healing solutions through skin to bone and cartilage.
  • Dragonvivalization improves blood circulation, metabolic processes, reduces pain, restores sensitivity to the skin.

There are still many effective actions to help improve patient's condition in 5-15 sessions.The main thing is to receive a doctor's approval before their behavior.

Home treatment at home

If you are interested in whether it is possible to treat the OPP at home and then contact your doctor.If a specialist has given permission, then start therapy, which usually consists of the following points:

  • Diet.If lumbar osteochondrosis is caused by a violation of blood flow or metabolism, then exclude oily, fried, spicy food, eggs, etc.From the menu, fill the menu with fresh vegetables, fish, acidic products.Refuse alcohol, tonic drinks (tea, coffee).Drink filtered water, compotes, herbal teas.
    • Osteochondrose treatment applicator
  • To restore blood circulation, execution of charging or using rubbing and compression.
  • Sleep on an orthopedic mattress, a low pillow.If you have a sitting work, then buy a chair with your back that will support your spine.You carry special corsets or belts from time to time.
  • Exercise therapy will help strengthen the muscle corset, remove part of the load from a diseased spine.The complex for each patient individually makes a doctor or instructor.
  • Perform a lumbar region's self-learning.However, find out how to do this correctly with professional.
  • Use folk drugs in the form of rubbing, compressed, bathroom, etc.
  • Acupuncture is a plastic plate with many spikes that improve blood circulation, metabolic processes in the damaged area, reduces muscle pain, relaxes.

And also at home you can use lotions with plant decktion, mortar.

Reference.News in the treatment of osteochondrose is a massage bed that is suitable even for the most horned patients.

However, remember that you can only be treated at home after the permission of doctors attending.

Surgical treatment

Working with lumbar osteochondrosis is prescribed if conservative methods have long been inefficient.And the surgical intervention is indicated by an involuntary urination, defecation and horset tail syndrome (killing the nerves of the lower spine).

In the treatment of SPP, such surgical methods are used:

  • Spondylodeza - providing adjacent vertebrae.
  • FassetEprosty - removal of interfood joints that violate on the cerebrospinal nerve.
  • LAMINEKTOMY - Removal of a board covering the spinal channel that squeezes the spinal cord.
  • Discoctomy is complete or partial removals of the intervertebral disk, which causes the compression of nerve or spinal cord.
  • Corpectomy - Removing the body of the spine and the adjacent barbell of the gas.Then an empty place is filled with bone transplantation and are consumed by 3 segments of vertebrate.

Reference.After surgical intervention, there is a risk of complications: the trauma of the spinal cord, nerve beams, disintegration of transplants, infections, etc.

After treatment, it is necessary to undergo rehabilitation to accelerate recovery.

Complications

In the absence of competent therapy, the risk of such complications of lumbar osteochondrover increases:

  • Jewish disk, pinch nervous root or spinal cord.
  • Long-term inflammatory processes increase the probability of radiculitis (inflammation of nervous roots).
  • Ishias (inflammatory damage Našitan nerve), in which strong pain and numbness of the lower limbs appear.
  • In the event of an impaired blood circulation, the probability increases the combination of compression (spinal cord compression with different formations: bones fragments, hernia, tumors, hematomas).
  • The roar of the horse tail is a compression of the roots of the lower spinal cord, which leads to breaching of the functionality of the hose, pelvis and lower extremities.

To avoid such complications, you need to start treatment as soon as possible.

Prevention

To avoid lumbar osteochondrose, follow the following rules:

  • Take a moderately active lifestyle (walk more often on foot, practice regularly, sign in for the pool).
  • When sitting, heat every 1.5 hours.
  • Sleep at an orthopedic mattress.
  • Avoid excessive physical effort, raise the seriousness only from the position of the semi-treatment, beforehand, put on a separate belt on the lower back.
  • Buy orthopedic shoes.
  • Eat properly, take the vitamin mineral complexes prescribed by the doctor.
  • Learn to relax.
  • Try not to hypothermia.
  • Over time, treat diseases that can cause spp.
  • Refuse bad habits.

In accordance with these recommendations, you can avoid degenerative changes in your spine and improve your health.

The most important thing

If you notice the symptoms of lumbar osteochondrose, then you see a doctor urgently.Independent treatment can worsen your condition and cause complications.Lumbar chondrosis (1. Phase) is treated with therapy with exercise, physiotherapy and hondroprotectors.Drugs, massage, manual therapy, etc. were used in later phases.In the absence of positive dynamics for a long time or appearance of neurological symptoms, the doctor may prescribe the operation.The patient must strictly follow the doctor's recommendations in order to speed up recovery.