Today is the topic: osteochondrosis of the symptoms and treatment of the lumbar spine, which we will analyze more precisely in our article.Most people encountered back pain at least once in their life.In particular, the population applies after the age of 30, exactly the reason for the occurrence of unpleasant sensations in the lower back.
The causes of the osteochondose of the lumbar spine
There are only 5 lumbar vertebrae in the human body, they are wide and thick because they carry the main load.It is your physiological feature and greater mobility that increases the risk of degenerative changes - osteochondrosis.
The most important factor in the formation of windscreen wear is the constant overload of the department, which is tightened by long -term seated, hard work, inappropriate attitude and many other factors.All of this causes muscle overvoltage, impaired tissue flood supply and leads to an additional burden on the ligaments and joints.
The procedures for destroying the hyaline bandwriter cartilage are based on the loss of moisture.A healthy spine can withstand a load of more than 500 kg.In the event of loss of hydrophilic properties, the elasticity is lost, the disc becomes flatter, the distance between the vertebral bodies decreases.
Several factors in the development of lumbar osteochondrosis are differentiated:
- Increased physical activity and weight survey.
- Injuries.
- Violations of metabolic processes.
- Hormonic changes.
- Bad habits - irrational nutrition, smoking, alcohol abuse.
- Violation of attitude (scoliosis, kyphosis, lordosis, bend).
- Flat feet.
Obesity plays an important role in the formation of degeneration.It not only leads to a pressure on the spine, but also leads to metabolic disorders and hormonal shifts.
Symptoms and diagnosis
In medicine, the basis for symptoms of osteochondrosis is pain.He has many variations - acute and sharp pain, or vice versa.Due to unpleasant sensations, a sick person often hardly gets any simple things that are hardly given by a chair, from a bed and go out of bed.
The pain often occurs in the form of a "shift" on an unpleasant movement that lifts the severity.With the deterioration of the destruction procedures of worsening pain, it can occur when coughing and sneezing.
The flexibility of the spine is reduced from a forced activity restriction, it becomes more difficult to bend, shoe.
In addition to vertebral symptoms (which are only backwards), there are a number of extravertibral (which spread beyond the lower back).
It may be:
- Lyubmoichachei-pain along the sciatic nerve (Lumbosacral osteochondrosis is most susceptible to this symptom).
- Neurological disorders in the lower extremities - impairment of sensitivity, pain when walking, paresis are possible.
More and more doctors come to the conclusion that osteochondrosis itself does not harm itself, all specific symptoms of a complication of osteochondrosis.So you write in the diagnosis: "Against the background of osteochondrosis ...", almost 80 percent of the pain from muscle inflammation and the formation of trigger points occurs on which a myofascial syndrome occurs.
Diagnosis
Intensive back pain can be caused by many reasons.It is therefore important to determine a precise diagnosis, and osteochondrosis of the lumbar spine with different symptoms and treatment is a common concept.For the beginning, it is necessary to carry out a number of general tests - biochemistry, blood, urine.You will help identify inflammatory processes, to determine body condition and the degree of damage.
As a specialized study, it is recommended to carry out a radiography of the spine in two projections - laterally and straight.Clarification of complications is often required, an MRI is used for this.
If there is no way to carry out tomography studies, myelography is prescribed - an X beam examination with a contrast matter that is inserted into the Subarachnoidal space of the spinal cord.
Treatment and prevention
The symptoms of osteochondrosis of the lumbar spine require urgent measures when selecting the therapy.In times of acute pain, a complete bed rest is recommended.Maximize the musculoskeletal system.
Important:During the exacerbation period, only drug treatment, massage, physiotherapy and training therapy are indicated for the period of pain.
Which medication will help with osteochondrosis:
- Pain reliever.
- Non -steroidal anti -inflammatory medication (NSAIDS).They should be introduced in courses.
- Ointments with local deviations and anti -inflammatory anti -inflammatory.
- Musorelaxants - relieve tensions in the muscles.
- Supporting therapy - vitamin C as antioxidants, group B, PP to improve microcirculation and accelerate the regeneration.
Carefully:NSAIDs are prescribed together with gastrotectors to reduce the negative effect of medicines on the stomach intestine tract.
If complications occur in the form of a violation of sensitivity, treatment in the hospital is prescribed.It is possible to use the local administration of steroid medication to relieve inflammation.
After the main treatment, they offer a course of chondroprotectors that restore the cartilage of the hard drive.
Manual therapy
The manual therapist acts with his hands on the spine and puts the vertebrae in place - the patient immediately feels relieved.
During the manual therapist's 3-5 sessions, the distance between the vertebrae increases, the load is evenly distributed, the blood circulation and diet of the damaged area are improving.The patient is quickly restored and can return to the usual life.
According to the procedure, the manual therapist recommends a number of exercises to consolidate the result.
Physiotherapy
The physiotherapeutic treatment relieves the cramp and improves blood flow.There are many physiotherapy methods: electrophoresis, darsonval, laser therapy, phonophoresis, diaynamic currents, magnetic resonance therapy, amplipular, ultrasonic therapy, vibration massage.It is wonderful to continue physiography at home through budget applications.
- Kuznetsov Applicator.
- Pepper spot.
- Banks for osteochondrosis.
massage
The massage is only prescribed during the recreation period after removal of acute pain.It relieves the voltage, increases blood flow and significantly improves the patient's condition.The use of heat ointments increases the efficiency of the massage.Its effect increases when visiting the bathroom if there are no contraindications.
Resort treatment
Spa -Tater, Resort show excellent results in the rehabilitation period.Baths with hydrogen sulfide, radon, bromine relax and contribute to the restoration.If there is a financial chance, it is better to be treated in specialized resorts.
Surgical operation
It is only used for serious complications if the rest of the methods have not helped: if it is not possible to remove pain for more than 4 months, or there are signs of a severe compression of the nerve roots.A destroyed disc is normally removed (diskomy).If possible, try to carry out gentle modern interventions - microsurgical and endoscopic;The rehabilitation period afterwards is 3-5 times shorter than after a conventional operation.
In times of “decline”, special exercises for stretching and removal of trigger points are well dealt with with the consequences of osteochondrosis.They weaken the muscle cramp and support the muscle corset in the tone.It is important to perform the complex and avoid sudden movements.
Therapeutic gymnastics at home
LFK can also be carried out at home after several classes have been carried out with an instructor beforehand (to remedy the correct execution and not to harm yourself).
Sports lessons are the main method for the treatment and prevention of osteochondrosis of the lumbar spine.Exercises strengthen the back muscles, contribute to the correct place of the nerves, an increase in space between the vertebrae and the full blood supply to the tissue.
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 small load and a small amplitude of movements.After removing the acute state in bed, you can bend your legs with a simultaneous increase in your head.The load is carefully increased.
Simple exercises are useful:
- Stand, to make hands on the belt;
- Stand, hands on the belt to carry out the rotation of the pelvis;
- "Cat": In the knee-hinged sheet pose, bend your back, turn with a pelvis;
- "Scissors" and "bike" lie on the back;
- "Looting with ropes": stand, twist your body, hands hang relaxed behind the curves of the corps;
- Leaning back on the floor, the legs are bent on the knees and turn to the right and left.
Do not forget regular strength exercises to strengthen the sore muscles (crouch, push -ups, bar).These two practice areas are not divided, no matter what they say.
If the lifestyle is inactive and the job has to sit or stand all day long, exercises should be carried out 3-5 times a day.It is useful to develop the habit, to carry out exercises every time there is a suitable minute: in the elevator, while the kettle or the microwave works.
Regular therapeutic gymnastics give a persistent therapeutic and preventive effect.But even classes reduce the manifestations of deterioration from case to case.
People's funds offer good preventive support during the lack of deterioration.You can drink decocements of mint and lemon balm - a soothing and muscle relaxation effect, contains a large number of vitamins and antioxidants.
prevention
Learn to listen carefully, to rest in good time and to reduce the load.
- Follow the attitude, especially if you have to sit for a long time.Select furniture in height so that the back is necessarily supported.
- Avoid long static loads (sit, stand, pose in a curved state), take a break every hour -to carry out a small sports formation or just walk.
- Load inviting, go to the pool to form a sore muscles and stretch.
- Choose the right shoes and special superiors with flat feet.
- Real overweight.
- Try to keep a healthy lifestyle.
- Use an orthopedic mattress and a pillow.
- Dress the weather, do not lower, use a wool belt or corset if necessary.
- Go more: For example, get from transport to two stops.
- Make a bag off in favor of a backpack.
- Use a corset in hard work.
- Lift the heavy, without backing and sharp curves (you can get a hurtful injury again).
Important.Learn to correct the severity: You cannot bend so that the "lever" forms in the lumbar spine.If you raise something heavy, you have to bend your legs, not your back: sit down, take up the item and set yourself up with your back.
With age, the development of osteochondrosis of the lumbar spine is inevitable.The symptoms can prevent, treat, greatly simplified, with a careful attitude towards itself, not to reduce the quality of life.
Take care of you and your spine!