Today is the topic: lumbar spine symptoms and treatment of osteochondrosis, which we will analyze in more detail in our article.Most people encountered back pain at least once in their lives.Particularly applied to the population over the age of 30, the very cause of the lower back of the discomfort.
Causes of osteochondrosis of the lumbar spine
The human body has only 5 lumbar vertebrae, wide and thick because they have the main load.This is their physiological property and greater mobility, which increases the risk of degenerative changes - osteochondrosis.
The most important factor in disk wear is a permanent department overload, which is enhanced by long -term sedentary, hard work, improper posture and many other factors.All of these causes cause muscle overvoltage, disruption of tissue blood supply and additional load on ligaments and joints.
The processes of destruction of hyaline intervertebral cartilage are based on moisture loss.A healthy spine can withstand more than 500 kg of cargo.In case of losing hydrophilic properties, the elasticity is lost, the disc becomes more constant, and the distance between the vertebral bodies is reduced.
Several factors are distinguished 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 consumption.
- Pose violation (scoliosis, kyphosis, lordosis, stoop).
- Flat feet.
Degeneration in obesity plays an important role.Not only does it increase the pressure on the spinal column, it also causes metabolic disorders, hormonal changes.
Symptoms and diagnosis
In medicine, the symptoms of osteochondrosis are the basis of pain.He has many variations - acute and sharp pain, or, on the contrary, pulled and pressed.Because of the discomfort, the sick person is hardly a simple thing to climb from a chair while walking.
Often the pain occurs in the form of "changes" to uncomfortable movement, lifting severity.Compressing the exacerbation of pain exacerbation can occur with cough and sneezing.
Starting with the limitation of forced activity, the elasticity of the spine is reduced, it is harder to bend, shoes.
In addition to the symptoms of the vertebrae (which is only on the back), there are several extrverbral (spreading outside the lower back).
It can be:
- Lyubmoichachei-Pain along the sciatic nerve (lumbosacral osteochondrosis is the most powerful against this symptom).
- Neurological disorders in the lower limbs - impaired sensitivity, soreness when walking, are possible paresis.
More and more doctors come to the conclusion that osteochondrosis itself does not hurt, all tangible symptoms are a complication of osteochondrosis.So they write in the diagnosis: "Against osteochondrosis ..." Almost 80 percent of pain results from muscle inflammation and trigger points that cause myofascular syndrome.
Diagnosis
Intense back pain can be caused by many reasons.Therefore, it is important to make an accurate diagnosis, and osteochondrosis of the lumbar spine with various symptoms, and treatment is a common concept.Beginners need several general tests - biochemistry, blood, urine.They will help determine the inflammatory processes, determine the condition of the body and the level of damage.
As a specialized study, it is recommended to perform spinal radiography in two projections - lateral and straight.It is often necessary to find out the complication, it is used for MRI.
When tomographic studies cannot be performed, myelography will be prescribed - X -Ray test with a contrast substance, which is introduced in the spinal cord subarachnoid space.
Treatment and Prevention
Symptoms of osteochondrosis of the lumbar spine require urgent measurements in the selection of therapy.A complete bed rest is recommended during acute pain periods.To maximize the musculoskeletal system.
Important:During the exacerbation period, only drug treatment, massage, physiotherapy and exercise therapy are indicated.
What medicines will help with osteochondrosis:
- Analgesics.
- Non -steroidal anti -inflammatory drugs (NSAIDs).They should be implemented in courses.
- Ointments with local deviations and anti -inflammatory drugs.
- Musorelaxants - to relieve muscle tension.
- Support therapy - Vitamin C as an antioxidant, Group B, PP, to improve microcirculation, accelerates tissue regeneration.
Carefully:The NSAIDs are prescribed with gastrotrotectors to reduce the negative effects of the drug on the gastrointestinal tract.
If the difficulties occur in the form of sensitivity, hospital treatment is prescribed.It is possible to use local steroid drug administration to reduce inflammation.
After the main treatment, they offer a course of chondroprotectors that restore disc cartilage.
Manual therapy
The manual therapist acts on the spine by hand and determines the vertebrae in place - the patient feels relief immediately.
Manual therapist 3-5 sessions increases the distance between the vertebrae, their load is distributed evenly, improves the blood circulation and diet of the damaged area.The patient is quickly restored and can return to normal life.
After the course of the procedure, the manual therapist will recommend a set of exercises to consolidate the result.
Physiotherapy
Physiotherapeutic treatment relieves spasms and enhances blood flow.There are many physiotherapy procedures: electrophoresis, darsonval, laser therapy, phonophoresis, diadynamic currents, magnetic resonance therapy, amplipulse, ultrasound therapy, vibration massage.It is wonderful to continue physiography at home using budget applications.
- Kuznetsov applicator.
- Pepper patch.
- Osteochondrosis banks.
Massage
Massage is determined during the recovery period only after acute pain removal.It reduces voltage, increases blood flow, significantly improves the patient's condition.The use of heating ointments increases the efficiency of the massage.Its activity intensifies by visiting the bath in the absence of contraindications.
Resort treatment
Spa Treaters, the resort shows outstanding results during the rehabilitation period.Baths with hydrogen sulphide, radon, bromine relax and promote restoration.If there are financial options, it is better to treat specialized resorts.
Surgery
It is used only in serious complications where other methods did not help: if it is not possible to get rid of pain for more than 4 months or there are serious signs of nerve root compression.Usually the destroyed disk (discocyte) is removed.If possible, they try to perform gentle modern intervention - microsurgical and endoscopic;The rehabilitation period after them is 3-5 times shorter than after traditional surgery.
During the "sick" periods, special exercises for stretching and removing the trigger points are well felt with the consequences of osteochondrosis.They weaken the muscle spasm and support the muscle corset in tone.It is important to make a complex evenly, avoiding sudden movement.
Therapeutic gymnastics at home
The LFK can also be done at home by previously conducting several classes with an instructor (to correct proper execution and not harm yourself).
Physical education is the main method of treating and prevention of osteochondrosis of the lumbar spine.Exercises strengthen the back muscles, promote the right nerve location, an increase in the room between the vertebrae and the 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 light load and a small range of movements.After removing the acute condition, you can bend your legs while lying in bed while lifting your head.As it improves, the load is carefully increased.
Simple exercises are useful:
- Standing, hands on the belt to make slopes;
- Standing, hands on the belt for pelvic rotation;
- "Cat": Fold the knee elbow posture, bend your back, turn with a pool;
- "Scissors" and "Bicycle" on the back;
- "Pillage with ropes": Standing, turning your body, hands relaxing behind the body turns;
- Lie back on the floor, your feet are bent at your knees, twisting right and left.
Also, do not forget about regular strength exercises to strengthen the muscle corset (squat, push -up, band), these two areas of exercise are not divided no matter what they say.
If the lifestyle is inactive and the profession requires sitting or standing all day, exercises should be done 3-5 times a day.It is helpful to develop the habit of doing exercises every time you have a suitable minute: in the elevator while the kettle is boiling or operating in the microwave.
Regular therapeutic gymnastics gives a permanent therapeutic and preventive effect;But even classes from case to case to the case reduces the exacerbations of exacerbations.
Folk remedies provide good preventive support during exacerbation.You can drink mint and lemon balm decoctions - it has a soothing and muscle relaxation effect, with a large number of vitamins and antioxidants.
Prevention
Learn to listen carefully to your body signals, relax in time and reduce the load.
- Follow the posture, especially if you have to sit for a long time.Select the furniture in height to keep your back on support.
- Avoid long static loads (sit, stand, pose in bent), take a break every hour - to do a small physical education or just walk.
- Get involved in charging, go to the pool to form a muscle corset when stretching.
- With flat feet, choose the right shoes and special supervisors.
- Proper overweight.
- Try leading a healthy lifestyle.
- Use an orthopedic mattress and pillow.
- Take the weather, do not hypothermia, use a wool belt or corset if necessary.
- Walk more: For example, go outside the transport to two stops earlier.
- Give up the bag in favor of the backpack.
- Use a corset for hard work.
- Lightly lift weight, without jerky and sharp turns (you can get a back injury).
Important.Learn to raise the gravity properly: you cannot bend so that the "lever" in the lumbar region.When lifting something heavy, you have to put your feet on, not your back: sit down, pick up the object and get up with your back.
With age is the inevitable development of lumbar spine osteochondrosis, symptoms can be prevented, treated, greatly simplified, with careful treatment of yourself, so as not to diminish the quality of life.
Take care of yourself and your spine!