Back pain and lumbar region are one of the most common complaints in medicine.It is in second place in the number of all appeals, second only in respiratory diseases.Many pathologies can cause lower back pain, but very often its cause is the osteochondria of the lumbar region.How to deal with such a disease, which symptoms and signs it holds will be examined below.
Long time ago, medical science believed that osteochondria in the lumbar period occurs exclusively due to the changes related to the age that bring the vertebrae and intervertebral discs.However, today the age characteristic is not excellent, the lumbar spine osteochondria is diagnosed in patients in various age groups.To date, the clipping age is considered more than 25 years
The causes of the appearance of the lower back osteochondryosis
It is impossible to name the exact reason, almost always a complete result of various destructive factors, including the most important to be distinguished:
- Attachment to a passive lifestyleAs for motor activity.With their own will, immobilized people, for example, spend many hours on the computer, do not receive a useful load, so the "corset" muscle happens and the load on the vertebrae increases.In addition, almost always such a hobby is associated with a long stay in the wrong and unnatural positions.
- Hormonal background, leading to metabolism violations, which affects the metabolism of the spine tissues on the lower back and contributes to the devastating processes.This also includes endocrine diseases.
- The presence of relatives or acquired deviations, when the musculoskeletal system undergoes certain changes.This can be reflected in increased loads in the spine, for example, the patient with the presence of flat legs, curvature of the legs or spine.
- Chronic increased loadsOn the lower back.Here, among the risks are people with certain types of professional activity, usually associated with lifting weights.This also includes professional athletes who constantly expose their bodies with peak loads.
- Reduced meal and daily routine.This also includes regular stress exposure.These factors are reflected in the processes of metabolism and influence the periodic restoration of their forces.
Lumbar spine osteochondal
The above pathological factors gradually lead to the onset of the disease.However, it can be manifested in different ways, be almost asymptomatic at first or with difficulty in pain in delayed development.Consider the main degrees of osteochondal development:
- The condition in which the nucleus of the jet moves on the intervertebral disc.It is characterized by the pain caused by the irritation of the nerve roots of the fibrous ring and longitudinal joints.The discomfort is felt locally at the place where a defective disc is placed.The pain can be either sharp with bastard or permanent dumb.
- When the fibrous layer of the intervertebral disc is destroyed, there is an increase in the mobility of the spine elements in this area, they become unstable in relation to each other.In order to eliminate these pathological manifestations, it is necessary to constantly maintain the muscles of this zone, which therefore lead to chronic fatigue on the lower back.
- Then there is a significant discovery in the fibrous ring, so the core exits the disc, forming the intervertebral hernia.Such a case will be accompanied by the excess nerves, called "radical syndrome".
- The next degree of lumbar osteochondicity occurs with severe spine deformation in this place.There are problems with mobility, but pain syndrome, quite strange at this stage, recedes.However, you should not be happy, this is not talking about the weakening of the disease at all.
- The latest grade is characterized by pathological development of bone tissue and general deterioration of prosperity.
Based on the degree of osteochondryosis of the lower back, certain methods of treatment are used.
Symptoms of osteochondry on the lower back
The main symptom is the battle syndrome in the lumbar spine.At the same time, the senses of the pain, the zone of their detection and the direction in which they spread may vary.This is due to the fact that based on the degree of damage to the intervertebral disc and the fabrics around, some nerve receptors are annoyed.In addition, the role is played by the presence of a protrusion or directly by the hernia, the direction of its protrusion and many other factors.
The main symptoms of lumbar spine osteochondria include:
- The presence of lower back pain, which tends to increase with sharp mobility or, on the contrary, remain without a change of attitude for a long time.Pain recedes if you take a horizontal position.
- In addition, weakness in the body is likely under the abdomen, including the lower extremities, as well as a dull reflex tendon of the feet.
- There is a high probability in the presence of curvature in the lumbar spine.There is a sorting of such curves, for example, with emphasis on the right or left side, they talk about scoliosis, the lordosis is called the state of the flexion forward and the prevailing is called when the natural lumbar bending, as it was, is normalized.
- With a severe degree of development of the disease, spinal cord channels are possible, which can cause dysfunction and bring to uncontrolled urination and stools.
Between additional symptoms, they note:
- The presence of numbness and "coldness" of the skin of the lower back and buttocks.
- Peeling, dry and blue skin in the same places.
- Reduced urination.
- Erection problems.
The presence of these symptoms should be warned by a person, you cannot wave them with one hand, this will only lead to greater neglect.In this case, you should definitely consult a doctor for precise diagnosis and treatment.By the way, treatment can be either in a hospital and in a home environment, but more so later.
Diagnosis of the disease
In the diagnosis, it is important to understand the extent to which the disease enters.The easiest way is to palpate on the lower back by identifying the pain zones.Usually, this method is non -informative and in addition to conducting exams that give a more detailed clinical picture:
- Radiograph, cheap and widely used method, it is possible to assess the condition of both the spine as a whole and the individual vertebrae, for example, of the lumbar area being considered.The technique is not very accurate, it only allows for indirect understanding of the way in which the built -in intervertebral discs and vertebral channels are.
- Computed tomographyA more accurate method for evaluating the level of lesion in the discs between vertebrae, nerve roots and spinal cord.
- Tomography of magnetic resonanceThe most accurate method gives a complete picture of the defeat to the details, but it is quite expensive and inaccessible.
It should be noted that the diagnostic procedure is very important, since for a doctor, when prescribing regular treatment, all the details of developed osteochondrality are significant.
Complications for osteochondria
The main complications of pathology are hernias and protrusions, necessarily if you neglect the treatment and leave the development of the disease with the tools.Other complications may be:
- Inflammation of the sciatic nerve.
- Spodony.
- Schmorl Hernia.
- Spondy.
- Problems caused by spinal cord bites.
- Functional disorders in the pelvis.
- Development of the door.
Treatment of the lower back osteochondry
With the diagnosis of osteochondropration of the lumbar spine, a wide range of treatment requires the main aspects of which will be:
- The use of moderate loads.
- Special medicines.
- The attraction of the spine.
- Manual treatment sessions.
- Physiotherapy.
- Therapeutic massage.
The concept of "treatment" for osteochondria entails:
- Suppression of inflammation.
- Removal of pain syndrome.
- The complex to enhance lumbar and neighboring muscle groups.
- To get rid of chronic muscle tension.
- Increase the functionality of the organs in the pelvis.
- Normalization of blood circulation and metabolism in the pathology zone.
Drug treatment
A similar approach to the treatment of lower back osteochondryosis involves taking medications, injections of special drugs, the use of ointments and gels for outdoor use.The main task of such drugs is to neutralize the pain and the inflammatory process.
Based on the degree of spine osteochondry in the lumbar region, the following medicines can be prescribed by the doctor:
- Analgesics that have an anesthetic effect.
- Preparations against inflammation of non -abusive origin.
- With muscle spasms, anticonvulsants.
- Medicines for the restoration of cartilage, called chondrop protection.Their effectiveness is not proven, so they are rarely used in traditional medicine.
- In the case of severe pathologies, when the above funds do not help, they resort to corticosteroids.
- Complexes of vitamins.
In addition to these funds, drugs are prescribed on tablets, whose purpose is to calm the nervous system, to struggle with anxiety and depression.
Physiotherapy Treatment for Osteochondria of Lower Back
The processing process is rarely limited to pills.The pathology under consideration cannot be cured without stimulating spine rehabilitation procedures.For these purposes a wide range of physiotherapeutic processes are used, the most popular are:
- Voice.
- Treatment with distributed currents.
- Laser treatment.
In addition, the spine must have useful loads, at the same time fragmentation.Various types of therapeutic massage are ideal for this.We must remember that massage is only used for the pain removed.As a rule, it is performed as a measure of rehabilitation by the process of recession of the disease or with chronic osteochondria.After massage, the muscle muscles exceeding the disease relax well, its effect will increase significantly with simultaneous warm -up, for example, in a bathroom or sauna.In the latter case, we will be the maximum result due to the additional stimulation of blood circulation in the area of pathology and surrounding areas.
Another method of physiotherapy is manual treatment.Its advantages are generally the same as massage, but in addition to such techniques, a specialist can return displaced vertebrae.
Therapeutic gymnastics
Therapeutic gymnastics is also used as a repair and preventive measure during the period during which the pain and inflammatory process have already been removed.The guarantee of the high performance of therapeutic exercises in the regularity of the exercises, in this case, the damaged area will constantly take the necessary motor activity for self -generation of the new tissue and recovery.
Surgical surgery for osteochondria of the lower back
Surgery is an extreme measure prescribed for serious complications.The most common of these is the intervertebral hernia when the So -Called "Discetomy" is performed or the infected intervertebral disc is removed.The function is very effective, however, is extreme extreme, its purpose is only if other treatment methods do not work for more than 6 months.Modern medicine also offers fewer traumatic methods of conducting such a business, for example, a microsurgery or endoscopic method.