A large number of people fall on the lower back, and when lifting a heavy object and twisting it from a long static position, it creates additional pressure. Excessive stress and wrong lifestyle will continue to degrade the musculoskeletal system: the vertebrae and discs between them act as shock absorbers. From this point on, it is worth looking for information about lumbar osteochondrosis: symptoms and treatment. Why do spine joints degenerate?
The degeneration of the musculoskeletal system is as follows: the natural shock absorber of the spine loses its elasticity, contracts, and expands beyond its natural limit. The pressure on other vertebrae, organs, and ligaments also increases. Let us describe those who are prone to this disease. Lumbar osteochondrosis can be observed in humans:
- The early generations suffered similar torture;
- Hormonal imbalance;
- Individuals tend to develop similar diseases (for example, the congenital structure of the spine);
- People who ignore proper nutrition. On the table every day, one should eat a balanced diet and consume healthy fats, vitamins, and proteins; Sedentary: sitting for a long time or standing in one place for a long time;
- For example, weightlifters, loaders, gardeners; the spine is under severe and heavy load;
- Suffer from digestion, metabolism, pelvic organ diseases;
- Those who have experienced trauma (pulling their back too hard, knocking sideways, falling down, bending over);
- is 30 years old;
- Diabetes.
If there are signs of lumbar osteochondrosis described in the following section, some habits should be avoided:
- sl
- Smoke;
- Posing for a long time;
- Move a little bit;
- drinking;
- Sit without rest.
- Dress is not suitable for the weather and keep the body cool.
Important. Excess weight will exacerbate any disorder in the ligaments. When you are overweight, the burden on your lower body will increase and you will overmassage the fat-filled waist area.
Stages, signs of disease progression
Initially, periodic mild pain will increase with physical exertion. This discomfort suggests that attention should be paid to osteochondrosis of the lumbar spine. Now, the intervertebral disc (the disc of the spine is the passage through which the spinal cord and the surrounding fibrous ring pass) is degenerating. In addition, the distance between the vertebrae is reduced and the nerve is compressed. The pain became severe, not only grabbing the back but also the buttocks and gluteal muscles. In the third stage, the annulus fibrosus is destroyed, leading to the formation of a spinal hernia, irreversible flexion, and constant pain. The fourth stage leads to disability. Special classifications of lumbar osteochondrosis include:
- pain;
- Ischemic syndrome;
- Root nerve syndrome;
- Vertebral syndrome;
- Ossification of overgrown tissue.
Pain has different degrees and severity: for example, low back pain is called low back pain; low back pain is called low back pain. Continuous, exacerbated by pressure, low back pain; spread in the lower part of the body is called lumbar disc herniation. If the back disease is not treated, the vertebrae will get too much free movement in the spine. When lifting weights and sudden movements, the nerve roots are compressed, and then the pain in the lower back disappears, but it moves to other parts of the body where the nerves are responsible. Unknowingly, we changed our posture and made adjustments to relieve back pain, but this inevitably changed the gait and curvature of the spine. All of this involves radial syndrome, which starts with irritation and then inflammation. Signs of lumbar osteochondrosis with neurological syndrome:
- Excessive fatigue of back muscles;
- The change of the back curve;
- Changes in gait;
- Swelling of lower limbs;
- Pain in one or both legs;
- severe pain;
- Temporary loss of leg sensitivity;
- Periodic long constipation;
- There is a problem with the excitement of men. Irregular menstruation in women;
- Body intoxication;
- Blood stagnation.
You will notice that painful sensations are produced when you rest, and they subside when you exercise on your back. It is worth looking for a doctor at this stage: chiropractors, surgeons, neurologists, traumatologists (because the causes of lumbar osteochondrosis include trauma). If you go with the flow, the problem will be exacerbated and accompanied by other companions:
- calories;
- Numbness;
- sweating;
- Tingling;
- chills;
- Chicken skin ump;
- Yang imp;
- Colic.
The back muscles lose their tone, leading to a complete loss of human movement. With the course of the particularly dangerous radiation syndrome, paralysis will occur. Ischemic syndrome is related to nerve roots. First, the squeezing of blood flow is periodic, but then this squeezing can cause cramps. You can notice them during normal walking-you feel pain while walking, and if you stop, you won't get hurt. The main degradation occurs internally, which is not visible to the naked eye-blood flow cannot provide the necessary supply for all pelvic organs. There may be pain in the hips and thighs, and gluteal muscle paralysis may follow. Vertebral syndrome includes changes in the bones and blood vessels themselves.
Important. The symptoms of women’s lumbar osteochondrosis are inseparable from the hormonal background and physical characteristics of the body. Wearing inappropriate shoes can affect pain and improper posture: too hard or too soft soles; too high or too low heels.
Diagnosis of disease stages
Even for doctors, it is difficult to classify and name the stage of the disease during an external examination. Initially, the neurologist can diagnose:
- The continuous curvature of the spine;
- Pain when touched;
- Reduced leg stroke;
- asymmetry in the hip area;
- Replace Millis Diamond.
But the most accurate diagnosis can only be made based on the results:
- Computed tomography (CT). The best option to determine the degree of disease progression can assess the stage of spinal degeneration.
- Magnetic resonance imaging. It takes quite a long time (from half an hour to an hour). This is an expensive process. It additionally provides the most complete details of what is happening in the nerve roots and blood vessels.
Therefore, doctors can finally judge lumbar osteochondrosis based on the results of equipment research: symptoms and treatment. Low back pain is caused by a cold, cold kidney, menstrual cycle or back muscle pain, and has nothing to do with the invasion of the intervertebral disc.
Important. Pregnant women cannot accept CT or X-ray examinations. CT is not safe for: 1) children under 14 years of age; 2) people allergic to iodine.
Treatment
The cause of the disease, its characteristics have been considered above, now we turn to the second point of lumbar osteochondrosis: symptoms and treatment. The longer you ignore body signals, the faster the disease will spread. The further away from the beginning, the more drugs and procedures must be used. Treatment goals:
- Identify and eliminate root and spinal vasoconstriction causes;
- Restore skin sensitivity;
- to prevent the further development of pathology;
- Start the process of human self-repair;
- Strengthen human muscle tone;
- Restore the function of the internal organs of the small pelvis;
- Return to the normal route of the lumbar spine.
If you have any discomfort, please see a doctor. The first thing to pay attention to is the first thing to pay attention to: the bed (multiple orthopedic mattresses must be selected separately), pillows (may not suit your size or softness), posture during sleep, exercise. At home, without a doctor's examination, only bed rest can treat lumbar osteochondrosis. Therefore, you must see a doctor. In the remission phase and the acute phase, different drugs need to be taken. In the final stage, drugs are used to relieve pain, release nerves from the vertebral mites and eliminate inflammation. Prescriptions: -blockade; -glucocorticoids; -chondroprotective agents; -muscle laxatives; -non-steroidal anti-inflammatory drugs (NSAIDs).
In addition to relieving pain, the last group of drugs can also combat hyperthermia, edema and inflammation. Such funds can be: rectal, internal use, injection, external. Treatment of lumbar osteochondrosis usually starts with NSAID:
- Diklofenak;
- Piroksikam;
- Bubifen;
- Pimelic acid;
- Hapoxy;
- Dictofen;
- Meloksikam;
- Aceclofenac.
The anti-inflammatory drugs in this list are various ointments, tablets, and gels. Certain tablet NSAIDs have contraindications to ulcers or gastritis. Muscle relaxants can relieve joint stiffness and involuntary contraction of back muscles by temporarily reducing muscle tone. This group of drugs includes tizanidine and tolperisone hydrochloride. If there is an opportunity to preserve the intervertebral disc, a chondroprotectant should be prescribed to restore the annulus fibrosus. The process of taking such drugs is very long-at least 1. 5 months, and the results can only be seen after a year. They try to avoid appointing glucocorticoids because they have side effects of taking them, because this group of drugs belongs to steroid hormones. You must follow all prescriptions and take them under the supervision of the attending physician, because only experts know how to treat lumbar osteochondrosis. An example of such a drug is hydrocortisone. Blockages are not drugs in themselves, but they are a powerful local pain reliever. The technique is as follows: Inject analgesics (IO) or a combination of IO and glucocorticoid drugs into the painful area. Blockade is not medicinal, but it is addictive, which will lead to a decrease in sensitivity to these drugs. If you inject frequently, the muscles around the injection may shrink. Therefore, when acute pain is relieved by this treatment method, the patient will be prescribed drugs that restore damaged tissue, blood flow and help improve muscle and nerve fiber tension. This:
- The chondroprotectant has a general strengthening effect on bone tissue and can normalize the metabolism of cartilage tissue.
- Vitamins that help restore smooth nerves.
- Biological agents that encourage the body to heal itself;
- Vascular drugs can thin the blood to improve the nutrition of internal organs.
In the course of treatment, in addition to the main medications, antidepressants are also prescribed. Here is how to treat low back pain during acute pain relief:
- It is suitable for external use medicine for keeping warm, analgesic and anti-inflammatory;
- Do some special exercises for the back;
- Go to massage;
- Maintain a gentle lifestyle on the back;
- Wear a corset while exercising.
Massage, exercise therapy, physical therapy and alternative therapy.
Relatively cheap, effective methods to solve shock absorber degradation are physical therapy, massage, and physical therapy. Real massage can only be done by professionals who have received medical education, so simply going to a beauty salon is not suitable for patients. Each stage of the disease requires different pressures and techniques. With proper treatment, the muscle cramps disappear, the muscle frame of the back is strengthened, and the pain gradually disappears. Physiotherapy is only suitable for processes that reduce pain or where there is no pain (to maintain mobility of the vertebrae). Gymnastics is individually selected according to age, person's condition and the development stage of the disease. The productivity of therapeutic exercises directly depends on performance and frequency: they must be done systematically. It is recommended to rest at home, lie on your back, bend your legs, and place a small roller under the lower back. Use X-ray tomography to monitor the healing process. Physiotherapy is prescribed during remission and deterioration. Method, for example:
- Acupuncture. An ancient method of treating pain is based on stimulating acupoints with fine needles. This procedure can relieve cramps, relieve pain, completely eliminate pain, and reduce tissue edema;
- Ultraviolet radiation stimulates the body to absorb calcium;
- ampilpus, named from the corresponding device. The processing steps are as follows: fix the board of the device on the back, and make the corresponding treatment currents with different parameters flow through the board.
- Laser therapy. Laser beam can relieve pain, cure and stop lumbar spine inflammation;
- darsonvalization. This method aims to improve blood circulation, expand blood vessels, and stimulate nerve endings;
- Voice therapy uses ultrasound to stimulate blood flow to the muscles of the back.
Each method has its contraindications. Traditional medicine is more difficult. Official medicine still does not recognize that the midwife’s grandmother knows how to treat lumbar osteochondrosis. Therefore, if a friend recommends that you use a compress made of beef broth, take acupuncture bath, you should consult a doctor. For anesthesia, methods such as hirudotherapy can be used, but water is hidden behind the name, so doctors recommend that you use this treatment method with caution.
Surgical problem solving
In some cases, surgery is no longer impossible. For advanced disc hernias, neurosurgeons use microdiscectomy. This operation will delete the damaged disk. If there are no contraindications, the doctor can perform nucleoplasty, which has many advantages:
- No need to cut;
- This operation can take up to 30 minutes;
- There are no restrictions on surgical procedures.
Important. In order to maintain the mobility of the spine and strengthen the muscles of the back, it is recommended to do yoga, swimming, and Pilates. Running creates an impact load on the vertebrae, so you should give up jogging at the first sign of lower back pain.