Today is the topic: Osteochondrosis of the lumbar spine and treatment, which we will analyze in more detail in our article.Most people have returned to pain at least once in life.Especially the population after the age of 30, the cause of unpleasant sensations in the lower back.
Causes of lumbar spine osteochondrosis
The human body has only a 5 -year spine, they are wide and thick as they carry the main load.It is their physiological feature and greater mobility, which increases the risk of degenerative changes - osteochondrosis.
The most important factor for disk wear is the constant overload of the department, which is exacerbated by long -term tempting, hard work, inadequate posture and many other factors.All of these causes cause excessive muscles, lowering the tissues of the tissues, and cause additional load on the ligament and joints.
The processes of destruction of the intervertebral cartilage of hyaline are based on loss of moisture.A healthy spine will withstand more than 500 kg.In the case of loss of hydrophilic properties, elasticity is lost, the disc becoming more flat, the distance between the spine bodies decreases.
There are several factors for the development of lumbar osteochondrosis:
- Increased physical activity and weight rise.
- Injuries.
- Disruption of metabolic processes.
- Hormonal changes.
- Bad habits - irrational nutrition, smoking, alcohol abuse.
- Positive disorders (scoliosis, kyphosis, lorosis, stop).
- Flat legs.
An important role was played in the formation of obesity of degeneration.It not only causes an increase in pressure on the spinal column, but also causes metabolic disorders, hormonal shifts.
Symptoms and Diagnosis
In medicine, the basis of symptoms of osteochondrosis is pain.It has many variations - severe and sharp pain, or, on the contrary, withdrawal and pressing.Because of the unpleasant sensations, a sick person is often barely given simple things that are poured from the chair, from bed, to foot.
Often, the pain arises in the form of an awkward movement "shift" to increase gravity.Exacerbating the processes of exacerbation of pain exacerbations can cough and nonsense.
From the forced restriction of the activity, the flexibility of the spine decreases, shoe molding is more difficult.
In addition to the symptoms of the spine (which are only on the back), there are many extroverbials (extend to the lower back).
It could be:
- Lyubmoichache-pain along the sciatic nerve (lumbosacral osteochondrosis is most susceptible to this symptom).
- Neurological disorders in the lower extremities - possible sensitivity, pain in walking, may be 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 are diagnosed with: "Against the backdrop of osteochondrosis ..." almost 80 percent of pain occurs as a result of muscle inflammation and triggering points, resulting in a myofzil syndrome.
Diagnostics
Intense spinal pain can be caused by many reasons.Therefore, it is important to determine the exact diagnosis, and osteochondrosis of the lumbar spine with various symptoms and treatment is a conventional conception.Beginners need many general tests - biochemistry, blood, urine.They will help identify inflammatory processes, determine the condition of the body and the level of injury.
As a specialized examination, it is advisable to perform spine radiography in two forecasts - lateral and correct.Often you need to clarify complications, for this MRI is used.
When there is no means of tomographic studies, myelography is prescribed - X -Ray examination on a contrasting issue that includes the subarachnoid space of the spinal cord.
Treatment and prevention
Symptoms of lumbar spine osteochondrosis require urgent measures in the selection of therapy.During acute pain periods, complete bed rest is recommended.To maximize the muscular muscle system.
Important:During exacerbation, only drug treatment, massage, physiotherapy and exercise therapy are indicated for the period of pain relief.
What medications will help osteochondrosis:
- Painkillers.
- NSAIDs (NSAIDs).They should be introduced in courses.
- Ointments with local deviations and anti -reservations.
- Musorelaxants - to relieve tension in the muscles.
- Auxiliary Therapy - Vitamin C as an antioxidant, group B, PP microcycic, to accelerate tissue regeneration.
Be careful:NSAIDs are prescribed with gastrototrotors to reduce the negative effects of drugs on the gastrointestinal tract.
If complications arise as a sensitivity disorder, then hospital treatment is prescribed.It is possible to use local administration of steroid medicines to mitigate inflammation.
After basic treatment, they suggest to pass the course of chondroprotectors that restore the disk carton.
Manual therapy
The manual therapist acts with the spine hands and puts it on the spine - the patient feels relieved immediately.
During the 3-5 session of a manual therapist, the distance between the vertebrates increases, the load is evenly distributed, blood circulation, and the nutrition of the damaged area improves.The patient is recovered quickly and can return to normal life.
After the procedures, a manual therapist recommends 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, diadinamic currents, magnetic -resonance therapy, amplitude, ultrasound therapy, vibration massage.It is wonderful to continue physiography with budget applications at home.
- Kuznetsov applicator.
- Pepper patch.
- Banks for osteochondrosis.
Massage
Massage is prescribed only after the removal of severe pain during recovery.It relieves voltage, increases blood flow, significantly improves the patient's condition.The use of warming ointments increases the efficiency of massage.Its action is enhanced when visiting the bathroom unless there are contraindications.
Treatment of the resort
Resort tractors, the resort shows excellent results in the rehabilitation period.Baths with hydrogen sulfide, radon, bromine rest and promote recovery.If there is a financial opportunity, it is best to treat specialized resorts.
Surgery
It is used only in cases of serious complications when the rest of the methods did not help: if it is impossible to get rid of pain for more than 4 months, or there are signs of strong compression of the nerve roots.Destroyed disc is usually removed (discochomy).If possible, they try to conduct gentle modern interventions - microsurgical and endoscopic;After them the rehabilitation period is 3-5 times shorter than after traditional surgery.
During the "fall" periods, special exercises to stretch and remove permeable points will cope well with the results of osteochondrosis.They weaken muscle spasms and support the muscle corset with a tone.It is important to perform the complex smoothly, avoid unexpected movements.
Therapeutic gymnastics at home
LFK can also be carried out at home, he previously held several classes with the instructor (to correct the right performance and not hurt yourself).
Physical education is the main method of treatment and prevention of osteochondrosis of the lumbar spine.Exercises strengthen the back muscles, promote the right place of the nerves, increase the space between the vertebrates, and fully supply blood to the tissues.
Important.Therapeutic gymnastics cannot be done with severe pain.
The purpose of exercises is to increase lumbar spine mobility.It is best to start with a small load and a small amplitude of movements.After removing the acute condition, lay in bed, you can set your feet at the same time.As improved, the load is carefully increased.
Simple exercises are useful:
- Standing, hands on the belt, inclinations;
- Standing, hands on the belt to perform the pelvic rotation;
- "Cat": knee elbow posture, bent, back, rotation of the pond;
- On the back "scissors" and "bike";
- "Robbed with ropes": standing, deviation from the body, hands hanging with hanging body;
- Lying on the floor, the legs are bent on the knees, the deviation to the right and the left.
Also, do not forget regular strength exercises to strengthen the muscle corset (squat, pushups, bars), these two areas of exercises are not divided, no matter what they say.
If the lifestyle is inactive and the profession requires to sit or stand all day, exercises should be done 3-5 times a day.It is useful to develop an exercise habit every time when there is a suitable minute: in the elevator, and the pot is boiling or working in the microwave.
Regular therapeutic gymnastics gives permanent therapeutic and prophylactic effects;But even classes reduce the manifestations of exacerbations.
Folk remedies provide good preventive assistance in the absence of exacerbations.You can drink mint and lemon balm decorations - have a soothing and muscle relaxation effect, contain a large amount of vitamins and antioxidants.
Prevention
Learn to listen carefully to the body signals, relax in time and reduce the load.
- Follow the posture, especially when you have to sit for a long time.Select the furniture in height so that the back should be supported.
- Avoid long static loads (sit, stand, posing in a bent position), relax every hour - holding a small physical education or just walking.
- Turn on charging, go to the pool for muscle corset formation, stretching.
- With flat legs, select the right shoes and special heads.
- Excess weight.
- Try to guide a healthy lifestyle.
- Use an orthopedic mattress and pillow.
- Dressing the weather, do not hypothermia, use a wool belt or corset if needed.
- Walk more: For example, go from transport to two stops.
- Give up on a bag in favor of backpacks.
- Use a corset with hard work.
- Raise the gravity smoothly without turning and sharp turn (you can damage the back).
Important.Learn the gravity correctly: You cannot be bent so that the "lever" shapes form in the lumbar region.When you become a hard thing, you have to hit your feet, not back: Sit down, take the item and get up.
With age, the development of lumbar spine osteochondrosis is inevitable, the symptoms are prevented, treatment, significantly simplified, with careful attitude towards yourself not to reduce the quality of life.
Take care of yourself and on the spine!