Today is the topic: osteochondosis of the symptoms and treatment of the lumbar column, which will analyze in more detail in our article.Most people came across back pain at least once in a lifetime.The reason for the occurrence of unpleasant sensations in the lower back is applied in particular to the population after 30 years.
The causes of osteochondosis of the lumbar column
There are only 5 lumbar vertebrae in the human body, they are wide and thick, since they bring the main load.It is their physiological characteristic and greater mobility that increases the risk of degenerative changes - osteochondrosis.
The most important factor in the formation of the wear of the discs is the constant overload of the department, which is aggravated by a long -term sedentary, hard work, an improper posture and many other factors.All these causes cause muscle overvoltage, the compromise of the blood of tissue and cause an additional load on ligaments and joints.
The processes of destruction of the intervertebral cartilage IALINA are based on the loss of humidity.A healthy vertebral column can resist a load of over 500 kg.In case of loss of hydrophilic property, elasticity is lost, the disc becomes more flat, the distance between the vertebral bodies decreases.
Several factors in the development of lumbar osteocondrosis are distinguished:
- Increase in physical activity and weight lifting.
- Injuries.
- Violations of metabolic processes.
- Hormonal changes.
- Bad habits - irrational nutrition, smoke, alcohol abuse.
- Violation of posture (scoliosis, cifosis, lordosis, curve).
- Feet dishes.
An important role takes place in the formation of degeneration obesity.Not only does it cause an increase in pressure on the spinal column, but also leads to metabolic disorders, hormonal changes.
Symptoms and diagnoses
In medicine, the basis of the symptoms of osteocondrosis is pain.It has many variants: acute and acute pain, or, on the contrary, pulls and pressing.Due to unpleasant sensations, a sick person often comes barely to do things simple from a chair, from a bed, walking.
Often, pain appears in the form of a "shift" due to an embarrassing movement, raising gravity.With the aggravation of the processes of destruction of the exacerbation of pain, coughing and sneezing can occur.
From a forced restriction of the activity, the flexibility of the spine is reduced, it becomes more difficult to bend, shoe.
In addition to the vertebral symptoms (which are only on the rear), there are a number of particular extraverts (which spread beyond the lower back).
Can be:
- Lyubmichachei-Vano along the sciatic nerve (lumbosacral osteochondosis is more susceptible to this symptom).
- Neurological disorders in the lower limbs - compromised sensitivity, pain during the walk, the paresis is possible.
More and more doctors come to the conclusion that osteochondrosis itself does not hurt, all tangible symptoms are a complication of the osteocondrosis.Then they write in the diagnosis: "Over the background of the osteocondrosis ..." almost 80 % of the pain occurs from muscle inflammation and the formation of trigger points due to which myofasciar syndrome occurs.
Diagnostics
Intensive back pain can be caused by many reasons.Therefore, it is important to establish an accurate diagnosis and the osteochondosis of the lumbar column with different symptoms and treatment is a common concept.To begin with, it is necessary to take a series of general tests: biochemical, blood, urine.They will help to identify inflammatory processes, determine body conditions and the level of damage.
As a specialized study, it is recommended to conduct the radiography of the spine in two projections: lateral and straight.Clarifications of complications is often requested, for this reason a magnetic resonance imaging is used.
When there is no way to conduct tomographic studies, myelography will be prescribed: a X -ray exam with a question of contrast, which is introduced into the sub -tubaracnoid space of the spinal cord.
Treatment and prevention
The symptoms of the osteocondrosis of the lumbar column require urgent measures in the selection of therapy.During periods of acute pain, full bed rest is recommended.To maximize the musculoskeletal system.
Important:During the exacerbation period, only pharmacological treatment, massage, physiotherapy and exercise therapy for the period of relieving pain are indicated.
What drugs will help with osteochondrosis:
- Painkillers.
- Non steroidal anti -inflammatory drugs (NSAIDs).They should be introduced into the courses.
- Ointments with local and anti -inflammatory deviations.
- Musorelaxants - to relieve tension in the muscles.
- Support therapy - Vitamin C as antioxidant, group B, PP to improve microcirculation, accelerate the regeneration of tissues.
Carefully:Fans are prescribed together with the gastroteners to reduce the negative effect of drugs on the gastrointestinal tract.
If complications arise in the form of a violation of sensitivity, the hospital treatment is prescribed.You can use the local administration of steroid drugs to relieve inflammation.
After the main treatment, they offer to undergo a chondroprotector course that restore the cartilage of the disc.
Manual therapy
The manual therapist acts on the spine with his hands and puts the vertebrae in position: the patient immediately feels relief.
During the 3-5 sessions of the manual therapist, the distance between the vertebrae increases, the load on them is distributed evenly, improves the blood circulation and nutrition of the damaged area.The patient is quickly restored and can return to the usual life.
After the course of the procedures, the manual therapist will recommend a series of exercises to consolidate the result.
Physiotherapy
Physiotherapy treatment relieves spasm and improves blood flow.There are many physiotherapy procedures: electrophoresis, darsonval, laser therapy, phonoforesis, dialing currents, magnetic resonance therapy, amplipulse, ultrasonic therapy, massage with vibration.It is wonderful to continue physiography at home with budget applications.
- Kuznetsov applicator.
- Pepper patch.
- Banks for osteochondrosis.
Massage
The massage is prescribed during the recovery period only after removing acute pain.It relieves tension, increases blood flow, significantly improves the patient's condition.The use of heating ointments increases massage efficiency.Its action intensifies when visiting the bathroom, if there are no contraindications.
Resort treatment
Spa Treaters, Resort show excellent results in the rehabilitation period.The bathrooms with hydrogen sulphide, radon, bromo relax and contribute to restoration.If there is a financial opportunity, it is better to be treated in specialized resorts.
Surgery
It is used only in case of serious complications, when the rest of the methods has not helped: if it is not possible to get rid of pain for more than 4 months or there are signs of serious compression of the nerve roots.A destroyed disc is usually removed (discourage).If possible, they try to conduct delicate modern interventions - microchirurgical and endoscopic;The rehabilitation period after them is 3-5 times shorter than a traditional operation.
During the "decline" periods, the special exercises for stretching and the removal of the trigger points are well tackling the consequences of the osteocondrosis.They weaken muscle spasm and support muscle corset in the tone.It is important to perform the complex without hitches, avoiding sudden movements.
Therapeutic gymnastics at home
LFK can also be performed at home, having previously conducted different classes with an instructor (to correct the correct execution and not damage yourself).
Physical education is the main method of treatment and prevention of the osteocondrosis of the lumbar column.The exercises strengthen the back muscles, contribute to the correct position of the nerves, an increase in the space between the vertebrae and the complete blood flow to the tissues.
Important.Therapeutic gymnastics cannot be made with acute pain.
The purpose of the exercises is to increase the mobility of the lumbar column.It is better to start with a small load and a small size of the movements.After removing the acute state, lying on the bed, you can bend your legs with a simultaneous lifting of the head.As it improves, the load is carefully increased.
Simple exercises are useful:
- Standing, hands on the belt, to make inclinations;
- Standing, hands on the belt, to rotate the pelvis;
- "Cat": in the laying of the knee, bend, bend the back, rotate with a basin;
- "Scensors" and "bicycle" lying on the back;
- "Pillage with the ropes": standing, rotates the body, relaxing hanging hands behind the shifts of the body;
- Lie on the floor, the legs are folded on the knees, make a hard time to the right and left.
In addition, do not forget the regular force exercises to strengthen the muscle corset (squat, push -up, bar), these two areas of exercises are not divided, it doesn't matter what they say.
If the lifestyle is inactive and the profession requires to sit or stand all day, the exercises should be performed 3-5 times a day.It is useful to develop the habit of performing exercises every time there is a suitable minute: in the lift, while the kettle boils or works in microwave.
Regular therapeutic gymnastics offers a persistent therapeutic and quote effect;But also the case classes at case reduce the manifestations of exacerbations.
Popular remedies provide good preventive support during the absence of exacerbation.You can drink mint decoctions and lemon balm: it has a relaxing and relaxing muscle effect, it contains a large number of vitamins and antioxidants.
Prevention
Learn to carefully listen to the signals of the body, rest 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 rear is necessarily supported.
- Avoid long static loads (sit, stand, place in a bent state), take a break every hour - to conduct a small physical education or simply walk.
- Engaged in the office, go to the pool for the formation of a muscle corset, lengthening.
- With the flat feet, choose the right shoes and the special supervisors.
- Correct excess weight.
- Try to conduct a healthy lifestyle.
- Use a orthopedic mattress and a pillow.
- Dress time, not hypothermia, use a wool belt or a corset if necessary.
- Walk more: for example, exit the transport to two stops before.
- Refuse a bag in favor of a backpack.
- In hard work, use a corset.
- Raising gravity without hitches, without idiots and acute curves (it is possible to obtain lesions back).
Important.Learn to raise gravity correctly: you cannot bend so that the "leverage" forms in the lumbar region.When you lift something heavy, you have to bend your legs, don't your back: sit down, take the object and get up with your back.
With the age, the development of the osteochondosis of the lumbar column is inevitable, the symptoms can be prevented, treated, very simplified, with a careful attitude towards yourself in order not to reduce the quality of life.
Take care of you and your backbone!