Artrovex The official website of the
Share this

Osteochondrosis

The lumbar spine osteochondrosis

According to medical statistics, pain in 80% of cases is caused by lumbar osteochondrosis.This occurs as a result of degenerative-given changes in the segment when it is influenced by intervertebral discs and adjacent vertebrae.The osteochondrosis of the lumbar spine (Spep) is shown by various symptoms: pain of different nature, limiting mobility, impaired sensitivity of the lower body, etc.In the long absence of treatment, the vertebrae are subject to degenerative processes, reducing working capacity, then the patient can become disabled persons.

To avoid hazardous complications of lumbar osteochondrosis (PO), you should start a comprehensive treatment in stages 1-2 of the pathology.In advanced cases, when they are already present on the plate or vertebrae on the plate or in the vertebrae, surgery is performed.It should be prevented to prevent the lower back and osteochondrosis of the related complications.

The formation of lumbar osteochondrosis

In order to understand what pop (lumbar spine) osteochondrosis, you need to examine the structure of the spinal column.It consists of the vertebrae, between which the cartilage seals (plate between the vertebrae) are located.The disk is covered with a hard fibrous membrane (fibrous ring) with a pulpone kernel inside.This structure performs a shock -abrasion function and makes the spine more flexible.

Reference.The lumbar segment of the spine is subjected to a huge load daily because of resistance to the weight of the upper body.Therefore, osteochondrosis of the lower spine is more often diagnosed than the cervix, the chest.

With the regular load of the spine, the plates are squeezed, lots of fluids lose, their height is reduced and the distance between the vertebrae is reduced.The cartilage seal becomes fragile, and the micro -seal appears on the surface of which the pulpoose core protrudes over time.By further compression of the intervertebral discs, the hernia develops when the external membrane and gelatin body is lost.The pathological mobility of the vertebrae is then increased and the load on adjacent segments of the spine increases.

A little later, the growth of bones (osteophytes) begins to develop on the edge of the spinal bodies.Thus, the body tries to stabilize its spine.

Doctors distinguish between 4 stages of lumbar spine osteochondrosis:

  • 1 degree - The problems of the discs begin, the central part is dry, flat, and cracks appear on the outer shell.You have a stuck.
  • 2 degrees - cartilage seal sags, the vertebrae approach each other, become more moving, muscles and ligaments around the spine.Pain appears.
  • 3 degrees - protrusion, hernia, subluxation.The pain increases, mobility is limited, and the sensitivity of the lower body deteriorates.
  • Degree osteopondrosis is characterized by the appearance of osteophytes that can damage the nerves of the spine, the adjacent vertebrae.Continuous pain, pronounced neurological disorders and other complications, the risk of disability increases.

The lightest is the cure for lumbar chondrosis (Section 1), however, at this stage it is very difficult to detect the disease.Degram vertebrates are treated with conservative methods.There may be a need for an operation in 3-4 stages.

Reference.According to statistics, SPP is more common in patients after 30 years.After 20 years, there are frequent pathology cases in humans.60 -year -old patients are approx.80% suffer from manifestations of this disease.

Reasons

To understand how to treat pkop (lumbosacral spine) osteochondrosis, you need to know the reasons for this:

  • Regular static or dynamic load on the lumbar segment.The risk group of osteochondrosis develops office workers, professional athletes (heavy athletics), movers, builders, etc.
  • Posture violation, longer stay in a bad pose.
  • Genetic predisposition, disorders of spinal bodies.This category includes youthful software in the spinal columns - the curvature of the spinal columns caused by pathologies of the spinal bodies.
  • Injuries of the spinal column.
  • Hormonal imbalance, metabolism disorders, endocrine diseases that disrupt the metabolism of the lumbar segment.
  • Age -related changes in the body provoke the abrasion of discs.
  • Bone tuberculosis, osteomyelitis (inflammation of the bone tissue), ankilizing spondilitis (inflammation of the vertebrae and joints), rheumatoid arthritis, etc.

The disease often caused several causes at the same time.

In addition, there are factors that provoke lumbar osteochondrosis:

  • Unnecessary body weight.
  • Passive lifestyle, extended seat.
  • Regular use of harmful foods (fatty, fried foods, sweets, semi -sketched products, etc.).
  • Liquid lack, dehydration.
  • Congenital disorders of the spine structure, such as an additional vertebrae.
  • Wear the unpleasant heels regularly.
  • The period of wearing the fetus and then the load on the spinal column increases.
  • A sharp abandonment of professional athletes or excessive sports in previous passive people.
  • Smoking, frequent and immodified alcohol consumption.

There are many more factors to trigger degenerative-dynist processes in the lumbar spine.For example, flat legs, frequent hypothermia, frequent stress, sleep disorders, etc.

Wire

Symptoms

The symptoms of osteochondrosis of the lumbar spine are varied, depending on the pathology and localization of the affected area.

Doctors distinguish between reflex and compression syndromes (a complex of symptoms) is spp.The former occurs with irritation of discs, ligaments, joint capsules and the latter's outer membrane receptors - during thickening of nerve bundles, blood vessels, blood vessels, spinal cord.

There are such reflex syndromes of lumbar osteochondrosis:

  • Lumbago.Shoot the pain at the bottom of the back with sharp movement or tension.In the smallest movement attempt, the pain syndrome increases, so the patient freezes in a pose.The muscles in the injured area are heavily tense, and the painful feelings are becoming more pronounced.These manifestations are related to the motion of the pulpoose seeds inside the outer shell.
  • Lumbalgia.Real pain develops for a few hours or days.The discomfort increases with movements and changes in the body's position.Weakens when a person takes a horizontal pose with a cylinder at the bottom of the back.When you raise a straight leg in this situation, the pain increases (a slow symptom).Muscle voltage is less than according to the groin.The lower back mobility is limited.
  • Sciatica.Painful feelings (acute or sore) spread from the lower part to the lower body.This property increases during movements.The pain is weakened when you rest in the back.The muscles in the affected area are tense, and the pain syndrome is expressed on the palpation.

The symptoms of compression syndromes depend on which stages of the lumbar segment are damaged.Typical signs are associated with compressing cerebrospinal nerves with hernia, osteophytes, and displaced vertebrae.This condition is called radiculopathy, in which pain increases with the slightest movement, the lower back muscles are tense and mobility is limited.

Clinical manifestation of compression syndromes depending on the injured vertebrae of the lumbar segment:

  • L1 - L3 - Pain and numbness in the lower back, on the front and inner surfaces of the thigh, it is difficult for the patient to bow/pushing his leg in the knee.
  • L4 - The pain syndrome spreads to the front of the thigh, falling to the knees (behind).In the same area, they violate sensitivity.
  • L5 - painful feelings radiate into the bottom, the front of the lower leg falls into the foot and thumb.In the same area, the patient is difficult to bow to the thumb.
  • S1 - The pain extends from the lower part to the bottom, the outer and back surface of the thigh falls to the outside of the lower leg.In these areas, numbness is felt and the lower leg muscles are weakened, making the patient difficult to stand in the socks.

There is a risk of damage to multiple nerve beams, such as L5, S1.If the hernia is back, it can print the spinal cord.

By compression of the lower back blood vessels, the likelihood of weakening the muscles of the legs, the control of the lower limbs, the control of the urination and the emptying process increases.In men, erection is disturbed in men and in women the main symptoms can be complemented by ovarian or uterine inflammation.

Diagnostic measures

To diagnose the SPP, the physician examines the patient and palpable to determine the condition of the muscles and to identify the curvature of the spine.It is important to tell the specialist in detail about his symptoms to make it easier to diagnose.

Instrumental research promotes the detection of intervertebral osteochondrosis:

  • Lower back of the back (direct back and side projection).
  • And magnetic rejection tomography.

X -Ray allows the pop structure to evaluate.To identify the pathological mobility of the vertebrae, X -TRY is performed in the position of bending and extension.This study allows us to notice that the intervertebral gap was narrowed, the bodies of the vertebrae shifted, and osteophytes appeared on their edges.However, this diagnostic method is considered obsolete.

Nowadays, CT and MRI are increasingly being used to detect degenerative-dynight changes in spine.These extremely informative studies allow the condition of holes between vertebrae, discs, vertebrae, spinal cord.Their help, their protrusion, the direction of the hernia, the nerve beams, the spinal cord, the blood vessels - blood vessels, blood vessels, blood vessels, blood vessels.

Treatment

Drugs of osteochondrosis of lumbar

Medicines for osteochondrosis of the lower back of the back

Osteochondrosis pop treatment lasts from 1-3 months to 1 year.The success of the therapy depends on the patient itself, who must strictly pay attention to the doctor's recommendations.By mediation on its own, the patient's condition generally deteriorates.

Therapies of therapy:

  • Stop or weaken the symptoms of the software.
  • Try to exclude it from life to identify the cause of the disease.
  • Remove the inflammatory process.
  • Replace blood circulation, metabolism in the lumbar region.
  • Try to improve the condition of damaged cartilage, stop further degenerative changes.

To achieve such goals, complete complex therapy.Usually starts by taking drugs:

  • Musorelaxants.They relax the muscles, weaken pain and inflammation.
  • Nsaid.Anti -anti -inflammatory, analgesic, inhibitory effects.
  • Anispasmodes.They help stop smooth muscles cramps, weaken the pain.
  • Anesthesia.They are used for severe pain in the form of therapeutic blockade.
  • Glucocorticosteroids.They also help treat pain.However, these bases are capable of destroying the bones, so they take them for a short time and only after the doctor's approval.
  • Restants.Remove the neuromuscular tension and improve sleep.
  • Vitamins (Group B, E, C, A).Replace the condition of the affected nerves, weaken the pain.

Carefully.NSAIDs are prohibited by gastric gastritis or ulcer as they harm the gastric mucosal membranes of the stomach tract.

The patient is injected with injections and takes oral agents after stopping the main symptoms.

In addition, external products (gels, ointments, cream, garbage) are used.

The issue of chronic osteochondrosis of the lower back is quite relevant.If the SPP has become chronic, after the main symptoms, the patient, the patient, is chondroprotectors, drugs that restore blood circulation, vitamins B, which help to restore nerve, normalize blood supply to the affected area and prevent further development of the pathology.

Treatment of chondrosis of the lumbar spine (Section 1) is performed using chondroprotectors, which slow down the formation of degenerative processes and accelerate the regeneration of the cartilage.In addition, the patient prescribes vitamin-mineral complexes.Osteochondrosis is the easiest to cure.

Other conservative methods

OKZ (osteochondrosis) helps develop 1-2 degrees (with the following treatment procedures:

  • Ultrasonic therapy weakens pain and inflammation and normalizes the bloodstream of the injured area.
  • Dutensor treatment is safe to adhesion of the spine due to the weight of its own body, after which muscle tone is normalized, mobility improves.
  • Magnetic therapy reduces pain and inflammation of the muscles around the spine.
  • Reflexotherapy (introduction of needles into the bioactive points of the body) accelerates blood circulation, relieves inflammation and swelling.
  • Manual therapy (exposure to the affected area with the doctor's hands) and massage normalizes muscle tone, reduces compression of nerve beams, improves the power of intervertebral discs and restores spinal structure.
  • Electrophoresis allows you to transport medical solutions through the skin to the bones and cartilage.
  • Dragon evaluation improves blood circulation, metabolism, reduces pain, restores skin sensitivity.

There are still many effective procedures that promote the patient's condition to improve the condition of 5-15 sessions.The most important thing is to get your doctor's approval before your behavior.

Home treatment at home

If you are interested in treating OPP at home, seek medical attention.If a specialist has authorized permission, start the therapy that usually consists of the following points:

  • Diet.If lumbar osteochondrosis is caused by violation of blood flow or metabolism, it excludes fatty, fried, spicy foods, eggs, etc. from the menu.It refuses alcohol, tonic drinks (tea, coffee).Drink filtered water, composers, herbal teas.
    • Applicator to treat osteochondrosis
  • To restore blood circulation, to use exercise or rub and use compression.
  • Sleep on an orthopedic mattress on a low pillow.If you have a sitting job, buy a chair with a back that supports the spine.From time to time, wear special corset or belts.
  • Body practice promotes the strengthening of the muscle liner and removes part of the load from the patient's spine.The complex of individual patients forms the doctor or the instructor separately.
  • Complete the self -mass of the lumbar region.However, find out how to do this correctly with a specialist.
  • Use folk drugs rubbing, compression, baths, etc.In the form, etc.
  • Acupuncture is a plastic plate in which many spikes improve blood circulation, metabolic processes of the damaged area, reduce muscle pain, and relax.

And you can use the creams at home with herbal decoctions and plasters.

Reference.The novelty of the treatment of osteochondrosis is a massage bed that is suitable for the most organized patients.

However, remember that you can only be treated at home after your doctor's permission.

Surgery

Functioning with lumbar osteochondrosis is prescribed if conservative methods have long been unsuccessful.And surgical intervention is also indicated by involuntary urination, emptying and ponytail syndrome (pinching the lower spinal nerves).

Such surgical methods are used to treat SPP:

  • Spondylodeza - Melting the adjacent vertebrae.
  • Fassetextomy - removal of intervertebral joints that violate the cerebrospinal nerve.
  • Laminectomy - Removal of the spinal canal that presses the spinal cord.
  • Discocontance is a complete or partial removal of the intervertebral disk that causes compression of the nerve or spinal cord.
  • Corpectomy - Removal of the body of the vertebrae and adjacent cartilage seals.The empty space is then filled with bone transplant and 3 vertebrate segments are filled.

Reference.After surgical intervention, there is a risk of complications: trauma of spinal cord, nerve beams, breakdowns, infection, etc.

After treatment, rehabilitation should be carried out to accelerate recovery.

Complication

In the absence of competent therapy, the risk of such complications of lumbar osteochondrosis increases:

  • DISC hernia, nerve root or spinal cord tightness.
  • Long -term inflammatory processes increase the likelihood of radiculitis (inflammation of the nerve roots).
  • Ishias (inflammatory damage to the sciatic nerve) in which severe pain and numbness of the lower limb occur.
  • In spinal circulation, the likelihood of compression myelopathy increases (compression of the spinal cord with various formations: bone fragments, hernia, tumors, hematoma).
  • Pony -tailed syndrome is a compression of the root of the lower spinal cord, leading to a violation of the functionality of the intestine, pelvic organs and lower limbs.

You should start treatment as early as possible to avoid such complications.

Prevention

Follow the following rules to avoid lumbar osteochondrosis:

  • Lead the moderately active lifestyle (walking more often on foot, regularly training, subscribe to the pool).
  • When sitting, heat up every 1.5 hours.
  • Sleep on the orthopedic mattress.
  • Avoid excessive physical effort, only raise the severity from the position of semi -accuracy before placing a special belt at the bottom of the back.
  • Buy orthopedic shoes.
  • Eat well, take the vitamin-mineral complexes prescribed by your doctor.
  • Learn to relax.
  • Try not hypothermia.
  • Over time, treat diseases that can cause spp.
  • Return bad habits.

Based on these recommendations, you can avoid degenerative changes in the spine and improve your health.

The most important thing

If you notice the symptoms of lumbar osteochondrosis, see the doctor urgently.Independent treatment can exacerbate your condition and cause complications.Lumbar chondrosis (Section 1) is treated with exercise therapy, physiotherapy and chondropotectors.In later stages, drugs, massage, hand therapy, etc.In the event of a long period of positive dynamics or neurological symptoms, the doctor may prescribe an operation.The patient should strictly follow the doctor's recommendations to accelerate healing.