Many people ask this question due to the fact that it is the lower back that is most often subject to extreme loads throughout a person's life.In many cases, this is what causes the appearance of osteochondrosis or exacerbates its condition.If you start this disease, it can become a serious problem, so it is very important to make time diagnoses and start treatment.In the article, you will find everything about what this disease is, what is its causes and symptoms, as well as the treatment of the disease.
Reasons
The main causes of lumbar osteochondrosis are:
- Smooth feet;
- scoliosis;
- mechanical lesions of the lumbar region;
- metabolic violation;
- sedentary lifestyle;
- obesity;
- violation of salt balance;
- inadequate nutrition;
- pregnancy.
Important!The reasons for the appearance of problems with the lumbar department were not studied until the end.This means that in a specific situation it can be difficult to determine what exactly caused the appearance of the disease.
Symptoms
There are several subspecies of osteochondrosis;Therefore, the symptoms of the disease may vary slightly.Then we will analyze each characteristic subspecies and signs.
Polysegmenting - What is it?
Polonensic osteochondrosis (PSO) is a defeat of various segments of the spine at the same timeDegenerative processes.
Signs:
- Strong pain in the lower back.
- With clear movements or attempts to raise something heavy, "shots" appear.
- It becomes difficult to perform the usual motor actions.
Protrusion
Protection is one of the stages of osteochondrosis, during which the elasticity and height of the intervertebral discs decrease.Because of this, the cartilage begins to stand out gradually beyond the borders of the vertebrae.
Signs:
- Sewing pain that may appear not only when moving, but also at rest;
- Easy numbness of the lower ends;
- Pai or redness of the skin from the lower ends;
- the appearance of weakness in the legs;
- Sitting or standing leads to pain, which disappears after the change of posture;
- When lifting heavy things, acute pain can be given to the basin and hips.
Intervertebral disc herniation L5-S1
The appearance of a hernia is the last step of osteochondrosis.This problem is characterized by a strong protrusion and loss of the intervertebral disc, which does not support the pressure of the vertebrae around.
Signs:
- Pain syndrome, which applies not only to the lower back, but also to one of the lower ends.
- The appearance of pain in one buttock and a leg related to it.
- Strong numbness or tingling at the lower ends.
- Strengthening numbness and pain in a vertical position and during movement.
- Reducing the amplitude of movements in the lower back.
- Sailing Syndrome.
- Change of march and posture.
- Strong pale or redness of the skin in the lower back and legs.
- In rare cases, urinary or feces appear.
Psychosomatics in women and men
Psychosomatic disorders appear due to emotional lesions suffered.The signs of this disorder depend on the stage of osteochondrosis and are no different from those described above.
Important!When a psychosomatic disorder occurs, the patient should be treated with a neuropathologist and a psychotherapist to achieve a maximum positive effect.
Do they take the army with a diagnosis?
Lumbar osteochondrosis belongs to the "B" adequacy category.This means that the young man has serious health problems that do not allow him to undergo military service.To obtain this category, the young man must have the following deviations:
- intervertebral hernia;
- intense pain of physical effort;
- Remarkable in the X root deformation of the vertebrae and intervertebral discs.
Stages
Lumbar osteochondrosis has 4 steps(or, as they are also called degree: 1, 2, 3 and 4), each of which is characterized by certain degenerative processes.
Degenerative changes at each stage
- 1-2 Internship.In stage 1, a fibrous ring is deformed due to core intra-scrode displacement, which occurs stronger than normal.In 2 steps, a crack of the fibrous ring appears, which leads to the instability of the spine segment.
- 3-4 stages.In three steps, the intervertebral disc is completely exploded, which leads to a disc loss.In 4 stages, a dystrophic injury of the intervertebral disc and spondylosis appears.
Diagnosis
To make a precise diagnosis, the doctor should perform several tests that include:
- Primary inspection (palpation, visual inspection, checking the level of physical activity).
- Radiography.
- Computed tomography (CT).
- Magnetic resonance imaging (magnetic resonance imaging).
Reference.Among all diagnostic methods, magnetic resonance imaging is considered the most modern and effective.The problem is that this device is not in all hospitals and, most of the time, magnetic resonance imaging needs to be done in private clinics or waiting a lot in turn.
Various stages and varieties of lumbar osteochondrosis have their own characteristics;Therefore, for your diagnosis, there are also your nuances.
With a root syndrome
Normally, Rooster Syndrome appears in the last two stages of the disease.The syndrome is characterized by damage to the nerve roots that leave the spinal cord.They innervate and control the functioning of the muscles in the lower back, the genitourinary system and the intestine.Therefore, lumbar spine syndrome leads to problems with these systems.
Communication with intervertebral disk deformation
Rooser's syndrome appears in the latest stages of osteochondrosis due to intervertebral disk flattening and squeezing the nerve roots with the vertebrae.Magnetic resonance imaging is better for the diagnosis of this disorder, as this procedure allows you to see all changes in soft tissues.
During pregnancy and breastfeeding
If a woman takes a sedentary lifestyle, suffers from boring feet or has a genetic predisposition, the probability increases that during pregnancy she will have osteochondrosis.
For pregnant women, this disease is dangerous not only for pain attacks, but also for the fact thatCan lead to a decrease in the size of the pelvic bone.For this reason, a caesarean section will be needed.
Unfortunately, to diagnose osteochondrosis using magnetic resonance imaging, CT or X -ray before treating it during pregnancy is prohibited.Therefore, treatment is empirically prescribed.If a woman has already given birth, but she still continues to feed her breasts, the hardware diagnostic method is also against it.
Protruded
When intervertebral disc protrusion appears, X -ray will not be able to show great resultssince the deformation occurs with only a fibrous ring and a core.
A study with the help of magnetic resonance imaging, which checks soft tissues accurately and can reveal a variety of degenerative changes.
Complications and consequences
If you do not treat lumbar osteochondrosis, this can lead to a health deterioration and the development of other diseases.
Why is the disease dangerous?
In 4 stages of the disease, these irreversible changes begin to appear as:
- Violation of the circulation of the spine.
- Problems with intestinal emptying.
- Reducing sensitivity in the groin and anus area.
- Weakness at the lower ends.
- Frequent urination.
- Paralysis of the lower ends.
- Reducing mobility in the lower back.
- Spasmodic muscles of the lower back and legs.
Concomitant diseases
- radiculitis;
- Vascular compression ischemia;
- Compression myelopathy;
- sciatica;
- lumbago.
Treatment and Rehabilitation
Now that you know what kind of disease this is, we'll talk about how to treat it.After diagnosisThe doctor prescribes a treatment course, depending on the stage and the form of osteochondrosis.
Orthopedic devices for the lower back
To reduce pain syndrome and muscle tension in the lower back, the patient is offered to use a special orthopedic corset.
It covers the entire lower back, keeping the muscles, vertebrae and ligaments in the correct position, removing their excessive tension.
Medication
Medicines are one of the important aspects of therapy for lumbar osteochondrosis.Usually 5 groups of drugs are used.In normal mode, it can be ointments or tablets.If the patient is exceeded by serious pain attacks, a drug block will be performed.
Drug
The main drug groups for osteochondrosis:
- AnalgesicsIn the form of tablets or ointments.
- Anti-inflammatory.Also used in the form of tablets or ointments.
- Muselaxantes- Drugs that reduce muscle spasm.
- Chondoprotectors- Drugs that restore bones and cartilage.
- Vitamins.Basically, group B is used for osteochondrosis, so they help improve metabolic processes in affected tissues.
Do not try to choose the medicines.All medications should be prescribed only by the doctor.
Medicine blockade
Block is the introduction of medications using a syringe directly into the affected area of the spine.This is necessary when acute pain syndrome seems to reduce discomfort and restore the usual level of physical activity of the patient.
Physiotherapeutic Methods
Physiotherapeutic methods are often used to restore spasmodic muscles and affected fabric of the lower back.Magnetotherapy is especially relevant among them.
Magnetotherapy
This procedure stimulates metabolic processes, blood circulation, improves the work of the endocrine and nervous system.The method can be very painful, but quite effective.
You can improve the condition of the patient with magnetotherapy in 3-4 weeks.
Massage
Massage relieves pain and muscle spasm.It is performed only by a medical education specialist.Most of the time, a course for 10 to 12 sessions is prescribed.The final decision on the duration of therapy is made by the masseuse.
Manual and acupuncture
Manual therapy eliminates pain and increases the volume of movements in the lower back.This is due to the improvement of the biomechanics of the musculoskeletal system, blood circulation and metabolic processes.Acupuncture has a similar effect, but acts punctual in the affected areas of the muscles.
Therapeutic gymnastics
Exercise therapy is one of the most effective ways to combat unpleasant consequences of osteochondrosis for vertebrae.Before starting classes, consult an exercise therapy instructor.
What can and cannot be done?
During exercise therapy, it is prohibited:
- make clear movements;
- Fold a lot in the lower back;
- It increases the range of movements sharply.
In exercise therapy, it is allowed:
- Make gentle movements;
- Use inventory (seats, gymnastics sticks, dumbbells);
- Do exercise for the flexibility of the lower back.
Technique of the doctor of the doctor
The doctor developed a methodology for the painful column.When he realized that his exercises have a positive effect on the painful back, he began to share them with his patients.
The following are the three simplest and most effective exercises of gymnastics:
- For hot -up: Situated on all fours and walk in this position around the room for 5-7 minutes.Precars the knees with protective bandages.
- The main exercise.Standing on all fours, folds with breath.Fold your back on expiration.Repeat 5-8 times.
- Stretching.Standing on all fours, comes back gently, touching the buttocks of the heels.Repeat 3-4 times.
Yoga and Pilates
Pilates was designed specifically for restoration of pilots who received back injuries so that the system works perfectly with spinal osteochondrosis.It is necessary to engage in this system only under the supervision of an instructor.
Yoga has many directions, and also suitable for working with a sick column.
Such classes are allowed only during the period of remission, as they are high intensity.
Popular remedies at home
Home ointment preparation
You will need:
- Coconut Oil - 50 gr.;
- Bee Wax - 2 s.L.;
- Camphor - 1 s.L.;
- Mint Essential Oil -Pimenta, Arnica and Clove.
How to cook:
- Mix coconut oil, bee wax, camphor and heat the mixture in the microwave for 1 minute.
- Add 9 drops of mint, 7 drops of arnica and 5 drops of clove oil and then stir the mixture.
- Place the ointment in a glass jar for storage.
FinishedRub the lower back 2 times a day with ointmentuntil the pain decreases.
Honey and Potato Compress
You will need:
- 50 gr.honey;
- 1 large potatoes.
Grate the potatoes in a large grater, mix with honey and grate the back with a mixture.Place the waxed paper on top and wrap the lower back with a hot cloth.The compress should be left all night.Repeat the procedure until back pain pass.
Ginger ointment
You will need:
- Soil ginger - 2 teaspoons;
- Honey - 1 teaspoon;
- Carkuma Ground - 1 teaspoon;
- Black pepper - 0.5 teaspoon.
Carefully mix all ingredients and apply a thin layer of ointment to the back.At the top, apply hot fabric.If it burns hard, gently rinse the ointment with warm water.
Baths with herbs
You can use the following herbs:
- chamomile pharmacy;
- fennel;
- AIR;
- thyme;
- wise.
Mix 20 grams of all plants and prepare a medicinal decoction.When you take a shower, add a decoction finished to it.You can use this recipe 1-2 times a week.Herbs relieve tension and pain in the lower back.
Surgery
This treatment method is used in rare cases if conservative treatment methods are ineffective.During the operation, the part of the cartilage that went beyond the vertebra is removed.
If the intervertebral disc is very damaged, it will be replaced by an artificial.
Forecasts
The prognosis can only be given by the assistant doctor, since each person occurs individually.It all depends on the neglect of osteochondrosis and the general condition of the patient's body.
What to do with exacerbation?
During the aggravation period, it is necessary to exclude all physical activity, use drugs and use a hot waist dressing.In addition, you need to consult your doctor, who will provide more detailed recommendations.
Prevention
How to prevent condrosis?
Since you cannot influence genetic abnormalities and hereditary predisposition, it will not work completely to protect yourself from the appearance of chondrosis.
Butwithin the reach of observing the correct regime of day and nutrition, show more physical activity and abandon bad habits.
All of these tips will help maintain the health of the column as long as possible.
License
The neuropathologist prescribes medical license only with an exacerbated form of the disease, accompanied by intense pain, which usually begins in 2 and 3 stages of osteochondrosis.
How many days do they give?
As a ruleMedical license with lumbar osteochondrosis is given no more than 7 days.
Expert advice
If you notice the first signs of discomfort in the lower back, when you raise something heavy or simply with active movements and torsion, do not tighten with diagnoses.
The sooner you start treatment, the easier it will be to deal with the disease and avoid unpleasant health consequences.
Many are used to perceiving lumbar osteochondrosis as granted.But this disease may progress, which will eventually have many unpleasant consequences for the patient.Remember that you are responsible for your health, not doctors and, if you find signs of osteochondrosis, start treatment as soon as possible.