Today is the topic: osteochondrosis of the lumbar spine, which is analyzed in more detail in our article.Most people in their lives back at least once back in pain.Especially after the age of 30, it applies to the population, which is the cause of discomfort in the lower back.
The causes of osteochondrosis of the lumbar spine
The human body has only 5 lumbar vertebrae, wide and thick as the main load is carried.Their physiological properties and their greater mobility increase the risk of degenerative changes - osteochondrosis.
The most important factor in developing discs is the constant overload of the class, which is exacerbated by a long -term sitting, hard work, inadequate posture and many other factors.All of these causes provoke muscle overvoltage, damaged tissue blood supply, and cause further burden on the ligaments and joints.
The process of destruction of hyaline intervertebral cartilage is based on the loss of moisture.A healthy spine can withstand more than 500 kg of load.When the hydrophilic properties are lost, the elasticity is lost, the plate becomes more ski, and the distance between the spinal bodies is reduced.
Many factors of lumbar osteochondrosis can be distinguished:
- Increased physical activity and weight lifting.
- Injuries.
- Violation of metabolic processes.
- Hormonal changes.
- Bad habits - irrational nutrition, smoking, drinking alcohol.
- Violation of posture (skoliosis, kyphosis, lordosis, stoop).
- Flat legs.
They play an important role in the development of degeneration obesity.This not only causes an increase in the pressure of the spinal column, but also for metabolic disorders and hormonal shifts.
Symptoms and diagnosis
Symptoms of osteochondrosis in medicine are pain.You have a lot of variations - acute and sharp pain, or vice versa, pull and press.Because of the discomfort, a sick person is often barely received from a chair, a bed, a pedestrian.
Often pain occurs in the form of "shift", embarrassing movement and lifting severity.It can occur by coughing and sneezing by exacerbating the destruction of pain.
Based on the forced restriction of activity, the elasticity of the spine is reduced and it will be harder to bend down and shoes.
In addition to the spine symptoms (which are only to the back), many extravertibrals (spread to the lower back).
Can be:
- Lyubmoichachei pain along the sciatic nerve (lumbosacral osteochondrosis is most prone to this symptom).
- Neurological disorders in the lower limbs - damaged sensitivity, pain during walking, paresis is possible.
More and more doctors have come to the conclusion that osteochondrosis itself is not harmful, and all tangible symptoms are complicated by osteochondrosis.So it is written in the diagnosis: "Despite the background of osteochondrosis ..." Almost 80 % of the pain comes from muscle inflammation and the formation of trigger points, which cause myofascial syndrome.
Diagnosis
There are many reasons for intense back pain.Therefore, it is important to make an accurate diagnosis and lumbar spine osteochondrosis, with various symptoms and treatment, is a general concept.Beginners need to perform a number of general tests - biochemistry, blood, urine.They help identify inflammatory processes, determine the condition of the body and the level of damage.
As a special study, it is recommended that the spine radiography be performed in two predictions - side and straight.Clarification of complications is often required, and MRI is used.
If there is no way to perform tomographic tests, myelography is prescribed - an X -test contrast medium that is introduced into the spinal cord subarachnoid space.
Treatment and prevention
Symptoms of osteochondrosis of the lumbar spine require urgent measures to select treatment.During the acute pain, the entire bed is recommended.To maximize the muscle bone system.
Important:During the aggravation period, only drug treatment, massage, physiotherapy and exercise therapy are indicated to relieve pain.
What drugs help osteochondrosis:
- Painkillers.
- Non -steroid anti -inflammatory drugs (NSAID).These must be introduced in courses.
- Ointment with local differences and anti -inflammatory.
- Musorelaxants - to relieve muscle tension.
- Supporting therapy - Vitamin C as an antioxidant, Group B, pp to improve tissue regeneration to improve microcirculation.
Carefully:NSAIDs are prescribed with gastrotrotectors to reduce the negative effects of drugs on the stomach system.
If complications arise in the form of sensitivity violations, hospitalization is prescribed.It is possible to alleviate the inflammation with local administration of steroid drugs.
After the main treatment, it is offered to do chondroprotectors that restore the plate cartilage.
Manual therapy
The handmade therapist acts on the spine with his hands and places the vertebrae in place - the patient immediately feels relieved.
During the 3-5 sessions of the handheld, the distance between the vertebrae increases, the load on them is evenly distributed, and the blood circulation and nutrition of the injured area improves.The patient quickly recovers and can return to normal life.
After the process process, the manual therapist suggests an exercise to consolidate the result.
Physiotherapy
Physiotherapy treatment relieves cramps and improves blood flow.There are many physiotherapy procedures: electrophoresis, Darsonval, laser therapy, phonophoresis, diadynamic currents, magnetic resonance therapy, amplipulse, ultrasonic therapy, vibration massage.It is wonderful to continue home physiography with budget applications.
- Kuznetsov applicator.
- Pepper patch.
- Banks of osteochondrosis.
Massage
During the healing period, the massage is prescribed only after the removal of acute pain.It burns the tension, increases blood flow, and significantly improves the patient's condition.The use of heating ointments increases the efficiency of massage.Its operation increases when the spa visits, if there is no contraindication.
Resort management
Spa and resorts show excellent results during the rehabilitation period.Contribution to hydrogen sulfide, radon, bromine and recovery.If there is a financial opportunity, it is better to be treated in special resorts.
Surgery
It is only used for serious complications when other methods have not helped: if you cannot get rid of pain for more than 4 months or there are signs of severe thickening of the nerve roots.The destroyed disk is usually removed (discoctomy).If possible, they try to perform gentle modern interventions - microsurgery and endoscopic;The rehabilitation period is 3-5 times shorter than the traditional operation.
During the "decline" periods, special exercises for stretching and removing release points can cope well with the consequences of osteochondrosis.They weaken muscle cramps and support muscle lining.It is important to do the complex smoothly, avoiding sudden movements.
Therapeutic gymnastics at home
The LFK can be done at home, previously held several classes with an instructor (to fix the correct execution and do not hurt yourself).
Physical education is the main method of treating and preventing lumbar spine osteochondrosis.Exercises strengthen the back muscles, contribute to the correct location of the nerves, the growth of space between the vertebrae, and the total blood supply to the tissues.
Important.Therapeutic gymnastics cannot be performed with acute pain.
The purpose of the exercises is to increase the mobility of the lumbar spine.It is better to start with a little load and a small movement amplitude.Once you have removed the acute condition, lying in bed, you can bow your leg by lifting your head simultaneously.As it improves, the load increases carefully.
Simple exercises are useful:
- Standing, hands on the belt to bring the predisposition;
- Standing, hands on the belt to make the pelvis rotation;
- "Cat": In the knee-of-pose, bend, bend your back, rotate with a pool;
- "Scissors" and "bike" on the back;
- "Poilatically with ropes": Stand, twist the body, hands hanging calmly behind the turns of the corps;
- Lie back on the floor, the legs are bending on the knees, and they are twisted to the right and left.
Do not forget regular efforts to strengthen muscle lining (squat, push -up, bar), these two areas of exercises do not divide, no matter what they say.
If the lifestyle is inactive and the profession is required to meet or stand throughout the day, exercises should be done 3-5 times a day.It is useful to develop exercises every time you have the right minute: in the elevator, while the kettle or microwave is operating.
Regular therapeutic gymnastics has a lasting therapeutic and preventive effects;But even in cases, it reduces the manifestations of aggravation.
Folk medicines provide good preventive support due to the lack of aggravation.Ithat mint and lemon balm decoction - a soothing and muscle relaxation effect, contains many vitamins and antioxidants.
Prevention
Learn to listen to the signs of the body carefully, relax on time and reduce the load.
- Follow your posture, especially when you have to sit for a long time.Choose high furniture so that the back is necessarily supported.
- Avoid long static loads (sit, stand, pose in a bent state), take a break every hour - to perform small physical education or just walk.
- Take part in the charge, go to the pelvis to form a muscle lining, stretching.
- With flat legs, select the right shoes and special inspectors.
- Correct overweight.
- Try to live a healthy lifestyle.
- Use an orthopedic mattress and a pillow.
- Dress the weather, do not hypothermia, use wool belts or corsets if necessary.
- Walk more: For example, go out of shipping to two stops before.
- Leave the bag for the backpack.
- Use a corset in hard work.
- Simum lift the severity smoothly, without jerks and sharp turns (you can return to injuries).
Important.Learn to raise the severity correctly: you cannot bow to the "arm" to form in the lumbar region.When you raise something difficulty, you have to bend your leg, not your back: sit down, pick up the object and get up with your back.
With age, osteochondrosis of the lumbar spine is inevitable, the symptoms can be prevented, treated, greatly simplified, and can be carefully attached to themselves not to reduce the quality of life.
Take care of yourself and your spine!