With back pain complaints, the patient turns to a doctor almost often than with a cold.Lumbar spine discomfort can be a symptom of various diseases, but in 80% of cases, doctors diagnose: osteochondrosis.Both men and women aged 30 to 50 and older face.Recently, osteochondrosis is diagnosed in patients under the age of 25.Prevention, symptoms and treatment of the disease will be analyzed in detail in this article.
Previously it is believed that osteochondrosis is inevitable and spinal disorders are due to age -related changes.Modern medicine considers osteochondrosis as a disease that requires treatment and is preventable, then delayed for years.
Cause
It is believed that, therefore, the cause of lumbar osteochondrosis is indistinguishable.The development of the disease triggers a set of factors, among which they distinguish:
- An inactive lifestyle.Working on computers, lack of physical training, preventing hiking contributes to the fact that the back muscles are weak, and the burden on the spine increases.
- Violation of the metabolism and disease of the endocrine system.These processes exacerbate the nutrition of the spinal column tissue.
- Of course the disease of the musculoskeletal system:flat feet, spinal curvature.
- Excessive physical activity, especially lifting weight.Risk zones include athletes involved in sports, movers, professional professions related to the transportation of goods.
- Improper nutrition, overweight, insufficient sleep, stress.
Degrees of lumbar osteochondrosis
Osteochondrosis gradually develops:
- In the first stage, the core of the jetty inside the vertebral disc begins to move.As a result, one feels pain, as the nerve endings in the fibrous ring are compressed.Pain can be local and acute - such as shutter or long and stupid.
- The second stage begins with the destruction of fibrous rings.Vertebrae becomes unstable, mobile, unable to fully fulfill their function.The muscles that surround the spine are in constant tension.Patients feel fatigue, the back ACH is like after hard work.
- In the third stage in the development of osteochondrosis, fibrous rings, jacket core, and disc shape hernia.Currently, the patient has severe back pain, limiting the movement.This is due to compression of the nerve root with falling debris.
- The fourth stage of the disease leads to imaginary relief: the patient stops suffering from painful pain, although motor activity is still limited.The question arises.
- In the last stage of osteochondrosis, bone tissue begins to grow pathologically.
Osteochondrosis should not be considered a trivial disease that requires minimal intervention.In the case of pain in the lumbar spine, you should consult a doctor who will choose the treatment depending on the stage.
Symptoms of lumbar osteochondrosis
The first symptom of the patient immediately paying attention is pain.Its intensity depends on the level of the disease, as well as the degree of destruction of the intervertebral disc and the cartilagin tissue.
The nature of pain is influenced by the presence of highlights or hernia.Signs -Lumbar osteochondrosis includes:
- Pain syndrome in the lumbar spine.The patient complains of pain, which is acute with sharp movements, as well as long -term body in one position.
- Often, a sense of weakness or fatigue in the foot, as well as the absence of tendon reflexes, combines with pain.
- During visual examination, spinal curvature in the lumbar region is observed.Osteochondrosis can be the result of scoliosis (bending the spine to the right or left, lordosis (when the spinal column bends forward) and kyphosis (when, on the contrary, the natural turn is softened).
- Sometimes the vertebrae clamps the spinal cord, so the patient feels numbness from the lower leg, in rare cases, uncontrolled urination and stools occur.
Often lumbar osteochondrosis is accompanied by the following symptoms:
- lower leg temperature decrease, numbness from the lower body;
- Dry skin on the bottom, pale skin;
- Sweat violations;
- Lack of control over urine.
Diagnostics
Before making a diagnosis, the doctor found the nature of the pain, collecting anamnesis, then penetrating the lumbar.Next, the patient is sent to several procedures:
- X -ray.The picture shows the condition of the spinal column, you can evaluate the integrity of the intervertebral disc, detect the presence of hernia and protrusions.
- Tomography.It also gives an idea of the state of the intervertebral disc, and also helps to know if there is damage to the cerebral shell.
- MRI.Highly accurate studies are used to explain the diagnosis and details of the general picture of the disease.
Timely diagnosis is key to successful treatment and minimum destruction of the spine.
Complication
You cannot accidentally treat lumbar osteochondrosis.This common disease can be accompanied by complications that affect the quality of life.The most frequent followers of osteochondrosis are:
- protrusion and hernia;
- sciatic nerve inflammation;
- osteophytosis;
- Spondylarthrosis;
- Stenosis of the spinal cord with compression, leading to spinal cord infarction;
- Disadvantages;
- Lower leg paresis.
Lumbar spinal osteochondrosis treatment
It is not possible to cure osteochondrosis completely, but doctors can stop the development of the disease, eliminate pain and restore motor activity.Patients are prescribed comprehensive treatment, which begins with lifestyle changes: balanced nutrition, eight sleep, physical activity (home physiotherapy training classes and in specialized centers), in addition, the right place to sleep.
If the patient spends more than three hours a day, sitting on the table, then it is necessary to change the body's position every 40 minutes: walking, making some tendencies.
To reduce pain syndrome, medication, massage, physiotherapy and spinal cord attraction are used.As a result, all manipulation is directed to:
- Encouraging effects.
- Elimination of acute pain.
- Strengthen the muscles (using charging and massage).
- Increases blood circulation.
- Recovery of sensitivity in the lower part of the body.
In rare cases, surgical intervention is required for treatment.
Drug
For the treatment of osteochondrosis, medicines in the form of ointments, tablets, and injections are used.All medicines are used to relieve pain and inflammation.Usually, the patient is prescribed:
- Nonsteroidal anti -inflammation - diclofenac, ibuprofen and analog.
- Analgesic.
- Chondroprotectors.They prevent the destruction of cartilage.
- Corticosteroids.
- Music to remove muscle cramps.
- Vitamins.
Musorelaxants and antidepressants prescribed to relieve cramps should be taken under the strict supervision of a doctor.
How is lumbar osteochondrosis treated with physiotherapy?
Often patients ask the question: is it possible to cure lumbar osteochondrosis only pills?As a rule, medicines are released only by pain, but physiotherapy stops the cause of pain - the destruction of intervertebral discs, stimulates metabolic processes, and prevents further disease development.In the fight against osteochondrosis, they use:
- Phonophoresis;
- Darsonvalization;
- during diadynamic;
- magnetic resonance therapy;
- laser;
- amplimuls.
Massage is not prescribed during severity, only when a severe pain attack is removed or during the remission period in the chronic disease.In addition to manual disclosure, doctors advise visiting the sauna to heat and loosen the painful muscles, improve blood circulation.With the help of massage, you can also stimulate blood circulation in the area affected by the disease, normalize tissue nutrition, relieve muscles, and restore the transferred vertebrae.
Therapeutic gymnastics
No ointment and massage can restore mobility because physiotherapy physical education can restore the spine.Active lifestyle, surviving sports, stopping the development of osteochondrosis and restoring the amplitude of movement.In the early stages of the disease, there were almost no restrictions on sports.In more serious cases, it is necessary to start with special therapeutic exercises.The class should be run regularly, the burden will increase gradually.
First, every movement can hurt, but this is not a reason to stop treatment.Over time, the muscles become stronger, the joints are more mobile.
It doesn't have to attend the gym for this, home classes will work.
Surgical intervention
Typically, lumbar osteochondrosis treatment is performed by conservative methods.Operation is required in rare cases.
Surgical intervention is required in cases where the drug can no longer be affected, for example, if there is an intervertebral hernia.The vertebrae stands out of the fibrous ring and presses on the nerve root, causing the unbearable pain to the patient.In such cases, the operation to remove the disc is required.Effective and non -traumatic methods are considered microsurgical and endoscopic interventions.
The recovery of the people
Often with back pain, patients try to overcome folk remedies.Keep in mind that before use it should consult with your doctor and use such treatment only as an additional therapy along with official drugs.Folk medicine is good for their availability, the main ingredients of everyone can find it at home.
People's Remedies Recipe:
Homemade painkillers
To prepare ointment, you need to take 300 ml of alcohol, 10 points of iodine, analgin in tablets, 10 drops of camphor.All components are mixed, while tablets must be crushed into powder.This solution is used for a sick place.You need to be prepared for the fact that Camphor gives a slight burning sensation on the skin, which should pass within 7-10 minutes.
Compress from honey and potatoes
Grated raw potatoes mixed with a little honey.The resulting mass is used in a sick place and fastened with a cloth.Keep the compress for two hours.
Anesthetic ointment with ginger
Chopped or finely chopped garlic and butter.Consistency should be like ointment or cream.
They rub the bottom at night to eliminate the pain that prevents the patient from sleeping.
Bath with herbs
Warm water with herbs relieves muscles, improves blood circulation, calms pain and inflammation.
- To treat back pain, boiling birch leaves are used.Solid solutions are added to the bath with about 40 degrees.The duration of the procedure is up to 30 minutes.
- The bathroom with chocolate leaves is very relaxing.The horse chestnut leaves are mixed with water, brought boiling and insisting for about an hour.Then the resulting solution is added to the bath.The duration of this procedure is up to 20 minutes.
- The effects of inflammation and soothing have chamomile flower infusions.Pharmacies sell ready fees - bags and spreads.They need to be mixed with hot water and insist for 30-40 minutes.Add finished solution to the bath.In such a bath, you can spend up to 30 minutes.
- Bathing with a needle loosens the muscles and soothes lower back pain, but they are contraindicated in allergies.The Fir, Pine or Cedar needle should be poured with water and boiled for 15-20 minutes.Put the soup ready to the bath with hot water (about 45 degrees).The procedure time is up to 30 minutes.
Remember that a doctor's consultation is needed before bathing.Some herbs have contraindications.Keep in mind that hot baths are not shown to patients with cardiovascular disease.In addition, one cannot be treated with baths and other folk medicine as a drug from osteochondrosis.
In the fight against the disease, an integrated approach will help: a combination of active lifestyle, proper nutrition, sports, medical treatment, physiotherapy and folk remedies will help overcome lumbar osteochondrosis.