
Lomber Osteochondrosis is a common disease of the Muskuloskelet system.Lomber spinal column is most sensitive to injuries due to good mobility.Also, along with a low-level lifestyle, the accelerated dress of cartilage tissue with proper and stretching seats occurs, resulting in osteocondrosis.
You should know how to recognize the first signs to get qualified medical care in a timely manner.
Brief information about the osteocondrosis of the lumbosakral waist
The back pain is one of the most common complaints from patients with a traumatologist.The second name of the syndrome is dorsalgia of intervertebral disks.According to statistics, at least 10 of those in their lives, at least once in the waist, complained of worries.About a third of the patients who saw the doctor, pain syndrome is a persistent pathological character, and the patient causes severe anxiety and painful.Long back pain can not only cause physical suffering, but also incite mental instability.
Since the cartilage lost the power and elasticity of the fabric, gradually starts subtle and collapse.As a result, cracks occur in fibrous rings of intervertebral disks.Over time, under pressure, the fibrous hoop stretches, exits and explodes.If the content of the Fibrus Ring is a pulpation, a decaying hernia occurs.For this reason, osteocondrosis increases the chances of the appearance of such giant complications.
Reasons why the disease occurs
In most cases, osteocondrosis has a hereditary nature.This is more common to their children's pathologies of spine, if direct relatives suffer from degenerative diseases of the musaloseletal system.
In other cases there are extravertebral causes:
- Protection of the correct posture.
- Excessive muscle overturning with great physical force while playing in the workplace or sport.
- False and often lifting weight.
- One of the most common reasons hypodynamia.The lack of action and lack of minimal physical activity often leads to spinal problems rather than playing sports.
- Earlier inflamed infections - tuberculosis or osteomyelitis contributes to the manifestation of degenerative processes in the spine.In this case, osteocondrosis will have a contagious nature and there will be a complication.
- Hormonal perestroika can provoke a lumbosakral sacral osteocondrosis.This phenomenon is more often associated with certain age periods.Often a sample is to enter menopause.Due to the suspension of monthly periods, a woman has a drop in sex steroid hormones, it is practically stopping to absorb the body.Reserves in bone are intensively washed.As a result, if you do not allow a woman to GZT, it will only gain osteocondrosis of osteoporosis.Osteocondrosis risk increases by frequent use of synthetic glucocorticosticoids.During the minor, the rule increases during a fatal diet, and when the elderly, along with a heavy diet.
- There is an anomism, including the presence of congenital pathologies of the eraser.
- Straight legs and scoliosis.
- Weak structure of bones arising from the background of an amenorrhea in nutrition or in women.
- Dress up ahead of the vertebrates and joints.
- Premorbid hypermobility of mobile spine, which significantly increases the risk of injury.
- Weak abdominal muscles.
- The presence of rare pathologies, including narrow spinal channel, peridural fusion, spondylist, the tumor or tumor of the neuromyosit.
- Having endocrine disorders - obesity and undeliverable hypothyroidism.
- Previously, the series, ligaments, joints and tendons were injured.
- Weak force and often psycho -emo -ologically.
- Degenerative age - changes.
There are also certain risk groups related to malicious professional activities.Examples are builders, masters, computer scientists, waiters, teachers.To minimize the risk of such diseases, you need to properly distribute the load and engage in medium-sized physical activity.
Lomber's symptoms of osteocondrosis
There are many symptoms of the disease, so the classification should be emphasized by the type of pain:
- Ischemic syndromeis associated with compression of vascular vessels.As a result of the incident, a continuous deterioration in the blood circulation occurs because of the worries of nutrition in the lower extremities.It is possible to increase blood pressure.
- Vertebrate syndromerelated to deformities that occur in nerves and ships.Long-term negative effects, back, gait varies with posture changes, gait changes and physical inactive muscles are atrophy.As a result, the patient begins to experience severe pain.
- Static syndrome.Pathological mobility, kyphosis or lordes are developed in Vertabra.During the development of pathology, the spine is gradually deformed, because in addition to the curvature of the spine, the wrong muscle fixation occurs in the areas affected.The results of the static syndrome - the back is wrapped and a person can no longer make it to your own.
- Neurological syndromerelated to the tweaks of nerve roots.If pressure occurs over the nervous ends, the patient's sensitivity decreases and the appearance of the limbs can occur.In severe cases, paralyzes, the full losses of the spectators are noted against damage to neural fibers.
The total symptoms of osteocondrosis of the lomber spine include the following manifestations:
- Strong pain in the back, including the all-possible waist region.
- With the development of radical syndrome, there are sharp pains that have peastard to lower extremities.Legs usually capture cramps.Fingers have numbness and paresthesia.Less often gives pain to the hands of pain.
- The irradiation of kidney pain is possible.The patient can complain about the problems in the autonomous urine system during the diagnosis.
- The patient suffers with a bad sleep due to the concern in Lumbar region.
- The patient feels tension and fatigue in the spine area.
- The rigidity and tension felt when converting the back and trends.
- Feet occur periodically behind.
- After small physical activity, the patient feels severe fatigue.There is also chronic fatigue in everyday life.
- With the further progress of the disease, there is pain in the rest of the patient in the Lumbar region.
- The mayus often numb and the patient often has a pathological crisis behind.
- Violation of motor function due to concern under the back.
- Muscle cramps and spasms.
- Dizziness and headache.
- To reduce the tone of the muscle of the back and lower extremities.
Any similar symptoms require a doctor.There are also special signs related to gender.Men have problems in genicounc areas that can negatively affect potential.Women have severe pain in perineum and pelvis who damage the nerve endings.In detail cases, the formation of the internal organs includes the uterus and additions.This is due to strong atrophic processes in the muscles that support the spine.
Lomber syndromes of spine and types of signs of osteocondrosis
Such pathological conditions share with the type and character of pain:
- Lbumbago- characterized by a sharp state.Characteristic signs are inability to move from pain that occurred in the background of the peastolds.This situation is more often developed in the background of pinches of muscle atrophy, injuries, nerve roots and the background of intervertebral discs.
- Lumbalji- Pathology characterized by long and aching pain.More lumbalgia occurs in the background of osteocondrosis, hernia, spondylosis or protrusion.By stretching the leader of the ligamament, the syndrome is more common.
- Sciatica.This type of pain syndrome is characteristic of the lumbosakral zone.The syndrome is often confused with Isias characterized by a pinch of nerve roots, characterized by fire pain.Pain syndrome is associated with a pinch of the sciatic nerve, which significantly worsens the mobility in the Lumbar region.The patient can't bend normally because the mobility of the waist is deteriorated.It is also difficult to walk and sit normal.The pinch of the sciatic nerve causes another unpleasant deterioration - the spasm of pears.As a result, the calf muscles passing through a person's thighs are behind them.Landbark, the socks of legs turn to the parties and feel pain while walking and sitting inside the hip.A comprehensive approach is required in treatment.
- Disconnectionsrelated to the progress of dorsopathy.The first sign of such a deterioration is a loss of sensitivity and numbness in lower extremities.Rear, hip, hip and lower abdomen suffer.All these zones pass through permanent concern.With a strong deterioration, the symptoms of an inflammatory process occur - the body's temperature is rising, weakness in the body, the urine is visible.The patient also worsens the appetite, which leads to a reduction in body weight.In this case, an integrated approach is also required in the treatment of the situation.
- RadiculopathyIt is also linked to the limitation of the spine's motor skills and compromising the nervous ends.As a result of this type of pain syndrome, the patient begins to feel pain in the lower body, reducing or violation of motor reflexes.There is deterioration during the muscle tone against the background of compounds and the background of compression due to radiculite.
The above pain syndromes require urgent treatment starting from the initial stages of all manifestations.Indeed, it is pathologically aggravated over time, so the disease course causes a strong deterioration in quality of life.
Osteocondrosis of Lomber Spine - Development Stages
The gross classification of the disease in the stage includes the development of Osteocondrosis of Lombber:
- The first rate does not cause any physiological deterioration.The patient feels good and doubts that there are problems with spine.Active destructive processes arise at the initial stage.Pulpooze nucleus varies gradually according to the microcracks of the piejo ring.Earlier, before the occurrence of the disease, the cartilage peel was weakened and covered with microcrast.As a result, the irritation of nervous endings seems to feel the signs of the first concern in the back area of the patient.
- Osteocondrosis of the second stage is characterized by the appearance of the symptoms of the waist.There are dynamic displacements in Vertabra than extreme and main part.The patient has signs of compression syndrome and reflex disorders.
- The patient, the 3rd event of the pathological phase, the deterioration of the composition of the fiber ring was already occurred.Requisites appear, prolapse or hernia.When the third stage of pathology, the roots of the spinal canal and blood vessels are squeezed.At this stage, severe pains related to pinches and inflammation occur.Strong mobility is also limited, shelters arise in lower extremities.
- The terminal phase is fourth.At this stage, irreparable pathophysiological changes are already in arise.The patient has pathologies of the bone system associated with the growth of bone cherry vertebral bodies.As a result, the response arises in compensation reactions - the other load is transmitted to weak vertebrates.Foundation, restriction of mobility in the waist amplitist.Pathological bone growths, press on vascular channel and nerve endings that significantly load the symptomatic course of pathology.
Lomber Osteochondrosis - Diagnosis
When the patient reaches the doctor, a number of laboratory exams are based on the date of the gathered to determine the osteocondrosis of Bel Sbormo:
- X -ray.This is the main analysis that allows you to assess the condition of the spine in general conditions.X -Ray will not show small and initial pathological changes, but will determine gross violations in bone tissue.If the picture shows the signs of the vertebrates or blacking, which is not suitable for normal size, other studies, if other studies are needed.
- Calculated Tomography.This is a more advanced version of the X -Ray shape, which allows you to see the smallest negative changes in the bone tissue in the pictures, because the pictures are drawn in the image.
- Magnetic Resonance Tomography.This type of diagnosis is close to CT, but soft tissues allow you to think better.Distinguishes the deteriorates of osteocondrosis, including MRI, hernia and protrusions.This type of diagnosis is enough to make a diagnosis related to the degenerative destruction of the cheap tissue of bone.
- Carrying out laboratory testsOn the basis of biomaterial.Patients often pass through a common blood and urine test to manage the main indicators.This information allows the patient to assess the health condition in a surface.
- Surrender of rheumatological samples.The pathology should be analyzed to eliminate the rheumatoid character.
They make a final diagnosis after the inspection and proper tests.
Treatment of Osteocondrosis of Lombber
A integrated approach to the treatment of pathology is needed.In 1-2, conservative treatment is used in the restoration period using drugs and physiotherapy.If the patient's health deterioration with the participation of 3 or 4, the patient has serious indicators, the survey is necessary.
Drug treatment of the pathological process
When the intervertible disks caused by the background of the osteocondrosis of the lumbosacral department, the use of a wide range of drugs is shown.Some products serve to maintain symptomatic therapy, others to maintain health.
Set what drugs:
- Nonsteroidal Anti -infamator Medicines, analgesic.These medications simplify the patient's condition, especially in a sharp period.Thanks to this type of drugs, it is possible to quickly calm the pain in 1-2 days.Typically, patients are appointed by the NSAIDS of the selective motion type, because they harm the mucous membrane.If the indifferent NSAIDS cannot be used for more than 5 days, new generation drugs can be drunk in 2-3 weeks without fear of the healthy gastrointestinal tract.It is better to be safe with gastritis or ulcers and use gastroprotants, proton pump inhibitors.
- Musorakants- drugs designed to overcome painful muscle cramps.With osteochondrosis, the correct spread of the cargo in the muscle corset associated with the weakness of the waist.As a result, some muscles are squeezed, while others are in the hypothonus.The muscle relaxation is determined to eliminate painful spasms.The treatment course is selected by a doctor who participates in the scheme to take the duration and tablet.
- Neurotropic vitamins.Such vehicles include Beyamin vitamins, Tiahin, Siyanokhobalamin and Pyridoxin.In large doses, the analgesic effect, with combined use in B1, B6 and B12.Components nourish nerve endings.These vitamins are also involved in the construction of myeline shells that cover the nerves.Such drugs are designed for radical syndrome when it is necessary to eliminate the pain associated with the pinches of nerves.Injection agents are used in 2-3 weeks and then switch to free release forms.
- Chondroprotants.These drugs have protective features related to cartilage.If there are clear signs of cartilage degeneration, you need to assign chondroprotants with a long course.First, agents injected agents are used for 2-3 months and then move to the tablets.The minimum use course is six months with a few months of break.The existing components are xondroitin sulfate and glucoshazayamin hydrochloride.Adoption and dosing schemes are selected individually.
- Calcium with vitamin D3.These components serve to strengthen bone tissue.The fragility of bones increases due to age, bone dress, nutrition and hormonal shortcomings.The main construction material is calcium.It is not possible to get a strong bone corset.You need to draw D3 vitamin for absorbing calcium preparations.To prevent cholecalciferole shortages, you need to get additional vitamins in the sun and winter in the summer.
- Complex polycvitamins.There is a research information that does not sprinkle in a permanent or synthetic form in a physiological dose, SARS, acute respiratory infections strengthen immunity during seasonal charges.Lumbosakral People with diseases of the spine should watch their health carefully.
- Blocked with anesthesiaUsing NSAIDS is performed with a weak pain syndrome.The intrasia intrasia of corticosteroids related to the blockades are also effective.This means to help calm the inflammation that restores such a person in a sharp period.The performance of the blockade should be carried out by a highly qualified doctor with extensive experience in their use.It is recommended to implement the blockade under the control of ultrasound to avoid other parts of the spine.Such treatments will help you quickly get rid of chronic pain.
- Special ointment and gels.With the help of local funds, you can successfully fight chronic pain syndrome of medium and weak power.Different products are chilled or warmed, which usually allows foreign drugs to regular use.The use of drugs on the surface of the skin allows them to use them for a long time.Such drugs do not practically fall into systemic blood circulation, so do not cause side effects.It is important to focus on the skin of the skin after applying drugs.If you have a rash or itchy, you should cancel the medicine.
Homeopathy or antispasmodicas can also be set.The drug applet diagram is determined by the doctor's individual bases.
Conservative treatment methods
During the recovery period, physiotherapeic procedures should be used and physiotherapy procedures that normalize metabolic processes in the affected tissues should be used.Active recovery methods are used only after stopping sharp pain.Softens the chronic course of the disease that supports conservative treatment, which prevents complications.
Active rehabilitation methods include:
- Physiotherapy Physics Education.With the development of the pawnshop osteocondrosis, special training is needed to improve blood flow, which is a level of stance and support of the funds.The LFC must first be under the supervision of a guidelist, including security rules.The trainings are based on a specialist, sitting or sleeping, sitting or sleeping, depending on the complex designated by a specialist.If the patient is experienced, you can hold gymnastics at home.You should not ignore the useful part of the lesson - hot-tuft.After a good warming, the muscles are protected from tears and sprains.The final stage of the execution is accelerating recovery processes in the muscles.The muscles are strong with constant exercises, the pain in the waist weakens.
- Massage- a way to relieve tense muscle tissue in contact terms.With the help of hands, a specialist improves blood flow in the muscles that allow you to remove strong overweight.Massages with muscle streams are most effective.These medications eliminate spasms and spasticity.Additional stimulation with hands is potentially affecting the drug.It is recommended to visit the masseor several times a year for a steady effect.
- Hand therapy.Using the method of exposure, it is possible to open the muscles, without taking into account the resistance.Unlike massage, this method is effective.The specialist with a lumbar waist osteocondrosis is dangerous to use hand treatment experiences in the absence of quite experienced.Before contacting the therapist, you must get acquainted with the list of reflection instructions, including hypertension, heart disease and corners.
- Physiotherapy procedures.With the help of physiotherapy, it is possible to improve local blood flow in the area affected without affecting other zones of other zones.The essence of physiotherapy is simple: hardware combines treatment methods and drugs.Examples are electrophoresis.Medications under the influence of a certain frequency laser are driven through the skin.Use vitamins B injected B group more often.Magnetotherapy and shock wave therapy are also related to physiotherapy methods.Radiated frequencies accelerate the processes of recovery in playful and ligaments without causing side effects.
It can be assigned as part of complex treatment, acupuncture, Hirudotherapy or homeopathy.
When surgical intervention
Operations are needed in developed cases when the patient suffers by serious neurological syndromes arising against the background of the pawnshop.If a patient has a complication in the form of a hernia, it began to take the limbs and the sensitivity of the intestines or bladder was taken to hospital emergency.In this case, the operation is carried out according to life indicators.
There are also relative signs for surgery.Examples are a stable concern that often numbness of backs, the stable anxiety, conservative treatment, conservative treatment, partial sensitivity.In this case, you can decide on surgical treatment independently.
Lomber is a serious pathology that requires an integrated approach to osteochondrosis therapy.In the initial stages, medications and physiotherapy are assigned.If the disease moves rapidly, surgery may be required.