Pain in the back and waist areas is one of the most common complaints in medicine.It ranks second in the number of all attraction, second only to respiratory illnesses.Many pathologies can cause soreness in the lower back, but are usually caused by osteochondrosis in the waist area.How to treat this disease, what are the symptoms and signs.
Not long ago, medical science believed that lumbar osteochondrosis only occurs due to age-related changes that lead to vertebrae and intervertebral discs.However, age characteristics are no exception today, with osteochondral disease of the lumbar spine being diagnosed in patients of all age groups.To date, the deadline is considered to be more than 25 years
Causes of osteochondrosis in the lower back
The reason why the exact reason is impossible to name is almost always a comprehensive effect of various destructive factors, the most important of which can be distinguished:
- Abide by a passive lifestyleIn terms of sports activities.For example, as per their own wishes, fixed people spend many hours on the computer without getting a useful load, which is why the muscles of the "brambler" occur while the load on the vertebrae increases.Furthermore, almost always such a pastime is associated with long-term stays in wrong and unnatural postures.
- Hormonal background issues, resulting in metabolic violations, which can affect the metabolism of spinal tissue in the lower back and lead to destructive processes.This also includes endocrine diseases.
- Congenital or deemed as deviationsWhen there are certain changes in the musculoskeletal system.This can be reflected in the increased load on the spine, for example, suffering from the presence of flat feet, the curvature of the legs or spine.
- Chronic load increaseOn the lower back.Here, risks include people with certain types of professional activities, often associated with weightlifting.This also includes professional athletes who constantly expose their bodies at peak loads.
- Meals and daily work damaged.This also includes regular stress.These factors are reflected in the metabolic process and affect the periodic recovery of their forces.
Level of osteochondrosis in the lumbar spine
The above pathological factors gradually lead to the manifestation of the disease.However, it can manifest itself in different ways, almost asymptomatic at the beginning, and can tolerate pain during advanced development.Consider the main development of osteochondrosis:
- The situation where the jet nucleus moves in the intervertebral disc.It is characterized by pain caused by nerve root stimulation in the annulus of fibrous fibrous and longitudinal ligaments.Where the defective disk is placed, local discomfort is felt.Soreness can be sharp with asshole or permanent mute.
- When the fibrous layer of the intervertebral disc is damaged, the mobility of spinal elements in this area increases, and they become unstable relative to each other.To eliminate these pathological manifestations, it is necessary to continuously maintain the muscles in the tense in this area, resulting in chronic fatigue in the lower back.
- Next, there is a breakthrough in the annulus, which is why the nucleus exits the disc and forms a disc hernia.This condition will be accompanied by an excess at the end of the nerve, which is called "radiation syndrome".
- In this section, the next degree of osteochondral disease in the lumbar spine department occurs in severe deformation.There is a problem with mobility, but the strange pain syndrome resolves at this stage.However, you shouldn't be happy about it, and this isn't talking about the fading of the disease at all.
- The last degree is characterized by pathological growth of bone tissue and general deterioration in the wellbore.
Depending on the degree of osteochondrosis in the lower back, certain treatments were used.
Symptoms of osteochondrosis in the lower back
The main symptom is lumbar combat syndrome.At the same time, the sensation of pain, its location area and the direction in which they spread may vary.This is due to the fact that certain nerve receptors are angry based on the extent of damage to the discs and fabrics.In addition, this effect is due to the presence of protrusions or direct hernia, its protrusion direction and many other factors.
The main symptoms of lumbar osteochondrosis include:
- The presence of painful lower back pain, which tends to increase with rapid fluidity, or conversely, remains unchanged for a long time without changing posture.If you are in a horizontal position, the pain will subside.
- In addition, weaknesses in the body may be below the abdomen, including lower limbs, and tendon reflexes in the legs.
- There is a high possibility of curvature in the lumbar spine.For example, this classification of curvature, for example, the right or left is the focus of the lateral side, they talk about scoliosis, Lordosis called the Bend forward condition, and when the natural bend (as is) is smoothed, this condition is called.
- As the disease progresses severely, spinal cord passages are possible, which can cause its dysfunction and lead to uncontrolled urination and feces.
They point out that among other symptoms:
- Numbness and "cold" presence of skin on the lower back and buttocks.
- Peel, dry and blue skin in the same place.
- Impaired urination.
- Erection problems.
The presence of these symptoms should remind a person that you cannot wave to them with your hands, which will only lead to greater neglect.In this case, you should definitely consult a doctor for accurate diagnosis and treatment.By the way, treatment can be done in hospital and home settings, but more can be done later.
diagnosis
In the diagnosis, it is important to understand the extent to which the disease is further.The easiest way is to identify lower back palpation in the pain area.Typically, this method is informative, except for examination to provide a more detailed clinical situation:
- Radiography, an inexpensive and extensive approach that can assess the condition of the entire spine and individual vertebrae, for example, the lumbar area being considered.The technique is not very accurate, it only allows an indirect understanding of the overall disc and the overall spinal canal of the spine.
- Computed tomographyA more accurate method to assess the level of disc damage between the vertebrae, nerve root, and spinal cord duct.
- Magnetic resonance tomographyThe most accurate method gives a complete picture of the failure in the details, but is quite expensive and inaccessible.
It should be noted that the diagnostic process is very important because for physicians, all the details of developed osteochondrosis are important when prescribing treatment strategies.
Complications of osteochondrosis
The main complications of pathology are hernia and protrusions, which are bound to occur if you ignore treatment and allow the disease to develop gradually.Other complications may be:
- Inflammation of sciatic nerve.
- Spinal arthritis.
- Schmore hernia.
- Spondylosis.
- Problems caused by spinal canal clamps.
- Dysfunction in the pelvis.
- The development of the la industry.
Treatment of osteochondral disease in the lower back
By diagnosing the symptoms of lumbar vertebrae, multiple treatments are required, and the main aspects will be:
- Use medium load.
- Special medicine.
- The traction of the spine.
- Manual therapy session.
- physiotherapy.
- Therapeutic massage.
The concept of "treatment" for osteochondrosis suggests:
- Inhibit inflammation.
- Eliminate pain syndrome.
- Strengthens the complex of the waist and adjacent muscle groups.
- Get rid of chronic muscle tone.
- Increase the function of organs in the pelvis.
- Normalization of blood circulation and metabolism in the pathological zone.
Treat with drugs
In a similar approach to treating lower back osteochondrosis, it involves taking medication, injecting special medications, using ointments and gels for external use.The main task of this drug is to neutralize the pain and inflammation processes.
Depending on the degree of osteochondrosis in the waist and spine, doctors can prescribe the following medications:
- Analgesic drugs with anesthetic effects.
- Preparations against inflammation of nonsteroid origin.
- With muscle spasms, anti-impurity.
- A drug that restores cartilage is called cartilage protector.Their validity is not proven and therefore rarely used in traditional medicine.
- If there is serious pathology, please resort to corticosteroids when the above funds don't help.
- Vitamin complex.
In addition to these funds, the drugs are also prescribed in tablets to calm the nervous system and struggle with stress and depression.
Physical therapy for osteochondrosis in the lower back
The treatment process is rarely limited to taking pills.Without stimulating the recovery process of the spine, the pathology considered cannot be cured.For these purposes, a wide range of physical therapy procedures are used, most popular being:
- voice.
- Treatment with dimerized root current.
- Laser therapy.
Additionally, a useful load on the spine must be given while shattering it.Various types of therapeutic massage are ideal.It must be remembered that massage is only used to eliminate pain.Usually, it is done as a restorative measure through disease relief or chronic osteochondrosis.After massage, the muscles are relaxed well by the disease, and their effects will be greatly increased, such as heating in a bath or sauna.In the latter case, we will be the biggest impact due to the pathology and additional stimulation of blood circulation in the surrounding area.
Another method of physical therapy is manual treatment.Its advantages are usually the same as massage, but in addition to such techniques, experts can restore displaced vertebrae to their normal position.
Treatment gymnastics
In a period when pain and inflammatory processes have been eliminated, therapeutic gymnastics is also used as a restorative and preventive measure.Ensure efficient treatment and exercise efficiency under exercise regularity. In this case, the damaged area will continue to obtain the necessary exercise activities to self-recover new tissues and recover.
Surgery for osteochondrosis in the lower back
Surgery is an extreme measure of serious complications.The most common of these is disc hernia during disc hernia, and the SO-estimated "distortion" or disc removal is performed.However, this procedure is very effective, but its purpose only occurs if other treatments have no results for more than 6 months.Modern medicine also provides less traumatic methods for performing such operations, such as microsurgery or endoscopic methods.