Destructive disorders can be developed in any part of the spine, but a high load on the lower back as a result of direct people determines the appearance of changes in this segment.Osteochondrosis follows the pain in the lower back.Only a doctor can correctly determine the symptoms and treatment of pathology.Medications and physical exercises are used in therapy, in advanced phases, operation may be needed.In addition to the main treatment, the use of folk remedies is allowed.
What is osteochondrosis
With osteochondrose, a pathological change begins - with pulpic core of intervertebral discs with gradual transition to fibrous ring tissue.The weakness, cannot withstand an increasing load, as a result partial, and then starts the complete disk movement from its physiological position.It happens when fibrous fibers do not tolerate increasing pressure and break.
As the disk structure destroys, the destruction of nearby tissues is progressing.Involvement of the nearest vertebrae, their joints and ligaments start in the pathological process.Any vertebra has a sponge substance inside and an external compact structure of bones consisting of records.The outer layer provides hardness and allows you to withstand heavy loads.Vertebra also has a red bone marrow responsible for hematopoiesis.
For a long time, with osteochondrose, complex vascular and biochemical changes occur.Bone tissue is constantly changing: some cells are destroyed, new ones come in their place.Usually, with constant load, the formation of permanent and solid cells is stimulated.Therefore, excessive overload is formed to overcome a thick fabric.
Causes of pathology
Features of modern life and sharp decline in human water engines lead to weakening muscle fibers and reduce their tone.In the average person, the back in the day is mostly bent position, leading to excessive flexural muscles.This factor is considered the main implementation of degenerative changes.
There are several osteochondrose origin theories:
- Involutionary.The etiology of the disease is the wear of disks.This is especially easy to easily sit down the lifestyle and presence of bad habits.
- Muscle.Violations in the structure of the spinal column occur due to the underdevelopment or weakening of the muscular corset of the rear or permanent muscular cramps, as well as inflammatory processes in them and ligamento apparatus.It is believed that improperly created stereotype muscle movements leads to degeneration.Contributes to constant excessive overloading of cartilage involvement and other row structures.
- Autoimune.The process of destroying vertebrae and interverters develops towards the same scheme as well as rheumatoid arthritis.Such a precondition is considered close truth, because biochemical disorders for collagenosis are very similar to changes in disc discs, leading to deterioration in tissue and dystrophy.
The influence of the pathology of internal bodies was also proven, as well as the presence of permanent microtraws in the development of osteochondrose.
There is a theory on the hereditary predisposition of a person in this disease;Some doctors say that violations are sometimes caused by changing metabolic processes and deviations in the work of internal secretion.
In many patients with pronounced disorders, chronic fociers of infection is determined.
Regarding slow progress, it is read that osteochondrosis develops influenced by several etiological moments at once.
Development mechanism
All symptoms that are characteristic of a dystrophic disorder in the lumbar area can be divided into two large groups: internal (spinal) and extraverkerney.
The latter is divided into reflex and compression.Depending on the severity of the lesion and the presence of complications, four phases of the disease differ:
- The property of the ring under the influence of excess cargo and other factors starts to change the structure: cracks are formed on it.The substance of the core jacket penetrates them.Reflex reactions occur as a result of irritation of fiber nerves that innervate peristeum, ligamento apparatus, fibrous ring.Its irritation occurs as a result of pressure when the jewelry formed, local edema or inflammation.Such a violation leads to the appearance of vasomor or dystrophic changes.As a result, a person experiences severe pain, permanent or shooting.Reflex disorders in chronic osteochondrains in the lumbar segment lead to the development of lumbago and lumbar.And myofascial ache lead to limiting movements.Radiculopathy acts as a compression syndrome, which most often monitors damage on the lumbosacral segment.
- The progress of pathology leads to an increase in the prolapse of the intervertebral disk with its penetration into the epidural region.The vertebrae draw together and perform different pressure on nerve roots.It can be expressed in constant irritation or severe compression.These manifestations indicate the second phase with the development of discogenic radiculitis.Most often, such a phenomenon is noticed from the fourth lumbar to the first sacral vertebrae.
- This phase is characterized by continuing the pressure of the Kile on a nerve and vascular bundle.This ends with the occurrence of a paresis or paralysis in the muscles of the foot extensor.At the same time, pain syndrome decreases or disappears.
- With the last degree, blood supply and inervation of the spinal cord are disturbed by the appearance of the disculatory minorathy.Changes become stable and are poor drug adjustment lending.
Clinical symptoms and syndromes
Events of degenerative deviations in the lower back are manifested in pain with painful intensity and duration.In addition, a person feels fatigue, which increases by the end of the day, sleeps poorly and becomes irritable.At first, the symptoms pass or reduced after a night rest or residence in a horizontal position, but then painful sensations are noticed in the morning.Therefore, the patient is forced to reduce his physical activity.
The problems of the lumbar region lead to irritation and inflammation of nerve endings, including inervable pelvic authorities.Therefore, the advanced pathology is mitigated by urination, problems are noticed in the work of internal genital bodies.In men, impotence is developed against this background.
Pain radiation and weakened sensitivity refers to lower extremities.The patient records the ignition of the sensation and "creeping goosebumps", leather on her legs becomes pale, dry and peeled.
The osteochondrosis of the lumbar spinal column manifests several syndrome, the degree of events, differs in different patients.
Koreshka
In this case, the pain occurs as a result of the root lesion, is acute, localized in the area of damage and enter the lower leg area, buttocks, hips and feet.To reduce an unpleasant sensation, a person changes the usual gait and leans toward reverse injury.Pain is accompanied by sweating, which replaces the cold, intensifies when trying to move sharply after sleep.
Due to the reduction of muscle tons and their gradual atrophy, it becomes impossible to perform ordinary work.In an advanced phase, the paralysis of limbs is developed, violating the works of internal organs in the pelvis.
Ischemic
Osteochondrosis monitors damage not only nerve endings in the lumbar area, but also blood vessels.Their compression leads to spasm, which becomes constant as it gets worse.Clinically, this phenomenon is manifested in the form of occasional chromium.
The lack of nutrients and oxygen occurs in the pelvic authorities.This exacerbates the problems of urination, defecation and potency even more.
Pain
The appearance of pain is the earliest sign of osteochondrose.Its intensity depends on the degree of damage.Initially, pain is a short nature, they disappear after vacation, but from the very beginning of the disease is long and painful.The deterioration of pathology leads to the appearance of sharp fires with radiation in leg, groin, buttocks.
In the latest phase, suffering is caused not only by physical effort, but even coughing or sneezing.The lumbar area is to protect the palpers muscles, which are in a constant spasmodic state.
Vertebral
Constant pain, innervation and blood supply, significant deformation occurs.Rotting is noticeable not only in the field of pathological procedure, the architect thumb architectors is disturbed.Muscular tone decreases, bowls and pelvic distortion appear.Changes to walk, becomes uncertain.The restructuring of the entire muscle-bone system is gradually appearing.
Complications of osteochondrose
If you do not treat disease in the early stages, then complications are gradually developed, many of which significantly reduce the quality of life and even reduce its expression.The neglected dystrophic process leads to the following violations:
- muscular weakness, atrophy and asthenia;
- breaking urination and defection (incontinence);
- Development of serious spinal deformation in men in hard physical work and women during pregnancy;
- Violation of potential in men;
- reduced blood flow and ischemia development;
- the protrusion and hernia of the intervertebral disk;
- spondylarteness (growth of pointy processes);
- Foot steam;
- Spondylosis.
An important place when considering the Lumbar Osteochondrone Clinic is the presence of reflected pain.The injection of nervous beams leads to irritation of internal (visceral) bodies, which causes the pain and functionality of the function in them.This explains the development of such events as difficult breathing, arrhythmias, intestines that follow the pathology of the spine.
Methods of treatment
Different methods are used to treat osteochondrose.
Cure
Drugs for treating diseases are NSAIDs.They allow you to remove the inflammation process at the same time and reduce pain syndrome.At the same time, local machines are recommended for internal use, local therapy with antinamalmic effects.The most commonly used sodium-diclofenak, ibuprofen in tablets or capsules.Sometimes, with an intolerance of anti -infalm ratio drugs, analgesics are used.
With strong pain, local blockages with Novokin or Lidocaine are held.In some cases, with a pronounced inflammation at the same time during the paraer blockade, glucocorticoids are used with the newly.This allows you to influence your affernal conductivity and normalizes the reflex activity of excessive parts of the nervous system.
A good result in muscle spasm is shown in the central relaxant muscles, a typical representative of this class is Midokal.These drugs are combined with non-atleaithic anti -infalmatory, improving the effect of anesthesia and the restoration of movement in its entirety.
Additional treatment with drugs includes sedatives and drugs for normalizing the work of the nervous system.This is sometimes recommended to take antidepressants, antipsychotics, or calm means.
Vitamin complexes involving a group B, vitamin D and calcium help improve nervous conductivity and metabolic processes.To restore the structure of the cartilage, the long-term use of hondroprotectors is used.
Physiotherapy
Modern physiotherapy techniques are an integral part of the successful treatment of osteochondrose of the lumbar spine.They include:
- Using the current of different frequencies and intensities.Typically the current effect is used with force up to 100 mA, Amplipulse (modulated current), Daransalization, electrophoresis with analgesic substances and proteolytic enzymes.Methods can improve blood circulation in the damage zone, restore metabolic processes, increase blood flow and deliver the drug directly to the application point.
- The use of lasers.Its exposure reduces the activity of inflammation and pain, and when guided on paraPorist points, it allows you to restore the structure of intervertebral disks.
- Ufo.With the help of irradiation, the ultraviolet is heated, the production of vitamin D and the optimization of calcium metabolism.
- Magnetotherapy.It consists of the use of an induction magnet to restore regenerative processes at the level of cell structures.
- Balneotherapy.Allows the use of healing water and mud.For this purpose, the patient is recommended to take common and local baths, implement applications and compression.
Physiotherapy and massage
An important connection in treatment is physical education.Its implementation is mandatory, but the selection of movements should be performed by a specialist.Classes allow you to restore muscle tone, strengthen their fibers, expand the strength of the spine.To obtain a positive result, certain rules must be observed:
- You cannot exercise if they cause pain or excessive stress;You should start training under control of training instructors;
- Physical education must be performed regularly, only under this situation will happen to form a muscle corset;
- Do not make movements sharp and too fast, usually an average or slow tempo is recommended;
- Gymnastics is not implemented with the deterioration of any disease;
- In the event of deterioration, you should stop your exercise immediately and contact your expert.
It is best to choose exercises that are performed in the position of lying and standing on all four.It is useful to stretch your spine, download the print and back.For such a patient, a good method of rehabilitation after the deterioration of osteochondrosis will be visited by the pool.
Massage is also an effective method of styochondrose therapy in the lumbar segment.
An experienced specialist will help improve metabolic processes and microcirculation in the misdemeanor zone, mitigate muscle tension.The use of massage in an acute period was expanded, in the presence of severe irreversible deformations, open wounds, rashes or skin burns.
Surgery
In the absence of the results of complex conservative therapy, it remains only for the use of a radical method of treatment.It consists in spitting operations on spine to remove compression of nerve roots and maximum possible restoration of the spine's mobility or stabilization of its affected segment.
Indications for operation are:
- Development of beautiful interpersonal hernia;
- Strong pain, which does not stop using drugs and blockages;
- Full drop drop with the development of caudal syndrome and ischemia;
- The appearance of signs of radikulomiloichemia.
The patient is most often done with microdascular, when bone tissue retains its integrity, and the rehabilitation process takes a short period of time.
There are other intervention methods:
- Endoscopic nucleotomy;
- Laser disk evaporation;
- Nucleoplasty in plasma disk.
Scientists around the world are developing for the implementation of prostheses that replace intervertebral discs.This will enable patient rehabilitation after surgery and reduce the likelihood of disability.
The use of traditional medicine
With the use of drugs, the folk methods are used to treat pain in the lower part of the lower back.They cannot replace full therapy osteochondrose, but allow Remission to reach a remission in complex therapy:
- At home it is appropriate to use rotvic or horseradish as compresses.You should be chopped on the grater, add a small house sour cream and apply to a lesion.
- You can pour out boiling water on the Burdock sheet and attach yourself to the lumbar region.The windburn on top with a small fist and hold one hour.
- Bodyaga powder, diluted 1:30 with herbal oil, helps well.A big compressive compressor is obtained from the mixture to be kept for an hour.
- It is useful to rub the lower back of the liquid honey.But that should be done properly to achieve a strong bump of blood to a painful place.
- To remove the pain in the lumbar, the fat is used.You must download the same shares of Ghee, campsite and powder for chestnut.After the fundamental mixing, the product is spoiled on the pieces of sinking bread and applied to a painful place.
Before using any folk remedies, you should contact your doctor.
Disease prevention
In order to prevent the development of lumbar osteochondrosis and renovation of the remission, the prevention rules should be followed:
- Avoid hypothermia;
- Do not invoke heavy objects (maximum permissible load for a woman is 5 kg, for a man - 10 kg);
- Daily performance of exercises that allow us to strengthen the muscle corset and press;
- With long-term seating, take regular breaks and heat;
- While walking always follow your posture;
- repair the possible sources of chronic infections regularly;
- Eat properly and prevent excess weight;
- Walking in a moderate pace as long as possible;
- Visit the dance group, deal with swimming, sports walkers, avoiding sudden movements and strong jumps.
It is completely impossible to cure osteochondrose, because the changes that take place in the spine is irreversible, but modern methods help help restore the quality of life of the patient for a long time.