Perhaps, you can't find a single adult who doesn't know what "lumbar osteochondrosis" is.On average, every third healthy person, middle year, and sometimes more often, in his life an episode of acute lower back pain, and every fifth - six indicates that the problem arises regularly, and is even a "source" of hospital leaves.
However, to explain in detail what is exactly for the violation that occurs at the bottom, the patient is most often unable to.Most of them have never been examined, and treatment consisting of "injection", "ointment", massage sessions usually help for a few months to a year.
If you "poses" to such a patient, and begin to ask about the diagnosis, then, after experiencing a little, he will declare that he is sick with "osteochondrosis".What does this disease mean, in relation to the lumbar spine?
Lumbar area osteochondrosis - disease or "life norm"?
First and foremost, you need to say credible: "osteochondrosis" cannot hurt.And in any way it cannot be clear, as this is the process of distributing and deterioration of the intervertebral disc, that is, cartilage, consisting of pulpic nucleus and fibrous rings.The intervertebral disc is a cartilage, and is designed to serve as a shock that absorbs "air bags", softening vertical acceleration and angles - the inhibition between adjacent vertebrae.
As you know, the cartilage does not have nerve and vascular tissue, so the process goes "in the disc" simply does not affect the neighbor's structure, and does not appear in any way.The same example in the vertebroneurology is Shomorle's hernia, where hernial highlights are believed to be protected by neighboring vertebral spongy bone tissue.The intervertebral disc is not painful.
Chondrosis (suffix "-o" marks improvement, improvement), in this case-is not correct.It does not occur during human life growth and the increase in cartilage.Here with fibrosis (cirrhosis) of the liver it can be observed that the mesh mesh structure begins to develop, harming the function.
And with chondrosis (or osteochondrosis), the intervertebral disc only begins to change their configuration, under the influence of perennial loads.
They cause pressure on neighboring vertebrae, because, according to Newton's law, every action at a static load gives birth to the same opposition, or a supporting reaction.How does osteochondrosis develop, and for what reason this happens?
Causes of "Lumbar Osteochondrosis"
Signs of the lumbar region osteochondrosis (more precisely, the intervertebral disc) is available at a young age, especially with various violations of the musculoskeletal system.
They can be associated, for example:
- congenital anomalies (different legs);
- various types of flat feet (longitudinal, horizontal);
- spinal column deformation (scoliosis);
- Spondylolistz (slipping lumbar vertebrae lower than sacred bone forward and back).
All of these diseases can cause or increase the shock of the spinal column (for example, with flat feet, when the elasticity of the leg decreases), and with severe asymmetry of the spine, when the support function is systematically realized due to the load on the disc.
It is well known that with experiments it is found that healthy and young cartilage, if they are given equal and static loads across the surface, can withstand up to 2000 kg and even higher for themselves.Of course, there is no such burden in everyday life, but it can increase to such values when exposed to the edge of the disc.
If the support area is 20 times smaller, and the disc will not be very healthy (for example, in old age), then exposure to 60-80 kg (for example, falls on ice at the bottom, with load on the shoulder) can cause disc destruction, which can be in the form of protrusion or hernia.
It is the appearance of a highlight or hernia that indicates that the disc is defective and even "crawl" from one or more sides.And around the disc, as you know, there is no empty spot.Once the disc begins to contact the nerve roots, ligaments and neighboring muscles, the result of osteochondrosis occurs: reflex pain and muscle-tonic syndrome that make the patient turn to neurologists, manual therapists and massage therapists.
Meanwhile, the disc has a normal shape and wears evenly, without extreme load, then lumbar spinal osteochondrosis interferes with the patient no more than normal, abrasion of tooth age, which criminals are known.How is the pain syndrome real reflex?
Symptoms and signs of complex lumbar osteochondrosis
You have realized that we diligently "breed" the bridge: ordinary osteochondrosis is an inevitable process of the normal aging of the elastic intervertebral "gasket" in "reasonable men", as it moves vertically throughout life.And "osteochondrosis" that patients with acute pain are complicated conditions.
We will start, perhaps, with the signs of radicular compression.Signs of lumbar osteochondrosis, of course, are associated with pain, due to the segment nerve spine pressed by the disc.In addition to pain, sensitive disorders, motor and trophic vegetatives are possible.
Low pain in osteochondrosis has the following features:
1) Rim pain.It is secondary, and is continued according to the type of neuralgia, when the swollen nerve spine is very "malignant" responding to tremors.
Sharp pain, suddenly, shooting, piercing the lower back, probably giving up.The pain arises and continues to rise, so it is called "lumbago", or "background".It is a "shutter" that makes one "standing with Naracan", because any movement leads to increased pain.
In addition, the pain is increasing in a slight cough, sneezing, sinking, laughter - any conditions in which the spine swelling vibrates.
If the spine is part of the sciatic nerve, it hurts "shoots" through the back to the popliteal fossa and below, and this is called "lumbar -algia".
2) Muscle pain.Near the nerve spine is a large muscle mass.Often, in the spring and autumn they are "standing", and they swell, dense.The flow of the veins is difficult in it, and they themselves are a source of pain.
The pain is painful, fixed, and not very hard.It, on the other hand, strengthens not only with sharp movements, but also with long -term positions (deterioration of blood supply).
- Sometimes such myofascial syndrome occurs after suppression of protrusion or hernia, when "sharp hooks" hernia "massage" the muscles and ligaments for a long time.
3) Motor interruption.Because the disc can squeeze is not only sensitive, but also the motorcycle spine, it is possible to develop peripheral paresis, or paralysis.With different levels of damage, the appearance of weakness in the foot is possible (for example, weakness when climbing stairs on one side), weakness in the foot, which causes the affected Gait.
There is a muscle hypotophy, one foot is "weight loss".Disorders alone, painless disorders are rare, and, unknowingly, can cause defects.
4) Sensitive violation.They arise together with pain, often existing even after the end of pain, not pain.They are characterized by numbness, a decrease in skin sensitivity to the "strip" type, in the form of a vertical strip, the taste of "crawling goosebumps" in the fingers and feet.
- Sometimes, with vegetative fiber damage, symptoms combined with hyperhidrosis, skin cooling, hair and nail growth.
These are the most common signs of complicated lumbar osteochondrosis in the lumbar region.There are separate syndromes, for example, damage to the external skin of the thighs, or damage to the horse's tail, epiconus, pure radiculitis or pear -shaped muscle syndrome - but also their brief description will take too much time.
For patients, the above is enough, the main signs to sign up for a neurologist.How can you "remove the exacerbation with your own hands"?How to treat home lumbar osteochondrosis?
What to do during the enlargement of lumbar osteochondrosis?
The basis of all treatments is etiotropic therapy (removal of causes), and pathogenetic treatment (affecting the mechanism of disease).Symptom therapy next to it.
With vertebrogen pain (caused by spinal problems), things like this:
- The removal of the cause is the removal of pressure by prominent, hernia, or spasmoded muscles in the nerve root;
- The effects of the mechanism are the removal of muscle cramps, recovery of venous flow in the muscles, removal of nerve edema, and combating inflammation;
- The elimination of symptoms (struggle for pain, numbness, mobility limitations) is done by returning to paragraph No.2, because the removal of edema and inflammation, for example, will restore mobility and relieve pain.
Eliminates the highlights and hernia
As a rule, he does not begin to treat acute back pain.Almost always at first they stopped the pain syndrome, then, after the massage session and treatment of manual therapists, all symptoms disappeared, and surgery was not required.
The question of surgical intervention arises with the development of weakness in the foot, and with severe pain and unconsciousness within 2 months.In addition, surgery is required when compressing the central channel at a high level where the spinal cord is located, or "horse tail".
Treatment of lumbar osteochondrosis, medication
Treatment of lumbar osteochondrosis and its complications provide the following steps.In a sharp phase (first day - two):
- To reduce muscle and spinal edema, sleep -free diets are shown, and the amount of fluid amounts used.You can also provide a little diuretic tablet that saves potassium.
- Half -Rigid orthopedic corset clothing is shown, which saves the muscles from excessive movement.
- From the first days, rubbing ointments containing NSAIDs, plaster applications, for example, "pepper", are shown.
- You can't heat you back to a sharp phase.With increased inflammation, edema increases.Therefore, various heating pads are prohibited.You can heat, take your own warmth (wool belt, heating ointment), which is not added from the outside, but, on the contrary, is taken from depth.
- In the acute phase for osteochondrosis of the lumbar region, short treatment with intramuscular "injection" injection of the muscles and relaxants muscle can be performed.This will help stop nerve tissue edema, eliminate inflammation, and normalize muscle tone.
During the subacute period, after overcoming maximum pain, "injection" is no longer taken, and attention should be paid to the method of recovery, for example, the modern vitamin preparation of the group "B".They effectively restore impaired sensitivity, reduce numbness and paresthesia.
Steps -Steps to continue physiotherapeutic, it is time to conduct training therapy for lumbar spinal osteochondrosis.The task is to normalize blood circulation and muscle tone, when edema and inflammation have retreated, and muscle cramps are not fully resolved.
Exercise for spinal lumbar osteochondrosis must be carried out after normal light, on "warm -warm muscles".
The main therapeutic factor is movement, not the level of muscle contraction.Therefore, to prevent relapse, unauthorized use of load, gymnastics rugs and gymnastics are used.With their help, you can effectively recover the amount of movement.
Rub the ointment, the use of kuznetsov iplicator.Swimming, underwater massage, Sharko baths are shown.It is at a damp stage that the medicine for home magnetotherapy and physiotherapy is shown.
Usually, the treatment does not take more than a week, but in some cases, osteochondrosis can be manifested with such dangerous symptoms until the surgery is needed, and urgent.
Complications of lumbar spinal osteochondrosis
It is, first of all, about the condition when the disc hernia becomes fragmented, and, after penetrating the central channel, forms a free absorption.There, it can squeeze the nerves of the horse's tail, and it can arrive -tiba (right -correct in the gym, after an episode of acute pain) develops sharp weakness, or paralysis in the legs, numbness of the perineum.
After a few minutes, cruel pain in the legs appears, and then - delay in reflexes in the urine, or the appearance of incontinence, develops, impotence develops.This arises with horse tail syndrome, as a complication of disc hernia.In this case, immediate intervention, sequestral removal, and the recovery of the horse's nerve function with their compression is required.
However, most often, other complications arise.With age, various hernia and protrusion occur, vertebral osteoporosis appears, and mobility only decreases and the risk of acute back pain increases.Such patients must "take sick leave" several times a year, and are often treated in the sanatorium.
Forecasting of treatment
Lumbar spinal osteochondrosis, symptoms and treatments that we are exposed to, as we understand for ourselves, are largely not a disease at all, but only with the inevitable manifestation of aging and "contraction" of the intervertebral disc.
Can humanity be completely avoided from lumbar osteochondrosis?This answer can be answered in an affirmative, but then we need to master different styles: all our lives to go to all four, or, like Ichtyander, floating to the depths of the ocean, constantly moving in the water from children.At that time, the axis load, static on the intervertebral disc will disappear, and thus the signs of "chondrosis" will disappear.But other problems arise: in water, strong design will be unnecessary, and will start to change until it disappears, or will not decrease significantly.
For individual predictions, individuals for osteochondrosis, it all depends on the time when one "decides to take the mind."If there is currently no destruction of intervertebral discs, protrusion, hernia and deformation, then, subject to healthy lifestyle and hygiene, physical activity cannot be known at the back age.
In the same case, when there is already a "hot spot" in the lumbar region, for example, in the form of a hernia, which periodically squeezes the nerve spine, one needs to maintain an awkward turn, an improper workforce,