Perhaps, you can't find a single adult who didn't know what "lumbar osteochondrosis" is.On average, every third person healthy, of the middle years, and sometimes more often, had in his life an episode of acute back pain, and every fifth - the sixth indicates that such problems arise regularly, and are even a "source" of the hospital leaf.
However, to explain in detail what exactly about the violation occurred at the bottom of the back, patients are most often unable.Most of them have never been examined, and the treatment composed in the form of "injections", "ointments", massage sessions usually help for a period of several months to one year.
If you "possess" to such a patient and start asking about the diagnosis, then, after suffering a little, he will declare he is ill with "osteochondrosis".Does what does this disease mean about the lumbar spine?
Osteochondrosis of the lumbar region - a disease or "norm of life"?
First of all, you have to say authoritatively: "Osteochondrosis" cannot hurt.And in no way can it be manifested, as this is the process of dystrophy and degeneration of intervertebral discs, ie, cartilage, which consists of a pulpic nucleus and a fibrous ring.The intervertebral disc is cartilage, and is created to work as a "airbag" that contains, softening vertical and angular accelerations - braking between adjacent vertebrae.
As you know, the cartilage is not of nervous and vascular tissue, so the processes that go "simply on the discs" simply cannot affect neighboring structures and do not appear in any way.A similar example in verteboneurology is the hernia of the shomorle, in which the hernial extension is reliably covered by the neighboring vertebral bone tissue.The intervertebral discs do not harm.
Condrosa (the suffix "-o" indicates an increase, growth), in this case not quite accurate.It does not occur during the human life of growing and growing cartilage.Here with liver fibrosis (cirrhosis) it can be noted that the structure of the liver mesh began to develop, to the detriment of function.
And with chondrosis (or osteochondrosis), the intervertebral discs only begin to change their configuration, under the influence of perennial loads.
They cause pressure on neighboring vertebrae because, under Newton's law, any action with a static load is exactly the same opposition, or reaction of support.How does osteochondrosis develop and for what reasons this happens?
Causes of "lumbar osteochondrosis"
Signs of osteochondrosis of the lumbar region (more precisely, intervertebral discs) can already be found at a young age, especially with different violations of the muscular system.
They can be attributed, for example:
- congenital abnormalities (length of different legs);
- different types of flat feet (longitudinal, transverse);
- deformation of the spinal column (scoliosis);
- Spondylolistz (slide the bottom vertebra, lumbar from the sacral bone both forward and back).
All of these diseases can cause or increase the shock load on the spinal column (for example, with flat feet, when the arc elasticity decreases), and with severe spine asymmetry, when the supporting function is systematically accomplished due to the load on the edge of the disc.
It was known that the experiments found that a healthy and new cartilage, if a load was given evenly and static across the surface, would be able to resist up to 2000 kg and even higher for themselves.Of course, there is no such load on everyday life, but it can be increased to such values when exposed to the edge of the disk.
If the support area is 20 times smaller, and the disk will not be so healthy (for example, in old age), then exposure to 60-80 kg (for example, falling on the ice on its side, with a load on the shoulders) can cause a disk destruction, which may be in the form of an extension or hernia.
The view of the extension or hernia that indicates that the disk was deformed and even "dragged" by one or more sides.And about the disk, as you know, there is no empty place.Once the disk begins to contact the nerve roots, neighboring ligaments and muscles, then the consequences of osteochondrosis occur: reflex pain and muscular syndromes that make the patient turn to a neurologist, manual therapist and mass.
Meanwhile, the discs have a normal shape and wear evenly, without extreme loads, then lumbar spine osteochondrosis concerns the patient no more than the usual, teeth age, with which criminals are well known.How are reflex pain syndromes manifested?
Symptoms and signs of complicated lumbar osteochondrosis
You have already noticed that we diligently "race" bridges: ordinary osteochondrosis is a completely inevitable process of the usual aging of elastic intervertebral "Gaskets" in the "reasonable man" type as it moves vertically throughout life.And "osteochondrosis" that patients with acute pain withdrawal are a complicated condition.
We will start, perhaps, with signs of radical compression.Signs of lumbar osteochondrosis, of course, are associated with pain, due to the segmental nerve spine suppressed by the disk.In addition to pain, sensitive, motor and vegetative trophic disorders are possible.
Low pain in osteochondrosis has the following characteristics:
1) Pain with top.Secondary is, and continues according to the type of neuralgia, when the very nervous swollen "very" swollen pole responds to a shock.
The pain is sharp, sudden, shooting, drilling the bottom back, perhaps giving up.The pain appears and intensifies immediately, so it is called "lumbago", or "background".It is such a "sewing" that makes a person "stay in a naracan", as every movement leads to increased pain.
In addition, the pain intensifies in the smallest cough, sneezing, strain, laughter - any situation in which a swollen spine swings.
If the spine is part of the sciatica, the pain "shoots" through the buttocks in the popliteal fossa and below, and this is called "Lumbar -algia".
2) Muscle pain.Near the nerve spine are large muscle massive.Often, in spring and autumn they "rise", and they swell themselves, become dense.The venous emergence is difficult in them, and they themselves are a source of pain.
This pain is hurting, persistent and not so severe.On the contrary, it intensifies not only with a sharp movement but also with an extended in a monotonous position (deteriorating blood supply).
- Sometimes such myofascial syndrome occurs after extension irritation or hernia, when a sharp "stroke" of hernia "massage" muscles and ligaments for a long time.
3) motor disorders.Since the disk can squeeze not only a sensitive but also a motor spine, it is possible to develop peripheral paresis, or even paralysis.With different levels of damage, the appearance of weakness in the foot is possible (for example, weakness when climbing the stairs on the one hand), weakness in the foot, which leads to damaged movement.
There is a muscle hypotrophy, one foot is "losing weight".Such a purely motor disorder, painless is rare, and, remaining unnoticed, can lead to disability.
4) sensitive violations.They arise along with pain, often exist even after the pain is over, instead of pain.They are manifested by numbness, a decrease in the sensitivity of the skin of the feet by the type of "lines", in the form of vertical lines, a feeling of "crawling goosebumps" on the fingers and feet.
- Sometimes, with damage to vegetative fibers, symptoms combine with hyperhidrosis, skin cooling, hair growth and nails.
These are the most general signs of complicated lumbar osteochondrosis that exist in the Lumbar region.There are separate syndromes, for example, damage to the outer skin of the thigh, or damage to the horse's tail, epiconus, pure radiculus or pear -shaped muscle syndrome - but their short description will take a long time.
For patients, the above are enough, the main signs to enroll for a neurologist.How can you "remove irritation with your hands"?How to treat lumbar osteochondrosis of the house?
What should you do when irritating lumbar osteochondrosis?
The basis of all treatment is ethotropic therapy (the elimination of the cause), and pathogenic treatment (affecting the mechanisms of the disease).Symptomatic therapy glues it.
With vertebrogen pain (caused by problems in the back), things are like this:
- The elimination of the cause is the elimination of pressure from the extension, a hernia or a spasical muscle in a nerve root;
- The impact on the mechanisms is the elimination of muscle spasm, restoring venous outflow to the muscles, removing the spine edema and the fight against inflammation;
- The elimination of symptoms (the fight against pain, numbness, restriction of mobility) is performed by returning to paragraph no.2, as the removal of edema and inflammation, for example, will restore mobility and relieve pain.
To get rid of prolongation and hernia
As a rule, it does not begin to treat acute back pain.Almost always at first they stop the pain syndrome, then, after massage sessions and treatment of manual therapist, all symptoms are removed and surgery is not required.
The question of surgical intervention arises with the advancement of weakness in the legs, and with severe, unconscious pain within 2 months.Moreover, the operation is required when compressing the central canal at high levels at which the spinal cord, or "horse tail" is located.
Treatment of lumbar osteochondrosis, medicines
The treatment of lumbar osteochondrosis and its complications provides for the following measures.In the sharp phase (first day - two):
- To reduce muscle edema and spine, a sleepless diet is indicated, and limiting the amount of fluid used.You can even give a tablet of a light diuretic drug that saves potassium.
- The coating of the semi -rigid orthopedic orthopedic corsets, which saves the muscles from excess movement.
- From the first days, the rubbing ointments containing NSAIDs, the application of plaster, for example, "pepper" is shown.
- You cannot heat your back in the sharp stage.As inflammation increases, edema increases.Therefore, all types of heat pads are prohibited.You can heat, taking your warmth (wool belt, heating ointments), which are not added externally but, on the contrary, are taken from the depths.
- In the acute phase for osteochondrosis of the lumbar region, short -term treatment with intramuscular "injections" of NSAI and muscle relaxants can be performed.This will help stop edema of the nerve tissue, eliminate inflammation and normalize muscle tone.
In the subacute period, after overcoming maximum pain, "injections" should no longer be taken, and attention should be paid to restoration tools, for example, modern preparations of "B" vitamins.They effectively restore damaged sensitivity, reduce numbness and paresthesia.
Physiotherapeutic measures continue, time comes to perform the therapy of exercises for osteochondrosis of the spine.Its task is to normalize blood circulation and muscle tone, when edema and inflammation are already drawn, and muscle spasms have not yet been completely resolved.
Exercises for lumbar osteochondrosis of the spine should be performed after a slight warm warm, in the "warm muscles".
The main therapeutic factor is movement, not the degree of muscle contraction.Therefore, to avoid relapse, the use of burdens is not allowed, a gymnastics rug and a gymnastic stick is used.With their help, you can effectively restore the volume of movements.
Rubbing ointments, the use of iplicator Kuznetsov continues.There is a swimming, underwater massage, Dush Sharko.Interested in the humid irritation phase shown medicines for home magnetotherapy and physiotherapy.
Typically, treatment lasts no more than a week, but in some cases, osteochondrosis may appear with such dangerous symptoms that surgery may be necessary, and urgent.
Complications of lumbar osteochondrosis of the spine
It is, first and foremost, for the state when the disc herniation became an independent fragment, and, after penetrating the central channel, formed a free seizure.There, it can squeeze the tail nerves of the horse, and suddenly can (precisely in the gym, after an episode of acute pain) develop sharp weakness, or paralysis in the legs, numbness of the perineum.
After a few minutes, brutal leg pain appears, and then - a reflex delay in the urine, or the occurrence of incontinence, develops, powerlessness develops.This was born of horse tail syndrome as a complication of a disc herniation.In this case, urgent intervention, sequestral removal and restoration of horse's tail nerves are required with their decompression.
However, more often, other complications occur.With age, numerous hernia and extension appear, vertebra osteoporosis occurs, and mobility simply decreases and the risk of acute back pain increases.Such patients are sure they will "take sick rest" several times a year, and are often treated in sanatoriums.
Forecasting Treatment
The osteochondrosis of the lumbar spine, the symptoms and treatment of which we dismantled higher, as we realized ourselves, is largely not at all a disease, but simply by a manifestation of inevitable aging and premature "contraction" contraction.
Can humanity be spared from lumbar osteochondrosis?This answer can respond to the positive, but then we will have to possess another style of movement: all our lives to go to all four sides, or, like ichtyander, swim in the depths of the ocean, moving constantly in water from childhood.Then, the axial, static load on the intervertebral discs will disappear, and with it the signs of the "chime" will disappear.But another problem will arise: in the water, such a powerful design will simply become unnecessary and will begin to change until it disappears, or will not decrease significantly.
As for personal, individual forecast for osteochondrosis, it all depends on the time a person "decided to mind".If at this time there is no significant destruction of intervertebral discs, extensions, hernias and deformities, then, undergoing a healthy and hygiene lifestyle, physical activity cannot be known at the back age.
In the same case, when there is already a "hot point" in the area of the lumbar region, for example, in the form of a hernia, which periodically squeezes the nerve column, then a person should take particular care of unpleasant curves, physical exercise, improper elevation of severity and seasonal hypothermia, which usually cause osteochrosis.