According to statistics, 8 in 10 people suffer from discomfort and pain in the spine. Although most do not believe that this can be associated with any pathology, attributing the reasons to the characteristic concerns related to the course of life.
What is osteochondrosis?
Osteochondrosis is a degenerative degenerative disease with a complex cartilage damage to the spine. In cases of developmental process, it can spread to bone cells and tendons. Strong stress in the spine can lead to the development of this disease.Lumbar osteochondrosis occurs in the scalp, has a short-term nature and an acute pain effect.
Osteochondrosis of the lumbar spine
Lumbosacral osteochondrosis in diagnosis has a definition when elasticity disappears in the intervertebral discs, cartilage is erased and deformed. Connected ligaments and vertebrae also enter the deformation process over time. Restriction of movement due to a sensation of pain in the back and legs is considered characteristic.
Most often, such osteochondrosis occurs in the thoracic spine and cervix due to the load on the sacrum and lower back. Such defects are possible with regular and specific congenital sports activities.
According to ICD-10, lumbosacral osteochondrosis has the codes M42, M91-M93 - connective cell diseases and has the following types:
Polysgmentar- considered a common and dangerous disease, pathological processes develop in several segments of the spine and in different parts of it. With lack of treatment leads to complications because of this, you need to diagnose and start treatment on time.- Abrasive- this is a progressive type of intervertebral disc lesion has a character with severe symptoms. The course of the disease is monitored by CT or X-rays. The main criterion is the retention of sclerosed ring plates.
- Deformation- means a permanent pathology of the joints, in this regard, a degenerative inflammatory process develops. This process destroys the joint structure and leads to rapid aging. Excessive exercise is the cause of this pathology, although it may depend on other factors.
Treatment and rehabilitation
Medications
In the treatment of lumbar spine, chondroprotectors are mainly used, which are found in the form of tablets and solution for injection. For positive use, a regimen of several forms of medication is required. The use of injections is done in a significantly shorter time, and is also considered painful due to the injection of an injection directly into the spine.
Also these drugs have anti-inflammatory side effects of the mixture and rashes.
In the treatment of lumbar sacral spine, non-steroidal anti-inflammatory drugs (NSAIDs) are used, they have anti-inflammatory effects and indications for use in chronic forms and in acute pain.
The combined intake of vitamins, chondroprotectors and glucosamine also promotes healing.
Blockage in osteochondrosis
In case of severe pain that interferes with normal sleep,medication blockade is used. Such treatment is used in all types of localization of osteochondrosis.
This app only temporarily relieves pain, the medicine is injected through a puncture with a syringe in the back. The therapeutic blockade commonly used is performed with a strong pain reliever.
Physiotherapy
Physiotherapy treatment consists of reducing pain and inflammation:
- Exposure to vibration with vibration massageis the main method of physiotherapy.
- Ultrasound therapy is also used, allows the treatment of pain manifestations, there are three factors that affect the body: thermal, physicochemical, mechanical.
- Darsonval Physiotherapyis performed by supplying current to the skin through a vacuum electrode. With the effect of air ionization, a weak electrical discharge appears. With increasing voltage and secondary ionization of the air, a stronger discharge occurs.
Massage
When spinal cord blood vessels are compressed, articular muscle asymmetry occurs. In the area of deformity, compression occurs, accompanied by spasms, pain, and scarring of muscle tissue.
Massage promotes:
- decrease in pressure in the arteries of the nerve roots;
- spasms disappear;
- improves bead activity;
- blood circulation is normalized;
- slows down tissue decomposition;
- prevents the development of the disease;
- prevents muscle atrophy and restores tone.
Improves patient well-being in general, in the early stages with the use of massage combined with other methods, the symptoms disappear.
Magnetotherapy
Magnetic field treatment is used to eliminate the worsening of osteochondrosis. With this treatment, the pain disappears, blood circulation is normalized, muscles relax, and intervertebral disc nutrition improves.
The procedure is applied with aggravation, as well as at all stages of the disease, using stationary devices, also portable devices, when used at home.
Manual therapy and acupuncture
The method of manual therapy consists of rapid movements with the help of the hands to restore movement using various techniques:
- Manipulation techniqueinvolves a dosed, slow extension of the spinal joints accompanied by versatile curvature and reversal.
- Gentle techniqueis considered to aim at relaxation to gradually reduce pain and relax corsets.
The method of acupuncture therapy based on the study of biological areas and exposure to them with needles deserves great attention. Reduces the patient's need for anti-inflammatory and analgesic drugs.
Physiotherapy exercises
Sports procedures for osteochondrosis are considered necessary, but considering all stages of the disease, you should carefully choose physical exercises:
- Classes in vertebrate simulatorspromote the treatment of spinal curvature, scoliosis, kyphosis, disc herniation, and corset strengthening.
- Pool therapy exerciseslead to good results and are considered safe without injury. In 30-45 minutes of water procedures, complete muscle relaxation is achieved without much effort. These activities can improve mood and sleep. Swimming is also recommended by experts to strengthen the muscles of the lower back.
- Walking with osteochondrosisis necessary in this regard, Scandinavian walking is used, recognized by experts as effective. Due to the pillars, the load is evenly distributed on the shoulder girdle and arms, which reduces the pressure on the joints and spine.
Contraindicated in any sport such as:
- Tennis.
- Throwing the disk.
- High jumps.
- Frequent athletic activities.
The same contraindications for osteochondrosis are used for:
- Intervertebral hernia in the lumbar spine.
- In the deterioration phase.
Swimming is possible with a doctor's permission or under the supervision of an instructor.
Exercises
When doing medical gymnastics, problem areas are exposed to stress so as not to damage and return them to their normal shape:
- You should lie on a flat floor,place one palm on your stomach with the other slightly above your chest. With a smooth suction, the stomach should first rise, then the chest, exhale slowly. You need to repeat 10 times during the day 4-3 times.
- Take a prone position, raise your headand after pointing with your hands in front of you, hold your body in this position for 1-2 minutes. Then slowly get to the starting position, the exercise is repeated 3-4 times a day.
- Open your upper back upthe back of the chair slowly lean back as you take a deep breath. Then bend forward as you exhale, do this exercise 4-5 times.
- For the lower back- stand up, put your hands on your hips, lean gently forward and backward and sideways. Then make slow movements with the pelvis back and forth, repeating 10 times in each direction.
Yoga & Pilates
The use of yoga or Pilates involves the gentleness and precision of one movement gradually flowing into another. It is necessary to mentally check the condition of the muscles in each pose.
Deep breathing promotes yoga-like relaxing and calming effects:
- In a standing position as you inhale, raise your arms above youand as you exhale, bend at your right foot and touch. Repeat the same action with a bend in the left leg. In this case, keep your back straight, done within 2 minutes.
- Exercise the cobra- lie on the palm of your hand, place it around, on your hands to stand up while sucking, after throwing your head back. Keep your arms straight, breathing should be easy, chest is open and in this position for 20 seconds.
- Turn your head left and right, will stand for 10 seconds, then tilt your head down, trying to reach the neck cavity with your chin, lengthen for a while, then tilt your head back and lengthen. Repeat the exercise for 5 minutes.
Orthopedic aids
Orthopedic spine correction devices are indicated for osteochondrosis:
- Orthopedic corset- used to treat weakened muscles, while not restricting movement and protecting from the displacement of intervertebral discs, and also serves to restore the spine. After the first application, thanks to the fixation, relief comes, spasms and pain subside.
- Pillow- reduces the load on the lumbar region by unloading the pelvic organs. The orthopedic device reduces pain, maintains muscle tone and reduces vibration. There is another type of pillow device designed for the cervical spine during sleep.
Method of the author of Dr. Bubnovsky
Any person, regardless of profession and age, can apply the method of Dr. Bubnovsky. After diagnosis, the doctor prescribes an individual method of treatment, taking into account the nature of the localization and pain.
Gymnastics using this method is done independently or in multifunctional simulators under the supervision of a specialist. This allows you to intentionally distribute the load to specific muscle groups, while helping to relieve swelling, pain and spasms.
What can and can not be done with osteochondrosis?
To avoid relapse, people with osteochondrosis try different treatments. In this case, you should give up the usual things, while the heat can be left in the bathroom.
Bath promotes good warmth and stimulates physiological processes that reduce tension, swelling and pain. It is recommended to stay in the steam room no more than 10 minutes in a row and take a break at the same time.
You can also use:
- Massage.
- Yoga.
- Notes.
- Sports.
What is not recommended for osteochondrosis:
- Lift weights.
- Excess food.
- Wear uncomfortable shoes.
Treatment with folk remedies at home
To treat osteochondrosis at home, you can use alternative methods along with traditional treatment:
- Propolis- for this you need to open it in the form of a thin cake, cut the size required for application on the affected part. Adjust in this area and hold for 1-2 days the procedure takes place with a break of 12 hours until the pain disappears completely.
- Caterpillars- the essence of prevention is the relief of pain caused by venous blood flow that stagnates and provokes inflammation. The lesions bite the skin from the affected area and suck blood, inject Hirudin, which has a healing effect and improves the flow of biochemical processes.
- Mumiyo- used in diseases of the musculoskeletal system, has a stimulating, regenerative and anti-inflammatory effect. For osteochondrosis, 300 mg bandages are used. Dissolve the mumiyo in a glass of water, then make compresses.
- Mustard plaster- have heat healing properties. With the expansion of blood vessels and have the ability to distribute blood, increasing the flow of useful elements and oxygen. They also relieve the sensation of pain and inflammation, improving the condition of the intervertebral discs.
Kuznetsov implementerhas a fairly simple structure, including plastic plates with knives, which are fixed to a solid base. Depending on the base of the pain, the applicator has a different shape: a flat mattress, roller or clamp belt.
There are also rivets and magnetic elements. The size of the pins is from 2 to 5 mm, the intermediate length is from 2 to 8 mm.
Prevention of medial osteochondrosis
Neurologists with acute osteochondrosis recommend swimming exclusively in swimming pools because there is a current in natural reservoirs that will increase the load on the spine. The water temperature should be 30 degrees, then you can lower it to 23 and, depending on the disease, a swimming style is chosen.
Also in prevention you should follow proper sleep rules, which include:
- choosing the right mattress;
- flat base with medium hardness;
- orthopedic pillows;
- correct diet, which includes the use of foods with vitamins C, PP, E, B3.
Lowering rules - this requires a soft chair or stool, while the weight of the body will not create pressure on the lower back. The body itself must be in the ischial tubercles, which is only possible in firm seats.
Hospital - with osteochondrosis of the lumbar region
Sick leave and its duration depends on the complications and the nature of the course of the disease:
- Pain syndrome.
- The disease caused immobility.
- Working conditions and profession.
- Also from the treatment prescribed by the doctor.
- With radicular syndrome, it can last up to 3 weeks.
- In case of complications, more than six months.
- Lumbar osteochondrosis - depends on the location, severity of pain from complications and lasts at least a week.
Hospital treatment is prescribed in severe cases, after which the doctor recommends a change of profession.