Many people ask this question because of the fact that it is the lower back that is most commonly subjected to extreme loads throughout a person's life.In many cases, this causes the appearance of osteochondicism or exacerbates its condition.If you start this disease, it can be a serious problem, so it is so important to perform the diagnosis over time and start treatment.In the article you will find everything about what this disease is, what are its causes and symptoms, as well as the treatment of the disease.
Reasons
The main causes of lumbar osteochondicity are:
- flat legs;
- Scoliosis.
- Mechanical injuries to the lower back.
- Metabolic violation.
- Lifestyle.
- portliness;
- violation of balance-salt water;
- Inappropriate nutrition.
- pregnancy.
Great!The reasons for problems with the lumbar spine have not been studied to the end.This means that in a particular situation it can be difficult to determine exactly what caused the disease.
Symptoms
There are several subspecies of osteochondrication, so the symptoms of the disease may vary slightly.We will then analyze every subspecies and characteristic signs.
PolyseGmenting - What is this?
Polishensic osteochondrosis (PSO) is a defeat of many parts of the spine at onceDegenerative processes.
Signs:
- Strong pain in the lumbar region.
- With sharp movements or attempts to increase something heavy, "shots" appear.
- It is difficult to perform the usual motor actions.
Projection
Protency is one of the stages of osteochondicism, during which the elasticity and height of the intervertebral discs are reduced.Because of this, the cartilage begins to remain gradually beyond the vertebrae border.
Signs:
- Pain that may appear not only when it moves, but also at rest;
- Easy numbness of the lower extremities.
- I took or redness of the lower extremity skin.
- the appearance of weakness in the legs.
- Long meeting or posture leads to pain pulling, which disappears after changing the posture.
- When we lift heavy things, there can be a severe pain in the pelvis and hips.
Intervertebral disc Hernia L5-S1
The appearance of a hernia is the last stage of osteochondry.This problem is characterized by a strong protrusion and loss of the intervertebral disc, which does not withstand the pressure of the vertebrae surrounding it.
Signs:
- Pain syndrome, which applies not only to the lower back but also to one of the lower extremities.
- The appearance of pain in one of the buttocks and a foot associated with it.
- Strong numbness or tingling in the lower extremities.
- Enhancing numbness and pain in vertical position and during movement.
- Reduce the range of movements on the lower back.
- Sailing foot syndrome.
- Change of gait and attitude.
- Strong pale or redness of the skin on the lower back and legs.
- In rare cases urine or feces occur.
Psychosomatic to women and men
Psychosomatic disorders occur due to emotional injuries.The signs of this disorder depend on the stage of osteochondrication and are not different from the previously described.
Great!When a psychosomatic disorder occurs, the patient should be treated with a neuropathologist and a psychotherapist to achieve a maximum positive result.
Do they take the army with a diagnosis?
Lumbar osteochondria belongs to the category of "B" suitability.This means that the young man has serious health problems that do not allow him to undergo military service.To obtain this category, the young man should have the following divergences:
- intervertebral hernia.
- Severe pain from physical activity.
- Noteworthy for the deformation of X -ray of vertebrae and intervertebral discs.
Steps
Lumbar osteochondria has 4 stages(or, as they are also called - grade: 1, 2, 3 and 4), each of which is characterized by certain degenerative processes.
Degenerative changes at each stage
- 1-2 stage.In 1 stage, a fibrous ring is deformed due to the displacement of the nucleus of intravenous discharge, which appears stronger than normal.In 2 stages, there is a crack of the fibrous ring, which leads to the instability of the spine section.
- 3-4 stages.In 3 stages, the intervertebral disk is completely explosive, leading to a disk loss.In 4 stages, there is a dystrophic lesion of the intervertebral disk and spondylation.
Diagnosis
To make an accurate diagnosis, the doctor must conduct a series of tests that include:
- Primary Inspection (palpation, visual inspection, level of physical activity).
- Radiography.
- Computed tomography (CT).
- Magnetic resonance imaging (MRI).
Reference.Among all diagnosis methods, MRI is considered the most modern and effective.The problem is that such a device is not in every hospital and more often magnetic resonance imaging should be done in private clinics or wait long for your order.
Various stages and varieties of lumbar osteochondrication have their own characteristics, so there is their shades for their diagnosis.
With root syndrome
Usually, rooster syndrome occurs in the last two stages of the disease.Syndrome is characterized by damage to nerve roots coming out of spinal cord.They insert and control the function of the muscles on the lower back, the genital system and the intestines.Therefore, spine syndrome in the lumbar region leads to problems with these systems.
Contact with the deformation of the intervertebral disc
Rooser syndrome occurs in the latest stages of osteochondry due to leveling of the intervertebral disc and the compression of the nerve roots with vertebrae.Magnetic resonance imaging is better for the diagnosis of this disorder, as this procedure allows you to see all changes in soft tissues.
During pregnancy and breastfeeding
If a woman leads a sedentary lifestyle, suffers from flat legs or has a genetic predisposition, the probability increases that during pregnancy she will have osteochondria.
For pregnant women, this disease is dangerous not only by pain attacks but also by the fact thatCan lead to a decrease in pelvic bone size.Because of this, a caesarean section will be required.
Unfortunately, for the diagnosis of osteochondry using MRI, CT or X -Ray before it is treated, it is prohibited during pregnancy.Therefore, treatment is empirically prescribed.If a woman has already given birth, but still continues to feed her breasts, the diagnostic method of material is also contraindicated.
Protruded
When the ledge of the intervertebral disc appears, the x -ray will not be able to show great results, since deformation only occurs with a fibrous ring and core.
A study is required with the help of magnetic resonance imaging, which scans exactly the soft tissues and can reveal a variety of degenerative changes.
Complications and consequences
If you do not cure lumbar osteochondria, it can lead to deterioration of health and the development of other diseases.
Why is the disease dangerous?
In 4 stages of the disease, such irreversible changes begin to appear as:
- Violation of spine circulation.
- Intestinal discharge problems.
- Reduce sensitivity to the groin and anus area.
- Weakness in the lower extremities.
- Frequent urination.
- Paraplegia.
- Reduce mobility on the lower back.
- Jerk muscles of the lower back and legs.
Simultaneous illness
- Radical.
- Compression-vascular ischemia.
- Compression myelopathy.
- sciatica;
- lumbago.
Treatment and rehabilitation
Now that you know what kind of disease this is, we will talk about how to deal with it.After diagnosticsThe doctor defines a course of treatment depending on the scene and the form of osteochondicity.
Orthopedic devices for the lower back
In order to reduce pain syndrome and muscle tension at the lower back, the patient offers to wear a special orthopedic corset.
It covers the entire bottom of the back, maintaining muscles, vertebrae and joints in the correct position, removing excessive intensity from them.
Drugs
Medicines are one of the important aspects of the treatment for lumbar osteochondria.Usually 5 groups of drugs are used.In normal mode, they may be ointments or tablets.If the patient is overcome by severe pain attacks, a drug exclusion is performed.
Drugs
The main groups of drugs for osteochondria:
- PainkillerIn the form of tablets or ointment.
- Anti -inflammatory.It is also used in the form of tablets or ointments.
- Tuna- Medicines that reduce muscle spasm.
- Protection- Medicines that restore bones and cartilage.
- Vitamins.Basically, Group B is used for osteochondria to help improve metabolic processes in affected tissues.
Do not try to choose the medicines yourself.All medicines should only be prescribed by the doctor.
Blockade
The blockade is the introduction of drugs using a syringe directly in the affected area of the spine.This is necessary when an acute pain syndrome seems to reduce the hassle and restore the patient's usual level of physical activity.
Physiotherapeutic methods
Physiotherapeutic methods are often used to restore spasmodic muscles and the affected tissue of the lower back.Magnetotherapy is particularly important with each other.
Magnetotherapy
This process stimulates metabolic processes, blood circulation, improves the work of the endocrine and nervous system.The method can be very painful, but quite effective.
You can improve the condition of the patient with magnetotherapy in 3-4 weeks.
Massage
Massage relieves pain and muscle spasm.It is conducted only by a specialist with medical education.Most of the time, a course for 10-12 sessions is prescribed.The final decision on the duration of treatment is made by the masseur.
Manual and acupuncture
Manual treatment eliminates pain and increases the volume of movements in the lumbar region.This is due to the improvement of its industrial musculoskeletal system, blood circulation and metabolic processes.Acupuncture has a similar effect, but it works strongly the affected muscle areas.
Therapeutic gymnastics
Exercise therapy is one of the most effective ways to combat the unpleasant consequences of osteochondry for vertebrae.Before starting lessons, consult an exercise therapy instructor.
What can and cannot be done?
In the treatment of exercise, it is prohibited:
- make sharp moves.
- Bend too much on the lower back.
- Increase the width of the movements.
In exercise treatment, allowed:
- Make smooth movements.
- Use inventory (benches, fitness sticks, dumbbells).
- Do exercises for the flexibility of the lumbar region.
Author's technique for the doctor
The doctor developed a methodology for his painful spine.When he realized that his exercises had a positive effect on the painful back, he began to share them with his patients.
The following are the three simplest and most effective exercises than gymnastics:
- For hot: Place the four and walk in this position around the room for 5-7 minutes.Prepare your knees with protective bandages.
- The main exercise.Standing at four, bend with a breath.Bend your back on exhalation.Repeat 5-8 times.
- Extends.Standing on all four, return smoothly, touching the buttocks of heels.Repeat 3-4 times.
Yoga and pilates
Pilates was designed specifically to repair the pilots who were injured back so that the system works perfectly with the spine.It is necessary to participate in this system only under the supervision of a trainer.
Yoga has many instructions, and also suitable for work with a sick spine.
Such categories are only allowed during the recession, as they are high.
Folk remedies at home
Preparation of ointment at home
You will need:
- Coconut oil - 50 gr.?
- Bee wax - 2 s.LARGE.;
- camphor - 1 s.LARGE.;
- Mint essential oil, arnica and cloves.
How to cook:
- Mix coconut oil, bee wax, camphor and heat the mixture in the microwave for 1 minute.
- Add 9 drops of mint, 7 drops of Arnica and 5 drops of oil, then mix the mixture.
- Place the ointment in a glass jar for storage.
FiniteRub the lower back 2 times a day with ointment, until the pain is reduced.
Honey and potato compression
You will need:
- 50 gr.honey;
- 1 Great potato.
Grill potatoes on a large rubbing, mix with honey and grill back with a mixture.Put the waxed paper on top and wrap the bottom back with a warm cloth.Compression must stay all night.Repeat the process until the back pain is passed.
Ginger
You will need:
- Ground Ginger - 2 tablespoons.
- Honey - 1 teaspoon.
- Carkuma Ground - 1 teaspoon.
- Black pepper - 0.5 tablespoons.
Carefully mix all the ingredients and apply a thin layer of ointment to your back.At the top, apply hot fabric.If it burns hard, gently rinse the ointment with warm water.
Herbal baths
You can use the following herbs:
- Chamomile pharmacy.
- fennel;
- AIR;
- thyme;
- sage.
Mix 20 grams of all plants and prepare a medicinal decoction.When you swim, add a final decoction to it.You can use this recipe 1-2 times a week.Herbs relieve intensity and pain in the lower back.
Surgery
This method of treatment is used in rare cases if conservative treatment methods are ineffective.During operation, the portion of the cartilage that exceeded the vertebra is removed.
If the intervertebral disc is very damaged, it is replaced by artificial.
Forecasts
The prognosis can only be given by the treating physician, since each person appears individually.It all depends on the neglect of osteochondicism and the general condition of the patient's body.
What to do with the deterioration?
During the deterioration period, it is necessary to exclude all physical activities, use drugs and wear a warm bandage.In addition, you should consult your doctor, who will give more detailed recommendations.
Prevention
How to prevent coarse diligence?
Since you cannot affect genetic abnormalities and hereditary predisposition, it will not work to be completely protected from the appearance of wholesale.
ButIn your power to observe the right day status and diet, show more physical activity and abandon bad habits.
All of these tips will help maintain spine health as much as possible.
Sick leave
The neuropathologist prescribes sick leave only with a worsening form of the disease, accompanied by severe pain, which usually begins at 2 and 3 stages of osteochondrication.
How many days do they give?
As a ruleDisease license with lumbar osteochondria has no more than 7 days.
Expert council
If you notice the first signs of discomfort on the lower back, when you lift something heavy or simply with active movements and twisting, do not tighten with the diagnostic.
The sooner you start treatment, the easier it is to treat the disease and to avoid unpleasant health consequences.
Many are used to perceiving lumbar osteochondria as something that is administered.But this disease can proceed, which will eventually have many unpleasant consequences for the patient.Remember that you yourself are responsible for your health, not for doctors, and if you find signs of osteochondry, start treatment as soon as possible.