Osteochondrosis of lumbar spine - Signs, diagnosis and treatment

Lumbar Osteochondrosis is a common muscle-bone system disease.The lumbar spinal column is the most sensitive to injuries due to good mobility.Also, with irregular and long-lasting seats in combination with a low -active way of life, the accelerated wear of tissue cartilage appears, which ultimately leads to osteochondrose.

You should know how to recognize the first signs in order to receive qualified medical care in a timely manner.

Brief information on osteochondrains from lumbosakracral spine

Back pain is one of the most common complaints of patients with traumatologist.The second name syndrome is Dorsalgia of intervertebral discs.According to statistics, on average 8 of 10 people during their lives at least once complained of discomfort in the lumbar zone.About a third of patients who saw a doctor, the pain syndrome acquires a permanent pathological character, which causes strong discomfort and painful condition in the patient.Long back pain cannot only cause physical torment, but also cause mental instability.

Since the fabric cartilage loses strength and elasticity, it begins to gradually become thinner and collapse.As a result, cracks occur in the vlast rings of intervertebral disks.Over time, under pressure, the fibrous ring extends, protruding and cracked.If the content of the fibrous ring is a functional core, exits, hernian forms plays.For this reason, osteochondrosis increases the chances of the appearance of such clear complications.

Causes of disease occur

In most cases, osteochondrosis has a hereditary nature.It has been proven that if the direct relatives suffered from degenerative diseases of the musculos-bone system, then their children are more often encountered by the pathologies of the spine.

Other cases have extrovetral reasons:

1. Maintaining irregular posture.
2. Excessive muscle surge associated with great physical efforts at work or when you play sports.
3. Incorrect and common weight lifting.
4. One of the most common reasons is hypodynamia.Lack of movement and minimal physical activity often leads to problems with the vertebral rook than playing sports.
5. Previously transferred inflammatory infections - tuberculosis or osteomyelitis contribute to the event of degenerative processes in the spine.In this case, Osteochondrosis will have an infectious nature and be a complication.
6. Hormonal translation can cause lumbosatral sacral osteochondrose.This phenomenon is more often associated with certain age periods.The frequent example is the intake of menopause.After the cessation of monthly cycles, women have a fall of sexual steroid hormones, which is why calcium practically ceases to absorb their body.Bone reserves are rinsed intensively.As a result, if you don't put a woman in GZT, she will earn not only osteochondrosis of the lower back, but also osteoporosis.The risk of osteochondrose is increasing with frequent use of synthetic glucocorticosteroids.The risk increases during puberty with a lack of diet, with exhausting physical efforts combined with a hard diet and when old age occurs.
7. The presence of innate ridge pathology, including the anomaly of tropism.
8. Flat rate and scoliosis.
9. Low bone structure caused by deficit in nutrition or against amenorrhea background in women.
10. Premature wear of vertebrate and joints.
11. Premorless mobile spine hypermobility, which significantly increases the risk of injury.
12. Weak abdominal muscles.
13. The presence of rare pathologies, including a narrow spinal channel, perivural fusion, spondylist, oncology or tumor of spine, neuromosisitis.
14. The presence of endocrine disorders - obesity and incompensitive hypothyroidism.
15. Previously suffered ridge injuries, ligaments, joints, tendons.
16. Bad strength and frequent psycho -emotic progress.
17. Degenerative age - modified changes.

There are also certain risk groups associated with harmful professional activities.Examples are builders, drivers, computer scientists, waiters, teachers.To reduce the risk of such diseases, you must properly distribute load on your back and engage in moderate active physical activity.

Symptoms of lumbar osteochondrose

The disease has many symptoms, so that the classification according to the type of pain is needed separately:

1. Ischemic syndromeassociated with the arteries compression passing through vertebrae.As a result of the phenomenon, the persistent deterioration of the circulation in the blood is made, which is that the diet is upset in the lower extremities.It is possible to increase blood pressure.
2. Vertebra syndromeassociated with deformations that occur in nerves and boats.With extended negative effects, holding is changing, the back is leaning, stroke changes, and muscles without physical activity are atrophy.As a result, the patient begins to experience strong pain.
3. Static syndrome.Pathological mobility is developing in the vertebrates, which can happen to kyphosis or lordosis.During the development of pathology, the spine is a gradual deformation, because in addition to curvature in vertebrating, improper muscle fixation in affected areas appear.The consequences of static syndrome - the back are twisted, and the person is no longer able to correct him.
4. Neurological syndromeassociated with a pier nerve root.If the pressure appears on the nervous endings, the patient sensitivity decreases, weaknesses in the limbs may occur.In severe cases, paralysis, refrigerators and complete loss of conductivity have been observed in relation to the damage on the nerve fibers.

General symptoms of osteochondrose lumbar spine include the following events:

1. Strong pain on the bottom of the back, including the entire lumbar region with a possible return on Sacrum.
2. With the development of radical syndrome, there are sharp pain that give beams of lower limbs.Legs usually catch cramps.There is numbness and paresthesia in his fingers.Less often, pain gives him hands.
3. It is possible to radiate kidney pain.The patient may appeal to the problems from the urinary system, which were not confirmed during the diagnosis.
4. The patient tortures a bad dream for discomfort in the lumbar area.
5. Patient feels tension and fatigue in the lumbar area.
6. When turning your back and slope, stiffness and tension felt.
7. Feet occasionally occur in the back.
8. After less physical activity, the patient feels strong fatigue.There is also a chronic fatigue in everyday life.
9. With further advancement of disease, the patient has pain at rest in the lumbar area.
10. The limbs often go into stun, and the patient often has a pathological crumbling in the back.
11. Violation of engine function due to discomfort at the bottom of the back.
12. Muscle cramps and cramps.
13. Dizziness and headache.
14. Reduction of tons of back and lower extremity muscles.

All similar symptoms require the appeal to the doctor.There are also specific signs associated with sex.Men have problems in the geniteal sphere, which can negatively affect the potency.Women have strong pain in the perineum and pelvis, which also indicates damage to nerve endings.In advanced cases, interior organs are passed, including uterus and accessories.This is due to strong atrophic processes in the muscles supporting the spine.

Varieties of syndrome and symptoms of osteochondrose lumbar spine

According to the type and natural pain, such pathological conditions share:

1. Lumbago- It is characterized by an acute condition.Characteristic signs are the inability to move from pain that occurs on the background of bastards.This situation develops more often against the background of muscle atrophy, injury, nervous roots and intervertebral discs.
2. Lumbar- Pathology characterized by debt and painful pain.More often lumbargia occurs against the background of osteochondrose, hernia, spondylosis or protrusion.With a stretched ligamental apparatus, the syndrome is more common.
3. Sciatica.This type of pain syndrome is characteristic of a lumbosacral zone.Syndrome is often confused with Ishias, which characterizes pain in the ignition caused by spraying nerve roots.Cheese pain is more often associated with the butt nerve tooth irritation, which significantly worsens mobility in the lumbar area.The patient cannot be bent normally, because the mobility of the lumbar region is deteriorated.It is also difficult to walk and sit normally.Shrging Sciatic Nerv leads to another unpleasant deterioration - a muscle spasm in a pear.As a result, the person has shots from behind to the calf muscles passing through the thigh.Hot becomes chrome, leg stockings turn to the sides, and you feel pain in the buttocks when walking, running and sitting.A comprehensive approach in treatment is required.
4. Discogenic changesassociated with the advancement of dorsopathy.The first sign of such deterioration is the loss of sensitivity and stiffness in the lower extremities.Suffering buttocks, buttocks, hips and lower abdomen.All these zones are permanent uneasy.With a strong deterioration, the signs of the inflammatory process appear - body temperature, the weakness occurs in the body, the urinary incontinence appears.The patient also aggravates appetite, leading to a reduction in body weight.In this situation, an integrated approach in the treatment of the situation is also needed.
5. RadiculopathyIt is also connected to the limit of the motor skill of the spine and tightening nerve endings.As a result of the appearance of this type of pain syndrome, the patient begins to feel the pain in the lower body, reducing or violating motor reflexes.There is a deterioration of joint mobility and a muscle tone decrease against the background of compression due to radiculitis.

All of the above pain syndromes require urgent treatment, starting from the initial phases of events.Indeed, over time, pathology is deteriorating due to which the course of disease leads to a strong deterioration in the quality of life.

Osteochondrosis of lumbar spine - Development phases

General classification of disease in phases includes such degrees for the development of osteochondrose lumbar:

1. The first degree does not cause any physiological deterioration from the spine.The patient feels well and does not doubt the presence of a spine problem.In the initial phase, active destructive processes occur.Core Pulpose changes its position, gradually seeing through the microcracks of the fibrous ring.Earlier in the article, it was mentioned that the patient was injured before the occurrence of disease, the metabolic processes, because of which the Greek cartilage weakened and is covered with microcracks.As a result, irritation of nerve endings appear, which is why the patient can feel the first signs of discomfort in the lumbar area.
2. Osteochondrosis of the second phase is characterized by the appearance of the signs of the lumbar region instability.Dynamic shifts in terms of covering and the fundamental section are in vertebra pins.The patient has signs of syndrome compression and reflex disorders.
3. In the patient, in the case of 3 phases of pathology, worsening associated with the protruding contents of the fibrous ring already appear.Regulations, prolapse or hernia appear.In the case of the third phase of pathology, the roots of spinal channels and blood vessels are clenched.At this stage of strong pains associated with ring and inflammation, they already appear.Strong mobility is also limited, shelters appear in the lower limbs.
4. The terminal phase is the fourth.At this stage, an irreparable pathophysiological change appears.The patient has bone pathologies associated with the growth of bone vertebrate bodies.As a result, the response compensation reactions appear - the load is transmitted to other, lower vertebrates.Stock, mobility limit in spine amplitude.Pathological growth of bones Press on vaccular channel and nerve endings, which significantly burdens the symptomatic flow of pathology.

Lumbars OsteoHondrosis - diagnosis

When the patient arrives in the doctor, he prescribes a number of laboratory examinations based on composed history for identifying osteochondrose lumbar hide spine:

1. X -Ray.This is a basic analysis that allows you to generally evaluate the condition of your spine.X -Ray will not show small and initial pathological changes, but will identify gross violations into the tissue bones.If the image shows the signs of wiping vertebrate or darkening that do not match the normal size, other studies are needed.
2. Computer Tomography.This is a more advanced version of the X -Ray image that allows you to see the least negative changes in the bone tissue at the scene, as the pictures are taken in three -dimensional image.
3. Magnetic resonanceCamography.This type of diagnosis is close to CT but allows you to think better about soft tissues.The MRI differs the deterioration of osteochondrose, including hernia and protrusion.This type of diagnosis is sufficient to make the diagnosis correctly associated with degenerative bone destruction - cheap tissue.
4. Conducting laboratory testsBased on biomaterials.Patients often pass a general blood and urine test to control the basic indicators.These data allow you to evaluate the patient's health status to superficially.
5. Delivery of rheumatological samples.It is necessary to analyze in order to eliminate the rheumatoid nature of pathology.

After inspection and implementation of the necessary tests, they make the final diagnosis.

Treatment of osteochondrose lumbar

In the treatment of pathology, an integrated approach is required.At 13-2 phases, conservative treatment is used using drugs and physiotherapy in the recovery period.In the presence of 3 or 4 phases, if the patient has serious indicators of health deterioration, surgical intervention is required.

Treatment of drug processes

In the event of damage to intervebrelal discs, which appeared against the background of osteochondrose Lumbusacral department, a comprehensive list of medicines is displayed.Some products serve for symptomatic therapy, others for maintaining health.

Which drugs prescribe:

1. Non-steroidal anti -infalmator medications, analgesic.These medications largely facilitate the patient's condition, especially in an acute period.Thanks to the expressive effect of this type of drug, it is possible to quickly calm pain within 1-2 days.Usually patients prescribe the NSAIDs selective types of action, because they damage the mucous membranes less.If an indifferent old NSAID cannot be used for more than 5 days, then the new generation drugs can be drunk for 2-3 weeks without fear of the consequences for a healthy gastrointestinal tract.In the presence of gastritis or ulcers it is better to be safe and use gastroprotectors, pump proton inhibitors.
2. Musorelaxans- Medications designed to remove painful muscle cramps.With osteochondrose, improper distribution of cargo on the muscular corset associated with the weakness of the spine.As a result, some muscles are tight, while others are in hypotonus.To mitigate painful spasm, the muscle relaxation is prescribed.The duration of the treatment flow and the tablet taking scheme selects a doctor attending the presence.
3. Neurotropic vitamins.Such funds include biamin vitamins, thiamine, cyanocobalamine and pyridoxin.With combined use B1, B6 and B12 in large doses, an analgesic effect occurs.The components have a positive impact on nerve endings, feed them.These vitamins also participate in the construction of minced grenades covering the nerves.Such medications are mostly prescribed by radical syndrome, when it is necessary to mitigate the pain associated with nerve ring.For 2-3 weeks, injection funds are used, and then switches to oral forms of release.
4. Chondroprotectors.These drugs have protective properties compared to cartilage.If there are clear signs of cartilage degeneration, it is necessary to prescribe ChondroProjectors with a long course.First, injection agents are used in 2-3 months and then switch to tablets.The minimum course of use is six months with a break of a few months.The current components in the composition are hondroitine sulfate and glucosemine hydrochloride.The reception and dosage are selected individually.
5. Calcium combined with vitamin D3.These components are used to strengthen bone tissue.With age, due to wearing bones, malnutrition and hormonal deficiency, fragile bones have improved.The main building material is calcium.Without it it is impossible to get a strong bone corset.To absorb calcium preparations, it is necessary to take Vitamin D3.To avoid a lack of cholecalciferol, it is necessary to visit the sun in summer regularly, and in winter to take additional vitamins.
6. Complex polyvitamines.There are research data that constant intake of vitamins in natural or synthetic form in physiological doses strengthen immunity during seasonal SARS drives, acute respiratory infections.People with lurbosakracral spine diseases should be carefully monitored by their own health.
7. Blockade with anestheticsThey are performed with poorly cut syndrome pain using NSAIDs.Intra -Articular injections of corticosteroids related to blockages are also effective.Such means help in terms of inflammation, which speeds up recovery in an acute period.The blockade performance should be performed by a highly qualified doctor with rich experience in their use.It is advisable to perform a blockade under ultrasound control so that they would not enter other parts of the spine.Such a way of treatment will help you get rid of chronic pain quickly.
8. Special fat and gels.With the help of local funds, we also fight successfully with chronic pain syndrome moderate and weak energy.Different products are cooled or heated, which generally allows the use of external drugs.Using medications on the skin surface allows you to use them for a long time.Such medications are practically not absorbed into the systemic bloodstream, so they do not cause side effects.It is important to pay attention to the condition of the skin after the application of the medicine.If there is a rash or itching, you must cancel the medicine.

Homeopathy or antispasmodics can also be prescribed.Detection diagram determines the doctor on an individual basis.

Conservative treatment methods without an Idrug

In the recovery period, physiotherapy procedures must be used to help improve blood circulation and normalize metabolic processes in the affected tissues.Active recovery methods are used exclusively after stopping acute pain.Support for conservative treatment softens the chronic course of illness, which prevents worsening attacks.

Active rehab methods include:

1. Conducting physiotherapy of physical education.With the development of lumbar osteochondrosis, special exercises are needed that improve blood flow which levels of holding and support muscles in the tone.The LFK must first be performed under the supervision of the instructor, including security rules.Exercises are performed in a standing position, sitting or lying, depending on the assigned complex by experts.If the patient is experienced, he can lead to gymnastics at home.You should not ignore the useful part of the lesson - warm -up and fastening.After good warming, the muscles are protected from tears and spots.The last execution phase accelerates the processes of recovery in the muscles.With regular exercises, the muscles become strong, which makes pain in the back weak.
2. Massage- a way to relax the tense muscle tissue in the contact conditions.A specialist with the help of hands improves blood flow in the muscles, which allows you to remove strong overvockings.Massages in combination with muscular relaxants are most effective.These drugs eliminate spasm and spasticity.Additional stimulation with hands emphasize the effect of the drug.It is recommended to visit the masseur several times a year in the courses so that a permanent effect occurs.
3. Hand therapy.Using this method of exposure, it is possible to detect muscles, not taking into account the degree of their resistance.Unlike the massage, this method is violent, although efficient.With neglected lumbar osteochondrose, it is dangerous to use manual treatment practices if the specialist is not experienced enough.Before contacting a hand therapist, you need to get acquainted with the list of contraindications, including hypertension, heart disease and the presence of the lumbar area.
4. Physiotherapy procedures.With the help of physiotherapy, it is possible to improve the local blood flow in the affected area without affecting other back zones.The essence of physiotherapy is simple: combine methods and medications for hardware processing.Examples are electrophoresis.Under the influence of a laser of a certain frequency, medications are applied through the skin.More often using the injection vitamins of the B. Group B. Allows you to enter skin skin to medications without creating system performance on the body.Magnetotherapy and therapy with a shock wave are also associated with physiotherapy methods.Air frequencies accelerate the processes of joint regeneration and ligaments without the cause of side effects.

As part of a complex treatment, acupuncture, hirudotherapy or homeopathy can be prescribed.

When surgical intervention is made

Operations are necessary in advanced cases where the patient tortures serious neurological syndromes that arose the background of lumbar osteochondrose.If the patient has a complication in the form of hernia, the limbs have begun to be drained, and the sensitivity of the hose or bladder was upset, it was urgent hospitalized.In this case, surgery is done according to the indicators of life.

There are also relative indications for surgery.Examples are a common stiffness of limbs, constant discomfort in the back, which is not subject to conservative treatment, partial finger sensitivity loss.In this case, you can opt for surgical treatment independently.

Lumbar osteohondrose is a serious pathology that requires integrated approach to therapy.At the initial phases, medications and physiotherapy are prescribed.If the disease is progressing rapidly, the operation may be required.