You probably can't find a single adult who didn't know what was "lumbar osteochondrosis".On average, every three healthy people and sometimes more often in their lives were an episode of acute lower back pain, and the fifth - sixth indicates that such problems are regularly arose and even the "source" of the hospital letter.
Despite explaining in detail what has happened exactly to the infringement in the lower part, patients are most often unable.Most have never been examined and, in the form of "injections", "ointment", from massage to several months to one year.
If you are "posing" for such a patient and starts to get interested in the diagnosis, you have suffered a bit and declares that "osteochondrosis" is a patient.What does this disease mean relative to the lumbar spine?
The lumbar region osteochondrosis - a disease or "standard of life"?
Above all, you must say credibly: "osteochondrosis" should not hurt.And it does not manifest itself in any way, as it is the process of dystrophy and the degeneration of the intervertebral discs, that is, cartilage consisting of a pulpic core and a fibrous ring.The intervertebral plate is cartilage and is designed to shock "airbag", softening vertical and angular acceleration - inhibition - inhibition between adjacent vertebrae.
As you know, the cartilage has no nerve and vascular tissue, so the processes that are "purely in the discs" simply cannot affect the adjacent structures and do not appear in any way.A similar example is the hernia of Shomorle, in which the hernial protrusion is reliably covered by the spongy bone tissue of the adjacent vertebrae.Intervertebral plates do not harm.
Chondrosis (the "-o" suffix is growth, growth), in this case not quite correct.It does not occur in the human life of growth and cartilage growth.Here, with the fibrosis of the liver (cirrhosis), it can be noted that the mesh structure of the liver began to be at the detriment of the function.
And in the case of chondrosis (or osteochondrosis), intervertebral discs begin to change their configuration only due to perennial loads.
They cause pressure on the adjacent vertebrae because, under Newton's law, each action gives each action exactly the same opposition or the reaction of support.How does osteochondrosis develop and what does this happen for?
The causes of "lumbar osteochondrosis"
Signs of osteocondrosis of the lumbar region (or more precisely, intervertebral plates) are already found in juvenile, especially with various violations of the muscle bone system.
For example:
- congenital disorders (length of different legs);
- various types of flat legs (longitudinal, transverse);
- Deformation of the spinal column (skoliosis);
- Spondylolistz (the lower, lumbar vertebra is slipped from the sacred bone, both forward and back).
All of these diseases can cause or increase shock in the spinal column (for example, with flat legs when the elasticity of the foot arc is reduced) and with severe asymmetry of the spine when the support is systematically achieved due to the load on the edge of the plate.
It was known that the experiments showed that healthy and young cartilage, if they had a steady and static load on the surface, were able to withstand up to 2000 kg and even higher themselves.Of course, there is no such load in everyday life, but it increases to such values when exposed to the edge of the plate.
If the holding area is 20 times smaller and the disc will not be as healthy (for example, in old age), the 60-80 kg exposure (such as the ice on the side, with the load on the shoulders) may cause discs, which may be in the form of protrusion or hernia.
The appearance of protrusion or hernia indicates that the disk is deformed and even "climbed" from one or more sides.And around the disk, as you know, there is no empty space.As soon as the disk begins to connect with the nerve roots, adjacent ligaments and muscles, there are consequences of osteochondrosis: reflex pain and muscle-tonic syndromes, which cause the sick neurologist, hand therapist and masseur.
In the meantime, the discs are normal and worn out evenly, without extreme loads, and then patients with osteochondrosis of the lumbar spine are not just the usual wear in which the criminals are well known.How do reflex pain syndromes manifest?
Symptoms and signs of sophisticated lumbar osteochondrosis
You have already noticed that we are diligently "breeding" bridges: the usual osteochondrosis is a completely inevitable process of proper aging of elastic intervertebral "rational man" type, as it moves vertically throughout life.And the "osteochondrosis" that is in a complex condition by acute analgesic patients.
Perhaps we start with signs of radical compression.The signs of lumbar osteochondrosis are, of course, associated with pain because of the disc -pressed segmental nerve spine.In addition to pain, sensitive, motor and vegetative tropical disorders are also possible.
Low pain in osteochondrosis has the following features:
1) Rimed pain.Secondary and progresses according to the type of neuralgia, when the swollen nerve spine reacts very "violently" to concussion.
The pain is a sharp, sudden shooting, the lower back piercing, and maybe gives up.The pain appears and increases immediately, called "Lumbago" or "background".This is a "shutter" that causes a person to "get up to Naracan" because all movement leads to increased pain.
In addition, pain at the smallest cough, sneezing, tension, laughter - in any situation in which the swollen spine shakes.
In the event that the spine is part of the sciatic nerve, the pain shoots through the buttocks into the popliteal fossa and below it, and it is called "lumbar -algia".
2) Muscle pain.There is a large mass of muscle near the nerve spine.They often "stand up" in the spring and autumn and become dense.Venous outflow is difficult in them, and they themselves are the source of pain.
This pain hurts, constant and not so hard.On the contrary, it not only enhances sharp movement, but also in an extended monotonous position (deterioration of blood supply).
- Occasionally such myofascial syndrome occurs after the protrusion or hernia is exacerbated, when the sharp "hook" of the hernia "massages" the muscles and ligaments for a long time.
3) Engine disorders.Since the disk is not only sensitive, but also a motor spine can print peripheral paraesis or even paralysis.With different levels of damage, the weakness of the legs (for example, weakness is climbing on the stairs), the weakness of the leg, which leads to damaged walking.
There is muscle hypotrophy, one foot is "weight loss".Such a purely motorized, painless disorder is rare and can lead to disabilities without any unnoticed disability.
4) sensitive infringements.After the pain and pain, they often exist with pain.These are numbness, a decrease in the sensitivity of the legs of the legs in the form of "stripes" in the form of vertical stripes, in the fingers and legs in the feeling of "climbing goose,".
- Occasionally, the symptoms are combined with hyperhidrosis, skin cooling, hair growth and nails due to damage to vegetative fibers.
These are the most comprehensive signs of complex lumbar osteochondrosis in the lumbar region.There are separate syndromes such as damage to the outer skin of the thigh, or damage to ponytail, epiconus, pure radiculitis or pear -shaped muscle syndrome - but even their short description takes too much time.
For patients, the above is sufficient, the main signs for the subscription of the neurologist.How to "remove aggravation with your own hands"?How to treat the lumbar osteochondrosis of the house?
What do you need to do during the aggravation of lumbar osteochondrosis?
All treatments are based on etiotropic treatment (removal of the cause) and pathogenetic treatment (affecting the mechanisms of the disease).Symptomatic therapy is adjacent.
With vertebrate pain (caused by spine problems), things are like this:
- Eliminating the cause of pressure from protrusion, hernia or a cramped muscle with a nerve root;
- The effect on mechanisms is to eliminate muscle spasms, restore the venous outflow of muscles, removal of nervous spine and combat inflammation;
- The elimination of symptoms (fighting pain, numbness, restriction of mobility) is carried out by returning to paragraph 2, as removal of edema and inflammation, for example, returns to mobility and relieves pain.
To get rid of protrusion and hernia
As a general rule, it does not handle acute back pain.They almost always stop the pain syndrome at first, and after the massage and treatment activities of the manual therapist, all symptoms disappear and the operation is not required.
The issue of surgical intervention arises with the progress of the leg weakness and with severe, unconscious pain within 2 months.In addition, the operation is needed when the central channel is compacted at a high level where the spinal cord is located or the "ponytail".
Lumbar osteochondrosis, treatment
Treatment and complications of lumbar osteochondrosis require the following measures.In the sharp stage (first day - two):
- To reduce muscle edema and spine, a sleepless diet and restriction of the amount of fluid used.You can even give one tablet from a mild diuretic drug that saves potassium.
- The wearing of a semi -ride orthopedic corset appears that saves the muscles from excessive movement.
- From the first few days, the use of NSAIDs containing NSAIDs, such as the use of a plaster, such as "Pepper".
- You cannot heat your back into the sharp phase.As inflammation increases, edema increases.Therefore, all kinds of heating pillows are prohibited.You can heat your own warmth (wool belt, warming ointment) that are not added from the outside, but on the contrary, it is taken out of the depth.
- In the acute phase of osteochondrosis of the lumbar region, short -term treatment can be performed with intramuscular "injections" of NSAI and muscle relaxants.This promotes the edema of the nerve tissue, eliminates inflammation and normalizes muscle tone.
During the subacute period, after overcome the maximum pain, "injections" no longer need to be taken and paid attention to restorative devices, such as Group B's modern vitamin preparation.They effectively restore impaired sensitivity, reduce numbness and paraesthesia.
Physiotherapeutic measures continue, the time to exercise the therapy of osteocondrosis of the lumbar spine.Its task is to normalize blood circulation and muscle tone when edema and inflammation have retired and muscle spasms have not yet been completely resolved.
Exercises for lumbar osteochondrosis of the spine on "warm muscles", "warm muscles".
The main therapeutic factor is movement, not the degree of muscle contraction.Therefore, the use of the burden is not allowed to avoid relapse, using a gymnastic rug and a gymnastic stick.With their help, you can effectively restore the amount of movements.
Rubbing the ointment, the use of Illicator Kuznetsov.Swimming, underwater massage, Sharko shower appears.Medicines for home tape therapy and physiotherapy are presented in the damped aggravation stage.
Treatment usually lasts not only for a week, but in some cases osteochondrosis can be manifested with dangerous symptoms that surgery may be needed and urgently.
Complications of osteochondrosis of the lumbar spine
Above all, the situation is when the disk's hernia has become an independent fragment and is free to break after the central channel is penetrated.There you can squeeze the ponytail nerves and suddenly (just after the gym, after the episode of acute pain) can create sharp weakness or paralysis of the legs, perineum numbness.
After a few minutes, the brutal pain of the legs appears, then - the reflex delay of the urine or the appearance of incontinence develops, the impotence develops.This horse's tail syndrome developed as a complication of the disk hernia.In this case, urgent intervention, sequential removal and restoration of ponytail nerve function are required with decompression.
At the same time, other complications are most often found.Age, multiple hernia and protrusion occurs, the vertebrae osteoporosis appears and mobility simply decreases and the risk of acute back pain increases.Such patients are sure to "take sick leave a few times a year and are often treated in sanatoriums.
Forecasting
Lumbar spine osteochondrosis, symptoms and treatment treatment were higher, as we understood, largely not at all illness, but simply a manifestation of the inevitable aging and early shrinkage of intervertebral discs.
Is it possible for mankind to spare completely lumbar osteochondrosis?This answer can answer in affectionately, but then we have to learn another lifestyle: swimming all our lives in four or, like Ichtyander, swim into the ocean, moving in the water from childhood.The axial load of the intervertebral plates disappears and the signs of "chondrosis" disappear.But another problem arises: such a powerful design in the water will simply be redundant and start to change until it disappears or decreases significantly.
As for the personal forecast of osteochondrosis, it all depends on the fact that one "decided to pick up the mind".By then, if the pronunciation of intervertebral discs, protrusions, hernia and deformation had not been destroyed, physical activity in a healthy lifestyle and hygiene is not known to the age of the lower back.
In the same case, if you already have a "hot dot" in the lumbar region, for example, in the form of hernia that periodically press your nerve spine, you should be particularly careful for embarrassing turns, inadequate leaks and seasonal hypothermia, which usually causes osteochondrosis.