According to statistics, 8 out of 10 people suffer from discomfort and pain in the spine. Although most do not believe that this can be linked to any pathology, the causes are attributed to the characteristic discomforts associated with the course of life.
What is osteochondrosis?
Osteochondrosis is a degenerative dystrophic disease with a complex lesion of the cartilage of the spine. In cases of the developmental process, it can spread to bone cells and tendons. Strong stress on the spine can lead to the development of this disease.
Lumbar osteochondrosis occurs in the coccyx and has a short-term and acute painful effect.
Lumbar spine osteochondrosis
Diagnosed lumbosacral osteochondrosis is defined as when elasticity disappears in the intervertebral discs, cartilage is erased, and deformed. The ligaments and adjacent vertebrae also enter the deformation process over time. Restriction of movement is typical due to back and leg pain.
Most often, such osteochondrosis manifests itself in the thoracic and cervical spines due to the load on the sacrum and lower back. Such errors are possible with regular exercise and innate specificity.
According to ICD-10, lumbosacral osteochondrosis has codes M42, M91-M93 - there are connective tissue diseases and the following types:
Polysegmental- a common and dangerous disease, pathological processes take place in several segments of the spine and its different parts. In the absence of treatment, this leads to complications, so you need to diagnose and start treatment in time.- Erosiveis a progressive type of intervertebral disc that has severe symptoms. The course of the disease is followed by CT or X-rays. The main criterion is to retain the sclerodized annular plates.
- Deforming- means a permanent pathology of the joints, in this respect a degenerative inflammatory process develops. This process destroys the structure of the joints and leads to rapid aging. Excessive exercise is the cause of this pathology, although it may depend on other factors.
Treatment and Rehabilitation
Medication
Chondroprotectors are mainly used in the treatment of the lumbar spine and are available as tablets and solution for injection. Positive use requires several drugs. The injections are given in a significantly short time and can also be considered painful due to the injection directly into the spine.
These medications also have anti-inflammatory side effects such as nausea and rash.
Non-steroidal anti-inflammatory drugs (NSAIDs) are used to treat the lumbar sacral spine, have anti-inflammatory effects and are indicated for chronic and acute pain.
The combined intake of vitamins, chondroprotectors and glucosamine also promotes healing.
Blockade in osteochondrosis
drug blockadeis used for intense pain that interferes with normal sleep. Such treatment is used in all types of localization of osteochondrosis.
This application only temporarily relieves pain, the drug is injected into the spine by piercing with a syringe. Frequently used therapeutic blockade is performed with a strong analgesic.
Physiotherapy
Physiotherapy treatment consists of reducing pain and inflammation:
- Vibration exposure with vibrating massageis the main method of physiotherapy.
- Ultrasound therapy is also used, allows the treatment of manifestations of pain, has three factors on the body: thermal, physicochemical, mechanical. Physiotherapy with
- Darsonis performed by applying current to the skin through a vacuum electrode. When ionized with air, a weak electrical discharge appears. As the voltage increases and the secondary ionization of the air, a stronger discharge occurs.
Massage
When the blood vessels in the spinal cord are compressed, joint muscle symmetry appears. In the area of deformation, compression occurs, accompanied by convulsions, pain, and scarring of the muscle tissue.
Massage helps:
- decrease in pressure on the arteries of the nerve roots; the
- cramps disappear;
- improves vertebral activity;
- blood circulation normalizes;
- slows down tissue breakdown;
- prevents the development of the disease;
- prevents muscle atrophy and restores tone.
Improves patient well-being in general, with symptoms combined with other methods at an early stage to relieve symptoms.
Magnetic Therapy
Magnetic field therapy is used to prevent the worsening of osteochondrosis. With this treatment, the pain is eliminated, blood circulation is normalized, the muscles are relaxed, and the nutrition of the intervertebral discs is improved.
The procedure is used with exacerbation and at all stages of the disease, including stationary devices, portable devices when used at home.
Manual therapy and acupuncture
Hand therapy consists of hand-twitching movements that restore mobility using a variety of techniques:
- The manipulation techniqueinvolves a metered, slow extension of the spinal joints, which involves versatile bending and inversion.
- Soft Techniqueis considered relaxation to gradually reduce pain and relax the ligament.
The method of acupuncture therapy, which is based on the study of biological zones and their exposure to the needle, deserves increased attention. It reduces the patient's need for anti-inflammatory and analgesic drugs.
Physiotherapy exercises
Sports procedures for osteochondrosis are considered necessary, but physical exercises should be carefully chosen for each stage of the disease:
- Classes on vertebral simulatorshelp treat spinal curvature, scoliosis, kyphosis, disc herniation, and muscle ligament strengthening.
- therapeutic practice in the poolleads to good results and can be considered safe without injury. During 30-45 minutes of water treatments, complete muscle relaxation can be achieved without any effort. Such activities can improve mood and normalize sleep. Swimming is also recommended by experts to strengthen the lower back muscles.
- Osteochondrosis walkingnecessary in this regard, Scandinavian walking is used, which is effectively recognized by experts. Due to the poles, 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.
- Disc discard.
- High jumps.
- Common athletic activities.
The same contraindications are used for osteochondrosis:
- Intervertebral hernia in the lumbar spine.
- In the exacerbation stage.
Swimming is possible with the permission of a doctor or under the supervision of an instructor.
Exercises
During a medical gymnastics, problem areas are exposed to stress so as not to damage them and restore them to their normal shape:
- You should lie on a flat floor,place one palm on your stomach and the other just above your chest. With a smooth inhalation, the stomach should rise first, then the chest, exhale slowly. You need to repeat 10 times 10 times during the day.
- Take a prone position, lift your head, and after focusing with your hands in front of you, hold your body in this position for 1-2 minutes. Then slowly take the starting position, the exercise is repeated 3-4 times a day.
- Open the upper backrest upwardsThe back of the chair slowly bends back as you take a deep breath. Then lean forward as you exhale, do this exercise 4-5 times.
- To the lower back- stand up, put your hands on your hips, gently tilt back and forth and around. Then slowly move the pool back and forth, repeating ten times in both directions.
Yoga and Pilates
Using yoga or Pilates involves the smoothness and precision of one movement that gradually flows into the other. In each pose, the condition of the muscle should be mentally checked.
Deep breathing promotes relaxing and calming effects, similar to yoga:
- Standing while you inhale, raise your arms above you, and while exhaling, bend your right foot and touch it. Repeat the same operation with the left foot bent. In this case, keep your back straight, done within 2 minutes.
- Exercise the cobra- lie on your chest, place it around, put your head back on the hands that rise when you inhale. Keep your arms straight, breathing should be easy, chest open and in this position for 20 seconds.
- Turn your head right and left,linger for 10 seconds, then tilt your head down and try to reach the neck cavity with your chin, linger for a while, then tilt your head back and lean back. Repeat the exercise for 5 minutes.
Orthopedic aids
Orthopedic devices for spine correction are indicated for osteochondrosis:
- Orthopedic Corset- Used to treat weakened muscles, while not restricting movement and protecting the movement of intervertebral discs and also restoring the spine. After the first application, the fixation relieves the cramp and the pain subsides.
- 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 that is designed for the cervical spine during sleep.
The author's Dr. Bubnovsky method
Everyone can use Dr. Bubnovsky's method, regardless of occupation or age. After diagnosis, the doctor prescribes a unique method of treatment, taking into account the nature of the localization and the pain.
According to this method, the exercise takes place on its own or on multifunctional simulators under the supervision of a specialist. This allows you to target the load on specific muscle groups while helping to relieve swelling, pain and cramps.
What can and cannot be done with osteochondrosis?
People with osteochondrosis try different treatments to avoid relapse. In this case, you have to give up the usual things while you can leave the heating in the bath.
The bath promotes good warming and stimulates physiological processes that reduce tension, swelling and pain. We recommend that you do not stay in the steam bath for up to 10 minutes in a row and take a break at the same time.
You can use:
- Massage.
- Yoga.
- Swimming.
- Sports.
What is not recommended for osteochondrosis:
- Lift the weights.
- Overeating.
- Wear uncomfortable shoes.
Treatment with home folk remedies
Alternative methods to treat home osteochondrosis can be used in conjunction with conventional treatment:
- propolisFix this area and hold for 1-2 days, the procedure is followed by a 12-hour break until the pain completely disappears.
- Lores- Prevention is the alleviation of pain caused by the outflow of stagnant and inflammatory venous blood. Leeches bite into the skin from the affected area and suck blood, injecting Hirudin, which has a healing effect and improves the course of biochemical processes.
- Mumiyo- used in musculoskeletal disorders, has a stimulating, regenerating and anti-inflammatory effect. In osteochondrosis, 300 mg of compression is used. Dissolve the mumiyo in a glass of water and make a compression.
- Mustard plasters- have healing warming properties. The blood vessels dilate and are able to disperse the blood while increasing the flow of beneficial elements and oxygen. They also relieve the feeling of pain and inflammation by improving the condition of the intervertebral discs.
Kuznetsov applicatorcontains plastic plates with spikes of fairly simple construction, fixed on a solid base. Depending on the cause of the pain, the applicator has a different shape: a flat mat, roller, or belt with fasteners.
There are also accessories with pins and magnetic elements. The size of the pins is 2-5 mm, the intermediate length is 2-8 mm.
Prevention of lumbar osteochondrosis
Neurologists with acute osteochondrosis only recommend swimming in pools because there is electricity in natural reservoirs that increases the load on the spine. If the water temperature is 30 degrees, you can reduce it to 23 and choose a swimming mode depending on the disease.
Prevention should also follow the rules of proper sleep, which include:
- choosing the right mattress;
- flat, medium hardness base;
- orthopedic pillows;
- is the right diet that includes the use of foods containing vitamins C, PP, E, B3.
Seating rules - this requires a soft chair or chair until the body weight puts pressure on the lower back. The body itself must be on the ischial tubercles, which is only possible on hard seats.
Hospital with lumbar osteochondrosis
Sick pay and its duration depend on the complications and the nature of the disease:
- Pain syndrome.
- The disease caused immobility.
- Working conditions and occupation.
- Also from the treatment prescribed by your doctor.
- Can be extended for up to 3 weeks with Radicular Syndrome.
- More than six months for complications.
- Lumbar osteochondrosis - depends on the location of the site, the severity of the pain syndrome complications and lasts for at least a week.
In severe cases, inpatient treatment is prescribed, after which the doctor recommends a change of occupation.