Osteochondrosis is a degenerative and nourishing disease of the lumbar spine.With the development of the disease, the inter -regional discs are most affected, the damage also extends to the joint surfaces, ligaments, vertebrae.
The ratio of osteoarthritis of the spine is 80% of all diseases of the peripheral nervous system.In 60 matches 80% of cases, this is lumbar osteoarthritis.At least 7 out of 10 people experienced regular back pain throughout their lives.For serious and average stages, accounts 3 to 16 days a year for.But the disease may and should be treated to maintain the longevity and health of the musculoskeletal system.We will tell you why this disease develops, how it manifests and treatment of osteoarthritis of the lumbar spine.
What is Osteochondrosis
Osteochondrosis is a chronic spine, accompanied by a change in the structure (destroying) and reducing the volume (nourishing) of the discs.They began to stick to the spinal cord and squeeze blood vessels.In addition, the disease is characterized by the destruction of the arches between the thorns of the vertebra.
With osteoarthritis, bone cells are also formed.This is the name of pathological growth, the consequence of bone growth growth.He was facilitated by the violation of the metabolism of calcium in the vertebrae and the high load caused their deformation.
Attention!Lumbar osteoporosis is characterized by all pathological processes inherent in osteoarthritis in general.But they only affect the lumbar spine, including 5 vertebrae.
Reasons for development and risk factors
To understand the causes of osteoarthritis of the lumbar region, you need to know the structure of the spine.It is a column of vertebrae, connected to different disks and ligaments.The holes inside them form an empty channel.Inside it is the spinal cord, its root appears between each pair of vertebrae.
When a person relies on, the spine is bent.In the position of the fold, the compressed intervertebral plates are tight and their core is moved.This reduces the pressure on the spine during loading.Therefore, the disc is a biological shock absorption.When he stops performing the function of absorbing shock, osteoarthritis develops.
The following factors tend to develop pathological pathology:
- Mobility or too hard working.In the sitting position, the muscles of Corset are relaxed, increasing the load on the spine.Heavy elevators lead to this.
- Lower.In those who lead a sedentary lifestyle, the muscle corset is not strong enough to keep the spine in the right position.
- Excess body weight.Excess weight clicks on the spine and overload it.
- Endocrine disease.Hormone affects metabolism, including the country.Hormonal imbalance can lead to violation of calcium metabolism.
- Nutrition is not suitable.Not enough vitamins, minerals and proteins to break the nutrients of the spine and lead to changes in its tissues.
- The pathology of the musculoskeletal system.Osteochondrosis can occur on the foundation of the feet flat, injury and the curvature of the spine.
- Genetic trend.The risk of developing bone and joints increases if it has close relatives.
- Change related to age.With age, elasticity and mobility of the spine decreases.
In men, lumbar osteoarthritis disease is more common.This is due to the fact that their work is often related to heavy physical labor.Men are also undergoing large loads in the process of training strength in the gym.
Symptoms of lumbar osteoarthritis
Pain is the main sign of the disease.Its characteristics, localization and distribution direction are determined by the receptor clamped in the spine.Typically, patients complain about pain, enhance with changes in body position, no long -term changes in posture and sudden movement.With lumbar osteoarthritis, she often takes him into her leg, sacrum or groin.In the horizontal position, the pain decreases.
Other possible symptoms of lumbar osteoarthritis:
- A feeling of tension on the lower back arises from bending and expanding.It is caused by the movement of the spinal cord root.
- A weak feeling in the leg.Perhaps the extinction of tendon reflexes in them.This is due to compression of nerve fibers that perform signals from the brain to the lower limbs.
- The curvature of the lumbar spine is aside (scoliosis) or ahead (Lordosis), smoothing its natural bends (kyphosis).
- Urinating without voluntary and defecation (if the spinal cord is clamped).For the same reason, an erection may be weakened in men.
- The cooling of the lower back.The butt can also become cold.This happens with Lobosacral Osteochondrosis, symptoms and treatments similar to pathology, positioning on the lower back.
- Violating sensitivity in the damage area.They can last from a few minutes to a few hours.Sensitivity may increase, decrease or disappear.Perhaps the development of paresthesia - the tingling and cow.
Osteochondrosis of lumbar spine, symptoms and treatments that we will analyze in this article, is an implicit disease.It begins with discomfort and mild pain.But they were ignored because they quickly overcome after rest.Over the past years, the pathology has progressed, its signs have been strengthened.And only when the pain becomes inseparable, the patient seeks medical help.
The level of lumbar osteoarthritis
The development of lumbar osteoarthritis consists of 4 stages:
- The first phase is characterized by the shift of the core of the Intervertebral disk.It comes with a weak lower back pain, enhancing during the movement.A short tingling sound at the back and butt is possible.
- In the second phase, the fiber of the disc is destroyed, leading to the relationship of the vertebrae.They squeeze the nerve ends, causing intense pain when walking.It can spread to buttocks, thighs and lower legs.If you bend back, the pain is worse when burning, sometimes it feels cold.
- In the third phase, the complete destruction of the yarn occurs.Propes (hernia) appears - The discs protruding in the spinal cord.The vertebrae of the belt department are deformed.The pain is felt continuously, but when rest is weaker.
- At the end, bone cells are formed, the cartilage tissue of the spine is destroyed.The pain then gradually decreases, then worsen with new vitality.The body movement becomes limited.
Early diagnosis of osteoarthritis of the lumbar region, symptoms and treatment, which are closely connected to each other, are very important.The less the disease is, the more effective it is treated.Therefore, a doctor should visit when any back pain cannot be understood and the lower back appears.
Complication
If there is no treatment for the development of 1 and 2 degrees of lumbar osteoarthritis, Intervertebral hernia is formed.This shows the transformation of the disease to the late stage and threatens the development of complications such as:
- Sciatica;
- Arthrosis (destroying) of intervertebral joints;
- Destroy the fiber ring of the disc;
- narrowing Intervertebral channel;
- Compressed spinal cord dysfunction;
- Ponytail syndrome;
- Schmorl hernia;
- Lamility and rigid movement.
Treatment properly selected will help prevent the formation of hernia with lumbar osteoarthritis and other complications.It is prescribed after a patient diagnostic study.If not, the disease will continue to progress, which can lead to the development of defects.
Diagnostic method
With lower back pain, you should contact a neuroscientist.He will listen to complaints, check and feel his back, ask about existing diseases.In addition, the doctor may prescribe:
- X -ray.A X -Ray picture of the spine column will help assess the condition of the disc and spinal cord.In the absence of visible changes, lumbar osteoarthritis disease is diagnosed.
- Computer layer (CT).Assign if X -Ray has displayed changes in the lumbar spine.With its help, you can assess the level of damage to the disc, nerve end and the shell of the spinal cord.
- Magnetic resonance layer (MRI).It is an alternative to CT, which can be specified with the presence of contraindications for a X -Ray study.Suitable for pregnant and lactating women.
Sometimes the magnetic resonance layer is calculated and the magnetic is done with intravenous contrast.This is the name of a substance that highlights fabrics from the inside.With it, you can get the image of the spine of maximum quality.CT and MRI with contrast are performed to eliminate tumors with non -pathogenic symptoms for lumbar muscle disease, and treatment in this case is postponed for final diagnosis.
Treatment of lumbar osteoarthritis and its types
The doctor prescribed treatment takes into account the stage of pathological development.It is designed to eliminate pain, prevent inflammation processes, restore metabolism and blood circulation in the area of damage.With osteoarthritis of the lumbar department, treatment is also related to the application of a complex of measures to strengthen the back, legs and lower buttocks.
Most treatments are conservative.They include drug therapy, physical therapy procedures and physical therapy exercises, folk remedies.When moving to 3 degrees, treating the joints of the lumbar spine by conservative methods does not always lead to the desired results.In this case, the patient's condition may facilitate surgery.
Drug treatment
Drug treatment is effective at 1 and 2 stages of pathology.But it is important to remember that the choice of the drug is determined by the symptoms caused by lumbar osteoporosis, and the treatment is a strictly prescribed prescription treatment.You can just go to the pharmacy and ask a remedy about osteoarthritis.Even if it is sold to you, treatment will not be effective.
Patients may be indicated the following drug groups:
- Analgesic.They help eliminate extreme pain in the joints of the waist.They can be used local (ointment, gel), taken inside (tablets) or intramuscularly with a syringe (solution).
- Steroid anti -inflammatory drugs.They have three actions: reduce temperature, relieve pain, reduce inflammation.They are prescribed if, with lumbar osteoarthritis, lower back pain or sciatica.To relieve pain, the gel is used in the locality, to fight inflammation, take medicine or inject.
- Musorelaxants.This is the name of measures that reduce painful muscle cramps.They are taken in the form of tablets or intramuscularly in the form of solution.
- Chondroprotector.Providing effective treatment for lumbar osteoarthritis with drugs in the early stages, provided that its full course is adopted.This group of drugs prevents the destruction of disc and regenerates them.
To restore the organs metabolism, the patient is also prescribed vitamin and vitamin complex.Doctors may also recommend following a diet.Its goals not only reduce body weight, but also enrich the body with protein, natural vitamins and minerals.
Physiotherapy
For lumbar osteoarthritis, drug treatment is not enough.It should also include physiotherapy methods.They relieve pain, relax muscles and restore local metabolism.Usually, patients are specified the following procedures:
- Laser therapy (contact with laser spine);
- Magnetic resonance therapy (contact with magnetic field);
- Darsonvalization (exposed to damage area for high frequency pulse flow);
- Phonophoresis (manage medicinal solutions into deep layers of skin with ultrasound).
Craft therapy is also highly effective.Back massage with lumbar joints is prescribed after fading the pain.It relaxes muscles, accelerates blood circulation, and thus nutrition of tissues.It is very useful to combine massage with bathtub or sauna.But the heating procedures are only allowed during the disease.
Medical physical education
Exercise for lumbar osteoarthritis includes exercises to enhance muscle corset.They also increase the mobility of the spine and enhance blood circulation in its tissues.This prevents degenerative processes and improves the patient's condition.
The basic complex of exercise therapy includes 5 exercises:
- Curly.Enhance the muscles of the abdomen.Lie on your back, bend your knees and cross your arms behind your head.Then take a breath and exhale, lift your body as if you want to touch Pubis.The lower back should be pressed to the floor.
- Exercise "cat".Relax the muscles of the back, unload the spine.Standing on Karachka (on your knee, lying still with the palm of the floor).Hold your head and bend your back in the way the cat works when it feels dangerous.Then, lower the head and bend the back, like the cat when it woke up.
- Lie.Enhance the muscles of the abdomen and hips.Lie on your back, cross your arms behind your head, bend your knees and press them to each other.Do not disconnect your legs, first turn them to the right, touch the floor with them, return to their original position and do the same with the left side.The body will remain motionless.
- Bridge.Enhance the muscles of the buttocks, prevent the curvature of the spine and smooth it.Located on the floor, put your arm along the body, bend your feet in your knee.Pelvic lift and linger this position for 5 seconds.
- Exercise to extend your lower back and legs.Sitting on the floor, stretching your legs in front of you, spreading your shoulders in width.First, leaning towards one leg, pulling it with your hand with your toes, how long the muscles are.Cling to 20-30 seconds.Now do the same with the second stage.
You should start with a minimum number of exercises repeating, gradually bringing them to the maximum level (3 approaches 10 matches 20 times).They should be done every day.This does not exceed 10-15 minutes, but helps prevent recurrence of osteoarthritis.
Attention!Exercise is contraindicated in acute back pain.
Traditional medicine
At home, the treatment of lumbar joints can be done by folk remedies.They will not replace drug therapy, but will become a good supplement for her.In the table below, we offer some of the most effective recipes for traditional medicine against lumbar pain.
Boil water in a pan to steam strongly from it.Hold a few Burdock leaves for 10 minutes.| Meaning | Work | Cook | Application |
|---|---|---|---|
| Adam root tincture | Heat, relieve pain. | Bake 200 g of roots on a smooth spin, put in a jar and pour 0.5 liters of vodka.Placed in a dark place and insisted for 5 days. | Rub the alcohol on the lower back, put a wool belt on top or tie a warm towel. |
| Compress from leaves. | Anesthetic. | Boil water in a pan to steam strongly from it.Hold a few Burdock leaves for 10 minutes. | Apply leaves to the localization of pain.Cover with plastic and wrap.Hold 1-2 hours. |
| Pine | Warming, relaxing, relieving pain. | Pour a hot bath, put a few branches of pine trees or pine trees into the water.Add 10 drops of essential oil of any needle leaf (cedar, pine, larch, juniper). | Take a bath for 10-15 minutes.Then dry and wrap yourself. |
| Herbal medicine | Vitamins, anti -inflammatory, normal metabolism. | Put 10 g of Lingonberry leaves, hats, thymeal and saberfish in the pan.Pour 500 ml of water, place it into the kitchen and boil.Turn off the fire.Cover and let it incubate for 1 hour.Strain. | Take 1/4 art.After eating three times a day.The treatment process is 1 month.The maximum time is 6 months. |
| Lidocaine ointment | Anesthetic. | Melt and cool 200 g of Smalz, add 75 g of beeswax, 30 g of the root of Altum chopped into the dough state.Pour 1 Lidocaine tube into the mixture, mix everything until smooth. | Rub the pain points when needed.Storing no more than 6-7 weeks. |
Attention!The ability to use the recipes of medicine does not depend on the type of lumbar joints that the symptoms are and treated at home should be strictly controlled by the doctor.
Surgery to treat lumbar osteoarthritis
Surgical intervention is a radical method.Therefore, they only use it with the development of complications or in case of conservative methods that do not give necessary results.Usually at this time, the disease reaches 3 or 4 stages of development.
With Lobosacral Osteochondrosis, treatment with the method of activity often implies the removal of destroyed disc.Little often removes the entire vertebra, squeezing nerve fibers.Instead of the disc and vertebrae, the artificial parts or pieces obtained from the patient's rowing are put into the spine.To prevent the movement of the vertebrae and the progression of the disease, they are fixed.For this, the spine column is enhanced with metal plates and bolts.
The operation is performed under local anesthesia through a 3-5 cm long incision.To have access to the spine, fabrics are pushed by a special tool.From the introduction of anesthetic to the stitching of wounds from 1.5 to 2 hours.
Attention!Modern technologies allow you to perform activities using laparoscopy - a long and flexible tool, introverted through the canal about 1 cm long.
Prevention of lumbar osteoporosis
To maintain the health of the skeletal muscle system, it is necessary to take preventive measures.They will reduce the risk of osteoarthritis.And if the pathological changes in the spine have begun, they will help prevent their further development.
Preventive tips:
- If you have a sedentary job, put a roller or a special orthopedic pillow below the lower back.
- Wear weather clothes and do not allow the body to lower the body's body and lower back.
- Make gymnastics, run or sports other easily.
- Feeling uncomfortable or lower back pain, seeing the doctor immediately.
- Refuse bad habits and accurately eat.
- Sit on hard chairs with a back.The interior does not support the body of the body, so the spine must take the entire load.
- Perfect fecal height is equal to the length of the lower leg.Then, when sitting, your legs will lie on the floor.If the growth is small, you can place a foothold at your feet.
- The ideal depth of sitting is 2/3 of the hip length.You may be less, but no more.
- Under the desktop, legs should be spacious.
- Sit back to lie on the back of the chair.
- When you sit, do not tilt your head or body - keep them straight.
- To not tilt your head when reading, use a boy.
- After hours of driving, do some exercise.
- Change the diet every 10-15 minutes, first rely on one, then on the other leg.
- If you can move on the spot, do that.
- Every hour, do a few tilt back with your hands raised.During the process of tendency, take a deep breath.This exercise relaxes back and waist, as well as behind the head and neck.
- If you work standing (ironing, cooking), put a bench under one leg.Its height must be equal to the height of a phase.
- In order not to bend down in the process of cleaning the house, extending the vacuum cleaning, offering an additional pipeline.And to wash the floor, use a mop.You can wash the floor, crawl on your knee, but not tilted out of the standing position.
- Sleep on hard orthopedic mattresses.
- Instead of the mattress, a thick solid shield (plywood), covered with foam rubber with a thickness of up to 8 cm.Place a wool blanket and a plate on the head.
- If your leg is painful, put a towel in a roller under your knee.
- If you like to sleep on your stomach, put a thin pillow below it.
- If you like to sleep on your side, put one foot on the other leg and your hands under your head.
- Load distribution on both hands.Regularly wearing in the same hand leads to the curvature of the spine.
- If you have diagnosed bones and joints, not wearing more than 15 kg.To move them, it is better to use a bag with wheels or strollers.
- If you need to lift and transfer a heavy item, first squatting, keeping your back.Then pick up the weight, rise up and take it, pressing it into your stomach.To lower the heavy object, you also need to squat down.
- Eat 3-4 times a day.
- Enrich the diet with protein: fish, little meat, beans, cheese.
- Limit the consumption of sweets, grilled, fat foods.
- Includes many vegetables and fruits in the diet.
- Consumption of calcium and phosphorus products (cheese, dairy products, fish).
- Do not eat too much - an excess calories are deposited in the form of fat, resulting in excess weight formation.