Many people ask this question due to the fact that it is the lower back that is most often subject to extreme loads throughout a person's life.In many cases, this is what provokes the emergence of osteochondrosis or exacerbates its condition.If you start this disease, it can become a serious problem, so it is so important to diagnose in 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.
Reason
The main causes of lumbar osteochondrosis are:
- flat feet;
- scoliosis;
- mechanical damage to the lower back;
- metabolic violations;
- sedentary lifestyle;
- Obesity;
- violation of water salt balance;
- Improper food;
- Pregnancy.
Important!The reasons for presenting problems with the Lumbari department have not been studied to the end.This means that in a specific situation it can be difficult to determine what precisely provoked the appearance of the disease.
Symptoms
Therefore, there are some subspecies of osteochondrosis, the symptoms of the disease can vary slightly.Next, we will analyze each subspecies and characteristic signs.
PolySegmenting - what is it?
Polish osteochondrosis (PSO) is a loss of several segments of the spine at the same timeDegenerative processes.
Signs:
- Severe pain in the lumbar region.
- With sharp movements or attempts to raise something heavy, "shots" appear.
- Becomes is difficult to perform ordinary motor actions.
Prolongation
Protest is one of the stages of osteochondrosis, during which the elasticity and height of the intervertebral discs decrease.Because of this, the cartilage begins to climb gradually beyond the boundaries of the vertebrae.
Signs:
- sewing pain that can occur not only when moving but also at rest;
- slight numbness of the lower extremities;
- Pretense or redness of the skin of the lower extremities;
- the appearance of weakness in the legs;
- Sitting long or standing leads to the withdrawal of pain, which disappears after behavior change;
- When you raise severe things, a sharp pain can be given to the pond and the buttocks.
Intervertebral disc hernia l5-s1
The emergence of a hernia is the last stage of osteochondrosis.This problem is characterized by a strong extension and loss of the intervertebral disc, which does not resist the pressure of the beads surrounding it.
Signs:
- Pain syndrome, which applies not only in the lower back but also for one of the lower extremities.
- The appearance of pain in one of the buttocks and a leg tied to it.
- Strong numbness or tingling in the lower extremities.
- Strengthening numbness and pain in a vertical position and during movement.
- Reducing the amplitude of the movements in the lower back.
- Self -foot syndrome.
- Change of walking and behavior.
- Strong pale or redness of the skin on the lower back and legs.
- In rare cases, urinary or feces arise.
Psychosomatic in women and men
Disordishes Psychosomatic disorders appear due to suffered emotional injuries.Signs of this disorder depend on the phase of osteochondrosis, and do not differ from the previous description.
Important!When a psychosomatic disorder occurs, the patient should be treated with a neuropathologist and a psychotherapist in order to achieve a positive maximum effect.
Do they take the army with a diagnosis?
Lumbar osteochondrosis belongs to the category of adaptability "B".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 must have the following deviations:
- intervertebral hernia;
- severe pain from physical exercise;
- Visible in X -Rry deformation of vertebrae and intervertebral discs.
PHASE
Lumbar osteochondrosis has 4 stages(Or, as they are also called - degrees: 1, 2, 3 and 4), each of which is characterized by certain degenerative processes.
Degenerative changes at each stage
- 1-2 phase.At 1 stage, a fibrous ring is deformed due to displacement within the nucleus discharge, which occurs stronger than normal.In 2 stages, a fibrous ring cracks appear, which leads to the instability of the spinal segment.
- 3-4 stages.In 3 stages, the intervertebral disc is exploding completely, which leads to a disk loss.In 4 stages, a dystrophic lesion of the intervertebral disc and spondylosis appears.
Troubleshooting
To make an accurate diagnosis, the doctor must perform a number of tests that include:
- Primary inspection (palpation, visual inspection, control of the level of physical activity).
- Radiography.
- Calculated tomography (CT).
- Magnetic resonance imaging (MRI) images.
REFERENCE.Among all the methods of diagnosis, MRI is considered more modern and most effective.The problem is that such a device is not in any hospital, and most often MRI should be done in private clinics or wait long for your row.
The different stages and varieties of lumbar osteochondrosis have their own characteristics, therefore, for their diagnosis, there are their nuances.
With a root syndrome
Typically, the turkey syndrome appears in the last two stages of the disease.The syndrome is characterized by damage to the nerve roots arising from the spinal cord.They internal and control muscle function at the lower back, genitourinary system and intestines.Therefore, the spinal syndrome of the lumbar region leads to problems with these systems.
Communication with intervertebral disk deformation
Rooser's syndrome appears in the latest stages of osteochondrosis due to flattening of the intervertebral disc and squeezing nerve roots with beads.MRI is best for diagnosing this disorder, as this procedure allows you to see all changes in soft tissue.
During pregnancy and breastfeeding
If a woman runs a sedentary lifestyle, suffers from flat legs, or has a genetic predisposition, likely grows that during pregnancy she will have osteochondrosis.
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, to diagnose osteochondrosis using MRI, CT or X -Rray before treating it, during pregnancy is prohibited.Therefore, treatment is described empirically.If a woman is already born but still continues to feed her breasts, the method of diagnosing hardware is also contraindicated.
Extension
When the extension of the intervertebral disc, X -Ray will not be able to show great results, as deformity occurs only with a fibrous ring and one essence.
A study with the help of MRI is required, which exactly scans soft tissues and can detect a variety of degenerative changes.
Complications and consequences
If you do not treat lumbar osteochondrosis, it can lead to a deterioration of the health and development of other diseases.
Why is the disease dangerous?
In 4 stages of the disease, such irreversible changes begin to appear as:
- Violation of spinal turnover.
- Problems with intestinal emptying.
- Reduction of sensitivity in the groin and anus area.
- Weakness in the lower extremities.
- Frequent urination.
- Paralysis of the lower extremities.
- Reduce mobility in the lower back.
- Spasm muscles of the back and lower legs.
Concomitant
- radiculite;
- compression ischemia-vascular;
- Compression myelopathy;
- sciatica;
- Lumbago.
Treatment and rehabilitation
Now that you know what kind of illness this is, we will talk about how to treat it.After diagnosingThe doctor prescribes a course of treatment depending on the stage and shape of osteochondrosis.
Orthopedic equipment for the bottom of the back
To reduce pain syndrome and muscle tension at the bottom of the back, the patient is offered to wear a special orthopedic corset.
It covers the entire back of the bottom, preserving the muscles, vertebrae and ligaments in the right position, removing excessive tension from them.
medicaments
Medicines are one of the important aspects of therapy for lumbar osteochondrosis.5 groups of medicines are usually used.In normal mode, they can be ointments or tablets.If the patient is overcome by severe pain attacks, a drug blockade is performed.
drug
The main groups of medicines for osteochondrosis:
- soothingIn the form of tablets or ointments.
- Anti -inflammatory.It is also used in the form of tablets or ointments.
- Musorexant- Drugs that reduce muscle spasm.
- Chondroprotectors- drugs that restore bone and cartilage.
- Vitamin.Basically, group B is used for osteochondrosis, so they help improve metabolic processes in the affected tissue.
Do not try to choose the medication yourself.All medicines should only be prescribed by the doctor.
Training
The blockade is the introduction of medicines that use a syringe directly into the affected area of the spine.This is necessary when an acute pain syndrome seems to reduce discomfort and restore the usual level of physical activity of the patient.
Physiotherapeutic methods
Physiotherapeutic methods are often used to restore spasmodic muscles and affected lower back tissue.Magnetotherapy is especially important among them.
Magnetotherapy
This procedure 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 patient's condition with magnetotherapy in 3-4 weeks.
Massage
Massage relieves muscle pain and spasm.It is performed only by a specialist with medical education.Most often, a course for 10-12 sessions is described.The final decision on the duration of therapy is made from massage.
Manual and acupuncture
Manual therapy eliminates pain and increases the volume of movements in the lumbar region.This is due to the improvement of the biomechanics of the muscular system, blood circulation and metabolic processes.Acupuncture has a similar effect, but it works carefully on the affected areas of the muscle.
Therapeutic
Exercise therapy is one of the most effective ways to combat the unpleasant consequences of osteochondrosis for beads.Before starting classes, consult an exercise therapy instructor.
Can what can and cannot be done?
During exercise therapy, is prohibited:
- make sharp movements;
- Many bands at the bottom of the back;
- Significantly increase the amplitude of the movements.
In exercise therapy, allowed:
- make smooth moves;
- Use inventory (benches, gymnastics, dumbbells);
- Do exercises for the flexibility of the lumbar region.
The doctor's technique
The doctor developed a methodology for his sore spine.When he realized that his exercises have a positive effect on the injured back, he began to share them with his patients.
Below are the three simplest and most effective exercises from gymnastics:
- To warm: Place all four sides and walk in this position around the room for 5-7 minutes.Before -kneel your knees with protective bandages.
- Main exercise.Standing on all four sides, bend in one breath.Bend your back on extraction.Repeat 5-8 times.
- extension.Standing on all four sides, without problems, turn back, touching the heel buttocks.Repeat 3-4 times.
Yoga and pilates
Pilates was created specifically for the restoration of pilots who received injuries to the back, so the system works perfectly with spinal osteochondrosis.It is necessary to include in this system only under the supervision of an instructor.
Yoga has many directions, and also suitable for working with a sick back.
Such classes are only allowed during the prayer period, as they have high intensity.
Folk remedies in the house
Preparation of oil at home
Will need:
- Coconut oil - 50 gr.;
- Bee wax - 2 s.L.;
- Camphor - 1 s.L.;
- Essential oil of peppers, arnica and cloves.
How to cook:
- Mix coconut nut 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 clove oil, then mix the mixture.
- Put the oil in a glass jar for storage.
FinishedRub the lower back 2 times a day with oil, until the pain is reduced.
Honey and potatoes compresses
Will need:
- 50 gr.heart;
- 1 big potato.
Great potatoes on a large grater, mix with honey and sprinkle with a mixture.Place the wax paper on top and wrap the bottom of the back with a warm cloth.The compresses should be left all night.Repeat the procedure until the back pain passes.
Ginger oil
Will need:
- Earth ginger - 2 tablespoons;
- honey - 1 tsp;
- Soil of censorship - 1 tsp;
- Black pepper - 0.5 tablespoons.
Carefully mix all the ingredients and apply a thin layer of oil to the back.On top, apply warm fabric.If it burns tightly, gently rinse the oil with warm water.
Herb
You can use the following plants:
- Chamomile pharmacy;
- dill;
- Air;
- thyme;
- wise
Mix 20 grams of all plants and prepare a medicinal decoction.When taking a bath, add a finished decoction to it.You can use this recipe 1-2 times a week.Plants relieve tension and pain in the lower back.
Surgery
This method of treatment is used in rare cases if conservative treatment methods are ineffective.During surgery, the cartilage part that went beyond the vertebra is removed.
If the intervertebral disc is heavily damaged, it is replaced by an artificial.
PREDICTIONS
Prognosis can only be given by the attending physician as each person occurs individually.It all depends on the neglect of osteochondrosis and the general condition of the patient's body.
What should you do with irritation?
During the deterioration period, it is necessary to exclude all physical activity, use medication, and wear a waist waist bandage.In addition, you should consult your doctor who will make more detailed recommendations.
PREVENTION
How to prevent the chief?
Since you cannot affect genetic abnormalities and inherited predisposition, it will not work to be fully protected from the appearance of the chief.
ButIn your power to observe the correct day and food mode, Show more physical activity and abandon bad habits.
All of these tips will help maintain the health of the spine as long as possible.
Ill rest
The neuropathologist describes the sick rest only with an worsening form of the disease, accompanied by severe pain, which usually start in 2 and 3 stages of osteochondrosis.
How many days do they give?
As a ruleSick rest with lumbar osteochondrosis is not given no more than 7 days.
Specialist advice
If you notice the first signs of discomfort at the bottom of the back, when you raise something heavy or simply with active and twisting motion, do not be tightened with diagnostics.
The sooner you begin treatment, the easier it will be to cope with the disease and avoid the unpleasant health consequences.
Many are accustomed to perceive lumbar osteochondrosis as something given.But this disease can progress, which will eventually have many unpleasant consequences to the patient.Remember that you yourself are responsible for your health, not doctors, and if you find signs of osteochondrosis, start treatment as soon as possible.