The osteochondrosis lumbar is chronic damage to the lumbar spine, which develops in the intervertebral discs due to many years of physical influences and metabolic disorders.It has been proven that the lumbar osteochondrosis is the cause of back pain in 75% of cases.
The defeat of the lumbar spine occurs in 60% of the residents of the planet - this is the most common manifestation of osteochondrosis.The first signs of the disease occur at 20 to 30 years.
The danger of the disease is that in the later stages of the disease (if the lead (lead) and hernias of the intervertebral discs) develop complications that require surgical intervention, in particular plantar fascia and a bunch of bunch.
The osteochondrosis lumbar often makes pregnancy difficult.
Causes of lumbar osteochondrosis
The main cause of the disease is the systematic stress of the lumbar spine and the metabolic disorders of the fibrous layer of the intervertebral discs.Lift weights, excess weight and constant physical work, increase the pressure on the vertebrate column.
Other causes of lumbar osteochondrosis: sedentary and sitting lifestyle, constant wearing of high heels, malnutrition, consumption of small amounts of liquid, smoking, alcohol abuse.
If the protective muscle frame and the lack of treatment, blood supply to tissues and degenerative processes in the intervertebral discs deteriorate.As a result, intermediate discs do not receive sufficient blood supply - they lose elasticity, "dry", inflamed, flattened and out of the end.
The spine of the vertebral Column nerve is violated when the speech (lead), which is manifested by pain in peace and during movements.Wrong attitude and injuries provoke an additional uneven load in the spine, which accelerates the development of lumbar osteochondrosis.
Stadiums of lumbar osteochondrosis
The peculiarity of the disease is the gradual development of degenerative processes.
Neurologists differentiate between 4 stages of lumbar osteochondrosis:
- 1. stage& MBSP;Partial inflammation and flattening of intervertebral discs.It manifests itself by burning in the lower back and stupid, not intense pain in the lower back.Unpleasant sensations arise after physical exertion, weight lifting.
- 2. Level- The distance between the vertebrae is reduced, the changes in the fiber ring, surrounding the surrounding tissue, are determined on the X -ray image, and the lead of the windows occurs.The patient feels sharp pain in the lower back, which exudes the buttocks and legs (shines).
- 3. Level- The emergence of false hernia due to the destruction of the fiber ring of the vertebrae.At the 3rd stage, cartilage and vertebrae are intensively destroyed.Pain in a constant character, they can even be felt in peace.
- 4. Level- Atrophy of cartilage and intervertebral discs, accompanied by the pathological growth of the bone tissue of the vertebrae and the formation of osteophytes.Pain occurs with every movement and every unpleasant body position.The pain does not go by itself. These violations require intensive treatment and leads to severe human disability.
Symptoms of lumbar osteochondrosis
In seventy percent of cases, doctors diagnose the disease in the second stage.During this time, the patient often notices an aggravation with shining symptoms:
- Lows pain that is reinforced by physical exertion.When degenerative processes develop, the pain becomes strong and constant;
- Limitation of movements.Movements are accompanied with increased pain with radiation in the buttocks and legs.
- Change of sensitivity in the lower extremities (tingling, burning, deafness);
- Tension of the spine muscles;
- Daubiness and groups of the feet.
Diagnosis of an osteochondrosis of the lumbar spine
In 85% of cases, doctors make a diagnosis using radiography, computer tomography and magnetic resonance imaging (MRI).
The most targeted method is the MRI.With their help, the doctors determine the place and the degree of damage to the lumbar spine.
The main task of the specialist is to distinguish osteochondrosis from the Bekhterev disease.
Complications of lumbar osteochondrosis
Lumbal radiculitis or roying syndrome: The pathological process in the injured spine nerve (spine) is the most common complication of lumbar osteochondrosis.It occurs in 55% of cases.It is accompanied by pain and impairment of sensitivity in the lower back and/or along the injured root.
In the later stages of the disease there is a flattened intervertebral disc that runs over the edge of the vertebrae - ahead.When the fiber ring is destroyed, a bandhore is formed.Intermediate vertebrae is an opportunity to contact a neurosurgeon.
The sciatic nerve is inflamed in 40% of the patients.This provokes pain, deafness of the limb.As a result, the patient tolerates the body weight on a healthy leg;The spine is still bent, which worsens the severity of the disease.
10% of the patients develop a narrowing of the vertebral canal or compression myelopathy - and press the spinal cord.Requires surgical treatment.
The rarest but most dangerous complication is the "Horse Tail" syndrome - the defeat of several nerve roots nearby.
Every third patient with this complication has parese or legs paralysis.It also requires surgical treatment.
Treatment of lumbar osteochondrosis
It is impossible to heal the osteochondrosis lumbar.You can remove pain and slow degenerative processes in the vertebrae and slices.80% of the success in treatment falls on 1 and 2 stages of the disease.
If there are no complications, neurologists treat osteochondrosis of the lumbar department with medicines, physiotherapy exercises, massages and physiotherapy.
Medicines are prescribed for exacerbations of osteochondrosis to eliminate inflammation, pain and stimulation of metabolism in vertebrae, cartilage and slices.
In acute pain, the therapeutic effect is achieved through intramuscular administration of medicines.The paravertebral blockade is prescribed for local anesthesia.Patroprotectors are prescribed for 3-6 months.
The purpose of physiotherapy exercises is to strengthen the muscle back of the back.The pool exercises are very useful.With lumbar osteochondrosis, the exercises are carried out after removal of pain.Some doctors also prescribe physiotherapy exercises for pain.However, this must be addressed with caution.
After the pain has subsided, massage and reflex zone massages are recommended.
Non -complicated lumbar osteochondrosis does not require frequent and multi -day inpatient treatment.The disease is treated at home.They fall back on folk remedies, the action of which indicates to heat the lower back.
Prevention of the lumbar osteochondrosis
To prevent lumbar osteochondrosis, keep simple rules:
- Follow the attitude in a seated pose for many hours of stay, change the position of the body.
- Swim 3 times a week;
- Increase the severity with two hands from a seated position or repair (smooth) your back.
- Avoid designs;
- Choose an orthopedic mattress for a night's sleep.