Osteochondrosis of the Lombo-Sacred Vertebral column is a dystrophic vertebral disease, in which the normal structure of the whole spine and intervertebral discs in particular is gradually destroyed.It should be said that not only the back suffers, but the whole organism, in particular the pelvic organs and the lower limbs.
Development reasons
The lumbar region of the life of a person in relation to a franchise undergoes a colossal vertical load which cannot completely compensate for the large size of the vertebrae.Consequently, the least changes in the human body, a decrease in the muscular corset of the lower back, an excess weight, injuries, incorrect movements and much more can lead to the development of the disease.In addition, you should always remember age -related changes in the spine concerning each person.
In summary of the above, the most frequent risk factors can be distinguished, the entire lumbar osteochondrosis:
- Unequal and irregular loads on the spine (lifting the severity of an inclined position, etc.).
- Excess weight (almost all kilograms are important).
- Rombing injuries, including sports.
- Weakening the muscle corset (extended work in a monotonous position, etc.).
- Infutable diet, poor in minerals and vitamins.
Symptoms
Symptoms of the disease may vary fairly largely, however, all of the main signs of osteochondosis develop, as a rule, in three syndromes:
- Vertobroogenic lumbalgia (Lumbago synonym).
- Verro -Carbone lumboshishialgia.
- Green-carbon ischialgia (inflammation of the sciatic nerve).
However, in addition to the pain in the lumbar region (with irradiation of the legs, glued or such as such), tension of the lower back, the weakness of the legs, crunching during the lower back movements and the difficulties of the lumbar region movements should be distinguished by a number of other important symptoms of the lumbar osteochondrosis:
- Numbness in the legs and a feeling of cart crawling in the legs.
- Cramps in the legs.
- Pelvic disorders (delay or incontinence of urine, constipation or diarrhea).
- Weakness in certain groups of the leg muscles.
These complaints can orient the neurologist in terms of damage to the spine, conduct a differential diagnosis with other vertebral diseases.
X-ray diagnostics and signs
Osteochondrosis should be diagnosed with a single type of instrumental - radiological methods.Visualizing the entire structure of the spine in modern medicine allows the best MSCT or MRI study, however, simple radiography has not lost its estimated value (as a screening study).It is important to remember that the main step in the diagnosis of problems with the spine will be a medical examination, which sometimes allows you to make a diagnosis without examination at all.
In the neurological state, pain is detected on the palpation of the spicy processes of the vertebrae, the tension of the muscles of the lower back, and if there is only osteochondosis, then there should be no symptoms such as: decrease in tendon reflexes, alteration of sensitivity, symptoms of tension (signs of compression of the movements of the terminal), altered muscles and muscles, muscles and muscles, muscles and musclesdisplacements of movements in the movements of movements in the movements of movements in the movements of movements in the movements of movements in the movements of movements in the movements of movements in the movements of movements in the movements of movements in the movements of movements in the movements of movements in the movements of movements in the movements of movements in the movements of movements in the movements of movements in movements in movements in movementsin the movements of the leg arrangements.In the presence of these symptoms, differential diagnostics with a disc herniated and other more serious vertebral diseases should be carried out.
Treatment
The treatment of the disease implies prolonged complete therapy.The directions in the treatment of several - the removal of exacerbation drugs, non -drug auxiliary methods, as well as the preventive method of physiotherapy exercises, partially used in the acute period, and does not lose its relevance to date.
medicine
It is a combination of myoorlaxing therapy, anti-inflammatory pathogenetic therapy, as well as the use of neuroprotective drugs.The choice of drugs and dosage calculations comes from the weight of a person, sex, the presence of concomitant diseases.
In the acute period, it is advisable to inject drugs such as diclofenac, melooxicam.In addition, in parallel, they are starting to carry out therapy for the elimination of muscle spasms and the protection of nerve fiber against damage.
Non-drug
It is represented by physiode and manual influences.Given the massiveness of muscle groups, a fairly extensive level of the anatomical zone, physiotization can only be an auxiliary method.DDT, electrophoresis, magnetotherapy is used, which allows you to improve the effect of drugs.
However, massage and manual therapy are sometimes able to completely stop the symptoms of lumbar osteochondosis even without support for drugs.This is due to the fact that muscle spasms can be fairly well eliminated, and the pain is not always caused by the inflammatory process, sometimes only the reckless movement causes pain, the consequences of which are effectively eliminated in the early hours following the development of pain.
Gymnastics for osteochondrosis in the lumbar region aims to stretch the back muscles and strengthen them.In the presence of the established diagnosis, lumbar osteochondrosis should be engaged daily in physiotherapy exercises.Subject to general rules (restriction of excessive physical activity, hypothermia), body weight control and exercise for osteochondrosis in the lumbar region on disease can sometimes be forgotten for many years.