Probably, you cannot find a single adult who did not know what "lumbar osteochondrosis" was.On average, every third person healthy, of the middle years, and sometimes more often, he had an episode of acute back pain in his life, and every fifth - sixth indicates that these problems arise regularly and are even a "source" of the hospital leaf.
However, to explain in detail what exactly occurred for the violation in the lower back, patients are often unable to do it.Most of them have never been examined and the treatment composed in the form of "injections", "ointments", massage sessions usually help for a period from several months to one year.
If "posed" to such a patient and start investigating the diagnosis, therefore, having suffered a little, he will declare that he is sick of "osteochondrosis".What does this disease mean, in relation to the lumbar column?
Osteochondrosis of the lumbar region - A disease or "standard of life"?
First of all, you have to say authoritatively: "Osteocondrosis" cannot hurt.And in any way it cannot manifest itself, since this is the process of dystrophy and degeneration of the intervertebral discs, that is, cartilage, which consist of a polycose nucleus and a fibrous ring.The intervertebral disc is cartilage and is designed to work as a "airbag" that absorbs shock, softening vertical and corner accelerations - inhibition between the adjacent vertebrae.
As you know, the cartilage is without nervous and vascular tissue, therefore the processes that go "purely in the records" simply cannot influence the nearby structures and do not appear in any way.An example similar in the vertebroneurology is the hernias of Shomoro, in which the Ernian protrusion is reliably covered by the spongy bone tissue of the nearby vertebra.Intervertebral discs don't hurt.
The amnesty (suffix "-o" indicates an increase, increase), in this case not correct enough.It does not occur during the human life of growth and the increase in cartilage.Here with fibrosis (cirrhosis) of the liver it can be seen that the structure of the liver mesh has started to develop, at the expense of the function.
And with the amnesty (or osteocondrosis), the intervertebral discs begin to change their configuration, under the influence of perennial loads.
They cause pressure on the nearby vertebrae, because, according to Newton's law, every action against a static load gives light exactly the same opposition or the reaction of the support.How does osteochondrosis develop and for what reasons does this happen?
The causes of "lumbar osteochondosis"
The signs of osteochondrosis of the lumbar region (more precisely, intervertebral discs) can be found already at a young age, in particular with various violations of the musculoskeletal system.
They can be attributed, for example:
- congenital anomalies (length of the different legs);
- various types of flat feet (longitudinal, transversal);
- deformation of the spinal column (scoliosis);
- Spondilolistz (slipping the lower lumbar vertebra from the sacral bone both forward and backwards).
All these diseases can cause or increase the load of shock on the spinal column (for example, with the flat feet, when the elasticity of the foot of the foot decreases) and with severe asymmetry of the spine, when the support function is systematically made due to the load on the edge of the disc.
It was known that with the experiments it was discovered that healthy and young cartilage, if a uniform and static load had been given to him throughout the surface, were able to resist 2000 kg and even higher for themselves.Of course, there is no such load in everyday life, but can increase to these values if exposed to the edge of the disc.
If the support area is 20 times smaller and the disc will not be so healthy (for example, in old age), then exposure to 60-80 kg (for example, falling on the ice in inclination on the side, with a load on the shoulders) can cause a destruction of the disc, which can be in the form of a protocruuse or hernia.
It is the appearance of protrusion or hernia that indicates that the disc has been deformed and even "stripped" by one or more sides.And around the disc, as you know, there is no empty place.As soon as the disc starts to contact the nerve roots, the ligaments and the close muscles, the consequences of the osteochondrosis occur: reflection pain and muscle-syndic syndromes that make the patient turn to a neurologist, manual therapist and masseur.
In the meantime, the records have a normal shape and consume themselves evenly, without extreme loads, therefore the osteochondosis of the lumbar column disturbs the patient no longer than usual, abrasion by teeth age, with which the criminals are well known.How are the reflected pain syndromes manifest?
Symptoms and signs of complicated lumbar osteochondosis
You have already noticed that they "diligently raise" bridges: ordinary osteochondrosis is a completely inevitable process of ordinary aging aging of elastic intervertebral "seals" in the "reasonable man" type, since it moves vertically throughout life.And the "osteochondrosis" that patients with acute pain is a complicated condition.
We will perhaps begin with signs of root compression.The signs of lumbar osteochondrosis, of course, are associated with pain, due to the segmental spine pressed by the disc.In addition to pain, sensitive, motor and vegetable disorders are possible.
Low pain in osteocondrosis has the following characteristics:
1) Pain sought.It is secondary and proceeds according to the type of neuralgia, when the vertebral column swollen nervously reacts very "violently" to a brain emotion.
The pain is acute, sudden, shooting, drilling the lower back, possibly giving up.The pain appears and intensifies it instantly, so it is called "lumbago" or "background".It is such a "shutter" that makes a person "resisting a naracan", since any movement leads to an increase in pain.
In addition, the pain intensifies the minimum coughing, sneezes, efforts, laughter - any situation in which a swollen spine is shaking.
In the event that the spine is part of the sciatic nerve, the pain "shoots" through the buttocks in the Poplitea pit and below, and this is called "lumbar -algia".
2) muscle pain.Near the nerve spine are large muscle maximums.Often, in spring and autumn they "get up" and swell, become dense.The venous outflow is difficult in them and themselves are a source of pain.
This pain is painful, constant and not so hard.On the contrary, it intensifies not only with an acute movement, but also with a prolonged one in a monotonous position (deterioration of the blood flu).
- Sometimes this myophasciale syndrome occurs after the exacerbation of protrusion or hernia, when a strong "hook" of hernia "massages" the muscles and ligaments for a long time.
3) motor disorders.Since the disc can squeeze not only a sensitive spine, but also a spine, it is possible to develop peripheral or even paralysis paresis.With different levels of damage, the appearance of weakness in the legs is possible (for example, weakness when the stairs rises on the one hand), weakness in the foot, which leads to an altered pace.
There is muscle hypotrophy, a leg is "losing weight".Such a purely motor and painless disorder is rare and, remaining unnoticed, can lead to disability.
4) Sensitive violations.They come together with pain, they often exist even after the end of pain, instead of pain.They manifest themselves by numbness, a decrease in the sensitivity of the skin of the legs for the type of "stripes", in the form of vertical stripes, a sense of "crawling the goose skin" in the fingers and feet.
- Sometimes, with damage to vegetative fibers, the symptoms are combined with hyperhidrosis, cooling of the skin, hair growth and nails.
These are the most general signs of complicated lumbar osteochondrosis existing in the lumbar region.There are separate syndromes, for example damage to the external skin of the thigh or damage to the tail of the horse, the epic, to pure roots or pear -shaped muscle syndrome, but their brief description will also take too long.
For patients, the above is sufficient, the main signs to enroll in a neurologist.How can you "remove the exacerbation with your hands"?How to treat the lumbar osteochondosis of the house?
What to do during the exacerbation of the lumbar osteocondrosis?
The basis of all treatment is ethitropic therapy (elimination of the cause) and pathogenetic treatment (influencing the mechanisms of the disease).Symptomatic therapy borders it.
With vertebrogenous pains (caused by problems in the spine), things are like this:
- The elimination of the cause is the elimination of the pressure for protrusion, a hernia or a spasmodic muscle on a nervous root;
- The impact on mechanisms is the elimination of muscle spasm, the restoration of venous outflow in the muscles, the removal of the edema of the nervous column and the fight against inflammation;
- The elimination of symptoms (the fight against pain, numbness, the limitation of mobility) is carried out by returning to paragraph no.2, since the removal of edema and inflammation, for example, will return mobility and lighten the pain.
Get rid of protrusion and hernia
As a rule, it does not start treating acute back pain.Almost always at the beginning they stop pain syndrome, therefore, after the massage and treatment of manual therapist sessions, all symptoms disappear and the operation is not required.
The question of surgery arises with the progression of the weakness of the foot and with serious and unconscious pain within 2 months.In addition, the operation is required when the central channel at high levels compresses the spinal cord or the "horse tail".
Treatment of lumbar osteochondrosis, drugs
The treatment of lumbar osteocondrosis and its complications provides for the following measures.In the acute phase (first day - two):
- In order to reduce muscle edema and the spine, a sleepless diet and the limitation of the amount of fluid used is indicated.You can also give a tablet of a slight diuretic drug that saves potassium.
- The use of a half rigid orthopedic corset is shown, which saves the muscles from an excessive movement.
- From the first days, the rubbing natives containing fans, the application of patches, for example "pepper", is shown.
- You can't heat your back in the acute phase.As the inflammation increases, the edema increases.Therefore, all types of heating bearings are prohibited.You can heat, by taking your heat (wool belt, heating ointments), which are not added from the outside, but, on the contrary, it is removed from the depths.
- In the acute phase for the osteochondosis of the lumbar region, it is possible to perform a short -term treatment with NSAI's intramuscular "injections" and muscle relaxants.This will help stop the edema of the nervous tissue, eliminate inflammation and normalize muscle tone.
In the subacute period, after passing the maximum pain, the "injections" should no longer be taken and attention should be paid to the reparative means, for example, to the modern vitamin preparations of the "B" group.Actually restore compromised sensitivity, reduce numbness and walls.
The physiotherapy measures continue, the time comes to conduct operating therapy for osteochondosis of the lumbar column.Its task is to normalize blood circulation and muscle tone, when edema and inflammation have already retired and muscle spasm has not yet been completely resolved.
The exercises for the lumbar osteochondosis of the spine must be performed after a common common light, on the "hot muscles -Up".
The main therapeutic factor is the movement, not the degree of muscle contraction.Therefore, in order to avoid the impact, a use of charges is not allowed, a gym carpet and a gym stick are used.With their help, you can effectively restore the volume of movements.
The rubbing of ointments, the use of the hyplicator Kuznetsov continues.Swimming, underwater massage, Sharko's shower are shown.It is in the stuck exacerbation phase that domestic magnetotherapy and physiotherapy are shown drugs.
Generally, the treatment does not require more than a week, but in some cases osteochondrosis can occur with such dangerous symptoms that the operation may be necessary and urgent.
Complications of osteochondosis of the lumbar column
First of all, it is the condition in which the hernia of the disc has become an independent fragment and, after having penetrated the central channel, it formed a free kidnapping.There, it can squeeze the nerves of the horse's tail and can suddenly (right in the gym, after an episode of acute pain) develop a strong weakness or paralysis in the legs, numbness of the perineum.
After a few minutes, a brutal pain in the legs appears and then - a delay reflected in the urine or the appearance of inconvenience develops, impotence develops.This was born the horse's tail syndrome, as a complication of a disc hernia.In this case, urgent interventions are required, seizure removal and restoration of the function of the nerves of the horse's tail with their decompression.
However, very often, other complications arise.With age, multiple hernias and protrusion occur, the osteoporosis of the vertebrae appears and the mobility simply decreases and increases the risk of acute back pain.Such patients are sure to "take leave for illness" a couple of times a year and are often treated in the sanitors.
Provision of treatment
The osteochondrosis of the lumbar column, the symptoms and treatment we have filed higher, as we have understood for ourselves, is for the most part at all a disease, but simply by an event of inevitable aging and premature "narrowing" of the intervertebral discs.
Can humanity be completely spared by lumbar osteochondrosis?This response can be given affirmative, but we will have to master a different style of movement: all our lives to go to four legs or, like Ichtyander, float in the depths of the ocean, constantly moving in water from childhood.It is therefore that the axial and static load on the intervertebral discs will disappear and with it the signs of the "condar" will disappear.But another problem will rise: in the water, such a powerful design will simply become useless and start to change until it disappears or decreases significantly.
As for the personal forecast for osteochondrosis, it all depends on the moment a person "has decided to take the mind".If at this point there is no pronounced destruction of intervertebral discs, protrusions, hernias and deformations, therefore, subject to a healthy lifestyle and hygiene, physical activity cannot be known at the age of the back of the lower back.
In the same case, when there is already a "hot point" in the area of the lumbar region, for example in the form of an hernia, which periodically tightens the nervous column, then a person must deal in particular with uncomfortable shifts, physical effort of the spine.