Lumbar osteohondrose is chronic damage to the lumbar spine developing in interfaced discs as a result of many years of physical influences and metabolic disorders.It has been proven that lumbar osteochondrose is the cause of the back pain in 75% of cases.
The defeat of the lumbar spine occurs in 60% of the planet inhabitants - this is the most common manifestation of osteochondrose.The first signs of the disease appear in 20-30 years.
The risk of illness is to be developed in later stages of diseases (protruding) and killes of intersecutors' disks), complications are developed for this require surgical intervention, especially, fascia plantar and pile.
Lumbar osteochondrose often complicates pregnancy.
Causes of lumbar osteochondrose
The main cause of the disease is a systematic burden on the lumbar spine and metabolic disorders of the fibrous layer of intervertebral discs.Lifting weight, excess weight, constant physical works increase pressure on the vertebrate column.
Other causes of lumbar osteochondrosis: Sitting and sitting lifestyle, constantly carrying high heels, malnutrition, small amounts of liquid, smoking, alcohol abuse.
When the protective muscular frame and the absence of treatment, blood supply to tissues and degenerative processes in interfaced discs are worsening.As a result, intervertebral discs do not receive enough blood supply - lose elasticity, "dry", inflamed, flattened and protruding.
When you protrude (protrusion), the spine of the spinal nerve violates, which manifests itself in pain in rest and during the movement.Improper posture and injuries cause an additional uneven load on the spinal column, which speeds up the development of lumbar osteochondrosis.
Phase Lumbarske osteochondrose
The specialty of the disease is the gradual development of degenerative processes.
Neurologists differ 4 phases of lumbar osteochondrose:
- 1. Phase& Mbsp;Partial inflammation and straightening interpreters.It manifests the ignition in the lower back and stupidly not intense pain in the lower back.An unpleasant sensation occur after physical effort, lifting weight.
- 2. Phase- The distance between vertebral is reduced, changes in the fibrous rings that are surrounded by tissues are determined on the radiograph, and the disk protrusion occurs.The patient feels sharp pain in the lower back, which gives (radiate) on buttocks and legs.
- 3. Phase- The appearance of intervertebral kieles due to the destruction of the fibrous rings of the vertebrae.In the third phase, cartilage and vertebrae are intensively destroyed.The pain acquires a constant character, they feel even at rest.
- Fourth phase- Attrophy of cartilageists and intervertebral disks, accompanied by the pathological growth of bone tissue of vertebrae and osteofit formation.Pain appears with any movement and any unpleasant position of the body.Pain doesn't go on their own.These violations require intense treatment and leads to severe human disability.
Symptoms of lumbar osteochondrose
In seventy percent of cases, doctors diagnose illness in the second phase.During that period, the patient recorded frequent periods of deterioration with bright symptoms:
- Low pain, which has improved with physical effort.As degenerative processes develop, the pain becomes serious and constant;
- Movement restriction.The movements are accompanied by increased pain with radiation in buttocks and legs;
- Change of sensitivity in lower extremities (tingling, ignition, stiffness);
- spinal muscle tension;
- Stiffness and cold of the foot.
Diagnosis of osteochondrose lumbar
In 85% of cases, doctors make a diagnosis using radiography, calculated tomography and magnet recording (MRI).
The most muciable method is MRI.With their assistance, doctors determine the place and degree of lumbar spine damage.
The main task of the specialist is to distinguish between osteochondrose from Bekhter's disease.
Complications of lumbar osteochondrose
Lumbar radiculitis or resounding syndrome: The pathological process in brown spinal nerve (spine) is the most common complication of lumbar osteochondrosis.Occurs in 55% of cases.Follow with pain and weakened sensitivity in the lower back and / or with the injured root.
In the later stages of the disease, a flattened interverter disc exits over the edge of the vertebral - the protrusion occurs.When the fibrous ring is destroyed, an intervertebral hernia is formed.Intervertebral Hernia is an opportunity to contact neurosurgeon.
In 40% of patients, a sciatic nerve was lit.This causes pain, stiffness of limbs.As a result, the patient submits body weight with a healthy leg;The spine is even more curved, which worsens the severity of the disease.
10% of patients develop a narrowing of a spinal channel or miniopathy compression - squeezing the spinal cord.Requires surgical treatment.
The most used, but a dangerous complication is the "horse-tailing" syndrome - defeat several nearby nerves.
Each third patient with this complication has paralysis of composure or legs.It also requires surgical treatment.
Treatment of lumbar osteochondrose
It is impossible to cure lumbar osteochondrose.You can remove the pain and slow down degenerative processes in spells and discs.80% of success in treatment falls on 1 and 2 stages of the disease.
If there is no complications, neurologists are treated by osteochondrose of the lumbar department with medicines, physiotherapy exercises, massages and physiotherapy.
Medications are prescribed for the deterioration of osteochondrose to eliminate inflammation, pain and stimulation of metabolism in the vertebrae, cartilage, discs.
In acute pain, the therapeutic effect is achieved by intramuscular application of medications.A parametal blockade is prescribed for local anesthesia.In 3-6 months, patients are prescribed hondroprotectors.
The purpose of the exercise of physiotherapy is to strengthen the muscular back side of the back.The pool exercises are very useful.With lumbar osteochondrose, exercises are performed after pain removal.Some doctors prescribe the exercises of physiotherapy even with pain, however, it must be accessed cautiously.
After pain, massage and reflexology courses are recommended.
Not complicated lumbar osteohondrose does not require common and multi-day hospital treatment.The disease is treated at home.Resort to folk drugs whose action comes down to warming the lower back.
Prevention of lumbar osteochondrose
Follow simple rules for prevention of lumbar osteohondorosis:
- Follow the posture over many hours of stay in a seated pose, change the position of the body;
- swim 3 times a week;
- Raise the severity with two hands from a sitting position or, fastening (correction) back;
- Avoid drafts;
- Choose an orthopedic mattress for night rest.