Destructive diseases can develop in any part of the spine, but due to one’s straightforwardness, the high load on the lower back determines the appearance of this segment changing.Osteochondrosis is accompanied by pain in the lower back.Only doctors can correctly determine the symptoms and treatment of the pathology.In treatment, medication and physical exercise, at the advanced stage, surgery may be required.As a supplement to the primary treatment, folk therapy is allowed.
What is osteochondral disease
As osteocartilage changes, pathological changes begin - the nucleus pulposus of the intervertebral disc gradually transitions to the tissue of the annulus fibrous fibrous tissue.It weakens and cannot withstand more and more loads, so partially begins to move the disc completely from its physiological position.This happens when the fiber fibers do not withstand pressure increase and rupture.
With disk structure destruction, the destruction of nearby organizations is developing.Recent involvement of vertebrae, their joints and ligaments begin with pathological processes.Any vertebrae has a spongy substance from the inside, and the compact bone profile on the outside consists of records.The outer layer provides hardness so you can withstand heavy loads.The vertebrae also has a red bone marrow responsible for hematopoiesis.
For a long time, with osteocartilage degeneration, complex vascular and biochemical changes.Bone tissue is constantly changing: some cells are destroyed, and new cells are in their place.Typically, with constant loading, more durable and solid cell formation is stimulated.Therefore, in the case of excessive overload, the advantage of dense fabrics is formed.
Causes of pathology
Characteristics of modern life and a sharp decline in human motor activities lead to weakening of muscle fibers and a decrease in tone.In an average person, the back of the day is mainly in a curved position, which causes excessive stretching of the flexor muscles.This factor is considered to be the main factor in causing degenerative changes.
There are several theories about the origin of osteocartilage:
- Behavior.The cause of this disease is wear and tear of the intervertebral disc.This is especially facilitated by the presence of sedentary lifestyles and the presence of bad habits.
- muscle.Violations in spinal structures are caused by underdeveloped or back muscle corsets or constant muscle spasms and the inflammatory processes within them, as well as ligaments.It is believed that falsely created stereotypes of muscle movement can lead to degeneration.It contributes to the persistent overload of cartilage and other spinal structures.
- Autoimmune.The destruction process of vertebrae and discs develops according to the same protocol as rheumatoid arthritis.Such assumptions are considered close to the truth, as the biochemical disease of collagenism is very similar to changes in the intervertebral disc, leading to worsening of tissue and malnutrition.
It has also been demonstrated that the pathology of internal organs and the effects of constant micromatters in the development of osteochondrosis.
There are theories about a person's genetic predisposition to the disease.Some doctors say that violations are sometimes caused by changes in metabolic processes and biased endocrine work.
In many patients with obvious diseases, focal chronic infections have been identified.
Related to slow progress, it is understood that osteochondrosis will immediately develop under the influence of several etiological mechanisms.
Development mechanism
All symptoms of malnutritional disease characteristics in the lumbar area can be divided into two groups: internal (spine) and external spine.
The latter is divided into reflection and compression.According to the severity of the lesion and the presence of complications, four stages of the disease are distinguished:
- The fibrous annulus under the influence of overload and other factors begins to change the structure: cracks are formed on it.The essence of the jacket nucleus penetrates them.Reflex reaction occurs due to the stimulation of nerve fibers innervated by the periosteum, ligament instrument, and fibrous annulus.When a hernia, local edema or inflammation forms, its stimulation is caused by stress.Such violations lead to changes in vasomotor or malnutrition.As a result, a person suffers from severe pain, permanent or shooting.Reflex disorders in chronic osteochondrosis in the waist lead to the development of cashew and low back pain.Myofascial pain leads to restricted exercise.Radiation disease is a compression syndrome that is usually accompanied by damage to the lumbar segment.
- The pathological progression leads to prolapse of the disc, which penetrates into the epidural area.The vertebrae gathers together at the nerve roots and exerts different pressures.It can be expressed as constant stimulation or severe compression.These manifestations mark a second phase, with the development of discogenous radiation inflammation.Usually, this phenomenon is observed from the fourth waist to the first s bone vertebrae.
- This stage is characterized by the continuation of pressure from the hernia on the nerves and vascular bundles.This is the end of paralysis or paralysis in the muscles of the extensors in the foot.At the same time, pain syndrome decreases or disappears.
- Finally, blood supply and innervation of the spinal cord are disturbed by the appearance of bone marrow disease.Changes become stable and insufficient adjustments are made with the help of medication.
Clinical symptoms and syndromes
The manifestation of degeneration bias in the lower back area is manifested as pain of various intensities and durations.Additionally, a person feels tired, increasing by the end of the day, he sleeps poorly and becomes irritable.First, symptoms are reduced or maintained horizontal position after either night breaks, but a feeling of pain is observed in the morning.Therefore, patients are forced to reduce their physical exercise.
Problems in the lumbar area can lead to irritation and inflammation at the ends of the nerves, including the innervation of the pelvis.Therefore, with the impact of advanced pathology, urination can be damaged and problems in the work of internal reproductive organs are noted.Among men, yangot develops in this context.
Irradiation of pain and impaired sensitivity involves the lower extremities.The patient noticed the burning feeling and the “chicken skin crawling” and the skin on his legs became pale, dry and peeling.
Osteocartilage degeneration in the lumbar spine is manifested as several syndromes, and the degree of manifestation varies among various patients.
Koreshka
In this case, the pain occurs due to root lesions, which are acute and are located in the area of the injury, entering the lower leg, hip, hip and foot.To reduce the feeling of unpleasantness, a person changes his usual gait and tends to be infringing the back of the infringement.The pain is accompanied by sweating, replaced by chills, which can be exacerbated when trying to move sharply in a resting state.
Due to the decrease in muscle tone and its gradual atrophy, ordinary work cannot be performed.At the advanced stage, paralysis of the limbs violates the work of internal organs of the pelvic body.
Ischemic
Osteochondrosis is not only accompanied by nerve ends in the waist area, but also with blood vessel damage.Their compression causes spasms, which becomes constant with worsening changes.Clinically, this phenomenon is manifested in the form of intermittent chromaticity.
A lack of nutrients and oxygen occurs in the organs in the pelvis.This aggravates the problems of urination, bowel movement and effectiveness.
pain
The emergence of pain is the earliest sign of osteochondrosis.Its strength depends on the degree of damage.At first, the pain is short in nature and disappears after rest, but it is sore for a long time from the beginning of the disease.Intensification of pathology leads to sharp fire, radiation from the legs, groin, and hips.
In the later stages, the pain is not only caused by physical efforts, but even by coughing or sneezing.In the waist area, muscle hardening is touched and is in a constant spasm.
vertebrate
With the continuous pain, nerves and blood supply, obvious deformation occurs.Not only is rotting noticeable in the field of pathological processes, but the structure of the spine is interrupted.Muscle tone is reduced, and the pelvis and pelvis are deflected.The gait changes, becoming uncertain.Gradually, the entire musculoskeletal system reorganization took place.
Complications of osteochondrosis
If you are not treating the disease early, the complications will gradually develop, many of which will significantly reduce the quality of life and even reduce its duration.Neglected malnutrition processes lead to the following violations:
- Muscle weakness, atrophy and footless light;
- Violation of urination and bowel movement (urinary incontinence);
- During pregnancy, severe deformation development of male and female spine in males;
- Violating male effectiveness;
- the development of blood flow and ischemia;
- herniation and hernia of intervertebral discs;
- spondylitis (growth of peak processes);
- foot path;
- Spondylosis.
An important point in considering lumbar chondrotal oscillation clinics is the presence of reflex pain.Injecting a nerve beam causes stimulation of internal (villary) organs, causing pain and function.This explains the development of manifestations such as dyspnea, arrhythmia, and intestinal pathology.
Treatment method
Various methods were used to treat osteochondrosis in the lumbar spine.
drug
The drug to treat the disease is NSAIDS.They allow you to eliminate the inflammatory process and reduce pain syndrome at the same time.It is recommended to use drugs for internal use, topical therapeutic ointments and gels with anti-inflammatory effects.In most cases, use sodium diclofenac, ibuprofen tablets or capsules.Sometimes, pain medications are used due to the intolerance of anti-inflammatory drugs.
Due to severe pain, novicaine or lidocaine is partially blocked.In some cases, there is a significant inflammation during hair verb bone block, glucocorticoids are used with novocaine.This allows you to influence the conductivity of the incoming and normalize the reflex activity of the overlying part of the nervous system.
Central muscle relaxants show good results for muscle spasms, and the typical representative of this category is the middle.These drugs combine with non-steroidal anti-inflammatory drugs to enhance the effects of anesthesia and the recovery of overall exercise.
Other treatments with medications include sedatives and medications to normalize the functioning of the nervous system.For this purpose, it is sometimes recommended to take antidepressants, antipsychotics or sedatives.
Vitamin complexes including group B, vitamin D and calcium help improve nerve conductivity and metabolic processes.In order to restore the structure of the cartilage, a cartilage protective agent was used for a long time.
physiotherapy
Modern physical therapy techniques are an integral part of the successful treatment of lumbar osteochondrosis.These include:
- Use currents of various frequencies and intensities.Typically, the current effect is used with forces of up to 100 mA, Amplipulse (modulated current), Darsonsvalization, electrophoresis with analgesic substances and proteolytic enzymes.Methods can improve blood circulation in the damaged area, restore metabolic processes, increase blood flow and deliver drugs directly to the application point.
- Use laser.Its exposure reduces inflammation and pain activity, and when it leads to lineage points, it allows you to restore the structure of the disc.
- UFO.With the help of ultraviolet irradiation, warming, vitamin D production and calcium metabolism are optimized.
- Magnetic therapy.It involves the use of induction magnets to restore the regeneration process at the cellular structural level.
- Balneotherapy.It provides healing water and mud use.To this end, patients are advised to perform common and local bathrooms for application and compression.
Physical therapy and massage
The important link to treatment is sports.Its implementation is mandatory, but the selection of the movement should be carried out by the experts.The course allows you to restore muscle tone, strengthen fibers, and expand the amount of spinal movements.In order to obtain positive results, certain rules must be observed:
- If exercise causes pain or excessive stress, you will not be able to exercise; you should start training under the control of an exercise teacher;
- Sports must be done regularly, and only in this case will the muscle corset be formed;
- Do not make the movements sharp and rapid, and an average or slow pace is usually recommended;
- Gymnastics did not aggravate any disease.
- If worsening occurs, you should stop practicing immediately and consult with an expert.
It is best to choose exercises that lie and stand in a quarter of the position.It is useful to stretch the spine, download the media and stretch backwards.For such patients, after osteochondrosis worsens, a good way to recover would be to visit the swimming pool.
Massage is also an effective treatment for osteochondrosis in the waist segment.
Experienced experts will help improve metabolic processes and microcirculation in the offending areas and reduce muscle tone.During acute periods, massage is used during acute periods, in the case of severe irreversible deformation, open wounds, rashes or burns on the skin.
Surgery
In the absence of complex conservative therapeutic results, only free radical therapy is used.It involves operating on the spine to eliminate compression of nerve roots and the maximum possible recovery or stabilization of spinal mobility in the segments it is affected.
The instructions for this operation are:
- Isolated return to hernia development;
- Severe pain will not be stopped by medication and lockdown.
- As the development of caudal syndrome and ischemia, the disks fell completely;
- The emergence of signs of radiationemia.
In most cases, when bone tissue remains intact, the patient is performed by microsheet resection and the recovery process takes a short time.
There are other intervention methods:
- Endoscopic verification;
- laser evaporation of disks;
- Plasma disc nucleoplasty.
Scientists around the world are developing the implementation of prosthesis that replaces the intervertebral disc.This will allow patients to recover after surgery and reduce the likelihood of disability.
The use of traditional medicine
In addition to using drugs, folk methods are also used to treat lower back pain.They cannot replace complete treatments for osteochondral bone toxin, but they can provide relief for complex therapies:
- At home, it is convenient to use radish or horseradish as compression.They should be chopped on the correctly divided grater pieces, add a little home sour cream and apply to the lesion.
- You can pour boiling water on the cow leaf leaves and attach it to the waist area.Put the top on the scarf and hold it for an hour.
- Bodyaga in the powder is diluted 1:30 with vegetable oil, which helps.From the mixture, high temperature compression was obtained and should be retained for one hour.
- It is useful to wipe the lower back with liquid honey.But this should be done correctly so that the painful spots surge violently towards the soreness.
- To eliminate back pain, use an ointment.To make it, you need to take equal ghee, camphor oil and horse chestnut powder.After thoroughly mixing, apply the product on pieces of rye bread and apply it to a sore area.
You should consult a doctor before using any civil remedies.
Prevent disease
To prevent the development of lumbar osteochondrosis and mitigate the development of renewal, prevention rules should be followed:
- Avoid hypothermia;
- Do not raise heavy objects (the maximum allowable load for women is 5 kg and for men is 10 kg);
- Daily practice allows us to strengthen muscle corsets and stress;
- Sitting and working for a long time, resting regularly and warming up;
- Always monitor your posture when walking;
- Regularly disinfect possible sources of chronic infection;
- Eat correctly and prevent overweight;
- Walk at medium speed as long as possible;
- Visit a dance group, do a swimming, exercise walk, avoid sudden movements and strong jumps.
It is completely impossible to cure osteochondrosis because the changes occurring in the spine are irreversible, but modern helping methods help restore the patient's quality of life in the long term.