Lumbosacra spine osteochondrosis is a dystrophic spinal disease, in which the normal structure of the entire spine and intervertebral discs in particular is gradually destroyed.It should be said that not only the back suffer, but the whole body, especially the pelvic organs and the lower limbs.
The reasons for development
The lumbar region for the life of a person in connection with a frankness experiences a colossal vertical load that cannot completely compensate even the large size of the vertebrae.Therefore, the smallest changes in the human body, a decrease in lumbar, overweight, lesions, incorrect movements and more can lead to the development of the disease.Also, you should always remember about age -related changes in the spine in relation to each person.
In summarizing the above, the most frequent risk factors can be distinguished, whose wholeness leads to lumbar osteochondrosis:
- Irregular and irregular loads in the spine (raising the severity of a sloping position, etc.).
- Overweight (almost each kilogram is important).
- Rumber lesions, including sports.
- Weakening of muscle corset (prolonged work in a monotonous position, etc.).
- Inflamable diet, poor in minerals and vitamins.
Symptoms
The symptoms of the disease may vary greatly, however, all the main signs of osteochondrosis develops, as a rule, in three syndrome:
- Lumbalgia VertoBroógen (synonym for lumbago).
- VERTRO -Carbon lumboyshialgia.
- VERTRO ISQUIALGY -Carbon (inflammation of the sciatic nerve).
However, in addition to pain in the lower back (with irradiation in the legs, glutes and inguinal areas of or without this), tension of lumbar muscles, leg weakness, crispy during lumbar movements and difficulties of movements in the lumbar region should be distinguished by various important symptoms of oscorbrosis from the lower back of the lower back.
- Numb in the legs and a sense of creeping goose bumps in the legs.
- Cramps on the legs.
- Pelvic disorders (delay or incontinence of urine, constipation or diarrhea).
- Weakness in certain groups of the leg muscles.
These complaints can guide the neurologist at the level of spinal damage, conduct a differential diagnosis with other spinal diseases.
Diagnosis and signs of X -ray
Osteochondrosis should be diagnosed with only one type of instrumental - radiological method.Viewing the entire structure of the spine in modern medicine allows the best study of MSCT or magnetic resonance imaging, however, simple radiography has not lost its estimated value (such as a screening study).It is important to remember that the main stage in diagnosing problems with the spine will be a medical examination, which sometimes allows you to make a diagnosis without an examination.
In the neurological status, pain is detected on palpation of the spicy processes of vertebrae, tension of the Lower Back muscles, and if they are only osteochondrosis, then they have should be no sch no: decreed having reflexes, impaired sensitivity, sympts of tension(Signs of Compression of the Spinal Cord Roots), Impaired Muscle and Muscle of the Legs, Weakness of Movement of Motion in the legs.In the presence of these symptoms, differential diagnostics with disc hernia and other more serious diseases of the spine should be performed.
Treatment
The treatment of the disease involves complete prolonged therapy.The directions in the treatment of several - removal of drugs from exacerbation, 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 today.
medicine
It is a combination of myoorlaxing therapy, anti -inflammatory pathogenetic therapy, as well as the use of neuroprotective medications.The choice of drug calculations and dosage is the weight of a person, gender, presence of concomitant diseases.
In the acute period, it is advisable to inject medicines such as Diclofenac, Meloxicam.In addition, in parallel, they begin to perform therapy for the removal of muscle spasm and protection of nerve fiber against damage.
No -drug
It is represented by physity and manual influences.Given the massivity of muscle groups, a very extensive level of the anatomical zone, physicalization can be just an auxiliary method.DDT, electrophoresis, magnetotherapy are used that allow you to improve the effect of medicines.
However, massage and manual therapy are sometimes able to completely interrupt the symptoms of lumbar osteochondrosis, even without drug support.This is due to the fact that muscle spasm can be removed very well, and pain is not always caused by the inflammatory process, sometimes only careless movement leads to pain, whose consequences are effectively eliminated in the early hours after pain development.
Lumbar osteochondrosis gymnastics aims to stretch the muscles of the back and strengthen them.In the presence of established diagnosis, lumbar osteochondrosis should be involved daily in physical therapy exercises.Subject to general rules (restriction of excessive physical activity, hypothermia), body weight control and exercise for osteochondrosis of the lower back over the disease can sometimes be forgotten for many years.