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THE TREATMENT OF OSTEOCHONDROSIS OF THE LUMBAR SPINE

Osteochondrosis is a collection of destructive changes of the spine accompanied by damage and rapid destruction of the intervertebral discs. The last are made up of cartilage tissue, therefore, easy to Degeneration, under the influence of wrong stress on the vertebrae. Osteochondrosis of the lumbar spine fixed in patients of all ages. But in the area of risk, with persons older than 30 years, as well as patients, the constant physical work, sports.

Osteochondrosis Symptoms.

One of the clearest symptoms of the disease a strong pain syndrome, accompanied by limitation of movement in the lumbosacral Region. Often osteochondrosis is a complication of another disease of the skeleton, and has serious consequences for the spine.

THE STAGE OF DISEASE PROGRESSION

Four stages of the Progression of degenerative disc of the lumbar spine diseases:

  1. Characterized by alternating pain syndrome gradations during the motor activity. To feel localized pain in the lower back and buttocks, tingling in certain areas of the body.
  2. In the second Phase, the first pronounced destructive changes can be determined, including the destruction of the annulus fibrosus, compression of the nerve. Pain syndrome manifests itself during physical activity, is a sudden and progressive. The patients feel the relief when bending the torso to the rear.
  3. The progress of the destruction of the Anulus fibrosus of progression leads to the destruction of the cartilage and the formation of intervertebral hernias. The pain is constant and increases in physical activity.
  4. The cartilage continues to deteriorate, which form on the affected sections of the spine, pathological growths, which the functionality of the skeleton. The mobility and flexibility, reduces pain syndrome is manifested with different intensity.

Usually, therapy is only the first stage in the development of degenerative disc is disease of the lumbar spine. Treatment in other cases, a series of measures to slow down the destructive processes and the well-being of the patient improve.

SYMPTOMS AND SIGNS

Pain in the lumbar area when bending and other movements, the first signs of the emergence of destructive interference. Pain means the destruction of the intervertebral disc, and pressure on the nerve endings. Other severe symptoms:

  • Reduction in pain intensity in the case of a stay of the fuselage in a horizontal Position;
  • Weakness in the lower extremities;
  • Numbness of the legs, loss of deep tendon reflexes;
  • Curvature of the spine in the lumbar area to the left, to the right, lordosis, and kyphosis.

In the later stages, incontinence of stool and urine is also possible. The pain occur even at low stress (e.g. coughing and sneezing). Complete and partial paralysis occurs in the case of inoperable degenerative changes.

The accompanying symptoms:

  • Numbness and tingling in the lumbar region;
  • the color of the skin in the area of the buttocks, the thighs, loin, darkening of the skin change;
  • a sense of tension in Flexion and extension of the trunk;muscle atrophy and reduced activity (more likely to occur as a complication of a disease);
  • the dryness and the peeling of the skin;
  • Violation of sweating;
  • autonomic disorders due to the change of blood circulation, lack of oxygen supply to the tissues;
  • no (decreased) Libido and sexual dysfunction.

Disorders of sensitivity is observed, in General, directly into the lesion. Also hyperesthesia (hypersensitivity), anesthesia (reduced sensitivity), and paresthesia (feeling of tingling) can.

Most often disease are vulnerable to men because she has more physical work. Here is the progression of the disease is faster and the likelihood of sexual dysfunction many times higher than in women.

THE MAIN CAUSES AND RISK FACTORS

Osteochondrosis sacrum otdelaeshsya back pain, symptoms, and treatment, which is directly dependent on the stage of Progression, often as the hauptgrnde of occurrence. Not all of the conditions and risk factors may resolve in a therapeutic period of time. To accurately identify and define the entirety of the grounds is also not always possible.

In the list of the most important reasons for the emergence of lumbar intervertebral disc degeneration, and their treatment depends on their Definition include:

  1. Uneven load on the spine, the skeleton. Due to the pryamohozhdeniem and a lack of physiological literacy of the people. Uneven pressure is typical for Amateur athletes and people who do heavy physical work.
  2. Increased Load. The right approach to the work of the skeleton, the muscles and the spine possible destructive changes. In the case of increased movement activity of the vertebrae wear out faster and mutated, cartilage Discs, deleted, and choking nerve endings. In such situations in the first phases, and with a protrusion of the hernia, the lumbar-sacral arthritis, the treatment of the symptomatic relief of the symptoms and slowing the rate of further destruction.
  3. Postural weakness. In General, this phenomenon is accompanied by a wrong distribution of the load on the spine, which leads to the destruction of bone use, and cartilage tissue. In the risk group of older people, which may, in the course of time, the rapid decrease in the elasticity of the intervertebral discs is observed.
  4. A sedentary way of life. Often combined with poor posture and an uneven distribution of the loads. Moreover, may result in changes in muscle gipotonus, caused by lack of exercise muscles can. In the constant sitting position, the spine (especially lower back) more than usual will be charged.
  5. Significant obesity. Each kilogram of weight creates extra pressure on the spine, the use of full of destructive changes to bone and cartilage. If obesity accompanied by a sedentary lifestyle, risks, and the need to increase in the treatment of the lumbar-sacral spine several times ends.

The main reasons can be complemented by risk factors increases the likelihood of the occurrence of the disease, and (or) accelerate their development. To distinguish the most important factors:

 

  • Flat feet (because of the lack of functionality of the feet and an uneven distribution of pressure on the spine);
  • the defeat of the digestive system and cardiovascular system;inflammation of the bony and cartilaginous tissues, Arthritis, Osteoarthritis, Osteomyelitis;
  • Violation of hormonal, endocrine disorders;increased fatigue, injury to the healthy biorhythms;
  • frequent Stress and the emotional state of the injury.
  • Doctors recommend to pay special attention to the way of life. Recognizable lack of sleep and Stress, poor unbalanced diet, usually are factors the risk and negative catalysts, processes for the spine.

METHODS OF DIAGNOSIS AND IDENTIFICATION OF THE CAUSES

For the diagnosis to be carried out:

  • Medical history;
  • the investigation of the hard and soft tissues;
  • The laboratory experiments.

When you first visit the doctor a detailed investigation leads identified possible external Manifestation of the disease, the presence of curvature and changes in the skin, sensitivity. In addition, during the initial investigation, the determination of the localization of the pain. Continue to be carried out:

  1. Radiography. In the lateral and posterior projection. You can determine the presence and the extent of the lesion of the bone tissue, reveal the sizes of the growths (if any).
  2. Magnetic Resonance Imaging. Allows the localization of the lesions with the help of multi-angle visualization. Brings the destruction of the vessels of the soft parts, inflammation, damage to nerve endings, blood.
  3. The Computer Tomography. Like radiography, the visualization of solids of the spine and of the back. Enables a more accurate existing destructive changes.

METHODS OF THE THERAPEUTIC EFFECT

In the case of osteochondrosis of the lumbar spine, treatment is individually. In the early stages, conservative treatment with maintaining the normal health of the patient. In the case of severe destructive changes of the surgical Intervention.

CONSERVATIVE METHODS

Seizures degenerative disc disease is often accompanied by severe pain, the relief. With these goals the drugs to use:

  1. Analgesics. The most common are: AnalGin, Deksalgin, Spazmalgon. Apply in the form of tablets, but also in the Form of injections.
  2. Chondroprotectors. No drugs, but also support the elasticity of the cartilage matrix, promoting the recovery of damages. To belong to a group of medicines Artifleks, hondroksid, glucosamine:.
  3. Non-steroidal anti-inflammatory drugs. To the group of Diclofenac, nimesulide, Ibuprofen include. Alleviate inflammation and relieve pain.
  4. Myotropic Antispasmodics (Mydocalm). Be used for relieving muscle tension, and the weakening of the pain syndrome.

Additionally, apply anti-inflammatory creams and ointments (The nimid, Traumeel C, Dolobene, Finalgon). For vytjagivanija the spine in addition to manual therapy, massage and physiotherapy will be applied. Home also allowed the use of physiotherapy.

the treatment of osteochondrosis

In the case of osteochondrosis of the lumbar symptoms and treatment with drugs is required only upon the occurrence of severe pain and violation of the mobility. Also medicines are needed to relieve inflammatory processes and causes of the disease.

SURGICAL PROCEDURES

In the case of osteochondrosis of the lumbar-symptoms and home treatment of the combination only in the early phases at low pain intensity and the minima of the negative symptoms of the disease. Surgical intervention is required, in the case of severe the growths of bone tissue to the partial restoration of mobility of the skeleton. Also by surgery bulbosus hernia, the damaged cartilage Discs with the replacement of the last to be removed.

FOLK REMEDIES

Folk remedy for osteochondrosis of the lumbar spine, symptoms and treatment are closely linked, are for the decrease of inflammatory processes and pain. The most effective and safe:

  1. Coniferous Bath. Bath salts you need to needles in the water has a pleasant temperature of three-four branches of the fir tree. Procedure it is recommended, before the sleeping hour for a quarter.
  2. Tincture of horseradish. In the same proportion, mix a tablespoon of vodka and the juice of fresh horseradish. RUB the painful areas two stick three times a day. After each procedure, the Ceiling for space heating, close the back.
  3. Leaf of burdock. To keep a fresh leaf of the plant steam to hot within ten minutes, then add it to the affected area on the lower back. Wrap a scarf loin or a blanket and leave for an hour.

In the treatment of degenerative disc of the lumbar spine symptoms and treatment of disease correlated important. It is the recipes of the folk medicine as an alternative main course is not recommended. Allows the use of the funds as an additional.

PREVENTION AND RECOMMENDATIONS

Prevention of degenerative disc of the lumbar oldelpaso diseases-sacral back pain, symptoms, and treatment, described above, is suitable for the prevention. For the occurrence of the disease is required to follow the guidelines:

  • evenly distribute the pressure on the skeleton and the spine, avoid intolerable physical work;
  • correctly correlate time for sleep and relaxation with physical exertion;
  • you can monitor the technique of execution of exercises during training;
  • use the rules of the compilation of menus on the basis of the recommendations of a healthy diet;
  • avoid obesity;
  • Checkups the surgeon and the neurologist, especially after the age of 30;
  • keep track of your hormone levels and monitor the condition of the endocrine system;
  • the attitude monitor and, if necessary, movement therapy, use of massage and manual therapy.

THE RESULTS AND CONCLUSIONS

Progressive in the lumbar area of osteochondrosis – the result of a wrong distribution of the load on the spine, to the neglect of the rules for the creation of posture and technique of execution of exercises in the Sport. With age, the risk of a disease in any of these factors increases due to the reduction in the regenerative processes of the bony and cartilaginous tissue. The treatment of osteochondrosis difficult, since the spine does not fully recover. Therefore, prevention is important, and follow the recommendations of the treating physician.