Osteochondrosis of the lumbar region is a disease that deforms and destroys the cartilaginous tissue of the intervertebral discs in the lower back.Without cartilage layer, the distance between the vertebrae is significantly reduced.And with the slightest sharp turns, they can shift.The main danger of the disease is the possibility of the formation of intervertebral hernia.
Can't you lean to raise an object that has fallen to the floor?Do you suffer acute pain in the lumbar spine and often go, wrapping the waist into a warm scarf?Do not ignore the condition that bothers you.
Osteochondrosis of the lumbar region can drag on by its duration for a long time.There is no need to experience the body for strength.Love your body.And it will reciprocate.
The lumbar region accounts for most of the load from all body weight compared to the chest and cervical departments.Therefore, this subspecies of osteochondrosis is most common.
Fact.According to WHO statistics, osteochondrosis of the lumbosacral department is diagnosed mainly in the population of the population from 30 years.
The causes of osteochondrosis of the lumbosacral department
- Long stay in the sitting position, as a result of which the muscle corset becomes weakened, and the load on the vertebral column grows
- Weightlifting training or regular weight lifting
- Distortion of posture, and with it and walking
- After bruises, falls and fractures
- Flat feet.When moving the set of the foot, usually softens the degree of pressure of the skeleton on the spine, but with flat feet, the entire burden lies on the intervertebral discs
- Excess weight
- Constant stay in a pose deprived of convenience
- As a complication after bone tuberculosis or osteomyelitis (infectious inflammation of bone tissue), ankylosing spondel (inflammation of the joints of the spine) or rheumatoid arthritis (lesion of connective tissue, mainly in the joints)
- Hormonal malfunctions, changed composition of blood
- Age -related transformations (vertebrae and intervertebral discs lose their elasticity with age)
- Stress and chronic insomnia
- Hypothermia
Symptoms of lumbosacral osteochondrosis
- At the point of pinching of the nerve fibers, tingling, burning, “crawling goosebumps”, numbness begins
- The rapid onset of fatigue and sudden attacks of irritability
- Deviations in the sequence of the menstrual cycle
- Overly tense muscles of the lower back
- Increased sweating
- The skin becomes pale and dry, a person often freezes
- Low's pain: aching prolonged and lumbago (shooting acute pains).They can be given to the buttocks and limbs.At the same time, the legs in the literal sense of the word “do not hold” or go numb
Fact.Did you know what the dimples on the lower back mean?They are also called the "dimples of Venus."This is an anatomical feature, inherent mainly to female physique.Pronounced hollows indicate the normal body weight of their owners, good muscle development and blood circulation.In the period of the Renaissance, such a visual feature delighted sculptors and artists of the 15th century.
Pain syndromes are distinguished depending on the causes of their occurrence:
- Radiculopathy: caused by compression of radicular structures
- Compression myelopathy: pain appears due to compression of the spinal cord
- Compression-vascular Myeloischemia: It occurs due to narrowing of the supply arteries and veins
- Ishias: Due to the pinching of the sciatic nerve, which passes along the buttock and thigh
Who to call for help?
If you find any of the signs of the disease, consult a neurologist.He will conduct an inspection, determine the probable cause of pain and prescribe the necessary diagnosis.
Diagnosis of osteochondrosis of the lumbar
Any diagnosis begins with the doctor conducting an initial examination.During this procedure, the doctor will determine if you have scoliosis, kyphosis, displacement of one of the buttocks or flattening of lordosis.
The neuropathologist will direct you for examination: CT (computed tomography), MRI (magnetic resonance tomography) and radiography.
Methods of treatment of osteochondrosis of the lumbar
After analyzing the diagnostic results, your attending physician will select the desired course of treatment.Treatment methods are different: it can be drug therapy, physiotherapy, or, in case of emergency care, an operation.
So, what is the essence of the medical method.It involves taking a number of drugs.We give their approximate list.
- Analgesics: eliminate pain, but do not relieve the cause of its occurrence
- NSAIDs (non -steroidal anti -inflammatory drugs): fight pain and swelling
- Musorelaxants: relax muscles
- Chondroprotectors: Due to the improvement of metabolic processes in cartilage fabrics, they slow down the deformation of cartilage and even regenerate them
- Diuretics: remove swelling
- B vitamins B: remove excess fluid, improve metabolism in cells
- Immunity agents in general, and drugs to improve blood flow in the pathology zone
Sometimes, in severe cases, in order to instantly relieve acute pain, you have to “bombard” the body with potent injections.Then the doctor makes the patient the so -called paravertebral blockade.The specialist introduces an anesthetic to the exit point of the nerve spine, which causes a temporary loss of tissue sensitivity.
As a fairly effective way to combat the disease, physiotherapy has established itself.See more in the general section on osteochondrosis
Well, of course, all theoretic physical education (LFK) is also in demand.It strengthens, relaxes and stabilizes the muscles of the back, improves blood circulation and metabolic processes.
But if none of the above methods was effective, then a neuropathologist can direct you to a neurosurgeon for the treatment of sacral osteochondrosis.And he, in his turn, will confirm or refute the need for surgery.
Fact.A curious detail for avid drivers.How is it easier to endure driving in a car if your back hurts?Put the roller under the base of the back.And be sure to install a headrest on the seat - such a precaution will protect from injuries with sharp braking of the car.
Types of operations
At the world level, among professionals, MicrodisCetomy has earned universal recognition.This duration operation takes about 20-30 minutes, it is performed using general anesthesia.MicrodisCtomy is carried out under a neurosurgical surgical microscope.The surgeon removes the hernia without touching the surrounding tissues, in particular - without injuring nervous structures.You can walk the next day after the operation.And the operated output from the hospital receives on the 2-3th day.
A variety of operations is the installation of special implants.The surgeon eliminates the damaged intervertebral disc and inserts sliding titanium implants instead.The patient lies in the hospital for 3-4 days.He will be able to walk on the second day.
Question-answer:
I heard that severity must be somehow tolerated and lifted in order not to harm the spine.How exactly?
With independent transportation of goods, hold the body straightened.And place the burden itself closer to the torso.If you raise something heavy from the ground, do not lean forward, focusing the load on the body.Sit down and raise the load due to the bend in the knees.
What are the stages of development of osteochondrosis?
1st stage.PREClinical.The height of the disc is reduced.In the fibrous ring (the outer layer of the intervertebral disc from the cartilaginous fibers) a crack is formed.The lumbar muscles begin to get tired quickly.You feel certain discomfort in the back.
Stage 2.Violations of metabolic processes in the nucleus (the central part of the intervertebral disc, which consists of a gelative cartilage): its cells become dead or completely destroyed.The collagen structure (the protein structure is based on the connective tissue) of the fibrous ring is also disturbed.Local pains, a person cannot cope with the physical activity that he previously considered quite feasible.
Stage 3.Complete destruction of the fibrous ring.Adjacent vertebrae cease to be stable.Any uncomfortable pose causes pain.Due to the Pinching of the nerve roots that move away from the spinal cord, the limbs can become less sensitive and mobile.
4th stage.The fabrics of the intervertebral disc are covered with scars, which leads to the immobility of the affected joint of the spine. Clinic description here depends on individual physiology.
Can a pregnancy cause osteochondrosis?
Yes, the embryo mass gradually increases and the center of gravity of the woman’s body shifts, the lower back suffers from excessive load.In addition to this, the metabolism changes;The body lacks minerals and vitamins.But during the bearing of the fetus, most drugs and physiotherapeutic procedures are contraindicated.Therefore, carefully follow the tips of therapist and gynecologist.