Low back pain represents the set of changes that are destructive to the spine, accompanied by damage and rapid destruction of the intervertebral disc. These are made up of cartilage, so easy to degeneration under the influence of the inversion of the burden on the vertebrae. Osteochondrosis of the lumbar spine and the division is established for patients of all ages. But in the area of risk included people of more than 30 years, as well as patients, permanent employees of the physical work, sports.
One of the most explicit symptoms of the disease is a strong pain syndrome, accompanied by a limitation of mobility of the lumbosacral region. Often, osteochondrosis is a complication of another disease of the skeleton and leads to serious consequences for the spine.
THE STAGE OF PROGRESSION OF THE DISEASE
There are four stages of the progression of the degenerative disc disease of the lumbar spine:
- Characterized by the unsteadiness of the pain syndrome, arising when the motor activity. The pain is localized in the lower back and buttocks, and can be felt tingling in the areas of the body.
- In a second phase can be diagnosed by the ministers as expressed by some of the changes, including the destruction of the fibrotic ring, compression of the nerves are to the. The syndrome of the pain begins during a physical effort, becomes strong and progressive. Patients feel relief of the flexion of the trunk in the rear.
- The progression of the degradation of the fibrotic ring leads to the destruction of the cartilage and of education intervertebral hernia. The pain is constant and is enhanced by physical activity.
- Cartilage, the tissue continues to deteriorate, on the infested areas of the spine are formed pathological expansion, reduce the functionality of the skeleton. Decreases mobility and flexibility, the pain syndrome is manifested all the time with different intensities.
Generally, the therapy is only suitable in the first degree of development of degenerative disc disease of the lumbar spine. The treatment in other cases, represents the set of actions that influence the process and to improve the health of patients.
THE SYMPTOMS AND SIGNS OF DEFEAT
The sensation of pain in the lumbar region, experience in slopes and other movements are the first signs of the onset of disorders. The pain bears witness to the destruction of a disk, the femur and compression of the nerve endings. Other symptoms expressed:
- the decrease in the intensity of the pain stays trunk to the horizontal;
- weakness in the lower limbs;
- numbness of the legs, loss of deep tendon reflexes;
- the curvature of the spine in the lumbar region, left, right, lordosis and kyphosis.
During later stages may also be incontinence of feces and urine. The pain occur even with loads (for example, coughing and sneezing). Full and partial paralysis can occur when unusable degenerative changes.
With symptoms:
- numbness and tingling in the lumbar region;
- the change of color of the skin on the buttocks, thighs, lower back, darkening of the skin.
- the sense of tension during flexion and extension of the trunk;muscle wasting and the reduction of activity often appear as a complication of the disease);
- the dryness and flaking of the skin;
- the violation of the perspiration;
- vegetative breach of the change of circulation, the disadvantage of the oxygen supply of the tissue;
- the absence of reduced libido and sexual dysfunction.
Sensitivity problems can typically occur directly in the hearth of defeat. When it is possible hyperesthesia (increase), anesthesia (decrease of sensitivity) and paraesthesia (sensation of tingling).
Most often the disease are exposed to men, because they are more worried about the physical work. When disease progression occurs more rapidly and the likelihood of the occurrence of the sexual dysfunction turns out to be several times higher than in women.
THE MAIN CAUSES AND RISK FACTORS
Osteochondrosis sacred otdelaeshsya low back pain, the symptoms and treatment are directly dependent on the phase of progression, it is often complicated the main causes of the occurrence. Not all pre-conditions and risk factors not solve the therapeutic problem of the period. Exactly to identify and define a set of reasons, too much is not always possible.
In the list of causes of degenerative disc disease of the lumbar spine and the treatment may depend on their definition, are included:
- Uneven load on the spine skeleton. Depends on pryamohozhdeniem and a lack physiological of the literacy of the man. The disparity pressure is typical for the leisure athletes and people engaged in physical labor heavy.
- The increase of the load. Even if the right approach to the skeleton, the muscles and the spine are the possible destructive effects of the change. With the increase of motor activity, the vertebrae wear out more quickly and mutate, the disk cartilage are cleared, and the gagging of the nerve endings. In such situations, in the earliest stages observed the parish priest and a hernia, which are then complicated by the sacred of osteochondrosis the treatment of which boils down to relieve the symptomatic manifestations and the slowdown of the continuation of the destruction.
- A bad posture. Generally, this phenomenon is accompanied by poor distribution of the load on the spine, which then leads to the destruction of bone and cartilage. In the at-risk group, the elderly, and, with time, one observes a rapid decrease of the elasticity of the intervertebral discs.
- A sedentary way of life. Often copulated with a poor posture and an uneven distribution of charges. In addition, the evolution can lead to muscle gipotonus, called the drawback of the muscle activity. Constantly in the sitting position of the spine (in particular the kidneys) that are subject to loads more than usual.
- Large amount of excess weight. Every excess kilogram of weight creates extra pressure on the spine, in the face of abrupt change for the bones and cartilage. If the obesity is accompanied by a sedentary lifestyle, the risk of necessary in the treatment of the lumbosacral region of the spinal column increases several times.
The main causes can be complemented by risk factors that increase the likelihood of the onset of the disease and (or) to accelerate its development. Among the main factors to highlight:
- flat feet (due to the failure of the functionality of the stop and the uneven distribution of pressure on the spine);
- lesions of the gastrointestinal and cardiovascular systems, inflammatory processes, bone and cartilage tissue, arthritis, osteoarthritis, osteomyelitis;
- the violation of hormonal levels, diseases of the endocrine system;the fatigue, the violation of a healthy biorhythm;
- frequent stress and disorders of psychoemotional state.
- Doctors recommend to pay special attention to the image of life. The lack of sleep and stress, poor unbalanced diet are the most often risk factors, and the catalyst of negative processes in the spine.
THE METHODS OF DIAGNOSIS AND IDENTIFY THE CAUSES OF
For the diagnosis are made:
- history;
- the study of the state of the hard and soft tissues;
- the laboratory studies.
During the first visit, the doctor performs a detailed inspection, determines external possible the manifestation of the disease, the presence of the curvature and the changes of the skin, sensitivity. In addition, during the first visit requires the definition of the location of the pain. Then take place:
- X-ray. Is in the side and to the rear of the projection. Allows to determine the existence and the value of the bone defect, to identify the size of the growths (if any).
- The magnetic resonance imaging. You can determine the location of the lesions by using multi-angle rendering. Identifies the destruction of soft tissues, inflammatory processes, damage to the nerves are blood vessels.
- A computed tomography scan. Such as x-rays, offers the visualization of the hard tissues of the spine and the back. Lets examine the available destructive changes.
METHODS Of THERAPEUTIC EFFECTS
Osteochondrosis of the lumbar spine and of the division of treatment is chosen individually. In the early stages of the possibility of conservative treatment with maintaining a normal healthy state of the patient. When severe destructive changes used surgery.
THE METHODS OF CONSERVATIVE AND
The crises of the degenerative disease of disk are often accompanied by severe pain requiring relief. These objectives use drugs:
- Analgesics. The most common: Analgin, Deksalgin, Spazmalgon. Apply in the form of tablets and in injection form.
- Chondroprotectors. Are not medicines, but can maintain the elasticity of cartilage and promote the repair of the damage. To a group of medicines are: Artifleks, The symptoms, Glucosamine.
- Nonsteroidal Anti-inflammatory drugs. The group are: Diclofenac, Nimésulide, Ibuprofen. Help relieve the inflammatory process and facilitate the syndrome of the pain.
- Myotropic antispasmodics (Mydocalm). Are used to relieve muscle tension and release the pain.
In addition, applied creams and ointments anti-inflammatory (The nimid, Traumeel, Dolobene, Finalgon). To straighten the spine rogue applies manual therapy, massage and physiotherapy. The house is also allowed the application of physiotherapy.
When the osteochondrosis symptoms and medications is necessary only in cases of severe pain, and violation of mobility. Also medicines are needed to relieve the inflammatory processes and the causes of the onset of the disease.
SURGERY
When the low back pain symptoms and treatment at home, you can combine only in the early stages of the low-intensity of pain and minimum negative manifestation of the disease. Surgical intervention is necessary when serious outgrowths of bone for the partial restoration of mobility of the skeleton. Also with the help of the operation removes the hernia, destroyed the disk of cartilage with replacement of the last.
FOLK REMEDIES
Folk remedies for the osteochondrosis of the lumbar spine and of the division, the symptoms and treatment are closely linked, apply for the lifting of the inflammation and the pain. The most effective and safe:
- Coniferous bath. To take a bath, you need to put in the water to a comfortable temperature of three to four branches of a pine. The procedure is recommended before bedtime for a quarter of an hour.
- Tincture of horseradish. In equal proportion, mix a spoon of vodka and the juice of horseradish fresh. Rub the painful areas two to three times per day. After each procedure to close the back of the cover to warm up.
- A leaf of burdock. A leaf of the plant to stand above the hot steam for ten minutes, after which apply it to the affected area on the back. Isolate the lower back with a handkerchief or blanket, leave an hour.
When the treatment of degenerative disc disease of the lumbar spine symptoms and treatment it is important to correlate. Is not recommended to apply the recipes of traditional medicine as an alternative main course. Animals use tools as auxiliaries.
PREVENTION AND RECOMMENDATIONS
The prevention of the degenerative disc disease of the lumbar spine and oldelpaso-sacral osteochondrosis, symptoms and treatment described above, lends itself to prevention. To prevent the onset of the disease, you must follow the following recommendations:
- evenly spread the pressure on the skeleton and the spine, avoid exhausting physical work;
- correctly associate the time for the sleep and the rest of the year;
- follow the technique of the execution of the exercise during the exercise;
- use the rules of composition of the menu based on the recommendations of a healthy diet;
- avoid excess weight;
- pass preventive examinations in the ben the teenager and the neurologist, especially after 30 years;
- follow the hormone levels and monitor the state of the endocrine system;
- monitor the status of the posture and, if necessary, to make healing of physical education, using massage and chiropractic treatment.
THE RESULTS AND CONCLUSIONS
Progressing in the lumbar region, pain in the lower back – the result of the poor distribution of the load on the spine, the non-respect of rules of establishment of the posture and the technique of execution of exercises in the sport. With age, the risk of the disease when the data are of factors increases due to the reduction of the regeneration process of bone and cartilage tissues. The treatment of degenerative disc disease is difficult because the spinal column does not lend itself to a complete healing. It is important, therefore, to prevention and to follow the recommendations of your doctor.