Lumbar chondropathy is a degenerative malnutritional disease of the lumbar spine.As the disease progresses, the intervertebral discs suffer the greatest impact, and the damage extends to the joint surface, ligaments, and vertebrae.
The share of osteochondrosis in the spine is 80% of all diseases of the peripheral nervous system.In 60% to 80% of cases, this is lumbar bone and chondropathy.At least 7 out of 10 people experienced routine lower back pain throughout their lives.For aggravated periods, an average of 3 to 16 days per year.But the disease can and should be treated to maintain high-quality lifespan and the health of the musculoskeletal system.We will tell you why this disease develops, how it manifests itself and how it should be treated for lumbar osteochondrosis.
What is osteochondral disease
Osteochondrosis is a chronic spinal column accompanied by structural changes (destruction) and reduced volume (malnutrition) of the intervertebral disc.They began to penetrate the spinal cord and squeeze blood vessels.Furthermore, the disease is characterized by damage to the arched joint between the spinous processes of the vertebrae.
Together with osteocartilage degeneration, the genus of the bone also forms.This is the name of pathological growth, which is the result of marginal growth of bones.He promoted his promotion and caused it to deform due to violation of vertebral calcium metabolism.
attention!Lumbar osteochondrosis is characterized by all pathological processes inherent in the entire osteochondrosis.But they only affect the lumbar spine, which includes 5 vertebrae.
Causes of development and risk factors
To understand the causes of osteochondrosis in the waist area, you need to understand the structure of the spine.It is a column composed of vertebrae, which connect to each other, intervertebral discs and ligaments.The holes inside them form a hollow channel.Its inner part is the spinal cord, and its roots appear between each pair of vertebrae.
When a person leans, his spine bends.Instead, the intervertebral disc is compacted and its core is displaced.This reduces the spine pressure during the loading process.Therefore, the intervertebral disc is a bioshock absorber.When he stops performing shock absorption, the osteocartilage develops.
The following factors are susceptible to pathological development:
- Sitting for a long time or working too hard.In the sitting position, the muscles of the corset relax, which increases the load on the spine.Heavy lifts lead to this.
- Hypoemia.Among people who live a sedentary lifestyle, muscle corset development is not enough to keep the spine in the right place.
- Too much weight.Press overweight on the spine and overload it.
- Endocrine disease.Hormones can affect metabolism, including in China.Hormonal imbalance can lead to violation of calcium metabolism.
- Improper nutrition.Inadequate intake of vitamins, minerals and protein can damage the nutrition of the spine and cause changes in its tissues.
- Pathology of the musculoskeletal system.Osteocartilage can occur in the context of flat feet, spine damage and curvature.
- Genetic tendency.If osteochondrosis has close relatives, the risk of osteochondrosis is increased.
- age-related changes.As you age, the elasticity and mobility of the spine decrease.
Osteochondrosis in the lumbar spine is more common in men.This is because their work is often associated with a lot of manual labor.Men are also under heavy burden during strength training in the gym.
Symptoms of lumbar bone osteochondrosis
Pain is a major sign of the disease.Its characteristics, location and distribution direction are determined by receptors sandwiched in the spine.Usually, patients complain about pain, which can intensify with changes in body position and change in posture and sudden movements for a long time.With lumbar vertebrae disease, she often put him on her legs, s bones or groin.In the horizontal position, the pain subsides.
Other possible symptoms of lumbar chondrotomy:
- The tension in the lower back is caused by bending and extension.It is caused by displacement of the spinal cord root.
- Feeling weak on legs.Perhaps the extinction of tendon reflex.This is due to compressing nerve fibers that conduct signals from the brain to the lower limbs.
- The lumbar spine curves to the side (scoliosis) or advance (Lordosis), making it smooth out naturally (Kyphosis).
- Involuntary urination and bowel movements (if the spinal cord is clamped).For the same reason, a man's erection may be damaged.
- Cooling on the lower back.The hips will also get cold.This occurs in lumbar osteochondral disease, with similar symptoms and treatments to pathology and are located only in the lower back.
- Sensitivity in infringement of damage field.They can last for several minutes to several hours.Sensitivity may increase, decrease or disappear.Perhaps unusual development - the feeling of tingling and crawling chicken skin ump.
Osteocartilage degeneration in the lumbar spine is a sinister disease that we will analyze in this article and treat.It starts with discomfort and mild pain.But they were ignored because they passed quickly after a break.Over the years, pathological progress has been strengthened, and the signs of it have been enhanced.Patients seek medical help only when the pain becomes unbearable.
Severity of lumbar bone osteochondral disease
The development of lumbar chondrosis includes 4 stages:
- The first stage is characterized by the displacement of the disc core.It is accompanied by weak lower back pain, which is aggravated during exercise.Short pricks on the back and hips are possible.
- In the second stage, the annulus of the intervertebral disc is destroyed, resulting in reconciliation of the vertebrae.They squeeze the nerve ends, which can cause severe pain when walking.It can spread to the hips, thighs, and lower legs.If you bend backwards, the pain is not as good as burning, and it is sometimes a cold feeling.
- In the third stage, complete damage to the fibrous annulus occurs.Propes (hernia) appears - a herniated disc in the spinal cord.Deformation of the vertebrae in the waist section.The pain is constantly felt, but in a state of static, the pain is weaker.
- In the final stage, bone plants are formed and the cartilage tissue of the spine is destroyed.The pain then subsides, and then intensifies with new vitality.Body movement becomes limited.
Early diagnosis of osteochondrosis in the lumbar area is very important. Early diagnosis with symptoms and treatment is closely linked to each other.The pathology is less effective in the treatment.Therefore, when any difficult back pain and lower back appear, the doctor should see the doctor.
Possible complications
If no lumbar osteocartilage changes of 1 and 2 degrees are treated, a vertebral hernia will form.This suggests that the disease transitions to an advanced stage and threatens the development of complications:
- Inflammation of sciatic nerve;
- Arthritis of intervertebral joints (destruction);
- destruction of the annulus of the intervertebral disc;
- stenosis of the intervertebral disc channel;
- Compression causes spinal cord dysfunction;
- tail equine syndrome;
- Schmore hernia;
- Movement labyrinth and stiffness.
The right treatment selected will help prevent lumbar osteochondrosis and other complications from forming hernia.It is prescribed after a diagnostic study of the patient.Otherwise, the disease will continue to progress, which may lead to disability development.
Diagnostic method
Lower back pain, you should contact a neurologist.He will hear complaints, examine and feel his back, and ask about existing illnesses.Additionally, a doctor may prescribe:
- X-Thunder.X-ray images of the spine will help evaluate the condition of the intervertebral disc and spinal cord.In the absence of significant changes, first-grade waist osteochondrosis was diagnosed.
- Computed tomography (CT).Whether the distribution X-rays show changes in the lumbar spine.With its help, you can evaluate the extent of damage to the disc, nerve ends, and spinal cord shell.
- Magnetic resonance tomography (MRI).It is an alternative to CT and can be prescribed in the presence of contraindications to X-ray studies.Suitable for pregnant and breastfeeding women.
Sometimes the calculated magnetic resonance tomography is performed by intravenous contrast.This is the name of a substance that highlights the fabric from the inside.With it, you can get the maximum quality spine pictures.Contrast CT and MRI were performed to rule out tumors with less obvious symptoms of lumbar osteochondrosis, in which case treatment was delayed until the final diagnosis.
Treatment of lumbar osteochondrosis and its types
The doctor considered treatment at the development stage of pathology.It is designed to eliminate pain in the lesion area, stop the inflammatory process, and restore metabolism and blood circulation.Through osteochondrosis in the waist department, treatment also involves adopting measures designed to enhance the lower back, legs and hips.
Most treatments are conservative.These include medication therapy, physical therapy procedures and physical therapy exercises, folk therapy.Treating osteochondrosis in the lumbar spine with conservative methods does not always result in the desired outcome when switching to 3 degrees.In this case, the patient's condition may promote surgery.
Treat with drugs
Drug therapy is effective in stages 1 and 2 of pathology.However, it is important to remember that the choice of medication depends on the symptoms caused by osteochondrosis in the waist and treatment is a treatment that is strictly prescribed by the drug.You can't just come to the pharmacy and ask for osteochondrosis treatment.Even if you sell it to you, the treatment will not work.
The following drug groups can be displayed to patients:
- Pain analgesics.They help to get rid of the severe pain of lumbar vertebrae.They can be used locally (oints, gels), intra-index (solutions) or intramuscularly.
- Nonsteroidal anti-inflammatory drugs.They have a triple effect: reduce temperature, reduce pain, and reduce inflammation.Prescribe them if lumbar osteochondrosis, lower back injury, or sciatic nerve inflammation.To relieve pain, the gel is used locally, to combat inflammation, take pills or inject.
- musorelaxant.This is the name of the remedy to relieve painful muscle cramps.They are taken orally as tablets or intramuscularly as solutions.
- Cartilage protector.Provide effective treatment of lumbar osteochondrosis in the early stages, provided through its complete route.This set of drugs prevents the destruction of the disc and regenerates it.
To restore intraosseous metabolism, the patient is also prescribed for vitamin and vitamin mineral complexes.Doctors may also recommend obeying a diet.Its goal is not only to lose weight, but also to include body enrichment of proteins, natural vitamins and minerals.
physiotherapy
Using osteocartilage degeneration in the lumbar spine is not enough to treat it with medication.It should also include physical therapy methods.They relieve pain, relax muscles and restore local metabolism.Typically, the following procedures are prescribed for patients:
- Laser therapy (exposed to the spine with laser);
- Magnetic resonance therapy (exposed to magnetic fields);
- DarsonValization (a area exposed to damage to high-frequency pulse current);
- Voice (using a medicinal solution to the deep layer of the skin using ultrasound).
Manual therapy is also highly efficient.After the pain fades, a back massage with lumbar vertebrae is prescribed.It relaxes the muscles and accelerates blood circulation, thereby accelerating the nutrition of the tissue.It is useful to mix massage with the bathroom or sauna.But heating procedures are only allowed during the disease remission.
Medical Sports
Gymnastics for osteochondrosis include exercises designed to strengthen muscle corsets.They also increase the spine's mobility and enhance blood circulation in its tissues.This stops the degeneration process and improves the patient's condition.
The basic complex of exercise therapy includes 5 exercises:
- distortion.Strengthen the muscles in the abdomen.Lying on your back, bent your knees and crossing your arms behind your head.Then breathe, exhale, lift your torso as if you want to touch your pubic bone.The lower back should be kept on the floor.
- Exercise the "cat".Relax the muscles in the back and remove the spine.Stand on Karachka (on knees, rest on the floor with palms).Lift your head and bend over like a cat when he sees danger.Then lower your head and bend your back, just like the cat does when you wake up.
- Turn and lie down.Strengthens the tilted muscles of the abdomen and hips.Lying on your back, crossing your arms behind your head, bend your knees, and pressing each other.With your legs unblocked, first turn them right, touch the floor with them, return to their original position, and do the same position on the left.The torso should remain motionless.
- The burial bridge.Strengthen the muscles of the hips, prevent the curvature of the spine and smooth out its bend.Lying on the floor, bend your arms along your body, and bend your legs to your knees.Place the pelvis and in this position for 5 seconds.
- Exercise to stretch your lower back and legs.Sitting on the floor, reaching your legs in front of you and spreading your shoulders.First, lean towards one leg and pull it with your hands to feel how the muscles stretch.Persist for 20-30 seconds.Now do the same for turn 2.
You should start with the least amount of repetition exercises and gradually get them to the maximum exercises (3 times 10-20 times).They should do it every day.This takes no more than 10-15 minutes, but helps prevent recurrence of osteochondrosis.
attention!Gymnastics are contraindicated for acute lower back pain.
Traditional Medicine
At home, treatment for lumbar osteochondrosis can be performed by folk therapy.They won't replace drug therapy, but will be a good addition to her.In the table below, we provide some of the most effective recipes in traditional medicine for low back pain.
Boil water in a pot to allow strong steam to emanate from it.Hold a few calf leaves for 10 minutes.| method | action | cooking | application |
|---|---|---|---|
| Adam's root tin agent | Warming, pain relief. | Grind 200g of roots on fine debris, put them in a jar, and pour 0.5 liter of vodka.Put it in a dark place and hold on for 5 days. | Rub tin teeth onto the lower back, wear a fleece belt on it, or wear a warm scarf. |
| Compress from cow leaves. | anesthetic. | Boil water in a pot to allow strong steam to emanate from it.Hold a few calf leaves for 10 minutes. | Apply the leaves to the location where the pain is located.Cover and wrap yourself with plastic wrap.Keep it for 1-2 hours. |
| Pine bath | Warmth, relaxation, pain relief. | Pour the water bath and place a few spruce or pine branches into the water.Add 10 drops of essential oil from any conifer (cedar, pine, fallen leaves, juniper). | Bathing lasts for 10-15 minutes.Then wipe dry and wrap yourself. |
| Herbal soup | Vitamins, anti-inflammatory, metabolic standardization. | Place 10g of the berry leaf, hop cone, thymus and Saberfish in a pot.Pour 500 ml of water, place it on the stove and bring to a boil.Turn off the fire.Cover the lid with the lid and let it brew for 1 hour.tension. | Take 1/4 art.After eating three times a day.The treatment process was 1 month.The maximum duration is 6 months. |
| Lidocaine ointment | anesthetic. | Melt and cool 200g of smalz, add 75g of bees, and chop 30g of powder to powder.Pour 1 lidocaine amps into the mixture and mix everything until smooth. | Rubbing and soreness when necessary.Store for no more than 6-7 weeks. |
attention!The possibility of using non-traditional medical recipes depends on what lumbar osteochondrosis is, and doctors should be strictly controlled at home.
Surgical treatment of lumbar bone osteochondrosis
Surgical intervention is a fundamental approach.Therefore, they can only resort to this if the development of complications or conservative approaches do not give the necessary results.Usually by this time, the disease reaches 3 or 4 developmental stages.
Using lumbar osteocartilage degeneration, treatment with the procedure usually means that the intervertebral disc fracture is driven by a damaged intervertebral disc.The entire vertebrae is rarely removed frequently and the nerve fibers are squeezed.Artificial prosthesis or fragments obtained from the patient's rowing replace the disc and vertebrae and are inserted into the spine.To prevent the vertebrae from displaced and progressing of the disease, they are fixed.To do this, strengthen the spine with metal plates and bolts.
The procedure was performed under local anesthesia through a 3-5 cm long incision.To gain access to the spine, the fabric is driven by special tools.From introduction of anesthesia to suturing the wound from 1.5 to 2 hours.
attention!Modern technology allows you to operate with an endoscope - long and flexible tools that move inward through an incision of about 1 cm long.
Prevent lumbar vertebrae disease
In order to maintain the health of the musculoskeletal system, precautions are necessary.They will reduce the risk of osteocartilage degeneration.And, if pathological changes in the spine have begun, they will help prevent further development.
Prevention tips:
- If you have a long-term sedentary job, place a roller or a special orthopedic pillow on your lower back.
- When wearing clothes, you do not allow hypothermia on your back and lower back.
- Do gymnastics, running or other simple exercises.
- If you feel discomfort or pain in your lower back, see your doctor immediately.
- Reject bad habits and eat correctly.
- Sitting on a hard chair.UP furniture does not support the body, so the spine must bear the entire load.
- The perfect stool height is equal to the length of the lower leg.Then, while sitting, the legs will sit on the floor.If the growth is small, you can place the stall at your feet.
- The ideal sitting position is 2/3 of the length of the hip.You can have less, but no longer.
- Under the tabletop, the legs should be spacious.
- Sit with your back on the back of the chair.
- Do not tilt your head or body while sitting - stay intuitive.
- To avoid tilting your head while reading, use a double-gloss hand.
- After hours of driving, many gymnastics exercises were performed.
- Change the posture every 10-15 minutes, first relying on the other leg.
- If you can move into place, do it.
- Every hour, you raise your hands and make some tilts.During tilting, take a deep breath.This exercise relaxes the back and belt as well as the back of the head and neck.
- If you stand (iron, cook), place the bench under one leg.Its height should be equal to the height of a stage.
- To avoid bending during home cleaning, extend the vacuum hose and add an extra line.To wash the floor, use a mop.You can clean the floor and kneel on your knees, but you won't lean over to stand.
- Sleeping on a hard orthopedic mattress.
- Thick solid shielding (plywood board) is suitable, covered with foam rubber, and is up to 8 cm thick, rather than a mattress.Place a wool blanket and a bed sheet on top.
- If your leg is injured, fold the towel into a roller under your knees.
- If you want to sleep on your stomach, put a thin pillow under it.
- If you want to sleep next to you, put one leg on the other leg and your hands on the top of your head.
- Distribute the load evenly with both hands.Frequently wearing the same hand can cause the spine to bend.
- If you have been diagnosed with osteochondrosis, please do not wear items over 15 kg.To move them, it is best to use a bag with wheels or shopping cart.
- If you need to raise and transfer a heavy object, squat down first and straighten your back.Then pick up the heavy foot, lift it and lift it, pressing it on your stomach.To lower the weight, you also need to squat down.
- Eat 3-4 times a day.
- Rich diet with protein: fish, low-fat meat, beans, cheese.
- Limit the consumption of candy, baking, and fat foods.
- Include more vegetables and fruits in your diet.
- Eat products rich in calcium and phosphorus (cheese, dairy, fish).
- Do not overeat - deposit too many calories in the form of fat, which leads to excessive weight formation.