Disorders can develop in any part of the spine, but the load is high on the lower back as a result of a different person, determining the appearance of changes in this segment.Osteochondrosis comes with pain in the lower back.Only one doctor can accurately identify symptoms and treat pathology.In therapy, drugs and physical exercises are used, in advanced stages, may require surgery.In addition to the main treatment, the use of folk remedies is allowed.
What is Osteochondrosis
For osteoarthritis, a pathological change begins - with a pulpoic nucleus of intervertebral discs with gradual transformation to the tissue of the yarn ring.It weakens, cannot withstand the increasing load, due to a part, and then completely moving the disk from its physiological position.This happens when the fibers are not under pressure and break.
When the disc structure is destroyed, the destruction of nearby tissues is progressing.The participation of the nearest vertebra, their joints and ligaments begin in the pathology.Any vertebra has a porous substance from the inside and a compact bone contour of the outside including records.The outer layer provides hardness and allows you to withstand heavy loads.The vertebrae also have red bone marrow responsible for blood formation.
For a long time, with osteoarthritis, vascular changes and complex biochemistry occurs.Bone tissue constantly changes: Some cells are destroyed, new cells come to their position.Typically, with constant load, the formation of more durable and solid cells is stimulated.Therefore, with overload overload, the advantage of dense fabric is formed.
Causes of pathology
The characteristics of modern life and a sharp decrease in human movement activities lead to the weakening of muscle fibers and their melody.In a normal person, the back of the day is mainly a bend position, leading to the tension of the bend.This factor is considered the main of degenerative changes.
There are some theories about the origin of osteoarthritis:
- Aggression.The cause of the disease is the wear and tear of the disks.This is particularly facilitated by a sedentary lifestyle and the presence of bad habits.
- Muscle.Violations in the structure of the spine column are due to underdevelopment or weakening muscle corset of posterior cramps or continuous muscles, as well as inflammatory processes in them and ligaments.It is believed that the motion pattern is created inaccurate leading to degeneration.It contributes to overloading of the invasion of cartilage and other spine structures.
- Autoc times.The process of destroying the vertebrae and intervertebral discs developed according to the diagram similar to rheumatoid arthritis.Such a assumption is considered close to the truth, because biochemical disorders for crolagenosis are very similar to changes in the disks of the disks, leading to tissue decline and dysplasia.
The effects of the pathology of internal organs, as well as the presence of Microtraumas continuously in the development of osteoarthritis, has also been proven.
There is a theory of a person's genetic tendency for this disease;Some doctors say that the violation is sometimes caused by a change in metabolism and deviations in the internal excretory work.
In many patients with significant disorders, chronic infection groups are determined.
Regarding slow progression, it is read that joints develop under the influence of some at the same time at the same time.
Development mechanism
All typical symptoms of nourishing disorders in the waist area can be divided into two large groups: internal (spine) and pagan.
The later is divided into reflexes and compression.Depending on the severity of damage and the presence of complications, the four stages of the disease are distinguished:
- The fibers below the effect of the excess load and other factors begins to change the structure: The cracks are formed on it.The substances of the jacket nucleus penetrate them.The reaction of the reaction occurs is the result of the irritation of the fibers of the nerve inside the nerve, the ligament movement, the yarn ring.Its stimulation occurs due to pressure when hernia is formed, local edema or inflammation.Such a violation leads to the appearance of vessels or changes in nourishment.As a result, a person experienced intense, permanent or shooting pain.Reflective disorders in chronic osteoarthritis in the lumbar segment leads to the development of waist and waist.And Myofascial pain leads to restrictions on movements.Radioactive pathology acts as a compression syndrome, often accompanied by damage to the lumbosacral segment.
- The progression of the pathology leads to an increase in the proliferation of the disc with its intrusion into an extracurricular area.The vertebrae mingle and create different pressure on the nerve roots.It can be expressed in continuous stimulation or serious compression.These manifestations mark the second phase with the development of Discogenic radioactive inflammation.Usually, such a phenomenon is observed from the fourth waist to the first vertebra.
- This stage is characterized by the continuation of the pressure of hernia on nerves and blood vessels.This ends with the appearance of paresis or paralysis in the muscles of the foot.At the same time, pain syndrome decreased or disappeared.
- With the final level, the blood supply and conservation of the spinal cord is disturbed with the appearance of a separated mental disease.The changes become stable and have poor loans to adjust the drug.
Symptoms and clinical syndrome
The manifestation of degenerative deviations in the lower back is manifested by the pain of intensity and time.In addition, a person who felt tired, increased at the end of the day, he slept poorly and became irritable.At first, the symptoms passed or decreased after a night of rest or in a horizontal position, but then the pain was observed in the morning.Because of this, the patient is forced to reduce his physical activity.
The problems of the lumbar region lead to irritation and inflammation of neurological ending, including the internal organs of the pelvis.Therefore, with advanced pathology, urination is weakened, problems in the work of the internal genitalia are recorded.In men, helplessness develops against this platform.
Pain irradiation and weakening sensitivity associated with lower limbs.The patient noted a burning sensation and the cow of the goosebumps, the skin on the legs became light, dry and peeled off.
Osteochondrosis of the lumbar spine column is manifested by a number of syndrome, the degree of manifestation in different patients.
Koreshka
The pain in this case occurs due to root damage, it is acute, local in the area of damage and entering the area of the lower leg, buttocks, hips and feet.To reduce uncomfortable feeling, a person changes the normal gait and leans towards the opposite of infringement.The pain is accompanied by sweating, replaced by chills, enhanced when trying to move strongly after a resting state.
Due to reducing their muscular tone and gradual atrophy, it is impossible to perform the usual work.During the advanced period, paralysis of development expenses, violating the work of internal organs in the pelvis.
Ischemia
Osteochondrosis comes with damage not only nerve ends in the waist area, but also blood vessels.Their compression leads to spasms, becoming unchanged when it worsens.Clinically, this phenomenon is manifested in the form of non -continuous shades.
The lack of nutrients and oxygen occurs in organs of the pelvis.This worsens more urination, defecation and potential problems.
Pain
The appearance of pain is the earliest sign of osteoarthritis.Its intensity depends on the extent of damage.At first, the pain was short in the wild, disappearing after rest, but from the beginning of the disease was long and painful.The increase in pathology leads to the appearance of sharp fires with radiation in the legs, groin, buttocks.
In the final stage, suffering is not only physically attempt, but even a cough or sneezing.In the waist area, stiffness is touched, in a constant spasticity.
Vertebrates
With continuous pain, conservation and supply of blood, significant deformation occurs.Rotting is noticeable not only in the field of the pathology, the architecture of the spine column is broken.Looking forward to reduced muscles, pelvis and pelvic deviations occur.Gaid changes, becoming uncertain.Gradually, a restructuring of the entire skeletal muscular system occurs.
Complications of joints
If you do not treat the disease in the early stages, the complications are gradually developing, many of which significantly reduce the quality of life and even reduce its term.A forgotten nursing process leads to the following violations:
- muscle weakness, atrophy and asthma;
- violating urination and defecation (no autonomy);
- The development of serious deformation of the spine in men in difficult work and in women during pregnancy;
- potential violations in men;
- reducing blood flow and the development of ischemia;
- protruding and herniated disc of Intervertebral;
- Spondylarthrosis (growth of soaring processes);
- Paresis of the foot;
- Spinal disease.
An important point when considering the clinic of lumbar joints is the presence of reflective pain.Injecting neurons leads to stimulating internal organs (internal organs), causing pain and function of the function in them.This explains the development of manifestations such as shortness of breath, arrhythmia, intestines that come with the disease of the spine.
Treatment method
To treat lumbar osteoarthritis, different methods are used.
Medicine
The drugs to treat the disease are NSAID.They allows you to remove inflammation and reduce pain syndrome.Simultaneously with drugs for internal use, local therapy with ointment and gel, anti -inflammatory effects are recommended.Typically, sodium diclofenac is used, ibuprofen in tablets or capsules.Sometimes, with intolerance with anti -inflammatory drugs, painkillers are used.
With serious pain, local blockers with Novocaine or Capocaine are held.In some cases, with obvious inflammation simultaneously during the blockade of paravertebral, glucocorticoids are used with Novocaine.This allows you to affect the intention of the center and normalize the reflex activity of the excessive parts of the nervous system.
A good result in muscle spasm is shown by central muscle relaxants, a typical representative of this class is Midokalm.These drugs are combined with non -anti -inflammatory drugs, enhance the effects of anesthesia and fully restored motion.
Additional treatment with drugs includes sedative and drugs to normalize the work of the nervous system.For this, sometimes antidepressants should be used, anti -psychotic or sedative drugs.
Vitamin complexes include Group B, Vitamin D and Calcium help improve nerve conductivity and metabolism.To restore the structure of cartilage, the use of prolonged chondroprotector is used.
Physiotherapy
Modern physiotherapy techniques are an integral part of the successful treatment of osteoarthritis of the lumbar spine.They include:
- The use of the current of different frequencies and intensity.Typically, an existing effect is used with force up to 100 mA, amplitude (modulation current), Darsonvalization, electrophoresis with analgesic and protein resolution.Methods can improve blood circulation in the damage area, restore metabolic processes, increase blood flow and provide drugs directly to the application point.
- Use laser.Its exposure reduces the activity of inflammation and pain, and when directed to parapouring points, it allows you to restore the structure of the discs.
- UFO.With the help of ultraviolet irradiation, the heat is made, produces vitamin D and optimizes calcium metabolism.
- Magnet therapy.It includes the use of touch magnets to restore regeneration processes at the cell structure level.
- Balne therapy.It provides the use of water and mud.To this end, the patient is recommended to take a regular and local bath, conducting applications and compression.
Physiotherapy and massage
An important link in treatment is physical education.The implementation is required, but the selection of movements should be done by an expert.Classes allow you to restore muscle tunes, enhance their fibers, expand the mass of movement in the spine.To get positive results, must comply with certain rules:
- You cannot perform exercises if they cause excessive pain or stress;You should start training under the control of an exercise guide;
- Physical education must be done regularly, in this condition, the formation of a muscle corset occurs;
- Do not perform strong and too fast movement, usually average or slow speed is recommended;
- Exercise is not done with the seriousness of any disease;
- In the case of recession, you should stop the exercise immediately and consult experts.
It is best to choose the exercises performed in a lying position and stand on all four people.It is very useful to extend the spine, download the press and return.For such a patient, a good rehabilitation method after a severe osteoarthritis will be a visit to the pool.
Massage is also an effective treatment for osteoarthritis in the waist.
An experienced expert will help improve metabolic and microcolated processes in the violating area, reduce muscle tension.The use of massage in the acute period is expanded, with the presence of serious irreversible deformations, open wounds, rash or burns on the skin.
Surgery
In the absence of complicated conservative therapy, it still uses thorough treatment.It includes an activity on the spine to eliminate the compression of the nerve roots and the maximum recovery may be able to exercise the spine or stabilize its affected segment.
The indication of the activity is:
- Inter -back hernia development is isolated;
- Intense pain, not stopped by the use of drugs and blockade;
- Full drop in the plate with the development of tail syndrome and ischemia;
- The appearance of signs of radiculomiloichemia.
Typically, the patient is performed by micro -removal method, when the bone tissue retains its integrity and the rehabilitation process takes a short time.
There are other interventions:
- Laparoscopic surgery;
- Laser vapor of the disc;
- Nucleoplasty plasma disc.
Scientists around the world are developing to perform fake parts to replace Intervertebral plates.This will help restore patients after surgery and reduce the possibility of defects.
The use of traditional medicine
Along with the use of drugs, folk methods are used to treat pain in the lower back of the lower back.They cannot replace the adequate treatment of osteoarthritis, but allows relief to remain in complicated therapy:
- At home, it is convenient to use radish or crowns to compress.They should be chopped on a squeeze, add some sour cream at home and apply to damage.
- You can pour boiling water on a leaf of Burdock and attach to the waist area.On the same time with a towel down and hold an hour.
- Bodyaga in dough, dilute 1:30 with vegetable oil, helps.From the mixture, an excellent warming, should be kept for an hour.
- It is very useful to rub the lower back with liquid honey.But this should be done correctly to achieve a strong blood attack to the pain point.
- To eliminate pain in the lumbar, ointment is used.To produce, you need to have equal stocks of Ghee, Oil Oil and Horse Chestnut Powder.After mixing carefully, the product is applied to the pieces of black barley bread and applies to the pain point.
Before using any folk remedy, you should consult your doctor.
Prevention of disease
To prevent the growth of lumbar osteoarthritis and innovation, preventive rules should be followed:
- avoid lower body temperature;
- Do not lift heavy objects (maximum load for women is 5 kg, for men - 10 kg);
- Daily exercises that allow us to strengthen muscle and press corset;
- With long sitting work, regular rest and boot;
- While walking always monitors your posture;
- Regularly clean the possible chronic infection sources;
- Eat properly and prevent overweight;
- Walking at moderate speed as long as possible;
- Visit a group of dancing, participate in swimming, walking, avoiding sudden movements and strong dance moves.
It is absolutely impossible to cure osteoarthritis, because the changes that take place in the spine are irreversible, but modern supportive methods help restore the quality of the patient's life for a long time.