Acute pain in the lumbar area, on the basis of osteoarthritis, is a common issue that most people face.Coming to us, as a reward for our simplicity (due to an increase in axial load on the spine), this disease sooner or later affects each resident of the planet, the only question is how fast this happens and how symptoms are expressed.Lean Lean's statistics like this forcing this disease to suffer from social significance, and the battle against it must be the task not only is an individual manifestation of the disease, but the whole world health system in general.Therefore, the treatment of spinal bone joints is a very suitable topic.
So what is osteoarthritis?Consider briefly how the development of the disease occurs.In its own name, if you translate it from Latin in the literal sense, the structures that change to osteoarthritis are identified: bones and cartilage.In order to devaluate and prevent vertical, nature is placed among our vertebrae, a special fiber disc disc.Their nutrition was performed in childhood due to blood vessels, lost about 25 years and nutrition began to differ by surrounding muscles.
In the pathological load on the spine column (less sedentary work, or vice versa - excessive physical activity), violating mineral metabolism processes, Intervertebral discs lose elasticity and depreciation, its height reduces the change of vertebra.The affected area of the spine.In the final stage of the disease, the central part of the disc, the jacket nucleus is placed, broke the yarn ring, forming a protruding bag between the bodies of the vertebra - the Intervertebral hernia.The hernia can cause the compression of the nerve root adjacent to the vertebra, intense pain occurs in the compressed area, as well as in the area that is regulated by the nerves affected.Due to the continuous stimulation of the nerve puppet, a skeletal muscle spasm, called the defense of protection in medicine, on the one hand protects the suffering of the spine from excessive motion, and on the other hand, enhances compression, edema and pain in the affected area.
In most cases (90%) of pain in osteoarthritis (even extremely obvious) due to muscle spasm!In other cases, the cause of pain is the compression of the nerve root or spinal cord directly by the hernia of the interatorebral disc.
Osteochondrosis of lumbar spine: How to treat
Of all parts of the spine, and a total of five of them (cervix, chest, waist, sacral and coccygeal), due to the largest engine load, waist often suffer from the manifestations of the disease.Osteochondrosis of lumbar spine has bright symptoms for everyone, and treatment is an important social task, because it makes the quality of life not only the elderly, but also those who work in working age.
Pain may be located directly in the lumbar area, as well as on the front of the thigh, or along the entire back or outer surface of the leg, sometimes to the fingers.Typically, pain is given to the Gluteal, Sacrum, groin and sometimes they can only be positioned in these areas, disguised as spherical and genital gut diseases and make it difficult to make accurate diagnosis.The intensity of the pain syndrome may be so high that a person is incapable of performing the most basic movements, having a forced posture and loss of normal sleep.This is just the same radicolite, in the wide circle that has long become a synonymous word for the disease itself.
Motor operating limit.Common movements and sensitivity at violated limbs, muscle seizures, allergies (tingling sensations, burning beef turkey.
Violate the function of pelvic agencies.With intense piercing syndrome, it is called Radicolite, or with a large protrusion, urination and intestinal work may even be disturbed, causing serious pain in patients.
Treatment of osteoarthritis of the lumbar spine often becomes a difficult task for both patients and doctors.Each person with this disease has been asked by the question: How to treat osteoarthritis in the back?
The following doctors will help cope with the seriousness of osteoarthritis and the competent treatment prescription: therapist, neuroscientist, medical massage expert, manual therapy, physical therapy, and, if necessary, surgical treatment is a neurological surgery.
How to fight the spine osteoarthritis
The main thing in treating bones and joints is the right way of life!In active and accurate participants on physical culture and spine monitoring, the back never hurts!Unfortunately, very few people follow these simple facts.
By analyzing this problem, you can emphasize:
- medicine;
- Not not.
The method is not to treat lumbar spine
- Focus procedure.Their effects are in this name - the use of different applications, massage carpets and rollers, wool belts, lotions and rubbing due to the impact on the nerves of the surface and blood vessels reduces muscle spasm and pain syndrome.These methods can be used as auxiliary, but isolated to worsen the osteoarthritis of the lumbar region without systematic treatment with special drugs.
- Means immobile.These vehicles are understood as tapes of different designs, wearing them allows you to protect the spine from sudden and dangerous movements and re -distribution of loads during static work.However, motionless means can be purchased in medical equipment stores and pharmacies, however, before buying, you should consult your doctor will help determine the optimal design, hardness and complete ice in your situation.It is recommended to use them only in contact with adverse factors (wheel trips, sitting jobs, etc.), because of prolonged use that causes muscle hypotrophy.
- Medical physical education (exercise therapy)- A integrated ingredient of complex treatment of osteoarthritis.Perform exercises to maintain the sound of the frame muscles of the back and eliminate pathological muscle spasms that help restore and maintain movement activity, reduce the intensity of pain syndrome.A significant plus point of exercise therapy is that after being trained by the instructor, a person can perform independence of the exercises at the daily daily, as well as in the existence of a set of exercises that apply even when aggravating the process.The most effective exercise treatment is the treatment - classes of simulation after a separate development method, because the formation of mechanical corset needs to work with weight.
- Massage- One is known from ancient times, the most common way and, perhaps, the most common prevention and treatment cannot be used in the serious stage of the bone and joint disease of the lumbar.In addition, only one expert with health education, people who know anatomy and physiology and techniques that own medical massage, should perform massage with osteoarthritis.
- Craft therapyAnd in recent years, osteoarthritis in recent years has been performed by a competent expert who may have a significant healing effect and even eliminate the seriousness of the disease for a long time.It is important to remember that when dealing with a manual therapist before starting the procedures, it is necessary to conduct a spinal tool inspection (X -ray, magnetic resonance images or magnetic calculations, chemotherapy treatment. Like massage, manual therapy and bone disease have some contraindications, for example, the clear compression of the nerve root of the row, subluxation of the stimulus of the spine disease.The softness of manual therapy is used (relaxing muscle, etc.).
- Acupuncture.Based on the results of recent studies, the use of this method is common in wide circles considered to be evidence that is unreasonable for osteoarthritis without eliminating the symptoms of the disease and refers to untreated treatments.
- Physiotherapy, including in the national recommendations and clinical standards to provide medical care for osteoarthritis, it has long proven its effectiveness in the treatment of this disease.With osteoarthritis of the lumbar spine, electrical stimulation, amplitude treatment, shockwave therapy, myostimous intracamous, laser therapy is used.Magnet therapy is still a common method in complex treatment.Its advantage includes good tolerance and a small list of contraindications, ability to use during the acute period of the disease.Act on all links of the pathological process, after some procedures, it significantly reduces the pain and allows a person to expand the motor activity.In addition, by improving the victory of the affected tissues, it slows down the progression of the disease.An unconditional advantage of this method is the independent use of patients outside the walls of a health organization.
But if all the above methods are not effective - how to treat lumbar osteoarthritis?
Drug treatment
The disease is related to the appointment of the following drug groups.
NSAID anti -inflammatory drugs are produced in the form of local forms (gel, ointment, cream) and use systemic (tablets, candles, solutions for intramuscular and intravenous injection).Their actions are based on the prevention of inflammation at the enzyme level, due to edema in the lesion area removed and the pain syndrome is significantly reduced.
In the early stages of the disease, there is enough use of local NSAID in combination with non -Valley methods (treatment exercises, from chemotherapy).With a clear pathological process and severe pain syndrome, you have to use tablets and sometimes injectable forms.
Unfortunately, it has good anti -inflammatory and analgesic effects of NSAID, with the use of prolonged system, the development and worsening the anti -ulcer process of the gastrointestinal tract, as well as the weakened kidney and liver function.Therefore, patients who use NSAID for a long time need drugs that protect the gastric mucosa and control the liver and kidney regular laboratory.
Systematic muscle relaxants, meaning medications reduce muscle spasms.Their action principle lies in the title: Relaxing spasms helps reduce the compression of nerves and blood vessels, edema in the damage area - Hematoma and improved conservation - Analgesic;Due to the reduction of muscle protection, the voltage of the ligament device decreases - the stab (protruding) of the disc decreases - analgesic, the mass of motion increases.
The concentrated substances for treatment with osteoarthritis of the spine are produced in the form of tablets and solutions for intramuscular injection, to achieve the effectiveness of treatment, they must be taken for a long time, gradually increasing the dose.Like NSAIDs, muscle relaxants have some contraindications and can cause unwanted side effects, so, although selling for free in pharmaceutical networks, before buying them, you need to consult your doctor.
Local anesthetic or local anesthetic is used to treat lumbar chemicals in the form of surrogeneous Paravertebral is treated so when the solution is injected under the first skin, and then into the area of the affected vertebrae.
When accumulating in the membrane of the nerve fibers, the drug effectively prevents the pain signal.The therapist will certainly not be able to perform such a blockade;For its behavior, it is necessary to contact a neuroscientist or a neurotrans surgeon.
In addition, the solutions of Glucocorticosteroid (GKS) - Hormonal drugs have significant anti -inflammatory effects that are sometimes used to use Paravertebral.Their local application allows you to achieve maximum effect when minimizing the risk of unwanted side effects of the drug.Such blockade is taken 2-3 times a year, a neurologist or a neurosurgery should perform them.
B Vitamin "B".In any pharmacy, you can find a series of drugs of this group, both in the form of mouth and intramuscular use.However, it is believed that they have a mild neurological and positive analysis effect, however, a reliable argument for their use of osteoarthritis is not by evidence.
Physiotherapy for osteoarthritis
Unfortunately, sometimes comprehensive treatment by using modern drugs, physical therapy, massage and exercise is ineffective - a person who continues to suffer from pain, limit physical activity remains and the quality of life has to endure significantly.This occurs in the later stages of the disease, when the volume, usually many herniated discs of the Intervertebral disc are formed.In such a situation, surgical treatment is displayed.In addition, surgery is indicated with such a decomposition of a hernia, when a significant compression of the spine tube causes inappropriate pain, dynamic disorders and blockade of the function of the bladder and intestines.In such cases, the operation is carried out in an emergency order.The purpose of surgical interventions for osteoarthritis of the lumbar spine is the mechanical decompression of the spine and nerve roots.
Currently, both long volume surgical methods are used in the treatment of osteoarthritis surgery and minimal invasive endoscopic intervention proposed by modern medicine by using laser and radio frequency effects, some of which can be done even when local pain relief.
Having checked the main methods to treat lumbar osteoarthritis, I want to once again note that the patient asks questions about how to treat lumbar osteoarthritis?Not only relying on the help of doctors, but also based on their own forces, understanding the importance of a healthy lifestyle, in which the appropriate dosage and mainly physical activity is welcomed, and most importantly a branch of the inner.Victory of this disease.