Osteochondrosis is the most serious form of degenerative damage of the spine, based on the failure of the pulp of the disc, with the subsequent deformations of the bodies of the nerve joints.
One of the most common forms of osteoarthritis is the osteoarthritis of the lumbar region, or more accurately the lumbar spine.For many - both men and women - are familiar with back pain on the lower back, sacrum, lower limbs, caused by many types of lumbar bone and its complications.Among the reasons for temporary defects and defects, the disease occupies one of the first places.
The process of the disease is chronic, usually with serious stages.Typically, the seriousness of osteoarthritis of lumbar lifts and weight transfer, lower body temperature, stress and injury are agitated.
Osteochondrosis of lumbar spine - Cause, mechanism of appearance and development
There is no clear cause of osteoarthritis, the disease is considered polyfear.The most common theory is, accordingly, the cause of osteoarthritis is constant of muscles or hypotension of Osteochondrosis muscles.
The cause of the premature aging of intervertebral discs may also be endocrine and metabolic disorders, a genetic tendency for the development of osteoarthritis, autoimmune disorders and microtrauma.The negative role of organs, that is, related to internal organs, pathology in the development of osteoarthritis of the spine, has also been proven.An important role in the development of diseases belongs to adverse genetics.The contribution of genetic factors to the appearance of lumbar osteoarthritis is about 60%, the rest refers to the external influence factors against the spine.
Factors that contribute to the development of osteoarthritis both in the waist and other parts of the spine are many.Their main: improper posture, hypotension, muscle pressure in the waist area due to the continuous wear of weight or excessive load, endocrine restructuring under the influence of these factors in the structures of the spine, dehydration processes and circulatory disorders, joints and sublimation in small joints, bone growth and disc - hernia are increasing.
The most obvious causes of lumbar osteoarthritis are often considered to be sedentary and back injury.Therefore, the risk group mainly consists of people with a career that is directly related to the load on the back.This is a series of professions - sellers and servants, surgeons and teachers - all those who are forced to spend most of their working time.The risk group includes construction and motivation, as well as athletes, people, in the nature of activity, and large loads on the spine.In addition, drivers, office workers, different programmers - meaning those who have the main job are sedentary and have hypoglycemia, osteoarthritis.
Symptoms of lumbar osteoarthritis
InLumbar OsteochondrosisThe painful feeling of different nature is possible.This may be a pain that occurs with a long seat or after sleeping, as well as taking sharp photos, causing in the most uncomfortable position and not allowing the opportunity to straighten.The pain is pinched by nerve roots, the stimulation of the nerves of the spine, edema and irritation of the muscles and ligaments in the conservation area of the lumbar spine.
Pain syndrome can be caused by the compression of radioactive structures (Radiculopathy), spinal compression (pulp compression), spinal cord lesions due to blood supply due to weakness, narrow (narrow) of artery arteries and walls (compressed.
The reason for the possible compression is: protruding and hernias of intervertebral discs, spondylolistz (sliding the vertebrae forward related to basic), the growth of bone cells and cartilage tissue in vertebrae segment.The result isBone fiber of the lumbarThe spine leads to the narrowing of the channel through which the nerves or the blood vessel structure passes through, and in certain conditions (difficult movement, physical activity, an unsuccessful turning point of the body, etc.), compression (tightening) may occur.Compressing nerve structures leading to different pain syndrome, muscle spasms.The compression of the blood vessels causes violations of the blood supply - ischemia of the organs from this artery or artery.
Clinical syndrome of osteoarthritis
The clinical picture for lumbar osteoarthritis is determined by a complex of vertebrae symptoms (a change in statistics and dynamics of the lumbar spine) and the symptoms of escorted, understood as violating the function of the nerve structure and blood vessels in the lumbar region.
Vertebra syndrome
For lumbar osteoarthritis, the vertebrae syndrome is characterized by the following symptoms:
- Violating the configuration of the spinal function segment: A flattening or (less often) increased in Lordosis, scoliosis or the observed Lososcoliosis;
- Violating the ability to move in the waist area, reducing the volume of movement, muscle imbalance due to the stress of both deep and superficial multi -core muscles;
- Local pain and pain with active and passive movements, causing reflected tonic muscle tension;
- Violating the spring movement functions of both intervertence discs and in general, the vertebra engine segment;
- Local pain (increasing sensitivity) of the bone bond structures of the spine in the affected area (pain during the touch, the syndrome of the vertebrae and/or/or the vertebra pain).
It is important to note that with osteoarthritis of the lumbar department, the vertebrae are always observed.The presence of signs of myocardial disease, radioactive disease and myeloradiculopy disease without clinical signs and clear forms of the vertebrae syndrome requires, as a rule, a deeper test of patients with the main lesions ("not inaccurate").
Extrovert syndrome (reflexes and compression) for osteoarthritis of the lumbar spine
Extra syndrome is divided into two large groups: reflexes and compression.
Reflex syndromeThey go ahead of compression and are caused by the stimulation of the receptors of the roots of the nerves emerging from the spine tube through the holes.Stimulation can be caused by Intervertebral hernia, bone growth, as well as vascular disorders (edema, blood circulation) and inflammation.In some cases, this leads to severe pain, which occurs not only in the locality, but also in the nerve process at the distance from the stimulating place -such reflective pain, reflective pain may be short and acute (change) or long -term stupid.In the conservation area of damaged nerve, plant disorders (burning, goosebumps, sensitivity when weakening) is possible.Myofascial pain is possible - muscle spasms, leading to restrictions on motion.
Shift Shift reflex syndrome in the acute development of the disease and belt with the acute or chronic process.
Compression syndrome is the syndrome that is the result of compression and violations of nerves, blood vessels, spinal cords in the area of the lumbar spine sections.The compression syndrome for osteoarthritis of Lumbosacral is divided into construction brown and blood vessels.A special case of compression syndrome is the marrow disease - violating spinal cord.
Remedy syndrome (radio disease) is usually caused by the protruding parts of the plate, causing infringement of the brain roots.Penteclimated symptoms arise in this case corresponding to the extent of the affected vertebrae.Typically, the roots of L4-S1 are affected.
Blood -brown neurological disorders are caused by the compression of hernia on the spine and the root artery that passes through it.At the same time, paralysis IShias can develop catastrophic, characterized by peripheral paresis or muscle par but the expansion tubes.In such cases, the appearance of movement disorders is accompanied by the disappearance of the pain.
Even more serious neurological manifestations are due to violations of blood supply to the spinal cord due to the damage of the aurora artery.At the same time, chronic dissemination of mental illness, often at the thickness of the lumbar spinal cord.
The most unfavorable version of the psychic syndrome along the waist is the compression of the ponytail - the tail syndrome is classified.Typically, it is caused by a discharged medal hernia, creating all roots at the level of the segment affected.
What is Osteochondrosis of lumbar spine?What are its symptoms?How to treat osteoarthritis of the lumbar?
Clinical classification of osteoarthritis of the lumbar region.The level of joints
The classification of lumbar joints according to the degree is used for system characteristics of the clinical manifestations of the disease.This classification systems systematically symptoms and starts from the time the patient has pain.
1 level of bone and joints
It occurs when the Intervertebral disc caused by a sharp motion or overputing voltage.It is manifested by a sudden pain, in the spine, the feeling of passing through the current generated current, the muscles stressed by reflexes.
2 levels of osteoarthritis
The second level may manifest in the form of protruding and unstable symptoms of the spine.Chronic pain increases when loading.The time period is relieved and seriously replaced.The cervical area is characterized by pain in the neck, increasing after a long time in a position, headache, hand pain, shoulder pain, periodic discomfort or numbness in the finger.For the lumbar region - lower back pain, pain in the Gluteal area, periodic pain in Sacrum, often tired in the legs.
3 levels of osteoarthritis
Manifests in the form of symptoms of herniated discs of the intervertebral disc (pain along the affected nerve, numbness of the arm or leg, changing the gait, headache) or symptoms far from the area: Violation of heart rate, shortness of breath;
4 levels of osteoarthritis
It is often accepted that the fourth level of osteoarthritis starts from the time of hernia is no longer manifested, the manifestations of the disease may decrease, but the symptoms of the spine, sliding or twisting the vertebrae, or their complete determination are still relatively relative to each other.The manifestations of the growth of the vertebrae (osteoarthritis) can be involved with them, can also squeeze the spinal nerves or overlap on the spine tube (secondary stenosis of the spine tube) and tighten the spinal cord (spinal anemia).In addition, the fourth level includes the consequences of surgical intervention if the hernia is removed promptly (conservation types, paresis, inflammation).
Treatment of lumbar osteoarthritis
With the first acute lumbar pain, it is necessary to consult a doctor to set up a diagnosis to eliminate an attack of kidney pain, appendicitis or any other disease that needs emergency medical care.
If the cause of back pain is known, and the seriousness of the osteoarthritis of the lumbar spine, first of all, it is necessary to maximize the load on the spine.It is necessary to observe the rest of the bed for 3 to 7 days - sometimes this can significantly reduce the pain.But to accelerate recovery, that is necessary, that is, effective, treatment.It will stimulate the protection and health process of itself in the human body.Treatment should take into account the localization of damage, the stage of the disease, the function of the body and its individual systems.Surgical treatment for this disease is only indicated in very serious cases.Typically, the conservation treatments for osteoarthritis are used.
Treatment of lumbar osteoarthritis conservation
Conservative treatment, first of all, medication treatment.To relieve pain, as well as reduce inflammation, often the cause of vertebral syndrome, anti -inflammatory drugs (NSAID) in the form of tablets or - in acute cases - in the form of prescribed injection.Sometimes, after injection, painkillers, pain soothes and does not continue even when the time of the drug is over.This means that it is possible to break the vicious circle, in which the pain leads to muscle and muscle tension, in turn, increasing pain.However, if the pain lasts for a long time, it is important to remember that NSAIDs often have many different side effects and prolonged use can cause unwanted complications - reduce the amount of leukemia in the blood, complications from the gastrointestinal tract.
Typically, sedative (soothing) sedative agents are prescribed to improve the general condition of the patient within 1-3 weeks, as well as small antidepressants.For lumbar osteoarthritis, if necessary, blockade Novocaine is produced.Recently, anti -convulsions drugs have begun to be used successfully to relieve pain.
To reduce compression syndrome, manual treatment, therapeutic treatment (spinal traction) and in special cases used - surgery.
When weakening the fixed characteristics of the ligament apparatus and the consistency of the spine, it is recommended to use repair equipment - corsets, collar, ice, etc.And patients with spinal joints are extremely important in the future to strengthen their own muscle corset.
After eliminating acute symptoms, the task of creating a muscle determination first appears from the beginning, and then stimulates the regeneration processes of damaged structures.To do this, use gymnastics, acupressure, massage.To do this, use Chondroprotector (medicine to restore cartilage tissue).As well as drugs that improve the condition of the blood vessels (angioprotector), vitamins, mainly group B, calcium preparations improve the condition of bone tissue.
To treat osteoarthritis of the spine, physical therapy procedures are widely used.They reduce tissue and edema pain, improve blood circulation and stimulate muscle fixation.Procedures can be combined, replaced.Physiotherapy treatments such as:
- Darsonvalization of the affected area of the back and the affected limbs;
- electricity;
- Lower laser radiation;
- supersonic;
- contact with magnetic field;
- Thermal procedure.
Under the conditions of hygienic applications, mud, ozokeritic, paraffin, radon, sulfide, hydrogen sulfide, turpentine and other bathrooms are successfully used;
Remember that to develop adequate regeneration, it takes a long time, in favorable cases, it occurs in the sixth month.Therefore, treatment should be long.It should be done in a combination, meaning that the drugs combine with physical therapy and physical therapy exercises.