Osteochondrosis of the lumbar region is a disease that deforms and destroys the cartilage tissue of the intervertebral discs in the lower back.Without cartilage layer, the distance between the vertebrae is significantly reduced.And with the latest acute curves, they can change.The main danger of the disease is the possibility of the formation of intervertebral hernia.
Can't you leaning on an object that has fallen to the ground?Do you suffer from acute pain in the lumbar column and often go, wrapping life in a hot scarf?Do not ignore the condition that disturbs you.
The osteochondrosis of the lumbar region can drag itself for a long time.It is not necessary to experiment with the body.I love your body.And he will reciprocate.
The lumbar region represents most of the load from all body weight compared to the chest and cervical departments.Therefore, this subspecies of osteochondrosis is more common.
Done.According to WHO statistics, the osteochondosis of the lumbosacral department has been diagnosed mainly in the population of the population for 30 years.
The causes of osteochondosis of the lumbosacral department
- It remains long in the sitting position, due to which the muscle corset weakens and the load on the spine grows
- Weight lifting training or weight lifting
- Distortion of the posture, and with it and walk
- After bruises, falls and fractures
- Feet dishes.When moving the set of the foot, it usually softens the degree of pressure of the skeleton on the spine, but with the flat feet, the entire load is on the intervertebral discs
- Excess weight
- Constant stay in a private laying of convenience
- As a complication after bone tuberculosis or osteomyelitis (infectious inflammation of the bone tissue), ankylosing spondels (inflammation of the joints of the spine) or rheumatoid arthritis (links of the connective tissue, mainly in the joints)
- Hormonal malfunctions, modified blood composition
- The transformations related to age (the vertebrae and intervertebral discs lose their elasticity with age)
- Stress and chronic insomnia
- Hypothermia
Symptoms of lumbosacral osteochondosis
- At the point of pinching of the nerve fibers, tingling, burning, "crawling goosebumps", the numbness begins
- The rapid onset of fatigue and sudden attacks of irritability
- Deviations in the sequence of the menstrual cycle
- Muscles too tense of the lower back
- Increase in sweating
- The skin becomes pale and dry, a person often freezes
- Low pain: prolonged sore and lumbago (shooting acute pain).They can be given to buttocks and limbs.At the same time, the legs in the literal sense of the word "do not hold" or must be numb
Done.Did you know what the dimples mean on the lower back?The "dimatte of Venus" are also called.This is an anatomical feature, mainly inherent in the female physique.The pronounced cavities indicate the normal body weight of their owners, a good muscle development and blood circulation.During the Renaissance period, such a visual feature delighted sculptors and artists of the fifteenth century.
Pain syndromes are distinguished according to the causes of their occurrence:
- Radicolopathy: caused by the compression of the root structures
- Compression myelopathy: pain appears due to the compression of the spinal cord
- Mialoischemia Vascular compression: it occurs due to the narrowing of the arteries and supply veins
- Isias: due to the pinch of the sciatic nerve, which passes along the buttock and the thigh
Who to ask for help?
If you find any of the signs of the disease, consult a neurologist.It will lead an inspection, will determine the probable cause of pain and prescribe the necessary diagnosis.
Diagnosis of osteochondosis of the lumbar
Any diagnosis begins with the doctor who leads an initial exam.During this procedure, the doctor will determine if you have scoliosis, cifosis, shift of one of the buttocks or flattening of lordosis.
The neuropathologist will direct you for the exam: CT (computerized tomography), magnetic resonance imaging (magnetic resonance tomography) and radiography.
Methods of treatment of osteochondosis of the lumbar
After analyzing the diagnostic results, the attending physician will select the course of the desired treatment.Treatment methods are different: it can be drug therapy, physiotherapy or, in case of emergency care, an operation.
So what is the essence of the medical method.It implies the intake of a series of drugs.Let's give their approximate list.
- Analgesics: eliminate pain, but do not alleviate the cause of its occurrence
- Fanss (non -pounded anti -anti -inflammatory drugs): fight pain and swelling
- Musorelaxants: muscles relax
- Condroprotectors: due to the improvement of metabolic processes in cartilage tissues, they slow down the deformation of the cartilage and even regenerate them
- Diuretics: remove swelling
- Bivamine B: Remove the excess fluid, improve metabolism in the cells
- In general and drug agents to improve blood flow in the pathology area
Sometimes, in the most serious cases, in order to instantly relieve acute pain, you must "bomb" the body with powerful injections.Then the doctor makes the patient the paravertebral block thus called.The specialist introduces an anesthetic to the output point of the nervous column, which causes temporary loss of sensitivity to the tissues.
As a fairly effective way to combat disease, physiotherapy has established itself.See more in the general section on osteochondosis
Well, of course, all theoretical physical education (LFK) is also required.Strengthens, relaxes and stabilizes the muscles of the back, improves blood circulation and metabolic processes.
But if none of the above methods were effective, then a neuropathologist can direct you to a neurosurgeon for the treatment of sacred osteochondosis.And he, in turn, will confirm or refute the need for surgery.
Done.A curious detail for greedy drivers.How is it easier to endure the driving in the car if your back hurts?Put the roller under the base of the back.And be sure to install a headrest on the seat: such a precaution will protect against injuries with acute braking of the car.
Types of operations
In the world, among the professionals, the micro -lodiscetomy has gained universal recognition.This lasting operation lasts about 20-30 minutes, it is performed using general anesthesia.The micro -schontomy is carried out under the neurosurgy surgical microscope.The surgeon removes the hernia without touching the surrounding tissues, in particular - without hurting the nerve structures.You can walk the next day after the operation.And the production managed by the hospital receives the 2-3 ° day.
A variety of operations is the installation of special systems.The surgeon instead eliminates the damaged intervertebral disc and instead inserts sliding titanium systems.The patient is in the hospital for 3-4 days.He will be able to walk the second day.
Questions Answer:
I felt that gravity must be tolerated and raised in some way not to damage the spine.How exactly?
With an independent transport of goods, keep the body straightened.And place the burden closest to the bust.If you lift something heavy from the ground, do not lean forward, focusing the load on the body.Sit and lift the load due to the curve in the knees.
What are the phases of the development of osteochondrosis?
1st stage.Preclinical.The height of the disc is reduced.In the fibrous ring (the external layer of the intervertebral disc from cartilage fibers) a crack is formed.The lumbar muscles begin to get tired quickly.Feel a certain discomfort in the back.
Phase 2.Violations of the metabolic processes in the nucleus (the central part of the intervertebral disc, which consists of a gelative cartilage): its cells become death or completely destroyed.The structure of collagen (the protein structure is based on the connective tissue) of the fibrous ring is also.Local pains, a person cannot cope with the physical activity he previously considered quite feasible.
Phase 3.Complete destruction of the fibrous ring.The adjacent vertebrae cease to be stable.Any uncomfortable pose causes pain.Due to the pinching of the nerve roots that move away from the spinal cord, the limbs can become less sensitive and mobile.
4th stadium.The tissues of the intervertebral disc are covered by scars, which leads to the immobility of the affected articulation of the spine.The description of the clinic here depends on individual physiology.
Can a pregnancy cause osteochondrosis?
Yes, the mass of the embryo gradually increases and the center of gravity of the woman's body moves, the lower back of the back suffers from excessive load.In addition to this, the metabolism changes;The body lacks minerals and vitamins.But during the fetus bearing, most of the drugs and physiotherapy procedures are contraindicated.Therefore, follow the therapist and gynecologist's tips carefully.