Low back pain is a set of destructive changes of the vertebral column, accompanied by damage and rapid destruction of the intervertebral discs. The latter are composed of cartilage tissue, therefore, susceptible to degeneration under the influence, improper load on the vertebrae. Back pain lumbar and is fixed in patients of any age. But at the risk include people over the age of 30 years, but also the patients, committed to constant physical work, sport.
One of the most expressed symptoms of the disease is strong painful syndrome, accompanied by a restriction of mobility in the lumbo-sacral. Often back pain becomes a complication of another disease of the skeleton and leads to serious consequences for the spine.
STAGE OF PROGRESSION OF THE DISEASE
Of the four stages of progression of the degenerative disc disease of the lumbar:
- Characterized unstable pain syndrome that can occur during the motor activity. The pain is localized in the lower back and buttocks, can feel tingling in one of the areas of the body.
- During the second stage can be diagnosed early expressed destructive changes, which include the destruction ring of fibrous compression of the nerves. The syndrome manifests itself during physical activity, it becomes strong and progressive. The patients feel relief by tilting the torso back.
- The progression of degradation of the fibrous ring widths leads to the destruction of cartilage and formation intervertebral hernias. The pain becomes constant and increases with physical activity.
- The cartilage continues to fall on the affected areas of the spine are formed pathological excrescences that reduce the functionality of the skeleton. Decreases mobility and flexibility, the syndrome is always manifested with different intensity.
Usually, the therapy you pay only the first instance of developing osteoarthritis of the lumbar spine. The treatment in other cases is a set of measures which slow down destructive processes and improve the well-being of the patients.
SYMPTOMS AND SIGNS THE DEFEAT
The feeling of pain in the lumbar region, experienced in this case and in other movements, are the first signs of the onset of destructive violations. The pain indicates the destruction of the spinal disc and compression of nerve endings. Other expressed the symptoms of the error:
- the reduction of the intensity of the pain during the stay in the trunk in a horizontal position;
- weakness of the lower limbs;
- numbness of legs, loss of reflexes, tendon;
- the curvature of the spinal column in the lumbar region left, right, lordosis, and kyphosis.
In the later stages, it is possible to also incontinence of stool and urine. Pain occur even with low load (for example, coughing and sneezing). Complete and partial paralysis occurs when inoperative degenerative changes.
Accompanies the symptoms:
- numbness and tingling in the lumbar area;
- the color change of the skin in the buttocks area, the thighs, hips, darkening of the skin;
- a feeling of tension in extension and flexion of the trunk;muscle atrophy and reduced activity (they often occur as a complication of the disease);
- dryness and flaking of the skin;
- violation of the sweating;
- vegetative disorders caused by the changes of the circulation, lack of oxygen supply of the tissue;
- the lack (reduction) libido, and sexual dysfunction.
Disorders of the sensitivity observed, usually, straight home defeat. This may be hyperesthesia (major), anesthesia (decreased sensation) and paresthesia (feeling of tingling).
Often the disease is found to be exposed to men, because they are more occupied with physical work. The progression of the disease is faster and the probability of the onset of sexual dysfunction is several times higher than that of women.
THE MAIN CAUSES AND RISK FACTORS
Low back pain sacral otdelaeshsya back pain, the symptoms and treatment of which directly depend on the stage of progression, often complicated the main causes of emergence. Not all of the assumptions and the risk factors can solve the therapeutic period. Identify and define a set of reasons too it is not always possible.
In the list of the major causes of degenerative disease of the lumbar disc, treatment of which may depend on their definition, are included:
- Unbalanced load on the spinal column, skeleton. Affected posture and lack the physiological ability to read and write a person. The irregularity of the pressure is typical for athletes not professionals, and people engaged in heavy work.
- Higher load capacity. Also with the right approach to the work of the skeleton, muscles, and vertebral column are possible destructive changes to. With the increase of the motor activity the vertebrae wear out more quickly and mutate, cartilage discs are erased, and press the nerve endings. In such situations, the first stages are observed protrusion and hernia, which are then complicated lumbo-sacral osteochondrosis, treatment is reduced to relieve the manifestations symptomatic and slowing down of further.
- A poor posture. Usually, this phenomenon is accompanied by a wrong distribution of the load on the vertebral column, that carries out the destruction of the bone and cartilage. At-risk elders, which, with time, we observe a rapid decrease of the elasticity of the intervertebral discs.
- Sedentary life-style. Often coupled with incorrect posture and the unequal distribution of the loads. In addition, changes can lead to muscle gipotonus, caused by lack of muscular activity. In a constant seated position the spinal column (especially loins) is loaded more than usual.
- A significant excess weight. Each kilogram of weight creates extra pressure on the spine, which can be devastating changes to the bones and cartilage. If the obesity is accompanied by a sedentary lifestyle, the risk of the need in the treatment of lumbosacral spine grows in a couple of times.
The main causes can be risk factors that increase the likelihood of disease and (or) to accelerate its development. Among the major factors stand out:
- flat foot (explained feature stop and an uneven distribution of pressure on the spine);
- defeat digestive systems and cardiovascular;inflammatory processes of the bone and cartilage tissue, arthritis, osteoarthritis, osteomyelitis;
- violation hormonal, diseases of the endocrine system, fatigue, disorders healthy jet lag;
- frequent stress and disturbances in emotional state.
- Doctors recommend to pay special attention to the style of life. The lack of sleep and stress, poor unbalanced diet, often become risk factors and catalysts of processes to be negative for the spine.
METHODS OF DIAGNOSIS AND IDENTIFY THE CAUSES
For the diagnosis you have:
- medical history;
- the research status of soft and hard tissues;
- the lab tests.
During the first visit, the doctor performs a detailed examination, defines the possible external manifestation of the disease, the presence of deformations and alterations of skin sensibility. In addition, during the first examination is needed to determine the location of the pain. Below are held:
- The x-ray. Runs in the side and rear of the projection. It allows to determine the presence and quantity of a bone lesion, reveal the size growths (if available).
- Tomography, magnetic resonance imaging. Allows you to define the localization of defeat with the help of multi-angle rendering. Identifies the destruction of soft tissues, inflammatory processes, damage nerve endings, blood vessels.
- The computed tomography scan. As the x-ray provides visualization of the hard tissues of the spine and back. Allows for greater details into consideration available destructive changes.
METHODS OF THERAPEUTIC EFFECTS
Osteochondrosis of the lumbar treatment is chosen individually. In the early stages, it is possible to conservative therapy, with maintenance of the normal state of health of the patient. When serious-destructive changes used surgery.
CONSERVATIVE TECHNIQUES
The attacks of arthritis are often accompanied by severe pain and require relief. With these objectives using drugs:
- Analgesics. Most common: Analgesic, Deksalgin, Spazmalgon. Apply in the form of tablets, also in the form of injection.
- Chondroprotectors. Are not medicines, but can maintain the elasticity of cartilage tissue, promote the recovery of damages. To a group of medicines refer to: Artifleks, Hondroksid, Glucosamine.
- Non-steroidal anti-inflammatory drugs. To the group belong: Diclofenac, Nimesulide, Ibuprofen. Helps to remove the inflammatory process and ease the pain syndrome.
- Myotropic antispasmodics (Mydocalm). Are used to alleviate muscle tension and easing of pain.
Also apply anti-inflammatory creams and ointments (The nimid, Traumeel, Dolobene, Finalgon). For traction of the spinal column is also applied to the chiropractic, massage and physiotherapy. The house is also allowed the use of physiotherapy.
When lumbar osteochondrosis the symptoms and treatment medicines is necessary only in case of strong pain, and violation of mobility. Also the drugs are needed to remove the inflammatory processes and the causes of the appearance of the disease.
SURGERY
When lumbar osteochondrosis the symptoms and treatment at home, it is possible to combine only in the early stages of low-intensity of pain and minimum negative manifestations of the disease. Surgery is necessary in case of severe-growths of bone and a partial recovery of the mobility of the skeleton. Also with the help of intervention are removed hernia, destroyed cartilage discs with the replacement of the latter.
FOLK REMEDIES
Folk remedies osteochondrosis lumbar, symptoms and treatment of which are closely connected, shall apply to the revocation of the inflammatory processes and pain. The most effective and safe:
- Coniferous bath. To make the bath, you need to put in the water a comfortable temperature three-four branches of pine. The procedure we recommend that you do before going to bed for a quarter of an hour.
- Tincture of cock. Equal ratio mix a tablespoon of vodka and the juice of fresh horseradish. Rub the painful areas two to three times per day. After each procedure, close the back cover for the heating.
- Sheet of burdock. Sheet of tender plants over the hot steam for about ten minutes, after which apply it to the affected area on the back. Wrap the lower part of the back with a handkerchief or blanket, leave it on for an hour.
For the treatment of degenerative disc disease lumbar symptoms and treatment it is important to correlate. It is not recommended to apply the recipes of traditional medicine as an alternative, the main course. It is allowed to use transport auxiliary.
PREVENTION AND TIPS
Prevention of degenerative disc disease of the lumbar oldelpaso-sacral back pain, the symptoms and treatment of which is described above, you can prevent. To prevent the occurrence of the disease is necessary to follow the recommendations:
- evenly distribute the pressure on the skeleton and the spine, and avoid strenuous physical work;
- correctly correlate the time for sleep and relaxation with the physical exercise;
- follow the technical execution of the exercises during the sporting activity;
- use the rules of compiling a menu of recommendations for a healthy diet;
- to avoid the excess of weight;
- undergo preventive examinations by a surgeon and a neurologist, especially after the age of 30;
- monitor the level of hormones and to monitor the status of the endocrine system;
- monitor your posture and, if necessary, perform curative physical education, using massage and reiki.
RESULTS AND CONCLUSIONS
Progressing in the lumbar region back pain – the result of an incorrect load distribution on the vertebral column, the non-observance of rules of establishment of the posture and technique of performing the exercises in sports. With age, the disease risk of these factors increases, reducing the reconstruction of the processes of bone and cartilage tissues. The treatment of degenerative disc disease difficult, since the spine does not lend itself to complete healing. Therefore, it is important to conduct prevention and to follow the recommendations of the attending physician.