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Lumbar vertebrae disease

Bones and cartilage of the lumbar spine

According to medical statistics, pain in 80% of cases is caused by lumbar osteochondrosis.When the intervertebral disc and adjacent vertebrae are affected, this occurs due to degenerate decay changes in the segment.Osteochondrosis (SPEP) in the lumbar spine is manifested by various symptoms: pain of different properties, limitations of mobility, impaired sensitivity in the lower body, etc.In the absence of treatment, the degeneration process applies to the vertebrae, reducing workability, and the patient can then become a disabled person.

To avoid the dangerous complications of lumbar bone chondrosis (PO), you need to start full treatment at stages 1-2 of the pathology.In advanced cases, surgery is performed when there is already an irreversible change in the intervertebral disc or vertebrae.In order to avoid osteochondrosis and related complications in the lower back, prevention is necessary.

Development of lumbar bone osteochondrosis

To understand what osteochondrosis is in POP (lumbar spine), you need to study the structure of the spine.It consists of vertebrae bones in which cartilage gaskets (discs) are placed.There is a hard fiber membrane (fibrous ring) on the disc with a nucleus pulposus.The structure performs shocking functions that make the spine more flexible.

refer to.The waist section of the spine bears a huge load every day because it bears the weight of the upper body.Therefore, osteochondrosis with low spine is diagnosed more frequently than in the cervical chest.

Due to the conventional load of the spine, the disc is compressed, and a lot of fluid is lost, its height is reduced, and the distance between the vertebrae is reduced.The cartilage gasket becomes fragile, microcracks appear on its surface, and the pulp pulposus extends over time.With further compression of the intervertebral disc, loss of the outer membrane and colloid occurs, and a hernia forms.The pathological mobility of the vertebrae then occurs, and the load on adjacent segments of the spine increases.

Soon after, bone growth (bone plants) begin to form at the edge of the vertebral body.Therefore, the body is trying to stabilize the spine.

The doctor distinguished the four stages of lumbar osteochondrosis:

  • 1 degree - The problem with the disc starts, the center part is dehydrated, flattened, and cracks appear on the shell.It has a stuck.
  • 2 degrees - The cartilage washer sags, the vertebrae are close to each other, becoming more fluid around the spinal sag, muscles and ligaments.Pain appears.
  • 3 degrees - herniation, hernia, subluxation of vertebrae.The pain was enhanced, the mobility was limited, and the sensitivity of the lower body was impaired.
  • The fourth degree osteocartilage degeneration is characterized by the appearance of bone plants that damage the spinal nerves, adjacent vertebrae.Continuous pain, obvious neurological disorders and other complications, and an increased risk of disability.

Cure lumbar chondrosis is the easiest (stage 1), but it is difficult to detect the disease at this stage.Conservative methods were used to treat second degree vertebrae osteochondrosis.In 3-4 stages, operations may be required.

refer to.According to statistics, after 30 years, patients often find SPP.After 20 years, patients often experience pathological cases.About 80% of 60-year-old patients suffer from the symptoms of this disease.

reason

To understand how to deal with osteochondrosis in PKOP (Lumbary Spine), you need to know the causes:

  • Regular static or dynamic loads of the waist section.The risk groups for developing osteocartilage include office staff, professional athletes (heavy track and field), movers, builders, and more.
  • Violate the posture and stay in the wrong posture for a long time.
  • Genetic tendency, abnormal vertebral formation.This category includes young software - spinal curvature caused by vertebral pathology.
  • Spine damage.
  • Hormonal imbalance, metabolic diseases, and endocrine diseases destroy the metabolism of the waist.
  • Age-related body changes can cause wear and tear of the intervertebral discs.
  • Osteotuberculosis, osteomyelitis (suppurative inflammation of bone tissue), ankylosing spondylitis (inflammation of vertebrae and joints), rheumatoid arthritis, etc.

Often, this disease causes several causes immediately.

In addition, there are some factors that cause the development of lumbar bone and cartilage:

  • Too much weight.
  • Passive lifestyle, long seating.
  • Regularly use harmful foods (fats, fried foods, candy, semi-produced products, etc.).
  • Lack of liquid, dehydration.
  • For example, congenital diseases of spinal structure, such as additional vertebrae.
  • Wear uncomfortable high heels often.
  • The cycle of carrying the fetus, and then the load on the spine increases.
  • People who were passive in the past drastically gave up training professional athletes or overexercising.
  • Smoking, frequent and not suitable for drinking.

There are many more factors that can be found in the degenerative decay process of lumbar spine emission.For example, flat feet, frequent hypothermia, frequent stress, sleep disorders, etc.

wiring

symptom

The symptoms of lumbar osteocartilage degeneration are diverse, and they depend on the pathological and localization stages of the diseased area.

Doctors distinguished between reflex and compression syndrome of SPP (symptom complex).The former appears stimulation of the intervertebral discs, ligaments, joint capsules and receptors of the latter - when compressing nerve bundles, blood vessels, spinal cord.

Lumbar chondropathy with this reflex syndrome:

  • Low back pain.Eject pain with sharp movement or tension.The pain syndrome is enhanced with the slightest attempt, so the patient freezes in one position.The muscles in the damaged area are tense, and the pain becomes more obvious when palpated.These manifestations are related to the movement of the inner slurry core of the shell.
  • Low back pain.The real pain can increase for hours or days.Discomfort increases with movement and changes in body position.It weakens when a person is in a horizontal position with a roller under his lower back.The pain can be exacerbated when straight legs are raised in this position (LASSA symptoms).Muscle tone is less than waist.The lower back has limited mobility.
  • Sciatica pain.The feeling of pain (acute or pain) spreads from the lower back to the lower body.This function is increased during exercise.The pain will decrease when you are still on the back.Muscle tension in the affected area, pain syndrome is expressed at palpation.

The symptoms of compression syndrome depend on which parts of the waist segment are damaged.Characteristic signs are associated with compression of the cerebrospinal nerves that are hernia, bone plants and displaced vertebrae.This condition is called radiation disease, where the pain moves in the slightest, the muscles in the lower back are tight, and the mobility is limited.

The clinical manifestations of compression syndrome depend on the vertebrae that is damaged in the lumbar segment:

  • L1 -L3 - Pain and numbness in the lower back, front surface of the thigh and inner surface, making it difficult for patients to bend/not bend their legs in the knees.
  • L4-Pain Syndrome spreads to the front of the thigh and falls to the knee (back).In the same area, sensitivity is violated.
  • L5-The pain radiates to the hips, outside the thighs, along the front of the lower leg, inside the feet and inside the thumb.In the same area, numbness is felt and it is difficult for the patient to bend his thumb.
  • S1-The pain from the lower back to the hips, the outer surface of the thighs and the back surface spills, dripping to the outside of the lower leg, feet.In these areas, numbness is felt and the muscles in the lower leg are weakened, making it difficult for patients to stand on their socks.

For example, there is a risk that several nerve bundles can damage several nerve bundles, such as L5, S1.If the hernia moves backward, the spinal cord can be squeezed.

As blood vessels in the lower back are compressed, the possibility of weakening the leg muscles and numbness of the lower limbs violates control of urination and defecation processes.In men, male erection is disturbed, and in women, the main symptoms can be supplemented by inflammation of the ovary or uterus.

Diagnostic measures

To diagnose SPP, the doctor examined the patient, performed a palpation to determine the condition of the muscles and determine the curvature of the spine.It is important to introduce his symptoms in detail so that he can be diagnosed more easily.

Musical instrument research will help detect vertebrae osteochondrosis:

  • Guide rails on the lower back (direct back and lateral projection).
  • Calculation and magnetic rejection tomography.

X -Ray allows you to evaluate the structure of a POP.To determine the pathological mobility of the vertebrae, X-rays are performed in the flexion and extension positions.This study allowed us to notice that the intervertebral space has narrowed, the body of the vertebrae has changed, and bone plants appearing on the edge.However, this diagnostic method is considered outdated.

Today, CT and MRI are increasingly used to detect changes in the spine's degenerative disease.These highly informative studies allow you to assess the condition of vertebrae, intervertebral disc, vertebrae, spinal cord.With their help, the protrusion, the direction of the hernia, the degree of compression of the nerve bundle, the degree of compression of the spinal cord, and the degree of compression of the blood vessels is revealed.

treat

Drugs for lumbar bone osteochondrosis

Drugs for osteochondrosis in the lower back

The treatment of osteochondrosis lasts 1-3 months to 1 year.The success of treatment depends on the patient himself, and they should strictly observe the doctor's advice.With self-assessment, the patient's condition usually worsens.

Therapy:

  • Symptoms of stopping or weakening the software.
  • To determine the cause of the disease, try to exclude it from life.
  • Eliminate the inflammatory process.
  • Restore blood circulation and metabolic process in the waist area.
  • Try to improve the condition of the damaged cartilage washer and stop further degenerative changes.

To achieve such goals, complex therapies are recommended.It usually starts with taking drugs:

  • musorelaxant.They relax their muscles and reduce pain and inflammation.
  • NSAID.They have anti-inflammatory, analgesic, and anti-thermal effects.
  • Reflux.They help stop spasms in smooth muscles and relieve pain.
  • Anesthetic.They are used to treat severe pain in block forms.
  • Glucocorticoid.They also help with pain.However, these funds are able to destroy bones, so they only take them away for a short time after their doctors have approved it.
  • sedative.Removing neuromuscular tone and improving sleep.
  • Vitamins (Group B, E, C, A).Recover the condition of the affected nerves and relieve pain.

careful.NSAIDs are prohibited from taking gastritis or gastric ulcers because they can even damage the mucous membranes of the gastrointestinal tract.

With an intensified attitude, the patient was injected and stopped the main symptoms and he took oral medication.

In addition, external products (gel, ointment, cream, garbage) are used.

How to deal with chronic osteochondrosis in the lower back is very relevant.If SPP is chronic, then after the main symptom is the patient, the patient is prescribed a cartilage protective agent, a drug that restores blood circulation, and a drug based on vitamin B.They help restore innervation, normalize blood supply in affected areas, and prevent further pathology.

The treatment of lumbar cartilage (Stage 1) is carried out using cartilage protective agents, thereby slowing down the development of the degeneration process and accelerating the regeneration of cartilage.In addition, the patient was prescribed a vitamin mineral complex.This form of osteochondrosis is the easiest to cure.

Other conservative methods

With OKZ (osteochondrosis) 1-2 degrees, the following treatment procedures will help stop its development:

  • Ultrasound treatment can weaken pain and inflammation, normalizing blood flow in damaged areas.
  • Due to the weight of your own body, Dutenzor therapy is the safe traction of the spine, after which the muscles are normalized and mobility increases.
  • Magnetic therapy reduces pain and inflammation in muscles around the spine.
  • Reflexology (introducing needles into biologically active points in the body) can speed up blood circulation and relieve inflammation and swelling.
  • Manual therapy (with the doctor's hands to touch the affected area) and massage muscle tone, reduce compression of nerve bundles, improve the function of the disc, and restore the structure of the spine.
  • Electrophoresis allows you to deliver medicinal solutions to bones and cartilage through the skin.
  • DragonValization improves blood circulation, metabolic processes, reduces pain and restores skin sensitivity.

There are still many effective procedures that can help improve patient status for 5-15 sessions.The most important thing is to obtain doctor's approval before his behavior.

Home treatment

If you are interested in whether you can treat OPP at home, consult your doctor.If the expert has obtained permission, treatment is initiated, usually consisting of the following:

  • diet.If lumbar chondropathy is caused by an invasion that violates blood flow or metabolism, fat, fried, spicy food, eggs, etc. are excluded.From the menu, please add fresh vegetables, fruits, low fat, fish, fish, sour flavors on the menu.Reject alcohol, supplement drinks (tea, coffee).Beverage filtered water, combinations, herbal tea.
    • Treatment of osteochondrosis
  • To restore blood circulation, exercise or use friction and compression.
  • Sleeping on an orthopedic mattress with a low pillow.If you have a long-term job, buy a chair with a back to support your spine.Wear a special corset or belt from time to time.
  • Exercise therapy will help strengthen the muscle corset, removing part of the load from the ailing spine.Each patient's complex constitutes a doctor or lecturer.
  • Perform self-quality in the waist area.But, find out how to do this correctly with professionals.
  • Use folk remedies in the form of friction, compression, bathrooms, etc.
  • Acupuncture is a plastic plate with many spikes that improve blood circulation, metabolic processes in damaged areas, relieve muscle pain, and relax.

And, at home, you can use lotion with herbal soup, plaster.

refer to.The novelty of osteochondrosis treatment is a massage table, even for the most unorganized patients.

However, remember that you can only receive treatment at home after the attending physician’s permission.

Surgical treatment

If the conservative method is ineffective for a long time, prescribe the procedure for lumbar osteochondrosis.In addition, surgical intervention is also represented by involuntary urination, bowel movement and tail equine syndrome (nerve pinch of the lower spinal cord).

In the treatment of SPP, such surgical methods are used:

  • Spondylodeza - Fusion of adjacent vertebrae.
  • FasseTextome - Removes erosion of the cerebrospinal nerves.
  • Laminectomy - Removal of the plate that covers the spinal canal.
  • Disctomy is the complete or partial removal of the intervertebral disc, which can lead to compression of the nerves or spinal cord.
  • Osteopathy - Remove vertebrae and adjacent cartilage washer.Then the empty place was filled with bone transplants, and it took 3 vertebrate segments.

refer to.After surgical intervention, there is a risk of complications: spinal cord trauma, nerve bundle, transplantation, infection, etc.

After treatment, it is necessary to undergo rehabilitation to speed up recovery.

complication

There is an increased risk of complications of this lumbar chondrosis without contract treatment:

  • Disc herniation, clamping of nerve roots or spinal cord.
  • The long-term inflammatory process increases the possibility of radiation inflammation (inflammation of nerve roots).
  • isotropic (inflammatory damage to sciatic nerve), in which severe pain and numbness of the lower limbs.
  • If blood circulation in the spinal cord is damaged, the possibility of compression of bone marrow disease is increased (spinal cord compresses various formations: bone fragments, hernia, tumors, hematoma).
  • Caudal syndrome is a compression of the lower spinal cord, which leads to invasion of the functions of the intestine, pelvic organs and lower limbs.

To avoid this complication, you need to start treatment as early as possible.

prevention

To avoid lumbar vertebrae disease, follow the following rules:

  • Live a moderate lifestyle (regular walking, regular exercise, register for a pool).
  • Warm up every 1.5 hours while sitting.
  • Sleeping on an orthopedic mattress.
  • Avoid excessive physical exercise, increase the severity only from a semi-refined position before placing a special belt on the lower back.
  • Buy orthopedic shoes.
  • Eat the right diet and take the vitamin mineral complex prescribed by your doctor.
  • Learn to relax.
  • Try not to be hypothermia.
  • Over time, diseases that may cause SPP can be treated.
  • Reject bad habits.

By following these recommendations, you can avoid spinal degeneration changes and improve your health.

The most important thing

If you notice symptoms of osteochondrosis of the lumbar bone, see a doctor urgently.Independent treatment can aggravate your condition and cause complications.Treat low back pain with exercise therapy, physical therapy and cartilage protective agents (stage 1).In the later stage, use medication, massage, manual treatment, etc.Doctors may prescribe surgery in the absence of positive dynamics or neurological symptoms for a long time.Patients must strictly follow the doctor's advice to speed up recovery.