The osteochondrosis of the lumbosacral column is a spinal disease, in which the normal structure of the entire spinal column and the intervertebral discs in particular is gradually destroyed.It must be said that not only the back suffers, but the whole organism, in particular the pelvic organs and the lower limbs.
The reasons for development
The lumbar region for the life of a person in relation to an immediacy experiences a colossal vertical load that cannot completely compensate even the large dimensions of the vertebrae.Therefore, the minimum changes in the human body, a decrease in the muscle corset of the lower back, an excess weight, injuries, incorrect movements and much more can lead to the development of the disease.In addition, you should always remember the age -related changes in the spine regarding each person.
In summary, the above, the most frequent risk factors can be distinguished, whose totality leads to the osteocondrosis of the lumbar:
- Irregular and irregular loads on the spine (severity of lifting from an inclined position, etc.).
- Excess weight (almost every kilogram is important).
- Injurys Ruto, including sports.
- Weakening of the muscle corset (prolonged work in a monotonous position, etc.).
- Infutable diet, poor in minerals and vitamins.
Symptoms
The symptoms of the disease may vary quite widely, however, the totality of the main signs of osteochondosis develops, as a rule, in three syndrome:
- Vertobogenic lumbaljia (synonym for lumbago).
- VERTRO -LUMBOYLIA LUMBOYLGIA.
- Room -carbon Ischialgia (inflammation of the sciatic nerve).
However, in addition to the pain in the lumbar region (with irradiation in the legs, gluteal areas, inguinals of or without such), the tension of the back muscles, the weakness of the legs, the creak during the movements of the lower part
- Leg in the legs and a sense of crawling the goose skin in the legs.
- Leg cramps.
- Pelvic disorders (delay or incontinence of urine, constipation or diarrhea).
- Weakness in some groups of the muscles of the legs.
These complaints can guide the neurologist to the level of damage to the spine, lead a differential diagnosis with other diseases of the spine.
Diagnostic and signs X -ray
Osteocondrosis should be diagnosed with a single type of instrumental methods - radiological.View the entire structure of the spine in modern medicine allows the best MSCT or MRI study, however, simple radiography has not lost its esteemed value (as a screening study).It is important to remember that the main stage in the diagnosis of problems with the spine will be a medical examination, which sometimes allows you to make a diagnosis without an exam.
In the neurological state, the pain is detected on the palpation of the spicy processes of the vertebrae, the tension of the muscles of the bass back and if there is only osteochondrosis, then there should be no symptoms such as the reflections of the reduced tendon, the altered sensitivity of the motion of the movement of the movement of the motion of the movement of the movement of the movement of the movement of the movement of the movement of the movements of the movements of the movement of the movement of the movement of the movement of the movement of the movement of the movement of the movementmovement of the motion of movement of the spinal motion) legs.In the presence of these symptoms, differential diagnostics should be performed with the disc hernia and other more serious diseases of the spine.
Treatment
The treatment of the disease involves prolonged complete therapy.Directions in the treatment of several: removal of exacerbation drugs, non -drug auxiliary methods, as well as the preventive method of physiotherapy exercises, partially used in the acute period and does not lose its relevance to date.
drug
It is a combination of myorlaxing therapy, anti -inflammatory pathogenetic therapy, as well as the use of neuroprotective drugs.The choice of drug calculations and dosage proceeds from the weight of a person, by the genre, by the presence of concomitant diseases.
In the acute period, it is advisable to inject drugs such as diclofenac, Meloxicam.In addition, in parallel, they begin to perform the therapy for the removal of muscle spasm and the protection of nervous fiber from the damage.
Non -drug
It is represented by physiode and manual influences.Given maximum muscle groups, a fairly extensive level of the anatomical area, physiotization can only be an auxiliary method.DDT, electrophoresis, magnetotherapy are used, which allows you to improve the effect of drugs.
However, massage and manual therapy is sometimes able to completely stop the symptoms of lumbar osteocondrosis even without support for drugs.This is due to the fact that muscle spasm can be removed quite well and the pain is not always caused by the inflammatory process, sometimes only the negligent movement leads to pain, whose consequences are effectively eliminated in the early hours after the development of pain.
Gymnastics for osteochondosis of the lumbar region aims to stretch the back muscles and strengthen them.In the presence of the established diagnosis, lumbar osteochondosis should be involved daily in physiotherapy exercises.Without prejudice to the general rules (restriction of excessive physical activity, hypothermia), control of body weight and exercise for osteochondosis of the lumbar region on the disease can sometimes be forgotten for many years.