Maybe, you can't find an adult who doesn't know about "lumbar bone osteochondrosis".On average, every third of healthy people, middle-aged, sometimes more common, experience acute lower back pain in their lives, every fifth-6th suggests that such problems occur regularly, even the "source" of hospital leaves.
However, it is usually impossible for patients to explain in detail what the violations in the lower back are.Most of them have never been tested and treatments composed in the form of "injection" and "ointment" usually help for months to a year.
If you "pose" to such a patient and start asking for a diagnosis, then you suffer a little diagnosis and he will declare himself "osteochondrosis".What does it mean about lumbar spine?
Osteocartilage in the waist area - a disease or "normative of life"?
First, you need to say authoritatively: "Osteochondrosis" won't be injured.In any way, it cannot be reflected, because it is the process of dystrophy and degeneration of the disc, i.e. cartilage, composed of the pulp pulposus and the annulus of fibrous fibrils.The intervertebral disc is cartilage designed to act as an "airbag" for impact, inhibiting the vertical and angular accelerations - inhibiting the effect between adjacent vertebrae.
As you know, cartilage has no nerve and vascular tissue, so the process “purely on the disc” does not affect adjacent structures at all and does not appear in any way.A similar example of vertebrae is the hernia of Shomorle, in which the hernia protrusion is reliably covered by spongy bone tissue adjacent to the vertebrae.The disc will not be injured.
In this case, chondroitism (suffix "-o" means increase, increase), is incorrect.It does not occur during human growth and cartilage growth.Here, due to fibrosis of the liver (cirrhosis), it can be noted that the grid structure of the liver begins to develop, impairing this function.
With chondropathy (or osteochondrosis), the disc begins to change its configuration only under the influence of perennial load.
They can put pressure on adjacent vertebrae, because according to Newton's law, every action under static load will have the exact same opposition or supportive reaction.How does osteochondrosis develop and for what reasons?
Causes of "Lubon and Osteochondrosis"
Signs of osteochondrosis in the lumbar area (more precisely the disc) can be found at a young age, especially with various violations of the musculoskeletal system.
They can be attributed to: For example:
- Congenital abnormalities (different leg lengths);
- Various types of flat feet (vertical, horizontal);
- deformation of the spine (scoliosis);
- Spinal muscles (the lumbar spine sliding from the s bone forward and from the back from the bone bone).
All of these diseases can cause or increase impact load on the spine (for example, when the elasticity of the foot arch decreases, when the elasticity of the spine decreases, because the load on the edge of the disk is systematically implemented.
It is well known that through experiments, it was found that healthy and young cartilages can withstand loads of up to 2000 kg or even higher across the entire surface.Of course, there is no such burden in daily life, but it can add such value when exposed to disk edges.
If the support area is 20 times smaller and the disk is not as healthy (e.g., in old age), exposure to 60-80 kg (e.g., falling on side-tilted ice, loading on shoulders) can cause disc damage, which may occur in the form of a protrusion or hernia.
It is the appearance of the protrusion or hernia that indicates that the disk has deformed and even “climbed out” from one or more sides.As you know, there is no empty space around.The disc begins to contact the nerve roots, adjacent ligaments and muscles, and the consequences of osteocartilage degeneration occur: reflex pain and muscle tone syndrome, which turns the patient to a neurologist, manual therapist and a man.
At the same time, the shape of the intervertebral disc is normal, wears evenly without a huge load, and then the osteocartilage of the lumbar spine will plague the patient's teeth, usually, the age of the teeth is worn, and criminals are well known.How does reflex pain syndrome manifest?
Symptoms and signs of complex lumbar chondropathy
You have noticed that we strive to "breed" the bridge: ordinary osteochondrosis is a completely inevitable process of ordinary aging of elastic disc "washers" in the "reasonable person" type, as it moves vertically throughout life.The "osteochondrosis" of patients with acute pain recall is a complex condition.
Maybe we will start with the signs of radiation compression.Of course, the signs of lumbar osteocartilage degeneration due to the segmental nerve spine compressed by the intervertebral disc are of course related to pain.In addition to pain, sensitive, exercise and nutritional diseases may occur.
Low's osteochondrosis pain has the following characteristics:
1) Border pain.It is secondary and is performed according to the type of neuralgia, when the nerve-swelling spine responds to the concussion very “significant”.
The pain is sharp, sudden, firing, piercing the lower back and may give up.The pain appears and increases immediately, so it is called "waist a" or "background".This is a "shutter" that makes a person "stand on Narakan" because any exercise can lead to increased pain.
Additionally, the pain is slightest coughing, sneezing, nervousness, and laughter can be aggravated - any condition of swelling of the spine.
If the spine is part of the sciatic nerve, the pain is "fired" through the hips into the popliteal fossa and below, which is called "lumbar spine-chromic capillaries".
2) Muscle pain.There are large muscle mass near the nerve spine.Usually, in spring and fall, they "stand up" and they swell and become dense.It is difficult for veins to flow out of them, and they are the root of pain in themselves.
This pain is continuous and not so harsh.Instead, it not only increases with rapid movement, but also extends in monotonous positions (deterioration of blood supply).
- Sometimes this myofascial syndrome occurs after a protrusion or aggravation of hernia, when the hernia "massages" the sharp "hook" of the muscles and ligaments for a long time.
3) Movement disorders.Because disks can squeeze not only the sensitive spine, but also the motorized spine, it is possible to develop peripheral paralysis, or even paralysis.Due to the different levels of damage, it is possible to develop leg weakness (for example, weaknesses when climbing stairs on the one hand), weaknesses in the feet, resulting in damage to gait.
There is muscle atrophy and one leg "losses" with weight.Such pure exercise, painless illnesses are rare and have not yet been noticed and can lead to disability.
4) Sensitive violations.They appear with pain, and are often present even after the pain is over, rather than pain.They show numbness, through the form of vertical stripes, a type of "stripe" reduces the sensitivity of the skin of the legs, a feeling of "crawling chicken skin and feet".
- Sometimes, due to damage to plant fiber, symptoms are combined with hyperhidrosis, skin cooling, hair growth and nails.
These are the most complex signs of lumbar chondropathy present in the lumbar area.There are separate syndromes, such as damage to the external skin of the thigh, or damage to the ponytail, epiconus, pure radiation inflammation, or pear-shaped muscle syndrome - but even their short descriptions can take too much time.
For patients, the above is enough to register for a neurologist.How do you “remove the deterioration with your own hands”?How to treat lumbar osteochondrosis in a house?
What should I do when I aggravate lumbar osteochondrosis?
The basis of all treatments is the course of treatment (elimination of causes) and pathogenic treatment (mechanisms that affect the disease).Symptomed treatment is adjacent to him.
This is how it is due to vertebrae pain (caused by spinal problems):
- The cause of elimination is to remove stress through protrusion, hernia, or spastic muscles at the root of the nerve.
- The effects on the mechanism are the elimination of muscle spasms, the recovery of venous outflows in the muscles, the removal of edema in the neurospine, and the fight against inflammation;
- Elimination of symptoms (fighting with pain, numbness, fluidity limitation) is done by returning to the second paragraph, as eliminating edema and inflammation will restore fluidity and relieve pain.
Get rid of protrusions and hernia
Usually, he does not start treating acute back pain.At first, pain syndrome is almost always stopped, and then, after a manual therapist’s massage and treatment session, all symptoms disappear without surgery.
The problem with surgical intervention is the progression of foot weakness and the progression of severe, unconscious pain within 2 months.In addition, operation is required when the spinal cord is located at a high level or "horse tail" compresses the central channel at a high level.
Treatment of lumbar vertebrae and chondropathy, medicine
The following measures can be provided for the treatment of lumbar osteochondrosis and its complications.In the clear phase (day one - two days):
- To reduce muscle edema and spine, it indicates a sleepless diet and limits the amount of fluid used.You can even take a mild diuretic to save potassium.
- Shows wear of half-fixed orthopedic corset, thus saving excessive muscle movement.
- From the first few days, friction ointments containing NSAIDs, such as "pepper", are shown.
- You can't warm your back to a sharp stage.As inflammation increases, edema increases.Therefore, various heating pads are prohibited.You can warm, take your own warmth (wool belt, heated ointment), these warm ointments are not added from the outside, but instead, can be taken from the deep.
- In the acute phase of osteochondrosis in the lumbar area, short-term treatment of NSAI and muscle relaxants can be performed.This will help stop edema in the nerve tissue, eliminate inflammation and normalize muscle tone.
In subacute periods, “injection” should no longer be taken after the maximum pain is overcome, and attention should be paid to restorative means such as modern vitamin preparations in group “B”.They effectively restore impaired sensitivity and reduce numbness and abnormalities.
Physical treatment measures continue when lumbar osteochondria is required for exercise treatment.Its task is to normalize blood circulation and muscle tone, and muscle spasms are not fully resolved when edema and inflammation have recovered.
On the "warm muscles", movements of spinal lumbar vertebrae must be performed after slight warmth - heating.
The main therapeutic factor is exercise, not the extent of muscle contraction.Therefore, to avoid recurrence, the use of gymnastics carpets and gymnastics rods is not allowed.With their help, you can effectively restore the amount of exercise.
Use of rubbing ointment using iPllicator kuznetsov is still continuing.Showing swimming, underwater massage, shark shower.It is during the damping aggravation stage that drugs for home magnetic therapy and physical therapy are shown.
Usually, treatment is not more than a week, but in some cases osteochondrosis can manifest with such dangerous symptoms that it may require operation, urgent.
Complications of lumbar vertebrae
First, when the hernia about the disk becomes a separate fragment and penetrates the central channel, free isolation is formed, it is about the conditions.There, it can squeeze the nerves of the horse's tail, and it can suddenly (after an episode of acute pain, in the gym) experience sharp weakness or leg paralysis, numbness.
After a few minutes, the cruel pain in the legs appeared, and then - the reflex of urine was delayed or the appearance of urinary incontinence, development, development of yang ot.This is the emergence of tail equine syndrome and is a complication of disc hernia.In this case, emergency intervention is required, sequin removal and restoration of the function of the caudal nerve, and decompression is required.
However, most commonly, other complications occur.As we age, multiple hernia and protrusions appear, osteoporosis of the vertebrae occurs, mobility only decreases, and the risk of acute back pain increases.Such patients will definitely have several "sick leave" a year and are often treated in nursing homes.
Predictive treatment
As we understand ourselves, osteochondrosis in the lumbar spine is what we understand as a symptom and treatment, which is not a disease to a large extent but merely exhibits inevitable aging and inevitable disc “contraction”.
Can humans be completely immune to lumbar chondropathy?This answer can be answered in a yes way, but then we will have to master a different style of movement: our whole life can be spread across all quarters, or like Ichtyander, floating deep in the ocean, constantly moving through the water from childhood.At that time, the axial static load on the disc will disappear, and the signs of it will disappear.But another problem will arise: In the water, this powerful design will become completely unnecessary and will start to change until it disappears, or it will not decrease significantly.
As for the individual prediction of osteochondrosis, it all depends on the time a person “decided to take on the thought”.If at this time, there is no obvious damage to the intervertebral discs, ejaculation, hernia and deformation, then to withstand the influence of a healthy lifestyle and hygiene, the age of the offspring in the lower back will not be able to know physical exercise.
In the same case, when there is already a “hot point” in the area of the lumbar region, for example, in the form of a hernia, which periodically squeezes the nervous spine, then a person needs to especially take care of awkward turns, physical exertion, improper lifting of severity and seasonal hypothermia, which usually causes an exacerbation of osteochondrosis of the spine.