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Lumbar Osteochondrosis

Skeletal

According to health statistics, the pain on the back of 80% of cases is due to lumbar osteoarthritis.This happens is the result of degenerative changes-Dystrophic in this segment, when adjacent discs and vertebrae are affected.Osteochondrosis of lumbar spine (SPEP) is manifested by different symptoms: Pain has different properties, limiting the ability to move, impaired the sensitivity of the lower body, etc.With the long -term absence of treatment, the degeneration process applies to the vertebrae, reducing the ability to work, then the patient may become a person with disabilities.

To avoid the dangerous complications of lumbar osteoarthritis (PO), you need to start comprehensive treatment at 1-2 stages of pathology.In advanced cases, when changes cannot be reversed in the disc or vertebrae are present, surgery is performed.To avoid osteoarthritis on the lower back and related complications, its preventive should be performed.

The development of lumbar osteoarthritis

To understand what the joints of pop (lumbar spine) are, you need to study the structure of the spine.It consists of vertebrae, between cartilage pads (intervertencebral discs).The disc is covered with a hard fiber membrane (rings), inside there is a pulpoose nucleus.This structure performs shock absorption function, making the spine more flexible.

Jurisdiction.The belt of the daily spine is subject to a large load, as it tolts the weight of the upper body.Therefore, the osteoarthritis of the spine is diagnosed more often than the cervix and chest.

With regular loads on the spine, the discs are compressed, a lot of lost liquids, their height is reduced and the distance between the vertebrae decreases.The cartilage pads become fragile, the vicrocracks appear on its surface, so that the pulpoose core protrudes over time.With the extra compression of the discs, outer membranes and losing gelatin body, hernia.After that, the ability to move the pathology of the vertebra occurs, the load on the surrounding segment of the spine increases.

A moment later, the growth of bone (osteophytes) began to form on the edges of the vertebrae.Therefore, the body is trying to stabilize the spine.

Doctors distinguish 4 stages of lumbar osteoarthritis:

  • 1 degrees - problems with the starting disk, the center is dehydrated, it is flattened, the cracks appear on the outer shell.It has a trapped.
  • 2 degrees - Sagilage Gasket Sags, vertebrae are approaching each other, becoming more moving, muscles and ligaments around the spine.Pain appears.
  • 3 degrees - future, hernia, subluxation of the vertebrae are formed.The pain is enhanced, the ability to exercise is limited, the sensitivity of the lower body is weakened.
  • Osteochondrosis of level 4 is characterized by the appearance of bone cells that can damage the nerves of the spine, surrounding vertebra.There is continuous pain, obvious neurological disorders and other complications, the risk of defects increases.

However, the easiest to treat lumbar chondrosis (phase 1), however, it is difficult to detect the disease at this stage.OsteochondrosondrostonDrosis of level 2 is treated with conservative methods.At 3-4 stages, an activity may be necessary.

Jurisdiction.According to statistics, spps are usually detected in patients after 30 years.There are cases of regular pathology in humans after 20 years.About 80% of patients 60 years have manifestations of this disease.

Reason

To understand how to deal with pkop osteoarthritis (Lumbosacral spine), you need to know its reason:

  • Static load or normal dynamic on the waist.The risk group for the development of osteoarthritis includes office workers, professional athletes (heavy athletics), motivation, construction houses, etc.
  • Violation of posture, prolonged in the wrong position.
  • Genetic tendencies, abnormalities of the formation of vertebrae.This category includes youthful software - curvature of the spine caused by pathologies of the vertebrae.
  • Spine injury.
  • Hormonal imbalance, metabolic disorders, endocrine diseases disrupting metabolism in waist segments.
  • Changes related to age in the body stimulate the wear of disks.
  • Bone tuberculosis, osteomyelitis (purulent inflammation of bone tissue), joint spondylitis (vertebrae and joints), rheumatoid arthritis, etc.

Usually, the disease causes a number of reasons at the same time.

In addition, there are factors that cause the development of lumbar osteoarthritis:

  • Excess body weight.
  • Passive lifestyle, prolonged seats.
  • Regular use of harmful foods (fat, fried food, confectionery, complete products, etc.).
  • Lack of liquid, dehydration.
  • The congenital disorders of the structure of the spine, for example, an additional vertebra.
  • Regularly uncomfortable high heels.
  • The period of pregnancy, then the load on the spine increases.
  • A strong abandonment of professional athletes or excessive sports in people who had previously passed away.
  • Smoking, using alcohol regularly and motionless.

There are many factors that can start the degenerative process-Dystrophic processes in the lumbar spine.For example, flat feet, regular body temperature, regular stress, sleep disorders, etc.

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Symptom

The symptoms of osteoarthritis of the lumbar spine are very diverse, they depend on the pathological and localization stage of the affected area.

Doctors distinguish reflexes and compression syndrome (a complex of symptoms) for spp.The previous one happened with the stimulation of the external receptors of the disks, ligaments, joints and posters - when compressing nerve bundles, blood vessels, spinal cord.

There are such reflex syndrome of lumbar osteoarthritis:

  • Lumbago.Shoot the pain at the bottom of the back with a movement or stress.In the smallest effort to move, the pain syndrome is enhanced, so the patient froze in one posture.The muscles in the damaged area are strong tension, when touching, the pain of pain becomes more pronounced.These manifestations are associated with the movement of the peeling nucleus inside the outer shell.
  • Lumbalgia.A real pain develops for a few hours or day.Enhancing the movement, a change in body position.It is weakened when a person has a pose on par with a roller under the lower back.When lifting a straight leg in this position, the pain is enhanced (Lassa symptoms).The level of muscle tension is smaller than the belt.The mobility of the lower back is limited.
  • Sciatica.The feeling of pain (acute or pain) spreads from the lower back to the lower body.There is an increase in this feature in movements.The pain is weakened when resting on the back.The muscles on the affected area are tension, pain syndrome is shown when touching.

Symptoms in compression syndrome depend on the part of the damaged waist.The specific signs are associated with the compression of the nerves with hernia, joints, vertebrae.This condition is called radio disease, in which the pain increases with the smallest movement, the lower back muscles are stretched and the mobile ability is limited.

The clinical manifestation of compression syndrome depends on the damaged vertebra of the waist:

  • L1 - L3 - Pain and numbness in the lower back, front and inside of the thigh, patients are difficult to bend/remove the legs at the knee.
  • L4 - Pain syndrome spreads to the front of the thigh, falling to the knee (behind).In the same area, sensitivity is violated.
  • L5 - The pain of the pain is spread into the buttocks, the outer part of the thigh, falling along the front leg into the inside of the feet and thumb.In the same area, the feeling of paralysis, it is difficult for the patient to bend the thumb.
  • S1 - pain from the lower back to the buttocks, outer and back of the thigh, falling to the outer part of the lower leg, feet.In these areas, the feeling of paralysis, the muscles of the lower legs are weakened, so the patient is difficult to stand on the socks.

There is a risk of damage to some nerve beams at the same time, for example, L5, S1.If the hernia changes again, it can squeeze the spinal cord.

With the compression of the blood vessels on the lower back, the ability to weaken the muscles of the leg, numbness in the lower limbs, violate the control of urination and defecation.In men, the erection is disturbed in men, and in women, the main symptoms can be added by ovarian or uterine inflammation.

Diagnostic measures

To diagnose SPP, the doctor checks the patient, performs the touch to determine the condition of the muscles and determine the curvature of the spine.It is important to say a detailed expert about his symptoms to make him easier to diagnose.

Research tools will help detect osteoarthritis Intervertebral:

  • Rails of the lower back (direct projection and side projection).
  • Class taken refuses to calculate and magnetic.

X -Ray allows you to evaluate the structure of POP.To determine the mobility of the vertebrae, X -Ray is performed in the bending and expansion position.This study allows us to see that the interverterson distance has narrowed, the bodies of the vertebrae have changed, bone cells appear on their edges.However, this diagnostic method is considered outdated.

Nowadays, CT and MRI are increasingly used to detect degenerative changes in degeneration-Dystrophic in the spine.These many information studies allow you to assess the status of the vertebra, disc, intervertellebral, spinal cord.With help, protruding, hernia, compression level of nerve beams, spinal cord, blood vessels are revealed.

Treatment

Lumbar osteoarthritis drug

Drugs for bone and joint disease of the lower back

Osteochondrosis Pop treatment lasts from 1-3 months to 1 year.The success of therapy depends on the patient themselves, who should strictly observe the doctor's recommendations.For yourself, the condition of the patient is often worse.

Therapy:

  • Stop or weaken the symptoms of the software.
  • To determine the cause of the disease, try to eliminate it from life.
  • Eliminate inflammation.
  • Restore blood circulation, metabolism in the waist area.
  • Try to improve the condition of damaged cartilage pads, stop changing degenerative.

To achieve such goals, complicated therapy should be implemented.It usually starts by taking the drug:

  • Musorelaxants.They relax muscles, weakened pain and inflammation.
  • NSAID.They have anti -inflammatory, analgesic, and anti -opposition effects.
  • Antispasmodics.They help prevent the spasms of smooth muscles, weaken the pain.
  • Anesthetic agent.They are used for severe pain in the form of blockade.
  • Glucocorticosteroid.They also help cope with pain.However, these money can destroy bones, so they take them for a short time and only after the doctor approves.
  • Sedative.Cancel muscle tension, improve sleep.
  • Vitamins (groups B, E, C, A).Restoring the condition of the nerves affected, weakening the pain.

Careful.NSAID is banned from gastritis or stomach ulcers, as they even damage many mucous membranes of the gastrointestinal tract.

With seriousness, the patient was injected into the injection, and after preventing the main symptoms, he used oral agents.

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

The question of what to do with chronic osteoporosis on the lower back is quite suitable.If spp has become chronic, then the main symptoms are patients, patients prescribed chondroprotors, blood circulation, drugs based on vitamin B. They help congenital recovery, normalization of blood supply in the affected area and prevent the development of pathology.

Treatment of chondrosis of lumbar spine (phase 1) is done using Chondroprotector to slow down the development of degenerative processes, accelerate cartilage regeneration.In addition, the patient is prescribed a vitamin complex.The form of osteoarthritis is the easiest to treat.

Other conservative methods

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

  • Ultrasound therapy weakens pain and inflammation, normating the blood flow in the damaged area.
  • Dutenzor therapy is a safe traction of the spine due to the weight of your body, after which, the muscular melody is standardized, the ability to exercise is improved.
  • Magnet therapy relieves pain and muscle inflammation around the spine.
  • Reflective therapy (putting needles into biological activity points on the body) accelerates blood circulation, reduces inflammation and swelling.
  • Craft therapy (exposed to the affected area with a doctor's hand) and normal muscle massage, reducing the compression of nerve beams, improving the power of the disc and restoring the structure of the spine.
  • Electricity allows you to supply medicinal solutions through the skin to the bone and cartilage.
  • Dragonvalization improves blood circulation, metabolism, analgesic, restores skin sensitivity.

There are still many effective processes that will help improve the patient's condition in 5-15 sessions.The main thing is to receive a doctor's approval before their behavior.

Home treatment at home

If you are interested in being able to treat OPP at home or not, then consult your doctor.If the expert has allowed, then start the therapy, usually including the following points:

  • Diet.If lumbar osteoarthritis is caused by violations of blood flow or metabolism, then eliminate fat, fried, spicy foods, eggs, etc.From the menu, supplement the menu with fresh vegetables, fruits, little meat, fish, sour fish.Refuse alcohol, tonic drinks (tea, coffee).Drink water, composes, herbal tea.
    • Osteoarthritis
  • To restore blood circulation, exercise or use rubbing and compressing.
  • Sleep on orthopedic mattress, a low pillow.If you have a sedentary job, buy a back chair that will support the spine.Occasionally, wear a special belt or belt.
  • Exercise therapy will help strengthen muscle corset, remove part of the load from the sick spine.The complex area for each patient creates a doctor or instructor.
  • Perform the lumbar itself.However, learn how to do it correctly with an expert.
  • Use folk remedies in the form of rubbing, compressing, bathing, etc.
  • Acupuncture is a plastic sheet with many thorns that improve blood circulation, metabolic processes in the area damaged, reduce muscle pain, relax.

And also at home you can use creams with herbs, plasters.

Jurisdiction.The novelty in treating bone and joints is a massage bed suitable even for the most organized patients.

However, remember that you can only be treated at home after the doctor's permission.

Surgical treatment

Operating with lumbar osteoarthritis is prescribed if conservative methods have not been effective for a long time.And also surgical intervention is indicated with non -voluntary urination, defecation and ponytail syndrome (pinching the nerves of the lower spinal cord).

In spp treatment, such surgical methods are used:

  • Spondylodeza - adjacent vertebrae Fusing.
  • Fassetextomy - Eliminating intervertebral joints entering the nerves.
  • Surgical removal surgery - Removing a piece of spinal cord covering the spinal cord.
  • The element removal is completely eliminated or part of the disc, causing the compression of the nerve or spinal cord.
  • Corpectomy - Removing the body of the vertebrae and adjacent cartilage pads.After that, the empty position was filled with bone graft and 3 segments of vertebrates used.

Jurisdiction.After surgical intervention, there is a risk of complications: injury of the spinal cord, nerve beams, incidents, infections, etc.

After treatment, it is necessary to undergo rehabilitation to accelerate recovery.

Complication

In the absence of competent therapy, such risk of complications of lumbar osteoarthritis increases:

  • Disc herniation, nerve root or spinal cord compression.
  • Long -term inflammatory processes increase the likelihood of radioactive inflammation (neuritis).
  • Ishias (inflammatory lesions for sciatica), in which the severe and numbness of the lower limb occurs.
  • In the case of weakened blood circulation of the spinal cord, the ability to compress the marrow disease (compressing the spinal cord with different shapes: bone pieces, hernia, tumors, hematoma).
  • The ponytail syndrome is the compression of the roots of the lower spinal cord, leading to violations of the intestinal function, pelvic organs and lower limbs.

To avoid such complications, you need to start treatment as soon as possible.

Prevent

To avoid lumbar osteoarthritis, follow the following rules:

  • Lead a moderate dynamic lifestyle (more often walking, regular exercise, swimming registration).
  • When sitting, heating every 1.5 hours.
  • Sleep on orthopedic mattress.
  • Avoid excessive physical effort, only raising the severity of the position of the title, before that, placing a special belt on the lower back.
  • Buy orthopedic shoes.
  • Eat correctly, use vitamin-mongoons as prescribed by your doctor.
  • Learn to relax.
  • Try not to be lowered.
  • During the time, treating diseases can cause spp.
  • Refuse bad habits.

According to these recommendations, you can avoid degenerative changes in the spine and improve your health.

The most important thing

If you notice the symptoms of lumbar osteoarthritis, see an emergency doctor.Independent treatment can aggravate your condition and cause complications.Lumbar cartilage dogs (phase 1) are treated with exercise, physiotherapy and chondroprotector.In the later period, drugs, massage, manual therapy, etc. are used.In the absence of positive motivation for a long time or the appearance of neurological symptoms, the doctor may prescribe surgical prescription.Patients must strictly follow the doctor's recommendations to accelerate recovery.