Osteochondrosis of lumbar spine - signs, diagnosis and treatment

Osteochondrosis is a common disease of the musculoskeletal system.The lumbar spine column is most vulnerable due to the ability to move well.In addition, with inappropriate and prolonged chairs combined with low lifestyle, the wear and tear of cartilage occurs, eventually leading to osteoarthritis.

You should know how to recognize the first signs to get medical care in a timely manner.

Short information about osteoarthritis of the lumbar spine

Back pain is one of the most common complaints of the patient with an injury doctor.The second name of the syndrome is Dorsalgia of Intervertebral discs.According to statistics, an average of 8 out of 10 people throughout their lives at least once complained about discomfort in the waist area.About one -third of the patients who met a doctor, pain syndrome had a persistent pathological characteristic, causing serious discomfort and pain in the patient.Long back pain not only causes physical suffering, but also stimulates mental instability.

Because cartilage fabric lost strength and elasticity, it began to gradually become thinner and collapse.As a result, cracks occur in the fibers of the disc.Over time, under pressure, prolonged fibers, protruding and breaking.If the content of the fibrous ring is the core of the marrow, it will go out, a kind of hernia.For this reason, bones and joints increase the chances of appearance of such formidable complications.

The cause of the disease

In most cases, osteoarthritis is genetic nature.It has been proved that if relatives directly suffer from degenerative diseases of the musculoskeletal system, their children often experience the diseases of the spine.

Other cases have extroverted reasons:

1. Maintain inappropriate posture.
2. Excessive muscle voltage is related to great physical effort at work or when playing sports.
3. Lifting weights incorrectly and regularly.
4. One of the most common reasons is hypoglycemia.Lack of motion and minimum physical activity often leads to spinal problems than playing sports.
5. Previous inflammatory infections - tuberculosis or osteomalitis, contributing to the manifestations of degenerative processes in the spine.In this case, osteoarthritis will have an infectious nature and a complication.
6. Hormone Perestroika can cause a lumbar osteoarthritis.This phenomenon is often related to certain periods.A regular example is menopause.After termination of monthly cycles, a woman has a decrease in sex hormone, so calcium is actually no longer absorbed by the body.The bone reserves are strongly washed.As a result, if you do not put a woman in GZT, she will earn not only osteoarthritis of the lower back, but also osteoporosis.The risk of osteoarthritis increases when regular use of synthetic glucocorticosteroids.Risks are increased in puberty with lack of nutrition, with the effort to combine with a difficult diet and when old age occurs.
7. The presence of congenital diseases of the mountain slopes, includes an abnormality of tropicalism.
8. Flat feet and scoliosis.
9. The weak structure of the bone is caused by a nutritional deficit or against the foundation of amenorrhea in women.
10. Early wear of vertebrates and joints.
11. Increase the high intensity of the mobile spine, significantly increasing the risk of injury.
12. Weak abdominal muscles.
13. The presence of rare diseases, including a narrow spine tube, perimeter, spine, cancer or tumor, the spine or neuritis.
14. The presence of hormonal disorders - obesity and non -compensated hypothyroidism.
15. Previously injured on the mountainside, ligaments, joints, tendons.
16. Poor strength and regular psychological tensions.
17. Change of degenerative age -Get related to age.

There are also certain risk groups related to harmful professional activities.For example, builders, dynamics, computer scientists, waiters, teachers.To minimize the risk of such diseases, you need to accurately distribute the load at the back and participate in moderate active substance activity.

Symptoms of lumbar osteoarthritis

The disease has many symptoms, so separately need to highlight the classification by the type of pain:

1. Magnetic syndromeRelated to compressing arteries through the vertebra.As a result of the occurrence, the persistent decline in blood circulation appears, so nutrition is disturbed in the lower limbs.Can hypertension.
2. Vertebra syndromeRelated to deformation occurs in nerves and vessels.With long negative effects, changing posture, the back is bent, the change of gait and the muscles without physical activity are atrophy.Therefore, the patient started to have severe pain.
3. Static syndrome.The ability to move pathologies developed in the vertebrae, may occur Kyphosis or Lordosis.In the process of disease development, the spine is gradually deformed, because in addition to the curvature in the vertebra, the muscle fixation is not correct in the affected areas.The consequences of a static syndrome - the back is twisted, and a person can no longer straighten it.
4. Neuron syndromeLinks to the bump of nerve roots.If the pressure occurs on the nerve ends, the patient's sensitivity decreases, the appearance of weakness in the limb may occur.In serious, paralysis, chills and complete loss of conductivity, it is recorded on the basis of the damage of nerve fibers.

The general symptoms of lumbar osteoarthritis include the following manifestations:

1. The strong pain at the bottom of the back, including the entire lumbar region with the ability to return to sacrum.
2. With the development of piercing syndrome, there are sharp pains that cause the bastards in the lower limbs.The legs often catch cramps.In fingers with numbness and paresthesia.Little often, pain for his hands.
3. Renal pain is possible.Patients may complain about problems from the urinary system, not confirmed during the diagnostic process.
4. The patient was tortured by a bad dream due to discomfort in the waist area.
5. Patients feel stressed and tired in the waist area.
6. When turning back and tilting, hardness and tension are perceived.
7. The foot occurs at the rear periodically.
8. After small physical activity, the patient feels serious fatigue.There is also chronic fatigue in everyday life.
9. With the further progression of the disease, the patient has pain when resting in the lumbar area.
10. The limbs are often numb, and patients often have pathological brittle in the back.
11. Violating the dynamic function due to discomfort at the bottom of the back.
12. Mechanical cramps and spasms.
13. Dizziness and headache.
14. Reduce the tone of the muscles of the back and lower limbs.

Any similar symptom requires an appeal to the doctor.There are also specific signs related to gender.Men who have problems in the genital field, can negatively affect the potential.Women have severe pain in the perineum and pelvis, which also shows damage to neurological ends.In advanced cases, the proliferation of internal organs occurs, including the uterus and appendages.This is due to strong atrophy processes in the spine support muscles.

Types of syndrome and symptoms of lumbar osteoarthritis

According to the type and nature of pain, such pathological conditions shared:

1. Lumbago- It is characterized by an acute state.The characteristic sign is not capable of moving from the pain that occurs on the background of the bastards.This condition is often more developed than the background of muscle atrophy, injury, nerve root and disc.
2. Lumbalgia- The disease is characterized by long pain and pain.More often in the waist occurs on the basis of osteoarthritis, hernia, spinal inflammation or protruding.With the extension of ligament devices, syndrome is more common.
3. Sciatica.This type of pain syndrome is characteristic of the Lumbosacral region.The syndrome is often confused with Ishias, characterized by a pain of a nerve root.Pain syndrome is often associated with the bump of sciatica, which significantly worsens the ability to move in the waist area.The patient could not bend normally, because of the worsening ability of the waist area.It is also difficult to walk and sit normally.Captain sciatica leads to another discomfort - muscle spasm of pear.As a result, one shot from behind to the calf muscles through the thigh.Gaid became lame, socks turned to the sides, and in your butt feel pain when walking, running and sitting.A comprehensive approach for treatment is mandatory.
4. Change Discolinked to pathological progression.The first sign of such decline is loss of sensitivity and numbness in the lower limbs.The back, buttocks, hips and lower abdomen are affected.All of these areas are imbued with continuous discomfort.With a strong decline, the signs of an inflammatory process occur - the body temperature increases, the weakness occurs in the body, without control of urine.Patients also worsen appetite, leading to reduced body weight.In this situation, an integrated approach to the treatment of this situation is also required.
5. RadiationIt is also associated with the limit of the motor skills of the spine and the clamp of the nerves.Due to the appearance of this type of pain syndrome, the patient began to feel pain in the lower body, decreased or violated movement.There is a decline in the ability to move the joints and reduce muscle tune compared to the compressive background due to radiitis.

All of the above pain syndrome requires emergency treatment, starting from the initial stage of the manifestations.Indeed, over time, the pathology becomes worse, so the process of the disease leads to a strong decline in quality of life.

Osteochondrosis of lumbar spine - Development phase

The general classification of the disease in stages includes the level of development of osteoarthritis:

1. The first degree does not cause any physiological decline from the spine.The patient feels good and does not doubt the presence of problems with the spine.At the initial stage, the process of positive destruction arises.Pulpoose core changes its position, gradually absorbing through the cells of the yarn ring.Earlier in the article, it was mentioned that before the disease occurred, the patient violated metabolic processes, so the cartilage shell weakened and was covered by vicrocracks.As a result, over time, the stimulation of nerve ends appears, so the patient may feel the first signs of uncomfortable in the waist area.
2. Osteochondrosis of the second phase is characterized by the emergence of unstable signs of the waist area.There are dynamic displacements in the vertebrae, related to excessive and basic parts.The patient shows signs of compression syndrome and reflex disorders.
3. In patients, in the case 3 of the pathological stage, the decline related to protruding the content of the yarn ring has occurred.Propes, prolapse or hernia appears.In the third stage of the disease, the roots of the spine and blood vessels are forced.At this stage, intense pain related to pinches and inflammation occurred.The strong movement ability is also limited, the shelter arises in the lower limb.
4. The terminal stage is Wednesday.At this stage, pathophysiological changes that cannot be overcome have arisen.Patients with the pathology of the skeletal system associated with the growth of the vertebrae.Therefore, the compensation reactions that meet the arising - load are transferred to other weak spine.Stocks, limitations of mobility in the amplitude of the spine.The development of pathological bone on the blood vessel channel and nerve head, which significantly burdens the symptoms.

Lumbar fibrosis - Diagnosis

When the patient arrived at the doctor, he prescribed some exams in the laboratory on the basis of assembly history to determine the osteoarthritis of the lumbar sacrum of the spine:

1. X -ray.This is a basic analysis that allows you to assess the status of the spine in general.X -Ray will not show small and initial pathological changes, but will identify raw violations in bone tissue.If the image shows signs of removing animals with vertebrates or darkness that does not correspond to normal size, other studies are necessary.
2. Computerized tomb.This is a more advanced version of the X -Ray image, allowing you to see the smallest negative changes in the bone tissue at the destruction position, as the image taken in the three -dimensional image.
3. Magnetic resonance tomography.This type of diagnosis is closer to CT, but allows you to better review soft tissues.MRI distinguishes the decline in osteoarthritis, including hernia and protruding.This type of diagnosis is sufficient to accurately perform diagnosis related to the destruction of cheap tissue degeneration.
4. Conducting laboratory testsBased on biological materials.Patients often pass blood and urine tests in general to control the basic indicators.These data allows you to evaluate the patient's health condition.
5. Provide rheumatoid samples.It is necessary to analyze to eliminate the rheumatoid nature of the pathology.

After checking and conducting necessary tests, they gave the final diagnosis.

Treatment of osteoarthritis of the waist

In treating pathology, an integrated approach is necessary.In 1-2 stages, conservation treatment with the use of drugs and physiotherapy during the recovery stage is used.In the presence of 3 or 4 stages, if the patient has serious indicators of health decline, surgical intervention is required.

Medicine treatment of pathological process

In the case of damage to the discs, arising based on the bone and joint disease of the Lumbosacral Department, the use of a list of drugs is widely displayed.Some products for symptomatic therapy, others to maintain health.

Prescription drugs:

1. Non -steroid anti -inflammatory drugs, analgesics.These drugs create favorable conditions for the patient's condition, especially in the acute phase.Thanks to the obvious effect of this drug, it can quickly soothe the pain within 1-2 days.Typically, the patient is prescribed by NSAID of selective action, because they rarely damage the mucous membrane of the stomach.If the old NSAIDs do not care can not be used for more than 5 days, the new generation drugs can be taken for 2-3 weeks without fear of healthy digestive tract.With the presence of gastritis or ulcers, it is better to be safe and use stomach inhibitors, proton pump inhibitors.
2. Musicelaxants- The drug is designed to remove painful muscle cramps.For osteoarthritis, the incorrect distribution of the load on the muscle corset associated with the weakness of the spine occurs.As a result, some muscles are clamped, while other muscles in Hypotonus.To reduce pain, muscle relaxation is prescribed.The time of the treatment process and the drug plan is selected by the doctor attending.
3. Neurological vitamins.These vehicles include vitamin biamine, Tianmin, cyanocobalamin and pyridoxine.With the use of B1, B6 and B12 combinations in large doses, an pain relief effect occurs.The components positively affect the nerves, nourish them.These vitamins are also involved in building myelin covers covering nerves.Such drugs are mainly prescribed for piercing syndrome, when needed to relieve pain associated with nerves.For 2-3 weeks, the injection agents are used, and then switch to oral release forms.
4. Chondroprotector.These drugs have cartilage -related protection properties.If there are clear signs of cartilage degeneration, chondroprotector must be prescribed with a long course.First, the injection agents are used for 2-3 months, then switch to the tablet.The minimum use process is six months with a few months off.The current ingredients in the composition are chondroitin sulfate and glucoseamin hydrochloride.Receiving diagrams and doses are selected individually.
5. Calcium combined with vitamin D3.These ingredients serve to enhance bone tissue.With age, due to bone wear, malnutrition and hormonal deficiency, the brittle bones are enhanced.The main construction materials are calcium.Without it, there is no strong bone corset.In order for calcium preparations to be absorbed, Vitamin D3 is needed.To avoid the shortage of cholecalciferol, it is necessary to regularly visit the sun in the summer and in the winter to take more vitamins.
6. Complex polyvitamin.There is a research data that the amount of vitamins continuously in a natural or synthetic form in the physiological doses enhances immunity in serious seasons of SAR season, acute respiratory infections.People with lumbar spine should carefully monitor their own health.
7. Blockade with anestheticThey are done with a poorly cut pain syndrome with NSAID.Corticosteroidal organs related to blockade are also effective.That means helping to soothe inflammation, accelerate recovery in the acute phase.The efficiency of blockade should be done by a highly qualified doctor with a lot of experience used.Should blockade under ultrasound control so as not to go into other parts of the spine.Such treatments will help quickly get rid of chronic pain.
8. Ointment and special gel.With the help of local funds, you can also successfully fight chronic pain syndrome of medium and weak power.Different products are cooled or heated, often allowed to use external drugs regularly.The use of drugs on the skin surface allows you to use them for a long time.Such drugs are actually not absorbed into the body's blood, so they do not cause side effects.It is important to pay attention to the condition of the skin after applying the drug.If there is a rash or itching, you need to cancel the drug.

Micro -micronutrients are homogeneous or Antispasmodics may also be specified.The drug diagram is determined by a doctor on a personal basis.

Non -conservative treatment

During the recovery period, physiotherapy processes must be used to help improve blood circulation and normalize metabolic processes in affected tissues.The active recovery method is exclusively used after stopping acute pain.Support for conservation treatment to soften the chronic process of the disease, prevent serious attacks.

Activated recovery method includes:

1. Conduct physical therapy education.With the development of lumbar osteoarthritis, special exercises are necessary to improve blood flow to reduce posture and support muscle in melody.LFK must initially be carried out under the supervision of the instructor, including safety rules.The exercises are done in a standing, sitting or lying position, depending on the complex designated by an expert.If the patient has experience, he can perform gymnastics at home.You should not ignore the useful part of the lesson - warm and too giang.After warmth, muscles are protected from tears and sprains.The final stage of performing acceleration of muscle recovery processes.With normal exercises, the muscles become strong, so the pain in the back weakens.
2. Massage- One way to relax muscle tissue in contact conditions.An expert with the help of hand helps improve blood flow in the muscles, allowing you to eliminate strong voltage.Massages combined with muscle relaxants most effectively.These drugs remove spasms and spasticity.Additional stimulation with hands increases the effects of the drug.You should visit staff several times in courses for stable effects.
3. Craft therapy.Using this contact method, can release the muscles, regardless of their level of resistance.Unlike massage, this method is violence, although effective.With a forgotten lumbar muscle disease, it is dangerous to use manual treatment practices if the expert is not experienced.Before contacting a manual therapist, you need to get used to the list of contraindications, including hypertension, heart disease and the presence of hernia in the waist area.
4. Physiotherapy procedures.With the help of physical therapy, it is possible to improve the local blood flow in the affected area without affecting other areas of the back.The nature of physical therapy is very simple: they combine hardware and medicine treatments.For example, electricity.Under the influence of a certain frequency laser, the drugs are used through the skin.Regular use of group B vitaminsMagnetic therapy and shockwave treatment are also related to physical therapy methods.Radiation frequency accelerates regeneration processes in joints and ligaments without causing side effects.

As part of complex treatment, acupuncture, hirudeter or micro -base micro -base can be specified.

When performing surgical intervention

Acting is necessary in advanced cases when the patient is tortured by serious neurological syndrome, which has arisen the foundation of Lobarochondrosis.If the patient has complications in the form of a hernia, the limbs begin to be taken away and the sensitivity of the intestine or the bladder is disturbed, it will have to be hospitalized for emergency.In this case, the activity is carried out in accordance with the life indicators.

There are also relatively indicated for surgery.For example, the frequent paralysis of the limbs, uncomfortable at the back, this is unacceptable for conservative treatment, partially loss of sensitivity in the finger.In this case, you can decide independently of surgical treatment.

Osteochondrosis is a serious disease that requires an integrated approach to therapy.In the early stages, drugs and physiotherapy are prescribed.If the disease is progressing rapidly, surgery may be required.