According to medical statistics, lumbar pain in 80% of cases is caused by lumbar osteochondrosis. This occurs as a result of degenerative-dystrophic changes in this segment when the intervertebral discs and adjacent vertebrae are affected. Osteochondrosis of the lumbar spine manifests itself in a variety of symptoms: pain of a different nature, restriction of mobility, tenderness of the lower body, and so on. Sh. In the absence of long-term treatment, degenerative processes spread to the spine, reducing the ability to work, then the patient may become disabled.
To prevent dangerous complications of lumbar osteochondrosis (LP) it is necessary to start complex treatment at stages 1-2 of the pathology. In advanced cases, when there are already irreversible changes in the disc or spine, surgery is performed. To prevent osteochondrosis of the lumbar spine and related complications it is necessary to conduct its prevention.
To understand what LBP (lumbar spine) osteochondrosis is, you need to study the structure of the spinal column. It consists of the spine, between which are placed cartilaginous pads (intervertebral disc). The disc is covered with a solid fibrous membrane (annulus fibrosus) inside which is the nucleus. This structure has a cushioning function and makes the spine more flexible.
Help. The lumbar segment of the spine experiences tremendous stress every day as it can withstand the upper body. Therefore, osteochondrosis of the lower spine is diagnosed more often than cervical, thoracic.
During regular stress on the spine, the discs contract, lose a lot of fluid, decrease in height, and the distance between the vertebrae decreases. The cartilage membrane becomes fragile, microcracks appear on its surface, during which the bulb nucleus emerges. With further compression of the intervertebral discs, the outer membrane explodes and the body of the gelatin falls off, resulting in a hernia. Then there is abnormal mobility of the spine, the load on the adjacent segments of the spine increases.
A little later, bone formation (osteophytes) begins to form on the edges of the vertebral bodies. Thus, the body tries to stabilize the spine.
Doctors distinguish 4 stages of lumbar spine osteochondrosis:
The easiest way to cure lower back chondrosis (stage 1), but diagnosing the disease at this stage is very difficult. Grade 2 intervertebral osteochondrosis is treated using conservative techniques. Surgical intervention may be required in stages 3-4.
Help. According to statistics, OBO is more common in patients after 30 years. There are frequent cases of pathology development in people after 20 years. About 80% of 60-year-old patients experience the manifestations of this disease.
To understand how to deal with osteochondrosis PKOP (Lumbosacral Spine), you need to know its causes:
The disease is often caused by several reasons.
In addition, there are factors that provoke the development of lumbar osteochondrosis:
There are many other factors that can lead to degenerative-dystrophic processes in the lumbar spine. For example, flat feet, frequent hypothermia of the spine, frequent stress, sleep disorders, etc. Sh.
The symptoms of lumbar spine osteochondrosis are varied, depending on the stage of the pathology and the localization of the affected area.
Doctors distinguish reflex and compression syndromes (symptom complex) in OBOR. The first occurs when the outer membrane receptors of the discs, ligaments, and joint capsules are irritated, and the second is caused by compression of the nerve, blood vessels, and spinal cord.
There are reflex syndromes of lumbar osteochondrosis:
Symptoms of compression syndromes depend on which part of the lumbar segment is damaged. Characteristic signs are associated with spinal nerve compression with hernias, osteophytes, displaced vertebrae. This condition is called radiculopathy, in which the pain increases with slight movement, the lower spinal muscles tense, and movement is restricted.Clinical manifestations of
compression syndromes according to the damaged spine of the lumbar segment:
There is a risk of damaging several nerve bundles at once, for example, L5, S1. If the hernia moves backwards, it can compress the spinal cord.
Compression of the lower back blood vessels increases the likelihood of weakening of the leg muscles, numbness of the lower extremities, and decreased control of urination and defecation. Erectile dysfunction in men is impaired, while in women the main symptoms may be inflammation of the ovaries or uterus.
To diagnose OBO, the doctor examines the patient, palpates the patient to determine muscle condition, and to determine the curvature of the spine. It is important to tell your specialist in detail about your symptoms to make it easier for him to diagnose.
Instrumental examinations to help detect interstitial osteochondrosis:
X-ray allows you to evaluate the structure of the EPP. To detect abnormal mobility of the spine, X-rays are taken in positions of flexibility and extension. This study allows us to notice that the intervertebral disc is narrowed, the vertebral bodies are displaced, and osteophytes have appeared on their edges. However, this diagnostic method is considered obsolete.
Today, CT and MRI are increasingly used to diagnose degenerative-dystrophic changes in the spine. These highly informative examinations make it possible to assess the condition of the spine, discs, intervertebral discs, and spinal cord. With their help, the rash, the direction of the hernia, the degree of compression of the nerve bundles, spinal cord and blood vessels are revealed.
EPP treatment for osteochondrosis lasts from 1-3 months to 1 year. The success of therapy depends on the patient himself, who must strictly follow the doctor's recommendations. By self-medication the patient's condition usually worsens.
Complex therapy is recommended to achieve such goals. It usually starts with taking medication:
Be careful. Nonsteroidal anti-inflammatory drugs are contraindicated in gastritis or gastric ulcer, as they further damage the mucous membranes of the gastrointestinal tract.
In case of exacerbation, the patient is given injections and after alleviating the main symptoms he / she takes oral medication.
In addition, external agents (gels, ointments, creams, adhesives) are used.
The question of what to do in chronic lumbar osteochondrosis is quite relevant. If OBOP becomes chronic, the patient is prescribed chondroprotectors, drugs that restore blood circulation, and vitamin-based medications after the main symptoms have subsided. They help to restore innervation, normalize the blood supply to the affected area and prevent further development of pathology.
Treatment of lumbar spine chondrosis (stage 1) is carried out using chondroprotectors, which slow down the development of degenerative processes, accelerate cartilage regeneration. In addition, the patient is prescribed vitamin and mineral complexes. This form of osteochondrosis is the easiest to cure.
In case of acute chronic disease (osteochondrosis) 1 - 2 degrees, the following treatment processes will help you to stop the following treatment:
There are many more effective procedures that can help improve a patient's condition in 5-15 sessions. The main thing is to get the doctor's consent before performing them.
If you are wondering if OBO can be treated at home, talk to your doctor. If allowed by a specialist, then start therapy, which usually consists of the following:
and also at home you can use lotions with plant decorations, plaster.
Help. A novelty in the treatment of osteochondrosis is the massage bed, which is suitable for even the most disorganized patients.
However, keep in mind that you can only treat at home with your doctor's permission.
Lumbar osteochondrosis surgery is prescribed if conservative technique has been ineffective for a long time. Surgical intervention has also been shown in cases of involuntary urination, defecation, and cauda equina syndrome (lower spinal nerve entrapment).
The following surgical methods are used to treat OBO:
Help. After surgery, there is a risk of complications: spinal cord injuries, nerve bundles, broken grafts, infections, and so on. Sh.
After treatment you will need to undergo rehabilitation to speed up your recovery.
In the absence of appropriate therapy, the risk of such complications of lumbar osteochondrosis increases:
To prevent such complications you need to start treatment as early as possible.
Follow these rules to prevent lumbar osteochondrosis:
By following these recommendations you can prevent degenerative changes in the spine and improve your health.
If you notice symptoms of lumbar osteochondrosis, then contact your doctor immediately. Self-medication can make your condition worse and cause complications. Treatment of lumbar chondrosis (stage 1) is treated with exercise therapy, physiotherapy and chondroprotectors. In the later stages, medicines, massage, manual therapy, etc. are used. Sh. In the absence of positive dynamics for a long time or the appearance of neurological symptoms, the doctor may prescribe surgery. The patient should strictly follow the doctor's recommendations in order to accelerate recovery.