Acute lumbar pain, based on the spine osteocondrosis, is a widespread problem that the vast majority of people face.To come to us "as a reward" of our equality (due to increasing the axial strain on the spine), this disorder sooner or later affects each resident of the planet, the only question is how fast this happens and how expressed the symptoms.Such "lean" statistics force this pathology into socially significant illnesses, and the fight against it should be the task of not only an individual person suffering from manifestations of the disease, but also the World Health System as a whole.Therefore, the question of treating spine osteochondrosis is a very relevant topic.
So what is osteocondrosis?Consider briefly how the development of the disease occurs.In its name, if you translate it from Latin literally, structures that change with osteocondrosis are determined: bones and cartilage.To write off and resistance to vertical loads, the nature between our vertebrae is placed a peculiar fibrous cryj image "pillows" -intervertebral disks.Their nutrition is performed in childhood due to blood vessels lost by about 25 years, and nutrition begins to be diffuse due to the surrounding muscles.
In pathological stresses on the spine (sedentary work or vice versa - excessive physical activity), violations of the processes of mineral metabolism, losing intervertebral slice its elastic and amortization properties, its height decreases, the structure of the vertebrae changes, pathological bone growth (osteophytes and clothing plate) changed, mobility.The affected area of the spine.In the late stages of the disease, the central part of the intervertebral disc forms the so -called jacket core that breaks through the fibrous ring, a kind of bag of projections between rumors' rumors - the intervertebral hernia.A hernia can cause compression of nerve roots adjacent to the vertebrae, intense pain occurs in the compression zone as well as in the area regulated by the affected nerve.Due to the constant irritation of nervous plexus, a reflex spasm of bone muscles occurs, called a protective defense in medication, which, on the one hand, protects the suffering part of the spine from excessive movements and, on the other, improves compression, edema and pain in the affected area.
In the vast majority of cases (90%) pain with osteocondrosis (even extremely pronounced) is due to muscle spasm!In other cases, the cause of pain compression of the nerve red or spinal cord is directly by the hernia of the intervertebral disc.
Osteochondrosis of the lumbar spine: how to treat
Of all the parts of the spine, and in total there are five of them (cervical, chest, lumbar, sacral and coccygeal) due to the largest engine load, the lumbar vertebra often suffers from the manifestations of the disease.Osteochondrosis of the lumbar spine has bright symptoms that are well known to everyone, and its treatment is a significant social task as it aggravates the quality of life for not only older people but also active people of the worked age.
Pain can be located directly in the lumbar area as well as on the front surface of the thigh or along the entire rear or outer surface of the leg, sometimes to the fingers.Often, pain is given to the gluteal region, sacrum, steps, and sometimes they can only be located in these areas, disguised as diseases of the genitourinary sphere and intestines and make it difficult to produce the correct diagnosis.The intensity of the pain syndrome can be so high that a person loses the ability to make the most elementary movements, take forced positions and lose normal sleep.This is just the same radicolite that in wide circles has long become a synonym for the disease itself.
Limiting motor activity.The usual movements and sensitivity of the limbs are violated, muscle cramps, paresthesia (sensations of tingling, burning "search of goosebumps") occurs.
Violation of the function of the pelvic organs.With intense radicular syndrome known for anyone as a radicolite or with massive hernial projections, urination and intestinal work can even be disturbed, causing severe torment in the patient.
Treatment of osteocondrosis of the lumbar spine often becomes a difficult task for both the patient and the doctor.Every person suffering from this disorder was asked by questions: "How to treat osteochondrosis of the crucifix?", "How to treat osteochondrosis of the lumbar area?", "If treatment of osteochondrosis of the lumbar department at home does not help - which doctor should you contact?"
The following doctors will help tackle the deterioration of osteocondrosis and prescribe competent treatment: therapist, neurologist, medical massage specialist, manual therapist, physiotherapist and, if necessary, surgical treatment is a neurosurgery.
Ways to fight osteocondrosis of the lumbar spine
The most important thing in the treatment of osteocondrosis is the right lifestyle!In people who are actively and properly involved in physical culture and monitor the spine, the back never hurts!Unfortunately, few people follow these simple truths.
By analyzing this problem you can highlight:
- medicine;
- Non -dry.
Non -outer -therapy methods for treating pathology of the lumbar spine
- Distracting procedures.Their effect lies in the name itself - the use of various applicators, massage blankets and rolls, wool belts, "lotions" and "rubbing" due to the effects on the surface nerves and blood vessels reduce some muscle spasm and pain syndrome.These methods can be used as auxiliary material, but isolated use for worsening osteocondrosis in the lumbar area without systemic treatment with special drugs is ineffective.
- Immobilization means.These remedies are understood as bandages of various designs whose wear allows you to protect the spine from sudden and "dangerous" movements and redistribute the load during static work.Immobilizing agents can be purchased in stores of medical equipment and pharmacies before buying it advisable to consult a doctor who will help determine the optimal design, stiffness and completion of the bandage in your situation.It is advisable to only use them for the time of exposure to adverse factors (trips at the wheel, sitting work and so on), as prolonged use causes muscle hypotrophy.
- Medical Physical Exercise (Exercise Therapy)- An integrated component in complex treatment of osteochondrosis.Performing exercises aimed at maintaining the tone of the frame muscles on the back and removing pathological muscle spasms, helping restore and maintain motor activity, reduce the intensity of the pain syndrome.A significant plus for training therapy is that a person after training the instructor can independently perform exercises at home daily as well as in the existence of a set of exercises that apply, even with a worsening of the process.The most effective method of exercise therapy is mechanotherapy - classes on simulators according to an individually developed method, as the formation of the muscle cross needs work with weights.
- Massage- A known from ancient times, the most common and perhaps the most common way to prevent and treatment, nevertheless cannot be used in the phase of worsening of osteocondrosis in the lower back.In addition, only a specialist with a medical education who knows anatomy and physiology and owning techniques for medical medical massage must perform massage with osteocondrosis.
- Manual therapyAnd in recent years, in recent years, osteopathy can be performed by a competent professional having a significant healing effect and even eliminating the deterioration of the disease for a long period.It is also important to remember that when addressing a manual therapist before the start of the procedures, it is necessary to conduct a tool examination of the spine (radiography, calculated or magnetic resonance image, osteodensitometry) to enable the doctor to evaluate the occurrence and severity of the process and exclude possible contra indications.Like massage, manual therapy and osteopathy have a number of contraindications, such as a pronounced compression of the nerve root of hernias, subluxation of the vertebrae.During the acute period of lumbar osteocondrosis, soft techniques are usually used for manual therapy (muscle relaxation and so on).
- Acupuncture.Based on the results of recent studies, the use of this method of method that is popular in broad circles is considered as evidence -based medicine unreasonable for osteocondrosis in the lumbar spine that does not eliminate the symptoms of the disease, referring to non -traditional treatment methods.
- Physiotherapy, included in national clinical recommendations and standards for providing medical treatment of osteocondrosis, has long proven its effectiveness in the treatment of this disease.With the lumbar spine osteocondrosis, electromyostimulation, amplip pulse treatment, shock wave treatment, intracam myostimation, laser therapy is used.Magnetotherapy remains the popular method of complex treatment.Its benefits include good tolerance and a small list of contraindications, the possibility of use in the acute period of the disease.Acting on all compounds in the pathological process after multiple procedures reduces the pain and allows a person to expand motor activity.By improving trophy in the affected tissue, it also slowes the development of the disease.An unconditional advantage of this method is the possibility of its independent use of the patient outside the walls of a medical institution.
But if all the above not -nter -end methods were ineffective - how could you treat the loin osteocondrosis?
Drug treatment
Diseases involve the appointment of the following medical groups.
Non -steroidal anti -inflammatory drugs (NSAIDs) are produced in forms of local (gels, ointments, cream) and for systemic use (tablets, candles, intramuscular and intravenous administration solutions).Their action is based on blocking the inflammatory process at an enzymatic level, as a result of eliminating edema in the lesion zone and the pain syndrome is significantly reduced.
In the early stages of the disease, there is sufficient local use of NSAIDs in combination with non -valley methods (therapeutic exercises, magnetotherapy).With a pronounced pathological process and intense pain syndrome, resort to tablet and sometimes injectable forms of drugs.
Unfortunately, with a good anti-inflammatory and pain-relieving effect of NSAIDs with prolonged systemic use, development and worsening of ulcerative-erosive processes in the gastrointestinal tract as well as renal and liver function impaired.Therefore, patients taking NSAIDs for a long time need drugs that protect gastric mucosa and regular laboratory control of the liver and kidneys.
Systemic muscle relaxants, that is, drugs that relieve muscle spasms.The principle of their action lies in the title: Relaxation of spasmodic muscles helps reduce the compression of nerves and blood vessels, edema in the injury zone - blood circulation and innervation improves - pain decreases;Due to the decrease in the muscle defense, the voltage of the ligamentous apparatus - stacked (projection) of the intervertebral slice decreases - pain decreases, the amount of movements increases.
Musorelaxants for treating osteocondrosis of the spine are produced in the form of tablets and solutions for intramuscular administration, to achieve the therapeutic effect, they must be taken for a long time, which gradually increases the dose.Like NSAIDs, muscle relaxants have a variety of contraindications and can cause unwanted side effects, therefore despite the free sale in pharmacy networks before buying them, consult a doctor.
Local anesthetics or drugs for local anesthetic are used for drug treatment of lumbar -skin -skin -talentrosis in the form of the so -called paravertebral blockade when the drug solution is administered first subcutaneously and then in the area with processes of the affected vertebral in the projection of the previous compaction of the nerve.
In the case of accumulation in the membranes of the nerve fibers, the drug effectively blocks the pain signal.Therapist will certainly not be able to perform such a blockade;For his behavior, it is necessary to contact a neurologist or neurosurgeon.
Solutions of glucocorticosteroids (GKS) - hormonal drugs with a pronounced anti -inflammatory effect are sometimes used sometimes for paravertebral administration.Their local use allows you to achieve maximum effect when minimizing the risk of unwanted side effects of the drug.Such a blockade courses are performed 2-3 times a year, a neurologist or neurosurgeon doctor should perform them.
B -vitamins "B".At any pharmacy you can find a number of medicines in this group, both in forms of oral administration and to intramuscular administration.It is believed that they have a neurotrophic and mild analgesic effect, but a reliable reason for their use to osteochondrosis of the spine is not obtained by evidence -based medicine.
Physiotherapy to osteocondrosis of the lower back
Unfortunately, sometimes extensive treatment using modern medicine, physiotherapy, massage and exercise therapy is ineffective - a person experiences continued pain, restriction of physical activity remains, and the quality of life suffers significantly.This happens in the later stages of the disease, when volumetric, often several hernias are formed by intervertebral disks.In such a situation, surgical treatment is displayed.In addition, surgery is indicated with the so -called "decay of a hernia" when a significant compression of the spinal cord causes incompetanic pain, statodynamic disorders and blocking the function and intestines of bladder.In such cases, the operation is performed in an emergency.The purpose of surgical interventions for osteochondrosis of the lumbar spine is the mechanical decompress of the spinal canal and nerve roots.
Currently, both long-known volumetric surgical methods are used for surgical treatment of osteochondrosis and minimally invasive endoscopic interventions suggested by modern medicine using laser and radio frequency effects, some of which can be performed even during local pain relief.
After examining the most important methods of treating osteocondrosis in the lumbar spine, I would like to note that the patient who asks the question "how to cure lumbar osteochondrosis?"Should not only be trusted by means of doctors, but also to his own powers, and understand the meaning of a healthy lifestyle where the correct dose and mainly dosed physical activity are welcome, and most importantly, a branch of victory over the disease.