Acute pain in the lumbar region, against the background of osteochondrosis of the spine, is a widespread problem with which the vast majority of people are confronted.If we get “as a reward” for our uncomplicated (due to the increase in axial load on the spine), this disease will sooner or later affect every resident of the planet.The only question is how quickly this happens and how the symptoms are expressed.Such a "slim" statistics forces this pathology to socially significant diseases, and the struggle, on the other hand, should not only be a single person who suffered from manifestations of the disease, but also the world health system as a whole.Therefore, the problem of treating the spine osteochondrosis is a very relevant topic.
What is osteochondrosis?Briefly think about how the development of the disease occurs.If you literally translate it from Latin, the structures that change with osteochondrosis will determine: bones and cartilage.To reduce vertical loads and to resistance, which placed a peculiar fiber-chryshot "pillow" intervertebral discs between our vertebrae.Your diet is carried out in childhood due to blood vessels that are lost for up to about 25 years, and nutrition begins diffuse due to the surrounding muscles.
In the case of pathological loads on the spine (sitting work or the other way around excessive physical activity), the intervertebral disc loses its elastic and amortizing properties, their size decreases, the structure of the vertebrae, pathological bone growth (Ost theophytes and cloth plates), the structure of vertebrae, mobility, disorders, disorders.The affected area of the spine.In the late stages of the disease, the central part of the intervertebral disc, the so -called jacket core, which breaks through the fibrous ring, forms a kind of supply between the bodies of the vertebrae - sandbral hernia.A hernia can lead to a compression of nerve roots next to the vertebrae, in the compression zone there are intensive pain and in the area affected by the affected nerve.Due to the constant irritation of the nervous plexus, a reflex cramp of the skeletal muscles occurs, which is referred to as a protective defense in medicine and on the one hand protects the suffering section of the spine from excessive movements and, on the other hand, increases compression, edema and pain in the affected area.
In most cases (90%) pain with osteochondrosis (even extremely pronounced) is due to muscle spasms!In other cases, the cause of pain is the compression of the nerve root or the spinal cord directly through the hernia of the intervertebral disc.
Osteochondrosis of the lumbar spine: how to treat
Of all parts of the spine and a total of there are five of them (cervix, chest, lumbar vertebrae, sacred and coczygeal) due to the largest motor load, the lumbar spine most often suffers from the manifestations of the disease.Osteochondrosis of the lumbar spine has bright symptoms that are familiar to everyone, and their treatment is an important social task because it worsens the quality of life not only of older people, but also active people of working age.
Pain can be localized both in the lumbar area and on the front surface of the thigh or along the entire rear or outer surface of the leg, sometimes to the fingers.Often the buttocks, the sacrum, the step and sometimes only in these areas are raised pain that is disguised as diseases of the genitarian sphere and intestine and make it difficult to create the correct diagnosis.The intensity of the pain syndrome can be so high that a person loses the ability to carry out the most elementary movements, forced poses and lose normal sleep.This is exactly the same radicolith that has long become synonymous for the disease itself in large circles.
Restrict motor activity.The usual movements and sensitivity in the limbs are violated, muscle cramps, paraesthesia (sensations of the tingling, burning of "creeping goosebumps") occur.
Violation of the function of the pelvic organs.With intensive radicular syndrome, which is known to everyone as a radicolith, or with a massive hernial advantage, even urine and intestinal work can be disturbed, which causes serious agony in the patient.
The treatment of osteochondrosis of the lumbar spine is often a difficult task for both the patient and the doctor.Every person who suffers from this disease was asked by questions: "How to treat osteochondrosis of the lower back?", "How do you treat osteochondrosis of the lumbar region?"
The following doctors will help to get ready by aggravating osteochondrosis and to prescribe competent treatment: therapist, neurologist, medical massage specialist, manual therapist, physiotherapist and, if necessary, surgical treatment is neurosurgery.
Opportunities to combat the osteochondrosis of the lumbar spine
The main thing in the treatment of osteochondrosis is the right lifestyle!In people who are actively and correctly involved in physical culture and monitor the spine, the back never hurts!Unfortunately, only a few people follow these simple truths.
By analyzing this problem, you can highlight:
- Medicines;
- Not -drug.
Not -drug methods for the treatment of the pathology of the lumbar spine
- Disconnect the procedure.Their effect is in the name itself -the use of various applicators, massage carpets and rollers, woolen belt, "lotions" and "rubbing" due to the effects on the surface nerves and blood vessels reduces muscle spasm and pain syndrome.These methods can be used as aids, but isolated use to tighten the osteochondrosis of the lumbar region without systemic treatment with special medicines is ineffective.
- Immobilization means.These funds are understood as bandages of various designs, from which they protect the spine from sudden and dangerous "movements and redistribute the cargo during the static work.Immobilization means can be bought in stores of medical devices and pharmacies.Before buying, however, it is advisable to consult a doctor who determines the optimal design, rigidity and the end of the bandage in your situation.It is advisable to use them only for the time of exposure to undesirable factors (travel on the bike, seat work, etc.), since a longer use leads to muscle hypotrophy.
- Medical sports lessons (training therapy)- An integral component of the complex treatment of osteochondrosis.By carrying out exercises that aim to maintain the tone of the frame muscles of the back and to eliminate pathological muscle pasmeal, the restoration and maintenance of motor activity helps the intensity of pain syndrome.A significant plus of the training therapy is that after training by the instructor at home and in the existence of a series of exercises, which are also applicable when the process is tightened, a person can carry out independently of one another.The most effective method of training therapy is mechanotherapy classes to simulators according to an individually developed method, since the formation of sore muscles works with weights.
- massage- A time known from antiquity, the most common and perhaps most common type of prevention and treatment, cannot be used in the phase of exacerbation of the osteochondrosis of the lumbar spine.In addition, only a specialist with a medical training that knows the anatomy and physiology and possession techniques of medical medical massage should carry out a massage with osteochondrosis.
- Manual therapyIn recent years, osteopathy has been a significant healing effect from a competent specialist in recent years and even eliminate the tightening of the disease over a long period of time.It is also important to note that in the treatment of a manual therapist before the start of the procedure, a tool examination of the spine (radiography, calculated or magnetic resonance imaging, osteodensitometry) must be carried out in order to enable the doctor in order to evaluate the prevalence and severity of the process and to exclude possible contrasting for manipulation.Like massage, manual therapy and osteopathy have a number of contraindications, for example a pronounced compression of the nerve roots of hernia, subluxation of the vertebrae.In the acute time of osteochondrosis in the lumbar area, soft techniques of manual therapy are usually used (muscle relaxation, etc.).
- acupuncture.Based on the results of recent studies, the use of these methods of methods popular in broad circles is regarded as inappropriate medicine as inappropriate medicine, which can be inappropriately for the osteochondrosis of the lumbar spine, which does not eliminate the symptoms of the disease and refers to non -traditional treatment methods.
- Physiotherapycontained in the national clinical recommendations and standards for the provision of medical care for osteochondrosis, has long proven its effectiveness in the treatment of this disease.Laser therapy is used with osteochondrosis of the lumbar spine, electromyostimulation, amplipulation therapy, shock wave therapy, intracamous myostimation.Magnetotherapy remains the popular method in complex treatment.The advantages include good tolerance and a small list of contraindications, the possibility of using in the acute time of the disease.If you act on all connections of the pathological process, it significantly reduces the pain according to several procedures and enables a person to expand motor activity.In addition, it slows down the progression of the disease by improving trophism affected tissue.An unconditional advantage of this method is the possibility of his independent use of the patient outside the walls of a medical facility.
But if all the notes mentioned above were ineffective - how do you treat lumbar osteochondrosis?
Drug treatment
Diseases include the appointment of the following medical groups.
Non -steroid anti -inflammatory drugs (NSAIDS) are produced in forms for local (gels, ointments, cream) and for systemic use (tablets, candles, solutions for intramuscular and intravenous administration).Their effect is based on the blocking of the inflammatory process on an enzymatic level, whereby the edema is eliminated in the lesion zone and the pain syndrome is significantly reduced.
In the early stages of the disease there is enough local use of NSAIDs in combination with non -valley methods (therapeutic exercises, magnetotherapy).With a pronounced pathological process and intensive pain syndrome, you have to fall back on tablets and sometimes injectable drug shapes.
Unfortunately, a good anti-inflammatory and analgesic effect of NSAIDs with longer systemic use, development and worsening of ulcerative erosive processes of the gastrointestinal tract as well as impaired kidney and liver function.Therefore, patients need for a long time, medication that protects the gastric mucosa and regular laboratory control of the liver and kidneys.
Systemic muscle relaxants, ie medication that relieve muscle cramp.The principle of its effect lies in the title: The relaxation of the cramping muscles helps to reduce the compression of nerves and blood vessels to reduce edema in the damage zone - blood circulation and innovation improve - pain decreases;Due to the decrease in muscle defense, the voltage of the band apparatus decreases - the stitch (lead) of the intervertebral disc decreases.
Musorelaxants for the treatment of osteochondrosis of the spine are generated in the form of tablets and solutions for intramuscular administration in order to achieve the therapeutic effect.They have to be taken for a long time and gradually increase the dose.Just like NSAIDS, muscle relaxants have a number of contraindications and can cause unwanted side effects.Despite the free sale in pharmacy networks, you have to consult a doctor before buying.
Local anesthetics or drugs for local anesthesia are used for drug treatment of lumbar ostochondrosis in the form of the so -called paravertebral blockade if the drug solution is first subcutaneously and then in the area of processes of the vertebrae in the projection of the alleged compression of the nerve root.
When the drug accumulates in the membranes of the nerve fibers, the medication effectively blocks the pain signal.The therapist will certainly not be able to carry out such a blockade.It is necessary for his behavior to contact a neurologist or neurosurgeon.
Solutions of glucocorticosteroids (GKS) - Hormonic medicines with a pronounced anti -inflammatory effect are also used for paravertebral administration.With your local application, you can achieve a maximum effect if you minimize the risk of unwanted side effects of the drug.Such a blockade is carried out 2-3 times a year, a neurologist or neurosureaous doctor should do it.
B vitamins "B".In each pharmacy you will find a variety of drugs in this group, both in forms for oral administration and for intramuscular administration.It is assumed that you have a neurotrophic and light analgis effect, but reliable justification for your use for osteochondrosis of the spine was not preserved by evidence -based medicine.
Physiotherapy for osteochondrosis of the lumbar
Unfortunately, the sometimes comprehensive treatment with modern medication, physiotherapy, massage and movement therapy is ineffective - one person continues to have pain, the restriction of physical activity and quality of life suffer significantly.This happens in the later stages of the disease, when volumetric, several hernias of intervertebral discs are often formed.Surgical treatment is shown in such a situation.In addition, surgery with the so -called "disintegration of a hernia" is displayed if a significant compression of the vertebral canal causes uncompany pain, statodynamic disorders and blockade of the function of the bladder and intestine.In such cases, surgery takes place on an emergency regulation.The purpose of surgical interventions on the osteochondrosis of the lumbar spine is the mechanical decompression of the spine canal and nerve roots.
At the moment, both long volumetric surgical methods are used in the surgical treatment of osteochondrosis and minimally invasive endoscopic interventions that have been proposed by modern medicine using laser and radio frequency effects, some of which can also be carried out under local pain relief.
After examining the main methods for the treatment of osteochondrosis of the lumbar spine, I would like to find again that the patient asks the question of how to heal lumbar osteochondrosis?Should not only rely on the help of doctors, but also to his own powers and understand the importance of a healthy lifestyle in which the right dose and mainly dosed physical activity are greeted, and above all that there is a branch of in.Victory over the disease.