Osteochondrosis of the lumbar spine – a serious disease of supporting-motor apparatus belonging to the group of degenerative. If time does not start treatment, there is a likelihood of complications in the form of protrusions and hernias. A person is faced with constant painful sensations that are hard to drown out the pain.
When the first signs of this disease should immediately contact your doctor. Prolonged neglect of the disease the vertebral disks begin to collapse and get closer to each other, which compressed the nerve fiber.
Statistics show that to determine the exact cause of degenerative disc disease of the lumbar spine virtually impossible. Cause this ailment may be one or several negative factors.
Observations of physicians indicate that most often this disease occurs on the background of the following diseases:
- Sedentary lifestyle;
- Excessive exercise;
- Diseases of the endocrine, cardiovascular and digestive systems;
- Belonging to some types of sport;
- The effects of trauma and injuries;
- Diseases of the articular apparatus;
- Flat feet, defects of the spine;
- A metabolic process;
- The natural aging process.
Keep in mind that for successful treatment of osteochondrosis of lumbar Department should also affect the cause of the disease. This will help to stop the degenerative-dystrophic process, which is beneficial to health.
Many doctors believe that significantly accelerate the pathological changes in the spinal column can the following factors:
- Incorrect posture;
- The lack of a balanced diet;
- A long stay in uncomfortable positions;
- Genetic predisposition;
- Excess body weight;
- Frequent stress and anxiety;
Symptoms and stages
The spine – bearing for the entire body. It consists of many departments. The lumbar spine consists of 5 lumbar vertebrae and the same number of fused sacral. Low back pain usually occurs between 3 and 5 lumbar or 5 lumbar and 1 sacral vertebrae.
In the initial stages the disks begin to lose the accumulated moisture. Their depreciation drops significantly, causing them to shrink and become more solid. The height of the gaps between the vertebrae decreases. With any exercise can occur a pinched nerve fibres, which leads to very painful sensations.
To provoke the initial stage of degenerative disc disease can a huge number of factors. Most often this leads to hypothermia, a draft. Under the influence of cold occurs muscle spasm, due to which the spine is constricted. Is pinched nerve fibres, which leads to pain.
Due to no obvious signs of osteoarthritis, few turns to doctor for help. In the second stage increases the pressure force on the intervertebral discs, which leads to their protrusion. This condition is called protrusion.
At this stage the discomfort from osteoarthritis of the lumbar spine increases significantly. A person experiences strong and persistent pain, aching sensation in the back. Often accompanied by numbness of limbs, pain along the nerve.
With time comes the destruction of bone tissue, there is a feeling of tingling on the skin, cold, and muscle weakness. The greatest risk of low back pain is due to the fact that it can squeeze the spinal cord. In this case the patient is experiencing disturbances in urination, potency, may occur paralysis of the legs.
In the third stage of osteoarthritis is the formation of a full hernia. They squeeze the nerve endings can affect the spinal cord. If timely to seek help of a specialist to get rid of this disease can manage without surgical intervention.
In other cases, the only method of treatment is surgical removal of the disc.
Be sure to consult your doctor as soon as possible to begin therapy.
Varieties of osteoarthritis in the spine
Low back pain is a serious disease that requires immediate treatment. There are several varieties of this disease – it is their best method of treatment.
At the moment there are the following types of pathology:
- Reflex syndromes of lumbago, lumbalgia, sciatica;
- Radicular syndrome – sciatica;
- Radicular and vascular syndromes of radiculoischemia.
In lumbago the person feels severe pain in the back. Lumbalgia is a chronic disease, pain which is quite sharp. Typically occurs during prolonged sitting in one position or due to physical exertion. Sciatica is a bright pain, which shoots up the limb. This can be vegetative-vascular abnormalities.
Sciatica occurs due to pressure on two of the spine. Happens severe pain and disturbance of sensation in a particular area.
Radiculoischemia occurs when the spinal disc begins to put pressure on radicular-spinal artery.
Osteochondrosis of the lumbar is quite a dangerous disease that if left untreated causes dangerous complications. For a long period of ignoring the early stages can lead to protrusion – the protrusion of the intervertebral disc. If in the future it breaks, the hernia is formed.
Inflamed disc can compress a spinal nerve that leads to sciatica inflammatory process. Also in the background of this pathology may occur sciatica – inflammation of the sciatic nerve. Because of her, the man is acute inflammation, numbness and swelling of extremities.
Osteochondrosis of the lumbar spine leads to instability of individual vertebrae. They begin to slide off the sacrum, which has problems with the sexual internal organs. The greatest risk of low back pain is due to the fact that it violates the blood circulation in the spinal cord.
Can also occur myelopathy – damage of the spinal cord due to narrowing of the spinal canal.
The greatest danger is cauda equina syndrome.
To diagnose degenerative disc disease of the lumbar spine in the initial stages, but in rare cases it is possible. Many people ignore the symptoms appear, which do not refer to the expert. To identify this pathology with the following studies:
- Radiography of the vertebral column allows to evaluate the narrowing of the slits, the size of the intervertebral space;
- MRI and CT allow to assess the degree of changes in the nervous and vascular components.
Additionally, the patient performed a visual inspection of the back, palpation of the spine. Specialist it is important to collect a detailed medical history, which allows to determine the degree of severity of individual symptoms.
On the basis of diagnostic data specialist determines the stage of the disease, and then assigns the appropriate treatment.
To the treatment of degenerative disc disease of the lumbar has brought result, it must necessarily be complex. It is strictly forbidden to self-medicate or use traditional methods – can cause serious complications.
First and foremost, the patient must allow the body mass in order to minimize household load, start therapy with vitamin-mineral complexes. This has a positive impact on the whole organism. It is best to consult a qualified physician who on the basis of the diagnostic results will determine the tactics of the impact on pathology.
In the second stage, and further the primary goal of treatment of degenerative disc disease of the lumbar is to get rid of painful sensations. There are many options for how to cope with the discomfort.
Most often, doctors resort to the following method:
- Physical therapy – the impact on the spine laser, low-frequency currents, magnetic field, ultrasound. During procedures, you can use a medication – so the effectiveness of treatment will increase significantly. Through physiotherapy it is possible not only to get rid of pain but also to prevent the development of edema.
- Acupuncture – influence on biologically active points with fine needles. The procedure allows to get rid of muscle tension, popularnosti and pain.
- Massage and manual therapy – helps to cope with muscle spasms, significantly reduce the load on the spine, improve blood circulation, relieve sideplane nerves.
- Hirudotherapy is allows you to cleanse the blood of toxins, reduces inflammation and swelling.
- Injecting ozone therapy – a procedure in which the space between the discs injected ozone-oxygen mixture. It prevents the development of degenerative processes, improves the speed of metabolism.
If medical methods of treatment of degenerative disc disease of the lumbar spine for a long time do not bring any results, you may need therapy with medications.
It is very important that they are appointed by a qualified doctor – do not self-medicate.
Usually therapy of this disease involves administration of the following drugs:
- Nonsteroidal anti-inflammatory drugs;
- Vitamin-mineral complexes.
Surgery on the spine is in advanced stages of degenerative disc disease of the lumbar and prolonged lack of improvement from medicamentous methods of influence. There are many intervention options that allow you to get rid of degenerative disc disease of the lumbar spine.
The most popular are the following methods:
- Endoscopic microdiscectomy;
- Is foraminotomy;
- Laser reconstruction of intervertebral discs;
Such procedures enable you to get quick relief from pain. In addition, replacing worn out spinal disc with an artificial one. Usually to surgery come if in a few months, there was obtained positive dynamics from conservative treatment methods.
Keep in mind that after such therapy the patient may need some time to recovery of motor functions. To create muscle you need to engage in exercise therapy.
The rehabilitation period
To return to a normal lifestyle after surgery, the person needs to undergo comprehensive rehabilitation. It is necessary for the recovery of motor abilities of the organism. Specialist exposes the correct posture of the patient, monitoring his movements and poses. Some time will have to wear a special corset.
Within 3 months after the operation it is forbidden to lift weights or sit – this creates additional strain on the back. In the final stage of recovery a patient is sent to physical therapy.
Osteochondrosis of the lumbar is quite a dangerous disease that requires immediate treatment.
In order to minimize the likelihood of its occurrence and development, it is recommended to follow some preventive measures:
- Rational and balanced meals;
- Do not strain the lower back;
- Engage in strengthening the muscular frame of the back;
- Follow the correct posture;
- Exercise regularly;
- Time to treat all the existing pathology;
- Follow the regime of work and rest;
- Ditch unhealthy habits;
- Normalize body weight.