People with lumbar vertebrae degeneration always avoid sudden movements, tilt carefully and turn to the side, sit slowly, and get up.Therefore, they try to prevent sharp, piercing lower back pain, forcing them to freeze in one position on their body.Osteochondrosis is also manifested through tightening, clicking, and mobility limitations.Its treatment is usually conservative, but surgical intervention is required due to severe damage to the disc and vertebrae.
What is osteochondral disease of the lumbar spine
Lumbar osteochondrosis is a degenerative nutritional pathology that initially affects the disc.Due to insufficient nutritional intake, they lose the ability to retain moisture.The regeneration process slows down and the disc becomes flat and fragile.The distance between adjacent vertebrae is reduced, so bone tissue grows to stabilize the lumbar segments affected by osteocartilage bones.Form bone plants - bone growth, its displacement, where soft tissue structures, nerve roots, and blood vessels are injured.
Pathological stage
The stage of osteochondrosis is the stage of disease development, characterized by certain destructive changes in the disk and body of the vertebrae.It is established using X-ray examination.On the resulting image, specific signs of vertebrae structure are clearly visible.Each stage corresponds to the severity of osteochondrosis, which is a set of symptoms.The higher it is, the more difficult it is for the disease to treat conservatively.
| Stages of lumbar bone osteochondrosis | X-ray function and clinical manifestations |
| First (front line) | There were no signs of osteochondrosis on X-rays.Sometimes, after being tired or staying on your legs for a long time, you feel uncomfortable in your lower back |
| The second one | The correction frequency of spine worms is very small - scenes of vertebral bodies, deformation of the semi-month process.The height of the disc is slightly lowered.Feelings of pain often appear and duration increases |
| third | Subchondral hardening of the closed plate was observed, damage to a large number of half-month processes and a moderate reduction in disk height.In addition to pain in the waist area, the clinic also contains tightness and stiffness of exercise |
| fourth | The half-month process is rejected outward and backward.Compensatory growth of bone tissue is the formation of a variety of bone genera.Pain occurs while moving and resting |
Causes of the disease
The reason for the development of osteochondrosis is usually caused by increased lumbar load.The CD is constantly whirling and there is no time to recover in time.A significant part is gradually damaged, causing deformation of the vertebrae bone body.This pathological condition can also cause damage to the waist market segment:
- Congenital or abnormal - flat feet, scoliosis, cerebrospinal column, valgus deformation of the foot, TBS dysplasia;
- Systemic pathology - rheumatoid arthritis, scleroderma, lupus red;
- Endocrine and metabolic diseases - diabetes, diabetes, hypothyroidism, obesity;
- Previous Injuries - Subluxation of vertebrae and its fractures, damage to the spinal cord;
- Circulatory disorders, including in the context of sedentary lifestyles.
One of the main causes of osteochondrosis is the natural aging of the human body.After 50 years, the recovery process slowed down, collagen production decreased, and the ligament status deteriorated.
Characteristics and symptoms of the disease
In the initial stages of development, osteochondrosis did not appear clinically.After working days, a person feels weak in lower back pain due to muscle overvoltage and does not consult a doctor.But the severity of symptoms is slowly increasing - very quickly, inclination and turn, sensitivity disorders and stiff inclination can cause pain.
Rook syndrome
This is the name of failure in the spine root, which causes movement, nutrition and serious illness.Osteochondrosis in rotor syndrome is 3-4 severity.During these stages, a vertebral hernia is formed, compressing the spinal cord root.Pathology is performed according to the types of lumbar a, low back pain and lumbar spine-ILGIA.In addition to severe pain, radiation syndrome also has a feeling of numbness, tingling, crawling chicken skin ump, reduced or completely insensitive.
Ischemic syndrome
In the later stages of lumbar osteochondral disease, it is possible to compress the hernia large blood vessels.The pelvic organs no longer receive sufficient amounts of nutrients, resulting in invasion of their functions.Brain trophy is also frustrating, nerve deficiencies form - intermittent laxatives, temperature, and pain sensitivity decreases.
Vertebrate syndrome
Due to the reduction of the distance between adjacent bodies of the vertebrae, the growth of bone tissue and the lumbar segment gradually deformed.This condition is exacerbated by constant compensatory stress in the back muscles and subsequent atrophy.Pathologically changes a person's gait and posture, including due to improper redistribution of loads.The likelihood of involvement in other parts of the spine and leg joints during the process of destructive depression is significantly increased.
Pain syndrome
The base of the back is the large sciatic nerve formed at the root of the S bone.It occurs when it is invaded by a hernia protruding, bone growth, spastic muscles - typical symptoms of osteochondral bone dysfunction in the waist.Acute pain spread along the sciatic nerve to the hips, knees, calf (lumbar spine-ILGIA).Another specific feature of pathology - cashew nuts or "shoot" on the lower back after sharp tilt or turning.
Diagnostic method
The most useful radiographic pictures are the most useful when diagnosed.To study the affected waist segment in more detail, an MRI was performed.This study allows you to evaluate the status of the spinal cord, soft tissue structure, blood vessels, nerve roots.The degree of damage to the nerve trunk can be determined using the induced potential, electronics and electromyography.To target the affected discs, use the record.
How to perform treatment
A comprehensive treatment method has been practiced.The treatment is designed to eliminate pain and restore exercise volume to prevent pathology from healthy discs and vertebrae.
poison
The use of non-replacement anti-inflammatory drugs, glucocorticoids, and muscle relaxants allows you to get rid of lower back pain.In treatment, drugs are used to improve blood circulation.You must prescribe vitamins for group B, cartilage protectors.
Medical Sports
This is the most effective and affordable treatment for osteocartilage.After 1-2 months of physical therapy practice, not only the muscles in the lower back, but also the entire back, can improve posture and accelerate blood supply to the damaged connective tissue structure.Doctors LFK recommend that patients recommend slow turns and torso tilts, shallow squats and lunges.
massage
Patients with lumbar osteochondrosis show all types of massage - vacuum, acupuncture, connective tissue, segmentation.But the most demanding classics are.During the session, the massage therapist performs the main massage exercises: caressing, rubbing, kneading, vibrating.The goal of the surgery is to eliminate muscle cramps, improve blood circulation in the affected segments and strengthen skeletal muscle.
physiotherapy
During acute and subacute periods, patients were prescribed with electrophoresis or superbrain therapy with glucocorticoids, anesthetics, and group B vitamins.During the remission phase, laser therapy, magnetic therapy, pressure wave therapy and UHF therapy are often performed.Bedbug glycolipids, paraffin application, Hirudotherapy, mud, ra, hydrogen sulfide baths were also used.
Surgical intervention
The main indication of surgical intervention is spinal cord invasion and hernia.During the operation, the vertebral hernia is removed and the spinal canal is decompressed.The most common methods of lumbar osteochondral myelosis are microlimb resection, puncture evaporation or laser reconstruction disk reconstruction, implant installation, stability of vertebrae segments.
Traditional Medicine
After the main treatment, stable relief of stable treatments were used, home-made ointments, herbal teas, compression, oil and alcohol rubs were used.Folk therapy does not affect the causes of osteochondrheological toxins, so they are used to eliminate pain after hypothermia, pain, severity of the lower back, drastic changes in the weather or increased physical exercise.
The consequences of lack of treatment
Almost all complications of lumbar osteochondrosis are developed by the formation of intervertebral hernia.Myelomyelopathy of the intervertebral disc is particularly dangerous, and even surgical treatment is not always the case.It is manifested by pelvic diseases, including defecation and urination.Complications of osteochondrosis also include Ruth syndrome - a common cause of acute puncture of lower back pain.
Preventive and predictive measures
The prognosis is advantageous in diagnosing pathological diagnosis of 1-2 degree severity.It is suitable for conservative treatment and in young patients, it can even partially restore tissue from the intervertebral disc.As complications develop, the prediction of complete recovery is less favorable.
Preventing lumbar vertebrae disease is to control weight, eliminate excessive load, and treat endocrine and metabolic diseases in a timely manner.Neurologists and vertebrologists recommend visiting the swimming pool and engaging in aquaphobia, Pilates, Scandinavian walks.