Severe pain in the lumbar region, amid osteochondrosis of the spine, is a wide problem that the vast majority of people face.With us "as a reward" for our immediacy (due to increased axial load on the spinal column), this disease sooner or later is affected by each inhabitant of the planet, the only matter how quickly it happens and how it expresses symptoms.Such a "lean" statistics forces this pathology to socially important diseases and to fight it should be not only an individual who is infected with the disease, but also the whole healthcare system.Thus, the treatment of osteochondrosis of the spine is a very important topic.
What is osteochondrosis?Let us briefly consider how the disease develops.In his name, if you translate it into Latin literally, the structures that change with osteochondrosis are determined by: bone and cartilage.In order to impair vertical loads and resistance, the nature of the peculiar fiber-chrichot "pads"-intervertebral wheels.Their feeding in childhood is due to blood vessels that have been lost for about 25 years, and the nutrition diffusively begins due to the surrounding muscles.
In the spinal column in abnormal workouts (sedentary work, or vice versa - excessive physical activity), disruption of mineral metabolism processes, intervertebral discs loses its elastic and depreciation properties, its height decreases, the structure of the vertebrates changes).The affected area of the spine.In the late stages of the disease, the central part of the intervertebral disc, the nucleus of the so -called jacket, which is formed by a fibrous rim, between the spine bodies - creates a bag of protrusion between the bodies of the intertebral hernia.The hernia can contract with the nerve roots surrounding the spine, intense pain in the compression zone, as well as in the area regulated by the affected nerve.Due to the constant irritation of nerve plexus, skeletal muscle reflex spasm is called a protective defense in medicine, which, on the one hand, protects the spine suffering from excessive movements, and on the other hand, enhances contraction, swelling and pain in the affected side.
In the vast majority of cases (90%) pain is caused by osteochondrosis (even extremely pronounced) muscle spasms!In other cases, the cause of pain is the compression of the nerve root or spinal cord directly in the intervertebral disc hernia.
Lumbar spine osteochondrosis: How to treat
There are five of them from all parts of the spine (cervical, chest, lumbar, sacral and cocktail), due to the largest motor load, most often affect the lumbar disease.Osteochondrosis of the lumbar spine is familiar to everyone, and its treatment is an important social task, as it worsens not only older people but also active working age.
Pain can be localized directly in the lumbar region, as well as the anterior surface of the thigh, or the entire front or outer surface of the leg, sometimes to the fingers.Often, the pain is given to the glutal region, the zirum, the vessels, and sometimes they can only be localized in these areas, disguised as diseases of the genitalia and intestines and complicate the correct diagnosis.The intensity of pain syndrome can be so high that a person loses the ability to make the most elementary movements, gets forced postures and loses normal sleep.It is the same radicolitis that has long been synonymous with the disease itself.
Restriction of motor action.The usual movements and sensitivity in the limbs are impaired, muscle cramps, paresthesia (quarrels, burning "creeping shrubs").
Disruption of pelvic organs.With intense radical syndrome, which is known to everyone as radicolitis, or massive hernia protrusion, urination and bowel work may be impaired, causing severe suffering in the patient.
Treatment of lumbar spine osteochondrosis is often a difficult task for both the patient and the physician.Every person who experiences this disease has been asked, "How to treat lower spinal osteochondrosis?", "How do I do
The following doctors will help exacerbate osteochondrosis and competent treatment: therapist, neurologist, medical massage specialist, manual therapist, physiotherapist and, if necessary, surgical treatment is neurosurgeon.
Ways to combat osteochondrosis of the lumbar spine
The key is to treat osteochondrosis is the right lifestyle!In people who are actively and properly involved in physical culture and controlling the spine, the backs never hurt!Unfortunately, few people follow these simple truths.
By analyzing this issue, you can emphasize:
- Medications;
- Non -lashes.
Unwanted methods for the treatment of lumbar spine pathology
- Distribution procedures.Their effect is itself by name - the use of various applicators, massage carpets and roller, wool belts, "lotions" and "garbage" due to exposure to surface nerve endings and blood vessels, slightly reduces muscle spasms and pain syndrome.These methods can be used as an auxiliary, but isolated use for exacerbation of osteochondrosis of the lumbar region, with special medications without systemic treatment, ineffective.
- Immobilization means.These remedies are understandable as different design bandages that allow you to protect the spine from unexpected and "dangerous" movements and load the load on static work.Immobilization products can be purchased at medical equipment and pharmacies stores, however, before purchasing, it is advisable to consult your doctor to help you determine the optimal design, strength and finish of bandages in your situation.It is advisable to use them only at the time of exposure to adverse factors (travel through wheels, sitting work, etc.), as prolonged use causes muscle hypotrophy.
- Medical Physical Education (Exercise Therapy)- Integral component of complicated treatment of osteochondrosis.Exercises that are designed to maintain the tone of the back muscles and remove the abnormal muscle spasms, promote the restoration and maintenance of motor action, reducing the intensity of pain syndrome.An important plus of exercise therapy is that after training, the instructor can perform exercises independently at home daily, as well as if there is a combination of exercises, even by exacerbating the process.The most effective method of exercise therapy is the mechanism - classes on the simulators according to the individually designed method, as the formation of muscle corset needs to work with weight.
- Massage- In ancient times, the most common and probably the most common way of prophylaxis and treatment, nevertheless, cannot be used in the lumbar osteochondrosis exacerbation.In addition, only a specialist with medical education who knows anatomy and physiology and medical massage techniques should be massage with osteochondrosis.
- Manual therapyIn recent years, in recent years performed by a competent professional, osteopathy may have a significant healing effect and even eliminate the exacerbations of the disease for a long time.It is also important to remember that prior to the procedures with a manual therapist, instrument of spine (radiography, computing or magnetic -resonance imaging, osteodsometry) to inspect the prevalence and severity of the process.Like massage, manual therapy and osteopathy, it has many contraindications, such as pronounced compression of the hernia nerve root, subtraction of the spine.In the acute period of osteochondrosis of the lumbar region, soft techniques of manual therapy (muscle rest, etc.) are usually used.
- Acupuncture.Based on the results of recent studies, this methodology of popular methodology in broad circles is considered evidence -based medicine, which is unreasonable for lumbar spine osteochondrosis, which does not exclude the symptoms of the disease and refer to non -traditional treatment methods.
- Physiotherapy, Includes national clinical recommendations and osteochondrosis standards for medical care, have long proven its effectiveness in the treatment of the disease.Lumbar spine osteochondrosis, electromyticism, amplipular therapy, shock wave therapy, intracamic myosturia, laser therapy.Magnetotherapy remains a popular method in difficult treatment.Its advantages include good tolerance and a small list of contraindications, the ability to use the disease during the acute period.It acts on all links to the abnormal process, after several procedures it significantly reduces pain and allows a person to expand the motor.In addition, by improving the trophy of the affected tissues, it slows down the progression of the disease.The unconditional advantage of this method is the patient's ability to use it independently outside the walls of the medical facility.
But if not all of the above - the method of labeling was ineffective - how to treat lumbar osteochondrosis?
Treating the drug
Diseases involve the appointment of the following medical groups.
Non -anti -anti -anti -anti -anti -anti -anti -anti -anti -anti -remedies are formed in the form of local (gels, ointments, cream) and systemic use (tablets, candles, solution for intramuscular and intravenous administration).Their action is based on blocking the inflammatory process at the enzymatic level, which results in the elimination of swelling in the injury zone and the pain syndrome is significantly reduced.
In the early stages of the disease, there is sufficient local use of NSAIDs with unwanted valley methods (therapeutic exercises, magnetotherapy).With a pronounced abnormal process and intense pain syndrome, you should apply to the tablet and sometimes injectable forms of drugs.
Unfortunately, using good anti-inflammatory and analgesic effects of NSAIDs, prolonged systemic use, developing and exacerbating ulcerative-erosive processes of the gastrointestinal tract, as well as impaired renal and liver function.Thus, patients who take NSAIDs for a long time need drugs that protect the gastric mucosa and regular laboratory control of the liver and kidneys.
Systemic soothes of muscles, that is, medications that relieve muscle spasms.Their principle of action is given in the title: spasmic muscles relaxation helps to reduce the compression of the nerves and blood vessels, swelling in the zone of injury - blood circulation and innervation - pain decreases;Due to the decrease in muscle defense, the voltage of the ligament apparatus decreases - the intervertebral disc stab (protrusion) decreases - the pain decreases, the volume of movements increases.
For the treatment of osteochondrosis of the spine, Musorelaxants are formed in the form of tablets and with solutions for intramuscular administration, to achieve therapeutic effects, they should be taken for a long time, gradually increasing the dose.Like NSAIDs, muscle calmers have many contraindications and can cause unwanted side effects, so you should consult your doctor before purchasing free sale in pharmacy networks.
Local anesthesia or drugs are used for the treatment of lumbar osteochondrosis, the so-called paraerebral blockade, when the drug solution is prescribed first subcutaneously and then in the area of the affected vertebral processes, in the process of projection of the nerve root.
When accumulating in the membranes of nerve fibers, the drug effectively blocks the signal of pain.The therapist, of course, will not be able to perform such a blockade;For his behavior it is necessary to contact a neurologist or neurosurgeon.
Also, glucocorticosteroid solutions (GKS) solutions - hormonal medications that have a pronounced anti -anti -action action are sometimes used for paraerebral administration.Their local program allows you to achieve maximum effect when minimizing the risk of adverse drugs.Such blockade is held 2-3 times a year, a neurologist or neurosurgeon doctor.
B vitamins "B".At any drugstore you can find a wide variety of drugs in the form of oral administration and intramuscular administration.It is believed that they have the effect of neurotrophic and moderate analysis, however, reliable justification for osteochondrosis of the spine was not obtained for their use of evidence -based medicine.
Physiotherapy for lumbar osteochondrosis
Unfortunately, sometimes comprehensive treatment using modern medicines, physiotherapy, massage and exercise therapy is ineffective - people continue to have pain, restriction of physical activity remaining and the quality of life is significantly affected.This occurs at the next stage of the disease when the volumetric, often multiple hernia is produced by intervertebral discs.Surgical treatment is shown in such a situation.In addition, surgery is indicated by the so -called.With a "hernia spoilage", when significant contraction of the spinal canal causes infertile pain, statodynamic disorders, and blockade of bladder and intestinal function.In such cases, the operation is performed in an emergency order.The purpose of surgical interventions for osteochondrosis of the lumbar spine is mechanical decompression of the spinal canal and nerve roots.
Currently, both long volumetric surgical methods are used in surgical treatment of osteochondrosis and during the minimal invasive endoscopic interventions offered by modern medicine, using laser and radio frequency effects, some of which can be used even under local pain relief.
Basic methods of treatment for lumbar spine osteochondrosis, again note that the patient asks "How to cure lumbar osteochondrosis?"It should rely not only on the help of doctors, but also on its own strengths to understand a healthy lifestyle in which the proper dose and mainly dosing physical activity are welcome and, most importantly, is present.Victory for the disease.