The osteochondrosis is a set of destructive forms of changes of the vertebral column, escorted by the damage and the rapid destruction of the intervertebral discs. The latter is composed of cartilage tissue, so that it is easy to degeneration under the influence of incorrect loading of the vertebrae. The osteochondrosis spine is fixed in patients of any age. But in the area of risk include people older than 30 years, as well as patients who work constant work is a physical sport.
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One of the most no symptom of the disease is a sharp pain that is accompanying of a limitation of mobility in the lumbar-sacral area. Often, the osteochondrosis becomes a complication of another disease of the skeleton, and it has serious consequences for the spine.
THE STAGE OF PROGRESSION OF THE DISEASE
Distinguish four stages of the progression of the degenerative disease of the lumbar disc of the vertebral column:
- It is characterized by erratic armbar syndrome is manifested at the time of motor activity. The pain is located in the lower part of the back and buttocks, you may feel a tingling sensation on areas of the body.
- In the second stage, can be detected with the first expressed destructive changes, which include the destruction of the fibrous rings, the grip of the nerves. Pain syndrome is manifested during exercise, it is sharp and progressive. Patients feel relief by the shift of the trunk towards is a player.
- The progression of the destruction of the fibrous ring leads to the destruction of the cartilage and the education of an intervertebral hernia. The pain becomes constant and increases with physical activity.
- The cartilage of the fabric is left to deteriorate, bother areas of the spine are pathological expansion, reduce the functionality of a skeleton. Decreases mobility and flexibility, pain syndrome manifests consistently with different intensity.
As a general rule, the therapy just gives the first level of development of osteochondrosis of the lumbar spine. The treatment in the rest of situations is a set of measures that cause the destructive processes and improve the well-being of patients.
THE SYMPTOMS AND SIGNS OF DEFEAT
The pain in the lumbar area that are experienced when slopes and other movements are the first signs of the emergence of destructive forms of violations. The pain is evidence about the destruction of the unit and of the oppression of the nerve endings. Other expressed by the symptoms:
- the reduction of the intensity of the pain at the residence of the trunk in a horizontal position;
- the weakness in the lower extremities;
- the numbness of legs, loss of suhozhilnih of reflexes;
- the curvature of the spine in the lumbar region left, right, lordosis and kyphosis.
In stages eugen end, d, it is also possible incontinence of urine and stool. The pain occurs even with small loads (for example, coughing and sneezing). Full and partial palsy occurs when inoperable degenerative changes.
Accompanying symptoms:
- the numbness and tingling in the lower back area;
- the change of color of the skin in the buttocks area, the thighs, the back, the darkening of the skin;
- feeling of tension in flexion, and a correct extension of the trunk;muscle wasting and decreased activity (often occurring as a complication of the disease);
- dryness and desquamation of the epidermis;
- the violation of the sweating;
- autonomic of the rape of the evolution of the circulation of the blood, the lack of supply of oxygen;
- the lack of (decreased) libido, and sexual dysfunction.
Disorders of sensitivity occurs, as a rule, directly in the focus of the injury. It is possible hypersensitivity (greater), anesthesia (decreased sensation) and paresthesia (feeling of tingling).
Often the disease are exposed here to the men, as they are more occupied in the performance of a physical. When this progression of the disease flows faster and the risk of having sexual dysfunction turns out to be several times higher than that of women.
THE MAIN CAUSES AND RISK FACTORS
The osteochondrosis kresttsoviy otdelaeshsya the osteochondrosis, symptoms, and treatment are directly dependent on the stage of progression, often due to the major causes of the. Not all of the conditions and risk factors can be corrected within the therapeutic period. Determine and define the set of reasons, also, it is not always possible.
On the list of main causes for the onset of the degenerative disc disease, whose treatment may depend on your definition, include:
- Uneven loading on the spine, the skeleton. It is a consequence of the pryamohozhdeniem and the lack of literacy of the human. The irregularity of the pressure is characteristic for the non-professional athletes and people who work heavy work a physical.
- An increase of the load. Even the correct approach to the work of the skeleton, the muscles and the spine are possible destructive changes. With the increase of the motor activity of the vertebrae wear out more quickly and is evolving, the cartilage, the disks are erased and press the nerve endings. In such situations, in the early stages are seen the main and of the hernia, which is then aggravated by the lumbar-sacral of the osteochondrosis, whose treatment is reduced to facilitate the symptomatic manifestations and the slowdown of new destructions.
- A bad posture. As a general rule, this phenomenon is accompanied by an incorrect distribution of the load of the spinal column, which leads to destruction of bones and cartilage. In the risk group older people that, with time, we observe a rapid decrease of the elasticity of the intervertebral discs.
- The sedentary lifestyle. Often coupled to poor posture and the uneven distribution of the loads. In addition, the changes can lead to muscle gipotonus, caused by the disadvantage of the muscle activity. Constant of the sitting position of the spine (especially tenderloin), load easily more than normal.
- Important to excess weight. Each additional kilogram of weight creates extra pressure on the spine, which could cause destructive changes to the bones and the cartilages. If the obesity is accompanied by a sedentary lifestyle, the risk of the need in the treatment of the lumbar-part sacrum of the vertebral column increases in several times.
The main causes can be supplemented with the risk factors that increase the probability of the occurrence of disease and (or) accelerate their development. Among the main factors distinguish:
- the flat foot (which explains the lack of functionality of the stop and the uneven distribution of pressure on the spine);
- the defeat digestive and cardiovascular systems;the inflammatory processes of the bone and the cartilage tissues, arthritis, osteoarthritis, osteomyelitis;
- the violation hormonal, diseases of the endocrine system, fatigue, violation of healthy biorhythm;
- frequent stress disorders and psycho-emotional state.
- Doctors recommend an emphasis on the lifestyle. The lack of sleep and stress, a bad diet is poor, the most often become the factors of risk and the catalyst of negative processes for the spine.
THE METHODS OF DIAGNOSIS AND IDENTIFICATION OF THE CAUSES OF THE
For the diagnosis is made:
- history;
- the investigation of the state of the hard and soft tissues;
- the laboratory studies.
During the first visit, the doctor performs a detailed examination, defines the possible external manifestation of the disease, the presence of deformations and changes of the epidermis, of the sensitivity. In addition, the examination primary require the definition of the localization of the pain syndrome. On performed are:
- The x-ray. Is performed in the lateral and in the posterior part of the projection. It allows to determine the presence and extent of the injuries of the bone, identify the dimensions of the growths (subject to availability).
- The magnetic resonance imaging. It allows to determine the location of the defeat with the help of sweep multi angle representation. Identifies the destruction of the soft tissues, the inflammation, the damage of the nerve endings, vessels.
- Ct. As the x-ray, provides a visualization of the hard tissues of the spine and the back. Allows to study more in detail the destructive changes.
THE METHODS OF THERAPEUTIC TREATMENT
The osteochondrosis of the lumbar part of the treatment individually. In the early stages of the possibility of conservative treatment, with the maintenance of their well-being of the patient. With severe destructive changes surgery is used.
CONSERVATIVE PRACTICES OF
The attacks of degenerative disc disease are often accompanied by strong pains, require the trampling. With these objectives, they use drugs:
- The pain killers. The most common: Analgin, Deksalgin, Spazmalgon. Apply in pills, and also in the form of injections.
- Chondroprotectors. Are not medicines, but they can keep the elasticity in the cartilage tissue, contribute to the recovery of damages. To a group of medicines include: Artifleks, The symptoms, Glucosamine.
- Non-steroidal anti-inflammatory drugs. The group includes: Diclofenac, Nimesulide, Ibuprofen. Help relieve the inflammation and ease the pain syndrome.
- Myotropic antispasmodics (Mydocalm). Are used for the relief of muscle tension and the weakening of the pain syndrome.
In addition, apply anti-inflammatory creams and ointments (The nimid, Traumeel, Dolobene, Finalgon). For stretching the spine additionally applies to chiropractic, massage and physiotherapy. The house also allows the medicinal use of the physical education.
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When the lumbar spine osteochondrosis the symptoms and treatment medicines is required only when there is severe pain and the violation of the mobility. Also the medications are necessary for the raising of the inflammatory processes and the causes of the disease.
THE SURGICAL INTERVENTION
When the lumbar spine osteochondrosis the symptoms and treatment in the home can be combined only in the early stages of the low-intensity of pain and minimum negative the manifestations of the disease. Surgical intervention is necessary when serious the growth of bone to the partial restoration of mobility of the skeleton. With the help of the operation to eliminate the intervertebral hernia, destroyed in the cartilage, discs, with the replacement of the latter.
HOME REMEDIES
Home remedies to osteochondrosis back, the symptoms and the treatment that they are closely related, we apply for the lifting of the inflammatory processes and the pain syndrome. Safer and more effective:
- Coniferous bath. To take a bath, they should be placed in water at a pleasant temperature, three to four branches of pine. The procedure is recommended, before bed, during a quarter of an hour.
- The tincture. In equal proportions mix a tablespoon of vodka and the juice of radish fresh. Crush painful of the plots of two-three times a day. After each procedure of closing the back with a blanket for warming.
- The leaf of the burdock. The leaf of the plant out over the hot steam for ten minutes, after which apply it to the affected area in the lower part of the back. Sabotado back with a scarf or a blanket, leave on for one hour.
In the treatment of osteochondrosis of the lumbar spine symptoms and treatment, it is important to relate. It is not recommended to apply the recipes of traditional medicine as an alternative to the basic course. It allows the use of auxiliary means.
THE PREVENTION AND THE RECOMMENDATIONS OF THE
The prevention of the degenerative disc disease, lumbar oldelpaso-kresttsoviy the osteochondrosis, the symptoms and the treatment that is described above, is subjected to prevention. For the prevention of the onset of illness should follow the recommendations:
- to evenly distribute the pressure on the skeleton and the spine, avoid the excess of work a physical;
- to correctly associate the time to sleep and rest with exercise;
- follow the technique of execution of exercises during exercise;
- use the rules of the drafting of the charter on the basis of the recommendations of a healthy diet;
- to prevent excess weight;
- checkups with the surgeon and the neurologist, especially after the age of 30;
- perform a follow-up of hormone levels and monitor the state of the endocrine system;
- monitor the state of the posture and if it is necessary to perform curative physical education, using massage and quiroprctica.
SUMMARY AND CONCLUSIONS
Progresses in the lumbar osteochondrosis – the result of the incorrect distribution of the load of the spinal column, by the rules of establishment of the posture and the technique of execution of exercises in the sport. With age the risk of disease in the case of the data of the factors increases due to the reduction of regeneration processes of bone and cartilage tissues. The treatment of osteochondrosis is difficult, since the spine is not subjected to full recovery. Therefore, it is important to carry out prevention and to follow the recommendations of your doctor.