Acute pain in the lumbar region, against the background of spinal osteochondrosis, is a widespread problem most people face.Arriving to us as a "reward" for our justice (due to the increase in the axial load on the spinal column), this disease sooner or later affects every inhabitant of the planet, the only question is how quickly this happens and how pronounced symptoms.Such "lean" statistics compel this pathology to important social diseases, and the fight against it should be the duty of not only an individual person suffering from manifestations of the disease, but also of the world health system as a whole.Therefore, the issue of treating osteochondrosis of the spine is a very important topic.
So what is osteochondrosis?Briefly consider how the development of the disease occurs.In his name, if you translate it from Latin literally, structures that change with osteochondrosis are determined: bone and cartilage.To depreciate and resistance to vertical loads, the nature set between our vertebrae a special fibrosis-chryshot-intervertebral discs.Their nutrition is performed in childhood due to blood vessels, which lose approximately 25 years, and the food begins to be diffuse due to the surrounding muscles.
In the pathological loads in the spinal column (sedentary work, or vice versa - excessive physical activity), violations of mineral metabolism processes, intervertebral disk loses elastic and depreciating, its height, structure of vertebral changes, pathological bone changes (osteophytes and plaque) are changed.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, breaking through the fibrous ring, forms an elongated bag between vertebrae bodies - intervertebral hernia.A hernia can cause compression of the nerve roots adjacent to the vertebrae, intense pain appears in the compression area as well as in the area regulated by the affected nerve.Due to the constant irritation of the nerve plexus, a spasm occurs skeletal muscle reflex, called a protective protection in medicine, which on the one hand protects the spine suffering from excess movements, and on the other hand, increases compression, edema and pain in the affected area.
In the vast majority of cases (90%) pain with osteochondrosis (even extremely pronounced) is due to muscle spasm!In other cases, the cause of the pain is compression of the nerve root or spinal cord directly from the intervertebral disc hernia.
The lumbar back osteochondrosis: How to be treated
Of all parts of the spine, and in total there are five of them (cervix, chest, lumbar, sacral and coke), due to the greater load of the engine, the lumbar most commonly suffers from manifestations of the disease.The osteochondrosis of the lumbar spine has bright symptoms known to everyone, and its treatment is an important social task, as it exacerbates the quality of life of not only the elderly but also active working age people.
The pain can be localized directly to the lumbar region, as well as on the anterior surface of the thigh, or along the entire rear or outer surface of the foot, sometimes in the fingers.Often, pain is given to the gluteal region, sacrum, claws, and sometimes they can only be located in these areas, disguised as disease of the genitourinary and intestinal sphere and making it difficult to produce accurate diagnosis.The intensity of the pain syndrome can be so high that a person loses the ability to make more basic movements, gets forced poses and loses normal sleep.This is only the same radicolis, which in wide circles has long been a synonym for the disease itself.
Limiting motor activity.Common movements and sensitivity in the limbs are violated, muscle convulsions occur, paresthesia (sensation of tingling, burning "crawling goosebumps").
Violation of the function of the pelvic organs.With intense radicular syndrome, known to everyone as a radicolitis, or with massive hernial extension, urination and intestinal work may even disturb, causing severe torment in the patient.
Treatment of spinal osteochondrosis often becomes a difficult task for both the patient and the doctor.Anyone person suffering from this disease was made from the questions: "How to treat lower back osteochondrosis?", "How to treat lumbar region osteochondrosis?", "If the treatment of lumbar department lumbar at home does not help - which doctor to contact?"don't help at home - how to help at home. "
The following doctors will help to cope with the deterioration of osteochondrosis and prescribe competent treatment: therapist, neurologist, medical massage specialist, manual therapist, physiotherapist, and, if necessary, surgical treatment is a neurosurgery.
Ways to fight the middle back osteochondrosis
The main thing in the treatment of osteochondrosis is the right lifestyle!In people who are actively and accurately involved in physical culture and monitor the spine, the back never hurts!Unfortunately, few people follow these simple truths.
By analyzing this issue, you can underline:
- medicines;
- Not -drug.
Non -DRGG methods for treatment of lumbar spine pathology
- Distraction procedures.Their effect lies in the name itself - the use of various applicants, massage carpets and rollers, wool belts, "lotions" and "friction" due to effects on superficial nerve endings and blood vessels slightly reduces muscle spasm and pain syndrome.These methods can be used as auxiliary, but isolated use for deterioration of lumbar osteochondrosis without systemic treatment with special medicines is ineffective.
- The means of immobilization.These tools are understood as bandages of different models, the coating of which allows you to protect the spine from sudden and "dangerous" movements and redistribute the load during static work.Immobilization tools can be purchased in stores of medical equipment and pharmacies, however, before buying, it is advisable to consult a doctor who will help determine the model, rigidity and ending of the band in your situation.It is advisable to use them only for exposure time to adverse factors (wheel trips, sitting work, etc.), as prolonged use causes muscle hypotrophy.
- Physical Medical Education (Exercise therapy)- an integral component of complex osteochondrosis treatment.Performing exercises aimed at preserving the muscle tone of the back frame and removing pathological muscle spasm helps restore and maintain motor activity, reduce the intensity of pain syndrome.An important plus of exercise therapy is that after training by the instructor, a person can independently perform home exercises daily, as well as in the existence of a set of exercises applicable even with a deterioration of the process.The most effective method of exercise therapy is the mechanism - the classroom in the simulators according to an individually developed method, as the formation of muscle lanes needs weight work.
- Massage- A well -known from ancient times, the most common way and, perhaps, the most common way of preventing and treating, however, cannot be used at the phase of irritation of lumbar osteochondrosis.Moreover, only a specialist with a medical education, who recognizes anatomy and physiology and techniques of mastery of medical massage, must perform massage with osteochondrosis.
- Manual therapyAnd in recent years, osteopathy in recent years carried out by a competent professional can have a significant healing effect and even eliminate the irritation of the disease for a long period.It is also important to remember that when addressing a manual therapist before starting procedures, it is necessary to do an examination of the spine (radiographs, images of calculated or magnetic resonance, osteodensometer) to enable the doctor to evaluate the spread and severity of the process and exclude possible contraindications for manipulation.Like massage, manual therapy and osteopathy have a number of contraindications, for example, a pronounced compression of the hernia nerve root, beads subluxation.In the acute period of osteochondrosis of the lumbar region, soft techniques of manual therapy (muscle relaxation, etc.) are usually used.
- Acupuncture.Based on the results of recent studies, the use of this method of popular methodology in broad circuits is considered medicine based on unreasonable evidence for osteochondrosis of the lumbar spine that does not eliminate the symptoms of the disease, and refers to non -traditional treatment methods.
- Physiotherapy, included in the national recommendations and standards for providing medical care for osteochondrosis, has long proven its effectiveness in treating this disease.With osteochondrosis of the lumbar spine, electromotomostimulation, amplulla therapy, stroke wave therapy, intraracamous myostimouration, laser therapy.Magnetotherapy remains the popular method in complex treatment.Its advantages include good tolerance and a small list of contraindications, the possibility of use in the acute period of illness.By acting on all connections of the pathological process, after some procedures significantly reduces pain and allows a person to expand motor activity.Moreover, by improving the trophism of the affected tissue, it slows the progression of the disease.An unconditional advantage of this method is the possibility of using it independently of the patient outside the walls of a medical institution.
But if all of the above methods not -drug were ineffective - how then to treat lumbar osteochondrosis?
Treatment
Diseases include the appointment of the following medicinal groups.
Non -steroidal anti -inflammatory drugs (NSAIDs) are produced in forms for local (gel, ointments, creams), and for systemic use (tablets, candles, solutions for intramuscular and intravenous administration).Their action is based on blocking the inflammatory process at an enzymatic level, as a result of which edema in the lesion area is eliminated and pain syndrome is significantly reduced.
In the early stages of the disease, there is a lot of local use of NSAIDs in combination with non -valley methods (therapeutic exercises, magnetotherapy).With a pronounced pathological process and intense pain syndrome, you need to be directed to the tablet and sometimes injectable forms of medication.
Unfortunately, having a good anti-inflammatory and analgesic effect of NSAIDs, with prolonged systemic use, development and deterioration of ulcerative-erosive processes of the gastrointestinal tract, as well as impaired kidney and liver function.Therefore, patients who take NSAIDs for a long time need medicines that protect the stomach mucosa and regular laboratory control of the liver and kidneys.
Systemic muscle relaxants, that is, medicines that relieve muscle spasm.The principle of their action lies in the title: relaxation of spasmodic muscles helps reduce the compression of the nerves and blood vessels, edema in the damage area - blood circulation and innervation improves - the pain decreases;Due to the decrease in muscle protection, the tension of the ligamentous apparatus decreases - the stroke (extension) of the intervertebral disc decreases - the pain decreases, the volume of the movements increases.
Musorelaxants for the treatment of spinal osteochondrosis are produced in the form of tablets and solutions for intramuscular administration, to achieve the therapeutic effect, they must be taken for a long time, gradually increasing the dose.Like NSAIDs, muscle relaxants have a number of contraindications and can cause undesirable side effects, so despite the free sale in pharmacy networks, before buying them, you should consult a doctor.
Local anesthetics or medicines for local anesthesia are used for the treatment of lumbar osteochondrosis drugs in the form of a so -called paravertebral block, when the drug solution is first administered in a subcutaneous way, and then in the affected touch processes in the prediction of alleged compression of the nerve root.
When accumulating on the membranes of the nerve fibers, the drug effectively blocks the pain signal.The therapist will certainly not be able to perform such a blockade;For his behavior, it is necessary to contact a neurologist or neurosurgeon.
Also, glucocorticosteroid solutions (GKS) - hormonal medicines with a pronounced anti -inflammatory effect are sometimes used for paravertebral administration.Their local application allows you to achieve maximum effect when minimizing the risk of undesirable side effects.Such a blockade is performed 2-3 times a year, a neurologist or neurosurgeon should perform them.
B vitamins "B".At every pharmacy you can find a variety of medicines of this group, both in oral administration and intramuscular administration.It is believed that they have a neurotrophic and soft analgiating effect, however, a reliable excuse for their use for spinal osteochondrosis is not obtained from evidence -based medicine.
Physiotherapy for Lumbari's osteochondrosis
Unfortunately, sometimes comprehensive treatment using modern medicines, physiotherapy, massage and exercise therapy is ineffective - a person continues to experience pain, remains the limitation of physical activity and the quality of life suffers significantly.This occurs in the later stages of the disease, when volumetric, often multiple of the intervertebral discs are formed.In such a situation, surgical treatment is indicated.Moreover, the surgery is indicated by the so -called "breakdown of a hernia", when an important compression of the spinal canal causes unconditional pain, statistical disorders and blockage of the bladder and intestinal function.In such cases, the operation is performed with an emergency order.The purpose of surgical interventions for lumbar spine osteochondrosis is the mechanical decompression of the spinal canal and nerve roots.
Currently, both well -known long -known volume surgical methods are used in the surgical treatment of osteochondrosis and minimum invasive endoscopic interventions proposed by modern medicine using laser and radio frequency effects, some of which can be performed even under local pain relief.
After examining the main methods of treatment of the lumbar spine osteochondrosis, I would like to note once again that the patient asking the question "How to cure lumbar osteochondrosis?"It should be supported not only for the help of doctors, but also for its strengths, understanding the importance of a healthy lifestyle, in which the right dose and dosed physical activity is largely welcome, and most importantly, a branch of victory over the disease.