Osteochondrosis is the most severe form of spinal degeneration - nutritional damage, based on the failure of the nucleus of the intervertebral disc, followed by the deformation of the body of adjacent vertebrae, vertical joints, vertical joints, vertical mycelium and blood plants and liquids caused by the prevalence of plants and blood.
One of the most common forms of osteochondrosis is osteochondrosis in the lumbar region, or rather the lumbar spine.In many cases - men and women - are familiar with the lower back pain, ac bones, lower limbs, which are caused by various types of lumbar osteochondrosis and its complications.Among the causes of temporary disability and disability, this disease occupies one of the first places.
The course of the disease is chronic and usually suffers from worsening.Most commonly, the intensification of lumbar tendonitis can cause weight, hypothermia, pressure and metastasis of injury.
Osteocartilage of the lumbar spine - Cause, mechanism of occurrence and development
There is no clear cause of osteochondrosis, which is considered to be a multifactorial.The most popular theory is that the cause of spinal osteocartilage degeneration is the constant overwhelming hypotension of the muscle or muscle, non-physiological muscle tone, which leads to overload of the vertebrae fragments, and the aversion to its blood supply, which ultimately leads to the end of the disc, which leads to the degeneration of the disc and leads to the degeneration of the disc.Osteochondrosis.
The causes of premature aging of the intervertebral discs may also be endocrine and metabolic diseases, genetic predisposition to osteochondrosis, autoimmune diseases and the development of microorganisms.The negative effects of the viscera, i.e., related to internal organs, have also been demonstrated in the development of spinal osteocartilage.Plays an important role in the development of the disease and is an adverse genetic.Genetic factors contribute about 60% to the emergence of osteochondritis in the lumbar area, and the rest refer to factors that are unfavorable to the spine.
There are many factors that cause the development of osteochondrosis in the lumbar spine and other parts of the spine.The main factors are: due to continuous wear of weight or sharp excessive load, hormone recombination, endocrine and somatic diseases, continuous exercise of the waist, improper muscle overpressure, violation of normal blood supply of spinal tissue, emotional stress, emotional stress, age changes, malnutrition, and malnutrition.Under the influence of these factors in the spinal structure, the processes of dehydration and circulatory diseases, small joints, bone growth and joint and subluxation of the intervertebral discs - hernia are gradually increasing.
The most obvious cause of lumbar osteocartilage degeneration is often considered a sedentary lifestyle and back injury.Therefore, the risk group mainly includes those who specialize in directly related to back load.It's a very wide range of careers - sellers and waiters, surgeons and teachers - all of which are forced to spend most of their working hours.The risk group includes builders and porters, as well as athletes, who are loading heavily on the spine in the nature of the activity.In addition, drivers, various office workers, programmers – that is, those who are mostly sedentary jobs and who suffer from sexual artery disease have lumbar osteochondrosis.
Symptoms of lumbar vertebrae
existLumbar vertebrae diseasePain of all kinds is possible.This can be pain that occurs after a prolonged seat or sleep, as well as sharp shooting, resulting in the most uncomfortable position, and does not allow the opportunity to straighten.The pain is clamped by the nerve roots, the nerve stimulation of the spine, the moisture and stimulation of the lumbar spine and ligaments are located in the muscles and ligaments of the lumbar spine.
Pain syndrome may be caused by compression of spinal myelopathogens (myelopathy) (compression bone marrow disease), and spinal cord damage due to stenosis of the supply arteries and veins and veins (compression - blood vessel - blood vessel - blood vessel - blood vessel - vascular osteomyelitis).
The reasons for compression may be: herniation and hernia of the intervertebral disc, myeloid spondylosis (the vertebrae that is associated with the foundation is sliding forward), the growth of bone plants and the growth of cartilage tissue in the vertebral segment.thereforeOsteochondral disease in the waistThe spine causes the passage of the cerebrospinal nerves or vascular structures, and under certain conditions (embarrassing exercise, physical activity, failed turns in the body, etc.), compression (squeezing) may occur.Compression of nerve structures leads to various pain syndromes and muscle spasms.Compression of blood vessels can cause blood supply - starting from ischemia in the organs that the blood vessel or artery feeds.
Clinical syndrome of lumbar vertebrae
The clinical condition of lumbar osteochondrosis depends on the complex of vertebrae symptoms (changes in electrostatic and dynamics of the lumbar spine) and escort symptoms, which are understood to be functional violations of the neural and vascular structure function in the lumbar region of the spine.
Vertebral syndrome of lumbar vertebrae
For lumbar vertebrae disease, vertebrae syndrome is characterized by the following symptoms:
- Violation of spinal function - Configuration of zoological segments: Observed a flattening or (less) increase in spinal advent, scoliosis or spinal ossification;
- Violating the mobility of the waist area and reducing exercise volume, which is due to the muscle tone imbalance caused by the tension of the deep and superficial human muscles;
- Local pain and soreness of active and passive movements can lead to reflexes that emphasize muscle tone;
- Usually, spring motion functions of the intervertebral disc and vertebral segments are violated;
- Affected areas (pain during palpation, pain in local (regional) vertebrae and/or vertebrae pain syndrome, local soreness in bulgeal structures of the spine (improving sensitivity).
It is important to note that with osteochondral disease in the lumbar section, vertebral pathology is always observed.There are no obvious clinical and morphological signs of myelopathy, radical venereal disease and spinal cord lesions, and clinical and morphological signs of vertebral syndrome often require a more in-depth examination of primary ("non-sorestrester") damage to the nervous system.
Extraverted brain (reflex and compression) syndrome for lumbar osteochondrosis
Extroversion syndrome is divided into two groups: reflex and compression.
Reflex syndromeBefore they are compressed, they are caused by receptors to nerve roots that emerge from the spinal conduit through the intervertebral foramen.Stimulation may be caused by disc hernia, bone growth, as well as vascular disease (edema, worsening blood circulation) and inflammation.In some cases, this can cause severe pain, which occurs not only locally, but also during nerve processes, distance from the position of the stimulus (SO called "reflex pain"), the pain of the reflex may be short and acute (Shift") or stupid for a long time. In the nerve areas of the damaged nerve, it may be a nutritional disease (burning, chicken skin, impaired sensitivity). Myofascial pain is possible - muscle spasms, resulting in restricted movement.
Reflex syndrome includes the waist ("displacement") in the acute development of the disease and the acute development of the low back pain and has a subacute or chronic course.
Compression syndrome is a syndrome caused by compression, nerve, blood vessels, and spinal cord erosion in the lumbar segment area.Compression syndrome of lumbar osteochondrosis is divided into root and vascular brown.A special case of compression syndrome is myelopathy - erosion of the spinal cord.
Radiculopathy is usually caused by a protrusion of the intervertebral disc, causing cerebrospinal root erosion.In this case, the radiation symptoms generated correspond to the level of the affected vertebrae segment.In most cases, the roots of L4-S1 are affected.
Neurological diseases with brown blood vessels are caused by compression of the spine by hernia and compression of the root artery.Meanwhile, "paraly Dutch" can develop catastrophically, characterized by paralysis or paralysis of the muscles of the extensor muscle of the foot.In this case, the occurrence of dyskinesia is accompanied by the disappearance of pain.
More severe neurological manifestations are caused by damage to the blood supply to the spinal cord.At the same time, chronic myelopathy is usually developed at the level of thickening of the lumbar area of the spinal cord.
The most unfavorable version of lumbar vertical radiation syndrome is the compression of the "horse tail" - SO is called tail ca syndrome.Most commonly, this is caused by a Medinal hernia with a drop in the intervertebral disc, which squeezes all the root causes.
What is lumbar vertebrae degeneration?What are its symptoms?How to treat osteochondrosis with waist circumference?
Clinical classification of osteochondrosis in the lumbar area.The degree of osteochondrosis
Classification of lumbar osteochondrosis is used according to the degree to the systemic characteristics of the clinical manifestations of the disease.This classification systematically describes the symptoms of the disease, starting from the moment the patient is in pain.
1 degree osteochondral disease
This happens when an intervertebral disc caused by a sharp movement or overvoltage occurs.Sudden pain manifests, creating a sense of electric current in the spine, and a muscle reflex tense.
2 degree osteochondral disease
The second degree can be manifested in the form of symptoms of vertebrae and spinal instability.Chronic pain increases under load.Relieving and exacerbating intervals will replace.The cervical area is characterized by neck pain, staying in one position for a long time, headache, pain in the hands, periodic discomfort or numbness of the fingers.For the waist area - lower back pain, buttock pain, periodic pain in the bones, frequent legs fatigue.
3 degree osteochondral disease
It manifests itself in the form of hernia symptoms of the intervertebral disc (pain along the affected nerve, numbness in the arms or legs, changes in gait, changes in headache) or distant symptoms of the intervertebral disc hernia (in the cervical spine: frequent headaches, headaches, ear noise, visually, and, visually, all ignorant fields: Attitude of disease: Spread attitude: ignorance of intensity: violation of heart rhythm, dyspnea in the waist area: kidney disease, gastrointestinal tract, genital area, numbness or weakness in the legs).
4 degree osteochondral disease
It is generally believed that the fourth degree of osteochondria disease can be reduced from the moment the hernia no longer manifests itself, but symptoms of spinal instability, symptoms of slipping or twisting of the vertebrae, or their complete fixation remains relative to each other.The manifestations of vertebral growth (boneous plants) can be added, which can also squeeze the spinal nerves or overlap the spinal canal (secondary stenosis of the spinal column) and squeeze the spinal cord (spinal cord ischemia).Furthermore, if the hernia is removed quickly (various innervation, relief, inflammation), the fourth level includes the consequences of surgical intervention.
Treatment of lumbar vertebrae disease
In the case of first acute lower back pain, it is necessary to consult a doctor to establish a diagnosis to rule out attacks on renal colic, appendicitis, or any other disease requiring emergency medical treatment.
If the cause of low back pain is known and the lumbar osteocartilage degeneration is intensified, first, it is necessary to maximize the load on the spine.It is necessary to observe the bed to rest for 3 to 7 days - sometimes only this can significantly relieve the pain.However, in order to accelerate recovery, it is necessary to correct, that is, effective treatment.It should stimulate its own protection and health process in the human body.Treatment should consider the location of the lesion, the stage of the disease, the functional state of the body and its individual systems.The surgical treatment of the disease is only shown in very severe cases.In most cases, various conservative treatments of osteocartilage are used.
Conservative treatment of lumbar vertebrae disease
The conservative treatment is first and foremost drug treatment.To relieve pain and reduce inflammation, this is often the cause of vertebrae syndrome, non-replacement anti-inflammatory drugs (NSAIDs), in tablet form or - in acute cases - in injection form.Sometimes, after injection, analgesics reduce pain and do not recover even if the duration of the medication is over.This means that it is possible to break the vicious cycle of pain that causes muscle cramps and muscle tone, thereby enhancing the pain.However, if the pain lasts for a long time, it is important to remember that NSAIDs usually have various side effects and long-term use can lead to adverse complications - reduced number of white blood cells in the blood, gastrointestinal complications.
Typically, sedatives (seducation) medications are prescribed to improve the patient's general condition within 1-3 weeks as well as a small dose of antidepressants.The lumbar vertebrae becomes, and if necessary, Novain block will occur.Recently, anticonvulsant medications have begun to successfully relieve pain.
To reduce compression syndrome, manual therapy, traction therapy (spine traction) and special cases use - surgery.
When weakening the fixation characteristics of spinal ligaments and consistency devices, fixing devices (corsets, collars, dressings, etc.) are recommended.However, only a limited time fixation device is used, as muscle weaknesses are observed when using them.Patients with spinal osteochondrosis are very important in the future to strengthen their muscle corsets.
After eliminating the acute symptoms, the task of creating muscle fixation is first and then stimulating the regeneration process of the damaged structure.To do this, use therapeutic gymnastics, reflexology, massage.To do this, use a cartilage protector (drug to restore cartilage tissue).And drugs to improve vascular status (vascular protective agent), vitamins, mainly group B, calcium preparations to improve bone tissue status.
In order to treat osteochondrosis of the spine, physical therapy methods are widely used.They reduce tissue pain and edema, improve blood circulation and stimulate muscle fixation.Processes can be combined, alternative.The method of this physical therapy is:
- hybridization of affected areas of the back and affected areas of the affected limbs;
- Electrophoresis;
- Low-energy laser radiation;
- ultrasound;
- exposure to magnetic fields;
- Thermal process.
in nursing homes, mud, bed bugs, paraffin application, ra, sulfide, hydrogen sulfide, syrup oil and other bathroom conditions;
It must be remembered that developing a complete regeneration takes a long time in favorable circumstances that occur in the sixth month.Therefore, treatment should be long.It should be done in a combination of drugs with physical therapy and physical therapy exercises.