Acute pain in the lumbar region, against the background of spinal osteochondrosis, is a widespread problem that most people face.Getting to us "as a reward" for our use (as it increases the axis load on the spinal column), the disease is slowly affecting every population on the planet, the only question is how fast this is, and how to express symptoms.Such "skinny" statistics force this pathology to significant social diseases, and the fight against it should be the duty of not only a person who suffers from the manifestation of the disease, but also the world's health system as a whole.Therefore, the issue of spinal osteochondrosis treatment is a very relevant topic.
So what is osteochondrosis?Briefly consider how the development of the disease occurs.In its name, if you translate it from Latin literally, structures that change with osteochondrosis are determined: bone and cartilage.To shrink and oppose the vertical load, the nature placed between our vertebrae, the strange "pillow disc" of the fibrous-chryshot.Their nutrition was carried out in the age of children due to blood vessels, which was lost about 25 years, and nutrition began to become very due to the surrounding muscles.
In the pathological burden on the spinal column (inactive work, or vice versa - excessive physical activity), violations of mineral metabolism, intervertebral discs loss of elastic properties and amortization, decreased height, vertebral structure, affected area of the spine.In the final stages of the disease, the middle part of the intervertebral disc, a coordinated jacket nucleus, breaking the fibrous ring, forming a bag of highlights between the body - the vertebral body - the intervertebral hernia.Hernia can cause compression of the nerve root adjacent to the vertebra, intense pain occurs in the compression zone, as well as in the area controlled by the affected nerve.Due to persistent nerve plexus irritation, skeletal muscle reflex spasms occur, called defense protection in the medical field, which on the one hand protects the part of the spinal suffering from excessive movement, and rather, increases compression, edema and pain in the affected area.
In most cases (90%) pain with osteochondrosis (though very significant) is caused by muscle cramps!In other cases, the cause of the pain is compression of the nerve or spinal cord directly by the intervertebral disc hernia.
Lumbar spinal osteochondrosis: How to treat
From all parts of the spine, and overall there are five of them (cervix, chest, lumbar, sacral and coccygeal), due to the largest motor load, the lumbar is most often suffering from the manifestation of the disease.Lumbar spinal osteochondrosis has common symptoms that are common to everyone, and their treatment is an important social task, as it exacerbates the quality of life not only the elderly, but also the active age work.
Pain can be localized directly in the lumbar region, as well as on the front surface of the thigh, or along the back or outer surface of the foot, sometimes to the fingers of the fingers.Often, pain is given to the gluteal region, sacrum, throat, and sometimes they can only be localized in this area, disguised as spherical diseases and genitourinary intestines and make it difficult to produce the right diagnosis.The intensity of the pain syndrome can be so high that one loses the ability to make the lowest movement, take forced shot and loss of normal sleep.This is just the same radicolite, which in the wide circle has long been a synonym for the disease itself.
Limit motor activity.Common movements and sensitivity in the limbs are violated, muscle cramps, paresthesia (tingling sensations, burning "crawl goosebumps").
Violation of the function of the pelvic organs.With intense radicular syndrome, known to everyone as radicolite, or with hernial highlights, urination and intestinal work may be disrupted, causing severe torture in the patient.
Treatment of lumbar spinal osteochondrosis is often a difficult task for patients and doctors.Everyone suffering from the disease is asked by the questions: "How to treat osteochondrosis in the lower back?", "How to treat osteochondrosis in the lumbar region?", "If the lumbar department's osteochondrosis treatment is not helpful - which doctor to contact?"
The following doctors will help overcome osteochondrosis and prescribe competent treatment: therapist, neurologist, medical massage, manual therapist, physiotherapist, and, if necessary, surgical treatment is neurosurgery.
Way to fight lumbar spinal osteochondrosis
The main thing in the treatment of osteochondrosis is the right lifestyle!In active and proper people involved in physical culture and monitoring the spine, the back never hurts!Unfortunately, some people follow this simple truth.
By analyzing this issue, you can highlight:
- medicine;
- Not -Drug.
Non -Drug method for the treatment of lumbar spine pathology
- A disturbing procedure.Their effects lies in the name itself - the use of various applicators, massage and roller rugs, wool belts, "lotions" and "rubbing" due to the effects of the surface nerve and blood vessels slightly reducing muscle cramps and pain syndrome.This method can be used in addition, but isolated use to worsen the lumbar regional osteochondrosis without systemic treatment with special drugs.
- Means immobilization.This method is understood as a bandage of various designs, which allows you to protect the spine from sudden and "dangerous" movements and redistribute the load during static work.Immobilization means to be purchased at a store -medical and pharmaceutical equipment, however, before buying it is advisable to consult a doctor who will help determine the design, rigidity and completion of optimal bandages in your situation.It is advisable to use it only for time of exposure to bad factors (travel with wheels, sitting work, etc.), as prolonged use causes muscle hypotophy.
- Medical Physical Education (Training Therapy)- The integral component of the complex treatment of osteochondrosis.Exercise performs aimed at maintaining the back muscle tone and removing pathological muscle cramps helps restore and maintain motor activity, reducing the intensity of the pain syndrome.An important factor in training therapy is that after training by the teacher, one can do free training at home every day, as well as the existence of a set of exercises that occur even with process hunting.The most effective method of exercise therapy is the mechanotherapy class on the simulator according to the method developed individually, as the formation of muscle corset requires heavy work.
- Massage- known from ancient times, most common and, perhaps, the most common way to prevent and treatment, however, should not be used in the severity of lumbar osteochondrosis.In addition, only experts with medical education, who know anatomy and physiology and have medical massage techniques, should carry out massage with osteochondrosis.
- Manual therapyAnd in recent years, osteopathy in recent years made by a competent professional has had a significant healing effect and even eliminated the disease for a long time.It is also important to remember that when dealing with a manual therapist before the beginning of the procedure, it is necessary to conduct spinal examination (radiography, calculated or magnetic resonance calculations, osteodensitometry) to enable doctors to evaluate the prevalence and severity of the process and do not include the possibility of contrains for manipulation.Like massage, manual therapy and osteopathy have several contraindications, for example, compression of hernia nerve root, vertebra subluxation.During acute osteochondrosis in the lumbar region, usually manual therapy techniques (muscle relaxation and so on).
- Acupuncture.Based on the results of these new studies, the use of popular methodological methods among broadness is considered to be unreasonable evidence -based drugs for lumbar spinal osteochondrosis that does not eliminate the symptoms of the disease, and refers to non -nature treatment methods.
- Physiotherapy, included in the recommendations and national clinical standards for the provision of medical treatment for osteochondrosis, has long been proving its effectiveness in the treatment of the disease.With lumbar spinal osteochondrosis, electromyostimulation, amplipulse therapy, shock wave therapy, intracimuration myostimuration, laser therapy is used.Magnetotherapy remains a popular method in complex treatment.The advantages include good tolerance and a small list of contraindications, the possibility of use in the acute period of the disease.Acting on all pathological process links, after several procedures it can reduce pain and allow one to develop motor activity.In addition, by increasing the affected tissue trofism, it slows down the development of the disease.The unconditional advantages of this method are the possibility of free use by patients outside the walls of the medical institution.
But if all of the above non -Drug methods are not effective - how to treat lumbar osteochondrosis?
Drug
The disease involves the appointment of the following medical groups.
Anti -inflammatory drugs -non -sorting -bladder (NSAIDs) are produced in the form of local (gel, ointment, cream), and systemic use (tablets, candles, solutions for intramuscular and intravenous administration).Their actions are based on inhibiting the process of inflammation at the enzymatic level, as a result edema in the lesion zone is eliminated and the pain syndrome is significantly reduced.
In the early stages of the disease, there was sufficient use of NSAIDs in combination with non -valley (therapeutic training, magnetotherapy).With clear pathological processes and intense pain syndrome, you need to use tablets and sometimes form the injection drug.
Unfortunately, it has good anti-inflammatory and analgesic effects from NSAIDs, with prolonged systemic use, development and hunting of the ulcerative-erosive process of the gastrointestinal tract, as well as the affected renal and liver function.Therefore, patients taking NSAIDs for a long time require medications that protect gastric mucosa and regular laboratory control of the liver and kidneys.
Systemic muscle relaxants, a drug that relieves muscle cramps.The principle of their actions lies in the title: spasmodic muscle relaxation helps reduce nerve compression and blood vessels, edema in the damage zone - blood circulation and conservation increases - reduced pain;Due to the decrease in muscle defense, the voltage of the ligament apparatus decreases - stabbing (highlighting) the intervertebral disc decreases - reduced pain, the amount of movement increases.
Musorelaxants for the treatment of spinal osteochondrosis are produced in the form of tablets and solutions for intramuscular administration, to achieve therapeutic effects, they must be taken for a long time, gradually increasing the dose.Just like NSAIDs, muscle relaxants have several contraindications and can cause unwanted side effects, so even if free sales in the pharmacy network, before buying them, you should consult your doctor.
Anesthetics or local medicines for local anesthesia are used for the treatment of lumbar osteochondrosis in the form of a mentioned blockade, when the drug solution is administered subcutely, and then into the field of vertebral processes affected in the alleged compression project.
When accumulated in the nerve fiber membrane, the drug effectively prevents the pain signal.Therapists certainly cannot do such restrictions;For his behavior, it is necessary to contact a neurologist or a neurosurgeon.
Also, glucocorticosteroids (GKS) solution -hormone drugs with obvious anti -anti -inflammatory effects sometimes used for paravertebral administration.Their local application allows you to achieve maximum effect when minimizing the risk of unwanted side effects of the drug.Such restrictions are carried out by the course 2-3 times a year, a neurologist or a neurologist should perform it.
B Vitamin "B".Wherever pharmacies, you can find a variety of drugs of this group, both in the form of oral administration and intramuscular administration.It is believed that they have neurotropic and mild analgizing effects, however, reliable justification for their use for spinal osteochondrosis has not been obtained by evidence -based drugs.
Physiotherapy for lumbar osteochondrosis
Unfortunately, sometimes comprehensive treatment using modern medicine, physiotherapy, massage and exercise therapy is ineffective -one continues to suffer from pain, permanent physical activity restrictions, and the quality of life suffer significantly.This occurs in the final stages of the disease, when volumetric, often various intervertebral disc hernia are formed.In such cases, surgical treatment is indicated.In addition, surgery is indicated by "hernia decomposition", when significant compression of the spinal canal causes incompeted pain, statodynamic disorders and restrictions on bladder and intestinal function.In such cases, operations are carried out on emergency orders.The purpose of surgical intervention for lumbar spinal osteochondrosis is the mechanical compression of the spinal canal and nerve root.
Currently, both of the long -term volumetric surgical methods are used in the treatment of osteochondrosis surgery and minimal invasive endoscopic interventions suggested by modern medicine using laser and radio frequency effects, some of which can be done even under the release of local pain.
After studying the main method of treating lumbar spinal osteochondrosis, I want to again note that the patient asks "How to cure lumbar osteochondrosis?"It should rely not only for the help of a doctor, but also to his own strength, understand the importance of a healthy lifestyle, where the right dose and the physical activity are welcomed, and most importantly, the branches inside.Victory over the disease.