Acute pain in the lumbar region, in the context of osteochondrosis of the spine, is a widespread problem with which the vast majority of people are confronted.By achieving us "as a reward" for our simplicity (due to the increase in the axial charge on the spine), this disease sooner or later affects each resident of the planet, the only question is the speed with which this happens and the way the symptoms have expressed.These "meager" statistics force this pathology to socially significant diseases, and the fight against this should be the task not only of an individual person suffering from manifestations of the disease, but also from the global health system as a whole.Consequently, the question of the treatment of osteochondosis of the spine is a very relevant subject.
So, what is osteochondrosis?Backly consider how the development of the disease occurs.In its very name, if you literally translate it from Latin, the structures that change with osteochondrosis are determined: bone and cartilage.In order to depreciate and resistance to vertical loads, the nature placed between our vertebrae is particular fibrous "pillows".Their nutrition is carried out in childhood due to the blood vessels, which are lost by about 25 years, and nutrition is starting to be diffusely due to the surrounding muscles.
In pathological loads on the spine (sedentary work, or vice versa - excessive physical activity), violations of mineral metabolism processes, the intervertebral disc loses its elastic and depreciation properties, its height decreases, the structure of vertebrate changes, pathological bone growths (osteophytes and fabric plate) 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 -appeal jacket, breaking through the fibrous ring, forms a sort of projection bag between the bodies of the vertebrae - the intervertebral hernia.An hernia can cause compression of the nerve roots adjacent to the vertebrae, intense pain occurs in the compression zone, as well as in the area regulated by the affected nerve.Due to the constant irritation of the nervous plexus, a reflex spasm of skeletal muscles occurs, called protective defense in medicine, which, on the one hand, protects the suffering section of the vertebral column of excessive movements and, on the other hand, improves 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 pain is the compression of the nerve root or spinal cord directly by the hernia of the intervertebral disc.
Osteochondrosis of the lumbar column: how to treat
From all parts of the spine, and in total, there are five (cervical, chest, lumbar, sacred and coccygeal), due to the largest motor load, the lumbar most often suffers from manifestations of the disease.Osteochondrosis of the lumbar column has brilliant symptoms familiar to everyone, and its treatment is an important social task because it aggravates the quality of life not only of the elderly, but also people active in age.
The pain can be located directly in the lumbar region, as well as on the front surface of the thigh, or along the entire posterior or exterior surface of the leg, sometimes with the very fingers.Often, pain is given to the glued region, sacrum, crotch, and sometimes they can only be located in these areas, disguised as diseases of the genitorerinary sphere and intestines and making the production of the correct diagnosis difficult.The intensity of the pain syndrome can be so high that a person loses the ability to make the most basic movements, takes forced poses and loses normal sleep.It is just the same radicolitis, which has become in synonym for the disease itself.
Limit motor activity.The usual movements and the sensitivity in the members are violated, muscle convulsions, paresthesia (sensations of tingling, "crawling goose flesh") occur.
Violation of the function of pelvic organs.With an intense radicular syndrome, known to everyone under the name of radicolitis, or with a massive hernnial projection, a urination and intestinal work can even be disturbed, causing severe torment in the patient.
Treatment of osteochondrosis in the lumbar column often becomes a difficult task for the patient and the doctor.Each person who suffers from this disease has been asked by questions: "How to treat osteochondrosis from the lower back?", "How to treat osteochondrosis in the lumbar region?", "If the treatment of osteochondrosis from lumbar service at home does not help - which doctor do you contain?"
The following doctors will help to deal with the exacerbation of osteochondrosis and to prescribe a competent treatment: therapist, neurologist, specialist in medical massage, manual therapist, physiotherapist and, if necessary, surgical treatment is neurosurgery.
Ways to fight osteochondrosis in the lumbar column
The main thing in the treatment of osteochondrosis is the right lifestyle!In people who are actively and correctly involved in physical culture and monitor the spine, the back never hurts!Unfortunately, few people follow these simple truths.
By analyzing this problem, you can emphasize:
- medicine;
- Non-Drug.
Non -drug methods for the treatment of the lumbar column pathology
- Distracting procedures.Their effect lies in the name itself - the use of various applicators, massage mats and rollers, woolen belts, "lotions" and "friction" due to the effects on surface nerve endings and blood vessels slightly reduce muscle spasm and pain syndrome.These methods can be used as auxiliaries, but isolated use for the exacerbation of osteochondrosis in the lumbar region without systemic treatment with special drugs is ineffective.
- Immobilization means.These means are understood as bandages of various designs, whose port allows you to protect the spine from sudden and "dangerous" movements and redistribute the load during static work.However, the means of immobilization can be purchased in reserves of medical equipment and pharmacies before buying it, it is advisable to consult a doctor who will help determine the optimal design, rigidity and completion of the bandage in your situation.It is advisable to use them only at the moment of exposure to undesirable factors (travel by the wheel, seated work, etc.), because prolonged use causes muscle hypotrophy.
- Medical physical education (exercise therapy)- An integral component of the complex treatment of osteochondrosis.Performing exercises aimed at maintaining the tone of back frame muscles and eliminating pathological muscle spasms helps restore and maintain motor activity, reduce the intensity of pain syndrome.A more important exercise therapy is that after training by the instructor, a person can perform exercises independently at home daily, as well as in the existence of a set of exercises applicable even with an exacerbation of the process.The most effective method of treatment for the exercise is mechanotherapy - classes on simulators according to a method developed individually, because the formation of muscle corset must work with weights.
- Massage- One of the ancient times, the most common and, perhaps, the most common way to prevent and treatment, however, cannot be used in the exacerbation of the lumbar osteochondrosis.In addition, only a specialist in medical education, who knows anatomy and physiology and techniques for possession of medical massage, should make a massage with osteochondosis.
- Manual therapyAnd in recent years, osteopathy in recent years carried out by a competent professional can have a significant healing effect and even eliminate exacerbations of the disease for a long time.It is also important to remember that during the fight against a manual therapist before the start of the procedures, it is necessary to carry out an examination of the spine tools (radiography, magnetic or magnetic resonance imaging, osteodensitometry) to allow the doctor to assess the prevalence and gravity of the process and exclude possible constituations for manipulation.Like massage, manual therapy and osteopathy have a number of contraindications, for example, a pronounced compression of the nerve root of the hernia, the subluxation of the vertebrae.In the acute period of osteochondrosis in the lumbar region, generally soft manual therapy techniques are used (muscle relaxation, etc.).
- Acupuncture.Based on the results of recent studies, the use of this method of popular methodology in wide circles is considered to be medicine based on unreasonable evidence for the lumbar column osteochondrosis which does not eliminate the symptoms of the disease and refers to non -traditional treatment methods.
- Physiotherapy, included in national clinical recommendations and standards for the provision of medical care for osteochondrosis, has long proven its effectiveness in the treatment of this disease.With osteochondrosis of the lumbar column, electromyostimulation, amplipulse treatment, shock wave therapy, intracame myostimuration, laser treatment are used.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 the disease.Acting on all links of the pathological process, after several procedures, it considerably reduces pain and allows a person to extend motor activity.In addition, by improving affected tissue trophism, it slows the progression of the disease.An unconditional advantage of this method is the possibility of its independent use by the patient outside the walls of a medical institution.
But if all the above-drug methods were ineffective-how to treat lumbar osteochondosis?
Drugs
Diseases imply the appointment of the following medicinal groups.
Non-steroidal anti-inflammatory drugs (NSAIDs) are produced in forms for premises (gels, ointments, cream) 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 considerably reduced.
In the early stages of the disease, there is enough local use of NSAIDs in combination with non-valley methods (therapeutic exercises, magnetotherapy).With a pronounced pathological process and intense pain syndrome, you should use tablets and sometimes forms of injection drugs.
Unfortunately, having a good anti-inflammatory and analgesic effect of NSAIDs, with prolonged systemic use, the development and exacerbation of ulcerative-erosive processes of the gastrointestinal tract, as well as the altered renal and hepatic function.Therefore, 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 muscular relaxing, that is, drugs that relieve muscle spasm.The principle of their action lies in the title: relaxation of spasmodic muscles helps reduce the compression of nerves and blood vessels, edema in the damage area - blood circulation and innervation improve - pain decreases;Due to the decrease in muscle defense, the tension of the ligament apparatus decreases - the knife (protrusion) of the intervertebral disc decreases - the pain undergoes, the volume of movements increases.
Musorelaxants for the treatment of osteochondrosis of the spine are produced in the form of tablets and solutions for intramuscular administration, to obtain 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 unwanted side effects, therefore, despite the free sale in pharmacy networks, before buying them, you need to consult a doctor.
Local anesthetics or drugs for local anesthesia are used for the drug treatment of lumbar osteochondosis in the form of paravertebral blocking if called, when the drug solution is administered first by subcutaneous route, then in the process zone of the procedure of the vertebral affected in the projection of the presumed compression of the nerve root.
During the accumulation in the membranes of nerve fibers, the drug effectively blocks the pain signal.The therapist will certainly not be able to perform such a blockage;For his conduct, it is necessary to contact a neurologist or a neurosurgeon.
In addition, glucocorticosteroid solutions (GKS) - hormonal drugs with a pronounced anti -inflammatory effect are sometimes used for paravertebral administration.Their local application allows you to reach a maximum effect when minimizing the risk of unwanted side effects of the drug.Such a blockage is done lessons 2 to 3 times a year, a neurologist or a neurosurgeonian doctor should perform them.
B vitamins "B".In any pharmacy, you can find a variety of drugs in this group, both in forms of oral administration and for intramuscular administration.It is believed that they have a neurotrophic and light analyzing effect, however, a reliable justification for their use for osteochondrosis of the spine was not obtained by medicine based on evidence.
Physiotherapy for lumbar osteochondrosis
Unfortunately, a sometimes complete treatment using modern drugs, physiotherapy, massage and exercise is ineffective - a person continues to feel pain, the restriction of physical activity remains and the quality of life suffers considerably.This occurs in the last stages of the disease, when volumetric hernias, often multiple of intervertebral discs, form.In such a situation, surgical treatment is shown.In addition, surgery is indicated by "disintegration of a hernia", when a significant compression of the vertebral canal causes unnecessary pain, statodynamic disorders and blocking the function of the bladder and the intestines.In such cases, the operation is carried out on an emergency prescription.The purpose of surgical interventions for osteochondrosis of the lumbar column is the mechanical decompression of the roots of the vertebral canal and nerves.
Currently, the two known volumetric surgical methods are used in the surgical treatment of osteochondrosis and mini-invasive endoscopic interventions proposed by modern medicine using laser and radiofrequency effects, some of which can be carried out even under the relief of local pain.
Having examined the main methods of processing osteochondrosis in the lumbar column, I would once like to note that the patient poses the question "How to cure lumbar osteochondrosis?"If you count not only for the help of doctors, but also on their own forces, understanding the importance of a healthy lifestyle, in which a good dose and mainly a dosed physical activity is welcome, and above all, a branch of in is present.Victory over the disease.