Signs and methods of treatment for osteochondrosis of the spine in the lumbar spine

Painful symptoms in the lumbar spine affect 80% of the world's population at various stages of life. Often these are manifestations of osteochondrosis. Doctors state the fact - the disease is no longer the lot of the elderly. Symptoms of the disease are increasing in people under 30 years of age. Without treatment, osteochondrosis leads to complete immobilization of the lumbar spine and subsequent disability of the patient.

Causes of osteochondrosis in the lumbar spine

What is lumbar spine osteochondrosis?

The diagnosis implies the course of degenerative processes in the cartilage tissue that makes up the intervertebral joints. Lower back osteochondrosis is characterized by changes in the joints and vertebrae in the lumbar region.

Osteochondrosis is a gradual degeneration of cartilage tissue in bone.

Osteochondrosis often ends with the formation of an intervertebral hernia, which leads to constant back pain in the patient. Osteochondrosis from POP leads to pinching of nerves and blood vessels, which leads to a violation of the trophism of tissues of internal organs, which is fraught with the appearance of symptoms of dysfunction in the body.

Causes of Lower Back Disease

Osteochondrosis of the spine is one of a number of diseases, the exact causes of which are not yet known. It is known that the defeat of the spine is preceded by metabolic disorders, which can lead to a variety of unfavorable factors. The most common examples are:

  • Severe lack of exercise.
  • Electrolyte metabolism disorders. The trophism of the intervertebral joints is disturbed by chronic diseases.
  • Congenital or acquired diseases of ODA.
  • Excessive physical activity is the most common cause.
  • Wrong way of life. The abuse of salt, fried, fatty and smoked foods leads to degenerative changes in the intervertebral joints.

With osteochondrosis, the back muscles gradually atrophy, the patient begins to sag.

stooping as the cause of the development of lumbar osteochondrosis

Doctors determine a hereditary predisposition for the development of the disease. Also among the provoking factors is the lack of treatment for the curvature of the spine - lordosis, scoliosis, kyphosis.

Typical symptoms

Signs of osteochondrosis of the lumbar spine are characterized by the appearance of various symptoms, as well as the development of three pathological syndromes: radicular, ischemic, vertebral.

Pain symptoms can occur:

  • Lumbodynia- aching pain in the lower back. The symptom almost completely disappears when the body is placed in a horizontal position.
  • Lumbago- lightning pain. The symptom is characterized by the ability to radiate.
  • Lumboischialgia- pain in the lower back that spreads to the buttocks and legs. The symptom is accompanied by a loss of sensitivity of superficial tissues.

Back pain is compared to an electric shock, and the patient freezes in a no-pain position.

Back pain with osteochondrosis of the lumbar spine

Signs of lumbar osteochondrosis are symptoms of specific syndromes:

  • Radicular symptoms include boring pain in the area innervated by the pinched nerve. In this case, the epicenter of painful symptoms is observed in the limbs, buttocks, thighs and lower abdomen.
  • Symptoms of ischemic syndrome are associated with impaired blood circulation and a lack of nutrients in some tissues.
  • Symptoms of vertebral syndrome include muscular atrophy, displacement of the vertebrae, and a change in the position of the pelvis that leads to obvious changes in the patient's gait and movement.
Weight lifting as a provoking factor in the development of lumbar osteochondrosis

When lifting weights, nerve roots and blood vessels are compressed and pain in the nerve zone begins to be disruptive.

Differences from other diseases through signs

Dystrophic lesions of the lumbar vertebrae are accompanied by a number of symptoms that are characteristic only of this disease:

  • Constant coldness of the skin of the buttocks and thighs.
  • Decreased libido, impotence.
  • Scary feeling on the inner thighs and buttocks.
  • Increased dryness of the skin on the lower back and buttocks, accompanied by flaking.
  • tendency to constipation.
  • urinary incontinence.
  • A burning sensation in the sacrum.

Even a complete correspondence of the manifestations of the disease with the described symptoms requires diagnostic studies to confirm the diagnosis (MRI, radiography, computed tomography).

Determination of level and type

Intervertebral osteochondrosis can be acute or chronic. Very often the transition of the disease into a sluggish form is observed, since it is difficult to completely cure the disease. Chronic osteochondrosis is characterized by the regular occurrence of relapses - they complicate the patient's life in the off-season.

Local degenerative changes are rare. Often, the destruction of the lumbar vertebrae is accompanied by widespread osteochondrosis, which affects several parts of the spine at the same time. The disease is characterized by the extent of painful sensations and obvious disturbances in the patient's mobility.

There are 4 degrees of osteochondrosis:

  • First changes.The nucleus pulposus moves within the disc. Symptoms - Lumbago can occur in the affected area.
  • Lesion of the annulus fibrosus.Several cracks form, the mobility of the vertebrae and the hypertonicity of the nearby muscles increase.
  • Rupture of the annulus fibrosus.Accompanied by severe pain in the department, hernia formation, radicular syndrome.
  • Deformity of the spine.It is accompanied by a displacement of the vertebrae as well as the growth of the bone tissue of the spine, which leads to the immobilization of the patient.

The stage of development of the disease is determined by the vertebrate with the help of palpation and diagnostic measures.

How is osteochondrosis of the lumbar spine treated?

Treatment of osteochondrosis of the lumbar spine depends on the degree of change. The prerequisite is the timely adoption of measures, an examination and the choice of treatment tactics so as not to trigger the disease. In the later stages of lumbar spine osteochondrosis, only surgical treatment of the spine (vertebroplasty) is effective.

Referral to a specialist in the treatment of lumbar osteochondrosis

It is very important to consult a doctor in time for treatment, since only surgical treatment of the spine is effective in the later stages of osteochondrosis.

The treatment of lumbar osteochondrosis has the following main goals:

  • Elimination of the cause of dystrophic processes.
  • Elimination of symptoms of illness.
  • Activation of the restoration of intervertebral joints.
  • Strengthening the muscles.

To achieve the goals, a number of measures are used, including exercise therapy, physical therapy, diet, drug treatment and massage. An important condition is regularity. Methods of treating osteochondrosis may include fixing the affected back with braces. Kinesio Taping will help get rid of osteochondrosis and prevent its recurrence.

Therapeutic fasting is carried out in consultation with the doctor. As a rule, it is enough to adhere to the principles of a healthy diet, minimize salt intake and normalize the drinking regime.

Severe osteochondrosis of the lumbar spine may require bed rest at the start of treatment. After the elimination of severe pain, the patient needs to get up and do basic physical exercises.

In the case of osteochondrosis of the lumbar spine, doctors supplement the treatment scheme with physiotherapeutic procedures:

  • electrophoresis.
  • magnetotherapy.
  • acupuncture.
  • electro acupuncture.

It is important to observe the regularity of osteochondrosis procedures and undergo full treatment.

In the case of osteochondrosis of the lumbar spine, as in other localizations of the disease, it is recommended to increase physical activity through exercises recommended by an orthopedic surgeon.

Does the belt help?

If you have osteochondrosis, it is worth choosing a belt for your lower back only together with your doctor. There are bandages, corsets, heating and neoprene belts that have different indications and contraindications for their use.

Wearing a corset and bandage is one of the most important auxiliary methods for restoring the spinal joints. A hard belt for osteochondrosis fixes the lumbar spine in a certain position, relieving the muscles and joints. The heat belt for osteochondrosis can be used independently to get rid of pain and prevent relapse of the disease. The dog's belt protects the lower back well from drafts and relaxes the muscles.

In severe injuries, only a doctor will choose a belt for the treatment of osteochondrosis. As a rule, these are reinforced, rigid corsets that make the lumbar and sacral spine immobile.

Massage

For lumbar osteochondrosis, a therapeutic massage is shown, which aims to normalize the trophism of the lumbar joints and restore the muscles to normal. The massage must be performed by a specialist. A contraindication for osteochondrosis to massage is an intervertebral hernia. Manipulation with strong mechanical shocks (use of plastic devices and vibration massage devices) is prohibited.

Exercises

Exercises for the lumbar spine as part of exercise therapy for osteochondrosis should be selected by an orthopedic surgeon. General rules for exercise therapy:

  • Static exercises predominate.
  • No sudden movements during execution.
  • Moderation of physical activity.
  • Gentle techniques that exclude the destruction of the vertebrae.

The regularity of the exercises is important. Osteochondrosis exercises are included in the daily morning exercise program.

drug therapy

The duration of treatment for osteochondrosis of the lumbar spine, as well as the list of drugs, is determined by the doctor.

In the first days of therapy, the following is prescribed:

  • NSAID injections.
  • Injections of B vitamins
  • injections of chondroprotectors.
  • injections of muscle relaxants.
  • External NSAIDs.

After the elimination of severe pain and acute inflammation, the patient is transferred to tablet forms of drugs. The NSAIDs continue for the first two weeks. The use of chondroprotectors implies long-term complex treatment with a combination of internal and external dosage forms.

If a disease of the lumbar spine is detected in the early stages, drugs from the group of chondroprotectors are prescribed. The minimum duration of their admission is 3 months. In the absence of pronounced painful symptoms, internal use of NSAIDs is replaced by external anesthetics in order to reduce the negative effect of pharmacological agents on the gastric mucosa.

With severe pain syndrome, blockades are carried out - the introduction of analgesics to the affected area of the lumbar spine.

Symptoms of advanced lumbar osteochondrosis can ruin a person's life. For successful treatment of the disease, you should consult a doctor at the first signs of the disease - lower back pain of mild severity. Timely complex therapy can prevent irreversible changes in the lumbar spine.

07.03.2021