One of the most common problems of the spine is the nausical pain at the back of the back.According to the National Center for Health Statistics, 26-32% of the adult population suffered from chronic back pain.A common cause of such pain is bones and joints.
Osteochondrosis is premature and aging of the disc and vertebrae.Osteochondrosis may occur with any part of the spine: cervix, chest, waist or waist.Lumbar segments are often affected and lumbar osteoarthritis is developing.If you do not start treating promptly, this disease can affect some departments at the same time.
Osteochondrosis of the waist area is a chronic degenerative disease, in which the cartilage tissue of the middle disc in the waist area is destroyed.There are two main parts in the Intervertebral disk: core and fibers.With increased load, these structures are destroyed, leading to compressing nerves and the appearance of acute pain.
Because the disease grows slowly, its signs are difficult to notice at first.The patient did not pay attention or did not even understand exactly where it hurts.Because of this, they often went to the doctor at this time when the Intervertebral hernia developed.
Causes of osteoarthritis
Lumbar osteoporosis, like most diseases of the musculoskeletal system, are caused by no infection.Risk factors for the development of osteoarthritis are mainly related to a person's motor activity, lifestyle, professional working conditions, as well as inheritance.Let us focus on the main factors and perhaps the most important factors.
Breach of posture and reducing the operation of the engine.With the modern rhythm of life, people must be in a position for a long time, whether it is office work, driving or studying.Because of this, a large number of people have problems with the back-a, including scoliosis.When the posture is broken, the load on the spine is distributed unevenly: some disks are loaded more than other disks.The waist area suffers more than others.And in the case of the lumbar part, this load is many times more than other parts.
Excessive physical activity.When a person does not play sports and his back muscles are weak, high intensity exercise can be harmful.Exercises with additional burden and excessive load on the waist area lead to injury and disc alternating ahead of time.
Excess body weight and obesityIncrease axial load on the spine.At the same time, the nutrition of the discs is disturbed by the development of nourishment.
Changes related to age.After 60 years, tissue recovery processes slowed down, so in the elderly, the probability of developing the Intervertebral hernia is higher.
Genetic factors.If a person is naturally disturbed by the characteristics of cartilage and bone tissue, his osteoarthritis develops earlier and will progress faster.
The first signs and the main symptoms of lumbar osteoarthritis
Intervertebral disc softens shocks while walking, running and jumping.Due to the structural changes that come with lumbar osteoarthritis, this function is affected.
When the interatorebral disc for osteoarthritis becomes thinner, this leads to an increase in the vulnerability of nerves and blood vessels.The pinched nerves and their nutrition are disturbed, acute pain and other symptoms of lumbar osteoarthritis.
Lower back pain sharp and chronic- This is the main complaint with lumbar muscle disease.Personal activity, lower body temperature, uncomfortable posture can cause pain.Sometimes the pain extends to the entire back and legs.
Tingle, burning and numbness (parc) on the lower back and legs-Trinhs symptoms of lumbar osteoarthritis, appears due to compression of nerves.
Muscle sound increases in the waist areaIt can increase pain and lead to reduced movement.
The stages of osteoarthritis
Changes in cartilage and bone tissue occur slowly.Depending on the circulation rate of the pathology, the four stages of lumbar osteoarthritis are distinguished.
Phase 1.This is the beginning of the disease (chondrosis).The location of the gelatin nucleus of the disk compared to the fibers of the fiber ring changes.This leads to the stimulation of nerves and pain.Sometimes nothing pain at this stage.
Phase 2.Due to the shift of disks, the distance of Intervertebral is reduced, the cracks appear in the disks.The nerves are compressed, and the patient has acute lumbar pain.
Stage 3.Intervertebral plates are completely damaged, a rings of destroyed fibers.At this stage, the risk of developing Intervertebral hernia is high.Enhanced pain, more frequent appearance and other characteristics: from acute to chronic pain.
4th phase.The disease applies to nearby tissues.In the waist area, the mobility is reduced, the pain occurs even with small changes in the position of the body.During this period, Intervertebral hernia is growing and the risk of compressing nerves and blood vessels in the waist area is high.
Diagnosis of osteoarthritis
If you are tortured by acute lumbar pain even when moving and resting, numbness - contact a neuroscientist.He will conduct a test, determine the possible cause of pain and diagnostic prescription.
The main research methods are X -ray and class cutting.
- Vision, vision and X -ray function of the spine in two projections.This method allows you to assess the condition of the spine, but the soft tissue (for example, muscle) and cartilage in the image are not displayed.
- Calculated tabers allow you to have more information, as the images obtained in different projections.Based on the research results, the doctor can determine the level of damage to the lumbar spine.
- The magnetic resonance images are the Viking gold standard to accurately diagnose lumbar osteoarthritis.According to MRI, the doctor can assess the condition of soft tissues and determine hernia between vertebrae.
Treatment of lumbar osteoarthritis
After the diagnosis, the neuroscientist selected individual.It depends on the stage of the disease and the severity of the symptoms.Most patients are helped by comprehensive conservation treatment (drug therapy, physical therapy, physiotherapy).If the patient is not better and serious complications develop, the activity is prescribed.
Conservative treatment
Conservative treatment mission:
- Stop pain.
- Reduce inflammation.
- Prevent the development of complications.
- Reduce the load on the spine by increasing the muscles of the back.
- Reduce compression of nerves.
- In Intervertebral hernia - create conditions for its natural reabsorption and healing.
During the acute phase of the disease, the doctor mainly relieves pain and inflammation with analgesics and anti -inflammatory drugs.Later, neuroscientists draw a personal program including physiotherapy, manual therapy and physical therapy exercises.
PhysiotherapyIt is based on the use of physical elements: cold, heat, current, magnetic radiation, laser, etc.They help reduce pain intensity and improve tissue nutrition, contributing to natural recovery.
KinesititaccoIt is activity (exercise therapy) and passive (massage, traction).It allows you to strengthen your back muscles, reduce muscle tension, improve microcirculation and activate recovery processes.
Craft therapy and massageCancel a muscular melody increases in the lower back, restoring motor ability.Therefore, the nutrition of the damaged area is improved and the level of compression of nerves decreases.
RecordOr Kinesiological recording is based on the use of elastic plaster, affixed to the skin to weaken or enhance muscle tones.Therefore, the muscle frame is enhanced, the microcirculation in the waist area is improved and the load distribution on the spine is standardized.
Laser therapyIt is based on the use of low -density laser radiation and its positive effects on cell activity.It contributes to naturally recovering the disc by improving their nutrition.
Plasma therapy(PRP therapy) -A method of improving regeneration processes.Pure plasma injection of patients stimulates his immunity.
Reflective therapy, acupunctureImprove blood supply for affected areas, relieve pain.
Shocking wave therapy- This is the effect of high frequency waves on the affected area.It stimulates the natural processes of tissue regeneration and improves tissue nutrition.
Orthopedic- Personal choice of bra to support additional spine.Allows partial compensation for the load on the spine.When wearing corset, the pain decreases, the ability to move and the quality of the patient's life increases.
Osteochondrosis is a chronic disease.It is important that the patient changes his lifestyle and learns to live with this disease.To do this, there are special educational programs that can improve the quality of life of patients.
The positive effect of conservation treatment is achieved in 2-3 months.If such treatment is ineffective, the activity is prescribed.
Work
With the development of the Intervertebral hernia of the Faculty of Lumbar, the minimally invasive surgery activities are carried out.The choice in the direction of neurosurgical treatment is performed with special, serious, threatening indications of the patient's life.
Activity is a complex invasive treatment related to risks.During or after surgery, complications may develop.And the success of treatment also depends on the rehabilitation after surgery, including conservation and adjustment treatments.
Non -postponement
Osteochondrosis is a progressive disease.If it is not detected in time and does not start treating it, it can lead to defects and reduce the quality of life.Over time, some parts of the spine are affected, the pain is made from acute to a chronic part.
Preventing symptoms and treating lumbar joints in the initial period can prevent the development of the disease and degradation in this condition.