Acute pain in the lumbar region, in the context of the spine osteochondrosis, is a generalized problem that the vast majority of people face.Upon reaching us "as a reward" for our righteousness (due to the increase in axial load in the spinal column), this latest or later ailment affects each resident of the planet, the only question is how fast this happens and how he expressed the symptoms.Such "thin" statistics force this pathology to socially significant diseases, and the fight against it should be the task not only of an individual person who suffers manifestations of the disease, but also of the world health system in general.Therefore, the theme of the treatment of column osteochondrosis is a very relevant issue.
So what is osteochondrosis?Briefly consider how the development of the disease occurs.In its own name, if it translates it from Latin literally, the structures that change with osteochondrosis are determined: bone and cartilage.To depreciate and resistance to vertical loads, nature placed between our vertebrae is a peculiar "pillows" of "pillows", intervertebral discs.Its nutrition is carried out in childhood due to blood vessels, which are lost approximately 25 years, and nutrition begins to be diffusely due to the surrounding muscles.
In pathological loads in the spine (sedentary work, or excessive physical activity), the violations of the processes of mineral metabolism, the intervertebral disc loses its elastic and amortizing properties, its height decreases, the structure of the changes of vertebrae, the pathological bone growths (osteophytes and the clothes) are changed, the mobility is bother.The affected area of the column.In the last stages of the disease, the central part of the intervertebral disk, the core of the jacket called SO, breaking the fibrous ring, forms a kind of bulging bag between the bodies of the vertebrae: the intervertebral hernia.A 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 nerve plexus, there is a spasm reflex of the skeletal muscles, called protective defense in medicine, which on the one hand protects the section of suffering of the column of excessive movements, and on the other hand, it 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 the spinal cord directly by the hernia of the intervertebral disc.
Lumbar column osteochondrosis: how to treat
Of all parts of the spine, and in total there are five of them (cervical, chest, lumbar, sacrum and coccygeal), due to the greater motor load, the lumbar suffers more often the manifestations of the disease.The osteochondrosis of the lumbar column has family brilliant symptoms for all, and its treatment is a significant social task, since it worsens the quality of life not only of the elderly, but also of the active persons of the work 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 to the fingers.Often, pain is given to the gluteal region, the sacrum, the crotch and, sometimes, they can only be located in these areas, disguised as diseases of the sphere and the genitourinary intestines and make it difficult to produce the correct diagnosis.The intensity of pain syndrome can be so high that a person loses the ability to make most elementary movements, takes forced poses and loses normal sleep.This is the same radicolite, which in broad circles has long become synonymous with the disease itself.
Limit motor activity.The usual movements and the sensitivity in the limbs, muscle seizures, parstesthesia (tingling sensations, chicken skin ") are violated.
Violation of the function of pelvic organs.With an intense root syndrome, known by all as radicalized, or with a massive hernial protuberance, urine and intestinal work, it can even be disturbed, causing a severe torment in the patient.
The treatment of the osteochondrosis of the lumbar column often becomes a difficult task for both the patient and the doctor.The questions to each person who suffers from this ailment: "How to treat the osteochondrosis of the lower back?", "How to treat the osteochondrosis of the lumbar region?", "If the treatment of the osteochondrosis of the lumbar department in the home does not help: what doctor?", "If the tablets and pomentes with lumbar osteochondrosis do not help: does not help?"
The following doctors will help deal with the exacerbation of osteochondrosis and prescribe a competent treatment: therapist, neurologist, specialist in medical massage, manual therapist, physiotherapist and, if necessary, surgical treatment is a neurosurgery.
Ways to combat the osteochondrosis of the lumbar column
The main thing in the treatment of osteochondrosis is the right lifestyle!In people who are involved actively and correctly in physical culture and control the spine, the back never hurts!Unfortunately, few people follow these simple truths.
When analyzing this problem, you can highlight:
- medicine;
- No flog.
Non -fragments for the treatment of lumbar column pathology
- Distraction procedures.Its effect is in the name itself: the use of several applicators, carpets and massage rollers, wool belts, "lotions" and "rubbing" due to the effects on nerve endings of the surface and blood vessels slightly reduce muscle spasm and pain syndrome.These methods can be used as auxiliaries, but the isolated use for the exacerbation of the osteochondrosis of the lumbar region without systemic treatment with special medications is ineffective.
- Immobilization means.These means are understood as bandages of several designs, whose use allows you to protect the column from sudden and "dangerous" movements and redistribute the load during static work.The immobilization media can be purchased in medical and pharmacies stores, however, before buying it, it is advisable to consult a doctor to help determine the optimal design and completion of the optimal bandage in their situation.It is advisable to use them only for the time of exposure to adverse factors (travel through the wheel, sitting work, etc.), since prolonged use cause muscle hypotrophy.
- Medical Physical Education (exercise therapy)- An integral component of the complex treatment of osteochondrosis.The performance exercises destined to maintain the tone of the muscles of the back frame and eliminate the pathological muscle spasm help to restore and maintain motor activity, reduce the intensity of pain syndrome.A significant advantage of exercises therapy is that after training by the instructor, a person can perform exercises independently in the home daily, as well as in the existence of a set of applicable exercises even with an exacerbation of the process.The most effective method of exercise therapy is mechanotherapy: classes in simulators according to an individually developed method, since the formation of muscle corset needs to work with pesos.
- Massage- An known since ancient times, the most common form and, perhaps, the most common way of preventing and treatment, however, cannot be used in the exacerbation phase of the osteochondrosis of the lumbar.In addition, only a specialist with a medical education, who knows anatomy and physiology and techniques of medical medical massages, must carry out massages with osteochondrosis.
- Manual therapyAnd in recent years, osteopathy in recent years by a competent professional can have a significant healing effect and even eliminate the exacerbations of the disease for a long period.It is also important to remember that when addressing a manual therapist before the start of the procedures, it is necessaryVertebrae.In the acute period of osteochondrosis of the lumbar region, soft techniques of manual therapy (muscle relaxation, etc.) are usually used.
- Acupuncture.Based on the results of recent studies, the use of this method of popular methodology in broad circles is considered that evidence -based medicine is unreasonable for the osteochondrosis of the lumbar column that 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 demonstrated its effectiveness in the treatment of this disease.With osteochondrosis of the lumbar column, electromulation, amplipulse therapy, shock wave therapy, intrachose mystimuration, laser therapy.Magnetotherapy remains the popular method in complex treatment.Its advantages include good tolerance and a small contraindications list, the possibility of use in the acute period of the disease.Acting in all links of the pathological process, after several procedures, significantly reduces pain and allows a person to expand motor activity.In addition, by improving the trophism of the affected tissues, it slows down 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 previous non -fragmentary methods were ineffective, how to treat lumbar osteochondrosis?
Drug treatment
Diseases involve the appointment of the following medicinal groups.
Non -sternal anti -inflammatory medications (NSAIDs) are produced in shape for premises (gels, ointments, cream) and for systemic use (tablets, candles, solutions for intramuscular and intravenous administration).Its action is based on blocking the inflammatory process at an enzymatic level, as a result from which edema is eliminated in the injury zone and pain syndrome is significantly reduced.
In the early stages of the disease, there is sufficient local use of NSAIDs in combination with non -brave methods (therapeutic exercises, magnetotherapy).With a pronounced pathological process and an intense pain syndrome, it must resort to the tablet and sometimes injectable drugs.
Unfortunately, to have a good anti -inflammatory and analgesic effect of NSAIDs, with a prolonged systemic use, the development and exacerbation of the erosive ulcer processes of the gastrointestinal tract, as well as the renal and hepatic deteriorated function.Therefore, patients who take NSAIDs for a long time need medications that protect the gastric mucosa and regular laboratory control of the liver and kidneys.
Systemic muscle relaxants, that is, drugs that relieve muscle spasm.The principle of its action lies in the title: the relaxation of the spasmodic muscles helps reduce the compression of the nerves and the blood vessels, the edema in the damage zone: the blood circulation and innervation improvement: the pain decreases;Due to the decrease in muscle defense, the voltage of the ligament apparatus decreases: the stab (protuberance) of the intervertebral disc decreases: the pain decreases, the volume of movements increases.
Musorlaxants for the treatment of column osteochondrosis occur in the form of tablets and solutions for intramuscular administration, to achieve the therapeutic effect, they should be taken for a long time, gradually increasing the dose.Like NSAIDs, muscle relaxants have a series of contraindications and can cause undesirable side effects, therefore, despite free sale in pharmacy networks, before buying them, they must consult a doctor.
Local anesthetics or medications for local anesthesia are used for the pharmacological treatment of lumbar osteochondrosis in the form of the paravertebral block called SO, when the pharmacological solution is first administered subcutaneously, and then in the area of vertebral processes affected in the projection of the presuidation of the rapid root.
By accumulating in the membranes of the nerve fibers, the medicine effectively blocks the pain signal.The therapist can certainly not make that block;For your behavior, it is necessary to contact a neurologist or neurosurgeon.
In addition, glucocorticoid solutions (GKS): hormonal drugs with an anti -inflammatory effect sometimes used for the paravertebral administration.Its local application allows you to achieve the maximum effect by minimizing the risk of undesirable side effects of the drug.Such blocking is carried out courses 2-3 times a year, a neurologist or a neurosurgeon doctor must perform them.
B vitamins "B".In any pharmacy, you can find a variety of medications in this group, both in ways for oral administration and intramuscular administration.It is believed that they have a neurotrophic and slight analization effect, however, a reliable justification for use for the spine osteochondrosis has not been obtained through evidence -based medications.
Physiotherapy for Lumbar Osteochondrosis
Unfortunately, sometimes an integral treatment that uses modern medicines, physiotherapy, massage and exercise therapy is ineffective: a person continues to experience pain, the restriction of physical activity remains and the quality of life suffers significantly.This happens in the posterior stages of the disease, when volumetric hernias are formed, often multiple of intervertebral discs.In this situation, surgical treatment is shown.In addition, surgery is indicated with the "decomposition of a hernia", when a significant compression of the spinal channel causes pain that is not composed, statusing disorders and blocking of the bladder and intestine function.In such cases, the operation is carried out in an emergency order.The purpose of surgical interventions for the lumbar spine osteochondrosis is the mechanical decompression of the spinal channel and nerve roots.
Currently, both well -known volumetric surgical methods are used in the surgical treatment of osteochondrosis and minimally invasive endoscopic interventions proposed by modern medicine using laser and radiofrequency effects, some of which can be carried out even under local pain of pain.
Having examined the main methods to treat the osteochondrosis of the lumbar column, I would like to take into account once again than the patient who asks the question "How to cure lumbar osteochondrosis?"He should trust not only for the help of doctors, but also for their own strength, understand the importance of a healthy lifestyle, in which the appropriate dose and mainly the dosed physical activity is welcome, and most importantly, a branch of victory over the disease.