Osteochondrosis is the most severe form of spine, with the participation of intervertebral compounds, intervertebral compounds, disabled compounds and nervous systems and the nervous system and blood vessels, the most severe lesion of the spine.
One of the most common forms of osteocondrosis, osteocondrosis of the waist region or more accurately, lumbosakral waist.Many - both men and women - in the lower back, sacrum, low extremities, different types of lumbar osteocroskroskroskroskroskroskroskroskroskroskroskroskroskroskroskroscrosing and back pain caused by its complications.Among the reasons for temporary disability and disability This disease is one of the first place.
The course of the disease is chronically, usually with periods of complications.Most, the exacerbation of osteocondrosis of osteocondrosis of the lifting of lifting and weights, hypothermia, stress and injury.
Lomber Spine Osteocondrosis - Reasons, Homeship and Development Mechanism
Osteocondrosis did not have a unequivocal cause, the disease is considered polyphaver.The most popular theory, the cause of osteochondrosis of the spine, the permanent extreme of muscles or hypothy, which causes the effectiveness of spinal segments, resulting in the deterioration of the spinal segments and deterioration of joints, osteocondrosis.
The development of endocrine and metabolic disorders, osteochondrosis, autoimmosis, autoimmoz disorders and microtraima disorders and microtraima can be inclined to the development of osteocondrosis, osteochboard disorders.The adverse role in the development of pathologies in the development of the osteochondrosis of the osteochondrosis of the spine has been proven.The important role in the development of the disease applies to negative heredence.The contribution of hereditary factors in the appearance of the pawnshop is about 60%, the rest of the spine applies to negative effective factors.
There are many factors contributing to the development of osteocondrosis in other parts of the lumbar and other parts of the spine.Their foundations: the correct posture, hypodinamia, thus the gravity, obsolete, hormonal reconstruction, endocrine and somatic diseases, emotional stress, as a result of poor nutrition, as a result of normal blood supply.Under the influence of these factors in the structures of the spine, thirsty and blood circulatory disorders, arthrosis and subluxation processes, bone growths and discs - ruptures gradually increase.
The most open reasons for Lomber Osteocondrosis are the most sedentary lifestyle and the back are considered damaged.Therefore, the risk group includes people primarily directly related to cargo on the back.These are very wide professions - sales and waiters, surgeons and teachers - are all who have to stop most of the time.The risk group includes builders and athletes in the nature of the action, as well as the nature of the activity, large loads in the waist.In addition, drivers, various office workers, programmers -, ie those who suffer from workers and hypodynamia, are suffering from Osteocondrosrosis.
Symptoms of the osteocondrosis of the lomber spine
HorseLomber OsteocondrosisPainful feelings of different nature are possible.This may be a pain that occurs after a long seat or sleep, as well as a sharp shooting, as well as in the most disturbing pose.The irritation of the irritation of the muscles and ligaments located in the innervation zone of pain nervous roots, spinal column, edema and waist bones, irritation and irritation of ligaments.
Pain syndrome radicemic structures (radicalopathy), the cunning of the spinal cord (compression of compression, creation of the spine, the help of the spine and the narrowing of the spine and blood vessels (compression-vein myelohemia).
There may be a reason for compression: the exit of intervertebral disks and the briefcaseOsteocondrosis of the Lumbar regionThe spine can occur in cerebrospinal nerves or vascular structures and under certain conditions (awkward movement, a failure of the body, etc.), compression (compression).The compression of nervous structures causes various pain syndromes and muscle spasms.Compressing blood vessels causes violation of blood supply - this ischemia of the body, which is nourished from the ship or the artery.
Clinical syndromes of osteocondrosis of the lomber spine
Clinical picture for the pawnshop Osteochondrosis is determined by the symptoms that are understood as a change in the statistics and dynamics of the spine) and a violation of the function of nevroological and valleys in the lumbosacral region of the spine.
Vertebral syndromes of lomber osteocondrosis
With the pawnshop osteocondrosis, the vertebrate syndrome is characterized by the following symptoms complex:
- Configuration of the spinal functional-anatomical segment of the segment of the spine: Lordose or scoliosis or lordoscoliosis are observed or (less) increased;
- Muscle-tonic imbalance caused by tension of mobility in the Lumbar region, reducing the volume of actions, both in deep and superficially;
- Reflex local pain and pain with active and passive actions that cause tonic muscle tension;
- both intervertebral disk and in general, a violation of spring motor functions in general;
- Bone-ligamament structures of spine in the affected area (growing sensitivity) (pain, local (regional) vertebral and / or vertebrosonal pain syndrome).
It is important to note that with the osteocondrosis of the Lomber branch, vertebrate pathologies are always observed.The presence of myelopathy, radiculopathy and myeladiculopathy in the open clinical and morphological symptoms of vertebral syndrome, as a rule, damage the patient's primary ("-no-venter"), nervous system.
Extremes for the osteocondrosis of the lomber spine (reflex and compression)
Extrotebral syndromes are divided into two large groups: reflex and compression.
Reflex syndromesThey are caused by the irritation of receptors of the receptors of the roots of the nerves formed from the spinal canal through compression and intervertebral holes.The irritation can cause intervertebral hernia, bone growths, as well as vascular disorders (edema, blood circulation) and inflammation.In some cases, it causes intensive pain that is not only local but also nervous in the nervous period - it can be "reflected pain", reflected pain, or stupid length) or stupid.In the innervation zone of the damaged nerve, plant riots (burning, corn, defective sensitivity) are possible.Myofascial pain is possible - muscle spasms that cause to limit the actions.
Reflex syndromes are declining in lumbalgia ("Shift"), the sharp development of the disease and in lumbalgia, which is a subacutive or chronic course.
Compression syndromes, compression, nerves violation, violation of blood vessels, are syndromes that occur as a result of the violation of the spinal cord in the area of Lomber spinal segments.Compression syndromes for osteocondrosis of the lumbosakral department are divided into radicular and vascular brown.Compression syndrome is a special case of myelopathy - a violation of the spinal cord.
The remedy syndromes (radiculopathy) are generally due to the protrusions of the disk causing cerebrospinal roots.In this case, radical symptoms correspond to the level of the affected vertebral segment.Most, the roots of the L4-S1 are affected.
Vascular-brown neurological disorders are caused by the torn in the root artery in the root artery.At the same time, the disaster can develop a disaster characterized by paralysis of the disaster, peripheral parez or the muscle of the leg.In such cases, the appearance of motor disorders is accompanied by the disappearance of pain.
Even more serious neurological manifestations cause blood supply to the spinal cord, which damages radicular-spinal arteries.Meanwhile, chronic colorless myelopathy is generally developing at the level of lumbar thickization of the spinal cord.
The most unfavorable version of Lomber radical syndromes is the compression of "Horse Tail" - this is so much-caudal syndrome.Most, this causes the disk that falls into all the roots in the level of the affected segment.
What is the osteocondrosis of the lomber spine?What are his symptoms?How to treat the osteocondrosis of Lombber?
Clinical classification of osteocondrosis of the Lombber region.The degree of osteocondrosis
The classification of the pawn bar is used for systematic characteristics of clinical manifestations of the disease.This classification systematically describes the symptoms of the disease and begins with the patient's pain.
1 degree osteocondrosis
The intervertebral disk caused by an acute action or braces occurs when it occurs.It is a sudden pain, the sense of electricity in the waist, the feeling of electricity, the muscles are escalated.
2 degree osteocondrosis
The second degree intervertebral protrrusion and can indicate itself in the form of signs of the waist instability.Chronic pain increases in loads.Displays of remission and complications are alternative.The cervical region is characterized by pain in the neck, in a position, headache, pain, shoulder pain, periodic anxiety or shoulder pain, periodic anxiety or numbness.For the Lombber region - back pain, back pain, pain in the gluteal region, periodic pain in the sacrum, frequent fatigue in the feet.
3 degree osteocondrosis
The intervertebral disk (affected nerves, arms or legs, headaches) or distant signs of intervertebral hernia, dizziness, dizziness shows itself in the form of noise, dizziness, muscle power.Heart rhythm breakage, having difficulty breathing;
4 degree osteocondrosis
From the moment itself does not already show itself, the fourth rate of osteocondrosis can reduce the manifestations of the disease, but the symptoms of the landslides or twists are still compared to each other.The images of the growths of onbral objects (osteofitants) can join them, which can squeeze the spinal nerves or squeeze the spinal cord in the spinal canal).In addition, the results of surgical intervention (various innervation, parez, inflammation) if the fourth degree is immediately removed from the hernia.
Treatment of osteocondrosis of the lomber spine
With the first sharp back pain, you need to consult a doctor to make a diagnosis to exclude the attack of any other disease that requires renal colic, appendicitis or emergency medical care.
If the cause of the back pain is known and this exacerbation of the osteocondrosis of the waist will be maximized, first of all, the waist burden.The bed rest should be observed for 3-7 days - sometimes only these pain can significantly reduce pain.But to speed up recovery, this is effective, the treatment is.The human body must stimulate its protection and health processes.Treatment should take into account the lympalization of the lesion, the phase of the disease, the functional state of the body and individual systems.The surgical treatment of this disease is displayed only in very difficult cases.Most osteocondrosis are used in various methods of conservative treatment.
Conservative Treatment of Lomber Osteocondrosis
Conservative treatment methods are primarily medicinal treatment.To reduce pain, as well as to reduce inflammation, as well as the cause of vertebral syndrome, non-meter anti-meter drugs (NSAID), in sharp cases - in sharp cases - are determined in the form of injection.Sometimes after injection, an analgesic, the pain is calm and the drug does not continue even when the medication expires.This, which in turn, which causes pain to muscle cramps and muscle tensions of the pain, and strengthens the pain.However, if the pain lasts for a long time, the NSAID can generally lead to various side effects and long-term use - reduce the number of leukocytes in the blood, reduce the consequences of the gastrointestinal tract.
Often, sedative (soothing) agents are determined to improve the general state of patients in 1-3 weeks, as well as all of the antidepressants with small doses.Lomber is produced by the osteocondrosis of the spine, where necessary, Novocaine blockade.Recently, the drugs of anticonvulsions began to use the pain to eliminate pain.
Compression syndromes, hand therapy, traction treatment (spinal stretch) and are used in special cases - surgery.
Weaken the fixing features of the spine's ligament and sequence devices, from correcting devices - corsets, collars, dressing, etc.It is recommended to use, because only limited time can be used, because they are used, the muscle is observed.Patients with spinal osteochondrosis are very important to strengthen their muscle corsets in the future.
After removing acute symptoms, the task of creating a muscle fixation in the first place, then stimulates the regeneration processes of damaged structures.Use therapeutic gymnastics, reflexology, massage to do this.Use chondroprotants to do this (drugs to restore cartilage tissue).Injurse, vitamins, vitamins, the group, which improves the condition of blood vessels, primarily, increases calcium preparations that improve the situation of bone tissue.
Physiotherapy procedures are widely used to treat the osteocondrosis of the spine.Reduces tissue pain and edema, improves blood circulation and stimulates muscle fixation.Procedures can be combined, alternative.Such methods of physiotherapy treatment:
- Daronalvision of the affected territory of the back and affected extremities;
- Electrophorez;
- Lower -Energy laser radiation;
- ultrasound;
- exposure to the magnetic field;
- Heat procedures.
Sanatorium, mud, ozokeritic, paraffin applications, radio, sulfide, hydrogen sulfide, turpentine and other baths;
It is quite a long time for the development of complete recovery, a very long time under favorable occasions in the sixth month.Therefore, treatment should be long.This should be carried out in a combined way, that is, medications with physiotherapy and physiotherapy exercises are combined medications.