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Lumbar osteochondrosis: symptoms and treatment, help with exacerbation

The loin of a person is the "cornerstone" of his spinal column. Everyone knows that the lower the pelvic area, the thicker and more massive the lumbar vertebrae. Understandable, because they have to withstand greater severity than, for example, cervical vertebrae.

In addition to its own weight, a person regularly “burdens” his weight. For example, winter clothing, together with underwear, with a shopping bag or a backpack over his shoulders, may well have a weight of 10 to 15 kilograms. And most of this weight falls on the lower back.

In addition, man is characterized by economic activity. And the transfer of goods, both in the hands and on the shoulder, on the head, causes a strain on the lumbar vertebrae. Moreover, the duration of the load is not so important as its impact force and distribution over a small area, and especially angular loads.

For example, if you sit on a couch and put yourself on a baby’s shoulders and gently stand with him, keeping your back straight, the spine will be harmed much less than when you lean your back to the side at a slight angle, with the same baby on your shoulders.

Therefore, lumbar osteochondrosis and acute conditions associated with its consequences and complications are the most common cause of back pain with which people go to doctors - therapists and neurologists.


Lumbar osteochondrosis - what is it?

Lumbar osteochondrosis

As has been repeatedly stated, osteochondrosis is a process of degeneration and destruction of intervertebral discs - depreciation “gaskets” located between the vertebrae. The lumbar discs are the thickest, but the weight that they “take over” is also serious.

Dystrophy (malnutrition) and the subsequent degeneration (destruction) of disks occurs due to increased stress during the day, weight lifting, and also as a result of aging. Osteochondrosis is a completely normal process of cartilage tissue wear, in which it loses its elasticity and firmness due to dehydration.

Therefore, in the "peacefully flowing" lumbar osteochondrosis there is nothing terrible. This change in intervertebral discs is as natural as a change in a person's face from the age of twenty to fifty, both in the photo and in reality.

Another thing is terrible : this process can suddenly begin with an attack of acute pain in the back, which “knocks out a person” from the rhythm of life and puts him to bed. Another cause for concern is the conduction sensitivity disorders, in which numbness in the leg or motor disturbances occurs, when weakness in the foot, uncertainty and “spanking” with the foot during walking and muscle weakness appear.

All this - signs of osteochondrosis of the lumbar spine, which appeared during its exacerbation.

The modern name of the set of signs of osteochondrosis is dorsopathy, or “back disease”. This definition includes:

  • discogenic disorders (protrusions, hernias);
  • reaction of the adjacent vertebrae (development of osteophytes);
  • the influence of muscle tissue (spasm and circulatory disorders);
  • remote sensory disturbances and movement disorders.

Causes of lumbar osteochondrosis

Causes of lumbar osteochondrosis All the causes of lumbar osteochondrosis "lie on the surface." Therefore, we will not draw the attention of readers to them, but restrict ourselves to a simple listing:

  1. The first and most important reason is our walking on two legs - it freed our hands for labor and created our civilization, thanks to this fact it became possible to write this article. As a result, the load on the spine increased, which the four-legged mammals do not have. It can be said that osteochondrosis is a human disease;
  2. Excess weight, obesity. It just “helps” to finish off intervertebral discs;
  3. Excessive physical exertion (weightlifting), lifting and carrying weight in everyday life (digging potatoes, moving furniture). In this sense, the work of the loader is professionally harmful for the risk of developing the disease;
  4. Bad habits, "sedentary lifestyle."

Symptoms of osteochondrosis of the lumbar spine

Symptoms of osteochondrosis of the lumbar spine

As already mentioned, the "osteochondrosis" itself, occurring in a healthy body, does not interfere with life at all. But with a significant destruction of the disks, the reaction of the surrounding tissues and nerves, a “unfolded” picture appears.

Not necessarily all the symptoms will occur in a particular case, but most coincide with the characteristic picture:

  • Pain in the lower back with osteochondrosis is very common. There are neurogenic and muscular pain. The intervertebral disk itself does not hurt, since nerves and blood vessels are absent in the cartilage. The pain is caused in the case of compression (squeezing) of the destroyed disk of the nerve root leaving the intervertebral foramen.

There is a very sharp pain or "backache", lumbago. A man with a gasp grabs the waist and freezes, afraid to straighten. This pain soon acquires a “root” character, as the nerve root swells, and it “lacks space”.

Therefore, the slightest shaking of the body leads to increased "radiculitis": shooting pains are provoked by coughing, sneezing, laughing, moving, trying to straining.

  • Pain also occurs due to the involvement of the back muscles in the process of edema.

In this case, the delivery of glucose and oxygen to the large muscles of the back and the outflow of venous fluid with muscle waste products are impaired.

As a result, muscle tissue experiences a double “stress”: chronic oxygen and nutritional starvation, as well as self-poisoning with unstuffed lactic acid, which is formed during muscular work.

At the same time, the muscle responds to this in the only way: a contraction that takes on the character of chronic spasm. As a result, there are nagging pains in the back, a feeling of stiffness, at a considerable distance from the disc, which caused an attack of pain.

  • Conducting disorders are important in the chronization process. In the event that the ruptured intervertebral disk has formed a significant hernial protrusion, then it is already able to press on the nerve root itself.

If earlier compression of the root was described by edema, now there is constant pressure with hard cartilage.

Symptoms of lumbar osteochondrosis

This causes progressive disturbances in the conduction of nerve impulses from the spinal cord to the executive organs (muscles), and in the opposite direction - from the muscles, the skin to the spinal cord.

Efferent and afferent disorders arise, appear:

  1. Complaints about the change in sensitivity (numbness and decrease in sensitivity on the lateral surface of the thigh - in the form of stripes), pain that descends from the buttock below the knee and below. Sometimes there is a feeling of "crawling goosebumps" in the toes, sometimes a decrease in temperature and pain sensitivity in the same zone;
  2. Movement disorders occur with constant compression of the hernia of the centripetal, efferent nerves. There is a weakness and uncertainty in the muscles of the leg and foot. Uncertainty appears, and the impossibility of standing on toes and heels, the foot begins to “slap”, the hypotrophy of the muscles of the leg on the affected side develops (the thickness of the calf decreases).

It is this process in a neglected state that leads to disability, because a person cannot walk fast, and even less so run.

It so happens that the most vulnerable place in the lumbar spine is its place of reliance on the immobile sacral bone located in the middle of the pelvic ring.

This place in the anatomy is designated L5 - S1, that is, the gap between the fifth lumbar (lowest) and the first sacral vertebra.

The fact that all human sacral vertebrae grow together into one bone is implied. Sometimes, however, such anomalies arise as lumbarization and sacralization.

In the first case, in the lumbar region there are 6 motile vertebrae, due to the separated sacral, and in the second, 4, since the last, 5th lumbar vertebra loses mobility and grows to the sacral bone.

Also in this place often there is a "sliding" of the upstream vertebra forward (antelistez) or backward (retolisthesis). All these disorders lead to a worsening of the situation in the back.

Exacerbation of lumbar osteochondrosis, what to do?

Exacerbation of lumbar osteochondrosis

First of all, you need not to bring to the attacks. But once a lumbar osteochondrosis exacerbation happened, the following appointments should be made at the pre-medical stage:

  1. Completely eliminate physical exertion;
  2. Lie in a comfortable position on a hard surface, eliminating sagging back;
  3. It is desirable to wear a semi-rigid corset, for the prevention of sudden movements and "distortions";
  4. Bending of the legs in the knees on the side of the lesion reduces the tension of the nerve trunks and reduces the severity of pain;
  5. At the lower back, you should put a massage pillow with plastic needle hipplicator, or use the Lyapko hipplikator. You need to keep 30 - 40 minutes, 2-3 times a day;
  6. After that, ointments containing NSAIDs (“Dolgit - cream”, “Fastum - gel”), ointments with bee or snake venom (“Nayatox,“ Apizartron ”) can be rubbed into the lower back;
  7. After rubbing on the second day, you can wrap the lower back in dry heat, for example, a belt of dog hair.

A common mistake in the treatment of attacks of lumbar osteochondrosis is warming in the first day. This may be a heating pad, bath procedures. At the same time, the edema only increases and the pain with it. It is possible to warm only after the “highest point of pain” has passed. After that, the heat will increase the "absorption" of edema. This usually happens on days 2 to 3.

Lumbar osteochondrosis treatment - drugs and exercises

Lumbar osteochondrosis treatment drugs

Drugs therapy is added to the above principles of treatment of lumbar osteochondrosis on the first day, and after improving therapeutic exercises and procedures, a complex of exercise therapy for osteochondrosis of the lumbar section, massage, manual therapy and various physiotherapeutic techniques.

Medications are preferably administered intramuscularly, especially in the first days of the disease. Apply to:

  1. Nonsteroidal anti-inflammatory drugs to relieve swelling and inflammation: Movalis, Ketonal, Ksefokam;
  2. Central muscle relaxants ("Mydocalm", "Sirdalud") - reduce muscle tone and relieve tension in the muscles;
    Vitamins of group "B", for example, "Milgamma".

The use of chondroprotectors does not change the duration of disability and the percentage of indications for surgical treatment, therefore, the effectiveness of their use has not been proven.

Exercises in osteochondrosis of the lumbar spine should be started carefully, without burdens. It is ideal to begin physical therapy in the water, while "lifting" the load from the spine. This is “medical aqua-gymnastics”.

therapeutic aqua-gymnastics

With the ineffectiveness of conservative treatment, an operation is required, during which the destroyed part of the disk is removed, the compression of the nerve roots is relieved, and a small elastic prosthesis is inserted.

Indications for surgery are persistent and uncapable pain, as well as the progression of weakness in the foot.

Complications of osteochondrosis of the lumbar spine

Above, we described complications in various sections: these are protrusions and hernias, the appearance of acute back pain, the progression of sensory (pain) and especially motor disorders.

What is sad, often treatment and preventive measures for osteochondrosis do not begin among full health, but only when there are complications, manifested by severe pain and dysfunction.

Prevention of lumbar osteochondrosis

Osteochondrosis of the lumbar spine, the symptoms and treatment of which we have described, needs little to never annoy you:

  • Avoid hypothermia, especially in the autumn - spring period, falls in winter;
  • Do not lift weights, but only carry loads with a straight back, in a backpack;
  • Drink more pure water;
  • Do not get fat, your weight should correspond to height;
  • Treat your flatfoot if you have one;
  • Do regular physical gymnastics;
  • Intervertebral discs like when they take off the load. This may be hanging on the bar, or swimming;
  • Regularly (once every five years), you can take a X-ray of the lumbar spine in two projections, or perform an MRI to know if the enemy is "hiding." Then you will think before lifting weights;

If you follow these simple recommendations, you can keep your back healthy and moving for a lifetime.

2016-12-07 08:14:11
Very bad back after childbirth. saw painkillers. Then they took a picture, found chondrosis. We have written milgamma + mydocalm + elbon. Immediately feel better. And painkillers, they say, it is better not to drink at all, only side effects will be.
2017-03-03 05:26:58
Kolola and Milgamu and Mydocalm and Movalis and Alflutop. All the same, it hurts. What kind of elbon is this? Pharmacies do not know about it. Maybe she helps?
2017-03-03 08:07:04
The usual dietary supplement is elbona. Therefore, in pharmacies do not know.
2017-04-15 04:15:49
Elbon is not a dietary supplement, but our domestic drug. No worse than imported Dona. And do not know because inexpensive and sell unprofitable. See for yourself - there is nothing cheap on the shelves now, they are cashing in on our illnesses.

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