Pain in the back and lumbar region is one of the most common complaints in medicine.It is second in the number of appeals, only second after respiratory diseases.Many diseases can cause pain in the lower back, but often the cause is the osteoarthritis of the lumbar region.How to treat such a disease, the symptoms and signs it owns will be considered below.
Not long ago, health science believed that osteoarthritis in the Lumbosacral Department occurred exclusively due to age changes that bring vertebrae and disc.However, today age characteristics are not special, osteoarthritis of the lumbar spine is diagnosed in patients in different age groups.Up to now, the cutting age is considered to be more than 25 years
The cause of the appearance of osteoarthritis in the lower back
It is impossible to name the exact reason, almost always a comprehensive impact of different destructive factors, in which the most important factors can be distinguished:
- Comply with a passive lifestyleIn terms of engine operation.According to their own will, the motionless people, for example, spend hours on computers, do not receive useful loads, which is why Corset Corset's muscles occur and the load on the vertebra increases.In addition, it is almost always such a entertainment game that is related to a long time in false and unnatural postures.
- Hormonal problem, leading to violations with metabolism, affecting the metabolism of the tissues of the spine on the lower back and contributing to the destruction processes.This also includes endocrine diseases.
- The presence of congenital deviations or obtained, when the skeletal muscle system goes through certain changes.This can be reflected in the loads increased on the spine, for example, the patient has the presence of flat foot, curvature of the leg or spine.
- Chronic increasing loadOn the lower back.Here, among the risks are those who have a number of professional activities, often related to lifting weights.This also includes professional athletes who are constantly exposing their bodies with the highest load.
- Meals are weakened and daily habits.This also includes frequent contact with stress.These factors are reflected in metabolic processes and affect their periodic force recovery.
The level of lumbar osteoarthritis
The above pathological factors gradually lead to manifestations of the disease.However, it can manifest in different ways, almost no initial symptoms or with discomfort in late development.Consider the main level of Osteochondrosis:
- The situation in which the jet nucleus moves in the Intervertebral plate.It is characterized by the pain caused by the stimulation of the nerve roots of the yarn and vertical ligament.Uncomfortable feeling locally at the place where a plate is defective.Pain may be sharp for those who are bastards, or permanently dumb.
- When the fiber layer of the disc is destroyed, there is an increase in the mobility of the elements of the spine in this area, they become unstable compared to each other.In order to eliminate these pathological manifestations, it is necessary to constantly keep the muscles of this area, resulting in chronic fatigue in the lower back.
- Next, there is a breakthrough in the fiber, which is why the nucleus escaped from the plate, forming the Intervertebral hernia.Such a case will come with the excess of the ends of the nerves, called the "piercing syndrome".
- The next degree of osteoarthritis of Lumbosacral Department occurs with a serious deformation of the spine in this section.There are problems with the ability to exercise, but the pain syndrome, strange enough at this stage, deposits.However, you should not be happy, this is not completely about the faintness of this disease.
- The final level is characterized by the pathological development of bone tissue and the general decline.
Based on the level of osteoarthritis of the lower back, some treatments are used.
Symptoms of osteoarthritis in the lower back
The main symptom is the battle syndrome in the lumbar spine.At the same time, the feeling of the pain, their localization region and the direction they spread may vary.This is due to the fact that based on the level of damage to the disc and surrounding fabric, some nerve receptors are uncomfortable.In addition, the role is closed by the presence of protruding or directly hernia, the direction of its protruding and many other factors.
The main symptoms for osteoarthritis of the lumbar spine include:
- The presence of lower back pain, tends to increase according to the ability to move strongly or vice versa, stay without changing posture for a long time.The pain is drawn if you have a horizontal position.
- In addition, the weakness in the body is likely to be under the abdomen, including the lower limbs, as well as the dull veins of the leg.
- There is a high probability of the presence of curvature in the lumbar spine.There is a classification of such curvors, for example, with the emphasis on the right or left side, they talk about scoliosis, Lordosis is called a bend ahead, and Kyphosis is called when bent naturally, as it has been smoothed.
- With the serious development of the disease, spinal channels are possible, which can cause its dysfunction and bring untreated urination and stool.
Among the additional symptoms, they noted:
- The presence of numbness and the "cold" of the skin of the lower back and buttocks.
- B sharp, dry and green skin in the same place.
- Weaken urination.
- The problem with an erection.
The presence of these symptoms will warn one person, you may wave to them, which will lead to greater negligence.In this case, you should definitely consult your doctor for accurate diagnosis and treatment.By the way, treatment may be in the hospital and in the family environment, but more about that later.
Diagnosis
In diagnosis, it is important to understand the level of disease that appears.The easiest way is to touch the lower back with the identification of pain areas.Usually, this method is incorrect and in addition to conducting exams that provide a more detailed clinical picture:
- Equal to X -ray, cheap and popular methods, can assess the status of both spine and individual vertebrae, for example, the waist area is being considered.This technique is not very accurate, it only allows an indirect understanding of how the disc and spine canal integrated.
- Computer class cuttingA more accurate method to assess the extent of damage to the disks between the vertebra, nerve roots and channels and the spinal cord.
- Magnetic resonanceThe most accurate method offers a complete picture of failure in details, but quite expensive and unable to access.
It should be noted that the diagnostic process is very important, because for a doctor, when prescribing treatment tactics, all details of osteoarthritis develops are very significant.
Complications for osteoarthritis
The main complications of the pathology are hernia and protruding, necessarily arising, if you neglect the treatment and let the development of the disease with the device.Other complications may be:
- Sciatica.
- Spondylarthrosis.
- Schmorl hernia.
- Spinal disease.
- Problems caused by spinal channel pinch.
- Functional disorders in the pelvis.
- Development of change.
Treatment of osteoarthritis in the lower back
With the diagnosis of osteoarthritis of the lumbar spine, there should be a range of therapies, the main aspects will be:
- The use of moderate load.
- Special medicine.
- The traction of the spine.
- Manual therapeutic session.
- Physiotherapy.
- Massages therapy.
The concept of "treatment" for osteoarthritis implies:
- Inhibition of inflammation.
- Eliminate pain syndrome.
- Complex to strengthen lumbar and adjacent groups.
- Eliminate chronic muscle tension.
- Increase the function of organs in the pelvis.
- Normalization of blood circulation and metabolism in the pathology area.
Drug treatment
A similar approach to the treatment of osteoarthritis on the lower back includes medication, special injection, use of ointment and gel for external use.The main task of such drugs is to disable pain and inflammation.
Based on the level of osteoarthritis of the spine in the waist area, the following drugs can be prescribed by the doctor:
- An analgesic analgesic effect.
- Preparation against inflammation of non -origin.
- With muscle spasm, Antispasmodics.
- Drugs to recover cartilage, called chondroprotector.Their effects are not proven, so they are rarely used in traditional medicine.
- In case of serious pathology, when these funds do not help, use corticosteroids.
- Vitamin complex.
In addition to these funds, the drug is specified in tablets, its purpose is to soothe the nervous system, struggle with stress and depression.
Treatment of physiotherapy for osteoarthritis in the lower back
The treatment process is rarely limited to taking medication.The pathology is being considered incurable without stimulating the recovery process of the spine.For these purposes, a series of physiotherapy processes used, the most common are:
- Phonophoresis.
- Therapy with diapernamic flow.
- Laser therapy.
In addition, the spine must be provided with useful load, and fragment it.Many types of therapeutic massage are ideal for this.Remember that massage is only used to eliminate pain.As a rule, it is taken as a recovery measure with the disease relief, or with chronic osteoarthritis.After massage, the muscles due to relaxation, its effects will increase significantly when heated simultaneously, for example, in a bath or sauna.In the second case, we will be the maximum effect due to the stimulation of blood circulation in the pathology area and surrounding areas.
Another physiotherapy method is manual therapy.Its advantage is generally like a massage, but in addition to such techniques, an expert can bring the vertebrae to relocate to a normal position.
Gymnastics for therapy
Exercise is also used as a recovery and prevention method in the stage where the pain and inflammation process have been removed.Ensuring the high efficiency of treatment exercises according to the regular calculation of the exercises, in this case, the damaged area will continuously receive the necessary movement activities for the creation of new tissue and recovery.
Surgery for osteoarthritis in the lower back
Surgical surgery is an extreme measure prescribed for serious complications.This is the most often among this is the Intervertebral hernia when performing the body's removal surgery or the disk removal of affected discs is performed.However, very effective operation is extreme, its purpose only occurs if other treatments do not work for more than 6 months.Modern medicine also provides less injury methods to perform such an activity, for example, a microsurgical or laparoscopic method.