Acute pain in the lumbar area, against the background of osteochondrose spine, the problem is the problem that the vast majority of people face.Arrival to us "As a reward" for our immediate activities (due to an axial burden in the spinal column), this disease is rather or later affected by the planet, the only question of how fast it happens and how fast it expressed symptoms.Such "skinny" statistics force this pathology to socially significant diseases, and the fight against it should be the task of not only individual persons suffering from the disease manifestation, but also the world health system as a whole.Therefore, the question of the treatment of osteochondorosis is a very relevant topic.
So what is osteochondrose?Remove briefly how the development of the disease occurs.In their name, if you translate from the Latin, the structure that change with osteochondrose are certain: bone and cartilage.In order to depreciate and resistance to vertical loads, nature located between our vertebrates and the peculiar fibrous-cristovs "pillows" -interntebral disks.Their diet is made in childhood due to blood vessels, which are lost in approximately 25 years, and the diet begins to be diffuse because of the surrounding muscles.
In the pathological loads on the spinal column (sitting work - excessive physical activity), the interviolent disk loses elastic and depreciable properties, reduces the structure of vertebrae, pathological growth and canvas), mobility is disturbed.Affected area of spine.In the late phases of the disease, the central part of the intervertebral disk, thus - the correlated core jacket, the piercing the fibrous ring, forms its type of bag between the vertebral bodies - intervertebral hernia.The hernia can cause the nerve root compression next to vertebrae, an intense pain in the compression zone appear, as well as in the area of the landscaped nerve.Due to the constant irritation of nervous plexus, reflex graph appears to be called protective defense in medicine, which in one hand protects the spine of excessive movement, and on the other hand increases compression, edema and pain in the affected area.
In a large majority of cases (90%) pain with osteochondrose (even extremely spoken) because of muscle spasm!In other cases, the cause of pain is a compression of the nervous root or spinal cord directly to the intervertebral disk steel.
Osteochondrosis of lumbar spine: How to treat
Of all parts of the spine, and there are a total of five (cervical, chest, lumbar, sacral and coccilatas), due to the largest cargo engine, lumbatally suffers from the disease manifestation.The osteochondrosis of the lumbar spine has bright symptoms known to everyone, and its treatment is a significant social task, because the quality of life is worse not only older people, but also active people working age.
The pain can be localized directly in the lumbar region, as well as on the front surface of the thigh, or along the entire rear or outer surface of the legs, sometimes on your fingers.It often hurts to be gluteally, cross, crotch, and sometimes can be localized only in these areas, dress up in the disease of genitourinary sphere and intestines and making the creation of the correct diagnosis.The intensity of pain syndrome can be so high that a person loses the ability to make the most desirable movements, takes forced pose and loses a normal dream.It's just the same radio radio that has long been synonymous with the disease in wide circles.
Limiting motorcycle activities.Common movements and sensitivity in the limbs are injured, muscle convulsions, parestrics (punch sensations, ignition "crawling goosebumps") occur.
Breach of the function of pelvic authorities.With intensive radio culinary syndrome, known to all as radiocolito or with massive royalty, urination and intestinal work can even disrupt, causing heavy pain in the patient.
Treatment of osteochondrose Lumbar spine often becomes a difficult task for both patients and doctors.Any person who suffers from this illness asked questions: "How to treat osteochondrosis of the lower back?", "If doctors contact?", "If the tablets and fat with lumbar osteochondrose do not help - how to treat?".
The following doctors will help be eligidated by deterioration and prescribe competent treatment: therapist, neurologist, medical massage specialist, hand therapist, physiotherapist and, if necessary, surgical treatment is neurosurgery.
Ways to fight osteochondrose of the lumbar spine
The main thing in the treatment of osteochondrose is the true lifestyle!In people who are actively and properly involved in physical culture and supervise the spine, the back never hurts!Unfortunately, few people follow these simple truths.
By analyzing this problem you can highlight:
- medications;
- Not -rug.
Methods of Invision for Treatment of Pathology Lumbar Spine
- Interfering with actions.Their performance lies in the name - the use of different applicators, massage mat and rollers, woolen belts, "Losing" due to surface nervous endings and blood vessels slightly reduces muscle cramp and pain.These methods can be used as ancillary but insulated uses to deteriorate osteochondrose lumbar regions without systemic treatment with special medications is inefficient.
- Immobilization means.These funds are understood as the bandages of different designs, which is worn in protect your spine from sudden and "dangerous" movements and redistribution of the cargo during static work.Immobilization can be purchased in medical equipment stores and pharmacy, before buying is advisable to consult a doctor to help determine optimal design, stiffness and completion of bend in your situation.It is recommended to use them only during exposure to harmful factors (excursions using wheels, sitting work and thus further), from extended use causes muscle hydrotrophy.
- Medical Physical Education (Exercise Therapy)- An integral component of complex osteochondrose treatment.Performing exercises focused on the maintenance of muscle tons in the back and removing pathological muscle cramps Help and maintain motor activity, reduce the intensity of pain syndrome.Significant plus exercise therapies is that after the training instructor, a person can do a daily exercise on a daily basis, as well as in the existence of expensive exercises that apply even with the worsening process.The most efficient method of therapy with exercises is Mehotherapy - class on simulators according to an individual developed method, because the formation of the muscle corset should be done with weights.
- Massage- known from the ancient times, the most common and, perhaps, the most common way to prevent and treatment, however cannot be used in the stage of deterioration of osteochondrose lumbar.In addition, only a specialist with medical education, who knows the anatomy and physiology and possession of medical medical massage techniques, should be massaging with osteochondrose.
- Hand therapyIn recent years, in recent years in recent years, the competent professional can have a significant effect of healing, and even eliminate exacerbation of diseases for a long time.It is also important to remember that in handy of the manual therapist, spines (radiography, calculated or magnetic resonant image, osteodensitometry) to provide a doctor to assess the prevalence and severity of the process and exclude possible contraindications for manipulation.Like a massage, hand therapy and osteopathy have a number of contraindicates, for example, a pronounced compression of the nerve root, pure subbreds.In the acute period of osteochondrose of the lumbar region, usually soft techniques of manual therapy (muscle relaxation and so on) are used.
- Acupuncture.Based on the results of recent studies, the use of this method of methodology popular in wide circles is considered to be evidence unreasonable for osteochondrose of the lumbar spine that does not remove the symptoms of the disease and refers to non-traditional treatment methods.
- Physiotherapy, involved in national clinical recommendations and standards for the provision of medical care for osteochondrose, has long proved their efficiency in the treatment of this disease.With osteochondrose of the lumbar spine, electromizing, amplipulse therapy, shock-wave therapy is used intracamic mystimuration, laser therapy.Magnetotherapy remains a popular method in complex treatment.His advantages include good tolerance and a small list of contraindices, the possibility of use in an acute period of the disease.Acting on all connections of the pathological process, after several actions significantly reduces pain and allows a person to expand motor activities.In addition, improving the trophy of the affected tissues, it slows down the progress of the disease.The unconditional advantage of this method is the possibility of its independent use by the patient outside the walls of the medical institution.
But if all the above methods of the attack were inefficient - how then to treat lumbar osteochondrose?
Medicine treatment
Diseases include the appointment of the following healing groups.
No - Evil anti-inflammatory drugs (NSAIDs) are produced in local (gel, fat, cream) and system use (tablets, candles, solutions for intramuscular and intravenous administration).Their shop is based on blocking the inflammatory process at the enzyme level, as a result of the edema in the lesion area eliminated, and pain syndrome is significantly reduced.
In the early stages of the disease, there is enough local use of NSAID in combination with Nevalley methods (therapeutic exercises, magnetotherapy).With the pronounced pathological process and intensive pain syndrome, you need to resort a pill, and sometimes injecting the forms of medications.
Unfortunately, having a good anti-inflammatory and analgesic effect of the NSAID, with extended systemic use, development and deterioration of ulcerosic erosive processes of the gastrointestinal tract, as well as a damaged kidney and liver function.Therefore, patients who take the NSAIDs need longer than drugs that protect the stomach and regular laboratory liver and kidney control.
The relays of system muscles, ie drugs that relieve muscle spasm.The principle of their action is in the title: the relaxation of spasmodic muscles helps in reducing the compression of nerves and blood vessels, edema in the damage zone - blood circulation and improvement decreases;Due to the reduction of muscle defense, the voltage of the ligamental apparatus reduces - a sting (protrusion) of the intervertebral disk reduces - the pain of the subso, the volume of the movement increases.
Musorelaxes for the treatment of osteochondrose spine are manufactured in the form of tablets and solutions for intramuscular administration, in order to achieve a therapeutic effect, they must be taken for a long time, gradually increasing the dose.Just like NSAIDs, muscle relaxes have a number of contraindications and can cause undesirable side effects, therefore, despite free sales in pharmaceous networks, before buying, you must contact your doctor.
Local anesthetics or medications for local anesthesia are used for lumbar osteochondrosis in the form of a thus-been charged paraiveral blockade, when the drug solution is given first, and then in the area of the process of the alleged compression of the root roots.
By collecting in the membranes of nerve fibers, the drug effectively blocks the pain signal.The therapist will certainly not be able to perform such a blockade;It is necessary to contact neurologue or neurosurgeon for their behavior.
Also, glucocorticosteroid solutions (GKS) - hormonal medicines with pronounced anti -infallammatory effect are sometimes used for paraversal administration.Their local application allows you to achieve maximum performance when minimizing the risk of undesirable side effects of the drug.Such blockades spend courses 2-3 times a year, a neurologist or neurosurgeonian doctor should be performed.
B Vitamins "B".In any pharmacy you can find various drugs of this group, both in the forms for oral administration and for intramuscular administration.It is believed to have a neurotrophic and mild analytical effect, however, a reliable justification for their use for osteochondrose spine is not obtained by evidence - transferred medicine.
Physiotherapy for osteochondrose of the lumbar
Unfortunately, sometimes comprehensive treatment by using modern drugs, physiotherapy, massages and exercise is inefficient - a person still has pain, remaining a limit of physical activity, and the quality of life is sufficient.This happens in later stages of the disease, when a volumetric, often multiple killes of intervinciscals are formed.In such a situation, surgical treatment is shown.In addition, the operation is indicated by HERNIA ", when significant spinal channel compression, statinamic disorders and blockage is carried out in urgent order. The purpose of surgical interventions for osteochondrose of the lumbar spine is the mechanical decompression of the spinal channel and nervousRoot.
Currently, both long-term volumetric surgical methods are used in the surgical treatment of osteochondrose and minimally invasive endoscopic interventions that modern medicine have proposed modern medicine using laser and radio frequency effects, some of which can be performed even under local pain.
Examining the main methods of treatment of osteochondrose of the lumbar spine, I would like to mention once more that the patient asks the question "How to cure Lumbar Osteochondrose?"They should not only rely on the help of a doctor, but also on their own forces, understanding the importance of a healthy lifestyle, in which the dosation of dosage and mostly dosed physical activity is, and the most important branches in.Victory over the disease.