The acute pain in the region of the lumbar, on the background of the common osteochondrosis problem is that the vast majority of the people. He got us The award of" the order of our bipedalism (as a result of the higher axial loads on the spine, these diseases sooner or later, affect everyone on the planet, it is just a matter of how fast you happen to be in, how pronounced the symptoms are. Such a "dismal" statistics allow us to classify the pathology to socially significant diseases in the fight against it should not be the responsibility only of the individual, who, due to illness to suffer from the symptoms of the world's health care system as a whole. Therefore, there is the question of the treatment of osteochondrosis – a topic of great importance.
So, what is osteochondrosis? Let us consider briefly the development of the disease. In your name, if you have literally translated from the Latin, but the structure changes in osteoarthritis: the bones in the cartilage. For the purposes of the suppression in the resistance to the vertical load of the nature has placed between the two vertebrae, is a type of fibro-cartilage "cushions" — the intervertebral discs. And their food is it is done from a young age, due to the blood vessels, which has lost about 25 years of age, the food, and it starts to be due to the dissolve of the surrounding muscles.
In the pathological load on the spinal column, (sedentary work, or excessive physical activity), violations of the processes of mineral metabolism in the intervertebral disc loses its absorbing the elastic properties, reduces its height, to changing the structure of the vertebrae, thus, the pathological bony growths (zamechatelnye osteophytes in the panel), impaired mobility of the affected part of the spine. The later stages of the disease, In the Central part of the intervertebral disc, called the nucleus the nucleus pulposus, a fracture of the fibrous ring, the shape, the type of saccular protrusion of the between the bodies of vertebrae — intervertebral hernia. Herniation can cause compression of the adjacent vertebrae to the nerve root, it is a serious pain in the area of compression, as well as the on-field adjustable to fit the business to the affected nerve. Due to the constant irritation of the nerve plexus reflex is there, in the skeletal muscle spasm, in medicine, called the security defense, which maintains, on the one hand, who are suffering from the spine from excessive movement, on the other hand, it increases the compression, the swelling of the pain in the affected area.
In the majority of cases (90%) the pain syndrome in osteochondrosis (even very different), due to a muscle spasm! The other, Against the cases, the cause of pain is the compression of the nerve roots of the spinal cord, or directly to a herniated disc.
Osteochondrosis of the lumbar spine: how to treat
[Spirits of the craft] Iz the components of the spine, and in five of them (cervical, thoracic, lumbar, sacral in coccygeal), whereas in the iz, to the motor most of the burden of the manifestations of the disease the lumbar. Osteochondrosis of the lumbar spine is bright, and all of the known symptoms of the treatment is an important societal issue, because that can affect the quality of life of not only the elderly but active people, who they are going to do.
Pain is localized and can be directly to the lumbar region of the well at the front of the thighs, or OVER the back of the outer surface of the or of the legs, sometimes in my fingers. They often give the pain in the region of the gluteal, pelvis, perineum, and in some cases just to be kept for these activities, the masquerading illnesses such as urogenital system, in the bowel, the result of which it is difficult to properly diagnose. The intensity of the pain, so high it may be that the person loses the ability to perform the most basic movements, the take a forced posture in loss of of normal sleeping. It's been a lot of sciatica, which has, in the wider circles, it has long been a synonym for the disease itself.
Limitation of physical activity. Not the normal motion of the of sensitivity in the extremities, occur muscle cramps, paresthesia (tingling, burning, "pins the needle").
The breakdown of the organs of the pelvis. The intense radicular syndrome is known as sciatica, is a huge Grajewo piers can also be broken down to urinate in the intestines, causing severe agony to the patient.
The treatment of degenerative disease disk lumbar area of the spine often becomes a challenge is whether or not the patient is in the doctor. Any person who, due to illness to suffer from this ask the following question: "How does the treatment of the diseases of lumbar degenerative disc?", "How to treat osteochondrosis of the lumbar spine?", "To the disk, the treatment of degenerative diseases of the lumbar part of the home, it does not help, what doctor to address?", "If you cream of the pills in a lumbar disk disease does not help - how should I act?".
To deal with the aggravation of the degenerative disc disease in the prescribe the effective treatment of the the assistance of the following physicians: therapist, neurologist, a specialist in medical massage, chiropractor, physical therapist, within the, if necessary, surgical treatment – doctor neurosurgeon.
How to deal with osteochondrosis of the lumbar spine
The main thing in the treatment of degenerative disc disease is the true way of life. The people who are active in the relevant and included into the physical culture of the witness, the spine, the back should never hurt! Unfortunately, a lot of people that meet those simple truths.
Addressing the question of, can we distinguish:
- of medicinal products;
- none of the drugs.
Non-pharmacological methods of treatment of pathology of the lumbar spine
Distraction processes. Their impact is in the name itself - the use of a variety of devices, and massage mats in cushion, woolen seat belts, "accessories" in the "rastertime" because of the impact on the surface of the nerve endings in the blood of the time, it reduces muscle spasms in the pain. This method can be used as an auxiliary, however, isolated them in the time of exacerbation of osteochondrosis of lumbar segment with and without systemic treatment with a particular medication ineffective.
Media immobilization. These tools In the context of a variety of models to understand the bandages, the wearing of which helps protect the spine from sharp in the "dangerous" developments in the redistribute the load to a static entity. The media, immobilization can be purchased at medical equipment stores, in pharmacies, but before purchasing it is recommended, that you consulted to the doctor, which will help you determine the best for your situation, design a, the stiffness of the configuration of the bandage. It is recommended that you use them only at the time of the impact of harmful factors (driving, sedentary work, etc.), long-term use of an angle causes loss of muscle.
Physiotherapy (physical therapy) , which is an integral part of a complex of degenerative disc disease treatment. The exercise of keeping a ton of the skeletal muscles of the back, in the removal of disease, a muscle spasm to assist in the renovation of the maintenance of physical activity, reduction of pain syndrome intensity. A great benefit of physical therapy is to make the learning coach is a person who can independently carry out daily exercises at home, in the existence of a set of exercises, which is also being used at the time of the acute process. The most effective method of physical therapy is a hydrotherapy session in the gym, developed a technique in particular, since the formation of the muscular corset, it is necessary to work with weights.
Massage has been known since ancient times, is the most common, the most beloved by patients are a way of preventing the healing, but it is in the phase of exacerbation of osteochondrosis of lumbar segment to not be able to use it. In addition to the fact that the massage with osteochondrosis should only be a specialist in medical education, perfectly knows anatomy, in physiology, of the technique of the skill, which is a medical therapeutic massage.
A guide to the treatment of the ever more popular over the last few years, it is performed osteopathy, a competent professional can have a significant therapeutic effect in the long-term, to get rid of exacerbations. Also, it is Important to remember that turning to a chiropractor prior to the commencement of the proceedings, which are necessary for the implementation of the instrument of the investigation of the spine (x-rays, a CT scan) or, magnetic resonance imaging, osteodensitometry) a physician for an assessment of the prevalence of the severity of the process, and to exclude contra-indications to any possible manipulation. Such as massage, chiropractic osteopathy, in some of contraindications, such as severe compression of the nerve root by the herniation, subluxation of the vertebrae. In the acute stages of degenerative disk of the lumbar the use of the disease, as a rule, the soft-hand techniques of the therapy is relaxation of the muscles, etc.).
Acupuncture has been. According to a recent study, this popular and the wide circles of the methodology of evidence-based medicine, it is considered to be an unreasonable thing to do, and in osteochondrosis of the lumbar spine, does not eliminate the symptoms of the disease, in referring to alternative methods of treatment.
Physiotherapyis included in the national clinical guidelines for standards of care in the osteochondrosis, which has long proved its effectiveness in the treatment of this disease. Osteochondrosis of the lumbar spine it uses electromyostimulation, amplipulse therapy, shock wave therapy, interstitial myostimulation, laser. The preferred method of treatment, in the remaining of the magnetic. Its advantages include good tolerance to a small list of contra-indications, the possibility to use, in the period of acute illness. It works on all of the links of the pathological process, and already after a few treatments, which significantly reduces the pain in a person, allowing you to extend your bodily activities. In addition, by improving the trophism of the affected tissue to slow down the progression of the disease. The obvious advantage of this method is the possibility of its independent use by the patient outside of a medical facility.
But, if all of the above, the non-pharmacological methods, such has been the lack of an effective - what is the treatment of a disease lumbar degenerative disc?
Medicine
The diseases include a group of the appointment of the drug:
Non-steroidal anti-inflammatory drugs (nsaids) , both available for a local government against the different forms (gels, ointments, creams), in the systemic treatment (tablets, suppositories, solution for intramuscular in intravenous). It is based on Their operation, blocking of the inflammatory process at the level of the enzymatic, due to eliminating swelling in the affected area in a significant decrease in pain.
In the early stages of the disease there is sufficient local use of nonsteroidal anti-inflammatory drugs in combination with non-pharmacological methods (physiotherapy, magnetotherapy). When expressed in a pathological process, in the strong the pain is to resort to the pills, the sometimes an injection of medication to forms.
Unfortunately, it has a good anti-inflammatory, the analgesic effect of the nonsteroidal anti-inflammatory drugs, long-term systemic therapy in the development of the can cause a worsening of ulcerative the erosive processes of the gastrointestinal tract, in an impaired kidney function in the liver. As for the sick, for a long time, nonsteroidal anti-inflammatory treatment with drugs, drugs which protect the gastric mucosa, in the regular laboratory monitoring of liver function in the kidneys.
The system muscle relaxants, that is, drugs that relieve muscle spasm. The principle of its operation is the name of the: relaxation of spastic muscles reduce the compression of the nerves in the blood of the time, the swelling in the affected area – it improves the blood circulation in the lymphatic drainage – reduces pain by reducing defense, reducing the muscle tension of the ligaments reduces the bulging (protrusion) of the intervertebral disc – damping joint pain, increase range of motion.
Muscle relaxants for the treatment of osteochondrosis by and designed in the form of a tablet, for solution intramuscular, to achieve a therapeutic effect, you need to do for a long time, gradually increasing the dose. As well as the non-steroidal anti-inflammatory drugs, muscle relaxants, the number of contra-indications may cause side effects, which is the reason why in spite of the release of the public sale in drug stores, before purchasing it you should consult with your health care provider.
Local anesthetics drugs for local or anesthesia used in the treatment of lumbar osteochondrosis in the form of what is called paravertebral blockade, while the solution of the drug, which is placed subcutaneously, the first, and then, in the processes of the vertebrae in the projection of the expected compression of the nerve roots.
To accumulate in the membranes of nerve fibers, the drug effectively blocks pain Warner. The therapist is, of course, for the pursuit of the duration of blockade is not over, there is a need to consult with a neurologist neurosurgeon ali.
The paravertebral injection is sometimes used, the solutions of glucocorticosteroids (GCS) - hormonal drugs have a pronounced anti-inflammatory action. The local government that their application allows to achieve the maximum effect with the minimum risk of unwanted side effects of the drug. Such closures are rates of 2 to 3 times a year, to fulfill their own needs or consult a doctor neurologist neurosurgeon.
The vitamins of group "b". In each pharmacy you can find medications in this group, such as in the form of oral administration, the intramuscular administration. They both believe that the ease in neurotrophic so the analgetic effect, but a robust justification for its use in osteochondrosis of the spine with evidence-based medicine is that they do not get.
Physical therapy in osteochondrosis of the lumbar
Unfortunately, sometimes, the complex treatment with the use of modern medicines, physiotherapy, and massage therapy in the physical therapy was useless – the person continues to experience pain, there is a limitation of the physical activity that has a significant impact on your quality of life. If it happens in the later stages of the disease, when forming a three-dimensional, and often at a more gryzenia d as the key. In this case, surgical treatment is indicated. In addition, the surgical procedure is well suited for the so-called "prolapse of the hernia when it is a significant compression of the spinal canal causing pain, nekupirutayasa, the static-dynamic violations of the suspension of the functions of the bladder into the intestine. In such cases, the operation is to be performed in an emergency basis. The purpose of surgical procedures for degenerative disease disk lumbar area of the spinal column is the mechanical pressure in the spinal canal the nerve roots.
Currently, the surgical treatment of osteoarthritis of the both is used for a long time, as is well known, the surgical techniques of modern medicine, minimally invasive endoscopic procedures using a laser, the exposure to RF radiation, which can also be carried out under local anesthesia.
Taking into account the main methods for the treatment of a degenerative disease disk lumbar area of the spinal column, I wish to reiterate that the patient is asked the question, "how does the treatment of the diseases of lumbar degenerative disc?", do smes depend to doctors and the only help, but on their own strength, being aware of the importance of a healthy lifestyle, which is used stimulates the the proper proper diet dosed physical load, which is the most important thing is the faith in the victory over the disease.