Osteocartilage of the lumbar spine - signs, diagnosis and treatment

Lumbar osteochondrosis is a common disease of the musculoskeletal system.Due to good mobility, the lumbar spine is most susceptible to injury.Similarly, due to improper and long seating combined with a low-effect lifestyle, accelerated wear of cartilage tissue occurs, ultimately leading to osteochondrosis.

You should know how to identify the first sign so that you can receive qualified medical services in a timely manner.

Brief information about lumbar spinal bone cartilage

Back pain is one of the most common complaints in patients with trauma scientists.The second name for syndrome is the back of the intervertebral disc.According to statistics, in their lifetime, an average of 8 people complained about at least the discomfort in the waist area.Among about one-third of patients who have seen a doctor, pain syndrome has lasting pathological characteristics, resulting in severe discomfort and pain conditions in the patient.Long back pain can not only cause physical torture, but also cause mental instability.

As the cartilage fabric loses its strength and elasticity, it begins to gradually thin and collapse.As a result, cracks occur in the annulus of the intervertebral disc.Over time, under pressure, the annulus extends, protrudes and bursts.If the contents of the annulus are nucleus, it will go out and form a hernia.Therefore, osteochondrosis increases the chances of this powerful complication.

Causes of the disease

In most cases, osteochondrosis is hereditary.It turns out that if direct relatives suffer from degenerative diseases of the musculoskeletal system, their children will experience the pathology of the spine more often.

Other reasons for outgoing:

1. Maintain improper posture.
2. Overdose of muscles associated with a lot of physical fatigue during work or exercise.
3. Incorrect and frequent weight lifting.
4. One of the most common reasons is low dynamics.Lack of exercise and minimal physical exercise often leads to spinal problems rather than exercise.
5. Previously metastasized inflammatory infections - tuberculosis or osteomyelitis, which contributes to the manifestation of the spinal degeneration process.In this case, osteochondrosis will be infectious and is a complication.
6. The hormone perestroika can cause osteochondrosis of the lumbar bone.This phenomenon is usually related to certain age periods.A regular example is entering menopause.With the monthly cycle stopped, the female sex steroid hormones dropped because calcium actually stopped being absorbed by the body.The reserves in the bones are washed deeply.As a result, if you don't put a woman in GZT, she will not only earn osteocartilage on the lower back, but also osteoporosis.The risk of osteochondrosis increases with the frequent use of synthetic glucocorticoids.During adolescence, increased risk due to lack of nutrition, tired physical fatigue combined with a hard diet and when it occurs.
7. The existence of congenital pathology of ridges, including abnormalities of flow.
8. Flat feet and scoliosis.
9. The weak structure of the bone is caused by inadequate nutrition or a context targeting a female amenorrhea background.
10. Premature wear and tear of vertebrates and joints.
11. Excessive pre-morbidity of moving the spine greatly increases the risk of injury.
12. Weak abdomen.
13. Rare pathology exists, including narrow spinal canals, surrounding peripheral fusion, spinal spine, oncology or spinal tumors, neuromyositis.
14. The presence of endocrine diseases - obesity and uncompensated hypothyroidism.
15. Previously, injuries to the spine, ligament, joints, and tendons.
16. Poor power and frequent psychological and emotional stress.
17. age-related changes in degeneration.

There are also certain risk groups associated with harmful professional activities.Examples are builders, movers, computer scientists, waiters, teachers.To minimize the risk of this type of disease, you need to properly allocate the load on your back and perform sports activities with moderate activity.

Symptoms of lumbar bone osteochondrosis

The disease has many symptoms, so it is necessary to highlight the classification according to the type of pain:

1. Ischemic syndromeIt is related to compression of the arteries passing through the vertebrae.As a result of the occurrence, there is a continuous deterioration of blood circulation, and therefore nutrition is disturbed in the lower limbs.Possible to increase blood pressure.
2. Vertebrate syndromeIt is related to deformations occurring in nerves and blood vessels.Due to long-term negative effects, posture changes, back bends, gait changes, muscles without physical activity are atrophy.As a result, the patient began to suffer severe pain.
3. Static syndrome.Pathological mobility develops in the vertebrae and meningopathy or spinal disorders may occur.During pathological development, the spine gradually deforms because in addition to the curvature in the vertebrae, the muscles in the affected area are improperly fixed.Consequences of Static Syndrome - The back is twisted and a person can no longer straighten it by himself.
4. Neurological syndromeIt is related to the pinching of nerve roots.If stress occurs at the end of the nerve, the patient's sensitivity will decrease, and limb weakness may occur.In severe cases, in the context of nerve fiber damage, paralysis, chills and complete loss of power.

General symptoms of lumbar osteochondrosis include the following symptoms:

1. Strong pain at the bottom of the back, including the entire waist area, may recover to the ac bone.
2. As the radiation syndrome develops, there are some sharp pains that make the lower limbs give the asshole.Legs usually catch cramps.Numbness and abnormality in fingers.Pain is less common.
3. Irradiation of kidney pain is possible.Patients can complain about problems in the urine system that have not been confirmed during the diagnosis.
4. Due to discomfort in the waist area, the patient suffered from torture because of dreams.
5. The patient felt nervous and fatigued in the waist area.
6. When turning and tilting, stiffness and tension are felt.
7. The feet appear on the back regularly.
8. After mild physical exercise, the patient felt severe fatigue.There is also chronic fatigue in daily life.
9. As the disease further develops, the patient rests in the waist area and suffers pain.
10. The limbs are often numb and the patient's back is often pathologically fragile.
11. The motor function is violated due to discomfort at the back.
12. Muscle spasms and cramps.
13. Dizziness and headache.
14. Reduce the tone of the back and lower limb muscles.

Any similar symptoms require attractiveness to the doctor.There are also specific signs of gender-relatedness.Men have problems in the genital field and may have negative effects on efficacy.Women suffer severe pain in the perineum and pelvis, which also indicates a nerve ending impairment.In late stages, prolapse of internal organs occurs, including the uterus and appendages.This is due to a strong atrophy process in the muscles that support the spine.

Breeds of syndrome and symptoms of lumbar osteochondrosis

Depending on the type and nature of the pain, this pathological condition is shared:

1. Low back pain- It is characterized by an acute state.The characteristic sign is the inability to get rid of the pain that occurs in the asshole background.This condition is more common in the background of muscle atrophy, injury, nerve roots and intervertebral discs.
2. Low back pain- Pathology is characterized by long and painful.Low back pain often occurs in the context of osteochondrosis, hernia, spondylosis or protrusion.Syndrome is more common with the tensile ligament instrument.
3. Sciatica pain.This type of pain syndrome is a characteristic of the lumbar s-bone area.This syndrome is often confused with Ishias, which is characterized by pain caused by fabrication of nerve roots.Pain syndrome is often associated with pinching of the sciatic nerve, which can greatly worsen the mobility of the waist area.The patient cannot bend normally due to deterioration in the lumbar area.It is also difficult to take a normal walk.Pinching the sciatic nerve can cause another unpleasant aggravation - spasms of the pear-shaped muscles.As a result, a person goes from the back to the calf muscles that pass through the thighs.The gait becomes lascivious, the socks of the legs turn to the side, and you will feel pain while walking, running and sitting.A comprehensive treatment is needed.
4. Disc source changesIt is related to the progression of back disease.The first sign of this deterioration is the loss of sensitivity and numbness in the lower limbs.Suffer on the back, hips, hips and lower abdomen.All of these areas are permeated by persistent discomfort.As the intense worsens, signs of an inflammatory process occur - body temperature rises, weakness in the body, and urinary incontinence appears.Patients can also worsen their appetite and lead to weight loss.In this case, a comprehensive approach is also needed to treat this condition.
5. Radiation diseaseIt is also related to the limitations of spinal motor skills and clamping of nerve ends.As this type of pain syndrome occurs, patients begin to feel pain in the lower body, reducing or violating the motor reflex.The mobility of the joints worsens and muscle tone reduces the compression background due to radiation inflammation.

All of the above pain syndromes require urgent treatment from the initial stage of the presentation.Indeed, pathology becomes aggravated over time, and therefore the process of disease leads to a strong deterioration of quality of life.

Osteocartilage of the lumbar spine - Developmental stage

The general classification of this disease includes the degree of development of lumbar osteochondrosis:

1. The first degree will not cause any physiological deterioration of the spine.The patient feels good and does not doubt there is a problem with the spine.In the initial stage, an active destruction process occurs.The pulp core changes its position and gradually seeps out through the microcracks of the fibrous annulus.Early in this article, it was mentioned that before the disease occurred, the patient violated the metabolic process, and thus the cartilage shell was weakened and covered with microcracks.As a result, over time, stimulation of the nerve ends occurs, so the patient may feel discomfort in the waist area.
2. The second stage of osteochondrosis is characterized by signs of unstable lumbar area.There is dynamic displacement in the vertebrae relative to the overlying and basal parts.The patient has signs of compression syndrome and reflex disorder.
3. In patients, in stage 3 of the pathological phase, deterioration associated with the content of the outwardly protruding annulus has occurred.Prolapse or hernia appears.If the third stage of pathology is present, the spine and blood vessels are squeezed.At this stage, severe pain associated with clips and inflammation has occurred.Strong mobility is also limited, and shelters appear in the lower limbs.
4. The terminal stage is fourth.At this stage, irreparable pathophysiological changes have emerged.The patient has the pathology of the bone system associated with bone cherry vertebrae growth.As a result, a reaction compensatory reaction occurred - transferring the load to other weaker vertebrates.Stock, mobility limits in spinal amplitude.Pathological bone growth under pressure at the vascular channels and nerve ends, which significantly burdens the pathological symptom process.

Lumbar and bone chondropathy - Diagnosis

When the patient went to the doctor, he conducted a number of laboratory tests based on the assembly history to identify osteochondrosis in the spine and lumbar spine:

1. X-Thunder.This is a basic analysis that allows you to assess the condition of your spine in general.X-rays do not show small and initial pathological changes, but they will find serious violations in the bone tissue.If the image shows signs of erasing vertebrates or darkening corresponding to normal size, additional studies are needed.
2. Computed tomography.This is a more advanced version of X-ray images, which allows you to see the smallest negative changes in bone tissue at the site of destruction, as these images are taken in three-dimensional images.
3. Magnetic resonance tomography scan.This diagnosis is close to CT, but you can think better about soft tissue.MRI distinguishes the worsening of osteochondrosis, including hernia and protrusion.This type of diagnosis is sufficient to accurately carry out diagnosis related to degenerative damage to bone cheap tissue.
4. Conduct laboratory testsBased on biomaterials.Patients often pass general blood and urine tests to control basic indicators.These data allow you to surface the patient's health.
5. Delivery of rheological samples.In order to eliminate the rheumatoid nature of the pathology, analysis is necessary.

After examination and the necessary tests were performed, they made the final diagnosis.

Treatment of lumbar vertebrae

In treating pathology, a comprehensive approach is needed.In stages 1-2, conservative treatment with medication and physical therapy during recovery is used.In the presence of 3 or 4 stages, surgical intervention is required if the patient has a severe degradation indicator of health status.

Drug treatment of pathological processes

An extensive list of medications is shown if disc damage occurs in the context of osteochondrosis in the lumbar sector.Some products are used for symptomatic treatments, while others maintain health.

Which medicines are prescribed:

1. Nonsteroidal anti-inflammatory drugs, analgesics.These drugs greatly promote the patient's condition, especially in the acute period.Thanks to the obvious effects of this type of medication, the pain can be quickly relieved within 1-2 days.Typically, patients are prescribed selectively for the type of NSAID because they can damage the mucosa of the stomach.If an indifferent old NSAID cannot be used for more than 5 days, the new generation of medications can be drunk for 2-3 weeks without worrying about the consequences of a healthy gastrointestinal tract.In the presence of gastritis or ulcers, it is best to use gastric protective agents, proton pump inhibitors.
2. musorelaxant- Medications designed to eliminate painful muscle cramps.With osteocartilage degeneration, load distribution on muscle corsets associated with spinal weakness is improper.As a result, some muscles are clamped while others are in muscle tone.To relieve the painful spasms, muscle relaxation is prescribed.The host chose the treatment process and the plan to take the pills.
3. Neurovitamin.This method includes diamine vitamins, thiodinium, cyanocalin and pyridol.Using the combination of B1, B6 and B12 in large doses will cause analgesic effects.These components have a positive effect on nerve endings, nourishing them.These vitamins are also involved in the structure of the myelin shell covering the nerves.This medication is primarily targeted at radiation syndrome when it is necessary to relieve nerve-related pain.Within 2-3 weeks, use the injection and switch to oral release form.
4. Cartilage protector.These drugs have protective properties related to cartilage.If there are clear signs of cartilage degeneration, it is necessary to specify a long-term route of cartilage protective agent.First, use the injection for 2-3 months, and then switch to a tablet.The minimum usage process is six months, and it takes several months to rest.The current components in the composition are chondroitin sulfate and glucose protein hydrochloride.The reception and dosage regimens are individually selected.
5. Calcium combines with vitamin D3.These components are used to strengthen bone tissue.As we age, bone brittleness is enhanced due to bone wear, malnutrition and hormone deficiency.The main building is calcium.Without it, it is impossible to obtain a strong bone corset.To absorb calcium preparations, vitamin D3 must be taken.To avoid the lack of cholelithin, it is necessary to regularly go out of the sun in summer and take extra vitamins in winter.
6. Complex polyvit protein.Research data show that continuous vitamin intake in physiological doses of natural or synthetic forms can enhance the seasonal aggravation of SARS and the seasonal aggravation of acute respiratory infections.People with lumbar spinal disorders should carefully monitor their health.
7. Anesthetic blockadeThey are performed with pain syndromes performed using NSAID.Corticosteroids associated with obstruction - intra-articular injection is also effective.This means helps calm inflammation, which speeds up recovery in acute periods.The performance of lockdown should be carried out by a highly qualified doctor and have extensive experience in using it.It is recommended to blockade under ultrasound control to avoid entering other parts of the spine.This treatment will help to get rid of chronic pain quickly.
8. Special ointments and gels.With the help of local funds, you can also successfully fight moderate and weak chronic pain syndromes.Cool or heat different products, and external medications can usually be used regularly.Using medications on the skin surface can keep you using them for a long time.These drugs are not actually absorbed into the systemic blood and therefore do not cause side effects.It is important to pay attention to skin condition after using medication.If you have rash or itching, you need to cancel the medication.

You can also prescribe homeopathy or anti-impurities.The diagram of taking the medication is determined separately by the doctor.

Conservative non-pharmacological treatments

During recovery, physical therapy procedures must be used to help improve blood circulation and normalize metabolic processes in affected tissues.Only the active recovery method is used after stopping acute pain.Supporting conservative treatment will reduce the chronic course of the disease, thereby preventing aggravation of aggression.

Active rehabilitation methods include:

1. Perform physical therapy sports.As the lumbar vertebrae develops, special exercises are required to improve blood flow to keep posture and the muscles that support the muscles.LFK must first be carried out under the supervision of teachers, including safety rules.Practice in a standing position or lying standing position according to the expert designated complex.If experienced, he can perform gymnastics at home.You should not ignore the useful parts of the course - Warm - Free-to-Ride.After good warmth, the muscles are protected from tears and sprains.The final stage of execution accelerates the recovery process in the muscle.Through regular exercise, the muscles become strong, so the pain in the back becomes weakened.
2. massage- A method of muscle tissue when relaxing under contact conditions.Experts with your hands can improve blood flow to your muscles, which allows you to remove strong stress.Massage in combination with muscle relaxants is most effective.These drugs eliminate cramps and cramps.Additional stimulation with your hands enhances the effect of the drug.It is recommended to take the masseur course several times a year to achieve stable results.
3. Manual therapy.Using this exposure method, it is possible to detach the muscle without regard to the degree of resistance.Unlike massage, this method is violent, although effective.Due to neglected lumbar osteochondrosis, using manual treatment is dangerous if the expert is inexperienced.Before you contact a manual therapist, you need to be familiar with a list of contraindications, including high blood pressure, heart disease, and hernia in the lumbar area.
4. Physical therapy procedure.With physical therapy, local blood flow in affected areas can be improved without affecting other areas of the back.The nature of physical therapy is simple: they combine hardware treatments and medications.An example is electrophoresis.Under the influence of a laser of a certain frequency, the drug is administered through the skin.The device often uses vitamin injections.The device allows you to enter the skin into the skin of the medication without having a systemic effect on the body.Magnetic therapy and shock wave therapy are also related to physical therapy methods.Radiation frequency accelerates the regeneration process in joints and ligaments without causing side effects.

As part of a complex treatment, acupuncture, Hirudtherapy, or homeopathy can be prescribed.

During surgical intervention

Operation is required when the patient is suffering from severe neurological syndrome in the background of osteochondrosis in the lumbar osteochondrosis.If the patient has a hernia-form complication, the limbs begin to be taken away, and the sensitivity of the intestines or bladder is disturbed, emergency hospitalization is received.In this case, operate according to the living indicators.

There are also relative surgical instructions.Examples are frequent numbness in the limbs, persistent back discomfort, which is not suitable for conservative treatment and partial loss of sensitivity in the fingers.In this case, you can decide on surgical treatment independently.

Lumbar osteochondrosis is a serious pathology that requires comprehensive treatment.In the early stages, prescribe medications and physical therapy.If the disease progresses rapidly, surgery may be required.