Acute pain in the lumbar region, on the background of osteochondrosis and Marta in front of the un the problem of the vast majority of people. Original works of art have earned us "reward" for our bipedalism (due to the greater axial loads to the spine), this disease sooner or later affects all the people of the planet, The only question on the speed with which this occurs and how pronounced the symptoms. This kind of "bleak" statistics makes us a classify this disease socially significant diseases and the fight against it should not be only the responsibility of the individual to suffer the symptoms of the disease and global health care system as a whole. Therefore, the question of the treatment of osteochondrosis – a topic very relevant.
Thus, what is osteochondrosis? Briefly Consider the development of the disease. In your name, if you translate it literally from Latin, structure, changing the during osteoarthritis: bone and cartilage. The effect of attenuation and the resistance to vertical loads of nature has placed between the two vertebrae in a kind of fibro-cartilage "cushions" — the intervertebral discs. The its Group is carried out in childhood due to the blood vessels, which lost about 25 years ago, and the food starts to be spread because of the surrounding muscles.
En pathological loads on the spine (sedentary work, or excessive physical activity), violations of the processes of metabolism mineral in the intervertebral disc loses its absorbing and elastic properties, reduces its height, changing the structure of the vertebrae, there are pathological growths bony (osteophytes and zamechatelnye plates), disorders of mobility in the affected section of the spine. In the later stages of disease the Central portion of the intervertebral disc nucleus pulposus the nucleus called, breaking the ring fibrous, form a kind of saccular protrusion between the bodies of vertebrae — intervertebral hernia. Hernia can cause the compression vertebrae adjacent to the nerve root, there is intense pain in the area of compression, as well as in the field of controllable work affected nerve. Due to the constante of the nerve irritation of the plexus there is un reflex spasm of the skeletal muscles, called ca the medicine of protection of the defence that on the one hand, protects the suffering of the spine from excessive movements, and on the other hand compression increases, the swelling and pain in the affected area.
In the majority of cases (90%) the pain syndrome in osteochondrosis (even very different) because of the muscle spasm! In other cases, the cause of pain in the compression of the nerve root or the spinal cord directly into a herniated disk.
Osteochondrosis of the lumbar spine: how to treat
From all parts of the spine, and n there are five of them (cervical, thoracic, lumbar, sacral, and coccygeal), because the largest motor load from the manifestations of the disease lumbar. Osteochondrosis of the lumbar spine and bright, all the symptoms family, and treatment and important of the un social problem because it affects the quality of life of not only the elderly, but people of working age.
The pain localized can be directly in the lumbar region, and also in the front of the thigh, or through the back or outer surface of the leg, sometimes to my fingers. Often give pain in the region gluteal, pelvis, perineum, and sometimes can be found only in these areas, masking as a disease of the system and the urogenital intestines and hinders the correct diagnosis. The intensity of the pain so high you can be a person who loses the capacity to perform more movements basic, adopt postures awkward and lost normal sleep. That a good part of the sciatica, more than in circles wide has always been synonymous with own of the disease.
Limitation of physical activity. Violated the usual movement and the sensitivity in the extremities, occur muscle cramps, paresthesia (tingling, burning, "pins and needles").
Dysfunction of the organs in the pelvis. With an intense syndrome, radicular and known as sciatica, or massive Grajewo the protrusion can even be broken urination and intestines, causing severe agony to the patient.
Treatment of degenerative disc disease of the lumbar spine often becomes a challenge for both the patient and the doctor. Every person that this disease d suffers, the answer to the following questions: "How to treat degenerative disease of lumbar disk?", "How to treat osteochondrosis of the lumbar region of the spine?", "If the treatment of degenerative disc disease of the lumbar, the house does not help to address to what doctor?", "If the pills and ointment for lumbar disk disease does not help the way you deal with it?".
To deal with the aggravation of degenerative disc disease and prescribed treatment of the un-you will help the following physicians: therapist, neurologist, specialist in medical massage, chiropractor, physical therapist, myself, and if necessary, surgical treatment – doctor neurosurgeon.
Ways of dealing with osteochondrosis of the lumbar region of the spine
The most important thing in the treatment of degenerative disc disease and the right way of life! The people so active and engaged successfully in the culture of physics and the testimony of the spine, back never hurts! Unfortunately, few people meet these simple truths.
To examine this question, we can distinguish:
- medication;
- drug-free.
Non-drug methods of treatment of the pathology of the lumbar spine
Distraction procedures. The effect of ca is the name itself - the use of a variety of applicators, massage mats and pillows, woolen belts, "widgets" and "rastertime" because of the impact on the surface nerve endings and reduces the blood vessels spasm and muscle pain. These methods can be used as auxiliary, but isolated ' from its use during the exacerbation of osteochondrosis of lumbar segment systemic sense treatment with special drugs, ineffective.
Means of immobilization. Under these tools to understand the different bandages of designs, the use of which allows to protect the spine from sharp and "dangerous" and moves to redistribute the load, if static work. Means of immobilization can be used to buy equips a medical stores and pharmacies however, before you buy advisable to consult a doctor who will help you to determine the best of their situation in the design, the stiffness and configuration of the bandage. And advisable to apply them only at the time of the impact of environmental factors adverse (driving, sedentary work, etc.), as prolonged use causes muscle wasting.
Physiotherapy (physical therapy) , an integral component of the un complex treatment of degenerative disc disease. Exercise to maintain the tone of skeletal muscle of the back and the elimination of pathological muscle spasm and helps restore and maintain the physical activity, the reduction of the pain syndrome intensity. The un is more important than physical therapy, and original works of art instructor of learning the person can independently perform daily exercises at home, and in the existence of a set of exercises, it is applicable even during the exacerbation of the process. The most effective method of physical, therapy hydrotherapy sessions at the gym individually developed the technique, because the formacio of the muscle corset and necessary to work with weights.
Massage has been known since antiquity, the Marten, and perhaps the most loved by the patients the way of prevention and treatment, but, in the phase of exacerbation osteochondrosis of lumbar segment can not be used. In addition, a massage osteochondrosis with just has to be un specialist in medical education, he knows perfectly the area of the physiology and the knowledge of the technicians and a doctor of therapeutic massage.
Manual therapy and gaining popularity in recent years l"osteopathy and carried out by a qualified professional can have a therapeutic effect on important and even for a period of time to get rid of exacerbations. Also, a important to remember that recourse to the un chiropractor before starting any procedures necessary to conduct instrumental examinations of the spine (raigs x, CT or magnetic resonance imaging, osteodensitometry) in order to allow the doctor to evaluate the prevalence and the severity of the process and exclude possible contraindications to manipulation. Such as massage, chiropractic and osteopathy are a series of contraindications, such as severe compression of a nerve root hernia, subluxation of the vertebrae. In the acute stages of degenerative disc disease of the lumbar the use as a general rule, soft and techniques of therapy manual (muscle relaxation, etc.).
Acupuncture. According to recent studies, of the use in this popular wide circles of the methodology of evidence-based medicine are considered reasonable in osteochondrosis of the lumbar spine, does not remove the symptoms of the disease, and a refers to alternative methods of treatment.
Physiotherapy, included in the national clinical guidelines and standards of medical care in osteochondrosis, it has always proven its effectiveness in the treatment of this disease. Osteochondrosis of the lumbar region of the spine applied electromyostimulation, amplipulse therapy, shock wave therapy, myostimulation interstitial, laser. The un popular method in the complex treatment of remains magnetic. Include its advantages tolerance good and a small list of contraindications, possibility of application in the period of acute illness. Acting on all links of the process that is already pathological original work of art treatments in a significantly reduces pain and allows a person to expand the physical activity. In addition, to improve the trophism of the affected the tissue's slows down the progression of the disease. The obvious advantage of this method, the possibility of its use for the patient independent outside of a medical institution.
But all of the above if you have not been pharmacological methods are ineffective - and original work of art that deal with degenerative disease of lumbar disk?
The medication
The disease involves the appointment of the following groups of drugs:
Anti-inflammatory drugs non-steroidal (Aine) are available locally (gels, ointments, creams) and in the treatment of systemic (tablets, suppositories, solutions for intramuscular and intravenous). Its action is based on blocking the inflammatory process in the activity level of enzymatic due to the elimination of inflammation in the affected area significantly and reduce the pain.
In the early stages of the disease, and enough local application of Aine in combination with non-pharmacological methods (physiotherapy, magnetotherapy). Expressed pathological process When I the pain must be intense to resort to the pills, and sometimes I forms drug injectable.
Unfortunately, the possession of a good anti-inflammatory and analgesic effect of Aine, in the long-term systemic use can cause the development and worsening of colitis and erosive processes of the gastrointestinal tract, and deterioration of renal function and liver function. So patients for a long time to take Aine, the drugs that protect the lining of the stomach and regular laboratory monitoring of the evolution of the liver and the kidneys.
The system muscle relaxants, and say, the drugs that relieve muscle spasm. The principle of its action lies in the name: of of relax spastic muscles reduce the compression piegaro and of blood vessels, inflammation of the affected area – circulation improving blood and lymph drainage – reduces pain to the reduction of c reduces the muscular tension of the ligaments decreases pumping (out) of the intervertebral disc – simmering pain, increase the movement range.
Muscle relaxants for treatment of a produced osteochondrosis is in the form of tablets and solutions for intramuscular, to achieve the un therapeutic effect that should last a long time, the object of the extension gradual dose. As well as Aine, muscle relaxants have a number of contraindications and may cause unwanted side effects and that for this reason that, despite the sale in pharmacies, before buying you should consult with your doctor.
Local anaesthetics or drugs for local anesthesia used for the medical treatment of lumbar osteochondrosis in the form of the so-called paravertebral blockade, when the solution of the drug administered primed subcutaneously, and original works of art in the processes of the vertebra affected at the screening envisaged in a compression of nerve root.
S accumulate in the membranes of nerve fibers, the drug effectively blocks pain signal. Therapist, of course, to perform this lock can not, and need neurologist or consult the un neurosurgeon.
By paravertebral injection of times s used solutions of glucocorticosteroids (GC) - medications-hormonal, has un marked anti-inflammatory action. Local application allows to obtain the maximum of minimum effect the risk of undesirable side effects of the drug. These closures s organized the first 2-3 courses of times in the any, to satisfy the needs of a medical neurologist or a neurosurgeon.
Vitamins of group "b". In any pharmacy you can find this group of drugs, such as the forms ca for an administration and administration of oral, intramuscular. They are believed to have neurotrophic and easy analgetic effect, but reliable to justify its use in osteochondrosis spine of the evidence-based medicine and not obtained.
The therapy osteochondrosis of physics in the lumbar region
Unfortunately, sometimes complex treatment with application of modern medicines, physiotherapy, massage and exercise therapy and ineffective – still the person to the experience of pain, there is a limitation of the physical activity significantly affect the quality of life. What happens in the stages of the disease later, when they form the three dimensions, often multiple gryzenia protrusions of the intervertebral discs. In this situation, the surgical treatment is indicated. In addition, is the surgical procedure indicated for the so-called "prolapse of the herniated" when the un compression significant spinal canal causes pain nekupirutayasa, static-dynamic violations and the blocking of the functions of the bladder and the bowel. In these cases, the surgery is done in cases of emergency. The purpose of surgical interventions for degenerative disc disease of the lumbar spine and a mechanical decompression of the spinal canal and nerve roots.
Currently, the treatment of the surgical arthritis used are as an old, well-known surgical techniques and modern medicine minimally invasive endoscopic procedures using laser and RF exposure, some of which can be carried out even under local anesthesia.
Original art works have considered the main ways of treatment of degenerative disc disease of the lumbar spine, I want to reiterate that it is the patient who asks the question "how to treat degenerative disease of lumbar disk?", not only must rely on the help of doctors, but in his own strength, realizing the importance of a healthy lifestyle, which will encourage proper nutrition and applied correctly dosed physical load, and more importantly, none of the faith in the victory over the disease.