Osteochondrosis is a chronic disease that develops due to the degenerative-Degal-Degaling process in the interatorebral discs.The disease is common and influenced in most cases of people from 25 to 40 years old.
According to back pain statistics, at least once in a lifetime, each second adult experienced, while in 95% of cases they were caused by osteoarthritis of the spine.
Patients with severe osteoarthritis, with persistent pain and other manifestations are recognized as temporarily disabled.If within four months, their condition does not improve, the problem of establishing a group of disabilities will be resolved.
Lumbar osteoporosis is a serious medical and social issue, because this disease mainly affects people of the most working age, and in addition, in case of uncontrollable treatment, it can cause a herniated disc.
Causes and risk factors
The factors suitable for the development of lumbar osteoarthritis are:
- Abnormalities of the structure of the spine;
- Lumbalization is a congenital disease of the spine, characterized by the separation from the first vertebra sacrum and its transformation in the sixth (supplement);
- Sacralization is a congenital disease, of which the fifth lumbar vertebra is nourished with sacrum;
- The asymmetric position of the joint cracks of the joints;
- Disease narrowing the pathology of the spine tube;
- Tissue pain reflexes (Soma and muscle);
- obesity;
- Sedentary lifestyle;
- prolonged contact with vibration;
- systematic physical tension;
- Smoke.
The adverse simulation load combined with one or more risk factors leads to a change in the physiological properties of the nucleus of the coat of the fibrous disk, playing a shocking role and providing the mobility of the spine.The basis of this process is the process of reducing polysacaride, resulting in loss of moisture with a fabric of a jet nucleus.As a result, the nucleus of the jacket, and with it, the disc loss of their elasticity.The next mechanical load causes the protruding of the fibers who have lost elasticity.This phenomenon is called protruding.The cracks appear in the yarn core, through which the pieces of the nucleus (prolapse, the herniated disc of the interatorebral disc).
A long compression of congenital nerve roots of certain organs of the abdominal cavity over time leads to a decline in their function.
The instability of the spine is accompanied by changes in the body of the body of adjacent vertebra, Intervertebral joints and spinal arthritis while developing.A significant contraction, for example, against the foundation of physical activity, leading to changes in the body of the vertebrae and violating nerve roots with the development of piercing syndrome.
Osteophytes may be another cause of pain and neurological symptoms with lumbar osteoarthritis - bone development on the processes and bodies of the vertebrae causing Royshold syndrome or marrow compression (spinal compression).
Diseases
Depending on which structure is drawn into the pathology, lumbar osteoarthritis is clinically manifested by the following syndrome:
- Reflex- Lumbalgia, Lumboichachalia, Lumbago;Developed on the background of overpassing the voltage of the back muscles;
- Compression (spine, blood vessels, X -rays)- Their growth leads to compression (compression) of the spinal cord, blood vessels or nerve roots.For example, radioactive lumbosacral, radiculoichemia.
Symptoms of lumbar osteoarthritis
For lumbar osteoarthritis, the symptoms are determined by which the structures are drawn into the pathology.
Lumbago occurs under the impact of lower body heat or over -voltage of physical voltage, and sometimes there is no clear reason.The pain appears suddenly and is shooting.It is enhanced when sneezing, coughing, turning body, exertion, seats, standing, walking.In lying position, pain is significant weakness.The sensitivity and reflexes are preserved, the mass of movement in the waist area is reduced.
When touching, they observe:
- Soreness in the lumbar area;
- spasm of paravertebral muscle;
- The flatness of Lordosis belt, in many cases is combined with scoliosis.
The stress syndrome of the nerve root with the waist is negative.When lifting a straight leg, the patient pays attention to an increase in pain in the lower back, and is not their appearance in the lower limb.
Typically, with lumbar osteoarthritis, there is a repeated appearance of pain, each becomes increasingly intense and long.
With lumbar condition, clinical images are like a waist area, however, the increase in pain occurs within a few days.
In the waist area, the patient complains about pain in the lower back, radiating one or both lower limbs.The pain spreads on the buttocks and backs of the thigh and never touches the feet.
Vascular disorders are characteristic of lumbar making:
- change the temperature and color of the skin of the lower limbs;
- hot or cold feeling;
- Violation of blood supply.
The development of lumbar compression syndrome is clinically manifested by the following symptoms:
- Dermatomic gipalgesia;
- Shot pain;
- weakening or completely losing deep reflexes;
- Peripheral paresis.
With compression syndrome, pain increases when tilting the body, sneezing and coughing.
Diagnose
Diagnosis of lumbar osteoarthritis is performed on the basis of clinical images of the disease, laboratory and tool research method.
In blood tests based on the lumbar muscle muscle disease, it can be noted:
- Reduce calcium levels;
- increase ESR;
- Increase the level of alkaline phosphatase.
In the diagnosis of lumbar joints, the testing of the spine is thought to be very important.
A long compression of congenital nerve roots of certain organs of the abdominal cavity over time leads to a decline in their function.
The features x -ray confirm the diagnosis are:
- Change the configuration of the affected segment;
- Pseudospondylastez (change of related vertebrae);
- deformation of closed sheets;
- Flattening intervertebral disks;
- The uneven height of the disc (symptoms of the cushion), is related to the asymmetric melody.
Also in the diagnosis of lumbar joints with the presence of indications used:
- Myelography, cutting a calculation layer or magnetism - is necessary for persistent symptoms, the development of neurological deficiency;
- The term (research on the accumulation of a phosphorus bone system, a melting technology-99)-is done in case of suspicion of a tumor or infectious process, spinal trauma.
Differentiate diagnosis of lumbar joints is done with the following diseases:
- Spondylolistz;
- Spinal disease due to missing;
- Adhesive spinal inflammation (joint spondylitis);
- The process of infectious infection (inlaid inflammation, spine inflammation);
- The process is not done (the primary tumor of the spine or its metastatic damage);
- rheumatoid arthritis;
- Deforming the joints of the hip joint;
- Reflective pain (disease of internal organs and large blood vessels).
Treatment of lumbar osteoarthritis
With lumbar osteoarthritis, they often follow the following treatment tactics:
- Bed for 2-3 days;
- The traction of the segment is affected by the spine;
- Enhance the muscles of the back and abdominal press (creating muscle corset created);
- Impact on pathological processes and pathological myotonic.
Lumbago occurs under the impact of lower body heat or over -voltage of physical voltage, and sometimes there is no clear reason.
In most cases, the conservation treatment of lumbar osteoarthritis is taken, including the following measures:
- Muscle intrusion with local anesthetic solution;
- Using anti -inflammatory drugs is not without infection;
- receive sensitive agents;
- Vitamin therapy;
- receiving sedatives and antidepressants;
- manual therapy, massage;
- Physiotherapy physical therapy;
- Acupuncture;
- Relax after birth.
Absolutely indicated for surgical treatment of lumbar osteoarthritis is:
- Acute or semi -acute compression of the spinal cord;
- The development of a ponytail syndrome, characterized by the weakened function of pelvic organs, sensitive disorders and movement.
Gymnastics for lumbar osteoarthritis
In complex treatment of lumbar osteoarthritis, an important role of physical therapy exercises.Frequent layers can normalize the muscle melody of paravertebral muscles, improve metabolic processes in tissues affected by pathological processes, and in addition to forming a well -developed muscle corset, can maintain the spine in the right position, remove static loads from it.
For gymnastics for lumbar muscle disease to bring the greatest effect to comply with the following principles:
- The regularity of classes;
- increasing the intensity of physical efforts;
- Avoid overwork in the lesson.
Physical education should be involved in the leadership of an experienced instructor, who will choose the most effective exercises for a specific patient and control the accuracy of the implementation.
According to back pain statistics, at least once in a lifetime, each second adult experienced, while in 95% of cases they were caused by osteoarthritis of the spine.
In addition to classes with a guide, you should perform a morning gym area, including special exercises for lumbar osteoarthritis.
- Relax and spasm of the abdominal muscles.The starting position is standing, legs apart, the hands of the body are lowered.Create a smooth breath, relax the muscles of the abdominal wall first.In the process of exhale, drawing on yourself as much as possible, stretching the press muscles.The exercise should be repeated before appearing of mild fatigue.
- The head movement with the bend of the spine.The starting position of the knee, lying on the floor out of the back, the back is straight.Slowly raise your head and bend at the back.To linger this position for a few seconds, and then return to its original position.Repeat at least 10-12 times.
- "The pendulum".The starting position lies on the back, arms along the body, legs are bent in the right angle at the knee and hip joints.Turn your foot to the right and left with the pendulum movements, trying to get the floor.At the same time, the shoulder blades cannot be torn from the floor.
- "Boat".The starting position lies on the stomach, the hand is expanded forward.Tear the body and legs on the floor, bending at the back.To linger this position for 5-6 seconds and slowly return to the starting position.Do 10 times.
Consequences and complications may occur
The main complications of lumbar osteoarthritis are:
- Intervertebral hernia formation;
- Plant dystonia;
- Spondylolis, Spondylolistz;
- osteoporosis;
- Spondylarthrosis;
- The limitation of the spine tube, leading to the spinal compression and is likely to cause persistent working capacity and reduce the quality of life.
A long compression of congenital nerve roots of certain organs of the abdominal cavity over time leads to a decline in their function.As a result, patients with intestinal dysfunction (constipation, diarrhea, flatulence) and pelvic organs (urinating disorders, erectile dysfunction, weakness, infertility).
Forecast
Pain syndrome for lumbar osteoarthritis is conducted in the form of improvement and severe.Lumbago lasted 10-15 days, after that the patient's condition was improved, the pain decreased.Different secondary diseases can interfere with a favorable result.Typically, with lumbar osteoarthritis, there is a repeated appearance of pain, each becomes increasingly intense and long.
In complex treatment of lumbar osteoarthritis, an important role of physical therapy exercises.
Patients with severe osteoarthritis, with persistent pain and other manifestations are recognized as temporarily disabled.If within four months, their condition does not improve, the problem of establishing a group of disabilities will be resolved.
Prevent
Preventing the growth of osteoarthritis of the spine is the following measures:
- Refuse smoking;
- Normalizing body weight;
- improve general physical condition, dynamic lifestyle;
- Avoid stimulating conditions (lifting weights, sharp motion, turn, inclined).