Lumbar osteochondrosis is one of the most common forms of underlying disease, in fact osteochondrosis. Lumbar osteochondrosis, whose symptoms are equally determined by men and women, manifested in the form of concentrated pain in the sacred area, reflected in their symptoms and lower ends, which is often determined by patients as "tightening the lumbar nerve".
General description
Most of the time, the form of osteochondrosis passes against the background of back injury and a sedentary lifestyle, respectively, automatically in the risk group, if possible, this disease, people whose professional activity implies the loads that affect their backs. And these are not only office workers who, of course, belong to this group, but also moved, builders, service workers (waiters, for example), drivers, etc.
An important role is attributed to the heredity factor in the context of the consideration of thoracic osteochondrosis. Here, not much, nor a few, but about 60% of the probability is present in the presence of a disease in close relatives. The rest of the external environment has the effects of the factors, which, in one degree or another, affect the spine.
Lumbar osteochondrosis, like their other forms, characterize the pain of variable severity that may be painful, appearing after sleep or prolonged findings in the same position (with prolonged, standing, standing), and trigger and acute. In the latest version, they emerge as a result of long -term acceptance of a not very convenient pose, while at the same time, in such a situation in such a situation of implementation of actions designed to double, thus excluding such a pose along with the load, provided with it. In fact, the pain arises as a result of the pinch with the appropriate effects of nerve roots, as well as the irritation of the nerve in the spine, the irritation of ligaments and muscles (concentrated in the innervation structure, ie the real arrangement of the area nerves into consideration, control) and edema.
It is important to note that, in an isolated way, this type of osteochondrosis is extremely rare and therefore the course of the disease is combined with the symptoms inherent in cervical osteochondrosis, we will already consider it in our next article.
The older and older symptom, relevant to all forms of osteochondrosis, as we have already observed, consists in the manifestation of pain, which in this case is determined by a specific location, ie pain in the lower back. The propagation (clearance) of pain can be observed in the hips and buttocks as well as to the legs (from the outer surface).
The term used to determine osteochondrosis in a more detailed version (degenerative-distribution lesion), relevant to the intervertebral disc, actually implies a significant complex of pathological states in its variety, directly related to various types of column structures (column column), namely discs, joints andraphic. The same problems directly related to the defeat of the album consist of its protrusion and discogenic pain. Osteochondrosis and concentration camp.
Protrusion for lumbar osteochondrosis
In addition, in this area of interest to us, more often, it is the protrusions that cause the appearance of pain in the lower back. The lumbar region itself, given its location and resources, is more subject to the emergence of certain functional problems.
That is, when considering this statement, on the one hand, it can be distinguished that our center of gravity refers directly to the Lumbar Department, respectively, it is precisely that a significant part of cargo accounts. When considering, on the other hand, it can be noted that a significant amplitude of movements, again, falls into this lower back. Given this, the greatest tendency to damage (as well as protrusions of interest to us) is on the concentrated discs in the lower back. Moreover, we should not forget that changes in discs in this and, of course, in other areas, occur, even at the bottom of age -related degenerative processes.
Remember our readers what are the protrusions themselves. The connection of the discs between the column is supplied by the wheels based on the cartilage. The main components of the intervertebral disc are a jetty core and a fibrous ring through which the fixation is supplied within the spinal disc structure. The impact of certain factors and conditions causes the possibility of breaking this ring against the context of which, in turn, the nucleus protrusion occurs. As a result of this process, Hernia develops. As for protrusion, it is already developing as a result of a similar course of the process, but without the concomitant rupture of the ring - in this case, it is simply subject to thinning, not a break, because the core projects directly through the ring. In fact, this protrusion is defined as protrusion.
As for the symptoms of protrusion, it manifests itself as follows:
- a sense of rigidity in the lower back;
- Lumbar pain;
- Lower pain of chronic nature;
- Radiculita Lombosacra;
- Numbness, pain, tingling fingers in the legs, on the feet;
- Impaired urination functions (in rare cases of the pathology into consideration).
Mainly, conservative treatment is applied to lumbar disc protrusion. Meanwhile, significant in the development of protrusion is often accompanied by serious treatment, in this case, you can no longer do without surgical intervention.
Lumbar osteochondrosis: Symptoms
Pain in this form of osteochondrosis manifests itself in various variants of intensity. Therefore, it can be painful pain, which manifests itself mainly after sleep or a long session, and there may be pains fired and acute in its manifestation. At the same time, the latter's manifestation is often observed when occupying an uncomfortable pose without the ability to straighten. Any pain variant is directly related to the impact on nerve endings, with muscle edema, their irritation and tweezers, to which nerve roots are subjected. The pain is also associated with irritation of lumbar lumbar lumbar in the field of innervation of its nerve endings.
The strengthening of the lumbar region in the form of osteochondrosis into consideration is observed during cough and sneezing, including the body made by the body (especially with the inclinations of the advance).
Lumbar osteochondrosis may also appear, in addition to lumbar pain, also in the form of sensitivity disorders marked in certain areas (skin, lower body, leg muscles). The weakening of tendon reflexes on the legs or their complete disappearance is also not excluded. As a rule, it is osteochondrosis that causes the development of curvature in the lumbar spine.
Based on a specific plane of real curvature, osteochondrosis is being divided into the following types:
- Kifose - In this case, the softness of the lower back is observed and is often also bending back;
- Lordosis - Flexion of the spine forward;
- Scoliosis - The column is curved to the left or right.
The hint of roots belonging to the spinal cord as a result of the development of osteochondrosis within the structure of the lumbar region is often determined in the form of several specific disorders, namely, defecation or urination, violations associated with sensitivity in genital or perine organs.
As a rule, pain appears (and also exacerbated) as a result of the effect produced during physical exertion. The painful answer in this case can be observed after this load and, after some time, from the moment of its exposure. Basically, patients' complaints on this subject are reduced to the appearance of opaque and painful pain in the lower back and, in some cases, it gives the leg, which is defined as lumbalgia. In addition, complaints about the appearance of leg pain with its strengthening when trying to create something heavy (lumbago) may arise. The same applies to sneeze and coughing, driving with tremors, changing the position occupied by the body, as well as a long stay in the same position as the body.
As a result of the exacerbation of the disease, there is a constant and pronounced tension on the rear muscles side, which is manifested in the impossibility of performing actions to straighten or move. Any movement is accompanied by increased pain. Also, even with a severe time of the patient in cold condition, he has acute lumbar pain (which is also defined as a "background").
Symptoms of lumbar osteochondrosis also appear the following:
- Violation of hips sensitivity, buttocks, legs, foot (which is observed slightly less frequently);
- Spasmodic arteries of the feet, increased leg confidence;
- tingling appearing in the legs, "goose bumps";
- Skin peeling and dryness in the area where loss of sensitivity or pain is generally observed;
- Interruption disorders.
As the most unpleasant complication that occurs at the bottom of osteochondrosis, the instability of the vertebrae can be distinguished, in which the disc no longer fixes the vertebra. This, in turn, causes "sliding" when exposed to the severity of the lower back in the load supplied in the lower back. As a result, not only unpleasant violations can develop, but violations are dangerous and related to the work of internal organs. In particular, the genitourinary system "suffers", manifests itself in men in the form of problems with power and women - in the form of problems related to appendages, uterus and ovaries.
Lumbar osteochondrosis manifestations
According to the most complete classification, several specific syndromes are distinguished that are relevant to lumbar osteochondrosis. In particular, this includes syndromes as follows:
- Reflex syndromes - include lumboilia, lumbalgia and lumbago;
- Rine-vertebroogenic (or discogenic) syndrome radiculites of sacral lingão, whose course is mainly accompanied by damage to the first sacral ceiling or fifth lumbar root;
- Syndromes are manifested root-vascular in the form of squeezing radicleshemia vessels (in particular, veins or arteries are subject to squeeze), while the squeeze is performed simultaneously with the spine.
We highlight in summary, which are the syndromes listed.
LumbalgiaIn particular, it implies a chronic type of pain, which gradually arises after a long -term adoption of an uncomfortable position with a body or a long session, as well as after exposure to the body and a specific area after physical activity.
LumbagoIt manifests itself in the form of acute lumbar pain, characterized as a "background", especially lumbago occurs at the time of weight lifting or with an unsuccessful movement. Sometimes Lumbago is also observed after coughing or sneezing.
Diseases that are accompanied by osteochondrosis lumbar
Lumbar osteochondrosis occurs not only in combination with pain and other listed symptoms, but also in combination with some characteristic diseases of internal organs.
Therefore, about 30% of patients with a relevant clinic for lumbar osteochondrosis, observe the presence of certain problems associated with liver or functions of the gastrointestinal tract. The fact is that the presence of a specific disease of the gastrointestinal tract, pancreas or liver cause, along with the impulses of pain, the tension of blood vessels and muscles and spasms, as a result of which there is a state of oxygen hunger with the simultaneous development of the dystrophic process in certain areas of the body. The worsening of the process occurs with a violation of metabolism, which is inherent in this type of disease.
In addition, as we have already observed earlier, lower back pain can cause the development of disease in the pelvic organs. Women can find a disease such as inflammation of appendages (which is defined as adnexitis) and men, in turn, experience all "charms" of prostatitis, ie inflammation of the prostate gland.
The manifestations of lumbar osteochondrosis are also accompanied by phenomena in the pelvic area, which develop as a result of the above diseases, including chronic colitis, hemorrhoids and constipation.
Treatment
Especially the treatment of osteochondrosis is multicomponent and quite complicated in its implementation. Mainly all therapy measures are reduced to the following points:
- drug treatment;
- If necessary - surgical treatment;
- diet;
- Medical Physical Education.
Exacerbation of the disease requires, first of all, compliance with patient rest. The main recommendation for this part is a hard/hard place. Extremely expressed in demonstrations, the attacks provide for the need for a minimum engine load and early contact to the relevant expert. The appearance of symptoms indicating the possible relevance of lumbar osteochondrosis requires an appeal to a neurologist.