Lumbar osteochondrosis is one of the most common forms of the underlying disease, actually osteochondrosis. Lumbar osteochondrosis, whose symptoms are equally determined by men and women, manifested in the form of pain concentrated in the sacrum area, reflected in their symptoms and the lower extremities, which often the patients determine as "pinch of the lumbar nerve".
General description
Most of the time, the form of osteochondrosis is suffered in the context of back injuries and a sedentary lifestyle, respectively, automatically at risk, if this disease is possible, people whose professional activity implies the loads that affect the back. And these are not only office workers who, of course, belong to this group, but also to engines, builders, service workers (waiters, for example), drivers, etc.
An important role is assigned to the inheritance factor in the context of the consideration of thoracic osteochondrosis. Here, not much, not a few, but about 60% of the probability is present in the presence of a disease in the closest relatives. The rest of the external environment has the effects of the factors that, in one degree or another, affect the spine.
Lumbar osteochondrosis, such as its other forms, characterizes the pain of variable gravity that can be hurt, arise after sleep or with prolonged findings in the same position (with prolonged sitting, standing), as well as shots and acute. In the latest version, they arise as a result of a long -term acceptance of a not too convenient pose, while at the same time in such a situation in such a situation of implementation of actions aimed at bending, thus excluding such a possession together with the load, provided. Actually, the pain arises as a result of pinching with the appropriate effects of nerve roots, as well as the irritation of the nerves in the spine, the irritation of the ligaments and the muscles (concentrated within the framework of the innervation, that is, the real disposition of the nerves of the area under consideration, its control) and edema.
It is important to keep in mind that in an isolated form, this type of osteochondrosis is extremely rare and, therefore, most of the time the course of the disease is combined with the symptoms inherent in cervical osteocondrosis, we will consider it already in our next article.
The general and earlier symptom, relevant to all forms of osteochondrosis, as we have already pointed out, consists of the manifestation of pain, which in this case is determined by a specific location, that is, pain in the lower back. The propagation (irradation) of pain can be observed in the hips and buttocks, as well as to the legs (from its external surface).
The term used to determine the osteochondrosis in a more detailed version (degenerative-disco 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 (spinal column), namely discs, joints and osteophis. The same problems that are directly related to the defeat of the album consist of their protuberance and in discogenic pain. Osteochondrosis vines and concentration camp.
Profusion for lumbar osteochondrosis
The protests in this area of interest for us develop more frequently, in addition, it is the bumps that cause the appearance of pain in the lower back. The lumbar region itself, given its location and characteristics, is more subject to the appearance 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 the charges accounts. When considering, on the other hand, it can be seen that a significant amplitude of movements, again, falls in this lumbar region. Given this, the greatest tendency to damage (as well as the protuberances of interest to us) is on the discs concentrated in the lumbar region. In addition, we must not forget that there are changes in the discs in this and, of course, in other areas, even in the context of the degenerative processes related to the age.
Remember our readers what are the bumps themselves. The connection of the discs with each other in the column is provided 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 provided within the framework of the spinal disc. The impact of certain factors and conditions causes the possibility of breaking this ring, at the bottom of which, in turn, the protuberance of the nucleus occurs. As a result of this process, hernia develops. As for the bump, it is already being developed 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, and not a break, because the nucleus protrudes directly through the ring. Actually, this bump is defined as protrusion.
As for the symptoms of bump, it manifests itself as follows:
- a feeling of rigidity in the lower back;
- pain in the lumbar region;
- Inferior pain of chronic nature;
- lumbosacra radiculite;
- numbness, pain, tingling in the legs, on the feet;
- Altered urine functions (in rare cases of pathology under consideration).
Mainly, conservative treatment is applied to the bump of the lumbar disk. Meanwhile, significant in the development of bump is often accompanied by serious symptoms, resistant to treatment, in this case, it can no longer dispense with surgical intervention.
Lumbar osteochondrosis: symptoms
The pain in this form of osteochondrosis is manifested in several variants of intensity. Therefore, it can be pain of pain, which manifests mainly after sleep or after a long session, and there may be pain firing and acute in its manifestation. At the same time, the manifestation of the latter is often observed at the time of occupying an awkward pose without the ability to straighten. Any variant of pain is directly related to the impact on nerve endings, with muscle edema, their irritation and pinches, to which nerve roots are subjected. The pain is also associated with the irritation of lumbar lumbar lumbar in the field of innervation of its nerve endings.
The strengthening of the lower back in the form of osteochondrosis in consideration is observed during cough and sneezing, even with the body made by the body (especially with the striker's inclinations).
Lumbar osteochondrosis may also appear, in addition to lumbar pain, also in the form of sensitivity disorders marked in certain areas (skin, the lower half of the body, leg muscles). The weakening of the reflexes of the tendon in the legs or their complete disappearance is not excluded either. As a general rule, it is osteochondrosis that causes the development of curvature in the lumbar column.
Based on a specific plane of real curvature, osteochondrosis is being divided into the following types:
- Kifosis: In this case, the softness of the lumbar region is observed, and often it is also bending;
- LYSOSES - Folding the backbone forward;
- SCOLIOSIS: The column is curved to the left or right.
The pinch of the roots that belong to the spinal cord as a result of the development of osteochondrosis within the framework of the lumbar region is often determined in the form of a series of specific disorders, namely, defecation or urine, violations associated with sensitivity in genital organs or perineum.
As a rule, pain appears (and also exacerbated) as a result of the effect produced during physical effort. The painful response in this case can be observed after this load, and after a while from the moment of your exhibition. Basically, patients' complaints about this subject are reduced to the appearance of opaque and sore pain in the lower back, and in some cases it gives in one leg, which is defined as low back pain. In addition, complaints about the appearance of pain in the leg with their strengthening at the time of trying to raise something heavy (lumbago) may arise. The same applies to sneezing and cough, driving with tremors, changing the position occupied by the body, as well as a long stay in the same body position.
As a result of the exacerbation of the disease in consideration, there is a constant tension and pronounced from the side of the back muscles, which is manifested in the impossibility of performing actions destined to straighten or move. Any movement is accompanied by greater pain. In addition, even with a severe time of the patient in cold conditions, it has acute low back pain (which is also defined as a "background").
The symptoms of lumbar osteochondrosis also appear as follows:
- violation of the sensitivity of the hips, buttocks, legs, on the foot (which is observed less frequently);
- spasmodic feet arteries, increased the confinement of the legs;
- Hormigueo that arises in the legs, "chicken skin";
- peel of the skin and its dryness in the area in which the loss of sensitivity or pain is generally observed;
- Interruption disorders.
As the most unpleasant complication that occurs at the bottom of osteochondrosis, you can distinguish the instability of the vertebrae, in which the disc stops properly fixing the vertebra. This, in turn, causes "slide" when exposed to the seriousness of the lumbar region of the sacrum in the load provided in the lumbar. As a result, not only unpleasant violations can be developed, but violations are dangerous and related to the work of internal organs. In particular, the genitourinary system "suffers", this is manifested in men in the form of problems with power and women, in the form of problems related to appendices, the uterus and the ovaries.
Manifestations of lumbar osteochondrosis
According to the most complete classification, several specific syndromes that are relevant for lumbar osteochondrosis are distinguished. In particular, these include syndromes as follows:
- Reflex syndromes: include lumboilia, low back pain and lumbago;
- Rine Syndrome-Vertebrogenic (or discogenic) Sacred Radiculite, whose course is mainly accompanied by damage to the first sacred or root roof of the fifth lumbar;
- The syndromes are manifested root-vascular in the form of the process of squeezing vessels of broadhemia (in particular, the veins or the arteries are subject to squeeze), while the site is carried out simultaneously with the spine.
We highlight in summary, which are the listed syndromes.
LumbalgiaIn particular, it implies a type of chronic pain, which arises gradually after a long -term adoption of an awkward position with a body or after a long session, as well as after exposure to the body and a specific area after physical activity.
LumbagoIt manifests in the form of acute low back pain, characterized as a "background", mainly lumbago occurs at the time of weightlifting or with a failed movement. Sometimes, Lumbago is also observed after coughing or sneezing.
Diseases accompanied by lumbar osteochondrosis
Lumbar osteochondrosis occurs not only in combination with pain and other symptoms listed, but also in combination with some diseases characteristic of internal organs.
Then, about 30% of patients with a relevant clinic for lumbar osteochondrosis, write down the presence of certain problems associated with the liver or with the functions of the gastrointestinal tract. The fact is that the presence of a particular disease of the gastrointestinal tract, the pancreas or the liver causes, together with the pain impulses, the tension of the blood vessels and the muscles and the spasm, as a result of which there is a state of starvation of oxygen with the simultaneous development of the body of the distribution process in certain areas of the body. The aggravation of the process occurs with a violation of metabolism, which is inherent in this type of disease.
In addition, as we have indicated above, low back pain can cause the development of diseases in pelvic organs. Women can find a disease such as inflammation of appendices (which is defined as annexis), and men, in turn, experience all the "charms" of prostatitis, that is, the inflammation of the prostate gland.
The manifestations of lumbar osteochondrosis are also accompanied by promoting phenomena in the pelvic area, which develop as a result of previous diseases, including chronic colitis, hemorrhoids and constipation.
Treatment
Mainly the treatment of osteochondrosis is multicomponent and quite complicated in its implementation. Most of all therapy measures are reduced to the following points:
- Pharmacological treatment;
- if necessary - surgical treatment;
- diet;
- Medical Physical Education.
The exacerbation of the disease requires, in the first place, the fulfillment of the rest in the bed for the patients. The main recommendation for this part is a hard/hard place of sleep. Extremely expressed in manifestations, the attacks provide the need for a minimal motor load and in an early contact with the relevant specialist. The appearance of symptoms that indicate the possible relevance of lumbar osteochondrosis requires a call to a neurologist.