Osteochondrosis of the lumbar spine: symptoms and treatment.

Osteochondrosis is characterized by progressive development of degenerative processes in the articular cartilage. As a rule, the pathology affects the intervertebral discs that causes pain while walking and trying to move, and posture. Depending on the localization of the degenerative processes of osteoarthritis is divided into cervical, thoracic and lumbar. The latter type of disease is the most common today. The average age of patients with this pathology is rapidly declining — more and more often the disease occurs in people under the age of 35 years.

back pain

The signs, symptoms, and treatment of osteochondrosis of the cervical

There are three degrees or stages of cervical degenerative disc disease, which is clinically different from each other in symptomatic criteria and treatment methods. Osteochondrosis of 1 degree cervical is the initial stage of osteoarthritis, characterized by the appearance of microfractures of the annulus and rupture of the capsule of the intervertebral disc. In the result of degenerative changes in the joints of the cervical spine, changes in tissue structure that entails a violation of the integrity of the nucleus pulposus. At this stage, the degenerative disc disease of the first degree responds symptoms, indicating the beginning of the destructive process in the bone-muscular system of the spine as follows:

  • Patient troubled by pain symptoms in the neck and shoulder joints (glenohumeral periarthritis syndrome) that become inactive. Cervical osteochondrosis of 1 degree, provides a pinched nerve endings, vasoconstriction and insufficient circulation.
  • When turning or tilting the head, because of the violation of spinal function, a person experiences sharp pain in the neck, indicating compression of the nerve branches, is so-called radicular syndrome.
  • Headache, dizziness, discomfort pain in the neck, the neck and the temporal area of the head is evidence of vertebral artery syndrome, when the brain has inadequate blood supply of the trunk.
  • When osteochondrosis of 1 degree, the man complains about the deterioration of the visual system when the eyes appear to fly, or suddenly they are blinded by the darkness.

Treatment of cervical degenerative disc disease provides a comprehensive therapeutic way of getting rid of a neurological clinic. The attending doctor prescribes a course of medication, physiotherapy and rehabilitation rehabilitation therapy to prevent the following – 2 stage development of the disease. The entire treatment process aims to eliminate pain, provide anti-inflammatory therapy, release muscle spasm and improve blood supply to the affected areas of the cervical spine.

Osteochondrosis of 2 degrees of cervical is a continuation of intranuclear intervertebral decomposition and destruction of the fibrous capsule of the ring. Determined cervical osteochondrosis of 2 degrees as vertebrae, is greatly reduced when the intermediate height between them. This clinical condition provides a compression pinched nerve spinal branches. To treat a neurological pathology, in this state, much harder and longer. This inflammatory period, the person experiences a point of pain, aggravated by any physical exertion, the turns or head tilts.

Fortunately time patients to specialists patients with osteochondrosis of 2 degrees, as a rule, be deep lesions of the vertebral artery. Therefore, treatment of the cervical spine limited to 2 degrees of therapeutic effects on the affected area by pharmacological treatments, massage, manual therapy and physiotherapeutic procedures. This means that the patient gets rid of the need for surgical correction of surgically.

Non-drug treatment

To prevent further destruction of intervertebral disks, to get rid of all discomfort in the lower back helps physiotherapy. This is the only effective method of therapy, which you can use to restore the functional activity of the spine. Thanks to daily training strengthens the muscle corset back, accelerates blood circulation in the damaged discs, increases local immunity. Exercises for training is selected by the doctor of physical therapy, relying on the physical preparation of the patient and the results of radiography. Under its control are held the first classes. Doctor shows how to correctly perform the exercises to the lumbar spine is not subjected to excessive loads.

Improve the blood circulation in the lower back help all physiotherapy:

  • of an application with the ozocerite and paraffin;
  • magnetic therapy;
  • UHF-therapy;
  • laser therapy;

Such a result can be achieved and a course of dot, classic, vacuum massage. To normalize blood flow to the tissues with nutrients and oxygen helps mud therapy, hirudotherapy, manual therapy. If a person is revealed degenerative disc disease of the lumbar 1 degree, that, strange as it may sound, he's very lucky. Only at the initial stage of development of the pathology responds well to conservative therapy, and the prognosis for recovery is favorable.

Treatment of osteoarthritis with medicines

For a start, it should be noted that at the initial stage of development of osteoarthritis in certain cases it is possible to do without the drug. It will be enough application of medical gymnastics, various applicators (roller "Lyapko", the Kuznecov's massager), as well as reducing stress and eliminating other causes of the disease. If the symptoms are gaining strength, and studies have shown characteristic changes, you should connect a medicine that can help to impact on the cause and symptoms of osteoarthritis. Treatment of degenerative disc disease medications are shown in the period of exacerbation and aimed at the removal of the inflammatory process, relief of pain and strengthening of exchange processes due to internal ingestion or administration of drugs using injections. Due to the fact that osteoarthritis is a systemic disease affecting various organs and systems, treatment it should be comprehensive. Drugs for the treatment of degenerative disc disease carry out the following tasks:

  • pain relief,
  • the removal of inflammation,
  • improvement of blood circulation in the affected tissues,
  • the regeneration of cartilage tissue,
  • return of the mobility of joints,
  • elimination of depression caused by constant pain.
laser therapy

So what medicines can be prescribed by a neurologist for the treatment of degenerative disc disease?

NSAIDs (nonsteroidal anti-inflammatory drugs)

Eliminate the inflammation and pain. Apply topically (gel, cream), orally (capsules, tablets), as well as in the form of injection (intramuscularly, intravenously, subcutaneously). Vasodilators (vasodilator) as a result of muscle tension and pain syndrome with degenerative disc disease is a narrowing of the blood vessels. To prevent against this unwanted effects of doctor may be prescribed medication that dilates blood vessels and improves the nutrition of tissues.

Muscle relaxants (muscle relaxants)

Have a relaxing and calming effect on the muscles. The process of recovery without drugs in this group is slower, because due to their properties, the blood circulation is normalized, the pain dulled, mobility returned, and the affected tissue recover faster. Chondroprotectors not give further damage, stabilize the state. Reception of chondroprotection long life, the effect occurs after treatment for a period of not less than 6 months. Chondroprotectors are applied topically, orally and by injection.

Sedative (calming) funds

Prolonged pain can cause stress and depression. In this case, the prescribed drugs Valerian, motherwort, combined herbal preparations. With more severe disorders using antidepressants to improve sleep and sleep quality – sleep drugs.

Vitamins and vitamin-mineral complexes

Of greater importance here are the B vitamins, as able to restore the sensitivity of the affected nerve fibers and reduce pain. They are part of such preparations (tablets and solution for injection). With the objective of overall strengthening of the body can also be prescribed vitamin-mineral complexes.

Symptoms of degenerative disc disease of the lumbar

If you experience degenerative disc disease of the lumbar spine, the main symptom is pain. The nature of pain, site of occurrence and direction of propagation depend on which receptors get irritated, that is how gross changes in the disc and surrounding tissues, a protrusion or hernia already, which side is formed a protrusion, and so on. Here are the main symptoms of lumbar degenerative disc disease:

  1. Pain in the lumbar spine whining character, aggravated by sharp movements, change of body position, prolonged stay in one position. Pain reduction occurs when making a horizontal position;
  2. Along with pain in the lumbar osteochondrosis can give a feeling of weakness in the lower torso and legs, and loss of tendon reflexes of the lower extremities;
  3. Often observed curvature of the lumbar spine. Depending on the place where there is curvature, we distinguish between scoliosis (curvature of the spine to the right or to the left), lordosis (bending forward) and kyphosis (smoothing lumbar bending);
  4. If low back pain has led to the clip and dysfunction of the spinal cord, the patient may be uncontrolled urine and stool.

Additional characteristics:

  • cold skin and numbness in the lumbar region, buttocks;
  • dryness, flaking, bluish discoloration of the skin on the lower back and buttocks;
  • violation of sweating in the buttocks;
  • violation of urination;
  • erectile dysfunction.

Such symptoms evidence of early disease and requires medical intervention. Treatment of degenerative disc disease can be performed in stationary and home conditions.

Treatment of lumbar osteochondrosis

The treatment of degenerative disc disease of the lumbosacral spine does a neurologist. The standard treatment scheme is: the doctor performs a diagnosis, determines the degree of development of the disease, identify complications. With this in mind, deciding on the method of treatment — conservative or surgical.

Physiotherapy

Exercise therapy in spinal osteochondrosis is carried out in a hall under the supervision of a physician. Classes are conducted when there is remission and the patient is not in pain. The doctor monitors the patient's condition during physical activity, if you experience any pain or discomfort exercise corrects or cancels it. Each remedial gymnastics takes place in several stages. During the warm-up, the patient performs light exercises that warm up the muscles and disperse the blood. In the main part of the exercises for the affected section of the spine. In a final relaxing stretch.

Physiotherapy in lumbar osteochondrosis

Physiotherapeutic procedures are carried out to numb the pain, improve blood circulation and nutrition of tissues and reduce inflammation. Most often patients are prescribed:

  • electrophoresis, which helps to reduce neurological manifestations of the disease;
  • diadinamotherapy with currents of different intensity, which can effectively relieve even severe pain;
  • ultrasound therapy with exposure along the affected section of the spine;
  • magnetotherapy exposure variable magnetic field.

To achieve the best effect, the patient is prescribed a complex of several physiotherapeutic procedures.

massage

The kinesiotaping

For pain relief apply a cotton patch with glue. There are special types of medical applications for pain in the neck, thoracic, back and when joint problems.

Injections osteochondrosis of the lumbar

When lumbar osteochondrosis the doctor may prescribe the patient following injections for treatment:

  • chondroprotectors protect the cartilage from further damage, slow down the development of degenerative disorders;
  • nonsteroidal anti-inflammatory reduce inflammation, have anti-fever and analgesic effect by reducing swelling inflammation;
  • vitamin complexes restore circulation to affected areas, accelerate the upgrading of nerve fibers, improve the condition of the body.

Injection can be prescribed only by a doctor, as a method of treatment there are contraindications. For example, many drugs are banned for Allergy sufferers, pregnant women and nursing mothers.

Drug therapies

The doctors are trying to get away from this method of treatment, but at the very least prescribe the following drugs for the treatment of degenerative disc disease of the lumbosacral:

  • analgesics provide only additional analgesic or anti-inflammatory effect;
  • antispasmodics relieve muscle spasms, due to which it stops the pressure on the nerve endings and the pain subsides;
  • vasodilator drugs improve blood circulation, help to reduce the time of recovery of the spine after treatment of degenerative disc disease.

Treatment with tablets is carried out separately or in combination with injections. For example, a certain drug is prescribed in pill form, and if it is not effective enough — write it in the form of injections.

Surgery

Surgery is a drastic measure, it is used only in severe cases. During the operation, the doctor eliminates the cause of pain and conducts stabilization of the spine. Untreated osteoarthritis will lead to hernias, chronic radiculitis, neuralgia persistent, deformation of limbs, and eventually to disability.