Edema with osteochondrosis of the lumbar region
Osteochondrosis of the lumbar spine is the most commondisease. Both men and women are equally affected by lumbar osteochondrosis. Many people are familiar with low back pain. At least once, everyone experienced manifestations of lumbar osteochondrosis, provoking pain in the region of the sacrum, lower back, or lower extremities, usually called "pinched nerves in the lower back".
Causes of osteochondrosis of the lumbar spine
It is generally accepted that the main reasonosteochondrosis of the lumbar spine is in the upright. However, without provoking factors, such as hypodynamia, metabolic disorders in the body, the development of the disease would not occur. Also, the osteochondrosis of the lumbar region can be triggered by the presence of excess weight, lifting of weights and a number of other reasons.
The main source of pain in osteochondrosislumbar spine is a jamming of the nerve roots, which is due to the narrowing of the intervertebral gap and the appearance of prolapse (protrusion of the intervertebral disc). Such changes can occur due to deterioration in nutrition, disturbance of metabolic processes in the tissues of the intervertebral discs, leading to a gradual drying and flattening of the pulpous core of the disc and a decrease in its damping capacity.
In the process of development of lumbar osteochondrosisof the spinal column becomes more significant protrusion of the disc, leading first to the formation of protrusion, and after and to the formation of a hernia due to rupture of the fibrous ring, which keeps the contents of the disc in place.
The resulting pinching of the spinal nerve in the presence of osteochondrosis of the lumbar spine causes pain syndrome, called lumboschialgia.
With lumbosciagia, the resulting pain accompaniesnumbness of the lower extremities. Depending on the location and nature, they can be divided into lumbago and sciatica. When the pinching of the nerve proceeds with its inflammation, it is a question of radiculitis. Treatment of radiculitis with painkillers (ointments) is symptomatic and in fact is not effective, because the cause of the disease - dystrophic processes in the tissues of the intervertebral discs - does not work. To eliminate pain and prevent complications of lumbar osteochondrosis, it is necessary to use a complex therapeutic effect to activate the gradual regeneration of disc tissues, restore normal height of intervertebral discs and normalize their physiological parameters.
Due to the fact that this department of the spinethere are significant loads, osteochondrosis of the lumbar spine can lead to complications in the form of hernias and protrusions, which are very widespread and develop very rapidly. In this connection, timely treatment of the disease becomes particularly important. Therefore, if there are symptoms of osteochondrosis of the lumbar spine for the first time, do not hesitate to apply for qualified medical care and undergo a complete examination.
Symptoms of osteochondrosis of the lumbar spine
Compression of the roots of the spinal nerve of the disc herniation in the epidural space with osteochondrosis of the lumbar spine
Epidural space is the space in which the spinal roots are located. Symptoms of lumbar osteochondrosis correspond to the affected segment or spine.
- Lesions of roots L1, L2 with lumbarosteochondrosis causes severe radicular pain and sensitivity disorders in the so-called "rider's pants" zone - in the upper third of the inner thigh and groin area. In the complication of lumbar osteochondrosis by the development of a hernia, whose MRI signs are posterior or posterior-lateral localization, pain occurs immediately in both legs.
- L5 spine injury in lumbar osteochondrosisleads to a decrease in sensitivity, pronounced shooting pain in the lower back and irradiation of it to the thumb, in some cases the force of the extensor of the thumb decreases.
- Lesion of spine S1 with lumbar osteochondrosisis expressed by shooting pain and the following subsequent decrease in sensitivity in the area of the external surface of the thigh and lower leg, as well as the foot to the little finger and the fourth finger. With the defeat of S1, plantar and Achilles reflexes fall out.
When lesions of the Deproge-Gotteron arteryosteochondrosis of the lumbar spine are similar to the symptoms of the syndrome of myelogenous and caudogenic "intermittent claudication". In chronic course, the osteochondrosis of the lumbar spine can cause paralysis of the buttocks and lower leg, loss of sensitivity in the anogenital region. The lesion of an additional artery that comes with the spine of L5 or S can cause the development of the syndrome of "paralyzing sciatica" (unilateral or bilateral) and loss of motor and pelvic functions.
Compression-vascular ischemia (myelo-ischemia) with osteochondrosis of the lumbar spine
When osteochondrosis of the lumbar spineCompression-vascular ischemia (myelo-ischemia), which is a violation of the blood supply of the spinal cord and its peripheral structures due to a decrease in the intervertebral openings through which the arteries and blood vessels pass, can appear. This is due to the flattening of the discs (a decrease in their height), abnormal mobility of the spine with weakened ligaments, and the formation of neoarthrosis and osteophytes. Any of the movements of the spine affecting the damaged segment causes additional compression and trauma to the clamped vessel or artery. In addition, a reflex narrowing of the vessel may occur, which passes through the clamped aperture of the spinal canal - the effect of a "narrow bed" appears.
Compression myelopathy is a defeatThe spinal cord is caused by a narrowing for some reason of the spinal canal. The severity of the lesion and its symptoms depend on the localization of the lesion. In most cases, the course and symptoms of the disease are episodic, followed by a remission followed by a remission.
Symptoms of lumbar osteochondrosisspine, which is complicated by the development of the hernia of the TXII-LI disc, which causes damage to the segments L2-L4, S1-S2 of the spinal cord (epicone syndrome): pain in the lumbar region, hamstring, shin and weakness in the legs. There is development of hypotension and hypotrophy of gluteal and calf muscles, foot paresis, loss of plantar and Achilles reflexes. Sensitivity to the posterior leg and foot is reduced or absent.
Symptoms of lumbar osteochondrosis with herniaLI-II disk with the compression of the coccygeal segment S3 (cone syndrome): the leading clinical manifestations include pronounced disorders of the pelvic organs such as urinary and fecal incontinence, intermittent with constipation, decrease or loss of sensitivity in the anogenital area, rapid development of decubitus, anal prolapse reflex.
With osteochondrosis of the lumbar regionspine, which is complicated by compression or lesion of the nerve roots of the spinal cord from the first lumbar and lower, a condition that is called "horse tail syndrome" develops. It should be noted that this condition is more susceptible to people who initially have an innate narrowness of the spinal canal.
The so-called "ponytail" is a bundlenerve roots of the terminal parts of the spinal cord, beginning with the first lumbar segment and below. Its name came from a bunch due to the external similarity with the ponytail. In the diagnosis of horse tail syndrome, the determining role, in addition to the topical symptomatology, is played by the presence of painful pronounced radicular pain. This horse tail syndrome differs from cone syndrome, in which there may be no severe pain.
Painful and intense pain in the lower back andareas of the sacrum, giving into the buttock, in the back of the thigh, into the anogenital area. Disturbances in the peripheral type of pelvic functions are expressed in various degrees, a sensitivity disorder appears in the form of bands, peripheral paralysis and paresis. In more severe cases, the buttocks and both legs are paralyzed. Characteristic clinical features include asymmetric motor and sensory disorders.
Symptoms of lumbar osteochondrosis appear depending on the localization of the lesion
Osteochondrosis of the lumbar spinecan lead to the development of the syndrome of myelogenous "intermittent claudication". In this case, the lack of blood supply to the lower parts of the spinal cord is manifested by a feeling of weakness in the legs during walking, numbness of the lower part of the trunk, and urge to urinate. There are no pains in the legs. These symptoms of lumbar osteochondrosis disappear during rest.
Cudogenous "intermittent claudication", arisingwith ischemia of the roots of the horse's tail: tingling and goose bumps are felt while walking, anemia in the peripheral parts of the legs, gradually these symptoms of the lumbar osteochondrosis rise higher, they seize the groin, the perineum, and the genitals. There is weakness in the legs. A short rest leads to rapid disappearance of symptoms.
The course of lumbar osteochondrosis is complicated bycompression of the arteria of Adamkiewicz, which occurs when lifting weights, unsuccessful movement, shaking, and manifests itself clinically as paralysis of varying severity (from superficial to total loss of sensitivity), disorders of pelvic organs (urinary and fecal incontinence), muscle atrophy of legs, rapid emergence of pressure sores.
Manifestations of osteochondrosis of the lumbar spine
There is an osteochondrosis of the lumbar regionspine blunt aching pain in the waist outside the period of exacerbation. Pain may be aggravated by prolonged exposure to an uncomfortable posture or tension. When taking a recumbent position, the pain decreases, or completely disappears.
In stressful situations for the body, for example,at high loads, supercooling, and, even with sharp awkward movements, the osteochondrosis of the lumbar spine can go into the stage of exacerbation. The stage of exacerbation is characterized by severe pain, which can be localized not only in the lumbar spine, but also spread to the lower extremities. There may also be a strain of the muscles of the waist, so the body tries to reduce the burden on the diseased parts of the spine. Patients with lumbar osteochondrosis in the acute stage often have to look for a position in which the pain weakens, and try to maintain this position.
Anatomically, lumbar osteochondrosisthe spine is the transformation of the cartilage into bones and their proliferation, resulting in bone tissue begins to compress the nerve roots from the spinal cord, which causes pain. The cause of this proliferation of bone tissue is a disruption of the nutrition of the intervertebral discs, which leads to a lack of fluid and this causes disruption in their functioning and structure.
Treatment of osteochondrosis of the lumbar spine
Osteochondrosis of the lumbar spineis a disease requiring long, intensive, comprehensive treatment. This is especially true of neglected cases, in which there are multiple protrusions or intervertebral hernias.
Thanks to reflex methods, effectiveTreatment of osteochondrosis of the lumbar spine can be performed with maximum benefit and without side effects. But it must be remembered that such a serious problem can not be solved quickly. In all cases of lumbar osteochondrosis, strictly individual treatment should be prescribed.
The basis of the treatment course for osteochondrosislumbar spine are acupuncture, moxa therapy, vacuum therapy, pharmacopuncture, soft manual therapy. These procedures in a complex make it possible to restore normal blood microcirculation and eliminate stagnant phenomena in the lumbar region, eliminate vascular edema and muscle spasms, restore the balance of metabolic processes in the tissues of intervertebral discs, improve their nutrition. Thus, the process of their natural regeneration is started and stimulated. It should be noted that the conducted manual therapy with lumbar osteochondrosis can be aimed only at improving the function of the spine, since there can be no question of reponning the disc.
Application of procedures for the treatment of osteochondrosislumbar spine supplements the reception of phytopreparations, allowing to improve the balance of metabolic processes and innervation in the body. In addition, a correction of diet and an active lifestyle is necessary. In the treatment of osteochondrosis of the lumbar spine, weight correction is important, since overweight creates an additional burden on the lower back and serves as a factor that aggravates the development of osteochondrosis.
The presence of extensive experience in the treatment of osteochondrosislumbar spine, accumulated by many years of practice, in most cases allows you to achieve significant results that are sufficiently persistent, which prevents surgical operations, eliminates back pain, improves locomotor activity and complexly heals not only the lumbar region, but the entire body.
Usually, to achieve a positive effect of treatment, 10 to 15 treatment sessions are sufficient. Acute pain passes in approximately 1-3 sessions.
Do not forget that the earlier treatment of osteochondrosis is started, the faster the positive results will be achieved!