Lumbar osteochondrosis is one of the most common forms of the underlying disease, actually osteochondrosis. Lumbar osteochondrosis, the symptoms of which are equally determined by both men and women, manifested in the form of pain concentrated in the sacrum area, reflected in their symptoms and on the lower extremities, which is often determined by patients as "pinching of the lumbar nerve".
General description
Most often, the form of osteochondrosis undergoes against the background of back injuries and a sedentary lifestyle, respectively, automatically at risk group, if possible this disease, 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 movers, builders, service workers (waiters, for example), drivers, etc.
An important role is assigned to the factor of heredity in the context of the consideration of thoracic osteochondrosis. Here, not a lot, 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 factors, which, to one degree or another, affect the spine.
Lumbar osteochondrosis, like its other forms, characterize the pain of varying severity that can be aching, arising after sleep or with prolonged finding in the same position (with prolonged sitting, standing), as well as shooting and acute. In the latter 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, thereby excluding such a pose along with the load, provided with it. Actually, pain arises as a result of pinching with the appropriate effects of nerve roots, as well as irritation of nerves in the spinal column, irritation of ligaments and muscles (concentrated within the framework of the innervation, that is, the actual arrangement of the nerves of the area under consideration, its controlling) and edema.
It is important to note that in an isolated form, this type of osteochondrosis is extremely rare, and therefore most often the course of the disease is combined with the symptoms inherent in cervical osteochondrosis, we will consider it already in our next article.
The general and earliest symptom, relevant for all forms of osteochondrosis, as we have already noted, consists in the manifestation of pain, which in this case is determined by a specific localization, that is, pain in the lower back. The spread (irradation) of pain can be noted to the hips and buttocks, as well as to the legs (from their outer surface).
The term used to determine osteochondrosis in a more detailed version (degenerative-dystrophic lesion), relevant for the intervertebral disc, actually implies a significant complex of pathological states in its variety, directly related to various types of spine structures (spinal column), namely with discs, joints and osteophists. The same problems that relate directly to the defeat of the disk consist in its protrusion and in discogenic pain. Vides of osteochondrosis and the field of concentration.
Protrusion for lumbar osteochondrosis
Protes in this area of interest to us develop most often, moreover, it is protrusions that cause the appearance of pain in the lower back. The lumbar region itself, given its location and features, is most 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 directly refers precisely to the lumbar department, respectively, it is precisely on it that a significant part of the loads accounts. When considering, on the other hand, it can be noted that a significant amplitude of movements, again, falls on this lumbar region. Given this, the greatest tendency to damage (as well as protrusions of interest to us) is on the discs concentrated in the lumbar region. In addition, we must not forget that changes in discs in this and, of course, in other areas, occur, including against the background of age -related degenerative processes.
Recall our readers what the protrusions themselves are. The connection of the disks with each other in the spine is provided by the wheels based on cartilage. The main components of the intervertebral disk are a jetty nucleus and a fibrous ring, through which fixation is provided within the framework of the spinal disk. The impact of certain factors and conditions provokes the possibility of breaking this ring, against the background of which, in turn, the nucleus protrusion occurs. As a result of this process, hernia develops. As for the 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, and not a break, because the core protrudes directly through the ring. Actually, this protrusion is defined as protrusion.
As for the symptoms of protrusion, it manifests itself as follows:
- a feeling of stiffness in the lower back;
- soreness in the lumbar region;
- Lower pain of a chronic nature;
- lumbosacral radiculite;
- numbness, pain, tingling fingers on the legs, in the feet;
- impaired urination functions (in rare cases of the pathology under consideration).
Mostly, conservative treatment is applied to the protrusion of the lumbar disk. Meanwhile, significant in the development of protrusion are often accompanied by severe symptoms, resistant to treatment, in this case, you can no longer do without surgical intervention.
Lumbar osteochondrosis: symptoms
The pain in this form of osteochondrosis is manifested in various intensity variants. So, it can be aching pain, which manifest mainly after sleep or after a long sitting, and there may be pains shooting and acute in their manifestation. At the same time, the manifestation of the latter is often noted at the time of occupying an uncomfortable pose without the ability to straighten up. Any variant of pain is directly related to the impact on the nerve endings, with muscle edema, their irritation and with pinches, to which nerve roots are subjected to. The pain is also associated with irritation of the lumbar lumbar lumbar in the field of innervation of its nerve endings.
Strengthening the lower back in the form of osteochondrosis under consideration is noted during coughing and sneezing, including with the body made by the body (especially with the inclinations of forward).
Lumbar osteochondrosis can also appear, in addition to lower back pain, also in the form of sensitivity disorders marked in certain areas (skin, lower half of the body, leg muscles). The weakening of tendon reflexes in the legs or their complete disappearance is also not excluded. As a rule, it is osteochondrosis that provokes the development of curvature in the lumbar spine.
Based on a specific plane of actual curvature, osteochondrosis is being divided into the following types:
- kyphosis - in this case, the smoothness of the lumbar region is noted, and often it is also bending back;
- lordoses - bending of the spine forward;
- Scoliosis - the spine is curved left or right.
The pinching of roots belonging 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 number of specific disorders, namely, defecation or urination, violations associated with sensitivity in the genital organs or perineum.
As a rule, pain appears (and exacerbated too) as a result of the effect produced during physical exertion. Painful response in this case can be noted 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 dull and aching pain in the lower back, and in some cases it gives in a leg, which is defined as lumbalgia. In addition, complaints about the appearance of pain in the leg with its strengthening at the time of trying to raise something heavy (lumbago) may arise. The same applies to sneezing and coughing, driving with shaking, changing the position occupied by the body, as well as a long stay in the same position of the body.
As a result of the exacerbation of the disease under consideration, there is a constant and pronounced tension from the side of the back muscles, which is manifested in the impossibility of realizing actions aimed at straightening or moving. Any movement is accompanied by increased pain. In addition, even with a stern time of the patient in conditions of cold, he has an acute lumbar pain (which is also defined as a "background").
Symptoms of lumbar osteochondrosis also appear as follows:
- violation of sensitivity from the hips, buttocks, legs, in the foot (which is noted somewhat less often);
- spasmodic arteries of the feet, increased confinence of the legs;
- tingling arising in the legs, "goosebumps";
- peeling of the skin and its dryness in the area in which the loss of sensitivity or pain is usually noted;
- Disruption disorders.
As the most unpleasant complication that occurs against the background of osteochondrosis, the instability of the vertebrae can be distinguished, in which the disk ceases to properly fix the vertebra. This, in turn, provokes "sliding" when exposed to the gravity of the lumbar region from the sacrum at the load provided on the lumbar. As a result of this, not just unpleasant violations can develop, but violations are dangerous and related to the work of internal organs. In particular, the genitourinary system "suffers", this manifests itself in men in the form of problems with potency, and in women - in the form of problems relating to appendages, uterus and ovaries.
Manifestations of lumbar osteochondrosis
In accordance with the most complete classification, a number of specific syndromes that are relevant for lumbar osteochondrosis are distinguished. In particular, these include syndromes as follows:
- Reflex syndromes - they include lumboilia, lumbalgia and lumbago;
- Rine syndrome-vertebrogenic (or discogenic) sacral-lingering radiculite, the course of which is accompanied mainly by damage to the first sacral roof or root of the fifth lumbar;
- Syndromes are radicular-vascular-manifested in the form of the process of squeezing vessels of radiculoshemia (in particular, veins or arteries are subject to squeezing), while squeezing is carried out simultaneously with the spine.
We highlight in short, which are the listed syndromes.
LumbalgiaIn particular, it implies a chronic type of pain, which arises gradally after a long -term adoption of an uncomfortable position with a body or after a long sitting, as well as after exposure to the body and a specific area after physical activity.
LumbagoIt is manifested in the form of an acute lumbar pain, characterized as a "background", mainly lumbago occurs at the moment of weight lifting or with an unsuccessful movement. Sometimes lumbago is also noted after coughing or sneezing.
Diseases that are accompanied by lumbar osteochondrosis
Lumbar osteochondrosis occurs not only in combination with pain and other listed symptoms, but also in combination with some characteristic diseases of the internal organs.
So, about 30% of patients with a clinic relevant for lumbar osteochondrosis, note 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, pancreas or liver provokes, along with pain impulses, the tension of blood vessels and muscles and spasm, as a result of which there is a state of oxygen starvation with the simultaneous development of the body of the dystrophic 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 already noted earlier, lower back pain can provoke the development of diseases in the pelvic organs. Women may encounter such a disease as inflammation of the appendages (which is defined as adnexitis), and men, in turn, experience all the "charms" of prostatitis, that is, inflammation of the prostate gland.
The manifestations of lumbar osteochondrosis are also accompanied by pushing phenomena in the pelvic area, which develop as a result of the above diseases, including chronic colitis, hemorrhoids and constipation.
Treatment
Mostly the treatment of osteochondrosis is multicomponent and quite complicated in its implementation. Mostly all measures of therapy 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 bed rest for patients. The main recommendation for this part is a hard/hard sleeping place. Extremely expressed in manifestations, attacks provide for the need for a minimum motor load and in an early contact to the relevant specialist. The appearance of symptoms indicating the possible relevance of lumbar osteochondrosis requires an appeal to a neurologist.