Osteochondrosis of the lumbar spine occurs very frequently as men engaged in hard physical labor, and women sitting at a desk or a computer. The peculiarity of this disease - patient age from 30 to 50 years. Back pain in general, probably the most common complaint. It is hard to find someone who at least once in my life back ached.
First of all, patients concerned about pain in the lumbar region, sacrum, the lower extremities. Low back pain is lumbodynia, back pain and legs - sciatica, pain in the limbs only - sciatica. Beyond the period of acute pain aching, dull. It increases with movements in the spine, prolonged forced position of the body. After a rest in the supine position and decreased pain subsides. If the patient has to lift weights, sometimes after an awkward movement, hypothermia, stress pain exacerbated and become stronger.
In the lumbar region there is muscle tension. The body is trying to help keep the muscle tension in the affected segment of the spine in the same position. Sometimes occurs in the lumbar region spinal curvature (scoliosis). It is also a consequence of muscle tension. Motion in the lumbar spine is sharply limited. Sometimes the patient can not sit because of pain, turning in bed.
If the patient remains disease exacerbation forced posture, which reduces pain. When compression of nerve roots in the lumbar region intervertebral disc herniations, bony growths, or a patient having neurological disorders. In the fourth lumbar spine compression knee-jerk disappears. When compression of the fifth lumbar nerve root innervation is disturbed muscle - long flexor of the big toe and finger flexion is weakened by compression of the first sacral nerve root reflex disappears with the Achilles tendon.
Depending on the affected nerve root found decreased sensitivity of the areas of skin that innervate this root. Very often lead to abnormalities in the autonomic nervous system. Dryness of the skin appears sick limbs, peeling. The skin may be bluish tint. On examination, detect scoliosis in the lumbar region or reduction of lumbar lordosis (curvature of the spine in the lumbar region arc back), muscle tension in the lumbar region in the form of a roller, pain with pressure on the spinous processes of the affected vertebrae. If you press on the head or shoulders of the patient, the pain occurs in the lumbar spine.
To clarify the diagnosis is carried out X-rays of the lumbar spine in the two projections. The pictures show a sealing edge of bony plates of vertebrae, bone growths (spondylosis), signs of arthrosis of the intervertebral joints (spondylarthrosis), reducing the height of the intervertebral discs. Herniated disc is not the X-ray can not be seen as a soft cloth and it is transparent to X-rays. For visualization of disc herniation, clarifying the location of its size made the computer and magnetic resonance tomography.
Treatment of osteoarthritis of the lumbar spine.
An exacerbation of pain in the lumbar region is assigned to bed rest for 2-3 days. To reduce pain and painkillers are assigned non-steroidal anti-inflammatory drugs (diclofenac, voltaren, oksiten, ksefokam, nimesulide, etc.), diuretics (furosemide) venotoniki (aminophylline, troksevazin, Anavenol), B vitamins, niacin, trental. Can then be assigned to walk with crutches for unloading the spine, traction weights, dry and underwater. Conducted paravertebral procaine blockade and blockade of long-acting glucocorticoids.
Appointed by the physiotherapy treatment (UV irradiation, diadynamic and sinusoidal currents, electrophoresis of drugs, laser therapy). Necessarily assigned to physical therapy. There are various exercises, some of them are designed for the acute stage, but most of physiotherapy used after the acute pain subsided.
Good effect as a spa treatment (radon, hydrogen sulfide, bromine baths in a climatic health resorts). Surgical treatment is used if the patient can not stop a pain with conservative methods for a long time, during the development of bladder and bowel disorders, paresis in lower limb muscles. A herniated disc is removed, the spinal segment strengthened.