The osteochondrosis lumbar is one of the most common forms of the underlying disease, actually osteochondrosis. Lumbal osteochondrosis, the symptoms of which are determined by men and women equally, which manifest themselves in the form of pain that is concentrated in the sacrum area, is reflected in their symptoms and on the lower extremities, which are often determined by patients as "clamping of the lumbar nut".
General description
In most cases, the form of osteochondrosis is automatically recorded against the background of back injuries and a seated lifestyle, if possible, if possible, people whose professional activity implies the burdens that affect their back. And these are not only office workers who naturally belong to this group, but also moving companies, builders, servants (e. g. waiter), drivers, etc.
An important role is assigned to the inheritance factor in the context of taking into account the choraxosteochondrosis. Here, not much, not only a few, but about 60% of the probability are available in the presence of an illness in the next relatives. The rest of the external environment has the effects of factors that affect the spine to one or the other degree.
Lombal osteochondrosis, like their other forms, characterize the pain of different severity, which can be painful, after sleep or with a longer finding in the same position (with longer sitting, standing) as well as shooting and acute. In the latter version, they arise due to a long -term acceptance of a pose that is not too comfortable, while in such a situation they have also excluded the implementation of measures that aim at bend in such a situation. In fact, due to the pinching with the appropriate effects of nerve roots and by irritation of nerves in the spine, the pain arises, the irritation of ribbons and muscles (concentrated in the context of the innovation, i. e. the actual arrangement of the nerves of the area, its control, its control) and desolation.
It is important to note that this type of osteochondrosis in isolated form is extremely rare and the course of the disease is therefore most often combined with the symptoms that the osteochondrosis of cervical osteochondrosis is inherent, we will already look at it in our next article.
The general and earliest symptom, which is relevant for all forms of osteochondrosis, as already mentioned, is the manifestation of pain, which is determined in this case by a specific localization, i. e. pain in the lower back. The spread (radiation) of the pain can be noted on the hips and buttocks as well as on the legs (from their outer surface).
The term used to determine osteochondrosis in a more detailed version (degenerative-dystrophic lesion), which is relevant for the intervertebral disc, actually implies a significant complex of pathological conditions in its variety, directly with different types of spinal structures (spinal column), namely with discs, joints and osteophists. The same problems that relate directly to the defeat of the hard drive are in their lead and in discogenic pain. Osteochondrosis and field of concentration.
Leadership for the osteochondrosis lumbar
Protesis in this area of interest for us develops most frequently, and it is projections that cause the occurrence of pain in the lower back. The lumbar region itself is most of the development of certain functional problems in view of its position and characteristics.
This means that if one takes into account this statement on the one hand, it can be differentiated that our focus is on the lumbar department, and precisely on the fact that an essential part of the burden is the discussion. On the other hand, it can be noted that a significant amplitude of movements in turn falls on this lumbar region. In view of this, the greatest tendency towards damage (as well as suggestions that are interested in us) lies on the panes concentrated in the lumbar spine. In addition, we must not forget that changes in discs occur in this and of course in other areas, including against the background of the age -related degenerative process.
Remember our readers what the projections themselves are. The connection of the slices in the spine is provided by the wheels based on cartilage based on cartilage. The main components of the intervertebral disc are a bracket and a fiber ring, through which the fixation is provided within the framework of the spine. The effects of certain factors and conditions provoke the possibility of breaking this ring against the background, the core lead of which again occurs. Hernie develops as a result of this process. As far as the lead is concerned, it already develops as a result of a similar course of the process, but without the simultaneous break of the ring - in this case it is simply thinner and not a break, since the core stands out directly through the ring. In fact, this lead is defined as a lead.
As far as the symptoms of a preliminary form are concerned, it manifests itself as follows:
- A feeling of stiffness in the lower back;
- Pain in the lumbar region;
- Lower pain of chronic nature;
- Lumbosacral radiculite;
- Daubiness, pain, tingling of the fingers on the legs in their feet;
- Impaired urination functions (in rare cases of the tested pathology).
Most of the time, conservative treatment is applied to the lumbar's lead. In the meantime, severe symptoms that are resistant to treatment are often accompanied in the development of the advantage. In this case, you can no longer do without surgical intervention.
Lumbale osteochondrosis: symptoms
The pain in this form of osteochondrosis is shown in different intensity variants. So pain can pain that manifest itself mainly after sleep or after a long session, and there may be pain that shoots and become acute in their manifestation. At the same time, the manifestation of the latter is often found at the time of employment an unpleasant pose without the ability to set up. Each pain variant is directly related to the effects on the nerve endings, with muscle edema, their irritation and with premiums to which nerve roots are exposed. The pain is also connected to the irritation of the lumbar spine in the area of innering your nerve endings.
The strengthening of the lower back in the form of osteochondrosis is determined when coughing and sneezing, also with the body made by the body (especially with the tendencies from forward).
In addition to pain in the lower back, lumbar osteochondrosis can also appear in the form of sensitivity disorders, which are marked in certain areas (skin, lower half of the body, leg muscles). The weakening of the tendon reflexes in the legs or their complete disappearance is also not excluded. As a rule, it is osteochondrosis that provokes the development of the curvature in the lumbar spine.
Based on a certain level of the actual curvature, osteochondrosis is divided into the following types:
- Kyphosis - In this case the smoothness of the Lumbal region is determined, and it often bends back;
- Lordosen - bend of the spine forward;
- Skoliosis - the spine is bent on the left or right.
The clamping of roots to the spinal cord as a result of the development of osteochondrosis within the frame of the lumbar region is often determined in the form of a series of specific disorders, namely defecation or urine, violations that are associated with sensitivity in the genital organs or perinum.
As a rule, the pain appears as a result of the effect that is generated during the physical effort. In this case, a painful reaction can be determined after this load and after some time from the moment of its exposure. Basically, the patient's symptoms are reduced to the occurrence of blunt and painful pain in the lower back and in some cases in a leg that is defined as lumbar. In addition, complaints about the appearance of pain in the leg with its strengthening at the time of the experiment to increase something heavy (lumbago) can arise. The same applies to sneezing and coughing, shaking, the position occupied by the body and a long stay in the same body position.
As a result of the aggravation of the disease under consideration, there is a constant and pronounced voltage from the side of the back muscles, which manifests itself in the impossibility of recognizing measures that aim to smooth or move. Every movement is accompanied by increased pain. Even with a strict period of the patient under cold conditions, he has an acute lumbar pain (which is also defined as a "background").
The symptoms of lumbar osteochondrosis also occur as follows:
- Violation of sensitivity from the hips, buttocks, legs in the foot (which is determined a little less often);
- Spasmodic arteries of the feet increased the boundary of the legs;
- Tingling in the legs, "goosebumps";
- The peeling of the skin and its drought in the area in which the loss of sensitivity or pain is normally determined;
- Fault disorders.
As the most unpleasant complication that occurs against the background of osteochondrosis, the instability of the vertebrae can be distinguished in which the pane stops repairing the vertebrae correctly. This in turn provokes "slips" when it is exposed to the gravity of the lumbar region from the sacrum on the load on the lumbar spine. As a result, not only unpleasant violations can develop, but violations are dangerous and are related to the work of internal organs. In particular, the genitarian "suffers", manifests itself in men in the form of problems with potency and in women - in the form of problems in relation to attachments, uterus and ovaries.
Manifestations of lumbar osteochondrosis
In accordance with the most complete classification, a number of specific syndromes that are relevant for the osteochondrosis lumbar are differentiated. This includes in particular syndromes as follows:
- Reflex syndromes - they include Lumboilia, Lumbalgia and Lumbago;
- Rine-syndrome-acidic (or discogenic) sacral radiculite, the course of which is mainly accompanied by damage to the first sacraldach or the root of the fifth lumbar spine;
- Syndromes are radicularly vascular-manifested in the form of the process of pressing radiculoshemia (especially veins or arteries are subject to the press), while pressing is carried out at the same time with the spine.
In short, we are the listed syndromes.
LumbargiaIn particular, it implies a chronic type of pain that takes place in general after a long -term introduction of an unpleasant position with a body or after a long session as well as after exposure to the body and a certain area according to physical activity.
lumbagoIt manifests itself in the form of an acute lumbar pain, which is characterized as the "background", mainly lumbago occurs at the time of weight or with an unsuccessful movement. Sometimes lumbago is also found after cough or sneezing.
Diseases accompanied by lumbar osteochondrosis
The lumbar osteochondrosis occurs not only in combination with pain and other symptoms listed, but also in combination with some characteristic diseases of the internal organs.
About 30% of the patients relevant to the osteochondrosis with a clinic therefore notice the presence of certain problems connected to the liver, or with the functions of the stomach intestine tract. The fact is that the presence of a certain disease of the gastrointestinal tract, pancreas or liver together with pain impulses causes the voltage of blood vessels and muscles and spasms, whereby the simultaneous development of the body of the dystrophic process in certain areas of the body gives a condition of the oxygen context. The process is deteriorated with a violation of the metabolism, which is inherent in this type of illness.
As we have already mentioned, pain in the lower back can provoke the development of diseases in the pelvic organs. Women can encounter an illness as inflammation of the attachments (which is defined as adnexitis), and men in turn experience all "charms" of prostatitis, ie inflammation of the prostate gland.
The manifestations of lumbar osteochondrosis are also accompanied by pressing phenomena in the pelvic area, which develop as a result of the above diseases, including chronic colitis, hemorrhoids and constipation.
Treatment
Most of the time, the treatment of osteochondrosis is multi -component and rather complicated in its implementation. Most of the time, all therapy measurements are reduced to the following points:
- Drug treatment;
- if necessary - surgical treatment;
- Diet;
- Medical physical education.
A deterioration in the disease initially requires compliance with the bed rest for patients. The main recommendation for this part is a hard/hard sleeping place. Attacks are extremely expressed in the manifestations and offer the need for a minimal motor load and in early contact with the responsible specialist. The occurrence of symptoms that indicate the possible relevance of lumbar osteochondrosis requires a neurologist.