Osteochondrosis of the lumbar spine phenomenon is the most common disease. Equally lumbar osteochondrosis affected both men and women. Many people are familiar with back pain. At least once, everyone felt the manifestations of lumbar degenerative disc disease causing pain in the sacrum, loins or lower extremities, usually called a "pinched nerve in the back."
Causes of degenerative disc disease of the lumbar spine
It is considered that the main cause of degenerative disc disease of the lumbar spine is in the upright posture. However, without precipitating factors such as physical inactivity, violations of metabolic processes in the body, the disease would not happen. Also degenerative disc disease of the lumbar spine can be caused by excess weight, heavy lifting and other reasons.
The main source of pain in osteochondrosis of the lumbar spine phenomenon is the pinching of nerve roots that occurs due to the narrowing of the intervertebral gaps and phenomena of the appearance of prolapse (protrusion of the intervertebral disc). Such changes can occur due to the deterioration of power, violations of metabolic processes in the tissues of intervertebral disks, leading Yes gradual drying and flattening let the kernel of the ROM and reduce its cushioning.
In the process of development of osteochondrosis of the lumbar spine becomes more significant bulging of the disc, leading initially to the formation of the protrusion, and then to the formation of the hernia due to rupture of the fibrous ring that holds the contents of the CD in place.
Emerging a pinched spinal nerve in the presence of degenerative disc disease of the lumbar spine causes pain called sciatica.
Sciatica occurs when pain is accompanied by numbness of the lower extremities. Based on ad location and nature can be divided into lumbago and sciatica. When a pinched nerve occurs with inflammation, we are talking about sciatica. Treatment of sciatica with pain medications (ointments) is symptomatic and essentially the phenomenon is not effective, because the cause of the disease - dystrophic processes in the tissues of intervertebral disks - no effect. To eliminate the pain and prevent complications of lumbar degenerative disc disease requires the use of complex therapeutic effects to enhance the gradual regeneration of tissues, disks, restore the normal height of the intervertebral discs and the normalization of their physiological parameters.
Due to the fact that this spine have a significant load, osteochondrosis of the lumbar spine can lead to complications such as hernias and protrusions, which have a large spread and develop very quickly. Therefore, early treatment of the disease is particularly important. And because when symptoms persist, degenerative disc disease of the lumbar spine for the first time should not hesitate to seek medical help and undergo complete evaluation.
Symptoms of degenerative disc disease of the lumbar spine
Compression of spinal nerve roots by disc herniation in the epidural space in osteochondrosis of the lumbar spine
The epidural space is the space where the spinal roots. The symptoms of lumbar osteochondrosis correspond to the affected segment of the spine.
- The defeat of roots of L1, L2 with lumbar degenerative disc disease causes severe radicular pain and impaired sensitivity in the so-called zone of "rider pants" - in the upper third of the inner thighs and groin area. When complications of lumbar osteochondrosis development of a hernia, the MRI characteristics of which phenomenon is posterior or posterior-lateral location, the pain occurs in both legs.
- The defeat of the spine L5 lumbar osteochondrosis leads to reduced sensitivity, severe shooting pains in the lower back and its irradiation and thumb, and in some cases reduced the power extensor of the thumb.
- Defeat the root S1 with lumbar osteochondrosis is expressed shooting pain and then a subsequent decrease in the sensitivity of the external surface of the femur and tibia, and foot and little finger and fourth finger. With the defeat of S1 occurs the loss of the plantar and Achilles reflexes.
Lose artery Depro of Gotteron
With the defeat of arteries Depro-gotteron of the symptoms of degenerative disc disease of the lumbar spine similar to the symptoms of myelogenous and Kautokeino "intermittent claudication". With chronic low back pain the lumbar spine can cause paralysis of the buttocks and lower legs, loss of sensation in the anogenital region. Lose extra artery that goes with the root L5 or S, may cause development of syndrome of "crippling sciatica" (unilateral or bilateral) and loss of motor and pelvic functions.
Compression-vascular ischaemia (malaisamy) in osteochondrosis of the lumbar spine
Osteochondrosis of the lumbar spine may phenomena are compression-vascular ischaemia (malaisamy), which phenomenon is a violation of blood supply of the spinal cord, its peripheral structures due to the reduction of the intervertebral holes through which arteries and blood vessels. This is due to a flattening of the discs (decrease their height), abnormal excessive mobility of the spine in a weakened ligament, with the formation of neoarthrosis and osteophytes. Any of the movements of the spine, affecting the damaged segment, causing additional compression and trauma to the clamped vessel or artery. In addition, it may be a reflex contraction of the vessel, which passes through a compression hole of the spinal canal – the phenomenon is the effect of the "narrow bed".
Compressive myelopathy
Compressive myelopathy is a spinal cord lesion caused by narrowing of the for some reason the spinal canal. The severity of the injury and its symptoms depend on the localization of the lesion. In most cases, the course and symptoms of the disease are episodic nature, for another attack should the remission.
Symptoms of degenerative disc disease of the lumbar spine, which is complicated by the development of disc herniation TXII-LI, causing the defeat of the segments L2-L4, S1-S2 spinal cord (syndrome epigonus): pain in the lumbar region, back of the thighs, calves and weakness in the legs. The development of hypotension and hypotrophy gluteal and calf muscles, paresis of the foot, loss of the plantar and Achilles reflexes. Sensitivity posteroexternal surface of the leg and foot is reduced or absent.
Symptoms of lumbar degenerative disc disease with a herniated disc LI-II compression coccygeal segment S3 syndrome (cone): thus leading to the clinical manifestations include severe disruption of the pelvic organs, such as urinary incontinence and fecal incontinence, intermittent with constipation, reduction or loss of sensation in the anogenital region, the rapid development of bedsores, loss of the anal reflex.
Osteochondrosis of the lumbar spine, which is complicated by the compression or damage to nerve roots the spinal cord starting from the first lumbar and lower, developing a condition called "cauda equina syndrome". It should be noted that this condition is more prone to people who initially have a congenital narrow spinal canal.
The so-called "pony tail" phenomenon is the bundle of nerve roots end of the spinal cord, starting from the first lumbar segment and below. Smoke name the beam received through resemblance to a ponytail. When diagnosing cauda equina syndrome a decisive role in addition to topical symptoms is the presence painful bright severe pain radicular nature. The cauda equina is different hell syndrome of the cone, which may not be severe pain.
Excruciating and intense pain in the lumbar region and the sacrum, which is given in the buttock, in the posteroexternal surface of the thighs, in the anogenital region. Marked in different degrees of disturbances of the peripheral type of pelvic functions, the phenomenon is a disorder of sensitivity in the form of strips, peripheral paralysis and paresis. In more severe cases become paralyzed buttocks and both legs. Yes typical clinical features include asymmetry of motor and sensory disorders.
Symptoms of lumbar degenerative disc disease are manifested according to the ad the location of the lesion
Osteochondrosis of the lumbar spine can lead to the development of the syndrome 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 while walking, numbness of the lower torso, urging and urination. No pain in the legs. These symptoms of lumbar osteochondrosis disappear at rest.
Yudovina "intermittent claudication", which occurs when ischemia of the roots of the cauda equina: felt tingling and chills when walking, anemia in peripheral parts of the legs, gradually these symptoms of lumbar osteochondrosis rise above, grab the groin, perineum, genitals. Phenomenon is the weakness in his legs. A short rest and results in rapid disappearance of symptoms.
For lumbar osteochondrosis is complicated by the compression of an artery of Adamkewicz that occurs when weight lifting, bad movement, shaking and manifests itself clinically by paralysis of varying severity (the hell of the surface and the loss of sensitivity), disorders of pelvic organs (incontinence of urine and feces), atrophy of the leg muscles, fast phenomena are the appearance of bedsores.
Manifestations of osteochondrosis of the lumbar spine
Manifested degenerative disc disease of the lumbar spine dull aching pain in the lower back outside the period of exacerbation. The pain may worsen due to prolonged stay in an uncomfortable position or stress. When making a recumbent position the pain is reduced or disappears.
In stressful for the body situations, for example, at high loads, hypothermia, and even at sudden awkward movements osteochondrosis of the lumbar spine can go into the acute stage. Acute stage is characterized by severe pain that can be localized not only in the lumbar spine, but also spread to the lower limbs. Also you may experience tension of the muscles of the waist, so the body tries to reduce the burden on the patients spine. The patient with lumbar osteochondrosis in the acute stage often has to find a position where pain less and try to keep it this way.
Anatomically osteochondrosis of the lumbar spine is the conversion of cartilage into bone and overgrowth, resulting in bone tissue starts to compress the nerve roots that extend from the spinal cord, causing pain. The reason for this growth of bone tissue phenomenon is the malnutrition of the intervertebral discs, which leads to lack of fluid and it causes a disruption in their functioning and structure.
Treatment of degenerative disc disease of the lumbar spine
Osteochondrosis of the lumbar spine phenomenon is a disease that requires long, intensive, comprehensive treatment. This is particularly true in advanced cases, in which there are multiple protrusion or intervertebral hernia.
Thanks reflex techniques, effective treatment of degenerative disc disease of the lumbar spine can be performed in e maximum benefit without side effects. But it must be remembered that so seriously Esna the problem can not be solved quickly. In all cases of lumbar osteochondrosis should be assigned strictly individual treatment.
The basis of treatment with osteochondrosis of the lumbar spine are acupuncture, Moxa-therapy, vacuum therapy, pharmacopuncture, soft techniques of manual therapy. These treatments combined provide the ability to restore normal blood circulation and eliminate stagnation ate phenomena in the region of the lumbar, vascular edema and muscle spasms, restoring the balance of metabolic processes in tissues of intervertebral disks, improving their nutrition. Thus, starts and stimulates the process of natural regeneration. It should be noted that the ongoing manual therapy in lumbar osteochondrosis can only be directed at improving function of the spine, as well as the reposition of the disc cannot be considered.
Application procedures for the treatment of degenerative disc disease of the lumbar spine completes the reception of herbal remedies that can improve balance of metabolic processes and nerve supply in the body. In addition, the necessary correction power and an active lifestyle. In the treatment of degenerative disc disease of the lumbar spine important phenomenon is the correction of a weight, since being overweight puts extra strain on the lower back and serves as a factor that exacerbates the development of osteochondrosis.
Large experience in the treatment of degenerative disc disease of the lumbar spine, the accumulated long-term practice, in most cases allows to achieve amazing results, which phenomena are sufficiently persistent that prevents surgery, eliminates back pain, improves locomotor activity and complex heals not only the lumbar region, but the entire body.
Usually, to achieve a positive effect from treatment is quite ad 10 and 15 treatment sessions. Acute pain goes away in about 1-3 sessions.
Don't forget that the sooner the treatment of degenerative disc disease, the faster will be achieved positive results!