Lumbar osteochondrosis is one of the most common forms of the underlying disease, in fact osteochondrosis. Lumbar osteochondrosis, the symptoms of which are determined equally by both men and women manifested in the form of pain concentrated in the area of the sacrum, reflected in their symptoms and on the lower limbs, which is often defined by patients as "pinching the lumbar nerve".
Overall description
Most often, the form of osteochondrosis suffers against the background of back injuries and a sedentary lifestyle, respectively, automatically at a risk group, if this disease is possible, people whose professional activity implies the workloads that affect the back. And these are not only an office workers who, of course, belong to this group, but also hammers, builders, service workers (waiters, for example), drivers, etc.
An important role is assigned to the heredity factor in the context of the examination of thoracic osteochondrosis. Not many, not a few, but about 60% of the likelihood is present in the presence of a disease in the closest relatives. The rest of the external environment has the effects of factors that up to one degree or another affect the spine.
Lumbar osteochondrosis, like its other forms, characterizes the pain of different severity, which can be ill, arising after sleep or with a prolonged finding in the same position (with prolonged sitting, standing), as well as shooting and acute. In the latest version, they arise as a result of long -term admission of a not too comfortable posture, while at the same time in such a situation in such a situation of performing actions aimed at bending, thus excluding such a posture with the load provided with it. In fact, the pain occurs as a result of pinching with the appropriate effects of nerve roots, as well as irritation of the nerves in the spine, irritation of the ligaments and muscles (concentrated within the innervation, that is, the actual arrangement of the nerves of the area under consideration, control) and swelling.
It is important to note that in 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 look at it in our next article.
The general and most early symptom, suitable 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 (irradiation) of the pain can be noted on the thighs 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), suitable for the intervertebral disc, in fact implies a significant complex of pathological conditions in its variety, directly related to the various types of spine structures (spine), namely with discs, joints and joints. The same problems that relate directly to the discomfort of the disk consist in its convexity and discogenic pain. Vides of osteochondrosis and the field of concentration.
Bulge for lumbar osteochondrosis
Dentures in this area of interest for us develop most often, in addition, the protrusion causes the onset of lower back pain. The lumbar region itself, given its location and characteristics, is the most subject to the emergence of certain functional problems.
That is, when we look at this claim, on the one hand, it can be distinguished that our center of gravity directly refers to the lumbar department, it is a significant part of the load on it. When considered, on the other hand, it can be noted that a significant amplitude of movements again falls on this lumbar region. Given this, the largest tendency to damage (as well as projections of interest to us) is on the discs concentrated in the lumbar region. In addition, we should not forget that changes in the discs in this and, of course, in other areas, occur, including against the background of age degenerative processes.
Remember our readers what the projections themselves are. The connection of the discs in the spine is provided by the wheels based on cartilage. The main components of the intervertebral disc are the core of the port and a fibrous ring, which ensures fixation within the spinal disc. The impact of certain factors and conditions provokes the possibility of breaking down this ring, against which the convexity of the nucleus arises. As a result of this process, hernia develops. As for the convexity, it already develops as a result of a similar course of the process, but without the concomitant rupture of the ring - in this case it simply is subject to thinning rather than resting, because the core protrudes directly through the ring. In fact, this convexity is defined as a convexity.
As for the symptoms of convexity, it manifests itself as follows:
- feeling of stiffness in the lower back;
- soreness in the lumbar region;
- Lower pain of chronic nature;
- lumbosacral radiculitis;
- numbness, pain, tingling of the toes, in the legs;
- Impaired function of urination (in rare cases of pathology in question).
The most conservative treatment is applied to the bulge of the lumbar disk. Meanwhile, significant in the development of protrusion are often accompanied by severe symptoms, resistant to treatment, in which case you can no longer do without surgery.
Lumbar osteochondrosis: Symptoms
The pain in this form of osteochondrosis is manifested in different variants of intensity. So this can be a sick pain that occurs mainly after sleep or after a long sitting and in their manifestation there may be pain and acute. At the same time, manifestation of the latter is often noted at the time of an uncomfortable posture without the ability to stand up. Each variant of pain is directly related to the effects on the nerve endings, with muscle edema, their irritation and clips to which the nerve roots are subjected. The pain is also associated with irritation of the lumbar lumbar lumbar in the field of innervation of its nerve endings.
The strengthening of the lower back in the form of osteochondrosis examination is noted during coughing and sneezing, including the body made by the body (especially with the inclinations of forward).
In addition to lower back pain, lumbar osteochondrosis may also occur, also in the form of sensitivity disorders marked in certain areas (skin, lower body half, leg muscles). Weight loss of tendon reflexes in the legs or their complete disappearance is not excluded. As a rule, osteochondrosis provokes the development of curvature in the lumbar spine.
Based on a particular plane of actual curvature, osteochondrosis is divided into the following types:
- Kyphosis - in this case the smoothness of the lumbar region is noted and often also bends back;
- Lordose - bending of the spine forward;
- Scoliosis - The spine is curved left or right.
The pinching of the roots belonging to the spinal cord as a result of the development of osteochondrosis within the lumbar region is often determined in the form of a number of specific disorders, namely defecation or urination, disorders associated with sensitivity in the genital organs or perinea.
As a rule, pain (and exacerbated) occurs as a result of the effect obtained during exercise. A painful answer in this case can be noted after this load and after some time from the moment of its exposure. In general, patients' complaints on this object are reduced to the appearance of dull and sick pain in the lower back, and in some cases it gives up to the leg, which is defined as lumbalgia. In addition, complaints can occur about the onset of leg pain by strengthening it at the time of attempting to lift something heavy (lumbago). The same applies to sneezing and coughing, shaking, changing the position occupied by the body, and 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 on the side of the posterior muscles, which manifests itself in the inability to take action aimed at straightening or moving. Each movement is accompanied by increased pain. In addition, even when breastfeeding the patient in cold conditions, he or she has acute lumbar pain (which is also defined as a "background").
Symptoms of lumbar osteochondrosis also appear as follows:
- impaired sensitivity from the hips, ass, legs, in the foot (which is marked slightly less frequently);
- spasmodic arteries of the legs, increased leg limitation;
- numbness arising in the legs, "goosebumps";
- Peeling of the skin and its dryness in the area where the loss of sensitivity or pain is usually noted;
- Disorders of interruption.
As the most uncomfortable complication that occurs against the background of osteochondrosis, the instability of the vertebrae, in which the disc ceases to fix the vertebrae, can be distinguished. This, in turn, provokes "sliding" when exposed to the weight of the lumbar region from the sacrum at the load provided to the lumbar part. As a result, not only unpleasant disorders can develop, but violations are dangerous and related to the work of the internal organs. More special, the genital system "suffers", this manifests itself in men in the form of problems with potency and in women - in the form of problems related to appendages, uterus and ovaries.
Manifestations of lumbar osteochondrosis
In accordance with the most full classification, a number of specific syndromes are distinguished, which are relevant to lumbar osteochondrosis. More special, they include syndromes as follows:
- Reflex syndromes - they include lumboolia, lumbalgia and lumbago;
- Rine syndrome-discrogenic (or discogenic) sacral-laipitar radiculitis, whose course is accompanied mainly by damage to the first sacral roof or root of the fifth lumbar;
- The syndromes are radicular-vascular, managed in the form of the process of draining the vessels of the radiculoshemia (in particular the veins or arteries are subject to pressure), while the pressure is carried out simultaneously with the spine.
We briefly emphasize the listed syndromes.
LumbalgiaIn particular, it implies a chronic type of pain, which occurs gradually after long -term disadvantage with the body or after a long sitting, as well as after exposure to the body and a specific area after physical activity.
LumbagoIt manifests itself in the form of acute lumbar pain, characterized as a "background", mainly lumbago occurs at the time of weight lifting or with unsuccessful movement. Sometimes Lumbago is also marked after coughing or sneezing.
Diseases that are accompanied by lumbar osteochondrosis
Lumbar osteochondrosis is found 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 suitable for lumbar osteochondrosis indicate the presence of certain problems related to the liver or with the functions of the gastrointestinal tract. The fact is that the presence of a certain disease of the gastrointestinal tract, pancreas or liver provokes, along with pulses of pain, tension of blood vessels and muscles and spasm, resulting in a state of oxygen starvation with the simultaneous development of the body of the dystrophic process in certain areas of the body. The worsening of the process occurs with a violation of the metabolism, which is inherent in this type of disease.
In addition, as we have already noted earlier, lower back pain can cause the development of diseases in the pelvic organs. Women can encounter such a disease as inflammation of the appendages (which is defined as adexitis), 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 the pressure of phenomena in the pelvic region that develop as a result of upper diseases, including chronic colitis, hemorrhoids and constipation.
Treatment
Most of all, the treatment of osteochondrosis is multicomponent and is quite complicated in its implementation. Most of all, all therapy measures are reduced to the following points:
- treatment with drugs;
- If necessary - surgical treatment;
- diet;
- Medical physical education.
The exacerbation of the disease requires, first and foremost, observing the bed rest for patients. The main recommendation for this part is a difficult/difficult place to sleep. Extremely pronounced in manifestations, attacks ensure the need for minimal engine load and early contact with the specialist. The onset of symptoms showing the possible meaning of lumbar osteochondrosis requires an appeal to a neurologist.