Osteochondrosis of the lumbar spine is most often the common diseases. As well lumbar osteochondrosis exposed to men and women. Many people known pain in the lower part of the back. At least once every felt the manifestations of lumbar degenerative disc disease, provoking pain in the sacral area, the lower part of the back helena of the lower limbs, which we call usually "pinched nerve in the lower part of the back".
Causes of degenerative disc disease of the lumbar spine
It is widely known that the main reason is the degenerative disc disease of the lumbar spine is the upright posture of your body. However, no provoking factors, such as lack of exercise, violations of metabolic processes in the body, the development of the disease, it wouldn't have happened. Also osteochondrosis of the lumbar can be triggered by the presence of excess weight, by lifting weights and a number of other reasons.
The main source of pain in osteochondrosis of the lumbar spine is pinching the nerve root, what happens due to narrowing of the intervertebral spaces and the occurrence of prolapse (protrusion of the intervertebral disc). These changes can occur due to the deterioration of nutrition, disorders of metabolic processes in the tissues of the intervertebral disc, which sees to the gradual dried and flattening of the nucleus pulposus of the disc and reduce the depreciation of skills.
In the process of development of degenerative disc disease of the lumbar spine becomes more pronounced protrusion of the disc, which sees first to the formation of the extrusion, and then to the formation of hernia due to rupture of fibrous rings that hold the contents of the disc on the spot.
Occurs pinched spinal nerve in the presence of degenerative disc disease of the lumbar spine causes pain syndrome, the so-called sciatica.
When sciatica emerging pain accompanied by numbness of the lower extremities. Depending on the localization and the nature of it can be divided into lumbago and sciatica. When the pinched nerve continues with its inflammation, it is a rheumatic pain. Treatment of back pain using painkillers, medicines (ointments) is symptomatic in nature and basically is not effective, because the cause of the disease - degenerative processes in the tissues of the intervertebral disc - does not affect. To eliminate the pain and prevent the occurrence of complications lumbar degenerative disc disease it is necessary to use an integrated therapeutic effects for the revitalization of the gradual regeneration of the tissues of the discs, the recovery of the normal height of the intervertebral disc and normalize their physiological parameters.
In connection with the fact that in this separation of the spine represent a considerable load, osteochondrosis of the lumbar spine can lead to complications in the form of a hernia and the protrusion, which have a great distribution and very quickly evolving. In this context, the timely treatment of diseases is gaining particular importance. And therefore, when the occurrence of the symptoms of degenerative disc disease of the lumbar spine for the first time need not give the search for qualified medical help and undergo a complete examination.
Symptoms of degenerative disc disease of the lumbar spine
Compression of the nerve roots of the spinal nerve herniated disc in the epidural space in osteochondrosis of the lumbar spine
Epidural space – that is the space in which they are located spinal roots. Symptoms of lumbar degenerative disc disease correspond to the affected segment of helena's spine.
- The defeat of the roots L1, L2 in the lumbar osteochondrosis provokes severe root pain and sensitivity disorders in the so-called zone of "pants on the rider" - in the upper third of the inner thighs and groin. When complications of lumbar degenerative disc disease the development of a hernia, MRI-the symptoms, which is on the back helena, rear-side localization, the pain arises immediately in both legs.
- The defeat of the root L5 in the lumbar osteochondrosis can see to reduce the sensitivity, expressed by the shooting pain in the lower part of the back and radiation it to the big finger, in some cases, decreases the strength of the extensor of the thumb.
- The defeat of the root S1 in the lumbar osteochondrosis expressed shooting pain and another then a reduced sensitivity in the outer surfaces of the thighs and calves, and also legs up to the little finger and the fourth finger. When the loss of the S1's going on loss of the plantar and achilles reflexes.
The defeat of the arteries Depro-Is-gotteron
When damage to the artery Depro-Is-gotteron symptoms of degenerative disc disease of the lumbar spine, are similar to the symptoms of the syndrome myeloid and Kautokeino "intermittent claudication". In chronic course of osteochondrosis of the lumbar spine can cause paralysis of the buttocks and lower extremities, loss of sensation in the anogenital area. The defeat of the other artery that goes from the spine L5 helena With, can trigger the development of the syndrome of "paralyzing, without" (unilateral helena placket) and loss of motor and pelvic function.
Compression-vascular ischemia (malaisamy) in osteochondrosis of the lumbar spine
In osteochondrosis of the lumbar spine can occur compression-vascular ischemia (malaisamy), which is a violation of the blood supply to the spinal cord, its peripheral structures due to the reduction in the intervertebral holes, through which run the arteries and blood vessels. This is due to the flattening of the discs (by reducing their height), pathological excessive mobility of the spine in the weakened ligaments, with the formation of neoarthrosis and osteophytes. Each of the movements of the spine that affect the damaged segment, causing additional compression and trauma paneled container helena arteries. In addition, there may be a reflex constriction of blood vessels, which passes through the paneled opening stenosis – appears the effect of "the narrow bed".
Compression myelopathy
Compression myelopathy – the defeat of the spinal cord caused by narrowing of the for some reason the spinal canal. The severity of the lesions and its symptoms depend on the localization of the lesions. In most cases, the course and symptoms of the disease vary, episodic nature, a further attack is to be a remission.
Symptoms of degenerative disc disease of the lumbar spine, which is complicated by the development of disc herniation TXII-LI, which the defeat of the segments L2-L4, S1-S2 spinal cord syndrome (epigonus): pain in the lower part of the back, back of the thighs, the legs and weakness in the legs. Occurs the development of hypotension and malnutrition gluteal and calf muscles, paresis of the foot, loss of the plantar and Achilles reflexes. Sensitivity to zadníexteriér the surface of the legs and feet reduced helena is missing.
Symptoms of lumbar degenerative disc disease while hernia disk LI-II compressed coccygeal segment S3 (the syndrome of cone): the leading clinical manifestations include significant interruption of work of the pelvic organs, such as incontinence of urine and stools, intermittent constipation, decreased helena loss of sensation in the anogenital region, the rapid development of pressure sores, loss of anal reflex.
In osteochondrosis of the lumbar spine, which is complicated by the compressed helena damage to the nerve roots of the spinal cord starting from the first lumbar and the lower, develops state, which is called "syndrome of the cauda equina". It is worth noting that this condition are more susceptible people, who originally have a congenital narrowness of the spinal canal.
The so-called "horse's tail" is a bundle of nerve roots of the end flag of the spinal cord, and from the first lumbar segment and below. Its the name of the bundle received by the external similarity with the tail of a horse. In the diagnosis of cauda equina syndrome which role in addition to current symptomatology plays the availability of unbearable significant pain the root of the character. This cauda equina syndrome is different from the syndrome of the cone, which may be severe pain.
Painful and intense pain in the lumbar and sacral area, gives in the buttocks, in the posteroexternal surface of the thigh, in the anogenital guests. They are expressed in varying degrees of disorders of the peripheral type of pelvic functions, there is a disturbance of sensitivity in the form of stripes, peripheral paralysis and paresis. In more severe cases, paralyzed find themselves in the butt and both legs. The characteristic clinical features include asymmetry of motor and sensitive disorders.
Symptoms of lumbar degenerative disc disease will manifest itself depending on the localization of the lesion
Osteochondrosis of the lumbar spine can lead to the development of the syndrome myeloid "intermittent claudication". In this case, is the lack of blood supply to the lower flag of the spinal cord is manifested by a feeling of weakness in the legs during walking, numbness in the lower part of the trunk, the impulses to urinate. Missing the pain in the legs. These symptoms of lumbar degenerative disc disease will disappear in the game.
Yudovina "intermittent claudication", which originated in the ischemia of the nerve roots of the cauda equina: a feeling of pins and needles, when walking, anemia in the peripheral parts of the feet, gradually these symptoms of lumbar degenerative disc disease, rise above, depict the groin, perineum, genitals. Appear with weakness in the legs. A short rest sees to rapid disappearance of symptoms.
During lumbar degenerative disc disease complicated by compression of the artery Damkevica, which arises when lifting weights, bad traffic, shaking and manifests itself clinically paralysis of varying severity (from the surface up to the complete loss of sensitivity), disturbances of function of pelvic organs (incontinence of urine and stool), atrophy of the muscles of the legs, the rapid formation of bedsores.
The manifestations of degenerative disc disease of the lumbar spine
Manifested degenerative disc disease of the lumbar spine is dull pain pain in the lower part of the back outside the period of exacerbation. The pain may be amplified due to the longer stay in an uncomfortable position, helena tension. When lying the provisions of the pain is reduced or disappears completely.
In stressful for the body situations, for example when a large load, hypothermia, and even in the sudden awkward movements of osteochondrosis of the lumbar spine can go into a phase of escalation. Phase of exacerbation is characterized by severe pain that can be localized not only in the area of the lumbar spine, but also spread to the lower extremities. You can also observe the muscular tension in the lower part of the back, this way the body tries to reduce the burden on the diseased spine. The patient of lumbar osteochondrosis in a stage of exacerbation often need to search for a location in which the pain is fading, and try to keep this position.
Anatomically osteochondrosis of the lumbar spine represents the conversion of cartilage in bone and their overgrowth, which sees the bone tissue begins to compress the nerve roots, the exhaust from the spinal cord, causing pain. The reason for such growths of bone tissue is a violation of the nutrition of the intervertebral discs, which leads to lack of fluids, and it causes disturbances in their functioning and structure.
Treatment of degenerative disc disease of the lumbar spine
Osteochondrosis of the lumbar spine is a disease that require long, intensive, comprehensive treatment. Especially when it comes to running cases in which there are present more of the extrusion helena intervertebral hernia.
Thanks to the reflective techniques of effective treatment of degenerative disc disease of the lumbar spine can be carried out with maximum benefit and without side effects. But it must be remembered that such a serious problem can not be solved quickly. In all cases of lumbar degenerative disc disease should be ordered strictly individual treatment.
The basis of the therapeutic course in osteochondrosis of the lumbar spine are acupuncture, Moxa-therapy, vacuum-therapy, pharmacopuncture, soft techniques of manual therapy. These procedures are in the area give the opportunity to restore normal microcirculation of blood and the removal of stagnant phenomena in the area of waist, removal of vascular edema and muscle spasm, restore balance of metabolic processes in the tissues of the intervertebral disc, improvement of their nutrition. In this way, it triggers and stimulates the process of natural regeneration. It should be noted that the strategy of manual therapy in lumbar osteochondrosis can be directed not only at improving function of the spine, so how about changing the location of the disk can not be speech.
Application procedures for the treatment of degenerative disc disease of the lumbar spine following the intake of herbal remedies, allowing you to improve balance of metabolic processes and of the innervation in the body. In addition, it is necessary correction of nutrition and an active lifestyle. In the treatment of degenerative disc disease of the lumbar spine important is the correction of body weight, because being overweight creates an additional burden on the lower part of the back and serves as a factor that exacerbates the development of degenerative disc disease.
With great experience in the treatment of degenerative disc disease of the lumbar spine, acquired by long practice, in most cases allows to achieve significant results, which are quite persistent, that prevents the surgical operation, eliminates back pain, improves physical activity and comprehensively treat not only the lumbar of the guests, but also the entire body.
Usually, for achieving a positive effect from the treatment enough from 10 to 15 sessions. Acute pain passes in about 1-3 sessions.
Remember that the sooner treatment is started the degenerative disc disease, the faster you will achieve positive results!