According to medical statistics, the incidence of spinal osteochondrosis in age categories older than forty years is approaching the one hundred percent level. At the same time, from all parts of the spine( cervical, thoracic, lumbosacral), the latter is affected in most cases. This is due to the anatomical and physiological features of this department, which accounts for the maximum mechanical load, here the most massive bodies of the vertebrae. From here, from the lumbosacral plexus originates the sciatic nerve - the most powerful nerve in the human body.
And if the incidence of lumbar osteochondrosis is high and continues to grow, the question of how to treat osteochondrosis of the lumbar spine is extremely topical? After all, in the absence of medical measures, osteochondrosis, like any other disease, continues to progress. Pathological signs become more pronounced, the patient's quality of life worsens, and there are various complications up to complete disability due to motor disorders.
Treatment of lumbar osteochondrosis is complete and promotes recovery if after it the following effects are noted:
- Reduction or complete disappearance of pain
- Removing of pathological tension and subsequent strengthening of muscles of lumbar region, pelvis, lower limbs
- Improvement of blood supply, normalization of metabolic processes in all tissues of lumbar-Sacred Zone
- Removal of inflammation in the lumbosacral
- Improve sensitivity, increase the volume of movements in the lumbar regionand in the lower extremities
- Normalization of the pelvic organs
It goes without saying that to achieve all of the above effects, any one treatment technique will not be enough. In order to work on all pathological processes, the treatment of lumbosacral osteochondrosis should be comprehensive using all the latest medical advances. In the lumbosacral osteochondrosis, the following treatment methods are used:
- Medical treatment
- Physiotherapy treatment
- Manual therapy, massage and therapeutic gymnastics
- Surgical treatment
- Traditional medicine recipes
Medications most often use pain medications( analgesics)analgin, dexalgin, renalgan. For completeness of the effect, they are often administered with dimedrol. Thanks to such a simple combination of pain decreases or disappears completely. However, anesthesia does not eliminate the causes and negative processes that accompany lumbar osteochondrosis. The use of steroid hormones and non-steroidal anti-inflammatory drugs( NSAIDs) in injections and ointments removes radicular pain by relieving inflammation and edema of the radicular nerves.
An excellent analgesic effect is achieved due to local anesthesia - paravertebral blockade, in which novocaine is administered along the lumbar spine.
In addition to analgesics and NSAIDs, they use agents that enhance metabolic processes and strengthen immunity. In this capacity, vitamins A, C, group B, as well as immunomodulators - pentoxyl, thymogen, t-activin are used. Circulation of blood in the lumbar vertebrae improves the intravenous drip of pentoxifylline and trental. Restoration of affected cartilage is achieved after a treatment course using rumalone and chondroitin sulfate. But before treating osteochondrosis of the lumbar region with the help of these and other means it is necessary to consult and get appointments from the relevant specialists.
In the case of ineffectiveness of drug treatment, pronounced motor disorders as a result of the displacement of the intervertebral disc, the appearance of disc hernias, surgical intervention is indicated. In the course of the operation, disc hernias are removed, plastic surgery and strengthening of the displaced vertebrae are performed.
Physiotherapy and massage
Drugs alone are not enough to alleviate the condition of osteochondrosis. For this, physiotherapy is necessary. At the same time, traditional methods( amplipulse, diadynamic currents, phonophoresis, darsonvalization) are used as well as qualitatively new developments - laser treatment, magnetic resonance therapy.
In addition to physical procedures, the treatment of the osteochondrosis of the lumbosacral spine is performed by other, no less effective methods. These include acupuncture, massage, special health gymnastics. Acupuncture is handled by a doctor-acupuncturist. It turns out that the skin of the lumbar region, the ear shells and other areas have points, the impact on which you can influence the work of various organs, including the patient's spine. Acupuncture in a simplified form can be done to yourself with the help of the so-called applicator Kuznetsov.
Massage for osteochondrosis of the lumbar spine is performed in the supine position. In fact, when lying down, the lumbar spine experiences a minimal load. Although some elements of massage can be carried out in a sitting and on the side. The classic option - the patient lies on his stomach with his back up. To maximize the alignment of the spine, belts and ankles are placed under his belly and ankles. The masseur with slow smooth movements makes stroking, grinding and kneading of the strained muscles of the waist. The collar zone, muscles of the pelvis and lower extremities are also massaged. It is desirable to hold a massage after thermal procedures, when the blood circulation has already increased.
Similar to the massage effect is achieved with manual therapy. In the course of its implementation, the direct action of the force of the hands on the spinal column is made, as a result of which the blood supply of the lumbar region improves, intervertebral spaces widen, the displaced vertebrae and discs become replaced. The method is quite effective, but the main thing is for the manual therapist to have the proper experience and qualification. Otherwise, damage to the spine with irreversible effects is possible.
Therapeutic physical training
The tasks of exercise therapy( LFK) in osteochondrosis are a reduction in pain and relaxation of the strained muscles of the back and lower limbs. In this situation, exercise therapy can be carried out not only at the stage of recovery, but also in an acute period. In the acute phase, treatment is carried out by placing the patient in a special position. The patient is placed on his back on a hard surface. Under the head put a low pillow, legs bend in the hip and knee joints. Bed rest in this position provides a gentle load on the lumbar spine.
In the future perform mobile exercises. These exercises in the case of lumbosacral osteochondrosis the patient performs on the back, on the stomach and in the knee-elbow position. As already indicated, the patient's horizontal position in this situation is most preferable. In the course of physical therapy exercises, a static and dynamic load is applied to different muscle groups of the back, trunk, and lower limbs. An indispensable condition of therapeutic physical education is even breathing, the correct alternation of inhalations and exhalations.
In the future, traction of the spinal column is carried out - stretching it along the longitudinal axis. During the stretching, the gaps between the vertebrae widen, the block of roots of spinal nerves is eliminated and excessive displacement of the anterior lumbar region( pathological lordosis) occurs. The procession is carried out on special beds and Evminov's board. The simplest method of traction is on the crossbar. In this case, the spinal traction is carried out under its own weight.
Treatment of lumbar osteochondrosis can also be achieved with unconventional methods - with the help of folk remedies. This is not only useful, but also nice. After all, in this case only natural products are used in their original form or as decoctions, infusions, medicinal mixtures. Various products of vegetable and animal origin - honey, mustard, radish, butter in various combinations are used inside and are used externally in the form of homemade ointments, compresses and lotions.
Traditional medicine, like the conventional, affects all links of the pathological process in the lumbosacral osteochondrosis. The intake of natural vitamins and minerals in the body strengthens the immune system, inhibits inflammatory reactions. Local effect of compresses and ointments warms the lumbar region, relieves pain, enhances blood supply to affected tissues.
From all of the above it follows that you can overcome lumbosacral osteochondrosis in several ways. With all the diversity of these methods, each of them individually will not bring the desired result. In order for the patient to feel relief as soon as possible, a qualified approach is needed. After all, without prior consultation of a neurologist, physiotherapist, physician and other specialists, the treatment of osteochondrosis with lesion of the lumbar region will not only be useless, but also harmful.
We recommend reading the article about the drug treatment of osteochondrosis and what ointments can be used.