Acute osteochondrosis of the lumbar spine treatment

Osteochondrosis of the lumbar spine: symptoms and treatment

The causes of osteochondrosis of the lumbar spine are not well understood. The greatest importance is attached to a hereditary predisposition, age-related changes in the intervertebral discs. The pain can be triggered by an awkward movement, prolonged forced position, lifting and carrying weights, sports overload, overweight.
Depending on the duration, acute pains lasting up to 4 weeks, subacute (from 4 to 12 weeks) and chronic (lasting over 12 weeks) are distinguished.

Neurological complications of osteochondrosis of the lumbar spine:
First stage. Clinical manifestations are associated with reflex muscle tension.

Lumbago (lumbar lumbago). Acute pain in the lumbar spine begins suddenly, provoked by minimal movements in the back. The range of movements in the lumbar spine is sharply limited, there is compensatory scoliosis. Paravertebral muscles of “stone” density.
The duration of lumbago with adequate treatment and immobilization of the lumbar is no more than 7-10 days.

Lumbalgia (lower back pain).
Patients complain of moderate pain in the lumbar region, aggravated by movement or in a certain position, discomfort with prolonged standing or sitting. The onset is usually gradual. Clinically, mobility in the lumbar spine, tension and soreness of the paravertebral muscles are often determined. In most cases, the pain disappears within 2-3 weeks, but if untreated, it can take a chronic course.

Lumbar ischialgia (lower back pain with irradiation in the leg). In the lumbar region, movements are limited, tense and painful on palpation of the paravertebral muscles.
In piriformis syndrome, the sciatic nerve is compressed, with paresthesia and numbness in the leg and foot. Laseg’s syndrome is positive.
But there are no signs of radicular syndrome.

The second stage of neurological complications of osteochondrosis of the lumbar spine.
Disc herniation with radicular syndrome or radiculopathy.
Root compression is accompanied by shooting, burning pains in the leg. The pain intensifies with movement, with coughing, accompanied by numbness along the spine, muscle weakness and loss of reflexes. Positive symptoms of tension.

In the lumbar region, the greatest load falls on the lower section, therefore, L5 and S1 roots are most often involved in the pathological process. Each root has its own zone of pain and numbness on the extremities.
Radicular syndromes are detected by a neurologist with an objective examination.

The third stage of neurological disorders of osteochondrosis of the lumbar spine.
Vascular radicular conflict.

Syndrome of paralyzing sciatica occurs when blood circulation is disturbed in the radicular artery L5 and less often S1. Radiculoischemia at other levels is rarely diagnosed.

During an awkward movement or lifting of weight, acute back pain develops with radiation radiating along the sciatic nerve. Then there is paresis or paralysis of the extensors of the foot and fingers with the “spanking” of the foot when walking (steppage). The patient, while walking, raises his leg high, throws it forward and at the same time slams his toe on the floor.
In most cases, paresis safely regresses within a few weeks.

The fourth stage of neurological complications of osteochondrosis of the lumbar spine.
Violation of the blood supply to the spinal cord and ponytail.
With spinal stenosis, several roots of the spinal nerves (ponytail) are affected. The pains at rest are insignificant, but when walking there is an intermittent claudication syndrome. Pain while walking spreads along the roots from the lower back to the feet, accompanied by weakness, paresthesias, and numbness of the legs, disappears after rest or when the body is tilted forward.

Acute spinal circulation disorder is the most severe complication of lumbar osteochondrosis. Acutely develops lower paraparesis or plegia. Weakness in the legs is accompanied by numbness of the lower extremities, impaired function of the pelvic organs.

Examination of patients with osteochondrosis of the lumbar spine.
Of great importance is the analysis of complaints and medical history to exclude serious pathology. A neurological examination is carried out to exclude damage to the roots and spinal cord. Manual examination allows you to determine the source of pain, limitation of mobility, muscle spasm.

Additional examination methods are indicated for suspected specific back pain.
An x-ray of the lumbar spine is prescribed to exclude tumors, spinal injuries, spondylolisthesis. Radiological signs of osteochondrosis do not have clinical value, since they are present in all older and older people. Functional radiography is performed to detect spinal instability. Pictures are taken in the position of extreme flexion and extension.

For radicular or spinal symptoms, an MRI or CT scan of the lumbar spine is indicated. On MRI, hernias of the disc and spinal cord are more visible, and on CT, bone structures. The clinical level of the lesion and the MRI findings should be consistent with each other since the disc herniation detected on MRI is not always the cause of the pain syndrome.

In neurological deficiency, electroneuromyography (ENMG) is sometimes prescribed to clarify the diagnosis.
If somatic pathology is suspected, a thorough clinical examination is performed.

Osteochondrosis of the lumbar spine, treatment.
When the first signs of discomfort appear in the lumbar spine, regular gymnastics is indicated to strengthen the muscular corset, swimming, and massage courses.
Treatment of osteochondrosis of the lumbar is divided into 3 periods: treatment of acute, subacute and chronic period.

In the acute period, the primary task is to relieve pain as early as possible and restore the patient’s quality of life. In the presence of intense pain, immobilization of the lumbar spine with a special anti-radiculitis corset for 2-3 weeks is indicated. Bed rest should not last more than 2-3 days. In many patients, an increase in pain syndrome is possible against the background of an expansion of the motor regime. The patient should not limit himself to reasonable physical exertion.

Of the non-pharmacological methods of therapy, interstitial electrostimulation, acupuncture, hirudotherapy, massage are effective. Manual therapy is possible, but only in competent hands.

Drug treatment. In acute pain, non-steroidal anti-inflammatory drugs (diclofenac, aertal, movalis, nimesulide or arkoxia) are indicated. In combination with anti-inflammatory drugs, muscle relaxants (midocalm, sirdalud or baclofen) can be prescribed with a short course.

In osteochondrosis of the lumbar spine, therapeutic blockades with local anesthetics (lidocaine, novocaine), non-steroidal anti-inflammatory drugs (xefocam or movalis), corticosteroids (diprospan) are effective. Medicinal mixtures are introduced as close as possible to the focus of pain (in the affected muscles, exit points of the roots).

In case of radiculopathy with the presence of neuropathic pain, anti-inflammatory drugs are ineffective, in this case antidepressants, anticonvulsants, tramadol, versatis patch are prescribed.

With mixed pain, the combination of aertal 100 mg 2 times a day + midcalm 150 mg 3 times a day + gabagamma 300 mg 2-3 times a day for 2 weeks has worked well.
With paresis, numbness, vascular preparations (trental, aminophylline) and B vitamins (milgamma) are prescribed.

With prolonged myofascial pain, the introduction of non-steroidal anti-inflammatory drugs into trigger points, muscle relaxants, acupuncture, post-isometric relaxation is effective.

In chronic pain, antidepressants, physiotherapy exercises and other non-drug methods of treatment come first in the treatment.
With spinal stenosis, weight loss, wearing a corset, NSAIDs, venotonics (detralex) are indicated.

Surgical treatment is carried out with paralyzing sciatica (in the first three days) and horse tail syndrome (paresis of limbs, impaired sensitivity, urinary and fecal incontinence).

Prevention of osteochondrosis of the lumbar spine is reduced to the avoidance of long, uncomfortable positions, excessive loads. It is important to properly equip your workplace, alternate periods of work and rest. To put on a fixing belt at physical overloads. Do therapeutic exercises to strengthen your back muscles.

Osteochondrosis of the lower back: symptoms and effective methods of treatment

Osteochondrosis is a common disease. Previously, this ailment was considered an age-related change affecting people after 50 years. Modern living conditions have led to the early development of pathology. Signs of decreased elasticity of the intervertebral discs have been observed as early as 30 years. Changes can occur in all vertebrae, but osteochondrosis of the lumbar region is most often diagnosed. Symptoms and treatment will depend on the degree of the disease.

Symptoms of pathology

Signs of lumbar osteochondrosis are difficult to notice right away. Symptoms appear slowly, a diagnosis is made already at the stage of exacerbation of the disease. It is important to distinguish the destruction of the spine from other ailments in order to consult a doctor in a timely manner. The main signs of osteochondrosis of the spine in the lumbar:

  1. Soreness in the lower back. At first, it manifests itself only when lifting weights, but then it becomes constant. It can no longer be associated with any actions. At the time of exacerbation, the pain is unbearable; immediate elimination is required.
  2. Violation of the sensitivity of the legs. This occurs as a result of trauma to the nerve endings. At the very beginning, a characteristic tingling, burning sensation, the appearance of “goose bumps” below the sacrum are felt. If the disease progresses, then the extremities of the tendon reflexes and muscle weakness will begin to be observed in the lower extremities.
  3. Increased sweating.
  4. Restriction of movement that occurs due to pinched nerves. During bends, inclinations, and changing postures, bouts of pain similar to electric shocks will occur.
  5. Cooling of limbs, skin, blanching.
  6. In severe cases, sexual dysfunction occurs, problems with urination.

Without timely treatment, lumbar osteochondrosis can lead to paralysis and disability.

Exacerbation of the disease

With relative periods of remission, exacerbations occur. They are characterized by shooting sharp pain that girdles and runs down the sciatic nerve. As a result of the development of the disease, numbness reaches the toes. Such attacks disrupt the functioning of the pelvic organs and systems. As a result, erectile dysfunction, constipation, and urinary incontinence are observed.

Features of manifestation in women of lumbar osteochondrosis

Soreness in the pelvic area with lumbar osteochondrosis adversely affects the reproductive system of the female body. With the progression of the disease, the menstrual cycle is disrupted, its dependence on attacks of osteochondrosis may be observed. During pregnancy, osteochondrosis can cause premature birth or miscarriage.

Osteochondrosis treatment: main directions

For osteochondrosis of the lumbar spine, different methods of therapy are required. Only with an integrated approach can a positive result be obtained. The use of drugs will only relieve pain, will not affect the cause of the disease. To get rid of the disease, you need to apply acupuncture, hirudotherapy, therapeutic massage, vacuum exposure, as well as change your usual lifestyle. The treatment plan should be prescribed by specialists taking into account the stage of osteochondrosis, individual drug tolerance, the presence of chronic pathologies.

Treatment regimens in the acute period and during remission are significantly different. With exacerbation, first of all, it is necessary to relieve tension from the spinal column. For this, the patient must lie. It is better to use an orthopedic mattress with rollers for the neck and lower back. It is necessary to take muscle relaxants to help relax and relieve spasm. To reduce the consequences of pinching the nerve endings, injections of lidocaine, novocaine are used.

The period of remission suggests such a treatment regimen:

  • intake of vitamin B complexes to normalize the conductivity of nerve impulses;
  • restoration of blood circulation in tissues due to vasodilator drugs;
  • passing physiotherapeutic procedures to reduce the number of exacerbations. Special baths, various types of massage, magnetotherapy, acupuncture are prescribed;
  • physiotherapy exercises, which allows you to form a corset from the muscles, restore mobility in the lumbar region, reduce the load on the vertebrae. Exercises are selected individually by the trainer, taking into account the characteristics of the body.

Medications for the treatment of lumbar osteochondrosis

Medicines are divided into forms and methods of exposure:

  1. painkillers creams, gels for external use – Diklak Diklofenak;
  2. antispasmodics – Novigan, No-Shpa (affect the nerves that lead to muscle fibers, have a relaxing effect, help reduce spasm, improve blood flow);
  3. hormonal anti-inflammatory drugs – Medrol, Metipred. They are used for severe, exhausting pain. Hormones suppress inflammation, relieve pain, but inhibit immunity, leach calcium from bones, and reduce the synthesis of their hormones.
  4. chondroprotectors for restoration of cartilage tissue – Alflutop, Chondroxide. They slow down the destruction of cartilage, activate the synthesis of intraarticular fluid, relieve inflammation, stimulate the formation of new cartilage cells;
  5. non-steroidal anti-inflammatory drugs – Ortophen, Piroxicam. Drugs reduce pain, relieve inflammation. You need to take them for a long time. They only eliminate symptoms, do not affect the cause of the pathology. Negatively affect the mucous membrane of the digestive tract, causing gastritis and ulcers.
  6. Vitamins of group B.

Additionally, with osteochondrosis, sedatives are prescribed to put the nervous system in order.

Exercise for lumbar osteochondrosis

Physiotherapy exercises should be carried out regularly, only under this condition the effect of classes will be achieved. Physical activity should be the norm for people with osteochondrosis. Not only a set of special exercises, but also hiking positively affect the spine.

There are certain restrictions that must be implemented to reduce the risk of injuring the lower back during gymnastics. For example, weights cannot be performed. This will lead to additional stress on the vertebrae, which are in a destroyed state. It is also not recommended to perform twisting in the lumbar. This is especially true for patients with protrusions and hernias.

Physiotherapy exercises should not be performed if the patient has injuries, tumors of various origins, and hematomas, in addition to lumbar osteochondrosis. For diseases of the spine, active sports are not recommended.

Dietary nutrition as a treatment

A well-composed menu will help in maintaining health, strengthen the body’s strength. The diet should include:

  • all kinds of cabbage;
  • beef liver;
  • green pea;
  • sea ​​fish;
  • berries;
  • eggs;
  • carrot;
  • dried fruits.

Salt, pickles, marinades, condiments, alcoholic beverages, strong coffee and tea should be limited.

Surgical intervention

Surgery for lumbar osteochondrosis is prescribed only with the development of serious complications, for example, intervertebral hernia. Most often, a damaged disk is deleted. Surgical intervention is considered a radical measure, they resort to it when other methods have not brought a positive result within six months. Modern medicine has high-tech methods of microsurgical and endoscopic treatment, which are less traumatic.

Acute osteochondrosis of the lumbar spine treatment

Osteochondrosis of the lumbar spine: symptoms and treatment

The causes of osteochondrosis of the lumbar spine are not well understood. The greatest importance is attached to a hereditary predisposition, age-related changes in the intervertebral discs. The pain can be triggered by an awkward movement, prolonged forced position, lifting and carrying weights, sports overload, overweight.
Depending on the duration, acute pains lasting up to 4 weeks, subacute (from 4 to 12 weeks) and chronic (lasting over 12 weeks) are distinguished.

Neurological complications of osteochondrosis of the lumbar spine:
First stage. Clinical manifestations are associated with reflex muscle tension.

Lumbago (lumbar lumbago). Acute pain in the lumbar spine begins suddenly, provoked by minimal movements in the back. The range of movements in the lumbar spine is sharply limited, there is compensatory scoliosis. Paravertebral muscles of “stone” density.
The duration of lumbago with adequate treatment and immobilization of the lumbar is no more than 7-10 days.

Lumbalgia (lower back pain).
Patients complain of moderate pain in the lumbar region, aggravated by movement or in a certain position, discomfort with prolonged standing or sitting. The onset is usually gradual. Clinically, mobility in the lumbar spine, tension and soreness of the paravertebral muscles are often determined. In most cases, the pain disappears within 2-3 weeks, but if untreated, it can take a chronic course.

Lumbar ischialgia (lower back pain with irradiation in the leg). In the lumbar region, movements are limited, tense and painful on palpation of the paravertebral muscles.
In piriformis syndrome, the sciatic nerve is compressed, with paresthesia and numbness in the leg and foot. Laseg’s syndrome is positive.
But there are no signs of radicular syndrome.

The second stage of neurological complications of osteochondrosis of the lumbar spine.
Disc herniation with radicular syndrome or radiculopathy.
Root compression is accompanied by shooting, burning pains in the leg. The pain intensifies with movement, with coughing, accompanied by numbness along the spine, muscle weakness and loss of reflexes. Positive symptoms of tension.

In the lumbar region, the greatest load falls on the lower section, therefore, L5 and S1 roots are most often involved in the pathological process. Each root has its own zone of pain and numbness on the extremities.
Radicular syndromes are detected by a neurologist with an objective examination.

The third stage of neurological disorders of osteochondrosis of the lumbar spine.
Vascular radicular conflict.

Syndrome of paralyzing sciatica occurs when blood circulation is disturbed in the radicular artery L5 and less often S1. Radiculoischemia at other levels is rarely diagnosed.

During an awkward movement or lifting of weight, acute back pain develops with radiation radiating along the sciatic nerve. Then there is paresis or paralysis of the extensors of the foot and fingers with the “spanking” of the foot when walking (steppage). The patient, while walking, raises his leg high, throws it forward and at the same time slams his toe on the floor.
In most cases, paresis safely regresses within a few weeks.

The fourth stage of neurological complications of osteochondrosis of the lumbar spine.
Violation of the blood supply to the spinal cord and ponytail.
With spinal stenosis, several roots of the spinal nerves (ponytail) are affected. The pains at rest are insignificant, but when walking there is an intermittent claudication syndrome. Pain while walking spreads along the roots from the lower back to the feet, accompanied by weakness, paresthesias, and numbness of the legs, disappears after rest or when the body is tilted forward.

Acute spinal circulation disorder is the most severe complication of lumbar osteochondrosis. Acutely develops lower paraparesis or plegia. Weakness in the legs is accompanied by numbness of the lower extremities, impaired function of the pelvic organs.

Examination of patients with osteochondrosis of the lumbar spine.
Of great importance is the analysis of complaints and medical history to exclude serious pathology. A neurological examination is carried out to exclude damage to the roots and spinal cord. Manual examination allows you to determine the source of pain, limitation of mobility, muscle spasm.

Additional examination methods are indicated for suspected specific back pain.
An x-ray of the lumbar spine is prescribed to exclude tumors, spinal injuries, spondylolisthesis. Radiological signs of osteochondrosis do not have clinical value, since they are present in all older and older people. Functional radiography is performed to detect spinal instability. Pictures are taken in the position of extreme flexion and extension.

For radicular or spinal symptoms, an MRI or CT scan of the lumbar spine is indicated. On MRI, hernias of the disc and spinal cord are more visible, and on CT, bone structures. The clinical level of the lesion and the MRI findings should be consistent with each other since the disc herniation detected on MRI is not always the cause of the pain syndrome.

In neurological deficiency, electroneuromyography (ENMG) is sometimes prescribed to clarify the diagnosis.
If somatic pathology is suspected, a thorough clinical examination is performed.

Osteochondrosis of the lumbar spine, treatment.
When the first signs of discomfort appear in the lumbar spine, regular gymnastics is indicated to strengthen the muscular corset, swimming, and massage courses.
Treatment of osteochondrosis of the lumbar is divided into 3 periods: treatment of acute, subacute and chronic period.

In the acute period, the primary task is to relieve pain as early as possible and restore the patient’s quality of life. In the presence of intense pain, immobilization of the lumbar spine with a special anti-radiculitis corset for 2-3 weeks is indicated. Bed rest should not last more than 2-3 days. In many patients, an increase in pain syndrome is possible against the background of an expansion of the motor regime. The patient should not limit himself to reasonable physical exertion.

Of the non-pharmacological methods of therapy, interstitial electrostimulation, acupuncture, hirudotherapy, massage are effective. Manual therapy is possible, but only in competent hands.

Drug treatment. In acute pain, non-steroidal anti-inflammatory drugs (diclofenac, aertal, movalis, nimesulide or arkoxia) are indicated. In combination with anti-inflammatory drugs, muscle relaxants (midocalm, sirdalud or baclofen) can be prescribed with a short course.

In osteochondrosis of the lumbar spine, therapeutic blockades with local anesthetics (lidocaine, novocaine), non-steroidal anti-inflammatory drugs (xefocam or movalis), corticosteroids (diprospan) are effective. Medicinal mixtures are introduced as close as possible to the focus of pain (in the affected muscles, exit points of the roots).

In case of radiculopathy with the presence of neuropathic pain, anti-inflammatory drugs are ineffective, in this case antidepressants, anticonvulsants, tramadol, versatis patch are prescribed.

With mixed pain, the combination of aertal 100 mg 2 times a day + midcalm 150 mg 3 times a day + gabagamma 300 mg 2-3 times a day for 2 weeks has worked well.
With paresis, numbness, vascular preparations (trental, aminophylline) and B vitamins (milgamma) are prescribed.

With prolonged myofascial pain, the introduction of non-steroidal anti-inflammatory drugs into trigger points, muscle relaxants, acupuncture, post-isometric relaxation is effective.

In chronic pain, antidepressants, physiotherapy exercises and other non-drug methods of treatment come first in the treatment.
With spinal stenosis, weight loss, wearing a corset, NSAIDs, venotonics (detralex) are indicated.

Surgical treatment is carried out with paralyzing sciatica (in the first three days) and horse tail syndrome (paresis of limbs, impaired sensitivity, urinary and fecal incontinence).

Prevention of osteochondrosis of the lumbar spine is reduced to the avoidance of long, uncomfortable positions, excessive loads. It is important to properly equip your workplace, alternate periods of work and rest. To put on a fixing belt at physical overloads. Do therapeutic exercises to strengthen your back muscles.

Osteochondrosis of the lower back: symptoms and effective methods of treatment

Osteochondrosis is a common disease. Previously, this ailment was considered an age-related change affecting people after 50 years. Modern living conditions have led to the early development of pathology. Signs of decreased elasticity of the intervertebral discs have been observed as early as 30 years. Changes can occur in all vertebrae, but osteochondrosis of the lumbar region is most often diagnosed. Symptoms and treatment will depend on the degree of the disease.

Symptoms of pathology

Signs of lumbar osteochondrosis are difficult to notice right away. Symptoms appear slowly, a diagnosis is made already at the stage of exacerbation of the disease. It is important to distinguish the destruction of the spine from other ailments in order to consult a doctor in a timely manner. The main signs of osteochondrosis of the spine in the lumbar:

  1. Soreness in the lower back. At first, it manifests itself only when lifting weights, but then it becomes constant. It can no longer be associated with any actions. At the time of exacerbation, the pain is unbearable; immediate elimination is required.
  2. Violation of the sensitivity of the legs. This occurs as a result of trauma to the nerve endings. At the very beginning, a characteristic tingling, burning sensation, the appearance of “goose bumps” below the sacrum are felt. If the disease progresses, then the extremities of the tendon reflexes and muscle weakness will begin to be observed in the lower extremities.
  3. Increased sweating.
  4. Restriction of movement that occurs due to pinched nerves. During bends, inclinations, and changing postures, bouts of pain similar to electric shocks will occur.
  5. Cooling of limbs, skin, blanching.
  6. In severe cases, sexual dysfunction occurs, problems with urination.

Without timely treatment, lumbar osteochondrosis can lead to paralysis and disability.

Exacerbation of the disease

With relative periods of remission, exacerbations occur. They are characterized by shooting sharp pain that girdles and runs down the sciatic nerve. As a result of the development of the disease, numbness reaches the toes. Such attacks disrupt the functioning of the pelvic organs and systems. As a result, erectile dysfunction, constipation, and urinary incontinence are observed.

Features of manifestation in women of lumbar osteochondrosis

Soreness in the pelvic area with lumbar osteochondrosis adversely affects the reproductive system of the female body. With the progression of the disease, the menstrual cycle is disrupted, its dependence on attacks of osteochondrosis may be observed. During pregnancy, osteochondrosis can cause premature birth or miscarriage.

Osteochondrosis treatment: main directions

For osteochondrosis of the lumbar spine, different methods of therapy are required. Only with an integrated approach can a positive result be obtained. The use of drugs will only relieve pain, will not affect the cause of the disease. To get rid of the disease, you need to apply acupuncture, hirudotherapy, therapeutic massage, vacuum exposure, as well as change your usual lifestyle. The treatment plan should be prescribed by specialists taking into account the stage of osteochondrosis, individual drug tolerance, the presence of chronic pathologies.

Treatment regimens in the acute period and during remission are significantly different. With exacerbation, first of all, it is necessary to relieve tension from the spinal column. For this, the patient must lie. It is better to use an orthopedic mattress with rollers for the neck and lower back. It is necessary to take muscle relaxants to help relax and relieve spasm. To reduce the consequences of pinching the nerve endings, injections of lidocaine, novocaine are used.

The period of remission suggests such a treatment regimen:

  • intake of vitamin B complexes to normalize the conductivity of nerve impulses;
  • restoration of blood circulation in tissues due to vasodilator drugs;
  • passing physiotherapeutic procedures to reduce the number of exacerbations. Special baths, various types of massage, magnetotherapy, acupuncture are prescribed;
  • physiotherapy exercises, which allows you to form a corset from the muscles, restore mobility in the lumbar region, reduce the load on the vertebrae. Exercises are selected individually by the trainer, taking into account the characteristics of the body.

Medications for the treatment of lumbar osteochondrosis

Medicines are divided into forms and methods of exposure:

  1. painkillers creams, gels for external use – Diklak Diklofenak;
  2. antispasmodics – Novigan, No-Shpa (affect the nerves that lead to muscle fibers, have a relaxing effect, help reduce spasm, improve blood flow);
  3. hormonal anti-inflammatory drugs – Medrol, Metipred. They are used for severe, exhausting pain. Hormones suppress inflammation, relieve pain, but inhibit immunity, leach calcium from bones, and reduce the synthesis of their hormones.
  4. chondroprotectors for restoration of cartilage tissue – Alflutop, Chondroxide. They slow down the destruction of cartilage, activate the synthesis of intraarticular fluid, relieve inflammation, stimulate the formation of new cartilage cells;
  5. non-steroidal anti-inflammatory drugs – Ortophen, Piroxicam. Drugs reduce pain, relieve inflammation. You need to take them for a long time. They only eliminate symptoms, do not affect the cause of the pathology. Negatively affect the mucous membrane of the digestive tract, causing gastritis and ulcers.
  6. Vitamins of group B.

Additionally, with osteochondrosis, sedatives are prescribed to put the nervous system in order.

Exercise for lumbar osteochondrosis

Physiotherapy exercises should be carried out regularly, only under this condition the effect of classes will be achieved. Physical activity should be the norm for people with osteochondrosis. Not only a set of special exercises, but also hiking positively affect the spine.

There are certain restrictions that must be implemented to reduce the risk of injuring the lower back during gymnastics. For example, weights cannot be performed. This will lead to additional stress on the vertebrae, which are in a destroyed state. It is also not recommended to perform twisting in the lumbar. This is especially true for patients with protrusions and hernias.

Physiotherapy exercises should not be performed if the patient has injuries, tumors of various origins, and hematomas, in addition to lumbar osteochondrosis. For diseases of the spine, active sports are not recommended.

Dietary nutrition as a treatment

A well-composed menu will help in maintaining health, strengthen the body’s strength. The diet should include:

  • all kinds of cabbage;
  • beef liver;
  • green pea;
  • sea ​​fish;
  • berries;
  • eggs;
  • carrot;
  • dried fruits.

Salt, pickles, marinades, condiments, alcoholic beverages, strong coffee and tea should be limited.

Surgical intervention

Surgery for lumbar osteochondrosis is prescribed only with the development of serious complications, for example, intervertebral hernia. Most often, a damaged disk is deleted. Surgical intervention is considered a radical measure, they resort to it when other methods have not brought a positive result within six months. Modern medicine has high-tech methods of microsurgical and endoscopic treatment, which are less traumatic.

Shishkevich Vladimir, orthopedic and traumatologistShishkevich Vladimir, orthopedic and traumatologist, project editor-in-chief ExpertNews.

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Georgy Morozov, rheumatologist. For more than 20 years, he has been involved in the diagnosis, treatment and prevention of joint diseases.

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