Osteochondrosis of the lumbosacral spine how to treat

Osteochondrosis of the lumbosacral region is a severe pathological disease of the spine. This section includes the lumbar region and the next lower five vertebrae, which are almost motionless. They are firmly bonded to each other and do not have intervertebral plates.

When the intervertebral discs become thinner and lose their elasticity, they begin to deform and collapse over time. The inner part of the disk (pulp) comes out, pinching the arteries and blood vessels. This leads to a lack of oxygen in the damaged areas, the occurrence of spasms, numbness of the extremities and other unpleasant symptoms.

As for the lumbosacral osteochondrosis, its frequent manifestation is leg pain. Such pain is associated with the fact that the leading nerve is pinched.

Osteochondrosis of the lumbosacral region provokes a sedentary lifestyle, weight lifting, excess weight, and injuries. Although it is a serious illness, it can be effectively treated with modern methods. Today, medicine offers a comprehensive treatment that includes drug therapy, special gymnastics and various physiotherapy procedures.

Drug treatment of lumbosacral osteochondrosis

Treatment with medications is, first of all, necessary to relieve spasms, muscle relaxation. This method helps to slow down or even stop the destructive effects on the vertebrae, drug therapy is aimed at supporting recovery processes.

Very rarely, treatment of lumbosacral osteochondrosis is dispensed with without the use of painkillers and anti-inflammatory drugs. The most popular in this case are Diclofenac, Ibuprofen, Ketorol, Nimesulide.

When the pain is not too strong, specialists prescribe creams, ointments or gels. They are easy to independently apply on the painful part of the back. The regular use of therapeutic ointments does a very good job of relieving pulling pain.

When the pain increases or an exacerbation occurs, in this case, injections, suppositories, capsules or tablets are indicated. Their use will help to eliminate spasm much faster.

For unbearable pain, the doctor prescribes potent blocking drugs, for example, prednisolone or dexamethasone. They will quickly relieve even the most severe pain. At the same time, such drugs are prescribed only in extreme cases, since they have many side effects.

Treatment of lumbosacral osteochondrosis with gymnastics

As you know, the spine is held in a normal position by muscle groups. If the muscles are weakened due to a sedentary lifestyle or any disease, this leads to an increased load on the lumbosacral region. As a result, lumbosacral osteochondrosis develops.

Various exercises are needed to strengthen the back muscles. Special gymnastics helps to achieve a long-term result: to strengthen muscles, eliminate pain and reduce the load on the spine.

Exercise therapy varies in intensity and type of exercise. If the disease progresses, gentle gymnastics is used.

Represent the most popular exercises for the treatment of lumbosacral osteochondrosis:

  • Lie on your back and bend your knees. Lift the pelvis and stay in this position for 10 seconds. Do not tear off the head and shoulder blades from the floor.
  • Lie on your back and fold your arms crosswise, taking the opposite shoulder with your palms. The legs need to be fixed with something so that they do not move. Next, you need to bend the body to the right so that the shoulders do not come off the floor. Then repeat the exercise with a bend to the left.
  • Standing, legs apart shoulder width apart. Take a rubber bandage and stand on one of the edges with your foot, and take the other edge in your hand. Place the other hand behind the head and put on the back of the head. Then lean to the side opposite the bandage. Slowly return to starting position. Repeat the action with the other hand.

These exercises can be of great benefit if they are performed regularly and in combination with other treatment methods.

Treatment of lumbosacral osteochondrosis with physiotherapy

Treatment with physiotherapy shows good efficacy and is usually prescribed in combination with drug therapy. Below are described some of the methods of physiotherapy that are often used in the treatment of lumbosacral osteochondrosis.

  • Magnetotherapy. It acts on the affected area with magnetic waves. This procedure helps to improve blood circulation, has an analgesic and anti-inflammatory effect, and inhibits the destruction of bone and cartilage tissues.
  • Electrophoresis Such a procedure includes electrical exposure to the sore area of ​​the lower back. It helps relieve inflammation, pain, swelling, enhances the effect of drugs. The essence of the procedure: gauze napkins are moistened in a special solution and applied to the affected area. Then they are fixed and the electrodes are connected to the body.
  • Laser Therapy A laser with low-frequency waves penetrating deeply under the skin is applied to the affected area. This method helps to activate immune functions, provides restoration of blood flow, restores oxygen balance in damaged areas.
  • Ultrasound involves the conversion of sound waves into thermal energy. Thus, the painful area is heated. The procedure affects the vessels, including stimulating their expansion. Ultrasound is indicated to improve blood flow, oxygen saturation of tissues, as well as to eliminate puffiness.

Doctors advise using physiotherapeutic procedures in combination with therapeutic exercises and the use of medications.

ATTENTION: Any treatment of lumbosacral osteochondrosis is prescribed and carried out under the supervision of a doctor. Self-medication can make the situation worse.

Methods of treatment of the lumbosacral spine: medications and folk remedies

Treatment of lumbosacral osteochondrosis should be carried out only by a doctor. Self-conducted events may not bring effect or cause significant harm. The main condition for choosing a therapy is a thorough diagnosis of the patient. He is sent for x-ray of the spine, MRI and CT, as well as ultrasound of the pelvic organs and gastrointestinal tract.

The treatment of the pathology is complex – painkillers are prescribed, as well as muscle relaxants, chondroprotectors, sedatives, vitamin B complexes, blockade is given for severe pain. A mandatory addition to drug therapy is massage, physiotherapy (exercise therapy), a diet aimed at reducing body weight and improving the nutrition of cartilage. It is allowed to use folk remedies at home – decoctions and alcohol tinctures for oral administration and external home-made ointments and rubbing.

Drug therapy

Everything is standard here. Methods of treating osteochondrosis of different localization with medications are approximately the same:

    External painkillers, if unpleasant symptoms occur for the first time (primary “backache”) – ointments, gels, creams based on NSA >

On a note. For intolerable pains, an epidural novocaine blockade is performed (sometimes in combination with corticosteroids).

Massage and exercise therapy

Both methods work well for any osteochondrosis, and are especially useful for lumbosacral. Massage should be performed by a qualified professional after reviewing x-rays. With a diagnosed intervertebral hernia, a strong effect on the lower back is prohibited. With the help of massage, you can remove muscle cramps and protonate excessively relaxed muscles, improve blood circulation in the paravertebral tissues.

It is possible to carry out self-massage:

  1. Sit back in a chair (front back). Put your hands down and back.
  2. With the first fingers, catch on the waist, with the rest begin to make massage movements on the lower back – first stroking, then kneading, then penetrating.
  3. Pain is unacceptable. If you suddenly feel pain, release pressure.
  4. Finish self-massage with stroking palms.

The procedure can be performed with any of the ointments prescribed by your doctor. The effect will be more pronounced.

Exercise therapy should be done under the guidance of an instructor, especially in the first few weeks. During charging, carefully remember all the movements and recommendations of the doctor, so that later you can repeat everything exactly at home. Exercises are performed carefully, without undue stress, through strength, but without pain. After performing therapeutic exercises, blood circulation in the tissues surrounding the spine improves, the flexibility of the spinal column increases, and pain becomes weaker over time.

On a note. In case of instability in the lower back or diagnosed hernia, it is unacceptable to perform twisting movements. This will worsen the condition and intensify the pain syndrome.

Author’s methods

It is worth paying attention to the exercises developed by Alexandra Bonina, Sergey Bubnovsky, Alexander Gitt and other specialists who have achieved good results in the treatment of osteochondrosis of the spine.

Watch the video carefully and repeat the actions of the instructor exactly. Do not make movements. With severe pain in the lower back, isometric exercises performed in the supine position will be the salvation.

Remember, if you do not strengthen the muscular corset around the lumbosacral, the condition will constantly worsen, because the entire load will fall solely on the spine, and it is not suitable for this. Elementary swing of the press can significantly improve the situation. Only you need to deal with caution, with constant eye on the current state of the body.

Dietary food

With osteochondrosis, the discs suffer from a lack of nutrition. They do not have their own circulatory system, therefore they take useful substances from the paravertebral tissues. If the patient lacks vitamins and minerals with nutrition, degenerative-dystrophic processes are started in the intervertebral discs. Diet aims to restore balance. If it is used simultaneously with massage and physical therapy, you can achieve a good effect.

A low-calorie diet for lumbosacral osteochondrosis should include:

  • vegetables and fruits rich in calcium, phosphorus, magnesium, potassium, vitamins C, A, E;
  • animal insides – liver, heart, kidneys (source of B vitamins);
  • low-fat dairy products;
  • eggs of chicken and quail;
  • in a limited amount of butter;
  • whole grain or whole grain bread;
  • meat without fat (pork, veal);
  • poultry (chicken breast, any part of the turkey carcass);
  • rabbit meat;
  • oily sea fish;
  • seaweed (source of easily digestible iodine).

It is forbidden all spicy, fatty, spicy, salty, sweet and flour, sweet soda like Coca-Cola, strong coffee, tea. Fruit and berry fruit drinks, dried fruit compote on sucrose, mineral water without gas, steam cutlets, baked fish, boiled buckwheat, omelets, stew and liver are allowed.

On a note. Berry jelly, aspic, jellied fish – any dishes with gelatin or on broth, which is obtained after a long digestion of cartilage, are useful for cartilaginous tissue.

Traditional recipes

Healers take a holistic approach, as do doctors. Among their recommendations:

  • Move a little more. This will preserve the remains of flexibility and, possibly, even slightly improve the mobility of the spine. Exercises from physiotherapy exercises, at least selective, will be very useful.
  • Drink plenty of water. When there is not enough flu >

Prepare the following from grouts for pain relief:

  1. Combine alcohol (30 ml), iodine (1 ml), camphor alcohol (1 ml).
  2. Powder 10 tablets of dipyrone and pour into an alcohol solution. Shake well.
  3. Apply to the area of ​​the lower back where pain is felt.

Such a grinding is not applied if there are scratches or wounds on the skin.

Another effective recipe, just be careful – you can get a burn:

  1. Tear off a large, wide leaf of horseradish, pour boiling water over it and slightly dry.
  2. Attach to the lower back and wrap cotton fabric, on top you can additionally cover the affected area with a woolen scarf.

Such a compress helps with severe pain. It is done once with an exacerbation. If after removing the leaf of horseradish there is a strong burning sensation, rinse the skin with water and brush with baby cream.

Decoction and infusion of a golden mustache:

  1. Grind a sheet 20 cm long, put the raw materials in a liter jar and pour boiling water. Wrap with a blanket and allow to cool naturally. Drink жды cup three times a day.
  2. Grind 40 knees of the plant, pour 500 ml of vodka or medical alcohol, put in a dark place for 21 days. Use a tool to rub the lower back.

Physiotherapy

Physiotherapeutic treatment gives a pronounced effect even with advanced osteochondrosis. Patients are prescribed magnetotherapy, electrophoresis with painkillers, phonophoresis, diadynamic therapy, amplipulse therapy, ultrasound, and a laser. Any of these methods is aimed at reducing pain, improving blood circulation from the paravertebral tissues, and normalizing lymph flow.

How to cure osteochondrosis of the lower back and tailbone? The neglected stages of pathology (III, IV) are not treated. Doctors manage to slow down the development of the disease, improving the patient’s quality of life. At stages I and II, the process can be stopped with the help of complex treatment, which includes drug therapy, massage (self-massage), therapeutic exercises, proper nutrition and a healthy lifestyle.

Treatment of osteochondrosis with medicines

Currently, osteochondrosis affects a huge number of people. Many of them are not even aware of the problem. Meanwhile, if treatment is not started in time, complications will come that will make themselves felt for the rest of their lives. Osteochondrosis, like many other diseases, is “getting younger” and significantly worsens the quality of life, knocking out of its usual rhythm.

In our article, we will get a little acquainted with the disease itself, and also dwell in detail on the medical method of its treatment.

Osteochondrosis and its types

Osteochondrosis is a deformation of the articular cartilage, bone tissue of the spine and intervertebral discs.

Osteochondrosis happens:

Causes of osteochondrosis:

  • upright posture
  • rachiocampsis,
  • spinal injuries
  • flat feet
  • frequent weight lifting
  • frequent changes in body position,
  • prolonged stay in uncomfortable postures,
  • spinal overload,
  • lack of exercise and obesity,
  • malnutrition
  • stressful conditions.

Stages of osteochondrosis

  1. Due to certain changes in the intervertebral disc, vertebral instability appears. The spine is very prone to injury.
  2. The beginning of the destruction of the fibrous ring of the intervertebral disc. The intervertebral gap decreases.
  3. There is a rupture of the fibrous ring. The gelatinous core of the intervertebral disc protrudes. Due to the formation of an intervertebral hernia, spinal deformity is provoked.
  4. There is a pronounced pain syndrome. Due to the formation of bone growths and ossification of the ligaments of the spine, movements become limited.

Symptoms of osteochondrosis

Lumbar (lumbosacral) department

  • Constant back pain aching in nature.
  • A feeling of aching and numbness in the limbs.
  • Decreased motor activity.
  • Strengthening pain when making sudden movements, lifting weights, physical exertion, during sneezing and coughing.

  • Pain in the arms and shoulders, headaches.
  • Vertebral artery syndrome (burning, throbbing headache, dizziness, noise in the head, colored spots and “flies” in front of the eyes).

  • Pain in the internal organs, in particular the chest (“count” in the chest) and the area of ​​the heart.

Diagnosis

The diagnosis is made at the neurologist’s appointment based on the patient’s complaints (pain, restricted mobility, etc.). The spine is examined by him in the position of the patient standing, sitting and lying (at rest and in motion). When examining the back, attention is drawn to posture, structural features of the trunk, lower angles of the shoulder blades, side contours of the neck and waist, the position of the shoulders, etc. After this, the doctor, as a rule, directs the patient to radiography, computed tomography or MRI, with the help of which the diagnosis is clarified and specified, the degree of damage is determined, and latent abnormalities are revealed. Based on the findings, the neurologist prescribes appropriate treatment. As a rule, this is a complex therapy, including the use of medicines, massage, exercise therapy and other methods.

Therapeutic exercises for osteochondrosis of the lumbar spine

Treatment of osteochondrosis with medicines

To begin with, it should be noted that at the initial stage of development of osteochondrosis in certain cases, you can do without drugs. It will be enough to use therapeutic gymnastics, all kinds of applicators (“Lyapko” roller, Kuznetsov applicator), as well as reducing stress and eliminating other causes of the disease. If the symptoms are gaining strength, and studies have shown characteristic changes, medications should be included that help to influence both the cause and the symptoms of osteochondrosis.

Treatment of osteochondrosis with medicines is indicated during the period of its exacerbation and is aimed at relieving the inflammatory process, stopping the pain syndrome and enhancing metabolic processes due to internal administration or administration of drugs using injections.

Due to the fact that osteochondrosis is a systemic disease that adversely affects various organs and systems, its treatment should be comprehensive. Medicines for the treatment of osteochondrosis carry out the following tasks:

  • anesthesia,
  • removal of inflammation,
  • improvement of blood circulation in affected tissues,
  • cartilage repair
  • returning mobility to the joints,
  • elimination of depression caused by constant pain.

So, what kind of drugs can be prescribed by a neurologist to treat osteochondrosis?

  1. NSAIDs (non-steroidal anti-inflammatory drugs)

Eliminate inflammation and pain. They are used externally (gel, cream), inside (capsules, tablets), and also as an injection (intramuscularly, intravenously, subcutaneously).

  • diclofenac (voltaren, diclac)
  • ibuprofen (nurofen, long)
  • ketoprofen (ketonal, febrofid)
  • nimesulide (nimesil, nise)
  • meloxicam (movalis, movasin)
  1. Vasodilators (vasodilators)

As a result of muscle tension and pain in osteochondrosis, blood vessel constriction occurs. In order to avoid undesirable consequences against this background, the doctor may prescribe pentoxifylline (trental), which dilates blood vessels and improves tissue nutrition, as well as actovegin and berlition for a better restoring effect.

  1. Muscle relaxants (muscle relaxants)

They have a relaxing and calming effect on the muscles. The recovery process without drugs of this group proceeds more slowly, because due to their properties blood circulation is normalized, pain sensations become dull, mobility returns, and affected tissues recover faster. For these purposes, the doctor may be prescribed sirdalud, midocal or baclofen.

Chondroprotectors do not give further destruction, stabilize the condition. Reception of chondroprotectors is long, lifelong, the effect occurs after treatment for a period of at least 6 months. Chondroprotectors are used externally, orally and in the form of injections.

  • glucosamine (don)
  • chondroitin (chondroxide, structure)
  • glucosamine + chondroitin (arthra)
  • glucosamine + chondroitin + vitamins (teraflex)
  • Alflutop (concentrate of 4 species of marine fish)
  1. Sedatives (sedatives)

Prolonged pain can trigger stress and depression. In this case, valerian preparations, motherwort, combined herbal preparations are prescribed. For more severe disorders, antidepressants (symbalta) are used, and sleeping pills (donormil) are used to improve the process of falling asleep and the quality of sleep.

  1. Vitamins and Vitamin and Mineral Complexes

Vitamins of group B are of greater importance here, as they are able to restore the sensitivity of the affected nerve fibers and reduce pain. They are part of such drugs as milgamma (tablets and injection) and neuromultivitis (tablets).

For the purpose of general strengthening of the body, vitamin-mineral complexes (compliance, multi-tabs) can also be prescribed.

Lumbar osteochondrosis causes, symptoms, treatment and prevention methods

Tells MDRT Specialist

Kabizulov Vladislav Sergeevich

Lumbar osteochondrosis is a deformation of the spine in the lumbar region. The disease affects the intervertebral discs, cartilage, spinal roots and nerve fibers and causes back pain.

The content of the article

Causes

The main cause of the disease is an improper load distribution on the musculoskeletal system. This usually happens when walking in high heels, carrying the bag on one side, with an uncomfortable pose in a dream or sitting work. At risk are elderly people, pregnant women, only giving birth, professional athletes and office workers.

Other causes of lumbar osteochondrosis:

  • injuries, bruises, fractures of the arms, legs, spine;
  • damage to the organs of the musculoskeletal system;
  • gastrointestinal diseases, provoking a deficiency of nutrients;
  • body tension during prolonged exertion;
  • psycho-emotional disorders;
  • blood flow disorders in the spinal column;
  • inflammation of the musculoskeletal system;
  • infections of the internal organs and vertebrae;
  • joint stiffness, displacement of the discs;
  • protrusion and intervertebral hernia;
  • severe intoxication;
  • metabolic disorders;
  • distortion of posture;
  • sedentary lifestyle;
  • dehydration of the body;
  • unbalanced nutrition;
  • calcium and oxygen deficiency;
  • excess weight;
  • bad habits;
  • age changes;
  • joint diseases.

Symptoms of Lumbar Osteochondrosis

The intensity and nature of the symptoms depends on the stage of the disease. The faster the patient finds signs of lumbosacral osteochondrosis, the more effective the treatment will be.

  • severe pain in the lower back, which can give to the legs, internal organs of the abdomen and pelvis;
  • pain in the kidneys and sacrum;
  • fatigue and tension in the lower back and sacral spine;
  • difficulty in moving, walking, tilting and turning the body;
  • periodic backache;
  • fatigue after a minor load;
  • a crunch in the back, impaired mobility, pain in a calm state;
  • numbness of limbs;
  • muscle cramps and cramps;
  • dizziness;
  • weakness and breakdown;
  • decreased muscle tone and sensitivity.

In men and women, manifestations of lumbar osteochondrosis may vary. In men, problems with potency may occur. Women are more likely to suffer from pelvic pain. When the deformed spine cannot fully support the back, the uterus and appendages experience additional loads, and sometimes they are shifted relative to the normal physiological position.

Quote from the MDRT specialist

Kabizulov Vladislav Sergeevich

Varieties

Classification of osteochondrosis of the lumbar spine consists of several varieties of the disease. According to the type of pain, there are:

Lumbago. Acute symptom. Expressed by sharp lumbago and the inability to move. It occurs with muscle cramps, injuries, pinched discs and nerve roots.

Lumbalgia. It is characterized by prolonged aching pain caused by hernias, protrusions, spondylarthrosis, sprain and other disorders of the musculoskeletal system.

Sciatica. A powerful pain syndrome in the lumbosacral, radiating to the pelvis. The pain extends to the sciatic nerve, interferes with the normal flexion and extension of the body, and prevents painless sitting and standing.

Discogenic lumbar osteochondrosis and radiculopathy are also distinguished.

Discogenic lumbar osteochondrosis is accompanied by a loss of sensation and numbness of not only a sore back, but also of the legs, buttocks, thighs and lower abdomen. Sometimes the body temperature rises, weakness, urinary incontinence appear, the patient loses weight.

Radiculopathy is expressed by numbness of the nerve roots and a decrease in the motor abilities of a person. Signs – tingling or soreness of the entire lower body, impaired reflexes, decreased muscle tone and limb joints.

Stages of development of lumbar osteochondrosis

Doctors track the dynamics of pathology in four stages:

  1. First one. Symptoms are almost invisible – they are diagnosed on an x-ray. The stage begins with pathological processes in the pulp cavity of the dried disk and microcracks of the fibrous ring.
  2. The second one. The height of the intervertebral discs decreases, which makes the vertebrae closely spaced. This causes vertebral gliding and displacement, which is accompanied by pain during movement.
  3. The third. It is characterized by stiffness, instability, numbness of the body in the coccyx, lower back and sacrum. This can be explained by protrusion of the vertebrae, protrusions, dislocations of the joints and arthrosis in the spine.
  4. Fourth. The most severe degree. On it, the functions of the spinal column are disturbed and bone growths (osteophytes) are formed. The growths can pinch the nerves or damage the integrity of the vertebrae.

The consequences of osteochondrosis of the lumbar

  • Excessive accumulation of salt in the body;
  • development of hernia, protrusion, prolapse of the vertebrae and discs;
  • chronic sciatica;
  • paresis and paralysis of the legs.

Diagnostics

Diagnose lumbar osteochondrosis and other disorders of the musculoskeletal system can be an orthopedist, osteopath, neurologist, rheumatologist, chiropractor and surgeon. An accurate diagnosis is possible after:

  • X-ray of the spinal column, which shows the condition of bone, cartilage and muscle tissue, as well as ligaments and tendons.
  • Myelography – a study of cerebrospinal fluid using a dye. With its help, the nerve roots of the spinal cord are studied and evaluated.

For a more detailed examination, doctors use CT and MRI. Diagnostics can be done in the network of clinics of the MDRT.

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

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