Osteochondrosis is considered a common disease of the spine. Mostly, due to a specific lifestyle, the lower back suffers, therefore, the symptoms of lumbar spine osteochondrosis are more common than others. Pathology is equally dangerous for men and women, regardless of age. Patients with this disease wear corsets, suffering during pregnancy. Diet and exercise become important.
The disease is highlighted in a separate section of the 10th revised International Classification of Diseases (ICD-10) and refers to deformed dorsopathy (ICD-10 M42-43). Spinal osteochondrosis has been assigned a code - M42 according to ICD -10. There are such options for ICD-10:
- Juvenile osteochondrosis - M42. 0 according to ICD-10.
- Osteochondrosis in adults - M42. 1 according to ICD-10.
- Unspecified form - M42. 9 according to ICD-10.
If previously the disease spread to people over 30 years of age, then recently there is a tendency to influence the pathology of the younger generation. Associated with stress and prolonged exposure to computers, a passive lifestyle.
The lower back always experiences a great load in motor character and from weight loads. Women suffer greatly during pregnancy, people whose life history includes numerous lumbar spine injuries and neglect of factors such as exercise. Also, studying the causes of intervertebral hernias, violations of the sciatic nerve, one can choose the main factor - long -term osteochondrosis.
Causes and stages of pathology
All the causes leading to pathology can be divided into external and internal. The first is associated with various influences of external factors. People who lead an inactive lifestyle, who are overweight, are prone to osteochondrosis. In addition, there are predisposing factors such as:
- professions associated with prolonged stay in a sitting position;
- hypothermia;
- weakness of the body's defenses related to stress, overwork.
Internal causes are based on genetic predisposition and various diseases. With endocrine diseases, the recovery of bones, muscle tissue and their nutrition is disrupted. This condition can be observed with age and with genetic predisposition, especially if medical history indicates spinal cord injury at a young age.
Pathological disorders of the structure of the spine accelerate the occurrence of osteochondrosis, if left untreated, the disease progresses rapidly. The most notable condition is kyphosis, scoliosis. Also, medical history shows that the most common cause of disease is spinal cord injury.
The disease has 4 stages of development. In the first stage, there are no serious disturbances in the nutrition and structure of the spinal disc. The symptoms are mild. They can be easily removed with painkillers. It is possible to cure the disease during this period as quickly as possible, the main thing is not to warm up, not to strain your back. Diet and recovery help a lot.
Often, osteochondrosis begins to appear during pregnancy, if left untreated, it quickly passes to the next stage. The history of the disease considers the corset to be an effective remedy for the progression of the disease.
The second stage is characterized by protrusion and obvious clinical manifestations. Treatment becomes difficult, deterioration occurs more frequently. For girls, before pregnancy, it is necessary to cure the disease to avoid complications due to salt deposits and displacement of the vertebrae. There may be problems with going to the toilet, then a special candle will help. Corsets, diet, daily exercise, and ERT may also be effective.
The third and fourth stages are dangerous with the appearance of intervertebral hernias, complications and disturbances in the work of internal organs. Just diet and massage will not help. Sometimes the only way out in the fight against the disease may be surgical treatment. In the future, one has to wear a corset and recover for a long time.
symptoms
Signs of lumbar osteochondrosis begin to appear in the first stages of the disease with the onset of sharp pain in the lumbar region. Severity initially passes quickly and does not interfere with the normal functioning of work capacity. During pregnancy, a woman always feels discomfort and muscle tension.
With the progression of the disease, exacerbation occurs more frequently, but it can be removed with analgesics. The symptoms of pain become prolonged, painful. If the nerve fibers are affected, then the pain radiates to different parts of the body. It can be different legs, buttocks and back. Increased pain occurs when you are in one position for a long time, sudden movements or lifting weights. The hallmark of osteochondrosis may appear - back pain.
In addition to the pain, the muscular corset suffers. The back muscles are always in a tense state, sore when pressed. Over time, the deterioration does not go away, the patient experiences unbearable pain, worsening even with slight movements, coughing or sneezing. During pregnancy, weight gain occurs, which worsens a woman’s general well -being and gives rise to persistent symptoms of osteochondrosis.
In the extreme stage, innervation is disrupted and the spinal cord is affected. Muscle corsets do not cover protection, vertebrae are destroyed, intervertebral hernias are formed. There is damage in the work of the intestines, stomach, genitourinary system. Men have problems with potential. Persistent pain and symptoms of intoxication worsen a person’s well -being. The medical history of patients with such abnormalities often brings the patient to the operating table.
Treatment
To select the right treatment for osteochondrosis, diagnostics are performed. Medical history and patient complaints were reviewed in detail. Exacerbations make it possible to identify the image more carefully using diagnostic techniques. The patient’s medical history is updated with new symptoms. X-rays are directed to examine the spine. During pregnancy, X-rays should not be done in the same way as wearing a corset.
There are other diagnostic methods. It can be magnetic resonance or computed tomography. Ultrasound examination is performed to examine internal organs, especially if the medical history indicates various pathologies.
Treatment in each case is chosen individually and should be comprehensive. There are certain principles that help cure this disease. This is a medicine for pain relief, a diet to normalize the function of internal organs. Also, you cannot heat the affected area.
During pregnancy, you must first worry about the health of the fetus. With a running course, in addition to the main therapy course, it is necessary to wear a corset. In case of impaired intestinal function, special suppositories are used. Also, you should not warm up the lower back muscles, if there is deterioration. The diet is prescribed after consultation with a gynecologist. Charging should be special and at a specific time.
Treatment is primarily aimed at eliminating symptoms, restoring the physiological function of the spine.
For pain, it is necessary to take NSAIDs, antispasmodics, analgesics. The necessary medication will be prescribed by a doctor. You can relieve severe pain with the help of novocaine blockade.
The diet does not include foods that are harmful and difficult for the liver and kidneys. Do not abuse alcohol, cigarettes. To cure the disease, you can combine medicines and alternative methods of therapy at the same time. Charging must enter the rhythm of life. It is not possible to warm the injured area during exacerbations and at the beginning of treatment. The diet should be set for a long time.
Effective massage, manual therapy, physiotherapy and daily exercise - that's what will help you get rid of the disease and always maintain body shape.