According to medical statistics, 80% of low back pain cases are due to lumbar degeneration. This occurs due to degenerative-dystrophic changes in this segment, when the disc and neighboring vertebrae are affected. Lumbar spinal cord tumors (OBOP) are manifested by many symptoms: pain of different properties, limited mobility, decreased sensitivity of the lower body, . . . Without prolonged treatment, tooThe degenerative process spreads to the vertebrae, reducing the ability to work, after which the patient can become disabled.
In order to avoid the dangerous complications of lumbar necrosis (LP), you need to start complex treatment at 1 to 2 clinical stages. In advanced cases, when there have been irreversible changes in the disc or vertebrae, a surgery will be performed. In order to avoid bone necrosis of the lower back and related complications, it is necessary to take precautions.
To understand what is lumbar degeneration (lumbar spine), you need to study the structure of the spine. It consists of vertebrae, between them are placed cartilage pads (disc). The disc is covered with an annulus fibrosus, the nucleus of which is inside. This structure has the function of absorbing shocks and makes the spine more flexible.
Help. The lumbar segment of the spine is subjected to great daily pressure, as it can bear the weight of the upper body. Therefore, lower spine bone tumors are diagnosed more often than the cervical and thoracic vertebrae.
With frequent stress on the spine, the intervertebral discs shrink, lose a lot of fluid, decrease height and spacing between vertebrae. The cartilage lining becomes fragile, small cracks appear on its surface, through which the marrow nucleus bulges out over time. As the discs are further squeezed, the outer shell breaks and the colloidal core falls out, thus forming a herniated mass. Then, there is pathological mobility of the vertebrae, the load on the adjacent segments of the spine increases.
Some time later, developed bones (osteoporosis) begin to form at the edges of the vertebral body. Thanks to that, the body tries to stabilize the spine.
Doctors distinguish 4 stages of osteoporosis of the lumbar spine:
The simplest way to cure mycorrhea (stage 1), however, it is very difficult to identify the disease at this stage. Grade 2 disc bone tumors are treated with conservative techniques. Maybe stage 3-4 surgery is required.
Help. According to statistics, OBO is usually detected in patients after 30 years of age. There are frequent cases of the development of the pathology in people after 20 years. Approximately 80% of patients over 60 years of age develop symptoms of this disease.
To understand how to deal with PKOP, osteonecrosis (spinal cord) you need to know its cause:
An illness usually has many causes.
In addition, there are factors that provoke the development of lumbar necrosis:
There are many other factors that can trigger degenerative-dystrophy of the lumbar spine. For example, flat feet, low back temperature, frequent stress, sleep disturbances, etc. v.
Symptoms of lumbar spinal necrosis are diverse, they depend on the stage of the pathology and the area affected.
Doctors differentiate reflex and compression syndromes (complex of symptoms) in OBOR. The first arises when the receptors of the disc's outer membrane, ligaments, and sacrum are stimulated and the second, when bundles of nerves, blood vessels and spinal cord are compressed.
There are reflex syndromes of lumbar necrosis:
The symptoms of compression syndrome depend on which part of the lumbar segment is damaged. Characteristic signs are compression of the spinal nerves by a hernia, bone tumor, and spinal dislocation. This condition is known as the etiology, in which pain increases with slight movement, muscles in the lower back are tense, and mobility is limited.
Clinical manifestations of compression syndrome depending on the damaged vertebrae of the lumbar segment:
There is a risk of damaging several nerve bundles at once, for example, L5, S1. If the hernia moves backwards, it can compress the spinal cord.
Compression of blood vessels in the back area increases the likelihood of leg muscle weakness, numbness of the lower extremities, and impaired ability to control urination and bowel processes. In men with OBO, erection is impaired, and in women, the main symptoms may be complemented by inflammation of the ovaries or uterus.
To diagnose OBO, the doctor examines the patient, palms the patient to determine the condition of the muscles and determines the curvature of the spine. It is important to talk to the therapist in detail about your symptoms to help make the diagnosis easier.
Instrumental examination will help detect disc bone tumors:
X-rays allow you to evaluate the structure of BPTNMT. To detect abnormal mobility of the vertebrae, take X-rays in the bent and stretching positions. This study allowed us to see that the disc fissure has narrowed, the vertebral bodies displaced, and the bone cells appeared on their edges. However, this diagnostic method is considered obsolete.
Nowadays, CT and MRI are used more and more to detect degenerative-dystrophic changes in the spine. These highly informational studies make it possible to evaluate the condition of the vertebrae, disc, disc and spinal cord. With their help, protrusions, the direction of hernias, the degree of compression of the bundles of nerves, spinal cord and blood vessels are detected.
EPP treatment of bone necrosis lasts from 1-3 months to 1 year. The success of therapy depends on the patient himself, who must strictly adhere to the doctor's recommendations. With self-medication, the patient's condition often worsens.
To achieve such a goal, you should perform a complex therapy. It usually starts with medication:
Careful. NSAIDs are prohibited for gastritis or stomach ulcers, because they further damage the mucous membranes of the digestive tract.
In the case of an exacerbation, the patient is given an injection. After reducing the main symptoms, the patient is given oral medication.
In addition, external agents (gels, ointments, creams, lotions) are used.
The question of what to do in the case of chronic backbone necrosis is quite appropriate. If the OBOP has become chronic, then after reducing the main symptoms, the patient is prescribed chondroprotectors, drugs that restore blood circulation, drugs based on vitamin B. They help restore the interior, normalize the blood supply. in the affected area and prevent further development of the pathology.
Lumbar fibrosis treatment (stage 1) is carried out using chondroprotectors, which help to slow down the development of degenerative processes, accelerate cartilage regeneration. In addition, the patient is prescribed vitamin and mineral complexes. This form of bone necrosis is the easiest to treat.
In the case of an acute chronic disease (osteonecrosis) of grades 1-2, the following procedures will help prevent the development of the disease:
There are more effective therapies that will improve the patient's condition in 5-15 sessions. The main thing is to get a doctor's approval before taking them.
If you are wondering if it is possible to treat OBO at home, talk to your doctor. If approved by the specialist, then initiate therapy, usually including the following points:
In addition, at home you can use lotions and lotions.
Help. A new feature in the treatment of osteonecrosis is the massage bed that is suitable for even the most disorganized patients.
However, keep in mind that treatment can only be performed at home with the permission of a doctor.
Lumbar resection is indicated if conservative techniques are ineffective for a long time. And surgical intervention is also indicated for cases of urination, incontinence and cauda equina syndrome (compression of the nerves of the lower spinal cord).
The following surgical methods are used in the OBO treatment:
Help. After surgery there is a risk of complications: spinal cord injury, nerve bundles, graft debris, infection, . . .
After the treatment, you need to rehabilitate to speed up the recovery.
In the absence of appropriate therapy, the risk of complications of such lumbar necrosis increases:
To avoid such complications, you need to start treatment as soon as possible.
To avoid lumbar necrosis, follow these rules:
By following these recommendations, you can avoid degenerative changes in your spine and improve your health.
If you notice symptoms of lumbar necrosis, seek immediate medical attention. Self-treatment can make the condition worse and cause complications. Lumbar fibrosis (stage 1) is treated with exercise therapy, physiotherapy, and lumbar defense drugs. In the later stages, using drugs, massage, manual therapy, . . . In case there is no motion or neurological symptoms for a long time, the doctor may prescribe surgery. The patient must strictly adhere to the doctor's recommendations to speed up recovery.