Osteocondrosis of the Lumbar region is a chronic degenerative-doprophic disease of the waist belt, which affects the structure of intervertebral disks and a number of pawns.Influences people who are mainly working.The main rear and legs are in various symptoms with pain that restricts the movement in the lower back.Research methods are used as diagnostics, radiography, calculated tomography or a lumbar waist magnet resonance tomography.In this article, you can learn more with more details, the reasons for the diagnosis of the lumbar spine osteocondrosis.
Osteochondrosis is the result of the body's aging.This or other symptoms of this disease can be found in almost every person (!) 25 years old.However, the severity of these changes, the degree of their progress, the degree of clinical manifestation, for many reasons, for many reasons for how a healthy lifestyle behaves to a certain person.The average physical activity, forced morning gymnastics, the right pose of the body, a number of work (garden, construction, house cleaning, banal cleaning), orthopedic mattresses, orthopedic mattress, waist waist waist's osteocondrosis.
According to statistics, in 80% of the spine, the osteocondrosis of the spine is the cause of back pain.
How does osteocondrosis develop?
The entire spine consists of separate vertebres, between the organs with intervertebral disks.That is, there is a disk between two vertebraes.The disk consists of a gelatinous (pulpic) core and a fibrous ring.The main contains a lot of water and ensures the depreciation and elasticity of the spine.Fibrous Ring is located along the periphery of the core of the jacket, as if it is inside him.
With a long loading load in Jetty Core, the water and dry and eventually lose the sequence and the disk is corrected and vertebral objects are approaching each other.Along with such processes, the nucleus loses fibrous ring elasticity in the jacket and is under the influence of mechanical cargo.This is called protrusia.Then the fibrous ring cracks and a gelatinoine nuclear resulting in the resulting cases: the disk is occurring.The two-named ring called the bone called the plot of a disk between the Vertabra and them, the ten-segment, and thus increases the burden in nearby segments.Excessive loading of neighboring segments triggers a similar pathological process.These changes are called osteocondrosis.
Somehow, to ensure the stability of spine, bone growths, along the edges of vertebral objects, forming the field of support.This phenomenon is called spondyloz.Changes in the joints between Vertebra are called Spondilo arthrosis.Usually all three pathology - osteocondrosis, spondylosis, spondyl arithic - walk nearby.
Reasons
Why does osteocondrosis take place?There are several theories that have occurred so far:
- Mechanical theory: Perhaps the main reason should be considered a regular growing load in the spine.Therefore, the people of osteochondrosis, brands, miners, builders and such professions are almost a mandatory fate.The formation of osteocondrosis of the Lombber region is mainly associated with the removal of slopes and violence, poses a disturbing work;
- Another factor in the development is the wrong stance, especially in the wrong pose that is relevant to mental workers;
- Sometimes the role is played with the characteristics of the nutrition of the structure and individual structures of the spine;
- Traumatic theory: Any trauma (even if not even) is able to launch a degenerative process of any trauma;
- Hormonal metabolic disorders and endocrine diseases can negatively affect metabolism, contribute to the tissues of the spine and the development of osteocondrosis;
- Age Theory implies the natural old old of the discs in the process of life.
Rarely, only one of these theories can explain the formation of osteocondrosis in every situation.More often "blame" in several factors at the same time.
Lomber plays a major overweight role in the formation of osteocondrosis of the spine, because it is also an overload of the spine column.The higher the body mass index (the degree of obesity) is generally more changes in the spine.One of the other reasons provoking the appearance of osteocondrosis can be:
- Seated lifestyle;
- Imory Nutrition (fast food, no longer sweet, semi-cut products: All of these causes the imprisonment of trace elements) and liquid deficiency;
- Anomalies of the structure of the spine (for example, there is an additional pawnshop);
- Permanent wear of high-wedding shoes;
- Pregnancy (due to the excess load on the waist waist);
- Instant termination of modesty in people who are professionally involved in sports;
- Smoking and alcohol abuse: Like the factors that accelerate the aging process in the body.
Symptoms
Lomber is the main manifestation of the osteocondrosis of the spine.The nature of the pain depends on the irritation of the formation of the formation and distribution of pain, ie the disk and the surrounding tissues, there are protrusions or hernia, which is the direction of protrusia, etc.
Reflex and compression syndromes are distinguished by osteocondrosis of the waist waist.
Reflex syndromes are developing in cases where the receptors of the receptors of the affected disk, nearby ligaments and receptors of nearby joint capsules.With the change of muscle-tonic, vegetative-vitable or neurotactic reflex, it is related to irritation with reflexes, ie other structures that cause soft tissues by side symptoms.
Compression syndromes, nerve roots, blood vessels (compression), blood vessels or changes occur as a result of a spinal cord in osteocondrosis.
Lomber spine reflex syndromes
Lbumbago(Feeling): A sharp sudden pain in the lower back, which occurs during an awkward action or physical tension (often not - for no reason).The formation of Lumbago is associated with the movement of a jacket core inside the fibrous ring, ie develops in the initial stages of osteocondrosis.It is often described as pain as "feeling", "the share is clung to the lower back."Patients freeze the pain until you caught the pain.Causes a small movement pain to increase (a try, cough, a try to turn to bed, to move your foot).A man was in a prone position during the development of Lumbago (the most happening), then it cannot correct.A muscle tension pronounced in Lomber spine is reflexive.Throughout the spines in this area, sometimes a muscle wheel visible to the naked eye without touching, and muscle tension is so pronounced.I feel painful for the patient.Such an increasing muscle tone protects the affected Lumbent segment from pathological mobility, protects the pathological mobility that can cause the situation to deteriorate.The natural bending of the spine column (Lordoz) is perhaps the curvature (scoliosis) is possible due to muscle tension.
Lumbalji- Another reflex syndrome of the Lomber level.This time means that there are pain in the waist region.However, unlike Lumbago, the pain is acute, but gradually does not occur in several hours or even days.Pain is strong, moderately intensity, during movements, while moving from one position to another, is intensified in actions or standing.A slight relief brings positions with a roller or rolling rolling under the lower back or waist, but in this case, the passive rise in the corrected foot is the low back (Lassa symptom) causes increasing pain.Lomber Palpation of the spine is painful, but the muscle reflex tension becomes less clear than with Lumbago and sometimes there is no.The actions in the lomber spine are limited, but it is possible.This means that the patient can be on a certain level (then the pain is strengthened) and sides.
Sliding- Other reflex syndrome of the Lomber level.During this time, the hip and leg (on the back surface) means lower back pain.The pain can be strongly achieved by the "fireplace" type, mainly painful, but from time to time.As with lumbalgia, any movement, walking, tension, decreases when lying behind.Lassa symptom is generally positive.Lomber Palpation of the spine is painful, as well as to press some points (for example, in the middle of the bud, on the back of the thigh, in the middle of the bud, in the middle of the bud).There is tension of lower back muscles.Forward and the tendencies to the parties are limited.
Lomber spine compression syndromes
Clinical characteristic depends on which structure is exposed.
Earth roots between the spines in each intervertebrial hole (spinal nerves): left and right.If the roots are formed for osteocondrosis (mainly discs of the discs), then radiculopathy is distinguished for any root.The total, cough, cough, coughing, above the lower rodual, the muscle tension on the back of the Lombber region is the increase in pain in the back of the waist.Types of lomber spine radicalopathies are most common:
- Radiculopathy L1, L2, L3: Pain, under the waist, expected thigh.The formation of paresthesia in the same area is possible (a feeling of numbness), the superficial sensitivity is broken (sharply touch, cold and hot feelings).Knee reflex is reduced, the weakness of the fourth quarters is detected;
- Radiculopathy L4: Lower rear pain, the front of the thighs along the front of the front part of the inner surface of the knee along the front of the front and the lower leg.Parestia in the same areas felt and surface sensitivity is lost (reduced).The weakness in the Budun Quadriseps muscle is also developing, reduces knee reflex;
- Radiculopathy L5: It is often one of the localizations.Throughout the edge of pain, along the outside edge, along the front surface of the leg and thumb along the front surface of the lower leg.Paresthesia feels here, the surface sensitivity is broken and a pain is given here when sneezing and coughing.In addition, there is difficulty in extension of the thumb in the foot, because this movement is innervated by the muscle Kime L5.It is difficult to stand on a heel with an exposed leg sometimes;
- The S1 radiculopathy is also often found in the lumbar spine osteocondrosis.Pain, along the outer edge of the thigh, gives hips to the outer edge of the foot along the outer edge of the lower leg and the 5th finger, heels and heels.These zones are characterized by the feeling of paresthesia, decrease in surface sensitivity.Achilles Reflex decreases.With this spinal damage, the weakness of the muscles of the lower leg and leg flexors is developing, so stands in foot and walks in socks.
It is possible to develop several root radicolops at the same time, which is particularly characteristic of L5, S1.It squeezes a few roots in a hernia.
If the disc flippers back, then you can squeeze the spinal cord.When it is localized at the point of reference in the hernia, there is no spinal cord tree under the II Lombar Vertebra (the spinal cord roots are compressed and the horse's tail syndrome is developed).
The ships of the Lumbar region are fighting the blood flow, spinal strokes and long-term compression in the case of bloodstream into the spine, and then a sharp blood circulation.The myelopathy shows itself with the bilateral weakness of the muscles of the steps of the steps that progressively.The sensitivity in the legs is worried, the reflex of Achilles is lost and the next knee.Urinary disturbances (often, "urgent" urgent, immediate satisfaction, demanding urination) are possible to appear.
Diagnostic methods
The diagnosis of the osteocondrosis of the lomber spine is based on the information of clinical data and additional research methods.The main role belongs to such methods:
- Lomber ray of spine;
- Lomber spine computer tomography;
- Lomber spine magnet resonance tomography.
Lomber spine X-ray is definitely in the perpendicular forecast of 2 interchanges - straight back and side.Such images allow you to see the height and form of the form, contours and structures, contours and structures, intervertebral disks, the abnormalities and natural bends.To show intervertebral combinations and intervertebral holes, radiograph is produced in oblique forecasts.To determine the pathological mobility of individual pawn segments (is a sign of osteoches), the radiography is carried out in a functional testing conditions, ie in the flexion and extension.Normally, you can clearly see the change in the height of the height of the height of the height of the height of the height of the height of the front or back, in accordance with the functional bloc of one of the segments, the height of one of the segments is not changing or lying or lying.Pathological mobility is determined by the forward or backward displacement of spines.Osteocondrosis includes the main X -Ray symptoms, intervertebral cleft, pathological mobility and surface facilities, the formation of regional growths of the contributor, and regional growths of vertebral trunks, the formation of regional growths with affected disk (subchondral sclerosis).Lomber Range of spine is a research mode, which is gradually losing the importance of new and more informative research methods (CT and MRI).The radiograph of the Lomber department is used as an examination diagnostic method today.
Lomber spine is also implemented using X -Ray radiation in CT, but the radial load in the body is less compared to X -Ray.The research extends in a schedule of a special device - computer tomography is completely painless.The images are used to use a computer and allow you to see more structure than spinal radiography.
MRI is a method that electromagnetic radiation is used to create images.The research is also lying on the table, which calls the tomography room.MRI is harmless and painless.
The CT or Lomber spine allows you to see all the structures of the waist, intervertebral disks (and the jacket and fiber ring) and intervertebral holes, carefully investigate the contents of the spinal canal.A little protrusion of intervertebral disk is not considered.If these methods (especially MRI) have a gratitude rate of nervous roots, the spinal cord, allow the disk to determine the direction of hernia.Thus, these research methods are more informative in the diagnosis of waist extremges than radiography.In addition, they allow them to diagnose not only osteocondrosis, but also the structure of the structure of the spinal cord (spinal cord, the structure of the structure of the structure of the structure of the structure of the structure of the structure of the structure of the structure of the structure).
Lomber Osteocondrosis of the spine is a disease that causes the most back pain.In fact, it is the destruction of intervertebral disks.Due to the osteocondrosis of the lomber, a person often loses its ability to work, because in addition to pain, the disease can cause violation of spine mobility, not being able to stand, stop and walk.The symptoms of this disease are unstable and require additional research methods to accurately confirm the diagnosis.The most informer and security of osteocondrosis is the MRI of the safety of the security.