Lumbalia symptoms, principles of treatment, features of the course of the disease!

The term lumbulgia is used to refer to subacute or chronic painful sensations in the lumbar region, prone to periodic exacerbation and causing serious problems to the patient, introducing significant disturbances into his habitual life and partially or completely depriving him of normal working capacity.

People of any age are at risk. The risk group includes physically active patients, as well as those who, due to certain circumstances, have to spend a long time in the same position of the body.

After reading the information below, you will learn about the causes of this pathological condition, its characteristic signs and methods of treatment.

Causes of the appearance of the

pathology The main factor provoking the appearance of lumbulgia is a variety of pathological changes of the spinal column that are degenerative-dystrophic in nature and affect intervertebraldisks and bundles.

. As a result of the progression of the pathology, deformity of the vertebrae is noted, accompanied by their displacement and the formation of fissures. The risk of intervertebral hernias is not ruled out. In the presence of such a complication, even small loads on the spine will cause very strong and sharp pains.

As a rule, the first signs of lumblagia are noted by a person accidentally: after hypothermia, while driving a car, lifting a load or even simply sloppy sudden movement.

Lumbulgia is also often caused by various traumas that affect the spinal column. The fact of hereditary predisposition is not excluded.

chair. In children and adolescent patients, lumbargia may be triggered by an excessively rapid increase in growth - up to 10 cm or more duringone year.

Characteristic features of

There are 2 main signs of the studied pathology: a feeling of tension in the lumbar region and painful sensations. The latter, as a rule, have a weak or moderate character, are constant, are prone to a sharp increase in the load.

Muscle punctures can form in painful areas. The palpation of these leads to a sharp severe pain, which can simultaneously give to other places.

. The previously mentioned feeling of muscle tension is a very important diagnostic criterion, which makes it possible to distinguish lumbulgia from other similar pathologies.

The tendency to muscle atrophy is absent. The manifestation of neurological signs is characteristic only of clinical cases, accompanied by compression of the nerve trunk.

In children of childhood, muscle tension is observed in about 25% of cases, in adults - more often. Among the characteristic external signs of lumbargia, the appearance of transversely directed stretch marks in the lumbar region can be noted.

About the presence of lumbulgia may evidenced and so-called.a symptom of Laceg's tension. Usually it is of moderate severity, sometimes completely absent. It shows painful sensations in the lumbar region and in the direction of passage of the sciatic nerve. To check for this pain, the doctor instructs the patient to lie on his back and lift his straight leg up. When bending the leg in the knee, unpleasant sensations pass.

. As for the laboratory-instrumental signs of lumbargia, the results of the radiographic examination reveal the following manifestations:

• hernia;
• scoliosis;
• disturbances in the normal structure of the spinal column;
• flatness of lordosis.

In small patients, Schmorl's hernias are often found.

Disease

If there is no timely adequate response, lumbalia will assume a chronic form that is even more difficult to treat. The duration of adverse attacks will increase, with the pain will become even stronger.

Among the serious complications of the studied pathology, it is worth noting lumboishialgia. It is characterized by severe pain and a feeling of heat or cold in the lower back. Painful sensations are characterized by the sudden appearance, localized in most cases on one side, can be given to the buttocks, gradually descending down the leg. In such conditions, it becomes difficult for the patient to straighten the leg, there is lameness.

In especially difficult cases, numbness of the lower limbs develops against the background of lumbar region. This condition is typical for the prolapse of the intervertebral disc. If there is a squeezing of the roots of the spinal cord, the legs are likely to paralyze the leg.

Treatment methods

The treatment order is determined by the severity of the pathology. Thus, when the patient becomes aggravated, a 3-day bed rest is prescribed. The legs, at the same time, should be kept upright and bent. At home, it is easiest to set the required lifting using pillows. In a similar situation, a part of the spinal column that passes through the lower back will be straightened, which will help relax the muscles and relieve pressure. The patient should lie on an even and hard enough bed.

If necessary, the doctor will recommend the use of a special corset for the lumbosacral region. This device is put on in a lying position. Its task is to relax the muscles and stretch the spinal column.

Medications are most often prescribed meloxicam, ibuprofen, and diclofenac sodium. Specific dosages, the frequency of taking medications and the duration of treatment is determined by the doctor. Diuretic and neurotropic drugs, as well as muscle relaxants, are prescribed. The choice of drugs remains with the treating specialist.

Patients with painful pain can be shown blockades with anesthetic drugs. After successfully overcoming the exacerbation, the doctor will recommend gradually returning to normal life. At this stage, special exercises developed by the treating specialist will be useful.

Sharp movements, lifting weights, staying in the same position - all this is prohibited. Sleep, as before, is recommended on a fairly hard bed.

From wearing a corset is gradually abandoned - the continued use of such will reduce muscle tone and strength of ligaments, and this will only worsen the patient's condition.

In chronic lumbagia, long-term treatment with comprehensive use of special medications and appropriate physiotherapy techniques is indicated. Applicas with 40% dimexide solution are good. For more effective pain relief, the doctor can recommend adding novocaine, diclofenac, etc. to it. Applications are applied for 1-2 hours. The average duration of the course is 10 days.

There will not be superfluous methods of manual therapeutic influence, special massages, therapeutic exercises, acupuncture. Postisometric relaxation is very effective. During this exercise, the muscles undergo short-term isometric loads and further stretching.

In relapses of lumbargia, the use of antidepressants, for example paroxetine and amitriptyline, may be indicated. Are accepted according to the prescription of the doctor with observance of his instructions. On average, the beneficial effect of antidepressants is noted from the second week of use.

Surgical intervention is resorted to in the presence of irreversible complications. Most often as such protrusions and hernias. The tasks of the operation with lumbulgia can be reduced both to the normalization of the state of the cartilaginous discs, and to the immobility of the damaged parts of the spinal column, aimed at creating the so-called."Interlaced" vertebrae.

Be healthy!

Video - Lumbalgia Symptoms