Lumboscialgia is a pathological process localized in the lumbar spine and additionally affecting the sacrum, as well as adjacent ligaments and muscles. The characteristic signs of lumboschialgia are pronounced painful sensations and spasmodic conditions extending from the waist to the buttocks and lower limbs. To the feet and toes, the pain, as a rule, does not reach.
Expression of unpleasant sensations becomes higher during walking, changing poses, prolonged stays in standing or sitting position, as well as by coughing, sneezing, various sudden movements, etc.
Next, you are invited to get a general idea of lumbosciagia, the causes of its appearance, the characteristic signs and available treatment options.
Content of the material
- 1 Classification of the disease
- 2 Causes of progression of the lumbosciagia
- 3 Characteristic signs of the disease
- 4 Diagnostic procedure
- 5 Lumboscealgia treatment options
- 6 Prophylactic recommendations
- 6.1 Video - Lumboscial treatment
Classification of the disease
There are several forms of the pathology studied. About them in the table.
Table. Types of lumbosciogia
Species of pathology | Characteristic features of |
---|---|
Develops as a complication of various pathologies of the musculoskeletal system affecting the spine and legs. | |
Formed by pressure or compressive action on nerve trunks, the task of which is to ensure proper innervation of the leg area. | |
The cause of the appearance of such are various kinds of lesions of the blood vessels that provide nutrition to the legs and lower back. Based on the results of these disorders, there is an ischemia and an oxygen deficit develops in the treated areas. | |
Formed in the presence of several of the above-mentioned provoking factors, as a reaction to the damage of nerves / blood vessels / musculoskeletal system. |
Causes of progression of lumbosciagia
As noted, a characteristic sign of lumboschialgia - severe pain - occurs when making incautious sudden movements, prolonged stays in the same and / or incorrect posture, lifting a variety of heavy objects.
Directly the pathology is formed when there are the following provoking factors and their combinations:
- of osteoarthritis;
- protrusion, intervertebral hernia;
- discs of pathological changes in the structure and function of the vertebral trunk;
- excess weight;
- superfluous loads;
- of the existing pathologies of posture, curvature of the spine;
- injuries of the lumbar and other parts of the spinal column;
- strong supercooling;
- for a variety of infectious diseases;
- arthritis and other inflammatory processes.
As a rule, the mechanism of lumbosciagia development is the following: under the influence of various provoking factors( degenerative processes, compression, trauma, inflammation, etc.), irritation of the nerve roots occurs, which leads to the appearance of painful sensations. The latter can be accompanied by muscle spasms and strains. It is not excluded the emergence of nodules in the muscles, palpation of which causes sharp sharp pain, often giving away to other parts of the body.
As the pathology progresses, a constant disruption of the normal state of the nerve roots contributes to a changesensitivity of the skin and legs as a whole, against which another characteristic symptom of the disease develops - a feeling of cold or heat in the affected areas, a change in the color of the skin, numbness or even paralysis of the lower limbsechnostey.
Characteristic signs of the disease
Pathological manifestations are noted in the lower back and legs.
- Painful sensations in the lumbar region that give one or both lower limbs to one or both.
- Sharp limited mobility of the lumbar region.
- Increased intensity of painful sensations when changing the posture, making movements, loads.
- Forced acceptance of a pose, in which pain manifests itself least strongly.
- Specific spread of pain from the waist to the buttocks and further along the legs.
- Possible sensation of heat, cold, itching along the passage of the sciatic nerve.
- Change in color and local skin temperature of affected parts of the body.
- Sharp growing pains when trying to step normally on their feet, because of which there is a significant restriction of motor activity, gait changes, lame appears.
- Increased pain during hypothermia, the occurrence of various colds, during periods of exacerbation of chronic ailments, fatigue, etc.
During periods of exacerbation of lumboschialgia, the severity of symptoms characteristic of her becomes especially strong. If the disease goes into a chronic stage, the painful sensations will take a wavy course, for which the alternation of activation and decay periods is characteristic.
Diagnostic procedure
After reviewing the patient's complaints, the doctor will send him to the necessary laboratory and instrumental diagnostic measures.
First, an x-ray examination of the waist and pelvic region is performed.
Secondly, to obtain the maximum amount of necessary information, CT or MRI of the mentioned body parts is performed.
Diagnosis, as well as treatment, in most cases, therapists, neurologists, and orthopedists are engaged in a complex manner.
Options for the treatment of lumbosciogia
During the acute period, resort to the following methods:
- compliance with bed rest with the exclusion of motor activity;
- reducing the volume of water and other liquids consumed - allows to reduce the intensity of edema;
- to eliminate painful sensations and manifestations of inflammatory processes - drugs( for example, diclofenac and nurofen) are used for this, as well as means for local external use.
In case of especially severe pain, blockade with novocaine or other suitable drugs is prescribed.
If you find strong muscle spasms, resort to the use of drugs of muscle relaxants and antispasmodics.
After overcoming the acute period, the doctor will appoint the patient an individual complex of therapeutic exercises, and also recommend massage and refer to the necessary physiotherapy procedures. In many cases, it becomes necessary to use special corsets or proof-readers.
Forecasts, if timely start treatment and comply with medical prescriptions, favorable - the pathological process quickly enough stops.
If the disease is started before the chronic stage, treatment will require much more significant efforts and the end result here will depend on the underlying causes of the onset of the disease and the intensity of its severity.
Prophylactic recommendations
To minimize the risk of exacerbation of the disease and the occurrence of various complications, follow a few simple recommendations.
- Avoid prolonged stay in the same and uncomfortable poses, sleep on an even hard bed.
- Wear comfortable shoes.
- If you specialize in "sedentary work," during the day, periodically take breaks and warm up. In the workplace, watch your posture.
- Get rid of excess weight.
- Refuse bad habits.
- Timely treat any kind of disease, especially literate should be the fight against pathologies affecting the musculoskeletal system.
Contact your doctor if you get the first signs and be healthy!