The lumbar spine osteochondrosis is a complex of dystrophic disorders (disorders of nutrition and blood circulation) in intervertebral cartilages of the lumbar spine.
In the lumbar spine there are 5 massive vertebras. Clinical manifestations depend on what intervertebral cartilages are affected. Each intervertebral segment has the “responsibility zone” to which it directs the nerve-endings which are started with the nerve root in the exit place from the backbone (at the basis of acanthas).
Between vertebras there is a flexible and shock-absorbing “insert”, it is an intervertebral cartilage which compensates loading and provides flexibility of the backbone. Its destruction also causes all symptoms of lumbar osteochondrosis.
The main loading, especially at the moments of bending and weight-lifting is on the lumbar department. Even in a sitting position there is a great loading on this department. It is caused that back muscles of many people are insufficiently developed and quickly lose force and elasticity, especially people mainly have a sedentary life-style.
Stages of lumbar osteochondrosis development
Symptoms: osteochondrosis of the 1 degree is, as a rule, presented by inspissations of the intervertebral cartilage in the lumbar department. The main symptoms at this stage is insignificant pain at turnings of the body or bendings. Sometimes symptoms have a more acute and short-term character because of sharp movements or considerable loading.
The 1 degree is observed at long sitting in a wrong pose (it is most characteristic for office workers) as the lumbar zone is under constant tension that leads to insignificant stretching and painful aching symptoms.
2 degree – discogenic radiculitis
Symptoms: At the 2nd stage of disease development osteochondrosis is characterized by reduction of the space between intervertebral cartilages, thereby causing constant characteristic pain and numbness of extremities and the inguinal region. The main reason of the 2 stage is a so-called destruction of the fibrous ring, when vertebras lose their properties, they are decreased and cause pinched nerves.
3 degree – vascular and radicular
Symptoms:the 3 and the last stage of disease development is the most dangerous and difficult in treatment as its emergence is characterized with spinal disc herniation or protrusions. It is caused with the complete destruction of the fibrous ring and its liquid occurs into the intervertebral area. Symptoms of the 3 degrees are accurately expressed, are followed by sharp spasmodic or constant pain. Mobility is decreased, there are problems with internals, micturate urges are more often.
4 degree – emergence of the scar tissue in the intervertebral cartilages
Symptoms: the last degree of osteochondrosis development leads to destruction of intervertebral cartilages and then the affected area is covered with the connective tissue. There is a decrease in mobility of the lumbar spine. Disorders of functions of internals and organs of the small pelvis are obviously expressed
Manifestations of lumbar osteochondrosis
- reflex syndromes – they are lumboischialgia, lyumbalgia and lumbago;
- radicular syndromes – vertebrogenic (or discogenic) sacral and lumbar radiculitis, this syndrome is followed mainly by the trauma of the first sacral root or the root of the fifth lumbar;
- radicular and vascular syndromes – it is presented as a compression process of the vessels radicular ischemia (when veins or arteries are compressed, in particular) and the compression is done simultaneously with the root.
Lumbalgiain particular implies a chronic type of pain appearing gradually after a long uncomfortable position of the body or after long sitting, and also after the impact made on the organism and certain area after physical activity.
Lumbago is shown in the form of the acute lumbar pain which is characterized as “lumbago”, mainly lumbago is at the moment of weight- lifting or at the unsuccessful movement. Sometimes lumbago it is also noted after coughing or sneezing.
Radicular syndromes (radiculitises) is in the form of compression of roots (one or two) together with the following symptomatology. In particular it is radicular pain, disorders of sensitive and motive functions. In the sensitive function there is a loss of functionality of the affected root, and in the locomotor function there are disorders in weakness of evertors/extensors of the foot or a big toe.
Radicular ischemia appears against compression noted in the field of concentration of radicular and spinal arteries. The clinic manifestation has rough forms of motive disorders (in the form of paresis and paralyzes), and also sensitive disorders, which can be in this or that option of existence of weak pain, as well as their absence (that is also possible, though in more exceptional cases).
Treatment of lumbar osteochondrosis
The main exercises of physiotherapy exercises at lumbar osteochondrosis are directed to negate a pain syndrome, train force and elasticity of the back muscles, strengthen the backbone, decrease the level of nerve roots compression, improve blood circulation in the area of the affected intervertebral cartilages.
Sets of exercise therapy exercises will depend on the current form of osteochondrosis: an acute or subacute period, a remission period.
Highly qualified specialists of the health and fitness center “Progress” use author’s techniques to prevention, correction and treatment of osteochondrosis of the cervical spine, which have a fine result even in difficult cases.
Remember — self-treatment is impossible, it only delays adverse effects a little!
Don’t bring osteochondrosis to the heavy and advanced stage!
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