Osteochondrosis is a disease that has a chronic course, accompanied by progressive degenerative changes in the intervertebral discs. Most often, this pathological process affects the cervical or lumbar spine. Gradually, it leads to the formation of an intervertebral hernia, followed by compression of the spinal cord, vessels passing nearby, and so on. In this article, we will talk about the clinical signs and treatment of osteochondrosis of the intervertebral discs in the lumbar spine.
How is osteochondrosis of the lumbar spine manifested?
The main clinical sign of this pathological process is back pain.
The intensity and nature of the pain syndrome may vary in each case. Some patients indicate sharp pain, aggravated by the slightest movement and forcing them to assume a forced position.
However, most often (more than 70% of patients) there is a dull pain syndrome. The pain is of moderate intensity and is present all the time. Although the patient does not need to assume a forced position, he limits his physical activity. When the lumbar spine is affected, it manifests itself by avoiding sharp turns, sitting down and standing up slowly.
In addition to symptoms of the spine itself, extravertebral signs may also be observed. If compression of the spinal roots occurs, the person indicates pain along the course of the peripheral nerves. A frequent manifestation of pathological changes in the lumbar spine region is lumboischialgia, which manifests as an attack of acute pain located in the lumbar region and thigh, which occurs during physical exertion.
treatment principles
Osteochondrosis is a disease that requires complex treatment. First of all, during the period of exacerbation, it is recommended to limit motor activity in the affected area. Here we mean bed rest.
Non-steroidal anti-inflammatory drugs, analgesics are prescribed for pain relief. You can relieve muscle spasm with the help of muscle relaxers. In some cases, the treatment plan is supplemented with anticonvulsants. With compression of the spinal roots, local administration of glucocorticosteroids is possible.
In addition to drug therapy, patients with this diagnosis receive physical therapy, therapeutic exercises, and massage.
In the rehabilitation treatment phase, balneotherapy is recommended. In 2017, scientists from a federal university published an article whose results indicate the effectiveness of rehabilitation treatment of patients with spinal osteochondrosis using combined balneotherapy, which includes thermal baths with dry air and aerosols.
With severe spinal cord compression, the question of surgical intervention is decided.