Chronic and acute vertebrogenic lumbalgia — symptoms, treatment
The diagnosis of vertebrogenic lumbalgia — how dangerous is it?
Vertebrogenic lumbalgia (classification according to ICD 10 54.5.) — severe pain in the lower back, caused by infringement of the nerve roots spinal cord injuries, sudden bending, lifting heavy.
There are Trogo pain, subacute or chronic nature. Pain concentrated in the back in the lumbar region.
The word «vertebral» implies that the pain associated with abnormalities of the spine, and «lumbalgia» indicates that the discomfort is directly lumbar spine.
Today a violation is not uncommon and occurs because of infringement of the nerve roots of the spinal cord with a sharp bending, lifting, injuries, etc.
When lesions observed pain in the joints, tendons and ligaments.
If there is a disease of the spine, affective bundles of nerve irritated, and manifest lower back pain. Sometimes there may be only a violation of the right or the left.
Vertebral sciatica — one of the options lumbalgia
Causes and risk factors
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The deviation is due to:
- a herniated disc;
- instability of the vertebrae of the lower back;
- the curvatures of the spine;
- damage to the spine.
- muscular disorders;
- microtrauma, forced postures;
- infection and intoxication;
- diseases of internal organs;
- flat feet, varus and valgus changes breaking gait;
- psychogenic factor.
There are several varieties of vertebrogenic lumbalgia.
With muscle-tonic syndrome
If the pain occurs after exertion, likely deficiciency syndrome. When the pain depends on the intensity of loads.
In the initial stages of occurrence of pain syndrome observed after heavy lifting. The doctor at inspection of the patient will indicate that you suffer or increase lower back pain when bending and straightening the lumbar spine.
At a palpation the lesion of the specialist will identify a steady increase in the ligaments in the area of damage due to inflammation.
A distinct syndrome is often associated with the violation of stereotype movements. Man trying to walk so as not to provoke discomfort.
Vascular, vertebrogenic lumbalgia
Vascular disorder is:
- itching on the level of the lesion;
- numbness of the skin;
- the temperature jump;
- inflammation of the vertebral segments;
- pain when feeling the affected parts;
- disturbance of sensation in the lower back;
- twitching, and convulsions.
Dependent on the size of the affected area of the spine vascular symptoms can occur in one location or distributed along the entire spine.
Chronic and acute forms of pathology
There are two forms:
- Acute occurs in the background of the degenerative process occurring in the spine due to lesions of soft tissues. The pain piercing nature, appears as a cross and is increased at the smallest movement.
- Chronic on the background of acute – due to the lack of treatment or other concomitant diseases of the spine. It is characterized by aching pain, which last several weeks or months.
Symptoms and signs
The main feature of the violation is a suddenly appearing pain in the lower back. She gives a leg or two legs, the buttocks, the groin, the anterior wall of the peritoneum or genitals, depending on how the infringement — single and double — sided.
Standard increases the pain at the least movement, tilting, or lifting heavy. Pain syndrome is chronic or subacute. But we must distinguish the pain lumbalgia from lower back pain of a different nature.
Irritation of the nerve roots in the lower back causes spasm of blood vessels and impaired blood flow in the legs, especially the foot and lower leg that is the cause of a constant feeling of cold and chilliness in the feet.
Diagnosis of the disease
The diagnosis of vertebrogenic lumbalgia is based on the complaints of the patient are also needed careful questioning about the time of occurrence of pain and its character.
Conduct a careful inspection of the lumbar area with palpation of the spine, muscles and sacrum.
To exclude other problems is:
- analysis of blood and urine, blood biochemistry, blood for antibodies to the infections;
- x-rays of the lumbar;
- An MRI or CT scan in the lumbar region;
- Ultrasound of the organs of the peritoneum and genitals;
- additional consultations of doctors.
How to get rid of pain
To cure the violation needs a neurologist. When lecheniem vertebrogenic lumbodynia often used medicinal methods of influence in combination with local, chiropractic, physiotherapy and curative gymnastics.
The main objective — the neutralization of inflammation, reducing pain.
It is often used non-steroidal anti-inflammatory drugs (diclofenac, meloxicam).
In the early days it is better to use injectable drugs. Usually anti-inflammatory treatment continues for up to 15 days, while maintaining pain use funds of the Central analgesia (katadolon, tebantin, Finlepsin).
It is also necessary to reduce the degree of tension of the muscles, either through medication of muscle relaxants, or, at small of the severity of manifestations – local medicines, massage and exercise therapy.
As local funds are used different creams and gels, plasters. You can make compresses with medications (dimexide).
The drugs of choice in lubanyi are non-steroidal remedies that help to neutralize the pain and swelling roots. They can register in the form of tablets, injections, suppositories.
This files most often prescribed diclofenac in the muscle 1 time a day for 3-5 days. Such drugs include Ketorolac; xefocam; Movalis.
In addition, you should use ventanarosa and angioprotective tool. It relieves swelling, inflammation and pain. It is also good to use drugs that restore blood flow is nicotinic acid, pentoxifylline, etc.
Justified the use of with a warming ointment (finalgon) and analgesic effect (ointment diclofenac gel was Ketonal, Nise gel). Heat ointments help to improve blood circulation and have a warming and distracting effect. Creams and gels with the analgesic action of topically to help relieve the pain and swelling.
If the cause of pain problems with the discs, low back pain, you should use chondroprotectors to restore cartilage (mucosal; alflutop). They are used in courses of injection with the subsequent consumption of preformed shapes in continuation of the month.
People’s treatment of lumbalgia
Folk remedies used for the treatment of disorders, also help to neutralize the pain, but the cause of the disease, they do not eliminate. To help patients apply these methods:
- Rubbing aloe juice. Juice rubbed the sore spot three times a day.
- Compresses with leaves of horseradish. Fresh leaves are washed, dried, they are saturated with boiling water. Applied to their lower back and wrapped a woolen scarf. Such procedures are best performed at night.
- Rubbing pork fat also have a warming effect. After the procedure is recommended to wrap a sore spot with a warm scarf.
- Ozokerite. The heated composition is applied to the lower back and wrap up warm to cool. This manipulation is carried out 1 time a day for 10 days. But heat treatments can not be carried out people with inflammation and malignant tumors located in the pelvis or peritoneum.
Massage in violation will provide an opportunity to ease muscle tension and restore blood circulation, reducing pain syndrome. Also worthy of attention and manual therapy, enabling the elimination of pinched nerve.
Even the most experienced chiropractor do not guarantee you absolute safety of massage, because any intervention on the spine can cause in consequence of the paralysis or paresis.
To preserve back health helps way of life, the anticipation of the cold and sudden movements. Lifting heavy also needs to be excluded. But the main way of prevention is therapeutic exercises.
Also, as the lead diseases can take a massage course.
The prognosis of the deviation depends on the reasons that trigger the pain, when the acute process and proper treatment prognosis is positive, in the case of organic lesions, injuries and violations structure of the spine with a negative Outlook. Damage can progress.