Common low back pain
Common degenerative disc disease is a condition characterized by the presence of symptoms and signs of the simultaneous destruction of several divisions of the spine. For a long time the doctors considered degenerative disc disease as a local disease. Isolated degenerative disc disease of the cervical, thoracic and lumbar. Over time, there is evidence that the defeat of one segment of the spine leads to redistribution of the load and its increase to other departments.
The local prevalence of osteoarthritis among the population aged 30-45 years is 70 %. A late appeal to the doctor about symptoms and signs of local lesions of the cervical or thoracic spine leads to further spreading. The health of the patient deteriorates significantly, he suffers from severe pain, appear multiple neurological symptoms.
Complaints under different levels of lesions of the spine
Widespread osteochondrosis of the spine characterized by a combination of symptoms that are observed in the defeat of various parts of the spine. It is therefore necessary to consider what the symptoms of osteochondrosis of different localizations. Often there is a loss of cervical and lumbar spine.
With the development of cervical osteochondrosis there are complaints of discomfort in the neck that gradually turns into a dull pain. Intensify these sensations when you cough, sneeze, long stay in an uncomfortable position. During movement in the neck, patients can mention the crunch. The muscles around the cervical tense, can be painful. In severe cases there is numbness and violation of movements in the area of the fingers. Because of the innervation of the muscles of the fingers is reduced, up to complete paralysis. Sometimes the lesion of the cervical manifested by intense pain type backache.
Symptoms thoracic: pain in the cardiac region or between the shoulder blades, curvature of the spine, the prolonged strain of the back muscles. When pinched spinal nerves in the thoracic disrupted the functioning of internal organs.
In particular, bony growths on the vertebrae in the thoracic spine may affect the nervous structures of the solar plexus. Such changes lead to pain in the abdomen and back. In rare cases when osteochondrosis of the thoracic symptoms of renal colic, and impaired urination.
Lumbar osteochondrosis is accompanied by pain in the lumbar region with spread into the pelvis and lower extremities. In addition, in the lower extremities, the symptoms of numbness, what are its loss and tingling sensation. There may also be involuntary defecation and urination.
Classification of osteochondrosis according to the severity of manifestations
Different symptoms of osteoarthritis are displaying a pathological process that affects the spine. Therefore, when dealing with a doctor try to tell you about all the troubling symptoms. Classification of disease by severity allows to assess violations in different parts of the spine, given the General state of the patient.
There are the following degrees of severity of osteochondrosis:
- I – pain attacks that are quickly eliminated with the help of medication;
- II – prolonged pain with the development of spinal deformity and moderate neurologic symptoms;
- III – constant moderate pain with significant neurological impairment;
- IV – regular pain in several places with multiple neurological deficits;
- V – a gross violation of nerve impulses with the appearance of paralysis and paresis of the limbs.
The severity of the disease
The clinical picture
|When I degree.||Determined excessive mobility of the vertebrae in multiple spine, hyperextension in the neck, a reduction in height of the intervertebral disc.|
|At the II degree.||it is possible to identify the presence of ruptured annulus fibrosus (the outer shell of the disk) with protrusion of the nucleus pulposus. In other words, forming a hernia. This protrusion leads to irritation of the nerve structures, which is manifested by the absence of muscle contraction or a decrease in its strength. Mainly affects one muscle or a small group. Also, there is a curvature of the spine (scoliosis).|
|When III degree.||Its presence leads to the replacement intervertebral disk connective tissue. Hernia increases in size and leads to a further compression of the nerve. The conditions for the development of the disease in other parts of the spine.|
|If grade IV.||The reduction of mobility in several areas of the spine because of bone block formation.|
|When V degree||This common low back pain is the most severe.|
With the development of movement disorders of the upper or lower extremities, the patient is assigned a respective group of disability.
Treatment lesions of the spine
Treatment of extensive degenerative disc disease should apply depending on the stage of the disease. The main directions of treatment is drug therapy and orthopedic measures. The latter was aimed at reduction of pain syndrome, disease progression and prevention of complications.
Since a third of his life man holds in his sleep, the initial activities are focused on its normalization. To do this, in the acute period, the attachment shows under the mattress wooden shield. This prevents excessive hyperextension of the spine. Also with this purpose, we recommend wearing a Trench collar, or corset chenault. Contraindicated in patients to make any sudden movements, lift heavy objects weighing over two pounds.
Drug therapy depends on the patient complaints, as it is symptomatic. Common low back pain is always accompanied by pain and neurological manifestations. Therefore, during the exacerbation of the mandatory appointment of analgesics and anti-inflammatories. One of the most effective methods of pain relief is holding novocaine blockades. To improve nerve conduction are shown for the introduction of b vitamins.
The diagnosis of «widespread pain» is a direct indication for the purpose of Spa treatment, massage therapy, physiotherapy and medical gymnastics. Massage helps not only to calm the nervous system and improve blood circulation in the spine. Manual therapy also eliminates muscle tension. With the defeat of the cervical and lumbar spine is assigned to his extension.