Polysegmental low back pain: causes, symptoms and treatment
When changes in cartilage tissues, accompanied by pain syndrome, usually diagnosed as degenerative disc disease. The disease is quite common, but prevention programs do not exist, therefore, to the fore the need for reliable diagnosis and timely treatment.
Polysegmental spinal osteochondrosis is diagnosed with the defeat of several sections which can be located in the cervical and in the thoracic and lumbar spine. Each of the segments represents a system consisting of such elements as adjacent vertebrae, intervertebral disc, vascular and nerve structures, ligaments. To get rid of the disease, you should know its causes and to understand that to avoid agonizing pain can only result from long-term intensive treatment, with the full interest in the rehabilitation process.
About the causes and symptoms of the disease
Polysegmental spinal osteochondrosis develops as a result of exposure for a long time system of pathogenic factors. Point pathology monosegmental peculiar form of the disease.
Low back pain can be triggered by:
- pathologies of different nature (metabolic, endocrine);
- autoimmune, infectious diseases;
- the operational intervention;
- the metabolic disorders;
- intense physical loads;
- sedentary way of life.
The cause of osteochondrosis polysegmental must be set exactly, because this affects the course of treatment. Pathology diagnosed is quite difficult because the person has symptoms of several divisions of the spine. Osteochondrosis of the cervical spine is manifested in the form of headaches, nausea, dizziness, problems in the lumbar spine — pain in lower back radiating to the legs. Osteochondrosis of thoracic part of the spine first, not an effect and only after a certain time provokes the intercostal neuralgia.
In some cases, these symptoms coincide with symptoms of other diseases. For example, osteochondrosis of the lumbosacral accompanied by sciatica and lumbago. The same manifestation of pain syndrome observed in renal colic and appendicitis.
When polysegmental form of osteoarthritis a person may experience pain the lower back, heart, to feel nausea, dizziness. Most often the pain is manifested in the lumbar and sacral divisions, due to heavy load on this part of the spine.
To determine that the pain pierced in the most unexpected moment, as well as get rid of unpleasant symptoms, it is impossible. Therefore it is strongly recommended to immediately seek help from professionals who will help determine the causes and prescribe treatment of the disease.
Osteochondrosis of the lumbar
The polysegmental lumbar osteochondrosis is the most frequent manifestation of the disease. It is a kind of retribution for human bipedalism. On the lumbar region daily have the maximum load, which is associated with the mass of the human body and carried by the weights, and with different physical actions.
At the same time, the lumbar region has certain anatomical features. These include the massiveness of the vertebral bodies with a thin layer of cartilage between the discs, the presence of displacement of the spine, called physiological lordosis. As a result, quite often, the intervertebral discs are displaced, the formation of disc protrusion (outer fibrous sheath remains intact), hernias (ruptures of the fibrous sheath and leakage of the gelatinous substance), develops low back pain.
Osteochondrosis of the lumbar spine was possible to suspect yourself in the presence of such symptoms:
- a sharp pain appears in the lumbar region, buttocks, rear thighs, lower legs;
- painful tension or a tingling and burning sensation in legs;
- limited movement until complete immobilization.
In the case of pinching the sciatic nerve possible pain in the perineum. Pain in this region is a direct consequence of degenerative disc disease that causes impaired blood flow in the lower part of the body.
Diagnosis and treatment
Of the modern methods of diagnostics at suspicion of polysegmental low back pain doctor may prescribe an MRI or CT scan. Magnetic resonance imaging allows to determine pathological changes in cartilage. Such a study as computed tomography, gives a clue to the identification of the causes of the disease. In the picture you can see the trauma, which the patient could forget, the pathology of a different kind. X-rays and ultrasound are also included in the list of common diagnostic procedures, as well as biochemical analysis of blood, revealing the imbalance of vitamins and minerals.
The structure of treatment is determined individually depending on what segments of the affected vertebra. So, polysegmental osteochondrosis of the cervical spine may be an indication for hospitalization because of the systematic oxygen starvation of the brain can lead to unpredictable consequences.
Drug treatment is aimed at blocking pain and vasodilation. In the complex of therapeutic agents include vasodilators, analgesics, nonsteroidal anti-inflammatory drugs. In severe pain that undermines the emotional state of the patient, doctors prescribe psychotropic drugs. Metabolic processes in the damaged tissues and restore chondroprotectors. Mandatory appointed special vitamin complexes to replenish devastated by disease reserves of the body.
Osteochondrosis of the cervical spine, which was developed as a result sedentary sedentary lifestyle, you can stop at enhancing physical activity. Massage, Pilates, physiotherapy — tools whose effectiveness cannot be questioned. Water or mud therapy, electrophoresis, magnetic therapy will help to restore the microcirculation of tissues, will have a therapeutic and even rejuvenating effects on the body, worn out with pain.
To avoid further damage or injury to the affected with osteochondrosis segments, apply them in the commit. Often patients we recommend wearing a brace, and in severe cases, appointed by bed rest.