Degenerative dystrophic changes in the lumbosacral region treatment. Degenerative-dystrophic changes in the lumbosacral region. Therapeutic physical culture and massage

Every adult has experienced back pain at least once in their life. In 80% they are associated with degenerative-dystrophic diseases of the spine. It is believed that such destructive processes occur in old age, since tissue degeneration is a sign of old age. But in modern society these diseases are rejuvenated. It is connected with different reasons, but above all with in a sedentary manner life.

Degenerative dystrophic changes lumbar spine are now common in middle-aged people. This leads to loss of working capacity, and often to disability. It is very important to detect signs of the disease in time to stop tissue degeneration.

How degenerative-dystrophic changes develop

The human body is designed in such a way as to evenly distribute the load on the spine. With normal posture and a strong muscular corset, he can withstand heavy loads without harm to health. But the problem is that most modern people lead a sedentary lifestyle. This leads to weakening of muscles and ligaments. According to statistics, the spine of many people spends 80% of the time during the day in an unnatural state.

Most cases of dystrophic changes are associated with the destruction intervertebral discs. Due to a long stay in one position or during heavy physical exertion, they become thinner, lose moisture, cracks and micro-tears appear on them. There is no blood supply inside the discs, so they regenerate very slowly. Because of this, even a small injury leads to degeneration.

The vertebrae under such conditions experience heavy loads, therefore, they also undergo changes. Salts from the bloodstream penetrate into the damaged area of the spine. calcification begins. Moreover, most often such degenerative processes occur in the lumbar region. After all, the biggest load during standing and sitting falls on the lower back. According to statistics, more than 30% of people over 30 years of age have some kind of degenerative disease of the lumbar spine.

Dystrophic changes in the lumbar region are now found even in young people

Reasons for this condition

Such pathological processes of the lumbar spine can be caused by various reasons. Therefore, they develop regardless of the age and lifestyle of a person. Most often, these changes provoke such phenomena:

active sports with heavy loads on the lower back;
sudden loads, for example, lifting weights;
injuries of the spine, muscles and ligaments, even microtrauma due to constant overload;
inflammatory diseases, infections, hormonal disruptions;
malnutrition leading to nutrient deficiencies;
excess weight;
bad habits;
a sedentary lifestyle, due to which the muscles and ligaments are weakened;
aging of the body, leading to malnutrition of tissues;
genetic predisposition.

Symptoms of such diseases

In order to stop the destructive processes in time, it is necessary to consult a doctor at the first signs of tissue degeneration. But the problem is that such processes proceed very slowly, often for years. Many people try to manage their recurring back pain with home remedies. It happens that during a routine examination, for example, an x-ray or an MRI, degenerative-dystrophic changes are found in the lumbar sacral region. But often the destruction is already very strong.

Therefore, it is very important to know the first signs by which you can determine that such processes have begun:

aching pain in the lower back, aggravated during sitting, bending over and other loads, and subsiding during a night's rest;
pain can spread to the legs and buttocks;
decreased mobility of the spine;
violation of the functions of the pelvic organs;
swelling and redness in the affected area of the lumbosacral region;
increased fatigue;
feeling of tingling, numbness lower limbs and buttocks;
gait disturbance.

Without proper treatment degenerative processes lead to impaired blood circulation and innervation in the spine. This causes paresis or paralysis.

Degenerative processes in the spine cause severe pain, especially with prolonged sitting

Types of diseases

The term "degenerative-dystrophic changes" refers to overall picture pathological processes in the spine. But she generalizes several diseases that have not only common features but also its own characteristics. They can develop separately or together with each other.

Osteochondrosis is characterized by gradual thinning of the discs. The disease proceeds in a chronic form.
Chondrosis occurs most often in young people who expose the spine heavy loads. In this case, microcracks appear in the vertebrae, due to which they are gradually destroyed.
Spondylosis is the formation of bony growths along the edges of the vertebrae. The gradual ossification of the spine severely limits the range of motion.
Spondylarthrosis - damage to the intervertebral joints, their gradual destruction. In this case, the discs become thinner, and bone growths form on the vertebrae. This leads to severe pain with any movement.
A herniated disc occurs due to destruction of the fibrous ring of the disc. The nucleus pulposus protrudes and compresses the nerve roots.

The diagnosis is made on the basis of the patient's examination and computer scan data.

Diagnosis of diseases

The sooner the patient goes to the doctor for examination and staging correct diagnosis the more successful the treatment will be. Usually, to make a decision about the presence of a degenerative dystrophic processes The doctor needs the following information:

general picture of the patient's health;
X-ray examination data;
MRI scan.

Features of the treatment of such pathologies

Based on the results of the examination and the diagnosis, the doctor chooses the most effective methods therapy. Treatment should be aimed at relieving pain, slowing down dystrophic processes, strengthening muscles, restoring cartilage and bone tissues, as well as improving spinal mobility. For this, they use different methods treatment.

AT acute period traction of the spine will be applied, as well as limiting its mobility with the help of special orthopedic bandages. Shown drug therapy. In addition to NSAID tablets, novocaine blockades or injection hormonal drugs. During the remission period, massage, exercise therapy, physiotherapy are indicated. And in the absence of a result after conservative treatment and ongoing severe pain surgical intervention is used.

Treatment of such processes in the lumbar region should be comprehensive. Be sure to comply special diet, rich in vitamins, calcium and jelly products. All doctor's recommendations must be followed. But it still continues for several months. And if it was started on time, the patient was patient and did everything right, it is possible to completely restore the spine in a year.

Treatment is prescribed depending on the characteristics of the disease.

Medical therapy

It is definitely prescribed to relieve pain. These can be analgesics or non-steroidal anti-inflammatory drugs. Muscle relaxants are also used to relieve muscle spasms.

An obligatory step in the treatment of such diseases is the restoration of cartilage tissue. This is done with the help of chondroprotectors. All such preparations are taken orally or used in the form of ointments and gels for external use. Such complex treatment more effectively stops the development of degenerative processes.

In addition, drugs are prescribed that improve blood circulation, sedatives as well as B vitamins.

Physiotherapy treatment

During the period of remission in the absence acute pain and inflammation applied various methods physiotherapy:

massage improves blood circulation and metabolic processes;
manual therapy restores the correct position of the vertebrae;
electrophoresis, magnetotherapy, UHF, acupuncture and other procedures relieve pain and inflammation, speed up recovery.

Massage and physiotherapy help restore spinal mobility

Exercise therapy for degenerative-dystrophic processes

A specially selected set of exercises helps the patient to maintain the mobility of the spine. LFC performs the following functions:

slows down degenerative processes;
improves blood circulation and metabolism;
returns the correct posture;
strengthens the muscular corset;
preserves the elasticity of the segments of the spine and increases its mobility.

Prevention of tissue destruction of the spine

Such diseases associated with degenerative-dystrophic changes in the lumbar spine are now very common. Therefore, each person should know what to do in order to prevent such processes and maintain activity until old age. This is possible subject to the following rules:

protect the back from hypothermia and humidity;
avoid sudden loads on the lower back;
regularly perform exercises that strengthen the muscles of the back;
not to be long time in one position, during sedentary work, periodically get up and do a warm-up;
Make sure your diet is rich in vitamins and minerals.

It is necessary to consult a doctor in time if there is discomfort in the lower back. Only Attentive attitude to the condition of your spine will help keep it healthy and prevent destruction.

Traumatologist-orthopedist the highest category. Adult and children's specialist, Mgmu, 1998

Different parts of the spine take on the load varying degrees difficulties. And a sedentary or hyperactive lifestyle can aggravate the situation and lead to the destruction of bone and cartilage tissue. Very often, such changes occur in the sacral and lumbar region, which leads to the appearance of a stable pain syndrome and limited skeletal mobility.

Degenerative-dystrophic changes in the lumbosacral region are understood as the result of prolonged mechanical destruction of bone and cartilage tissues. spinal column. Destructive changes are accompanied by deformation, loss of cartilage elasticity. Degenerative processes are accompanied by systematic pain in the event of complications in the form of pinched nerves and blood vessels.

The complexity of diagnosing the problem lies in the slow progression, due to which it is not always possible to identify the initial degenerative changes in the lumbosacral spine.

All destructive disorders have common signs, symptoms and causes. However, they can also be divided into the following types:

Similar pathologies are also diagnosed in other parts of the spine. However, due to the peculiarities of the mobility of the skeleton, it is the lumbosacral that is most often affected.

Risk factors and causes of destruction

Women suffer from diseases of this group much more often than men, since they have a muscular corset in lumbar region slightly less developed. Because of this, the spinal column lacks support and experiences a lot of stress.

In addition, the spine is a complex element of the skeleton, consisting of many vertebrae, vertebral discs and joints. The cartilage here plays the role of a shock absorber and, with a significant loss of moisture, wears out and becomes thinner, and can also protrude.

Among the main risk factors and prerequisites for the development of degenerative changes in the lumbar spine:

elevated physical exercise with uneven distribution along the spinal column;
Sedentary lifestyle and weakness of the muscular frame;
Traumatic injuries of the spine, muscles and ligaments;
Overweight, obesity;
Hormonal disorders in the body;
Infectious pathologies;
Age-related changes in the skeleton, ligaments and muscles;
Bad habits;
Poor nutrition and lack of vitamins and minerals;
Poor environmental situation;

An important role in degenerative-dystrophic changes in the lumbar spine is played by the hereditary factor. Availability genetic predisposition significantly increases the risk of diseases of the spine and its components. In addition, the basis of the problem can be laid back in childhood especially with poor nutrition.

Symptoms

On the early stages progression of the disease practically does not manifest itself in any way, in some cases it is possible fast fatiguability. Therefore, patients turn to doctors only when visible symptoms occur.

The following pronounced signs of degenerative-dystrophic changes in the lumbar spine are distinguished:

pain different type(stabbing, aching, burning);
Cold surface of the skin in the lumbar region;
Weakness in the lower limbs;
Difficulties in tilting and turning the body, the occurrence of pain;
Body asymmetry;
Significant mobility of the body, mainly in the morning;
The occurrence of pain syndrome with a long stay of the body in one position;
Difficulties in urination, stool disorders.

Symptoms of degenerative-dystrophic changes in the lumbar and sacral spine appear gradually, depending on the stage of development of the disease.

There are four main stages:

The sooner dystrophic changes in the lumbosacral spine are detected, the greater the patient's chances of recovery. Significant tissue destruction and pinching is practically untreatable.

Detect diseases in early stages Other signs also help:

Dryness and peeling of the skin;
chilliness;
Increased susceptibility to cold.

Modern diagnostic methods

Diagnosis of the disease takes place in several stages. First of all, the doctor forms an anamnesis, studies the patient's medical history and makes an initial conclusion. AT without fail an external examination is carried out visible changes, mobility, muscle strength. Palpation of the affected area is also used.

At the second stage, the following types of diagnostic studies are required:

It may also be necessary to consult specialists and other areas to exclude other possible pathologies organism.

Treatment methods for disorders

In practice, three main types of treatment of the lumbar spine are used: conservative, physiotherapy, surgery. In some cases, it is possible to use combinations of methods in therapy.

Medical treatment

The use of medicines in the form of tablets, injections, ointments and gels is necessary to reduce inflammation and relieve pain. For this, appoint:

Vitamin and mineral complexes are also additionally prescribed to restore and maintain cartilage and bone tissue.

Massage and therapeutic gymnastics

These measures are aimed at solving the following tasks:

Additionally, swimming, acupuncture, acupressure, physiotherapy (laser and electrophoresis).

Surgical intervention

On the final stages progression of degenerative-dystrophic changes in the lumbosacral region conservative methods help only slightly to alleviate the patient's well-being. As a rule, in such situations, surgery is chosen as the main method of treatment. The course of intervention depends on the specific type of destruction.

Treatment usually includes the following measures:

After the operation, the patient is shown good rest and sleep, a specialized diet, wearing a corset, taking prophylactic medicines, physiotherapy exercises (on final stages recovery).

Folk remedies

At acute diseases of the spine to relieve pain and reduce inflammation help recipes traditional medicine:

Apply traditional medicine recipes as an alternative professional treatment highly not recommended. Before use, you must consult a doctor.

Possible complications

In the absence of proper treatment, it is possible serious complications in the form of protrusion of discs, growth of osteophytes to a significant limitation of mobility, paralysis of the limbs, hernias.

Elimination and alleviation of the course of these pathologies is much more difficult and does not always bring positive results. Therefore, it is important to start the therapy of destructive disorders of the spinal column at the early stages of their appearance.

Prevention

Preventive measures against degenerative changes in the lumbar spine should be carried out from a young age, especially in the presence of a genetic predisposition. For this are used:

It is important to monitor your posture and correctly distribute the load on the spine. When discomfort in the back, you need to contact an orthopedist or surgeon as soon as possible.

Conclusion

Degenerative-dystrophic changes in the lumbar spine - complex various diseases affecting cartilage and bone tissue, joints, muscles and ligaments. The occurrence of these pathologies is most often associated with improper distribution of loads on the skeleton or a sedentary lifestyle, in which the supporting muscles atrophy.

That is why it is important not to go to extremes, to apply therapeutic exercises in practice, and if the first signs of discomfort occur, consult a doctor for professional help.

Due to the fact that most people lead a sedentary lifestyle, dystrophic changes in the lumbosacral spine are one of the most common pathologies. The complexity of the phenomenon lies in the fact that the intervertebral discs do not have a direct blood supply, and, as a result, are not capable of self-regeneration. This pathology occurs in almost every 3rd person over the age of 30 years. At the same time, this phenomenon is present in almost all people over 60 years old.

A significant role in the process of deformation is played by the fact that to detect the development of pathology on initial stage extremely difficult.

Such a pathology as dystrophic degenerative changes in the lumbosacral spine is a process characterized by the gradual destruction of the intervertebral discs in the lumbar region. The main destruction occurs due to the loss of elasticity and dehydration of tissues, against the background of a nutritional deficiency of these elements.

A significant role in the process of deformation is played by the fact that it is extremely difficult to detect the development of pathology at the initial stage. The phenomenon noticeably makes itself felt already at the stage of serious destruction, most often not amenable to simple conservative treatment.

Reasons for the development of pathology

Degenerative changes lumbosacral spine can occur due to a variety of reasons. The main ones are:

Sedentary lifestyle. Practically complete absence regular loads on the lumbar spine leads to a gradual weakening of the muscles located around. As a result, they become unable to withstand even minor loads.
Intense sports with exorbitant loads for the body. Quite often, the onset of a destructive change in the lumbosacral region comes from lifting significant weights and, as a result, sudden movements with insufficiently warmed up muscles.
Various mechanical injury, including generic ones.
Wrong principle of nutrition, as a result of which the body does not receive enough elements useful for metabolism. Often, in this case, the patient has obesity, which also has an extremely negative effect on the condition of the spine.
The presence of inflammatory processes in the spine. These include many diseases, such as Bechterew's syndrome and arthritis.
Severe hypothermia.
Age-related aging of the body, in which there is a persistent washout useful components from bone and cartilage tissues. With this type of pathology surgical intervention not carried out, but general state the patient is supported with the help of special preparations and methods of physiotherapy.

During the manifestation of dystrophic changes in the lumbosacral spine, pain always occurs. Its appearance in this case is a consequence of excessive mobility of individual vertebrae, and also occurs when the pressure of the hernia on the nerve processes located in the interdiscal space.

Symptoms

The development of pathology in the sacral spine is accompanied by vivid symptoms manifested during the period of exacerbation. With the transition of dystrophic processes to chronic form, signs of the disease often take on the character of muffled discomfort.

The main symptoms of destructive-dystrophic manifestations in the lumbosacral spine are:

pain in the lumbar region. There may be a transition pain to the buttocks and legs. The pain itself at the same time has the character of aching and dull;
complete or partial loss of sensitivity skin in the area of damage;
tingling sensation in the legs;
persistent disruption of the pelvic organs, accompanied by urinary incontinence, problems with defecation, as well as reproductive function and potency in men;
feeling of weakness in the legs;
severe limitation in the mobility of the joints and individual parts of the body;
redness of the skin area in the area of spinal injury, accompanied by local increase body temperature;
swelling.

Diagnostics

One of the most characteristic symptoms, manifested in dystrophic changes in the lumbosacral spine, is a slight change in gait and asymmetry of the gluteal muscles.

It is extremely difficult to determine the initial process of degenerative dystrophic changes in the lumbosacral spine. Most often, it is discovered during the passage comprehensive survey on a magnetic resonance imaging machine. And for the formulation and confirmation of the diagnosis, the patient must definitely contact a neurologist.

The process of diagnosing pathology includes two stages. The first is an examination by a doctor, as well as an analysis of complaints and palpation of a disturbing area of the back. The second stage includes the collection of general analyzes and examination on diagnostic equipment. So to confirm the diagnosis it is necessary:

pass general analysis blood and urine, to determine the state of the patient's body as a whole;
blood donation for biochemistry. The procedure allows you to identify specific markers that indicate inflammatory processes inside the body;
conducting x-ray, which is able to demonstrate obvious destructive disorders of the spine;
examination with CT;
MRI diagnosis.

The use of x-rays, although it allows you to see dystrophic changes in the lumbosacral spine, however, clearly see this pathology possible only in the extreme later dates. That is why the examination for CT and MRI, despite high cost procedures is given priority. It is these devices that allow you to consider in detail the degree and localization of damage.

Treatment

The selection of treatment is based on the degree of destruction of the intervertebral discs in dystrophic changes in the lumbosacral spine. Therapy can be conservative or with the use of surgical methods.

Conservative treatment of pathology involves:

prompt relief of symptoms of pain and elimination of inflammation with the help of medicines based on ketoprofen, ibuprofen, diclofenac and indomethacin;
restoration of damaged tissues with the help of chondroprotectors, muscle relaxants and B vitamins;
the use of physiotherapy methods, including therapeutic massage, a visit to the exercise therapy room.

The process of treatment of dystrophic changes in the lumbosacral spine also requires maximum unloading of the body with its full nutrition. That is why, with a pathology of this type, it is very important to follow a diet.

The surgical method of treatment is applied strictly in the absence of the proper effect of the conservative technique. Also, the operation is performed in case of serious damage to the disc or vertebrae that cannot be naturally restored.

Since such a phenomenon as a dystrophic change in the lumbosacral spine is an extremely serious pathology, its analysis and appointment of an effective and safe treatment performed strictly by the attending physician.

Destructive changes in the spine in the lumbar region are serious pathology affecting the structure of the intervertebral discs; ligamentous apparatus; articular, cartilaginous and other tissues. Diseases of this sphere usually haunt the patient all his life and are fraught with disability or disability.

General information

Such processes consist of three components:

Osteochondrosis (visible thinning of the disc that occurs without an inflammatory process);
Spondylosis (characterized by the presence of atypical bone growths along the edges of the vertebra);
Spondylarthrosis (arthrosis of the intervertebral joints).

Most often, two parts of the spine are subject to degenerative-dystrophic changes:

Neck (as the most thin and mobile);
Lumbar (as the area subjected to the greatest stress).

Clinical picture

More than 80% of the population are forced to experience degenerative-dystrophic changes in the lumbar spine, and only half of them receive high-quality medical assistance. Previously, it was believed that these processes are characteristic only for the elderly, as a result natural aging organism. However, in recent times the disease is getting younger.

initial stage

The first symptom of the presence of detrimental changes in the lumbar region is pronounced pain in the lower back. Unpleasant sensations so noticeable that the patient is forced to significantly limit his movements, which interferes with normal life and performance.

Complaints of the patient directly depend on the localization of the lesion. Careful examination of the symptoms correct diagnosis unhealthy lumbar vertebrae.

The second stage of the disease

Further development of degenerative-dystrophic changes in the lumbar spine is characterized by:

Severe mobility restrictions;
"Shots" in the lower extremity belt;
The presence of tingling or "goosebumps" in the legs or buttocks.

This is how it manifests itself radicular syndrome, in which compression of the nerve processes occurs.

Third stage

It is distinguished by impaired blood circulation, which is caused by compression of the radicular vessel, as a result of which its ischemia develops. This stage is marked, in addition to the increasing pain syndrome, by the appearance of:

Partial or temporary numbness in the lower limbs;
Seizures.

Fourth stage

Processes that have not received adequate therapy up to this stage of development are fraught with paresis and paralysis, the occurrence of which is due to a complete violation of the circulation of the spinal cord.

Timely diagnosis

To avoid serious consequences help to see a doctor and full examination spine using x-ray machine, computed tomography or MRI.

Treatment of similar destructive processes passing in the region of the lumbosacral vertebrae, most often is conservative in nature and is a combination of simple measures: taking medications, therapeutic gymnastics and physiotherapy procedures. Surgical intervention is indicated, starting from the third stage of the development of diseases.

The consequences of the development of such processes adversely affect the quality of life of the patient. In addition, it is precisely because of such changes that the greatest percentage of disability occurs. While initial stages Dysfunctions are tolerably amenable to conservative treatment. That's why the slightest sign the onset of the disease cannot be ignored, quality therapy and medical supervision.

Today the most common are. Sedentary work, sedentary lifestyle, malnutrition, excessive physical activity - all this leads to the appearance of degenerative dystrophic changes in the lumbosacral spine. It is necessary to consider in more detail what it is.

Possible complications

This condition is observed in the pathology intervertebral disc accompanied by back pain. intervertebral disc does not have blood vessels, therefore, is not supplied with blood. For this reason, it cannot regenerate in the same way that other body tissues do. Despite the severity of this condition, it occurs in 30% of people over the age of 30 years. Although earlier cases are not excluded. Such damage to the spine is not always accompanied by pain. After 60 years, dystrophic changes are already a regularity.

If time is not treated given state, this will lead to complications. Due to the infringement of the intervertebral canals, nerves are damaged. Then nerve endings swell, their conductivity decreases (therefore, there are numbness of the limbs, a feeling of fatigue in the back). The vertebrae change their growth pattern: to reduce the load, they expand. This leads to osteochondrosis and more pinched nerves. If to this process an infection (bacteria, fungi) is added, then diseases such as arthrosis, arthritis, osteochondropathy develop. Degenerative changes in muscles lead to scoliosis, displacement of the vertebrae. Severe conditions accompanied by ischemia, circulatory disorders, paresis, paralysis of the limbs. A person can become disabled.

Causes of the disease

There are several reasons for the appearance of this syndrome:

Passive lifestyle. AT healthy body the load on the spine is evenly distributed. But due to a sedentary lifestyle, the muscular corset weakens. Muscles do not create reliable support spine, as a result of which even a small load can be fraught with displacement and destruction of the vertebrae.
Active sports. Not only the lack of load can lead to the appearance of degenerative dystrophic changes in the lumbar spine. Excessive loads also have a negative impact on health. Many athletes have joint problems.
Injuries. AT young age the presence of diseases such as arthrosis, nerve infringement, intervertebral hernia, is usually associated with injury. This includes birth trauma.
Degenerative changes are often associated with the aging process of the body. In this case, the changes are irreversible. And the treatment does not imply drastic measures (surgery): only supportive therapy is carried out.
Wrong nutrition. Due to impaired metabolism, the cells of the body do not receive sufficient nutrition. The restriction of certain products affects the state of the whole organism. Abuse junk food leads to obesity. It creates additional load on the spine.
Inflammatory diseases of the spine. For example, arthritis, ankylosing spondylitis.
Hypothermia.

The causes of pain are 2 factors:

With the formation of a hernia between the vertebrae, proteins in the interdiscal space begin to irritate the nerve endings. This causes inflammation.
Excessive mobility of the vertebrae in the affected area.

Signs of degenerative-dystrophic changes in the spine

known the following symptoms syndrome:

The main symptom is pain in the lower back. It can radiate to the legs, buttocks (sciatica). Lower back pain is usually aching and dull.
Numbness or tingling in the lower extremities.
Dysfunction pelvic organs(disorders of urination, defecation), reproductive function, weakness in the legs.
Feeling of stiffness in movement. This is especially felt in the morning when getting out of bed. The patient needs to “disperse” in order to fully move.
Local rise in temperature. The area where degenerative changes are observed becomes hot.
Redness, swelling.
Asymmetry of the buttocks.

Usually diseases of the spine have chronic characterized by periods of exacerbation and remission.

With an exacerbation, the symptoms are very pronounced, especially pain. During remission, a person may feel almost healthy.

Types of diagnostics

x-ray;
CT (computed tomography);
MRI (magnetic resonance imaging).

The first of these methods is the most accessible, but at the same time the most uninformative. X-rays provide information about the location of the bones and the deformity of the spine. He is able to identify the disease late stages. CT and MRI - more modern methods. MRI allows you to see the destruction of the disc space, dehydration of the disc, erosion of the cartilaginous end plate of the vertebral body, the presence of an intervertebral hernia, a rupture in the fibrous ring. But such procedures are usually expensive.

Complex treatment

Treatment involves the use of medicines, gymnastics and traditional medicine methods. Surgery is often required. In any case, treatment should be comprehensive:

To relieve pain, ointments, injections, tablets with an analgesic effect are used. Ice is often applied to the affected area. Assign diclofenac, indomethacin, ibuprofen, ketoprofen.
For recovery and during the period of remission, treatment with muscle relaxants is prescribed (relieve muscle tension), chondroprotectors (restore cartilage tissue), vitamins (especially B vitamins).
Physiotherapy, massage, exercise therapy. Unloaded stretching of the spine often helps. It allows you to eliminate the very cause (displacement of the vertebrae), but is considered the most dangerous method.
Acupuncture, apitherapy, hirudotherapy. Thanks to these methods, mechanisms for the restoration of damaged tissues are launched.
Treatment also includes diet. To restore cartilage, it is recommended to eat jelly-like products (jelly, jelly, etc.). Alcoholic drinks are prohibited strong coffee, fatty and spicy dishes. The doctor usually gives nutritional advice.
If the pain does not go away and the degeneration process does not stop, then an operation is prescribed. At surgical intervention usually the damaged disk is removed. Absolute reading to surgical treatment are the development of caudal syndrome, the presence of a sequestered herniated intervertebral disc, a pronounced radicular pain syndrome that does not decrease, despite the treatment.

Prevention of diseases of the spinal column

Treatment involves consolidating the effect with the help of preventive measures.

It is necessary to play sports (in moderation) to form muscle corset. If you have problems with overweight, then you need to get rid of it. it extra load on the spine. Be sure to follow the principles proper nutrition(this was discussed above). The main thing is a good rest. Many diseases are a signal of congestion in the body.

Thus, degenerative and dystrophic changes in the lumbosacral spine (as well as the cervical) can be treated. The main thing is to consult a doctor in time and follow all his recommendations.