There are a great many types of lumbar pain and the causes that cause them. But the pain caused by the diagnosis of lumbodynia has characteristic symptoms. The lumbar area begins to hurt after the intervertebral disc is damaged, more precisely, its muscle fiber and fragments of cartilage tissue. If physical activity is added to this, and the patient has a naturally weak or weakened muscle frame due to pathological effects, muscle spasms form, causing pain. The intervertebral disc can be damaged in the presence of several diseases or abnormal conditions: osteochondrosis, spondylosis, spondyloarthrosis, trauma. Thus, lumbodynia is not a disease in its pure form, but rather a term denoting a pain syndrome that occurs for various reasons.

Lumbodynia is a consequence of other diseases of the spine or internal organs

So, lumbodynia is not the name of a specific disease, but a collective term that describes the symptoms of local pain in the lumbar area. It should be noted that this symptom is present in twenty percent of the people inhabiting the planet. In terms of the frequency of visits to medical specialists, pain in the lower back has been firmly in the first positions for more than half a century.

Lower back pain is the most common reason for visiting a doctor

Attention! It can develop following vertebrogenic (directly related to the spine) and non-vertebrogenic (otherwise not related to spinal pathologies) factors.

Vertebrogenic form is most often formed as a result of:

Nonvertebrogenic form occurs as a result:

Important! Very often, at the level of consciousness of patients, terms are substituted. Most of them mistake lumbodynia for lumboischialgia. More precisely, they believe that this is one and the same disease. But in the case of lumbodynia, pain stably arises and continues in the lumbar region. It is pinpoint, sharp, paroxysmal and is provoked by straining (sneezing, coughing, or lifting heavy objects). With lumboischialgia, the pain is wandering, starting in the lumbar part, it radiates further down, to the ankles.

Types and syndromes

Lumbodynia, like any disease, can occur in two forms: chronic and acute. If the severity of the pain directly points to the provoking factor and forms a clear cause-and-effect relationship in the patient (he lifted the weight - he “grabbed” the lower back), then a chronic aching and mildly expressed pain syndrome does not give such a clear picture.

To prevent your lower back from getting caught, you need to lift weights correctly

Attention! The chronic form occurs most often after prolonged physical activities that overstrain the body, or as a consequence of an infection suffered by the patient.

Two main syndromes of chronic lumbodynia

The acute form is considered to be a disease that lasts less than six weeks (pain syndrome disappears before this period). Chronic is called lumbodynia, in which pain persists for three months or longer.

Description of symptoms

The symptoms are familiar to many and, probably, almost every person has experienced an attack of lumbodynia at least once in their life.

Symptoms

Not all patients experience all these numerous signs at the same time, but each of them individually can with a high probability indicate lumbodynia, which in turn indicates some pathology.

Attention! Lumbodynia has a classic clinical picture - the presence of acute or aching pain, limited mobility of the lower back during flexion and extension.

97% of cases give rise to nonspecific lumbodynia, but in three percent it can develop discitis, purulent epiduritis or spondylitis.

Lumbodynia, first of all, is a felt pain in the lower back, which can occur due to sudden bending, lifting or carrying heavy objects for a long time, prolonged static conditions, as well as in the presence of an inflammatory process. Localization of pain is usually observed specifically in two vertebrae of the lumbar region: the fourth and fifth.

Anything higher is less likely to be damaged. The vertebrae located below are almost never damaged (unless another pathology is associated with the disease that caused lumbodynia).

Table. Factors causing pain

Factor	Characteristic
	Why does physical activity cause pain? They exert a pressing effect on the joints, which contributes to their inflammation. Painful spots form in the muscle tissue as it tenses and spasms. In this case, the patient experiences pain.
	The tension that occurs during prolonged sedentary work, when an incorrect posture is observed, causes muscle strain and pain.
	It appears on the spinal column during pregnancy or weight gain (rapid gain). Pressure may also occur due to swelling caused by the retention of fluids.
	During a passive life, when physical activity is insufficient to maintain the normal state of the muscles, blood circulation deteriorates, the muscles weaken, the vertebrae converge and narrow the passage for the nerve. A pinched nerve causes pain.
	If your posture is incorrect, the vertebrae become displaced, the intervertebral disc elements wear out, and painful inflammation begins.
	When exposed to cold, vasospasm occurs, blood flow is disrupted and joint structures become inflamed.
	Lumbar pain is present in people over 55 years of age in 75% of cases. This happens because with aging, muscles weaken, joints degrade, posture becomes distorted, discs “ossify,” and muscle tone weakens.
	When the body experiences stress, the muscles spasm severely, which impairs blood circulation in them.
	We are talking about any type of injury, but especially significant in terms of pain are compression injuries, as well as injuries that cause disc displacement, rupture of ligaments and other tissues. Edema tumors form, inflammation and pain develop.

Diseases causing lumbodynia and diagnosis

If we look at the list of ailments and pathologies that can cause lumbar pain (with the assistance of related factors), osteochondrosis of the lumbar zone will be in first place.

Causes of lumbodynia

1. – a pathology during which wear of the intervertebral disc elements occurs, which causes swelling and inflammation.

   

2. Disc protrusion– characterized by bulging of the fibrous disc ring, which also entails degenerative changes in the entire vertebral structure.

   

3. Hernial formation– the nucleus pulposus moves out through the fibrous ring, which pinches the nerve root.

   

4. – inflammation occurs, accompanied by abrasion of cartilage, which increases the load on the vertebral joints.

   

5. Muscle degeneration– when muscle fibers are weakened due to degenerative damage, they cannot cope with their function of supporting the spine. The pressure on him increases, and pain occurs.

   

6. Affected ligaments– any stretch or rupture of the ligamentous tissue increases the intervertebral distance, leading to deformation.

   

7. Channel narrowing– with this degenerative process, bone tissue grows, and there is less and less space for nerves.

   

8. swollen– if they grow in the area of ​​the spine, near the lumbar region, their formation mechanically impairs the functioning of the spinal column.

   

9. Spondylitis– with this disease, the spine becomes inflamed because the number of bacteria in the vertebral body increases. They cause disturbances that narrow the canal and reduce the intervertebral distance.

   

10. – a disease of age or genetics, in which the vertebrae weaken, becoming fragile, acquiring a loose structure that is unable to maintain the normal functions of the organ.

    

Diagnostic procedures

The procedure does not end with diagnosing the fact of lumbodynia. The attending physician must find the source disease and determine how to deal with it. Therefore, before starting therapy, if there are signs of lumbodynia, a complex of studies and examinations is carried out. First, a general diagnosis is performed, then specialized studies are prescribed, in accordance with the identified or observed characteristic signs.

The relevance of the problem that is raised in this article is the prevalence of this disease, which can be found in completely different people who do not necessarily belong to a certain social circle, have different financial status, completely different genetics, body characteristics, and physique.

This article is intended to help its readers help prevent the possibility of lumbar lombalgia, which is one of the most common diseases in the lumbar region, help cure the disease and relieve symptoms and pain.

This information will be useful for all people, without exception. Both for independent treatment and prevention, and for help and advice to loved ones in this matter.

What is lumbodynia of the lumbar spine?

Lumbodynia of the lumbar spine

Lumbodynia is the term used to describe lower back pain. Almost every person has experienced pain in the lumbar region at least once in their life. Lower back pain can occur suddenly or increase gradually, be short-term or long-lasting, mild or severe.

Lumbodynia can even begin to prevent a person from performing his daily activities: going to work, doing household chores, and spending leisure time. Lumbodynia is easily identified by lower back pain and stiffness of movement. However, pain in the lower back is also characteristic of other diseases - for example, pancreatitis, cholecystitis, kidney and intestinal diseases.

Lumbodynia is benign in nature, and therefore can be treated quite successfully. Most often it occurs during prolonged physical activity, acting against the background of degenerative (osteochondrosis) lesions of the spine. Therefore, the patient’s attention should be directed to ensuring that treatment begins as early as possible and the process does not progress.

Our spine consists of small bones - vertebrae, as well as intervertebral discs, muscles, ligaments, tendons and nerves. Damage to any of these structures can lead to lower back pain.

Causes of lumbodynia of the spine

There are many causes of lumbodynia. Sometimes the pain occurs after lifting a heavy object or as a result of an awkward movement. Aging can also contribute to spinal problems. As we age, the spine ages along with us.

Aging of spinal structures leads to degenerative changes. These changes begin around the fourth decade of life or even earlier, and make a person more susceptible to back pain, especially if he is overly physically active or, conversely, leads a sedentary lifestyle.

Excessive physical activity is one of the most common causes of lumbodynia, leading to muscle inflammation, stretching and damage to muscle tissue and ligaments. We are probably all familiar with this feeling of stiffness in the lower back or other parts of the body, which usually goes away within a few days. Sometimes lower back pain does not go away within a few days.

One of the reasons for this may be damage to the intervertebral disc.
Small cracks in the outer layer of the disc (the annulus fibrosus) sometimes occur as a result of aging. Some people with these changes feel no pain or discomfort. In some cases, a pain syndrome may develop that lasts weeks, months or even longer.

A small percentage of people may suffer from chronic low back pain that lasts for years and interferes with their ability to carry out their normal activities. A herniated disc occurs when the gel-like center of the disc (nucleus pulposus) is squeezed through a crack or tear in the hard outer layer of the disc. When disc material enters the spinal canal, it can compress a nearby nerve root, causing inflammation and pain.

Because a herniated disc in the lumbar spine often compresses the root of the nerve that innervates the leg and foot (sciatic nerve), pain often appears in the buttock and can spread along the entire length of the leg. This pain syndrome is called sciatica.

Degenerative changes in themselves are not an obstacle to living a vigorous life without pain or severe discomfort. However, as you age, you need to constantly pay attention to your spine.

Intervertebral hernia can occur as a result of degenerative changes in the intervertebral disc during the aging process. However, this does not always happen. Lifting weights or sports that involve lifting loads can also lead to a hernia in the lower back.

With age, intervertebral discs wear out, become more fragile, harden and decrease in size. This occurs due to a malnutrition of the disks; they begin to receive less water and nutrients. In some cases, the intervertebral disc can completely collapse, and the facet joints of the vertebrae begin to grind against each other. This leads to pain and a feeling of stiffness in the lower back.

Wear and tear of the facet joints is the basis for a diagnosis of spondyloarthrosis. Spondyloarthritis can lead to other spinal problems, including spinal stenosis (narrowing) of the spinal canal.

Age-related changes in the spine and wear and tear on its structures can make it increasingly difficult for the joints to keep the spine in the correct position. The movements of the vertebrae, in such cases, may become excessive, causing one or more vertebrae to “slip” from their normal position and “overhang” the underlying vertebra. If a vertebra moves too far, the bone can put pressure on the spinal nerves.

Spinal stenosis (narrowing) occurs when the space around the spinal cord narrows and puts pressure on the spinal cord and the nerves that exit it.

In the event that the intervertebral disc is destroyed and spondyloarthrosis and pondylosis develop, the human body can react to such changes by growing new bone tissue at the facet joints in order to support the vertebrae.

Over time, this bone tissue grows larger and larger, which can lead to a narrowing of the spinal canal. In addition, with spondyloarthrosis, thickening of the ligaments connecting the vertebrae often occurs, which also leads to spinal canal stenosis. Some people have a narrow spinal canal from birth, in which case we are talking about an anatomically narrow spinal canal.

Scoliosis is a lateral curvature of the spine that usually develops in children and, most commonly, in adolescents, but can also occur in older patients with arthritis. Spinal deformity can lead to back and leg pain if the sciatic nerve is compressed.

There are other causes of low back pain, some of which can be serious. If you have problems with blood vessels, if you suffer or have suffered from cancer, or if lower back pain does not disappear regardless of your level of activity and body position, you should seek help from a doctor.

Symptoms

Lower back pain can vary in duration, nature, and strength. The nature of the pain experienced by the patient depends on the cause that causes it. Most people experience pain relief when lying down, regardless of the cause of the pain.

People suffering from lumbodynia may experience one of the following:

• lower back pain increases when bending over and lifting objects;
• pain increases when sitting;
• the pain worsens when standing and walking;
• pain comes and goes, “good” and “bad” days alternate;
• the pain may begin in the lower back and spread to the buttock or outer thigh.

The pain begins in the lower back or buttock and travels down the leg (sciatica). This pain is most often the result of a herniated disc in the lumbar spine and may be accompanied by numbness, tingling and weakness in the painful areas.

Regardless of your age or symptoms, if you do not feel better after a few weeks of pain, or in situations where pain is accompanied by fever, chills, or unexpected weight loss, you should seek immediate medical attention.

Development

Typically, the development of lumbodynia is preceded by cooling, prolonged exposure to an uncomfortable position, and static overexertion. Very often, pain occurs after lifting weights or after another excessive load, and not immediately, but after 1-2 days. In addition, pain may occur after a long walk with flat feet, wearing tight shoes, or a bruised foot.

Clinical picture of lumbodynia

With lumbodynia, pain often predominates on one side of the lower back; it intensifies with prolonged standing and sitting, after bending the body. Patients can take a position that relieves pain in bed.

Quite often there is a situation where, with damage to the presacral disc, patients choose a position lying on the healthy side, if the 4th lumbar disc is on the patient. It may seem that with lumbodynia, the antalgic position consists of taking a comfortable position on the side of the convexity of the lower lumbar scoliosis.

It is difficult for patients to straighten up from a bent position; to do this, they sometimes put their hand on the lower back to put pressure on it. Due to the synergistic tension of the lumbar muscles, patients also experience difficulty with normal activities, such as ironing and washing. In this position, the increase in pain is especially facilitated by the phenomena of neuroosteofibrosis in the interspinous, sacrospinous, supraspinous ligaments and in the capsule of the sacroiliac joint.

Pain forces patients to frequently change position, lean on outstretched arms, move to the front of the seat, or press their entire torso against the back of a chair. When sitting or standing, a feeling of fatigue appears in the lumbar region. Moreover, this feeling develops earlier than usual. Typically, the forward tilt of the body is limited, and the range of movements decreases every day.

Then the pain intensifies and becomes constant, sometimes worsening with coughing and sneezing. At the same time, a process of adaptation to pain occurs, which mainly involves the activation of deep muscles. The stronger the pain, the weaker the symptom of ipsilateral multifidus muscle tension. On the 3-4th day of exacerbation on the side of the predominant lesion, Lasegue's symptom is pronounced.

The peak state of exacerbation occurs on days 4-5, then the pain may subside if the patient follows a treatment regimen that ensures relaxation of spasmed muscles. Subacute lumbodynia can last for weeks, in unfavorable cases – for months, thus becoming chronic. At the same time, there is a tendency to expand the zone of pain manifestations, moving them to the sacrum, buttock, and leg.

In the future, this can lead to reflex disturbances in the functioning of internal organs and, accordingly, longer treatment. The pain is stabbing in nature, accompanied by a burning or cold sensation in the lower back. The acute form of lumbodynia can last up to a week, during which attacks occur periodically.

Chronic occurs some time after static tension in the lower back, prolonged stay in an uncomfortable position, lifting weights, long walking with flat feet, bruising a leg or wearing shoes, after hypothermia.

Most often, the pain occurs on one side of the lower back and intensifies with prolonged standing or sitting. Attacks can continue for up to several months. Treatment of lumbodynia is primarily aimed at finding out the exact causes of the pain syndrome (if it is caused by osteochondrosis, you need to know its stage and type). In addition to pain relief, the treatment complex includes correction of the causes that caused lumbodynia (treatment of osteochondrosis, correction of spinal curvature, etc.).

In case of pronounced pain syndrome, the patient is prescribed drug therapy aimed at relieving pain and reducing the intensity of muscle spasms of the paravertebral muscles. Chronic lumbodynia requires the complex use of various types of physiotherapy

Acute lumbodynia

Acute lumbodynia can develop as a result of injury, lifting an excessive load, unprepared movement, prolonged stay in a non-physiological position, hypothermia - in the absence of pathological changes in the spine. However, more often lumbodynia occurs against the background of a degenerative process ongoing in the spine.

Pain that is localized only in the back is excluded by damage to the root. It can be associated with damage to the spine (the first manifestation of an emerging disc protrusion), and with damage to soft tissues (spasm or muscle strain, sprained ligaments, etc.).

Acute lumbodynia often occurs due to the fact that a fragment of the disc nucleus can suddenly wedge itself into a fissure in the annulus fibrosus, resulting in overstretching of the outer edges of the annulus (the so-called posterior intradiscal block).

Displacement of the entire disc and sprain of the posterior longitudinal ligament may also occur. Severe lumbar muscle tension is usually observed with antalgic scoliosis and straightening lordosis. The pain will be less when lying on your back, but it will increase sharply with the slightest movement. Sometimes acute lumbodynia goes away spontaneously within a few days or weeks. However, with complications, it can transform into lumboischialgia.

Chronic lumbodynia

The occurrence of chronic lumbodynia is possible both after regression of acute pain and independently of it. Chronic lumbodynia is often caused by myofascial syndrome, instability of the PJ, arthrosis of the facet joints, spondylolisthesis or spondylolysis.

Instability of the MJ leads to excess stress on the facet joints and muscles. The pain associated with it is usually bilateral, with prolonged stay in the same position, lifting weights, bending, or prolonged sitting, it intensifies, and it is relieved with rest.

It is possible to develop myofascial syndrome in the paravertebral muscles both against the background of a degenerative process in the spine and independently of it, for example, due to chronic microtrauma, prolonged stay in a non-physiological position, overload, injury, compression or overstretching of muscles, prolonged immobilization.

Osteoarthritis of the facet joints in older people is a common cause of chronic lumbodynia. This disease is manifested by bilateral pain, localized paravertebrally, and not in the midline, unlike discogenic pain. Pain may radiate to the hip and sacroiliac joint.

When straightening or standing for a long time, the pain intensifies; when walking or sitting, if it does not decrease, it does not intensify. Patients experience transient stiffness in the morning. During extension, pain increases, especially if simultaneous rotation occurs. Bilateral facet joint blockade leads to pain relief. Confirmation of the diagnosis is made x-ray.

Spondylolysis, or a gap in the posterior vertebral arch (usually L5), causes separation of the articular processes (superior and inferior). Most often this is the result of congenital weakness of the arch, but it usually does not split until the age of 6 years. This defect is present in 5-7% of people, clinically manifests itself very rarely, most often in young athletes, for example, gymnasts or wrestlers, who are forced to hyperextend their back. It is easier to detect spondylolysis when performing x-rays of the lumbar spine using oblique films.

Spondylolisthesis, or anterior displacement of the spine relative to an adjacent vertebra, occurs in 2-3% of people. In young people, spondylolisthesis is most often caused by spondylolysis, it is observed at the L5 – S1 level, and is accompanied by subluxation in the lumbosacral joint.

In older adults, spondylolisthesis most often occurs due to degeneration of the facet joints (usually at the L4-L5 level), leading to spinal stenosis. Spondylolisthesis can also be congenital, or occur due to bone diseases or trauma.

Diagnosis of lumbodynia of the lumbar region

After discussing the patient's symptoms, the doctor begins a physical examination, which includes determining the location of the pain, finding positions that aggravate and, conversely, alleviate the pain, examining the patient's neurological status and muscle strength in painful areas. After the examination, the doctor may refer the patient for additional tests.

Radiography. Although X-rays can only determine the condition of the bones, this test will help identify the most obvious causes of back pain: a fracture, age-related changes, spinal curvature or deformity. X-rays cannot show the condition of the intervertebral discs, muscles and nerves. Magnetic resonance imaging (MRI).

This study allows you to obtain high-quality images of the soft tissues of the spine (muscles, nerves, intervertebral discs). Conditions and diseases such as intervertebral hernia, infection or spinal tumor are clearly visible on an MRI image.

Computed tomography (CT). If the doctor believes that the patient has a bone problem, he may refer the patient for a CT scan. This test creates three-dimensional X-ray images, which makes it easier to determine the condition of the bones than from images taken with a conventional X-ray machine.

Bone scan. A bone scan may be needed if your doctor wants to make sure your lower back pain is not the result of a rare problem, such as cancer or infection.

Densitometry (bone density test). If a patient suspects osteoporosis, the doctor may refer him for densitometry. Osteoporosis weakens the bone, making it more prone to fracture. Osteoporosis itself does not cause lower back pain, but a compression fracture due to osteoporosis can cause pain.

Treatment

Treatment tactics for lumbodynia depend on the stage of the disease. During an exacerbation, it is recommended to remain in bed for three days, with your legs bent and elevated on some support (usually a bolster from a pillow).

The purpose of this position is to straighten the lumbar spine, which will allow the muscles to relax and remove the clamp on the nerve fiber. In this case, it is important that the surface on which the patient lies is flat and moderately hard (it is recommended to place a shield under the mattress). During this period, rest and positional treatment can be of greater benefit than daily hospital visits and medical procedures.

Wearing a lumbosacral corset is recommended. This device should be worn while lying down, for maximum muscle relaxation and spinal traction, after which you can stand up and walk in the corset. Drug therapy. Non-steroidal anti-inflammatory drugs: ibuprofen, diclofenac sodium (75-150 mg per day), meloxicam (15 mg per day).

One of these medications should be used for no longer than 14 days. Diuretics: furosemide, lasix. Neurotropic drugs: radedorm, finlepsin, medazepam (1-2 tablets per day). Muscle relaxants: tizanidine (4 mg 3 times a day), tolperisone (150 mg 3 times a day).

For significantly severe pain, novocaine and hydrocortisone blockades are used.
After 4 days, after the pain has subsided somewhat, doctors recommend gradually increasing physical activity. Returning to an active life significantly increases the likelihood of stable remission.

Any loads should be gentle: do not sit or stand in one position for a long time, lift heavy objects, or make sudden movements. The bed should still be firm. The fixation corset should be gradually abandoned, since wearing it for a long time helps to reduce the tone of the muscles and ligaments of the back, which in the future will only aggravate the existing problem.

Chronic lumbodynia requires long-term treatment using both the already mentioned medications and physiotherapeutic methods. A good effect is achieved by using applications with dimexide (40% solution), to which diclofenac, hydrocortisone, and novocaine can be added. This treatment should be carried out for 1-1.5 hours a day for ten days.

The use of manual therapy, acupuncture, massage, and physical therapy is recommended. The most effective method is post-isometric relaxation. This method combines short-term isometric loading on the affected muscle group, followed by stretching.

For recurrent chronic pain, antidepressants are prescribed: amitriptyline (75 mg per day), lerivon (30 mg per day), paroxetine (20 mg per day). The duration of antidepressant therapy is six weeks or more, since their analgesic effect appears only at the beginning of the second week of use. In case of irreversible changes in the intervertebral discs (complex hernias, protrusions), surgical treatment of lumbodynia is recommended. These can be operations both to restore the integrity and functions of cartilage discs, and those aimed at ensuring the immobility of damaged segments of the spine (formation of “fused” vertebrae).

Treatment for spinal problems generally falls into two categories: conservative treatment and surgery.
The following methods are widely used in conservative treatment:

• Physiotherapy. May include ice and/or heating pads, massage, exercise therapy, ultrasound and electrical stimulation;
• Traction therapy (spinal traction) without the use of weights and belts. Traction therapy involves gentle and physiological traction of the spine in order to increase the distance between the vertebrae to restore nutrition, and as a result, the condition of the intervertebral discs. This therapy is effective, first of all, for intervertebral hernia and degenerative changes in the intervertebral discs and is a good way to prevent the occurrence of such problems. In addition, traction therapy helps improve posture;
• Medical corsets. Corsets are not recommended to be worn for pain caused by osteochondrosis and its complications. But corsets are necessary for acute back injuries.

Treatment with medications: nonsteroidal anti-inflammatory drugs (NSAIDs), muscle relaxants, steroid injections into the painful area, and in the most difficult cases, narcotic drugs. Used for acute back injury. There is little help for osteochondrosis of the spine. Long-term use causes gastrointestinal diseases.

Surgical intervention:
Spinal surgery for lumbodynia can be considered only if conservative treatment has not produced results within about six months.

You need to understand that surgery is not the last chance for those who have already tried everything. Some patients are not candidates for surgery even if they experience severe pain and other methods do not help. Some types of chronic lumbodynia cannot be cured with surgery.

Typically, low back pain is treated with one of two or both types of surgery: spinal fusion and discectomy. Spinal fusion is the fusion of a spinal segment using a bone implant. Spinal fusion is prescribed if movement of the spinal segment causes pain to the patient. This operation may be recommended for scoliosis, vertebral instability, severe degeneration of one or more intervertebral discs.

A discectomy involves removing the diseased intervertebral disc and replacing it with an artificial disc. It is performed for large intervertebral hernias and severe degeneration of the intervertebral disc.

Surgical treatment of intervertebral hernias should be carried out in extreme cases. Since the operation does not in any way affect the cause of the development of intervertebral hernia, the number of relapses is very large.

Treatment of lumbodynia with folk remedies

1. Recipe Zhivitsa as a folk remedy for lumbodynia. Resin from various coniferous trees (resin) should be collected and medicine should be prepared from it regularly. If the resin is hardened, it should be melted in a water bath before cooking. Mix a teaspoon of liquid pine resin with 200 ml of purified vegetable oil.

   Use the resulting medicine for massage or rubbing daily for two weeks. You can also use pure resin applied to a linen napkin, which should be attached to the painful area of ​​​​the back with a plaster. Leave the application for a day, then change the bandage and apply a new layer of resin. Continue treatment for ten days or more until symptoms disappear.

2. Recipe for herbal ointment for lumbodynia. Dry the ingredients: marshmallow root, dandelion root, lavender herb, yarrow, horsetail. Grind all of the above into powder and mix until smooth. Pour three tablespoons of herbal powder into 100 ml of boiling water and simmer over low heat for another five minutes.
   Mix the resulting mass with 150 g of internal pork fat to obtain a homogeneous mass. Use the ointment to rub into the sore area of ​​the back twice a day, for 15 minutes, then apply a warming bandage. Store the ointment in the refrigerator.
3. Recipe Treatment with comfrey root. Grind the comfrey root and pour boiling water over it: 1 part comfrey - 1 part boiling water. Leave the mixture for half an hour, grind it into a paste and mix with an equal amount of softened butter. Apply the ointment in the manner indicated in the previous recipe. Store in the refrigerator.
4. Recipe Anti-inflammatory poultices from cinquefoil. Pour three tablespoons of dry crushed cinquefoil into 100 ml of boiling water, leave for 10 minutes, then wrap the cake in a gauze napkin and squeeze out excess water. Apply the hot bundle to the sore area of ​​your back. Use this remedy for acute pain.

If traditional treatment methods do not bring results, the doctor prescribes surgery. This is a last resort because the procedure does not protect against relapse. Surgery is performed by discectomy and spinal fusion.

Lumbargia of the lumbar spine (according to ICD 10 it has code M54) is a pain syndrome that occurs as a result of disturbances in the functioning of various organs and systems. It causes severe discomfort and interferes with leading a normal lifestyle. Therefore, when the first signs of pathology appear, you must immediately seek help from a doctor.

Why is lumbodynia dangerous?

Without timely treatment, lumbodynia becomes chronic, which is more difficult to treat. At the same time, attacks will become more frequent and longer lasting, and lower back pain will intensify. A severe complication of lumbodynia is lumbar ischialgia. It is accompanied by pain, heat or coldness in the lumbosacral region.

The pain occurs suddenly, usually on one side, radiating to the buttocks and the back of the leg to the knee. After a few days, the pain goes down, the person finds it difficult to straighten his leg, and he begins to limp heavily.

Without treatment, lumbodynia leads to numbness in the legs. This is typical of sciatica, which may be accompanied by a prolapsed disc. Compression of the spinal cord roots is especially dangerous - it can lead to paralysis of the legs.

Prevention

In some cases, back pain cannot be prevented. We can't stop aging, but there are still some things we can learn to reduce the risk of low back pain. A healthy lifestyle is a good start.

Exercises:
Combine aerobic exercises such as walking and swimming with specific exercises that strengthen your back and abdominal muscles.

Correct posture when lifting heavy objects:
When lifting weights, lift them not with your back muscles, but with your leg muscles. Don't bend over to lift heavy things. Keep your back straight and squat down.

Pain syndrome in the lower third of the back occurs due to the presence of several links in the pathological process: protrusion of the intervertebral disc, compression of the roots and fibers of the spinal nerves, displacement and block of the vertebrae, increased tone of the skeletal muscles along the spinal column.

Therapeutic gymnastics is classified into several categories, each of which is aimed at eliminating one of the links in pathogenesis:

• Exercise therapy for decompression (pressure relief) of the spine. This type of exercise includes exercises on the horizontal bar, hardware and underwater traction of the spinal column, gymnastics on the wall bars
• Exercise therapy to eliminate the block of the spinal segment. This category includes bending and turning the body with a gradual increase in the intensity of movements.
• Classes with static and dynamic physical activity are aimed at eliminating muscle spasms and forming a strong muscular corset of the back

Maintain a healthy weight. Being overweight creates additional stress on the spine.
Bad habits
It has been proven that smoking accelerates the aging process of the body, incl. and spine.
Learn to keep your back in a physiological position, this will help you avoid problems in the future.

Sources: ruback.ru, spina.ru, dikul.net, martclinic.ru

megan92 2 weeks ago

Tell me, how does anyone deal with joint pain? My knees hurt terribly ((I take painkillers, but I understand that I’m fighting the effect, not the cause... They don’t help at all!

Daria 2 weeks ago

I struggled with my painful joints for several years until I read this article by some Chinese doctor. And I forgot about “incurable” joints a long time ago. That's how things are

megan92 13 days ago

Daria 12 days ago

megan92, that’s what I wrote in my first comment) Well, I’ll duplicate it, it’s not difficult for me, catch it - link to professor's article.

Sonya 10 days ago

Isn't this a scam? Why do they sell on the Internet?

Yulek26 10 days ago

Sonya, what country do you live in?.. They sell it on the Internet because stores and pharmacies charge a brutal markup. In addition, payment is only after receipt, that is, they first looked, checked and only then paid. And now everything is sold on the Internet - from clothes to TVs, furniture and cars

Editor's response 10 days ago

Sonya, hello. This drug for the treatment of joints is indeed not sold through the pharmacy chain in order to avoid inflated prices. Currently you can only order from Official website. Be healthy!

Sonya 10 days ago

I apologize, I didn’t notice the information about cash on delivery at first. Then, it's OK! Everything is fine - for sure, if payment is made upon receipt. Thanks a lot!!))

Margo 8 days ago

Has anyone tried traditional methods of treating joints? Grandma doesn’t trust pills, the poor thing has been suffering from pain for many years...

Andrey A week ago

No matter what folk remedies I tried, nothing helped, it only got worse...

Ekaterina A week ago

I tried drinking a decoction of bay leaves, it didn’t do any good, I just ruined my stomach!! I no longer believe in these folk methods - complete nonsense!!

Maria 5 days ago

I recently watched a program on Channel One, it was also about this Federal program to combat joint diseases talked. It is also headed by some famous Chinese professor. They say that they have found a way to permanently cure joints and back, and the state fully finances the treatment for each patient

When lumbodynia of the lumbar spine appears, treatment is not always started. According to experts from the World Health Organization, 90% of people have experienced lower back pain at least once in their lives. However, many of them ignore the symptom and do not consult a doctor. Especially in cases where the pain is random and goes away quickly. In some cases, lumbodynia occurs as a result of physical overload, and then disappears without a trace. But if the pain appears with enviable regularity and intensifies, you should not postpone a visit to a specialist.

What is lumbodynia

Having repeatedly encountered lumbar pain, people do not know what lumbodynia of the lumbosacral spine is. Lumbodynia is the name given to acute or chronic pain in the lower back. Its variety is lumbago. - this is a sudden, severe pain of a shooting nature (lumbago) in the lumbosacral spine. Lumbodynia refers to dorsalgia (back pain). She was assigned the ICD 10 code M54.5.

The term lumbodynia was introduced into medical practice to distinguish pain syndrome of vertebral etiology. After all, other diseases can cause lower back pain. They can be caused by muscle inflammation, diseases of the pelvic and abdominal organs (including cancer). Such pain is called referred pain.

Pain syndrome usually develops after:

• hypothermia;
• bruise;
• injuries;
• excessive physical activity;
• overwork.

Lumbodynia can occur after a long stay in a forced uncomfortable position, against the background of psychological experiences and stress. People who have sedentary jobs suffer from lower back pain. Prolonged stay in a bent position causes. Vibration negatively affects the condition of the spine.

Sometimes sharp pain appears after coughing, sneezing, yawning or sudden movement. Pain syndrome can be a consequence of long walking with flat feet or in uncomfortable shoes. It doesn't always appear right away. In some cases, discomfort in the lower back is detected only after 1 or 2 days.

Types of lumbodynia

Acute lumbodynia can be triggered by:

• injury;
• lifting a heavy load;
• displacement of the intervertebral disc with sprain of the posterior longitudinal ligament.

In this case, the pain is often so severe that the person cannot move. Even in a lying position, any movement causes him suffering.

Acute discogenic lumbodynia occurs as a result of protrusion of the intervertebral disc. It puts pressure on neighboring tissues and compresses nearby spinal nerve roots. The defect provokes muscle spasm, which puts additional pressure on the nerve endings, aggravating the patient’s condition. Pain that occurs as a result of compression of the spinal nerves in the L1–L5 segments, at the level of their exit from the spinal cord, is called lumbodynia with radicular syndrome.

The spondylogenic form of the disease is accompanied by mild to moderate pain. Exacerbation of pain syndrome can occur only after intense physical exertion. This form of the disease is diagnosed in children and adolescents. It provokes osteochondrosis.

Chronic lumbodynia is diagnosed when lower back pain persists for more than 12 weeks. They are often moderate and tolerant. Increased intensity of pain occurs after infectious diseases, stress and overwork.

Lumbodynia syndrome can manifest itself in 2 main forms, namely Levingston and Sol-Williams syndromes:

1. Levingston syndrome is characterized by stiffness in the triangle of the multifidus muscle. There is a feeling of tightness in this area and a constant dull pain is felt.
2. With Sol-Williams syndrome, the pain intensifies with a strong sigh, during coughing and sneezing.

How does lumbodynia manifest?

The painful sensation can be localized strictly in the center of the lumbosacral region. But more often it occurs to the right or left of the spine. The pain intensifies after prolonged standing or sitting. It grows gradually, acquiring painful intensity over time.

A semi-sitting position has a negative effect on the patient's condition. Being in it, a person feels quite comfortable. However, attempts to sit down or stand up cause a sharp dagger of pain that does not allow you to straighten up. To straighten up, patients are forced to press on the lower back with their hands.

Lumbodynia of the lumbar spine increases with muscle tension. It is difficult for the patient to wash himself while leaning over the sink. The ironing process, which requires keeping the body tilted for a long time, quickly causes fatigue and pain. Leaning forward becomes more and more difficult every day. The pain intensifies if heavy objects are held in the hands. It is very painful to pick up fallen things from the floor.

While in a sitting position, the patient tries to transfer his weight to the support in front or lean against the back of a chair, pressing his back tightly against it. This allows him to reduce pain. While walking, a person takes an unnatural position, trying to minimize discomfort.

A person feels comfortable only in a supine position. If pathological changes have occurred in the presacral disc, the patient prefers to lie on the healthy side. If there is compression of the root near the fourth lumbar disc, he tries to lie on the sore side.

During an exacerbation, the pain increases for several days in a row, reaching its peak on the 4th or 5th day. After this, lumbodynia syndrome decreases and disappears if the patient remains calm and avoids any stress. In cases where a person does not change the rhythm of life and refuses treatment, the pain syndrome does not disappear. It may remain intense or become less pronounced.

In some cases, lumbodynia torments people for weeks or even months. Pathology develops and spreads to neighboring areas. Over time, pain appears in the buttock, leg or tailbone area, transforming into and. Its symptoms and treatment depend on the stage of development of the pathology.

How to cure lumbodynia

When pain occurs, the patient is prescribed rest. It is necessary to lie in bed more and avoid sitting. Until the pain disappears, you need to wear a special orthopedic belt that will support the vertebrae in the correct position.

If the pain is very severe, then strict bed rest is prescribed for 7-10 days. The patient is recommended to lie on his stomach more often. When a person lies on his back, a special circle or a terry towel rolled into a ring is placed under his lumbar region.

The pad allows the affected area of ​​the spine to be supported. Place a pillow or rolled blanket under your feet. Elevated legs reduce the load on the spine and help return the vertebrae to their normal position.

To eliminate severe pain and reduce inflammation, non-steroidal anti-inflammatory drugs (Diclofenac, Ibuprofen, Ketoprofen, Meloxicam) are prescribed. It is recommended to give injections on the first day. The drugs are then taken orally. The tablets should be taken during or immediately after meals, with plenty of water. If the patient has diseases of the digestive system, therapy is carried out in the form of injections. Ointment (Diclofenac, Ibuprofen) is applied to the lumbar region 2-3 times a day.

The duration of treatment with non-steroidal anti-inflammatory drugs depends on the duration of lumbodynia. For severe radicular pain, you need to take 1 type of drug for at least 3-4 weeks.

Excruciating pain is relieved using paravertebral blockades with anesthetics (Lidocaine, Procaine) in combination with hormonal drugs (Dexamethasone, Hydrocortisone).

He is prescribed:

• gentle manual therapy techniques;
• massage;
• acupuncture;
• spinal traction;
• physical therapy.

Physical therapy for lumbodynia

For the first exercise, you need to lie on your back. Legs are bent at the knees and pressed to the chest, holding them with your hands. You need to stay in this position for several minutes. At this time, the spine is unloaded and slightly stretched in the lumbar region.

For the next exercise, arms are spread to the sides (lying on your back). One leg is bent at the knee and placed on the floor. In this case, the foot of the bent leg should touch the knee of the straight leg. The head is turned in the direction opposite to the side on which the bent knee is located. The exercise is repeated 5–10 times, changing legs.

The third exercise is done by bending both legs at the knees and placing them on the floor. The head is turned in the opposite direction. Then the legs are placed on the other side, changing the position of the head. The exercise is repeated 5-10 times. When performing crunches, you should try not to lift your pelvis from the floor.

For the fourth exercise, you need to get on all fours. The back is arched, lowering the head down, then arched, raising the head up. The exercise is repeated 5–10 times.

All movements must be performed slowly and smoothly. Therapeutic exercises can be repeated 2 or 3 times a day. If sharp pain occurs during exercise, you should consult your doctor.

Due to upright posture, a person’s lower back is subject to a very large load. Moreover, a modern lifestyle characterized by insufficient physical activity, excess weight, systematic stress and unhealthy diet further aggravates her condition.

These factors provoke lumbodynia syndrome. It manifests itself with severe pain in the lumbar region, affecting the quality of life.

Lumbodynia- these are lower back pains of varying intensity, which are the cause of destructive processes in the intervertebral discs.

Also, lumbargia syndrome can accompany various ailments of the spine and back muscles. It is often observed, for example, with osteochondrosis. Foci of lumbodynia, as a rule, appear in the fourth and fifth lumbar vertebrae.

Causes of the disease

A sedentary lifestyle is one of the causes of pathology

Unregulated physical activity causes severe pressure on the joints, leading to their inflammation. Accordingly, areas appear in the muscle tissue where severe pain is felt. With tension, the pain worsens. But Load is not the only factor in the occurrence of lumbodynia.

Static voltage plays an important role. That is, those at risk are those who have sedentary work, as well as those who often sleep in an uncomfortable position. It's no secret that if you stay in an uncomfortable position for a long time, you may experience back pain or spasms. Pregnancy or obesity also significantly strain the spine, increasing the risk of lumbodynia. In addition, they provoke swelling.

Physical inactivity— that is, a sedentary lifestyle and insufficient physical activity impair blood flow and the elasticity of the intervertebral discs. All this weakens the muscular system. As a result, hypertrophy is diagnosed. The vertebrae are pressed against each other, the nerve roots are compressed, which causes pain.

Posture disorders also affects the condition of the back. If the position is incorrect, the vertebrae become displaced. The tissues of the intervertebral discs gradually lose their properties. Hypothermia provokes vascular spasms, impairs blood circulation, and leads to inflammation of the joints. Excess weight puts unnecessary stress on your discs. In turn, stress is muscle contraction, which is no less harmful to blood flow.

As a person ages, the functions of many systems, including muscles, deteriorate.. Muscles become less strong, intervertebral discs are less elastic, articular cartilage is destroyed, and posture deteriorates. Most people experience back pain. Especially for those over fifty-five years old.

Various injuries very often cause the appearance of pathology

Various injuries very often cause pain. Compression fractures, disc displacements, ligament and soft tissue ruptures, and high pressure on the spinal nerve often become the main factors of the disease. Also, injuries occur due to lifting heavy objects, falls, and road accidents. In such cases, drug treatment and exercise therapy cannot be avoided.

Back diseases– the most common causes of lumbodynia. For example, a disease characterized by wear of intervertebral discs, swelling, and inflammatory processes. – bulging of the fibrous ring of the disc. – this is the protrusion of the nucleus pulposus, which compresses the nerve roots, causing pain. – abrasion of cartilage tissue, which is caused by increased load on the joints.

Weak muscles affected by one disease or another do not support the spine well. Again, pressure on the intervertebral discs and articular cartilage increases. Tears and sprains of the ligaments increase the spaces between the vertebrae and create discomfort. There is also such a pathology as narrowing of the spinal canal. This is a degenerative process in the vertebrae that causes pain in the buttocks and thighs.

Another factor in the appearance of lumbodynia may be spondylitis.. This is one of the inflammatory back diseases. With it, the number of bacteria in the vertebrae increases. They provoke internal destruction, affecting the intervertebral disc. Also, during illness, the spinal canal narrows and pain appears.

Osteoporosis makes the vertebra more fragile. At the same time, the distance between the vertebrae decreases. Nerve roots, arteries and veins are compressed, causing swelling and disruption of the spinal cord's nutrition. With such changes, lumbodynia occurs very quickly.

Symptoms

Pain in the lumbar region during coughing is one of the symptoms of the pathology

Diagnosis of lumbodynia usually diagnosed to the patient after the following symptoms are detected:

• pain accompanied by spasm of muscle tissue in the lumbar spine;
• pain that worsens during static, dynamic loads and palpation of the diseased area;
• difficulty flexing and straightening the back;
• pain in the lumbar region when coughing, sneezing, screaming or when exhaling deeply;
• spasms of the back muscles;
• shooting pain, decreased sensitivity of the lower extremities.

Diagnostics

After a person has addressed the problem to the attending physician, a number of procedures must be carried out. But first, a good specialist collects an anamnesis. By studying the medical history and listening to the patient’s complaints, the doctor determines the causes of pain and ways to eliminate them. That's why You can’t hesitate to visit the doctor.

Lumbodynia of the lumbar spine has vivid symptoms, and its treatment is not as simple as it seems at first glance. In order to diagnose the disease, you need to conduct a thorough examination. At the initial stage, the doctor makes a primary diagnosis based on symptoms. And then sends the patient to undergo the following tests:

1. X-ray examination in several projections.

Treatment methods

When treating lumbodynia, medication, manual, physiotherapeutic, and surgical treatment are used.

It is aimed at restoring the elasticity of cartilage. During treatment, spasms are relieved, metabolic processes in muscles and cartilage are normalized. Pain syndrome is removed with the help of medications and exercise therapy.

After the main course of treatment there is a period of rehabilitation. It is carried out with the help of special exercises, massage, reflexology. It is important that only with such a well-coordinated algorithm of actions is it possible to achieve good results. This means that by following all the recommendations of specialists, you can really forget about excruciating pain.

Drug treatment

As a rule, people come to the doctor complaining of back pain. Painkiller injections and massage help in the fight against them. .

Nimesulide

• Mydocalm, Baclofen, Sirdalud. Medicines, reducing muscle tension and pain;
• Nimesulide– relieves inflammation, pain, swelling;
• Diclofenac– an anti-inflammatory, analgesic drug that has an antipyretic effect;
• Actovegin, Pentoxifylline– medications that normalize the condition of blood vessels.
• Nimesulide-gel, Deep-relief gel– drugs have an anti-inflammatory effect, relieve swelling;
• Dimexide, Novocain– soothes pain in muscles and joints. They penetrate the tissue, which quickly helps with the diagnosis of lumbodynia.

Operations

The surgical method is used under general anesthesia. In this case, damaged parts of cartilage and discs are removed and replaced with artificial fixation elements. After such a procedure, a long rehabilitation period begins. The patient will have to stick to a diet and forget about physical activity.

Massage and exercise therapy

Massage and special gymnastics occupy a special place in the treatment of lumbodynia. When a vertebrogenic lumbar is diagnosed, a set of exercises is necessarily prescribed. It must be performed under the supervision of a qualified professional. After all, only he is able to create an effective individual program for each patient.

Therapeutic massage of the lower back relaxes the muscles, helps strengthen the muscle corset, improve lymph flow, reduce swelling, and eliminate pinched nerve roots. You can conduct no more than 10 sessions per course. A larger number of visits can, on the contrary, do harm. Experienced doctors advise repeating the course to prevent lumbodynia about twice a year.

Physiotherapy

In parallel with medications for lumbodynia, physiotherapy is prescribed. It eliminates discomfort and other symptoms of the disease. In addition, physiotherapeutic procedures have a relaxing, vasodilating effect.

Acupuncture

After it, stiffness decreases. Most often used:

• magnetic therapy;
• electrophoresis with novocaine;
• ultrasound;
• diadynamic therapy;
• acupuncture;
• manual therapy;
• traction.

Preventive measures

In order to protect yourself from the disease, it is not enough just to know what lumbodynia of the lumbosacral spine is. In addition to symptoms, you need to know The following recommendations will help protect against the onset of chronic pain:

1. Don't forget about your posture. Try to always stand straight, and when sitting down, press your back tightly against the back of the chair.
2. Set aside at least 15 minutes for exercise.
3. Avoid injuries and colds in the lumbar area.
4. When lifting weights, do not move suddenly.
5. Change your mattress to a semi-firm one.
6. If you need to carry something heavy, balance the weight in both hands.
7. When playing sports, use a special belt.
8. Starting from 6-7 months of pregnancy, wear a bandage.

Conclusion

Lumbodynia of the lumbar spine is quite common. It can be a consequence of both injuries and diseases of internal organs. Ignoring back pain can even lead to disability. Therefore, if you discover symptoms of lumbodynia, you should immediately consult a doctor.

Lumbodynia is a syndrome of acute or aching back pain, which can be either permanent or periodically manifested. The disease occurs in parallel with other pathologies of the spine, such as intervertebral hernias, osteochondrosis, and postural disorders. The pain intensifies with physical activity and walking, when a person takes a forced position, such as sitting or bending.

The cause of the pain syndrome is irritation of the paravertebral receptors, articular ligaments and the fibrous ring. The first signs of lumbodynia are pain along the entire spinal column, impaired mobility and visual deformation of the curvature of the spine, which becomes noticeable to the naked eye.

The disease has no clear age restrictions and can be diagnosed in both children and more mature people. In young people, lumbodynia is a consequence of injuries and poor lifestyle, which, together with pathological changes in the spine, lead to acute pain in the lower back. However, the largest percentage of lumbodynia diagnoses occurs in patients aged 30 to 50 years.

Note!

Lumbodynia can occur in adolescents during a period of active growth. For girls it is 10-12 years old, and for boys it is 13-17 years old. Women suffer from back pain more often than men. This is due to the fact that during postmenopause, some patients may develop osteoporosis.

Based on the duration of the pain syndrome and the characteristics of its development, there are:

• sharp and intense pain (lumbago or lumbago);
• prolonged pain in the lumbar region and sacrum (lumbodynia);
• pain syndrome with irradiation to the lower limb (lumboischialgia).

Causes of lumbodynia

In medicine, there are several provoking factors that can cause lumbodynia. In addition to the congenital weakness of muscle tissue, the lifestyle that the patient leads and his physical training play an important role. There are two types of lumbodynia: vertebrogenic (associated with diseases of the spine) and non-vertebrogenic (the cause of the disease is not related to the spine).

Causes of vertebrogenic lumbodynia:

• scoliosis, osteochondrosis;
• arthrosis of intervertebral joints;
• degenerative processes in intervertebral discs;
• spinal canal stenosis;
• pathological changes in muscle tissue and ligaments;
• spinal hernia and protrusion of intervertebral discs;
• disorders of the spinal motion segment;
• musculofascial syndrome.

As a result of the above diseases, compression of the nerve roots occurs, which is accompanied by pain.

In addition, vertebrogenic lumbodynia occurs as a result of injury to the spine, after lifting heavy objects and heavy physical exertion. Hypothermia of the back and the whole body, awkward movements and sudden changes in body position have a negative impact on the spine.

The causes of nonvertebrogenic lumbodynia arise from pathologies that have nothing to do with the spine. For example, diseases of the genital organs, kidneys, intestines and blood vessels can provoke lower back pain, which, if not properly treated, becomes chronic. Inflammatory processes in the body, the presence of oncology and infectious diseases also affect the symptomatic manifestation of lumbodynia. People suffering from osteoporosis are at risk; it contributes to the deterioration of bone tissue, which causes its fragility and susceptibility to injury.

Excess weight, poor diet, lack of sleep and physical inactivity lead to degenerative processes in the body, which are also causes of lumbodynia.

Symptoms

The symptoms of lumbodynia depend on the cause of the disease. The pain can be either acute or aching in nature, manifest itself with loads on the lumbar region, or be present constantly. Often, painful sensations go away in a lying position, when the patient completely relaxes and takes a position that is comfortable for him.

In the first week after the onset of the disease, the pain is acute and may intensify. The patient is recommended to rest in bed, this way it will be possible to avoid excessive muscle tension and stress on the lumbar region. Muscle spasm appears in the affected area of ​​the spine, which is accompanied by hardening of the injured area and limitation of the patient’s mobility.

If the cause of lumbodynia is a vertebral hernia, the patient may complain of numbness of the lower extremities, decreased sensitivity and reflexes. Blood circulation is impaired, which may cause a feeling of coldness in the legs.

Diagnostics

If the slightest symptoms of the disease appear, you should immediately consult a doctor. Establishing a correct diagnosis determines the course of treatment, which will determine the patient’s recovery rate. First of all, the doctor examines the patient and clarifies the frequency and nature of the pain. To obtain additional information about the development of the disease, the patient undergoes a general blood and urine test, blood for antibodies to infectious diseases and a biochemical blood test.

An x-ray will show the condition of the bones and help determine the cause of the pain. In some cases, these may be age-related changes in bone tissue, spinal curvature or fractures. It should be noted that x-rays do not show the condition of muscle tissue, nerves and intervertebral discs.

If a patient has problems with bone tissue, an additional computed tomography scan is prescribed. This type of diagnosis allows you to create a three-dimensional image of bones, which will allow you to study the pathology in more detail.

Magnetic resonance imaging shows the condition of the soft tissues. It is carried out to exclude the presence of tumors and intervertebral hernias.

Densitometry is performed to study bone density if osteoporosis is suspected. This disease is not accompanied by pain, but significantly weakens the bones and they become prone to fractures.

An additional diagnostic method is a bone scan. It is carried out in exceptional cases when there is a suspicion of cancer and infectious diseases.

Treatment

Treatment of lumbodynia is carried out both conservatively and surgically. The effectiveness of non-surgical treatment in most cases depends on the duration of the disease and the primary causes of its occurrence.

Traction therapy without the use of belts and weights is widely used in medicine. Spinal traction occurs in a gentle manner and helps improve the overall condition of the spine, increase the distance between the discs and relieve tension in the back. This method is widely used for lumbodynia caused by intervertebral hernia. In addition, spinal traction is an excellent way to prevent diseases of the spinal column; it allows you to improve posture and disc mobility.

When using physiotherapeutic techniques, they resort to electrical and ultrasound simulation, gymnastics and massage. As prescribed by your doctor, you can use contrast compresses, apply ice and a warm heating pad to the affected area.

Dikul's technique

In recent years, the method of treating lumbodynia using the Dikul method has gained unprecedented popularity. According to studies, the body has the ability to heal itself, this also applies to spinal injuries. IN AND. Dikul has developed a special load scheme using simulators and therapeutic exercises, which, with the right approach, can restore mobility to the affected areas. In addition to physical activity, manual therapy, acupuncture and a drinking regime are used, which includes drinking up to a liter of mineral water per day.

The course of treatment consists of three cycles of twelve sessions.

At the first stage, the body is prepared for physical activity. These include yoga, Pilates, and breathing exercises.

At the second stage, the affected muscles are restored, the tone of the soft tissues of the problem area increases.

The third stage of classes involves increasing the mobility of the spine and active training on simulators. In addition, the patient is given an individual set of exercises that he can perform at home.

According to reviews, Dikul’s technique is capable of completely restoring the spine, but the duration of the rehabilitation period depends on the complexity of the disease. For some patients, recovery occurs within three months, while others have to repeat the course of training over several years.

Video

A set of exercises for the spine according to the Dikul method.

Drug treatment

Treatment with medications is carried out to relieve the main symptoms. Taking medications can be carried out in combination with other treatment methods, such as massage or therapeutic exercises. Patients diagnosed with lumbodynia are prescribed non-steroidal anti-inflammatory drugs. Among them are meloxicam with a dosage of 15 mg per day and ibuprofen - 75-150 mg per day. The duration of their use should not exceed two weeks; if no improvement occurs during this period, you should contact your doctor for further prescription.

Muscle relaxants are taken in combination with NSAIDs: tolperisone and tizanidine. The dosage of the first is 4 mg three times a day, and the second is 150 mg three times a day.

Acute pain is blocked by injections of novocaine and hydrocortisone blockade. The effect of the injection occurs almost instantly and lasts from two weeks to a month.

Operation

If conservative treatment methods do not produce visible results and six months have passed since the start of treatment, you should consult a surgeon. Surgery for lumbodynia is performed only as a last resort, since this manipulation does not affect the cause of the disease and the risk of relapse is quite high.

The surgery is performed in one of two ways: discectomy or spinal fusion.

Spinal fusion is used if movement of the spinal segment is accompanied by acute pain. During the operation, the surgeon fusions the spinal segment with a bone implant.

Discectomy involves removing the affected disc and introducing an artificial analogue.

Treatment with traditional methods

Treatment of lumbodynia with folk remedies gives a temporary result, which manifests itself in pain relief and partial relaxation of the muscles in the affected area of ​​the spine. Herbs and medicinal mixtures are used to prepare ointments and tinctures.

Comfrey root ointment

1 To prepare the ointment, you need to take comfrey root and grind it until smooth. Pour boiling water over half a glass of comfrey and leave for half an hour. The ratio of mixture and water should be in equal proportions. Add the same amount of softened butter to the resulting pulp from the root.

Apply the ointment to the affected area of ​​the back in the morning and evening. After application, wrap with a warm scarf.

Poultices from cinquefoil

2 Take 100 ml of boiling water and pour in three tablespoons of chopped cinquefoil. Leave for ten minutes. Take gauze and wrap the resulting cake in it, squeeze out the water and apply it to the sore spot while still warm. Use for acute pain twice a day.

Lyubmalgia during pregnancy

The occurrence of lumbodynia during pregnancy is quite common, since during fetal growth the load on the lower back increases. In the third trimester of pregnancy, the body begins to prepare for childbirth, the woman’s pelvic bones expand and the sacrum shifts. All these processes are accompanied by pain and stiffness in the lower back.

During pregnancy, any medications for pain relief are contraindicated. The woman is recommended to wear a special support corset and do a light massage of the affected area.

Lumbodynia does not pose a danger to the child if preventive measures are taken in time. In the first trimester, any physical activity should be avoided, because increased uterine tone and lumbodynia can lead to miscarriage. A woman is advised to get plenty of rest and avoid straining her back muscles.

Lumbodynia responds well to treatment in the early stages, so the disease should not be neglected. Timely treatment will allow you to avoid surgical intervention and eradicate the cause of pain.

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