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How to make a blockade for pain in the lumbar spine

Blockade of the lumbar spine is considered to be the doctors a good method to relieve pain in various diseases of the waist. Such diseases include intervertebral hernia, scoliosis of the lumbar osteochondrosis and other. Depending on the condition of the patient, the doctor may prescribe the blockade and other diseases. The process of the blockade has long been studied and has no specific contraindications. Able to blockade nearly every neurologist and the surgeon, but it requires a good knowledge of the anatomy of the spine and paravertebral nerve roots.

Dlya chego delaut blokadu pozvonochnika?

When is the embargo

As a rule, all cases are associated with lesions of the nerve roots – clamping and squeezing. It is important to assess the patient's condition of the spine, sometimes you can do the usual painkillers and anti-inflammatory substances. However, the blockade for pain is the most reliable tool for pain relief. For holding the blockade use solutions of lidocaine and novocaine. By their nature, they are blockers of sodium channels.

Sodium channels in the cell responsible for conducting nerve impulses with the help of change of an electrical signal. When closed, the cell cannot transmit the pulse and the pain stops.

The diseases include almost all vertebral diseases, which can affect the nerve root or strongly spaserovat muscles. At the moment the most frequent to conduct the blockade are:

  • Osteochondrosis of the lumbar;
  • Disc herniation;
  • Scoliosis affects the nerve roots.

See also: how to eliminate pain in herniated lumbar?

Osteochondrosis

Osteochondrosis is a disease that affects the intervertebral disc and cartilage around the vertebrae. Cartilage tissue to grow, limiting the movement of the vertebrae and damaging the surrounding tissue. The pain usually occurs when driving, but in advanced stages it may become constant.

The lumbar region is often affected by osteochondrosis as it is inherently less mobile Department. This allows chondrocytes changes occur most rapidly. Another factor is how well-developed blood supply of the spine in this area. Trophic deteriorating under the influence of scoliosis or obesity. Also enhance the process can be metabolic disorders, and low blood pressure.

The blockade in this case eases the pressure on the spine, reduces the spasm of surrounding muscles, which occurs when the pain. This improves the health of the patient, often return the lost functions of locomotor activity and internal organs. This opens up access to the rest of the therapy – massage and physical therapy.

Disc herniation

Disc herniation is a consequence of an injury of the intervertebral disc. The disc consists of two elements – the nucleus pulposus, acting as a shock absorber of the spine, which dampens vibration from the lower limbs and buttocks, and fibrous, durable and elastic, which constrains purposee the nucleus in its shape.

With the weakening of the fibrous phenomenon occurs, a similar hernia on the football – purposee the core extends beyond the sheath. Because of this, there is a compression of the spinal cord and roots, which leads to acute pain syndrome. Treatment is to strengthen the shell, but before it is often required to remove the pain.

When a strong protrusion of the breakthroughs sheath, possible loss of nucleus pulposus in the spinal column, which leads to severe injury of the spine and requires surgery. Don't go to this stage because surgery is complicated and requires a long recovery period, often expensive.

In this case, blockade of the lumbosacral spine essentially put the same purpose as osteochondrosis – the conduct of anesthesia to calm the patient and improve his health. Thus, it becomes possible therapy aimed at tissue trophism and regeneration of the annulus.

Scoliosis

Scoliosis is href="http://spine.vsebolezni.com/skolioz/iskrivlenie-pozvonochnika.html">a curvature of the spine. The curvature of the lumbar quite common, it is extremely painful for the owner. The spinal column deviates from its normal position, causing a curvature of all surrounding tissue as the spinal cord, and muscle mass.

Often with scoliosis, there is a process of circulatory disorders in the tissue. This leads to a decrease in muscle tone and continuation of the curvature as the lumbar muscles form a corset, which normally show no abnormalities supports the spine in a straight line. Often it develops compensatory syndrome, which flexes the spine like a Latin letter S.

Sensations of pain are manifested in all moments of life, so it is important to remove them to prevent muscle spasm. The blockade greatly helps to relieve pain improves the prognosis for recovery and improve the effects from the rest of the therapy – massage, corsets, physical therapy.

The conduct of the blockade

For blockade used solutions of lidocaine or novocaine in saline. The dosage depends on the intensity of pain and is prescribed by a doctor. Usually begin with small doses for testing for allergic reactions and the body's response. Often together with substances administered vitamins and anti-inflammatory agents.

For conducting required sterile conditions, which can be achieved in the operating or procedure room. The procedure is rarely used by major operating – small enough, in which a suitable operating table and sufficient lighting. In the case of a procedural need preferably a high couch with the right pillow under your head – it is important to the health of the person during the siege.

First, the doctor palpated the spine to determine the location of roots. It is important to know the topography of the vertebrae, as nerve fibres are in a special place, which, however, may vary depending on individual circumstances. After palpation is carried out disinfection with alcohol solution or other antiseptics. Use a sterile syringe with a thick long needle, which allows to reach the affected area. The patient hold the nurse, since excessive movement can damage the spine with a needle.

Depending on the condition, the patient is either on the side or on the abdomen for maximum access to the nerves. Blockade with pain from the impact, because at a sufficient dose and correct the cause of pain relief will be felt immediately.

In a hospital patient with a deep blockades on a gurney and taken to the ward, in shallow – he gets alone. After that, it is advisable half an hour to relax and not to make any sudden movements, so as not to worsen the situation and not to violate the closed area of the injection site. In an outpatient case the patient should reach the venue by taxi or by public transport – blockade can greatly reduce the speed of thinking and reaction of the patient, because it is desirable that the control of the vehicle at the time of injection. After the procedure the patient is best to take a sitting position, staying in the hospital in case of complications and reactions.

kak i gde provoditsya blokada pozvonochnika

Contraindications

Contraindications to the procedure are of a General nature, characteristic of these drugs. In the first place it is impossible to conduct the blockade in diseases of the heart, which are associated with reduced activity of the heart. Through the circulatory system, the drug can get to the heart muscle and cause slowing and even stopping.

Such diseases include myasthenia gravis, bradycardia of unknown nature. When conducting a blockade can greatly decrease the heart rate, causing hypotension vessels, their adhesion, thrombus formation, a sharp decrease in pressure. Should be used with caution applies to hypertensive disorders – a sharp drop in pressure may cause negative effects.

In diseases of the liver, in principle, contraindicated means that affect the functioning of the liver. Lidocaine, and procaine in the blood circulation into the liver where it is inactivated. The presence of hepatitis, hepatonecrosis, hepatosis may cause it to overload and deterioration due to contamination of blood products of decomposition of substances.

In General, contraindications favorable and rarely occur in patients with diseases of the back. It is important not to remain silent about their disease before the doctor, so as not to put his life at risk. Contact a specialist with experience of setting blockades, which have higher medical education. Do not try to hold the blockade of the house, asthis can lead to the worst consequences.