Dorsopathy lumbar-sacral spine: what is it, treatment

To understand what dorsopathy and why the disease got this name should refer to literal translation. Latin "dorsum" meaning "back" and "patia"– a "disease". So dorsopathy called diseases affecting the spine, in this case, the lumbosacral. Accompanied by periodic pain, have a degenerative, degenerative, deforming, inflammatory and traumatic nature.

Dorsopathy most often develops in people over 50, as their body starts to undergo degenerative changes in bone tissue. But sometimes the disease affects the youth. There are several varieties of this disease, but most (60-80%) is found dorsopathy of the lumbar spine. This situation stems from the fact that the lumbar region is the most vulnerable.

The causes of pathology

Dorsopathies lumbosacral might be:

• Acute – lasts less than three weeks;
• Subacute – duration of the disease varies from three to 12 weeks;
• Chronic – symptoms persists for more than 12 weeks.

There are many factors that can cause dorsopathies:

• Genetic predisposition;
• A long stay in uncomfortable positions, and failure to follow ergonomic practices;
• Physical inactivity – a sedentary lifestyle;
• Periodic excessive load from people not engaged in physical work;
• Pathology of the spine (osteochondrosis, a spondylosis, osteomyelitis, tumors);
• Incorrect posture (scoliosis, kyphosis, stoop);
• Traumatic injuries;
• Vibration;
• Disruptions in the functioning of the gastrointestinal tract;
• The metabolic disorders;
• Work in conditions of low temperature and high humidity;
• Frequent colds;
• Obesity;
• Monotonous diet;
• Smoking;
• The abuse of alcoholic beverages;
• Excessive consumption of spices, smoked meats, pickles, fried foods.

Usually lumbar dorsopathy develops under the influence of several factors.

The symptoms and stages of development

In the development of dorsopathy distinguish 4 stages:

• The first pathological changes cover only the intervertebral disc, the symptoms are absent;
• The second damaged joints, zaselyalsya nerve roots;
• Third – the formation of protrusion and hernia that is accompanied by acute pain;
• Fourth – the vertebrae in place, resulting in muscle spazmiruyutsya, limited mobility of the spine.

The main symptom of disease – pain at the level of the waist. They can be:

• Local – always arise in lesions of the spine, they are permanent, aggravated by change of posture;
• Projected or reflected occur along the damaged nerve;
• Koreshkovy, or neuropathic – they are dull and aching, always radiating into the limbs and sacrum, during exercise enhanced purchasing "sweep" in nature.
• Nikoleshvili – caused by muscle spasms.

Also found other symptoms:

• Dizziness;
• Nausea;
• Noise in the ears;
• Muscle tension and spasms;
• Decreased reflexes;
• Slouch and limp;
• Limitation of range of motion;
• Aching and numbness in the extremities;
• Violation of sensitivity (paresis);
• Muscle weakness and often paralysis.

These features are characteristic of most patients. But there are individual peculiarities in the manifestation of dorsopathy. The appearance of the slightest symptoms of a pathology, you should consult a doctor. Without skilled medical assistance dorsopathy go into a chronic form.

Diagnosis

First, the doctor examines patient complaints and determines the presence in the anamnesis of diseases and injuries of the spine. The patient is then sent for diagnostic testing:

• X-rays of the spine – this method is the main;
• Computer or magnetic-resonant tomography;
• Do an electroneuromyography – allows you to determine the condition of muscles and nerves;
• Blood tests.

Based on the diagnostics results select individual methods of treatment dorsopathy.

Treatments

If diagnosed dorsopathy the lumbar sacral spine, treatment should be complex. Only in this case will be able to overcome the disease. Dorsopathy is usually treated with conservative methods. Surgical intervention is resorted to only when severe damage to the spine and the inability to stop the paindrugs.

Treatment dorsopathy of the lumbar spine should eliminate pain and restore the functioning of the spinal roots.

In the initial stages of the disease all efforts directed at pain relief. With this purpose, limit physical activity, assign blockade, nonsteroidal anti-inflammatory drugs and muscle relaxants. It is recommended to sleep on an orthopedic bedding and occasionally wear a corset.

Only after eliminate the pain started to restore the body and the measures to prevent the progression of the disease. The doctor selects individual complex of medical gymnastics. It will help to strengthen the muscles to develop proper posture, increase the flexibility of the spine. Manual therapy will relieve muscle spasms, podkorrektirovatj posture, activates blood circulation and improves the nutrition of tissues.

• See also: the Violation of the statics of the lumbar-sacral spine.

Doctor prescribes:

• Medications;
• Physical therapy;
• Acupuncture;
• Manual methods;
• Treatment-and-preventive exercise;
• Sanatorium-resort therapy.

Drug treatment of dorsopathy of the lumbar sacral spine, which include:

• Analgesics (analgin, ibuprofen, tempalgin) – get rid of pain;
• Nonsteroidal anti-inflammatory drugs (diclofenac, artrotin, symptoms) is used in the acute stage, for the relief of pain and inflammation;
• Muscle – relaxing tense muscles, relieve cramping;
• Biogenic stimulants – speed up the recovery process;
• Chondroprotectors (triaktiv, artron, artrodar) – improve metabolism in the cartilage and stimulate its regeneration;
• Vascular medicine – activate the blood supply to the spine and promote the flow of nutrients in the nerve cells;
• Sedative drugs – prescribed for excessive nervousness;
• B vitamins

Also for the relief of pain can be used a topical treatment using a warming ointment (voltaren, capsicum). To Supplement medication, not replace it, are capable of traditional medicine.

• Recommended reading: treatment of dorsopathy cervical

A beneficial effect on the body will have a physiotherapy:

• Traction;
• Magnetic therapy;
• Laser therapy;
• Darsonvalization;
• Phonophoresis;
• Electrophoresis;
• Diadynamic currents;
• Ultrasonic impact.

When the Spa treatment is widely used underwater and mud. To prevent the development dorsopathy, you need to eat right, exercise, avoid hypothermia and excessive exercise.