Protes, hernias, osteochondrosis - when they are diagnosed, patients immediately began to surge without thinking about conservative treatment methods, but that is wrong.
According to statistics, 84% of people at least once in their lives hurt.The spine and the surrounding muscles are part of the muscle-bone system.Consequently, their damage often follows pain, which can appear after the purpose or turning of the head and body and weakening.Anatomical, the spine is presented in alternating vertebral and intervertebral discs.The latter is subject to the degeneration process over time, which leads to the formation of fulfillment and hernia.These structures may cause pain itself and can cause pain by compressing neighboring structures - nervous roots and spine ligaments.In some cases, they can cause stenosis (narrowing) of the spinal channel (space in which the spinal cord) is located).
Among other things, vertebrates are connected by steam couplings couple, the structure is stronger than an intervertebral disk.Their damage in 15-65% of cases causes back pain.Up to 30% lower back pain arises due to the lesion of the sacral and illegal community - a paired structure that connects the hide and bones of the pelvis.Finally, each irritation increases the muscle tone around, which causes special Miroma Miofascia over time.
As a rule, physical activity leads to back pain, especially in cases in which it is expressed or intensively or when it is produced in unnatural loans, or when it is associated with long stays in the forced position, for example, behind the wheels or on the desktop.Weight and physical training people are of great importance, because the severity of load is always a cousin.
What are the reasons for his development?
It is impossible to adequate to call the causes of osteochondrose development, but a number that contribute to this disease can be stated: bad physical development, improper predispositions, extended stays in one landing side), hypodynamia and excessively soft bed, flat feet.As a rule, these reasons are combined with an irrational diet.
What to do if there is pain in your back?
The most important thing is the rule not to self-assist yourself!
Initially, it is necessary to approach a meeting with neurologist or neurosurganine.In order to determine the correct diagnosis, a comprehensive patient examination, necessarily involvement of radiographs of spine and tomography (magnetic resonance imaging or calculated X-or-study.
Drug care About osteochondrosis Spine does not include not only removing pain syndrome, but also if possible, the elimination of root causes.The doctor prescribes complex therapy (medicine therapy, physiotherapy, acupuncture, balneotherapy)
Complex therapeutic care for osteochondrosis includes the correction of power and lifestyle (healthy and active lifestyle, optimal volume of physical education), purposes, in some cases - hondroprotector medications that improve harmofrovers.
The main indication for surgical treatment for degenerative-dystrophic spit is the inefficiency of conservative drug therapy for 4-6 weeks, unconscious pain, as well as increasing weakness in their legs, which can be accompanied by urine incontinence.Untimporary and improper treatment in such situations can lead to certain undesirable consequences and complications, disability.
Back pain is recognized as most often.Experts explain this on the characteristics of human anatomy.The thing is that the spine is subject to loads in the entire life of the person: from the moment it goes to the legs in childhood until his death.Spinal column is consumed, and sooner or later the problems with this occur in almost everyone.The most common diagnoses made in the back: "osteochondrosis" and "radiculite", while often patients are placed and treated for themselves without seeking the Council.However, even for these diagnoses, which would seem, they are all in hearing, often there are reasons that only an experienced expert can determine.
What hurts there?
In a large majority (about 95%) pain is associated with muscles, ligaments and joints.People are invited to pull back.These pain are uncomfortable, but non-considerant and in most cases are passing alone in 2-3 days.
3-4% of pain is associated with radiculopathy (radiculitis) - damage to the spinal root.He usually damages her piano.Pain disappears when the edema originated due to compression transition.
1-2% of back pain caused by injuries or inflammatory spine, oncological processes, cardiovascular system diseases, or gastrointestinal tract, in which the pain syndrome can enter the back.This is the most dangerous type of back pain.To exclude such pathologies, be sure to contact the doctor.
You can't delay
The main indicator you need medical protection is the regularity of pain.If you are twisted from time to time, most likely there is nothing wrong.If the pain of low or middle intensity is not happy, you can't hesitate.It is urgent to advise with a doctor if the pain follows the temperature increase or pain grows against the background of treatment.
Types of pain
Doctors differ 3 types of pain, which most often feel feelings in the back.The task of the doctor is exactly determined what a patient's pain is concerned about the patient who contacted him, because each of them will be treated exclusively in his own way.
NocicePtive painOr, simpler pain in receptors - in the skin, muscles, ligaments, joints - is considered the most common.The reasons that cause it in x -rays or using computer tomography are usually not visible.In this case, the specialist makes a diagnosis based on the symptoms that the patient speaks.The causes of muscle spasm can be, for example, physical activity, when a person raised something heavily, rested abruptly or a temperature (common example that was purified by air conditioning).This type of pain is treated with two types of medications.
Acute pain is treated with lateral side side laterally side side side side side side side sides and drugs relaxing muscles.In this case, there can be no other therapies.When the pain syndrome is removed, we recommend that the patient strengthen the muscles with physical education.This is the treatment and prevention of illness for the future.
Physical exercises do not help only strengthen the muscles, but also contribute to the production of endorphins, as well as serotonin and norepinephins in the body.These substances increase the pain threshold person and remove depressed mood.
Neuropathic painOr the pain in the nervo, people are better known as radiculitis.This type of pain in people is especially emerging, when your vertebrate hernia becomes great and tighten nerve endings.At the same time, experts warn patients and the entire professional community against improper diagnosis in cases where the X-ray and is used by the MRI and whether the hernia or any other type of spinal wear is available, but it is not as important to influence the nerve.It is necessary to carefully understand the true cause of pain.It is possible that the muscle cramp is to blame, and this type of pain is completely different, and treatment will also vary for him.What is considered regardless of osteochondrose is not only manifested by pain, but also by standard.
Osteochondrosis is a sign of a body aging.But "osteochondrosis" and "pain" are not the same.Because in bone tissue there is practical or nervous ending, protrusion (initial phase of the interverter's interverter. - Auth.) Or hernia cannot hurt.Even studies have been carried out: IAS did groups of people - chosen, mostly those who never addressed the doctor with complaints about back pain, but found hernia and osteochondrose.
In addition, the doctor gives examples when patients received treatment - and they took place, despite the fact that osteochondrosis remained in the picture.Osteochondrosis is today the concept used locally.
There are countries where the word "osteochondrosis" is not used at all.Last year, they officially said that these diagnoses made neurologists of past generations.Abroad, when the patient reaches the reception desk, and he hurts his back, diagnosed by a nonspecific back pain, but it is realized that the person gave a burden on the muscles.
Confirmation that pain is caused by precisely radiculitis, not spasm, for experts, a symptom in the shape of pain in the back of the back, which gives nervousness in the leg, is most often for experts.
The cause of nervous pain can also be complications caused by diabetes and herpes.In diabetes Melitus patients often complain about pain, because this disease harms the nervous system.Pothherpet Neuralgia is characterized by strips of rash along the impaired nerve and, accordingly, pain.There are special medications to treat pain in nerve.
Anti -epyleptic and antidepressants are used to treat neuropathic pain.The name of the drugs of this patient orientation, I must say, often fears, so it is important to explain that these are antidepressants that increase the threshold of pain.These are standards for pain processing.
Psychogenic painor chronically.This type of pain is not caused by physical changes in the human body, its mental states are changing.Symptoms of patient's pain in this case for a long time.At the same time, as a rule of pain, not just the back.
It happens that people come and say everything - head, all the time.Ask: something hardly raised?No!And there is no clear localization.In this case, we can conclude that the patient reduced the pain threshold and pain analyzer, which is in the brain, it is constantly feeling.This can cause pain in such a patient: excessive work, stress, a sense of fear.
Anesthetic medications in this case will not help.Specialists usually prescribe antidepressants, physically raising patients with chronic pain, but sometimes enough to find the reason for psychological or psychiatrists.
A young woman who complained about her back pain: six months, he says, he's tortured.I have recommended that he goes to a psychologist and physical education.A few days later, it happened completely healthy without taking any medicine.The psychologist helped her realize that the cause of stress hurts: she had family problems, physical education helped to relax.
At homeThe most efficient drug is anti-alflammatory oral medications.Just don't exaggerate - they are confident only for the first time.With prolonged use, such medications can cause ulcers and bleeding in the stomach for the gastric mucosa.Traditional home treatment - nonsteroidal ointment - can only be used as an additional measure.They are harmless but inefficient.Automotive also gives relief - fixing the unloading of the spine, relieves cramps and limits sharp movements.Only the corset should be ordinary - elastic, not heating up.
If treatment does not have an effect for three days, you should contact your doctor who will block the anti -inflammatory injections.Due to the removal of muscle cramps and relaxation, the pain goes immediately and often forever.
Forbidden!
Bathroom and massage under a strict ban.They improve edema and pain.
Contact manual therapists in the newspaper.Hand therapy is an area where each specialist makes three hundred charlatan.If you really want to find a good doctor, you should contact the certified clinics in which graduated experts work.
It is important to properly determine the treatment tactics immediately.That should do a neurologist or neurosurgeon.It is dangerous to treat the back of themselves.30% of the patients of the neurosurgical department tested the treatment methods in home treatment and this was brought into a hospital bed.
When tablets don't help
If the drug is prescribed by a therapist or neuropathologist does not give results within 3-6 months, and the pain still tortures the patient, the doctor is obliged to convey the patient to another specialist.In some situations, physiotherapy can provide significant help.It is suitable for the first two types of pain: in receptors and nerves.Physiotherapy is prescribed by those patients who have an allergy to drugs or gastric problems.
Therefore, there is no effect, patients often come to us strong, with depression, so that we approach their multidisciplinary treatment, with the involvement of various experts: neuropathologists, psychologists, physiotherapists, neurochisters.
Among the methods used by domestic physiotherapists, borrowed from Russian counterpartsIntracanic electrical stimulation.Its principle is that through a one-time special electrode needle bypassing the leather barrier, for electricity supply, directly in the focus on Bol.Diagnostics in which this process is prescribed, including protrusion and hernia.The procedure, according to experts, is comfortable and does not require pain relief.The effect is usually felt after the first procedure.A total of 3 to 6 are allocated.
In addition, it is usedLaser therapy.This technique is also convenient in what can be prescribed by patients with different stimuli, including cardio- and is not worrying that failure will reach failure.The laser is not used not only for treating diseases related to spine problems, but also as a treatment of diabetes complications and herpes sugar, which have already discussed.
Laser promotes good healing.In addition, the device improves microcirculation in the spine itself, and therefore improves the power of the discs.As a result, edema and inflammation are removed, and the pain, respectively leaves.
Blockade
Such a thing as a "blockade" in medicine is not new.With strong pain, since the Soviet times are, patients are prescribed injections in the area where the focus on Bol is directly found.Since then, she has changed a little in Kalin clinics.Meanwhile, in accordance with international recommendations, these procedures must be performed exclusively under control, using special equipment that allows you to monitor the real-time process.The consequences of unsuccessful injections can be very different: at best, the drug is not introduced not if necessary, will not give the necessary effect, in the worst case - this is left to serious complications.
The introduction of the drug should be carried out under radiological management: fluoroscopy, CT, MRI, ultrasound, because the drug is intentionally giving to the zone in which the source of pain is.In the event that the doctor receives the wrong way, this is full of and the patient's breathing stall and the overall spine anesthesia.
The essence of the blockade is to introduce a cure for several months for six months prevents the spread of impulses through the nerve, which is included in the nervous pulse.Although this procedure does not guarantee the permanent effect, it significantly improves the patient's quality of life: a person temporarily forgets about pain, can sleep peacefully or sleep peacefully or go to work.
Work - Elimination of pain
When medications do not help - nor pills or injections, when physiocracy is inefficient, neurosurgeons come to rescue.Modern technologies allow these experts to return to life without pain pain suffering from that for the next year in a row.There is a lot of methods: from manipulations with the loved intervention in the body to complex surgical operations with the rook prosthetics.
With the kicks that stabbed the nerve, one of the most common and more efficient methodsRadio frequency ablation.In fact, this is a type of blockade, just instead of a drug that relieves pain just for a while, electric current is used that can completely solve the problem.Often ablation is performed after the blockage, thanks to which doctors receive a clear understanding that nerves need to be affected.The procedure also provides on a paid basis and quota.
The procedure is done within 20 minutes.It is called surgery, but in fact, the surgical manipulation that is performed under local anesthesia, is necessary under the control of special devices.First, the pain syndrome is played and, if the patient confirms that it is a pain that usually experiences, we give pulse discharge - and pain, so that we talk, so that we talk, so we talk.
Methods are used in special casesNeurostimulationsAmong them is strod electrodes.The patient is performed: the surgeon puts a small device in the focus of pain, which will curse pulse impulses in real time.Patients receive this procedure with a quota.
There are cases when they have already made different types of surgical interventions, but the pain syndrome is preserved in one or another, then put stimulants - first in the test mode, and if you set it well.This is an operation that is done with a small incision.It is only that the patient should occasionally come to the test control.
What we risk
The risk of surgery, which is delayed or rejected, many, many patients believe that it is very excessive.In neurosurgery, there are technologies that allow you to accurately calculate the efficiency of the operation and which symptoms will disappear after that and which will remain.
The likelihood of pain recovery after surgery does not exceed 1-1.5%.The herbs can indeed appear in other places, but it is not complications, but the spread of the disease, which is often found in young undisciplined patients.As soon as the pain goes, they return to the usual lifestyle: ride behind the wheel, keep up with trainings.And that's categorically impossible to do.
Is osteochondrose to blame for everything?
Osteochondrosis is a chronic degenerative-dystrophy change in the intervertebral space.All people over 25 have signs of osteochondrose.It is impossible to avoid osteochondrose, but you can protect yourself from its complications, causing back pain.
Why so, not different?
Should I spend time, effort and money on treatment: pills, injections, physiotherapy, if you can immediately make a small operation and get rid of pain once forever?- Patients ask this question more often and more often.The answer is usually unequivocal: Yes, you need!The thing is to take the correct diagnosis and proper treatment, the units reach operations.The rest is resolved in pain in the first phases of the help - on average 30% of patients in each phase is the output.
Error when people, see a protrusion or hernia in the picture, immediately run to the surgeon, bypassing experts of previous help phases.In cases where changes are insignificant, the operation is not required.Moreover, with the true way of life - deals with the exercises of physiotherapy, swimming, supervising the weight of his body - a person with such a steakochondrose can feel healthy and do not experience pain.
It is important that in each phase, the patient has a precise diagnosis and proper treatment prescribed.This can only be achieved by collegial.It was also proposed, for example foreign experience, the introduction of new specialization, such as algologists, is a type of therapist specializing in pain, doctor who can be treated, but if the surgical intervention will still not inevitably transmit the patient to neurosurgery.