According to statistics, 8 out of 10 people experience spinal discomfort and pain. Although most do not believe this could be related to any pathology, it is believed that the cause is due to characteristic inconveniences related to the life process.
What is osteonecrosis?
Osteochondrosis is a degenerative bone disease with complex damage to cartilage in the spine. In the case of growth, it can spread to bone and tendon cells. Strong stress on the spine can lead to the development of this disease.
Lumbar cyst occurs in the coccyx, is of a short term nature and causes acute pain.
U lumbar spine
Myeloma in definitive diagnosis when elasticity disappears in the intervertebral discs, cartilage is erased and deformed. The ligaments and neighboring vertebrae also enter the deformation process over time. Limitation of movement due to back and leg pain is considered a characteristic.
Usually, such bone necrosis manifest in the chest and cervical spine due to a load on the sacrum and lower back. Such defects can occur with congenital specific and frequent sporting activities.
According to ICD-10, lumbosacral bone necrosis disease has code M42, M91-M93 - connective cell disease and has the following types:
Polysegmental- considered a common and dangerous disease, the pathological process that takes place in several segments of the spine and in different parts of theit. With the lack of treatment leading to complications therefore, you need timely diagnosis and initiation of treatment.- Corrosive- this is a type of progressive lesion of a disc characterized by severe symptoms. The course of the disease is monitored by CT or X-ray. The main criterion is the preservation of sclerotic annulares.
- Deformation- means a permanent pathology of the joint, in this respect, the degenerative inflammatory process develops. This process destroys the structure of the joint and leads to rapid aging. Excessive exercise is the cause of this pathology, although it may depend on other factors.
Treatment and rehabilitation
Medicines
In the treatment of the lumbar spine, drugs chondroprotectors are mainly used, available in the form of tablets and solutions for injection. For active use, a treatment regimen of several forms of the drug is required. The use of injectable drugs is remarkably short, and is also considered painful due to the injection directly into the spine.
Also, these drugs with anti-inflammatory side effects are nausea and rash.
In the treatment of lumbar spine spines, nonsteroidal drugs (NSAIDs) are used, they have anti-inflammatory effects and are contraindicated for chronic and acute pain.
Combining vitamin supplements, chondroprotectors and glucosamine also promotes recovery.
Block in bone necrosis
In the event that severe pain interferes with normal sleep, a blockadeis used. Such treatment is used in all localized types of bone necrosis.
This application only relieves temporary pain, the drug is injected through a puncture with a syringe into the spine. Most commonly used treatment blockade is performed with a strong analgesic drug.
Physiotherapy
Physical therapy including pain relief and inflammation:
- Exposure to vibrations combined with vibrating massageis the primary method of physical therapy.
- Ultrasound therapy is also used, it allows the treatment of pain manifestations, there are three factors affecting the body: heat, physics, muscle.
- Darsonval Physiotherapyis performed by supplying electrical current to the skin through a vacuum electrode. When ionized with air, weak discharges occur. With an increase in the voltage and a secondary ionization of the air, a stronger discharge occurs.
Massage
When the blood vessels of the spinal cord are compressed, asymmetry of the musculature occurs. In the area of deformity, compression occurs, which is accompanied by spasm, pain and scarring of muscle tissue.
Massage ad:
- reduces pressure on the arteries of the nerve roots; spasm
- disappears;
- improved vertebral activity;
- normalized blood circulation;
- slows down tissue breakdown;
- suppresses the development of the disease;
- prevents muscle atrophy and restores tonicity.
Improving the general well-being of the patient, in the initial stage with the use of massage in combination with other methods, symptoms disappear.
Magnetic therapy
Magnetic therapy is used to eliminate the exacerbation of osteonecrosis. With this treatment, pain goes away, blood circulation is normalized, muscles relax, and the nutrition of the disc is improved.
Procedure is used with exacerbations, as well as in all stages of the disease, using stationary, as well as mobile, when used at home.
Acupuncture and manual therapy
Hand therapy involves jerking movements with the help of the hand to restore motor ability using various techniques:
- Motor engineeringconsists of a single dose, slow elongation of the joints of the spine in combination with versatile flexion and rotation.
- Soft engineeringis considered for relaxation purposes to gradually relieve pain and relax the corset.
The acupuncture approach that is based on the study of biological regions and their contact with needles deserves attention. Reduces the patient's need to use anti-inflammatory and analgesic drugs.
Physical therapy exercise
Sports procedures for osteonecrosis are considered necessary, but taking into account all stages of the disease, you need to carefully choose physical exercises:
- Spine Simulator Classespromotes the treatment of scoliosis, scoliosis, scoliosis, disc herniation, and strength enhancementof the engine.
- Pool therapy exerciseslead to good results and are considered safe without injury. During the 30-45 minutes of the water therapy session, muscles are completely relaxed with little effort. These activities can improve mood and sleep. Swimming is also recommended by experts to strengthen the lower back muscles. In this regard,
- Walking with bone necrosis methodis necessary, Scandinavian walking method recognized by experts as effective. Due to the piles, the load is evenly distributed over the shoulders and arms, helping to reduce pressure on joints and spine.
Contraindicated to participate in any sport such as:
- Tennis.
- Throw a disc.
- High jump.
- Regular sports activities.
Similar contraindications to osteonecrosis are used for:
- Lumbar spinal disc herniation.
- In the exacerbation stage.
Able to swim with the permission of a doctor or under the supervision of an instructor.
Exercises
When exercising the equipment, problem areas will be exposed to stress so as not to cause harm and return them to their normal form:
- You need to lie on a flat floor,put one palm on your stomach, the other right above your chest. With a rhythmic inhalation, the abdomen should rise first, then the chest, and exhale slowly. You need to repeat 10 times a day 4-3 times.
- In a prone position, raise your headand after pressing your hands firmly in front of you, hold your body in this position for 1-2 minutes. Then slowly return to the starting position, repeating 3-4 times per day.
- Open your upper backThe seat back slowly bends backwards while taking a deep breath. Then bend forward as you exhale, doing this exercise 4-5 times.
- Lower back- stand up, put your hands on your hips, gently lean forward and backwards and to the sides. Then do a slow motion with your pelvis back and forth, repeating 10 times in each direction.
Yoga & Pilates
The use of yoga or Pilates involves the smoothness and precision of one move gradually shifting to another. Need to control the state of the muscle in each posture.
Deep breathing promotes relaxation and calming effects, similar to yoga:
- In a standing position while inhaling, raise your arm above youand while exhaling, bend down on your right leg and touch. Repeat the same motion with the left leg tilting. In this case, keep your back straight, do this within 2 minutes.
- Cobra exercise- lie on palms across chest, hold hands up while inhaling, head back back. Hold your arms straight, breathe gently, open your chest and stay in this position for 20 seconds.
- Turn your head right and left, will linger for 10 seconds, then tilt your head down, try to touch your chin against the trapezoidal cavity, stay for a while, then tilt your head back and linger. Repeat exercise for 5 minutes.
Orthopedic aids
Chiropractic orthopedic appliances indicated for osteonecrosis:
- Orthopedic corsets- are used to treat weakened muscles, while at the same time it does not limit movement and protects against disc displacement. , at the same time restores the spine. After the first application, due to immobilization, pain appears, contraction and pain subside.
- Pillows- reduces lumbar load by removing pelvic organs. Orthopedics help relieve pain, maintain muscle tone and reduce vibration. There is another type of pillow device designed for the neck spine to sleep.
The author's method Dr. Bubnovsky
Everyone, regardless of occupation or age, can apply Dr. Bubnovsky's method. After the diagnosis, the doctor prescribes an individual treatment, taking into account the nature of the site and the pain at the same time.
This exercise is done independently or on a multifunctional simulator under the supervision of a specialist. That allows you to distribute the load purposefully across specific muscle groups, while also helping to reduce swelling, pain, and spasm.
What can and can't do with osteonecrosis?
To avoid relapses, people with osteonecrosis try different treatments. In this case, you need to get rid of the conventional stuff, while you can leave the heater in the tub.
Bathing warms well and stimulates physiological processes that reduce stress, swelling and pain. It is recommended to stay in the steam room for no more than 10 minutes continuously and rest from time to time.
You could also use:
- Massage.
- Practicing yoga.
- Swimming.
- Sports.
What is not recommended for osteonecrosis:
- Lifting weights.
- Too cool.
- Wearing uncomfortable shoes.
Healing by folk methods at home
To treat osteonecrosis at home, you can use alternative methods combined with traditional treatments:
- Propolis- to do this you need to roll it out in the form of a thin cake, cut to the required size to dab onto the affected part. Fixed in this area and kept for 1-2 days, the procedure took place with a resting time for 12 hours until the pain completely disappeared.
- leeches- the essence of prevention is to relieve pain due to the flow of stagnant venous blood and cause inflammation. Leeches bite through the skin from the affected area and suck blood, Hirudin injection, has a healing effect and improves biochemical processes.
- Mumiyo- is used in diseases of the musculoskeletal system, has a stimulating, regenerating and anti-inflammatory effect. For osteonecrosis, 300 mg tablets are used. Dissolve the mumiyo in a glass of water, then compress.
- Mustard putty- has warm healing properties. With the expansion of blood vessels and capable of dispersing blood, while increasing the flow of useful elements and oxygen. They also reduce pain and inflammation, and improve the condition of the disc.
Kuznetsov's sprayerhas a fairly simple construction, consisting of spiked plastic sheets, fixed on a solid base. Depending on the basis of the pain, the ointment has a different shape: a flat mat, roller or belt with a lanyard.
Also has spiked accessories and magnetic elements. The size of the pins is 2 to 5 mm, the intermediate length is 2 to 8 mm.
Prevention of lumbar necrosis
Neuroscientists with acute osteonecrosis recommend swimming separately in swimming pools as there is an electrical current in natural reservoirs that increases the load on the spine. The water temperature should be 30 degrees, then you can drop it down to 23 and choose the style of swimming depending on the disease.
Also, as a precaution, you need to adhere to proper sleep rules, which include:
- choose the right mattress;
- flat sole of medium hardness;
- orthopedic pillows;
- suitable diet, including the use of foods with vitamins C, PP, E, B3.
Rules for sitting - this requires a soft chair or chair, and body weight will not put pressure on the lower back. The body itself should rest on the ischial tuberculosis, this is only possible on hard seats.
Hospital - had lumbar bone necrosis
The length of time off sick and the time off sick depends on the complications and nature of the course of the disease:
- Pain syndrome.
- The illness begins to remain motionless.
- Working and career conditions.
- Also from treatment prescribed by a doctor.
- With lens syndrome, it can last up to 3 weeks.
- In the case of complications, more than six months.
- Lumbar fibroids - depend on localized location, severity of pain syndrome due to complications, and last for at least a week.
Inpatient treatment is indicated in severe cases, after which the doctor recommends a career change.