Treatment of lumbosacral osteochondrosis always starts with pain relief. As soon as the intensity of the pain decreases, attached physiotherapy (physical therapy). LFK is performed first in the supine position, and only after the final removal of pain the patient may be engaged in a standing position with increasing loads.
Basic principles of treatment of degenerative disc disease of the lumbar sacral
Basic principles of treatment of lumbosacral degenerative disc disease is to remove the severe pain and create a muscular corset that supports the spine and vertebrae allowing further traumatize the spinal discs.
In addition, the appointed medical treatment, promoting the suspension of degenerative disorders of the intervertebral discs.
Removal of severe pain in the lumbosacral spine
To remove severe pain patients prescribed painkillers, more often, it's drugs for systemic or topical use, which include NSAIDs - non-steroidal anti-inflammatory drugs (diclofenac, ketorol, ibuprofen, nimesulide and others.). For moderate pain, these preparations are administered in the form of ointments, creams or gels for topical application, applying and slightly rubbing the skin in the field of pain 3-4 times per day.
If severe pain, NSAIDs are applied systemic action - as a solution for injection, tablets or capsules for oral or rectal suppositories. Appointed as diuretics, well relieves swelling in the tissues of the disadvantaged.
At the same time prescribed drugs, relieves spasms of the back muscles - muscle relaxants, such as Mydocalmum
Mydocalm: drug from muscle spasms
If pain is very strong and can not be removed NSAIDs prescribed hormones glucocorticosteroid (GCS), such as prednisone
Prednisolone - against inflammation, allergy and pain, but with complications
Dexamethasone - one of the most effective glucocorticosteroids
and so on. They have a very strong anti-inflammatory effects and quickly relieve pain, but GCS used very rarely - they give too many side effects. Conducted paravertebral procaine blockade and blockade of long-acting corticosteroids.
Sometimes, severe pain can be removed by means of manual therapy - hand tricks to restore the normal anatomic relationship in the tissues.
Creating muscle corset in the treatment of lumbosacral spine
With a very strong pain in the spine is the treatment situation - the patient lies on his back in the most comfortable position for him, helps to reduce pain. Once the pain subsides, physical therapy are starting to be able to lying down, walking with crutches for the unloading of the spine, then gymnastics is performed sitting and standing, gradually increasing the load, prescribed stretching dry cargo and snorkeling.
At the same time to relax and strengthen the back muscles that support the spine, prescribed courses of massage. Massage also helps to improve blood supply to the tissues of the spine, including intervertebral discs. This, in turn, activates the metabolism and stops degenerative-dystrophic processes in the spine.
Further enhances the therapeutic effect of the appointment of physiotherapy - electricity and phonophoresis with various drugs, darsonvalya, magnetic therapy, laser therapy, and so on.
How to treat lumbar sacral osteochondrosis - you need to do?
The most important thing in the treatment of degenerative disc disease - a suppression or slowing the degenerative processes in the intervertebral discs. One relief for the spine for it a little. Therefore assigns active medication, whose task is to restore blood flow in damaged spinal segment and the suppression of the process of destruction of cartilage disks.
To improve the blood circulation in the spine prescribe niacin and trental - they provide the inflow of arterial blood to the spine. At the same time trying to intensify the outflow of venous blood, for it is prescribed venotoniki - drugs, toning the walls of veins and helps enhance blood flow - Ascorutinum
Ascorutin - strengthen capillary walls and warn toxic effects svob
, Trksevazin and so on. To stimulate cell metabolism appoint B vitamins - energy, together with carbohydrates they contribute to the inflow of energy in cells.
Assign also chondroprotectors - drugs that protect cartilage from destruction of the intervertebral discs. These drugs include chondroitin, structum, Donna, and so on. All products of this group possess analgesic and anti-inflammatory action. They stimulate the synthesis of substances necessary for the formation of cartilage and inhibit the activity of enzymes that cause its destruction.
Treatment of osteoarthritis should be prolonged.
- Treatment of osteochondrosis