Severe pain in the lumbar region causes an ailment called vertebrogenic lumbalgia. What it is, how it manifests itself and how it is treated, is described in the article.
Vertebrogenic lumbalgia is a disease localized in the lumbar spine. The ICD-10 code for this disease is M54.5. The disease can occur in acute and chronic form. In the acute course, an unexpected sharp pain is observed. However, often the focus of the disease can be localized in tissues that are adjacent to the spinal column.
The chronic form of the disease occurs against the background of spinal deformity. The development of the disease occurs slowly and almost imperceptibly. Symptoms in this case do not appear until a certain stage in the development of pathology.
Causes of the disease
Vertebrogenic lumbalgia can occur due to the fact that the nerve endings of the spinal cord are pinched. The main causes of this disease are the following factors:
- The presence of scoliosis in humans.
- Perform sharp inclines.
- The presence of protrusion of the spinal disc.
- The development of spondylosis.
- The product of careless turns of the body.
- The development of osteochondrosis in humans.
- The occurrence of injuries of the spinal column in the lumbosacral region.
- The presence of arthritis and arthrosis of the intervertebral cartilage and other tissues.
- The development of osteoporosis in humans.
- The presence of displacement of the vertebrae in the lumbar region.
- The occurrence of a hernia of the intervertebral disc.
- Excessive physical exertion on the body.
- The occurrence of vertebral neoplasms.
- Lifting and carrying overweight cargo.
- The development of physical inactivity.
- Strong hypothermia of the body.
- Constant overstrain of the nervous system.
- The presence of age-related destruction of the spinal column.
Against the background of an increase or decrease in muscle tone, lumbalgia with a tonic syndrome may develop. At the same time, the hypertonicity of the extensor muscles can cause a decrease in the tone of the flexor tissues. In a future mother, vertebrogenic lumbalgia sometimes develops in late pregnancy, especially if the fetus is very large. The risk group, as a rule, includes women with poorly developed back muscles.
What symptoms are characteristic for pathology?
The main symptom of vertebral lumbargia is a sharp severe lumbar pain. As a rule, it occurs suddenly. At times of excessive stress on the lumbar region, the intensity of pain increases significantly. Against this background, pain can also occur in the region of the buttocks, pelvis, limbs, and the anterior wall of the abdominal area. It directly depends on the clinical picture of the disease. Other symptoms of the disease are the following manifestations:
- The occurrence of spasms and cramps in the legs.
- Feeling of numbness in the lower extremities.
- The appearance of goosebumps.
- Feeling of cold in the area of the lower leg and feet.
- The presence of low mobility in the lumbar region.
- Difficulty with urination or with stool.
- The development of hypertonicity of muscle tissue.
- The appearance of fatigue and weakness in the back.
- Menstrual cycle failure.
- Men have problems with potency.
Vertebrogenic lumbalgia with tonic syndrome should be treated already in the early stages. This will make it possible to quickly get rid of the disease and prevent the development of additional ailments. Otherwise, a chronic form of lumbalgia may develop. It occurs six months after the first back pain. This type of disease can cause more serious diseases in the spinal area. Chronic vertebrogenic lumbalgia proceeds, as a rule, for a very long time. This condition is manifested by aching pains, aggravated with minimal loads on the spine.
Pathology in children
In children, this disease is extremely rare. It can appear in children over 8 years old, adolescents. The reason for lumbalgia lies in the rapid growth of the body, an increase in body weight, which leads to an increased load on the spine and lower back. At the first signs of an ailment, you need to urgently go to the doctor.
In pregnant
During this period, the load on the spine, especially its lower part, increases significantly. In women with weak back muscles, lumbalgia occurs more often. Pregnancy, like the upcoming birth, is not dangerous for the back. After childbirth, everything returns to normal.
Diagnostics
In order to diagnose vertebrogenic lumbalgia, the doctor needs to conduct a general examination of the patient. Additional information for specifying the picture of the disease will help to obtain the following procedures:
- Palpation.
- Conducting fluoroscopy.
- Perform magnetic resonance imaging.
- Conducting computed tomography.
- Conducting a laboratory study of blood and urine.
- Performing an ultrasound scan.
- Seeking advice from specialized specialists.
The above diagnostic methods allow you to determine the condition of the spinal column in a patient, the relative position of his vertebrae, the condition of adjacent soft tissues and other necessary information.
Treatment
Comprehensive treatment of vertebrogenic lumbalgia (code according to ICD-10 M54.5.), First of all, involves the use of the following methods:
- Treatment with oral drugs.
- Injection
- Use of suppositories for rectal administration.
- The use of ointments, gels and plasters.
- The use of compresses.
- Conducting manual therapy.
- Physical therapy classes.
- Conducting physiotherapeutic procedures.
- Performing kinesitherapy.
- The use of traditional medicine.
Often with vertebrogenic lumbalgia (ICD code - M54.5.), Oral preparations from the category of non-steroidal anti-inflammatory drugs are used. Such treatment makes it possible to minimize swelling of nerve roots, reducing the intensity of pain. For injections, they often use a drug called Diclofenac and other drugs of a similar effect. They are administered intramuscularly. In order to enhance the therapeutic effect, venotonizers are prescribed along with chondroprotectors, muscle relaxants, angioprotectors and agents to improve blood circulation. External treatment is carried out using anti-inflammatory gels, and in addition, warming ointments.
Massages, manual and physiotherapy
Massage sessions in the treatment of vertebrogenic lumbalgia (ICD - M54.5) should be carried out with caution. Doing massage yourself is undesirable, as the spine is always very easy to damage. Properly performed massage will make it possible to gradually reduce the tension of muscle tissue. It will also be possible to achieve a decrease in the intensity of the pain syndrome. In addition, thanks to massage, it is possible to ensure normal blood circulation in the damaged area.
Manual therapy is carried out in order to eliminate pinching of the nerve roots in the lumbosacral region. Wearing a special corset will certainly help to reduce discomfort against a background of high-intensity pain syndrome. This will make it possible to avoid sudden movements and mechanical damage to the spinal column. As part of the treatment of vertebrogenic lumbalgia with muscle-tonic syndrome, physiotherapy is also used, which includes the following physiotherapeutic procedures:
- Conducting cryotherapy.
- Performing electrophoresis.
- The implementation of acupuncture.
- Ultrasound examination.
- Laser irradiation.
- The use of magnetic fields.
In each case, the list of procedures is compiled strictly individually, taking into account the personal indicators of each patient.
Physical therapy classes
Physical therapy is an indispensable tool in preventing and treating vertebral lumbargia. This technique allows you to save and restore the activity of the spinal column in the lumbar region. Currently, various effective gymnastic complexes are being developed for patients with such a pathology. The lesson scheme is worked out individually for each patient. Thanks to therapeutic gymnastic exercises, it is possible to do the following:
- Stretch the spinal column.
- Strengthen adjacent ligament and muscle systems.
- Increase the elasticity of the connective tissue of the spine.
At first, physical exercises should be performed under the strict guidance of a physiotherapy instructor. In the future, you can do it yourself. Periodic medical examinations will help evaluate the effectiveness of the treatment complex and will make the necessary adjustments, if necessary.
What else could be the treatment of vertebrogenic lumbalgia?
Surgery
Sometimes pathology can only be cured by surgery. The operation is prescribed if the patient has the following conditions:
- The development of vertebral instability.
- Disturbed blood circulation.
- The occurrence of abscesses.
- The appearance of various neoplasms.
- The presence of innervation of the spinal cord.
If such pathologies are detected, a fusion or discectomy is prescribed. In the first case, the therapeutic effect is achieved due to the fusion of the damaged element of the spine using an implant. In the second, a damaged spinal disc is removed. Instead, an artificial implant is installed.
Special diet
Excessive weight often becomes the main reason for the development of vertebrogenic lumbalgia (ICD-10 - M54.5). In people who are prone to constant overeating, the spine can experience enormous stress. Especially in the lower back. In order to get rid of excessive weight, you need to properly compose your daily diet. To do this, you must:
- Eating fresh fruits.
- Eating natural vegetables.
- An increase in the number of fish and lean meat.
- An introduction to the diet of jellied meat or jellies.
All these dishes need to be boiled or steamed, and you can bake. Salt should be added a little, and it is better to completely abandon various seasonings and sauces. Fruits, along with vegetables and herbs, should only be consumed fresh. You should eat fractionally and divide the daily diet into five servings, which will be approximately the same in terms of calories.
Folk remedies
Traditional medicine in this case offers symptomatic treatment of vertebrogenic lumbalgia (ICD code - M54.5). This will help reduce swelling and inflammation, as well as reduce pain. But here, to completely eliminate the root cause of the disease by such means, unfortunately, will not work.
Rubbing is carried out using aloe juice, you can also take pork fat. To fix the warming effect, it is necessary to warm the lumbar region after the procedure. For grinding, fat is added to fees from dandelion, marshmallow, horsetail, yarrow and lavender. These herbs are taken in equal proportions, crushed and mixed. Then brew with boiling water and insist. Then this infusion of herbs is mixed with 150 grams of pork fat and used for grinding.
For compresses use horseradish leaves. They must first be washed with running water and doused with steep boiling water. Prepared leaves are applied to the painful area before bedtime. For insulation use a scarf or scarf made of wool. In the morning, the compress is removed.
Coniferous resin is a good remedy for treating back problems. Pine or cedar is best. To prepare a healing mixture from it, you need to add a spoonful of resin in vegetable oil (a glass). Then everything is thoroughly mixed, the product is applied to a cotton cloth. It covers the place of localization of pain. After a day, the napkin needs to be changed. The course of therapy is 10 days.
Helps to speed up the healing process and mountain wax, which must be warmed up and applied to the lumbar region. To slow down the cooling of wax and enhance the beneficial effect, you need to lie under the covers. When the product cools down, it is removed, and the lumbar is immediately wrapped in a scarf or scarf.
How can you protect yourself from this disease?
Preventive measures along with correction of the regime will help to avoid such pathology as vertebrogenic syndrome of lumbalgia, as well as prevent other diseases that cause back pain. To do this, you need:
- Constantly maintain motor activity.
- Rest on an orthopedic mattress.
- Eat right.
- Avoid any type of hypothermia.
- Avoid stress.
- Give up all bad habits.
- Do special gymnastics.
- Completely eliminate excessive physical overload.
Thus, if you follow such simple rules of prevention, then a person will certainly be able to avoid such an unpleasant disease as vertebrogenic lumbalgia.