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 region of the spine. The ICD-10 code for this disease is M54.5. The disease can occur in acute and chronic form. In an acute course, unexpected sharp pain is observed. In this case, the focus of the disease can often be localized in the 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 do not appear until a certain stage in the development of the pathology.
Causes of disease
Vertebrogenic lumbalgia may occur due to the fact that the nerve endings of the spinal cord are pinched. The main causes of this disease are the followingfactors:
- A person has scoliosis.
- Performing sharp bends.
- Presence of protrusion of the spinal disc.
- Development of spondylosis.
- Making careless body turns.
- 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.
- Presence of displacement of the vertebrae in the lumbar region.
- The occurrence of a herniated disc.
- Providing excessive physical exertion on the body.
- Occurrence of vertebral neoplasms.
- Lifting and carrying an overweight load.
- Development of hypodynamia.
- Severe hypothermia of the body.
- Permanent overexertion of the nervous system.
- Presence of age-related destruction of the spinal column.
Against the background of an increase or decrease in muscle tone, lumbalgia with tonic syndrome may develop. At the same time, hypertonicity of the extensor muscles can cause a decrease in the tone of 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 are the symptoms of pathology?
The main symptom of vertebral lumbalgia is a sharp severe lumbar pain. Usually,it comes on suddenly. In moments of excessive stress on the lumbar region, the intensity of pain increases significantly. Against this background, pain can also occur in the area of the buttocks, pelvis, limbs, 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 limbs.
- The appearance of goosebumps.
- Feeling cold in the lower leg and feet.
- Presence of low mobility in the lumbar region.
- Difficulty urinating or passing stools.
- Development of muscle tissue hypertonicity.
- The appearance of fatigue and weakness in the back.
- Failure of the menstrual cycle.
- Men have problems with potency.
Vertebrogenic lumbodynia 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 already six months after the appearance of the first back pain. This type of disease can cause more serious problems in the area of the spine. Chronic vertebrogenic lumbalgia usually proceeds for a very long time. This condition manifests itself with pains of a aching nature, aggravated with minimal stress on the spine.
Pathology in children
Children have this diseaseis extremely rare. It can appear in children older than 8 years, adolescents. The cause of lumbodynia 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 sign of illness, you need to urgently go to the doctor.
Pregnant women
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 giving birth, everything returns to normal.
Diagnosis
In order to diagnose vertebrogenic lumbodynia, the doctor needs to conduct a general examination of the patient. Additional information to specify the picture of the disease will help to obtain the following procedures:
- Palpation.
- Carrying out fluoroscopy.
- Performing magnetic resonance imaging.
- Computed tomography.
- Performing laboratory testing of blood and urine.
- Performing an ultrasound.
- Requesting advice from highly specialized specialists.
The above diagnostic methods allow you to determine the condition of the patient's spinal column, the relative position of his vertebrae, the condition of the adjacent soft tissues and other necessary information.
Treatment
Complex treatment of vertebrogenic lumbalgia (ICD-10 code M54.5.), First of all, involves the use of the following methods:
- Oral medication treatment.
- Executioninjection.
- Using rectal suppositories.
- Using ointments, gels and patches.
- Applying compresses.
- Performing manual therapy.
- Therapeutic exercise.
- Physiotherapy.
- Performing kinesitherapy.
- Application of traditional medicine methods.
Often with vertebrogenic lumbalgia (ICD code - M54.5.), Oral drugs from the category of non-steroidal anti-inflammatory effects are used. Such treatment makes it possible to minimize swelling of the nerve roots, reducing the intensity of pain. For injections, a drug called Diclofenac and other drugs of a similar effect are often used. They are administered intramuscularly. In order to enhance the therapeutic effect, venotonics 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 lumbodynia (ICD - M54.5) should be carried out with caution. It is undesirable to do massage on your own, since 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, you can providenormal blood circulation in the damaged area.
Manual therapy is carried out in order to eliminate the pinched nerve roots in the lumbosacral region. Wearing a special corset will certainly help to reduce discomfort against the 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 lumbodynia with muscular tonic syndrome, physiotherapy is also used, which includes the following physiotherapy procedures:
- Cryotherapy.
- Performing electrophoresis.
- Implementation of acupuncture.
- Ultrasound examination.
- Irradiation with a laser.
- Using magnetic fields.
In each case, the list of procedures is strictly individual, taking into account the personal indicators of each patient.
Therapeutic exercise
An indispensable tool in the prevention and cure of vertebrogenic lumbodynia are exercise therapy. 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 training scheme is worked out individually for each patient. Thanks to therapeutic gymnastic exercises, you can do the following:
- Stretch the spinal column.
- Strengthen adjacentligament and muscle systems.
- Increase the elasticity of the connective tissue of the spine.
First, physical exercises should be performed under the strict guidance of a physiotherapy instructor. In the future, you will be able to work on your own. Conducting periodic medical examinations will help evaluate the effectiveness of the medical complex and make the necessary adjustments, if necessary.
What else can be the treatment of vertebrogenic lumbodynia?
Surgical treatment
Sometimes a pathology can only be cured through surgery. The operation is prescribed if the patient has the following conditions:
- Development of spinal instability.
- Impaired blood circulation.
- The occurrence of abscesses.
- The appearance of various neoplasms.
- 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, the damaged disc of the spine is removed. Instead, an artificial implant is installed.
Special Diet
Excessive weight often becomes the main reason for the development of vertebrogenic lumbodynia (ICD-10 - M54.5). In people who are prone to constant overeating, the spine can experience tremendous stress. Especially in the lumbar region. ForTo get rid of excessive weight, you need to properly compose your daily diet. For this you need:
- Eating fresh fruit.
- Eating natural vegetables.
- Increased fish and lean meats.
- Introduction to the diet of aspic or jelly.
All of these dishes need to be boiled or steamed, you can also bake. S alt should be added a little, and it is better to refuse various seasonings and sauces completely. Fruits, along with vegetables and herbs, should be consumed only 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 lumbodynia (ICD code - M54.5). This will help reduce swelling and inflammation, as well as reduce pain. But unfortunately, it will not be possible to completely eliminate the main cause of the disease with such means.
Rubbing is carried out using aloe juice, you can also take pork fat. To consolidate the warming effect, it is necessary to insulate the lumbar region after the procedure. For rubbing, dandelion, marshmallow, horsetail, yarrow and lavender are added to the fat. These herbs are taken in equal proportions, crushed and mixed. Then brew with boiling water and insist. This herbal infusion is then mixed with 150 grams of lard and applied for rubbing.
Horseradish leaves are used for compresses. They must first be rinsed with running water.water and pour over boiling water. Prepared leaves are applied to the painful area at bedtime. For warming use a scarf or scarf made of wool. Remove the compress in the morning.
A good remedy for the treatment of the back is the resin of coniferous trees. Pine or cedar is best suited. To prepare a healing mixture from it, you need to add a spoonful of resin to vegetable oil (a glass). Then everything is thoroughly mixed, the product is applied to a cotton cloth. She covers the place of localization of pain. After a day, the napkin needs to be changed. The course of therapy is 10 days.
Helps 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 the wax and enhance the beneficial effect, you need to lie under the covers. When the remedy has cooled, it is removed, and the lower back is immediately wrapped in a scarf or scarf.
How can I protect myself from this disease?
Preventive measures together with the correction of the regimen will help to avoid pathologies such as vertebrogenic lumbalgia syndrome, as well as prevent other diseases that cause back pain. For this you need:
- Keep active at all times.
- Relax on a pillow-top mattress.
- Eat right.
- Avoid any kind of hypothermia.
- Stress free.
- Give up all bad habits.
- Do special gymnastics.
- Completely eliminate excessive physical overload.
SoThus, if you follow such simple rules of prevention, then a person will certainly be able to avoid such an unpleasant disease as vertebrogenic lumbalgia.
