Lumbodynia: what it is, causes and mechanisms of development. Treatment of lumbodynia of the lumbar spine Lumbodynia of the lumbar spine symptoms treatment

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Lumbodynia– subacute or chronic low back pain. This is not an independent disease, but a pain syndrome that occurs against the background of problems with the spine, nerve roots, lumbar muscles or internal organs of the abdominal cavity. Pain in the lower back is most often associated with physical inactivity, intense sports, injuries, osteochondrosis, and osteoporosis. However, in most patients, lumbodynia is not associated with serious pathologies.

Lower back pain occurs some time after hypothermia, sudden movements, or being in an uncomfortable position. The pain is dull and aching in nature and can radiate to the lower limb, going down the back of the thigh. It intensifies when bending over and when walking, coughing, sneezing, laughing. Over time, the pain may ease, but periodically worsen. This continues until the cause of its appearance is eliminated. If you ignore the problem, lower back pain can make you unable to work for a long time, and in some cases lead to disability.

Lumbodynia is the second most common neurological pathology after headache. It can occur in children and adolescents: in girls at 10-12 years old, and in boys at 13-17 years old, which is associated with periods of active growth. But the majority of patients are people over 50 years old. Women often complain of back pain due to the development of osteoporosis during the postmenopausal period.

According to statistics, pain with lumbodynia is most often localized in the region of the 4th and 5th lumbar vertebrae. The upper lumbar vertebrae are damaged less frequently, which is explained by the peculiarity of the distribution of the load on the spine.

Anatomy of the lumbar spine

Lumbar spine consists of 5, sometimes 6 large vertebrae. Due to upright posture, it is subject to a large load, which increases many times when carrying heavy objects or in people who are overweight. This leads to rapid wear of the intervertebral discs and the appearance of hernias.

The lumbar spine performs a number of important functions:

ensures body movement in all planes (tilts and deflections of the body)
walking shock absorption
serves as a link between the sedentary thoracic region and the immobile sacrum

The structure of the vertebrae. Vertebrae are short, cylindrical bones that form the spine.

They have main parts:

Vertebral body the strongest part that performs a supporting function.
Vertebral arch connects to the body with the help of the vertebral pedicles. The arches line up one above the other and form the spinal canal, which contains the spinal cord, adipose tissue, blood vessels that feed it and nerve roots.
Vertebral processes(transverse, upper and lower articular, spinous) extend from the vertebral arch. Muscles that provide support and movement to the spine are attached to them. At the base of the articular processes there are notches - these are openings through which blood vessels and spinal nerves pass.

Facet joints. The articular processes of adjacent vertebrae are connected to each other. Their surfaces are covered with smooth and slippery hyaline cartilage, and around the joints there is a synovial bursa filled with fluid. This structure gives the spine flexibility.

Spinal ligaments limit the mobility of the vertebrae, prevent them from moving and ensure stability of the entire spine. Their role increases with the destruction of intervertebral discs, while the ligaments hypertrophy - they become thicker and rougher. The main load falls on the following ligaments:

Anterior longitudinal ligament– runs along the anterior surface of the vertebrae and discs.
Posterior longitudinal ligament– is a dense cord connecting the vertebral bodies from behind.
Ligamentum flavum(contains yellow pigment) – connects the vertebral arches.

Intervertebral discs- flat pads made of cartilage tissue located between the vertebrae. In the lumbar region their thickness is 9-12 mm. Intervertebral discs consist of two layers:

Nucleus pulposus– the central part of the disk. It has a soft and elastic consistency and contains a lot of moisture. Provides cushioning between the vertebrae during vertical loads. If, when compressed by the vertebrae, this jelly-like mass breaks out through the fibrous ring, then a herniated disc is formed.

The fibrous ring (cartilaginous) is located around the nucleus. It has a multilayer structure and consists of multidirectional fibers. Its function is to fix the nucleus pulposus and prevent the vertebrae from moving to the sides.

Intervertebral discs do not have blood vessels and receive nutrients directly from the vertebrae. With age, with excessive loads or physical inactivity, the nutrition of the intervertebral discs is disrupted. They lose their elasticity and are replaced by rough scar tissue. Discs are difficult to treat because medications do not reach them.

Spinal nerve roots- bundles of nerve fibers emerging from a segment of the spinal cord.

Anterior root of the spinal nerve– consists of motor nerve fibers. It emerges from the anterior horns of the spinal cord and conducts command impulses from the central nervous system to the muscles and organs.
Posterior root of the spinal nerve- consists of sensory nerve fibers. Through them, sensitive impulses from the organs enter the spinal cord, and then into the brain.

As they emerge from the vertebra, the anterior and posterior roots fuse to form the spinal nerve. There are 2 nerves coming out of each vertebra - right and left.

Ponytail- bundle of nerve roots of the spinal cord. It starts from the first lumbar segment and descends vertically down inside the spinal canal. Its function is the innervation of the pelvic organs and legs. It received its name for its resemblance to a horse's tail.

Sacrum. Below the lumbar region is the sacrum - a large triangular bone formed from five vertebrae that are fused together. Inside it runs the sacral canal, which is a continuation of the spinal canal. Inside it are the sacral nerves, which exit through the sacral foramina. Compression by swelling tissue after injury causes pain in the lower back above the buttocks. Between the 5th sacral and first coccygeal vertebrae there is an intervertebral disc. This semi-movable joint allows the tailbone to tilt back, which is important during childbirth or in case of a fall.

Coccyx- a bone formed by fused rudimentary vertebrae. This lower part of the spine serves to attach the muscles and ligaments of the pelvic organs.

Coccyx ligaments are responsible for its mobility.

8 sacrococcygeal ligaments connect the sacrum and coccyx
The coccygeal-dura-meningeal ligament is a continuation of the dura mater of the spinal cord
sacrotuberous paired ligaments
sacrospinous paired ligaments
sacroiliac ligaments
coccygeal-rectal unpaired ligament

With injuries, hyperextension of the ligaments, bacterial damage to the coccyx ligaments, pain appears in the lower back, in the anus and in the perineum.

Causes of lower back pain

In athletes who only pump their muscles, but do not stretch them, the muscle bundles become short and dense. This leads to severe pressure on the facet joints and their inflammation. Painful zones of hypersensitivity (trigger points) appear in spasmed muscles and their fascia. When they are compressed by a tense muscle, the patient feels pain in the lower back.

Sports injuries(compression fractures, dislocation of intervertebral discs). When lifting heavy objects, displacement of the vertebrae can occur, as well as rupture of ligaments and soft tissues. Weightlifters often experience separation of the transverse process of the first lumbar vertebra. In this case, muscle fibers are torn. Their sensory receptors transmit pain impulses to the brain.

Long-term static voltage: working at a computer, on an assembly line, sleeping in an uncomfortable position, staying in an uncomfortable position ends in painful muscle spasms.

Pregnancy accompanied by rapid weight gain and redistribution of the load on the spine. In addition, fluid retention leads to tissue swelling, including around the nerve roots, which is accompanied by pain.

Physical inactivity. Insufficient physical activity impairs blood circulation in the vertebrae, leading to loss of elasticity of the intervertebral discs and weakening of the muscles that support the spine. At the same time, hypertrophy (thickening and hardening) of the ligaments connecting the vertebrae occurs. The vertebrae move closer together, compressing the spinal nerves.

Significant postural disturbances. Displacement of the vertebrae leads to their abnormal mobility and rapid wear of the intervertebral disc tissue. With scoliosis, the load on the facet joints on one side increases, causing them to become inflamed and painful.

Hypothermia causes vasospasm and circulatory disorders. This can cause autoimmune (non-microbial) joint inflammation.

Obesity. Excess weight increases the load on the intervertebral discs, they lose moisture, become thin and less elastic. At the same time, the vertebrae come closer together and compress sensitive soft tissues.

Stressful conditions. Severe nervous shocks cause muscle spasms and poor circulation. This increases the pressure on sensitive structures: ligaments, capsules of facet joints, spinal nerves.

Age-related changes in the spine. With age, muscles weaken, discs lose moisture and elasticity, degenerative changes develop in the joints, and posture becomes impaired. The consequence of this is the appearance of lower back pain in 70% of people over 60 years of age.

What injuries or pathologies cause lower back pain?

The appearance of lumbodynia may be associated with diseases of the spine or internal organs located in the abdominal cavity.

Spinal pathologies causing low back pain

Diseases of internal organs accompanied by lower back pain

Kidney pathologies: chronic pyelonephritis, cysts or kidney stones, renal failure, kidney prolapse. Stretching of the kidney capsule or injury to the urinary tract from a stone can cause pain in the lumbar region. Pain may occur on one or both sides. As a rule, uniform symmetrical swelling is noticeable in the morning, and the legs become swollen in the evening.
Diseases of the female genital organs: polycystic or inflammation of the ovaries, benign and malignant tumors of the uterus, endometriosis. Diseases of the pelvic organs cause pain in the lower abdomen and lower back.
Digestive diseases: ulcer of the posterior wall of the stomach, chronic pancreatitis. In the first case, the pain is dull and aching. It is associated with food intake - “hungry” or 30 minutes after eating. Disappears after taking antacids and antispasmodics. With pancreatitis, the pain is girdling in nature.
Tumors located in close proximity to the spinal cord or spine. The tumor can compress surrounding tissues and irritate the nerve endings located in them.

Diagnosis of the causes of lower back pain

At inspection The doctor identifies the following signs of lumbodynia:

Lumbar muscle tension is a protective reaction of the body. It helps to immobilize the affected part of the spine and reduce compression of the roots during movement. This feature is found in 25% of adolescents and 60-80% of adults.
Curvature of the spine in the lumbar region is the result of muscle spasm.
Transverse stretch marks in the lumbar region. Found in children and adolescents. They indicate that the appearance of lumbodynia is associated with active growth (more than 8-10 cm per year). During this period, bones grow faster than muscles, resulting in insufficient support and instability of the spine.
Pain worsens when bending forward and can decrease with backward bending of the spine. In most patients, the pain intensifies with any change in position. The pain decreases when lying on the “healthy” side. It intensifies when laughing, coughing, sneezing.
Pain when pressing on the spinous processes vertebra and paravertebral points that correspond to the affected intervertebral discs.
Loss of sensation in one or both legs. The patient complains of a feeling of numbness, tingling, and goosebumps.

X-ray The lumbosacral spine is performed in two projections: straight and lateral. The image may reveal signs that explain the appearance of lower back pain:

smoothness of the lumbar curve of the spine (in 50% of cases)
Schmorl's hernia
deformity of the lumbar vertebrae
intervertebral disc damage
decreasing the distance between the lumbar vertebrae
antalgic scoliosis – curvature of the spine to the right or left side caused by pain

Computed tomography (CT) reveals the following signs of spinal damage:

vertebral arch bifida – congenital pathology
vertebral developmental anomalies
signs of bone destruction
thinning of cartilaginous intervertebral discs
herniated intervertebral discs – single or multiple mushroom-shaped growths ranging in size from a few millimeters to 2-3 cm.
narrow spinal canal – degenerative changes in the bone and cartilage tissue of the spine
signs of pinched spinal nerve roots - swelling and inflammation
tumors of the spinal cord or near the spine

Magnetic resonance imaging (MRI) or nuclear magnetic resonance (NMR)

The MRI picture depends on the degree of damage to the spine and the causes of pain.

Revealed:

vertebral destruction
reduction of intervertebral disc height
intervertebral disc herniation, rupture of the annulus fibrosus
swelling and hypertrophy in the facet joint
compression of the spinal nerve roots, swelling
stenosis (narrowing) of the spinal canal
spinal cord tumor
epidural abscess
ligament rupture or hypertrophy

Treatment for lower back pain

Treatment of lumbodynia with drugs

Treatment of lower back pain is possible only after accurate diagnosis and identification of the cause of lumbodynia.

Group of drugs	Representatives	Mechanism of therapeutic action	Mode of application
General treatment of lumbodynia
Centrally acting muscle relaxants	Mydocalm	Inhibits the excitability of the spinal cord and peripheral nerve endings. They reduce reflex muscle tension, reduce pain, and facilitate movement. Treatment is continued as long as the pain persists. Cancel, gradually reducing the dose.	Starting dose: 50 mg 3 times a day. If necessary, the doctor may increase the daily dose to 450 mg.
	Baclofen		The initial dose is 5 mg 3 times a day. If necessary, the single dose can be increased to 30 mg.
	Sirdalud		The initial dose is 2 mg 3 times a day. If necessary, the dose is gradually increased to 24 mg per day.
Nonsteroidal anti-inflammatory drugs	Nimesulide (Nemid, Nise)	Eliminates inflammation, pain and swelling. Activates glucocorticoid receptors, which enhances the anti-inflammatory effect. Prevents the destruction of cartilage tissue.	100 mg 2 times a day, preferably after meals.
Nonsteroidal anti-inflammatory drugs	Diclofenac	It has a strong anti-inflammatory, analgesic and antipyretic effect.	1 tablet (50 mg) 2-3 times a day after meals. For severe pain, the first 2 days are administered intramuscularly. The duration of treatment is determined individually.
Vasodilators	Actovegin	Eliminate the narrowing of blood vessels that accompanies pain and muscle spasms. Prevents oxygen starvation and malnutrition of organs and tissues. Reduce blood viscosity and improve its properties.	1-2 tablets 3 times a day before meals.
Vasodilators	Pentoxifylline		0.2 grams (2 tablets) 3 times a day after meals. The course of treatment is 2-3 weeks.
Local treatment of lumbodynia
Pain relieving ointments	Nimesulide gel	They have an anti-inflammatory, analgesic, and distracting effect. Helps reduce swelling.	3 cm of gel is applied to the affected area 4 times a day.
Pain relieving ointments	Deep relief gel		Apply a thin layer of 3-5 cm of gel to the lower back and rub in lightly.
Compress with dimexide	Solution of dimexide and novocaine	Dimexide has an anti-inflammatory effect and relieves pain in muscles and joints. It penetrates deeply into the tissue, carrying with it novocaine, which has a strong analgesic effect.	Mix 30 ml of a 30–50% solution of dimexide with 50 mg of 2% novocaine. Moisten a gauze pad with the solution and apply to the affected area. After this, cover with cellophane, compress paper, and on top an insulating layer of dry cotton wool or woolen fabric. The duration of the procedure is 30-60 minutes. Course 5-10 applications.

Drug treatment will be more successful if you follow several rules that help provide peace to the affected area and improve blood circulation:

bed rest for several days until the acute pain subsides
hard bed - shield under the mattress
fixing belt (lumbar corset)
warmth on the lower back - warming ointments or a woolen belt

Physiotherapy for lower back pain

Physiotherapy	Mechanism of therapeutic action	Features of treatment
Short pulse electroanalgesia	The painful area is exposed to very short pulses, with a frequency of 2 to 400 Hz. This pulsation blocks the conduction of pain through the horns of the spinal cord. The impact of pulsed electric current increases blood flow and lymph circulation, promotes the elimination of lactic acid, which causes pain.	For severe pain, the pulse frequency is 77 Hz; as the condition improves, it is reduced to 10 Hz. Duration of the procedure is 10 minutes. Course of 10 procedures daily or every other day.
Diadynamic therapy	The body is affected by pulsed diadynamic currents of various frequencies and shapes. With their help, the sensitivity of peripheral pain receptors and the perception of pain in the brain decreases, and the production of endorphins increases. Blood circulation is activated and venous outflow increases. Tissue swelling and inflammation are reduced.	During the procedure, 2-3 types of currents are applied alternately Half-wave Short period Long period Duration 10-12 minutes. The number of procedures per course is 5-7.
Drug electrophoresis	Treatment with direct electric current in combination with the administration of painkillers (novocaine, lidocaine, trimecaine). This improves nutrition of the affected area and achieves a high concentration of the drug in the affected area. Under the influence of electric current, pain sensitivity is reduced.	The duration of the procedure is 15-30 minutes. A course of 15-20 procedures. Electrophoresis is done daily, for persistent pain 2 times a day.
Magnetic laser therapy	The body is simultaneously exposed to a magnetic field and low-energy laser radiation. This combination allows you to reduce pain and inflammation, accelerate regenerative (restorative) processes in damaged tissues.	Duration 15 min. A course of 10-15 procedures.
Magnetotherapy	The method is based on the influence of constant and alternating magnetic fields on the body. They change the rate of biochemical reactions. Cell membranes become more permeable to nutrients. The sensitivity of peripheral receptors is reduced, thereby providing an analgesic effect. Reduced swelling around nerves is associated with improved circulation.	Duration of exposure is 15-30 minutes. The course of treatment is 15-20 procedures.
Ultrasound therapy	For treatment, ultrasonic vibrations with a frequency of 800-3000 kHz are used. They have mechanical, thermal and physico-chemical effects on body tissues. Effects of ultrasound therapy: analgesic, anti-inflammatory, vasodilator, absorbent. The restoration of damaged cells is also accelerated.	It is carried out daily or every other day. Duration up to 15 minutes. 6-14 procedures per course.
Acupuncture	Impulses from needles inserted into reflex points block the passage of pain signals in the spinal cord and brain. The production of natural painkillers (endorphins and enkephalins), as well as corticosteroid hormone, which has a strong anti-inflammatory effect, increases.	The number of procedures is from 3 to 15. Session duration is 15-45 minutes.
Manual therapy	The hands of a massage therapist or special massagers irritate the nerve endings in the lumbar back. This eliminates muscle spasm and reduces swelling around the roots and spinal nerves. Blood supply and elasticity of the spinal ligaments improves. The amount of synovial fluid in the facet joints decreases.>	Therapeutic massage, unlike the above methods, is not performed for acute pain. Course of 10-15 procedures daily. It is advisable to repeat treatment every 6 months.

Physiotherapeutic procedures are contraindicated for:

benign and malignant formations
infectious lesion of the spine
abscesses and phlegmon in the area of influence
feverish conditions

Blockade for lower back pain
A drug blockade is carried out if severe pain in the lower back disrupts the normal rhythm of life and deprives one of ability to work.
The essence of drug blockade. A drug is injected into the area of pain, which has a strong analgesic effect - it blocks pain impulses. This procedure quickly relieves pain of any intensity. The effect lasts from 1 hour to several days.
Depending on the number of blockade procedures, there are single and course blockades. For one-time treatments, the 1st procedure is sufficient. Coursework is conducted once every 3-4 days. The number of blockades ranges from 2-3 to 15 per course.
Drugs used for drug blockade:
- anesthetic drugs: lidocaine, novocaine, ultracaine
- hormonal drugs: diprospan, hydrocartisone acetate, dexamethasone (injected into the facet joints to reduce inflammation)
- chondrioprotectors: alflutop, dona 3.
- mixtures of drugs: novocaine and vitamin B, novocaine and platyphylline, novocaine + diphenhydramine + pachycarpine + platyphylline.
Indications for blockade:
- acute pain in the lower back
- trigger points in muscles
- disc herniation
- inflammation of the ligaments
- compression of the roots and spinal cord in the spinal canal
- inflammation of the facet joints accompanied by acute pain
Contraindications:
- children's age up to 12 years
- deformation or infection of tissue at the site of the blockade
- purulent skin lesion - pyaemia
- damage to the central nervous system, inadequate appearance of the patient
- bleeding disorders
- intolerance to the blocking drug
Methodology. The skin is treated with an antiseptic. After preliminary anesthesia of the skin, the drug is injected into the places of greatest pain:
- trigger (painful) points
- areas of spasmodic muscles
- near roots and nerve fibers
- inflamed joints
The drug is administered slowly. It is necessary to avoid getting the needle inside a vessel or nerve trunk.

Prevention of lumbodynia

Watch your posture: stand straight, sit with your back tightly pressed to the back of the chair.
Do gymnastics every day for 15-40 minutes to strengthen the muscles of the back and abdomen.
Avoid injury and hypothermia in the lumbar region.
Do not make sudden movements when lifting weights.
Sleep on a semi-hard mattress.
If you need to carry heavy objects, the weight should be evenly distributed on both hands (2 bags).
Weightlifters use a fixing belt during training. Follow the method of doing the exercises.
Starting from 6-7 months, use a bandage for pregnant women (according to indications).

Vertebrogenic lumbodynia causes severe pain in the lumbar region. What it is, why it starts, how it manifests itself, what the treatment methods are - not everyone knows the answers to these questions. Let's figure it out.

General information

Vertebral, or vertebrogenic, lumbodynia is a disease localized in the lumbar spine. Vertebrogenic lumbodynia has a code according to ICD-10 (International Classification of Diseases) 54.5. This helps determine the generally accepted form of treatment for this pathology. Additional numbers indicate the type of disease, severity and other necessary indicators.

Vertebrogenic lumbodynia is observed in acute or chronic form. In the first case, unexpected sharp pain is observed. In this case, very often the focus of the disease is localized in the tissues adjacent to the spinal column.

Chronic vertebrogenic lumbodynia occurs when the spine is deformed. The development of pathology occurs slowly and almost imperceptibly. No symptoms appear until a certain stage of development of the pathology.

Causes of the disease

Vertebrogenic lumbodynia begins due to pinching of the nerve endings of the spinal cord. The main causes of this disease:

scoliosis;
sudden oblique movements;
(protrusion) of the vertebral disc;
spondylosis;
careless turns of the body;
osteochondrosis;
spinal column injuries in the lumbosacral area;
arthritis and/or arthrosis of intervertebral cartilage and other tissues;
osteoporosis;
displacement of the vertebrae in the lumbar region;
intervertebral disc herniation;
excessive physical activity;
vertebral neoplasms - tumors;
lifting and carrying heavy loads;
physical inactivity;
severe hypothermia;
severe overstrain of the central nervous system;
age-related destruction of the spinal column.

With an increase or decrease in muscle tone, lumbodynia with muscle-tonic syndrome may begin. Hypertonicity of the extensor muscles causes a decrease in tone in the flexor muscles.

An expectant mother may develop vertebrogenic lumbodynia in the late stages of pregnancy. Especially if the fruit is very large. Women with underdeveloped back muscles are usually at risk.

How does vertebrogenic lumbodynia manifest?

The main symptom of vertebral lumbodynia is sharp, severe lumbar pain. As a rule, they appear suddenly. At the moment of excessive load on the lumbar region, the intensity of the pain syndrome increases significantly.

In this case, pain also occurs in the area of the buttocks, limbs, pelvis, and anterior wall of the peritoneum. The specific location depends on the clinical picture of the disease.

Other symptoms of the disease:

spasms and cramps in the legs;
numbness of the lower extremities;
"goosebumps";
feeling of coldness in the lower leg and/or foot;
low mobility in the lumbar region;
difficulty urinating and/or bowel movements;
hypertonicity of muscle tissue;
fatigue and weakness in the back;
menstrual irregularities (in women);
weak potency (in men).

Vertebrogenic lumbodynia should be treated in the early stages. This will allow you to quickly get rid of the disease and prevent the development of additional pathologies.

Otherwise, chronic lumbodynia may develop. It begins within six months after the onset of back pain. This type of disease causes more serious pathologies in the spine. Chronic lumbodynia lasts a long time. It manifests itself as aching pain, which worsens with minimal load on the spine. The entire range of healing measures is used for treatment.

To make a diagnosis of vertebrogenic lumbodynia, the doctor needs to conduct an anamnestic conversation and a general examination of the patient. Additional data to clarify the clinical picture will help to obtain:

palpation;
fluoroscopy;
Magnetic resonance imaging;
CT scan;
laboratory tests of urine and blood;
consultations with highly specialized specialists.

These diagnostic techniques make it possible to determine the condition of the spinal column, the relative position of the vertebrae, the condition of adjacent soft tissues, etc.

Treatment of lumbodynia

Complex treatment of vertebrogenic lumbodynia involves the use of the following means:

oral medications;
injections;
suppositories for rectal administration;
ointments, gels, patches;
compresses;
manual therapy;
physiotherapy;
physiotherapeutic procedures;
kinesitherapy;
ethnoscience.

The most commonly used drugs are oral drugs from the group of non-steroidal anti-inflammatory drugs. This treatment helps minimize swelling of the nerve roots and reduce the intensity of pain. For injections, Diclofenac and other drugs of similar action are most often used. They are administered intramuscularly.

To enhance the therapeutic effect, the following are prescribed:

venotonics;
chondroprotectors;
muscle relaxants;
angioprotectors;
means to improve blood circulation.

External treatment is carried out through the use of anti-inflammatory gels and ointments with a warming effect.

Massage, manual and physiotherapy in the treatment of lumbodynia

Massage sessions in the treatment of vertebrogenic lumbodynia should be carried out with great caution. Self-massage is not recommended. After all, the spine is very easy to damage. Properly conducted massage sessions will help to gradually reduce muscle tension, reduce the intensity of pain and ensure good blood circulation in the damaged area.

Manual therapy is carried out in the direction of eliminating pinched nerve roots in the lumbosacral spinal cord. Wearing a special corset will help reduce discomfort during high-intensity pain syndrome. This will help avoid sudden movements and mechanical damage to the spinal column.

Physiotherapy is also used to treat vertebrogenic lumbodynia, which includes such physiotherapeutic procedures as:

cryotherapy;
electrophoresis;
acupuncture;
ultrasound;
laser irradiation;
magnetic fields;

A specific list of procedures is compiled strictly individually, taking into account the personal characteristics of each patient.

Physical therapy and surgical treatment

An indispensable means of preventing and/or curing vertebrogenic lumbodynia is physical therapy exercises. This method allows you to preserve and/or restore the motor activity of the spinal column in the lumbar region.

Currently, several effective gymnastic complexes have been developed for patients with this pathology. The training regimen is worked out individually for each patient.

With the help of therapeutic gymnastic exercises it is possible to:

stretch the spinal column;
strengthen the adjacent ligament system and muscles;
increase the elasticity of the connective tissues of the spine.

Initially, physical exercises are best performed under the guidance of a physical therapy instructor. In the future, you can study on your own. Periodic medical examinations will help evaluate the effectiveness of the treatment complex and make the necessary adjustments as needed.

In particularly difficult cases, vertebral lumbodynia is treated through surgery. Surgery is indicated if the patient has:

vertebral instability;
impaired blood circulation;
abscesses;
neoplasms;
innervation of the spinal cord.

If such pathologies are detected, fusion or discectomy is prescribed.

In the first case, the therapeutic effect is achieved by fusing the damaged element of the spine using an implant.
In the second case, the damaged spinal disc is removed. Instead, an artificial version is installed.

Special diet

Excessive weight very often causes the development of vertebrogenic lumbodynia. In people prone to constant overeating, the spine experiences enormous stress. Especially in the lumbar area.

To get rid of excess weight, you need to properly plan your daily diet. This requires consuming more foods such as:

fresh fruits;
natural vegetables;
fish and fish products;
lean meat;
jellied meats or jellies.

It is advisable to prepare all dishes from these products by boiling (or better yet, steaming) or baking. Add very little salt, and it is better to avoid seasonings and sauces altogether. Fruits, vegetables, and herbs must be consumed fresh. You need to eat fractionally, dividing your daily diet into 5 or 6 servings, approximately equal in number of calories.

Folk remedies

Traditional medicine offers symptomatic treatment for lumbodynia. This allows you to reduce swelling and inflammation, reduce pain, but folk remedies cannot eliminate the cause of the disease.

Rubbing is carried out using young aloe juice or pork fat. To consolidate the warming effect, it is necessary to warm the lower back after the procedure.

For rubbing, you can add a mixture of the following plants to pork fat:

dandelion (root);
marshmallow;
horsetail;
yarrow;
lavender.

Take the indicated herbs in equal parts, chop and mix. Brew with boiling water (0.5 tbsp), leave and strain. Add to 150 g of pork fat and use for rubbing.

Horseradish leaves are used for warming compresses. They must first be washed with running water, dried and doused with a little boiling water. The prepared leaves are applied to the painful area before going to bed. For insulation, use a scarf or scarf made of natural wool. In the morning the compress should be removed.

A good remedy for treating the back is coniferous tree resin; pine or cedar is better. To prepare a healing mixture from it, you need to add 1 tbsp. resin in 1 tbsp. (200 ml) vegetable oil (it is better to use olive oil). To stir thoroughly. To apply, apply the product to a linen or cotton napkin. Cover the area of pain with it and fix it. Change it in a day. The course of treatment is 10 days.

Ozokerite, or mountain wax, must be heated. Then an application is made from it on the lumbar region. To slow down the cooling of the wax and enhance the beneficial effect, you need to lie under a blanket. When the ozokerite cools, it is removed. The lower back is wrapped in a scarf or scarf.

Dangerous consequences

Without proper treatment, pathological changes in the body caused by vertebral lumbodynia gradually intensify. The affected areas will expand. As a result, complications such as:

constant severe pain;
radiculitis of the lumbosacral region;
paralysis of limbs;
general immobility;
paralytic sciatica;
deformation of the spinal column and/or individual discs.

A timely visit to a doctor and thorough completion of the prescribed treatment course will help you avoid the above pathologies.

How to protect yourself from lumbodynia?

Preventive measures and correction of the regimen will help to avoid vertebrogenic lumbodynia and/or other pathologies that cause back pain.

To do this you need:

maintain physical activity;
sleep on an orthopedic mattress;
Healthy food;
avoid hypothermia;
avoid stress;
to refuse from bad habits;
do special gymnastics;
Avoid too much physical stress.

After suffering from acute vertebrogenic lumbodynia or when the disease becomes chronic, these measures will help avoid recurrence of the disease or a severe relapse.

Lumbodynia is a collective concept denoting pain and inflammation in the lumbar region. In this case, the intervertebral discs, the spinal column itself, as well as the area around the spinal column are exposed to the inflammatory process. At the same time, nearby tissues and muscle fibers are also involved in the inflammatory process.

Is lumbodynia dangerous?

With proper treatment, the changes that occur with lumbodynia are quite easy to treat and do not pose a serious danger, leaving no traces behind. However, in the absence of treatment, or with improperly selected treatment, lumbodynia can be dangerous due to constant and intense progression, in which more and more tissues are involved in the inflammatory process. It is also worth noting that the disease progresses very quickly.

Its danger also lies in the fact that there is a serious danger of involvement of the cerebrospinal fluid in the inflammatory-infectious process, which can result in its contamination and spread of infection throughout the spinal canal, including into the brain area. This may result in an inflammatory-infectious process in the brain area. A common consequence of lumbodynia is myelitis (inflammation of the meninges), stroke (bleeding in the brain).

A generalized inflammatory and rheumatic process may also occur, which is accompanied by damage to connective and muscle tissue. At the same time, the heart muscle is often involved in the rheumatic process, which is fraught with heart defects, the development of severe damage to the heart muscle, up to heart disease and heart failure.

ICD-10 code

M54.4 Lumbago with sciatica

Epidemiology

According to statistics, lumbodynia occurs in every 10 people in a severe, quite pronounced form. Most often it appears in winter, since during this period the body is as weakened as possible, and cases of frequent hypothermia are also observed. This entails pain in the lumbar region. In first place in terms of the incidence of lumbodynia are patients who lead a sedentary, sedentary lifestyle, as well as those who have a history of musculoskeletal diseases. In second place, strangely enough, are athletes who, on the contrary, experience excessive stress on the skeletal and muscular system, feel overload and overtraining, as well as frequent injuries and damage. In third place are elderly people, especially those who suffer from acute and chronic arthritis, osteochondrosis, and radiculitis. The fourth place is occupied by people who have had infectious diseases and are undergoing chemotherapy and radiation. In fifth place are children under one year old and newborns with genetic abnormalities in the motor system.

Causes of lumbodynia

There can be many reasons, and in almost every case they are strictly individual. For example, lumbodynia can be a consequence of frequent stress, neuropsychic stress, as well as a consequence of the development of allergic, infectious, infectious-allergic diseases. Often pain in the lumbar region develops against the background of general hypothermia of the body, the development of inflammation of muscles and tissues with the involvement of other tissues in the inflammatory process.

Often the disease is chronic, at some point manifesting itself in the form of acute attacks of pain. In this case, it is often a concomitant factor against the background of inflammatory diseases of the upper and lower respiratory tract, nervous diseases and heart failure. It often appears during pregnancy and breastfeeding. Other tissues and organs may also be involved in the inflammatory process.

Often pain in the lumbar region is caused by hard work (physical), improperly distributed load, or excessive overload of the lower back. Often the cause is a bacterial or viral infection that accompanies the inflammatory process. Cytomegalovirus infection, herpes, and bacterial infection – streptococcal infection play an important role in maintaining inflammation. Less commonly, staphylococcal infection. Often, lumbodynia is caused by a recent infectious disease, including tonsillitis.

Sometimes congenital, genetically determined lumbodynia develops, which develops during the period of intrauterine development, and is subsequently a consequence of various diseases of the musculoskeletal system, its underdevelopment, and increased physical activity. The cause can even be intrauterine and postpartum infection of the fetus, with further progression of the infection along the spinal column and body.

Osteochondrosis

It is an inflammatory disease of the cervical spine, in which not only the vertebrae themselves, but also the intervertebral region are involved in the inflammatory process. Also, a feature of this disease is that it causes intensive deposition of moles in the intervertebral discs, which causes pain and stiffness. It occurs mainly against the background of a sedentary lifestyle, with improper gait, improper sitting, and prolonged stay in one position.

Lumbodynia against the background of dorsopathy

It is a pain syndrome of inflammatory origin, the main etiological factor of which is considered to be insufficient mobility, poor hygiene and daily routine, which entails an inflammatory and infectious process. Bone and muscle structures are involved in this process, including the vertebrae and intervertebral discs. The danger is that nerve fibers can also be involved in the inflammatory process, which increases pain, which intensively spreads along the nerve fiber. The process can be manifested by severe attacks of pain, which alternate with a feeling of burning and heat in the affected area.

Post-traumatic lumbodynia

As the name suggests, this is lumbodynia, which develops in response to injury. That is, it is a severe pain syndrome in the lumbar region, which develops after an injury affecting the lower back. Any factor of high intensity and strength can be traumatic. This may be a mechanical factor of a damaging nature (fall, strong push, pressure, mechanical friction). Often such pain occurs as a result of rapid-acting violence in relation to the lumbar spine.

According to statistics, this is most often the consequence of a fall, impact, or damage from a vehicle. It can occur from bending the bone and spine beyond the limit of its elasticity, with strong compression and rupture, twisting and crushing. A special place is occupied by lumbodynia, caused by the traumatic effect of the disease process of the bone, in particular, caused by congenital fragility, purulent inflammation, rickets, syphilis, tuberculosis.

Risk factors

The risk group includes people who often suffer from colds and infections, as well as those who take antibiotics and chemotherapy. A special group consists of people who are often exposed to traumatic influences and subject their lower back to heavy physical stress. People with dysbacteriosis, as well as with the presence of foci of infection (bacterial, viral), also have a significant risk of getting lumbodynia. The risk also increases in the presence of acute or chronic diseases of the musculoskeletal system, including osteochondrosis, arthritis, bursitis. There is also a high risk if you have diseases of the nerves and nervous system.

Pathogenesis

The pathogenesis is based on the development of pathological processes in the lumbar spine. In this case, disruption of normal blood circulation, disruption of innervation, and disruption of metabolic processes in the lumbar region may occur. There may also be deposition of salts, stones between the vertebrae, and release of intervertebral substance into the space between two vertebrae. Gradually, the inflammatory process develops, the infection progresses, which entails the progression of the disease, its spread and the formation of new foci of infection.

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Symptoms of lumbodynia

Acute lumbodynia

The acute phase implies the presence of an inflammatory process in the lumbar region and coccyx. Nerves are involved in the inflammatory process and are mechanically damaged. The pain is usually sharp, acute, more pronounced during the daytime, and also after a person has been in one position for a long time. Acute pain is practically not eliminated with the help of physical exercises, but requires special treatment, for example, injections or the use of local remedies. The most commonly used are ointments, gels, creams and other medications.

Subacute lumbodynia

The subacute form of the disease is characterized by a relatively mild form of the course, in which pain bothers a person only in the presence of appropriate conditions. For example, if a person sits or lies for a long time without moving, he will experience pain. The pain is less piercing, rather aching, pulling, which easily spreads to neighboring areas. It goes away quite quickly under the influence of physical exercises aimed at the lumbar region.

Chronic lumbodynia

The pain, which spreads to neighboring areas, causes severe tingling and burning. As a rule, exacerbation occurs under the influence of various factors that trigger the development of the disease. For example, this could be severe hypothermia, excessive nervous and mental stress, heavy physical activity, and even improper distribution of the load with its predominant localization in the lumbar region.

Moderate lumbodynia

An indicator of moderation is controlled pain, which can easily be relieved with various medications, as well as with proper physical activity. There is a special set of exercises aimed at unloading the lower back. It is regular exercise that is the key to control the condition of the lower back and allows you to eliminate any pain in a relatively short time.

Complications and consequences

First of all, the main adverse consequence is pain, which bothers a person quite intensely and for a fairly long period of time. It is also worth noting that there is another unpleasant consequence - irradiation of pain, inflammation or mechanical damage to the nerve. Gradually, aseptic inflammation may spread around the affected area, but sometimes a regular inflammatory process may develop, accompanied by infection.

You should also be wary of the possibility of degenerative processes, which are accompanied by conduction disturbances, inflammation of the nerves, and inflammation of the myelin sheaths.

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Exacerbation

Occurs mainly in spring and autumn, since it is during this period that most inflammation occurs. This is due to the fact that this period is accompanied by maximum weakening of the body, defense mechanisms, and resistance.

It happens under the influence of various unfavorable factors on the body: excessive stress, overexertion, increased load on the body. Quite often, an exacerbation occurs in the summer, when a person performs various physical activities, swims in a river, bathes, sunbathes on cold ground, freezes, a sharp change in temperature occurs - after tanning in the sun, a person plunges into cold water in the river. Failure to adhere to the daily routine, poor diet, abuse of non-dietary foods, alcohol - all these can be factors that trigger an exacerbation.

It should also be noted that in winter, exacerbations also occur quite often, especially in severe frost (due to hypothermia, draft, cold, piercing wind). Also often exacerbation occurs from stress, neuropsychic overstrain.

Remission

Characterized by a state of relative calm and improvement. Almost always occurs in any chronic pathology. A fairly long remission can occur after an acute attack of lumbodynia has been cured. Treatment with special medications, as well as after injections of painkillers, usually results in a state of remission.

If this condition is not maintained with special supportive therapy, preventive medications and physiotherapeutic procedures, remission can quickly develop into a state of new exacerbation. But if you maintain this regime, remission can last quite a long time - from several months to several years. There are cases when, after the onset of remission, no more exacerbations occurred, and a person lives for decades without new attacks, although due to various circumstances, the diagnosis was not finally removed.

Persistent lumbodynia

This condition can also be quite long-lasting. The pain is usually not relieved by any medications or ointments. But in order to prevent persistent lumbodynia from becoming chronic, mandatory treatment is required. In most cases, mandatory hospitalization is required, since inpatient treatment is ineffective.

Recurrent lumbodynia

It often happens that lumbodynia is completely cured, and after a few weeks it returns again. This return of the disease after improvement is called relapse. At the same time, in a repeated case, treatment is also required. If possible, comprehensive treatment should be carried out, and hospitalization may even be required (as this is the most effective, comprehensive form of treatment). It is worth noting that the treatment of relapse must be approached with the utmost seriousness, since if not cured immediately, the disease can become chronic.

Diagnosis of lumbodynia

As soon as you feel acute pain, contact a neurologist or surgeon. A neurologist will conduct an examination and check basic reflexes. It is also important to consult a surgeon, who in most cases palpates the pathology and determines its cause and pathogenesis. If these specialists are not available, help can be provided by a traumatologist, or an orthopedist, or an orthopedic surgeon.

First of all, high-quality diagnostics are important, which will help make the correct diagnosis and select the optimal treatment. Without a diagnosis, it is impossible to select treatment, and it is also impossible to cure a person. Therefore, it is ideal to visit a good diagnostician. But in our country the practice of visiting diagnosticians is still not widespread enough. This scheme is practiced mainly in the USA and Europe: when a person goes to one person who conducts a comprehensive examination and makes a single diagnosis based on data from various tests, examinations, as well as an analysis of all the results obtained and available information.

As a last resort, if the clinic does not have specialists in such areas, you should contact a therapist, who will refer you to the necessary specialists. In such cases, almost always, a consultation with a surgeon and a neurologist is prescribed.

Usually the diagnosis is made based on the results of the examination: severe pain. There is a decrease in basic reflexes. First of all, it is possible to diagnose a violation of the knee reflex, a violation of the normal functioning of the Achilles tendon, and the absence of appropriate reflexes. Lasègue symptoms are observed.

Instrumental diagnostics

It is impossible to do without the use of instrumental research methods. The main methods are such methods as X-ray examination, as well as computed tomography and magnetic resonance imaging. These are methods that make it possible to determine the cause and exact localization of the pathology as accurately as possible and in a relatively short time.

The main goals of such a study are to determine at what level (part of the spine) the pinching occurred. An X-ray examination is carried out. CT and MRI are used in relation to the affected area.

Sometimes electroneuromyography may be required to determine not so much the cause as the violation of muscle contractility. It records how and at what speed/intensity nerve impulses travel.

Analyzes

Laboratory methods are ineffective and are rarely used in the diagnosis of lumbodynia. At the very least, standard methods, such as clinical and biochemical blood tests, will not show an accurate picture of the pathology. But sometimes these research methods may be required. For example, if an X-ray or tomography shows pinched and compressed nerves, tests can be used to determine what exactly caused the compression. For example, you can use a biochemical blood test to identify a tumor and determine its location. A routine clinical blood test is often used to determine the presence of an inflammatory process. Also, with the help of these tests, it is possible to determine what type of inflammation is taking place - septic or aseptic.

Lumbodynia of the lumbar spine is manifested by severe pain in the lower back. This occurs as a result of damage to the soft tissue in the vertebral area, most often a muscle or disc is affected. Manifestation in the form of spasms when a person engages in physical activity, bends, or lifts heavy objects. The cause of the problem is the development of a serious pathology, which must be identified by a doctor after carrying out the necessary diagnostic procedures.

What is the disease?

Lumbodynia is a pain syndrome (left, center or right), which is manifested by stiffness of movement and muscle spasms. It is diagnosed in people of any age, along with another disease. It is neurological in nature and can appear against the background of rapid growth of the body or its aging, increased stress or injury. Often confused with, due to the similarity of manifestations and symptoms. But unlike it, lumbodynia occurs:

spondylogenic;
discogenic.

In the first case, the appearance of pain is caused by poor circulation in the lower back, which causes the vertebrae to degrade. In the second, deformation occurs due to changes in the intervertebral space.

Reasons for appearance

Lumbodynia appears not only in the lower spine, but is also often observed in the legs, buttock or perineum. This condition is caused by excessive stress on a weakened muscle frame; pain is felt after severe muscle tension. The main reasons for the development of pathology are identified:

Constant pressure. It is created in patients leading a passive lifestyle, with sedentary work, and large body weight. During pregnancy and in people sleeping in the wrong position, pressure on the spine increases, swelling occurs, and aching pain appears.
Lack of sports. If the muscular corset that supports the back is weak, then the load from carrying heavy weights leads to poor blood circulation, brings the vertebrae closer together and leads to pinching of the spinal endings.
Slouch. Incorrect position while walking, working at the computer and resting leads to displacement of the vertebrae, inflammation and pain.
Frequent hypothermia. They are dangerous for the body because they cause vascular spasms, disrupt blood circulation, and reduce the elasticity of cartilage tissue.
Excessive body weight. Obesity of any degree increases the load on the spine, which displaces discs and disrupts the natural movement of biological fluids in soft tissues.
Age-related changes. Over time, a person's muscles become weaker; if they are not kept in good shape, they will lose their elasticity. This leads to poor posture and bone tissue degradation. Severe pain gradually appears.
Degenerative changes. The narrowing of the spinal canal gradually leads to severe pain in the buttocks or thighs. In addition to discomfort, it also affects the process of urination, bowel movements and leg mobility.

In addition to the reasons listed, severe stress, trauma, as well as osteochondrosis or other pathologies (hernia, protusions, arthrosis) can affect the condition of the vertebrae. If you do not take action in the acute period and ignore the emerging symptoms, this will lead to loss of ability to work or disability. The treatment tactics chosen by the doctor largely depend on the cause, which is determined during the examination or medical history.

The acute form of lumbodynia is characterized by the appearance of severe pain radiating to the lower extremities

Classification

Lumbodynia is a collective definition that includes symptoms of many diseases. It is used to characterize pain that appears in the lumbar region. The main forms are:

acute: manifested by severe pain in the lower part of the ridge in the form of pulsation or shooting;
chronic: proceeds slowly, symptoms are often attributed to overexertion, leading to damage to the spinal structures.

The acute form appears after awkward movement, heavy lifting, or severe hypothermia. Degenerative processes occur in the sacral or lumbar region, the peak of development occurs during intense pain. In rare cases, it goes away on its own.

Chronic lumbodynia flows from the acute form, and is characterized by mild symptoms. The pain radiates to the buttocks, lower limbs, hips, upper back (vertical). The location can be found by palpating the patient. Low intensity of signs leads to late diagnosis.

The appearance of rapidly increasing back pain is a reason to suspect a disorder. But depending on the nature of origin, the disease is classified into two types:

vertebrogenic lumbodynia: the cause of the problem is hidden in injuries and pathologies (osteoporosis, protusions, arthritis, osteochondrosis);
nonvertebrogenic lumbodynia: the appearance of pain is not related to damage to bone tissue, and the etiology may be hidden in kidney disorders, gastric ulcers, chronic pancreatitis, polycystic disease or inflammatory processes in the ovaries.

The doctor prescribes treatment only after determining the type of pathology and the form of its course. This allows you to choose the most effective tactics and treatment regimen and increase effectiveness.

When the first symptoms appear, you should immediately see a doctor

Symptoms

The main symptom of the disease is acute severe pain, concentrated in the back or radiating to the hips, groin, and lower extremities. To differentiate lumbodynia from similar diseases, such as dorsopathy, pay attention to other clinical symptoms and disorders:

increasing discomfort when turning and bending;
inability to freely straighten or bend your back;
sharp pain when sneezing, coughing, or even trying to take a deep breath;
feeling of blockage or tightness in the lower back;
shooting in the limbs;
menstrual irregularities;
numbness of the skin;
weakening of potency;
decreased sensitivity in the feet;
Frequent cramps in the calves.

The patient may experience several symptoms or just one at the same time. It all depends on the cause of the pathology. It is impossible to make a diagnosis for yourself based solely on personal feelings. It is mandatory to see a specialist for testing.

X-ray is one of the most informative diagnostic methods

How is lumbodynia diagnosed?

Modern medical devices make it possible to determine the cause of pain quickly and without pain. To diagnose the disease, doctors resort to the following methods:

X-ray of the location of pain (detects deformities);
computed tomography (establishes the nature of the problem);
magnetic resonance imaging (detects the pathological process and its effect on neighboring tissues).

The test results are reviewed by a specialist in conjunction with anamnesis and a description of symptoms. Only after obtaining a complete picture of what is happening is appropriate therapy prescribed.

Features of treatment

When the first pain appears in the lumbosacral region, you should contact your local physician. To effectively combat the problem, it is necessary to establish the cause, undergo an examination and apply an integrated approach. It, in turn, includes the following types of impact:

drug therapy;
physical therapy (physical therapy);
physiotherapy;
ethnoscience;
surgical intervention.

A disorder such as lumbodynia cannot be treated at home, without consulting a doctor, as it is dangerous due to the appearance of various types of pathologies. It is a systematic approach and constant monitoring of dynamics that will avoid the development of serious complications.

Medicines are one of the components of the treatment of lumbodynia

Fighting pain with modern drugs

Medicines are prescribed by the attending physician based on an assessment of the patient’s general condition, his age, the presence of contraindications and the test results obtained. During the process, the duration of exposure may be adjusted, selected medications will be replaced with highly specialized ones, and the dosage may be increased, but only at the discretion of the doctor. This therapy is aimed primarily at combating symptoms and involves taking the following medications:

painkillers (antispasmodics, analgesics). They improve the patient’s condition, relieve pain, but cannot cure the disease. They are only a component of general therapy;
anti-inflammatory (“Diclofenac”, “Nimesulide”, “Deep-Relief”). Aimed at normalizing body temperature, eliminating unpleasant symptoms, relieving swelling;
vasodilators (“Pentoxifylline”, “Actovegin”). Eliminate spasms, relieve pain, normalize the lumen of blood vessels for the natural movement of blood;
non-steroidal drugs (“Nimesulide gel” or other ointments). Affect the affected area locally.

The choice of medication largely depends on the cause of lumbodynia, as well as the presence of severe symptoms in the patient. Methods of influencing the problem with spondial arthrosis or a pinched nerve will differ radically from each other. Do not forget about the individual approach to each patient. In addition to prescribing medications, the doctor recommends bed rest and a simple diet, wearing a lumbar corset, and visiting a massage therapist or chiropractor.

Exercise therapy will help strengthen your back and cure lumbodynia

Exercise therapy to strengthen the muscle frame

A set of exercises is prescribed, depending on the patient’s health status, physical fitness and location of pain. Gymnastics allows you to achieve the following results:

stretch the spine;
strengthen adjacent muscles;
increase flexibility and elasticity of soft tissues;
reduce the manifestations of spasms;
improve blood circulation;
activate the outflow of lymphatic fluid;
speed up the process of tissue restoration;
relieve pain syndrome.

Exercises for lumbodynia with sciatica or with muscular tonic syndrome will differ from each other. Therefore, there are no universal approaches; the complex is selected individually for each patient.

Physiotherapy and massage

Neurology has long adopted treatment options using procedures such as acupuncture, electrophoresis, and magnetic therapy. They are carried out in a clinical setting by specialists with a sufficient level of qualifications; the specifics and duration of exposure are prescribed by a doctor.

In addition to them, it is useful to visit a massage therapist who practices therapeutic effects on a sore back. It is carried out by medical workers with a sufficient level of qualification. With the help of stroking, forceful pushes, pinching and other manipulations, in one session it is possible to relieve muscle spasms, get rid of pain, normalize the movement of blood in the tissues, and restore the elasticity of the vertebrae.

Folk remedies

Compresses based on alcohol, as well as infusions of medicinal plants, help improve the condition. Dandelion flower and horse chestnut cope well with the task. They are finely chopped, poured with alcohol and infused for several days. A moistened, clean cloth is applied to the affected area. A similar effect can be obtained with horseradish root compresses or rubbing with pork fat. With their help, blood flow improves and inflammation is relieved.

Excellent folk remedies that can effectively combat lumbodynia are ointments based on lavender, marshmallow, comfrey, cinquefoil, and horsetail. They are used only in combination with other methods of therapy as prescribed by a doctor.

Surgical intervention

If the cause of the pain syndrome threatens the patient’s life, he is prescribed surgery. It is resorted to only in extreme cases, for example, if the traditional method of treatment has not yielded results and there is a risk of paralysis. Discectomy, or implantation of an artificial vertebra, is used.

Disease prevention

Preventing the occurrence of lumbodynia is much easier than treating it. Therefore, experts recommend leading a healthy lifestyle, strengthening your back muscles, walking more in the fresh air and avoiding any injuries. In addition, the following simple recommendations will help protect yourself from back pathologies:

Pay maximum attention to the choice of mattress and pillow. They must be fully age appropriate and have a fairly hard and smooth surface.
Exercise more often or do regular exercises in the morning, and warm up during breaks at work.
Try to keep your back straight, especially when working at the computer.
Avoid hypothermia in the winter.
Control your weight and maintain proper nutrition.

Almost any factor can provoke pain, so you must try to follow preventive measures and undergo regular medical examinations. This will allow you to detect disorders in the early stages and undergo treatment on time.

Lumbodynia is only a signal that something is wrong with the body. Therefore, you should not treat the syndrome with painkillers and ignore the problem. For the first ones radiating to the lower extremities, you should consult a doctor for comprehensive treatment. This will protect yourself from complications and severe deformation of the ridge.

Panina Valentina Viktorovna

Actress, Honored Artist of the RSFSR

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I found out about you on the Internet - I urgently need an MRI.

And after the performance I’m with you. I really liked your staff. Thank you for your attention, kindness and accuracy.

May everything be as good in your soul as I am now, despite all the problems...

Be!!! We're happy! Your Panina V.V.

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I found out about you on the Internet - I urgently need an MRI.

And after the performance I’m with you. I really liked your staff. Thank you for your attention, kindness and accuracy.

May everything be as good in your soul as I am now, despite all the problems...

Be!!! We're happy! Your Panina V.V.

I found out about you on the Internet - I urgently need an MRI.

And after the performance I’m with you. I really liked your staff. Thank you for your attention, kindness and accuracy.

May everything be as good in your soul as I am now, despite all the problems...

Be!!! We're happy! Your Panina V.V.

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Sergei Shnurov

Russian rock musician, film actor, TV presenter and artist.

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Lumbodynia: what it is, causes and mechanisms of development. Treatment of lumbodynia of the lumbar spine Lumbodynia of the lumbar spine symptoms treatment

Anatomy of the lumbar spine

Causes of lower back pain

What injuries or pathologies cause lower back pain?

Diagnosis of the causes of lower back pain

Treatment for lower back pain

Treatment of lumbodynia with drugs

Physiotherapy for lower back pain

Blockade for lower back pain

Prevention of lumbodynia

General information

Causes of the disease

How does vertebrogenic lumbodynia manifest?

Treatment of lumbodynia

Massage, manual and physiotherapy in the treatment of lumbodynia

Physical therapy and surgical treatment

Special diet

Folk remedies

Dangerous consequences

How to protect yourself from lumbodynia?

Is lumbodynia dangerous?

ICD-10 code

Epidemiology

Causes of lumbodynia

Osteochondrosis

Lumbodynia against the background of dorsopathy

Post-traumatic lumbodynia

Risk factors

Pathogenesis

Symptoms of lumbodynia

Acute lumbodynia

Subacute lumbodynia

Chronic lumbodynia

Moderate lumbodynia

Complications and consequences

Exacerbation

Remission

Persistent lumbodynia

Recurrent lumbodynia

Diagnosis of lumbodynia

Instrumental diagnostics

Analyzes

What is the disease?

Reasons for appearance

Classification

Symptoms

How is lumbodynia diagnosed?

Features of treatment

Fighting pain with modern drugs

Exercise therapy to strengthen the muscle frame

Physiotherapy and massage

Folk remedies

Surgical intervention

Disease prevention