Osteochondrosis

Blockade with osteochondrosis of the lumbar spine

Protrusion is a disease of the spine and intervertebral discs, which is characterized by the appearance of severe pain. In severe cases, leads to loss of performance.

This disease is considered to be the beginning of the development of intervertebral hernia. The main treatment for acute pain relief is blockade. What he really is?

Classification

Protrusion can occur in the cervical and lumbar spine. In the first case, there may be pain in the back, tingling in the ribs, weakness of the abdominal muscles.

The protrusion of the intervertebral discs in the lower back is expressed in incessant pains, the appearance of sciatica, numbness of the fingers and toes, weakness in the legs and even problems in urination.

Features of treatment

The blockade during protrusion allows at least for some time to get rid of severe pains that characterize the disease.

Pain is almost immediately after the introduction of the drug into the muscle. In most cases, pain relievers are used. They are introduced into the nerve plexus. This is the most common type of procedure.

Another type of blockade during protrusion of the spine acts a little differently. For injections are used drugs or groups of corticosteroids, or a mixed type. To appoint and perform such manipulation should only be an expert.

Spinal blockade has a number of features that distinguish it from other procedures:

  1. Relief comes almost instantly.
  2. Used drugs have almost no side effects.
  3. Treatment in this way can be carried out more than once.

Enter drugs

According to this parameter, the procedure is divided into ordinary and cord blockade:

  • When using the classical method, the patient must lie on the couch in the stomach. The doctor probes his back and finds a source of pain. In most cases, this place tells you where the affected vertebra is located. The skin is treated with alcohol or any other antiseptic composition. Using a thin needle, the doctor injects the drug under the skin, on the surface of which the “lemon peel” should appear.
  • The second variant of the procedure involves the use of a thin and long needle, which has some design features. It is inserted all the way into the spinous process. The drug gets to the right place when it is bred back. Even before the needle is completely out, the doctor turns it the other way and repeats the action. Impact on the source of pain occurs from all sides.

There is a way here:

  1. The needle is inserted shallowly. The drug enters the body immediately after administration.
  2. The second method involves the deep introduction of the needle and the complex process of its removal. Blocking pain occurs in two places: near the process or closer to the edge. The first portion of the drug is injected under the skin, the second - in the direction of the needle inside. It is important to feel how it slides along the process.
  3. After the main injection, the specialist moves the needle out and delivers an additional portion of medication. Pain disappears in the course of all the spermatic cord.

There is a blockade of three and six points:

  • The doctor injects medicine into the space between the sacral spine and the lower back vertebrae.
  • The second method is called funicular. The drug is injected in six points arranged in two rows parallel to each other.

Tips and tricks

There are a few tips on how a doctor and patient should behave:

  1. The procedure should be carried out exclusively in a hospital setting. It is made by a specially trained specialist.
  2. During the procedure, the patient must comply with all the requirements of the doctor.
  3. After the injection is done, the patient is recommended to lie on his side for about an hour. Under the head, you can put a pillow.

Spinal protrusion is a rather difficult disease. Late treatment can lead to disastrous consequences. One of them is severe pain in the area of ​​the affected vertebra.

Get rid of them will help blockade with painkillers. It is important that the procedure is performed by a highly qualified specialist. Only in this case, the general condition of the patient will significantly improve, and the pain will go away.

A selection of my useful materials on the health of the spine and joints, which I recommend you to look at:

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Denial of responsibility

The information in the articles is intended solely for general information and should not be used for self-diagnosis of health problems or for medical purposes. This article is not a substitute for medical advice from a doctor (neurologist, therapist). Please consult your doctor first to know exactly the cause of your health problem.

What is a medical or medical blockade?

Medical blockade - This is a relatively new method for the treatment of pain and a number of other clinical signs of the disease. To reduce the manifestations of pain in a patient, a drug or a mixture of drugs is administered at the immediate site of its occurrence.

The method of drug or medical blockade has cardinal differences from other methods of pain relief, the history of using this method began only one century ago. However, the complex application of all methods of treatment carries a greater effect in curing the patient.

How does the blockade?

The main task of the drug blockade is the relief of pain. However, for the effectiveness of treatment is also important to search for the immediate focus of pain. And the less time and money spent, the less adverse reactions received, the more effective the treatment is. The method of drug blockade is just capable of solving such problems.

The blockade with the help of drugs breaks the nerve chain and does not give the pain impulse from the point of pain to reach the brain. So the nerve conduction in the central nervous system returns to normal.

The main mechanism of therapeutic effects of drug blockade is the main ability of the anesthetic to inhibit the nerve impulse in the receptor for a while and to conduct this impulse further into the cerebral cortex.

What does medical blockade give?

For example, articular pain can track the impact of the blockade. After the injection of a medical substance into the sore joint, the pain syndrome gradually decreases, until it disappears completely.

This result of treatment is achieved for several reasons:

  • in the focus of pain, the highest concentration of medication occurs,
  • the work of the drug takes place directly in the reflex arc,
  • specific effects of drugs or their specially selected combination.

Why spend the drug blockade?

The indications for the use of drug blockades will be pain, provoked by diseases:

  • pain after surgery and amputation of limbs,
  • osteochondrosis of the spine, pain in the head, with arthritis, arthrosis, gonarthrosis, neurological syndromes,
  • vertebro-visceralgia, plexopathy, complex regional pain syndrome.

Drug blockades are carried out even in myotonic and tunnel syndromes, Miniere syndrome, conduction disorders in the tissues of the lower and upper extremities.

Blockades also help the doctor to establish an accurate diagnosis by determining the focus of pain, the overall picture of the disease and the causes of the syndrome.

How is the procedure?

When intra-articular administration of anesthesia medication occurs, the reaction occurs rather than periarticular, but it is sometimes not always possible to inject the drug into the joint in this way.

Description of the process of setting the knee blockade:

  • Usually the drug is injected from the outside of the knee, at the same time there are less consequences and side reactions. Sometimes, according to indications, injections are also administered from the inside, and in order to relieve severe postoperative pain, injections are used on both sides of the knee joint.
  • Under the knee underlay roller from the towel to raise the knee, while the patient lies on his back.
  • Perparate is injected perpendicularly with a needle. leg of the patient and slowly implanted into the joint.
  • If a synovitis has developed, before the start of drug administration with the syringe, the excess fluid from their joint is sucked away. Only the field of this conduct blockade.
  • Before the introduction of the drug, specialists always determine the structure of the patient’s joint by radiography or by ultrasound., to be able to get with greater accuracy in the joint.
  • To check the accuracy of the introduction of the needle take a few drops of intraarticular fluid, after which the syringe is replaced by another. The doctor makes the injection in such a way that the least amount of nerve endings and blood vessels is in the injection site.

Most patients feel pain during the administration. Only after the start of the action of the drug, the pain disappears, edema disappears and normalizes in full movement in the joint.

What is dangerous spinal blockade?

Any patient to whom the doctor advises the blockade as a treatment will ask the question: “What harm can a drug blockade cause me?”

The level of intensity of adverse reactions is dependent on the amount of the drug in the plasma of blood:

  • Signs of a mild toxic reaction: the throat and language grows numb, dizzy, there is an irregular heartbeat, it gets dark in the eyes.
  • Signs of an average toxic reaction: involuntary contraction of muscles, up to seizures, agitated state, the patient may feel sick or vomit.
  • Signs of a strong toxic reaction: coma, severe breathing difficulties and heart function.

To avoid such serious consequences, the procedure should be carried out in a hospital with a qualified doctor in the presence of a full set of resuscitation tools. To date, such severe adverse reactions are successfully prevented by competently carrying out all the resuscitation steps to prevent the death of the patient.

Contraindications

Contraindications for blockade are such diseases and conditions:

  • Human immunodeficiency virus and other conditions associated with reduced immunity.
  • Inflammatory skin lesions in the injection area.
  • In the stage of decompensation of diabetes.
  • Personal intolerance to the drug for the blockade.
  • Increased body temperature and the general disease state of the patient.
  • Chronic increased pressure in the patient.

Before the manipulation, specialists are obliged to find out whether the patient has these health problems, but the patient himself must take care of his health and honestly tell the doctor about all his diseases and allergic reactions.

Types of blockade

The introduction of the drug is carried out both in one zone and in several zones. The option of carrying out and the type of drug for the procedure is chosen, of course, by the doctor individually, depending on the patient's diagnosis.

Types of drug blockade:

  • With paravertebral blockade the injection is done near the spine.
  • With epidural blockade an anesthetic is injected into the membranes of the spinal cord. This option is done exclusively in stationary conditions.
  • With intraarticular - drugs are introduced immediately into the articular region.
  • Diagnostic blockade carried out to determine the focus of pain.
  • Intraosseous done directly into the bone.
  • When periarticular or paraarticular - substances are introduced into the periarticular zones - tendons, muscles and ligaments.

In addition, anesthetics are often introduced into the trigger points, muscle hypertonus zones, as well as nerve pinched zones.

Preparations for blockade

Analgesic medicinal blockade:

  • Used for the relief of severe and chronic pain, if the diagnosis has an additional vascular or nerve disease. Such procedures are usually divided into receptor, conductive or ganglion.
  • Novocain is usually used as the main local anesthetic drug. which has neurotropic properties, improves the permeability of the membranes of nerve cells, restores the function of the spinal nerves, at the same time without interrupting the conduction of nerve pathways.
  • Lidocaine is also used as a painkiller.It has a strong anesthetic effect, but is more toxic.

Blockages for relieving inflammation in the pain zone using glucocorticosteroid agents are the main drugs with this glucocorticosteroid hormone drugs:

  • Hormonal drugs act antihypoxic and relieve allergic reactions at the injection site. Such drugs relieve inflammation, swelling, pain.
  • In the case of the introduction of corticosteroids in thinned and diseased tissue, they prevent the formation of connective tissue and the creation of new cells, accelerate the breakdown of spent protein.
  • Are used: Diprospan, Kenalog (often causes side reactions), Dexamethasone, Hydrocortisone.

When deforming arthrosis of the joints have a good effect when combined use of corticosteroids with chondroprotectors (Artroy, Donoy, Hondrolon).

Blockade using muscle relaxants:

  • Appointed to relieve chronic high muscle tone. with spastic paresis (with the consequences of a stroke, craniocerebral or spinal injury, with cerebral palsy, multiple sclerosis.)
  • At the place of use it can be preterminal or conductive blockade., the effect of the effect occurs due to the interruption of the flow of nerve conduction to the center of pain in the muscle fibers.
  • The base substances for the introduction are considered a mixture of alcohol and novocaine, as well as drugs based on butulin.

Ozone blockade of the spine

The introduction of the drug with ozone and oxygen helps to effectively relieve pain in the spine and inflammation, is also used to limit mobility in the articular zones, improve the quality of the intra-articular fluid and its total volume.

Dosages for the use of ozone in the form of injections are calculated by the ozone therapist, they depend on the diagnosis of the patient and the degree of joint damage. The introduction of ozone is usually recommended 2-3 times a week, the treatment regimen includes only 8-10 injections.

Spinal blockade with osteochondrosis, hernia and disc protrusion

Before manipulation, the doctor always first finds the starting point of the inflammatory process of the patient, for this purpose, a general diagnosis is prescribed using CT or MRI procedures.

For blockade with intervertebral hernia, osteochondrosis and disc protrusion, novocaine blockades and paravertebral administration are usually used:

  • The injection of the drug is injected into the musclefabrics directly next to the vertebrae.
  • Most often, Novocain is used as a base anesthetic. But the action of Novocain in this case is rather short, since the drug is not injected deeply.

The epidural option has a stronger effect on the hernia blockade because the drug is introduced more deeply into the muscles:

  • Directly into the lining of the spine is injected drug or several drugs. At the same time, there is a high risk of complications, therefore this procedure has the right to be performed exclusively by a qualified neurosurgeon.
  • Fluoroscope controlled the doctor inserts a needle into the immediate area of ​​pain.
  • The procedure takes no more than one hour. After the patient's doctors watch for another two hours.

Blockade of the lumbar and sacral spine

This blockade is used for sharp pains in the lumbar or sacral area:

  • The injection is made next to the processes. at the level of the affected segment. The syringe is introduced into the depth up to the stop in the transverse process. The solution is introduced in an amount of 10-20 ml.
  • Paravertebral block is usually used., indications - strong back pain. The skin layer is punctured and the drug Novocain is injected, with each subsequent injection being made at the edge of the infiltrated area.

Cervical blockade

A blockade of the cervical spine is done to relieve pain in this area. At the level of the painful segment, an injection is made through the muscle tissue up to the articular processes. A commonly used solution of Novocain in a volume of 2-5 ml.

Blockade of the knee joint with arthrosis

After the procedure, a marked decrease in the intensity of pain occurs on the knee, up to its disappearance. Reducing inflammation helps to normalize mobility in the joint. If the treatment includes injections of hyaluronic acid, this additionally protects the surface of the cartilage from excessive friction.

How long does the blockade work?

The duration of the effectiveness of the drug is always depends on the type of leksarva, as well as the specifics of the patient's pathology.

Terms of impact on pain:

  • Anesthetic actionusually lasts for 2-5 hoursAfter that, the pain may reappear, but the intensity should decrease.
  • The second time the introduction of corticosteroids can be done in as early as four days.
  • A maximum of 3 blockades are prescribed for the course. with an interval of 2-4 days. On average, this course is enough to stop pain for 4-6 months.

Side effects

As with any medical operation, adverse reactions are possible after the blockade:

  • Inflammation is possible in the area of ​​anesthetic injection. and local effects on the skin.
  • Allergic reactions are also possible on a specific drug.
  • Accidental puncture of the pleural or abdominal area is possibleand the needle may touch the patient’s spinal cord.
  • Vegetative-Vascular Reactions may occur if an anesthetic is accidentally injected into the branches of the spinal cord.
  • Toxic poisoning with the introduction of the drug by mistake in the venous duct, the introduction of an increased dose or the wrong concentration of funds.
  • Trauma vessel or nerve.

Therapeutic blockade, as a method of treating most diseases of the joints

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The definition of therapeutic blockade of the joint means the introduction of one or more drugs into the cavity of the articular bursa in order to relieve pain and inflammatory changes.

It is used for disorders of the musculoskeletal system. Also, an injection may be injected into the adjacent soft tissue.

This method is quite young in comparison with the operative, medical, effects on the affected joints using acupuncture, traction, massage and other methods.

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Such an injection can completely eliminate pain.

In cases where there is a running process, this method is part of the comprehensive treatment of the disease.

When are medical blockades effective?

Therapeutic blockades of the joints are used in many pathologies. In particular, it is:

  • intercostal neuralgia,
  • pinching of nerve endings, or tunnel syndrome,
  • osteochondrosis of any part of the spine,
  • bursitis,
  • protrusion, herniated intervertebral joints (discs),
  • tendon ganglion,
  • heel spur,
  • rheumatoid arthritis,
  • the presence of contractures, pain in the joints or the spine caused by injuries suffered,
  • arthrosis deformans,
  • muscle spasm, accompanied by pain (muscle tonic syndrome),
  • neuritis
  • gouty arthritis
  • hygroma,
  • pathology of the tissues surrounding the joints: ulnar epicondylosis, shoulder-scapular periarthrosis, etc.,
  • Dupuytren's contracture.

Impact mechanism

Anesthetic penetrates to the nerve fibers and settles on their surface.

This is due to the relationship of the drug with phosphoproteins and phospholipids. As a result, a “struggle” develops between anesthetic molecules and calcium ions, which slows down the exchange of sodium and potassium.

The strength of the effect of the anesthetic drug on the nervous structures is due to the type of conductor, as well as its pharmacological features.

After injection into the joint, a blockade of non-myelinated fibers occurs - vegetative and painful conductors responsible for the slow conduction of nerve impulses.

Then there is an effect on the myelin fibers, providing epicritical pain. And only the last to be exposed to motor fibers.

The effectiveness of the manipulation depends on the following factors:

  1. The correct selection of the concentration of the anesthetic drug to ensure the blockade of certain nerve fibers.
  2. Accuracy of anesthetic administration next to the receptor or conductor. The closer the injection is, the less chance of complications.

In which joints are made injections?

Drug blockade can be used to treat the pain of any joint.

The most common block is the knee, hip, elbow, shoulder joint, intervertebral joints.

Also, manipulation can be used to block nerve endings or muscles.

Points of impact

The injection can be carried out at one point, where the pain is most pronounced, but in some cases the drugs are injected in several areas. What method of administration needs to be done in a particular case is decided by the doctor depending on the condition of the patient.

Depending on the site of injection, the blockade of the joint may be:

  1. Paravertebral - the injection is performed near the vertebrae.
  2. Periarticular - drugs are injected into the tissues located near the joint: tendons, ligaments, muscles.
  3. Intra-articular (joint puncture) - drugs are injected directly into the joint cavity.
  4. Intraosseous - injection is carried out in the bone tissue.
  5. Epidural - an injection is made into the epidural cavity. This type of therapeutic blockade is carried out exclusively in the hospital.

What drugs are used?

Be sure when carrying out this manipulation use:

  1. Local anesthetic drugs. These include Tsitanest, Lidocaine, Mesocaine, Carbocain, etc. They are used to temporarily block the conduction of impulses. Each tool has its own pharmacological properties, so when selecting a specialist takes into account the strength and speed of action, the duration of the period of penetration into nerve fibers, toxicity, inactivation methods, excretion routes.
  2. To have a therapeutic effect, use glucocorticosteroids. These agents have a strong anti-shock, anti-toxic, anti-inflammatory, anti-allergic, immunosuppressive, desensitizing effect. They are also able to prevent serious complications after the manipulation.
  3. B vitamins have a small analgesic effect. They also accelerate the process of regeneration, metabolism of fats and carbohydrates, increase the effect of anesthetic drugs. It is worth noting that the vitamins of this group can not be administered in a single syringe.
  4. Drugs that promote vasodilation can also be used. As a rule, it is no-shpa or papaverine. Purpose of use: increased therapeutic effect.
  5. If medical blockade is carried out in the form of intraarticular injection for osteoarthritis of the knee joint, chondroprotectors are used. They play the role of lubricant, due to which mobility is improved and pain is reduced.
  6. In addition to the above drugs, the doctor may prescribe antihistamines and homeopathic remedies.

Knee blockade: features

Drug blockade of the knee joint is carried out with injuries involving pain syndromes.

As a rule, drugs are administered periarticular or directly into the joint cavity. Depending on the severity of the pathological process, treatment is carried out from the inside and outside.

After manipulation, there is a significant reduction in pain or none at all.

Their mobility also increases due to the formation of a protective film on the cartilage. After the procedure, the joint is not subjected to friction and overload.

Intra-articular injections in the shoulder

Often, pain in the shoulder joint is caused by rupture of muscles. This symptom is disturbed not only under load, but also in a state of complete rest.

When trying to move discomfort increases. In such situations, the doctor recommends the introduction of hormonal drugs. Often, for the blockade of the shoulder joint, a hormonal drug such as Diprospan is used.

Due to its pharmacological characteristics, it begins to act within a few hours after administration, and this effect lasts up to 21 days.

Also the advantage of the tool is that it is absolutely painless, so it does not require the use of local anesthetics. In addition, Diprospan does not give complications after the manipulation.

Hip Injection

Drug blockade of the hip joint should be carried out by an experienced specialist and always under the control of ultrasound, as it is necessary to ensure accurate penetration of the needle into the cavity.

In addition, the manipulation requires special equipment. This procedure is effective for coxarthrosis of the hip joint.

Possible complications

The likelihood of complications during a medical blockade is very low, less than 0.5% of all cases. The risk of unpleasant consequences depends on the condition of the patient, the quality of the procedure and its type.

Perhaps the development of such complications:

  1. Toxic. Occur as a result of ingestion of drugs in the lumen of blood vessels, with the wrong selection of the drug, its concentration or dose. Also, a similar problem may develop with insufficient skills of a health worker.
  2. Allergic reaction to the drug. It can proceed in a delayed manner and in the form of anaphylactic shock. The first option is characterized by skin manifestations. With the development of shock, the patient's condition deteriorates dramatically, respiratory failure appears, edema, and sometimes cardiac arrest.
  3. Vegetovascular. Characterized by blood pressure drops. The central nervous system does not suffer, and there are no changes in the work of the respiratory system and the heart.
  4. Puncture of cavities (abdominal, pleural, spinal. It is extremely rare.
  5. Inflammatory. Developed by the introduction of infection. The most serious consequences are periostitis, osteomyelitis, meningitis.
  6. Traumatic. The emergence of bruising, damage to blood vessels, nerves.
  7. Local reactions. Develop with improperly selected drug or poor-quality administration. Manifested in the form of edema, nonspecific inflammation, increased pain.

Therapeutic blockade is an effective method to help get rid of many pathologies of the musculoskeletal system. At the same time, he gives a minimum of complications. Therefore, it can be widely used in medical practice.

Diprospan is a drug of the glucocorticoid group. It is used to treat diseases of the joints, various inflammatory processes, with allergies. It has an immunosuppressive effect.

Composition and main active ingredients

Diprospana's main active ingredient is betamethasone. Contained in the product in the form of sodium phosphate and in formadepropionate. The first substance is rapidly absorbed from the injection site and is also rapidly removed, providing a quick effect. The second, on the contrary, is slowly absorbed and is long removed from the body, which ensures a longer duration of action of the drug.

Indications for use

  • Shock conditions (burn, traumatic, toxic, operational, cardiogenic, anaphylactic shock).
  • Allergic reactions, including acute, requiring emergency care.
  • Asthmatic status.
  • Severe forms of lung disease.
  • Diseases of the connective tissues of the musculoskeletal system (rheumatoid arthritis, bursitis, fasciitis, osteoarthritis, sciatica, lumbago, torticollis).
  • Acute adrenal insufficiency.
  • Inflammatory diseases of the gastrointestinal tract.
  • Skin diseases (dermatitis, neurodermatitis, eczema, psoriasis, urticaria, pemphigus, lichen planus).
  • Swelling of the brain.
  • Tumor diseases of lymphatic and hematopoietic tissues.
  • Other inflammatory, chronic, systemic diseases.

Causes and effects of hernia

Lower back pain is one of the most common complaints. The back at least once in a life disturbed everyone, especially middle-aged and older. Most often, the causes of pain are fairly innocuous, but they can also be a symptom of serious diseases.

Therefore, to ignore the fact that the back hurts in the lumbar region, it is impossible in any case - you need to consult a doctor, find out the causes of the pain and carry out appropriate treatment.

Types of pain and causes

A common method of blockade, characterized by the rapid analgesic effect of novocaine and concomitant drugs. In the place of the hernia the concentration of drugs is maximum.

The doctor prescribes a blockade treatment, when the hernia is already formed, with protrusion of intervertebral discs, sequestration, as well as various pathologies.

Local anesthetics quickly relieve pain. The blockade procedure is painful. After the disappearance of pain spasms, the procedure continues, and the doctor makes more accurate injections.

  • Lidocaine - two or three hours,
  • Novocain - the duration of pain relief is less, but the pain is faster,
  • Merkain - the longest duration of action. Possible problems with cardiac activity, rarely used.

Contraindications for procaine blockade

  • Infectious diseases with inflammatory processes,
  • Fever,
  • Allergy,
  • Various diseases of the nervous system,
  • Various deficiencies
  • Not recommended for pregnant women
  • It is forbidden with heart problems,
  • Epilepsy,
  • Contraindicated with reduced pressure,
  • Forbidden with various syndromes.

Indications for blockade

What are we talking about

It is more difficult in medicine to treat chronic pain. At this stage of pain, a pathological center of arousal is formed in the cerebral structures.

It is difficult to eliminate such pain, the patient requires psychotherapeutic treatment, and the patient is forced to take anti-depressant, anticonvulsant drugs.

How to help a person with back pain if conservative treatments are ineffective? In this case, the blockade will help with back pain.

Method Description

Drug blockade with osteochondrosis is prescribed in cases where patients have intense pain, including interfering even sleep. Such treatment is applicable to all types and locations of spinal osteochondrosis.

This method of treatment is common in the CIS countries, but in Europe or the US it is rarely used. The main reason is only a temporary decrease in the severity of pain, but at the end of the action of the drugs, the pain returns.

There are also therapeutic blockade with corticosteroids and anti-inflammatory drugs. They are used rarely and only in severe forms of osteochondrosis, often occurring against the background of other diseases of the spinal column (for example, scoliosis).

Analgesic blockades are effective for quickly relieving pain, but as a treatment, their effectiveness tends to zero.

What is used for?

The main indication for blockades in osteochondrosis is severe pain, which cannot be relieved with oral painkillers. The indication is pain in any form of osteochondrosis.

Also, blockades are used for any other degenerative-dystrophic pathologies of the spinal column, one way or another connected with osteochondrosis. In infectious pathologies of the musculoskeletal system, blockades are not used because of the danger of the spread of infection.

It is also worth considering that even with severe osteochondrosis, blockades are carried out only during the exacerbation period, when the intensity of pain reaches its peak. Just because this treatment is not carried out and replace it with the reception of oral painkillers (for example, Ketanov or Paracetamol is often prescribed).

Indications and Contraindications

Blocks are used in various degenerative-dystrophic diseases of the spine. Simply put, with different forms of osteochondrosis.

  1. Osteochondrosis of the thoracic, cervical and lumbar regions.
  2. Intervertebral disc protrusion, intervertebral hernia.
  3. Neuritis and neuralgia caused by lesions of the spinal canal.
  4. Herpes zoster.
  5. Intercostal neuralgia.
  6. Spondyloarthrosis of the spinal column.
  7. Various forms of myositis.

Contraindications to this procedure are:

  • diseases of the circulatory system
  • local infectious processes at the injection site,
  • idiosyncrasy of the components used for the blockade of drugs,
  • hypotension (low blood pressure),
  • diseases of the cardiovascular system
  • myasthenia gravis
  • epilepsy episodes in the past
  • pregnancy and lactation (lactation),
  • renal and hepatic failure, cirrhosis, hepatitis C.

Views by number of components

There are three main types of medical blockade in osteochondrosis of the spine, differing not only by the means used, but also by the final effectiveness and incidence of side effects.

Currently, in the CIS countries, the following types of blockades are most popular in osteochondrosis:

  • with the help of nonsteroidal anti-inflammatory drugs (NSAIDs): removal of puffiness, painful sensations and to reduce inflammatory reactions in the place occupied by the pathology are used,
  • with the help of systemic hormones (glucocorticosteroids): they are used for a quick and long-lasting decrease of inflammatory events in the place affected by osteochondrosis, also improve trophism and blood filling of tissues at the injection site,
  • with the help of local anesthetic medicines: they are used exclusively to reduce or completely relieve pain.

Anesthetic drugs

Medicinal blockade with the help of local anesthetics are the most popular, as they quickly relieve pain and are generally quite safe.

The following medications are used in this procedure:

  1. Novocain (first in popularity). Injection solutions of 0.25%, 0.5%, 1% and 2% are used. Pain reduction occurs within five minutes after the procedure. The duration of the effect is about two hours.
  2. Lidocaine. The second most popular after Novocain. The therapeutic effect is achieved after three minutes, the duration of the analgesic effect is about three hours.
  3. Merkain or Bupivacaine. The analgesic effect is achieved 15-20 minutes after the injection, but the duration of pain reduction is impressive - it reaches about five hours.

Corticosteroids

These medicines are used not only to reduce the intensity of pain, but also to eliminate puffiness and reduce inflammation in the spinal column.

The following medications are used in this procedure:

  • Hydrocortisone: before use it must be mixed with a local anesthetic, the drug is only suitable for perineural administration,
  • Dexamethasone remedy: the therapeutic effect is achieved immediately (what is called “at the tip of the needle”), but it is short and will only be used for blockades of soft tissues and joints,
  • Depot-Medrol remedy: in the same way as Dexamethasone is used for insertion into soft tissues and joints,
  • means Diprospan: has a prolonged action and is used exclusively to reduce the intensity of pain,
  • Kenalog remedy: is injected into the joints and tissues of the spinal column; a break of two weeks is required between each injection.

Other drugs

There are also other medications used for blockade with osteochondrosis and not related to standard therapy. Their use by many doctors is considered impractical due to low efficiency and even health hazards.

It is not recommended to use them as the main treatment of the disease, maximum - as an addition to the standard therapy of osteochondrosis.

This group of drugs includes the following drugs:

  1. Vitamin complexes (mainly group B).
  2. ATP.
  3. Antiedematous Lidaza.
  4. Platyfilin.
  5. Thrombolysin (used to enhance the regenerative capacity of the body and to reduce edema).
  6. Glycosaminoglycan-peptide complex Rumelon.
  7. Anti-inflammatory drug Papain.
  8. Cyclo-oxygenase inhibitor Voltaren.

Types of blockades by injection site

Drug blockade for the treatment of osteochondrosis is divided into types not only by the means used for the injection, but also by the area and technique of the injection. In addition, the blockade is also divided by the depth of administration of drugs.

According to the area and technique of the introduction of the blockade are divided into the following types:

  1. Paravertebral injection technique.
  2. Conductor technology introduction.
  3. Epidural injection technique.

The depth of the introduction of drug blockade are divided into the following types:

  • intradermal injection (the most common and safe blockade tactic),
  • subcutaneous injection of drugs
  • the introduction of drugs directly into the muscles,
  • perineural administration of drugs (bypassing the gastrointestinal tract),
  • radicular drug administration.

Forms of release

Diprospan is available for injection in the form of a suspension or a solution in ampoules or disposable glass syringes. The routes of administration of Diprospan are varied, only intravenous and subcutaneous injections are unacceptable.

For oral administration comes in the form of tablets, and for external use - in the form of ointment.

Ointment or cream is applied to the affected skin, gently rubbing. At the beginning of the course of treatment, the frequency of application can reach six times a day, after the appearance of the effect is reduced to one or two times.

About performance

Blockade is contraindicated for the patient if:

  • It is prone to increased hemorrhages (with hemophilia, blood pathologies).
  • Locally, where an injection is required, the skin is infected, or there is a general infection.
  • The patient is in serious condition, he has no consciousness.
  • The person is very sensitive to the drugs needed for the introduction.
  • Corticosteroid drugs are contraindicated.
  • There is a cardiac pathology, hypotension.
  • The patient has convulsive seizures, mental disorders.
  • The patient is a child.
  • Woman is pregnant and breastfeeding.
  • There is a hepatic pathology.

Complications can occur:

  • Hemorrhage.
  • Infection of the site of the manipulation and spinal membranes.
  • Destruction of soft tissue structures with poor-quality manipulation.
  • Allergic reactions.
  • Specific reactions to corticosteroids and local anesthetics.

Such a manipulation will allow you to quickly and effectively remove the acute pain of a vertebral nature from a person. It is necessary to take manipulation seriously, only a specialist with appropriate qualifications is required to perform it, otherwise the consequences will be sad, even a lethal outcome is possible.

There are a number of contraindications for the use of the blockade in osteochondrosis:

  • Diseases associated with low blood clotting.
  • Long-term use of drugs that reduce blood clotting.
  • Diseases of the cardiovascular system.
  • Blood pressure disorders.
  • The course of an infectious disease of various origins.
  • Individual intolerance, allergic reactions.
  • Epilepsy.
  • Childhood.
  • Liver disease.
  • Pregnancy and lactation.

Since the blockade carries the main goal - the elimination of pain, the indication is acute pain syndromes for:

  • Osteochondrosis,
  • Disc protrusion
  • Intervertebral hernia,
  • Intercostal neuralgia,
  • Neuralgia of the sensory nerves of the back,
  • Myositis
  • Spondyloarthrosis.

All contraindications are based on the type of pathology of the back. Refer to the most common contraindications:

  • Hemorrhages provoked by hemophilia, lack of platelets, pathology of the systems of hemopoiesis, taking anticoagulants,
  • Infections in the body,
  • Lack of consciousness
  • Sensitivity to the used solutions in the blockade,
  • Pathology of the heart and heart muscle,
  • Myasthenia
  • Vascular hypotonus,
  • Epilepsy,
  • Mental illness
  • Liver damage,
  • Pregnancy.

In the process of setting the blockade, the tissues are torn, bleeding occurs. If the patient's blood does not clot quickly enough, then the blood enters the cavity of the spinal cord and causes damage to the nervous tissue. Similarly, infections get into the spinal cord and destroy tissue.

The presence of consciousness is important for diagnostic purposes. In addition, without consciousness it is impossible to assess the state of the spinal cord and make a diagnosis.

Sensitivity to drugs is the main contraindication - anaphylactic shock puts the patient’s life at risk. Anesthetics affect the heart rhythm and heart.

If there are problems with it, then you need to find another method to relieve pain. The same applies to hypotension of the vessels and myasthenia.

Epilepsy is a consequence of the formation of a painful focus in the brain, therefore it is necessary to take this into account when setting the blockade.

Injectable drugs are metabolized by the liver, because with its hypofunction it is necessary to correctly calculate the dose in order not to get negative effects on jaundice.

What is spinal block in osteochondrosis?

Spinal blockade is a procedure performed by injecting a substance into the area of ​​pain.blocking the nerve impulse passing through the sodium ion channels of the nerves, for diagnostic or palliative care (anesthesia).

In addition to the administration of a mixture of analgesics, diagnostic blockade suggests the addition of a contrast solution for better visualization on ultrasound and x-rays of damaged tissues. Most often, analgesic acts Novocain.

Paravertebral blockade

The general designation for analgesic injections in the paravertebral area of ​​different localization. The main role in neurological pains in osteochondrosis is played by compression and irritation of the Sicardus cord. It is located in the lower anterior zone of the intervertebral foramen and on leaving it. An injection of novocaine is made in the area of ​​occurrence of this cord.

About local anesthetics

These drugs are used for all types of blockades. Contacting with neurons, anesthetics delayed the pulse supply from the nerve, pain reflexes with other types of sensitivity in the local area are "turned off", after which the muscles cease to experience pain.

As a rule, pain is eliminated from local anesthetic agents:

  • Novocain. Novocainic blockade is used often. This is an injection solution of 0.25% and 0.5%, 1% and 2%. Novocain blockade relieves pain for a period of 2 to 5 minutes after it has been done and the effect lasts from 1 to 2 hours. Therefore, novocaine blockade quickly relieves acute pain and improves human well-being.
  • Lidocaine. The use of lidocaine blockades is common in second place after analgesia Novocain. Lidocaine has a high rate of safe exposure. It starts to act quickly and the patient will not be hurt for 2-3 hours.
  • Merkain This tool has a late onset of exposure (from 10 to 20 minutes), but the duration of the result will be from 3 to 5 hours. There is a high likelihood of toxic side effects on heart tissue.

The dosage of anesthetic agents is selected only by the attending physician.

Be sure to perform a test for sensitivity to these funds to prevent common allergic reactions.

Osteoarthritis blockade

  • Hydrocortisone acetate. Treatment of mild symptoms of the disease,
  • Diprospanom. Quickly begins to act and removes the pain for a long period of time. The drug begins to work after two three hours, enough for four weeks. The procedure is painless, so it takes place without anesthetics. It has anti-inflammatory action. The dosage is determined by the attending physician.
  • Kenalog It acts twenty-four hours after the injection. The effect is four weeks.

About corticosteroids

These drugs relieve pain, edematous processes with inflammation, and also eliminate the appearance of allergic reactions. Independent use of glucocorticosteroids is shown infrequently, often these injections are used in joint pathological processes.

For back pain, glucocorticosteroid drugs are used together with locally acting anesthetic agents for improved therapeutic results, as well as for the prevention of allergies to Procaine, Lidocaine and other anesthetic drugs.

Medicines for blockades

As the main blockade of the drug used solutions of novocaine and lecocaine.

They interrupt nerve impulses along the nerve by inhibiting sodium channels of action. In addition to these drugs can be used glucocorticosteroid drugs, whose task is to reduce inflammation in the damaged joints.

Separately, without lecocaine or novocaine, they are not used because they do not have a pronounced analgesic effect. Also used vitamins, lidazy, ATP or thrombolysin, depending on the damage and the developing pathology.

How is the procedure

Manipulation can be made lidocaine or novocaine means with saline. The dose depends on the pain syndrome, prescribed by a doctor. First, the anesthetic procedure is performed with a small dosage of means to assess allergic reactions and the body's response to them.

Often, along with anesthetic injected vitamin preparations, and means of removing inflammation.Is it possible to put a blockade at home? Therapeutic manipulation is performed only under sterile conditions with sufficient illumination; an operating table or a couch with a pillow for the patient is required.

First, the area during this manipulation is palpated by a doctor, while he determines the radicular location. In addition to topographic anatomy, it is important for the doctor to know the individual structural features of the patient’s body. When done with palpation examination, the area is decontaminated with an antiseptic.

With an epidural blockade effect, the patient must assume a knee-elbow position or lie on the side with the lower limbs pressed to the abdominal zone.

The anus is plugged. Entering the sacrum canal is a localized sacral foramen below, located between the bone structures (legs) of the coccyx.

Paravertebral novocaine blockade of the lumbar spine is considered less dangerous than epidural. Its action comes after 3-7 minutes after administration of the drug.

Intra-articular introduction

Diprospan can be used topically by injecting the drug intra-articularly. With the introduction directly into the lesion begins to act very quickly, effectively relieves pain, restores the mobility of the joint.

Overdose and side effects

The dosage and duration of the course of the drug are selected by the doctor individually, taking into account the severity, the form of the disease, many additional factors. It is necessary to select the minimum effective dose and the shortest possible course of treatment, to avoid overdose. Cancellation is done gradually. Self-treatment is unacceptable, the consultation of a specialist is obligatory.

In case of overdose the following side effects are possible:

  • Weight gain, swelling, fluid retention in tissues.
  • Metabolic disorders.
  • Increased excretion of calcium and potassium from the body, brittle bones, heart failure.
  • Increased blood pressure.
  • Cramps.
  • Dermatitis, atrophy of the skin, acne, skin hyperemia, delayed regeneration.
  • Allergic reactions.
  • Ulcerative and inflammatory lesions of the gastrointestinal tract.
  • Changes in blood sugar levels, diabetes.
  • Violation of the menstrual cycle.
  • Reduced immunity, reduced body resistance to bacterial, viral and fungal infections.
  • Nervous system disorders, sleep disorders, irritability, anxiety.
  • Delayed physical development in children.
  • When intra-articular injection may cause damage to soft tissues, nerves, hemorrhage, bone necrosis, microcrystalline arthritis, sepsis.

Nuances of application

  • It is necessary to exercise caution when applying Diprospana if the patient suffers from impaired renal and liver function.
  • Alcohol should be avoided. Glucocorticoids reduce the toxic effect of ethyl alcohol on the body. Diprospan and alcohol in combination can provoke the development of a peptic ulcer of the digestive organs.
  • When using the drug during pregnancy, it is necessary to assess the possible risk to the child. The newborn must be examined, as there is a likelihood of developing renal failure. Pregnant women should not abruptly interrupt the course of treatment. During treatment with diprospan, breastfeeding is undesirable and it is better to interrupt.
  • Can be applied to children who have reached the age of three years. For children, care must be taken, as adrenal insufficiency may develop, delayed sexual and physical development. Since the active ingredients of the drug suppress the immune system, during the period of treatment it is necessary to limit the contact of the child with other children to avoid infection with viral and infectious diseases. Also, children during this period are not vaccinated.

Analogs and compatibility with other drugs

Analogs of Diprospana are

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Depos, Betaspan Depot, Flosteron.

With simultaneous use of Phenobarbital, Ephedrine and Rifampin reduce the effectiveness of Diprospana.

Drugs containing estrogen, increase the effect of Diprospana and side effects of it.

Combination with nonsteroidal anti-inflammatory drugs may increase the risk of developing peptic ulcer.

Prices, storage conditions and reviews

Based on the reviews, Diprospan is a very strong and effective tool that acts quickly and for a long time. It is important to observe the dosage recommended by the doctor, not to interrupt abruptly the course of treatment, and to take precautions.

The price is affordable for most. The approximate price is 200 rubles per ampoule (1 ml).

Storage conditions: at a temperature not exceeding 25 ° C in a dark place. Frost is prohibited. Shelf life is 3 years. Keep out of the reach of children.

Answers to frequently asked questions

  • Blockade by Diprospan. Drug action time. Internal intraarticular and paraarticular blockade with Diprospan is performed to quickly relieve pain and restore joint mobility for a long time. The effect comes very quickly, almost immediately after the introduction. The duration of action is individual, depending on the severity of the disease, the dose and other factors, but mostly quite large.
  • Blockade of the knee, shoulder joint, spine Diprospanom. The blockade of the knee joint is used in the treatment of osteoarthritis, after performing puncture or surgery. The blockade of the shoulder joint is performed with inflammation of various ligaments. When blocking the spine can not enter the anesthetic or the drug itself is too deep to not damage the nerve endings.
  • Heel spur blockade. Medicinal blockade of the heel spur is a relatively new type of treatment. It has a high complexity of implementation, the possibility of complications with improperly selected dosages and unpleasant sensations in the process of drug administration. However, this is the most effective way to deal with pain, when all other means fail.
  • Is it possible aggravation of gonarthrosis after jokes Diprospanom? It is important to observe all precautions, otherwise the aggravation of diseases is possible, especially with a sharp cessation of treatment. In addition, Diprospan is a means to relieve inflammation of soft tissues, and for the treatment of the very cause, that is, diseases of the joints, it is necessary to use it in combination with other medical preparations and procedures.
  • How often can you prick diprospan? The blockade of the same joint can be carried out not more often than once every 2-3 months, the blockade of different joints is carried out with an interval of 2-3 weeks.
  • How to dilute the drug? Before the introduction of Diprospan diluted with a solution of sodium chloride 0.9% or dextrose solution.
  • Diprospan and menstrual cycle. Diprospan is a hormonal drug, so it can lead to disruption of the menstrual cycle.
  • What is better Diprospan or Dexamethasone? The choice in favor of Diprospan or Dexamethasone must be made by the attending physician. Each of the drugs has its own characteristics, and it is necessary to determine which one is better suited individually during the examination and diagnosis.
  • How to remove Diprospan from the body? The active substances of Diprospan are eventually removed from the body themselves - they do not accumulate in the tissues. For effective elimination after long-term therapy, it is necessary to stop taking it gradually. You can also speed up the elimination by increasing the amount of fluid consumed, since the main route of Diprospan's elimination is the kidneys.

Diprospan - a good drug for the treatment of many diseases, has an excellent anti-inflammatory and immunosuppressive effect. With proper use and taking into account contraindications, the benefits of treatment significantly exceed its negative effect on the body. The drug is very strong, requires caution in the application, especially for children and pregnant women.

Features and symptoms of osteochondrosis of the lumbar spine

The lumbar spine is most susceptible to stress, because it affects the entire body mass. In addition, he is very mobile. If the vertebral corset is underdeveloped, the pressure on the intervertebral discs increases several times. Namely, they are responsible for the mobility and flexibility of the back.

So osteochondrosis of the lower back, which occurs for various reasons, is a fairly common disease of the musculoskeletal system. It develops gradually and a person may simply not pay attention to its first signs. However, it requires serious treatment.

  • How does the disease and its causes
  • Symptoms of lumbar osteochondrosis
    • Complications of osteochondrosis of the lumbar spine
    • Diagnosis of osteochondrosis of the lumbar spine
  • Disease treatment methods
    • Operations for osteochondrosis of the loins
  • Additional measures of treatment and prevention
    • Folk remedies and alternative methods

How does the disease and its causes

In the lower back, the sacrum and the thoracic vertebra are connected. There are many factors provoking lumbar osteochondrosis. The main is the wrong and excessive load on the back.

In the process of malady, glycoproteins are broken down which affect the connective tissue of the joints and make it elastic. It affects the bone and cartilage structure of the spine.

Intervertebral discs contain a substance similar to a gel that dries out in lumbar disease. They are exhausted, then they become flat. Due to this, the spine loses its depreciation functions, its segments approach each other, and the nerve roots and blood vessels are clamped.

At the same time there is a cracking of the fibrous ring, and in some cases there may be its rupture, which leads to the formation of a hernia. All this provokes swelling, back pain.

The muscular frame protects the spine from negative influence and is responsible for correct posture. Problems with it can also lead to the development of osteochondrosis in the lumbar region.

There are other causes of the disease:

  1. Congenital changes, loose disk structure.
  2. Stress state.
  3. Infectious diseases in bone and cartilage tissues.
  4. Inconvenient shoes.
  5. Back injury.
  6. Inflammation of the joints.

Important here and lifestyle, profession, age. The maximum load on the spine occurs in a sitting position. Therefore, people who spend in a sitting position most of the time are at risk.

This may be office workers, drivers. Low physical activity is also not the best way affects the lumbar. As a result, the musculoskeletal system becomes weaker.

A significant role is played by the influence on the spine, and especially the small of the back, lifting weights. This is connected with such professions as a loader, builder, waiter or professional athlete, that is, people who are constantly experiencing back pressure.

Osteochondrosis can occur during pregnancy in women. If there is a curvature of the spine, then increased pressure on the lumbar and uneven weight distribution also leads to illness.

In the same way affects the occurrence of osteochondrosis and flatfoot. The arch of the foot loses its function, and the entire load when walking goes to the spinal column. The negative role is played by excess weight. The disease can be a complication after osteomyelitis, tuberculosis.

Adverse factors in lumbar osteochondrosis are the wrong sleep, nutrition, disturbed metabolic processes in the body or diseases of internal organs:

  • gastrointestinal tract and liver,
  • small pelvis
  • central nervous system.

People of different ages are subject to ailment.

Symptoms of lumbar osteochondrosis

One of the first manifestations are usually pain and discomfort in the lumbar region. It may be difficult to bend down, turn, bend the big toe. Sometimes there is a feeling of cold, or, conversely, a burning sensation in the back.

As a rule, the symptoms appear after exercise, hypothermia, or a long stay in an uncomfortable position. Often they pass after a short break. In the acute phase, they may have a lumbago character and are aggravated by movement, coughing, sneezing.

A muscle spasm in the back does not allow a person to adopt a position that will lead to increased pain, this occurs reflexively. In addition to these symptoms, the following symptoms exist:

  • Rapid fatigue and weakness.
  • Increased sweating.
  • Sleep disturbance
  • Varicose veins
  • Feeling tingling and aching in limbs.
  • Violation of tendon reflexes.

Due to spasms, legs can freeze, as well as observed coracoid growth and a decrease in the height of the disks.

The sciatic nerve, which is formed by the sacral roots of the spinal cord, can also suffer from osteochondrosis of the lower back. This is manifested by pains that give up in the leg or swelling.

If the arteries or blood vessels are squeezed, this is characterized by loss of sensitivity, but the pains are mild. They are localized in the lower back, respond to the hips, buttocks. Pain syndrome is different in time of occurrence. The aching sensations usually appear in the morning, over time they can become permanent and not depend on movement.

Complications of osteochondrosis of the lumbar spine

The instability of the discs and the fact that they do not fix the spine leads to a shift in the lumbar region. This affects the functioning of internal organs. Osteochondrosis is complicated by problems in the genitourinary system, a sense of discomfort in the kidney area.

Women with it may have menstrual disorders, men have problems in the genital area. Another symptom of the disease ─ scaly and dry skin in the affected areas.

If you do not treat osteochondrosis, it can lead to spinal stroke and other unpleasant consequences. Protrusion of the discs is possible when they stretch and extend beyond the vertebrae. Manifested and atrophy of cartilage. During this period, the pain may subside due to the growth of bone tissue.

Spondyloarthrosis is sometimes distinguished as a form of osteochondrosis, but more often it is considered its complication. When it forms bone spike growths on the spine. They are localized, pain is present in the lumbar region and does not spread to other parts of the body.

Another consequence is that paresis of the foot. In the lower back, discomfort occurs, spreading to the area under the knee and further, which causes an ankle dysfunction. All this may contribute to disability.

Diagnosis of osteochondrosis of the lumbar spine

There are several types of studies that a doctor can prescribe with symptoms of lumbar osteochondrosis:

  1. X-ray survey (spondylography), which shows the state of each vertebra separately, intervertebral discs and bone channels.
  2. Myelography is a more complex type of diagnosis. To carry it out, a staining fluid is introduced into the spinal canal. It helps to find spinal hernia.
  3. A similar procedure discography, but with it the introduction of fluid is done in the spinal disc.
  4. Pneumo myelography Here, instead of a liquid, air is used.

With the help of computed tomography, it is possible to detect compression of the nerve roots, rupture of the disk contour. For more serious cases, they may prescribe an MRI.

Disease treatment methods

The main thing is that it is time to consult a doctor and take treatment seriously.Efforts must be made to recover, and prevention can be prevented to prevent a relapse. For lumbar therapy approach in a complex. The goal here is not only to stop the development of the disease and alleviate the symptoms, but also to return the spinal column to the correct position.

The specialist usually prescribes medication, using pain relief and anti-inflammatory drugs: NSAIDs, analgesics. Also used muscle relaxants. They are aimed at eliminating spasms and discomfort arising due to increased muscle tone.

Vasodilator drugs prevent congestion and improve blood circulation. Vitamins and minerals give bones, ligaments and tendons strength, help to remove fluid from the body. They are often prescribed to older people.

Chondroprotectors, which stop the destructive processes in the cartilage tissues and help regeneration, are used for treatment. Medicines are administered orally, by injection or rectally.

Paravertebral blockade is used to quickly eliminate pain when the drug is injected into the affected area. But doctors try not to use them often. The body gradually gets used to them and the effectiveness of exposure decreases. In addition, during a blockade, muscles in the place where the medicine is injected can atrophy.

The complex treatment includes exercise therapy. It improves spinal mobility and strengthens its muscles. Therapeutic exercises should be selected by a specialist, they are often prescribed after stopping an acute condition. The load increases gradually so as not to provoke an exacerbation. Also gymnastics is used if the patient has worn a corset for a long time.

An important component of treatment is massage. It aims to relax, relieve pain and cramps. The procedure reduces muscle stiffness and has a good effect on lymph circulation in the tissues around the lumbar region.

Apply and physiotherapeutic methods of treatment. To obtain the desired effect, their regular holding is necessary. Exposure to ultraviolet rays, eliminates spasms, pain affects the blood circulation. Laser therapy improves the state of the spinal roots due to the influence of helium - neon emitters. Spine stretching is also used, as well as the following methods:

  • amplipulse
  • phonophoresis
  • diadynamic currents.

However, physiotherapy also has contraindications ─ these are oncological diseases, diseases of the central nervous system. The main task of all these measures is to return the correct anatomical position to the lumbar spine. Typically, the course takes an average of 2−3 months, but it all depends on the particular case.

Operations for osteochondrosis of the loins

Usually, surgical intervention is resorted to in case of complications, for example, a hernia. Conduct discetomy, that is, remove the damaged disk. Microsurgery and endoscopy are less traumatic for the patient, with them the risks of complications are minimal.

During such an intervention, special dilators-tubes of small diameter are used. Due to this, the muscles and ligaments are not damaged. On average, the procedure takes about an hour.

The rehabilitation period takes less time than after discetomy. But here it is important to promote the patient, who must clearly follow all the instructions of the neurosurgeon.

Additional measures of treatment and prevention

Correction of lifestyle and habits is the first step in the treatment of osteochondrosis of the lumbar spine. It is important in the treatment of rest and gentle mode. It is better to equip a bed with an orthopedic mattress and a pillow, it is good to put a special roller under the neck. It is necessary to avoid a long stay in the same position, hypothermia. It is undesirable to get up sharply.

Sometimes they recommend a special fixing corset. He keeps his back in the correct position, but not all experts approve of his long wearing. This can lead to atrophy of the spinal muscles. Most often it is used in the period of acute illness. The models of corsets are not universal and in each case, only the doctor should select the accessory.

Along with treatment, it is important to observe a number of measures that the doctor may recommend. This is the normalization of weight, good nutrition is useful here. It is better to eliminate heavy and fatty foods from the diet or reduce its consumption.

It is advisable to refuse such products in osteochondrosis of the lumbar spine:

  • Carbonated drinks.
  • Salt and sugar.
  • Coffee and spices.
  • Alcohol.

It is good to enter into a diet: sea fish, vegetable oils, dairy products, vegetables fruit and greens. It will be useful aspic, jelly, which includes gelatin. It is better to cook food for a couple.

Also good for the spine walking, swimming, it is useful to monitor posture. These are necessary measures even after the end of the course of treatment in order to prevent the recurrence of osteochondrosis.

Folk remedies and alternative methods

From vegetable raw materials make ointments, compresses, relieve pain and inflammation. Often used for grinding the tincture of red pepper. Liquid ointment can be made from mustard powder, camphor alcohol and egg whites. It is applied overnight.

Make compresses with honey and aloe or cabbage leaves, use for this and with a decoction of burdock leaves. Useful bath with needles.

There are alternative treatment options:

  • hirudotherapy (using leeches),
  • manual and vacuum therapy,
  • acupuncture.

It is better to use all these means after consultation with the attending physician.

Self-treatment or ignoring the symptoms of osteochondrosis of the lumbar spine can lead to more serious diseases of the spine. Therefore, you should not start the disease, because the sooner you begin treatment, the faster and easier it will be to solve the problem.

Watch the video: Cervical osteochondrosis. Reasons (September 2019).