- 1 What is Lumbar Spondylosis?
- 2 Causes of Lumbar Spondylosis
- 3 Symptoms of Lumbar Spondylosis
- 4 Diagnosis of Lumbar Spondylosis
- 5 Investigation for Lumbar Spondylosis
- 6 Prevention of Lumbar Spondylosis
- 7 Treatment of Lumbar-Spondylosis
What is Lumbar Spondylosis?
Lumbar Spondylosis means your backbone which in medical terms is known as spine cord – in that lumbar region is aging, i.e bones are getting degenerated, the growth of bone spurt –which is compressing our spinal cord –which contains nerves and giving rise to pain.
People after the age of 40 yrs mostly experience back pain long-standing and it gradually increases which hampers their daily activities.
When pain is beyond the capacity to bear people sort to medical help.
There are various treatment options available, people resort to easy and fast relief medications.
One can take few precautions in youth days only so that in later stage of life he or she will have to suffer less.
It is postulated that even prolonged stress and tension , increased load of responsibility can give rise to back pain –it is usually fond in people who are anxious ,very particular about completing the duty .
Causes of Lumbar Spondylosis
The main cause is aging, but the way aging affects your spine can lead to other changes and problems. These changes combine to cause spondylosis and its symptoms. This means that the disease is progressive and irreversible. With age, the bones and ligaments in the spine wear, leading to bone spurs (osteoarthritis). Also, the intervertebral discs degenerate and weaken, which can lead to disc herniation and bulging discs.
Abnormal Spinal Movement
Frequent overuse of the back during physical activities, such as gymnastics or football, can increase the amount of stress placed on the lumbar vertebrae, This excess strain can result in vertebral injury, such as fracture or disc slippage, which causes lumbar spondylosis.
Role of Genetics
Your genes can also cause spondylosis. You may be pre-disposed to excessive joint and disc wear and tear, so if someone in your family has or had spondylosis, you may also develop back or neck pain related to spondylosis.
Finally, the way you’re living could lead to spondylosis. Smoking, for example, adversely affects your discs and can cause them to degenerate faster. Smoking actually decreases the amount of water in your discs, and water is part of what helps your discs absorb movement. With less water content, your intervertebral discs can wear out sooner.
Symptoms of Lumbar Spondylosis
- Localized Pain – due to nerve compression. If a herniated disc causes a pinched nerve, pain may shoot into a limb
- stiff back in the morning
- Sitting for a long time causes pain and other symptoms
- Pain gets worse with repeated movements, such as lifting and bending
- Muscle spasm, regional tenderness
- Tingling ,numbness of the limbs
- Weakness of affected limb due to compression of nerve
- Being over 40 is a risk factor for lumbar spondylosis.
Less Common Symptoms
- Loss of balance
- Loss of bladder or bowel control
Diagnosis of Lumbar Spondylosis
In the physical exam, your doctor will observe your posture, range of motion (how well and how far you can move certain joints), and physical condition, noting any movement that causes you pain. The doctor may also check other joints to rule out those as the source of your back pain
During the neurological exam, your spine specialist will test your reflexes, muscle strength, other nerve changes, and pain spread (that is—does your pain travel from your back and into other parts of your body?). This evaluation also checks out other symptoms, such as numbness, tingling, or bowel and/or bladder problems. The neurological exam is especially important in spondylosis because the condition can affect your nerves or even your spinal cord.
Investigation for Lumbar Spondylosis
Imaging techniques used for visualizing the intervertebral joints-
X ray spine -X-rays can show bone spurs (osteophytes) on vertebral bodies in the spine, thickening of facet joints (the joints that connect the vertebrae to each other), and narrowing of the intervertebral disc spaces
Ct scan- CT scans of the spine are able to visualize the spine in greater detail and can diagnose narrowing of the spinal canal (spinal stenosis)
MRI- show the greatest detail in the spine, and are used to visualize the intervertebral discs, including the degree of disc herniation, if present. An MRI is also used to visualize the vertebrae, the facet joints, the nerves, and the ligaments in the spine and can reliably diagnose a pinched nerve
EMG – This will measure the integrity and efficiency of your nerves
Prevention of Lumbar Spondylosis
Maintaining back-posture –sitting erect with neck and back in same alignment so that the curvature of the spine is matained
Atleast have a cup of milk –once a day so that the calcium intake is maintained and bones become stronger.
Daily walk in morning in sun at around 7.15am –taking sunrays –helps the skin to absorb vit-d which is helpful in calcium metabolism so that ca is easily absorbed in body .this is easiest method ,as sun light is free and easily available .
Even some exercise of the back –yoga are beneficial as they help to maintain the curvature of the line and the distance between two columns of the vertebrae.
Diet: can be taken right from the beginning in order to strengthens the bones –increase the bone-mineral density.
Treatment of Lumbar-Spondylosis
Usually in allopathic there is symptomatic treatment it cannot halt the progression of aging.
Non-steroid anti inflammatory drugs which will reduce your pain and swelling they are non-steroid drugs
But people with heart diseases , kidney diseases need to be extra cautious
Ibuprofen and diclofenac sodium –pain killers
To counter the effect of gastritis antacids are prescribed.
Side effects of treatment
Nsaids most commonly affect the gastrointestinal tract (the stomach and intestines). Common side effects associated with the long-term use of Nsaids include:
- stomach ulcer(a sore in the lining of the stomach)
- Increased blood pressure
Stomach ulcers can sometimes cause more serious complications, such as:
- Gastrointestinal bleeding – internal bleeding within the digestive system
- anemia– where blood is unable to carry enough oxygen around your body which can cause shortness of breath and tiredness
- Gastrointestinal perforation – where a hole occurs in the wall of your stomach or intestines
Depending upon the calcium levels and Vit-d if below your physician can start you on
Vititamin D supplements
Calcium – But these are to be taken after physician advises
Apart fro Nsaids if the stiffness is not coming under control or range of motion of spine is getting restricted physiotherapy is advised
Short wave diathermy and back straighten exercises to maintain the curvature of spine
If the spinal cord is getting compressed as a result of bony spurts –you will start developing tingling numbness ,weakness of legs –the in such cases you require complete bed rest for few days in order to relieve compression on spinal cord along with hot water fermentations
Take help of lumbar belt and stick for support while walking if pain is severe or movement is restricted.
Surgery for Lumbar Spondylosis:
Usually in cases of severe conditions where you do not experience any sensation in legs completely or partially
Power of the muscle is getting loose –lower legs –
Lot of tingling numbness
In serve complicated cases there is even no control on urination.
Where through operation the compression on the spinal cord by bone spurts or by cutting thick ligaments which hold the spine are excised in order to relief compression.
Homeopathy Treatment for Lumbar Spondylosis
Homeopathy can further halt the progress of the disease –prevent the ageing or degeneration of bones .
Can improve the quality of life by giving you relief from pain, swelling and improve range of motion.
Prevent the spine-compression of osteophytes – Can avoid surgery !!
Homoeopathy can also help in severe pains due to compression, stiffness and loss of mobility.
Welling Homeopathy Treatment for Lumbar Spondylosis has been formulated to give you quick relief and long lasting relief.
Indicated remedy will depend upon your signs and symptoms, your individual pain characteristics and your body type.
All your observations regarding the painful state are of immense importance to your consultant at Welling Clinic to give you personalised treatment for Lumbar Spondylosis.