Degenerative dystrophic changes in l1 s1 segments. What are degenerative dystrophic changes in the lumbosacral region? Consequences of pathological processes

Destructive changes in the spine in the lumbar region are serious pathology affecting the structure of the intervertebral discs; ligamentous apparatus; articular, cartilaginous and other tissues. Diseases of this sphere usually haunt the patient all his life and are fraught with disability or disability.

General information

Such processes consist of three components:

Osteochondrosis (visible thinning of the disc that occurs without an inflammatory process);
Spondylosis (characterized by the presence of atypical bone growths along the edges of the vertebra);
Spondylarthrosis (arthrosis of the intervertebral joints).

Most often, two parts of the spine are subject to degenerative-dystrophic changes:

Neck (as the most thin and mobile);
Lumbar (as the area subjected to the greatest stress).

Clinical picture

More than 80% of the population are forced to experience degenerative dystrophic changes lumbar spine, and only half of them receive quality medical assistance. Previously, it was believed that these processes are typical only for the elderly, as a result of the natural aging of the body. However, in recent times the disease is getting younger.

initial stage

The first symptom of the presence of detrimental changes in the lumbar region is pronounced pain in the lower back. Unpleasant sensations so noticeable that the patient is forced to significantly limit his movements, which interferes with normal life and working capacity.

Complaints of the patient directly depend on the localization of the lesion. Careful examination of the symptoms correct diagnosis unhealthy lumbar vertebrae.

The second stage of the disease

Further development of degenerative-dystrophic changes in the lumbar spine is characterized by:

Severe mobility restrictions;
"Shots" in the lower extremity belt;
The presence of tingling or "goosebumps" in the legs or buttocks.

This is how it manifests itself radicular syndrome, in which compression of the nerve processes occurs.

Third stage

It is distinguished by impaired blood circulation, which is caused by compression of the radicular vessel, as a result of which its ischemia develops. This stage is marked, in addition to the increasing pain syndrome, by the appearance of:

Partial or temporary numbness in the lower limbs;
Seizures.

Fourth stage

Processes that have not received adequate therapy up to this stage of development are fraught with paresis and paralysis, the occurrence of which is due to a complete violation of blood circulation. spinal cord.

Timely diagnosis

To avoid serious consequences help to see a doctor and full examination spine using x-ray machine, computed tomography or MRI.

Treatment of such destructive processes taking place in the region of the lumbosacral vertebrae is most often conservative in nature and is a combination of simple measures: medication, therapeutic exercises and physiotherapy procedures. Surgical intervention is indicated, starting from the third stage of the development of diseases.

The consequences of the development of such processes adversely affect the quality of life of the patient. Moreover, it is precisely as a result of such changes that the highest percentage occurrence of disability. While initial stages Dysfunctions are tolerably amenable to conservative treatment. That's why the slightest sign the onset of the disease cannot be ignored, quality therapy and medical supervision.

Such a pathology as degenerative-dystrophic changes in the lumbosacral spine suffers a large number of of people. In the process of its progression, there is a gradual destruction of the intervertebral discs in the lumbar region. Over time, they stop receiving the required nutrition, so they become dehydrated and lose their former elasticity.

Why does pathology develop?

DDZP of the lumbar spine occurs due to the following factors:

excessive load on the lumbar region;
injuries of the spinal column of a traumatic nature;
passive lifestyle;
excess body weight;
disease infectious nature, which provoke a violation of the hormonal background;
unhealthy and unbalanced diet;
bad habits;
advanced age;
genetic predisposition.

Signs of degenerative-dystrophic changes in the lumbosacral region

On the early stages development, degenerative-dystrophic changes in the spinal column have practically no symptoms. Symptoms are not inherent in the pathological condition itself, but in its consequences and complications. If the patient has the following signs degenerative-dystrophic changes, it is important to contact the medical institution:

Weakness in the lower extremities is a sign of illness.

pain syndrome in the lumbar region;
the appearance of pain after physical activity;
pain after a long stay in one position;
stiffness of movements;
weakness lower extremities;
constipation or impaired urination;
cold skin in the lumbar region;
impaired mobility in the morning;
body asymmetry;
swelling and redness skin loins.

Diagnostic measures

If the patient develops pain in the lumbar spine, he should go to the hospital as soon as possible. Initially, the doctor will conduct a survey of the patient and find out how long ago the pain appeared and what additional symptoms are present. Then the physician proceeds to probing the affected area of the lumbar column, studying the strength of the muscle tissue. In conclusion, the diagnosis of a person is sent for the following examinations:

radiography;
CT or MRI.

In the early stages of development pathological condition X-ray can't show complete picture deformations.

With DDI, these departments will be visible on the MRI image characteristic changes in vertebrae and discs.

If a person really has degenerative changes of the lumbosacral spine, the "MR picture" will be as follows:

destruction of the fibrous ring;
deformation of the intervertebral discs;
complete rupture of the ring, due to which the nucleus pulposus leaves the intervertebral disc.

How is the treatment going?

Medical therapy

Since DDZP of the lower back causes a powerful pain syndrome, first of all, the patient is prescribed non-steroidal anti-inflammatory drugs, which can relieve a person of pain and relieve inflammation. Mostly resort to the help of "Ibuprofen" and "Diclofenac". The therapy of a pathological condition is not complete without the use of muscle relaxants, which allow you to relax a tense muscle tissue. The most popular medication in this group is Mydocalm.

Chondroprotectors are also prescribed to the patient, which contribute to the restoration of affected joints and cartilage. For improvement general condition the body uses drugs that include vitamins of group B. If the pain syndrome cannot be relieved with the help of the above medications, novocaine blockades are used. The drug is injected directly into the region of the spinal cord, which allows you to quickly stop the pain.

Therapeutic physical culture and massage

To improve these parts of the spinal column will help exercise therapy.

When a patient is diagnosed with degenerative-dystrophic changes in the lumbar spine, without fail prescribe exercise therapy. Physical education improves metabolic processes and blood circulation in the lumbar region. In addition, gymnastics will help to lose excess weight, if any. A set of exercises is selected by the attending doctor, who takes into account the severity of the course of the pathological condition and the physical data of the patient. At the initial stages of therapy, exercises will need to be performed under the close supervision of an exercise therapy doctor. In the future, gymnastics can be carried out at home, when the patient takes into account all possible mistakes.

As for massage, thanks to it, blood circulation improves, the former muscle tone muscles relax. It is important to take into account that massage treatments should be carried out by a specialist who knows what movements will bring maximum benefit and will not harm the affected lumbosacral spine. Before a massage, doctors recommend taking hot bath or shower.

Surgical intervention

The operation is scheduled if drug treatment as well as massage sessions and therapeutic Physical Culture do not bring the required therapeutic effect and degenerative-dystrophic changes in the spine continue to progress. In addition, surgical intervention is also resorted to in the situation when the patient is diagnosed with an intervertebral hernia. During surgical intervention the surgeon installs special devices that allow you to support the lumbosacral spine. Thanks to this, it is possible to achieve a decrease in pressure on the spine and prevent the subsequent process of deformation of the intervertebral discs.

Are there complications?

Absence timely treatment can lead to inflammatory process in the sciatic nerve.

If timely therapy of degenerative-dystrophic changes in the lumbosacral spine is not carried out, there is a risk of an intervertebral hernia. This ailment is a displacement of a deformed disc, which in most situations cannot be managed with conservative treatment and requires surgical intervention. In addition, DDSD can provoke inflammation. sciatic nerve, as well as disruptions in activities genitourinary system. The most common disorder is urinary problems.

Preventive actions

To avoid the appearance of degenerative-dystrophic changes in the spine, doctors recommend that people adhere to simple rules. First of all, you should active image life, exercise every morning. Important are the special physical exercises, which allow you to strengthen the muscle tissue of the back. If a person is busy labor activity, assuming a constant sitting position, it is important to take breaks from time to time, during which to make simple exercises for stretching and stretching.

A properly selected mattress, which should not be very hard or soft, will also help protect your back from dystrophic changes. Doctors also recommend using orthopedic pillows, the width of which should correspond to the distance of the shoulders. If the patient has excessive body weight, it is important to lose it, since excess weight creates an additional burden on spinal column and causes it to deform.

Degenerative-dystrophic changes in the spine are considered one of the most common chronic pathologies musculoskeletal system. Changes in the lumbosacral region are a complex of processes that lead to the destruction of musculoskeletal tissues, the appearance of pain in this area. This process generalizes several diseases: osteochondrosis, spondylosis, spondylarthrosis.

In varying degrees, degenerative-dystrophic changes affect the vast majority of the working population (80%). Over time, the pathological process leads to a deterioration in the quality of life, causes serious complications that affect the quality of self-service. Therefore, it is very important to timely identify the processes that have begun in the lumbosacral region and take measures to stop them.

Causes of pathological changes

common opinion about immediate causes degenerative dystrophic processes does not exist in the spine. Studies show the multifactorial nature of the development of changes. That is, to provoke a pathological effect on the intervertebral discs and their structures can different factors both singly and in combination.

The intervertebral disc consists of the nucleus pulposus, which is surrounded by an annulus fibrosus. The disk is not capable of regeneration, because it does not have an autonomous circulatory system. And even minor injuries or damage lead to its gradual destruction.

To degenerative-dystrophic changes in the lumbosacral zone can lead to:

inflammation (arthritis,) - if the fibrous ring ruptures, fluid from the nucleus pulposus flows into the intervertebral space. Irritation of soft tissues occurs, swelling and inflammation appear;
hypodynamia - with insufficient dynamism of the body, weakening of muscle tissue occurs. Thus, the spine loses its reliable support. And even a slight load can cause the destruction of the vertebrae;
injuries and excessive physical activity;
excess weight, which creates additional load on the spine;
pathological mobility of the vertebrae in the lumbosacral region - due to changes in the intervertebral discs, they “dry out”, they lose their elasticity. This leads to the appearance of gaps in the spinal column, and the shift of the vertebrae.

Hypothermia can accelerate the pathological process, stressful situations, malnutrition, bad habits.

First signs and symptoms

Degenerative-dystrophic changes in the lumbosacral region do not appear immediately. Before the process becomes irreversible, a lot of time can pass. Expressed external symptoms changes appear, as a rule, already in the advanced stage of the disease.

The clinical picture increases gradually and depends on the nature of the damaged structures of the lower back and sacrum. The first sign indicating problems in this section of the spine is pain in the lower back, which tends to increase. This limits body movements, which affects performance.

At the second stage of the degenerative-dystrophic process appear:

stiffness and heaviness in the lumbosacral region;
feeling of tingling and numbness in the limbs.

During this period, compression of the nerve roots develops. Pain aggravated with prolonged static posture or after active physical exertion.

Next stage pathological changes characterized by impaired blood flow due to. This causes manifestations of ischemia with the occurrence of convulsions, numbness of the lower extremities.

Symptoms that require immediate medical attention:

backache;
deterioration in mobility;
stiffness;
numbness of the limbs;
pain in the heart, gastrointestinal tract, pelvic organs.

Note! The progress of the degenerative process without timely therapy can lead to paresis and paralysis due to the lack of normal blood supply to the spinal cord.

Diagnostic methods

If you suspect degenerative-dystrophic changes in the spine, you should contact a neurologist. After initial examination and collecting an anamnesis, the specialist will prescribe additional examination and determine the next course of action.

Methods of diagnostic examination:

With the help of x-rays, you can get information about the deformities of the spinal column, the location of bone tissues. MRI and CT are considered more informative. They show the degree of destruction of the intervertebral discs, the presence and other pathologies

General rules and effective methods of treatment

Main tasks therapeutic measures in pathological processes of the lumbosacral spine:

relieve pain syndrome;
stop the inflammatory process;
improve blood circulation, increase access to tissues of nutrients;
stop muscle spasms, strengthen muscles;
normalize the sensitivity of the affected area.

To achieve a positive result, it is necessary to approach the treatment comprehensively. Modern techniques allow to achieve positive results, suspend degenerative changes.

Comprehensive treatment includes:

taking medications;
physiotherapy procedures;
massotherapy;
traction of the spine;
surgical intervention (according to indications).

Learn about the first signs and ways to relieve pain.

About what is ankylosing spondylitis of the spine and how to treat the disease is written on the page.

Go to the address and read about how to choose a magnetic posture corrector and how to use an orthopedic product.

Medications

To relieve pain and inflammation, it is used in the form of tablets, injections, ointments (as prescribed by a doctor).

Effective drugs:

Ketorol;
and others.

To take off muscle spasm use

Indications for surgery:

caudal syndrome;
severe compression of the nerve roots;
intervertebral.

Prevention

Since degenerative damage to the spine is a very common problem, steps must be taken in advance to prevent it.

protect your back from hypothermia, keep it dry and warm;
fulfill special exercises aimed at strengthening the muscles of the back;
do not overload the spine with weight lifting, enhanced sports;
during static work, it is necessary to do a warm-up from time to time;
eat a balanced diet;
to refuse from bad habits.

Degenerative-dystrophic processes in the spinal column are observed in 80% of the adult population. The upward trend in these indicators indicates changes in the lifestyle of modern society. People began to move less, use more harmful products. Therefore, it is very important to start preventing pathological changes as early as possible, monitor the health of the spine and not neglect contacting specialists in case of unpleasant symptoms.

Video about unique methods treatment of degenerative-dystrophic changes in the intervertebral disc, which prevent regression and eliminate pain:

Every adult has experienced back pain at least once in their life. In 80% they are associated with degenerative-dystrophic diseases of the spine. It is believed that such destructive processes occur in old age, since tissue degeneration is a sign of old age. But in modern society these diseases are rejuvenated. It is connected with different reasons, but above all with a sedentary lifestyle.

Degenerative-dystrophic changes in the lumbar spine are now often found in middle-aged people. This leads to loss of working capacity, and often to disability. It is very important to detect signs of the disease in time to stop tissue degeneration.

How degenerative-dystrophic changes develop

The human body is designed in such a way as to evenly distribute the load on the spine. With normal posture and a strong muscular corset, he can withstand heavy loads without harm to health. But the problem is that most modern people lead sedentary image life. This leads to weakening of muscles and ligaments. According to statistics, the spine of many people spends 80% of the time during the day in an unnatural state.

Most cases of dystrophic changes are associated with the destruction of intervertebral discs. Due to a long stay in one position or with large physical activity they become thinner, lose moisture, cracks and micro-tears appear on them. There is no blood supply inside the discs, so they regenerate very slowly. Because of this, even a small injury leads to degeneration.

The vertebrae under such conditions experience heavy loads, therefore, they also undergo changes. Salts from the bloodstream penetrate into the damaged area of the spine. calcification begins. Moreover, most often such degenerative processes occur in the lumbar region. After all, the biggest load during standing and sitting falls on the lower back. According to statistics, more than 30% of people over 30 have some kind of dystrophic diseases lumbar spine.

Dystrophic changes in the lumbar region are now found even in young people

Reasons for this condition

Such pathological processes of the lumbar spine can be caused by various reasons. Therefore, they develop regardless of the age and lifestyle of a person. Most often, these changes provoke such phenomena:

active sports with heavy loads on the lower back;
sudden loads, for example, lifting weights;
injuries of the spine, muscles and ligaments, even microtrauma due to constant overload;
inflammatory diseases, infections, hormonal disruptions;
malnutrition leading to nutritional deficiencies;
excess weight;
bad habits;
a sedentary lifestyle, due to which the muscles and ligaments are weakened;
aging of the body, leading to malnutrition of tissues;
genetic predisposition.

Symptoms of such diseases

In order to stop the destructive processes in time, it is necessary to consult a doctor at the first signs of tissue degeneration. But the problem is that such processes proceed very slowly, often for years. Many people try to manage their recurring back pain with home remedies. It happens that during a routine examination, for example, an x-ray or an MRI, degenerative-dystrophic changes in the lumbosacral region are detected. But often the destruction is already very strong.

Therefore, it is very important to know the first signs by which you can determine that such processes have begun:

aching pain in the lower back, aggravated during sitting, bending over and other loads, and subsiding during a night's rest;
pain can spread to the legs and buttocks;
decreased mobility of the spine;
violation of the functions of the pelvic organs;
swelling and redness in the affected area of the lumbosacral region;
increased fatigue;
a feeling of tingling, numbness in the lower extremities and buttocks;
gait disturbance.

Without proper treatment, degenerative processes lead to impaired blood circulation and innervation in the spine. This causes paresis or paralysis.

Degenerative processes in the spine cause severe pain, especially with prolonged sitting

Types of diseases

The term "degenerative-dystrophic changes" refers to overall picture pathological processes in the spine. But she generalizes several diseases that have not only common features but also its own characteristics. They can develop separately or together with each other.

Osteochondrosis is characterized by gradual thinning of the discs. The disease proceeds in a chronic form.
Chondrosis occurs most often in young people, subjecting the spine to heavy loads. In this case, microcracks appear in the vertebrae, due to which they are gradually destroyed.
Spondylosis is the formation of bony growths along the edges of the vertebrae. The gradual ossification of the spine severely limits the range of motion.
Spondylarthrosis - damage to the intervertebral joints, their gradual destruction. In this case, the discs become thinner, and bone growths form on the vertebrae. This leads to severe pain with any movement.
A herniated disc occurs due to destruction of the fibrous ring of the disc. The nucleus pulposus protrudes and compresses the nerve roots.

The diagnosis is made on the basis of the patient's examination and computer scan data.

Diagnosis of diseases

The sooner the patient goes to the doctor for examination and staging correct diagnosis the more successful the treatment will be. Usually, to make a decision about the presence of degenerative-dystrophic processes, the doctor needs the following information:

general picture of the patient's health;
X-ray examination data;
MRI scan.

Features of the treatment of such pathologies

Based on the results of the examination and the diagnosis, the doctor chooses the most effective methods therapy. Treatment should be aimed at relieving pain, slowing down dystrophic processes, strengthening muscles, restoring cartilage and bone tissues, as well as improving spinal mobility. For this, they are used different methods treatment.

AT acute period traction of the spine will be applied, as well as limiting its mobility with the help of special orthopedic bandages. Shown drug therapy. In addition to NSAID tablets, novocaine blockades or injection hormonal drugs. During the remission period, massage, exercise therapy, physiotherapy are shown. And if there is no result after conservative treatment and ongoing severe pain surgical intervention is used.

Treatment of such processes in the lumbar region should be comprehensive. Be sure to follow a special diet rich in vitamins, calcium and jelly products. All doctor's recommendations must be followed. But it still continues for several months. And if it was started on time, the patient was patient and did everything right, it is possible to completely restore the spine in a year.

Treatment is prescribed depending on the characteristics of the disease.

Medical therapy

It is definitely prescribed to relieve pain. These can be analgesics or non-steroidal anti-inflammatory drugs. Muscle relaxants are also used to relieve muscle spasms.

An obligatory stage in the treatment of such diseases is the restoration cartilage tissue. This is done with the help of chondroprotectors. All such preparations are taken orally or used in the form of ointments and gels for external use. Such complex treatment more effectively stops the development of degenerative processes.

In addition, drugs are prescribed that improve blood circulation, sedatives as well as B vitamins.

Physiotherapy treatment

During the period of remission in the absence acute pain and inflammation applied various methods physiotherapy:

massage improves blood circulation and metabolic processes;
manual therapy restores correct position vertebrae;
electrophoresis, magnetotherapy, UHF, acupuncture and other procedures relieve pain and inflammation, speed up recovery.

Massage and physiotherapy help restore spinal mobility

Exercise therapy for degenerative-dystrophic processes

A specially selected set of exercises helps the patient maintain spinal mobility. LFC performs the following functions:

slows down degenerative processes;
improves blood circulation and metabolism;
returns the correct posture;
strengthens the muscular corset;
preserves the elasticity of the segments of the spine and increases its mobility.

Prevention of tissue destruction of the spine

Such diseases associated with degenerative-dystrophic changes in the lumbar spine are now very common. Therefore, each person should know what to do in order to prevent such processes and maintain activity until old age. This is possible subject to the following rules:

protect the back from hypothermia and humidity;
avoid sudden loads on the lower back;
regularly perform exercises that strengthen the muscles of the back;
not to be long time in one position, during sedentary work, periodically get up and do a warm-up;
Make sure your diet is rich in vitamins and minerals.

It is necessary to consult a doctor in time if there is discomfort in the lower back. Only an attentive attitude to the condition of your spine will help keep it healthy and prevent destruction.

Degenerative-dystrophic changes in the spine are observed in 80% of the adult population of the planet. They impair the quality of life, lead to the development serious complications. How to avoid pathologies?

Take any person: everyone has suffered from back pain at least once in their life. medical statistics says: 20% complain about lumbar pain permanently, and 1-3% require surgical treatment.

The lumbosacral region is the center of gravity of the body, it takes on all the loads that accompany any movement human body. Sometimes these loads exceed the permissible limits, temporary changes and deformation of cartilaginous tissues occur in the spine. Under the influence of pressure on the damaged area of the spine, salts present in the bloodstream and plasma begin to actively penetrate into its structure. There is a beginning of calcification of a certain area of cartilage tissue. This is degenerative-dystrophic changes in the spine.

How do degenerative changes in the lumbar spine develop?

In order for degenerative changes to pass into an irreversible phase, a lot of time must pass. And this time the disease wins back in a person, due to the fact that the disease does not manifest itself immediately.

Expressed symptoms show themselves when time is lost, and the degenerative changes themselves have become large-scale and irreversible.

The medical term "degenerative-dystrophic changes in the spine" summarizes several diseases:

Degenerative-dystrophic changes in the lumbar spine: main symptoms

The clinical picture of changes can be different, depending on which structures of the spine are damaged and how serious these injuries are.

Symptoms of the diseases appear as degenerative-dystrophic lesions develop, but at the initial stages they pass without pronounced external signs.

As the pathological process develops, the patient may feel stiffness and heaviness in the lower back. But, the main symptom of all degenerative changes in the spine is pain. Pain in the lumbar region occurs during a long walk and during physical exertion, prolonged sitting in one position, while bending over. The pain syndrome is undulating: it arises, then decreases, disappears.

progressive degenerative process in intervertebral discs spine can lead to serious and dangerous complications.

Degenerative changes develop in stages:

initial stage

The first symptom, "screaming" about the presence of pathological changes in the lumbar spine, is a pronounced pain syndrome in the lower back. The pain sensations are so palpable that the patient is forced to limit his movements, and this significantly reduces normal level life and performance.

Complaints of pain directly depend on the place where the lesion is localized.

The second stage of the disease

Further progression of degenerative changes is characterized by the presence of:

severe mobility restrictions;
"lumbago" that occurs in the lower back;
tingling and "goosebumps" in the limbs and buttocks.

At the second stage of the disease, radicular syndrome develops - compression of the nerve roots occurs.

Third stage

At the third stage, blood circulation is disturbed due to compression of the radicular vessel, which leads to the development of ischemia. In addition to increasing pain, the third stage is noted:

partial or temporary numbness in the lower extremity girdle;
convulsions.

Fourth stage

Degenerative pathological processes of the spine that have not received proper treatment are fraught with paralysis and paresis at the fourth stage of development. These complications result from complete violation circulation of the spinal cord.

Causes of degenerative-dystrophic changes in the spine

The human body is a delicate and precise mechanism. It is determined by nature itself - the load on the human spine should be distributed evenly. A healthy spinal column can withstand both jumping and lifting weights. But, all this works only when a person follows the posture, has a strong muscular corset. The modern lifestyle is sedentary. And this leads to a weakening of the muscular corset, weight gain.

Sedentary work contributes to the appearance of degenerative changes in the spine.

According to research, the human spine is located in bent position 75-80% of the time: intervertebral discs become not so elastic, and the vertebrae are deformed.

Due to degenerative changes, the intervertebral discs lose moisture, cracks and all kinds of ruptures form in them. This contributes to the appearance intervertebral hernias. The vertebrae, when the load changes, try to increase their area, grow, thicken intensely, pinching the adjacent nerves.

Causes that provoke pathological changes:

constant or sudden loads;
active sports with heavy loads;
trauma;
natural aging;
inflammatory diseases of the spine;
improper nutrition.

Treatment Methods

Unfortunately, degenerative-dystrophic changes in the lumbar spine are observed in a large number people, and therefore the question of how to treat these pathologies is very relevant.

After all, if degenerative changes are not treated, they will progress, and the consequences can be the most deplorable, up to disability due to impaired motor activity.

Treatment of diseases of the lumbar region is considered complete and promotes recovery if after its implementation there is:

reduction or disappearance of pain syndrome;
relieving tension in the muscles of the lumbar, pelvis and lower extremities, strengthening muscles;
improved blood flow and tissue supply nutrients and oxygen, normalization of metabolic processes;
removal or reduction of inflammation;
normalization of the sensitivity of the lumbar;

To achieve the above results, it is necessary proper treatment. Specialists prescribe complex therapy using the latest advances modern medicine. For the treatment of degenerative changes in the lumbosacral spine, the following is prescribed:

drug therapy;
physiotherapy;
massage, therapeutic gymnastics, manual therapy;
acupuncture, acupuncture;
in extremely severe cases, surgery.

Conclusion

From the foregoing, it follows that there are several ways to overcome diseases of the lumbosacral region. But, it is better not to allow irreversible pathological processes to appear. You should consult a doctor in time, monitor your health, conduct correct image life.