Lumbar Spondylosis Treatment Physiotherapy

• Dr Padam Singh

Lumbar Spondylosis treatment physiotherapy

WHAT IS LUMBAR SPONDYLOSIS?

Lumbar Spondylosis is a stable non-inflammatory disease that results from degeneration of the facet joint's lumbar disc. It is defined as any degenerative condition that affects discs, vertebral bodies, and joints associated with the lumbar vertebrae. The condition is believed to be irreversible and progressive for older patients. The lumbar region is typically the most affected by the stress caused by mechanical force.

Spondylosis refers to the Greek word used to describe vertebrae. The lower back of your body is composed of the five last vertebrae (vertebrae) that make up your spine. They are referred to as the spinal lumbar vertebrae or lumbar spine. Would you please schedule an appointment On sarwarpro for a Physical Therapist near you or consult our top-rated Therapy Physiotherapists?

These vertebrae are joined via facet joints lined by a smooth cartilage layer, which separates them, making their movements effortless and non-stressful.

Strong, flexible intervertebral discs between the vertebrae function as shock absorption for your spine. They also give your back the ability to bend and turn.

Lumbar Spondylosis refers to the result of the degeneration of the lumbar spine. Therefore, it can be referred to in the context of arthritis of the spine.

The term refers to any degenerative condition that affects the lumbar spine, such as:

• Osteoarthritis of the low back (OA) and the facet joint is a type of spinal osteoarthritis that occurs when the cartilage surrounding the facet joints weakens and wears away, leading to inflammation. Bone rubs against bone and causes discomforting bones spurs (bony overgrowths, also known as osteophytes) to develop on the cartilage. Bone spurs may cause the spinal canal to narrow (constricting the canal of your spinal) and cause nerve compression and injury.

• Spondylosis deformans bone spurs which grow around the degenerating intervertebral disk

• The bulging discs can trigger inflammation and make spinal nerves more sensitive. They can also pin the nerve(s)

• Herniated discs can press on the ligaments of the lower back, which can cause pain.

• Spondylolisthesis where one vertebra moves forward onto the vertebra next to it, causing misalignment of the spine

SYMPTOMS OF LUMBAR SPONDYLOSIS?

• The axial spine is prone to pain.

• The site of degenerative changes is facet joints, discs, intervertebral muscles, sacroiliac joints, myofascial structures and the dura.

• * Neurological claudication, which can be described as lower back leg pain, leg pain, the sensation of being numb when walking or standing.

• The disc's bulging can cause problems with the descending rootlets of cauda equine nerve roots that exit from the lower intervertebral canal or the spinal nerve in its ventral ramus if protruding centrally, poster-laterally and laterally.

Rare but serious complications of lumbar Spondylosis can be:

• The loss of the bladder and bowel, or edema in the groin as a result of nerve malfunction

• Lumbar spinal stenosis where the spinal canal narrows, placing stress on the spine and nerves and potentially restricting them, resulting in Numbness, tingling, weakness or pain radiating through the lower back and into the buttocks or thigh or groin.

• Cauda Equina Syndrome is a condition where nerves in the lower part of the spine get squeezed due to an intervertebral disk mass, causing serious nerve pain.

• The neurologic disorder is caused by nerve compression. It is due to bulging discs or bone spurs that narrow the spaces where nerve roots enter through the spinal canal (called foraminal stenosis)

CAUSES OF LUMBAR SPONDYLOSIS?

• Age: Many studies on osteoarthritis have shown the aging process as the most significant risk factor in bone degeneration, especially for the spine.

• * Work and activity Study of retrospective studies: BMI (Body Mass Index) and back injuries from incidents as well as daily spinal load (bending and twisting, lifting, and repetitive nonneutral postures) and body vibrations (such as those caused by driving) to be the main factors that increase the risk and severity of Spondylosis.

• * Genetic influences are likely to influence the formation of osteophytes and disc degeneration.

DIAGNOSIS OF LUMBAR SPONDYLOSIS?

• *MRI: provides the most details of the spine. It is used to determine the intervertebral discs and the extent of disc herniation.

• * X-rays: reveal bone spurs on vertebral bodies of the spine along with thickening of facet joints and the increase in the thickness of intervertebral disc spaces.

• * CT scan: allows you to see the spine with greater clarity and diagnose the spinal cord narrowing (spinal stenosis).

TREATMENT OF LUMBAR SPONDYLOSIS?

Would you please schedule an appointment On sarwarpro for a Physical Therapist near you or consult our top-rated Therapy Physiotherapists. It is generally accepted as the initial step in managing Spondylosis.

Physiotherapy for Lumbar Spondylosis

The physiotherapy treatment is a non-medicated and non-surgical therapy that focuses on reducing pain, stopping chronic pain, building strength, and enhancing the joint's mobility, function, and overall quality of life.

Based on your specific needs, physiotherapy to treat the lumbar spine can be:

• Stimulating, stretching and range of movement exercises

• Retraining for functional and activity modification

• A customized exercise program

• Traction

• Bracing

• Patient education, including postural and ergonomics education

• The cross-disciplinary therapies for pain relief include

• IFC or Interferential Current Therapy (IFC) or TENS therapy

• Therapy manual

• Acupuncture

• Therapy for massage

• Chiropractic

  Therapy for occupational therapy

Are you looking for physiotherapy treatment for lumbar Spondylosis? Make an appointment now for an assessment.

1. * Lumbar Fusion - usually when conservative treatments have failed, and the patient still suffers from pain after six months. Two vertebrae will be fused and then function as individual vertebrae. After

2.             Two years, the bony fusion may be considered high.

3. * Exercise therapy involves aerobics exercises and muscle strengthening and stretching exercises. The programs and exercises have to vary intensities, durations, and frequencies.

4. * Tractionhelps reduce chronic low back pain. Traction opens the intervertebral spaces and reduces the lordosis of the spine.

5. * Manual therapy is a conservation treatment that is a form of manipulation to the spine. There is a possibility of risk by manipulating the spine. Some calcifications could occur within the spine.

6. * Massage- Although massage therapy is subject to research for its efficacy, it seems to contribute to pain relief.

7. *TENS (transcutaneous electric stimulation), commonly used, can provide an immediate decrease in pain after the treatment. But, there isn't a lot of evidence to support long-term relief.

8. * Taping- It aids in easing pain in the lower back pain. The tape can be regular tape or Kinesiotape. It is crucial to remember that tape alone isn't enough. It should be utilized in therapy to increase mobility (ROM).

9. * McKenzie exercises- focus on extension. It has shown promising results regarding preventing degeneration of the lumbar spine.

10. * Lumbar back support is beneficial to patients with low back discomfort. This limits the spine's motion and stabilizes, corrects spine deformity, and decreases mechanical force.

11. * Lumbar support - with braces utilized to help stabilize and decrease mechanical forces. They also serve to reduce the motion of the spine and correct spine deformity.

12. Patient Education- teaching the patient to be aware of the anatomy of the lumbar region, explaining what posture is ergonomics, and providing proper back exercises.

Physiotherapy to treat Lumbar pain in Delhi.

Please schedule an appointment for physiotherapy to treat Lumbar pain in Delhi. or talk to our top-rated Physiotherapists to discuss the treatment you require.

Would you please schedule an appointment On sarwarpro for a Physical Therapist near you or consult our top-rated Therapy Physiotherapists, who will discuss the treatment you require?