The lumbar complex has always been a seat of degenerative changes due to excessive mobility over this area of spine. The annulus fibres undergo fibrillation, which predisposes annulus tears. The area of maximum mobility and stress, L4-L5 and L5-S1 interspaces are common sites of such annulus tears. Dehydration sets in at the intervertebral disc, resulting in the reduction of disc space. The reduced disc space brings about approximation of the zygapophyseal and facet joints, resulting in slackening of posterior longitudinal ligament. The slackening of the posterior longitudinal ligament detaches it from the periosteum due to increased intradiscal pressure, resulting in disc extrusion. The extruded disc material becomes fibrous and eventually gets calcified into a spur.
Table Of Content
Introduction of lumbar Spondylosis
Lumbar Spondylosis Symptoms
Lumbar Spondylosis Treatment
Lumbar Spondylosis Symptoms
1) Tenderness over the lower facet joints.
2) Restriction of movements in all directions.
3) Early morning stiffness.
4) Generalized backache.
5) Intermittent acute attacks of pain with periods of total relief.
Lumbar Spondylosis Treatment
1) Nonsteroidal anti-inflammatory medication.
2) Local injection of anaesthetic agent or steroid preparation may be indicated in severe pain.
3) Cryotherapy for acute pain.
4) Diapulse, ultrasound therapy and TENS may be useful.
5) Gentle spinal mobility exercises are initiated at the earliest.
6) Gentle flexion rotatory manipulation is beneficial.
7) As the problem is mechanical in origin, prevention of its recurrence is difficult. Therefore, ergonomic advice for back care is extremely important.
8) Relaxed mobilization of spine after recumbency is a must.
9) Long periods of recumbency as well as standing or walking is to be discouraged.
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