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Lumbar Spondylosis

Definition :

Spondylosis is a term referring to degenerative osteoarthritis of the joints between the centra of the spinal vertebrae and/or neural foraminae. Lower back spondylosis is labeled lumbar spondylosis.

:age, Obesity, Sitting for prolonged periods,Prior injury, Heredity, Herniated Discs, Bulging Discs, Torn Annulus


Symptoms :

Frequent pain, Morning low back stiffness, Pain that decreases with rest or exercises, Low back tenderness or numbness, Sciatica, Weakness in low back, legs, foot, Difficulty in walking, Bowel and Bladder problems

PHYSIOTHERAPY TREATMENT
1. REST : 

allows the body to heal itself, the mind and emotions to calm down, the muscles to relax and to some degree allows the inflammation in the tissues to subside.

2. RELAXATION : 

eases tension in the body muscles, quietens the mind and allows mind and the body to heal. Meditation is best.

3. HEAT : 

causes the small blood vessels and capillaries to dilate thus increasing the flow of blood (circulation of blood). Muscles respond best to this treatment, as the application of heat improves the flow of blood, relieves the pain /spasm and relaxes the muscles. A hot bath,sauna or a hot water shower on the aching area can relax spasm and muscle pain. You can also use a hot water bottle or an electric heat pad or infra-red lamps on the area of pain for 10-15 minutes. You can also utilise your own body heat by wrapping a scarf around the neck and a piece of woollen cloth around the waist to ease the ache.

Heat should be applied generally at least twice a day; four times a day would be more preferable. Deep heat treatment is also provided by microwave diathermy and ultrasound therapy which are safe, and very effective, but should be taken under expert guidance. Hot and cold contrast treatment is the best pain reliever - apply a towel squeezed in hot water for two minutes ; then immediately another towel squeezed in chilled water for half a minute - each application four times,and finally end with the hot towel for one minute. Ice pack is useful immediately after an injury, such as a bruise or an over-stretched ligament, blow or a fall to prevent too much inflammation and swelling. It must be applied for 2 to 3 minutes only.

4. REDUCTION OF WEIGHT 

The heavier you are, the more work the back has to do. Since the excess weight is carried in the front of the stomach area, it places additional strain on the low back, as it pulls forward, making your muscles work hard to keep you upright. 

5. POSTURE 

Correct posture is vital for the prevention of back and neck pain. Self-assessment of poor and imbalanced posture involving the tight muscles in the low back and neck can be done while sitting, standing, lying down, lifting etc. Sleep on a hard bed with a firm but comfortable mattress. The correct pillow is important. The spine should be straight from the head to the pelvic region (no bend). 

6 OCCUPATIONAL HAZARDS 

CPeople with sedentary habits must realise the adverse effects of just sitting, lack of exercises, tension /stress, etc. and cultivate the habit of moving about, stretching the neck, shoulders, walking briskly/playing games /doing lot of exercises like Yoga. Avoid standing for long and bending forward with a jerk or lifting weight. As you get older, keep your spine mobile through changing postures, regular exercises, warmth and massage. You may also use neck collar and sacroiliac belt in case of severe pain of cervical and lumbar spondylosis and in the low back area. We pay a high price for sedentary living both in terms of back pain (commonly caused by inadequate musculature) and 

7. TRACTION 

Stretches the spine along its length and moves the vertebrae thus taking pressure off the discs. Traction can be mechanical, i.e. with the help of equipments or manual, i.e. while lying down, the other person holds both ankles, pulling lengthwise,moderately and slightly upwards ( 30 seconds of pulling and 30 seconds of remaining idle -repeat 10 times). Or , fix a rod or a piece of strong 30 mm diameter pipe on your door frame, hold in your hands and hang, stretching the whole body and spine downward ( with weight hanging on the arms). Do this 3 to 6 times, for 30 seconds each time every day.