Duration of a lumbar spine syndrome

General

Back pain are a very common symptom among adults worldwide, almost every adult person suffers from them sooner or later. The is particularly prone to pain Lumbar region of the human. This is located around the area of ​​the "hollow back" in the lower back between the Thoracic vertebrae and the Sacral vertebrae. The lumbar spine syndrome (Lumbar spine syndrome) refers in its entirety to symptomatic changes in the lumbar region. Almost always this relates to back pain.

For more information, read our article: Spine anatomy.

The lumbar spine syndrome occurs more and more often due to the lifestyle in the western world, among other things. The lumbar spine syndrome can be divided into one chronic and a acute form.
The pain is very common muscle-related, for example through tension or Strains. Radiological diagnostic procedures (e.g. CT and MRI of the lumbar spine) often no cause or change can be determined. It is important to take the pressure off your back and treat the pain quickly, otherwise Relief postures with persistent bad posture can adjust.

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Duration of a lumbar spine syndrome

It is not possible to narrow down a precise treatment period, as the causes can be very different. Because the causes in Muscles, Tendons, vertebral bodies, vertebral joints or annoy are the healing times enormously different.
Muscular problems are very often the cause of a lumbar spine syndrome. Is it muscle tension or Strains the pain can go away well within days or a few weeks. At muscular It is also particularly important that you face problems no relieving posture of the back. In the long run, this can lead to degenerative changes and chronic pain. In this case, an important therapeutic measure over the period of the actual healing is the medical therapy. Nonsteroidal anti-inflammatory drugs ("NSAIDs") Are particularly recommended for pain relief. The most famous representatives are Ibuprofen, Diclofenac or Naproxen. Also Paracetamol offers itself. If the pain is too severe, stronger pain relievers can also be considered, for example Opioids how Morphine.

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The spine is difficult to treat. On the one hand it is exposed to high mechanical loads, on the other hand it has great mobility.

The treatment of the spine (e.g. herniated disc, facet syndrome, foramen stenosis, etc.) therefore requires a lot of experience.
I focus on a wide variety of diseases of the spine.
The aim of any treatment is treatment without surgery.

Which therapy achieves the best results in the long term can only be determined after looking at all of the information (Examination, X-ray, ultrasound, MRI, etc.) be assessed.

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Other therapeutic measures such as building stronger back muscles or surgical measures to relieve the lumbar spine can sometimes take a long time to heal. In both cases, weeks or months can be assumed. A permanent training of the back muscles is also recommended. A short structure is not enough. The Back muscles should always be trained in the long term become.

During an operation, for example a Herniated disc of the lumbar spine may become necessary, follow-up care also takes a few weeks. The pain can also become chronic under certain circumstances, which can last for an unlimited period of time.

Pain

The definition of a spinal syndrome is just one unspecific pain in the area of ​​the spine. At the Lumbar spine syndrome This expresses itself specifically in pain in the lumbar vertebrae area, which can radiate to the lower extremities, even to the feet. They make themselves felt as dull, stabbing or pulling pains and are often very acute and sudden.
Depending on the cause of the lumbar spine syndrome, tingling, numbness, and weakness can occur in the lower back.

The form, intensity and time of the onset of the pain are relevant for an accurate assessment of the syndrome. A very common form is the "Lumbago". This leads to a sudden, sharp pain. Often this occurs for the first time with deep stooping or heavy lifting and has various causes.
Usually only one is lying blockade the vertebral body or a Muscle strain before, in worse cases it can become one disc prolapse come. In any case, it is very painful, especially if the affected area moves suddenly.
If the pain is rather dull and slowly increasing, it can also be a question of short-term muscular problems, but it can also be an indication of an already existing wear and tear of the lumbar spine. The risk of this increases with the Age and is caused by long-term incorrect loads and bad posture. Here it must also be examined whether there is any degeneration of muscles, ligaments, bones or joints.

The pain also radiates into them legs in some cases this can be due to the participation of the Sciatic nerve (Sciatic nerve) indicate. This syndrome is called "Lumboischialgia". It can lead to tingling, numbness and paralysis in the legs and in particularly severe cases to bladder and bowel emptying disorders.Often one of the reasons for this is the herniated disc, which in severe cases may require an operation.

Sick leave

Lumbar spine syndrome is one of the most common causes of sick leave. About 20% of all sick leave occur solely because of damage to the spine. The duration of the sick leave cannot be determined across the board and depends on the causes of the illness and the responsible orthopedic surgeon. Similar to the duration of treatment and healing, in the case of lumbar spine syndrome, sick leave can range from days to many months.
If you treat at least the pain successfully and start one on the side physical therapy sick leave is sometimes not necessary.
Will the syndrome chronic and there is no improvement in sight, you have to clarify the situation with the employer individually or see the employment contract, because the orthopedist can theoretically leave the patient for many months.

forecast

The prognosis for the lumbar spine syndrome can be very different. If not chronicled muscular If there are problems, the pain usually recedes completely, either on its own or after relief and targeted muscle strengthening through physiotherapy.
Is there a chronic complaint before that has already had effects and damage to the vertebral bodies, the symptoms can also be alleviated here through targeted therapeutic measures. Depending on the circumstances, this can lead to persistent complaints. If, for example, there is a herniated disc, permanent damage can also remain. In particularly severe cases it comes to Loss of feeling and signs of paralysis of the legs and restricted mobility in the back, for example when an intervertebral joint needs to be stiffened.
In any case, suspicion of a lumbar spine syndrome must be carried out immediately Consultation with the orthopedic surgeon being held.

prophylaxis

Even simple improvements in lifestyle and certain habits can relieve back pain and prevent lumbar spine syndrome. An adequate strengthening of the Back muscles but an upright posture in everyday life also protects against many back problems.

In any case you should heavy lifting from the back and deep stooping Avoid in the long run, as it is extremely stressful for the intervertebral discs. You should always try to bend your knees and lift "off your feet". If you have a job at a desk, it helps to make a conscious effort to change your sitting position from time to time and to use desk chairs that are physiologically adapted to your back.