Lumbar Spondylosis

Overview

Lumbar spondylosis refers to the degenerative changes that occur in the lower spine (lumbar region) due to ageing, wear and tear, or injury. It encompasses a range of conditions, including disc degeneration, bone spurs, and joint damage, that may cause pain, stiffness, and limited mobility. While common among older adults, lumbar spondylosis can also affect younger individuals due to sedentary lifestyles and poor posture.

Introduction

Lumbar spondylosis is a growing concern in India, especially with the increasing prevalence of desk jobs and long hours spent in sedentary positions. Studies indicate that nearly 60% of urban Indian adults experience back pain at some point in their lives, with lumbar spondylosis being a significant contributor. The condition is not limited to the elderly; younger populations are also at risk due to modern lifestyle choices, including prolonged sitting and lack of physical activity.

Symptoms

The symptoms of lumbar spondylosis can range from mild discomfort to severe pain, depending on the extent of degeneration. Common symptoms include:

– Lower Back Pain: Persistent or intermittent pain in the lumbar region.
– Stiffness: Difficulty bending or twisting due to stiffness in the lower back.
– Radiating Pain: Pain that travels down the legs (sciatica), caused by nerve compression.
– Tingling or Numbness: Sensations in the legs or feet due to nerve involvement.
– Weakness: Reduced strength in the legs, affecting mobility and balance.

Causes

Lumbar spondylosis is primarily caused by the natural ageing process, but several factors can accelerate its onset, including:

1. Ageing: Degenerative changes in the spine are a natural part of ageing.
2. Sedentary Lifestyle: Prolonged sitting and lack of exercise weaken the muscles supporting the spine.
3. Obesity: Excess body weight increases stress on the lower spine.
4. Repetitive Strain: Activities involving repetitive bending, lifting, or twisting can lead to early wear and tear.
5. Genetics: A family history of spinal issues may increase susceptibility.

Treatment

Effective management of lumbar spondylosis aims to relieve pain, restore mobility, and improve quality of life:

– Non-Surgical Treatments:
– Physiotherapy: Strengthening exercises and stretching improve flexibility and reduce pain.
– Medications: Pain relievers and anti-inflammatory drugs help manage symptoms.
– Lifestyle Modifications: Weight management, posture correction, and ergonomic adjustments are essential.
– Epidural Steroid Injections: These provide temporary relief by reducing inflammation around the affected nerves.

– Surgical Treatments:
– Reserved for severe cases where non-surgical methods fail, surgeries like decompression or spinal fusion may be recommended.

Prevention and Risk Factors

Prevention Strategies:

– Regular Exercise: Activities like walking, swimming, or yoga strengthen the back and improve flexibility.
– Ergonomic Workplace: Adjusting chairs, desks, and screens to support proper posture reduces strain.
– Healthy Weight: Maintaining an optimal weight lessens stress on the spine.
– Avoid Smoking: Smoking accelerates spinal degeneration by affecting blood flow to the discs.

Risk Factors:

– Age above 50 years.
– Sedentary or physically demanding jobs.
– Previous spinal injuries.
– Poor posture during daily activities.

Insights from Sancheti Hospital

At Sancheti Hospital, we specialize in diagnosing and treating lumbar spondylosis using advanced techniques and a patient-centric approach. Our expert team of orthopaedic specialists and physiotherapists ensures personalized care to address the unique needs of each patient. From conservative management plans to minimally invasive surgical interventions, we are equipped to help you regain mobility and reduce discomfort.

Choose Sancheti Hospital for comprehensive care and expertise in managing lumbar spondylosis, ensuring a pain-free and active life.