Lumbar Spondylosis Treatment
Use of massage in lumbar spondylosis
Use of massage in lumbar spondylosis
A) Characteristic signs and symptoms of lumbar spondylosis:
1. It is a degenerative condition of lumbar spine and is universal in elderly.
2. There is degeneration of inter-vertebral disc and secondary osteoarthrosis which is often asymptomatic, but may be associated with disc protrusion and bony overgrowth of adjacent vertebra, causing narrowing of spinal canal and inter-vertebral foramen with resultant compression of nerve roots, spinal cord or both.
3. Majority of patients experience low backache. Pain in lower limbs probably originates in disc and spine.
4. Compression of nerve roots occurs when disc prolapses laterally and radiating pain from lower back to toe is experienced. Range of movements is reduced and pain worsens with movement walking, bending, getting up from sitting position etc.
5. Signs of motor weakness and muscle wasting depend upon nerve roots compressed. Tingling sensation in lower limb is commonly observed.
6. Dorso-medial herniation of disc and development of post osteophytes may result in pressure over spinal cord and patient may present with progressive spastic paralysis, and sensory impairment within a level, bladder and bowel involvement developing at a later stage.
7. X-ray lumbar spine shows reduced disc space, osteophyte formation. MRI shows nerve root involved.
B) Aim of massage:
1. To reduce pain sensation as massage stimulates bodys natural painkillers.
2. To prevent further degenerative changes in inter-vertebral disc and lumbar vertebrae as massage is a good source of nourishment with use of unctuous substance like oil, ghee etc.
3. To increase strength of lumbar vertebrae and inter-vertebral disc as a result of improved nourishment to maintain their normal position and function and there by help to prevent prolapse disc, osteophyte formation etc.
C) Process of massage:
1. Body area to be massaged: from lower back to lower limb up to the toe is the body area to be massaged. If person does not experience any radiating pain in upper limb then only local massage over lower back is sufficient.
2. Direction of massage movements: a) Massage movements should be directed from above downwards along the concerned muscles, ligaments etc right from lower back towards lower limb. b) Massage movements over lumbar vertebrae and disc space between adjoining vertebrae should be circular.
3. Useful massage tips: a) In spondylosis, absorption and deep penetration of oil through skin is important to provide nourishment. Therefore massage movements should be slow but for longer time on a particular place like vertebrae etc rather than rapid movements with more pressure and friction. b) Circular action of thumb is useful for massage over vertebrae and disc space. c) Use of fingers and palm is useful while massaging lower limb. Individual muscles of neck and limb can be massaged with finger to help relaxation. d) Duration of massage as also its effect depends upon relief in pain and other symptoms. Reduced pain is an indicator of proper massage. Usually continuous massage for 25-30 minutes over a particular place like vertebrae etc will help oil reach up to bones. e) Daily massage preferably in early morning for some days is beneficial. f) Post massage, cold air and cold water bath should be avoided.
D) Use of different oils for massage:
1. Usually oil used for massage should be advised by concerned physician as some special medicinal oil that will reach up to bones and nourish them has to be used. Medicines that improve strength of bones like black sesame and milk etc should be added during preparation of oil.
2. Sesame oil, coconut oil, olive oil, sandalwood oil etc may be used.
by: parry p
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