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According to M.K.Brotmana (1972), syndromes at hernias of lumbar disks are found out in 80 % of cases, thus in 35,8 % find defeat of two backs, in 44,2 % - three backs and more. Plural defeat of backs at a lumbar osteochondrosis is caused by variety of factors: hernia localisation, in its big volume, the plural hernias, accompanying changes in surrounding fabrics, anomalies and backs (E.V.Makarova, 1972). According to M.A.Farbera and co-authors (1981), occurrence mono-or a syndrome depends on character of a hernia of a , from degree of expressiveness of the reaktivno-inflammatory phenomena in backs, , spinal covers. The prescription of disease and duration the phenomena matters. M.K.Brotman-(1972) underlines a role backs. According to Century And. (1964), syndromes are caused large hernial a disk at which one back suffers on a place of an exit from a bag, another - still in a bag. J.K.Ass (1971) underlines value a bag and a horse tail. According to E.V.Makarovoj (1972), most often there is a syndrome defeats of two adjacent backs. At hernias of a disk LIV suffer L4-L5 backs, at hernias of disk LIV-LV S1 a back. phentrimine
At a syndrome the clinic of defeat of one back on which the hernia most of all operates usually prevails. In a zone of this back are observed the most proof pain and . At a syndrome hernia localisation corresponds to a back (for example, at defeat L4-L5 of backs there is a hernia of disk LIV-LV). At hernias of disk LIV-LV backs L5-S1 are amazed seldom, is more often it is observed at hernias LV-S1, back Ls thus is mainly amazed, a Si - is insignificant, the reflex does not die away, sometimes only slightly decreases. Defeat of three backs (L4-L5-S1) arises at hernias of disk LIV-LV, than at hernias of disk LV-SI is more often, thus backs L4, L5 . At the hernias of disk Lv-Si accompanied by defeat of backs L4-L5-S1, backs L5 and S1 are more amazed. buy phentrimine

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The first symptoms of a lumbar osteochondrosis arise usually throughout the third decade of a life (J.K.Ass, 1971). According to E.V.Makarovoj (1972), the maximum of clinical displays falls for 3-4 decade. However she underlines, that in the literature even more often there are descriptions of cases of early development of a lumbar osteochondrosis. Our data confirm this position.
The disease current is characterised by alternation of aggravations and remissions. Remissions usually connect with reduction of irritation of branches a nerve or backs owing to reduction of a hypostasis, swelling of fabrics of a disk, a jet hypostasis of backs or change of size of a hernia owing to mobility of the stuck out fragment, increase or puffiness reduction, passing character and irritativno-inflammatory changes in a back.
Process aggravations come under the influence of physical activity, long stay in an inconvenient pose, cooling, an infection. Mechanical factors have special value. According to V.A.Shustina (1964), the mechanical factor is revealed as a cause of illness at 70 %, according to J.K.Assa of 71,7 %. Persons of physical work fall ill more often than others. ultram
The majority of clinical physicians mark diphasic character of a current. For ' the first phase the local pain in a waist is characteristic, vtoraja-is characterised pains in a foot. V.A.Shustin (1964) has established three variants of the beginning of illness: a local pain in a waist-in of 71 % of cases, a pain in a waist and a foot simultaneously-in 16 %, a pain in a foot-in of 13 %. Disease begins differently. At one slowly, gradually develops chronic , at others arises . Duration of the first phase from several days till several years. Further intervals between aggravations become more shortly, and aggravations - are longer. However, from these general provisions numerous exceptions when after a debut the aggravation arises in many years are observed, 1-3 times for all life repeat or from the very beginning accepts steadily progressing character of a current etc. herbal soma