How is sciatica treated: drugs, procedures, gymnastics, traditional medicine
Sciatica - pinching and inflammation of the sciatic nerve. This disease is often called neuralgia of the sciatic nerve or lumbosacral radiculitis.
The peculiarity of this disease is that the basic pain sensations are manifested in the leg, whereas the true cause of the disease lies in the spine.
Most often, an attack of sciatica occurs due to the lesion of one or more roots of the lumbosacral spinal cord.Symptoms of sciatica: pain in the lower back, giving to the buttock, thigh and even the lower leg. Sometimes there is bilateral inflammation of the sciatic nerve, which is accompanied by unbearable pain.
Strengthening soreness occurs during movement, with bending of the foot or changing the position of the body.
Treatment of sciatica
To reduce the pain that interferes with normal functioning, it is recommended to adhere to certain rules:
- not sit more than 2 hours without breaks;
- keep your back straight, not slouching;
- does not lift weights;
- avoid wearing shoes with heels;
- try not to sit on low and soft chairs and sofas;
- for pain reduction can be applied locally cold;
- sleep better on a hard surface on its side.
Medical treatmentConservative treatment of sciatica nerve inflammation consists in the fight against its main manifestation - pain. Do not self-medicate to prevent complications of the disease. Therefore, when there is pain in the lower back, you should consult your doctor for a precise diagnosis and the appointment of a comprehensive treatment.
The main group of medicines are NSAIDs. These drugs block the formation of enzymes that trigger an inflammatory reaction, thereby relieving pain, inflammation and have antipyretic properties. They can be used in the form of tablets and capsules for internal use, rectal suppositories, as injections. Also on their basis a large number of local products are produced - creams and ointments.
NSAIDs are not addictive, which is their undisputed plus, but most of them have an irritating effect on the gastric mucosa. Because of this, their use is contraindicated in peptic ulcer of stomach and duodenum.
Also, NSAIDs reduce blood clotting, which must be taken into account by people with a tendency to bleeding, as well as taking drugs for dilution of blood. In addition, they have a depressing effect on the activity of the kidneys.The second group of agents for the treatment of sciatica are steroid preparations, produced from the hormone cortisol. They are appointed in case of ineffectiveness of other methods of therapy. They are taken for a short period of time, since they have a variety of side effects. The effect of steroids is to relieve inflammation, which leads to pain and swelling.
In addition, complex therapy shows the intake of vitamin preparations, especially group B, which have a positive effect on the functioning of the nervous system.
Drugs for the treatment of sciatica
Among the NSAIDs the following drugs are most often used:
- Diclofenac( Diclac, Orthofen, Voltaren, Diclonate P, Diklovit);
- Aceclofenac( Aertal);
- Naproxen( Nalgezin);
- Dexketoprofen( Dexalgin);
- Ibuprofen( Nurofen, Cefekon, Ibufen);
- Ketoprofen( Ketonan, Ketanov);
- Nimesulide( Naise);
- Betamethasone( Diprospan);
Ointments and creams with a combined composition:
- Deep Heath;
- Deep Relief;
Surgical treatment of sciaticaIn some cases, when conservative treatment does not give the desired result, and the patient continues to suffer from pain, surgical operations are prescribed.
The choice of the operation depends on the cause, which triggered the pinching of the nerve. Laminectomy, microdiscectomy, vertebroplasty, annuloplasty, discectomy, facetectomy can be performed.
Physiotherapy for sciatica
Physiotherapy is applied after relief of the acute phase of the disease. Phonophoresis, UHF, Bernard's diadynamic currents, magnetotherapy, electrophoresis, paraffin applications can be prescribed.
The use of these therapies in pregnancy, tuberculosis, drug addiction, alcoholism, malignant tumors, skin diseases at the site of application is contraindicated.
Therapeutic baths for sciatica
Due to its generally restorative and relaxing effect, therapeutic baths are widely used in the treatment of sciatica in traditional and folk medicine. The duration of one procedure is 12-15 minutes. It must be performed in the evening before going to bed every day for 7-10 days. The water temperature should not exceed 37 degrees, so as not to increase the inflammation.
Perhaps the most popular are coniferous baths. To prepare such a bath, use the ready-made coniferous concentrate, which can be purchased at the pharmacy, or prepared independently. For this kilogram shoots of pine pour 3 liters of boiling water and insist for 4 hours. Then the infusion is filtered and diluted in a ratio of 1:15 with water for bathing.
MassageMassage with sciatica has a relaxing effect on the muscles, which helps to relieve pain. Only an expert should conduct it, since special care and accuracy is necessary.
During the period of exacerbation and severe pain, only rubbing massage is performed, completely eliminating patting movements. When the inflammation drops slightly, you can carry out a more intense massage by connecting the tapes. Massage is performed not only on the lower back, but covers the entire back, legs and buttocks.
For a stronger effect, massage with special warming massage creams is recommended.
Excellent results give the use of acupuncture massage.
Gymnastics for the treatment of sciatica
Because the cause of sciatica most often is the squeezing of the sciatic nerve due to deformation of the vertebrae in the lumbar spine, the performance of special exercises allows you to cope with a pinch and reduce the pain syndrome. In addition, gymnastic exercises improve blood circulation and metabolism in the affected area.For obtaining the greatest efficiency from gymnastics, it is necessary to coordinate it with a specialist who will help you choose the appropriate set of exercises.
There are several general recommendations for such gymnastics:
- should be performed daily;
- is best done several approaches per day, rather than doing it all at once;
- if the attack of sciatica is very painful, then you can do 2-3 days break, then resume the exercises in the rhythm in which the condition will allow;
- all exercises should be performed on a firm, level surface.
All exercises in sciatica have a general strengthening effect and are aimed at improving mobility in the lumbosacral spine. Exemplary list of exercises:
- Lie on a hard surface on your back. Draw your knees to your chest and clasp your arms around your buttocks. Hold in this position for 30 seconds, then straighten your legs, and place your arms along the body. Perform the exercise 10 times.
- In the prone position on your side, pull your knees to your chest, stay for 30 seconds and straighten your legs. Repeat 10 times.
- In the supine position, grasp one knee with your hands and pull it to the opposite shoulder, fix the position for 30 seconds and repeat the exercise for the other knee. Perform 10 times for each leg.
- Lie on your stomach and, leaning on your elbows, stretch your back to the maximum. The head is raised while the body is not torn from the surface. Hold in the upper position for 10 seconds and return to the original position. Repeat 10 times.
- Get on your knees and stretch out your hands, locked in the "lock" above your head. Slowly bend forward, touching the floor as far away as possible from yourself. Return to the starting position. Run 10 repetitions.
- Stand near the wall and lean against it with your hands, slightly tilting the body. Run 10-15 push-ups, touching the nose of the wall in the lower position.
Since sciatica is a fairly common disease, there are many folk methods of dealing with it. Below are just a few of them.
Important! Before using any folk remedy, you should always consult a doctor about the possibility of such treatment.
- Take a few cabbage leaves with cuttings cut beforehand and drop them for 3 minutes into boiling water. Apply on the back( a little chilling to not burn the skin), cover over top with cellophane and tie with a woolen cloth. Repeat the procedure for several days until the condition improves. The same compresses can be done using leaves of birch or burdock.
- You can make a compress from grated to a small grater horseradish, applied to the fabric. Horseradish will improve blood circulation and nutrition of tissues, which will positively affect the patient's condition.
Important: useful information!
Sciatica prophylaxisThe risk of sciatica develops with age. So, regardless of the way of life, every second person who has reached the age of 40 can be subjected to it.
Therefore, it is very important to engage in preventive procedures in order to avoid this disease, which brings a lot of inconveniences and severe pains to life.
For prophylaxis it is necessary:
- Regularly perform gymnastics for stretching and strengthening the muscles of the back and spine.
- Avoid overcooling.
- Adhere to proper nutrition.
- Avoid bad habits.
- Strengthen immunity.
These measures will help to avoid not only sciatica, but also most other diseases.
How to treat sciatica - medicamentous and folk methods
Sciatica is a pathological condition with a characteristic pain syndrome due to sciatica nerve inflammation. Already the very word because of its unusual sound can alert and scare the patient. What is it? The very term in the literal translation from the Greek language( ishion) just stands for the seat. Sciatica is not an independent disease, but a syndrome, a complex of symptoms that occur in many diseases.
Most commonly, sciatica is a consequence of diseases such as:
- Lumbosacral sciaticum due to hypothermia
- Osteochondrosis of lumbosacral spine
- Spine trauma
- Herniated discs
- Specific spinal cord injuries - tuberculosis, malignant neoplasm
- Inflammatory pelvic organs diseases -bladder, small intestine, uterus
Thus, sciatica can develop both because of the primary pathology of the spinal column, and again because of the pathology of the internal organs. Therefore, the doctor, before assigning a medical treatment for sciatica, should establish its cause in each specific case. Although in different situations the essence of pathological processes and negative manifestations of this condition is approximately the same. And the approaches to treatment, despite some differences in different situations, have similarities.
Pathological changes and signsNerve compression
How does sciatica go? The characteristic symptoms of sciatica are due to the peculiarities of the sciatic nerve, in which inflammatory processes are noted. The sciatic nerve is the nerve of the sacral plexus. It is formed by the roots of the two lower lumbar and three upper sacral spinal nerves. This nerve passes through the gluteal region along the posterior surface of the thigh, in the region of the popliteal fossa before passing to the shin it divides into two main branches, which pass to the plantar surface of the foot.
The peculiarity of this nerve is that it is the largest not only in the sacral plexus, but also in the human body. Accordingly, the pain syndrome in the inflammatory lesion of this nerve will be quite intense. And inflammatory phenomena occur often, because it is the lumbosacral department that experiences the maximum physical load. Here, most often observed radiculitis, osteochondrosis, disc hernias.
Sciatica manifests itself along the sciatic nerve - in the lumbosacral region and buttocks, along the posterior surface of the thigh and lower leg with the transition to the sole of the foot. It is here that all the negative manifestations of this condition are noted, which include:
- Sharp pain of shooting character, increasing with physical activity
- Sensitivity reduction
- So-called paresthesia - burning sensation, numbness, crawling skin
- Gait disorders
- Stretch symptoms -flexing the limb in the hip joint, tilting the head and torso forward.
These signs, their typical localization and one-sided nature of lesions( one pair of sciatic nerves inflames) make it easy to distinguish sciatica from similar pathological conditions.
How to treat sciatica? Official medicine for this uses pharmacological means of general and local action, the effect of which is fixed by physiotherapy and massage procedures, therapeutic gymnastics. Tablets in this case are practically not used. The main routes of administration are intramuscular or intravenous. Some means for local anesthesia( the so-called local anesthetics) are injected directly into the spinal canal. We advise reading: Traditional methods of treating gout
In general, anesthesia, although it does not eliminate the cause of sciatica, but plays an important role in its treatment. In this regard, use non-steroidal anti-inflammatory drugs - butadione, indomethacin, ibuprofen. They relieve inflammation and swelling of the fibers of the sciatic nerve and thus eliminate pain. But the use of these drugs is not desirable with certain concomitant diseases - gastritis, stomach ulcer, bronchial asthma.
Therefore, non-steroid agents are combined with steroidal anti-inflammatory agents. The latter include hormonal drugs - prednisolone, hydrocortisone. In this case, they are used as ointments for the external processing of the lumbar-sacral region.
Anesthesia is achieved by novocain blockades - novocaine by injections of a special needle is inserted into the lumbosacral region, thereby achieving anesthesia. With the purpose of resorption of inflammatory foci and stimulation of metabolic processes, vitamins C and B, aloe, lidase, methyluracil, levamisole are administered.
Physiotherapy, massage and physiotherapy
Later, when the acute stage is over, physiotherapy, massage and exercise therapy can be added to the medicinal treatment. In this plan, UHF, phonophoresis, and Bernard's diadynamic currents are shown. All these types of treatment are conducted in the absence of contraindications, which are:
- Acute stage of sciatica
- Child age
- Alcoholism, addiction
- Malignant oncology
- Previous internal bleeding
- Skin changes at the site of application
Exercises for sciatica are aimed at removing pain and swelling of the sciatic nerve, muscle relaxation and stimulation of metabolic processes in the zonedefeat. They can be performed in any of the positions - sitting, standing or lying down. But from the physiological point of view, when performing the exercises, it is best to lie on a flat, rigid surface. Below are the most effective exercises.
First you need to lie with your back on a flat floor, bend your knees, bring them to your chest. Simultaneously, you need to grab your buttocks with your hands. In this position, you should stay for half a minute, and then you need to straighten your legs, stretch your arms along the body, relax all muscles. This exercise should be repeated up to 10 times.Exercises help to remove the swelling and pain
In the future, you need to roll over on your side and again bring your knees bent to your torso, and then relax them, stretching your toes. This exercise is also performed 10 times. Then they turn over on their stomachs, and, leaning on their hands, raise the case as if pushing. In this case, the pelvis and legs remain immobile. With the help of these and other exercises, you can treat sciatica at home. But the preliminary consultation of a physiotherapist and a specialist in physiotherapy exercises will not be superfluous.
Massage with sciatica is combined with physiotherapy. Thanks to the massage, effects similar to those achieved with the use of physical procedures and physiotherapy exercises are achieved. Massage is carried out intensively every day or every other day using a point or segmental method. Thus massage movements are directed from below upwards from fingers of feet to overlying sites. The duration of each massage is 30-35 minutes.
Traditional medicine recipes
In the fight against sciatica, folk medicine also does not stand aside. Treatment of sciatica with folk remedies pursues the same goals as therapy in traditional ways. Recipes of traditional medicine are very numerous, but in each of them only natural remedies are used either in pure form or in the form of mixtures, solutions, infusion, decoctions. Here are some of them.
You need to take fresh wax from the apiary, warm it up( but not melt it).In this form, it is placed on the waist and sacrum, from above is covered with cellophane and tied with a woolen cloth. It turns out a kind of compress. If the procedure is done daily at night, then a few days later the pain will go away.
Cabbage leaves can be used in a similar way. It is necessary to take a few fresh juicy leaves with cut petioles and for 3 minutes.throw them into boiling water, but do not cook. Then put on the lower back and make a compress in the manner described above. Similarly, you can use the leaves of other plants - burdock and birch.
Although they say that radish radish is not sweeter, but each of these products, placed on a piece of tissue and attached to the loins in a crushed form, is an effective folk remedy for sciatica.
Effective means is infusion of pine buds. For its preparation 2 tbsp. Spoon the kidneys with 2 cups of boiling water. In this form, the product is infused for half a day. The obtained infusion is suitable both for internal use( half cup 3-4 times a day), and for the outside in the form of compresses.
Despite the fact that recipes from natural remedies have proven themselves on the best side, it is hardly possible to cure sciatica with the help of folk medicine alone. In order to eliminate this ailment, an integrated approach is needed with the advice of a therapist, neurologist, radiologist and surgeon. A treatment for sciatica should be carried out using all the above methods. Only under this condition it will be effective.
Sciatica. Symptoms and causes. Medication and gymnastics.
Sciatica - neuralgia of the femoral and sciatic nerve. The sciatic nerve is the longest nerve in the body, which exits the lower part of the spine and passes through the pelvic region to the legs. The defeat of the peripheral nerves is due to cooling, infection, or trauma.
Symptoms of Sciatica
Symptoms appear in the pain of the gluteal region, the back of the thigh and lower leg, in which pain is given to the lower limb. Painful pressure on the nerve. There is a hypotonia of the gluteal and calf muscles, a decrease in the Achilles reflex.
Sciatica is a condition in which there is pain in the back, giving off in the lower limb. Usually this pain passes behind the knee and can reach the foot. Sometimes, in addition to pain, muscle weakness can be noted.
The leading manifestations of sciatica are
- disorders of sensitivity and motor activity of the lower limbs;
- permanent pain on the back of the foot;
- burning and tingling at the bottom of the foot;
These symptoms differ in localization, severity, nature and duration. For example, pain by nature can be firing, burning, stitching, aching or pulling. Another feature typical of sciatica is the paroxysm of pain, when periods of pain intensification alternate with temporary weakening or even a complete "calm".
Pain in sciatica
Pain in sciatica is usually a "shooting" character, like an electric shock. In addition, there may be a burning sensation in the leg or a "tingling sensation."The degree of pain can be from mild to intense. Some patients may have pain in one part of the leg, and numbness with tingling in the other part of the same leg.
As a rule, the pains are descending, arising first in the lumbar region and gradually descending to the lower parts, down to the fingertips. Painful sensations mainly occur only in one leg, but in bilateral sciatica, both limbs are involved in the pathological process, turning the patient's life into agonizing suffering. Especially when the pain is so intense that it almost paralyzes the patient: during such attacks, any movement, whether it is an attempt to sit, pull out a leg or simply transfer the weight of the body from one leg to the other, results in a sharp exacerbation of pain.
However, the symptoms of sciatica can be limited only by moderate, quite tolerable soreness, and sensitivity becomes the priority when the numbness, tingling, feeling of "crawling" in this or that part of the body comes to the fore.
Causes of sciatica
Neuralgia of the sciatic nerve is caused by its irritation by any factor. In most cases, you may not even remember what caused these pains. Sometimes pain can arise after a sudden lifting of gravity or an awkward movement.
Due to the fact that sciatica most often arises from the formation of a herniated disc, which compresses the nerve, with any formation of a hernia or inflammation of the nerve, symptoms of sciatica may appear. To the causes of sciatica nerve inflammation include: irritation of the nerve with the adjacent bone, tumors, muscles, internal bleeding, infections, trauma, and so on.
Diagnosis is based on examination and medical history. Typical symptoms and some specific examination techniques help the doctor diagnose sciatica. Sometimes X-rays and other studies, such as computed tomography or magnetic resonance imaging and electromyography, are used to further determine the causes of sciatica.
Attacks of lumbago and sciatica tend to repeat throughout life. Therefore, it is very important to identify the types of physical exertion or body position, to warn the patient about the inadmissibility of overloads and hypothermia that provoke their appearance.
Treatment of sciatica
Treatment of sciatica by topical application of analgesic and anti-inflammatory ointments does not affect the main reason for sciatica.
Meanwhile, this reason can be very serious, let's take an intervertebral hernia, for example, which, over time, can lead to disability. Therefore, when diagnosing sciatica, it is not necessary to debug the treatment for a later time, in order to avoid complications and worsening of the condition. And also to conduct treatment with a qualified specialist and directed treatment to eliminate not only the symptoms, but also the root cause of the disease.
Medical treatment of sciatica
It means taking anti-inflammatory drugs that relieve strong pain. Recommended medicines include ibuprofen , diclofenac and orthophene , but remember that all these drugs are unable to eliminate the cause of the disease. Accordingly, if it is not effective to treat sciatica, the symptoms will disappear only for a while, and then the pain will become even stronger and spread to other parts of the body. Cure with the disease will help only complex treatment.
But in addition to medications it is important to perform exercises in sciatica , which relax the affected areas of the body and relieve pain, stimulate the blood flow to the sore spot.
Gymnastics with sciatica
Gymnastics improves metabolism and helps the patient to get better soon. All exercises should be conducted under the supervision of a doctor, but if this is not possible, then you can study at home with caution. Exercises are not shown to everyone, for example, patients with diabetes mellitus do not.
Exercises for sciatica
Exercise 1. Lie on a hard surface, legs extend. Slowly bend the legs at the knees and pull them to the chest. Feel how your muscles stretch and tense in the lower back. Hold in this position for half a minute. Then return the legs to the horizontal position. Such an exercise must be done 10 times.
Exercise 2. Lie on your stomach. Bend your hands in the elbows, get up on them. Pull back as much as possible, hold for 15 seconds, go back to the starting position, relax. Repeat 10 times.
Exercise 3. Lie on your back, bend your knees. Strain your back muscles and press your spine against the floor, pay special attention to the lumbar region. Leave your muscles tense for a few seconds, then relax. Repeat 10 times.
Such exercises in sciatica help to eliminate acute pain and relax the affected areas.
When treating the inflammatory process, ointments with mustard oil, propolis, turpentine are well recommended. With the use of these funds, the nerve becomes active, blood circulation increases, and the affected area warms up.
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Surgical treatment of
This type of treatment is required only if there is a serious disruption in the operation of the pelvic organs. If a pathology of the intervertebral disc is detected, then microsurgical intervention is performed.
With the help of special instruments, an operation called microdiscectomy is performed. During this procedure, remove a portion of the displaced disc that presses the nerve.
Massage and physiotherapy
Massage can be performed after the exacerbation has ended. With this procedure, it is possible to improve blood circulation, reduce pain, increase nerve conduction, prevent muscle hypotrophy.The course of such procedures should include at least ten sessions. And gradually it is necessary to increase their intensity. The last sessions are mostly aimed at eliminating negative health effects, and also are used as a preventive measure.
Sufficiently effective in sciatica physiotherapy - phonophoresis, electrophoresis, compresses, warming. During such procedures, it is possible to administer medications that significantly accelerate the recovery process.
Often used antispasmodics, anti-inflammatory drugs, vitamins, muscle relaxants.
Physiotherapy and gymnastics
To eliminate inflammation, exercises are used that improve blood circulation in the lumbar region and reduce pain.
The most effective are the following:
1. Raising the legs.
Lie on your back, legs bend at the knees. From this position, raise one foot by 30 cm and hold for 10 seconds. Return to the original position and do the same with the second leg. Run at a slow pace 8-12 times.
2. Exercise with the ball.
Lie on your back, pinch the ball between your legs, bend your knees. Holding the ball, raise your legs 30 cm from the floor. Move the ball to the left and hold for 10 seconds. Return to the starting position and repeat the same on the right side. Do 10 repetitions.
3. Push-ups from the wall.
Stand with your hands against the wall. Slowly bend your elbows and also return to the original position. Do 10-15 repetitions.
Similar recipes can be used only after consulting a doctor, as they have many contraindications.
- Can massage. Lubricate the affected area with a warming cream, put the jar and move it, performing circular motions. Do this every other day for 10 minutes.
- Beeswax. Warm up the wax in a water bath so that it has a soft consistency. Make a flat cake and put on the affected area. Top with tape, cotton and bandage. Leave it overnight. Repeat the procedure for a week.
- Tincture of pine buds. Take pine buds, pour them with vodka and insist in a dark place. Do this for a week. Wipe the infusion with the infested place.
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If the treatment is started in time, it is possible to prevent the appearance of dangerous health consequences and forget about this unpleasant disease. If this is not done, serious complications can develop. This can be partial muscle atrophy, loss of sensation in the legs, incontinence of urine and feces.
If you lead a sedentary lifestyle, the muscles weaken and it is difficult for them to hold their back. As a result, various pathologies develop which cause sciatica nerve inflammation. To avoid this, you need to engage in the prevention of sciatica.
The main activities include:
- Moderate athletic loads, strengthening of the muscular corset.
- Use of foods high in calcium and magnesium.
- Elimination of asymmetry of the trunk by using manual therapy.
- Strengthening the arms and stretching the spine by hanging on the bar.
- Timely correction of posture in childhood.
- Performing the deflections of the back on all fours.
Inflammation of the sciatic nerve is accompanied by severe pain and can lead to negative health effects. Therefore, it is so important at the first signs of pathology to see a doctor who will choose an adequate treatment.
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Sciatica - symptoms, how to treat medicines and folk remedies |DoctorFM.ru
Sciatica is a symptom complex that includes pain, transient tingling, numbness and weakness that occur along the course of the large sciatic nerve: from the lower back and gluteal region to the thigh and lower leg.
Sciatica is not an independent diagnosis and is only a symptom that can manifest itself in certain diseases.
Sciatica usually manifests itself in middle age. The main peak of the incidence falls on 45-55 years. In people younger than 20 and older than 60 years, the disease is relatively rare.
Sciatica is a clinical manifestation of irritation of the sciatic nerve, which is the largest neural trunk in the human body. This nerve is formed by separate roots of the spinal cord originating in the lower part of the spine( L4-S3).Further this nerve passes through a gap formed by a pear-shaped muscle, passing to the back surface of the leg, and providing innervation of the muscles. In the popliteal fossa it divides into two nerves: tibial and peroneal.
Causes of sciatica
- Herniated disc in the lumbar spine. In this disease, the fibrous ring of the disc is damaged and the bulging of its internal pulposus is observed. This leads to pinching and irritation of the spinal roots, which is the cause of sciatica.
- Osteochondrosis. Degenerative changes begin in the intervertebral discs, gradually spreading to the ligamentous and articular apparatus of the spine. The instability of the motor segments and the development of reactive inflammation in the lesion site can lead to pinching of the roots of the spinal cord.
- Spondylolisthesis. This is a pathological condition in which there is some displacement( sliding) of the vertebrae in the horizontal plane relative to each other. Spondylolisthesis in the lumbar region can be accompanied by compression of roots forming the sciatic nerve. Stenosis of the spinal canal. Develops as a consequence of growth of bone, cartilage or other tissues with their subsequent penetration into the spinal canal. These changes can lead to compression of the spinal nerves. Sciatica, caused by stenosis of the spinal canal, is observed, as a rule, in people older than 60 years.
- Pear-shaped muscle syndrome. The sciatic nerve passes under the pear-shaped muscle, which can compress it. This provokes irritation, which is accompanied by pain as a type of lumboschialgia. However, this condition is not a manifestation of true sciatica.
- Violation of the sacroiliac joint is characterized by an increase( or decrease) in its mobility. This can lead to a pinched nerve at the level of L5, causing sciatica.
Clinical picture of sciatica
The sciatic nerve is formed by five pairs of roots of the spinal cord: two in the lumbar region( L4 and L5) and three in the sacral( S1-S3).Depending on the level of compression, pain can be observed in various areas of the lower limb. When the roots are compressed, leaving at the level of L4, there are pains in the thigh. The knee reflex is reduced. Symptom of sciatica when the roots are compressed at the level of L5 is pain in the lower leg, ankle. When compressing the roots of the sacral region, pain occurs in the toes and on the outside of the shin. The described symptoms can be combined, with the defeat of several spinal nerves.
Symptoms of sciatica
Sciatica can manifest itself with the following clinical symptoms:
- Constant pain in the gluteal region or upper thigh( in rare cases it can occur on both sides).
- Feeling of weakness, numbness and tingling in the leg. There may be movement difficulties.
- Acute pain in the back of the thigh, resulting from a change in body position.
- Pain in the leg is significantly strengthened in the sitting position. When walking, it can subside.
Sciatica can manifest itself as rare, and persistent pain attacks, which significantly reduces the quality of life. Despite the fact that pain with sciatica can be very strong, the probability of damage to the trunk of the sciatic nerve while remaining minimal.
Methods of treatment for sciatica
In most cases, medical treatment of sciatica is performed, however, in the case of a patient's state of health, surgical correction may be indicated, which is aimed at eliminating the cause of the pain.
Drug treatment is symptomatic, and is aimed at reducing pain syndrome. To this end, they apply:
- Non-steroidal anti-inflammatory drugs ( COX-2 inhibitors) such as nimesulide, meloxicam are prescribed to reduce pain.
- Oral steroid hormones ( hydrocortisone) can be prescribed to reduce reactive inflammation and pain in the place of compression of the sciatic nerve.
- Epidural injections of steroids are used in severe pain syndrome, and is a choice for rapid relief of symptoms of sciatica.
Treatment of sciatica with folk remedies
To remove acute pain, especially at the initial stage of the disease, thermal and cold compresses can be successfully applied, which can be used alternately. They should be applied to the site of pain for 20 minutes every 2-3 hours.
Acupuncture( acupuncture) is a long-established, well-proven method that is used to treat many diseases, including sciatica. Acupuncture is carried out with the help of thin needles, which are introduced into the place of pain localization.
Some forms of massage have a number of advantages for the pain that occurs in the back. The therapeutic effect is achieved by stimulating blood circulation and relaxing the muscles. In sciatica, the technique of neuromuscular relaxation is applied, which consists in acting on spasmodic muscles in order to relieve tension and soreness.
Treatment in Tibetan medicine
In Tibetan medicine, there are several methods of treating sciatica. A good result is the use of vacuum therapy. In folk medicine, banks are used for this purpose. Vacuum therapy can improve blood circulation at the site of exposure, thereby reducing pain syndrome. Along with this method of treatment in Tibetan medicine, there is a special set of massage techniques Ku-Nieu, which is a method of massage the can of a painful area with the use of various oils.
Also in Tibetan medicine, the use of heat for the treatment of many diseases of the spine, including sciatica, has become widespread. One such method is cigar warming, known as "moxa."Moxotherapy, carried out at special points, helps to significantly reduce pain in sciatica.
The most effective method of prevention of sciatica is a set of exercises aimed at stretching and strengthening the spinal column. The maintenance of the correct position of the vertebrae in their joints is achieved by strengthening the muscles and ligament apparatus. Exercise for stretching is recommended to use to relieve pain and prevent relapse of the disease.
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Clinic-Union. Release of the squeezing nerve.
Medical treatment of sciatica: drugs for relieving inflammation and pain |Sciatica
Sciatica is an inflammation of the sciatic nerve, a very common complication of sciatica, osteochondrosis and other diseases of the spine. By itself, sciatica is not a separate disease, but a symptom of problems with the spine in the lumbosacral region. The sciatic nerve is the largest in the human body, therefore its inflammation leads to strong pain sensations, which must be addressed in order to avoid various neurological complications. Medical treatment of sciatica and physiotherapy - are aimed specifically at the removal of pain.
Pain itself with sciatica can occur both directly in the lumbar region, and at the top of the legs. Usually, the disease exacerbates several times a year. During periods of exacerbation, the task of primary importance is the removal of pain and discomfort, for which anti-inflammatory and anesthetic drugs are used, as well as injections - with sciatica with severe pain syndrome.
Non-steroidal anti-inflammatory drugs
Non-steroidal anti-inflammatory drugs( NSAIDs) are often used to treat sciatica. Assignable drugs for sciatica can be prescription( tolektin, seraktil, mothrin) and OTC( aspirin, actron).All NSAIDs block the formation of certain enzymes that trigger an inflammatory reaction, thus relieving inflammation and reducing pain.
Nonsteroid drugs for sciatica can effectively remove the short-term pain syndrome. The NSAID has one undoubted advantage, which makes their appointment so frequent. Does not create a risk of dependence even long-term treatment of sciatica: drugs of the non-steroid group are not addictive.
But prolonged use of NSAIDs can lead to many side effects:
- is the most common problem with the gastrointestinal tract, if taking NSAIDs with food, it will reduce the risk of complications, but will reduce the effectiveness of the drug. The ulcers caused by the intake of NSAIDs do not respond well to therapy, they often become chronic.
- NSAIDs increase blood pressure, therefore, it is not recommended for people with high blood pressure to treat sciatica,
- oppression of kidney function, which causes fluid stagnation in the body, edema,
- drowsiness, headache, general deterioration of well-being.
It is worth noting that NSAIDs may be ineffective in severe pain, in which case another medical treatment for sciatica is used. Non-steroid medicines should not be taken to patients taking medications simultaneously for blood thinning, since NSAIDs also have a diluting effect.
Treatment of sciatica: drugs of the steroid group
If the result of the NSAID treatment of sciatica does not produce results - the drugs of the steroid group may be an alternative. Steroids are derived from the natural hormone cortisol, they effectively relieve inflammation and pain in sciatica, but have side effects:
- problems with the gastrointestinal tract,
- a sharp weight gain, and general hormone damage to the body,
- decreased immunity,
Injections with sciatica
This is an extreme measure that allows you to quickly remove the pain and inflammation in a sharp exacerbation of the disease. It is used if the medical treatment of sciatica conservative methods does not relieve the pain syndrome. The injections of sciatica are made as close to the sciatic nerve as possible by the method of lumbar puncture, which allows to locally act on the inflamed nerve and achieve a quick and strong effect.
Stroke injections in sciatica should be conducted by an experienced physician, steroidal anti-inflammatory medications are used. This method allows you to reduce possible side effects, since the treatment of sciatica with drugs of the steroid group is made place, you can significantly reduce dosage.
Opioids and Opioids
Because of its primary side effect - the risk of dependence, are prescribed less frequently than drugs of the steroid and non-steroidal groups. Opiates( drugs obtained from opium) and opioids( synthetic opiates) help to quickly reduce pain and are very effective for short-term use. They are often prescribed with a pronounced pain syndrome. Opiates and opioids include preparations containing morphine, codeine, hydrocon, oxymorphone and other active substances from this group. They are only released on prescription.
Medical treatment of sciatica with opiates and opioids also has other possible side effects:
- drowsiness or insomnia,
- anxiety, paranoia and other mental symptoms,
- vomiting, nausea, constipation, diarrhea.
Other medications for sciatica: antidepressants, dietary supplements and folk methods
There are less effective but widely used drugs for sciatica. First of all, these are antidepressants. Their reception helps the patient relax, overcome insomnia. To some extent, antidepressants are effective for the removal of the pain syndrome, they raise the level of "anti-stress" hormones in the blood, so they are often used as an additional supporting therapy.
Also for the removal of pain apply various folk remedies based on the bark of willow, oak and other natural anti-inflammatory and anesthetic agents. It should be noted that the medical treatment of sciatica by traditional methods is much more effective: active substances in bioadditives or traditional medicine for sciatica are contained in too little concentration. The same applies to bioadditives, they are not able to relieve pain or inflammation, and time to fight the disease will be missed.
Whichever method you choose, medications or injections for sciatica will be the more effective the earlier treatment is started from the underlying disease. The pain syndrome should not be ignored, prolonged and exhausting pain can lead to the emergence of a variety of neurological and psychiatric complications, so it is worth to take it as seriously as possible to combat it.
Pinched, sciatica inflammation - treatment, symptoms, causes |ABC of health
Pinch or pinch of the sciatic nerve, as well as lumbosacral radiculitis with infringement of the sacral roots is the same disease in which pain is localized in the lumbar region, thigh, leg, foot, is strengthened by coughing, walking. First, when the disease is just beginning, it proceeds according to the type of lumbargia, lumbago, lumboschialgia.
Also synonymous with this disease is sciatica - it is neuritis, inflammation, pinching of the sciatic nerve, the symptoms of which are manifested by pain in the lumbosacral spine that gives in the leg. With the compression of the longest and largest nerve in the human body - the sciatic nerve, the pain is from weak to just intolerable, not allowing a person to sleep or walk normally. The reasons for the occurrence, symptoms of pinching of the sciatic nerve, treatment of medicines, folk remedies, general principles of therapy, we will discuss in this article.
Signs of sciatica nerve
Where is the sciatic nerve? These are the 2 largest and longest nerve in the human body that pass to the left and right of the waist to the toes. Usually, with an inflammation of the patient, pain affects only one of them, localizing in the buttock, behind the hip, behind the knee along the calf, reaching the foot.
With neuritis or pinching of the sciatic nerve, symptoms, pains are described by patients as burning, stitching, sharp, cutting. They both arise and disappear suddenly, however, with severe inflammation, they can be chronic, with recurrent relapses.
An attack of inflammation usually begins after emotional or physical overstrain, especially when combined with hypothermia, do not rarely start at night. In the course of the nerve, the sensitivity of the skin may be disturbed, or the tingling, tingling, or otherwise, numbness may be aggravated. First the pain extends over the back of the thigh, sinking to the shin and foot.
After an attack, pain remains between the 5 lumbar and 1 sacral vertebrae, as well as under the knee and in the center of the buttock. Because of severe pain, a person may faint, as well as vegetative disorders - excessive sweating of feet, swelling and redness of the skin. The pain increases with prolonged standing, walking, sitting on a hard surface. When attacks of pain a person takes a forced position of the body, relying on a healthy leg, one of the signs of pinching of the sciatic nerve is a violation of the gait( see also the causes of pain in the lower back, giving in the leg).
In severe swallowing of the sciatic nerve, the symptoms are expressed in a strong decrease or complete impairment of nerve function. In this case, the gluteal, femoral or calf muscles may decrease. The patient may have difficulty in attempting to bend the shin because of temporary immobilization of the hamstrings, as well as the flexion of the toes and the turn of the foot.
Before performing the treatment, the doctor should find out the cause of the pain syndrome in the sciatic nerve region, therefore, an adequate diagnosis should be made, since sciatica is a syndrome that can accompany various conditions.
The neurologist first examines, tests the leg reflexes by tapping with a hammer, and determines the skin sensitivity, which allows approximately to assess the stage of the nervous system damage.
To clarify the diagnosis, the easiest, available in any clinic method, is a standard radiography that will confirm or exclude serious bone changes.
If this diagnosis is not enough, the doctor can prescribe an MRI - magnetic resonance imaging or CT scan - computer tomography. If there is a suspicion of a tumor, it is also possible to conduct a radioisotope scan of the spine, especially this is indicated for people taking long-term corticosteroid preparations, as well as for HIV-infected persons.
The true cause of pinching, sciatica,
Inflammation or pinching of the sciatic nerve is a very common disease, the causes of which official medicine sees in mechanical( displacement of vertebrae, vertebral hernia, osteochondrosis, etc.), temperature( hypothermia) factors, as well as the presence of a tumor, pelvic infection, Reiter's syndrome andother diseases. We will not list them.
In this article we will consider one interesting theory of the cause of the pinch of the sciatic nerve, which in our opinion is the true fact of the origin of neuralgia of the sciatic nerve. And knowing the deep cause of the disease, it is easier to cope with it.
If you read this text, it means that you are already faced with the fact that pinching the sciatic nerve to treat almost incurable diseases, its treatment is based on temporary anesthesia. If supercooling occurs, sudden movement or lifting of the heaviness, the symptoms of the neuritis of the sciatic nerve return again and you again look for the answer to the question of how to treat the pinch of the sciatic nerve.
The fact that a person can not consciously control the tone of the muscles of the back, gluteus muscles, pear-shaped muscles, which, with tension and spasm, lead to pain in the back, problems in the spine, pains in the extremities, including those leading to pinching orinflammation of the sciatic nerve. It's amazing that it's easy to strain these muscles, but they can not relax them.
This function is performed by the brain structures that are responsible for the emotional side of human life, as all internal organs, vessels, bone system in the body are controlled mainly from the trunk and hemispheres of the brain. As a rule, positive emotions that form in the brain, help to relax these muscles, and negative, negative to their spasm, involuntary tension.
Moreover, even a short-term, but very powerful negative emotional reaction leads the cells, tissues, muscles into a long state of alertness, high activity. This in turn provokes muscle spasm and pinching of the nerves, and the sciatic nerve is especially vulnerable in the presence of pathologies of the spine, especially the lumbosacral spine, those intervertebral hernias, osteochondrosis, spondylolisthesis, abnormalities of the sacroiliac joint and other causes mentioned inall sources of medical information.
To finally verify the veracity of this theory, we give one more fact. Everyone knows that men and women differ not only in sex, the main difference between the sexes in the difference in the functioning and structure of the brain, hence the difference in the places of localization of typical pain in pinching the sciatic nerve. In 80% of women, pain in the pinch of the sciatic nerve is located in the right side of the buttock, the right thigh, the knee, the foot and the shin. In men, on the contrary, in the same 80% of cases, the left half of the buttocks and the left leg suffer.
This is because women have better developed the right hemisphere, and men have left hemisphere. Stressful situation in women is mostly controlled by the right hemisphere, and for men left. Hence the conclusion that in the event of stress, negative thoughts, bad moods, experiences, women are straining, the right side is spasming, infringing the right sciatic nerve, and in men the left one.
And, many doctors of neurology have noticed such an interesting fact that when a person experiences stressful situations, dissatisfaction with himself, his work, maybe some inner self-excision, self-flagellation - the sciatic nerve becomes inflamed, the treatment of which does not bring significant relief, but as soon as leavesthe problem, inner peace and harmony is improving, the person calms down, changes work, spends a full vacation, has a good rest - then the disease calms down.
Given the above, analyze your life, your emotional state, recent events in life, what was the cause of your illness? Perhaps, if you can calm your nervous system, adjust to a positive wave, it will help cope with the ailment.
The provoking factors that influence the onset of this disease are:
- Injuries, hypothermia, heavy sports or excessive physical exertion.
- Infectious diseases that exert a strong influence on the nervous system, such as tuberculosis, herpes zoster, brucellosis.
- Infectious-allergic diseases
- Poisoning, intoxication - with drugs, poisons, heavy metals, toxins in the breakdown of malignant tumors.
- Disturbance of blood circulation, metabolism, diabetes, alcoholism.
Pimple of the sciatic nerve, rarely has one cause, it usually appears in old age, against a backdrop of a complex of various pathological changes in the spine, vascular disorders in the area of this nerve, so children do not have this disease.
How to treat pinch of the sciatic nerve
When pinching the sciatic nerve, the treatment should be entrusted to a qualified neurologist who will prescribe the appropriate therapy according to the diagnostic result:
This method of therapy helps patients to significantly reduce pain, but does not eliminate the root cause of the disease. The doctor can prescribe various procedures: electrophoresis with spasmolytics, vitamins, muscle relaxants, anti-inflammatory drugs, UHF therapy, magnetolaser or laser therapy, phonophoresis, paraffin applications, UV of the affected area, electrosleep. The action of physiotherapy improves blood circulation, relieves swelling and pain gradually subsides.
- Massage, reflexotherapy
In the period of acute acute inflammation, can, general massage, acupuncture, cauterization, acupressure, even the use of Kuznetsov's home applicator can help the patient alleviate the pain and relieve unnecessary muscle tension. Any kind of massage and reflexology improves lymph flow, reduces pain, restores nerve functions and prevents muscle malnutrition.
- Course of anti-inflammatory and analgesic therapy
The most effective painkillers are NSAIDs. This pharmaceutical group is represented by drugs that stop the action of the enzyme COX and have an anti-inflammatory effect, including Diclofenac, Indomethacin, Ibuprofen, Ortophen, Zereberex, Sulindak, Naproxen, Ketorolac. All these drugs have irritating effect on the gastric mucosa, affect the kidneys and reduce blood coagulability, so their use should be limited. Non-steroidal anti-inflammatory drugs such as Movalis, Arkoxia, Nimesulide have less irritating effect on the gastrointestinal tract, and possibly longer use, by a course prescribed by the doctor( concurrent with omeprazole).More information about ointments for back pain, comparison of prices and effectiveness, as well as about injections, injections of pain from the back pain read in our articles. With the growth of pain and inflammation, steroid hormones are sometimes prescribed, in short courses, they relieve pain, but do not eliminate the cause of inflammation, and their use has a lot of side effects and contraindications.
- Other medicamentous treatment of sciatic nerve inflammation
The doctor also prescribes vitamins, especially vitamins B, B12, vitamin E, vitamin-mineral complexes, drugs improving metabolic processes and blood circulation, as well as means relaxing muscles.
- Therapeutic exercises
Even the simplest exercises, such as a bicycle, lying down, rotational movements of the pelvis, walking on the floor on the buttocks, any stretch marks, are very effective. Exercises should be performed when the acute process stops during periods of remission, they should be performed slowly, smoothly, without strong tension.
- Treatment in acute period
In acute period, the patient is recommended bed rest, preferably on a bed with a rigid mattress, to limit any motor activity until acute inflammation passes. Listen to your body, one patient is very well assisted by the alternate application of a warmer and ice, others only cold, especially massaging movements in the area of pain localization with a piece of ice.
- Sanatorium treatment, mud treatment
Only out of exacerbation, it is recommended to treat the sciatic nerve with sanatorium treatment, mud cure, hydrotherapy using radon, hydrogen sulphide, pearl baths, underwater traction courses are effective. Climatotherapy always helps to strengthen immunity, reduces the frequency of colds, rest improves mood and creates a positive mood, which is so important for recovery.
Treatment with folk remedies
Of course, there are a lot of folk remedies for treatment, but they should be used only according to the doctor's prescription, since contraindications to the use of this or that method are possible.
- Strangely enough, but any cream, which includes horse chestnut, can help relax the muscles and relieve pain in diseases of the sciatic nerve. Usually, these creams are used for varicose veins of the lower extremities, but horse chestnut also helps in pinching the sciatic nerve, so you can supplement the treatment with the following creams: Venitan, Cream Balm Chaga, Auchan Soothing Cream( sold in Auchan supermarkets), cream from the recipe seriesgrandmother Agafia - anti-varicose cream, preventive, relaxing.
- We already mentioned the can of massage, you can do it yourself with any warming cream or anti-inflammatory ointment. Smear the affected area with ointment and put the jar, move it in a circular motion clockwise, the duration of the massage is 10-15 minutes, it should be done every other day.
- Treatment with beeswax, for this, it should be warmed in a water bath to a soft consistency, make a cake and attach to the area of pain localization, put polyethylene, cotton wool on the top and bandage the compress, leave it overnight. This procedure can be done within a week.
- Very good at rubbing a painful place with tincture of pine or fir buds, dandelions or just needles. To make this tincture, put pine buds, pine needles, dandelions, pour vodka in a half-liter jar, leave it in a dark place for a week. This solution wipes the affected area.