Acute sciatica

How to relieve an acute attack of radiculitis and get an effective treatment

Radiculitis( radiculopathy) is a chronic disease of the spine, which leads to the inflammation of the spinal nerve.

Most people consider radiculitis the very pain. However, this is an erroneous opinion, because the pain is a consequence of pathology, and not herself.

Nowadays the topic of radiculitis remains relevant. Diagnosis and treatment methods have moved far ahead, which gives hope to patients with spine pathology.

Depending on the location of the lesion, several forms of radicular syndrome are divided: cervical, thoracic, lumbar, lumbosacral, mixed. This classification indicates not only the localization of damage, but also the approximate area of ​​pain.

So, with cervical radiculopathy, the pain manifests itself in the neck, lower jaw and head. Radiculitis of the thoracic region leads to the so-called intercostal neuralgia. The transverse-sacral form is characterized by severe pain symptoms - sciatica and lumbago.

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Common Causes of

Disease There are many causes of radiculopathy:

  • degenerative-dystrophic changes in vertebrae and intervertebral discs;
  • spine trauma;
  • endocrine pathology;
  • severe working conditions, especially manual handling of heavy loads;
  • congenital anomalies;
  • tumors;
  • sedentary lifestyle;
  • systemic autoimmune diseases;
  • osteoporosis;
  • osteochondrosis;
  • metabolic and mineral disorders;
  • edema of the cerebrospinal fluid.

Pathogenesis and the basic mechanisms of development of pathology

To eliminate the pain, you need to understand where it comes from. The initial damage to the vertebral apparatus results in pinching of the spinal nerve. In the jammed nervous end, the processes of blood circulation and metabolism are violated, which leads to the onset of an inflammatory process.

As you know, any inflammation is fraught with ejection of mediators of pain - bradykinin, serotonin, prostaglandins, etc. They interact with the nerve cells of the restrained root and lead to severe pain.

Subjectively, patients feel a strong stitching pain along the innervation of the damaged nerve fiber. Each of the forms of radiculitis is characterized by its localization and the nature of the pain.

Symptoms and signs

The attack of radiculitis - so in the common people called exacerbation of pain. Immediately after the onset of severe pain, people turn to the polyclinic. When questioning it is worthwhile to ask in detail about the possible cause of the pathology, carefully study the anamnesis.

The examination shows a change in skin color in the affected area to anemic or hyperemic. In more rare cases, you can see the swelling of the affected area and the hypertension of the adjacent muscles. An attack of radiculitis is regarded as its aggravation, i.e.transition of the chronic phase to acute.

The attack of radiculitis should be differentiated from other pain syndromes. For example, intercostal neuralgia simulates pain syndromes in case of myocardial infarction, pleurisy and other thoracic pathologies. Radiculitis of the lumbosacral section simulates pain in acute intestinal obstruction, renal colic, inflammation of appendicitis, peritonitis.

How to relieve acute pain syndrome

Elimination of the pain syndrome is a first aid. To do this, it is necessary to conduct rational, purposeful treatment. Acute sciatica causes very severe pain, which can lead to even painful shock conditions.

It is rational to carry out relief of pain syndrome, using non-steroidal anti-inflammatory drugs. The most popular representatives of this class are diclofenac sodium, diclobarle. These drugs are freely sold in city pharmacies and are available to the consumer.

In some cases, it turns out to remove the pain, using analgesics. There are also cases of getting rid of pain and inflammation with the help of compresses on the back, but this practice is not carried out in official medical institutions.

Therapy is aimed at eliminating the etiologic factor. For example, in oncology, the patient is shown a course of chemotherapy and subsequent surgery. Therefore, it should be understood that each etiological pathology requires individual treatment.

In the postoperative period, therapeutic exercise and massage are shown.

SpinaZdorov.ru

Photo: ointment with venom of viper

Also used pepper band-aid or produced special therapeutic anesthetic anti-inflammatory patches of the type Nanoplast forte.

With a particularly sharp exacerbation of radiculitis, the patient is assigned a novocaine blockade with simultaneous administration of hydrocortisone, euphyllin, relanium and dimedrol intravenously.

Anesthetizing injections with lumbar radiculitis, depending on the cause of the lesion, are introduced:

  • into the epidural space;
  • in places of infringement of nervous plexuses and trunks;
  • into the joint cavity;
  • into the near-vertebral zones;
  • into the trigger zones( muscle sites of local injuries).

Novocaine can be replaced with trimecaine or lidocaine, and instead of hydrocortisone - used other glucocorticosteroids: diprospan, kenalog-40 or prednisolone.

Photo: diprospan for injection

The most common are two types of surgical procedures on the lumbosacral spine:

  • microdiscectomy( open small surgery or microdecompression);
  • lumbar laminectomy( open decompression).

Microdiscectomy is used when radiculitis is caused by a herniated disc.

The operation removes part of a bulging disc that pinches the nerve root. The success of the operation is 90-95%.

Lumbar laminectomy is recommended for spinal stenosis to a degree that does not allow the patient to carry the necessary physical activity.

During surgery, a small part of the bone or disc is removed, putting pressure on the nerve root.

As a rule, the decision on the need and timing of the operation is made by the patient himself.

Urgent operation on lumbosacral radiculitis is indicated with progressive weakness in the legs or sudden loss of control over urination or bowel movement.

Folk remedies

Traditional medicine uses various prescriptions and methods of treatment for radiculitis.

For grinding and compresses apply:

  • juice of black radish( before the occurrence of severe burning);
  • 50% solution of water and horseradish juice( before the occurrence of severe burning);
  • grated garlic in a bag( until severe burning occurs);
  • a mixture of blue clay and wine vinegar( once a day for 2 hours);
  • a weekly infusion of two tablespoons of nettle on vodka( 1-2 times a day for 2 hours);
  • boiled leaves of burdock, birch linden( thick layer on a sore spot in the morning and in the evening for 1,5 hours);
  • honey( thick layer), paper napkin and mustard for an hour and a half or until unbearable burning;
  • salt in a frying pan with 20 ml of propolis tincture in a bag( until it cools).

After removing the compress the sore spot is washed, smeared with sunflower oil and wrapped in a warm kerchief.

In addition, folk medicine recommends the use of herbal infusions inward, removing salts from the body( contraindicated to people with diseased kidneys):

  • 3 spoons of aspen bark, cooked in early spring, cook in 500 grams of water before evaporating twice, add honey to taste, drink a quarterglass 3 times a day;
  • a third of a half-liter can of young leaves of cranberries pour vodka with alcohol, insist on sun and drink 30 grams 3 times a day;
  • 200 grams of dried and crushed shells of pine nuts fill with a liter of vodka or alcohol, insist for a month and drink 30 grams 3 times daily before meals;
  • cut into two thick roots of parsley and one and a half cups of water boil in enameled dishes 15 minutes, insist 30 minutes, strain and squeeze, drink 3 times a day 3 times half an hour before meals. Fresh infusion to cook daily.

Another method of folk treatment is to visit a Russian bath.

It is recommended to steam out a loin in the sauna, rubbing it with a broom, after which, for five minutes, rub soap into the loins - at first carefully, and then with increasing force.

After the bath it is necessary to immediately go to bed. By the morning the desired relief should come.

Video: advice on treatment

Hirudotherapy

With radiculitis use the ancient method of treatment with medical leeches - hirudotherapy.

The method is based on the property of curative bites, in which the leech injects into the patient's blood anesthetic substances and anticoagulants that prevent coagulation of the blood.

Photo: Leeches

The components of saliva leech have a therapeutic anti-inflammatory effect, relieve pain and reduce swelling. Bites of leeches improve blood circulation and have a reflex effect on pain points.

This method is especially effective for a significant swelling of the tissues.

After the first three procedures, it becomes clear whether the method is suitable for the patient. If no improvement occurs, the procedure is canceled. If there is a positive dynamics, then the number of sessions held every other day can reach ten.

Hirudotherapy is usually performed after the end of the course of drug treatment.

Acupuncture

Acupuncture or acupuncture is an effective treatment for radiculitis, which sometimes leads the patient to complete recovery.

According to research, the effect of acupuncture is twice the effect of traditional treatment.

An ancient Chinese method of treatment is based on the introduction of special needles in active points, in response to which the body provokes the development of brain anesthetic substances - endorphins and enkephalins.

Acupuncture improves metabolism and circulation in those parts of the body that control active points, and activates the reserve forces of the body to fight the disease.

Needles are screwed into active points at different depths( from a surface subcutaneous injection to 8 cm) from one to five pieces per point.

The exposure time for each point is also very different and sometimes reaches 20 minutes. The course of treatment takes about two weeks.

Manual therapy

Manual therapy is a method of therapy aimed at restoring the normal mobility of the joints of the spine and extremities due to the mechanical action of the doctor's hands on the joints, ligaments, muscles and fascia.

Manual therapy removes pain syndrome and restores the functions of the musculoskeletal system.

Manual therapy combines the achievements of neurophysiology, orthopedics and neurology into an effective practical mechanism.

The manual therapist uses a variety of techniques: the

  • jogging mobilization of the , accompanied by a sound resembling a click or a crunch. This, at first glance, frightening, the procedure is painless, unlike many others, seemingly softer.
  • traction of the spine( traction) , which allows to correct small displacements of the discs and their protrusion, and also to introduce small intervertebral and disc hernias. For this, the methods of dry and underwater traction are applied, depending on the location of the hernia.
On our site you can read more about manual therapy.

Interested in how to relieve back pain with alternative therapies? Read here.

How to cure an intervertebral hernia? Find out in this material.

Massage

Massage massage is prescribed after the end of the acute period of the disease and is selected for each patient individually, sometimes by a combination of its different types - toning, spot, vacuum, relaxing, etc.

The massage complex is designed to arrest specific patient pathologies, improve blood circulation and recoveryweakened muscular corset around the spine.

Some forms of massage lead to complete relaxation of muscles and release into the blood of endorphins - natural anesthetics produced by the body.

Video: Lumbar Massage

Physiotherapy is used to relieve pain and inflammation in lumbar radiculitis.

The most effective are electrophoresis, ultrasound, laser and magnetotherapy.

Widely used devices from the "Vitafon" series, which transmit the body to a depth of up to 10 cm of microvibration, stimulating the regenerative and metabolic processes in the body.

This process is called backgroundning, and in the treatment of lumbar radiculitis, it passes through a special scheme that involves a gradual increase in the total time of exposure due to the increase in the number of short-term sessions.

In addition, the liver area is fanned to increase the degree of purification of blood from residual inflammation products.

During pregnancy, women often have back pain due to a shift in the center of gravity, a weakening of the muscular corset and an increasing burden on the spine.

There are possible exacerbations of pain in the lumbar region up to the phenomena of sciatica.

Drug medications in this case are contraindicated, so women should look to alternative therapies.

There is a complex method of treating pregnant women from lumbar pain, called kairopraktika, which includes back massage, soft manual procedures and exercise therapy.

Pregnant women are recommended and acupuncture, because it does not adversely affect the development of the fetus.

A light relaxing massage of the back, warm shower, wearing a special bandage, gymnastics for pregnant women, swimming in the pool are good.

Therapeutic gymnastics ↑

Therapeutic gymnastics with radiculitis is one of the methods of non-drug treatment.

Individually selected set of physical exercises allows you to adjust your posture, strengthen your muscular corset, reduce the compression of the nerve roots, develop the right stereotypes of movements and prevent further exacerbations of the disease.

Therapeutic exercises contribute to:

  • normalization of metabolic processes in intervertebral discs and their nutrition. Increase the space between the vertebrae;
  • reduces the load on the spinal column by strengthening the muscles.

Fig.: exercise complex for radiculitis

Exercises are performed several times a day and create a moderate load on the diseased areas.

To radiculitis did not lead to complete immobility and disability, it is necessary to engage constantly, moderately, but persistently.

Video: gymnastics

When radiculitis should get rid of excess weight, increasing the burden on the spine, and change their attitude to nutrition.

For this it is necessary: ​​

  • to eat more fruits, vegetables and dairy products;
  • to drink juices and milk.
  • refuse from sauces, alcohol, canned food, chips and spicy foods;
  • eat a small amount of low-fat meat;
  • eat more fresh fish;
  • in the evening drink kefir or curdled milk.

Special benefit with radiculitis is brought:

  • compote, cooked from dried fruits with the addition of honey instead of sugar( it is enough to pour dried fruits with boiling water in the evening to have breakfast, washed down with the infusion obtained);
  • juice from celery and apples in equal proportions, which must be drunk at least two glasses a day.
  • lemon juice diluted with water and flavored with honey( for this 11 lemons missed in a meat grinder, mix with a kilogram of honey. The mixture is put in the fridge and eat one tablespoon 3 times a day before meals).
Why does a pregnant woman often have a backache? Probably, the osteochondrosis of the spine makes itself felt. How to help yourself with an exacerbation of the disease, you can find in our article about pregnancy and osteochondrosis.

What is deforming spondylosis? Read here.

Measures to prevent disease ↑

Patients with lumbosacral radiculitis should:

  • regularly engage in moderate physical exercise, including hanging on the bar several times a day for ten minutes with straight legs;
  • does not do a twisting of the spine and sudden movements;
  • cardinally change the attitude towards nutrition;
  • follow the weight;
  • try not to overload the spine excessively;
  • alternate the mode of work and rest during the working day;
  • evenly distribute the gravity when lifting and lift them from the floor with a straight back.

It is also recommended to sleep on a hard bed by placing a plywood board at least two centimeters thick under the mattress.

If a woolen blanket is placed on a mattress under a cotton sheet, it will warm your back all night long while you sleep.

Reviews ↑

Helena, 55 years old:

Oh, how I remember these bouts of sciatica, so I shudder! How painful it was for me! The first time the attack of the disease caught me off guard - I just got off the bus, and after all, I was only 25 years old. It's good that my husband was next to me, because it was twisted so that I could not straighten myself! And then the attacks arose quite often, was treated. Now with age, the frequency of relapses has decreased, but still no, no, yes, "grab".So take care of yourself in the youth - watch your posture, do gymnastics and do not catch back!

Sergey, 35 years old:

A few days ago, for the first time I witnessed an attack of radiculitis in my father( he is 62 years old).He suddenly screamed in pain, grabbed his side and could not move. Honestly, I did not understand at all what was happening, because we unloaded the car with firewood. I helped my father to lie down and called a doctor. Now it is already easier for him, but completely the pain has not passed. And the doctor said that it will take a long time to heal. Therefore, those who are sick, I want to get a lot of patience. Read also

ruback.ru

First aid for radiculitis - the most urgent measures

The information provided is not intended for self-treatment. It is not guaranteed its accuracy and applicability in your case. Address to doctors-experts!

Principles of first aid for acute radiculitis are quite simple. Here they are:

  • provide yourself( or a relative) with bed rest, rest in a warm and dry room;
  • purposefully warm up the noisy place by means of any compress, mustard plaster, plaster;
  • to limit movement in the problem area of ​​the musculoskeletal system;
  • take( give the patient) an anesthetic, better - an analgesic, and not a drug from the anti-inflammatory group of NSAIDs.

Now let's talk about how it is possible to ease the pain in various localizations of lesions of the nerve roots.

Lumbosacral radiculitis in the phase of exacerbation of

The most common type of pathology is lumbosacral. The pains characteristic of him usually lead to a person taking a reflexive defensive posture, but it is sometimes useful for the sufferer to correct the position of the body and consciously.

Relief usually brings posture lying on its side or on its back with bent legs, under which pads or a roller from a rolled blanket are pushed.

It is important to ensure that the bed is not too soft - lush mattresses and feather beds incorrectly distribute the load on the spine.

A tight bandage may help, but it is better that a professional make it.

Attacks of cervical and thoracic radiculitis

If the neck is being shot, it should be wrapped tightly with a long scarf that will prevent free movement. Under the scarf, by the way, it is very convenient to slip a mustard plaster or a cloth impregnated with a tincture of bitter pepper.

Patient does not need to lie at all - most likely, it will be more pleasant for him to remain in a sitting posture.

Thoracic radiculitis really calms only with medicines and proper bandaging of the ribs.

What should I do when the pain comes off?

If you feel that you can already go to the hospital without much discomfort, you will certainly do it. Ask the attending physician to prescribe you physiotherapy procedures and give directions to massage sessions.

Also be sure to talk with the instructor for exercise therapy - LFK.Do not be lazy in the future to follow the recommendations received, to do useful exercises in good faith and regularly.

During periods of remission of chronic sciatica, abstain from bad habits.

If you wish, use the traditional medicine, but do not be too lazy to consult with your doctor beforehand about them.

Beware of overly radical methods, in particular, the extension of the back at home. With an inept stretch is too great a chance to do not better, but worse.

spinainfo.ru

Radiculitis

Author of article:

Browna Tatiana Anatolievna,

doctor of restorative medicine,

the highest qualification category.

The concept of radiculitis is a general term for jamming and inflammation of the nerve root at any level of the spinal column. The diagnoses "lumbosacral radiculitis" and "cervical radiculitis", rooted in the medical diagnostic practice, are to some extent conditional, since in most cases these diseases are caused not only by infectious inflammation of the roots( "radiculitis"), but also by factors such as hypothermia, trauma, compression and other changes in the spine.

Radiculitis is characterized by pain and impaired sensitivity along the rootline type, i.e.manifested by sharp, burning pain in the neck, in the upper and lower extremities, chest, lower back, in the groin and abdomen.

Discogenic radiculitis is a radiculitis caused by irritation or compression of the roots of the spinal nerves by a displaced intervertebral disc.

Radiculitis compression is a radiculitis caused by compression of the roots of the spinal nerves with a tumor, an osteophyte, a displaced vertebra, etc.

Depending on the localization, distinguish:

1. Cervical radiculitis.

2. Cervicothoracic sciatica.

3. Thoracic radiculitis.

4. Lumbosacral radiculitis.

Cervical radiculitis

Cervical radiculitis is the localization of pain in the neck and neck, sometimes with recoil in the ear, is amplified by turning the head, coughing, the defensive reflex posture of the head may appear with a tilt back and to the side as a result of the neck muscle strain on the side of painful phenomena, as well as hyperesthesia( sensitization) in the occiput. With cervical radiculitis on the soil of osteochondrosis, spondillosis, etc.pain can be accompanied by dizziness, hearing loss, staggering during walking and other signs of insufficiency of blood supply to the brain.

Neck-brachial radiculitis

Neck-brachial radiculitis is manifested by intense pain of shooting character with localization in the neck, shoulder girdle, in the hands, sharply increased with the movement of hands, as well as when coughing, turning and tilting the head.

Thoracic radiculitis

Thoracic radiculitis with a lesion of the middle and lower thoracic roots is manifested by a paroxysmal, surrounding pain along the intercostal nerves, intensifying during movement or deep inspiration. First, there is a feeling of stiffness, tight mobility, a complaint about the inability to breathe in full, the feeling of discomfort in the heart, pain that spreads throughout the spine, increased fatigue.

Lumbosacral sciatica

Lumbosacral sciatica is the most common disease of the peripheral nervous system, as does the sciatic nerve neuralgia, but it is often diagnosed incorrectly. Considering this, one must remember a number of diseases accompanied by pain in the lower back and leg, which is not related to the lumbar spines and the sedation of the carnival nerve, such as varicose veins of the lower leg and thigh, thrombophlebitis of the femoral vein, cocksuit or sacroiliitis, flatfoot,diseases of internal organs( intestines, kidneys, bladder, uterus).In the initial phase of the lumbosacral radiculitis, there is a fatigue syndrome of the muscles of the back and waist, in particular, fatigue of the long back muscles and the lumbar for a long time in one position: in standing position the patients are shifted from foot to foot, while sitting- often change the inclination of the trunk, looking for a comfortable posture. This syndrome is often found in young people exposed to various static loads. Later, with the pain form of the lumbosacral radiculitis, patients note fatigue and dull pain in the long back and waist muscles. When palpation, the muscles are tight and tight, in some places sharply painful nodules, pain at points along the vertebral column( pa-vertebral points).

Treatment of radiculitis

Treatment of radiculitis is a complex process that requires an integrated approach. A set of methods for treating radiculitis depends on the severity of the disease, the period of flow of radiculitis( acute, subacute, remission of the chronic process).The main means of non-drug treatment of radiculitis are:

1. LFK and mechanotherapy in combination with hardware cryotherapy in motion.

2. Acupuncture.

3. Physiotherapy.

4. Manual therapy.

5. Massage.

Prevention of radiculitis

Prophylaxis of radiculitis consists of the following activities:

• Measures preventing the development of scoliosis;

• Creation of optimal working conditions;

• Prevention of infectious diseases;

• Hardening and strengthening of the muscular corset of the body.

Lumbago

In lumbago syndrome( acute radiculitis), the triggers may be traumas, overloads along the body axis and hypothermia, often their combination. In some cases, patients with lumbago tell us that the provoking factor was coughing or sneezing. Sometimes lumbago arises by itself, for no apparent reason.

Pain syndrome manifests itself in the lumbar region, rarely - the sacrum. As a result of acute pain, the protective tension of deep intervertebral muscles develops( blockade of one or two segments occurs): straightening of the lumbar lordosis( bending of the spine), scoliosis, kyphoscoliosis and restriction of the mobility of the spine. As a result, there is a distinct reflex contracture of the muscles, a sharp pain in the loin and sacrum, which spreads along the sciatic nerve on the buttock and leg. In case of a lumbago, the patient walks with difficulty, with small steps( due to pain), in the standing position, bends the aching leg in the knee, while trying to sit resting on the hands and a healthy buttock( a symptom of a spacer or tripod) while bending the injured leg. Read more. ..

Treatment of lumbago

For acute pain, the main task is to remove it. Anesthetic measures for lumbago are the main focus. For the removal of pain in our center, a complex treatment is used, which, depending on the patient's condition, features of his spine and accompanying diseases can include various components.

A good effect in acute pain is the combination of local exposure to cold to the area of ​​greatest soreness, special exercises and medical treatment. Against the background of ongoing treatment for lumbago, it is important not to exacerbate the condition of household or workload, so it will be useful to use a semi-rigid corset in those periods when involuntary sudden movements, changes in positions and other provocations are possible. Read more. ..

mckb.ru

Depending on the location of the affected nerve roots, distinguish cervical, thoracic or lumbar radiculitis.

Cervical radiculitis( cervical radiculopathy)

Cervical radiculitis is characterized by severe pain in the neck and occiput, which is aggravated by coughing and other movements. There is pain in the shoulder, in the arm. In addition to pain, there may be numbness, tingling, a sensation of goosebumps. These sensations can capture as part of the hand, and the entire hand, which depends on the localization of the disc herniation and the kind of nerve root that suffers. In addition, there may be muscle weakness in the hand, weakness of compression in the hand.

Thoracic radiculitis

Thoracic radiculitis is caused by a pinch in the thoracic spine. Pain sensations are localized on intercostal nerves. Pain in the thoracic radiculitis increases with movement and deep inspiration.

In comparison with cervical or lumbar radiculitis, thoracic radiculitis is rare. But, nevertheless, in the presence of symptoms, the possibility of such a variety of radiculitis can not be completely ruled out, especially if there is a trauma to the spine in the anamnesis.

Lumbar or sciatica

This is the most common type of radiculitis. Symptoms are similar to other types of radiculopathy( pain, impaired sensation and muscle weakness).The affected area corresponds to the zone of innervation, depending on the zone of the lesion, pain can be observed in the lumbar and gluteal regions, posterolateral and anterior part of the thigh, along the anterior antrum of the tibia, on the rear of the foot, thumb, in the calf muscle, in the external ankle and heel.

The most common cause of this type of radiculitis is destructive processes in the ligaments, joints of the spine, intervertebral discs( osteochondrosis, disc hernia, etc.).Lumbosacral radiculitis is often chronic, with acute relapses. For the lumbosacral radiculitis is characterized by increased pain when walking and tilting the trunk.

The most severe pain syndrome with radiculitis is observed when the nerve is squeezed by bony outgrowths, discs and other dense tissues, for example, intervertebral hernia. When squeezing with softer tissues - muscles and ligaments - the pain and dynamics of its growth are less pronounced.

The most common types of radiculopathy of the lumbar spine are:

  • Lumbago( lumbalgia, "chamber") - this is an acute pain in the lower back( the lower back), occurs usually with severe physical exertion or after it, is provoked by overheating and subsequent cooling of the body. The attack can last from several minutes to several hours and days. Basically, the causes of this type of radiculopathy are overexertion of the muscles of the lumbar region, lumbar hernia or displacement of the vertebrae.
  • Sciatica( ischialgia).With this kind of radiculitis, the pain is localized in the buttock, on the back of the thigh and lower leg and can reach the foot. Sometimes, in addition to pain, muscle weakness is noted. This is due to the defeat or irritation of the sciatic nerve - the largest nerve in the body. Pain in sciatica - shooting, like an electric shock, also possible burning, tingling, "creepy" and numbness at the same time. Pain sensations are possible to varying degrees of intensity: from mild to very intense, such that the patient can not sleep, sit, stand, walk, bend or turn.
  • Lumboscialgia is a pain in the lower back, giving( irradiating) to the leg or legs. With this kind of radiculitis, the pain spreads, mainly along the buttock and the back of the foot, without reaching the toes, most often it is aching, burning, growing pain.

The main causes of lumbar radiculitis( radiculopathy) are: arthritis, degenerative changes of the vertebrae, stenosis of the spinal canal, foraminal stenosis, compression fracture, disc herniation, disc protrusion, spondylolisthesis.

nanoplast-forte.ru

Treatment of radiculitis: how to treat lumbar radiculitis medically and folk remedies, what to do with radiculitis

Radiculitis is manifested by sudden acute pain in the back area and can arise, it is said, "from scratch".A little overcooled, overstrained the back, or just perenervnichali - and already there is, or rather, on the back, all the signs of this disease. In the treatment of radiculitis, first of all, peace and warmth are recommended, and for the prevention of disease it is advised to perform a complex of simple exercises for strengthening the lumbar region.

Radiculitis is a lesion of the roots of the spinal nerves. Apparently, there are no adults among adults who at least once did not overtake radiculitis to some extent.

The most common is lumbosacral radiculitis. But radicular manifestations can occur in the thoracic and cervical regions.

Radical pain usually occurs either with physical stress or with cooling, but can also be the result of intense emotional stress.

What to do and how to get rid of radiculitis

Before you treat sciatica, provide yourself with a hard bed - soft mattresses are contraindicated. E It is necessary to sleep with radiculitis on a firm bed, but certainly not on bare boards - it is usually recommended to lay a thin, soft mattress made of natural materials or, for example, 2-3 woolen blankets on a wooden shield, so that the patient's back retains physiological curves inlying position and at the same time erect possible subluxations of the vertebrae, which in a third of cases are the cause of the pain syndrome. With lumbosacral radiculitis in the initial stages of the disease, you can put a pillow under your stomach during sleep.

If you do not know what to do with radiculitis, listen to the advice of doctors - take painkillers and anti-inflammatory drugs. In the treatment of lumbar radiculitis, use folk remedies and associated medicinal herbs.

A good remedy for sciatica: before going to sleep, it's nice to do special gymnastics. Lying on your back, you need to throw both hands behind your head, stretch your legs and stretch several times in different directions with your heels forward( putting your feet feet perpendicular to your body and pulling the toes of your feet to your face), and hands while pulling in the opposite direction. This exercise should be performed cautiously, especially if the pain syndrome is already expressed.

Remembering how to get rid of sciatica, also gently, gradually, without making sudden movements, you should rise in the morning from bed. Before you get up, you need to reach out well, move your feet.

It is believed that with an acute attack of radiculitis, it is important to warm up the sore spot properly. For this, many people use a papillary patch, which is glued to a sore spot and worn, depending on the sensations, up to 2 days. After that, if necessary, stick a new patch.

However, I would like to recall that a strong heating only increases the inflammatory process. Therefore, at the very beginning of the disease, it is better to refrain from any thermal procedures. Moreover, sometimes in the first hours an attack of radiculitis is removed just by cold( dousing with cold water or a "cold warmer").If you do not have time to do this, and the pain intensifies, then you can put on the back of a compress with horseradish. To do this, grated horseradish along with its juice is applied to a sore spot( to reduce burning, you can add sour cream to it).

Drugs and medicines for the treatment of radiculitis

There is also a lot of drugs for radiculitis - nowadays brufen, ibuprofen, methindol, indomethacin, rheopyrin, diclofenac are especially popular. Effective drugs for the treatment of radiculitis - pharmacy ointments such as viprosal, apizatron, finalgon, as well as indomethacin or diclofenac.

If you do not accept medication for radiculitis, you can rub your back on a pear, apple tree, or a clumsy birch tree.

With radiculitis, self-massage can help. So, with cervical radiculitis, points located on the back just below the neck are massed( they can be groped - they are located almost exactly where the points of the occipital nerve exit are, and they are quite painful at the same time).Self-massage should be done with the index fingers synchronously on both sides at first lightly, and then with effort.

With lumbosacral radiculitis for 2-3 minutes with the help of thumbs, massaging simultaneously from both sides of the exit point of sciatic nerves and just above them.

In addition, when treating radiculitis at home, do not forget about Kuznetsov's applicator, which helps to remove early enough manifestations of pain syndrome due to a kind of acupuncture( this applier is now sold in almost any pharmacy).

How to cure sciatica: folk recipes

When treating radiculitis with folk remedies, compresses with black radish make the pain easier. It should be grated, laid on a clean linen napkin with a thin layer, applied to a sore spot, covered with wax paper or polyethylene, and tied with a warm kerchief or scarf. Compress should be removed when it begins to burn hard. This procedure should be repeated daily, making compresses at night until the pain syndrome subsides.

In summer, practicing folk treatment of radiculitis, you can make compresses from the leaves of burdock. The fresh leaf should be slightly podvyalit in the shade( 4-5 hours), then pribintovat it to the sore spot for 1-2 hours, repeating such procedures 2 times a day.

Very good therapeutic effect is given by compresses from steamed nettles burning or from her broth. Pour 2 tablespoons of nettle 1 glass of boiling water and leave for 30 minutes. These compresses are put 1-2 times a day for 1.5-2 hours.

You can rub in a sore spot and tincture of fly agaric. For its preparation medium-sized mushrooms are crushed, 1.5 cups of vodka are poured and infused in a warm place for a week with obligatory daily shaking. With exacerbations of radiculitis, this tincture is rubbed into the affected area 1-2 times a day, and the patient must lie down after that, wrapped in heat, for 1 hour. Before curing sciatica in this way, do not forget that the infusion is toxic, so when using it, it is best to wear rubber medical gloves!

Home treatment for lumbar sciatica

Folk recipes from radiculitis include the taking of medicinal baths. Here are some recipes for their preparation.

1. Half a cup of mustard is diluted with half a glass of warm water and poured into a bath( the water temperature should be equal to body temperature or be slightly higher).After the bath you need to take a warm shower for 1-2 minutes, wipe dry and wrap yourself in a warm blanket.

2. Squeeze juice from fresh carrots, mix it with sage infusion( 2 dessert spoons of herbs for 2 glasses of hot water - 2 hours insist).Add this mixture to the bath.

3. In a warm bath before sleeping, add 4 tablespoons grated horseradish( immerse in gauze).

In addition, to relax the tense muscles of the lumbar region, improve their blood supply and release the clamped nerve endings, you should lie on your back, clasping your knees bent at your hands and pulling them to your chest, then to rock in this position 5-6 times. The fingers of the hands should be positioned so that they, resting, massage the points located in the popliteal fossa.

And even with radiculitis, as well as with lumbago( "lumbago"), dry banks are placed on the lumbar region, and sometimes( because the pain syndrome can occur and because of some slight infringement of nerve endings) it is recommended to hang, relaxing the body, on the crossbar. You should not resort to this method if your radiculitis is discogenic( that is, if you are diagnosed with a disco or a so-called Schmorle hernia).

med-pomosh.com

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