Massage and Exercise with Lumbar Sciatica
Radiculitis( or radiculopathy) is a disease of the nervous system that develops as a result of compression of the spinal nerve at the exit from the spine. Nerve compression can herniated intervertebral disc, bony outgrowths( osteophytes), as well as the vertebra itself, deformed due to trauma.
It manifests radiculitis with pain, impaired motor function of the extremities, a decrease in skin sensitivity. As a rule, the first appearance of pain is associated with excessive physical exertion. The most common nerve compression occurs in the lumbar and cervical divisions.
Treatment of radiculitis consists in the appointment of anti-inflammatory drugs, as well as funds that remove spasm of skeletal muscles. In the recovery period, the most important role is played by massage and therapeutic gymnastics.
Massage with radicular syndrome is performed in order to relieve spasm of skeletal muscles in the back area, improve blood circulation and lymph flow in this zone. The muscles of the limbs with radiculitis can be hypotrophic, flaccid. Massage promotes bringing them into a normal tone.
Stroking, grinding, kneading, percussion technique - when massaging patients suffering from radiculitis, most of the existing massage techniques are involved. The massage course should be conducted by an experienced specialist, as a non-professional technique can worsen the course of the disease.
Massage is contraindicated in the acute phase of the disease. But in the recovery period, it should not be carried out in isolation, without communication with other rehabilitation methods.
Like massage, therapeutic exercises are not performed during acute radiculitis. Usually the complex of exercises includes turns, head inclinations and isometric exercises to strengthen the muscles of the neck.
The first goal of curative gymnastics with radiculitis is to reduce pain and increase the mobility of the neck. Reduction of pain is achieved by improving blood circulation in the zone of radiculopathy with muscle contractions. The second goal is to strengthen the cervical musculature. For this, isometric( static) exercises are performed, in which the length of the muscle does not change( examples are given below).
- Turns of the head.
These movements should always be carried out, observing the correct posture, sitting evenly and holding the head evenly.
Rotate your head as if you want to look over your shoulder. Continue to turn to the degree at which you still feel comfortable.
Imagine being in a room filled with water, and the tip of your nose is above the very level of the water surface. When you turn your head, try to keep your nose above an imaginary reservoir.
If pain or weakness occurs, discontinue the exercise.
- Head inclinations. Sitting straight, the look is directed forward, tilt your head to the side as if you want to touch the ear with your ear. Stretch to the shoulder until it hurts.
It is convenient to do this exercise by looking in the mirror to see that you do not lift your shoulder to meet the movement and do not twist your neck. The tip of the nose with this movement should not deviate to the shoulder. When doing this exercise, you can sit on your hands( put under the buttocks), so that the shoulders were fixed.
- Strengthening of the neck muscles.
Use isometric training. But remember that with radiculopathy, muscle weakness develops due to inadequate stimulation of the musculature through the nerve fibers, and not because you barely load the neck.
Stand straight, put your hands on your head and prevent hands from moving your head in either direction. Move your hands for this over the entire area of the head, rest your head in your arms forward, back, left, right. If the muscle weakness increases, stop the exercise and inform your doctor.
Physical exercisesOne of the variants of the complex of exercises with lumbar spine may be as follows:
- Stretching of the upper parts of the back.
Lying on your stomach, twist your fingers in the lock behind the waist. Lift the head and chest above the floor surface and hold this position for 5 seconds. Gradually increase the holding time of the pose to 20 seconds, do 8-10 repetitions of the exercise.
Stretching exercises reduce pressure on the nerve roots of the lumbar spine and reduce the associated pain.
- Stretching the entire back.
Lying on your back on a flat surface, your legs bent at the knees, feet on the floor, place your hands on the back of your thighs. Move your knees to your chest, and lift your upper body toward your knees. Do 10 repetitions.
If possible, do this exercise at least several times a day. However, try not to overload your back. If the movements are given with great difficulty, you should stop the gym.
This exercise relaxes the musculature of the lumbar region, reduces pressure on the nerve roots.
This exercise is also designed to reduce pressure on the injured spinal nerves in the lumbar region.
Lying on your back, knees bent, feet on the floor, fold your arms over your chest. Straining your stomach, tear your head and shoulders off the floor. Hold this position of the body for 2-4 seconds and gradually fall into the starting position.
- Stretching of the pear-shaped muscle.
Pear-shaped muscle is one of the pelvic muscles responsible for hip rotation. Improving the stretchability of the musculature of the back and buttocks allows you to reduce pressure on the roots of the nerves.
Lying on the back, bend a sore leg in the knee and hug her hands behind the thigh. Pull the knee to the chest and hold this position. Return the leg to its original position. Repeat the approach up to 10 times.
In conclusion of the article it is necessary to recall that gymnastics and gymnastics with radiculitis have their contraindications. It is impossible to create a universal athletic program, suitable for everyone. Physical exercises that are useful in your situation should be advised by your doctor after a full examination.
How to treat lumbosacral sciatica
When talking about radiculitis in the imagination, a figure of a bent person holding at the waist is immediately drawn. Indeed, this disease most often affects the lumbar region. And this is not surprising: the load on this part of the back exists almost continuously, even if we are not engaged in physically hard work or active activities associated with intense tilts and turns of the trunk, but simply stand or sit. Especially subjected to stress transitional segments of the spine, located on the border of two departments. One of them is the vertebral segment l5 - s1. Pathologies in it and lead to lumbosacral radiculitis, the treatment of which we will talk about in this article .
The most common lumbosacral radiculitis occurs on the basis of degenerative dystrophic processes in the l5-s1 segment due to age-related changes or sedentary lifestyles.
Causes and symptoms of sciatica
When talking about the etiology of the disease, one can not help noticing some patterns. Who most often develop lumbosacral radiculitis? People at risk:
- Those who are hardly older than forty and elderly
- People who live and work in severe conditions of the north
- Those who often get wet( for example, fishermen, water tourists, rowers)
- Constantly experiencing heavy loads( athletes, loaders)
- Forced to stand idle for hours or sit in the same pose( machine workers, drivers, mental workers, students)
Reasons for radiculitis
If you have noticed, age is by no means the only factor in such a disease as the lumbosacralsciatica, though for some reason it is considered to be only a disease of older. Today, in this etiological scale, there has been a clear shift to the last of these factors - the factor of the sedentary lifestyle .It is the smallest mobility that leads to the early development of degenerative dystrophic processes( DCF), the main cause of lumbosacral radiculitis:
to various forms of arthrosis and arthritis, hernial formations, spondylitis
. Other factors can cause DCD. :
- Hereditary diseases
- Interruption processes, endocrine and immune disorders
- Congenital or acquired vertebral anomalies( sacralization, lumbarization) and bias
- Scoliosis strains, etc.
How the radiculitis develops with DDD
- Deforming changes in the intervertebral discs result in the breakthrough of the fibrous ring and the release of the pulpous disk nucleus beyond its limits
If the exit of the nucleus( hernia) is directed toward the spinal canal, this formation and the nerve root can come into contact,irritated - there is radicular pain, i.e., radiculitis
- There is also a protective reflex pain symptom in the form of a muscle reaction - myofascial syndrome:
musclecome to a state of increased tone to ease pressure on the nerve by increasing the spacing between the vertebrae of the lumbosacral
- The longer there is sciatica, the more it flows into the chronic process
In the advanced stages of sciatica, spondylosis develops:
When spondylitis along the edges of the thinned disc and vertebraebegin to appear pathological compensating osseous growths - osteophytes
- Osteophytes, irritating muscles, nerves and vessels, lead to even more acute and prolonged attacksradiculitis and mobility limitations
Symptoms of lumbosacral sciatica
How does lumbosacral radiculitis manifest?
Symptoms of lumbosacral radiculitis are the pain and phenomena of paresthesia in the lumbar and gluteal regions extending over the hip, shin and foot surfaces of the
- Almost always it begins with the symptoms of sudden and sharp pain in the lumbar region of the
- The pain may coincide with the rise in severity, activemovements, physical exertion or hypothermia
- Pain symptoms can last up to three weeks and progressively shift from acute to more moderate
- From the lumbar region painsprostranyaetsya further - into the back of the leg
simultaneous presence of pain symptoms in the lower back and limbs - a rare phenomenon. Even more rarely there is pain only in the leg
- The nature and spread of pain depends on the level of lesions of the nerve roots
- If the lumbar spine l5 is annoyed, the pain zone includes :
- gluteal region
- outer surface lateral thigh
- anterior - tibia
- inner part of the foot beforeof the thumb
- In the lesion of the sacral spine s1, the following areas of the suffer from the pain:
- posterior and outer thighs and lower leg
- plantar andthe outer part of the foot, including the little finger
- If the lumbar spine l5 is annoyed, the pain zone includes :
When the roots are tightened for a long time,
- can connect to painful symptoms of paresthesia with signs of skin sensitivity and numbness
- signs of muscle weakness, flaccid paralysis and partial reduction or even complete loss of reflexes of the tendon
Clinical signs of sciatica
Clinically lumbar-Sacral sciatica manifests itself in:
- Limitation of mobility:
Patient to strive to lie and move with great care
- Education of analgesic scoliosis:
spine flexes to the sore side - this is due to increased muscular tension on the pathological site of
- Adopting the sick person forced poses, in which the pain is less:
- flexionsick leg
- choice of a specific position on the side:
With lumbosacral radiculitis in segment l5-s1, oddly enough, they prefer to sleep on the side of scoliotscurvature, that is, on a painful
A doctor's examination allows you to determine the sciatica of the sacro-lumbar for the following symptoms:
- The long back muscles are in a stressed state
- The lateral pressure on the spinous processes of the lumbosacral region leads to a pain that can spread to the buttock
- Skin skin can be observed vegetative-trophic symptoms:
blanching, cooling, sweating, weakened pulsation, etc.
Classical symptoms of sciatica
In addition, there are classic "reference" symptoms by which an experienced neurologist diagnoses sciatica and sciatica :
- Strengthening pain in the lumbar region, buttock, femoral posterior surface when lifting a straight leg from a sore side - symptom Lasega
- Reflective flexion of a diseased limb at the time of transition lying in a seated position - Bechterew's symptom
- Increased pain in the lumbar region and lower limbwhen the head is tilted forward sharply - Neri symptom
- Strengthening of the pain sign by sneezing, coughing, tension - Dejerine
- symptom Smoothness of the fold of buttock located on the sore side - Bonnet symptom
Treatment of lumbosacral
Even if the sciatica is diagnosed at examinationdoctor, this does not mean that he can be quickly cured.
The chance of recovery depends on the cause that caused this pain, and on the stage in which the process itself is located :
- If a person calls for help right after the first attack, without driving the illness into chronic form through independent taking pain medications, then the cure for sciaticahe has very large
. But when the patient comes to the doctor, without feeling the legs, with half absent reflexes of the feet, with signs of urinary and intestinal disorders, whatever the treatment, it is unlikely that it is already a creatureNGOs help. Speech in this case will be maintained about the preservation of the remaining motor functions and some palliative measures
Treatment in the acute period
How to treat lumbosacral sciatica?
- For a sick person it is important from the first day of radiculitis to create comfortable conditions of rest and a warm( in the literal sense) atmosphere:
- For two to five days it is better to lie wrapped in a waist with a woolen shawl or warming belt
- Heat should be dry: no hotcompresses or baths with exacerbation of radiculitis are unacceptable!
- Drug medication is carried out with a wide arsenal of remedies( NSAIDs, novocain blockades, corticosteroids, etc.)
- The following are most commonly used:
Diclofenac, ibuprofen, ketoprofen, indomethacin
- These drugs can not be used for a long time,, they strike a blow to many organs, especially the gastrointestinal tract
- The following are most commonly used:
- is often used for pain relief in the lumbosacral radiculitis
Anesthetic effect in this case is achieved through inhibition of consciousness with the help of brain receptors
Treatment with ointments and patch
Many people try to treat the radiculitis with ointments of irritating effect:
- with viprosal
- with the finalagon
- nayatox etc.
Some primary analgesic effect is observed, howeverin the future such treatment brings few results, since external drugs are able to penetrate to the surface layers of the skin, but to vertebral joints - hardly
Sameasaetsya and advertised in the recent patches from sciatica, for example, Nanoplasta. No matter how good it may be by descriptions, we must not forget that this is just an external remedy that is basically a warming and irritating action, like ointments.
Methods of non-drug treatment of radiculitis
Treatment of lumbosacral radiculitis can not only be medications. In addition, the following methods are applicable:
One of the methods of non-drug treatment of sciatica is physiotherapy
- Spinal traction( spinal traction) in order to increase the spacing between the vertebrae and eliminate contact of deforming formations with the nerve
- Manual therapy
Non-pharmacological treatment of lumbar spinesacral radiculitis is carried out already when the period of exacerbation has passed to prevent the deepening of muscle spasmbut also the deterioration of the situation .
Video: Lumbar sciatica
Photo: ointment with venom of viper
Also apply a pepper bandage or produced special therapeutic analgesic 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 entered:
- into the epidural space;
- in places of infringement of nervous plexuses and trunks;
- into the joint cavity;
- into the near-vertebral zones;
- in the trigger zones( muscular sites of local injuries).
Novocaine can be substituted for trimecaine or lidocaine, and instead of hydrocortisone - other glucocorticosteroids are used: 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 disc herniation.
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 stenosis of the spinal canal 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.
Traditional medicine uses for treatment of radiculitis different prescriptions and methods of treatment.
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 a burning sensation occurs);
- a mixture of blue clay and wine vinegar( once a day for 2 hours);
- weekly infusion of two tablespoons of nettle on vodka( 1-2 times a day for 2 hours);
- boiled bacon leaves, birch linden( thick layer on the sore spot in the morning and evening for 1.5 hours);
- honey( thick layer), paper napkin and mustard for an hour and a half or until unbearable burning;
- salt fried in a pan with 20 ml of tincture of propolis 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, which remove 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 cranberry leaves 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 loin - 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
With radiculitis use the ancient method of treatment with medical leeches - hirudotherapy.
The method is based on the property of healing bites, in which the leech injects into the patient's blood anesthetic substances and anticoagulants that prevent coagulation of the blood.
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 or acupuncture is an effective method of treating sciatica, which sometimes leads the patient to complete recovery.
According to research, the effect of acupuncture is twice the effect of conventional 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 time of exposure to each point is also very different and sometimes reaches 20 minutes. The course of treatment takes about two weeks.
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 the 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.
Manual therapist uses a variety of techniques:
- jogging mobilization , 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) , allowing to correct small displacements of the discs and their protrusion, and also to direct small intervertebral and disc hernias. For this, the methods of dry and underwater traction are applied, depending on the location of the hernia.
Interested in how to relieve back pain with alternative therapies? Read here.
How to cure an intervertebral hernia? Find out in this material.
Therapeutic 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 comprehensive 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 helps a lot.
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;
- reduce 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 affected areas.
To radiculitis did not lead to complete immobility and disability, it is necessary to engage constantly, moderately, but persistently.
When radiculitis should get rid of excess weight, increasing the strain on the spine, and change their attitude to nutrition.
For this it is necessary:
- to eat more fruits, vegetables and dairy products;
- to drink juice 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 yogurt.
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).
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;
- not do twisting 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, 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.
Helena, 55 years old:Oh, how I remember these bouts of sciatica, so throws in a shiver! 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. Also read
Exercises for radiculitis of lumbar and other departments, lfc and gymnastics + video
Principle of prescribing exercise therapy
It is necessary to perform exercises in sparing mode, regardless of the person's condition.
that before you assign this or that set of exercises, you need to take into account the state of human health and the location of the disease. In the acute period, to apply gymnastics is strictly not recommended, it can only aggravate the state of human health.
It is necessary to perform exercises in a sparing mode, regardless of a person's condition. The amplitude of complexity should increase gradually, from simple to more complex. Important is the principle of combination, static and dynamic exercises are performed alternately. Let's assume a slight discomfort, but if there is acute pain, the occupation is interrupted.
Classes should be performed regularly, rather than courses, it is not uncommon for physical therapy to be given for life. But it is this approach that protects a person from subsequent exacerbations.
There are conditions in which gymnastics will do more harm than good and it must be taken into account. So, it is contraindicated under the condition:
- of a severe physical condition;
- acute period of the disease;
- decompensated cardiac pathology.
With radiculitis gymnastics has a few contraindications, but it's not advisable to proceed to it by yourself. First, consultation and permission of a specialist is necessary.
Preparation and approximate complex
First you need to prepare a hard surface, the best option will be the floor, which is covered with a small mat or a terry bath towel. The room should be warm air, clothes should be free and do not restrain movements. Exercises are performed in the position on the back.
All exercises are performed strictly in the remission period and after consulting with your doctor.
The starting position is assumed on the back, the legs bend slightly in the knee joints, and the arms are parallel to the trunk. After the hands are placed on the abdomen, this will ensure the most correct execution of the exercise. It is necessary to strain the muscles of the abdominal press to feel that they have hardened, along with this do not need to strain and hold your breath. The repetition rate is 10 to 15 times. Provided the lumbar spine is correctly executed, the waist flexes a short distance upward. In the event that pain occurs during exercise, the exercise may be slightly altered, the legs may be placed on the floor or on the sides.
Without changing the starting position, they begin to perform the second exercise, the legs are also bent at the knees, and the hands are located along the trunk. The upper part of the trunk is slightly raised, but it is impossible to tear off the legs from the floor. In this position, you need to stay for 5-10 seconds, and then slowly sink to the floor. The respite is the same time, and after that everything repeats. Multiplicity of repetitions is 10 to 15 times. In the beginning, the hands can be extended forward, after the exercise can be complicated by putting your hands behind your head.
For the third exercise, the starting position does not change, the legs are also extended, and the arms are parallel to the trunk. One leg bends at the knee and rises slightly above the floor surface. After that, you need to straighten it in the raised position and slowly lower it. The exercise repeats - from 10 to 15 times, and then everything is done with the second leg. After doing the exercise with both legs unbent and the same number of times.
The starting position is the same, only the legs are bent, and the arms are parallel to the body. The right arm is stretched out and the brush is located on the left knee. The left leg is bent at the knee joint, which rests against the wrist, it is necessary not to let the knee come to the head. The effort is applied a little for 10 seconds, after a respite is done for 10-15 seconds. Multiplicity of the exercise is 10 to 15 times for each leg.
The situation is the same, only the legs are bent at the knee joints. Both legs rise above the floor surface at a distance of about 30 centimeters. In this position, the body is held for 5 seconds, after slowly the legs fall to the floor. The repetition rate is 10 to 15 times.
Without changing the starting position, the exercise "bicycle" is performed, during which it is necessary to twist the imaginary pedal of the bicycle.
The starting position, as in the previous exercise, only now with elongated legs horizontal scissors are produced. In addition, elongated legs cross in front of them. The exercise begins with five repetitions and gradually the multiplicity is brought to 10-15 times. After the "bicycle" is spinning, but only this time the imaginary pedals rotate in the opposite direction.
In the position on the back, the arms are parallel to the body, and the legs are bent at the knees. It is necessary to try to make a bridge, using the shoulder blades resting on the floor, the waist at the same time unbends and rises above the floor. In this position, you need to stay for 5-10 seconds, and then take the starting position. Multiplicity of repetitions is 5 to 10 times.
When performing the following exercise, it is necessary to be on your back with your legs bent at the knees, but your hands are bred to the sides and your hands are turned down. It is necessary to put in turn the bent legs either to the right or to the left of the trunk. Multiplicity of repetitions is 10 to 15 times.
Preparatory complex of exercises
For the next exercise the starting position changes, it is necessary to lie on the stomach, and the hands are placed under the chin. It is necessary to raise the straight leg and hold it for 5-10 seconds, and then lower it. Each leg repeats from 10 to 15 times.
At the initial position on the abdomen, the hands are located behind the back and there they fold into the lock. Blades at the same time are reduced, and the head and shoulders are rising upward. Multiplicity of repetitions is 10 to 15 times.
At the end of the complex, exercises aimed at relaxing and stretching the spine are used. Starting position on the back, hands are located along the trunk, legs are straight. The leg bent at the knee pulls up to itself, attracts the breast, and then falls to the floor. The same exercise is repeated with the second leg.
In the second exercise, the starting position remains the same, only the legs bend at the knee joints. Hands are placed on the knee area and in this position the knees are attracted to themselves. Legs are clasped by the hands and in this position, turns are made to the sides. This exercise is an excellent massage for the muscles of the back, especially in the lumbar region, the frequency of its repetition is 5 to 10 times.
The scheme also has an approximate set of exercises with radiculitis, which can be performed every day.
Exemplary set of exercises for radiculitis that can be performed every day
complex To perform the second complex, you need an ottoman or a stool that is about knee height. The starting position for the first exercise is that one leg is placed on the stand. It is necessary, bending the leg on the stand, bend back and so on 5 times for each leg.
After you need to sit on a stool and clasp your knees with your hands. In turn, you need to straighten your legs, each five times.
Sitting on the edge of the stool you need to grasp the seat with your hands. You need to stray back with your back straight and try to go as far as you can. The main thing is to see to it that you do not fall.
After that, you need to lie down on the floor and straighten your legs, and put your hands straight behind your head. The task is to simultaneously raise the trunk and legs and form a right angle, and repeat this 5 times.
The starting position changes, you need to lie on your back and straightened hands, which are located behind the head, grab the legs of the stool. Slowly, without jerking, the legs are turned on the head until they touch the surface of the stool with their toes.
There are many more sets of exercises for radiculitis and they all have their own characteristics. It is important that before performing any of them it is necessary to get a doctor's advice and strictly follow all his recommendations. Well, if LFK is shown, the movement is really capable of providing a full life.
Radiculitis: symptoms and treatment of cervical thoracic and lumbar radiculitis medically
One of the most common neurological diagnoses is all of us known radiculitis. His symptoms can not be confused with anything. Here came a grandmother with a cane. Loin wool shawl wrapped: "Radiculitis twisted, daughter."Or a man in full blossom, one shoulder above the other, barely moves with pain. Too radiculitis. This pathology is also called radiculopathy. What is it?
The very word "radiculitis" comes from the attachment to the root of the "radix"( spine) of the inflammatory suffix "it".Thus, it turns out that radiculitis is an inflammation of the roots of the spinal nerves. Spines of spinal nerves are called those not large parts of it, which, moving away from the spinal cord, pass through special holes in the spinal column and form the nerve itself. At the exit from the spinal cord, the anterior and posterior roots are distinguished, one of them( posterior) consists of sensitive fibers, and the other of the motor ones.
Causes of radiculitis
At the heart of the disease is a violation of the function of the spine nerve root. The cause of the violation of its function can be various diseases and injuries. Most often, radiculitis is a complication of a widespread disease such as osteochondrosis( a degenerative-dystrophic disease leading to destruction of the intervertebral cartilage).The compression of the spine can be observed with the intervertebral hernia, the dimensions of the hernial protrusion being irrelevant, or with a tumor. Radiculopathies are also observed in spondylolisthesis( displacement of the superior vertebra anteriorly), with the pain most often chronic. A frequent cause of development of radicular syndrome in the elderly is spondylosis, in which a severe degenerative process is noted not only in the cartilaginous tissue, but also in the bone - with the formation of bone outgrowths( osteophytes).Often, sciatica occurs after various injuries of the spine.
A provoking factor for the development of radiculopathy is always an awkward sudden movement or lifting of the gravity. In this case, there is a violation of the "fragile" anatomical relationships of all participants in the pathological process, and the root is squeezed( pinched).
Some authors consider all the above reasons for sciatica secondary, and the primary cause, in their opinion, is a viral infection( Epstein Barra virus, measles virus, herpes virus and others).Such a radiculitis they call primary.
Why does osteochondrosis occur? Read about the causes of osteochondrosis
Symptoms of radiculitis
The main symptom of radiculitis is acute pain. In this case, it does not have the character of lumbago, but it persists for a long time until the block is eliminated. Any movement leads to an increase in the pain syndrome, there may be a violation of sensitivity.
The localization of the pathological process distinguishes cervical, thoracic and lumbosacral radiculitis.
Cervical radiculitis often has symptoms such as headache, increased blood pressure, numbness of the hand on the side of the lesion, tingling in the fingers. Important point: the neck is turned slightly to the side and slightly bent( very similar to the torticle), any attempt to bring the head to a straight position leads to increased pain. At movement the block is felt. Cervical radiculitis can also be manifested by dizziness and nausea.
Thoracic radiculitis is rare. This is due to the peculiarities of the structure of the thoracic spine, which is fixed by the ribs. Symptoms of it often are various unpleasant sensations from the internal organs: pain in the heart or stomach, discomfort when breathing. Therefore, often doctors, not having understood the cause of the disease, prescribe a treatment that does not bring relief to the patient. Pain in cervical radiculopathy can give into the hand, and there may also be a violation of sensitivity in the lesions of the posterior roots( crawling, numbness) and loss of muscle strength.
The most common type of disease is lumbosacral radiculitis. His symptoms are known to many young and old people of our planet. Acute pain in the waist and sacrum, radiating in the leg, occurs, as a rule, when lifting the gravity or after turning the torso. Often thus there is a spastic scoliosis - a curvature of a backbone against a painful syndrome. In severe cases, the paresis of the foot can develop.
Regardless of which department is "pinched", the process can be one-sided and two-way.
On the prevalence of these or those symptoms distinguish two stages of the disease.
- In the first stage( the stage of irritation), the main symptom is pain, while the muscles are strained and the reflexes are animated.
- In the second stage( the stage of prolapse), on the contrary, the pain becomes less pronounced, the tendon reflexes fade and the hypotrophy( atrophy) of some muscles is observed.
Treatment of radiculitis medically
How to treat radiculitis medically? At a radiculitis conservative ways of treatment usually usually help: reception of anti-inflammatory preparations, massage, fizioprotsedury, therapeutic exercise and others. Surgical intervention may require only radiculopathy caused by a herniated disc or spine tumor.
All medicines for radiculitis can be divided into tableted, local( ointments, gels, creams) and injections. Very effective drugs from the group of non-steroidal anti-inflammatory drugs( Diclofenac, Naise, Voltaren).Good muscle muscle spasm Medoplasm, which has a pronounced antispasmodic effect.
Many are well helped by warming and anti-inflammatory ointments from radiculitis( Finalgal, Doctor Bobyr, Viprosan based on snake venom, Gel Naise, Voltaren Emulgel and others).They are usually applied two to three times a day, after which it is useful to wrap themselves in a woolen shawl or scarf.
In case of ineffectiveness of these methods resort to the appointment of injections. Diclofenac or Orthofen injections are usually good for radiculitis. Mydocalm also exists as a solution. A quick effect is achieved when using the combined Ambene preparation. It includes an anti-inflammatory component, and a complex of vitamins used for neurological diseases. In severe cases, blockages are made to relieve pain. These manipulations are performed by a doctor in a polyclinic or a hospital. Usually, relief comes after the first injection of an analgesic anti-inflammatory mixture into the paravertebral( near-vertebral region).
For manual treatment of radiculitis, manual techniques are also used. Osteopathy was widely spread. Also resort to acupuncture and reflexology. Practically always massage and physiotherapy( electrophoresis, magnetotherapy, laser therapy) are prescribed.
How to carry out manual correction of the lumbar region read here
Basic methods for treating osteochondrosis of the spine
http: //osteokhondros.ru/Osteohondroz/ Lechenie-osteohondroza-pozvonochnika.html
Gymnastics for radiculitis
After pain relief, special exercises should be performed from the treatment complex. They are aimed at stimulating blood circulation in the zone of innervation of impaired roots, strengthening the muscles of the back and restoring the affected muscles.
Gymnastics with radiculitis is the main method of prevention. Only regular sessions will allow your back to stay healthy for a long time.
LFK in thoracic radiculitis
LFK in thoracic radiculitis. The full version of the video is available at http: //vitatv.ru/ Phone of Dr. Popov: +7( 495) 507-71-85.