Lumbosacral sciatica and its treatment
Almost the entire adult population is familiar with back pain, and usually associates them with sciatica. In fact, the causes of their occurrence are different, and only 35% fall on true radiculitis. It usually arises against the backdrop of another disease of the spine and is its symptom.
The most common cause of lumbosacral radiculitis is osteochondrosis of this part of the spine. The protrusions of the intervertebral disc, enlarged osteophytes and spasmodic muscles characterizing osteochondrosis, squeeze and irritate the bundles of nerve fibers emerging from the spinal cord. With an awkward movement, incorrect lifting of the weight, there is an acute attack of radiculitis. He can pass even independently, but the reason remains, and necessarily after some time the repetition will follow.
Acute lumbosacral sciatica( lumbalgia) manifests itself by sharp pain, "lumbago" at the site of infringement of the rootlet. Any movement aggravates the condition, the person freezes in a certain position, becomes helpless, the muscles of the lumbar region spasmodic. Movement in this department of the spine is sharply limited. Pain can also stop suddenly, as it has appeared, or persist for several days. The condition improves when lying on a hard surface.
How to recognize sciatica?
Chronic lumbosacral sciatica, characterized by periods of remission and exacerbation, and in any case there are 3 main symptoms expressed in different degrees:
- sensitivity disorder;
- movement disorders.
Pain with radiculitis unusual
Intense, sweeping pain in the back, giving up the infringed root along the innervation path - this is typical for radiculitis. A certain posture or movements in the back strengthen it. The intensity of pain depends on the degree of infringement of the rootlet. When the lumbar spine irritates, it senses pain in the anterior abdominal wall, in the buttock and leg.
Osteoporosis progresses and the nature of pain with radiculitis changes. Sciatica is associated with irritation of the sciatic nerve, consisting of the roots of the lumbar and sacral spine. Severe pain occurs along the sciatic nerve - from the waist along the back surface of the foot to the heel and foot. They increase in sitting position, with movements of the trunk and strong coughing.
More often sciatica is one-sided, but there are "lucky ones" with a two-sided process. The pain forces to tilt the body in the opposite direction from the infringement, so there is a deformation of the spine, which contributes to the rapid progression of osteochondrosis.
Massage with radiculitis can be performed with ointments
Radiculitis, it's not only pain
In addition to pain, there are other manifestations of radiculitis - a violation of sensitivity in the innervated zone. Feels chill in the thigh, tingling in the shin and foot, feeling hot or burning. The sciatic nerve has sensory and motor fibers. And the symptoms of radiculitis acquire the character of motor disorders. It is difficult to raise the foot, flexion of the lower leg and extension of the thigh. A person can not walk on heels and on toes. Gradually, the muscles of the thigh, lower leg and buttocks atrophy, legs weaken. Impaired stability of movements, gait becomes uncertain.
How to treat sciatica
Because vertebrogenic lumbosacral sciatica occurs against the background of osteochondrosis, then treatment should be directed, first of all, to the preservation of intervertebral discs.
Neurologists believe that radiculitis can be cured if the processes in the spine have not become irreversible.Read more:
Symptoms of lumbar sciatica
In the period of severe pain, additional treatment is required:
- When exacerbating a patient, one must create rest. A few days of bed rest on a hard bed will reduce the burden on the spine.
- Taking anti-inflammatory analgesics( Xefokam Rapid, Nimesulide, Voltaren) in tablets and injections quickly improves the condition.
- Muscle relaxants( Midokalm) eliminate muscle spasm, which is also the cause of pain.
- With ineffectiveness of pain medications, blockades with novocaine or steroids are prescribed.
- Warming and anti-inflammatory ointments( Viprosal, Gevkamen, Dolgit, Fastum gel) dilate blood vessels, relieve muscle spasm.
- Group B vitamins increase the analgesic effect.
- Massage and exercise prevent the development of atrophy and muscle weakness.
- Physiotherapy procedures can be prescribed from the first day of exacerbation of lumbosacral radiculitis. Electro- and phonophoresis with anesthetics, laser and magnetotherapy, diadynamic currents act multilaterally.
- Fixation of the lumbar region with the help of orthoses with vertical ribs of stiffness relieves the load from the spine and is applied until the acute painful sensation subsides.
Physiotherapy is indispensable in the treatment of radiculitis
What massage will help with radiculitis
At all stages of treatment of chronic radiculitis massage is performed. With acute pain, only mild strokes are used. In the future, according to the indications, all methods of manual, segmental, point and hardware massage are used. More efficiently the procedure with aromatic oils and ointments. During the period of remission, one should not neglect self-massage.
Do gymnastics need
Even in the acute period of chronic radiculitis a person should not be in bed more than 2 - 3 days. You need to move around the apartment or ward. In the first days after the easing of pain, exercises are performed only in a lying position, at a slow pace, without jerks. When the pain subsides, gradually increase the motor activity, to create a muscle corset.
During the period of remission, muscle stretching exercises are recommended. Rotations, bends of the trunk and elements of weightlifting are prohibited. Complex LFK should be compiled by an experienced instructor specifically for you and gradually expand.
How to prevent exacerbations
Prevention of exacerbations of chronic sciatica is the preservation of a healthy spine. Therefore, the following recommendations are advisable:
- Treatment of osteochondrosis. Periodic courses of drug therapy.
- Mandatory appointment of gymnastic exercises, sparing the spine and training muscles;
- Teaching rational behavior. Every patient should know what causes an exacerbation and what movements are safe.
- Use of fixing corsets for prolonged and intensive loads on the spine( driving, sitting at the table).
Please note! The load on the fifth lumbar vertebra in the lying position is 20 kg. When walking 85. In sitting position 150. If you hold a weight of 40 kg on elongated hands, then the load increases to 500 kg.
Radiculitis is not only pain, but also muscular atrophy, impaired sensation, posture and gait. Treatment should be carried out during the period of exacerbation, and in the absence of acute pain. To prevent complications of radiculitis every 4 to 6 months, it is necessary to conduct courses of massage, vitamin, reflex, and physiotherapy.
Lumbar sciatica: symptoms and treatment
Lumbar lumbar sciatica, sciatica, lumbosacral radiculitis is the name of the disease of the musculoskeletal system that occurs when the spinal roots( nerves that leave the spinal cord) are compressed by various structures.
Who suffers from sciatica in the lumbar region?
The background state for the development of lumbar radiculitis is the so-called osteochondrosis of the spine. It develops not only in the elderly, as it is commonly believed, but also for those who lead a sedentary lifestyle or at least work;those whose daily activities are connected with the performance of monotonous stereotyped movements, including the turns of the trunk( for example, cashiers in hypermarkets).In addition, people with physical labor are subject to osteochondrosis. When osteochondrosis, the edges of the vertebrae begin to appear bony growths, similar to protuberances or warts.
This is the response of the bone to pressure or years of inadequate exercise. Such growths, or osteophytes, gradually increasing, eventually can squeeze the nerve bundles that move away from the spinal cord, like small roots from a large central root.
Risk factors for the development of lumbar sciatica
Immediately note that sciatica in the lumbar region can worry not only patients with osteochondrosis. The cause of inflammation of the spinal root can be compression and other structures near the spine - hernia( protrusion of the intervertebral disc), hematoma( this happens after trauma), in rare cases - a tumor. There may be displacement of the vertebrae after trauma or sudden weight lifting, this situation is common for young men or mothers of small children.
The usual scheme of development of lumbar radiculitis looks like this: compression of the nerve root and adjacent blood vessels leads to disruption of nourishment and respiration of the nerve, muscles of the trunk react to pain by compression, which further "closes" the nerve and itself causes pain. Increasing pain is an additional stimulus for muscle contraction. .. And so on in a circle.
Symptoms of the disease
Manifestations of lumbosacral radiculitis - firing, intense, acute pain in the lumbar region, groin, buttocks. Pain can "give"( scientifically - irradiate) to the back surface of the leg on the affected side: thigh, shin, foot.Pain is so pronounced that it can sometimes be accompanied by a general reaction of the body: weakness, fever. The pain subsides a little at rest and increases when walking, tilting, turning around its axis, trying to lift gravity. Sometimes only pain in the leg can disturb, which greatly complicates the diagnosis.
Usually patients with back pain get to see a neurologist or orthopedist. In orthopedics, there is even a special section - vertebrology, which studies spinal diseases and the associated symptoms.
The usual medical tactic for lumbosacral radiculitis is based on three principles: the removal of inflammation, relaxation of spasms in response to muscle pain and improved nutrition of the affected nerve root.
In the treatment of lumbar radiculitis, as in war - all means are good, especially if they are relatively safe. Therefore, to mitigate inflammation( in the medical language - "stopping inflammation"), soft anti-inflammatory drugs - ibuprofen and paracetamol - are used first. It is believed that they cause fewer side effects than classic non-steroidal anti-inflammatory drugs.
If after the reception of these agents of relief does not occur, prescribe medications such as meloxicam, celecoxib, nimesulide, remembering that they should be taken strictly after meals or at least washed down with milk. With insufficient effectiveness of these drugs, "heavy artillery" - intramuscular injections of glucocorticosteroids( most often they are used as "blockades") go into battle.
These drugs have a powerful anti-inflammatory and analgesic effect, but they can cause trouble too, so it's better to do without them.
Medications Relaxing Muscle Cramps( Muscle Relaxants)
Because painful muscle spasm is the second component of pain in lumbar radiculitis, treatment will not be sufficient without treatment. Moreover, it is this spasm that triggers a "circular reaction", exacerbating the already existing pressure on the suffering nerve.
Preparations improving the nutrition of the damaged spinal rootTo improve nutrition and tissue respiration of the nerve, usually apply drugs of B vitamins. Who among our elderly fellow citizens did not receive from the neurologist the appointment of the legendary milgamma about back pain?. . This drug is injected intramuscularly,painful, and the action is not always pronounced.
A number of neurologists advise to use so-called nootropic drugs such as mexidol to improve the nutrition of nerve structures, which were developed in time to treat cerebral circulation disorders and memory loss.
With the elimination of contraindications, physiotherapy is one of the most effective methods for dealing with lumbosacral radiculitis. Contraindications are traditionally inflammatory diseases of the abdominal and pelvic organs, infectious processes on the skin( for example, furuncles), oncological diseases( including those that have been successfully transferred and successfully treated), hypertension, coronary heart disease, endocrine diseases( diabetes, thyroid diseaseglands and some others).
Impressive list, is not it? And, nevertheless, physiotherapy procedures should be abandoned if at least one of the items on this list is available.
Here are the most common and effective methods of physiotherapy with radiculitis:
- Magnetotherapy. This effect of weak magnetic currents on the area of inflammation and painful muscle spasm. It effectively reduces pain and improves nutrition of the affected spinal root.
- UHF( it's also electrophoresis, it's phonophoresis).In the situation with lumbosacral radiculitis this method is less effective than magnetotherapy, however, in the presence of contraindications to the latter it is applied, and very successfully.
- Acupuncture. Physiotherapists consider "acupuncture" the most effective tool from their arsenal. The essence of the method is in the point stimulation of singular points or the accumulation of points( reflex zones) on the skin, connected by their origin( acupuncture specialists say that also with energy) with the spine. The truth is this or fiction, but this method really works and sometimes allows you to achieve perfect analgesia without the use of anti-inflammatory drugs!
Non-pharmacological treatment methods
Evolutionarily the first unconscious reaction of a person to pain is to hide, to wait, to "overdo" unpleasant sensations.That's why it's natural for a patient with lumbar sciatica to lie down and not move. This is one of the usual mistakes. The preservation of a gentle, and therefore bent, posture promotes further compression of the affected roots, if the cause of the pain is nerve compression.
Spasmodic on the affected side of the muscle lesion in the waist, on the contrary, it is necessary to gradually stretch, knead, that is, relax and release the nerve!
This method of treatment is precisely aimed at relaxing the muscles, lifting the painful block, releasing the nerve, figuratively speaking, from captivity. Contraindications for massage are not so much as for physiotherapy, but patients with cancer must be extremely cautious with this method of treatment.
A favorite offspring of vertebrologists, impresses the patient and creates the feeling that "the doctor twisted, turned, smashed and cured".Here only competent manual therapists are rare enough even today, when this trend is at the peak of fashion.
And having got to the illiterate, unskillful "manual", you can, instead of curing, meet with a deterioration of the state.
Alas, in some cases, both medicines and physiotherapy are powerless. Usually, surgical treatment is resorted to when there is a large hernial protrusion that worries the patient with regular attacks of sciatica.
After a detailed examination, including mandatory MRI of the lumbosacral spine, determine the amount of necessary intervention and perform an operation to remove the hernia under general or local( as in the treatment of teeth, for example) anesthesia.
The main directions of the people's experience are:
- deep heating;
People suffering from chronic radiculitis tend, unfortunately, to delay with a visit to the doctor. They gradually get used to living with their illness, avoid traumatic situations and widely use popular methods in the hope that having coped once, they will be able to successfully engage in self-medication all their lives.
Practice shows that in most cases this is the case, that's only the intensity of attacks and the severity of pain times from ever stronger, which significantly reduces the quality of life of patients and leads to an endless search for new fanciful and strange means.
Photo: ointment with venom of adder
Also apply a pepper bandage 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 zone;
- in the trigger zones( muscular areas of local damage).
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 spine of the nerve. 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 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( before the occurrence of severe burning);
- 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 heated in a frying 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 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 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 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
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.
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 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 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.
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 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.
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).
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 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.
Helena, 55 years old:Oh, how I remember these bouts of sciatica, I'm so shivering! 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
With radiculitis, a more effective method of struggle is gymnastics, which includes exercises for strengthening the spine and developing its capabilities through trained muscles. It is very important with radiculitis to pay close attention to strengthening the muscles of the anterior abdominal wall. Since in the case of weak muscles in the lumbar region, a greater deflection of the spine occurs, which causes problems with the lower back. It is for this reason that strengthening the muscles of the press with radiculitis is the main goal of therapeutic gymnastics.
Complex of exercises
To perform exercises with radiculitis, you need a hard surface. The optimal solution will be the floor, on which you can lay a rug or towel. It is necessary to wear comfortable clothes, an excellent option, will be a tights below the knees and a T-shirt. The room for classes must be warm. The whole complex is carried out in a lying position on the floor. During the execution, it is necessary to control the spine, which should be in the most sparing position.
Should lie on your back, stretching your arms along the body, and your legs should be slightly bent at the knees. Then in this position, the muscles of the abdominal press should be strained. In order to be sure of the correctness of the task, put your hand on the stomach at the moment of muscle strain, they must become firm. And also the spine in the lumbar region slightly bends upward. Exercise muscle tension without delaying breathing. If at this time there are painful sensations, it is necessary to change the position of the legs, laying them on the floor. Do 10-15 times.
For this exercise, it is necessary to stretch your arms along the body, and your legs are bent at the knees and fixed on the floor. Further, raise the upper part of the trunk, making sure that the legs do not come off the floor surface. Fix the pose for 5-10 seconds and take the initial position slowly. After a five to ten-second rest, a repeat is made 10-15 times. In the future, it is necessary to complicate the manipulation, moving his hands behind his head.
Lying on your back you need to stretch your legs forward, and your arms along the body. One leg bent at the knee, lifted, weight unbend along the thigh line and slowly lowered to the floor. Repeating 10-15 times, move to the next leg. After, the task is performed with two legs at once.
From the position on the back, legs slightly bent at the knees and putting their hands along the body, perform the following manipulations. Pulling out the left hand with the left hand, put it on the right knee. Simultaneously, trying to reach his right knee to the head, and with his left hand, creating an obstacle. Perform the task with a little effort for ten seconds. After it follows a ten to fifteen second rest and repetition of manipulations 10-15 times. Next, they change their limbs and continue to do the exercises.
They lie on their backs, they stretch their arms along the body. It is necessary to lift straight legs together over the floor to a distance of thirty centimeters. The pose is fixed for five seconds and without hurrying, return the legs to the starting position. Repeat 10-15 times.
The next exercise to strengthen the lumbar and press is the well-known "bicycle".They assume a position lying on their backs with their arms stretched along the trunk, and imitating riding a bicycle, begin to twist the pedals.
The previous exercise should be duplicated, but the pedals must be turned with their feet in the opposite direction.
For the next load, the position on the back, the arms are stretched along the body, the legs are forward. Straight legs are raised horizontally above the floor and the "scissors" move, crossing their legs alternately. At the beginning of classes it is recommended to start with five repetitions, gradually increasing to 10-15.
The position on the back is accepted. They stretch their arms along the body, legs bend at the knees. By focusing on the shoulder blades and legs, lift the loin up from the floor, representing the "bridge" and fix it for 5-10 seconds, after which they return to the initial position. Repeat 5-10 times.
For the next exercise, they lie on their backs, hands are spread out to the sides and put their hands down. Movements are performed by knees bent at the knees, which together are placed in different directions alternately from the trunk. Repeat 10-15 times.
They lie on the stomach, hands are placed under the chin. Straight leg is raised above the floor and fixed for 5-10 seconds, then lowered. The same is done with the second leg. The movements are repeated with each leg 10-15 times.
In the lying position on the abdomen, you should stretch your arms forward and duplicate the previous task, but with your right foot raise your left hand and vice versa.
You should take a position lying on your stomach, stretching your legs, putting your hands on your shoulders. Further, with bent hands, movements are made as during swimming with "breaststroke", 10-15 times.
They lie on the stomach, legs are pulled out, and hands are folded behind the back of the lock. Lifting your head and shoulders up, connect the shoulder blades together. Repeat exercises should be 10-15 times.
Sprain and relaxation of the spine
They lie on their backs, hands are stretched along the trunk, legs forward. Next, one leg, bend at the knee and pull to the chest, and then slowly return to the starting position, after which they change their legs. Repeat should be 5-10 times.
They lie on their backs, hands along the body, legs bend at the knees. Then, clasping his hands with his knees, pull his legs to him and slowly perform twists and turns, alternately to the right and to the left. Repeat should be 5-10 times. Performing these manipulations performs a good massage for the lumbar region of the back.
The exercise duplicates the previous one, but the body is turned alternately forward and backward, producing a massage of the entire spine. It should be repeated 5-10 times.
With radiculitis of the lumbar spine, you should begin the gymnastics with five repetitions of each exercise, gradually increasing the load to the recommended number of repetitions.
In the intervals between each following exercise, you should relax the muscles of the body, hands and feet as much as possible.
After the first load, there may be pain in the muscles, which will take place after a few days. These exercises can be performed both with radiculitis, and in the form of prevention. Regularly conducting gymnastics with sciatica in the lumbar region, with the above exercises, the abdominal muscles can be well strengthened thereby relieving the load from the lumbar region, and also making the spine more flexible and mobile.
The defeat of the roots of the spinal nerves is called radiculitis. This disease is accompanied by a violation of sensitivity and severe pain. Most often, lumbosacral radiculitis occurs due to other diseases of the musculoskeletal system. Although it is possible to manifest it with congenital anomalies of the joints, as well as as a result of damage to the internal organs. Radiculitis is difficult to treat, but, nevertheless, with a comprehensive approach to the problem, the quality of life with it can not be affected.
Signs of the disease
Innervation of the affected spinal roots is accompanied by a strong, often spontaneous pain. Moreover, painful sensations in the lumbosacral radiculitis are greatly enhanced by turning, tilting, sneezing and coughing. To determine the exact clinical picture, the specialist conducts palpation of the patient area. To do this, he must press on the paraverbal points, as well as feel the state of the processes of the spine.
If all these manipulations are accompanied by increased pain, then the doctor must draw a conclusion about how long the destructive processes in the body have been going on. Signs that, in practice, always accompany the lumbosacral radiculitis are:
- - numbness of the limbs;
- - a feeling of crawling on the skin;
- - acute pain when changing body position.
Once the doctor determines the degree of lesion of the nerve roots and the location of pain localization, he will have to prescribe a lumbar radiculitis treatment: the medications for this are selected taking into account the patient's condition, his age and weight. And with the relief of the condition, a specialist will appoint a series of examinations that will help to find out the cause of radiculitis.
What causes spinal cord lesions
The primary cause of sciatica is osteochondrosis. This disease, arising at a young age, has 4 stages. The latter leads a person to the fact that he, already a patient with radiculitis, can completely lose the ability to move independently.
Another cause of radiculitis is scoliosis. Curvature of the spine, which, as a rule, begins in childhood, is capable of delivering a lot of problems in adult life.
And the last main reason, which is able to hold not only the emergence of radiculitis, but also to its rapid progression - trauma of any part of the spine.
Depending on the cause, the medicine for lumbar sciatica may be different and is chosen by its specialist. And it is very important to start treatment as early as possible because the disease is rapidly progressing. In this case, the later the person turns, the more likely it is not to be able to restore the functions of the back to the end.
Treatment of radiculitis
Treatment of radiculitis with lumbosacral medications: pricks, first of all, are successful when it is prescribed for the first time. With each subsequent time it will be more difficult to take off the pain. Therefore, every doctor at the hospital discharge recommends sports and maximum mobility of the spine. And only an integrated approach will help even with the diagnosis of "radiculitis" to live fully. The cure usually takes place in several stages:
- Maximum rest and minimal mobility. Doctors have it called "bed rest".This period usually lasts 7-10 days. In more acute conditions, the "lying" period can last up to two weeks. If this time was not enough to restore the patient, then the doctor will have to conduct a repeated examination of the condition of his musculoskeletal system.
- Taking anti-inflammatory drugs. Without this stage, the treatment of lumbosacral radiculitis with other medications( injections) will not make sense. Only the removal of the inflammation can allow to move on and maximally completely correct the situation.
- Obtaining blockades. They can be from novocaine, trimecaine or lidocaine. Their significance for complete recovery is priceless.
After removal of the pain syndrome, in order to restore the elasticity of muscles, straighten the spine, experts recommend massage with sciatica in the lumbar region( video can be viewed on the link).
Physical training and massage
Improvement of the patient's condition serves as an excuse for prescribing a vitamin complex for him, as well as therapeutic exercise and 10-day massage. A good specialist with his own hands is capable of:
- to return the muscles the necessary elasticity;
- straighten the curvature.
As video massage shows with the radiculitis of the lumbar region literally able to work wonders. But even a very high-quality massage should be accompanied by constant exercises from the complex of physiotherapy exercises. The intake of vitamins together with professional massage and at least elementary physical education can return the lost spine to a person's spine.
Therefore, the most important medicine for lumbar sciatica is joint therapy aimed at strengthening the muscles, aligning the spine and getting the body the right vitamin complex.
Radiculitis and a full-fledged life
Once ill, he risks at any moment to get another acute attack of radiculitis. Treatment with lumbar radiculitis medicines can not last indefinitely. Painkillers, which are becoming stronger every time, do not do the main thing. They are not able to stop the destructive processes in the spine.
Therefore, the first attack of this insidious disease should signal what is needed now:
- does not catch;
- does not lift large weights;
- to strengthen the spinal column.
Only in this case it is possible to live fully and not to experience more severe pains, which each time worsen the condition of the spinal column.
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- Do you suffer from osteochondrosis? It is strongly recommended that you familiarize yourself with effective courses of cervical and thoracic osteochondrosis without resorting to medication.