Medication for sciatica nerve inflammation
A health disorder is always unpleasant, doubly unpleasant if accompanied by painful pain. Sciatica refers specifically to such pathologies. To remove the symptoms of inflammation and to correct the situation can only complex therapy, which includes physiotherapy treatment and a set of special exercises. However, in an acute period, medication is inevitable. Let's consider its basic principles.
A little anatomy
The sciatic nerve is the largest nerve in the human body. Starting from the sacral nerve plexus, it descends from the buttocks on the posterior surface of the legs approximately to the level of the shank, where it splits into two smaller branches. Inflammation of the sciatic nerve, which in medicine was called sciatica, is accompanied by characteristic pain along the nerve. Neuralgia of the sciatic nerve, sciatica is not a separate disease. This is a symptomatic complex that accompanies many pathologies of the spine.
Causes and factors of sciatica development
Inflammation of the sciatic nerve can cause both various pathologies of the spinal column and diseases of the internal organs, in particular of the pelvic organs. Most often, sciatica is a consequence of the following diseases:
- osteochondrosis, osteoarthritis of intervertebral joints - with these pathologies on the vertebrae, bony outgrowths( osteophytes) are formed, which compress the nerve, provoking the inflammatory process;
- intervertebral hernia - pinched roots, forming the nerve, occurs due to hernial protrusion;
- pear-shaped muscle syndrome, other tunneling neuropathies;
- infectious processes - the nerve becomes inflamed as a result of toxins in diseases such as tuberculosis, syphilis, typhoid, malaria, generalized sepsis;
- intoxication of the body - sciatica can be a consequence of both external influences( alcohol, poisoning by poisons) and damage to substances produced in the body( with gout, diabetes).
Often the factor that provoked sciatica inflammation is hypothermia. Under the influence of low temperatures, the body's defenses are weakened, the symptoms of inflammation gain strength.
The main symptom of pinch of the sciatic nerve is pain along the nerve fibers. Symptoms of the lesion are reduced to the pain in the lower back, which descends to the buttocks and further - along the back of the thigh and lower leg to the foot. Neuralgia is usually one-sided, but it can also capture both limbs. Painful symptoms are sharp, shooting character, amplifying at movement or loading. A characteristic feature of sciatica is the symptoms of tension: the pain is sharply increased by flexing the affected limb in the pelvic joint, tilting the head or torso forward.
Other neurological signs are noted:
- burning, numbness or "goose bumps" on the skin on the back of the foot;
- reduced sensitivity;Gait of gait.
All of these features allow you to easily identify the problem. Despite this, a neurologist should diagnose and prescribe the treatment. After all, depending on the cause that caused the sciatica inflammation, the therapy regimens can differ significantly from each other.
Sciatica today is a well-studied pathology, the scheme of its treatment has already been worked out. It includes not only medicamental, but also manual therapy, osteopathy, physiotherapy, special complexes of physiotherapy exercises and other methods of treatment. The main goal of therapeutic measures is to stop the pain syndrome and reduce inflammation.
Generally, for this purpose, mainly preparations for intramuscular or intravenous administration are used. Tablets with pinch of the sciatic nerve are almost not used, because the symptoms are too intense. In some cases, it is necessary to treat by injecting the drug into the spinal canal.
Treatment of pinch of the sciatic nerve involves the use of several groups of drugs.
In order to treat sciatica, non-steroidal anti-inflammatory drugs are most often used. The advantage of the preparations of this pharmacological group is the ability to block prostaglandins as the main mediators of the inflammatory process. In addition, they do not cause permanent addiction, which makes it possible to treat them with a sufficiently long time, without fear of dependence. At the moment, non-steroidal anti-inflammatory drugs are quite widely represented in pharmacy chains. There you can find both prescription drugs, and available on a free sale. The most commonly used medicines are
- Ketonal, Ketanov( Ketoprofen) - available in ampoules, capsules, tablets, suppositories and as an ointment, with sciatica most often used intramuscularly( up to three times a day2 ml), but the symptoms are well removed and topical application( ointment);
- "Piroxicam" - is issued in the form of a solution( ampoules of 1-2 ml), tablets, suppositories, gel, cream, can be applied either locally or injectively - 1-2 ml once a day to relieve an acute pain attack;
- "Meloksikam"( "Movalis", "Ameloteks") - is produced in tablet and injection forms, is one of the safest preparations of the NSAID group;
- "Nimesulide"( "Nyz", "Nimesil") - is available in the form of powders, tablets, capsules. The usual dosage of 100 mg per day, in the first days may increase to 200 mg;
- "Celebrex" - capsules, the recommended daily dose is up to 200 mg, but with severe pain it can be increased to 400-600 mg in the first dose, followed by a decrease in the dose to 200 mg.
There are a lot of NSAID preparations, but despite availability, prescribe them and treat pinching of the sciatic nerve, it is necessary under the guidance of a doctor.
Side effects and contraindications NSAIDs
Non-steroidal anti-inflammatory drugs in the case of their long or uncontrolled use can give a variety of side effects. In the first place, the gastrointestinal tract suffers. The risk of developing gastric ulcer and gastric bleeding increases. Taking medications together with food slightly reduces the possibility of such complications, but also reduces the effectiveness of the drug. The following complications are also possible:
- pressure increase;
- disorders in the functioning of the kidneys( edema);
Do not use NSAID drugs in conjunction with blood thinners, this increases the risk of bleeding.
According to the research, the appointment of B vitamins together with NSAIDs significantly reduces the duration of the pain period. With sciatica, as well as with other neuritis, vitamins B1, B6 play an important role. Usually appointed intramuscularly for 1-2 ml( the dosage should be determined by the doctor).
As a rule, they start to be applied if non-steroid preparations have not been able to relieve the symptoms of inflammation. Most often, in order to treat pinching of the nerve, the following drugs are used:
Drugs do not have an analgesic effect, but they quickly relieve inflammation and reduce swelling of the tissues, thereby reducing pain. In this case, often there is a need for the administration of a drug substance in tissues located around the pinching of the nerve, or epidurally. This procedure is called blockade and is performed only by experienced doctors.
Side effects of
The need for long-term treatment with steroid medications can also have a side effect. Usually it consists in the following:
- increase in body weight;
- risk of developing a stomach ulcer;
- increase in blood coagulation.
In case of intolerable pain, pain medication can be prescribed. These include Vicodin, Morfine, Percadon, Catadolon, and Tramadol. They do not reduce inflammation, but alleviate the patient's condition by reducing pain. These substances are narcotic and are subject to strict accounting, they can not be purchased without a doctor's prescription.
Centralized muscle relaxants
This group of drugs is aimed at arresting the muscle spasm in the inflammatory zone, and also has a central analgesic effect. Miorelaxants are prescribed together with NSAIDs and preference is given to the following drugs:
In order to treat sciatica inflammation, one medication is not enough. Methods of physiotherapy begin to apply when the acute stage has already passed. The principle of their action is based on the fact that, acting on the inflammation focus, they remove the edema and improve the blood circulation of the affected area, thereby reducing the intensity of pain. In sciatica, the following procedures may be prescribed:
- electrophoresis or phonophoresis with various medicinal substances;
- paraffin applications.
Massage and physiotherapy are effective in pinching the sciatic nerve.
Treatment of pinch of the sciatic nerve is not only in drug therapy and physiotherapy. Excellent results can be achieved using a method such as treatment with leeches. Their saliva, which contains a large number of biologically active substances, has a positive effect on the inflamed nerve. In a secret that secrete leeches, in addition to hirudin, which dilutes the blood and prevents the formation of blood clots, there are substances that break down the products produced during inflammation of the tissues. In addition, saliva leech has the ability to dilate blood vessels.
This promotes increased blood supply in the area where the inflamed nerve is, providing tissues with adequate nutrition. Leeches help relieve pain, reduce inflammation. In addition, the secret of the leech has not only a local, but also a general effect on the body. Under its influence, the walls of the vessels are cleared of cholesterol plaques, immunity is strengthened. Saliva leech also has an anti-edema effect, which also helps to reduce pain syndrome.
To affect the affected sciatic nerve, six leeches will be required. On the leg leeches are installed in the following sequence: on the back surface, the first - 3 cm below the popliteal fossa along the middle line of the foot, the second and third set under it with an interval of 3 cm. The second leg of leeches are installed the same way.
Criteria for the effectiveness of treatment and prevention of exacerbations
Criteria showing the effectiveness of treatment, is the decrease in intensity, and then the disappearance of the pain syndrome, reducing neurological symptoms.
In order to neuralgia of the sciatic nerve did not happen again and the treatment did not have to be repeated again, several simple rules must be observed. First of all, it is worth paying attention to your bed. The mattress should not be too soft or hard. Do not over-strain, but forget about the feasible exercise can not. When working with a long stay in a sitting position, it is important to properly allocate time for outdoor activities, as well as use high-quality office furniture, if necessary - orthopedic corsets.
- Celecoxib, etorikoksib, meloxicam and nimesulide: advantages and disadvantages. D.M.N.A.E.Karateev."EF.Rheumatology. Traumatology. Orthopedics. »» »1/2011
- Neuropathy of the sciatic nerve. Pear-shaped muscle syndrome. M.V.Putilina. Journal of the attending physician, 02/06;
- Diclofenac in the treatment of pain syndromes. A.B.Danilov, Magazine attending physician, 05/09.
Sciatic nerve inflammation
Sciatic nerve inflammation( sciatica) is a disease that occurs due to problems with the spine and infringement of the nerve roots.
Let's look at the causes and symptoms of this disease, as well as the methods of treatment.
- ICD-10 code
- Reasons for
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- Treatment of
In the treatment of the inflammatory process, ointments with mustard oil, propolis, turpentine are well recommended. With the use of these funds, the nerve becomes active, blood circulation increases, and the affected area warms up.
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Surgical treatment of
This type of treatment is required only if there is a serious disruption in the operation of the pelvic organs. If a pathology of the intervertebral disc is detected, then microsurgical intervention is performed.
With the help of special instruments, an operation called microdiscectomy is performed. During this procedure, remove a portion of the displaced disc that presses the nerve.
Massage and physiotherapy
Massage can be performed after the exacerbation has ended. With this procedure, it is possible to improve blood circulation, reduce pain, increase nerve conduction, prevent muscle hypotrophy.The course of such procedures should include at least ten sessions. And gradually it is necessary to increase their intensity. The last sessions are mostly aimed at eliminating negative health effects, and also are used as a preventive measure.
Physiotherapeutic procedures are quite effective in sciatica - phonophoresis, electrophoresis, compresses, warming up. During such procedures, it is possible to administer medications that significantly accelerate the recovery process.
Often used antispasmodics, anti-inflammatory drugs, vitamins, muscle relaxants.
Therapeutic physical training and gymnastics
To eliminate inflammation, exercises are used that improve blood circulation in the lumbar region and reduce pain.
The most effective are the following:
1. Raising the legs.
Lie on your back, legs bend at the knees. From this position, raise one foot by 30 cm and hold for 10 seconds. Return to the original position and do the same with the second leg. Run at a slow pace 8-12 times.
2. Exercise with the ball.
Lie on your back, pinch the ball between your legs, bend your knees. Holding the ball, raise your legs 30 cm from the floor. Move the ball to the left and hold for 10 seconds. Return to the starting position and repeat the same on the right side. Do 10 repetitions.
3. Push-ups from the wall.
Stand with your hands on the wall. Slowly bend your elbows and also return to the original position. Do 10-15 repetitions.
Similar recipes can be used only after consulting a doctor, as they have many contraindications.
- Can massage. Lubricate the affected area with a warming cream, put the jar and move it, performing circular motions. Do this every other day for 10 minutes.
- Beeswax. Warm up the wax in a water bath so that it has a soft consistency. Make a flat cake and put on the affected area. Top with tape, cotton and bandage. Leave it overnight. Repeat the procedure for a week.
- Tincture from pine buds. Take pine buds, pour them with vodka and insist in a dark place. Do this for a week. Wipe the infusion with the infested place.
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If you start treatment in time, you can prevent the occurrence of dangerous health consequences and forget about this unpleasant disease. If this is not done, serious complications can develop. This can be partial muscle atrophy, loss of sensation in the legs, incontinence of urine and feces.
If you lead a sedentary lifestyle, the muscles weaken and it is difficult for them to hold their back. As a result, various pathologies develop which cause sciatica nerve inflammation. To avoid this, you need to engage in the prevention of sciatica.
The main activities include:
- Moderate athletic loads, strengthening of the muscular corset.
- Use of foods high in calcium and magnesium.
- Elimination of asymmetry of the trunk by using manual therapy.
- Strengthening the arms and stretching the spine by hanging on the bar.
- Timely correction of posture in childhood.
- Performing back deflections on all fours.
Sciatic nerve inflammation is accompanied by severe pain and can lead to negative health effects. Therefore, it is so important at the first signs of pathology to see a doctor who will choose an adequate treatment.
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Sciatica - symptoms, how to treat medicines and folk remedies |DoctorFM.ru
Sciatica is a symptom complex that includes pain, transient tingling, numbness and weakness that occur in the course of a large sciatic nerve: from the lower back and gluteal region to the thigh and lower leg.
Sciatica is not an independent diagnosis and is only a symptom that can manifest itself in certain diseases.
Sciatica usually manifests itself in middle age. The main peak of the incidence falls on 45-55 years. In people younger than 20 and older than 60 years, the disease is relatively rare.
Sciatica is a clinical manifestation of sciatic nerve irritation, which is the largest neural trunk in the human body. This nerve is formed by separate roots of the spinal cord originating in the lower part of the spine( L4-S3).Further this nerve passes through a gap formed by a pear-shaped muscle, passing to the back surface of the leg, and providing innervation of the muscles. In the popliteal fossa it divides into two nerves: tibial and peroneal.
Causes of sciatica
- Herniated disc in the lumbar region. In this disease, the fibrous ring of the disc is damaged and the bulging of its internal pulposus is observed. This leads to pinching and irritation of the spinal roots, which is the cause of sciatica.
- Osteochondrosis. Degenerative changes begin in the intervertebral discs, gradually spreading to the ligamentous and articular apparatus of the spine. The instability of the motor segments and the development of reactive inflammation in the lesion site can lead to pinching of the roots of the spinal cord.
- Spondylolisthesis. This is a pathological condition in which there is some displacement( sliding) of the vertebrae in the horizontal plane relative to each other. Spondylolisthesis in the lumbar region can be accompanied by compression of roots forming the sciatic nerve. Stenosis of the spinal canal. Develops as a consequence of growth of bone, cartilage or other tissues with their subsequent penetration into the spinal canal. These changes can lead to compression of the spinal nerves. Sciatica, caused by stenosis of the spinal canal, is observed, as a rule, in people older than 60 years.
- Pear-shaped muscle syndrome. The sciatic nerve passes under the pear-shaped muscle, which can compress it. This provokes irritation, which is accompanied by pain as a type of lumboschialgia. However, this condition is not a manifestation of true sciatica.
- Violation of the sacroiliac joint is characterized by an increase( or decrease) in its mobility. This can lead to a pinched nerve at the level of L5, causing sciatica.
Clinical picture of sciatica
The sciatic nerve is formed by five pairs of roots of the spinal cord: two in the lumbar region( L4 and L5) and three in the sacral( S1-S3).Depending on the level of compression, pain can be observed in various areas of the lower limb. When the roots are compressed, leaving at the level of L4, there are pains in the thigh. The knee reflex is reduced. Symptom of sciatica when the roots are compressed at the level of L5 is pain in the lower leg, ankle. When compressing the roots of the sacral region, pain occurs in the toes and on the outside of the shin. The described symptoms can be combined, with the defeat of several spinal nerves.
Symptoms of sciatica
Sciatica can be manifested by the following clinical symptoms:
- Constant pain in the gluteal region or upper thigh( in rare cases it can occur on both sides).
- Feeling of weakness, numbness and tingling in the leg. There may be movement difficulties.
- Acute pain in the back of the thigh, resulting from a change in body position.
- Pain in the leg significantly increases in the sitting position. When walking, it can subside.
Sciatica can manifest as a rare, and persistent pain, significantly reducing the quality of life. Despite the fact that pain with sciatica can be very strong, the probability of damage to the trunk of the sciatic nerve while remaining minimal.
Methods of treatment for sciatica
In most cases, medical treatment of sciatica is performed, however, in case of deterioration of the patient's state of health, surgical correction may be indicated, which is aimed at eliminating the cause of the pain.
Drug treatment is symptomatic, and is aimed at reducing pain syndrome. To this end, they use:
- Non-steroidal anti-inflammatory drugs ( COX-2 inhibitors) such as nimesulide, meloxicam are prescribed to reduce pain.
- Oral steroid hormones ( hydrocortisone) can be prescribed to reduce reactive inflammation and pain in the place of compression of the sciatic nerve.
- Epidural injections of steroids are used in severe pain syndrome, and is a choice for rapid relief of symptoms of sciatica.
Treatment of sciatica with folk remedies
To remove acute pain, especially at the initial stage of the disease, thermal and cold compresses can be successfully applied, which can be used alternately. They should be applied to the site of pain for 20 minutes every 2-3 hours.
Acupuncture( acupuncture) is a well-known, well-proven method that is used to treat many diseases, including sciatica. Acupuncture is carried out with the help of thin needles, which are introduced into the place of localization of pain.
Some forms of massage have a number of advantages for the pain that occurs in the back. The therapeutic effect is achieved by stimulating blood circulation and relaxing the muscles. In sciatica, the technique of neuromuscular relaxation is applied, which consists in acting on spasmodic muscles in order to relieve tension and soreness.
Treatment in Tibetan medicine
In Tibetan medicine, there are several methods of treating sciatica. A good result is the use of vacuum therapy. In folk medicine, banks are used for this purpose. Vacuum therapy can improve blood circulation at the site of exposure, thereby reducing pain syndrome. Along with this method of treatment in Tibetan medicine, there is a special set of massage techniques Ku-Nieu, which is a method of massage the can of a painful area with the use of various oils.
Also in Tibetan medicine, the use of heat for the treatment of many diseases of the spine, including sciatica, has become widespread. One such method is cigar warming, known as "moxa."Moxotherapy, carried out at special points, helps to significantly reduce pain in sciatica.
Prevention of disease
The most effective method of prevention of sciatica is a set of exercises aimed at stretching and strengthening the spinal column. The maintenance of the correct position of the vertebrae in their joints is achieved by strengthening the muscles and ligament apparatus. Exercise for stretching is recommended to use to relieve pain and prevent relapse of the disease.
Transfer "To live healthy!"about sciatica, its causes and treatment.
Clinic-Union. Release of the squeezing nerve.
painkillers for sciatica
Piroxicam( capsules only, not tablets), 20 mg each.- 2 - 3 times a day.
Locally not bad Capsicum + Dolgit( ointments such), in this combination the effect is greatly enhanced.
Well, a couple more recommendations. ..not about preparations, but about sciatica. ..
When you lift any weight more than a kilogram, press it to the body to not stretch the intervertebral discs.
For the same reason, never bend or turn the case if you lift something.
If you need to change direction, turn your legs.
If you need to lift a heavy object from the floor, make sure that you bend at the knees, as if crouching, and not at the waist.
If you sit more than 2 hours, your spine is very tight. If you are forced to work sitting, make an effort - get up and walk around every hour or two.
When you sit down, do it right.
A chair with a firm seat and a backrest is always preferable.
Well, in general, any drug from the group of NSAIDs in the pharmacy ask. ..at all, they act differently, someone more helps one drug, another - another. ..until no one really understood why.
Here is a small list:
NSAIDs with a pronounced anti-inflammatory activity
* Diclofenac sodium
* Diclofenac potassium
* Naproxen sodium
* Tiaprofen acid
-voltaren NIP Group, diclofenac in the form of suppositories and tablets.
Can be diclofenac in the form of injections to remove the fast of pain