Signs and treatment of sciatica. What drugs are used?One of the most common pathologies of the peripheral nervous system is sciatica. This inflammatory process, which usually develops among people aged 30-50 years, is accompanied by the defeat of the nerve endings of the lumbosacral spine and sciatic nerve. Basically, this is not an independent disease, but a symptom of a certain disorder in the body. This article describes the causes, symptoms and methods of treatment of this pathology.
Causes of development of
Sciatica most often develops against the background of compression of the nerve roots in the lumbar region. Among the etiological factors, the following should also be noted:
- herniated intervertebral disc;
- infectious diseases( eg, tuberculosis, syphilis, sepsis, influenza, malaria);
- metabolic disorders, especially on the background of diabetes and gout;
- alcohol intoxication;
- poisoning with various chemical compounds;
- chronic sciatic nerve inflammation is diagnosed in the presence of osteophytes( bony growths) that appear on the vertebrae for osteochondrosis, osteoarthrosis, or spondylosis;
- tumors of the spinal column and the presence of metastases in the spine;
- pregnancy period, when the center of gravity shifts and the load on the spine increases.
Clinical manifestations of sciatica
The main complaint is pain, which can be dagger, sharp, sufficiently intense or shooting character. Typically, the pain syndrome is chronic, discomfort or bother constantly, or occur in the form of seizures. Often sciatica is one-sided. Patients report pain in the lower back and in the buttocks. It extends to the posterior surface of the thigh, reaches the popliteal fossa and descends the lower leg, reaching, in individual cases, the fingertips on the foot.
It should be noted that during an exacerbation, active movements, any exercises or other kind of physical activity are contra-indicated. The patient is recommended to comply with bed rest and try to lie on his back, placing a pillow under his waist and keeping his feet in a somewhat elevated position.
In addition to the characteristic pain syndrome, the symptoms of sciatica include certain neurological disorders: the sensitivity of the skin of the lower leg and the foot decreases, the tone of the muscles of the lower back and legs changes, as the patients try to occupy the forced position to reduce pain. In addition, they register violations of flexion of the joints of the legs.
Because of a violation of innervation, the skin of the affected lower limb becomes dry, thinner, becomes pale or, on the contrary, reddens. Sciatica is also characterized by vegetative changes and increased sweating, reflex disorders and the development of muscle atrophy, located on the back of the thigh and shin. In severe cases, paralysis develops, which subsequently leads to osteoporosis and bone destruction. Given the possible serious complications of sciatica, it is important to know what it is, how it manifests itself and is treated.
Basic principles of diagnosis and therapy
Diagnosis is based on patient complaints, neurological examination and additional studies. Patients are advised to undergo roentgenography, computed tomography, electroneuromyography, magnetic resonance imaging. These examinations make it possible to identify the causes of sciatica, to clarify the pathological changes in soft tissues and nerves, and also the nature of the passage of nerve impulses. Only after careful diagnosis can you clearly define what and how to treat a patient with sciatica.
Sciatica nerve inflammation therapy includes the following directions:
- pharmacological treatment;
- physiotherapy( includes the use of electrophoresis, UHF, laser therapy, magnetotherapy);
- massage and acupuncture;
- phytotherapy and methods of traditional medicine;
- mud treatment;
- medical gymnastics.
Pharmacological treatment of
Among the drugs that are effective in the treatment of sciatica, it should be named:
- is a non-steroidal anti-inflammatory agent that blocks the synthesis of certain enzymes, thereby reducing inflammation and pain. The most commonly prescribed combination medicines containing analgin( for example, "Andipal", "Tempalgin", "Pentalgin", "Baralgin"), as well as drugs that include diclofenac( "Orthofen", "Voltaren" or "Diklogen"),.In severe pain syndrome appoint "Movalis", which has a strong anti-inflammatory and analgesic effect;
- steroidal anti-inflammatory drugs( cortisone, hydrocortisone, dexamethasone or prednisolone);
- opioids and opioids give a quick analgesic effect. These include drugs containing morphine, codeine, hydrophone. Since the treatment of sciatica with these drugs can cause dependence, it is carried out only with severe pain;
- antidepressants soothe the patient and improve sleep, and because of the ability to increase the amount of "anti-stress hormones" can be used in the complex therapy of pain syndrome;
- drug treatment includes the use of vitamins, since they are necessary for the normal functioning of the NS, and also help repair damage to nerve structures;
- ointments for topical application( Fastum Gel, Finalal, Voltaren, Naize Gel, Nurofen, Dolobene, homeopathic ointment, Traumeel C).
In cases of intense pain, novocain blockades are performed, and epidural injections are also done with steroids. After the abatement of acute manifestations at home, it is recommended to perform a number of gymnastic exercises that will help train different muscle groups and reduce the possibility of re-pinching of the nerve. Useful is swimming, as well as cycling.
Treatment with folk remedies
Methods of traditional medicine can not be used isolated, but only as part of complex therapy.
For oral administration, the following infusion is recommended: 1 tbsp.l.flowers of viburnum, calendula and herb thyme, as well as 2 tbsp.l.grass horsetail chop.2 tbsp.l.of the resulting mixture boil in 500 ml of water, cool and drink 100 ml three times a day before meals.
An effective remedy for sciatica is a white cabbage compress. It should be softened its upper sheet, leaving it for a few seconds in hot water, after which it should be drained and put on the lower back, covered with a layer of gauze and covered with a warm scarf. When a leaf of cabbage darkens, it should be replaced with a new one, repeating the procedure until the inflammation is removed. In addition, it is recommended to drink chamomile tea, infusion of nettle, burdock, horse chestnut, use a mixture of celery and potato juice.
Despite the effectiveness of folk methods of therapy, it should be remembered that only an early request for medical help allows you to quickly and completely get rid of sciatica.
Sciatica: causes, signs and methods of treatment
Sciatica or lumbosacral radiculitis is a disease in which sciatic nerve inflammation occurs. Inflammation begins due to compression of the roots of the spinal cord.
- Folk treatment
Causes of sciatica
The disease is very rare in young people, it affects people after 30 years. The emergence of sciatica contributes to a large number of different diseases and conditions:
- intervertebral hernia;
- osteochondrosis of the spine;
- tumors of the spine;
- diabetes mellitus;
Also sciatica can occur after gynecological diseases, constipation and as a complication after a previous flu or tuberculosis.
The only and most important symptom of sciatica is acute and intolerable pain. It can affect the lower back and buttock and, going down, reach the fingertips. In some cases, the pain is dull and does not cause the patient any inconvenience, but sometimes the pain is so strong that a person can not stand on a sore leg. Most often, inflammation occurs on one side.
There are other symptoms of sciatica, but most often they are absent.
- Situation of the patient. Because of pain, a person tries to accept a position that will alleviate his suffering - he tilts his body forward and aside.
- Loss of sensitivity. The person ceases to feel the irritation of the foot and the outer surface of the shin( with puncture).
- Violation of motor activity. The patient stops bending his leg in the knee and ankle joint.
- Skin symptoms: skin at the site of inflammation dry, thin and red.
In addition, the patient's thinned nails and there is increased sweating.
How is the diagnosis made?
The diagnosis of "sciatica" is based on several studies. At the very beginning, a person is prescribed a blood test, in which it will be seen that the body is inflamed. If you suspect a sciatica, the doctor prescribes an X-ray examination, a computer tomography or magnetic resonance therapy.
Treatment of sciatica
Sciatica requires a long and complex treatment. Observance of all the recommendations of the attending physician is a pledge of a speedy recovery.
Attention! Self-medication is prohibited. This can lead to a worsening of the patient's condition by sciatica.
Drugs are prescribed in the acute period of the disease. Treatment of the disease begins with the use of non-steroidal anti-inflammatory drugs( NSAIDs):
When taking non-steroid drugs in tablets, an exacerbation of a chronic gastritis or peptic ulcer of the stomach is possible, so before using it is necessary to consult a doctor.
With severe pain to NSAIDs, other painkillers are added:
- pentalgin and others.
In addition, for the removal of pain, distraction therapy is used, in the form of various ointments:
- based on pepper;
- based on venom of snakes or bees.
The use of such ointments leads to an improvement in blood circulation in the affected area, and as a result, inflammation and pain are reduced. Also, the active substances that make up the ointments irritate the skin receptors and this makes the pain less.With unbearable pain, the doctor conducts a novocaine blockade. At certain points, located on the lower back, he introduces novocaine, which blocks the conduction of nerve impulses and thereby reduces pain. Novocain blockades should be performed only by a doctor.
Vitamins have a supporting effect on the body and help to function normally in the nervous system, therefore, in case of sciatica, vitamin B is prescribed.
Treatment of sciatica is possible with the use of massage. Begin treatment already in an acute period - use stroking and rubbing. Other types of massage can cause pain. After the pain subsides, other types of massage can be used:
- kneading and vibration;
- can massage and others.
You can massage the lumbar and gluteal region, thigh, shin, foot. During the massage in the affected area, blood circulation improves, metabolism improves, inflammation decreases and pain disappears. For massage, you can select special essential oils or irritating ointments - this will enhance the effect of massage. The duration of one session is 30-40 minutes. The course of treatment is 10 days.
Physiotherapeutic treatment and sciatica
- Electrophoresis is a treatment in which a drug flows into the skin with the aid of a current.
- UHF - the effect of electric current on the affected area. This improves blood circulation, reduces inflammation and swelling, pain disappears.
- Laser therapy. Lasers penetrate the skin to a certain depth and relieve inflammation and swelling, improve blood circulation, reduce pain.
- Magnetotherapy. Under the influence of the magnetic field in the body are charged particles that:
- have anti-inflammatory, anti-edematous and analgesic effect;
- calms the nervous system;
- normalizes the blood flow.
Contraindications for fizlacheniya in sciatica:
- skin diseases in the gluteal and lumbar region;
- high blood pressure;
- epilepsy and others.
Acupuncture and treatment of sciatica
Sciatica can be treated with acupuncture. During this procedure, a specially trained person inserts needles into active points.
The value of the procedure
After acupuncture, people are immunized, blood circulation improves, inflammation and swelling decrease, pain is reduced.
- high body temperature;
- skin diseases at the point of injection of needles.
The course of acupuncture is long - about 3 months. Begin treatment with 3 times a week, and then gradually reduce to 3-4 times a month.
Osteopathy in the treatment of sciaticaAfter the first session, the patient will reduce the pain. The doctor works on human tissues with the help of the hands( pressing and other movements) and due to this there is a relaxation of the muscles. This method of treatment is not able to eliminate the cause of the disease, but only reduces its main manifestation.
Medical gymnastics for sciatica
Physical culture is allowed only after the end of the acute period. The entire acute period of the patient should lie in bed with legs elevated.
Exercises for sciatica
- Lie on your back. Bend your knees and press them to your chest. Repeat 10 times.
- Lying on your back, lift both legs up and hold them in this position for 5 minutes, then lower.
- Lie on your stomach, hands along the body. Raise the upper torso as far as possible. Repeat the exercise 5 times.
- Sit on your knees. Raise your hands upwards, close the brushes in the lock and perform inclinations forward.
- Sit on the floor or on a chair. Carry out turns of the trunk to the right and left - 5 times.
- Stand on the floor. Carry out turns one by one in the sides.
All exercises must be done smoothly, sharp movements are prohibited. When you have pain, you must immediately stop exercising.
Treatment of sciatica is possible with the use of other methods: mud therapy, therapeutic baths, hirudotherapy.
Traditional treatment for sciatica
There are a large number of recipes for the treatment of sciatica, but do not forget about traditional medicine. Before starting treatment, check with your doctor.
Ointment for rubbing
Mix fresh black radish juice( 1 liter), 200 ml of honey, 250 ml of vodka and 1 tablespoon of salt. Apply to the affected area. Shake before use.
It is necessary to grate the black radish on a large grater. At the waist, put gauze, top radish, then a layer of gauze, waxed paper. Wrap the waist with a warm scarf for 15 minutes. Compress in the morning and evening.
Rubbing home agaveHome agave is a potted plant that can be purchased at any flower shop. The main thing is that the flower was not too young and not too old. A young plant will not have the desired effect, and an old plant will burn the skin.
So, having chosen the necessary plant, it is necessary to cut off the stem from it, cut it along and rub the place where the pain is felt. Perform the procedure 2-3 times a day.
Important: useful information!
To avoid having sciatica in your old age, you need to follow a few simple rules.
- Doing sports. When performing physical exercises, blood circulation throughout the body improves, and this is the most effective prevention of sciatica. But it must be remembered that excessive physical exertion can also harm a person and provoke a disease with sciatica. Therefore, to prevent this disease, you can go swimming or yoga.
- If you have a sedentary job, then you need to purchase a special orthopedic corset.
- The right place to relax. A bed is not always the place where a person's body rests. Too soft or too hard beds worsen blood circulation in the spine, provoke muscle spasms. It is best to sleep on a sloping surface and purchase an orthopedic mattress and pillow.
- Proper gravity distribution when lifting. In order not to disrupt the back, when lifting the gravity you need to strain the muscles of the hands and feet, not the lower back. To do this, you must sit down before lifting.
If you suspect a disease, do not self-medicate. Improper therapy of the disease can worsen a patient's condition. Treatment should be prescribed only by a doctor, after careful examination of the patient and diagnosis.
The probability of getting sciatica is greater in old people, but the prevention of this disease should be conceived in youth. A healthy lifestyle will protect you not only from sciatica, but also from many other diseases.
Sciatic nerve inflammation
Sciatic nerve inflammation( sciatica) is a disease that appears 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.
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Sciatica. Symptoms and causes. Medication and gymnastics.
Sciatica - neuralgia of the femoral and sciatic nerve. The sciatic nerve is the longest nerve in the body, which exits the lower part of the spine and passes through the pelvic region to the legs. The defeat of the peripheral nerves is due to cooling, infection, or trauma.
Symptoms of sciatica
Symptoms appear in the pains of the gluteal region, the back of the thigh and lower leg, in which pain is given to the lower limb. Painful pressure on the nerve. There is a hypotonia of the gluteal and calf muscles, a decrease in the achillovan reflex.
Sciatica is a condition in which there is pain in the back, giving back to the lower limb. Usually this pain passes behind the knee and can reach the foot. Sometimes, in addition to pain, muscle weakness can be noted.
The leading manifestations of sciatica are
- disorders of sensitivity and motor activity of the lower limbs;
- constant pain on the back of the foot;
- burning and tingling at the bottom of the foot;
These symptoms differ in localization, severity, nature and duration. For example, pain by nature can be firing, burning, stitching, aching or pulling. Another feature typical of sciatica is the paroxysm of pain, when periods of pain intensification alternate with temporary weakening or even a complete "calm".
Pain in sciatica
Pain in sciatica is usually a "shooting" character, like an electric shock. In addition, there may be a burning sensation in the leg or a "tingling sensation."The degree of pain can be from mild to intense. Some patients may have pain in one part of the leg, and numbness with tingling in the other part of the same leg.
As a rule, the pains are descending, arising first in the lumbar region and gradually descending to the lower parts, down to the fingertips. Painful sensations mainly occur only in one leg, but in bilateral sciatica, both limbs are involved in the pathological process, turning the patient's life into agonizing suffering. Especially when the pain is so intense that it almost paralyzes the patient: during such attacks, any movement, whether it is an attempt to sit, pull out a leg or simply transfer the weight of the body from one leg to the other, results in a sharp exacerbation of pain.
At the same time, the symptoms of sciatica can be limited only by moderate, quite tolerable soreness, and sensitivity becomes the priority when the numbness, tingling, feeling of "crawling" in this or that part of the body comes to the fore.
Causes of sciatica
Neuralgia of the sciatic nerve is caused by its irritation by any factor. In most cases, you may not even remember what caused these pains. Sometimes pain can arise after a sudden lifting of gravity or an awkward movement.
Due to the fact that sciatica most often arises from the formation of a herniated disc, which compresses the nerve, with any formation of a hernia or inflammation of the nerve, symptoms of sciatica may appear. To the causes of sciatica nerve inflammation include: irritation of the nerve with the adjacent bone, tumors, muscles, internal bleeding, infections, trauma, and so on.
Diagnosis is based on examination and medical history. Typical symptoms and some specific examination techniques help the doctor diagnose sciatica. Sometimes X-rays and other studies, such as computed tomography or magnetic resonance imaging and electromyography, are used to further determine the causes of sciatica.
Attacks of lumbago and sciatica tend to repeat throughout life. Therefore, it is very important to identify the types of physical exertion or body position, to warn the patient about the inadmissibility of overloads and hypothermia that provoke their appearance.
Treatment of sciatica
Treatment of sciatica by topical application of analgesic and anti-inflammatory ointments does not affect the main reason for sciatica.
Meanwhile, this cause can be very serious, let's take an intervertebral hernia, for example, which, over time, can lead to disability. Therefore, when diagnosing sciatica, it is not necessary to debug the treatment for a later time, in order to avoid complications and worsening of the condition. And also to conduct treatment with a qualified specialist and directed treatment to eliminate not only the symptoms, but also the root cause of the disease.
Medical treatment of sciatica
It involves the administration of anti-inflammatory drugs that relieve severe pain. Recommended medicines include ibuprofen , diclofenac and orthophene , but remember that all these drugs are not capable of eliminating the cause of the disease. Accordingly, if it is not effective to treat sciatica, the symptoms will disappear only for a while, and then the pain will become even stronger and spread to other parts of the body. Cure with the disease will help only complex treatment.
But in addition to medications it is important to perform exercises with sciatica , which relax the affected areas of the body and relieve pain, stimulate blood flow to the sore spot.
Gymnastics with sciatica
Gymnastics improves metabolism and helps the patient to recover sooner. All exercises should be conducted under the supervision of a doctor, but if this is not possible, then you can study at home with caution. Exercises are not shown to everyone, for example, patients with diabetes mellitus do not.
Exercises for sciatica
Exercise 1. Lie on a hard surface, legs extend. Slowly bend the legs at the knees and pull them to the chest. Feel how your muscles stretch and tense in the lower back. Hold in this position for half a minute. Then return the legs to the horizontal position. Such an exercise must be done 10 times.
Exercise 2. Lie on your stomach. Bend your hands in the elbows, get up on them. Pull back as much as possible, hold for 15 seconds, go back to the starting position, relax. Repeat 10 times.
Exercise 3. Lie on your back, bend your knees. Strain your back muscles and press your spine against the floor, pay special attention to the lumbar region. Leave your muscles tense for a few seconds, then relax. Repeat 10 times.
Such exercises in sciatica help to eliminate acute pain and relax the affected areas.
Sciatica. Folk remedies for sciatica. Causes, symptoms. VIDEO
The disease that develops due to sciatica is called sciatica . If a person is sick with this disease, then he has sharpened two or three times a year. Often ill with sciatica do not seek medical help, but suffer pain for several days, after which they forget about the disease until the next sharpening. Irresponsible attitude to sciatica can lead to the fact that after a while the illness will not allow the patient to live as before.
The sciatic nerve is the largest in the human body. It is located in the lumbar spine, as well as in the leg, at the bottom of which it divides into small nerves. It is because of this cause that pain in sciatica can manifest anywhere. As a rule, the patient has pain, which resembles a "lumbago" through the entire leg from the waist to the heel. But there are cases when the pain is palpable only in some parts of the leg.
Causes of sciatica
Sciatica can develop from many factors. This disease can be caused after hypothermia or complications after tuberculosis or influenza. Pinching or traumatizing the nerve roots can be any changes in the shape of the vertebrae, intervertebral hernia, tumor, degeneration or deformation of the intervertebral disc. The list of causes of sciatica is: gynecological diseases, birth trauma, constipation, arthritis and diabetes.
Symptoms of sciatica
The existence of a variety of causes of sciatica development explains the fact that the disease has many manifestations.
Sometimes the pain is manifested exclusively in the lower back, but even in such cases the disease can manifest itself in different ways. The patient may feel a burning sensation, stitching sensations or feel like in the back "shoots".Sometimes the disease is manifested by numbness or "goose bumps".
As a rule, sciatica can be recognized by pain in the leg along the entire length. It starts in the lumbar spine, passes through the buttock with the thigh and spreads to the fingertips. There were cases when the pain was felt only in one part of the leg. For example, when your toes are numb or knee discomfort is felt.
In any of the above cases, the pain can be so severe that it is hard for a person to walk, sit or bend. When walking, the patient's body involuntarily tilts slightly to the side and forward, and the gait itself looks asymmetrical.
Often sciatica affects only one leg, but this does not guarantee that the pain will not manifest simultaneously in both extremities.
Medical treatment of sciatica
It is worth remembering that pain in sciatica can in no case be tolerated. The fact is that the pain will intensify with every attack. The launched stage of the disease does not allow a person not only to sit, stand or turn, but also lie. All this leads to disturbances in sleep and the general condition of the patient.
Sciatica should be treated at the first manifestations and the development of a severe stage should not be allowed. Painful sensations during the seizure can be removed with standard anti-inflammatory or analgesic agents. But this will get rid of the pain only for a while. Anesthetized pain only prevents the body from understanding that something is wrong with it. In order to completely get rid of the disease, you need to see a doctor, take a survey and identify the cause of sciatica. First of all, it will help to treat the primary source of the disease.
After the examination, the doctor prescribes vacuum therapy, acupuncture, acupressure or manual therapy. These processes allow us to restore normal metabolic processes in the intervertebral discs, remove inflammation, eliminate spasms and release the clamped nerve endings.
In the treatment of sciatica, an individual approach to each patient is developed, which includes a set of the above listed actions. Treatment takes a long time, but you should not abandon it, because only it allows you to achieve positive and sustainable results.
Folk remedies for sciatica
Therapeutic baths from sciatica
When treating sciatica, do not forget to take medicinal baths, as they have strengthening and relaxing effects. They are used not only in folk medicine, but also in traditional medicine for the treatment of such diseases as sciatica, diseases of the nerves, liver and heart. The baths will not only restore the strength after the transferred diseases, but also help the body cope with asthma and other diseases of the respiratory system.
For these purposes, very useful coniferous baths. Initially, for their use, it is necessary to prepare a concentrated broth from a kilogram of pine shoots. The shoots should be poured with three liters of hot water and insist with the lid closed for four hours. Then the product is filtered and added to the bath in a ratio of broth and water 1:15.
Medicinal properties also have baths with horseradish. The fucking horseradish should be wrapped in gauze and put in a bath. The optimal water temperature should be in the range of 36 to 37 ° C.
You can also take a bath with a decoction of angelica. To do this, take crushed angelica roots in the amount of 150 gr., Boil in a liter of water for thirty minutes, insist for two hours, strain and pour into a bath.
Any of the treatment baths should be taken at least ten minutes before bedtime. Such procedures are recommended to be carried out during the week every day.
Decoctions and infusions - effective treatment of sciatica
Traditional medicine has more than one recipe for infusions of various medicinal plants that must be taken internally. They relieve pain and are able to stop the inflammatory processes.
When fighting this disease, it is very useful to take infusion of calendula. For its preparation you need to take a tablespoon of inflorescences and one glass of boiling water. We fill the flowers with water and insist for two hours. In a day you need to prepare two servings, which must be taken four times a day before meals.
If sciatica develops into a chronic form, then will help with .Mix one tablespoon of the roots of elecampane with a glass of water and cook this infusion for five minutes. The filtered broth is divided into two equal parts, which we take before meals in the morning and in the evening.
Horse chestnut has long been considered an effective remedy for sciatica. To make it, you only need leaves that need to be ground, pour 500 ml.boil boil for 5 minutes. As soon as the broth cools down, it must be filtered and drunk throughout the day, dividing the entire amount by four times.
You can also use chopped horse chestnut seeds. Only they do not boil, but we insist one hour in a water bath. We accept according to the same scheme.
You can treat sciatica not only with water infusions. As one of the options you can prepare tincture of burdock and red wine. For its preparation, mix one tablespoon of mug with a glass of wine and boil it all for 5 minutes.
Treatment of sciatica with decoctions and infusions is recommended to combine with massage courses and manual therapy.
We get rid of sciatica with the help of compresses
All folk recipes of compresses for treatment of sciatica are endowed with a warming effect and are able to relieve of severe pain. These compresses are applied directly to the sore spot, which allows you to quickly alleviate pain.
For the preparation of the first compress, it is necessary to grate the cleared radish on a grater. We rub the mashed gruel into a natural cloth and attach it to the waist. Compress the cover with parchment paper and tie a woolen shawl or scarf. This compress should be kept as long as possible, but it is worth noting that it causes sensation of tingling and burning.
Strangely enough, you can also make compresses from the test. We mix the dough with rye flour. As soon as it turns sour, wrap it in gauze, put it on the sore spot and leave it for the night.
Any compress is required with an additional woolen cloth, which will enhance the warming effect. To achieve a positive result, it is necessary to conduct at least ten procedures.
Gymnastic exercises for the treatment of sciatica
The sciatic nerve is often inflamed due to its squeezing. This is what causes the patient strong pain. The reason for this in most cases is the displacement of the discs or the deformation of the vertebrae in the lumbar spine. But it is worth remembering that sciatica is one of the symptoms of a more complex problem.
Scientists have conducted a number of studies and have proven that the likelihood of sciatica increases with age. According to statistics, this disease affects people older than thirty years.
At the first manifestations of sciatica, it is necessary to seek medical help, because it is extremely undesirable to suffer pain. After the examination, the specialist should prescribe an individual treatment. As a rule, this is the taking of medications and the performance of certain exercises that help cope with the pain. In addition, gymnastics can improve metabolism in the affected area.
How to perform gymnastic exercises lying down
You need to lie on your back, pull your knees to your chest and clasp your buttocks with your hands. Keep in this position for half a minute, then straighten the legs on the floor, and hands along the body. This exercise is worth repeating ten times.
Then lie on your side and bend your knees, then take the starting position. This exercise will help warm up the muscles of the lumbar, thoracic and cervical spine. We repeat these actions ten times.
While lying on your stomach, lift the body and begin to bend and unbend your arms, as when pushing. The legs must be immovable. To begin, perform five attempts and gradually increase the number of push-ups.
Do gymnastic exercises while sitting
To perform this exercise, you must sit on a chair, cross your legs and straighten your back. We put our hands behind our heads and start turning the case to the right and to the left. Having made five such turns, in each direction, it is necessary to make a small break, change legs and repeat all over again.
Then sit on the floor and stretch your legs forward. Begin to smoothly raise your arms at shoulder level to the sides. Try to get them as far as possible. After making 6 repetitions, go back to the starting position.
Lie on your back, put your hands behind your head, spread your legs as wide as possible, and begin to lift them high. In this case, the scapula can not be torn off the floor. Lock the position, lower the legs and take the sitting position. Doing this exercise, you can not make sudden movements.
After kneeling, and raising your hands above your head, grapple your fingers. Begin slowly to lean forward, while trying to hold the palms on the field as long as possible. Accept the starting position.
Gymnastics for sciatica in standing position.
Standing on the floor, spread your legs to the width of your shoulders. One hand above, the other down along the body. Begin alternately raise your hands and tilt in the direction that is opposite to the raised hand. Try to bend down as low as possible. Do five slopes, and after a short pause, repeat the exercise.
In a patient with sciatica, bouts of pain may appear at any time. Therefore, it is recommended to perform exercises every day instead of morning exercises. It is worth noting that cycling, running and swimming also positively affect the body in sciatica.
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Sciatica - symptoms, how to treat medicines and folk remedies |DoctorFM.ru
Sciatica is a symptom complex that includes pain, transient tingling, numbness and weakness that occur along the course of the large sciatic nerve: from the lower back and gluteal region to the thigh and lower leg.
Sciatica is not an independent diagnosis and is only a symptom that can manifest itself in certain diseases.
Sciatica usually manifests itself in middle age. The main peak of the incidence falls on 45-55 years. In people younger than 20 and older than 60 years, the disease is relatively rare.
Sciatica is a clinical manifestation of irritation of the sciatic nerve, which is the largest neural trunk in the human body. This nerve is formed by separate roots of the spinal cord originating in the lower part of the spine( L4-S3).Further this nerve passes through a gap formed by a pear-shaped muscle, passing to the back surface of the leg, and providing innervation of the muscles. In the popliteal fossa it divides into two nerves: tibial and peroneal.
Causes of sciatica
- Herniated disc in the lumbar spine. In this disease, the fibrous ring of the disc is damaged and the bulging of its internal pulposus is observed. This leads to pinching and irritation of the spinal roots, which is the cause of sciatica.
- Osteochondrosis. Degenerative changes begin in the intervertebral discs, gradually spreading to the ligamentous and articular apparatus of the spine. The instability of the motor segments and the development of reactive inflammation in the lesion site can lead to pinching of the roots of the spinal cord.
- Spondylolisthesis. This is a pathological condition in which there is some displacement( sliding) of the vertebrae in the horizontal plane relative to each other. Spondylolisthesis in the lumbar region can be accompanied by compression of roots forming the sciatic nerve. Stenosis of the spinal canal. Develops as a consequence of growth of bone, cartilage or other tissues with their subsequent penetration into the spinal canal. These changes can lead to compression of the spinal nerves. Sciatica, caused by stenosis of the spinal canal, is observed, as a rule, in people older than 60 years.
- Pear-shaped muscle syndrome. The sciatic nerve passes under the pear-shaped muscle, which can compress it. This provokes irritation, which is accompanied by pain as a type of lumboschialgia. However, this condition is not a manifestation of true sciatica.
- Violation of the sacroiliac joint is characterized by an increase( or decrease) in its mobility. This can lead to a pinched nerve at the level of L5, causing sciatica.
Clinical picture of sciatica
The sciatic nerve is formed by five pairs of roots of the spinal cord: two in the lumbar region( L4 and L5) and three in the sacral( S1-S3).Depending on the level of compression, pain can be observed in various areas of the lower limb. When the roots are compressed, leaving at the level of L4, there are pains in the thigh. The knee reflex is reduced. Symptom of sciatica when the roots are compressed at the level of L5 is pain in the lower leg, ankle. When compressing the roots of the sacral region, pain occurs in the toes and on the outside of the shin. The described symptoms can be combined, with the defeat of several spinal nerves.
Symptoms of sciatica
Sciatica can manifest itself with the following clinical symptoms:
- Constant pain in the gluteal region or upper thigh( in rare cases it can occur on both sides).
- Feeling of weakness, numbness and tingling in the leg. There may be movement difficulties.
- Acute pain in the back of the thigh, resulting from a change in body position.
- Pain in the leg is significantly strengthened in the sitting position. When walking, it can subside.
Sciatica can manifest itself as rare, and persistent pain attacks, which significantly reduces the quality of life. Despite the fact that pain with sciatica can be very strong, the probability of damage to the trunk of the sciatic nerve while remaining minimal.
Methods of treatment for sciatica
In most cases, medical treatment of sciatica is performed, however, in the case of a patient's state of health, surgical correction may be indicated, which is aimed at eliminating the cause of the pain.
Drug treatment is symptomatic, and is aimed at reducing pain syndrome. To this end, they apply:
- Non-steroidal anti-inflammatory drugs ( COX-2 inhibitors) such as nimesulide, meloxicam are prescribed to reduce pain.
- Oral steroid hormones ( hydrocortisone) can be prescribed to reduce reactive inflammation and pain in the place of compression of the sciatic nerve.
- Epidural injections of steroids are used in severe pain syndrome, and is a choice for rapid relief of symptoms of sciatica.
Treatment of sciatica with folk remedies
To remove acute pain, especially at the initial stage of the disease, thermal and cold compresses can be successfully applied, which can be used alternately. They should be applied to the site of pain for 20 minutes every 2-3 hours.
Acupuncture( acupuncture) is a 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 pain localization.
Some forms of massage have a number of advantages for the pain that occurs in the back. The therapeutic effect is achieved by stimulating blood circulation and relaxing the muscles. In sciatica, the technique of neuromuscular relaxation is applied, which consists in acting on spasmodic muscles in order to relieve tension and soreness.
Treatment in Tibetan medicine
In Tibetan medicine, there are several methods of treating sciatica. A good result is the use of vacuum therapy. In folk medicine, banks are used for this purpose. Vacuum therapy can improve blood circulation at the site of exposure, thereby reducing pain syndrome. Along with this method of treatment in Tibetan medicine, there is a special set of massage techniques Ku-Nieu, which is a method of massage the can of a painful area with the use of various oils.
Also in Tibetan medicine, the use of heat for the treatment of many diseases of the spine, including sciatica, has become widespread. One such method is cigar warming, known as "moxa."Moxotherapy, carried out at special points, helps to significantly reduce pain in sciatica.
The most effective method of preventing sciatica is a set of exercises aimed at stretching and strengthening the spinal column. The maintenance of the correct position of the vertebrae in their joints is achieved by strengthening the muscles and ligament apparatus. Exercise for stretching is recommended to use to relieve pain and prevent relapse of the disease.
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