Pinch of the sciatic nerve is a pathological condition, accompanied by mechanical compression of the nerve trunk in the spinal canal.
The sciatic nerve is the largest in the entire human body, it is responsible for the motility, sensitivity and trophism of the lower extremities, the pelvic region and the lower body. It is from its functioning that the interaction of all parts of the trunk during movement is dependent.
The main causes of the pinch of the sciatic nerve
There are several causes of pinching, the precise definition of which is of paramount importance in the appointment of treatment.
After examination of bone changes, magnetic resonance imaging and computed tomography are performed. If a tumor is suspected, scintigraphy( radiological examination) of the spine is done.
Reasons:
Osteochondrosis of the spine - occurs due to the destruction of intervertebral discs, which causes displacement of the vertebrae. There is a constant load on the lower back, which causes pinching;
Herniated disc - localized in the lumbar region and represents a deformation of the fibrous rings of intervertebral discs, which stimulates their loss, resulting in trauma and loss of depreciation abilities. It leads to infringement of the spinal nerves forming the sciatic nerve;
A protrusion of the intervertebral disc is a complication of osteochondrosis, which results in an intervertebral hernia, which increases the possibility of pinching;
Pregnancy is a transformation of the spine that occurs as a result of fetal growth and impaired blood flow in the pelvic area, excessive physical stress on the lower back and dislocation of internal organs in the abdominal cavity.
The risk group includes individuals with deep vein thrombosis, Lyme disease and Reiter's syndrome. There are a number of provocative factors, among which we can distinguish hypothermia, static loads of the lumbar spine, weakness of the dorsal muscles, sedentary lifestyle and improper metabolism.
Symptoms and signs of the disease
Symptoms of pinch of the sciatic nerve are diverse in character.
The disease can occur with a gradual increase in symptoms of and not pronounced pain sensations or vice versa, accompanied by severe pain of a permanent nature.
More often pains are localized in the buttock on one side, but can be given to the lower leg, foot or fingers. Instead of a painful syndrome, numbness or tingling may occur.
A characteristic shift of the fold of the buttock is visually observed, a specific gait appears( the support is made on a healthy limb, and the patient is bent).In the sitting position, the symptoms of the disease increase.
Symptoms of the disease :
- Severe pain - when the roots of the sciatic nerve are infringed, pain occurs in the lumbosacral region, from where they pass into the buttocks and the lower extremity from the localization;
- Muscular weakness and difficulty in motor activity - occurs due to severe pain;
- Disturbance of skin sensitivity in the area of innervation - "creepy", burning, feeling cold.
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Treatment plan for pinching: medical and manual components of
Neuropathologist should prescribe the necessary examinations to clarify the diagnosis( radiography, ultrasound, MRI or CT, general urine and blood test) to treat pinching of the sciatic nerve.
The essence of the treatment is aimed at blocking the focus of the disease, improving metabolic processes and eliminating the inflammatory process. After the abatement of the acute period of the illness, physiotherapy is prescribed.
Basic principles of treatment :
- Medicated
Includes drugs that reduce pain and relieve the inflammatory process - anti-inflammatory non-steroid drugs, the main active ingredients of which are diclofenac, nimesulide, ibuprofen. Tablets and ointments are available under the trade names Dicloberl, Voltaren, Nimesil, Ibufen, Nurofen.
Tablets taken internally and ointments are applied to the skin in the area of pain localization 3-4 times a day .In the case of not achieving the expected result in the conduct of drug therapy, the drug is replaced by another of the same group.
- Massage
For the massage, it is not necessary to know the anatomy and location of the nerve trunks, but should focus on painful points. The patient can conduct massage sessions alone, only after consulting a doctor.
There are two types of massage , which can be used for this disease: classic and manual.
With classical massage, a mechanical effect on the muscles and tissues of the body takes place. Rotational movements, tapping or tapping are performed. Conducted sessions improve blood circulation, relieve stress and normalize contractile muscle function.
With manual massage a number of movements are carried out, which have functional significance. This kind of massage can be carried out only by a specialist who knows a certain technique of influencing muscles, relieving pain syndrome and restoring muscle activity.
- LFK and gymnastics
Therapeutic gymnastics at infringement helps to reduce intensity of pains. A special technique is aimed at stretching the muscles and tendons of the posterior femoral surface.
Strengthening of the dorsal and femoral muscles is the main means to prevent the defeat of the sciatic nerve.
What is the basis for the prevention of
disease? In order to avoid defeat of the sciatic nerve, the back muscles should be strengthened, for this it is necessary to monitor posture when sitting and walking .
Complex physical exercises are performed to strengthen muscle tissue. Avoid supercooling and lifting weights.
Women who have frequent lumbar pain should abandon high heels.
The effectiveness of the treatment directly depends on the timeliness of its beginning. Therefore, with the primary signs of nerve infringement, you need to go to a therapist or neurologist as soon as possible.
Video course of exercises for neuralgia of the sciatic nerve
Browse, a video with a special exercise course developed by physiotherapists
