The nerve of the hip is the nerve endings that are formed by the connection of the lumbar spine of the spinal and sacral nerve.
This nerve is located between two gluteal muscles, but it does not end there either: it extends to the fossa under the knee, passing over the entire surface of the leg from behind. Because of this arrangement, innervation and tenderness can be felt from the lumbar region to the knee area.
Clamping occurs between ligaments, bones or tendons. Such pinching of the nerve in the thigh may be of short duration or long enough, depending on it, and the nature of the pain: acute or increasing, which can be accompanied by numbness.
The most severe pain sensation usually occurs in the joint area, and pain can spread all over the surface of the thigh, ascending to the buttocks and lower back.
Pinched, which is of a short-term nature, can pass without consequences. But if the infringement is protracted, it can lead to inflammation, which, in turn, will lead to more complex consequences. In case of prolonged pinching, the trip to the doctor should be urgent.
Contents of the article
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- Possible hazards and their prevention
Complexprovoking factors
Numerous factors lead to pinching of the nerve in the hip joint( TZB):
- overweight, obesity;
- inflammatory processes in the body;
- various diseases of the spine: osteochondrosis, osteoarthritis, protrusion, intervertebral hernia, lumbar stenosis;
- discrepancy of pelvic bones after childbirth;
- is hereditary in nature;
- problems with posture;
- appearance of bone callus;
- injuries of the spine of a different nature;
- increased load on the spine during pregnancy and childbirth;
- various defects of a congenital nature;
- in the process of being in the static position for a long period of time, a protective fluid can accumulate in the region of the nerve end, which, in turn, entails additional pressure on the nerve, pinching it;
- hypothermia of the body;
- sedentary lifestyle;
- is a joint injury that has not been treated.
First aid
Immediately after the hip joint has been hampered( there was a sharp pain in the waist, buttocks, thighs), it is necessary to provide complete peace so as not to disturb the painful joint and nerve.
If you yourself are hard to keep the body in a comfortable position, use a bandage. If in the process of choosing a pose some position causes even greater discomfort - avoid its acceptance.
After that, it can be cold on the problem site, but not more than 15 minutes, as this not only damps the pain, but also slows down the blood flow, which is highly undesirable, because this process slows down the recovery. Cold should be in the form of a packet of ice wrapped in a thin towel.
After a cold compress to increase blood flow it is necessary to apply a rather hot bottle to a problem place - this will speed recovery.
The next stage can be a warm bath that simultaneously warms and relaxes the muscles. If it adds a few drops of
lavender oil or sea salt( which can also be with extracts of medicinal plants), the effect will be greatly enhanced.
After a bath you need a good sleep, because it is during this period of time that the body quickly restores itself.
If the pain is so severe that it can not endure, it is worth taking an anesthetic drug.
loading. ..First steps in medical institution
The first thing that the doctor pays attention to during the examination is a detailed story about the symptoms of the patient, which indicate the pinching of the nerve in the thigh( anamnesis collection):
- weakness in the legs;
- burning sensation, occasionally tingling, numbness;
- painful sensations that spread almost from the waist up to the level of the knees( localization can vary with time and intensity of pinching);
- motor functions in the legs are difficult.
Complex diagnosis is used to determine the pinching of the nerve in the TZB area:
- MRI or computed tomography;
- with the help of cutaneous electrodes is a test of nervous patency;
- activity of muscle fibers is diagnosed by electromyography;
- neurological examination, which examines the presence of pathological symptoms;
- examination of the tissues of the joint area by ultrasound.
Aims and methods of therapy
The aim of therapy is to eliminate the cause of the entrapment. An accurately diagnosed diagnosis will help in the shortest possible time to choose the right treatment. In most cases, getting rid of the cause of the pinch, immediately releases the body from the accompanying symptoms.
Depending on the complexity and degree of the disease, appropriate treatment is prescribed.
Physiotherapeutic procedures
This complex includes massage, most often with the use of various ointments based on products of beekeeping and snake venom. So way, the affected area improves blood circulation, eliminates inflammation and removes edema.
Also gymnastic exercises performed under the strict supervision of an instructor have proved very effective. The exercises will help strengthen the muscles( especially the pear-shaped) and restore the motor functions of the joint.
If the pinch has just happened, it is necessary to apply a tire that will help fix the affected joint, thereby helping to avoid unnecessary movement, which at this time can only increase inflammation and swelling.
Medical treatment of
In the treatment of pinching of the nerves in the hip joint, several groups of agents are used, depending on the characteristics of their effect on the joint:
- anti-inflammatory non-steroid preparations ( Diclofenac, Indometacin) may be prescribed for the removal of inflammatory processes. If the pinch is long-term, steroid-based drugs are used.
- Analgesics will help to get rid of painful sensations. Most often these drugs are administered intramuscularly. In the event that the pinching occurs as a result of the intervertebral hernia, the doctor can make a novocaine blockade in the problem area.
- You can remove puffiness and hypoxic manifestation by taking preparations that improve the microcirculation of blood .
- Muscle relaxants are prescribed to reduce muscle spasms that occur as a response to pain, while creating additional stress on the pinched nerve.
- Chondroprotectors, vitamins of group B will strengthen tissues and the whole organism as a whole.
- Diuretics will remove swelling in the area of pinching.
Manual therapy
Manual therapy will be relevant both as an independent method, and in combination with physiotherapy. The main effect of therapy is the release of the blocked nerve.
This method is much better than drug treatment and is not as dangerous as surgery, but it is necessary to find a good specialist for treatment, since the amateur can only exacerbate the situation.
Complex of exercise therapy and yoga
Exercising will help strengthen muscles and joints, so exercise is simply necessary for the problem of pinching the nerve and preventing disease. Exercises should pick a professional instructor.
To remove spasms and to unblock the nerve, asanas of yoga will help, but they also need to be picked up by a specialist and performed at least for the first time under his supervision.
In cases where all methods have proved ineffective, doctors can prescribe an operative intervention, so the task of each person in the event of symptoms is not to delay and begin treatment as early as possible in order to do without an operation.
Traditional medicine
To reduce pain and relieve spasms, bath with oak bark, chamomile flowers, rhizomes of aura, oregano and horse chestnut will be important.
To strengthen and maintain the body, you can take a mixture of sunflower seeds, walnuts, dried apricots, raisins and prunes. All the ingredients are ground and mixed with honey until a thick cream is obtained. Such a tasty remedy must be taken three times a day for one dessert spoon.
Curing the nerve in the hip joint at home is impossible. Folk methods will only remove symptoms and can be used after consultation with the attending physician as an additional method.Assisting pregnant women
Symptoms of pinching in pregnant women are the same as those of others, but in treatment it is necessary to be treated more carefully:
- recommends the use of non-hormonal local drugs: gels or ointments( Voltaren, Menovazine);
- warm compresses on the waist;
- classic and manual massages in a gentle mode;
- performing light exercise physical therapy.
Reception of any bath is strictly forbidden.
Possible dangers and their prevention
In the absence of adequate and timely treatment, pinching of the nerve can lead to:
- lameness;
- difficulties with moving;
- disorders in joint mobility;
- paresis of the limb;
- muscle atrophy in the problem area;
- weakness in the limb.
Prevention
In order not to be jammed or not to happen again, it is necessary to observe the rules:
- do not stay in the sitting or standing position for a long time;
- avoid overeating and excess weight gain;
- with sedentary work must perform a number of exercises.
At the first manifestations of the infringement, be sure to visit the doctor who will diagnose and prescribe the treatment.
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