The trouble if you have pain in the lumbosacral spine is a phenomenon recognized to many individuals, especially at the ages of 40-60 years. This complaint is called sciatica or lumbar radiculopathy (radiculitis on the list of inhabitants). This is the chronic neurological pathology due to compression with the sciatic nerve. The disease is accompanied by intense pain, stiffness of movements along with a amount of other symptoms.
Sciatica is diagnosed in older adults of both sexes, often noticed in pregnant women. Radiculitis does not pose a threat to life, nevertheless its quality reduces significantly, depriving somebody of activity and ability to work. Therefore, if you worry that you’ve sciatica, immediately contact a neurologist or chiropractor. Timely treatment will relieve pain, adequate diagnosis will identify and eliminate the real cause of the disease.
Reasons behind inflammation of the sciatic nerve
Pain in sciatica occurs on account of compression or irritation with the sciatic nerve. The causes of compression include any nearby inflammation, trauma towards the lumbosacral region as well as other factors:
– intervertebral hernia or disc protrusion;
– exposure to pathogenic microflora, including tubercle bacillus, streptococci, staphylococci, gonococci;
– infectious diseases – influenza, typhus, malaria, syphilis, scarlet fever;
– metabolic diseases – gout;
– local osteophytes;
– diabetes;
– spondylosis from the vertebrae with the lumbosacral region;
– osteocondritis of the spine;
– growth and development of cicatricial modifications in the exit zone of roots – – sciatic nerve;
various spinal injuries;
– scoliosis of the lumbosacral region.
A good sciatica affects a person’s motor function. Together with pain within the spine, there’s a loss of flexibility in the hips and pelvis, decreased sensitivity, limited mobility within the knee joint and ankle on the side of the lesion. Compression in the sciatic nerve can disrupt bowel and bladder function, resulting in the patient to experience fecal and bladder control problems.
Symptoms of lumbar radiculopathy
The clinical picture of sciatica develops gradually. To start with, a small discomfort is felt within the lumbar region, changing into tolerable pain. Irradiation of painful sensations is observed in the buttock and along the posterior projection of the thigh. At this time, an individual thinks he is simply sick and tired of physical labor and perceives the trouble since the norm. In the foreseeable future, increased exercising can provoke a severe attack, once the pain literally fetters one’s body.
As well as stabbing, burning and shooting pain, vegetative and neurological disorders occur:
– decreased sensitivity from the limb on the side of the lesion;
– the contrary option – increased sensitivity in the buttocks and legs;
– weakness in the ankle;
– violation from the functionality in the pelvic organs.
Treatment and diagnosis of sciatica
Sciatica can manifest differently in numerous people. The examination commences with historical past to spot concomitant diseases, which regularly helps to establish your initial cause of a pinched sciatic nerve.
This is as well as physical testing to find out what structure provokes compression or irritation. In line with the connection between diagnosing, a doctor gives the patient reveal directory the identified pathology. Which has a lack of information, the physician can refer the patient to X-ray, CT and MRI.
The procedure regimen depends upon the main cause of sciatic nerve compression. When the reason behind sciatica is often a herniated disc, it really is well given chiropractic. After eliminating the reason for sciatica, its symptoms will disappear on their own.
Usually do not torture yourself with pain and do not bring the situation to surgery. On time, contact experts of treatment of diseases of the musculoskeletal system, doctors with deep knowledge of the anatomy and physiology from the human body.
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