Pinch of the sciatic nerve - a problem quite common. The main symptom of this pathology is severe pain, which significantly worsen the quality of life of a person, bother him constantly, prevent him from moving normally. In the absence of therapy, such a violation can lead to unpleasant consequences. That's why many people are interested in additional information about this pathology. What are its causes and symptoms? Is it possible to treat the sciatic nerve at home? Is it possible to prevent the development of such a disease?
What is jamming?
The sciatic nerve is the largest nerve in the human body. This fiber is formed from the last two lumbar and all sacral spinal nerves. It is the sciatic nerve that is responsible for the innervation of the knee and hip joints.
Pinch of the sciatic nerve is a pathology for which the term "sciatica" is used in modern medicine. A similar disorder is accompanied by compression of the nerve fiber in the musculoskeletal tunnel and its subsequent inflammation. As a rule, nerve damage is one-sided and is most often diagnosed in males, especially when it comes to men whose work is associated with persistent physical stress.
The main causes of jamming
Injury and neuritis of the sciatic nerve can develop under the influence of many factors. As a rule, such a pathology occurs against the background of other already existing diseases of the musculoskeletal system. It:
- intervertebral hernia in the lumbar part (the protruding part of the intervertebral disc at the exit squeezes the sciatic nerve);
- osteochondrosis of the lumbar region (due to changes in the thickness of the discs, the nerve is compressed between vertebrae);
- any injuries of the spine, which are accompanied by a displacement of the vertebrae, including dislocations and subluxations;
- degenerative spondylolister;
- spondylosis of the lumbosacral spine;
- the presence of tumors of the spine, which, depending on the site of localization, can also pressure the nerve.
Other reasons include squeezing nerve fibers with spasmodic muscles (this is observed with physical overstrain, muscle inflammation or trauma). And also sciatica can develop during pregnancy, in particular, during the third trimester.
Are there risk factors?
Of course, besides the main reasons, there are factors that increase the likelihood of pinching.
- Hypothermia of the lower back can cause inflammation and pinching. Quite often people go to the doctor complaining, they say, "to chill" the sciatic nerve. Exposure to cold can actually aggravate the situation.
- Sciatica can develop with herpes zoster in the projection of the branches of the sciatic nerve.
- Excess weight also applies to risk factors.
- Inflammatory diseases of the pelvic organs also contribute to the development of neuritis.
- Sciatic nerve damage often develops in people with diabetes mellitus, since with such a disease the normal nutrition of nerve fibers is disrupted.
- Also to the list of risk factors include tubercular lesions of the spine, brucellosis, polyradiculoneuritis and multiple sclerosis.
- Excessive exercise, stress, disruption of normal blood circulation, disruptions in metabolic processes, alcoholism — all of which increase the risk of neuritis and, in particular, it defeats the sciatic nerve.
Injury of the sciatic nerve: symptoms
In fact, sciatica is accompanied by rather characteristic features. How to recognize the infringement of the sciatic nerve? Symptoms of it are severe pain in the thigh. As a rule, discomfort is localized on the back of the thigh, but can also extend to the lower back, the lower leg and even reach the foot.
In the initial stages, the pain may not be strong, but as the inflammatory process develops, it becomes acute, stitching, cutting. Sometimes the pain is so strong that a person can lose consciousness. Discomfort intensifies after physical activity, although sometimes even slow walking, sitting and standing aggravate the patient's condition.
Naturally, the pain affects the mobility of a person. First of all, the gait is disturbed, as the patient tries not to rely on a sore leg. Often there is burning and tingling in the foot, excessive sweating of the feet. As the disease develops, it becomes difficult for a person to flex his leg in the knee, turn the foot, move his toes on his legs.
What diagnostic methods are used?
In fact, it is quite easy to determine the presence of an infringement and inflammation of the sciatic nerve, since the clinical picture here is actually quite typical. Nevertheless, some additional research will be required in order to pinpoint the cause. If this is not done, then the probability of re-jamming is high.
First, a radiographic examination of the spine is performed, which will help to identify bone pathologies, including vertebrae displacement, the presence of osteophytes, etc. If possible, it is recommended to undergo computer or magnetic resonance imaging, as this is a more accurate technique that allows even the slightest changes in bone and the cartilaginous structure of the spinal column. If suspected of having a tumor, a radioisotope scan of the spine is performed. If there is reason to believe that the infringement is caused by inflammation of the pelvic organs, then an appropriate ultrasound is assigned.
The decision on whether the sciatic nerve will be treated at home or in the hospital, under the constant supervision of medical personnel, is taken by the doctor. Immediately after the examination, the specialist will select the most effective drugs. The main group of drugs are non-steroidal anti-inflammatory drugs, in particular, "Ketanov", "Ibuprofen", "Nurofen", "Denebol". These drugs help to slow the development of the inflammatory process, and also quickly alleviate pain. By the way, you can use the same drugs, but in the form of ointments and creams ("Diclofenac", "Voltaren", "Finalgon").
Also shown is the intake of B vitamins, which restore trophic tissue, help restore the functioning of nerve fibers. Neurorubin and Milgamma are considered quite effective.
With a strong spasm of the muscles of the legs, buttocks and back, drugs are used that help to eliminate a similar problem, in particular, they are "Sirdalud" and "Midokalm". With very severe sharp pains at the initial stages, a novocain blockade can be carried out.
Other stages of pinch therapy
Medications help to ease pain. But sciatica requires complex therapy. Patients need special therapeutic gymnastics, which will help restore mobility. The complex of the most suitable exercises will be selected by the doctor.
In addition, various methods of physiotherapy are used, including phonophoresis, paraffin applications, magnetic-laser therapy, UHF and electrophoresis with novocaine, no-shpoy, or other drugs. Positive on the patient's condition will affect the course of therapeutic massage. Outside the exacerbation patients are advised, as far as possible from time to time, to undergo sanatorium treatment.
Treatment of the sciatic nerve at home
Certainly, successful therapy requires an appropriate regimen. Treatment of the sciatic nerve at home should include proper nutrition. It is necessary to refuse for a while the sharp, smoked, fatty and fried dishes. It is advisable to use sparing liquid food, in particular, milk porridge, vegetable and meat soups - this will help to avoid constipation, which only aggravate the situation.
In the acute phase of the disease must be observed bed rest. The number of movements should be minimal. Only after the subsiding of pain can one begin to walk and gradually, under the control of a doctor, return to the usual rhythm of life.
Folk treatment of the sciatic nerve is also possible, but only with the permission of the doctor. Quite effective are creams and ointments containing horse chestnut extract, as they help relieve pain and relax the muscles. Compresses made of beeswax are good. First it needs to be warmed up, to form a cake, which then to put on the thigh. From above it is recommended to cover it with polyethylene, cotton and a towel or a warm shawl, leaving for the night. Procedures can be repeated every day for a week.
Very good help rubbing tincture of dandelion, spruce and pine buds — you can buy them at the pharmacy or make your own. And effective is cupping massage, which easily can be carried out even at home. Under the jar on the skin is recommended to apply anesthetic or anti-inflammatory ointment.
Are there effective preventive measures?
Today many people are interested in questions about whether it is possible to protect themselves from damage to such an integral part of the nervous system as the sciatic nerve. Treatment, injections, physiotherapy procedures - can all this be avoided?
In fact, there are no specific precautions. Optimal prevention consists in the timely detection of various diseases from the risk group and their qualitative treatment. In addition, experts recommend sleeping on a rigid orthopedic mattress and monitor body weight. Also necessary is at least a minimal, but regular morning exercise. Heavy physical activity requires appropriate sports training.