Osteochondrosis

Pinched sciatic nerve who treats

Excessive loads on the spine, diabetes and hypothermia - all this can cause inflammation of one of the largest nerves in our body - the sciatic. Since the pains in such cases are very strong, they should never be tolerated and it is necessary to start treatment as soon as possible. Only a doctor can certainly choose the right therapy, but it will be useful to have an idea of ​​what awaits you.

What means promise effective treatment of sciatic nerve inflammation?

2. Physiotherapy

The use of such funds leads to a decrease in edema, warming of the sore spot, improvement of blood circulation, and, as a result, removal of pain syndrome.

For patients with a sciatic nerve infection, the treatment can be given the most different:

  • UHF-therapy,
  • electrophoresis
  • magnetic therapy
  • phonophoresis
  • paraffin applications.

Also, with inflammation of the sciatic nerve, therapeutic massage gives excellent results.

3. Therapeutic exercise

In general, charging is a universal remedy for almost all diseases, and sciatica, as the sciatic nerve inflammation is also called, is no exception. In this case, it is extremely useful to stretch the lumbar spine. Well-known exercises also have healing effects. bicycle, walking on the buttocks and circular movements of the hips.

4. Sciatic nerve: treatment with unconventional methods

As a rule, they are practiced by private medical centers and even achieve good results.

These methods include:

  • hirudotherapy
  • stone therapy
  • acupuncture,
  • phytotherapy,
  • stone therapy
  • vacuum massage
  • warming up with wormwood cigars.

5. Traditional methods of treatment of the sciatic nerve

The beauty of these tools is that they are available to almost everyone, and their effectiveness is confirmed by many years of practical use.

In the diagnosis of sciatic nerve inflammation, first of all, attention should be paid to the following treatment methods:

  • beeswax applications,
  • bath procedures using a birch, oak or eucalyptus broom,
  • daily application of Kuznetsov's applicator to the lower lumbar region,
  • turpentine baths.

In the case of interruption of the integrity of the intervertebral discs or hernias, conservative methods of treatment of the sciatic nerve are ineffective, and surgical intervention is required to get rid of sciatica.

What it is?

Pinched sciatic nerve - inflammation of one of the longest nerves in the body, manifested in the lumbosacral spine severe pain. In medicine, this phenomenon is called sciatica.

Inflammation of the sciatic nerve is a syndrome or a manifestation of the symptoms of other ailments. In this regard, inflammation can be caused by problems in the work of other organs and body systems, but in most cases the occurrence of pathology is associated with problems in the spine.

What is it and why is it developing? The disease is more common in persons older than 30 years, although more recently, people of younger age are subject to pathology, which is associated with the early formation of degenerative changes in the soft tissues around the spinal column.

The most common factor in the development of inflammation of the sciatic nerve becomes a pathological process, localized in the lumbar and sacral spinal segment.

Therefore, the most common cause of pinching is:

Full or partial displacement of the intervertebral disk, accompanied by pinching of the sciatic nerve, narrowing of the spinal canal, growths on the spine, Pear-shaped muscle syndrome, Damage to organs or muscle of the small pelvis due to injuries or heavy physical exertion, hypothermia, infectious processes, The presence of tumors.

Inflammation of the sciatic nerve may have the nature of a primary lesion, the causes of which most often are hypothermia, infectious process, trauma. Secondary pinching occurs when the nerve roots that form the sciatic nerve are stranded, as a result of protrusion, herniation of the intervertebral disk, bone growths around the spine, muscle spasm due to osteochondrosis, physical overload, etc.

Symptoms of sciatic nerve inflammation

If the sciatic nerve is pinched, the symptoms of the pathology are expressed in an acute form, markedly disturbing the patient’s usual quality of life. The main symptom of the disease is pain syndrome, the intensity of which depends on the cause of inflammation:

pinched sciatic nerve hernia, influenza, malaria and other infections that lead to inflammation, stenosis, spondylolisthesis.

Be sure to consider the nature of the pain. This helps doctors accurately diagnose, then proceed to the treatment of inflammation. Therefore, pinching in the lower part of the spine is divided into three groups:

the symptom of landing is that the patient cannot sit down, the symptom of Lasegue, the patient cannot lift a straight leg, the symptom of Sicard is that the pain is aggravated by flexing the foot.

In addition to pain, there are also characteristic symptoms of inflammation of the sciatic nerve associated with impaired conduction of nerve impulses along motor and sensory fibers:

Deterioration of sensitivity (paresthesia) - in the initial stage is manifested by a feeling of numbness, tingling of the skin of the buttocks and legs on the back surface. As the symptoms progress, other types of sensitivity also decrease, up to their complete disappearance. Impaired function of the pelvic organs - arises due to the compression of the fibers of the autonomic (sympathetic and parasympathetic) nervous system, passing through the sciatic nerve. Urination disorders (urinary incontinence) and bowel movements in the form of constipation appear. This symptom develops in severe cases of sciatica with significant impairment of the spinal roots. Malfunctions in the motor function are the result of the impairment of the nerve motor fibers. In humans, there is a weakness of the gluteal, femoral and leg muscles. It is expressed in a change in gait with a one-sided process (with a limp on a sore leg).

If the above symptoms occur, treatment should begin immediately, because the pinching of the sciatic nerve can lead to complete loss of sensation in the legs.

Diagnostics

To determine how to treat a sciatic nerve pinched, it is imperative to find out its etiology and, if possible, to eliminate all factors that can provoke the development of the disease.

To clarify the diagnosis, it is necessary to conduct a comprehensive examination of the patient - it should include:

methods of clinical and biochemical laboratory diagnostics, examination of a neuropathologist, and if necessary, a vertebrologist, a rheumatologist and a vascular surgeon, x-ray images of the spine in several projections (always in the lying and standing position), tomographic studies.

Urgent medical consultation is required if:

amid the pain, the body temperature rises to 38 ° C, edema appears on the back or the skin turns red, the pain gradually spreads to new areas of the body, there is severe numbness in the pelvic region, thighs, legs that interfere with walking, there is a burning sensation during urination, problems with holding urine and feces.

These studies help to figure out what to do in order to relieve pain in the shortest possible time, and to eliminate inflammation in the sciatic nerve.

How to treat pinched sciatic nerve

If symptoms of pinching of the sciatic nerve occur, treatment should be started as soon as possible. According to the result of the diagnosis, the specialist will prescribe the appropriate therapy:

First of all, it is determined why the sciatic nerve was pinched. Treatment may vary from the cause. For example, neoplasms may require surgery. Drug treatment. The first stage of this treatment is aimed at anesthesia and removal of the inflammatory process. For this, muscle relaxants and NSAIDs are used. Vitamins of group B (combilipen, milgamma) contribute to the normalization of metabolism in nerve cells. In the acute period are prescribed intramuscularly for a period of 10 days, subsequently transferred to oral administration. Physiotherapy treatment. Such treatment includes electrophoresis, the use of electromagnetic fields or ultraviolet radiation, massage (effects on certain points, canned, vacuum types of massage), therapy with paraffin procedures, water therapy. Non-traditional treatment, which currently includes many different methods. It includes acupuncture, use of Kuznetsov iplikatorov, stone therapy, hirudotherapy, phytotherapy, moxibustion. Treatment of popular recipes. So, when pinching, horse chestnut, bay leaf tincture, flour and honey cakes, potato compresses, beeswax, spruce and pine buds, dandelion tincture and many other methods are used. Diuretic drugs are used to reduce swelling in the area of ​​the nerve roots (furosemide). Physiotherapy. Helps to improve blood flow in the affected area and strengthen the muscles. What kind of exercises to perform in a particular case, the doctor decides on the basis of the degree of neglect of the disease, the severity of pain, the presence of an inflammatory process and other factors. Surgery. With the ineffectiveness of drugs and physiotherapeutic procedures, the only option for the elimination of pinching is surgical intervention: discetomy and microdissetomy.

It is worth noting that the treatment of inflammation or pinching of the sciatic nerve at home is a complex, long-term exercise, which does not always have an effect immediately, so you have to deal with your health for a long time.

If within a few months the pain does not subside, then the patient is prescribed injections of steroid drugs, administered epidurally to the area of ​​the affected area. This procedure reduces the symptoms of inflammation at the local level, which immediately gives a temporary, but very noticeable effect.

One of the main components of treatment is the creation of a treatment and protection regime for the patient.

The patient should lie on a hard bed, the possibility of movements is recommended to limit to subside bright signs of inflammation. The observance of bed rest until improvement of the condition and elimination of the pain syndrome is shown.

Nonsteroidal anti-inflammatory drugs

The most effective painkillers are NSAIDs. This pharmaceutical group of drugs is represented by drugs that stop the action of the COX enzyme and have anti-inflammatory action, these include:

Meloxicam (Movalis, Amelotex) is available in pill and injectable forms, and is one of the safest preparations of the NSAID group. “Piroxicam” is produced in the form of a solution (ampoules of 1-2 ml), tablets, suppositories, gel, cream, can be used both locally and injectionally, 1-2 ml once a day to relieve an acute pain attack. "Nimesulide" ("Nise", "Nimesil") - is produced in the form of powders, tablets, capsules. The usual dosage of 100 mg per day, in the first days may increase to 200 mg. “Celebrex” - capsules, the recommended daily dose is up to 200 mg, but with severe pain it can be increased to 400-600 mg at the first dose, with a subsequent reduction of the dose to 200 mg. "Ketonal", "Ketanov" ("Ketoprofen") - is available both in ampoules and in capsules, tablets, suppositories, and as an ointment, sciatica is most often administered intramuscularly (up to 3 times a day, 2 ml), but the symptoms well removes and local application (ointment).

When pain and inflammation increase, steroid hormonal drugs are sometimes prescribed, in short courses, they relieve pain, but do not eliminate the cause of inflammation, and their use has a lot of side effects and contraindications.

See also how to choose effective nonsteroidal anti-inflammatory drugs for the treatment of joints.

Muscle relaxants and vitamins

Muscle relaxants are prescribed to reduce reflex local muscle tension caused by pain. It:

Mydocalm, Tizalud, Baclofen,

Also, the anti-inflammatory effect is produced by multivitamin complexes based on vitamins of group B:

Neyrobion, Milgamma, Kombilipen, Trigamma, Neurovitan.

When physiotherapy and medications do not help, they resort to surgical methods - microdiscattery, discetomy, in which part of the disc is removed, pressing on the sciatic nerve.

Unconventional treatment

Specialized clinics and medical centers use various non-traditional methods for treating sciatic nerve pinched:

phytotherapy, acupuncture, acupressure, warming with wormwood cigars, stone therapy or stone massage, vacuum or can massage, hirudotherapy, leech therapy and others.

Spa treatment

Only outside the exacerbation, sanatorium-resort treatment of sciatic nerve inflammation is recommended, mud cure, hydrotherapy with the use of radon, hydrogen sulphide and pearl baths, and underwater traction courses are especially effective.

Climatotherapy always helps to strengthen the immune system, reduces the frequency of colds, rest improves mood and creates a positive attitude, which is so important for recovery.

Massage procedures are allowed to be carried out after subsiding of the acute inflammatory process.

Thanks to this technique, the conductivity of the damaged sciatic nerve is increased, the local blood circulation and lymphatic flow is normalized, pain is reduced, and the already developed muscle wasting decreases.

Exercises

After recovery, good physical exercise is especially necessary, but only those in which the load is evenly distributed on both sides of the body (light jogging, walking, swimming, leisurely skiing).

In addition, there are special exercises that are ideal for all patients in remission. We give an example of exercises that can be easily performed at home lying on the floor.

All exercises are performed 10 times, followed by an increase in the load:

Legs lead to the body, hug them under the knees. With your hands, hold your legs as close as possible to yourself, save this position for 30 seconds, then return to the starting position. The legs are straight, the socks are looking up, the arms are along the body. Stretch your heels and neck in different directions for 15 seconds, then relax. Turn to the side, pull your legs toward you. Pull socks. Then return to the starting position and turn to the other side. Roll over on your stomach, lift the torso on your hands, do push-ups. Do not strain your legs.

However, it is necessary to know that if the pinching of the sciatic nerve is caused by a hernia of the intervertebral disk, it is necessary to select a complex of physiotherapy exercises in conjunction with your doctor.

Treatment of folk remedies

Special importance is given to traditional medicine in order to cure the sciatic nerve pinched. After all, its funds are practically the only way to treat, for example, if a nerve is pinched by a pregnant woman or there are any contraindications to medications taken, physical procedures.

At home, you can carry out the following treatment:

Tincture of bay leaf.It is necessary to take 18 medium-sized bay leaves, pour 200 ml of good vodka over them, insist for 3 days in a dark cool place. After this period, the infusion obtained must be rubbed into the sacral area with massaging movements. After the fourth procedure, there is a positive effect. At night, you can attach honey cake to the sore spot. To do this, heat a tablespoon of honey in a water bath, mix it with a glass of flour, form a cake and put it on a sore spot. Close with cellophane and wrap everything with a warm scarf. Such a compress will relieve pain. The infusion of potato sprouts is prepared from sprouted potatoes, or rather its processes. To do this, take a glass of sprouts and pour half a liter of vodka. As such, the mixture is infused for two weeks in the dark. After it is ready, you need to rub it in the affected place twice a day and wrap it with warm cloth for some time. In 200 ml of alcohol solution (not less than 70%) dissolve 10 tablets of dipyrone and add a vial of 5% iodine. The resulting mixture should be removed in a dark place for 3 days. Rub the finished tincture into the problem area before bedtime, then wrap a scarf around the back and sleep until morning.

Remember that home treatment can not replace a comprehensive drug therapy, they are intended only to reduce the manifestations of the disease.

Prevention

When sciatic nerve pinched is diagnosed, medications eliminate pain and general discomfort, but it is also recommended that preventive measures be considered to prevent recurrence:

it is required to sleep only on a hard surface, to avoid lifting weights of hypothermia of the extremities, not to make sudden movements.

Which doctor to contact

If you have symptoms of sciatica, you need to contact a neurologist. A physiotherapist, a massage therapist and a manual therapist are involved in the treatment. if necessary, the patient examines a neurosurgeon.

Pinching or pinching the sciatic nerve, as well as lumbosacral radiculitis with pinching of the roots of the sacral section, is one and the same disease, in which pain is localized in the lumbar region, thigh, lower leg, foot, aggravated by coughing, walking. At first, when the disease is just beginning, it proceeds according to the type of lumbalgia, lumbago, lumboischialgia.

Also synonymous with this disease is sciatica - it is neuritis, inflammation, pinching of the sciatic nerve, the symptoms of which are manifested by pain in the lumbosacral spine, extending to the leg. With compression of the longest and largest nerve in the human body - the sciatic nerve, pain can range from weak to simply unbearable, which does not allow a person to sleep or walk normally. The reasons for the occurrence, the symptoms of pinching the sciatic nerve, treatment with medicines, folk remedies, the general principles of therapy, we will describe in this article.

Signs of Sciatic Nerve Inflammation

Where is the sciatic nerve? These are the 2 largest and longest nerves in the human body, which pass to the toes on the left and right of the waist. Usually, in case of inflammation, the patient is worried about pain in only one of them, being localized in the buttock, behind the thigh, behind the knee on the calf, reaching the foot.

When neuritis or pinched sciatic nerve, symptoms, pain are described by patients as burning, stabbing, sharp, cutting. They both appear and disappear suddenly, however, in severe inflammations they can be chronic, with recurrent relapses.

The onset of inflammation usually begins after an emotional or physical overstrain, especially when combined with hypothermia, often begins at night. Along the course of a nerve, the sensitivity of the skin may be disturbed, or it may increase - tingling, goosebumps, or vice versa, decrease - numbness. First, the pain extends to the back of the thigh, dropping to the lower leg and foot.

After an attack, the pain remains between 5 lumbar and 1 sacral vertebrae, as well as under the knee and in the center of the buttocks. Due to severe pain, a person may faint, as well as autonomic disorders - increased sweating of the feet, swelling and redness of the skin. The pain increases with prolonged standing, walking, sitting on a hard surface. In attacks of pain, a person takes a forced position of the body, resting on a healthy leg, one of the signs of pinching of the sciatic nerve is gait disturbance (see also the causes of back pain, giving to the leg).

With severe inflammation of the sciatic nerve, the symptoms are expressed in a strong decrease or complete violation of nerve function. At the same time the gluteus, femoral or gastrocnemius muscle can decrease. The patient may experience difficulty in trying to bend the lower leg due to the temporary immobilization of the muscles of the back of the thigh, as well as the flexing of the toes and turning of the foot.

Folk or unconventional?

Alternative therapy can be resorted to when, after a detailed examination, the doctor diagnosed sciatica and found out the cause of the inflammation.

If the disease needs to be treated radically, surgically - do not be distracted by conservative folk methods: the miracle will not happen and compresses from the fermented rye test will not eliminate the intervertebral hernia. About tumors and can not speak.

For some reason, the means of traditional medicine are often considered to be non-traditional methods of treatment, although by and large, non-traditional methods include:

  • methods used in another locality, in other nations,
  • author's techniques
  • rarely used methods.

That is, another name for these methods is unusual.

From this point of view, it is hardly possible to consider non-traditional treatment, for example, mud, various gatherings of herbs, herbal remedies, and the like.

These are traditional medicine products, whose effectiveness has been tested for centuries, and which uses herbs, minerals and other organic substances that are grown or mined in the area where the patient with isalgia was born and used to treat herbs.

The Russian folk healer will not treat a patient with ischialgia with mysterious Brazilian herbs or tincture of Mauritian ants.

And why non-existent ants, when the lumbago is remarkably treated by bees (more precisely, their metabolic products), and the treatment of stinging nettles for a resident of the Russian hinterland is much more effective than any exotic herbs.

Useful unconventional

Indian yoga and Chinese qigong breathing exercises have an undoubted beneficial effect on the body. In these systems, there are certain exercises that are aimed at curing the sciatic nerve infringement:

  • promote muscle relaxation, normalization of blood circulation in the affected tissues,
  • restore mobility
  • reduce pain.

But if you have never practiced these gymnastics before the illness, it is better to postpone your first meeting with them until better times or to join with the help of a qualified mentor.

Author's methods of treatment of sciatic nerve inflammation can be considered unconventional, because the author's innovations are based not only on his personal inventions, but also on the experience of his predecessors.

Orthopedic physicians can develop their own simulators, massagers and exercise complexes and apply ointment on the basis of propolis, which is also known to our ancestors.

Relatively rarely used methods are the treatment of sciatica with homeopathy and hirudotherapy.

Many doctors consider homeopathy a method that is not sufficiently effective, and when treating it, the placebo method basically works: the patient’s belief that he is taking a really useful medicine, while he is offered just a harmless “pacifier”.

With hirudotherapy is a little different. Treatment with leeches can have a beneficial effect on blood circulation in painful places, to reduce muscle spasm, but some patients simply cannot overcome the psychological barrier and allow leech to be applied to their bodies.

Whereas they are completely at ease with putting live bees to the loins, which sting painfully.

Causes of Sciatic Nerve Inflammation

The main causes of sciatic nerve inflammation are:

Pinching usually occurs when a person suffers from various kinds of diseases on the spine. It can be intervertebral hernia and spinal injuries. In some cases, the pain arising from pinching can be relieved by hanging on the bar for a few minutes, but without treating the underlying disease causing this pain resulting from pinching the sciatic nerve, again and again they will return.

As for the inflammation of this largest of our nerves, it is most often diagnosed in those people who suffer from diabetes or joint inflammation. In addition, inflammation is possible when a person is too cold, so you need to dress for the weather and avoid drafts.

The most common neuritis of the sciatic nerve is provoked by the following diseases and factors:

  • a strong hypothermia of the part of the body in which the sciatic nerve is located, moreover, it can occur even in warm weather, if the loin is not covered by clothes,
  • ingestion of various kinds of infections leading to inflammation of the soft tissues that are around the sciatic nerve,
  • shingles,
  • excessive exercise, leading to overload of the muscles and spine,
  • chronic osteochondrosis,
  • sharp movements or inclinations
  • gout,
  • injuries to organs that are located in the pelvis,
  • injuries in the lumbar region or on the pelvis,
  • herniated intervertebral discs
  • overweight, leading to excessive overloading of the musculoskeletal system and vessel squeezing,
  • pinching of the sciatic nerve,
  • human urological or gynecological pathologies,
  • cancer pathology,
  • diabetes,
  • large fruit pregnancy
  • some postpartum injuries
  • arterial thrombosis,
  • intoxication of the body.

Effective treatments

Treatment should always be based on the cause of the pinching and not on the symptoms accompanying it. To get rid of pain in the sciatic nerve can be surgically and therapeutically. Surgical intervention is necessary for serious pathologies of the spine, when nerve compression is caused by squeezing its roots.

Treatment should be a combination of methods such as drug and manual therapy, physiotherapy.

Drug therapy

Treatment is carried out only under the supervision of a neurologist. To relieve neurogenic inflammation prescribed drip infusions of the drug "Actovegin" 200 mg for five days, after which the patient is transferred to oral administration of "Actovegin".

Vasoactive drugs will help reduce vegetative symptoms and improve blood supply. Drip injection of Instenon (2 ml per 200 ml of saline) is recommended - 10 procedures per course of treatment. Oral use of the drug "Trental" 400 mg 3 times a day also works effectively.

Pain symptoms are reduced after entering into the treatment of nonsteroidal anti-inflammatory drugs. One of the most effective and safe analgesics today is Ksefokam (lornoxicam). The treatment is as follows: on the first day - 16 and 8 mg, the second or fourth day - 8 mg twice a day, the fifth day - 8 mg. In addition to lornoxicam, can be recommended:

  1. "Ketoprofen" ("Ketonal", "Ketanov") in the form of injections,
  2. "Ketorol" (ketorolac) - injection,
  3. "Diclofenac" - injection,
  4. "Nimesulide", "Meloxicam", "Celecoxib" - in the form of tablets, after a course of injectable NSAIDs (paragraphs 1-3) on the fifth or sixth day. The total duration of taking these drugs can be two to four weeks.

In addition to vasoactive drugs, NSAIDs, centrally acting muscle relaxants ("Mydocalm", "Sirdalud"), B vitamins (B1, B 6, Milgamma), novocainic blockade can be prescribed.

Manual treatment

Treat the pinched nerve is recommended not only drugs, but also with his hands. The main goal is to relax the piriformis muscle, reducing pain and spinal discomfort. Canned, acupressure, therapeutic massage or acupuncture is an effective treatment if it is performed by a qualified specialist.

To treat pinching due to the syndrome of the piriformis muscle, a special massage technique is used, post-isometric relaxation:

  1. The diseased leg is flexed at the hip joint at a right angle and thrown over the healthy leg, which is fully extended,
  2. The masseur grabs the outer surface of the bent knee with one hand and the other immobilizes the pelvic bones,
  3. Produced passive stretching of the muscle by lightly pressing on the knee with a delay of up to five seconds,
  4. The patient holds his breath and has little resistance, moving the thigh for ten seconds,
  5. The patient relaxes, the doctor increases the pressure on the knee for ten seconds,
  6. The pear muscle starts to relax, it stretches, the discomfort decreases,
  7. The actions of paragraphs 1-6 are repeated five times, the masseur does not reduce the initial pressure on the muscle, gently keeping it stretched.

Thanks to this massage technique, pear-shaped muscle tension and nerve compression are reduced.

Physiotherapy

Various procedures, such as electrophoresis, ultraviolet irradiation, UHF-therapy or laser therapy, will help to treat pinching and relieve symptoms. The necessary course of physiotherapy is selected by the attending physician in order to improve blood circulation and relieve pain. It is possible to use compresses, as heat promotes muscle relaxation, and thus reduces the symptoms of compression of nerve fibers.

If the sciatic nerve is pinched, you should immediately contact a specialist and begin to treat the disease to avoid deterioration. Thus, proper treatment after a thorough diagnosis will provide a faster recovery, as well as a kind of prevention of chronic pain syndrome.

  1. Ksefokam: possible use for the treatment of pain syndromes. Danilov A.B. Russian Medical Journal,
  2. Myofascial syndrome (pear-shaped muscle syndrome) - approaches to diagnosis, treatment. Shostak N.A. Russian Medical Journal,
  3. Putilina M.V. Neuropathy of the sciatic nerve. Syndrome pear muscle // The attending physician. 2006. № 2.
  4. Srbely J.Z. Curr Pain Headache Rep. 2010. Vol. 14 (5). R. 346–352.

Pinching or pinching the sciatic nerve, as well as lumbosacral radiculitis with pinching of the roots of the sacral section, is one and the same disease, in which pain is localized in the lumbar region, thigh, lower leg, foot, aggravated by coughing, walking. At first, when the disease is just beginning, it proceeds according to the type of lumbalgia, lumbago, lumboischialgia.

Also synonymous with this disease is sciatica - it is neuritis, inflammation, pinching of the sciatic nerve, the symptoms of which are manifested by pain in the lumbosacral spine, extending to the leg. With compression of the longest and largest nerve in the human body - the sciatic nerve, pain can range from weak to simply unbearable, which does not allow a person to sleep or walk normally. The reasons for the occurrence, the symptoms of pinching the sciatic nerve, treatment with medicines, folk remedies, the general principles of therapy, we will describe in this article.

The true cause of pinching, inflammation of the sciatic nerve

Inflammation or pinching of the sciatic nerve is a very frequent disease, the cause of which the official medicine sees in mechanical (displacement of the vertebrae, vertebral hernia, osteochondrosis, etc.), temperature (hypothermia) factors, as well as the presence of a tumor, infection in the pelvic region, Reiter's syndrome and other diseases. We will not list them.

In this article we will look at one interesting theory of the cause of pinching of the sciatic nerve, which, in our opinion, is the true fact of the appearance of sciatic nerve neuralgia. And knowing the deep cause of the disease, it is easier to cope with it.

If you are reading this text, it means that you have already faced the fact that the pinching of the sciatic nerve is related to practically incurable diseases, its treatment is based on temporary anesthesia. If hypothermia occurs, sudden movement or lifting, the symptoms of neuritis of the sciatic nerve come back again and you are looking for an answer to the question of how to treat a sciatic nerve.

The fact is that consciously a person cannot control the tone of the muscles of the back, gluteus muscles, and the piriformis muscle, which, with tension and spasm, lead to back pain, problems in the spine, pain in the extremities, including those that cause pinching or inflammation. sciatic nerve. It is surprising that a person can strain these muscles easily, but is not able to relax them.

This function is performed by the brain structures that are responsible for the emotional side of human life, since all the internal organs, vessels, and bone system in the body are controlled mainly from the brain stem and hemispheres. As a rule, the positive emotions that form in the brain contribute to the relaxation of these muscles, and the negative, negative to their spasm, involuntary tension.

Moreover, even a short-term, but very powerful negative emotional reaction causes cells, tissues, and muscles to be in a long state of alertness, high activity. This in turn provokes muscle spasm and pinching of the nerves, and the sciatic nerve is particularly vulnerable to existing pathologies of the spine, especially the lumbosacral region, those intervertebral hernias, osteochondrosis, spondylolisthesis, dysfunction of the sacroiliac joint, and other causes mentioned in all sources of medical information.

To finally verify the veracity of this theory, we present one more fact. Everyone knows that men and women differ not only by gender, the main difference between the sexes in the difference in the functioning and structure of the brain, the reaction to stress - hence the difference in the localization of the typical pain when the sciatic nerve is pinched. In 80% of women, the pain during pinching of the sciatic nerve is localized in the right side of the buttock, right thigh, knee, foot and lower leg. In men, on the contrary, in the same 80% of cases, the left half of the buttocks and the left leg suffer.

Everyone knows that the right hemisphere is “responsible” for the left side of the body, and the left one - for the right one. It is also known that in men and women differences in the prefrontal cortex of the brain (control over decision making) and in the frontal lobe of the brain were revealed. Differences in the limbic system (where emotions are formed) of the sexes relate to the amygdala, which regulates the appearance of emotions and the ability to memorize them. The amygdala of the male body communicates with the right hemisphere, and the female with the left.

Researcher Larry Cahill, watching the brain work under conditions of acute stress in men and women (watching horror films), noted that in men with stress, the left hemisphere was at rest, and the reaction was most pronounced from the amygdala in the right hemisphere. In women, the left amygdala became more active, while the right one was silent.

Therefore, in the event of stress, negative thoughts, bad mood, and experiences, women tend to tense up more, the right side is spasmified, injuring the right sciatic nerve, and in men the left.

Moreover, many neurologists have noticed such an interesting fact that when a person has stressful situations, dissatisfaction with himself, with his work, perhaps some kind of internal self-digestion, self-flagellation - inflammation of the sciatic nerve worsens, which treatment does not bring significant relief, but as soon as the problem goes away , an inner peace and harmony is established, a person calms down, changes work, spends a full holiday, will have a good rest - then the disease calms down.

Given the above, analyze your life, your emotional state, the latest events in life, what caused your disease? Perhaps, if you can calm your nervous system, rebuild on a positive wave, it will help to cope with the disease.

The provoking factors influencing the occurrence of this disease are:

  • Injuries, hypothermia, heavy sports or excessive exercise.
  • Infectious diseases that have a strong effect on the nervous system, such as tuberculosis, herpes zoster, brucellosis.
  • Infectious and allergic diseases
  • Multiple sclerosis
  • Poisoning, intoxication - drugs, poisons, heavy metals, toxins in the decay of malignant tumors.
  • Violation of blood circulation, metabolism, diabetes, alcoholism.

Pinching of the sciatic nerve, rarely has one reason, it usually appears in old age, against the background of a complex of various pathological changes in the spine, vascular disorders in the area of ​​this nerve, so this disease does not occur in children.

Pinching of the sciatic nerve - the main symptoms:

Muscle weakness Tingling in the feetLawing sensation Disruption of gait Disorder of limb mobility Pain in the leg Disruption of the motor function of the feet Feeling of the foot Waxing of the leg muscles

Pinching of the sciatic nerve is a condition characterized by pain in the lower limbs and a violation of their mobility due to a violation of innervation. The pain in this pathology spreads along the sciatic nerve, and depending on where the pinching occurred, there will be pain in one or another part of the legs.

Often, pinching occurs on the one hand - both limbs are rarely affected. Therefore, the feeling of pain in the gluteus muscle, thigh, lower leg or right leg can be evidence of the development of this pathology.

Most often, this pathology develops due to the presence of an intervertebral hernia in a person. Such a pathological condition, as well as ruptures of the intervertebral discs with an exit beyond the spinal column, leads to the development of pinching of the spinal nerve roots. And since the sciatic nerve is just formed by the roots of the lumbar and superior sacral nerves, in the event of the development of vertebral hernia in the lumbar or sacral region, this pathology progresses.

The second, no less common cause is such a pathology as osteochondrosis, which today occurs in 80% of people due to improper lifestyle and low mobility. Osteochondrosis is a disease that occurs on the background of metabolic disturbances and the formation of salt deposits in different areas, including in the sacrum and waist. Osteochondrosis can develop at a young age, but more often people older than 40 suffer from this disease, as the blood supply to the vertebrae is disturbed with age, and the metabolic processes in our body worsen.

Other causes of this pathological condition are:

weight lifting, tumor-like processes in the spine, hypothermia of the sacral area, traumatic injuries, general diseases, such as abscesses.

Separately, it should be said about the pinching of the sciatic nerve during pregnancy. The weight of women during pregnancy increases greatly, so the spinal column is under excessive pressure, which can lead to sciatic nerve pinched.

In addition, pinching of the sciatic nerve during pregnancy is also due to the woman’s accepting an unusual position — when the spine leans back due to an increase in the load on the anterior abdominal wall in order to keep the body in balance. Pregnant women develop a so-called duck gait, which is due to the divergence of the pelvic bones. All these physiological changes in a woman’s body during this period can cause a sciatic nerve to become pinched.

Also, women encounter this pathology during menopause, when, again, due to hormonal imbalance, it gains extra weight, which increases the load on the spinal column.

If we talk about men, then this pathology in them is often masked as prostatitis, since it is characterized by nagging pains in the back of the thigh, as well as heaviness in the perineal region. It should be noted that this violation is also observed in cases of poisoning with heavy metals and pathologies such as brucellosis, multiple sclerosis, and tuberculosis of the spine.

If a person has pinched sciatic nerve, the symptoms of this pathology will be completely different - it all depends on the degree of pinching and process localization. In some people, oligosymptomatic flow is observed, when the pain is expressed implicitly, but gradually gains intensity. And for others, the pathological process is manifested by bright pain symptoms. As noted above, the lesion usually occurs on the one hand, and therefore the person experiences pain only in one limb. Pain syndrome can be so strong that a person can hardly move his leg.

Pinching of the sciatic nerve

By localization, the pain can be either localized in one area (buttock, thigh), or spread throughout the entire limb - from the gluteus maximus muscle, through the thigh and lower leg to the toes. Often there is a symptom such as numbness of a separate part of a limb or the whole leg.

Other symptoms of a sciatic nerve pinched are:

tingling or burning sensation in the lower part of the affected limb, "petrification" of the muscles and reduction in the mobility of the limb, increased pain during sitting, pain of a shooting character, especially when standing, and the appearance of muscle weakness.

Because of the pain in a person, the gait is disturbed, excessive sweating of the feet develops, and the movement activity of the leg is disturbed (flexion and extension in the knee and in the foot area).

Good old folk remedies

How is sciatica treated at home? By the methods by which our grandparents were treated:

Popular methods, with their effectiveness, are distinguished by simplicity and cost-effectiveness (which is important in our time).

For example, you can warm up a sore spot with a bag of table salt heated in a pan: it is applied and held until the salt cools.

Baking soda is a part of compresses, it is added to warm baths, it helps to relieve tension from muscles.

Honey mixed with soda, spread on the affected by sciatica and zamatyvayut overnight. Horseradish baths are made before bedtime: the root is rubbed on a grate and the gruel in gauze is dipped in warm water.

Doubts are helpful

If you decide to use unconventional remedies to treat sciatic nerve inflammation, it is important to remember that there are, unfortunately, a large number of people who just want to cash in on your trouble. This is especially true for patients suffering from chronic sciatica.

If you take any herbs from a person who calls himself a folk healer, consult your doctor before you begin to apply this remedy.

If you read the advertisement and decide to go to an appointment with the famous chiropractor, you should understand that you will pay him for the treatment, regardless of the outcome, and in fact in case of complications the folk doctor will not be responsible for anything.

All the more so with all kinds of sorcerers, clairvoyants, and other wizards. Therefore, before resorting to services, for example, psychics - think carefully before you pay a lot of money for dubious treatment.

Do not be afraid to doubt. Especially when you are offered to wear charged amulets for treatment or to attach a healer's photograph to the sore spot.

As for the treatment of sciatica, any methods that are called unconventional, must be approved by your doctor. Otherwise, he will not be responsible for efficiency.

A selection of my useful materials on the health of the spine and joints, which I recommend you to look at:

Also look at a lot of useful additional materials in my communities and accounts on social networks:

Denial of responsibility

The information in the articles is intended solely for general information and should not be used for self-diagnosis of health problems or for medical purposes. This article is not a substitute for medical advice from a doctor (neurologist, therapist). Please consult your doctor first to know exactly the cause of your health problem.

Main symptoms

The symptoms of inflammation of this largest and most important nerve in our body depend primarily on the cause, it depends on it, and what treatment the sciatic nerve will recommend by a doctor. Sciatica is most often accompanied by the following symptoms:

  • burning or stabbing pain in the buttocks and lower back, and painful sensations will be more intense on that side of the body where inflammation is diagnosed,
  • pronounced acute pain during exercise, as well as during bending and turning,
  • the impossibility of stepping on that leg in which the nerve is inflamed: it becomes almost impossible, because at the same time the person feels an incredibly strong pain attack,
  • in some cases, involuntary stool or urine,
  • increase in body temperature to the level of 38 degrees
  • swelling of the inflamed area
  • reddening of the skin where the nerve is inflamed,
  • weakness in the body
  • muscle atrophy
  • shooting pains, even when lying down,
  • tingling sensations in the entire lower body,
  • spasm
  • in some cases, partial paralysis.

With sciatic nerve sciatica or sciatica — this is the name for scientific neuralgia, the symptoms and treatment of which are somewhat different from trigeminal neuralgia, pain described by patients as stabbing, burning, sharp, cutting.

Pain syndrome arises and disappears suddenly, although with severe forms of inflammation it can become chronic, with periodic relapses. The attack of sciatica usually begins after physical or emotional overstrain, especially coming on the background of hypothermia, and, usually, this occurs at night.

Often, along the nerve skin sensitivity is disturbed:

  • intensified - tingling begins, goosebumps are felt,
  • decreases - numbness occurs.

At first, the pain covers the back of the thigh, dropping to the foot and lower leg. After an attack, it remains between the fifth lumbar and first sacral vertebrae, sometimes in the center of the buttock and under the knee. As a result of severe pain, the patient may faint, and vegetative disturbances can occur, such as increased sweating on the feet, swelling and redness of the skin.

With prolonged standing, as well as while walking or sitting on a hard surface, the pain increases.During attacks, a person has to take a forced position of the body in order to rely on a healthy leg, therefore one of the signs that the sciatic nerve is pinched and urgent treatment is required is a gait disturbance.

Treatment of sciatica

There are many ways to get rid of sciatic nerve neuralgia. It is possible to cope with this ailment by treating both with the help of drugs and with the help of special physical exertion. In some cases, the patient has to change their lifestyle and give up a number of habits. It is believed that good help and treatment methods of alternative medicine.

The main goal of the neurologist who conducts sciatic nerve treatment is, first of all, to identify the cause of back pain and sciatic nerve, and, of course, to promptly weaken the intense painful sensations experienced by the patient.

To this end, the patient may be given such anesthetic and inflammatory drugs as Diclofenac or Meloxicam, Ketoprofen, Ibuprofen, Voltaren, Ketorolac and some other NSAIDs.

In addition, anesthetic blockages are also made by local exposure. In addition to these drugs, the doctor may prescribe and vitamin complexes, as well as vascular drugs or immunostimulants.

If the neuralgic pain of the sciatic nerve is provoked by another disease, the emphasis is primarily on its elimination. For this purpose, hormones and various enzymes, as well as antibiotics, etc., can also be used.

Most often, when a patient is diagnosed with sciatic nerve neuritis, the following procedures are prescribed by a specialist in addition to the traditionally used drugs:

  • massage,
  • physical therapy,
  • various physiotherapy procedures - magnetic and laser therapy, UV, UHF and electrophoresis.

Gymnastics to strengthen muscles

In addition to traditional drugs, the treatment of sciatic nerve inflammation is performed using:

  • hydrotherapy,
  • gymnastics,
  • acupuncture,
  • massage,
  • rubbing.

The latter method is very effective if you use chestnut tincture as a rubbing. Preparing tincture as follows:

  • horse chestnut is rubbed along with the shell and placed in a half-liter jar,
  • poured seventy degrees of alcohol to the brim,
  • the jar is covered with a lid and left in the sun for five days,
  • after that, one gram of camphor powder, one teaspoon of ammonium chloride powder and purified sulfur are added to the tincture,
  • tincture is left for another two days, periodically the bank is turned over,
  • on the seventh day, one tablespoon of turpentine is added to it.

The mixture for grinding the sciatic nerve area is used once a day. After rubbing the back of the patient should be carefully wrapped with a woolen scarf.

For the sciatic nerve therapeutic exercises are very effective. It not only improves the blood supply to the nerve, but also prevents the development of adhesions, giving a person the opportunity to return to a full life soon. However, you should know that gymnastics should be prescribed exclusively by a specialist.

Very useful for sciatica sunbathing and swimming in hot weather, after which it is recommended to do a dry rubbing of the body or massage.

Equally important is the mode. So, when the back pain is unbearably acute, the leg of the diseased nerve must be at rest. Therefore, in acute inflammation, the patient is given bed rest for several days.

Under the sore leg is better to put a pillow, and keep the leg itself, slightly bent at the knee. If the heat "like" and relieves pain, then it is better to install a heating pad on the lower back. It is forbidden to lift weights, as well as to run or jump and ride a bicycle, for such patients after recovery.

In addition, they are strictly forbidden to sit on a cold surface, for example, on a stone, walk barefoot on a cold floor or lie on damp ground - nothing can be done that could lead to hypothermia.

In short, such a person’s legs and lower back should always be warm. You can swim in the sea or in the river only when the water temperature is more than twenty degrees. You can not be in one position for a long time. In summer, you can warm up your foot in the sand and in the sun. As for alcoholic beverages, they are not recommended to use.

Unconventional and folk treatment

The intensity of a painful attack along the sciatic nerve can be significantly reduced by one of the methods of alternative medicine. With inflammation well help:

  • acupuncture,
  • manual therapy
  • osteopathy.

No less effective and folk remedies that many relieve pain in the sciatic nerve. It can be rubbing or ointment, rubbing or compresses, which reduce inflammation and reduce pain. All of them basically have warming qualities. Most often for the preparation of ointments, decoctions and compresses, healers use black radish, natural honey, home agave, thyme and horsetail.

It should be remembered that any method of treatment should be applied only after consulting with a specialist, most often with a neurologist. The fact is that each method has its own contraindications. And sometimes it happens that instead of a healing effect, treatment brings even more serious health problems. Therefore, in no case is it recommended to self-medicate so that the disease does not get more severe or become chronic.

It should be understood that neuritis of the sciatic nerve or sciatica is a serious disease, which is why it is so important to consult a qualified specialist right away with the very first painful sensations. It is he who, after conducting all the necessary studies and analyzes, will be able to make the correct diagnosis and prescribe a treatment regimen suitable in a particular case.

Diagnostic features

Pathological pinching of the sciatic nerve is determined after examining the patient by the doctor and identifying symptoms specific to the disease. However, in order to establish the cause of pathology and eliminate it (if possible), it is necessary to conduct additional research.

To this end, the doctor prescribes a person with characteristic complaints X-ray examination, computed tomography of the lumbosacral, or instead, you can conduct magnetic resonance imaging of the same department.

Ultrasound and radioisotope scanning are also shown.

Medical events

Treatment with pinching the sciatic nerve can be both conservative and surgical - the choice of method depends on the severity of symptoms and the stage of development of the process. Primarily, doctors prefer to treat this disease with conservative methods, as this results in less risks to the health and life of the patient. To cure the disease, an integrated approach is important, that is, a combination of drug therapy with treatment-and-prophylactic measures and a change in the mode of life.

In the acute period, treatment with pinching of the sciatic nerve requires compliance with bed rest. The position of the patient's body should be fixed, so it is preferable to lie on a hard mattress. When the pain subsides, a person is allowed to move, but for this you should either use a cane or use the help of loved ones.

It is also necessary to treat the disease with the help of a diet - since a person has to spend a long time in bed, it is necessary to eat foods that do not cause the development of constipation - milk soups, vegetable soups, cereals. To exclude from the menu must be harmful products - fatty foods, fried foods, smoked meats, etc.

It is not necessary for the patient to be in the hospital - the pathology can be treated at home, the main thing is that the person should strictly follow the recommendations of the attending physician.

Drug treatment of sciatic nerve scars can be done with the help of such drugs as:

Ibuprofen, which relieves pain and inflammation (Ketanov, Ortofen, Denebol - drugs with the same effect as Ibuprofen) - are given as injections and tablets, depending on the severity of symptoms, Ranitidine, Almagel, Fosfulugel - drugs that can protect Gastrointestinal mucosa, Mydocalm, prescribed in case of severe cramps, vitamins (especially vitamins of group B) - it is best to inject vitamins, which is more effective.

If the pain is too strong, it is necessary to treat the pathology with the use of such a technique as novocaine blockade - injections are performed in the hospital.

The importance of treatment is given to exercise therapy. Special exercises for pinching the sciatic nerve make it possible to develop painful areas. They are mainly aimed at developing fingers and feet, and after the main symptoms subside, gymnastics is complemented by other exercises.

In particular, gymnastics in the period of attenuation of symptoms allows you to perform:

“Walking” on the buttocks, the exercise “bike”, exercises to bend the legs at the knees.

In addition, gymnastics involves performing exercises such as squatting with a support, as well as lifting the legs in an upright position.

With a responsible approach to exercise, gymnastics gives good results and allows you to develop limbs, returning their functionality to them.

But not only gymnastics is useful for people with this disease, they are also recommended the appointment of electrophoresis with wear, UHF, magnetic therapy, paraffin baths and other physiotherapeutic procedures.

Also shown is a massage when the sciatic nerve is pinched - it must be done in a hospital setting. It also does not hurt to carry out acupuncture and hirudotherapy. All these procedures give a good effect and allow you to cure the disease quickly enough.

Sometimes patients with pinched sciatic nerve treatment at home also gives good results. However, for this you need to find effective means for recovery. In particular, a gymnastics gives a good result if it is done at home in accordance with the recommendations of the doctor. Complement gymnastics injections of anti-inflammatory drugs. In addition, you can use the methods of traditional medicine, for example, the use of decoction of aspen leaves, or infusion of Hypericum, the imposition of wax compresses on the affected area, preparation and use of home ointments.

It is better to treat the sciatic nerve pinching in the process of remission of the disease, therefore, if possible, people should undergo a sanatorium-resort treatment. And in order to prevent relapse, you should lead a healthy lifestyle, eat right and play sports.

Watch the video: Extreme SCIATIC PAIN Relief with Y-STRAP Chiropractic Adjustment (September 2019).