Osteochondrosis with radicular syndrome develops when the infringement altered intervertebral discs spinal nerves. Radicular syndrome is manifested by severe pain in the course of nerve entrapment. Radicular syndrome is the main manifestation of osteochondrosis.
What causes low back pain with radicular syndrome
Radicular syndrome - is a series of neurological symptoms that appear when squeezed (infringement) of spinal nerve roots in their places of departing from the spinal cord and exit the spine. Radicular syndrome - the most characteristic manifestation of osteochondrosis
Osteochondrosis - Causes and symptoms
But it can appear in other diseases (spinal cord tumors, spinal tuberculosis
Tuberculosis of the spine - especially manifestations
, Spinal injuries, etc.), so to establish its origin is required examination of a patient.
Infringement of spinal nerves occurs in the presence of significant metabolic disorders in the intervertebral discs, that is, radicular syndrome suggests that the disease is quite a long time. The intervertebral discs become thinner this wee, crack, bulge beyond the vertebral column (disc protrusion), which leads to the infringement of nerve roots. When the fibrous ring of the intervertebral disc is destroyed, the nucleus pulposus, which is normally located inside the fibrous ring, beyond the spine, compressing the spinal nerve roots and the spinal cord itself - this condition is called disc herniation.
Promotes infringement spinal nerves heavy lifting, hypothermia, the presence of flat feet, high heels, weight. But at the heart of degenerative disc disease is a genetic predisposition - the structural features of the spine and tissue metabolism in their tissues.
The main symptom is pain radicular syndrome in the course of nerve entrapment. If the infringement of the spinal nerves of the cervical spine pain occurs in the neck, upper extremities, chest, with infringement of roots in the thoracic causing severe back pain along the intercostal nerves in the stomach, the heart, if infringed roots in the lumbar - appear pain, buttocks, lower limbs. The pain may be constant aching quite intense, and may be acute, as lumbago, gives to different organs and tissues in the course of nerve entrapment. Pain is almost always accompanied by disturbances of skin sensitivity, numbness, pins and needles, and so on.
As part of the spinal nerves in addition to sensory fibers also includes motor, with radicular syndrome appear movement disorders in the form of muscle weakness, paresis, at least - paralysis. Long flowing radicular syndrome leads to atrophy (decrease in volume) interested muscles.
Diagnosis and treatment
Since radicular syndrome may be an indication not only of degenerative disc disease, and other diseases, it is necessary to conduct a full examination of the patient. But if the pain is very strong, first remove them with the help of painkillers, and only then carry out the survey.
First of all, the spine radiography is assigned a multi-view. X-rays can be seen bony growths (osteophytes), and reducing the distance between the individual vertebrae - this suggests degenerative changes in the intervertebral discs. To clarify the diagnosis is carried out magnetic resonance imaging (MRI), which you can clearly see all the tissues, including nerve roots and intervertebral discs, as well as any changes have occurred to them.
Treatment of radicular syndrome begins with the prescription of bed rest (the patient must lie on a hard, flat surface, laid by the top with a thin mattress), exclusion from the diet products that can enhance the aggravation of the process (hot, sour, salty, smoked, fried, fatty), analgesics ( for the system, and for external use), drugs, relieves muscle tension neck and back (muscle relaxants), improves blood circulation (angioprotectors) and metabolism
Improves metabolism and losing weight without dieting
in cartilage (chondroprotectors), B vitamins
For pain relief techniques are widely used physiotherapy, manual therapy techniques and reflexology
Reflexology - a policy of non-drug therapies
After reducing the pain begin physical therapy exercises - gymnastics. Exercise first occasion in the supine position with the involvement of disinterested muscles. Then move to the exercises in sitting or standing, increasing the load. At the same time prescribe massage courses. Start better with a classic manual massage, but then can be used as a vacuum and massage apparatus.
If, despite treatment, the pain does not decrease symptoms of disorders of the pelvic organs (eg, voiding), the operation is conducted remove a herniated disc compressing the nerve root.