The sciatic nerve is composed of as sensitive, the same motor twigs, so his injury is almost always accompanied by severe pain. How long will the pain depends on the degree and nature of the nerve fibers of the sciatic nerve.
What is sciatica
Neuralgia of the sciatic nerve pathological process affects nerve perineural sheath without touching the nerve itself. Therefore, the main feature of such a defeat are in pain. It may be aching, tearing, stabbing or burning pain, which are located on the first back of the thigh, and then give to the shin and foot in the course of the tibial and common peroneal nerve, which is divided into the sciatic nerve
The sciatic nerve: how to avoid the excruciating pain?
in the popliteal fossa.
If the sciatic nerve is struck high above the gluteal fold, the pain begins with the buttocks, and then extended to the lower back, thigh, shin and foot. Pain usually starts gradually, rarely - acute, increasing (in the form of lumbago) with sharp bends torso when lifting heavy objects, and so on. Such pain may be accompanied by disturbances of sensation in the form of pins and needles or numbness of body parts of the body, the tide of blood to this area, and hot flashes or, conversely, cold. Pain become stronger during walking just upright and when sitting on a hard stool. At the same time the patient instinctively takes a forced situation, contributing to a decrease in pain, for example, in the standing position, he bends slightly injured leg, with an emphasis on health. When severe pain may even develop a curvature of the spine in a healthy way.
Neurological symptoms of neuralgia
There are tender points located between the last lumbar and first sacral vertebrae in the middle of the buttocks, in the popliteal fossa, over the head of the fibula and in the middle of the inner surface of the sole. With plantar flexion of the foot there is a pain in the course of the peroneal nerve (Sukkar symptom), and strong plantar flexion of the thumb there is a pain in the calf muscles (a symptom of Turin).
There are also a number of painful tonic reflexes: abdominal muscle strain when lifting straightened legs with the patient lying down (a symptom Vengerov), involuntary flexion of the patient knees during the transition from a prone position to a sitting position, legs bending the patient's head is tilted.
Gait patient with sciatica and is peculiar: due to the severe pain he walks hunched and his hand resting on his knee healthy feet or both hands leaning on a cane. This bad leg is half-bent and the toe touches the floor only, and all the patient's body rejected the healthy side.
Patients can appear violation of the sensitivity of the skin in the affected area in the form of its increase or decrease. Sometimes there are painful muscle spasms hamstring. The skin in the feet and toes can be reddened or, conversely, too pale, it appears in the feet and excessive sweating.
In mild cases of sciatica
Sciatica - and if it will affect the spine?
gradually passes under the influence of treatment. But sometimes it is the initial phase of neuritis, in which affected not only the shell but also the nerve fibers themselves. Then, to the pain and other symptoms of irritation of the sciatic nerve joining motor and sensory disorders.
In the acute phase of the disease the patient must comply with bed rest. For the lumbar region and sacrum applied warmer, mustard, dry heat (warm sand, salt), hold warming physiotherapy. Assign also painkillers, such as nonsteroidal anti-inflammatory drugs (diclofenac, nize, Voltaren
Voltaren - relieve inflammation and pain
and so forth) in the form of ingestible tablets, rectal suppositories, injections or ointments. There are also various types of novocaine blockade.
For pain relief and physiotherapy are used: electrophoresis with novocaine, ultraviolet irradiation erythema (redness up) doses, UHF, paraffin and mineral wax to the affected area and so on.
If the pain associated with spinal osteochondrosis
Osteochondrosis - Causes and symptoms
, The patient is prescribed to wear a special belt that supports the spine and spinal traction is carried out.
In chronic forms of neuralgia and neuritis shown a spa treatment in the state is acute, for example, in Pyatigorsk, Sochi, and so on. In terms of the resort held hydrotherapy (hydrogen sulfide, sulfur, radon baths), mud, paraffin and ozocerite baths.
When initiated promptly and properly conducted treatment of sciatica can go really, but it is not excluded that there may be a recurrence of the disease.