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.

Treatment

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.

Galina Romanenko

Glycine - a drug that improves metabolism in brain cells. It protects brain tissue from toxic damage and stress and is used to improve the neuro-psychic activity, high emotional stress, insomnia, effects of traumatic brain injury and stroke.

The mechanism of action of glycine

Glycine (aminoacetic acid) is available in tablets for oral (under the tongue). One tablet contains 0, 1 g of the active ingredient. The main active ingredient is the amino acid glycine, acting as a neurotransmitter (a substance that transmits nerve impulses from neuron to neuron). Glycine has an inhibitory effect on the central nervous system. Antioxidant and anti-toxic effect of glycine prevents damage (including those caused by alcohol) and premature aging of neurons.

Against the background of course taking glycine reduced vegetovascular manifestations, stabilizes blood pressure, heart rhythm is restored, it has resilience and is especially useful to patients after traumatic brain injury and stroke.

When administered glycine rapidly absorbed into the blood enters the tissues, including overcomes the blood-brain barrier and into brain cells, but does not accumulate in the body. In the liver, glycine is decomposed into carbon dioxide and water.

Indications and contraindications for use

Glycine is prescribed for violations of mental capacity, high nervous and mental load, stress, disorders of behavior and adaptation in a group of children and adolescents as part of rehabilitation treatment after a traumatic brain injury, stroke, neuroinfections and severe stress, the treatment of perinatal (during the second half of pregnancy, childbirth and in the first week after birth) lesions of the nervous system. Glycine is used in the treatment of chronic alcoholism.

In addition, it is prescribed for any diseases that are accompanied by irritable weakness, anxiety, low mood, reduced mental capacity, violation of sleep and night sleep Dreams: how to understand our dreams .

Contraindications to the use of glycine is only heightened sensitivity to the patient.

How to take

Certainly, glycine is better to take on prescription. Nevertheless, it is absolutely non-toxic drug that can be bought over the counter without a prescription.

Take glycine under the tongue, laying his cheek or in powder form (rubbing pill). Dose and duration of its reception depends on the patient:

• with high stresses and loads neuropsychiatric glycine healthy people can take one tablet twice or three times a day for two to four weeks; the same treatment can be carried out at a deviation (behavioral disorders) in adolescents;
• at any diseases of the nervous system in children under three years of age who are accompanied by increased emotional excitability, irritability Irritability - you try to control my temper , Aggression, anxiety Anxiety - how to distinguish normal from disease? , Insomnia, glycine designate half tablets (50 mg), two or three times a day for one to two weeks, and then for a week - half a tablet for once daily; children older than three years and adults appoint one tablet two or three times a day for two to four weeks;
• insomnia age dose of glycine take a few minutes, or just before bedtime;
• after ischemic stroke glycine to give the patient should start as early as possible is the best welcome 10 tablets glycine (1 g) in the first three - six hours; a pill to put under the tongue, cheek or dissolved in a teaspoon of water; the first five days post stroke patient must take 10 tablets, and then go to the usual dose for tablet three times a day for four weeks;
• chronic alcoholism in remission glycine administered as part of a treatment to prevent recurrence of the disease, improving brain one tablet three times a day for two to four weeks;
• removal binge chronic alcoholism administered glycine: first one tablet after 20 minutes past an hour - a third, and then over two tablets three times a day.

Side effects

Side effects of glycine are known only to allergic reactions which are rare and are manifested as an itchy rash.

Glycine - a drug that helps restore the normal functioning of the brain.

Galina Romanenko