Sudden pain is familiar to many, it may appear when turning the body, lifting weights and even a failed rising from a sitting position in people with a high body weight. The pain is so strong and sudden that such a state is called lumbago.

Reason pinched nerve in lower back

Sharp sudden intense pain called lumbago. Lumbago attack appears often in osteochondrosis - degenerative diseases of the spine.

When osteochondrosis primarily affected intervertebral discs - Special padding Feminine pads - talk about wings   between the vertebrae. The disc is a connective (fibrous) ring, which is located inside the elastic core. When osteochondrosis discs gradually lose its cushioning properties and destroyed, some of them may be beyond the spine, nerve roots of prejudice. It is this process and causes severe pain.

Starting torque of nerve entrapment is lifting weights, a sharp turn of the body, hypothermia, etc. A predisposing factors include a sedentary lifestyle, poor diet and overweight.

Symptoms

The pain of lumbago can be a very strong person then becomes completely still because even a slight movement causes severe pain. Along with pain there is a protective muscle spasm, which the pain becomes even stronger. Pain can stay from several minutes to a day or more. It is easier to become only if the patient lies on a flat, hard surface.

It is also characteristic feeling sick "click", which seemed to return everything in place, with the result that the pain goes away. Some pain during this stay, but they are already low. But the patient is already very afraid of any sudden movements, fear of pain binds its motor activity. And this is justified, since even at low voltage (for example, when taking a different position), pain may return. Often this condition continues for a long time, often renewed, severe pain in the form of lumbago.

Diagnosis and treatment

Proper treatment can only be assigned after the establishment of the causes of nerve entrapment. To do this, the patient is carried out a number of studies: X-ray images, computed tomography, and, if necessary, magnetic resonance imaging.

Begin treatment with the fact that the patient is placed on a firm, level surface - it immediately becomes a little easier. On such a surface should lie at least a week, observing strict bed rest. After that, the patient is prescribed painkillers - non-steroidal anti-inflammatory drugs (NSAIDs). They can be administered by injection, ingest and systemic treatment is combined with an outer - in the form of ointments and gels, which also contain anesthetic agents. External used as means of distraction (eg, bee and snake venom) in order to make the anesthesia and novocaine blockade. When severe pain also prescribe physiotherapy, has analgesic effect.

In order for the patient normal sleep at night it is prescribed hypnotics, and in the afternoon - soothing (sedative) funds. Of great importance is the removal of spasm of the muscles of the back, which greatly increases the pain. To do this, appoint special preparations - muscle relaxants, such as Mydocalmum Mydocalm: drug from muscle spasms . Midokalma action mechanism is that it inhibits the behavior of nerve impulses along nerve cells and blocks carrying motor impulses in nerve cells - information from skeletal muscle enters the central nervous system is limited and is blocked, and the response of the nervous system. Relaxes back muscles and massage therapy, as well as methods of treatment using acupuncture Reflexology - a policy of non-drug therapies   (acupressure, acupuncture, moxibustion).

The patient was prescribed a special diet that eliminates sharp, salty, smoked food, fatty meat, strong meat and fish broth - all these foods aggravate pain sensitivity.

In some cases, appointed by stretching the spine, including scuba and unloading on special simulators. After the pain will be less intense, the courses of massage and physical therapy. Carefully, trying not to damage the spine, conduct courses of manual therapy Chiropractic: the main thing - to choose the competent expert . After the aggravation is over, it is possible to carry out the spa treatment.

The patient is advised to avoid heavy physical exertion, shaking stay in the damp and cold rooms. Some people recommend even change the profession, for example, such a patient is difficult to work as a driver. But he must maintain a sufficiently high level of motor activity and lose weight.

Galina Romanenko

The cause of a pinched nerve in his hand does not have to be some kind of visible injury; often it happens at a constant support for the elbows, for example, office workers. But cause pinching of the nerve in the hand can also be a significant trauma and tumors.

What nerves to the hand most often injured

Our hands are arranged so that the most injured radius and ulna nerve.

The radial nerve - is a mixed nerve fibers of which consist of the motor and sensory fibers. It is on the rear surface of the forearm and innervate muscles located in this area, and the outer skin of the back surface of the lower half of the shoulder, forearm and hand.

The ulnar nerve is also mixed, it is on the inner surface of the shoulder, arm and goes to brush innerviruya all adjacent tissue and part of the fingers.

Causes

Entrapment of the radial nerve often occurs as a result of injury or fracture of the shoulder or upper arm. But sometimes the injury may not be very evident, such as squeezing a nerve in his sleep Dreams: how to understand our dreams Especially if sleep is associated with alcohol or drugs, for any long-term presence of hands in a fixed position (for example, when connected the hands). The reason may be a growing tumor of the nerve or surrounding tissue, and scars left after injuries and surgeries on the hand.

Entrapment of the ulnar nerve often occurs with injuries of the elbow or lower arm. But more often the result of a pinched microtrauma at office workers who constantly abut elbows on the table, or in people who spend long hours in the wheelchair, his elbows on the armrests. Tumors and scars may also cause pinched ulnar nerve.

Signs

When pinching the radial nerve Entrapment of the radial nerve - a slight loss of motor functions   disruptive to the extension arm, while the forearm is flexed, hanging brush, fingers slightly bent. Upset at the same sensitivity as numbness and tingling of the skin appears in the back of the shoulder, forearm, wrist on posteroexternal half, the middle phalanx thumb, index and middle fingers partially.

Entrapment of the radial nerve in the lower half of the shoulder and at the beginning of the forearm causes dysfunction of the extensor finger phalanges adjacent to the brush, and the remaining extension of the phalanges not completely disrupted due to the stored function intercostals muscles.

When jamming of the radial nerve in the carpal joint injured radial nerve ending with a large number of autonomic fibers innervating blood vessels, which leads to edema, cyanosis, and cooling back of the hand. Pain in this are rare.

Prolonged pinching radial nerve muscles that it innervates, gradually atrophy (decrease in volume) and lose their function.

Entrapment of the ulnar nerve leads to disruption of flexion and abduction of her mouth, complete breakdown of the little finger flexion, bending part, the ring finger and bring the infringement of the thumb. And so as a function of the extensors is not broken, brush takes the form of claws: fingers unfolded in phalanxes, adjacent to the brush, middle, ring and pinky fingers are slightly bent in the middle and end phalanges.

It violated when pinching the ulnar nerve The replacement of the ulnar nerve - tingling in the hands of more and more   and sensitivity to the back of the hand and fingers. There are pain radiating to the little finger and the blood circulation in this area (the result of vegetative disorders).

Diagnosis and treatment

The main place in the diagnosis of such lesions take special techniques (tests) that performs the doctor to clarify the diagnosis. In addition, X-ray examination is performed in order to identify limb fracture and his character by trauma or tumor, if the injury was.

If a nerve is injured, but his integrity is not compromised, it should be conservative therapy. Prescribed drugs, reduces inflammation, swelling, Prevention and treatment of edema - it is important to understand the root cause   tissue, muscle spasm and blood vessels, pain relievers. Widely used physiotherapy.

If the integrity of the nerve is broken, then the operation is conducted - the nerve sutured. Operation need and if the tumor has led to pinching - it is removed.

Main during a pinched nerve in the hand immediately consult a doctor - in a timely manner prescribed treatment will lead to the full restoration of hand function.

Galina Romanenko