From the infringement of the sciatic nerve no one is immune. This may occur in the elderly due to the aging of tissues, and the young, with increased physical activity. And in fact, and in another case, a patient requires a full and proper examination of appropriate treatment.

Why might infringe upon the sciatic nerve

The reasons may be different, and the result is the same: always pinching the sciatic nerve causes its inflammation and swelling. With a slight infringement of this process affects only the shell of the nerve and the right timely treatment quickly enough passes. The inflammatory process in the sheath of the sciatic nerve is called sciatica Sciatica - and if it will affect the spine?   or sciatica. Sciatica manifests pains and minor violations of sensitivity.

If the process progresses, it captures all the nerve and this process has already called neuritis Neuritis - nerve damage   (inflammation) of the sciatic nerve or sciatica Sciatica (sciatica) - is not a disease . In this case, the disease is manifested not only pain and violation of sensitivity, but also the loss of function of muscles innervated by the nerve of the data.

Infringes the sciatic nerve in the elderly may be on a background of osteoarthritis or herniated disc. In fact, and with other infringement occurs in the case of the exit site of spinal nerves of the spinal cord. Sprigs of spinal nerves that extend from the last lumbar and first sacral vertebrae, forming the sciatic nerve in the future, so give pain in his turn.

Sometimes the nerve prejudiced if the individual joints of the vertebrae are displaced relative to each other. This condition is called spondylolisthesis, and more often bilateral. Impingement of the sciatic nerve in this case may also be bilateral.

Athletes, especially engaged in power sports, cause prejudice to the sciatic nerve may be an increase in the piriformis muscle under which the sciatic nerve The sciatic nerve: how to avoid the excruciating pain?   It passes in the buttocks.

And one possible reason of infringement of sciatic nerve - a tumor that may be either benign or malignant, and based on their own tissue of the sciatic nerve or surrounding tissue. In this case, the pain differ constancy.

Signs infringement

The first sign of infringement of sciatic nerve pain is. Usually pain appear in the form of attacks, they are sharp, stabbing, cutting, burning. First, they usually appear in the lumbosacral region, and then distributed along the sciatic nerve in the buttock, hamstring, thigh and foot. But this is not always, as the pain occurs first at the place of infringement, and then spread along the nerve.

Cause such pain may be sharp movements, torso twists, raising even small weights, laughing, coughing, sneezing, emotional stress. The attack of pain often resolves on its own. Over time, patients adapt to take such attacks change in body position. Pain may be of a permanent nature and, intensifying under the influence of provoking factors.

As a result, pain appears protective tension of muscles on the affected side, which further intensifies the pain. In order to reduce the pain, the patient bends the trunk to the opposite side and walking trying to rely mainly on the good leg. This can lead to distortion of the spine. Gait in patients with infringement of the sciatic nerve is also very peculiar: they rely on the good leg, bending the sick.

Sensory disturbances appear mainly in the form of its reduction or enhancement.

What if there was a suspicion of infringement of sciatic nerve

If there is persistent pain in the back and the leg or regular bouts of pain, it should be as soon as possible address to the neurologist, until the process captured the nerve entirely. Neurologist suggest the diagnosis already on the basis of one survey. However, to clarify the diagnosis will have to be examined. Any bone changes will be seen on radiographs of the spine.

But if there are no changes, it does not mean that everything is fine: changes in the intervertebral discs and tumors can only be detected by a computer or magnetic resonance imaging (CT or MRI). Some types of tumors can be seen only when the radioisotope study - scintigraphy of the spine.

Treatment

First, the doctor will do anything to relieve the pain. Analgesics and procedures are prescribed even before the results of the survey. Assign painkillers and anti-inflammatory drugs in the form of injections, tablets for oral, rectal suppositories or external means. Locally severe pain when allowed to apply the cold - it causes a spasm of blood vessels, eliminate swelling and pain. After receiving the data diagnostic examination can be carried out thermal and physiotherapy (they can not do in the tumor).

If conservative treatment does not help, have resorted to surgery - eliminate the cause of the infringement of the sciatic nerve by the operation.

Galina Romanenko

Phenibut - a drug that combines the property of nootropics and tranquilizers. Side effects from the drug a little bit, however, it should be used only on prescription. That doctor needs to choose the individual dose for a particular patient phenibut and duration of treatment.

The main action phenibut

Phenibut has a positive effect on metabolism Improves metabolism and losing weight without dieting   in brain cells and increases their resistance to various effects, including the lack of oxygen and intoxications. This leads to the recovery of higher brain functions - memory, learning ability, mental performance (nootropic effect).

Simultaneously Phenibutum has an inhibitory effect on the central nervous system (CNS) and this causes the tranquilizing effect - removes anxiety, unfounded fears, recovering sleep are symptoms of disorders of the autonomic nervous system (ANS innervates internal organs and blood vessels). This Phenibutum virtually no sedative action, on the contrary, it is slightly activates the central nervous system.

Such a wide spectrum of action allows the use of this drug in various neuropsychiatric diseases Mental illness - ashamed to ask for help? And for diseases of internal organs.

Side effects phenibut the central nervous system

Phenibut - a psychotropic drug Psychotropic drugs and their effect on the brain He is generally well tolerated, but in some cases may affect the opposite as expected. Much of this depends on the individual characteristics of the patient, including the features he inherited metabolism in the brain. Best Phenibutum operates when its main action coincides with the existing symptoms of the disease in the patient.

Side effects may occur phenibut to enhance anxiety and fears, new or worsening irritable weakness (asthenia). Simultaneously, the patient may increase headaches, dizziness occur. Often, these patients become lethargic and drowsy.

In some cases, these effects are not expressed and appear only at the beginning of treatment, and then go on their own and do not require discontinuation of therapy. In other patients with the same side effects may increase, and it already requires the revision of treatment.

Finally, experience shows that long-term use in some patients develop tolerance to the medicinal product, which is why Phenibutum must appoint a physician.

Side effects phenibut by the liver and the gastrointestinal tract

Phenibutum well absorbed in the gastrointestinal tract and into the tissue. Then, it is decomposed in the liver to metabolites and excreted primarily in the urine. Such movement phenibut body indicates that a sufficiently high load when it is received on the liver.

In some cases, the prolonged administration of high doses Phenibutum adverse effect on the liver cells, causing transient disturbances of its function. Most often this is due to any disease of the liver or bile ducts, or hereditary characteristics of the structure and functioning of this body. If signs of hepatic insufficiency Phenibutum overturned. Liver dysfunction are contraindications for appointment phenibut.

Phenibut can irritate the mucous membranes of the gastrointestinal tract. In this case, early treatment of nausea. Due to such properties Phenibutum not recommended in patients with erosive and ulcerative lesions of the stomach and intestines.

What other side effects can be when taking phenibut

First of all, it is an allergic reaction. Phenibut only available in tablet form for oral administration, dosage form, rarely cause severe allergic reactions, usually itchy rash or hives. However, such an allergic reaction and require immediate discontinuation.

Can I use Phenibutum during pregnancy and breast-feeding

Most manufacturers recommend caution and only for health reasons to appoint the drug during pregnancy and nursing Breastfeeding - a personal choice   feeding. However, some manufacturers (for example, the Belarusian pharmaceutical company Belmedpreparaty) does not recommend the use of its proprietary Phenibutum pregnant women and nursing mothers. Obviously, this is due to the lack of clinical trials of the drug in these group of patients.

Phenibut - an effective psychotropic drug with minimal side effects. However, the doctor must prescribe it.

Galina Romanenko