There are many ways to treat diseases of the sciatic nerve. All of them carried out only after the required examination of the patient and establish a definitive diagnosis, that is, to identify the causes of the onset of disease sciatic nerve. But the pain of trying to take off immediately.
Basic principles of treatment of diseases of the sciatic nerve
Since all of the sciatic nerve disease accompanied by severe pain, the main principle of treatment is that the patient as soon as possible try to relieve the pain of all accessible and safe methods.
The basic treatment is done only after a full examination. Even warming and physiotherapy before the end of the survey is not indicated, as they may stimulate the growth of tumors.
Acute diseases of the sciatic nerve, and exacerbation of chronic diseases require bed rest, in the rest of the time patients received exercises, massage and tempering procedures, task - to prevent the recurrence of the disease.
Conservative treatment
When severe pain treatment begins with the prescription of bed rest, diet and painkillers.
Bed rest must be observed until after a lot of pain. Lie on your back with a better half-bent leg at the knee. By foot, you can put a pillow.
The diet of a patient with severe pain should be mainly dairy plant. Excluded are sharp, smoked, fatty, sugary, fried foods, alcohol, and sugary soft drinks, strong tea and coffee - all of which can irritate the inflamed tissue and pain increase.
As an anti-inflammatory and analgesic agents are appointed by nonsteroidal anti-inflammatory drugs (NSAIDs), which reduce inflammation, swelling and pain. Today, preference is given to NSAIDs like nimesulide
Nimesulide - promising Analgesic drug
, Movalis
Movalis - relieve symptoms of inflammation
, Arcoxia and other instructions which indicated that they inhibit the action of COX-2 only and do not affect COX-1. This means that the drug inhibits the inflammatory process without causing side irritating the gastric mucosa. Cyclooxygenase, or COX inhibits the formation of prostaglandins - substances that are involved in the formation of inflammatory response (COX-2), and protect the stomach from irritation of various factors (COX-1). NSAIDs, which were issued earlier (diclofenac, indomethacin, ketorol et al.) Inhibit the action of the entire COX, therefore causing complications in the stomach.
The latest generation of NSAIDs are usually well relieve pain, they are administered before a full examination, unless the patient is no contraindication to its use. Pending the results of analyzes to the site of inflammation and pain can be applied cold - it also helps relieve swelling and pain.
But sometimes, when severe pain that does not work, and then after examination of the patient to relieve the inflammation, swelling,
Prevention and treatment of edema - it is important to understand the root cause
pain and prescribe a short course of steroid or glucocorticoid hormones (such as prednisone). In some cases, steroids are injected directly into the site of inflammation as an epidural injection - the place where the infringement occurred the spinal cord.
After elimination of the tumor patient can be prescribed thermal and physiotherapy. If it is treated as an outpatient procedure at home, the suit warmer, compresses, dry heat, various warming and distracting grinding (eg, ointments with bee or snake venom, and so on). After calming down of acute pain can go to physical therapy in a clinic.
If the patient is in the hospital, the physiotherapy can be done after the final diagnosis, instead of thermal treatments. It phonons and electrophoresis of drugs with analgesic, UHF, magnetic, applications and ozocerite wax and so on.
Surgical treatment
If the disease is not amenable to conservative treatment and pain are very strong hold, then addressed the issue of the operation. There are many methods of operations in a variety of types of infringements of the sciatic nerve. During the operation can be partially or totally remove any intervertebral disc, remove growths on the spine caused by degenerative disc disease, and so on.
Today, such operations are conducted largely sparing endoscopic method using special optical devices - endoscopes. Endoscopic surgery minimally invasive, better tolerated by patients, after a recovery period is shorter.
After subacute or after surgery is recommended to conduct water treatment which can be carried out both at home and in sanatorium conditions (but only in a state of stable remission). Assign baths, showers, traction, mud
Mud - a pleasant and useful procedure
and so on.
Galina Romanenko