Back pain and sciatica (inflammation of the sciatic nerve)
The problem if you have pain in the lumbosacral spine is often a phenomenon proven to many individuals, especially with the ages of 40-60 years. This condition is known as sciatica or lumbar radiculopathy (radiculitis on the list of inhabitants). This is the chronic neurological pathology a result of compression of the sciatic nerve. The sickness comes with intense pain, stiffness of movements along with a number of other symptoms.
Sciatica is diagnosed in older adults of both sexes, often noticed in pregnant women. Radiculitis does not pose a menace to life, nevertheless its quality reduces significantly, depriving somebody of activity and ability to work. Therefore, if you feel you have sciatica, immediately contact a neurologist or chiropractor. Timely treatment will relieve pain, adequate diagnosis will identify and get rid of the source with the disease.
Reasons for inflammation of the sciatic nerve
Pain in sciatica occurs as a result of compression or irritation of the sciatic nerve. The sources of compression include any local inflammation, trauma towards the lumbosacral region as well as other factors:
– intervertebral hernia or disc protrusion;
– exposure to pathogenic microflora, including tubercle bacillus, streptococci, staphylococci, gonococci;
– infectious diseases – influenza, typhus, malaria, syphilis, scarlet fever;
– metabolic diseases – gout;
– local osteophytes;
– diabetes;
– spondylosis from the vertebrae in the lumbosacral region;
– osteocondritis in the spine;
– progression of cicatricial modifications in the exit zone of roots – – sciatic nerve;
various spinal injuries;
– scoliosis with the lumbosacral region.
The presence of sciatica affects a person’s motor function. As well as pain in the lower back, there is a lack of flexibility from the hips and pelvis, decreased sensitivity, limited mobility within the knee joint and ankle along the side of the lesion. Compression with the sciatic nerve can disrupt bowel and bladder function, inducing the patient to have fecal and urinary incontinence.
Signs and symptoms of lumbar radiculopathy
The clinical picture of sciatica develops gradually. To start with, a slight discomfort is felt from the lumbar region, turning into tolerable pain. Irradiation of painful sensations is observed in the buttock and along the posterior projection from the thigh. At this stage, an individual thinks that he is simply sick and tired with physical labor and perceives the trouble because norm. In the foreseeable future, increased exercise can provoke a severe attack, if the pain literally fetters one’s body.
Along with stabbing, burning and shooting pain, vegetative and neurological disorders occur:
– decreased sensitivity of the limb assisting the lesion;
– the contrary option – increased sensitivity in the buttocks and legs;
– weakness from the ankle;
– violation in the functionality of the pelvic organs.
Diagnosis and treatment of sciatica
Sciatica can manifest differently in different people. The examination starts with historical past to recognize concomitant diseases, which regularly helps to establish your initial source of a pinched sciatic nerve.
This can be then physical testing to find out what structure provokes compression or irritation. In line with the outcomes of the identification, the doctor provides the patient reveal set of the identified pathology. With a lack of knowledge, the doctor can refer the sufferer to X-ray, CT and MRI.
Treatments regimen depends on the cause of sciatic nerve compression. If your source of sciatica is a herniated disc, it really is well given chiropractic. After eliminating the cause of sciatica, its symptoms decreased on their own.
Tend not to torture yourself with pain and do not bring the matter to surgery. Promptly, contact experts of treating diseases of the musculoskeletal system, doctors with deep understanding of the anatomy and physiology in the human body.
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