The problem when there is pain in the lumbosacral spine is often a phenomenon proven to a lot of people, especially in the chronilogical age of 40-60 years. This complaint is termed sciatica or lumbar radiculopathy (radiculitis on the list of inhabitants). This is a chronic neurological pathology caused by compression from the sciatic nerve. The sickness comes with intense pain, stiffness of movements along with a amount of other symptoms.
Sciatica is diagnosed in adults of both sexes, often observed in pregnant women. Radiculitis will not pose a threat to life, nevertheless its quality reduces significantly, depriving an individual of activity and talent to function. Therefore, if you feel you have sciatica, immediately speak to a neurologist or chiropractor. Timely treatment will relieve pain, adequate diagnosis will identify and eliminate the source from the disease.
Factors behind inflammation with the sciatic nerve
Pain in sciatica occurs on account of compression or irritation from the sciatic nerve. The causes of compression include any local inflammation, trauma on the lumbosacral region and other factors:
– intervertebral hernia or disc protrusion;
– contact with pathogenic microflora, including tubercle bacillus, streptococci, staphylococci, gonococci;
– infectious diseases – influenza, typhus, malaria, syphilis, scarlet fever;
– metabolic diseases – gout;
– local osteophytes;
– spondylosis of the vertebrae in the lumbosacral region;
– osteocondritis with the spine;
– development of cicatricial changes in the exit zone of roots – – sciatic nerve;
various spinal injuries;
– scoliosis of the lumbosacral region.
The existence of sciatica affects a person’s motor function. Together with pain in the back, there’s a decrease of flexibility in the hips and pelvis, decreased sensitivity, limited mobility from the knee joint and ankle to the side of the lesion. Compression in the sciatic nerve can disrupt bowel and bladder function, causing the patient to have fecal and urinary incontinence.
The signs of lumbar radiculopathy
The clinical picture of sciatica develops gradually. At first, a small discomfort is felt from the lower back, turning out to be tolerable pain. Irradiation of painful sensations is noted from the buttock and across the posterior projection from the thigh. At this time, an individual thinks he is simply fed up with physical labor and perceives the problem since the norm. In the future, increased physical exercise can provoke an intense attack, when the pain literally fetters your body.
Along with stabbing, burning and shooting pain, vegetative and neurological disorders occur:
– decreased sensitivity in the limb to the side of the lesion;
– the other option – increased sensitivity of the buttocks and legs;
– weakness from the ankle;
– violation from the functionality of the pelvic organs.
Treatment and diagnosis of sciatica
Sciatica can manifest differently in various people. The examination starts with the historical past to spot concomitant diseases, which frequently helps to establish the original reason for a pinched sciatic nerve.
This is accompanied by physical testing to determine which structure provokes compression or irritation. According to the outcomes of the identification, your physician increases the patient a detailed report on the identified pathology. Having a lack of knowledge, a doctor can refer the individual to X-ray, CT and MRI.
The procedure regimen depends on the main cause of sciatic nerve compression. If the source of sciatica can be a herniated disc, it really is well addressed with chiropractic. After eliminating the reason for sciatica, its symptoms decreased independently.
Tend not to torture yourself with pain and don’t bring the matter to surgery. Regularly, contact professionals in the field of management of diseases with the musculoskeletal system, doctors with deep familiarity with the anatomy and physiology in the human body.
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