A pinched nerve in the lower back
A pinched nerve in the lower back is not precisely defined by the medical staff of the reasons and severe individual symptoms. There is not one point of view of professionals on the causal factors and symptoms may indicate the presence of different pathologies. The treatment of this disease is also carried out by different techniques.
Consensus on these issues of modern medical practice to date has not reached. Age category, subject to the maximum extent this pathology, not detected, since a pinched nerve in the lower back can get a person of any age and gender. Practical studies of the problem show that the treatment is carried out mainly to men 30 years of age with complaints of lumbago in the back due to excessive physical stress or hypothermia.
Nerve entrapment occurs as a result of compression of the spine due to the narrowing of space between discs in the spine. This is possible if the muscle tissue is in a state of spasm, if in the spine, formed a hernia or protrusion. Symptoms – acute tearing pains in the back, which characterize not only the problem. So many patients back pain is often attributed to sciatica, independently take the wrong treatment, starting the disease. This can lead to serious consequences including paralysis of the limbs.
Possible causes of the disease
Infringement of the nerve root may occur under the influence of many factors:
- aggravation of degenerative disc disease;
- trauma to the spine;
- regular intensive heavy load;
- obesity, the presence of excess weight;
- the lack of motor activity;
- the imbalance of substances, the lack of microelements, vitamins;
- poor nutrition.
Identified the cause of back pain determines the further treatment. In osteochondrosis, the cartilage of the intervertebral discs degenerate, the spine constricts the boundaries between the individual vertebrae. Passing through these gaps the nerve roots are compressed, and the muscles come into a state of neurological spasm. This provokes unrelenting, exhausting pain in the back.
Usually against painful debilitating pain used symptomatic treatment painkillers not solve the underlying problem, but it gives the opportunity to alleviate the patient’s condition. The cause of compression of the nerve root often becomes a sedentary lifestyle, physical fatigue, the presence of excess weight. Traumatic deformation in the spine is extremely dangerous.
Pinched nerve root in the back can lead to further disability. Intense physical activity, a sharp lifting heavy loads with the main load on the spinal muscle provoke acute pain in the lower back with the impact in the foot for squeezing the nerve endings. Hypothermia or trauma cause long-term pain with unpleasant consequences.
Common causes of infringement of the – spinal canal stenosis, hernia of intervertebral disk, age-related changes in tissues, osteoporosis, osteochondrosis. In fact, on the spine holds the entire human skeleton, and the pelvic area accommodates the initial point (beginning) of the sciatic nerve. In the adult the diameter of the sciatic nerve is about 10 mm. Through 2 holes in the bones of the pelvis 2 nerve pass down the thigh to the feet, to foot along the center line of the rear side.
Sensitive nerve tissue the top cut protects the gluteal muscle, the muscle tissue of the thigh. Delicate nerve endings entwine joints, provide motor function of the muscles of the thighs, buttocks. From popliteal region nerve diverges into two branches and goes down already divided, innerwire the skin, joints, muscles of the foot, ankle. When compressed, the compression of a section of the there are various by the nature and intensity of pain syndromes.
The elderly should periodically undergo inpatient survey. At the first signs of pathology you need to see a doctor. Specialist will analyze the situation and prescribe preventive treatment.
Symptoms of the disease
Symptoms of disease – pain, muscle numbness, dysfunction adjacent to the region of pinching of the internal organs (rare). Local pinching of the autonomic, motor nerves and lead to various pathological conditions:
- pain in the sacrum, moving the buttocks and the back of the leg (sciatica);
- back pain, lumbar region (lumbalgia);
- migrating pain from the waist to the back of the lower limbs (lumboischalgia);
- pain in the neck and arms (cervicobrachialgia, cervicalgia);
- burning, tingling waist, moving to the back of the legs (sciatica).
Sciatica you experience the following symptoms: weakened structure of muscle tissue, reduced mobility, local pain of the feet, aggravated by sneezing, coughing, laughing. In the presence of obesity cause pinching of the sciatic nerve is often overweight. People with overweight are observed additional symptoms, is characteristic of degenerative disc disease and arthritis.
Diagnostic and therapeutic procedures
Symptoms of entrapment are similar in nature to the manifestations of other diseases. To assign the correct treatment, it is necessary to conduct a detailed survey of the patient to perform his complaints, to study the symptoms in the dynamics of the past and current periods. Then, to confirm the diagnosis should be the procedure of myelography, magnetic resonance tomography, an x-ray. Based on these data, the patient is assigned to treatment:
- the electromassage;
- vibratory massage;
- extracorporeal shock wave therapy;
- overall, acupressure;
- physical therapy;
If there is no protrusion, herniation, shown medications, taking pain medications. The patient is prescribed a gel, cream or ointment for topical application to the affected area. With the aim of anesthesia performed novocaine blockade in areas where out nerve endings, forming a maximum painful spot. The patient receives injections of a nonsteroidal anti-inflammatory agents (ibuprofen, voltaren).
Additional recommendations included acupuncture, physiotherapy, activities, weight loss, nutritional intervention. The patient should sleep on a hard flat surface, lying on his back, to abandon bad habits, to cancel physical exercise with a high load, replacing them with classes in physical therapy.
Secondary remission procedures require therapeutic massage, reflexotherapy, UHF, electrophoresis with the introduction of an anesthetic drug to relieve residual pain phenomena. Particularly serious cases require referral of the patient to health resort treatment in a dispensary.
If the pain is in the back not started timely treatment, may develop neuropathic changes. This can have serious damage to the spinal nervous system. Recovery of motor function may take several years.