Causes and treatment of the symptoms of pinched sciatic nerve

Prevention and treatment the main symptoms of pinched sciatic nerve

A pinched sciatic nerve is a pathological condition involving mechanical compression of the nerve trunk from the spinal canal.

The sciatic nerve is the largest nerve in the entire human body, it is responsible for motility, sensibility and trophic lower limbs, pelvic region and lower body. His function depends on the interaction of all parts of the body during movement.

The main causes of the infringement of the sciatic nerve

There are several causes of the pinched, precise definition which has the leading role in the appointment of treatment.

For this purpose, diagnostic tests, starting with the anamnesis and x-rays of the spine.

After the examination of bone changes is magnetic resonance imaging and computed tomography. If you suspect a tumor is renal scintigraphy (radiological examination) of the spine.


Osteochondrosis is caused by destruction of the intervertebral discs, which causes the displacement of the vertebrae. You receive a constant load on the lower back, which causes pinching;

Herniated disc – localized in the lumbar and is a deformation of the fibrous ring of the intervertebral discs, which stimulates hair loss involving injury and loss of cushioning ability. Leads to infringement of spinal nerves that form the sciatic nerve;

Protrusion of the intervertebral disc is a complication of degenerative disc disease, which occurs due to disc herniation, which increases the likelihood of entrapment;

Pregnancy is a transformation of the spine, arising from the growth of the fetus and impaired blood flow in the pelvic area, excessive physical load on the lower back and dislocation of internal organs in the abdominal cavity.

Injury of the sciatic nerve and spine, as well as infectious processes in the lumbar region or the surrounding soft tissues — possible causes of sciatic nerve pinching.

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The risk group includes persons with deep vein thrombosis, Lyme disease and Reiter’s syndrome. There are a number of precipitating factors, among which are hypothermia, static loading of the lumbar, lumbar muscle weakness, sedentary lifestyle and improper metabolism.

The symptoms and signs of disease

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Its the severity of the symptoms of pinched sciatic nerve is of a diverse nature.

The disease can occur, with a gradual increase in symptoms and no pronounced pain or Vice versa, be accompanied by severe pain permanent.

Often localized pain in the buttock with one hand, but can give the Shin, foot or toes. Instead of the pain syndrome may experience numbness or tingling.

The characteristic symptom of pinched sciatic nerve is the inability to perform basic movements: flexion of the legs, the coup in a lying position and even cough.

Visually observed a characteristic shift of the folds of the buttocks down, there is a specific gait (reliance is made on the healthy limb, and the patient podymaetsja). In a sitting position symptoms of the disease increases.


  • Severe pain – if the infringement of the roots of the sciatic nerve pain occur in the lumbosacral area which pass in the area of the buttocks and lower extremity from the location;
  • Muscle weakness and reduced physical activity – arises from the strongest pain;
  • Violation of skin sensitivity in the area of innervation — «goosebumps», burning, feeling cold.

Treatment plan of crushing medications and manual components

To treat a pinched sciatic nerve should the neurologist prescribing the necessary tests for diagnosis (x-ray, ultrasound, MRI or CT scan, urinalysis and blood).

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The essence of treatment is aimed at the blockade of hearth disease, improve metabolic processes and the elimination of the inflammatory process. After abatement of the acute period of the disease is physiotherapy.

Basic principles of treatment:

    1. Drug

Includes drugs that reduce pain and relieves inflammation nonsteroidal anti-inflammatory funds, the main active ingredients which diclofenac, nimesulide, ibuprofen. Pills and ointments are available under the trademarks Dikloberl, Voltaren, Nimesil, Ibufen, Nurofen.

Tablets are taken inside and ointments applied to the skin in the area of localization of pain 3-4 times a day. In case of not achieving estimated result when the drug therapy, the drug is replaced by another from the same group.

For sciatic nerve blockade are appointed injections of anesthetics (Novocaine) with hormonal therapy in the area of inflammation of the spinal roots forming the sciatic nerve.

    1. Massage

For massage do not have to know the anatomy and the location of the nerve trunks, and should focus on painful points. The patient may carry out the massage on their own, only after consultation with your doctor.

There are two types of massage that can be used in this disease: classical and manual.

The classic massage is performed the mechanical impact on muscles and tissues of the body. Committed rotational movement, of tapping or patting. Conducted sessions to improve circulation, relieve tension and normalize the contractile function of muscles.

When manual massage is a series of motions that have functional importance. This type of massage can be performed only by a specialist who knows a particular method of impact on the muscles, relieves pain and restores muscle activity.

    1. Physical therapy and exercises

Therapeutic gymnastics at the infringement helps to reduce the intensity of the pain. A special technique aimed at stretching the muscles and tendons of the back of the thigh surface.

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The necessary strengthening exercises that shape the muscles supporting the correct posture.

Strengthening the spinal and femoral muscles is the main way to prevent injury to the sciatic nerve.

On what is the prevention of disease

In order to avoid hitting the sciatic nerve should be strengthen the back muscles, it is necessary to monitor the posture when sitting and walking.

To strengthen the muscle tissues execute a complex exercise. You need to avoid hypothermia and weight lifting.

Women who have frequent lumbar pain, you need to abandon high heels.

The effectiveness of the treatment depends on the timing of its beginning. Therefore, when the primary signs of infringement of the nerve as soon as possible to go for a consultation with a GP or neurologist.

Video course of exercises in neuralgia of the sciatic nerve

Check out the video with the special exercises developed by experts physiotherapists