Lumbar radiculitis: treatment with diclofenac, injections
Probably all know the feeling of acute pain and stiffness in the neck or back. It can occur suddenly, when least expected, and bring a lot of discomfort. In this case, you should immediately contact your doctor: perhaps you have sciatica.
Sciatica (radiculopathy) is a disease caused by pinching or inflammation of spinal nerve roots. Most common lumbar radiculitis (sciatica), but the disease may take and other parts of the spine. Depending on the order in which the spine appears infringement or develops inflammation, sciatica share on:
Most often, sciatica is the result of degenerative disc disease. The intervertebral discs lose elasticity and become thinner, causing the distance between the vertebrae decreases. This may lead to the infringement of the nerve extending from the spinal cord.
In addition, in osteochondrosis of the vertebrae are formed osteophytes – outgrowths, which during exercise can put pressure on nerve roots and cause severe pain. Breast sciatica makes itself felt a sharp pain in the thoracic spine, it is sometimes mistaken for heart attack. Patient feels numbness, tingling, discomfort. Most often, sciatica develops breast, hernia of the spine or trauma of the thoracic.
If in the lumbar region acute pain, muscle weakness or loss of sensation, it is most likely lumbar sciatica. Reason is osteochondrosis (including protrusions and hernias of intervertebral disks). Thus the patient occurs frequently unbearable lower back pain that radiates to the leg. If intense pain occur in the upper spine or neck, the symptoms indicates a cervical radiculitis that develops in cervical osteochondrosis.
Diagnosis of disease
To identify the disease, the following types of diagnostics:
Typically, the patient turns to the specialists when the pain is already becoming quite strong and prevents to lead a normal lifestyle. In the first stage the doctor will gather a medical history, asking the patient about all of the previous chronic diseases. The patient is then examined using magnetic resonance imaging. It helps to detect the slightest changes in the structure of the spine. X-ray examination allows the smallest details to examine the joints and to identify pathology.
Often the patient is prescribed a CT scan. It can help to see the slightest deviation and pathology that the physician will be able to fix in the picture. Discography is used when there is a suspicion on a pathology of the intervertebral disc.
Treatment of sciatica
When sciatica used various methods of treatment. Very well-proven method using injections of non-steroidal anti-inflammatory drugs. It is important to know that very often the injections osteochondrosis is directed only to relieve pain, the disease itself they are not treated. They are injected intramuscularly in the area of pain (blockade).Very often when sciatica is prescribed diclofenac. What does he represent? This is a drug in ampoules for intramuscular injection. Has a faint odor of benzyl alcohol. It has powerful anti-inflammatory properties, perfectly removes pain and reduces fever.
It is successfully used in the treatment of sciatica, gout, in the initial stages of rheumatism, arthritis. Treatment of sciatica with diclofenac recommended under medical supervision, as it has number of side effects and contraindications:
skin. Possible hair loss, allergic skin reactions, irritation, itching.
Patient recommend treatment with diclofenac in the presence of:
- erosion of the gastro-intestinal tract;
- large sensitivity to aspirin;
- of disorders in the circulatory system;
- increased sensitivity to certain components of the drug;
- pregnancy and breast-feeding period;
- diseases of the kidneys, the heart.
It is not necessary to treat sciatica on their own, it is fraught with complications. Treatment of the disease may be performed only by a doctor.
To prevent the disease is to adhere to the simple recommendations. Physical activity should be moderate. In sports it is necessary to adhere to measures — not to overstrain, and to strengthen their own health.
Healthy eating. Monitor the quantity and quality of food intake. With proper nutrition the body will receive the necessary spine vitamins and minerals. The extra weight puts on the spine an additional negative impact.
Sleep. For good health it is necessary to sleep not less than 7-8 hours. It is better to abandon soft mattresses and pillows in favor of medical orthopedic. Correct posture not only affects appearance, but also on the health of the spine.
Compliance with the above recommendations will help to prevent the development of sciatica, because the treatment is much more difficult compliance with preventive measures.