Sciatica

  • Polyneuritis
  • Sciatica is a disease of the peripheral nerves, the roots of the spinal cord. It is in the cervical, thoracic, lumbar and sacral parts of the spine. The most characteristic symptom of sciatica is a pain. In heavy conditions occurs muscle atrophy, the weakening of muscle tone legs, flaccid paresis or paralysis. When sciatica there has been a violation of bearing (skew the body), walking (claudication due to a sharp pain), restriction of movement in the joints of the legs on the side of destruction, and even the restriction of movements of the body on all three axes. When unilateral chronic sciatica comes resistant posture : sitting, standing, and even lying down, which causes scoliosis of the spine. Sciatica causes a temporary loss of ability to work, and in some cases requires a change in profession (drivers) or sports specialization.
    Treatment of radiculitis, regardless of localization is complex. In acute and subacute periods is assigned an individual laying sick, traction with fixing elements, massage, physiotherapy, medication and medical physical culture. When cervical-thoracic sciatica violation movements of the upper limbs and sharp pain in upper arm and shoulder recommended to sleep on your back or stomach with the allocated hands 90 angle, and exercises for hands and forearms to perform leaning on the Desk. When sciatica with a pronounced pain syndrome patient is placed on his back in the popliteal region put high roller feet away and rotoroot outwards, connecting the heel,is the position of the "frog"; in the prone position on his stomach under the pelvic area put a pillow, the upper end of which is at the level of scallops iliac bone and umbilical lines. Traction when cervical and Wernigerode sciatica is a loop Glisson in the supine position on an inclined plane or on raised beds with head end, when nizhnegorodsky and sciatica lying on your back or stomach on an inclined plane with fixation of the body by the straps in the armpit (as with compression of the vertebral fracture without spinal cord injury), and later with visov on the gym wall (from 2-3 to 1 min 2-4 times in the same session). During the massage is also manual spine very carefully, individually and metered), especially with discogenic pathology. Very effective pair massage with stretching: two masseurs synchronously massaged at the same time by the same techniques back, rump, buttocks and legs; traction conducted by the method of A. N. Tranquilitate. This whole procedure consists in the following. The patient lies on her stomach on the massage table. One therapist standing at the side of the patient pelvis and fixes two hands pelvic area for scallops iliac bones; the second masseur stands at the head of the patient face to feet and two hands (fingers are connected) conducts squeezing from the sacrum to the neck, as if pulling muscles up to 10 times. Then he takes the patient's armpits and gently pulls for 5-10 s with the rest 10-15 10 times in a row. Then again, massaging the muscles of the back with squeezing, stretching them from the bottom up,-10 times.
    After that sums up your hands in the armpit of the sick, raises the upper part of the body and, as if pulling the patient moves it from right to left and Vice versa-10 times in each direction. And again, massaging the muscles of the back. Then both massage from two sides simultaneously synchronous massage of muscles of the lumbar region in the transverse direction (from the spine to the end of lateral surfaces), the maximum stretching and squeezing them. After the massage, the skin is rubbed painkillers and warming ointments (finalgon, apizatron and others), impose wool bandage, fixing its four wide elastic bandage or a special girdle or corset (type Leningrad or cyto).
    The tasks of medical gymnastics in the first period are: improvement of blood and lymph circulation, tissue exchange, reduces inflammation, combating congestion, edema, relax tight muscles (muscles of the roller on the affected side), pain syndrome. Exercises are performed under simplified assumptions. Duration of classes from 5 to 30 minutes 4-6 times a day.
    In the II period restore function of the affected limbs and body as a whole. Appointed medical gymnastics, gymnastics in the water. Exercises are performed in the different starting positions.
    In the third period, have been training for affected limbs and body, as well as Spa and balneological treatment.
    During surgical operations concerning removal of intervertebral disks medical physical culture appointed on the 2nd day after surgery and is performed in three established periods. The main task of medical physical culture in the postoperative period is the restoration movement and the prevention of adhesions in the area liberated nerve.
    Require special attention traumatic radiculitis for persons engaged in sports. Mandatory in patients with sciatica is: long-wearing fixing belts or corsets (at least one year); gradual increase of the load, do not provoke sudden fatigue and pain syndrome; complete elimination of the practice exercises with weights and fishing movements within. 2 years; long-term multiple of Spa and balneological treatment.

    Therapeutic physical culture (physical therapy) radiculitis helps to stimulate blood and lymph circulation, tissue metabolism in the affected area, strengthen weak muscles, and to restore the tone them, to increase range of motion in the spine and extremities, pain reduction, while moving, the improvement of respiratory function, improvement of the organism.
    Medical gymnastics shown after the disappearance of critical manifestations of disease in the subacute period pain syndrome in the subacute phase, for the first time emerged disease or relapse. Massage is used in all periods, but in the acute phase - sparing. When cervical-thoracic sciatica in combination with ganglionitis that dominate the clinical picture, treatment exercises and massage can be applied only after remitting phenomena of ganglionic. When transient irritation sites physiotherapy can be applied, but without massage. The last shows with the disappearance of these phenomena. In lumbosacral localization applied starting position: lying on his back with a cushion under her knees, lying on the healthy side with cushion at hand; in the prone put a pillow under your stomach and cushion under ankles. As reducing the pain exercises can be done without rollers standing on all fours, kneeling, sitting, and standing. When cervical-thoracic sciatica use the original sitting and standing. Key to this technique is stretching on an inclined plane (with lumbosacral localization) or on a loop Glisson (when the cervical-thoracic localization). This stretching is preceded by therapeutic physical training. Use relaxation exercises, breathing and stretching (last conducted with 3-4 classes and constantly alternating with relaxation exercises). Extensive use of mixed vises, exercises with the ball, when cervical-thoracic sciatica - with sticks. Initially, apply exercises with short lever, decreasing pain - with full arm and elements of power voltage; after the disappearance of pain - corrective. The amplitude of the movement gradually increase spending all exercises only "to the pain". Procedures carried out malapropism method, lasting from 15 to 35 minutes, treatment 15-25 procedures. In addition, therapeutic exercises, recommend swimming in the period established summer season or in the heated pool, Hiking, skiing. Radiculitis discogenic etiology is contraindicated tennis, volleyball, basketball, football, diving, light and heavy athletics. Contraindicated therapeutic exercise with radiculitis, due to disc herniation with marked pain syndrome, and when signs of rising compression of the spinal cord.