HealthDiseases and Conditions

If the sciatic nerve is afflicted, then treatment should be carried out immediately.

The sciatic nerve is the largest paired peripheral nerve, which conducts both motor and sensory impulses from the spinal cord to the left and right leg. The Latin name is Nervus Ischiadicus, anatomically it refers to the sacral plexus. The sciatic nerve is formed by the processes of the lower two lumbar and upper three pairs of sacral roots, extending from the spine. Below the sciatic nerve passes under the pear-shaped muscle and, passing through the same hole in the small pelvis, goes to the lower extremities on both sides. On its length the sciatic nerve has two weak points. Where it is possible to infringe upon it.

The first is the place of exit from the spinal canal. Intervertebral discs of the lower lumbar vertebrae are most susceptible to such a degenerative disease as osteochondrosis. Destroyed, they become thinner and their middle protrudes. The distance between the vertebrae is shortened, which, together with the protruded core of the damaged discs, compresses the nerve, causing its inflammation of the sciatica. This entire process is accompanied by a pronounced pain syndrome, in the leg on the side of the lesion it seems that it "beats current", and if the process is two-way (which is often the case), then it shoots both limbs.

The second place where the sciatic nerve can still be subjected to sciatica is under the pear-shaped muscle. Such cases are not uncommon if a person has an excessive body weight and leads a sedentary lifestyle, that is, he simply "sits" the sciatic nerve.

If there is an infringement of the sciatic nerve treatment is required immediately and under the supervision of a physician, that is, it must be treated as early as possible. Otherwise, compression-ischemic neuropathy of the sciatic nerve (also called infringement) can very quickly end with the death of nerve endings with limb paralysis.

If, as a result of osteochondrosis of the lumbar spine, the sciatic nerve is affected by the symptoms, the treatment will be the same as for osteochondrosis. This is, first of all, the appointment of anti-inflammatory drugs, which should be selected only by a doctor and maximum unloading of the damaged back department. This is achieved by a horizontal position only on a solid surface without any deflections. That is, on the bed where the patient is lying, we must put a thin mattress, and under it a solid wooden shield is desirable. In the acute phase, any kneading massage is strictly contraindicated - this can lead to disability of the patient. A previously common method of relieving the pain syndrome with a local Novakain blockade is currently not recommended for use, as it causes impoverishment of the blood flow and aggravates ischemic lesions. Well-acting locally various heating ointments, which firstly, contain an anti-inflammatory component that is absorbed through the skin into the lesion. And secondly, the warming effect promotes the inflow of blood into the focus of ischemia and improves the condition of the damaged nerve.

Only after removal of the acute phase of inflammation, a point massage is possible for the purpose of breeding the vertebrae. And then it must be conducted carefully and only by an experienced specialist who understands the essence of the procedure. In some cases, the spinal traction of the spine is applied, and when applied correctly, it gives a good effect. In case the sciatic nerve is squeezed in the pear-shaped fossa, it is necessary to start with the activation of the way of life, making it more mobile - to walk more, to do special therapeutic gymnastics, and also, if necessary, to take measures to normalize the weight.

In the absence of the effect of treatment resort to surgical treatment. Modern medicine has learned to make prostheses that completely replace intervertebral disks and are not inferior to them in terms of elasticity and strength, they are replaced for life. Sometimes it is necessary to resort to prosthetics of a part of the destroyed vertebral body, especially if the process is already sufficiently launched . With time and correct treatment in most cases, patients manage to maintain an active lifestyle in the future.

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