Radicular syndrome: symptoms and treatment

Radicular syndrome: symptoms and treatment

Category: Neurology and psychiatry 158214

Radicular syndrome is a complex of symptoms that arise during the process of squeezing spinal roots (that is, nerves) in those places where their branch from of the spinal cord.

Radicular syndrome, the symptoms of which are somewhat contradictory in its definition, is in itself a sign many different diseases, in view of which the importance of timely diagnosis and the designation of an appropriate treatment.

general description

The neurological syndrome that we are considering is often encountered.

Compression (compression) of the nerves leads to a variety of pains, which, accordingly, occur in a variety of places: in the extremities, in the neck, in the lower back.

Often, pain can occur in the field of certain internal organs, for example, in the stomach or heart.

Below, we can consider what the spinal root itself externally represents, respectively, by determining the effect of the lesion in the event of its occurrence.

Location of spinal roots

Causes of radicular syndrome

Damage to the spinal roots can be triggered by a number of conditions, among which we distinguish the following:

• Cerebrospinal hernia;
• Osteochondrosis;
• These or other kinds of congenital defects, which are important for the structure of the spine;
• Constant overloads related to the spinal column;
• Longevity of a way of life;
• Spondylarthrosis;
• Injuries, scar changes and tumors;
• The resulting vertebral fractures as a result of osteoporosis;
• Changes that occur in hormonal status;
• Damage to the vertebrae of the infectious nature of the effect (eg, changes induced by osteomyelitis or tuberculosis);
• Subcooling.

As a rule, there is a radicular syndrome not immediately after the effect of this or that indicated cause. Initially, it is preceded by the development of changes in the intervertebral disc area, which, in turn, provokes the appearance of hernias.

Further hernia with its own bias begins to squeeze the spinal root, which leads to difficulty in the outflow of venous blood from it. This subsequently leads to the development of non-infectious inflammation.

Thus, the nerve and tissues around it begin to surround the formed adhesions.

Radicular syndrome: symptoms

The first, and the most characteristic symptom for radicular syndrome, is the appearance of pain, which focuses along the course of a particular nerve.

So, when forming the process in the cervical region, the pain, respectively, arises in the arm and in the neck.

The process in the thoracic region provokes pain in the back, in some cases, pain becomes possible, concentrated in the area of ​​the stomach or heart (these pains disappear only when the root syndrome). The process in the lumbar region leads to pain in the waist and buttocks, as well as the lower extremities.

Movement, like lifting weights, leads to increased pain.

The lumbago arising in the lumbar region is called lumbago. In this case, the pain may be permanent, but its strengthening in any case occurs in the case of any inadvertent movement.

Provoke a bout of pain can not only physical stress, but emotional stress, in addition to its influence on its appearance and hypothermia.

In some cases, the occurrence of pain occurs at night, as well as during sleep, which is particularly accompanied by swelling of the skin and its redness, and sweating is also noted.

Another sign accompanying the root syndrome is manifested as a violation of the sensitivity that arises in the zone of innervation of the nerve under consideration.

.

Thus, a slight tingling with a needle in the indicated zone is accompanied by a sharp decrease in sensitivity, which is observed when compared with a region similar but located on the other side.

.

In addition, among the traits, there is also a disturbance in the movements that occurs with muscle changes. The latter are provoked by the defeat of the nerves of their innervating ones.

There is a desiccation of the muscles, respectively, they atrophy.

In addition, their weakness is noted, which in some cases is determined visually, especially when comparing both limbs.

Diagnosis of radicular syndrome

In the diagnosis of radicular syndrome, it is initially important to determine the cause that provokes the compression of the spinal nerve.

Due to studies of movement disorders and sensitivity, it is determined within which vertebrae the damage was formed.

For example, if the compression of the rootlet occurred in the region of the fifth lumbar vertebra, then it provokes pain in the lower back (ie lumbar region).

When nerve damage due to infectious diseases, the process may be accompanied by additional symptoms in the form of fever and fever, it also, in particular, focuses on the root area involved in the pathological process.

As a standard instrumental method that provides the possibility of diagnosing the syndrome under consideration, general radiography of the spine is used.

In particular, the concentration of diagnosis covers the results of radiography in the lateral and anterior projections.

.

Meanwhile, the most informative and simultaneously sensitive diagnostic method today is MRI (magnetic resonance imaging).

.

Whichever method of diagnosis is chosen, the basis for determining the diagnosis is nevertheless directly those clinical symptoms that are relevant in each case to the patient.

Treatment of radicular syndrome

Methods for treating radicular syndrome are determined solely on the basis of consideration of possible reasons, as well as the allocation of the main one, that is, the one that, in fact, this syndrome provoked. Patients are given the strictest bed rest, lying on which should be exclusively on a hard surface. Additionally assigned:

• Analgesics (ketorol, baralgin). Their use allows you to eliminate / reduce severe pain.
• Anti-inflammatory non-steroid agents (nurofen, diclofenac, movalis). With their help, not only does the inflammation formed in areas with damaged nerves decrease, but pain is also removed. Long-term use, however, is associated with a number of side effects. By the way, the use of drugs of this type is possible in the form of ointments, gels (fastum, ketonal), which accordingly, provides for their external application with simultaneous reduction of possible adverse consequences.
• Miorelaxants - drugs designed to eliminate muscle spasms. Use them can only by prescription of a doctor.
• Vitamins corresponding to group B. Their action is focused on improving metabolic processes in neural tissues.
• Chondroprotectors are preparations for stimulating the processes of restoration and slowing down of cartilage fractures in the region of intervertebral joints.
• Non-drug treatment (massage, gymnastics, physiotherapy, reflexology). These treatment options are relevant in all cases, except for tumors.

Some diseases may require surgical intervention, which is possible with neoplasms and intervertebral hernias.

To diagnose radicular syndrome, as well as to prescribe adequate treatment, it is necessary to consult a neurologist.

Diseases with similar symptoms:

Intercostal neuralgia (coinciding symptoms: 5 of 15)

Intercostal neuralgia is a painful condition caused by irritation of the intercostal nerves or by squeezing them.

Intercostal neuralgia, the symptoms of which, as a rule, are noted in older people, is explained by age-related changes that are relevant for the condition of their vessels.

As for children, they have this disease is extremely rare.

... Radiculitis (coinciding symptoms: 4 of 15)

Radiculitis is such a disease of the nervous system, in which the spines of the spinal nerves are affected.

... Sciatica (inflammation of the sciatic nerve) (coinciding symptoms: 4 of 15)

Sciatica is an inflammation of the sciatic nerve. In some sources, the disease can be referred to as neuralgia of the sciatic nerve or lumbosacral radiculitis.

The most characteristic sign for a given ailment is a pain in the back that gives to the lower limb. In the main risk group, people over 30 years of age.

At an earlier age, the disease is almost never diagnosed.

... Lymphatic leukemia (coinciding symptoms: 3 of 15)

Lymphocytic leukemia is a malignant lesion that occurs in the lymphatic tissue. It is characterized by the accumulation of tumor lymphocytes in the lymph nodes, in the peripheral blood and in the bone marrow.

The acute form of lymphocytic leukemia recently referred to "childhood" diseases due to the susceptibility of mostly patients aged two to four years.

.

Today, lymphocytic leukemia, the symptoms of which are characterized by their own specificity, is observed more often among adults.

.

... Raynaud's Disease (coinciding symptoms: 3 of 15)

Disease Reynaud is a disorder of paroxysmal type in the arterial blood supply of the feet and / or brushes, arising against the background of prolonged exposure to stress, cold and some other factors. Raynaud's disease, the symptoms of which are manifested more often among women, is distinguished, first of all, by the symmetry of the defeat of the limbs.

...

• In contact with

A source: http://SimptoMer.ru/bolezni/nevrologiya/52-koreshkovyy-sindrom-simptomy

Lumbar lumbar syndrome: symptoms and treatment

Neurological diseases are one of those groups of diseases that often lead to disability or temporary disability. One of these diseases - radicular spine syndrome - occurs quite often. What is he like?

What is radicular syndrome?

This term is usually understood as the totality of the symptoms that develop as a result of the effect on the spinal cord roots.

Most often, the development of the disease leads to osteochondrosis - the radicular syndrome with it is less intense than with trauma or a herniated disc.

There is a narrowing of the intervertebral foramen, which leads to the infringement of the outgoing nerves.

The main clinical signs or criteria of radicular syndrome are:

• Pain. Characterized by intense, aching pain in the area of ​​compression of the spine emerging from the spinal cord, extending to the limbs, and sometimes to the internal organs.
• Disturbance of sensitivity. It develops along the course of the emerging nerves. Most often manifested in the form of paresthesias (a feeling of creepy, chills).
• Atrophy of innervated muscles and impaired movement. It develops due to the defeat of nerves, innervating this or that region. It leads to muscle weakness and loss of their functions.

Pathogenesis of the disease

At the root of the development of radicular syndrome lies the defeat of the spinal column.

Over time, there is a depletion of stocks of nutrients contained in intervertebral cartilage.

Aggravating factors are age, excess weight, adynamia. As a result, the so-called subsidence of the vertebrae occurs.

Spinal nerves come out of the vertebral canal through the intervertebral foramen. Due to the fact that the spine is sagging, these holes narrow down, which leads to the infringement of the nerves.

Pain spreads through the outgoing nerves, which can cause a picture of internal damage (for example, radicular syndrome of the thoracic spine can create a picture of angina or infarction myocardium).

Causes leading to the development of the disease

In addition to osteochondrosis, other processes can lead to the development of the disease. Among them are:

• Intervertebral hernia. Due to the rupture of the cartilage and the release of the pulpous nucleus beyond the spinal column, the nasal nerves are squeezed.
• Defects in the structure and disease of the spine. Most often cause the development of radicular syndrome, beginning with early childhood.
• Injuries. Usually, as a result of an incorrect fusion of the vertebral appendages, the roots are compressed.
• Infectious diseases of the spine, which led to the depletion of bone and cartilaginous tissues (osteomyelitis).

Often radicular syndrome develops in obese, inactive people.

Sometimes it is possible to develop it as a result of excessively heavy physical work or the so-called "backstab".

In some cases, the radicular syndrome develops due to hypothermia.

Some drugs may cause the development of radicular syndrome (but in this case this syndrome will be called pseudo-root syndrome).

Classification

As such, there is no classification of radicular syndrome. Conditionally, clinicians subdivide it according to the lesion of the anatomical zones of the spine. According to this classification, the radicular syndrome is distinguished:

• Cervical spine.
• Thoracic department.
• Lumbar.

The area of ​​the sacrum and coccyx is affected by osteochondrosis rather rarely, therefore, these regions are not included in the classification.

Behind the scenes there is a classification of radicular syndrome due to the presence of complications (complicated and uncomplicated).

Sometimes there are such forms of radicular syndrome as acquired and congenital (however, this classification is extremely rare, since in the main this syndrome is most often acquired).

Among all these forms the most common is the radicular syndrome of the lumbar spine.

The reasons for the defeat of this department

Why is this region most often affected? The reasons for which the lumbar lumbar syndrome develops are as follows:

• At the lower back is the greatest burden. It is here that its redistribution occurs from heavy physical work. In addition, the lower back is loaded and the overlying parts of the trunk, as it contributes to their maintenance and position.
• The lumbar region is formed by large vertebrae, forming wide enough openings. Large vessels and nerve plexuses pass through them, which are quite easily infringed as a result of disturbance of the cushioning function of intervertebral discs.
• Radicular syndrome of the lumbar region also often develops due to the fact that it is one of the most moving parts of the axial skeleton. Excessively wide in amplitude movements easily lead to displacement of the vertebrae relative to each other and cause the development of pain and nerve impairment.

Clinic

If, however, as a result of the infringement of the nerves, there is a radicular lumbar syndrome, the symptoms will not take long to come.

The first and most common symptom is pain.

It has a shooting character, appears suddenly, as a result of heavy physical work or trauma.

Gradual increase of pain is characteristic for osteochondrosis. In this case, the lumbago will also disturb, but the intensity of pain is not so high.

.

Disturbance of sensitivity usually accompanies pain. It is broken from the side where the infringement of nerves takes place.

.

Radicular syndrome of the lumbar region is usually bilateral (with osteochondrosis). Most often there is a decrease in sensitivity and pain threshold.

Sometimes there can be a paresthesia - perverted or wrong sensations.

Violation of muscle functions can develop in the event that for a long time there is a lumbar osteochondrosis. Radicular syndrome leads to muscle atrophy, loss of opportunity to active physical work, weakening of muscle contraction.

Diagnostics

Diagnosis of this disease is necessary, given most factors. First of all, one should pay attention to the patient's complaints, since it is on the basis of the latter that it is possible to make assumptions about the localization of the pathological process.

Ancillary information during examination can be given by palpation of the pain zone - local muscle tension will be felt. Visually, one can detect the slope of the patient in the sore side (thus, he can reduce the pain sensation).

A general blood test is not very informative - only a relative increase in leukocytes can be observed due to limited inflammation.

The main advantage in the diagnosis of radicular syndrome is MRI of the lumbar spine.

This study can detect even the slightest infringement of the nerve and accurately determine the localization of the process. However, the difficulty is the very conduct of the tomography.

MRI of the lumbar spine is a rather costly procedure, so it is not carried out by everyone.

Treatment of radicular syndrome

What to do if this disease develops? Can I be treated at home or better still go to the hospital?

If you nevertheless developed radicular lumbar syndrome, treatment should begin immediately and preferably in the hospital.

Like any type of treatment of diseases of the musculoskeletal system, this should include non-drug methods, drug therapy and surgical interventions.

If nevertheless begins to disturb the radicular syndrome of the lumbar region, treatment in the initial stages should include self use of non-steroidal anti-inflammatory drugs ("Nimesulide "Diclofenac") inside or intramuscularly. If the intense pain begins to disturb, the use of intervertebral blockades is recommended. If the condition worsens, it is recommended to consult a neurologist or neurosurgeon to determine the further treatment tactics.

Physiotherapeutic treatment

According to many traumatologists, neurologists and physiotherapists, some diseases of the musculoskeletal system can be cured with the help of physiotherapy procedures.

To eliminate radicular syndrome, electrophoresis, electropulse currents are often used.

Electrophoresis with certain drugs allows to achieve such effects as:

• Removal of the inflammatory process.
• Elimination of pain syndrome.
• Improved metabolism in the affected roots.
• Restoration of trophism of affected muscles and joints.

The use of EIT (electropulse therapy) is aimed at relaxation of strained muscles, improving the nutrition of atrophied tissues, tonic acting.

In addition to instrumental methods, exercises in the basin or sessions of physiotherapy exercises are also useful.

Treatment of the lumbar spine can be performed with the help of acupuncture and manual therapy sessions. These methods are not widely used in conventional medicine, but they help a fairly large number of people.

Surgery

The main factor that characterizes radicular syndrome is symptoms. Treatment in a surgical hospital is recommended when they begin to acquire a threatening character.

The main indications for surgical intervention are:

• Intensive pain syndrome, not controlled by the intake of NSAIDs and narcotic analgesics.
• Violation of limb function with complete loss of active movements.
• Irreversible changes in the osteochondral apparatus, leading to compression.
• Complicated intervertebral hernia.
• Complete loss of limb sensitivity.

Operations are conducted in specialized hospitals. Under anesthesia, operative access to the site of compression of the roots is created, the vertebral particle obstructing the normal position of the root is removed.

With a hernia, the excision of the exposed area is performed.

Now, with hernial root syndrome, nucleoplasty is increasingly used - the correction or excision of the disc that fell out with little access.

Complications of the disease

As it was said, untimely treatment of the lumbar spine can lead to other other diseases. For example, the main complications may include:

• Lameness. It develops due to the forced position of the body. Subsequently, it can lead to flat feet and deterioration of the disease (vicious circle).
• Mental disorders. Intense pain in the limbs and back will not give rest day and night. Against the background of overwork may develop neuroses and psychoses.
• Ankylosis and contracture of joints. The reason for their development is again a long stay in a certain position and little activity.
• In severe cases, nerve damage can lead to complete paralysis of the limbs.
• The inflammation that has started can retrograde into the spinal cord, causing a picture of meningism, a spinal cord infarction, or an increase in the spread of the process to other roots.

Prevention of disease

In order to prevent the development of radicular syndrome, you should remember a few simple rules:

• Daily morning exercise. Helps stretch the muscles, bring them into tone.
• Control of excess weight. As it was said, it is a factor worsening the course of the disease.
• Prophylactic massage sessions. They help in the warming up of muscles and vertebral joints, prevent the displacement of the vertebrae relative to each other, and also prevent the intervertebral disc from falling out of its bed.
• Proper nutrition. One of the factors in the development of osteochondrosis is a decrease in the content of nutrients in the cartilaginous tissue. Properly composed diet allows you to suspend the flow of the process.
• Pool. Allows to lower a load on departments of a backbone, incidentally leading in a tonus all muscles.
• Competent distribution of work and leisure. This rule avoids fatigue and injuries during physical labor.

A source: http://.ru/article/163677/koreshkovyiy-sindrom-poyasnichnogo-otdela-simptomyi-i-lechenie

Radicular syndrome

In this article, we will consider what is the radicular syndrome.

In neurology there is the term radiculopathy, which is a whole complex of different symptomatic signs that arise when compressive compression and pinching of spinal roots nerves.

Neuralgic syndrome can manifest itself as pain in different parts of the skeleton, and even affect some systemic anatomical organs, such as the heart or stomach.

The nature and causes of disorders of a neuralgic nature

The vertebrogenic complex of a neuralgic syndrome has a causal variable in nature.

As such, the inflammatory process in the radicular zones does not exist.

There is a compression and / or reflex lesion of certain parts of the joint elements of the bone structure in the human body.

The most common neuralgic disorder of the radicular syndrome is defined in the region of the lumbosacral spine. This is mainly due to the compression state of the fifth lumbar vertebra (l5) and the first sacral (s1) vertebra.

As a rule, untimely therapeutic effect on pain symptoms in intervertebral drives leads to the formation of long-term degenerative processes, resulting in education hernia.

Such a neoplasm rapidly proliferates and, when displaced, compresses the spinal nerve endings, causing an inflammatory response.

.

Timely detected compression of the roots can avoid persistent neurological dysfunctions, often leading to disability of the patient.

.

It is much less likely to have a spine injury in cervical and thoracic radiculopathy.

The peak of neuralgic syndrome is observed in people of middle and older age.

The causal factor of the formation of mechanical compression is as follows. On either side of the spinal column, 31 pairs of various spinal cord ends that originate in the spinal roots.

Each spinal root is formed by a specific branch, and exits through the intervertebral foramen. It is at the beginning of the spinal canal that the roots, leading to the swelling of the blood vessels and the disturbance of the microcirculation, are compressed.

Degenerative changes in intervertebral discs create prerequisites for squeezing roots and disrupt the general innervation (the supply of organs and tissues with nerve cells) of the human nervous system. Other causal factors leading to the formation of a neurological clinic are:

• Sedentary lifestyle.
• Congenital deformation states.
• Hormonal failure during pregnancy or during menopause in women.
• Mechanical damage to the articular parts of the skeleton.
• Spondylarthrosis.
• Subcooling the body.

General symptomatology of neuralgic nature

Signs of infringement and / or irritation of the nerve roots have a common symptomatology, which includes impairment of motor functions and sensory disorders in the form of paresthesia (feelings of numbness, tingling, crawling) and / or dysesthesia (the touch feels like pain, cold as heat, etc.). The neurological clinic features a strong shooting pain that extends from the center of the nodal junction to the distal periphery. Strengthening of painful sensations is noted at overstrain of muscles, coughing, sharp movement and so on. All these painful symptoms are caused by reflex tonic tension. Pinched nerve roots cause the patient to take a sparing position to lower the pain threshold in the affected spine. Often, such "relief" becomes the cause of other pathological conditions, for example, curvature of the spine or torticollis.

Symptoms of radicular involvement of various organs of the vertebral column

Treatment of radicular syndrome begins with an anamnesis of the patient. As a result of medical examination, the totality of all symptomatic pain sensations is determined.

The spinal column of the skeletal backbone has a segmented formation, which is subdivided into cervical, thoracic, lumbar and sacrococcygeal parts of the spine. All parts of the spinal column have neural nodal formations, and, accordingly, their spine.

.

To identify the location and data transfer, a special gradation system was introduced, which allows physicians to determine the anatomical location of the intervertebral foramen.

.

So, the cervical roots denote c1-c7, the thoracic roots t1-t12, the lumbosacral spines l1-l5, and the sacrococcygeal s1-s5. All the spinous processes of the lumbosacral zone are directed horizontally, and the roots of the thoracic region have a strong downward slope.

CS of cervical department

General symptomatology of compression cramping of nerve endings of the cervical spine:

• Localizing pain in the occipital region.
• Nausea and / or dizziness may occur.
• Rotations and inclinations of the head cause pain discomfort.
• Pain in the brachial girdle that passes into the thorax.
• Lumbago in the neck with spreading to the forearm zone.

COP of thoracic department

Radicular syndrome of the thoracic spine is affected by the following symptomatic signs:

• Painful discomfort in the joint area of ​​the shoulder and underarm area.
• Tinea pain in the intercostal area.
• Pain in the upper and middle abdomen.
• Irradiation (pain spread beyond the affected area) pain discomfort in the suprapubic and / or inguinal part of the body.

The thoracic department of the spine has a powerful branching, which goes down. Therefore, it is visually very difficult to distinguish the thoracic radicular syndrome from pinching in the lumbar region.

Nevertheless, with sufficient experience of a qualified specialist, it is possible to differentiate the pain syndrome in the thoracic zone from the discomfort state in the lumbar spinal part of the spinal column.

Symptoms of lesion of the lumbosacral segment:

• Pain in the lower lumbar region with lumbula, sacrum or inguinal zone.
• Pain in the sacrum of the spine, with the capture of the posterior femoral part and lower leg.
• Painful discomfort in the gastrocnemius and pear-shaped muscle.

Often, pain syndrome pear-shaped muscle and radicular syndrome, are simultaneously diagnosed in patients with lumbosacral radiculitis, which is accompanied by incessant pain sciatic nerve.

Features of neuralgic syndrome in the lumbar region

Among other disorders of a neuralgic nature, the lumbar region has a "leading" position.

The most common compression pinch is diagnosed in obese people, pregnant women, and patients whose profession is associated with heavy physical labor in the open air.

In the third case, the cause of radicular disorders is the incorrect load distribution when physical work, and as a concomitant factor - frequent hypothermia of the sacro-lumbar region the spine.

Diagnosis and treatment

To treat the radicular syndrome correctly, it is necessary to clearly define the place of pinching. For these purposes, modern diagnostic methods are used that allow timely detection of a clinical anomaly. Informative methods of diagnosis are:

It should be noted that the radicular syndrome of the thoracic region with somatic symptoms requires a more thorough examination to exclude the possible pathology of internal organs of vital activity.

In the case of a confirmed diagnosis of a neurological nature caused by degenerative-dystrophic vertebral column disorders, conservative methods of treatment are used. At the initial therapeutic stage, it is necessary to block pain attacks.

As an anesthetic drugs used traditional pharmacological drugs - analgesics (Baralgin, Analgin, etc.) and non-steroidal groups (Diclofenac, Movalis, Ibuprofen, Ketorol and etc.).

.

If the diagnosis of lumbargia with radicular syndrome is confirmed, then to eliminate the pain syndrome local blockade based on an anesthetic drug novocaine, which has a strong anesthetic action.

.

In addition, the treatment of radicular syndrome involves the use of other pharmacological agents:

• Ointments and gels, for example, Fastum gel, Finalgon, Viprosal.
• Mioreklaksanty - Searladud, Baclofen, Midokadm, etc.
• Vitamin preparations - Kombilipen, Neuromultivitis, etc.

In special cases, when neurologic pathology is accompanied by vegetative-vascular dystonia, appoint angioprotectors, vasodilating drug forms, psychotropic and / or sedative pharmacological groups.

A major role in the complex treatment of the neurological condition is played by physio - and reflexotherapy and physiotherapy exercises.

Once the pain is removed, the patient is offered a set of therapeutic and prophylactic procedures that help restore the damaged neurotic zones of the spinal column.

Warming ointments and herbal packs will help relieve the pain syndrome before the start of complex medication. Violation of mobility can be restored with alcohol tinctures based on wild garlic, red pepper, garlic, radish, honey and so on.

Therapeutic prophylaxis

To avoid such neurological conditions, it is necessary to observe a few simple rules:

• Do not supercool the body.
• Timely treat infectious and viral diseases.
• To show physical activity.
• Adhere to dietary norms of rational nutrition.
• Watch for personal and sanitary hygiene.

A source: https://MoiPozvonochnik.ru/otdely-pozvonochnika/pozvonochnik/koreshkovyj-sindrom

Radicular syndrome - causes, symptoms, treatment

Neuralgic syndrome, which develops as a result of compression of the primary parts of the spinal nerves or nervous roots in the area of ​​their branch from the spinal cord, in medicine called radicular syndrome or radiculopathy.

The pain sensations accompanying this pathology are localized in various parts of the human body, depending on the location of the lesion.

Thus, pain can occur in the lower back, extremities, neck and even irradiate to the area of ​​internal organs, for example, in the stomach, heart, intestines.

Causes of radicular syndrome

Radicular syndrome is a very common disease and has quite a few reasons.

The emergence of the disease, in the first place, contribute to various degenerative diseases of the spine.

More often it is an osteochondrosis, a spondylosis or an intervertebral hernia. In addition, radicular syndrome may be a consequence of:

• All kinds of injuries and cicatricial changes;
• Osteoporosis (as a result of vertebral fractures);
• Osteomyelitis or tuberculosis (as a result of damage to the vertebrae of an infectious nature);
• Changes in hormonal status;
• Spondylarthrosis;
• Various congenital defects of the spine;
• Oncological diseases of the spinal cord;
• Regular loads on the vertebral column;
• A sedentary lifestyle;
• Overcooling.

It should be noted that the radicular syndrome does not occur immediately after exposure to one of the above-mentioned reasons.

As a rule, initially there are violations in the region of intervertebral discs, which provokes the formation of hernias.

After this, the hernia gradually shifts, beginning to exert pressure on the nerve root, which prevents the outflow of venous blood from it. This leads to the development of this disease.

Lumbar lumbar syndrome

Most often, radicular spine syndrome affects the lower back.

This is due to the fact that this site, as a rule, experiences maximum loads in comparison with other departments of the spine.

In addition, the muscles and ligament ligament are relatively weak, and the holes for the exit of the nerve roots from the vessels are quite large.

When the lumbar syndrome of the lumbar region is usually observed a pronounced unilateral pain of a different nature (aching, sharp, dull, shooting, cutting, etc.).

The nature of the painful sensations depends on the intensity of the nerve root lesion and the attendant factors. Attacks in this case can be triggered by sudden movements or hypothermia.

Localization of pain is caused by the defeat of specific lumbar roots:

• Radicular syndrome of the lumbar region, affecting 1-3 roots, is characterized by painful sensations in the lower back, lower abdomen, anterior and inner thighs, in the area groin and pubis. They are often accompanied by numbness of the skin and a sensation of creeps in these areas;
• With the defeat of the 4 th root of the waist, pain is seen in the region of the lower back and thighs, giving to the knee and shin. At movements in a knee appreciable delicacy is felt;
• Radicular spine syndrome afflicting the 5 spine of the lumbar region is manifested by pain sensations in the region of the inner surface of the thighs and lower leg, reaching the foot and toe. The muscles of the foot become weak, often this leads to difficulty standing on the affected foot.

It is worth noting that pain in the root spine syndrome in the lumbar region, as a rule, stops or decreases at rest or when lying on a healthy side.

Symptoms of radicular syndrome

The very first symptom of radicular syndrome is pain along the damaged nerve.

So, if the disease affects the cervical region, the pain is observed in the neck and arms, chest - In the zone of the back, sometimes the stomach or the heart, the lower back - in the lower back, buttocks and lower extremities. Almost any sudden incautious movements or lifting of weights can contribute to the occurrence of pain.

Along with this, often painful symptoms of radicular syndrome can be felt at night during sleep, which is often accompanied by excessive sweating, as well as swelling and redness of the skin. The cause of the onset of pain attacks can be and hypothermia or emotional overstrain.

.

Another common symptom of radicular syndrome can be called sensitivity disorders in the region of the affected nerve.

.

For example, tingling with a needle in this area is accompanied by a significant decrease in sensitivity compared to a similar procedure done on the opposite healthy side.

In addition, an additional sign of radicular syndrome may be impaired movement resulting from gradual weakness, desiccation and atrophy of the muscles, which occurs due to damage innervating them nerves.

Treatment of radicular syndrome

Diagnosis of the disease is carried out using the history of human disease, physical examination, anterior and later radiography of the spine, as well as magnetic resonance imaging. Treatment of radicular syndrome can be divided into the following methods:

• Bed rest;
• Drug therapy;
• Muscle relaxants;
• Chondroprotectors;
• Vitamins;
• Physiotherapy;
• Therapeutic physical training and massages.

Medicamentous treatment of radicular syndrome involves the use of painkillers and non-steroidal anti-inflammatory drugs. The first are aimed at the removal of pain, the second - to relieve inflammation in the outbreak.

Muscle relaxants help to remove muscle spasms, and chondroprotectors slow the destruction of cartilage in the intervertebral joints, activating the process of their recovery. Vitamins in the disease are aimed at improving metabolic processes in the nerve tissues, as well as maintaining the general condition of the patient.

Treatment of radicular syndrome with the help of physiotherapy can include radon baths, magnetotherapy, mud therapy, ultrasound, etc. However, physiotherapeutic procedures are usually applied after the end of the acute period of the disease.

from the topic of the article:

The information is generalized and is provided for informational purposes only. At the first signs of illness, consult a doctor. Self-treatment is dangerous to health!

Do you know that:

With a regular visit to the solarium, the chance of developing skin cancer increases by 60%.

There are very curious medical syndromes, for example, obtrusive swallowing of objects. In the stomach of one patient, suffering from this mania, 2500 objects were found.

In 5% of patients, the antidepressant Clomipramine causes orgasm.

The weight of the human brain is about 2% of the total body weight, but it consumes about 20% of the oxygen entering the blood. This fact makes the human brain extremely susceptible to damage caused by lack of oxygen.

.

The stomach of a man copes well with foreign objects and without medical intervention. It is known that gastric juice can dissolve even coins.

.

According to statistics, on Mondays the risk of back injuries increases by 25%, and the risk of a heart attack - by 33%. Be careful.

Dentists have appeared relatively recently. As early as the 19th century, it was the duty of an ordinary hairdresser to pull out sick teeth.

The highest body temperature was recorded in Willie Jones (USA), who entered the hospital at a temperature of 4 ° C.

An educated person is less prone to brain diseases. Intellectual activity contributes to the formation of additional tissue that compensates for the diseased.

A job that does not suit a person is much more harmful to his psyche than a lack of work at all.

Most women can get more pleasure from contemplating their beautiful body in the mirror than from sex. So, women, strive for harmony.

The liver is the heaviest organ in our body. Its average weight is, kg.

.

Scientists from Oxford University conducted a series of studies, during which they concluded that vegetarianism can be harmful to the human brain, since it leads to a decrease in its mass. Therefore, scientists recommend not to completely exclude fish and meat from their diet.

.

A person taking antidepressants, in most cases, will again suffer from depression. If a person has coped with depression himself, he has every chance to forget about this state forever.

Symptoms, treatment and prevention of swine flu in children

Every time a child has a fever, a sore throat, a runny nose and cough, parents are worried about the question - is it a common cold or flu? In this ...

A source: http://www.neboleem.net/koreshkovyj-sindrom.php