- 1Causes and treatment of neuritis of the brachial nerve
2Neuritis of the brachial nerve, symptoms and treatment of joint neuralgia
- 2.5Prophylaxis and prognosis
3Neuritis of the shoulder nerve: symptoms and treatment
- 3.1Causes of neuritis
- 3.2Symptoms of neuritis
- 3.3Diagnosis of neuritis
- 3.4Treatment of neuritis
4How to treat neuritis of the shoulder joint
- 4.1general characteristics
- 4.2Features of treatment
- 4.3Pain and inflammation removal
- 4.4Elimination of the root cause
- 4.5Recovery procedures
5Causes and manifestations of brachial neuritis
- 5.1What is the neuritis of the brachial nerve?
- 5.2What triggers the development of inflammation?
- 5.3How does the disease manifest itself?
- 5.4What to do if a disease is detected
- 5.5How will the specialist help?
6Neuralgia of the brachial nerve: symptoms, treatment
- 6.1Neuralgia of the brachial nerve - what is it?
- 6.2Causes of neuralgia and its development
- 6.3Symptoms of neuralgia and methods of diagnosis
- 6.6Exercise therapy
- 6.7Neuralgia of the humerus in pregnancy
Causes and treatment of neuritis of the brachial nerve
Neuritis of the brachial nerve is an inflammatory disease that affects the peripheral nerve branches.
But if the pathological process covers his trunk, the shoulder of the patient not only loses sensitivity.
There may be significant limitations in the movements and even paralysis of the arm.
In medical practice, it is customary to distinguish between direct and indirect causes of neuritis of the brachial nerve. Indirectly, the development of pathology can provoke metabolic disorders, in the work of the cardiovascular system, hormonal failures. Among the immediate causes of the disease include:
- viral and bacterial infections;
- hypothermia of the body;
- injuries (sprains, sprains, fractures) of the shoulder joint, as well as fractures of the clavicle;
- improperly applied plaster bandages;
- excessive physical exertion on the hands;
- osteochondrosis of the cervical spine;
- tumors in the neck, underarms, shoulder.
With neuritis of the humeral nerve, another diagnosis is consonant: neuralgia of the shoulder joint. But this is not the same thing.
Neuritis is an inflammatory lesion of the nerve, and neuralgia is a pain syndrome that occurs on some part of it.
The main cause of neuralgia of the brachial nerve is various mechanical injuries.
For example, when in the late term of pregnancy there is a need to wear a bandage.
If he is picked up inaccurately, then his shoulder straps squeeze his shoulder and thereby squeeze the bloodstream in this place.
As a result, the inflammation of the humeral nerve develops gradually, and as a result, neuralgia appears.
The first signal of pathology is involuntary twitching of the shoulder muscles. It can be either a single twitch or a series of spontaneous contractions. At first, muscle spasms do not cause any pain, so many do not attach importance to them.
However, as the inflammation of the nerve progresses, the muscles begin to swell. Because of this, the nerves in the shoulder region are squeezed, and then pains join the spasms..
By their nature they are different. Deep burning pain usually occurs periodically in the form of acute attacks..
But persistent aching, dull pain is not better: they can greatly exhaust the patient.
The exact location of pain localization is most often difficult to determine.
It seems that it is concentrated in the depth of the shoulder, it spreads all over the arm, it has already moved to the area of the thorax or under the shoulder blade.
This greatly complicates the diagnosis of pathology, because instead of neuritis, you can suspect, for example, a stomach ulcer.
In addition, a partial loss of tactile (cutaneous) sensitivity is added to the pain, since the compressed nerve can not function normally. This manifests itself in the numbness of the extremity or in the sensation of crawling crawling on the arm.
If neuritis develops as a result of a moderate injury, the symptoms intensify gradually, and at times may even subside.
The patient suffers thus not so much because of painful sensations, how many because of a partial numbness of a shoulder and constraint of movements. Neuritis, triggered by infection or hypothermia, usually occurs in an acute form.
Symptoms occur quickly: there are burning pain in the shoulder and neck area, there comes a sharp weakness, a person is very feverish..
The severity of the disease, as a rule, lasts approximately 2 weeks. If treatment is started in a timely manner, the ailment passes completely, without any complications. With nerve atrophy, an operation is required to replace it with a healthy analog (for example, from the patient's shin)..
If neuritis is badly started, other serious consequences are inevitable. Muscles weaken.
Fingers do not obey, and then with great difficulty manages to manage the whole hand, which is not capable of bending or unbending.
Unconditioned nerve reflexes cease to work. In the end, there may come a complete atrophy of the shoulder muscles.
The most severe variant of the disease is traumatic (or posttraumatic) neuritis of the shoulder. This is a kind of pathology, in which the victim is the nerve root. Types of mechanical injuries are diverse. They can be:
- strong blows;
- prolonged clamping of the upper limbs;
- fractures of bones;
- deep burns;
- Inept injections;
- unsuccessful surgical interventions.
Symptomatic of traumatic neuritis may have a different degree of severity, but always indicates a limitation of the motor activity of the affected limb - up to paralysis. Her sensitivity is either greatly weakened, or, conversely, exacerbated. A characteristic symptom is persistent pain, which is greatly enhanced by the slightest touch to the arm.
Because of the complicated blood flow in a traumatized place, normal metabolism becomes impossible. Because of this, there may be increased sweating, a feeling of heat, and the skin turns red or turns pale. Moreover, sometimes the nails become brittle and even the hair falls out partially..
The peculiarity of this type of neuritis lies in the fact that quite often its main symptoms appear in a few weeks, and even months after the injury. This greatly complicates the timely diagnosis. For the same reason, the course of therapy is extended for a much longer period..
Neuritis of the humeral nerve should be treated in a complex manner. Medical tactics provide for the phased use of therapeutic measures. It:
- a decrease in the severity of the pain syndrome;
- elimination of the root cause of pathology;
- weakening residual pain;
- reduction of the inflammatory process;
- physiotherapeutic procedures;
- additional treatment with traditional medicine;
- exercise therapy, swimming.
The acuity of pain is usually effectively reduced analgesics Pentalginum, Next, Solpadein, Saridon, and others.
In particularly severe cases, the action of analgesic tablets is insufficient, and a novocain blockade is required.
Eliminating pain during pregnancy is a difficult problem, as no analgesics can be used. They have to be replaced with external anesthetics.
When the patient begins to experience relief by easing the pain, one should begin to identify the cause of the disease and prescribe a course of treatment.
But finally the pain does not go away for a long time.
For current analgesia, ointments, gels, which are both anesthetics and anti-inflammatory drugs are used: Fastum gel, Apizartron, Viprosal, Nayatoks, Bom-Benge.
To stop the inflammatory process, non-steroidal drugs Diclofenac, Ibuprofen, Nimesulide, Meloxicam, Naproxen, Indomethacin and diuretics are used.
Due to their use, repeated pains become less intense and more rare. Subsequently, when the puffiness is significantly reduced, warming oils are appointed Finalngon, Capsicum.
They activate blood circulation and improve the condition of muscle fibers.
Strengthen the strength of the body and further ease the pain by injecting vitamins into group B (eg, Milgrammy).
If it is necessary to calm the nervous system of emotionally motivated patients, antidepressants are prescribed.
When insomnia due to pain, it is advisable to take sleeping pills of moderate effect..
It is very important that throughout the course of treatment the patient's hand is in a comfortable, relaxed position..
It can not be subjected to any physical exertion! If necessary, the doctor can appoint wearing a chest bandage, longi or bandage so that the limb is correctly fixed in the retracted position.
A source: http://spina-health.ru/simptomy-i-lechenie-nevrita-plechevogo-nerva/
Neuritis of the brachial nerve, symptoms and treatment of joint neuralgia
Neuritis of the brachial nerve is a pathology of the same anatomical formation associated with the inflammatory process. Disease in another way is called a shoulder neuralgia, plexitis. With it there is a loss of sensitivity and restriction of movements.
The brachial plexus, dividing into short and long branches, innervates almost the entire body, beginning with the shoulder girdle and ending with the muscles of the back and thorax. All lesions of the nerve fibers of the shoulder significantly worsen the state of human health.
Table of contents
- 1 Reasons
- 2 Symptoms
- 3 Diagnostics
- 4 Treatment
- 5 Prevention and prognosis
The reasons why neuritis develops in the brachial nerve, a huge number. These include:
- Subcooling. All the sudden fluctuations in temperature and long exposure to frost lead to a decrease in immunity.
- Infectious diseases. Bacterial microflora, viruses, fungi are the root cause of inflammation. They are able to penetrate both directly through the wound, and with the blood or lymph flow.
- Intoxication of the body. In this case, we are talking not only about exo- and endotoxins of pathogens, but also about poisoning with chemicals.
- Neoplasms. The group includes benign and malignant tumors that can compress the nerve endings and thereby disrupt the trophic and the delivery of oxygen to the tissues. The cells die, the nerve impulse either slows down, or does not go any further.
- Damage. They are divided into open and closed. From the closed out, a fracture, a bruise, a dislocation, from open wounds are distinguished, of various types, for example, chipped, cut, torn. A natural reaction to damage is the widening of the blood vessels, the development of inflammation, the appearance of puffiness. A large amount of fluid in the tissues also leads to compression of the nerves.
- Mechanical compression. This includes long clamping of the forearm with a tourniquet, the use of crutches for a long period of time.
- Birth traumatism. The pathology of the brachial nerve sometimes appears in newborns as a result of a wrong passage through the mother's pelvis.
Inflammation of the brachial nerve is classified according to the level of damage to the lower, upper and mixed or total. From this, the symptoms and treatment depend accordingly.
https://www.youtube.com/watc? = 7eVOFiHypyM
The main sign of lower neuritis, like the other two types, is severe pain. Unpleasant sensations increase with movement activity and are localized on the inner surface of the shoulder and forearm.
Since the nerves of the brachial plexus are responsible for tactile and temperature sensitivity, the patient can not feel slight touch to the inner zone of the arm, minor motor skills are violated, that is, the patient is unable to restrain the small subjects.
The muscle tone is lost and the ability to bend your fingers into a fist. Develops Horner's syndrome - a violation of the innervation of the eyeball.
At the top variant of a lesion of a nerve in a humeral joint the supraclavicular area is affected.
The sensitivity of the outer side of the shoulder and forearm decreases, the person is unable to move the hand, as pain increases, paralysis or paresis of the muscles of the shoulder girdle develops.
The patient is not able to bend the upper limb in the elbow joint and straighten the shoulders.
The total neuralgia of the brachial plexus combines both variants.
In addition to the above symptoms in connection with the intoxication of the body and against a background of reduced immunity there are complaints of general weakness and drowsiness, an increase in temperature to 38.0 ° C, loss of appetite and nausea.
Preliminary diagnosis can be made on the basis of complaints, anamnesis and general examination of the patient.
The neurologist is obliged to ask about the nature of pain, the conditions of its occurrence, concomitant diseases, and also to collect a family and household anamnesis.
The doctor looks at the motor activity of the limb, asks her to bend at the elbow joint, move her fingers, make circular movements with her thumb, arm or shoulder girdle..
From the laboratory data, the conclusion is made about the presence of inflammation, this is indicated by an increase in leukocyte count and speed erythrocyte sedimentation, left leukocyte shift, anemia, protein reduction in biochemical analysis blood..
Neuralgia of the shoulder joint is studied using modern diagnostic methods.These include ultrasound diagnostics, radiography, magnetic resonance imaging and computed tomography, electroneuromyography.
Electroneuromyography gives a general idea of carrying out an electrical impulse along the nerve fiber, which allows one to draw conclusions about the magnitude of the lesion focus, its depth.
The remaining methods clearly demonstrate the state of anatomical formations, the course of the branches of the nerves, the presence of edematous fluid and the compression of tissues, the exact localization of disturbances in the structure of the nerve fiber, so it could also inflame everything length.
Sometimes they resort to spinal cord puncture to investigate the cerebrospinal fluid for the presence of microorganisms.
With neuritis of the brachial nerve, the symptoms and treatment are closely related to each other, since therapy implies both the removal of symptoms and the elimination of the original causes of the development of pathology.
If a laboratory test proves the presence of a pathogen, then the greatest therapeutic effect will give antibiotics and synthetic antibacterial agents.
In this case, it is better to use sulfonamides, fluoroquinolones, penicillins, and cephalosporins, usually two drugs are prescribed that are combined with each other. It is important to use steroid and non-steroidal anti-inflammatory drugs, analgesics for pain relief.
The introduction of a complex of vitamins with a high concentration of B vitamins, it is beneficial for trophic nerve tissue.
Therapy is supplemented by therapeutic physical training, massage, physiotherapy.
Of the latter often prescribe ultra-high-frequency therapy (UHF), electrophoresis with analgesic or anti-inflammatory drugs, darsonvalization, the use of baths with the addition of essential oils, point laser therapy with infrared radiation, magnetotherapy and neuroelectrostimulation. All proposed methods should be used only when nerve inflammation has subsided, and discomfort in the upper limb has practically disappeared.
Prophylaxis and prognosis
All types of neuritis respond well to treatment and rarely cause complications. In the presence of concomitant serious diseases of the cardiovascular, urinary and endocrine system, atrophy of the musculoskeletal system and the proliferation of connective tissue are possible.
In the prevention of pathology includes premature treatment of infectious diseases, avoidance of trauma and supercooling of the upper extremities, as well as proper nutrition, adherence to a healthy lifestyle, abandonment of bad habits for the preservation of immune forces organism.
A source: http://NashiNervy.ru/perifericheskaya-nervnaya-sistema/simptomy-i-lechenie-nevralgii-plechevogo-nerva.html
Neuritis of the shoulder nerve: symptoms and treatment
Neuritis of the brachial nerve is another name for the plexitis of the brachial plexus.
The essence of the disease is the inflammation of the nerve fibers coming from the lower and upper thoracic segments of the spinal cord to the muscles of the arm.
Having different causes, neuritis of the shoulder joint can lead to a significant limitation of the functions of the upper limb, and sometimes to disability.
- Causes of neuritis
- Symptoms of neuritis
- Diagnosis of neuritis
- Treatment of neuritis
Causes of neuritis
From the point of view of anatomy, the brachial plexus is located in a rather vulnerable place.
Closer to the central line, it is limited to the vertebral column, in front and behind it frame the deep and superficial muscles of the neck.
Immediately near the brachial plexus are large blood vessels that feed the upper limbs. Under the plexus is the tip of the lung.
All these features determine the frequency of neuritis of the brachial nerve due to the following reasons:
- Injuries of the shoulder region: sprain, rupture of the rotator cuff, dislocation, fracture, stabbing, and much more.
- "Backpack paralysis" - the symptoms of neuritis occur due to the prolonged wearing of a bag or rucksack on one shoulder.
- Syndrome of staircase muscles, in which the vessels and nerves located in the costal-clavicular space are compressed or damaged.
- Oncological diseases, among which the classic example is the cancer of the tip of the right lung (cancer of Pankosta).
- Immune disorders, in particular, Persononej-Turner syndrome, or neuralgic amyotrophy.
- Many infectious diseases, especially the viral nature, can be complicated by neuritis with improper treatment.
In many patients, the disease develops against a background of combined action of several causes, which are not always possible to detect.
Symptoms of neuritis
Since the brachial plexus consists of several groups of nerve fibers, each of which is responsible for the functions of individual muscle groups, the symptoms of neuritis are very diverse.
Thus, in the case of a lesion of the supraclavicular part of the brachial plexus, the patient may have the following symptoms:
- Numbness of shoulder and forearm.
- Sharp pain, aggravated by movement.
- The weakness of the muscles of the shoulder girdle, in severe cases - their paralysis.
- Difficulties with arm movements in the shoulder and elbow joint.
The subclavian part of the brachial plexus is responsible for the functions of the small muscles of the hand and forearm, that is, for the fine motor skills of the hand. Neuritis of this part of the plexus is manifested by the following symptoms:
- Loss of sensitivity in the area of the hand and inner side of the forearm, often accompanied by a feeling of numbness, tingling and crawling creepy.
- Violation of fine motor skills, in particular, difficulties in writing.
- Pain on the inside of the forearm and in the hand.
- The weakness of the muscles of the hand and forearm, in severe cases - their paralysis.
In some patients there is a total defeat of the brachial plexus.
In this case, the function of the upper limb is completely impaired, and a pronounced muscular weakness is observed.
Patients suffer from painful pains, which, paradoxically, are combined with numbness and even complete loss of sensitivity in the hand.
https://www.youtube.com/watc? = e391B26KphU
With the syndrome Persononej-Turner, which can be considered as a variant of the neuritis of the shoulder joint, the pain is of a wave-like character. The disease progresses steadily and, ultimately, leads to paralysis of the upper limb.
Diagnosis of neuritis
Diagnosis and treatment of neuritis of the shoulder joint is performed by a neurologist.
After interviewing the patient and identifying the causative factor, the specialist conducts a neurological examination, paying special attention to the function of the upper limb.
For the final diagnosis and the early start of treatment it is necessary to conduct a number of additional studies:
- Electroneuromyography (ENMG). During this procedure, a specialist installs electrodes on the skin in the region of the brachial plexus and its branches, after which it registers neuromuscular potentials. This method allows you to accurately determine the degree of nerve damage and evaluate the prospects for treatment.
- Radiography. It is performed with the purpose of timely detection of osteoarticular deformities, which could damage the brachial plexus and its branches.
- Magnetic resonance imaging. In contrast to the X-ray study, this method allows a good assessment of the condition of the soft tissues surrounding the joint.
As part of the diagnostic search, the physician should exclude other diseases that have approximately the same symptoms, as in the case of neuritis of the humeral nerve (for example, brachial periarteritis, debut of multiple sclerosis and others).
Treatment of neuritis
Treatment of neuritis of the brachial nerve is overwhelmingly conservative and includes a set of the following measures:
- Ensuring the rest of the limb (for example, by imposing a loose bandage).
- Adequate anesthesia is the administration of non-steroidal anti-inflammatory drugs.
- Physiotherapy: UHF, magnetotherapy, paraffin therapy and other methods.
In some cases, when the survey data reliably indicate that neuritis has arisen from joint trauma or other similar causes, surgical treatment is indicated.
A source: https://sustaa.ru/o-sustavah/nevrit-plechevogo-nerva
How to treat neuritis of the shoulder joint
Pain in the shoulder can appear not only in the elderly person. With such a problem, young people, especially athletes or those who by virtue of the profession, subject the shoulder joint to increased loads, often flock.
Acute pain severely limits the movement of the hand, so it causes a lot of problems. Namely, such sensations arise with neuritis of the brachial nerve, also known as the plexitis of the brachial plexus. With this pathology, nerve fibers are affected by the inflammatory process.
And since the brachial plexus innervates the entire arm and partly the upper part of the trunk, this condition can lead to serious consequences. Therefore, treatment of neuritis of the brachial nerve should be started as early as possible, with the appearance of the first symptoms.
As the pathology causes strong painful sensations.
Neuritis is an acute inflammatory process affecting nerve fibers. The brachial plexus has a complex structure. It controls the movements of the hand and ensures the sensitivity of the skin.
Pathology can affect both individual nerves and the entire plexus. In this case, there may be a partial loss of sensitivity, numbness, and complete immobilization of the hand.
Various manifestations of pathology depend on the localization of the inflammatory process and the cause of its appearance.
To severe painful feelings is added a violation of fine motor skills, a decrease in sensitivity, difficulties in moving with the shoulder.
The patient can get fever, there is general weakness, nausea, decreased immunity.
The condition worsens in a few days, but with timely treatment for 2 weeks from the pathology can get rid of..
Sometimes inflammation is caused by age-related changes, hormonal abnormalities or increased stress on the joint. In this case, the symptoms can gradually increase..
At first, the patient feels weak muscle spasms, which are rarely noticed. Then there are pains worse with movement.
There are difficulties with bending the arm in the elbow, drawing it back, holding small items in the hand. Feels numbness of the skin, a sensation of creepy or tingling.
Usually, timely treatment starts from the defeat of the nerve plexus can be disposed of in 2-3 weeks. It takes some time to restore the functions of the hand.
Most often, after a few months, the patient does not recall the illness.
But in advanced cases, complete loss of hand sensitivity or even muscle atrophy is possible, which leads to disability.
Inflammation of the nerves leads to severe pain and immobility of the hand
Features of treatment
It is difficult to diagnose neuritis without special examination. Its symptoms are very similar to brachial periarthritis, sprain or other pathology of the shoulder joint. Even cervical osteochondrosis can cause such feelings.
Therefore, treatment is prescribed only after the diagnosis is made. And this is possible with the help of radiography, MRI and electroneurography. Only after this the doctor can choose the treatment tactics. This is usually a set of therapeutic measures.
Only in neglected cases with nerve atrophy, an operation is prescribed.
But usually neuritis responds well to conservative therapy. It should be phased: first in an acute period it is important to remove pain. At this time, other methods can not be used..
It is also imperative to immediately ensure the peace of the damaged arm. To do this, it is fixed in the position of the lead bent at the elbow. After the disappearance of acute pain, anti-inflammatory therapy is used..
At the same time, the doctor determines the cause of the pathology and eliminates it.
Sometimes the use of antidepressants or hypnotics is required, as many patients experience severe loss of mobility and can not sleep from pain.
The acute period of the disease usually lasts for 2 weeks. Then, rehabilitation therapy is prescribed. This physiotherapy, massage, exercise therapy.
The rehabilitation period can last up to six months, but you need to follow all the doctor's recommendations to completely restore the nerve function. Often this requires injections of vitamin preparations, for example, "Milgrammy as well as the prolonged wearing of special orthoses.
As an auxiliary treatment, folk methods can be used, but only those that the attending physician will recommend.
To relieve pain, ointments based on non-steroidal anti-inflammatory substances
Pain and inflammation removal
Analgesics are used to relieve pain in the initial period. It can be "Next "Analgin "Solpadein "Pentalgin" and others.
Sometimes it is necessary to carry out a novocaine blockade or injection of hormonal drugs.
With intolerance of these drugs, as well as during pregnancy, pain can be removed with the help of external anesthetics.
After the disappearance of acute pain, non-steroidal anti-inflammatory drugs are prescribed. They relieve inflammation and stop the pain that will persecute the patient for a long time. Effective are Diclofenac, Nimesulide, Ketanov, Naize, Indomethacin, Meloksikam.
In addition to taking medications, various ointments and gels are prescribed inside: Viprosal, Fastum Gel, Dolgit, Ben Gay, Apizarthron.
After reducing puffiness and inflammation, warming medications are needed that accelerate the restoration of the mobility of the hand, for example, "Finalgon" or "Capsicum".
To effectively get rid of pain, you need to eliminate the cause of inflammation
Elimination of the root cause
Treatment of neuritis will be effective only when the causes of inflammation are eliminated. Therefore, after the removal of acute pain, an additional examination is performed and specific therapy is prescribed.
Infectious inflammation requires antibiotics or antiviral drugs. The most commonly prescribed complex therapy, which includes two drugs from different groups. It is also necessary to remove toxins from the body.
When the nerve is damaged after a shoulder injury, immobilization and limitation of the mobility of the hand are always necessary. Sometimes surgical treatment may be required..
Fixation of the hand in the position of the lead is also necessary for neuritis caused by increased stress or nerve entrapment..
And when it is overcooled, dry heat is effective.
In the event of a metabolic disorder or nerve ischemia as a result of vascular disorders, vasodilator drugs are prescribed: "Eufillin" or "Papaverin."
To remove the edema, you need diuretics, the best is "Veroshpiron." Necessary preparations are also needed to improve nerve conduction, biogenic stimulants and vitamins.
After removing acute pain and reducing the inflammatory process, the task of treating the neuritis of the brachial nerve is to restore microcirculation and normalize the neuromuscular transmission. For this, physiotherapeutic procedures are very effective. They help improve blood circulation and metabolic processes, relieve residual pain, restore mobility of the hand.
Most often, such procedures are appointed:
Also read: an extension of the shoulder joint
- laser therapy;
- mud baths;
- paraffin applications;
- diadynamic currents;
- therapeutic showers or baths.
Effective at the stage of recovery after inflammation of the nerve plexus massage. It helps restore skin sensitivity and mobility of the shoulder joint. For this massage is done not only in this area. It is necessary to grab the cervical-collar zone, the upper back and the arm throughout its entire length. With massage, you should avoid pressing on painful areas, because this procedure is effective only when it does not cause pain intensification.
As an auxiliary treatment is very effective physiotherapy
As an auxiliary therapy for the removal of pain and inflammation, folk methods are used.
They can accelerate recovery and alleviate the patient's condition, but only when used as part of a comprehensive treatment.
Most often used are various compresses, rubbers and home ointments.
- When the doctor allows thermal procedures, warm up the shoulder area with a bag of heated salt.
- For a compress, you can use a mixture of tinctures of propolis with olive oil.
- Effectively rub your shoulder with horseradish or black radish juice. Good pain relieves also fir oil.
- It is recommended to take warm baths with herbal decoctions. For the procedure it is good to use sage, chamomile, oak bark, walnut leaves.
Medical gymnastics will help to increase muscle tone and restore joint mobility
After the disappearance of pain and inflammation, therapeutic exercise is prescribed. It helps to prevent the development of contractures, muscle atrophy and restores the mobility of the shoulder joint.
Correctly selected exercises improve muscle tone and eliminate motor disorders. All movements need to be performed by a healthy and sore shoulder at the same time or alternately.
Each exercise is repeated 7-10 times. But first, for a sore shoulder, a light load is needed, perhaps even performing passive movements with the help of a doctor or special simulators.
All movements are slow, pain should not be allowed to increase.
Usually, to restore the mobility of the shoulder joint, the following exercises are used:
- lift shoulders up, trying to touch the ears;
- Take the shoulder blades back, bringing them together;
- turns with a brush when the hand is straight before you;
- straighten his hand in front of him and try to take her as far as possible behind his back;
- To carry out circular movements by hands, the brush at this time lies on the shoulder;
- make a straight hand swing forward and up;
- mahi in front of you with both hands, crossing them.
For the treatment of neuritis of the brachial nerve, in most cases, conservative therapy is sufficient. The main thing is to apply a set of measures and not to stop the procedure after relief. Doctors always warn patients that getting rid of this pathology is a long process.
A source: http://MoyaSpina.ru/bolezni/kak-lechit-nevrit-plechevogo-sustava
Causes and manifestations of brachial neuritis
What is the neuritis of the brachial nerve?
Despite the fact that the shoulder joint is classified as simple joints, it has a rather complex innervation system.
For the innervation of this joint, the brachial plexus corresponds to one of the strongly developed, voluminous formations of the nervous system consisting of a number of nerve endings.
Inflammation of the shoulder nerve is called neuritis of the humeral nerve, and this pathology is called plexitis, which means inflammation of the nerve plexus of the shoulder.
Neuritis of the brachial nerve (plexitis) is an inflammatory process that develops in the nerve fibers responsible for the innervation of not only the upper limb, but also the chest, back, and neck.
What triggers the development of inflammation?
Inflammation of the nerve of the shoulder can occur for a number of reasons. But most often inflammation of the brachial plexus contributes, such circumstances:
- Injuries of the shoulder joint, in particular dislocations, subluxations, fractures of the head of the humerus, clavicle, in general, of all the anatomical structures forming the shoulder joint, sprain of the ligaments. All this leads to a malfunction in the operation of the nerves of the shoulder, disruption of blood supply, nutrition and, as a consequence, inflammation of the nerve develops.
- The compression of the nerve endings of the shoulder due to a long stay in one position. This phenomenon can be observed in seriously ill patients who are forced to lie in a recumbent position, with a deep sleep lasting more than 10-12 hours. Also, the compression of the nerve occurs in the presence of neoplasms in the region of the shoulder joint, neck, collarbone, diaphragm.
- The defeat of the shoulder joint against the background of metabolic disorders is due to diabetes mellitus, gout.
- Osteochondrosis of the cervical or thoracic spine is the most frequent cause of development of plexitis.
- Neuritis of the brachial nerve can occur even in a newborn. This occurs at the time of delivery, improper obstetrics can lead to traumatism of the shoulder joint and development of the neuritis of the shoulder.
- Professional hazards create the soil for plexitis. Long exposure to vibration on the upper limb leads to microtrauma, the integrity of the structures of the joints of the hand is violated, conditions for the development of nerve inflammation arise.
- Temperature changes also detrimentally affect the nerves, especially low temperatures. Prolonged hypothermia provokes inflammation. Postponed infections, especially of a viral nature, or those infections that affect bones, joints, nerves (herpes virus, cytomegalovirus, tuberculosis).
How does the disease manifest itself?
The disease most often has a one-sided nature, mainly the dominant arm is damaged, i.e. the one that is working.
Nerves are responsible for carrying out the impulse to the organs of the target, for feeding the innervated area, as a result of the inflammatory process, a violation of these functions occurs.
How it manifests itself:
- Sudden acute pains, which, with the slightest movement, deep inspiration, coughing, and constriction of the hand, intensify. There are pains in the region of the upper limb, neck, neck, heart. A vast area of innervation of the brachial nerve makes it difficult to diagnose neuritis of the brachial nerve.
- As a result of eating disorders, puffiness is formed, the limb is cold to the touch, the skin covers become bluish, the muscles weaken, which can lead to loss of their working capacity.
- Over time, all types of sensitivity decrease, down to its complete loss, and reflexes also decrease.
- Rapidly progressive, untreated neuritis can lead to complete immobility of the limb (paralysis) or to a partial loss of motor ability (paresis). This leads not only to disability, but also to the inability of self-service. Since small motor skills are lost due to damage to the muscles of the hand.
- Because of involvement in the inflammatory process of the diaphragmatic nerve, hiccups arise.
- Eyes can also reflect the neuritis of the shoulder. This is manifested by the narrowing of the pupil on the affected side, or by the occlusion of the eyeball.
What to do if a disease is detected
Inflammation of the brachial nerve is a very serious disease. Speech about self-medication can not be, as the most terrible complication of neuritis is a complete loss of ability to work. And so, what to do if you are faced with this ailment:
- Immediately consult a specialist for the most accurate diagnosis and reasonable treatment.
- Independently you can take an anesthetic, the best non-steroidal anti-inflammatory drugs (NSAIDs) are suitable. They have not only an anesthetic effect, but also help fight inflammation. Can be used either inside or outside. It can be diclofenac, ibuprofen, napof, ketonal. For the purpose of anesthesia, warm / cold compresses can be applied to the shoulder joint region. The duration of application is 10-12 minutes.
- Use of pepper plaster.
- Create conditions for complete rest for a sick limb, for this you can use a handkerchief, a kerchief, a pillowcase, a diaper, a piece of cloth. From these materials form a bandage bandage, a half-bent arm is placed in a bandage, which is fixed on the neck.
How will the specialist help?
Neuritis of the shoulder is treated by an orthopedist, traumatologist, neuropathologist. Treatment of this disease is only complex, consisting of funds aimed at eliminating the cause, removing symptoms and for rehabilitation. How to help a specialist:
- A detailed examination not only of the affected area, but of the whole organism. Careful interview with finding out the reasons and circumstances that could lead to plexitis
- Instrumental methods of research: roentgenography of the shoulder, ultrasound of the shoulder joint, CT, MRI, electroneuromyography (allows to assess the condition of the muscles, their ability to contract and nerve endings).
- Laboratory diagnostic methods: UAC, OAM, biochemical parameters, ELISA. This method has value only for specific processes (gout, diabetes, viral damage)
- After setting the cause, an individual treatment course is selected, consisting of painkillers: NSAIDs, Novocain blockades, from analgin, dimedrol and novocain; from funds with a sedative effect, it is preferable to the medicines of the plant of origin - motherwort, valerian, peony tincture, from drugs that improve nourishment of nerve fibers, - vitamin complexes, in particular groups B. Apply massage after relieving, acupuncture, physiotherapy, complex of therapeutic physical training. Surgical intervention is inevitable for neoplasms, complex fractures, aneurysms of the subclavian artery.
- After the course of treatment and recovery, a course of rehabilitation is appointed. It consists of sanatorium-and-spa treatment, therapeutic gymnastics, massage, water procedures. All this is aimed at restoring efficiency, strengthening the muscles and developing joints. In the future, a plan of measures to prevent neuritis of the brachial nerve is being developed.
Treatment of plexitis is a very laborious work, requiring a lot of time, effort, effort and coordinated work of the doctor and patient. Self-medication is unacceptable. If you notice symptoms of plexitis, consult a specialist immediately. Take care of yourself and your health!
A source: http://SustavLife.ru/ruka/plechevoj/nevrit-plechevogo-nerva.html
Neuralgia of the brachial nerve: symptoms, treatment
Neurological diseases, especially if they concern the cervical region, often occur in the initial stage without any special signs. Each of them faces irreparable consequences.
The usual jamming of the brachial nerve without treatment can lead to disorders of blood flow in the brain. There are also complications in the arteries of the vertebrae, which grows into vertebro-basilar insufficiency.
Neuralgia of the brachial nerve - what is it?
Such a disease as neuralgia of the brachial nerve threatens when it appears disability. And at any age.
To aggravate the disease are capable of such diseases as:
- all kinds of tumors;
- diseases that are sexually transmitted.
All these diseases aggravate the process and without systemic treatment do not give a chance for recovery
As soon as the peripheral and central nervous systems are affected, even more harm is done to human health. The shoulder joint is completely or partially affected and painful sensations appear.
They can be short-term, but can disturb a person for a long time without interruption. As a rule, neuralgia appears due to hypothermia or after an increased load on the muscles.
Because of this, there are:
- spasms in the muscle tissue;
- edema is formed;
- muscle tissue undergoes changes associated with stagnation.
Most often suffer those joints that are connected with the main arm for work (left-hander and right-hander). It is possible that the pain will periodically pass into the chest or under the shoulder blade. At the same time, it can be unbearable and have to use Novocain blockades, which completely neutralize it.
Causes of neuralgia and its development
Strange as it may seem, such a process is formed unilaterally. And you need to know for sure that the disease has not completely touched the nerve.
Once the nerve plexus is completely affected, the motor system immediately reduces its activity.
In some cases, paralysis may occur, which begins with the fingers. They are very hard to work with. Soon the flexion and extension of the hands becomes impossible. At the end, the muscles atrophy completely. What is the cause of this disease?
The list includes the most common reasons:
- Inflammatory process occurring in ligaments after stretching;
- Tumors and bruises in the armpits, forearms or directly the neck;
- Osteochondrosis of one or several cervical parts becomes a common culprit;
- After applying a tourniquet or gypsum on the arm;
- Any injury to the arm, muscle or joint. And also fractured clavicle;
- Increased loads on muscle tissue (people who are involved in sports suffer);
- Influenza or other infectious diseases that can affect joints and muscles;
- Frequent hypothermia.
All of the above causes sooner or later lead to a disease
But there is an additional list of indirect causes of the disease:
- failure and disruption of the hormonal background or metabolism;
- because of age irreversible changes in blood vessels occur throughout the body;
- presence of diabetes mellitus.
Neuralgia starts to develop not immediately after the received trauma or after the transferred infectious disease.
You can repeatedly freeze during the winter season, but the push will be:
- strong emotional stress;
- a strong lowering of the immune system.
With untimely treatment, neuralgia starts to get complicated and after a while painful sensations appear more often, more intensively and have paroxysmal character
Symptoms of neuralgia and methods of diagnosis
Depending on the location of the dislocation, neuralgia has a different symptomatology.
When considering the disease in the brachial nerve:
The first symptom of the onset of the diseasecan be called spasm occurring in the upper part of the shoulder joint. It can be compared with twitching or shaking, which occurs independently without the patient's participation.
The duration of such a reaction of muscles can be from a few seconds to 2-3 minutes. In the initial stage there are no painful sensations, and quite often such spasms the person does not notice;
Swelling in the muscle tissuesqueezes the nerve endings that are in the plexus. As a consequence, pain. Painful sensations can have different character: aching, sharp or burning.
As for the attacks, they pass more intensively from constant pain. Spasm not only causes discomfort, but also exhausts the person;
The spread of painon the entire arm arises because of greater edema. Location - shoulder. It is possible that the root cause of pain can not be determined immediately, since it gives to different parts of the body (for example, in the neck or under the ribs).
By giving a characterization of spasms one can say that they are deep and not superficial;
- If you do not pay attentionon such symptoms, they begin to intensify. Simple painkillers are no longer able to help, and you have to resort to a Novocain blockade.
Diagnosis of the disease is complicated by the fact that it is impossible to clearly indicate the place where spasms occur.
This is due to the fact that the pain spreads all over the back and is able to give under the chest.
Not always, but there are cases when neuritis can be confused with diseases of the digestive tract. As soon as compression begins (nerve compression), the nerve endings cease to perform their function.
Because of this, there is:
- numbness of the muscle;
- there is an effect that many people compare to "creepy crawling" under the skin;
- the disappearance of sensitivity and reflexes;
- weakening of limbs.
For the diagnosis of neuralgia of the brachial nerve, the following methods can be used:
- general analyzes of urine and blood, as well as biochemical analysis;
- NMR and CT;
If you do not treat, complications are inevitable.
To save from this can only timely access to a specialist and the appointment of a treatment regimen, which consists of the stages:
- Partial anesthesia;
- Cessation of inflammation;
- Anesthesia completelythe whole syndrome and its remnants;
- Medical measures,directed at the source of the disease;
- Procedures for recovery.They include massage, laser therapy, acupuncture; physiotherapy;
- Alternative medicine is also acceptable.For example, mud baths or wrapping (mud, paraffin), with the help of sagebrush cigars can warm up the place where the inflammatory process occurred;
- Therapeuticgymnastic exercises;
- How does the preventive measure work?swimming.
All dosage forms must be used only as directed by the doctor.
- Appointed drugs that remove the inflammatory process and do not contain steroids:
- "Ketanov" and "Ibuprofen
- "Diclofenac" and "Naproxen
- "Nimesulide" and other drugs that can reduce inflammation and swelling;
- you can resort to analgesics. For example, "Solpadein".
- Sometimes the complex includesdiuretic preparations. They promote the removal of excess water and the removal of edema.
- If necessaryfix the hand in a certain position for a better therapeutic effect, use a langet or bandage.
- Oral preparationscan be replaced with ointments or gels that will increase blood flow and will be able to normalize the muscles. But their use is permissible only after the disappearance of puffiness.
- The scheme necessarily includesB group vitamins and antidepressants.
For rapid recovery after a neuritis LFK (therapeutic gymnastics) is vital.
With the help of special exercises, the muscle tissues affected by the disease begin to gradually perform their functions.
Each stage of neuritis requires a certain set of exercises. With severe spasms or painful sensations, exercise therapy is prohibited, since they can aggravate the condition of the patient.
After the permission of the attending physician, therapeutic gymnastics can be applied several times a day, but without overstimulating the muscles. Together with exercise therapy recommend massage, which uniquely improve the patient's condition
Neuralgia of the humerus in pregnancy
This disease occurs during pregnancy.
This is due to the fact that the future mother:
- moves less;
- on the spine more load;
- could endure viral and infectious diseases;
- suffers from freezing and frequent stressful situations.
But the root cause is usually the incorrectly selected bandage. The shoulder joint is compressed by a tight strap and blood circulation is disturbed. Further, the inflammatory process develops, because of which neuralgia arises.
The complexity of the treatment is that during pregnancy and lactation, most of the drugs for pain relief and treatment can not be used. In such cases, prescribe gentle therapy, in which drugs are used for external use.
In the absence of treatment or improperly selected therapy, neuralgia of the brachial nerve leads to impaired movement (paresis and paralysis). Most often the disease develops into neuritis or completely atrophies the nerve endings.
A source: http://prosustavi.com/bolezni/bol/nevralgiya-plechevogo-nerva.html