Lumbago with sciatica: what is it?

Lumbago with sciatica (lumboschialgia) - what is it?

Many, reaching middle age, face painful sensations in the back. Few people turn to the doctor for help, preferring self-treatment.

This attitude to health exacerbates the disease, and pain occurs more often and begins to be given to the lower limbs. Lumboschialgia develops. Let's figure out the lumbago (lumbalgia) with sciatica what is it? What are the symptoms and what kind of treatment.

Features of this ailment

When the disease affects the sciatic nerve, and this causes excruciating pain in the lumbar region. Pain syndrome usually appears suddenly and acutely. Its appearance can provoke an awkward movement or a lifting of gravity.

Lumbago is characterized by a fit of severe pain in the area of ​​the sacrum and waist.It develops in connection with the degeneration of the disc cartilage of the spine. The cause may be displacement of the vertebrae, various injuries and tension of the dorsal muscles. When a hernia occurs a sudden attack.

Important!If acute exacerbation of lumbago does not provide emergency care, then sciatica develops. There was a pinching of the sciatic nerve.

If sciatica occurs with lumbago, then urgent help is needed. Otherwise, a violation of the circulatory system of the lower limbs will follow.

To determine and diagnose that there are two ailments together, you need to undergo a thorough examination.

note, lumbago with sciatica code by μb 10: M54.4.

Symptoms

There are specific symptoms of this disease.

Specificpainful sensations:

• Lumbago in inactive people - in the lumbosacral department there is a sharp pain that increases during exercise and calms down during the rest period.
• Lumbago in people who lead an active lifestyle - painful feelings intensify gradually, for several days. The pain drains to the thighs and buttocks. If left untreated, it remains at rest.
• With sciatica, pain spreads over the thigh and is accompanied by tingling, convulsions and painful sensations when walking.

States differ by certain features, but sometimes manifest simultaneously. More about the symptoms of sciatica and drug treatment.

There are other symptoms of lumbago and sciatica:

• Disturbances digestion.
• Micturition with pain.
• Constipation and diarrhea.
• Pain inside the muscles.
• Limited motion.
• Itching appears in the nerve zone.

All these symptoms are serious pathologies and require specialized care and treatment. In this article you will learn how to effectively remove pain in sciatica, almost all these methods are effective for lumboschialgia.

Kinds

This disease is classified according to pathologies:

• The acute form is initial, with symptoms that appear for the first time, without problems with the spine.
• Chronic - the disease has been going on for a long time. Relief alternates with relapse.
• Vertebral - the presence of osteochondrosis, protrusions, hernias.
• Nonverbrogenic - a violation of blood circulation in the vessels of the waist and lower limbs.
• The combination of diseases happens due to peritoneal injuries and problems with the hip joint.

Important!Any form of this disease requires careful examination. It is necessary for diagnosing diseases of the blood vessels in the limbs and peritoneal cavity.

How to treat lumbago with sciatica

Therapy of lumbosciagia involves 2 stages- Relief from pain medication and complex treatment, which is aimed at removing the cause of the disease.

Medication:

• Anti-inflammatory drugs - to stop the inflammatory process in the affected nerve fibers (Diclofenac or Revmoxicam).
• Miorelaxants - to relieve muscle spasms (Midokalm).
• Diuretics - to get rid of edema (Furosemide).
• Means that improve blood circulation in the area of ​​inflammation (Trental).

After pain elimination is appointedcomplex treatment, which includes:

• Physiotherapy is the most common electrophoresis.
• Physiotherapy exercises are special exercises that remove the infringement of the nerve.
• Surgical intervention - appointed in case of external damage to nerve fibers. The operation consists in excising a hernia.

Attention!The disease of lumbago with sciatica is accompanied by acute pain. They can stop, but then they will resume with a triple force. Therefore, self-medication should be avoided, and immediately seek medical help to avoid serious consequences.

It should be noted, that there is no effective method for curing lumboschialgia. All drugs cause side effects and they have many contraindications. The constant intake of medicines will inevitably lead to a negative effect on internal organs.

Naturally, many do not want to visit a doctor, especially to lie in a hospital. But self-treatment will complicate the situation, with the spine not joking, since serious consequences can arise.

It is necessary to endure the phase of acute attack and immediately begin treatment under the supervision of doctors.

Eliminating the causes that caused lumboschialgia, you can hope for alleviating the painful attacks and even their complete disappearance.

A source: https://spina11.com/ishias/lyumbago-s-ishiasom.html

Lumbago with sciatica - what is it, symptoms and treatment

One of the most common diseases of the peripheral nervous system is the sciatic nerve damage - sciatica. Usually, this pathology develops at the age of 30-40 years, and reaches maximum severity by 45-50 years.

This nerve can be included in the pathological process as with some diseases of the spine and intervertebral disc, and with muscle spasms.

Violations in his work are often accompanied by the development of lumbago with a pronounced sciatica.

What is lumbago with sciatica (lumboschialgia)?

Lumbago - the so-called chamber in the lumbar region and the legs from the side of the lesion.

Occurs when the sciatic nerve is briefly squeezed by spinal elements or muscle tissue.

In the course of the development of the disease, the patient may experience sciatica - a constant pain on the back of the foot, spreading throughout the innervation zone of the injured organ.

Symptoms of lumbagochialgia are not specific and can develop with various pathological processes.

In the absence of adequate therapy of pinching and inflammation, all this can cause a malfunction in functioning of the pelvic organs (mainly the genitourinary system) and violations in the work of the lower extremities.

Types of disease

Lumboscialgia can occur in acute and chronic form. Acute is considered a disease that occurs for the first time. If the disease occurs repeatedly, it is a chronic form.

Repeated symptoms of sciatica or lumbago can occur under the influence of such provoking factors as physical stress, stress, hypothermia and prolonged exposure in an uncomfortable position.

Lumbagoishialgia also differs in the localization of painful sensations. Most often, there are cases of unilateral defeat.

In this case, the patient, as a rule, is temporarily deprived of the opportunity to walk.

Causes

There are two main groups of causes for the appearance of lumbago with sciatica: spinal cord injury and those that are not related to spinal cord injury. The first group is divided into discogenic and spondylogenic factors.

With a pathology such as discogenic lumbosciagia, the trunk is infringed in the root zone by the elements of the collapsing vertebral disc. Pain of a spondylogenic nature is the result of damage or displacement of the vertebrae.

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The causes of lumbago with sciatica, not associated with diseases of the spinal column, are violations of trophic processes in the nerve area, infringement of the nerve trunk elements of the hip joint, spastic phenomena in large skeletal muscles, and acute inflammatory processes in the abdominal cavity, which affect spine.

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In addition to the reasons, it is necessary to say about provoking factors that contribute to the appearance of symptoms of lumbago with sciatica after remission or occur for the first time. The provoking factors of lumbagoishialgia include:

• supercooling;
• long stay in an uncomfortable position;
• violation of the technique of performing exercises in sports;
• long work at the computer;
• heavy physical activity;
• lack of knowledge about the biomechanics of the body;
• excessive hypertrophy of muscle tissue;
• obesity;
• violation of posture;
• injury.

It is worth noting that the absence of influence of the indicated factors does not guarantee the absence of lumbago or sciatica. The sciatic nerve can be pinched and against a background of complete external health.

Symptoms of lumboschialgia

The main manifestation of lumbago and sciatica is a sharp pain of shooting character. With partial pinching or squeezing of the canal, the pain sensations become permanent, pulling. Usually they subside during the patient's complete rest. Lumbago does not necessarily appear with sciatica.

In addition, with sciatica and lumbago, patients complain of a feeling of cold or heat, paresthesia, spastic phenomena, general weakness in the legs and a decrease or total loss of sensitivity. Painful sensations intensify when trying to move and subside in a motionless position.

The time of an attack of sciatica can be within a few minutes or even a day. The pain sometimes passes spontaneously. In any case, the patient needs qualified treatment.

Lumbago's disease with sciatica can be accompanied by urinary incontinence, fever and chills.

With a prolonged course of chronic sciatica, atrophy of the neurotic tissue occurs, trophic ulcers develop, the muscular mass of the affected limb decreases.

Diagnostics

The diagnosis of "sciatica" is based on a clinical picture. It is enough to know what a lumbago is with sciatica and how it manifests itself.

It should be remembered that in itself pain, no matter what character it wore, is not an independent disease.

Therefore, diagnostic activities conducted in the presence of signs of pinching, are aimed at identifying the root cause of the isalgia. The following types of research can be assigned to a patient:

• review radiography;
• CT and MRI of the vertebrae;
• Ultrasound;
• densitometry;
• the study of blood for the presence of markers of infectious or autoimmune diseases.

As a rule, these procedures are sufficient to identify the root causes of sciatica and lumbago. In cases where the cause could not be identified, the patient is assigned a blood test for oncomarkers in order to exclude the risk of the tumor being squeezed by the neurological channel.

Treatment of lumbago with sciatica

Treatment of lumbago with sciatica can be prompt and medicated.

The operation is resorted to only in the case of pronounced organic changes in the zone of nerve infringement (spinal part fracture, intervertebral hernia).

But even the operation does not guarantee a complete cure. How to treat a neurological impairment is determined by a doctor. But therapy is always conducted in several ways:

• Anti-inflammatory treatment. It is carried out by prescribing a non-steroidal anti-inflammatory drug, for example, orthophene or diclofenac.
• Withdrawal of muscle spasm. Miorelaxants contribute to a significant improvement in the patient's condition. Treatment of sciatica and lumbago is usually performed using midolma.
• Diuretic Therapy. Taking diuretics helps to remove excess fluid from the body and reduce edema in the pathological focus. Furosemide is one of the drugs used in the treatment of sciatica.
• Vitaminotherapy. B vitamins improve the impulse conduction along the trunks of peripheral nerves. For the treatment of neurological diseases it is better to use multivitamin complexes.
• Improvement of microcirculation. Treatment of sciatica with lumbago is impossible without the use of drugs that improve the circulation of fluid in the capillaries of the affected area. To this end, apply trental or pentoxifylline.

Prevention of disease

Preventive measures do not guarantee that lumbago will not develop with sciatica. However, the adoption of certain preventive measures significantly reduces the likelihood not only of isalgia, but also of other diseases of the peripheral system of innervation of tissues and organs.

To prevent tunnel syndrome in sciatica or lumbago, exercise should be weighed against the possibilities body, perform work using the principles of body biomechanics and avoid long-term uninterrupted work in one position. If the characteristics of work activity imply a static position of the body, you should regularly do warm-up.

Lumboschialgia is a diagnosis that is not a verdict. With properly selected treatment, it is quite possible to cure such a pathology.

A source: https://MoyOrtoped.ru/diagnostika/chto-takoe-lyumbago-s-ishiasom-i-kak-lechit

What is lumbago with sciatica: how to treat the disease and prevent its further development

Sciatica is a disease that is accompanied by a lesion of the sciatic nerve or other nerve roots in the lumbar spine.

Ischialgia is manifested by severe pain in the thigh, buttock, discomfort spreads to the lower limbs.

As the disease progresses, the symptoms of sciatica are supplemented with lumbago (back lumbar spine, acute the pain appears suddenly with the compression of the nerve roots), hence the name of the pathological process - lumboeishalgia.

The disease requires careful study, given that several unpleasant symptoms appear simultaneously. Absence of treatment leads to disability of the patient, loss of efficiency. It is important at the first signs of pathology to consult a doctor, to begin adequate therapy.

Causes of appearance

The sciatic nerve is the largest and longest in the human body. It originates in the lumbar region, its path lies through the buttock, thigh, reaches the feet.

Pinch is formed against a background of many pathologies (irritation, traumatic lesions in the lumbar region).

Painful sensations are amplified when the muscles in the damaged area are strained, the muscle tissue is disturbed, nodules are formed.

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The ailment is often disguised as lumbar radiculitis (lumbar lumbar pits and infringement of nerve roots on the background of inflammatory processes), which leads to improper treatment, progression disease. Lumbago with sciatica is often diagnosed in men after 30 years, which is associated with the presence of this group of addictive habits, sedentary work.

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Lumbago with sciatica appears against the background of the following negative factors:

• osteochondrosis of the spine, the presence of complications (intervertebral hernia, protrusions);
• arthrosis of intervertebral discs;
• spondylarthrosis, spondylitis, scoliosis;
• congenital anomalies of the structure of the spine;
• abscesses, tumor formations in the lumbar zone;
• diseases of internal organs;
• ailments accompanied by circulatory disorders;
• rheumatism;
• severe infectious pathologies, which are characterized by the defeat of nerve endings;
• systemic connective tissue diseases.

There are several reasons that aggravate the situation:

• sedentary lifestyle, lack of regular physical activity, which leads to a weakening of the muscular corset;
• the course of pregnancy (especially negatively affects the bearing of several fruits at the same time);
• stress;
• violation of posture;
• hypothermia;
• excessive physical exertion (refers to professional athletes, people doing hard physical work).

It is important to find out the reason for the appearance of lumbago with sciatica, to eliminate the negative factor.

Classification

Lumboschialgia is divided into several species, each characterized by specific clinical manifestations:

• muscular-tonic.The nerve root is irritated because of the surrounding structures. This state of things leads to muscle tension, which causes compression of the sciatic nerve. The causes of the pathological process are undeveloped muscles, diseases of the gastrointestinal tract, hip joints;
• neurodystrophic.It is a kind of continuation of the above form. Pathology is characterized by a change in the color of the epidermis, in some cases ulcers appear;
• vegetative-vascular.There are acute attacks of pain in both legs, discomfort increases during the change in body position, with hypothermia.

Often, lumbosciagia includes symptoms of several forms (mixed type of disease). According to the nature of the disease, an acute and chronic form of lumbago with sciatica is isolated.

Characteristic signs and symptoms

Suspected the presence of lumboschialgia can be based on several specific clinical signs:

• gradually there are pains in the lumbar region of varying severity (pulsating, sharp, burning);
• discomfort extends to one or two limbs, affecting the buttock, thigh, reaching the feet and toes;
• the area of ​​pain localization - next to the skin, within the lower limbs discomfort is rarely felt;
• patients note the limitation of mobility of the lower half of the body, itching along the sciatic nerve;
• the epidermis becomes pale;
• when trying to change the position of the body, discomfort in the lower back increases;
• in the absence of treatment, there is a loss of control over the act of urination, defecation. In neglected cases, a patient is disabled.

Note!The duration of the pain in each case is individual. Discomfort can be felt for a few minutes or a day, it all depends on the degree of damage to the sciatic nerve.

Diagnostics

If there is a suspicion of lumboschialgia, the patient is examined by a neurologist, appoints a number of special studies that reveal the pathology, the degree of damage to the nerve roots.

Research:

• X-ray. Allows you to assess the condition of the spine, find out the area of ​​localization of the pathological process;
• MRI, CT. The methods are designed to study not only bone tissue, but also to assess the condition of nearby vessels, soft tissues, nerve endings;
• Ultrasound of the abdominal, pelvic cavity (to exclude diseases of internal organs in these areas);
• analysis of blood, urine, densitometry (designed to assess the condition of the body as a whole, identify infections, other lesions).

Based on the findings, the physician chooses therapy, gives a lot of useful advice on changing the rhythm of life, adherence to preventive recommendations.

Effective methods of treatment

Immediately after the detection of lumbago with sciatica, the affected person is prescribed a two-week bed rest, sleep only on orthopedic mattress, wearing special corsets that prevent the progression of the disease, reduce pain Feel. In most cases, conservative methods of therapy help cope with the pathology. Only in case of traumatic injuries, the presence of tumors, osteophytes, the problem is solved operatively (the decision is made only by an experienced specialist).

Medications

Effective medicines:

• painkillers. Tablets or nyxes of NSAIDs (diclofenac, Ibuprofen, Piroxicam) or non-steroidal analgesics (Catadolone, Lyrics);
• muscle relaxants. Cope with muscle spasms, which reduces pain. Often they use Sirdalud, Baclosan;
• with severe pain I resort to the help of Novocaine blockades. Anesthetics are injected directly into the focus of the pathological process, which immediately helps to ease discomfort;
• vitamins of group B (for improvement of conduction of nerve roots, restoration of muscle fibers);
• local anesthetics in the form of gels, ointments (Capsicum, Fastum-gel, Amelotex);
• agents that improve blood circulation (Actovegin);
• immunostimulants, sedatives.

The combination of drugs will help cope with unpleasant symptoms of lumboschialgia, stop inflammation, degenerative - dystrophic changes.

The specialist can prescribe specific drugs that affect the cause of the disease (osteochondrosis, arthrosis, sciatica, rheumatism, infectious processes).

Physiotherapeutic procedures

Lumbago with sciatica is treated with special techniques:

• acupuncture;
• magnetotherapy;
• electrophoresis;
• paraffin applications.

All procedures are prescribed by a doctor, they are conducted only during periods of remission. Manipulations trigger blood circulation, metabolic processes, cope with pain syndrome.

Exercise therapy and gymnastics

Exercises are allowed after relief of unpleasant symptoms, as a supportive and preventive therapy.

With lumbosciagia, it is recommended to perform the following course of healing exercises:

• stretch the lumbar muscles (recommended slow corners, slopes in different directions, deflection of the back from a lying position);
• to restore mobility will help mahi opposite hand and foot from the position on all fours. Effective feet, hands, pulling the legs bent at the knee joint to the chest from a lying position;
• stretch the spine will help a specialist with a special anatomical couch;
• the victim recommended yoga, fitness, swimming.

All manipulations in advance, talk to the doctor, follow his recommendations.

Folk remedies and recipes

Natural remedies have a positive effect on the patient's well-being, trigger the regeneration of tissues, relieve pain:

• rub the diseased area with badger fat, wrap it with cellophane, leave it for a few hours;
• apply warming patches to the lumbar region;
• take a bath with a decoction of needles and pine (200 grams of raw materials per liter of boiling water).

Useful recommendations

Pain in the lumbar region always indicates a pathological process. It is important to find out the root cause, to visit the doctor in time for diagnosis, to prescribe the right therapy.

Prevent the appearance of lumbago with sciatica help preventive recommendations from leading experts:

• give up a long stay in one position. If this is not possible, then take regular breaks, perform light gymnastics;
• wear heels no higher than 4 cm, give preference to comfortable shoes;
• normalize weight, include in the diet foods rich in nutrients;
• get rid of addictions, try to exercise a few times a week (strong muscular corset - the key to successful recovery, excellent health);
• in time treat pathologies associated with joints, blood vessels.

Adhere to these rules simply.Remember:At stake is your health, even life. Considering the danger of disability and constant discomfort, contact the specialist if you have the first signs of lumboschialgia.

More detailed information about what a lumbago with sciatica is told by a doctor of the highest category in the following clip:

A source: http://vse-o-spine.com/bolezni/simptomy/lyumbago-s-ishiasom.html

What is lumbago with sciatica and how is it treated?

30.08.2017

Diseases of the back are among the most common, especially among people aged 30 to 40 years.

Often, due to an error in diagnosis, it is not possible to identify and prevent the course of the disease in time.

So, doctors often diagnose lumbosacral radiculitis when the patient is actually lumbago with sciatica.

What is lumbago with sciatica

Lumbago with sciatica - manifests itself in the form of a lumbago in the lower back, namely in the lumbar and cross sections of the spine, giving in the leg. When a patient's hernia is detected, surgical intervention is necessary.

Lumbago - backache

Cause of development

The main factor in the development of the disease is the infringement of the roots of the sciatic nerve. These cells are located in the center of the pelvis and stretched over the entire leg.

Damage can be obtained as a result of two reasons: either complications resulting from inflammatory diseases, or ordinary mechanical pinching.

The reasons for the development of lumbago with sciatica can be divided into two groups:

• the reasons connected with a backbone defeat;
• not related to back disease.

The first group includes such factors as:

The second group includes such factors as:

• failures in the flow of blood to the vessels of the waist and lower extremities, which contributes to a shortage of blood supply to the sciatic nerve, provokes inflammation;
• a change in the structure of the hip joint, which can pinch the roots of the nerve;
• various diseases of the abdominal region, the inflammatory process of which may affect the spine;
• an inflammatory process in the muscle fibers of the lumbar region - inflammation of the muscle tissue can cause spasm and pinching of the roots of the sciatic nerve.

But this is not all the reasons for the disease to come. Also, damage to the back and pinching of the nerve can be influenced by such harmless factors as:

• pregnancy - a change in the process of pregnancy of the hip joint structure can damage the nerve;
• Obesity - constant pressure of excess weight, extra burden on the spine;
• prolonged stressful conditions, which damages the nervous system itself;
• changes in the spine with age, wear;
• hypothermia - the damaging nervous system, the nerve itself.

Scheme of lumbago formation with sciatica

Types of disease

There are several groups to which the disease is divided.

By the time of the disease:

• acute form - manifested in the patient's complaints of acute lumbar pain, which had never previously been observed;
• chronic form - pain in the patient is observed for six months, the disease has a spasmodic character, with the withdrawal of pain and exacerbation.

In terms of the extent of the lesion:

• one-sided - affects only one limb, pain sensations are more pronounced on the right or left side;
• bilateral - the pain can be manifested in two extremities.

Symptomatology of the disease

The most common cases are when the disease manifests itself as a result of a peak in the change in the structure of the spine.

If the acute form of the disease can immediately be diagnosed, then in chronic form this it is very difficult to do, because the symptoms are connected, and the pain itself appears temporarily and then is damped.

It is worth noting that the pain syndrome can manifest itself from any awkward, abrupt movement, hypothermia of the body.

Locating pain with lumbago with sciatica

So, the main symptoms of lumbago development with sciatica are:

• sharp, sharp, strong, throbbing pain in the lower back;
• sensation of pain in the leg, from the buttocks to the knees, or completely, through the calf muscles.
• an imaginary increase in body temperature that provokes chills;
• limitation of movements of the waist;
• the change in color is more pale.
• burning sensation along the sciatic nerve.

In addition to the main symptoms against the background of the development of the disease can be observed:

• failures in the work of genital organs;
• increased sensitivity of the skin of the buttocks;
• constipation;
• general weakness.

Diagnostics

Before appointing treatment, the doctor must necessarily put the correct diagnosis. To determine the lumbago with sciatica, the following should be done:

• a roentgen of a backbone;
• pass magnetic resonance imaging of the hip joint;
• to measure the density of bone tissue (allows to reveal the tendency of bone tissue to fractures);
• ultrasound examination of the abdominal cavity;
• the detection of infectious diseases by means of a blood test.

Comfortable poses for lumbago with sciatica

Treatment of lumbago with sciatica

After the doctor correctly diagnosed, treatment is prescribed.

When a pain syndrome occurs due to a lesion of the spine, the doctor prescribes wearing a corset. It is worth noting that in diseases of the back it is recommended to sleep on orthopedic mattresses.

In acute forms of the disease is recommended drug treatment.

In this case, the doctor appoints a two-week bed rest and a medical course of treatment, which includes taking such drugs as:

• Anti-inflammatory - eliminate pain in the area of ​​the sciatic nerve.
• muscle relaxants - removes pain in the affected muscle fibers.
• means, increasing urination - remove puffiness in the region of nerve endings.
• vitamins of group B - regenerate nerve fibers damaged during the course of the disease.
• various drugs that restore blood circulation.

Treatment, using physical means

• acupuncture;
• back massage;
• therapy with the help of constant and alternating current on the body.
• paraffin bath.

After getting rid of the pain syndrome, a course of therapeutic gymnastics is prescribed:

• muscle stretching (kinesis therapy);
• yoga;
• classes on simulators with low weight.

Folk ways of treating lumbago with sciatica

• heating of the back with a belt of dog hair;
• rubbing your back with badger fat;
• taking baths with pine needles;
• rubbing ammonia;
• use of heating patches.

In the event that the patient has a pronounced mechanical damage to the sciatic nerve, an operation is prescribed.

In most cases, surgical intervention is required if the patient has hernias, squeezing the roots of the nerve and in the presence of a tumor.

After completion of the course of treatment, it is necessary to follow preventive measures:

• do not sit for a long time in an uncomfortable position;
• wear comfortable shoes, without heels;
• refrain from lifting a lot of weight;
• weight loss;
• rejection of bad habits.

Badger fat - effective for lumbago

Thus, lumbago with sciatica is a very unpleasant disease, which can easily be confused with ordinary radiculitis. The disease manifests itself in the appearance of severe pain with the defeat of one or both extremities due to inflammation of the sciatic nerve.

The causes of the occurrence can be various, as usual mechanical damage, and complication of any disease.

Lumbago with sciatica is a very unpleasant, but not life-threatening disease, but nevertheless one can not neglect the help of a specialist. Only a doctor should conduct an examination and appoint a patient for treatment.

To prevent disease, it is best to avoid uncomfortable poses, hypothermia, etc. After the end of treatment it is best to back the back muscles with physical exercises such as tilting, stretching, working on simulators. It is strictly forbidden to lift heavy weights.

In any case, with the appearance of any of the symptoms, a specialist consultation is necessary. Self-medication can not only not give results, but also worsen the situation.

Have you ever tried to get rid of joint pain yourself? Judging by the fact that you are reading this article - the victory was not on your side. And of course you know firsthand what:

• With pain and creaking, bend legs and arms, turn, bend ...
• wake up in the morning with a feeling of aches in the back, neck or limbs
• for any change of weather, suffer from what twists and twists the joints
• forget that such free movement and every minute to fear another bout of pain!

A source: https://HelpSpina.ru/bolezni/lyumbago-s-ishiasom.html

Lumbago with sciatica: description, symptoms, etiology, treatment, how not to admit

Lumbar pain is a common phenomenon. The reasons for this trouble are many, but more often than not people face this because of the development of lumbago with sciatica.

What is it, what are the consequences, why does it arise and how to cure this ailment?

Description and symptoms

In medicine, it is considered that such terms as "lumbago" and "sciatica" are two similar in terms of location, but different in terms of the origin and symptoms of the disease.

The first is caused by inflammatory processes that occur in the lumbar cartilage tissues.

Symptoms of lumbago are as follows:

• sharp pulling or piercing pain in the lumbar region;
• strong stiffness on the background of tension of the gluteal and femoral muscles;
• general uncomfortable state of health;
• sometimes.

Pain in the lumbago at rest stops. But with a load or sudden movements, they can become intense and quite unbearable. Their duration during an attack can vary from 30 minutes to several hours.

Most often, lumbago is combined. More precisely, the second ailment arises as a consequence of the first. When sciatica develops, pain is not limited to the area.

They, too, are acute, but already spread along the entire length of the leg, more often from the inside of the thigh, and then irradiate into the feet and shins.

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This can be explained by the fact that it involves pinching the inflamed nerve roots, the sciatic nerve or bone or cartilaginous tissue, or muscles.

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Symptoms of sciatica, in addition to back pain, can include:

• cramps in the legs;
• ;
• deterioration of motility.

In the generalized variation, these two ailments are a mixed disease, which in medicine has a separate name - lumboschialgia. She has more extensive signs, characteristic of both, and other disease.

Than Dangerous

Sciatica in combination with lumbago can be the basis for the development of the cranio-lumbar region.

In addition, if this pathology is not treated, then serious lesions of large joints in such areas of the body as:

• hip;
• knee;
• ankle.

This will not only cause painful pain in the dorsal, pelvic muscles, a feeling of heaviness in the legs. As a result, people will gradually lose mobility, the quality of life will deteriorate.

Running cases can even lead to disability. Therefore, the treatment of sciatica and lumbago should not be postponed until later.

Causes

Factors for the development of lumboschialgia are many. Basically, these are various pathologies formed in the lumbar department:

• impaired blood circulation;
• ;
• tumors;
• abscesses of tissues;
• inflammation of the nerve roots;
• ;
• degenerative processes;
• ;
• ;
• anatomical disorders.

How is it diagnosed?

The diagnosis of lumbago with sciatica is made by a neurologist after examining an anamnesis, a careful examination of the patient, in which particular attention is paid to the review of the reflexes of the lower extremities.

Often, to confirm the diagnosis of lumboschialgia tests are appointed Lasega and Bragard.

Such diagnostics help to exclude relapses, which are not uncommon in this pathology. Especially often, they arise because of unresolved causes and misplaced appointments.

Therapy

The treatment of lumbago and sciatica in unreleased cases occurs most often conservatively. The most effective disposal of this disease is an integrated approach to therapy.

Medicamentous treatment of lumbago with sciatica is mainly concentrated on:

• elimination of pain syndrome;
• removal of the inflammatory process in the nerve roots and sciatic nerve;
• relaxation of the constrained muscles.

For all of these anti-inflammatory non-steroidal agents and analgesics are used. They can be administered both as a solution for infusions and as tablets by oral administration. The choice of form depends on the course of the disease, its causes and stage.

Attention, do not prescribe or buy medicines yourself, only a doctor can do this.

In combination with drug therapy, the patient is also prescribed:

1. Reflexotherapy is a method that perfectly removes pain and inflammation. Occurs through.
2. LFK is an effective way to prevent relapses. is aimed at strengthening the muscles of the abdomen, pelvic floor and waist. It also helps restore their mobility, improve blood circulation in these areas.
3. Physiotherapy - effectively helps to relieve inflammation and restore the functionality of the lumbar region as a whole.

How long is the lumbago treated with sciatica? The duration of therapy in each individual case may be different. For example, someone for recovery is enough for one week, and some will need a month.

How to prevent

To avoid encountering sciatica or lumbago, it should be avoided. Virtually all listed reasons for such ailments provoke strong stress on the spine. Therefore, their exclusion will not lead to such a nuisance.

Also, the prevention of lumbago with sciatica includes a healthy lifestyle. In particular, especially with a sedentary lifestyle, a person must engage in physical education. Very useful for this purpose is the hardening of the body.

Denial of responsibility

The information in the articles is intended only for general reading and should not be used for self-diagnosis of health problems or for therapeutic purposes.

This article is not a substitute for medical advice from a doctor (neurologist, therapist).

Please consult your doctor first to know the exact cause of your health problem.

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A source: http://osteohondrosy.net/lyumbago-s-ishiasom-opisanie-simptomy-ehtiologiya-lechenie-kak-ne-dopustit.html

Lumbago: causes, symptoms, treatment

Back pain is a common symptom of many pathologies, in particular lumbago with sciatica, or more precisely - their combinations - lumboschialgia.

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Sciatica is a pathological condition characterized by a lesion of the sciatic nerve or other nerves near the lumbosacral segment of the spine.

It is accompanied by severe pain in the back of the thigh, which gives to the lower leg and even the foot.

Progressing, this condition is supplemented by lumbago - piercing - acute attacks of pain.

Lumboschialgia can arise as a secondary pathology, that is, against the background of other diseases, therefore it requires a particularly thorough diagnosis.

Pain syndrome can have different intensity and character, appear under the influence of different factors or arise spontaneously, accompanied by other symptoms.

The most protracted course of the pathology with mild remissions is most difficult.

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There is acute (primary pain syndrome) and chronic pathology (acute phases with periods of remission).

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Due to the appearance of the disease classified: vertebrogenic, or vertebral, spondylogic (osteochondrosis of the spine); non-malignant, including angiopathic (defeat of the vessels of the waist and legs), myofascial (diseases of the fascia and muscles), with lesions organs of the peritoneum.

In terms of severity: one-sided - one limb suffers, the pain is observed on one side of the lower back; bilateral (bilateral) - gives in both legs, the pain syndrome is present on both sides the spine.

The pain arises from trauma, inflammation, compression of the nerves. It increases with muscle tension in the affected area, impaired nutrition of tissues (bumps and nodes appear).

This can occur for the following reasons:

1. Osteochondrosis of the spine, including dysfunction of individual segments, disc protrusions, hernias, bone osteophytes;
2. Osteoarthritis of intervertebral discs;
3. Osteoporosis of the spine and pelvis;
4. Spondylitis and scoliosis;
5. Congenital vertebrae anomalies;
6. Abscesses and tumors in the lumbar region;
7. Internal diseases, more often associated with tumors;
8. Pathologies of large vessels, which lead to poor blood circulation in the lower back;
9. Defeat of the hip joint or muscles;
10. Pathology of connective tissue, rheumatism;
11. Infections with severe course, affecting the nerve trunks;
12. Idiopathic lumboschialgia is a pathology without a specific cause.

Provoking factors: old age, degenerative age processes; obesity; pregnancy; depression and stress; violation of posture; hypothermia; heavy physical labor.

It is noted that the first attacks occur more often on the background of the progression of diseases of the spine. Acute syndrome is expressed sharply, chronic - moderately, with periods of activation and fading. To exacerbation can cause hypothermia, heavy weight carrying, sharp movement.

The main symptoms are:

1. Severe pain, which gradually but quickly grows. Localized in the lower back. He wears a sharp, burning, pulsating, shooting character;
2. The pain extends to the buttocks (one or both), to the knees, heels;
3. The pain is more often localized closer to the surface of the skin, less often - deep in the muscles;
4. Feeling of heat, followed by chill;
5. Sometimes the body temperature rises;
6. There is a dermal itching along the affected nerve;
7. Limited mobility of the waist;
8. The skin becomes pale, cold;
9. The pain increases when you try to change the position of the body;
10. In severe cases, there is a loss of control over defecation, urination.

The duration of the attack varies from a few minutes to a day and even more. Discomfort usually passes as quickly as it appears. A second attack may appear on the same day, and after a few months.

The doctor should prescribe the following procedures:

• radiography of the spine;
• CT or MRI of the spine, hip joint, vessels;
• densitometry;
• MRI, ultrasound of the abdominal cavity;
• blood tests for infectious and autoimmune diseases.

First of all it is recommended to wear a special corset and sleep on an orthopedic mattress. Usually, the pathology can be well treated if the treatment is aimed at eliminating the root cause and stopping the pain syndrome.

During an exacerbation, you must adhere to bed rest (up to 2 weeks).

Drugs used to treat lumbago:

1. An anesthetic is prescribed in injections or tablets. Usually, these are nonsteroidal anti-inflammatory drugs (Brufen, Ketorolac, Dexalgin, Movalis, Arkoxia, Piroxicam), as well as non-narcotic analgesics (Cathadolone, Lyrics);
2. To relieve muscle spasm, muscle relaxants are prescribed (Midokalm, Baclosan, Sirdalud);
3. Diuretics are used to relieve edema of the nerve trunks (pr. Lasix);
4. Novocaine blockades on the spine zone are shown, and for severe pain, the use of glucocorticosteroids (Hydrocortisone, Diprospan);
5. Relieve nervous tension with sedatives, for example, Relanium, Phenosipam, other sleeping pills and tranquilizers;
6. To accelerate the recovery of muscle fibers and improve the conductivity of nerve roots, prescribe vitamins B (Neuromultivitis, Milgamma);
7. To activate blood flow, Trental, Eufillin or Actovegin are required;
8. Drug treatment also includes local anesthetics - creams and ointments, including anti-inflammatory components (Fastum-gel, Diclofenac, Diclac).

The patient is also shown physiotherapy. It includes such procedures as acupuncture, massage, electrophoresis with drugs, exposure to microcurrents, magnetotherapy, paraffin applications and UHF. When osteochondrosis can be prescribed traction of the spine and manual therapy.

When restrictions on movement are removed and the pain syndrome passes, exercise classes are shown.

They include stretching the muscles (tilting, turning, bending), exercises to restore the mobility of the spine and joints (squats, flies legs, pulling the knees to the chest, lifting the body from the prone position), exercising on the simulators, stretching the spine on the anatomical couch, yoga.

Do not exclude the addition of basic therapy homeopathic remedies.

As for folk remedies, the most popular ones are: grinding badger fat; the operation of belts made of wool; compresses from the birch buds; conifer baths; warming plasters; rubbing of liquid ammonia; applications of mummies, black radishes, horseradish.

At home, the contrast shower helps to relieve the attack, dry heat to a sore spot. It is necessary to take a more responsible attitude to physical exertion, wear a bandage, sleep on an orthopedic mattress and always carry the medications prescribed by the doctor.

If the seizures are poorly eliminated or occur very often, surgical intervention is indicated.

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Most often, the indication to this is a hernia, compression of nerve roots with partial paralysis, "horse tail" syndrome, tumor process.

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The postoperative period implies long-term rehabilitation, including massage, exercise therapy, reflexology, medication and vitamins.

The forecast is favorable in most cases. Timeliness of treatment allows a person to return to his former life.

However, you must follow certain rules:

• do not spend a long time in an uncomfortable position;
• Do not wear high-heeled shoes;
• sit only on comfortable chairs;
• Regularly hold gymnastics, relaxing muscles;
• do not lift weights;
• to protect yourself from hypothermia;
• to refuse from bad habits;
• reduce weight if necessary;
• in time to treat diseases of blood vessels, joints and spine.

Lumbago and sciatica are quite unpleasant diseases, but they are amenable to treatment. Observing all the recommendations of a doctor, a person is able to fully restore his health.

A source: http://mjusli.ru/zhenskoe_zdorove/other/prichiny-lyumbago