Symptoms and treatment of sciatica?

Update Date: Source: Network

summary

Sciatica is a common disease, which is caused by the compression of sciatic nerve. The sciatic nerve is composed of several different spinal nerves, including the fourth and fifth lumbar nerves and the first to third nerves. This nerve extends from the waist through the buttocks to the back of the thigh, the calf and the foot. When the sciatic nerve is compressed, the nerve will appear pain, causing symptoms of sciatica. Although the sciatic nerve originates from the waist, most patients with sciatica will not complain about low back pain. Pain is more common in the arm, thigh or leg, but not in the leg. Symptoms and treatment of sciatica? Let's talk about it

Symptoms and treatment of sciatica?

The primary pain caused by inflammation of sciatic nerve is mostly unilateral, which can often occur simultaneously with MYOFIBROSITIS. The main causes of primary sciatica (sciatica) are cold and damp, infection of tonsillitis, prostatitis, gingivitis, sinusitis and other inflammatory lesions, and some accompanied by myositis and myofibrous histitis.

The pain usually radiates from the waist to one side of the buttocks and thighs, the popliteal fossa, the lateral side of the lower leg and the foot, presenting as burning or knife cutting pain. The pain can be aggravated when coughing and exerting, especially at night. In order to avoid nerve traction and compression, special pain reducing postures are often adopted, such as lying to the healthy side when sleeping, flexing the hip and knee, exerting on the healthy side when standing, causing scoliosis for a long time, bending to the healthy side more often, and leaning to the healthy side when sitting into the hip, so as to reduce the compression of nerve roots. When the sciatic nerve was pulled, pain could be induced or aggravated, such as positive Kernig sign and positive straight leg raising test (Lasegue sign)

Paracetamol plus codeine 30mg, 3-4 times / D, and other non steroidal analgesics, such as isobutylphenylacetic acid and naproxen, can be used for pain. Muscle spasm can be treated with diazepam 5-10mg orally, 3 times a day; It may be effective to take 10 mg of ciclophenazine orally, three times a day. Dexamethasone 10-15mg / D, intravenous drip, 7-10 days; Generally, prednisone 10mg, 3-4 times a day, 10-14 times as a course of treatment. 1% - 2% procaine or 1 ml prednisolone can also be used for paravertebral block. It can be combined with acupuncture and physiotherapy, and conservative therapy can relieve the pain. Pelvic traction or prednisolone epidural injection can be used when the curative effect is poor, and surgical treatment can be considered for individual invalid or chronic recurrence cases.

matters needing attention

Hard board bed rest, can insist on doing bed gymnastics. We should combine work with rest, regularize our life and take part in various sports activities appropriately. After exercise, we should pay attention to protect the waist and affected limbs. When the underwear is wet, we should change it in time to prevent the wet clothes from being dried. After sweating, we should not take a bath immediately. We should wash it after sweating to prevent cold and wind. In the acute pain period, do not pick up more than 10 pounds (1 pound = 0.9072 kg) of heavy objects and do not use legs, arms and back to lift heavy objects. Push but do not pull heavy objects.