Sciatic Nerve Neuropathy – defeat n. ischiadicus, manifested by acute shooting or burning pain on the back of the thigh, weakness of flexion of the leg at the knee, numbness of the foot and lower leg, paresthesias, paresis of the muscles of the foot, trophic and vasomotor deviations on the lower leg and foot. The disease is diagnosed mainly by the results of a neurological examination, electrophysiological studies, CT, radiography and MRI of the spine. In the treatment of sciatic neuropathy, along with the elimination of its etiological factor, medical and physiotherapeutic treatment is carried out, supplemented by massage and physiotherapy (including post-isometric relaxation).
- Sciatic nerve anatomy
- Causes of sciatic nerve neuropathy
- Symptoms of sciatic nerve neuropathy
- Diagnosis of sciatic nerve neuropathy
- Treatment of sciatic nerve neuropathy
- Symptoms and treatment of sciatic neuritis
- Clinical manifestations
- Principles of treatment
- Inflammation of the sciatic nerve: symptoms, causes and treatment
- What is inflammation of the sciatic nerve?
- Causes of inflammation
- Sciatica Treatment
- Non-steroid drugs
- Vitamins and muscle relaxants
- Massage and spa treatment
- Symptoms of pinching the sciatic nerve and sciatica treatment at home
- Symptoms and Causes
- Read also on the topic
- First aid
- Home Treatment
- Warming up
- Traditional recipes
Sciatic nerve neuropathy is one of the most common mononeuropathies, in its frequency it is second only to the peroneal neuropathy. In most cases, it is one-sided. It is observed mainly in middle-aged people. The incidence among the age group of 40-60 years is 25 cases per 100 thousand population. Equally common in females and males. There are frequent cases when sciatic neuropathy seriously and permanently reduces the patient’s ability to work and even leads to disability. In this regard, the sciatic nerve pathology seems to be a socially significant issue, the resolution of the medical aspects of which is the responsibility of practical neurology and vertebrology.
Sciatic nerve anatomy
The sciatic nerve (n. Ischiadicus) is the largest human peripheral nerve trunk, its diameter reaches 1 cm. It is formed by the ventral branches of the lumbar L4-L5 and sacral S1-S3 spinal nerves. Having passed the pelvis along its inner wall, the sciatic nerve through the eponymous notch goes to the posterior surface of the pelvis. Then it goes between the greater trochanter of the thigh and the sciatic tubercle under the piriformis muscle, goes to the thigh and is divided into the peroneal and tibial nerves above the popliteal fossa. The sciatic nerve does not give sensory branches. He innervates the biceps, semi-membranous and semi-tendon muscles of the thigh, responsible for flexion in the knee joint.
In accordance with the anatomy of n. ischiadicus emit several topical levels of its lesion: in the pelvis, in the piriformis muscle region (the so-called piriformis syndrome) and on the thigh. The pathology of the final branches of the sciatic nerve is described in detail in the articles “Tibial Neuropathy” and “Tibial Neuropathy” and will not be considered in this review.
Causes of sciatic nerve neuropathy
A large number of sciatic neuropathies are associated with nerve damage. Injury n. ischiadicus is possible with a fracture of the pelvic bones, dislocation and fracture of the hip, gunshot, lacerated or cut wounds of the thigh. There is a tendency to increase the number of compression neuropathies of the sciatic nerve. Compression may be due to a tumor, aneurysm of the iliac artery, hematoma, prolonged immobilization, but most often it is caused by compression of the nerve in the sub-piriform space. The latter is usually associated with vertebral changes occurring in the piriformis muscle according to the reflex muscular-tonic mechanism for various pathologies of the spine, such as scoliosis, lumbar hyperlordosis, osteochondrosis of the spine, lumbar spondylarthrosis, herniation of the intervertebral disc, etc.
According to some reports, approximately 50% of patients with discogenic lumbar radiculitis have a clinic of piriformis syndrome. However, it should be noted that neuropathy of the sciatic nerve of vertebrogenic genesis can be associated with direct compression of nerve fibers when they exit the spinal column in the composition of the spinal roots. In some cases, the pathology of the sciatic nerve at the level of the piriformis muscle is provoked by an unsuccessful injection into the buttock.
Inflammation (neuritis) n. ischiadicus can be observed in infectious diseases (herpetic infections, measles, tuberculosis, scarlet fever, HIV infection). Toxic damage is possible both with exogenous intoxications (arsenic poisoning, drug addiction, alcoholism), and with the accumulation of toxins in connection with dysmetabolic processes in the body (diabetes, gout, dysproteinemia, etc.).
Symptoms of sciatic nerve neuropathy
A pathognomonic symptom of neuropathy n. ischiadicus is pain along the affected nerve trunk, called sciatica. It can be localized in the buttock region, spread from top to bottom along the back of the thigh and irradiate along the back-outer surface of the lower leg and foot, reaching the very tips of the fingers. Patients often characterize sciatica as “burning,” “shooting through,” or “piercing like a dagger.” The pain syndrome can be so intense that it does not allow the patient to move independently. In addition, patients note a feeling of numbness or paresthesia on the posterior lateral surface of the lower leg and some parts of the foot.
Paresis (decrease in muscle strength) of the biceps, semi-membranous and semi-tendon muscles, which leads to difficult knee bending, is objectively detected. In this case, the predominance of the tone of the antagonist muscle, in the role of the quadriceps femoris muscle, leads to the position of the leg in the state of the bent knee joint. Walking with a straightened leg is typical – when moving the leg forward for the next step, it does not bend at the knee. Paresis of the foot and fingers, a decrease or absence of the plantar and Achilles tendon reflexes are also noted. With a sufficiently long course of the disease, atrophy of paretic muscle groups is observed.
Pain sensory disorders cover the lateral and posterior surface of the lower leg and almost the entire foot. In the area of the lateral ankle there is a loss of vibrational sensitivity, in the interphalangeal joints of the foot and ankle – a weakening of the muscular-articular feeling. Soreness is typical when pressing the sacral-buttock point – the exit point n. ischiadicus on the thigh, as well as other trigger points of Valle and Gar. A characteristic sign of sciatic neuropathy is the positive symptoms of Bonnet tension (shooting pain in a patient lying on his back with passive abduction of the leg bent in the hip joint and knee) and Lassega (pain when trying to lift the straight leg from the supine position).
In some cases, sciatic nerve neuropathy is accompanied by trophic and vasomotor changes. The most pronounced trophic disorders are localized on the lateral side of the foot, heel and rear of the fingers. On the sole, hyperkeratosis, anhidrosis or hyperhidrosis is possible. Hypotrichosis is detected on the posterior lateral surface of the lower leg. Due to vasomotor disorders, cyanosis and foot cooling occur.
Diagnosis of sciatic nerve neuropathy
Diagnostic search is carried out mainly in the framework of a neurological examination of the patient. The neurologist pays special attention to the nature of the pain syndrome, hypesthesia zone, decreased muscle strength and loss of reflexes. Analysis of these data allows you to establish the topic of defeat. Its confirmation is carried out using electroneurography and electromyography, which allow us to differentiate sciatic mononeuropathy from lumbosacral plexopathy and radiculopathy of the L5-S2 level.
Recently, to assess the condition of the nerve trunk and surrounding anatomical formations, an ultrasound technique is used that can give information about the presence of a nerve tumor, its compression, degenerative changes, etc. The determination of the genesis of neuropathy can be carried out using spinal radiography (in some cases, CT or Spinal cord MRI), pelvic radiography, pelvic ultrasound, ultrasound and hip radiography, CT of the joint, blood sugar analysis, etc.
Treatment of sciatic nerve neuropathy
The primary consideration is the elimination of causal factors. With injuries and injuries, plastic or suture of the nerve is performed, reposition of bone fragments and immobilization, removal of hematomas. With voluminous formations, the question of their removal is resolved, in the presence of a hernia of the disk – about discectomy. In parallel, conservative therapy is carried out aimed at stopping inflammation and pain reaction, improving blood supply and metabolism of the affected nerve.
As a rule, pharmacotherapy includes non-steroidal anti-inflammatory drugs (ibuprofen, lornoxicam, nimesulide, diclofenac), drugs that improve blood circulation (pentoxifylline, nicotinic acid, benzcylan), metabolites (calf blood hydralizate, thioctic acid, vitamins group B). Perhaps the use of therapeutic blockades – local injection of drugs into the trigger points along the sciatic nerve.
Of the methods of non-drug exposure, physiotherapy (SMT, UHF, diadynamic therapy, local ultraviolet radiation), massage, post-isometric relaxation are successfully used; in the recovery period – physiotherapy exercises.
Symptoms and treatment of sciatic neuritis
An example of the first case is Bell’s paralysis, or facial neuritis, and alcoholic polyneuritis is an example of general inflammation. What is hidden behind a diagnosis of sciatic nerve neuritis? How is it manifested and how is it treated? Most often, this term refers to compression radiculopathy, which is manifested by radicular symptoms. In this case, we are talking about vertebrogenic causes caused by a violation in the spine. What does this mean?
The sciatic nerve is assembled from several portions of sensory and motor roots, which exit from different openings between the vertebrae in the lumbar and sacral spine. The sacrum is a single bone, and in the lumbar region, as a result of protrusion, a hernia or tightened and spasmodic muscles, an infringement of the nerve root can occur, which causes specific radicular symptoms. How does it manifest?
Since the sciatic nerve is mixed, sensory, motor and vegetative trophic disorders can occur. The most common symptoms are:
- Pain starting in the lower back, on the right or on the left, extending to the leg and descending to the popliteal fossa, sometimes lower.
- A sharp increase in pain when coughing, sneezing, straining and laughing. This indicates a concussion of the swollen and inflamed root, which gives its fibers to the sciatic nerve.
- The nature of the pain is similar to an electric shock or “cross”.
- The appearance of sensitive conductive disorders: a decrease in sensitivity of the radicular type, in the form of “stripes”, the appearance of numbness and “creeping goosebumps.” If the lesion is below the lower back, for example, with compression of the trunk of the nerve itself, then sensitivity disorders will be more localized.
- In some cases, vegetative symptoms may occur: cooling or blueness of the skin on the affected s >Separately, it must be said about motor disorders. Without a doubt, this is the most unfavorable option for the development of sciatica or inflammation of the sciatic nerve, especially with the painless form. The insidiousness of this variant of the course lies in the fact that the patient’s paralysis of the leg muscles is steadily progressing, which at first is manifested by insecurity during movements in the foot, then weakness in the knees may occur.
The patient may not go to the doctor for a long time, because there is no pain. But in the meantime, there is a persistent degeneration of the nerve, and the person is disabled. Hypotrophy, contracture develops in the muscles, and immobility in the joints. In order to avoid this fate, all patients with lesions of the intervertebral discs in the lumbar spine should prophylactically walk on their socks and heels (for verification). If this becomes difficult or impossible, you should immediately visit a neurologist.
Principles of treatment
Treatment of inflammation of the sciatic nerve should be carried out comprehensively. The main measures should be aimed at removing edema, eliminating muscle spasm and relieving symptoms. To do this, use the following methods and methods:
- In the first day, when acute pain occurs, a salt-free diet is recommended. As a result, the volume of fluid circulating in the body is significantly reduced, which reduces the severity of edema and pain.
- A short course prescribed non-steroidal anti-inflammatory drugs (selective COX-2 inhibitors), for example, Movalis or Xefocam, preferably intramuscularly.
- Muscle relaxants of central action are used: Midokalm, Sirdalud. They reduce the tone of the striated muscles, which also causes compression of the nerve or roots near the area of inflammation.
- From 2 to 3 days, you can start warming up, this helps to reduce edema. You can use local dry heat, physiotherapy procedures.
- As a local treatment, numerous ointments, gels are used. Most often, drugs containing NSAIDs (for example, Fastum-gel) or products with cayenne pepper extract (Capsicam) are used for rubbing.
- Injections of B vitamins – Milgamma Compositum are also used.
At the stage of fading exacerbation, the application is indicated (Nanoplast, Pepper patch) and home physiotherapeutic techniques (Kuznetsov applicator). In severe and resistant cases and with severe pain, sciatic nerve blocks are performed with the introduction of novocaine and corticosteroid hormones.
Inflammation of the sciatic nerve: symptoms, causes and treatment
Good day, dear friends! It turns out that inflammation of the sciatic nerve can occur in any person.
The inflammatory process is characterized by soreness in the lower back and lower limb. So, today we will find out how the symptoms and treatment of inflammation of the sciatic nerve manifest.
What is inflammation of the sciatic nerve?
The sciatic nerve is located in the ileo-sacral plexus and stretches down the thigh. Under the knee he is divided.
One part goes to the shin and the other to the foot. A pinched sciatic nerve is also called sciatica as a disease of the peripheral nervous system that occurs when the roots of the lumbosacral spine or spinal nerves are damaged.
Sciatica occurs in women and in men.
Sciatica provokes two types of pain:
- Superficial or dysesthetic occurs with damage to small nerve fibers. In this case, the pain will be stinging, burning and shooting.
- Deep or truncal pain is breaking, cutting and aching.
Consider what signs can accompany sciatica. Pain syndrome occurs on the side where inflammation occurs.
Pain arises in the leg on one side. At the very beginning, pain occurs with sudden movements and physical exertion.
With an intense inflammatory process, a person has insomnia, and then there is complete immobilization due to acute pain.
Causes of inflammation
Before we learn how to relieve pain, let’s find out the causes of their occurrence. Not infrequently, the process of inflammation of the sciatic nerve is formed after the appearance of an intervertebral hernia.
It is worth noting the following common causes of sciatica:
- Traumatic injuries.
- Change in the shape of the vertebrae.
- Infectious diseases.
- Gynecological diseases.
- Displacement of the intervertebral disc.
- Strong physical activity.
How to treat sciatica depends on the exact diagnosis that the doctor must make.
A full examination includes the following methods:
- Methods of biochemical and clinical diagnostics.
- Consultation of a neurologist, rheumatologist and vascular surgeon.
- Tomographic studies.
- Performing radiological images.
Urgent medical attention is required if the temperature rises to 38 degrees, redness and swelling appeared on the code.
Pain sensations appear in new areas of the body. In the pelvic area, legs and hips, numbness and piriformis pain occurs.
When urinating, a burning sensation appears. Research will help determine which drug treatment can be used to eliminate pain.
If symptoms of the inflammatory process appear, treatment should be started as soon as possible.
Then, depending on the results, a certain therapy is carried out:
- Drug therapy. Special pain medications are prescribed, as well as injections and ointments.
- B vitamins stabilize metabolism in nerve cells. During periods of acute exacerbation, drugs are administered intramuscularly, and then an oral dose is prescribed.
- Physiotherapeutic treatment includes electrophoresis, massage, and ultraviolet radiation.
- Non-traditional methods consist of different methods – hirudotherapy, herbal medicine and acupuncture.
- Folk remedies can be effective. Pinching is treated with infusion of bay leaves, compresses of potatoes and tincture of dandelion.
- Diuretic drugs are used to reduce swelling.
- Therapeutic exercises help to improve blood circulation in the affected area, as well as improve the functioning of the spinal cord.
- Surgical treatments. Microdiscatomy and disketomy are carried out, which can defeat sciatica.
The treatment complex is carried out for a long time at home. If the pain does not subside within a few months, then steroid drugs are prescribed that are administered epidurally.
Shishkevich Vladimir, orthopedic and traumatologist, project editor-in-chief ExpertNews.
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The most effective painkillers include NSAIDs. Home treatment and these drugs give a good effect.
It is worth noting the following anti-inflammatory drugs for inflammation of the sciatic nerve:
- “Piroxicam” is produced in different forms – suppositories, gel, cream or tablets.
- Meloxicam is one of the safest drugs.
- Nimesulide is available in the form of tablets, capsules and powders.
- Ketonal is often used intramuscularly and as an ointment.
With severe pain, the doctor may prescribe steroid hormones that quickly remove the pain. But it should be borne in mind that these drugs do not help get rid of sciatic nerve inflammation.
Vitamins and muscle relaxants
Muscle relaxants help to reduce local muscle tension that occurs as a result of pain. These drugs include Tizalud, Midokalm and Baclofen.
Multivitamin complexes – Milgamma, Trigamma and Neurovitan differ in anti-inflammatory effect against Sciatica.
Massage and spa treatment
As the reviews confirm, various activities of spa treatment help well. He is prescribed when the phase of exacerbation has passed. Hydrotherapy with the use of hydrogen sulfide, radon and pearl baths, mud therapy and underwater traction are used.
Climatotherapy strengthens the immune system and also improves mood. After exacerbation, but not with inflammation, massage can also be used.
How it is performed with sciatica is presented in the video:
This procedure helps to reduce pain, prevent muscle hypotrophy and stimulate blood circulation. The course should include at least 10 sessions.
A good set of exercises offers Dr. Bubnovsky. It will help eliminate discomfort. The essence of the technique is not in the use of medications, but in finding the latent forces of the body and understanding the anatomical features.
This therapy is called kinesitherapy. A special diagnosis is carried out, according to the results of which a treatment program is created.
Selected exercises help to restore full functioning of the joints and spine. The treatment program includes not only exercises for the spine, but also for the joints of the legs.
Be sure to perform an exercise to stretch the muscles and ligaments.
Here is a gymnastics option:
- To relax the lumbar region and relax the back muscles, take a pose on all fours.
- Then bend your back with a breath and bend with a breath. You need to do 20 repetitions.
- In the same position, move in stretching steps. Buttocks advance to the left and right heel. Also do 20 times.
- In the same starting position, reach forward with your hands. Keep emphasis on the knees and palms.
- As you exhale, lower the body to the floor and bend your arms. On the exhale, straighten your arms, and lower the buttocks to the heels.
- In the supine position, place your heels closer to the buttocks. Place your hands under your head, and press your chin to your chest. As you exhale, reach with your elbows to your knees. Then return to the starting position.
- In the same position, lift the pelvic area up and down. The exercise should be repeated 30 times.
Such gymnastic movements not only have a beneficial effect on the spine, but also on the whole organism.
An integrated approach will fully restore health. Of great importance is willpower and regularity of classes.
If you lead a sedentary lifestyle, then the muscles weaken, and it becomes difficult to hold your back. As a result, all kinds of pathologies may appear.
The following preventative measures can be used:
- Strengthening the muscle corset and moderate physical activity.
- Eating foods high in magnesium and calcium.
- The use of manual therapy.
- Stretching the spine by hanging on the horizontal bar.
- Performing exercises such as backbends on all fours.
- Timely posture correction in childhood.
Remember that inflammation of the sciatic nerve is accompanied by severe pain, so it is so important to immediately consult a doctor when the first signs occur.
I hope my advice will benefit you. Goodbye, dear guests! Do not be ill.
Symptoms of pinching the sciatic nerve and sciatica treatment at home
The sciatic nerve, formed by several fibers of the sacral plexus, is the most massive in the human body. With inflammation or pinching (sciatica), the pain spreads from the sacrum to the lower leg, significantly complicating the movement and worsening the quality of life.
In most cases, sciatic nerve treatment is prescribed at home using various methods: taking medications, injections, massage, gymnastics. Recipes of traditional medicine can also be used subject to their safety and with the approval of the attending physician. Hospitalization and surgery are indicated only for especially severe forms.
Symptoms and Causes
How to recognize sciatica yourself? Self-diagnosis is not difficult, since the disease most often begins with a sudden and very sharp pain in the sacrum and one of the buttocks – the so-called lumbago. Painful sensations quickly spread along the affected side down, capturing the posterior surface of the thigh, lower leg. Pathology in most cases is one-sided, but occasionally it can be bilateral.
The pain in the future becomes constant, intensifying with movement, or appears periodically, in fits. It is manifested by sharp impulses of varying degrees of intensity – from very strong to quite tolerable – depending on the degree of damage or pinching of the nerve. It is easy to distinguish sciatica from other neuropathies, but it is only possible to find out the specific cause with general symptoms through a comprehensive examination in a medical institution.
The most common are the following:
- Injuries to the sacral and lumbar spine resulting from a fall or impact. These include displacements and fractures of the vertebrae.
- Osteochondrosis of the same parts of the spinal column, leading to dystrophy of the cartilaginous tissue of the intervertebral discs and hernias.
- Neoplasms of a different nature (benign or malignant tumors), abscesses.
- Infectious and inflammatory processes that cause organic lesions of the nerves, including herpetic infections.
- Hypothermia, as a result of which inflammation develops.
- Incorrectly performed intramuscular injection, during which the sciatic nerve is damaged.
To find out the cause of sciatica, you should contact a surgeon or a neurologist who, after examining and collecting an anamnesis, prescribe additional diagnostic procedures (radiography, ultrasound, laboratory tests).
Read also on the topic
What to do if an attack occurs for the first time? To relieve acute pain, you need to take a pose in which the load on the spinal column is minimized. The optimal position is lying on your stomach (you can on the floor) with a small pillow under your head. To reduce pain, it is recommended to take Ibuprofen or another analgesic with anti-inflammatory effect.
It is allowed to use local remedies with a similar effect – analgesic ointments, but heating at this stage is contraindicated. As soon as possible, you should seek qualified medical help.
If a sciatica of mild or moderate severity is diagnosed and there is no indication for surgery, outpatient treatment is prescribed. It is based on drug therapy, specific drugs and a scheme are selected by the doctor in accordance with the causes of the pathology.
Effective is also a massage of the affected area, performed independently on the recommendation of a doctor. After the disappearance of acute symptoms, special gymnastics is prescribed, and during attacks warming up is useful (if there are no contraindications).
The listed treatment methods can be supplemented with traditional medicine recipes approved by a specialist.
First of all, oral drugs from the group of non-steroidal anti-inflammatory drugs are prescribed. These include Indomethacin, Ketorol, Diclofenac, and other analogues. A regular intake provides relief from inflammation and a pronounced analgesic effect.
Self-medication with the listed drugs is unacceptable, since there are contraindications, side effects. External ointments based on the same active substances or having a warming effect are shown.
If during the diagnosis an inflammatory process caused by viruses or bacteria was detected, the appropriate medicines are prescribed. Injections for pinching the sciatic nerve are indicated if the previously prescribed drug therapy does not give a result. For injections, the same non-narcotic analgesics are used, NSAIDs (Diclofenac ampoules, for example), which are more effective when administered intramuscularly. If there is no result, glucocorticosteroid solutions are used – Dexamethasone, Prednisolone.
As an additional measure of rehabilitation therapy, biologically active additives can be used:
- Alpha lipoic acid has anti-inflammatory and antioxidant properties. Improves blood supply to nerve tissue.
- According to research results, resveratrol was found to be a better anti-inflammatory drug than drugs such as aspirin or ibuprofen.
- Hedgehog comb in the form of freeze-dried mycelium is actively involved in the restoration of nerve tissue, and also has a general immunostimulating effect.
These and other dietary supplements and vitamin complexes can be purchased at iherb at a discount at this link.
Since limited movement due to pain leads to cramping and muscle atrophy, you should regularly massage your leg yourself. Gentle kneading restores blood circulation and muscle tone, helps reduce inflammation.
During an attack, stroking can reduce pain. In case of osteochondrosis, massage of the lumbar and sacral zones should be performed by a specialist.
If physiotherapeutic procedures are prescribed to warm the affected area (infrared irradiation, applications from wax or paraffin), at home they can be supplemented with available methods.
Effective daily sitting baths, warming compresses. In hot water, you can add herbal decoctions, essential oils or salts, giving additional pain relief.
Since sciatica is a fairly widespread and long-known disease, alternative medicine has accumulated many methods of treatment. The following recipes are considered the most effective:
- Horse chestnut. The broth is prepared from a liter of water and 2 tbsp. tablespoons of pre-ground raw materials 15 minutes in a water bath. After cooling and filtering, 100 ml is taken up to three times a day.
- Calendula. To prepare the infusion, you need 2 tbsp. tablespoons of flowers in 0,5 liters of boiling water. After brewing, insist a couple of hours, strain, divide into 4 doses.
- Burdock. Tincture is prepared on the Cahors (1 cup), into which a spoonful of shredded plants is added. The mixture needs to be warmed up, but not brought to a boil, and then filtered and drunk in two divided doses per day.
- Lilac. 100 g of flowers (white) for a week is infused with 300 mg of vodka, after filtering it is used for daily grinding.
- As a massage mixture, instead of special oils, you can use a composition of honey and alcohol (6: 1). For homogeneity in the mixing process, it should be slightly warmed up.
- From therapeutic additives for sitz baths, you can use a decoction of pine cones. Three liters of water will require about 1 kg. After 10 minutes boiling, the mixture is filtered and added to the bath.
- For compresses with anti-inflammatory action, cabbage leaves, previously scalded with boiling water, are recommended. Lay the sheet on a sore spot, fix the dressing for 3 or 4 hours. A warming effect is obtained by a mixture of bread crusts and turpentine, but such a compress is fraught with a burn, so you need to use it carefully and no more than 15 minutes.
If you are going to use one of these recipes or any other, you must definitely inform your doctor. Individual contraindications or side effects are likely, therefore, without the permission of a specialist, folk remedies can not be used.
Moderate physical activity is a great way to treat and prevent many diseases. When pinching and inflammation of the sciatic nerve, a set of special exercises is indicated to restore muscle tone, activate blood circulation, increase the flexibility of the spinal column. In order not to aggravate the condition and avoid complications, gymnastics can be practiced only after the removal of painful symptoms.
An individual set of exercises should be selected by a specialist taking into account the severity of the disease and its features. The standard complex usually contains several movements that are performed from a supine position (lifting the knees to the chest), on the stomach (lifting the body), as well as sitting and standing. In the latter case, the corners are rotated and tilted. A key feature of medical gymnastics is caution and smooth movements. The recommended number of repetitions is respected, and in the event of pain, the session stops immediately.
If you consult a doctor in a timely manner, sciatica at home can be cured quickly enough and without consequences. Lack of therapy or uncontrolled treatment leads to muscular atrophy, paresthesias, and impaired motor activity. There are also certain preventative measures that reduce the risk of inflammation or pinching of the sciatic nerve.
These include wearing comfortable (low-heeled) shoes, moderate exercise, and healthy eating. Physical education will help to keep muscles in good shape, ensure the health of the spine, and in combination with a diet – to control weight. Often it is overweight that provokes spinal injuries. Those who work sitting need to keep their back straight, and warm up every two hours. During a night’s rest, the “on your side” position is considered optimal, since this minimizes the load on the spine.