The sciatic nerve is the largest pairedperipheral nerve, conducting both motor and sensory impulses from the spinal cord to the left and right leg. The Latin name is Nervus Ischiadicus, anatomically it refers to the sacral plexus. The sciatic nerve is formed by processes of the lower two lumbar and upper three pairs of sacral roots extending from the spine. Below the sciatic nerve passes under the pear-shaped muscle and, passing through the hole of the same name in the pelvis, goes to the lower limbs on both sides. In its length, the sciatic nerve has two weak points. Where possible infringement.
The first is the exit from the spinal canal.Intervertebral discs of the lower lumbar vertebrae are most susceptible to such degenerative disease as osteochondrosis. Destroying, they become more subtle and their middle bulges. The distance between the vertebrae is reduced, which, coupled with the bulged-out core of damaged discs, squeezes the nerve, causing its inflammation of sciatica. This whole process is accompanied by a pronounced pain syndrome, it seems that the leg on the side of the lesion is “shocked”, and if the process is two-sided (which is often the case), then it shoots in both limbs.
Второе место, где седалищный нерв еще может ischiasis is under the pear-shaped muscle. Such cases are not uncommon, if a person is overweight and leads a sedentary lifestyle, that is, he simply “sits out” the sciatic nerve.
If sciatic nerve impairment has occurredtreatment is required immediately and under the supervision of a physician, that is, it must be consulted as soon as possible. Otherwise, the compression-ischemic neuropathy of the sciatic nerve (this is also called impairment) can very quickly result in the death of nerve endings with paralysis of the limb.
If it is as a result of osteochondrosislumbar spine pinched sciatic nerve treatment symptoms will be the same as for osteochondrosis. This is, first of all, the appointment of anti-inflammatory drugs, which only the doctor must pick up and the maximum unloading of the damaged part of the back. This is achieved by a horizontal position only on a solid surface without any deflections. That is, on the bed where the patient lies, it is necessary to put a thin mattress, and under it preferably a solid wooden shield. In the acute phase, any kneading massage is strictly contraindicated - this can lead to patient disability. The previously common method of relieving pain syndrome by the local novacain blockade is currently not recommended for use, as it causes impoverishment of the blood flow and aggravates ischemic lesions. The topical various warming ointments, which firstly contain an anti-inflammatory component that is absorbed through the skin into the lesion, are well affected. And secondly, the warming effect promotes the flow of blood to the center of ischemia and improves the condition of the damaged nerve.
Only after the removal of the acute phase of inflammation is possibleAcupressure for vertebral breeding. And then it should be carried out carefully and only by an experienced specialist who understands the essence of the procedure. In some cases, the skeletal extension of the spine is used, also with proper use, it gives a good effect. If the sciatic nerve is compressed in the pear-shaped fossa, then it is necessary to begin with the revitalization of the lifestyle, making it more mobile - walk more, do special therapeutic exercises, and if necessary take measures to normalize weight.
In the absence of the effect of treatment resort tosurgical treatment. Modern medicine has learned to make prostheses that completely replace intervertebral discs and are not inferior to them in elasticity and strength, they are replaced for life. Sometimes you have to resort to prosthetics of a part of the destroyed vertebral body, especially if the process is already quite started. With timely and correct treatment, in most cases, patients can continue to maintain an active lifestyle.
