- Symptoms Lumbar кресцового radiculitis
- Reasons Lumbar кресцового radiculitis
- Treatment Lumbar кресцового radiculitis
Lumbosacral radiculitis – the most frequent form of radiculitis. Aged people of 30 - 50 years, especially often the persons performing the work connected with excess loads of a backbone, and also working in unfavorable temperature conditions get sick usually. Almost at all diseased the recurrent course of a disease is noted.
Symptoms Lumbar кресцового radiculitis:
Usually lumbosacral radiculitis is shown by suddenly arising severe pain in the waist extending to the back surface of a hip. More than in 80% of cases originally pain arises in a waist and only then passes to a back part of a leg. Much less often pain is noted at the same time in a waist and a leg, and is even more rare only in a leg. The nature of display of pain is defined by defeat level.
At infringement or an inflammation of the fifth lumbar root patients complain of the shooting pains in a buttock, outwardly the side surface of a hip, the front surface of a shin and an internal part of foot, up to a thumb. In many cases in the same areas disturbance of skin sensitivity (paresthesia) is noted.
At defeat of the first sacral root pain goes on a buttock, the back and outside surface of a hip, a shin, and then by a bottom and outside part of foot to a little finger. Considerable weakening or total disappearance of a reflex of an Achilles tendon is noted.
The combined defeat of several nervous roots is very often observed and then the clinical picture of a disease consists of a combination of separate radicular syndromes.
Lumbosacral radiculitis usually develops sharply and about 2-3 weeks proceed. Patients aim to limit as much as possible the mobility as any activity (walking, inclinations, turns) leads to strengthening of pain. In many cases patients bend a backbone towards defeat and hold it in such situation. This forced pose is called analgetic scoliosis.
At inspection of the patient the protective tension of long muscles of a back comes to light. When pressing on acanthas of vertebrae with a side there is a local morbidity which can sometimes extend also to the surface of a buttock. Very often at survey also symptoms of vegetative and trophic disturbances come to light (a cold snap and blanching of integuments, the increased perspiration, weakening of a pulsation of arteries of foot, etc.).
Lumbosacral radiculitis is usually accompanied by the following symptoms:
- The symptom of Lasega - at a raising of the straightened leg from defeat at the patient lying on spin occurs sharp strengthening of pain in lumbar, buttock areas and the back surface of a hip.
- Bekhterev's symptom - if the patient passes from situation "lying" on spin in situation "sitting", then at the same time reflex bending of a sore leg is noted.
- The Neri's sign - at a sharp ducking occurs strengthening of a back pain and a leg forward.
- Dezherin's symptom - strengthening of a back pain at a natuzhivaniye, cough or sneezing.
- Bonnet's symptom - on the party of defeat is noted a smoothness of a buttock fold.
Reasons Lumbar кресцового radiculitis:
Usually the disease has the spondilogenny nature, that is arises against the background of degenerative and dystrophic diseases of a backbone.
Treatment Lumbar кресцового radiculitis:
Treatment of patients complex, use medicines of analgeziruyushchy, resorptional and sedative action, vitamins. Use a balneoterapiya, physical therapy, manual therapy, remedial gymnastics, massage, orthopedic treatment.
After subsiding of acute pains appoint acupuncture, electrotreatment, massage, medical physical culture, a balneoterapiya, mud cure. At a recurrent current sanatorium treatment using radonic or hydrosulphuric bathtubs and mud applications is shown.
The forecast is favorable. Timely begun complex treatment usually leads to recovery. Decrease in working capacity up to disability is observed at accession of ischemia or heart attack of a spinal cord owing to squeezing or obstruction of arteries and large veins.
Prevention includes the measures preventing development of usual scoliosis in children, creation of optimal conditions of work, strengthening of a muscular corset and a hardening of an organism. For the prevention of a recurrence it is recommended to sleep on not caving in bed, also daily hygienic gymnastics, massage of cervicobrachial and lumbosacral areas, wearing a special belt, a corset made of cloth are necessary.