Lumboschialgia: Symptoms and Treatment

Lumboschialgia is a malaise, which is characterized by the appearance of severe pain along the sciatic nerve, as well as in the lumbar region. This syndrome most often develops in the case of progression of dystrophic changes from the hip, spinal column, fascia and muscles, as well as due to existing chronic diseases of internal organs. If the timely diagnosis is not carried out and the treatment is not started, then lumboschialgia will lead to a decrease in work capacity.



Reasons

Pain attacks with this syndrome occur rarely. As a rule, they can provoke the following factors:


  • sharp movements (slopes, turns)
  • weight lifting, especially systematic
  • being in a forced or uncomfortable position for a long period of time

Most often this syndrome develops in people of working age. Less likely to appear in the elderly, and in children.

The main reasons for the progression of lumboschialgia:


  1. overweight
  2. spinal protrusions
  3. intervertebral hernias
  4. Wrong posture
  5. persistent stressful situations
  6. arthritis;
  7. Pregnancy
  8. osteoarthrosis of deforming type
  9. systematic sports and physical activities
  10. hypothermia
  11. transferred infectious diseases;
  12. age changes in bone and cartilaginous structures of the spine;
  13. spinal cord injuries.

Classification

In medicine, several classifications are used that are based on the causes that trigger the development of the pain syndrome, the frequency of seizures, as well as the prevailing symptoms, the prevalence of the pain syndrome, the course of the disease.

Classification according to the cause of progress:


  • vertebrogenic lumbosciagia. It, in turn, is divided into discogenic, radicular and spondylogic. Vertebrogenic lumbosciagia develops and progresses as a result of compression of the roots of the nerves, because of herniated discs, etc.
  • myofascial. This type of lumboschialgia develops against the backdrop of inflammatory ailments of fascia and muscular structures
  • Angiopathic. It develops due to the damage of the blood vessels in the lower back, and also in the limbs;
  • Lumboschialgia amid internal ailments.

Classification according to the incidence of attacks:


  1. acute lumboschialgia
  2. pathology with chronic course.

On the dominance of characteristic complaints:


  • Neurodystrophic
  • muscular-tonic;
  • vegetative-vascular

The prevalence of pain in the lumbar region:


  1. Right-hand
  2. left-handed
  3. bilateral or bilateral.

By the nature of the course of the disease:


  • Neuropathic;
  • musculoskeletal;
  • Neurodystrophic
  • Neurovascular

Symptoms

Symptoms of lumboschialgia, as a rule, are very pronounced. Often they are manifested under the influence of provoking factors — a large load on the spinal column, lifting weights, etc.

Main symptoms:


  1. strong pain syndrome in the lumbar region (localized to the right and left of the spinal column), which can be delivered to the legs
  2. the pain increases with fatigue, lifting weights, overcooling, exacerbation of existing chronic pathologies in a person
  3. Limiting movements. A person can not normally bend or turn his body;
  4. When attempting to step on the leg, the pain syndrome is greatly enhanced. At the same time the pain becomes sharp, growing and burning;
  5. when you try to change the position, the pain in the lower back increases;
  6. the skin on the affected leg changes its color. It becomes pale or even marbled. When you feel the limb, its cold snap is noted;
  7. In the course of the nerve, the patient may feel burning, fever, itching.

With the development of acute lumbosciagia, these symptoms are very pronounced, but in the case of a chronic course of the pathology, they can manifest themselves periodically — then fade, then grow again.




Diagnostics

The diagnosis of this ailment is based on an assessment of the patient’s complaints, his examination by the attending physician. The diagnostic plan also includes laboratory and instrumental methods.

Lab:


  • UAC
  • OAM
  • blood biochemistry

Instrumental:


  1. X-ray;
  2. CT;
  3. MRI.

You can begin to treat the disease only after a thorough diagnosis and evaluation of the results. It should be noted that self-medication in this case is unacceptable, since it is possible only to aggravate the course of the disease. Treatment with folk remedies should also be coordinated with your doctor. To apply them is recommended only in tandem with medicamental therapy and physiotherapy.

Treatment

Treatment of lumbosciagia will be most effective if it is complex. Therapeutics, orthopedists and neurologists are engaged in the treatment of this pathology. The plan of treatment procedures and activities is developed for each patient strictly individually.

During the acute period of lumboschialgia, when a severe pain syndrome arises, the following apply:


  • Strict bed rest is shown, which implies the exclusion of physical activities and active body movements;
  • the amount of fluid consumed is reduced. This is necessary to reduce the swelling of the affected limb;
  • taking drugs with anti-inflammatory effect. This group includes nurofen, diclofenac and others. Take them both inward (tablet form) and apply directly to the affected area;
  • if the pain syndrome is very severe, the doctors resort to the Novocain blockades
  • Muscle relaxants and antispasmodics are prescribed. These drugs will help alleviate muscle spasms.

Once the acute manifestations of the disease subsided, the therapy changes somewhat. As a rule, doctors prescribe to patients:


  1. exercise therapy
  2. physiotherapy;
  3. therapeutic massage
  4. acupuncture;
  5. wear specials. Orthopedic constructions.

The prognosis for a timely treatment of lumboschialgia is favorable. If such a pathology has already passed into a chronic form, then the forecast is more complicated. Everything depends on what became the main cause of the development of the disease, as well as the severity of its course.

Prevention

It is always easier to prevent the development of pathology than to treat it later. Therefore, in order not to develop attacks of lumboschialgia, you must adhere to a few simple recommendations:


  • Do not wear high heels
  • control body weight;
  • do not stay too long in an upright position
  • If the work is sedentary, then you need to try to change the position more often



  • Do not smoke.