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Types of radiculitis and methods of treatment at home

Types of radiculitis and methods of treatment at home

Contrary to popular belief, radiculitis is not an independent disease.This is a symptomatic complex that occurs when irritation or compression of the spinal roots.And if earlier it was believed that radiculitis occurs mainly in the elderly, now it is observed in young people.

Table of contents:

Causes of development of radiculitis

Nervous roots separate from the spinal cord.First they pass through the vertebral canal, and then through the foraminous holes emerge from it.All kinds of diseases of the vertebrae can lead to squeezing the roots because of which symptoms of sciatica arise.

The main causes leading to the infringement of the roots:

  1. Osteochondrosis;
  2. Spondylosis;
  3. Spondylitis;
  4. Spondylarthrosis;
  5. Osteoporosis;
  6. Injuries of the spine;
  7. Tumors and metastases of the spine.

Causes of Radiculitis Osteochondrosis often leads to the appearance of radiculitis.It is a degenerative-dystrophic disease affecting the intervertebral discs.Discs gradually lose moisture, lose their damping properties, become more susceptible to physical activity.The fibrous ring of the disc is thinned, cracks appear, through which the pulpous nucleus bulges outward into the vertebral canal.This forms the herniation of the intervertebral disc.Hernia squeezes the adjacent roots of the spinal cord, provokes their swelling and inflammation.

Mezhpozvonkovaya-grizha-diska In elderly people, hypertrophy of joint processes, thickening of ligaments and joint capsules, fibrosis of discs, marginal sprouting( osteophytes) develop.These changes are called spondylosis.Such transformations lead to a narrowing of the intervertebral openings, a vertebral canal with further compression of the spinal roots.

Types of radiculitis

There are such types of radiculitis :

  • Cervical;
  • Thoracic;
  • Lumbosacral.

Symptoms of cervical sciatica

This type of radiculitis is infrequent.

Symptoms such as:

  • Persistent strong shooting or even cutting pain in the neck;
  • Reduced skin sensitivity in the area innervated by the spine;
  • Decreased tendon reflexes of the upper limbs;
  • Hypotrophy of the muscles of the upper limbs.

With the intervertebral hernia, the lower cervical roots are most often squeezed.Thus, with radiculopathy of the sixth cervical vertebra, the pain radiates to the fingers of the I-II, the decrease of the reflex from the biceps muscle is noted, and in the case of the VII cervical vertebra, pain extends to the II-III fingers of the hand, and the reflex is reduced from the triceps muscle.F910aec82898b9b642f6a24940ebc201

Spondylosis often suppresses the upper cervical roots.This leads to pain in the neck, neck, hands.

Symptoms of thoracic radiculitis

Symptoms of chest radiculitis It should be noted that thoracic radiculitis is infrequent.First of all, because the thoracic spine is inactive, it prevents the appearance of dystrophic changes in the vertebrae of this department.

With this kind of sciatica there are blunt pains in the back, which suddenly increase during movement, inspiration and irradiate along the intercostal nerves.Pain can be shrouded in nature.In addition, the pain behind the breastbone, arising from thoracic radiculitis, can simulate attacks of angina pectoris.

Note : When dull or tingling back pain occurs and signs of compression of the spinal cord( lower paraparesis, pelvic disorders), tumors and metastases of the spine should be excluded, as well as infectious lesions of the vertebrae.Symptoms of lumbosacral

This is the most common form of radiculitis.Is manifested by a strong firing or even penetrating pain, which can give to the gluteal region, the back surface of the thigh, shin.The pain is markedly enhanced by straining, movement, prolonged exposure in one posture and even during a cough.Usually patients with radiculitis are in a slightly bent position.The patient finds salvation if he lies on the healthy side and presses his bent, troubled leg against the stomach.

Symptoms of lumbosacral radiculitis

During the examination of a patient with lumbar radiculitis, the symptoms of tension are determined.So Lasega's symptom is considered positive if, when lifting a straightened leg, there is an increase in pain, radiating to the innervation zone of the cramped spinal root.A flexion of the leg in the knee joint reduces pain manifestations.

Definition-symptom-tension-lasega1

The Wasserman symptom is checked as follows: the person is placed on the stomach and slowly lifts the straightened leg upwards or bends it in the knee joint.If the pain intensifies during these manipulations, then the person has lumbar radiculitis.

In addition, in patients with lumbar radiculitis, hypotrophy and decreased muscle tone of the leg muscles can be observed.Sometimes, against the background of a sharp increase in pain, a paresis of the foot can arise, which, however, it turns out to get rid of for several months with adequate treatment.

In the massive hernia of the lower lumbar discs, the roots of the cauda equina of the spinal cord can be compressed.This condition is characterized by the sharp increase in pain in the legs, the development of lower flaccid paraparesis, there is a delay in urination, as well as incontinence.Such violations require urgent surgical intervention.

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In elderly people, due to dystrophic changes in the lumbar vertebrae, chronic compression of the caudal peduncle roots occurs.The main symptom observed with this disorder is intermittent claudication: when walking or standing for a long time, there are bilateral pains in the legs, as well as tingling, numbness in this area.If the patient slightly bends forward and sits down, this leads to a reduction in pain.

Diagnosis

Back pain can develop not only against the background of degenerative changes in the spine or intervertebral hernia, but also in tumors, metastases in the spinal column.Therefore, to determine the cause of radiculitis should be diagnosed. To study the condition of the spinal column, the following methods are used:

  • Radiography;
  • MRI;
  • Discography.

So, with radiculitis caused by osteochondrosis of the spine, it is possible to determine the decrease in the height of the intervertebral discs, hypertrophy of the articular processes, the presence of osteophytes, the narrowing of the spinal canal on radiography.

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The MRI of the spine allows you to visualize the vertebral bodies, vessels, ligaments, and soft tissues in minute detail.This method of diagnosis can detect compression of the nerve roots, the height of the intervertebral disc, instability of the vertebrae, marginal proliferation.

Discography is an x-ray examination of the intervertebral disc, by inserting a contrast agent into the pulpous nucleus.The injected fluid fills up all the existing disc defects of the intervertebral disc and allows you to visualize, for example, cracks through which the pulpous nucleus emerges outward with the formation of a hernia.

Treatment of radiculitis

You can correct unpleasant symptoms of sciatica following a certain regimen.So, after the appearance of radicular pain for several days to adhere to bed rest, and the patient is recommended to lie solely on a hard surface in the most convenient position.You should avoid excessive physical activity, because even the usual turns or torso of the trunk can increase pain.

Medical treatment of radiculitis

The following groups of drugs are used to control the symptoms of sciatica:

  1. Non-steroidal anti-inflammatory drugs( Diclofenac, Ibuprofen, Piroxicam, Nimexil) - eliminate pain.
  2. Muscle relaxants( Midokalm, Sirdalud) - eliminate muscle spasm.
  3. Means that improve circulation( Pentoxifylin, Actovegin) - contribute to the improvement of nerve root nutrition.
  4. Chondroprotectors( Teraflex, Structum) - for the restoration of cartilaginous tissue of the intervertebral joints.
  5. Vitamin-mineral preparations( vitamin D, group B, calcium) - for the restoration of bone and nerve tissues.

Non-pharmacological treatment

The main goal for troubling chronic back pain is not only in its relief, but in the systematic increase in the motor abilities of a person.This can be achieved with the help of therapeutic gymnastics, massage, manual therapy.All these methods of treatment are aimed at strengthening the muscular corset, as well as stretching spasmodic muscles.

Non-drug treatment

In severe, non-conservative treatment, a surgical procedure is indicated.

Grigorova Valeria, medical reviewer


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