The most specific form of this disease is discogenic sciatica. It develops in the lumbar and sacral parts of the spine, but has some differences from other forms of this disease.
A problem such as sciatica, are widely known. Some believe that it is an independent disease, in the opinion of others is just a pain. But in any case, this pathology is most common. Most often it is localized in the lumbar spine, but there is also a discogenic and neck-shoulder form of the disease.
What’s the difference?
Discogenic sciatica has several different origins. In this case, the inflammation is a secondary character, and the main reason for the appearance of the pain syndrome becomes compression of the nerve root. It is therefore considered that a more correct name for this disease – radically.By definition, sciatica is a condition in which there is a lesion extending from the spinal cord fibers. Causes and conditions can be very different, but the result is the inflammation of the nerve root that is causing the pain.
The disease is familiar to professional athletes and people who work with the significant goods. Under heavy load the disc (often already weakened by degenerative disc disease) does not hold, which appears almost instantaneously intervertebral hernia which puts pressure on nerve endings. The pain appears very sharp and persistent, it can persist for a long time.
Slightly deviating from the topic – when it comes to that “disk dropped”, they usually mean exactly discogenic sciatica. Just people (especially the elderly) do not always imagine the structure of the intervertebral disc, which in principle can not “fall out”. Although previously, doctors adhered to similar opinions on this disease, what the treatment was, to some extent “flawed” – his job was to eliminate the pain, no further prophylactic procedures is not expected.
What is the disease?
The main manifestation of this disease is of course pain, which may be accompanied (depending on the size of the hernia) disorders of sensitivity, motor disorders, and even (in severe cases) a disorders of certain internal organs. Very often there is a change in tendon reflexes of the feet, due to severe pain there are changes also in the emotional and behavioral spheres.
A characteristic feature of discogenic sciatica is also the fact that pain occurs suddenly. Usually pain localized on one side of the body, this pain often radiates to the leg (or both legs if the pain is there on both sides). This symptom depends on what is bulging disc have to deal with.
How to treat such a disease?Usually the pain occurs after severe mechanical impact, which becomes the cause of intervertebral hernia. This files most often as a precipitating factor is the lifting of heavy or awkward cargo load in the hands. But in some cases, it may be sufficient for the manifestation of the disease injury to the back, lasting performance in a bent state or just sudden movements. This development occurs in most cases. Sometimes the disease first manifests itself after sleep, when a person is in flexion feels a strong pain worsening with each movement.
In this disease, as discogenic sciatica, the treatment is rather traditional for all diseases of the spine. First and foremost appointed long enough in bed (about a week). Since in this disease the pain will not retreat even when a person is in the supine position, we also used non-steroidal anti-inflammatory drugs, which should reduce pain.
Also often prescribed diuretics, which should help to reduce swelling. All this complex allows the human body to adapt quickly enough to the changed situation, so often the pain begins to recede during the first three weeks of treatment.
It should be noted that he did not give proper attention to the full rehabilitation of patients after treatment of such diseases. However, previously, the only proposed methods were physical therapy (which patients never enough time) and Spa treatment (which was not too available).If such improvement has not occurred, it is necessary to consider the possibility of surgery, although most doctors prefer to try all possible conservative methods of treatment, and then send the patient to surgery. As practice shows, in most cases the problem fails to deal fairly “gentle” methods.
Now add to it a number of innovative methods of rehabilitation (e.g. kinesitherapy Bubnovskogo), resorts to the proper direction became larger. Unfortunately, high prices do not allow “far” away from the traditional physical therapy, which, despite its apparent simplicity, has long proved its efficiency.