Sciatica pinching and inflammation of the sciatic nerve. Possible consequences and complications. Video: Three universal exercises Sergey Bubnovsky

Inflammation of the sciatic nerve (sciatica) can suddenly occur even in people who consider themselves healthy. The sciatic nerve is the longest in the human body. It starts in the lumbar region, passes through the coccyx, the back of the pelvis and both lower extremities, and reaches the feet. Therefore, pain and impaired sensitivity in sciatica affects not only the lumbar region, but also spreads to the legs along the entire nerve.

In itself, inflammation is not a separate disease and usually serves as a manifestation of another pathology.

Causes of sciatica

• Complete or partial displacement of the intervertebral disc, accompanied by pinching of the sciatic nerve, narrowing of the spinal canal, growths on the spine;
• Piriformis Syndrome;
• Damage to the organs or muscular apparatus of the small pelvis due to injuries or heavy physical exertion;
• Hypothermia, infectious processes;
• The presence of neoplasms.

Symptoms of inflammation of the sciatic nerve

The main symptom of this condition is pain in the sciatic nerve. As a rule, it is localized on one side of the body, and on the opposite side, numbness of the corresponding area is felt, which is periodically replaced by tingling. But it happens that both legs are involved in the process at the same time.

The intensity of pain manifestations can be different. At the beginning of inflammation, they are weakly expressed, aggravated by physical exertion, sneezing, and laughter. As the disturbance develops, unpleasant sensations increase, are constantly present, becoming especially intense at night. The patient may wake up with seizures. In severe cases, the patient cannot move due to severe pain.

Diagnostics

If symptoms appear, you should contact a neurologist. The doctor will perform a general examination. With sciatica, there may be a decrease in the mobility of the joints of the knees or feet, weakened or abnormal neurological reflexes, increased pain when trying to raise the straight leg up.

A general and biochemical blood test, x-rays taken in different projections in a standing and lying position, and magnetic resonance imaging will help confirm the diagnosis. Sometimes it may be necessary to additionally visit another specialist - a rheumatologist, a vascular surgeon, a vertebrologist.

Urgent medical advice is required if:

• Against the background of pain, the body temperature rises to 38 ° C;
• There is swelling on the back or the skin turns red;
• The pain gradually spreads to new areas of the body;
• There is severe numbness in the pelvic region, thighs, legs, making it difficult to walk;
• There is a burning sensation when urinating, there are problems with the retention of urine and feces.

Treatment of sciatica

The complex of procedures is selected differently for each patient and depends on the specific symptoms and severity of the condition. It includes:

• Mode. During a period of acute pain, the patient should lie on a bed with a hard mattress, and also limit physical activity until the inflammation subsides;
• Medicines. Non-steroidal anti-inflammatory drugs, muscle relaxants, vitamins are used. Ointments and gels of irritant action are applied locally, which relieve pain and reduce spasticity;
• Physiotherapy. Assign warming compresses, heating, electro- or phonophoresis. When combined with the use of drugs (antispasmodics, anti-inflammatory, muscle relaxants, vitamins) with physiotherapy, their effect is significantly increased;
• Massage. They begin to carry out after the subsidence of the acute process. It helps to reduce pain, increases the conductivity of the damaged nerve, improves blood circulation and lymph flow, prevents muscle hypotrophy;
• Physiotherapy. After establishing the cause of inflammation of the sciatic nerve, the patient is individually selected exercise program. Some of them need to be performed already in the first days of illness, lying in bed. As motor activity is restored, the load is gradually increased. Swimming in the pool is also recommended. Water reduces pain, relieves muscle spasm, facilitates movement;
• Operative treatment. It is indicated in cases where conservative methods do not work and severe pain becomes chronic, as well as in severe disorders of the pelvic organs.

Prevention

To prevent inflammation of the sciatic nerve, it is necessary to pay attention to maintaining the tone of the back muscles. You should practice and control the correct posture. When sedentary, take regular breaks and warm-ups.

It is necessary to avoid injuries, not to lift weights and not to allow hypothermia. It is also necessary to contact specialists in time for the treatment of pathologies that cause sciatica.

Which doctor to contact

With inflammation of the sciatic nerve, you should contact a neurologist. Additionally, it may be necessary to consult a neurosurgeon, vertebrologist (for diseases of the spine), a vascular surgeon (for differential diagnosis with damage to the vessels of the limb). The treatment also involves a physiotherapist, a specialist in physiotherapy exercises and massage, you can also contact an osteopath.

Video version of the article:

About sciatica in the program "Live healthy!" with Elena Malysheva:

In the program "Health" with Elena Malysheva about paralytic sciatica syndrome:

Nerves are responsible for the innervation of tissues, that is, for communication with the central nervous system. Signals pass through them, due to which a person feels pain, moves muscles, feels touch, etc.

The sciatic nerve is one of them and innervates the muscle tissues of the lower extremities. When it is pinched due to trauma, osteochondrosis or hypothermia, neuralgia usually develops. It is an inflammation of the nerve due to its compression (squeezing). The inflammatory process manifests itself in the form of acute pain sensations of a paroxysmal nature and numbness or tingling of the innervated parts of the body. Due to severe pain that increases during movement, a person may temporarily lose the ability to walk normally.

In case of severe compression, sciatic nerve neuritis (sciatica) may develop. It proceeds more severely than neuralgia, and this pathological process is characterized by gradual necrosis of nerve cells. However, regardless of the severity, damage to the sciatic nerve can affect any person, so it is necessary to recognize the manifestations of compression in time in order to quickly get rid of the problem.

The sciatic nerve is the largest nerve branch in the human body. It runs from the lower back to the toes and is responsible for the innervation of this area. Symptoms of the disease of this nerve usually manifest as a violation of sensitivity and paroxysmal pain that radiates throughout the limb. The nature of the pain is usually burning and cutting, and they can manifest themselves with any sudden movements. Gradually, the pain becomes chronic and has a recurrent course.

Signs of sciatica usually appear after physical or emotional overload. Symptoms are especially pronounced at night against the background of hypothermia. Among the common signs of pathology, the following can be distinguished:

• Signs of paresthesia (sensation of crawling, tingling, numbness);
• Pain that begins to appear from the back of the thigh and gradually descends to the foot.

After the attack, characteristic of the disease of the sciatic nerve, the pain remains only in the lumbar region, as well as under the knee and in the middle of the gluteal muscle. Sometimes it manifests itself so strongly that a person can lose consciousness. The pain increases mainly during walking or with prolonged standing in one place. Sitting on a hard surface can also cause discomfort.

Neuralgia of the sciatic nerve is clearly manifested during attacks, as a person begins to limp and tries to rely only on a healthy limb. If its course is extremely severe, then the damaged nerve tissue begins to die and its functions are disrupted. Due to the weakening of innervation, the muscles under the control of the sciatic nerve (calf, gluteal, femoral) decrease in size (atrophy). Such a pathological process usually leads to difficulties in bending the leg at the knee joint, moving the foot and fingers on it.

The reasons

Finding out why the sciatic nerve hurts is not so easy, because this process has many reasons. The most basic of them is osteochondrosis, due to which the nerve roots are compressed. In more rare cases, compression occurs due to an intervertebral hernia. Sometimes inflammation of the nerve has the following causes:

• Injuries of the lumbosacral region;
• internal bleeding;
• Rheumatism;
• Oncological diseases;
• Diabetes;
• Passive lifestyle;
• blood clots;
• Abscesses;
• Gynecological pathologies;
• past infections;
• Physical and emotional overload;
• Pregnancy;
• fibromyalgia;
• Age changes;
• Hypothermia.

A sciatic nerve strain can arise from age-related changes, as the spinal canal narrows. Because of this, the nerve pathways that exit the spinal cord can become inflamed.

In more rare cases, spondidolistosis is the causative factor. It is a pathological deviation due to which the vertebrae slide excessively. Such a phenomenon over time will lead to the fact that the sciatic nerve becomes inflamed.

Neuralgia of the nerve in question often affects pregnant women in the 3rd trimester. Doctors attribute this phenomenon to the weakness of the muscle tissue and ligaments surrounding the spinal column, against the background of an increased load on them. Inflammation occurs mainly due to sudden movements or reboots, for example, if you jump or run for a long time. Sometimes you can get sick with this disease due to constant constipation, as there is compression of the nervous tissue of the gluteal and piriformis muscles.

Diagnostics

With inflammation, it is important to diagnose in time to understand why this happened. After all, there are a lot of factors influencing the development of the inflammatory process, and compression can be the result of both hypothermia and a growing tumor. Initially, the attending physician will examine the patient and conduct a survey. Next, he will test the reflexes by tapping with a special hammer to understand the degree of damage to the nerve pathway.

You can find out exactly why the sciatic nerve has become inflamed using instrumental research methods:

• radiography;
• Tomography (computer and magnetic resonance).

Such diagnostic methods will allow to differentiate the pathology and find out its cause. If suspicions remain regarding the development of an oncological disease, then a radioisotope scan will be performed. This method of examination is especially often used for people suffering from the immunodeficiency virus, as well as after a long course of corticosteroid use.

Course of therapy

With inflammation of the sciatic nerve, symptoms and treatment are usually closely related, as the patient experiences severe pain, which must be stopped first. If there is a specific cause that creates compression, then it must be eliminated.

In some cases, surgery is required, but in general, drug therapy, physiotherapy, massage, gymnastics, etc. can be dispensed with.

Initially, a person is in the acute phase of inflammation of the sciatic nerve and treatment should be carried out in special conditions. They can be created at home. To do this, you will need to pick up a hard mattress to comply with bed rest and try to stop moving until the acute phase ends. Cold can effectively anesthetize, for example, a compress or massaging the affected area with a piece of ice.

Against the background of compliance with bed rest, drug therapy can relieve inflammation of the nerve, aimed at eliminating the inflammatory process and pain relief. Non-steroidal anti-inflammatory drugs are the most effective. They are produced in the form of solutions for injections, ointments and tablets. The last group is represented by such medicines:

• Diclofenac;
• ibuprofen;
• Ketorolac;
• Ceberex.

They have a powerful analgesic effect and help relieve swelling and inflammation in the lesion. However, such tablets irritate the gastric mucosa, so they have their limitations. Among other anti-inflammatory drugs, Movalis and Nimesulide can be distinguished. They damage the mucosa of the gastrointestinal tract less than other medicines, so they can be taken much longer. It is advisable to use tablets from this group together with Omez to prevent the development of gastritis, ulcers, etc.

Doctors recommend using the listed drugs in the form of an ointment or injection solution. In this case, you can avoid a negative effect on the stomach. If you need to get on your feet in a short time, then you should take a course of Diclofenac injections, since inflammation of the sciatic nerve can be quickly cured with the help of intramuscular injections.

With an increase in symptoms, it is necessary to consult a neurologist to change the course of therapy. The specialist will select other methods of treatment. Short-term courses of steroid medications based on hormones can stop the pain. However, they have many side effects and many people cannot use them.

It is necessary to treat sciatica or neuralgia comprehensively, and for this you need to take not only anti-inflammatory drugs, but also other groups of drugs:

• Vitamin complexes;
• Medications to improve metabolic processes;
• Preparations for the normalization of the circulatory process;
• Medications that relieve muscle spasm.

In addition to the use of drugs in the form of ointments and tablets, the doctor will recommend physiotherapy, since inflammation can be removed much faster. You can understand how to treat a nerve by focusing on this list of procedures:

• Electrophoresis in combination with drugs to relieve spasms and inflammation, as well as vitamins;
• laser treatment;
• Applications and paraffin;
• Electrosleep;
• Phonophoresis.

They accelerate the treatment of sciatic nerve neuritis by improving blood circulation and relieving edema. It is advisable to undergo such procedures that relieve pain and inflammation again in six months for the purpose of prevention.

Recovery period

The sciatic nerve can be completely cured with a long course of recovery. It should include massage and gymnastics, and it is also desirable to relax in a sanatorium or resort. It is advisable to coordinate all actions regarding this period with your attending physician so that the treatment received is not in vain.

Therapeutic massage will be required after the acute stage of the disease. It should be carried out by an experienced specialist, since it is he who knows what to do when. Due to a properly done massage, spasm is relieved, blood flow improves and nerve conduction is restored.

Physical education is allowed after the end of the exacerbation stage. A specialist should compose a set of exercises and it is desirable that he conducts the first lesson. Movement during the lesson should be smooth and measured. If discomfort occurs, training should be stopped immediately and an ointment or other pain relief agent should be used. An approximate set of exercises can be seen in this picture:

Proper exercise will improve blood flow in the back and restore the innervation of nerve tissues. You need to do no more than 15-20 minutes a day so as not to overstrain.

Rest in sanitary-resort conditions is extremely useful in restoring the sciatic nerve, and the attending physician should tell you how to treat it during rest. An exacerbation can begin with any sudden movement, so it is advisable to carry tablets and ointments with analgesic and anti-inflammatory effects. If you follow all the recommendations of the doctor and behave carefully, relapses can be avoided. Among the procedures popular in sanatoriums, one can distinguish wrapping with special mud and bathing in therapeutic baths. Due to the warm climate, proper nutrition and taking vitamins, it will be possible to strengthen the immune system, which will also have a good effect on the restoration of the damaged nerve.

Traditional medicine recipes are allowed to be used during the recovery period. They are an effective supplement, but the use of such methods is allowed after the approval of the doctor. Basically, for the treatment of the sciatic nerve, folk methods use various rubbing of the damaged area, for example, with beeswax or tincture of pine cones.

Lifestyle changes can speed up recovery, because without proper nutrition, good sleep and giving up bad habits, it will be much more difficult. A nutritionist can make a complete diet rich in fruits and vegetables. You can independently search for recipes for healthy dishes and the allowable number of calories on the Internet. You need to sleep at least 6-8 hours a day, and with neuralgia it is advisable to add another 1-2 hours to this time. Bad habits, especially alcohol and smoking, depress the nervous system, so it is advisable to completely abandon them.

Neuralgia of the sciatic nerve occurs due to its compression. There are a lot of reasons for this phenomenon and it is important to undergo an examination in order to identify the factor that influenced the development of compression. After him, the doctor will talk about how to treat inflammation of the nerve. This process is quite long and full recovery can be expected no earlier than in 2-3 months.

As you know, the sciatic nerve starts from the lumbosacral plexus and, going down the leg, branches into two directions - the tibial and peroneal nerves. Its pinching is accompanied by acute pain that affects both limbs and limits the patient's movement.

Only complex treatment, which includes physiotherapy and a set of special exercises, can relieve the symptoms of inflammation of the sciatic nerve and correct the situation with pinching. However, in the acute period, drug therapy is inevitable.

In this article, we will consider the basic principles of treatment for inflammation, pinching of the sciatic nerve in adults, and also talk about the first symptoms and causes of this disease. If you have any questions, leave them in the comments.

What it is?

A pinched sciatic nerve is an inflammation of one of the longest nerves in the body, which manifests itself in the region of the lumbosacral spine with severe pain. In medicine, this phenomenon is called sciatica.

Inflammation of the sciatic nerve is a syndrome or manifestation of symptoms of other ailments. In this regard, inflammation can be caused by problems in the work of other organs and systems of the body, however, in most cases, the occurrence of pathology is associated with problems in the spine.

The reasons

What is it and why does it develop? The disease is more common in people over 30 years old, although recently younger people have also been affected by pathology, which is associated with the early formation of degenerative changes in the soft tissues around the spinal column.

The most common factor in the development of inflammation of the sciatic nerve is a pathological process localized in the lumbar and sacral segment of the spine.

Therefore, the most common cause of pinching is:

1. Complete or partial displacement of the intervertebral disc, accompanied by pinching of the sciatic nerve, narrowing of the spinal canal, growths on the spine;
2. Piriformis Syndrome;
3. Damage to the organs or muscular apparatus of the small pelvis due to injuries or heavy physical exertion;
4. Hypothermia, infectious processes;
5. The presence of neoplasms.

Inflammation of the sciatic nerve can have the character of a primary lesion, the causes of which are most often hypothermia, an infectious process, and trauma. Secondary pinching occurs when the nerve roots that form the sciatic nerve are pinched as a result of protrusion, herniated disc, bone growths around the spine, muscle spasm due to physical overload, etc.

Symptoms of inflammation of the sciatic nerve

If the pinching of the sciatic nerve progresses, the symptoms of the pathology are expressed in an acute form, significantly disrupting the patient's usual quality of life. The main symptom of the disease is pain, the intensity of which depends on the cause of inflammation:

• pinching of the sciatic nerve with a hernia;
• influenza, malaria and other infections that lead to inflammation;
• stenosis;
• spondylolisthesis.

Be sure to consider the nature of the pain. This helps doctors make an accurate diagnosis and then start treating the inflammation. Therefore, pinching in the lower part of the spine is divided into three groups:

• landing symptom - the patient cannot sit down;
• symptom of Lasegue - the patient cannot raise a straight leg;
• Sicard's symptom - pain increases with flexion of the foot.

In addition to pain, there are also characteristic symptoms of inflammation of the sciatic nerve associated with a violation of the conduction of nerve impulses along the motor and sensory fibers:

1. Loss of sensation (paresthesia)- in the initial stage, it is manifested by a feeling of numbness, tingling of the skin of the buttocks and legs along the back surface. As the symptoms progress, other types of sensitivity decrease, up to their complete disappearance.
2. Dysfunction of the pelvic organs- occurs due to compression of the fibers of the autonomic (sympathetic and parasympathetic) nervous system passing in the sciatic nerve. There are violations of urination (urinary incontinence) and defecation in the form of constipation. This symptomatology develops in severe cases of sciatica with significant infringement of the spinal roots.
3. Failures in motor function- the result of infringement of the motor fibers of the nerve. A person has weakness of the gluteal, femoral and lower leg muscles. It is expressed in a change in gait during a unilateral process (limping on a sore leg).

If the above symptoms occur, treatment should begin immediately, because pinching the sciatic nerve can lead to a complete loss of sensation in the legs.

Diagnostics

To determine how to treat a pinched sciatic nerve, it is imperative to find out its etiology and, if possible, eliminate all factors that can provoke the development of the disease.

To clarify the diagnosis, it is necessary to conduct a comprehensive examination of the patient - it should include:

• methods of clinical and biochemical laboratory diagnostics;
• examination by a neuropathologist, and, if necessary, by a vertebrologist, rheumatologist and vascular surgeon;
• performance of x-ray images of the spine in several projections (mandatory in the supine and standing position);
• tomographic studies.

Urgent doctor's consultation required if:

• against the background of pain, the body temperature rises to 38 ° C;
• edema appeared on the back or the skin turned red;
• pain gradually spreads to new parts of the body;
• there is severe numbness in the pelvic region, hips, legs, which makes it difficult to walk;
• there is a burning sensation when urinating, there are problems with the retention of urine and feces.

These studies help to figure out what to do in order to relieve pain in the shortest possible time, and eliminate inflammation in the sciatic nerve.

How to treat a pinched sciatic nerve

If symptoms of pinching of the sciatic nerve occur, treatment should be started as early as possible, according to the result of the diagnosis, the specialist will prescribe the appropriate therapy:

1. First of all, determine what caused the sciatic nerve to be pinched. Treatment may vary depending on the cause. For example, neoplasms may require surgery.
2. Medical treatment. The first stage of this treatment is aimed at pain relief and removal of the inflammatory process. For this, muscle relaxants and NSAIDs are used.
3. B vitamins(kombilipen, milgamma) contribute to the normalization of metabolism in nerve cells. In the acute period, they are prescribed intramuscularly for a period of 10 days, then they switch to oral administration.
4. Physiotherapy treatment. Such treatment includes electrophoresis, the use of electromagnetic fields or ultraviolet radiation, massage (impact on certain points, cupping, vacuum types of massage), therapy through paraffin procedures, hydrotherapy.
5. Alternative treatment which currently includes many different methods. It includes acupuncture, the use of Kuznetsov's iplicators, stone therapy, hirudotherapy, herbal medicine, moxibustion.
6. Treatment with folk recipes. So, when pinching, horse chestnut, bay leaf tincture, flour and honey cakes, potato compresses, beeswax, spruce and pine buds, dandelion tincture and many other methods are used.
7. Diuretics used to reduce swelling in the area of ​​the nerve roots (furosemide).
8. Physiotherapy. Helps to improve blood flow in the affected area and strengthen the muscles. Which exercises to perform in this or that case, the doctor decides, based on the degree of neglect of the disease, the severity of the pain syndrome, the presence of an inflammatory process and other factors.
9. Surgery. With the ineffectiveness of medications and physiotherapeutic procedures, the only option to eliminate pinching is surgery: discectomy and microdiscectomy.

It is worth noting that the treatment of inflammation or pinching of the sciatic nerve at home is a complex, lengthy exercise that does not always give an immediate effect, so you have to deal with your health for a long time.

If the pain does not subside within a few months, then the patient is prescribed injections of steroid drugs administered epidurally into the affected area. This procedure reduces the symptoms of inflammation at the local level, giving an immediate temporary, but very noticeable effect.

Mode

One of the main components of treatment is the creation of a therapeutic and protective regimen for the patient.

The patient should lie on a hard bed, the possibility of movements is recommended to be limited until the bright signs of inflammation subside. Compliance with bed rest is shown until the condition improves and the pain syndrome is eliminated.

Non-steroidal anti-inflammatory drugs

The most effective painkillers -. This pharmaceutical group of drugs is represented by drugs that stop the action of the COX enzyme and have an anti-inflammatory effect, these include:

• Meloxicam (Movalis, Amelotex)- is available in tablet and injectable forms, is one of the safest drugs in the NSAID group.
• "Piroxicam" - is available in the form of a solution (1-2 ml ampoules), tablets, suppositories, gel, cream, can be used both topically and by injection - 1-2 ml once a day to relieve an acute pain attack.
• "Nimesulide" ("Nise", "Nimesil")- available in the form of powders, tablets, capsules. The usual dosage is 100 mg per day, in the first days an increase to 200 mg is possible.
• "Celebrex" - capsules, the recommended daily dose is up to 200 mg, but with severe pain it can be increased to 400-600 mg at the first dose, followed by a dose reduction to 200 mg.
• "Ketonal", "Ketanov" ("Ketoprofen")- is available both in ampoules and in capsules, tablets, suppositories and in the form of an ointment, with sciatica it is most often used intramuscularly (up to three times a day, 2 ml each), but topical application (ointments) also relieves symptoms.

With an increase in pain and inflammation, steroid hormones are sometimes prescribed, in short courses, they relieve pain, but do not eliminate the cause of inflammation, and their use has a lot of side effects and contraindications.

See also how to choose effective ones for the treatment of joints.

Muscle relaxants and vitamins

Muscle relaxants prescribed to reduce reflex local muscle tension associated with pain syndrome. It:

• Thezalud;
• Baclofen;

It also has an anti-inflammatory effect multivitamin complexes based on B vitamins:

• Neurobion;
• Milgamma;
• Combilipen;
• Trigamma;
• Neurovitan.

When physiotherapy and medications do not help, they resort to surgical methods - microdiscectomy, discectomy, in which the part of the disc that presses on the sciatic nerve is removed.

Alternative treatment

In specialized clinics and medical centers, various non-traditional methods are used to treat a pinched sciatic nerve:

• phytotherapy;
• acupuncture;
• acupressure;
• warming with wormwood cigars;
• stone therapy or stone massage;
• vacuum or can massage;
• hirudotherapy-treatment with leeches and others.

Spa treatment

Only without exacerbation, a spa treatment of inflammation of the sciatic nerve is recommended, mud therapy, hydrotherapy using radon, hydrogen sulfide, pearl baths, and underwater traction courses are especially effective.

Climate therapy always helps to strengthen the immune system, reduces the frequency of colds, rest improves mood and creates a positive attitude, which is so important for recovery.

Massage

Massage procedures are allowed to be carried out after the acute inflammatory process subsides.

Thanks to this technique, the conductivity of the damaged sciatic nerve increases, local blood circulation and lymph flow normalize, pain sensations decrease, and already developed muscle hypotrophy decreases.

Exercises

After recovery, useful physical exercises are especially necessary, but only those in which the load is evenly distributed on both sides of the body (light jogging, walking, swimming, leisurely skiing).

In addition, there are special exercises that are ideal for all patients in remission. Here is an example of exercises that can be easily performed at home while lying on the floor.

All exercises are performed 10 times, with a subsequent increase in load:

1. Bring your legs to the body, hug them under the knees. With your hands, press your legs to yourself as much as possible, maintain this position for 30 seconds, then return to the starting position.
2. Legs are straight, socks point up, arms along the body. Stretch your heels and the back of your head in different directions for 15 seconds, then relax.
3. Turn to the side, pull your legs towards you. Pull your socks. Then return to the starting position and turn to the other side.
4. Roll over on your stomach, raise your torso on your hands, do push-ups. Do not strain your legs while doing this.

However, you need to know that if the pinching of the sciatic nerve is provoked by a herniated disc, it is necessary to select a complex of physiotherapy exercises together with your doctor.

Treatment with folk remedies

Of particular importance is traditional medicine to cure pinched sciatic nerve. After all, her funds become practically the only way to treat, for example, if a nerve is pinched in a pregnant woman or there are any contraindications to the medications taken, physiotherapy.

At home, you can carry out the following treatment:

1. Bay leaf tincture. It is necessary to take 18 medium-sized bay leaves, pour them with 200 ml of good vodka, leave for 3 days in a dark, cool place. After this period, the resulting infusion must be rubbed into the sacrum with massaging movements. After the fourth procedure, a positive effect is observed.
2. At night, you can attach a honey cake to a sore spot.. To do this, heat a tablespoon of honey in a water bath, mix it with a glass of flour, form a cake and put it on a sore spot. Close with cellophane and wrap everything with a warm scarf. This compress will relieve pain.
3. An infusion of potato sprouts is prepared from sprouted potatoes, or rather, its shoots.. To do this, take a glass of sprouts and fill the floor with liters of vodka. In this form, the mixture is infused for two weeks in the dark. After it is ready, you need to rub it into the affected area twice a day and wrap it with warm cloth for a while.
4. Dissolve 10 tablets of analgin in 200 ml of an alcohol solution (at least 70%) and add a vial of 5% iodine. The resulting mixture should be removed in a dark place for 3 days. Rub the finished tincture into the problem area before going to bed, then wrap the lower back with a scarf and sleep until the morning.

Remember that home treatments cannot replace complex drug therapy, they are designed only to reduce the manifestations of the disease.

Prevention

When a pinched sciatic nerve is diagnosed, medications relieve pain and general discomfort; but it is also recommended to study preventive measures to prevent relapse:

• you need to sleep only on a hard surface,
• avoid lifting heavy
• hypothermia of the extremities,
• do not make sudden movements.

Which doctor to contact

If symptoms of sciatica appear, you should consult a neurologist. Physiotherapist, massage therapist, chiropractor participate in the treatment. if necessary, the patient is examined by a neurosurgeon.

In medicine, inflammation of the sciatic nerve is called. At the same time, sciatica in the lumbosacral region of the spinal cord with infringement of the roots also refers to sciatica. Synonyms of sciatica are diseases such as neuritis, pinching and inflammation of the sciatic nerve.

In the human body, the sciatic nerve is the longest and largest. It is located in the lower back, passes through the buttocks and ends in the lower extremities.

As a result of compression of the sciatic nerve, the roots in the lumbosacral spine experience pressure, then become inflamed and the person experiences pain of varying degrees.

Pain can be localized in the lumbar region, the back of the thigh, feet, legs. The pain may increase with walking, coughing fits. In the initial stage, sciatica can manifest itself as lumbago, lumbar ischialgia or lumbalgia.

Pain can be both weak, muffled, and unbearable, in which the patient cannot move normally, even sleep.
With the manifestation of pain, you should immediately seek qualified help from a neurologist.

Provoking factors

Lumbar hernia is one of the provocateurs of nerve inflammation

Inflammation of the sciatic nerve in itself is not an independent disease and in most cases manifests itself as a reaction to other disorders in the body.

With an intervertebral hernia, the nerve experiences compression and the inflammatory process starts.

Often, osteochondrosis in advanced form with complications serves as a provocateur of sciatica.

As a result, the intervertebral gap is minimized and the sciatic nerve is compressed.

Inflammation of the sciatic nerve can begin under the influence of such causes:

• injuries of the back, pelvis, limbs;
• sudden hypothermia of the body;
• pathological changes in the shape of the vertebrae (growths);
• arthritis;
• gynecological diseases;
• diabetes;
• penetration into the body of infection and the development of inflammatory processes;
• exposure to nerve stimuli in the form of tumors, muscles (piriformis syndrome), bone tissue;
• constipation;
• internal bleeding;
• heavy physical activity.

Symptoms and characteristic signs

The defining symptom of the presence of an inflammatory process in the area of ​​the sciatic nerve is pain manifested in the lower extremities. Sensitivity in the legs is lost, normal motor function is disturbed.

Pain in nature can be different - stabbing, sharp, burning, pulling. The pain comes on paroxysmal. A sharp period of exacerbation is replaced by relative peace.

Mostly discomfort is experienced on one side. Bilateral inflammation of the sciatic nerve is less common.

According to statistics, in women, sciatica in 80% of cases is observed on the right side. In men, on the contrary, on the left side.

Attacks, as a rule, come as a result of physical or emotional overload. If at the same time hypothermia is added, then inflammation of the sciatic nerve is very likely. Very often inflammation occurs at night.

The sensitivity of the skin along the nerve undergoes changes. You may experience tingling, goosebumps, or numbness. The pain begins on the back of the femoral side and gradually descends to the lower leg, foot. Pain after an attack does not go away, it is felt in the area between the vertebrae (5 lumbar and 1 sacral), in the center of the buttocks and under the knee.

Often the sciatic nerve hurts so badly that it can lead to. There may also be redness of the skin, swelling, excessive sweating of the feet.

Walking, standing for a long time, sitting on a hard chair causes pain. A person involuntarily seeks a comfortable position of the body, transfers the center of gravity to a healthy leg. The gait is disturbed (the leg, as it were, stretches with pain in the lower back).

In especially severe cases of inflammation of the sciatic nerve, the functionality of the nerve is significantly limited or completely impaired. As a result of this, the muscles (calf, thigh, gluteal) may decrease in size. The patient has difficulty flexing the lower leg, moving the fingers and turning the foot due to a temporary “off” of the muscle on the back of the thigh.

The sidal nerve is an integral part of the nervous system and its inflammation in some cases can lead to uncontrolled urination, defecation and other unpleasant symptoms.

Diagnosing a violation

Making the correct diagnosis is the key to successful treatment of the patient. To this end, it is necessary to take a number of complex measures:

• initial examination by neuropathologists, in some cases, examination and consultation with rheumatologists, vascular surgeons, vertebrologists will be required;
• collection of clinical tests;
• X-ray of the spine in two fixed positions (sitting, lying down);
• MRI, computed tomography;
• radioisotope scanning of the spinal region (appointed for suspected tumor formation, for HIV-infected people);
• electromyography.

When examined by a neurologist, a number of symptoms inherent in sciatica are revealed:

• landing symptom;
• symptom of Sicard;
• flabbiness and hypotension of muscles;
• the gluteal fold from the side of inflammation is significantly lowered;
• Achilles tendon has a weakened reflex.

Treatment methods

How to treat inflammation of the sciatic nerve is decided on an individual basis. The following therapies are used:

• drug therapy;
• physiotherapy procedures;
• massage sessions.

During treatment, you must follow the regimen. The patient should have a hard bed. During the period of exacerbation, physical activity should be limited to the minimum limits. Bed rest is necessary until the acute inflammation is relieved.

Therapy with medications

Drug treatment of inflammation of the sciatic nerve is performed by drugs of the NSAID group. They make it possible to stop the action of the enzyme cyclooxygenase, which is responsible for the production of prostanoids.

In practice, the following drugs are used:

• Ketorolac;
• Diclofenac;
• ibuprofen;
• Naproxen;
• Ortofen.

These drugs can relieve pain and inflammation. At the same time, one should not lose sight of the fact that drugs have side effects - the work of the kidneys becomes difficult, blood coagulation decreases, the gastric mucosa changes for the worse. The term of their application should be short.

After the removal of acute inflammation, it is possible to use safe dosage forms, but with a longer course of treatment.

Such sparing forms include the following drugs:

• Movalis;
• Nimesulide;
• Arcoxia.

Hormonal drugs may be prescribed in cases of unbearable pain. They are used for a short time, only to relieve pain. Hormonal drugs are dangerous for their side effects.

In addition to drug forms, vitamin complexes are prescribed. Vitamins E and B play a special role.

Medicines that allow you to normalize metabolic processes, relieve muscle tension are also used in the treatment of sciatica.

In especially severe cases, with acute inflammation of the sciatic nerve, with a sharp deterioration in the patient's condition, injections are given. Injections are used only when therapy with tablet forms does not bring the desired effect.

The injection should be done by a specialist. The steroid drug is administered as close as possible to the sciatic nerve in the affected area.

In the treatment, external medicines are also used in the form of patches, gels, ointments. Experts recommend such ointments:

• Viprosal;
• Finalgon;
• Virapin;
• Saliniment;
• Naftalgin.

To activate the work of the nerve, increase blood flow, you can use propolis, turpentine, mustard oil as part of therapeutic ointments.

Physiotherapy procedures

With sciatica, the following physiotherapy is indicated:

• phonophoresis;
• compresses;
• warming procedures.

In combination with physiotherapy, dosed medications are administered. As a result, the blood circulation of the inflamed areas increases, recovery is faster.

The appointment of procedures is the prerogative of the attending physician, he regulates the number of sessions, etc. Therapeutic massage is allowed to be used only after passing through a dangerous phase of exacerbation. Massage has a beneficial effect on muscle recovery, relieves pain, improves blood flow, increases the conductivity of the sciatic nerve.

The effect of massage can come from at least 10 sessions. With each session, the intensity of exposure should increase.

Exercise therapy and gymnastics

In the arsenal of methods for combating inflammation of the sciatic nerve, there are proven methods of physical therapy. Gymnastics, performing simple exercises will improve the general condition of the patient, will improve blood flow in the lumbar region.

Simple and effective exercises:

1. We raise our legs. The exercise is performed from a supine position. The legs alternately bend at the knees and rise to a height of 0.3 meters, the leg is fixed for 10 seconds. Performed 8 to 12 times at a slow pace.
2. Pushing off the wall. Become facing the wall, focus on the palms. We serve the body to the wall, elbows are bent. We unbend the elbows, the body returns to its original position. In a slow rhythm, it is done from 10 to 15 times.
3. Practicing with the ball. Lying on your back, hold the ball between your legs. We bend our knees, raise them to a height of 0.3 m. We make a turn with the ball to the right for 10 seconds. We return to the starting position. The same turn with the ball in the other direction. It is done 10 times.

Surgery

The surgical method for the treatment of sciatica is indicated in exceptional cases with a cardinal violation in the functioning of the pelvic organs. The removal of a disc or part of it is called a microdiscectomy. The pathology of the intervertebral disc is eliminated, the cause of the pinched nerve is eliminated.

What to do if the sciatic nerve is inflamed and sore:

Treatment with folk remedies

The treatment of inflammation of the sciatic nerve with folk remedies at home should be treated quite carefully. Consultation with a specialist neurologist will be quite useful.

The most effective recipes:

What could be the consequences

If you do not start the treatment process, then you can avoid the unpleasant consequences of the course of inflammation of the sciatic nerve. Possible complications include the following:

• partial or complete muscle atrophy;
• legs lose sensation;
• urine and feces do not hold, and the patient cannot control this process.

Preventive measures

The muscle corset must be kept in good shape. The weakening of the holding capacity of the muscles leads to the displacement of various organs (the spine ceases to function as the supporting column of the body). And as a result, the sciatic nerve becomes inflamed.

Therefore, it is necessary to take care of your health, the following recommendations will help to fight sciatica:

An inflamed sciatic nerve can give a person a lot of trouble, pain and negative health in general. Do not be shy at the very first symptoms that indicate inflammation of the sciatic nerve, contact the doctors, this will help to treat the pathology in a timely manner.

The sciatic nerve hurts - what to do? The principles of sciatica treatment will be discussed in detail below. You will also learn about why this disease occurs and what are its symptoms.

Basic information

Infringement of the sciatic nerve, the symptoms of which are difficult to miss, as well as lumbar sciatica, accompanied by pinching of the roots of the sacral region, are one and the same disease. The pain syndrome with it is localized in the thigh, lumbar region, foot and lower leg. It is also aggravated by walking and coughing.

At the very beginning of the development of the disease, it proceeds according to the type of lumbago, lumbalgia or lumboischialgia.

It is impossible not to say that sciatica is a synonym for this pathological condition. In medical practice, it is also called neuritis, inflammation or pinching of the sciatic nerve. Its main symptom is lower back pain that radiates to the leg.

In the absence of proper treatment, the pain syndrome in this disease is weak and unbearable. In the latter case, the sick person can neither sleep nor stay awake normally.

Main reasons

Why does the infringement of the sciatic nerve occur (symptoms of this condition will be presented below)? Modern medicine claims that such a disease may be associated with mechanical (for example, vertebral hernia, displacement of the vertebrae or osteochondrosis) or temperature (for example, severe hypothermia) factors.

It should also be noted that in some cases this pathological phenomenon occurs due to a tumor, Reiter's syndrome, infection, etc.

In addition to the listed diseases, pain in the buttock, radiating to the leg, may be associated with the development of the following pathologies:

• Ischialgia, accompanied by compression of the nerve fibers by a hematoma or post-injection abscesses.
• Ischialgia, accompanied by tunnel neuropathies (including piriformis syndrome).
• Neuropathy associated with metabolic disorders (including alcoholism, diabetes, etc.).
• Sciatic nerve injury due to improper injection, hip and pelvic fractures.
• Ischialgia, which developed against the background of neuropathy under the influence of certain toxic substances.

Before telling you about how to cure the sciatic nerve, it should be told that adults most often suffer from this disease. Much less often, sciatica develops at the age of 20-26 years. In addition, this disease can occur in the last months of pregnancy due to the fact that the load on the spinal column of the future woman in labor increases significantly.

Other causes

Why does sciatica occur (symptoms and treatment of this disease will be presented later)? There are many reasons for the development of this disease. The most common factors are:

Location

Where does the sciatic nerve hurt? What is its location? Experts say that these are the two longest and largest nerves in the human body. They run on both sides from the lower back to the fingers of the lower extremities.

As a rule, with inflammation of this nerve, the patient begins to be disturbed by pain in only one of them, localized behind the thigh, in the gluteal muscle, and also behind the knee along the calf, to the very foot.

Main symptoms

How is sciatica manifested? The symptoms and treatment of this disease are known to few. With neuritis, the pains can be burning, stabbing, sharp and cutting. They can appear suddenly and disappear just as suddenly. In more severe cases, inflammation is chronic.

Typically, these attacks occur after physical or emotional overstrain. They can also disturb after hypothermia.

Along the course of the nerve with such a disease, the sensitivity of the skin can be disturbed and tingling, numbness, goosebumps, and so on may appear.

Other signs

Pain in the buttock, radiating to the leg, is the main symptom of the disease in question. Also, the pain syndrome can extend along the back of the thigh, gradually descending to the foot and lower leg.

After an attack, discomfort remains between the 1st sacral and 5th lumbar vertebrae, as well as in the center of the buttocks and under the knee.

Because of the severe pain syndrome, a person can lose consciousness. In addition, he may experience autonomic disorders such as excessive sweating of the legs, redness of the skin and swelling.

If the sciatic nerve is pinched, the pain may increase with prolonged walking, standing, and also when sitting on a hard surface. To improve his condition, the patient takes a forced position of the body, in which he leans on a healthy lower limb. Therefore, one of the signs of the disease in question is a violation of gait.

In the case of severe inflammation of the sciatic fiber, the symptoms are expressed in a complete violation or a strong decrease in the function of the nerve. With such a disease, the femoral, gluteal or calf muscle may even decrease. In this case, the patient experiences difficulty when trying to bend the lower leg, toes, or turn the foot. This happens due to temporary immobilization of muscle tissue on the back of the thigh.

Diagnostics

The sciatic nerve hurts - what to do? For starters, you should contact a neurologist. Before prescribing treatment, the specialist must find out the cause of the development of pain in the area of ​​the sciatic nerve. Only after that, he can conduct an adequate diagnosis, because sciatica is only a syndrome that can accompany completely different pathological conditions.

First of all, the neurologist examines the patient, checking his reflexes on his legs by tapping with a hammer. It also determines the sensitivity on the skin, which allows you to assess the degree of damage to the National Assembly.

So what if the sciatic nerve hurts? What to do with such a pathological condition in order to identify the cause of its development? To make a diagnosis, the most accessible and simplest method is radiography. It is the picture taken that can confirm or exclude serious bone changes.

In the event that such a diagnosis is not enough, the specialist may recommend an MRI or CT scan.

If a tumor is suspected, a radioisotope scan of the spinal column may be used. Most often, this procedure is recommended for people who have taken corticosteroids for a long time, as well as for HIV-infected patients.

The sciatic nerve hurts - what to do?

With the development of such a disease, treatment should be trusted only by a qualified neurologist. Modern medicine provides several ways to treat sciatica. Let's consider them in more detail.

Physiotherapy

According to experts, this method of treatment helps to significantly reduce pain, but does not eliminate the true cause of the disease. The doctor can prescribe to his patient such procedures as electrophoresis with vitamins, antispasmodics, anti-inflammatory drugs and muscle relaxants, as well as phonophoresis, UHF therapy, laser or magnetic laser therapy, paraffin applications, electrosleep, UVR of the affected area, and so on.

As practice shows, the effect of physiotherapy significantly improves blood circulation, and also relieves pain and swelling.

Reflexology and massage

How to cure the sciatic nerve? During the subsidence of the acute inflammatory process, general and cupping massage, cauterization and acupuncture sessions, and acupressure are highly effective. It should also be noted that the use of "needles" - Kuznetsov's applicator - helps to significantly relieve pain and remove excessive tension in muscle tissues.

According to neurologists, absolutely any type of reflexology and massage can improve lymph flow, reduce pain, restore nerve function and prevent muscle hypotrophy.

Medications

What injections are prescribed for the sciatic nerve, pathologically inflamed? Non-steroidal pain relievers are the most effective. They are drugs that can stop the action of the COX enzyme and have a pronounced anti-inflammatory effect.

So what medications treat sciatic nerve? Drugs belonging to the mentioned pharmacological group are sold in all pharmacies. As they are usually used "Diclofenac", "Ibuprofen", "Indomethacin", "Ortofen", "Sulindak", "Ceberex", "Ketorolac" and "Naproxen". All of these funds have an irritating effect on the mucous organs of the gastrointestinal tract and negatively affect the kidneys, as well as reduce blood clotting. As a result, their use should be limited.

Also, with inflammation of the sciatic nerve, a neurologist can prescribe vitamins (especially B vitamins), mineral complexes and drugs that improve blood circulation and metabolic processes, and also relax muscle tissue.

Physiotherapy

With sciatica, even the simplest exercises are very effective. However, they should be performed only after the acute process subsides, that is, during periods of remission.

Gymnastics should be done slowly and smoothly, without much stress.

In the acute course of sciatica, the patient should observe bed rest. In this case, it is desirable to use a hard mattress. It is also necessary to limit motor activity (until acute inflammation passes). In addition, it is possible to alternately use heating pads and ice, massage in the area of ​​​​pain localization and other things.

In medical terminology, sciatic nerve pain is more commonly known as sciatica. This disease is characterized by severe pain in various parts of the body. When the sciatic nerve hurts, a person may feel pain in the sacrum, lower back and buttocks. Sometimes the pain can spread to the back of the thigh, lower leg, and even the foot. In such a situation, a person is not able to do anything.

In this case, pain can spread to both legs, it all depends on the cause of sciatica. There are cases when the pain syndrome is absent, however, there may be a burning sensation, numbness and tingling in the spine.

Basically, pain in the sciatic nerve can reach such a level that a person cannot stand, sit, sleep and walk. In such cases, treatment may be delayed.

Causes of sciatica

Sciatic nerve pain can occur for many reasons. For further treatment of the inflammatory process, it is necessary to establish the exact cause of pinching.

Sciatica can appear if a person has sciatica, or a hernia in the intervertebral discs. The main reason

there are problems with the spine, such as osteochondrosis, spondylosis, sprain, injuries of varying degrees, diabetes mellitus, infection, inflammation of the joints, as well as excessive exercise, after which severe pain appears.

To establish an accurate diagnosis, it is necessary to conduct laboratory studies of the cerebrospinal fluid and an X-ray of the spine, having carefully studied all the symptoms, and only after that prescribe treatment. Thus, the doctor can detect the number of pleocytosis (cellular elements) and determine the exact cause of pinching and manifestation of inflammation of the sciatic nerve. Only a doctor should prescribe treatment.

The main causes of pain in sciatica are partial or complete displacement or intervertebral disc.

At the same time, the spinal canal narrows, where growths can appear that cause various kinds of pinching. It is impossible to get rid of pain without proper treatment. Osteochondrosis. This disease leads to the loss of high depreciation properties of the intervertebral discs, which begin to protrude. Bone growths are formed that compress the nerve roots, causing the first symptoms and manifestations.

piriformis muscle

With this syndrome, the nerve is located immediately behind the piriformis muscle. Pain is the same as with sciatica. Failure of work in the sacro-vertebral joint, near which the nerve root is located. Pregnancy. Most pregnant women begin to feel pain in the third trimester. The reason for this is the rapid increase in the size of the uterus, which puts pressure on the sciatic nerve and pinches it. Also if she caught a cold. The pain may wax and wane depending on the location of the baby in the womb. In such a situation, the safest treatment should be prescribed. Spondylosis. With this disease, compression and inflammation of the nerve endings occur.

Treatment of inflammation of the sciatic nerve

If the development of sciatica occurs due to osteochondrosis in the lumbosacral segment of the spine, then any careless movement can cause a complication, as well as inflammation and its symptoms. In such a situation, the spread of pain occurs gradually and along the location of the branches. It is important to understand that it is strongly not recommended to treat the sciatic nerve on your own, as this can cause serious complications.

It is important to know that people who have a disease such as diabetes at the first appearance of symptoms of sciatica should consult a doctor as soon as possible and begin to treat the disease. In this group of people, the pain can change dramatically in intensity, and the symptoms may differ from the usual. Sometimes the pain can reach such limits when a person cannot even stand up. In this situation, it is necessary to conduct an in-depth examination of the patient in order to exclude the development of diabetic polyneuropathy and further pinching.

Diagnostics

To establish an accurate diagnosis, you need to do a number of necessary examinations:

Biochemical and clinical laboratory diagnostics.

Visiting a rheumatologist, vertebrologist, vascular surgeon and neuropathologist.

An x-ray of the entire spine is taken.

A tomography is being performed.

With a strong exacerbation of inflammation of the sciatic nerve, it is necessary to treat and diagnose the disease at the same time.

Sciatic nerve treatment program

The program includes physiotherapy, medicines, therapeutic exercises that eliminate inflammation. However, for each patient, the doctor must prescribe complex therapy on an individual basis, after establishing the cause, only then the treatment will be really effective.

If this disease is accompanied by osteochondrosis, it is necessary to use the following methods of treatment. Electrophoresis (performed only on the Ionoson apparatus), ozocerite application and hivamat - this procedure can remove pain after pinching in just two sessions.

Medical treatment

With a strong exacerbation or inflammation of sciatica, drug treatment is practiced the same as that used for sciatica. The doctor prescribes non-steroidal anti-inflammatory drugs, vitamin complexes, muscle relaxants, as well as local treatment. However, taking such drugs should not be used for a long time, when there are signs of pinching.

In general, doctors prefer drugs that have an irritant effect, since they are able to significantly reduce the signs of pinching and pain and reduce spasticity, as well as eliminate the causes of sciatica. It is important to know that the use of such medicines should be carried out on healthy skin, because they contain strong poisonous substances, such as snake and bee venom.

Physiotherapy

In most cases, when prescribing phonophoresis, electrophoresis, compresses and warming up, the patient recovers much faster, even if he has pronounced symptoms. During such procedures, the patient is most often injected with special drugs that restore damaged nerve fibers and reduce symptoms. With the use of such medications, treatment becomes much more effective.

Compliance with the regime

When diagnosing sciatica, a therapeutic and protective regimen is prescribed for each patient individually, depending on what symptoms he has. The patient is advised to be in a supine position, while it is desirable that the bed is hard, so that pinching is less felt. This regimen must be observed until the inflammation and pain begin to decrease. Prior to this, the patient should not do any physical exercises.

Physiotherapy

The appointment of special gymnastics is possible only if a complete examination of the spine is performed and the exact cause of sciatica is established. Such exercises are prescribed individually for each patient. With an exacerbation of inflammation of the sciatic nerve, the volume of exercises will be minimal and they should be done exclusively in a supine position and not for long.

The range of motion gradually increases as the patient recovers and pain in the lumbosacral segment decreases. In such a situation, experts recommend visiting the pool, since the body practically does not spend muscle strength in water, which, in turn, has a good effect on the condition of the sciatic nerve and relieves almost all symptoms. A person can spend a long time there.

However, therapeutic exercises are strictly prohibited for those patients who have a connection between sciatica and pathology in the intervertebral discs. In this case, active exercise can exacerbate disc protrusion, as well as increase the manifestation of retrolisthesis in the lumbosacral region. It is important to understand that it is impossible to start doing physical exercises without a doctor's prescription.

Surgery

This type of treatment becomes necessary only if the patient has not only a strong pain syndrome, but also severe dysfunction in the pelvic organs. Scientists have proven that timely microsurgical intervention, with the help of microdiscectomy, is the most effective.

Vertebrologists and neuropathologists who treat patients with sciatica argue that with timely prevention of the disease, exacerbation can be prevented by 90%. Therefore, every person with a tendency to sciatica should immediately, if the first symptoms appear, visit a doctor who can establish an accurate diagnosis and start treating the patient.