Radiculitis is an inflammation and compression of the spinal nerve roots.
The most common cause of its occurrence is degenerative-dystrophic processes in the spine, primarily
- deforming spondyloarthrosis,
- herniated intervertebral discs.
Sciatica can also be caused flu, tuberculosis, brucellosis, rheumatism, syphilis , cerebrospinal meningitis, chronic spinal leptomeningitis, radicular forms of neurovirus diseases ( tick-borne encephalitis and others.), tumors
The first symptom of the disease is usually pain, localized in a certain area with occasional firing (like an electric shock). Soon there is a feeling of numbness, tingling or crawling in the corresponding area of the skin. In the area of innervation of the affected root is determined by the decrease or loss of all types of sensitivity (pain, temperature).
Damage (most often) of the roots of the cervical nerves due to osteochondrosis and deforming spondyloarthrosis. The disease usually begins after the age of 40 years, often has a protracted course with periodic exacerbations.
The first sign is unilateral pain in the neck. The pain increases with the movement of the head, sometimes extending to the occipital and upper chest region. Often there is numbness in the area of the hand.
It is much less common than the cervical and lumbosacral.
The cause of the disease is usually a viral infection ( herpes zoster ), less often degenerative-dystrophic processes in the spine (deforming spondylarthrosis, osteochondrosis). It may also occur due to compression of the roots of the spinal nerves by the tumor, the adhesive process.
It is characterized by pain in the intercostal space with a feeling of numbness or tingling. With chest form, patients often bend the spine to the affected side and keep the body in that position, avoiding any unnecessary movement so as not to aggravate the pain.
Lumbosacral radiculitis ( sciatica )
Its most common form. Usually, people aged 30-50 years working in adverse temperature conditions are getting sick. The picture of sciatica is characterized by back pain and on the back of the leg and along the sciatic nerve. The pain usually occurs with awkward movement, weight lifting, injury, and lasts from several minutes to several days, often repeated attacks occur. Movement in the lumbar spine sharply limited.
The diagnosis is made by a therapist, a neurologist.
The range of studies that can appoint a doctor:
- Radiography of the spine in frontal and lateral projections, pelvis with hip joints and other parts of the skeleton (according to indications).
- Computed tomography.
- Magnetic resonance imaging.
- Scintigraphy (scan) of the spinal bones.
- Laboratory research methods (blood, urine).
- Ultrasound procedure abdominal organs and small pelvis, retroperitoneal space.
It is generally accepted that during the period of the onset of the pain, the patient should be transferred to a sparing home mode. However, staying in bed should not exceed 2–5 days, since the positive effect of the patient’s early motor activation, the resumption of the usual amount of physiological movements, leading to a significantly earlier recovery, has been proven.
In the early stages of treatment, it is possible to apply topically dry heat or cold (a bubble with ice on the lower back for up to 15–20 minutes 4–6 times a day) – this is individual, warmth helps someone, and coldness to someone. Fixation of the lower half of the body can also contribute to anesthesia (using a tight circular bandage or lumbar bandage).
In the period of acute pain, it is necessary to connect medication drugs such as diclofenac sodium, ketorolac, etc.
Candles are a convenient dosage form (for example, candles with diclofenac, indomethacin).
At home, in the treatment of sciatica are widely used topically a variety of means: ointments, gels, balms with both irritating and analgesic effects.
Radiculitis is a “favorite” object for manual therapy, including traction – dry or underwater skeletal traction. These methods can be effective only in the hands of this specialist. Manual therapy for spinal tumors, including metastases, osteoporosis , inflammatory lesions of the vertebrae and ligaments, etc.
As the severity of pain subsides and the patient’s physical activity expands, physical therapy, massage, and physiotherapeutic treatment are connected.
In practice, patients with radiculitis are often recommended balneotherapy and mud therapy, the use of other spa treatment methods.
The complex of treatment and prevention of exacerbations includes the exclusion of sharp turns, bends, one-sided loads, unprepared weight lifting, prolonged motionless sitting, etc., while maintaining appropriate physical activity. The recommendation of avoiding hypothermia is natural.
In the presence of flatfoot shows the wearing of specially selected (manufactured) instep supports.