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Clinically, it is often divided into primary and secondary according to the cause.
Protonous sciatica pain is sciaticitis mainly intercondritis of sciatic nerve, which is rare in clinic; secondary sciatic nerve pain clinical is more common in clinic. It is mainly caused by the stimulation of neighboring tissue lesions, compression, or due to a systemic disease such as diabetes and gout on the sciatic pathway. Common causes include lumbar disc herniation, congenital deformity of the lumbosacral region, lumbar tuberculosis, spinalitis, stenosis of pelvic exports of sciatic nerve pelvic cavity, and pelvic disease.
Secondary sciatic nerve pain is caused by compression or stimulation of neighboring lesions, and is divided into root and dry sciatic nerve pain, which refers to whether the pressure site is on the nerve root or the nerve. The root causes are mostly common. The cause of the disease is the most common. Other causes are spinal tumors, spinal metastases, lumbar tuberculosis, lumbar spinal stenosis; Inflammation, hip trauma, diabetes, etc.
The liquid pain of the waist towards the hips and thighs on the side, the pain of burning or knife -like pain, the pain when cough and force can be intensified, and the night is even worse.
Pressing the waist, hip, ankle, etc. can cause pain.
low back pain, waist soreness, fear of cold. This kind of low back pain appears after the activity and disappears after rest. In the future, low back pain gradually increased, converted into persistent pain, and exacerbated after the activity.
The outside of the calf and the back of the legs often numb and feel decreased. The gluteal muscle tension is relaxed, the thumb and the flexion muscle weaken, and the Achilles tendon reflection weakens or disappears.
With the increase of pain symptoms and enhancement of limb numbness, the muscles below the buttocks gradually shrink, resulting in a decline in activity ability.
waist or spine injury will increase the risk of sciatica.
With normal aging, spinal bone tissue and intervertebral discs will naturally wear, causing the nerves to be damaged or squeezed by the changes and displacement of the skeleton, intervertebral disc and ligament.
The spine is like a vertical crane, where the muscles are balanced. The weight in front of the body is the weight that the spine must be lifted. At this time, more muscles are needed to balance the weight. This can cause low back pain and other problems.
The so -called "core" refers to the muscles of the waist and abdomen. The stronger the core force, the more supportive the waist is.
Even if the body is healthy and often moves, there is no follow the correct physical form in daily life, and it is still easy to suffer from sciatica.
It may bring serious consequences and health risks without treatment of sciatica. The continuous existence of nerve compression and inflammation may lead to the following potential problems
Continuous sciatic nerve compression may cause nerve damage, which will affect the sensation and movement of the lower limbs. Nervous injury may be irreversible, which can seriously cause lower limbs to paralysis, unable to walk, stand on the limbs, lower limb muscles atrophy, and incontinence in the stool, which seriously affects the quality and function of patients' life.
Sciatica without effective treatment may be transformed into chronic pain syndrome. In this case, pain may continue to exist and even not even affected by external stimuli. Chronic pain syndrome will significantly affect the daily life, sleep quality and mental health of patients.
Continuous pain and discomfort may lead to the increase in the mood of patients, anxiety and depression. The decline in quality of life may affect social activities, work ability and family life, thereby forming a vicious circle and further aggravating symptoms.
(1) Cedication and treatment of sciatica
Patients with sciatica should take more rest, especially in the early intervertebral discruits for 3-4 weeks, and some patients are relieved by their own symptoms.
(2) Drug treatment treatment of sciatica pain
Western medicine: analgesic, vitamin B family, short -range corticosteroid hormone orally can alleviate the symptoms of sciatica to a certain extent, but cannot achieve the purpose of cure. This method can be relieved for patients with severe sciatica.
Chinese medicine: Treatment of topical drugs. At present, this treatment method is also the best external treatment method for treating sciatica. Paste plaster, which is convenient and safe, directly to the lesion, you need to stick to the course of treatment.
This method can be used in the acute stage, but the closure of the needle is to directly inject the drug into the spinal canal or around the nerve root. Local anesthesia to achieve an analgesic effect.
Interference electricity treatment: It has analgesic in the area of sciatica, improves blood circulation, and regulate autonomous nerve function.
Magnetic heat -heat treatment instrument: effectively relieve muscle and sciatic nerve pain, has sedative, anti -inflammatory, and improves blood circulation.
(1) During pain, you can use ice to apply the affected area for 30-60 minutes, several times a day for three consecutive days.
(2) Use hot towels or cloth bags to apply hot salt and hot salt to the waist or hip before going to bed every day, and the temperature should not be too high.
(1) Placing the left and right legs. Stand the position, hold the wall with both hands, swing your legs in the left and right directions, and do not touch the ground when swinging.
(2) Alternate straight legs. In the supine position, the turns will be raised at the right leg, and the frequent exercise can gradually improve the angle.
(3) Step on a bicycle. In the supine position, the two lower limbs take turns in turns like cycling, and the steps can gradually increase.
(4) Sit and raise your legs. Sit, your legs are close or clamped with a thick book, straight knees, followed to the ground, holding the stool by the stool, lifting your legs over the umbilicus, and then put it down. At the beginning, the affected legs may not be raised very high, and the degree of raising the legs will gradually increase after insisting on exercise.
(5) Sit and push your legs. Sitting, following the ground, the tip of the feet rose, put on the thighs with both hands, then bending forward, and pushed to the foot at the same time. It is difficult to push the feet when you first practice, and you will receive good results for a while.
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Regardless of the cause of the acute period of sciatic nerve pain, it is recommended to rest. When the recovery period, the following home recovery method can be selected according to the characteristics of their own condition. Pay attention to the training process, keep the movement slow, do not suddenly force, avoid accidents such as muscle strain and fall.