- Causes of radicular syndrome
- treatment of the disease
Radicular syndrome (radiculopathy) is a fairly common neuralgic syndrome Spine practice.This syndrome includes syndrome that develops as a result of compression (compression of) the nerve roots (the initial division of the spinal nerves).Pain in radicular syndrome localized in the department of the back, where the pathological focus.In addition, the pain may radiate along the nerves of the internal organs: heart, stomach, intestines.
Causes of radicular syndrome
most common cause of radicular syndrome of any location, whether radicular syndrome of the thoracic or lumbar, is a degenerative disease of the spine.First of all, it is an osteochondrosis and intervertebral hernia, or spondylosis.Also this syndrome may develop as a consequence of injury, or in the process of tumor growth of the spinal cord, or infection of the spine (tuberculosis, osteomyelitis) .
radiculopathy Symptoms depend on the localiz
main symptom of the cervical radicular syndrome is pain along the nerve fibers, extending to the front surface of the chest, shoulder and shoulder girdle.Movement in the neck chained and painful.There is a change in skin sensitivity hand numbness and a feeling of "pins and needles."The arm on the affected side is often raised to the usual level is not possible.
When localization of the disease in the thoracic symptoms develops type intercostal neuralgia.Sometimes the pain can be confused with the heart, so often required an ECG to make the correct diagnosis.
Radicular syndrome of the lumbar manifested by symptoms such as severe pain in the lower back, of referred in the leg on the affected side.Often, it is difficult to move the leg, and the person loses the capacity for independent movement.Often there are urological disorders: difficulty urinating, or, conversely, frequent urge.
pain is in the form of lumbago (lumbago).Constant pain, aggravated by movement and lifting weights, called lumbodynia.Sometimes at night, lumbago appears awkward turn of the body and is accompanied by vegetative reactions (swelling of the skin, sweating, flushing).
radicular syndrome is often localized in the lumbar and sacral region, takes place with the defeat of the lower limbs.
Other symptoms of radicular syndrome is a violation of sensitivity and movement along the nerve.Reduced sensitivity revealed by tingling of the skin igolochkoj: Compared with the healthy side of the perception of greatly reduced.With long flowing pathological process of muscle atrophy on the affected side become weak.Even in the eyes can determine the affected limb: it "shrinks".
When infectious genesis radiculopathy noted low-grade fever, and local tissue temperature increase over the pathological focus.
All symptoms of radicular syndrome in osteochondrosis are not specific: pain, impaired motor function and sensitivity.Severity of symptoms depends on the stage of degenerative changes in the intervertebral discs.
In the diagnosis of radicular syndrome inspection plays an important role in identifying common neurological disorders.It helps in the diagnosis of spinal X-ray and magnetic resonance imaging.
Treatment of radicular syndrome is carried out according to the same principles as treatment of degenerative disc disease.
- Bed rest on a special mattress.Relief of pain painkillers (Baralgin), NSAIDs (Nurofen, Movalis), muscle relaxants (Mydocalm).Perhaps the use of irritating ointments (Finalgon, Kapsikam).With the ineffectiveness of treatment apply the blockade.
- physiotherapy (electrophoresis, magnetic, UHF).
- massage, manual and osteopathic techniques.
- Prophylactic administration chondroprotectors (Struktum, Don).
- B vitamins (B1, B6, B12, Neyromultivit, Magne-B6).
When a herniated disk and tumors of the method of choice is surgery.