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31.10.2019

Treatment of the sciatic nerve with medicines is carried out under the supervision of a physician. With its inflammation, the patient feels a significant improvement during the first month of therapy. If the nerve is pinched, it is recommended to undergo complex treatment, which includes taking medications in the form of tablets, injections, ointments.

Classification of painkillers

In the acute period, treatment is aimed at reducing pain, then the main therapy is carried out. Painkillers are prescribed:

analgesics - if the patient does not tolerate NSAIDs, Analgin is prescribed, which lowers the temperature, eliminating pain;
glucocorticoids - if nonsteroidal drugs do not relieve pain, Dexamethasone or Prednisolone is prescribed, these medications eliminate inflammation, they are more effective if they are injected into the epidural space.

To prevent impulses from entering the central nervous system and to eliminate pain, a blockade with Novocaine is performed. If there is an intolerance to it, Lidocaine is prescribed. To stop unbearable pain, narcotic-type analgesics are prescribed. At the same time, it is recommended to remove the spasm in the affected area. For this, ointment is used. Additionally, you need to increase immunity by activating the metabolic process. Therefore, the patient is prescribed vitamin therapy.

Drug treatment of inflammation of the sciatic nerve is aimed at eliminating pain. For this, the patient is prescribed NSAIDs:

over-the-counter drugs - Aspirin, Ketoprofen, Ibuprofen;
prescription - Naproxen, Ketoprofen, Diclofenac.

If NSAIDs are taken with food, stomach discomfort can be reduced. Against the background of constant use of drugs, the risk of a heart attack increases. In this case, there is a risk of developing an ulcer. To reduce complications and risk, the drug is taken in the minimum dosage. NSAIDs can cause the following side effects:

dyspepsia;
drowsiness;
high pressure;
migraine;
rash.

Non-steroidal drugs can cause bleeding. The risk group includes people over 60 who suffer from ulcers and heart disease. With the help of blockers, an ulcer caused by taking NSAIDs is prevented and treated. This group includes Omeprazole, Lansoprazole. It is possible to cure an inflamed sciatic nerve by taking Tramadol. It is a pain reliever used as an alternative to opioids.

At the same time, this tool does not cause addiction and dependence. But Tramadol can cause nausea. Unlike NSAIDs, it does not provoke serious adverse reactions. With severe pain, drug treatment includes taking Ultraset or Tramadol + Paracetamol.

Therapy with opioids

Drugs are chemicals that cause stupor and insensitivity to pain. More often, this term is used to refer to opiates - Morphine + Codeine. A similar designation for oxymorphone is Numorphan, which is considered a narcotic analgesic. Tablets are effective if they are taken briefly. Opiate use for 16 weeks for the treatment of low back pain has been partially studied. It has been proven that there is a high risk of addiction if the drugs are taken without following the doctor's recommendations.

Pain can be relieved with a patch containing opioids. The names of such funds are selected by the doctor for each patient individually. Transdermal Fentanyl is more commonly prescribed. It reduces back pain. Side effects of drugs of the pharmacological group of opioids include:

anxiety;
dizziness;
breathing problems.

Scientists have proven that when taken correctly, opioids are safer than non-steroids in the long term.

Injection Therapy

The causes of inflammation of the nerve include trauma, hypothermia, infringement. Before treating the sciatic nerve, a diagnosis is made. Pre-assigned vacuum, manual therapy. If these therapies are ineffective, prescribe. They are made if the disease is severely aggravated. Introduction methods:

intravenously;
intramuscularly;
into the epidural space of the spinal column.

The number and dosage of injections is determined by the neurologist individually. If treatment with drugs is ineffective, physiotherapy, massage, are additionally carried out. The following painkillers are often injected into the gluteal region:

Diclofenac;
Indomethacin.

With the help of such injections, inflammation and swelling of the nerve fibers are eliminated. The drugs of this pharmacological group neutralize the enzyme that produces prostaglandin, which provokes pain. If therapy is ineffective, the patient is prescribed injections of steroid anti-inflammatory drugs with hormones. Such drug treatment reduces or completely eliminates pain by relaxing the muscles. This increases the range of motion.

More often, injections are administered into the epidural space, as close as possible to the damaged nerve. Drugs for the treatment of inflammation eliminate pain for several months.

Names of medicines used

With the disease in question, the patient may be prescribed the following drugs:

Artrozan is an effective NSAID, available in the form of tablets and. Artrozan relieves pain, lowers temperature, reducing inflammation. With severe pain, injections are made, which are then replaced with tablets.
Voltaren is administered intramuscularly for the first 3 days. You can not enter with sciatica in the diseased gluteal muscle. Otherwise, there is a reflex increase in pain. After an acute period, treatment continues with tablets.
Ketorol is an effective NSAID with antipyretic and anti-inflammatory properties. The drug is not addictive, inhibiting the work of prostaglandins. Ketorol injections are administered intramuscularly for 5 days.
Prozerin is prescribed in a severe case, when the pain is not stopped by other means. The dosage of the synthetic substance is prescribed taking into account the degree of pain syndrome. If an injection is prescribed, it is administered subcutaneously twice a day.
Diclofenac is an NSAID that quickly relieves pain. This analgesic is contraindicated in diseases of the liver and stomach.

With the disease in question, it is prescribed. These funds differ from the above-described drugs in terms of the active substance, the number of active ingredients, and consistency. Effective ointments for inflammation of the sciatic nerve:

Homeopathic (Traumeel C, Zeel T) improve metabolism, strengthen the immune system, relieve pain. These ointments are based on herbal extracts. The course of treatment lasts 3 weeks.
Irritants (Kapsicam, Efkamon, Finalgon) relieve pain by increasing blood circulation, improving nutrition and oxygen saturation. Apply a thin layer for 10 days.
Chondroprotectors (Chondroxide, Teraflex M) - based on sulfur compounds, which are a building component of discs.
NSAIDs (Butadion, Diclofit) are the most dangerous creams for self-medication, so they are used as directed by a doctor. The therapy lasts 3-4 days.
Combined (Dolobene) eliminate inflammation and pain, providing a thrombolytic effect. This improves tissue regeneration.

Treatment for a pinched nerve

You can treat a pinched sciatic nerve with the following medications:

NSAIDs;
vitamins;
local remedies, the action of which is aimed at improving blood circulation, relieving swelling and pain;
vitamin B, normalizing the metabolic process.

More often, the therapy of the phenomenon in question begins with the elimination of pain and the removal of the inflammatory process. Medicines are prescribed by a doctor, taking into account the severity of the clinical picture, the individual characteristics of the manifestation of the disease, and the tendency to allergic reactions. The patient is prescribed tablets or injections of non-steroids. If an acute condition is observed, a course of steroid blockades is indicated. With the help of vitamins B1 and B6, spasmodic muscles relax.

More often, a pinched nerve is associated with tension in the muscles that run along the spinal column. Injections injected into the trapezius muscles throughout the back provide pain relief in 10 minutes. Of the effective injection solutions, 50% Analgin with 2 ampoules of 0.9% sodium chloride is used. Manipulation is repeated 4 times a month.

Lidocaine or novocaine blockade with the phenomenon under consideration is performed similarly from the buttocks to the shoulder blades. If you chip trigger zones with Lidocaine or Novocaine, you can get temporary relief. Sometimes such a blockade restores muscle tone, eliminates spasm, returning motor activity. A positive prognosis is observed in patients treated with injections of homeopathic remedies (,).

The benefits of this therapy include:

rapid relief of pain;
direct impact on the focus;
the minimum number of side effects;
reduction of muscle tension, elimination of edema and inflammation.

Since inflammation and pinching of the sciatic nerve are associated with various pathologies of the spinal column and trauma, therefore, before treatment, it is necessary to undergo a complete diagnosis, establishing the true cause of the pain.

The sciatic nerve is the largest in the entire human body, which originates in the lumbosacral spine and extends along the entire length of the limb. That is why pinching of the sciatic nerve is always accompanied by pain and discomfort, which makes it necessary to quickly provide assistance to the patient.

Symptoms of pinched sciatic nerve

The first and most basic sign of a pinched sciatic nerve is pain. It can have different characteristics - paroxysmal pain, aggravated by exercise, that occurs only while walking. As a rule, patients describe their sensations during the onset of pain as burning, sharp, stabbing.

It is noteworthy that the pain when the sciatic nerve is pinched also has its own “path” of distribution: it begins in the lumbar region, then spreads to the muscles of the buttocks, goes down the thigh and goes to the lower leg and foot. Intense pain syndrome is not the only sign of pinched sciatic nerve - patients also note other characteristic signs:

On the pinching side, there is a violation of sensitivity - in some patients, sensitivity becomes aggravated and even the usual light touch on the skin causes severe discomfort, and sometimes it happens the other way around - the sensitivity becomes dull.
On the skin from the side of the infringement of the sciatic nerve, either burning or numbness is observed.
The patient's gait has a characteristic feature - the person tries to transfer the entire weight of the body to a healthy leg, and the patient slightly tightens, tightens.
Muscle weakness may occur on the affected side.

Note:the listed symptoms of pinching of the sciatic nerve can be present all at the same time, or in some single manifestations. But in any case, the discomfort will intensify when the patient makes any movements.

The disease in question in medicine is classified as sciatica - the official name of the pathology. The main, and only, cause of the above symptoms is compression of the nerve root and trunk. But the following factors can lead to this state:

the presence of benign or malignant neoplasms in the lumbosacral spine;
diagnosed pinching of the piriformis muscle;
different degree of development;

Note:pinching of the sciatic nerve (sciatica) is considered a fairly common disease and occurs in almost every patient diagnosed with radiculitis of the lumbosacral spine.

Diagnosis of sciatica

Usually, the diagnosis of pinching of the sciatic nerve is not difficult - the doctor does this at the initial examination of the patient. But it is not enough just to make a diagnosis - it will be necessary to find out the cause of the development of the problem in question. And in this case, the following diagnostic measures are carried out:

computed tomography or magnetic resonance imaging;
ultrasound examination of the lumbosacral spine;
laboratory tests of blood, urine and feces - at the discretion of the doctor.

Treatment of pinched sciatic nerve - doctor's actions

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Therapeutic measures for the disease in question are carried out by a neuropathologist. He can make the following appointments:

drugs that normalize and improve metabolic processes in the body, including vitamin and mineral complexes;
drugs with analgesic action - with their help, they block the inflamed zone of nerve fibers;
carrying out electrophoresis on a special device Inoson - according to doctors and patients, this method of treating pinched sciatic nerve is the most effective;
physiotherapy procedures - paraffin baths, phonophoresis using drugs, UHF;
massage and water procedures.

Such an integrated approach to the elimination of intense symptoms of sciatica helps to relieve inflammation, swelling, and significantly improve the blood supply to the nerves and surrounding tissues. But most importantly, the described methods help to quickly relieve the patient of severe pain, which immediately alleviates his condition.

Note:after diagnosing a pinched sciatic nerve and carrying out the necessary therapeutic measures, the patient must definitely receive recommendations for the treatment of the underlying problem that has become a provoking factor. For example, if during the course of diagnostic measures a herniated intervertebral disc was detected, then the patient may be recommended to undergo surgical treatment.

Treating a pinched sciatic nerve at home

A visit to the doctor when symptoms of the disease in question appear should be mandatory, although the patient himself will “run” to the specialists for help - the pain is too unbearable, and it will not work to lead a normal life in this state. And just during a visit to a specialist, you need to get advice about outpatient treatment. If the doctor does not designate any contraindications, then the following methods can be safely used:

Prepare a tincture of pine needles and cones, dandelion flowers or spruce buds according to the following recipe: pour raw materials into a half-liter jar (up to half the vessel) and fill it with vodka (or alcohol) to the top, insist for a week. You can use the tincture as a rubbing - rub the sore spot periodically during the day.
To carry out cupping massage of the lumbosacral region of the spine, the inner side of the thigh and lower leg using any warming ointments recommended by a specialist.
Use wax for application - lubricate the sore spot with any fat (you can also use vegetable oil), heat the wax and cool it a little, and then apply it with a brush to the treated area in several layers. The application must be wrapped up and kept with it until you feel that the deep tissues of the diseased area have also warmed up.

Gymnastic exercises will also be effective - they need to be done extremely slowly, smoothly, and if pain occurs during the “charging”, then we immediately enter a state of rest.

Despite the pain, pinching of the sciatic nerve is eliminated through physiotherapy exercises, yoga and special exercises. Of course, the possibility of performing certain movements is determined by the degree of damage. With a pronounced pain syndrome and constant lumbago, classes should be started from comfortable static postures for relaxation and stretching. For this purpose, the yoga pose of the “child” is suitable - from a sitting position on your knees, stretch forward, press your forehead to the floor, and put your hands along the body or stretch forward over your head.

Dynamic exercises for pinching the sciatic nerve are shown in the recovery stage, when the exacerbation has passed. During this period, suitable: swimming, walking, half-squat, movement "bicycle", movement on the buttocks, leisurely running, rotation of the hips. These exercises allow the load to be evenly distributed on the left and right side of the body. If there is a concomitant disease such as a hernia, then therapeutic exercises are allowed only by a specialist with the development of an individual program.

Preparations for the treatment of pinched sciatic nerve

All drugs for the treatment of pinched sciatic nerve can be divided into:

painkillers and anti-inflammatory drugs;
substances that increase the body's defenses;
ointments, gels, topical rubbing, which improve blood circulation, relieve swelling and pain;
vitamins of group B, normalizing metabolic processes and blood circulation.

Often, the treatment of infringement of the nerve roots begins precisely with the elimination of pain and inflammation.

Here, the range of medicines is so wide (from the usual analgin to opioid drugs) that the drug is selected based on the severity of the symptoms, the individual characteristics of the course of the disease, and the tendency to allergies. The patient may be prescribed tablets or injections with non-steroidal substances, which are most widely used due to their effectiveness. In cases of a particularly acute condition, courses of steroid blockades are recommended. These pharmacological substances have a long list of side effects, so a specialist consultation is required before use.

Vitamin B1, B6, B12 and E, as well as mineral complexes have a beneficial effect on metabolism, blood circulation and help to relax spasmodic muscles.

Ointment for pinched sciatic nerve

Creams and ointments based on horse chestnut have a pronounced relaxing effect on the muscles and have an analgesic effect. Balm "Chaga", a series of relaxing, anti-varicose creams "Recipes of Grandmother Agafia", cream "Venitan" are used for varicose veins, but they help to alleviate the condition as a result of infringement of the nerve roots.

Homeopathic ointment for pinching the sciatic nerve "Traumeel C" and "Target T" have an analgesic and anti-inflammatory effect. Despite the fact that the preparations consist of natural ingredients, it is recommended to consult a doctor before use. This is especially true for allergy sufferers, pregnant and lactating women.

Pinching of the sciatic nerve is treated with ointments with a warming-irritating effect. They provide blood flow to the area of application and dilate blood vessels, saturating the cells with nutrients, improving metabolic processes. These analgesics include - "Finalgon", "Viprosal", "Kapsicam", "Apizartron", "Nicoflex".

Non-steroidal analgesics are considered the most effective and fast-acting, but on the other hand, these ointments have the most extensive list of contraindications and side effects. For complex therapy of infringement of nerve endings, Diclofenac, Ketoprofen, Ibuprofen, etc. are used.

Pain reliever for pinched sciatic nerve

In order to anesthetize and alleviate the patient's condition, non-steroidal anti-inflammatory drugs are prescribed, which block the production of chemical components in the body that respond to pain (prostaglandins). Painkillers for pinched sciatic nerve are divided into short-term and long-term action. The following pharmacological substances are most common: Piroxicam, Ibuprofen, Celebrex, Ortofen, etc. Non-steroidal drugs are characterized by side effects - they irritate the gastric mucosa, thin the blood and adversely affect renal function. In this regard, they are contraindicated in patients with gastric and duodenal ulcers, suffering from high blood pressure and anemia, with renal / hepatic insufficiency and heart disease.

Anti-inflammatory steroids based on cortisol (a human hormone) are recommended for a period of no more than two weeks. This is due to serious side effects from drugs - lowered immunity, swelling of the face, weight gain, osteoporosis, ulcers. The action of steroid drugs is based on the simultaneous removal of inflammation and elimination of swelling of the tissue.

Relief in severe pain syndrome brings an epidural injection. Pain relief is achieved due to the local action of the steroid drug (directly in the area of the inflamed nerve). The lumbar puncture method provides temporary relief and is not indicated for all patients, however, it has proven itself positively, as it allows to reduce side effects with a lower dose of the drug administered.

It should be understood that pain relief is temporary and without eliminating the cause of the nerve root infringement, it is quite difficult to return the patient to a full life.

Diclofenac for pinched sciatic nerve

The drug "Diclofenac" is included in the pharmacological group of drugs with analgesic, anti-inflammatory, antipyretic, antiaggregatory and antirheumatic effects. The drug is available in solution for injection, in tablet form, in the form of ointments and suppositories.

Diclofenac in case of pinching of the sciatic nerve is prescribed for the purpose of pain relief, elimination of swelling. Recommended dosage:

tablets - for adults up to 50 mg, for children over 6 years old, 2 mg for each kg of weight up to three times a day;
candles - adults no more than 50 mg once a day, children after 6 years 2 mg per kg two to three times a day;
intramuscular injections - the daily rate for adults is 75 mg, children are contraindicated;
ointment - applied to adults on the painful area up to four times.

Treatment with "Diclofenac" is prohibited in case of impaired hematopoietic function, gastric ulcer and 12-intestinal ulcer, inflammation of the intestine in the acute phase, bronchial asthma, individual intolerance to one of the components of the drug, children under 6 years old, in the last months of gestation. Use restrictions apply to patients with heart failure, liver and kidney dysfunction, porphyria, during pregnancy and lactation.

Injections for pinched sciatic nerve

Recently, injections of B vitamins have been widely used to relieve pain from a pinched nerve. Vitamin complexes have a positive effect on muscle innervation, normalize metabolism, and help restore damaged nerves. Vitamins B1, B6, B12 contain lidocaine, which enhances the local analgesic effect. Injections of vitamins "Trigamma", "Milgamma", "Neurobion", "Combilipen" are shown only in acute processes (no more than 14 days), and in the case of a chronic and recurrent disease, they do not give the desired effect.

Eliminate pain and significantly reduce inflammation will help injections when the sciatic nerve is pinched with nonsteroidal drugs. Studies have shown that this group of drugs is highly effective along with a maximum of side effects that occur in 50% of patients. The least toxic among them is Ibuprofen. These painkillers are recommended to be used strictly for their intended purpose. Moreover, if one remedy does not help, replacing it with a drug of the same group does not make sense (there will be no expected effect).

Blockade with pinching of the sciatic nerve

Most often, pinching of the sciatic nerve occurs against the background of muscle tension along the spinal column. Injections into the trapezius muscles all over the back allow you to get rid of the pain syndrome after 10 minutes. As an injection solution, a mixture of ampoules of analgin 50% with two ampoules of sodium chloride 0.9% is suitable. The procedure can be repeated up to 4 times a month.

Novocaine / lidocaine blockade in case of pinching of the sciatic nerve is also performed from the buttocks to the shoulder blades at the points of greatest pain with maximum seals. Triggering trigger zones with lidocaine or novocaine can bring temporary relief, but often a single blockade helps restore muscle tone, eliminate spasm and restore motor activity. Positive dynamics is observed in patients with infringement of the nerve roots when injected with homeopathic preparations "Discus compositum", "Tsel-T" and "Traumeel S".

Advantages of therapeutic blockades:

rapid relief of pain;
action directly to the lesion;
minimum side effects;
reduce muscle tension, relieve swelling and inflammation, eliminate vasospasm.

Massage for pinched sciatic nerve

Massage and pinching of the sciatic nerve are compatible things if a comprehensive diagnosis has been carried out and the doctor has not identified contraindications.

In the case of acute radicular syndrome, deep massage is not recommended for pinching the sciatic nerve, as well as the use of warming ointments. Massage movements of the gluteal region should not be too intense, because they can cause exacerbation and an attack of unbearable pain. In order to activate blood circulation and relieve swelling, light stroking, gentle vibration (performs a lymphatic drainage function) in the area of \u200b\u200bthe nerve infringement are acceptable. The therapy includes obligatory massage of the abdomen, especially on the side of the lesion in the region of the iliopsoas muscle. If possible (in the absence of problems with the intestines, always on an empty stomach), compression shocks are carried out from the side of the peritoneum over the pinching site, followed by a leg massage. It is important to work out the points of the sacral zone and the wings of the ilium on both sides.

Massage technique for infringement of the nerve roots is quite complicated and you can only trust yourself to a true professional in their field.

Gymnastics for pinched sciatic nerve

Paradoxically, a pinched sciatic nerve can be treated with movement that improves blood flow to the affected area. Start by walking normally for a few minutes every hour. You may have to overcome the pain syndrome, but you can not lie too long.

in the supine position - exhale and pull your knees to your chest, wrap your arms around them. Inhale to connect your knees to your forehead. Hold for a few minutes, and then completely relax and straighten the body;
slowly sit on your heels, straighten forward and stretch your arms to the floor;
the back is pressed to the floor, straight legs are bent at a right angle and lie on the wall. At the same time, the buttocks are tightly pressed to the surface, hands rest against the hips. Hold the position for up to 10 minutes;
standing (knees are “soft”, half-bent), the back is straight and slightly tilted forward. The emphasis of the palms on the hips. We press our hands into the pelvis, stretching the lumbar vertebrae;
sitting on the floor with outstretched legs and clasped hands at the back of the head - gently move onto your back, while raising your legs as high as possible and spreading them wider. Lie down for a few seconds without taking your shoulder blades off the floor. You should stand up carefully, through your side with support on your hands.

Folk remedies for pinched sciatic nerve

A fairly effective method of treatment is alternative medicine, which includes recipes from nature itself. Of course, self-medication, experiencing new lotions and healing potions, is also not worth it. There must be common sense in everything and a clear understanding that a more serious disease may be hiding under the symptoms of pinching of nerve fibers. Without consulting a specialist, resorting to "grandmother's" recipes is sometimes even dangerous. Ordinary massage, warming compress or manual correction are strictly contraindicated in some cases.

Folk remedies for pinched sciatic nerve:

honey compress with apple cider vinegar (200 g of honey and a tablespoon of vinegar). The composition is distributed over cotton fabric and applied to the problem area for half an hour;
a warm mixture of 300g of liquid honey (steam if necessary) and 50g of alcohol is ideal for a half-hour massage;
anesthetic infusion of bay leaf - approximately 18 medium-sized bay leaves are immersed in 200 g of vodka / alcohol, insisted for three days in a dark place. This tincture gently lubricates the painful area;
potato sprouts are poured with 2 glasses of vodka / alcohol and infused in a dark place for 14 days. Tincture is used in the morning, rubbing into the affected area. After that, the lower back is wrapped with a scarf for the whole day;
a medium-sized horseradish root is passed through a meat grinder (approximately ½ cup is obtained), mixed with the same amount of potatoes, 1 st. a spoonful of honey On the lower back previously lubricated with oil or cream, a manufactured gruel is applied, insulated with polyethylene and a woolen scarf. You need to lie down for up to an hour. The procedure is repeated every other day;
the painful area is smeared with propolis, warm beeswax is applied on top, then covered with polyethylene and a blanket. Such a compress is indicated for the coming dream;
equal amounts of chamomile and elderberry, scalded with boiling water, are placed in linen and applied to the lower back. The patient is wrapped and left for 6 hours.

Pinching the sciatic nerve causes a lot of discomfort, but before starting treatment, it is important to establish the root cause of the pathological condition. If the infringement occurred when the intervertebral disc was displaced, then warming up can increase the pain syndrome and only aggravate the patient's situation. Treatment with folk methods is prohibited in the presence of tumor processes.

Yoga for pinched sciatic nerve

A number of medical sources claim that pinching of the sciatic nerve occurs with a nervous breakdown, if degenerative changes in the spine were not identified as the root cause or there was no mechanical damage. Moreover, in women, the right limb is more often affected, and in men, the left, which is explained by the dominant hemisphere of the brain. Clinical practice knows cases of "miraculous healing" by providing bed rest (immobilization and relaxation) with simultaneous normalization of the function of the nervous system.

Patients suffering from frequent depression, powerless before stress, yoga is recommended for pinching the sciatic nerve as an effective therapy and prevention. Simple asanas, meditation and breathing practice will help you stay active, cheerful and calm. If you have absolutely no time to attend group classes or you are just lazy, then give your nervous system up to 15 minutes a day and forget about the infringement of the nerve roots forever. Beginners still do not interfere with a few lessons from a competent instructor, the rest just need to make a set of exercises for themselves. Fortunately, there is a wealth of information on this subject.

What should you pay attention to when choosing positions? Give preference to asanas for relaxation, stretching, without dynamic transitions and twists. The following poses are ideal:

baby (fetus) - from a sitting position on your knees, knees apart at the level of the pelvis, big toes touching, straight back (as far as possible) tilt forward, touch the forehead to the floor. The arms are stretched out above the head and pressed with the palms to the floor or lie along the torso. Important: completely relax, release the clamps of the lumbar region and sternum;
Shavasana (or posture of the dead) - relaxation of all parts of the body in the supine position. Hands along the body, palms up, legs extended and spread apart. Considered the most difficult yoga asana! By the power of the mind (when the internal dialogue is stopped), it is necessary to cover every part of the body with attention, track blocks and clamps, relax as much as possible and liberate the body;
a technique from Japan (for implementation, you need a roller with a diameter of 7-10 cm and a length of at least 40 cm) - lie on your back on a hard surface, place a roller under your lower back (exactly under the navel). We take straight legs shoulder-width apart (we do not tear off the floor) and connect the thumbs together (about 25 cm between the heels). Bring straight arms behind the head with palms to the floor and fasten the little fingers. You need to lie down for 5 minutes, but immediately it will work out with difficulty. Do not tear your lower back, back, hips off the floor.

Stay in asanas for as long as you want. In general, everything in yoga is built on personal feelings and depends on your ability to listen to your body. From all positions, you should exit gently, without jerking, calmly and with a smile. The described simple exercises help even in cases with severe pain, alternating with taking salt or herbal baths.

Exercise therapy for pinched sciatic nerve

Swimming, easy running, walking, as well as simple physical exercises will help to survive the pinched sciatic nerve and return to the usual rhythm of life:

smooth rotation of the hips;
movement on the priest - sitting on the floor with straight legs, resting your hands on the floor, step your buttocks back and forth;
movement "bike" - is performed with a small amplitude, speed and duration. Increase the load as the painful symptoms subside;
"cat kind / evil" - a simple and familiar exercise since childhood. Standing on all fours, we round and bend the back;
perform squats with an emphasis (chair, sofa back), and the feet are shoulder-width apart.

If you suffer from infringement of the nerve roots, then the implementation of the exercise therapy complex with pinched sciatic nerve will negate possible relapses. Train every day, pay attention to all muscle groups. Create an individual movement sequence that will bring maximum benefit and joy, and you will have to spend no more than 15 minutes a day on it.

Acupuncture for pinched sciatic nerve

Oriental medicine eliminates soreness along the sciatic nerve, restoring mobility, through acupuncture. The technique is based on targeted therapy using acupuncture points, which triggers the body's response to external irritation. Thus, the self-healing mechanism is activated. In parallel, tissue regeneration occurs, blood circulation is activated, metabolic processes are normalized.

Acupuncture for pinched sciatic nerve relieves pain in cases where other methods of treatment have not brought long-awaited relief. The acupuncture technique is a complex scheme of influencing the life energy (Qi) flowing through the meridians of the body. Having decided on a course of acupuncture, you should choose a specialized clinic and forget about savings. Before starting treatment, the acupuncturist will assess the state of the body as a whole, determine the level of vital energy, and establish the degree of imbalance.

It should be remembered that pinching of the sciatic nerve is caused by pathologies of the spinal column, so take care of sufficient diagnosis and establishment of the true cause of pain.

It should be noted that the treatment of pinched sciatic nerve is always phased:

pain relief - the use of analgesics and anti-inflammatory drugs (ibuprofen, nise, diclofenac, etc.). With a pain syndrome of pronounced intensity, corticosteroids and analgesics are indicated intramuscularly;
identifying the root cause of a pathological condition is the most important task for a diagnostician;
physiotherapy - various types of massage (if there are no restrictions), electrophoresis, UHF and others;
a set of physical exercises - to relax and stretch the restrained area;
non-traditional methods of treatment - acupuncture, acupuncture or cupping massage, hirudotherapy, etc.

The sciatic nerve, given its length and massiveness, is the largest in the human body. It originates in the lumbosacral spine and descends, branching in the pelvis, becoming paired, running along each leg and ending in the foot.

It is precisely because of its length and magnitude that pinching of the sciatic nerve is a fairly common pathological process that provokes a mass of various factors.

Pinching can happen for a wide variety of reasons. At the same time, a person feels severe pain, suffers from constriction of movements and neurological disorders. In addition, due to infringement in a certain area of the sciatic nerve, an inflammatory process may begin, which will aggravate the situation.

It is important to know the causes of pinching of the sciatic nerve, because the speed and success of treatment largely depends on their understanding. Consider the most common causes and factors of this pathological process:

Physical damage. These are all kinds of back, pelvic or leg injuries. These include not only fractures, infringement occurs during blows, falls, bruises, sprains, dislocations. Of particular danger are injuries of the spine, which lead to displacement of the vertebrae.
Pathologies of the spine, the most common of which is lumbar osteochondrosis. In the lumbosacral region, a hernia, displacement of the structures of the spinal column, sacral sciatica, as well as other diseases of the joints and spine can form.
Infringement of the nerve with its further inflammation can be triggered by an acute inflammatory process in the pelvic area. Inflammations are infectious and non-infectious, localized in organs or damaged tissues (soft, bone, etc.), sepsis is of particular danger.
Sometimes problems with the sciatic nerves are provoked by infectious diseases like influenza, whooping cough, tuberculosis.
You can not write off the development of gouty processes.
Piriformis Syndrome.
Infringement occurs due to systemic diseases, one of the most common is type 1 and type 2 diabetes.

The last thing worth mentioning is acute intoxication. Mostly we are talking about poisoning with heavy metals or poisons, but serious degrees of alcoholism can cause nerve damage from toxins.

In fact, there are several more causes of infringement and inflammation of the sciatic nerve, these include blood clots, multiple sclerosis, and even banal external factors, such as hypothermia of the back or hip area.

Symptoms

As mentioned earlier, the infringement of one of the longest nerves in the human body threatens to develop very unpleasant symptoms. The clinical picture is saturated with neurological and physiological symptoms, but pain is the main clinical sign.

In order to see a doctor in time, you need to have a complete understanding of what are the symptoms of a pinched sciatic nerve:

The main symptom is pain, which differ in nature, character, specificity. In 80% of cases, the pain is extremely intense and acute. They are classified as stabbing, cutting, stabbing so hard that some patients faint. At the same time, the pain that comes and goes, appears as slightly as it disappears.
However, in some cases, the nature of the pain is dull, aching. In such situations, they are always less acute, but often permanent. Due to pain, a person’s mobility is severely limited, the pain syndrome intensifies with intense exertion, careless and sudden movements, and sometimes even interferes with sleep.
In addition, the pain often radiates, for example, if the infringement manifests itself in the lower back, the pain radiates to the pelvis and thigh. If we are talking about pain in the leg, they can spread throughout the lower limb.
Painful sensations are accompanied by a tingling sensation on the surface of the skin along the course of pinching, numbness, or a feeling as if goosebumps run along the skin.
A clear sign of neurological disorders caused by impaired innervation is a decrease or increase in sensitivity in certain areas.
As the pathological process develops, control over the leg from the damaged sciatic nerve may be lost. Initially, it looks like minor problems in the control of the limb due to muscle weakness, then complete paralysis can take over.
One of the signs of neurological abnormalities is dry skin. In addition, many patients complain of excessive sweating of the feet.
There is a fading of reflex functions in the leg on the side of the body where the infringement occurred.
Disorders of the functions of the pelvic organs associated with compression of the nerve canals of the sciatic nerve, related to the peripheral nervous system. Such a development of pathology is accompanied by problems in urination, defecation, etc.

It is important to understand that, according to statistics, in women, pain in the lumbar region is diagnosed less frequently. At the same time, men may experience symptoms of inflammation of the prostate gland. There is another curious fact - in the representatives of the weaker sex, pain is more often localized in the right buttock, while men often suffer from pain in the left buttock.

In addition to the mentioned clinical signs, it is important to mention more specific ones:

Landing symptom - it is difficult or painful for the patient to squat, or this action is impossible.
Symptom Lasegue - the patient is not able to independently raise the leg, the action responds with severe pain in the lumbosacral spine.
Sicard's symptom - in this case, an attempt to bend the leg in the foot responds with a strong pain attack.

Due to the fact that in the pelvic region the sciatic nerve branches into 2 processes, rushing to the left and right legs, in most cases the symptoms are one-sided. That is, when infringement occurs, inflammation of one process occurs, or the pinching itself occurs only on the left or right. Cases of mutual nerve damage are extremely rare, but still occur in medical practice.

In addition, with infringement in the lumbosacral region of the spine, in the case of progression of the pathology, it threatens with neurological problems in both lower extremities.

Diagnosis of pinched sciatic nerve

Infringement of the sciatic nerve can be recognized by a characteristic clinical picture. However, some symptoms, in addition to pain, are not always manifested and special diagnostic measures are required to confirm the diagnosis. Diagnostics is as follows:

Primary examination by a doctor, necessary to collect an anamnesis, establish complaints, as well as clarify the nature, localization and intensity of painful sensations.
Radiography is a mandatory procedure that allows you to determine and confirm the exact location of the infringement, to identify the inflammatory process. This method also excludes damage to bone tissue and the connection of the disease with the spine.
Computed tomography is one of the main diagnostic methods, as it makes it possible to obtain more detailed information. CT is done in the lower back, pelvis, legs.
- an even more advanced examination method, which is necessary in cases where there is a suspicion that the cause of the disease is damage to the spinal cord and its roots. These lesions cannot be determined by the behavior of CT, so they resort to the use of MRI.

Ways to treat a pinched sciatic nerve

Pinching of the sciatic nerve is a complex pathological process that excludes any attempts at self-treatment. To combat pathological processes, be sure to consult a doctor who, based on diagnostic data, will make an accurate diagnosis and prescribe appropriate treatment.

In addition, treatment for pinched sciatic nerve always involves an integrated approach, it includes predominantly conservative methods. Consider the treatment regimen in more detail, paying attention to each method of therapy.

Treatment with medication

Drug therapy is the main method of dealing with the disease. First of all, we are talking about the suppression of the main symptoms and, above all, pain. For this, painkillers, analgesic tablets, ointments and special solutions for external use are prescribed, which reduce pain and suppress the inflammatory process (Diclofenac and Menovazin). Some anesthetic injections are carried out, this is necessary to relieve pain of particular intensity.

Gels, creams and ointments are mainly used for lesions of the musculoskeletal system, joints, spine, they also help relieve pain. In most cases, these are drugs of the NSAID group. They must be rubbed with light massaging movements into the area of the sacrum or the damaged joint.

The program of drug therapy necessarily includes vitamin complexes with vitamins of group B. These can be injections from pinching the sciatic nerve, aimed at restoring innervation.

The doctor may resort to the help of muscle relaxants, in this case having a beneficial effect on the functioning of the peripheral nervous system ("Mydocalm").

Physiotherapy methods

Physiotherapy - along with medicines and drug treatment, physiotherapy is required. In the course is, application, and other methods. The attending physician must decide on the appointment of procedures, he also determines the duration of the course of treatment and the frequency of procedures. Only a full course of treatment, at least 10 sessions, will quickly and effectively get rid of pain and inflammation.

Massage

To restore a damaged nerve, massage is one of the most effective methods of treatment. To cure infringement, massages should also be carried out in a course, their profile specialist does. Massages improve the patient's condition, the therapeutic effect is achieved by stimulating blood circulation in the area of damage, relaxing the muscles, and the procedures will relieve pain.

Physiotherapy

Exercise therapy is used mainly for rehabilitation after the main treatment. At first, classes are held under the guidance of a physiotherapist, who monitors the correct execution of movements. Then the exercises are performed at home.

It is very important that the patient does not feel pain during charging, initially the intensity of the loads is low, but it is gradually increased.

Treatment of a condition such as a pinched nerve requires the mandatory intervention of a doctor. Remember, any medicines, physiotherapy and other methods of combating pathological processes are prescribed only by a specialist.

Otherwise, you risk aggravating the disease or facing a number of complications due to improper treatment. These may be problems in the work of other organs, loss of sensitivity, or even paralysis.

It is also worth noting that in especially severe cases, for the treatment of pathology, one has to resort to surgical intervention.

Pinched sciatic nerve during pregnancy

Oddly enough, but pinching the sciatic nerve in pregnant women is quite common. Pregnancy can even be called one of the causes of the discussed pathological process or sciatica.

The fact is that as the fetus grows, the load on the lumbosacral spine, pelvis and legs increases greatly. Especially often the disease develops closer to the third trimester and throughout it, as the fetus reaches a large size.

Even if we exclude the possibility of developing problems with the pelvic organs when pinched, there are a number of other dangers. Constant severe pain threatens the health of the mother and child, can provoke developmental delays, increased uterine tone, and even miscarriages.

The difficulty lies in the treatment of nerve infringement in pregnant women, since some drugs are contraindicated for the expectant mother. In such situations, contact your doctor immediately.

Possible complications and consequences

In the absence of proper treatment for a long time, there is a risk not only of the development of the inflammatory process. This pathological process is fraught with the following complications and consequences:

The so-called fixation of the pain syndrome, while it becomes chronic, the pain is intense.
There is always a risk of dysfunction of the internal organs of the small pelvis. This threatens with erectile dysfunction, uncontrolled urination, frequent constipation, women have a risk of infertility.
Infringement of the saddle nerve is dangerous for women with menstrual irregularities;
The disease threatens with a decrease in libido.
Often, due to systematic bouts of pain, serious sleep disturbances and chronic fatigue begin.
The main complication is loss of sensitivity of the lower extremities and paralysis.

Prevention

The treatment of such a disease is a long and methodical process. In addition, the pathology is accompanied by really severe symptoms and threatens with severe complications. For this reason, it is important to try to prevent the development of the pathological process by following simple recommendations.