How to cure sciatica? Given the chronically recurrent nature of this disease, it is hardly possible to completely get rid of it. But to achieve a stable remission( remission) and for many months and years to forget about radiculitis - it is quite real. It is only necessary to contact the specialist - neurologist or vertebrologist in time, and then follow the recommendations.
Treatment of sciatica can be done by several methods, among them:
- Medical therapy
- Physiotherapy and massage therapies
- Therapeutic exercises
- Manual therapies, acupuncture
- Traditional medicine
Treatment of radiculitis with medications involves ingesting tablets and capsules, intramuscular and intravenous injections, andalso the external application of ointments and gels. The main emphasis is on local use of non-steroidal anti-inflammatory drugs( NSAIDs) and steroid hormones. For better effect, these drugs are used in combination in various dosage forms. For example, Diclofenac is used in injections and as an ointment Diklak. Nurofen( sod6rzhit ibuprofen) is taken orally in tablets and in syrup, as well as topically in the form of the eponymous cream.
Anesthesia is indicated for ingestion and injection of analgesics - analgin, renalgan, dexalgine. But it is best to relieve pain with radiculitis paravertebral blockade. In this case, the local anesthetic( novocaine, lidocaine) is injected into the paravertebral points located next to the vertebral column, which are projected on the nerve roots emerging from the spinal canal. Anesthetics with radiculitis do not affect the causes of the disease and the course of the pathological process. But the removal of pain removes feelings of anxiety, fear and improves the patient's quality of life.
It is possible to restore the affected cartilage tissue with chondroprotectors - chondroitin sulfate, glucosamine, rumalone. These drugs are taken in tablets, ointments and injections course for a long time. At a radiculitis the so-called distraction therapy is shown. An ointment or gel that irritates the skin is applied to the skin, while local blood flow improves, metabolic processes in the cartilaginous tissue are intensified. In this regard, an excellent remedy for sciatica - ointment Viprosal, Finalgon and other preparations made on the basis of Snake venom.
Non-pharmacological methods of influence on radiculitis( physiotherapeutic procedures and massage) are carried out during the interictal period of the disease, with exacerbation they are contraindicated. Assign amplipups, phonophoresis with hydrocortisone, darsonvalization, paraffin treatment. Physical therapy increases the effect of the action of medications - reduces pain, relaxes muscles, increases blood flow in tissues.
Massage with radiculitis can be carried out simultaneously with physical procedures. The main thing is that the amount of massage and physiotherapy procedures should not exceed 3, otherwise the patient's body will experience a great load. Most often, the massage is performed in the horizontal position of the patient lying on the stomach. The masseur smoothly moves from the axis of the spine to the periphery, rubbing, kneading and stroking the muscles of the back, neck and limbs. Some types of massage( hydro massage, vibromassage, vacuum massage) are performed on special devices.
Unlike massage, some elements of physiotherapy exercises( HRC) with radiculitis can be carried out even in an acute period. During this period, treatment is carried out by the state. Such treatment provides a horizontal position of the patient on the back on a semi-rigid surface with a raised head and slightly bent at the knees legs. This position is the most sparing with radiculitis.
In the days that follow, as the aggravation subsides, it is possible to give pressure to the lower limbs - to rest against them in any obstacle, raise and unbend legs in the knees. Then the volume of movements increases, therapeutic gymnastics can be carried out in a standing position. In this case, the load is given to the muscles of the neck, back and waist. Extensions of the spinal column along the axis can be achieved with the help of a conventional fence on the crossbar. It is important that the increase in the load is carried out gradually. If the state of health worsens, pain intensifies, the exercise should be stopped.
You can treat radiculitis not only in a medical institution, but also at home. Treatment of radiculitis at home involves, along with medicines, recipes for folk medicine. The most common of these is dry heat. Heated( but non-absorbent) table salt or sand is placed in a tissue pouch and placed on the waist until completely cooled. Also, a black radish crushed on a grater is placed on the loin.
Use freshly squeezed horseradish juice. It is diluted with water in equal amounts, and then rubbed into the lower back, which is then wrapped with a woolen cloth. You can rub garlic crushed garlic, which is mixed with melted pig fat in the proportion 1: 2.
Home treatment of radiculitis can be carried out not only folk remedies, but also special adaptations. The latter include the so-called Kuznetsov applicator, which is a plastic plate with spikes on an oilcloth or plastic roller. It is enough to lie on the applicator lumbar or neck for 30 - 40 minutes, so that after some time the pain and stiffness of movements decreased.
Despite the apparent effectiveness, home treatment for sciatica is not self-sufficient. Traditional medicine in no way excludes the traditional, generally accepted. And without a visit to a medical institution, examination and recommendations of a neurologist, vertebrologist, physiotherapist and physician LFK patient can not do.
We also recommend reading an article about the ways of treating lumbosacral radiculitis.