Most patients who seek help from a neurologist complain about pain in the back giving to the legs. As a rule, these are people of elderly and senile age. However, recently there has been a tendency to "rejuvenate" this category of people. An increasing number of young men, women and even teenagers experience characteristic pain with irradiation into one or two lower limbs.
What is the cause of these pains? The bottom line is that a similar condition with pain in the back and leg is characteristic for inflammation of the sciatic nerve. Being the thickest, longest, and, therefore, the most powerful in the human body, the sciatic nerve is easily vulnerable. Originating from the roots of the lumbar and sacral spinal nerves, this nerve can thicken due to swelling and inflammation followed by infringement in the intervertebral foramen.
The most common inflammation of the sciatic nerve is due to the following reasons:
- Previous physical exertion
- Osteochondrosis of the lumbosacral spine
- Displacement of intervertebral discs, disc hernias( hernia Shmorlja)
- In rare cases - tuberculosis and tumor process in the lumbosacral spine
- Emotional stresses, which lead to disruption of metabolic processes in the nervous, bone and cartilaginous tissues.
In all these states, because of the infringement of the sciatic nerve, a person experiences pain in the lumbar region and the sacrum. A pain in the back gives in the foot for the simple reason that the sciatic nerve goes through the gluteal region, the back of the thigh, branches and descends the back of the lower leg to the plantar surface of the foot. And the localization of pain strictly repeats the stroke of the affected sciatic nerve.
Pain in the lower back( according to medical terminology - lumboscialgia) can manifest itself in different ways. In addition to the pain itself, there may be numbness and decreased sensitivity in the lower extremities, unpleasant sensations in the form of cold, heat, crawling crawling. Depending on the predominance of these or those symptoms, three main clinical forms of lumboschialgia are distinguished:
- . The muscular-tonic form combines spasm of the muscles of the waist and lower extremities with deformation of the lumbar spine. Deformation manifests by curvature aside( scoliosis) or excessive displacement anteriorly( pathological lordosis).Due to deformation and spasm of movement in the lumbar spine and in the lower extremities are severely limited.
- The neurodystrophic form is characterized by severe pain at night. Pain syndrome is combined with a violation of metabolic processes, not only in nerve fibers, but also on the skin. The skin of the lower limb is thinned, in neglected cases trophic ulcers can form on it in the lower part of the shin.
- The vegetative-vascular form - along with an intense pain of burning character, legs become numb. Most often, numbness is noted in the foot area on the side of the lesion. A numb foot in comparison with a healthy one is colder and pale. In addition, due to vascular disorders, the patient may experience a feeling of heat or vice versa, cold, crawling, creeping sensation. All these negative feelings are amplified when the patient changes the horizontal position of the body to the vertical position.
In reality, the above clinical forms are rarely observed in isolated form. Most often, their combination takes place in various combinations. As a rule, the back hurts and gives in step from one side, although in some cases the process is bilateral.
What should a person do if his back hurts and pulls his leg? First of all, you need to seek qualified help from a specialist - vertebrologist. True, such specialists are only in large medical centers, but the neurologist is present in any clinic. Only a qualified specialist can correctly diagnose and prescribe an adequate treatment.
The diagnosis of lumbosciagia is based on the clarification of patient complaints and the identification of previous diseases. In addition, the characteristic symptoms described above are noteworthy. An important diagnostic measure for back pain is radiography of the lumbosacral spine - it should be specially prepared beforehand, and a series of cleansing enemas "to clean water".At present, qualitatively new and more informative diagnostic methods are used-computer tomography and magnetic resonance imaging.
Treatment and prevention
Official medicine treats lumboschialgia with the help of general and local drugs. In this capacity, anti-inflammatory drugs, anesthetic drugs, agents that stimulate metabolic processes and improve blood circulation in affected areas are used. Pharmacological preparations are used in various dosage forms - tablets, ointments, solutions for injections.
Treatment of back pain would not be effective if the physiotherapy procedures( magnetotherapy, amplipulse therapy, diadynamic currents, phonophoresis), massage, physiotherapy exercises were not applied. Effective are non-traditional methods - acupuncture( acupuncture), manual therapy, spinal traction along the longitudinal axis on special devices. And, of course, folk medicine helps a person with back pain with irradiation to the lower limbs. Recipes from natural remedies quickly eliminate pain and relieve sciatica nerve inflammation.
Prophylaxis of pain in the back is aimed at eliminating the provoking factors listed at the very beginning of this article. In this regard, drafts and hypothermia are unacceptable. Also, excessive physical exertion, weight lifting is not desirable. Women should not get involved in high-heeled shoes, because due to the displacement of the center of gravity, the load on the spine increases. Of course, attention should be paid to nutrition. First, high-quality food - it reduces weight and reduces the burden on the spine. In addition, vitamins and trace elements contained in high-grade food can prevent inflammatory and degenerative processes in the cartilage and nerves.
We also recommend reading the article about the causes of pain in the lower back and why the back may hurt at the bottom left.