Clamping the sciatic nerve what to do. Symptoms and treatment of a pinched sciatic nerve at home

Inflammation of the sciatic nerve or sciatica is a pathological condition accompanied by severe pain. The sciatic nerves are the longest and largest; they begin in the lumbosacral spine, pass along the surface of the buttocks, thighs, and in the lower leg area they branch into small processes going to the fingertips.

The sciatic nerve is very sensitive - pinching and compression of the nerve roots is manifested by pain of varying intensity. The pain syndrome can be mild or pronounced, unbearable, preventing a person from moving and leading a normal lifestyle. The disease requires long-term complex treatment based on the use of medications, physiotherapeutic procedures and physical therapy methods.

Inflammation of the sciatic nerve - the main causes

The most common cause of inflammation of the sciatic nerve is considered to be pathological processes in the sacrum and lumbar region. The following conditions are accompanied by a pinched nerve:

offset ;
intervertebral hernia;
osteophytes (bone growths);
tunnel neuropathies (piriformis syndrome);
consequences of infectious diseases;
hypothermia of the body;
excessive physical activity;
injuries to the spine or pelvic organs;
post-injection abscesses;
curvature of the spine (scoliosis, flat feet);
tumor processes.

When a herniated protrusion of the intervertebral disc occurs, the roots of the spinal cord are pinched, and against this background inflammation of the sciatic nerve develops. The development of sciatica is promoted by arthrosis and chondrosis, which are accompanied by the appearance of bone growths in the area of the vertebral junction. They compress the nerve fibers and cause inflammation of the nerve fibers. Common causes of sciatica are osteochondrosis, spinal spondylosis and injuries to its parts.

Intoxication of the body with alcohol, salts of heavy metals and other toxic compounds plays a certain role in the development of the disease. Often, damage to the sciatic nerve is caused by toxins released by pathogenic bacteria. In this case, sciatica occurs against the background of influenza, ARVI, scarlet fever, tuberculosis, malaria, syphilis or chronic systemic diseases (gout, diabetes).

Often the cause of sciatica is spinal cord tumors, both benign and malignant, as well as metastases of cancerous tumors of other organs, growing into the vertebrae and intervertebral discs.

Symptoms

The main symptom of sciatica is pain, the intensity of which depends on the cause of the inflammation. The pain is usually localized along the nerve, that is, felt in the buttock, popliteal fossa, back of the thigh and lower leg. The nature of the pain during inflammation of the sciatic nerve is mainly intense, shooting - according to patients, it resembles blows with a knife or electric shock.

Pain syndrome may be present constantly or occur occasionally. In this case, the attack usually begins with pain of low intensity, which soon becomes very strong. They exhaust a person, deprive him of peace and sleep. Any physical effort, movement, even coughing or sneezing contribute to increased pain.

In addition, the patient's condition is aggravated by such manifestations as difficulty bending limbs, decreased sensitivity and muscle tone, impaired thermoregulation (cold feet), and a feeling of goosebumps crawling on the skin.

During the examination, the doctor must pay attention to the nature of the pain. This helps to make the correct diagnosis and determine the area of inflammation. Experts identify a number of specific manifestations that indicate the development of sciatica.

Symptom of sitting (the patient cannot sit down independently).
Lasègue's sign (inability to raise a straight leg).
Sicard's symptom (pain increases when trying to bend the foot).
Paresthesia (decreased sensitivity of the limbs). At the initial stage, this syndrome is manifested by numbness and a tingling sensation in the skin of the buttocks and the back of the limbs from the inflamed nerve. As the disease progresses further, sensitivity disappears completely.
Impaired motor function. As a result of prolonged infringement of the motor fibers of the nerve, muscle weakness in the limbs increases. Over time, a person’s gait becomes impaired and he begins to limp on his affected leg.
Dysfunction of the pelvic organs. They develop as a result of dysfunction of the autonomic nervous system that occurs against the background of pinched fibers passing through the sciatic nerve. In severe cases, symptoms such as burning during urination, urinary and fecal incontinence, or the development of chronic constipation occur.

Seizures

An attack of inflammation usually begins suddenly, most often at night. It can be provoked not only by chronic diseases, but also by simple hypothermia or a severe stress factor and a nervous breakdown.

Good to know

Pain intensifies when walking, standing for a long time, or when a person sits on a hard, uncomfortable surface. During an attack, the pain is so sharp and intense that the person is forced to take a certain position, leaning on his healthy leg.

At the same time, accompanying vegetative manifestations appear - swelling, increased sweating of the feet, redness of the skin. If the lesion is infectious, the pain syndrome is accompanied by high fever, chills, weakness and other symptoms of intoxication of the body. Sometimes, if the pain is too sharp and severe, a person may lose consciousness.

In severe cases, the functions of the nerve are completely disrupted, a decrease in the volume of the gluteal, femoral or calf muscles is noted, temporary immobility occurs, the patient cannot turn the foot, bend and straighten the toes. With an extensive inflammatory process, the pain syndrome can become chronic and constantly remind itself of relapses.

Symptoms and treatment of inflammation of the sciatic nerve are closely interrelated. Taking into account the manifestations of the disease, the doctor can guess what causes the development of the pathological process and make a preliminary diagnosis. To confirm it, you will have to undergo a number of additional examinations.

Diagnostics

Diagnostic method: MRI

To understand how to relieve inflammation of the sciatic nerve, it is necessary to establish the cause of this condition. Sciatica is diagnosed by a neurologist, prescribing a series of laboratory and instrumental examinations of the patient. To determine the degree of damage to the sciatic nerve, the specialist performs a series of special motor tests, checking reflexes in the legs by tapping a hammer.

In a clinic setting, the most accessible diagnostic method is conventional radiography, which allows us to identify the presence of bone growths and other degenerative changes in the lumbosacral spine. To do this, X-rays of the spine are taken in two projections, which makes it possible to find out whether inflammation of the sciatic nerve is associated with pathology of the intervertebral discs.

If this method is not sufficient to make a diagnosis, the patient is referred to a CT (computed tomography) or MRI (magnetic resonance imaging) procedure. These are the most informative methods that allow you to determine the cause of inflammation if it is associated with pathological changes in the spinal cord or in the vessels of the nerve plexus.

If tumor processes are suspected, radioisotope scanning of the spine is used. To determine the degree of impairment of nerve conduction and contractility of the affected muscles, the method of electroneuromyography is used.

If necessary, the patient is referred for additional examination and consultation with specialized specialists - a vertebrologist, rheumatologist, or vascular surgeon.

How to treat inflammation of the sciatic nerve?

Complex treatment for sciatica is aimed at relieving pain, restoring sensitivity and motor functions of the limbs and consists of the use of medications, manual therapy, massage, physiotherapeutic methods, and physical therapy.

Methods of alternative medicine are widely used - acupuncture, hirudotherapy (treatment with leeches), traditional medicine and spa treatment (during periods of remission of the disease).

Drug treatment of inflammation of the sciatic nerve

In the acute period of sciatica, a course of anti-inflammatory and painkillers is prescribed to relieve severe pain. For this purpose, drugs from the NSAID group are used (Ortofen, Indomethacin, Meloxicam), as well as strong non-narcotic analgesics (Sedalgin, Sedalgin Neo, Baralgin, Pentalgin).

In severe cases, when the patient suffers from severe pain that cannot be treated with the above remedies, the doctor may prescribe opioid analgesics (Tramadol, Tramal, Tramalin). They should be taken under the supervision of a doctor in short courses, since these drugs can quickly become addictive and drug dependent, they have many contraindications and side effects. In addition, novocaine or ultracaine blockades are prescribed to relieve debilitating pain.

Corticosteroid hormones (Prednisolone, Hydrocortisone), prescribed in the acute period, help to quickly suppress the development of the inflammatory process, relieve swelling and improve the mobility of the limbs. However, hormonal drugs cannot be used in all cases; they are prescribed only for severe swelling in the lumbosacral spine.

As maintenance therapy, muscle relaxants, antioxidants, vitamin complexes and other drugs are used to help restore blood supply and nutrition to the affected nerves and normalize their functions.

Muscle relaxants (Sirdalud, Tizanidine, Mydocalm, Tolperisone) relax tense muscles well, which eliminates pinched nerve fibers, helps reduce pain, restore sensitivity and range of motion of the affected limb.

Complex preparations containing B vitamins (Kombilipen, Milgamma, Binavit) reduce the severity of neuralgic symptoms and restore the passage of nerve impulses along the fibers, which returns the limbs to their former sensitivity, relieves numbness and other unpleasant symptoms.

To restore impaired blood supply and tissue nutrition, angioprotectors and blood microcirculation correctors (Actovegin, Curantil, Trental) are used. Such drugs fight atrophic changes in muscles and restore damaged structures of the sciatic nerve. For the same purpose, vitamin complexes containing vitamins C, E, microelements - copper, selenium and other useful substances - are prescribed as antioxidants.

Metabolic drugs such as Mildronate, Inosine, Riboflavin, Elkar help improve the nutrition of the nerve roots of the spinal cord and sacral plexus, thereby restoring the functions of the pinched sciatic nerve and returning sensitivity and motor activity of the limbs.

Ointments for the treatment of sciatica

Local external agents are prescribed as an addition to the main course of treatment, since their main purpose is to relieve pain. When treating sciatica, external agents with an irritating and warming effect are indicated, which improve blood circulation in the affected area and reduce the intensity of pain. For inflammation of the sciatic nerve, the following drugs are prescribed:

ointments based on snake and bee venom (Nayatoks, Apifor);
ointments based on camphor or turpentine;
external agents with hot pepper extract (Espol);
gels, creams and ointments from the NSAID group (gel, Diclofenac, Nurofen, Indomethacin);
preparations for external use with warming or irritating components (Finalgon, Viprosal, Capsicam).

External remedies for sciatica are applied to the affected area 2-3 times a day. After treatment, the painful area is covered with a warm bandage to enhance the warming effect of local drugs.

Methods of physiotherapy, exercise therapy

Physiotherapeutic treatment for sciatica is used during periods of remission of the disease, when there is no pain, but signs associated with impaired nutrition and blood supply to tissues and loss of sensitivity remain. The doctor may prescribe the following procedures:

darsonvalization;
dynamic currents;
magnetic therapy;
laser treatment;
electrophoresis;
massage;
acupuncture.

Physiotherapeutic treatment relaxes muscles, eliminates pressure on nerve roots, restores mobility and sensitivity of the limbs and allows you to prevent and prevent repeated relapses of the disease.

As for massage, to restore muscle tone and blood circulation in the affected area, massage the lumbar area, buttocks, thighs, legs and feet. To achieve a lasting therapeutic effect, it is necessary to conduct 10 sessions of therapeutic massage, lasting up to 30 minutes. Therapeutic gymnastics helps to enhance the effect of massage procedures. You can perform simple exercises at home or in a medical facility under the guidance of an experienced instructor.

Surgery

Surgery for inflammation of the sciatic nerve is recommended only when drug and physiotherapeutic treatment methods do not produce results.

To eliminate a pinched nerve, it is necessary to resort to such types of surgical interventions as microdiscectomy and discectomy, the essence of which is the complete or partial removal of the intervertebral disc that causes pinching of the sciatic nerve.

Treatment of inflammation of the sciatic nerve at home

Traditional healers can offer many remedies for the treatment of sciatica. But before you start using any of them, you should consult your doctor to avoid unwanted complications.

Beeswax. A compress with beeswax is an excellent warming agent that can reduce the symptoms of sciatica pain. Before the procedure, the wax should be melted in a water bath and formed into a cake according to the size of the affected area. While warm, apply a wax cake to the painful area, cover the top with plastic wrap, insulate with a towel or blanket and leave the compress overnight. The procedure can be done daily for a week.
Tincture of pine buds. Rubbing on the basis of tincture helps eliminate pain and reduce inflammation. Instead of pine buds, you can use spruce needles or dandelion inflorescences. The plant material is placed in a half-liter jar, filled up to the shoulders, filled with 500 ml of vodka and left in a dark place for a week. The prepared tincture is used for daily rubbing of the affected area.
Cupping massage. At home, you can do the procedure yourself using a massage jar. First, the affected area should be lubricated with a warming cream or ointment based on horse chestnut, and then place the jar and move it in a circular motion clockwise. The procedure lasts 10 minutes and should be performed every other day.

Content

Neuritis and neuralgia cause a lot of trouble: numbness, stabbing, cutting pain, lumbago. Inflammation of the sciatic nerve, symptoms and treatment of which were previously noted in people 40–60 years old, is rapidly becoming younger. A sedentary lifestyle, lack of physical activity, and poor nutrition become prerequisites for the development of sciatica. Treatment of inflammation of the sciatic nerve is a long process, which largely depends on the correct diagnosis and determination of the causes of the pain attack.

Causes of the disease

Inflammation of the sciatic nerve, otherwise sciatica, is a pain syndrome that occurs in the lumbar region and radiates throughout the leg. The well-known sciatica is one of the manifestations of sciatica. The sciatic nerve is the largest in the human body, very sensitive due to the presence of special fibers. It begins in the lumbosacral region, passes along the surface of the buttock, thigh, and in the lower leg it diverges into smaller processes to the fingertips.

Pinching or inflammation of the sciatic nerve is caused by compression of the nerve roots. Becomes a consequence of a number of reasons:

Intervertebral hernia. As a result of rupture of the fibrous ring, which protects the nucleus pulposus - the shock absorber of the spine during movement - the latter ceases to function normally and displacement occurs. When a vertebra protrudes, as in the photo above, the nerve endings of the sciatic nerve are compressed, causing inflammation. The danger is that the pain factor associated with a hernia is a signal of advanced disease, which in some cases may require surgical intervention.
Osteophytes of bones - arthrosis and chondrosis. These are growths that form at the junction of bones (vertebrae). They pinch the roots of the sciatic nerve, causing inflammation.

Displacement of the vertebrae relative to each other (spondylolisthesis). Often a consequence of spinal injuries or birth defects.
Past infectious diseases, often uncured.
Poisoning, intoxication. There are two types:
- internal – under the influence of diabetes mellitus;
- external – when chemical agents enter the body with food and drinks.

Tumors.
Hypothermia.
Inflammation of the piriformis muscle.
Pregnancy. A shift in the center of gravity when carrying a child often causes pain in the lumbosacral region.
Stress, nervous feelings, depression.

Main symptoms

The variety of causes of inflammation of the sciatic nerve determines the difference in the symptoms of the disease. The main common symptom is pain, and symptoms such as fever and weakness give clues about an infectious or viral cause of exacerbation of sciatica. In case of chronic osteoarthritis, destruction of the joint capsule, displacement of discs, intervertebral hernia, acute relapses with pronounced shooting pain are characteristic, which gradually descends along the leg to the knee, and then to the foot.

Constant aching, periodically burning pain in a resting position at the initial stage of the disease subsides. If treatment is not started in a timely manner, the inflammatory process will not disappear: the symptoms may weaken slightly, moving down the leg. Numbness of the limbs, tingling, but no pain in the lower back are symptoms of advanced sciatica, untimely treatment of which sometimes leads to the need for surgical intervention.

What to do and how to treat inflammation of the sciatic nerve

Pronounced symptoms or the first harbingers of the disease are a reason to consult a specialist. It is necessary to make an accurate diagnosis, because the specifics of treatment will depend on the identified causes of inflammation of the sciatic nerve. An X-ray or CT scan, MRI or electroneuromyography will help determine exactly what is causing sciatica.

At the same time, the neurologist examines the degree of damage to the sciatic nerve, conducting special tests for motor reflexes:

Achilles tendon,
knee joint,
checks for the presence of Lassen symptoms (pain on the back of the thigh and lower leg when lifting a straight leg up and forward independently), Bonnet (the same procedure, only the doctor lifts the leg).

Having compared the symptoms, found out the cause of the disease, the degree of damage to the nerve endings and the severity of the inflammation, the specialist prescribes a comprehensive treatment, which includes:

Drug treatment.
Prescribing a set of physical exercises, massages and special therapy.
Physiotherapy and radiology (in rare cases).
Homeopathic treatment. Special homeopathic ointments and creams will help relieve pain symptoms and reduce inflammation of the sciatic nerve.
Folk remedy.

Drug treatment

How to treat inflammation of the sciatic nerve? The first aid for a sharp exacerbation of sciatica will be painkillers:

analgin;
derivatives with a pronounced direction of action:
- tempalgin - pain symptoms subside as a result of the action of tempidine - a mild tranquilizer;
- sedalgin - codeine and paracetamol have an invigorating effect on the nervous system, relieving inflammation of the nerve roots;
- baralgin - antispasmodics in the composition remove muscle inflammation, relieving spasm of the sciatic nerve;
- pentalgin.

Non-steroidal anti-inflammatory drugs (NSAIDs) – tablets, injections for severe pain, ointments will be mandatory in the treatment of sciatic nerve entrapment:

Diclofenac (tablets) – anesthetizes and relieves inflammation, pain, swelling. Injections for inflammation of the sciatic nerve of this drug are more effective, but the degree of influence of side effects on the liver and kidneys increases. Therefore, they are prescribed intramuscularly or intravenously by a doctor with a minimum interval of 12 hours.
Movalis is a very powerful drug that quickly relieves pain symptoms. Quickly reduces inflammation of the sciatic nerve. The presence of significant side effects requires taking the tablets under medical supervision for no more than 5 days.
Ibuprofen, Nise, Nurofen are NSAIDs with less pronounced effects. They are good because they affect the peripheral nervous system, relieving inflammation, and muscles, relaxing and removing spasms.
Corticosteroids are prescribed for long-term, persistent pain symptoms. These are hormonal agents that relieve swelling and inflammation of the sciatic nerve.

For pregnant women, the doctor will recommend a special treatment for inflammation of the sciatic nerve. Taking most medications during this period negatively affects the health of the expectant mother and child, so it is strictly prohibited to use medications without consulting a doctor. The most gentle medicine would be painkillers - suppositories. Homeopathy will also become one of the possible and safe treatment options.

Physical exercise

The acute period of inflammation of the sciatic nerve in most cases lasts from 5 to 10 days. During this time, it is necessary to ensure a reduction in physical activity and rest for the lumbosacral region, in other words, it is more in a horizontal position, preferably on a hard orthopedic surface. The subsidence of symptoms is not a reason to increase sports activity.

The neurologist determines the time when it is possible to begin treatment of chronic sciatica with therapeutic exercises and physical exercises. Based on the identified causes of inflammation of the sciatic nerve and symptoms, the physiotherapist develops a special program. For pregnant women, it is drawn up by a medical commission, which necessarily includes a gynecologist, therapist, and physiotherapist. Yoga, Pilates, and swimming will be useful.

Massage and reflexology

The use of massage as a treatment method for acute symptoms of inflammation of the sciatic nerve is very careful: stroking and light rubbing. When the pain subsides, you can use more intense techniques - kneading and patting. Essential oils and warming ointments will be a good help. The result will be improved blood flow to pinched nerve endings, relieving tightness and muscle spasms, stimulating the production of endorphins, and reducing swelling.

Reflexology methods - acupuncture, manual acupressure - relieve pain symptoms of inflammation of the sciatic nerve. Long-term treatment with needles (up to 3 months) can not only eliminate the manifestation of the disease, but also cope with the causes of its exacerbation for a long time. Oncology, skin lesions, pregnancy are contraindications to the use of this type of therapy.

Blockade

In some cases of symptoms of sciatica, when NSAIDs and analgesics do not work, the doctor prescribes novocaine blockades. This drug blocks nerve impulses to the sciatic nerve, relieving the symptoms of inflammation. Nervous behavior (excitement or apathy), inability to move, feeling of pain both standing and lying down are grounds for prescribing a blockade with anesthetics.

How to relieve inflammation with folk remedies

Warming ointments will help relieve inflammation of the sciatic nerve at home. Turpentine, camphor ointment, beeswax - will perfectly warm the inflamed area, improve blood flow to the nerve endings, and remove spasms. A tincture of red pepper and vodka, used as a compress, improves the conductivity of the sciatic nerve and promotes the production of hormones - endorphins. Herbal infusions of calendula, horsetail, thyme and viburnum (2 tablespoons each) per half liter of water must be boiled and, when cooled, taken daily 3 times a day, 100 ml before meals.

Preventing pinched or inflamed nerves

Strong back muscles are the key to the health of the sciatic nerve and the ability to avoid relapses of the disease. Therapeutic gymnastics and moderate physical activity, yoga and Pilates will be an effective means of preventing sciatica. A straight back and slender posture when moving and sitting during the day are the basis for a healthy spine and the absence of inflammation of the nerve processes.

At the first symptoms of a previous attack, women need to give up heels. Swimming on your back and water aerobics treatment will strengthen your back muscles. Hypothermia is another friend of radiculitis, arthrosis and inflammation of the sciatic nerve. Warm clothes appropriate for the weather, a closed lower back and warm legs are important conditions for the prevention of sciatica.

Which doctor should I contact to diagnose sciatica?

A neurologist or neurologist will help you identify the symptoms of inflammation of the sciatic nerve, carry out diagnostics and find out the cause of the disease. When prescribing treatment, you may need consultation:

gynecologist - if the patient is pregnant;
surgeon, orthopedist - when the question of surgical intervention arises;
physiotherapist – when prescribing physiotherapy.

Video

Special gymnastics will help relieve tension in the lumbar spine and reduce the load on the sciatic nerve. As a preventive measure for sciatica, individual yoga exercises will unblock pinched nerve endings and strengthen the muscles of the back, buttocks, and legs. To complete this, you will need a gymnastics mat and a desire to get your health in order. Most elements of gymnastics are performed lying on your back or in the “cat” position. Watch our video and repeat the set of movements after the instructor. Within a week you will notice the absence of discomfort in the lumbar region.

The sciatic nerve is the largest of all the nerves in the body. It is closely connected with many organs, therefore, in the event of pinching, the consequences of this violation immediately affect the general well-being.

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First aid

Treatment of such a problem at home is carried out after identifying the causes of the disease. An integrated approach, combining drug and folk therapy, helps to very effectively alleviate symptoms and eliminate the causes of their occurrence in a short time.

If the first signs of pinched sciatic nerve (sciatica) suddenly appear, you must immediately take the following measures:

lie on your stomach on a hard, flat, but not cold surface;
place a bolster without a pillow under your chest;
cover yourself with a warm, light blanket.

You also need to immediately consult a doctor, or better yet, call him at home to prescribe medications and receive treatment recommendations.

If sharp pain occurs from a pinched sciatic nerve, you should not apply a heating pad or compress, or perform a massage during this period. Such actions can increase swelling and accelerate the development of the inflammatory process.

In addition, in the event of sciatica and during the further course of the disease, it is prohibited:

lift weights, make sudden movements;
being in an uncomfortable position or tension for a long time;
perform untested exercises;
take hot baths, visit a sauna or steam bath;
be in damp, cold rooms.

Medications

Treatment of sciatica is carried out mainly on an outpatient basis. Tablets are practically not used for this - the most effective are injections and ointments.

Injections

Injections at home are given intravenously or intramuscularly, depending on the drug used. The most effective are:

Anaprox;
Aspirin;
Butadion;
Ibuprofen;
Indomethacin;
Ketoprofen;
Motrin;
Naproxen.

Also, painkillers (usually novocaine blockades) can be injected into the spinal cord canal in the affected area of the sacral and lumbar region.

Since the components of these drugs can cause allergies or the development of gastrointestinal diseases, a combination of hormonal and non-hormonal agents is often used. Local steroids are usually used - hydrocortisone or prednisolone ointment. To resolve the source of inflammation and accelerate the regeneration of surrounding tissues, a course of vitamins B and C, aloe, lidase, and methyluracil is prescribed.

Ointments

In addition to these hormonal ointments, the following local nonsteroidal drugs are used to treat pinched sciatic nerves at home:

Betalgon- relieves pain, activates blood supply to the skin in the affected area;
Viprosal- contains bee venom, which effectively reduces pain and inflammation;
Carmolis- a natural remedy with menthol, mint and extracts of other plants that quickly relieve pain.
Finalgon- eliminates pain, relieves inflammation.

When choosing an ointment, it is necessary to take into account the possibility of developing an allergic reaction to its components. You should be especially careful with those products that contain bee products, herbal raw materials or other highly allergenic ingredients.

Physiotherapy

When a nerve is pinched in the sacrolumbar region, recreational physical exercise is considered a very effective way to get rid of the pathology and relieve pain. To relax tense muscles, it is recommended to perform the following exercises:

Lying on your back, raise your legs up, leaning them against the wall. Hold for 10 minutes, stretching the spine.
Sit on the floor with your legs straight ahead. Moving them one by one, walk on your buttocks first forward, then back.
Place your feet shoulder-width apart and perform shallow squats, holding onto the back of the chair if necessary.
Lie on your back, pull your knees to your chest. Then, without straightening your legs, lower them together to one side and the other.
Lie on your stomach, stretch your arms forward, bend at the lower back. Stay in this position for as long as possible.
Lie on your back, lift one knee, clasping it with your hands, pull it up, and then to the opposite shoulder. Pause a little, return to the starting position and repeat with the other knee.
Lie on your back with your legs bent so that your feet are on the floor. Raise your buttocks as high as possible, lifting your shoulders off the floor.

In addition to these, you can perform other exercises for stretching the legs in a lying position, as well as “bicycle” and circular rotations of the hips.

You can engage in physical therapy only during the period of remission. In this case, all exercises should be performed without tension or overcoming pain.

Massage treatments

Massaging sore spots is performed after relieving acute pain simultaneously with other treatment methods. The procedure is performed according to the following scheme:

First, the buttocks and lumbosacral region are warmed up;
then the areas around the pain points are intensively massaged.

Massage with damage to the sciatic nerve is carried out very carefully. In this case, ointments with a warming effect are used.

A honey massage also gives excellent results. To do this, mix 500 g of liquid honey with 100 ml of medical alcohol, then rub the painful areas with this mixture. After the procedure, the skin should turn red, which indicates improved blood supply.

Traditional methods

Treatment of the sciatic nerve at home can be performed using various traditional medicine recipes, including:

local exposure procedures - rubbing, applications;
taking teas and tinctures internally;
medicinal baths.

The action of all these remedies is aimed at relieving inflammation and pain, as well as eliminating pinching.

The use of traditional medicine is strictly contraindicated for the treatment of pinching of the sciatic nerve by a hernia. In this situation, only surgery is necessary.

It should also be taken into account that with any damage to the sciatic nerve, it is first necessary to provide the patient with quiet bed rest in warm, comfortable conditions.

This video shows some traditional methods of treating a pinched sciatic nerve.

External products

The following compositions are used for rubbing:

Mix 6 crushed analgin tablets, 100 ml of cologne, 50 ml of iodine.
Add honey to the radish juice in a 1:1 ratio and stir thoroughly.
Infuse 1 cup of potato sprouts in 500 ml of vodka for 2 weeks, shaking every other day.
Add 1 tbsp to 500 ml of vodka. l. chopped celandine herb, 1 chopped aloe leaf, ground hot pepper pod into powder. Leave for 7 days.

Any of these mixtures is rubbed into the skin and wrapped in a warm cloth overnight or for several hours.

The following recipes are used for applications:

Melted to a soft state and cooled to an acceptable temperature, beeswax is applied in an even layer to the skin of the sacro-lumbar region, previously ground and lubricated with any vegetable oil. Cover with film, wrap a woolen cloth on top, and leave until completely cool.
A flatbread of rye flour with honey (the proportions should be such that an elastic dough is obtained) is applied to the most painful area. Wrap yourself in a woolen cloth and stay there for as long as possible (preferably all night).

Recipes for oral administration

To enhance the effect of external remedies, it is recommended to internally use medicinal drinks prepared according to special recipes:

Pour boiling water over calendula flowers at the rate of 3 tbsp. l. for 500 ml of water. Leave for 2 hours, filter. Drink the resulting infusion throughout the day, dividing it into 5 doses.
Boil 1 tbsp. l. chopped burdock root in 250 ml of red wine for no more than 5 minutes. Strain, divide the drink into 2 doses, drink in the morning and evening, regardless of meals.
Brew green bean shells like tea and consume 1 glass 3 times a day as a diuretic.
Brew 2 tbsp. l. aspen leaves in 1 liter of boiling water. Take in 4 doses throughout the day before meals.
Mix hazel powder ground into powder with its leaves in a ratio of 1:3. Add 2 tbsp. l. mixture in 250 ml of boiling water, boil for 10 minutes. Cool, filter, add to a volume of 300 ml, drink in 4 doses.
For chronic pinching: add 1 tbsp. l. elecampane rhizomes in 250 ml of boiling water, boil for 20–25 minutes. Drink in 2 doses - 1 hour before second breakfast and dinner.
Sauerkraut is an ancient way to treat the sciatic nerve. If pinched, it is recommended to use it in large quantities.

Warming baths

It should be borne in mind that hot baths are contraindicated in cases of damage to the sciatic nerve. Therefore, the procedure must be carried out at a water temperature of 38 ºC. The following components are used to prepare baths:

Horseradish root- grated, wrapped in gauze, placed in the bath.
Young pine shoots- 1 kg of raw materials is brewed with 3 liters of boiling water, infused, filtered, then added to the bath.
Medicinal collection(chamomile, sage, knotweed herb, angelica - in equal quantities) is brewed with boiling water, infused, strained and mixed with bath water.

You need to take all of these baths daily for 10–14 days, preferably before bed.

Treatment during pregnancy

In the last trimester of pregnancy, due to compression of the sciatic nerve by the enlarged uterus, it may become pinched. In addition, sciatica can appear in the early stages for a reason independent of pregnancy.

To treat a pinched sciatic nerve at home, pregnant women are prescribed all of the above methods, but taking into account their compatibility with the woman’s condition, including;

medications;
external agents;
massage treatments;
exercises for pregnant women to strengthen the pelvis;
traditional methods.

The most commonly used topical gels and ointments are:

warming up - finalgon, capsicam;
with chondroprotective effect - hodroxide, teraflex.

Hormonal and combined local remedies are prohibited during pregnancy.

With any variant of the disease, and especially during pregnancy, it is necessary to use diagnostics to very accurately determine the location of the pinched nerve. It is this that needs to be treated, and not the painful area, where the pain only radiates.

Prevention of sciatica

During treatment and in order to prevent pinching of the sciatic nerve, you should adhere to the following recommendations:

get rid of excess weight, which puts a lot of stress on the spine;
monitor your posture - it worsens the condition of both the spine and all organs;
increase physical activity in the recommended amount, especially with a sedentary lifestyle;
do not allow one-sided impact on the spine - do not carry weights in one hand, load the body evenly;
avoid injury to the back, lower back, tailbone, and other parts of the spine;
move to active actions gradually, without sudden loads;
do not sit on soft, low furniture;
use a fairly hard bed for sleeping, and it is best to purchase an orthopedic mattress;
do physical therapy exercises every day;
If you experience any discomfort in the back area, consult a doctor immediately.

By following these simple rules, you can prevent damage to the sciatic nerve or quickly eliminate this problem. In addition, you need to avoid nervous stress, live in harmony with yourself and the world around you.

Many people face the problem of a pinched sciatic nerve. Otherwise, this pathology is called sciatica or lumbosacral radiculitis with compression of the roots of the sacral region. The sciatic nerve is very large. It is located in the area of the sacral plexus. If it is pinched, inflamed and left untreated, complications may develop (gait disturbance, muscle atrophy, paralysis).

Every experienced neurologist knows what a pinched sciatic nerve is. This pathology is otherwise called neuritis. The main symptom is intense pain. Often it is so pronounced that a person cannot move. This condition requires emergency care. People aged 40-60 years often face a similar problem.

The sciatic nerve is a pair. In most cases, pinching occurs on one side. The sciatic nerve passes through the pelvis, back of the thigh and buttocks. Most often, sciatica is a complication of another pathology. Often women face a similar problem while carrying a child.

Main etiological factors

When the sciatic nerve is pinched, the reasons can be very different. It is based on compression (squeezing) of the nerve. The following factors are of greatest importance:

infectious diseases;
poisoning;
endocrine pathology;
intervertebral hernia;
lumbosacral osteochondrosis;
the presence of osteophytes (bone growths);
osteoarthritis;
hematomas;
spinal tumors;
local and general hypothermia;
fracture;
improper lifting of weights;
scoliosis.

Causes of sciatic nerve entrapment in children include juvenile rheumatoid arthritis. In adults, sciatica most often develops against the background of a vertebral hernia. This is a pathology in which the fibrous ring is damaged and the nucleus pulposus is displaced. These changes lead to compression of the nerve roots. The cause of sciatic nerve damage is often identified as exposure to toxins.

Causes may include syphilis, malaria, tuberculosis and typhoid fever. Sometimes sciatica occurs as a result of the flu. Intoxication is possible not only due to infections, but also due to endocrine pathology. This includes gout and diabetes. Injury and inflammation are possible due to heavy metal and alcohol poisoning.

Triggering factors are hypothermia and heavy lifting. In the latter case, a sharp muscle spasm is observed, which becomes the cause of pinching. Sciatica often develops in people suffering from spinal diseases. These may be spondylolisthesis, fracture of the arches and severe osteochondrosis. Symptoms of this pathology are observed against the background of tumors. This group includes osteoma, chondrosarcoma, meningioma, and astrocytoma. Sciatica in pregnant women occurs due to displacement of the pelvic bones.

Symptoms of a pinched nerve

Symptoms of a pinched sciatic nerve are few. The main symptom is pain. It has the following distinctive features:

intense;
constant or shooting;
acute;
felt in the buttock or back of the thigh;
radiates to the lower leg and foot;
most often unilateral;
worsens at night and during active movements.

If the cause of the disease is osteochondrosis, then you may experience pain in the lower back. When the sciatic nerve is pinched, the symptoms are not limited to pain. The following clinical signs are possible:

change in gait;
sensory disturbance;
forced position of the limb;
autonomic disorders (hyperhidrosis);
brittle nails;
dry skin;
change in skin color;
the presence of pathological reflexes;
amyotrophy;
violation of limb flexion.

Due to a pinched nerve, sensitivity is impaired. This manifests itself as paresthesia. Such patients feel a tingling or burning sensation. The anterior surface of the thigh and lower leg is never involved in the process. Sensitivity can be reduced or increased. Due to muscle atrophy, a person feels weak. The skin in the innervated area may turn pale or red. In severe cases, body temperature rises.

Neurological manifestations of infringement

Signs of a pinched sciatic nerve include impaired reflexes. An experienced attending physician knows that this disease exhibits pathological symptoms of Lasegue and Bonnet. The first is determined with the person lying on his back. The patient should lift the affected leg up. When a nerve is pinched, pain appears on the back surface of the limb in the hip area, as well as in the lower back.

A positive Lasègue symptom is often detected. With it, it is not the patient himself who bends the leg, but the doctor. In some patients, cross syndrome is detected. It is similar to Lasegue's symptom, only pain occurs in both limbs. When a nerve is pinched, the knee, Achilles and plantar reflexes are reduced. Pain often appears at Valle's points. These are areas where the nerve is located close to the surface. When the points are pinched during palpation, pain appears.

Patient examination plan

If the sciatic nerve is damaged (pinched), the diagnosis is made on the basis of complaints and instrumental data. An X-ray of the leg and lumbosacral spine is required.

Before getting rid of this pathology, you need to examine the person. The patient may also have other nerves pinched. It is important to exclude other pathologies. For this purpose the following studies are carried out:

radiography;
computed and magnetic resonance imaging;
electroneuromyography;
palpation;
neurological examination;
general clinical tests.

If the sciatic nerve is damaged (pinched), the diagnosis is made on the basis of complaints and instrumental data. An X-ray of the leg and lumbosacral spine is required. From the photo (picture) you can determine the cause of the pinching. Osteochondrosis or other spinal pathology is often detected.

Computed tomography is very informative. It allows you to determine why the nerve is pinched. Neuromyography is done to assess the condition of muscles and nerve conduction. Each research method has its own contraindications. Once the diagnosis is made, you can think about how to treat a pinched nerve.

Methods of treating patients

Not everyone knows how to relieve pain from a pinched nerve. The following therapy methods are used:

physiotherapy;
reflexology;
use of painkillers and anti-inflammatory drugs;
massage;
gymnastics.

During the rehabilitation period, rest in a sanatorium is useful. A pinched nerve can be cured by following all medical recommendations. In the acute stage, it is necessary to eliminate the pain syndrome. For this purpose, the following groups of medications are used:

analgesics;
NSAIDs in the form of tablets, injection solution and ointment;
combination drugs.

Symptoms and treatment are interrelated. For severe pain, medications such as Indomethacin Sopharma, Movalis, Diclofenac Retard, Ortofen, Ketanov, Ketonal, Tempalgin, Pentalgin, Baralgin M, Sedalgin Plus are used. Many NSAIDs have bad effects on the gastrointestinal tract. They can cause gastritis and ulcers, so proton pump blockers are prescribed in parallel.

B vitamins help relieve pinched sciatic nerves. They are necessary to improve the trophism of nervous tissue. The most useful are pyridoxine and thiamine. Treatment for a pinched sciatic nerve at home includes injections of vitamins such as Combilipen and Milgamma. Not everyone knows whether it is possible to heat the skin in the affected area. Dry heat is often used. Some patients benefit from a cold heating pad.

Other aspects of therapy

Every experienced neurologist knows what to do if a nerve is pinched. Irritants are often used. These include ointments based on insect and snake venom. Liniments based on turpentine and camphor are often used. You can use the fruits of capsicum. Not everyone knows how to relieve a patient from a pinched sciatic nerve. In the stage of exacerbation and remission, massage is indicated.

For pain, you can do light stroking and rubbing of the lower back, thighs, buttocks and legs. During the remission phase, a more intense massage is recommended. In severe cases, blockades with novocaine are performed. If the sciatic nerve is pinched, treatment at home can lead to complications. You need to entrust this to a doctor. You should definitely consult with a specialist and watch a video on the topic of pinched nerves. A new direction in the treatment of sciatica is osteopathy.

With this pathology, it is important to eliminate the underlying cause. Neurologists know how to treat a pinched sciatic nerve. Spondylolisthesis and hernia may require surgery. In the treatment of osteochondrosis, it is important to normalize lifestyle and use chondroprotectors. Thus, pinched sciatic nerve fibers cause severe pain and require adequate treatment.

The longest nerve in the human body is the sciatic nerve, which is formed by five pairs of spinal roots.

The anatomical structure of the sciatic nerve begins with the iliosacral plexus, emerging from the gluteal region, and then passing down the thigh. In the popliteal fossa, the nerve divides into two branches with inversion into the lower leg and foot. Pinching or inflammation of the sciatic nerve is accompanied by severe pain. Sciatica, or inflammation of the sciatic nerve, symptoms and treatment, which is very similar to another neurological disease, osteochondrosis. The difference between these diseases is that with sciatica, pain is present only on one side.

Sciatica, inflammation of the sciatic nerve: causes

Pain in the lumbar back can occur for a number of reasons. The most likely ones could be:

residual complications of osteochondrosis;
formation of herniation on intervertebral discs;
spinal column injuries;
hypothermia;
rheumatoid arthritis;
infectious lesions of the pelvic cavity;
blood clots, abscesses, etc.

In addition to the above causes of the disease, sciatica, an inflammation of the sciatic nerve, can occur against the background of muscle spasms located in the piriformis muscle, which compresses the sciatic nerve. This manifestation is very difficult to diagnose. With piriformis syndrome, pain spreads to the gluteal region, moving to the groin, lower leg and upper thigh. Pinched sciatic nerve symptoms and signs of inflammation in piriformis syndrome are very similar to lumbosacral radiculitis.

One of the causes of inflammation or pinching of the sciatic nerve may be spondylolisthesis. This type of disease may have a congenital or acquired nature of displacement of the vertebrae relative to each other.

Among other things, sciatica can be caused by a spinal cord tumor. The percentage of the cause of sciatic nerve disease with such an abnormal manifestation is quite low, but it does occur.

Pinched sciatic nerve: symptoms and treatment of the disease

In its symptomatic manifestations, inflammation of the sciatic nerve can vary significantly depending on the severity of the lesion, location, duration and nature. Inflammation of the sciatic nerve, symptoms and clinical signs of manifestation:

Pain syndrome. Since the nerve endings are equipped with a large number of receptors that are highly sensitive, any damage to them causes severe pain. Bilateral inflammation of the sciatic nerve is extremely rare, so the main manifestation of the disease is unilateral. The pathological symptoms of sciatica affect the gluteal area with subsequent location in the lower limb. Depending on the degree of damage, the area of pain has different intensity. Sometimes the pain reaches the feet and toes.
The patient's movements are limited. In this case, pain intensifies with the slightest muscle tension, walking, bending the body, coughing, and sometimes even when breathing.
If the sciatic nerve is pinched, symptoms of the disease may manifest as numbness in the legs. Very often, patients complain of complete or partial paralysis of the limbs.

The severity of pain syndromes can be very different, from the mildest to the most intense form of damage. The pain has a shooting character, reminiscent of an electric shock.

An accurate diagnosis of sciatica can be made based on the clinical picture, which has specific signs and symptoms of the disease. A hardware examination helps to clarify the location and severity of pinching of the sciatic nerve:

Radiography. Using this technique, disorders and changes in the structural structure of the spine are determined;
Computed tomography (CT) is a high-tech fluoroscopic examination method that allows layer-by-layer scanning of tissue components and gives the most accurate picture of the localization of inflammatory processes in tissue structures.
Magnetic resonance imaging (MRI) is the most informative method of layer-by-layer scanning of tissues. This diagnostic method does not cause radiation exposure to the human body.
Ultrasound examination (ultrasound) of joints allows you to visualize the structure of soft tissues (tendons, cartilage, ligaments, etc.). Using ultrasound, you can easily determine the presence of tumors that cause inflammation of the sciatic nerve. Treatment, which requires immediate medical action.

The last method for diagnosing sciatica is the most effective. The advantages of the ultrasound method include:

No radiation exposure to the patient;
Repeated use of the research method throughout the entire course of treatment;
No contraindications;
High visualization of small structural fibers.

Treatment of sciatica

Inflamed sciatic nerve symptoms and treatment, which must be considered strictly individually based on the physiological characteristics of the patient, and age criteria are also taken into account. The choice of the optimal set of therapeutic effects must be carried out after a complete examination of all the constituent factors. To effectively treat the disease, complex therapy is carried out, which includes:

Drug treatment;
Physiotherapeutic effects;
Therapeutic exercise and preventive rehabilitation;

How to treat inflammation of the sciatic nerve with drug therapy? The main goal of treating sciatica with the help of pharmacological drugs is to relieve pain and reduce the inflammatory process. Proven pharmacological components to eliminate the intensity of the development of the disease are diclofenac, ortofen, denebol, rheumoxicam and other anti-inflammatory and analgesic drugs. The therapeutic attack of drugs is used through intramuscular or intravenous injection of these pharmacological agents.

To normalize the condition of articular tissues, chondroprotectors are used, which restore damaged cartilage fibers and enrich them with additional nutrition.

The method of physiotherapy involves the use of magnetotherapy and electrophoresis.

Therapeutic exercise is an integral part of a comprehensive medicinal approach to the treatment of the disease. The entire set of exercises is selected according to an individual program, taking into account the causes and severity of the pinching.

Treatment of sciatica at home

Therapeutic procedures of official medicine can be effectively alternated with time-tested traditional methods of treatment, which will contribute to a speedy recovery.

Inflammation of the sciatic nerve treatment with folk remedies:

Bee products, honey. An excellent traditional medicine would be a “honey” massage. To do this, you will need 300 g of natural honey, which must be brought to a boil in a water bath. After this, add 50 g of alcohol drop by drop to the heated honey. Stir the resulting mixture well and let cool. After this, you can perform a “honey” massage.
Beeswax compress. Heat the processed product until elastic. Apply a thin layer of wax to the affected area and wrap it with plastic wrap. This procedure should be performed before going to bed. The next morning, the remaining wax must be removed.

Herbal balm. Grind one tablespoon each of celandine, aloe and hot pepper. Mix all ingredients and add 250 g of vodka. Infuse the resulting medicinal mixture for seven days in a dark place. After this, you can begin treating sciatica. It is necessary to rub the sore area daily for one week. The course of treatment lasts 10 days.
Agave. Split the leaves of the plant and apply the inside side to the diseased area, wrapping it with a tight bandage on top.
Marsh wild rosemary. Pour two tablespoons of chopped plant with five tablespoons of vegetable oil. The resulting mixture should be infused for at least 12 hours. Rub the mixture into sore spots affected by sciatica.

An effective remedy for home treatment of inflammation of the sciatic nerve is medicinal pine baths. To do this, pour boiling water over the pine shoots in a proportional ratio of 1:3 and cook over low heat for half an hour. Strain the finished tincture and pour into the bath. The duration of the procedure at a water temperature of 35-37º C should be no more than 15 minutes.
Treatment with leeches will be a good preventive measure in the fight against the disease.

It should be remembered that any treatment with folk remedies at home has a number of contraindications. Therefore, it is necessary to seek advice from a specialist before starting treatment.

It is very important to maintain the most proper and balanced diet during treatment. Eating food should be fractional, in small portions 4-5 times a day. At least half of the daily diet should consist of foods with sufficient amounts of fiber, calcium, magnesium and iron, as well as vitamins A, B, C and E. Sufficient amounts of fiber are found in all fresh fruits and vegetables.

Foods rich in calcium:

Fish and fish products;
Milk, eggs;
Seafood;
Nuts, beets, cauliflower;
Heart, kidneys, liver.

Magnesium can be provided by foods such as:

Avocado;
Sunflower seeds;
Legumes, peas, beans, etc.;
Peanuts, hazelnuts, pistachios;
Millet, oatmeal, barley.

Essential iron can be found in the following foods:

Spinach, lentils, peas;
Pine nuts, peanuts, pistachios;
Dogwood, cashew, corn;
Wheat, beans, peas, etc.

Vitamin support for a sick body can be provided by the following foods:

Vitamin A: viburnum, garlic, broccoli, seaweed, low-fat cottage cheese;
Vitamin B: rose hips, mushrooms (honey mushrooms, boletus, chanterelles, porcini mushrooms), spinach.
Vitamin C: sea buckthorn, kiwi, hot pepper, Brussels sprouts and red cabbage, black currant, orange, lemon, strawberry.
Vitamin D: butter, sour cream, liver, sea bass, chicken egg.

It is worth excluding sweets, salty, fatty and smoked foods from your diet. All these components provoke fat deposits, which create additional stress on the spinal column. Tea, coffee, carbonated water, and alcoholic drinks are also excluded from the patient’s daily diet during treatment. Quitting smoking tobacco products will also be effective.

In order to avoid a possible recurrence of inflammation of the sciatic nerve or to minimize re-exacerbation, it is necessary to carry out preventive measures. Prevention of sciatica makes it possible to prevent up to 90% of cases of exacerbation of the disease. To do this you need:

Control your posture;
Avoid injury;
Stabilize body weight;
Do not overcool;
Avoid chronic and infectious diseases.

All preventive measures should be aimed at strengthening the back muscles. For this, gymnastic exercises and swimming lessons in the pool will be an excellent general strengthening remedy. In addition to all the above preventive actions, it is necessary to lead an active lifestyle. This will help keep your back muscles toned and strengthened.