Symptoms, diagnosis, treatment radicular lumbar syndrome

Radicular syndrome is characterized by neurological manifestations. The lack of pain and temperature sensitivity, pain along the spine and in lower limbs – the classic symptoms of a radiculopathy.

It is characterized by painful sensations in the lower back, neck, internal organs, stomach and heart. Manifestations of many diseases, therefore the treatment is difficult.

the symptoms radicular lumbar syndrome

Cause of disease

have any symptoms of radicular syndrome for the following reasons:

  • osteochondrosis – degenerative-dystrophic changes of intervertebral disks of the vertebral column;
  • intervertebral hernia – a prolapse of the cartilage disks between the vertebrae;
  • spondylarthrosis – joint space narrowing and bone formation of osteophytes in the vertebral joints;
  • osteoporosis – reduction of bone density patterns by reducing the amount of calcium in it;
  • hormonal changes with higher levels of hormones leading to destruction of the bone structure;
  • scarring, tumors and injuries of the spine;
  • constant overload of the spine;
  • infectious and traumatic vertebral injury;
  • hypothermia
  • cicatrical changes of soft tissues.

Radiculopathy triggered by intervertebral hernias that impinge on spinal nerves. Inflammatory change infectious nature often lead to the formation of adhesions and scars, which can also lead to pinching the nerve fiber.

Symptoms

the treatment of radicular lumbar syndrome

radiculopathy Symptoms in osteochondrosis of the lumbar spine:

  1. Pain in the lumbar region.
  2. pain in the projection of heart or stomach.
  3. Radiating pain in the perineum, lower extremities.
  4. Shot in the back.

The Above symptoms are worse when attempting to move, bend or rotate the trunk to one side.

Backache (lumbago) is characterized by severe pain. His appearance contributes to the hypothermia or the decrease in immune system function. Sometimes radicular syndrome with lesions of the lumbar spine occurs at night or in the morning after sleep.

Redness and swelling of the skin, and excessive sweating in some cases is the only factor of the disease.

The Second sign of pathology – a violation of sensitivity of skin. With the defeat of the sensitive fibers appears incorrect temperature and tactile sensitivity.

With the defeat of motor nerve root is formed by violation of movements and limited mobility in the joints. The muscles gradually atrophy. There is a weakness and limitation of movements.

Diagnosis

Diagnosis of radiculopathy is based on the neurological manifestations and the use of instrumental diagnostic methods.

When assessing the neurological status of the patient, the doctors pay attention to limited mobility of the joint and ligamentous apparatus. It is important to determine the sensitivity of the skin with the appearance of lumbar pain.

With a needle from a medical syringe, you can check the sensitivity of the skin of the lower extremities. There are two varieties of symptoms that occur when radicular syndrome:

  • lumbodynia, pain in the lower back;
  • sciatica – pain along the outer thigh radiating to the lower limbs.

The defeat of the nerve fibers in infectious diseases of the spine accompanied by fever, fever and local local increased blood supply.

Radiography of the spine in frontal and lateral projections used in the initial stages if you suspect the disease. The study reveals the decrease of height of intervertebral gaps throughout the vertebral column.

If you are performing x-rays, the doctors suspected "spinal" cause, appointed magnetic resonance imaging. It allows one to carefully localize the pathology and the appropriate treatment.

MRI of the spine reveals the prevalence and topography of pathological changes of the spine, to determine the clinical symptoms of the disease.

Competent treatment

radicular syndrome lumbar

Treatment of radicular syndrome in the lumbar spine is performed using the following guidelines:

  • bed rest
  • the use of medicinal products;
  • massage and physical therapy;
  • manual method
  • electrophoresis with diprospana.

Bed rest with diseases of the spine is recommended throughout the period of acute illness. It helps to eliminate pain and to reduce pressure on the damaged area of the back.

What is the medical treatment of disease is used:

  • painkillers – baralgin, ketorol, analgin. Using datadrugs can reduce painful symptoms;
  • non-steroidal anti-inflammatory drugs – Movalis, diclofenac, Nurofen. Drugs can relieve the inflammation and prevent pain in your lower back;
  • muscle relaxants medication to relax skeletal muscles, treating muscle spasms
  • b vitamins are schedule to improve metabolic processes in the body and nervous tissues;
  • protective agents – are used to stimulate the process of recovery of cartilage in the intervertebral joints;
  • non-pharmacological treatments – physiotherapy, reflexology, massage and physiotherapy.

Treatment of radicular syndrome in each individual case requires a choice of optimal schemes of the above therapies. Only after a thorough diagnostic, you can choose the best tactics of treatment of the disease.

Any changes of the lumbar spine require careful diagnosis. Treatment must be carried out from the early stages of the disease. The only way to prevent serious consequences.