Radiculitis (radiculopathy) is a disease of the peripheral nervous system, in which the roots of the nerves of the spinal cord are affected. On the localization of lesions, different forms of radiculitis are distinguished. The most commonly diagnosed lumbosacral radiculitis, in which the lumbar and sacral nerve roots are involved in the pathological process.
In most cases, the pathology is discogenic (discogenic lumbosacral radiculitis), when the sciatic nerve is pinched by a displaced disc in the form of a protrusion or an intervertebral hernia. In other cases, the pathology may be associated with the jamming of nerve endings with vertebrae (compression radiculitis).
Causes of lumbosacral radiculitis:
- violation of the function of the spinal root located in this section of the spinal column;
- exchange failures, in which there is accumulation of salt deposits and the formation of osteophytes;
- endocrine disruptions and inflammations that cause puffiness in the tissues surrounding the lumbar region;
- traumatic lesions of the lower back;
- degenerative-dystrophic transformation of intervertebral discs;
- heavy loads on the back;
- sedentary lifestyle;
- supercooling.
Symptoms of lumbosacral radiculitis
Radiculitis of this localization can be manifested in acute or chronic form. In chronic form, there are phases of exacerbation of different duration, more often - 2-3 weeks.
The main symptom of pathology is pain in the lower back, which extends along the leg. As a rule, painful sensations arise suddenly, often with an awkward turn, tilt. The nature of pain is sharp, stitching, shooting. It is difficult for a person to be in the same position, to walk.
In some cases, the sensitivity of the leg is lost, at the same time, weakness in the muscles can be noted. Often there are complaints of a feeling of numbness, tingling, burning. Over time, trophic tissue is disrupted, and the skin in the lower back and on the aching leg turns pale, becomes dry and flaky.
How to treat lumbosacral radiculitis?
Treatment of lumbosacral radiculitis is prescribed depending on its cause and severity of the process. Medication therapy may include:
- anesthetics;
- Novocain blockades;
- vitamins of group B ;
- preparations of irritant action;
- means, stimulating metabolism and activating the protective and regenerative functions of the body;
- anticholinesterase drugs.
With rheumatism due to dystrophic changes of the spine, physiotherapy, stretching, massage, and therapeutic gymnastics are shown. When the intervertebral disc falls and when the symptoms of compression of the roots are progressing, surgical intervention is prescribed.