Lumbosacral radiculitis is characterized by sciatica nerve inflammation due to squeezing of the roots of the spinal cord and is called sciatica - the symptoms of this disease can be different depending on the causes of the syndrome.
Sciatica disease - why does it occur, and what kind of disturbances occur?
In the lumbar region are the five largest vertebrae in the entire human body. This size is explained by the fact that this area assumes always the greatest load. The vertebrae are interconnected by the intervertebral discs. In addition, through them passes the spinal cord, from which, in turn, branch off the nerve roots. Their ends form a sacral plexus, which is the beginning of the sciatic nerve. Due to constant loads on the lumbar region, the nerve roots are most strongly compressed in this area, the sciatic nerve becomes inflamed, which leads to pain syndrome and various disorders, including the development of radiculitis.
Sciatica - Species
The following types of disease are distinguished by the level and degree of lesion of the sciatic nerve:
- upper (disorders of nerve roots and cord);
- mean (changes in the entire nervous plexus);
- lower (damage to the trunk, and descending branches of the sciatic nerve).
Also, sciatica is primary and secondary. Classification depends on the etiology of the disease: if radiculitis occurs due to damage to the sciatic nerve by toxins or infection, it is primary. Inflammation due to the progression of other diseases (osteochondrosis, arthritis, arthrosis) is considered secondary.
Causes of sciatica
The most common disorder that provokes the described syndrome is a herniated intervertebral disc. In this case, there is a partial or complete rupture of the fibrous rings, because of which the gelatinous contents of the nucleus of the vertebra protrude and, thereby, squeezes the nerve root.
Other common causes of sciatica are infections:
- typhus (swelling or abdominal);
- flu;
- scarlet fever ;
- tuberculosis;
- malaria;
- syphilis;
- sepsis.
Pathogenic microorganisms in the life cycle release toxins that accumulate in the sciatic nerve and provoke its inflammation.
In addition to these factors, the following causes of disease progression are also noted:
- poisoning (intoxication) of endogenous (with gout, diabetes mellitus) and exogenous nature (when large quantities of alcohol, poisons enter the body);
- osteophytes of the spine - bone growths on the vertebrae due to osteochondrosis, spondylosis, osteoarthrosis or spondylolisthesis;
- benign and malignant tumors, their metastases;
- pregnancy (due to a sharp increase in the load on the lumbar region).
How does sciatica manifest itself?
First of all, the disease makes you aware of yourself with a pain syndrome. Unpleasant sensations arise, as a rule, on the one hand and are permanent, chronic. The intensity of pain in patients is different and depends on the causes of the syndrome. It should be noted that
Sciatica - symptoms of a neurological type:
- disorders of motor and extensor functions of leg joints;
- atrophy of the muscles of the thigh and lower leg;
- decreased sensitivity of the lower limbs;
- persistent violation of the main reflexes;
- change in the shade and thickness of the skin, dry skin ;
- brittle nails on the toes of both feet;
- increased sweat secretion and increased work of the sebaceous glands.