Ailments from high living, so called modern living, coffee, tobacco, alcohol, quinine, taking highly spiced seasoned food, irregular diet, overeating, sexual excess, long continued mental exertion, sedentary habits, want of exercise, loss of sleep, using aromatic patent medicines, pills or exposure to cold. Modalities;- Aggarvation morning, walking at. M., by mental exertion, after eating or overeating, touch, noise, anger, spices, narcotics, during dry weather, in cold air. Amelioration in the evening, while at rest, lying down, and in damp wet weather. Rhus tox, sciatica with muscular and ligamentous involvement. It is seldom adapted to recent cases, but comes in later.
no easy position for the limb. Colocynth typifies the sciatica due to nerve changes with no special inflammatory conditions attending. Gnaphalium, this remedy is quite similar to colocynthis. Oconnor thinks it is the best remedy in the absence of the other symptoms and many others consider it has intense neuralgic pains along the nerve, and numbness. The whole trunk and the main branches seem affected, worse when lying down, worse from motion, stepping and better whiles sitting in a chair. The pains extend to the toes. Magnesium phos, right sided sciatica, worse cold application, touch and at night, relieved by warmth, bending double and by pressure. Nux Vomica, sciatica in persons who does a good deal of mental work, has mental strains and leads a sedentary life, found in prolonged office work, overstudy, and close application to business, with its care and anxieties. Person who are nervous, irritable, hypersensitive and overimpressionable with digestive disturbances, portal congestion, and hypochondrical states.
It is aggravated by cold, but relieved momentarily by warmth. Belladonna, sciatica pains come on suddenly. There is a neuritis, and the course of the nerve is sensitive; the pain is especially severe at night, the parts are sensitive to the touch, the least causes concussion or a draft of air aggravates. Severe lancinating pains coming on in the afternoon or evening; has to change position often; worse from motion, noise, shock or contact; cannot bear the clothing to touch him. Relieved by letting the limb hang down, warmth and the erect posture. Chief remedy of sciatica in worst cases. There are pains in the sciatic voet nerve extending the knee or to the heel, worse from any motion, and especially aggravated by cold. The pain is paroxysmal, followed by numbness and partial paralysis. There is a sensation which has been described as if the thigh were bound with iron bands, or as though screwed in a vise; the muscles are fearfully tense and fixed. Particularly is the right side involved and there are stitches during walking.
Lumbar Radiculopathy, physical Therapy, new Jersey
Besides some of the following ingredients, the product contains Dr Gurpreet Singh makkar(punjab, India research based, highly effective medicines. Aconite, sciatica from exposure to colds, dampness and from suppressed perspiration indicates Aconite. There is much numbness, perverted sensation, pricking and a sense of coldness in the parts, especially toes. The pains are very severe and worse at night; behandeln the patient is restless, there is tingling along the affected nerve. Ammonium mur, sciatica, with aggravation of pain while sitting, somewhat relieved by walking and entirely relieved by lying down. Pains in the left hip as if the tendons were too short. Painful jerks, feet feel as if asleep. Arsenic album, sciatica with pain is marked by complete intermissions; it tummy exacerbates every night at a particular hour, and becomes unbearable; it is increased by vigorous and relieved by gentle motion.
Treatment management: Acute, phase
The discs separate the vertebrae, thereby allowing room for the nerve roots to properly exit through the spaces between the vertebrae. The discs cushion the spine from compressive forces, but are weak to pressure applied during rotational movements. That is why a person who bends to one side, at a bad angle to pick something up, may more likely herniate a spinal disc than a person jumping from a ladder and landing on their feet. Herniation of a disc occurs when the liquid center of the disc bulges outwards, tearing the external ring of fibers, extrudes into the spinal canal, and compresses a nerve root against the lamina or pedicle of a vertebra, thus causing sciatica. This extruded liquid from the " nucleus pulposus " may cause inflammation and swelling of surrounding tissue, which may cause further compression of the nerve root in the confined space in the spinal canal. Many herniated discs themselves, however, cause no pain or discomfort: only occasionally does a disc herniation cause sciatica. Diagnosis edit Straight Leg test sometimes used to help diagnose a lumbar herniated disc Sciatica is typically diagnosed by physical examination, and the history of the symptoms. 4 Generally if a person reports the typical radiating pain in one leg as well as one or more neurological indications of nerve root tension or neurological deficit, sciatica can be diagnosed.
There is no standard treatment for pregnancy-induced sciatica. 12 Other edit Sciatica can also be caused by tumors impinging on the spinal cord or types the nerve roots. 4 severe back pain extending to the hips and feet, loss of bladder or bowel control, or muscle weakness may result from spinal tumors or cauda equina syndrome. Trauma to the spine, such as from a car accident, may also lead to sciatica. A relationship has been proposed with a latent Propionbacterium acnes infection in the intervertebral discs, but the role it plays is not yet clear. 13 14 Pathophysiology edit Sciatica is generally caused by the compression of lumbar nerves L4, or L5 or sacral nerves S1, S2, or S3, or by compression of the sciatic nerve itself. When sciatica is caused by compression of a dorsal nerve root ( radix it is considered a lumbar radiculopathy (or radiculitis when accompanied with an inflammatory response).
This can occur as a result of a spinal disk bulge or spinal disc herniation (a herniated intervertebral disc or from roughening, enlarging, or misalignment ( spondylolisthesis ) of the vertebrae, or as a result of degenerated discs that can reduce the diameter of the. The intervertebral discs consist of an anulus fibrosus, which forms a ring surrounding the inner nucleus pulposus. When there is a tear in the anulus fibrosus, the nucleus pulposus (pulp) may extrude through the tear and press against spinal nerves within the spinal cord, cauda equina, or exiting nerve roots, causing inflammation, numbness, or excruciating pain. Inflammation of the spinal canal can also spread to adjacent facet joints and cause lower back pain and/or referred pain in the posterior thigh(s). Pseudosciatic pain can also be caused by compression of peripheral sections of the nerve, usually from soft tissue tension in the piriformis or related muscles. The spinal discs are composed of a tough spongiform ring of cartilage anulus fibrosus with a more malleable center nucleus pulposus.
(with pictures) - wisegeek
It may be associated with neurological dysfunction, such as weakness. 4 The pain is characteristically of a shooting type, quickly traveling along the course of the nerve. 8 Spinal disc herniation edit main article: Spinal disc herniation Spinal disc herniation pressing on one of the lumbar or sacral nerve roots is the most frequent cause of sciatica, being present in about 90 of cases. 4 Sciatica caused by pressure from a disc herniation and swelling of surrounding tissue can spontaneously subside if the tear in the disc heals and the pulposus extrusion and inflammation cease. Spinal stenosis edit main article: Lumbar spinal stenosis Other compressive spinal causes include lumbar spinal stenosis, a condition in which the spinal canal (the spaces the spinal cord runs through) narrows and compresses the spinal cord, cauda equina, or sciatic nerve roots. This narrowing can be caused by bone spurs, spondylolisthesis, inflammation, or a herniated disc, which decreases available space for the spinal cord, thus pinching and irritating nerves from the spinal cord that travel to the sciatic nerves.
Piriformis syndrome edit main article: Piriformis syndrome piriformis syndrome is a controversial condition that, depending on the analysis, varies from a "very rare" cause to contributing to up to 8 of low back or buttock pain. 9 In 17 of the population, the sciatic nerve runs through the piriformis muscle rather than beneath. When the muscle shortens or spasms due to trauma or overuse, it is posited that this causes compression of the sciatic nerve. 9 It has colloquially been referred to as "wallet sciatica " since a wallet carried in a rear hip pocket compresses the buttock muscles and sciatic nerve when the bearer sits down. Piriformis syndrome causes sciatica when the nerve root itself remains normal and no herniation of a spinal disc is apparent. 10 11 Pregnancy edit Sciatica may also occur during pregnancy as a result of the weight of the fetus pressing on the sciatic nerve during sitting or during leg spasms. While most cases do not directly harm the fetus or the mother, indirect harm may come from the numbing effect on the legs, which can cause loss of balance and falls.
Low Back and Leg pain
3 2 The condition has been known since ancient times. 3 The first known use of the word sciatica dates from 1451. 7 Contents Definition edit The term " sciatica " describes a symptom —pain along the sciatic nerve pathway—rather than a specific condition, illness, or disease. Some use it to mean any pain starting in the lower back and going down the leg. Others use the term more specifically hormone to mean a nerve dysfunction caused by compression of one or more lumbar or sacral nerve roots from a spinal disc herniation. Though in this second use it is a diagnosis (i.e., it indicates osteoarthritis a cause and effect). Pain typically occurs in the distribution of a dermatome and goes below the knee to the foot.
Radiculopathy, definition, causes, symptoms and Treatments
2 It is generally recommended that people continue with activities to the best of their abilities. 3 Often all that is required is time: in about 90 of people the problem goes away in less than six weeks. 2 If the pain is severe and lasts for more than six weeks then surgery may be an option. 2 While surgery often speeds pain improvement, long term benefits are unclear. 3 Surgery may be required if complications occur such as bowel or bladder problems. 2 Many treatments, including steroids, geen gabapentin, acupuncture, heat or ice, and spinal manipulation, have poor evidence for their use. 3 6 Depending on how it is defined, 2 to 40 of people have sciatica at some point in time. 4 It is most common during people's 40s and 50s, and men are more frequently affected than women.
4, other problems that may result in sciatica include spondylolisthesis, spinal stenosis, piriformis syndrome, pelvic tumors, and compression by a baby's head during pregnancy. 3, the straight-leg-raising test is often helpful in diagnosis. 3, the test is positive if, when the leg is raised while a person is lying on their back, pain stretch shoots below the knee. 3, in most cases medical imaging is not needed. 2 Exceptions to this are when bowel or bladder function is affected, there is significant loss of feeling or weakness, symptoms are long standing, or there is a concern of a tumor or infection. 2 Conditions that may present similarly are diseases of the hip and early herpes zoster before the rash appears. 3 Treatment initially is typically with pain medications.
Cervical, radiculopathy : Symptoms, causes, and Treatment
Sciatica is a medical vertebral condition characterized by pain going down the leg from the lower back. 1, this pain may go down the back, outside, or front of the leg. 3, onset is often sudden following activities like heavy lifting, though gradual onset may also occur. 5, typically, symptoms are only on one side of the body. 3, certain causes, however, may result in pain on both sides. 3, lower back pain is sometimes but not always present. 3, weakness or numbness may occur in various parts of the affected leg and foot. About 90 of the time sciatica is due to a spinal disc herniation pressing on one of the lumbar or sacral nerve roots.