How To Manage Sciatica?

Sciatica is a set of symptoms that show pain along the path of the sciatic nerve. It is a common disease with many different causes, especially infectious and inflammatory diseases, especially the consequences of some occupational diseases.
Types of pain of the disease
It is natural pain with the following two typical forms: Pain from the lumbar region and descending along the outer surface of the thigh, the front of the outside of the lower leg, passing in front of the outer ankle and crossing the instep, then ending same at the big toe.
The pain is also from the lumbar region and then down through the buttocks to the back outside the thighs, the back outside the legs, the back of the outer ankle and down to the soles of the feet and to the end of the little toe. Pain on the sides of the waist, down to the sides (sciatica)

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This type of pain is usually caused by spinal damage that presses on the L5-S1 nerve roots on either side. They are spinal cancer, metastatic prostate cancer, uterine cancer, breast cancer . .



spinal trauma (fractures of small joints causing vertebrae slip), severe disk herniation.
A "balance table" pain is one that can range from right to left and vice versa
Pain can be detected through pain points: when the physician presses on the points along the path of the hip nerve and the patient feels pain, or presses on the back vertebra, in the burning area and incision L4-S1 causing pain.
A physician examining the lumbar spine will detect abnormalities in the physiological curvature or the anti-pain posture or see the anti-pain reactions of the patient (standing on the non-pain side, lying on the leg pain ...).
Signs of changes in reflex activity in the legs: tendon reflex disorders, sensory disorders in the area of the L5-S1 roots, trophic disorders (muscle atrophy)
Changes in the spine radiographs, in the cerebrospinal fluid, in magnetic resonance imaging in cases of sciatica, due to inflammation, compression of the medulla.




Why is hip nerve pain?
There are many causes of hip pain:
Intervertebral disc herniation: In young people, it is often accompanied by deformities such as the lumbar on the same burning, the same burning of the waist, the double spines. In the elderly, it is often associated with changes in the shape of the intervertebral disks and changes in ligament structures.
Tuberculosis of the lumbar region: The patient often has fever, fatigue, weight loss. X-ray of the spine has images of inter-burning disc narrowing, loss of calcium in adjacent vertebrae, purulent abscesses in the spine ...
Neurological signs such as altered tendon reflexes, sensory disorders, abnormal changes in the cerebrospinal fluid.
Tumor at the tip of the tail, severe pain even when lying down, disordered saddle-style sensation, protein and cell dissociation in cerebrospinal fluid.




Spinal slide: It can happen after a long time of traveling by motorbike, motorbike over long distance is difficult to go, bumpy road, there are many buffalos ... Through X-ray X-ray in spine position 3/4 has broken picture small joints (fractured dog's neck), through the inclined shooting posture, the L shape appears forward and the S block backwards.
Lumbar vertebrae hernias: determined by the poses of a vertebral X-ray film.
How to handle?
In order to effectively treat the disease, it is first necessary to make an accurate diagnosis. It is necessary to evaluate the pain of the sciatic nerve, determine early by asking the disease (pay attention to the spread of pain) through tension and hip pain tests. Need to identify the pain of myositis, bone (pelvic arthritis), pinched in the sub-frame (pregnancy can also cause pain).




Combining exploration methods, paying attention first to the cause of the compression, especially depending on age (working age, old age ...), gender (pregnant women), occupational diseases (sawing, carrying carrying ...), inflammation.
About treatment: usually treatment by cause.



Medical treatment in cases where there is no cause of compression, or there is compression but no indication for surgery. Medical treatment includes lying down, using Western medicine, which can be combined with Eastern medicine such as acupuncture, physical therapy ...
Using analgesic and anti-inflammatory drugs, therapies can be used such as massage, calcium ionization, electrolysis. Severe cases such as severe herniated disc herniation with no medical results will require surgery.
Disease prevention: for people with spinal deformities, double spines, burned with lumbar spines, and with spinal vertebrae ..



. it is necessary to have an appropriate labor regime, avoiding heavy lifting. For some occupations that require a lot of work in the lower lumbar region, there should be measures for labor protection, periodic health checks, appropriate nutrition and rest.
TS Nguyen Chuong.

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