The appearance of sharp pain in breast, cervical and lumbar spine is called a pinched nerve. Often, this violation occurs at low load, but not the correct rotation of the torso, especially if the person performs work in the form of the bend and simultaneously twists the torso to the side (sweeping with a broom, washing floors without a MOP, tying shoelaces).
This situation leads to strain on the spine and stretching the back muscles that hold the vertebrae in physiological position. The vertebra moved, and roots compresses the nerve passing close. It causes a pinched nerve and leads to the emergence of a strong pain syndrome.
Matter where there is a compression of the nerves, there are the attacks:
- islamicise (sacrum, buttocks, the back surface of the lower limbs);
- plumbosolvency (lower back, buttocks, the back surface of feet);
- lombargini (waist, back);
- cervicobrachialgia (neck, upper limb);
- ceruicis (neck).
The character of the pain depends on the nerve compressed. If pinched the sensitive nerve, the patient feels unbearable pain, which is the basis for hospitalization. Compression of the autonomic and motor nerve pain is not as pronounced. The patient feels numbness in certain areas of the body, limbs, impaired their mobility. Therefore, when the pinched nerve is necessary to immediately consult a doctor and not to carry out therapy at home folk remedies. Because they help get rid of the surface symptoms, i.e. pain and inflammation, but will not remove the cause of the pinched nerve. Dulling of pain leads patients to a specialist at a later period, when complications arise in the form of movement disorders of the limbs (paresis) atrophy of the nerve.
Why there is pain
Low back pain is a very common disease characterized by destructive changes in bone and deformity of the vertebrae. The gaps between them are reduced, which leads to irritation and pinching of nerves. Osteochondrosis is the main cause compression of nerve fibers .
If temporis back muscles, there is severe pain. In addition, hypertonicity of the muscles affects the condition of the blood vessels, impairs blood circulation. This leads to dysfunction of the internal organs, disrupts the operation of the brain. Prolonged nerve compression is the death that leads to a decrease in sensitivity of individual sections of the body, inflammation, development of sciatica. There are other causes of pain:
- the sudden change of position of the body (sharp turn, bending);
- the creation of a sharp load on the spine after relaxation (relaxation, sleep);
- injury caused by any reasons;
- violations structure of the spine congenital or acquired;
- the postoperative period;
- hormonal failure;
- infectious factor;
- hernia and protrusion;
- spasm of the muscle tissue;
- the presence of tumors, expresso nerve;
There are other predisposing causes of a pinched nerve: pregnancy, scoliosis, genetic factor, offset disks, prolonged exercise. Very often such pains arise in the elderly. This is due to age-related changes of bone tissue.
Pain syndrome is called and when the disease of the joints. This is because the inflamed and swollen tissues compress the nerve, irritate it, thus causing pain while the pinched nerve .
Symptoms of pinched nerve
The main symptom of a pinched nerve is a sharp pain in the back, aimed at the go strinxit nerve endings. Pain syndrome severely limits the mobility of the patient. Any awkward movement or strain of the back muscles in the pinched nerve brings additional pain to the patient. The pain persists even at rest. Such patients find it difficult to sit, lie down and even stand, any physical work is impossible because of the strong lumbagoes that occur when changing the position of the torso.
Spine has physiological curvatures, which in this pathology is rectified, causing a spasm of nearby muscles. If the time to start the treatment of a pinched nerve, it is possible to avoid inflammation and edema of muscle and nerve fibers. The long-term treatment for pinched nerve leads to complications in the form of paresis and paralysis. So when you attack you need to immediately go to the doctor and carry out treatment.
Symptoms of a pinched nerve depend on the order in which the spine has been compression of the nerve fibers.
The cause of the pinched nerve in the lumbar region appear all the above reasons plus inactive way of life, as well as the constant increased load on the spine area.
The nature of pain ideas lumbagoes. They limit movement of the patient, not allowed to perform any physical activity. Disrupted the internal organs, especially the digestive tract. In patients with reduced peristalsis due to violations of the innervation of the small intestine and colon. Also it is difficult to perform the act of defecation, as pain syndrome causes muscle spasms of smooth muscles.
Pain syndrome was spreading in the course of the sciatic nerve as it is affected by such jamming. Patients can experience a loss or, conversely, increased sensitivity in the lower back, hip, and back side of the lower limb. The pain extends from the lumbar to the feet, therefore, patients with such lesions differ claudius on one leg.
Such patients are not active and are in a chosen position, so as not to provoke the appearance of pain syndrome. A pinched nerve causing a feeling of "tingling on the skin run", numbness of the body. This condition requires immediate medical attention to relieve muscle spasm, inflammation and prevent the development of complications.
Thoracic spine quite fixed in their physiological structure and the loss of the vertebrae and subsequent pinched nerve is a rare pathology. But if it happens, it is symptoms are very ambiguous, as in the thoracic nerves, innervating the heart muscle. So back pain often mistaken for heart pain. But there is one feature – such a pain not removed his heart medicine.
A characteristic feature of the pain syndrome in the grip end in the thoracic is the intercostal neuralgia the main symptom of which is surrounding the character. The patient is difficult to breathe, to move. Pain as if constricted chest and unable to move. To become more intense when breathing, coughing and sneezing. The pain extends to the chest, under the shoulder blade, shoulder and arm. Sometimes it feels small muscle twitching, tingling and numbness of the skin.
Pain when pinched nerve is of a diffuse character, where it is impossible to determine the localization of the lesion. It is perceived as heartfelt as it radiates to the arm and is felt in the heart. But the difference is that increases with movement. You may feel discomfort in the epigastric region. Then her confused with pain in gastritis, ulcers and other diseases of the gastrointestinal tract.
Prolonged compression of the nerves in the thoracic spine, the patient is disturbed heart rhythm, because they suffer the nerve endings innervating the myocardium. Deteriorating General condition of the patient, which is the reason for the treatment to the doctor.
The neck is the most mobile region of the spine, which accounts for the greatest burden. Therefore, cervical osteochondrosis most common pathology, which causes a pinched nerve in this area. Cause their protrusion, destructive changes, loss of vertebrae, various kinds of injuries. The nerve compression may occur with long-term human presence in one location. When this occurs, the swelling of the muscles and compression of their nerve. This affects and blood vessels resulting in the characteristic symptoms inherent only in case of problems with whiplash. As a result of violations of blood circulation suffers from the brain, which leads to:
- violations of concentration of attention;
- pressure surges.
In this condition characteristic symptoms of patients as hypertensives and hypotensives, as blood pressure is not stable and can abruptly rise or fall.
The character of the pain in the pinched nerve sharp, pulsating, aggravated by changes in head position. Ill try not to turn your head, which also facilitates the condition as the muscles stiffen and the pain resumed. For violation of occipital nerve pain occurs the back of his neck and occipital region. The pain rises to the parietal region and touches of whiskey. If pinched nerves, innervating the upper limb, marked pain in the shoulder and impaired flexion of the hand, the weakening of muscle tone. Sometimes compression in the neck leading to dysfunction of organs of the mouth, inability to swallow and speech.
This pathology has to be treated immediately because this interferes with the innervation of the arteries that supply the brain. The reduction in blood circulation leads to the development of ischemic stroke and a sharp increase in vascular tone can lead to bleeding. Therefore, when the first signs of the disease need medical attention.
With the onset of severe back pain (lumbago) it should be possible to quickly contact the clinic. If this is not possible, then at home to try to stop the seizure, triggered by a pinched nerve . First and foremost, it is necessary to limit movement and physical activity, lie on the bed with a firm mattress or on the floor, putting himself several times folded blanket. If the patient takes a sitting position, then the legs to put a highchair or any other hill, because only this position gives the maximum relaxation of the back muscles. In addition, you need to take:
- dolor drugs and spazmolitiki
- anti-inflammatory asteroidy;
- antiallergic medication.
In the acute period with the pinched nerve, you cannot do exercise, massage, and warm the sore spot or to take a hot bath. This leads to increased circulation and blood flow to the affected area and it causes edema that leads to increased pain. After removing the attack of intense pain, the patient will need to seek qualified help and perform the necessary treatment.
Often patients, removing sharp pain, but not treated in the clinic, but it's dangerous consequences, since a pinched nerve is caused by degenerative disc disease (most common cause), shift of the vertebra and no medical aid for yourself such cause is not removed. Attack to recover the patient should make any incorrect movement.
When contacting the clinic, the doctor will first gather a medical history (interview), will examine the patient and confirm diagnosis will be directed to further research, the most productive of which is MRI. Magnetic imaging provides the opportunity to determine the reason for jamming. It helps to see the protrusion or herniation that caused pain, structural changes of the vertebrae. It is performed if there is suspicion that the cause of compression of the nerve roots is herniation and protrusion.
If you suspect that the pain caused by the displacement of the vertebrae, CT is carried out. This technique gives an idea of the condition of the bone tissue, its degenerative changes, the position of the vertebrae. CT and MRI informative techniques, which allow for a small dose of radiation to make an accurate diagnosis.
If the patient has no ability to pass these tests, doing x-rays of the spine. This method is the least informative, but gives the opportunity to see the curvature of the spine. It has no effect on the soft tissues and did not show the presence of hernias, also on a picture it is impossible to determine the condition of the bone tissue.