Treatment for Ischialgia
namely :
1 . Drugs : analgesics, NSAIDs , muscle relaxan , medicine neurological recovery .
2 . Physical therapy Medical Rehabilitation Program
3 . Operation Discectomy : performed in the case of severe / very disturbing activities with drugs and Medical Rehabilitation program which can not help.
Showing posts with label Traumatic Neurology. Show all posts
Showing posts with label Traumatic Neurology. Show all posts
Pathophysiology of Ischialgia
Human vertebrae is consist of cervical, thorakal, lumbar, sacral, and coccyx. Part of vertebrae that form the lower back is the lumbar 1-5, the intervertebral disc and lumbar plexus also the sacral plexus. Lumbar plexus, exit through lumbar 1-4, which consists of iliohipogastric nerve, ilioinguinal nerve, femoral nerve, genitofemoral nerve, and the obturator nerve.
Ischialgia Classifications
Ischialgia divided into three, namely :
1 . Ischialgia, as a manifestation of primary neuritis ischiadicus
Ischialgia due to neuritis is the primary ischiadicus when ischiadicus exposed nerve inflammation process. The main signs and symptoms of primary ischiadicus neuritis is pain that is felt starting from the sacrum and hip joint area, precisely at the foramen infra piriformis or incisura ischiadica and spread throughout the trip and subsequent nerve ischiadicus peroneal and tibial nerve.
Ischialgia due to neuritis is the primary ischiadicus when ischiadicus exposed nerve inflammation process. The main signs and symptoms of primary ischiadicus neuritis is pain that is felt starting from the sacrum and hip joint area, precisely at the foramen infra piriformis or incisura ischiadica and spread throughout the trip and subsequent nerve ischiadicus peroneal and tibial nerve.
Medical Treatment and Therapy for Cervical Root Syndrome
A. DRUG
Analgesics or muscle relaxants can be given in the acute phase. These drugs are usually given for 7-10 days. Types of drugs that are widely used are usually of salicylate or NSAID group. If things felt pain so severe, it is sometimes necessary also narcotic analgesics such as codeine, meperidine, morphine and even can also be given.
Analgesics or muscle relaxants can be given in the acute phase. These drugs are usually given for 7-10 days. Types of drugs that are widely used are usually of salicylate or NSAID group. If things felt pain so severe, it is sometimes necessary also narcotic analgesics such as codeine, meperidine, morphine and even can also be given.
Cervical Root Syndrome
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| Cervical Root Syndrome |
Cervical Root Syndrome is a condition caused by irritation or compression of cervical nerve roots, which is characterized by pain in the neck that spreads to your arm or depending on where the nerve roots are pressed.
Medical Treatment and Therapy of HNP
Treatment
- Exercise is used to relieve pressure or compression of nerve
- Drug therapy: muscle relaxants, nonsteroidal, anti-inflammatory and analgesic drug.
- Hot and cold therapy.
- Immobilization or brancing, using a lumbosacral brace or corset.
- Therapeutic diets to lose weight
- Lumbar Traction, may help, but usually Resides
- Transcutaneus Electrical Nerve Stimulation (TENS).
a. Conservative when no neurologic deficits encountered:
- Sleep for 1-2 hours on a hard mattress
- Exercise is used to relieve pressure or compression of nerve
- Drug therapy: muscle relaxants, nonsteroidal, anti-inflammatory and analgesic drug.
- Hot and cold therapy.
- Immobilization or brancing, using a lumbosacral brace or corset.
- Therapeutic diets to lose weight
- Lumbar Traction, may help, but usually Resides
- Transcutaneus Electrical Nerve Stimulation (TENS).
Clinical Symptoms and Diagnosis of HNP
Clinical Symptoms
a. Low back pain is intermittent (within a few weeks to several years). Pain spreading according to the distribution of the sciatic nerve.
b. The nature of pain changed from lying to sitting position, ranging from back pain and continued to spread to the back and then to the lower leg.
c. Pain intensified as the originator of such movements waist when coughing or straining, standing, or sitting for long periods of time and reduced pain at rest or lying down.
d. Patients often complain of tingling (paraesthesia) or numbness even decreased muscle strength in accordance with the distribution of the involved nerves.
e. Pain increases when the L5-S1 region (line between the two iliac crest) is pressed.
f. If left unchecked, it will slowly lead to lower limb weakness / leg
g. conus or cauda equina if affected, can occur defecation disorders, micturition and sexual function. This situation is a neurological emergency that requires surgery to prevent permanent damage function.
h. Habits of patients need to be observed, when sitting more comfortable then sitting on the healthy side.
a. Low back pain is intermittent (within a few weeks to several years). Pain spreading according to the distribution of the sciatic nerve.
b. The nature of pain changed from lying to sitting position, ranging from back pain and continued to spread to the back and then to the lower leg.
c. Pain intensified as the originator of such movements waist when coughing or straining, standing, or sitting for long periods of time and reduced pain at rest or lying down.
d. Patients often complain of tingling (paraesthesia) or numbness even decreased muscle strength in accordance with the distribution of the involved nerves.
e. Pain increases when the L5-S1 region (line between the two iliac crest) is pressed.
f. If left unchecked, it will slowly lead to lower limb weakness / leg
g. conus or cauda equina if affected, can occur defecation disorders, micturition and sexual function. This situation is a neurological emergency that requires surgery to prevent permanent damage function.
h. Habits of patients need to be observed, when sitting more comfortable then sitting on the healthy side.
Pathogenesis, Etiology and Risk Factors of HNP
PATHOGENESIS
HNP or herniation of intervertebral discs, which are often referred to as the Lumbar Disc Syndrome or lumbosacral radiculopathies is a common cause of lower back pain acute, chronic or recurrent. Protrusion, rupture, shifting is a term used in the disc nucleus which is pushed out. If the nucleus under pressure, while the nucleus is between two endplate of the vertebral body is confronted and surrounded by the annulus fibrosus pressure causes the nucleus pushed out, called the nucleus pulposus hernia.
HNP or herniation of intervertebral discs, which are often referred to as the Lumbar Disc Syndrome or lumbosacral radiculopathies is a common cause of lower back pain acute, chronic or recurrent. Protrusion, rupture, shifting is a term used in the disc nucleus which is pushed out. If the nucleus under pressure, while the nucleus is between two endplate of the vertebral body is confronted and surrounded by the annulus fibrosus pressure causes the nucleus pushed out, called the nucleus pulposus hernia.
HNP (Hernia Nucleus Pulposus)
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| Low Back Pain |
Waist is the back of the body, which help to support the body, from thorax to the superior and stomach. In anatomic, waist is the county, spine L-1 until all the bones of the sacrum and the surrounding muscles. Haunch has a very important function in the human body. Important functions, among others, make the body upright, movement, and protect several vital organs.
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