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Lumboishalgia

Lumboishalgia is pain in the lower back that radiates to the buttocks, leg, or hind leg. It can be accompanied by numbness and tingling in the area innervated by the sciatic nerve. The term lumboishalgia (synonymous with lumbosacral radiculitis) refers only to the pain syndrome and does not constitute a diagnosis.

Lumboishalgia is characterized by one or more symptoms:

• Persistent pain in the buttocks or thighs on one side only (less commonly in both legs)
• The pain increases when sitting
• A burning or tingling sensation that spreads throughout the leg
• Weakness, numbness, or limited movement in the leg
• Persistent pain on one side of the leg
• Acute pain that may make it difficult to stand up or walk

The pain syndrome in lumboishalgia can vary in severity depending on the underlying disease that led to the development of lumboishalgia. The symptoms of lumboishalgia are caused by irritation of the sciatic nerve.

The sciatic nerve is the largest nerve in the body and consists of individual nerve roots that originate in the lumbar spine (at the level of L3) and together form the 'sciatic nerve'. The sciatic nerve runs from the lumbar spine to the leg. Parts of the sciatic nerve then branch out into each leg and supply specific parts of the leg – buttocks, thighs, calves, feet and toes.

Symptoms of lumbosacral sciatica (lumbosacral radiculitis), such as pain, leg pain, numbness, tingling, and weakness, can vary depending on where the nerve has been compressed.

The incidence of lumbosacral radiculitis increases in middle age. Lumboishalgia rarely occurs before the age of 20; such pain syndromes most commonly occur between the ages of 40 and 50, although the likelihood of lumboishalgia decreases with increasing age.

Often, certain events or injuries do not cause inflammation of the sciatic nerve, but over time the injury leads to the development of ischalgia. In the vast majority of patients, conservative treatment is quite effective and the pain subsides significantly within a few weeks, but in a number of patients the pain syndrome can be permanent.

causes

There are six common causes of lumboishalgia:

disc prolapse Herniated disc in the lumbar spine.

A herniated disc occurs when the soft inner core of the disc (nucleus pulposus) breaks through the fibrous outer ring and affects nearby nerve roots.

Degenerative changes in the intervertebral discs are a natural regression process that occurs as the body ages. Degenerative disc changes can lead to root irritation and the development of pain syndrome.

The disease occurs when the vertebral arches are damaged (spondylolysis), causing one vertebra to slip relative to the other. Slipping of the vertebrae results in damage and displacement of the intervertebral disc, which together can irritate the nerve roots and cause irritation of the sciatic nerve.

Stenosis of the spinal canal Lumbar spinal canal stenosis

This condition usually causes inflammation of the sciatic nerve due to spinal stenosis. Lumbar spinal canal stenosis is most often associated with natural regression processes of the spine and occurs in patients over 60 years of age. This condition is usually the result of a combination of one or more of the following factors: enlargement of the facet joints due to bone hypertrophy, hypertrophy of the soft tissues (ligamentous apparatus), and bulging discs (herniated discs).

Irritation of the sciatic nerve can occur in the area that runs below the sternocleidomastoid muscle into the buttocks. If the sternocleidomastoid muscle spasms or other changes occur in this muscle, the sciatic nerve may be damaged and pain may occur. Although it is a separate syndrome, the leg pain can be similar to lumboishalgia.

etiology

Let's see why the right leg goes numb. The main mechanism for this condition is an innervation disorder in which there is separation of the nerve and skin, resulting in loss of sensation. The head and spinal cord stop 'feeling' certain areas of the human body, and pain and tingling gradually appear in the limbs, which are the first signs of abnormal conduction in the nerve tissue.

Important!!!

If one-sided numbness occurs in the right arm and leg, the cause can be sought in the upper parts of the nervous system. These are usually spinal roots or insertion neurons of the spinal cord.

In most cases, the spinal cord is the culprit.

Nausea in the right leg is most often caused by various diseases of the spine, since this is where the weight of the body rests and therefore it is more susceptible to injury. The most common include:

• Herniated disc – characterized by a rupture of the disc and subsequent compression of the spinal cord by its contents. This condition can be accompanied not only by numbness, but also by burning pain along the nerve pathways and mild inflammatory reactions in the spinal area;
• Protrusion – a condition similar to a herniated disc. Only the intervertebral disc is not damaged, but rather its fibers are weakened and press on the nerve. The symptoms are very similar to the previous ones, but resolve more quickly with a little rest;
• Spinal canal stenosis is a narrowing of the spinal canal, in this case in the lumbar spine area. Due to the narrowing of the canal lumen, not only the nerves are compressed, but also the surface of the spinal cord, which is responsible for the sensation of the lower limbs on the right side;
• Spinal slip (spondylolisthesis) – it is not uncommon for this reason to cause numbness and pain in the right leg. It is characterized by a vertebra protruding beyond its normal axis and penetrating a nerve or the spinal cord;
• Tunnel syndrome – this diagnosis is made when the spine is severely damaged. This condition affects multiple radii (upper, middle, and lower), each leading to a different limb segment. The symptoms can therefore migrate - first numbness in the right thigh, then in the knee, knees and feet up to the big toe.

Physiological causes

Sometimes the numbness in the right leg may be caused by physiological abnormalities. These are not illnesses, but rather a result of fatigue, prolonged immobility or stress. Sometimes vitamin deficiencies are also the cause. In such cases, these should be supplemented and the patient can rest.

Specialist opinion!!!

Loss of sensation is rarely localized - it is usually localized in the upper or lower extremities and often affects the right leg from hip to knee or isolated numbness in the fingers. If this is the case, it is advisable to be examined by a neurologist, take tests and start treatment. Otherwise, local trophic disorders, skin, muscle and bone loss may occur.

Prevention of spider veins

Although spider veins are not dangerous in themselves, they can be an indication that something is wrong. Sometimes spider veins go undetected, but exercise and vitamin complexes help strengthen the capillary network.

• Avoiding baths, saunas and solariums.
• Take OC only as prescribed by a doctor.
• Control of body weight.
• At least 2.5 hours of exercise per week, preferably 3-4 times for 30 minutes each.
• Blood pressure monitoring.
• Timely treatment of cardiovascular diseases.
• A healthy diet with lots of vegetables, fruits and nuts.

Modern minimally invasive techniques such as sclerotherapy and laser treatment are used to eliminate the mesh. The patient may be prescribed conservative treatment and must wear compression clothing. The treatment method is selected individually taking into account the underlying medical conditions.

If you are concerned about spider veins on your legs, you should get checked out at CHSC. Residents of Moscow and the Moscow region can receive appropriate medical care and get rid of vascular plexuses safely and painlessly.

Why does the hip go numb, causes ↑.

• Lumbar disc herniation, bulging due to lumbar osteochondrosis;
• Vertebrogenic radiculopathy, sciatica;
• Sciatica, lumbo-sciatica, inflammation or neuralgia of the sciatic nerve;
• Bernhardt-Roth disease, other tunnel syndromes;
• Stenosis of the spinal canal due to degenerative-dystrophic processes.

To confirm the diagnosis, an MRI of the lumbar spine, a spinal X-ray, a CT scan, and neuromyography are recommended. With these problems, symptoms worsen with movement of the lower limbs, spine, legs, and strain on the back (e.g., lying/sitting/walking).

• varicose veins, arteritis, other vascular lesions;
• Stroke, TIA
• Tumors of the brain, spinal cord and tracts;
• multiple sclerosis, other demyelinating diseases;
• diabetes mellitus;
• Effects of poisoning the body - the substances that lead to these symptoms are diverse, from long-term alcohol consumption to certain medications;
• In mental disorders with a prolonged course of symptoms (more than 6 months), patients are prescribed antidepressants to stabilize the psycho-emotional state. Almost all patients have psychiatric disorders, even if there is a clear cause that cannot be eliminated over a long period of time;
• thyroid disease;
• consequences of trauma, frostbite;

Differential diagnosis can rule out other problems that cause similar symptoms. Through an examination and a complete medical history, the doctor can rule out underlying diseases. Identifying injuries, hypothermia symptoms, and blood flow can help narrow the list of diagnostic methods. General blood and urine tests, blood chemistry, ultrasound of internal organs, thyroid, lower limb blood vessels, brain MRI, oncology, etc. may be recommended.

What treatment for hip numbness ↑.

There are many methods for restoring feeling in the leg, but all must be used after a diagnosis and differential diagnosis.

The results are always positive if the patient is treated on time. However, if the numbness persists for many months, nerve root atrophy occurs and the feeling can persist for life. Without treatment, symptoms worsen to severe pain and weakness in the leg. There is a limp, an antalgic posture (the weight of the body is shifted to the healthy leg, which leads to a curvature of the spine) and, after a few months, psychological disorders in the form of depression.

For spinal lesions, spinal correction is used to eliminate the cause of the symptoms and prevent them from getting worse again. For severe inflammation, NSAIDs (anti-inflammatory drugs such as Diclofenac, Meloxicam, Xevocam, Nimesil, etc.), muscle relaxants, B vitamins, nootropics, etc. may be prescribed. A specific therapeutic exercise program is then selected to restore lost function, optimize movement stereotypes, and fully restore the affected side. The earlier treatment is started, the fewer the consequences for later treatment.

side effects

If all contraindications and the patient's anatomy are taken into account, no side effects should occur. However, if an inadequate diagnosis has been made, the following side effects may occur:

• muscle damage, joint damage;
• Formation of blood clots if the patient is prone to thrombophlebitis, which can lead to vascular occlusion and subsequent tissue or organ necrosis;
• the appearance of subcutaneous hemorrhages of various sizes.

To avoid side effects, all contraindications should be taken into account and preliminary diagnosis should be carried out, especially when choosing a therapeutic type of massage. A massage without a doctor's recommendation is not recommended.

Recommendations based on age and condition

Recommendations for massage of the lower limbs are differentiated according to age and body condition. There are differences between children and pregnant women.

Therapeutic massages can be carried out as early as infancy. It is recommended from 1.5-2 months of age. The pediatrician determines the indications depending on the musculoskeletal system. It is suitable for the following diseases:

The listed pathologies are diagnosed by the orthopedist after an examination and instrumental tests.

In pregnant women, therapeutic massage of the lower limbs can be used, but it should be carried out carefully to avoid overload. However, it is not allowed to carry out the technique during this period if the following conditions exist:

• The first 12 weeks of pregnancy;
• toxicosis;
• Any negative condition that could lead to miscarriage;
• swelling in the legs due to poor circulation;
• fluctuations in high blood pressure, hypertension and hypotension;
• varicose vein injuries;
• Chronic diseases that are contraindicated even if you are not pregnant;
• Viral or bacterial infections accompanied by fever and swollen lymph nodes.

During pregnancy, massage should be gentle and mild, without violent movements, low-frequency electric current or vibration.

Self-massage advice

Between professional therapeutic massages, self-massage is advisable, but in compliance with certain rules:

• The pressure is reduced, light massaging and stroking is permitted;
• Maintaining the area of effect, e.g. B. for inflamed joints, massage the area, but not the center of the lesion, to normalize blood flow;
• Use oils, gels and creams to make movements easier.

How do I care for my skin after the ultrasonic peeling?

After an ultrasound peeling, there are no special requirements for the regeneration of the skin, as there are no cell injuries. However, to achieve an optimal result, certain rules must be followed, as the pores remain open for some time after the treatment. It is important to prevent contaminants from entering.

• It is not advisable to apply makeup to the face 8-15 hours after ultrasonic cleaning.
• On the first day, it is not desirable to visit the sauna, solarium, swimming pool and stay in the sun for a long time.
• Before going outdoors, you should apply a sunscreen with a high SPF for 2-3 days.
• Cleanse your skin with mild cleansers and avoid products containing alcohol.
• Drink as much pure water as possible to avoid dehydration.

Ultrasonic facial cleansing at home is a great alternative to expensive salon treatments. Using a special device, you can always keep your skin in perfect condition, enjoy a flawless appearance and delay the natural aging process.

Stages of cellulite formation and their features

There are altogether 4 stages of development A condition that involves a localized accumulation of subcutaneous fat cells.

1. The first stage is not suspicious because the 'orange peel' is not yet visible. A slight bump can only be seen when a specific area of skin is squeezed. In its normal state, the skin is still smooth and even. The extent of the affected areas depends on the degree of disruption of blood circulation and lymphatic flow. The low outflow of tissue fluid and inadequate blood supply deprives cells of oxygen, so they begin to absorb whatever comes their way whenever they need it. Hematomas and small capillary spider veins can easily form in the body.
2. The second stage is the visible appearance of cellulite. The topography of the skin changes and dimples and lumps become visible when the muscles become tense. The cells continue to increase in size, causing tissue swelling and compression of the vessel walls. The local lymph and blood supply is impaired. The entire metabolism is slowed down and the cells activate the process of lipogenesis in the absence of oxygen. Slags and toxic substances accumulate in the tissue. All lipolysis processes are inhibited. At this stage of development of structural changes in the subcutaneous layer, there is an increase in tissue fibers and an increase in their density.
3. In the third stage, skin irregularities and lumps are visible even when the muscles of the legs and thighs are completely relaxed. The therapeutic examination shows that the body temperature in the areas affected by cellulite is significantly lower than in the rest of the body. Skin sensitivity increases. When pressure is applied, painful sensations appear. This is because the cell proliferation has reached the nerve endings of the connective tissue. The tissue metabolism itself is disrupted, and the affected cells continue to accumulate waste products and metabolic waste products. Women with the third stage of cellulite have venous dilatation. The walls of the capillaries become thicker and thicker. Acidic compounds, triglycerides and various toxins accumulate in the basic structural and functional biological units. The tissue membranes become thick. The metabolic processes in the affected cell come to a standstill.
4. The fourth stage is the final stage of localized disease and is significantly advanced. The skin has noticeable thickenings and holes and becomes thick and rough. Severe pain occurs when it comes into contact with the skin. During palpation, numerous nodes of different sizes can be felt. Extensive microlayers can be observed.

Prevention of cellulite in the early stages

The most effective methods for preventing cellulite in the initial stages are.

Physical activity

When it comes to physical activity, the best way to prevent cellulite is walking - just 4-5 km a day. It should be noted that only walking in sports shoes or at least in shoes with low heels has a positive effect, as high heels disrupt the distribution of the body's weight and hinder blood circulation. For people with a sedentary lifestyle and full-time work, it is important to get the blood flowing every half hour - go for a walk, do a few dozen sit-ups or simple stretching exercises.

Targeted daily activity – playing sports, going to the gym – is also a good idea. In the gym, the main piece of equipment is a stationary bike. Glute walking can achieve excellent results in preventing cellulite on the buttocks and thighs, and swinging your legs upwards while lying on your side is also effective. Regular abdominal exercises keep the stomach toned, and twisting exercises are good for the waist. Jumping rope and jogging are good for preventing cellulite because they are an easy way to stimulate metabolism and blood circulation and strengthen muscles.

Right nutrition

If you want to avoid cellulite, you should pay attention to your diet. Try to minimize or avoid fatty and salty foods, fast food and sugary carbonated drinks. Animal fats in particular have a negative effect on the body. Sweets and cakes should also be kept to a minimum. A healthy diet without fanaticism can help avoid the development of cellulite: vegetables and greens, fruits, natural juices, vegetable oils, dairy products, whole grain groats, boiled lean meat. Don't overdo it, but make sure you eat a healthy diet.

Scaly skin on the hands: causes

In many cases, this phenomenon has very obvious causes that do not require lengthy investigation. This includes:

• exposure to air temperature;
• Excessive dryness;
• exposure to chemicals;
• mechanical damage (due to rubbing jewelry, watch straps, etc.).

In some cases, you can solve the problem yourself by applying a cream or a special cosmetic oil. However, if the irritation persists, the cause should be clarified by a doctor. It could be an allergic reaction or a skin disease, so an accurate diagnosis is required.

The causes of the problem

The causes of hand and finger irritation are diverse and can be divided into several groups.

• Physical causes. These include air temperature, wind, humidity, sun, friction and so on.
• Chemical. There is no question why people who handle chemicals in their work have dry and flaky hands. However, it should not be forgotten that cleaning and detergents used at home can also cause irritation.
• Biological. We are irritated by pollen and plant juices, which are often seasonal.
• Internally. Disorders of various organs also lead to this problem. The causes can range from disorders of the digestive system to disorders of the endocrine glands. In this case, the diagnosis is always made by a specialist.

Allergic reaction

Irritation can occur after a single or systematic contact with an allergen. Therefore, the problem may worsen at certain times of the year, when using certain products, cosmetics or when in contact with synthetic materials. In some cases, the question of the causes does not even arise - the person knows very well what the negative reaction is due to. However, when the unpleasant symptoms appear for the first time, it is important to analyze what caused them and what was the trigger for the negative manifestations. The doctor's diagnosis in this case may be atopic dermatitis or contact dermatitis, eczema, urticaria; in many cases, the deterioration of the outer shell is accompanied by itching.

Vitamin deficiency: why hands become so flaky

Avitaminosis and other metabolic disorders can worsen the condition of the epidermis. You should also enrich your diet with essential minerals and other nutrients that are good for all organs and systems. These include the following vitamins:

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