Lumbar radiculitis is a complex of symptoms that accompanies the inflammation of the nerve roots entering the intervertebral forequarter of the lumbosacral region of the spine. The pathology develops sharply and often turns into a chronic form with periodically arising exacerbations of different duration. Most often, radiculitis is associated with osteochondrosis of the spine. Consider what are the symptoms of lumbar (lumbosacral) radiculitis, and what medication is effective in this case.
Symptoms of lumbar (lumbosacral) sciatica
With the radiculitis of this localization, painful sensations are concentrated in the lumbosacral region and the buttock and are given to the groin, hip, shin, foot, and toe tips. The pain arises abruptly, unexpectedly. In this case, patients note that the pain increases with the movement of the trunk or leg, tilting the head forward, straining, coughing and sneezing. To alleviate the condition, patients often take a forced position lying on the healthy half of the body with an injured leg pressed to the stomach.
As the pathology progresses, the following symptoms develop:
- a violation of the sensitivity of the skin along the course of nerve damage, expressed in the sensation of numbness, tingling, burning;
- blanching, cooling and dryness of the skin along the affected nerve due to tissue trophism;
- the expressed tension of the muscles in the lumbar region, which later become thinner and weaker.
Treatment of lumbar spine sciatica with medicines
Drug treatment through drugs of different groups and forms with symptoms of sciatica is an important component of complex therapy, including also physiotherapy procedures, massage, medical gymnastics, etc. The appointment of medications should be handled by a doctor after examining the patient, carrying out a series of diagnostic studies. In severe cases of lumbar radiculitis, treatment is performed in a hospital setting and medications are used as injections intramuscularly, and medicinal substances can be injected directly into the epidural space of the spinal cord.
As a rule, systemic preparations of the following groups are used:
- Nonsteroidal anti-inflammatory drugs (Ibuprofen, Diclofenac, Ketorolac, Indomethacin, Naproxen, etc.), which help to reduce the inflammatory reaction in the area of compression of the nerve root and reduce pain.
- Miorelaxants (Midokalm, Sirdalud, Baksolan, etc.) - to relax spasmodic skeletal muscles, reduce pain and increase motor activity.
- Vitamin preparations (vitamins B, P) - to improve the conduct of impulses along the nerves, restore nervous tissue.
- Biostimulants (aloe extract, Plasmol, FBS, etc.), which promote the activation of metabolic processes in the inflammatory focus.
- Steroid drugs (Hydrocortisone, Prednisolone, Dexamethasone, etc.) - with the inefficiency of non-steroidal anti-inflammatory drugs in order to reduce the inflammatory process, relieve pain, eliminate puffiness.
Of the local drugs with radiculitis most often used ointments, gels and creams
- Fastum gel;
- Voltaren ;
- Finalgon;
- Viprsal;
- Apisatron and others.