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Symptoms of disease - radicular pain

Radicular pain associated with irritation (compression) nerve root. She usually gives in the course of the nerve.

Which diseases there is radicular pain

Radicular pain is «shooting» character, and even in the dull, aching background sensations of movement, which reinforce irritation roots, causing the sharp stabs of pain. Almost always the pain changes in limb in the course of dermatome, more often in the knee joints, combined with the weakening of the sensitivity, decrease or loss of tendon reflexes, rarely with weakness and atrophy of the muscles in the area of innervation of the spine. Inclination of the torso forward, lifting straight up in the lap of the feet, coughing, sneezing, straining cause a shift, compression of roots and more pain.

Peripheral, spinal nerves most of them are mixed and consists of a motor, sensory and vegetative fibers, therefore symptom defeat nerve includes motor, sensory and secretory-trophic disorders. The defeat of the peripheral level of the nervous system may be at the roots, plexuses and their nerves.

The defeat of spinal roots (sciatica). The clinical picture is composed of the signs of simultaneous destruction front (motor) and rear (sensitive) roots, and in the first symptoms of the disease rear roots, as evidenced by the emergence of pain in the beginning of disease. Radicular symptom complex consists of the symptoms of irritation and loss.

Symptoms of irritation, as a rule, are at an early stage of the disease. Clinical signs of irritation roots appear in the form of recovery of tendon and periosteal reflexes, paresthesia, hyperesthesia (often superficial kinds of sensitivity), pain, pain points, typical of antalgic POS, etc. The symptoms of prolapse include weakening or complete disappearance of the tendon and periosteal reflexes, segmental hypoesthesia or anesthesia of the individual (or all) kinds of sensitivity. When the lesion roots there may be muscle-tonic phenomena (the symptoms lasegue's sign, Bekhterev, Neri, Dejerine, etc.). Sensitive disorders and movements, reflexes and trophic disturbances in the defeat roots are segmental character. Possible changes in the spinal fluid, associated with the stage of the disease and the localization of the pathological process. So, in the beginning of the disease, when dominated by the phenomenon of irritation roots in the spinal fluid can be increased the number of cellular elements. In the later stages of the disease, when the process goes on the radicular nerve, causing the swelling appears to increase the quantity of protein in normal or elevated cytosis.

Roots are closely linked with the membranes of the spinal cord, so the clinical picture of sciatica can complement meningeal symptoms. In such cases diagnosed meningoradiculitis.

Typical clinical symptoms of sciatica is their asymmetry. Symmetry radicular symptoms may occur with secondary radiculitis, caused by destructive changes in the vertebrae, especially their bodies (tuberculous spondylitis, metastases in the body of the vertebra, etc.).

During the transition of the pathological process in the cerebrospinal node talk about ganglion radiculitis. In such cases, the clinical picture of sciatica joins the picture of herpes zoster (herpes zoster). There are rash herpes rash in the area of innervation of the affected roots and their respective nodes.

The defeat of roots may occur at any level, therefore, emit cervical, thoracic and lumbar-sacral radiculitis.

The nerve fibers roots of the lumbar and sacral regions form the sciatic and femoral nerve, so radicular pain can be distributed in the course of these nerves. Radicular pain gets worse when you cough, sneeze, straining during defecation and lifting weights, cornering and bending the body, which is explained by the strengthening of inside radicular hypertension, which is based on microcirculatory disorders and swollen phenomena in the backs and their shell sheaths.

In the artificial strengthening of the inside radicular hypertension appear pain symptoms, and point.
Microcirculatory and swollen phenomena in the backs and their shell sheaths are observed in the lesion of the spinal column (osteochondrosis, prolapse of the intervertebral discs, spondylarthritis, espondilolistesis of, spondylitis etc.).

Radicular pain is often the cause of antalgic POS (scoliosis), revealed the curvature of the spinal column often in a healthy way. This reduces the load on the sick side and, therefore, squeezing the radicular-shell complex, which contributes to the reduction of congestion and edematous phenomena.

Which doctor should I contact if there is a radicular pain

  • Neurologist

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Do you feel radiculitis? You should be very careful approach to your health in general. People pay not enough attention to the symptoms of the disease and don't realize that these diseases can be critically dangerous. There are many diseases that in the beginning didn't manifest in our body, but in the end it turns out, unfortunately, it have already been treated too late. Every disease has its own specific features typical symptoms - called symptoms of the disease. Definition of symptoms is the first step in the diagnosis of diseases in general. You just need a few times a year to be screened by a doctor, not only to prevent a terrible disease, but also to maintain a healthy spirit in a body and the organism in general.

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Map of the symptoms and the types of pain is intended solely for educational purposes. We strongly recommend do NOT self-medicate; on all matters relating to the definition of the disease and ways of its treatment, contact your doctor. Md-tips is not responsible for the consequences of use information posted on the site.