Hello! I work as a doctor for 21 years. My name is George O. Sapego. This article will tell you about how to distinguish between radicular pain from other back pain.
We will continue about the last lumbar spine.
The fifth lumbar (L5)
With him are most often the problem. From his back pain, and pain is distributed as stripes down the leg to the foot. It will be difficult to walk on his heels, because the foot can fall. Sometimes the muscles in the lower leg dry out, and it becomes clear outline of the tibia.
That is usually in the leg sticks out forward outer edge of the tibia, which we are fighting pain of various objects. With a decrease in muscle volume becomes visible also the inner edge of the tibia. It looks like a skeleton.
First sacral (S1)
Ache in the lower back and further down the leg to the foot. In this case, it is impossible to get up on your toes. The sensitivity is reduced on the outer edge of the foot to the little finger.
Further sacral (S2 / S3 / S4)
Can hurt in the buttocks or crotch. There may be problems in the form of unpleasant disruption of the pelvic organs (urinary and sexual dysfunction).
The sacrum is nothing special pinch roots, so they often are pressed higher. Somewhere at the L5 level. Remember that they are all together after the spinal cord ends?
Needless passes
As would be terrible not heard any herniated disc or spondylosis, but it is by and large age problems. It is clear that nature can not make too much of each person to suffer from age-related features. Therefore, problems with the roots at the level of the lumbar and sacrum are often themselves.
If the doctor did not find any suspicious signs on oncology, then you will not be hard to examine and identify the cause. Because there is the usual age-related reasons for the roof.
Will examine, if a long time passes, or if it is possible to operate.
That is, in a good tomogram should do if:
- legs slacken stronger and stronger;
- if the symptoms appeared on two legs;
- disrupted pelvic organs;
- decreased skin sensitivity to the crotch or buttocks (because here a short time and to the disruption of the pelvic organs);
- there is suspicion of oncology;
- there is a chance that this is some kind of an abscess pressing on nerves.
Simple x-rays usually do with such problems. Need tomography.
Simple x-rays in the lumbosacral region do, if there is a suspicion of abscess, fracture, tumor, spondylolisthesis (this offset vertebra due to its degradation), or before surgery.
Problems with roots in this area usually indicates sensitivity disorders: pain, burning all sorts, sverbeniya, numbness, tingling in the skin, or a skin sensitivity.
If weakened individual muscles in the leg, it is always suspiciously with spine problems. People sometimes do suggest the characteristic signs. For example, if you can not immediately get up from the chair, then the problem is in the iliopsoas muscle or quadriceps. If your knees are weak, this weakness in the quadriceps muscle.
If typical radicular pain (which pays down somewhere) comes from straining and decreases in the supine position, it is very similar to the compression (squeezing) the spine.
If the position of lying becomes worse, it's more like an inflammation.
If the pain started suddenly after being folded back, lifting or simultaneous injuries, it is also similar to the spine.
If it hurts to put pressure on myself vertebra, it can sometimes be a sign of infection. People between the ages often come to the hospital with some kind of urinary infection or something similar, and then they are eliminated somewhere ulcers or drains pus. And then at some point it all can settle on the vertebrae, and there is something to squeeze.
When the neurologist raises you lying on the couch, straight leg, and it hurts, then so are trying to identify radicular pain.
Let's do it again:
Ache in the lower back and sacrum can whatnot.
Radicular pain gives down to the legs. It may be a weakness in some muscles of the legs, or numbness of the skin.
If you have osteoporosis, you could break a vertebra. Then it will be hurt without roots.
If back pain and even fever, then it happens from ulcers.
Lower back pain can come from the internal organs in the abdomen. Then it will be easy to hurt back, and anywhere in the legs will not give. That is, there is some kind of oncology in the stomach, from which the back hurts. This may indicate a weight loss, pain at night, pain, or various unpredictable when it is impossible to find a comfortable position, the pain decreased.
All these symptoms are mixed and appear at the same time. With this it is necessary to understand the neurologist. Be sure to tell the doctor everything, because sometimes the diagnosis can be installed even on a characteristic story.
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