Re: Nervishiatiku !
Sic e shikon me poshte nervi shiatic qe esthe ne te dyja kembet nuk kurohet me vitamina vetem por dhe me ilace te tjera deri ne operacion.
gjeja me e rendesishme esthe diagnositkimi, deri ku ka arritur demi, duhet lab test dhe sidomos MRI. sic thote me poshte duhet doc ta dije ne c'pjese esthe demtuar nervi dhe sidomos me e rendesishme cfare e shkakton ate dhe aty te behet nderhyrja jo thjesht per te "maskuar" dhimbjen.
sic e shikon pavaresisht se mund te thuhet qe tre persona jane me nerv shiatic s'do te thote qe mjekimi apo nderhyrja kirugjikale esthe e njejte.
me poshte thuhet qe nderhyrjet jane tre:
terapi fizike
ilace
operacion.
What you need to know about sciatica
Overview of sciatica causes and symptoms
Sciatica—pain along the large sciatic nerve that runs from the lower back down the back of each leg—is a relatively common form of back pain.
Sciatica is usually caused by pressure on the sciatic nerve from a herniated disc (also referred to as a ruptured disc, pinched nerve, slipped disk, etc.). The problem is often diagnosed as a "radiculopathy", meaning that a disc has protruded from its normal position in the vertebral column and is putting pressure on the radicular nerve (nerve root).
For some people, the pain from sciatica can be severe and debilitating. For others, the pain from sciatica might be infrequent and irritating, but has the potential to get worse. Usually, sciatica only affects one side of the lower body, and the pain often radiates from the lower back all the way through the back of the thigh and down through the leg. Depending on where the sciatic nerve is affected, the pain may also radiate to the foot or toes.
One or more of the following sensations may occur as a result of sciatica:
Pain in the rear or leg that is worse when sitting
Burning or tingling down the leg
Weakness, numbness or difficulty moving the leg or foot
A constant pain on one side of the rear
A shooting pain that makes it difficult to stand up
While sciatica can be very painful, it is rare that permanent nerve damage (tissue damage) will result. Most sciatica pain syndromes result from inflammation and will get better within two weeks to a few months. Also, because the spinal cord is not present in the lower (lumbar) spine, a herniated disc in this area of the anatomy does not present a danger of paralysis.
Symptoms that may constitute a medical emergency include progressive weakness in the legs or bladder/bowel incontinence. Patients with these symptoms may have cauda equina syndrome and should seek immediate medical attention.
Any condition that causes irritation or impingement on the sciatic nerve can cause the pain associated with sciatica. The most common cause is lumbar herniated disc. Other common causes of sciatica include lumbar spinal stenosis, degenerative disc disease, or isthmic spondylolisthesis.
Nerve pain is caused by a combination of pressure and inflammation on the nerve root, and treatment is centered on relieving both of these factors. Typical sciatica treatments include:
Manual treatments for sciatica (including physical therapy and osteopathic or chiropractic treatments) to help relieve the pressure.
Medical treatments for sciatica (such as NSAID’s, oral steroids, or epidural steroid injections) to help relieve the inflammation.
Surgery for sciatica (such as microdiscectomy or lumbar laminectomy) to help relieve both the pressure and inflammation may be warranted if the sciatic nerve pain is severe and has not been relieved with appropriate manual or medical treatments.
JA ME QARTE CFARE E SHKAKTON ( PRA TE TRAJTOHET SHKAKU DHE JO VETEM PASOJAT)
What causes sciatica?
The sciatic nerve is the largest nerve in the body. It starts in the low back at lumbar segment 3 (L3). The nerve roots run through the bony canal, and at each level a pair of nerve roots exits from the spine.
The nerve is named for the upper vertebral body that it runs between (for example, the nerve that exits at L4-L5 is named L4). The nerve passing to the next level runs over a weak spot in the disc space, which is the reason discs tend to herniate (extrude) right under the nerve root and can cause leg pain.
The sciatica symptoms (pain, numbness, tingling, weakness) are different depending on where the pressure on the nerve occurs. For example, a lumbar segment 5 (L5) nerve impingement can cause weakness in extension of the big toe and potentially in the ankle (foot drop) (See Figure 1).
Common conditions that can cause sciatica, or pain along the sciatic nerve include:
Lumbar herniated disc—A herniated disc occurs when the soft inner core of the disc (nucleus pulposus) extrudes through the fibrous outer core (annulus) and the bulge places pressure on the contiguous nerve root. In general, it is thought that a sudden twisting motion or injury can lead to an eventual disc herniation. A herniated disc is sometimes referred to as a slipped, ruptured, bulging, or protruding disc, or a pinched nerve.
See also Lumbar disc herniation
Lumbar spinal stenosis—This condition involves a narrowing of the spinal canal. It is more common in adults over age 60, and typically results from enlarged facet joints placing pressure on the nerve roots as they exit the spine.
See also Lumbar spinal stenosis
Degenerative disc disease—While disc degeneration is a natural process that occurs with aging, in some cases it can also lead to pain along the sciatic nerve. The condition is diagnosed when a weakened disc results in excessive micro-motion at the corresponding vertebral level and inflammatory proteins from inside the disc can become exposed and irritate the area.
See also Degenerative disc disease
Isthmic spondylolisthesis—Relatively common in adults (approximately 5% to 7% of adults), this condition rarely causes pain. It occurs when a small stress fracture, often at the fifth segment, allows the L5 vertebral body to slip forward on the S1 vertebral body. Caused by a combination of disc space collapse, the fracture, and the vertebral body slipping forward, the L5 nerve can get pinched as it exits the spine.
See also Isthmic spondylosthesisa
Piriformis syndrome—The sciatic nerve can get irritated as it runs under the piriformis muscle in the buttocks, leading to sciatica.
See also Piriformis syndrome - another irritation to the sciatic nerve
Sacroiliac joint dysfunction—Irritation of the sacroiliac joint can also irritate the L5 nerve, which lies on top of it, and cause sciatica.
See also What is sacroiliac joint dysfunction?
Le le ca dhimbje, por me pat ardhe nga pesha e rende qe mbaja. 