Radiculitis — a disease of peripheral nerves, roots of a spinal cord in cervical, chest, lumbar or sacral departments of a backbone. The most characteristic symptom — severe pain. The atrophy of muscles develops, the tone of muscles of a leg decreases, sluggish paresis or paralysis is noted. At lumbosacral radiculitis the bearing (a trunk distortion), gait is broken (lameness because of sharp pain), the movements in leg joints on the party of defeat are limited. At unilateral chronic radiculitis the bearing also changes that leads to scoliosis. Radiculitis causes temporary, quite often long, disability, and even change of a profession in certain cases is required (for example, the driver of the car).
In the following cases it is necessary to see a doctor:
At distribution of pain from a back to a leg or both legs.
At distribution of pain on intercostal nerves — neuralgia of intercostal nerves.
To immediately call the doctor at a dorsodynia which is followed by vomiting, a diarrhea, blood in urine, high (it is higher than 38 degrees) temperature.
In the acute and subacute periods of radiculitis select the most optimum pose, do massage, special physical exercises. At cervicothoracic radiculitis with disturbance of movements of hands and sharp pain in a forearm and a shoulder it is recommended to sleep on spin or on a stomach, having taken away hands in the parties at right angle, and exercises for brushes and forearms carry out leaning against a table. At lumbosacral radiculitis with sharply expressed pain of the patient it is necessary to lay on a back, under knees to enclose the high roller, legs to part and turn outside, having connected heels ("frog") (fig. at the left); in a ventral decubitus under a basin put a pillow which upper end is at the level of combs of ileal bones and the umbilical line.
Extension at cervical and verkhnegrudny radiculitis is done by Gleason's loop in a dorsal decubitus on the inclined plane or on a bed which headboard is lifted; at nizhnegrudny and lumbosacral radiculitis — in a dorsal decubitus or on a stomach on the inclined plane with fixing of a trunk straps in axillary areas (as well as at compression fractures of vertebras without injury of a spinal cord) (fig. on the right), and in the subsequent — by means of scales on wall bars (from 2 — 3 with till 1 min. 2 — 4 times in one occupation).
During massage at radiculitis run extension of a backbone hands (very carefully, especially if the disk is damaged). Pair massage with extension is very effective: two massage therapists synchronously mass at the same time same receptions a back, a sacrum, buttocks and legs; extension is carried out by A. N. Trankvillitati's technique as follows. The patient lies on a stomach, one massage therapist is up to standard sideways from it of a basin and fixes both hands a basin for combs of ileal bones; the second massage therapist costs at the head facing him and both hands (fingers are connected) reception of squeezing from a sacrum to a neck masses a back, having put thumbs on cross shoots of vertebrae, and clasping with other fingers and palms muscles. So repeat 10 times. Then take the patient for armpits and carefully the 10th time in a row pull it during 5 — 10 up with, then 10 — 15 pages have a rest.
Then mass back muscles by means of squeezing again, stretching them from below up (10 times). After that the massage therapist brings the hands under the patient's mice, raises him for upper part of a trunk and, as if extending up, moves it from right to left and vice versa — on 10 times in each party, then again masses back muscles. Then massage therapists on both sides synchronously mass muscles of lumbar area in the cross direction (from a backbone to sides), as much as possible stretching and squeezing out them. After massage in skin rub anesthetics and the warming ointments (finalgon, nikofleks, apizartron, etc.), apply a woolen bandage, fixing it 8 — 10 elastic wide rollers or a special belt or a corset.
Problems of physiotherapy exercises in the first period — to promote improvement krovo-and lymphokineses, a fabric exchange, to an inflammation center rassasyvaniye, fight against developments of stagnation, hypostasis, relaxation of tight muscles (the muscular roller on the struck party), to elimination of pain. Duration of occupations is from 5 to 30 min. 4 — 6 times a day, in a dorsal decubitus or a stomach.
In the second period try to obtain recovery of functions of the affected extremities and all organism. Exercises carry out standing on wall bars or near it, on exercise machines, include gymnastics in water; each exercise 6 — 10 times, including exercises in water repeat, all complex 4 — 6 times a day. In the third period train all organism, paying special attention to exercises for hands and legs.
During removal of intervertebral disks the physiotherapy exercises are appointed to the second day after operation. The main objective of the postoperative period — recovery of movements and the prevention of formation of commissures.
The polyneuritis is a damage of several nerves. If process at the same time develops in nervous trunks and in nerveroots, then the disease is called a polyradiculoneuritis. Origins of these illnesses the same, as neuritis. The polyneuritis and a polyradiculoneuritis are followed by sharp pain therefore it is necessary to pick up in each separate case the correct and painless pose in a bed. Physical exercises carry out by the same technique, as at neuritis.