Acupuncture Treatment of Sciatica

Acupuncture Treatment of Sciatica

Sciatica is a common disorder. With unilateral disease more common. More common in middle-aged men. Sudden onset. Acute onset of sciatica often the first to see the waist and lower back pain stiff sense, it may appear a few days later along the path of the sciatic nerve pain. Some patients also may have been a few weeks before the onset of walking or movement while drawing sometimes cause transient nerve pain, and gradually increase and the development of intense pain. More pain spread to the buttocks or feet from the hip down. In the medial femoral trochanter, ischial hole after iliac, the middle of the popliteal fossa, and lateral dorsal lateral leg behind the thigh of the most serious.
The pain is dull and there was persistent paroxysmal intensified, paroxysmal pain may be burning and lancinating, often at night intensified. To alleviate the pain, patients often take a variety of special reduce pain posture, for example, when sleep again hi to the contralateral side, the patient side of the hip and knee bent. When a patient needs to sit-ups, knee disease side will be bent, which is reflective curved protective. When sat down, first and foremost focus on the contralateral hip.
When standing, the body slightly to the contralateral are oblique, lower extremity disease in the hip, the knee bend, causing scoliosis, the most convex side of the disease, that is oblique to the contralateral trunk are to relieve the intervertebral foramen nerve root pressure. Also few convex to the contralateral, to relieve neural stem tension. When Widespread object, the patient will be affected knee flexion, so as not to stretch the sciatic nerve. Sciatica, and was exacerbated by the nature of the radioactive pain pain when coughing, sneezing and gas and hard. Lumbar spinous process and the transverse process tenderness the most obvious, and points along the sciatic nerve pathway less pain.
Sciatica clinical reasons, mostly lumbar disc bulge and recommended plexus and peripheral nerve damage and piriformis syndrome is more common, so the principle of acupuncture treatment of sciatica, muscle relaxation around the path of the sciatic nerve, and clear the meridians effect. Most patients protruding disc. Both sides of the spinal muscles are very stiff, acupuncture can relieve muscle quickly, and then relaxation lumbar oppression, for disc bulge can achieve a certain effect, even more than with the efficacy of Western medicine rehabilitation pull back better.
Divided  primary sciatica  and secondary categories on clinical sciatica. Primary sciatica (sciatic nerve inflammation) cause is still unclear, and may be cold outside, or between nerves mass infection by clinical relatively rare. Its performance for rapid onset, not severe pain at the beginning, but soon there will be severe along the sciatic nerve pathway unbearable pain, multi-site began to spread from the distal end of the buttocks or hip. Patients often have to sleep healthy knees to side; stand up from time to time from the contralateral efforts to support hand waist, bending often standing disease and limb to the body center of gravity moved to the special position of the contralateral pain relief. Straight leg raising test (patient supine, both legs naturally straight, limb elevation less than 70 degrees and cause leg pain) was significantly positive.
secondary categories on clinical Sciatica clinical manifestations of disease due to proximity to nerve root compression or irritation caused by dry and root into two categories, respectively, refers to pressure areas in the nerve roots or in terms of neural stem. Sciatica is the most common clinical, lesion located within the spinal canal, to the cause of lumbar disc herniation is more common, followed by a spinal tumors, spinal tuberculosis, lumbosacral nerve roots go far onset varies with the cause. Generally slow onset, many patients with a longer time under the back waist pain or backache, pain often from the waist to the side of the hip, thigh, popliteal fossa, lateral leg and foot radiation, was burning or knife like pain, worse at night, turn over and affect sleep. Often due to coughing, sneezing, bending or sudden shock, severe pain caused by increased activity.
Falling visible outside of the leg and dorsal limb numbness and sensory loss, gluteal muscle tension relaxation, stretching toe and toe flexor muscle weakness, tendon reflexes diminished or disappeared. Patients avoid nerve stretch, compression, often take a special position to reduce pain, such as lying to the contralateral hip, knee flexion, standing focus on the healthy side when sleeping, falling to the contralateral cause scoliosis, sitting see tilted to the contralateral hip to relieve nerve root compression. Straight leg raising test will not necessarily be positive. Dry sciatica lesions mainly in the sciatic spinal stroke, usually caused by sacroiliitis, pelvic tumors, pregnant uterus oppression, hip trauma, piriformis syndrome, intramuscular injection and diabetes caused by improper. Clinical manifestations of primary and sciatica symptoms are similar, but the difference is most obvious and slow onset of muscle atrophy and distal sensory deficits characteristic. CSF, making X-ray and CT, MRI slices can be confirmed.
Clinically, the disease easily confused with sciatica I think it is a hip fasciitis, aseptic necrosis of the femoral head and the other is. There are hip fasciitis hip pain, but often radiation to the thigh, calf and sometimes also feel discomfort, straight leg raising when there may be pain in the buttocks and thighs, it is easy to be confused with sciatica. But careful history can be found in patients with sciatica pain location is not the same site, the inspection can not find reflection and sensory disturbances often sciatica, leg straight leg raising when the sciatic nerve is not distribution. I think it is unique in acupuncture analgesia aspects of sciatica. Acupuncture treatment of sciatica is to achieve a therapeutic effect from several aspects.
First, the analgesic effect of acupuncture. To stimulate specific acupuncture points on the body to produce some kind of analgesic substance. Second, the anti-inflammatory effect of acupuncture. Acupuncture can stimulate specific acupuncture points, some kind of anti-inflammatory substances produced by the body. Third, the swelling effect of acupuncture. Acupuncture can improve local blood circulation, accelerate the elimination of local nerve root edema. Fourth, acupuncture can relieve local muscle tension, indirect play the Treatment of Sciatica.
Chinese medicine treatment of sciatica, the first is based on clinical symptoms to determine what type of illness choose a different treatment.
1. The cold, wet, paralysis type: cold sore waist and legs, walk up and down, flexion and extension inconvenience, cold rainy weather worsened, or with leg swelling; tongue, thin white or greasy, floating and tight pulse or sink. Acupuncture point selection:zhibian, yinlingquan, shumen, ashi.
2. Qi stagnation: a history of lower back injury, waist and legs tingling, sore afraid to push, push radiation was tingling, increased pain at night, the body can not prone and supine body flip difficulties; color dark purple tongue or ecchymosis, pulse astringent. Acupuncture point selection point selection;yanglingquan, geshu, xuehai, weizhong, ashi.
3. Kidney deficiency: lumbar and leg pain, recurrent physical work increased, the lower limbs and knees, afraid of the wind afraid of cold, lassitude, pale gray; less pale tongue, thin pulse. Acupuncture point selection:shenshu, weizhong, zusanli. sanyinjiao, ashi.
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