Symptoms and treatment of cortical transverse femoral syndrome. Compression of the crown S1 Forecast and inheritance

A symptom complex that is formed as a result of different etiology of the spinal cortex and is manifested by symptoms of tension (pain, muscle tension, antalgic posture, paresthesia) and depression (paresis, decreased sensitivity, meat hypotrophy, hyporeflexia, trophic disorders). Core syndrome is diagnosed clinically, its cause is determined by the results of radiography, CT and MRI of the ridge. Treatment is often conservative; when indicated, surgical removal of the corinc compression factor is performed.

Zagalnye Vidomosti

Korinkovy syndrome is a widening vertebrogenic symptom complex, which has a variable etiology. Previously, before Corincian syndrome, the term “radiculitis” was used to mean sciatica. However, this does not entirely indicate effectiveness. The remaining studies showed that the ignition process in corona, most often every day, takes place in the place of reflex and compression mechanisms of its effect. In connection with this, clinical practice has become accustomed to the term “radiculopathy” - high-grade corinc. Most often, Corincian syndrome occurs in the transverse-crural section of the spinal joint and connections with the 5th transverse (L5) and 1st transverse (S1) ridges. Rarely, cervical radiculopathy occurs, and even less often, thoracic radiculopathy. The peak of sickness is in the middle age category - from 40 to 60 years. Based on the results of current neurology and vertebrology, we have recently identified the reduction of the factor that causes compression of corona, as a result of which the pressure causes degenerative processes in corona with the development of persistent disabling neurological dysfunction.

Reason

There are 31 pairs of spinal nerves coming from both sides of the human spinal column, which take their origin from the spinal roots. The skin of the spinal (spinal cord) is formed by the posterior (sensory) and anterior (motor) glands, which exit the spinal cord. The spinal canal exits through the interspine opening. This is the thinnest place where the crust is most likely to be crushed. Corincian syndrome may develop both as a primary mechanical compression of the corinx itself, and as a secondary compression of the nerve that develops as a result of compression of the cortical veins. The compression of the cortical vessels and the disorder of microcirculation, which occurs with swelling, in their turn become additional factors for the cortical depression.

The most widespread cause that provokes Corincian syndrome is osteochondrosis of the ridge. A decrease in the height of the intercostal disc entails a change in the diameter of the intervertebral openings and creates a change in the pressure of the cords that pass through them. In addition, the compression factor may be the intervertebral hernia, which develops as a result of osteochondrosis. Corincium syndrome can occur when the corincium is compressed by osteophytes, which resolves with spondylosis or changes in parts of the arcuate joint as a result of spondyloarthrosis.

Traumatic damage to the spinal cord can be avoided with spondylolisthesis, spinal injuries, or spinal dislocation. Inflammatory corona is possible with syphilis, tuberculosis, spinal meningitis, osteomyelitis of the ridge. Corinx syndrome of neoplastic genesis occurs with swelling of the spinal cord, neuroma of the spinal cord, swelling of the spinal cord. Instability of the spine, which is caused by the displacement of the spine, can also be the cause of Corinx syndrome. Factors precipitating the development of radiculopathy include abnormal pressure on the spine, hormonal imbalances, obesity, physical inactivity, abnormalities in the development of the spine, hypothermia.

Symptoms

The clinical picture of cortical syndrome consists of various symptoms of subdivisions of the spinal cortices and related functions. The severity of the sign of subdivision and type is indicated by the degree of compression of the spine, individual characteristics of growth, the shape and thickness of the spinal spines, and intercorinal ligaments.

Symptoms of teasing include pain syndrome, musculoskeletal disorders, pain in the stomach or fascicular muscles, sensory disorders such as tingling or repeated goosebumps (paresthesia), local sensation of heat/cold (dysesthesia). The salient features of corona pain are its burning, burning and shooting character; the appearance of only animals in the area that is innervated by the corona; widening from the center to the periphery (from the ridge to the distal arms and legs); increased during overexertion, severe stress, laughter, coughing, coughing. Pain syndrome refers to the reflexive, tonic tension of the muscles and ligaments in the patient's body, which causes severe pain. To change the remaining patients, take a gentle position and place the arms around the affected part of the ridge. Meat-tonic changes are more pronounced on the side of the affected spine, which can lead to a distortion of the crown, in the neck - to the formation of a torticollis, with further curvature of the ridge.

Symptoms of Vipadannya appear when the Corinthian is struck, which is far away. The stinks are manifested by weakness of the muscles (paresis), which are innervated by the cortex, decreased vascular tendon reflexes (hyporeflexia), changes in sensitivity in the zone of nerve innervation (hypoesthesia єyu). A section of the skin, for the sensitivity of which one root indicates, is called a dermatome. It receives innervation not only from the main spine, but often from the superior one. Therefore, in case of significant compression of one core, hypoesthesia is avoided, while in polyradiculopathy with pathology of several cores, repeated anesthesia is indicated. Over the years, trophic damage develops in the area innervated by corticosteroids, which leads to muscle hypotrophy, thinning, looseness and rotten skin.

Symptoms of high fever

Korinet S1. It is localized in the body, most often the pain is confused, perhaps boring. The head is placed on the forehead on the opposite side. The tension of the soft tissues and their palpatory pain are indicated.

Korinet S2. The political and dark side is on the side of defeat. The exchanges turned and shook their heads. Beware of hypoesthesia of the skin.

Korinet S3. It covers the face, the lateral surface of the neck, the area of the mamillary process, irradiates the tongue, orbit, and forehead. In these areas, paresthesia is localized and hypoesthesia is avoided. Corincian syndrome includes difficulty in healing and extension of the head, pain in the paravertebral points and spots over the spinous process of C3.

Korinet S4. The pain at the shoulder girdle transitions to the anterior surface of the breasts, reaching the 4th rib. Widens along the posterolateral surface of the neck to the middle 1/3. Reflex transmission of pathological impulses to the phrenic nerve can lead to the appearance of hooting and phonation disorder.

Korinet S5. Corincian syndrome of this localization is manifested by pain in the shoulder girdle and on the lateral surface of the shoulder, and there is also sensory disturbance. The abduction of the shoulder is impaired, hypotrophy of the deltoid is indicated, and the biceps reflex is reduced.

Korinet S6. The length of the neck extends through the biceps area to the outer surface of the forearm and the thumb. Hypoesthesia of the remaining and outer surface of the lower 1/3 of the forearm appears. Beware of paresis of the biceps, shoulder muscles, supinators and pronators of the forearm. Decreased reflex from the wrist.

Korinet S7. Running along the back surface of the shoulder and forearm, it reaches the middle finger of the hand. Considering those that the C7 nerve innervates the bones, this syndrome is characterized by the deep nature of the pain. Decreased muscle strength is indicated in the triceps, pectoralis major and vastus, flexors and wrist extensors. Decreased triceps reflex.

Korinet S8. In this area, cortical syndrome occurs rarely. Pain, hypoesthesia and paresthesia spread to the inner surface of the forearm, ring finger and little finger. Weakness of the flexors and extensors of the wrist, and the muscles of the fingers is characteristic.

Corinnia T1-T2. The area around the shoulder joint and groin area may extend below the collarbone and medial surface of the shoulder. Accompanied by weakness and hypotrophy of the ulcers of the hand, and numbness. Typical Horner's syndrome, homolateral to affected Corinthian. Dysphagia and peristaltic dysfunction are possible.

Corinnia T3-T6. The pain is of an operative nature and goes to the joint intercostals. It may be the cause of sickness in the mammary tract, and when localized, it can cause an attack of angina pectoris.

Corinnia T7-T8. It starts from the ridge below the shoulder blade and along the intercostal space reaches the epigastric region. Corincus syndrome can cause dyspepsia, gastralgia, and enzyme deficiency of the subglottis. Perhaps there is a decrease in the upper cerebral reflex.

Corinnia T9-T10. The area from the intercostal space widens in the upper abdomen. Sometimes Corincian syndrome can be differentiated from acute abdomen. There is a weakening of the midvertebral reflex.

Corinnia T11-T12. It may irradiate to the suprapubic and groin areas. Decreased inferior vertebral reflex. Corincium syndrome of this type can become a cause of intestinal dyskinesia.

Korinet L1. There is also hypoesthesia in the aroma plant. The pain spreads to the upper outer quadrant of the stomach.

Korinet L2. It burns the front and inner surface of the stitch. Weakness is indicated when the knee is bent.

Korinet L3. Go through the windpipe of the ostyuk and twist on the front surface of the stitch and reach the lower 1/3 of the medial part of the stitch. The hypoesthesia is surrounded by the area of the inner surface of the stitch that is extended above the knee. The paresis that accompanies this Corincian syndrome is localized in the capitis and adductors of the stegnos.

Korinet L4. It widens along the anterior surface of the stifle, knee joint, medial surface of the pelvis to the medial ossicle. Hypotrophy of the four-headed meat. Paresis of the magnum muscle is caused by external rotation of the foot and “splashing” when walking. Decreased knee reflex.

Korinet L5. It irradiates transversely through the seat of the foot along the lateral surface of the sternum and ball of the foot into the first 2 toes. The area of pain is avoided from the area of sensory disorders. Hypotrophy of the great milk meat. Paresis of the extensors of the great toe, and also of the foot.

Korinet S1. The pain at the lower lobe is across and along the criss, which extends along the posterolateral lobes of the spine and pelvis to the foot and the 3rd-5th toes. Hypnotic paresthesias are localized in the area of the lateral edge of the foot. Corincium syndrome is accompanied by hypotonia and hypotrophy of the lytic meat. Weakened rotation and plantar bending of the foot. Decreased Achilles reflex.

Korinet S2. Pain and paresthesia begin in the cramps, pain in the back of the ankle and toe, sole and great toe. Most often they are found in the adductors of the stegnos. The Achilles reflex does not change.

Corinnia S3-S5. Sacral caudopathy. As a rule, polyradicular syndrome due to the effects of the 3-corincins is avoided. Pain and anesthesia in the criss and perineum. Corincian syndrome occurs with dysfunction of the sphincters of the pelvic organs.

Diagnostics

In a neurological condition, attention is drawn to the presence of trigger points above the spinous processes and paravertebral, myotonic changes at the level of the affected segment of the ridge. Symptoms of corinc tension appear. In the cervical region, the stink is provoked by a slight navel of the head in the proximally affected side, in the transverse direction - by raising the legs in a horizontal position on the back (Lasège’s symptom) and abdomen (Matskevich’s and Wasserman’s symptoms). Based on the localization of the pain syndrome, zones of hypoesthesia, paresis and muscle hypotrophy, the neurologist can determine the very end of the symptoms. Electroneuromyography allows you to confirm the cortical nature of the level.

The most important diagnostic task is to identify the cause that provoked Corincian syndrome. With this method, radiography of the ridge is carried out in 2 projections. It allows diagnosing osteochondrosis, spondyloarthrosis, spondylolisthesis, ankylosing spondylitis, curvature and anomalies of the spinal joint. A more informative diagnostic method is CT of the ridge. To visualize the soft tissue structures, use MRI of the ridge. MRI makes it possible to diagnose interspinal hernia, intramedullary swelling of the spinal cord, hematoma, meningoradiculitis. Thoracic Corincian Syndrome, due to its somatic symptoms, will require additional closure of the internal organs to exclude its pathology.

Treating corynx syndrome

In cases where Corinc syndrome is associated with degenerative-dystrophic diseases of the spine, it is important to use conservative therapy. In case of intense pain syndrome, calm, analgesic therapy (diclofenac, meloxicam, ibuprofen, ketorolac, ice-hydrocortisone paravertebral blockade), relief of meat-tonic syndrome (methyllycaconitine, tolperisone) are indicated , baclofen, diazeama), sick conditions (vitamins group B) . Euphilin, xanthinol nicotinate, pentoxifyline, troxerutin, and quinoa chestnut extract are prescribed to improve blood flow and venous flow. If indicated, additionally use chondroprotectors (cartilage and brain extract of calves with vitamin C, chondroitin sulfate), a bath that dissolves (hyaluronidase), drugs to improve neuronal transmission (neostigmine).

Trivalium Corincium syndrome with chronic pain is indicated before the use of antidepressants (duloxetine, amitriptyline, desipramine), and in case of pain with neurotrophic disorders - before the use of ganglion blockers (benzohexonium, ganglefen). For meat atrophies, combine nandrolone decanoate with vitamin E. A good effect (although contraindicated) is traction therapy, which increases the interspinal joints and thereby reduces the negative influx on the spinal spine. In the acute period, reflexology, UHF, ultraphonophoresis and hydrocortisone can be used to relieve pain. In the early stages, exercise therapy begins to stagnate, during the rehabilitation period - massage, paraffin therapy, ozokerite bath, medicinal sulfide and radon baths, mud bath.

Treatment for surgical treatment arises when conservative therapy is ineffective, symptoms progress, and spinal swelling is evident. The operation is performed by a neurosurgeon and may result in decreased compression of the spine, as well as other causes. In case of herniation of the intervertebral discs, discectomy or microdiscectomy is possible; in case of swelling, they can be removed. Since the cause of spinal syndrome is instability, fixation of the spine is carried out.

Forecast

The prognosis of radiculopathy depends on the main illness, the stage of compression of the corona, the urgency of medical visits. Long-term symptoms of pain can lead to the formation of a chronic pain syndrome that is difficult to resolve. The suppression of the spinal cord, which is accompanied by symptoms of depression, is not immediately relieved, and the development of degenerative processes in the tissues of the spinal cord occurs, which leads to permanent impairment of its functions. The result is patients with permanent paresis, pelvic disorders (with sacral caudopathy), and impaired sensitivity.

Corincian syndrome or radiculopathy is a set of neurological symptoms that arise from compression (pressure) of the spinal nerves in the area of the spinal cord. The pathological process is often emphasized in medical practice and manifests itself as a chronic progressive progression of illness of the spinal cord, leading to a degenerative nature - dorsopathy.

According to statistics, in 80% of cases, 80% of cases are diagnosed with Corincian syndrome of the transverse lobe of the ridge due to the frailty of the ridges, the weakness of the meat-musculoskeletal apparatus in this galus and the great importance in the process of the ridge activity.

Reason

The most common cause of core syndromes is the progressive progression of osteochondrosis with the formation of protrusions, hernias, and osteophytes. Sickness is accompanied by deformation of the intervertebral discs as a result of metabolic disorders and insufficient blood supply. As a result, the height of the disc changes, which moves between the ridges, compressing excess soft tissue. In this case, the root - the spinal nerve at the base of the spinal cord, which passes at the carpal canal before exiting the ridge - suffers. The spinal cord is composed of sensitive and rocine nerve fibers and is located at the connection with the spinal vessels. Compression of the nerve-vascular bundle of hernias and osteophytes leads to the appearance of neurological symptoms.

Other causes of radiculopathy include:

birth pathology of the spine;
spondyloarthrosis;
fractures of the spine, which resulted from osteoporosis (weakening of the bone tissue);
infections (osteomyelitis, tuberculosis);
intense axial emphasis on the ridge (carrying out important speeches, sports emphasis);
low-impact way of living (hypodynamia);
trival exercise in static positions (working at a computer);
parts of hypothermia;
chronic stress;
endocrine disruption; hormonal imbalance (obesity, diabetes);
swelling, scarring in the galus of the spinal joint;
injuries (fractures, injuries, strains);
flat feet.

Compression of the nerve core often occurs during the formation of a herniated intercostal disc

In the development of degenerative-dystrophic processes of the spinal joint, the role of the recession factor has been brought to the fore, which plays a role in the inferior development of the tissue. As a result, a pathology of the ridge is formed with a rapid progression and the formation of radiculopathy. In case of illness, the most important factors are irrational eating, too much nicotine, and drinking alcohol.

clinical picture

The constant manifestation of corona syndrome is of varying intensity, which occurs at the site of the pressure of the neurovascular bundle and in other areas of the body during the innervation of the affected nerve.

There you can be naughty, mellow, fiery, rippling. Visible when walking, bending, turning, coughing or coughing. Sometimes the pain syndrome appears in the form of a lumbago - a sharp pain in the area across the area widens along the course of the nerves. Characteristic symptoms of parasthesia are numbness, pricking, and a feeling of “repeated goosebumps” at the lower ends.

This condition is called lumbago, and from time to time it develops - lumbalgia. Lumbago can appear when turning uncontrollably during the hour of sleep, nahily, or lifting your vagina. This is accompanied by vegetative disorders: blackened skin, sweating, swelling over the plot of corn compression. Due to the level of the transverse-crizal vulva, the pain can radiate to the groin, the buttocks, the lower ends on the side of the lesion, the collapse of the vagina, defecation and weakening potency.

On the MRI image, the arrows indicate pathological changes in the intercostal discs in the transverse fascia.

Sensitive and motor nerve fibers pass through the spinal cortex. Their compression results in swelling and inflammation of the nerve tissue, disruption of the transmission of nerve impulses from the central branches to the periphery. As a result, the lower end of the stroke suffers. When sensitivity is impaired, the sensations of tactile sensations, temperature and pain of the lower end are weakened. Also, the innervation of the meat fibers of the thigh, leg, foot changes and their atrophy (“shrinkage”) develops. Weakening of the meat causes damage to the structure until normal re-drying. Atrophied muscles change in appearance, which can be noted when visually assessing the diseased and healthy leg.

Diagnostics

For the diagnosis of corona syndrome, clinical data of illness are important. Transversus-crurisis is affected at different levels, and depending on the specificity of the symptoms, localization of the pathological process can be assumed with high confidence.

Compression of the spinal cord at the level of 1-3 transverse ridges (L1-L3) is accompanied by transverse discomfort, pain syndrome in the area of the perineum, pubis, lower abdominal lobes, internal and anterior surface of the spine wildebeest These galusa suffer from paresthesia and skin problems.
Compression of the spinal cords at the level of the 4th transverse ridge (L4) is characterized by painful sensations on the anterior and outer surface of the spine, which descend to the knee angle and spine. Beware of a change in the volume of the knee due to atrophy of the spine and weakening of the knee joints. The stroke changes, the shape is formed.
Compression of the spinal cords at the level of the 5th transverse ridge (L5) results in pain syndrome along the outer surface of the pelvis and the pelvis, the inner part of the foot and the great toe. Reveal paresthesia in the area of the foot and weakening of the muscle strength of the lower end, which complicates the supporting and rotating function of the affected leg.

The pain may change or even become painful when lying on a healthy side of the body.

To determine the effectiveness of treatment, the etiological disease of the ridge that caused the appearance of corona syndrome is identified. Recommend instrumental methods of debridement that reveal the specificity and severity level of the pathological process, specify its localization:

radiography from the direct and side projection - indicates damage to the bone tissue of the ridge, which also indicates the sound of the interspine discs and the tightening of the nerve roots;
Magnetic resonance imaging(MRI) is an accurate and expensive diagnostic method that provides information about not only the spine, but also the interspine discs, vessels, nerves, muscles, ligaments, and spinal cord;
myelography – reveals the state of the spinal cord and nerve roots using an additional contrast agent introduced into the subarachnoid space, with advanced fluoroscopy.

Correct diagnosis is associated with adequate therapy, which prevents the development of complications and disability.

Likuvalna tactics

The treatment of radiculopathy is aimed at reducing the pain syndrome, changing inflammation and swelling of the neurovascular bundle. After the acute process has subsided, continue therapy for etiological illness to accelerate the progression of the pathology. Patients are prescribed bed rest on a hard, level surface, which prevents deformation of the ridge and additional trauma to soft tissues. Food includes lubricated, salted, spicy, fatty herbs. The diet is rich in fresh vegetables, fruits, greens, cereals and dairy products. For effective treatment, consider smoking and drinking alcoholic beverages.

Conservative therapy for cortical syndrome includes:

analgesics for the reduction of pain symptoms - baralgin, ketorol for internal ulcer injections;
Non-steroidal anti-inflammatory drugs (NSAIDs) to reduce the inflammatory reaction in improving the level of tension, fatigue and pain syndrome - movalis, diclofenac, nimesulide first 5 days after additional internal ulcers and no effect, then in the tablet form for a course of 10-14 days;
smearing across with anti-inflammatory and local irritating ointments – capsicum, diklak-gel, finalon;
novocaine blockade with added iceocaine, antibiotics, glucocorticoids for mild pain relief;
muscle relaxants for relaxing spasms in the muscles and compressing the nerve, which has an analgesic effect, improves blood supply to tissues, changes stagnant processes - sirdalud, mydocalm;
Vitamin complexes based on preparations B1, B6, B12 to normalize metabolic processes and trophism of nerve fibers, enhance the conduction of nerve impulses, regenerate damaged tissues - milgamma, neuromultiv It is available in injections or tablets;
physiotherapy after the subsidence of acute pain syndrome to activate metabolism, normalize muscle tone, improve blood flow - magnetotherapy, UHF, electrophoresis, radon baths;
recreational physical education to update the anatomically correct position of the spinal joint and improve the musculoskeletal frame of the back;
massage, acupuncture, reflexology - to soften back ulcers, normalize blood circulation, improve the nutrition of the spine.

In case of severe illness, persistent symptoms develop that do not respond to conservative methods of therapy. In such cases, surgical treatment is required.

Indications before surgical treatment include chronic pain syndrome, impairment of oral activity (paresis, paralysis), pathology of the pelvic organs due to inappropriate cutting and feces.

Massage and manual therapy are prescribed for the prevention of radiculopathy.

Preference is given to minimally invasive methods that involve less abrasive injection on healthy tissue and a short recovery period. In case of transverse osteochondrosis, complicated by protrusion, hernia, growth of osteophytes, nucleoplasty, microdiscectomy, removal of damaged spine tissues and replacement with implants are prescribed.

Prevention

To avoid radiculopathy, it is necessary to immediately contact a doctor as soon as the first alarming symptoms appear on the side of the spinal column. The pressure of the spinal cord stems from a chronic illness, an unexpectedly diagnosed and treated pathological process. Continue to eat rationally, get rid of mouth ulcers, do physical exercise, and maintain normal body weight. It is important to sleep on a firm mattress and wear it hand-tucked and low. It is necessary to take up important physical activity related to the axial priorities on the ridge. Two couples on the river are undergoing a course of medicinal back massage.

Complexes of physical exercises are indicated during the postnatal period of illness

To prevent chronic radiculopathy in osteochondrosis, you can now add a set of rights to improve the transverse aspect of the spinal joint:

lying on your back with your arms stretched out and your legs straight, squeeze the muscles of the press 10-15 times;
In the same position, lift the upper half of your body from the support, sit in this position for as long as possible and rotate to the opposite position, repeat 10-12 times;
lying on your back, bend your legs in your knees and place your right hand in front of your chest, at the same time straighten your head and chest to the left side, work the spring arms 6-8 times, and then work the same right, changing the sides of the move heads and legs;
sit on a support, stretch one leg, and bend the other at the knee angle and bend it, stretch to a straight leg and try to wrap your hands around your foot, switch legs and repeat to the right 5-6 times;
In the crab position, alternately arch your back up and down until you feel an acceptable warmth across. Repeat to the right 8-10 times.

If possible, hang on the horizontal bar several times a day for 10-15 stretches. Perform a wound warm-up on all groups of meats, first of all, promote active soil activity.

Coroncy syndrome in the transverse region causes intense pain, loss of sensitivity and stiffness of the ends, disruption of pelvic functions and the appearance of static weakness. This significantly reduces the quality of life and can lead to disability. To overcome the pathology, it is necessary to immediately go to the doctor and undergo a comprehensive treatment of the spinal joint.

Corincian syndrome is a complex of symptoms that arise from the process of compression of the spinal cords (or nerves) in those places where they are located in the spinal cord. Coroncy syndrome, the symptoms of which may have a very sensitive character in its origin, is itself a sign of the indifference of various illnesses, through which importance arises at the time of its diagnosis and thyroid status. Kuvannya

Zagalny description

The neurological syndrome that we see is becoming more frequent. Compression (pressure) of nerves leads to severe pain, which apparently occurs in different places: in the ends, in the neck, across. It is often possible in the sphere of quiet and other internal organs, for example, in the sphere of the vulva and the heart.

Below you can see that it represents the spinal cord, apparently indicating the effect of this at times.

Causes of Corincin syndrome

The deterioration of spinal cords can be caused by a number of conditions, among which are the following:

Spinal hernia;
These and other types of congenital defects are relevant for the spine;
Continuous attention to the ridge line;
Little-eared way of living;
Spondyloarthrosis;
Injuries, scars and swelling;
Fractures of the spine resulting in osteoporosis;
Change your hormonal status;
deterioration of the spine of an infectious nature or influx (for example, change, provoked or otherwise);
Hypothermia.

As a rule, Corincian syndrome occurs not immediately after any other identified cause. Initially, the yoma transmits the development of changes in the area of the intervertebral discs, and the stench, with its chergo, provokes a hernia. Then the hernia, when displaced by moisture, begins to compress the spinal cord, which makes it difficult for new venous blood to flow out. This will lead to the development of inflammation of a non-infectious nature. In this way, the nerves and tissues around the area begin to feel adhesions that are being resolved.

Korinkovy syndrome: symptoms

The first and most characteristic symptom of Corincian syndrome is the appearance of pain, which is associated with a specific course of the nerve. Thus, during the molding process in the area of the cervical region, the pain obviously appears in the neck. The process in the thoracic region provokes pain in the back, and in some cases there may be pain associated with the vulva or the heart (and this pain occurs even in cases of cardiac arrest syndrome itself). The process in the area of the transverse section will lead to the appearance of pain in the area across the seat, as well as the lower ends.

The collapse, like the rise of heaviness, leads to intense pain. In some seizures, the pain is characterized as “shooting”, which is accompanied by widening in different parts of the body, which is mainly explained by the growth of a particular nerve. The shot that hits the area across is called . Whose episode may have a stable character, due to its strengthening, any episode will occur during the development of any careless ruin.

It is not only physical stress that can provoke an attack of pain, but also emotional stress, in addition to which hypothermia and hypothermia can exert their influence on their appearance. In some episodes, painful pain occurs at night, as well as during the hour of sleep, which, while still asleep, is accompanied by swelling of the skin and redness, which also indicates increased sweating.

Another sign, concomitant with corona syndrome, manifests itself as a loss of sensitivity, which occurs in the zone of innervation of the nerve that can be seen. Thus, easy picking behind the back of the head in the designated area is accompanied by a sharp decrease in sensitivity, which should be avoided when aligning with a similar area, but not growing from the other side.

In addition, the middle sign also shows the destruction of the ruins that occurs during meat changes. The rest are provoked by the stress of the nerves that innervate them. The flesh may dry out, and it will likely atrophy. This indicates its weakness, which in some cases is indicated visually, especially when both ends are equal.

Diagnosis of cortical syndrome

When diagnosing spinal cord syndrome, the important cause is the compression of the spinal nerve. After all, the investigation of the destruction of the structures and sensitivity shows that between the very ridges there has been a collapse. For example, if the compression of the spine swells in the area of the fifth transverse ridge behind the arch, this provokes pain in the transverse ridge (that is, lumbodynia). This, obviously, ensures the outer surface of the stitch, as well as the stitching to the toes (2,3,4). This symptom also develops another meaning - lumbar pain.

When the nerves are affected by infectious illness, the process may be accompanied by additional symptoms such as fever and elevated temperature, and, also, swelling, is concentrated in the area of corinc obtained before the pathological process.

As a standard instrumental method that ensures the possibility of diagnosing the syndrome analyzed by us, external radiography of the ridge is recommended. The diagnostic procedure uses the results of radiography in the side and anterior projections. Today, the most informative and at the same time sensitive diagnostic method is MRI (magnetic resonance imaging). Regardless of the method of diagnosis, the basis for the diagnosis is still the clinical symptoms that are relevant for the patient’s skin condition.

Treating corynx syndrome

Treatment methods for corona syndrome are determined based on the possible causes, as well as the main ones, which are the ones that cause this syndrome. Patients are prescribed the most appropriate bed rest, lying at all times on a hard surface. Dodatkovo are credited:

Analgesics (ketorol, baralgin). Their stagnation allows you to reduce/change the expression of sickness.
Anti-inflammatory nonsteroidal drugs (nurofen, diclofenac, movalis). With this help, not only does the fire that has settled in the areas with damaged nerves change, but the pain goes away. Trival of their stagnation, at this time, is associated with low side effects. Before speaking, the stagnation of drugs of this type can be seen in the form of ointments, gels (fastum, ketonal), which, apparently, transfers their stagnation to the outside with an immediate change in possible unpleasant effects.
Myorelaxanti are drugs indicated for the relief of muscle spasms. You can treat them only with a doctor’s order.
Vitamins that correspond to group B. Their action is aimed at enhancing metabolic processes in nerve tissues.
Chondroprotectors are drugs for stimulating the processes of renewal and enhancement of cartilage damage in the area of the intervertebral joints.
Non-medicinal treatment (massage, gymnastics, physiotherapy, reflexology). These treatment options are relevant for all types, including chubby.

Any illness may require surgical treatment, which is possible with newborns.

To diagnose corincin syndrome, as well as to determine adequate treatment, it is necessary to contact a neurologist.

Is everything correct at the medical level?

Please provide confirmation only if you have proof of medical knowledge

Sickness with similar symptoms:

Intercostal neuralgia - this is a sickly body, caused by irritation of the intercostal nerves and other pressure. Intercostal neuralgia, the symptoms of which are often seen in older people, is explained by the secular changes that are relevant to their age. When children are sick, they rarely get sick.

Panina Valentina Viktorivna

Actor, Honored Artist of the RRFSR

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I found out about you on the Internet - you need to get an MRI scan.

I installed the axis with you after. Your colleagues have already honored me. Thank you for respect, kindness and accuracy.

May you all be as kind in your soul as I am now, unconcerned with all the problems...

Be! We are happy! Your Panina V.V.

I found out about you on the Internet - you need to get an MRI scan.

I installed the axis with you after. Your colleagues have already honored me. Thank you for respect, kindness and accuracy.

May you all be as kind in your soul as I am now, unconcerned with all the problems...

Be! We are happy! Your Panina V.V.

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Sergiy Shnurov

Russian rock musician, film actor, TV presenter and artist.

Ts.M.R.T. “Petrogradsky” is awesome!

I really appreciate the professional service from your clinic. Welcome, handy! Wonderful people, wonderful minds.

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Rusanova

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Everything is very competent, even less serviced. I recommend this clinic to friends. Good luck!

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Kuznetsov V.A.

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Khorobrova V.Ye.

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I thank you so much for the consultation... She explained the process and result very politely and clearly.

Syndrome L 5 of the spine is a typical disorder of the L IV / L V disc. The pain is localized at the upper gluteal area, then spreads to the outer surface of the stitch and the outer surface of the nail, sometimes spreading to the back of the foot, to the II and III toes, and sometimes to the I or IV.

In this zone, impaired sensitivity develops, and there may be paresthesia. Previously, tenderness on the anterior outer surface of the baby suffers (see the babies below).

Scheme of the projection of pain and sensitivity disorders in cases of high blood pressure L 5

Due to any weakness of the peroneal group of muscles, which is often accompanied by atrophy, the strong flexion of the first toe is noticeably weakened. Column and Achilles reflexes are usually spared.

The clinical manifestations of L 5 corinc levels are illustrated by the following precautions:

Khvora O., 36 rokiv, the architect, entered the clinic with scargs for constant pain on the outer surface of the left spine and goosebumps, and there will also be repeated goosebumps.

Two reasons for this in the middle of full health, for no apparent reason, appeared across the irradiation in the left leg. Before the pain appeared, I regularly went in for sports, my first category being gymnastics. The pain gradually increased in intensity and spread to the top. After a while, a severe curvature of the ridge appeared, sharply cutting off the sides of the body. Treatment in neurological hospitals did not give any relief.

Objectively: the disease is in the middle of growth, good food. It's important to change your shoes, squeezing your left leg. To relieve pain, lean forward and bend the left leg at the hip and knee joints.

The most comfortable position in the prone position is on the right side with the left leg pointed up to the stomach. Severe left-sided scoliosis and sharply expressed arcuate transverse curves.

There is tension across the muscles, more left-handed. The arms in the transverse direction moved backwards and to the left, and forward and to the right, the edges were darkened. Navigation along the axis of the ridge increases pain in the nose. Reduced strength of the first toe of the left foot.

Column and Achilles reflexes are of medium viscera, even. No loss of sensitivity has been detected, the disease itself clearly defines the area of pain and paresthesia, which spreads out like a stripe along the outer surface of the left foot, along the anterior outer surface of the pelvis, moving to the back of the foot and the first toe. . Lasègue's symptom at a cut of 15°, which results in typical paresthesia.

The dermographism of the level of the inguinal folds is dark red, the lower part is stable white.

Radiographs of the ridge revealed a transitional (VI) transverse ridge, a sharp change in the axis of the ridge for arcuate kyphosis and left-sided scoliosis in the lower transverse ridge. Reduced height of the L IV / L V disc.

Pneumomyelography revealed the sound of the dural sac, which is most pronounced at the level of the L IV / L V disk.

Spinal cerebrospinal fluid, barless, Pandi reaction (++), protein content 0.33 g/l, cytosis O/l. Blood tests and cross-sections without deviation are normal.

Diagnosis: medial herniation of the intervertebral disc L IV / L V with Corinc syndrome L 5 zliv.

Surgery - partial hemilaminectomy L 5 to remove herniated disc L IV / L V. Oduzhannya. When examined after 3 years, the skarga does not appear, the transverse lordosis is normal, the rukhi of the ridge is preserved in constant observance.

This caution is not typical for the level of L 5 corinc, which proceeds without disturbances in sensitivity.

At the foot of the patient in zone L 5, anesthesia was prescribed.

“Clinic and surgical treatment of discogenic
transverse-krizhov radiculomaloischemia",
V.A.Shustin, A.I.Panyushkin