Massage is an ancient form of therapy that is still used today and is very popular with many patients. It is used to mechanically affect the skin, connective tissue and muscles through stretching, pulling and pressure stimuli. The effect of massage extends from the treated part of the body over the entire organism and also … Massage Therapy
Osteopathy is a predominantly manual diagnostic and therapeutic concept that dates back to the US physician Andrew Taylor Still (1828-1917). It refers to the diagnosis and therapy of functional disorders of any kind and is based on a holistic view and treatment of the human body. According to Still, disorders and movement restrictions of the … Osteopathy: explained
Physiotherapy is used for prevention, therapy or recovery. For this purpose, it uses both active procedures performed by the patient and passive procedures performed by the therapist. The aim of physiotherapy is to alleviate or even eliminate complaints and symptoms caused by aging, illness or accident, as well as by behavioral errors. In terms of … Physiotherapy
Water pressure jet massage (synonym: water pressure massage) is used to treat the skin, muscles, vascular system and body metabolism. Different massage methods (overwater or underwater massage) are available for this purpose. Indications (areas of application) Lumbago/dorsalgia (back pain). Muscle tension of all kinds Circulatory and metabolic disorders Congestion-induced swelling in the venous and lymphatic … Water Pressure Jet Massage
Many people suffer from back pain in our stressful times. Back pain can be very stressful and has a significant impact on our enjoyment of life, our well-being and our vitality. Depending on the type of pain, doctors distinguish the following back pain: Lumbago – sudden pain in the lumbar region, lumbago. Lumbaralgia – chronic, … Back Hurts
In sciatica – colloquially called sciatic pain – (synonyms: Acute sciatica; Acute sciatica with root irritation; Acute lumboischialgia; Chronic lumboischialgia; Sacroiliac joint pain; Infectious sciatica; Sciatica; Sciatica with lumbago; Sciatica with lumbago; sciatica; sciatic pain; sciatica syndrome; sciolumbalgia; L5 syndrome; lumbar neuritis; lumbar radicular neuropathy; lumbar radiculitis a. n.k. ; lumbar radicular syndrome; lumbar vertebral … Sciatica, Lumboischialgia
Medical history (history of illness) represents an important component in the diagnosis of sciatica/lumboischialgia. Family history Social history What is your occupation? Current medical history/systemic history (somatic and psychological complaints). Where is the pain localized? How long have you had back pain? How severe is the pain? How did the pain start? Suddenly starting after … Sciatica, Lumboischialgia: Medical History
Cardiovascular (I00-I99). Vertebral artery dissection (dissection = splitting/intersecting). Musculoskeletal system and connective tissue (M00-M99). Acute ligament or muscle pain in the spine. Acute reversible joint dysfunction – blockage of a joint that resolves spontaneously Autoimmune diseases such as ankylosing spondylitis – chronic disease of the spine. Disc prolapse (herniated disc) Disc protrusion (bulging intervertebral disc) … Sciatica, Lumboischialgia: Or something else? Differential Diagnosis
The following are the most important diseases or complications that can be caused by sciatica/lumboischialgia: Psyche – Nervous System (F00-F99; G00-G99). Paralysis (see below ischiadic nerve – nerve branches and supply areas). Sensory disturbances (see below). Strong psychological stress Dissatisfaction Musculoskeletal system and connective tissue (M00-M99) Chronic back pain Radicular pain – pain due to … Sciatica, Lumboischialgia: Complications
A comprehensive clinical examination is the basis for selecting further diagnostic steps: General physical examination – including blood pressure, pulse, body weight, height; furthermore: Inspection (viewing). Skin (normal: intact; abrasions/wounds, redness, hematomas (bruises), scars) and mucous membranes. Gait (fluid, limping). Body or joint posture (upright, bent, gentle posture; asymmetries? (pelvic obliquity (= leg length difference … Sciatica, Lumboischialgia: Examination
2nd order laboratory parameters – depending on the results of the medical history, physical examination, etc. – for differential diagnostic clarification Inflammatory parameter – CRP (C-reactive protein).
Therapeutic target To relieve pain and thus increase range of motion Therapy recommendations Analgesia (pain relief) according to WHO staging scheme: Non-opioid analgesic (paracetamol, first-line agent). Low-potency opioid analgesic (e.g., tramadol) + non-opioid analgesic. High-potency opioid analgesic (eg, morphine) + non-opioid analgesic. If necessary, also antiphlogistics / drugs that inhibit inflammatory processes (ie, non-steroidal anti-inflammatory … Sciatica, Lumboischialgia: Drug Therapy
