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1. What to say about Puri Hot Gel?
- NATURAL INGREDIENTS: Puri Hot Gel is a miracle that includes natural substances obtained from hot peppers, juniper and mint.
- FAST AND EFFECTIVE ACTION: Immediately after applying Puri Hot Gel, the elixir will penetrate deeply into the tissues, and the pain will soon cease, due to the increased blood circulation caused by this gel.
- LONG-TERM EFFECTS: With more frequent use of Puri Hot Gel in most cases, it is possible to permanently eliminate the pain and heal completely with rheumatism and sciatica, as well as the inflammation of the nervous system.
- CAPSAICIN – Hot pepper: Capsaicin has anti-rheumatic and anti-inflammatory effects, so it is used as a local remedy for pain, tension and stiffness in muscles, joints and bones in neuralgia, arthritis, neuropathy, muscle pain, sciatica and can be used for psoriasis. by reducing inflammation and itching.
- JUNISPERUS COMMUNIS – Juniper: This plant has a long tradition of use in tea blends and ointments against rheumatism, gout and rheumatoid arthritis.
- MENTHA PIPERITA – Mint: In addition to the essential oil with a characteristic pleasant scent that refreshes and cools (due to the presence of menthol), the leaf contains little tannin and many other useful ingredients, so its action is multiple, diverse, and its application is wide. Today, it is a cure for many pains, ailments, inflammations and infections.
3. Sciatica pain
- Sciatica is pain along the sciatic nerve. It usually results from compression of a nerve root in the lower back. Common causes include herniated discs, bone spurs, and narrowing of the spinal canal (spinal stenosis). Symptoms include pain that radiates from the buttocks down the legs.
Sciatica is often due to nerve root compression, often due to disc herniation, bony abnormalities (eg, degenerative bone spurs, isthmus), spinal stenosis, or, less commonly, mass intra-abdominal tumor or abscess. Compression can occur within the canal or at the foramen. Nerve roots can also be compressed outside of the spine, in the pelvis or buttocks. Nerve roots L5-S1, L4-L5, and L3-L4 are most commonly affected (see Table: Effects of spinal cord dysfunction by segment level).
- Physical and physical symptoms
Pain radiates along the sciatic nerve, usually down the buttocks and along the back of the leg to below the knee. Pain is usually felt as a burning, prickling sensation. Pain may occur with or without low back pain. The Valsalva maneuver or cough may increase pain from a herniated disc. Patients may experience numbness and sometimes weakness in the affected leg.
Nerve root compression can cause sensory, motor, or objectively abnormal reflex abnormalities. L5-S1 disc herniation can affect the heel tendon reflex; L3-L4 hernias can affect the knee tendon reflex.
The laser test can cause leg pain that radiates downward as the leg is slowly raised above a 60° angle and sometimes less. This test is sensitive to sciatica; Pain that radiates down the affected leg when the contralateral leg is elevated (contralateral lasgue test) is more specific. The test can be done while the patient is sitting with the hip flexed at 90°; The lower leg is raised slowly until the knee joint is fully extended. If sciatica is present, pain in the spine (and often neuropathic symptoms) occurs when extending the leg.
- Think of sciatica based on typical pain. If in doubt, check muscles, reflexes, and sensation. If nerve damage is present or if symptoms persist for >6 weeks, further imaging and electromyography are needed. The structural abnormalities that cause sciatica (including spinal stenosis) are most accurately diagnosed by MRI or CT.
- Electromyography can confirm nerve root compression and can rule out sciatica-like conditions, such as polyneuropathy. These methods can help identify lesions involving one or more roots and whether clinical findings correlate with MRI abnormalities (especially of preoperative value). However, abnormalities may not be evident on electromyography until several weeks after symptoms begin.
- Physical therapy
Acute pain may subside after 24 to 48 hours of rest in a supine position with the head of the bed elevated about 30° (semi-Fowler position). Low back pain treatments, including non-opioid pain relievers (eg, NSAIDs, acetaminophen) can last up to 6 weeks. Neuroleptics see Treatment), such as gabapentin, other anticonvulsants, or low-dose tricyclic antidepressants (not tricyclics are better), may relieve symptoms. Gabapentin 100 to 300 mg orally at bedtime can be given initially, but the dose is usually much higher, up to 3600 mg/day. As with all sedatives, caution should be exercised in the elderly, patients at risk of falls, patients with cardiac arrhythmias, and those with chronic kidney disease.
Muscle spasticity can be relieved with heat or cold therapy (see Rehabilitation measures in the treatment of pain and inflammation), and physical therapy may be helpful. Whether corticosteroids should be used to treat acute neuropathic pain is controversial. Epidural corticosteroids can relieve pain, but should not be used unless pain is severe or persistent. Some clinicians use oral corticosteroids.
- Surgery is indicated only for ponytail syndrome or obvious disc herniation with one of the following:
Muscle weakness. Progressive nerve damage.
Severe pain, difficult to treat, interferes with work or personal activities in psychologically stable patients and does not improve after 6 weeks of conservative treatment; However, in such cases, another diagnostic evaluation and review is needed, such as myofascial pain syndrome.
Classic, limited discectomy to treat herniated discs is the standard surgery. If the disc herniation is localized, microdiscectomy can be performed, so that the skin incision and discectomy can be smaller. No longer use intra-disc injection Chemonucleolysis.