Activities That Should Not Be Done For Patients With Pinched Nerves?

Illustration of Activities That Should Not Be Done For Patients With Pinched Nerves?
Illustration: Activities That Should Not Be Done For Patients With Pinched Nerves? csiortho.com

Good afternoon. I want to ask what should not be done (activities) by a patient who has a pinched nerve in the L4, L5 and S1 sections? What do you usually do for yourself?

1 Answer:

Thank you for asking HealthReplies.com. I am dr. Princess Claudya will help answer your questions.


Previously, has it been confirmed that your condition is indeed a pinched nerve based on a doctor's examination?


A pinched dorsal nerve can be caused by pinching by tense muscles, for example after a strenuous activity


A pinched nerve in the back can also occur due to the release of the nucleus in the spinal cord that clamps the spinal nerve root (Hernia nucleus pulposus / HNP). This often occurs in the lower vertebrae, namely the L4, L5, and S1 segments.


Symptoms of this dorsal nerve clamp are:

Pain in the innervated area. The pain in the nerves feels sharp, hot, and feels like electric shock. This pain radiates from the lower back to the toes (sciatic pain)
Muscle weakness according to the part that is innervated
Sensory disturbances such as numbness, tingling, in the innervated area.

The risk factors for nerve pinching are frequent heavy lifting, strenuous activity, and exacerbated by conditions of high pressure in the stomach, for example frequent constipation, prolonged coughing, prolonged sneezing.


From your explanation which states that the nerve is pinched in the L4, L5, S1 segments, most likely the cause is HNP. But it does not rule out the result of tightened muscle clamping or not caused by nerve clamping


In the case of spinal cord pinching, the main complaint that you feel is usually back pain. The causes of back pain other than nerve pinching are:

Muscle pain (myalgia): can be caused by overexertion, incorrect posture when sitting or standing
Injuries to structures in the back, namely the spine, muscles, ligaments, nerves, etc.
Osteoporosis, which is pain due to bone fragility due to reduced bone mass. Usually occurs in the elderly or post menopausal women
Ankilosing spondylitis: caused by the body's immune system attacking the spine. Often accompanied by other autoimmune diseases such as uveitis, psoriasis, etc.

If it has been checked before, please continue treatment as recommended by the doctor and control to the doctor afterwards. However, if it hasn't been checked, to confirm your condition, you should check with a neurologist. The doctor will dig further into your complaint and will perform an examination of the spine and nerves. If necessary, the doctor will perform supporting examinations such as x-rays, CT scans, bone densitometry, or MRI. And after that the doctor will provide treatment for your complaint according to the underlying conditions.


Some things you can do at home to deal with complaints and prevent worsening are:

Get used to standing or sitting in an upright posture so as not to overload the spine
Avoid lifting heavy weights
Avoid constipation, which can worsen your back pain complaints, by consuming fiber-rich foods, namely fruits, vegetables, whole grains, and consuming 2 liters of water per day.
Exercises, especially swimming, yoga, pilates, which focus on the spine can increase muscle strength and flexibility of ligaments in the spine
Use a back brace to help maintain good back posture and prevent worsening of the condition, especially if your case is HNP
If your back and / or feet feel painful due to nerve clamping, you can take over-the-counter drugs such as paracetamol to reduce these complaints.

That is the explanation from me. Hopefully helpful and useful. Get well soon :)

Regards,


dr. Princess Claudya

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