A trapped nerve originating from the spine can cause referred pain to areas such as your arms, hand, legs and feet. For instance, sciatica can be a result of a pinched nerve due to a disc herniation in your spine. In other instances, a trapped nerve along the sacral plexus (group of nerve fibers that exit the sacral bone) can also cause sciatic pain. Occasionally, some people will have sciatica due to a pinched nerve within the piriformis muscle (muscle in the buttocks). As you can see, there can be many factors which can cause a nerve to be trapped. The way to accurately diagnose the cause of your pain is through examining your signs and symptoms.
Trapped nerve signs and symptoms include:
1. Any numbness (lack of sensation), tingling, or weakness along the body part where the nerve runs through.
2. Sensations of “pins and needles” in the affected area.
3. Sharp or burning pain sensation
Here is a list of common causes for a trapped nerve:
1. Accident, Injury, Trauma
2. Degenerative Disc Disease (DDD)
4. Canal Stenosis
5. Disc Herniation
6. Overuse Injuries/Repetitive Stress Injuries
7. Poor Posture
10. Osteoporotic fractures
Generally, there is no permanent damage if a nerve is trapped for a short duration. However, if the trapped nerve is untreated and the pressure continues, the result can be chronic pain and possible permanent nerve damage. Many people will recover from the effects of a pinched nerve within days or weeks with proper rest and conservative treatment. Stopping any activities that can cause or aggravate the nerve compression is essential to a full recovery. In some instances, it may be necessary to wear a brace or splint to immobilize the area, such as in carpal tunnel syndrome.
There are some preventative measures that can you can take. For example, maintain a healthy body weight, limit activities that are repetitive in work and maintain good posture. There are also stretches and rehabilitation exercises that are specifically designed to alleviate the pain from a trapped nerve. Your doctor may prescribe pain medication or use a corticosteroid injection to minimize the pain and inflammation.
For those who want a more natural approach to treating the trapped nerve, there are also alternatives such as acupuncture, chiropractic and physical therapy that have provided some people with relief.
In general, if a trapped nerve shows no signs of improvement or progressively becomes worse after three months of conservative treatment, surgery may be required. The type of surgery would depend on the location of the pinched nerve. For instance, the different kinds of surgery can involve removal of portions of a herniated disc, nerve release, removing ligament structures or taking out bone spurs. Each trapped nerve case requires a specific surgical procedure.
Categories: Uncategorized Tags: accident injury, affected area, conservative treatment, degenerative disc, disc herniation, nerve signs, numbness lack, pain sensation, pinched nerve, symptoms include, trapped nerve
This fever is also known as jail fever, since it spreads easily in crowded, unhygienic places such as prisons or jails. The name gets its origins from the Greek word typhos that means haziness, which aptly describes the mental state of a typhus patient. The death toll of typhus victims in the past century has been really high, prompting the US health services to declare typhus to be a bioterrorist. Therefore, it is essential to know all the relevant facts about this fever.
Typhus has been known to exist since 5th century BC. There were repeated bouts of typhus epidemics during World War I and II. Victims of the Holocaust afflicted by this disease, were killed in huge numbers by the Nazis through usage of gas chambers. The Allied forces used a toxic chemical called DDT to curtail this disease during the war. There have been typhus epidemics in the US, Europe, the Middle East and certain parts of Africa as well. Some well-known victims include Anne Frank and Margot Frank from Amsterdam and Sir Robert Bell, the Lord Chief Baron of the Exchequer.
Nature and Causes
Typhus is caused by a parasite called Rickettsia. However, there are four different subtypes of this disease based on the parasite’s sub-species and their carriers. These subtypes are as below:
|Murine typhus||Rickettsia typhi||Rats and fleas|
|Scrub typhus||Orientia tsutsugamushi||Mites and field rodents|
|Epidemic typhus||Rickettsia prowazekii||Lice found on human bodies|
|Tick or Queensland typhus||Rickettsia australis||Ticks|
The primary causes of this infection are poor hygiene conditions and severe infestation of lice, fleas, and ticks. The disease spreads easily in crowded spaces with dark and filthy atmosphere. Infection can also be caused by exposure to hairy animals like cats, rats, mice, raccoons, and squirrels.
When the Rickettsia parasite enters human body, it causes severe inflammation in human blood vessels. This prevents the blood vessels from supplying blood to body organs. In due course, when sufficient quantity of blood fails to reach the patient’s brain, he starts feeling the haziness and there are extreme chances of patients slipping into a coma. Some common symptoms of different versions of typhus are:
- Murine Typhus: Symptoms include severe joint pain, vomiting, nausea, splitting headache, dry cough, a high fever lasting up to almost 14 days, diarrhea, and abdominal pain. A dull red rash first appears on the torso and later spreads to all parts of the body except the face, the palms and the soles. The rash gradually turns into ugly dark red, green, blue and purple colors.
- Epidemic Typhus: Symptoms include severe muscle pain, splitting headache, cold and cough, chills and high fever lasting up to almost 14 days, severe joint pain, low blood pressure, delirium, rapid spread of an ugly rash all over the body except on palms and soles. Epidemic typhus patients reports seeing a very hurtful bright light in front of their eyes.
- Scrub Typhus: Symptoms include severe body pain accompanied by high fever, splitting headache, cough, muscle pain and rapid spread of an ugly-looking rash all over the body. Sometimes, there is a severe liver malfunction leading to gastrointestinal problems as well.
- Queensland Typhus: Symptoms include an ugly red rash all over the body including palms and soles, pneumonia, blood-shot eyes, enlarged lymph nodes, high fever, splitting headache, infection at the tick bite spot on the body.
All the above versions have rashes in common. Typhus rashes look very similar to the rashes appearing during typhoid fever. As a result, there have been past instances of an erroneous medical diagnosis with doctors prescribing typhoid medication to typhus afflicted patients. A common and easy test helps to differentiate the two diseases. When the spots of a typhoid rash are pressed sharply they seem to disappear but when the spots of a typhus rash are pressed sharply, they never disappear.
Stages of Typhus Fever
A crucial fact about this disease is that it lasts for approximately 14 days. The peak or the worst phase of the disease is usually from the 9th to the 12th day. During this time, the patients are known to suffer from breathing problems, loss of appetite, swelling of lymph nodes, swelling of feet and arms, confusion and palpitation. Patients have reportedly experienced a hurtful bright light in front of their eyes accompanied by a continuous ringing sound in their ears. There is a rapid rise in fever with body temperature soaring to anything between 104 to 106 degrees Fahrenheit. There are extreme chances of patients slipping into a coma and meeting with fatal death at this stage.
If, however, the patient does survive the peak phase and reaches the 13th and 14th day, there are good chances of patient’s survival and recovery. The 13th and 14th day of fever are known for rapid fall in the body temperature to the normal 98 degrees Fahrenheit, along with a reduction in the inflammation and body rash.
Prevention and Medication
As the old saying goes, prevention is always better than cure. The preventive measures start with maintenance of personal hygiene and cleanliness of surrounding spaces. Infestation of lice and ticks should be carefully controlled. There is a high chance of spread of lice when normal children play with those with a lice infestation. In such a case, parents need to be alert and keep a tab on lice infestation in their children. If possible, medicated shampoos may be used to . Avoid encounters with any hairy animals and rat excretions. Maintenance of good sanitation is a must. To ensure riddance from lice, make sure to boil the infested clothing, bedding and linen with insecticides. Do not share personal utility items such as hair brushes and face napkins. Avoid being in crowded places.
A zoologist named Rudolf Weigl from Poland was the first person to develop a typhus vaccine in the early 1900s. Post World War II, further research on typhus has helped develop medication through usage of chloramphenicol, naproxen, ibuprofen, tetracycline, doxycycline, azithromycin, ketoprofen or orudis, narcotic and non-steroidal pain medication. Doctors need to ensure prescribing the consumption of antibiotics a couple of days after the fever subsides.
The United Nations World Health Organization or WHO is making rigorous efforts to eradicate the typhus disease permanently. In the process, better quality and cheaper drugs for typhus cure are being developed.