Roth disease - this disease is a type of neuralgia, manifested not so much pain as discomfort in the inner thigh. This tunnel syndrome occurs when squeezing the nerve trunk in the region of the inguinal ligament and in the departments below. All this happens due to damage to the lateral cutaneous nerve of the thigh, which originates from the roots of the lumbar spinal nerves. The article will consider the main symptoms of Roth disease and the treatment of this disease, and most importantly - ways to prevent it.
Causes of the disease
The main cause of Roth-Bernhard disease is nerve compression. Another factor in the development of pathology is its insufficient supply of nutrients as a result of various diseases. Compression neuralgia can occur with:
- prolonged wearing of belts, tight underwear, corsets;
- frequent and prolonged body position with the body inclined forward;
- excessive deposition of fat on the abdomen and upper thighs;
- pregnancy
- injuries and diseases in the lumbar spine;
- lumbar bending of the spine, bulge forward and scoliosis;
- injuries of the hip joint and pelvic bones;
- inflammatory processes in the lower abdominal cavity;
- neoplasms in the pelvic area;
- surgical interventions in the inguinal or abdominal cavity;
- hematomas that have arisen in the peritoneum;
- infectious diseases, diabetes;
- alcoholism.
Often there is a combination of these reasons. Tunnel neuralgia often affects people of working age, more often than men. A hereditary predisposition also affects the onset of the disease. When symptoms of Roth-Bernhardt's disease appear, treatment begins with identifying the causes that could cause this ailment.
Symptoms of the disease
The disease begins to manifest gradually and often in waves. At the beginning, the following symptoms appear:
- Decrease in tactility, the occurrence of goosebumps in the outer and front of the thigh. Such a clinic begins to appear after physical activity.
With the full development of the disease occurs:
- Burning and tingling from the hip to the knee.
- Decrease in skin tactility.
- The onset of complete numbness, and then the restoration of blood flow, which is accompanied by not very pleasant sensations.
- Slight lameness.
- Severe or pulling subcutaneous pain.
Late stages of the disease are manifested:
- pallor of the skin of the thigh;
- dryness and peeling of the skin;
- expansion of veins;
- the appearance of long non-healing trophic ulcers.
Over time, all the symptoms intensify and pain is added. Sometimes relief comes from a supine position with legs bent or active movement. The early manifestation of the symptoms of Roth disease and treatment, begun in a timely manner, can significantly alleviate the condition of the individual.
The mechanism of development of Roth disease
For the normal functioning of the lateral femoral nerve, the intake of nutrients is required, which are delivered to it with a blood stream. When squeezing it, blood flow is disturbed. As a result:
- nerve cells do not receive the necessary nutrition;
- they accumulate decay products and free radicals in them;
- as a result of toxic effects, nerve fibers undergo changes, necrosis begins.
The first symptoms of Roth's disease appear, and treatment (photo below) should be started immediately, otherwise dystrophy may occur in a short period of time with subsequent complete atrophy of the femoral lateral nerve. The sensitivity of the skin is practically impossible to restore. A violation of the connection of nerve fibers of the subcutaneous fat layer of the thigh with the central nervous system leads to sclerotic changes. As a result, lesions appear in the form of trophic ulcers.
Treatment
For quality therapy, which will really help the patient and ease his condition, an integrated approach is needed. The treatment of the symptoms of Roth disease (in ICD-10 code G-57) should be aimed at eliminating the causes that caused them. It includes the following stages of treatment:
- drug therapy;
- diet food;
- physiotherapy;
- special massage;
- medical exercises;
- surgical intervention.
It is advisable to start treatment with the first symptoms of the disease. Effective manual therapy techniques have been developed that give good results and allow you to do without surgical intervention.
Pharmacotherapy
What drugs are used to treat the symptoms of Roth disease? To weaken the pain syndrome in official medicine, non-steroidal anti-inflammatory drugs are used: Nimesulide, Diclofenac, Ibuprofen. In case of their inefficiency, local anesthetics and glucocorticoids.
To improve the trophism of the damaged nerve, drugs are used that improve blood microcirculation using Trental, Pentoxifylline, as well as B vitamins. Prozerin medication, which affects the functioning of the nerve fiber, is prescribed only for complicated conditions. In advanced cases, hormones are prescribed to relieve symptoms.
Traditional medicine
As additional drugs, along with drug therapy, folk remedies are also used. The treatment of the symptoms of Roth disease is carried out using:
- Honey - an emulsion for compresses is prepared from it. To prepare it, you need: a tablespoon of honey, chicken egg protein, a dessert spoon of grated laundry or children's soap. Beat everything thoroughly, apply a thin layer to the tissue, put on the affected area, cover with compress paper on top and tie with a warm scarf. Compress to do at night, remove in the morning and rinse with warm water.
- Horseradish - grate the root of the plant. Mix one part of horseradish with two parts of honey. Make a compress, as in the previous case.
- Therapeutic baths - add infusion of sage to the water with a temperature of 38 degrees. Take a bath for a quarter of an hour daily or every other day.
All these procedures, together with medicines, will help get rid of unwanted signs of Roth’s disease and alleviate the patient’s condition.
Non-drug treatment of the disease
Physiotherapeutic procedures are widely used to prevent and treat the symptoms of Roth disease. These include:
- Dynamic currents - they are delivered at different frequencies and have a beneficial effect on pain management and metabolic processes.
- Percutaneous electroneurostimulation - effect on the receptors of the skin with low-frequency currents. There is an improvement in local blood circulation, pain is reduced, and metabolism is improved.
- Acupuncture is a method that came from Chinese medicine. Exposure to certain points of the body with a thin needle gives a good healing effect.
- Water aerobics - water relieves tension from the muscles of the spine, reduces the compression of the affected areas.
- Massage - a mechanical effect on the body with creams and oils helps to improve blood circulation, and hence the nutrition of soft tissues and nerve fibers.
All these procedures have a beneficial effect on improving the patient's condition and lead to recovery.
Disease prevention
In order to avoid treatment, symptoms of Roth disease can be prevented. To do this, observe the elementary rules:
- Refuse from the constant wearing of squeezing corsets, tight underwear, belts.
- Normalize body weight.
- Organize proper nutrition.
- Allocate time for daily physical education exercises.
- With a long stay of the body in a forced position associated with professional activity, take short breaks with a simple warm-up.
Timely treat all arising ailments that provoke diseases of the external cutaneous nerve of the thigh.
Conclusion
Roth-Bernhart disease is not such a rare pathology that affects both men and women. This ailment is more often manifested in people of middle and older age. The disease does not pass by and young people leading a sedentary lifestyle, overweight and working all day, in a sitting position. The main triggering factor for the occurrence of tunnel syndrome is the lack of regular muscle activity of the lower extremities. With the timely detection of symptoms of Roth disease, treatment should be started immediately to prevent serious consequences. Seek help from a neurologist.