Wasserman symptom: concept, causes of occurrence, description of symptoms, diagnosis and necessary treatment

Neurological diseases are one of the most common among the adult population. Many are familiar with pain in the neck, shoulder blades, lower back or sacrum. All this is the result of excessive load, poor posture, complications of other diseases.

Any such pathology can lead to a deterioration in overall health, the development of pain. Therefore, it is so important to timely and correctly identify the cause of the ailment and begin to take measures to eliminate it.

So, one of the methods for early and reliable diagnosis is the procedure for determining the symptom of Wasserman.

Concept of symptom

The second name is a symptom of Matskevich. This is a condition in which a painful sensation appears in the thigh, groin and lower leg of a person lying on his stomach, if he is lifted up his leg.

This is due to the fact that with pathology there is tension and irritation of the nerve, passing along the upper thigh. Hence the pain.

The first to describe this condition was the German scientist Wasserman. A symptom was simultaneously studied by a Russian doctor with the surname Matskevich. However, the German was the first to publish his works.

The relevance of the Wassermann symptom in neurology

In modern medicine, this method is used much less often than before. The fact is that quite often the results are false positive or false negative. Despite this, doctors of the old school are able to accurately distinguish the norm from pathology and often use this method.

What does the symptom mean?

If a person feels pain with this action, then we can assume that the result of determining the Wasserman-Matskevich symptom is positive. This allows him to suspect the development of any of the following pathologies:

• Radiculitis in the sacral region. This is a disease in which there is damage to the spinal cord, as well as damage to the femoral nerve.
• The Wassermann symptom is especially noticeable in the presence of a hernia in the lumbar region.
• Myositis. With this condition, there is an increase in muscle tone and muscle contraction.
• Ankylosing spondylitis - a pathology in which there is a lesion of the spine.
• In addition, a symptom of tension can develop with a pathological condition such as a hernia in the intervertebral disc.
• The presence of a tumor in the sacrum.
• Damage to the joint tissue.
• The presence of inflammation or deformation in the muscular skeleton.

Symptoms in which the doctor can conduct this examination

• The patient complains of pain in the lumbar region.
• The patient claims that he feels pain, tingling in the buttocks, thighs and legs.
• Another symptom may be reduced skin sensitivity in these places.
• "Backache" in the spine with a sharp change of position.

Doctor's actions

In addition to the symptom of Wasserman tension, there are many more different methods for examining a patient for damage to nerve endings. It is very important for the doctor and his patient that the first of them can choose the right tactics. To do this, you need to understand what kind of disease the patient has.

Wasserman symptom is applied according to a specially developed algorithm. All pathological signs should be divided into 4 groups:

1. Compression.
2. Muscular tonic.
3. Liquorodynamic.
4. Compression-irritative.

This separation of symptoms eliminates the need to determine this symptom in patients who do not complain at all about nerve infringement.

• If a person complains of very severe pain in the lower back, buttocks, hips, you should check if he has a hernia or protrusion. If such pathologies are absent, then it is better to use the diagnosis of symptoms of Goliuflam and Mennel.
• If protrusion is present, the Wassermann symptom definition should be used.
• In the presence of a hernia, it is better to use the symptoms of Mutar-Marten and Minor-1.
• In the event that the patient has several hernias and protrusions, then the Mutar-Marten symptom should be used.
• If the pain syndrome intensifies when the body is tilted forward, then the methodology of Mennel and Lassega should be used. Wassermann's symptom in this case will not give a reliable result.

It should be noted that only a qualified doctor can use these methods, otherwise the patient's condition may worsen and even the development of combat shock may occur. Indeed, in the back and lower back there is a huge number of nerves, whole plexuses. And in the presence of inflammation here, every wrong movement can lead to intense pain.

Survey Algorithm

It is extremely important to make the procedure as correct as possible. This will avoid the occurrence of false positive or false negative results. With the right actions, a reliable result is obtained in more than 80% of cases.

1. The patient is located belly down on a hard, flat surface, without a pillow.
2. The head should lie on its side, hands at the seams, shoulders pressed.
3. The patient should relax the entire body.
4. After this, the neurologist smoothly raises the straightened, not bent at the knee lower limb.
5. The patient at this time listens to his feelings and informs if he feels even the slightest discomfort.
6. Based on the results of the examinations, the doctor concludes that the patient has one or another neurological disease.
7. As a rule, pain is especially intense in the groin and front of the thigh. The fact is that it is here that the maximum tension of the nerve occurs. The result is positive if the patient feels at least a little pronounced pain.

Treatment

As a rule, in the treatment of any of neurological diseases, a comprehensive solution to the problem is necessary. This means that for effective therapy it is necessary to use not only medications, but also physiological procedures.

Drug therapy must necessarily include the use of non-steroidal anti-inflammatory drugs as an analgesic component. These include drugs such as Diclofenac, Ibuprofen.

With a more severe pain syndrome, the patient is shown the use of Nimesulide, Dexketoprofen, Meloxicam, and so on. Dosages and treatment regimen are prescribed by the doctor in an individual order for each patient and depends on the severity of symptoms.

Often, the treatment regimen includes two stages:

1. First, the use of the drug in injections is to quickly stop the problem.
2. Maintaining well-being by oral forms of medication.

Another medicinal component, the appointment of which is often mandatory - muscle relaxants. For example, Midokalm is a drug based on tolperisone. The substance eliminates inflammation, damage to the nerve fiber. Has an injectable release and tableted.

It is not out of place to prescribe a group B vitamins to a patient. As a rule, "Compligam B" or "Combilipen" becomes the drug of choice. Drugs include vitamins B ₁ , B ₆ , B ₁₂ and lidocaine as an analgesic component. With such a powerful composition, the medicine effectively nourishes the nervous system and supports its healthy functioning.

Conclusion

Determining Wassermann's symptom is a quick and easy way to find out the patient’s condition with complaints of pain of a neurological pathology. The main thing that a doctor should do is to properly conduct the diagnostic procedure and prescribe the appropriate treatment.