Lumbar neuritis is an inflammation of the lumbar nerves branched out from spinal cord at lumbar naval division . Lumbar brass is a peripheral nerve . There are 5 lumbar nerves identify as L1 , L2 , L3 , L4 and L5 . L digest for lumbar section . Lumbar nerve carries sensory and motor pulsation ( messages ) . Peripheral nerve fiber lies outside fundamental nervous system and spinal cord . Lumbar neuritis is a disease triggered by firing of peripheral lumbar boldness fibers . Lumbar neuritis is a metameric instigative disease of lumbar nerve fibers .
Impulse (Messages) Transmission Through Lumbar Nerve-
sensorial impulses from peripheral tissue paper and organs are transmitted to spinal cord .
Motor impulse are send to sinew from spinal cord .
Lumbar Nerve Fibers
Types of Lumbar Neuritis
Lumbar Neuritis is Classified as Mono Neuritis or Polyneuritis:
Lumbar Sensory and Motor Nerve Inflammation- impact sensory and motor nerve on one or several lumbar segments . The seditious disease are described as sundry neuritis or sensory and motor mettle neuritis .
Causes of Lumbar Neuritis
A. Lumbar Neuritis in Epidural Space
B. Lumbar Neuritis in Foraminal Space
Prostaglandin- Secreted by disc bulge or herniated disc .
C. Lumbar Neuritis in Lumbar Plexus
D. Lumbar Neuritis Due to Lumbar Peripheral Nerves
a. Nerve Laceration – have by stroke and accidental injury e.g. auto accident , work stroke , come home hurt
b. Nerve Tear – due to penetrating injury follow domesticated fall , auto or work fortuity .
c. Tumor or Cancer Pressing On Nerve – benignant or malignant retroperitoneal cancer or bone metastasis exerts pressure on nerve as the neoplasm wad grows . Malignant Crab grows quicker than benign . symptom become rapid and bad when malignant cancer is involved .
d. Scar Tissue – Scar tissue is deep bundle of fibrous tissue . Peripheral lumbar spunk may be pinched within scar tissue resulting in severe pain , numbness or weakness in muscles .
f. Alcohol Induced Neuritis
Causes B12 deficiency and issue in neuritis .
g. Infections and Toxins Causing Lumbar Neuritis-
i. Endocrinal Disease - Endocrinal disease causes neuritis and later results in neuropathy petty to degenerative change of the nerve .
j. Side Effects of Medication Results in Lumbar Neuritis-
Symptoms and Signs of Lumbar Neuritis
Symptoms of Lumbar Neuritis
Pain and Tenderness-
Tingling-
Pain may be associated with tingling and suggests former signs of nerve damage .
Numbness-
Temperature Changes-
Mostly observed in lumbar polyneuritis . Patient is ineffective to recognize gamey or low temperature when cold or warm object is in contact with peel ask in polyneuritis .
Touch and Pressure-
Signs of Lumbar Neuritis
Muscle Weakness and Strength-
Muscle Tone-
Coordination-
Coordination involves multiple brawn and stick . Rarely in mono - neuritis coordination is found abnormal . Coordination is abnormal in polyneuritis .
Reflexes-
Reflexes involves multiple nerve and unnatural in polyneuritis .
Investigations and Lab Studies to Diagnose Lumbar Neuritis
Treatment Options for Lumbar Neuritis
Conservative Treatment Approach For Lumbar Neuritis
Vitamin B12 or combination of B1 , B2 B6 and B12 prescribed for 4 to 6 weeks or long .
veggie like carrot , beet , citrus fruits , apples , and pineapples provide vitamin and minerals .
ease is advised until inflammation is adequately treat .
Physical Therapy (PT) For Lumbar Neuritis
Physical therapyhelps to meliorate pain permissiveness
Medication Treatment for Lumbar Neuritis
Non-Steroid Anti-inflammatory Medications To Treat Lumbar Neuritis:
Opioid Medications For Lumbar Neuritis-
Muscle Relaxants For Lumbar Neuritis-
order for-
Anti-epileptic Analgesics for Lumbar Neuritis:
Prescribed for
