Sciatica Is The Most Common Form Of Nervous Diseases
The term sciatica or rather ishias denotes a certain syndrome characterized by pain the sciatic nerve & this term defines neither any causes the disease nor a place defeat. This disease has been known a long time ago; the first mention occurs the XV century but detailed clinical description is given only the XVIII century.
Sciatica is the most common disease among certain forms nervous diseases & especially among the various lesions the peripheral nervous system. According to statistical information hospitals sciatica makes from 12 to 20 percent all nervous disorders & from 60 to 70 percent all lesions peripheral nervous system. Under the outpatient data there are higher figures up to 30% all nervous diseases. Approximately the same data occurs different countries Europe & Asia (data Bernhardt & Sykkar & others). But apparently disease is more prevalent the northern & middle latitudes than the south.
The disease mainly affects adults. According to our data more than 60% patients are people who are 40 years old & above 25% are people the age between 30 & 40. Sciatica is rare disease until 20 & children almost never have except those cases where the syndrome is caused by tuberculous spondylitis severe spinal injury etc.
Both men & women are prone to the disease. According to the old statistical information the men get sick more often than women approximately revenge 5:1. According to recent statistics (for railway workers) there are other numbers is 5 to 4. Usually individuals engaged heavy physical labor & those who work adverse temperature conditions are ill with the disease. 70% sciatica cases fall at manual workers. According to our the last time observations those who are engaged physical labor make approximately 60% all sciatica patients those who are engaged intellectual work – about 30% & 10% are other categories the population retirees housewives etc. These data applies equally to both men & women.
Sciatica diseases occur all seasons but happens slightly higher winter (39%). If fall & spring would be added to this time we will see that the percentage disease the cold months increases up to 67%. The largest number patients falls at November & February the lowest – at July & August.
The disease we are speaking about occurs not only outpatients but also clinical practice where appears under various names: sciatica (most often) neuralgia neuritis the sciatic nerve. There are no clear topographic & etiological characteristics all these names. The need for classification constructed the light these data long overdue but only timid steps this direction are made yet.
Old division sciatica onto the radicular & stem ones can no longer satisfy the clinician. Current knowledge already allows to set localization lesions when there is sciatica with one or another degree certainty as well as to determine the true cause the disease each case.
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