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The cause of the pathology is pressure on the nerve from the outside, which may be due to: wearing tight clothing (belts, underwear); pressure on the nerve of the internal organs during pregnancy; obesity with the accumulation of a large amount of subcutaneous fat in the lower abdomen; pressure on the nerve by a tumor-like formation of any genesis; compression of accutane pills cutaneous nerve of the thigh with ascites (accumulation of fluid in the abdominal cavity). The pathogenesis consists in metabolic changes in the tissue of the nerve fiber, as a result of which the normal transmission of the nerve impulse is disrupted. Manifestations of the disease and how to diagnose it?
Causes and pathogenesis of Roth's disease.
The main symptom of Roth's disease is a violation of sensitivity in the area of the outer part of the thigh, in its upper half. If there are pronounced changes in the nerve, then over time there are trophic changes in the skin (thinning and flabbiness). A characteristic symptom of the disease is an increase in pain or the severity of Isotretinoin in an upright position and after movement, which is explained by nerve tension. The pain is relieved at rest, in the supine position, and when the leg is flexed at the hip joint.
Specific clinical manifestations make it possible to make a diagnosis without the use of additional examination methods. Performing laboratory tests, computed or magnetic resonance imaging may be prescribed by a doctor to determine the causes of Roth's syndrome and determine the possibility of medical procedures. The main direction in the treatment of Roth's disease is the elimination of factors that can cause the appearance of compression-ischemic neuropathy, namely:
Isotretinoin clothing must be worn; with obesity, you should resort to a special diet and exercise therapy; in the presence of volumetric formations, their removal is indicated; it is necessary to treat ascites with conservative methods or puncture if it is the cause of Roth's syndrome.
For pathogenetic treatment is used: Reflexology. Impact on special biologically active points allows you to normalize metabolic processes in the lateralcutaneous nerve of the thigh and improve the innervation of the skin. Physiotherapy treatment.
Diadynamic currents, transcutaneous electrical neurostimulation, interstitial electrical stimulation, magneto-laser therapy and others are used. The task of accutane methods is to improve the blood supply to the nerve fiber and restore its natural function of transmitting the nerve signal. Contraindications to physiotherapeutic methods can be benign and malignant neoplasms, changes in laboratory tests, severe systemic diseases.
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Physical therapy and wearing a corset can serve as both therapeutic and preventive measures. They help to get rid of excess weight, improve nerve trophism, as well as strengthen muscles, and normalize the functioning of fascial structures, inside which the nerve fiber passes, and therefore the likelihood of trophic and degenerative changes is reduced.
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Non-steroidal anti-inflammatory drugs. The use of these drugs (ibuprofen, diclofenac, lornoxicam, indomethacin, etc.) can reduce pain and eliminate the inflammatory process.
Treatment is prescribed in courses, long-term use of these drugs is dangerous due to a possible increase in blood pressure, a high risk of thrombus formation and the appearance of ulcerative defects in the mucous membrane of the stomach and duodenum.
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Vitamins and vascular preparations. These substances can improve the formation of myelin in the nerve fiber, restore its structure, metabolic processes, blood supply and function. Operative treatment. It is carried out in rare cases when there is a pronounced pain syndrome, and conservative treatment is ineffective.
Prevention of Roth-Bernhardt's disease consists in the rejection of excess nutrition, maintaining a normal body weight. A balanced diet plays an important role not only for maintaining a normal weight, but also for the intake of a sufficient amount of vitamins in the body.
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Bernhardt-Roth disease (neuropathy of the external cutaneous nerve of the thigh) (G57.1) is damage to the external cutaneous nerve of the thigh due to compression of its fibers under the inguinal ligament in the region of the anterior superior iliac spine, manifested by paresthesia, pain in the region of the outer surface of the thigh.