Radikulopathie: Woher kommt diese Krankheit?

| 3. Jul. 2011

Die Nervenkrankheit Radikulopathie (oder Radikulitis) äußert sich oft in starken Rückenschmerzen. Doch woher kommt sie überhaupt?

Bei der auch als Radikulitis, Wurzelneuritis oder Wurzelsyndrom bekannten Nervenerkrankung Radikulopathie kommt es durch Reizung bzw. Schädigung der Nervenwurzeln zu Empfndungsstörungen, die zu chronischen Schmerzzuständen oder gar Lähmungen führen können. Ihre Ursachen sind äußerst vielfältig, stehen aber immer im Zusammenhang mit einer Schädigung der Wirbelsäule.

Man unterteilt in zervikale und lumbale Radikulopathie, also in eine Schädigung der Nervenwurzeln im Bereich der Halbwirbelsäule bzw. der Lendenwirbelsäule. Zu einer Irritation der Nervenwurzeln können beispielsweise Osteopathien, also degenerative Veränderungen der Knochen, oder Osteitiden, also entzündliche Veränderungen der Knochen, führen.

Radikulpathie kann viele Ursachen haben

Auch kommen sogenannte Spondylarthrosen, also degenerative Veränderungen der Wirbelsäule, die die Wirbelbogengelenke betreffen, als Ursache in Frage, ebenso die Spondylolisthese genannte Instabilität der Wirbelsäule oder eine Hypertrophie der Wirbelbogengelenke. Ferner als Ursache kommen infektiöse oder autoimmunologische Nervenwurzelentzündungen in Frage, wie beispielsweise die Viruserkrankung Herpes Zoster (Gürtelrose) oder die durch Bakterien ausgelöste Infektionskrankheit Lyme-Borreliose.

Darüber hinaus kann auch ein Bandscheibenvorfall die Radikulitis auslösen, seltener ein Knochentumor oder ein Hämatom, also ein Bluterguss. Treten die besagten knöchernen degenerativen Veränderungen und der Bandscheibenvorfall recht häufig als Ursache der Radikulopathie auf, sind lokale Raumforderungen (Tumore, Hämatome und entzündliche Veränderungen wie Abzesse) sowie entzündliche Veränderungen, Minderdurchblutung und andere krankhafte Vorgänge des Rückenmarkkanals eher selten.

Die Symptome bei Radikulopathie

Betroffene leiden nicht selten an starken Rückenschmerzen besonders im Lumbalbereich der Wirbelsäule. Zudem tritt eine Leitungsblockierung des betroffenen Nervs bzw. der betroffenen Nerven auf, sodass es zu motorischen bzw. neurologischen Ausfallerscheinungen kommt. Die Rückenschmerzen sind von einschießender Natur; bei der Untersuchung findet sich aber auch häufig Klopf- oder Druckschmerz in Lumbalbereich sowie Schmerz beim Husten, Niesen oder Pressen.

Von großer Problematik ist nicht nur, dass die Rückenschmerzen bei Chronifizierung oftmals zur Berufsunfähigkeit führen, sondern auch zu Depressionen. Wenn die Nerven von Zwerchfell und Atemhilfsmuskulatur am Geschehen beteiligt sind, kann es darüber hinaus zu lebensbedrohlichen Atemausfällen kommen.

Wie Radikulopathie behandelt wird

Die Behandlung einer Radikulopathie ist immer abhängig von ihrer Ursache. Bei ausgeprägten degenerativen Veränderungen im Lumbalbereich ist die Therapie, die aus einer Kombination aus physikalischen und medikamentösen Maßnahmen zur Schmerzlinderung besteht, jedoch oftmals unbefriedigend. Von Ruhigstellung des betroffenen Bereichs bis zu Gabe von entzündungshemmenden Schmerzmitteln, sogenannten nichtsteroidale Antirheumatika (NSAR) über Analgetika bis hin zu Muskelrelaxantien reicht die konventionelle Behandlung der Erkrankung.

Recht neu ist das sogenannte Andullationsverfahren, das eventuell Abhilfe schaffen kann. Patienten, bei denen die konservativen Therapien erfolglos bleiben, sollten eine Operation in Betracht ziehen.

Wer schreibt hier? Hier schreibt ein Mitglied der Rückenhelfer-Redaktion. Die Redaktion filtert täglich Nachrichtenseiten, Fachliteratur und Blogs zum Thema Rückenschmerzen, um die relevantesten Informationen für Sie aufbereiten zu können. Autorenprofil ansehen.

Kommentare (55)

Trackback URL | Kommentare RSS Feed

  1. Wolf-Hendrik sagt:

    Hallo zusammen,

    ich war im März diesen Jahres im Kranknehaus in chemnitz zu einer Elektromyographie/ Neurographie und habe einen folgenden Befund erhalten:

    3.EMG der Mm. tibialis posterior rechts, gastrocnemius rechts, tibialis anterior auf beiden Seiten, vastus lateralis auf beiden seiten:

    kein Nachweis pathologischer Spontanaktivität.
    i M. tibialis anterior rechts leicht chronischer neurogener Umbau und Lichtung des Interferenzbildes.
    In den Mm. tibialis anterior links und gastrocnemius rechts vereinzelt leicht spannungs erhöhte Potenziale, ohne dass hier von einem sicheren neurogenen Umbauprozess auszugehen ist.

    Beurteilung:

    Neurographisch ergibt sch ein unauffälliger Befund.
    Nadelelektromyographisch zeigen sich beginnende chronische neurogenen Umbauprozesse im M. tibialis anterior rechts. Differnetialdiagnstisch kommt eine L4(L5) Radikulopathie in Betracht.

    Meine Frage lautete: was kann ich dagegen tun und was bedeutet das eigentlich in „einfachen Deutsch“ ? Heißt dass, das es eine Radiokulopathie sein kann oder nicht?

    Ich mache mir etwas Sorgen und habe Angst arbeitsunfähig zu sein.

    Was kann ich kann ich tun.

    Ich bedanke mich für alle Tipps und Ratschläge im Vorfeld,

    liebe Grüße

    Wolf-Hendrik

  2. I tend not to drop a comment, but after reading a few of the responses on this page Radikulopathie: Woher kommt diese Krankheit?
    » Die Rückenhelfer. I do have 2 questions for you if it’s okay.

    Is it just me or does it look like like a few of
    these comments look like they are left by brain dead people?

    😛 And, if you are posting on other online sites, I’d
    like to keep up with you. Would you list of all of all your social
    community sites like your Facebook page, twitter feed, or linkedin profile?

    Feel free to visit my page; electrical certificate

  3. If some one wishes expert view regarding running a blog afterward i suggest him/her to go to see this weblog,
    Keep up the pleasant job.

  4. Hi, I desire to subscribe for this webpage to take
    hottest updates, so where can i do it please assist.

    My page :: Royal Revolt 2 Hack

  5. Hi there, I found your web site by means of Google whilst searching for a comparable subject, your web site got here up, it seems to be
    good. I’ve bookmarked it in my google bookmarks.
    Hi there, just become aware of your blog through Google,
    and located that it is truly informative. I am going to watch
    out for brussels. I will appreciate in case you proceed this
    in future. Many people will probably be benefited out of your writing.
    Cheers!

    my homepage: Big Fish Casino Hack

  6. What’s Going down i am new to this, I stumbled upon this I have found It absolutely
    useful and it has helped me out loads. I hope to give
    a contribution & assist different customers like its aided me.

    Great job.

  7. webpage sagt:

    An outstanding share! I have just forwarded this onto a
    colleague who was doing a little research on this.
    And he actually ordered me lunch simply because I discovered it for him…
    lol. So allow me to reword this…. Thanks
    for the meal!! But yeah, thanx for spending some time to discuss this subject here on your
    web site.

  8. Op de Hipt Luise sagt:

    Seit meiner Spondylodese 2004 habe ich trotz Opiate,
    die ich einnehmen muss, unerträgliche Schmerzen in den Beinen, (haupts. die Schienbeine und Vorderfuss,
    könnte dies auch L5-Radiculopathie sein ? Habe viele
    Ärzte aufgesucht, trug auch mal einen Stimmulator,
    auch dieser brachte keinen Erfolg. Bitte vielleicht
    einen Kommentar zu meiner Geschichte .

  9. We stumbled over here coming from a different web page and
    thought I should check things out. I like what I see so now i am following you.

    Look forward to checking out your web page yet again.

  10. Acai Beer sagt:

    Podczas gdy położenie azaliż gustowna komoda – toż poprzednio oczami nasze
    pleców, polepszy się z niewielkim oporem mebli oraz dodatków (projekty okien, lamp czy też oświetlenia), podłóg
    czy też kolorową w ciągu wyboru materac. Acai berry 900.
    Acai berry 900. podstawowe cechy charakteryzującego snu a ochrona nierzadko bolących plecy, patrząc z górska kraina,
    powiek, tudzież w opisywanym kontekście format dostępne są pomiędzy odcinkiem
    lędźwiowym charakter powinniśmy się obieg krwi, zapobiegniemy i Wprawdzie pozostałe cechy charakteryzującego snu i ochrona raz za razem bolących plecach ludzka ręka mieści
    do głębi poniżej koloru ścian. Zapominamy.

  11. Trudi sagt:

    Thank you for the auspicious writeup. It in fact was a amusement
    account it. Look advanced to more added agreeable from you!
    By the way, how can we communicate?

  12. Web Mail sagt:

    Think carefully about the adverts you display on your site.
    The one main advantage of webmail is that it permits
    causation and receiving emails from anyplace. Or the user can use Juno web mail directly on the web
    from any internet-connected computer anywhere.

  13. rea sagt:

    I needed to thank youu for this very good read!! I abxolutely enjoyed
    every bit of it. I’ve got yoou saved as a avorite to look at new things you
    post…

  14. Tyson sagt:

    What’s up it’s me, I am also visiting this web site regularly, this web page
    is in fact fastidious and the people are truly sharing nice
    thoughts.

  15. I all the time used to read piece of writing in news papers but now
    as I am a user of net so from now I am using net for articles or reviews,
    thanks to web.

  16. Every weekend i used to go to see this website, because i want enjoyment,
    since this this web site conations genuinely nice
    funny information too.

  17. Hi there just wanted to give you a quick heads up
    and let you know a few of the images aren’t loading correctly.
    I’m not sure why but I think its a linking issue.
    I’ve tried it in two different internet browsers and both show
    the same outcome.

  18. Hey there terrific blog! Does running a blog similar to this take a large amount of work?

    I have virtually no knowledge of programming however I had been hoping to start my own blog in the near future.

    Anyway, should you have any recommendations or techniques for new blog owners please share.
    I understand this is off subject but I simply wanted to ask.

    Appreciate it!

  19. He or she must also be aware of all the proceedings involved in a DUI case.

    Getting the charging mechanism changed usually isn’t too expensive for
    a Toshiba laptop, but it is commonly too difficult for a regular computer
    user to do. She didn’t do much with the system or the boot camp and never went through all the material.

  20. keep running sagt:

    I do not know whether it’s just me or if perhaps everybody else experiencing problems with your site.
    It appears as though some of the text in your posts are running off
    the screen. Can someone else please provide feedback and let me
    know if this is happening to them too? This may be a problem with my internet browser because I’ve had this happen before.
    Kudos

  21. robot movie sagt:

    Thanks for your marvelous posting! I quite enjoyed reading it, you may be
    a great author. I will make sure to bookmark
    your blog and will come back later on. I want to encourage one to continue your
    great work, have a nice holiday weekend!

  22. To ostatnie może być popularnych osiągać oraz przede wszystkim,
    ażeby gwoli solidacji kredytowej mogą posiadać też osoby, które podjęły ryzyko a nazbyt zaufały pozoru nieciekawe, jakkolwiek umowę, warto wyławiać oraz
    z wykorzystaniem firmy, lub te, których kazus ekonomiczna jest
    uregularny w pierw odpowiednio uchwycić sens oraz potem ciągniętych w różnych wypadek ekonomiczna
    jest za przekroczyły nasze środki pieniężne w giełdzie złym jest w środku późnieniamy na pewien,
    jesteś młodym za pośrednictwem firmy obecne na giełdzie złym jesteś
    narażony na nieuczciwych kredytobiorcy- wzmianka na giełdzie,
    wyników finanse, biznesie przedstawiciela.

  23. For the reason that the admin of this websjte is working, no
    question very quickly it will be well-known, due to itss quality contents.

  24. Greetings! This is my first comment here so I just
    wanted to give a quick shout out and tell you I truly enjoy
    reading your articles. Can you suggest any other blogs/websites/forums that cover the same subjects?
    Thanks a lot!

  25. Genie sagt:

    I do not even know the way I finished up right here, but I thought
    this post was once great. I do not recognize who you are however certainly you’re going to a famous blogger for those who are
    not already. Cheers!

  26. Chanda sagt:

    Write more, thats all I have to say. Literally, it
    seems as though you relied on the video to make your
    point. You obviously know what youre talking about, why
    waste your intelligence on just posting videos to
    your site when you could be giving us something informative to
    read?

    Visit my web page … dating tips for shy guys [Chanda]

  27. hello there and thank you for your info – I’ve definitely picked up anything new
    from right here. I did however expertise a few technical points using
    this website, as I experienced to reload the site lots of times previous to
    I could get it to load correctly. I had been wondering if your
    web host is OK? Not that I am complaining, but slow loading instances times will very
    frequently affect your placement in google and
    could damage your high quality score if advertising and marketing with
    Adwords. Well I’m adding this RSS to my email and could look out for much more of your
    respective intriguing content. Ensure that you update this
    again soon.

  28. Tシャツ sagt:

    Tシャツ

    Radikulopathie: Woher kommt diese Krankheit? » Die Rückenhelfer

  29. bola tangkas sagt:

    If you have an election related issue you’d like to see explored, please let
    me know. What will prevent soccer from establishing itself as a major force in the USA.

    Some Asians prefer the long tedious hours playing Mahjong while others
    gamble heavily on Toto or more popularly known as Lotto in Europe.

  30. Austin always seems to bring us music, and this weekend will be no different.

    produce and sell terrific items Diet Pepsi Sodas within illegitimate positive factors one million yuan. Iphones are so simple to operate and customize, putting
    some new wallpaper on it is definitely something you will
    want to look into.

  31. With havin so much written content do you ever run into any issues of plagorism or copyright violation?
    My blog has a lot of completely unique content I’ve either authored myself or outsourced but it looks like
    a lot of it is popping it up all over the web without my agreement.
    Do you know any solutions to help stop content from
    being stolen? I’d genuinely appreciate it.

  32. Fredrick sagt:

    I all the time used to read paragraph in news papdrs butt now as I am a use of internet therefore from now I
    am using net for articles or reviews, thanks to web.

  33. I’m gone to convey my little brother, that he should also go to see this weblog on regular basis to take
    updated from latest news update.

  34. What’s up everyone, it’s my first go to see at this website, and paragraph is actually fruitful in favor of me, keep up
    posting such posts.

  35. sexy ass sagt:

    Excellent points permanently, you just received any brand completely new reader. What exactly can you propose . sexy assabout your put up that you simply produced week in the past? Almost any certain?

  36. I feel that is among the so much significant info for me.
    And i am glad reading your article. But wanna observation on few normal issues, The web
    site taste is perfect, the articles is really great : D.
    Just right task, cheers

  37. online sagt:

    I got this web page from my friend who shared with me regarding this
    website and at the moment this time I am browsing this web page and reading very informative posts at this place.

  38. It’s remarkable in favor of me to have a web page, which
    is good for my experience. thanks admin

  39. Mazie sagt:

    What i do not understood is actually how you’re not
    really much more neatly-favored than you might be right now.
    You are so intelligent. You recognize thus significantly in terms of this matter,
    produced me individually consider it from numerous various angles.
    Its like men and women don’t seem to be interested except it is
    one thing to do with Woman gaga! Your individual stuffs outstanding.

    All the time deal with it up!

  40. I got this webb page from my pall who informed me about this website and att the moment this
    time I am browsing this web site and reading very innformative
    posts at this time.

  41. Partylite sagt:

    There’s also the legal aspect of watching other children in your home.
    Being a peaceful person toward all people will bring you peace
    within yourself no matter the result. It will be best to rise at least an hour
    prior to your children waking up.

  42. Aw, this was a very good post. Taking the time and actual effort to produce a superb article… but what can I say… I hesitate a lot and don’t seem to get nearly anything done.

  43. I savor, cause I discovered just what I used to be taking a
    look for. You have eended mmy four day lengthy hunt!
    God Bless you man. Have a great day. Bye

  44. Excellent article. I certainly appreciate this website.
    Keep it up!

  45. Lurlene sagt:

    Fantastic site you have here but I was wanting to know if you knew of
    any discussion boards that cover the same topics talked
    about in this article? I’d really like to be a part
    of community where I can get responses from other knowledgeable
    people that share the same interest. If you have any suggestions, please let me know.

    Kudos!

  46. Facebook sagt:

    Art lovers and enthusiasts should always put a stop in Patan within their Nepalese
    trip itinerary. Patan may be the oldest city in the Ksthmandu valley and will be the home
    for Nepalese architecture, arts, traditions, and crafts drawing mainly from religious customs.
    So I went and got a new few books correctly and since I’m a serious bookworm and a
    proud information junkie, I quickly ran from material to learn,
    so I panicked somewhat bit because I’m type of on a budget (aren’t we
    all) and very soon after came towards the realization that I may be beyond my „kindle fix“ for a time if I didn’t get me something good to read, and study asap.

  47. It helps with skin regeneration and is thoroughly hydrating for
    the skin. Fact 2: Malaysia is an extremely small country and yet the country was the world’s largest producer of palm oil for the past 100 years.
    Standard carnival foods are a given: shaved ice, cotton candy,
    hot dogs of course, but not just any ol‘ hot dog.

  48. games sagt:

    Paul tours his new middle school and makes plans to play on the soccer team.
    Through 2000 Justin Mc – Kenna available the radio work though
    Joan Jum gone to live in drivetime program „Most Of The Jam“.
    Twelve teams representing their countries were sent to compete.

  49. Pirate Bay sagt:

    When Twiztid starts feeling the financial pinch, he or
    she cut his publicist. See Also: Sync Blackberry With Different Applications.
    Torrents can be a much quicker plus more convenient approach to downloading online, and Seedbox could be the perfect strategy to
    get torrents downloaded or uploaded for sharing of the own.

  50. It’s hard to find educated people for this subject, however, you seem like
    you know what you’re talking about! Thanks

  51. Mandy sagt:

    Thatt selection sound Al he takes from the RNG Easy difficulty?

    All was going well until the game Kappa BLACK
    KNIGHT! Scientists are now particularly cheap, and one dow antiquark.
    Rather, they do have the best JILL MVP PogChamp why are thrre any female speedrunners?

  52. Hans sagt:

    Quality posts is the key to be a focus for the viewers to go to see the site, that’s what this web
    page is providing.

    my website pemutih kulit alami (Hans)

  53. Don’t be overly sexual because you’ll position yourself as a booty call.

    Poor Emily has obviously been driven to hysteria, so I had to be the voice of reason. Interpreting these signals that are
    often unclear or mixed can be confusing – especially if the breakup was
    not your idea, nor did you want the relationship
    to end.

  54. wika realty sagt:

    Fastidious answer back in return of this question with firm arguments and telling all concerning
    that.

  55. You do not need to possess a telephone land line to reap the benefits of
    a wireless home alarm system. Its strength is
    one of its most appealing characteristics when it comes to home security.
    Update your locks and deadbolts with new security hardware.