Sciatica is the name that is given to the pain that is caused by irritation to the sciatic nerve. Anything that causes irritation to the sciatic nerve may cause discomfort that ranges from mild to very severe. Sciatica is typically caused due to a compressed nerve located in the lower part of the spine.
Often, the term “sciatica” is confused with general back back pain. But sciatica isn’t just restricted to rear. It is also the largest and longest nerve that is found in your body. It is located in the lower back through the buttocks and then down the legs, settling near the lower knee.
This nerve regulates a variety of muscles of the lower leg and also provides sensory sensation for the surface of the feet and the most in the lower leg. Sciatica doesn’t mean a symptom of a medical condition or a condition, but instead a sign of a problem with the sciatic nerve. According to some experts, as high as 40 percent of patients will experience sciatica at some point throughout their lives.
The most important facts about sciatica.
- Sciatic nerve, which is the longest nerve that is found in the human body.
- The most commonly cited cause of sciatica is dislocated (herniated) disc.
- Cognitive therapy for behavioral problems can help those who suffer from sciatica manage their pain. of sciatica.
- Sciatica does not constitute a medical condition It is an indication.
The primary sign can be a pain shooting on the sciatic nerve. beginning in the lower back down to the buttock, and then down the back of the leg.
Other symptoms that are common to sciatica are:
- The leg is numb in the leg
- A tingling sensation (pins or needles) in the toes and feet
The pain may vary in severity , and it can get worse if you sit for prolonged periods.
We will discuss the treatments for chronic and acute sciatica separately:
Acute sciatica treatments
The majority of cases of sciatica are well-responding to self-care strategies including:
- Painkillers that are available over the counter, such as ibuprofen can also be purchased for purchase on the internet..
- Walking exercises, for example, or gentle stretching.
- Cold or hot compression packs aid in reducing pain. They can be purchased on the internet. It is usually beneficial to switch between both.
Some painkillers may not be suitable for all people; patients should make sure they review alternatives with their doctor.
Chronic sciatica treatments
The treatment of chronic sciatica typically requires self-care as well as medical treatment
- physical therapy
- Cognitive behavior therapy (CBT) can assist in managing chronic pain by teaching individuals to be able to perceive their pain
Surgery could be a possibility when symptoms haven’t resolved with other treatments and have continued to worsen. Surgery options include:
- Lumbar laminectomy – the widening of spine in lower back area to decrease pressure on nerves.
- Dissection Complete or partial removal of an disc that has been herniated.
Depending on the reason for sciatica, a doctor will explain the benefits and risks of surgery, and offer a suitable surgical solution.
There are a variety of ways to ease the pressure upon the sciatic nerve by exercises. Patients can:
- ease their symptoms by themselves
- cut down or stop taking medication when possible.
- They can find long-term comfort and relief from their flare-ups and discomfort.
The video below shows how a doctor of Madden Physical Therapy looks at three exercises to help the sciatic nerve.
Sciatica is a frequent manifestation of various medical conditions. However, 90% of cases result from an injured (slipped) disc. The spinal column consists of three distinct parts:
- vertebra (individual bone in the spine that guard the spinal nerves)
Disks are comprised of cartilage, solid and durable It acts to act as a buffer between vertebra, allowing the spine to move. A herniated disk is when a disk gets pushed off its position, putting pressure on the sciatic nerve.
The other causes for sciatica can be:
- A lumbar spinal narrowing which is the narrowing of the spine cord in the lower back.
- Spondylolisthesis is a condition in which the disc slides forward, causing the vertebra beneath it to slide over it.
- Tumors in the spine They can cause compression of the sciatic nerve’s root. nerve.
- Infection that eventually affects the spine.
- Additional causes For instance, spinal injury.
- Cauda Equine Syndrome is a rare but serious disorder which affects nerves located in the lower region of the spinal cord. it is a medical emergency that requires immediate attention.
In a lot of cases of sciatica, there’s no specific cause.
The risk factors that can cause sciatic nerve discomfort
Common risk factors include:
- age – individuals in their 30s or 40s are more likely for developing sciatica.
- Profession Jobs which require lifting heavy objects for long durations.
- Lifestyle that is sedentary those who sit for prolonged periods of time, and who are physically unactive have a higher risk to develop sciatica when compared to active individuals.
The pain of sciatica is an issue during pregnancy; the research suggests that 50%-80% of women experience back discomfort during pregnancy. The hormones that are produced during pregnancy, including relaxing the ligaments, causing them to loosen in a stretch that could possibly cause back pain for certain women.
But, sciatica caused by herniated discs isn’t more likely in pregnancy.
In the majority of instances, sciatica will go away without treatment; however, in the vast majority cases, surgery isn’t required. The majority of patients recuperate within six weeks.
The prevention of sciatica
In certain instances, sciatica can be prevented by making a few lifestyle modifications that can lower the chance of developing it. These include regular exercise and ensuring the proper posture is utilized when sitting, standing up and lifting heavy objects.
If symptoms of sciatica are not severe and don’t persist for more than 4-8 months then it’s likely that you have acute sciatica. Medical care isn’t usually required.
A thorough medical history can aid in the identification process. Doctors may also recommend that the patient perform simple exercises to can stretch out the sciatic nerve. The sensation of pain shooting down the leg during these exercises is usually a sign of sciatica.
If the pain continues for longer than 4-8 weeks imaging tests like the X-ray and an MRI might be necessary to determine what is pressing on the sciatic nerve, and the resulting symptoms.