Sciatica – Treatments, Cure, Causes

 

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Sciatica – Treatments, Cure, Causes

 

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The main question for this topic @ Billion Dollar Questions: What are the causes & treatments for severe, chronic leg pain?

 

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Sciatica

 

Sciatica is a condition involving pain, weakness, numbness, or tingling in the leg. It is caused by injury to or compression of the sciatic nerve.

 

Sciatica is a form of peripheral neuropathy. It occurs when there is damage to the sciatic nerve, located in the back of the leg. This nerve controls the muscles of the back of the knee and lower leg and provides sensation to the back of the thigh, part of the lower leg and the sole of the foot. Incomplete damage to the sciatic nerve may appear identical to damage to one of the branches of the sciatic nerve (tibial nerve dysfunction or common peroneal nerve dysfunction).

 

The sciatic nerve is commonly injured by fractures of the pelvis, gunshot wounds, or other trauma to the buttocks or thigh. Prolonged sitting or lying with pressure on the buttocks may also injure it. Systemic diseases, such as diabetes, can typically damage many different nerves, including the sciatic nerve. The sciatic nerve may also be harmed by pressure from masses such as a tumor or abscess, or by bleeding in the pelvis.

 

Symptoms

 

  • Sensation changes of the back of the calf or the sole of the foot
  • Numbness, decreased sensation
  • Tingling, burning sensation
  • Pain, may be severe
  • Abnormal sensations
  • Weakness of the knee or foot
  • Difficulty walking
  • Inability to move the foot (in severe cases)
  • Inability to bend the knee (in severe cases)
  • Signs and tests

 

Sciatica might be revealed by a neuromuscular examination of the legs by a physician. There may be weakness of knee bending or foot movement, or difficulty bending the foot inward or down. Reflexes may be abnormal, with weak or absent ankle-jerk reflex. Pain down the leg can be reproduced by lifting the leg straight up off the examining table.

 

Tests that reveal sciatic nerve dysfunction may include:

 

  • EMG (a recording of electrical activity in muscles)
  • Nerve conduction tests
  • Tests are guided by the suspected cause of the dysfunction, as suggested by the history, symptoms, and pattern of symptom development. They may include various blood tests, x-rays, MRIs, or other tests and procedures.

 

Treatment

 

Treatment is aimed at maximizing mobility and independence. The cause of the nerve dysfunction should be identified and treated as appropriate. In some cases, no treatment is required and recovery is spontaneous.

 

Conservative treatment is usually appropriate for mild sciatica

 

Surgical removal of lesions that press on the nerve, such as a herniated disk, may relieve symptoms. In cases of severe injury to the nerve, such as laceration, recovery may be not possible or may be limited.

 

Injections can be used to reduce inflammation around the nerve. Over-the-counter or prescription analgesics may be needed to control nerve pain.

 

Complications

 

  • Partial or complete loss of leg movement
  • Partial or complete loss of sensation in the leg
  • Recurrent or unnoticed injury to the leg
  • Side effects of medications

 

Prevention

 

Prevention varies depending on the cause of the nerve damage. Avoid prolonged sitting or lying with pressure on the buttocks.

 

 

Web Resources for Sciatica 

 

Sciatica Causes

 

 

Sciatica reasons

 

 

Sciatica & Age

 

  • Diseases and Conditions - Sciatica introduction, signs and symptoms, causes, risk factors, when to seek medical advice, screening and diagnosis, complications, treatment, more aggressive treatments, prevention, complementary and alternative medicine
  • Sciatica – Explain about Sciatica etiognosis of sciatica, constitutional factors, environmental and behavioural factors, genetic factors
  • Sciatica - Sciatica definition, causes, risk factors, symptoms, diagnosis, nerve conduction study, treatment, limited physical activity, medication, physical therapy, alternative therapies, surgery, prevention and references
  • Back pain and sciatica - Sciatica description, alternative names, risk factors, the brain and pain perception, aging, genes, heavy backpacks, high-risk occupations, infections, medical conditions, medical conditions in children, muscular abnormalities, pregnancy, psychological and social factors.

 

Sciatica in Women

 

  • Health Information - Sciatica - Sciatic definition, nerve pain, causes, risk factors, symptoms, diagnosis, treatment, limited physical activity, medication, physical therapy, alternative therapies, surgery and prevention
  • What is sciatica? – Beautiful explain for Sciatica
  • Sciatica during Pregnancy - sciatica does affect many women during pregnancy
  • Back Pain & Sciatica during Pregnancy  - Alternative Medicine Options during Pregnancy
  • Sciatica - What is sciatica? Why might it happen in pregnancy? What are the symptoms? How is it treated? Self-help tips during and after the birth by Alison Bourne.

 

Sciatica in Men

 

 

Sciatica & Genetics

 

  • Sciatica-Mayo clinic - Risk factors - age, occupation, physical activity, genetic factors, diabetes.

 

Is Sciatica Hereditary?

 

  • The truth about sciatica - Truth: Sciatica is a symptom, not a diagnosis, Truth: Serious problems or damage can occur (though rare), Truth: The sciatic nerve runs from the low back down to the toes, Truth: Sciatica leg pain is caused by a problem in the low back, Truth: The causes of sciatica are not genetic, Truth: piriformis syndrome feels like sciatica but it isn’t the same, Truth: Pain from arthritis or joint problems is not true sciatica.
  • Low Back Pain and Sciatica -  Risk Factors, symptoms, diagnosis, treatment, screening, reducing your risk, talking to your doctor, living with low back pain and sciatica, living with low back pain and sciatica, resource guide.

 

Sciatica Diagnosis

 

  • Sciatica: doctor answers patient questions - The following explanations, insights and advice about sciatica – including diagnosing the source of the sciatic pain - are provided by Peter F. Ullrich, Jr., an orthopedic spine surgeon and Medical Director for Spine-health.com
  • How is sciatica diagnosed? - More information on sciatica and neuropathy
  • Sciatica-Screening and diagnosis Mayoclinic.com - Explain for Sciatica tests spinal X-ray, magnetic resonance imaging (MRI), computerized tomography
  • Diagnosis of sciatica - Medical history, physical signs, imaging and other diagnostic tests, associations of symptoms and clinical signs with MRI findings
  • Sciatica - Sciatica--diagnosis and surgical management
  • Sciatica - Clinical diagnosis of sciatica
  • Sciatica: symptoms, causes and diagnosis -   How is sciatica diagnosed? And explain for Sciatica
  • Diagnosis of Low Back Pain and Sciatica - Sciatica tests X-ray, CT scan, MRI scan, blood tests, urine tests, and nerve conduction study
  • Sciatica - What is Sciatica, statistics summary of Sciatica, predisposing factors of Sciatica, probable outcomes of Sciatica, diagnosis and testing for Sciatica, treatment overview of Sciatica, drugs associated with Sciatica?
  • Sciatica Treatment and Information Center - Definitions and Diagnosis of Sciatica, Diagnostic Steps for Sciatica, Non-Surgical Sciatica Treatment, Surgical Sciatica Treatment, Video Presentations, Post-Operative Care.

 

Tests for Sciatica

 

  • Knee flexion test and sciatica - knee flexion test for sciatic spinal nerve root compression
  • Sciatica - Exams and Tests - This is to try to diagnose the cause of your sciatica and develop a treatment plan for you—a way to manage your pain and other symptoms and to help you recover. Typical Diagnostic Questions?
  • Sciatica - This article gives us information for Sciatica, causes, and treatment
  • Sciatica - Sciatica definition, causes, symptoms, exams and tests, treatment, outlook(prognosis), possible complication, when to contact a medical professional, prevention
  • Sciatica tests – Blood tests, CT scan, MRI Scan, X-rays.

 

Sciatica Symptoms

 

  • Sciatica Symptoms - The most common symptom from sciatica is pain. Most people describe a deep, severe pain that starts low on one side of the back and then shoots down the buttock and the leg with certain movements
  • Sciatica symptoms and sciatic nerve anatomy - Different types of sciatica pain, Proper use of the sciatica terminology
  • Sciatica symptoms - The most common symptom of true sciatica is posterior thigh, lower leg or foot pain that can be much worse than the accompanying lower back pain. Usually a patient will experience moderate to severe pain, which begins in the buttocks and runs down through the leg or foot
  • Sciatica signs and symptoms - Numbness of muscle weakness, tingling or a pins-and-needles feeling, a loss of bladder or bowel control
  • Sciatica Symptoms - Related - Nerve pain & radiculopathy the sciatic nerve what is Sciatica?

 

Sciatica Treatments

  

 

Sciatica Latest Treatments

 

 

Sciatica Exercises

 

 

Sciatica & Surgery

 

 

Sciatica Cure

 

 

Sciatica & Alternative Medicine

 

  • Complementary and alternative medicine - Acupuncture, acupressure, chiropractic, hypnosis
  • Alternative Treatments to Reduce Sciatica - Acupuncture - What's old is new, acupressure - close cousin to acupuncture, yoga - balancing mind and body, biofeedback - connecting the mind and body, prevention - better then medicine
  • Acupuncture & Low Back Pain - Our acupuncture technique, however, produces the complete opposite effect. Except in a few very acute cases, we attempt to enhance blood circulation, especially in the area that there is pain or discomfort.

 

Sciatica complications

 

  • Back pain and sciatica - Certain warning signs should alert a patient to see a doctor immediately for low back pain. Any very severe back pain warrants attention, particularly if any of the following conditions are present
  • Sciatica – Very brief explains about sciatica. The healthy lumbar spine, introduction, some common patterns of nerve root pain in the leg, healing, diagnosis, the main points of nerve root pain, prognosis, things that may help, drug treatments, physiotherapy and manual therapies, injection therapy, Surgery, after the operation, dos and don’ts, useful information sources for patients.

 

Other Sciatica Links

 

  • Sciatica patients - Infliximab may reduce sciatica symptoms and enable patients to return to work quickly
  • Sciatica patients’ rest - Sciatica patients may not benefit from bed rest. These articles explain
  • Sciatica short reference for patient’s - CT evaluation of the greater sciatic foramen in patients with sciatica
  • Is Sciatica a Symptom or Spinal Disorder? - Leg pain is the classic hallmark of sciatica. Low back pain may accompany sciatica and some patients experience sciatic pain extending into the foot. Another characteristic of sciatica is it usually affects either the lower left or right side of the body.

 

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