Sciatica
Overview
Sciatica is a common ailment affecting roughly 40% of people at some point in their lives. Named after the sciatic nerve, the longest nerve in your body that runs from your lower back down to your feet, this condition is characterized by pain that radiates along the pathway of this nerve. While sciatica pain can be severe, it’s important to know that this condition is treatable, and many people recover within a few weeks with the right course of treatment and self-care.
Types
Sciatica isn’t a disease on its own, but rather a symptom of other problems involving the sciatic nerve. As such, it doesn’t have distinct ’types’ but varies from person to person based on the truth condition triggering the symptoms. However, it’s typically classified into two groups based on its duration: acute sciatica, which lasts under six weeks, and chronic sciatica, which can continue for three months or longer.
Causes
Sciatica is generally caused by conditions that put pressure on or cause inflammation in the sciatic nerve. These include:
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- Lumbar Herniated Disk: This occurs when the soft centre of a spinal disk pushes through a crack in the tougher exterior
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- Spinal Stenosis: A narrowing of the spinal cord in the lower back
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- Piriformis Syndrome: The piriformis muscle in the buttocks may spasm and cause sciatica
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- Spinal Tumours: Abnormal growths can lead to sciatica when pressing on the sciatic nerve
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- Injury: Accidents or falls can lead to injury and damage to the spine
Symptoms
The key symptom of sciatica is, of course, pain that follows the course of your sciatic nerve. But it can present in different ways:
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- Pain ANYWHERE along the sciatic nerve pathway: from the lower back, buttocks, down the back of your leg
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- Constant pain in only one side of the buttocks or leg
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- Increase in pain when sitting
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- Sharp “searing” sensation opposed to a dull ache
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- Weakness, numbness, or difficulty moving the leg or foot
Diagnosis
Sciatica diagnosis usually starts with a doctor’s review of your medical history and a physical exam. However, the doctor might also recommend imaging tests such as X-rays, Magnetic Resonance Imaging (MRI), or Computerized Tomography (CT) scans.
Treatment Options
Treatment for sciatica usually aims to alleviate pain and increase mobility. It can include:
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- Physical Therapy: To improve your flexibility, strength, and posture
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- Medications: Over-the-counter or prescription pain relievers, muscle relaxants, antidepressants, anti-seizure medications
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- Exercise: Gentle exercises and stretches can help the recovery process
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- Surgery: In severe cases where the pain is persistent or causing significant weakness, loss of bowel or bladder control, and in situations where the nerve damage might be permanent, surgery may be recommended
Living With Sciatica
Living with sciatica can be challenging, but some lifestyle changes can help manage the condition more effectively:
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- Regular exercise: Strengthening exercises for your back can prevent sciatica pain
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- Good posture: Maintaining a correct posture can reduce pressure on your lower back
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- Ergonomic furniture: Using chairs that offer proper lower back support
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- Heat or cold: Applying heat or cold repeatedly to affected areas can help soothe sciatic nerve inflammation
When to Seek Help
While most cases of sciatica resolve with self-care and non-surgical treatment, there are certain situations calling for immediate medical attention:
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- If your pain lasts longer than a week
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- If it suddenly becomes severe
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- If you have trouble controlling your bowels or bladder
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- If the pain follows a violent injury like a traffic accident
Remember, every person is unique, and therefore, so is every case of sciatica. So, please, always consult your health professional for the right diagnosis and treatment for you.