Sciatiease refers to pain caused by the sciatic nerve that carries messages from the brain through the spinal cord to the legs. Sciatica usually radiates to one side, from the lower back down the leg, usually below the knee. The most common cause is a bulging disc (“herniated”) in the lower back. Intervertebral discs are tire-like structures located between the bones of the spine. If the outer rim of the disc is torn, usually from constant pressure on the lower back, the gelatinous substance inside can leak out and compress or inflame a nearby nerve. Sciatica is more common in people between the ages of 30 and 50. How do you know if it's sciatica? The key to diagnosing sciatica is a thorough history and targeted examination. Sciatica symptoms are often worse with sitting or coughing and may be accompanied by numbness or tingling in the legs. A physical exam can confirm that the sciatic nerve is involved.
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If there is muscle weakness or hyporeflexia in the affected leg, imaging tests such as a back MRI may be helpful and help guide an early surgical decision. Many people think (and understandably) that the more Sciatiease Reviews intense the pain, the more likely something serious is to happen. However, this is not true for sciatica. The body can reabsorb the disc material that causes symptoms, even in people with severe pain. So treatment is focused on controlling pain and keeping people as active as possible. If the pain is severe, short lying down may help, but prolonged bed rest is not recommended. So, once the pain is under control, it's important to get up and start walking short distances. Because sitting increases pressure on the discs in the lower back, avoid sitting or driving for long periods of time. Many people try treatments such as physical therapy, massage, acupuncture, and chiropractic, but evidence suggests that while these can relieve typical low back pain, they are less helpful.
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More beneficial for sciatica. Over-the-counter pain relievers such as ibuprofen and naproxen can help. If not, it may be necessary to use stronger prescription pain relievers for a short time. The good news is that for most (about three out of four people) symptoms improve within a few weeks. For those who do not improve after six weeks, surgery is an option. We know that surgery can speed recovery, but after 6 to 12 months, people who have surgery often have as good a result as those who decide to just give their bodies more time to heal themselves. Surgery involves removing the disc material that is affecting the nerve. Overall it's a very safe procedure and although complications are rare, they can happen. In addition, 5-10% of people who have surgery will not experience relief or may experience more severe pain afterward. Patients often ask about injections into the spine, where steroids are injected into the affected area. Consideration should be given to those with uncontrolled pain or those with persistent symptoms and discomfort who wish to avoid surgery.
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