Sciatica Explained: Symptoms, Causes & Treatment Options

Sciatica Pain

Sciatica symptoms can range from mild and irritating to severe and debilitating. The particular spinal nerve root in the lower spine that is inflamed and/or compressed determines the symptoms of sciatica. Together, one or more nerve roots may be impacted. Some symptoms are common to all forms of sciatica, while others are specific to the affected nerve roots.

 

 

What is sciatica?

Sciatica is a type of nerve pain that results from irritation or injury to the sciatic nerve. Along with 

 

pain, you may experience tingling or numbness in your butt or back, which may spread down your leg. There is also a chance of more severe symptoms. Sciatica is the longest and thickest nerve in the human body. It is up to two centimetres broad (a penny in the United States and a one-pence coin in the United Kingdom are almost the same width). It's not a single nerve, despite its name. In reality, it is a collection of nerves originating from five nerve roots that emerge from your spinal cord. 

 

One sciatic nerve is located on each side of your body. Each sciatic nerve passes through one side of your hip. Each of them descends the leg on the side of your body until it is just below your knee. Once there, they divide into more nerves that attach to more distant areas, such as your foot, toes, and lower leg.

 

 

Common sciatica symptoms:

Sciatica typically only affects one leg at a time, with symptoms that travel down the leg from the thigh to the lower back or buttocks. The front, back, and/or sides of the leg and thigh may hurt if you have sciatica.

 

 

Sciatica often appears as the following symptoms:

 

1. Pain:

Sciatica pain can be sporadic or continuous. A searing or acute, shooting pain is the most common description of the discomfort. The leg typically experiences more acute discomfort than the back. Compared to other areas of the leg, leg pain typically occurs more frequently in the calf area below the knee.

 

2. Altered feeling:

A pins-and-needles feeling, tingling, or numbness may be experienced in the rear of the leg.

 

3. Weakness:

It is possible to feel weakness in the foot and leg. It could be challenging to raise the foot off the ground if the afflicted leg feels heavy.

 

 

How does sciatica pain feel?

Many individuals describe it as feeling like an electrical shock, but you may also have "pins and needles" in the afflicted limb, as if a bodily part has gone asleep.

 

One side of the lower body is typically the only one affected by sciatica. Pain frequently radiates from the lower back through the back of your thigh and butt, and then down through your leg. The pain may also radiate to the foot or toes, depending on the location of the sciatic nerve injury. When you cough or sneeze, the pain could get worse.

 

Sciatica can cause excruciating, incapacitating pain for certain people. However, not everyone experiences excruciating sciatica pain. For some people, sciatica pain may be mild and irritating, but it can worsen over time.

 

 

Get medical help immediately if you have:

  • Back discomfort and fever
  • Redness or swelling in your spine or back
  • Pain radiating down your legs
  • weakness or numbness in the legs, pelvis, bottom, or upper thighs
  • Blood in your urine or burning when you urinate
  • Extremely painful
  • loss of control over one's bowels or bladder (leaking or failing to get to the bathroom in time)
Sciatica Pain

What causes sciatica?

You can have sciatica from any ailment that affects the sciatic nerve. Any of the five spinal nerves that bundle to form the sciatic nerve may also be affected by certain disorders.

 

The majority of sciatic pain instances are caused by a herniated disk. Additional typical reasons for sciatica include:

  • Lumbar spinal stenosis, or narrowing of the lower back's spinal canal
  • Degenerative disk disease is characterized by the degeneration of the disks that serve as cushions between the vertebrae.
  • A disorder known as spondylolisthesis occurs when one vertebra slides forward over another.
  • Being pregnant
  • Buttocks or back muscle spasm

 

 

Risk factors for sciatica:

There are numerous possible risk factors for sciatica because it can occur for a variety of reasons, including but not limited to:

 

  • Having an injury: either now or in the past. Sciatica is more likely to occur if you have a lower back or spine injury.

  • Normal wear and tear: Herniated disks, pinched nerves, and other disorders that can cause sciatica can result from regular wear and tear on your spine as you age. Osteoarthritis and other age-related disorders may also be involved.

  • Being overweight or obese: When you stand up straight, your spine functions similarly to a construction crane. Your spine (crane) must support the weight you bear in the front of your body. Your back muscles pull to keep you upright, much like a winch and cable. Your back muscles must work harder when you are carrying additional weight. This may cause back discomfort, strains, and other problems. 

  • Lacking adequate core strength: The muscles in your back and abdomen (stomach area) are referred to as your "core." A stronger core is equivalent to strengthening the crane's components to support a greater load, as in the crane example. Your abdominal muscles are crucial because they serve as an anchor for your back muscles.

  • Not lifting with proper form and posture: If you don't use good body form when lifting weights, doing strength training, or engaging in other similar activities, you may still be susceptible to sciatica even if you're physically active and fit.

  • Having diabetes: Diabetes-related peripheral neuropathy is more likely to occur in those with type 2 diabetes. That harms your nerves, including those that may be the source or a contributing factor in sciatica.

  • Lack of physical activity: An elevated risk of sciatica might be attributed to prolonged sitting and passive lifestyle choices.

  • Consuming tobacco: Nicotine usage raises your risk of developing chronic discomfort and can alter circulation. This covers ailments such as sciatica.

  • Unknown reasons: Healthcare professionals are unable to identify the source of many sciatica cases.

 

 

How to treat sciatica pain?

Typically, sciatica treatment aims to improve mobility and reduce pain. You can perform many treatments on your own.

 

If your sciatica is more severe or won't go away, you have a few treatment alternatives. If alternative treatments are ineffective or your illness is severe, surgery may be required.


1. Self-treatment:

Self-treatment can be done, considering that the pain is mild. Some options for self-treatment are:

 

  • Ice: During the first few days following the onset of sciatica pain, cold or ice packs might help reduce discomfort and swelling.

  • Heat: Use a heating pad or warm compress after the initial few days of utilizing cold or ice. Apply a heating pad for about 20 minutes at a time.

  • Commercially available medications: NSAIDs, or nonsteroidal anti-inflammatory medicines, are typically the first option. They lessen inflammation, discomfort, and swelling.

  • Activity and stretching: It might be quite beneficial to learn good stretching techniques from a teacher who has dealt with low back pain before.

 

 

2. Conservative treatment:

If self-care didn't work or if your symptoms are severe enough to require more involved care, your healthcare practitioner may suggest these options.

 

  • Prescription drugs: Medications such as muscle relaxants and painkillers may alleviate the symptoms of sciatica.

  • Physical treatment: Finding exercise movements that lessen sciatica by lowering nerve pressure is the aim of physical therapy. Stretching exercises and low-impact sports like swimming, strolling, or water aerobics are options.

  • Spinal injections, Such as Corticosteroid injections, can offer temporary relief (usually for three months).

 

 

Conclusion:

Sciatica is a common condition that can interfere with everyday life and cause severe suffering. Effective management and recovery depend on identifying its symptoms, comprehending its causes, and being aware of the available treatments. Conservative treatment usually helps most people, but to avoid problems and guarantee the best results, persistent or severe symptoms need to be evaluated by a doctor.

 

 

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