Our team of highly experienced spine doctors and sugeons are experts in treating patients suffering from back, neck and spine problems. Avoid prolonged sitting or lying with pressure on the buttocks. Prevention varies depending on the cause of the nerve damage. If any of these symptoms are present, your doctor will carefully check for any sign of infection (such as meningitis, abscess, or urinary tract infection), ruptured disk, spinal stenosis, hernia, cancer, kidney stone, twisted testicle, or other serious problem. This episode of back pain has lasted longer than four weeks.You have had back pain before but this episode is different and feels worse.You have been losing weight unintentionally.Loss of control of urine or stool (incontinence).Severe pain and you cannot get comfortable.
Pain that is worse when you lie down, or awakens you at night. Burning with urination or blood in your urine. Weakness or numbness in your buttocks, thigh, leg, or pelvis. Pain traveling down your legs below the knee. Redness or swelling on the back or spine. Expectations (Prognosis)ĭepending on the cause and duration of symptoms the prognosis is varied, but most patients can get good relief. See lumbar discectomy or lumbar laminectomy. See back pain and care for more information. Typically this involves conservative therapy such as rest, NSAIDs, and physical therapy. Therefore treatment of the underlying condition, such as spinal stenosis or acute disc herniation may address the sciatica. Sciatica is not a disease, it is a symptom. There may be reflex changes and pain on lifting the leg (the so-called “positive straight leg raise’)įollow up studies such as x-rays, MR scans and nerve studies may be ordered. Physical examination may reveal numbness or weakness when assessed by a spinal physician. It may vary with position, time of day, with activity or posture. Numbness, tingling or weakness may accompany it. The symptoms of sciatica can vary but typically pain from the buttock down the posterior thigh occurs which can travel to the calf. Degenerative disc disease which causes pressure on spinal nerves. Herniated lumbar disc with pressure on a spinal nerve. Consequently, sciatica can be pressure on a nerve in the spine (common) or less, commonly, injury to or compression of the sciatic nerve. 
The sciatic nerve runs down the back of the thigh and it has as components several nerves from the spine. Numbness, weakness or tingling may occur with pain. Sciatica is a general term that refers to pain in the leg. John Zebrack, MD General Orthopedic Surgery Jeffrey Webster, MD General Orthopedic Surgery Nichole Joslyn, MD Hand & Upper Extremity Thomas Christensen, MD Hand & Upper Extremity James Christensen, MD Hand & Upper Extremity Nikola Babovic, MD Hand & Upper Extremity
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