Sciatica is pain caused by a medical problem in or around the sciatic nerve. Because the Sciatic Nerve runs from the lower back down into each leg, the associated pain may be referred. While lower back pain is the most common symptom of Sciatica, you may also feel pain in your hips, buttocks or legs, often on a specific side of the body.
The Sciatic Nerve is the combination of five nerve roots, two from the lumbar spine and three from the sacral segment. Bundled together to form the Sciatic Nerve, these nerves branch out again in the leg to carry motor and sensory messages to specific areas of the leg and the foot.
Sciatica pain typically comes on suddenly but may last for days, even weeks. The primary symptom is a sharp pain in or around the lower back, similar to a cramp, that radiates down into one leg. This is why Sciatica is sometimes referred to as “Radiating Leg Pain.”
In addition to the pain, Sciatica may also cause tingling or numbness in the buttocks or legs. You may wake up one morning in too much pain to get out of bed. Or, you may be sitting in your favorite chair, and find it difficult to stand, due to pain, tingling or weakness on one side of your body, from the lower back to toes, or anywhere in between.
If you cough or sneeze, and you feel a sharp, radiating pain in your lower back, buttocks or leg, that could also be a sign of Sciatic Nerve trouble.
Different combination of symptoms or the location of symptoms may indicate certain, definitive causes of your Sciatic Nerve pain.
Sciatica is most common in people between the ages of 30 and 50, but that doesn’t mean people outside that age bracket can’t be affected.
Sciatica may be the result of a traumatic injury or poorly healed damage from a previous injury. And it may be the result of simply lifting, bending or twisting improperly. Pregnant women may be at higher risk because the developing uterus presses on the Sciatic Nerve.
In addition to these risk factors, there are several other causes of Sciatic Nerve Pain, including:
Degenerative Disc Disease — collapse of the cushioning vertebral discs, causing vertebrae to rub together
Isthmic Spondylolisthesis — small stress fracture that allows one vertebra to slip onto another
Lumbar Disc Herniation — tears in the protective spinal discs that reduce cushioning between the vertebrae of the spine
Lumbar Spinal Stenosis — narrowing of the spinal canal that can cause Sciatica and may be associated with enlarged Facet Joints or disc herniation
Spinal Osteoarthritis — progressive wear and tear which causes pain and reduced function in a vertebral joint
You may have read that nearly 90 percent of all people diagnosed with Sciatica recover successfully without surgery. While there is some truth to that statement, it doesn’t mean these symptoms “definitely” will go away, or even that they “probably” will go away on their own.
Because the symptoms of Sciatica are similar to so many different back or lower body issues, it’s always best to seek a proper medical diagnosis before assuming your symptoms will disappear on their own. While that could possibly be the case for some people, because these symptoms could be related to a progressive degenerative medical condition, we caution against taking the risk of ignoring symptoms.
During your initial visit with Dr. Skaliy, he will begin with a few questions about your medical history as well as when, where and how your first noticed the pain or other symptoms. He will then conduct a physical examination to determine the location, level and extent of your symptoms. Depending on the location and extent of your symptoms, Dr. Skaliy may recommend diagnostic imaging tests including X-rays, MRIs or a CT scan to determine the precise cause of your symptoms.
If you can catch Sciatica-related symptoms early, there are several steps you can take, at home, to halt or delay further progression of the conditions causing the symptoms.
To relieve pain and inflammation related to Sciatica, you may apply ice and/or heat to the affected area. Ice will reduce inflammation, and heat will elevate blood flow. To avoid burns, do not place ice packs or heating pads directly on the skin. In addition, over-the-counter pain medications or NSAIDs (non-steroidal anti-inflammatory drugs) may help relieve symptoms.
One of the most difficult challenges for people suffering with Sciatic Nerve pain is the immediate and long-term impact it can have on your life. Sometimes, Sciatica will not go away on its own, and, sometimes, it comes back without warning. In these instances, the pain may be debilitating and have a severe negative impact on your life. In cases such as these, some physicians will recommend surgical intervention.
Typically, two different surgeries are considered, depending on the cause, location and duration of the Sciatic Nerve pain.
While these surgeries do offer a reasonable success rate, patients considering surgery should be advised that all surgical intervention comes with inherent risks, including but not limited to infection, blood clots and residual pain. Because of the risks associated with surgery, Dr. Skaliy recommends minimally-invasive treatments for symptoms related to Sciatica.
Stem Cell Therapy (SCT) — A minimally-invasive treatment that promotes healing and regeneration in the affected area. For more than a decade now, physicians have been using Stem Cell Therapy to successfully treat 65 different medical condition, including symptoms and conditions related to Sciatica.
Epidural Steroid Injections — These injections, a combination of anesthetic and anti-inflammatory medications, are often effective in reducing pain short term.
Endoscopic Discectomy — A much less invasive alternative to Microdiscectomy that offers a comparable success rate.
Spinal Cord Stimulation (SCS) — Also called epidural nerve stimulation (ENS), is a minimally-invasive procedure offering proven relief to patients experiencing chronic pain.