Specific Indicators of Sciatica

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• Consistent, sharp, searing pain in the lower back, buttock or leg, usually on one side

• Severe, shooting pain that makes it difficult to stand

• Radiating pain

• Pain that dissipates when lying down or walking, but worsens when standing or sitting

• Tingling “pins and needles” feeling in one leg

• Weakness or numbness in a leg or foot

 

Different combination of symptoms or the location of symptoms may indicate certain, definitive causes of your Sciatic Nerve pain.

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Causes of Sciatic Nerve Pain

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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:

 

• collapse of the cushioning vertebral discs, causing vertebrae to rub together Degenerative Disc Disease● 

• Isthmic Spondylolisthesis – small stress fracture that allows one vertebra to slip onto another

• tears in the protective spinal discs that reduce cushioning between the vertebrae of the spineLumbar Disc Herniation● 

• disc herniation or Facet Joints -narrowing of the spinal canal that can cause Sciatica and may be associated with enlarged Lumbar Spinal Stenosis

• Spinal Osteoarthritis – progressive wear and tear which causes pain and reduced function in a vertebral joint

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Diagnosing Sciatica

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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.

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Treating Sciatica

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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.

 

• Daily stretching may relieve mild Sciatica pain and prevent further symptoms

• Regular, low-impact exercise will strengthen muscles and other connective tissue

• Practicing proper posture

• Lifting properly

• Practicing proper form when playing sports or engaging in other physical activity

• If overweight, losing weight can lessen the strain on joints and muscles that may lead to Sciatica

 

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.

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What About Surgery For Sciatica?

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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.

 

• Microdiscectomy – a common surgical approach to relieve Sciatica due to lumbar disc herniation. The surgeon removes the portion of the disc pinching the nerve.

• Lumbar Laminectomy – generally recommended surgical intervention for those suffering from Sciatica related to Spinal Stenosis. Surgeons remove bone and/or disc material pinching the nerve root.

 

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.