Sciatica Causes and Treatment

Sciatica is a condition marked by pressure put on the sciatic nerve, which runs from your lower back, through your buttocks to the back of each leg. It is often caused by a herniated disk, which is the term given to the movement of the cushioning tissue between each of your spinal vertebrae. When the disk slips out of place or tears (often called a ruptured disk), it can be very painful. Most often, this occurs in the lower back, the so-called lumbar region, where most of the weight of your torso and head, are supported.

On the other hand, there are other bodily systems in the same region, and one of these could also be the cause of sciatica. These include spasms of the piriformis muscle, which is deep within buttocks and connects the upper thigh to the lower spine. Another culprit involved in sciatic pain could be degenerative arthritis in the spine, sacrificing spine health, or spinal stenosis, which is a narrowing of sections of your spine, an occurrence associated with aging.

Sciatica Causes and Treatment

Other potential causes include what is called “fat wallet syndrome,” which refers to carrying around a bulky object in the back pocket of your pants. Over time, sitting in an uneven position can put pressure on your sciatic nerve.

Another temporary cause of sciatica is caused by pressure on the nerve of the growing uterus during pregnancy (and the weight of the growing baby). This usually resolves itself after delivery, but it can be quite painful and difficult during pregnancy when the weight of the infant is enough to worry about.

Sacroiliitis, an inflammation of the sacroiliac joint, which is the joint of the pelvis. An inflammation here could also put pressure on the sciatic nerve.

 Symptoms and Diagnosis

Pain in the lower back is the primary symptom of sciatica. However, the pain often shoots through the lower back, through the buttocks, and down one leg. The pain is often searing and intense and dependent on what position you hold yourself in. However, in various cases, even a changing position does not help, forcing you to sit in a chair or lie down to relieve pressure on the nerve.

A diagnosis of sciatica is relatively easy to make, but finding the cause of the discomfort is critical so doctors can choose how to treat the patient. Diagnosis is done by a thorough exam and interview by the doctor and by use of imaging, such as a CT scan or an MRI. These imaging techniques show bone structures and soft tissue, often revealing what is causing the pain.

Treatment

If you have a herniated disk, surgery might be required to relieve the issue; however, doctors most often recommend waiting on that decision, as 90 percent of sciatica incidents resolve themselves on their own.

Treatment might also involve pain medication, injections of anti-inflammatory steroids, acupuncture, physical therapy, massage, and diet. Being overweight can contribute to the problem.

When to seek help

Seek help anytime your child’s gait appears abnormal or if it is causing pain to the child. In Tempe, call FXRX Orthopaedics & Bracing at 480-449-3979 for an appointment.

You Might Also Enjoy...

Why People Are Turning to PRP for Pain Relief

You want relief right now when you're hurting, and we can help with that. But we have to tackle pain at its source to give you long-term solutions. PRP can help with that. Learn more about this innovative therapy.

I Got Hurt on the Job: Can You Help?

You deserve the best care available, whether injured on the job or while enjoying a weekend getaway. Our team explains how the process differs when you’re hurt on the job, starting with a provider who accepts workers’ compensation insurance.

How to Avoid an Ankle Fracture

A simple misstep can result in an ankle fracture that may interfere with your mobility for months. But how are you supposed to avoid an occasional clumsy step? Check these facts about different types of ankle fractures and how to reduce your risks.

When Should I Consider a Knee Replacement?

Knee replacement is rarely your first, second, and maybe not even your third treatment option for solving chronic knee pain. Our orthopedic specialist explains why and when you may benefit from partial or total knee replacement.

Coping With Arthritis Pain in Your Shoulders

Shoulder arthritis is, unfortunately, a painfully common condition that can significantly affect your daily routine. Our orthopedic specialist discusses the effects of shoulder arthritis and ways to combat the pain and decreased range of motion.

How PRP Is Alleviating Joint Pain and Restoring Mobility

PRP therapy was once reserved for celebrity athletes undergoing extensive rehab for joint injuries. These days, anyone experiencing joint pain and stiffness may benefit from this highly effective therapy. Check these facts about PRP.