What is sciatica? |

Causes and Symptoms

The two sciatic nerves are the largest nerves in the body. One runs from the spine down the left leg, the other down the right leg; they supply the tissues of the thigh, lower leg, and foot. The roots of the sciatic nerves are in the lower spinal column. It is here that difficulty is most likely to occur. Inflammation of these nerves is most often caused by a pinching of one or more spinal nerve roots between the vertebrae of the lower back.

Sciatica is characterized by shooting pain down the sciatic nerve and extending into the hip, the thigh, and the back portion of the leg. The pain may occur in all these points at once or skip about from point to point. Sciatica often begins with a long period of intermittent, mild low back
pain. Suddenly, however, the slightest movement, such as lifting a weight or merely bending over, may bring about intense sciatic pain.

A mild case of sciatica can be brought on by vitamin deficiencies or by arthritic inflammation in the lower spine. Prolonged constipation can build pressure on the nerve and cause sciatic pain. Occasionally, a tumor may develop near the nerve and press on it. Sometimes, a herniated, or slipped, disk at the level where the nerve roots emerge in the low back may protrude and press on the nerve, thereby causing sciatica.

Treatment and Therapy

If the sciatic nerve is being compromised, surgery may be indicated. More than 50 percent of patients with sciatica, however, recover on their own in six weeks. In the acute stage, reducing one's activity level is important; however, bed rest is not recommended. The patient should gradually return to his or her daily activities and stay active. Applying ice for the first two to three days, and then heat after, may give temporary relief from pain. The type of medication used depends on the cause of the sciatica. Ultimately, a therapeutic exercise program to develop stabilizing strength and endurance in the trunk
muscles is essential for functional recovery.

Bibliography

Brown, Mark D., and Björn L. Rydevik, eds. Causes and Cure of Low Back Pain and Sciatica. Philadelphia: W. B. Saunders, 1991.

Fishman, Loren, and Carol Ardman. Back Pain: How to Relieve and Cure Low Back Pain and Sciatica. New York: W. W. Norton, 1999.

Gillette, Robert D. “A Practical Approach to the Patient with Back Pain.” American Family Physician 53, no. 2 (February 1, 1996): 670–678.

Hildreth, Carolyn J., Cassio Lynm, and Richard M. Glass. "Sciatica." Journal of the American Medical Association 302, no. 2 (July 8, 2009): 216.

Hooper, Paul D. Preventing Low Back Pain. Baltimore: Williams & Wilkins, 1992.

Ogiela, Dennis, and David Zieve. "Sciatica." MedlinePlus, June 7, 2012.

"Sciatica." American Academy of Orthopaedic Surgeons, Oct. 2007.

"Sciatica." MedlinePlus, Mar. 8, 2013.

Smoots, Elizabeth, and Brian Randall. "Sciatica." Health Library, Nov. 26, 2012.