Sciatica, A Condition That Refers To Pain Radiating Through The Sciatic Nerve Path

Sciatica

Sciatica is a condition in which pain radiates through the path of sciatic nerve branching from lower back through hips and buttocks and down both legs of humans. Usually sciatica is known to affect only one side of the body. Some doctors may prescribe medicines or injections to relieve swelling around the nerve root. The nerve pain can be difficult to manage, however, doctors can use special imaging tools to confirm diagnosis.

Nonoperative treatment for Sciatica is effective in 80 to 90% of cases. Surgical procedures may be required in certain cases, such as when nerve compression is caused by spinal stenosis or bone spurs. A herniated disk in the spine may also cause sciatica. While it is rare to develop a herniated disc, one in five adults will suffer from some form of it. Herniated discs are caused by a combination of aging and sudden pressure on the discs that cushion the lower vertebrae. Bone spurs and arthritis are more common in older people under the age of 40. A physician will determine the exact cause of sciatica after reviewing the complete history of the patient.

The herniated disk presses on the nerve, causing pain and weakness in the leg. While this condition typically heals on its own, it can be difficult to exercise or stand due to the pain. Diabetes can also damage the sciatic nerve. While it is not serious, Sciatica can cause permanent damage to the leg. So, it's important to seek the help of a qualified health care provider as soon as possible.

A physical exam will determine the cause of Sciatica and how severe it is. X-rays may not reveal any damage to the sciatic nerve. However, a CT scan may show disc problems or bone spurs. If a fracture does occur, the MRI can also detect a herniated disc. Other tests may include nerve conduction velocity studies, electromyography, and imaging. These tests can determine the location of the pain and whether it is a herniated disc. While sciatica is not contagious, it can be a common pregnancy symptom. In December 2021, the U.S. Food and Drug Administration (FDA) granted Fast Track designation to an injectable dexamethasone sodium phosphate viscous gel, SP-102, designed for treating lumbosacral radicular pain or sciatica.


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