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Sciatica Is A Pain That Originates In The Lower Back, Radiates Deep Into The Buttock, And Travels Down The Leg

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Sciatica Is A Pain That Originates In The Lower Back, Radiates Deep Into The Buttock, And Travels Down The Leg

Sciatica is commonly caused by nerve root compression, which can be caused by an intervertebral disc herniation, osteoarthritic osteophytes, spinal stenosis, or spondylolisthesis. Traditionally, scorching, lancinating, or stabbing pain radiates down the buttocks and posterior side of the leg to below the knee along the length of the sciatic nerve. Sensation loss, weakness, and reflex impairments are all possibilities.


If there are neurologic abnormalities or symptoms continue for more than 6 weeks, MRI and electrodiagnostic testing should be performed. Conservative therapy is usually sufficient, but surgery should be considered if the disc herniation causes a growing neurologic deficit or persistent, intractable discomfort.


Medicines that reduce neuropathic pain (see Neuropathic Pain Medications) such as gabapentin or other anticonvulsants or low-dose tricyclic antidepressants (no tricyclic is preferable to another) may alleviate symptoms. To begin, oral gabapentin 100 to 300 mg at bedtime is utilised and should be gradually increased to avoid unpleasant effects that could impede patient recovery. As with any sedative, caution should be exercised in elderly patients, those at danger of falling, those with arrhythmias, and those with chronic kidney disease.


Sciatica is a symptom of a problem with the sciatic nerve, the body's biggest nerve. It regulates muscles at the back of your knee and lower leg and gives you sensation in the back of your thigh, part of your lower leg, and the sole of your foot. Sciatica causes discomfort, weakness, numbness, or tingling in the legs. Pain can begin in your lower back and travel down your leg to your calf, foot, or even your toes. It normally just affects one side of your body.


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