Sciatica

Sciatica is an inflammatory condition of the sciatic nerve

Symptoms

Herniated disk

            Radiating leg pain is greater than back pain; it increases with sitting and leaning forward, coughing, sneezing and straining. Pain is produced by raising a straight leg when lying down; the leg raised is the side of the pain.

Annular tears

            Back pain is more prevalent and straight leg raising increases pain.

Muscle related disease

            Morning pain and muscular stiffness that’s worsens if chilled or with weather changes (arthritic like). Pain typically radiates into buttock and thigh region.

Spinal stenosis

            Is present when back and leg pain develop after the individual walks a limited distance. Pain increases with distance. Pain is produced with spinal extension

Piriformis syndrome

            Is compression of the sciatic nerve, pain increases during internal rotation of the hip.

 Treatment

Rest is not recommended although lying on the non-painful side with the knees flexed may relieve symptoms when bad. Initially avoid, lifting, twisting and prolonged sitting/standing. When symptoms decrease core stability strengthening is very beneficial in controlling and preventing future occurrences (with continued use). Sciatic pain does tend to follow its own course; you may need a little time out from your sport. This does not mean you have to stop all forms of exercise. If conservative treatment has no effect on severity of symptoms within 3 wks surgery may be required.

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