Sciatica obvious symptoms

Written by Na Hong Wei
Orthopedics
Updated on September 18, 2024
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Sciatica is divided into primary sciatica, which is sciatic neuritis, and secondary sciatica. This is due to other causes leading to swelling and pain. Clinically, it generally manifests in the following six aspects: First, pain that is primarily limited to the distribution area of the sciatic nerve, including the back of the thigh, the back of the calf, the outer side, and the sole of the foot, as well as the lateral side of the dorsum of the foot. Second, muscle strength governed by the sciatic nerve begins to diminish. Third, there are fixed tender points. Tender points are located at the ischial notch or could also be at the exit of the piriformis muscle. Fourth, there are symptoms of sciatic nerve traction, such as positive limb elevation, or positive straight leg raise test and enhancement test. Fifth, the Achilles tendon reflex is weakened or absent, while the muscle penetrative reflex is abnormally heightened due to stimulation. Sixth pertains to abnormal sensations in the areas governed by the sciatic nerve, including reduced or absent sensations, reduced absolute vibration at the external ankle, and some very mild sensory disturbances.

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Written by Guan Jing Tao
Orthopedics
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Does sciatica cause numbness in the legs?

Sciatica can cause sensory abnormalities in one lower limb and even lead to muscle weakness. It can also cause numbness and sensory abnormalities on the dorsum or sole of the foot. However, foot numbness should first exclude causes like exposure to cold or poor blood circulation in the lower limbs. After excluding other causes of foot numbness, it can be diagnosed as sciatica-induced symptoms such as foot numbness. At this time, it is advisable to actively nourish the nerves and avoid certain postures that may aggravate sciatica. Additionally, sciatica can also be caused by lumbar disc herniation, or simply by the local compression of the sciatic nerve in its course.

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Written by Lv Yao
Orthopedics
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Where to go for sciatica treatment

The sciatic nerve is the largest nerve in the human lower limb. If symptoms of sciatic nerve pain occur, it is first necessary to determine the cause of this pain. Sometimes, the pain is caused by degeneration of the intervertebral disc, leading to a ruptured nucleus pulposus protruding from the annulus fibrosus, which compresses the nerve root canal, causing this nerve pain. In such cases, it is recommended to visit an orthopedic or spinal surgery department. If there is no degeneration of the lumbar intervertebral discs or the condition of spinal stenosis, and only this pain occurs, it is advisable to visit a pain management department.

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Written by Lv Yao
Orthopedics
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How to relieve sciatic nerve pain

When experiencing sciatic nerve pain, it is important to first determine the cause. It may be due to a herniated disc compressing the nerve root, or it could be caused by piriformis syndrome. If the pain is caused by a herniated disc and it is the patient's first occurrence, a CT scan can be done. If the herniation is mild, conservative treatment may be chosen, such as wearing a lumbar support and performing some traction. Patients can also actively exercise their back muscles to alleviate the sciatic nerve pain. Additionally, it is recommended to sleep on a firm bed and spend more time lying down than sitting. If the herniation is severe, has been prolonged, or it recurs frequently, it is advised to seek professional treatment in orthopedics. If the pain is due to piriformis syndrome, a visit to a pain management clinic is suggested for symptomatic relief and pain alleviation.

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Written by Guan Yu Hua
Orthopedic Surgery
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Can sciatica patients walk?

Sciatica can be managed with activities like walking, brisk walking, or jogging. It is best to walk or even walk backwards. It is important to avoid sitting for long periods, bending over, or carrying heavy objects. When the spine is bent, it can increase the pressure on the intervertebral discs, potentially worsening the nucleus pulposus, rupturing the annulus fibrosus, and causing a series of symptoms related to nerve root compression. This compression can cause local swelling, which can press on the nerves to varying degrees. It is recommended to strictly rest on a hard bed, and generally, with about ten days to two weeks of warming up the lower back, recovery is usually achievable. Gradual relief and disappearance of symptoms can occur, and it is advisable to avoid sitting for long periods, bending, or carrying heavy loads. Moderate walking is suitable.

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Written by Chen Hui
Orthopedic Surgery
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Sciatica can heal on its own in a few weeks.

Lumbar disc herniation compressing the nerve roots in the lower back can cause pain in the buttocks and popliteal fossa, which we can refer to as sciatica. The underlying cause is still due to lumbar disc herniation. Generally, over 95% of patients experiencing initial pain can self-heal and find relief from the pain. In terms of sciatica, statistical and evidence-based medical research shows that most patients, especially those who initially exhibit symptoms, generally experience significant symptom relief within three months. However, if symptoms do not improve within three months, surgery is definitely indicated.