Causes of Sciatica
Diagnosis of sciatica
Treatment options of sciatica
Sciatica is a radiating ,tingling,burning pain sensation felt in the backside and outer side of the leg ,thigh and hip.
Sciatica may occur because of nerve root compression . there are many causes of nerve compression mostly lumber nerve compression due to spinal stenosis(narrowing of spinal canals).the nerve whose irritation cause sciatica is sciatic nerve .The second cause of nerve irritation is due to lumber
which can occur due to many reasons like heavy weight lifting with faulty posture,weak spinous ligaments,dehydrated disc,weak annulus purposes of a disc, the age-related acute injury like accidents,fall,motorbike accidents.nerve compression can also age-related degeneration of lumbar vertebrae. as age progresses,vertebrae become osteoporotic ,due to which osteophytes develop that cause compression and irritation of nerve .nerve compression can also occur due to muscle tightness that is called piriformis.
Piriformis is a muscle below which ,sciatic nerve mostly passes if this muscle becomes tight,due to any reason like faulty posture,myositis etc,compress the nerve which will elicit the symptoms.
One of most common cause of this condition is the habit of placing wallet in back pocket during prolong sitting that will compress the nerve and it will cause pain. the second cause is prolong sitting like in bankers,prolong driving ,motorbike driving,faulty posture ,heavy weight lifting mostly occur in labourers. faulty posture during golf playing cause piriformis muscle ties. stretch,which will elicit the pain.
in any age,it can occur.but mostly after 15 years probably.
It can b diagnosis by physical examination along with medical examination and laboratory tests.in physical examination ,the sciatic pain persists for more than 30 minutes. it is not relieved by sitting or standing for checking sciatic pain SLR( straight leg raise)test can b performed,if there is any pain aggravation ,it is sciatica,if pain is just above the knee,not going downward towards the foot,it is due to piriformis stretch. large test and a fair test can also perform.in medical tests,X-ray can tell us of vertebral osteophytes,spinal stenosis etc,MRI can also perform,CT scan is the other option.
Prognosis is better if consult your physician or physical therapist as soon as possible .but sciatica can recur.
Medical treatment includes, NSAIDS ,botox injection,in surgery,s a logical orthoscopic release is an option.
in physical therapy,soft tissue mobilisation,electrotherapy(ultrasound),stretching,joint mobilisation,neural mobilisation,ice and heat treatment and orthosis can b utilised.
- Keep your wallet in safe hands
- Wife’s hand
- Best posture,proper exercise
- Don’t keep a wallet in your back pocket during sitting
- Do rest after prolong strenuous work