What is Sciatica?
- Increased pain over time
- Paresthesias in the affected leg
- Loss of muscular strength in the affected leg
- Loss of bowel and/or bladder function
- Permanent nerve damage
- Sudden, severe pain in the low back pain or a leg and numbness or muscle weakness in a leg
- Pain after a violent injury, such as a traffic major accident
- Trouble controlling bowels or bladder
During the physical exam, a healthcare provider might check muscle strength and reflexes. example, you may be asked to walk on your toes or heels, rise from a squatting position, and lift your legs one at a time while lying on your back. Pain from sciatica will usually get worse while doing these moves.
Treatment / Management
Practicing good, erect posture
Engaging in exercises to increase core strength
Gentle stretching of the lumbar spine and hamstrings
Regular light exercises such as walking, swimming, or aquatherapy
Use of proper lifting techniques
- Moderate to severe pain in the back pain, buttock, and down your leg.
Numbness or weakness in your lower back, buttock, leg, or feet.
- Pain that worsens with movement; loss of movement.
- “Pins and needles” feeling in your legs, toes, or feet.
- Loss of bowel and bladder control (due to cauda equina).
- Localized corticosteroid injections
- Spinal manipulation
- Deep tissue massage may be helpful
- Physical therapy consultation
- Opioid and nonopioid analgesics
- Muscle relaxants