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Sciatica
Published in Charles Theisler, Adjuvant Medical Care, 2023
Sciatica is pain that radiates along the course of the longest and widest nerve in the body, the sciatic nerve. Sciatica is a symptom, not a diagnosis. There are several medical causes of sciatica, but it is most commonly a result of a bulging or herniated lumbar disk directly pressing on or inflaming a sciatic nerve root. Pain can extend from the low back into the buttock and down the side or back of the leg and, in severe cases, into the foot and toes. Tingling, numbness, or weakness may accompany the pain. Sciatica typically affects only one side of the body. There may or may not be associated neurological deficits on examination.
Diabetic Neuropathy
Published in Jahangir Moini, Matthew Adams, Anthony LoGalbo, Complications of Diabetes Mellitus, 2022
Jahangir Moini, Matthew Adams, Anthony LoGalbo
In sciatica, pain radiates from the back down the back of the leg and numbness, tingling of the leg or foot, accompanied by weakness and muscle spasms. Cervical radiculopathy causes numbness or tingling in the hands or figures as well as muscle weakness, lack of coordination, and loss of reflexes in the arms or legs. Often, symptoms of thoracic radiculopathy follow a dermatomal distribution. There is pain and numbness that wraps around to the front of the body. The pain is often described as burning or “shooting.” There are usually no related motor deficits.
Low Back Pain
Published in Benjamin Apichai, Chinese Medicine for Lower Body Pain, 2021
This type of sciatica will not have an obvious history of injury; the causative factor in western medicine is not clear; patients have the sensation of a heavy leg and difficulty in turning the low back. Palpation by a medical provider will find tender spots along the lumbar spine. The pain is aggravated by change of weather. Tongue: White greasy coatingPulse: Deep and slow
Predictive factors for return to work after lumbar discectomy
Published in International Journal of Occupational Safety and Ergonomics, 2021
Maryam Atarod, Elham Mirzamohammadi, Hasan Ghandehari, Ramin Mehrdad, Nazanin Izadi
Lower back pain (LBP) is one of the most common complaints leading to disability and work absence. Only a few cases of LBP are pathological with exclusive etiologies. Sciatic pain is a radicular pain radiating to the legs and feet with motor and sensory symptoms [1]. Totally, a prolapsed disc is responsible for 20% of cases with LBP [2]. Approximately 5–10% of patients with LBP have sciatica, whereas LBP has a prevalence of 49–70% [3]. In epidemiological studies, different contributing factors such as personal, occupational and lifestyle factors were related to LBP. Non-vocational factors such as age, gender, smoking, physical fitness and congenital structural disorders, such as spondylolisthesis, and occupational factors including heavy lifting, awkward postures, pulling and pushing are some risk factors for LBP [4,5].
When to consider “mixed pain”? The right questions can make a difference!
Published in Current Medical Research and Opinion, 2020
Rainer Freynhagen, Roberto Rey, Charles Argoff
Shooting pain that radiates like an electric shock from the lumbar spine to the buttocks and onwards to the back of the thigh and calf into the foot is the hallmark of sciatica16,17. Sciatica most commonly occurs when a herniated disc, bone spur on the spine, synovial cysts or narrowing of the spine (spinal stenosis) compresses part of a spinal nerve, leading to pain and oftentimes numbness in the affected leg. Lumbar disc herniation is one of the most common causes of neuropathic lower back pain associated with shooting leg pain. Sciatica may occur spontaneously at rest, and prolonged sitting can aggravate symptoms (riding a car, sitting at a desk). Conversely, pain may be aggravated by coughing or sneezing, or movements such as bending, lifting and twisting.
Expert review with meta-analysis of randomized and nonrandomized controlled studies of Barricaid annular closure in patients at high risk for lumbar disc reherniation
Published in Expert Review of Medical Devices, 2020
Larry E. Miller, R. Todd Allen, Brad Duhon, Kris E. Radcliff
Sciatica affects 10% of adults in the United States each year [1] and is a leading cause of disability [2]. Affected individuals experience severe radiating pain along the distribution of the sciatic nerve through the buttocks and leg. Herniation of the nucleus pulposus from within the lumbar intervertebral disc space to the extradiscal space is the primary instigating event in sciatica. Extrusion or sequestration of disc contents may cause these radicular symptoms by direct impingement of adjacent nerve roots or induction of local inflammatory processes. The prognosis of individuals with sciatica is generally favorable with approximately two-thirds of patients reporting complete symptom resolution after 1 year [3,4]. However, bothersome symptoms that are refractory to conservative treatments persist in the remaining one-third of patients who are often referred for lumbar disc surgery to remove the offending herniated disc contents. While continued conservative treatment may also be considered, increasing evidence suggests that surgery is more effective than continued conservative care for chronic sciatica symptoms [5].