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Dealing with Sciatica Pain
Dealing with Sciatica Pain

Sciatica pain is a common condition for which people seek medical treatment.  It is estimated that 40 percent of people will experience sciatica pain at some point in their lives.  Unfortunately, this condition becomes more common as we age.  Although pregnant women sometimes experience sciatica pain, it’s relatively uncommon among younger people unless it is the result of an injury.

What are sciatica symptoms?

Sciatica is an irritation or injury to the sciatic nerve.  Since the sciatic nerve travels from the buttocks down each leg, pain can be felt in the low back, buttocks, and along the back of the thigh and calf.  Usually only one side of the body is affected.  Discomfort can range from mild to a sharp, burning pain.  Symptoms can be acute or chronic.  In addition to the pain, there can be weakness, tingling, or numbness in the legs.  Severe cases may include bladder or bowel incontinence.

What causes sciatica?

Image illustrates sciatica nerve pain, extending from the lower back through the hips to the leg. It highlights the anatomy of the human spine, joints, and nervous system, focusing on inflammation and chronic pain. Emphasizing medical and biological aspects, it details spinal health, injury, and the impact on mobility, showcasing symptoms, diagnosis, and potential treatments.

The nerve irritation or compression that causes sciatica pain is often due to degenerative spinal changes that occur as people age.  Osteoarthritis or bone spurs may irritate the sciatic nerve.  This may contribute to a narrowing, or stenosis, in the spinal canal.  A herniated disc is another common cause of sciatica pain.  Spondylolisthesis, a condition where one vertebrae slips out of position and puts pressure on the vertebrae below it, is another cause of sciatica.  A spinal tumor that compresses the sciatic nerve is sometimes a cause.

Treating Sciatica Pain

Many cases can be successfully treated with at-home care.  Simple stretches and low-impact activities can be helpful.  Stretching strengthens muscles and increases flexibility.  High-impact activities should be avoided as they may aggravate the pain.  Ice is helpful when the pain first occurs.  Heat may be helpful later to relax muscles, decrease spasms, and increase blood flow to the affected area.  Over-the-counter non-steroidal anti-inflammatory medications, such as ibuprofen and naproxen, can provide pain relief.

If the pain has not improved within a couple of weeks, it may be time to see your physician.  A muscle relaxer can be prescribed to relieve spasms.  The doctor may recommend physical therapy, which could include targeted exercises, ultrasound therapy, or electrical stimulation.  Epidural steroid injections can help with pain management.

Is surgery necessary?

Surgery is usually not necessary when treating sciatica pain.  However, it may be recommended when conservative treatments have not been successful and there is severe pain, weakness, or numbness in one leg.  Surgical treatment will vary depending on the underlying cause of the sciatic nerve compression.  Surgical options may include laminectomy, discectomy, or foraminotomy.

Atlanta Brain and Spine Care

Our spine specialists offer patients access to some of the world’s most advanced treatments and procedures at five convenient metro Atlanta locations.  Contact our office to schedule a consultation.     

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