What are the symptoms of sciatica?

Written by Xie Yi Song
Orthopedics
Updated on September 07, 2024
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Sciatica refers to the pain caused by the sciatic nerve due to various reasons, such as compression from spinal diseases or simply sciatica itself, and it is inherently a symptom. What are the characteristics of this symptom? Sciatica can occur on one side or both sides simultaneously. When it occurs, the pain is usually continuous and can have episodic exacerbations. The pain is often dull, stabbing, burning, or like a knife-cutting sensation. It radiates from the buttocks along the back of the thigh and the outer back of the lower leg toward the foot. Clinically, sciatica is divided into secondary and primary types. Secondary pain is due to compression of the sciatic nerve root, commonly seen in conditions like lumbar disc herniation and other spinal disorders. It often accompanies percussion pain in the lumbar spine, and the pain may worsen with coughing, sneezing, or bending, and severe cases may experience numbness in the skin of the lower limbs. Primary sciatica refers to simple inflammation of the sciatic nerve. This type generally presents pain in the buttocks and back of the thigh and usually does not involve percussion pain in the lumbar spine.

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Written by Guan Jing Tao
Orthopedics
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Is it useful to take calcium supplements for sciatica?

Generally speaking, supplementing calcium has very limited effects on sciatica. Sciatica is typically caused by compression at the location where the nerves deviate, or by herniated lumbar discs, leading to compression of the sciatic nerve. This means that different compression sites require different treatment methods. For sciatica, if it is caused by a herniated lumbar disc compressing the nerve, minimally invasive surgery can be performed when necessary to remove the protruding disc tissue. If the sciatic nerve is compressed near the buttocks or the piriformis, surgery may be required to remove part of the tissue to relieve or loosen the compressed sciatic nerve. In terms of medication, oral nutritional supplements for nerves, anti-inflammatory and blood-activating drugs can be used to improve the condition of the compressed sciatic nerve. This can further alleviate corresponding symptoms such as pain and sensory abnormalities, while the role of calcium supplementation is very limited or ineffective. (The use of medication should be under the guidance of a professional doctor.)

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Written by Na Hong Wei
Orthopedics
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How to completely cure sciatica?

Treatment methods for sciatica include several approaches. First, resting on a hard board bed; typically, this rest period lasts three to four weeks, during which many patients experience symptom relief. Second, pharmacological treatment is recommended, usually involving non-steroidal pain relievers, as well as vitamins B1, B6, and B12. Short courses of corticosteroid hormones are also used. However, it is important to use hormones minimally and to stop their use correctly if possible. Third, traditional Chinese medicine and herbal treatments are preferred. Many cases of sciatica may be alleviated or even cured with the proper application of traditional Chinese medicine and herbs. Common remedies include Xuanluo Tongbi Decoction, Wutou Xixin Tongbi Decoction, and Duhuo Jisheng Decoction. Local injection treatments are also available, but it is crucial to ensure precise and successful injection on the first attempt. Fourth, exercise therapy is essential as inactivity can lead to muscle atrophy, so proper rehabilitation is necessary. Sixth, dietary therapy should focus on nutritious foods while avoiding junk food and spicy, stimulating dishes.

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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 Na Hong Wei
Orthopedics
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Sciatica belongs to which department?

Sciatica mostly falls under the category of orthopedics. It is a common orthopedic disease, with primary and secondary causes. The secondary type is often caused by compression at the exit point of the lumbar spine and sciatic nerve, so sciatica can be treated in orthopedics or spinal surgery. Primary sciatica, generally caused by inflammation of the sciatic nerve, is managed by neurology. To address sciatica, many hospitals now have departments of pain management. Therefore, sciatica can be treated by four departments: orthopedics, spinal surgery, neurology, and pain management.

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Written by Na Hong Wei
Orthopedics
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Which department should I register for sciatica?

Sciatica is divided into primary and secondary types. Primary sciatica is caused by inflammation of the sciatic nerve itself, thus one should visit the Department of Neurology. Secondary sciatica is more common and usually stems from spinal conditions, so initially one should visit the Department of Spinal Surgery. Alternatively, one can visit the Department of Orthopedics, which deals with broader orthopedic issues. If experiencing severe acute pain, a visit to the Pain Management Department can provide rapid and effective pain relief. For frequent episodes of sciatica and interest in rehabilitation, the Rehabilitation Department can be considered. Additionally, traditional Chinese medicine has unique approaches to treating sciatica, so visiting the Department of Traditional Chinese Medicine to try treatments with Chinese herbs and methods is also an option.