Symptoms of Sciatica

Written by Na Hong Wei
Orthopedics
Updated on September 08, 2024
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Symptoms of sciatica:

First, sciatica often occurs in the lumbar 4 and lumbar 5, or between lumbar 5 and sacral 1 disc herniation.

Second, the primary symptom of sciatica is pain, which typically originates in the lower back and can radiate to the buttock, posterior thigh, the lateral side of the calf, and the lateral edge of the foot sole. Pain usually has a triggering factor, such as coughing, sneezing, defecation, etc., basically any activity that increases abdominal pressure can cause radiating pain of the sciatic nerve.

Third, the area innervated by the sciatic nerve may become hypersensitive, with some people feeling pain, others feeling heat, and still others feeling cold, until the later stages where it generally becomes numbness and dullness.

Fourth, there are limitations in movement of the lower back or limbs, with many patients reporting a feeling as if there’s a shortened tendon at the back of the thigh, restricting movement.

These are the primary symptoms of sciatica.

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Written by Na Hong Wei
Orthopedics
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What to check for sciatica

Sciatica is divided into primary sciatica and secondary sciatica. Secondary sciatica is very common and is mainly due to diseases of the spinal canal, including herniated lumbar discs, lumbar spinal stenosis, or spinal tumors compressing the spinal cord and nerve roots. Another condition is piriformis syndrome, where the sciatic nerve exits; if there is narrowing here, it can also cause sciatica. Therefore, clinically, one starts with secondary sciatica, conducting either a lumbar spine CT scan or an MRI, which can basically clarify the location causing the compression. Another type is called primary sciatica, which is caused by inflammation of the sciatic nerve, and is an internal medicine disease, not an orthopedic disease. This requires an electromyography (EMG). After completing the EMG, the diagnosis can generally be made based on the injured muscle or the muscle with abnormal electromotor conduction. Thus, the routine examinations for sciatica are X-rays, CT, MRI, and the non-routine examination is the EMG.

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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 Chen Hui
Orthopedic Surgery
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Where to treat sciatica?

Sciatica is relatively common among the general population. Its symptoms manifest as numbness, swelling, and weakness in one leg. The most common cause is herniation of the lumbar intervertebral disc, which compresses the nerve roots resulting in these symptoms. Therefore, when such symptoms occur, it is necessary to seek treatment at a formal medical institution. One could visit the orthopedics department, or if the hospital has specialized departments, it is best to consult the department of spinal surgery.

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Written by Na Hong Wei
Orthopedics
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How to treat sciatica?

For sciatica, conservative treatment methods should first be adopted, which include the following five points: The first is general treatment; as soon as sciatica appears, immediately rest in bed, and the bed should be relatively hard. Second, you can apply heat to the lumbar area, use physical therapy, or acupuncture. Third, lumbar traction can be performed, which has a very clear effect in alleviating sciatica. Fourth, consider performing an intradiscal injection or sacral injection therapy, and chemical nucleolysis can also be performed. After the above treatments, if the symptoms and pain are reduced, you can start functional exercises for the lower back muscles. Functional exercises of the lower back muscles play a significant role in enhancing the stability of the lumbar spine. If the effect of the aforementioned treatments is not significant, or if the symptoms worsen, then surgical treatment may be necessary at this time.

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Written by Na Hong Wei
Orthopedics
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What causes sciatica?

The causes of sciatica generally fall into two categories. The first is primary sciatica, which is usually caused by inflammation of the sciatic nerve and is relatively rare in clinical practice. The second category is secondary sciatica, which occurs when the tissues and structures around the sciatic nerve undergo pathological changes, leading to stimulation and compression of the sciatic nerve, thus causing secondary sciatica. The majority of secondary sciatica cases are associated with lumbar spine disorders, such as lumbar disc herniation, tumors in the lumbar spinal canal, or degenerative joint disease of the lumbar spine, as well as sacroiliitis. A hospital examination is necessary to make a definitive diagnosis.