Sciatica

What is Sciatica


Pain resulting from irritation of the sciatic nerve, which is the largest nerve in the body begins from nerve roots in the spinal cord and runs through the buttock area down one or both legs from the lower back to the lower limb. It's usually caused when a herniated disc or bone spur in the spine presses on the nerve.


Indication of sciatica

Pain that extends from your bottom (lumbar) spine to your butt and down the back of your leg is an indication of sciatica. You observe the discomfort virtually anywhere through the nerve pathway, but it's most likely to follow a path from your low back to your butt and the back of your thigh and calf.


The pain can differ widely, from a mild ache to a sharp, burning sensation or acute pain. Occasionally it can feel like a jolt or electric shock. It can be unpleasant when you cough or sneeze, and extended sitting can irk symptoms. Usually, only one side of your body is affected.

Some people also have numbness, tingling, or muscle weakness in the affected leg or foot. You might have pain in one part of your leg and numbness in another part.


Several spinal disorders can cause sciatic nerve compression. The most common are:

  • Bulging or herniated disc

  • Lumbar spinal stenosis

  • Spondylolisthesis

  • Trauma that can result in spinal cord injuries

  • Piriformis Syndrome

  • Spinal tumor

90% of sciatica is the result of a herniated disc in the lumbar spine.


Risk Factors for Sciatica

The presence of certain risk factors may increase the likelihood of developing sciatica. A few examples include:

Smoking

Mental health issues, such as depression

Tall height in older age groups (50 to 60 years)

Obesity and excess weight

Genetic susceptibility

Vitamin B 12 deficiency

Physical deconditioning from a sedentary, inactive lifestyle

Certain types of occupation (such as truck drivers, carpenters, or machine operators)

Poor work ergonomics

Loss of bladder or bowel control 

These factors collaborate with an individual’s age and general health may play a role in causing sciatica to develop.


Diagnosed.

First, your healthcare provider may be asked to walk on your toes or heels, rise from a squatting position, and while lying on your back, lift your legs one at a time. Pain that results from sciatica will usually worsen during these activities.


How to prevent sciatica. 

Prevention is better than cure.

Walking, swimming, Pilates, and yoga. In particular, do core exercises to reduce the chances of developing a herniated disk.

Learn and practice proper lifting techniques.

Maintain good posture when sitting.

Do not smoke.


Learn stretches to Relieve sciatica

  1. Sitting spinal stretch

  2. Reclining pigeon stretch

  3. Back flexion stretch

  4. Hamstring stretch

  5. Sciatica Stretch

  6. Knee to the opposite shoulder.

Yoga for Sciatica 

  • Balasana

  • Ardha Chandrasana

  • Bhujangasana

  • Salabhasana

  • Pawanmuktasana

  • Supta Kapotasana

  • Setup Bandha Sarvangasana

  • Ardha Matsyendrasana

  • Viparita Karani


Medication

Doctors might prescribe muscle relaxers, pain relievers, oral steroids, or anticonvulsants. Corticosteroid medications are injected into an area called the epidural space which is the canal that surrounds your spinal cord. Because of side effects, these are given on a limited basis. Surgery may be needed for severe pain. 


Remedy


Walking during sciatica is one of the first therapeutic exercises.

Regular walking with multiple short walks every day.

Gentle stretching. 

Short walks and gentle stretching followed by ice.

The pace should be conversational.

Good posture is a must during sitting and standing

Avoid sitting on soft chairs and couches.

Apply heat or cold packs alternately to your lower back.

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