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Doctor insights on: Sciatica

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Dr. Qamar Khan
1,071 doctors shared insights

Sciatica (Overview)

A condition that results in pain, weakness, numbness, or tingling in the leg. It results from injury to or pressure on the sciatic nerve, which starts in the lower spine and runs down the back of each leg.


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Herniated disc, slipped disc pinched nerve, treatment?

Herniated disc, slipped disc pinched nerve, treatment?

Herniated disc: If you have a confirmed herniation with an MRI, the first line of treatment is usually a steroid injection around the nerve performed by a qualified pain physician. You may require more than one, but no more than three in a year. If the herniation is large and you have weakness, surgery is the best option. Along with these treatments, you may be given an antiinflammatory medication as well. ...Read more

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Dr. Qamar Khan
1,071 doctors shared insights

Sciatica (Overview)

A condition that results in pain, weakness, numbness, or tingling in the leg. It results from injury to or pressure on the sciatic nerve, which starts in the lower spine and runs down the back of each leg.


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Can a herniated disk without nerve compression cause sciatica pain?

Can a herniated disk without nerve compression cause sciatica pain?

Yes: Nerve compression is just one way sciatica can happen. Often when looking at MRI, doctors don't take into consideration that this is a still image and doesn't show what your spine will do when you move, bend over or even stand up. That is why you need to see a spine specialist that can discuss this with you and your options for treatment. ...Read more

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Dr. Qamar Khan Dr. Khan
<b>4</b> doctors agreed:
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Managing Sciatica (Checklist)

Use NSAIDs for pain relief
Once
Get an Xray/MRI in 4 weeks if not better
Once
See a spine/pain specialist if it doesn't improve
Once
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Does prolotherapy help lumbar bulge disc/sciatica?

Does prolotherapy help lumbar bulge disc/sciatica?

Possibly: Prolotherapy is well researched and offered treatment that has shown good success. The basic theory is to strengthen the ligaments around the facet joint and therefore reducing stress on the joint by tightening them up. Pretty cool stuff. There are some other treatments like stem cell injections that can help as well. Neither of these treatments are covered by medical insurance though. ...Read more

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How does sciatica feel?

How does sciatica feel?

Burn/electric pain: Sciatica refers to pain in the leg. It is usually limited to a specific area of the leg. Most often the pain starts in the buttocks and radiates down the back or side of the leg into the foot. The area of radiation is determined by the nerve root affected. The pain is a constant burning or electrical sensation, not worse with activities and not usually associated with back pain. ...Read more

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Is pain when standing a symptom of sciatica?

Is pain when standing a symptom of sciatica?

Spine Pain: This pain in the distribution as you suggested is the result of an irritated nerve or facet joints or other injury typically in the lumbar spine (low back) which are caused by herniated disks, spinal stenosis or degenerative disc disease, etc requiring further evaluation by a spine specialist. ...Read more

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Difference between herniated discs, nerve compression, radiculopathy, sciatica, spinal stenosis, spondylosis and osteoarthritis. I get various diagnosis?

Difference between herniated discs, nerve compression, radiculopathy, sciatica, spinal stenosis, spondylosis and osteoarthritis. I get various diagnosis?

It may be that you : Have them all as everyone ages so by 49 as a male, there are degenerative or arthritis changes in the spine termed spondylosis. By age 60, 20% have some narrowing or stenosis of the spinal canal. Disc herniation can lead to it too all resulting in nerve compression which can cause arm/leg symptoms termed a radiculopathy or in leg also known as a sciatica. ...Read more

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Might a herniated disk without nerve compression still cause sciatica pain?

Might a herniated disk without nerve compression still cause sciatica pain?

Yes: Nerve compression is just one way sciatica can happen. Often when looking at MRI, doctors don't take into consideration that this is a still image and doesn't show what your spine will do when you move, bend over or even stand up. That is why you need to see a spine specialist that can discuss this with you and your options for treatment. ...Read more

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What are the symptoms of sciatica like?

What are the symptoms of sciatica like?

Leg pain: Sciatica means leg or thigh pain. It does not mean more then that. However, most of the time when people say sciatica they mean radiculopathy which is a pinched nerve in the back. The symptoms are leg pain with numbness or tingling. ...Read more

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Could a herniated disk without nerve compression still cause sciatica pain?

Could a herniated disk without nerve compression still cause sciatica pain?

Annular tear: Sometimes the herniated disk has annular tear that releases the spongier nucleus pulposus out that can cause a chemical neuritis on the nerves that is similar to sciatica. Also if the MRI reflects any listhesis (slipping of one bone on the other) there may be a compression on the nerves that will not be appreciated on the MRI because you are lying down and not allowing gravity/forces to move it. ...Read more

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Mri :lumbar radiculopathy l4-5, s1, edematous sciatic nerve. Severe leg pain. Epidurals not helping. Do i f?

Mri :lumbar radiculopathy l4-5, s1, edematous sciatic nerve. Severe leg pain. Epidurals not helping. Do i f?

Surgery: If you have completed a proper work-up and have failed a reasonable period of conservative care ( at least 6-8 weeks ) and you are in significant pain that prevents you from doing your normal activities, then surgery is an option to discuss with your doctor. Check out spine-health.Com. ...Read more

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What is sciatica?

What is sciatica?

Sciatica: Sciatic is a condtion of pain arising from pressure or irritation or inflammation of the sciatic nerve as it courses from the lumbar spine down to the lower leg and foot. ...Read more

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How do physicians diagnose low-back pain?

How do physicians diagnose low-back pain?

Many Possibilities: Depending on how long it's been going on, i would consider an evaluation by a spine specialist. Using imaging studies and examination it can be determined. Sometimes it could be a muscle imbalance, early onset arthritis or scoliosis. Also could be a pinched nerve/herniated disc. Either way it might be good to figure it out and get appropriate treatment. ...Read more

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Could scoliosis cause sciatica?

Could scoliosis cause sciatica?

Possibly: If the scoliosis is causing the nerve to be pinched exiting the spine it can be the cause. Also people that have scoliosis for a long time will develop arthritis faster in those areas of spine and can cause sciatica symptoms as well. ...Read more

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Whats lumbar spine stenosis?

Whats lumbar spine stenosis?

Decreased space: The spinal cord passes through a "tunnel" in the bone. With arthritis, disc bulging, and overgrowth of surrounding ligaments, the spine cord can be compressed. The compressions is called stenosis. ...Read more

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Herniated disk, scoliosis, degenerative disk disease and sciatica. In pain what's the best treatment?

Herniated disk, scoliosis, degenerative disk disease and sciatica. In pain what's the best treatment?

Start w conservative: Start w conservative treatment including physical therapy, epidural injection at the site of the nerve root irritation, and bracing as needed for pain relief. Core strengthening is very important. Surgery may be needed if all else fails. A good physical exam, history, and review of various imaging studies go into deciding what surgery you may need. Please keep us updated. ...Read more

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The orthopaedic said I have a pinch nerve and it causes sciatica in the left side. He diagnostic studies say's he see a narrowing of l5s1 what is this?

The orthopaedic said I have a pinch nerve and it causes sciatica in the left side. He diagnostic studies say's he see a narrowing of l5s1 what is this?

Spine Injury: This chronic pain in the distribution as you suggested is the result of an irritated nerve or facet joints or other injury typically in the lumbar spine (low back) which are caused by herniated disks, spinal stenosis or degenerative disc disease, etc requiring further evaluation by a pain/spine specialist. You may be a candidate for epidural steroid injections for relief. ...Read more

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Horrible pain down left side of my leg especially when laying down? What test should they do for sciatica?

Horrible pain down left side of my leg especially when laying down? What test should they do for sciatica?

See Doctor: First try nsaids like ibuprofen, aleve and you can even add some tylenol (acetaminophen) to help with pain. Ice the area for 20 min at a time and see if these help reduce the pain. If this persists longer than a few days, consider seeing your doctor for stronger medications to help. Typically most people get better within a few weeks of an injury. If not better consider further imaging studies to evaluate. ...Read more

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Low Back Pain (Definition)

Low back pain is pain that occurs in the back above the buttock area and below the ribs. Low back pain can be sharp, dull, intermittent or constant. Pain can be at rest or associated with activity. Back pain can also be accompanied with pain that shoots or radiates down into the lower extremities or legs which is frequently ...Read more