A 35-year-old member asked:
could a herniated disk without nerve compression still cause sciatica pain?
2 doctor answers
Dr. Tariq Niazi answered
42 years experience Orthopedic Surgery
Sciatica= nerve com-: Pression of the nerves making the sciatic nerve. If no compression then sciatica is unlikely, except if the compression is by spurs of bone from arthritis or thickened l flavum or some other lesion after nerve has exited out of the spine.
Answered on Apr 26, 2019
Dr. Qamar Khan answered
16 years experience Pain Management
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.
Answered on Sep 30, 2019
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