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Doctor insights on: What Are The Causes Of Sciatica Is It Always A Herniated Disc Problem

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What are the causes of sciatica? Is it always a herniated disc problem?

What are the causes of sciatica? Is it always a herniated disc problem?

No: Sciatica is really a misnomer. Most causes of leg pain are more appropriately called radiculopathy, because the compression occurs in the spinal canal and the sciatic nerve doesn't form until much lower in the body. Other causes "sciatic" pain include, spinal stenosis, tumors, pyriformis syndrome, pelvic pathology, neuropathy, and cervical spine pathology. ...Read more

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Dr. Stephen Scholand
14 doctors shared insights

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


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How do I relieve the pain of severe sciatica caused by a herniated disc?

How do I relieve the pain of severe sciatica caused by a herniated disc?

Spine Pain Options: 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 spine specialist and may be candidate for facet injections/radiofrequency ablation and epidural steroid injection. ...Read more

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What would you suggest for tight muscles caused by tension...and I also have a herniated disc at L5 S1 and suffer with sciatica. Neck position for sle?

What would you suggest for tight muscles caused by tension...and I also have a herniated disc at L5 S1 and suffer with sciatica. Neck position for sle?

Muscle tension: If you wish to avoid taking muscle relaxants like flexeril or robaxin, (methocarbamol) consider stress management therapy. Wearing a soft cervical collar off and on takes pressure of the neck. For sciatic pain which is chronic, epidural corticosteroid injections and/or surgery may be needed and follow up with a neurosurgeon is advisable. ...Read more

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Esi today@s1. Pars fracture 7yrsago. Now pars defect. Herniated disc, chronic sciatica. Could this be cause? Surgery? Dr goin over mri/xray on monday

Esi today@s1. Pars fracture 7yrsago. Now pars defect. Herniated disc, chronic sciatica. Could this be cause? Surgery? Dr goin over mri/xray on monday

Discuss with MD: Esi sounds like a reasonable approach to your back pain. It may take several injections over time to really find the intervention that is most helpful. These chronic injuries in young patients are often from gymnastics, or sports injuries. Discuss with your doctor. ...Read more

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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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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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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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What is a non-surgical method of relieving low back pain caused by a herniated disk?

4 options: The non-surgical options for a herniated disc are: pain meds, stretching (see harvardneurosurgeon.Com/pt2.Html), physical therapy, and epidural steroid injections. ...Read more

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Dr. Thomas Dowling
817 doctors shared insights

Bulging Disk (Definition)

Wear and tear can cause degeneration in the vertebral column, and cause discs to deteriorate. The supportive basket, nucleus fibrosis develops small tears. A bulge is minimal perhaps a few millimeters, and is clinically insignificant, but additional disc displacement such as protrusion or herniation may compress ...Read more


Dr. Qamar Khan
1,050 doctors shared insights

Sciatica (Definition)

Sciatica is a symptom describing 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 ...Read more