4 doctors weighed in:

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

4 doctors weighed in
Dr. Qamar Khan
Pain Management
2 doctors agree

In brief: 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.

In brief: 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.
Dr. Qamar Khan
Dr. Qamar Khan
Thank
1 comment
Dr. Richard Zimon
Sciatic Pain can also be caused when the nerve is "trapped" by the Pyriformis muscle (Called Pyriformis syndrome) You need to see a muscloskeletal expert (Physiatrist) for a complete examination.
Dr. Tariq Niazi
Orthopedic Surgery
1 doctor agrees

In brief: 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.

In brief: 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.
Dr. Tariq Niazi
Dr. Tariq Niazi
Thank
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