Sciatica

Sciatica | Comprehensive Pain Management Center

Sciatica

Sciatica is a disease described as a weakness or sensory change, explained as pins and needles,

along the path of the sciatic nerve. Symptoms of severe nerve impingement, loss of bladder or

bowel control, weakness of the lower extremities, and large loss of sensation are of serious

concern. The sciatic nerve travels behind the hip, back of the thigh, and down to the foot. This

nerve is responsible for the control of many of the lower extremity muscles and is also

responsible for feelings of the thigh, leg, and foot.

There are many conditions that may result in the nerve becoming stretched or impinged, pinched.

Common disorders that may produce sciatica include herniated/bulging disc, spinal stenosis,

piriformis syndrome, and facet hypertrophy.

Diagnosis of sciatica includes a physical examination looking for places of tenderness and

testing the range of motion of the lower body. Radiographic imaging, X-ray, CT scan, MRI, or

bone scanning, may be used if the physician suspects something specific.

Treatment

  • NSAIDs (non-steroidal inflammatory drugs)
  • Acetaminophen
  • Muscle relaxants
  • Epidural steroid injections
  • Lysis of adhesions
  • Infusion techniques
  • Transcutaneous electrical stimulation
  • Spinal cord stimulation
  • Deep tissue massage
  • Physical therapy
  • Disc decompression
  • Trigger point injections
  • Biofeedback
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Comprehensive Pain Management Center