Some Information About Sciatica
Sciatica is a disease associated with pain, weakness
, numbness, or tingling in the leg. This disease appears when the sciatic nerve is damaged or pressed. This nerve runs from the lower spine to the back of each leg. This nerve takes control of the muscles of the back of the knee and lower leg and provides the back of the thigh, part of the lower leg, and the sole of the foot with sensation.
Sciatica can result in all kinds of forms pain. The sufferer may experience a mild tingling, dull ache, or a burning sensation. Sometimes, the pain is so severe that the sufferer fails to move. And the pain often takes place on one side. Some sufferers experience acute pain in one part of the leg or hip and numbness in other parts. Some sufferers may experience pain or numbness on the back of the calf or on the sole of the foot. The sufferer may experience weakness in the affected leg.
In term of sciatica, the most popular diagnostic test is the straight leg rising test, which can yield a reliable result if pain in the sciatic nerve occurs again with between 30 and 70 degrees passive flexion of the straight leg. With computerised tomography or magnetic resonance imaging, this disease also can be diagnosed. MR neurography is testified to diagnose 95% of severe patients, while only 15% of sufferers in the general population are diagnosed with disc-related problems. MR neurography can be used to diagnose piriformis syndrome, which is another cause of sciatica that does not include disc herniation.
When a prolapsed or lumbar disc herniation leads to this disease, 90% of disc prolapses will dissolve without difficulty. Treatment of the underlying cause of the compression is a necessity if epidural abscess, epidural tumors, and cauda equina syndrome occur.
Elective surgery is a treatment designed for unilateral sciatica and mainly about removing the underlying cause by getting rid of disk herniation and eventually part of the disc. In a controlled study, people find that surgical intervention offers better results after one year. After the following four and ten year, people found no significant differences.
A lot of cases show that spinal manipulation is a good option for the treatment of acute sciatica. However, people found less evidence to support spinal manipulation for the treatment of chronic sciatica. Spinal manipulation is also a safe method for the treatment of disc-related pain.
by: Griffin Hill
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