Sciatica is a phrase used to describe discomfort that radiates from the lower spine to the legs. Sciatica is most frequently caused by irritation or shrinkage of the nerves as they exit the spine and travel to the legs. It may be accompanied by numbness, tingling and weakening in the afflicted nerve's distribution. Are you looking for the best sciatica treatment in Delhi? Dr. Hamza Shaikh is a recognized sciatica and slip disc doctor in Delhi. He provide best sciatica treatment in Dwarka, Delhi, Najafgarh, Palam, Janakpuri, Subhash Nagar, Delhi NCR and Paschim Vihar.
‘Sciatica'' commonly refers to any pain that originates in the lower back and radiates down the leg which corresponds to the sciatic nerve pathway in the body (hence the term). It refers to the symptom of pain rather than a specific condition, illness, or disease.
Sciatica pain is frequently described as acute, shooting, stabbing, burning, or electric in nature. There are several medical conditions that give rise to sciatica pain, which includes: herniated or slipped disc, spinal stenosis, spondylolisthesis and other rare causes include - pyriformis syndrome (spasm of pyriformis muscle), trauma, tumour and infection in the spine.
A herniated or slipped disc is the most common cause of sciatica, which accounts for more than 90% of cases. The disc is the cushioning pads between two vertebrae in the spine. Each disc is made up of an inner gel-like material called the nucleus pulposus and an exterior thick fibrous ring called the annulus.
When the inner nucleus bulges out (herniates) due to a weakening in its outer shell and presses on one of the sciatic nerve roots, sciatica pain occurs. Also, recent studies have established that the cause of pain is not only mechanical compression but associated inflammation (swelling) of nerves by the disc material.
Sciatica pain caused by a herniated disc usually worsens when sitting, bending forward, sneezing or coughing; however, walking is somewhat superior. Weakness or numbness in your buttock, lower back, leg or feet may accompany pain. Sciatica normally only affects one leg at a time. However, it’s possible that pain occurs in both legs. It’s simply a matter of where the nerve is being pinched along the spinal column. Disc herniation can occasionally cause loss of bowel and bladder control (owing to cauda equina compression).
Clinical evaluation includes evaluation of the site of back and leg pain, neurological examination, and special clinical test for sciatica which includes- Straight leg raise test, also called Lasègue's sign. The examiner raises the patient's leg when the knee is straight while they are laying on their back on an examination table or examination floor. Radiating leg pain is replicated by a successful straight leg test.
Surgery for disc removal is one of the most commonly performed surgeries on the spine. In the 21st century, with better technology and better-trained spine surgeons, the success rate of spine surgery has improved considerably with a significantly reduced complication rate. The myth of every patient becoming paralysed or permanently disabled after spine surgery does not hold true in today’s world. Individuals are able to walk independently the next day after surgery.
The exact cause of the disc herniation is still unknown. Therefore it is not possible to prevent it from occurring in the true sense, however, common back pain can be prevented by taking the following steps
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