Sciatica is caused by irritation of the sciatic nerve and can cause pain ranging from mild to severe. Sciatica is usually caused by a compressed nerve in the lower spine and may be caused by an underlying injury to your sciatic nerve or an area that affects the nerve, such as your vertebrae, which are the bones in your neck and back.
The sciatic nerve is the longest and widest nerve in the human body, running from the lower back, through the buttocks, down both legs and ending just below the knee.
Symptoms of sciatica
- Pain that gets worse with movement or anywhere along the sciatic nerve, from the lower back, through the buttock, and down the back of either leg.
- Tingling sensation (pins and needles) in the feet and toes
- Numbness in the leg along the nerve
- Incontinence, which is the inability to control your bladder or bowels.
Risk factors for developing sciatica
- Careers that place a lot of strain on your back, especially those involving heavy lifting, twisting movements or sitting for extended periods.
- As your body ages, it becomes more likely that parts will wear out or break down.
- Smoking can cause the outer layer of your spinal disks to break down.
- Having diabetes can increase your risk of nerve damage.
Sciatica treatments (acute)
- Over-the-counter painkillers such as ibuprofen.
- Hot or cold compression packs help reduce pain, it may be helpful to alternate between the two.
- Exercises such as walking or light stretching.
Sciatica treatments (chronic)
- Physical therapy
- CBT (cognitive behavioral therapy), this helps manage chronic pain by training people to react different to their pain
- Surgery if symptoms have not responded to other treatments and pain continues to intensify.
In most cases, sciatica will go away on its own and surgery is not needed. In some cases, sciatica can be prevented by ensuring proper posture is used when standing lifting and sitting upright. Other alternative treatments include acupuncture, chiropractors and message therapists.
What Our Patients are Saying
Dr. Muhammad was professional, knowledgeable and seemed to genuinely care about finding a solution to my pain problem.
Dr. Rasheed has been a wonderful doctor so far. He’s very professional and confident. He has had a ton if ideas for us to try, which is completely different from my last pain mgt. doc. So far, he’s been everything I could have asked in a pain mgt. doctor.
I love Dr. Abdelfattah! He is an amazing doctor. He has an excellent beside manner, and her Is very interested and concerned about his patients, and their diagnosis, and he is able to empathize with his patients. He is very skilled at preforming minimally invasive procedures that can really reduce pain. He is NOT a pill mill, but he is NOT scared to prescribe what the patient may need to be comfortable and to reduce pain. As far as I can tell the Pain Management Clinic is in full compliance with the State medical board’s guidelines on Pain Management Clinics. I would send anyone who is seeking relief from their pain to him because he is going to do his very best to find out what is causing the pain, and the best way to treat it. Truly an AWESOME doctor!!! I nominate him as a TOP DOCTOR!!! Being a healthcare professional I know a good physician when I see one and this one is it!!!!
Staff was amazing, tell you what they think and give you options and really wants to know the underlined cause before they do anything. I think that’s awesome and will recommend to anyone!!!
Everyone was so nice. Dr. Zhao explained things to me in a way I could understand everything. She had a smile on her face the whole time. It was like she was happy to see me. I really liked how the appointment turned out.
Dr. Syed listens to me & gives me hope for conquering this constant pain of neuropathy. He is open to new methods of treating my constant pain.
Super place, super doctors. Took the time to explain everything to me.