Surgery | Sciatic Pain

Sciatica Symptoms

20. June 2010 · Write a comment · Categories: Sciatic Pain · Tags: Conditions and Diseases, Health, Pain, Sciatic nerve, Sciatica, Spinal cord, Spinal disc herniation, Surgery

Sciatica symptoms

For some people, sciatica pain can be severe and debilitating. For others, pain may be infrequent and irritating, but has the potential to worsen.

While sciatica can be very painful, it is rare that permanent damage to the sciatic nerve (tissue damage) will result. Most sciatica symptoms result from inflammation and get better within two weeks to several months. In addition, due to the spinal cord is not present in the lower (lumbar) spine, a herniated disc in this area of the anatomy does not present a danger of paralysis.

Although relatively rare, two with sciatica symptoms that require immediate medical attention and the possibility of emergency surgery include: progressive weakness in the leg, and either bladder or bowel incontinence or dysfunction. Patients with any of these symptoms can have syndrome ponytail and should seek immediate medical attention.
Sciatica medical definition: radiculopathy

To clarify medical terminology, the term sciatica (often misspelled as sciatica, or siatica cyatica) is often used very broadly to describe any form of pain that radiates down the leg, however, this is not technically correct . True sciatica occurs when the sciatic nerve is pinched or irritated and the pain along the sciatic nerve is caused by this nerve (radicular pain) and is called a radiculopathy. When the pain is referred to the leg of a common problem (called referred pain), using the term sciatica is not technically correct. This type of referred pain (eg, arthritis or other joint problems) is quite common.

Sciatica Treatment

Sciatic nerve pain is caused by a combination of pressure and inflammation of the nerve root, and treatment focuses on relieving these two factors. Typical sciatica treatment include:

surgical sciatica-no, which may include one or a combination of medical treatments and alternative (non-medical) treatments, and almost always includes some type of back exercises and stretching. The objectives of surgical treatment sciatica-not, as sciatica exercises should include both relief of sciatica pain and prevention of future sciatica pain.

Sciatica surgery, such as microdiscectomy or lumbar laminectomy and discectomy, to remove the disc that is irritating the nerve root. This surgery is designed to help relieve pressure and swelling and can be justified if the sciatic nerve pain is severe and has not been relieved with appropriate medical treatment or manual.

Acute Low Back Pain

12. June 2010 · Write a comment · Categories: Sciatic Pain · Tags: Conditions and Diseases, Health, Magnetic resonance imaging, Medical Specialties, Medicine, Pain, Pain Management, Surgery

The natural history of acute low back pain is very simple favorable.With education, activity modification and-the-counter painkillers over, most people recover completely within two to four weeks. However, when symptoms persist without significant improvement, the evaluation is needed. A careful medical evaluation is crucial to identify previously unrecognized conditions, inadequate initial treatment and unrecognized complicating psychosocial problems.

Like most people with back pain improve within a few weeks, the evaluation is not comprehensive and appropriate and not usually performed in the initial evaluation. When symptoms persist, a history and physical examination focused on identifying the causes of serious but rare health, such as malignancy or infection should be performed. In many cases, historical red flags (eg, weight loss, inability to find a comfortable position) calls for a more aggressive evaluation. A careful medical evaluation for non-spinal “mimics” of spinal disorders, including abdominal aortic aneurysm, prostate disease or rheumatic disease, is adequate in many patients with persistent back pain.

The search for an anatomically precise cause of the patient’s pain is complicated by the poor correlation between abnormal imaging findings or symptoms CT and MRI. Determine whether to assign a specific conclusion symptomatic in a patient with chronic back pain is often the key issue for the clinician. The results of diagnostic injections such as facet blocks, discography selective or selective nerve blocks, should be carefully considered in the context of patient’s symptoms and the coexistence of psychosocial view. For example, recent studies have demonstrated the unreliability of discography in patients with no environmental problems.

Finally, pretreatment of people with chronic back pain should be carefully evaluated. Excessively passive treatment delays recovery acute low back pain and promotes the de-conditioning, sick role behavior and fear of reinjury. Ensure that patients have sufficient evidence of non-operative treatment that incorporates active and aggressive treatment with appropriate medication is important before pursuing more invasive surgical treatment in most patients.