Sciatica

Causes of sciatica 

In many cases of sciatica there is no single obvious cause. It is thought that general 'wear and tear' on the body may lead to episodes of sciatica. This is why the condition is more common in people who are over 40 years of age or those who have occupations that involve a lot of physical activity.

Some other potential causes of sciatica are outlined below.

Herniated disc

A herniated (or slipped) disc is the most common identified cause of sciatica.

Your spine is made up of vertebrae, discs, and nerves. Vertebrae are the ridge-shaped sections of bone that make up the structure of your spine, and protect the nerves. The vertebrae are supported and cushioned by discs of cartilage. Cartilage is a type of tissue that is tough and flexible.

As a person gets older the discs start to become harder, tougher and more brittle. Repeated strain on the back means that there is a chance that the hardened discs may split or rupture. If a rupture occurs some of the soft core of tissue inside the disc can press against the sciatic nerve, causing sciatica.

Spinal stenosis

Spinal stenosis is caused by a narrowing of the spinal cord - the long tube inside the spine which contains the nerves. As you get older, the spinal cord can narrow. If the narrowing occurs in your lower back, the sciatic nerve may be compressed, leading to sciatica.

Spondylolisthesis

Spondylolisthesis is a condition where the discs degenerate to such an extent that they are no longer able to properly support the vertebrae. This may lead to a vertebra slipping forward over the one below it. If this occurs in the lower back, the slipped vertebra can compress the sciatic nerve, causing sciatic pain.

Other causes

Less commonly, sciatica may be caused by infection, injury or a growth within the spine.

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Glossary

Spine
The spine supports the skeleton, and surrounds and protects the delicate spinal cord and nerves. It is made up of 33 bones called the vertebrae.

Last reviewed: 29/07/2008

Next review due: 29/07/2010

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suebee50 said on 14 January 2010

I have been suffering with osteoarthritis in my hip for a few years it is now classed as in an advanced state and needs replacing. I have been in excrutiating pain on and off over the last six months and reading all your comments proves that I am also suffering from sciatica, reading the pain you are going through is like reading my own symptoms. My specialist did say there was a lot of wear and tear in my lower back which would be more likely to cause the pain than the hip joint, yet sciatica has never been diagnosed despite me trying to explain the symptoms to my GP. I notice that in the causes it mentions slipped discs but there is no mention of osteoarthrits does anyone else feel the arthritis can also cause sciatica.
Not sure where to go from here, but I am finding life v. difficult as I cannot be on my feet for more than half an hour without pain, if I try to push past the pain barrier, I get into such a state that everything seems to lock up and be on fire. cant stand, sit or walk without crying in pain. I wish the gps would be more sympathetic with people like us who suffer like this. As some of you have said. in the 21st Century why isnt there a reliable treatment for this complaint.

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