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Last updated 9:16 AM Friday 20 November 2009

Sciatica

Introduction 

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This animation explains what sciatica is and what causes it

Sciatica is the name given to any sort of pain that is caused by irritation or compression of the sciatic nerve.

The sciatic nerve

The sciatic nerve is the longest nerve in your body. It runs from the back of your pelvis, through your buttocks, and all the way down both legs, ending at your feet.

Anything that compresses or irritates the sciatic nerve can cause a pain that radiates out from your lower back, and travels down your leg to your calf. Sciatic pain can range from being mild to being very painful.

A slipped disc can cause sciatica

Sciatica can have a number of causes, such as a herniated disc (often referred to as a slipped disc). This occurs when one of the discs that support the vertebra (the individual bones that make up your spine) gets temporarily pushed out of position and presses on your sciatic nerve.

In many cases of sciatica, there is no obvious cause. However, in some people, it is thought that a combination of muscle, joint and bone strain may lead to sciatica.

Types of sciatica

There are two types of sciatica:

  • Acute sciatica: lasts up to six weeks.
  • Chronic sciatica: lasts longer than six weeks.

Most cases of acute sciatica will pass without the need for treatment. Using a combination of over-the-counter (OTC) painkillers, exercise and hot or cold packs can often help to relieve the symptoms of sciatica.

In the case of chronic sciatica , you may require some structured physical exercise under the supervision of a physiotherapist. In very rare cases, surgery may be required to control the symptoms.

  • show glossary terms

 

Pain


Pain is an unpleasant physical or emotional feeling that your body produces as a warning sign that it has been damaged.

 

 

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

 

 

Joint


Joints are the connection point between two bones that allow movement.

 

 

Acute


Acute means occuring suddenly or over a short period of time.

 

 

Chronic


Chronic usually means a condition that continues for a long time or keeps coming back.

 

Last reviewed: 29/07/2008

Next review due: 29/07/2010

What are these?

 

sal123 said on 05 August 2009

"In many cases of sciatica, there is no obvious cause. However, in some people, it is thought that a combination of muscle, joint and bone strain may lead to sciatica."

No, there are always causes but they are simply not recognised by national health service doctors. For example SI Joint disfunction seems only to be treated (successfully) privately with prolotherapy -- it wouldnt cost much for the nhs to provide this and save sufferers of this chronic painful condition a life of agony. SIJ disfunction and pelvic imbalance according to the nhs is simply classed as "sciatica" with "no obvious cause". Please, which century are we living in?!!!

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ollypocknell said on 03 August 2009

I'm with practicalmagic on the CBT as a treatment. What a load of old codswallop.... My pain is horrendous but I am about the most positive person I know, yet it still hurts like hell. I can't compare it to childbirth though, not until men can have babies but it is like a kick in the you know where's!!! Thinking about it ain't gonna make it better is it.

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practicalmagic said on 16 July 2009

What a load of rubbish !! im sorry but i WOULD NOT accept being offered cognitive behaviour therapy!
as a "treatment" to help my slipped disc & sciatica!!!
teaching you to try & ignore & manage your pain & have a more positive outlook!
its the body's natural response to send painwaves to the brain! its saying "fix me" deal with this problem!
when im in the grip of my sciatica , im in more agony than i was in childbirth!
will they be offering mind over matter therapy for that next!
ridiculious !

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