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Sciatica

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What is sciatica and can this be treated?

Sciatica is a form of nerve pain that can cause mild to severe pain, tingling and numbness in your back, thigh, leg or foot.

The problem stems from the sciatic nerve – the longest and widest nerve in the body – that runs from your lower back, down through your hips, legs and into your feet.

Sciatica can be acute, causing short-term pain for up to eight weeks, or chronic, where you experience long-term pain and discomfort.

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What causes sciatica?

Sciatica is caused by your sciatic nerve becoming compressed or irritated.

The most common cause of sciatic nerve compression is a slipped or herniated disc in your back. This happens when a disc temporarily slips out of place and ends up putting pressure on the sciatic nerve.

Other causes of sciatica include:

  • Degenerative disc disease – where one more discs in the lower back degenerate and cause irritation to the sciatic nerve.
  • Spinal stenosis – the spinal canal narrows in the lower back and puts pressure on the sciatic nerve.
  • Spondylolisthesis – where a stress fracture occurs and causes one vertebra to slip forward onto another, pinching the sciatic nerve in the process.
  • Pregnancy – some women experience sciatica during pregnancy. Read more on sciatica in pregnancy.

In some instances, there can be no obvious reason for sciatica. The risk of developing it increases with age due to wear and tear, plus if you’re physically inactive or overweight you can have a higher risk of sciatica.

In rare cases sciatica can be triggered by a tumour or infection in the spine.

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Signs and symptoms of sciatica

Sciatica can cause mild, moderate or severe discomfort, normally only on one side of your body. It’s characterised by pain, tingling and numbness.

One of the main symptoms of sciatica, and something most people tend to experience, is a shooting pain in the sciatic nerve. It can occur anywhere along the length of the nerve, including the lower back, buttocks, down the back of the leg and into the feet.

For some, the pain is felt as a mild ache, but for others it might be severe or cause a burning sensation. The pain can occur suddenly, like an electric shock jolting through you, for example as you stand up or put your foot to the floor.

The pain in your leg or buttock may be more uncomfortable when you’re sitting down too.

Numbness, tingling and a feeling of muscle weakness in your leg or foot are also common factors of sciatica.sciatic-pain image

Treatment for sciatica

The treatment for sciatica revolves around trying to relieve the pressure of the sciatic nerve and the inflammation and pain it’s causing.

Non-steroidal anti-inflammatory drugs (NSAIDs) such as ibuprofen or diclofenac may be prescribed to help relieve the pain and inflammation. Codeine-based painkillers, such as Co-codamol that contains codeine combined with paracetamol, can also be helpful for easing symptoms.

Whilst some NSAIDs can be purchased over-the-counter, they’re available in stronger doses via a prescription. Prescription Doctor offers a fast, discreet and professional service enabling you to order medication online when you need it.

In addition to taking painkillers, you may benefit from doing some exercise, such as gentle walking or light stretching. Applying hot or cold pads to the affected area may also help relieve your discomfort.excercise for sciatica

Preventing sciatica

To prevent future occurrences of sciatica, your doctor may recommend a course of physiotherapy or suggest some exercises you can do to strengthen the muscles in your back.

As sciatica can be associated with being overweight or leading a sedentary lifestyle, losing weight or getting more exercise may also help to reduce the risk of developing this painful condition.

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