Should I Push Through Sciatic Pain
If youre experiencing any sciatic pain while exercising or completing any daily activities, dont ignore it. Instead, take a few minutes to rest and allow your pain to pass. However, if your sciatic pain makes it difficult to complete daily activities as normal, speak with your doctor for treatment options.
Q Is Sciatic Nerve Pain Something I Just Have To Put Up With
A: No, sciatic pain does not have to be a chronic condition. The medical condition called sciatica is a major cause of work absenteeism and a major financial burden to both employers and our health care system. Your sciatic nerve is the largest nerve in your body. It begins as a bundle of nerves in your lower back and passes through your pelvis and down the back of each thigh. In the back of the thigh, the sciatic nerve splits into two smaller nerves called the tibial nerve and the peroneal nerve. The sciatic nerve carries impulses from nerves in your lower back to the muscles and nerves in buttocks, thighs, and lower legs. Sciatic pain consists of leg pain, which feels like a pinched nerve or cramp, that can shoot down your leg to your foot, making sitting or standing very painful. Sciatica can occur suddenly, or develop gradually. You might feel a numbness, or a burning or tingling sensation in your legs or toes.
The exact nature of the relationship of sciatica to disc, nerve, and pain is not yet certain. A herniated or slipped disc is the most common cause of sciatica, but there is no one basic cause. Not everyones spinal disks age at the same pace. Spinal disks lose their elasticity over time: they lose fluid and become brittle and cracked. These changes are a normal part of aging.
You can take steps to protect your back and reduce your risk for getting sciatica pain:
Your Sciatica Pain Symptoms Can Be Relieved
Sciatica pain symptoms can be very uncomfortable and should be treated before they escalate to a more chronic condition.
If you feel as though you are suffering from any of the symptoms described above a proper examination can confirm the cause of your sciatica pain. For a sciatica assessment call one of our Sydney CBD chiropractors today or book online to see if sciatica treatment can help you.
GET EFFECTIVE SCIATICA TREATMENT
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When Your Sciatica Just Wont Quit You Might Have A Misdiagnosed Case Of Piriformis Syndrome
If youre struggling with a chronic pain in the butt, relief can be hard to findespecially if you have piriformis syndrome. The hallmark sign is hip and/or buttock pain on one side of the body along with low back pain that radiates down one or both legs.
Piriformis syndrome can be a real pain in the butt.
The problem is, piriformis syndrome is often mistaken for sciatica. While both conditions interfere with sciatic nerve function, sciatica results from spinal dysfunction such as a herniated disc or spinal stenosis. Piriformis syndrome, on the other hand, occurs when the piriformis muscle, located deep in the buttock, compresses the sciatic nerve.
Your medical providers solid understanding of the structure and function of the sciatic nerve and its relationship to the piriformis muscle is key to distinguishing between true or discogenic sciatica and piriformis syndrome.
Four Types Of Sciatic Nerve Pain

Sciatica is a form of radiculopathya mild to severe pain caused by the compression or pinching of a spinal nerve root. Sciatica radiates pain down the legs and feet, away
Sciatica is a form of radiculopathya mild to severe pain caused by the compression or pinching of a spinal nerve root. Sciatica radiates pain down the legs and feet, away from the source, and is a sign of nerve irritation or inflammation. It causes an electric shock sensation and numbness in the legs and feet.
While sciatica is often used to describe a sharp pain in the lower back and legs, not all sciatic nerve pain is sciatica. While the symptoms are similar from case-to-case, minor details signal different causes, such as whether your pain begins in your back versus your legs. Knowing the root of the issue is vital to treating sciatic nerve pain, as certain diagnoses require different treatments.
We discuss the most common types of sciatic nerve pain and an overview of what sciatic nerve pain is, its potential causes and risk factors, and various treatment options to give you a stronger understanding of the issue.
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What Are The Symptoms Of Sciatica
The symptoms of sciatica include:
- Moderate to severe pain in lower back, buttock and down your leg.
- Numbness or weakness in your lower back, buttock, leg or feet.
- Pain that worsens with movement loss of movement.
- Pins and needles feeling in your legs, toes or feet.
- Loss of bowel and bladder control .
Symptoms Of Sciatica That You Need To Be Aware Of
Pain running down the back of your leg
The most obvious sign of sciatica is pain which runs down the back of the leg.
Many people confuse sciatica symptoms with other disorders.
If you have pain which runs into your leg but goes into the groin, side, or front of the leg, chances are there is nerve irritation but not from the sciatic nerve.
The most important way to diagnose sciatica is through a comprehensive examination by a doctor, physiotherapist or chiropractor.
Sharp shooting pain in your leg
If the symptom your feeling is electric or shooting pain which is running down the leg this is an all too common sign of sciatica. Sciatica can cause a sharp pain to be felt when the sciatic nerve is irritated.
While many people consider sciatica to be a specific problem, its rather a symptom which is caused by a range of other mechanical changes in the body.
Numbness, weakness or difficulty moving your foot
Since the sciatica symptoms you experience affect the nerve, they can also affect the surrounding muscles in the area. This commonly occurs with bulging discs in the lower back where you can feel numbness or loss of sensation on:
The inside of your knee, Your Calf The webbing of your first two toes The outside or the sole of your foot
You may also experience other bulging disc symptoms such as weakness or have trouble moving your foot especially when:
Pain after extended periods of sitting
Pain aggravated by coughing, sneezing or straining
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Do You Want To Treat The Causes Of Sciatica Naturally At Home
Lumbar Spinal Stenosis
This is a condition in which the spinal canal gets narrowed down in the lower region of the back. It is a common cause of compression of the sciatic nerve. Pain due to this cause is continuous in most cases.
Degenerative Disc Disease
DDD is a condition in which intervertebral discs are degenerated gradually due to age-related wear and tear changes, arthritis, dietary deficiency or any other cause. Intervertebral discs provide a cushioning effect. When the cushion effect is lost in the lower lumbar region, the sciatic nerve is compressed between two vertebrae, leading to severe pain.
A Herniated Disk in the Lumbar Spine
A spinal disk is comprised of two parts: the hard outer shell, and the soft inner contents that are protected by the shell. When the gel-like inner contents of the disk sticks out , that is referred to as a disk herniation. This can place pressure on the nerve roots that come out of the spinal cord, including the sciatic nerve.
Bone spurs
This is a bony overgrowth on the vertebrae that may place pressure on the sciatic nerve, lead to compression of the nerve, and ultimately to sciatica.
Spondylolisthesis
It is a condition in which one vertebral bone slips forward over the other vertebral bone. This causes the compression or irritation of the root of sciatic nerve and pain is felt in the region of distribution of the nerve.
Muscle Spasms
Sciatica Symptoms In Hip Is It Sciatica Or Something Else
Sciatica symptoms in the hip is a very common feature of sciatica but it can also be a sign of a completely different issue entirely. Use this handy guide below to find clues as to whether your pain is a sign of sciatica symptoms in the hip or a different problem.
Before we dive in, please be aware that we are part of the Amazon Affiliate programme. This page may contain Amazon affiliate links, so if you choose to purchase a product for your sciatica that we recommend through a link on this page, we will receive a small commission at no extra cost to you. This helps us keep Overcome Sciatica alive! Thank you for your support. Please be assured that we only ever recommend products that we truly believe can help.
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Is The Weight Of Pregnancy The Reason Why So Many Pregnant Women Get Sciatica
Its true that sciatica is common in pregnancy but increased weight is not the main reason why pregnant women get sciatica. A better explanation is that certain hormones of pregnancy cause a loosening of their ligaments. Ligaments hold the vertebrae together, protect the disks and keep the spine stable. Loosened ligaments can cause the spine to become unstable and might cause disks to slip, which leads to nerves being pinched and the development of sciatica. The babys weight and position can also add pressure to the nerve.
The good news is there are ways to ease sciatic pain during pregnancy, and the pain goes away after birth. Physical therapy and massage therapy, warm showers, heat, medications and other measures can help. If you are pregnant, be sure to follow good posture techniques during pregnancy to also ease your pain.
Taming The Pain Of Sciatica: For Most People Time Heals And Less Is More
Despite being a less common cause of , sciatica is still something I regularly see as a general internist. Primary care doctors can and should manage sciatica, because for most individuals the body can fix the problem. My job is to help manage the pain while the body does its job. When a persons symptoms dont improve, I discuss the role of surgery or an injection to speed things up.
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When Should Someone Seek Medical Care For Sciatica
- The pain is not improving after several days or seems to be getting worse.
- If the affected person is younger than 20 years of age or older than 55 years of age and is having sciatica for the first time
- The affected individual presently has cancer or has a history of cancer.
- The affected individual has lost a large amount of weight recently or has unexplained chills and fever with back pain.
- The affected individual is HIV positive or uses IV drugs.
- Someone has trouble bending forward after more than a week or two.
- The affected individual notices weakness is getting more pronounced over time.
Go to a hospital’s emergency department if any of the following occur along with sciatica.
- The pain is unbearable, despite trying first aid methods.
- The pain follows a violent injury, such as a fall from a ladder or an automobile crash.
- The pain is in the back of the chest.
- The affected individual is unable to move or feel his or her legs or feet.
- The affected individual loses control of his or her bowels or bladder or has numbness in his or her genitals. These may be symptoms of cauda equina syndrome .
- The affected individual has a high temperature .
Are Restless Leg Syndrome Multiple Sclerosis Carpal Tunnel Syndrome Plantar Fasciitis Shingles Or Bursitis Related To Sciatica

While all these conditions affect either the spinal cord, nerves, muscles, ligaments or joints and all can cause pain, none are directly related to sciatica. The main causes of these conditions are different. Sciatica only involves the sciatic nerve. That being said, the most similar condition would be carpal tunnel syndrome, which also involves a compression of a nerve.
A final word about sciatica. . . .
Most cases of sciatica do not require surgery. Time and self-care treatment are usually all thats needed. However, if simple self-care treatments do not relieve your pain, see your healthcare provider. Your healthcare provider can confirm the cause of your pain, suggest other treatment options and/or refer you to other spine health specialists if needed.
Last reviewed by a Cleveland Clinic medical professional on 03/25/2020.
References
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Sciatica Symptoms Or Something Else
Sciatica isnt the only reason for pain in the legs, ofcourse. Other conditions can mimic sciatica:
- Vascular disease: Narrowing of the bloodvessels in the legs can cause pain and cramps and might make it hard to walk.
- Peripheral neuropathy: Small nerves inthe legs can become damaged, causing burning, pain, tingling or numbness in thefoot or lower leg. This type of nerve damage is often related to diabetes,alcohol use disorder or other medical conditions.
- Peroneal neuropathy: An injury to the peroneal nerve below the knee can cause weakness and make it hard to lift the foot.
How can you tell if youre dealing with sciatica orsomething else? Sciatica tends to affect the length of the leg, not just thefoot. And most often, that pain radiates downward from top to bottom, Dr.Thomas says.
Another clue: Sciatica usually strikes just one side. If you have pain in both legs, it is less likely a disc herniation, but more likely due to degenerative changes like spinal stenosis, he says.
What Complications Are Associated With Sciatica
Most people recover fully from sciatica. However, chronic pain can be a complication of sciatica. If the pinched nerve is seriously injured, chronic muscle weakness, such as a drop foot, might occur, when numbness in the foot makes normal walking impossible. Sciatica can potentially cause permanent nerve damage, resulting in a loss of feeling in the affected legs. Call your provider right away if you lose feeling in your legs or feet, or have any concerns during your recovery time.
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Is Nerve Flossing Associated With Any Major Health Risk
Nerve flossing is just exercising and stretching to relieve pain from the target nerves. Youre good to go with nerve flossing for as long as youre not pushing your body beyond limits. This exercise aims at relieving pain and not triggering it. If you overdo or extend your capabilities then it may be painful instead.
Is Surgery Necessary For Sciatica
If, despite doing everything one is instructed to do, the pain continues and the CT or MRI shows a problem with the disc or bone, back surgery may be recommended. Back surgery is generally performed for patients who have tried all other methods of treatment first. There are exceptions to this, such as people with ongoing nerve damage or cauda equina syndrome.
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Immediate Action Required: Go To A& e Or Call 999 If You:
- have sciatica on both sides
- have weakness or numbness in both legs thats severe or getting worse
- have numbness around or under your genitals, or around your bottom
- find it hard to start peeing, cannot pee or cannot control when you pee and this is not normal for you
- do not notice when you need to poo or cannot control when you poo and this is not normal for you
These could be symptoms of a serious back problem that needs to be treated in hospital as soon as possible.
How Do You Relieve Sciatic Nerve Pain
Treatment needs to be aimed at the underlying cause – poor posture needs to be corrected, undertaking more activity where the cause is sedentary posture and reduction of activity in the case of overload. Physiotherapy interventions are aimed at reducing pain, restoring movement and returning patients to normal healthy function. This can be a combination of pain relief, mobilisation, exercises, and sometimes equipment to help support or offload the pain-sensitive structures.
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Where Is Sciatic Nerve Pain Felt
- Sciatica surgery can sometimes be avoided with conservative home care
-
Sciatic nerve pain can be felt anywhere along the path of the sciatic nerve, which spans from the lower spine through the hips, buttocks, legs and feet. Because this important nerve transmits motor and sensory signals throughout the lower body, interference with the sciatic nerve can be debilitating.
Often, the pain radiates from the lower back and into the hips, buttocks and leg on one side of the body or the other. The discomfort can range from mild to severe and is often accompanied by numbness, muscle weakness and tingling sensations. An individual with sciatic nerve compression might tend to favor one side of the body and possibly experience difficulties with finding comfortable positions for sitting and resting. Collectively, these symptoms are known as sciatica.
Common Causes Of Sciatic Nerve Compression
As mentioned previously, pre-existing conditions within the spine often cause sciatica. Herniated discs are the most common cause of sciatica-associated pain. Other sciatica causes include:
- Spondylolisthesis
- Lumbar degenerative disc disease
- Spinal stenosis
- Spinal arthritis
- Bone spurs
It should be noted that while sciatica-associated symptoms are often caused by lumbar spine anomalies, there are other conditions that are very similar:
- Sacroiliac Joint Dysfunction: Patients with this dysfunction experience very similar symptoms to those associated with sciatica. This condition gives patients a deep, aching pain felt inside the leg. This differs slightly from the pain associated with sciatica, as it is not as well-defined or linear.
- Piriformis Syndrome: This condition occurs when a muscle located within the buttocks spasms, leading to pain and discomfort. Because of its close proximity, this may also irritate the sciatic nerve, causing a type of pain very similar to that of sciatica. However, usually, the pain is much more intense above the knee than it is with sciatica. Additionally, the point of origin for the pain often originates in the buttocks as opposed to the lower back. In fact, piriformis syndrome does not usually affect the lower back at all.
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