It may feel like a mild tingling, dull ache, or burning sensation. In some cases, the pain is severe enough to make a person unable to move. The pain most often occurs on one side. Some people have sharp pain in one part of the leg or hip and numbness in other parts.
Mild sciatica usually goes away over time. Call your primary care provider if self-care measures don't ease symptoms. Also call if pain lasts longer than a week, is severe or gets worse.
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.
If the pain is excruciating, lying down for short periods can help, but prolonged bed rest does not. So, once the pain becomes manageable, it's important to get up and start walking short distances. Since sitting increases pressure on the discs in the lower back, avoid prolonged sitting or driving.
However, a possible complication of sciatica is chronic (long-term) pain. If there's serious damage to an affected nerve, chronic muscle weakness, such as a “drop foot,” might happen. That's when nerve damage causes numbness in your foot, which makes normal walking difficult or even impossible.
Rarely, people with sciatica may also have more serious symptoms. If you're experiencing tingling or numbness in your legs that makes it hard to walk or move, you should make a doctor's appointment. If you're having difficulty controlling your bladder or bowels go to the emergency room right away.
When you're in pain, it can seem tempting to rest more and to avoid moving the affected areas. However, with sciatica, pain will eventually increase with prolonged inactivity and decreased motion and so it is important to stay active as much as possible.
One of the big red flags for diagnosing sciatica is that the pain is usually limited to only one side of the body. Other red flags that indicate sciatica include pain when standing or sitting, numbness in the legs and weakness or numbness when moving a leg or foot.
Sciatic nerve pain is caused by compression, irritation, inflammation, and pinching of a nerve in the lumbar spine. The most common cause of a sciatica flare-up is a herniated or slipped disc in the lower back.
A pinched nerve causes pain, weakness, numbness and tingling. While sciatica is a pinched sciatic nerve, a pinched nerve can occur anywhere in the body. While a pinched nerve causes pain, a pinched nerve doesn't hurt all the time. People may experience episodes of pain with periods of relief.
Your doctor will likely conduct a slump test and straight leg raise test to check your sciatic nerve pain. They might also conduct imaging tests (X-ray, MRI, or CT scans) to further assess the situation.
The most common cause is a herniated disk in the lower spine. Another risk factor is spinal stenosis, a condition that causes the spinal column to narrow. Doctors do not know why some cases of sciatica become chronic. Many acute and chronic cases happen because of a herniated disk.
Late-stage sciatica is chronic pain that lasts longer than 6 weeks without improvement.
Even though it probably hurts to some degree, walking is actually good for sciatica. Dr. Shah points out that walking promotes blood flow throughout the body, and can even make the nerves more resilient.
For the majority of patients, acute sciatica pain resolves within 1 – 2 weeks. In some cases, behavioral modification or at-home remedies may be adequate for relieving sciatica pain. However, certain patients may develop chronic sciatica pain which may wax and wane but remains present over many years.
If you've tried searching for the best cream for sciatica pain, you might have come across some diclofenac sciatica gel for sciatica pain, like Omingel and Voltaren gel for sciatica treatment. Applying such gel to the affected area can help reduce inflammation and relieve pain.
On your back with elevated knees
This is considered the best position for sciatica pain relief. To achieve this position, lie flat on your back and elevate your knees by placing several pillows beneath them. Use as many pillows as you find comfortable.
Supplying the body with vital vitamins and minerals assists in overall health in general, including improvement from sciatica. Daily doses of supplements such as calcium, magnesium, St. John's Wort, and Vitamin B12 have shown to treat sciatica effectively.
Sciatica becomes chronic if it lasts longer than 6 weeks and does not improve. Doctors usually recommend waiting for the issue to resolve without medical treatment unless the pain is excruciating or lasts for more than 12 months.
Imaging studies are usually needed to diagnose the cause of sciatic nerve pain. An MRI of the lumbar spine will show many causes of low back pain and sciatica, including disc herniations, facet arthritis, and lumbar spinal stenosis. Digital x-rays and CT scans may also be used to diagnose the cause of sciatica.
If the pain persists, a doctor will likely order imaging tests to make sure the pain is, in fact, due to sciatica. Potential causes of sciatica, such as herniated disks or bone spurs, will show up on MRI scans, computed tomography (CT) scans, or X-rays.
Sciatica healing can be conceptualized as having three phases. The focus in the first phase is getting rid of the symptoms of pain, numbness, tingling, and other paresthesia. Pain may lessen while the abnormal sensations are still being experienced.
While sciatica pain can be debilitating, chiropractic treatment can relieve it gently and naturally. This care entails treating the pain without costly and harmful side effects.