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News Break: Local News & Breaking News
News Break: Local News & Breaking News
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WHAT IS SCIATICA? Sciatica refers to the pain and discomfort caused by pressure on the sciatic nerve. This nerve is the longest nerve in the body, running from the lower back and pelvis, through the hip and buttocks area, down to the back of each leg. It controls many of the muscles in these areas. It often starts with a herniated or slipped disc in your spine that causes pain by pressing on your sciatic nerve. There are other causes, however, including obesity, poor posture, tumour, abscess, blood clot, poor sitting position or nerve disorder. Sciatica is a set of symptoms that may differ depending on what is compressing the nerve root. Pain that radiates down the back of your leg, numbness or tingling that extends down to your foot, a quick jolt each time you cough or sneeze—sounds like sciatic nerve pain, right? Well, maybe. For one thing, "sciatica" is actually a symptom, not a condition. It's leg pain (anywhere from the lower hip and butt region, all the way down to your toes) resulting from a pinched nerve—most likely because of a herniated or slipped disc. Contrary to popular belief, actual back pain doesn't usually come along with sciatica—or it's a minor part of the overall problem. "If a patient has 80% leg pain and minimal back pain, it really turns on our radar for sciatica YOU FEEL WEAK IN THE KNEES Well, actually just one knee—and it runs throughout the entire leg. The sciatic nerve—the one that gets pinched and causes sciatica—is the largest single nerve in the entire body, running from the lower spine all the way down to the foot. When that nerve is pinched, its function is disrupted, resulting in all kinds of unwanted sensations, such as pain, weakness, and tingling. And while pain is pretty common (and oftentimes hard to diagnose), pain and weakness in a single leg acts like a red flag for doctors. "Patients often drive to the emergency room for pain, but it's really the weakness that's concerning—if you see that you're getting weak, you should seek care. If you're not training for your next marathon or logging hours on the treadmill, there's a good chance your leg pain is sciatica caused by a herniated disc, not the less-common piriformis syndrome, which mainly affects athletes. The funny thing is that piriformis syndrome presents itself almost exactly like sciatica: pain, tingling, numbness starting in the buttocks and extending down the leg. But instead of a slipped disc causing the issues, your piriformis muscle (found in the butt near the top of your hip joint) is pressing on that touchy nerve. YOU CAN'T UNDERSTAND YOUR PAIN Sometimes the pain you think is sciatica isn't actually nerve-induced pain at all, but rather, something muscular. So how do you find out? Use your thumb, push around on the muscles in your lower back and see if you can find spots that affect your pain. If you can trigger pain by a push—not a gentle push, you want to exert at least 5 to 10 pounds of pressure—your pain is most likely muscular and the result of a shortened, tightened muscle. When a muscle gets stuck in the shortened position, it gets thicker and doesn't get the blood or nutrients that it needs. And when you press on those tightened muscles, especially on the small, tender knot in the center—it can send pain throughout the body. THERE IS ONE TEST YOU CAN'T PASS It's the main test doctors use to diagnose sciatica caused by a slipped disc, and it starts with you lying down with your feet stretched out. The examiner then raises your straight leg between 30 and 70 degrees. Pain from this test—the kind that radiates down your entire leg, below your knee, and possibly even down to your toes—indicates sciatica. This is because when you stretch the affected leg, you're also stretching the entire sciatic nerve, and if the nerve root is pinched, you'll feel it through the stretching movement. YOU'VE GOT TO DO A WHOLE LOT MORE We're not talking about getting up a few extra times each night, but rather, totally losing control of your bowel and bladder movements. When paired with the typical sciatica pain, doctors tre
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