It was said that his name was sciatica, because the effect of his pain made him forget anything else. But what are the causes of infection and the symptoms that result from it, and is it possible to treat it? Sciatica is a name given to all pain caused by irritation or severe pressure on the sciatic nerve, which is the longest nerve in the human body. It starts at the lower end of the spinal cord
Any of the back of the pelvis, through the buttocks, and thighs, all the way to the soles of the feet.
So what is sciatica pain, what are its causes and symptoms, and how to treat it?
Signs and symptoms of sciatica
Among the most prominent signs indicating the appearance of the sciatica nerve or irritation is the emergence of pain crowned with tingling and numbness:
The pain begins to spread from the lower back, through one of the legs, all the way to the foot and toes.
The pain caused by this condition ranges from mild to very severe, and it may get worse with sneezing, coughing, or sitting for a long time.
It is noteworthy that those with gynecology may experience the following
Weakness in the muscles of the affected leg and buttocks.
Feeling severe pain, which is the most difficult compared to what results from back pain.
Causes of sciatica
There are many reasons that may lead to sciatica, as most cases are caused by a herniated or slipped disc. What are the reasons that lead to the occurrence of sciatica?
1- Disk slipping
The human spine consists of
Vertebrae: a group of bones that form the backbone and protect the nerves and rest on the discs.
Discs: The discs consist of a hard, fibrous bag containing a soft, gel-like substance.
nerves
Sciatica occurs in most people due to a herniation or slipping of the disc, i.e. in the spine, as one of the discs located between the bones of the spine becomes damaged and begins to put pressure on the nerves.
This slippage causes problems with sensation or muscle weakness.
The possibility of a slipped disc or sciatica pain can be reduced by
Adopting a suitable position, especially in work that requires lifting heavy weights
Doing exercises that relieve sciatica pain.
It is not clear what causes disc damage, but it is known that advanced age is a common factor in what is called degeneration of the intervertebral discs, or “degenerative” disc disease. The discs become:
less flexible.
And more inclined to rupture, because of the loss of what it contains of water.
2- Spinal stenosis
Spinal stenosis is one of the least common causes of sciatica, as the nerve passages in the spine become narrowed, or they become infected and inflamed.
Women''s sweat may also occur as a result of the growth of tumors inside the spine.
Spinal stenosis is a narrowing of the passage in which the spinal cord runs down the spine, and it occurs as a result of hypertrophy of the ligaments, as well as the protrusion of discs and bony protrusions from the spine.
Sciatica is sometimes affected by this disease, which means that the symptoms are concentrated in the lower back of the patient, with heaviness in the legs, a bent position, and difficulty walking.
Spinal stenosis usually occurs as a result of certain changes, and these changes can be caused by a degenerative disease in the joints of the spine, which leads to the vertebrae not straightening properly.
It is reported that these changes are associated with the elderly.
3- Spondylolisthesis
Spondylolisthesis occurs (front), when one of the vertebrae of the spine slips from its position, if this vertebra presses on the sciatica nerve, it may cause godly pain.
The most common cause of spondylolisthesis (forward) is aging, or degenerative damage to the skeletal joints.
But in those who are younger, it may occur as a result of exposure to fractures in the spine, and excessive bending of it.
Other causes of sciatica
The causes of painful sciatica do not stop here. Doctors have unanimously agreed that there are other rare cases in which sciatica occurs, as a result of the following reasons:
Inflammation of the spine.
The spine, or the muscles and ligaments surrounding it, have suffered an injury.
The emergence or growth of a tumor within the spine.
Cauda equina syndrome is a rare condition that occurs when nerves are compressed or damaged and, if left untreated, can lead to paralysis. The cauda equina is a bundle of nerves that branches off the end of the spinal cord.
When do I go to the general practitioner?
Sciatica usually causes tingling pain that radiates from the lower back and down to one leg. It is reported that any pain in the lower back is often less severe than leg pain.
If the pain caused by sciatica becomes worse over time, then you should go to the general practitioner.
The doctor can confirm the diagnosis of gynecologic sciatica, based on the symptoms that appear as a result of irritation of the sciatic nerve, and the doctor then recommends treatments that are appropriate to the nature of the condition.
The injured person can be referred to a specialized doctor for further examinations, and the doctor must be contacted immediately in the event of:
Feeling of losing bowel and bladder control.
Loss of feeling between the legs and around the buttocks.
Diagnosis of sciatica pain
To diagnose sciatica pain, the doctor resorts to following a test that facilitates the examination of sciatica, in addition to the appearance of warning signs, "red flags", that may be considered an important indicator to know the injury and determine its causes.
The negative straight leg lift test
A simple method known as the passive straight leg raise test is used, as this method helps the doctor determine if you have sciatica.
This test is based on
Lie the casualty flat on his back, keeping his legs straight.
Then raise one leg at a time.
If the individual felt pain while raising the leg and as the attempt continued over and over again, and he felt the pain getting stronger and stronger, this indicates that he had sciatica.
Warning red flags
“Red flags” or warning signs, as doctors call them, are signals indicating the possibility of a disease, and this disease may be a cause of gynecological abnormalities, such as infection with:
Cauda equina syndrome.
or osteoarthritis.
or exposure to injury or cancer.
All diseases may be a cause of sciatica, and to find out, the doctor asks the patient questions about his previous health conditions in order to obtain a proper diagnosis of the injury.
Warning signs of cauda equina syndrome
Red flags or warning signs of cauda equina syndrome are
Tingling or numbness between the legs and around the buttocks.
Weakness in the legs and feet.
Loss of control over urination and recent excretion.
Cancer warning signs
Red flags for cancer or infection include
The person''s age should not be more than 50 years or less than 20 years.
Having a previous history of cancer.
Fever, chills, and unexplained weight loss.
Bacterial infection, or urinary tract infection.
Pre-injection with drugs, including heroin and cocaine.
Having a condition that weakens the immune system, including HIV
A structural deformity of the spine.
Warning signs of a spinal fracture
Red flags for a spinal fracture include
Sudden severe pain in the spine, which improves when lying down.
Recent exposure to a severe injury, including a traffic accident or a fall from a height.
Minor injury, including stressful lifting in osteoporosis patients.
A structural deformity of the spine.
However, the presence of one or more of these warning signs does not necessarily indicate a serious condition, but rather indicates the possibility of a cause that must be taken into account and verified during the diagnosis process.
If you have warning signs, your doctor will likely refer you for further tests, and if you have warning signs of cauda equina, doctors will admit you to the hospital.
Other examinations
Other tests are not always necessary, unless there is a suspicion of a serious infection leading to the appearance of the symptoms and red flags mentioned earlier. In these cases, you must:
A blood test for the infected person to rule out infections.
Computed tomography and magnetic resonance imaging, which are used to detect any problem in the nerves or structure of the spine.
What is the treatment for sciatica?
Many cases of gynecological sweat disappear within 6 weeks without the need for treatment or surgical intervention, but some cases may last for a year or more.
Relieving sciatica pain
The simplest ways to relieve pain are
Taking painkillers sold in pharmacies without a prescription.
Doing exercise.
Use hot or cold compresses.
If the pain persists, the following may be advised
Follow an organized exercise program, under the supervision of a physiotherapist.
Obtaining anti-inflammatory and pain-relieving injections into the spine.
Or get more powerful painkiller tablets.
Although it''s not clear how effective many of these therapies are for pain relief.
In a small number of cases, surgery may be recommended to correct the problem in the spine, which is believed to be the cause of the symptoms.
Methods of treating sciatica
Sciatica pain treatment is not always necessary, as this condition often improves naturally within about six weeks. However, if your symptoms are severe or persistent, there are many treatments available.
1- Self-help
There are many things you can do on your own to help reduce the symptoms of sciatica, including:
Stay active as much as possible.
Using hot compresses and cold compresses.
Taking simple analgesics, including paracetamol and ibuprofen, which is a non-steroidal anti-inflammatory drug, used to relieve pain and relieve symptoms of pain and stiffness when suffering from arthritis.
2- Exercise
If you have sciatica, it is important to stay as active as possible.
Simple exercises, such as walking and gently stretching, help reduce the severity of sciatica symptoms and strengthen the muscles that support the back.
Although bed rest gives temporary relief from pain, prolonged periods of it are usually not necessary or helpful.
If you have taken time off from work due to sciatica, you should aim to return to work as soon as possible.
More in: Exercises for sciatica pain
3- Compresses
Some find that using hot or cold compresses on areas of pain helps reduce it, and cold compresses can be made at home, by wrapping a frozen bag of peas in a towel and placing it on the area of pain.
As for hot compresses, they are usually found in pharmacies. Using and following one form of compresses may be effective.
4- Painkillers
If you have persistent or irritating pain due to sciatica, there are several pain relievers that can help relieve the pain. Among them are the following:
Paracetamol and non-steroidal anti-inflammatory drugs, including ibuprofen.
Narcotic painkillers, including codeine or, in severe cases, morphine.
Tricyclic antidepressants (TCA), including amitriptyline. They are drugs for treating depression, but they have the ability to improve neuropathic pain.
For your safety, these medicines are not suitable for everyone, especially when used for long periods. Therefore, all options should be discussed with the doctor, as some of these medications may cause serious side effects.
If the analgesic medications prescribed by your doctor do not help, you may be referred to a pain clinic specialist for further treatment.
5- Spinal injection
If other methods don''t relieve your pain, your doctor may refer you to a specialist for a corticosteroid injection into the spine or a local anesthetic injection.
This is considered a strong anti-inflammatory, and a strong analgesic directly to the area where


