Sciatica refers to nerve pain resulting from irritation or damage to the sciatic nerve. This can lead to discomfort, tingling, or numbness in your lower back, buttocks, and legs. In severe cases, the symptoms may worsen over time. Sciatica is typically caused by irritation, inflammation, compression, or pinching of the nerves that run from your lower back down into your legs. Fortunately, most cases improve with time and self-care, but surgery may be necessary in extreme situations.

If you have sciatica, the pain can range from mild to severe, impacting various areas connected to the sciatic nerve, including your legs, hips, buttocks, and lower back. In some instances, symptoms may even extend to your feet and toes, depending on which nerves are affected.

Common Symptoms of Sciatica

  • Pain: Sciatica pain feels like an electric shock or burn. It usually radiates down the affected leg and can become more intense with certain movements.
  • Tingling or “Pins and Needles” (Paraesthesia): Similar to a limb falling asleep, you may experience tingling sensations in your legs or back.
  • Numbness: This occurs when the affected areas lose sensation, indicating that signals from your back or legs are not reaching the brain.
  • Muscle Weakness: Weakness in the back or legs suggests that your muscles are not receiving proper signals from the brain, which could lead to more severe issues.
  • Fecal or Urinary Incontinence: This rare but serious symptom means that the signals controlling your bladder or bowel function are not being properly transmitted.

Possible Causes and Risk Factors

Any condition that affects the sciatic nerve can lead to sciatica. Common causes include:

  • Herniated or slipped discs
  • Degenerative disc disease
  • Spinal stenosis
  • Foraminal stenosis
  • Spondylolisthesis
  • Osteoarthritis
  • Physical injuries
  • Pregnancy
  • Tumors or growths
  • Conus medullaris syndrome
  • Cauda equina syndrome

Factors that can increase your risk of sciatica include:

  • Previous or current injury
  • Wear and tear from aging
  • Excess weight or obesity
  • Poor posture, especially when lifting heavy objects
  • Type 2 diabetes
  • Tobacco and nicotine use

Steps to Prevent Sciatica

While sciatica is sometimes unavoidable, there are proactive steps you can take to reduce your risk:

  • Maintain proper posture: Practice good posture whether you’re sitting, standing, or lifting heavy objects.
  • Quit smoking: Avoid tobacco products, as nicotine weakens your bones and damages your spine.
  • Manage your weight: Maintaining a healthy weight can reduce the strain on your spine.
  • Stay active: Regular exercise strengthens core muscles and improves flexibility, which helps prevent back issues.
  • Fall prevention: Wear well-fitting shoes and keep walkways clear to avoid falls.
  • Rest when needed: Don’t push through back pain—take time to recover to prevent more severe injury.

Get Expert Help for Sciatica

Sciatica can disrupt your life, but with proper treatment and self-care, most cases can be managed successfully. For more serious symptoms or concerns, it’s crucial to consult a healthcare professional.

If you’re struggling with sciatica, contact Dr. Ananth, a highly skilled neurosurgeon, to discuss treatment options and get back to living pain-free.