Sciatica is a condition of pain along the sciatic nerve – the largest peripheral nerve in the body. Although sciatica is common in the elderly population, may also involve young people. This is a sharp pain in the buttock and lower focal features, very close to that part of the pelvic bones that we sit down (called the buttock). In some cases, you can travel to the back of the thigh to the back of the calf. Sciaticais usually unilateral (one side) or bilateral (both buttocks / legs are affected). It may be accompanied by pain and numbness, tingling and weakness in the legs.
The patient has intermittent sciatica, the report of buttock pain and may show the work in progress. Sitting for more than a few minutes, will aggravate the condition, the patient will benefit, if possible. The condition is usually not so strong that (the cause of disabilityis no longer necessary) to work. It's more of a serious disorder, "the majority of patients with sciatica still works there, and go light on the sport.
There are several known causes of sciatica:
(1) disc herniation: when a herniated intervertebral disc (cracks or bulges outward), if the posterior (back) direction are those in which the spinal cord and nerve roots. This is because a very strong group has been called the frontLongitudinal ligament covers the front of the spine and prevent any movement of the disc in that direction. If the bulge presses on a nerve root that forms the sciatic nerve, there may radicular pain in the buttock and down the leg. The L3, L4, L5, S1, S2 and S3 nerve roots branch in pairs on the sides of the lumbar (lower) spine and sacrum (the triangular bone at the base of the spine that connects the bones of flat basin) and finallyjoin the sciatic nerve, which starts in the buttocks and move the leg to form.
(2) spinal stenosis: the elderly often suffer from degenerative disc disease (DJD). DJD includes thin slices, hypertrophy (thickening) and groups of spondylosis (bone spur / thickening). All three of these elements can lead to a narrowing of the spinal canal – the space between the vertebral bodies and facet joints and spineProcesses. The spinal canal, where is the spinal cord and nerve roots. As the space shrinks, they may, or velvet material is compressed by frequent contact with the bone, ligament or irritation of the disc. Imagine years to go back, so that the cable rubbing against the hard materials and bone. Over time, this can have a negative effect on nerve function permanently. Spinal stenosis is usually the cause of the chronic form of unrelenting sciatica.
(3)Piriformis syndrome: Mr. Piriform one of deep gluteal responsible for the movement of the hip. E 'connected to the side of the sacred at one end, and the tuber of the same side of the femur) (hip. The pear-shaped basin turns out. The sciatic nerve passes between the piriformis and adjacent muscles, as it made its way between the buttock to the thigh. If the piriformis muscle cramps, you canactually pinch the sciatic nerve, causing pain in the buttock and thigh pain back.
(4) unleveling pelvic basin is composed of two flat bones format (called "location" bone) and the sacred. Femoral heads of the femur for bone tuberosities. Under normal conditions, while standing on a flat surface, the femoral heads and tips of the basin should be exactly parallel to the surface. If for some reason, one side is superior to others,may cause cuts in the buttocks. This may irritate one or more muscles of the buttocks and can affect the sciatic nerve as well. Unleveling pelvic may be the result of a fall on a hard jaw and other injuries to the spine and pelvis, legs of different lengths (one leg shorter than other physically), foot problems, knee reconstruction, and fractures or bone diseases, bone loss in the femur and tibia.
Treatment Options
Sciatica, likethe cause can be very difficult to solve. In some cases, it dissolves naturally at rest.
If the cause is a herniated disc, herniated disc low treatment should be considered, are aligned in their context. This includes surgery, physical therapy, and surgical decompression of the spine.
If the cause is related to spinal stenosis, is the goal of treatment is to relieve pain. If the stenosis is at different levels, surgery may beOption. For these cases, analgesics, blocks / cortisone injections and epidural anesthesia can be helpful. Hotpacks, IcePacks and stretching of the gluteal muscles can also help.
If the cause is due to a pyramidal syndrome, measures will be taken to reduce piriformis spasm of the case. This includes massage, ice and heat, joint mobilization, chiropractic adjustments and muscle-esteem.
If the cause of sciatica unleveling Basin, chiropracticAdjusting the orientation of the pelvis may help to restore. If the tank is not unleveling while the path is correct, orthopedic shoes with a heel lift can help, even if the pools, so that the cutting forces on the buttocks.
In conclusion, sciatica, although not a very serious condition may affect the quality of life by restricting mobility. Self-help measures include stretching of the muscles of the buttocks and the application of ice or heat. Comfortable fitShoes, and be careful not to walk on uneven surfaces for a prolonged period (hills, the beach, walking, etc.). If it does not work independently, to visit a qualified medical diagnosis and proper treatment.
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