Sciatica or sciatic neuralgia is a commoncondition in which one of the spinal nerve roots of the sciatic nerve is compressed resultingin lower back, buttock and leg pain. Sciatic nerve is a large nerve derived from 5 spinalnerve roots: L4, L5, S1, S2 and S3. It runs from the lumbar spine through the buttockdown the leg and the foot on the posterior aspect. There is one sciatic nerve on eachside of the body. Typically, only one side of the body is affected.A typical sciatica pain is described as a sharp shooting pain in the lower back, downthe buttock, thigh and leg on one side of the body. There may also be numbness, burningand tingling sensations. The pain can get
worse with sitting, moving, sneezing, or coughing.The patterns of pain depend on which nerve root is compressed, and follow the dermatomedistribution. The most common cause of sciatica is a herniatedspinal disc. The spinal disc is a soft elastic cushion that sits in between the vertebraeof the spine. With age, the discs become rigid and may crack, the gellike center of thedisc may protrude out and become a herniation outside the normal boundaries of the disc.Disc herniation presses on the nerve root as it exits the spine.In majority of the cases the condition resolves by itself after a few weeks of rest and conservativetreatment. Pain relief, nonsteroidal antiinflammatory
drugs and muscle relaxants may be prescribed.Stretching exercises and physical therapy may be recommended.Surgery may be needed if the pain doesn't go away after 3 months or more of conservativetreatments. The herniated disc may be removed in a procedure called discectomy. Or, in anotherprocedure called laminotomy, part of the bone of the vertebrae may be cut to make room forthe nerve.
Post Surgical Neuropathy Numbness and Tingling of feetlegs TheVillagesNeuropathy
When you originally presented to the officeyou presented with limitation standing, and loss of sensation numbness and tingling inthe feet and lower extremities following a fusion lower lumbar spine. How have you respondedhere at Davis as far as us managing your back pain and neuropathy in the lowerextremities, and what's been your experiences here in the é Well the experience inthe has been very favorable. People are very friendly and forthright and I feelthey know their job and what they're doing and their pleasantness makes it a pleasureto come into the where generally you don't like to go see a . Well thoseare kind words I appreciate that. But the
uh, the sensation in my legs has dissipated,I'm able to stand and walk with much less difficulty. I feel much better about it. Wellcongratulations on the results and we're very very proud to have you here as a patient.
Carpal Tunnel Syndrome Repair Surgery
342Carpal Tunnel Syndrome Repair youtu.bevSgnYhoITcYour has recommended that you undergo hand surgery to treat carpal tunnel syndrome.But what exactly is carpal tunnel syndromeé The median nerve, which carries sensationto the thumb and first three fingers, passes through a natural passageway in the wrist.This opening called the carpal tunnel is formed by archshaped wrist bones and a connectingligament. Various conditions, such as pregnancy, injury,arthritis and changes in the tendons caused by repetitive motion can crowd the alreadynarrow tunnel, putting pressure on the nerve. This added pressure can cause a tingling sensationin the fingers and the thumb and may even
lead to numbness, pain and restricted movement.This combination of symptoms is called the carpal tunnel syndrome. Your Procedure: On the day of your operation, you will beasked to put on a surgical gown. You may receive a sedative by mouth and an intravenous line may be put in. You will then be transferred to the operatingtable. Your will scrub thoroughly and willapply an antiseptic solution to the skin around
the area where the incision will be made. Next, the surgeon will numb the involved areaof the hand and wrist with an anesthetic, either with a local injection or by completelyblocking a nerve higher up on the arm. When the operative field is completely numbthe surgeon will make an incision. Skin and other tissue will be carefully drawnaside to expose the carpal ligament. Then the surgeon will cut the ligament, relieving pressure on the nerve that runsbeneath it. Finally the will close the incisionwith fine sutures.
A sterile bandage will be applied and a splintwill be put in place to prevent the wrist from moving while healing takes place.