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.
Back pain steroids placebo sciatica treatment
A common treatment for sciatica no betterthan placeboâ€¦ find out what it is next. Steroids No Better for Sciatica Pain ThanPlacebo Kathleen Doheny writing for Healthday reporteds often prescribe steroid pills to ease the discomfort of sciatica.But a new study finds steroids are no more effective than a placebo pill for the painand provide only modest improvement in function. For this study, 269 people with sciatica wererandomly assigned to take an oral steroid (prednisone) or a placebo (a dummy medication)for 15 days. The participants were followed for up to a year.quot;When we compared the prednisone to placebo,
there was a modest improvement in function,quot;said study researcher Harley Goldberg, director of spine care services at KaiserPermanente San Jose Medical Center in California. People reported they could go about theirdaily activities somewhat better than before. However, quot;when we compared the pain betweenthe two groups, there was actually no difference,quot; he said.Comment: This doesn't mean steroids shouldn't be considered. It does mean that patient expectationsshould be tempered.
Susan Woodell Share How Her Saved Her Life Kaiser Permanente
I've had three children thatwent through Kaiser. My husband's beenthrough Kaiser. Kaiser's always been there totake care of us. Labor Day weekend 2003 I hadsevere pain on my right abdomen, my right side of my abdomen,and I knew something was wrong. I could hardly walk. So after two trips to theEmergency Room and being sent home because they couldn'tfind anything wrong with me,
I knew that this could notbe right and I called Butt in Gynecologyat Kaiser at Glen Lake. She said,quot;Just come on in right now and we'll see what's going on.quot; So she realized I had this painand she immediately ordered an ultrasonic which, of course,is done right there at Kaiser. She said, quot;Yeah, there's the problem. You've got a burst cyst onyour right ovary.
So just go home andpack your bags. We're going to operatetonight.quot; I was reassured because here wasa who was willing to listen to me, find the problem,and do something about it. I was told that there wouldbe a 25 percent chance of it being cancer but itprobably would not. So before I went under Iasked the , I said, quot;Well, you know, if it'snot cancer when I wake up,
what time will it beéquot; And I was told onethirty,and so I said, quot;And if it is cancerwhat time will it beéquot; And I was told three o'clock. So when I woke up from mysurgery, it was three o'clock. Fortunately, because of Butt I'm so thankful shesaved my life is that it was a stage one.
I got better. And got completely better. And I thank God everyday for that. I lived through something Ithought was going to kill me. I just live my life justevery day to the fullest the best I can. Like today is Thursday. I'm going to work and then I'mgoing to go to yoga at Kaiser.
I love the exerciseclasses that are offered in the early evening. They're open also to nonmembersand they're free. I've met some really niceladies and we're all very, very different but yet we allcome together because of an exercise class at Kaiser. I don't know of any otherinsurance provider that provides this where you have allthese benefits.