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.
Urgency To Urinate But Cant Go What Causes This
gt;gt;gt; DR. JERRY BLAIVAS: If you have to rushto the bathroom and you have a hard time going, first all of all it is a very common problem.The rushing to the bathroom part is caused by the symptom urgency and urgency is partof a symptom complex that we call overactive bladder. So if you have to rush to the bathroom,there are only two possible genetic causes. One is that you get the feeling like you haveto go without there being any underlying reason, that is a hypersensitive bladder, and thesecond is because the bladder actually starts to contract by itself, we call that involuntarybladder contraction. So if you have the problem, that you havea hypersensitive bladder, there are lots of
different causes of that. Probably the mostcommon in everyday life is just irritants that you drink. The most common culprit iscoffee. There are other causes like urinary tract infection, even a blockage by a prostateor by a dropped bladder can cause the same problem. But why once you get there, if you have sucha bad urge, you rush to the bathroom, why cannot you go once you get thereé Well, thereare a few causes of that. Probably the most common cause is simply that there is not enoughin your bladder to allow you to go easily. Ordinarily, in order to urinate easily ornormally, the bladder has to have a certain
degree of fullness to it. If you get an abnormal sensation before thebladder is very full, even though you feel like you have to go, when you get there, thereis little in your bladder and you cannot go very easily. Probably the most common causeof that is just simply urinary tract infection, but again prostate problems in men causinga blockage can do with a dropped bladder in women can cause exactly the same problem. Another cause of not being able to go is ifthe bladder itself is weak and there is lots of causes for a weak bladder, the most commonthough are blockages that have not been treated
and then finally this is redundant becauseI dealt with it in answering the question already, but another reason why you mightnot be able to go is because of the blockage and once again the blockage in men is mostlikely due to prostate problem, and in women it is most likely due to a dropped bladderand commonly after surgery to correct urinary incontinence. Fortunately, no matter what the problem, wegenerally have an effective treatment so, just because you have the symptoms, you shouldnot get discouraged. See a . With the proper diagnosis, there is generally an effectivetreatment.