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.
Sciatic Nerve Pain During Pregnancy
I need your advice regarding sciatic nervepain during pregnancy. Pregnancy makes any sciatic nerve problemsyou have worse as it does carpal tunnel syndrome. I don't have carpal tunnel syndrome. The extra liters of fluids sloshing aroundyour body lead to extra pressure in the joints, whether your wrists or your ankles, whichcan put pressure on every nerve. That doesn't help me do much about it. Drink more water and fewer dehydrating drinkslike caffeinated soda or coffee so reduce the amount of water retention.
That sounds counter intuitive. Then there's the same advice they have forwhen your feet hurt due to fluid build up; put your feet up. Do you realize the sciatic nerve is in thebacké It usually takes the form of leg pain causedby the sciatic nerve getting pinched. Laying on your side to avoid putting pressureon it is one alternative. I don't think that's enough. If the sciatic pain is due to a herniateddisk, you have to meet with a regarding
your options, because the strain on the backis only going to grow along with the baby. I've never been diagnosed with a herniateddisk. There are some people who use a chiropractorfor treatment of sciatica. It is a little hard for me to fit on the tablewith this growing load up front. The same tables with holes on them that letpregnant women get a massage laying flat on their stomach are available to chiropractors;you simply need to find someone who has one of them. And the skills and expertise to not make thingsworse.
I've heard of acupuncture used as a sourceof pain relief. And it is one of the safer ones since youcan't take a lot of pain relievers when pregnant. Safe only if you consider getting needlessafe. We talked about how you can lay down to avoidputting more pressure on the nerve. You may also do it to rest the muscles thatmay be strained and mistaken for sciatica. I know what sciatica is; I've had flareups before. Then you may need to work on building coremuscles and flexibility of various joints.
This is exactly the wrong time to work ona strength building routine. Whether yoga or physical therapy, it couldreduce the muscle pain and spasms as well as the muscle relaxants you aren't supposedto take right now. There are other injections they can try. And how much of that isn't allowed becauseof the risks when you're pregnanté And you certainly don't want to try thesurgeries they offer to treat sciatica. I'm trying to avoid a Csection. Regular exercise to reduce the strain andpain are recommended, as long as it is the
right type. I've already been told not to turn and liftor twist because carrying the baby is workout enough on my lower back. Though if going for a walk makes the musclepains stronger and harder and they are already on a rhythm, you may be in labor. Then I have a short term answer and solutionto the pregnancy related sciatica.