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.
Prednisone Treats Many Conditions like Low Corticosteroid Levels and Adrenal Insufficency Overview
Prednisone is a prescription medication usedto treat many conditions including low corticosteroid levels, adrenal insufficiency, arthritis,allergic conditions, autoimmune diseases, and other inflammatory conditions. Prednisonebelongs to a group of drugs called corticosteroids, which replace steroids the body normally makes.This leads to a reduction of inflammation and affects the immune system. This medicationcomes in tablet and oral solution forms and is taken with food or milk up to 4 times aday or every other day. Common side effects of prednisone include headache, dizziness,and difficulty falling asleep. Do not drive or operate machinery until you know how prednisonewill affect you. For more information on this
medication and others, explore the RxWikiencyclopedia on the web or on your mobile device.