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Sciatica: Symptoms, Causes and When to See a Doctor
Category: Chiropractic / Family Medicine|Reading Time: 5–6 Minutes
Understanding Sciatica
Sciatica is a type of nerve pain caused by irritation or pressure on the sciatic nerve, which runs from the lower back through the hips and down each leg. It commonly causes pain that travels from the lower back or buttock into one leg.
For many people, sciatica improves within a few weeks. However, persistent, severe, or worsening symptoms should be evaluated by a healthcare professional.
What Causes Sciatica?
Sciatica usually occurs when something puts pressure on or irritates a nerve in the lower spine.
Common causes include:
- Herniated or bulging discs
- Spinal stenosis
- Degenerative disc changes
- Bone spurs
- Certain spinal injuries
- Pregnancy
- Muscle or joint problems
Risk can also increase with prolonged sitting, heavy lifting, limited physical activity, excess weight, and certain health conditions.
What Are the Symptoms?
Sciatica usually affects one side of the body and can cause symptoms ranging from mild discomfort to significant pain.
Shooting Pain
Pain may travel from the lower back or buttock down the back or side of the leg.
Tingling or Burning
Some people experience a burning, tingling, or pins-and-needles sensation.
Numbness
The affected leg or foot may feel partially numb.
Weakness
Some people experience weakness or difficulty moving the affected leg or foot.
What Can Help Relieve Sciatica?
Treatment depends on what's causing the symptoms and how severe they are. For mild cases, staying gently active and avoiding prolonged bed rest may help. Your healthcare provider may also recommend other approaches based on your condition.
Gentle Movement
Walking and appropriate stretching can help maintain mobility and reduce stiffness.
Heat or Cold
Cold or heat packs may provide temporary relief for some people.
Physical Therapy
Targeted exercises can help improve flexibility, strength, posture, and support around the spine.
Medications
Your provider may recommend appropriate pain-relieving or anti-inflammatory medication.
Chiropractic Care
Depending on the cause of your symptoms, chiropractic care may be one of several treatment options considered as part of a personalized plan.
When Should You See a Doctor?
Mild sciatica may improve on its own, but you should schedule an evaluation if your pain is severe, persistent, getting worse, or interfering with your daily activities.
Seek immediate medical attention if you experience:
- Significant or worsening leg weakness
- Severe numbness
- Loss of bladder or bowel control
- Severe pain following an injury
- Numbness around the pelvis or inner thighs
These symptoms can indicate a more serious spinal or nerve problem.
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If pain is traveling from your lower back into your leg, getting the right evaluation can help you understand what's causing it and what treatment options may be appropriate. At First MD, our team can evaluate your symptoms and help determine the next step toward better mobility and pain management.
