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Sciatica

Also known as Ischia and Sciatic Neuralgia

Sciatica (/saɪˈætɪkə/; sciatic neuritis, sciatic neuralgia, or lumbar radiculopathy) is a set of symptoms including pain that may be caused by general compression or irritation of one of five spinal nerve roots that give rise to each sciatic nerve, or by compression or irritation of the left or right or both sciatic nerves. Symptoms include lower back pain, buttock pain, and pain, numbness or weakness in various parts of the leg and foot. Other symptoms include pins and needles or tingling and difficulty in moving or controlling the leg. Typically, the symptoms are only felt on one side of the body. The pain may radiate below the knee, but does not always.

Source: Wikipedia

What are the symptoms?

Within all the people who go to their doctor with sciatica, 81% report having back pain, 81% report having leg pain, and 76% report having low back pain. The symptoms that are highly suggestive of sciatica are leg pain, low back pain, hip pain, lower body pain, and back cramps or spasms, although you may still have sciatica without those symptoms.


What might my doctor prescribe?

Common Tests and Procedures

Patients with sciatica often receive radiographic imaging procedure, plain x-ray, physical therapy exercises, magnetic resonance imaging, other physical therapy and rehabilitation, insertion of catheter or spinal stimulator and injection into spinal canal, bone density scan and other non-or therapeutic procedures on musculoskeletal system .

Common Medications

The most commonly prescribed drugs for patients with sciatica include cyclobenzaprine, methocarbamol, orphenadrine (flexon), carisoprodol (soma), metaxalone (skelaxin), oxaprozin, aspirin / oxycodone, phendimetrazine, hydrocortisone-pramoxine topical, tolbutamide, calcifediol, alosetron (lotronex) and pepsin a .

Who is at risk?

Groups of people at highest risk for sciatica include age 45-59 years. On the other hand, age 5-14 years, age 1-4 years, and age < 1 years almost never get sciatica.

Age

< 1 years
0.0x
1-4 years
0.0x
5-14 years
0.0x
15-29 years
0.5x
30-44 years
1.4x
45-59 years
1.7x
60-74 years
1.3x
75+ years
1.0x

Sex

Male
1.0x
Female
1.0x

Race/Ethnicity

Black
0.8x
Hispanic
0.8x
White
1.1x
Other
0.9x
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