Sciatica

Overview

A disc or bone spur presses on a nerve root.

Pain usually affects one leg.

Symptoms

Common signs:

• Pain shooting from the back or buttock down the leg
• Back pain

Less common

• Numb or tingling leg or foot
• Leg weakness

When to get medical care

Causes

Bulging disc, spinal stenosis, or bone spurs.

Does it spread or run in families?

• It isn't contagious. You can't catch it from someone else.

Who is more likely to get it

• Age 30 to 50
• Heavy lifting

Possible complications

• Herniated disc

Diagnosis

A clinician checks your back and nerves.

Questions you may be asked

• Weakness, bladder or bowel changes

The exam

Leg strength and reflexes.

Tests

Tests, if needed:

• MRI: If severe or not improving.

Treatment

Keep moving gently.

Self-care

• Stay active; avoid long bed rest
• Use heat or ice
• Try gentle stretches
• Walk short distances

Medicines

Medicines that may help:

OwieClear doesn't give doses: follow the label or your healthcare professional. Medicine names here are examples, not a full list.

Physical therapy, injections, or surgery for some.

Prevention

To protect your back:

• Lift with your legs
• Stay active

Which doctor treats this

• Start with your primary care provider (family doctor or internist).
• They may send you to a neurologist (brain and nerve doctor).
• A physical therapist can help with exercises to rebuild strength and motion.

Pregnancy and breastfeeding

• If you're pregnant or planning to be, tell your prenatal provider about this condition.
• Don't start or stop any medicine on your own. Some are safe in pregnancy and some need to be changed.
• Ask before taking any pain reliever. The FDA advises avoiding ibuprofen and naproxen after 20 weeks unless your doctor says to.
• Breastfeeding: Most medicines are fine, but ask. The NIH LactMed database lists what's known about each one.

Outlook

Most recover.

Research studies

Research studies test new ways to find and treat health problems. Some are looking for volunteers. Talk with your doctor before joining one.

Search ClinicalTrials.gov for studies on Sciatica