Sciatica is a symptom that may be originating from numerous pathophysiological causes. And therefore, it is not an accurate diagnosis that can appropriately direct management.
There are many myths and misconceptions about sciatica in society and the media. Firstly, we should consider that the most people may understand sciatica as ANY pain that is referred into the leg, and Dr Google will often (unfortunately) confirm this suspicion…
However, nerve pain and referred pain are 2 very different clinical entities and will be managed differently.
Sciatica is a symptom of compression or chemical irritation (as a result of inflammatory chemicals) to the sciatic nerve, this can occur as a result of injury at the spinal nerve root or in the periphery.
Sciatica symptoms may include symptoms such as:
Burning, lancinating, electric shock, sensation of dripping water, pins and needles, numbness etc. it may also be associated with reduced or diminished muscle function.
Nerve pain can be scary, however the more that you understand the potential contributors to your pain, and how you can manage it, it may be reassuring to know that symptoms can resolve over time. (Also you can avoid unnecessary elbows into your piriformis…)
How can we help?
Back pain, buttock pain and leg pain can be due to several different reasons. It is first important to rule out any serious pathology through a thorough assessment and screening process. We can then further differentiate sciatica from other potential causes. This can inform the appropriate management and get you returning to the things that you enjoy doing and improving your overall quality of life.
