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Sciatica is pain going down the leg from the lower back. [1] This pain may go down the back, outside, or front of the leg. [ 3 ] Onset is often sudden following activities such as heavy lifting, though gradual onset may also occur. [ 5 ]
Pain caused by compression or irritation of the sciatic nerve by a problem in the lower back is called sciatica. Common causes of sciatica include the following lower back and hip conditions: spinal disc herniation, degenerative disc disease, lumbar spinal stenosis, spondylolisthesis, and piriformis syndrome. [5]
The clinical signs may involve unilateral or bilateral buttocks pain that fluctuates throughout the day, the absence of lower back pain, buttocks or sciatica pain when in the sitting position (especially for prolonged periods), sciatic pain with fluctuating periods without pain through out the day, buttocks pain near the piriformis. [32]
For the trial, 216 individuals with chronic sciatica resulting from a herniated disc were treated either with 10 sessions of acupuncture or 10 sessions of sham acupuncture over a period of 4 weeks.
Sacroiliac joint dysfunction is an outcome of either extra-articular dysfunction or from intraarticular dysfunction. SI joint dysfunction is sometimes referred to as "sacroiliac joint instability" or "sacroiliac joint insufficiency" due to the support the once strong and taut ligaments can no longer sustain.
Cauda equina syndrome (CES) is a condition that occurs when the bundle of nerves below the end of the spinal cord known as the cauda equina is damaged. [2] Signs and symptoms include low back pain, pain that radiates down the leg, numbness around the anus, and loss of bowel or bladder control. [1]
Tethered cord syndrome (TCS) refers to a group of neurological disorders that relate to malformations of the spinal cord. [1] Various forms include tight filum terminale, lipomeningomyelocele, split cord malformations (diastematomyelia), occult, dermal sinus tracts, and dermoids.
The lateral femoral cutaneous nerve (LFCN) originates from the lumbar plexus and contains fibers from lumbar nerves L2 and L3. [7] [4] [2] [3] The LFCN then traverses to the lateral border of the psoas major muscle, crosses the iliacus muscle, and continues to the anterior superior iliac spine (bony landmark).
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