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Spondylolisthesis, spinal stenosis, piriformis syndrome, pelvic tumors, and pregnancy are other possible causes of sciatica. [3] The straight-leg-raising test is often helpful in diagnosis. [3] The test is positive if, when the leg is raised while a person is lying on their back, pain shoots below the knee. [3]
Low back pain, one of the most common ailments physical therapists work to treat, can stem from these factors. Other causes have more definite origins, stemming from an inciting incident or injury.
Acupuncture is used worldwide as a treatment for sciatica, often successfully, as documented in a meta-analysis published in Frontiers in Neuroscience in 2023. The new trial is an effort to ...
Piriformis syndrome is often left undiagnosed and mistaken with other pains due to similar symptoms with back pain, quadriceps pain, lower leg pain, and buttock pain. These symptoms include tenderness, tingling and numbness initiating in low back and buttock area and then radiating down to the thigh and to the leg. [72]
Consequently, the standard treatment regimen has been to treat symptomatically when no cause is found. [35] However, patients with deep gluteal syndrome can report high VAS scores (6.7 +/-2 [ 34 ] ) characteristic of moderate (>3) and severe pain (>7.5), [ 36 ] [ 30 ] and may not find sufficient relief in conservative or symptomatic treatment.
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]
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