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Bernese periacetabular osteotomy resulted in major nerve deficits in the sciatic or femoral nerves in 2.1% of 1760 patients, of whom approximately half experienced complete recovery within a mean of 5.5 months. [11] Sciatic nerve exploration can be done by endoscopy in a minimally invasive procedure to assess lesions of the nerve. [12]
[4] [9] Sciatica is most common between the ages of 40 and 59, and men are more frequently affected than women. [2] [3] The condition has been known since ancient times. [3] The first known modern use of the word sciatica dates from 1451, [10] although Dioscorides (1st-century CE) mentions it in his Materia Medica. [11]
A common form of radiculitis is sciatica – radicular pain that radiates along the sciatic nerve from the lower spine to the lower back, gluteal muscles, back of the upper thigh, calf, and foot as often secondary to nerve root irritation from a spinal disc herniation or from osteophytes in the lumbar region of the spine.
Patients with piriformis syndrome may have some of the following symptoms: sciatica, or pain felt in the leg along the distribution of the sciatic nerve [10] [11] [12] [4] [3] external tenderness near the greater sciatic notch [12] [4] buttock pain [12] [4] pain on any maneuver that increases piriformis muscle tension [12] [4] pain aggravated ...
[1] [2] Patients observe these symptoms and seek medical advice from healthcare professionals. Because most people are not diagnostically trained or knowledgeable, they typically describe their symptoms in layman's terms, rather than using specific medical terminology.
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A patient's history is the most important part of a neurological examination [2] and must be performed before any other procedures unless impossible (i.e., if the patient is unconscious certain aspects of a patient's history will become more important depending upon the complaint issued). [2]