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Straight leg raising of the leg unaffected by sciatica may produce sciatica in the leg on the affected side; this is known as the Fajersztajn sign. [15] The presence of the Fajersztajn sign is a more specific finding for a herniated disc than Lasègue's sign. [15]
Surgery may be useful when a herniated disc is causing significant pain radiating into the leg, significant leg weakness, bladder problems, or loss of bowel control. [61] Discectomy (the partial removal of a disc that is causing leg pain) can provide pain relief sooner than non-surgical treatments.
1764: Domenico Cotugno describes sciatica as a disease of nervous origin. [89] 1881: Lasegue's sign is described for the diagnosis of sciatica. [90] 1916: Tardy nerve palsy is described in ulnar nerve. [91] 1934: Theory that a spinal disc pressing on the spinal cord can cause sciatica is introduced. [92] 1947: Piriformis syndrome is described. [93]
The predominant symptoms of NC involve one or both legs and usually presents as some combination of tingling, cramping discomfort, pain, numbness, or weakness in the lower back, calves, glutes, and thighs and is precipitated by walking and prolonged standing. However, the symptoms vary depending on the severity and cause of the condition.
The straight leg raise is a test that can be performed during a physical examination, with the leg being lifted actively by the patient or passively by the clinician. If the straight leg raise is done actively by the patient, it is a test of functional leg strength, particularly the rectus femoris element of the quadriceps (checking both hip flexion and knee extension strength simultaneously).
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