Sciatica is a condition that occurs when nerve roots are compressed or irritated in the area of the spine located in the lower back. This condition is also called lumbar radiculopathy. Lumbar refers to the area of the spine in which it occurs, while radiculopathy is the word used to describe pain, weakness, tingling and numbness caused by irritation of the nerve roots. The human spine or back is composed of a complex arrangement of bones, discs, muscles, ligaments and tendons. Each block of bone or vertebrae is separated by a cartlage like structure called a disk. Problems with any of these structures may lead to low back pain. Occasionally the causes of back pain is never found. The following are some of the most common causes of low back pain: strain – muscles or ligaments structural problems herniated or bulging discs sciatica arthritis abnormal curvature osteoporosis cauda equina syndrome cancer of the spine infection of the spine shingles bed mattress sleeping disorder every day activities or poor posture Dr.Sandeep C Agrawal Consultant Orthopaedic Surgeon Joint replacement & Spinal surgeon Complex Trauma Fracture & Revision Surgery Expert Agrasen Hospital Gondia Vidarbha Maharashtra India www.drsandeepagrawal.com www.agrasenortho.com Orthopedic treatment :Complex fracture, Joint replacement surgeries likeTKR ,THR Arthroscopy for ligament reconstruction like ACL,PCL,Meniscus injury,Synovitis Spine Surgeries, Arthritis:Rheumatoid,Osteoarthritis,Gout Pediatric fracture and deformity correctionBone tumor surgery .Bulging Discs .Herniated Disc .Sciatica .Radiculopathy .Spinal Canal Stenosis .Foraminal Stenosis .Degenerative Disc Disease .Compression Fracture of Spine .Facet Joint Disease .Failed Back Surgery .Post Laminectomy Syndrome .Myelopathy .Pinched Nerve .Spondylolisthesis .Spinal Bone Spurs .Scoliosis .Spinal Surgeries .vertebroplasty .Kyphoplasty Sports Injury

1. www.drsandeepagrawal.com AGRASEN HOSPITAL DR SANDEEP C AGRAWAL
GONDIA www.agrasenortho.com"
"
"
What is Sciatica?!
Sciatica is a condition that occurs when nerve roots are compressed or irritated in
the area of the spine located in the lower back. This condition is also called lumbar
radiculopathy. Lumbar refers to the area of the spine in which it occurs, while
radiculopathy is the word used to describe pain, weakness, tingling and numbness
caused by irritation of the nerve roots."
"
"
"
"
"
"
"
What causes Sciatica?!
Nerve roots are the area of nerves where they branch off from the spinal cord to
connect to different parts of the body. The nerves send signals to the brain to create
sensations, like texture or pain. Irritation or compression of the nerve roots is

2. usually caused by disc herniation or degenerative changes to the spine that put
pressure on nerve roots."
Conditions that may causes compression in the lumber area of the spine vary, but
can include herniated disc, degenerative disc disease, and spinal stenosis. When
the roots of the nerves are compressed, it causes muscle weakness, pain and
numbness in the area connected to the affected nerves."
Symptoms and Diagnosis!
When the roots of the nerves are compressed anywhere along the spine, it causes
muscle weakness, pain and numbness in the area connected to the affected
nerves. The nerve roots in the lumbar area of the spine branch off the spinal cord
and through the boney structure that protects them out to the feet, legs, hips, and
buttocks. This means that compression of those nerve roots may cause pain or
other sensations in the feet, legs, hips, and buttocks."
"
"
"
"
"
"
"
"
"
"
"
"
"
www.drsandeepagrawal.com AGRASEN HOSPITAL DR SANDEEP C AGRAWAL
GONDIA www.agrasenortho.com"
"

3. Symptoms vary depending on where the nerve roots are being compressed, but
commonly include pain, weakness, tingling, or numbness. The area where these
symptoms are felt may depend on where in the spine the nerve roots are
compressed. Each vertebrae in the spine is assigned a numbered level. The five
vertebrae in the lumbar section are L1 through L5, while the sacrum is S1. The
locations of symptoms can vary depending on where the nerve roots are
compressed, as the nerve roots in each level correspond to different places. Below
is a list of symptoms you may experience depending on the level at which your
sciatica is occurring:"
"
•" L2: hip weakness and pain in your thigh"
" •" L3: weakness in your knee, as well as pain and weakness in your thigh."
" •" L4: foot weakness and pain that travels from the lower back down to the knee
or foot."
" •" L5: pain down the outside of your leg to the top of your foot or big toe, as well
as foot weakness"
" •" S1: weakness in your foot and pain down the back of your calf to the outside
of your foot and little toe"
"
"
"

4. "
To diagnose sciatica, the doctor will review a patient's medical history, asking about
the location and type of the symptoms to help determine if a nerve root is being
affected. A physical exam will follow, focusing on range of motion and flexibility, as
well as muscle strength, sensation, and reflexes to determine what nerve root is
being compressed."
www.drsandeepagrawal.com AGRASEN HOSPITAL DR SANDEEP C AGRAWAL
GONDIA www.agrasenortho.com"
"
To verify the diagnosis, several tests may be needed. An X-ray will be performed
first, which can help identify the presence of trauma or osteoarthritis, as well as
early signs of infection or tumor growth. A CT scan or an MRI may follow. A CT scan
can show the amount of space nerve roots are allotted by the foramen, or openings
in the vertebrae of the spine. An MRI scan can best reveal the location and extent
of nerve compression because it is designed to show the soft tissues around
the spine, including discs, ligaments and nerves."
How is Sciatica treated?!
Symptoms of sciatica can often be relieved by conservative treatments like anti-
inflammatory medication, physical therapy, and rest. Bracing may be prescribed.
Most patients respond well to this treatment, with symptoms improving from six
weeks to three months. "
However, if there is evidence of nerve damage or if symptoms fail to improve over
time, surgery may be needed to remove pressure from the spinal roots. The
procedure needed varies according to the source of the nerve root compression
and its location in the spine."
In Brief,Sciatica is a condition that affects the lower back and causes symptoms to
be felt in the buttocks and down the leg(s). Sciatica develops when the sciatic nerve
becomes pinched or compressed due to another condition in the area."
Sciatica can be attributed to a variety of factors. Their symptoms can also present
in many, sometimes common ways. It is essential that the experts review your
history and pain in order to accurately provide you with an honest evaluation of your
treatment options."
Agrasen hospital Gondia can employ a wide range of treatments for Sciatica.
Treatment options range depending on the severity of the condition."
"
Once a Dr. Agrawal has identified the underlying condition causing the sciatic pain,
a treatment can be determined."

5. www.drsandeepagrawal.com"
AGRASEN HOSPITAL "
DR SANDEEP C AGRAWAL GONDIA www.agrasenortho.com"
"
"
"

6. "
"
"
"
"
"
"
"
"
"
"
"
"
www.drsandeepagrawal.com"
AGRASEN HOSPITAL "
DR SANDEEP C AGRAWAL GONDIA www.agrasenortho.com"
"
"
"
"