Sciatica refers to pain that radiates along the path of the sciatic nerve, which runs from the lower back through the buttock and down the back of each leg. It is not a diagnosis in itself but rather a symptom of an underlying spinal condition, most commonly a herniated lumbar disc or lumbar spinal stenosis.
The pain occurs when the sciatic nerve or one of its component nerve roots is compressed or irritated. Sciatica typically affects one side of the body and can range from a mild ache to severe, debilitating pain.
Classic Sciatica Symptoms
Sciatica has a characteristic pattern that distinguishes it from other types of leg pain. The symptoms follow the nerve pathway from the lower back into the leg.
- Pain radiating from the lower back or buttock down the back or side of the leg
- Sharp, burning, or electric shock like quality to the pain
- Numbness or tingling in the leg or foot
- Weakness in the leg, ankle, or foot
- Pain that worsens with sitting, coughing, or sneezing
- Difficulty walking or standing due to leg pain
- Symptoms typically affecting only one side
Path to Recovery
Most sciatica resolves within six to twelve weeks with conservative treatment. Physical therapy, anti inflammatory medications, and epidural steroid injections can provide significant relief. Surgery is considered when pain is severe and unresponsive to conservative care, when there is progressive weakness, or when bowel or bladder function is affected. Dr. Waldron uses minimally invasive techniques for surgical treatment, providing rapid relief with short recovery times.