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Sciatica

From Wikipedia

Sciatica be pain wey dey go down de leg from de lower back.[1] Dis pain fi extend down de back, outsyd, anaa front of de leg.[2] Onset often be sudden dey follow activities such as heavy lifting, though gradual onset sanso fi occur.[3] De pain often be described as shooting.[1] Typically, symptoms dey occur on one side of de body per;[2] certain causes, however, fi result in pain on both sides.[2] Lower back pain sam times be present.[2] Weakness oranaa numbness fi occur insyd various parts of de affected leg den foot.[2]

About 90% of sciatica be secof a spinal disc herniation wey dey press on one of de lumbar anaa sacral nerve roots.[4] Spondylolisthesis, spinal stenosis, piriformis syndrome, pelvic tumors, den pregnancy be oda possible causes of sciatica.[2] De straight-leg-raising test often be helpful insyd diagnosis.[2] De test be positive if, wen dem raise de leg while a person dey lie on dema back, pain dey shoot below de knee.[2] Insyd chaw cases medical imaging no dey hia.[5] However, imaging fi be obtained if bowel anaa bladder function be affected, der be significant loss of feeling anaa weakness, symptoms be long standing, anaa der be a concern for tumor oanaa infection.[5] Conditions wey fi present similarly be diseases of de hip den infections such as early shingles (prior to rash formation).[2]

Initial treatment typically dey involve pain medications.[5] However, evidence for effectiveness of pain medication, den of muscle relaxants, dey lack.[6] E be generally recommended say people continue plus normal activity to de best of dema abilities.[2] Often all wey be required for resolution of sciatica be time; in about 90% of cases, symptoms dey resolve in less dan six weeks.[5] If de pain be severe den dey last for more dan six weeks, surgery fi be an option.[5] While surgery often dey speed pain improvement, ein long term benefits be unclear.[2] Surgery fi be required if complications occur, such as loss of normal bowel anaa bladder function.[5] Chaw treatments, wey dey include corticosteroids, gabapentin, pregabalin, acupuncture, heat anaa ice, den spinal manipulation, get limited anaa poor evidence per wey dey support dema use.[2][7][8]

Dey depend on how e be defined, less dan 1% to 40% of people get sciatica at sam point in time.[4][9] Sciatica most be common between de ages of 40 den 59, wey men be more frequently affected dan women.[5][10] Dem know de condition since ancient times.[10] De first known modern use of de word sciatica dey date from 1451,[11] although Dioscorides (1st-century CE) dey mention am insyd ein Materia Medica.[12]

References

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  1. 1 2 "Sciatica". Archived from the original on 7 March 2018. Retrieved 2 July 2015.
  2. 1 2 3 4 5 6 7 8 9 10 11 12 Ropper, AH; Zafonte, RD (26 March 2015). "Sciatica". The New England Journal of Medicine. 372 (13): 1240–8. doi:10.1056/NEJMra1410151. PMID 25806916.
  3. ↑ T.J. Fowler; J.W. Scadding (28 November 2003). Clinical Neurology, 3Ed. CRC. p. 59. ISBN 978-0-340-80798-9.
  4. 1 2 Valat, JP; Genevay, S; Marty, M; Rozenberg, S; Koes, B (April 2010). "Sciatica". Best Practice & Research. Clinical Rheumatology. 24 (2): 241–52. doi:10.1016/j.berh.2009.11.005. PMID 20227645.
  5. 1 2 3 4 5 6 7 Institute for Quality and Efficiency in Health Care (October 9, 2014). "Slipped disk: Overview". Archived from the original on 8 September 2017. Retrieved 2 July 2015.
  6. ↑ Koes BM, vanTulder, HW, Peul WC (2007). "Diagnosis and treatment of sciatica". The BMJ. 334 (7607): 1313. doi:10.1136/bmj.39223.428495.BE. PMC 1895638. PMID 17585160.
  7. ↑ Markova, Tsvetio (2007). "Treatment of Acute Sciatica". Am Fam Physician. 75 (1): 99–100. PMID 17225710. Archived from the original on 2016-02-02.
  8. ↑ Enke O, New HA, New CH, Mathieson S, McLachlan AJ, Latimer J, Maher CG, Lin CC (July 2018). "Anticonvulsants in the treatment of low back pain and lumbar radicular pain: a systematic review and meta-analysis". CMAJ. 190 (26): E786 – E793. doi:10.1503/cmaj.171333. PMC 6028270. PMID 29970367.
  9. ↑ Cook CE, Taylor J, Wright A, Milosavljevic S, Goode A, Whitford M (June 2014). "Risk factors for first time incidence sciatica: a systematic review". Physiother Res Int. 19 (2): 65–78. doi:10.1002/pri.1572. PMID 24327326.
  10. 1 2 Ropper, AH; Zafonte, RD (26 March 2015). "Sciatica". The New England Journal of Medicine. 372 (13): 1240–8. doi:10.1056/NEJMra1410151. PMID 25806916.
  11. ↑ Simpson, John (2009). Oxford English dictionary (2nd ed.). Oxford: Oxford University Press. ISBN 978-0-19-956383-8.
  12. ↑ Dioscorides, Materia Medica (2-184, s.v. Sinepi), p. 311
[edit | edit source]
  • "Sciatica". MedlinePlus. U.S. National Library of Medicine.
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