First off, sciatica, for the most part, is very curable and with proper treatment, patients return to normal in fairly short order. However, herniated discs are often a permanent condition which can affect every area of your life. Undiagnosed, a herniated disc can become much worse and be debilitating.
The most common cause of sciatic nerve pain is usually a herniated disc. However, there are many causes of sciatica symptoms beyond the spine; sometimes called non-spinal pathology—a diagnosis not related to the spine.
Lumbar spine (lower back): Sciatica/Radiculopathy frequently results from a herniated disc in the lower back. Pressure on one or several nerves that contribute to the sciatic nerve can cause pain, burning, tingling and numbness that radiates from the buttock into the leg and sometimes into the foot.
For example, a large herniated disc can be completely painless, while a muscle spasm from a simple back strain may cause excruciating pain. This means that the severity of pain is not a determining factor for identifying a herniated disc.
Seek emergency medical attention if you have: Worsening symptoms. Pain, numbness or weakness can increase to the point that they hamper your daily activities. Bladder or bowel dysfunction.
“Most acute pain from a herniated disc in the lower back will subside after four to six weeks, but pain can come and go and persist over several months,” says Dr. Mukai.
Herniated discs are a common cause of disability, and many patients are recommended for surgery as their first course of action to rid them of their pain. However, nearly 90% of patients with disc herniations don't require surgery.
Skip movements that involve significant axial loading on the lower back, such as squats and leg presses. Avoid toe-touches, sit-ups, and yoga poses that worsen the pain and lead to significant bending of the back.
2) Back-lying position: When you sleep on your back, using a pillow under your knees is vital to keep your spine in alignment. Herniated discs can cause pain when pressure is put on them, so this position will help to take that pressure off.
If your pain is mild to moderate, your doctor might recommend pain medication available without a prescription, such as acetaminophen (Tylenol, others) ibuprofen (Advil, Motrin IB, others) or naproxen sodium (Aleve).
According to Spine Universe, chiropractic care is a non-surgical option for herniated disc treatment. This makes choosing a chiropractor to address problems with a herniated disc a viable option if you want to avoid undergoing any surgical procedures.
Once a healthy disc herniates, it will never return to its normal anatomical state—the disease or injury is permanent in nature.
Inability to walk: All of the symptoms of sciatica can come together and make it difficult for you to walk. Putting pressure on your leg to stand can lead to extreme pain and the weakness of the leg could even lead to you falling.
A L4–L5 disc bulge (or slip-disc) in the L4-L5 region can cause severe health issues such as impotence and reproduction issues. It can also lead to infertility, loss or control of the bowel or bladder, paralysis in one or both of your legs, and even death.
If your pain is severe and treatments from a GP have not helped, they may refer you to a hospital specialist for: painkilling injections. a procedure to seal off some of the nerves in your back so they stop sending pain signals. surgery – an operation called decompression surgery can sometimes help relieve sciatica.
Daily walks are an excellent way to exercise with a herniated disc, without putting additional strain on your spine and causing painful symptoms to flare up.
Walking is a very suitable exercise for people with lumbar disc herniation. Regular daily, patients can walk for 30-45 minutes in the morning and afternoon or if they have time, they should take advantage of both sessions.
The pain from a herniated disc usually is worse when you are active and gets better when you are resting. Coughing, sneezing, sitting, driving, and bending forward may make the pain worse. The pain gets worse when you make these movements because there is more pressure on the nerve.
Microdiscectomy is a surgical procedure for the relief of pain and other symptoms that occur when a herniated disc in the spine presses on an adjacent nerve root. During the operation, the surgeon frees the nerve by removing small fragments of disc, bone and ligament.
If you have traditional herniated disc surgery, your procedure will take place in a hospital, and you will have to stay there for several days afterwards. While the exact length of the stay will depend on how well you are healing, patients can expect to remain in the hospital for 4-5 days.
Living with a herniated disc
Your chances of getting better are good. Most people who have a herniated disc are better in about 4 weeks. Sometimes it takes longer. If you still have pain or numbness after 4 to 6 weeks, or if you feel worse, talk with your doctor.
Pain that radiates below the knee is a red flag for a herniated disc or nerve root compression below the L3 nerve root. This is based on the dermatomal distribution of the nerve roots and the fact that the pain associated with inflammation radiates along the entire pathway of the nerve.
Stages three and four: disc extrusion and sequestration
In the final stage, not only does the nucleus leak out, but it begins dripping out of the disc. In stages three and four, pain is often accompanied by tingling, numbness, and weakness in the nearby tissues.