WHAT IS SCIATICA?
Nerve fibres originating from L4-S3 unites in front of piriformis muscle to form the widest single nerve in human body called the SCIATIC NERVE. Myalgia Paraesthesia in the corresponding region of supply of the Sciatic Nerve is termed as SCIATICA.
This symptom can be due to compression of /injury to /pathology of Sciatic Nerve or its nerve fibre origin.
Compression/Injury/ Pathology can be due to trauma / mechanical wear and tear / pathological changes around sciatic nerve or at origin of its fibres at lumbar and sacral region.
COMMON CAUSES OF SCIATICA
- Spinal Stenosis
- Spinal Disc Herniation
- Degenerated Vertebra
- Sciatic Nerve Surrounding Muscle Spasms
- Sciatic Nerve Surrounding Tissue Inflamation
- Deep Tissue Abscess Around Sciatic Nerve
- Fetal Weight During Pregnancy
- Piriformis Syndrome
- Tumours in and around Sciatic Nerve
- Injury During Surgical Procedures
MANAGEMENT OF SCIATICA
Patients presenting with pain along nerve path ; should be tested for straight leg raise test
Further imaging tests CT, MRI, MRneurography helps to find out exact cause
Person should also be tested for Serum Calcium; Vitamin D levels where sciatica is due to bony degeneration
Vitamin B12 levels should also be tested
In patients with sciatica due to spinal complaints originated from mechanical reasons
Secure lower back(lumbosacral region) and give it proper rest; mild exercises not involving lumbo-sacral region ; helps by not involving lower back but still maintaining healthy equilibrium of body thus helping faster recovery.
Spinal manipulation helps to an extent in disc related pain which is contraindicated in progressive neurological deficits
Patients with sciatica due to non mechanical spinal reason / secondary to tumour / some other pathology like inflamation or abscess around; should be treated first for primary reason.
Common Homoeopathic Medicines selected depending upon cause and symptoms as per L/M/S/C
- Magnesia Phosphorica
- Rhus Toxicodendrone
- Calcarea Carbonica
- Bellis Perenis
- Plantago Major
- Hypericum Perfoliatum
- Arnica Montana
- Calcarea Phosphorica
- Aloe Socotrina
- Aconitum Napelus
- Brynoia Alba