Sciatica is a fairly common condition that orthopedic doctors strive to treat without resorting to surgical intervention. In a small portion of patients, however, surgery will be required for relief.

The goal of many orthopedic doctors who treat patients suffering from sciatica is to help them manage the problem without having to resort to surgical options. Only a small percentage of those who suffer from the symptoms will require surgical intervention, so it is in the best interest of patients to follow the doctor orders and begin a physical therapy routine to increase their mobility and decrease any discomfort felt.

Sciatica is a condition that occurs when a spinal nerve is irritated or compressed on the left, right, or both sides of the body. The term itself doesn't refer to this compressed nerve, however, but rather the associated symptoms that result because of the problem. There are a number of reasons why the nerve could be pinched including spinal tumors, physical trauma to the back, inflammation, bone spurs, and overuse of the piriformis muscle. Orthopedic doctors must not only diagnose the sciatica, but should also run tests to determine the severity of any underlying causes.

Symptoms of sciatica are most common among 30 to 50-year-olds and are described as an enduring leg cramp that may extend upwards into the buttocks and lower back or to the foot. Patients may also have a limited range of movement, a numb feeling, or the sensation of pins and needles. The pain tends to increase once seated or if the body moves suddenly, such as during a cough. Generally the discomfort lasts for several weeks. While the problem will subside on its own in the majority of patients, it is still recommended to visit a doctor as soon as possible for imaging or x-ray to help determine any root causes.

On average, orthopedic doctors will prescribe a few days of bed rest, over-the-counter medications with anti-inflammatory effects, and some gentle walking and stretches. If the pain is more severe, a cortisone injection can help provide more relief. There is some debate over the effectiveness of rest versus physical therapy as well as medications, with some studies reflecting that none of the methods help provide faster relief from the symptoms. Patients may wish to try a variety of options to find what best comforts them.

If pain is felt continuously for several months, surgery may be required. Overall, surgical intervention is highly successful with an estimated 90% success rate. Unfortunately, conflicting studies also show that symptoms may return a few years down the line. During the procedure, the surgeon will remove the disc herniation that is responsible for compressing the spinal nerve. Recovery will depend on how the procedure was performed and the individual, but it generally varies from a couple of weeks to several months.

Warning signs that there may be a more serious problem such as an infection or spinal tumors include a high level of pain that may extend from the lower back to the foot, weakened muscles, partial paralysis, and difficulty with bladder or bowel control. These will require immediate medical attention, as tumor can be potentially cancerous and spread quickly.

Article Tags: Orthopedic Doctors