Done in well-trained hands, acupuncture can give good results in many patients. Can sciatica cause calf pain? Can stress cause sciatica? Sciatica like any other neurologic pain can have relation with the mental status and cognitive functions of the person. Though stress may directly not be the causative factor for sciatica, it may have its effect on the severity as well as course of the disease process of sciatica. Patients who do not get relief with acupuncture should try other modalities as well as medications. Patients who have had one episode of sciatica are at a higher risk of getting recurrence over the period of months and years. Medications, epidural or nerve root block injections may help during this recovery period. Most of the patients with back surgery can be discharged within one to four days after the surgery depending on the type of surgery and the type of recovery that they have.

Surgery may be more often needed in such patients especially if the neurological deficit is still evolving, so as to decrease or elevate the further neurological deficit as well as to optimize the recovery. A thorough history as well as examination with or without further imaging may be helpful to rule out pelvic cause, sciatica. Neuromodulator medications like gabapentin and pregabalin may also be helpful in decreasing the sciatica pain. Will I need any other medical equipment like a walker when I go home? Patient may need other medical equipment like walker or a stick. When patient has back pain or has a surgery in which enough bone is removed to destabilize the spine, in these cases patient may need a fusion surgery to stabilize the spine, as well as to alleviate the symptoms. Patients are encouraged to take care of their activities of daily living, as well as light household activities. How long will the surgery take? True pelvic pain will usually be on the front of the belly or on the side of the belly. Can sciatica cause pelvic pain? Can sciatica affect nerve function? Very rarely, patients may have tumor involving the sciatic nerve, which may have to be excised and may lead to sacrifice of the sciatic nerve; unless otherwise, the sciatic nerve is never removed due to its critical function.

Car accidents can cause sciatica pain due to irritation of the nerve or radiculitis. Can sciatica hurt in the front of thigh? This pain is usually felt around the back of the thigh as well as the calf into the foot. Swelling in the foot is most likely not related to sciatica because sciatica is caused due to neurogenic pain. Convalescing sciatica pain may worsen while standing and walking also due to the dynamic change causing compression of the disk and leading to further protrusion. In severe form of sciatica presenting with an emergency condition called cauda equina syndrome, in which there is severe compression with almost loss of all function of the nerve root, the patient may present with weakness of either or both lower extremities with or without involvement of bowel and bladder. The neurological deficit caused due to cauda equina syndrome may be permanent especially if not treated early in the disease process. Rarely, patients who have severe compression of the spinal nerve roots in the canal can present with cauda equina syndrome, which is an emergency and they present with involvement of both lower extremities or both legs.

Can acupuncture help sciatica? If the pain is on outer or inner side of the ankle and is radiating down or coming from the top then it may be associated with sciatica or lumbar radiculopathy. Sciatica pain or radiculopathy can be associated with decreased motor innervation to the muscles leading to weakness. Sciatica is not permanent, though it can be a recurrent. The methodology to treat sciatica nonoperatively is essentially the same among all field. What kind of doctors treat sciatica? Sciatica or lumbar radiculopathy involving the L2, L3 and L4 nerve roots present as pain along the front of the thigh. An isolated ankle pain may not be caused by radiculopathy. Pain due to the pinching of the L4 nerve root causes pain along the front of the lower thigh as well as over the knee and may have radiation into the inner leg. In most of the patients, the symptoms are well resolved, and these patients are able to get back to their normal life within six to ten weeks after the surgery. Cervical decompressive surgery is removal of pressure that is on the spinal column or the spinal cord in the neck region. Foraminotomies is the surgery done from the back in the neck or the lower back area in which a small amount of bone is removed to increase the size of the foramen where the nerve roots pass to give more space to the nerve root and to relieve the symptoms.

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