Various Types of Pain along the Sciatic Nerve


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Sciatica from L4 nerve root
Signs of sciatica originating from this level, the L3-L4 level, in the lower spine might consist of: pain and/or feeling numb to the medial lower leg and foot; weak point might include the failure to bring the foot upwards (heel walk). The client may have decreased knee-jerk reflex.

If the L4-L5 sector is affected, the patient might have weak point in extension of the big toe and potentially in the ankle (called foot drop).

Signs of sciatica stemming at this level of the lower back may include: pain and/or tingling at the top of the foot, especially in the web in between the fantastic toe (huge toe) and the 2nd toe.

Symptoms of sciatica originating at this L5-S1 level, which is at the bottom of the spine, might consist of: discomfort and/or pins and needles to the lateral, or outside, of the foot; weak point that leads to difficulty raising the heel off the ground or strolling on the tiptoes. The client may have decreased ankle-jerk reflex.

While the above kinds of signs prevail, signs can vary depending upon a variety of aspects, such as unique anatomical variations, and the degree and attributes of the specific pathology.


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The sciatica symptoms one feels-- such as nerve pain, feeling numb, tingling, weak point-- are extremely variable: they can include symptoms mainly felt in the butt, or in the back of the thigh down to the calf, and even into the toes.

See Sciatica Manifestations.

Sciatic Nerve AnatomyWatch: Sciatic Nerve Anatomy Video.
Different Kinds of Discomfort along the Sciatic Nerve.

The client's discomfort and particular sciatica signs can normally be traced to where the injured/irritated nerve comes from the lower back. Typical symptoms include:.

Sciatica from L4 nerve root.
Symptoms of sciatica stemming from this level, the L3-L4 level, in the lower spinal column may include: pain and/or pins and needles to the medial lower leg and foot; weak point might consist of the failure to bring the foot upwards (heel walk). The client may have reduced knee-jerk reflex.
See All About the L3-L4 Spine Section.
Sciatica from L5 nerve root.
If the L4-L5 section is influenced, the client might have weak point in extension of the big toe and possibly in the ankle (called foot drop).

Signs of sciatica stemming at this level of the lower back may include: pain and/or pins and needles at the top of the foot, particularly in the web between the terrific toe (huge toe) and the 2nd toe.
See Everything about the L4-L5 Back Sector.
Sciatica from S1 nerve root.
Symptoms of sciatica coming from at this L5-S1 level, which is find more at the bottom of the spinal column, might consist of: discomfort and/or feeling numb to the lateral, or outside, of the foot; weak point that leads to trouble raising the heel off the ground or strolling on the tiptoes. The client might have lowered ankle-jerk reflex.
See All about L5-S1 (Lumbosacral Joint).

While the above types of symptoms are common, symptoms can vary depending upon a number of aspects, such as distinct anatomical differences, and the degree and attributes of the certain pathology.

Typical Conditions that Lead to Sciatica.

A variety of lower back conditions might result in sciatica. Most commonly, a lumbar herniated disc will cause sciatic nerve pain. Other common disorders that cause sciatic pain include lumbar degenerative disc disease, spondylolisthesis, spinal stenosis, or osteophytes and arthritis in the spine.

Conditions with Sciatica-Like Signs.



While it is most typical for sciatica signs to be triggered by an issue in the lower back, there are other conditions that might cause sciatica-like signs.

Pressure on the sacral nerve roots from sacroiliac joint dysfunction.
Signs of sacroiliac joint dysfunction might consist of a sciatica-like discomfort or feeling numb that is frequently described as a deep ache felt inside the leg more so than a linear, well-defined geographical location of pain/numbness found in true sciatica.
Piriformis Syndrome Video.
Watch: Piriformis Syndrome Video.
Pressure on the sciatic nerve from piriformis muscle.
This pressure on the sciatic nerve can tighten up and aggravate the sciatic nerve (called piriformis syndrome). Signs of piriformis syndrome might include a sciatica-like pain and/or numbness in the leg that is usually more intense above the knee, generally begins in the rear instead of the low back, and frequently spares the low back of signs or indications.

In addition, any modification in the body, such as carrying extra weight while pregnant, can also cause sciatica signs.

The Distinction In between Sciatic Discomfort and Referred Discomfort.

To clarify terms, the term sciatica is frequently used to indicate any form of pain that radiates into the leg.

If the sciatic nerve is pinched and the discomfort in the leg is from the nerve (radicular discomfort), then this is a correct use of the term sciatica.

If the pain is referred to the leg from a joint (referred pain), then using the term sciatica is technically incorrect.

Referred pain from arthritis or other joint problems that might cause leg pain (which feels like sciatica) is actually more typical than real sciatica.

There is a vast array of sciatica signs and the type and seriousness of pain depends upon the condition triggering the signs, as well as the individual patient's experience of the pain.

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