Can you have sciatica without a herniated disc?

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.

Does sciatica always mean a herniated disc?

Sciatica is always caused by something–it is a symptom of another problem. A common cause of sciatica is a herniated disc in the lumbar spine. A herniated disc occurs when the fibrous outer portion of the disc ruptures or tears and the soft cartilage core herniates out.

Can you have sciatica without a disc problem?

One possible cause of non-disc related sciatic pain is a condition called piriformis muscle syndrome. The syndrome is caused by a narrow muscle located deep in the buttocks that irritates or pinches the sciatic nerve, causing pain to radiate down the leg and into the foot.

What can be mistaken for sciatica?

The problem is, piriformis syndrome is often mistaken for sciatica. While both conditions interfere with sciatic nerve function, sciatica results from spinal dysfunction such as a herniated disc or spinal stenosis.

Can you have sciatica and not have back pain?

It's also possible to have sciatica without back pain, he said, just as it is possible to have symptoms of sciatica without involvement of the back. "There are all sorts of other reasons you can have pain down the leg," he said.

The One "Bad" Sign Your Sciatica Herniated Disc May Not Heal

How do you tell if it's sciatica or something else?

The telltale sign of sciatica is pain that starts in your lower back and shoots down one leg, sometimes all the way into your foot.

How do I know if I have sciatica or piriformis?

In piriformis syndrome, buttock and hip pain is typically more common than lower back pain. In sciatica, the leg pain is usually greater than lower back pain and the pain may radiate into your toes. The affected leg may also feel heavy.

Does sciatica show up on xray?

Digital x-rays and CT scans may also be used to diagnose the cause of sciatica. Once the cause of the pain is identified, treatment options can be explored by your physician..

What are the stages of sciatica?

Does sciatica hurt all the time?

Sciatica can be acute or chronic. An acute episode may last between one and two weeks and usually resolves itself in a few weeks. It's fairly common to experience some numbness for a while after the pain has subsided. You may also have sciatic episodes a handful of times a year.

What does piriformis syndrome pain feel like?

Most commonly, patients describe acute tenderness in the buttock and sciatica-like pain down the back of the thigh, calf and foot. Typical piriformis syndrome symptoms may include: A dull ache in the buttock. Pain down the back of the thigh, calf and foot (sciatica)

Can an MRI show nerve damage?

Nerve damage can usually be diagnosed based on a neurological examination and can be correlated by MRI scan findings. The MRI scan images are obtained with a magnetic field and radio waves. No harmful ionizing radiation is used.

What is the difference between sciatica and a herniated disc?

Whenever the sciatic nerve is irritated there is some characteristic pain and characteristic areas where the pain is in the leg. However, when there is nerve pressure closer to the spinal cord caused by a damaged or herniated disc, the symptom pattern and physical examination is different.

Why won't my sciatica go away?

It is advisable to see a doctor if: sciatic pain interferes with daily functioning. sciatica lasts longer than 3 months. sciatica goes away and then comes back.

What causes sciatica to flare up?

Sciatica pain is caused by an irritation, inflammation, pinching or compression of a nerve in the lower back. The most common cause is a herniated or slipped disk that causes pressure on the nerve root. Most people with sciatica get better on their own with time and self-care treatments.

Is it good to walk with sciatica?

Walking is a surprisingly effective approach for relieving sciatic pain because regular walking spurs the release of pain-fighting endorphins and reduces inflammation. On the other hand, a poor walking posture may aggravate your sciatica symptoms.

Is bed rest good for sciatica?

Discussion. We found no evidence that bed rest is an effective treatment for patients with sciatica.

How do you know if your sciatica is getting worse?

It's as simple as knowing whether the pain is “retreating or going” or whether the pain is getting more intense. Think about it, if the pain is in your bum one day and down your legs the next, the pain has more than likely got worse and it's not improving. And if the pain is “leaving” then the sciatica is improving.

Can chiropractors fix sciatica?

A chiropractor might be able to help relieve sciatica pain. Using spinal manipulation techniques and other natural practices, chiropractors can help relieve the pressure on your sciatic nerve.

What's worse sciatica or piriformis?

Conclusion. So – to summarise – the main difference between piriformis syndrome and sciatica is that piriformis syndrome is mostly local buttock pain and in worse cases some leg pain. Sciatica is typified with lower back pain, buttock pain and leg pain which tracks down the back of the leg.

Where do you feel pain with piriformis syndrome?

Piriformis syndrome is a condition in which the piriformis muscle, located in the buttock region, spasms and causes buttock pain. The piriformis muscle also can irritate the nearby sciatic nerve and cause pain, numbness and tingling along the back of the leg and into the foot (similar to sciatic pain).

Where does piriformis syndrome hurt?

Symptoms and signs

The typical patient with piriformis syndrome complains of "sciatica" — that is, sharp, severe, radiating pain from the lower back or buttock down the back of the leg and into the thigh, calf, and foot.

When is surgery required for sciatica?

Surgery for sciatica is usually considered when leg pain and/or weakness is persistent or progressive even after several methods of non-surgical sciatica treatments have been tried. In a few cases, surgery may be considered as the first option.

Do inflamed nerves show up on MRI?

MRI scans which show soft tissues, such as nerves and discs, are generally preferred over CT scans which show bony elements. Advanced imaging can show exactly which nerve or nerves are being pinched and what is causing the nerve to be pinched.

What happens if you let a pinched nerve go untreated?

If left untreated, it may lead to permanent nerve damage. The most common symptoms of a pinched nerve include neck pain that travels down the arms and shoulders, difficulty lifting things, headache, and muscle weakness and numbness or tingling in fingers or hands.