{"id":12441,"date":"2019-11-07T18:45:00","date_gmt":"2019-11-07T23:45:00","guid":{"rendered":"https:\/\/dev.physioextra.ca\/en\/health-tips\/sciatica-symptoms-causes-and-treatments-2\/"},"modified":"2025-10-20T15:57:59","modified_gmt":"2025-10-20T19:57:59","slug":"sciatica-symptoms-causes-and-treatments","status":"publish","type":"post","link":"https:\/\/physioextra.ca\/en\/health-tips\/sciatica-symptoms-causes-and-treatments\/","title":{"rendered":"Sciatica: symptoms, causes, and treatments"},"content":{"rendered":"<h2 style=\"margin-top: 11.25pt; margin-right: 0in; margin-bottom: 11.25pt; padding-left: 0in; font-size: 36px;\"><span style=\"color: #494949;\">Find out everything you need to know about sciatica!<\/span><\/h2>\n<p style=\"font-size: 16px;\"><span style=\"color: #50636d;\">Without a doubt, one of the most common reasons people see a physiotherapist is for sciatica. The word <em>sciatica<\/em> means pain in the area of the<\/span><span style=\"color: #00aef3;\"><strong> sciatic nerve<\/strong><\/span><span style=\"color: #50636d;\">. Most of the time, sciatica is accompanied by pain in the lower back (lumbar area), but it can also be present on its own.<\/span><\/p>\n<p><!--more--><\/p>\n<p style=\"font-size: 16px;\"><span style=\"color: #50636d;\">The biggest and longest nerve in the human body, the sciatic nerve is formed by the combination of the nerve roots that exit from the lower lumbar spine and the upper sacral spine. As the figure below shows, its territory extends from the lower back to the foot.<\/span><\/p>\n<p><img decoding=\"async\" src=\"https:\/\/physioextra.ca\/wp-content\/uploads\/Sciatalgie-1.jpg\" alt=\"Sciatalgie-1\" width=\"252\" style=\"width: 252px; display: block; margin-left: auto; margin-right: auto;\"><\/p>\n<h3 style=\"font-size: 24px;\"><span style=\"color: #494949;\">What are the symptoms of sciatica?<\/span><\/h3>\n<ul>\n<li style=\"color: black;\"><span style=\"color: #50636d;\">The most common types of pain described include:<\/span>\n<ul>\n<li style=\"color: black;\"><span style=\"color: #50636d;\">a feeling of <\/span><span style=\"color: #00aef3;\"><strong>stiffness <\/strong><\/span><span style=\"color: #50636d;\">in the leg;<\/span><\/li>\n<li style=\"color: black;\"><span style=\"color: #50636d;\">a&nbsp;<\/span><span style=\"color: #00aef3;\"><strong>burning<\/strong><\/span><span style=\"color: #50636d;\">&nbsp;sensation or&nbsp;<\/span><span style=\"color: #00aef3;\"><strong>electric shocks<\/strong><\/span><span style=\"color: #50636d;\">&nbsp;in the leg;<\/span><\/li>\n<li style=\"color: black;\"><span style=\"color: #50636d;\">symptoms that often extend below the knee, in the case of true sciatica;<\/span><\/li>\n<li style=\"color: black;\"><span style=\"color: #00aef3;\"><strong>tingling<\/strong>,&nbsp;<strong>pins and needles<\/strong><\/span><span style=\"color: #50636d;\">, or <\/span><span style=\"color: #00aef3;\"><strong>numbness<\/strong><\/span><span style=\"color: #50636d;\"> in the part of the leg innervated by the sciatic nerve;<\/span><\/li>\n<li style=\"color: black;\"><span style=\"color: #50636d;\">loss of <\/span><span style=\"color: #00aef3;\"><strong>sensitivity <\/strong><\/span><span style=\"color: #50636d;\">in part of the leg and\/or loss of <\/span><span style=\"color: #00aef3;\"><strong>muscle strength <\/strong><\/span><span style=\"color: #50636d;\">in specific muscles.&nbsp;<\/span><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<h3 style=\"font-size: 24px;\"><span style=\"color: #494949;\">What are the causes of sciatica?<\/span><\/h3>\n<ul style=\"font-size: 16px;\">\n<li style=\"color: black;\"><span style=\"color: #50636d;\">An injury to the intervertebral disc (the spongy cushion that acts like a shock absorber between two vertebrae) or irritation of a joint in the lumbar area (a stiff joint, for example) can cause <\/span><span style=\"color: #00aef3;\"><strong>localized inflammation<\/strong><\/span><span style=\"color: #50636d;\">. This inflammation can compress the nerve roots, leading to the symptoms listed above.<\/span><\/li>\n<li style=\"color: black;\"><span style=\"color: #50636d;\">In more rare cases, <\/span><span style=\"color: #00aef3;\"><strong>tightness or inflammation <\/strong><\/span><span style=\"color: #50636d;\">of a muscle in the buttocks, called the piriformis, can also lead to compression of the nearby sciatic nerve.<\/span><\/li>\n<li style=\"color: black;\"><span style=\"color: #50636d;\">Symptoms can also appear if a portion of the sciatic nerve becomes entrapped by<\/span><span style=\"color: #00aef3;\"><strong> adhesions<\/strong><\/span><span style=\"color: #50636d;\">.<\/span><span style=\"color: #50636d;\"> Nerves are not overly stretchy structures. As our body goes through its regular motions, the nerves must be able to slide freely through the various structures along their routes. For this reason, sciatica can also appear when a section of the nerve is unable to move freely.<\/span><\/li>\n<li style=\"color: black;\"><span style=\"color: #50636d;\">When people experience pain in the back of the leg, the blame very often gets pinned on the sciatic nerve. But it\u2019s often not the real culprit, with the pain actually being caused by something else, for example, a problem with a <\/span><span style=\"color: #00aef3;\"><strong>pelvic joint<\/strong><\/span><span style=\"color: #50636d;\"> or pain originating from <\/span><span style=\"color: #00aef3;\"><strong>a joint in the lumbar area<\/strong><\/span><span style=\"color: #50636d;\">, without the nerve itself being affected. A muscle or joint problem in the leg can also mimic symptoms that are strangely similar to sciatica.<\/span><\/li>\n<\/ul>\n<h3 style=\"font-size: 24px;\"><span style=\"color: #494949;\">What are the treatments?<\/span><\/h3>\n<ul style=\"font-size: 16px;\">\n<li style=\"color: black;\"><span style=\"color: #50636d;\">When the pain is at its worst, it\u2019s important that you <\/span><span style=\"color: #00aef3;\"><strong>consult your doctor or pharmacist<\/strong><\/span><span style=\"color: #50636d;\">, who can recommend medication to reduce the inflammation and relieve any muscle spasms you may be having, which can also make the symptoms worse.<\/span><\/li>\n<li style=\"color: black;\"><span style=\"color: #50636d;\">Because sciatica is a very complex problem with a range of possible causes, unfortunately there is no universal solution. If the symptoms persist, it\u2019s important to <\/span><strong><span style=\"color: #50636d;\"><span style=\"color: #00aef3;\">consult your physiotherapist<\/span>, <\/span><\/strong><span style=\"color: #50636d;\">who will be able to identify the cause of your symptoms and prescribe appropriate exercises and treatments.<\/span><\/li>\n<li style=\"color: black;\"><span style=\"color: #50636d;\">In very rare, very severe cases, surgery may be needed, although this is the exception to the rule.<\/span><\/li>\n<\/ul>\n<p><span style=\"color: #50636d;\">To sum up, sciatica is a multifaceted problem that often requires a more in-depth assessment, but that usually responds well to physiotherapy once the cause has been identified.<\/span><br \/><span style=\"color: #50636d;\"><\/span><\/p>\n<p>&nbsp;<\/p>\n<p><em><span style=\"color: #50636d;\">Article written by Simon Desrosiers, physiotherapist<\/span><\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Find out everything you need to know about sciatica! Without a doubt, one of the most common reasons people see a physiotherapist is for sciatica. The word sciatica means pain in the area of the [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":11880,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[456,537,570],"tags":[],"class_list":["post-12441","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-physical-health-and-sports","category-physical-health-issues","category-sciatica"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.3 (Yoast SEO v27.3) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Sciatica: symptoms, causes, and treatments | PhysioExtra<\/title>\n<meta name=\"description\" content=\"Sciatica often accompanies lower back pain, but it can also occur alone. 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