Talk:Sciatica

message: For 18 months, I was unable to walk from the car into the convenience store. The sciatica pain was about 8 on 1-10 scale. Increasing with every step.  My livelihood was driving tours, sitting,  To shop required an electric cart in a big box store. Sitting or lying down was my only reprieve.
I tried many doctors and chiropractors, physical therapists, cortisone, relaxers, etc. Nothing worked for more than a few hours. This one didn't respond to the usual push-type exercises and treatments. Doctors talked of surgery.
 
I was at my wit's end. Then one of my visitors told me about yet another chiropractor in Scottsdale. He said if anyone could fix it this guy could.  He worked on me twice and it helped a little. But he said he was "seeing" a black belt. Sort of like a belt for support while lifting heavy objects. But different. He didn't know what it was, but that's what he saw.
A few days later I was again on that electric cart in the  big box store, this time in the exercise section. There was a different sort of black belt. Designed to sweat off the fat. Well, I could surely use that, so I bought it. Tried it on around the waist, then at an angle. Lower in front, I am a large woman.
12 hours later, NO PAIN !!!!  I was weak from sitting so much, but no pain! Each day I could walk further. Whoopee! I bought a 2nd belt for laundry day.
The doctor had told me there is a wedge shaped bone in my pelvis which is sliding downward, stretching the ligaments and tendons as it wedged the hipbones apart sideways. I do not have a tiny butt. He said the muscles were strong but needed the hip bones pulled in together to force that wedge back up. Occasionally I still need the belt for a few hours. It takes the pain away for days.
Thank You Doctor Shawn, I rode my new cruiser bicycle 5 Miles today! J:-D03:28, 1 August 2012 (UTC)
thread_title:  Comment 

message: Hey everybody.  Did'nt mean to interupt anything you might be doing, but I was looking to link lumbar radiculopathy to this article so I thought we should at least mention it.  If there is a problem, please let me know.  Thanks. --Dematt 23:20, 1 October 2006 (UTC)
thread_title:  Added Lumbar radiculitis and radiculopathy 

message: The intro states that sciatica is leg pain... then says the pain is felt in buttocks, lower back, leg etc. This needs to be revised, please. I'm too tired at the moment to try it, might have a go in the morning. 203.54.133.231 12:59, 5 March 2007 (UTC)
thread_title: Intro

message: I don't think radiculopathy should be redirected here as it's a more general
term that sciatica. Dougher 01:38, 24 March 2007 (UTC)
replies: text: Agreed.  Radiculopathy no longer redirects here. Please note Talk:Radiculopathy now. Root4(one) 13:14, 24 March 2007 (UTC)
thread_title:  Radiculopathy 

message: Acupuncture and massage never work for sciatica. Gantuya eng (talk) 13:47, 27 January 2008 (UTC)
replies: text: There is no absolute answer to this. Results will vary from person to person. Flanker235 (talk) 13:06, 7 June 2016 (UTC)
thread_title: Acupuncture and massage 

message: As a Wikiepdia lover and part time hypochondriac, I am a little concerned that this page doesn't seem to follow the common Wikipedia format for 'illness articles'.  Shouldn't we have a symptoms-treatment-prognosis sectioned article, like I normally see?  Perhaps I am biased (as a part time hypochondriac), but I'm 30% of the way through the entry, and I still have no idea if I can obsess over having sciatica!  This is a problem because it would be a welcome relief from compulsive thoughts of having ALS.
Seriously though, I notice that Wikipedia is often the first or second link when you do a search for just about any subject.  Is the question we must ask ourselves:  "Who is searching for this information?"?  My guess is that most of the readers are people who are personally affected by the affliction, directly or indirectly, so before I volunteer to make any changes, I would like to ask:  Why doesn't this article follow the common Wikipedia 'illness article' format?  is this a problem?  Should we make changes to the flow of this article?  Provided I don't forget about this entry, I would be happy to donate some time.
—Preceding unsigned comment added by FuriousJorge (talk • contribs) 
hello fellow suferers, i just want to say that i have never felt any pain in my life{and ihad three children naturelly}as i have felt scince being diagnosed with sciatica.the pain takes my breath away....no really and the problem is you have good daya and bad so in my case no on belives me when i am relly bad off.twisting to the side and trying to reac for something recently sent me to the hospital for an injection.the vicodin is just a temporey fix so i dont take them much any more.i just try not to move in ways to up set the condition.i am depressed i have lost my nursing job being out 2years,cant do pt care,what if there was a code blue i cant get on the floor and do cpr.this is who i am started nursing in 1988,what can i do now this condition has ruined my life.and workmans comp they dont care.sex is painfull so my marrige is strained . i just feel really bad and i go to pt sometimes butits just temporery relieff ,all the drs do is give drugs my dr said i am not a canidate for surgery. thanks for letting me vent. k_boogie_xoxo@yahoo.com  —Preceding unsigned comment added by 24.189.104.149 (talk) 17:35, 10 December 2008 (UTC)
thread_title:  Symptoms?  Prognosis?  Treatment? 

message: I believe there are multiple points of view on the effacy of different treatments for Sciatica. Our article states that Acupuncture, Chiropractic, Osteopathy, Non-surgical spinal decompression, and Structural integration can be used to treat Sciatica. This is in dispute. That they "are" used to treat it is clear. That they have any effacacy is doubtful. While there is substantial documtary evidence that Anti-inflamatories, Non-surgical spinal decompression, Surgery and Physical therapy/Stretching work, studies on the others are few and far between. We should not be stating as fact that they "can" be used to treat. Hipocrite (talk) 22:34, 3 March 2009 (UTC)
thread_title:  NPOV 

message: If sciatica is a set of symptoms it should be refered to as a syndrome. A colletion of symptoms resulting from a disease is usually refered to as a syndrome. Just a thought to take into consideration for anyone who wished to include this. I think it would simplify the introduction.
AriaNo11 (talk) 20:28, 30 July 2009 (UTC)
thread_title:  sciatica is a set of symptoms 

message: Two paragraphs had been copied verbatim from the referenced web page on spineuniverse.com, which has a restrictive copyright statement, so I deleted them. I did NOT write a summary and retain the reference, because the referenced page did not appear to meet standards. The author of that page described two new treatments but gave no references at all. His statements flatly contradict the peer-reviewed article http://www.aafp.org/afp/2008/1001/p835.html which is probably the most reliable reference for the article and which describes newer treatments as highly experimental. In short, those two paragraphs appear to have been either inserted by someone who ran across that page and found it interesting, or by someone with a vested interest in the new treatments -- probably the former but I can't rule out the latter. Paleolith (talk) 05:15, 6 December 2009 (UTC)
thread_title:  copied copyrighted material removed 

message: I heard of a patient that underwent lumbar fusion based on his MRI, for symptoms consistent with sciatica.  Unfortunately, the patient continued to have the same pain after as before the surgery.  On further workup it was discovered that the patient had a piriformis syndrome that, once treated, resolved his symptoms.  The lesson is to make sure, as best you can, that you are evaluated with a full history, physical exam, and appropriate imaging prior to agreeing to undergo moderately invasive surgery. Kevin, Silver Spring, MD.  30 April 2010.  66.69.87.153 (talk) 18:55, 30 April 2010 (UTC)
thread_title:  Lumbar fusion for piriformis syndrome - oops 

message: After briefly reading the main article on "trigger points" it's clear that it is a theory in the loosest sense of the term. The article presently states this theory as fact, with no citations. It needs proof or an edit to clarify that it *may possibly* be a cause rather than stating that it *is*.  —Preceding unsigned comment added by 24.197.246.4 (talk) 02:53, 2 March 2011 (UTC)
thread_title:  "Trigger points" - citation or editing needed 

message: The wiki on "Sciatica"
I wanted to contribute to the wikipedia article on Sciatica, but was unsure how to word it. One of the "causes" of sciatica that is not listed, yet should be, is pregnancy. below is a sample article I have written:
[edit] Pregnancy
Sciatica may also occur during pregnancy. This is often the result of the Fetus applying pressure to the sciatic nerve at the bottom of the spine by either sitting, pushing, or extremity spasms. While most cases do not directly harm the Fetus or the Mother, the indirect harm comes from the numbing effect on the legs. This numbing often leads to loss of balance and falling, which will directly cause harm to both Mother and Fetus. There is no standard treatment for pregnancy induced Sciatica, outside of bed-rest and application of heat.
As I am neither a member, nor am I particularly skilled at articulating the point. I believe that this is important to add. My concern for this is personal. My Girlfriend whom is currently pregnant, is suffering from Sciatica directly tied to her pregnancy. I have enclosed a link so that this may be verified.
http://www.americanpregnancy.org/pregnancyhealth/sciaticnervepain.html  — Preceding unsigned comment added by 96.241.209.40 (talk) 03:57, 31 January 2012 (UTC)
replies: text: I just edited and added your contribution to the article.  The reference you cited refers to "Mayo Clinic Guide To A Healthy Pregnancy Harms, Roger W., M.D., et al, Part 3" which would be a better citation.  What is the web address for this Mayo guide?  Greensburger (talk) 17:09, 31 January 2012 (UTC)
thread_title: Pregnancy

message: I suddenly developed severe sciatic following an (in hindsight, very foolish at my age (56)) participation in a game of soccer. Ibuprofin or other NSAIDS combined with Paracetamol gave me several hours of relief during the day. Fortunately, there was no pain at night, so I could sleep without drugs. But clearly a more lasting solution was needed.
The report on the CT of my lumbar spine said, in part, "At the L5/S1 level there is a left lateral disc bulge with compression on the left S1 nerve",  "slight disc space narrowing at the L5/S1 levels" and "facet joint overgrowth between L5/S1 bilaterally". All relevant doctors agreed that this was the main cause of my very painful sciatica.
It was suggested that I have a cortisone injection guided under ultrasound to the Left L5/S1 nerve root. This was duly done, and it was far less painful than I expected. The worst was for a fraction of a second when the sharp steel tip of the needle touched the nerve root, and brought on the usual pain. The doctor giving the injection was apologetic, saying that he understood that this was painful, but it was necessary to make absolutely sure that the injection was going into exactly the right spot.
I am happy to post the CT images and/or the injection ultrasound images. The radiology clinic has no copyright claim on these images. They are mine to use as I wish.
Moving on, improvement was immediate. During the usual 3-4 weeks that a cortisone injection takes to do its thing, the pain slowly went. Completely. Zero. Nada.
Why is this cortisone treatment not mentioned in the article? Apparently it is a well-accepted mainstream medicine practice in the "right" kind of sciatica.
Also, given the amount of controversy on these pages, a question naturally emerges: should I have have done something else instead?
144.131.87.30 (talk) 10:42, 7 August 2012 (UTC)
thread_title:  A personal experience 

message: An email to OTRS (ticket ) pointed out that this sentence makes no sense:
: Sciatica due to compression of a nerve root is one of the most common forms of radiculopathy and is often postural caused by, is most often referred pain from damage to facet joints in the lower back and is felt as pain in the lower back and posterior thighs.
It'd be great if someone who knows something about medicine could rewrite it or copyedit it. I've added a copyedit section banner to flag this up. —Tom Morris (talk) 18:39, 23 January 2013 (UTC)
replies: text: Done as you requested. Greensburger (talk) 19:24, 23 January 2013 (UTC)
thread_title:  Sentence that doesn't make sense 

message: 1.6 to 43 percent? That's crazy. Can someone take a look at the articles and see if there is a number that is most commonly agreed upon. 1-43% is completely unhelpful. --1000Faces (talk) 03:25, 13 March 2013 (UTC)
thread_title:  Epidemiology 

message: Most of this Wikipedia article seems a near-verbatim copy of the published summary of the article referenced at footnote 5. As such, this Wikipedia article seems the opposite of comprehensive. Wbkelley (talk)
::User:Wbkelley Which parts are verbatim from which source? I have looked briefly at ref five and do not see anything obvious. Doc James (talk · contribs · email) 17:28, 14 March 2015 (UTC)
thread_title:  Copied material 

message: Review from Ropper and Zafonte doi:10.1056/NEJMra1410151 JFW | T@lk 10:35, 26 March 2015 (UTC)
thread_title:  NEJM 

message: https://dx.doi.org/10.1016%2Fj.berh.2009.11.005 is used to support the claim of cause being herniation about 90 per cent of time.
It says either lumbar or sacrum.
I am wondering if anyone knows information about how the 90 is split between these 2 spinal areas.
In fact we could even get more specific like the number of each vertebrae if that is available. 64.228.90.129 (talk) 17:32, 17 November 2015 (UTC)
thread_title: 90 percent

message: "There are no visible signs of this condition, and a person will present with no apparent injury or illness."
Yes their can be visible signs such as food drop and muscle atrophy. Often their is a minor injury or jar that trigger sciatica. This needs a ref. Doc James (talk · contribs · email) 00:03, 20 November 2016 (UTC)
thread_title: Ref needed

message: We already say "usually caused by a herniated disc in the lumbar region of the spine" in the second paragraph. Doc James (talk · contribs · email) 21:10, 1 December 2016 (UTC)
thread_title: Text

message: - Improve quality of current citations
- Add citations to already written but not cited information throughout article
 
- Expand pathophysiology, treatment, and epidemiology sections citing high-quality sources
- Add pertinent images and diagrams
Clskinner (talk) 17:48, 22 October 2018 (UTC)
thread_title:  WikiProject Medicine Workplan 

message: I would like to improve this page with the following edits: 
#Clarify the "physical activity" section after "management". It is currently vague - what forms of physical activity are good for managing sciatica? eccentric/concentric exercises? what is the current data on how it helps? Also elaboration on what forms of physical therapy used would be very insightful.
#describe the description of the pain associated with sciatica more elaborately than what is currently present.
#there are two sentences that are not very smooth next to each other "disc herniation most often occurs during heavy lifting. Pain typically increases when bending forward or sitting and reduces when lying down or possible walking."
#"The space in the vertebral column the spinal cord goes through" may be better for spinal stenosis. 
# condense the wording for pathophysiology to reduce verbage, i.e. "as an individual ages, the annulus fibrosis weakens and is more susceptible to tear. when this happens, ___"
#Add "physical test" and "radiocontrast" as a subheading under diagnosis Catchen1 (talk) 20:43, 5 August 2019 (UTC)
replies: text: Please make sure that other group members add themselves to the page before making their individual edits. Note the added editing tags, FYI. Using 4 tildes will give you an automatic signature and date stamp, FYI. Health policy (talk) 05:15, 31 July 2019 (UTC)
thread_title:  Foundations 2 2019,  Group 1B Goals 

message: Help 69.131.24.32 (talk) 21:30, 22 November 2022 (UTC)
replies: text: With...? — Moops ⋠T⋡ 21:34, 22 November 2022 (UTC)
thread_title:  Help