Diagnosis
During the physical exam, your CPMP provider may check muscle strength and reflexes. But usually, Sciatica is confirmed by one or more of the following tests.
• X-ray. An X-ray of the spine may reveal whether any bone is pressing on a nerve.
• MRI. This procedure uses a powerful magnet and radio waves to produce cross-sectional images of the back. An MRI produces detailed images of bone and soft tissues, so herniated disks and pinched nerves show on the scan.
• CT scan. Having a CT scan might involve having a dye injected into the spinal canal before the X-rays are taken (CT myelogram). The dye then moves around the spinal cord and spinal nerves, making them easier to see on the images.
• Electromyography (EMG). This test measures the electrical impulses produced by the nerves and the responses of the muscles. This test can confirm how severe a nerve root injury is.
Causes
Sciatica is usually caused by a compressed nerve in the lower spine. The cause is usually a herniated disk in the spine or an overgrowth of bone, sometimes called bone spurs, form on the spinal bones. More rarely, a tumor can put pressure on the nerve. Or a disease such as diabetes can also damage the nerve.
Treatment
Treatment for sciatica depends on the severity of the symptom. The following are all treatments that can help with pain caused by sciatica.
MEDICATIONS
- • Anti-inflammatories
- • Corticosteroids
- • Antidepressants
- • Anti-seizure medications
- • Opioids
Once the pain improves, your CPMP provider can design a program to help prevent future injuries. This typically includes exercises to correct posture, strengthen the core and improve range of motion
STEROID INJECTIONS
Once the pain improves, your CPMP provider can design a program to help prevent future injuries. This typically includes exercises to correct posture, strengthen the core and improve range of motion
SURGERY
Surgery may be required to remove the bone spur or the portion of the herniated disk that's pressing on the nerve.
