Sciatica is a common neurological condition described as pain, numbness, weakness, or tingling radiating from the lower back to the leg. The symptoms usually occur on one side and vary from mild to unbearable.
It is important to understand that sciatica is not a disease itself. It is rather a symptom caused by an underlying condition. In most cases the underlying condition is a herniated disc, other degenerative disc diseases or spinal stenosis.
The treatment depends on the underlying conditions. Usually Sciatica has a very good prognosis if the treatment is started early enough.
Sciatica can be caused by any underlying condition that squeezed the sciatic nerve. The sciatic nerve is a large nerve that starts in the lower back and runs down the back of each leg. It controls the muscles and the sensation of the leg and foot.
• Bulging or herniated disk in the back (most common)
• Other degenerative disk disorders
• Lumbar spinal stenosis
• Piriformis syndrome
• Tumor and others
The symptoms are depending on anatomical structure and the function of the sciatic nerve (see above). The following symptoms may occur in the lower back, the buttock, the hip and the leg:
• Pain: Often the pain is described as a sharp pain. The pain can be so severe that movements may be difficult.
• Tingling, burning, numbness or other sensory symptoms
• Weakness of the muscles and problems to move the leg
Symptoms may worsen when you cough, sneeze, or laugh, or when you sit or stand for long periods of time. Being overweight is a risk factor.
As a first step, it is important to find the underlying condition causing the sciatica. A neurologist can find the location of the lesion by the symptoms presented. Depending on the location (L4, L5, S1) symptoms in the leg may vary. The treatment depends on the underlying condition and the severity of symptoms. If the symptoms are very mild and there is no danger of worsening, the symptoms may improve on its own.
Depending on the underlying condition the treatment may include:
• Medication: Most patients need pain relieving medication. Moreover, medication that relaxes the muscles and thus reduces the pressure on the nerve may help as well.
• Physiotherapy: Initially it is important to reduce any movement that puts pressure on the sciatic nerve. Moreover, strengthening and stretching exercises may applicable. Applying heat or icing brings relief in some patients.
• CBT: Large studies could show that Cognitive behavioral therapy is effective in reducing the pain and coping with the symptoms.
• Injections: In severe cases injections that reduce the pain and inflammation may help.
• Surgery: Surgery should always be the last option and is not required in the vast majority of cases.
Read more about specific treatment of slipped or bulging disk here.
Usually sciatica has a very good prognosis. The sooner the underlying condition is diagnosed and the sooner the correct treatment starts, the better the outcome.
Since more than ten years GNC is the leading clinic for Neurology in the UAE. All our Sciatica experts are German Board Certified and have minimum professional experience of 25 years. If you are searching for the most trusted Sciatica experts, you came to the right place.
Aamnah is a US trained and board certified counseling psychologist with over 8 years of experience working in…
Alfred is one of Dubai’s most experienced Psychologist with a holistic treatment approach.
Diana is an Austrian Counsellor. She received her degree in Psychology from the University of Vienna, Austria.
Dr. Irene Klyk is a German board certified Neurologist as well as a Psychiatrist
Dr. Huening has a longstanding clinical experience in neurological and psychiatric diseases
Dr Fabian is a well experienced Dutch clinical psychologist. Speaking Arabic fluently, he provides…
Dr. Harry is a UK-trained Clinical Psychologist. With over a decade of experience and research he is familiar in treating psychological conditions such as…
Dr. Kollikowski is a Specialist in Neurology and Psychiatry with German Board Certification.
Dr. Jutta Marquardt has more then 20 years experience in the field of Neurology
Dr. Maravic is a German Board and Spanish Board certified Neurologist. He has more than 20 years of professional experience…
Dr Uwe is a German Neurologist with over 20yrs professional experience holding 3 board certifications…
Dr. Vrolijk is a Psychiatrist as well as a Psychotherapist. He has a longstanding experience in treating disorders, such as…
Evelyn completed her advance training with Dr. Susan Johnson, one of the world’s leading expert in the field of couple therapy
Kim is a UK trained psychologist. She has a truly holistic approach using different techniques to achieve the best possible treatment for each individual.
Prof. Dr. med. Barbara Wild is an outstanding German Board-certified neurologist with more than 25 years’ experience in treating…
Professor Dr. Koempf is the former Director of the Neurological University Hospital in Lübeck, Germany.
Former Head and Chairman of the Department of Neurology at the University Hospital of Münster, Germany
Prof. Rieckmann is a leading German Neurologist with over 25 years professional clinical experience in Germany, Canada and the Gulf region.
Prof Maier is one of Germany’s highest ranking psychiatrists and researchers. With more than 35 yrs experience he…
Shorouk is a UK board certified counsellor, member of the British Association for Counselling and Psychotherapy (BACP) and…
Now you can have your appointment with your doctor without coming to our clinics. Just access our services from the comfort of your home via secure online sessions.
Especially in these difficult times patients need to be able to see their doctor, continue psychotherapy, receive prescriptions for medication etc. The public needs medical and psychological care now more than ever. We make it work.
How does it work? Click HERE
We are there for you, Your GNC Team 😊