Orthopedics Book

http://www.fpnotebook.com/

Sciatica

Aka: Sciatica, Sciatic Pain, Lumbar Radiculopathy
Advertisement
  1. See Also
    1. Low Back Pain
    2. Lumbar Spine Anatomy
    3. Low Back Pain History
    4. Low Back Pain Red Flags
    5. Sciatica
    6. Low Back Exam
    7. Differential Diagnosis of Low Back Pain
    8. Lumbar Disc Disease
    9. Low Back Imaging
    10. Low Back Pain Management
    11. Rheumatologic Conditions affecting the Low Back
    12. Low Back Pain in Children
    13. Low Back Pain in Teen Athletes
  2. Definition
    1. Pain originating in low back
    2. Radiates into posterior or lateral thigh
  3. Efficacy: Sciatica as a predictor for Lumbar Disc Disease
    1. Overall
      1. Only 4% of Sciatica is Lumbar Disc Disease
      2. Patients with symptomatic Lumbar Disc Herniation have Sciatica in 99% of cases
    2. Findings that increase Specificity of Sciatica for Lumbar Disc Disease
      1. Pain worse in the leg than the back
      2. Pain or numbness follows a typical dermatomal pattern
      3. Pain worse with valsalva maneuver (e.g. coughing or sneezing)
    3. Findings suggesting diagnosis other than Lumbar Disc Herniation
      1. See Low Back Pain Red Flags
  4. Differential Diagnosis: Sciatica
    1. Spinal problems
      1. Lumbar Disc Herniation (most common cause)
      2. Facet arthropathy
      3. Spinal tumors
      4. Pseudoclaudication or Lumbar Spinal Stenosis
      5. Vertebral Fracture
      6. Disciitis
    2. Musculoskeletal problems external to the spine
      1. Greater Trochanteric Bursitis
      2. Iliotibial Band Syndrome
      3. Meralgia Paresthetica
      4. Piriformis Syndrome
      5. Sacroiliitis

Sciatica (C0036396)

Definition (CHV) lower back pain radiating to the buttocks
Definition (CHV) lower back pain radiating to the buttocks
Definition (CHV) lower back pain radiating to the buttocks
Definition (MEDLINEPLUS)

Sciatica is a symptom of a problem with the sciatic nerve, a large nerve that runs from the lower back down the back of each leg. It controls muscles in the back of your knee and lower leg and provides feeling to the back of your thigh, part of your lower leg and the sole of your foot. When you have sciatica, you have pain, weakness, numbness or tingling. It can start in the lower back and extend down your leg to your calf, foot, or even your toes. It's usually on only one side of your body.

Sciatica may be due to a ruptured intervertebral disk, narrowing of the spinal canal that puts pressure on the nerve called spinal stenosis, or an injury such as a pelvic fracture. In many cases no cause can be found.

Sometimes sciatica goes away on its own. Treatment, if needed, depends on the cause of the problem. It may include exercises, medicines and surgery.
Definition (CSP) syndrome characterized by pain radiating from the back into the buttock and into the lower extremity along its posterior or lateral aspect, and most commonly caused by protrusion of a low lumbar intervertebral disk; also used to refer to pain anywhere along the course of the sciatic nerve.
Definition (MSH) A condition characterized by pain radiating from the back into the buttock and posterior/lateral aspects of the leg. Sciatica may be a manifestation of SCIATIC NEUROPATHY; RADICULOPATHY (involving the SPINAL NERVE ROOTS; L4, L5, S1, or S2, often associated with INTERVERTEBRAL DISK DISPLACEMENT); or lesions of the CAUDA EQUINA.
Concepts Sign or Symptom (T184)
MSH D012585
ICD9 724.3
ICD10 M54.3, M54.30
SnomedCT 156649007, 23056005, 202795003
English SCIATICA, Ischialgia, sciatica (diagnosis), sciatica, Ischias, Neuralgia, Sciatic, Sciatic Neuralgia, Neuralgias, Sciatic, Sciatic Neuralgias, Sciatica, unspecified side, Sciatica [Disease/Finding], sciatic neuralgia, ischia, ischias, Cotugno's disease, Sciatic neuralgia, Neuralgia-neuritis of sciatic nerve, Sciatica neuralgia, Sciatica (disorder), ischialgia, Sciatica, Sciatia, Neuralgia or neuritis of sciatic nerve
Dutch ischias (ziekte van Cotugno), ischiatische neuralgie, ischialgie, ischias, Ischialgie, Ischias, Neuralgie van de nervus ischiadicus
French Ischions, Ischialgie, Sciatique, Névralgie du nerf sciatique, Sciatalgie, Névralgie sciatique
German Ischias, Cotugno-Syndrom, Ischialgie, Ischiasneuralgie, Neuralgie, Ischias-
Italian Ischiatico, Malattia di Cotugno, Ischialgia, Nevralgia sciatica, Sciatalgia, Sciatica
Portuguese Doença de Cottugno, Nevralgia ciática, Ciatalgia, Ciática, Neuralgia Ciática
Spanish Enfermedad de Cotugno, Neuralgia ciática, Sciatica, Isquialgia, ciática (trastorno), ciática, neuralgia - neuritis del nervio ciático mayor, neuralgia ciática, Ciatica, Ciática, Neuralgia Ciática, Neuralgia Ciatica
Japanese コトゥーニョ病, ｺﾄｩｰﾆｮﾋﾞｮｳ, ｻﾞｺﾂｼﾝｹｲﾂｳ, 坐骨神経痛
Swedish Ischias
Czech ischialgie, Neuralgie nervus ischiadicus, Ischialgie, Cotugnova nemoc, Ischias
Finnish Iskias
Russian ISHIALGIIA, SEDALISHCHNOGO NERVA NEVRALGIIA, ИШИАЛГИЯ, СЕДАЛИЩНОГО НЕРВА НЕВРАЛГИЯ
Korean 좌골신경통
Croatian ISHIJALGIJA
Polish Rwa kulszowa, Nerwoból nerwu kulszowego
Hungarian Cotugno-féle betegség, Ischias, Ischiadikus neuralgia, Ischiás, Ischialgia
Sources
Derived from the NIH UMLS (Unified Medical Language System)


Lumbar radiculopathy (C1263855)

Concepts Disease or Syndrome (T047)
ICD10 M54.16
SnomedCT 2415007, 128196005
English Lumbar radiculopathy, NOS, lumbar radiculopathy, lumbar radiculopathy (diagnosis), LUMBAR RADICULOPATHY, Radiculopathy, lumbar region, radiculopathy lumbar, Lumbar radiculopathy, Lumbar radiculopathy (disorder), lumbar; radiculitis, radiculitis; lumbar
Italian Radicolopatia lombare
Japanese 腰髄神経根障害, ﾖｳｽﾞｲｼﾝｹｲｺﾝｼｮｳｶﾞｲ
Czech Lumbální radikulopatie
Hungarian Lumbalis radiculopathia
Dutch lumbalis; radiculitis, radiculitis; lumbalis, lumbale radiculopathie
Spanish radiculopatía lumbar (trastorno), radiculopatía lumbar, Radiculopatía lumbar
Portuguese Radiculopatia lombar
French Radiculopathie lombaire
German Radikulopathie der Lendenwirbel
Sources
Derived from the NIH UMLS (Unified Medical Language System)


Navigation Tree