How can you tell if you have Sciatica? Check out 2 easy tests to tell if you have Sciatica at home
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- Опубликовано: 6 ноя 2020
- How can you tell if you have sciatica? Check out 2 easy tests to tell if you have Sciatica at home so you can decide if you should see a doctor or a physical therapist. Sciatica is a very common condition that often causes low back and leg pain extending often to foot and toes typically on one side the lower extremities. The use of the word Sciatica was first described by Hippocrates and many felt the time the pain origninated from the hip and not the lower lumbar spine. Also the name sciatica is found to originate from the Greek "ishcios" meaning hip. Later the ideas about the origins moved from the hip to thinking the lumbar disc being the source of Sciatica pain was discovered later the 1930's.
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The symptoms of sciatica are all too common and pain can be pain felt in the lower back extending back into one or both of the lower extremities. Most cases of sciatica abolish in greater %90 of the population typically in 6-8 weeks with the passage of time and modiffication of activities of daily living. Often patients will describe shooting, numbness, weakness,and tingling in one and sometimes both of the lower extremities. The nerve roots most commonly affected are the L4, L5 and S1 nerve roots. The nerve roots provide nerve supply for sensory, motor and pain fibers in the lower extremities.
In many cases a lumbar disc bulge or herniation is to blame for sciatica but stenosis, bone spurs, piriformis syndrome, pregnancy and inflammation can cause problems for the sciatic nerve which all can cause a pinching of the sciatic nerve. The nerve has a retrograde and antegrade flow to and from the spinal cord. If the nerve is injured it can suffer from various types of perpheral nerve injury described in these 3 types: Neuropraxia, Axonotmesis or Neurotmesis. In the cases of Neuropraxia prognosis is good and in cases of the Neurotmesis in these cases the nerve can be damaged and certain symptoms persist and can cause permanent damage resulting in muscle loss, permanent altered sensation. Several factors can influence this recovery from whether it was a repetitive nerve injury, single trauma causing direct pressure or streching.
In certain cases patients should seek immediate help if they have a alternation of bowel and bladder symptoms, progressive weakness, gait abnormalities, severe balance problems, fever saddle anesthesia or signs of infection or relatively constant severe pain especially at night. If you have any of these symptoms seek help immediately from a physician.
Conservative treatment is recommended for 6-8 weeks. Most clinicians will recommend to stay active, limit sitting to not more than 20 minutes at time, avoid smoking, and gradual return of activities as you can tolerate. Expect mild pain but nothing that causes you to stop your progress more than 2 days.
If you are unsure if you have sciatica the following two tests are quick and easy to see if it present.
The first is the Straight Leg Raise Test. You need a partner to help you with this test. The person being tested has to be on their back. The examiner then lifts the leg by the ankle with the knee straight and at about 30 degrees off the table if you experience the same symptoms you are complaining about it will be a positive test. Once the symptoms start if they are increased by pasively moving the foot into dorsiflexion or towards the shin it confirms the test.
Second is the Slump test that is performed in sitting. Once the person slumps he actively extends the knee then passively to get full extension. At this time flexion of the neck forward causes the symptoms of sciatica to be reproduced and neck extension or looking up reduces the pain. This test was founded once a patient reported pain only getting into a low sports car reproducing their pain.
Both tests should reproduce the symptoms or description of pain they are having. Often times these tests can elicit other symptoms that are uncomfortable and painful but not the ones they are concerened about. If this is the case it is a negative test.
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For a physical therapy consultation, wellness evaluation or hire Tom to speak at your next event email us at tomw@apexorthopedicnj.com
Check out our Free 12 Tips to Ease Back Pain by opening this link at hs232-d4cacd.pages.infusionso...
It's really helpful that you point out that with the straight leg test it's the "same kind of pain" the patient is calling sciatica.
I’m so tied of dealing with this pain lumber 5. It’s been bout 10 years now dealing with it.
I just want to say, I think your explanations are great!
Thanks Jerald!
Very good. I am experiencing it. It’s a awful feeling. I really want to get better. Sitting is the worst thing.
Explained very well. Thank you.
Thanks!
Thanks for the info!
Your welcome!
Thanks alot for your explaining us sciatic and how to cure the pain of sciatic pain, thank you so much indeed.
Your welcome!
Hogy gyógyítható ?
Thank you alot for explaiining us how to take care of Sciatica pain Thank you somuch indeed
Your welcome!
I have had sciatica for 2 years. I got all of the instructions, gadgets and gizmo's. They didn't help much. Even Bob and Brad failed me.
Then...
I started taking a hot 104F - 45 minute - tub bath soak -- every night, about 1 hour before bed. Now I sleep like a dead person for 7-8 hours. The sciatica never wakes me up now. And the dreams that I am having now are amazing. I have high praise for the hot bath nightly soak while I listen to an audiobook.
That sounds great. Simple and calming. Great advice.
104 is hot!! My spa is set at 100 and I ease into it !!
I use Dr Teals bath salt n the liquid soap stuff. The eucalyptus works best for my pain, but the aswaga is really calming like putting me into a meditative state. I used to listen to RUclips sound tracks of light thunderstorms, but, for as odd as it sounds, the soundtrack for world-war one artillery n rifle fire seems to be more relaxing😮
Very helpful! I just got a crazy pain during my hot yoga class in "standing head to knee pose" that I've never gotten before. I've always been fit, exercised and done this yoga for 10 years. Did the "slump test" and I guess this just turned 52-year-old needs to start adapting. Thanks for the tips on keeping up exercise but limiting sitting to 30 min or so. I'm going to keep up ice today, ibuprofen, and move to heat. Hopefully I'll be one of those "temporary" cases!🌺🙏❤
Hope so! Keep moving!
Very helpful. Thank you.
Glad it was helpful!
I went to my doctor today letting her know I'm having chronic mid-lower back pain and that the other day I literally felt a shock from my ankle up through my left leg while also sometimes I sit on the toilet and my private area starts going numb. I'm scared. But now my neck is hurting. And she literally did absolutely nothing for me. I already have scoliosis and first time being pregnant
My mom just recently started having sciatica pain, I hope everything turns out okay.
🙏🏻✝️♥️
I hope everything went well
Thanks for assisting in My Battlestar Sciatica as I call it
thank you
Thank you , very informative.
You are welcome!
@Apex Orthopedic Rehabilitation the electric sharp pain of sciatica is bad enough , but I find the brutal cramps that I'm getting in my legs are worse ,getting in and out of a car or bed is an ordeal , quite depressing because I'm doing all the stretched, and meds and it hasn't I'm proved in 5 weeks , waiting for anMRI scan.
@@michaelbrett171 try and evaluation from an certified or diploma physical therapist from the McKenzie Institute. If you are in New Jersey I can look at you
I've been diagnosed with this in the L4 L5 I've had the EMG test I have pinch nerve on both sides. The surgeon told me that he could do surgery but wouldn't help. Don't know what he meant by that surgeon wouldn't explain.
I got this pain since a couple months now on the left side of my back and I am not sure if it is sciatica or not... I wake up with pressure on my left side and sleep with pressure, but its not pain. After playing football, it just hurt so much that it goes down to my knees and ankles.
How to differentiate if the pain is due to Sciatica and AVN
Hello doctor, I really need help with something!! I live in Egypt and doctors here arent that serious, they take easy ways and solutions. I have a small L2 L3 protrusion, but I dont feel any pain in the spine nor did any thing wrong but its there and I think its from like over 10 years, but thats not the problem, problem is I have a tingle in my left foot and pointer, middle finger when I only sit!! so I have a question does l2- l3 herniated discs cause sciatica tingling feeling, I dont even have pain?
Cause i think it might be piriformis syndrom!
Thanks for this video😊😊
Welcome 😊
Thanks for the video,
The problem with my right leg: pain, tingling, numness starts not so much when I'm sitting but especially when driving.
Your explanation and suggested remedy will be highly appreciated.
I would look at my video for suggestions. Mckenzie exercises for sciatica and low back pain #mckenzieexercises#lowbackexercises#sciatica
ruclips.net/video/jl7-wR3sLZw/видео.html
@@apexmovebetter I just made a comment please read it and reply please
Can the sciatic nerve affect the hip? Lower back pain and hip pain down to the knee. Torture for 7 weeks
What can you do if you have sciatica for weak legs
What is the remedy of sciatica?
When I do the second test I feel strong strech in entire leg but not pain. No pain in back also. But while sitting and standing I feel tingling in outside of calf and some times in entire leg.
Did you figure it out?
I’m a football player and since May this year I’ve been having this lower back pain and sometimes I feel pain down my left leg a sharp shocking pain I went to the doctor and I was told I’ve got early lumbar spondylosis but I’m assuming this is different because the symptoms are more of sciatica than lumbar maybe he made a mistake with his examination please can y’all help me differentiate between sciatica and early lumbar spondylosis??
I’m confused and thanks for the video it was great watching it
Depends on the person they can mimic each other. Try and get a solid physical therapy evaluation if you’re still having trouble. Even though you have changes in your spine it may be related to weakness or loss of motion
yes I do
I have Ataxia and I'm already weak from it and lose my balance and fall all the time. In the last 2 weeks I been getting a very sharp pain 7 to 10 in the pain range. The pain causes me to be unable to walk
i fell strong streach under the knee when i do the second test and pain so what the treatment
I would try lumbar extensions in standing. It should be in my top three exercises for lower back pain. Can’t find the link comment
I just got pain in my lower back and only on the left side and down my butt a little and it's only when I move certain ways but i feel it pulling in my back on the left side all I did was lay on the floor now my back hurts
Same thing I have
Yes I have back pain
My pain runs from my bottom leg, and my 4 toes are numb, no the big one, could be this sciatic?
Yes
I have an intermittent achy hip and buttocks and very occasional numbness but I pass the slump test. I just don't know. I did pull a lower back muscle a few weeks ago which seemed to have healed but these other issues aren't going away. I can still play tennis asymptomatically but sometimes walking a distance brings on the hip, buttocks achiness and numbness. No clue. I'm usually very resistant to chronic injury.
Sometimes as a lower back condition worsens you may have symptoms just in the buttocks and hips without lower backs symptoms. The same thing can occur in reverse. The concept of centralization versus peripheralization of symptoms.
@@apexmovebetter Thanks for your reply. I think you're trying to suggest to me that my lower back has a possibly chronic condition that is causing symptoms elsewhere. That seems odd to me since my back feels a lot better and I move well on the court. I hope that my lower back condition is not chronic and all my symptoms disappear. Time will tell. I am over 60. Again thanks for your note.
@@johnz8843 this is a quick description of the phenomenon. Follow this link www.scranton.edu/faculty/kosmahl/courses/ortho/lab-tech/centralization-and-peripheralization%20.shtml
@@apexmovebetter I did read the link. Following up with further research, my symptoms follow the path of lumbar disc derangement with lower back pain subsiding and pain emerging in the leg area. I also read that peripherization indicates worsening symptoms. I will do the McKenzie exercises and hope for the best. It seems that the condition does heel in 4 weeks more or less if I take it easy and follow an exercise plan. I am surprised that it is likely a leaky disc but if that's the reality that's the reality. I do appreciate you giving me further information about what it could be so that I could read more and try to make a reasonable judgment. I probably can't know for sure without an MRI but a conservative approach for treatment with avoiding poor posture, sitting too long, stressful activities and an exercise program is the best way to proceed. Once again thanks for your time in providing general information to read about the symptoms.
@@johnz8843 It may be worth it to talk to a local mckenzie certified physical therapist to get a true evaluation. Best of luck!
I have no pain with either test. Just a pain down the inside leg and towards center a bit. So what is it if it is not sciatica? I am very active and did a few serious lower body workouts recently. Could it be a pulled muscle affecting the nerves?
Same symptoms here..but it is on and off.Dont know what it is.
How are you now?@@havvahumai5651
The pain is like nothing on earth when it kicks in, and no one can touch you or help you, the problem is in the UK, by the time you get a doctor's appointment it gets better, I think in the future I will need some of my discs fusing, a major op I know
Try to find out what are the things that seem to trigger these episodes
@@apexmovebetter I've actually just been out and managed a mile walk, they say exercise is good for sciatica
i have pain on the left side of my lower spine when i push on it and it feels like the pain radiates to my buttock to my leg when i sit for to long or even lay down. is that sciatica? i’m a 16 year old football player and track athlete
Did you figure out ?
I got a weightlifting injury about a month ago from squatting heavy weight on my back. At first it was just my lower back and buttocks but then the following day I noticed I could not raise my knee above my belt line in a standing position nor could I lay on my back in bed and do a leg raise lifting my leg up without it hurting my back or upper thigh hip area. Fast forward a month later, it has gotten better but I do construction so every now and then I'm forced to lift something over my head and that compression on my spine brings a mild pain back to my lower back and butt. I'm able to raise my knee up or do those leg raises while laying down with minimal or no pain. It is only my right side and right leg and I have slight numbness near my knee and shin area as well as a good deal of fatigue and just that one leg. Is this sciatica I am going through or possibly something else?
Also this is the only video that has relieved my pain. Thank you!
Sciatica is probably due to a disc issue.
What exercises are you doing?
@@apexmovebetterbarbell squats with heavy weight on my back and I felt a slight pain after my first set so I can completely stopped and went home. It wasn't until the following day when I felt this pain and could not lift my leg
I’m experiencing pain in hamstring/ upper calf area it used to be my right leg but now it’s my left. Been going on for about 3 months. What do you think it is?
Also my lower back doesn’t feel right and I get some pain in my glute area
Hey bro have you healed?
Yes I have healed. It just took time. How bout you?
@@jasonrobin3948 can you please tell how many months it took for you to heal please? I am going through same🙏🙏🙏and did you performed any exercises or stretches? please reply brother 🙏🙏🙏
That's sore when I did the leg
i don't understand... please turn on closed caption thanks
I will check into it.
Please just tell us what to do
Have my dr appointment tomorrow finally after waiting 3 weeks, I was working as a maintenance technician at my last job Climbing ladders Carrying Heavy shims over 100bls Across the Plant It started As a painful cramp under my Thigh When it hits I can’t even continue I’d be mid Climbing up a ladder and it hit Well Long story short I never got help by that job They just fired me the day after I slipped on ice during work re injuring my Hip
Hope it went well.
@@apexmovebetter well The nurse that I got Was Rude she thought I was lying truth be told I had To go on a mini trip Afterwards During the trip I can’t Stand too long Because my back starts to hurt real bad in different places I feel like Whatever I have The Nurse who I have won’t even try to Help…My left side of my body can no longer Stand or Walk for long before I start feeling like really old and hurting, I’m getting worse because When I went to the doctors appointment,the nurse Kept Giving me The Sticky look like I was making all of my symptoms up,I got this from my work and got fired from there I can’t take this pain anymore And When Doctors can’t even Help me With any pain or anything I need help But if seems like I’ll never get it and when I asked my nurse about getting on disability she gave me the stickiest look like I was lying and said nope She can’t do anything about it my body is not the same as Before I Worked at this job And No one seems to help me or care I have to schedule the x ray and lab work next weekend, hopefully With some answers but Unfortunately I’m getting super worse In my appointment the nurse had me Try to touch my toes and I told her that my back hurts But she Just Wasn’t trying to help me I tried everything you can think of To stop the pain,my body is Fed up.
Have you got the test result?@@itstinyverdugo2571
How can I tell I have sciatica ? It Fukn Hurts ! LOL
It sure does!
Please turn on "cc" closed captions, your speech is not that clear... (annunciation)
Will do.
Hello sir, sir i am sports man , sir my knee get swollen back to back but i am not feeling any pain while walking, jumping, running.. sir i aply heat or ice then it ok within 4 days then it come again after 4 to 5 days.. sir please tell me why it get swollen.. and what should I do now... please reply sir .
Sir please reply..
He can not give you personal medical advice on youtube comments. You need to see a doctor for your inflammation. I hope you have had relief since your comment.
If you only have sciatica pain during flare up would you still t affected during leg movement
Not sure if your question
Hiiii sir, sir am Athlete, sir my Quad get fatique after every practice session so I have to do strengthening.. sir please tell me best strengthening exercises of Quad in Gym.. please understand my problem, sir please treat me like I am your clinic patient.. please reply sir.
Please provide email
choudharyaryansh46@gmail.com.. my email.. sir please, please reply..
My pain doesn’t go to the legs just back and buttocks
May not be sciatica
Sir buttox middle electric shock pain not continues this is sciatica
The tests: 4:45
If feel slight pain doing the tests but I don't have sciatica.
This ain’t the issue. The issue is what’s causing it and and how do I get rid of it!!
1st step identifying the problem. 2nd step is cause and treatment.
Believe me you will know when you have it
"Without having to visit a Doctor? THIS must be an American video....
It is.
I know because it's agonising.
Wat you can't sit on toilets
Not sure what your question is?
Yep. I didn't have anyone to test me out but I can't even lift my leg up 5 degrees without a lot of pain. It stemmed from me trying to do deadlifts without knowing how to properly do deadlifts