Although sciatica is popularly known as a disease, it is actually the name given to a nerve. This nerve, which is formed after the union of 3-4 nerve roots coming from the lower part of our waist, passes through the hole in the pelvis at the back of the hip, progresses along the back of the leg and divides into branches around the knee, transmitting the force, feeling, reflex, that is, all the electricity of our leg. Many reasons that compress or stretch this nerve or its roots in the waist primarily cause pain. We call this "sciatica pain". The most important reason is a "herniated disc" that compresses the roots in the waist. However, similar pain may also occur in cases of vertebral slippage, narrow canals in the vertebrae, tumors, cysts and inflammations that cause the same nerve compression. Sometimes, the sciatic nerve may become trapped due to entrapment as it progresses within the pelvis or leg. The greater sciatic nerve emerges from the nerve network in the gland area and runs vertically from the back of the hip to the back of the knee. It divides into two as the internal and external sciatic nerve behind the knee and extends to the feet. It is both a sensitivity and motor nerve. It is the lower branch of the lesser sciatic coccyx nerve network. Sciatica may occur as a result of inflammation of the greater sciatic nerve, joint inflammation that causes deformities of the spine, pressure on the nerve or its root due to displacement of a vertebra, or toxic or infectious diseases related to metabolism. The disease begins with lower back pain radiating towards the hip. The pain radiates along the nerve, following the back of the leg, from the groin to the foot. In severe cases, the leg becomes weak and knee and ankle reflexes decrease. In its treatment, rest, heat and physical therapy are provided; Along with painkillers, especially vitamin B and cortisone drugs are given. The disease is also commonly known as the prison disease. Symptoms based on nerve stretching or compression are also important in recognizing the disease. While the patient is lying on his back, the stretched leg is slowly lifted up, and in the meantime, a pulling pain occurs on the back of the thigh, spreading to the leg and even to the foot, which is in favor of sciatica. The higher the leg is lifted, the more severe the pain. In cases of damage to the sciatic nerve roots, pain may also occur in the healthy leg when the patient leg is lifted. S In the occurrence of iatik; Tumors, especially vertebral disc herniations, calcification of the spine, spinal tuberculosis, congenital or acquired changes in the lower parts of the spine (sacralization, lumbalization, fractures, spina bifida), damage to the pelvis and organs in this region may play a role. These disorders cause sciatica by leaving the sciatic nerve under pressure in any part or causing it to regress. The most important and common among these are disc herniations, also called herniated discs. In addition, disorders related to the vessels of the sciatic nerve, gout, diabetes, malaria, and injecting some irritating drugs around the sciatic nerve can also cause sciatic neuralgia. In long-lasting cases, movement and sensation disorders in the legs and muscle wasting may be present.
Read: 0
