Diskospondylitis (Intervertebral Disk Infection) in Dogs and Cats. Disseminated Intravascular Coagulation (DIC) in Dogs and Cats. Diabetic Cat Diet. Disk Diet is a small application designed to optimize the entire process. Examine your disk content and identify junk files in no time. Disk Diet comes with a minimalist interface and puts on top of its main window a drop down menu that enables you to select the. Such as exercise or diet. And metabolism even changes based on external temperature, further making complex attempts to definitively anticipate an experience of thermal comfort by the designer, leaving the inhabitant of the architectural space to engage in a variety of individualistic solutions for regulating the body. Jan 17, 2018 Degenerative disc disease is an age-related condition that happens when one or more of the discs between the vertebrae of the spinal column deteriorates or breaks down, leading to pain.
Most cases of lumbar herniated disc symptoms resolve on their own within six weeks, so patients are often advised to start with non-surgical treatments. However, this can vary with the nature and severity of symptoms.
Watch Video: Can Herniated Discs Heal on Their Own?
Pain medication at the onset of pain can be helpful. Watch:Lumbar Herniated Disc Treatment Video
Initial Pain Control for a Lumbar Herniated Disc
Controlling the intense pain is the most urgent need when symptoms first appear. Initial pain control options are likely to include:
- Ice application. Application of ice or a cold pack may be helpful to ease initial inflammation and muscle spasms associated with a lumbar herniated disc. An ice massage can also be helpful. Ice is most effective for the first 48 hours after the back pain has started.
- Pain medications. The doctor may recommend non-prescription non-steroidal anti-inflammatory medications (NSAIDs) such as ibuprofen or naproxen to treat pain and inflammation.
- Muscle relaxants. Muscle spasms may accompany a lumbar herniated disc, and these prescription medications may offer relief from the painful spasms.
- Heat therapy. Applying heat can help relieve painful muscle spasms after the first 48 hours. Heating pads, a hot compress, and adhesive heat wraps are all good options. Moist heat, such as a hot bath, may be preferred.
See Benefits of Heat Therapy for Lower Back Pain
- Heat and ice. Some people find alternating hot and cold packs provides the maximum pain relief.
Bed rest for severe pain is best limited to one or two days, as extended rest will lead to stiffness and more pain. After that point, light activity and frequent movement—with rest breaks as needed—is advised. Heavy lifting and strenuous exercise should be avoided.
Additional Therapies for Lumbar Herniated Disc
These other therapies are often helpful for longer-term pain relief:
- Physical therapy is important in teaching targeted stretching and exercises for rehabilitation. The program may also teach the patient safer ways to perform ordinary activities, such as lifting and walking.
See Physical Therapy Benefits For Back Pain
- Epidural injections of steroid medications can offer pain relief in some cases. An epidural steroid injection is intended to provide enough pain relief for the patient to make progress with rehabilitation. The effects vary, and pain relief is temporary.
See Epidural Steroid Injections
- Spinal manipulations performed by a chiropractor or osteopath may also ease pain and provide a better healing environment.
See Understanding Spinal Manipulation
- Acupuncture uses hair-thin needles inserted into the skin near the area of pain. The U.S. Food and Drug Administration has approved acupuncture as a treatment for back pain.
- Cognitive behavior therapy can be helpful in managing sciatica pain. The therapy helps people control and change self-defeating behaviors. A therapist helps the patient in face-to-face or online sessions. A therapist may also be helpful in teaching techniques such as mindful meditation and visualization to reduce pain.
- Massage therapy can ease back pain by increasing blood circulation, relaxing muscles, and releasing the body’s natural pain relievers, called endorphins.
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The treatment options for a lumbar herniated disc will largely depend on the length of time the patient has had symptoms and the severity of the pain. Specific symptoms (such as weakness or numbness), and the age of the patient may also be factors.
Sciatica is the symptom of an underlying medical condition.1 Understanding the possible causes of sciatica can help focus treatment on addressing the root problem rather than just masking the symptoms.
See The Truth About Sciatica
The mechanism of sciatic nerve injury is either a result of direct nerve compression, inflammation, an abnormal immune system response of the body, or a combination of all these factors.2,3
See Sciatic Nerve and Sciatica
Common Causes of Sciatica
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A herniated disc in the lumbar spine may affect a sciatic nerve root causing direct compression or chemical inflammation, resulting in sciatica. Watch:Lumbar Herniated Disc Video
Common causes of sciatica include:
Lumbar herniated disc. Research suggests that up to 90% of sciatica is caused by a lumbar herniated disc.3 The herniated disc typically compresses one or more spinal nerve roots (L4-S3) that form the sciatic nerve. A lumbar herniated disc can cause sciatica in two ways:
- Direct compression. Direct compression of the sciatic nerve can occur when a lumbar disc bulges (contained-disc-disorder) or when the soft inner material of the disc leaks out or herniates through the fibrous outer core (non-contained disc disorder) and presses against the nerve.
- Chemical inflammation. An acidic chemical irritant from the disc material (hyaluronan) may leak out and cause inflammation and irritation in the area around the sciatic nerve.3-5
A herniated disc may compress the sciatic nerve on one side, causing symptoms in one leg, or the disc may bulge or herniate from both sides, causing symptoms in both legs (bilateral sciatica). Bilateral sciatica may also be caused by two adjacent segments discs herniating on either side, although this possibility is rare.
Degeneration. Degeneration of tissues in the lumbar spine can compress or irritate the sciatic nerve. Degeneration of the facet joints can also cause the synovial tissue in the joint’s capsule to inflame and increase in bulk. Degeneration of vertebral bone may cause abnormal bone growths (bone spurs or osteophytes). These abnormally bulky tissues in the lumbar spine may cause compression of one or more nerve roots of the sciatic nerve. Degenerated intervertebral discs may secrete inflammatory proteins, causing inflammation of the sciatic nerve.6,7
Watch: Lumbar Degenerative Disc Disease Video
Lumbar spinal stenosis. Spinal stenosis is the narrowing of the spinal canal and is relatively common in adults older than age 60.8 Research suggests that lateral recess stenosis may be common in causing sciatica in the elderly population.9
Watch: Lumbar Spinal Stenosis Video
Spondylolisthesis. Spondylolisthesis occurs when a small stress fracture causes one vertebral body to slip forward on another. For example, the L5 vertebra may slip forward over the S1 vertebra. Sciatica may result from nerve compression following the disc space collapse, fracture, and forward slipping of the vertebral body. Spondylolisthesis may cause bilateral sciatica and is more common in younger adults.9
Watch: Isthmic Spondylolisthesis Video
These conditions may develop over time or spontaneously due to trauma or physical stress injury. Motor vehicle accidents, sports injuries, or falls may cause direct injury to the sciatic nerve. Conditions such as spondylolisthesis and herniated discs may develop from physical stress injuries, such as from weightlifting.
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View Slideshow: 5 Conditions that Commonly Cause Sciatica
Causes of Sciatica-Like Symptoms
Most commonly, the sciatic nerve leaves the pelvis through the greater sciatic foramen below the piriformis muscle (left). Sometimes, the nerve may split and a part of it may pass through the piriformis (right).
Read:What Is Piriformis Syndrome?
Some conditions may cause typical sciatica symptoms. A few examples include:

- Piriformis syndrome. Piriformis syndrome is caused by spasms of the piriformis muscle. Sciatica symptoms may occur when the spasmodic muscle irritates or compresses the sciatic nerve at its origin. This condition is more common when the sciatic nerve is split, which is a normal variant near the piriformis muscle, or in normal anatomical variations of the piriformis muscles itself.10 Piriformis syndrome is also common in overuse injuries, particularly in runners and athletes11
Watch: Piriformis Syndrome Video
- Sacroiliac joint dysfunction. Irritation of the sacroiliac joint—located at the bottom of the spine—can also irritate the L5 nerve, which lies on top of the sacroiliac joint, causing sciatica-type pain.
See Sacroiliac Joint Dysfunction (SI Joint Pain)
In these cases, there is no true radiculopathy or radiating nerve pain. However, the resulting leg pain typically feels like sciatica.

Less Common Causes of Sciatica
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Rarely, sciatica may develop due to tumors, infection, formation of scar tissue, collection of fluid, Pott’s disease (spinal tuberculosis), or fracture in the lumbar spine. While rare, sciatica may also develop as a complication of incorrect muscular injection methods in the buttock or following a hip joint replacement surgery.12 Approximately 1% of pregnant women may develop sciatica at some point during pregnancy.13
Risk Factors for Sciatica
The presence of certain risk factors may increase the likelihood of developing sciatica. A few examples include:
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- Smoking
- Mental health issues, such as depression
- Tall height in older age groups (50 to 60 years)
- Obesity and excess weight
- Genetic susceptibility
- Vitamin B 12 deficiency
- Physical deconditioning from a sedentary, inactive lifestyle
- Certain types of occupation (such as truck drivers, carpenters, or machine operators)
- Poor work ergonomics
The presence of these risk factors alone does not establish the cause for sciatica development. However, these factors combined with an individual’s age and general health may play a role in causing sciatica to develop.
Watch: Sciatica Causes and Treatments Video
It is advisable to see a doctor if sciatica symptoms are experienced. Sciatica typically improves considerably if treated early and may become chronic or more severe if left untreated for a long time.
References
- 1.Cook CE, Taylor J, Wright A, Milosavljevic S, Goode A, Whitford M. Risk Factors for First Time Incidence Sciatica: A Systematic Review. Physiotherapy Research International. 2013;19(2):65-78. doi:10.1002/pri.1572.
- 2.Stafford MA, Peng P, Hill DA. Sciatica: a review of history, epidemiology, pathogenesis, and the role of epidural steroid injection in management. British Journal of Anaesthesia. 2007;99(4):461-473. doi:10.1093/bja/aem238.
- 3.Kumar, M. Epidemiology, pathophysiology and symptomatic treatment of sciatica: A review. nt. J. Pharm. Bio. Arch. 2011, 2.
- 4.Gore S, Nadkarni S. Sciatica: detection and confirmation by new method. Int J Spine Surg. 2014;8:15. Published 2014 Dec 1. doi:10.14444/1015.
- 5.Molinos M, Almeida CR, Caldeira J, Cunha C, Gonçalves RM, Barbosa MA. Inflammation in intervertebral disc degeneration and regeneration [published correction appears in J R Soc Interface. 2015 Jul 6;12(108):20150429]. J R Soc Interface. 2015;12(104):20141191. doi:10.1098/rsif.2014.1191.
- 6.Donnally III CJ, Varacallo M. Lumbar Degenerative Disk Disease. [Updated 2018 Oct 27]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2019 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK448134/.
- 7.Valat J-P, Genevay S, Marty M, Rozenberg S, Koes B. Sciatica. Best Practice & Research Clinical Rheumatology. 2010;24(2):241-252. doi:10.1016/j.berh.2009.11.005.
- 8.Melancia JL, Francisco AF, Antunes JL. Spinal stenosis. In: Handbook of Clinical Neurology. Elsevier; 2014:541-549. doi:10.1016/b978-0-7020-4086-3.00035-7.
- 9.Ombregt L. The dural concept. In: A System of Orthopaedic Medicine. Elsevier; 2013:447-472.e4. doi:10.1016/b978-0-7020-3145-8.00033-8.
- 10.Eastlack J, Tenorio L, Wadhwa V, Scott K, Starr A, Chhabra A. Sciatic neuromuscular variants on MR neurography: frequency study and interobserver performance. Br J Radiol. 2017;90(1079):20170116. doi:10.1259/bjr.20170116.
- 11.Davis D, Vasudevan A. Sciatica. [Updated 2019 Feb 28]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2019 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK507908/.
- 12.Gujrathi R, Gupta K, Ravi C, Pai B. Sciatica: An Extremely Rare Complication of the Perianal Abscess. Pol J Radiol. 2016;81:370–373. Published 2016 Aug 6. doi:10.12659/PJR.897269.
- 13.Katonis P, Kampouroglou A, Aggelopoulos A, et al. Pregnancy-related low back pain. Hippokratia. 2011;15(3):205–210.
