Sciatica, symptoms , diagnosis ,and treatment. conditions that mimic sciatica.
Sciatica, symptoms , diagnosis ,and treatment. conditions that mimic sciatica. what is sciatica ? It is a pain radiating along the course of the sciatic nerve which runs from the lower back to the buttock, through the back of the thigh and into the lower leg and foot. Sciatica pain usually affects one side of the body. Sometimes this pain is called “lumbar radiculopathy” or “true sciatica”. Sciatica is not a diagnosis; it is a symptom of an underlying condition. Sciatica Pain: Pain is worse when sitting because sitting will place tension on the nerve, stretch it, and make it irritated and painful. The pain is a nerve pain, it is sharp, shooting pain like electric shock, running down the leg with burning, tingling, pins and needles, the pain could radiate to the leg and the foot, and there might be some numbness. The sciatic nerve originates from 5 nerve roots: from L4, L5, S1, S2, and S3. All the 5 nerve roots join together to form the sciatic nerve, then it branch out again in the thigh and the leg to give multiple muscular/ motor and sensory functions to specific areas and specific muscles in the leg and foot. What is the cause of the sciatica? 1- Lumbar disc herniation: - A disc is a cushion between the vertebrae. - These vertebrae have a soft inner material that may leak out or herniate from the disc through a tear in the outer fibrous layer, becoming a disc herniation. - This irritates the close-by nerve root. - Sciatica is one of the most common symptoms of lumbar disc herniation. - MRI is the best study for diagnosing lumbar disc herniation. - 90% of the patients will improve within about one month with nonoperative care such as: rest, physiotherapy, anti-inflammatory medication. When do you do surgery? When there is progressive weakness or persistent disabling pain for more than 6 weeks. Who is a good candidate for surgery? - A good surgery candidate will have: 1- sciatica (leg pain), 2- tension sign (positive straight leg raise), 3- abnormal neurological findings, 4- MRI finding which is consistent with the neurological examination. What kind of surgery? - Laminotomy. - Discectomy. - Surgery is better and is quick in recovery than no surgery. - Surgery will cause improvement in the pain, in the function and satisfaction, however there is no significant difference in work status between surgery and no surgery at four years. - After surgery, the patient can return to intense activity at 4-6 weeks. 2- Degenerative disc disease: - Bony spur (osteophytes) may develop and press against the nerve. - An L4-L5 disc involvement will affect the L5 nerve root. 3- Isthmic Spondylolisthesis. - There are Pars defect, so the pars defect allows one vertebral body to slip forward on the other. - Slip is a big deal, it is not a disc slipping, it is a slipping of the vertebral body. - Slipping at the L5-S1 will involve the L5 nerve root. - Slipping L4-L5 will compress the L4 nerve root. - Slipping of the vertebral body cause the disc space to collapse and stress fracture, all will have the nerve to be pinched. 4- Lumbar Spinal Stenosis: - Narrowing of the spinal canal and narrowing of the intervertebral foramen (nerve root canal). - Hypertrophy of the facet joint, hypertrophy of the ligamentum flavum, disc degeneration, or arthritis are all examples of conditions which constrict the nerve root canals causing compression of the spinal nerves and sciatica. - The patient will have back pain that is better with flexion, or leaning forward over a shopping cart. - The pain will be worse with extension of the back. - The patient will have leg pain, weakness, cramps, burning and heavy sensation. - Neuroliogical examination is normal in over 50% of the patients and the straight leg raising is rarely positive. - Differential diagnosis: • hip disease or arthritis. • Metastatic disease. • Vascular problems. - Every case that you suspect to be lumbar stenosis, suspect a 5- The Periformis Syndrome: - The nerve could be irritated where it runs under the periformis muscle in the buttock. - When the periformis muscle irritates the sciatic nerve, it causes sciatica. 6- Sacroiliac Joint Dysfunction: - This doesn’t cause true radiculopathy, however the symptoms sometimes mimic radiculopathy or mimic periformis syndrome, and the clinician should be aware that these three entities can overlap and can mimic each other. Thank you
7/14/2023 3:32:03 AM
Hidden High Blood Pressure Causes [Secondary Hypertension causes] - 2024
Up to 20% of people diagnosed with high blood pressure actually have Secondary Hypertension. This means there is another cause of their hypertension, it's not just essential hypertension. It's very important to know if you have secondary hypertension and there are tests that can be done, if your doctor knows how. If you'd like to know what is causing your high blood pressure then this video will help you because there are causes of high blood pressure your doctor has forgotten. PROPER HUMAN DIET Guidebook (free): https://drberrysguide.com High Blood Pressure playlist: https://bit.ly/BloodPressureVideos Join Our Community for more info: https://bit.ly/DrBerrysCommunity KICKING ASS AFTER 50 Book: https://amzn.to/43R5fqB COMMON SENSE LABS Book: https://amzn.to/3qFMiJa The RESEARCH https://www.aafp.org/afp/2017/1001/p453-s1.html https://www.aafp.org/afp/2003/0101/p67.html#afp20030101p67-t2 Review article: https://www.ncbi.nlm.nih.gov/books/NBK544305/ hyperaldosteronism - https://www.nature.com/articles/s41591-022-02114-5 Pheochromocytoma: https://www.thelancet.com/journals/landia/article/PIIS2213-8587(23)00256-5/fulltext LIES MY DOCTOR TOLD ME: https://amzn.to/3CgUbo8 Daily Minerals: https://bit.ly/MineralFix GET MY NEWSLETTER! https://drberrylist.com/ Eat Real MEAT: https://bit.ly/USmeatDiscount (discount = BERRY) Eat Real Salt: http://bit.ly/RealSalts Join me and let's optimize your health! My Website: drberry.com Support my Mission to improve everyone's health: https://bit.ly/DrBerrysCommunity Ken D Berry, MD, is a Family Physician with 20 years of experience seeing patients in the clinic, emergency department & inpatient, and has seen over 25,000 patients in his career so far. For Collaboration/Speaking requests, please email me : [email protected] Any information on diseases and treatments available at this channel is intended for general guidance only and must never be considered a substitute for advice provided by a doctor or other qualified healthcare professional. Always seek the advice of your physician or other qualified health care professional with questions you may have regarding your medical condition. Dr. Ken D. Berry may at any time and at his sole discretion change or replace the information available on this channel. To the extent permitted by mandatory law, Dr. Ken D. Berry shall not be liable for any direct, incidental, consequential, indirect or punitive damages arising out of access to or use of any content available on this channel, including viruses, regardless of the accuracy or completeness of any such content. As an Amazon Associate I earn from qualifying purchases.
11/23/2023 4:29:43 PM
10 refreshing foods to keep your body cool in summer
Our body employs complex mechanisms, with the hypothalamus in the brain playing a pivotal role through the autonomic nervous system. However, various factors can disrupt this balance, leading to heightened body heat.Increased body heat can stem from environmental factors such as high temperatures, excessive sun exposure, or wearing non-breathable clothing. Infections trigger the body's immune response, resulting in fever as a defense mechanism. Conditions like hyperthyroidism can lead to excessive thyroid hormone production, causing elevated body heat. Additionally, certain medications may induce heat production as a side effect.To combat increased body heat, incorporating cooling foods into the diet can be beneficial. Here are some options: (Image: Canva).Coconut water: According to Mumbai- based dietician Niharika Kumar, this hydrating beverage replenishes fluids and electrolytes, aiding in maintaining balance and cooling down the body. (Image: Canva).Watermelon: With its high-water content and antioxidants, watermelon hydrates the body and provides essential nutrients to reduce body heat. (Image: Canva).Mint: Mint leaves aid digestion and possess cooling properties, helping regulate body temperature and providing a refreshing sensation, says Kumar. (Image: Canva).Banana: Known for their cooling properties, bananas replenish lost fluids and detoxify the body, making them suitable for combating heat. (Image: Canva).Buttermilk: Rich in probiotics, buttermilk aids digestion, improves metabolism, and keeps the body cool and hydrated. (Image: Canva).Cucumber: With its high-water content and detoxifying properties, cucumber reduces body heat and maintains hydration levels. (Image: Canva).Lemon water: Rich in Vitamin C, lemon water moisturises and oxygenates the body, enhancing heat tolerance and providing relief from discomfort. (Image: Canva).Celery: Abundant in water and essential minerals, celery keeps the body hydrated and detoxified, serving as an effective cooling food option. (Image: Canva).Indian bael juice: Known for its anti-fungal properties and nutritional benefits, Indian Bael juice acts as a refreshing coolant during hot weather. (Image: Canva).Sugarcane juice: Acting as a natural energy booster, sugarcane juice replenishes fluids and restores energy levels, aiding in staying cool and hydrated. (Image: Canva).
2024-05-12T04:16:21Z
6 Common Behaviors Seen in Children with Autism
In this video, we delve into the world of autism and discuss 6 common behaviors often associated with individuals on the autism spectrum. Gain a deeper understanding of these behaviors and their impact on those with autism and their families. 💌 Let's stay Connected 💌 ➡️ Our website:https://www.howcast.com/ ➡️ Facebook:https://www.facebook.com/howcast ➡️ https://www.instagram.com/howcast/ ✨ If you liked this video, I'm sure you'll like these videos as well ▶️ https://youtu.be/W_Adme-ySLI ▶️ https://www.youtube.com/watch?v=Ofmjswu7aUU About us:- Emphasizing high-quality instructional video production, Howcast brings you leading experts and accurate, reliable information on topics ranging from makeup tutorials, cute hairstyles, and nail art designs to soccer tricks, parkour, and skateboarding, plus how to Dougie, how to kiss, and much, much more. Howcast empowers people with engaging, useful how-to information wherever, whenever they need the know-how #Howcast Related searches:- autism
9/4/2023 6:30:07 PM
10 Health Benefits Of Eating Soaked Figs Daily
Figs, also known as anjeer, are a scrumptious, wholesome, and healthy fruit that is eaten both fresh and dry. This delicious and juicy fruit has been popular for its proposed nutritional benefits since ancient times. Mostly grown across the Mediterranean Coast, West Asia, and the Indian subcontinent, the fruit is a powerhouse of essential nutrients like fibre, zinc, folate, magnesium, niacin, iron, and riboflavin. It boosts heart health,...
2024-05-14T13:26:37Z