Sciatic Nerve Problems Can Cause Discomfort in Back, Legs
QUESTION: When I am standing in line, taking my half-mile daily walk or just about anything that involves standing for more than a few minutes, I get a tingling sensation at the bottom of my spinal cord (in the buttocks area). As soon as I feel this. I know I need to find someplace immediately to sit down. If I don't, the sensation goes all the way down to my toes. If I try to walk, it feels as thought I am on marbles, and I never know if my next step will hold me or if I will fall. This has been happening for several years.
I have had an X-ray of my spine and was told I have arthritis but that it should not cause the symptoms I am experiencing. Please help!
ANSWER: Your symptoms are suggestive of sciatica. This is caused by compression of the sciatic nerve that leads to numbness, tingling, burning, a pins-and-needles sensation and other symptoms in the lower back, buttocks and/or legs.
See an orthopedist who specializes in the spine. He or she can examine and test you to determine the cause of your symptoms. You may need an MRI. This test is more detailed and can show soft tissues such as vertebral discs and muscles. In most cases, back pain is caused by a herniated, bulging or torn disc that allows the vertebrae to touch or compress surrounding tissue and nerves.
If it is sciatica, simple exercises, chiropractic manipulation or physical therapy might be all you need. Because your symptoms occur only occasionally, the degree of compression is probably minimal. However, if your symptoms progress, worsen or become constant, you may need more aggressive therapy, such as epidural steroid injections or anti-inflammatory or pain medications. For severe cases that do not respond to other therapies, surgery may be a last- resort option.
Write Dr. Gott c/o United Media, 200 Madison Ave. 4th floor, New York, NY 10016.
Originally published by PETER GOTT Newspaper Enterprise Association.
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