the FBSS truth

ABC OF : RESTLESS LEG SYNDROME vs SCIATICA. MAY BE USEFUL. *** Restless Legs Syndrome ( RLS ) :- SYMPTOMS OF RLS : People with restless legs syndrome have uncomfortable sensations in their legs (and sometimes arms or other parts of the body) and an irresistible urge to move their legs to relieve the sensations....... The sensations are usually worse at rest, especially when lying or sitting....... *** SCIATICA :- SYMPTOMS OF SCIATICA : Sciatica is a term that describes symptoms of PAIN, NUMBNESS, AND/OR WEAKNESS that RADIATE ALONG the SCIATIC NERVE FROM the LOWER BACK TO the BUTTOCKS AND LEG....... The vast MAJORITY of sciatica symptoms result from lower back DISORDERS BETWEEN the L4 AND S1 levels that put pressure on or cause irritation to a lumbar....... *** Six Most Common Causes of Sciatica :- 1. Lumbar herniated disc 2. Degenerative disc disease 3. Isthmic spondylolisthesis 4. Lumbar spinal stenosis 5. Piriformis syndrome 6. Sacroiliac joint dysfunction.......

ABC OF : RESTLESS LEG SYNDROME vs SCIATICA. MAY BE USEFUL. *** Restless Legs Syndrome ( RLS ) :- SYMPTOMS OF RLS : People with restless legs syndrome have uncomfortable sensations in their legs (and sometimes arms or other parts of the body) and an irresistible urge to move their legs to relieve the sensations....... The sensations are usually worse at rest, especially when lying or sitting....... *** SCIATICA :- SYMPTOMS OF SCIATICA : Sciatica is a term that describes symptoms of PAIN, NUMBNESS, AND/OR WEAKNESS that RADIATE ALONG the SCIATIC NERVE FROM the LOWER BACK TO the BUTTOCKS AND LEG....... The vast MAJORITY of sciatica symptoms result from lower back DISORDERS BETWEEN the L4 AND S1 levels that put pressure on or cause irritation to a lumbar....... *** Six Most Common Causes of Sciatica :- 1. Lumbar herniated disc 2. Degenerative disc disease 3. Isthmic spondylolisthesis 4. Lumbar spinal stenosis 5. Piriformis syndrome 6. Sacroiliac joint dysfunction.......

Friends today I am discussing about a problem known as Sciatica. The patient having sciatica problem have severe intolerable pain. For more articles vidit my facebook page kamla clinic pathankot . Sciatica is a common type of pain affecting the sciatic nerve, a large nerve extending from the lower back down the back of each leg. What Are the Symptoms of Sciatica? Common symptoms of sciatica include: Lower back pain Pain in the rear or leg that is worse when sitting Hip pain Burning or tingling down the leg Weakness, numbness, or difficulty moving the leg or foot A constant pain on one side of the rear A shooting pain that makes it difficult to stand up Sciatica usually affects only one side of the lower body. Often, the pain extends from the lower back all the way through the back of the thigh and down through the leg. Depending on where the sciatic nerve is affected, the pain may also extend to the foot or toes. For some people, the pain from sciatica can be severe and debilitating. For others, the sciatica pain might be infrequent and irritating, but has the potential to get worse. Seek immediate medical attention if you have lower extremity weakness, numbness in the upper thighs, and/or loss of bladder or bowel control. What Causes Sciatica? Sciatica is caused by irritation of the root(s) of the lower lumbar and lumbosacral spine. Additional common causes of sciatica include: Lumbar spinal stenosis (narrowing of the spinal canal in the lower back) Degenerative disc disease (breakdown of discs, which act as cushions between the vertebrae) Spondylolisthesis (a condition in which one vertebra slips forward over another one) Pregnancy Muscle spasm in the back or buttocks Other things that may make your back pain worse include being overweight, not exercising regularly, wearing high heels, or sleeping on a mattress that is too hard or too soft. Prevention One of the easiest ways to prevent sciatica is by protecting your lower spine. You can follow these easy tips that can be really helpful in maintaining your health and remaining pain free. Exercising regularly: By exercising regularly, patients can strengthen their back and abdominal muscles and prevent damage to their vertebral column. Good posture: By maintaining a good posture while sitting and working in an ergonomically designed chair that properly supports your hips and back and does not compress the back of your thighs and knees while sitting is essential to maintain a healthy back. Homeopathic Medicines for Sciatica Colocynth:- Important remedy for acute sciatica pain. Dull, Stiching pains is the hip which come suddenly and shoot down to the posterior part of the thigh or to knee or foot. Pain better by heat and worse by touch or motions. It may be given in high dilution, viz. 200. Three or four doses may be given at an interval of 4 to 5 hours. Rhus Tox:- When pain is due to exposure or muscular exertion, worse in bed at night or when at rest. First movement gives terrific pain which is relived after walking a little. Gnaphalium:- Intense Pain in the nerve, accompanied by cramps or alternating with numbness; wrose lying down. Pains in calf and feet. Dioscorea:- Tearing Pain in legs which is felt on moving or sitting. Magnesia Phos:- Lightning like Pains which are better by warmth. Right sided remedy. Arsenicum Alb:- When the patient has been subjected to repeated attacks of malaria and the pain is intermittent. Violent attacks of malaria and the pain is intermittent. Violent, drawing, burning and tearing pain in left hip extending to thighs. Great restlessness relieved by warm application. Ruta:- It resembles Rhus Tox. In all its symptoms except that the pain of ruta goes deeper radiating to the branches of the nerves inwardly rather than outwardly. Worse from cold and lying down. Chamomilla:- Sciatica pain with a mental symptom “ I would prefer death rather than the pain.”

32 year old male with h/o sever lbp and pain on flexion with SLR negative from past 15 days with no past h/o surgery

The problem is quite evident with these scans. What all lifestyle modifications and medications/physiotherapy can be advised for such patient in a limited resource setting?