Low back pain is a universal human experience, almost everyone has it at some point, Back pain is a common, painful condition affecting the lower portion of the spine. Most Back pain is the result of an injury, such as muscle sprains or strains due to sudden movements or poor body mechanics while lifting heavy objects.

Back paincan take place of certain diseases such as:

• cancer of the spinal cord
• a ruptured or herniated disc
• sciatica
• arthritis
• kidney infections
• infections of the spine

Back pain can last anywhere from a few days or too few weeks,  Back pain is more likely to occur in the age of 30 and 50. This partly due to the changes that occur in the body with ageing. As you grow older, there’s reduction in the fluid content between the vertebrae in the spine.

The spine experience irritation also loses some muscle tone, which makes the back more prone to injury. This is why strengthening your back muscles and using good body mechanics are helpful in preventing  Back pain.

Causes of back pain include:

Strains: The muscles and ligaments in the back can stretch or tear due to excess activity. Symptoms include pain and stiffness.

Disc injury: The discs in the back are prone to injury. This risk increases with age. The outside of the disc can tear or herniated. A herniated disc, which is also known as a slipped or ruptured disc, occurs when the cartilage surrounding the disc pushes against the spinal cord or nerve roots.

Sciatica: Sciatica can occur with a herniated disc if the disc presses on the sciatic nerve. The sciatic nerve connects the spine to the legs. As a result, sciatica can cause pain in the legs and feet. This pain usually feels like burning, or pins and needles.

Spinal stenosis: Spinal stenosis is when the spinal column narrows, putting pressure on the spinal cord and spinal nerves.

 Symptoms and sign of low back pain:

• Dull ache
• Numbness
• Tingling
• Sharp pain
• Pulsating pain
• Pain with movement of the spine
• Pins and needles sensation
• muscle spasm
• Tenderness
• Sciatica with shooting pain down one or both lower extremities.
• Rash
• Loss of continence of bowel or bladder.

Sciatic nerve begins at your spinal cord, runs through your hips and buttocks, and then branches down each leg, sciatic nerve is your body’s longest nerve and one of the most important ones. It has a direct effect on your ability to control and feel your legs. When this nerve is irritated, you’ll experience sciatica. A sensation that can manifest itself as a moderate to severe pain in your back, buttocks, and legs. You may also feel weakness or numbness in these areas, Sciatica is a symptom caused by an underlying injury to your sciatic nerve or an area that affects the nerve, such as your vertebrae, which are the bones in your neck and back.

As many People will get it at some point during their lives. Back pain usually resolves with rest and home remedies, but sometimes medical treatment is necessary.

Some people are suffering from Back pain and Sciatica at some point in our lives. This pain and Sciatica is the second most common Neurological Disorder (after headache). If you want relief from your back pain and sciatica you need best neuro centre and best neurologist to treat you disorder.

Asian Nero Centre where the best neurologist who will generally diagnose Back pain and Sciatica. Start treatment at that Nero Centre where you might get the following results:

• Relief from Back pain.
• Ongoing regular reviews of your Sciatica.

Feel free to reach us, we Asian Nero Centre where we provide the best neurologist who can treat you and also give proper assistance.

 Dr  Navin Tiwari  

Consulting Neurologist

The post Lowbackpain and sciatica, Symptoms, Causes, and Treatments appeared first on Best Neurologist in Indore- Dr Navin Tiwari - Asian Neuro Centre.

When someone experience pain in his lower limbs that starts from the hip or back and radiates down to the leg and has difficulty sitting, standing, or walking or bending forward, it may be due to
nerve compression. In local language this problem has so many names, some called it as sciatica or disc problem. But their as several problems or conditions that mimics sciatica and can cause lower limb pain. Some of You may experience weakness, tingling, numbness, or pain in your hip, leg, and/or foot due to various reasons.

Sciatica

Common causes of radiating pain in lower limb (sciatica)

We here discuss the causes of lower limb pain that originates from hip and radiate down to legs or up to foot. Sciatica is a condition that occurs when the sciatic nerve is entrapped or compressed or damaged.

Prolapsed intervertebral disc or disc herniation

It’s a painful condition occur when due to any reason disc between lumbosacral spine bones bulges outward or inward resulting pressure on a nerve radicles that makes up the sciatic nerve. The most common reason for this disc bulge could be old age, fall from height, lifting heavy weight. Lifting heavy weight is most common reason in young person of disc herniation. In general, disc herniation is not deemed to be a serious matter until n unless it results in nerve compression and cause symptoms of sciatica.

Lumbar Spinal Stenosis
Most common cause for neurological claudication is lumbar canal stenosis. In simple words when patient finds it difficult to walk, tightness in calf or hamstrings muscle of lower limb, needs rest intermittently to walk, it may be due to lumbar canal stenosis. Lumbar canal is the space in your spine through which the nerves pass could narrow because of the disc prolapse of a disc and/or thickening of ligaments that provide support to your spine. This could also lead to nerve compression and pain. Changes that occur to the spine because of aging or degeneration can cause bone outgrowths called osteophytes which irritate/compress the nerves root and causes pain like sciatica.

Spondylolisthesis

Spondylolisthesis is an orthopedical condition wherein the spine loses its alignment and one vertebra is ahead of lower vertebra, mostly seen in lumbosacral spine. This misalignment of spine cause pressure on intervene disc leading to the prolapse or rupture, leading to nerve compression. Degenerative disk diseases, previous spine injuries or surgeries, and physical stress experienced by the spine are also known to cause nerve compression. Weight lifting and obesity can also cause be the risk factor for nerve compression.

Trauma or Injury
Trauma to the lumbosacral spine during road traffic accidents or fall from height or sports injury may lead to the damage to the disc and lead to compression of sciatic nerve.

Piriformis Syndrome
It’s a very interesting condition because symptoms are same as sciatica where patient experience radiating pain in lower limb .The condition is present in approximately 15-20 percent of patients suffering from lower limb pain. Injury, tightness, or stress caused to piriformis muscle in the buttock region compresses the sciatic nerve and causes pain. Piriformis syndrome may resemble this problem, but it is different and, therefore, treated differently.

Spinal Tumours
Spinal tumours can also compress the nerve roots or a nerve that is exiting through the spinal canal and cause pain in the hip, thigh, and groin area. However, spinal tumours are rare and they rarely cause pain below the knee.

Mimics of sciatica

These are those conditions that produce symptoms like sciatica but actually there is no compression or damage to sciatic nerve.

Peripheral vascular disease
Peripheral vascular disease is caused by the narrowing of the arteries in the lower limb which causes decreased blood supply to the lower limb. Resulting person may experience leg muscle cramps and dragging pain which causes difficulty in walking. Along with these patient may have ulcers, cyanosis of affected part.

Peripheral neuropathy
This condition occurs when there is damage to the peripheral nerves, condition causing this are alcoholism, diabetes, drug induced, kidney disease, infections and many other medical conditions As in the case of sciatica, peripheral neuropathy also causes a burning sensation, tingling, pin pricking, jabbing pain, numbness, and tingling in the lower part of the leg and foot.

Peroneal neuropathy
Injury sustained to the common peroneal nerve that extends below the knee along the outer side of the leg can also cause weakness as well as foot drop that sciatica patients sometimes experience.

Pain in lower limb is a vast conditions with so many causes. Its always better to consult a specialist. He will Perform a physical examination, order imaging studies like CT/MRI, as required. In certain cases, your doctor mightrecommend nerve conduction test to pinpoint the source of pain.
When it comes to Treatment of sciatica/low back pain in Indore, at AsianNeuro Centre, the first approach is conservative care, which includes physical therapy and medication. If this is not helpful, doctors might consider spinal injections. Surgery is last asset and very rare and is indicated in only those condition in which pain is not relieved by drugs and injections, patient has weakness of limb, bladder bowel involvement.

Dr. Navin Tiwari
Director, Asian Neuro Centre, Indore and consulting neurologist with more than 10 years of experience.

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