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Sciatica may also occur during pregnancy, especially during later stages, as a result of the weight of the fetus pressing on the sciatic nerve during sitting or during leg spasms. [15] While most cases do not directly harm the woman or the fetus, indirect harm may come from the numbing effect on the legs, which can cause loss of balance and falls.
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Causes may include trauma to the gluteal muscle, spasms of the piriformis muscle, anatomical variation, or an overuse injury. [2] Few cases in athletics, however, have been described. [2] Diagnosis is difficult as there is no definitive test. [5] [4] A number of physical exam maneuvers can be supportive. [3] Medical imaging is typically normal. [2]
This neurological problem can also result in reduced sensation of rectal filling and weakness of the anal sphincter because of weak muscular contraction so can cause stool leakage. [12] In patients with multiple sclerosis, constipation and fecal incontinence often coexist, and they can be acute, chronic or intermittent due to the fluctuating ...
Sciatica can be extremely uncomfortable and travel the entire course of the nerve from the glutes all the way to the foot or part way down the back of the thigh, Chellsen explains. Common causes ...
The two most common causes are piriformis syndrome and fibrovascular bands (scar tissue), but many other causes exist. [2] Diagnosis is usually done through physical examination, magnetic resonance imaging , magnetic resonance neurography , and diagnostic nerve blocks . [ 6 ]