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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]
It can cause low back pain, weakness or paralysis in the lower limbs, loss of sensation, bowel and bladder dysfunction, and loss of reflexes. [39] There may be bilateral sciatica with central disc prolapse and altered gait. [38] Unlike conus medullaris syndrome, symptoms often occur only on one side of the body. [37]
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.
Common causes of sciatica: You have tight muscles. Radiating pain from the sciatic nerve is often caused by tight muscles irritating the nerve , particularly in the deep hip rotator muscles, says ...
Pain caused by compression or irritation of the sciatic nerve by a problem in the lower back is called sciatica. Common causes of sciatica include the following lower back and hip conditions: spinal disc herniation, degenerative disc disease, lumbar spinal stenosis, spondylolisthesis, and piriformis syndrome. [5]