Sciatica, also known as “坐骨神經痛” or “Zuogu Shenjing Tong,” refers to the pain that radiates along the path of the sciatic nerve, which branches from the lower back through the hips and buttocks, down each leg’s back, and sometimes the feet. This affliction can be excruciating, making everyday activities challenging. Here, we will explore the causes, symptoms, and potential treatments for sciatica, or 坐骨神經痛.
The most common cause of sciatica is a herniated disc in the spine. When a disc protrudes and compresses the nerves, it can lead to the characteristic pain, numbness, or tingling sensation experienced in the lower back and legs. Other causes of sciatica include spinal stenosis (narrowing of the spinal canal), spondylolisthesis (slippage of one vertebra over another), piriformis syndrome (irritation of the piriformis muscle in the buttocks), or even pregnancy.
Symptoms of 坐骨神經痛 manifest differently for each individual, but commonly include pain in the lower back that radiates down one leg, usually only on one side of the body. This pain can be intense, sharp, or a constant ache. It may become worse after prolonged sitting, standing, sneezing, or coughing. Numbness, tingling, or muscle weakness may also occur in the affected leg or foot.
Treatment for 坐骨神經痛 usually starts with conservative measures such as rest, over-the-counter pain medications, and gentle exercises or stretches to alleviate the pain. Applying hot or cold packs, participating in physical therapy, or receiving massages can also provide relief. It is essential to avoid activities that worsen the pain or strain the back, such as heavy lifting or high-impact exercises.
If the pain persists or worsens despite conservative treatments, a healthcare professional may prescribe stronger pain medications and recommend spinal injections to reduce inflammation around the affected nerve. In severe cases, surgery may be necessary to correct the underlying condition, such as removing a herniated disc or enlarging the spinal canal to relieve pressure on the nerve.
In addition to medical treatments, certain lifestyle changes can help manage and prevent 坐骨神經痛. Maintaining good posture, using ergonomically designed furniture, and practicing regular exercise to strengthen the back and core muscles are vital. Avoiding prolonged periods of sitting or standing and maintaining a healthy weight can also decrease the risk of developing sciatica.
In conclusion, 坐骨神經痛, or sciatica, is a debilitating condition characterized by pain originating in the lower back and radiating down one leg. Understanding the causes, recognizing the symptoms, and seeking appropriate treatment can significantly reduce the impact of this condition on daily life. Whether through conservative measures, medical interventions, or lifestyle changes, managing 坐骨神經痛 is possible, allowing individuals to regain comfort and mobility.
Publisher Details:
台北馬偕骨科｜單雙通道脊椎內視鏡 | 簡愷廷
https://www.mmhspine.com/
台北馬偕醫院骨科部脊椎科，脊椎內視鏡手術專責醫師
