SCIATICA – Causes, Symptoms, Diagnosis & Treatment सायटिका क्या है?

December 01, 2025

SCIATICA – Causes, Symptoms, Diagnosis & Treatment

(A Complete Patient Guide | सम्पूर्ण जानकारी)

Introduction | परिचय

Sciatica refers to pain that radiates along the path of the sciatic nerve, which runs from the lower back down to the legs.
यह दर्द अचानक भी हो सकता है और लंबे समय तक बना भी रह सकता है। सही निदान और समय पर उपचार से अधिकतर मरीज पूरी तरह ठीक हो जाते हैं।

What Is Sciatica? | सायटिका क्या है?

Sciatica is not a disease but a symptom of nerve compression, usually due to:

Herniated disc (स्लिप डिस्क)
Lumbar spondylosis
Spinal stenosis (रीढ़ की नली का संकुचन)
Piriformis syndrome
Trauma or muscle spasm

When the sciatic nerve is irritated, pain travels from back → buttock → thigh → leg → sometimes foot.

Common Symptoms | लक्षण

1. Sharp or burning pain in lower back or leg

तीखा या जलन जैसा दर्द जो पैर तक जाता है।

2. Numbness or tingling

सनसनी, झुनझुनी।

3. Weakness in leg

चलने में कमजोरी या पैर सुन्न पड़ना।

4. Pain worse on sitting, bending, coughing

बैठने, झुकने या खांसने पर दर्द बढ़ना।

5. Difficulty standing up straight

सीधा खड़े होने में परेशानी।

Causes Explained | प्रमुख कारण

1. Herniated Disc (Slipped Disc)

The most common cause—disc bulges and presses on the nerve.

2. Degenerative Disc Disease

Age-related wear and tear.

3. Spinal Canal Narrowing (Stenosis)

कई बार नर्व के आसपास जगह कम हो जाती है।

4. Piriformis Muscle Spasm

This deep muscle irritates the sciatic nerve.

5. Injury / Overexertion

Heavy weight lifting or sudden twist.

Diagnosis | सटीक जांच कैसे होती है?

At Radha Krishna Hospital, the approach includes:

1. Clinical Examination

Straight leg raising test
Neurological assessment

2. Imaging

MRI Lumbosacral Spine (सबसे महत्वपूर्ण)
X-ray
CT Scan (if required)

3. Blood Tests

To rule out infection or inflammatory causes.

Treatment Options | इलाज के विकल्प

1. Medications

Anti-inflammatory medicines
Muscle relaxants
Nerve pain modulators
(दवा से अधिकतर मरीज 2–3 हफ्तों में ठीक हो जाते हैं)

2. Physiotherapy

Back strengthening exercises
Nerve stretching
Heat/Ultrasound therapy

3. Lifestyle Modifications

Avoid heavy lifting
Proper sitting posture
Weight control

4. Epidural Steroid Injection

For severe pain not responding to medicines.

5. Surgery (rarely needed)

Only when:

Progressive weakness
Bladder/bowel symptoms
Severe disc prolapse

Home Care & Precautions | घरेलू उपाय व सावधानियाँ

✔ Apply hot fomentation (गरम सिंकाई)

✔ Avoid long sitting & soft mattresses

✔ Do regular back exercises

✔ Maintain healthy weight

✘ Avoid sudden bending, twisting, lifting weights

When to Visit a Doctor? | डॉक्टर को कब दिखाएँ?

Pain not improving for > 1 week
Numbness or leg weakness
Loss of bladder/bowel control (medical emergency)
Pain after accident or fall

Prevention Tips | रोकथाम

Use ergonomic chair
Strengthen core & back muscles
Maintain posture during prolonged sitting
Regular stretching exercises

Conclusion | निष्कर्ष

Sciatica is treatable in most patients with timely diagnosis and scientific management.
Early evaluation helps prevent chronic pain and nerve damage.