Diagnosis
The diagnosis of sciatica is centered around the identification of its clinical symptoms and/or warning signs. Physician may request to do a passive straight leg raise test to test for pain on the affected leg, which is an indication for sciatica.
Warning signs include:
- Tingling or numbness of lower extremities
- Muscle weakness of leg and foot on the affected side
- Age over 50 years or under 20 years
- Sudden severe pain when lying down
- Recent trauma or injury
- Patient has a structural deformity of spine
Other tests a physician may request are:
- Blood tests to rule out infection
- CT scan or MRI scan
- X-ray
Recommended Management
Treatment for sciatica is not always necessary, as the condition often improves naturally within six weeks. If symptoms persist, a number of treatments are available.
- Medical treatment
- Analgesics, ie. NSAIDs, paracetamol, ibuprofen
- Exercise or Physiotherapy
- Compression packs
- Surgery (rarely necessary; only indicated in severe cases where symptoms are not relieved by conservative methods)