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Sciatica low back pain www.drsandeepagrawal.com agrasen hospital dr sandeep agrawal gondia maharashtra www.agrasenortho.com

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Sciatica is a condition that occurs when nerve roots are compressed or irritated in the area of the spine located in the lower back. This condition is also called lumbar radiculopathy. Lumbar refers to the area of the spine in which it occurs, while radiculopathy is the word used to describe pain, weakness, tingling and numbness caused by irritation of the nerve roots.
The human spine or back is composed of a complex arrangement of bones, discs, muscles, ligaments and tendons. Each block of bone or vertebrae is separated by a cartlage like structure called a disk. Problems with any of these structures may lead to low back pain. Occasionally the causes of back pain is never found. The following are some of the most common causes of low back pain:
strain – muscles or ligaments

structural problems
herniated or bulging discs
sciatica
arthritis
abnormal curvature
osteoporosis
cauda equina syndrome
cancer of the spine
infection of the spine
shingles
bed mattress
sleeping disorder

every day activities or poor posture
Dr.Sandeep C Agrawal

Consultant Orthopaedic Surgeon

Joint replacement & Spinal surgeon

Complex Trauma Fracture & Revision Surgery Expert

Agrasen Hospital Gondia

Vidarbha Maharashtra India

www.drsandeepagrawal.com

www.agrasenortho.com

Orthopedic treatment :Complex fracture,

Joint replacement surgeries likeTKR ,THR

Arthroscopy for ligament reconstruction like ACL,PCL,Meniscus injury,Synovitis

Spine Surgeries,

Arthritis:Rheumatoid,Osteoarthritis,Gout

Pediatric fracture and deformity correctionBone tumor surgery

.Bulging Discs

.Herniated Disc

.Sciatica

.Radiculopathy

.Spinal Canal Stenosis

.Foraminal Stenosis

.Degenerative Disc Disease

.Compression Fracture of Spine

.Facet Joint Disease

.Failed Back Surgery

.Post Laminectomy Syndrome

.Myelopathy

.Pinched Nerve

.Spondylolisthesis

.Spinal Bone Spurs

.Scoliosis

.Spinal Surgeries

.vertebroplasty

.Kyphoplasty

Sports Injury

Published in: Health & Medicine
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  • Excellence in Spine Care : Dr Sandeep Agrawal provides care for patients suffering from low back pain, arthritis, degenerative disc disease, herniated discs, spinal stenosis, scoliosis and sciatica, to name just some of the conditions he treats. While he takes a completely individualized approach to every patient he sees, his goal is always the same: to help patients get back to their healthy, active lives. If you’re suffering from back or neck pain, the innovative treatments, skilled specialists and comprehensive care at Agrasen Hospital are here to help you find relief. Highly skilled, experienced spine knowledge bring you an array of nonsurgical and surgical treatment options and offer the latest advances in spine surgery. Conditions Treated : Kyphoplasty spinal fusion Repair of herniated discs Treatment of cervical spine disorders Treatment of low back pain Treatment of sciatica & Radiculopathy Treatment of spinal deformities Treatment of spine or nerve compression Treatments of stenosis and arthritis Vertebroplasty
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  • Sciatica is a condition that occurs when nerve roots are compressed or irritated in the area of the spine located in the lower back. This condition is also called lumbar radiculopathy. Lumbar refers to the area of the spine in which it occurs, while radiculopathy is the word used to describe pain, weakness, tingling and numbness caused by irritation of the nerve roots. The human spine or back is composed of a complex arrangement of bones, discs, muscles, ligaments and tendons. Each block of bone or vertebrae is separated by a cartlage like structure called a disk. Problems with any of these structures may lead to low back pain. Occasionally the causes of back pain is never found. The following are some of the most common causes of low back pain: strain – muscles or ligaments structural problems herniated or bulging discs sciatica arthritis abnormal curvature osteoporosis cauda equina syndrome cancer of the spine infection of the spine shingles bed mattress sleeping disorder every day activities or poor posture Dr.Sandeep C Agrawal Consultant Orthopaedic Surgeon Joint replacement & Spinal surgeon Complex Trauma Fracture & Revision Surgery Expert Agrasen Hospital Gondia Vidarbha Maharashtra India www.drsandeepagrawal.com www.agrasenortho.com Orthopedic treatment :Complex fracture, Joint replacement surgeries likeTKR ,THR Arthroscopy for ligament reconstruction like ACL,PCL,Meniscus injury,Synovitis Spine Surgeries, Arthritis:Rheumatoid,Osteoarthritis,Gout Pediatric fracture and deformity correctionBone tumor surgery .Bulging Discs .Herniated Disc .Sciatica .Radiculopathy .Spinal Canal Stenosis .Foraminal Stenosis .Degenerative Disc Disease .Compression Fracture of Spine .Facet Joint Disease .Failed Back Surgery .Post Laminectomy Syndrome .Myelopathy .Pinched Nerve .Spondylolisthesis .Spinal Bone Spurs .Scoliosis .Spinal Surgeries .vertebroplasty .Kyphoplasty Sports Injury Knee Conditions A. Articular Cartilage Injuries: 1.Patellar Chondromalacia | Anterior Knee Pain 2.Knee Arthritis 3.Osteochondritis Dissecans of knee 4. Osteoarthritis of Knee B. Complex Knee Injuries: 1.Complex Knee Injuries 2.Knee Dislocation 3.Knee Ligament Injuries 4.Posterolateral Knee Injuries 5.Proximal Tibiofibular Joint C. Ligament Injuries : 1.ACL injury 2.PCL injury 3.MCL injury 4.LCL injury D.Meniscus Injuries : 1.Meniscus Injuries 2.Medial Meniscus Tears 3.Lateral Meniscus Tears 4.Discoid Meniscus 5.Posterior Horn of Medial Meniscus 6. Posterior Horn of Lateral Meniscus E. Patella Injuries : 1.Bipartite Patella 2.Lateral Patellar Instability/ MPFO Repair 3.Patellofemoral Chondromalacia 4.Trochlear Dysplasia 5.Tibial Plateau Fractures F. Tissue/Nerve Damage : 1.Arthrofibrosis of knee 2:Genuine Recurvatum 3.Runners Knee 4.Snapping Hamstrings 5.Tendinitis of Knee G.Knee Treatments: Osteoarthritis Primary Total Knee Replacement Revision Total Knee Replacement Intraarticular Injections Arthroscopy Osteotomy Shoulder Joint: Frozen shoulder (Adhesive Capsulitis) Subacromial Bursitis Impingement syndrome Fracture Dislocation Hip Joint: AVN (Avascular Necrosis) Arthritis Total Hip replacement Infection Hip Joint Foot & Ankle Conditions : Plantar Fascitis ( Heel Pain ) Flat Feet Gout Foot Drop Bunions Chronic Nerve Pain Corn and Calluses Diabetic Foot Care Ganglion Cysts Hammer Toes Ingrown Toenails Neuropathy Orthotics Sports Injuries Sprained Ankle Hand Wrist Elbow Joint: Arthritis Tennis Elbow Golffers Elbow DeQuervains Tenosynovitis Neuropathy Carpal Tunnel Syndrome Keinbocks Disease Ganglion Trauma Fracture Paediatric Orthopedics: CTEV ( Club Foot ) DDH Perthes Disease Sickle cell Disease Arthritis Fractures & Trauma Surgery Hip Joint Knee Joint Shoulder Joint Spine & Back Pain Arthroscopy & Sports-related injuries Joint Replacement Surgeries Foot and ankle Conditions Hand, wrist and elbow Joint Osteoporosis Cerebral palsy Bone tumours Physiotherapy & Rehabilitation Pain management
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Sciatica low back pain www.drsandeepagrawal.com agrasen hospital dr sandeep agrawal gondia maharashtra www.agrasenortho.com

  1. 1. www.drsandeepagrawal.com AGRASEN HOSPITAL DR SANDEEP C AGRAWAL GONDIA  www.agrasenortho.com" " " What is Sciatica?! Sciatica is a condition that occurs when nerve roots are compressed or irritated in the area of the spine located in the lower back. This condition is also called lumbar radiculopathy. Lumbar refers to the area of the spine in which it occurs, while radiculopathy is the word used to describe pain, weakness, tingling and numbness caused by irritation of the nerve roots." " " " " " " " What causes Sciatica?! Nerve roots are the area of nerves where they branch off from the spinal cord to connect to different parts of the body. The nerves send signals to the brain to create sensations, like texture or pain. Irritation or compression of the nerve roots is
  2. 2. usually caused by disc herniation or degenerative changes to the spine that put pressure on nerve roots." Conditions that may causes compression in the lumber area of the spine vary, but can include herniated disc, degenerative disc disease, and spinal stenosis. When the roots of the nerves are compressed, it causes muscle weakness, pain and numbness in the area connected to the affected nerves." Symptoms and Diagnosis! When the roots of the nerves are compressed anywhere along the spine, it causes muscle weakness, pain and numbness in the area connected to the affected nerves. The nerve roots in the lumbar area of the spine branch off the spinal cord and through the boney structure that protects them out to the feet, legs, hips, and buttocks. This means that compression of those nerve roots may cause pain or other sensations in the feet, legs, hips, and buttocks." " " " " " " " " " " " " " www.drsandeepagrawal.com AGRASEN HOSPITAL DR SANDEEP C AGRAWAL GONDIA  www.agrasenortho.com" "
  3. 3. Symptoms vary depending on where the nerve roots are being compressed, but commonly include pain, weakness, tingling, or numbness. The area where these symptoms are felt may depend on where in the spine the nerve roots are compressed. Each vertebrae in the spine is assigned a numbered level. The five vertebrae in the lumbar section are L1 through L5, while the sacrum is S1. The locations of symptoms can vary depending on where the nerve roots are compressed, as the nerve roots in each level correspond to different places. Below is a list of symptoms you may experience depending on the level at which your sciatica is occurring:" " •" L2: hip weakness and pain in your thigh" " •" L3: weakness in your knee, as well as pain and weakness in your thigh." " •" L4: foot weakness and pain that travels from the lower back down to the knee or foot." " •" L5: pain down the outside of your leg to the top of your foot or big toe, as well as foot weakness" " •" S1: weakness in your foot and pain down the back of your calf to the outside of your foot and little toe" " " "
  4. 4. " To diagnose sciatica, the doctor will review a patient's medical history, asking about the location and type of the symptoms to help determine if a nerve root is being affected. A physical exam will follow, focusing on range of motion and flexibility, as well as muscle strength, sensation, and reflexes to determine what nerve root is being compressed." www.drsandeepagrawal.com AGRASEN HOSPITAL DR SANDEEP C AGRAWAL GONDIA  www.agrasenortho.com" " To verify the diagnosis, several tests may be needed. An X-ray will be performed first, which can help identify the presence of trauma or osteoarthritis, as well as early signs of infection or tumor growth. A CT scan or an MRI may follow. A CT scan can show the amount of space nerve roots are allotted by the foramen, or openings in the vertebrae of the spine. An MRI scan can best reveal the location and extent of nerve compression because it is designed to show the soft tissues around the spine, including discs, ligaments and nerves." How is Sciatica treated?! Symptoms of sciatica can often be relieved by conservative treatments like anti- inflammatory medication, physical therapy, and rest. Bracing may be prescribed. Most patients respond well to this treatment, with symptoms improving from six weeks to three months. " However, if there is evidence of nerve damage or if symptoms fail to improve over time, surgery may be needed to remove pressure from the spinal roots. The procedure needed varies according to the source of the nerve root compression and its location in the spine." In Brief,Sciatica is a condition that affects the lower back and causes symptoms to be felt in the buttocks and down the leg(s). Sciatica develops when the sciatic nerve becomes pinched or compressed due to another condition in the area." Sciatica can be attributed to a variety of factors. Their symptoms can also present in many, sometimes common ways. It is essential that the experts review  your history and pain in order to accurately provide you with an honest evaluation of your treatment options." Agrasen hospital Gondia can employ a wide range of treatments for Sciatica. Treatment options range depending on the severity of the condition." " Once a Dr. Agrawal has identified the underlying condition causing the sciatic pain, a treatment can be determined."
  5. 5. www.drsandeepagrawal.com" AGRASEN HOSPITAL " DR SANDEEP C AGRAWAL GONDIA  www.agrasenortho.com" " " "
  6. 6. " " " " " " " " " " " " " www.drsandeepagrawal.com" AGRASEN HOSPITAL " DR SANDEEP C AGRAWAL GONDIA  www.agrasenortho.com" " " " "

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