This document discusses sciatica, which is pain that radiates from the lower back through the hips and down one leg. It describes the sciatic nerve, risk factors for sciatica like herniated disks, and common symptoms like leg pain and numbness. The document outlines how sciatica is diagnosed through exams and imaging tests and treatments include medications, physical therapy, and injections to relieve pain and promote recovery.

3. 80 % of people has LBP in which 30% are
with lower limbs pain

4. Overview of sciatic nerve
Define sciatica
Etiology of sciatica
Risk factors for sciatica
Clinical manifestation
Diagnosis
Treatment & Management
Complication
Prevention

5.  Origin
Course
Distribution
Branches

6. Sacral plexus

7. It leaves the pelvic .
passes to the gluteal
region .
Then to posterior
compartment of the
thigh .
In the middle back of
the thigh it divided
into two terminal
branches.

8.  Tibial nerve
 Commom peroineal
nerve

9. Planter flexure of ankle
Flexure of toe
Inverter of foot
It has two terminal branches
Medial & lateral planter nerve

10. Dorsiflexure of ankle
Extensor of toes
Averters of foot

11. Sciatica (sometimes radiculopathy) is a
term to describe the symptoms of low
back pain that radiates through the
hip ,to the back of thigh and down the
inside of back the leg via the sciatic nerve
.
Or is description of symptoms of
inflammation or compression of the
sciatic nerve .

12. Sciatica occurs when the sciatic nerve
becomes
Compressed or irritated .
 Intervertebral disk herniation (slipped)
 Spinal stenosis
 Spondylolisthesis
 Piriformis syndrom
 Pregnancy
 Spin infection
 Trauma of the spin, surrounding muscles or
lig
 Spin tumors (mass)
 Cauda equina syndrom

13. The vas majority of
cases are caused by
Intrevertebral
Hernaited disk

14. Narrowing of the spinal
canal .

15.  DDD is a general term
for the condition in which
a damaged vertebral
disk causes chronic pain
either L.B.P in the
lumbar spin or neck pain
in the cervical
spin…………..

16. A small muscle in buttok
region near by the
sciatic nerve………

17. Can causes :
Pain
It is life threatening
Permanent disability

18. As the result of the
fetus weight pressing
on sciatic nerve during
sitting or legs spasm

19. It is a rare but serious
condition that describes
extreme pressure and
swelling of the nerve at
the end of spinal cord .
It is a medical
emergency

21. Obesity
Age
Diabetes
Occupation
Prolong sitting

22. Cramping sensation in the thigh .
Radiating pain from buttok to back of
that leg .
Tingling in the leg .
Numbness in the legs .
Burning sensation in leg or thigh .
Severe cases present with muscle
weakness .

23. Most of symptoms are seen on
one side .
If the symptoms are present on
both side the disk bulge is more
severe .
Most often the symptoms are
continuos .

24. History
Physical examination
Radiography
CT - SCAN
MRI

25. How the illness begin till present complaint

26. Inspection
Palpation
Sonite sign
Vallex’sign
Straight leg raising test
4 Figure

27.  Decrease lumbar
natural lordosis .
 There is spasm & pain
in lumbar region by
palpation .

28. Pressure on the root
of nerve produced
the pain ……………

29. Pressure on the sciatic
nerve in a point
producedthe pain

31.  The pain elicited on
the epsilatral side
anteriorly………
 The pain elicited on
the contralatral side
posteriorly……..

35. GOALS :
To relieve the pain
To promot recovery
To prevent further complication

36. Use the cold pack
Use the hot pack
Stretching
Use NSAID …….like Ibuprofen

40. Anti – inflammatory drugs
Muscle relaxants
Narcotics
Tricyclic anti _ depressant
Anti seizure medication
Steroid injection

41. Permanent nerve damage
Lose of feeling in the affected leg
Weakness in the affected leg
Lose of bowal & bladder function