Ranjeet, a 62-year-old immigrant, shares his experience with sciatica, a common nerve pain condition, and explores treatment options and preventive measures.
Ranjeet is a 62-year-old father of Devender, a first-generation Indian immigrant residing in San Jose. After retiring from a government job in India, he and his wife are eager to spend quality time with their son and his family in the United States.
However, following a long flight from India, Ranjeet has been experiencing moderate, tingling pain in his lower right back that radiates down his left leg to his foot. The discomfort intensifies with actions such as coughing, sneezing, bending, or lifting his legs while lying down. Concerned about his condition, Ranjeet sought medical advice.
Dr. Sharma, a healthcare professional, assessed Ranjeet’s symptoms and suggested that they resemble a condition known as sciatica. Sciatica is characterized by nerve pain resulting from irritation or injury to the sciatic nerve, the longest and largest nerve in the body. This nerve originates in the lower back and extends down each leg. When compressed or pinched, it can lead to pain, tingling, or numbness in the back or buttocks, which may radiate down the leg.
Dr. Sharma noted that sciatica is a common condition, with studies indicating its prevalence in the general population may be as high as 40%. He emphasized the importance of seeking a proper diagnosis from a primary care physician.
When asked about the potential causes of sciatica, Dr. Sharma explained that Ranjeet’s long trip and the possibility of lifting heavy bags could be contributing factors. Other common causes include herniated disks, degenerative disk disease, spinal stenosis, and osteoarthritis. Additional risk factors encompass injury, aging, excessive body weight, poor core strength, occupations involving heavy lifting, poor posture, smoking, diabetes, and a sedentary lifestyle.
To diagnose sciatica, Dr. Sharma advised that a doctor would begin with a detailed health history followed by a physical examination. This examination would include observing Ranjeet’s gait, conducting a straight leg raise test, and assessing strength and flexibility in the lower limbs and core muscles. In some cases, imaging tests such as X-rays, CT scans, or MRIs may be necessary, along with nerve conduction tests and routine blood work to rule out other conditions.
Regarding treatment options, Dr. Sharma noted that most cases of sciatica—approximately 80-90%—improve with self-care. He recommended applying ice packs initially, followed by heat therapy. Since Ranjeet’s symptoms have persisted for two weeks, he suggested using a heating pad for 20 minutes several times a day. Over-the-counter non-steroidal anti-inflammatory drugs (NSAIDs) can also help alleviate pain and swelling.
Stretching exercises can be beneficial, particularly those recommended by a physical therapist, such as knee-to-chest stretches, figure-four stretches, and pelvic tilts. However, if Ranjeet’s condition worsens, characterized by muscle weakness or numbness, it is crucial to consult a healthcare provider. In more severe cases, treatments may include muscle relaxants, physical therapy, spinal injections, or even surgery.
Dr. Sharma also discussed preventive measures for sciatica. He emphasized the importance of maintaining good posture, quitting smoking, achieving a healthy body weight, staying physically active, and avoiding heavy lifting or spinal injuries. He cautioned against exerting oneself if pain is present.
Yoga and meditation can also play a role in managing sciatica. Dr. Sharma highlighted that certain yoga poses are effective for stretching muscles, particularly in the hips, hamstrings, and glutes, while strengthening the core and back. Poses such as Shashankasana (Child’s Pose), Bhujangasana (Cobra Pose), and Setu Bandhasana (Bridge Pose) can provide relief. However, he advised practicing these under proper guidance and being mindful of one’s physical capabilities.
For those seeking further information on sciatica, Dr. Sharma recommended several resources, including the Cleveland Clinic, Mayo Clinic, Harvard Health, and WebMD, as well as YouTube channels featuring yoga for sciatica.
If you have questions or need additional guidance, you can reach out to Dr. Manoj Sharma at editor@indiacurrents.com.
*Names have been changed upon request.