Sciatic nerve dysfunction

Alternative names:

neuropathy - sciatic nerve

Treatment:

Treatment is aimed at maximizing mobility and independence.

The cause should be identified and treated as appropriate. In some cases, no treatment is required and recovery is spontaneous.

If there is no history of trauma to the area, conservative treatment is indicated by sudden onset, minimal sensation changes and no difficulty in movement, and no evidence on testing of degeneration of the nerve axon.

Surgical removal of lesions that press on the nerve may benefit some cases.

control of symptoms:
Over-the-counter or prescription analgesics may be needed to control pain (neuralgia).

Various other medications may reduce the stabbing pains that some persons experience, including phenytoin, carbamazepine, or tricyclic antidepressants such as amitriptyline. Whenever possible, their use should be avoided or minimized to reduce the risk of medication side effects.

Physical therapy exercises may be appropriate for some people to maintain muscle strength.

Orthopedic assistance may maximize the ability to walk. This may include use of braces, splints, orthopedic shoes, or other appliances.

Vocational counseling, occupational therapy, occupational changes, job retraining, or similar interventions may be recommended.

Expectations (prognosis):

If the cause of the sciatic nerve dysfunction can be identified and successfully treated, there is a possibility of full recovery. The extent of disability varies from no disability to partial or complete loss of movement or sensation. Nerve pain may be severe and persist for a prolonged period of time.

Complications:

• partial or complete loss of leg movement
• partial or complete loss of sensation in the leg
• recurrent or unnoticed injury to the leg
• side effects of medications (see the specific medication)

Calling your health care provider:

Call your health care provider if you have symptoms of this disorder.