Spinal arthritis - also called degenerative joint disease - is the breakdown of the cartilage between the facet joints in the spine, leading to low back pain and/or leg pain. bone spurs (osteophytes), irritated nerves, spinal stenosis, and sciatica. My husband has been diagnosed with sciatica. Is there a relationship with arthritis? Because he also has osteoarthritis in the knees, hands, and. 4 Types of Arthritis That Cause Sacroiliac Joint Pain Pain in the lower back, buttocks, hips, and/or groin; Pain that radiates down the legs (similar to sciatica).
Trauma Sciatica can result from direct nerve compression caused by external forces to the lumbar or sacral spinal nerve roots. Examples include motor vehicle accidents, falling down, football and other sports. The impact may injure the nerves or, occasionally, fragments of broken bone may compress the nerves. Common Sciatica Cause 5: Piriformis Syndrome Piriformis syndrome is named for the piriformis muscle and the pain caused when the muscle irritates the sciatic nerve.
The piriformis muscle is located in the lower part of the spine, connects to the thighbone, and assists in hip rotation. The sciatic nerve runs beneath the piriformis muscle. Piriformis syndrome develops when muscle spasms develop in the piriformis muscle thereby compressing the sciatic nerve. It may be difficult to diagnose and treat due to the lack of x-ray or magnetic resonance imaging MRI findings. Common Sciatica Cause 6: Spinal Tumors Spinal tumors are abnormal growths that are either benign or cancerous malignant.
Fortunately, spinal tumors are rare. However, when a spinal tumor develops in the lumbar region, there is a risk for sciatica to develop as a result of nerve compression.
If you think you have sciatica, call your doctor. The first step toward relieving pain is a proper diagnosis. Commentary by Brian R. We generally use sciatica to describe pain that radiates along the path of this nerve from back to buttock and leg.
The discomfort can be minimal or disabling, and maybe accompanied by tingling, numbness, or obvious muscle weakness. Sciatica isactually a symptom of an underlying problem, some of which were outlined above.
Relationship Between Sciatica and Arthritis?
Sciatic pain generally improves within approximately 4 to 6 weeks. Weakness and numbness may take longer to resolve.
The nerve roots exit the spinal canal and combine to form a plexus a braid of nerves so to speakfrom which the actual nerves to the extremities are formed. The nerve roots of the lumbar spine form the lumbar plexus, from which the sciatic nerve originates. Osteoarthritis can involve the spine in several ways. In the lumbar spine, osteophytes bone spurs may form at the vertebrae, at the facet joints on each side of the spine, and even inside the spinal canal.
The last two kinds of osteophytes can cause narrowing spinal stenosispress on the nerve roots, and cause sciatica. The discs are structures between the bones of the spine vertebraeknown in medical lingo as "intervertebral discs. The outer portion of the disc is made of firm connective tissue, and the center is soft like a gel. With age, starting at about 25 to 30 years, cracks may form in the firm portion of the disc the annulus fibrosusthat, with a sudden or forceful spine motion may allow the soft center nucleus pulposus to push through the crack.
Why is sciatica sometimes mistaken for osteoarthritis?
This is called a disc herniation or prolapse. Disc herniation tends to occur in younger persons. It often gets better with brief rest and back and abdominal exercises, but sometimes requires surgical removal of the herniated part.
The surgery can be done through small incisions arthroscopicallyso that the recovery time is shorter than with traditional surgery.
Spondylolisthesis literally means "vertebral slippage" and can happen at any age. It may be caused by a defect in the back of the vertebral bone or by hairline fractures that create instability in that area of the spine.
With added stress injury, excessive weight gainone vertebra slips over the other and can press on nerve roots.
Leading Causes of Sciatic Nerve Pain
Piriformis is a muscle of the buttock that lies over the sciatic nerve. Any irritation, inflammation, or injury to the piriformis, from prolonged sitting, running, walking, or falls, can affect the sciatic nerve and cause sciatica.
If only the piriformis muscle is affected piriformis syndromethe pain starts in the buttock and runs on the back of the thigh, but does not go beyond the knee. Injuries and tumors of the lumbar spine, the sciatic nerve, and its vicinity can cause sciatica, too.
Relationship Between Sciatica and Arthritis? - Arthritis Center - Everyday Health
The general principles of sciatica treatment are topical cold compresses or heat whichever works. Usually in the acute phase of symptoms cold compresses on the affected buttock for ten to 15 minutes, three to four times a day seem to work best. Gel packs can be placed in the refrigerator and used wrapped in a soft towel, or a bag of frozen peas, wrapped in the same way. Heat warm compresses may be preferred by some patients, especially if used a couple of days after the initial acute episode.
Simple over-the-counter painkillers -- analgesics like acetaminophen Tylenolor nonsteroidal anti-inflammatory drugs NSAIDs like Advil or Aleve -— may be used, as long as steps are taken to protect the stomach with the last two. Taking these medications with food or antacids or with certain prescription drugs omeprazole, lansoprazole, esomeprazol, etc. If the above do not bring control of paincertain prescription drugs may be tried: If a narcotic drug is used codeine, hydrocodone, etc.
- 6 Leading Causes of Sciatica
All opiates cause constipationwhich should be prevented by drinking plenty of water, eating salads, fruits and vegetablesand fiber cereal, dark bread, psyllium. Regular activitywalkingand physical therapy with a home program of stretching and strengthening of affected muscles is very important, as is good posture.
If the above fail, injections of steroid cortisone-like medicine in certain areas of the spine epidural or facet joint injections, under X-ray or CAT scan or near the piriformis muscle, may help.