Sciatica Secondary to a Herniated Disc CAT Flashcards
1
Q
What is sciatica?
A
- Compression of the sciatic nerve (L4, L5, S1-S3) secondary to a herniated disk, tumor, infection, spondylolisthesis, stenosis, or blood clots
2
Q
What structures are involved w/ herniated disc-genic sciatica?
A
Posterolateral bulge of the nucleus pulposus
3
Q
Contributing factors to herniation and subsequent sciatica
A
- Natural aging process
- Herniated discs are most often seen in 40-60 years
4
Q
Clinical presentation for sciatica
A
- LBP and gluteal pain
- Pain radiates down the back of the thigh along sciatic distribution
- Pain can be dull, aching, or sharp
- Intermittent N/T in dermatome
- TTP at level of herniation
5
Q
Labs/imaging for sciatica
A
- X-ray
- CT
- MRI
6
Q
Common aggravating factors w/ sciatica
A
- Sitting
- Lifting
- Forward bending
- Twisting
7
Q
PT management of sciatica
A
- Pt education on positioning and biomechanics
- Traction
- Heat
- Lumbar stabilization
- McKenzie
- Stretching
- Endurance activities
8
Q
Good activities for sciatica
A
- Swimming
- Stationary bike
- Walking
ALL W/IN TOLERANCE
9
Q
Bad activities for sciatica
A
- Lifting
- Squatting
- Climbing
10
Q
Timeline for healing w/ sciatica
A
- 2-4 months
- Spontaneous healing often occurs w/ conservative treatment
