Epistemis

Sciatica (radicular pain)

Specialty: Neurology.

  • sciatica
  • pain down the leg
  • lumbosciatica

Why it occurs

  • Lumbar disc herniation
  • Foraminal stenosis
  • Spondylolisthesis

Initial workup

Examination (Lasègue, strength, reflexes); MRI only for red flags or refractory symptoms.

red flags

Saddle anesthesia, urinary retention or progressive motor deficit → cauda equina.

Standard management

  • Analgesia (NSAID/paracetamol) — early mobilization
  • Neuromodulator — yes neuropathic pain

Educational guidance for study. It is NOT a prescription recommendation. The actual choice depends on the cause, the patient, and current guidelines.

PreviousHeadache
Area
Neurology
Listed causes
3
Treatment options
2
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