If the sciatic nerve gets trapped or inflamed anywhere along this route, you may feel pain. This is called sciatica. There are several ways that a low back injury may press on the sciatic nerve and cause sciatica. Two common reasons are a herniated disk and spinal stenosis (narrowing of the spinal canal).
Sciatica can also result from a sudden injury. For example, if a buttocks muscle is injured from running too hard or lifting too many weights, it may swell or tighten and put pressure on the sciatic nerve causing pain.
Sciatica causes pain anywhere along the route that the sciatic nerve travels (your buttocks, the back of your thigh, the back of your calf, and even your foot). The sensation may be only a slight tingling or dull ache or it may be severe enough to decrease your ability to move. Sciatica almost always affects one leg or the other. Sometimes, however, you may have symptoms in both legs.
Common causes of sciatica include:
- Piriformis syndrome (a pain disorder involving the narrow piriformis muscle in the buttocks)
- Slipped disk
- Degenerative disk disease
- Spinal stenosis
- Pelvic injury or fracture
- Tumors
The pain most often occurs on one side. Some people have sharp pain in one part of the leg or hip and numbness in other parts. The sensations may also be felt on the back of the calf or on the sole of the foot. The affected leg may feel weak.
The pain often starts slowly. Sciatica pain may get worse:
- After standing or sitting
- At night
- When sneezing, coughing, or laughing
- When bending backwards or walking more than a few yards, especially if caused by spinal stenosis
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