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I came across many patients complaining sciatica. They learned their problem from their therapists and have a long treatment for it but without success. What is sciatica and why it haunts some often and so hard to get rid of?

In pubmed it refers to “pain, weakness, numbness, or tingling in the leg. It is caused by injury to or pressure on the sciatic nerve. Sciatica is a symptom of another medical problem, not a medical condition on its own”. It is clear that it is not a disorder, but a symptom of other disorders. Thus, treatments that target on sciatica deem to fail.

The most common cause of sciatica pain are prolapsed inter-vertebral disc and spondylolisthesis in the lower back and piriformis muscle injury at the gluteal region. The treatments for these disorders are totally different. A correct diagnoses thus dominate the success of any treatment to sciatica.