Sciatica is a radiculopathy, which is irritation of the nerve as it exits the spine and is typically caused by compression/pinching along the nerve’s path. Most sciatica cases improve within a few weeks of the injury incident. Left untreated, it can become chronic sciatica and can have long-term repercussions and effects. A herniated disc is the most common cause if it bulges next to the nerve; it can pinch off the nerve or leak fluid onto the nerve, causing inflammation, swelling, pain, numbness, and weakness. Another common cause is spinal stenosis. As the body ages, the canal through which the nerve and spinal cord run can begin to narrow, placing pressure on the nerves. Then there are muscle spasms, spinal fractures, and spinal cancer. Anything that changes the curvature of the spine, including pregnancy, can cause sciatica.
Repercussions From Sciatica
The repercussions can vary or be a combination that includes:
The pain can be anywhere along the nerve; typically, it travels from the lower spine through the buttocks, down the back of the leg, and into the foot.
- The condition can cause various types of pain: Burning, electrical, or shooting pain in the low back.
- Symptoms can come and go and may present only when sitting, standing, lying, or engaged in a particular activity.
- The severity of the pain can vary from mild to severe, mildly uncomfortable, to limiting function.
- When the body experiences chronic pain in a localized area, the body’s natural reaction is to avoid placing pressure, twisting or bending, or using a specific body part, manipulating healthy posture or walking gait to protect the low back or legs from pain.
- This is referred to as muscle/posture guarding, which removes pressure from the site but alters the body’s natural alignment, affecting the spine’s characteristics and causing adverse side effects, like upper back and neck pain, headaches, and fatigue.
- Unhealthy and awkward postures can negatively affect digestion, organ function, and breathing.
Loss of Balance
- Sciatica commonly causes numbness and tingling in the leg, calf, foot, and toes.
- The hidden danger behind numbness; it alters the body’s proprioception or awareness of its position.
- When proprioception becomes inhibited or altered, communication signals from the body to the brain/vice versa get jumbled/interrupted, confusing the brain, throwing the body off balance.
- This can result in falling injuries.
Numbness or Weakness
- Sciatica is more problematic if the pain comes with neurological symptoms like numbness, muscle, or leg weakness.
- This means there is an increased level of possible nerve damage if muscular weakness, which requires aggressive treatment.
- Depending on where the nerve is compressed, pain and numbness can affect the lower leg area and feet.
- Damage to the nerve can cause the inability to flex the foot up.
- The knee-jerk reflex, known as the patellar reflex, is the kicking motion of the lower leg when tapped on the patellar tendon.
- Sciatica can numb the area, causing a delayed reaction or severe unresponsiveness to stimulation.
Permanent Nerve Damage
- If left untreated, neurological symptoms like numbness and leg weakness can progress to permanent nerve damage.
- However, this happens rarely but explains the importance of taking the injury seriously so full recovery is achievable.
Non-Surgical Sciatica Relief
Spinal Decompression Effective Long-Term Solution
Berry, James A et al. “A Review of Lumbar Radiculopathy, Diagnosis, and Treatment.” Cureus vol. 11,10 e5934. Oct 17 2019, doi:10.7759/cureus.5934
Davis D, Maini K, Vasudevan A. Sciatica. [Updated 2022 Feb 4]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK507908/
Giuffre BA, Jeanmonod R. Anatomy, Sciatic Nerve. [Updated 2021 Jul 29]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK482431/
Nori, Subhadra L. and Michael F. Stretanski. “Foot Drop.” StatPearls, StatPearls Publishing, Dec 15, 2021.
The information herein on "Sciatica Repercussions Long Term" is not intended to replace a one-on-one relationship with a qualified health care professional, or licensed physician, and is not medical advice. We encourage you to make your own healthcare decisions based on your research and partnership with a qualified healthcare professional.
Our information scope is limited to Chiropractic, musculoskeletal, physical medicines, wellness, contributing etiological viscerosomatic disturbances within clinical presentations, associated somatovisceral reflex clinical dynamics, subluxation complexes, sensitive health issues, and/or functional medicine articles, topics, and discussions.
We provide and present clinical collaboration with specialists from a wide array of disciplines. Each specialist is governed by their professional scope of practice and their jurisdiction of licensure. We use functional health & wellness protocols to treat and support care for the injuries or disorders of the musculoskeletal system.
Our videos, posts, topics, subjects, and insights cover clinical matters, issues, and topics that relate to and support, directly or indirectly, our clinical scope of practice.*
Our office has made a reasonable attempt to provide supportive citations and has identified the relevant research study or studies supporting our posts. We provide copies of supporting research studies available to regulatory boards and the public upon request.
We understand that we cover matters that require an additional explanation of how it may assist in a particular care plan or treatment protocol; therefore, to further discuss the subject matter above, please feel free to ask Dr. Alex Jimenez DC or contact us at 915-850-0900.
We are here to help you and your family.
Dr. Alex Jimenez DC, MSACP, CIFM*, IFMCP*, ATN*, CCST
My Digital Business Card