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Sciatica Pain - Know More About It

Written and reviewed by
Dr. Amod Manocha 92% (19 ratings)
Fellow of Faculty of Pain Medicine (FFPMRCA), Fellowship of the Royal College of Anaesthetists (FRCA), Post Gradate Certificate in Musculoskeletal Ultrasound, European Diploma in Regional Anaesthesia and Acute Pain Management, Diploma in Anesthesia, MBBS Bachelor of Medicine and Bachelor of Surgery
Pain Management Specialist, Delhi  •  21 years experience
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Hi,

I am Dr. Amod Manocha, Pain Management Specialist. Maine last video mein jodon se uthne vale dard ke baare mein baat kari thi. Aaj hum ek aur dard ke baare mein baat karenge jo reed ki haddi se uth sakta hai. Common language mein ise sciatica kaha jaata hai. Bohut baar ye galat sense mein istemal kiya jaata hai. Aaj hum iske baare mein detail mein baat karenge. Ye ek symptom hai jaise peat dard. Bohut log ise diagnosis samjhate hain. Peat dard kideny mein pathri, liver ki problem, aanton ki problem ki vajah se ho sakta hai. Ye sare symptoms hain. Vaise hi sciatica bhi ek symptom hai jo bohut karanon se ho sakta hai. Sabse common karan hai ki agar spine mein koi disc bulge kar rahi ho aur kisi nerve pe dabav daal rahi ho toh uska dard paanv ki taraf jaata hai and use hum sciatica kehte hain. Uske aur bhi bohut sare karan ho sakte hain. Ye aap ka diagnosis nahi hai, symptom hai. Sciatica ek khaas tarah ka dard hota hai jo peat se and buttock area se uthta hai and niche paanv ki taraf jaata hai. Generally, ye dard jalan ya fir jhanjhanahat ki tarah ya bijali ke jhatake ki tarah describe kiya jaata hai.

Aur dard ke sath sath paanv mein sun pana bhi aa sakti hai. Tingling bhi ho sakti hai. Uske alawa paanv mein kamjoori bhi aa sakti hai. Aur in sab ka karan jaruri nahi hai ki aap ke paanv mein ho, spine mein bhi ye ho sakta hai ya spine ke bahar bhi ho sakta hai. Kuch aise bhi signs hain jiska ache se janna aap ke liya jaruri hai. Agar aise dard ke sath mein aap ke urine ya stool ke control mein problem aa raha hai toh aise dard ko ignore na karein. Koi lamba bukhar ho aise symptom ke sath mein ya aap ke vajan mein kami aa rahi ho ya aap ke paanv mein sun panna badh raha ho, toh ye saare warning signs hain. Koi serious problem bhi aap ko ho sakti hai. Isko ignore na karein. Specialist se suggestion lein and treatment karayein. Ye ho gaye sciatica ke warning signs. Ab ye problem kyun hoti hai? Iska ek karan ye bhi hai ki agar spine mein se disc apni jagah se hil jaye, jise hum slip disc bhi kehte hain, toh ye dard peath mein bhi ho sakta hai, paanv mein bhi ho sakta hai and ye dard jyada preshan karta hai. Spine alag alag haddiyon se banta hai. Ek ke upar ek lagi hai. Har 2 haddiyon ke bich mein disc hai. Ismein nerves bhi hoti hain. Ye sharir ke khaas hisse mein jayengi har level se nikal ke. Agar ye disc piche ki taraf jayegi toh ye jo nason ki jagah hai, usko kam kar deti hai aur bahar se nikali nerves pe dabav dalegi.

Disc ke alawa aur bhi bohut sare karan hain jinki vajah se ye dard uth sakta hai. Spine ki haddiyon ki alignment agar change ho jaye toh nason pe jyada dabav pad sakta hai. Uske alawa piche joints mein arthritis aa jaye toh ye bhi jagah ko kam kar sakte hain. Uske alawa koi fracture hona, koi chot lagna, in sab ki vajaha se bhi preshani aa sakti hai. Jaruri nahi hai ki sciatica ka karan spine ke andar hi ho, spine ke bahar ya fir operation hone ki vajha se ya koi muscle jyada dabav daale toh unki vajha se preshani aa sakti hai. Toh sciatica ka asli kya karan hai. Isko janne ke liya hum spine ka MRI scan karate hain. X-ray bhi karaya jaata hai lekin humein us se detail nahi milti. MRI scan behatar information deta hai diagnosis ko banne ke liya. Uske alawa bohut log puchte hain ki kya ye apne aap thik ho sakta hai? Han, ye apne aap thik ho sakta hai. Jayadatar logon mein improvement aane ka chance hai.

Changes aayenge ya nahi, ye keh pana mushkil hai, depend karta hai individual case to case. But aap ise bich mein na chorien kyuki treatment mushkil ho jayega. Jab ye shuru ho tab hi specialist se milen. treatment aap ki healing mein bhi aap ki help karega. Ab iske liya kya treatment kiya jaata hai? Iske liya pain-killers hote hain jise hum neuropathic pain medications kehte hain. Ye medicines nerves pe kaam karti hai aur use control karne mein madad karti hai. Iske alawa hum sath mein physiotherapy bhi karte hain. Kisi kisi ko surgery ki jarurat padti hai. Kafi logon ko injection se aram aata hai. injection ke process mein hum spine ko x-ray mein dekhte hain aur sahi jagha pe medicine di jaati hai. Ye day case ki tarah kiya jaata hai. Koi behoshi ki jarurat nahi hoti hai. Kafi logon ko is se achi rahat milti hai. Isliya aap is problem ko ignore na karein. Specialist se milein and sahi treatment karayein. Ignore karna achi baat nahi hai.

Thanks!

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