Can sciatica still hurt after a year?

Answered by Tom Adger

Sciatica can still cause pain and discomfort even after a year. While many cases of sciatica resolve on their own within a few weeks or months, there is a subset of individuals who continue to experience symptoms for a prolonged period. In fact, studies suggest that about 30 percent of people with sciatica still have noticeable symptoms after one year.

The reasons why some individuals develop chronic sciatica while others do not are not always clear. It is likely that a combination of factors contributes to the development of chronic symptoms. One possible explanation is that the underlying cause of the sciatica, such as a herniated disc or spinal stenosis, has not been adequately addressed or treated. In such cases, the persistent pressure or irritation on the sciatic nerve can lead to ongoing pain and discomfort.

Improper lifting techniques can also increase the risk of developing chronic sciatica. When lifting heavy objects, it is important to use proper body mechanics to minimize strain on the spine and nerves. Failure to do so can result in injury and subsequent chronic pain.

Additionally, leading a sedentary lifestyle without engaging in regular moderate-intensity physical activity may contribute to the persistence of sciatica symptoms. Exercise has been shown to have numerous benefits for individuals with sciatica, including reducing inflammation, improving flexibility, and strengthening the muscles that support the spine. Lack of physical activity can lead to muscle weakness and imbalances, which can exacerbate sciatic nerve irritation and prolong symptoms.

It is worth noting that each individual’s experience with sciatica is unique, and what works for one person may not work for another. Treatment approaches for chronic sciatica typically involve a combination of conservative measures such as pain medications, physical therapy, and lifestyle modifications. In some cases, more invasive interventions like epidural steroid injections or surgery may be considered.

While many cases of sciatica resolve within a few weeks or months, about 30 percent of individuals continue to experience symptoms after a year. Risk factors for chronic sciatica include improper lifting techniques and a sedentary lifestyle. Proper treatment and management, including addressing the underlying cause and engaging in regular physical activity, are important for reducing the risk of chronic symptoms.