When does sciatica become an emergency?

Answered by Robert Flynn

When it comes to sciatica, it’s important to know when it becomes an emergency and requires immediate medical attention. While most cases of sciatica can be managed with conservative treatments, there are certain symptoms that should not be ignored as they could indicate a more serious underlying problem.

One such symptom is experiencing severe pain on both sides of your hip. This could be a sign of a condition called cauda equina syndrome, which occurs when the nerves at the bottom of the spinal cord become compressed. Cauda equina syndrome is a medical emergency and requires immediate attention as it can lead to permanent nerve damage if not treated promptly.

Another concerning symptom is weakness or numbness in your legs or genitals. This can also be a sign of cauda equina syndrome or another serious condition such as spinal cord compression. If you notice a sudden loss of strength or sensation in these areas, it’s important to seek medical help right away.

Difficulty urinating or defecating is another red flag symptom. If you suddenly experience trouble with urination or bowel movements, it could be a sign of cauda equina syndrome or other conditions affecting the nerves in your lower back. This should not be ignored and should be evaluated by a healthcare professional immediately.

It’s worth noting that these symptoms are not common in most cases of sciatica. The majority of people with sciatica will experience pain, tingling, or numbness that radiates down the buttock and leg on one side. This can often be managed with rest, pain medication, physical therapy, and other conservative treatments. However, if you experience any of the aforementioned symptoms, it’s crucial to seek medical attention promptly.

While sciatica is often a manageable condition, there are certain symptoms that should not be overlooked. Severe pain on both sides of the hip, weakness or numbness in the legs or genitals, and sudden trouble urinating or defecating are all signs that require immediate medical attention. If you experience any of these symptoms, it’s important to seek medical help right away to determine the underlying cause and receive appropriate treatment.