- Pain that radiates from the back into buttocks and lower extremity distal to knee, with or without sensory or motor deficits:
- 95% sensitive, 88% specific for herniated disc (HD)
- 3–5% lifetime prevalence
- Peaks fourth to fifth decade
- 2–10% of low back pain
- 95% L5 or S1 nerve root
- 90% improve with conservative management
- Radicular symptoms usually resolve within 6 wk
- 5–10% require surgery
- Protrusion of colloidal gel (nucleus pulposus) through weakened surrounding fibrous capsule (annulus fibrosis)
- Risk factors:
- Repetitive lifting/twisting
- Vehicular/machinery vibration
- Sedentary lifestyle
There's more to see -- the rest of this topic is available only to subscribers.
Schaider, Jeffrey J., et al., editors. "Sciatica/herniated Disc." 5-Minute Emergency Consult, 5th ed., Lippincott Williams & Wilkins, 2016. Emergency Central, emergency.unboundmedicine.com/emergency/view/5-Minute_Emergency_Consult/307712/all/Sciatica_herniated_Disc.
Sciatica/herniated Disc. In: Schaider JJJ, Barkin RMR, Hayden SRS, et al, eds. 5-Minute Emergency Consult. Lippincott Williams & Wilkins; 2016. https://emergency.unboundmedicine.com/emergency/view/5-Minute_Emergency_Consult/307712/all/Sciatica_herniated_Disc. Accessed June 2, 2023.
Sciatica/herniated Disc. (2016). In Schaider, J. J., Barkin, R. M., Hayden, S. R., Wolfe, R. E., Barkin, A. Z., Shayne, P., & Rosen, P. (Eds.), 5-Minute Emergency Consult (5th ed.). Lippincott Williams & Wilkins. https://emergency.unboundmedicine.com/emergency/view/5-Minute_Emergency_Consult/307712/all/Sciatica_herniated_Disc
Sciatica/herniated Disc [Internet]. In: Schaider JJJ, Barkin RMR, Hayden SRS, Wolfe RER, Barkin AZA, Shayne PP, Rosen PP, editors. 5-Minute Emergency Consult. Lippincott Williams & Wilkins; 2016. [cited 2023 June 02]. Available from: https://emergency.unboundmedicine.com/emergency/view/5-Minute_Emergency_Consult/307712/all/Sciatica_herniated_Disc.
* Article titles in AMA citation format should be in sentence-case
TY - ELEC T1 - Sciatica/herniated Disc ID - 307712 ED - Barkin,Adam Z, ED - Shayne,Philip, ED - Rosen,Peter, ED - Schaider,Jeffrey J, ED - Barkin,Roger M, ED - Hayden,Stephen R, ED - Wolfe,Richard E, BT - 5-Minute Emergency Consult UR - https://emergency.unboundmedicine.com/emergency/view/5-Minute_Emergency_Consult/307712/all/Sciatica_herniated_Disc PB - Lippincott Williams & Wilkins ET - 5 DB - Emergency Central DP - Unbound Medicine ER -