Info
A. Anatomic
- Muscular
- Nerve compression (pain, paresthesias, sensory loss, weakness, incontinence)
- Skeletal
- Degenerative Joint Disease
- Slipped Disk (esthesia)
- Fracture (vertebral): body, spinous / transverse process, pars interarticularis
B. Inflammatory
- Osteomyelitis (blood cultures should be obtained especially in elderly patients)
- Nonbony Infection: Soft Tissue Abscess, Pyelonephritis, Pyomyositis
- Neoplastic Infiltration
- Hyperplastic Bone Marrow - including sickle cell disease, myeloproliferative disease
- Spondyloarthropathy, especially ankylosing spondylitis
- Scleroderma
C. True Sciatica
- Increased pain on straight leg raise, radiating down back of leg to foot (heal)
- Sensory decrease or loss in dermatomal distribution
- Herniated nucleus pulposus
- Lateral or foraminal stenosis
- Intraspinal mass - tumor or infection
- Piriformis syndrome - buttock and leg pain, low back pain
- Lumbar canal stenosis
D. Pseudosciatica
- Osteoarthritis - hip disease
- Trochanteric bursitis
- Meralgia paresthetica
- Diabetic amyotrophy
- Vascular Claudication - pseudoclaudication
- Malingering