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Is It Bad to Leave Sciatica Untreated?

Written by Barricaid | Apr 11, 2025 4:00:00 AM

The Risks of Untreated Sciatica

Sciatica is a common condition that affects millions of people worldwide, causing pain that radiates from the lower back down through the legs. While some cases of sciatica may resolve on their own, many people wonder if it is safe to leave this condition untreated. In this article, you will learn about the potential consequences of ignoring sciatica and why seeking timely treatment is crucial for your overall health and wellbeing.

Understanding Sciatica

Before discussing the risks of leaving sciatica untreated, it is essential to understand what this condition entails. Sciatica is not a diagnosis in itself but rather a symptom of an underlying problem. It occurs when the sciatic nerve, which is the longest and widest nerve in the human body, becomes irritated or compressed.

The sciatic nerve runs from the lower back, through the buttocks, and down the legs, ending just below the knee. When this nerve is affected, it can cause a range of symptoms, including:

  • Pain in the lower back, buttocks, and legs
  • Numbness or tingling sensations
  • Muscle weakness in the affected leg
  • Burning or shooting pain down the leg

Causes of Sciatica

  • Herniated or bulging discs - A disc pressing on the sciatic nerve can trigger pain and inflammation.
  • Spinal stenosis - Narrowing of the spinal canal can put pressure on the nerve.
  • Degenerative disc disease - Age-related wear and tear can lead to sciatica symptoms.
  • Piriformis syndrome - A muscle spasm in the buttocks can irritate the sciatic nerve.
  • Trauma or injury - Accidents or falls can contribute to nerve compression.

The Dangers of Untreated Sciatica

While some mild cases of sciatica may improve on their own within a few weeks, leaving more severe or persistent cases untreated can lead to serious complications. Here are some of the potential risks associated with ignoring sciatica:

Increased pain and discomfort

One of the most immediate consequences of untreated sciatica is the escalation of pain and discomfort. What may start as a mild irritation can quickly develop into severe chronic pain that significantly impacts your quality of life. This increased pain can make it challenging to perform daily activities, affect your sleep, and even lead to emotional distress.

Permanent nerve damage

Perhaps the most concerning risk of untreated sciatica is the potential for permanent nerve damage. As the pressure on the sciatic nerve persists, it can lead to irreversible damage to the nerve fibers. This damage can result in chronic pain, numbness, and muscle weakness that may become unresponsive to treatment over time.

Risk of cauda equina syndrome

In rare but severe cases, untreated sciatica can progress to a condition called cauda equina syndrome (CES). This medical emergency occurs when the nerve fibers at the end of the spinal cord become compressed, leading to symptoms such as:

  • Severe lower back pain
  • Loss of bladder or bowel control
  • Numbness in the “saddle” area (around the genitals and buttocks)
  • Sexual dysfunction

CES requires immediate medical attention and can result in permanent paralysis if left untreated.

Muscle weakness and atrophy

Prolonged compression of the sciatic nerve can lead to muscle weakness in the affected leg. Over time, this weakness can progress to muscle atrophy, where the muscles begin to waste away due to lack of use. This can result in difficulty walking, balance problems, and an increased risk of falls.

Chronic pain syndrome

When sciatica is left untreated for an extended period, it can develop into a chronic pain condition. This persistent pain can have far-reaching effects on your physical and mental health, leading to:

  • Depression and anxiety
  • Sleep disturbances
  • Decreased productivity at work
  • Social isolation

Impaired mobility and quality of life

As the pain and associated symptoms of sciatica worsen, your ability to move freely and engage in regular activities may become severely limited. This can have a profound impact on your overall quality of life, affecting everything from your work performance to your personal relationships.

The Importance of Early Intervention

Given the potential risks associated with untreated sciatica, it is clear that early intervention is crucial. Seeking prompt medical attention when you experience symptoms of sciatica can help prevent the condition from worsening and reduce the likelihood of long-term complications. If you wait to seek treatment until you are in the last stages of sciatica, persistent pain and discomfort may require more aggressive treatment approaches.

Diagnosis and Treatment Options

When you consult a healthcare professional about your sciatica symptoms, they will typically perform a thorough examination and may order imaging tests such as X-rays or MRI scans to determine the underlying cause of your pain.

Once diagnosed, there are several treatment options available for sciatica, ranging from conservative approaches to more invasive interventions.

Conservative treatments

  • Physical therapy - A physical therapist can teach you exercises to strengthen your core and back muscles, increase flexibility, and reduce pressure on the sciatic nerve.
  • Medications - Over-the-counter pain relievers and anti-inflammatory drugs can help you manage pain and reduce inflammation. In some cases, prescription medications may be necessary.
  • Hot and cold therapy - Alternating between heat and ice can reduce inflammation and promote healing.
  • Stretching and exercise - Gentle stretching and low-impact exercises like walking or swimming can alleviate sciatica symptoms.

Advanced treatments

  • Epidural steroid injections - These injections can provide temporary relief by reducing inflammation around the affected nerve.
  • Chiropractic care - Spinal adjustments may relieve pressure on the sciatic nerve.
  • Acupuncture - Some people find relief through this traditional Chinese medicine technique.

Surgical options

In cases where conservative treatments fail to provide relief, or if there is severe nerve compression, surgery may be recommended. Common surgical procedures for sciatica include:

  • Microdiscectomy - This minimally invasive procedure removes the portion of a herniated disc that is pressing on the nerve.
  • Laminectomy - This surgery involves removing a portion of the vertebral bone to create more space for the compressed nerves.

Prevention and Self-Care

While not all cases of sciatica can be prevented, there are steps you can take to reduce your risk and manage symptoms:

  • Maintain good posture - Practice proper ergonomics at work and home to reduce strain on your back.
  • Exercise regularly - Focus on strengthening your core and back muscles to support your spine.
  • Maintain a healthy weight - Excess weight can put additional stress on your spine and increase the risk of sciatica.
  • Use proper lifting techniques - Bend at your knees and keep your back straight when lifting heavy objects.
  • Stay active - Regular movement can prevent stiffness and promote healing.

Leaving sciatica untreated is not only bad but potentially dangerous. The risks range from increased pain and discomfort to permanent nerve damage and severe complications like cauda equina syndrome. While some mild cases may resolve on their own, it is crucial to seek medical attention if your symptoms persist or worsen over time.

Early intervention and appropriate treatment can significantly increase your chances of recovery and prevent long-term complications. By understanding the potential risks and taking proactive steps to manage your sciatica, you can protect your health and maintain your quality of life.

Your health is your most valuable asset. Do not ignore the warning signs your body is giving you. If you are experiencing symptoms of sciatica, consult with a healthcare professional to develop a treatment plan tailored to your needs. With the right approach, you can find relief from sciatica and prevent it from becoming a chronic, debilitating condition.

Patients who have had discectomies for herniated discs may experience sciatica if their discs reherniate, which often occurs if there is a large hole in the outer ring of the disc after surgery. Fortunately, there is a new treatment shown to reduce the risk of reherniation by closing the hole in the disc after a discectomy. This treatment is done immediately following the discectomy—during the same operation—and does not require any additional incisions or time in the hospital. Barricaid was proven 95 percent effective in a study of more than 500 patients, meaning 95 percent of patients did not experience a reoperation due to reherniation in the two-year study time frame.

If you have any questions about the Barricaid treatment, ask your doctor or contact us today.

For full benefit/risk information, please visit: https://www.barricaid.com/instructions.