Is sciatic pain bilateral?

Sciatic pain usually occurs on only one side. Where it is experienced in both legs it is referred to as bilateral sciatic and may suggest that the sciatic nerve is being affected in more than one location – perhaps due to damage to more than one disc in the spine.

Can sciatica cause bilateral leg pain?

Bilateral sciatica is when both ends of the sciatic nerve are pinched. This results in pain and symptoms occurring in both legs and buttocks at once. It’s a rarer form of sciatica, and the pain in one leg can be worse than in the other.

Can piriformis syndrome be bilateral?

Bilateral piriformis syndrome is very uncommon. In the literature, bilateral cases were reported as cadaver studies, anatomic variations of gluteal region or complications developing after hip surgery [3], [4], [5], [6].

Can you get sciatica in both legs?

Sciatica usually affects only one leg at a time. However, it’s possible for sciatica to occur in both legs. It’s simply a matter of where the nerve is being pinched along the spinal column.

Is bilateral sciatica a red flag?

Bilateral sciatica is a red flag symptom of cauda equina syndrome.

What does bilateral sciatica feel like?

Sciatica from the L5 nerve root may cause: Pain in the buttock and the outer (lateral) part of the thigh and leg. Loss of sensation in the area of skin in between and over the great toe and the second toe. Weakness in the buttock and leg muscles.

What causes piriformis to flare up?

Overuse or repetitive movements, such as occur with long-distance walking, running, cycling, or rowing can lead to inflammation, spasm, and hypertrophy (enlargement) of the piriformis muscle.

How do you treat sciatica in both legs?

Alternating heat and ice therapy can provide immediate relief of sciatic nerve pain. Ice can help reduce inflammation, while heat encourages blood flow to the painful area (which speeds healing). Heat and ice may also help ease painful muscle spasms that often accompany sciatica.

Is bilateral sciatica an emergency?

Acting on bilateral sciatica Cauda equina syndrome is a medical emergency because the nerves can become irreversibly damaged within days. Decompression surgery is therefore required as a matter of urgency. A patient must be asked about the history of their symptoms.

Is sciatica a lifelong condition?

Acute sciatica may eventually turn into chronic sciatica. This means the pain exists pretty regularly. Chronic sciatica is a life-long condition. It doesn’t currently respond well to treatment, but the pain from chronic sciatica is often less severe than the acute form.

Is it possible to have bilateral sciatica pain?

Bilateral sciatica, although not a common occurrence, can pose serious and permanent harm if not recognized early and treated promptly. But, first we must recognize what sciatica really is. Sciatica is a condition where the sciatica nerve or one or more of it’s roots are compressed resulting in symptoms such as: Pain.

What are the symptoms of bilateral sciatic nerve herniation?

There may also be multiple disc herniation at separate levels of the lumbar spine that will compress different sciatic nerve roots. When bilateral sciatica is present the symptoms will be noticed in both legs with varying degrees of intensity or character.

What does it mean to have sciatica in both legs?

Bilateral Sciatica in Both Legs. Bilateral sciatica is less prevalent than unilateral sciatic nerve pain. Bilateral means that symptoms are experienced on both sides of the body, although the patterns may differ from side to side.

What causes bilateral sciatica in the posterior arch?

What Causes Bilateral Sciatica. When it does occur it is often due to a large central disc herniation that compresses the nerve roots between the disc and the posterior arch a vertebra. There may also be multiple disc herniation at separate levels of the lumbar spine that will compress different sciatic nerve roots.