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Sciatica

If you have ever felt a sharp, shooting pain that runs from your lower back down one or both legs, you may be dealing with sciatica. Sciatica is one of the most common causes of leg pain and can make everyday activities, such as sitting, standing, walking or bending, uncomfortable or even painful. 

At Banner Health, we provide comprehensive care for sciatica, from identifying the cause to helping you find lasting relief. Learn what causes sciatica, the symptoms to watch for, who is at risk and ways to prevent flare-ups. 

What is sciatica?

Sciatica is not a disease. It’s a symptom of an underlying problem affecting your lower back and the nerves that leave your back. Sciatica refers to pain, numbness or tingling that travels along the sciatic nerve, usually caused by irritation or compression of the nerve in the lower spine. 

The sciatic nerve is the largest and longest nerve in the body. It starts in your lower back, where nerves join together. These nerves meet between the muscles of your buttock to form the sciatic nerve. From there, it runs down each leg and splits into smaller branches along the way. 

The sciatic nerve carries signals between your brain and legs, including pain, temperature and other sensations. When it is irritated or compressed (pressed), it can cause discomfort, from a mild ache to sharp, burning pain, as well as numbness and tingling.

Sciatica usually affects one side of the body. Some people feel pain in the lower back, while others notice it mainly in the buttock, thigh or calf. However, it can affect both legs, which is called bilateral sciatica.

To learn how health care specialists diagnose sciatica and find its cause, visit our page on how sciatica is diagnosed

What does sciatica pain feel like?

Sciatica pain is often described as:

  • Sharp or electric
  • Burning
  • Shooting down the leg
  • Worse when sitting
  • Improved when lying down
  • Pain can range from mild discomfort to severe, disabling pain

Common symptoms of sciatica

Sciatica can feel different for everyone, but common signs include:

  • Shooting pain in the leg: Often described as sharp, electric or burning
  • Numbness or tingling: Pins-and-needles feeling in the leg or foot
  • Muscle weakness: Legs or feet may feel heavy or unstable, or you may lose the ability to perform certain movements
  • Pain that worsens with certain movements: Bending forward, standing up or twisting

Pain may start slowly and get worse over time, or it may occur suddenly. Some people have it every day, while others have occasional flare-ups. Some people may also notice worsening pain when coughing, sneezing or straining.

For tips on relieving pain, see our page on sciatica relief and treatment options

What causes sciatica?

Sciatica is a syndrome, not a specific disease. It usually happens when something presses on or irritates the sciatic nerve. 

Common causes of sciatica include:

  • Herniated or slipped disk: A spinal disk (intervertebral disc) bulges and presses on a nerve
  • Bone spurs: Small growths on the spine that pinch the nerve
  • Spinal stenosis: Narrowing of the spinal canal or the nerve pathways, often from aging
  • Pregnancy: Weight gain and posture changes can strain the lower back and increase stress on the joints, causing compression of the nerves

Other triggers include piriformis syndrome, sacroiliitis, bone or muscle injuries or, in rare cases, tumors. Problems in the spine can make symptoms worse or cause long-term pain if untreated. 

Who is most at risk for sciatica?

Anyone can get sciatica, but some people are at higher risk. 

Risk factors for sciatica include:

  • Age: People over 40 are more likely to experience degenerative spinal changes.
  • Weight: Extra weight puts more stress on the spine.
  • Sedentary lifestyle: Sitting for long periods can weaken muscles that support your back.
  • Diabetes: This condition increases the risk of nerve problems.
  • Smoking: Nicotine use has been shown to accelerate degenerative changes in the spine.

Jobs or habits that involve heavy lifting, twisting or long periods of sitting can also raise your risk.

When should you see a doctor for sciatica?

See a health care provider if:

  • Pain lasts longer than a few weeks
  • Pain is severe or worsening
  • You develop weakness in the leg or foot
  • You have numbness in the groin area
  • You lose control of bladder and bowel function

Loss of bladder or bowel control may be a sign of cauda equina syndrome, a rare but serious condition that requires emergency care.

How to prevent sciatica or reduce flare-ups

You may not be able to prevent sciatica completely, but these steps can help reduce flare-ups: 

  • Stay active and exercise regularly 
  • Lift safely 
  • Maintain good posture 
  • Maintain a healthy weight 
  • Avoid smoking 

For medications, physical therapy and other treatment options, see our sciatica relief and treatment page. 

How long does sciatica last? 

Sciatica often improves within a few weeks with conservative care. Some cases may last longer, especially if the underlying cause is not treated. Chronic sciatica may require additional therapies or procedures. 

Explore next steps for care

If your pain is severe, ongoing or worsening, schedule an appointment with a health care provider. Sciatica can often be treated with lifestyle changes, physical therapy, medications or procedures when needed.

At Banner Health, our specialists provide comprehensive diagnosis and treatment for sciatica and other spine conditions. We help get you return to daily activities with less pain. 

Continue your care journey:

Why choose Banner Health?

Our care teams are dedicated to helping you manage back and leg pain safely and effectively. Our approach combines:

  • Expert spine and nerve specialists
  • Personalized treatment plans
  • Advanced diagnostic and therapy options
  • Coordinated care across multiple disciplines

We focus on relieving pain and improving your overall quality of life, so you can move, work and enjoy daily activities.