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Common complaints

Sciatica and leg pain

Sciatica is not a diagnosis in itself, but a description of pain that radiates from the lower back or buttock down into the leg. The cause is usually that the sciatic nerve, or the nerve roots it comes from, becomes irritated or affected.

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What does sciatica feel like?

The pain often follows a fairly clear pattern: from the lower back or buttock, down the back or side of the thigh, and in some cases all the way into the calf and foot. Many describe it as burning, sharp or electric – unlike the duller ache of back pain alone.

The pain often gets worse when sitting, coughing, sneezing or bending forward. Some also feel numbness, tingling or a sense that the leg is weaker than normal. Symptoms are often most marked on one side.

Common causes

Radiating pain down the leg can have several causes. One aim of the examination is to clarify which is most likely in your case:

A bulging or herniated disc in the lower back affecting a nerve root
Degenerative changes that narrow the space for the nerves
Irritation or tightness in the muscles of the buttock and hip
Reduced mobility in joints of the lower back and pelvis
Prolonged sitting or one-sided strain that keeps the problem going

Many cases of sciatica improve gradually over weeks to months. How long it takes varies a great deal from person to person, and depends both on the cause and on how long the symptoms have lasted.

What happens at the consultation?

With radiating pain, extra emphasis is placed on the neurological examination. 30 minutes are set aside for ordinary treatment appointments.

01

Case history

We map where the pain starts, how far down it radiates, whether you feel numbness or weakness, and what makes it worse or better.

02

Clinical and neurological examination

Mobility of the lower back and hip, specific nerve tension tests, and checks of strength, sensation and reflexes in the leg.

03

Assessment and explanation

You get an explanation of what the findings suggest and what is realistic going forward. If needed, MRI, CT or X-ray can be requested, or you can be referred to a specialist.

04

Treatment and advice

Treatment adapted to the findings, combined with advice on activity, offloading and exercises you can do yourself between appointments.

When should you seek help?

With radiating pain it is generally sensible to get an assessment earlier than with back pain alone, especially if:

The pain radiates below the knee
You feel numbness, tingling or reduced strength in the leg or foot
The problem has lasted more than one to two weeks without improvement
The pain makes it hard to sit, sleep or walk normally
You have had similar episodes before that came back

Contact a doctor or the emergency clinic (legevakt) if you have

New problems passing urine or controlling your bowels, numbness in the groin area, or rapidly increasing weakness in the leg or foot. This is rare, but should be assessed quickly.

Pain down the leg? Book an appointment.

The clinic is at Vingveien 2 in Sola, with parking right outside. No referral needed.

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