Wednesday, September 30, 2009

Complications Arising from sciatica, as well as Prognosis

Complications
• 
Loss of Bowel or Bladder Function.

Urinary continence, a strong, sudden need to urinate, followed by instant bladder contraction and involuntary loss of urine. Urination occurs without knowing.Occurs during rising from bedrest, especially post-recovery after surgery.

Partial or complete loss of leg movement
• 
. Partial damage to the nerve may demonstrate
weakness of knee flexion (bending),
weakness of foot movements,
difficulty bending the foot inward (inversion),
or bending the foot down (plantar flexion). A person's reflexes may be abnormal, with weak or absent ankle-jerk reflex.

Several different tests can be performed to find the cause of sciatic nerve dysfunction.

• 
Partial or complete loss of sensation in the leg
.Abnormal sensations such as tingling or numbness which may be due from remaining in the same seated or standing position for a long time, injury to a nerve (eg: a low back injury can cause numbness or tingling down the back of the leg), pressure on the spinal nerves (eg: herniated disc) or pressure on peripheral nerves from enlarged blood vessels, tumors, scar tissue or infection.

• 
Medication Side effects : Nsaids
1.Gastric Ulceration
2.Bleeding
3.BP increase
4.Delayed Stomach Emptying
5. Depression
6. Confusion
7. Elderly : Tinnitus *ringing in the ears* , headache, dizziness, skin rash allergy*
8. Weight gain
9. Kidney failure


Prognosis
1)Studies shows 75% patients suffer
at least one recurrence of backpain over
a course of year.

2)Most acute low back pain recover within a month or so.
1/3 with uncomplicated low back pain recovers within a week.

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