PCL 6 - Prognosis

Prognosis

1. Most people (80-90%) fully recover from sciatica without surgery.

2. In most cases the nerve is not permanently damaged, and individuals recover in the 3-week to 3-month time frame.

3. If the cause of the sciatic nerve dysfunction can be identified and successfully treated, full recovery is possible.

4. The extent of disability varies from no disability to partial or complete loss of movement or sensation.

5. Depending on what's causing the nerve to be compressed, other complications may occur, including:

• Loss of feeling in the affected leg

• Loss of movement in the affected leg

• Loss of bowel or bladder function

6. Nerve pain may be severe and persist for a prolonged period of time.

7. Recurrences of sciatica are common. The key to avoiding recurrence is prevention:

• Proper lifting techniques

• Good posture during:

⁃ sitting

Sit upright with a support, such as a cushion or rolled-up towel in the small of the back. Knees and hips should be level and feet should be flat on the floor, with the aid of a footstool if necessary.

⁃ standing

Stand upright with a straight back and front-facing head. Weight should be balanced evenly on both feet and legs kept straight.

⁃ sleeping

Sleep on a medium-firm mattress (not too firm). The mattress should be firm enough to support the body while supporting the weight of the shoulders and buttocks, keeping the spine straight. Support the head with a pillow, but make sure the neck is not forced up at a steep angle.

⁃ driving

As with sitting, the back should be properly supported. Correctly position wing mirrors to prevent having to twist the back. Foot controls should be squarely in front of the feet. If driving long distances, regular breaks should be taken to stretch legs.

• Appropriate exercise program

⁃ walking / swimming

Strengthen muscles that support the back without putting any strain on it or subjecting to a sudden jolt.

• An ergonomic work area

• Healthy weight and lean body mass

• A positive attitude and relaxation techniques (e.g., stress management)

• No smoking