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Preventive Medicine: Your Key to a Long and Healthy Life

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Prevent Injuries Home/Work

Question: What causes sciatic nerve pain and how can you treat and prevent it?

Answer: Sciatic nerve pain, commonly called sciatica, is a sharp pain that shoots from the lower back down the back of the thigh. The pain can extend as far as the ankle and often causes tingling and numbness. Some people with sciatica also experience muscle weakness and twitching.

The most common cause of sciatica is pressure on the sciatic nerve, which can happen when either bone or one of the "discs" that lies between the vertebral bones irritates a nerve. Sometimes doctors refer to "slipped discs" as the cause. This means that one of the discs has bulged out of its normal position. It may pinch a nerve. Although it's not clear why some people develop sciatica, using a safe lifting procedure (lifting heavy objects by bending your knees rather than your back) may prevent back injuries.

People with sciatica are often advised to rest for 1-3 days and to take antiinflammatory medications. Like other people with low back pain, losing weight (if necessary) and sticking with a regular exercise program often help to prevent the pain from returning.

Question: What are the general preventive measures for foot pain?

 

Answer: The following tips from the American Podiatric Medical Association are very useful as general guidelines for preventing foot pain:

  • Don't ignore foot pain, it's not normal. If the pain persists, see a podiatric physician.
  • Inspect feet regularly. Pay attention to changes in color and temperature of the feet. Look for thick or discolored nails (a sign of developing fungus), and check for cracks or cuts in the skin. Peeling or scaling on the soles of feet could indicate athlete's foot. Any growth on the foot is not considered normal.
  • Wash feet regularly, especially between the toes, and be sure to dry them completely.
  • Trim toenails straight across, but not too short. Be careful not to cut nails in corners or on the sides; it can lead to ingrown toenails.
  • Make sure that shoes fit properly. Purchase new shoes later in the day when feet tend to be at their largest and replace worn out shoes as soon as possible.
  • Select and wear the right shoe for specific activities (ie, running shoes for running). [See What Are the Best Shoes for Preventing Foot Pain?]
  • Alternate shoes. Don't wear the same pair of shoes every day.
  • Avoid walking barefoot, which increases the risk for injury and infection. At the beach or when wearing sandals always use sunblock on the feet, as one would on the rest of your body.
  • Be cautious when using home remedies for foot ailments; self-treatment can often turn a minor problem into a major one.
  • It is critical that people with diabetes see a podiatric physician at least once a year for a check-up. Persons with diabetes, poor circulation, or heart problems should not treat their own feet, including toenails, because they are more prone to infection.

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