27/05/2026
Sciatic pains can come from Myofascial Pain Syndrome (knots in deep layers of muscles) or from spine
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This is definition of sciatica from NHS site
Sciatica is pain caused by an irritated nerve. It usually affects one side, starting from the lower back or bottom and spreading down one leg.
Symptoms of sciatica include shooting pain that starts in your lower back or bottom and runs down the back of your leg, often to your foot and toes.
Common treatments for sciatica include exercises and stretches. Other treatments like injections or surgery may help if it does not get better.
You get sciatica when something presses or rubs on the sciatic nerve. The most common cause is a slipped disc in your spine.
Here the study from 2009
University Science Malaysia, a prospective observational study was carried out on 126 consecutive patients who attended the Pain Management Unit at Hospital University Science Malaysia, Kelantan, between 1st January and 31st December 2009 for chronic back pain (i.e. lasting more than 6 months).
Myofascial pain syndrome (MPS) is a trigger point-induced regional musculoskeletal pain disorder affecting one or more muscles or groups of muscles. A myofascial trigger point is defined as a hyperirritable spot, usually within a taut band of skeletal muscle or in the muscle fascia, which is painful on compression and can give rise to characteristic referred pain, motor dysfunction, and autonomic phenomena.
MPS is a common cause of pain and dysfunction in the musculoskeletal system. It accounts for 20% to 95% of patients with musculoskeletal pain presenting at general medical clinics and pain management centres. Despite the prevalence of MPS, awareness among clinicians is still inadequate, which results in this condition often being misdiagnosed or underdiagnosed and thus under-treated
MPS prevalence among chronic back pain patients was significantly high, with female gender being a significant risk factor. With proper diagnosis and expert management, MPS has a favourable outcome.