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Siatica on a trip.

Have what I'm assuming is siatica.  Intermittent lower back aches, buttock pan especially when sitting too long, pain down the back of my leg, expecially when driving with foot on gas.  First noticed in Thanksgiving, six months ago.

Off and on have been trying stretches, ice, not sleepign on stomach, not running (usually I'd go running hafl an hour a day and wasn't sure if that was provoking it.)

It can get painful sometimes (again, especially when sitting for long periods), but not unbearable.

What I am concerned about is that in two weeks we are going on a family vacation.   Forty hours of driving just to get to the destination and back.  I don't have to do the actual driving, which will help, but I was wondering that if it was siatica if all of this sitting for forty hours could cause irreversable damage where three months after the trip the siatica is much worse then before the trip.  If it's just the discomfort during the ride, that I think I can handle.
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Avatar universal
okay.  thanks
Helpful - 0
2143641 tn?1396678143
also look up "Piriformis syndrome". a muscle in the pelvis that pushes onto the leg nerve. it gets worse when seated.
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Avatar universal
No, none of those things.  I'm actually in pretty good shape.
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2143641 tn?1396678143
nothing else? excessive sweating? weak bladder? any values out of range in blood tests? back pain after bowel movement? muscular weakness or loss of muscular mass? sort of drowsiness or Frontotemporal , brain cortex symptoms?

it doesn't sound like you have spinal disc herniation but the first thing you should do is MRI lumbar, it's harmless and inexpensive.
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Avatar universal
Not really.

It was one of those things where I had it off and on in the past but didn't think much about it.  Wrote it off as a normal cramp after sitting for a long period of time.  Butt sore.  But then around Thanksgiving, I noticed that in addtion to the butt, the back of my leg down to the knee felt uncomfortable while driving, and that's when I decided that this wasn't normal.  At first attributed this to aches from running everyday.  So no, nothing really stands out as abnormal.  More of a gradual, insiduous start.  

As for symptoms it's pretty much:  1.  lower back off and on aches, especially if I'd sleep on my stomach;  2.  Pain in the buttocks on the right side only; 3. Pain from buttocks down the back of the leg to the knee; 4. in the begining the pain was in the hip and down the outside, but havent' had this for months.  The pain would be maybe a 3 on a scale of 1 to ten.  In no way horrible, but after a few hours you get sick of it.
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2143641 tn?1396678143
there is no way that sitting for a long time could cause irreversible damage...

sciatica is usually linked with spinal disc herniation. I figure that you have no reason to believe you could have caused one or more.

x-ray can give you indication on distance between discs.
MRI can show exactly if there are spinal disc herniations.
MRI with contrast I think is needed to show inflammation of the spinal cord, not sure.

Sciatica can be caused also by other problems, non discogenic causes of sciatica.

Piriformis syndrome, Radiculopathy, neurological problems, etc.

do you remember of anything unusual happening to you before the problem manifested? do you have other symptoms?

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