DOI: 10.36347/sjmcr.2014.v02i03.021

Pages: 176-178

Sciatica is a common problem and defined as pain along the course of the sciatic nerve or its branches and is usually caused by a herniated disc or spinal stenosis. Inter-vertebral disc herniation is the most common cause, even in children. Therefore, other causes of sciatic nerve compression, such as infection, tumours, degenerative spine diseases and pelvic pathology may be easily misdiagnosed. Due to its long path, the sciatic nerve can be compressed in different anatomical areas and by several factors. A rare case of sciatica, in an active young man, due to sciatic nerve pressure by pelvic heterotopic ossification (HO) is reported. The subject is a 55-year-old woman presented with low back pain of acute onset that was complicated by pain radiating down his left leg since 4 months. Pain lessened with rest and short periods of stretching. The patient had no history of medical problems including symptoms of back pain. Epidural injection of corticosteroids produces short term relief; adverse effects are few and not usually serious. Patients require an individualized approach using best evidence and the application of clinical art and expertise.