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Sciatica is a pain that radiates from the low back down a lower extremity; it is caused by irritation of the sciatic nerve. The sciatic nerve transmits sensation from the lower extremities and lumbar area of the low back. It is common for people to recover from sciatica without a surgical operation.
A variety of lower back conditions may lead to sciatica. Most commonly, a lumbar herniated disc will cause sciatic nerve pain. Other common disorders that cause sciatic pain include lumbar degenerative disc disease, spondylolisthesis, spinal stenosis, or osteophytes and arthritis in the spine. Sciatica from L4 nerve root. 2  Symptoms of sciatica stemming from this level, the L3-L4 level, in the lower spine may include: pain and/or numbness to the medial lower leg and foot; weakness may include the inability to bring the foot upwards (heel walk).