Sciatica, Lumboischialgia: Complications

The following are the most important diseases or complications that can be caused by sciatica/lumboischialgia:

Psyche – Nervous System (F00-F99; G00-G99).

  • Paralysis (see below ischiadic nerve – nerve branches and supply areas).
  • Sensory disturbances (see below).
  • Strong psychological stress
  • Dissatisfaction

Musculoskeletal system and connective tissue (M00-M99)

  • Chronic back pain
  • Radicular pain – pain due to involvement of nerve roots.
  • Recurrent (recurring) back pain

Sciatic nerve (nerve branches and areas of supply).

Localization Nerve branch Innervation area Function
From sciatic nerve Tibial nerve
N. cutaneus surae medialis N. cutaneus surae lateralis to the N. suralisRami calcaneiN. cutaneus dorsalis lateralis Sensory:heel skin,lateral edge of foot and little toe.
From tibial nerve Rr. musculares M. popliteus Knee flexion (knee flexion)
M. gastrocnemius Plantar flexion of the foot (and flexion at the knee joint).
M. soleus
M. plantaris
R. articularis genus Knee joint Sensitive
Rr. musculares M. tibialis posterior Supination and plantar flexion of the foot.
M. flexor digitorum longus Flexion of the terminal phalanges of the toes
M. flexor hallucis longus Flexion of the great toe, assists flexion and supination (outward rotation) and adduction (bringing a body part laterally or placing it against the longitudinal axis of the limb) of the foot
Sensitive branches Tibia, fibula
R. talocruralis
Rr. calcanei mediales Skin to heel and medial edge of foot
Medial plantar nerve
Rr. cutanei Skin of sole of foot
Nn. digitales plantares communes, Nn. digitales plantares proprii Skin of 1st toe to medial side of 4th toe. Sensitive
Rr. musculares M. abductor hallucis Abduction (splaying of a body part toward the longitudinal axis of the limb) and plantar flexion of the great toe
M. flexor digitorum brevis Flexion (bending) of the middle phalanges (middle phalanx) of the 2nd through 4th (5th) toes
M. flexor hallucis brevis Flexion of the proximal phalanx (proximal phalanx) of the great toe
Mm. lumbricales I-II Flexion in the metacarpophalangeal joint and extension in the metatarsophalangeal joint of the toes
Lateral plantar nerve
Rr. musculares M. opponens digiti minimi Abduction of the lesser toe
M. flexor digiti minimi Plantar flexion of the little toe
M. abductor digiti minimi Plantar flexion and abduction of the little toe
M. quadratus plantae Flexes the toes and increases the action of the flexor digitorum longus muscle
R. profundus Mm. interossei Adduction of the 3rd to 5th toes to the 2nd toe, flexion of the proximal phalanx, extension (stretching) of the middle and distal phalanges
M. adductor hallucis Plantar flexion and adduction of the big toe.
M. flexor hallucis brevis Plantar flexion of the big toe
Mm. lumbricales III-IV Flexion of proximal phalanx, extension of middle and distal phalanx.
R. superficialis Nn.digitales plantares proprii Lateral (side) half of the 4th and 5th toes.

Sciatic nerve (nerve branches and supply areas).

Localization Nerve branch Innervation area Function
From sciatic nerve Tibial nerve
N. cutaneus surae medialis N. cutaneus surae lateralis to the N. suralisRami calcaneiN. cutaneus dorsalis lateralis Sensory:heel skin,lateral edge of foot and little toe.
From tibial nerve Rr. musculares M. popliteus Knee flexion (knee flexion)
M. gastrocnemius Plantar flexion of the foot (and flexion at the knee joint).
M. soleus
M. plantaris
R. articularis genus Knee joint Sensitive
Rr. musculares M. tibialis posterior Supination and plantar flexion of the foot.
M. flexor digitorum longus Flexion of the terminal phalanges of the toes
M. flexor hallucis longus Flexion of the great toe, assists flexion and supination (outward rotation) and adduction (bringing a body part laterally or placing it against the longitudinal axis of the limb) of the foot
Sensitive branches Tibia, fibula
R. talocruralis
Rr. calcanei mediales Skin to heel and medial edge of foot
Medial plantar nerve
Rr. cutanei Skin of sole of foot
Nn. digitales plantares communes, Nn. digitales plantares proprii Skin of 1st toe to medial side of 4th toe. Sensitive
Rr. musculares M. abductor hallucis Abduction (splaying of a body part toward the longitudinal axis of the limb) and plantar flexion of the great toe
M. flexor digitorum brevis Flexion of the middle phalanges (middle phalanx) of the 2nd to 4th (5th) toes.
M. flexor hallucis brevis Flexion of the proximal phalanx (proximal phalanx) of the great toe
Mm. lumbricales I-II Flexion in the metacarpophalangeal joint and extension in the middle and terminal joints of the toes
Lateral plantar nerve
Rr. musculares M. opponens digiti minimi Abduction of the lesser toe
M. flexor digiti minimi Plantar flexion of the little toe
M. abductor digiti minimi Plantar flexion and abduction of the little toe
M. quadratus plantae Reining in the tendons of the flexor digitorum muscle; flexes the toes and increases the action of the flexor digitorum longus muscle
R. profundus Mm. interossei Adduction of the 3rd to 5th toes to the 2nd toe, flexion of the proximal phalanx, extension (stretching) of the middle and distal phalanges
M. adductor hallucis Plantar flexion and adduction of the big toe.
M. flexor hallucis brevis Plantar flexion of the big toe
Mm. lumbricales III-IV Flexion of proximal phalanx, extension of middle and distal phalanx.
R. superficialis Nn.digitales plantares proprii Lateral (side) half of the 4th and 5th toes.