文 • 復健科 張延弘醫師
坐骨神經是下肢最主要的神經，他是由脊椎中的第四、第五腰椎神經根和第一、第二、第三薦椎神經根所組成，這幾條神經根從脊椎走出來後，經由腰薦神經叢之後匯集成坐骨神經，穿過臀部肌肉，進入大腿骨後側，在膝蓋附近再分成兩條神經到小腿。
在整條神經分布路徑當中，若有任何位置受到壓迫或受傷導致發炎，就會造成坐骨神經痛症狀，它的症狀表現是由臀部開始往大腿外側或後側延伸，甚至到小腿和足部，可能會有疼痛、酸、麻、灼熱感，腰痛的症狀可能會有，但有時並沒有腰痛症狀。
造成坐骨神經痛的原因，可能是脊椎的骨刺、椎間盤軟骨突出，或是臀部的梨狀肌過緊、骨盆骨折、局部感染甚至腫瘤，壓迫到坐骨神經而造成疼痛。
治療的方法可先經由復健或藥物等保守治療，若是比較嚴重的情況，可能需要手術。脊椎問題造成的原因，復健可以用熱敷、電療和腰部牽引，若是梨狀肌過緊，可經由超音波治療、按摩和拉筋使症狀獲得舒緩。並且平常應當注意正確的姿勢，工作用力的方法，加上居家自我肌力訓練。最重要的莫過於經由醫師正確的診斷，治療才能產生療效，( 例如梨狀肌造成的問題，腰部牽引就無法產生療效 )，而且若有疼痛症狀經由休息無法緩解就應盡快就醫，以免造成無法完全痊癒之後遺症。why people cheat
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