Does lower back pain from sitting too long indicate sciatica or lumbar muscle strain?

Patient's question:

Recently, I don't know why I can't sleep, which greatly affects my work efficiency. My friend recommended that I see a neurologist. I wonder if lower back pain from prolonged sitting is sciatica or lumbar muscle strain?

Doctor's answer:

Based on the situation you provided, it is more likely that you have a strain in your lumbar muscles. At the same time, it does not rule out the possibility of a herniated lumbar disc or sciatica. Of course, it is related to your long periods of sitting. Avoid sitting for too long and, from time to time, it is recommended to move your muscles and joints to relieve lower back fatigue. You must exercise your lower back regularly, and if necessary, acupuncture and physical therapy can be considered. If the symptoms do not improve, it is recommended to visit the orthopedics department of a hospital for examination to diagnose the cause.

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