Patient's question:
Recently, I don't know why I can't sleep, which is greatly affecting my work efficiency. My friend recommended that I visit the neurology department. How is the differential diagnosis of sciatica?Doctor's answer:
The diagnosis of general sciatica primarily involves distinguishing between femoral head necrosis and lower limb vasculitis, excluding leg pain caused by conditions such as lumbar spinal stenosis. Generally, lumbar disc herniation can be diagnosed through careful physical examination and lumbar CT scans. As long as other bone-related inflammatory conditions are ruled out, if the CT scan shows lumbar disc herniation along with sciatica, the diagnosis can be confirmed.