{"id":14711,"date":"2026-03-05T12:45:51","date_gmt":"2026-03-05T04:45:51","guid":{"rendered":"https:\/\/www.premierclinic.hk\/?p=14711"},"modified":"2026-03-05T13:01:17","modified_gmt":"2026-03-05T05:01:17","slug":"%e6%93%8d%e8%82%8c-%e5%9d%90%e9%aa%a8%e7%a5%9e%e7%b6%93%e7%97%9b-%e7%9c%9f%e5%81%87%e7%97%9b-%e8%87%aa%e6%88%91%e6%b8%ac%e8%a9%a6","status":"publish","type":"post","link":"https:\/\/www.premierclinic.hk\/en\/news\/%e6%93%8d%e8%82%8c-%e5%9d%90%e9%aa%a8%e7%a5%9e%e7%b6%93%e7%97%9b-%e7%9c%9f%e5%81%87%e7%97%9b-%e8%87%aa%e6%88%91%e6%b8%ac%e8%a9%a6\/","title":{"rendered":"Gym workouts turning into sciatica? Doctors teach you how to distinguish between &quot;real&quot; and &quot;false&quot; pain + 3 self-tests (healthyD.com)"},"content":{"rendered":"<p class=\"wp-block-paragraph\">In recent years, fitness has become increasingly popular, sparking a craze for participating in fitness competitions like HYROX. Female celebrities such as Sammi Cheng and Stephy Tang have also transformed their former slender figures into fit and healthy physiques. Many people actively go to the gym for intensive weight training or high-intensity exercise in pursuit of a more muscular build.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">However, one patient reported experiencing a sudden, sharp pain in their lower back after a hard lift, followed by an electric shock-like pain that traveled down their thigh to their feet. Initially, they thought it was just a muscle strain, but the pain persisted, even causing numbness in their toes. Fearing that the exercise had triggered sciatica, they sought medical treatment.<\/p>\n\n\n\n<!--more-->\n\n\n\n<h2 class=\"wp-block-heading\">Characteristics of sciatica | Recognizing pain after exercise<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Many people believe that &quot;sciatica&quot; is a single disease, but it is actually a collective term for a group of symptoms. The following problems are often described as sciatica:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>piriformis syndrome<\/li>\n\n\n\n<li>lumbar spondylolisthesis<\/li>\n\n\n\n<li>herniated disc<\/li>\n\n\n\n<li>lumbar osteoarthritis<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Sciatica can be divided into two categories: mild cases originate from inflammation of soft tissues or muscles, i.e., &quot;pseudosciatica&quot;; severe cases involve nerve compression caused by abnormal spinal structure. Because the treatment approaches for the two are completely different, for sports enthusiasts, the first priority is to accurately identify the source of the pain.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Muscle inflammation\n<ul class=\"wp-block-list\">\n<li>If you experience soreness in your buttocks or hamstrings after exercise, it is often a sign of &quot;pseudosciatica,&quot; such as piriformis syndrome caused by prolonged sitting. The characteristic is that the pain point is not fixed, mostly concentrated in the buttocks and hamstrings, rarely extending below the knee. Although there is significant pain during activity, because the inflammation is limited to the muscle level, there is usually no numbness or loss of sensation in the legs, and it can be relieved by moderate stretching of the piriformis muscle.<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li>Nerve compression\n<ul class=\"wp-block-list\">\n<li>True sciatica is often considered the most difficult type of sports injury to treat. The main cause is usually incorrect weight-bearing posture (such as bending over to lift heavy objects or doing heavy squats), which causes the intervertebral discs of the last two lumbar vertebrae (L4-L5 and L5-S1) to be compressed and protrude, thus compressing the nerve.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">The pain pathway is very clear, running from the lower back and hips down the thighs and calves, and even extending to the soles of the feet. If left untreated, as the condition worsens, patients may experience muscle numbness and loss of sensation, and in severe cases, it can even affect the movement of the toes.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Characteristics of sciatica | Self-test for typical symptoms of sciatica<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">If your pain matches the following description, it may be due to nerve compression caused by a structural condition such as a herniated disc:<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li>Radiating stinging: The pain feels like an electric current or a burning sensation, with a clear path extending from the lower back to the soles of the feet.<\/li>\n\n\n\n<li>Certain actions can exacerbate pain: walking, coughing, sneezing, bending over, or sitting for long periods can cause pain to intensify instantly due to increased abdominal pressure or intervertebral disc pressure.<\/li>\n\n\n\n<li>Lower limb dysfunction: This is the most severe symptom, affecting varying degrees of mobility depending on the compressed nerve segment, including:<\/li>\n<\/ol>\n\n\n\n<ul class=\"wp-block-list\">\n<li>L4 nerve compression: It is difficult to flex the foot, and it is easy to trip when walking because the toes are drooping.<\/li>\n\n\n\n<li>L5 nerve compression: Difficulty in flexing the big toe upwards and exerting force, and inability to walk on the heel.<\/li>\n\n\n\n<li>S1 nerve compression: Abnormal sensation and numbness on the outer side of the foot and heel, weakness in the calf, and inability to stand on the tiptoes.<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Characteristics of sciatica | Why are sports enthusiasts a high-risk group?<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">While older adults and sedentary office workers are at higher risk of developing sciatica, improper exercise habits are causing patients to become younger.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Insufficient core strength: If you frequently lift heavy objects or do heavy weight training, and your core muscles are not strong enough to stabilize your spine, your lumbar spine will be the first to be compressed.<\/li>\n\n\n\n<li>Incorrect posture: A common cause of herniated discs is &quot;exerting force while bending over&quot;. If you arch your back or exert too much force during exercise (such as deadlifts or squats), it will cause a sudden increase in pressure on the spine, causing the annulus fibrosus of the intervertebral disc to rupture, and the nucleus pulposus to be squeezed out and compress the nerve.<\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\">Characteristics of sciatica | How to diagnose it?<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">If a patient&#039;s symptoms do not improve after receiving treatment for lower back pain, the doctor will perform a &quot;straight leg raise test&quot; to make a preliminary assessment of whether the nerve is compressed. If there is any suspicion, a magnetic resonance imaging (MRI) scan will be recommended to clearly show the soft tissue and nerve, which can help diagnose whether there is a tear or protrusion of the intervertebral disc.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Characteristics of sciatica | Can I continue exercising after treatment?<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Most patients diagnosed with herniated discs can improve their condition through non-surgical treatment.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Acute phase:\n<ul class=\"wp-block-list\">\n<li>The treatment aims to reduce inflammation and relieve pain, using prescription pain medications, and even considering epidural steroid injections to suppress more severe inflammation. However, frequent injections are not recommended to avoid side effects. During this period, patients are advised to rest more and avoid actions that trigger pain.<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li>Rehabilitation period:\n<ul class=\"wp-block-list\">\n<li>After the acute phase, physical therapy can be used to correct posture, strengthen the back and core muscles, and improve flexibility, which can reduce the chance of relapse and is key to resuming exercise training.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">If the above non-surgical treatments are ineffective, or if severe neurological damage symptoms occur, such as urinary or fecal incontinence, loss of sensation in the lower limbs, or even muscle atrophy, surgery, such as minimally invasive disc decompression, should be considered. In severe cases or those with spinal instability, disc fusion or artificial disc replacement surgery may be necessary.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/www.premierclinic.hk\/en\/doctors\/dr-yuen-ching-yi-jenny\/\">General Practitioner Dr Yuen Ching Yee<\/a><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Originally published:<\/strong><br><a href=\"https:\/\/www.healthyd.com\/articles\/expert-blog\/%e5%9d%90%e9%aa%a8%e7%a5%9e%e7%b6%93%e7%97%9b-%e8%87%aa%e6%88%91%e6%b8%ac%e8%a9%a6-%e5%81%9agym-%e6%a4%8e%e9%96%93%e7%9b%a4%e7%aa%81%e5%87%ba-%e8%a2%81%e9%9d%9c%e6%80%a1%e9%86%ab%e7%94%9f\" target=\"_blank\" rel=\"noreferrer noopener\">https:\/\/www.healthyd.com\/articles\/expert-blog\/<\/a><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><br><\/p>","protected":false},"excerpt":{"rendered":"<p>\u8fd1\u5e74\u5065\u8eab\u98a8\u6c23\u76db\u884c\uff0c\u9664\u4e86\u6380\u8d77\u53c3\u52a0\u5065\u8eab\u8cfd\u4e8bHYROX\u71b1\u6f6e\uff0c\u5973\u85dd\u4eba\u5982\u912d\u79c0\u6587\u3001\u9127\u9e97\u6b23\u90fd\u4e00\u6539\u6614\u65e5\u7e96\u7626\u5f62\u8c61\uff0c\u7df4\u6210\u5065\u7f8e\u8eab\u6750\u3002&#8230;<\/p>","protected":false},"author":1,"featured_media":14716,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"footnotes":""},"categories":[107],"tags":[267,340,342],"doctors":[166],"media-members":[200],"class_list":["post-14711","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-news","tag-267","tag-340","tag-342","doctors-dr-yuen-ching-yi-jenny","media-members-healthyd"],"acf":[],"yoast_head":"<!-- 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