13 Facts About the Sciatic Nerve

If you say someone's getting on your nerves, you could just cut to the chase and say they're getting on your sciatic nerve—this nerve is plenty big enough for both minor and major irritations. It's the largest nerve in the body, running a lengthy route from each side of your lower spine, deep into your buttock, wrapping around to the back of the thigh and into the foot. Mental Floss spoke to Loren Fishman, medical director of Manhattan Physical Medicine and Rehabilitation in NYC and associate clinical professor at Columbia Medical School. Here are 13 things we learned about this important part of the nervous system.

1. AT ITS LARGEST POINT, IT'S ABOUT AS BIG AROUND AS A MAN'S THUMB.

No wonder this nerve hurts when it gets irritated—at its biggest point, it's one heck of a large nerve, says Fishman. 

2. THE SCIATIC NERVE IS ACTUALLY MADE UP OF FIVE NERVES.

The sciatic nerve is more accurately five nerves that come together on the right and left sides of the lower spine. Technically, the fourth and fifth lumbar nerves and the first three nerves in the sacral spine come together and merge into the unified sciatic.

3. WITHOUT SCIATIC NERVES, YOUR LEGS WOULD BE WEAK NOODLES.

"The sciatic nerve gives feeling and strength to the muscles and skin of the calf and foot, supplies sensation from the joints, bones, and just about everything else below the knee," says Fishman.

4. THE SPINAL CORD'S CONNECTED TO THE THIGH BONE.

The nerve connects the spinal cord with the outside of the thigh, the hamstring muscles in the back of the thigh, and the muscles in your lower leg and feet. This is why sciatic nerve impingement often results in muscle weakness, numbness and/or tingling in the leg, ankle, foot, and toes.

5. INJURIES TO THE SCIATIC NERVE OFTEN AFFECT THE CONNECTION TO THE BRAIN RATHER THAN THE NERVE ITSELF.

After severe spinal cord injury, the nerve itself is often just fine, but the connection between it and the brain has been severed, Fishman says. Until now, there's been no way to fix such injuries, but "recent work with stem cells has begun to restore the connection in dogs and other animals."

6. BACK INJURIES ARE THE MOST COMMON CAUSE OF SCIATIC PAIN.

A variety of lower back problems can lead to pain that radiates along the sciatic nerve. Most commonly, sciatica pain is caused when a herniated disc at the L5 (lower lumbar back) irritates the S1 (sacrum) nerve root in the lower spine. The exiting nerve roots are highly sensitive, and the bits of the disc that herniate contain inflammatory proteins such as interleukin and tumor necrosis factor that can also aggravate the nerve.

7. SCIATIC PAIN CAN BE A MEDICAL EMERGENCY.

In a small number of people, a condition called cauda equina syndrome (so named because the nerve bundle at the base of the spinal cord resembles a horse's tail) can masquerade as sciatica—but it also usually causes weakness that extends to bowel or bladder incontinence and sometimes weakness or loss of sensation in the legs that gets progressively worse. In this case, immediate medical attention should be sought, and recovery may not be as quick as with common sciatica.

8. ANCIENT GREEKS AND ROMANS COULDN'T DISTINGUISH BETWEEN JOINT AND NERVE PAIN …

When the ancient Greek and Roman physicians were treating the pain we now commonly know as sciatica, they believed it stemmed from "diseases of the hip joint," according to a 2007 study in Spinal Cord. It wasn't until 1764, write the authors, "that leg pain of 'nervous' origin was distinguished from pain of 'arthritic' origin."

9. …AND HIPPOCRATES TREATED IT WITH THE BOILED MILK OF A FEMALE ASS.

Among the many treatments Hippocrates and his ilk came up with for this painful condition were: "Fumigations, fasting, and subsequently, laxatives, and ingestion of boiled milk of the female ass." In his Treatise of the Predictions, Hippocrates noted that elderly patients with "cramps and colds at the loin and the legs" would experience their pain for up to a year, whereas young people could be free of pain in about 40 days.

10. SCIATICA DERIVES ITS NAME FROM THE 15TH CENTURY.

The modern name for the disease, according to Fishman, comes from 15th-century Florence. "They called sciatica ischiatica, since they thought it came from tuberculosis that worked its way down to the ischial tuberosity (the sit-bones)," Fishman says. These medieval doctors had the cause wrong, but the name stuck.

11. SOMEWHERE BETWEEN 1900 AND 1925 PHYSICIANS CONNECTED HERNIATED DISCS TO SCIATIC PAIN.

Different researchers in different countries began to make sciatic breakthroughs when doing autopsies on corpses with fractured or herniated discs, where they noticed compression on the sciatic nerve.

12. WEIGHT HAS LITTLE INFLUENCE ON SCIATIC PAIN, BUT HEIGHT DOES.

A 1991 cross sectional study of 2946 women and 2727 men published in Spine found that neither gender nor body mass made any difference in the likelihood of developing sciatica. Body height did, however, in males between the ages of 50 and 64, with taller men being more likely to have the condition. Other studies have found a similar link [PDF]. Over 5'8"? Your risk is higher. 

13. SUFFERING FROM SCIATICA? YOU'RE NOT ALONE.

Sciatica has a surprisingly common negative impact on daily life. "Low back pain and sciatica are the second biggest reason for lost days of work—just behind the common cold," says Fishman. The condition is most commonly found in people over 50 and rarely seen in anyone under 20 years old—and then it most often has a genetic cause.

25 Amazing Facts About the Human Body

iStock.com/kali9
iStock.com/kali9

The human body is an amazing piece of machinery—with a few weird quirks.

  1. It’s possible to brush your teeth too aggressively. Doing so can wear down enamel and make teeth sensitive to hot and cold foods.

  2. Goose bumps evolved to make our ancestors’ hair stand up, making them appear more threatening to predators.

Woman's legs with goosebumps
iStock.com/MyetEck
  1. Wisdom teeth serve no purpose. They’re left over from hundreds of thousands of years ago. As early humans’ brains grew bigger, it reduced space in the mouth, crowding out this third set of molars.

  2. Scientists aren't exactly sure why we yawn, but it may help regulate body temperature.

  3. Your fingernails don’t actually grow after you’re dead.

  4. If they were laid end to end, all of the blood vessels in the human body would encircle the Earth four times.

  5. Humans are the only animals with chins.

    An older woman's chin
    iStock.com/mhelm3011
    1. As you breathe, most of the air is going in and out of one nostril. Every few hours, the workload shifts to the other nostril.

    2. Blood makes up about 8 percent of your total body weight.

    3. The human nose can detect about 1 trillion smells.

    4. You have two kidneys, but only one is necessary to live.

    5. Belly buttons grow special hairs to catch lint.

      A woman putting her hands in a heart shape around her belly button
      iStock.com/PeopleImages
      1. The satisfying sound of cracking your knuckles comes from gas bubbles bursting in your joints.

      2. Skin is the body’s largest organ and can comprise 15 percent of a person’s total weight.

      3. Thumbs have their own pulse.

      4. Your tongue is made up of eight interwoven muscles, similar in structure to an elephant’s trunk or an octopus’s tentacle.

      5. On a genetic level, all human beings are more than 99 percent identical.

        Identical twin baby boys in striped shirts
        iStock.com/BorupFoto
        1. The foot is one of the most ticklish parts of the body.

        2. Extraocular muscles in the eye are the body’s fastest muscles. They allow both of your eyes to flick in the same direction in a single 50-millisecond movement.

        3. A surgical procedure called a selective amygdalohippocampectomy removes half of the brain’s amygdala—and with it, the patient’s sense of fear.

        4. The pineal gland, which secretes the hormone melatonin, got its name from its shape, which resembles a pine nut.

        5. Hair grows fast—about 6 inches per year. The only thing in the body that grows faster is bone marrow.

          An African-American woman drying her hair with a towel and laughing
          iStock.com/GlobalStock
          1. No one really knows what fingerprints are for, but they might help wick water away from our hands, prevent blisters, or improve touch.

          2. The heart beats more than 3 billion times in the average human lifespan.

          3. Blushing is caused by a rush of adrenaline.

12 Intriguing Facts About the Intestines

When we talk about the belly, gut, or bowels, what we're really talking about are the intestines—long, hollow, coiled tubes that comprise a major part of the digestive tract, running from the stomach to the anus. The intestines begin with the small intestine, divided into three parts whimsically named the duodenum, jejunum, and ileum, which absorb most of the nutrients from what we eat and drink. Food then moves into the large intestine, or colon, which absorbs water from the digested food and expels it into the rectum. That's when sensitive nerves in your rectum create the sensation of needing to poop.

These organs can be the source of intestinal pain, such as in irritable bowel syndrome, but they can also support microbes that are beneficial to your overall health. Here are some more facts about your intestines.

1. The intestines were named by medieval anatomists.

Medieval anatomists had a pretty good understanding of the physiology of the gut, and are the ones who gave the intestinal sections their names, which are still used today in modern anatomy. When they weren't moralizing about the organs, they got metaphorical about them. In 1535, the Spanish doctor Andrés Laguna noted that because the intestines "carry the chyle and all the excrement through the entire region of the stomach as if through the Ocean Sea," they could be likened to "those tall ships which as soon as they have crossed the ocean come to Rouen with their cargoes on their way to Paris but transfer their cargoes at Rouen into small boats for the last stage of the journey up the Seine."

2. Leonardo da Vinci believed the intestines helped you breathe.

Leonardo mistakenly believed the digestive system aided respiratory function. In 1490, he wrote in his unpublished notebooks, "The compressed intestines with the condensed air which is generated in them, thrust the diaphragm upwards; the diaphragm compresses the lungs and expresses the air." While that isn't anatomically accurate, it is true that the opening of the lungs is helped by the relaxation of stomach muscles, which does draw down the diaphragm.

3. Your intestines could cover two tennis courts ...

Your intestines take up a whole lot of square footage inside you. "The surface area of the intestines, if laid out flat, would cover two tennis courts," Colby Zaph, a professor of immunology in the department of biochemistry and molecular biology at Melbourne's Monash University, tells Mental Floss. The small intestine alone is about 20 feet long, and the large intestine about 5 feet long.

4. ... and they're pretty athletic.

The process of moving food through your intestines requires a wave-like pattern of muscular action, known as peristalsis, which you can see in action during surgery in this YouTube video.

5. Your intestines can fold like a telescope—but that's not something you want to happen.

Intussusception is the name of a condition where a part of your intestine folds in on itself, usually between the lower part of the small intestine and the beginning of the large intestine. It often presents as severe intestinal pain and requires immediate medical attention. It's very rare, and in children may be related to a viral infection. In adults, it's more commonly a symptom of an abnormal growth or polyp.

6. Intestines are very discriminating.

"The intestines have to discriminate between good things—food, water, vitamins, good bacteria—and bad things, such as infectious organisms like viruses, parasites and bad bacteria," Zaph says. Researchers don't entirely know how the intestines do this. Zaph says that while your intestines are designed to keep dangerous bacteria contained, infectious microbes can sometimes penetrate your immune system through your intestines.

7. The small intestine is covered in "fingers" ...

The lining of the small intestine is blanketed in tiny finger-like protrusions known as villi. These villi are then covered in even tinier protrusions called microvilli, which help capture food particles to absorb nutrients, and move food on to the large intestine.

8. ... And you can't live without it.

Your small intestine "is the sole point of food and water absorption," Zaph says. Without it, "you'd have to be fed through the blood."

9. The intestines house your microbiome. 

The microbiome is made up of all kinds of microorganisms, including bacteria, viruses, fungi, and protozoans, "and probably used to include worm parasites too," says Zaph. So in a way, he adds, "we are constantly infected with something, but it [can be] helpful, not harmful."

10. Intestines are sensitive to change.

Zaph says that many factors change the composition of the microbiome, including antibiotics, foods we eat, stress, and infections. But in general, most people's microbiomes return to a stable state after these events. "The microbiome composition is different between people and affected by diseases. But we still don't know whether the different microbiomes cause disease, or are a result in the development of disease," he says.

11. Transferring bacteria from one gut to another can transfer disease—or maybe cure it.

"Studies in mice show that transplanting microbes from obese mice can transfer obesity to thin mice," Zaph says. But transplanting microbes from healthy people into sick people can be a powerful treatment for some intestinal infections, like that of the bacteria Clostridium difficile, he adds. Research is pouring out on how the microbiome affects various diseases, including multiple sclerosis, Parkinson's, and even autism.

12. The microbes in your intestines might influence how you respond to medical treatments.

Some people don't respond to cancer drugs as effectively as others, Zaph says. "One reason is that different microbiomes can metabolize the drugs differently." This has huge ramifications for chemotherapy and new cancer treatments called checkpoint inhibitors. As scientists learn more about how different bacteria metabolize drugs, they could possibly improve how effective existing cancer treatments are.

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