G57.03 Lesion of sciatic nerve, bilateral lower limbs

ICD10CM code

#### Name of the Condition
- Lesion of sciatic nerve, bilateral lower limbs
- Also known as bilateral sciatic neuropathy

#### Summary
A lesion of the sciatic nerve in both lower limbs refers to damage or dysfunction affecting the sciatic nerves, which are the largest nerves in the human body, extending from the lower back down to the legs. This condition can result in pain, numbness, or weakness in the legs and is often due to injury or medical conditions affecting nerve function.

#### Causes
- Trauma or physical injury to the lower back or hip area.
- Herniated discs or spinal stenosis compressing the nerve.
- Medical conditions like diabetes mellitus leading to peripheral neuropathy.
- Inflammatory or infectious diseases impacting nerve health.

#### Risk Factors
- History of lower back or spine problems.
- Occupational hazards or activities involving repetitive stress on the lower back.
- Chronic medical conditions such as diabetes.
- Advanced age, as nerve degeneration increases over time.

#### Symptoms
- Sharp or aching pain radiating from the lower back to the legs.
- Tingling, burning, or numbness in the lower limbs.
- Muscle weakness or difficulty moving the legs or feet.
- In severe cases, impairment of reflexes.

#### Diagnosis
- Physical examination focusing on reflexes, muscle strength, and sensory function.
- Imaging tests such as MRI or CT scans to identify possible nerve compression.
- Electromyography (EMG) and nerve conduction studies to assess nerve function.

#### Treatment Options
- Medications: Pain relievers, anti-inflammatories, or nerve pain medications.
- Physical therapy: Exercises to improve flexibility and strength.
- Surgical intervention: In cases of significant nerve compression or injury.
- Lifestyle modifications to reduce stress on the lower back and legs.

#### Prognosis and Follow-Up
- The prognosis varies based on the underlying cause and treatment effectiveness.
- Regular follow-up is crucial for monitoring the condition and adjusting treatment as needed to prevent worsening symptoms or disabilities.

#### Complications
- Permanent nerve damage leading to chronic pain or disability.
- Reduced mobility impacting daily activities and quality of life.

#### Lifestyle & Prevention
- Maintain a healthy weight to reduce pressure on the spine.
- Engage in regular physical activity tailored to improve back strength.
- Practice proper lifting techniques to prevent injury.
- Monitor and manage chronic conditions like diabetes effectively.

#### When to Seek Professional Help
- Persistent or worsening pain in the lower limbs or back.
- Sudden onset of severe symptoms like loss of bowel or bladder control.
- Progressive weakness in the legs.

#### Additional Resources
- American Academy of Neurology: [aan.com](https://www.aan.com/)
- National Institute of Neurological Disorders and Stroke (NINDS): [ninds.nih.gov](https://www.ninds.nih.gov/)
- Sciatica Pain Support Group

#### Tips for Medical Coders
- Ensure bilateral nature of the condition is specified to accurately use code G57.03.
- Double-check the inclusion of underlying causes like trauma or diabetes in records.
- Avoid confusing with unilateral sciatic nerve lesions (different ICD codes).

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