treatments for sciatica - Does Sciatica Scare You? Do you need to be scared, find out here...
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Does Sciatica Scare You? Do you need to be scared, find out here...

Sciatica is scary, the pain travels down your leg and stops you performing you daily tasks. You once could jump out of bed and do everything you wanted to do, from putting in 100% effort at work to playing with your children.


Different pain characteristics help you understand the actual cause of your pain and what you need to do to remove it. Do you know which type you have?

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Sciatica Symptoms Acute low back pain. Pain radiating down the leg. This pain may be sharp and accompanied by pins and needles and / or numbness.

It is important to distinguish between sciatica and piriformis syndrome, because the treatment for the conditions varies, and getting the diagnosis right typically leads to more effective treatment.

There are a lot of types of exercises for sciatica that can bring relief to patients, and they're different, based on what causes the pain. Most of them will target certain muscles with the help of stretching exercises.

In most cases, the name sciatica is used when you have nuisances in the nerves area of the lower spinal chord or in cases of irregular compression. There are a number of conditions that can cause this.

In rare cases, sciatica can be provoked by tumours or infections. 1. Sciatica provoked by a herniated disc 2. Spinal stenosis sciatica 3. Sciatica caused by a degenerative disc disease

Begin extension exercises as soon as pain allows. What can a Physical Therapist or GP do? Determine the cause of the sciatic pain. Prescribe anti-inflammatory medication e.g. ibuprofen or muscle relaxants.

5 - How did you back pain start? Falls, injuries, a slow or sudden build up of sciatica. These can determine whether you should seek help or whether you can help your self at home. This is vital information.

But since the most effective treatment for the two conditions varies signficantly, it is important to determine the correct diagnosis if at all possible. In most cases there is an easy way to distinguish between sciatica and piriformis syndrome.

The scariest thing now is your sciatica may never disappear. You may need up needing surgery or spend a life time with that nagging back pain. You may be worried now that your as your flexibility diminishes, there is no hope.

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Dr. George Best is in private practice in San Antonio, Texas. For more information, check out Dr. Best's free e-book and online video course to assist in understanding and treating sciatica and piriformis syndrome, including in-depth instruction on sciatica exercises at http://www.SciaticaSelfCare.com .

Apply electrical stimulation in the form of a Tens machine or Interferential. Apply ultrasound treatment. Operate on a slipped disk if neurological signs (nerve related symptoms) continue or worsen.

After the acute painful phase Restore pain free movement to the back through mobilization and stretching techniques. Ensure posture and correct lifting techniques are learned and maintained.

Depending on where the sciatic nerve is pinched will determine where you feel the pain which can radiate to the front of the knee or right down the back of the leg to the foot. The L5-S1 disc is the disc most commonly damaged and the L4-L5 disc the next most commonly damaged.

If you knew the answer to some simple questions then you can easily determine whether you need help, if your sciatica will ease quickly or if you have something actually to be scared of.

There may be muscle spasm in the lower back. Tenderness in the lower back when pressing in. Pain on the straight leg raise test which is not apparent when just stretching the hamstring only.

Sciatica refers to irritation of the sciatic (often mis-spelled as syatic or psyatic) nerve, that arises from nerve roots in the lumbar spine. The most common cause of sciatic nerve irritation, or "true" sciatica is compression of one or more of its component nerve roots due to disc herniation or spinal degeneration in the lower lumbar region. Sciatica usually begins in the buttock area and, depending on the severity of the underlying nerve comression and inflammation, may extend down the entire leg to the ankle and foot.

Is it chronic or acute? Does this mean you will end up living with sciatica if you have had it for years? Will it continually get worse? 3 - What type of pain do you have?

A lot of people don't understand what sciatica means. You can't really call it an ailment or disease, not even a diagnosis could tell you the cause of the pain. It's more like a set of symptoms.

There are torsional or twisting forces applied to the pelvic girdle when the lower limbs are moved. These limbs act like long levers and without the sacroiliac joints and the pubic symphysis (at the front of the pelvis) which allow movement, the pelvis would very likely be subject to a fracture.

Is this likely? Or is your sciatica only minor? Knowing the answers to these sciatica profile questions helps to dispel your fears and frustrations about sciatica. You can then relax knowing with confidence you do not need to be scared of your sciatica.

Specific assessment tests: The Stork test - to assess weather the sacroiliac joint is moving correctly. Leg length difference measurements - both straight leg and bent leg assessments.

Sciatica treatment A Short Rest in bed if necessary in a position that is comfortable. A doctor may prescribe NSAID's (non steroidal anti inflammatory drugs) such as ibuprofen. Should always be taken under the direction of a doctor and do not if the patient has asthma.

The second maneuver is done in two parts. First, from the sitting position one bends the leg and pulls the knee on the painful side towards the same-side shoulder. In all but the most severe cases, there is usually no major increase in pain in this position. The second part of the maneuver is to pull the knee toward the opposite side shoulder. An increase in the sciatica-like symptoms is a strong indication of piriformis syndrome.

What other injuries are related or similar? Piriformis syndrome Sciatica Sacroiliac joint pain. The Sacroiliac joint Is? The Sacroiliac Joints are located at the bottom of the back. You have one either side of the spine. The Sacroiliac joints help make up the rear part of the pelvic girdle and sit between the sacrum and the ilia.

Piriformis syndrome, also known as "pseudo-sciatica" (meaning "false sciatica"), is actually referral pain and other symptoms (tingling, numbness, etc.) caused by tightness and knots of contraction in the piriformis muscle, which runs from the upper femur bone to the edge of the sacrum, the triangular pelvic bone that is below the lumbar spine. The symptoms of piriformis syndrome are very similar and may be indistinguishable from true sciatica.

Eliminate medical diseases such as Ankylosing Spondylitis.. Treat the cause as well as the symptoms. Prescribe anti-inflammatory medication (e.g. ibuprofen) and rest.

Sciatica profiles are a simple way you can assess your sciatica to determine if it is serious or not. Whether you need to seek help or if you can help your self at home. Should you be active or not, and if you need to be active which activities are best.

Sports massage will help relieve any soft tissue tension in the area. Use injection therapy. Advise Ice and cold therapy to reduce inflammation.

Use sports massage techniques to relax tight muscles. Gently apply mobilization techniques to the spine. Use traction or advise on the use of and Inversion Table.

4. Sciatica from isthmic spondylolisthesis 5. Piriformis syndrome can also cause sciatic pain 6. Sciatic pain caused by a sacroiliac joint dysfunction

If it travels right down your leg does that mean it is more serious than pain in the buttock. If it is serious what should you do? 2 - How long have you had your back pain?

Areas of the lumbar spine may be tender and have poor mobility. Tight gluteal muscles and other muscles of the buttocks. What can I do? See a Physical Therapist who can identify the problems in the lower spine.

Ilia rotation - this assesses weather the ilia is rotated on one side creating imbalance. What can a Physical Therapist or GP do? Use diagnostic tests to discover the cause of the problem.

They quite happily allow flexion and extension (bending forwards and backwards), lateral flexion (sideways movement) and twisting. However a combination of the two can put excess stress on the spine and damage the discs. This is particularly common in people who may lift heavy objects and twist with them for example unloading heavy boxes off the back of a lorry.

A large amount of confusion and misunderstanding exists concerning the conditions sciatica and piriformis syndrome. There are some who insist that the two conditions are actually the same thing, but even though they can have symptoms that are very much alike, the underlying causes differ.

 
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As mentioned earlier, the symptoms of true sciatica are very similar to piriformis syndrome. Both cause pain, tingling, burning, "electrical shock" sensations, and/or numbness down the leg, often all the way to the foot. In addition, both sciatica and piriformis syndrome tend to be at least partially related to biomechanical functional problems in the joints of the back and pelvis and they may even be present simultaneously in the same person, so it an be difficult to tell them apart.

Stiffness in the lower back when getting up after sitting for long periods and when getting up from bed in the morning. Aching to one side of your lower back when driving long distances.

A prolapsed disc or slipped disc as it is sometimes known is not simply a disc that has 'slipped' out of place. Intervertibral discs separate the bones of the spine (or vertebrae) and their function is to act as shock absorbers or cushioning for the spine and allow movement.

What are the symptoms of pain referred from the back? An aching in the buttocks that is difficult to pinpoint. The slump test may reproduce buttock pain which is eased when the neck is relaxed back (extended).

Pain is often triggered by a minor movement such bending over to pick something up. Pain may be worse by sitting, lifting, coughing or sneezing.

Occasionally there may be referred pain into the lower limb which can be mistaken for sciatica. Classic symptoms are difficulty turning over in bed, struggling to put on shoes and socks and pain getting your legs in and out of the car.

Begin an exercise programme that will stretch and strengthen the muscles supporting the lumbar spine. Stretch the gluteal muscles and hip rotator muscles.

The answers to these questions are essential if you want relief from your sciatica. After all the biggest fear is that you will never be free of your sciatica pain, that you will need up needing surgery and therefore never get back to full activity.

Deep tissue sports massage techniques can be applied to the lower back and buttocks to release muscle tension, particularly in chronic conditions. Acupuncture or dry needling can also help reduce chronic tension in muscles.

Simple questions that most of you do not know the answers to. The big five questions you need to know are: 1 - How far does your sciatica travel?

Inflammation of the sacroiliac joints and associated ligaments are very common, especially following pregnancy where the hormone relaxing is released and this results in the relaxation of ligaments in preparation for childbirth. In most cases the causes of sacroiliitis are mechanical, however there may be other medical inflammatory conditions present such as Ankylosing Spondylitis as well as others which will need attention.

Two simple maneuvers will distinguish sciatica from piriformis syndrome in the majority of cases (when the problem is one versus the other and not both conditions at the same time). First, in a seated position, if one straightens the leg on the painful side (so that the leg is parallel to the floor), and the sciatica symptoms increase, this is usually a sign of true sciatic nerve irritation.

You can consult a number of specialists to help you deal with sciatica pain, including psychiatrists, chiropractors, athletic trainers, physiotherapists or others that deal with lower body and back problems. You should always exercise under the supervision of a professional, to make sure you're doing it right. The exercises depend on the cause of the pain, so a good diagnosis is a must.

What are the similar or related injuries and conditions? Ankylosing Spondylitis Myofascial pain Low back pain Coping with Sciatica

Do you know if your Sciatica is a worry? Should you be scared? Complete this Sciatica Profile to assess how bad your sciatica is, and its free!

Are you one of the over 80% of adults suffering from back pain? Then you need simple, valuable and expert advice. Dr Graeme Teague is an expert in the structural field, and has been in practice since 1991 - visit The Back Pain Advisor - http://www.back-pain-advisor.com for valuable and expert advice, tips and information on your back pain issues.

Sciatica is a pain that starts in the back and radiates down one of the legs. It is quite a common complaint and is sciatica is caused by pressure on the sciatic nerve which runs down into the leg. The medical term is acute nerve root compression. The cause of pressure can be varied from a Slipped (Prolapsed) disk to muscle tension (Piriformis syndrome) or something less common such as a tumors, bony growths and infections.

Symptoms include: Pain located either to the left or right of your lower back. The pain can range from an ache to a sharp pain which can restrict movement.

Pain is usually relieved by lying down, often on one side. Pain is often better in the morning after a nights rest. Scoliosis or an S shaped or bent spine as seen from behind is often present with the patient bending away from the side of pain.

Apply heat or a hot bath may help to relieve muscle spasm. Use a heat retainer or back brace can provide support in the early stages. See a sports injury specialist or doctor.

What can a Physical Therapist professional do? Manipulate and mobilize the segments of the lumbar spine. This is a good way of assessing whether the lumbar spine is a cause of buttock pain. If it is then symptoms will be relieved.

The intervertebral discs are filled with a soft liquid in the middle called nucleus pullouts and when a disc prolapses this liquid squeezes out and puts pressure on the spinal cord compressing the nerve routes and causing pain.

4 - Does your sciatica get worse or better with activity? Should you rest or be active? Does it make a difference to how fast you will heal? What activity is best to do?

These joints can often get stuck or in some cases one half of the pelvis can glide forwards or backwards, which is often referred to as a twisted pelvis. When this occurs it often irritates the Iliolumbar ligament which results in Inflammation. This is usually indicated by tenderness around the bony lumps which you can feel if you place your thumbs either side of your lower back.

Use electrotherapy equipment to treat affected tissues. If indicated and safe to do, level the pelvis via manipulation. Articulate sacroiliac joint and restore normal function.

In some cases, piriformis syndrome may cause true sciatic nerve irritation, as the sciatic nerve may run underneath or even through the middle of the piriformis, so contraction of the piriformis may produce sufficient compression of the sciatic nerve to produce actual nerve symptoms. This is one of the main sources of confusion when it comes to distinguishing true sciatica from piriformis syndrome.

The pain may radiate out into your buttocks and low back and will often radiate to the front into the groin. Occasionally it is responsible for pain in the testicles among males.

The fact that they are regularly involved in exercises makes the muscles more powerful and mobile, which insures that the recuperation process speeds up. A good side effect is that these type of incidents are prevented in the future with the help of exercises.

7. Hamstring stretching exercises for sciatica Each condition comes with a different type of exercise for it, which must be done the right way and regularly, usually two times each day.

A Pain deep in the cheeks of your bottom can be referred from the lower back. There does not necessarily have to be pain in the lower back as well for pain to be referred into the buttocks.

Exercises for Sciatica While most patients would rather rest in bed, sciatica exercises are the best solution to start the healing process for sciatica pain. After the patient has a sciatica access, doctors will usually recommend a small period of rest (one or two days), but not more, since being inactive will make the pain worse. That's because the spinal structure deteriorates further if there is a lack of movement. The result is a weaker support for the back and that can bring a back injury or a spine/muscle strain. When you exercise the discs, the fluids between them are well lubricated and healthy, and they also help strengthen the abdomen muscles and the back.

Strengthen the core stabilizing muscles of the spine.

Terry O'Brien

http://www.BackTrouble.co.UK


 
 
     
 
 





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