forum sciatica - Referred Pain from the lumbar spine?
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Referred Pain from the lumbar spine?

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.


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.


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

The important sciatica stretches that you should be doing are quite simple. The first one involves you lying on your back, pulling your knees up to your chest and hugging them. This stretches out your lower back, which doesn't usually get stretched. Another stretch is grabbing onto something above you and hanging that way. It's sort of like hanging on the monkey bars. It stretches out your torso.

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.

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.

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.

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

Exercise is actually extremely important to our spine especially in order to keep the discs within the spine healthy. By carrying out movement a person is actually enable nutrients and fluids to gain access to these discs which in turn ensures that they remain fit and healthy.

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.

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.

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 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.

Many of the sciatica exercises you will see being presented to you by your doctor, health care provider or by websites providing information on exercises for treating this problem will focus on strengthening both the muscles in your back and abdomen. By strengthening these muscles a person is actually providing their back with more support.

Stretching exercises are especially good for treating sciatica as they target those muscles which are causing the pain because they have become tense (tight) and not as flexible as they should be. People who take up sciatica exercises find that it helps to strengthen and stretch the back muscles and they can recover much more quickly when they suffer a flare up of sciatica in the future. Plus it has also been found that it actually helps to prevent them from suffering future episodes of sciatica pain.

I wanted to share with you the important sciatica stretches that you can do to help get rid of back pain. There are a lot of people out there that have back problems and most of these people would describe it as the greatest pain you'll ever experience. I think it's important to understand that it isn't a sharp pain that hits you in one spot; it's a sharp pain that spreads across your back. You feel it everywhere and your back tenses up just at the anticipation of more pain to come. The good news is that you can do some easy stretches that will help relieve the pain. I'm going to share with you the important sciatica stretches that you need to do.

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.

People who suffer from sciatica will often feel pain in their leg which can travel from the back of their thigh up to the thigh and in some cases up to the hip or down towards the foot. For some people not only will they feel pain but they may find that their leg become numb and they will have problems in trying to either move or control their leg.

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.

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.

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.

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.

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.

Exercise After the reduction in pain, doctors suggest exercises and physiotherapy to avoid the recurrence of the problem. These exercises are mainly aimed at improving your mobility, rectifying your posture and in making the muscles around your lower back strong.

However there are ways in which sciataca can be treated and certainly using sciatica exercises can be extremely effective in dealing with this particular problem. Although many people may feel that bed rest is the best way for treating sciatica this is simply not true. Yes resting for a day or two can help to relieve the pain felt when the sciatica flares up but after that, because a person has become inactive, they will find that the pain actually becomes much worse.

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.

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.

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.

 
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Medicines The pain can be treated with anti inflammatory non steroidal dugs combined with drugs that relax muscles. Anticonvulsant drugs and Tricyclic antidepressants are also prescribed to reduce pain. These drugs work in two ways - by blocking the sensations in reaching your brain - and by producing endorphins that naturally help reduce pain.

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

Surgery Surgery also brings relief to patients. Surgery is performed when the pain does not subside even after rest, medications or other forms of treatment and the nerve compression leads to other problems like extreme weakness and bladder incontinence etc

This is because without them carrying out any kind of exercise or movement the muscles in the back and their spine will lose its condition and will then find it very difficult to support the back properly. The weakening of the back could lead to injuries and this will only then increase the amount of pain that the person is feeling.

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.

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.

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.

Steroid Based Treatments Sometimes, the doctors also prescribe epidural or corticosteroid steroid injections to help reduce inflammation in the effected areas.

These sciatica treatments can help in curing and reducing your sciatica pain.

About the Author:

For more info on sciatica treatment head to: http://www.sciaticatreatment.org today!

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.

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.

Common Sciatica Treatments Bed Rest The most common sciatica treatment suggested by doctors is bed rest. It helps in relieving pain. However, only taking bed rest is not going to solve the problem fully. You should combine rest with physical activity that is enough to keep you active without aggravating the pain.

Sciatica Treatment At Home There are many home based sciatica treatment too. Some of them are very effective in curing your sciatica pain quickly. For example ice treatment is very effective in controlling sciatica pain if it is used with in 48 hours of the onset of pain. Movement is also a good option in reducing pain. Doing exercises that stretch piriformis muscles are helpful in controlling sciatica pain. Balancing your pelvis region properly also helps in controlling pain. You can do this by lying down on the bed to check whether the balance is properly distributed on both sides.

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.

Sciatica is actually a symptom of back pain, but it is one caused by a nerve getting pressure. There are a few reasons why this could happen, but spine is the most likely place it occurs. Sometimes our spinal discs will burst or just get overly deflated. This causes the vertebrae to grind together at points and this will often be on a nerve. This will send out the shock of pain. Also a tense muscle has the ability of putting pressure onto the nerve and creating this pain as well.

Sciatica occurs due to the compression at the base of the spine. This compression leads to pain in the lower back and gluetal region of the body. This pain travels to ankle, calf, thighs and knee. Real Sciatica happens when the pain reaches the knees and the ankles. Sciatica actually is the pain that moves through the sciatic nerve - the longest nerve in your body. This nerve starts from your spinal cord to your hips and down to the leg. The pain therefore moves along this nerve and the parts of body it connects. Sciatica actually may not be problem in itself. It may have other inherent causes which are connected to the sciatic nerve like herniated disk.

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.

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.

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.

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.

Strengthen the core stabilizing muscles of the spine.

Terry O'Brien

http://www.BackTrouble.co.UK

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

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.

Alternative Sciatica Treatment Many alternative sciatica treatments like yoga, acupuncture, acu-pressure and biofeedback therapy also exist. These alternative treatments are very effective in curing your sciatica problem.

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.

Learn more about Physical Therapy For Sciatica

Sciatica can reduce your mobility and normal daily activities considerably. The duration of the pain varies according to the inherent cause and may subside in 4-8 weeks time. However, there is no need to loose hope. There are many sciatica treatments both clinical and home based which can help cure and manage sciatica and reduce pain.

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.

However the actual sciatica exercises a person will use to treat the problem will depend on what the actual cause of the pain is. Plus it is important that you should know that this type of pain can be caused by some other underlying medical condition such as an infection or tumor which will need to be treated as well using the right kind of medical procedures. For more details visit www.soundbodytrainer.com


 
 
     
 
 





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