What is Sciatica?
“Sciatica” is the irritation of the sciatic nerve, which is compressed, irritated, entrapped. Sciatica is a symptom rather than a true diagnosis and you need to find out what is causing the compression on it, which structure is causing the sciatic pain in your case (see causes).
You may experience some or all the following:
- Pain, burning, shooting, tingling, numbness in gluteal region, back of thigh, calf, foot, toes.
- Usually affects one leg not both.
- Lower back pain, sometimes your leg pain is worse than the back pain.
Symptoms are mostly unilateral (one side only) and you can often have more leg pain than back pain, with varying degrees of tingling and or numbness, weakness, drop foot.
Disc: Cushions between vertebrae wear out and get thinner
Spinal Stenosis: Narrowing of spinal canal
Spondylolisthesis: Vertebra above slips forward on the one below
Piriformis syndrome: Nerve compressed due to muscular tightness in buttock region
Pregnancy: Common in later pregnancy due to changes in spinal curves increasing nerve compression
Trauma: Sporting injuries, accidents, falls
Sciatica pain can be severe and debilitating and stops you from doing the simplest of life’s activities, which become impossible to perform. It is important to find a position where the pain response can be quietened down and decrease the central sensitisation which amplifies the pain.
The two most important priorities are to:
- Decompress the nerve impingement
- Decrease the chemical inflammation of involved structures
- Stabilise weak areas
- Restore normal movement to areas above and below that could put undue load on the damaged areas
- Self- management advice
- Cold/hot alternating packs, relief position • Active movements within pain limit
- Dos: nerve flossing, hip opener stretches
- Don’ts: low and soft seats, no lifting, no bending and twisting movements
Please note general back exercises that you may come across may not be suitable for your presentation and could aggravate your condition.
Make sure you see one of our specialists who can prescribe the right combination of exercises and movements for you
We can help you!
Treatments that can help
Here are some treatments that can help with Sciatica Pain:
- Massage (Soft Tissue)
Help decompress the nerve impingement due to tight muscles
Helps restore normal movement due to misalignment and decompress nerve impingement
- Physiotherapy/Sports Therapy
Helps stabilise weak areas and restore normal movement
Helps to loosen up the tissue decompress the nerve impingement in tight muscles