Sciatica
What is Sciatica?
Sciatica refers to pain that radiates along the path of the sciatic nerve, which runs from the lower back, through the hips and buttocks, and down each leg. Sciatica typically affects only one side of the body and can range from a mild ache to a sharp, burning sensation or excruciating pain.
Mechanism of Injury:
Sciatica is usually caused by compression or irritation of the sciatic nerve. Common causes include a herniated disc, spinal stenosis, piriformis syndrome, or spondylolisthesis. Activities that increase pressure on the lower back, such as heavy lifting, prolonged sitting, or twisting, can trigger or worsen sciatica.
Symptoms
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Radiating Pain: Sharp, burning, or shooting pain that follows the sciatic nerve path, typically from the lower back through the buttock and down the back of the leg.
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Numbness or Tingling: Often felt in the leg or foot.
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Weakness: Difficulty moving the affected leg or foot.
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Worsening Pain: Pain that intensifies with sitting, coughing, or sneezing.
Treatment
Clinic Treatment:
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Assessment: To determine the cause and severity of nerve compression.
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Dry Needling: Targeting muscles like the piriformis or lower back to release tension and reduce nerve irritation.
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Ultrasound Therapy: Applied to the lower back or buttocks to reduce inflammation and promote healing around the sciatic nerve.
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Massage: Focused on the lower back, glutes, and legs to relieve muscle tension and improve circulation.
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Hot Stones: Used to relax tight muscles around the sciatic nerve and ease pain.
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Cupping: Applied to the lower back and glutes to increase blood flow and reduce nerve compression.
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Reassessment: To evaluate pain reduction and nerve function improvement.
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Rehabilitation Plan: Includes stretching exercises for the hamstrings and lower back, strengthening exercises for the core and glutes, and postural corrections to prevent future flare-ups.