Sciatica or sciatic neuralgia is a commoncondition in which one of the spinal nerve roots of the sciatic nerve is compressed resultingin lower back, buttock and leg pain. Sciatic nerve is a large nerve derived from 5 spinalnerve roots: L4, L5, S1, S2 and S3. It runs from the lumbar spine through the buttockdown the leg and the foot on the posterior aspect. There is one sciatic nerve on eachside of the body. Typically, only one side of the body is affected.A typical sciatica pain is described as a sharp shooting pain in the lower back, downthe buttock, thigh and leg on one side of the body. There may also be numbness, burningand tingling sensations. The pain can get
worse with sitting, moving, sneezing, or coughing.The patterns of pain depend on which nerve root is compressed, and follow the dermatomedistribution. The most common cause of sciatica is a herniatedspinal disc. The spinal disc is a soft elastic cushion that sits in between the vertebraeof the spine. With age, the discs become rigid and may crack, the gellike center of thedisc may protrude out and become a herniation outside the normal boundaries of the disc.Disc herniation presses on the nerve root as it exits the spine.In majority of the cases the condition resolves by itself after a few weeks of rest and conservativetreatment. Pain relief, nonsteroidal antiinflammatory
drugs and muscle relaxants may be prescribed.Stretching exercises and physical therapy may be recommended.Surgery may be needed if the pain doesn't go away after 3 months or more of conservativetreatments. The herniated disc may be removed in a procedure called discectomy. Or, in anotherprocedure called laminotomy, part of the bone of the vertebrae may be cut to make room forthe nerve.
Sciatic Nerve Pain During Pregnancy
I need your advice regarding sciatic nervepain during pregnancy. Pregnancy makes any sciatic nerve problemsyou have worse as it does carpal tunnel syndrome. I don't have carpal tunnel syndrome. The extra liters of fluids sloshing aroundyour body lead to extra pressure in the joints, whether your wrists or your ankles, whichcan put pressure on every nerve. That doesn't help me do much about it. Drink more water and fewer dehydrating drinkslike caffeinated soda or coffee so reduce the amount of water retention.
That sounds counter intuitive. Then there's the same advice they have forwhen your feet hurt due to fluid build up; put your feet up. Do you realize the sciatic nerve is in thebacké It usually takes the form of leg pain causedby the sciatic nerve getting pinched. Laying on your side to avoid putting pressureon it is one alternative. I don't think that's enough. If the sciatic pain is due to a herniateddisk, you have to meet with a regarding
your options, because the strain on the backis only going to grow along with the baby. I've never been diagnosed with a herniateddisk. There are some people who use a chiropractorfor treatment of sciatica. It is a little hard for me to fit on the tablewith this growing load up front. The same tables with holes on them that letpregnant women get a massage laying flat on their stomach are available to chiropractors;you simply need to find someone who has one of them. And the skills and expertise to not make thingsworse.
I've heard of acupuncture used as a sourceof pain relief. And it is one of the safer ones since youcan't take a lot of pain relievers when pregnant. Safe only if you consider getting needlessafe. We talked about how you can lay down to avoidputting more pressure on the nerve. You may also do it to rest the muscles thatmay be strained and mistaken for sciatica. I know what sciatica is; I've had flareups before. Then you may need to work on building coremuscles and flexibility of various joints.
This is exactly the wrong time to work ona strength building routine. Whether yoga or physical therapy, it couldreduce the muscle pain and spasms as well as the muscle relaxants you aren't supposedto take right now. There are other injections they can try. And how much of that isn't allowed becauseof the risks when you're pregnanté And you certainly don't want to try thesurgeries they offer to treat sciatica. I'm trying to avoid a Csection. Regular exercise to reduce the strain andpain are recommended, as long as it is the
right type. I've already been told not to turn and liftor twist because carrying the baby is workout enough on my lower back. Though if going for a walk makes the musclepains stronger and harder and they are already on a rhythm, you may be in labor. Then I have a short term answer and solutionto the pregnancy related sciatica.
Piriformis Syndrome Stretches Exercises Ask Jo
Ohhh! Hey everybody, it's Jo, and todayI'm gonna show you some stretches and exercises for piriformis syndrome. It's literally apain in the mutt, I mean butt. Let's get started. The first two stretches I'm gonna show youare modified stretches. The best way to do them is lying down, but sometimes you justdon't have time to lie down, maybe you're at work and you want to stretch out, or maybeyou aren't comfortable lying down on the ground. So just seated in a chair, take the leg ofthe side that you want to stretch, so if it's my left side, I'm gonna cross it over intoa figure 4 position. So if I'm looking down, I see the number 4. You're gonna feel thatstretch right on that bottom area there, and
if this isn't quite enough, try and keep yourback straight, and just bend forward at your hips. And right about there I can feel juston my bottom right where I'm sitting, the stretch. And that's where that piriformisstretch is. So if you need even more, some people will kind of take their leg a littlebit and then pull towards them. And just hold that stretch for about 30 seconds, come backup and then do that 3 times. Then the next one is crossing the knee over to the oppositeshoulder. So this time still almost in that figure 4 position except you don't bring theknee down. You take your opposite hand and pull that knee up towards the opposite side.So again, I feel that stretch in that piriformis
area. But it changes just a little bit soit's right here verses maybe at the bottom. Again holding that for about 30 seconds. Somepeople kind of like to come in and hug it, and then relax and do that 3 times as well.So now I'm gonna show you the versions on the ground and some exercises as well. Sonow I'm gonna show you the same 2 stretches lying down. So just lie down on the ground.Prop both knees up. Be nice and relaxed, and the same thing, you're gonna go into thatfigure 4 position where you take the side you want to stretch and cross it over whereyour ankle is just right above your knee. Now this time instead of bringing your bodyup, you're gonna bring your legs to you. So
take your hands and grab the other side justbelow the knee and pull it towards you. So again, I'm feeling that stretch right on thatbottom area right there. And you want to hold that for 30 seconds, relax and then do that3 times. Then the knee to the opposite shoulder, still in this position, this time take thatright hand, and pull it over towards the right shoulder. Your leg doesn't necessarily haveto stay on the other one. If you're a little more flexible, you can bring it all the wayup and over, or even slightly hug it. But it's not straight up, it's over at an angle.And again, this time it's a little bit lower of a stretch, but you're still stretchingthat piriformis area. Holding that for 30
seconds and then coming back down and doingthat 3 times. So now for some exercises.You're gonna roll over onto your side. Bring yourknees together and bent. You want your hips to be perpendicular to the ground. You'regonna do a clam shell now. So with the clam shell, a lit of time your hips are gonna wantto roll back, but try and keep it nice and straight, up and down, and just take thattop leg and lift it up. So it doesn't have to go high cause if you go real high, you'regonna want to roll back. And if you're having a hard time keeping your hips up and down,you can put your back against a wall and then bring it up. So just nice and slow up andcome back down. And that's working those glutes
and that piriformis area back there. So theseare a little tougher than they look. Just start off with 10 15 of them. And then youcan work your way up to 20 25. If that becomes easy, you can take a little ankle weight andput it around your thigh, or you can take a resistive band and wrap it around your legsand then again lifting up. THe next exercise is gonna be a side plank. So this time, you'regonna straighten out your legs. Make sure your elbow is pretty close underneath yourshoulder. Pretty much in alignment. The legs are nice and straight, so they're not up thisway. And you're just gonna come up trying to be in as much of a straight line as youcan. And just start off with about 10 seconds,