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.
Reset SI Joint Pelvis and Sciatic Nerve Belt and Ball
Welcome back to Foundation Physical Therapy'sYouTube Channel. We have quite a few patients that come in to us that have recurring sacroiliacproblems or your SI joint. SI joint is kind of down at belt level right where your spinemeets your hips and you'll feel a point off to the right or off to the left whereit's a little bit tender. So a lot of times people say it hurts kind of right here notnecessarily centralized but down and off to the right. So what you can do is a quick littlemuscle energy technique that sometimes helps is to do something we call belt and ball.Now we have a different set up in the but at home most people have a luggage strapor some sort of belt that they can cinch up
and a ball or a foam roller. What you'regoing to do is place this foam roller between your knees and take the luggage strap or thebelt and put it around your knees. So here's my belt and you want to cinch this up prettysnug. There shouldn't be a lot of motion. You should feel as you push out against thebelt, your legs don't move very much and as you squeeze to the inside they shouldn'tmove that much either you should just feel the muscles work. So I lay here and I bendthe knees a little bit then what I want to do is keep the feet together I'm going tosqueeze this roll and as I squeeze I feel my adductor muscles on the inside of my thighengaged. I'm going to hold that for a 10
second count. Then I'm going to reversethat and I'm going to push to the outside out against the belt for 10 seconds and whenI do this I feel my gluteus medius, my glutes all these external rotators of the hip kickin. and the reason this works is there's a lot of muscles in that area that will attachto the sacrum which is a part of the SI joint. So then again I would squeeze for a 10 secondcount and I would push out for a 10 second count until I've done it about 10 timesthen reassess my SI pain and see how that feels. So if you have any current SI problemsthat you're trying to fix then that's a quick little something that you can tryto basically give yourself some relief at
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.