Treatment Options For Sciatic Nerve Pain

Sciatica Leg Pain Relief

{\rtf1\ansi\ansicpg1252\deff0\deflang2057{\fonttbl{\f0\fnil\fcharset0Arial;}{\f1\fnil\fcharset0 Calibri;}} {\*\generator Msftedit 5.41.21.2509;}\viewkind4\uc1\pard\sa200\sl276\slmult1\qj\lang9\fs36Hi, I'm Paula Moore The Chiropractor and I'm going to show you a sciatica leg pain reliefexercise. It should be know that the majority of people who come to see me as patients whohave been diagnosed with sciatica, don't have true sciatica. They do have leg pain thatis mimicking sciatica. In other words, it is running through the buttocks and down thethight, right down to the ankle but it stems from a different place. It's not the sciaticnerve. It is from a tight muscle in the buttocks, known as the piriformis muscle. It clampsdown over the sciatic nerve giving you sciaticlike

symtoms. \parYou chiropractor can tell the difference between these two. True sciatica and a piriformismuscle problem. I'm going to show you a stretch to get rid of the piriformis muscle problemand the resultant leg pain. If you do this stretch and notice your leg pain startingto decrease, you probably didn't have true sciatica and that's great, because sciaticais harder to treat. \par So you want to sit fairly close to the walland swing your legs up so your heels touch the wall. If you leg pain is on the left,then take your left ankle and place it over your left knee. Now some of you might findthat this position is already very difficult

to get into because your piriformis musclehas become very tight. If you want to increase the stretch, shuffle up closer to the wallwith your buttocks. If you want to deepen the stretch yet again, slide your right foot down thewall so that your knee is bent. You can increase the stretch by gently bringing the left kneetoward your opposite shoulder. That is the perfect position to lie in for the next sixtyseconds using your breathing to relax. \par Do the stretch on both sides, even if yoursymptoms are only on the left, as you need to stay symmetrical. 60 seconds on both sides.Remember to increase the stretch by pulling your knee gently toward the opposite shoulderor by sliding the opposite leg down the wall.

\parAny questions please send my an email to posture tutorials . Thanks for watching.\par\pard\sa200\sl276\slmult1\f1\fs22\par }.

Treating Sciatic Pain Daniel Yadagar Interventional Pain Management Physician

Hi, I'm Daniel Yadegar, I'm anInterventional pain management specialist with the Orlin and Cohen Orthopedic Group.More often than not people ask me what exactly is interventional pain managementéInterventional pain management is a discipline of medicine devoted to the diagnosis and treatmentof pain related disorders.   Our goal is to relieve, reduce, or managepain and improve a patient's overall quality of life. This is accomplished by utilizinga multidisciplinary approach, in which a team of health care professionals work together toprovide a full range of treatment options and services for patients suffering from chronicandor acute pain. 

Common musculoskeletal pain disorders include:Back, Hip, and Leg Pain Neck, Shoulder and Arm Pain“Whiplash� Injuries Work Related InjuriesSports Injuries Failed Back Surgery and Other Post SurgicalPain Syndromes Myofascial PainFacet Syndrome Sacroiliac Joint Pain Today I will be briefly talking about backpain with sciatica (or pain radiating down the leg).  This is a common complaint thatwe encounter on a daily basis. Sciatic pain

results when injury or pressure have compressedthe spinal roots or nerves that branch off the spinal cord in the lower region of thespine.  Sciatic pain can be described as sharp, dull,burning, tingly, numb, continuous, or intermittent and usually affects only one side of the body. There may be associated weakness in the affected limb as well.Sciatic pain is most often the result of a herniated disc, spinal stenosis, or narrowing of thespinal canal associated with arthritis or bony overgrowth, or in extremely rare cases,infection or tumor. An initial work up including a detailed andcomprehensive history and physical exam is

the first step in diagnosis.  Further workup may be needed such as imaging studies (which include xrays, MRIs CT scans) and or nervestudy testing. Once the diagnosis of the cause of sciaticahas been determined, a treatment plan is then established.  Most cases of back pain resolvewith nonsurgical treatment.   Some of the most common nonsurgical treatment optionsthat we utilize are physical therapy and exercise, medication management and spinal injections.As an interventional pain physician, I am trained through the use of xray guidanceor flouroscopy to deliver potent medications targeted specifically to the affected siteof inflammation in the spine.  The use of

flouroscopy allows the medication to be placedsafely and precisely.  These procedures are done as an outpatient in our accredited flouroscopysuite, which is fully staffed with certified personnel and licensed anesthesiologists. Other common procedures that we are trained to administer for appropriate musculoskeletalproblems include: Cervical, thoracic, and caudal Epidural SteroidInjections Facet Joint Injections Medial Branch or Nerve Blocks Radiofrequency Ablation SacroiIiac Joint injections Hip InjectionsTrigger Point Injections

Bursa InjectionsLumbar Discography Spinal Cord StimulationPercutaneous Disc Decompression For more information on musculoskeletal conditionsyou can visit our patient education section on our website. orlincohen To make an appointment with me or any of our sub specialists, please call our office (5165362800)or visit us online.

Top 3 Exercises for Sciatica and Pinched Nerve

Have you heard of sciaticaé A lot of peoplecomplain about nerve pain down the back of their leg. Usually the cause is withinthe lower back or pelvis. I'm going to give you 2 stretches today for the sciatic nerve. Itis the largest nerve in the body. It runs down the back of the leg and splits into two behindthe knee. It runs the whole way to the foot. It can cause shooting pain, numbness, tingling,dead leg feeling or the feeling that your leg is falling asleep. The first exercise is this. It is called flossing.We are going to sit up nice and straight here. What you are going to do is straightenthe affected leg or the leg with pain.

Stretch that leg out and look up at the sametime. As you are doing this, if you are doing it right and you are doing it on thepainful leg, it could actually make the symptoms travel down your leg. That is ok.You are putting a stretch on the nerve. We are going to hold that 5 seconds. Then bendyour knee and look down. 5 second hold here. 5 second hold, 10 times each way. Thisis called flossing. The next exercise is called a slump stretch.Same idea here, as you are doing this exercise, you could experience increased symptomsdown the leg and that is ok. Outside of the flossing or this exercise,no other exercise should increase the pain

travelling down the leg. Everything else shouldactually decrease the pain in the leg and you will experience more pain in yourlower back. What we do is this: Feet against the wall, knees straight, fingers interlockedbehind the head. Then you are going to slump forward. So bring your elbows in. Thereyou go. This should cause pretty sharp symptoms down the back of your leg. It iscalled the slump stretch and it is ok to feel increased pain down the back of the leg. Wehold this for 30 seconds and we do 3 of them in the . Now if that is too difficult,if that is too advanced, here is what you can do: Place your arms behind you and situp and arch your back. What you want to

try to do is if that is too much for you,if that is too intense, you can place your arms behind your back and simply arch your back.Rock your pelvis forward. That will do the same exact thing but it is a little less intensethan interlocking your fingers behind your neck and leaning forward. This is a littlemore basic. So you can modify. The same idea though 30 seconds, 3 times. If you canat least get yourself to sit up straight with the legs straight, feet flat against the wall,you are in good shape. The third exercise you should do for sciaticaor symptoms running down your leg is this: Realize that with symptoms travelling downyour leg, often there isnt a problem within

the leg. The problem is within the lower backor the pelvis. The sciatic nerve, the nerve roots where it originates is in your lowerback. If you are getting pressure on the nerve roots there either from disc degeneration,from a herniated disc or, as is also common, a problem within the pelvis and the sacroiliacjoint. If you have a problem there that is putting increased pressure on the nerve, thatis what creates the symptoms in your leg. You can think about it like this: if you havea long garden hose and there is water running through it and you pinch one end,obviously at the other end you are going to have less water flow. Same idea in your body.If you pinch that sciatic nerve, that is

what creates the symptoms. That is what changeswhat you are feeling down your leg. The solution isn't to continually addressthe problems in your leg. Or to put heat on your leg or ice on your leg. The solution is torelieve the pressure on the other end of the garden hose or the other end of the sciaticnerve. So what you need to do is figure out what is causing the symptoms down your leg.A good Physical Therapist can help you do that and they can decipher through testingwhether it is coming from arthritis or disc degeneration or stenosis in your back, a herniateddisc or a problem in your pelvis. So the third exercise that you should be doingis the 3 exercises that are addressing the

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