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All About Sciatica

What is Sciatica? Sciatica is a medical term used to explain symptoms that develop when the Sciatic nerve is compromised. Pseudo sciatica, which is the most common, occurs when the sciatic nerve is compressed by the Piriformis (bum) muscle. True sciatica occurs when one of the sciatic nerve roots is compressed when it exits the spinal column.


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Anatomy of Sciatica The sciatic nerve is the longest and largest nerve in your body. Five sets of paired nerve roots combine to create it, and it\'s about the diameter of your middle finger. The sciatic nerve starts in your low back, which is called your lumbar spine. The nerve roots are at the L4 and L5 vertebrae (the \'L\' means lumbar, and the numbers indicate the level of the vertebra where it is in your back). The sciatic nerve also travels through your pelvic region (sacrum).

Causes While sciatica is most commonly a result of a disc herniation directly pressing on the nerve, any cause of irritation or inflammation of this nerve can reproduce the symptoms of sciatica. These causes include irritation of the nerve from adjacent bone, tumors, muscle, internal bleeding, infections, injury, and other causes.

It is a joint that is seldom checked and often forgotten about by most practitioners, and rarely treated. Most at home exercises fail to target this joint in sciatica conditions. However if this joint is not corrected effectively, sciatica will commonly become chronic.

The term sciatica describes the symptoms of leg pain and possibly tingling, numbness or weakness that travels from the low back through the buttock and down the large sciatic nerve in the back of the leg. The vast majority of people who experience sciatica get better with time (usually a few weeks or months) and find pain relief with non-surgical sciatica treatment. For others, however, sciatica can be severe and debilitating.

Other non-invasive mode of treatment is the cervical traction in which, it lifts off the pressure on the nerve roots. However, this is not guaranteed to work perfectly well for everybody and is completely reliant on the health condition and age of the patient suffering from the herniated disc. This is however a reasonably simple method to implement. A home traction kit device may be conveniently used by patients who respond positively to this form of treatment, to help them cope with the pain associated with a herniated disc.

I highly suggest trying it out and talking with Mike Dixon RMT. He has had over 20 years of clinical experience and he has been teaching spinal orthopaedics for over a decade. He has also written two books on spinal manipulation.

Sciatica is pain that starts in the back and radiates down one of the legs. It is quite a common complaint and is sciatica is caused by pressure on the sciatic nerve which runs down into the leg. The medical term is acute nerve root compression. The cause of pressure can be varied from a Slipped (Prolapsed) disk to muscle tension (Piriformis syndrome) or something less common such as a tumors, bony growths and infections.

How is Sciatica caused? Pseudo Sciatica is caused by a tightening of the Piriformis muscle on the Sciatic nerve. The nerve passes under the Piriformis muscle and in some cases it passes right through the muscle tissue. Exercise, pregnancy, weight gain and posture can create a tight Piriformis muscle.

However in sciatica the key is to make sure your Sacro-Iliac joints are moving correctly. Fail to do this and your sciatica may very well become chronic. Something you can avoid easily by learning simple ways to get this joint moving now!

Conclusion The typical and often first recommended sciatica pain relief treatment is simply bed rest. But like any other medical conditions, herniated disc symptoms can be manifested in a lot of different ways, depending on the person and his/her lifestyle specifically related to exercise. In most serious conditions where nothing seemed to effectively work regardless of whatever techniques you applied, injections and oral steroids can be an option and should be explored. Implementing an ongoing system of physical strengthening exercises in conjunction with the steroids will see a remarkable improvement in most herniated disc conditions. Oral steroids for a herniated disc help with the pain and the swelling at the same time. If nothing is working and the pain of the herniated disc persists it may be well worth considering surgery as an option.

Before reviewing specific sciatica exercises, it is first important to explain what sciatica is, as the term sciatica is often misused and its definition often misunderstood. Sciatica is a set of symptoms rather than a diagnosis in itself (meaning it does not explain the cause of the pain). Sciatica (radiculopathy) is a general term that refers to pain caused by compression or irritation of one or more nerves exiting the lower spine that make up the sciatic nerve, and there are a number of different conditions that can cause this.

In most sciatica cases you are told to stretch to ease muscle tension. You are told that it is a disc and you may need surgery or at least a long rehabilitation. Yet more than 87% of all sciatica cases have this joint involved. The joint is...

The pain brought upon by sciatica is usually a cause by considerable factors like compressions on the nerve roots, and inflammation of the disc material. It is possible to gain quick relief from such anti-inflammatory medications, as they help to reduce the swelling or the inflammation, therefore, pressure on the nerve roots also will be resolved.

The main problem is these joints become habitually tight - as you cannot rest them as they are used almost constantly. To change these joints you need to target them at home each day and train them to work better. Treatment by a practitioner will help, but the breaking of habits requires daily, at home, techniques to train these joints to function correctly.

In most people, the sciatic nerve runs under the Piriformis (bum) muscle, which moves your thigh side to side. From there, the sciatic nerve descends through the buttocks and the back of the thighs. Behind your knee, smaller nerves branch out from the sciatic nerve and travel down to your feet.

To avoid the need for ongoing usage of the oral steroids for sciatica, exercises and physical therapies are beneficial and will provide a long term rehabilitation and hopefully a cure for the herniated disc problem. At the start of the program, the physical therapist may apply some modalities like ice or heat compress or ultrasound to decrease muscle spasm.

Oral steroids for sciatica are also administered in more severe cases. These prescriptions provide pain relief. But take note that such medications can only be used for shorter periods of time only. Oral steroids for herniated disc include Medrol Dose Pak, methyprednisolone, and Predisone.

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About the Author:

Having only 2% of his vision left due to a progressive retinal degenerative condition, Mark felt a profession based on touch and not sight would allow him to provide the best service to society. It was an important decision in Mark's life that has been justified many times over since graduating from the West Coast College of Massage Therapy in 1995. Having weakness in one sense allows the brain to provide more power to other senses, for example, touch and intention. This is a great advantage that allows Mark to function at a heightened state of awareness when treating the body. Combining this with his knowledge in human movement patterns makes for a unique and powerful massage therapy experience. For the past 7 years, Mark has also worked on a political level with our Provincial, National and International massage therapy organizations.
Mark is joined by his seeing-eye dog Victor. Victor is a 3 year old Labrador/Retriever. Clients love to see the 90 pound bundle of love and joy when they come into the clinic.
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There are a variety of tests used to diagnose this condition. The first step is to go through a history of symptoms and activities with the client. Muscle and neurological tests are then done. An Xray, CT Scan or MRI might be needed depending on the initial findings.

Symptoms of Sciatica Regardless of the type of Sciatica you have the symptoms are the same. These symptoms include but are not limited to pain in the low back, buttocks and down the back of the leg. Numbness and tingling are also common symptoms and they follow the same pathway. Weakness can develop anywhere along this pathway because there is an interruption in the sciatic nerve transmission.

True sciatica is caused from a variety of conditions: disk bulging or herniation, Degenerative Disk Disease (DDD), spinal stenosis and pregnancy. How to test for Sciatica

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Your Sacro-Iliac Joint. The joint that attaches your sacrum (the wedge shaped bone at the base of your spine) to your pelvis. This joint is one of the main gravitational joints, meaning - all the weight of your body goes through these joints.

Sciatica usually affects only one side of the lower body. Often, the pain extends from the lower back all the way through the back of the thigh and down through the leg. Depending on where the sciatic nerve is affected, the pain may also extend to the foot or toes.

Nerves are cord like structure which consist of several nerve fibres. Sciatic nerve is the largest nerve of our body which is also called as Great Nerve. It is around 2 cms in diameter. It arises from nerve (roots) plexus emerging from the sacrum (back part of hip bone). It comes out of the pelvis through greater sciatic foramen (opening) in the hip bone with piriformis muscle which unites hip joint and femur. From there it descends on the backside of the leg, deep into the gluteus muscles (buttock). It gives out branches tibial nerve and common peroneal nerve to supply medial and posterior aspect of leg.

Aside from the oral steroids for sciatica, non-surgical treatments are also widely practiced, like physical therapies and exercises, chiropractic manipulation; cervical traction; activity modification, osteopathic medicine, bracing, medications and injections. Medical professionals who can diagnose above treatments are psychiatrists, family practitioner, osteopathic physician, spine surgeons, neurosurgeons, and neurologists- do not trust the judgment of anyone else. Physical therapists and chiropractors may also administer the non-surgical treatments as mentioned in the first part of this paragraph. The oral steroids for herniated disc should only be given by a healthcare professional, and needs to be accurately assessed before commencing.

As the initial sciatica pain sets in, anti-inflammatory medicines may be taken to manage and decrease the pain. Possible medications are ibuprofen drugs such as Nuprin, Motrin, and Advil. COX-2 inhibitors are another option to aid in reducing the pain.

The Sacro-Iliac joint is not a normal joint; the sacrum itself is affected by your occiput (the back of your skull). Both of these joints move in tandem when you breathe. If this mechanism tightens then your entire spine will stiffen and especially the Sacro-iliac joints. Your meninges (the sheath covering your spinal cord) attaches into the base of your skull, has a minor attachment in the spine between your shoulder blades, and then again at the base of the spine at the sacrum/coccyx.

The decision to undergo surgery however depends greatly on the patients decision, with the help and support of the surgeon or with the attending doctor. It is always best to exhaust all forms of sciatica relief treatments before deciding on surgery.

True Sciatica responds extremely will to spinal decompression treatments. This is performed on a special table. The treatment schedule depends on your specific symptoms and cause. What needs to be done with disk bulges/herniations is that the disk material needs to be absorbed back into the disk and this requires taking the pressure off the disk. This is why spinal decompression is so effective. It is essentially traction targeted to your specific condition.

A primary cause of sciatica is a herniated or bulging lower lumbar intervertebral disk that compresses one of the nerve roots before it joins the sciatic nerve. Sometimes, irritation of a branch of the sciatic nerve in the leg can be so severe as to set up a reflex pain reaction involving the entire length of the nerve. For example, if the nerve is pinched or irritated near the knee, you may feel the pain in the hip and buttock.

For you to beat sciatica and remain pain free you need to address this joint. You need to relax the tight muscles around your lower back and pelvis, improve the nerve and blood supply to the weaker muscles, improve joint function in your lower back and balance the pelvis.

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How to Treat Sciatica Pseudo Sciatica is easily treated?????? by massage therapy. Usually in one treatment you will notice a dramatic improvement in your symptoms. Some home care exercises are prescribed and if you follow them you should have no more symptoms.

The most common joint to cause sciatica is seldom listed. The joint that allows sciatica to become chronic because it is rarely corrected. The joint you use in almost every activity, whether you bend, lift, twist or even turn over in bed. This joint has no disc and hence can become inflamed and cause back pain and sciatica easily.

Something that is seldom taught by structural practitioners. Why? Your sciatica would disappear and not return. Leaving your therapist without a patient to treat for the next few years or longer. The big problem is most practitioners will not even assess this joint as being a problem in sciatica.

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Sciatica can be caused by numerous factors. Most of you are aware of the Piriformis muscle that has the sciatic nerve running through or next to it. If this muscle tightens, sciatica occurs. There are also the disc irritations and joints in the lower back that can all help sciatica to occur. However...

If this Sacro-Occipital mechanism tightens, so do the meninges. This can lead to aches and pains throughout the spine. The tightness is greatest in the lower back and leads to sciatica.

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Want further information on herniated discs, symptoms, treatments and sciatica pain relief? Please visit:
http://www.herniated-disc-advice.com (Visitors receive FREE Ebook on herniated disc exercises)


 
 
     
 
 





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