Deal Physio – Sciatica

sciaticaSciatica describes pain felt along the sciatic nerve, which runs from your lower back, down through the buttock, hamstrings and into the lower leg. The sciatic nerve is the longest nerve in the body. The spinal sections it originates from include L4, L5 or S1.

Sciatica is commonly misdiagnosed, which can result is either slow or non-responsive treatment. Leg pain can have various sources. It can be a local leg injury or it may even be referred from your lower back. The main nerve that travels from your lower back to your leg is your sciatic nerve. Irritation or pinching of your sciatic nerve can cause severe leg pain known as sciatica.

Common Causes of Sciatica

Pressure on the sciatic nerve from a herniated disc usually causes sciatica. Otherwise joint inflammation, compression of the nerve from bony arthritic growths or a locked facet joint in the lower spine can commonly cause sciatica.

Injury that irritates or pinching of your sciatic nerve can cause severe leg pain known as sciatica. You’re most likely to get sciatica when you’re 30 to 50 years old. It may happen due to the effects of general wear and tear, plus any sudden pressure on the discs that cushion the vertebrae of your lower (lumbar) spine.

While there are numerous causes of sciatica, the most common are:

  • Lumbar bulging disc
  • Spine degeneration
  • Facet joint injuries

Other sources include:

  • Piriformis syndrome
  • Spinal stenosis
  • Spondylolisthesis
  • Sacroiliac dysfunction

You’re most likely to get sciatica when you’re 30 to 50 years old. It may happen due to the effects of general spine wear and tear or a traumatic injury that sudden pressure on the lumbar discs e.g. lifting, bending or sneezing.

What are Sciatica Symptoms?

Sciatica causes pain that usually begins in the lower back and spreads through the buttock, leg, calf and, occasionally, the foot. The pain can vary between dull, aching or burning sensations and sharp, shooting pains.

Sciatica can also cause tingling, numbness or muscle weakness in the affected leg. It is very important to seek medical attention in these situations as long-term nerve compression can permanently damage the nerve and its function. In these cases your symptoms may become permanent.

One or more of the following sensations may occur because of Sciatica:

  • Pain in the rear or leg that is worse when sitting
  • Burning or tingling down the leg
  • Weakness, numbness or difficulty moving the leg or foot
  • A constant pain on one side of the rear calf
  • A shooting pain that makes it difficult to stand up.

Sciatica Treatment

PHASE I – Pain Relief & Protection

Managing your pain. Pain is the main reason that you seek treatment for sciatica. In truth, it was actually the final symptom that you developed and should be the first symptom to improve.

Managing your inflammation. Inflammation is a normal part of your healing process post-injury. But, excessive inflammation can be the main cause of your sciatica.

Please contact your physiotherapist or doctor for their professional opinion.

PHASE II – Restoring Normal Flexibility, Posture & Strength

As your pain and inflammation settles, your physiotherapist will turn their attention to restoring your normal back joint range of motion and resting muscle tension, lower limb muscle flexibility and posture.

Your physiotherapist will assess your muscle recruitment pattern and prescribe the best exercises for you specific to your needs.

PHASE III – Restoring Full Function & Dynamic Control

The next stage of your rehabilitation is aimed at safely returning you to your desired activities. Everyone has different demands will determine what specific treatment goals you need to achieve. Your physiotherapist is the best person to guide your rehabilitation.

PHASE IV – Preventing a Recurrence

Sciatica does have a tendency to return. The main reason it is thought to recur is due to insufficient rehabilitation.

Fine tuning your back mobility and core control and learning self-management techniques will ultimately help you to achieve your goal of safely returning to your previous sporting or leisure activities without sciatica.

Call us today to see how we can help you.

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