The term sciatica dates back to 1398 A.D., appearing to originate from the Latin word "ischiadicus" meaning "of pain in the hip". We generally use sciatica to describe pain that radiates along the path of this nerve from the lower back into the buttock and down the leg.
A common misconception is that sciatica is a disorder; however, sciatica is really a symptom of an underlying problem. Since chiropractic care helps reduce nervous system disturbances; many patients who want a natural, drug-free solution that tackles the underlying cause of their symptoms have found chiropractic care very helpful.
Pressure on the sciatic nerve can cause any of the following signs and symptoms: The pain is usually described as dull, achy, sharp, and toothache-like in character and maybe accompanied by intermittent shocks of shooting pain.The pain originates in the lower back or buttock region and extends down one or both legs.The discomfort can be minimal or disabling, and may be accompanied by burning, tingling, numbness or obvious muscle weakness.Sitting and trying to stand up may be painful and difficult.Coughing, sneezing, straining and movement of the leg often intensify the pain.
Symptoms of increasing trunk or leg weakness, loss of feeling around the anal/testicular region or bladder and/or bowel incontinence are an indication of Cauda Equina Syndrome, a serious disorder requiring emergency treatment. If you are experiencing these symptoms please contact our clinic or your GP immediately!
Headaches?
Sciatica is generally caused by pinching of the sciatic nerve. Lower back problems known to cause sciatic nerve compression include the following:
Slipped disc; a disc can’t slip, but it can wedge, bulge, protrude or herniate resulting in trapping/irritation of the neighbouring nerve and is the most common cause of sciatica. Lumbar Spinal Stenosis; is a narrowing of one or more of the nerve passageways within the spine and more often is the cause of sciatica in mature patients.Spondylolisthesis; results from a stress fracture often at the 5th lumbar vertebra (L5) and is characterized by one vertebra slipping forward over the one below. When a vertebra slips and is displaced, spinal nerve compression occurs and often causes sciatica.Piriformis Syndrome; The sciatic nerve runs beneath the piriformis muscle. This muscle is susceptible to injury from a twisting action whilst carrying or lifting in an awkward position. This can cause cramping and spasm to develop in the piriformis muscle, thereby pinching the neighbouring sciatic nerve.Trauma; Sciatica can result from direct nerve compression caused by external forces to the lower back or pelvic region. Examples include motor vehicle accidents, falling down, football and other sports.Spinal Tumours and Infections; are other disorders that may compress the sciatic nerve, but this is rare.
The purpose of chiropractic treatment is to help the body's potential to heal itself. It is based on the scientific principle that restricted spinal movement leads to pain and reduced function and performance. The type of chiropractic care provided depends on the cause of the patient's sciatica. A sciatica care plan usually includes several different treatments such as ice/cold therapies, massage, TENS, traction and spinal adjustments. At the core of chiropractic care are spinal adjustments. Spinal adjustments help free restricted movement, restore misaligned spinal bones (subluxations) to their proper position and reduce nerve pinching responsible for causing inflammation, muscle spasm, pain, and other symptoms related to sciatica. Chiropractic care has produced results for millions of sciatica sufferer’s world wide.
Since there are many disorders that cause sciatica, our chiropractors first determine what is causing your sciatica. This is done at your first visit which involves a thorough review of your case history, a physical and neurological examination and may include some diagnostic testing such as an X-ray, MRI scanning, electrodiagnostic tests and/or blood tests. Once the cause has been established we will decide whether you are a suitable candidate for chiropractic care. The majority (90%) of sciatica patients do not require invasive treatment (injections/surgery) and can be treated conservatively with natural chiropractic. However, if we think you require treatment by another type of doctor we will promptly refer you to a specialist from our network of trusted medical consultants.
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