Thursday, June 16, 2022

Why Do You Get Sciatica Pain

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Are Restless Leg Syndrome Multiple Sclerosis Carpal Tunnel Syndrome Plantar Fasciitis Shingles Or Bursitis Related To Sciatica

While all these conditions affect either the spinal cord, nerves, muscles, ligaments or joints and all can cause pain, none are directly related to sciatica. The main causes of these conditions are different. Sciatica only involves the sciatic nerve. That being said, the most similar condition would be carpal tunnel syndrome, which also involves a compression of a nerve.

A final word about sciatica. . . .

Most cases of sciatica do not require surgery. Time and self-care treatment are usually all that’s needed. However, if simple self-care treatments do not relieve your pain, see your healthcare provider. Your healthcare provider can confirm the cause of your pain, suggest other treatment options and/or refer you to other spine health specialists if needed.

Last reviewed by a Cleveland Clinic medical professional on 03/25/2020.

References

The Universal Guide To Sciatica: Everything You Ever Wanted To Know Straight From The Experts

In This Article:What Is Sciatica?  |  What Is The Sciatic Nerve?  |  What Are Common Sciatica Symptoms?  |  What Causes Sciatica?  |  How Is Sciatica Diagnosed?  |  What Are Some Nonsurgical Sciatica Treatments?  |  Do You Need Sciatica Surgery?  |  What Type of Sciatica Surgery Do You Need ?  |  

The sharp, shooting nerve pain of sciatica can take your breath away. When low back pain radiates through the buttocks and down the leg, the symptoms are known as sciatica. Although sciatica is common—affecting up to 40% of adults—there are many misconceptions about what sciatica is.

Leg pain that descends below the knee is the classic hallmark of sciatica, a type of lumbar radiculopathy. Photo Source: 123RF.com.

When Your Sciatica Just Wont Quit You Might Have A Misdiagnosed Case Of Piriformis Syndrome

If you’re struggling with a chronic pain in the butt, relief can be hard to find—especially if you have piriformis syndrome. The hallmark sign is hip and/or buttock pain on one side of the body along with low back pain that radiates down one or both legs.

Piriformis syndrome can be a real pain in the butt.

The problem is, piriformis syndrome is often mistaken for sciatica. While both conditions interfere with sciatic nerve function, sciatica results from spinal dysfunction such as a herniated disc or spinal stenosis. Piriformis syndrome, on the other hand, occurs when the piriformis muscle, located deep in the buttock, compresses the sciatic nerve.

Your medical provider’s solid understanding of the structure and function of the sciatic nerve and its relationship to the piriformis muscle is key to distinguishing between true or discogenic sciatica and piriformis syndrome.

Think You Have Sciatica Its Not As Common As People Assume Says Physical Therapy Expert

U of A researcher recommends exercise over painkillers for treating the painful nerve condition.

Although 85 per cent of people will experience back pain in their lives, only two to 10 per cent will suffer from true sciatica, according to a U of A master’s student in rehabilitation medicine.

While sciatica is one of the most common forms of back pain, people often assume they have it when they don’t, says U of A physical therapy researcher Greg Kawchuk.

That’s because the condition-named for the sciatic nerve running down the spine and through the leg-is a general term for many different situations. It can come on suddenly in an acute, disabling way, resolving after a couple of months, or it can fluctuate over time, he said.

Since the pain tends to radiate, it can be felt in a number of places, from the lower back to the buttocks, groin and down the back or front of the leg. It usually results from compression of the nerve roots as they exit the spine, which is caused when jelly-like cushions between vertebrae herniate, said Kawchuk.

“Sometimes the jelly comes out and it will either push on the nerve root or create inflammation that bothers the nerve. What’s nice is that we know that in the majority of patients, it usually resolves and goes away over time-just not that quickly.”

It’s also possible to have sciatica without back pain, he said, just as it is possible to have symptoms of sciatica without involvement of the back.

Here Are The Exercises From The Level One Course That Most Directly Relieve Sciatica:

Solution for your Sciatica and Low back pain issue: How do ...

Arch & Flatten: I recommend practicing this every day. It’s best to begin your practice with this exercise, because it gently releases the lower back muscles and prepares you for the rest of your practice.

Back Lift: If you have sciatica or piriformis symptoms on both sides, then practice this on both sides. If you have symptoms only on one side, try doing this exercise only on that side to release the tight muscles and balance out your tension and posture. To do this, turn your head away from the side on which you experience symptoms. So, when doing the full movement, you’ll be lifting up the leg in which you feel symptoms. Only lift up your leg as high as is comfortable, and if it’s not comfortable, skip it for now. Be sure to lower your leg down as slowly as you possibly can.

Side Curl: This exercise releases the obliques; however, these can play a role in sciatica if your obliques are tighter on one side, causing you to hike one hip up or bend to that side. So if you have symptoms on one side, practice the Side Curl on that side. To do this, lie down on your non-painful side, and practice this exercise curling up to the side on which you have symptoms. Really try to get a sense of the muscles on the side of your waist contracting, then release them as slowly as you possibly can—resist gravity as you lower down. Completely relax for a few moments before repeating the movement.

How To Use Clinical Somatics Exercises To Alleviate Sciatica And Piriformis Syndrome

To prevent and alleviate sciatica and piriformis syndrome, you need to release the chronic muscle contraction in your lower back and gluteal muscles, and retrain damaging posture and movement patterns that could be causing compression of your lumbar spine.

If you try stretching or getting a massage to release your tight muscles, you’ll likely find that these approaches provide only temporary lengthening of muscles. Your muscles will tighten back up within a few hours due to the stretch reflex. Static stretching and massage do not change the messages that your nervous system is sending to your muscles to stay tight—active movement is necessary to retrain the nervous system.

The most effective way to reduce the tension in your muscles is with a movement technique called pandiculation. The technique of pandiculation was developed by Thomas Hanna, and is based on how our nervous system naturally reduces muscular tension. Pandiculation is the reason why Hanna’s method of Clinical Somatic Education is so effective in releasing tension and relieving pain. Hanna created many self-pandiculation exercises that can be practiced on your own at home.

Pandiculation sends accurate feedback to your nervous system about the level of tension in your muscles, allowing you to change your learned muscular patterns, release chronic muscle tension, and retrain your proprioception. You can read more about pandiculation in this post.

Is The Weight Of Pregnancy The Reason Why So Many Pregnant Women Get Sciatica

It’s true that sciatica is common in pregnancy but increased weight is not the main reason why pregnant women get sciatica. A better explanation is that certain hormones of pregnancy cause a loosening of their ligaments. Ligaments hold the vertebrae together, protect the disks and keep the spine stable. Loosened ligaments can cause the spine to become unstable and might cause disks to slip, which leads to nerves being pinched and the development of sciatica. The baby’s weight and position can also add pressure to the nerve.

The good news is there are ways to ease sciatic pain during pregnancy, and the pain goes away after birth. Physical therapy and massage therapy, warm showers, heat, medications and other measures can help. If you are pregnant, be sure to follow good posture techniques during pregnancy to also ease your pain.

Why Do We Develop The Chronic Muscle Tension That Compresses The Lumbar Spine

The lower back muscles are core muscles: the strong muscles at the center of our body that initiate and control our movement and posture.

Full-body movements begin with movement of our pelvis, carried out by our lower back and abdominal muscles. These core muscles provide essential control and stability as we move. Our standing and sitting posture also develops based on how we hold our pelvis when we’re not moving.

Since we’re always using our lower back muscles, and often demand that they perform repetitive or powerful actions, it’s very common for them to become chronically tight. Here’s why:

The movement and level of contraction of our muscles is controlled by our nervous system. The way that our muscles move, and how much we keep them contracted, is actually learned over time by our nervous system.

Our nervous system learns certain ways of using our muscles based on how we choose to stand and move each and every day. Our nervous system notices the postures and movements that we tend to repeat, and it gradually makes these postures and movements automatic so that we don’t have to consciously think about them. Part of this process of automation is that our nervous system starts keeping certain muscles partially contracted all the time—this saves us time and conscious attention in carrying out repetitive actions.

Taming The Pain Of Sciatica: For Most People Time Heals And Less Is More

    Despite being a less common cause of , sciatica is still something I regularly see as a general internist. Primary care doctors can and should manage sciatica, because for most individuals the body can fix the problem. My job is to help manage the pain while the body does its job. When a person’s symptoms don’t improve, I discuss the role of surgery or an injection to speed things up.

    Q: What Are Some Exercises For The Core That Can Help With Back Pain

    Here are my top five:

    •  Side plank — Sit on the floor with your right hand below your right shoulder and feet stacked. Lift your body, keeping your legs long, abdominals engaged and feet stacked. Hold. Repeat on the other side. You can modify this pose by dropping your bottom knee to the floor for extra support.
    • Plank — Kneel on all fours. Pull in your abdomen and step your feet behind you until your legs are straight. Keep your hands directly under your shoulders and your neck straight. Hold your abdomen and legs tight and avoid letting your lower back sag. Hold and breathe for 30 seconds. You can modify this pose by lowering your knees.
    • Bird dog — Kneel  on all fours. Reach one arm out in front of you, draw in your abdomen, and extend the opposite leg long behind you. Repeat on the other side.
    • Marches — Lie on your back with knees bent. Take a deep breath in and as you breathe out draw your belly muscles in as if tightening a belt. As you do this lift one leg a few inches from the floor. Return to starting position and switch sides. Repeat for 8-10 repetitions on each side. 3 sets.
    • Upward dog — Lie face down with head slightly lifted and hands palm-down under your shoulders. Point your toes. Exhale, then press through your hands and the tops of your feet and raise your body and legs up until your arms are straight and your body and legs are off the ground. Keep your neck relaxed and long and thigh muscles tight as you hold and breathe.

    What Signs Suggest That A Pinched Nerve Is Causing Abdominal Pain

    There are several nerves attached to the abdominal wall, muscles, and organs which provide motor and sensory function. If one of these nerves become pinched, you may experience:

    • Persistent radiating pain in the abdominal region
    • Pain that feels like it moves from the front to back of the abdomen
    • The pain is localised, sharp, or burning
    • Pain levels can change when you twist, bend, or sit up

    It’s always a good idea to talk to a health care professional if you experience these types of symptoms, as there are multiple potential causes

     

    Secret #5: Physical Therapy Modalities & Physical Rehabilitation

    One of the great things about physical therapy is that you will learn exercises and stretches to strengthen your muscles to not only stop sciatica pain, but to prevent a reoccurrence.

    Physical therapy and chiropractic go hand in hand, which is why most chiropractors offer physical therapy modalities in their clinics.

    There are a variety of options that a physical therapist might choose to treat your sciatica, including active treatments, such as stretching, strength training, yoga, and core strengthening exercise programs, or passive therapies, such as ultrasound or chiropractic massage.

    Depending on the cause of your sciatica, your physical therapist might suggest less intense exercises and treatment plans, such as walking, swimming, or water aerobics.

    Your chiropractor can use multiple physical therapy modalities that work in combination with chiropractic care to treat your pain, find the root cause, and make a treatment plan that works for you, so you can get back on your feet again without the pain of sciatica. If you have sciatica nerve pain while pregnant, seeing a chiropractor along with a physical therapist is even more important.

    What Tests Do Health Care Professionals Use To Diagnose Sciatica

    Sciatica Remedies

    Sciatica is a clinical diagnosis. In other words, the health care professional will be able to make the diagnosis based on the patient’s medical history, a physical examination, and description of his or her symptoms. If the patient has had sciatica for only a brief time and has no sign of any other diseases, no lab studies or X-ray films may be needed.

    • If the pain has not improved after several weeks, CT or MRI scans of the spine may be ordered.
    • If the patient has a history of cancer, HIV infection, IV drug use, or has been taking steroids over a period a time, the doctor may want to evaluate plain X-ray films of the back or a bone scan.
    • Occasionally, laboratory studies may be helpful. A CBC may suggest infection, anemia due to certain cancers, or other unusual causes of sciatica. Elevated sedimentation rate may suggest inflammation somewhere in the body. Urinalysis can suggest a kidney stone if there is blood in the urine, or infection, if there are bacteria and pus in the urine.

    Q: What Is The Relationship Between Core Strength And Back Pain

    Theoretically, if your muscles around the low back are weak, your body will rely more on passive structures for stability, including ligaments — the tissue that connects bone to bone — as well as the spinal bones or discs which lie between the spinal bones. This can cause pain.

    But some studies have shown that specific core exercises are not any more beneficial than general exercise for low back pain. What we know is that exercise in general can help, and focusing on core muscles may provide some additional benefit.

    Common Sciatica Cause #1: Lumbar Bulging Disc Or Herniated Disc

    The discs in the spine serve several functions, including giving the spine its flexibility, acting as cushions for the vertebrae, and evenly transferring the load placed on the spine from one disc to another. Disc bulging and herniation occur more frequently in the lumbar spine simply because that part of the spine supports the entire weight of the upper body as well as whatever objects you may need to pick up.

    Bulging and herniated discs are almost the same, but not quite. A bulging disc is a contained disc disorder. The gel-like center of the disc remains “contained” within the tire-like outer wall of the disc but can extend the outer wall enough to press on a nearby nerve or nerve root.

    A herniated disc occurs when the nucleus breaks through the annulus fibrosus. It is called a non-contained disc disorder. Whether a disc bulges or herniates, disc material can press against an adjacent nerve root and compress delicate nerve tissue and cause sciatica. This compression can occur on only one side of the sciatic nerve and cause symptoms on only one side of the body or compress it on both sides and give you symptoms on both sides of the body .

    When Should I See My Healthcare Provider About Lower Back Pain

    Lower back pain usually gets better with rest and pain relievers. Back pain that doesn’t go away may be a sign of a more serious condition.

    See your provider if you have:

    • Pain that doesn’t get better after about a week of at-home care.
    • Tingling, numbness, weakness or pain in your buttocks or legs.
    • Severe pain or muscle spasms that interfere with your normal activities.
    • Fever, weight loss, bowel or bladder problems or other unexplained symptoms.

    A note from Cleveland Clinic

    Millions of people live with low back pain. Stiffness, pain and limited movement can have a major impact on quality of life. But you may be able to avoid lower back pain by maintaining a healthy weight and staying active. Talk to your provider if back pain doesn’t go away or if you’re unable to do the activities you enjoy. Several treatments can relieve pain, help you move better and get more out of life.

    Last reviewed by a Cleveland Clinic medical professional on 01/18/2021.

    References

    Abdominal Aneurysm Can Present With Sciatica And Low Back Pain

    abdominal aortic aneurysm is an enlarging of the lower portion of the aortic artery that resides in the abdomenThe abdominal aorta is the part that sits within the abdomen. It is below the kidneys and in close proximity to the front of the spineintense pain can be felt in the lower back along with sciatica symptoms

    We Will Discuss How Back Pain Can Cause Stomach Problems Below

    The back is a critical part of the human body. The back is so important because it is the home of your spinal cord. Your spinal cord is tasked with distributing nerve signals from the brain to the body and back again. In essence, your spinal cord is the control panel of your entire central nervous system. So any problems in your back can cause auxiliary issues in other parts of the body. These injuries can certainly manifest themselves as problems in your gut.

    The most common back injuries are herniated discs, disc compression, and/or strained ligaments. They can occur by slight yet repeated damage over a long period of time or in an instant, due to an unforeseen injury. The lower back, also known as the lumbar spine, is particularly vulnerable to injury. The lower back is also one of the most important parts of your body for proper nerve function. Any type of has the potential to affect your stomach and other parts of your digestive tract because many of the nerves that control and monitor the digestive system are located here.

    The first thing to do if you are suffering from stomach problems is to get it diagnosed correctly. Feel free to contact us at Fix24 Joint Biomechanics to get checked out! We are an experienced chiropractic office in the Valley, and it would be a pleasure to help you heal in a holistic, natural way at your convenience.

    Q: Can You Injure Your Back By Trying To Strengthen Your Core

    Any exercise performed incorrectly, whether it is core-strengthening or otherwise, has the potential to cause discomfort.

    Twisting exercises or even incorrectly completing the exercises cited above can cause pain in the low back. But it’s highly unlikely that one repetition of an exercise will seriously harm your body, unless it’s an exercise using a very heavy weight.

    The best way to keep your body safe is to listen to body cues such as pain during and immediately after an exercise, and the next day after exercising.

    Whats The Difference Between Radiating Pain And Referred Pain

    Radiating pain isn’t the same as referred pain. With radiating pain, the pain travels from one part of the body to another. The pain literally moves through the body.

    With , the source of pain doesn’t move or get larger. The pain is simply felt in areas other than the source.

    An example is jaw pain during a heart attack. A heart attack doesn’t involve the jaw, but the pain can be felt there.

    Pain can radiate from and to many parts of the body. The pain may come and go, depending on the cause.

    If you experience radiating pain, pay attention to how it spreads. This can help your doctor figure out what’s going on and what’s causing the pain.

    Below are some of the most common causes of radiating pain by body region.

    Pain that travels down either leg may be caused by:

    How Can I Tell If Pain In My Hip Is A Hip Issue Or Sciatica

    Pin on Sciatic nerve pain relief

    Hip problems, such as arthritis in the hip, usually cause groin pain, pain when you put weight on your leg, or when the leg is moved around.

    If your pain starts in the back and moves or radiates towards the hip or down the leg and you have numbness, tingling or weakness in the leg, sciatica is the most likely cause.

    Using Shoes With High Heels And Arent Adequately Cushioned

    Wearing high-heeled shoes shifts your body weight and the center of gravity, forcing you to hunch forward at the hips. On the other hand, footwear without cushioned insoles contributes to transferring the impact of steps to the hips or back. These events can lead to stretching of the hip and the knee muscles alongside the sciatic nerve, resulting in irritation and compression.

    Sciatica Symptoms That Require Immediate Medical Attention

    Larry Parker, MD

    While your sciatica pain can be severe and cause your leg to feel weak, the symptoms typically do not produce any long-term complications.1 Rarely, if the underlying cause of your sciatica becomes severe, it may produce troubling symptoms when your spinal nerve roots and/or spinal cord get compressed, sometimes triggering a medical emergency.

    The symptoms of sciatica radiate from the lower back to the buttock, thigh, and leg. Common symptoms include pain, numbness, tingling, and/or weakness. Watch:Sciatica Causes and Symptoms Video

    Below are the descriptions of two serious sciatica symptoms that must be urgently evaluated and treated:

    Secret #6: The Best Exercises For Relief Of Sciatica Pain

    When you suffer from sciatic pain, the last thing you can think about is exercise, but this is exactly what you will need to do. Resting will help for the first day or two, but after that, you need to get up and get moving. Continuing to simply rest more than just a few days will, believe it or not, make your pain worse and harder to heal.

    A few of the most recommended exercises when you have sciatica pain are:

    • Swimming – Find a stroke that causes you little or no pain and try to swim without stopping for 20-30 minutes. A heated pool will help!
    • Walking – If walking seems too painful at first, try taking smaller steps. We aren’t talking about race walking or jogging, this is not a race or a timed event. Get out and walk at least 30 minutes 5 days per week.
    • Water aerobics – You can usually find these classes at your local YMCA or YWCA.
    • Foundation Training – These aren’t so much “exercise” as simply teaching our bodies to move in a certain way while we perform everyday tasks. This type of program uses 15 different ways to reduce and prevent pain by optimizing posture.

    When your chiropractor approves of it, or when you feel less pain, you can move on to more advanced exercise routines that can strengthen muscles that will help prevent sciatica in the future, including:

    • Strength training
    • Low impact aerobics
    • Core strengthening exercise routines


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