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Back Clinic Sciatica Chiropractic Team. Dr. Alex Jimenez organized a variety of article archives associated with sciatica, a common and frequently reported series of symptoms affecting a majority of the population. Sciatica pain can vary widely. It may feel like a mild tingling, dull ache, or burning sensation. In some cases, the pain is severe enough to make a person unable to move. The pain most often occurs on one side.

Sciatica occurs when there is pressure or damage to the sciatic nerve. This nerve starts in the lower back and runs down the back of each leg as it controls the muscles of the back of the knee and lower leg. It also provides sensation to the back of the thigh, part of the lower leg, and the sole of the foot. Dr. Jimenez explains how sciatica and its symptoms can be relieved through the use of chiropractic treatment. For more information, please feel free to contact us at (915) 850-0900 or text to call Dr. Jimenez personally at (915) 540-8444.

Running Piriformis Syndrome: El Paso Back Clinic

Running Piriformis Syndrome: El Paso Back Clinic

The piriformis is a large and powerful muscle beneath the gluteal/buttocks muscles. It runs from the bottom of the sacrum, where the base of the spine and pelvis converge to the top of the femur. This muscle plays a critical role in running motion; it helps externally rotate the hips and upper leg outward, provides hip flexibility and stability, and stabilizes the pelvis. The sciatic nerve passes next to, over, under, or through the piriformis muscle. When the piriformis contracts or spasms, it can irritate, become entangled and compress the nerve, resulting in painful symptoms. This can lead to various problems and is how piriformis syndrome occurs.

Running Piriformis Syndrome: EP's Chiropractic Specialist Team

Running Piriformis Syndrome

The proper function of the piriformis muscle is essential for athletes who participate in running sports. Repetitive activities, like running, can fatigue the muscle and irritate and inflame the nerve.


Piriformis syndrome can be challenging to diagnose because it can be confused for a herniated disc, sciatica, a proximal hamstring strain/high hamstring tendinitis, or lower back problems. A few symptoms that can help determine whether the piriformis is the cause include:

Sitting, Stairs, Squatting Discomfort or Pain

  • Individuals don’t always experience discomfort while running.
  • Instead, it’s sitting, climbing stairs, and squatting where pain symptoms present.
  • Pain while running, specifically an overstretched sensation when going up a hill or increasing speed, is more associated with a proximal hamstring strain.


  • The area around the piriformis is tender.
  • Applying pressure can cause discomfort or pain around the area and radiate down the leg.

Centered Pain

  • Piriformis syndrome is usually felt in the middle of the glutes.
  • A proximal hamstring strain typically causes non-radiating pain at the bottom of the glutes, where the hamstrings connect to the pelvis.


  • Pelvic misalignment.
  • Pelvic misalignments created by other conditions, like a tilted pelvis, functional leg-length discrepancy, or practicing unhealthy posture, make the piriformis work harder to compensate, which leads to tightness and/or spasms.
  • Sudden increases in distance or workout intensity can worsen any weakness in the piriformis and other gluteal muscles.
  • Continuing to run, which is possible, can worsen and prolong the condition.
  • When running, the muscle’s signal transmissions are interrupted by inflammation and/or compression and cannot synchronize with each other.
  • The result is the inability to withstand the repetitive strain of running.
  • Not warming up with glute-activation exercises increases the risk of running piriformis syndrome.

Chiropractic Treatment

Resting may not be enough to alleviate piriformis syndrome. This is especially true if the problem involves spine and pelvic misalignment. Chiropractic can provide significant relief from running piriformis syndrome. A combination of spinal, pelvic, and extremity adjustments, therapeutic massage, MET, decompression, stretches, and anti-inflammatory nutrition will take the pressure off overly tight areas, realign the body, and maintain nervous system function.

  • Running form could be evaluated and checked for leg-length discrepancies and muscle-strength imbalances.
  • Running can continue if the individual can do so without pain or symptoms.
  • But it is recommended to avoid slanted surfaces, which increase the risk of pelvic misalignment.
  • Avoid long runs, which increase the chance of overload and fatigue.
  • The goal is to relax and release the piriformis.
  • If it’s impinging on the sciatic nerve, loosening and releasing the muscle will significantly lessen radiating pain.
  • Orthotics may be recommended for excessive overpronation or inward movement of the foot when landing.

Other treatments to stop piriformis spasms.

  • Ice and take over-the-counter anti-inflammatory medications can be used during acute phases when the area is tender.
  • Work out tight spots using a foam roller or percussive massager.
  • Stretching and loosening the muscle before and after runs can help it relax and increase blood flow.
  • Stretches like pigeon pose and standing figure four and exercises like side planks with a leg lift are recommended.

Building a Stronger Body


Ahmad Siraj, Sidra, and Ragini Dadgal. “Physiotherapy for Piriformis Syndrome Using Sciatic Nerve Mobilization and Piriformis Release.” Cureus vol. 14,12 e32952. 26 Dec. 2022, doi:10.7759/cureus.32952

Chang A, Ly N, Varacallo M. Piriformis Injection. [Updated 2022 Sep 4]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023 Jan-.

Heiderscheit, Bryan, and Shane McClinton. “Evaluation and Management of Hip and Pelvis Injuries.” Physical Medicine and rehabilitation clinics of North America vol. 27,1 (2016): 1-29. doi:10.1016/j.pmr.2015.08.003

Julsrud, M E. “Piriformis syndrome.” Journal of the American Podiatric Medical Association vol. 79,3 (1989): 128-31. doi:10.7547/87507315-79-3-128

Kraus, Emily, et al. “Piriformis Syndrome With Variant Sciatic Nerve Anatomy: A Case Report.” PM & R: the Journal of Injury, Function, and Rehabilitation vol. 8,2 (2016): 176-9. doi:10.1016/j.pmrj.2015.09.005

Lenhart, Rachel, et al. “Hip muscle loads during running at various step rates.” The Journal of Orthopedic and sports physical therapy vol. 44,10 (2014): 766-74, A1-4. doi:10.2519/jospt.2014.5575

Sulowska-Daszyk, Iwona, and Agnieszka Skiba. “The Influence of Self-Myofascial Release on Muscle Flexibility in Long-Distance Runners.” International Journal of environmental research and public health vol. 19,1 457. Jan 1, 2022, doi:10.3390/ijerph19010457

Running Foot Numbness: El Paso Back Clinic

Running Foot Numbness: El Paso Back Clinic

It’s not unusual for runners to experience tingling, pins and needles, and numbness in their feet while running. Running foot numbness is a relatively common problem for runners and can be easily remedied. Numbness will present in one part of the foot or just the toes. Sometimes it can spread throughout the whole foot. Different causes, most of which are not serious, can be easily dealt with. Serious causes can be treated with chiropractic, massage, decompression therapy, and functional medicine.

Running Foot Numbness: EP Chiropractic Injury Team

Running Foot Numbness

Reasons, why the feet experience numbing sensations when running, include:

  • Improper footwear.
  • Laces that are tied too tightly.
  • Foot strike pattern.
  • Foot structure.
  • Training schedule.
  • Muscle tightness.
  • Compressed nerve.
  • Medical conditions like neuromas or peripheral neuropathy.


  • A common cause of running foot numbness is having overly tight shoes that place added pressure on nerves.
  • If this could be the reason, the remedy is to get new shoes.
  • Try to find a store that specializes in running shoes and ask for help.
  • Footwear professionals look at the size of the foot, the shape, and running gait.
  • For example, individuals with a wide foot may need a style with a wider/larger toebox or the front of the shoe that houses the forefoot.
  • Get a pair that’s one-half to a full size larger than a regular everyday shoe size.
  • This is because when running, the feet swell, especially in hot and humid weather.
  • Going up a half or whole size will also accommodate thicker socks for individuals that run in cold weather.
  • Sometimes numbness can result from biomechanical issues that can be corrected with the proper shoe.

Tight Laces

  • Sometimes it’s not the shoes but the laces that are too tight.
  • Pulling a little tighter to get a firm fit around the ankle is common, but this can entrap nerves on top of the foot at the ankle/anterior tarsal tunnel, similar to the carpal tunnel in the wrist.
  • This can be problematic for individuals with high arches.
  • Loosening the laces are recommended.
  • However, runners may feel insecure with looser laces.
  • Experimenting with different lacing techniques is recommended to find one that keeps the shoes comfortable without creating undue pressure over the top of the foot.
  • Using padding under the tongue of the shoe can help.

Foot Fall Pattern

  • Sometimes running form can put pressure on nerves that, lead to numbness.
  • Overstriding – Landing heel first with the foot ahead of the body’s center of gravity places the feet on the ground for too long.
  • Correcting this issue can be achieved by shortening the stride and focusing on landing on the midsole.
  • This way, the feet will land directly under the body.
  • Running like stepping on hot coals is recommended, keeping the movements light and quick.
  • Correcting overstriding saves energy and lowers the risk of shin splints.
  • A sports chiropractor, physical therapist, or running coach can help fine-tune form for specific guidance.

Foot Structure

  • The anatomy of the feet, specifically the arches, can contribute to running foot numbness.
  • Flat feet mean the entire bottom of each foot is in contact with the floor when barefoot.
  • Overly flexible feet are more likely to experience nerve compression.
  • This can be corrected with shoe orthotic inserts.
  • Over-the-counter orthotics may work, but custom orthotics are another option if they don’t.

Muscle Tightness

  • Stiff, inflexible muscles can lead to anatomical conditions that generate nerve pressure.
  • Warm-up exercises before running will get the muscles loose and ready.
  • Stretching is very important before and after running.
  • Individuals prone to muscle tightness should include flexibility exercises.
  • Yoga can improve flexibility and body alignment.
  • Foam rollers and other massage tools will work out kinks in areas where tightness forms and affects nerves, like the quadriceps, calves, hamstrings, and I.T. band.
  • Regular sports massage and chiropractic can help keep the body pliable.

Sciatic Nerve Issues

  • A compressed nerve causes a decrease in the sensation to the areas the nerve supplies.
  • Foot numbness, especially around the heel or the sole, can be caused by sciatic nerve compression.
  • The pain from sciatica might originate in the back but can end up causing numbness in the feet and/or toes.
  • Poor posture, tight piriformis muscles, or other back injuries can also cause sciatica.
  • A chiropractor or physical therapist can prescribe decompression therapy, MET stretches, and rehabilitative exercises.


Most of the time, running foot numbness can be treated by adjusting footwear or technique. Here are a few tips for injury prevention:

Evaluate Shoes

  • First, make sure the shoelaces are not overly tight.
  • If the shoes are uncomfortable when running, look for another set and get a custom fitting.

Running Form

  • Avoid overstriding by focusing on landing on the midsole instead of the heel.
  • This will take the pressure off of the feet.

Foot Orthotics

  • Individuals with flat feet, high arches, or overly flexible feet should consider orthotics.

Avoid Overtraining

  • Work rest days into the training schedule and gradually build up to avoid overuse injuries.
    Stretch to prevent muscle imbalances, keep muscles loose, and improve the range of motion.

Chiropractic and Physical Therapy

  • If symptoms don’t improve, see a doctor, podiatrist, or chiropractor so they can rule out conditions and develop a personalized treatment plan.

Benefits of Custom Foot Orthotics


Aldridge, Tracy. “Diagnosing heel pain in adults.” American family physician vol. 70,2 (2004): 332-8.

Atik, Aziz, and Selahattin Ozyurek. “Flexible flatfoot.” Northern Clinics of Istanbul vol. 1,1 57-64. 3 Aug. 2014, doi:10.14744/nci.2014.29292

Jackson, D L, and B L Haglund. “Tarsal tunnel syndrome in runners.” Sports medicine (Auckland, N.Z.) vol. 13,2 (1992): 146-9. doi:10.2165/00007256-199213020-00010

Souza, Richard B. “An Evidence-Based Videotaped Running Biomechanics Analysis.” Physical Medicine and rehabilitation clinics of North America vol. 27,1 (2016): 217-36. doi:10.1016/j.pmr.2015.08.006

Sridhara, C R, and K L Izzo. “Terminal sensory branches of the superficial peroneal nerve: an entrapment syndrome.” Archives of physical medicine and Rehabilitation vol. 66,11 (1985): 789-91.

High Hamstring Tendinopathy: El Paso Back Clinic

High Hamstring Tendinopathy: El Paso Back Clinic

The hamstring muscles attach, through a tendon called the proximal hamstring tendon, to the ischial tuberosity, the bones used to sit deep in the buttock muscles. When the tendon is subjected to overuse/repetitive stresses and strains, the internal structure can become compromised, leading to weakness and pain symptoms. This is known as proximal hamstring tendinopathy. Tendinopathy is an overuse injury where the tendon is repeatedly strained until microscopic tears form. It is common in athletes that do a lot of running but also in individuals that sit for prolonged periods. If left untreated, high hamstring tendinopathy can lead to progressive degeneration of the tissues, leading to chronic weakness, pain, and dysfunction.

High Hamstring Tendinopathy: EP's Chiropractic Team

High Hamstring Tendinopathy

The hamstrings are a powerful muscle group that extends the hip and flexes the knee. They experience stress and pressure during activity and inactivity/sitting and are susceptible to strain injuries. Tendons attach muscle to bone and are designed to take compressive and tensile weight/loads that stretch or flex. A tendon is made up of fibrous tissue containing organized type 1 collagen. Tendons receive blood; however, the supply is less where the tendon attaches to the bone and is commonly where tendinopathy occurs.


A hamstring injury involves the bruising, irritation, or tearing of the hamstring tendon or muscle tissue. Severity can range from:

  • Microtears that cause stiffness and pain symptoms but heal fast on their own.
  • Severe ruptures that cause debilitating pain, dysfunction and require medical intervention.

The tendon attaches to the ischial tuberosity or sitting buttock bone. Tendons can have a spasm-like reaction to sudden or quick shift changes. A sudden change can cause adverse changes to the tendon. Too much load on the tendon beyond its ability to recover can cause the structure to change and the collagen to break down/tear like a rope tearing and unraveling. High hamstring tendinopathy happens around the hip area and presents as buttock or upper thigh pain. Individuals report deep, dull, radiating buttock pain during walking, running, and prolonged sitting or driving. Sometimes the sciatic nerve can become irritated or entrapped by an affected tendon’s scar tissue, causing sciatica-like symptoms.

Stages of Tendon Pathology

Reactive Phase

  • Caused by an acute overload of physical activity or inactivity.
  • The tendon will thicken temporarily to decrease the stress; however, there may be no inflammation.
  • The tendon can return to normal if the load is reduced or sufficient time for recovery and repair is allowed.


  • Chronically overloaded.
  • Unsuccessful healing.
  • More negative tendon changes occur.
  • Reversibility is possible with load management and targeted exercises to stimulate the tendon and surrounding tissues.


  • Continual progression of adverse tendon changes.
  • More common in older individuals.
  • Continue load management and strength training to maximize the tendon’s tolerance.

Chiropractic Treatment

A chiropractic therapy team will develop a personalized treatment program to improve tendon structure and strengthen the hamstrings, gluteal, and side abdominal muscles. They will begin with tendon symptom-relieving massage to loosen the muscles and get the blood circulating, MET-targeted stretches to lengthen the muscles, and spinal and pelvic adjustments to realign the body.

Sciatica Explained


Buckley, Mark R et al. “Distributions of types I, II and III collagen by region in the human supraspinatus tendon.” Connective tissue research vol. 54,6 (2013): 374-9. doi:10.3109/03008207.2013.847096

Lempainen, Lasse, et al. “Expert opinion: diagnosis and treatment of proximal hamstring tendinopathy.” Muscles, ligaments, and tendons journal vol. 5,1 23-8. 27 Mar. 2015

Mattiussi, Gabriele, and Carlos Moreno. “Treatment of proximal hamstring tendinopathy-related sciatic nerve entrapment: presentation of an ultrasound-guided “Intratissue Percutaneous Electrolysis” application.” Muscles, ligaments, and tendons journal vol. 6,2 248-252. 17 Sep. 2016, doi:10.11138/mltj/2016.6.2.248

Ono, T et al. “Estimation of tensile force in the hamstring muscles during overground sprinting.” International Journal of sports medicine vol. 36,2 (2015): 163-8. doi:10.1055/s-0034-1385865

White, Kristin E. “High hamstring tendinopathy in 3 female long-distance runners.” Journal of chiropractic medicine vol. 10,2 (2011): 93-9. doi:10.1016/j.jcm.2010.10.005

Wilson, Thomas J et al. “Sciatic Nerve Injury After Proximal Hamstring Avulsion and Repair.” Orthopedic Journal of sports medicine vol. 5,7 2325967117713685. 3 Jul. 2017, doi:10.1177/2325967117713685

Wobble Cushions: El Paso Back Clinic

Wobble Cushions: El Paso Back Clinic

Wobble cushions are small round inflatable support pillows made of a flexible material that can be used to stand and sit on. The cushion creates instability, hence wobble, to engage the lower back, hips, and core muscles. They promote core stability, strengthen muscle tone, and improve balance and body posture. A flexible body helps in injury prevention. At Injury Medical Chiropractic and Functional Medicine Clinic, we utilize innovative techniques and therapies to reduce stress, assist in healing musculoskeletal damage from injuries, disease, or conditions, and keep the spine and whole body healthy.

Wobble Cushions: EP's Chiropractic Specialists

Wobble Cushions

A common reason for back aches and pains is sitting for long periods. Individuals unintentionally slouch or hunch over as they go through their day, causing strain to the back muscles, gluteal muscles, core muscles, hips, and spine. This causes the lower half of the body to weaken and causes the top muscles to take up the slack to support the torso and lower body.

Muscle Spasms

Muscle spasms can be the acute type that is forceful and involuntary, and chronic sustained stiffness, tightness, cramping, and pain. Lower back discomfort and/or sciatica symptoms vary depending on the cause, location, and severity of the strain or injury. Signs could be dull, burning, or sharp at a single point or over a broad region that could spread into one or both legs. Types of low back discomfort:

  • Acute symptoms last less than three months. Most individuals with acute episodes will have at least one recurrence.
  • Recurrent means the acute symptoms return.
  • Chronic symptoms last longer than three months.

Cushion Benefits

Encouraging active sitting improves posture allowing individuals to sit and stay focused for longer as their body awareness improves, reducing hunching, slumping, slouching, and fidgeting. Other wobble cushion benefits include:

  • Decreased muscle stress and strain on the joints and ligaments, which improves proprioceptive sense or body awareness.
  • Increases blood circulation and oxygenation throughout the body.
  • Helps rehydrate the discs and circulate spinal fluid. Spinal discs do not have a direct blood supply; therefore, movement is required to pump and circulate healthy fluids.
  • Allows more flexibility in the spine, hips, and core muscles.
  • Improves overall posture.

The purpose of wobble cushions is not to provide comfort. They are supposed to be uncomfortable and unstable to make the individual sit up straight. The cushion can be placed on a chair or the floor to effectively practice balancing without putting pressure on the back, knees, or feet. They can also be used for practicing standing balance. Various factors to consider when looking for a cushion include:

  • Stability
  • Comfort
  • Resilience
  • Alignment
  • All play a role in determining the best option.

Discussing options with a doctor or chiropractor is recommended to ensure that the cushion meets your needs and preferences.

Spinal Hygiene


Alrwaily, Muhammad, et al. “Stabilization exercises combined with neuromuscular electrical stimulation for patients with chronic low back pain: a randomized controlled trial.” Brazilian journal of physical therapy vol. 23,6 (2019): 506-515. doi:10.1016/j.bjpt.2018.10.003

Haksever, Bunyamin et al. “The Dynamic Innovative Balance System Improves Balance Ability: A Single-Blind, Randomized Controlled Study.” International journal of sports physical therapy vol. 16,4 1025-1032. 1 Aug. 2021, doi:10.26603/001c.25756

Honert, Eric C, and Karl E Zelik. “Foot and shoe responsible for the majority of soft tissue work in the early stance of walking.” Human movement science vol. 64 (2019): 191-202. doi:10.1016/j.humov.2019.01.008

Ostelo, Raymond Wjg. “Physiotherapy management of sciatica.” Journal of physiotherapy vol. 66,2 (2020): 83-88. doi:10.1016/j.jphys.2020.03.005

Shahvarpour, A et al. “Active-passive biodynamics of the human trunk when seated on a wobble chair.” Journal of biomechanics vol. 49,6 (2016): 939-945. doi:10.1016/j.jbiomech.2016.01.042

Sciatica Foot Symptoms: El Paso Back Clinic

Sciatica Foot Symptoms: El Paso Back Clinic

Sciatica can range from mild to severe. Most individuals are familiar with severe cases because of the intense shooting throbbing pain. On the other hand, mild cases can present with little to no discomfort or pain but involve tingling, pins and needles, electrical buzzing, and numbing sensations. This can make individuals think there is nothing wrong and their foot just fell asleep. It can come from nowhere, as there was no obvious back or leg trauma causing injury. However, somewhere along the nerve’s path, the nerve has become compressed, pinched, trapped, stuck, or twisted, most likely from a spasming muscle group in the low back, buttocks, or legs causing the sciatica foot symptoms. Chiropractic, massage, and decompression therapy can relax the muscles, relieve the symptoms, release the nerve, and restore function.

Sciatica Foot Symptoms: EP's Chiropractic Specialists

Sciatica Foot Symptoms

The sciatic nerve extends from the lower spine to the feet. Sciatica foot symptoms could be caused by several possibilities that range from piriformis syndrome to a developing slipped disc or spasming muscles. The symptoms travel through the nerve and can be felt anywhere along the nerve’s path, not necessarily at the source. This is why mild cases may only present with slight pricking/tingling sensations. However, left untreated, the cause can progress and develop into a severe case of sciatica.


The length of time that sciatica foot symptoms last will depend on the underlying cause. For example, if a herniated disc is the cause, the numbness may last for a few weeks or months until the disc heals. However, the numbness may be more long-lasting if sciatica is caused by degenerative disc disease. Sometimes, the nerve can be permanently damaged, leading to chronic pain and numbness. This is more likely to occur in individuals with diabetes or another condition that causes nerve damage.

  • A varying degree of leg weakness can present as the spinal nerve root issues interfere with effective signal communication between the brain and the leg muscles.
  • Leg weakness may also be interpreted as a pulling sensation in the leg.
  • Weakness in the foot or toe muscles can also present.
  • Leg movements such as walking, running, lifting the leg, or flexing the foot can also be affected.
  • The tingling and numbing sensations may worsen when sitting or standing for long periods or moving the back in certain ways.


Chiropractic care is an excellent option for treating sciatica foot symptoms and starts with a personalized plan based on individual symptoms, injury, and medical history. Chiropractors are neuromusculoskeletal experts on the spine, vertebrae, surrounding muscles, tissues, and nerves. Treatment includes spinal and extremity adjustments to realign the body, decrease inflammation, relieve pressure, release the nerve, and ultimately allow the body to activate its natural healing processes.


  • Massage therapy can relieve muscle tension and spasms in the back and legs, reducing pressure on the sciatic nerve.
  • Massage also increases blood circulation and relaxes the muscles, speeding healing and recovery.

Electrical Stimulation

  • Electrical stimulation activates the nerves and muscles and reduces symptoms by blocking signals.

Physical Therapy

  • Physical therapy exercises can help stretch and strengthen the back and leg muscles.
  • Targeted exercises can be done at home to continue strengthening and maintaining the muscles.

Foot Orthotics

  • Using orthotic devices such as arch supports or heel cups can help relieve pressure on the feet.
  • Arch supports are especially helpful if sciatica foot symptoms are exacerbated by flat feet or other foot conditions.
  • Heel cups can help with the frequent use of high heels.

Sciatica Specialists


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Cleveland Clinic. “Sciatica.”

Emary, Peter C. “Evidence-based prognostication in a case of sciatica.” The Journal of the Canadian Chiropractic Association vol. 59,1 (2015): 24-9.

Frost, Lydia R et al. “Deficits in foot skin sensation are related to alterations in balance control in chronic low back patients experiencing clinical signs of lumbar nerve root impingement.” Gait & posture vol. 41,4 (2015): 923-8. doi:10.1016/j.gaitpost.2015.03.345

Mayo Clinic. “Sciatica.”

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Shakeel, Muhammad, et al. “An uncommon cause of sciatica.” Journal of the College of Physicians and Surgeons–Pakistan: JCPSP vol. 19,2 (2009): 127-9.

Tampin, Brigitte, et al. “Disentangling ‘sciatica’ to understand and characterize somatosensory profiles and potential pain mechanisms.” Scandinavian journal of pain vol. 22,1 48-58. 2 Aug. 2021, doi:10.1515/sjpain-2021-0058

Trapped Sciatic Nerve In or Around Hamstrings: Back Clinic

Trapped Sciatic Nerve In or Around Hamstrings: Back Clinic

Hamstring syndrome is a condition where the sciatic nerve gets pinched between the hamstring muscles and the pelvic bone or by the tissue bands that connect the hamstring muscles causing compression on and around the nerve. It is seen in individuals that play sports that involve running, kicking, or jumping, in middle-aged individuals engaged in daily activities that have suffered falls, and in individuals that sit for many hours. Chiropractic care, massage, and decompression therapy can relieve the symptoms, release the trapped nerve, relax and stretch the muscles, and restore function. 

Trapped Sciatic Nerve In or Around Hamstrings: Chiropractic Clinic

Hamstring Muscles Trapped Sciatic Nerve

Three muscles make up the hamstrings in the back of the thigh. The sciatic nerve runs from the low back down the leg into the foot. A trapped sciatic nerve can cause various symptoms and sensations in the back of the leg, hip, buttock, and foot. It may hurt to sit down or stretch the legs out, and there is usually tightness in and/or around the buttock and back of the leg. The symptoms typically recede when lying on your back.


  • Regular wear and tear on the back muscles and hamstrings can contribute to the condition.
  • Often the sciatic nerve and/or the sheath surrounding the sciatic nerve gets trapped and irritated as it travels around the ischial tuberosity. The ischial tuberosities are known as the sit bones.
  • The area where the sciatic nerve runs down the back of the leg can become narrowed, leading to nerve irritation and stinging, numbing, and tingling sensations.
  • The injury often happens during sudden, quick, forceful movements that overstretch the tendons and/or muscles but can also happen during slow movements.
  • Movement agitates the pulling and rubbing of the nerve on the muscles.
  • A non-painful pull or pop of the hamstrings can cause the muscles to spasm and wrap around the nerve.


Symptoms usually include the following:

  • Leg pain that worsens when sitting.
  • Intense electrical shooting pain that makes it hard to stand or move.
  • Difficulties moving the leg or foot.
  • Numbness and weakness in and around the leg.
  • Tingling or burning sensations running down the leg.
  • Persistent pain on one side of the lower back.

Chiropractic Care

Chiropractic treatment can relieve the symptoms and release the trapped nerve. Treatment includes:

  • Accurate Diagnosis – A chiropractor will examine and review physical activity, work, and medical history.
  • Ice and Heat therapies will stop the swelling and increase blood flow.
  • Massage therapy relaxes the muscles and increases circulation.
  • Decompression therapy incrementally and gently stretches the body.
  • Chiropractic adjustments realign and reset the body.
  • Targeted stretches and exercises will keep the muscles loose and increase strength.
  • Nutritional recommendations will help reduce inflammation and prevent flare-ups.

Hamstrings and Sciatic Nerve Relationship


Lohrer, Heinz, et al. “Nerve entrapment after a hamstring injury.” Clinical journal of sports medicine: official journal of the Canadian Academy of Sports Medicine vol. 22,5 (2012): 443-5. doi:10.1097/JSM.0b013e318257d76c

Mattiussi, Gabriele, and Carlos Moreno. “Treatment of proximal hamstring tendinopathy-related sciatic nerve entrapment: presentation of an ultrasound-guided “Intratissue Percutaneous Electrolysis” application.” Muscles, ligaments and tendons journal vol. 6,2 248-252. 17 Sep. 2016, doi:10.11138/mltj/2016.6.2.248

McGregor, Catriona, et al. “Traumatic and overuse injuries of the ischial origin of the hamstrings.” Disability and rehabilitation vol. 30,20-22 (2008): 1597-601. doi:10.1080/09638280701786138

Saikku, Kari, et al. “Entrapment of the proximal sciatic nerve by the hamstring tendons.” Acta orthopaedica Belgica vol. 76,3 (2010): 321-4.

Sciatica From Working Out: El Paso Back Clinic

Sciatica From Working Out: El Paso Back Clinic

Sciatica From Working Out: There are benefits from strenuous exercise and a level of acceptance of the discomfort that goes with exertion. While this is true to a certain degree, when individuals feel the pump and are in the workout zone, it can be very easy to take off and overdo it. This is when the body and the back become susceptible to injuries. Sciatica from working out occurs when added pressure on the sciatic nerve results in a compressed/pinched nerve. Left untreated can lead to further back problems and other health issues. The Injury Medical Chiropractic and Functional Medicine Team can relieve the compression, release the nerve, relax the muscles, and restore function.

Sciatica From Working Out: EP's Chiropractic Team

Sciatica From Working Out


Building muscle and increasing strength require a certain amount of physical damage to the muscles for successful progress. Intense and heavy exercise tear the muscle tissues causing microtrauma that triggers a healing response that creates muscle mass. These micro-injuries can cause the back muscles to tighten up, shifting the spine out of alignment, causing the discs to slip and compress nerves, or by tight leg muscles like the piriformis swelling and squeezing the sciatic nerve.


Rest and Recovery

  • It’s important to understand that proper recovery is essential to an exercise program.
  • It can take up to 72 hours to recover from the microtears.
  • Individuals that go right back for a similar workout can aggravate existing micro tears while creating more, resulting in a downward cycle of symptoms that can lead to other problems or become a chronic condition.
  • Rotating to exercises that go easy on the back and leg muscles assists in the normal healing and development of muscle tissue.

Not Warming up Before Workout

  • Not warming up before exercising can cause injuries.
  • When muscles are cold and not warmed up properly, they can become stiff and inflexible, causing them to strain and tear when exposed to sudden, intense exertion.
  • Before performing any exercise, always start with a low-impact, gentle warm-up.

Not Stretching Properly or at All

  • Full-body stretching is necessary as the torn, tight muscles need to be relaxed and kept loose.
  • Make sure to stretch the hamstrings and hips thoroughly.
  • After each workout, take 10 minutes and stretch.

Not Stretching After

  • Always do some stretching after a workout.
  • Stretching after can help prevent muscle fatigue and soreness from a lactic acid buildup.

Starting With Heavy Weights

  • Many injuries happen because individuals start too heavy.
  • Challenging the body’s performance is part of the process but should be done in small steps.
  • Start with lighter weights and add more gradually.

Improper Posture and Form

  • A leading cause of back problems is poor posture and form.
  • Curving the back while lifting weights is the most error.
  • Overarching can also cause injury.
  • When performing push-ups or planks, avoid sinking the hips.

Hard Surfaces

  • For runners, hard surfaces like concrete or asphalt force the body and back to absorb most of the impact.
  • This compresses the vertebrae, which can irritate the sciatic nerve.
  • Rotate by using running trails or a treadmill.
  • Work on running with a shorter stride to reduce bounce and impact.
  • Incorporate cross-training.
  • Rotate upper body strength training to give the legs, gluteals, and back muscles a rest.

Chiropractic Rehabilitation

Chiropractic care, massage, and decompression therapy can relieve sciatica pain. Using spinal manipulation techniques and other therapies, chiropractors can alleviate the pressure on the nerve. Treatment involves:

  • X-rays are taken so that the chiropractor can understand the cause.
  • Massaging the muscles to relax and release them and increase circulation.
  • Stretching and applying controlled pressure to the joints.
  • Specific exercises and stretches will be recommended to do at home.
  • Health coaching and nutrition and wellness recommendations.

Personalized Sciatica Treatment


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